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Advanced Pharmacology and Prescriptive Practice – NURS 307 Exam 3 (Spring 2025)

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Long term complications of treatment with thyroid replacement medication like levothyroxine include which of the following? 

A Obesity 

B Osteoporosis 

(C) Hypoglycemia 

D Memory Loss 

Question 2 

1.5 Points 

A laboratory result indicates that the peak level for a drug is above the minimum toxic concentration. This means that the: 

A Concentration will produce therapeutic effects 

B Concentration will produce an adverse response 

Time between doses must be shortened 

D Duration of action of the drug is too long 

Long term complications of treatment with thyroid replacement medication like levothyroxine include which of the following? 

A Obesity 

B Osteoporosis 

(C) Hypoglycemia 

D Memory Loss 

Question 2 

1.5 Points 

A laboratory result indicates that the peak level for a drug is above the minimum toxic concentration. This means that the: 

A Concentration will produce therapeutic effects 

B Concentration will produce an adverse response 

Time between doses must be shortened 

D Duration of action of the drug is too long 

Question 77 

Which of the following drug administration routes typically results in the fastest onset of action? 

A) Oral 

B Subcutaneous 

Intramuscular 

Intravenous 

Question 78 

Which of the following medications is used to treat motion sickness? 

A Scopolamine (Transderm Scop) 

B Ondansetron (Zofran) 

Loperamide (Immodium) 

D Ranitidine (Zantac) 

1.5 Points 

1.5 Points 

The benefits to the patient of having an Advanced Practice Registered Nurse (APRN) prescriber include: 

Nurses know more about Pharmacology than other prescribers because they take it both in their basic nursing program and in their APRN program. 

B Nurses care for the patient from a holistic approach and include the patient in decision-making regarding their care. 

APRNs are less likely to prescribe narcotics and other controlled substances. 

APRNs are able to prescribe independently in all states, whereas a physician’s assistant needs to have a physician supervising their practice. 

Question 76 

Drugs used to relax the patient and promote sleep are classified as: 

(A) sedative-hypnotics 

B) antidepressants 

(C) antipsychotics 

(D) neuroleptics 

1.5 Points 

A patient has taken a narcotic analgesic for chronic pain for several months. At a follow-up appointment, the provider notes that the patient has been taking more than the prescribed dosage. The patient has normal vital signs, is awake and alert, and reports mild pain. What does the provider suspect is responsible for the patient’s response? 

A This patient exhibits a negative placebo effect with a reduced response to the drug. 

B This patient has developed tachyphylaxis because of repeated exposure to the drug. 

This patient has developed pharmacodynamic tolerance, which has increased the minimal effective concentration (MEC) needed for analgesic effect. 

DThis patient has increased hepatic enzyme production as a result of prolonged exposure to the drug. 

Question 74 

1.5 Points 

Benzodiazepines such as diazepam (Valium) act by increasing the inhibitory effects which of the following neurotransmitter? 

A acetylcholine 

B dopamine 

gamma-aminobutyric acid (GABA) 

D) 5-hydroxytryptamine (serotonin) 

Question 72 

Antipsychotic drugs can result in the production of abnormal movement patterns known as

A intra-articular symptoms 

B extrapyramidal symptoms 

spinocerebellar symptoms 

(D) malignant hyperthermia 

A 22-year-old female presents with treatment-resistant nodulocystic acne. You are considering initiating isotretinoin (Accutane). Which of the following steps is required before starting this medication? 

A Enroll the patient in the iPLEDGE program and obtain a negative pregnancy test 

B Refer the patient to dermatology for comedone extraction 

Prescribe isotretinoin (Accutane) with a 6-month supply to avoid gaps in care 

D Consult with esthetician and discuss medication side effects and precautions 

Question 71 

1.5 Points 

A patient developed confusion, elevated heart rate, fever, tremors, agitation, and dilated pupils. The patient is taking Escitalopram (Lexapro) and recently added St. John’s wort. Which of the following is the most likely concern related to this issue? 

