MSN 571 PHARMACOLOGY FINAL EXAM
1) A 40-year old female patient is being followed up for diabetes mellitus. She is currently
onMetformin 1 gram twice a day and has been tolerating it well for about six months. Her
hemoglobin A1c a week ago was 8.9%. The plan is to initiate liraglutide therapy in...
1) A 40-year old female patient is being followed up for diabetes mellitus. She is currently
onMetformin 1 gram twice a day and has been tolerating it well for about six months. Her
hemoglobin A1c a week ago was 8.9%. The plan is to initiate liraglutide therapy in addition
to the metformin. Which of the following statements is true with regards to liraglutide.
Liraglutide may be stored in the refrigerator or freezer prior to first use.
The brand name is Bydureon
Nausea and/or vomiting are common side effects of therapy It should be administered
intramuscularly into the upper arm.
2) The patient who takes insulin has just been prescribed a beta blocker drug. You recognize
thatthe interaction of the beta blocker and the insulin may have which result?
Decreased activity of the beta blocker drug
Enhanced activity of the beta blocker drug
Masked signs of hypoglycemia
Masked signs of hyperglycemia
3) Which classification of oral hypoglycemic drugs decreases hepatic glucose production
andincreases insulin sensitivity and peripheral glucose uptake?
4) A breast-feeding mother is seen in your clinic wanting contraceptive and plans on breast-
feedingfor a year. What is an inappropriate choice for this patient?
Depo-Provera 150mg IM every 3 months
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5) Which of the following is (are) true about oral contraceptives (OCs)?
Estrostep, Ortho Tri-Cyclen, Beyaz, and YAZ are approved for managing acne in women
All the answrs are correct
OCs favorably affect menstrual symptoms: cramps reduction, reduced menstrual flow
volume and duration.
OCs decrease the risk for several disorders, including ovarian cancer, endometrial cancer,
ovarian cysts, pelvic inflammatory disease, benign breast disease.
6) A patient is prescribed ehtinyl estradiol and norelgestromin transdermal contraceptive
patch.Which statement, If made by the patient, indicates an understanding of the use of
this drug?
“The patch prevents pregnancy by acting as barrier.”
“I will experience minimal side effects because it is a progestin-only device.”
“I will remove the patch each month and replace it with a new patch 1 week later.”
“I will apply the patch in my vaginal area prior to having sexual intercourse.”
7) The NP at the immunization clinic is reviewing the list of patients who are scheduled to
receivethe varicella vaccination. The NP will cancel all of the following patients except:
A 21-year old patient who is allergic to neomycin
A 12-year old patient with an allergy to gelatin
An 8-year old patient with asthma
A patient who is pregnant
8) The drug of choice for type 2 diabetics is metformin. Metformin:
Increases intestinal uptake of glucose
Decreases glycogenolysis by the liver
Increases the release of insulin from beta cells
This study source was downloaded by 100000850629869 from CourseHero.com on 04-08-2023 06:13:14 GMT -05:00
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