N5334 Advanced Pharmacology Test 2
1. All of the following electrolyte disorders are commonly
found in a person with chronic renal failure except:
A. hypernatremia.
B. hypercalcemia.
C. hyperkalemia.
D. hypophosphatemia. - ANS - D
\1. Which of the following best describes asthma?
A. intermittent airway inflammation with occasional
bronchospasm
B. a disease of bronchospasm that leads to airway
inflammation
C. chronic airway inflammation with superimposed
bronchospasm
D. relatively fixed airway constriction - ANS - C
\1. Which of the following characteristics applies to type 1
diabetes mellitus (DM)?
A. Significant hyperglycemia and ketoacidosis result
from lack of insulin.
B. This condition is commonly diagnosed on routine
examination or workup for other health problems.
C. Initial response to oral sulfonylureas is usually
favorable.
D. Insulin resistance (IR) is a significant part of the
disease. - ANS - A
\1. Which of the following is inconsistent with the description
of benign prostatic hyperplasia (BPH)?
A. obliterated median sulcus
B. size larger than 2.5 cm × 3 cm
C. sensation of incomplete emptying
D. boggy gland - ANS - D
\1. Worldwide, which of the following is the most common
type of anemia?
A. pernicious anemia
B. folate-deficiency anemia
C. anemia of chronic disease
D. iron-deficiency anemia - ANS - D
\10. A woman who is planning a pregnancy should increase
her intake of which of the following to minimize the
risk of neural tube defect in the fetus?
A. iron
,B. niacin
C. folic acid
D. vitamin C - ANS - C
\10. Concerning herbal and nutritional therapies for BPH
treatment, which of the following statements is false?
A. The mechanism of action of the most effective and
best studied products is similar to prescription
medications for this condition.
B. These therapies are currently considered emerging
therapies by the American Urological Association.
C. Major areas of concern with use of these therapies
include issues of product purity and quality control.
D. These therapies are safest and most effective when
used with prescription medications. - ANS - D
\10. Objective findings in patients with glomerulonephritis
include all of the following except:
A. edema.
B. urinary red blood cell (RBC) casts.
C. proteinuria.
D. hypotension. - ANS - D
\10.The cornerstone of moderate persistent asthma drug
therapy is the use of:
A. oral theophylline.
B. mast cell stabilizers.
C. short-acting beta2-agonists (SABA).
D. inhaled corticosteroids. - ANS - D
\10.The mechanism of action of pioglitazone is as:
A. an insulin-production enhancer.
B. a reducer of pancreatic glucose output.
C. an insulin sensitizer.
D. a facilitator of renal glucose excretion. - ANS - C
\100. All of the following are effective methods to kill the
hepatitis A virus except:
A. heating food to more than 185°F (85°C) for at
least 1 minute.
B. adequately chlorinating water.
C. cleaning surfaces with a 1:100 bleach solution.
D. freezing food for at least 1 hour - ANS - D
\100. In patients with heart failure, the point of maximum
impulse usually:
A. remains unchanged near the fourth intercostal
space.
B. remains unchanged near the fifth intercostal
space.
,C. shifts lower on the mid-clavicular line.
D. shifts laterally by one or more intercostal spaces. - ANS - D
\100. Lung cancer ranks number as a cause of
cancer-related death in men and women.
A. 1
B. 2
C. 3
D. 4 - ANS - A
\101. Symptoms of lung cancer caused by a primary tumor
include all of the following except:
A. chest discomfort.
B. dyspnea.
C. strider.
D. hemoptysis. - ANS - C
\101. You see a 27-year-old man who says he ate at a
restaurant last week that was later reported to have a
worker identified with hepatitis A. He is healthy and
shows no sign of infection but is concerned about
contracting HAV infection. You recommend:
A. HAV vaccine.
B. HAV immune globulin.
C. HAV vaccine plus immune globulin.
D. no intervention at this time and wait until symptoms
manifest. - ANS - A
\102. A 54-year-old man has been recently diagnosed with
HAV infection. You recommend all of the following
except:
A. eating smaller, more frequent meals to help combat
nausea.
B. avoiding consumption of any alcohol.
C. reviewing current medication use for consideration
of discontinuation.
