PHARM HESI REVIEW 1ST AND 2ND
ATTEMPT NEW LATEST MODIFIED
1. Male athlete, small testicles = ask about steroids
2. Tylenol OD = ASD, ALT – liver enzymes
3. GERD (Lansoprazole) = takes several weeks to take effect
4. IV med given, how long will it take = migraine relief within 15 min.
5. Oily stool = ask what they have been eating
6. Gentomycin = decreased hearing loss
7. HIV patient = causes liver problems (liver enzymes)
8. Lithium before you start test = creatine check – kidney test
9. Vitamin D overdose, how do you tell? = Calcium 12 (norm 9-10.5)
10. Synthroid toxicity (for hyperthyroidism) = jittery and restlessness
11. Infected foot (Lamisil) = HX of alochol
12. On Coumadin = don’t walk barefoot
13. Dilantin = gingival hyperplasia
14. Patient in ER, nurse concerned = Digoxin and Lasix
15. Planning on pregnant (Accutane) = wait a month
16. Prozac = wait 5 weeks before starting
Page 1 of 5
, 17. Parkinson’s patient, wife calls = ask what meds he’s taking
18. Patient taking Aldectone (Aldactone) = check electrolytes
19. Aricept (Dementia) = altered thought process
20. Glaucoma patient = pupils take longer to respond
21. Bactrim and TM2, why together? = two drugs kill the bacteria
22. Eliminate resistance to antibiotics = don’t use when you have flu or cold
23. Allergic to cephalosporin (cypro), don’t take what? = Penicillin
24. GI upset, patient wants to stop meds = don’t stop abruptly
25. Glucagon Diabetes type 1 = hypoglycemia (severe signs)
26. Metformin = diuresis and jittery
27. Toradol = give with meals
28. Tetracycline = don’t go in sunlight
29. Tensilon pearls, what is the effect of it? = reduces cough (denies cough)
30. Patient taking new med, gained 5 lbs = check lung sounds
31. Dopamine, IV site swollen = withdraw 5mL
32. Problem with bladder, how is med effective? = intake and output is equal
33. Myasthenia gravis, how is Tensilon effected? = decreased muscle
weakness
34. Theophylline, COPD = palpitation, restlessness and ____
35. Taking Rifampine, needs more teaching = still take oral birth control
36. Peak and trough question = trough before the 4th dose
Page 2 of 5
ATTEMPT NEW LATEST MODIFIED
1. Male athlete, small testicles = ask about steroids
2. Tylenol OD = ASD, ALT – liver enzymes
3. GERD (Lansoprazole) = takes several weeks to take effect
4. IV med given, how long will it take = migraine relief within 15 min.
5. Oily stool = ask what they have been eating
6. Gentomycin = decreased hearing loss
7. HIV patient = causes liver problems (liver enzymes)
8. Lithium before you start test = creatine check – kidney test
9. Vitamin D overdose, how do you tell? = Calcium 12 (norm 9-10.5)
10. Synthroid toxicity (for hyperthyroidism) = jittery and restlessness
11. Infected foot (Lamisil) = HX of alochol
12. On Coumadin = don’t walk barefoot
13. Dilantin = gingival hyperplasia
14. Patient in ER, nurse concerned = Digoxin and Lasix
15. Planning on pregnant (Accutane) = wait a month
16. Prozac = wait 5 weeks before starting
Page 1 of 5
, 17. Parkinson’s patient, wife calls = ask what meds he’s taking
18. Patient taking Aldectone (Aldactone) = check electrolytes
19. Aricept (Dementia) = altered thought process
20. Glaucoma patient = pupils take longer to respond
21. Bactrim and TM2, why together? = two drugs kill the bacteria
22. Eliminate resistance to antibiotics = don’t use when you have flu or cold
23. Allergic to cephalosporin (cypro), don’t take what? = Penicillin
24. GI upset, patient wants to stop meds = don’t stop abruptly
25. Glucagon Diabetes type 1 = hypoglycemia (severe signs)
26. Metformin = diuresis and jittery
27. Toradol = give with meals
28. Tetracycline = don’t go in sunlight
29. Tensilon pearls, what is the effect of it? = reduces cough (denies cough)
30. Patient taking new med, gained 5 lbs = check lung sounds
31. Dopamine, IV site swollen = withdraw 5mL
32. Problem with bladder, how is med effective? = intake and output is equal
33. Myasthenia gravis, how is Tensilon effected? = decreased muscle
weakness
34. Theophylline, COPD = palpitation, restlessness and ____
35. Taking Rifampine, needs more teaching = still take oral birth control
36. Peak and trough question = trough before the 4th dose
Page 2 of 5