A Viral illness 

(B) Neuroleptic malignant syndrome 

Delirium related to St. John’s wort 

Serotonin syndrome 

Which of the following medications is a proton pump inhibitor (PPI) commonly used to treat gastroesophageal reflux disease (GERD)? 

A Omeprazole (Prilosec) 

B Ranitidine (Zantac) 

C) Metoclopramide (Reglan) 

Calcium Carbonate (Tums) 

Question 69 

Therapeutic goals when prescribing include(s): 

A Curative 

B Palliative 

Preventative 

D) All of the above 

1.5 Points 

Which of the following is a potential dermatologic reaction with anticonvulsant medications such as lamotrigine (Lamictal)? 

A Steven-Johnson Syndrome 

B Dermatitis 

Psoriasis 

D) Alopecia 

Question 67 

NSAIDS work to block which of the following? 

A Leukotrienes 

B) Prostaglandins 

(C) Phospholipase 

Glutathione S-transferase 

1.5 Points 

Which of the following patients would be the best candidate to receive a NSAID for pain control? 

A 78 year old with history glaucoma 

B 60 year old with history of gastritis 

52 year old with history of cardiac stents 

D 45 year old with history uterine fibroids 

Question 65 

1.5 Points 

A patient reports mild nausea within an hour after taking the first two doses of a newly approved medication. Nausea is not listed among the known side effects of this drug. What instructions will the provider give the patient? 

A “Take the next dose with food and call the office if nausea reoccurs or if other symptoms develop.” 

B “Discontinue the medication, and a substitute will be prescribed.” 

“Report the situation to the manufacturer to receive recommendations about continuing the drug.” 

D “I’ll prescribe an antiemetic to counter this drug’s effects.” 

Question 62 

Which of the following is a common side effect of budesonide (Pulmicort)? 

(A) Tachycardia 

B Dry mouth 

Oral thrush 

Shortness of breath 

Question 63 

Which of the following is the maximum daily dose of acetaminophen (Tylenol)? 

A 2000 mg 

B 3000mg 

4000mg 

D 5000mg 

1.5 Points 

1.5 Points 

Anticonvulsants such as Carbamazepine (Tegretol) may be used as mood stabilizers. 

A True 

B False 

Clear selection 

Question 61 

1.5 Points 

A 9-week pregnant patient is diagnosed with hyperthyroidism. Which of the following antithyroid medications is considered the preferred treatment during the first trimester of pregnancy? 

A Methimazole 

B Propylthiouracil (PTU) 

Levothyroxine 

Radioactive iodine 

Question 58 

What is the primary mechanism of action of the hydantoins, such as phenytoin (Dilantin)? 

A GABA Mechanism 

B Na+ Channel 

NMDA 

D Potassium Pump Exchange 

Question 59 

When determining drug treatment, the NP prescriber should: 

A Use evidence-based guidelines 

B Rely on personal experience 

Utilize the newest drug formulations 

Consult with colleagues on treatment decisions 

1.! 

1. 

The nurse practitioner is considering adding a long acting B2-agonist (LABA) for asthma management. Which of the following statements is the most accurate to consider when prescribing LABA for asthma? 

A The patient must rinse mouth after each use of LABA inhaler. 

BA LABA is added on with an inhaled corticosteroid. 

The LABA can be used as a rescue medication when a SABA is not available. 

DA LABA should not be prescribed when treating asthma. 

Question 57 

1.5 Points 

The nurse practitioner is managing a patient currently taking memantine (Namenda) 5mg daily. The patient is continuing to experience troublesome symptoms with memory and cognition, which of the following would be the next best step for pharmacologic management? 

A Weekly titrate up on the medication 

B Stop the medication 

Add on adjuvant therapy 

D Continue with the current regimen 

Question 54 

The first-line therapy for mild-persistent asthma is: 

A High-dose montelukast 

B Theophylline 

Low-dose inhaled corticosteroids 

Long-acting beta 2 agonists 

Question 55 

1.5 Points 

1.5 Points 

A nurse practitioner is initiating treatment for a patient with acute pain following surgery. The treatment plan includes oxycodone. Which of the following is a legal requirement when prescribing this medication? 

