REGIS NU641 CLINICAL ADV PHARMACOLOGY
FINAL EXAM: COVERING WEEKS 9 – 15 QUESTIONS
WITH 100% CORRECT ANSWERS 2023
Clonodine – Correct Answer Has several off-label uses including: alcohol and nicotine
withdrawal and post therpautic neuralgia
Guanfacine – Correct Answer hypertension drug that has also been approved to use for
ADHD
Ramelteon (Rozerem) – Correct Answer Insomnia med that does not have inverse risk
for patients engaging in activities while somnolent with no memory of having taking pill
Common mistakes practitioners make in treating anxiety disorders – Correct Answer
General diagnosis and following up to see if treatment goals are being met
Xanax – Correct Answer The benzodiazepine with the greatest likelihood of causing
dependency s/t it has a short half-life
Although a patient sees a neurologist for the management of her partial seizures, why is
it important to know her medication regimen? – Correct Answer There are many drugdrug interactions with anticonvulsants
Routine education for patient being treated with levetiracetam (Keppra) for seizures –
Correct Answer To not abruptly discontinue Keppra due to risk for withdrawal seizures
What advice you would give a woman who has been on Depakote for seizure and wants
to get pregnant – Correct Answer Valproate is a known teratogen but may be taken after
the first trimester if necessary
Prior to starting antidepressants, the patient should have lab testing to rule out – Correct
Answer hypothyroidism
Cholinergic blockers are used to: – Correct Answer Counteract the ERS effects of
phenothiazines
Control tremors and relax smooth muscles in Parkinson’s Disease
Inhibit the muscarinic action of Ach on bladder muscle
Memantine – Correct Answer A drug used to treat Alzheimer’s disease but is not an
anticholinergic
Verapamil – Correct Answer Preventative therapy for cluster headache
Minocycline (PO) – Correct Answer
When prescribing for migraines, patient education includes: – Correct Answer Stress
reduction and regular sleep are integral to migraine treatment
Acetaminophen – Correct Answer Migraines in pregnancy may be safely treated with
this
When are migraines considered cured? – Correct Answer There is no known cure
Nonpharmacologic Therapy for tension headache includes: – Correct Answer
biofeedback, stress management, massage therapy
Fluoxetine – Correct Answer First-line antidepressant for children with major depression
between 8 to 17 years old
SSRIs – Correct Answer Contains a black-box warning of suicidal ideation in pediatric
and adolescent groups
Stimulants (methylphenidate or amphetamine salts) – Correct Answer Are the most
effective therapy and are generally first line of treatment of ADHD in children unless
contraindications exist
Hypercalcemia – Correct Answer Pt treated with more than 100 grams per week of
topical calcipotriene for psoriasis need to be monitored for
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? – Correct Answer
Reassure her that the worsening of acne is normal and it should improve with continued
use
Treatment for Tinea capitis – Correct Answer Oral griseofulvin or Biweekly shampoo
with selenium sulfide or ketoconazole for 6 to 8 weeks
Treatment for Tinea corporis and tinea pedis – Correct Answer Topical antifungals like
miconazole applied twice daily for 4 weeks
Treatment of Onychomycosis – Correct Answer Oral griseofulvin, ketoconazole,
itraconazole, or terbinafine for several months; topical product is ciclopirox 8% (Penlac)
Common treatments and counseling points for scabies – Correct Answer Common
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 drycleaning, or by sealing in a plastic bag for at least 72 hours.