1|Page
NU641 EXAM 3 (REGIS) NEWEST 2025 ACTUAL EXAM|
NU 641 ADVANCED CLINICAL PHARMACOLOGY
EXAM 3 REVIEW WITH 200 REAL EXAM QUESTIONS
AND CORRECT VERIFIED ANSWERS/ ALREADY
GRADED A+ (BRAND NEW!!)
What is the 1st-line drug treatment for migraines and its serious adverse
effect? - ANSWER - Topiramate (Topamax) which interferes with
sweating and causes hyperthermia
What medications don't work for tension headaches? - ANSWER -
Triptans
What medications should you prescribe for tension headaches? -
ANSWER - Acetaminophen, NSAIDs
Non-pharmacological treatment options for tension headaches? -
ANSWER - Massage, biofeedback, exercise, minimize triggers
Treatment for clustered headaches? - ANSWER - Verapamil and 100%
oxygen for 15 minutes
What drug can cause pseudo tumor cerebri? - ANSWER - Minocycline-
usually an acne treatment
pg. 1
,2|Page
What should you know about seizure pts? - ANSWER - All the
medications they are on due to many interactions with food and drugs
What is the interaction of Lamictal and estrogen containing drugs like
oral contraceptives? - ANSWER - Lowers Lamictal serum concentration
and lowers seizure threshold
1st-line agent for Parkinson's? - ANSWER - Dopamine
agonists/ropinirole (Reequip)
What are common side effects for Alzheimer's drugs? - ANSWER -
Cholinergic side effects like diarrhea, nausea and insomnia
What are common drug interactions with cholinergic blockers? -
ANSWER - GI motility, drugs with a narrow therapeutic window may
be increased or decreased in serum levels
Common indications for benzodiazepines? - ANSWER - Sleep induction
for those who can't get to sleep, muscle spasticity and anxiety
What anxiolytic has the highest potential for developing dependence and
why? - ANSWER - Xanax (alprazolam) because of its rapid acting effect
1st-line drug agent for pediatric depression and SI - ANSWER -
Fluoxetine
pg. 2
,3|Page
Why is it important to not prescribe above recommended doses of SSRIs
and monitor for drug interactions? - ANSWER - Risk for serotonin
syndrome
How should you discontinue or alter dosing of SSRIs? - ANSWER -
Slow taper of 2-4 weeks to avoid withdrawal syndrome
How long does it take antidepressants to achieve maximum benefit once
at target dose? - ANSWER - 4-6 weeks
What should you verify before adjusting antidepressant dosing? -
ANSWER - Compliance
Why is SI at an increased risk during first 4-6 weeks of beginning an
antidepressant? - ANSWER - They could have already had a plan and
now they have enough energy to act upon it.
What condition can mimic depression and should be checked for before
beginning an antidepressant? - ANSWER - Hypothyroidism
What drug class and agents can cause sleep walking and sleep driving
adverse effects? - ANSWER - Hypnotics, zolpidem, Lunesta and sonata
What antibiotics are used in the treatment of acne? - ANSWER -
Erythromycin, azithromycin, doxycycline, minocycline, tetracycline
pg. 3
, 4|Page
What education should be provided to a pt using retinoids? - ANSWER -
Acne may get worse, skin red or peel, avoid direct sunlight, they may
need other treatment for the psychiatric effects of depression or anxiety
What acne drugs are highly regulated and why? - ANSWER - Oral
retinoids due to the fact that they are highly teratogenic, multiple steps
are needed to get prescription including two negative pregnancy tests
and a timely code for the pharmacist
What drug increases risk of bone fractures? - ANSWER - Oral
isotretinoin
What is the first line agent for onychomycosis? - ANSWER -
Terbinafine
How do you treat scabies? - ANSWER - Permethrin cream for all
household members and hot water washing of linen
What drug should you prescribe for a mom concerned about
neurotoxicity in lice treatment? - ANSWER - Benzoyl alcohol
What is the first line agent for treating impetigo? - ANSWER -
Bactroban ointment and it stays on skin the longest and will deliver
highest dose
pg. 4
NU641 EXAM 3 (REGIS) NEWEST 2025 ACTUAL EXAM|
NU 641 ADVANCED CLINICAL PHARMACOLOGY
EXAM 3 REVIEW WITH 200 REAL EXAM QUESTIONS
AND CORRECT VERIFIED ANSWERS/ ALREADY
GRADED A+ (BRAND NEW!!)
