NR566 / NR 566 Final Exam Advanced Pharmacology for Car
of the Family
Expected Questions and Verified Answers
1. 36 yo male who has HIV presents to the office wanting to discuss startin
dietary supplements. The NP knows which of the following is
contraindicat- ed?
Ans>> Echinacea-prolonged use should be avoided in those that are
immunocom- promised. Also compromise drug therapy of TB and cancer. Avoid in
RA and SLE. By stimulating the immune system, echinacea can oppose the
effects of immuno- suppressant drugs.
2. When asking a new patient about OTC or herbal medications they
take daily the patient states "I just take coenzyme Q-10".The NP
knows this is commonly taken to help with
Ans>> energy boost-it is an antioxidant that serves a vital role in cellular energy
production.
1/
9
,Leading to interest of conditions with aging and cellular energy production.
Structurally similar to vitamin K and should not be used in conjunction with
warfarin.
3. What is the Dietary Supplement Act of 1994 (DSHEA)
Ans>> DSHEA categorizes botanical products (herbal supplements), vitamins, and
minerals as dietary (food) supplements rather than as drugs. As supplements,
DSHEA exempts from under- going FDA scrutiny and approval before marketing.
DSHEA does impose restrictions in labeling. All herbal products must be labeled as
dietary supplements.
4. Three weeks ago, a patient who was placed on donepezil 5 mg daily
presents to the office today to discuss recent lab work. At the end of the
visit she states, " I don't think that medication you put me on for my
dementia is working." What would be the best response?
Ans>> The dose can be increased after a patient has been on it for 1-3 months,
to minimize side effects.
5. Primary, secondary, and early latent syphilis treatment
Ans>> Benzathine penicillin G
2.4 million units IM
Once
2/
9
, 6. The following adverse effects can occur when taking Ginkgo Biloba?
Ans>> Stom- ach
upset headache
dizziness
vertigo
Possible seizures and fatalities if the seeds are eaten
7. Kava-kava is absolutely contraindicated in patients with
Ans>> hepatotoxicity
8. What is meant by abortive therapy?
Ans>> The objective is to eliminate headache pain and suppress associated nause
and vomiting.
9. Abortive therapy is used
Ans>> At earliest sign of attack, only 1-2 days per week. More frequent use can
lead to medication overuse headache (MOH)
3/
9
of the Family
Expected Questions and Verified Answers
1. 36 yo male who has HIV presents to the office wanting to discuss startin
dietary supplements. The NP knows which of the following is
contraindicat- ed?
Ans>> Echinacea-prolonged use should be avoided in those that are
immunocom- promised. Also compromise drug therapy of TB and cancer. Avoid in
RA and SLE. By stimulating the immune system, echinacea can oppose the
effects of immuno- suppressant drugs.
2. When asking a new patient about OTC or herbal medications they
take daily the patient states "I just take coenzyme Q-10".The NP
knows this is commonly taken to help with
Ans>> energy boost-it is an antioxidant that serves a vital role in cellular energy
production.
1/
9
,Leading to interest of conditions with aging and cellular energy production.
Structurally similar to vitamin K and should not be used in conjunction with
warfarin.
3. What is the Dietary Supplement Act of 1994 (DSHEA)
Ans>> DSHEA categorizes botanical products (herbal supplements), vitamins, and
minerals as dietary (food) supplements rather than as drugs. As supplements,
DSHEA exempts from under- going FDA scrutiny and approval before marketing.
DSHEA does impose restrictions in labeling. All herbal products must be labeled as
dietary supplements.
4. Three weeks ago, a patient who was placed on donepezil 5 mg daily
presents to the office today to discuss recent lab work. At the end of the
visit she states, " I don't think that medication you put me on for my
dementia is working." What would be the best response?
Ans>> The dose can be increased after a patient has been on it for 1-3 months,
to minimize side effects.
5. Primary, secondary, and early latent syphilis treatment
Ans>> Benzathine penicillin G
2.4 million units IM
Once
2/
9
, 6. The following adverse effects can occur when taking Ginkgo Biloba?
Ans>> Stom- ach
upset headache
dizziness
vertigo
Possible seizures and fatalities if the seeds are eaten
7. Kava-kava is absolutely contraindicated in patients with
Ans>> hepatotoxicity
8. What is meant by abortive therapy?
Ans>> The objective is to eliminate headache pain and suppress associated nause
and vomiting.
9. Abortive therapy is used
Ans>> At earliest sign of attack, only 1-2 days per week. More frequent use can
lead to medication overuse headache (MOH)
3/
9
