Ati Pharmacology FNP EXAM QUESTIONS
AND CORRECT ANSWERS PASSING
RATE EXTREME GRADED A+
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)
Vitamin A - <<<ANSWER>>>High doses of what vitamin during
pregnancy can be teratogenic
5-alpha reductase inhibitor
Reproductive-aged or pregnant women should not handle
crushed/broken finasteride tablets
Dosage: 5 mg PO once daily for BPH and hair loss in men -
<<<ANSWER>>>Finasteride (Proscar)
Glucosamine
Natural progesterone cream
Isoflavones
Saw palmetto
Kava kava, valerian root
,St. John's wort - <<<ANSWER>>>Herbal supplements
Osteoarthritis - <<<ANSWER>>>Glucosamine (with/without
chondroitin)
From wild yam root extract
PMS symptoms (hot flashes) - <<<ANSWER>>>Natural Progesterone
cream
From soy beans
Estrogen-like effects - <<<ANSWER>>>Isoflavones
Urinary symptoms of BPH - <<<ANSWER>>>Saw Palmetto
Anxiety and insomnia - <<<ANSWER>>>Kava Kava, valerian root
Mild depression
Not to be used with:
SSRI
MAOIs
Sumatriptan
HIV protease inhibitors (indinavir) - <<<ANSWER>>>St. John's wort
Treats a-fib
Overdose: anorexia, N/V, abd pain, arrhythmias, confusion, yellowish
green tinged-color vision, scotomas (paritial loss of vision or blind spot)
Treatment: Digibind
Labs: Potassium, Magnesium, Calcium, Creatinine, serial EKGs -
<<<ANSWER>>>Cardiac Glycosides -
Digoxin (Lanoxin)
Hold warfarin for 1 to 2 doses , recheck INR every 2 to 3 days until it is
stable (btw 2.0-3.0)
OR
, Hold warfarin and add a small dose of oral vit. K
After stable recheck monthly - <<<ANSWER>>>INR between 5.0 and
9.0 (without bleeding)
green leafy vegetables, broccoli, brussel sprouts, cabbage (ALL
GREEN)
Mayonnaise, canola oil, and soybean oil - <<<ANSWER>>>Foods high
in Vitamin K
increases stroke 6-fold - <<<ANSWER>>>INR below 2.0
risk for hemorrhage in elderly (>70) - <<<ANSWER>>>INR high
First line for uncomplicated hypertension, heart failure, edema -
<<<ANSWER>>>Thiazide diurectics -
Hydrochlorothiazide (HCTZ)
Chlorthalidone (longer acting and more potent than HCTZ)
Indapamide
Hyperglycemia
Elevated TG and LDL
Elevates uric acid
Hypokalemia - <<<ANSWER>>>Thiazide diurectics adverse effects
Decrease calcium excretion by kidneys and stimulate osteoclast
formation - <<<ANSWER>>>Thiazide diurectics benefits
serious sulfa allergy and use potassium-sparing diuretics (triamterene,
amiloride) - <<<ANSWER>>>Avoid Thiazide diurectics if
Hypertension
Alternative diuretic for pt with severe sulfa allergy -
<<<ANSWER>>>Potassium-Sparing Diuretics -
Triamterene (Dyrenium)
Amiloride (Midamor)
AND CORRECT ANSWERS PASSING
RATE EXTREME GRADED A+
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)
Vitamin A - <<<ANSWER>>>High doses of what vitamin during
pregnancy can be teratogenic
5-alpha reductase inhibitor
Reproductive-aged or pregnant women should not handle
crushed/broken finasteride tablets
Dosage: 5 mg PO once daily for BPH and hair loss in men -
<<<ANSWER>>>Finasteride (Proscar)
Glucosamine
Natural progesterone cream
Isoflavones
Saw palmetto
Kava kava, valerian root
,St. John's wort - <<<ANSWER>>>Herbal supplements
Osteoarthritis - <<<ANSWER>>>Glucosamine (with/without
chondroitin)
From wild yam root extract
PMS symptoms (hot flashes) - <<<ANSWER>>>Natural Progesterone
cream
From soy beans
Estrogen-like effects - <<<ANSWER>>>Isoflavones
Urinary symptoms of BPH - <<<ANSWER>>>Saw Palmetto
Anxiety and insomnia - <<<ANSWER>>>Kava Kava, valerian root
Mild depression
Not to be used with:
SSRI
MAOIs
Sumatriptan
HIV protease inhibitors (indinavir) - <<<ANSWER>>>St. John's wort
Treats a-fib
Overdose: anorexia, N/V, abd pain, arrhythmias, confusion, yellowish
green tinged-color vision, scotomas (paritial loss of vision or blind spot)
Treatment: Digibind
Labs: Potassium, Magnesium, Calcium, Creatinine, serial EKGs -
<<<ANSWER>>>Cardiac Glycosides -
Digoxin (Lanoxin)
Hold warfarin for 1 to 2 doses , recheck INR every 2 to 3 days until it is
stable (btw 2.0-3.0)
OR
, Hold warfarin and add a small dose of oral vit. K
After stable recheck monthly - <<<ANSWER>>>INR between 5.0 and
9.0 (without bleeding)
green leafy vegetables, broccoli, brussel sprouts, cabbage (ALL
GREEN)
Mayonnaise, canola oil, and soybean oil - <<<ANSWER>>>Foods high
in Vitamin K
increases stroke 6-fold - <<<ANSWER>>>INR below 2.0
risk for hemorrhage in elderly (>70) - <<<ANSWER>>>INR high
First line for uncomplicated hypertension, heart failure, edema -
<<<ANSWER>>>Thiazide diurectics -
Hydrochlorothiazide (HCTZ)
Chlorthalidone (longer acting and more potent than HCTZ)
Indapamide
Hyperglycemia
Elevated TG and LDL
Elevates uric acid
Hypokalemia - <<<ANSWER>>>Thiazide diurectics adverse effects
Decrease calcium excretion by kidneys and stimulate osteoclast
formation - <<<ANSWER>>>Thiazide diurectics benefits
serious sulfa allergy and use potassium-sparing diuretics (triamterene,
amiloride) - <<<ANSWER>>>Avoid Thiazide diurectics if
Hypertension
Alternative diuretic for pt with severe sulfa allergy -
<<<ANSWER>>>Potassium-Sparing Diuretics -
Triamterene (Dyrenium)
Amiloride (Midamor)
