NR 565 FINAL EXAM -
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NR 565 ADVANCED PHARMACOLOGY CHAMBERLAI
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N UNIVERSITY QUESTIONS AND DETAILED ANSWER
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S 2026 LATEST UPDATED EXAM BANK INCLUDING EX
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PERT VERIFIED SOLUTIONS FOR A SURE PASS
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In which patient population is Metformin contraindicated in?
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A. Diabetics with HA1c < 7.0% v v v v
B. Patients older than 50 v v v
C. Alcoholics
D. Women suffering from infertility v v v - ANSWER:
v C. Alcoholics
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What lab value suggests metformin might be contraindicated?
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A. eGFR <30 v
B. Crea 0.8 v
C. WBC 7.8 v
D. Bun 17 v - ANSWER:
v A. eGFR <30
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What medication is contraindicated to treat diabetes if a patient already has a cardiac
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ejection fraction rate of 40%?
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A. Second Generation sulfonyureas v v
B. Thiazolidinediones
C. Dopamine Agonist v
D. Glucosidase Inhibitor v - ANSWER:
v B. Thiazolidinediones
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Sabrina is a 35-year- v v v
old female who presents with complaints of fatigue, anxiety, and palpitations. She ha
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s a long history of obesity and reports that she is happy that she has lost 23 pounds in t
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he last 2 months. She also reports that she has trouble sleeping and her husband comp
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lains that she is keeping the house too cold.
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Physical exam reveals slight tachycardia at 104 bpm and a slightly enlarged thyr
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oid. Thyroid testing reveals hyperthyroidism or Grave's disease.
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Which of the following agents is the first-
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line treatment for hyperthyroidism or Grave's disease?
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A. Methimazole
B. Metoprolol
C. Allopurinol
D. Levothyroxine - ANSWER:
v A. Methimazole
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Which of the following medications would be considered the first line of treatment fo
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r a newly diagnosed Diabetic patient with adequate renal and hepatic function?
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A: NovoLog Sliding Scale Insulin B:
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Liraglutide (Victoza)
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C: Oral Metformin
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D: Glipizide
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v C: Oral Metformin
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Of the following medications, which is most likely to cause hypoglycemia?
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A. Metformin
B. Insulin
C. Incretin mimetics v
D. Thiazolidinediones - ANSWER:
v B. Insulin
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Which symptoms are most expected of a patient diagnosed with hypothyroidism?
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A. shortness of breath, wheezing, fatigue v v v v
B. tachycardia, insomnia, weight loss, goiter v v v v
C. irritability, anxiety, dizziness, increased sweating
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D. dry pale skin, brittle hair, fatigue, myxedema
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D. dry skin, brittle hair, fatigue, myxedema
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Patients with an increased risk for UTIs and genital infections or an active diagnosis,
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should avoid what drug class/es for treatment of Type II Diabetes?
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A. Thiazolidinediones (Glitazones) v
B. Biguanide.
C. Sodium-Glucose Cotransporter 2 (SGLT-2) Inhibitors. v v v v
D. All of the above.
v - ANSWER: C. Sodium-
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Glucose Cotransporter 2 (SGLT-2) Inhibitors.
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A 45-year-
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old patient with a history of type 2 diabetes presents to the clinic for a follow-
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up appointment. The healthcare provider has prescribed metformin as part of the tre
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atment plan. Which of the following statements regarding metformin is correct?
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A. Metformin primarily stimulates insulin production from the pancreas.
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B. Metformin reduces glucose levels primarily by decreasing insulin resistance.
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C. Metformin is associated with a risk of hypoglycemia.
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D. Metformin improves insulin sensitivity and reduces hepatic glucose production.
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- ANSWER:
D. Metformin improves insulin sensitivity and reduces hepatic glucose product
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ion.
In what part of the body are SGLT-2 (sodium-glucose cotransporter 2) inhibitors active?
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A. Small intestine v
B. Pancreas
C. Renal tubules v
D. Stomach - ANSWER:
v C. Renal tubules
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Which of the following statements is not true regarding sulfonylureas?
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A. Sulonlyreas are safe to prescribe to pregnant and/or breast-feeding women.
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B. Patients should be educated about signs and symptoms of hypoglycemia.
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C. Sulfonylureas cause a dose-dependent reduction in blood glucose.
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D. Sulfonylureas are indicated for only patients diagnosed with type 2 diabetes.
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- ANSWER: A. Sulonlyreas are safe to prescribe to pregnant and/or breast-
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feeding women. v
A 33 year old woman previously diagnosed with hyperthyroidism noted have tachycardi
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a. Which medication should the NP add to the patients regimen?
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A. atenolol
B. levothyroxine
C. lithium