NUR 600: ADVANCED CLINICAL PHARMACOLOGY: EXAM 5
QUESTIONS WITH COMPLETE SOLUTIONS
1) Which condition would be a contraindication for use of an antimuscarinic agent in
a patient?
A) Dysphagia
B) Diabetes mellitus
C) Urinary retention
D) Gout -- Correct Answer ✔✔ c. Urinary retention
2) Which of the following medications is considered to be a nonselective alpha
blocker?
A) Alfuzosin
B) Tamsulosin
C) Doxazosin
D) Prazosin -- Correct Answer ✔✔ b. Tamsulosin
3) Which of the following drugs is used for benign prostatic hypertrophy (BPH) and
has the greatest potential for causing orthostatic hypotension?
A) Alfuzosin
B) Tamsulosin
C) Doxazosin
, D) Prazosin -- Correct Answer ✔✔ b. Tamsulosin
4) Which of the following medications, if crushed, may have teratogenic effects in a
male fetus if the patient's female sex partner is exposed to it?
A) Dutasteride
B) Finasteride
C) Doxazosin
D) Prazosin -- Correct Answer ✔✔ b. Finasteride
5) Which of the following drugs are considered to be second-generation
antimuscarinic drugs? Select all that apply.
A) Darifenacin
B) Oxybutynin
C) Solifenacin
D) Tolterodine
E) Trospium -- Correct Answer ✔✔ a. Darifenacin, c. Solifenacin, e.
Trospium
6) The goals of treatment when prescribing for sexually transmitted infections
include:
A) Treatment of infection
B) Prevention of disease spread
C) Prevention of long-term sequelae from the infection
D) All of the above -- Correct Answer ✔✔ D. All of the above
7) The drug of choice for treatment of primary or secondary syphilis is:
A) Ceftriaxone IM
B) Benzathine penicillin G IM
C) Oral azithromycin
D) Oral ciprofloxacin -- Correct Answer ✔✔ B. Benzathine penicillin
G IM
8) The drug of choice for treatment of early latent or tertiary syphilis is:
A) Ceftriaxone IM
, B) Benzathine penicillin G IM
C) Oral azithromycin
D) Oral ciprofloxacin -- Correct Answer ✔✔ B. Benzathine penicillin
G IM
9) Demione is a 24 year old who is 32 weeks pregnant and has tested positive for
syphilis. The best treatment for her would be:
A) IM ceftriaxone
B) IM benzathine penicillin G
C) Oral azithromycin
D) Any of the above -- Correct Answer ✔✔ B. IM benzathine
penicillin G
10) Treatment for suspected gonorrhea is:
A) Ceftriaxone 250 mg IM x 1
B) Ceftriaxone 2 grams IM x 1
C) Ciprofloxacin 500 mg PO x 1
D) Doxycycline 100 mg BID x 7 days -- Correct Answer ✔✔ A.
Ceftriaxone 250 mg IM x 1
11) When treating suspected gonorrhea in a non-pregnant patient, the patient should
be concurrently treated for Chlamydia with:
A) Azithromycin 1 gram PO x 1
B) Amoxicillin 500 mg PO x 1
C) Ciprofloxacin 500 mg PO x 1
D) Penicillin G 2.4 million units IM x 1 -- Correct Answer ✔✔ A.
Azithromycin 1 gram PO x 1
12) Ongoing monitoring is essential after treating for gonorrhea. The patient should
be rescreened for gonorrhea and Chlamydia in:
A) 4 weeks
B) 3 to 6 weeks
C) 3 to 6 months
D) 1 year -- Correct Answer ✔✔ C. 3 to 6 months
QUESTIONS WITH COMPLETE SOLUTIONS
1) Which condition would be a contraindication for use of an antimuscarinic agent in
a patient?
A) Dysphagia
B) Diabetes mellitus
C) Urinary retention
D) Gout -- Correct Answer ✔✔ c. Urinary retention
2) Which of the following medications is considered to be a nonselective alpha
blocker?
A) Alfuzosin
B) Tamsulosin
C) Doxazosin
D) Prazosin -- Correct Answer ✔✔ b. Tamsulosin
3) Which of the following drugs is used for benign prostatic hypertrophy (BPH) and
has the greatest potential for causing orthostatic hypotension?
A) Alfuzosin
B) Tamsulosin
C) Doxazosin
, D) Prazosin -- Correct Answer ✔✔ b. Tamsulosin
4) Which of the following medications, if crushed, may have teratogenic effects in a
male fetus if the patient's female sex partner is exposed to it?
A) Dutasteride
B) Finasteride
C) Doxazosin
D) Prazosin -- Correct Answer ✔✔ b. Finasteride
5) Which of the following drugs are considered to be second-generation
antimuscarinic drugs? Select all that apply.
A) Darifenacin
B) Oxybutynin
C) Solifenacin
D) Tolterodine
E) Trospium -- Correct Answer ✔✔ a. Darifenacin, c. Solifenacin, e.
Trospium
6) The goals of treatment when prescribing for sexually transmitted infections
include:
A) Treatment of infection
B) Prevention of disease spread
C) Prevention of long-term sequelae from the infection
D) All of the above -- Correct Answer ✔✔ D. All of the above
7) The drug of choice for treatment of primary or secondary syphilis is:
A) Ceftriaxone IM
B) Benzathine penicillin G IM
C) Oral azithromycin
D) Oral ciprofloxacin -- Correct Answer ✔✔ B. Benzathine penicillin
G IM
8) The drug of choice for treatment of early latent or tertiary syphilis is:
A) Ceftriaxone IM
, B) Benzathine penicillin G IM
C) Oral azithromycin
D) Oral ciprofloxacin -- Correct Answer ✔✔ B. Benzathine penicillin
G IM
9) Demione is a 24 year old who is 32 weeks pregnant and has tested positive for
syphilis. The best treatment for her would be:
A) IM ceftriaxone
B) IM benzathine penicillin G
C) Oral azithromycin
D) Any of the above -- Correct Answer ✔✔ B. IM benzathine
penicillin G
10) Treatment for suspected gonorrhea is:
A) Ceftriaxone 250 mg IM x 1
B) Ceftriaxone 2 grams IM x 1
C) Ciprofloxacin 500 mg PO x 1
D) Doxycycline 100 mg BID x 7 days -- Correct Answer ✔✔ A.
Ceftriaxone 250 mg IM x 1
11) When treating suspected gonorrhea in a non-pregnant patient, the patient should
be concurrently treated for Chlamydia with:
A) Azithromycin 1 gram PO x 1
B) Amoxicillin 500 mg PO x 1
C) Ciprofloxacin 500 mg PO x 1
D) Penicillin G 2.4 million units IM x 1 -- Correct Answer ✔✔ A.
Azithromycin 1 gram PO x 1
12) Ongoing monitoring is essential after treating for gonorrhea. The patient should
be rescreened for gonorrhea and Chlamydia in:
A) 4 weeks
B) 3 to 6 weeks
C) 3 to 6 months
D) 1 year -- Correct Answer ✔✔ C. 3 to 6 months
