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Final Exam: NR 567/ NR567 (Latest 2026/ 2027 Update) Advanced Pharmacology for the AGACNP Review |Q/A | Grade A| 100% Correct (Verified Answers) -Chamberlain

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Final Exam: NR 567/ NR567 (Latest 2026/ 2027 Update) Advanced Pharmacology for the AGACNP Review |Q/A | Grade A| 100% Correct (Verified Answers) -Chamberlain QUESTION What should you teach patients about mast cell stabilizers for conjunctivitis? Answer: Several days to see onset of effect and may take up to two weeks for max effect QUESTION What medication groups decrease aqueous humor production? Answer: beta blockers, alpha 2 agonists, carbonic anhydrase inhibitors QUESTION What medication groups increase aqueous humor outflow? Answer: Prostaglandin analogs, cholinergic drugs, Rho kinase inhibitors QUESTION What cholinergic medication groups are used to treat glaucoma? Answer: muscarinic (pilocarpine), cholinesterase inhibitors (echothiophate) QUESTION What other groups of medications are used to treat glaucoma? Answer: Carbonic anhydrase inhibitors, rho kinase inhibitors QUESTION Examples of carbonic anhydrase inhibitors for glaucoma Answer: acetazolamide, dorzolamide, methazolamide QUESTION Examples of rho kinase inhibitors for glaucoma Answer: netarsudil QUESTION Patient teaching for prostaglandin analogs Answer: possible irreversible heightened pigmentation of iris, eyelid and eyelashes QUESTION What glaucoma medication group has a relationship to sulfas and can produce a cross allergy? (rare) Answer: carbonic anhydrase inhibitors QUESTION latanoprost (prostaglandin) MOA Answer: facilitates outflow of aqueous humor through the relaxation of the ciliary muscle QUESTION latanoprost (prostaglandin) SE Answer: blurred vision, severe recurrent headaches, discoloration of iris, eyelid and eyelashes QUESTION echothiophate (cholinesterase inhibitor) MOA Answer: inhibits breakdown of ACh by cholinesterase, leading to increased ACh in muscarinic receptors, which leads to increased aqueous humor outflow QUESTION echothiophate (cholinesterase inhibitor) SE Answer: myopia (induce nearsightedness secondary to contraction of ciliary muscle), cataracts with long term use, systemic parasympathetic effects (bradycardia, bronchospasms, diarrhea) QUESTION dorzolamide (carbonic anhydrase inhibitor) MOA Answer: reduce IOP by inhibiting carbonic anhydrase, which decreases aqueous humor QUESTION dorzolamide (carbonic anhydrase inhibitor) SE Answer: blurred vision, increased tearing, photophobia, bitter taste, hypersensitivity reaction QUESTION otitis media definition Answer: fluid trapped in middle ear developing a bacterial infection QUESTION otitis media manifestations Answer: ear pain, pressure, hearing loss, fever, purulent discharge (if tympanic membrane ruptures) QUESTION otitis media commonly caused by.... Answer: streptococcus pnemoniae, haemophilus influenzae, or morazella catarrhalis QUESTION otitis media antibiotics for patient without PCN allergy, no abt's in last 30 days, no concurrent purulent conjunctivitis Answer: amoxicillin PO 5-10 days

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Subido en
25 de septiembre de 2025
Número de páginas
31
Escrito en
2025/2026
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Finall Exam:l NRl 567/l NR567l (Latestl
2026/l 2027l Update)l Advancedl
Pharmacologyl forl thel AGACNPl Reviewl
|Q/Al |l Gradel A|l 100%l Correctl (Verifiedl
Answers)l -Chamberlain


Q:l Whatl shouldl youl teachl patientsl aboutl mastl celll stabilizersl forl conjunctivitis?
Answer:
Severall daysl tol seel onsetl ofl effectl andl mayl takel upl tol twol weeksl forl maxl effect