D. taking daily acetaminophen to alleviate joint pains. - ANS - D
\102. According to American College of Chest Physicians
(ACCP) guidelines, annual screening with low-dose
CT (LDCT) for lung cancer should occur in 55- to
74-year-old smokers with a smoking history of at
least pack-years.
A. 15
B. 30
C. 50
D. 70 - ANS - B
\103. A 38-year-old man with a recent history of injection
drug use presents with malaise, nausea, fatigue,
, and "yellow eyes" for the past week. After ordering
diagnostic tests, you confirm the diagnosis of acute
hepatitis B. Anticipated laboratory results include:
A. the presence of hepatitis B surface antibody
(HBsAb).
B. neutrophilia.
C. thrombocytosis.
D. the presence of HBsAg. - ANS - D
\103. Guidelines from the National Comprehensive Cancer
Network (NCCN) recommend screening high-risk
smokers beginning at age:
A. 40 years.
B. 45 years.
C. 50 years.
D. 55 years. - ANS - C
\104. Clinical findings in patients with acute hepatitis B
likely include all of the following except:
A. abdominal rebound tenderness.
B. scleral icterus.
C. a smooth, tender, palpable hepatic border.
D. report of myalgia - ANS - A
\104. The rationale for using beta blocker therapy in
treating a patient with HF is to:
A. increase myocardial contractility.
B. reduce the effects of circulating catecholamines.
C. relieve concomitant angina.
D. stabilize cardiac rhythm. - ANS - B
\104. When compared with screening for breast cancer,
screening for lung cancer results in:
A. a lower number needed to screen to prevent one
death.
B. approximately the same number needed to screen
to prevent one death.
C. a higher number needed to screen to prevent
one death.
D. a higher percentage of patients identified where
cancer can be prevented. - ANS - A
\105. An ECG finding in a patient who is taking digoxin in
a therapeutic dose typically includes:
A. shortened PR interval.
B. slightly depressed, cupped ST segments.
C. widened QRS complex.
D. tall T waves. - ANS - B
\105. Current limitations of screening smokers with LDCT
1. All of the following electrolyte disorders are commonly
found in a person with chronic renal failure except:
A. hypernatremia.
B. hypercalcemia.
C. hyperkalemia.
D. hypophosphatemia. - ANS - D
\1. Which of the following best describes asthma?
A. intermittent airway inflammation with occasional
bronchospasm
B. a disease of bronchospasm that leads to airway
inflammation
C. chronic airway inflammation with superimposed
bronchospasm
D. relatively fixed airway constriction - ANS - C
\1. Which of the following characteristics applies to type 1
diabetes mellitus (DM)?
A. Significant hyperglycemia and ketoacidosis result
from lack of insulin.
B. This condition is commonly diagnosed on routine
examination or workup for other health problems.
C. Initial response to oral sulfonylureas is usually
favorable.
D. Insulin resistance (IR) is a significant part of the
disease. - ANS - A
\1. Which of the following is inconsistent with the description
of benign prostatic hyperplasia (BPH)?
A. obliterated median sulcus
B. size larger than 2.5 cm × 3 cm
C. sensation of incomplete emptying
D. boggy gland - ANS - D
\1. Worldwide, which of the following is the most common
type of anemia?
A. pernicious anemia
B. folate-deficiency anemia
C. anemia of chronic disease
D. iron-deficiency anemia - ANS - D
\10. A woman who is planning a pregnancy should increase
her intake of which of the following to minimize the
risk of neural tube defect in the fetus?
A. iron
,B. niacin
C. folic acid
D. vitamin C - ANS - C
\10. Concerning herbal and nutritional therapies for BPH
treatment, which of the following statements is false?
A. The mechanism of action of the most effective and
best studied products is similar to prescription
medications for this condition.
B. These therapies are currently considered emerging
therapies by the American Urological Association.
C. Major areas of concern with use of these therapies
include issues of product purity and quality control.