A The prescription must be sent electronically and include the prescriber’s DEA number. 

B The prescription can be verbally communicated to the pharmacy. 

CA supervising physician must co-sign the prescription in all states. 

The prescription must be written on a triplicate prescription pad. 

Opioids activate which of the following receptors? 

A Delta 

B) Gamma 

Mu 

D) Beta 

Question 53 

Nurse practitioner prescriptive authority is regulated by: 

A The National Council of State Boards of Nursing 

B The U.S. Drug Enforcement Administration 

The State Board of Pharmacy 

D The State Board of Nursing for each state 

When prescribing medications, patient education should include which of the following? 

A Discuss expected adverse drug reactions 

B Written instructions 

Safe medication storage 

D Medication disposal 

E All of the above 

Question 51 

Beta-2 agonists are useful in the treatment of asthma. 

A True 

B) False 

A stepwise approach to the pharmacologic management of asthma: 

A Begins with determining the severity of asthma and assessing asthma control 

B is used when asthma is severe and requires daily steroids 

C Allows for each provider to determine their personal approach to the care of asthmatic patients 

Is not available for childhood asthma management 

1.5 Points 

Clear selection 

Question 49 

1.5 Points 

The nurse practitioner is evaluating a 68-year-old patient with COPD who complains of ongoing exertional shortness of breath despite daily use of prescribed inhalers. Which of the following is the most appropriate action of the NP? 

Evaluate the appropriate inhaler technique 

B Review the order of medication administration 

Assess the inhaler canister/device 

(D) All of the above 

Question 46 

Which of the following medications is most likely to cause the side effect of hypoglycemia? 

(A) Glucophage (metformin) 

(B) Glucotrol (glipizide) 

Actos (pioglitazone) 

D Januvia (sitagliptin) 

Question 47 

A medical condition that can predispose a patient to adverse drug reactions includes which of the following? 

A Chronic Kidney Disease 

B Asthma 

C) Migraines 

D Pneumonia 

1.5 POINTS 

1.5 Points 

The provider prepares a patient with newly diagnosed type 1 diabetes for hospital discharge. Which action by the provider will best support the patient’s ability to manage medication therapy effectively? 

A Discussing methods of storing insulin and discarding syringes 

B Giving information about how diet and exercise affect insulin requirements 

Asking the patient to demonstrate how to measure and administer insulin 

D Teaching the patient about the long-term consequences of poor diabetes control 

Question 45 

Which of the following is a black box warning for fluoroquinolones? 

A hepatic failure 

B tendon rupture 

renal failure 

D Stevens-Johnson Syndrome 

1.5 Points 

The provider prescribes hydrocodone with acetaminophen for a patient’s post-surgical pain. What instruction will the prescriber include regarding alcohol intake? 

A “If you plan to drink alcohol, I will order acetaminophen without hydrocodone for your pain.” 

B “I’d suggest that you substitute ibuprofen for pain on days when you plan to drink alcohol.” 

“You should avoid drinking alcohol while taking the pain medication I’ve ordered.” 

D “You should limit your alcohol intake to no more than two servings of alcohol daily while on the pain medication.” 

Question 43 

1.5 Points 

Which of the following antibiotics is commonly used to decolonize pregnant women that are positive for group B streptococcus? 

(A) Cephalosporins 

B Penicillins 

(C) Fluoroquinolones 

Macrolides 

Question 40 

True or False: Steroids can induce leukocytosis. 

A True 

B) False 

Question 41 

Which medication is most appropriate to treat gestational diabetes? 

(A) Humalog (lispro) 

(B) Actos (pioglitazone) 

Trulicity (dulaglutide) 

Glucotrol (glipizide) 

1.5 Points 

Clear selection 

1.5 Points 

A patient with type 2 diabetes mellitus and hypertension is prescribed a new medication that may increase the risk of hypoglycemia. Which of the following is the most appropriate action for the nurse practitioner to take? 

A Monitor the patient’s blood glucose levels closely. 

B Adjust the patient’s blood pressure medication dose. 

