NSG 533 ADVANCED PHARMACOLOGY
TEST 1 EXAM | NEWEST ACTUAL EXAM
COMPREHENSIVE QUESTIONS AND VERIFIED
ANSWERS GRADED A+ | 100% PASS | 2025 UPDATE!
Who would be a candidate for prophylaxis of NSAID induced ulcer and
what agents are appropriate? What if the patient is on cardio-
protective (low dose) aspirin? What if an NSAID induced ulcer does
develop. How should it be treated? - ✔✔✔ Correct Answer >
Candidate:
-Candidates: Chronic Nsaid Use, Hx ulcers, Zollinger-Ellison
Prevention Treatment- PPI, standard doses (most effective & best
tolerated), Misoprostol (better than H2RA's, No Pregnancy)
What if an NSAID induced ulcer does develop. How should it be
treated? - ✔✔✔ Correct Answer > Ulcer Treatment-
-PPI (most effective)
-H2RA (Famotidone 40mg daily)
-Sucralfate (binding paste, requires multiple doses, adverse med
reactions, abdominal side effects)
1
,A patient with type 1 diabetes reports taking propranolol for
hypertension. What concern does this information present for the
provider? - ✔✔✔ Correct Answer > A patient with Type 1 DM is
insulin dependent for glucose control and at high risk for hypoglycemic
episodes. Propanolol causes prolonged hypoglycemic episodes. Needs
to switch to ACE or ARB.
What antidiabetic medications have compelling indications: - ✔✔✔
Correct Answer > for those with underlying ASCVD or at high risk for
CVD
for those with CKD
for those with a compelling need to avoid hypoglycemia
for those where weight is an important consideration (ie which are
associated with weight loss, gain or are weight neutral)
What are the various insulins and describe the pharmacokinetics
(onset, peak, duration)and how are they used (eg basal, basal-bolus,
split-mixed, sliding scale (..Ask if you don't understand)). - ✔✔✔
Correct Answer > Basal-bolus (long acting basal + rapid/fast
acting bolus) provides the greatest flexibility and control of all
regimens
Sliding Scale Should NOT be used
Difficult to do in home setting, requires education and understanding of
patient and caregiver
Allows patient to become hyperglycemic, better to schedule dosing and
prevent rises in BG
Requires frequent blood glucose monitoring, $$$ and compliance issues
2
,A provider teaches a patient who has been diagnosed with
hypothyroidism about a new prescription for levothyroxine. Which
statement by the patient indicates a need for further teaching?
a. "I should not take heartburn medication without consulting my
provider first."
b. "I should report insomnia, tremors, and an increased heart rate to
my provider."
c. "If I take a multivitamin with iron, I should take it 4 hours after the
levothyroxine."
d. "If I take calcium supplements, I may need to decrease my dose of
levothyroxine." - ✔✔✔ Correct Answer > D. Calcium may reduce
levothyroxine absorption. Further education is needed if the patient
feels she can take half of a prescribed medication.
MC has undiagnosed multiple gastric ulcers. Shortly after consuming a
large meal and alcohol he experiences significant GI distress. He takes
an OTC heartburn remedy. Within a minute or two he develops what he
will later describe as "belching, nausea and a bad bloated feeling".
Several of the ulcers began to bleed and he becomes profoundly
hypotensive from the blood loss and is taken to the ED. Endoscopy
confirms multiple bleeds; the endoscopist remarks that it appears as if
the lesions had been literally stretched apart causing additional tissue
damage. What did the patient most likely take (i.e. what was the OTC
remedy)? - ✔✔✔ Correct Answer > I would accept Alka-Selzer. I
contains NaHCO3 (as well as ASA). In the presence of HCL it Liberates
CO2, that can cause gastric distention, belching and nausea. The
3
, reaction is fairly swift allowing little time for dissipation. Tums, its
primary ingredient calcium carbonate which when taken cause a
reaction with the stomach acid such as production of carbon dioxide
gas which can cause bloating and the stomach to stretch to tear the
ulcers open.
On your way to this examination, you experience the vulnerable feeling
that an attack of acute diarrhea is imminent! If you stop at a drug store,
which anti-diarrheal drugs could you buy without a prescription even
though it is chemically related to the strong opioid analgesic
meperidine (but acts only on the peripheral opioid receptor)? - ✔✔✔
Correct Answer > Loperamide
JA has multiple medical problems and is taking several drugs including
theophylline, warfarin and phenytoin. His conditions were well
controlled, but recently he started to experience some GI distress for
which of his "well intentioned friends" gave him some medication. He
presents to you with toxic effects of all his other medications and
plasma levels of those medications elevated. What was most likely the
medication he took? - ✔✔✔ Correct Answer > Cimetidine
What lifestyle modifications should be recommended? - ✔✔✔
Correct Answer > -losing weight if overweight
-elevating head of bed while asleep
-eating smaller meals
-avoid foods/meds that exacerbate gerd
4
TEST 1 EXAM | NEWEST ACTUAL EXAM
COMPREHENSIVE QUESTIONS AND VERIFIED
ANSWERS GRADED A+ | 100% PASS | 2025 UPDATE!