What is the 1st-line drug treatment for migraines and its serious adverse
effect? - ANSWER - Topiramate (Topamax) which interferes with
sweating and causes hyperthermia
What medications don't work for tension headaches? - ANSWER -
Triptans
What medications should you prescribe for tension headaches? -
ANSWER - Acetaminophen, NSAIDs
Non-pharmacological treatment options for tension headaches? -
ANSWER - Massage, biofeedback, exercise, minimize triggers
Treatment for clustered headaches? - ANSWER - Verapamil and 100%
oxygen for 15 minutes
What drug can cause pseudo tumor cerebri? - ANSWER - Minocycline-
usually an acne treatment
pg. 1
,2|Page
What should you know about seizure pts? - ANSWER - All the
medications they are on due to many interactions with food and drugs
What is the interaction of Lamictal and estrogen containing drugs like
oral contraceptives? - ANSWER - Lowers Lamictal serum concentration
and lowers seizure threshold
1st-line agent for Parkinson's? - ANSWER - Dopamine
agonists/ropinirole (Reequip)
What are common side effects for Alzheimer's drugs? - ANSWER -
Cholinergic side effects like diarrhea, nausea and insomnia
What are common drug interactions with cholinergic blockers? -
ANSWER - GI motility, drugs with a narrow therapeutic window may
be increased or decreased in serum levels
Common indications for benzodiazepines? - ANSWER - Sleep induction
for those who can't get to sleep, muscle spasticity and anxiety
What anxiolytic has the highest potential for developing dependence and
why? - ANSWER - Xanax (alprazolam) because of its rapid acting effect
1st-line drug agent for pediatric depression and SI - ANSWER -
Fluoxetine
pg. 2
,3|Page
Why is it important to not prescribe above recommended doses of SSRIs
and monitor for drug interactions? - ANSWER - Risk for serotonin
syndrome
How should you discontinue or alter dosing of SSRIs? - ANSWER -
Slow taper of 2-4 weeks to avoid withdrawal syndrome
How long does it take antidepressants to achieve maximum benefit once
at target dose? - ANSWER - 4-6 weeks
What should you verify before adjusting antidepressant dosing? -
ANSWER - Compliance
Why is SI at an increased risk during first 4-6 weeks of beginning an
antidepressant? - ANSWER - They could have already had a plan and
now they have enough energy to act upon it.
What condition can mimic depression and should be checked for before
beginning an antidepressant? - ANSWER - Hypothyroidism
What drug class and agents can cause sleep walking and sleep driving
adverse effects? - ANSWER - Hypnotics, zolpidem, Lunesta and sonata
What antibiotics are used in the treatment of acne? - ANSWER -
Erythromycin, azithromycin, doxycycline, minocycline, tetracycline
pg. 3
, 4|Page
What education should be provided to a pt using retinoids? - ANSWER -
Acne may get worse, skin red or peel, avoid direct sunlight, they may
need other treatment for the psychiatric effects of depression or anxiety
What acne drugs are highly regulated and why? - ANSWER - Oral
retinoids due to the fact that they are highly teratogenic, multiple steps
are needed to get prescription including two negative pregnancy tests
and a timely code for the pharmacist
What drug increases risk of bone fractures? - ANSWER - Oral
isotretinoin
What is the first line agent for onychomycosis? - ANSWER -
Terbinafine
How do you treat scabies? - ANSWER - Permethrin cream for all
household members and hot water washing of linen
What drug should you prescribe for a mom concerned about
neurotoxicity in lice treatment? - ANSWER - Benzoyl alcohol
What is the first line agent for treating impetigo? - ANSWER -
Bactroban ointment and it stays on skin the longest and will deliver
highest dose
pg. 4