(C) Discontinue the patient’s diabetes medication. 

Prescribe a new medication to counteract the hypoglycemic effects. 

Question 39 

Which class of medication can cause QT prolongation, tendonitis, and seizure lowering threshold? 

(A) Aminoglycosides 

(B) Fluroquinolones 

C) Cephalosporins 

(D) Penicillin 

1.5 Points 

The nurse practitioner is treating a Type 2 Diabetic patient with BMI 36. Which of the following medication class would be the most appropriate selection to help manage diabetes and provide weight loss? 

(A) DPP-4 Inhibitor 

(B) SGLT2 Inhibitor 

CGLP-1 Agonist 

D Alpha-Glucosidase Inhibitor 

Question 37 

When the NP starts insulin in type I diabetic patient, what is the formulation? 

A 0.6 units-0.8 units/kg/day 

B) 0.3-0.5 units/kg/day 

basal insulin at 20 units per day 

D initiate short acting rapid insulin based upon blood sugars 

1.5 Points 

Which of the following antibiotic eye treatment is most appropriate to treat conjunctivitis in an individual that wears contact lenses? 

A Ciprofloxacin 

(B) Azithromycin 

C) Tobramycin 

Sulfacetamide 

Question 35 

MMR, polio, and varicella are considered safe vaccines to receive during pregnancy. 

A True 

B False 

Question 32 

Before prescribing metformin, the nurse practitioner should assess which of the following lab? 

(A) AST/ALT 

B Serum Creatinine 

C-peptide 

D Urinalysis 

Question 33 

1.5 Points 

Clear selection 

1.5 Points 

1.5 Points 

When prescribing drugs with a narrow therapeutic index, what intervention does the provider take to decrease risk to the patient? 

A Schedule drug administration intervals that exceed the drug’s half-life. 

B Order the medication to be administered by the intravenous route. 

CMonitor the patient’s plasma drug levels at regular intervals. 

D Teach the patient that optimal outcomes will require adherence to the medication regimen. 

Which of the following medications is considered the first-line to treat atrial fibrillation? 

A Amiodarone 

B Furosemide 

Nitroglycerin 

D) Digoxin 

Question 31 

Metformin is a primary choice of drug to treat hyperglycemia in type 2 diabetes because it: 

A Increases the release of insulin from beta cells 

B Decreases peripheral glucose utilization 

Substitutes for insulin usually secreted by the pancreas 

Decreases glycogenolysis by the liver 

The nurse practitioner is reviewing the glucose log of a Type 2 Diabetic patient. The NP noticed the glucose check before dinner is consistently elevated. Which of the following would be the most appropriate next step for this patient? 

A Adjust lunchtime insulin dosing to improve coverage. 

B Eliminate morning NPH dosing 

Add a long-acting basal insulin dose at noon 

Reduce calorie intake at lunchtime meal 

Question 29 

Which of the following medications would be most appropriate to treat a corneal ulcer? 

A Vidarabine ointment 

B Erythromycin ointment 

Naphazoline solution 

D) Sulfacetamide solution 

1.5 Points 

The nurse practitioner is prescribing a medication that has the potential for hepatotoxicity. What would be a priority action for the 

NP? 

A Order baseline liver function tests 

B Check a BUN and creatinine before starting the med 

Monitor the CBC periodically while on the medication 

D Assess drug toxicity levels in one week 

Question 27 

1.5 Points 

A 24 year-old patient presents with left ear pain and the nurse practitioner diagnosed otitis externa. Which of the following is the most appropriate treatment? 

A Medrol Dose Pack 

(B) Penicillin PO 

Debrox otic drops 

D) Ciprofloxin otic drops 

Which of the following elements is required when writing a complete and accurate prescription? 

A Patient weight and medication cost 

B Pharmacy name and phone number 

Diagnosis code and insurance provider 

D Medication name, dosage, and route 

Question 24 

Which of the following statements best defines the therapeutic index (TI) of a medication? 

