PHARMACOLOGY EXAM vc
Exam Solution vc
Advanced Pharm: Final Exam 2026 A+ GRADE ASSURED vc vc vc vc vc vc vc vc
COMPLETE SOLUTIONS AND VERIFIED ANSWERS (07C6 vc vc vc vc vc
0)
QUESTION 1 vc
Charlie is a 65-year- vc vc vc
old male who has been diagnosed with hypertension and benign prostatic hyperplasia. D
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oxazosin has been chosen to treat his hypertension because it: 1. Increases peripheral va
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soconstriction 2. Decreases detrusor muscle contractility 3. Lowers supine blood pressur
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e more than standing pressure 4. Relaxes smooth muscle in the bladder neck
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ANSWER
4. Relaxes smooth muscle in the bladder neck
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QUESTION 2 vc
To reduce potential adverse effects, patients taking a peripherally acting alpha1 antagon
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ist should do all of the following EXCEPT: 1. Take the dose at bedtime 2. Sit up slowly and
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dangle their feet before standing 3. Monitor their blood pressure and skip a dose if the p
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ressure is less than 120/80 4. Weigh daily and report weight gain of greater than 2 poun
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ds in one day
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ANSWER
3. Monitor their blood pressure and skip a dose if the pressure is less than 120/80
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QUESTION 3 vc
Clonidine has several off- vc vc vc
label uses, including: 1. Alcohol and nicotine withdrawal 2. Post-
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herpetic neuralgia 3. Both 1 and 2 4. Neither 1 nor 2
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ANSWER
3. Both 1 and 2
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,QUESTION 4 vc
Jim is being treated for hypertension. Because he has a history of heart attack, the drug c
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hosen is atenolol. Beta blockers treat hypertension by: 1. Increasing heart rate to improv
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e cardiac output 2. Reducing vascular smooth muscle tone 3. Increasing aldosterone-
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mediated volume activity 4. Reducing aqueous humor production
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ANSWER
2. Reducing vascular smooth muscle tone
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QUESTION 5 vc
Which of the following adverse effects are less likely in a beta 1-
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selective blocker? 1. Dysrhythmias 2. Impaired insulin release 3. Reflex orthostatic chan
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ges 4. Decreased triglycerides and cholesterol
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ANSWER
2. Impaired insulin release
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QUESTION 6 vc
Beta blockers are the drugs of choice for exertional angina because they: 1. Improve myo
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cardial oxygen supply by vasodilating the coronary arteries 2. Decrease myocardial oxyg
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en demand by decreasing heart rate and vascular resistance 3. Both 1 and 2 4. Neither 1
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nor 2 vc
ANSWER
2. Decrease myocardial oxygen demand by decreasing heart rate and vascular resistance
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QUESTION 7 vc
Adherence to beta blocker therapy may be affected by their: 1. Short half-
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lives requiring twice daily dosing 2. Tendency to elevate lipid levels 3. Effects on the mal
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e genitalia, which may produce impotence 4. None of the above
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ANSWER
3. Effects on the male genitalia, which may produce impotence
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QUESTION 8 vc
Beta blockers have favorable effects on survival and disease progression in heart failure.
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Treatment should be initiated when the: 1. Symptoms are severe 2. Patient has not resp
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,onded to other therapies 3. Patient has concurrent hypertension 4. Left ventricular dysfu
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nction is diagnosed vc vc
ANSWER
4. Left ventricular dysfunction is diagnosed
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QUESTION 9 vc
Abrupt withdrawal of beta blockers can be life threatening. Patients at highest risk for se
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rious consequences of rapid withdrawal are those with: 1. Angina 2. Coronary artery dis
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ease 3. Both 1 and 2 4. Neither 1 nor 2
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ANSWER
3. Both 1 and 2
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QUESTION 10 vc
To prevent life-
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threatening events from rapid withdrawal of a beta blocker: 1. The dosage interval shoul
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d be increased by 1 hour each day. 2. An alpha blocker should be added to the treatment
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regimen before withdrawal. 3. The dosage should be tapered over a period of weeks. 4. T
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he dosage should be decreased by one-half every 4 days.
