MSN 571 – Midterm Exam Questions and Answers
Green Highlight – correct; Yellow – maybe but not confirmed; Red - Wrong
QST 1.What is the first line therapy when treating hyperlipidemia?
A. Bile Acide Sequestrants
B. Statin Therapy
C. Lifestyle modifications
D. Niacin
QST 2.A patient asks you how does the statin drugs work. How would you respond?
A. “It inhibits the absorption of dietary cholesterol in the small intestine”
B. “it inhibits hydroxymethyl lutaryl- coenzyme A (HMG-CoA) reductase to reduce the
biosynthesis of cholesterol in the liver”
C. “it binds to bile in the intestinal track forming an insoluble complex that is excreted in
the feces”
D. “It stimulates the biliary system to increase the excretion of dietary cholesterol”
QST3.Which drug is the most effective for lowering low density lipoprotein (LDL) cholesterol?
A. Atorvastatin
B. Gemfibrozil
C. Ezetimibe
D. Cholestyramine
QST4. A patient tells you that she gets red after taking her niacin. What advice do you give her?
A. Discontinue the medication
B. Drink plenty of water
C. premedicate with aspirin
QST 5. You are managing a stable middle-aged adult with emphysema. In addition to reinforcing
smoking cessation and medication schedules which annual intervention will you recommend?
A. Pneumococcal polysaccharide vaccine (PPSV23)
B. Pneumococcal conjugate vaccine (PCV13)
,C. Quadrivalent inactivated influenza vaccine (QIV)
D. Live attenuated influenza vaccine (LAV)
QST 6. A patient who is taking OTC proton pump inhibitors was recently placed on an oral
antifungal for
a fungal infection. After a week, the patient reported that the fungal infection has not improved.
Which antifungal medication was the patient taking?
A. Fluconazole
B. Caspofungin
C. Intraconazole
D. Amphotericin B
QST 7. A patient diagnosed with hepatitis B begins treatment with Adefovir and ask how long
the drug
therapy will last. what time frame will the prescriber give the patient?
A. Until nephrotoxicity occurs
B. A lifetime
C. 48 weeks
D. An indefinite, prolonged period of time
QST8. When prescribing acyclovir patients should be educated regarding the:
A. Need to drink lots of fluids during treatment
B. High risk of developing diarrhea
C. ?
D. ?
QST 8.Idarucizumab is used to reverse the activity of which antithrombotic drug in cases of
bleeding?
A. Dalteparin
B. Warfarin
C. Alteplase
D. Dabigatran
QST 9.The patient is receiving anticoagulant therapy period the INR value for the patient today
is 1.5.
, In response to this, what will you do?
A. ?
B. ?
C. ?
D. Prescribe an additional dose of warfarin
QST 10. Warfarin’s primary mechanism of action is inhibition of the synthesis of vitamin K
dependent
clotting factors. These factors include which of the following?
A. Factors II, IX, and X and proteins C and S
B. Factors VII, IX, X, and XII and protein 5
C. Factors II, VII, VIII, and XII and proteins C and S
D. Factors II, VII, VIII, and X and protein C
QST 11.In which of the following patients will you prescribe appropriate therapy for lice
infestation?
A. Spinosad to a 6 year old patient with head lice
B. Lindane to a 105lb patient with lice
C. Malathion to a 3 year old patient with head lice
D. Ivermectin to a 12kg patient with lice
QST12. Tretinoin is commonly employed in the treatment of which of the following?
A. Psoriasis
B. Seborrheic dermatitis
C. Acne
D. Multiple Sclerosis
QST 12.Which of the following is correct regarding the use of isotretinoin in the treatment of
acne?
A. Isotretinoin is given intravenously in the treatment of acne
B. Isotretinoin is contraindicated in pregnancy due to its high risk of birth defects
C. ?
D. ?
Green Highlight – correct; Yellow – maybe but not confirmed; Red - Wrong
QST 1.What is the first line therapy when treating hyperlipidemia?
A. Bile Acide Sequestrants
B. Statin Therapy
C. Lifestyle modifications
D. Niacin
QST 2.A patient asks you how does the statin drugs work. How would you respond?
A. “It inhibits the absorption of dietary cholesterol in the small intestine”
B. “it inhibits hydroxymethyl lutaryl- coenzyme A (HMG-CoA) reductase to reduce the
biosynthesis of cholesterol in the liver”
C. “it binds to bile in the intestinal track forming an insoluble complex that is excreted in
the feces”
D. “It stimulates the biliary system to increase the excretion of dietary cholesterol”
QST3.Which drug is the most effective for lowering low density lipoprotein (LDL) cholesterol?
A. Atorvastatin
B. Gemfibrozil
C. Ezetimibe
D. Cholestyramine
QST4. A patient tells you that she gets red after taking her niacin. What advice do you give her?
A. Discontinue the medication
B. Drink plenty of water
C. premedicate with aspirin
QST 5. You are managing a stable middle-aged adult with emphysema. In addition to reinforcing
smoking cessation and medication schedules which annual intervention will you recommend?
A. Pneumococcal polysaccharide vaccine (PPSV23)
B. Pneumococcal conjugate vaccine (PCV13)
,C. Quadrivalent inactivated influenza vaccine (QIV)
D. Live attenuated influenza vaccine (LAV)
QST 6. A patient who is taking OTC proton pump inhibitors was recently placed on an oral
antifungal for
a fungal infection. After a week, the patient reported that the fungal infection has not improved.
Which antifungal medication was the patient taking?
A. Fluconazole
B. Caspofungin
C. Intraconazole
D. Amphotericin B
QST 7. A patient diagnosed with hepatitis B begins treatment with Adefovir and ask how long
the drug
therapy will last. what time frame will the prescriber give the patient?
A. Until nephrotoxicity occurs
B. A lifetime
C. 48 weeks
D. An indefinite, prolonged period of time
QST8. When prescribing acyclovir patients should be educated regarding the:
A. Need to drink lots of fluids during treatment
B. High risk of developing diarrhea
C. ?
D. ?
QST 8.Idarucizumab is used to reverse the activity of which antithrombotic drug in cases of
bleeding?
A. Dalteparin
B. Warfarin
C. Alteplase
D. Dabigatran
QST 9.The patient is receiving anticoagulant therapy period the INR value for the patient today
is 1.5.
, In response to this, what will you do?
A. ?
B. ?
C. ?
D. Prescribe an additional dose of warfarin
QST 10. Warfarin’s primary mechanism of action is inhibition of the synthesis of vitamin K
dependent
clotting factors. These factors include which of the following?
A. Factors II, IX, and X and proteins C and S
B. Factors VII, IX, X, and XII and protein 5
C. Factors II, VII, VIII, and XII and proteins C and S
D. Factors II, VII, VIII, and X and protein C
QST 11.In which of the following patients will you prescribe appropriate therapy for lice
infestation?
A. Spinosad to a 6 year old patient with head lice
B. Lindane to a 105lb patient with lice
C. Malathion to a 3 year old patient with head lice
D. Ivermectin to a 12kg patient with lice
QST12. Tretinoin is commonly employed in the treatment of which of the following?
A. Psoriasis
B. Seborrheic dermatitis
C. Acne
D. Multiple Sclerosis
QST 12.Which of the following is correct regarding the use of isotretinoin in the treatment of
acne?
A. Isotretinoin is given intravenously in the treatment of acne
B. Isotretinoin is contraindicated in pregnancy due to its high risk of birth defects
C. ?
D. ?
