REGIS NU 641 CLINICAL ADV PHARMACOLOGY
MIDTERM EXAM 2023-2024 ACTUAL EXAM 100
QUESTIONS AND CORRECT DETYAILED
ANSWERS|ALREADY GRADED A+
Patient education regarding prescribed medications includes –
ANSWER- discussion of expected adverse drug reactions
Patient education when prescribing clopidogrel includes which of the
following statements? – ANSWER- Do not take any herbal products
without first discussing this with the provider
When starting a patient on a statin, what would education include? –
ANSWER- If they stop the medication, their lipid levels will return to
pretreatment levels; medication is a supplement to diet therapy and
exercise; and if they have muscle aches or pain, they should contract
their provider
When treating a patient for hypertension with a non-selective beta
blocker, what other organ may be unintentionally affected? – ANSWERLung
When writing a prescription for warfarin it is common to write this on
the prescription – ANSWER- The brand name of warfarin and “do not
substitute”
Which formulation of nitrate may be most cost effective for the patient
who rarely has the need for dosing? – ANSWER- Sublingual tablets
What disease processes could be made worse by taking a nonselective
beta blocker? – ANSWER- Asthma
What drug is considered as treatment for hypertension in women during
pregnancy? – ANSWER- Oral Methyldopa
Treatment for possible traveler’s diarrhea – ANSWER- bismuth
subsalicylate before each meal and at bedtime
Elderly prescribed lactulose for chronic constipation; Monitoring with
long-tern treatment would include – ANSWER- electrolytes, including
potassium and chloride
An acceptable first-line treatment for peptic ulcer disease with positive
Helicobacter pylori (H. pylori) test is: – ANSWER- PPI bid plus
clarithromycin plus amoxicillin for 14 days
After H. pylori treatment is completed, the next step in peptic ulcer
disease therapy is: – ANSWER- a PPI for 8 to 12 weeks until healing is
complete
A patient with mild GERD is started on the medication first –
ANSWER- Histamine 2 Receptor Antagonists
The next step in treatment when a patient has been on PPIs twice daily
for 12 weeks and not improving is to: – ANSWER- refer the patient for
endoscopy
82-year-old man takes two aspirin every morning to treat the arthritis
pain in his back. Heartburn lately from the aspirin. After ruling out an
acute GI bleed, what would be an appropriate course of treatment for
him? – ANSWER- Add an H2 blocker such as ranitidine to his therapy
or decrease his aspirin does to one tablet daily
Education for AA Women about Osteoporosis – ANSWER- AA women
as a group are at risk of developing osteoporosis due to their lower
calcium intake when young and 75% of them are lactose-intolerant, so
REGIS NU 641 CLINICAL ADV PHARMACOLOGY
FINAL EXAM 2023-2024 ACTUAL EXAM 100
QUESTIONS AND CORRECT DETYAILED
ANSWERS|ALREADY GRADED A+
An adolescent female calls the clinic with concerns that her acne is
worse 2 weeks after starting topical tretinoin. What would be the
appropriate care for her? – ANSWER- Reassure her that the worsening
of acne is normal and it should improve with continued use
Treatment for Tinea capitis – ANSWER- Oral griseofulvin or Biweekly
shampoo with selenium sulfide or ketoconazole for 6 to 8 weeks
Treatment for Tinea corporis and tinea pedis – ANSWER- Topical
antifungals like miconazole applied twice daily for 4 weeks
Treatment of Onychomycosis – ANSWER- Oral griseofulvin,
ketoconazole, itraconazole, or terbinafine for several months; topical
product is ciclopirox 8% (Penlac)
Common treatments and counseling points for scabies – ANSWERCommon therapies: permethrin, ivermectin, crotamiton
For permethrin, apply from the neck down, and leave the medication on
for at least eight to 10 hours. Often, all household members and other
close contacts should be treated.
Bedding, clothing, and towels used by infested persons or their
household, sexual, and close contacts (as defined above) anytime during
the three days before treatment should be decontaminated by washing in
hot water and drying in a hot dryer, by dry-cleaning, or by sealing in a
plastic bag for at least 72 hours.
Reduces Oral contraceptive efficacy – ANSWER- Concomitant use of
hepatic enzyme inducers such as rifampin; barrier methods of
contraception should be used as backup
Long-term use of androgens requires specific laboratory monitoring of: –
ANSWER- Calcium, testosterone, PSA, liver function, glucose, & lipids
existing pregnancy – ANSWER- A contraindication to using the morning
after (Plan B) contraceptive for emergency contraception (EC)
To avoid breakthrough bleeding – ANSWER- When a hormonal
contraceptive and a hormone replacement therapy drug are taken
together, they should be taken at the same time each day
A progestin-only type of contraceptive – ANSWER- Can cause irregular
menstrual bleeding during the first month of use
Effects of estrogen include – ANSWER- regulation of the menstrual
cycle and maintaining normal skin structure and blood vessel integrity.
Medroxyprogesterone injection – ANSWER- may cause an adverse
effect of depression
Older male patients using testosterone replacement therapy (TRT) –
ANSWER- should have a digital prostate screening examination at 3 and
6 months after starting therapy
Diarrhea – ANSWER- Is not a side effect of anticholinergic therapy for
urinary incontinence
antimicrobial efficacy – ANSWER- For an uncomplicated UTI in a
child, reduced symptoms within 48 hours is a good indicator of
A woman who is in her first trimester of pregnancy with a diagnosed
urinary tract infection (UTI) is treated with ANSWER-Amoxicillin –