Final Exam
1) A 40-year old female patient is being followed up for diabetes mellitus. She is currently on
Metformin 1 gram twice a day and has been tolerating it well for about six months. Her hemoglobin
A1c a week ago was 8.9%. The plan is to initiate liraglutide therapy in addition to the metformin.
Which of the following statements is true with regards to liraglutide.
Liraglutide may be stored in the refrigerator or freezer prior to first use.
The brand name is Bydureon
Nausea and/or vomiting are common side effects of therapy
It should be administered intramuscularly into the upper arm.
2) The patient who takes insulin has just been prescribed a beta blocker drug. You recognize that
the interaction of the beta blocker and the insulin may have which result?
Decreased activity of the beta blocker drug
Enhanced activity of the beta blocker drug
Masked signs of hypoglycemia
Masked signs of hyperglycemia
3) The drug of choice for type 2 diabetics is metformin. Metformin:
Increases intestinal uptake of glucose
Decreases glycogenolysis by the liver
Increases the release of insulin from beta cells
Prevents weight gain associated with hyperglycemia
4) Which classification of oral hypoglycemic drugs decreases hepatic glucose production and
increases insulin sensitivity and peripheral glucose uptake?
Sulfonylureas (glyburide)
Meglitinides (glinides)
Biguanide (metformin)
alpha-glycosidase inhibitor (miglitol)
5) A breast-feeding mother is seen in your clinic wanting contraceptive and plans on breast-feeding
for a year. What is an inappropriate choice for this patient?
Depo-Provera 150mg IM every 3 months
Progestin-only OC
Combination OC
Intrauterine device
6) Which of the following is (are) true about oral contraceptives (OCs)?
Estrostep, Ortho Tri-Cyclen, Beyaz, and YAZ are approved for managing acne in women
All the answrs are correct
OCs favorably affect menstrual symptoms: cramps reduction, reduced menstrual flow volume and
duration.
OCs decrease the risk for several disorders, including ovarian cancer, endometrial cancer, ovarian
cysts, pelvic inflammatory disease, benign breast disease.
, 7) A patient is prescribed ehtinyl estradiol and norelgestromin transdermal contraceptive patch.
Which statement, If made by the patient, indicates an understanding of the use of this drug?
“The patch prevents pregnancy by acting as barrier.”
“I will experience minimal side effects because it is a progestin-only device.”
“I will remove the patch each month and replace it with a new patch 1 week later.”
“I will apply the patch in my vaginal area prior to having sexual intercourse.”
8) The NP at the immunization clinic is reviewing the list of patients who are scheduled to receive
the varicella vaccination. The NP will cancel all of the following patients except:
A 21-year old patient who is allergic to neomycin
A 12-year old patient with an allergy to gelatin
An 8-year old patient with asthma
A patient who is pregnant
9) The recommended range for maintaining serum theophylline levels is:
20 to 25 ug/ml
30 to 40 ug/ml
0.05 to 2 ug/ml
10 to 20 ug/ml
10) For his asthma, a patient is prescribed albuterol in the form of an inhalant. The patient tells you
the medication causes shakes and hand tremors. What is the best response?
“I will contact the respiratory therapist about your problem.”
“Tremors are the most common side effect of this inhalant and will usually fade over time.”
“The tremors are probably not related to the medication.”
“ I will contact your provider about your problem.”
11) A patient with COPD is acutely hypercapneic. Which respiratory therapy should you prescribe
to lower the patient’s carbon dioxide concentration?
Salmeterol
Oxygen via a nasal cannula 2L/minute
Fluticasone propionate
Albuterol nebulizer
12) A patient has been diagnosed with reflux esophagitis (GERD). What instruction by the NP is
most appropriate?
Exercise soon after eating to increase gastric emptying
You need to schedule an upper GI endoscopy soon.
Try these proton-pump inhibitors for 2 weeks.