A A larger TI is safer than a smaller TI 

B A smaller TI is safer than a larger TI 

The TI leads to a longer half-life 

D A larger volume distribution is a less desirable TI 

1.5 Points 

Which of the following is a common geriatric alteration that the nurse practitioner must consider when prescribing medication? 

A Decreased gastric pH 

B Decreased Gl motility and emptying 

Increased GI blood flow 

D Increased plasma protein binding 

Question 22 

1.5 Points 

A pediatric patient developed a pruritic, dull red, maculopapular rash on the chest and neck after starting ampicillin. Which action is the most important to reduce the patient’s risk for injury? 

A Discontinue the ampicillin 

B Prescribe azithromycin 

Give an antihistamine for the itching 

D Order allergy testing 

Question 19 

Which class of angiotensin blocking drugs is most commonly associated with a nonproductive, nagging cough? 

(A) Renin inhibitors 

B ACE inhibitors 

Angiotensin antagonists 

D Calcium Channel Blockers 

Question 20 

Which of the following underlying conditions would be contraindicated when prescribing propranolol (Inderal)? 

A Erectile dysfunction 

B Type 2 diabetes 

Supraventricular tachycardia 

D) Asthma 

1.5 Points 

1.5 Points 

Therapeutic drug levels are drawn when a drug reaches steady state. Drugs reach steady state: 

A After the second dose 

B After four to five half-lives 

When the patient feels the full effect of the drug 

D) One hour after IV administration 

Question 18 

1.5 Points 

When prescribing a statin HMG-CoA reductase inhibitor, initial evaluation when starting the medication should include checking which of the following lab test? 

(A) Alanine aminotransferase (ALT) 

(B) Potassium 

Bilirubin 

D) Glomerular Filtration Rate (GFR) 

Which of the following is a side effect of an acetylcholinesterase inhibitor such as Rivastigmine (Exelon)? 

A Flu-like symptoms, constipation, restlessness. 

B Dry mouth, tachycardia, pupil constriction, impotence. 

Excessive sweating, tachycardia, pupil dilation 

Nausea, dizziness, weight loss 

Which of the following is a side effect of an acetylcholinesterase inhibitor such as Rivastigmine (Exelon)? 

A Flu-like symptoms, constipation, restlessness. 

B Dry mouth, tachycardia, pupil constriction, impotence. 

Excessive sweating, tachycardia, pupil dilation 

D Nausea, dizziness, weight loss 

Question 16 

Statin drugs such as atorvastatin (Lipitor) and simvastatin (Zocor) inhibit the HMG-CoA reductase enzyme, thereby production of 

A decreasing; cholesterol 

B increasing: low-density lipoproteins 

decreasing; high-density lipoproteins 

D) decreasing; triglycerides 

When selecting the anticoagulant options the patient history and preferences should be taken into account. 

A True 

B) False 

1.5 Points 

the 

Clear selection 

146 minutes remaining Ø 

88 OF 100 QUESTIONS REMAINING 

A True 

B) False 

Question 14 

Match the mechanism of action to the correct class of anti-hypertensive medication. 

Prompts 

ACE Inhibitors 

Answers 

Select match 

2 Beta Blockers 

Thiazide Diuretics 

Competitively inhibit Beta-1 receptors 

Prevents the conversion of angiotensin I to angiotensin II 

Inhibits sodium and chloride reabsorption 

Which of the following is the correct format for a prescription being sent to the pharmacy? 

A Lisinopril PO daily x 7 days, #7 

B Lisinopril 20mg QD, Dispense 30 

Lisinopril PO QD, Dispense 30, 3 refills 

DLisinopril 10mg PO daily, Dispense 30, No Refills 

Question 12 

Jenny has type 2 diabetes and a high triglyceride level. She has been prescribed gemfibrozil (Lopid) to treat her hypertriglyceridemia. A history of which of the following might contraindicate the use of this drug? 

A Gallbladder disease 

B Reactive airway disease 

CInflammatory disorders 

D) Allergy to aspirin 

Clear selection 

1.5 Points 

1.5 Points 

Your patient follows up one week after being diagnosed and treated for depression with Fluoxetine (Prozac). He complains of an upset stomach and nausea. How should the NP respond? 

