Management of Pharmacotherapeutics in Advanced Practice
Final Exam/ Actual Exam Questions with Correct Verified
Answers – Latest Update 2024.
Medroxyprogesterone (Depo Provera) is prescribed intramuscularly (IM) to create a storage reservoir of
the drug. Storage reservoirs:
1. Assure that the drug will reach its intended target tissue
2. Are the reason for giving loading doses
3. Increase the length of time a drug is available and active
4. Are most common in collagen tissues - ANSWER - 3. Increase the length of time a drug is available and
active
Azithromycin dosing requires that the first day's dosage be twice those of the other 4 days of the
prescription. This is considered a loading dose. A loading dose:
1. Rapidly achieves drug levels in the therapeutic range
2. Requires four- to five-half-lives to attain
3. Is influenced by renal function
4. Is directly related to the drug circulating to the target tissues - ANSWER - 1. Rapidly achieves drug
levels in the therapeutic range
The ailment that generates the greatest over-the-counter annual drug sales is:
1. Constipation
2. Cough and colds
3. Heartburn
4. Acute and chronic pain - ANSWER - 2. Cough and colds
The Combat Methamphetamine Epidemic Act, which is part of the 2006 U.S. Patriot Act:
1. Requires all providers to screen their patients for methamphetamine use
pg. 1
,2. Restricts the prescribing of amphetamines to U.S. citizens
3. Requires a prescription be written for all methamphetamine precursors in all states
4. Restricts the sales of drugs that contain methamphetamine precursors, including a daily and 30-day
limit on sales - ANSWER - 4. Restricts the sales of drugs that contain methamphetamine precursors,
including a daily and 30-day limit on sales
When prescribing a tetracycline or quinolone antibiotic it is critical to instruct the patient:
1. Not to take their regularly prescribed medications while on these antibiotics
2. Regarding the need for lots of acidic foods and juices, such as orange juice, to enhance absorption
3. Not to take antacids while on these medications, as the antacid decreases absorption
4. That there are no drug interactions with these antibiotics - ANSWER - 3. Not to take antacids while on
these medications, as the antacid decreases absorption
Factors that place a patient at risk of developing an antimicrobial-resistant organism include:
1. Age over 50 years
2. School attendance
3. Travel within the U.S.
4. Inappropriate use of antimicrobials - ANSWER - 4. Inappropriate use of antimicrobials
Infants and young children are at higher risk of developing antibiotic-resistant infections due to:
1. Developmental differences in pharmacokinetics of the antibiotics in children
2. The fact that children this age are more likely to be in daycare and exposed to pathogens from other
children
3. Parents of young children insisting on preventive antibiotics so they don't miss work when their child
is sick
4. Immunosuppression from the multiple vaccines they receive in the first 2 years of life - ANSWER - 2.
The fact that children this age are more likely to be in daycare and exposed to pathogens from other
children
pg. 2
,Providers should use an antibiogram when prescribing. An antibiogram is:
1. The other name for the Centers for Disease Control guidelines for prescribing antibiotics
2. An algorithm used for prescribing antibiotics for certain infections
3. The reference also known as the Pink Book, published by the Centers for Disease Control
4. A chart of the local resistance patterns to antibiotics developed by laboratories - ANSWER - 4. A chart
of the local resistance patterns to antibiotics developed by laboratories
There is often cross-sensitivity and cross-resistance between penicillins and cephalosporins because:
1. Renal excretion is similar in both classes of drugs.
2. When these drug classes are metabolized in the liver they both produce resistant enzymes.
3. Both drug classes contain a beta-lactam ring that is vulnerable to beta-lactamase-producing
organisms.
4. There is not an issue with cross-resistance between the penicillins and cephalosporins. - ANSWER - 3.
Both drug classes contain a beta-lactam ring that is vulnerable to beta-lactamase-producing organisms.
Jonathan has been diagnosed with strep throat and needs a prescription for an antibiotic. He says the
last time he had penicillin he developed a red, blotchy rash. An appropriate antibiotic to prescribe would
be:
1. Penicillin VK, because his rash does not sound like a serious rash
2. Amoxicillin
3. Cefadroxil (Duricef)
4. Azithromycin - ANSWER - 4. Azithromycin
Sarah is a 25-year-old female who is 8 weeks pregnant and has a urinary tract infection. What would be
the appropriate antibiotic to prescribe for her?
