REGIS NU641 CLINICAL ADV PHARMACOLOGY
FINAL EXAM: COVERING WEEKS 9 – 15 QUESTIONS
WITH 100% CORRECT ANSWERS
15 month old on Amoxicillin for 48 hours for AOM but still febrile with no change in
tympanic membrane exam. What should the provider do next? - Change the ABX to
Amoxicillin/Clavulanate
17 yr old competitive runner presents with hip pain that began after falling which vary.
Their only medical problem is severe acne for which they take isotretinoin (Accutane).
What should the provider be concerned about? - They are at risk for bone injuries and
need to be evaluated for fracture
A progestin-only type of contraceptive - Can cause irregular menstrual bleeding during
the first month of use
ACE inhibitors ("PRIL" Captopril, Enalapril, Afosiopril) - cardiovascular drugs that should
be prescribed in diabetic patients (Type II)
ACEIs are beneficial in DM patients - They increase the renal function by regulating the
patient's blood pressure
Acetaminophen - Migraines in pregnancy may be safely treated with this
Although a patient sees a neurologist for the management of her partial seizures, why is
it important to know her medication regimen? - There are many drug-drug interactions
with anticonvulsants
Amoxicillin - A woman who is in her first trimester of pregnancy with a diagnosed urinary
tract infection (UTI) is treated with
Amoxicillin/Clavulanate 500mg bid for 7 days - Current treatment for sinusitis in an adult
who has a child in daycare
An adolescent female calls the clinic with concerns that her acne is worse 2 weeks after
starting topical tretinoin. What would be the appropriate care for her? - Reassure her
that the worsening of acne is normal and it should improve with continued use
An elderly person has been prescribed lactulose for the treatment of chronic
constipation. Monitoring long-term treatment would include - Electrolytes, including
potassium and chloride
antimicrobial efficacy - For an uncomplicated UTI in a child, reduced symptoms within
48 hours is a good indicator of
, Autoimmune impact to beta cells in Type I DM - Destroys them and cause absolute
dependence of insulin
benzoyl alcohol - The only antifungal agent effective for head lice that is not neurotoxic
Biophosphonates - treat or prevent osteoporosis by fostering bone reabsorption
blurred vision - Common adverse drug reaction of ocular antihistamines
Bulk forming laxatives - Type of laxative for short or long term mild constipation
Cholinergic blockers are used to: - Counteract the ERS effects of phenothiazines
Control tremors and relax smooth muscles in Parkinson's Disease
Inhibit the muscarinic action of Ach on bladder muscle
Clonodine - Has several off-label uses including: alcohol and nicotine withdrawal and
post therpautic neuralgia
Common mistakes practitioners make in treating anxiety disorders - General diagnosis
and following up to see if treatment goals are being met
Common treatments and counseling points for scabies - Common therapies:
permethrin, ivermectin, crotamiton
For permethrin, apply from the neck down, and leave the medication on for at least eight
to 10 hours. Often, all household members and other close contacts should be treated.
Bedding, clothing, and towels used by infested persons or their household, sexual, and
close contacts (as defined above) anytime during the three days before treatment
should be decontaminated by washing in hot water and drying in a hot dryer, by dry-
cleaning, or by sealing in a plastic bag for at least 72 hours.
Diarrhea - Is not a side effect of anticholinergic therapy for urinary incontinence
Education for a parent with a child that has AOM - Providing adequate pain relief for at
least the first 24 hours
Effects of estrogen include - regulation of the menstrual cycle and maintaining normal
skin structure and blood vessel integrity.
existing pregnancy - A contraindication to using the morning after (Plan B) contraceptive
for emergency contraception (EC)
First line treatments for both types of pediatric diabetes
(Type I & Type II) - Type I - Insulin
Type II - (Not treated under 10 years old) Diet and exercise
FINAL EXAM: COVERING WEEKS 9 – 15 QUESTIONS
WITH 100% CORRECT ANSWERS
15 month old on Amoxicillin for 48 hours for AOM but still febrile with no change in
tympanic membrane exam. What should the provider do next? - Change the ABX to
Amoxicillin/Clavulanate
17 yr old competitive runner presents with hip pain that began after falling which vary.
Their only medical problem is severe acne for which they take isotretinoin (Accutane).
What should the provider be concerned about? - They are at risk for bone injuries and
need to be evaluated for fracture
A progestin-only type of contraceptive - Can cause irregular menstrual bleeding during
the first month of use
ACE inhibitors ("PRIL" Captopril, Enalapril, Afosiopril) - cardiovascular drugs that should
be prescribed in diabetic patients (Type II)
ACEIs are beneficial in DM patients - They increase the renal function by regulating the
patient's blood pressure
Acetaminophen - Migraines in pregnancy may be safely treated with this
Although a patient sees a neurologist for the management of her partial seizures, why is
it important to know her medication regimen? - There are many drug-drug interactions
with anticonvulsants
Amoxicillin - A woman who is in her first trimester of pregnancy with a diagnosed urinary
tract infection (UTI) is treated with
Amoxicillin/Clavulanate 500mg bid for 7 days - Current treatment for sinusitis in an adult
who has a child in daycare
An adolescent female calls the clinic with concerns that her acne is worse 2 weeks after
starting topical tretinoin. What would be the appropriate care for her? - Reassure her
that the worsening of acne is normal and it should improve with continued use
An elderly person has been prescribed lactulose for the treatment of chronic
constipation. Monitoring long-term treatment would include - Electrolytes, including
potassium and chloride
antimicrobial efficacy - For an uncomplicated UTI in a child, reduced symptoms within
48 hours is a good indicator of
, Autoimmune impact to beta cells in Type I DM - Destroys them and cause absolute
dependence of insulin
benzoyl alcohol - The only antifungal agent effective for head lice that is not neurotoxic
Biophosphonates - treat or prevent osteoporosis by fostering bone reabsorption
blurred vision - Common adverse drug reaction of ocular antihistamines
Bulk forming laxatives - Type of laxative for short or long term mild constipation
Cholinergic blockers are used to: - Counteract the ERS effects of phenothiazines
Control tremors and relax smooth muscles in Parkinson's Disease
Inhibit the muscarinic action of Ach on bladder muscle
Clonodine - Has several off-label uses including: alcohol and nicotine withdrawal and
post therpautic neuralgia
Common mistakes practitioners make in treating anxiety disorders - General diagnosis
and following up to see if treatment goals are being met
Common treatments and counseling points for scabies - Common therapies:
permethrin, ivermectin, crotamiton
For permethrin, apply from the neck down, and leave the medication on for at least eight
to 10 hours. Often, all household members and other close contacts should be treated.
Bedding, clothing, and towels used by infested persons or their household, sexual, and
close contacts (as defined above) anytime during the three days before treatment
should be decontaminated by washing in hot water and drying in a hot dryer, by dry-
cleaning, or by sealing in a plastic bag for at least 72 hours.
Diarrhea - Is not a side effect of anticholinergic therapy for urinary incontinence
Education for a parent with a child that has AOM - Providing adequate pain relief for at
least the first 24 hours
Effects of estrogen include - regulation of the menstrual cycle and maintaining normal
skin structure and blood vessel integrity.
existing pregnancy - A contraindication to using the morning after (Plan B) contraceptive
for emergency contraception (EC)
First line treatments for both types of pediatric diabetes
(Type I & Type II) - Type I - Insulin
Type II - (Not treated under 10 years old) Diet and exercise
