NR565 ADVANCED
PHARMACOLOGY FINAL EXAM
WITH ALL CORRECT ANSWERS
UPDATED
A 45-year-old woman complains of nightly severe persistent heartburn for
the past 3 weeks and an unpleasant, acid-like taste in her mouth. The
clinician suspects that she has gastroesophageal reflux disease. Which of the
following drugs is most appropriate?
A. An antacid such as aluminum hydroxide
B. Dicyclomine
C. Granisetron
D. Omeprazole
D. Omeprazole
A couple celebrating their 30th wedding anniversary are given a trip to Peru
to visit Machu Picchu. Because of past experiences while traveling, they ask
their doctor to prescribe an agent in case they experience diarrhea. Which of
the following drugs would be effective?
A. Omeprazole
B. Loperamide
C. Famotidine
D. Lubiprostone
,B. Loperamide
A 27-year-old woman who is 34 weeks' pregnant is on bed rest and is
experiencing mild constipation. Which of the following drugs is most
appropriate for her?
A. Castor oil
B. Docusate
C. Mineral oil
D. Loperamide
B. Docusate
Extrapyramidal symptoms (EPS) have been associated with which of the
following drugs?
A. Metoclopramide
B. Sucralfate
C. Aprepitant
D. Bisacodyl
A. Metoclopramide
Which of the following agents for gastrointestinal problems is contraindicated
in pregnancy?
A. Calcium carbonate
,B. Famotidine
C. Lansoprazole
D. Misoprostol
D. Misoprostol
In which patient population is Metformin contraindicated in?
A. Diabetics with HA1c < 7.0%
B. Patients older than 50
C. Alcoholics
D. Women suffering from infertility
C. Alcoholics
What lab value suggests metformin might be contraindicated?
A. eGFR <30
B. Crea 0.8
C. WBC 7.8
D. Bun 17
A. eGFR <30
, What medication is contraindicated to treat diabetes if a patient already has
a cardiac ejection fraction rate of 40%?
A. Second Generation sulfonyureas
B. Thiazolidinediones
C. Dopamine Agonist
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
reports that she has trouble sleeping and her husband complains that she is
keeping the house too cold. Physical exam reveals slight tachycardia at 104
bpm and a slightly enlarged thyroid. Thyroid testing reveals hyperthyroidism
or Grave's disease.
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
PHARMACOLOGY FINAL EXAM
WITH ALL CORRECT ANSWERS
UPDATED
A 45-year-old woman complains of nightly severe persistent heartburn for
the past 3 weeks and an unpleasant, acid-like taste in her mouth. The
clinician suspects that she has gastroesophageal reflux disease. Which of the
following drugs is most appropriate?
A. An antacid such as aluminum hydroxide
B. Dicyclomine
C. Granisetron
D. Omeprazole
D. Omeprazole
A couple celebrating their 30th wedding anniversary are given a trip to Peru
to visit Machu Picchu. Because of past experiences while traveling, they ask
their doctor to prescribe an agent in case they experience diarrhea. Which of
the following drugs would be effective?
A. Omeprazole
B. Loperamide
C. Famotidine
D. Lubiprostone
,B. Loperamide
A 27-year-old woman who is 34 weeks' pregnant is on bed rest and is
experiencing mild constipation. Which of the following drugs is most
appropriate for her?
A. Castor oil
B. Docusate
C. Mineral oil
D. Loperamide
B. Docusate
Extrapyramidal symptoms (EPS) have been associated with which of the
following drugs?
A. Metoclopramide
B. Sucralfate
C. Aprepitant
D. Bisacodyl
A. Metoclopramide
Which of the following agents for gastrointestinal problems is contraindicated
in pregnancy?
A. Calcium carbonate
,B. Famotidine
C. Lansoprazole
D. Misoprostol
D. Misoprostol
In which patient population is Metformin contraindicated in?
A. Diabetics with HA1c < 7.0%
B. Patients older than 50
C. Alcoholics
D. Women suffering from infertility
C. Alcoholics
What lab value suggests metformin might be contraindicated?
A. eGFR <30
B. Crea 0.8
C. WBC 7.8
D. Bun 17
A. eGFR <30
, What medication is contraindicated to treat diabetes if a patient already has
a cardiac ejection fraction rate of 40%?
A. Second Generation sulfonyureas
B. Thiazolidinediones
C. Dopamine Agonist
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
reports that she has trouble sleeping and her husband complains that she is
keeping the house too cold. Physical exam reveals slight tachycardia at 104
bpm and a slightly enlarged thyroid. Thyroid testing reveals hyperthyroidism
or Grave's disease.
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
