NR 566 MIDTERM/NR566 ADVANCED
PHARMACOLOGY FOR CARE OF THE
FAMILY
NR 566 MIDTERM/NR566 ADVANCED
PHARMACOLOGY FOR CARE OF THE FAMILY
MIDTERM EXAM NEWEST 2025 ACTUAL EXAM
COMPLETE 290 QUESTIONS AND ANSWERS
with CORRECT DETAILED rationales V1
(VERIFIED ANSWERS) |ALREADY GRADED A+
A 33-year-old woman with nausea, vomiting, and diarrhea after eating a chicken meal at a country
picnic presents to the emergency department. Her serum electrolytes are within normal limits. She is
placed on amoxicillin and given an antidiarrheal agent. She returns
for follow-up in 1 week with
worsening of diarrhea and abdominal pain. What is the most likely explanation for these findings?
(A) Basic environment of the stomach
(B) Inability of antibiotic to reach intestinal crypts
(C) Incomplete secretion of antibiotic
(D) Likely fungal infection
(E) Likely viral infection –
A BOMB 1
, NR 566 MIDTERM/NR566 ADVANCED
PHARMACOLOGY FOR CARE OF THE
FAMILY
ANS :(B) Inability of antibiotic to reach intestinal crypts
- ANS :E: Rapid increase of endotoxins in his
blood.
A 26-year-old female with a 2-week history of urinary
urgency and frequency presents to her primary care
physician for evaluation. Urinalysis reveals nitrates,
leukocytes, and red blood cells. The physician selects
a quinolone antibiotic for treatment of a presumed
urinary tract infection. Which of the following
organisms
would be most sensitive at the lowest drug
concentration?
(A) Escherichia coli
(B) Haemophilus influenzae
(C) Neisseria gonorrhoeae
(D) Pseudomonas aeruginosa
(E) Staphylococcus aureus
- ANS :C-Neisseria gonorrhoeae
A 22-year-old sexually active man presents to the
ambulatory
A BOMB 2
, NR 566 MIDTERM/NR566 ADVANCED
PHARMACOLOGY FOR CARE OF THE
FAMILY
care clinic with dysuria, penile discharge,
and a swollen right knee. A joint aspirate of his right
knee reveals many neutrophils as well as some gramnegative
diplococci. Which is the best choice to treat his condition?
(A) Ceftriaxone
(B) Cephalexin
(C) Dexamethasone
(D) Meropenem
(E) Penicillin G –
ANS :A-Ceftiaxone
A 22-year-old sexually active male presents to his primary care physician with painful urination and urethral
discharge. Gram stain of discharge fluid shows gram-negative diplococci. He is given ceftriaxone for gonococcal
infection. What additional medication, if any, should he be given?
(A) Aztreonam
(B) Doxycycline
(C) Imipenem/cilastatin
(D) Nitrofurantoin
(E) No additional medication is needed; ceftriaxone is a suitable treatment for this patient –
ANS :Doxycycline
A 3-year-old girl presents to the emergency department with a history of recurrent UTIs with costovertebral angle
tenderness, high fever, and dysuria. A urine culture grows gram-negative lactose-fermenting rods. The physician
A BOMB 3
, NR 566 MIDTERM/NR566 ADVANCED
PHARMACOLOGY FOR CARE OF THE
FAMILY
suspects E. coli pyelonephritis. Ciprofloxacin is highly effective against E. coli in vitro, but the physician chooses
not to use it in this case. Why would she choose not to prescribe ciprofloxacin?
(A) Ciprofloxacin is bacteriostatic, not bactericidal
(B) Ciprofloxacin is contraindicated in patients
younger than 18 years old
(C) Ciprofloxacin is effective against E. coli in vitro,
but not efficacious in vivo
(D) Ciprofloxacin is nephrotoxic and should not be
used to treat kidney infections
(E) The physician should prescribe ciprofloxacin in
this case –
ANS :Ciprofloxacin is contraindicated in patients younger than 18 years old
A 64-year-old man presents with mild to moderate musculoskeletal
back pain. He states that he has tried acetaminophen without relief. His medical history includes diabetes,
hypertension, hyperlipidemia, gastric ulcer (resolved), and coronary artery disease. Which is the
most appropriate NSAID regimen to treat this patient's pain?
