MSN571/MSN 571 PHARM MIDTERM LATEST (4 LATEST MIDTERM VERSIONS) ALL QUESTIONS AND CORRECT ANSWERS |A+ GUARANTEED!! BRAND NEW

MSN571/MSN 571 PHARM MIDTERM LATEST (4 LATEST MIDTERM VERSIONS) ALL QUESTIONS AND CORRECT ANSWERS |A+ GUARANTEED!! BRAND NEW VERSION A 1. Fluoroquinolone antibiotics are most likely indicating in which of the conditions Asthma Genital infections Follicular conjunctivitis GERD 2. Which of the following is most likely an intervention for otitis media? Amoxicillin Aspirin Immunoglobulins Corticosteroids 3. Which of the following best classifies penicillin, cephalosporins, and Protein synthesis inhibitors Mycolic acid synthesis inhibitors RNA synthesis Cell wall inhibitors 4. Beta lactamase inhibitors are often located in which of the following? May decrease absorption First dose effect Often combined with penicillin antibiotics Delayed absorption of oral drugs 5. Which of the following drug classes is/are used in initial hypertension management of African American population? Clonidine primary Beta blockers primary Thiazide or calcium channel blocker primary ACE-I primary ARB primary 6. Which of the following groups of antibiotics is notable for side effects such as nephrotoxicity or ototoxicity? Beta-lactams Aminoglycosides Tetracyclines 7. Which of the following groups of antibiotics has a beta-lactam ring in the molecular Structure Sulfonamides Macrolides Tetracyclines Fluoroquinolone Cephalosporins 8. Which of the follow medication is a fluoroquinolone antibiotic? Ciprofloxacin Azithromycin Amikacin Penicillin 9. Which of the following medications or drugs classes is commonly indicated for managing gestational hypertension? Spironolactone (Aldactone) Loop diuretics Calcium channel blockers Dobutamine Calcium gluconate 10.Which of the following best classifies aminoglycosides, macrolides and clindamycin? Protein synthesis inhibitor Folic acid synthesis inhibitors Cell wall inhibitors Mycolic acid synthesis inhibitors 11. The long half-life of amiodarone contributes to which complications Enhanced therapeutic effects Liver toxicity Decreased dosing Short onset of action 12. Pharmacokinetics involves the study of which factor? Distribution rates among various body compartment Physiologic interactions of drugs Interactions among various drugs Adverse reactions to medications 13. Which route of drug administration is used with potent and lipophilic drugs in a patch formulation and avoids first-pass metabolism? Oral Topical Rectal Transdermal 14. Patients who have a poor metabolism phenotype will have: A need for increased dosages of medications Increased elimination of an active drug Accumulation of inactive metabolites of drugs Slowed metabolism of prodrug into an active drug leading to accumulation of prodrug 15. Lower doses of sublingual nitroglycerin can be used effectively because It bypasses the liver The potency is 100 times higher It does not need to be absorbed into the bloodstream It is not catabolized down by gastric acids 16. Which term refers to the ratio between a drugs therapeutic effects and its toxic effects? Cumulative effect Therapeutic index Tolerance Affinity 17. In geriatric patients the percentage of body fat is increased. What are the pharmacologic implications of the physiologic change? A lipid soluble medication will be eliminated more quickly and not work as well Absorption of lipid soluble drugs is impaired in older adults. The bioavailability of the lipid soluble drug will be increased in older adults A lipid soluble medication will accumulate in fat tissue and its duration of action may be prolonged 18. A patient diagnosed with otitis externa and taking a fluoroquinolone with glucocorticoid benefit is taking the medication together you reply The glucocorticoid reduces the swelling caused by the inflammation and ear infection The glucocorticoid decreased likelihood of antibiotic resistant The glucocorticoid decreases the adverse effects of the fluoroquinolone The two medications are contraindicated for use together 19. A two year old child presents to the clinic with arthralgia and fever in the last tympanic membrane is erythematous and bulging the right TMS is perforated and draining the child’s parent states “this is fifth year infection this year “what can we do? what action will the provider take to address to Childs ear problems Prescribe amoxicillin/clavulanate and refer the child to an otolaryngologist??? I THINK THIS IS CORRECT Prescribe both ceftriaxone (Rocephin) IM with benzocaine ear drops for pain 20. A patient is diagnosed with otitis externa. Comorbidities include diabetes mellitus, hypertension, and advanced multiple sclerosis. Which