NUR 635 Advanced Pharmacology Final
Exam And Correct Answers.
What would be the first line med for mild-moderate pain, sprained ankle? - Answer NSAID (Ibuprofen)
A patient being prescribed phenytoin for seizures, what does monitoring include? - Answer Monitor for
phenytoin syndrome, 3-5 weeks after starting therapy
Patient recently started on carbamazepine for seizures, he comes in and his levels are sub-therapeutic? -
Answer Auto-metabolism, need to switch to a new agent.
What does the carbamazepine black box warning refer to? - Answer Stevens Johnsons syndrome and
toxic epidermal necrolysis
Long term monitoring of patients taking carbamazepine includes: - Answer Complete blood counts
every 3-4 months.
Patient prescribed gabapentin for neuropathic pain, pt complains of depression and suicidal thoughts? -
Answer Assess for suicidal ideation
Pt. taking Lamictal for seizures, she requests a prescription for a combined oral contraceptive that reacts
with Lamictal, what would happen? - Answer Reduced lamotrigine levels requiring double the dose of
lamotrigine.
Patients with pheochromocytoma should avoid which class of drugs that could cause HTN crisis? -
Answer Beta 2 agonists.
Methylnaltrexone or relistor is used to treat constipation in patients with: - Answer Opioid induced
constipation
Carbamazepine has a black box warning recommending testing for the HLAB1502 allele with Asian
ancestry prior to starting therapy due to? - Answer Increased risk for Stevens Johnson's syndrome
, Jamie has glucose 6 phosphate dehydrogenase deficiency, which antibiotic class should we avoid in this
patient? - Answer sulfonamides
Pt. diagnosed with cluster headaches, what would the appropriate acute therapy be? - Answer Oxygen
100% for 15-30 minutes
18 y.o. patient diagnosed with frequent migraines, what Is abortive therapy for migraines? - Answer
triptans- (ABORTIVE MEDS FOR MIGRAINES)
What is an appropriate drug for the treatment of migraine headaches in an 18-year-old? - Answer
Propranolol aka inderal
Is the key to prevention of osteoporosis, which is false? - Answer If exercise is incorporated into regular
activity vitamin d and calcium are not needed (vitamin d and calcium supplements are still needed)
Which of the following meds is most appropriate for pt. with neuropathic pain? - Answer Gabapentin
Prophylactic use of bisphosphonates is recommended with patients with early osteopenia due to long
term use of which drugs? - Answer Glucocorticoids
When prescribing drugs with a narrow therapeutic range: - Answer Monitor patients plasma drug levels
at regular intervals.
A patient report that brand x tablets work faster than brand y tablets: - Answer inactive ingredients
used in the composition may cause different rates of dissolution which can alter the onset of action of
the drug.
IV gentamicin, has a toxic drug level, which possible cause of this situation will the provider explore? -
Answer assess whether the patient is taking a medication that binds to serum albumin. (Gentamicin
binds weakly to plasma proteins, so another drug could cause it to not be able to bind.)
When writing out a prescription do you write daily or Qday? - Answer Daily
Exam And Correct Answers.
What would be the first line med for mild-moderate pain, sprained ankle? - Answer NSAID (Ibuprofen)
A patient being prescribed phenytoin for seizures, what does monitoring include? - Answer Monitor for
phenytoin syndrome, 3-5 weeks after starting therapy
Patient recently started on carbamazepine for seizures, he comes in and his levels are sub-therapeutic? -
Answer Auto-metabolism, need to switch to a new agent.
What does the carbamazepine black box warning refer to? - Answer Stevens Johnsons syndrome and
toxic epidermal necrolysis
Long term monitoring of patients taking carbamazepine includes: - Answer Complete blood counts
every 3-4 months.
Patient prescribed gabapentin for neuropathic pain, pt complains of depression and suicidal thoughts? -
Answer Assess for suicidal ideation
Pt. taking Lamictal for seizures, she requests a prescription for a combined oral contraceptive that reacts
with Lamictal, what would happen? - Answer Reduced lamotrigine levels requiring double the dose of
lamotrigine.
Patients with pheochromocytoma should avoid which class of drugs that could cause HTN crisis? -
Answer Beta 2 agonists.
Methylnaltrexone or relistor is used to treat constipation in patients with: - Answer Opioid induced
constipation
Carbamazepine has a black box warning recommending testing for the HLAB1502 allele with Asian
ancestry prior to starting therapy due to? - Answer Increased risk for Stevens Johnson's syndrome
, Jamie has glucose 6 phosphate dehydrogenase deficiency, which antibiotic class should we avoid in this
patient? - Answer sulfonamides
Pt. diagnosed with cluster headaches, what would the appropriate acute therapy be? - Answer Oxygen
100% for 15-30 minutes
18 y.o. patient diagnosed with frequent migraines, what Is abortive therapy for migraines? - Answer
triptans- (ABORTIVE MEDS FOR MIGRAINES)
What is an appropriate drug for the treatment of migraine headaches in an 18-year-old? - Answer
Propranolol aka inderal
Is the key to prevention of osteoporosis, which is false? - Answer If exercise is incorporated into regular
activity vitamin d and calcium are not needed (vitamin d and calcium supplements are still needed)
Which of the following meds is most appropriate for pt. with neuropathic pain? - Answer Gabapentin
Prophylactic use of bisphosphonates is recommended with patients with early osteopenia due to long
term use of which drugs? - Answer Glucocorticoids
When prescribing drugs with a narrow therapeutic range: - Answer Monitor patients plasma drug levels
at regular intervals.
A patient report that brand x tablets work faster than brand y tablets: - Answer inactive ingredients
used in the composition may cause different rates of dissolution which can alter the onset of action of
the drug.
IV gentamicin, has a toxic drug level, which possible cause of this situation will the provider explore? -
Answer assess whether the patient is taking a medication that binds to serum albumin. (Gentamicin
binds weakly to plasma proteins, so another drug could cause it to not be able to bind.)
When writing out a prescription do you write daily or Qday? - Answer Daily
