NR 565 MIDTERM 2026 QUESTIONS WITH ACCURATE
ANSWERS
12 CDC guidelines when prescribing opioids correct answer 1. Opioids are NOT 1st
line
2. est. goals for pain & Fxn
3. discuss risks and benefits
4. Use IR to start
5. lowest effective dose
6. prescribe short durations for acute pain
7. eval. benefits and harm frequently
8. Use strats to mitigate risk
9. Review PDMP data
10. us UA testing
11. avoid concurrent opioid and Benzo prescribing
12. offer tx for OUD
A 41 year old patient comes into the clinic complaining of increased heart rate
after starting Nitro patches for stable angina. What would an appropriate
response be?
A. Lets lower the dose and frequency of use
B. I will prescribe a beta blocker to help with this
C. Next time this happens, lie down and practice deep breathing, this will bring
your heart rate down. correct answer B. I will prescribe a beta blocker to help
with this
,A 55 year old male comes into the clinic with a gouty arthritis. He states that he
has one flareup a year. Your response is:
A. I will prescribe you glucocorticoids to help with inflammation
B. Lets start you on a prophylactic therapy of colchicine.
C. It will be helpful to take an NSAID to start with to help relieve some
inflammation. Ill prescribe Naproxen. correct answer C. It will be helpful to take
an NSAID to start with to help relieve some inflammation. Ill prescribe Naproxen.
A patient comes in stating that he tried NSAIDS to relieve a gouty attack but it just
hasn't helped. He asks, "what are my options?" He further states that he has
attacks every few years but when he does NSADIS "never help." Your response is:
A. I can prescribe a glucocorticoid (Prednisone) and that will bring down the
inflammation/pain.
B. Have you tried increasing your dosage of NSAIDS and drink plenty of water?
C. Lets start by making some changes in your diet, can you tell me what you eat
regularly? correct answer A. I can prescribe a glucocorticoid (Prednisone) and that
will bring down the inflammation/pain.
A patient with HF develops fibrotic changes, what should the provider do next?
correct answer Prescribe an ARB- inhibits fibrosis
Adverse Effects of Colchicine? correct answer GI
myelosuppression or injury to proliferating cells (leukopenia, granulocytopenia,
thrombocytopenia, and pancytopenia
Myopathy or Rhabdo (long term tx)
, CAUTION: Statins
Allopurinol can cause what condition when taken long-term? correct answer
Hypersensitivity syndrome- rash
fever
eosinophellia,
liver & kidney fxn
SCAR
An 82 year old male visits the clinic complaining that his pain medications "take
forever" to work after he takes his pill. What are possible reasons you can explain
to him?
A. Perhaps we need to increase your dosage.
B. Sometimes as you get older, absorption may be slower resulting in a delayed
response.
C. As we get older the gastric acid decreases and may slow absorption. correct
answer B. Sometimes as you get older, absorption may be slower resulting in a
delayed response.
C. As we get older the gastric acid decreases and may slow absorption.
An 82 yo male visits the clinic complaining that his pain meds "take forever" to
work after he takes his pill. What are possible reasons you can explain to him as
to why this may be happening.
A. Perhaps we need to increase your dose
ANSWERS
12 CDC guidelines when prescribing opioids correct answer 1. Opioids are NOT 1st
line
2. est. goals for pain & Fxn
3. discuss risks and benefits
4. Use IR to start
5. lowest effective dose
6. prescribe short durations for acute pain
7. eval. benefits and harm frequently
8. Use strats to mitigate risk
9. Review PDMP data
10. us UA testing
11. avoid concurrent opioid and Benzo prescribing
12. offer tx for OUD
A 41 year old patient comes into the clinic complaining of increased heart rate
after starting Nitro patches for stable angina. What would an appropriate
response be?
A. Lets lower the dose and frequency of use
B. I will prescribe a beta blocker to help with this
C. Next time this happens, lie down and practice deep breathing, this will bring
your heart rate down. correct answer B. I will prescribe a beta blocker to help
with this
,A 55 year old male comes into the clinic with a gouty arthritis. He states that he
has one flareup a year. Your response is:
A. I will prescribe you glucocorticoids to help with inflammation
B. Lets start you on a prophylactic therapy of colchicine.
C. It will be helpful to take an NSAID to start with to help relieve some
inflammation. Ill prescribe Naproxen. correct answer C. It will be helpful to take
an NSAID to start with to help relieve some inflammation. Ill prescribe Naproxen.
A patient comes in stating that he tried NSAIDS to relieve a gouty attack but it just
hasn't helped. He asks, "what are my options?" He further states that he has
attacks every few years but when he does NSADIS "never help." Your response is:
A. I can prescribe a glucocorticoid (Prednisone) and that will bring down the
inflammation/pain.
B. Have you tried increasing your dosage of NSAIDS and drink plenty of water?
C. Lets start by making some changes in your diet, can you tell me what you eat
regularly? correct answer A. I can prescribe a glucocorticoid (Prednisone) and that
will bring down the inflammation/pain.
A patient with HF develops fibrotic changes, what should the provider do next?
correct answer Prescribe an ARB- inhibits fibrosis
Adverse Effects of Colchicine? correct answer GI
myelosuppression or injury to proliferating cells (leukopenia, granulocytopenia,
thrombocytopenia, and pancytopenia
Myopathy or Rhabdo (long term tx)
, CAUTION: Statins
Allopurinol can cause what condition when taken long-term? correct answer
Hypersensitivity syndrome- rash
fever
eosinophellia,
liver & kidney fxn
SCAR
An 82 year old male visits the clinic complaining that his pain medications "take
forever" to work after he takes his pill. What are possible reasons you can explain
to him?
A. Perhaps we need to increase your dosage.
B. Sometimes as you get older, absorption may be slower resulting in a delayed
response.
C. As we get older the gastric acid decreases and may slow absorption. correct
answer B. Sometimes as you get older, absorption may be slower resulting in a
delayed response.
C. As we get older the gastric acid decreases and may slow absorption.
An 82 yo male visits the clinic complaining that his pain meds "take forever" to
work after he takes his pill. What are possible reasons you can explain to him as
to why this may be happening.
A. Perhaps we need to increase your dose
