NR 565 - advanced pharmacology FINAL -
Chamberlain Practice EXAM
Which patient population contraindicates Metformin? A. Diabetics with HA1c less than 7.0% B.
Patients older than 50
C. Alcoholics
D. Women who are unable to conceive C. Alcoholics
Which laboratory value indicates that metformin may be contraindicated? A. eGFR <30
B. Crea 0.8
C. WBC 7.8
D. Bun 17
A. eGFR <30
If a patient already has a cardiac ejection fraction rate of 40 percent, what medication is not
recommended for the treatment of diabetes? A. Second Generation sulfonyureas
B. Thiazolidinediones
C. Anti-dopamine agent D. Glucosidase Inhibitor
B. Thiazolidinediones
Sabrina is a 35-year-old female who presents with complaints of fatigue, anxiety, and
palpitations. She has a long history of obesity and reports that she is happy that she has lost 23
pounds in the last 2 months. She also mentions that she has trouble falling asleep and that her
husband thinks she keeps the house too cold. A physical examination reveals a slight enlarged
thyroid and a tachycardia of 104 beats per minute. Grave's disease or hyperthyroidism are
found through thyroid testing. Which of the following agents is the first-line treatment for
hyperthyroidism or Grave's disease?
A. Methimazole
B. Metoprolol
C. Allopurinol
D. Levothyroxine
A. Methimazole
A newly diagnosed diabetic with adequate renal and hepatic function would take which of the
following medications as their first line of treatment. A: Insulin NovoLog Sliding Scale B:
loratadine (Victoza) C: Oral Metformin
D is glipizide C: Oral Metformin
Which of the following drugs is most likely to result in hypoglycemia? A. Metformin
B. Insulin
C. Mimetic incretins D. Thiazolidinediones
B. Insulin
Which symptoms are most expected of a patient diagnosed with hypothyroidism?
A. shortness of breath, wheezing, fatigue
, B. goiter, insomnia, tachycardia, and weight loss C. irritability, nervousness, drowsiness, and
more sweating D. dry pale skin, brittle hair, fatigue, myxedema
D. fatigue, brittle hair, dry skin, and myxedema Patients with an increased risk for UTIs and
genital infections or an active diagnosis, should avoid what drug class/es for treatment of Type II
Diabetes?
A. Glitazones (thiazolidinediones) B. Biguanide.
C. Inhibitors of the sodium-glucose cotransporter 2 (SGLT-2) D. All of the preceding. C.
Inhibitors of the sodium-glucose cotransporter 2 (SGLT-2) A 45-year-old patient with a history of
type 2 diabetes presents to the clinic for a follow-up appointment. The healthcare provider has
prescribed metformin as part of the treatment plan. Which of the following statements regarding
metformin is correct?
A. Metformin primarily stimulates insulin production from the pancreas.
B. Metformin works primarily by lowering insulin resistance, which in turn lowers glucose
levels. C. Metformin is associated with a risk of hypoglycemia.
D. Metformin improves insulin sensitivity and reduces hepatic glucose production.
D. Metformin reduces hepatic glucose production and enhances insulin sensitivity. How do
SGLT-2 (sodium-glucose cotransporter 2) inhibitors work in the body? A. Small intestine
B. Pancreas
C. Renal tubules
D. Stomach
C. Tubes of the kidney Which of the following statements about sulfonylureas is not true? A. It
is safe to give sulonlyreas to women who are pregnant or breastfeeding. B. Educating patients
on the signs and symptoms of hypoglycemia is essential. C. Sulfonylureas cause a
dose-dependent reduction in blood glucose.
D. Sulfonylureas are indicated for only patients diagnosed with type 2 diabetes.
A. It is safe to give sulonlyreas to women who are pregnant or breastfeeding. Tachycardia was
noted in a 33-year-old woman who had previously been diagnosed with hyperthyroidism. Which
medication should the NP add to the patients regimen?
A. acetonide B. levothyroxine
C. lithium
D. seleglitazone A. acetonide Once a patient's thyroid is euthyroid and their dose can be
maintained at the prescription, at what interval should their TSH be re-checked?
A. each 18-month period B. every 12 months
C. each six months D. every 24 months
B. every 12 months
Which of the following medications reduces the absorption of levothyroxine?
A. Warfarin
B. Rifampin
C. Insulin
D. Omeprazole
D. Omeprazole
Which of the following diabetic medications are most likely to cause hypoglycemia?
