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Regis NU641 Adv Clinical Pharmacology Midterm Exam with verified detailed solutions

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Regis NU641 Adv Clinical Pharmacology Midterm Exam with verified detailed solutions










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Uploaded on
September 26, 2025
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Written in
2025/2026
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Regis NU641 Adv Clinical Pharmacology Midterm ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||




Exam with verified detailed solutions ||//\\|| ||//\\|| ||//\\|| ||//\\||




Angina, Coronary Artery Disease, & Migraines - correct answer✔✔Patients that are at highest
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||




risk for abruptly stopping a beta blocker are those with
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||




Angiotensin-converting enzyme (ACE) inhibitors - correct answer✔✔The medication that ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||




helps the imbalance between myocardial oxygen supply and myocardial oxygen demand in
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||




the myocardium by increasing the myocardial oxygen supply
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||




improves insulin sensitivity ||//\\|| ||//\\||




improves renal hemodynamics ||//\\|| ||//\\||




reduce production of angiotensin II - correct answer✔✔Roles of Angiotensin-converting
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||




enzyme (ACE) inhibitors in DM patients ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||




Activation of the sympathetic nervous system that increases heart rate and preload - correct
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||




answer✔✔The pathological change that takes place in HF that is not addressed by ACE ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||




inhibitors



blunted coronary artery dilation due to calcified plaque - correct answer✔✔Reason why nitro
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||




glycerin tablets "do not work well" in patient with hyperlipidemia and angina age
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||




factoring in the cost to the patient of the medication prescribed - correct answer✔✔Clinical
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||




judgement in prescribing includes ||//\\|| ||//\\|| ||//\\||




decreased renal function - correct answer✔✔Prior to prescribing an ACE inhibitor the NP ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||




should access for ||//\\|| ||//\\||

, statins - correct answer✔✔First-line pharmacologic therapy for hyperlipidemia
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||




Any end-organ damage, direct effects on lifestyle, or inability to perform the tasks of daily
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||




living - correct answer✔✔When is consultation with or referral to a cardiologist appropriate?
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||




Diuretics - correct answer✔✔If not chosen as the first drug in hypertension treatment, which ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||




drug class should be added as a second step because it will enhance the effects of most
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||




other agents? ||//\\||




Determine their other risk factors - correct answer✔✔A 65-year-old patient who has been on ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||




a lipid-lowering diet and is using plant sterol margarine daily for the past three months. Her
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||




LDL is 135mg/dL. What would an appropriate treatment for them be?
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||




promote smooth muscle dilation by stopping intracellular entry of calcium into the cell, ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||




which increases contractility, which increase the activity of the NA+/K+/ATPase pump
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||




indirectly - correct answer✔✔Calcium Channel Blocker's helps control blood pressure ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||




because it ||//\\||




discussion of expected adverse drug reactions - correct answer✔✔Patient education ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||




regarding prescribed medications includes ||//\\|| ||//\\|| ||//\\||




Do not take any herbal products without first discussing this with the provider - correct
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||




answer✔✔Patient education when prescribing clopidogrel includes which of the following ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||




statements?



If they stop the medication, their lipid levels will return to pretreatment levels; medication is
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||




a supplement to diet therapy and exercise; and if they have muscle aches or pain, they
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||




should contract their provider - correct answer✔✔When starting a patient on a statin, what
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||




would education include? ||//\\|| ||//\\||

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