NURS 6630 – Advanced Pharmacotherapeutics
Exam: Advanced Pharmacotherapeutics (40 Questions)
1. The safest antihypertensive for a patient with asthma is:
A. Propranolol
B. Metoprolol
C. Nadolol
D. Timolol
2. An NP should avoid prescribing ACE inhibitors in patients with:
A. Hypokalemia
B. Dry cough
C. Pregnancy
D. Diabetes
3. Which medication causes gingival hyperplasia?
A. Phenytoin
B. Carbamazepine
C. Lamotrigine
D. Levetiracetam
4. First-line treatment for hypertension with diabetes:
A. CCB
B. ACE inhibitors/ARBs
C. Alpha blockers
D. Beta blockers
5. Which antibiotic is contraindicated in children due to cartilage toxicity?
A. Amoxicillin
B. Ciprofloxacin
C. Azithromycin
D. Ceftriaxone
6. A medication requiring therapeutic serum monitoring:
A. Lisinopril
B. Warfarin
C. Metformin
D. Loratadine
7. Best treatment for hyperthyroidism in pregnancy:
A. Methimazole (1st trimester)
B. Propylthiouracil (PTU)
C. Radioactive iodine
D. Beta-blockers alone
8. Black box warning for fluoroquinolones:
A. Stevens–Johnson Syndrome
B. Tendon rupture
, C. Nephrotoxicity
D. Bone marrow suppression
9. Preferred statin for high-intensity therapy:
A. Pravastatin
B. Atorvastatin 40–80 mg
C. Fluvastatin
D. Simvastatin 10 mg
10. Treatment for acute gout when patient is on warfarin:
A. NSAIDs
B. Colchicine
C. Corticosteroids
D. Allopurinol
11. Which insulin is long-acting?
A. Aspart
B. Lispro
C. Glargine
D. Regular
12. Which class can cause lactic acidosis?
A. Sulfonylureas
B. Biguanides
C. TZDs
D. DPP-4 inhibitors
13. NSAIDs can worsen:
A. Hypertension
B. Asthma
C. Renal function
D. All of the above
14. Which drug requires liver function monitoring?
A. Acetaminophen
B. Ibuprofen
C. Losartan
D. Metoprolol
15. Most appropriate opioid for chronic kidney disease:
A. Morphine
B. Codeine
C. Fentanyl
D. Meperidine
16. Which antidepressant is best for chronic pain?
A. Fluoxetine
B. Duloxetine
C. Sertraline
D. Escitalopram
17. A key side effect of ARBs:
A. Hyperkalemia
B. Dry cough
Exam: Advanced Pharmacotherapeutics (40 Questions)
1. The safest antihypertensive for a patient with asthma is:
A. Propranolol
B. Metoprolol
C. Nadolol
D. Timolol
2. An NP should avoid prescribing ACE inhibitors in patients with:
A. Hypokalemia
B. Dry cough
C. Pregnancy
D. Diabetes
3. Which medication causes gingival hyperplasia?
A. Phenytoin
B. Carbamazepine
C. Lamotrigine
D. Levetiracetam
4. First-line treatment for hypertension with diabetes:
A. CCB
B. ACE inhibitors/ARBs
C. Alpha blockers
D. Beta blockers
5. Which antibiotic is contraindicated in children due to cartilage toxicity?
A. Amoxicillin
B. Ciprofloxacin
C. Azithromycin
D. Ceftriaxone
6. A medication requiring therapeutic serum monitoring:
A. Lisinopril
B. Warfarin
C. Metformin
D. Loratadine
7. Best treatment for hyperthyroidism in pregnancy:
A. Methimazole (1st trimester)
B. Propylthiouracil (PTU)
C. Radioactive iodine
D. Beta-blockers alone
8. Black box warning for fluoroquinolones:
A. Stevens–Johnson Syndrome
B. Tendon rupture
, C. Nephrotoxicity
D. Bone marrow suppression
9. Preferred statin for high-intensity therapy:
A. Pravastatin
B. Atorvastatin 40–80 mg
C. Fluvastatin
D. Simvastatin 10 mg
10. Treatment for acute gout when patient is on warfarin:
A. NSAIDs
B. Colchicine
C. Corticosteroids
D. Allopurinol
11. Which insulin is long-acting?
A. Aspart
B. Lispro
C. Glargine
D. Regular
12. Which class can cause lactic acidosis?
A. Sulfonylureas
B. Biguanides
C. TZDs
D. DPP-4 inhibitors
13. NSAIDs can worsen:
A. Hypertension
B. Asthma
C. Renal function
D. All of the above
14. Which drug requires liver function monitoring?
A. Acetaminophen
B. Ibuprofen
C. Losartan
D. Metoprolol
15. Most appropriate opioid for chronic kidney disease:
A. Morphine
B. Codeine
C. Fentanyl
D. Meperidine
16. Which antidepressant is best for chronic pain?
A. Fluoxetine
B. Duloxetine
C. Sertraline
D. Escitalopram
17. A key side effect of ARBs:
A. Hyperkalemia
B. Dry cough
