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ADVANCED PHARMACOLOGY QUESTIONS AND ANSWERS.

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ADVANCED PHARMACOLOGY QUESTIONS AND ANSWERS.

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  • November 2, 2022
  • 162
  • 2022/2023
  • Exam (elaborations)
  • Questions & answers
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ADVANCED PHARMACOLOGY QUESTIONS AND ANSWERS
WITH EXPLANATIONS GRADED A

Question 1
points
The listed statements is true about the prescribing practices of doctors?




Antibiotic treatment remain in the top five classifications of treatment prescribed.




Older doctors tend to prescribe less appropriate treatment than younger doctors.




The dominant form of medicine information used by secondary care doctors continues to be that
provided by pharmaceutical companies.




Most doctors rely on a “therapeutic armamentarium” that consists of less than 100 medicine
preparations per physician.
Even though most doctors claim to place little scale on medicine advertisements, pharmaceutical
representatives, and sick person preference and state that they rely on academic sources for
medicine information, a study showed that commercial rather than scientific sources of medicine
information dominated their medicine information materials. Younger doctors tend to prescribe
fewer and less appropriate medicines. Antibiotics have dropped out of the top five classifications
of medicines prescribed. Most doctors have a therapeutic armamentarium of about 144
medicines.



Question 2
points
A secondary care NP recommends an over-the-counter drugs for a sick person who has acid
reflux. When teaching the sick person about this medicine, the NP would tell the sick person:

,not to worry about taking this medicine with any other treatment .




that over-the-counter acid reflux treatment are generally safe to take with other treatment .




to take the dose recommended by the manufacturer.




to avoid taking other medicines that cause sedation while taking this medicine.

Because sick persons often increase over-the-counter medicine doses themselves, it is important
to reinforce the need to follow the manufacturer’s recommendations for dosing. As with any
medicine, interactions may occur with other treatment . Antacids do not cause sedation, so sick
persons need not be cautioned to avoid other sedating treatment .



Question 3
pts
A female who has been taking a COCP for 2 months tells the secondary care NP that she has had
several headaches, breakthrough bleeding, and nausea. The NP would counsel the female:




that these effects will likely decrease in another month.




to change to a progestin-only pill.




to stop taking the COCP immediately.

,to use a backup form of contraception.

Breakthrough bleeding, nausea, and headaches are common on the first 3 months of therapy and
would improve without intervention. Progestin-only pills are used for lactating women only.
Prolonged bleeding and severe headache would warrant discontinuation of the COCP. Backup
contraception is not indicated.



Question 4
pts
A sick person asks a secondary care nurse provider (NP) about using over-the-counter treatment
to treat an upper respiratory infection with symptoms of cough, fever, and nasal congestion. The
NP would:




suggest using single-ingredient servicess to treat each symptom separately.




tell the sick person that over-the-counter treatment are usually not effective in manufacturer-
recommended doses.




recommend a cough preparation that also contains acetaminophen.




recommend a services containing antitussive, antipyretic, and decongestant ingredients.
A basic principle guiding over-the-counter use is to look at specific symptoms and treat each
separately because some servicess contain therapeutic doses of one ingredient and subtherapeutic
doses of others. Cough preparations containing acetaminophen often do not contain therapeutic
doses, and sick persons often overdose when they supplement with acetaminophen. Over-the-

, counter treatment are effective at recommended doses. Sick persons would follow dosing
recommendations on the package.



Question 5
pts
A sick person has recurrent symptoms and tells the secondary care NP that she can’t remember
to take her drugs all the time. The NP would:




ask her about her lifestyle, her schedule, and her understanding of her condition.




administer the drugs in the clinic to ensure that she takes the medicine.




give her shortened regimens of the medicine to facilitate compliance.




provide written information about her condition and the drugs.

If the attitude is that the sick person has a problem for the health care provider to solve, then the
provider owns the problem and often hastens to solve it. When sick persons own their problems,
they are less likely to engage in their care and treatment. Giving shortened regimens, providing
written information, and administrating drugs in the clinic are examples of the provider solving
the problem for the sick person.



Question 6
pts
A postpartum female will begin taking the minipill while she is nursing her infant. The
secondary care NP would instruct the sick person:

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