Who would be a candidate for prophylaxis of NSAID induced ulcer and
what agents are appropriate? What if the patient is on cardio-
protective (low dose) aspirin? What if an NSAID induced ulcer does
develop. How should it be treated? - ✔✔✔ Correct Answer >
Candidate:
-Candidates: Chronic Nsaid Use, Hx ulcers, Zollinger-Ellison
Prevention Treatment- PPI, standard doses (most effective & best
tolerated), Misoprostol (better than H2RA's, No Pregnancy)
What if an NSAID induced ulcer does develop. How should it be
treated? - ✔✔✔ Correct Answer > Ulcer Treatment-
-PPI (most effective)
-H2RA (Famotidone 40mg daily)
-Sucralfate (binding paste, requires multiple doses, adverse med
reactions, abdominal side effects)
1
,A patient with type 1 diabetes reports taking propranolol for
hypertension. What concern does this information present for the
provider? - ✔✔✔ Correct Answer > A patient with Type 1 DM is
insulin dependent for glucose control and at high risk for hypoglycemic
episodes. Propanolol causes prolonged hypoglycemic episodes. Needs
to switch to ACE or ARB.
What antidiabetic medications have compelling indications: - ✔✔✔
Correct Answer > for those with underlying ASCVD or at high risk for
CVD
for those with CKD
for those with a compelling need to avoid hypoglycemia
for those where weight is an important consideration (ie which are
associated with weight loss, gain or are weight neutral)
What are the various insulins and describe the pharmacokinetics
(onset, peak, duration)and how are they used (eg basal, basal-bolus,
split-mixed, sliding scale (..Ask if you don't understand)). - ✔✔✔
Correct Answer > Basal-bolus (long acting basal + rapid/fast
acting bolus) provides the greatest flexibility and control of all
regimens
Sliding Scale Should NOT be used
Difficult to do in home setting, requires education and understanding of
patient and caregiver
Allows patient to become hyperglycemic, better to schedule dosing and
prevent rises in BG
Requires frequent blood glucose monitoring, $$$ and compliance issues
2
,A provider teaches a patient who has been diagnosed with
hypothyroidism about a new prescription for levothyroxine. Which
statement by the patient indicates a need for further teaching?
a. "I should not take heartburn medication without consulting my
provider first."
b. "I should report insomnia, tremors, and an increased heart rate to
my provider."
c. "If I take a multivitamin with iron, I should take it 4 hours after the
levothyroxine."
d. "If I take calcium supplements, I may need to decrease my dose of
levothyroxine." - ✔✔✔ Correct Answer > D. Calcium may reduce
levothyroxine absorption. Further education is needed if the patient
feels she can take half of a prescribed medication.
MC has undiagnosed multiple gastric ulcers. Shortly after consuming a
large meal and alcohol he experiences significant GI distress. He takes
an OTC heartburn remedy. Within a minute or two he develops what he
will later describe as "belching, nausea and a bad bloated feeling".
Several of the ulcers began to bleed and he becomes profoundly
hypotensive from the blood loss and is taken to the ED. Endoscopy
confirms multiple bleeds; the endoscopist remarks that it appears as if
the lesions had been literally stretched apart causing additional tissue
damage. What did the patient most likely take (i.e. what was the OTC
remedy)? - ✔✔✔ Correct Answer > I would accept Alka-Selzer. I
contains NaHCO3 (as well as ASA). In the presence of HCL it Liberates
CO2, that can cause gastric distention, belching and nausea. The
3
, reaction is fairly swift allowing little time for dissipation. Tums, its
primary ingredient calcium carbonate which when taken cause a
reaction with the stomach acid such as production of carbon dioxide
gas which can cause bloating and the stomach to stretch to tear the
ulcers open.
On your way to this examination, you experience the vulnerable feeling
that an attack of acute diarrhea is imminent! If you stop at a drug store,
which anti-diarrheal drugs could you buy without a prescription even
though it is chemically related to the strong opioid analgesic
meperidine (but acts only on the peripheral opioid receptor)? - ✔✔✔
Correct Answer > Loperamide
JA has multiple medical problems and is taking several drugs including
theophylline, warfarin and phenytoin. His conditions were well
controlled, but recently he started to experience some GI distress for
which of his "well intentioned friends" gave him some medication. He
presents to you with toxic effects of all his other medications and
plasma levels of those medications elevated. What was most likely the
medication he took? - ✔✔✔ Correct Answer > Cimetidine
What lifestyle modifications should be recommended? - ✔✔✔
Correct Answer > -losing weight if overweight
-elevating head of bed while asleep
-eating smaller meals
-avoid foods/meds that exacerbate gerd
4
