NR565 / NR 565 Advanced Pharmacology Fundamentals
Final Exam - Chamberlain
100% Guarantee Pass
1. The parent of a child with cerebral palsy reports that the child has peb- ble-
like stools most of the time and seems uncomfortable if several days have
passed between stools. Which medication is indicated?
Answer
Polyethylene glycol
2. An older adult patient takes an opioid analgesic after a right-hip open re-
duction internal fixation (ORIF). Which of the medication should be prescribed
to prevent constipation?
Answer
Docusate sodium
3. A patient reports taking an oral bisacodyl laxative for several years. Which
instructions should be given to guide the discontinuation of the laxative?
Answer
- Stop taking the laxative immediately and expect no stool for several days.
,4. A patient who has been taking senna for several days reports that her urine
is yellowish-brown. What is an appropriate response?
Answer
It is an expected, harmless effect of Senna
5. Neena is planning missionary work in a region with poor drinking water.
She is given a prescription for ciprofloxacin to take with her. Which instruc-
tions are most important to discuss with Neena?
Answer
Use the drug if symptoms develop and are severe or do not improve in a few
days.
*avoiding local drinking water and carefully washing foods
6. Which anti-diarrheal medication is contradicted in children during or after
chickenpox and is associated with gray/black stools and black tongue?
Answer
Bis- muth subsalicylate (Pepto Bismol)
7. Why should a patient keep a diary in the aid of diagnosis and treatment
of IBS?
Answer
Patients should keep a log to identify foods and stressors that trigger symptoms
, 8. 1st line treatment for gastroparesis?
Answer
Metoclopramide is recommended first line for N/V due to gastroparesis
9. What labs are used to diagnose thyroid function?
Answer
1. Serum thyroid-stimulat-
ing hormone test (TSH)
Serum thyroxine test (Total or Free T4)
Serum triiodothyronine test (Total or Free T3)
10. s/s hypothyroidism
Answer
Signs and symptoms of hypothyroidism depend on disease severity. The face is pale,
puffy, and expressionless; skin is cold and dry; hair is brittle; hair loss occurs;Heart rate
and temperature are lowered. The patient may complain of lethargy, fatigue, and
intolerance to cold. Mentation may be impaired.
11. s/s hyperthyroidism
Answer
Exophthalmos; Heartbeat is rapid and strong; dysrhyth- mias and angina may
develop; nervousness; insomnia, rapid thought flow; rapid speech; Skeletal muscles
may weaken and atrophy; Metabolic rate is raised, result- ing in increased heat
production, increased body temperature, intolerance to heat, and skin that is warm
Final Exam - Chamberlain
100% Guarantee Pass
1. The parent of a child with cerebral palsy reports that the child has peb- ble-
like stools most of the time and seems uncomfortable if several days have
passed between stools. Which medication is indicated?
Answer
Polyethylene glycol
2. An older adult patient takes an opioid analgesic after a right-hip open re-
duction internal fixation (ORIF). Which of the medication should be prescribed
to prevent constipation?
Answer
Docusate sodium
3. A patient reports taking an oral bisacodyl laxative for several years. Which
instructions should be given to guide the discontinuation of the laxative?
Answer
- Stop taking the laxative immediately and expect no stool for several days.
,4. A patient who has been taking senna for several days reports that her urine
is yellowish-brown. What is an appropriate response?
Answer
It is an expected, harmless effect of Senna
5. Neena is planning missionary work in a region with poor drinking water.
She is given a prescription for ciprofloxacin to take with her. Which instruc-
tions are most important to discuss with Neena?
Answer
Use the drug if symptoms develop and are severe or do not improve in a few
days.
*avoiding local drinking water and carefully washing foods
6. Which anti-diarrheal medication is contradicted in children during or after
chickenpox and is associated with gray/black stools and black tongue?
Answer
Bis- muth subsalicylate (Pepto Bismol)
7. Why should a patient keep a diary in the aid of diagnosis and treatment
of IBS?
Answer
Patients should keep a log to identify foods and stressors that trigger symptoms
, 8. 1st line treatment for gastroparesis?
Answer
Metoclopramide is recommended first line for N/V due to gastroparesis
9. What labs are used to diagnose thyroid function?
Answer
1. Serum thyroid-stimulat-
ing hormone test (TSH)
Serum thyroxine test (Total or Free T4)
Serum triiodothyronine test (Total or Free T3)
10. s/s hypothyroidism
Answer
Signs and symptoms of hypothyroidism depend on disease severity. The face is pale,
puffy, and expressionless; skin is cold and dry; hair is brittle; hair loss occurs;Heart rate
and temperature are lowered. The patient may complain of lethargy, fatigue, and
intolerance to cold. Mentation may be impaired.
11. s/s hyperthyroidism
Answer
Exophthalmos; Heartbeat is rapid and strong; dysrhyth- mias and angina may
develop; nervousness; insomnia, rapid thought flow; rapid speech; Skeletal muscles
may weaken and atrophy; Metabolic rate is raised, result- ing in increased heat
production, increased body temperature, intolerance to heat, and skin that is warm
