NR565 | NR 565 Advanced Pharmacology Final Exam
questions and answers.
Post exposure prophylaxis for rabies bite - answers 1 mL dose IM on days 0, 3, 7, and
14
Attenuated influenza vaccine recipients - answers Individuals >2 yo and less than 50,
non-pregnant, and not immunocompromised
Prokinetic for gastroparesis - answers Metoclopramide (Reglan)
Black box warning for Reglan - answers Tardive Dyskinesia, discontinue at 12 weeks
or if movement disorder develops
Patient teaching for metronidazole - answers Avoid alcohol, not safe during pregnancy
Patient teaching for ciprofloxacin for traveler's diarrhea - answers Finish full dose, use
if symptoms severe or don't improve in a few days
Intermittent asthma symptoms - answers 2 days/week or less, 2 times/month nighttime
awakening, SABA use 2 days/week or less
Mild Persistent asthma symptoms - answers More than 2 days/week but less than
daily, 3-4 times/month nighttime awakenings, SABA use more than 2 days/week but
less than daily
Moderate Persistent asthma symptoms - answers Daily symptoms, more than once a
week but less than daily nighttime awakening, daily SABA use
Severe asthma symptoms - answers Several times daily, often nightly nighttime
awakening, several times a day SABA use
Benefits of SABA use - answers Rescue medication for acute symptoms, not for
prolonged prophylaxis
Benefits of LABA use - answers Long-term control, fixed schedule
Decongestant mechanism of action - answers Shrink engorged mucous membranes to
decrease stuffiness
Expectorant mechanism of action - answers Encourage expectoration of excessive
mucus in the respiratory tract
Patient teaching for ciprofloxacin for traveler's diarrhea - answers Use if symptoms
severe or don't improve in a few days, finish full dose
, Labs used to diagnose thyroid problems - answers Free and total T3, Free and total
T4, TSH, Anti-TPO
Hypothyroidism labs - answers Increased TSH, decreased T3 & T4
Hyperthyroidism labs - answers Decreased TSH, increased T3 & T4
Labs rechecked after starting levothyroxine - answers 6-8 weeks or after dose change,
then 12 months once stabilized
Symptoms of hypothyroidism - answers Pale, puffy face, cold and dry skin, low heart
rate and body temperature
Symptoms of hyperthyroidism - answers Rapid heart rate, nervousness, weight loss,
increased appetite
Result of untreated hypothyroidism during pregnancy - answers Permanent
neuropsychological deficits in the child
Medication to treat symptoms of hyperthyroidism - answers Beta blocker, non-
radioactive iodine
Levothyroxine administration with food - answers Take on empty stomach in the
morning, 30-60 minutes before breakfast
Supplement/drug interactions with levothyroxine - answers Antacids, iron, calcium
Confirmation of diabetes diagnosis - answers Fasting plasma glucose ≥126, random
plasma glucose ≥200 plus symptoms, oral glucose tolerance test ≥200, hemoglobin A1c
≥6.5
A1c general goal - answers <7%
Older adult A1c goal - answers <8%
When to consider insulin - answers A1c >10%, fasting blood glucose >300, or marked
symptoms
Interval to recheck A1c - answers 2-4 times a year until A1c drops to 7%, then at least
every 6 months
Insulin action - answers Regulation of glucose metabolism, promotes glucose and
amino acid uptake, synthesis of complex organic molecules
Pioglitazone contraindications - answers Heart failure, history of bladder cancer
