pharmacological concepts taught throughout the BIO290
Pharmacology course. The examination includes questions
from the following content areas: General Principles of
Pharmacology (pharmacokinetics, pharmacodynamics,
drug metabolism, and excretion), Autonomic Nervous
System Pharmacology (cholinergic and adrenergic agents),
Central Nervous System Pharmacology (anxiolytics,
hypnotics, antidepressants, antipsychotics,
anticonvulsants, and anesthetics), Cardiovascular
Pharmacology (antihypertensives, antiarrhythmics,
anticoagulants, and antiplatelet agents), Antimicrobial
Pharmacology (antibiotics, antivirals, antifungals, and
,antitubercular agents), Endocrine Pharmacology
(antidiabetic agents, thyroid medications, and
corticosteroids), Gastrointestinal Pharmacology (antiulcer
agents, antiemetics, and laxatives), Respiratory
Pharmacology (bronchodilators, corticosteroids, and
antihistamines), and Special Populations Pharmacology
(pediatric, geriatric, and pregnancy considerations). Each
question requires application of pharmacological principles
to clinical scenarios and medication management
decisions.
,BIO290 Pharmacology Final Exam —
Joyce University
1. A nurse is preparing to administer a medication that
undergoes extensive first-pass hepatic metabolism.
Which route of administration would the nurse expect to
be prescribed to avoid this pharmacokinetic process?
A. Oral administration with food intake to enhance
complete absorption
B. Sublingual administration for direct systemic circulation
, entry
C. Rectal administration for partial avoidance of liver
metabolism
D. Topical administration for localized therapeutic effects
only
Answer: B
Rationale: Sublingual administration allows medications to
be absorbed directly into the systemic circulation through
the venous drainage under the tongue, bypassing the
hepatic portal system and first-pass metabolism entirely.
Oral administration (A) is subject to first-pass metabolism.
Rectal administration (C) only partially avoids first-pass