NR 565||(NR 565 ) FINAL EXAM/ MIDTERM EXAM
QUESTIONS WITH ACCURATE ANSWERS
*Treating GERD during pregnancy
*Which cytoprotective agents would be used correct answer *Esomeprazole, and
Ranitidine are safe
*Sucralfate (Carafate)
A1c - Older Adult goal correct answer
A1C General goals correct answer less than 7%, less than 8% in patients with
severe hypoglycemia, limited life expectancy, or advanced microvascular or
macrovascular complications
Action of Insulin correct answer Anabolic-promotes conservation of energy and
buildup of energy stores (Glycogen)
Stimulates cellular transport (Uptake) of glucose, amino acids, nucleotides & K
Promotes synthesis of complex molecules
Glucose ⇒ Glycogen, Amino Acids ⇒ Proteins, Fatty Acids ⇒ Triglycerides
Promotes cellular growth and division
Energy conservation
Anti-diarrheal o Which one contradicted in children during or after chickenpox
correct answer Bismuth subsalicylate (Pepto Bismol) increase risk of Reye's
syndrome
Asthma & COPD o Step 1 therapy correct answer •SABA → PRN
,At what point would an oral steroid be prescribed? correct answer Only when
symptoms cannot be controlled with safer medications.
May be required for patients with moderate to severe persistent asthma or for
management of acute exacerbations of asthma or COPD.
At what time interval should A1c be re-checked? correct answer every 3 months
until A1C drops below 7% and then every 6 months thereafter.
Be familiar with abbreviations of diabetic drug classifications (GLP-1, TZD, DPP4-I,
SGLT2i) correct answer GLP-1: Glucagon-like Peptide -1 Receptor Agonist
TZD: Thiazolidinediones (Glitazones)
DPP-4i: Dipeptidyl Peptidase- 4 Inhibitors (Gliptins)
SGLT2i: Sodium-Glucose Cotransporter 2 Inhibitors
Black box warning associated with gastroparesis treatment correct answer long-
term high-dose therapy can cause irreversible tardive dyskinesia, characterized by
repetitive, involuntary movements of the arms, legs, and facial muscles.
Contraindicated in patients with GI obstruction, perforation, or hemorrhage.
Bupropion Recommended length of treatment correct answer Daily for 12 weeks,
if abstinence is achieved, an additional 12 weeks of treatment is warranted.
Treatment should begin 8-35 days before smoking cessation.
Catecholamines and Levothyroxine Interaction correct answer ↑'d cardiac
responsiveness - at an increased risk of catecholamine - induced dysrhythmias
Digoxin and insulin
, May need to have ↑'d dosages of these if patient is taking levothyroxine
Complete this sentence: Manage with a ______ as needed. correct answer SABA
Constipation o Lifestyle modifications to suggest prior to treatment correct
answer •Increasing fiber and fluid in diet
*Mild exercise, especially after meals
Definition of vaccine correct answer a preparation containing whole or
fractionated microorganisms. Administration causes the recipient's immune
system to manufacture antibodies directed against the microbe.
Drug/Food/Supplement interactions with levothyroxine Absorption REDUCED by:
correct answer Histamine 2 receptor blockers (Cimetidine [Tagamet])
Proton pump inhibitors (Lansoprazole)
Sucralfate (Carafate)
Cholestyramine (Questran)
Colestipol (Colestid)
Aluminum containing antacids (maalox, mylanta)
Calcium supplements (tums, os-cal)
Iron supplements
Magnesium salts
Orlistat (Xenical)
* 4 hours between levothyroxine and the above meds is recommended and food
reduces absorption as well
QUESTIONS WITH ACCURATE ANSWERS
*Treating GERD during pregnancy
*Which cytoprotective agents would be used correct answer *Esomeprazole, and
Ranitidine are safe
*Sucralfate (Carafate)
A1c - Older Adult goal correct answer
A1C General goals correct answer less than 7%, less than 8% in patients with
severe hypoglycemia, limited life expectancy, or advanced microvascular or
macrovascular complications
Action of Insulin correct answer Anabolic-promotes conservation of energy and
buildup of energy stores (Glycogen)
Stimulates cellular transport (Uptake) of glucose, amino acids, nucleotides & K
Promotes synthesis of complex molecules
Glucose ⇒ Glycogen, Amino Acids ⇒ Proteins, Fatty Acids ⇒ Triglycerides
Promotes cellular growth and division
Energy conservation
Anti-diarrheal o Which one contradicted in children during or after chickenpox
correct answer Bismuth subsalicylate (Pepto Bismol) increase risk of Reye's
syndrome
Asthma & COPD o Step 1 therapy correct answer •SABA → PRN
,At what point would an oral steroid be prescribed? correct answer Only when
symptoms cannot be controlled with safer medications.
May be required for patients with moderate to severe persistent asthma or for
management of acute exacerbations of asthma or COPD.
At what time interval should A1c be re-checked? correct answer every 3 months
until A1C drops below 7% and then every 6 months thereafter.
Be familiar with abbreviations of diabetic drug classifications (GLP-1, TZD, DPP4-I,
SGLT2i) correct answer GLP-1: Glucagon-like Peptide -1 Receptor Agonist
TZD: Thiazolidinediones (Glitazones)
DPP-4i: Dipeptidyl Peptidase- 4 Inhibitors (Gliptins)
SGLT2i: Sodium-Glucose Cotransporter 2 Inhibitors
Black box warning associated with gastroparesis treatment correct answer long-
term high-dose therapy can cause irreversible tardive dyskinesia, characterized by
repetitive, involuntary movements of the arms, legs, and facial muscles.
Contraindicated in patients with GI obstruction, perforation, or hemorrhage.
Bupropion Recommended length of treatment correct answer Daily for 12 weeks,
if abstinence is achieved, an additional 12 weeks of treatment is warranted.
Treatment should begin 8-35 days before smoking cessation.
Catecholamines and Levothyroxine Interaction correct answer ↑'d cardiac
responsiveness - at an increased risk of catecholamine - induced dysrhythmias
Digoxin and insulin
, May need to have ↑'d dosages of these if patient is taking levothyroxine
Complete this sentence: Manage with a ______ as needed. correct answer SABA
Constipation o Lifestyle modifications to suggest prior to treatment correct
answer •Increasing fiber and fluid in diet
*Mild exercise, especially after meals
Definition of vaccine correct answer a preparation containing whole or
fractionated microorganisms. Administration causes the recipient's immune
system to manufacture antibodies directed against the microbe.
Drug/Food/Supplement interactions with levothyroxine Absorption REDUCED by:
correct answer Histamine 2 receptor blockers (Cimetidine [Tagamet])
Proton pump inhibitors (Lansoprazole)
Sucralfate (Carafate)
Cholestyramine (Questran)
Colestipol (Colestid)
Aluminum containing antacids (maalox, mylanta)
Calcium supplements (tums, os-cal)
Iron supplements
Magnesium salts
Orlistat (Xenical)
* 4 hours between levothyroxine and the above meds is recommended and food
reduces absorption as well