A. Celacoxib
B. Indomethacin and omeprazole
C. Naproxen and omeprazole
D. Naproxen –
ANS :C. Naproxen and omeprazole
A BOMB 4
PHARMACOLOGY FOR CARE OF THE
FAMILY
NR 566 MIDTERM/NR566 ADVANCED
PHARMACOLOGY FOR CARE OF THE FAMILY
MIDTERM EXAM NEWEST 2025 ACTUAL EXAM
COMPLETE 290 QUESTIONS AND ANSWERS
with CORRECT DETAILED rationales V1
(VERIFIED ANSWERS) |ALREADY GRADED A+
A 33-year-old woman with nausea, vomiting, and diarrhea after eating a chicken meal at a country
picnic presents to the emergency department. Her serum electrolytes are within normal limits. She is
placed on amoxicillin and given an antidiarrheal agent. She returns
for follow-up in 1 week with
worsening of diarrhea and abdominal pain. What is the most likely explanation for these findings?
(A) Basic environment of the stomach
(B) Inability of antibiotic to reach intestinal crypts
(C) Incomplete secretion of antibiotic
(D) Likely fungal infection
(E) Likely viral infection –
A BOMB 1
, NR 566 MIDTERM/NR566 ADVANCED
PHARMACOLOGY FOR CARE OF THE
FAMILY
ANS :(B) Inability of antibiotic to reach intestinal crypts
- ANS :E: Rapid increase of endotoxins in his
blood.
A 26-year-old female with a 2-week history of urinary
urgency and frequency presents to her primary care
physician for evaluation. Urinalysis reveals nitrates,
leukocytes, and red blood cells. The physician selects
a quinolone antibiotic for treatment of a presumed
urinary tract infection. Which of the following
organisms
would be most sensitive at the lowest drug
concentration?
(A) Escherichia coli
(B) Haemophilus influenzae
(C) Neisseria gonorrhoeae
(D) Pseudomonas aeruginosa
(E) Staphylococcus aureus
- ANS :C-Neisseria gonorrhoeae
A 22-year-old sexually active man presents to the
ambulatory
A BOMB 2
, NR 566 MIDTERM/NR566 ADVANCED
PHARMACOLOGY FOR CARE OF THE
FAMILY
care clinic with dysuria, penile discharge,
and a swollen right knee. A joint aspirate of his right
knee reveals many neutrophils as well as some gramnegative
diplococci. Which is the best choice to treat his condition?
(A) Ceftriaxone
(B) Cephalexin
(C) Dexamethasone
(D) Meropenem
(E) Penicillin G –
ANS :A-Ceftiaxone
A 22-year-old sexually active male presents to his primary care physician with painful urination and urethral
discharge. Gram stain of discharge fluid shows gram-negative diplococci. He is given ceftriaxone for gonococcal
infection. What additional medication, if any, should he be given?
(A) Aztreonam
(B) Doxycycline
(C) Imipenem/cilastatin
(D) Nitrofurantoin
(E) No additional medication is needed; ceftriaxone is a suitable treatment for this patient –
ANS :Doxycycline
A 3-year-old girl presents to the emergency department with a history of recurrent UTIs with costovertebral angle
tenderness, high fever, and dysuria. A urine culture grows gram-negative lactose-fermenting rods. The physician
A BOMB 3
, NR 566 MIDTERM/NR566 ADVANCED
PHARMACOLOGY FOR CARE OF THE
FAMILY
suspects E. coli pyelonephritis. Ciprofloxacin is highly effective against E. coli in vitro, but the physician chooses
not to use it in this case. Why would she choose not to prescribe ciprofloxacin?
(A) Ciprofloxacin is bacteriostatic, not bactericidal
(B) Ciprofloxacin is contraindicated in patients
younger than 18 years old
(C) Ciprofloxacin is effective against E. coli in vitro,
but not efficacious in vivo
(D) Ciprofloxacin is nephrotoxic and should not be
used to treat kidney infections
(E) The physician should prescribe ciprofloxacin in
this case –
ANS :Ciprofloxacin is contraindicated in patients younger than 18 years old
A 64-year-old man presents with mild to moderate musculoskeletal
back pain. He states that he has tried acetaminophen without relief. His medical history includes diabetes,
hypertension, hyperlipidemia, gastric ulcer (resolved), and coronary artery disease. Which is the
most appropriate NSAID regimen to treat this patient's pain?
A. Celacoxib
B. Indomethacin and omeprazole
C. Naproxen and omeprazole
D. Naproxen –
ANS :C. Naproxen and omeprazole
A BOMB 4
