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NR565 WEEK 8 FINAL EXAM STUDY GUIDE:
ADVANCED PHARMACOLOGY FUNDAMENTALS
COMPLETE PRACTICE EXAMINATION | 150+
HIGH-YIELD QUESTIONS WITH DETAILED
RATIONALES | BASED ON CHAMBERLAIN
UNIVERSITY NR565 COURSE | 2026-2027
EDITION
Table of Contents
| Module | Topic Area | Questions |
| 1 | Thyroid Disorders (Hypothyroidism, Hyperthyroidism) | 15 |
| 2 | Diabetes Mellitus Management | 20 |
| 3 | Respiratory Pharmacology (Asthma, COPD) | 15 |
| 4 | Cardiovascular Pharmacology & Hypertension | 20 |
| 5 | Substance Use Disorders & Pain Management | 10 |
| 6 | Immunizations & Infectious Diseases | 10 |
| 7 | Gastrointestinal & Rheumatologic Disorders | 10 |
| 8 | Dermatologic & Topical Agents | 10 |
| 9 | NGN/Clinical Case Studies | 15 |
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# Section 1: Thyroid Disorders (15 Questions)
**Question 1.**
A patient has a TSH of 0.28 mIU/L, free T4 of 3.0 ng/dL, and free T3
over 650 pg/dL. Which medication should she be started on?
A) Levothyroxine
B) Methimazole or PTU
C) Liothyronine
D) Propranolol only
**Answer:** B) Methimazole or PTU
**Rationale:** Low TSH with elevated free T4 and T3 indicates
hyperthyroidism. Treatment options include methimazole,
propylthiouracil (PTU), or radioactive iodine. Beta-blockers
(propranolol) are used for symptom control but do not treat the
underlying hyperthyroidism.
---
**Question 2.**
What does a low level of thyroid-stimulating hormone (TSH) indicate?
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A) Hypothyroidism
B) Hyperthyroidism
C) Euthyroid state
D) Thyroiditis
**Answer:** B) Hyperthyroidism
**Rationale:** Low TSH with normal/high T4 indicates
hyperthyroidism. TSH is suppressed when thyroid hormone levels are
elevated due to negative feedback on the anterior pituitary.
---
**Question 3.**
When should TSH levels be rechecked after initiating levothyroxine
therapy?
A) 2 weeks
B) 4 weeks
C) 6-8 weeks
D) 3 months
**Answer:** C) 6-8 weeks
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**Rationale:** TSH should be rechecked 6-8 weeks after initiating
therapy and after any dosage change. Once stabilized, check TSH at
least once a year.
---
**Question 4.**
Which of the following are signs and symptoms of hyperthyroidism?
(Select all that apply)
□ Bradycardia and cold intolerance
□ Tachycardia and palpitations
□ Weight loss with increased appetite
□ Lethargy and fatigue
□ Heat intolerance and warm, moist skin
□ Exophthalmos (in Graves' disease)
**Answer:** Tachycardia and palpitations, Weight loss with increased
appetite, Heat intolerance and warm, moist skin, Exophthalmos
**Rationale:** Hyperthyroidism causes increased metabolic rate:
tachycardia, weight loss despite increased appetite, heat intolerance,
warm moist skin, nervousness, tremors, and exophthalmos in Graves'
disease. Bradycardia, cold intolerance, and lethargy are signs of
hypothyroidism.
NR565 WEEK 8 FINAL EXAM STUDY GUIDE:
ADVANCED PHARMACOLOGY FUNDAMENTALS
COMPLETE PRACTICE EXAMINATION | 150+
HIGH-YIELD QUESTIONS WITH DETAILED
RATIONALES | BASED ON CHAMBERLAIN
UNIVERSITY NR565 COURSE | 2026-2027
EDITION
Table of Contents
| Module | Topic Area | Questions |
| 1 | Thyroid Disorders (Hypothyroidism, Hyperthyroidism) | 15 |
| 2 | Diabetes Mellitus Management | 20 |
| 3 | Respiratory Pharmacology (Asthma, COPD) | 15 |
| 4 | Cardiovascular Pharmacology & Hypertension | 20 |
| 5 | Substance Use Disorders & Pain Management | 10 |
| 6 | Immunizations & Infectious Diseases | 10 |
| 7 | Gastrointestinal & Rheumatologic Disorders | 10 |
| 8 | Dermatologic & Topical Agents | 10 |
| 9 | NGN/Clinical Case Studies | 15 |
,2|Page
# Section 1: Thyroid Disorders (15 Questions)
**Question 1.**
A patient has a TSH of 0.28 mIU/L, free T4 of 3.0 ng/dL, and free T3
over 650 pg/dL. Which medication should she be started on?
A) Levothyroxine
B) Methimazole or PTU
C) Liothyronine
D) Propranolol only
**Answer:** B) Methimazole or PTU
**Rationale:** Low TSH with elevated free T4 and T3 indicates
hyperthyroidism. Treatment options include methimazole,
propylthiouracil (PTU), or radioactive iodine. Beta-blockers
(propranolol) are used for symptom control but do not treat the
underlying hyperthyroidism.
---
**Question 2.**
What does a low level of thyroid-stimulating hormone (TSH) indicate?
,3|Page
A) Hypothyroidism
B) Hyperthyroidism
C) Euthyroid state
D) Thyroiditis
**Answer:** B) Hyperthyroidism
**Rationale:** Low TSH with normal/high T4 indicates
hyperthyroidism. TSH is suppressed when thyroid hormone levels are
elevated due to negative feedback on the anterior pituitary.
---
**Question 3.**
When should TSH levels be rechecked after initiating levothyroxine
therapy?
A) 2 weeks
B) 4 weeks
C) 6-8 weeks
D) 3 months
**Answer:** C) 6-8 weeks
, 4|Page
**Rationale:** TSH should be rechecked 6-8 weeks after initiating
therapy and after any dosage change. Once stabilized, check TSH at
least once a year.
---
**Question 4.**
Which of the following are signs and symptoms of hyperthyroidism?
(Select all that apply)
□ Bradycardia and cold intolerance
□ Tachycardia and palpitations
□ Weight loss with increased appetite
□ Lethargy and fatigue
□ Heat intolerance and warm, moist skin
□ Exophthalmos (in Graves' disease)
**Answer:** Tachycardia and palpitations, Weight loss with increased
appetite, Heat intolerance and warm, moist skin, Exophthalmos
**Rationale:** Hyperthyroidism causes increased metabolic rate:
tachycardia, weight loss despite increased appetite, heat intolerance,
warm moist skin, nervousness, tremors, and exophthalmos in Graves'
disease. Bradycardia, cold intolerance, and lethargy are signs of
hypothyroidism.