Over-the- counter antiemetics work well for this condition
1) A 40-year old female patient is being followed up for diabetes mellitus. She is currently on
Metformin 1 gram twice a day and has been tolerating it well for about six months. Her hemoglobin
A1c a week ago was 8.9%. The plan is to initiate liraglutide therapy in addition to the metformin.
Which of the following statements is true with regards to liraglutide.
Liraglutide may be stored in the refrigerator or freezer prior to first use.
The brand name is Bydureon
Nausea and/or vomiting are common side effects of therapy
It should be administered intramuscularly into the upper arm.
2) The patient who takes insulin has just been prescribed a beta blocker drug. You recognize that
the interaction of the beta blocker and the insulin may have which result?
Decreased activity of the beta blocker drug
Enhanced activity of the beta blocker drug
Masked signs of hypoglycemia
Masked signs of hyperglycemia
3) The drug of choice for type 2 diabetics is metformin. Metformin:
Increases intestinal uptake of glucose
Decreases glycogenolysis by the liver
Increases the release of insulin from beta cells
Prevents weight gain associated with hyperglycemia
4) Which classification of oral hypoglycemic drugs decreases hepatic glucose production and
increases insulin sensitivity and peripheral glucose uptake?
Sulfonylureas (glyburide)
Meglitinides (glinides)
Biguanide (metformin)
alpha-glycosidase inhibitor (miglitol)
5) A breast-feeding mother is seen in your clinic wanting contraceptive and plans on breast-feeding
for a year. What is an inappropriate choice for this patient?
Depo-Provera 150mg IM every 3 months
Progestin-only OC
Combination OC
Intrauterine device
6) Which of the following is (are) true about oral contraceptives (OCs)?
Estrostep, Ortho Tri-Cyclen, Beyaz, and YAZ are approved for managing acne in women
All the answrs are correct
OCs favorably affect menstrual symptoms: cramps reduction, reduced menstrual flow volume and
duration.
OCs decrease the risk for several disorders, including ovarian cancer, endometrial cancer, ovarian
cysts, pelvic inflammatory disease, benign breast disease.
, 7) A patient is prescribed ehtinyl estradiol and norelgestromin transdermal contraceptive patch.
Which statement, If made by the patient, indicates an understanding of the use of this drug?
“The patch prevents pregnancy by acting as barrier.”
“I will experience minimal side effects because it is a progestin-only device.”
“I will remove the patch each month and replace it with a new patch 1 week later.”
“I will apply the patch in my vaginal area prior to having sexual intercourse.”
8) The NP at the immunization clinic is reviewing the list of patients who are scheduled to receive
the varicella vaccination. The NP will cancel all of the following patients except:
A 21-year old patient who is allergic to neomycin
A 12-year old patient with an allergy to gelatin
An 8-year old patient with asthma
A patient who is pregnant
9) The recommended range for maintaining serum theophylline levels is:
20 to 25 ug/ml
30 to 40 ug/ml
0.05 to 2 ug/ml
10 to 20 ug/ml
10) For his asthma, a patient is prescribed albuterol in the form of an inhalant. The patient tells you
the medication causes shakes and hand tremors. What is the best response?
“I will contact the respiratory therapist about your problem.”
“Tremors are the most common side effect of this inhalant and will usually fade over time.”
“The tremors are probably not related to the medication.”
“ I will contact your provider about your problem.”
11) A patient with COPD is acutely hypercapneic. Which respiratory therapy should you prescribe
to lower the patient’s carbon dioxide concentration?
Salmeterol
Oxygen via a nasal cannula 2L/minute
Fluticasone propionate
Albuterol nebulizer
12) A patient has been diagnosed with reflux esophagitis (GERD). What instruction by the NP is
most appropriate?
Exercise soon after eating to increase gastric emptying
You need to schedule an upper GI endoscopy soon.
Try these proton-pump inhibitors for 2 weeks.
Over-the- counter antiemetics work well for this condition
