QUESTION BANK (LATEST 2024 /
2025): ADVANCED
PHARMACOLOGY
FUNDAMENTALS EXAM 2025
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, A patient with HIV who takes protease inhibitors develops tuberculosis and will begin
treatment. Which drug regimen will the provider prescribe for this patient?
Isoniazid
Pyrazinamide
Ethambutol & Rifabutin
A patient comes to a clinic for tuberculosis medications 2 weeks after beginning treatment
with a four-drug induction phase. The patient's sputum culture remains positive, and no drug
resistance is noted. At this point, the provider will take what action?
Continue the free drug regimen and recheck the sputum in 2 weeks.
Which patient will the provider determine should begin treatment for tuberculosis?
A recent from a country with a high prevalence of TB with a 10-min region of induration.
A patient taking isoniazid for 4 months for latent tuberculosis reports bilateral tingling and
numbness of the hands and feet, as well as feeling clumsy. What action will the provider
take?
Order pyroxidine (Vit B6) 100mg per day
A patient is about to begin treatment with isoniazid.. When the provider learns that the patient
also takes phenytoin for seizures, what action will be taken?
Monitoring phenytoin levels
A patient who is being treated for HIV infection has a 5-mm area of induction after a routine
TB skin test. The patient's chest radiograph is normal, and there are no other physical
findings. The provider will prescribe which medications to begin treatment?
Isoniazid and rifabutin
A patient is about to begin therapy with ethambutol. Before initiating treatment with this
drug, the provider orders which tests to determine an accurate baseline?
Color vision and visual acuity
,A patient who is being treated with medication for both HIV and tuberculosis but a four-drug
regimen taken for 3 months has shown no improvement in symptoms. Which drug will the
provider add to this patient's regimen?
Bedaquiline
Is medication for hypothyroidism safe in pregnancy?
yes
When is treatment complete and a patient can discontinue taking medication for
hypothyroidism?
never
What are the causes of hypothyroidsm?
Living in an iodine deficient country
Insufficient iodine in the diet
Surgical removal of the thyroid
Destruction of the thyroid
Which medication will a provider prescribe for an asthma patient as part of step 1
management?
Short acting B2 agonists
A patient with stable COPD is prescribed a bronchodilator by the provider. Which type of
bronchodilator is preferred for this patient?
A long-acting inhaled B2 agonist (LABA)
A patient with severe, chronic COPD uses an inhaled long-acting inhaled B2 agonist
(LABA)/glucocorticoid but continues to have frequent exacerbation of symptoms. What
change in therapy will the provider discuss with the patient?
Adding roflumilast
A patient develops an asthma exacerbation. The patient's medication history lists an inhaled
glucocorticoid, montelukast, and short acting B2 agonist as needed via metered-dose inhaler
(MDI). The patient's respiratory rate is 18 breaths/minute, heart rate is 96 beats/min, and an
oxygen saturation is 95%. The provider auscultates mild expiratory wheezes bilaterally. What
action will the provider take first?
Question the patient about how much albuterol has been used.
, A provider is conducting a smoking cessation class in the community. Which effects will be
included in the discussion about physiologic effects of nicotine?
Increased blood pressure
Vomiting
Increased alertness
Suppression of appetite
A patient reports a desire to stop smoking and asks about nonprescription aids to help with
smoking cessation. What intervention will the provider recommend for this patient?
Start a nicotine replacement product and call 1 800 QUIT NOW
A patient with a desire to stop smoking asks a provider about nicotine chewing gum. The
patient currently smokes 30 cigarettes per day. What instructions willJUsee the provider give
the patient?
Use the 4-mg strength gum and chew one piece every 2 to 3 hours.
A patient who just found out she is pregnant requests pharmacologic aids to help her quit
smoking. The provider will give her what information?
Nicotine replacement therapy is not without its risks, but it is safer than smoking, so it can be
used.
A 4-year-old child who ingested several cigarettes at home presents to the emergence
department with nausea and vomiting and a weak, thready pulse of 120 beats/minute. What
intervention will the provider order?
Respiratory support
A patient who wants to quit smoking has been taking varenicline. The patient calls the clinic
to report a new onset of mood swings and depression with desire to cause self harm. What
response will the provider give to this patient?
Go to the emergency room immediately
What is the most dangerous adverse effect of Methimazole?
Agranulocytosis
What monitoring is required for methimazole?
CBC
LFTs
Mag
Is Methimazole the drug of choice in pregnancy?