Final Exam: NR565/ NR 565 (Latest 2025/ 2026 Update) Advanced Pharmacology Exam Review| Questions and Verified Answers -Chamberlain

Final Exam: NR565/ NR 565 (Latest 2025/
2026 Update) Advanced Pharmacology
Exam Review| Questions and Verified
Answers -Chamberlain

1. A patient has a TSH of .28, a free T4 of 3, and a free T3 over 650. What
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medication should she be started on?
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✓ Answer: Methimazole, PTU, radioactive iodine. These labs indicate
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hyperthyroidism. Treatment for thyroid storm: K iodide or strong
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iodine solution to suppress thyroid release. Methimazole to suppress
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thyroid synthesis.
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2. When is it appropriate to increase insulin needs?
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✓ Answer: Pregnancy (after first trimester), stress, infection, weight loss,
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adolescent growth spurt. DECREASE for exercise and first trimester.
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3. What is the TDD of a person that weighs 70kg?
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IF a person is eating a 50 carb meal, how much insulin will be needed based on the TDD
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from the above question?
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✓ Answer: 42 TDD : 21 basal 21 bolus (Wt in kg x 0.6; 50% long
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acting and 50% rapid acting)
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✓ 500 divided by (the TDD) 42 = 12. (carb to insulin ratio) then
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(meal carbs) 50 divided 12= 4.1 units with short acting insulin
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,4. "As long as the short-acting insulin is drawn up first I can mix my insulin glargine
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with it."
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✓ Answer: Of the long-acting medications, ONLY NPH the
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intermediate duration is suitable for mixing with the short action
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insulins.bq




5. A women who is taking Pioglitazone states, "I'm glad that this medication
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promotes weight loss."
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✓ Answer: First this medication promotes increase in LDL levels,
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which increases cardiovascular risk. Also, she's a female so speak
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about exercise and weight bearing exercise d/t possible increased
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risk for fractures.
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6. Glucocorticoid MOA bq




✓ Answer: Most effective in long-term control of airway inflammation
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7. Cromolyn MOA bq




✓ Answer: Used as prophylaxis for mild to moderate asthma
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8. Monoclonal Antibodies MOA bq bq




✓ Answer: Used for allergy-related asthma and Eosinophilic asthma.
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Omalizumab for allergy related and Ben ralizumab, mepliz, and
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resliz are for eosinophilic
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9. Leukotriene MOA bq

, ✓ Answer: Second-line therapy to reduce inflammation and bq bq bq bq bq bq



bronchoconstrictionbq




10. B2 adrenergic agonists MOA
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✓ Answer: Can be used PRN, for EIB, COPD exacerbations, bq bq bq bq bq bq bq bq



and maintenance therapy
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11. methylxanthines MOA bq




✓ Answer: Maintenance therapy for chronic stable asthma (theophylline).
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P. 570. Use ONLY if B2 or anticholinergics are not appropriate.
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12. anticholinergic MOA bq




✓ Answer: Approved for bronchospasm related to COPD bq bq bq bq bq bq




13. •What are some risk factors of fatal asthma attacks?
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✓ Answer: Uncontrolled, hospitalized recently, triggers, bq bq bq bq




14. •Roflumilast (select all that apply)
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1. Reduces inflammation
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2. Not intended during pregnancy
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3. Approved for asthma bq bq



4. First-line drug for COPD
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✓ Answer: Reduces inflammation, not intended for pregnancy, approved
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only for COPD, Second-line drug for COPD
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, ✓ Uses for exacerbations prophylaxis in pts with severe COPD with
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a primary chronic bronchitis component.
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15. What pt education can you provide a patient for ICS use?
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✓ Answer: Rinse d/t oropharyngeal candidiasis and dysphonia
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(hoarseness, difficulty speaking).
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16. What patient teaching can a provider give when prescribing a PPI?
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✓ Answer: Hypomagnesia symptoms: muscle cramps, tremors, cramps,
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and palpitations. Check Mg levels periodically especially in the
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elderly. Get enough calcium and VIT D. call if having diarrhea
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(Cdiff) bq




17. What patient teaching can a provider give when prescribing an H2RA?
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✓ Answer: Report lethargy, solmnolance, restlessness, confusion or
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hallucinations. (CNS effects). Teach about possible reduced libido,
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impotence, gynecomastia, pneumonia. P.594 Cimetidine interacts
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with CYP system so check with pt if they are taking warfarin,
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phenytoin, theophylline, lidocaine.
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18. A patient presents with a complaint of reflux and constipation. He states that he
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drinks enough water, and admits he has gained 30lbs. He also states that he has
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been having "reflux" type symptoms. What are your next steps for education?
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✓ Answer: Educate that weight gain can promote reflux symptoms,
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ask about any otc use such as antacids which may cause
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constipation.
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19. zollinger-Ellison syndrome is due to a bq bq bq bq bq bq producing tumor. Treatment is long-term bq bq bq bq



bqtherapy of what medication class?
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