MN 553 FINAL EXAM – ADVANCED PHARMACOLOGY – QUESTION AND ANSWERS (GRADED A) 2024/2025
MN 553 FINAL EXAM – ADVANCED PHARMACOLOGY – QUESTION AND ANSWERS (GRADED A)
1. Vicky, age 56 years, comes to the clinic requesting a refill of her Fiorinal (aspirin and butalbital) that she takes for migraines. She
has been taking this medication for over 2 years for migraines and states one dose usually works to abort her migraine. What is
the best care for her?
Question options:
Switch her to sumatriptan (Imitrex) to treat her migraines. Assess how often she is using Fiorinal and refill her medication.
Switch her to a beta blocker such as propranolol to prevent her migraine.
Request she return to the original prescriber of Fiorinal as you do not prescribe butalbital for migraines.: Assess how often she is
using Fiorinal and refill her medication.
2. An acceptable first-line treatment for peptic ulcer disease with positive
H. pylori test is:
Question options:
Histamine2 receptor antagonists for 4 to 8 weeks
Proton pump inhibitor bid for 12 weeks until healing is complete
Proton pump inhibitor bid plus clarithromycin plus amoxicillin for 14 days
Proton pump inhibitor bid and levofloxacin for 14 days: Proton pump inhibitor bid plus clarithromycin plus amoxicillin for 14 days
3. Male patients who should not be prescribed phosphodiesterase type 5 (PDE-5) inhibitors include:
Question options:
, MN 553 FINAL EXAM – ADVANCED PHARMACOLOGY – QUESTION AND ANSWERS (GRADED A) 2024/2025
Diabetics
Those who have had an acute myocardial infarction in the past 6 months Patients who are deaf
Patients under age 60 years of age: Those who have had an acute myocardial infarction in the past 6 months
4. Laboratory values are actually different for TSH when screening for thy- roid issues and when used for medication management
Which of the follow holds true?
Question options:
Screening TSH has a wider range of normal values 0.02-5.0; therapeutic levels need to remain above 5.0.
Screening values are much narrower than the acceptable range used to keep a person stable on hormone replacement.
Therapeutic values are kept between 0.05 and 3.0 ideally. Screening values are considered acceptable up to 10.
Screening values are between 5 and 10, and therapeutic values are greater than 10.: Therapeutic values are kept between 0.05
and 3.0 ideally. Screening values are considered acceptable up to 10.
5. A provider may consider testing for CYP2D6 variants prior to starting tamoxifen for breast cancer to:
Question options:
Ensure the patient will not have increased adverse drug reactions to the tamoxifen
Identify potential drug-drug interactions that may occur with tamoxifen Reduce the likelihood of therapeutic failure with
tamoxifen treatment
Identify poor metabolizers of tamoxifen: Reduce the likelihood of therapeutic failure with tamoxifen treatment
, MN 553 FINAL EXAM – ADVANCED PHARMACOLOGY – QUESTION AND ANSWERS (GRADED A) 2024/2025
6. When discussing with a patient the different start methods used for oral combined contraceptives, the advantage of a Sunday
start over the other start methods is:
Question options:
Immediate protection against pregnancy the first week of using the pill No back-up method is needed when starting
Menses occur during the week
They can start the pill on the Sunday after the office visit: Menses occur during the week
7. Opiates are used mainly to treat moderate to severe pain. Which of the following is NOT true about these drugs?
Question options:
All opiates are scheduled drugs which require a DEA license to prescribe. Opiates stimulate only mu receptors for the control of
pain.
Most of the adverse effects of opiates are related to mu receptor stimulation.
Naloxone is an antagonist to opiates.: Opiates stimulate only mu receptors for the control of pain.
8. Patients who are prescribed exogenous androgens need to be warned that decreased libido:
Question options:
Is an unusual side effect of androgens and should be reported to the provider
Is treated with increased doses of androgens, so the patient should let the provider know if he is having problems
May be a sign of early prostate cancer and he should make an appointment for a prostate screening exam
May occur with androgen therapy: May occur with androgen therapy
, MN 553 FINAL EXAM – ADVANCED PHARMACOLOGY – QUESTION AND ANSWERS (GRADED A) 2024/2025
9. Chee is a 15-month-old male whose screening hemoglobin is 10.4 g/dL. Treatment for his anemia would be:
Question options:
18 mg/day of iron supplementation 6 mg/kg per day of elemental iron 325 mg ferrous sulfate per day
325 mg ferrous sulfate tid: 6 mg/kg per day of elemental iron
10. Severe contact dermatitis caused by poison ivy or poison oak exposure often requires treatment with:
Question options:
Topical antipruritics
Oral corticosteroids for 2 to 3 weeks
Thickly applied topical intermediate-dose corticosteroids
Isolation of the patient to prevent spread of the dermatitis: Oral corticosteroids for 2 to 3 weeks
11. Conjunctivitis in a child that is accompanied by acute otitis media is treated with:
Question options:
Sulfacetamide 10% ophthalmic solution (Bleph-10) Bacitracin/polymyxin B (Polysporin) ophthalmic drops Ciprofloxacin
(Ciloxan) ophthalmic drops
High-dose oral amoxicillin: High-dose oral amoxicillin
12. The dosage of Vitamin B12 to initially treat pernicious anemia is: Question options:
Nasal cyanocobalamin 1 gram spray in each nostril daily x 1 week then
MN 553 FINAL EXAM – ADVANCED PHARMACOLOGY – QUESTION AND ANSWERS (GRADED A)
1. Vicky, age 56 years, comes to the clinic requesting a refill of her Fiorinal (aspirin and butalbital) that she takes for migraines. She
has been taking this medication for over 2 years for migraines and states one dose usually works to abort her migraine. What is
the best care for her?
