NR565 Advanced Pharmacology Fundamentals EXAM 2 WITH REAL QUESTIONS AND WELL VERIFIED ANSWERS // GRADED A+ // LATEST 2024/2025 // BEST!!! // NR565
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NR565 Advanced Pharmacology Fundamentals
Institution
NR565 Advanced Pharmacology Fundamentals
NR565 Advanced Pharmacology Fundamentals
EXAM 2 WITH REAL QUESTIONS AND
WELL VERIFIED ANSWERS // GRADED A+ //
LATEST 2024/2025 // BEST!!! // NR565
Once a diagnosis of COPD is established, disease severity is assessed according to
the Global Initiative Obstructive Lung Disease (GOLD)...
NR565 Advanced Pharmacology Fundamentals
EXAM 2 WITH REAL QUESTIONS AND
WELL VERIFIED ANSWERS // GRADED A+ //
LATEST 2024/2025 // BEST!!! // NR565
Once a diagnosis of COPD is established, disease severity is assessed according to
the Global Initiative Obstructive Lung Disease (GOLD) grading system. The
grading system is based on which criteria? - ANSWER-based on symptoms, the
number of exacerbations, COPD-related hospitalizations, and spirometry results
According to the GOLD criteria, the majority of mild to moderate cases of COPD
can be managed with bronchodilator therapy which may include one or more of the
following - ANSWER-long-acting B2 agonists (LABA)long-acting antimuscarinic
agents (LAMA)inhaled corticosteroids (ICS)systemic corticosteroids antibiotics
when signs of bacterial infection exist
alternative therapies to Spiriva - ANSWER-Glycopyrronium bromide,
umeclidinium bromide, and revefenacin are anticholinergics bronchodilators
What constitutes a drug resistant TB? - ANSWER-TB bacteria become resistant to
the drugs used to treat the disease and includes multidrug-resistant (MDR TB) and
extensively drug-resistant (XDR TB).
Examples of decongestants - ANSWER-Beclomethasone
dipropionate
Budesonide
Fluticasone
,Triamcinolone
Wellbutrin Contraindications for smoking cessation - ANSWER-should be used in
caution with patients that have history of psychiatric disease
Bupropion recommended length of treatment - ANSWER-7-12 weeks then dosage
should be decreased
Which is most likely to interact due to CYP450 enzyme system? - ANSWER-
Cimetidine
Which drug class for cough and cold has no significant drug interactions? -
ANSWER-Expectorants
What contraindications are you looking for when prescribing a decongestant? -
ANSWER-known drug allergy, narrow-angle glaucoma, uncontrolled
cardiovascular disease, hypertension, diabetes, hyperthyroidism and prostatitis
Isoniazid (INH) - ANSWER-primary treatment of TB and can be used to prevent
TB in people that have been exposed
treatment of TB in a pregnant person - ANSWER-Rifabutin is deemed the safest
during pregnancy
nicotine replacement how it works? - ANSWER-helps with withdraws from
nicotine
Nicotine gum education - ANSWER-The most common adverse effects are mouth
and throat soreness, jaw muscle ache, eructation (belching), and hiccups. Using
, optimal chewing technique minimizes these problems. Patients should be advised
to chew the gum slowly and intermittently for approximately 30 minutes. Rapid
chewing can release too much nicotine at one time, resulting in effects similar to
those of excessive smoking (e.g., nausea, throat irritation, hiccups). Because foods
and beverages can reduce nicotine absorption, patients should not eat or drink
while chewing or for 15 minutes before chewing. Not recommended over 6
months.
What labs are used to diagnose thyroid function? - ANSWER-1. Serum thyroid-
stimulating hormone test (TSH)
2. Serum thyroxine test (Total or Free T4)
3. Serum triiodothyronine test (Total or Free T3)
s/s hypothyroidism - ANSWER-Signs and symptoms of hypothyroidism depend on
disease severity. The face is pale, puffy, and expressionless; skin is cold and dry;
hair is brittle; hair loss occurs; Heart rate and temperature are lowered. The patient
may complain of lethargy, fatigue, and intolerance to cold. Mentation may be
impaired.
s/s hyperthyroidism - ANSWER-Exophthalmos; Heartbeat is rapid and strong;
dysrhythmias and angina may develop; nervousness; insomnia, rapid thought flow;
rapid speech; Skeletal muscles may weaken and atrophy; Metabolic rate is raised,
resulting in increased heat production, increased body temperature, intolerance to
heat, and skin that is warm and moist. Appetite is increased, but weight loss may
still occur.
When should you re-check labs after initiating Levothyroxine? - ANSWER-TSH
6-8 weeks after initiation or dose changes.
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