{"id":111474,"date":"2023-08-04T10:46:40","date_gmt":"2023-08-04T10:46:40","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=111474"},"modified":"2023-08-04T10:46:45","modified_gmt":"2023-08-04T10:46:45","slug":"midterm-exam-nr-565-nr565-advanced-pharmacology-exam-review-weeks-1-4-covered-questions-and-verified-answers-2023-2024","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2023\/08\/04\/midterm-exam-nr-565-nr565-advanced-pharmacology-exam-review-weeks-1-4-covered-questions-and-verified-answers-2023-2024\/","title":{"rendered":"Midterm Exam: NR 565 \/ NR565 Advanced Pharmacology Exam Review | Weeks 1-4 Covered| Questions and Verified Answers (2023\/ 2024)"},"content":{"rendered":"\n<p>Midterm Exam: NR 565 \/ NR565 Advanced<br>Pharmacology Exam Review | Weeks 1-4<br>Covered| Questions and Verified Answers<br>(2023\/ 2024)<br>Q: An 82-year-old male visits the clinic complaining that his pain meds &#8220;Take forever&#8221; to work<br>after he takes his pill. What are possible reasons you can explain to him?<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>Perhaps we need to increase your dose.<\/li>\n\n\n\n<li>Sometimes as you get older, absorption may be slower resulting in a delayed response.<\/li>\n\n\n\n<li>As we get older the gastric acid decreases making it harder to break up the med, causing a<br>slower absorption.<br>Answer:<br>-Sometimes as you get older, absorption may be slower resulting in a delayed response.<\/li>\n<\/ol>\n\n\n\n<ul class=\"wp-block-list\">\n<li>As we get older the gastric acid decreases making it harder to break up the med, causing a<br>slower absorption.<br>Q: Distribution of medication can be affected in the elderly in what ways?<\/li>\n<\/ul>\n\n\n\n<ol class=\"wp-block-list\">\n<li>Decrease hormones<\/li>\n\n\n\n<li>Increased body fat<\/li>\n\n\n\n<li>Decreased lean mass<\/li>\n\n\n\n<li>Decreased Albumen<br>Answer:<\/li>\n\n\n\n<li>Increased body fat<\/li>\n\n\n\n<li>Decreased lean mass<\/li>\n\n\n\n<li>Decreased Albumen (less protein binding sites available- mostly seen in malnour- ished)<br>Q: When prescribing medications, we must understand that liver function declines with age due<br>to what cause?<\/li>\n\n\n\n<li>enlarged liver<\/li>\n\n\n\n<li>decreased blood flow to liver<\/li>\n\n\n\n<li>increased activity of the hepatic enzymes<\/li>\n<\/ol>\n\n\n\n<p>Answer:<\/p>\n\n\n\n<ol class=\"wp-block-list\" start=\"2\">\n<li>decreased blood flow to liver<br>(Liver usually shrinks, enzyme activity usually decreases)<br>Q: What is the most important cause of adverse drug reactions?<\/li>\n\n\n\n<li>High drug dosages<\/li>\n\n\n\n<li>Lack of monitoring of meds<\/li>\n\n\n\n<li>Decreased renal excretion<\/li>\n\n\n\n<li>Overprescribing\/Polypharmacy<br>Answer:<br>Q: Overprescribing\/Polypharmacy<br>Q: How does poor metabolism affect a high or low therapeutic index?<br>Answer:<br>results in low efficacy or toxicity<br>Q: Plavix<br>If Plavix is not converted to its active form what adverse effects can occur?<br>Answer:<br>&#8211;<br>Clot formation leading to stroke<br>Q: Black Box (BB) warning for opioids?<br>Answer:<br>Resp depression<\/li>\n<\/ol>\n\n\n\n<p>Q: Black Box (BB) warning for Fentanyl?<br>Answer:<br>Fatal resp depression (fent is 100x stronger than morphine)<br>Q: Black Box (BB) warning for Methadone?<br>Answer:<br>Prolonged QT- typically has an<br>EKG ordered with it<br>Q: Black Box (BB) warning for Codeine?<br>Answer:<br>10% of the drug can be converted to morphine by the liver- concerns for breastfeeding mothers.<br>Q: Black Box (BB) warning for Hydromorphone and Oxymorphone?<br>Answer:<br>Resp depression<br>-High abuse potential<br>Q: Black Box (BB) warning for Oxycodone?<br>Answer:<br>Resp depression<br>-High abuse potential<br>Q: What are the therapeutic uses for morphine?<br>Answer:<br>Pain control for palliative, cancer, labor, post-op patients.<\/p>\n\n\n\n<p>Q: What are the therapeutic uses for Fentanyl?<br>Answer:<br>Anesthesia and breakthrough, sometimes used for opioid tolerant patients.<br>Q: When should a patient be referred to a pain specialist?<br>Answer:<br>Chronic pain patients who reach an MME of 120 or greater<br>Q: What is MME and when to use it?<br>Answer:<br>Morphine Milligram Equivalents<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>It is a way to calculate how much pain meds someone is getting based on the type of med they<br>are getting, helps safely prescribe.<br>-Typically used when there is a dosage change or when trying to establish a dosage.<br>Q: At what MME would you prescribe naloxone?<br>Answer:<br>At 50 MME<br>Q: Risk factors for OUD?<br>Answer:<br>-Family history of abuse<br>-History of depression<br>-History of anxiety<br>-History of S. I.<br>-Poor social history<br><\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>Midterm Exam: NR 565 \/ NR565 AdvancedPharmacology Exam Review | Weeks 1-4Covered| Questions and Verified Answers(2023\/ 2024)Q: An 82-year-old male visits the clinic complaining that his pain meds &#8220;Take forever&#8221; to workafter he takes his pill. What are possible reasons you can explain to him? Answer: Q: Black Box (BB) warning for Fentanyl?Answer:Fatal resp depression [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[],"tags":[],"class_list":["post-111474","post","type-post","status-publish","format-standard","hentry"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/111474","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=111474"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/111474\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=111474"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=111474"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=111474"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}