Question options:
Switch her to sumatriptan (Imitrex) to treat her migraines. Assess how often she is using Fiorinal and refill her medication.
Switch her to a beta blocker such as propranolol to prevent her migraine.
Request she return to the original prescriber of Fiorinal as you do not prescribe butalbital for migraines.: Assess how often she is
using Fiorinal and refill her medication.
2. An acceptable first-line treatment for peptic ulcer disease with positive
H. pylori test is:
Question options:
Histamine2 receptor antagonists for 4 to 8 weeks
Proton pump inhibitor bid for 12 weeks until healing is complete
Proton pump inhibitor bid plus clarithromycin plus amoxicillin for 14 days
Proton pump inhibitor bid and levofloxacin for 14 days: Proton pump inhibitor bid plus clarithromycin plus amoxicillin for 14 days
3. Male patients who should not be prescribed phosphodiesterase type 5 (PDE-5) inhibitors include:
Question options:
, MN 553 FINAL EXAM – ADVANCED PHARMACOLOGY – QUESTION AND ANSWERS (GRADED A) 2024/2025
Diabetics
Those who have had an acute myocardial infarction in the past 6 months Patients who are deaf
Patients under age 60 years of age: Those who have had an acute myocardial infarction in the past 6 months
4. Laboratory values are actually different for TSH when screening for thy- roid issues and when used for medication management
Which of the follow holds true?
Question options:
Screening TSH has a wider range of normal values 0.02-5.0; therapeutic levels need to remain above 5.0.
Screening values are much narrower than the acceptable range used to keep a person stable on hormone replacement.
Therapeutic values are kept between 0.05 and 3.0 ideally. Screening values are considered acceptable up to 10.
Screening values are between 5 and 10, and therapeutic values are greater than 10.: Therapeutic values are kept between 0.05
and 3.0 ideally. Screening values are considered acceptable up to 10.
5. A provider may consider testing for CYP2D6 variants prior to starting tamoxifen for breast cancer to:
Question options:
Ensure the patient will not have increased adverse drug reactions to the tamoxifen
Identify potential drug-drug interactions that may occur with tamoxifen Reduce the likelihood of therapeutic failure with
tamoxifen treatment
Identify poor metabolizers of tamoxifen: Reduce the likelihood of therapeutic failure with tamoxifen treatment
, MN 553 FINAL EXAM – ADVANCED PHARMACOLOGY – QUESTION AND ANSWERS (GRADED A) 2024/2025
6. When discussing with a patient the different start methods used for oral combined contraceptives, the advantage of a Sunday
start over the other start methods is:
Question options:
Immediate protection against pregnancy the first week of using the pill No back-up method is needed when starting
Menses occur during the week
They can start the pill on the Sunday after the office visit: Menses occur during the week
7. Opiates are used mainly to treat moderate to severe pain. Which of the following is NOT true about these drugs?
Question options:
All opiates are scheduled drugs which require a DEA license to prescribe. Opiates stimulate only mu receptors for the control of
pain.
Most of the adverse effects of opiates are related to mu receptor stimulation.
Naloxone is an antagonist to opiates.: Opiates stimulate only mu receptors for the control of pain.
8. Patients who are prescribed exogenous androgens need to be warned that decreased libido:
Question options:
Is an unusual side effect of androgens and should be reported to the provider
Is treated with increased doses of androgens, so the patient should let the provider know if he is having problems
May be a sign of early prostate cancer and he should make an appointment for a prostate screening exam
May occur with androgen therapy: May occur with androgen therapy
, MN 553 FINAL EXAM – ADVANCED PHARMACOLOGY – QUESTION AND ANSWERS (GRADED A) 2024/2025
9. Chee is a 15-month-old male whose screening hemoglobin is 10.4 g/dL. Treatment for his anemia would be:
Question options:
18 mg/day of iron supplementation 6 mg/kg per day of elemental iron 325 mg ferrous sulfate per day
325 mg ferrous sulfate tid: 6 mg/kg per day of elemental iron
10. Severe contact dermatitis caused by poison ivy or poison oak exposure often requires treatment with:
Question options:
Topical antipruritics
Oral corticosteroids for 2 to 3 weeks
Thickly applied topical intermediate-dose corticosteroids
Isolation of the patient to prevent spread of the dermatitis: Oral corticosteroids for 2 to 3 weeks
11. Conjunctivitis in a child that is accompanied by acute otitis media is treated with:
Question options:
Sulfacetamide 10% ophthalmic solution (Bleph-10) Bacitracin/polymyxin B (Polysporin) ophthalmic drops Ciprofloxacin
(Ciloxan) ophthalmic drops
High-dose oral amoxicillin: High-dose oral amoxicillin
12. The dosage of Vitamin B12 to initially treat pernicious anemia is: Question options:
Nasal cyanocobalamin 1 gram spray in each nostril daily x 1 week then