Q:l Whatl medicationl groupsl decreasel aqueousl humorl production?
Answer:
betal blockers,l alphal 2l agonists,l carbonicl anhydrasel inhibitors



Q:l Whatl medicationl groupsl increasel aqueousl humorl outflow?
Answer:
Prostaglandinl analogs,l cholinergicl drugs,l Rhol kinasel inhibitors



Q:l Whatl cholinergicl medicationl groupsl arel usedl tol treatl glaucoma?
Answer:
muscarinicl (pilocarpine),l cholinesterasel inhibitorsl (echothiophate)



Q:l Whatl otherl groupsl ofl medicationsl arel usedl tol treatl glaucoma?

,Answer:
Carbonicl anhydrasel inhibitors,l rhol kinasel inhibitors



Q:l Examplesl ofl carbonicl anhydrasel inhibitorsl forl glaucoma
Answer:
acetazolamide,l dorzolamide,l methazolamide



Q:l Examplesl ofl rhol kinasel inhibitorsl forl glaucoma
Answer:
netarsudil



Q:l Patientl teachingl forl prostaglandinl analogs
Answer:
possiblel irreversiblel heightenedl pigmentationl ofl iris,l eyelidl andl eyelashes



Q:l Whatl glaucomal medicationl groupl hasl al relationshipl tol sulfasl andl canl producel al
crossl allergy?l (rare)

Answer:
carbonicl anhydrasel inhibitors



Q:l latanoprostl (prostaglandin)l MOA
Answer:
facilitatesl outflowl ofl aqueousl humorl throughl thel relaxationl ofl thel ciliaryl muscle



Q:l latanoprostl (prostaglandin)l SE

,Answer:
blurredl vision,l severel recurrentl headaches,l discolorationl ofl iris,l eyelidl andl eyelashes



Q:l echothiophatel (cholinesterasel inhibitor)l MOA
Answer:
inhibitsl breakdownl ofl AChl byl cholinesterase,l leadingl tol increasedl AChl inl muscarinicl
receptors,l whichl leadsl tol increasedl aqueousl humorl outflow



Q:l echothiophatel (cholinesterasel inhibitor)l SE
Answer:
myopial (inducel nearsightednessl secondaryl tol contractionl ofl ciliaryl muscle),l cataractsl
withl longl terml use,l systemicl parasympatheticl effectsl (bradycardia,l bronchospasms,l
diarrhea)



Q:l dorzolamidel (carbonicl anhydrasel inhibitor)l MOA
Answer:
reducel IOPl byl inhibitingl carbonicl anhydrase,l whichl decreasesl aqueousl humor



Q:l dorzolamidel (carbonicl anhydrasel inhibitor)l SE
Answer:
blurredl vision,l increasedl tearing,l photophobia,l bitterl taste,l hypersensitivityl reaction



Q:l otitisl medial definition
Answer:
fluidl trappedl inl middlel earl developingl al bacteriall infection

, Q:l otitisl medial manifestations
Answer:
earl pain,l pressure,l hearingl loss,l fever,l purulentl dischargel (ifl tympanicl membranel
ruptures)



Q:l otitisl medial commonlyl causedl by....
Answer:
streptococcusl pnemoniae,l haemophilusl influenzae,l orl morazellal catarrhalis



Q:l otitisl medial antibioticsl forl patientl withoutl PCNl allergy,l nol abt'sl inl lastl 30l days,l
nol concurrentl purulentl conjunctivitis

Answer:
amoxicillinl POl 5-10l days



Q:l otitisl medial antibioticsl forl patientl withl PCNl allergyl thatl isl notl severe
Answer:
al cephalosporinl (cefdinirl orl cefuroxime)



Q:l otitisl medial antibioticsl forl patientl withl severel PCNl allergy
Answer:
azithromycinl orl clarithromycin



Q:l antibioticsl forl drugl resistantl otitisl medial causedl byl s.l pneumoniae
Answer:
highl dosel amoxicillin
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