preparation Questions and Must have solutions Updated
version 2025/2026
Which drug could you prescribe for weight loss without a DEA registration? - correct
answer One containing buproprion and naltrexone: botht are not controlled substances
Are phentermine, lorcaserin, topiramate CIV (schedule 4) controlled substances? -
correct answer Yes
A patient has been taking senna for several days, and the provider notes that the urine
is yellowish-brown.
What should the provider know about this symptom? - correct answer It is an
expected, harmless effect of senna
Systemic absorption of senna, followed by renal excretion, may impart a harmless
yellowish-brown or pink color to the urine
A healthcare professional is discussing the use of immunosuppressants for the
treatment of inflammatory bowel disease (IBD) with a group of nursing students.
Which statement by a student indicates understanding of the teaching? - correct
answer "Cyclosporine can be used to induce remission of IBD"
Can be given IV to induce rapid remission of IBD
Which statement is correct about the contrast between acarbose and miglitol? - correct
answer Miglitol has not been associated with hepatic dysfunction
Acarbose has been associated with hepatic dysfunction
, A patient with type 1 diabetes who takes insulin reports taking propranolol for
hypertension.
Why should the provider be concerned? - correct answer The BB can mask the
symptoms of hypoglycemia
BB can delay awareness of and response to hypoglycemia by masking signs associated
with the stimulation of the sympathetic nervous system that hypoglycemia normally
causes. BB also impair glycogenolysis, which is one means by which the body can
counteract a fall in bs. BB can worsen insulin-induced hypoglycemia
A patient in her twenties with Graves' disease who takes methimazole tells her provider
that she is trying to conceive and asks about disease management during pregnancy.
How should the provider respond? - correct answer Discuss changing to
propylthiouracil (PTU) from now until her second trimester
Methimazole is not safe during the 1st trimester of pregnancy because it is associated
with neonatal hypothyroidism, goiter, and cretinism; however, it is safe in the second
and third trimesters
A patient has a free T4 level of 0.6 ng/dL and a free T3 level of 220 pg/dL. The patient
asks the provider what these laboratory values mean.
How should the provider respond? - correct answer "We will need to obtain a TSH
level to better evaluate your diagnosis"
A free T4 level of less than 0.9 and a free T3 level less than 230 are consistent with
hypothyroidism, but measurement of the thyroid-stimulating hormone (TSH) level is
necessary to distinguish primary and secondary hypothyroidism
A patient will begin taking phentermine and topiramate to help with weight loss and asks
the provider why the second ingredient is necessary.
Which is the correct response by the provider? - correct answer "Topiramate helps
produce feelings of satiety to augment the drug effects"