D. These therapies are safest and most effective when
used with prescription medications. - ANS - D
\10. Objective findings in patients with glomerulonephritis
include all of the following except:
A. edema.
B. urinary red blood cell (RBC) casts.
C. proteinuria.
D. hypotension. - ANS - D
\10.The cornerstone of moderate persistent asthma drug
therapy is the use of:
A. oral theophylline.
B. mast cell stabilizers.
C. short-acting beta2-agonists (SABA).
D. inhaled corticosteroids. - ANS - D
\10.The mechanism of action of pioglitazone is as:
A. an insulin-production enhancer.
B. a reducer of pancreatic glucose output.
C. an insulin sensitizer.
D. a facilitator of renal glucose excretion. - ANS - C
\100. All of the following are effective methods to kill the
hepatitis A virus except:
A. heating food to more than 185°F (85°C) for at
least 1 minute.
B. adequately chlorinating water.
C. cleaning surfaces with a 1:100 bleach solution.
D. freezing food for at least 1 hour - ANS - D
\100. In patients with heart failure, the point of maximum
impulse usually:
A. remains unchanged near the fourth intercostal
space.
B. remains unchanged near the fifth intercostal
space.
,C. shifts lower on the mid-clavicular line.
D. shifts laterally by one or more intercostal spaces. - ANS - D
\100. Lung cancer ranks number as a cause of
cancer-related death in men and women.
A. 1
B. 2
C. 3
D. 4 - ANS - A
\101. Symptoms of lung cancer caused by a primary tumor
include all of the following except:
A. chest discomfort.
B. dyspnea.
C. strider.
D. hemoptysis. - ANS - C
\101. You see a 27-year-old man who says he ate at a
restaurant last week that was later reported to have a
worker identified with hepatitis A. He is healthy and
shows no sign of infection but is concerned about
contracting HAV infection. You recommend:
A. HAV vaccine.
B. HAV immune globulin.
C. HAV vaccine plus immune globulin.
D. no intervention at this time and wait until symptoms
manifest. - ANS - A
\102. A 54-year-old man has been recently diagnosed with
HAV infection. You recommend all of the following
except:
A. eating smaller, more frequent meals to help combat
nausea.
B. avoiding consumption of any alcohol.
C. reviewing current medication use for consideration
of discontinuation.
D. taking daily acetaminophen to alleviate joint pains. - ANS - D
\102. According to American College of Chest Physicians
(ACCP) guidelines, annual screening with low-dose
CT (LDCT) for lung cancer should occur in 55- to
74-year-old smokers with a smoking history of at
least pack-years.
A. 15
B. 30
C. 50
D. 70 - ANS - B
\103. A 38-year-old man with a recent history of injection
drug use presents with malaise, nausea, fatigue,
, and "yellow eyes" for the past week. After ordering
diagnostic tests, you confirm the diagnosis of acute
hepatitis B. Anticipated laboratory results include:
A. the presence of hepatitis B surface antibody
(HBsAb).
B. neutrophilia.
C. thrombocytosis.
D. the presence of HBsAg. - ANS - D
\103. Guidelines from the National Comprehensive Cancer
Network (NCCN) recommend screening high-risk
smokers beginning at age:
A. 40 years.
B. 45 years.
C. 50 years.
D. 55 years. - ANS - C
\104. Clinical findings in patients with acute hepatitis B
likely include all of the following except:
A. abdominal rebound tenderness.
B. scleral icterus.
C. a smooth, tender, palpable hepatic border.
D. report of myalgia - ANS - A
\104. The rationale for using beta blocker therapy in
treating a patient with HF is to:
A. increase myocardial contractility.
B. reduce the effects of circulating catecholamines.
C. relieve concomitant angina.
D. stabilize cardiac rhythm. - ANS - B
\104. When compared with screening for breast cancer,
screening for lung cancer results in:
A. a lower number needed to screen to prevent one
death.
B. approximately the same number needed to screen
to prevent one death.
C. a higher number needed to screen to prevent
one death.
D. a higher percentage of patients identified where
cancer can be prevented. - ANS - A
\105. An ECG finding in a patient who is taking digoxin in
a therapeutic dose typically includes:
A. shortened PR interval.
B. slightly depressed, cupped ST segments.
C. widened QRS complex.
D. tall T waves. - ANS - B
\105. Current limitations of screening smokers with LDCT
