COMPLETE TEST BANK ___
EDMUNDS' PHARMACOLOGY FOR THE PRIMARY CARE PROVIDER 5TH EDITION
BY CONSTANCE G. VISOVSKY, CHERYL H. ZAMBROSKI, REBECCA M. LUTZ
VERIFIED CHAPTERS COVERED 1-73||QUESTIONS & ANSWERS 100% SOLVED (100% CORRECT ANSWERS) ALREADY GRADED A+
,table of contents
unit 1: principles of pharmacology for advanced practice ..................................................................... 4
chapter 1 pharmacokinetics and pharmacodynamics ............................................................................... 4
chapter 2 pharmacogenomics ................................................................................................................... 9
unit 2: topical medications................................................................................................................ 13
chapter 3 integumentary system medications ........................................................................................ 13
chapter 4 eye and ear medications ......................................................................................................... 19
unit 3: pulmonary system medications .............................................................................................. 22
chapter 5 allergy and respiratory medications........................................................................................ 22
chapter 6 asthma medications ................................................................................................................ 26
chapter 7 chronic obstructive pulmonary disease medications .............................................................. 31
unit 4: cardiovascular system medications......................................................................................... 36
chapter 8 antihyperlipidemic medications .............................................................................................. 36
chapter 9 antihypertensive medications ................................................................................................. 40
chapter10 coronary artery disease medications ..................................................................................... 43
chapter 11 heart failure medications ...................................................................................................... 47
chapter 12 antiarrhythmic medications .................................................................................................. 50
unit 5: hematologic system medications ............................................................................................ 54
chapter 13 anemia medications .............................................................................................................. 54
chapter14 anticlotting medications......................................................................................................... 58
unit 6: gastrointestinal system medications ....................................................................................... 65
chapter 15 gastroesophageal reflux disease, gastritis, and peptic ulcer disease medications ................ 65
chapter 16 constipation and diarrhea medications ................................................................................ 68
chapter17 antiemetic medications.......................................................................................................... 72
unit 7: genitourinary system medications .......................................................................................... 75
chapter 18 male genitourinary medications ........................................................................................... 75
chapter 19 urinary incontinence medications and urinary analgesics .................................................... 79
unit 8: reproductive system medications ........................................................................................... 83
chapter 20 contraceptive medications .................................................................................................... 83
chapter 21 medications for the menopausal transition .......................................................................... 88
unit 9: musculoskeletal system medications ...................................................................................... 94
chapter 22 antiinflammatory medications .............................................................................................. 94
chapter 23 disease-modifying and immune therapy medications .......................................................... 98
, chapter 24 antigout medications .......................................................................................................... 102
chapter 25 osteoporosis medications ................................................................................................... 106
chapter 26 muscle relaxant medications............................................................................................... 110
unit 10: central nervous system medications ................................................................................... 113
chapter 27 migraine headache medications ......................................................................................... 113
chapter 28 attention-deficit/hyperactivity disorder medications ......................................................... 118
chapter 29 antiepileptic medications .................................................................................................... 122
chapter 30 parkinson’s disease medications ......................................................................................... 126
chapter 31 dementia and alzheimer’s disease medications.................................................................. 129
chapter 32 pain management medications and substance abuse ........................................................ 133
unit 11: mental health and behavior-modifying medications ............................................................ 136
chapter 33 antianxiety and insomnia medications................................................................................ 136
chapter 34 mood disorder medications ................................................................................................ 139
chapter 35 antipsychotic medications................................................................................................... 144
unit 12: endocrine system medications ........................................................................................... 148
chapter 36 thyroid medications ............................................................................................................ 148
chapter 37 adrenal gland medications .................................................................................................. 152
chapter 38 diabetes mellitus medications............................................................................................. 156
unit 13: antiinfective medications ................................................................................................... 160
chapter 39 principles for prescribing antiinfective medications in primary care .................................. 160
chapter 40 penicillins............................................................................................................................. 163
chapter 41 cephalosporins .................................................................................................................... 167
chapter 42 tetracyclines ........................................................................................................................ 170
chapter 43 macrolides ........................................................................................................................... 171
chapter 44 fluoroquinolones ................................................................................................................. 174
chapter 45 sulfonamides ....................................................................................................................... 177
chapter 46 antitubercular medications ................................................................................................. 181
chapter 47 antifungal medications ........................................................................................................ 184
chapter 48 antiviral and antiretroviral medications .............................................................................. 187
chapter 49 antiprotozoal medications .................................................................................................. 189
unit 14: health promotion............................................................................................................... 193
chapter 50 immunizations and immunomodulation medications and schedules................................. 193
chapter 51 weight management medications ....................................................................................... 200
, chapter 52 smoking cessation medications........................................................................................... 204
unit 15: prescribing considerations .................................................................................................. 207
chapter 53 medication adherence ........................................................................................................ 207
chapter 54 cost, quality assurance, and prescription writing in prescribing medications..................... 209
,unit 1: principles of pharmacology for advanced practice
chapter 1 pharmacokinetics and pharmacodynamics
multiple choice
1. a primary care nurse practitioner (np) prescribes a drug to an 80-year-old african-
american woman. when selecting a drug and determining the correct dose, the np should
understand that the knowledge of how age, race, and gender may affect drug excretion is
based on an understanding of:
A. bioavailability.
B. pharmacokinetics.
C. pharmacodynamics.
D. anatomy and physiology.
ans>> b
pharmacokinetics is the study of the action of drugs in the body and may be thought of as
what the body does to the drug. factors such as age, race, and gender may change the way the
body acts to metabolize and excrete a drug. bioavailability refers to the amount of drug
available at the site of action. pharmacodynamics is the study of the effects of drugs on the
body. anatomy and physiology is a basic understanding of how the body functions.
dif: cognitive level: understanding (comprehension) ref: 21
2. a patient asks the primary care np which medication to use for mild to moderate
pain. the np should recommend:
A. apap.
B. tylenol.
C. acetaminophen.
D. any over-the-counter pain product.
, ans>> c
providers should use generic drug names when prescribing drugs or recommending them to
patients, unless a particular brand is essential for some reason. because acetaminophen can
have many trade names, it is important for patients to understand that the drug is the same for
all to avoid overdosing on acetaminophen. apap is a commonly used abbreviation but should
not be used when recommending the drug to patients.
dif: cognitive level: applying (application) ref: 21
3. a patient wants to know why a cheaper version of a drug cannot be used when the
primary care np writes a prescription for a specific brand name of the drug and writes,
“dispense as written.” the np should explain that a different brand of this drug:
A. may cause different adverse effects.
B. does not necessarily have the same therapeutic effect.
C. is likely to be less safe than the brand specified in the prescription.
D. may vary in the amount of drug that reaches the site of action in the body.
ans>> d
different formulations of the same drug may have varying degrees of bioavailability, and it may
be important to stick to a particular brand for drugs with narrow therapeutic ranges. all drugs
with similar active ingredients should have the same therapeutic actions and side effects and
should be equally safe.
dif: cognitive level: applying (application) ref: 22
4. a primary care np wishes to order a drug that will be effective immediately after
administration of the drug. which route should the np choose?
A. rectal
B. topical
C. sublingual
D. intramuscular
ans>> c
the sublingual route is preferred for quick action because the drug is directly absorbed into the
bloodstream and avoids the pass through of the liver, where much of an oral drug is
EDMUNDS' PHARMACOLOGY FOR THE PRIMARY CARE PROVIDER 5TH EDITION
BY CONSTANCE G. VISOVSKY, CHERYL H. ZAMBROSKI, REBECCA M. LUTZ
VERIFIED CHAPTERS COVERED 1-73||QUESTIONS & ANSWERS 100% SOLVED (100% CORRECT ANSWERS) ALREADY GRADED A+
,table of contents
unit 1: principles of pharmacology for advanced practice ..................................................................... 4
chapter 1 pharmacokinetics and pharmacodynamics ............................................................................... 4
chapter 2 pharmacogenomics ................................................................................................................... 9
unit 2: topical medications................................................................................................................ 13
chapter 3 integumentary system medications ........................................................................................ 13
chapter 4 eye and ear medications ......................................................................................................... 19
unit 3: pulmonary system medications .............................................................................................. 22
chapter 5 allergy and respiratory medications........................................................................................ 22
chapter 6 asthma medications ................................................................................................................ 26
chapter 7 chronic obstructive pulmonary disease medications .............................................................. 31
unit 4: cardiovascular system medications......................................................................................... 36
chapter 8 antihyperlipidemic medications .............................................................................................. 36
chapter 9 antihypertensive medications ................................................................................................. 40
chapter10 coronary artery disease medications ..................................................................................... 43
chapter 11 heart failure medications ...................................................................................................... 47
chapter 12 antiarrhythmic medications .................................................................................................. 50
unit 5: hematologic system medications ............................................................................................ 54
chapter 13 anemia medications .............................................................................................................. 54
chapter14 anticlotting medications......................................................................................................... 58
unit 6: gastrointestinal system medications ....................................................................................... 65
chapter 15 gastroesophageal reflux disease, gastritis, and peptic ulcer disease medications ................ 65
chapter 16 constipation and diarrhea medications ................................................................................ 68
chapter17 antiemetic medications.......................................................................................................... 72
unit 7: genitourinary system medications .......................................................................................... 75
chapter 18 male genitourinary medications ........................................................................................... 75
chapter 19 urinary incontinence medications and urinary analgesics .................................................... 79
unit 8: reproductive system medications ........................................................................................... 83
chapter 20 contraceptive medications .................................................................................................... 83
chapter 21 medications for the menopausal transition .......................................................................... 88
unit 9: musculoskeletal system medications ...................................................................................... 94
chapter 22 antiinflammatory medications .............................................................................................. 94
chapter 23 disease-modifying and immune therapy medications .......................................................... 98
, chapter 24 antigout medications .......................................................................................................... 102
chapter 25 osteoporosis medications ................................................................................................... 106
chapter 26 muscle relaxant medications............................................................................................... 110
