MSN 571 Midterm Pharm Practice Questions And Answers
Mid Term Pharm MSN571
1. Which is required for red blood cell production
● All
● Iron
● Folate
● Vitamin B12
2. A female patient has an iron deficiency anemia and GI bleed has been ruled out. You will:
● Refer the patient to hematologist
● Prescribe ferrous sulfate 325mg po TID and schedule the patient to return in 1
month for a repeat CBC, serum iron and TIBC
● Prescribe iron dextran 50mg IM weekly for 4 weeks and schedule weekly office
visits for injections.
● Schedule the patient to return in 6 months for additional guaiac stool testing.
3. Most clinically used opioids analgesics are selective for which type of opioid receptor?
● alpha
● delta
● mu
● beta
● kappa
4.Which is true about morphine
● It does not cause tolerance with prolong use
● It promotes nausea and vomiting through direct stimulation of the chemoreceptor
trigger zone of the medulla
● It does not cause urinary retention and hesitancy
● Respiratory depression is rare
12. Which of the following medications is a fluroquinolone antibiotic?
, ● Azithromycin
● Ciprofloxacin
● Penicillin
● Amikacin
13. Which of the following terms best describes the mechanism of action of metoprolol?
● Alpha 1 antagonist effects
● Beta 1 selective ( beta-1-adrenergic receptor inhibitor)
● Nonselective Beta with Alpha blocking
● Nonselective Alpha blockers
14. Which antibiotic class disrupts metabolism in bacteria and is often combined with
trimethoprim?
● Aminoglycosides
● Cephalosporins
● Macrolides
● Fluoroquinolones
● Sulfonamides
15. Which of the following group of antibiotics has a beta-lactam ring in the molecular
structure?
● Cephalosporins
● Fluoroquinolones
● Macrolides
● Sulfonamides
● Tetracycline
16. Which of the following drug classes should be avoided in peptic ulcer disease?
● Avoid antibiotics
● Avoid NSAIDS
● Avoid diuretics
● Avoid proton pump inhibitors
17. Fluroquinolones antibiotics are most likely indicated in which of the following conditions?
● Follicular conjunctivitis
, ● GERD
● Asthma
● Genital Infections
18. Which antibiotics binds to the 505 subunit of the bacterial ribosome and could most likely
result in the development of pseudomembranous colitis?
● Tetracycline
● Clindamycin
● Amoxicillin
● Vancomycin
19. Beta Lactamase inhibitors are often indicated in which if the following?
● May decrease absorption of medications
● First dose effect
● Often combined with penicillin antibiotics
● Delayed absorption of oral drugs
20. A patient who takes multiple antibiotics starts to experience diarrheal stool. If the stool
sample tests positive for C-Diff which antibiotic, would you prescribe?
Metronidazole
Gemifloxacin
Daptomycin
Rifaximin
21. Children younger than 8 years of age should not receive tetracyclines because these agents
Can cause aplastic anemia
Cause rupture of tendons
Do not cross into the cerebrospinal fluid
Deposits in tissues undergoing calcification
22. Which patient condition would be a contradiction for the administration of the clindamycin?
Diabetes Mellitus
Ulcerative Colitis
Arthritis
Skin infection
23. A child with an ear infection is not responding to treatment with amoxicillin. What
alternative medication will the provider order?
, Amoxicillin-clavulanic acid
Penicillin G
Ampicillin
Nafcillin
24. Every antibiotic drug class has resistant organisms that influence prescribing decisions.
True
False
25. The dosage of Amoxicillin for the treatment of pediatric acute otitis media is
Amoxicillin 50mg/kg/day
Amoxicillin 90mg/kg/day
Amoxicillin 25mg/kg/day
Amoxicillin 150mg/kg/day
26. Which antibiotic is in the macrolide class?
Minocycline (Minocin)
Nitrofurantoin ( Macrobid)
Clarithromycin ( Biaxin)
Trimethoprim
27. Contraindications to hepatitis B vaccination is:
All pregnant and lactating women
Previous severe hypersensitivity or anaphylaxis
A history of poliomyelitis
Mild viral illness
28. Treatment for fungal infections of the toenails (onychomycosis) includes
Miconazole Cream
Oral Griseofulvin
Mupirocin Cream
Ketoconazole Cream
29. In which of the following the human papillomavirus (HPV) vaccine is not recommended
A 25 year old who did not finish the vaccine series as a teen
Men who have sex with men
Mid Term Pharm MSN571
1. Which is required for red blood cell production
● All
● Iron
● Folate
● Vitamin B12
2. A female patient has an iron deficiency anemia and GI bleed has been ruled out. You will:
● Refer the patient to hematologist
● Prescribe ferrous sulfate 325mg po TID and schedule the patient to return in 1
month for a repeat CBC, serum iron and TIBC
● Prescribe iron dextran 50mg IM weekly for 4 weeks and schedule weekly office
visits for injections.