A Order a workup for a new gastrointestinal problem 

B Educate the patient that this is a common side effect and it should resolve within 2 weeks 

Give the patient precautions for a viral illness and return in 1 week if not better 

D Inform the patient that this is an abnormal side effect and stop the medication right away 

Question 10 

What is the antidote for heparin? 

A Vitamin K 

B Platelet infusion 

Protamine sulfate 

(D) Plasma exchange 

Which of the following best describes the mechanism of action for heparin? 

A Directly inhibits thrombin without the need for antithrombin 

B Inhibits the P2Y12 ADP receptor on platelets 

Inhibits the activation of clotting factors II, VII, IX, and X 

Binds to antithrombin resulting in the inhibition of factor II and X 

Question 8 

What is the antidote for warfarin (Coumadin)? 

A Vitamin K 

B Platelet infusion 

Protamine sulfate 

D Plasma exchange 

1.5 Points 

Digitalis (digoxin) exerts its primary mechanical effect by the sodium-potassium pump on the myocardial cell membrane, which leads directly to intracellular sodium concentration. 

A stimulating; increased 

B) inhibiting; increased 

stimulating; decreased 

Dinhibiting; decreased 

Question 6 

Drugs that have a significant first-pass effect: 

A Must be given by the enteral (oral) route only 

B Bypass the hepatic.circulation 

Are rapidly metabolized by the liver and may have little, if any, desired action 

D Are converted by the liver to more active and fat-soluble forms 

1.5 Points 

Mr. Morris complains of feeling down, loss of interest in activities, fatigue, restlessness, and decreased appetite. When discussing treatment options for him, you know that first-line medication treatment for depression is: 

A Selective Serotonin Reuptake Inhibitor (SSRI) 

B Serotonin-Norepinephrine Reuptake Inhibitor (SNRI) 

Tricyclic Antidepressant (TCA) 

(D) Monoamine Oxidase Inhibitor (MAOI) 

Question 4 

1.5 Points 

Azithromycin dosing requires that the first day’s dosage is twice that of the other 4 days of the prescription. This is considered a loading dose. A loading dose: 

A Rapidly achieves drug levels in the therapeutic range 

B Requires four to five half-lives to attain 

Is influenced by renal function 

D Minimizes the drug circulating to the target tissues 

Question 89 

Which of the following best describes pharmacokinetics? 

The study of the biochemical and physiological effects of drugs on the body 

B The study of the interactions between drugs and their receptors 

The study of the absorption, distribution, metabolism, and excretion of drugs in the body 

The study of how drugs are manufactured and formulated for clinical use 

Question 90 

Upon reaching the brain, most antidepressant drugs affect 

A amine neurotransmitters such as norepinephrine and serotonin 

B amino acids such as leucine and isoleucine 

acetylcholine 

D cerebral blood flow 

307 Exam

1.5 Points 

1.5 Points 

Matching 2 points 

Match the abnormal placental condition with it’s definition 

Marginal placenta previa 

Morbidly adherant placenta 

Complete placenta previa 

Placental Abruption 

The invasion of the placenta into the ut 

Detachment of the placenta from the u 

Abnormal placental implantation that completely 

Abnormal placetal implantation that is opening 

What are the differences between the pharmacokinetics of men and women? 

A The percentage of fat differs between genders. 

B Body temperature varies between genders. 

Renal excretion is different between genders. 

Muscle mass is greater in women. 

Question 88 

Tardive dyskinesia is often a concerning side effect of antipsychotic drugs because it can cause which of the following? 

A muscle atrophy 

B cardiac dysrhythmias 

peripheral neuropathies 

irreversible muscle movements 

Which of the following best describes pharmacodynamics? 

(A) The study of how the body affects a drug 

B The study of how a drug affects the body 

The study of how a drug is metabolized by the body 

The study of how a drug is excreted by the body 

Question 86 

1.5 Points 

1.5 Points 

A patient with a history of poorly controlled hypertension and a history of pelvic inflammatory disease two weeks ago presents for a contraception consult. Which of the following would the NP suggest? 

