{"id":117327,"date":"2023-08-28T13:18:49","date_gmt":"2023-08-28T13:18:49","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=117327"},"modified":"2023-08-28T13:18:52","modified_gmt":"2023-08-28T13:18:52","slug":"nsg-533-advanced-pharmacology-2023-exam-questions-and-answers","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2023\/08\/28\/nsg-533-advanced-pharmacology-2023-exam-questions-and-answers\/","title":{"rendered":"NSG 533 Advanced Pharmacology 2023 Exam Questions and Answers"},"content":{"rendered":"\n<p>A patient with type 1 diabetes reports taking propranolol for hypertension. What<br>concern does this information present for the provider?<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Correct Answer &#8211; A patient with Type 1 DM is insulin dependent for glucose<br>control and at high risk for hypoglycemic episodes. Propranolol causes prolonged<br>hypoglycemic episodes. Needs to switch to ACE or ARB.<br>A provider teaches a patient who has been diagnosed with hypothyroidism about<br>a new prescription for levothyroxine. Which statement by the patient indicates a<br>need for further teaching?<br>a. &#8220;I should not take heartburn medication without consulting my provider first.&#8221;<br>b. &#8220;I should report insomnia, tremors, and an increased heart rate to my provider.&#8221;<br>c. &#8220;If I take a multivitamin with iron, I should take it 4 hours after the<br>levothyroxine.&#8221;<br>d. &#8220;If I take calcium supplements, I may need to decrease my dose of<br>levothyroxine.&#8221;<br><\/li>\n\n\n\n<li>Correct Answer &#8211; D. Calcium may reduce levothyroxine absorption. Further<br>education is needed if the patient feels she can take half of a prescribed<br>medication.<br>MC has undiagnosed multiple gastric ulcers. Shortly after consuming a large meal<br>and alcohol he experiences significant GI distress. He takes an OTC heartburn<br>remedy. Within a minute or two he develops what he will later describe as<br>&#8220;belching, nausea and a bad bloated feeling&#8221;. Several of the ulcers began to bleed<br>and he becomes profoundly hypotensive from the blood loss and is taken to the<br>ED. Endoscopy confirms multiple bleeds; the endoscopist remarks that it appears<br>as if the lesions had been literally stretched apart causing additional tissue<br>damage. What did the patient most likely take (i.e. what was the OTC remedy)?<\/li>\n\n\n\n<li>Correct Answer &#8211; I would accept Alka-Selzer. I contains NaHCO3 (as well as ASA).<br>In the presence of HCL it Liberates CO2, that can cause gastric distention, belching<br>and nausea. The reaction is fairly swift allowing little time for dissipation. Tums, its<br>primary ingredient calcium carbonate which when taken cause a reaction with the<br>stomach acid such as production of carbon dioxide gas which can cause bloating<br>and the stomach to stretch to tear the ulcers open.<br>On your way to this examination, you experience the vulnerable feeling that an<br>attack of acute diarrhea is imminent! If you stop at a drug store, which anti\u0002diarrheal drugs could you buy without a prescription even though it is chemically<br>related to the strong opioid analgesic meperidine (but acts only on the peripheral<br>opioid receptor)?<br><\/li>\n\n\n\n<li>Correct Answer &#8211; Loperamide<br>JA has multiple medical problems and is taking several drugs including<br>theophylline, warfarin and phenytoin. His conditions were well controlled, but<br>recently he started to experience some GI distress for which of his &#8220;well<br>intentioned friends&#8221; gave him some medication. He presents to you with toxic<br>effects of all his other medications and plasma levels of those medications<br>elevated. What was most likely the medication he took?<\/li>\n\n\n\n<li>Correct Answer &#8211; Cimetidine<br>What lifestyle modifications should be recommended?<\/li>\n\n\n\n<li>Correct Answer &#8211; -losing weight if overweight<br>-elevating head of bed while asleep<br>-eating smaller meals<br>-avoid foods\/meds that exacerbate gerd<br>-stop smoking<br>-stop drinking alcohol<br>What medications \/ foods can contribute to GERD?<\/li>\n\n\n\n<li>Correct Answer &#8211; -Medications: anticholinergics, barbituates, dopamine,<br>estrogen, opioids, progesterone, theophylline, nitrates<br><br>-Foods: cirus fruits\/juices, coffee, tomatoes, spicy food, carbonated drinks<br>Fried\/fatty foods, garlic, onions, chocolate<br>What is the most effective PPI or H2RA within each of these classes?<\/li>\n\n\n\n<li>Correct Answer &#8211; -PPI- bismuth quadruple therapy combined with proton pump<br>inhibitors<br>-H2RA- Famotidine 80mg<br>Other products such as antacids are also available. What are some of these and<br>what is their place in therapy?<\/li>\n\n\n\n<li>Correct Answer &#8211; -Reflux symptoms &lt;2 times a week (infrequent)<br>-Effective for immediate relief<br>-Magnesium\/Aluminum Hydroxide (Maalox)- can cause constipation<br>-Alginic Acid<br>Why would antibiotics be used for PUD caused by H Pylori? What is a typical<br>regimen and duration of therapy? What patient specific factors should be<br>considered and how should treatment be monitored?<\/li>\n\n\n\n<li>Correct Answer &#8211; Considerations before regimen choice:<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>A patient with type 1 diabetes reports taking propranolol for hypertension. Whatconcern does this information present for the provider?<\/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":[25],"tags":[],"class_list":["post-117327","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/117327","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=117327"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/117327\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=117327"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=117327"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=117327"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}