NSG 533 (NSG533) EXAM 2 (ACTUAL 2025/2026) ADVANCED
PHARMACOLOGY EXAM 2 | LATEST
What would you be concerned with regarding the first patient's use of
Vicodin in terms of the dose acetaminophen?
In elderly patients, it is recommended not to exceed >3,000mg per
day of acetaminophen.
What medication could you recommend for a diabetic patient in pain
that could also be used to help treat depression?
SNRIs; either duloxetine or venlafaxine have been successfully used
in diabetic peripheral neuropathy.
What medication would you recommend for a patient who has
symptomatic hyperuricemia and is an over-producer and under
excretor:
Allopurinol is the medication of choice for symptomatic
hyperuricemia and for over-producers and under excretors.
What doses of calcium and vitamin D would you recommend for a
patient based on their age?
Men: 51-70: 1,000 mg calcium
,Woemn 51+/ Men 71+: 1,200mg calcium
Men/ Women 50+: 800-1000 iu vitamin D
Know current treatment guidelines of The American College of
Rheumatology for the tx of OA:
-lifestyle modifications
-PT
-heat/ cold therapy
-oral NSAIDs, topical NSAIDs on superficial joints
-APAP
-tramadol
-duloxetine
Know which herbal/ OTC product is commonly used in the tx of OA
Glucosamine and chondroitin
, Know all about tramadol; how it works, daily dose limits, interactions
and side effects:
-centrally acting synthetic opioid
-weak SSRI/ SNRI
-can cause dizzinesss, vertigo, N/V, lethargy
-seizures reported; dose related, more so with TCAs and other SSRIs
-risk for SEROTONIN SYNDROME
-Max 200mg/ day
Understand when you would initiate prophylaxis therapy in a patient
w. gout (you would not typically recommend prophylaxis for a patient
experiencing symptoms for the first time):
-patients with 2 or more flares/ year
-radiographic evidence attributable to gout
-or one subcutaneous tophi are candidates for prophylaxis treatment
PHARMACOLOGY EXAM 2 | LATEST
What would you be concerned with regarding the first patient's use of
Vicodin in terms of the dose acetaminophen?
In elderly patients, it is recommended not to exceed >3,000mg per
day of acetaminophen.
What medication could you recommend for a diabetic patient in pain
that could also be used to help treat depression?
SNRIs; either duloxetine or venlafaxine have been successfully used
in diabetic peripheral neuropathy.
What medication would you recommend for a patient who has
symptomatic hyperuricemia and is an over-producer and under
excretor:
Allopurinol is the medication of choice for symptomatic
hyperuricemia and for over-producers and under excretors.
What doses of calcium and vitamin D would you recommend for a
patient based on their age?
Men: 51-70: 1,000 mg calcium
,Woemn 51+/ Men 71+: 1,200mg calcium
Men/ Women 50+: 800-1000 iu vitamin D
Know current treatment guidelines of The American College of
Rheumatology for the tx of OA:
-lifestyle modifications
-PT
-heat/ cold therapy
-oral NSAIDs, topical NSAIDs on superficial joints
-APAP
-tramadol
-duloxetine
Know which herbal/ OTC product is commonly used in the tx of OA
Glucosamine and chondroitin
, Know all about tramadol; how it works, daily dose limits, interactions
and side effects:
-centrally acting synthetic opioid
-weak SSRI/ SNRI
-can cause dizzinesss, vertigo, N/V, lethargy
-seizures reported; dose related, more so with TCAs and other SSRIs
-risk for SEROTONIN SYNDROME
-Max 200mg/ day
Understand when you would initiate prophylaxis therapy in a patient
w. gout (you would not typically recommend prophylaxis for a patient
experiencing symptoms for the first time):
-patients with 2 or more flares/ year
-radiographic evidence attributable to gout
-or one subcutaneous tophi are candidates for prophylaxis treatment
