REGIS NU641 CLINICAL
ADV PHARMACOLOGY
FINAL EXAM: COVERING
WEEKS 9 – 15
Interactions with cholinergic blockers - ANSWERDrugs with a narrow therapeutic range given orally may
not stay in the GI tract long enough to produce an action
, Pt is dx with depression and has been taking paroxetine (Paxil) PO daily x 2 weeks with no relief what
should be done - ANSWERContinue therapy
Pt on dx with depression is on SSRI sertraline (Zoloft) 100mg PO daily for 2 years and want to stop taking
it; what should be done - ANSWERSlowly taper down the dose until off
This is considered true after reexamination of the women's health study which has modified guidelines
for the use of estrogen in menopause. - ANSWERSupplemental for the first 5 years is considered to have
a reasonable risk/benefit profile for selected groups of women.
17 yr old competitive runner presents with hip pain that began after falling which vary. Their only
medical problem is severe acne for which they take isotretinoin (Accutane). What should the provider
be concerned about? - ANSWERThey are at risk for bone injuries and need to be evaluated for fracture
Pt wants oral contraceptives and has negative pregnancy test. What should the provider do? -
ANSWERPrescribe oral contraceptives and have her start them the same day as the visit with a back up
method used for the next 7 days
Patient education for cromolyn sodium (opticran) eye drops - ANSWERThey should not wear soft
contacts
Not an indication for starting hormone replacement therapy (HRT) - ANSWERprevention of osteoporosis
Intramuscular (IM) ceftriaxone - ANSWERTreatment for adult gonococcal conjunctivitis
15 month old on Amoxicillin for 48 hours for AOM but still febrile with no change in tympanic
membrane exam. What should the provider do next? - ANSWERChange the ABX to
Amoxicillin/Clavulanate
Education for a parent with a child that has AOM - ANSWERProviding adequate pain relief for at least
the first 24 hours
ADV PHARMACOLOGY
FINAL EXAM: COVERING
WEEKS 9 – 15
Interactions with cholinergic blockers - ANSWERDrugs with a narrow therapeutic range given orally may
not stay in the GI tract long enough to produce an action
, Pt is dx with depression and has been taking paroxetine (Paxil) PO daily x 2 weeks with no relief what
should be done - ANSWERContinue therapy
Pt on dx with depression is on SSRI sertraline (Zoloft) 100mg PO daily for 2 years and want to stop taking
it; what should be done - ANSWERSlowly taper down the dose until off
This is considered true after reexamination of the women's health study which has modified guidelines
for the use of estrogen in menopause. - ANSWERSupplemental for the first 5 years is considered to have
a reasonable risk/benefit profile for selected groups of women.
17 yr old competitive runner presents with hip pain that began after falling which vary. Their only
medical problem is severe acne for which they take isotretinoin (Accutane). What should the provider
be concerned about? - ANSWERThey are at risk for bone injuries and need to be evaluated for fracture
Pt wants oral contraceptives and has negative pregnancy test. What should the provider do? -
ANSWERPrescribe oral contraceptives and have her start them the same day as the visit with a back up
method used for the next 7 days
Patient education for cromolyn sodium (opticran) eye drops - ANSWERThey should not wear soft
contacts
Not an indication for starting hormone replacement therapy (HRT) - ANSWERprevention of osteoporosis
Intramuscular (IM) ceftriaxone - ANSWERTreatment for adult gonococcal conjunctivitis
15 month old on Amoxicillin for 48 hours for AOM but still febrile with no change in tympanic
membrane exam. What should the provider do next? - ANSWERChange the ABX to
Amoxicillin/Clavulanate
Education for a parent with a child that has AOM - ANSWERProviding adequate pain relief for at least
the first 24 hours
