NURS 613 advanced pharmacology EXAM A+ GRADE ASSURED COMPLETE SOLUTIONS AND VERIFIED ANSWERS LATEST UPDATE!!!!

PHARMACOLOGY EXAM zm




Exam Solution zm




Maryville Pharmacology Exam 1 2026 A+ GRADE ASSU zm zm zm zm zm zm zm




RED COMPLETE SOLUTIONS AND VERIFIED ANSWERS (
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E1274)




QUESTION 1 zm




What are the 5 WHO prescribing guidelines?
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ANSWER

1. define the pt's problem 2. Specify therapeutic objectives 3. choose which drug or treatment is nee
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ded 4. Write the Rx and start tx 5. Educate and counsel the pt 6. monitor effect of treatment
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QUESTION 2 zm




WHO rx guideline 1 zm zm zm




ANSWER

Define the pt's problem . This forms the basis for choosing and rx-
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ing the correct treatment. Consultation should include: complaints, symptoms, diagnosis and relevant
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mcharacteristics like co-morbidities, co-medication, pregnancy, drug allergies
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QUESTION 3 zm




WHO rx guideline 2 zm zm zm




ANSWER

Specify the therapeutic objective. What needs to be treated?
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QUESTION 4 zm




WHO rx guideline 3 zm zm zm




ANSWER

,3a. select the p-drug (prescribers personal drug of first choice for the indication.) 3b. Is the p-
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drug appropriate? checking for contraindications, interactions, pregnancy, allergies, etc.
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QUESTION 5 zm




WHO rx guideline 4
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ANSWER

Write rx and start the treatment.
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QUESTION 6 zm




WHO rx guideline 5
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ANSWER

Educate and counsel the pt. Intructions and warnings about the tx.
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QUESTION 7 zm




WHO rx 6 zm zm




ANSWER

Monitor the treatment. zm zm




QUESTION 8 zm




Coreg (Carvedilol) zm




ANSWER

*beta blocker used to treat mild to severe CHF, left ventricular dysfunction following MI, HTN. *wor
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ks by causing vasodilation to the peripheral vasculature to decrease the workload on the heart. *No
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n selective beta blocker and Alpha-
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1 blocker *3rd generation beta blocker *particularly useful in African Americans *Dose: 0.625 mg-
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25mg PO BID with food *administering with food helps prevent postural hypotension *Education: do
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n't skip doses, take with food
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QUESTION 9 zm




hypersensitivty reactions: mnemonic ACID zm zm zm




ANSWER

1. A-allergic 2.C-cytotoxic 3.I- Immune complex deposition 4. D-delayed
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, QUESTION 10 zm




Type I hypersensitivity
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ANSWER

A-allergic *IgE mediated- zm zm



quick onset after exposure *production of IgE after antigen exposure. *urticaria, wheezing, rhinitis,
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anaphylaxis



QUESTION 11 zm




Type II hypersensitivity
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ANSWER

C-cytotoxic *cytotoxic/antibody mediated * drug binds to RBCs and is recognized by antibody-
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usually IgG *complement and cytotoxic T cells are activated *Rare response
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QUESTION 12 zm




Type III hypersensitivity
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ANSWER

I-immune complex/IgG/IgM mediated *antibodies are formed against soluble antigens. ANtigen-
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antibody complexes are deposited in tissues such as joints and lungs. *cause serum sickness. Ex: cecl
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or (antibiotic)
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QUESTION 13 zm




Type IV hypersensitivity
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ANSWER

D-delayed-
delayed or cell mediated *cytotoxic T cells are activated *poison ivy, latex, etc *causes contact derm
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atitis *cytokine storm if there is repeated exposure
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QUESTION 14 zm




Grapefruit juice zm




ANSWER

*increases drug toxicity *don't drink with SSRIs, calcium channel blockers, statins, benzos *increases
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absorption and decreases the metabolism
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QUESTION 15 zm