PHARMACOLOGY - FNP EXAM QUESTIONS AND ANSWERS WITH SOLUTIONS 2024

PHARMACOLOGY - FNP EXAM QUESTIONS AND ANSWERS WITH SOLUTIONS 2024 Macrolides (erythro, clarithro, pediazole), Antifungals (ketoconazole, fluconazole), Cisapride (Propulsid) *Been pulled, Cimetidine (Tagament), Citalopram (Celexa) - ANSWER Causes the most interactions Cause or exacerbate CHF in some patient. Do not use in Class III or IV heart failure; Stop Actos if c/o dyspnea, weight gain, cough (heart failure) - ANSWER Thiazolidinediones (TZDs) - Pioglitazone (Actos) High risk of weight gain, metabolic syndrome, and type 2; Monitor weight every 3 months, higher mortality in elderly patients Monitor TSH, lipids, weight/BMI - ANSWER Atypical antipsychotics - Risperidone (Risperdal) Olanzapine (Zyprexa) Quietipine (Seroquel) Jaw pain (jaw necrosis), chest pain, difficulty swallowing, burning mid-back (perforation). Take alone upon awakening with 8 oz glass of water not juice before breakfast. Do not lie down x 30 min. afterwards, do not mix with other meds. - ANSWER Bisposphonates- Alendronate (Fosamax) Risedronate (Actonel) Do not mix with grapefruit juice Drug induced hepatitis or rhabdomyolysis higher if mixed with azole antifungals High dose Zocor (80mg) has highest risk for rhabdo (muscle pain, tenderness) CK (creatine kinase) level goes up - ANSWER Statin- Atorvastatin (Lipitor) Lovastatin (Mevacor) Rosuvastatin (Crestor) Simvastatin (Zocor)