Midterm Exam: NR566/ NR 566 (Latest 2024/ 2025 Update) Advanced Pharmacology for Care of the Family Exam Review| Questions and Verified Answers| 100% Correct |Grade A – Chamberlain
Midterm Exam: NR566/ NR 566 (Latest
2024/ 2025 Update) Advanced Pharmacology
for Care of the Family Exam Review|
Questions and Verified Answers| 100%
Correct |Grade A – Chamberlain
Q: What BMI range classifies a patient as overweight?
Answer:
25-29.9
Q: What is the DEA schedule for Phentermine, Diethylpropion, Lorcaserin?
Answer:
Schedule 4
Q: Some potential drug interactions with Lorcaserin include all of the following
Answer:
EXCEPT black cohash and tetracyclines.
The rest are potential drug reactions: bupropiom, dextromethorphan, MAOIs,SSRIs, Triptans &
St. John’s wort
Q: What is baseline data a is needed for Lorcaserin?
Answer:
Baseline assessment for valvular disorders
and pulmonary hypertension.
Q: What is the ongoing assessment needed for Lorcaserin?
Answer:
Monitor for cognitive changes,
CBC wit diff
s/s of blood dyscrasias.
Q: What monitoring is needed for Phentermine/Topiramate?
Answer:
BMP,
electrolytes,
serum creatinine,
s/s acidosis
depression.
Q: What are some adverse effects for Orlistat?
Answer:
Oily rectal leakage,
flatulence with discharge,
fecal urgency.
Q: What are some potential drug interactions with Orlistat? .
Answer:
Levothyroxine
Q: What ongoing assessment is needed with Orlistat?
Answer:
Assess for s/s of deficiency in fat soluble vitamins,
s/s of liver damage.
Q: What diet changes should we advise our patients to make that are prescribed Orlistat?
Answer:
Reduce fat intake to prevent GI effects
Q: What is some rate but potential adverse effects for Locaserin?
Answer:
Blood dyscrasias,
pulmonary hypertension,
cognitive impairment,
psych disorders, valve disease.
Q: What is the black box warning for Isotretinoin?
Answer:
Severe structural and cognitive defects in the developing fetus.
Q: The following education should be included for patient education for Isotretinoin .
Answer:
Patient education should INCLUDE:
this med can cause depression and suicidal thoughts, protect skin from sunlight,
avoid vitamin A
alcohol,
take 2 reliable forms of birth control.
Q: What symptoms does Loratadine control?
Powered by https://learnexams.com/search/study?query=
What are some examples of Beta Lactam antibiotics? penicillins cephalosporins
What must we ensure before prescribing Liraglutide? Ability of patient or family to administer
What ongoing assessment is needed for Liraglutide? HgbA1C, triglycerides, s/s cholecystitis, pancreatitis, depression, suicidal ideation.
Patient teaching for Naltrexone includes Can precipitate opioid withdrawal and monitor for signs of liver injury.
What is baseline data and ongoing monitoring is needed for Naltrexone/Bupropion? Blood glucose, liver function,renal function, psych/mental status.
What is important baseline data and ongoing assessment needed for Phentermine? Baseline cardiac assessment (stimulant)
Role of topiramate in the treatment of obesity? Induces a sense of satiety.
What BMI range classifies a patient as obese? 30-39.9
lass 1 includes a BMI 30-34.9
class 2 is 35-39.9
class 3 is anything greater than or equal to 40.
What BMI range classifies a patient as overweight? 25-29.9
What is the DEA schedule for Phentermine, Diethylpropion, Lorcaserin? Schedule 4
Some potential drug interactions with Lorcaserin include all of the following EXCEPT black cohash and tetracyclines. The rest are potential drug reactions: bupropiom, dextromethorphan, MAOIs,SSRIs, Triptans & St. John’s wort
What is baseline data a is needed for Lorcaserin? Baseline assessment for valvular disorders and pulmonary hypertension.
What is the ongoing assessment needed for Lorcaserin? Monitor for cognitive changes, CBC wit diff s/s of blood dyscrasias.
