Exam (elaborations)
NURS 5334 ADV. PHARMACOTHERAPEUTICS FINAL QUESTIONS AND ANSWERS 2024
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NURS 5334 ADV. PHARMACOTHERAPEUTICS FINAL QUESTIONS AND ANSWERS 2024
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NURS 5334 ADV.PHARMACOTHERAPEUTICS FINAL
One major drug used to treat bipolar disease is Lithium. Because lithium has a
narrow therapeutic range, it is important to recognize symptoms of toxicity, such
as:
A. Orthostatic hypotension
B. Agitation and irritability
C. Drowsiness and nausea
D. Painful urination - ANSWERS-C. Drowsiness and nausea
Monitoring of a patient on Gabapentin to treat seizures includes:
A. Routine therapeutic drug levels every 3-4 months
B. Assessing for dermatologic conditions such as Steven's Johnson Syndrome
C. Routine electrolytes, especially in hot weather
D. Recording seizure frequency, duration, and severity - ANSWERS-D. Recording
seizure frequency, duration, and severity
Sam, aged 65, is started on L-dopa for his PD. He asks why this is necessary. You
respond:
A. L-dopa is neuroprotective
,B. The primary goal of therapy is to replace depleted stores of dopamine
C. This is the only drug that can provide symptomatic benefit
D. This is the initial monotherapy drug - ANSWERS-B. The primary goal of therapy
is to replace depleted stores of dopamine
A 55 y/o patient develops Parkinson's disease characterized by unilateral tremors
only. The NP will refer the patient to a neurologist and should expect initial
treatment to be:
A. Levodopa
B. Carbidopa
C. Ropinirole
D. Carbidopa/Levodopa - ANSWERS-C. Ropinirole
Inattention and a sleep wake cycle disturbance are the hallmark symptoms of ?
A. Dementia
B. AD
C. PD
D. Delirium - ANSWERS-D. Delirium
3 types of information needed for neuropharmacologic drugs: - ANSWERS-• Type
or types of receptors through which the drug acts
• Normal response to the activation of those receptors (agonist vs antagonist)
• What the drug in question does to receptor function
, What are subtypes of cholinergic and adrenergic receptors? - ANSWERS-•
Cholinergic: nicotinic and muscarinic
• Adrendergic: Alpha 1, alpha 2, beta1, beta 2, and dopamine
What are functions of Alpha 1receptors? - ANSWERS-• Vasoconstriction
• Ejaculation
• Contraction of bladder neck and prostate
Alpha 2 function? - ANSWERS-Minimal clinical significance
Beta 1 function? - ANSWERS-• Heart-Increases heart rate, force of contraction,
velocity of conduction in AV node
• Kidney-Renin release
Beta 2 function? - ANSWERS-• Bronchial dilation
• Relaxation of uterine muscle
• Vasodilation
• glycogenolysis
Dopamine function? - ANSWERS-• Dilates renal blood vessels
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