NR 566 FINAL EXAM (2 LATEST VERSIONS 2023-2024) / NR566 FINAL EXAM 200+ QUESTIONS & ANSWERS / ADVANCED PHARMACOLOGY FOR CARE OF FAMILY|AGRADE

NR 566 FINAL EXAM (2 LATEST VERSIONS 2023-2024) / NR566
FINAL EXAM 200+ QUESTIONS & ANSWERS / ADVANCED
PHARMACOLOGY FOR CARE OF FAMILY|AGRADE

  1. When is it safe to use progestin for hormone replacement therapy?
    Management of dysfunctional uterine bleeding, amenorrhea & endometriosis
  2. What are some potential drug interactions with lithium?
    Diuretics, NSAIDs, Anticholinergics
  3. What is the black box warning for tricyclic antidepressants and all other
    antidepressants?
    Risk for suicide
  4. What is the normal lithium range?
    0.4 to 1 mEq/L.
  5. What is the role of androgens in treating anemia?
    Synthesis of erythropoietin
  6. Which of these drugs are known to elevate phenytoin levels?
    Diazepam, isoniazid, cimetidine, carbamazepine, phenobarbital, alcohol
  7. What is the preferred administration route of alprostadil?
    Injection into the penis or by insertion into the urethra
  8. What are some potential adverse effects of finasteride?
    Decreases ejaculate volume and libido and gynecomastia
  9. What are some potential adverse effects of nonselective a1 blockers?
    Hypotension, fainting, dizziness, somnolence, and nasal congestion
  10. What are some potential adverse effects of phosphodiesterase-5 inhibitors?
    Hypotension and priapism
  11. What are typically the best antibiotics for chlamydia in adults?
    Azithromycin or doxycycline
  12. What are typically the best antibiotics for gonorrhea in adults?
    Ceftriaxone intramuscular plus azithromycin oral
  13. What should we prescribe for BV and/or trichomoniasis?
    Metronidazole PO or Clindamycin Cream
  14. What is our first-choice drug for syphilis?
    Penicillin G
  15. What are some good treatment options for herpes simplex virus?

Acyclovir, famciclovir, and valacyclovir

  1. What patient education should we provide regarding SSRIs?
    Don’t abrupt discontinuation, can result in withdrawal syndrome
  2. Why choose local estrogen over systemic?
    Treatment of vulval and vaginal atrophy associated with menopause
  3. MAO inhibitors are appropriate for a patient…
    Able to strictly adhere to avoiding tyramine containing foods
  4. What is the names of some 5 alpha-reductase inhibitors?
    Dutasteride(Avodart), Finasteride (proscar)
  5. What are the names of some alpha 1 blockers?
    Silodosin, Tamsulosin
  6. What are the names of some phosphodiesterase 5 inhibitors?
    Sildenafil (Viagra), Tadalafil (Cialis)
  7. What is the most common adverse effects of medications for BPH?
    Sexual dysfunction and hypotension
  8. With prescription BPH meds, prostate shrinkage occurs slowly over how many
    months?
    6-12 months
  9. Which medications are used to treat panic disorder?
    Some SSRIs, SNRIs, tricyclic antidepressants (TCAs), and MAOIs
  10. What medication can be used on a routine basis for social anxiety disorder?
    SSRI, paroxetine (Paxil) and sertraline (Zoloft)
  11. What medication can be used on an as-needed basis for performance anxiety?
    Propranolol
  12. Potential adverse effects of 1st generation antipsychotics include all of the
    following except?
    Weight gain, diabetes, and dyslipidemia
  13. Which medication decreases sleep latency and prolongs sleep duration?
    Trazodone
  14. Which medications help patients fall asleep?

Lunesta, Zaleplon

  1. Which medication is best for people who have difficulty falling asleep?
    Zolpidem
  2. What are the names of benzodiazepine like drug?
    Eszopiclone (Lunesta) and Zaleplon (Sonata)
  3. What is the name of melatonin receptor agonist?
    Ramelteon
  4. What is the common way to initiate oral contraceptives?
    Start on first day of the menstrual cycle or the first Sunday after
  5. What teaching should be provided regarding OC?
    If >1 pill missed in the first week, take one pill ASAP, use back-up 7 days
  6. What is NOT a contraindication for OC?
    Ovarian cancer
  7. What is the first choice medication for Parkinson’s?
    Carbidopa/Levodopa
  8. What medication is used to treat “off” times including “wearing off” experiences in
    parkinsons?
    Dopamine agonists, COMT inhibitors, and MAO-B inhibitors
  9. Pramipexole adverse reactions may include all of the following EXCEPT?
    Diarrhea, flatulence, headache, myalgias
  10. What medication interaction may occur with phenytoin and oral contraceptive use?
    Decrease effectiveness OC
  11. What are some non-psychiatric drugs that can be used to treat Manic Depressive
    Disorder (Bipolar)?
    Anti-epileptic
  12. What are some potential drug interactions with lithium?
    Diuretics, NSAIDS, Anticholinergics
  13. When should lithium levels be drawn?
    Every 2–3 days during initial therapy and every 3–6 months for maintenance
  14. What is potential risk of taking kava?

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