NR-565 Advanced Pharmacology Fundamentals Exam Practical Questions and Answers

NR-565 Advanced Pharmacology
Fundamentals Exam Practical Questions and
Answers
Question 1
How does limited prescriptive authority impact patients within the healthcare system?
Correct Answer
longer wait times to sign a prescription
limits practitioners that are needed in rural areas
unequal relationships between providers. Ex. one has more power
high need for providers due to lack of providers and high amounts of patients.
Independent practitioners= more patients being seen= lessens the patient/provider
load



Question 2
CCB role with variant angina
Correct Answer
promote relaxation of coronary artery spasm, increasing cardiac oxygen supply



Question 3
Atherosclerotic Cardiovascular Disease (ASCVD) Risk Score
What is it?
Correct Answer
ASCVD risk assessment is directed at determining the patient's absolute risk of
developing clinical coronary disease over the next 10 years. Defines high risk as
7.5% or greater.
a calculation of your 10-year risk of having a cardiovascular problem, such as a
heart attack or stroke.




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,Question 4
Do you need informed consent for genetic testing?
Correct Answer
yes



Question 5
What can be used in pregnancy if needed? (related to statins and pregnancy)
Correct Answer
ezetimibe and fibrates



Question 6
lifestyle changes for high cholesterol
Correct Answer
Lifestyle changes are non drug measures used to lower LDL. Four main issues are
diet, exercise, weight control, and smoking cessation



Question 7
CYP450 inducer drug names
Correct Answer
Barbituates, St John wort, Carbamazepine, rifampin, alcohol, phenytoin, griseofulvin,
phenobarbital, sulfonylureas



Question 8
What is scope of practice determined by?
Correct Answer
is determined by state practice and licensure laws.




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,Question 9
Drug interactions with Allopurinol
Correct Answer
Mercaptopurine and azathioprine (immunosuppressants)
warfarin
Theophylline
Ampicillin



Question 10
How can we prevent nitro tolerance?
Correct Answer
use lowest effective dosage and long term acting formulations (patches, sustained
release) used on intermittent schedule allowing at least 8 drug free hours every day
(usually at night)



Question 11
A patient comes in stating that he tried NSAIDS to relieve a gouty attack but it hasnt
helped. He asks, "what are my options?" He further states that he has attacks every
few years but when he does NSAIDS do not help. Your response is:
1. I can prescribe a glucocorticoid (prednisone) and that will bring down the
inflammation and pain.
2. Have your tried increasing your dosage of NSAIDS and drink plenty of water?
3. Lets start by making some changes in your diet, can you tell me what you eat
regularly?
Correct Answer
1
3- can also be correct but BEST answer



Question 12
Schedule III
Correct Answer
substances, or chemicals are defined as drugs with a moderate to low potential for
physical and psychological dependence. Abuse potential is less than schedule I and
II drugs, but more than schedule IV




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, Question 13
examples of beta blockers
Correct Answer
end in -lol/-olol
Atenolol, bisoprolol, metoprolol, metoprolol succinate,
Carvedilol, labetalol, nadolol, propranolol, and Sotalol (Betapace®) ​



Question 14
What class of medications to avoid in African Americans?

Correct Answer
ACE inhibitors and ARBS



Question 15
CYP450 pneumonic
Correct Answer
"VISA credit card debt INHIBITS spending on designers like CK to look GQ"



Question 16
Black box warning for hydrocodone
Correct Answer
products that contain Tylenol are associated with hepatotoxicity



Question 17
tolerance does develop?
Correct Answer
euphoria, respiratory depression, and nausea




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