NURS 676 ADVANCED PHARMACOLOGY NEWEST 2024
EXAM (WCU) COMPREHENSIVE QUESTION AND ANSWERS
A 22-year-old woman presents with a "pimple" on her right eyelid. Examination reveals a
2-mm pustule on the lateral border of the right eyelid margin. This is most consistent with:
A. a chalazion
B. a hordeolum
C. blepharitis
D. cellulitis
B. a hordeolum
Treatment options for uncomplicated hordeolum include all of the following except:
A. erythromycin ophthalmic ointment
B. warm compresses to the affected area
C. incision and drainage
D. oral antimicrobial therapy
D. oral antimicrobial therapy
When advising a patient with scarlet fever, the NP considers that:
A. there is increased risk for poststreptococcal glomerulonephritis
B. the rash often peels during recovery
C. an injectable cephalosporin is the preferred treatment option
D. throat culture is usually negative for group A streptococci
B. the rash often peels during recovery
The incubation period for M. pneumoniae is usually:
A. less than 1 week
B. 1 week
C. 2 weeks
D. 3 weeks
D. 3 weeks
The incubation period for S. pyogenes is usually:
A. 1 to 3 days
B. 3 to 5 days
C. 6 to 9 days
D. 10 to 13 days
B. 3 to 5 days
All of the following are common causes of penicillin treatment failure in streptococcal
pharyngitis except:
A. infection with a beta-lactamase producing Streptococcus strain
B. failure to initiate or complete the antimicrobial course
C. concomitant infection or carriage with a beta-lactamase-producing organism
D. inadequate penicillin dosage
A. infection with a beta-lactamase producing Streptococcus strain
Oral decongestant use should be discouraged in patients with:
A. allergic rhinitis
B. migraine headache
, C. cardiovascular disease
D. chronic bronchitis
C. cardiovascular disease
In the treatment of allergic rhinitis, leukotriene modifiers should be used as:
A. an agent to relieve nasal itch
B. an inflammatory inhibitor
C. a rescue drug
D. an intervention in acute inflammation
B. an inflammatory inhibitor
Cromolyn's mechanism of action is as a/an:
A. anti-immunoglobulin E antibody
B. vasoconstrictor
C. mast cell stabilizer
D. leukotriene modifier
C. mast cell stabilizer
Therapeutic interventions for the patient in Question 1 (giant cell arteritis), should include:
A. systemic corticosteroid therapy for many months
B. addition of an angiotensin-converting enzyme inhibitor (ACEI) to her antihypertensive
regimen
C. warfarin therapy
D. initiation of topirimate (Topamax)
A. systemic corticosteroid therapy for many months
A 74 year-old woman with well-controlled hypertension who is taking hydrochlorothiazide
presents with a 3-day history of unilateral throbbing headache with difficulty chewing
because of the pain. On physical examination, you find a tender, noncompressible temporal
artery. Blood pressure (BP) is 160/88 mm Hg, apical pulse is 98 bpm, and respiratory rate
is 22/min; the patient is visibly uncomfortable. The most likely diagnosis is:
A. giant cell arteritis
B. impending transient ischemic attack
C. complicated migraine
D. temporal mandibular joint dysfunction
A. giant cell arteritis
One of the most serious complications of giant cell arteritis is:
A. hemiparesis
B. arthritis
C. blindness
D. uveitis
C. blindness
According to the Global Resources in Allergy (GLORIA) guidelines, which of the following
is recommended for intervention in persistent allergic conjunctivitis?
A. topical mast cell stabilizer with a topical antihistamine
B. ocular decongestant
C. topical nonsteroidal anti-inflammatory drug
D. topical corticosteroid
A. topical mast cell stabilizer with a topical antihistamine
EXAM (WCU) COMPREHENSIVE QUESTION AND ANSWERS
A 22-year-old woman presents with a "pimple" on her right eyelid. Examination reveals a
2-mm pustule on the lateral border of the right eyelid margin. This is most consistent with:
A. a chalazion
B. a hordeolum
C. blepharitis
D. cellulitis
B. a hordeolum
Treatment options for uncomplicated hordeolum include all of the following except:
A. erythromycin ophthalmic ointment
B. warm compresses to the affected area
C. incision and drainage
D. oral antimicrobial therapy
D. oral antimicrobial therapy
When advising a patient with scarlet fever, the NP considers that:
A. there is increased risk for poststreptococcal glomerulonephritis
B. the rash often peels during recovery
C. an injectable cephalosporin is the preferred treatment option
D. throat culture is usually negative for group A streptococci
B. the rash often peels during recovery
The incubation period for M. pneumoniae is usually:
A. less than 1 week
B. 1 week
C. 2 weeks
D. 3 weeks
D. 3 weeks
The incubation period for S. pyogenes is usually:
A. 1 to 3 days
B. 3 to 5 days
C. 6 to 9 days
D. 10 to 13 days
B. 3 to 5 days
All of the following are common causes of penicillin treatment failure in streptococcal
pharyngitis except:
A. infection with a beta-lactamase producing Streptococcus strain
B. failure to initiate or complete the antimicrobial course
C. concomitant infection or carriage with a beta-lactamase-producing organism
D. inadequate penicillin dosage
A. infection with a beta-lactamase producing Streptococcus strain
Oral decongestant use should be discouraged in patients with:
A. allergic rhinitis
B. migraine headache
, C. cardiovascular disease
D. chronic bronchitis
C. cardiovascular disease
In the treatment of allergic rhinitis, leukotriene modifiers should be used as:
A. an agent to relieve nasal itch
B. an inflammatory inhibitor
C. a rescue drug
D. an intervention in acute inflammation
B. an inflammatory inhibitor
Cromolyn's mechanism of action is as a/an:
A. anti-immunoglobulin E antibody
B. vasoconstrictor
C. mast cell stabilizer
D. leukotriene modifier
C. mast cell stabilizer
Therapeutic interventions for the patient in Question 1 (giant cell arteritis), should include:
A. systemic corticosteroid therapy for many months
B. addition of an angiotensin-converting enzyme inhibitor (ACEI) to her antihypertensive
regimen
C. warfarin therapy
D. initiation of topirimate (Topamax)
A. systemic corticosteroid therapy for many months
A 74 year-old woman with well-controlled hypertension who is taking hydrochlorothiazide
presents with a 3-day history of unilateral throbbing headache with difficulty chewing
because of the pain. On physical examination, you find a tender, noncompressible temporal
artery. Blood pressure (BP) is 160/88 mm Hg, apical pulse is 98 bpm, and respiratory rate
is 22/min; the patient is visibly uncomfortable. The most likely diagnosis is:
A. giant cell arteritis
B. impending transient ischemic attack
C. complicated migraine
D. temporal mandibular joint dysfunction
A. giant cell arteritis
One of the most serious complications of giant cell arteritis is:
A. hemiparesis
B. arthritis
C. blindness
D. uveitis
C. blindness
According to the Global Resources in Allergy (GLORIA) guidelines, which of the following
is recommended for intervention in persistent allergic conjunctivitis?
A. topical mast cell stabilizer with a topical antihistamine
B. ocular decongestant
C. topical nonsteroidal anti-inflammatory drug
D. topical corticosteroid
A. topical mast cell stabilizer with a topical antihistamine