A. biguanides
B. thiazolidinediones (TZDs)
Chamberlain Practice EXAM
Which patient population contraindicates Metformin? A. Diabetics with HA1c less than 7.0% B.
Patients older than 50
C. Alcoholics
D. Women who are unable to conceive C. Alcoholics
Which laboratory value indicates that metformin may be contraindicated? A. eGFR <30
B. Crea 0.8
C. WBC 7.8
D. Bun 17
A. eGFR <30
If a patient already has a cardiac ejection fraction rate of 40 percent, what medication is not
recommended for the treatment of diabetes? A. Second Generation sulfonyureas
B. Thiazolidinediones
C. Anti-dopamine agent D. Glucosidase Inhibitor
B. Thiazolidinediones
Sabrina is a 35-year-old female who presents with complaints of fatigue, anxiety, and
palpitations. She has a long history of obesity and reports that she is happy that she has lost 23
pounds in the last 2 months. She also mentions that she has trouble falling asleep and that her
husband thinks she keeps the house too cold. A physical examination reveals a slight enlarged
thyroid and a tachycardia of 104 beats per minute. Grave's disease or hyperthyroidism are
found through thyroid testing. Which of the following agents is the first-line treatment for
hyperthyroidism or Grave's disease?
A. Methimazole
B. Metoprolol
C. Allopurinol
D. Levothyroxine
A. Methimazole
A newly diagnosed diabetic with adequate renal and hepatic function would take which of the
following medications as their first line of treatment. A: Insulin NovoLog Sliding Scale B:
loratadine (Victoza) C: Oral Metformin
D is glipizide C: Oral Metformin
Which of the following drugs is most likely to result in hypoglycemia? A. Metformin
B. Insulin
C. Mimetic incretins D. Thiazolidinediones
B. Insulin
Which symptoms are most expected of a patient diagnosed with hypothyroidism?
A. shortness of breath, wheezing, fatigue
, B. goiter, insomnia, tachycardia, and weight loss C. irritability, nervousness, drowsiness, and
more sweating D. dry pale skin, brittle hair, fatigue, myxedema
D. fatigue, brittle hair, dry skin, and myxedema Patients with an increased risk for UTIs and
genital infections or an active diagnosis, should avoid what drug class/es for treatment of Type II
Diabetes?
A. Glitazones (thiazolidinediones) B. Biguanide.
C. Inhibitors of the sodium-glucose cotransporter 2 (SGLT-2) D. All of the preceding. C.
Inhibitors of the sodium-glucose cotransporter 2 (SGLT-2) A 45-year-old patient with a history of
type 2 diabetes presents to the clinic for a follow-up appointment. The healthcare provider has
prescribed metformin as part of the treatment plan. Which of the following statements regarding
metformin is correct?
A. Metformin primarily stimulates insulin production from the pancreas.
B. Metformin works primarily by lowering insulin resistance, which in turn lowers glucose
levels. C. Metformin is associated with a risk of hypoglycemia.
D. Metformin improves insulin sensitivity and reduces hepatic glucose production.
D. Metformin reduces hepatic glucose production and enhances insulin sensitivity. How do
SGLT-2 (sodium-glucose cotransporter 2) inhibitors work in the body? A. Small intestine
B. Pancreas
C. Renal tubules
D. Stomach
C. Tubes of the kidney Which of the following statements about sulfonylureas is not true? A. It
is safe to give sulonlyreas to women who are pregnant or breastfeeding. B. Educating patients
on the signs and symptoms of hypoglycemia is essential. C. Sulfonylureas cause a
dose-dependent reduction in blood glucose.
D. Sulfonylureas are indicated for only patients diagnosed with type 2 diabetes.
A. It is safe to give sulonlyreas to women who are pregnant or breastfeeding. Tachycardia was
noted in a 33-year-old woman who had previously been diagnosed with hyperthyroidism. Which
medication should the NP add to the patients regimen?
A. acetonide B. levothyroxine
C. lithium
D. seleglitazone A. acetonide Once a patient's thyroid is euthyroid and their dose can be
maintained at the prescription, at what interval should their TSH be re-checked?
A. each 18-month period B. every 12 months
C. each six months D. every 24 months
B. every 12 months
Which of the following medications reduces the absorption of levothyroxine?
A. Warfarin
B. Rifampin
C. Insulin
D. Omeprazole
D. Omeprazole
Which of the following diabetic medications are most likely to cause hypoglycemia?
A. biguanides
B. thiazolidinediones (TZDs)
