Final -Week 5- Exam: NR565/ NR 565 Advanced
Pharmacology Care of the Fundamentals Exam |
Questions and Verified Answers (2025/ 2026
Update)- Chamberlain
A patient is has just been prescribed levothyroxine. The NP put in a lab order to check
TSH levels in:1. 1.4-6 weeks 2. one week 3. 6-8 weeks 4. once a year - :answers :6-8
weeks
A patient comes into the clinic complaining of sore throat and fever. She has recently
started Methimazole in the last 4 weeks. What does this suggest? - :answers
:Agranulocytosis. Must check CBC and LFTS for infection. Labs may not always catch in
time since it progresses rapidly.
MONITOR LFTS WITH METHIMAZOLE
A newly pregnant mother shows understanding of Hypothyroidism in pregnant women
by stating(Select all that apply)
1. I can keep my current dose of levothyroxine
2. I know that if I don't take my medicine it can cause permanent damage to my baby
3. I will need to increase my dose of medicine for a short-time
4. My baby will start to make her own thyroid hormones in week 3 - :answers :2. I
know that if I don't take my medicine it can cause permanent damage to my baby
3. I will need to increase my dose of medicine for a short-time
What is the role of Radioactive Iodine and what is a possible adverse effect? - :answers
:TO destroy thyroid tissue with those with hyperthyroidism. And/or have not responded
to therapy.
,Beta blockers in diabetes - :answers :Can mask the signs/symptoms of hypoglycemia
A1C target in children/adolescents - :answers :<7%
Insulin dose calculations - :answers :1: calculate TDD by using 0.6units/kg/day
2: calculate mealtime carbohydrate-to-insulin dose by dividing 500 (for rapid acting) or
450 (for regular insulin) by TDD
3: round your number
4: now you have your carbohydrate-to-insulin ratio such as 1:10
Example: if meal is 60g of carbs, 60g divided by 10 is the # of units of insulin
A patient receives his first lab results showing an AIC of 7.2%. What is the diagnosis? -
:answers :Repeat for confirmation
A random glucose of ________ is considered diabetic? - :answers :A random plasma
glucose of over 200
A person with diabetes has recurrent severe hypoglycemia events. What should his A1C
goal be? - :answers :Less stringent A1C goals (such as <8% [64 mmol/mol]) may be
appropriate for patients with a history of severe hypoglycemia, limited life expectancy,
advanced microvascular or macrovascular complications, extensive comorbid
conditions, or long-standing diabetes in whom the goal is difficult to achieve despite DS
When is it okay for a patient to have an A1C goal of 6.5%? - :answers :When there are
no hypoglycemic events and the patient can handle it.
A person comes in with an A1C of 10% and a fasting glucose of >300, what are the next
steps for the provider? - :answers :Combination injectable therapy immediately. IF 9%
can start at step 2 with dual therapy. P400
, Biguanide (metformin) - :answers :Decreases glucose production by the liver
Who should not take metformin? - :answers :Severe metabolic acidosis can occur with
accumulation of metformin. Highest risk occurs in diabetic patients with significant
renal impairment.
liver disease, severe infection, or a history of lactic acidosis
contraindicated for people with failing hearts
Sulfonylureas should not be used during __________ or with _______ or _______
impairment. - :answers :Not used during pregnancy; liver or renal impairment
What is the TDD of a person that weighs 70kg?
If a person is eating a 50 carb meal, how much insulin will be needed based on the TDD
from the above question? - :answers :TDD = 42
500/42 = 12 rounded
50/12 = 4 units of insulin
A patients states that she will take her Insulin lispro 30-60 minutes before a meal. -
:answers :Lispro onset is 15-30 mins
Mixing insulins - :answers :When a mixture is prepared, the short-acting insulin
should be drawn into the syringe first to avoid contaminating the stock vial of the short-
acting insulin with NPH insulin.
Canagliflozin s/e - :answers :female genital fungal infections, urinary tract infections,
and increased urination.