● Schedule the patient to return in 6 months for additional guaiac stool testing.
3. Most clinically used opioids analgesics are selective for which type of opioid receptor?
● alpha
● delta
● mu
● beta
● kappa
4.Which is true about morphine
● It does not cause tolerance with prolong use
● It promotes nausea and vomiting through direct stimulation of the chemoreceptor
trigger zone of the medulla
● It does not cause urinary retention and hesitancy
● Respiratory depression is rare
12. Which of the following medications is a fluroquinolone antibiotic?
, ● Azithromycin
● Ciprofloxacin
● Penicillin
● Amikacin
13. Which of the following terms best describes the mechanism of action of metoprolol?
● Alpha 1 antagonist effects
● Beta 1 selective ( beta-1-adrenergic receptor inhibitor)
● Nonselective Beta with Alpha blocking
● Nonselective Alpha blockers
14. Which antibiotic class disrupts metabolism in bacteria and is often combined with
trimethoprim?
● Aminoglycosides
● Cephalosporins
● Macrolides
● Fluoroquinolones
● Sulfonamides
15. Which of the following group of antibiotics has a beta-lactam ring in the molecular
structure?
● Cephalosporins
● Fluoroquinolones
● Macrolides
● Sulfonamides
● Tetracycline
16. Which of the following drug classes should be avoided in peptic ulcer disease?
● Avoid antibiotics
● Avoid NSAIDS
● Avoid diuretics
● Avoid proton pump inhibitors
17. Fluroquinolones antibiotics are most likely indicated in which of the following conditions?
● Follicular conjunctivitis
, ● GERD
● Asthma
● Genital Infections
18. Which antibiotics binds to the 505 subunit of the bacterial ribosome and could most likely
result in the development of pseudomembranous colitis?
● Tetracycline
● Clindamycin
● Amoxicillin
● Vancomycin
19. Beta Lactamase inhibitors are often indicated in which if the following?
● May decrease absorption of medications
● First dose effect
● Often combined with penicillin antibiotics
● Delayed absorption of oral drugs
20. A patient who takes multiple antibiotics starts to experience diarrheal stool. If the stool
sample tests positive for C-Diff which antibiotic, would you prescribe?
Metronidazole
Gemifloxacin
Daptomycin
Rifaximin
21. Children younger than 8 years of age should not receive tetracyclines because these agents
Can cause aplastic anemia
Cause rupture of tendons
Do not cross into the cerebrospinal fluid
Deposits in tissues undergoing calcification
22. Which patient condition would be a contradiction for the administration of the clindamycin?
Diabetes Mellitus
Ulcerative Colitis
Arthritis
Skin infection
23. A child with an ear infection is not responding to treatment with amoxicillin. What
alternative medication will the provider order?
, Amoxicillin-clavulanic acid
Penicillin G
Ampicillin
Nafcillin
24. Every antibiotic drug class has resistant organisms that influence prescribing decisions.
True
False
25. The dosage of Amoxicillin for the treatment of pediatric acute otitis media is
Amoxicillin 50mg/kg/day
Amoxicillin 90mg/kg/day
Amoxicillin 25mg/kg/day
Amoxicillin 150mg/kg/day
26. Which antibiotic is in the macrolide class?
Minocycline (Minocin)
Nitrofurantoin ( Macrobid)
Clarithromycin ( Biaxin)
Trimethoprim
27. Contraindications to hepatitis B vaccination is:
All pregnant and lactating women
Previous severe hypersensitivity or anaphylaxis
A history of poliomyelitis
Mild viral illness
28. Treatment for fungal infections of the toenails (onychomycosis) includes
Miconazole Cream
Oral Griseofulvin
Mupirocin Cream
Ketoconazole Cream
29. In which of the following the human papillomavirus (HPV) vaccine is not recommended
A 25 year old who did not finish the vaccine series as a teen
Men who have sex with men