What monitoring is needed for Phentermine/Topiramate? BMP, electrolytes, serum creatinine, s/s acidosis depression.
What are some adverse effects for Orlistat? Oily rectal leakage, flatulence with discharge, fecal urgency.
What are some potential drug interactions with Orlistat? . Levothyroxine
What ongoing assessment is needed with Orlistat? Assess for s/s of deficiency in fat soluble vitamins, s/s of liver damage.
What diet changes should we advise our patients to make that are prescribed Orlistat? Reduce fat intake to prevent GI effects
What is some rate but potential adverse effects for Locaserin? Blood dyscrasias, pulmonary hypertension, cognitive impairment, psych disorders, valve disease.
What is the black box warning for Isotretinoin? Severe structural and cognitive defects in the developing fetus.
The following education should be included for patient education for Isotretinoin . Patient education should INCLUDE: this med can cause depression and suicidal thoughts, protect skin from sunlight, avoid vitamin A alcohol, take 2 reliable forms of birth control.
What symptoms does Loratadine control? Sneezing, rhinorrhea, and nasal itching.
Rebound congestion can be managed by doing all the following EXCEPT there is no concern for rebound congestion with sympathomimetics.
What is the role of bioligics such as Omalizumab in treating allergies? Monoclonal antibody against IgE.
Benzoyl peroxide OR Retinoid OR oral antibiotics is generally used to treat what kind of acne? Mild-Moderate.
Isotretinoin is typically used for what kind of acne? Severe acne (cystic, scarring acne)
What is the first line treatment for eczema or atopic dermatitis? Moisturizers and topical glucorticoids
What are the 2 things that are associated with atopic dermatitis? Asthma and allergies
What is a good medication choice for mild and moderate eczema? Pimecrolimus 1% cream (Elidel)
What is a good medication choice for moderate to severe eczema? Tacromimus (Protopic)
What is the most common side effect of eczema treatments? Burning, itching, stinging at site
What is the serious potential adverse effects of Montelukast? Agitation, hallucinations, depression, insomnia, restlessness, suicidal ideations.
What are some potential adverse effects of Intranasal Glucocorticoids? Drying of the nasal mucosa and a burning or itching sensation.
. What is the MOST effective drugs for prevention and treatment of seasonal and perennial rhinitis? Intranasal glucocorticoids.
What patient education should we provide regarding Intranasal glucocorticoids? Maximal effects may require a week or more to develop.
What are some potential adverse effects of nasal decongestant sympathomimetics? Rebound nasal congestion.
Which sympathomimetics is highly associated with abuse? Pseudoephedrine.
What is some serious potential adverse effects of phenylephrine? Cardiovascular and CNS effects.
What are some of the NRTI drug names? Didanosine (Videx), Emtricitabine (Emtriva) & Iamividine (Epivir)
True/False: antihistamines do NOT relieve nasal congestion? True.
The most common adverse effect of Brimonidine include? Dry mouth, ocular hyperemia, local buring, stinging, headache, blurred vision.
What is the potential adverse effect of Prostaglandins analogs? Brown pigmentation of the eyelids and iris.
What class of medications ends in -prost (Latanprost)? Prostaglandin analogs
Salicylate toxicity (salicylism) may occur with Salicylic Acid use for acne, what are the symptoms? Tinnitus, hyperpnea, and psychologic disturbances.
What are the potential adverse effects of Benzoyl peroxide? Drying and peeling of skin
When should we test for cure after treatment with an anthelmintics? Stool sample after 1-3 weeks for proof of cure.
Patients with what conditions are high risk for complications when prescribed Mebendazole or Albensazole? Liver disease, anemia, bleeding disorders, and infections
A patient with what type of condition is high risk for adverse effects with prescribed pyrantel pamoate? Liver impairement
. Patient prescribed Ivermectin and Moxidectin are high risk for hypotension and falls.
