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Final Exam: NR 567/ NR567 (Latest 2026/ 2027 Update) Advanced Pharmacology for the AGACNP Guide |Q/A | Grade A| 100% Correct (Verified Answers) -Chamberlain

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Final Exam: NR 567/ NR567 (Latest 2026/ 2027 Update) Advanced Pharmacology for the AGACNP Guide |Q/A | Grade A| 100% Correct (Verified Answers) -Chamberlain Q: Nonergot Derivatives (Dopamine Agonists): Prototype Answer: pramipexole Q: pramipexole: MOA Answer: stimulating dopamine-2 and dopamine-3 receptors in the brain. Helps compensate for the decreased dopamine levels in the brain of patients with Parkinson's, leading to improved motor function. Q: pramipexole: Side effects Answer: Impulse control disorders problems with sleep GI effects - nausea and constipation CNS effects - dizziness and hallucinations Orthostatic hypotension dyskinesias can occur in high doses Q: pramipexole: Labs to Monitor Answer: BMP - renal function (excreted here) Q: Ergot Derivatices: Prototype Answer: bromocriptine Q: bromocriptine: MOA Answer: stimulates dopamine receptors through direct activation thereby adding to the effects of dopamine derived from levodopa Q: bromocriptine: side effects Answer: GI effects: nausea CNS effects: confusion, nightmares, agitations, hallucinations, and paranoid delusions Dyskinesias can occur postural hypotension rarely, but can cause pulmonary infiltrates. Q: COMT Inhibitors: Prototype Answer: entacapone Q: entacapone: MOA Answer: It enhances the effect of levodopa by inhibiting its metabolism in the intestine and peripheral tissues. This action prolongs the half-life of levodopa and increases its availability by decreasing the production of levodopa metabolites that compete with levodopa for transport across the blood-brain barrier. Q: entacapone: side effects Answer: Dyskinesia orthostatic hypotension N/V/D/Constipation hallucinations/insomnia behavioral changes discoloration of body fluids Q: MAO-B Inhibitors: Prototype Answer: selegiline Q: selegiline: MOA Answer: These medications selectively and irreversibly inhibit monoamine oxidase-B (MAO-B), the enzyme responsible for the inactivation of dopamine in the brain. This inhibition increases the availability of dopamine, enhancing dopaminergic neurotransmission and alleviating symptoms of Parkinson's disease. Q: selegiline: side effects Answer: CNS - agitation, confusion, dizziness, or hallucinations. orthostatic hypotension, at high doses may cause hypertension nausea Q: Dopamine Releaser: Prototype Answer: amantadine Q: amantadine: MOA Answer: It works primarily by increasing dopamine synthesis, release, or reuptake. Q: amantadine: side effects Answer: CNS - confusion, lightheadedness, anxiety Anticholinergic effects - dry mouth, constipation, blurred vision urinary retention Livedo Reticularis - mottled skin discoloration

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Finall Exam:l NRl 567/l NR567l (Latestl
2026/l 2027l Update)l Advancedl
Pharmacologyl forl thel AGACNPl Guidel
|Q/Al |l Gradel A|l 100%l Correctl (Verifiedl
Answers)l -Chamberlain

Q:l Nonergotl Derivativesl (Dopaminel Agonists):l Prototype
Answer:
pramipexole




Q:l pramipexole:l MOA
Answer:
stimulatingl dopamine-2l andl dopamine-3l receptorsl inl thel brain.l Helpsl compensatel forl thel
decreasedl dopaminel levelsl inl thel brainl ofl patientsl withl Parkinson's,l leadingl tol improvedl
motorl function.




Q:l pramipexole:l Sidel effects
Answer:
Impulsel controll disordersl
problemsl withl sleepl
GIl effectsl -l nauseal andl constipationl
CNSl effectsl -l dizzinessl andl hallucinations
Orthostaticl hypotensionl
dyskinesiasl canl occurl inl highl doses

,Q:l pramipexole:l Labsl tol Monitor
Answer:
BMPl -l renall functionl (excretedl here)




Q:l Ergotl Derivatices:l Prototype
Answer:
bromocriptine




Q:l bromocriptine:l MOA
Answer:
stimulatesl dopaminel receptorsl throughl directl activationl therebyl addingl tol thel effectsl ofl
dopaminel derivedl froml levodopa




Q:l bromocriptine:l sidel effects
Answer:
GIl effects:l nausea
CNSl effects:l confusion,l nightmares,l agitations,l hallucinations,l andl paranoidl delusions
Dyskinesiasl canl occurl
posturall hypotensionl
rarely,l butl canl causel pulmonaryl infiltrates.




Q:l COMTl Inhibitors:l Prototype
Answer:

,entacapone




Q:l entacapone:l MOA
Answer:
Itl enhancesl thel effectl ofl levodopal byl inhibitingl itsl metabolisml inl thel intestinel andl
peripherall tissues.l Thisl actionl prolongsl thel half-lifel ofl levodopal andl increasesl itsl
availabilityl byl decreasingl thel productionl ofl levodopal metabolitesl thatl competel withl
levodopal forl transportl acrossl thel blood-brainl barrier.




Q:l entacapone:l sidel effects
Answer:
Dyskinesial
orthostaticl hypotensionl
N/V/D/Constipation
hallucinations/insomnia
behaviorall changesl
discolorationl ofl bodyl fluids




Q:l MAO-Bl Inhibitors:l Prototype
Answer:
selegiline




Q:l selegiline:l MOA
Answer:
Thesel medicationsl selectivelyl andl irreversiblyl inhibitl monoaminel oxidase-Bl (MAO-B),l
thel enzymel responsiblel forl thel inactivationl ofl dopaminel inl thel brain.l Thisl inhibitionl

, increasesl thel availabilityl ofl dopamine,l enhancingl dopaminergicl neurotransmissionl andl
alleviatingl symptomsl ofl Parkinson'sl disease.




Q:l selegiline:l sidel effects
Answer:
CNSl -l agitation,l confusion,l dizziness,l orl hallucinations.l
orthostaticl hypotension,l atl highl dosesl mayl causel hypertensionl
nausea




Q:l Dopaminel Releaser:l Prototype
Answer:
amantadine




Q:l amantadine:l MOA
Answer:
Itl worksl primarilyl byl increasingl dopaminel synthesis,l release,l orl reuptake.




Q:l amantadine:l sidel effects
Answer:
CNSl -l confusion,l lightheadedness,l anxietyl
Anticholinergicl effectsl -l dryl mouth,l constipation,l blurredl visionl urinaryl retention
Livedol Reticularisl -l mottledl skinl discoloration




Q:l Cholinesterasel Inhibitors:l Prototype

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