HESI PHARMACOLOGICAL NEWEST UPDATED EXAM
QUESTIONS WITH CORRECT ANSWERS 2024 ALREADY
GRADED
1. A patient with alzheimer’s disease is taking acetylcholinesterase inhibitor specifically approved for that … and so enters the CNS well.
What drug is this patient most likely receiving? a. ?
b. Levodopa
c. Neostimine
d. Pyridostigimine
e. Tacrine
2. A variety of ophthalmic drugs working by several main mechanisms of action are useful for managing chronic open angle glaucoma.
Which one reduces intraocular pressure by decreasing formation of aqueous humor rather than by changing the size of pupil?
a. Timolol
b. C
c. Isoflourophate
d. Neostigmine
e. Pilocarpine
3. A patient with chronic obstructive pulmonary disease eg. Emphysema, chronic bronchitis, is receiving an orally inhaled muscarinic
receptor blocking drug to maintain bronchodilation. What drug belongs to that class?
a. Albuterol
b. Diphenhydramine
c. Ipratropium (or tiotropium)
d. Pancurnium
e. Pilocarpine
4. A10 year old boy is diagnosed with attention deficit / attention deficit hyperactivity disorder (ADD/ADHD). Which drug is most likely to
prove effective for relieving the boy’s main symptom? a. D
b. Methylphenidate
c. Pancuronium
d. Prazosin
e. Scopolamine
5. The record shows that propofol was given for induction. What would be the most likely adverse response associated with the
administration of the widely used drug?
a. Hypotension and respiratory ventilator depression
b. Laryngospasm
c. Long term memory loss
d. Malignant hyperthermia
e. Seizure
, 6. A physician considers placing a patient on long term (months, years). Phenobarbital for control of a relatively common medical
condition. For most of these indications, newer and arguably more efficacious drugs that participate in fewer drug interactions are
available and preferred. For which one of the following uses, nonetheless, this barbiturate still considered reasonable and appropriate?
a. Alcohol withdrawal signs/symptoms
b. Anxiety management
c. Certain epilepsies
d. Endogenous depression (adjunct to SSRIs)
e. Sleep disorder such as insomnia
7. A patient with Parkison’s disease has signs and symptoms that can be considered ‘moderate’ now, but they are worsening and not
responding well to current drug therapy. The physician decides to empirically assess and antiparkison drug that is a selective inhibitor
of monoamine oxidase type B (MAOB) . Which of the following drugs would that be?
a. Bromocriptine
b. Carbidopa
c. Phenolazine
d. Selegiline
e. Tranylcypromine
8. Meperidine is similar to morphine in many ways but has same ?? differences that are clinically relevant with very high blood levels or
with true overdose, meperidine can cause significant adverse responses that simple aren’t seen with morphine or must either opiod
analgesics. What is the rather unique effect of meperidine?
a. Constipation leading to paralytic ileus
b. Heightened response to pain (paradoxical hyperalgesia)
c. Intense biliary tract spasm
d. Psychotic like state, possible seizures
e. Respiratory depression, apnea, ventilator arrest
10.Package inserts for a drug caution, against administering a concurrent with any other drug that can raise or lower sodium concentration
change. This of course requires or cautious use or avoidance (if possible) of the common diuretics. To which drug does this caution or
warning apply?
a. Cholestyramine
b. Lithium
c. Nifedipine
d. Phenylephrine
e. Statin type cholesterol lowering agents
11.A 42 year old woman with a long history of anxiety that has been treated with diazepam decides to triple her daily dose because of
increasing fearfulness about global warming. Two days after her attempt of self prescribing she was found extremely lethargic and
nonresponsive with markedly obtunded reflexes and reaction to painful stimuli. Respirations are and shallow. What drug would you
give to manage these drug induced signs and symptoms?
f. Dextromethorphan
g. Flumazenil
h. Naltrexone
i. Physotigmine
j. Pralidoxime
QUESTIONS WITH CORRECT ANSWERS 2024 ALREADY
GRADED
1. A patient with alzheimer’s disease is taking acetylcholinesterase inhibitor specifically approved for that … and so enters the CNS well.
What drug is this patient most likely receiving? a. ?
b. Levodopa
c. Neostimine
d. Pyridostigimine
e. Tacrine
2. A variety of ophthalmic drugs working by several main mechanisms of action are useful for managing chronic open angle glaucoma.
Which one reduces intraocular pressure by decreasing formation of aqueous humor rather than by changing the size of pupil?
a. Timolol
b. C
c. Isoflourophate
d. Neostigmine
e. Pilocarpine
3. A patient with chronic obstructive pulmonary disease eg. Emphysema, chronic bronchitis, is receiving an orally inhaled muscarinic
receptor blocking drug to maintain bronchodilation. What drug belongs to that class?
a. Albuterol
b. Diphenhydramine
c. Ipratropium (or tiotropium)
d. Pancurnium
e. Pilocarpine
4. A10 year old boy is diagnosed with attention deficit / attention deficit hyperactivity disorder (ADD/ADHD). Which drug is most likely to
prove effective for relieving the boy’s main symptom? a. D
b. Methylphenidate
c. Pancuronium
d. Prazosin
e. Scopolamine
5. The record shows that propofol was given for induction. What would be the most likely adverse response associated with the
administration of the widely used drug?
a. Hypotension and respiratory ventilator depression
b. Laryngospasm
c. Long term memory loss
d. Malignant hyperthermia
e. Seizure
, 6. A physician considers placing a patient on long term (months, years). Phenobarbital for control of a relatively common medical
condition. For most of these indications, newer and arguably more efficacious drugs that participate in fewer drug interactions are
available and preferred. For which one of the following uses, nonetheless, this barbiturate still considered reasonable and appropriate?
a. Alcohol withdrawal signs/symptoms
b. Anxiety management
c. Certain epilepsies
d. Endogenous depression (adjunct to SSRIs)
e. Sleep disorder such as insomnia
7. A patient with Parkison’s disease has signs and symptoms that can be considered ‘moderate’ now, but they are worsening and not
responding well to current drug therapy. The physician decides to empirically assess and antiparkison drug that is a selective inhibitor
of monoamine oxidase type B (MAOB) . Which of the following drugs would that be?
a. Bromocriptine
b. Carbidopa
c. Phenolazine
d. Selegiline
e. Tranylcypromine
8. Meperidine is similar to morphine in many ways but has same ?? differences that are clinically relevant with very high blood levels or
with true overdose, meperidine can cause significant adverse responses that simple aren’t seen with morphine or must either opiod
analgesics. What is the rather unique effect of meperidine?
a. Constipation leading to paralytic ileus
b. Heightened response to pain (paradoxical hyperalgesia)
c. Intense biliary tract spasm
d. Psychotic like state, possible seizures
e. Respiratory depression, apnea, ventilator arrest
10.Package inserts for a drug caution, against administering a concurrent with any other drug that can raise or lower sodium concentration
change. This of course requires or cautious use or avoidance (if possible) of the common diuretics. To which drug does this caution or
warning apply?
a. Cholestyramine
b. Lithium
c. Nifedipine
d. Phenylephrine
e. Statin type cholesterol lowering agents
11.A 42 year old woman with a long history of anxiety that has been treated with diazepam decides to triple her daily dose because of
increasing fearfulness about global warming. Two days after her attempt of self prescribing she was found extremely lethargic and
nonresponsive with markedly obtunded reflexes and reaction to painful stimuli. Respirations are and shallow. What drug would you
give to manage these drug induced signs and symptoms?
f. Dextromethorphan
g. Flumazenil
h. Naltrexone
i. Physotigmine
j. Pralidoxime
