NSG6005 Week 5
Midterm:questions and answers
1. Several classes of drugs have interactions with cholinergic blockers. Which of the following is
true about these interactions?
1. Drugs with a narrow therapeutic range given orally may not stay in the GI tract
long enough to produce an action.
2. Additive antimuscarinic effects may occur with antihistamines.
3. Cholinergic blockers may decrease the sedative effects of hypnotics.
4. Cholinergic blockers are contraindicated with antipsychotics.
____ 2. Scopolamine can be used to prevent the nausea and vomiting associated with motion sickness.
The patient is taught to:
1. Apply the transdermal disk at least 4 hours before the antiemetic effect is desired.
2. Swallow the tablet 1 hour before traveling where motion sickness is possible.
3. Place the tablet under the tongue and allow it to dissolve.
4. Change the transdermal disk daily for maximal effect.
____ 3. You are managing the care of a patient recently diagnosed with benign prostatic hyperplasia
(BPH). He is taking tamsulosin but reports dizziness when standing abruptly. The best option for
this patient is:
1. Continue the tamsulosin because the side effect will resolve with continued
treatment.
2. Discontinue the tamsulosin and start doxazosin.
3. Have him double his fluid intake and stand more slowly.
4. Prescribe meclizine as needed for the dizziness.
____ 4. You are treating a patient with a diagnosis of Alzheimer’s disease. The patient’s wife mentions
difficulty with transportation to the clinic. Which medication is the best choice?
1. Donepezil
2. Tacrine
3. Doxazosin
4. Verapamil
____ 5. A patient presents with a complaint of dark stools and epigastric pain described as gnawing and
burning. Which of the medications is the most likely cause?
1. Acetaminophen
2. Estradiol
3. Donepezil
4. Bethanechol
, ____ 6. Your patient calls for an appointment before going on vacation. Which medication should you
ensure he has an adequate supply of before leaving to avoid life-threatening complications?
1. Carvedilol
2. Donepezil
3. Bethanechol
4. Tacrine
____ 7. Activation of central alpha2 receptors results in inhibition of cardioacceleration and
______________ centers in the brain.
1. Vasodilation
2. Vasoconstriction
3. Cardiovascular
4. Respiratory
8. Carvedilol is heavily metabolized by CYP2D6 and 2C9, resulting in drug interactions with which
of the following drug classes?
1. Histamine 2 blockers
2. Quinolones
3. Serotonin re-uptake inhibitors
4. All of the above
____ 9. Alpha-beta blockers are especially effective to treat hypertension for which ethnic group?
1. White
2. Asian
3. African American
4. Native American
____ 10. Bethanechol:
1. Increases detrusor muscle tone to empty the bladder
2. Decreases gastric acid secretion to treat peptic ulcer disease
3. Stimulates voluntary muscle tone to improve strength
4. Reduces bronchial airway constriction to treat asthma
____ 11. Clinical dosing of Bethanechol:
1. Begins at the highest effective dose to obtain a rapid response
2. Starts at 5 mg to 10 mg PO and is repeated every hour until a satisfactory clinical
response is achieved
3. Requires dosing only once daily
4. Is the same for both the oral and parenteral route
____ 12. Patients who need to remain alert are taught to avoid which drug due to its antimuscarinic
effects?
1. Levothyroxine
2. Prilosec
3. Dulcolax
4. Diphenhydramine
Midterm:questions and answers
1. Several classes of drugs have interactions with cholinergic blockers. Which of the following is
true about these interactions?
1. Drugs with a narrow therapeutic range given orally may not stay in the GI tract
long enough to produce an action.
2. Additive antimuscarinic effects may occur with antihistamines.
3. Cholinergic blockers may decrease the sedative effects of hypnotics.
4. Cholinergic blockers are contraindicated with antipsychotics.
____ 2. Scopolamine can be used to prevent the nausea and vomiting associated with motion sickness.
The patient is taught to:
1. Apply the transdermal disk at least 4 hours before the antiemetic effect is desired.
2. Swallow the tablet 1 hour before traveling where motion sickness is possible.
3. Place the tablet under the tongue and allow it to dissolve.
4. Change the transdermal disk daily for maximal effect.
____ 3. You are managing the care of a patient recently diagnosed with benign prostatic hyperplasia
(BPH). He is taking tamsulosin but reports dizziness when standing abruptly. The best option for
this patient is:
1. Continue the tamsulosin because the side effect will resolve with continued
treatment.
2. Discontinue the tamsulosin and start doxazosin.
3. Have him double his fluid intake and stand more slowly.
4. Prescribe meclizine as needed for the dizziness.
____ 4. You are treating a patient with a diagnosis of Alzheimer’s disease. The patient’s wife mentions
difficulty with transportation to the clinic. Which medication is the best choice?
1. Donepezil
2. Tacrine
3. Doxazosin
4. Verapamil
____ 5. A patient presents with a complaint of dark stools and epigastric pain described as gnawing and
burning. Which of the medications is the most likely cause?
1. Acetaminophen
2. Estradiol
3. Donepezil
4. Bethanechol
, ____ 6. Your patient calls for an appointment before going on vacation. Which medication should you
ensure he has an adequate supply of before leaving to avoid life-threatening complications?
1. Carvedilol
2. Donepezil
3. Bethanechol
4. Tacrine
____ 7. Activation of central alpha2 receptors results in inhibition of cardioacceleration and
______________ centers in the brain.
1. Vasodilation
2. Vasoconstriction
3. Cardiovascular
4. Respiratory
8. Carvedilol is heavily metabolized by CYP2D6 and 2C9, resulting in drug interactions with which
of the following drug classes?
1. Histamine 2 blockers
2. Quinolones
3. Serotonin re-uptake inhibitors
4. All of the above
____ 9. Alpha-beta blockers are especially effective to treat hypertension for which ethnic group?
1. White
2. Asian
3. African American
4. Native American
____ 10. Bethanechol:
1. Increases detrusor muscle tone to empty the bladder
2. Decreases gastric acid secretion to treat peptic ulcer disease
3. Stimulates voluntary muscle tone to improve strength
4. Reduces bronchial airway constriction to treat asthma
____ 11. Clinical dosing of Bethanechol:
1. Begins at the highest effective dose to obtain a rapid response
2. Starts at 5 mg to 10 mg PO and is repeated every hour until a satisfactory clinical
response is achieved
3. Requires dosing only once daily
4. Is the same for both the oral and parenteral route
____ 12. Patients who need to remain alert are taught to avoid which drug due to its antimuscarinic
effects?
1. Levothyroxine
2. Prilosec
3. Dulcolax
4. Diphenhydramine
