GALEN NUR 210 PHARMACOLOGY EXAM 1 YEAR 2024/2025
NEWEST!! ACTUAL COMPLETE 250 REAL EXAM QUESTIONS
WITH CORRECTDETAILED ANSWERS ( VERIFIED ANSWERS)
/ALREADY GRADED A+
Migraine headaches - ANSWER -•Triptans
•Beta blockers
•Anticonvulsants
•TCA
Morphine - ANSWER -Classification: opioid analgesic
Uses: moderate to severe pain, SOB
Side Effects: constipation, urinary retention, rash, orthostatic
hypotension Adverse Effects: respiratory depression,
psychological dependence, overdose sign miosis (small pupils),
sedation, blurred vision, euphoria
Contraindications: CNS or respiratory depression, asthma,
increased ICP
Interactions: CNS depressants, alcohol
Eval/Monitor/Teach: avoid alcohol, which may decrease
respiratory rate, monitor VS, orthostatic hypotension (falls risk),
confusion decreased LOC in elderly
,Sumatriptan (Imitrex) - ANSWER -Classification: selective
serotonin receptor
agonist Uses: migraines, cluster
headaches
Action: vasoconstriction of cranial arteries
Side Effects: dizziness, vertigo, drowsiness Adverse Effects:
suicidal ideations, hypo/hypertension, bradycardia,
dysrhythmias, cardiac arrest Contraindications: cardiovascular
disease, uncontrolled HTN, liver failure, pregnancy
Interactions: SSRIs, MAOIs
Eval/Monitor/Teach: monitor VS, administer before pain
escalates, avoid MAOIs and SSRIs, stress management, avoid
migraine triggers
SNRIs - ANSWER -
•Used for
•Major
depression
•Anxiety
•Social anxiety
•Panic disorder
•Side effects
•Drowsiness
•Dizziness
•Insomnia
•Headache
,•Blurred vision
•Amnesia
•Hypertension
•Tachycardia
•Suicide ideation
•Angioedema
•Seizures
MAOIs - ANSWER -•Not first drug of choice, many side
effects, will give only if TCA doesn't work •Side effects
•Drug interactions
•CNS stimulants such as pseudoephedrine can cause
hypertensive crisis, cannot take with TCA
•Food interactions
•Tyramine
•Aged cheese, yogurt, coffee, chocolate, raisins, bananas, liver,
pickled foods, yeast, wine, beer
•Can cause hypertensive crisis
Venlafaxine - ANSWER -Classification: serotonin norepinephrine
reuptake inhibitor (SNRI)
Uses: depression, anxiety, panic disorder
Action: serotonin and norepinephrine increased in nerve cells
Side Effects: drowsiness, dizziness, insomnia, blurred vision,
ejaculation dysfunction, weight loss, Steven Johnson syndrome,
agitation
, Adverse Effects: hypertension, tachycardia, seizures, suicidal
ideations, renal failure
Contraindications: caution with renal impairment Interactions:
St. John's Wort Eval/Monitor/Teach: avoid alcohol/ CNS
depressants, monitor for suicidal ideations, takes 3-4 weeks for
effectiveness
phenelzine sulfate - ANSWER -Classification: monoamine
oxidase inhibitor
(MAOI) Uses: depression, anxiety, panic disorders
Action: inactivates norepinephrine and serotonin
Side Effects: agitation, restlessness, insomnia, orthostatic
hypotension, anticholinergic effects, weight gain
Adverse Effects: hypertensive crisis, suicidal ideations
Contraindications: caution with hypertension Interactions:
TCAs, foods containing tyramine Eval/Monitor/Teach: monitor
VS, avoid foods with tyramine (aged cheese, wine, yogurt,
cream, chocolate, beer) can cause hypertensive crisis, last
resort class of medication, assess depression
Lithium - ANSWER -Classification: mood stabilizer
Uses: bipolar disorder, mania
Action: increased sensitivity to serotonin
Side Effects: increased urination, loss or water and
sodium, dehydration, edema in hands/ankles, weight gain, thirst,
dry mouth, hypotension, memory impairment, metallic taste,
