1|Page
NR565 ADVANCED PHARMACOLOGY
MIDTERM TEST EXAM ACTUAL PREP
QUESTIONS AND WELL REVISED ANSWERS -
LATEST AND COMPLETE UPDATE WITH
VERIFIED SOLUTIONS – ASSURES PASS
Overuse of Beta 2 agonist inhalation in combination with taking thiazide diuretics,
such as hydrochlorothiazide (HCTZ), can cause a drug interaction in a patient. The
symptom(s) of this interaction is/are:
A. Hypokalemia
B. Tremors and tachycardia
C. Nausea and vomiting
D. Extreme agitiation
- ANSWER :A. Hypokalemia
Beclometasone (Qvar) is a inhaled corticosteroid drug often prescribed for
COPD patients. Because of a common side effect, patient are advised to rinse their
mouth after using. This is because Qvar increases the risk
of .
A. Oral fungus
B. Viral infection
C. Bronchospasm
D. Hypercalcemia
- ANSWER :A. Oral fungus
,2|Page
According to Guidelines from the National Asthma Education and Prevention
Program, when ordering pharmaceuticals for asthma treatment for patients > age
12, the "Stepwise approach":
A. the most effective because it tailors the selection of medication to the level
of asthma severity
B. the accepted method of identifying those at risk for asthma
C. the measurement of Forced Expiratory Volume (FEV1) over one minute to
determine excerbation of asthma
D. the method designed to replace clinical decision making in managing asthma
treatments
- ANSWER :A. the most effective because it tailors the selection of medication to
the level of asthma severity
Six year old Heather has asthma. The best advice you can give her mother to
manage her daughter's asthma is to:
A. Identify and avoid her asthma triggers
B. Treat her allergies aggressively
C. Smoke her cigarettes in the garage
D. Use her asthma medications as needed
- ANSWER :A. Identify and avoid her asthma triggers
The best tool for diagnosing intermittent seasonal allergic rhinitis is:
A. a good history and physical examination
B. serum allergy testing
C. the sneeze test
,3|Page
- ANSWER :A. a good history and physical examination
Your 2 year old patient has a upper respiratory infection (URI). The patient's friend
advised her to take Bayer aspirin for her fever. Your response is:
A. Your child is at risk for Reye's Syndrome if they take aspirin
B. Aspirin is tough on the GI tract and should not be taken.
C. Aspirin is an effective time honored treatment and can help reduce the aches
and pains from a URI as well
D. Even babies do well taking aspirin, so continue to take the Bayer aspirin, but
be sure the dose is safe
- ANSWER :A. Your child is at risk for Reye's Syndrome if they take aspirin
Your adolescent patient has a persistent cough. You diagnose her with a viral
upper respiratory infection (URI). She requests a cough medication. You know the
best choice for her is:
A. A antihistamine/decongestant combination cough syrup
B. Guaifenesin with codeine cough syrup
C. A cough suppresant syrup
D. OTC Zinc Cold Therapy syrup
- ANSWER :A. A antihistamine/decongestant combination cough syrup
The most effect agents for treating allergic rhinitis are:
A. Intranasal corticosteroids such as fluticasone (Flonase) or mometasone
(Nasonex)
B. 1st generation antihistamines such as diphenhydramine (Benadryl)
, 4|Page
C. Decongestants such as pseudoephedrine (Sudafed ) or chlorpheniramine
(Chlor-Trimeton)
D. Oral steroids such as Prednisone
ANSWER :A. Intranasal corticosteroids such as fluticasone (Flonase) or
mometasone
-
(Nasonex)
Your patient, Michael, overuses his Beta 2 agonist inhalation in combination with
taking HCTZ, which is causing a drug interaction. You need to determine if the
risk of taking this combination outweighs the benefits. What would you do?
