2
MSN 611 Newest exam with precise detailed answers
|| || || || || || ||
A 38-year-old male patient presents to the clinic complaining of his struggles with alcohol
|| || || || || || || || || || || || || ||
use disorder. The patient mentions he is ready to follow through with this decision and quit.
|| || || || || || || || || || || || || || ||
His vital signs show a blood pressure of 122/84 mmHg and a heart rate of 86 bpm. A drug is
|| || || || || || || || || || || || || || || || || || || ||
recommended to help him along with this process, but he is warned of the side effects if he
|| || || || || || || || || || || || || || || || || || ||
drinks alcohol with it. If he drinks alcohol while taking this drug, what is the toxic
|| || || || || || || || || || || || || || || ||
byproduct that leads to nausea and severe vomiting? - ✔✔Acetaldehyde || || || || || || || || ||
A 25-year-old woman presents to the clinic after developing a fever and runny nose. Her
|| || || || || || || || || || || || || || ||
sister was diagnosed with influenza two days ago, and she had the same symptoms that
|| || || || || || || || || || || || || || ||
began this morning. What is the recommended prophylactic drug for this condition? -
|| || || || || || || || || || || || ||
✔✔Oseltamivir
A 55-year-old woman presents to the clinic for a routine diabetes care check-up. Her past
|| || || || || || || || || || || || || || ||
medical history includes type 2 diabetes mellitus and obesity with a body mass index (BMI)
|| || || || || || || || || || || || || || ||
of 29 kg/m2. Her latest hemoglobin A1c is 8.5%. The patient is on metformin 1000 mg twice
|| || || || || || || || || || || || || || || || ||
a day and has intentionally lost nearly 10 pounds (4.5 kg) since her diagnosis of diabetes six
|| || || || || || || || || || || || || || || || ||
months ago. The clinician decides to start her on cholestyramine. How does this medication
|| || || || || || || || || || || || ||
affect other drugs? - ✔✔Decreases absorption of drugs
|| || || || || || || ||
What agent directly stimulates the dopamine receptor and is used for the treatment of
|| || || || || || || || || || || || || ||
Parkinson disease? - ✔✔Pramipexole || || ||
A 45-year-old patient with extreme obesity is receiving a heparin infusion for a pulmonary
|| || || || || || || || || || || || || ||
embolus. After 12 hours, the patient is noted to have significant epistaxis. The morning
|| || || || || || || || || || || || || ||
laboratory report reveals aPTT 246 sec, K+ 4.6 mmol/l, Na+ 136 mmol/l. Which of the
|| || || || || || || || || || || || || || ||
following drugs can be given to help stop the epistaxis? - ✔✔Promtamine sulfate
|| || || || || || || || || || || ||
A 31-year-old female presents with complaints of shortness of breath, fever, dyspnea on
|| || || || || || || || || || || || ||
exertion, cough, and pleuritic chest pain. Chest radiographs show bilateral pulmonary
|| || || || || || || || || || ||
,2
infiltrates. The patient states that she started an antibiotic for recurrent urinary tract
|| || || || || || || || || || || || ||
infections eight days ago. What antibiotic is most commonly associated with this
|| || || || || || || || || || || ||
presentation? - ✔✔Nitrofurantoin || ||
A 55-year-old man presents to the hospital with complaints of profuse, foul-smelling
|| || || || || || || || || || || ||
diarrhea for one day. The patient was in the usual state of health before this episode and
|| || || || || || || || || || || || || || || || ||
denied eating outside or being in contact with anyone with a similar illness. However, he
|| || || || || || || || || || || || || || ||
recalls visiting his primary care provider two weeks ago to obtain treatment for bacterial
|| || || || || || || || || || || || || ||
sore throat. He denies any significant family or medical history. Which of the following is
|| || || || || || || || || || || || || || ||
the most likely cause of the patient's condition? - ✔✔Previous treatment with amoxicillin/
|| || || || || || || || || || || || ||
clavulanate
Which of the following drugs is most likely to precipitate congestive heart failure? -
|| || || || || || || || || || || || || ||
✔✔Verapamil
A 40-year-old male is currently under treatment for lymphoma. He has been treated with
|| || || || || || || || || || || || || ||
multiple chemotherapeutic agents. On his visit, he complains of paresthesias in his legs that
|| || || || || || || || || || || || ||
include numbness and tingling. Vital signs are pulse rate 70/min, blood pressure 115/75
|| || || || || || || || || || || || || ||
mmHg, respiratory rate 18/min, and temperature 98.6 F (37°C). On examination, there is
|| || || || || || || || || || || || ||
decreased sensation on both the lower limbs and the muscle power is normal. What is the
|| || || || || || || || || || || || || || || ||
mechanism of action of this agent? - ✔✔Inhibits the formation of microtubles || || || || || || || || || || ||
A 70-year-old woman with angina pectoris, liver cirrhosis, and a 40-year pack history