type of education regarding medication administration would you provide? page 1304 repeat #20 The oral administration of a prescription for hydrocortisone/neomycin/polymyxin B combination solution The oral administration of a prescription for fluoroquinolone The administration of topical medication for a prescription of alcohol plus acetic acid s solution The administration of topical combination for a prescription of fluoroquinolone/glucocorticoid combination solution 21. A patient who has congestive heart failure requires a diuretic. The patient also has a history of chronic kidney disease with a glomerular filtration rate (FGR) of less than 30 ml/min. which drug would you prescribe this patient. Methyclothiazide Metolazone Loop diuretics 22. Factors released by platelets contribute to hemostasis by enhancing Fibrinolysis Vasodilation Intrinsic pathway Platelet aggregation 23. A patient has been receiving iron replacement therapy for 2 days after hip replacement surgery. The provider is alerted to the following assessment data: Patient is pale and reports feeling tired Patient’s stools appear black Patients heart rate is 98 beats/min respiration are 20 and the blood pressure is 100/50 mm hg What order will the provider take initially to best assure appropriate care for this patient? Packet red blood cells Hemoglobin and hematocrit Hypertonic fluid bolus Stool guaiac 24. A woman taking a drug for high LDL-cholesterol experience muscle tenderness and pain with no apparent cause. Which agent is less likely to cause this adverse effect. Fenofibrate Niacin Atorvastatin Colestipol 25. Which drug inhibits the intestinal absorption of cholesterol? Colestipol Fenofibrate Ezetimibe Colesevelam 26. An elderly patient with hypertension and hyperlipidemia who has been prescribed a statin medication comes for a follow up visit after 4 months of therapy. The patient’s laboratory reports show elevated blood cholesterol level and the urine examination reveals rhabdomyolysis. What could be the reason for the condition? Select all the apply The patient is taking amiodarone along with statin The patient is taking grapefruit juice with statins The patient is not responding to the treatment The patient is taking cyclosporine along with statin & verapamil The patient is eating fiber-rich food along with the statins 27.Match the correct drug teratogenic effect during pregnancy THIS ONE IS HARD IDK - found a table on the pharm book. Table 8.1 NSAIDS-Microcephaly; premature closure of the ductus arteriosus Angiotensin-converting enzyme inhibitors- renal failure; renal tubular dysgenesis, skull hypoplasia (from exposure during 2nd & 3rd trimester) Warfarin-Craniofacial defects; skeletal & CNS defects Isotretinoin- multiple defects (CNS, craniofacial, cardiovascular, others) HMG CoA reductase inhibitors-neural tube defects, facial malformations & CNS anomalies, including holoprosencephaly (single-lobed brain) 28. When planning care for a patient receiving a sulfonaminde antibiotic. Which is the appropriate intervention? Insert foley catheter for accurate input and output measurement Encourage liquids that produce acidic urine Encourage a diet that causes alkaline ash Force fluids to at least 2000 ml/day 29. A 30 years old pregnant female has cellulitis caused by MRSA. Which of the following antibiotics would be the most appropriate option of outpatient therapy? Quinupristin/dalforpristin Doxycycline Clindamycin Tigecycline 30. What is important teaching to a patient taking minocycline? Wear sunscreen as your skin may become sensitive to light This medication can cause an increase in uric acid levels precipitating a gout attack If you have diabetes this medication can worsen hyperglycemia You must take this medication with calcium in order for it to be absorbed better 31. Which answer is true regarding cephalosporin Similar to macrolide structure Bacteriostatic High toxicity Beta-lactam antibiotic. 32. What are the two serious side effects that can occur with Aminoglycoside use? Nephrotoxicity and neurotoxicity Nephrotoxicity and hepatotoxicity Ototoxicity and nephrotoxicity Hepatotoxicity and ototoxicity 33. Adverse effects of fluoroquinolone antibiotics include? QT prolongation All the answer are Correct Tendinitis and tendon rupture Seizures 34. A provider would prescribe which antibiotic to a patient diagnosed with methicillin-resistant Staphylococcus aureus (MRSA) Ciprofloxacin Daptomycin Norfloxacin Levofloxacin 35. Which order for furosemide is written appropriately by the prescribe? Furosemide (Lasix) 20 mg po qd Furosemide (Lasix) 20 mg po daily Furosemide (Lasix) 20 mg daily Furosemide (Lasix) 20 mg po QD