NEWEST!! ACTUAL COMPLETE 250 REAL EXAM QUESTIONS
WITH CORRECTDETAILED ANSWERS ( VERIFIED ANSWERS)
/ALREADY GRADED A+
Migraine headaches - ANSWER -•Triptans
•Beta blockers
•Anticonvulsants
•TCA
Morphine - ANSWER -Classification: opioid analgesic
Uses: moderate to severe pain, SOB
Side Effects: constipation, urinary retention, rash, orthostatic
hypotension Adverse Effects: respiratory depression,
psychological dependence, overdose sign miosis (small pupils),
sedation, blurred vision, euphoria
Contraindications: CNS or respiratory depression, asthma,
increased ICP
Interactions: CNS depressants, alcohol
Eval/Monitor/Teach: avoid alcohol, which may decrease
respiratory rate, monitor VS, orthostatic hypotension (falls risk),
confusion decreased LOC in elderly
,Sumatriptan (Imitrex) - ANSWER -Classification: selective
serotonin receptor
agonist Uses: migraines, cluster
headaches
Action: vasoconstriction of cranial arteries
Side Effects: dizziness, vertigo, drowsiness Adverse Effects:
suicidal ideations, hypo/hypertension, bradycardia,
dysrhythmias, cardiac arrest Contraindications: cardiovascular
disease, uncontrolled HTN, liver failure, pregnancy
Interactions: SSRIs, MAOIs
Eval/Monitor/Teach: monitor VS, administer before pain
escalates, avoid MAOIs and SSRIs, stress management, avoid
migraine triggers
SNRIs - ANSWER -
•Used for
•Major
depression
•Anxiety
•Social anxiety
•Panic disorder
•Side effects
•Drowsiness
•Dizziness
•Insomnia
•Headache
,•Blurred vision
•Amnesia
•Hypertension
•Tachycardia
•Suicide ideation
•Angioedema
•Seizures
MAOIs - ANSWER -•Not first drug of choice, many side
effects, will give only if TCA doesn't work •Side effects
•Drug interactions
•CNS stimulants such as pseudoephedrine can cause
hypertensive crisis, cannot take with TCA
•Food interactions
•Tyramine
•Aged cheese, yogurt, coffee, chocolate, raisins, bananas, liver,
pickled foods, yeast, wine, beer
•Can cause hypertensive crisis
Venlafaxine - ANSWER -Classification: serotonin norepinephrine
reuptake inhibitor (SNRI)
Uses: depression, anxiety, panic disorder
Action: serotonin and norepinephrine increased in nerve cells
Side Effects: drowsiness, dizziness, insomnia, blurred vision,
ejaculation dysfunction, weight loss, Steven Johnson syndrome,
agitation
, Adverse Effects: hypertension, tachycardia, seizures, suicidal
ideations, renal failure
Contraindications: caution with renal impairment Interactions:
St. John's Wort Eval/Monitor/Teach: avoid alcohol/ CNS
depressants, monitor for suicidal ideations, takes 3-4 weeks for
effectiveness
phenelzine sulfate - ANSWER -Classification: monoamine
oxidase inhibitor
(MAOI) Uses: depression, anxiety, panic disorders
Action: inactivates norepinephrine and serotonin
Side Effects: agitation, restlessness, insomnia, orthostatic
hypotension, anticholinergic effects, weight gain
Adverse Effects: hypertensive crisis, suicidal ideations
Contraindications: caution with hypertension Interactions:
TCAs, foods containing tyramine Eval/Monitor/Teach: monitor
VS, avoid foods with tyramine (aged cheese, wine, yogurt,
cream, chocolate, beer) can cause hypertensive crisis, last
resort class of medication, assess depression
Lithium - ANSWER -Classification: mood stabilizer
Uses: bipolar disorder, mania
Action: increased sensitivity to serotonin
Side Effects: increased urination, loss or water and
sodium, dehydration, edema in hands/ankles, weight gain, thirst,
dry mouth, hypotension, memory impairment, metallic taste,