A patient taking Sitagliptin reports abdominal pain with vomiting. What are your next
steps? - :answers :Concern for pancreatitis
Pharmacology Care of the Fundamentals Exam |
Questions and Verified Answers (2025/ 2026
Update)- Chamberlain
A patient is has just been prescribed levothyroxine. The NP put in a lab order to check
TSH levels in:1. 1.4-6 weeks 2. one week 3. 6-8 weeks 4. once a year - :answers :6-8
weeks
A patient comes into the clinic complaining of sore throat and fever. She has recently
started Methimazole in the last 4 weeks. What does this suggest? - :answers
:Agranulocytosis. Must check CBC and LFTS for infection. Labs may not always catch in
time since it progresses rapidly.
MONITOR LFTS WITH METHIMAZOLE
A newly pregnant mother shows understanding of Hypothyroidism in pregnant women
by stating(Select all that apply)
1. I can keep my current dose of levothyroxine
2. I know that if I don't take my medicine it can cause permanent damage to my baby
3. I will need to increase my dose of medicine for a short-time
4. My baby will start to make her own thyroid hormones in week 3 - :answers :2. I
know that if I don't take my medicine it can cause permanent damage to my baby
3. I will need to increase my dose of medicine for a short-time
What is the role of Radioactive Iodine and what is a possible adverse effect? - :answers
:TO destroy thyroid tissue with those with hyperthyroidism. And/or have not responded
to therapy.
,Beta blockers in diabetes - :answers :Can mask the signs/symptoms of hypoglycemia
A1C target in children/adolescents - :answers :<7%
Insulin dose calculations - :answers :1: calculate TDD by using 0.6units/kg/day
2: calculate mealtime carbohydrate-to-insulin dose by dividing 500 (for rapid acting) or
450 (for regular insulin) by TDD
3: round your number
4: now you have your carbohydrate-to-insulin ratio such as 1:10
Example: if meal is 60g of carbs, 60g divided by 10 is the # of units of insulin
A patient receives his first lab results showing an AIC of 7.2%. What is the diagnosis? -
:answers :Repeat for confirmation
A random glucose of ________ is considered diabetic? - :answers :A random plasma
glucose of over 200
A person with diabetes has recurrent severe hypoglycemia events. What should his A1C
goal be? - :answers :Less stringent A1C goals (such as <8% [64 mmol/mol]) may be
appropriate for patients with a history of severe hypoglycemia, limited life expectancy,
advanced microvascular or macrovascular complications, extensive comorbid
conditions, or long-standing diabetes in whom the goal is difficult to achieve despite DS
When is it okay for a patient to have an A1C goal of 6.5%? - :answers :When there are
no hypoglycemic events and the patient can handle it.
A person comes in with an A1C of 10% and a fasting glucose of >300, what are the next
steps for the provider? - :answers :Combination injectable therapy immediately. IF 9%
can start at step 2 with dual therapy. P400
, Biguanide (metformin) - :answers :Decreases glucose production by the liver
Who should not take metformin? - :answers :Severe metabolic acidosis can occur with
accumulation of metformin. Highest risk occurs in diabetic patients with significant
renal impairment.
liver disease, severe infection, or a history of lactic acidosis
contraindicated for people with failing hearts
Sulfonylureas should not be used during __________ or with _______ or _______
impairment. - :answers :Not used during pregnancy; liver or renal impairment
What is the TDD of a person that weighs 70kg?
If a person is eating a 50 carb meal, how much insulin will be needed based on the TDD
from the above question? - :answers :TDD = 42
500/42 = 12 rounded
50/12 = 4 units of insulin
A patients states that she will take her Insulin lispro 30-60 minutes before a meal. -
:answers :Lispro onset is 15-30 mins
Mixing insulins - :answers :When a mixture is prepared, the short-acting insulin
should be drawn into the syringe first to avoid contaminating the stock vial of the short-
acting insulin with NPH insulin.
Canagliflozin s/e - :answers :female genital fungal infections, urinary tract infections,
and increased urination.
A patient taking Sitagliptin reports abdominal pain with vomiting. What are your next
steps? - :answers :Concern for pancreatitis
