NGR5172 ADVANCED PHARMACOLOGY
EXAM 2026/2027 WITH ACTUAL CORRECT
QUESTIONS AND VERIFIED DETAILED
ANSWERS |CURRENTLY TESTING
QUESTIONS AND SOLUTIONS|ALREADY
GRADED A+|NEWEST|JUST
RELEASED!!|GUARANTEED PASS
While deciding among the classes of antidepressants, the NP knows that the serotonin
norepinephrine reuptake inhibitors (SNRIs) are primarily indicated for those patients:
Unresponsive to SSRIs.
Anticholinergic action due to SSRI use is caused indirectly through:
Dopamine upregulation.
A likely cause of depression is due to diminished activity of:
Both norepinephrine and serotonin.
The first choice of drug class for managing chronic anxiety is:
SSRI.
Most pharmacologic agents act to increase levels of endogenous dopamine or stimulate
dopamine receptors. As a result, which of the following adverse effects may be anticipated with
most classes?
Orthostatic hypotension and palpitations
A variety of drugs are available to manage Parkinson's disease. Which of the following should
only be given to patients who are also taking levodopa?
1|Page
,MAO-B inhibitors
Which neurotransmitter is the primary inhibitory neurotransmitter in the central nervous
system?
GABA
Which of the anti-Parkinsonian agents requires hepatic enzyme monitoring for the first year?
COMT inhibitors
The anti-epileptic drugs (AEDs) can produce a variety of adverse effects. Which of the following
is a particular concern with carbamazepine (Tegretol)?
HLA-B*1502 sensitivity
Many pharmacologic agents used to manage chronic seizure disorders are classified as:
GABA agonists.
A patient presents to your office complaining of fatigue and nausea. She has a seizure disorder
manage4d with phenytoin (Dilantin) 200 mg BID. While evaluating her fatigue, you appreciate
that she is bradycardic and obtain a phenytoin level. The level is 40 mcg/ml. The half-life of
phenytoin is averaged at 22 hours. As the NP, you know that:
At high levels, phenytoin saturates its route of elimination.
When managing patients who are taking ________ for seizure disorder, the nurse practitioner
must be aware that it is capable of autoinduction.
Carbamazepine (Tegretol)
Quetiapine fumurate (Seroquel), cimetidine (Tagamet), and SSRIs may all be used to manage:
Hypersexuality.
The proton pump is best described as:
An active transport pump is contained within the parietal cells.
2|Page
, CTZ suppressors used to manage nausea and vomiting work by blocking:
Postsynaptic dopamine receptors.
In considering the use of probiotics for the management of diarrhea, the NP realizes all of the
following are accurate except:
Are most effective when used concomitantly with an oral antimicrobial.
Which of the following is not one of the four phases of gastric acid secretion?
Bile phase
Which of the following drugs used to manage vomiting may cause extrapyramidal effects?
Metoclopramide.
Motility inhibitors used for the treatment of diarrhea include all of the following except:
Calcium polycarbophil.
CTZ suppressors include all of the following except:
Metoclopramide.
Acid output during the basal phase of digestion is controlled by background levels of histamine
and:
Acetylcholine.
Which of the following cell types is responsible for H+ secretion?
Parietal cells
The motor phases of swallowing are characterized by the unique features of the muscles of
different GI organs. Lower esophageal relaxation occurs during which phase of swallowing?
Esophageal
Which of the following antibiotics is not approved for the eradication of H. pylori?
3|Page
EXAM 2026/2027 WITH ACTUAL CORRECT
QUESTIONS AND VERIFIED DETAILED
ANSWERS |CURRENTLY TESTING
QUESTIONS AND SOLUTIONS|ALREADY
GRADED A+|NEWEST|JUST
RELEASED!!|GUARANTEED PASS
While deciding among the classes of antidepressants, the NP knows that the serotonin
norepinephrine reuptake inhibitors (SNRIs) are primarily indicated for those patients:
Unresponsive to SSRIs.
Anticholinergic action due to SSRI use is caused indirectly through:
Dopamine upregulation.
A likely cause of depression is due to diminished activity of:
Both norepinephrine and serotonin.
The first choice of drug class for managing chronic anxiety is:
SSRI.
Most pharmacologic agents act to increase levels of endogenous dopamine or stimulate
dopamine receptors. As a result, which of the following adverse effects may be anticipated with
most classes?
Orthostatic hypotension and palpitations
A variety of drugs are available to manage Parkinson's disease. Which of the following should
only be given to patients who are also taking levodopa?
1|Page
,MAO-B inhibitors
Which neurotransmitter is the primary inhibitory neurotransmitter in the central nervous
system?
GABA
Which of the anti-Parkinsonian agents requires hepatic enzyme monitoring for the first year?
COMT inhibitors
The anti-epileptic drugs (AEDs) can produce a variety of adverse effects. Which of the following
is a particular concern with carbamazepine (Tegretol)?
HLA-B*1502 sensitivity
Many pharmacologic agents used to manage chronic seizure disorders are classified as:
GABA agonists.
A patient presents to your office complaining of fatigue and nausea. She has a seizure disorder
manage4d with phenytoin (Dilantin) 200 mg BID. While evaluating her fatigue, you appreciate
that she is bradycardic and obtain a phenytoin level. The level is 40 mcg/ml. The half-life of
phenytoin is averaged at 22 hours. As the NP, you know that:
At high levels, phenytoin saturates its route of elimination.
When managing patients who are taking ________ for seizure disorder, the nurse practitioner
must be aware that it is capable of autoinduction.
Carbamazepine (Tegretol)
Quetiapine fumurate (Seroquel), cimetidine (Tagamet), and SSRIs may all be used to manage:
Hypersexuality.
The proton pump is best described as:
An active transport pump is contained within the parietal cells.
2|Page
, CTZ suppressors used to manage nausea and vomiting work by blocking:
Postsynaptic dopamine receptors.
In considering the use of probiotics for the management of diarrhea, the NP realizes all of the
following are accurate except:
Are most effective when used concomitantly with an oral antimicrobial.
Which of the following is not one of the four phases of gastric acid secretion?
Bile phase
Which of the following drugs used to manage vomiting may cause extrapyramidal effects?
Metoclopramide.
Motility inhibitors used for the treatment of diarrhea include all of the following except:
Calcium polycarbophil.
CTZ suppressors include all of the following except:
Metoclopramide.
Acid output during the basal phase of digestion is controlled by background levels of histamine
and:
Acetylcholine.
Which of the following cell types is responsible for H+ secretion?
Parietal cells
The motor phases of swallowing are characterized by the unique features of the muscles of
different GI organs. Lower esophageal relaxation occurs during which phase of swallowing?
Esophageal
Which of the following antibiotics is not approved for the eradication of H. pylori?
3|Page
