ACTUAL EXAM WITH COMPLETE QUESTIONS AND ANSWERS
2025/2026 UPDATED LATEST
Why are nitrate-free periods every 24 hours necessary for the patient on nitroglycerin
therapy? - To inhibit the development of tolerance
What does a low level of thyroid-stimulating hormone indicate? - Hyperthroidism
What would be the best option to treat a newly diagnosed patient with a low TSH level
with? - Propanolol (Inderal)
Spironoaldactone (Aldactone) has what mechanism of action (MOA)? - Aldosterone
antagonist
Heparin exerts its therapeutic action by what? - Upregulating the activity of one of the
body's natural anticoagulant molecules, antithrombin III
, What physiologic action happens when the offending drug is administered during an
anaphylactic reaction. - Mast cells liberate large doses of histamine.
What are two systemic psoriasis medications? - Photo-therapy and topical
corticosteroids
What is the first choice of drug therapy for the majority of patients with uncomplicated
stage I hypertension? - Thiazide diuretics
What is the effect of cardiac glycosides? - Digitalis glycosides have a negative
chronotropic effect on the cardiac muscle cells.
Amenorrhea is the most common side effect of which birth control medication? -
Medroxyprogesterone (Depo-Provera)
What is an anti-hypertensive agent which competes with epinephrine for available beta-
receptor sites? - Atenolol (Tenormin)
What type of action does nitrates have on the body? - Reduction in systemic venous
tone.
What is the recommended level of low-density lipoprotein cholesterol (LDL) for patients
with known coronary artery disease? - 100mg/dl or less.
What is the MOA of group IV anti-dysrhythmia drugs? - Depressing phase 4
depolarization and lengthening phases 1 and 2 repolarization.
Which drug therapy should be used to lower the serum concentration of thyroid
hormones and re-establish eumetabolic state in a patient with Graves' disease? - Anti-
thyroid drugs.
Which type of diuretic would be used for a stage I hypertension in a patient with renal
insufficiency? - Loop diuretic.
What drug should be considered as first-line therapy for a client with hypertension and
heart failure? - Enalapril (Vasotec)
Which drug is considered safe for hypertension treatment during pregnancy? -
Methyldopa (Aldomet)
What drug will reduce afterload because it is an alpha-adrenergic blocker? - Prazosin
(Minipress)
What is an expected effect of the use of a beta-adrenergic blocker to control angina? -
Reduced force of cardiac contraction.