NR565/ NR 565 FINAL EXAM ADVANCED PHARMACOLOGY 2025 EXAM COMPLETE 220 QUESTIONS WITH DETAILED VERIFIED ANSWERS (100% CORRECT) /ALREADY GRADED A+ CHAMBERLAIN

NR565/ NR 565 FINAL EXAM ADVANCED PHARMACOLOGY
2025 EXAM COMPLETE 220 QUESTIONS WITH DETAILED
VERIFIED ANSWERS (100% CORRECT) /ALREADY GRADED
A+ CHAMBERLAIN



1. In which patient population is Metformin contraindicated in?
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A. Diabetics with HA1c < 7.0% yp yp yp yp




B. Patients older than 50 yp yp yp




C. Alcoholics
D. Womensufferingfrominfertility ANS:C.Alcoholics
p
y yp yp yp yp yp p
y yp




2. What lab value suggests metformin might be contraindicated?
yp yp yp yp yp yp yp




A. eGFR <30 yp




B. Crea 0.8 yp




C. WBC 7.8 yp




D. Bun 17 ANS:A.eGFR <30
yp yp yp yp p
y yp yp




3. Whatmedicationiscontraindicatedtotreatdiabetesifapatientalreadyhas a
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y p
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y p
y p
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y p
y p
y p
y yp




cardiac ejection fraction rate of 40%?
yp yp yp yp yp yp




A. Second Generation sulfonyureas yp yp




B. Thiazolidinediones
C. Dopamine Agonist yp




D. Glucosidase Inhibitor ANS:B.Thiazolidinediones yp yp yp yp p
y yp




4. Sabrina is a 35-year-old female who presents with complaints of fatigue,
yp yp yp yp yp yp yp yp yp yp




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yp yp

,anxiety, and palpitations. She has a long history of obesity and reports that sheis
yp yp yp yp yp yp yp yp yp yp yp yp yp yp p
y




happythatshehaslost23poundsinthelast2months.Shealsoreports thatshehas
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y p
y p
y p
y p
y yp p
y p
y




troublesleepingandherhusbandcomplainsthatsheiskeeping thehousetoo
p
y p
y p
y p
y yp p
y p
y p
y p
y p
y yp p
y p
y




cold.Physicalexamrevealsslighttachycardiaat104bpmanda slightly enlarged
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y p
y p
y p
y p
y p
y p
y p
y p
y p
y p
y yp yp




thyroid.Thyroid testing reveals hyperthyroidism or Grave's disease.
yp p
y yp yp yp yp yp yp




Whichofthefollowingagentsisthefirst-linetreatmentforhyperthyroidismor
p
y p
y p
y p
y p
y p
y p
y p
y p
y p
y p
y




Grave's disease?
yp yp




A. Methimazole
B. Metoprolol
C. Allopurinol
D. Levothyroxine ANS:A.Methimazole yp yp yp p
y yp




5. Whichofthe following medicationswould be considered the first line of
yp yp yp yp yp yp yp yp yp yp yp




treatment for a newly diagnosed Diabetic patient with adequate renal and
yp yp yp yp yp yp yp yp yp yp yp




hepatic function?
yp yp




A:NovoLogSlidingScaleInsulin B:
p
y p
y p
y p
y yp




Liraglutide (Victoza)
yp yp




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yp yp

,C:Oral Metformin
p
y yp




D:Glipizide ANS:C:Oral Metformin
p
y yp yp yp p
y yp yp




6. Of the following medications,which is most likely to cause hypoglycemia?
yp yp yp p
y yp yp yp yp yp yp




A. Metformin
B. Insulin
C. Incretin mimetics yp




D. Thiazolidinediones ANS:B.Insulin yp yp yp p
y yp




7. Whichsymptomsare most expectedof a patientdiagnosedwithhypothy-
yp yp yp yp yp yp yp yp yp yp




roidism?
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A. shortness of breath,wheezing,fatigue yp yp p
y p
y




B. tachycardia,insomnia,weight loss,goiter p
y p
y yp p
y




C. irritability,anxiety,dizziness,increased sweating yp yp yp y p




D. drypaleskin,brittlehair,fatigue,myxedema ANS:D.dryskin,brittlehair,fatigue,
p
y yp p
y yp p
y p
y yp yp yp p
y yp yp yp yp yp




myxedema
yp




8. Patients with an increased risk for UTIs and genital infections or an active
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diagnosis,shouldavoidwhatdrugclass/esfortreatmentofTypeIIDiabetes?
yp p
y p
y p
y p
y yp p
y p
y p
y p
y p
y yp




A. Thiazolidinediones (Glitazones) yp




B. Biguanide.
C. Sodium-GlucoseCotransporter2(SGLT-2)Inhibitors. p
y p
y p
y p
y




D. Alloftheabove. ANS:C.Sodium-GlucoseCotransporter2(SGLT-2)Inhibitors.
p
y yp p
y yp yp yp yp p
y yp yp yp yp yp




9. A 45-year-old patient with a history of type 2 diabetes presents to the clinic
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for a follow-up appointment.The healthcare provider has prescribed
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y yp yp yp yp




metforminas part of the treatment plan.Which of the following statements
yp yp yp yp yp yp yp p
y yp yp yp yp




regarding metformin is correct?
yp yp yp yp




A. Metformin primarily stimulates insulin production from the pancreas. yp yp yp yp yp yp yp




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yp yp

, B. Metforminreducesglucoselevelsprimarilybydecreasing insulinresis-
yp yp yp yp yp yp yp yp




tance.
yp




C. Metformin is associated with a risk of hypoglycemia.
yp yp yp yp yp yp yp




D. Metforminimprovesinsulinsensitivityandreduceshepaticglucosepro-
yp yp yp yp yp yp yp yp




duction. ANS: D.Metformin improves insulin sensitivity and reduces hepatic
yp yp yp yp yp yp yp yp yp yp yp yp




glucose production.
yp yp




10. InwhatpartofthebodyareSGLT-2(sodium-glucosecotransporter2)
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y p
y p
y p
y p
y p
y p
y p
y p
y p
y




inhibitors active?
yp yp




A. Small intestine yp




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yp yp