How do we measure the therapeutic effect of HIV therapy? Cd4 T-cell counts and plasma HIV RNA (viral loads) assays
Drugs that decrease gastric acid should be administered at least how many hours apart from other drugs? 2 hourS
. What are some potential adverse effects of Albendazole and Mebendazole? Liver impairment, granulocytopenia, agranulocytosis pancytopenia.
What is a potential adverse effect of Pyrantel pamoate in neonates? “Fatal “”gasping syndrome.”””
What reaction can occur after Ivermectin and Moxide is prescribed? Mazotti reaction- death of the worms causes this reaction.
How does the Mazzoti reaction present? Pruritus, rash, fever, lymph node tenderness and bone/joint pain.
. Which antihelmintic medications is safest during pregnancy? Praziquantel. Preggo=Prazo
What is the first-choice treatment for Glaucoma? Timolol
How should we treat a patient with glaucoma and asthma or COPD? Betaxolol
What is the first-choice treatment for Otitis media? Amoxicillin.
What is the first-choice treatment of bacterial Otitis Externa? Ciprofloxacin/dexamethasone gtt
Which of the following is true regarding broad spectrum antibiotics? Targets wider number of bacterium types, acts of both gram – and gram +.
Is amoxicillin a broad or narrow spectrum antibiotic? Typically, broad spectrum.
Which of the following is NOT true regarding narrow spectrum antibiotics? Used when infecting pathogen is unknown.
Which of the following is a narrow-spectrum antibiotic? Vancomycin.
Which antibiotics are good alternatives for someone with a Penicillin allergy? Vancomycin, Erythomycin and Clindamycin
What should we prescribe for C-diff? Metronidazole (Flagyl) or Vancomycin (Vancocin)
What antibiotic is most likely to cause C-diff? Clindamycin.
How do we treat Tinea Capitis? Oral Griseofulvin 6-8 weeks or oral Terbinafine 2-4 weeks.
How do we typically treat Tinea Pedis? Topical Terbinafine.
How do we treat oral candidiasis? Nyastin.
. What labs are important to draw before prescribing oral antifungals? AST, ALT, Alkaline phosphatase, and Bilirubin.
What is the serious potential adverse effects of NRTIs? Lactic acidosis, severe hepatomegaly with steatosis.
When should we prescribe empiric antibiotics for a UTI? Severe infection pending cultures
. Itraconazole should NOT be used in what patient population due to negative inotropic actions? Heart failure.
What are some good treatment options for Chlamydial pneumonia? Macrolides, respiratory fluroquinolones, tetracyclines.
. When should we consider prescribing a respiratory fluroquinolone for CAP? When the patient recently has antibiotics, or they have co-morbidities.
What is an example of a fluroquinolones? Levaquin.
. What is an example of a Macrolide? Erythromycin.
What are the contraindications for Imipenem? Should not be given if taking Valproate to control seizures.
What are the contraindications for Macrolides? QT prolongation.
We should use caution when prescribing Aminoglycosides to patients with renal or hearing impairment.
Trimethoprim should be avoided with what vitamin deficiency? Folate.
What monitoring is used for Vancomycin? Peak and trough.
Which antibiotic is a Sulfa? Bactrim.
True/False: Cephalosporines require renal dosing? True.
Antibiotic patient education should include all the following EXCEPT: Always take your antibiotic with food.
Which of the following antibiotic can be used in pregnancy? Penicillin.
. Tetracycline should NOT be administered with CA or Iron supplements, milk, magnesium containing laxatives, antacids.
For elderly patients taking warfarin, which antibiotic should be avoided? TMP-SMZ (Bactrim), Macrolides, Ciprofloxacin
What patient education should e provide regarding administration of Sulfa? Drink at least 8 to 10 glasses or other fluids per day.
What is the potential fatal adverse effect of Clindamycin? C-diff diarrhea.
What potential adverse effects are aminoglycosides irreversible ototoxicity.
What is most likely pathogen to cause CAP? Streptococcus pneumoniae
Which of these medications are Aminoglycosides? Gentamicin, Streptomycin.