|| || || || || || || || || || || || ||
presents to the emergency department for unrelenting chest pain. She was prescribed 0.5
|| || || || || || || || || || || || ||
mg nitroglycerin tablets a month ago for the acute management of chest pain. She states
|| || || || || || || || || || || || || || ||
that she was taking her dog out for a walk when the chest pain started and that she took the
|| || || || || || || || || || || || || || || || || || ||
prescribed nitroglycerin three times to no avail. When asked about how she took the
|| || || || || || || || || || || || || || ||
nitroglycerin tablet, she says, "I swallowed it as I was told to." What is the most likely reason
|| || || || || || || || || || || || || || || || ||
why the nitroglycerin tablet did not work in treating her chest pain? - ✔✔Incorrect
|| || || || || || || || || || || || || || ||
administration
A 21-year old man is brought to the emergency department in an unconscious state. The
|| || || || || || || || || || || || || || ||
patient is unresponsive with a pulse rate of 90/min, blood pressure of 100/60 mm Hg, and a
|| || || || || || || || || || || || || || || || ||
, 2
respiratory rate of 6/min. His pupils are constricted and nonreactive to the light stimulus.
|| || || || || || || || || || || || || ||
His friends report that he has been into recreational drug abuse. The provider decides to
|| || || || || || || || || || || || || || ||
administer a drug to help him. Where would this drug act? - ✔✔Mu opioid receptors
|| || || || || || || || || || || || || ||
A 33-year-old woman presents to the clinic with complaints of episodes of severe headaches
|| || || || || || || || || || || || || ||
and transient vision loss for the past 15 days. The patient reports that the headaches are
|| || || || || || || || || || || || || || || ||
throbbing in nature, located behind the eyes, aggravated by eye movements, associated with
|| || || || || || || || || || || || ||
nausea, and 7/10 on the severity scale. The patient has no past medical history and does not
|| || || || || || || || || || || || || || || || ||
take any medications. Her current BMI is 28 kg/m2. Currently, she is afebrile and
|| || || || || || || || || || || || || ||
hemodynamically stable. Physical examination reveals an uncomfortable woman with no || || || || || || || || || ||
acute distress. Her visual acuity is 20/60 in both eyes. A fundoscopic examination reveals
|| || || || || || || || || || || || || ||
papilledema. There is a mild decrease in peripheral vision. Which of the following is the || || || || || || || || || || || || || || ||
most appropriate next step in managing this patient? - ✔✔A drug that inhibits carbonic
|| || || || || || || || || || || || || ||
anhydrase
A 65-year-old man complains of a diminished urine stream and reports several trips to the
|| || || || || || || || || || || || || || ||
bathroom to urinate at night, resulting in minimal voids. A digital rectal examination
|| || || || || || || || || || || || ||
reveals an enlarged prostate. Prostate-specific antigen levels are within normal limits. The
|| || || || || || || || || || || ||
patient is started on finasteride 5 mg by mouth daily, and he reports symptomatic resolution
|| || || || || || || || || || || || || ||
six months after initiating therapy. Which of the following is a common adverse effect
|| || || || || || || || || || || || || || ||
associated with this medication? - ✔✔Gynecomastia || || || || ||
A 65-year-old man was referred to the clinic for complaints of abdominal pain, frothiness in
|| || || || || || || || || || || || || || ||
urine, and breathlessness for the past week. He has a history of atrial fibrillation and is
|| || || || || || || || || || || || || || || ||
currently on warfarin for the past 14 months and a history of hypertension, which is
|| || || || || || || || || || || || || || ||
controlled with hydrochlorothiazide. There are signs of edema in the ankle region. The
|| || || || || || || || || || || || ||
renal function test shows a serum creatinine of 6.37 mg/dL and urea of 185 mg/dL. Blood
|| || || || || || || || || || || || || || || ||
reports also show an albumin level of 2.1 g/dl and proteinuria of 2.5 g/day. Renal histology
|| || || || || || || || || || || || || || || ||
revealed occlusion of renal tubules by red blood cell cast. The patient is started renal
|| || || || || || || || || || || || || || ||
replacement therapy. One of the drugs given to him leads to an increase in the levels of
|| || || || || || || || || || || || || || || || ||
bradykinin by blocking its breakdown. Which of the following drug has the same
|| || || || || || || || || || || || ||
mechanism of action as described above? - ✔✔Captopril || || || || || || ||
MSN 611 Newest exam with precise detailed answers
|| || || || || || ||
A 38-year-old male patient presents to the clinic complaining of his struggles with alcohol
|| || || || || || || || || || || || || ||
use disorder. The patient mentions he is ready to follow through with this decision and quit.
