NSG 522 EXAM 2 ADVANCED
PHARMACOLOGY NEWEST ACTUAL EXAM
WITH QUESTIONS AND VERIFIED ANSWERS
GRADED A | BRAND NEW!!!
A very seriously ill patient in ICU is experiencing higher than
normal glucose levels which is new since hospitalization. Which
of the following are the most likely causes?
A. He is producing increased amount of epinephrine which has
raised his metabolic rate thus increasing his glycogenolysis and
insulin production.
B. As part of the stress response, his insulin levels and his
glucagon levels have been decreased, thus allowing the serum
glucose to rise.
C. Epiniephrine has caused lipolysis which raises the serum
glucose.
D. Epinephrine has contributed to reducing his insulin secretion
and increasing his glucagon which increases hepatic glucose
production.
,D. Epinephrine has contributed to reducing his insulin
secretion and increasing his glucagon which increases hepatic
glucose production.
A 56-year-old female is experiencing over active bladder and is
seeking a medication to assist with this problem. Which
category of drug makes the most sense in treating the
problem?
A. A drug that will block the muscarinic receptors in the
detrusor muscle causing relaxation of that muscle.
B. An anti-muscarinc which will increase the tension of the
bladder sphincter so that the patient will be better able to
contain her urine.
C. An alpha one agonist which will agonize the alpha one
receptors in the neck of the bladder.
D. An anticholinergic which will block nicotinic M receptors in
the detrusor muscle of the bladder.
A. A drug that will block the muscarinic receptors in the
detrusor muscle causing relaxation of that muscle.
,The detrusor muscle causes the early contractions in over
active bladder and there are muscarinic receptors that control
contraction - blocking these will decrease sx of OAB.
A patient with a HTN urgency is in the ED and is given an IV
drug that reduces blood pressure rapidly by causing extensive
vasodilation of both the arterial and venous systems. The
patient experiences severe rebound tachycardia. Which drug
listed is the most appropriate to be used to prevent this reflex
rise in heart rate?
A .anticholinergic
B. beta blocker
C. alpha one antagonist
D. nicotinic N receptor blocker
B. beta blocker
Blocking the B2 receptors on the SA node will decrease the
sympathetic stimulation so the reflex tachycardia does not
occur.
, Which of the descriptions of the drug categories listed below
accurately describes the drug's effect on blood pressure?
Choose as many as appropriate.
A. Cholinergic drugs reduce blood pressure by attaching to
muscarinic receptors on the arteries.
B. MAO inhibitors reduce blood pressure by increasing the
amount of norepinephrine in the effector junction.
C. Beta 1 receptor antagonists decrease the amount of renin
secretion which ultimately reduces blood pressure.
D. Beta blockers decrease cardiac output and rate thus
reducing blood pressure.
E. Alpha one agonists cause arterial dilation.
C. Beta 1 receptor antagonists decrease the amount of renin
secretion which ultimately reduces blood pressure.
D. Beta blockers decrease cardiac output and rate thus
reducing blood pressure.
Beta blockers do block the B1s on the JGA & decrease renin
secretion w/c will ultimately decrease angiotensin 2 &
aldosterone, decreasing BP
PHARMACOLOGY NEWEST ACTUAL EXAM
WITH QUESTIONS AND VERIFIED ANSWERS
GRADED A | BRAND NEW!!!
A very seriously ill patient in ICU is experiencing higher than
normal glucose levels which is new since hospitalization. Which
of the following are the most likely causes?
A. He is producing increased amount of epinephrine which has
raised his metabolic rate thus increasing his glycogenolysis and
insulin production.
B. As part of the stress response, his insulin levels and his
glucagon levels have been decreased, thus allowing the serum
glucose to rise.
C. Epiniephrine has caused lipolysis which raises the serum
glucose.
D. Epinephrine has contributed to reducing his insulin secretion
and increasing his glucagon which increases hepatic glucose
production.
,D. Epinephrine has contributed to reducing his insulin
secretion and increasing his glucagon which increases hepatic
glucose production.
A 56-year-old female is experiencing over active bladder and is
seeking a medication to assist with this problem. Which
category of drug makes the most sense in treating the
problem?
A. A drug that will block the muscarinic receptors in the
detrusor muscle causing relaxation of that muscle.
B. An anti-muscarinc which will increase the tension of the
bladder sphincter so that the patient will be better able to
contain her urine.
C. An alpha one agonist which will agonize the alpha one
receptors in the neck of the bladder.
D. An anticholinergic which will block nicotinic M receptors in
the detrusor muscle of the bladder.
A. A drug that will block the muscarinic receptors in the
detrusor muscle causing relaxation of that muscle.
,The detrusor muscle causes the early contractions in over
active bladder and there are muscarinic receptors that control
contraction - blocking these will decrease sx of OAB.
A patient with a HTN urgency is in the ED and is given an IV
drug that reduces blood pressure rapidly by causing extensive
vasodilation of both the arterial and venous systems. The
patient experiences severe rebound tachycardia. Which drug
listed is the most appropriate to be used to prevent this reflex
rise in heart rate?
A .anticholinergic
B. beta blocker
C. alpha one antagonist
D. nicotinic N receptor blocker
B. beta blocker
Blocking the B2 receptors on the SA node will decrease the
sympathetic stimulation so the reflex tachycardia does not
occur.
, Which of the descriptions of the drug categories listed below
accurately describes the drug's effect on blood pressure?
Choose as many as appropriate.
A. Cholinergic drugs reduce blood pressure by attaching to
muscarinic receptors on the arteries.
B. MAO inhibitors reduce blood pressure by increasing the
amount of norepinephrine in the effector junction.
C. Beta 1 receptor antagonists decrease the amount of renin
secretion which ultimately reduces blood pressure.
D. Beta blockers decrease cardiac output and rate thus
reducing blood pressure.
E. Alpha one agonists cause arterial dilation.
C. Beta 1 receptor antagonists decrease the amount of renin
secretion which ultimately reduces blood pressure.
D. Beta blockers decrease cardiac output and rate thus
reducing blood pressure.
Beta blockers do block the B1s on the JGA & decrease renin
secretion w/c will ultimately decrease angiotensin 2 &
aldosterone, decreasing BP