1. Ciprofloxacin (Cipro)
2. Amoxicillin (Trimox)
3. Doxycycline
4. Trimethoprim-sulfamethoxazole (Septra) - ANSWER - 2. Amoxicillin (Trimox)
pg. 3
, Pong-tai is a 12-month-old child who is being treated with amoxicillin for acute otitis media. His parents
call the clinic and say he has developed diarrhea. The appropriate action would be to:
1. Advise the parents that some diarrhea is normal with amoxicillin and recommend probiotics daily.
2. Change the antibiotic to one that is less of a gastrointestinal irritant.
3. Order stool cultures for suspected viral pathogens not treated by the amoxicillin.
4. Recommend increased fluids and fiber in his diet. - ANSWER - 1. Advise the parents that some
diarrhea is normal with amoxicillin and recommend probiotics daily.
Lauren is a 13-year-old child who comes to clinic with a 4-day history of cough, low-grade fever, and
rhinorrhea. When she blows her nose or coughs the mucous is greenish-yellow. The appropriate
antibiotic to prescribe would be:
1. Amoxicillin
2. Amoxicillin/clavulanate
3. TMP/SMZ (Septra)
4. None - ANSWER - 4. None
Joanna had a small ventricle septal defect (VSD) repaired when she was 3 years old and has no residual
cardiac problems. She is now 28 and is requesting prophylactic antibiotics for an upcoming dental visit.
The appropriate antibiotic to prescribe according to current American College of Cardiology and
American Heart Association guidelines is:
1. None, no antibiotic is required for dental procedures
2. Amoxicillin 2 grams 1 hour before the procedure
3. Ampicillin 2 grams IM or IV 30 minutes before the procedure
4. Azithromycin 1 gram 1 hour before the procedure - ANSWER - 1. None, no antibiotic is required for
dental procedures
To prevent further development of antibacterial resistance it is recommended that fluoroquinolones be
reserved for treatment of:
1. Urinary tract infections in young women
2. Upper respiratory infections in adults
3. Skin and soft tissue infections in adults
pg. 4
Final Exam/ Actual Exam Questions with Correct Verified
Answers – Latest Update 2024.
Medroxyprogesterone (Depo Provera) is prescribed intramuscularly (IM) to create a storage reservoir of
the drug. Storage reservoirs:
1. Assure that the drug will reach its intended target tissue
2. Are the reason for giving loading doses
3. Increase the length of time a drug is available and active
4. Are most common in collagen tissues - ANSWER - 3. Increase the length of time a drug is available and
active
Azithromycin dosing requires that the first day's dosage be twice those of the other 4 days of the
prescription. This is considered a loading dose. A loading dose:
1. Rapidly achieves drug levels in the therapeutic range
2. Requires four- to five-half-lives to attain
3. Is influenced by renal function
4. Is directly related to the drug circulating to the target tissues - ANSWER - 1. Rapidly achieves drug
levels in the therapeutic range
The ailment that generates the greatest over-the-counter annual drug sales is:
1. Constipation
2. Cough and colds
3. Heartburn
4. Acute and chronic pain - ANSWER - 2. Cough and colds
The Combat Methamphetamine Epidemic Act, which is part of the 2006 U.S. Patriot Act:
1. Requires all providers to screen their patients for methamphetamine use
pg. 1
,2. Restricts the prescribing of amphetamines to U.S. citizens
3. Requires a prescription be written for all methamphetamine precursors in all states
4. Restricts the sales of drugs that contain methamphetamine precursors, including a daily and 30-day
limit on sales - ANSWER - 4. Restricts the sales of drugs that contain methamphetamine precursors,
including a daily and 30-day limit on sales
When prescribing a tetracycline or quinolone antibiotic it is critical to instruct the patient:
1. Not to take their regularly prescribed medications while on these antibiotics
2. Regarding the need for lots of acidic foods and juices, such as orange juice, to enhance absorption
3. Not to take antacids while on these medications, as the antacid decreases absorption
4. That there are no drug interactions with these antibiotics - ANSWER - 3. Not to take antacids while on
these medications, as the antacid decreases absorption
Factors that place a patient at risk of developing an antimicrobial-resistant organism include:
1. Age over 50 years
2. School attendance
3. Travel within the U.S.
4. Inappropriate use of antimicrobials - ANSWER - 4. Inappropriate use of antimicrobials
Infants and young children are at higher risk of developing antibiotic-resistant infections due to:
1. Developmental differences in pharmacokinetics of the antibiotics in children
2. The fact that children this age are more likely to be in daycare and exposed to pathogens from other
children
3. Parents of young children insisting on preventive antibiotics so they don't miss work when their child
is sick
4. Immunosuppression from the multiple vaccines they receive in the first 2 years of life - ANSWER - 2.
The fact that children this age are more likely to be in daycare and exposed to pathogens from other
children
pg. 2
,Providers should use an antibiogram when prescribing. An antibiogram is:
1. The other name for the Centers for Disease Control guidelines for prescribing antibiotics
2. An algorithm used for prescribing antibiotics for certain infections
3. The reference also known as the Pink Book, published by the Centers for Disease Control
4. A chart of the local resistance patterns to antibiotics developed by laboratories - ANSWER - 4. A chart
of the local resistance patterns to antibiotics developed by laboratories
There is often cross-sensitivity and cross-resistance between penicillins and cephalosporins because:
1. Renal excretion is similar in both classes of drugs.
2. When these drug classes are metabolized in the liver they both produce resistant enzymes.
3. Both drug classes contain a beta-lactam ring that is vulnerable to beta-lactamase-producing
organisms.
4. There is not an issue with cross-resistance between the penicillins and cephalosporins. - ANSWER - 3.
Both drug classes contain a beta-lactam ring that is vulnerable to beta-lactamase-producing organisms.
Jonathan has been diagnosed with strep throat and needs a prescription for an antibiotic. He says the
last time he had penicillin he developed a red, blotchy rash. An appropriate antibiotic to prescribe would
be:
1. Penicillin VK, because his rash does not sound like a serious rash
2. Amoxicillin
3. Cefadroxil (Duricef)
4. Azithromycin - ANSWER - 4. Azithromycin
Sarah is a 25-year-old female who is 8 weeks pregnant and has a urinary tract infection. What would be
the appropriate antibiotic to prescribe for her?
1. Ciprofloxacin (Cipro)
2. Amoxicillin (Trimox)
3. Doxycycline
4. Trimethoprim-sulfamethoxazole (Septra) - ANSWER - 2. Amoxicillin (Trimox)
pg. 3
, Pong-tai is a 12-month-old child who is being treated with amoxicillin for acute otitis media. His parents
call the clinic and say he has developed diarrhea. The appropriate action would be to:
1. Advise the parents that some diarrhea is normal with amoxicillin and recommend probiotics daily.
2. Change the antibiotic to one that is less of a gastrointestinal irritant.
3. Order stool cultures for suspected viral pathogens not treated by the amoxicillin.
4. Recommend increased fluids and fiber in his diet. - ANSWER - 1. Advise the parents that some
diarrhea is normal with amoxicillin and recommend probiotics daily.
Lauren is a 13-year-old child who comes to clinic with a 4-day history of cough, low-grade fever, and
rhinorrhea. When she blows her nose or coughs the mucous is greenish-yellow. The appropriate
antibiotic to prescribe would be:
1. Amoxicillin
2. Amoxicillin/clavulanate
3. TMP/SMZ (Septra)
4. None - ANSWER - 4. None
Joanna had a small ventricle septal defect (VSD) repaired when she was 3 years old and has no residual
cardiac problems. She is now 28 and is requesting prophylactic antibiotics for an upcoming dental visit.
The appropriate antibiotic to prescribe according to current American College of Cardiology and
American Heart Association guidelines is:
1. None, no antibiotic is required for dental procedures
2. Amoxicillin 2 grams 1 hour before the procedure
3. Ampicillin 2 grams IM or IV 30 minutes before the procedure
4. Azithromycin 1 gram 1 hour before the procedure - ANSWER - 1. None, no antibiotic is required for
dental procedures
To prevent further development of antibacterial resistance it is recommended that fluoroquinolones be
reserved for treatment of:
1. Urinary tract infections in young women
2. Upper respiratory infections in adults
3. Skin and soft tissue infections in adults
pg. 4