A Vaginal ring 

B Levonorgestrel IUD (Mirena) 

Nexplanon 

D Paragard IUD 

Newer or second-generation antidepressants such as fluoxetine (Prozac), paroxetine (Paxil), and sertraline (Zoloft) selectively affect 

reuptake at certain CNS synapses. 

A dopamine 

B acetylcholine 

(C) 5-hydroxytryptamine (serotonin) (5HTP) 

gama-amino butyric acid (GABA) 

Question 84 

1.5 Points 

Patients taking relatively high doses of the more potent antipsychotics may experience catatonia, stupor, rigidity, tremors, and fever. These symptoms comprise a serious disorder known as: 

A Serotonin syndrome 

B Brown-Sequard syndrome 

Charcot’s syndrome 

Neuroleptic malignant syndrome 

Long-term treatment of moderate atopic dermatitis includes: 

A Topical corticosteroids and emollients 

B Topical corticosteroids only 

Topical antipruritics 

D Oral corticosteroids for exacerbations 

Question 82 

Which of the following is a key consideration when prescribing antibiotics to a patient? 

A Selecting a broad-spectrum antibiotic 

B Prescribing a high dose to ensure efficacy 

Prescribing the antibiotic for the shortest effective duration 

D Administering the antibiotic via the IV route whenever possible 

Which of the following medications is a prokinetic agent that can be used to treat GERD by improving gastric emptying and reducing reflux? 

A Famotidine (Pepcid) 

B Omeprazole (Prilosec) 

(C) Metoclopramide (Reglan) 

D Esomeprazole (Nexium) 

Question 80 

Treatment goals in prescribing should: 

A Always be curative 

B Be patient-centered 

Be convenient for the provider 

D Focus on the cost of therapy 

1.5 Points 

A 44-year-old smoker with a history of migraines with aura has been on birth control pills in the past and wants to start them again today. How do you approach her plan of care? 

(A) 

Educate the patient on the common side effects of oral contraceptives, send in a prescription, and have her follow up in a 

month. 

B Inform her that she is not a candidate due to her co-morbidities and offer her the Levonorgestrel IUD. 

Tell her she is approaching menopause and does not need to worry about contraception. 

D Offer her the birth control patch instead because it is safer for her with her medical history. 

Question 92 

At what age is the threshold that contraception becomes contraindicated for smokers? 

A 30 

B 35 

45 

D 50 

1.5 Points 

Question 93 

What is the mechanism of action for the H2 Receptor antagonist? 

A covers and protects ulceration site 

B) neutralizes stomach acid 

Cinhibit H2 receptors on the parietal cells 

D releases proinflammatory mediators 

Question 94 

Which drug class selectively antagonizes serotonin 5-HT3 receptors reducing nausea and vomiting? 

A ondansetron (Zofran) 

B) benadryl 

C) metoclopramide (Reglan) 

All of the above 

In patients with known cardiac disease and the elderly, it is important to initiate levothyroxine slower and at lower doses than in a younger adult without cardiac disease? 

A True 

B False 

Question 96 

What hormones are being suppressed with contraceptives? 

A FSH & LH 

BTSH & Prolactin 

Estrogen & Progesterone 

D GnRH & Testosterone 

Clear selection 

1.5 Points 

In patients with known cardiac disease and the elderly, it is important to initiate levothyroxine slower and at lower doses than in a younger adult without cardiac disease? 

A True 

B False 

Question 96 

What hormones are being suppressed with contraceptives? 

A FSH & LH 

BTSH & Prolactin 

Estrogen & Progesterone 

D GnRH & Testosterone 

Question 97 

Which of the following is the best birth control option for a post-partum breastfeeding patient? 

A Birth control is not needed when breastfeeding 

B Combined hormonal contraceptives 

C Progestin-only method 

D Estrogen only method 

Question 98 

Which of the following medications is classified as a Schedule II controlled substance? 

A Tramadol 

(B) Diazepam 

C Alprazolam 

D Oxycodone 

Clear selection 

1.5 Points 

1.5 Points 

1.5 Points 

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