Pharmacology for Care of the Family Midterm Exam Review (Latest
2025/2026) Chamberlain NR 566 Midterm NR566 MIDTERM EXAM
REVIEW /LATEST ADVANCED PHARMACOLOGY FOR CARE OF
FAMILY|A GRADE
Which non-amphetamines are FDA approved for weight loss that have lower abuse risk? ☑
Correct Answer: Phentermine and Diethylpropion
How does Phentermine and Diethylpropion promote weight loss?☑ Correct Answer:
Promote weight loss by decreasing appetite
-They are central nervous system (CNS) stimulants that suppress appetite by increasing the
availability of norepinephrine at receptors in the brain
What is the maximum recommended duration of use for non-amphetamines? ☑ Correct
Answer: 3 months or less
What drug schedule are Phentermine and Diethylpropion under? ☑ Correct Answer:
Schedule IV
,What labs should be monitored with Phentermine and Diethylpropion? What condition should
we screen for?☑ Correct Answer: baseline CMP (watch electrolytes and creatinine)
-screen for depression
Phentermine adverse effects☑ Correct Answer: increase HR and BP
-dry mouth and constipation
What is role of topiramate in weight loss? ☑ Correct Answer: Increases satiety
What are some Phentermine/topiramate contraindications for use? ☑ Correct Answer:
not approved in children and contraindicated with severe hepatic impairment
How should we educate patient to take Phentermine/topiramate to avoid insomnia? ☑
Correct Answer: given before 1600
What are some high-risk patient conditions that we should use Phentermine/topiramate with
caution? ☑ Correct Answer: hx drug abuse, glaucoma, pregnant, HTN, hyperthyroidism
,Phentermine/topiramate adverse effects ☑ Correct Answer: insomnia, nervousness,
anxiety, depression, blurred vision
Which of the following would be a contraindication to prescribing phentermine/topiramate?
Select all that apply. ☑ Correct Answer: A) Glaucoma
B) Hypothyroidism
C) Hypertension
D) Hyperthyroidism
E) Vitamin D Deficiency
F) A, B, E
ANSWER: A,C,D
Orlistat is a lipase inhibitor that acts on the _________ and reduces absorption of fat by 30%.
☑ Correct Answer: GI tract
Take multivitamin ___hours before/after to supplement fat-soluble vitamins that may not be
absorbed well when taking Orlistat. ☑ Correct Answer: 2
, Orlistat is OTC as 60 mg TID with meals. Not approved in children <____. ☑ Correct
Answer: 12
Orlistat results in the least amount of weight loss of all. How much? ☑ Correct Answer:
2-3% body weight (7 lbs in year)
Orlistat adverse effects ☑ Correct Answer: Fecal incontinence, oily rectal leakage, flatus,
abdominal cramps. liver damage (light-colored stools, dark urine, fatigue, jaundice, anorexia)
When is Orlistat contraindicated? ☑ Correct Answer: In those with malabsorption
syndrome or cholestasis
What vitamin deficiency are we concerned about when taking Orlistat...especially if the patient
is on coumadin? ☑ Correct Answer: Monitor Coumadin as Vitamin K deficiency may
occur and intensify effect of Coumadin.
A patient with a BMI of 27 would be considered: ☑ Correct Answer: overweight