NR 565 | ADVANCED PHARMACOLOGY FINAL
EXAM |CHAMBERLAIN PRACTICE EXAM
QUESTIONS WITH DETAILED &VERIFIED
ANSWERS |ALREADY GRADED A+ 2024
1. In which patient population is Metformin contraindicated in?
A. Diabetics with HA1c < 7.0%
B. Patients older than 50
C. Alcoholics
D. Women suffering from infertility
C. Alcoholics
2. What lab value suggests metformin might be contraindicated?
A. eGFR <30
B. Crea 0.8
C. WBC 7.8
D. Bun 17
A. eGFR <30
3. What medication is contraindicated to treat diabetes
if a patient already has a cardiac ejection fraction rate
of 40%?
A. Second Generation sulfonyureas
,B. Thiazolidinediones
C. Dopamine Agonist
D. Glucosidase Inhibitor
B. Thiazolidinediones
4. Sabrina is a 35-year-old female who presents with complaints of
fatigue, anxiety, and palpitations. She has a long history of obesity
and reports that she is happy that she has lost 23 pounds in the last
2 months. She also reports that she has trouble sleeping and her
husband complains that she is keeping the house too cold. Physical
exam reveals slight tachycardia at 104 bpm and a slightly enlarged
thyroid. Thyroid testing reveals hyperthyroidism or Grave's disease.
Which of the following agents is the first-line treatment for
hyperthyroidism or Grave's disease?
A. Methimazole
B. Metoprolol
C. Allopurinol
D. Levothyroxine
A. Methimazole
,5. Which of the following medications would be considered the first
line of treatment for a newly diagnosed Diabetic patient with
adequate renal and hepatic function?
A: NovoLog Sliding Scale Insulin
B: Liraglutide (Victoza)
C: Oral Metformin
D: Glipizide
C: Oral Metformin
6. Of the following medications, which is most likely to
cause hypoglycemia?
A. Metformin
B. Insulin
C. Incretin mimetics
D. Thiazolidinediones
B. Insulin
7. Which symptoms are most expected of a patient diagnosed with
hypothyroidism?
A. shortness of breath, wheezing, fatigue
B. tachycardia, insomnia, weight loss, goiter
C. irritability, anxiety, dizziness, increased sweating
D. dry pale skin, brittle hair, fatigue, myxedema
, D. dry skin, brittle hair, fatigue,myxedema
8. Patients with an increased risk for UTIs and genital
infections or an active diagnosis, should avoid what
drug class/es for treatment of Type II Diabetes?
A. Thiazolidinediones (Glitazones)
B. Biguanide.
C. Sodium-Glucose Cotransporter 2 (SGLT-2) Inhibitors.
D. All of the above.
C. Sodium-Glucose Cotransporter 2 (SGLT-2) Inhibitors.
9. A 45-year-old patient with a history of type 2 diabetes
presents to the clinic for a follow-up appointment. The
healthcare provider has prescribed metformin as part
of the treatment plan. Which of the following statements regarding
metformin is correct?
A. Metformin primarily stimulates insulin production from the
pancreas.
B. Metformin reduces glucose levels primarily by decreasing insulin
resistance.
C. Metformin is associated with a risk of hypoglycemia.
D. Metformin improves insulin sensitivity and reduces
hepatic glucose production.
EXAM |CHAMBERLAIN PRACTICE EXAM
QUESTIONS WITH DETAILED &VERIFIED
ANSWERS |ALREADY GRADED A+ 2024
1. In which patient population is Metformin contraindicated in?
A. Diabetics with HA1c < 7.0%
B. Patients older than 50
C. Alcoholics
D. Women suffering from infertility
C. Alcoholics
2. What lab value suggests metformin might be contraindicated?
A. eGFR <30
B. Crea 0.8
C. WBC 7.8
D. Bun 17
A. eGFR <30
3. What medication is contraindicated to treat diabetes
if a patient already has a cardiac ejection fraction rate
of 40%?
A. Second Generation sulfonyureas
,B. Thiazolidinediones
C. Dopamine Agonist
D. Glucosidase Inhibitor
B. Thiazolidinediones
4. Sabrina is a 35-year-old female who presents with complaints of
fatigue, anxiety, and palpitations. She has a long history of obesity
and reports that she is happy that she has lost 23 pounds in the last
2 months. She also reports that she has trouble sleeping and her
husband complains that she is keeping the house too cold. Physical
exam reveals slight tachycardia at 104 bpm and a slightly enlarged
thyroid. Thyroid testing reveals hyperthyroidism or Grave's disease.
Which of the following agents is the first-line treatment for
hyperthyroidism or Grave's disease?
A. Methimazole
B. Metoprolol
C. Allopurinol
D. Levothyroxine
A. Methimazole
,5. Which of the following medications would be considered the first
line of treatment for a newly diagnosed Diabetic patient with
adequate renal and hepatic function?
A: NovoLog Sliding Scale Insulin
B: Liraglutide (Victoza)
C: Oral Metformin
D: Glipizide
C: Oral Metformin
6. Of the following medications, which is most likely to
cause hypoglycemia?
A. Metformin
B. Insulin
C. Incretin mimetics
D. Thiazolidinediones
B. Insulin
7. Which symptoms are most expected of a patient diagnosed with
hypothyroidism?
A. shortness of breath, wheezing, fatigue
B. tachycardia, insomnia, weight loss, goiter
C. irritability, anxiety, dizziness, increased sweating
D. dry pale skin, brittle hair, fatigue, myxedema
, D. dry skin, brittle hair, fatigue,myxedema
8. Patients with an increased risk for UTIs and genital
infections or an active diagnosis, should avoid what
drug class/es for treatment of Type II Diabetes?
A. Thiazolidinediones (Glitazones)
B. Biguanide.
C. Sodium-Glucose Cotransporter 2 (SGLT-2) Inhibitors.
D. All of the above.
C. Sodium-Glucose Cotransporter 2 (SGLT-2) Inhibitors.
9. A 45-year-old patient with a history of type 2 diabetes
presents to the clinic for a follow-up appointment. The
healthcare provider has prescribed metformin as part
of the treatment plan. Which of the following statements regarding
metformin is correct?
A. Metformin primarily stimulates insulin production from the
pancreas.
B. Metformin reduces glucose levels primarily by decreasing insulin
resistance.
C. Metformin is associated with a risk of hypoglycemia.
D. Metformin improves insulin sensitivity and reduces
hepatic glucose production.
