NR 565 Advanced Pharmacology Fundamentals Final
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In which patient population is Metformin contraindicated
in?
A. Diabetics with HA1c < 7.0%
B. Patients older than 50
C. Alcoholics
D. Women suffering from infertility - Answer-C. Alcoholics
What lab value suggests metformin might be
contraindicated?
A. eGFR <30
B. Crea 0.8
C. WBC 7.8
D. Bun 17 - Answer-A. eGFR <30
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What medication is contraindicated to treat diabetes if a
patient already has a cardiac ejection fraction rate of
40%?
A. Second Generation sulfonyureas
B. Thiazolidinediones
C. Dopamine Agonist
D. Glucosidase Inhibitor - Answer-B. Thiazolidinediones
Sabrina is a 35-year-old female who presents with
complaints of fatigue, anxiety, and palpitations. She has a
long history of obesity and reports that she is happy that
she has lost 23 pounds in the last 2 months. She also
reports that she has trouble sleeping and her husband
complains that she is keeping the house too cold. Physical
exam reveals slight tachycardia at 104 bpm and a slightly
enlarged thyroid. Thyroid testing reveals hyperthyroidism
or Grave's disease.
Which of the following agents is the first-line treatment for
hyperthyroidism or Grave's disease?
A. Methimazole
B. Metoprolol
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C. Allopurinol
D. Levothyroxine - Answer-A. Methimazole
Which of the following medications would be considered
the first line of treatment for a newly diagnosed Diabetic
patient with adequate renal and hepatic function?
A: NovoLog Sliding Scale Insulin
B: Liraglutide (Victoza)
C: Oral Metformin
D: Glipizide - Answer-C: Oral Metformin
Of the following medications, which is most likely to cause
hypoglycemia?
A. Metformin
B. Insulin
C. Incretin mimetics
D. Thiazolidinediones - Answer-B. Insulin
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Which symptoms are most expected of a patient
diagnosed with hypothyroidism?
A. shortness of breath, wheezing, fatigue
B. tachycardia, insomnia, weight loss, goiter
C. irritability, anxiety, dizziness, increased sweating
D. dry pale skin, brittle hair, fatigue, myxedema - Answer-
D. dry skin, brittle hair, fatigue, myxedema
Patients with an increased risk for UTIs and genital
infections or an active diagnosis, should avoid what drug
class/es for treatment of Type II Diabetes?
A. Thiazolidinediones (Glitazones)
B. Biguanide.
C. Sodium-Glucose Cotransporter 2 (SGLT-2) Inhibitors.
D. All of the above. - Answer-C. Sodium-Glucose
Cotransporter 2 (SGLT-2) Inhibitors.
A 45-year-old patient with a history of type 2 diabetes
presents to the clinic for a follow-up appointment. The
healthcare provider has prescribed metformin as part of