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ANSWER
4. The dosage should be decreased by one-half every 4 days.
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QUESTION 11 vc
Beta blockers are prescribed for diabetics with caution because of their ability to produc
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e hypoglycemia and block the common symptoms of it. Which of the following symptoms
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of hypoglycemia is not blocked by these drugs and so can be used to warn diabetics of p
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ossible decreased blood glucose? 1. Dizziness 2. Increased heart rate 3. Nervousness and
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shakiness 4. Diaphoresis vc vc
ANSWER
4. Diaphoresis
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QUESTION 12 vc
Combined alpha- vc
beta antagonists are used to reduce the progression of heart failure because they: 1. Vas
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odilate the peripheral vasculature 2. Decrease cardiac output 3. Increase renal vascular r
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esistance 4. Reduce atherosclerosis secondary to elevated serum lipoproteins
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, ANSWER
1. Vasodilate the peripheral vasculature
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QUESTION 13 vc
Carvedilol is heavily metabolized by CYP2D6 and 2C9, resulting in drug interactions with
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which of the following drug classes? 1. Histamine 2 blockers 2. Quinolones 3. Serotonin r
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e-uptake inhibitors 4. All of the above vc vc vc vc vc vc
ANSWER
4. All of the above
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QUESTION 14 vc
Alpha-
beta blockers are especially effective to treat hypertension for which ethnic group? 1. W
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hite 2. Asian 3. African American 4. Native American
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ANSWER
3. African American
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QUESTION 15 vc
Bethanechol: 1. Increases detrusor muscle tone to empty the bladder 2. Decreases gastri
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c acid secretion to treat peptic ulcer disease 3. Stimulates voluntary muscle tone to impr
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ove strength 4. Reduces bronchial airway constriction to treat asthma
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ANSWER
1. Increases detrusor muscle tone to empty the bladder
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QUESTION 16 vc
Clinical dosing of Bethanechol: 1. Begins at the highest effective dose to obtain a rapid re
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sponse 2. Starts at 5 mg to 10 mg PO and is repeated every hour until a satisfactory clinic
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al response is achieved 3. Requires dosing only once daily 4. Is the same for both the oral
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and parenteral route
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ANSWER
2. Starts at 5 mg to 10 mg PO and is repeated every hour until a satisfactory clinical response is achieve
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d
QUESTION 17 vc
Exam Solution vc
Advanced Pharm: Final Exam 2026 A+ GRADE ASSURED vc vc vc vc vc vc vc vc
COMPLETE SOLUTIONS AND VERIFIED ANSWERS (07C6 vc vc vc vc vc
0)
QUESTION 1 vc
Charlie is a 65-year- vc vc vc
old male who has been diagnosed with hypertension and benign prostatic hyperplasia. D
vc vc vc vc vc vc vc vc vc vc vc vc
oxazosin has been chosen to treat his hypertension because it: 1. Increases peripheral va
vc vc vc vc vc vc vc vc vc vc vc vc vc
soconstriction 2. Decreases detrusor muscle contractility 3. Lowers supine blood pressur
vc vc vc vc vc vc vc vc vc vc
e more than standing pressure 4. Relaxes smooth muscle in the bladder neck
vc vc vc vc vc vc vc vc vc vc vc vc
ANSWER
4. Relaxes smooth muscle in the bladder neck
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QUESTION 2 vc
To reduce potential adverse effects, patients taking a peripherally acting alpha1 antagon
vc vc vc vc vc vc vc vc vc vc vc
ist should do all of the following EXCEPT: 1. Take the dose at bedtime 2. Sit up slowly and
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
dangle their feet before standing 3. Monitor their blood pressure and skip a dose if the p
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
ressure is less than 120/80 4. Weigh daily and report weight gain of greater than 2 poun
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
ds in one day
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ANSWER
3. Monitor their blood pressure and skip a dose if the pressure is less than 120/80
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QUESTION 3 vc
Clonidine has several off- vc vc vc
label uses, including: 1. Alcohol and nicotine withdrawal 2. Post-
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herpetic neuralgia 3. Both 1 and 2 4. Neither 1 nor 2
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ANSWER
3. Both 1 and 2
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,QUESTION 4 vc
Jim is being treated for hypertension. Because he has a history of heart attack, the drug c
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
hosen is atenolol. Beta blockers treat hypertension by: 1. Increasing heart rate to improv
vc vc vc vc vc vc vc vc vc vc vc vc vc
e cardiac output 2. Reducing vascular smooth muscle tone 3. Increasing aldosterone-
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mediated volume activity 4. Reducing aqueous humor production
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ANSWER
2. Reducing vascular smooth muscle tone
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QUESTION 5 vc
Which of the following adverse effects are less likely in a beta 1-
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selective blocker? 1. Dysrhythmias 2. Impaired insulin release 3. Reflex orthostatic chan
vc vc vc vc vc vc vc vc vc vc vc
ges 4. Decreased triglycerides and cholesterol
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ANSWER
2. Impaired insulin release
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QUESTION 6 vc
Beta blockers are the drugs of choice for exertional angina because they: 1. Improve myo
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cardial oxygen supply by vasodilating the coronary arteries 2. Decrease myocardial oxyg
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en demand by decreasing heart rate and vascular resistance 3. Both 1 and 2 4. Neither 1
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nor 2 vc
ANSWER
2. Decrease myocardial oxygen demand by decreasing heart rate and vascular resistance
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QUESTION 7 vc
Adherence to beta blocker therapy may be affected by their: 1. Short half-
vc vc vc vc vc vc vc vc vc vc vc vc
lives requiring twice daily dosing 2. Tendency to elevate lipid levels 3. Effects on the mal
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
e genitalia, which may produce impotence 4. None of the above
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ANSWER
3. Effects on the male genitalia, which may produce impotence
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QUESTION 8 vc
Beta blockers have favorable effects on survival and disease progression in heart failure.
