PHARMACOLOGY 2024 EXAM COMPLETE 220
QUESTIONS WITH DETAILED VERIFIED ANSWERS
(100% CORRECT) /ALREADY GRADED A+
CHAMBERLAIN
comprehensive 200-question NR565 Advanced Pharmacology exam
prep. I'll break this into manageable sections (typically 25 questions at a
time) with:
• Multiple-choice format (A, B, C, D)
• Correct answers provided
• Detailed explanations
1. Which medication is most appropriate as first-line therapy for
newly diagnosed Type 2 Diabetes Mellitus?
A. Insulin
B. Sulfonylureas
C. Metformin
D. Sitagliptin
Answer: C. Metformin
Explanation: Metformin is the first-line agent due to its efficacy, safety,
,and positive effect on weight. It decreases hepatic glucose production
and improves insulin sensitivity.
2. A patient is prescribed lisinopril. Which laboratory value is most
important to monitor initially?
A. Hemoglobin A1c
B. Serum sodium
C. Serum potassium
D. White blood cell count
Answer: C. Serum potassium
Explanation: Lisinopril, an ACE inhibitor, can cause hyperkalemia.
Monitoring potassium is essential, especially at initiation or dose
increase.
3. Which class of medications is contraindicated in pregnancy due to
teratogenicity?
A. Beta blockers
B. ACE inhibitors
C. Calcium channel blockers
D. Diuretics
Answer: B. ACE inhibitors
Explanation: ACE inhibitors can cause fetal renal abnormalities and are
absolutely contraindicated during pregnancy.
4. Which medication is a long-acting beta-agonist (LABA)?
,A. Albuterol
B. Salmeterol
C. Ipratropium
D. Tiotropium
Answer: B. Salmeterol
Explanation: Salmeterol is a LABA used for long-term asthma or
COPD control. It is not for acute relief.
5. Which of the following is a black box warning for
fluoroquinolones like levofloxacin?
A. Hepatotoxicity
B. Nephrotoxicity
C. Tendon rupture
D. Rash
Answer: C. Tendon rupture
Explanation: Fluoroquinolones carry a black box warning for tendonitis
and tendon rupture, especially in older adults.
6. What is the mechanism of action of omeprazole?
A. H2 receptor antagonist
B. Proton pump inhibitor
C. Antacid neutralizer
D. Gastric motility enhancer
Answer: B. Proton pump inhibitor
Explanation: Omeprazole irreversibly blocks H+/K+ ATPase in the
stomach, reducing gastric acid secretion.
, 7. Which antibiotic is considered safe for use in pregnancy?
A. Tetracycline
B. Ciprofloxacin
C. Amoxicillin
D. Doxycycline
Answer: C. Amoxicillin
Explanation: Amoxicillin is a penicillin that is generally safe for use
during pregnancy.
8. Which insulin has the fastest onset of action?
A. Regular insulin
B. NPH
C. Insulin glargine
D. Insulin lispro
Answer: D. Insulin lispro
Explanation: Lispro is a rapid-acting insulin with onset in 15 minutes;
it's used before meals to control postprandial glucose.
9. What is the most common adverse effect of statins?
A. Nausea
B. Myopathy
C. Weight gain
D. Diarrhea
Answer: B. Myopathy
Explanation: Statins can cause muscle pain or weakness; in rare cases,
they may lead to rhabdomyolysis.