|| || || || || || || || || || || || || || ||
His vital signs show a blood pressure of 122/84 mmHg and a heart rate of 86 bpm. A drug is
|| || || || || || || || || || || || || || || || || || || ||
recommended to help him along with this process, but he is warned of the side effects if he
|| || || || || || || || || || || || || || || || || || ||
drinks alcohol with it. If he drinks alcohol while taking this drug, what is the toxic
|| || || || || || || || || || || || || || || ||
byproduct that leads to nausea and severe vomiting? - ✔✔Acetaldehyde || || || || || || || || ||
A 25-year-old woman presents to the clinic after developing a fever and runny nose. Her
|| || || || || || || || || || || || || || ||
sister was diagnosed with influenza two days ago, and she had the same symptoms that
|| || || || || || || || || || || || || || ||
began this morning. What is the recommended prophylactic drug for this condition? -
|| || || || || || || || || || || || ||
✔✔Oseltamivir
A 55-year-old woman presents to the clinic for a routine diabetes care check-up. Her past
|| || || || || || || || || || || || || || ||
medical history includes type 2 diabetes mellitus and obesity with a body mass index (BMI)
|| || || || || || || || || || || || || || ||
of 29 kg/m2. Her latest hemoglobin A1c is 8.5%. The patient is on metformin 1000 mg twice
|| || || || || || || || || || || || || || || || ||
a day and has intentionally lost nearly 10 pounds (4.5 kg) since her diagnosis of diabetes six
|| || || || || || || || || || || || || || || || ||
months ago. The clinician decides to start her on cholestyramine. How does this medication
|| || || || || || || || || || || || ||
affect other drugs? - ✔✔Decreases absorption of drugs
|| || || || || || || ||
What agent directly stimulates the dopamine receptor and is used for the treatment of
|| || || || || || || || || || || || || ||
Parkinson disease? - ✔✔Pramipexole || || ||
A 45-year-old patient with extreme obesity is receiving a heparin infusion for a pulmonary
|| || || || || || || || || || || || || ||
embolus. After 12 hours, the patient is noted to have significant epistaxis. The morning
|| || || || || || || || || || || || || ||
laboratory report reveals aPTT 246 sec, K+ 4.6 mmol/l, Na+ 136 mmol/l. Which of the
|| || || || || || || || || || || || || || ||
following drugs can be given to help stop the epistaxis? - ✔✔Promtamine sulfate
|| || || || || || || || || || || ||
A 31-year-old female presents with complaints of shortness of breath, fever, dyspnea on
|| || || || || || || || || || || || ||
exertion, cough, and pleuritic chest pain. Chest radiographs show bilateral pulmonary
|| || || || || || || || || || ||
,2
infiltrates. The patient states that she started an antibiotic for recurrent urinary tract
|| || || || || || || || || || || || ||
infections eight days ago. What antibiotic is most commonly associated with this
|| || || || || || || || || || || ||
presentation? - ✔✔Nitrofurantoin || ||
A 55-year-old man presents to the hospital with complaints of profuse, foul-smelling
|| || || || || || || || || || || ||
diarrhea for one day. The patient was in the usual state of health before this episode and
|| || || || || || || || || || || || || || || || ||
denied eating outside or being in contact with anyone with a similar illness. However, he
|| || || || || || || || || || || || || || ||
recalls visiting his primary care provider two weeks ago to obtain treatment for bacterial
|| || || || || || || || || || || || || ||
sore throat. He denies any significant family or medical history. Which of the following is
|| || || || || || || || || || || || || || ||
the most likely cause of the patient's condition? - ✔✔Previous treatment with amoxicillin/
|| || || || || || || || || || || || ||
clavulanate
Which of the following drugs is most likely to precipitate congestive heart failure? -
|| || || || || || || || || || || || || ||
✔✔Verapamil
A 40-year-old male is currently under treatment for lymphoma. He has been treated with
|| || || || || || || || || || || || || ||
multiple chemotherapeutic agents. On his visit, he complains of paresthesias in his legs that
|| || || || || || || || || || || || ||
include numbness and tingling. Vital signs are pulse rate 70/min, blood pressure 115/75
|| || || || || || || || || || || || || ||
mmHg, respiratory rate 18/min, and temperature 98.6 F (37°C). On examination, there is
|| || || || || || || || || || || || ||
decreased sensation on both the lower limbs and the muscle power is normal. What is the
|| || || || || || || || || || || || || || || ||
mechanism of action of this agent? - ✔✔Inhibits the formation of microtubles || || || || || || || || || || ||
A 70-year-old woman with angina pectoris, liver cirrhosis, and a 40-year pack history