A. Change HCTZ to another antihypertensive; start him on a low dose inhaled
corticosteroid (ICS) and advise him to only use Beta 2 agonist prn
B. Continue the HCTZ and start oral corticosteroids
C. Add a potassium supplement
D. Add a calcium supplement
- ANSWER :A. Change HCTZ to another antihypertensive; start him on a low
dose inhaled corticosteroid (ICS) and advise him to only use Beta 2 agonist prn
To overcome the biggest concern of children using corticosteroid inhalers, as their
prescriber you should:
A. Add a long-acting inhaled Beta 2 Agonist to a low-to-medium dose of
inhaled corticosteroids instead of using a higher dose of the corticosteroid
B. Use a higher dose of the corticosteroid instead of adding a long-acting
inhaled
Beta 2 Agonist to a low-to-medium dose of inhaled corticosteroids
NR565 ADVANCED PHARMACOLOGY
MIDTERM TEST EXAM ACTUAL PREP
QUESTIONS AND WELL REVISED ANSWERS -
LATEST AND COMPLETE UPDATE WITH
VERIFIED SOLUTIONS – ASSURES PASS
Overuse of Beta 2 agonist inhalation in combination with taking thiazide diuretics,
such as hydrochlorothiazide (HCTZ), can cause a drug interaction in a patient. The
symptom(s) of this interaction is/are:
A. Hypokalemia
B. Tremors and tachycardia
C. Nausea and vomiting
D. Extreme agitiation
- ANSWER :A. Hypokalemia
Beclometasone (Qvar) is a inhaled corticosteroid drug often prescribed for
COPD patients. Because of a common side effect, patient are advised to rinse their
mouth after using. This is because Qvar increases the risk
of .
A. Oral fungus
B. Viral infection
C. Bronchospasm
D. Hypercalcemia
- ANSWER :A. Oral fungus
,2|Page
According to Guidelines from the National Asthma Education and Prevention
Program, when ordering pharmaceuticals for asthma treatment for patients > age
12, the "Stepwise approach":
A. the most effective because it tailors the selection of medication to the level
of asthma severity
B. the accepted method of identifying those at risk for asthma
C. the measurement of Forced Expiratory Volume (FEV1) over one minute to
determine excerbation of asthma
D. the method designed to replace clinical decision making in managing asthma
treatments
- ANSWER :A. the most effective because it tailors the selection of medication to
the level of asthma severity
Six year old Heather has asthma. The best advice you can give her mother to
manage her daughter's asthma is to:
A. Identify and avoid her asthma triggers
B. Treat her allergies aggressively
C. Smoke her cigarettes in the garage
D. Use her asthma medications as needed
- ANSWER :A. Identify and avoid her asthma triggers
The best tool for diagnosing intermittent seasonal allergic rhinitis is:
A. a good history and physical examination
B. serum allergy testing
C. the sneeze test
,3|Page
- ANSWER :A. a good history and physical examination
Your 2 year old patient has a upper respiratory infection (URI). The patient's friend
advised her to take Bayer aspirin for her fever. Your response is:
A. Your child is at risk for Reye's Syndrome if they take aspirin
B. Aspirin is tough on the GI tract and should not be taken.
C. Aspirin is an effective time honored treatment and can help reduce the aches
and pains from a URI as well
D. Even babies do well taking aspirin, so continue to take the Bayer aspirin, but
be sure the dose is safe
- ANSWER :A. Your child is at risk for Reye's Syndrome if they take aspirin
Your adolescent patient has a persistent cough. You diagnose her with a viral
upper respiratory infection (URI). She requests a cough medication. You know the
best choice for her is:
A. A antihistamine/decongestant combination cough syrup
B. Guaifenesin with codeine cough syrup
C. A cough suppresant syrup
D. OTC Zinc Cold Therapy syrup
- ANSWER :A. A antihistamine/decongestant combination cough syrup
The most effect agents for treating allergic rhinitis are:
A. Intranasal corticosteroids such as fluticasone (Flonase) or mometasone
(Nasonex)
B. 1st generation antihistamines such as diphenhydramine (Benadryl)
, 4|Page
C. Decongestants such as pseudoephedrine (Sudafed ) or chlorpheniramine
(Chlor-Trimeton)
D. Oral steroids such as Prednisone
ANSWER :A. Intranasal corticosteroids such as fluticasone (Flonase) or
mometasone
-
(Nasonex)
Your patient, Michael, overuses his Beta 2 agonist inhalation in combination with
taking HCTZ, which is causing a drug interaction. You need to determine if the
risk of taking this combination outweighs the benefits. What would you do?
A. Change HCTZ to another antihypertensive; start him on a low dose inhaled
corticosteroid (ICS) and advise him to only use Beta 2 agonist prn
B. Continue the HCTZ and start oral corticosteroids
C. Add a potassium supplement
D. Add a calcium supplement
- ANSWER :A. Change HCTZ to another antihypertensive; start him on a low
dose inhaled corticosteroid (ICS) and advise him to only use Beta 2 agonist prn
To overcome the biggest concern of children using corticosteroid inhalers, as their
prescriber you should:
A. Add a long-acting inhaled Beta 2 Agonist to a low-to-medium dose of
inhaled corticosteroids instead of using a higher dose of the corticosteroid
B. Use a higher dose of the corticosteroid instead of adding a long-acting
inhaled
Beta 2 Agonist to a low-to-medium dose of inhaled corticosteroids