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Treatment should be initiated when the: 1. Symptoms are severe 2. Patient has not resp
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,onded to other therapies 3. Patient has concurrent hypertension 4. Left ventricular dysfu
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nction is diagnosed vc vc
ANSWER
4. Left ventricular dysfunction is diagnosed
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QUESTION 9 vc
Abrupt withdrawal of beta blockers can be life threatening. Patients at highest risk for se
vc vc vc vc vc vc vc vc vc vc vc vc vc vc
rious consequences of rapid withdrawal are those with: 1. Angina 2. Coronary artery dis
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ease 3. Both 1 and 2 4. Neither 1 nor 2
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ANSWER
3. Both 1 and 2
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QUESTION 10 vc
To prevent life-
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threatening events from rapid withdrawal of a beta blocker: 1. The dosage interval shoul
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d be increased by 1 hour each day. 2. An alpha blocker should be added to the treatment
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regimen before withdrawal. 3. The dosage should be tapered over a period of weeks. 4. T
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he dosage should be decreased by one-half every 4 days.
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ANSWER
4. The dosage should be decreased by one-half every 4 days.
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QUESTION 11 vc
Beta blockers are prescribed for diabetics with caution because of their ability to produc
vc vc vc vc vc vc vc vc vc vc vc vc vc
e hypoglycemia and block the common symptoms of it. Which of the following symptoms
vc vc vc vc vc vc vc vc vc vc vc vc vc v
of hypoglycemia is not blocked by these drugs and so can be used to warn diabetics of p
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ossible decreased blood glucose? 1. Dizziness 2. Increased heart rate 3. Nervousness and
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shakiness 4. Diaphoresis vc vc
ANSWER
4. Diaphoresis
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QUESTION 12 vc
Combined alpha- vc
beta antagonists are used to reduce the progression of heart failure because they: 1. Vas
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odilate the peripheral vasculature 2. Decrease cardiac output 3. Increase renal vascular r
vc vc vc vc vc vc vc vc vc vc vc vc
esistance 4. Reduce atherosclerosis secondary to elevated serum lipoproteins
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, ANSWER
1. Vasodilate the peripheral vasculature
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QUESTION 13 vc
Carvedilol is heavily metabolized by CYP2D6 and 2C9, resulting in drug interactions with
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which of the following drug classes? 1. Histamine 2 blockers 2. Quinolones 3. Serotonin r
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e-uptake inhibitors 4. All of the above vc vc vc vc vc vc
ANSWER
4. All of the above
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QUESTION 14 vc
Alpha-
beta blockers are especially effective to treat hypertension for which ethnic group? 1. W
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hite 2. Asian 3. African American 4. Native American
vc vc vc vc vc vc vc vc
ANSWER
3. African American
vc vc
QUESTION 15 vc
Bethanechol: 1. Increases detrusor muscle tone to empty the bladder 2. Decreases gastri
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c acid secretion to treat peptic ulcer disease 3. Stimulates voluntary muscle tone to impr
vc vc vc vc vc vc vc vc vc vc vc vc vc vc
ove strength 4. Reduces bronchial airway constriction to treat asthma
vc vc vc vc vc vc vc vc vc
ANSWER
1. Increases detrusor muscle tone to empty the bladder
vc vc vc vc vc vc vc vc
QUESTION 16 vc
Clinical dosing of Bethanechol: 1. Begins at the highest effective dose to obtain a rapid re
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sponse 2. Starts at 5 mg to 10 mg PO and is repeated every hour until a satisfactory clinic
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
al response is achieved 3. Requires dosing only once daily 4. Is the same for both the oral
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and parenteral route
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ANSWER
2. Starts at 5 mg to 10 mg PO and is repeated every hour until a satisfactory clinical response is achieve
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d
QUESTION 17 vc
