NR 508 ADVANCED PHARMACOLOGY
MIDTERM EXAM 2024 LATEST UPDATED
EXAM 2 VERSIONS (VERSION A AND B)
COMPLETE 400 QUESTIONS WITH DETAILED
VERIFIED AND 100% CORRECT ANSWERS
BRAND NEW ALREADY GRADED A+
VERSION A
A patient who is taking trimethoprim-sulfamethoxazole for
prophylaxis of urinary tract infections tells the primary
care NP that a sibling recently died from a sudden cardiac
arrest, determined to be from long QT syndrome. The NP
should:
schedule a treadmill stress test.
order genetic testing for this patient.
discontinue the trimethoprim-sulfamethoxazole.
refer the patient to a cardiologist for further evaluation. -
....ANSWER...order genetic testing for this patient.
1
,A patient has three consecutive blood pressure readings of
140/95 mm Hg. The patient's body mass index is 24. A
fasting plasma glucose is 100 mg/dL. Creatinine clearance
and cholesterol tests are normal. The primary care NP
should order:
2
,a β-blocker.
an angiotensin-converting enzyme inhibitor.
a thiazide diuretic.
dietary and lifestyle changes. - ....ANSWER...a thiazide
diuretic.
A male patient tells the primary care NP he is experiencing
decreased libido, lack of energy, and poor concentration.
The NP performs an examination and notes increased body
fat and gynecomastia. A serum testosterone level is 225
ng/dL. The NP's next action should be to:
order LH and FSH levels.
order a serum prolactin level.
prescribe testosterone replacement.
obtain a morning serum testosterone level. -
....ANSWER...obtain a morning serum testosterone level.
3
, A woman has severe IBS and takes hyoscyamine sulfate
(Levsin), simethicone (Phazyme), and a TCA. She reports
having continued severe diarrhea. The primary care NP
should:
order diphenoxylate (Lomotil).
prescribe alosetron after ruling out pregnancy.
refer her to a gastroenterologist for endoscopy.
increase the fiber in her diet to 30 g per day. -
....ANSWER...refer her to a gastroenterologist for
endoscopy
A patient is given a diagnosis of peptic ulcer disease. A
laboratory test confirms the presence of Helicobacter
pylori. The primary care NP orders a proton pump
inhibitor (PPI) before meals twice daily, clarithromycin,
and amoxicillin. After 14 days of treatment, H. pyloriis
still present. The NP should order:
continuation of the PPI for 4 to 8 weeks.
4
MIDTERM EXAM 2024 LATEST UPDATED
EXAM 2 VERSIONS (VERSION A AND B)
COMPLETE 400 QUESTIONS WITH DETAILED
VERIFIED AND 100% CORRECT ANSWERS
BRAND NEW ALREADY GRADED A+
VERSION A
A patient who is taking trimethoprim-sulfamethoxazole for
prophylaxis of urinary tract infections tells the primary
care NP that a sibling recently died from a sudden cardiac
arrest, determined to be from long QT syndrome. The NP
should:
schedule a treadmill stress test.
order genetic testing for this patient.
discontinue the trimethoprim-sulfamethoxazole.
refer the patient to a cardiologist for further evaluation. -
....ANSWER...order genetic testing for this patient.
1
,A patient has three consecutive blood pressure readings of
140/95 mm Hg. The patient's body mass index is 24. A
fasting plasma glucose is 100 mg/dL. Creatinine clearance
and cholesterol tests are normal. The primary care NP
should order:
2
,a β-blocker.
an angiotensin-converting enzyme inhibitor.
a thiazide diuretic.
dietary and lifestyle changes. - ....ANSWER...a thiazide
diuretic.
A male patient tells the primary care NP he is experiencing
decreased libido, lack of energy, and poor concentration.
The NP performs an examination and notes increased body
fat and gynecomastia. A serum testosterone level is 225
ng/dL. The NP's next action should be to:
order LH and FSH levels.
order a serum prolactin level.
prescribe testosterone replacement.
obtain a morning serum testosterone level. -
....ANSWER...obtain a morning serum testosterone level.
3
, A woman has severe IBS and takes hyoscyamine sulfate
(Levsin), simethicone (Phazyme), and a TCA. She reports
having continued severe diarrhea. The primary care NP
should:
order diphenoxylate (Lomotil).
prescribe alosetron after ruling out pregnancy.
refer her to a gastroenterologist for endoscopy.
increase the fiber in her diet to 30 g per day. -
....ANSWER...refer her to a gastroenterologist for
endoscopy
A patient is given a diagnosis of peptic ulcer disease. A
laboratory test confirms the presence of Helicobacter
pylori. The primary care NP orders a proton pump
inhibitor (PPI) before meals twice daily, clarithromycin,
and amoxicillin. After 14 days of treatment, H. pyloriis
still present. The NP should order:
continuation of the PPI for 4 to 8 weeks.
4