unit 10: central nervous system medications ................................................................................... 113
chapter 27 migraine headache medications ......................................................................................... 113
chapter 28 attention-deficit/hyperactivity disorder medications ......................................................... 118
chapter 29 antiepileptic medications .................................................................................................... 122
chapter 30 parkinson’s disease medications ......................................................................................... 126
chapter 31 dementia and alzheimer’s disease medications.................................................................. 129
chapter 32 pain management medications and substance abuse ........................................................ 133
unit 11: mental health and behavior-modifying medications ............................................................ 136
chapter 33 antianxiety and insomnia medications................................................................................ 136
chapter 34 mood disorder medications ................................................................................................ 139
chapter 35 antipsychotic medications................................................................................................... 144
unit 12: endocrine system medications ........................................................................................... 148
chapter 36 thyroid medications ............................................................................................................ 148
chapter 37 adrenal gland medications .................................................................................................. 152
chapter 38 diabetes mellitus medications............................................................................................. 156
unit 13: antiinfective medications ................................................................................................... 160
chapter 39 principles for prescribing antiinfective medications in primary care .................................. 160
chapter 40 penicillins............................................................................................................................. 163
chapter 41 cephalosporins .................................................................................................................... 167
chapter 42 tetracyclines ........................................................................................................................ 170
chapter 43 macrolides ........................................................................................................................... 171
chapter 44 fluoroquinolones ................................................................................................................. 174
chapter 45 sulfonamides ....................................................................................................................... 177
chapter 46 antitubercular medications ................................................................................................. 181
chapter 47 antifungal medications ........................................................................................................ 184
chapter 48 antiviral and antiretroviral medications .............................................................................. 187
chapter 49 antiprotozoal medications .................................................................................................. 189
unit 14: health promotion............................................................................................................... 193
chapter 50 immunizations and immunomodulation medications and schedules................................. 193
chapter 51 weight management medications ....................................................................................... 200
, chapter 52 smoking cessation medications........................................................................................... 204
unit 15: prescribing considerations .................................................................................................. 207
chapter 53 medication adherence ........................................................................................................ 207
chapter 54 cost, quality assurance, and prescription writing in prescribing medications..................... 209
,unit 1: principles of pharmacology for advanced practice
chapter 1 pharmacokinetics and pharmacodynamics
multiple choice
1. a primary care nurse practitioner (np) prescribes a drug to an 80-year-old african-
american woman. when selecting a drug and determining the correct dose, the np should
understand that the knowledge of how age, race, and gender may affect drug excretion is
based on an understanding of:
A. bioavailability.
B. pharmacokinetics.
C. pharmacodynamics.
D. anatomy and physiology.
ans>> b
pharmacokinetics is the study of the action of drugs in the body and may be thought of as
what the body does to the drug. factors such as age, race, and gender may change the way the
body acts to metabolize and excrete a drug. bioavailability refers to the amount of drug
available at the site of action. pharmacodynamics is the study of the effects of drugs on the
body. anatomy and physiology is a basic understanding of how the body functions.
dif: cognitive level: understanding (comprehension) ref: 21
2. a patient asks the primary care np which medication to use for mild to moderate
pain. the np should recommend:
A. apap.
B. tylenol.
C. acetaminophen.
D. any over-the-counter pain product.
, ans>> c
providers should use generic drug names when prescribing drugs or recommending them to
patients, unless a particular brand is essential for some reason. because acetaminophen can
have many trade names, it is important for patients to understand that the drug is the same for
all to avoid overdosing on acetaminophen. apap is a commonly used abbreviation but should
not be used when recommending the drug to patients.
dif: cognitive level: applying (application) ref: 21
3. a patient wants to know why a cheaper version of a drug cannot be used when the
primary care np writes a prescription for a specific brand name of the drug and writes,
“dispense as written.” the np should explain that a different brand of this drug:
A. may cause different adverse effects.
B. does not necessarily have the same therapeutic effect.
C. is likely to be less safe than the brand specified in the prescription.
D. may vary in the amount of drug that reaches the site of action in the body.
ans>> d
different formulations of the same drug may have varying degrees of bioavailability, and it may
be important to stick to a particular brand for drugs with narrow therapeutic ranges. all drugs
with similar active ingredients should have the same therapeutic actions and side effects and
should be equally safe.
dif: cognitive level: applying (application) ref: 22
4. a primary care np wishes to order a drug that will be effective immediately after
administration of the drug. which route should the np choose?
A. rectal
B. topical
C. sublingual
D. intramuscular
ans>> c
the sublingual route is preferred for quick action because the drug is directly absorbed into the
bloodstream and avoids the pass through of the liver, where much of an oral drug is