|| || || || || || || || || || || || ||
presents to the emergency department for unrelenting chest pain. She was prescribed 0.5
|| || || || || || || || || || || || ||
mg nitroglycerin tablets a month ago for the acute management of chest pain. She states
|| || || || || || || || || || || || || || ||
that she was taking her dog out for a walk when the chest pain started and that she took the
|| || || || || || || || || || || || || || || || || || ||
prescribed nitroglycerin three times to no avail. When asked about how she took the
|| || || || || || || || || || || || || || ||
nitroglycerin tablet, she says, "I swallowed it as I was told to." What is the most likely reason
|| || || || || || || || || || || || || || || || ||
why the nitroglycerin tablet did not work in treating her chest pain? - ✔✔Incorrect
|| || || || || || || || || || || || || || ||
administration
A 21-year old man is brought to the emergency department in an unconscious state. The
|| || || || || || || || || || || || || || ||
patient is unresponsive with a pulse rate of 90/min, blood pressure of 100/60 mm Hg, and a
|| || || || || || || || || || || || || || || || ||
, 2
respiratory rate of 6/min. His pupils are constricted and nonreactive to the light stimulus.
|| || || || || || || || || || || || || ||
His friends report that he has been into recreational drug abuse. The provider decides to
|| || || || || || || || || || || || || || ||
administer a drug to help him. Where would this drug act? - ✔✔Mu opioid receptors
|| || || || || || || || || || || || || ||
A 33-year-old woman presents to the clinic with complaints of episodes of severe headaches
|| || || || || || || || || || || || || ||
and transient vision loss for the past 15 days. The patient reports that the headaches are
|| || || || || || || || || || || || || || || ||
throbbing in nature, located behind the eyes, aggravated by eye movements, associated with
|| || || || || || || || || || || || ||
nausea, and 7/10 on the severity scale. The patient has no past medical history and does not
|| || || || || || || || || || || || || || || || ||
take any medications. Her current BMI is 28 kg/m2. Currently, she is afebrile and
|| || || || || || || || || || || || || ||
hemodynamically stable. Physical examination reveals an uncomfortable woman with no || || || || || || || || || ||
acute distress. Her visual acuity is 20/60 in both eyes. A fundoscopic examination reveals
|| || || || || || || || || || || || || ||
papilledema. There is a mild decrease in peripheral vision. Which of the following is the || || || || || || || || || || || || || || ||
most appropriate next step in managing this patient? - ✔✔A drug that inhibits carbonic
|| || || || || || || || || || || || || ||
anhydrase
A 65-year-old man complains of a diminished urine stream and reports several trips to the
|| || || || || || || || || || || || || || ||
bathroom to urinate at night, resulting in minimal voids. A digital rectal examination
|| || || || || || || || || || || || ||
reveals an enlarged prostate. Prostate-specific antigen levels are within normal limits. The
|| || || || || || || || || || || ||
patient is started on finasteride 5 mg by mouth daily, and he reports symptomatic resolution
|| || || || || || || || || || || || || ||
six months after initiating therapy. Which of the following is a common adverse effect
|| || || || || || || || || || || || || || ||
associated with this medication? - ✔✔Gynecomastia || || || || ||
A 65-year-old man was referred to the clinic for complaints of abdominal pain, frothiness in
|| || || || || || || || || || || || || || ||
urine, and breathlessness for the past week. He has a history of atrial fibrillation and is
|| || || || || || || || || || || || || || || ||
currently on warfarin for the past 14 months and a history of hypertension, which is
|| || || || || || || || || || || || || || ||
controlled with hydrochlorothiazide. There are signs of edema in the ankle region. The
|| || || || || || || || || || || || ||
renal function test shows a serum creatinine of 6.37 mg/dL and urea of 185 mg/dL. Blood
|| || || || || || || || || || || || || || || ||
reports also show an albumin level of 2.1 g/dl and proteinuria of 2.5 g/day. Renal histology
|| || || || || || || || || || || || || || || ||
revealed occlusion of renal tubules by red blood cell cast. The patient is started renal
|| || || || || || || || || || || || || || ||
replacement therapy. One of the drugs given to him leads to an increase in the levels of
|| || || || || || || || || || || || || || || || ||
bradykinin by blocking its breakdown. Which of the following drug has the same
|| || || || || || || || || || || || ||
mechanism of action as described above? - ✔✔Captopril || || || || || || ||
