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NR 565 – Final Exam: Advanced Pharmacology Fundamentals | Chamberlain University (2025) | Actual Questions and Verified Answers

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NR 565 – Final Exam: Advanced Pharmacology Fundamentals | Chamberlain University (2025) | Actual Questions and Verified Answers Benefits of using a LABA? - ANSWER -Help with decreasing the frequency of attacks for the long-term control (it must be combined with IGC, preferably in the same inhaler). What are LABAs used for in COPD? - ANSWER -Preferred for bronchodilation in COPD patients and can be started in step A for these patients. Examples of Inhaled Corticosteroids (ICS)? - ANSWER -Beclomethasone, budesonide, ciclesonide, flunisolide, fluticasone, mometasone. What are the benefits of using an ICS? - ANSWER -Effective for long term control of airway inflammation. Effective for asthma prophylaxis and management of COPD exacerbations. How does Nicotine replacement work? - ANSWER -Allows smokers to substitute a pharmaceutical source of nicotine and gradually withdraw the replacement nicotine. Patient education needed for Nicotine Patch? - ANSWER -Apply to clean, dry, non-hairy skin of the upper body. Change daily, rotate sites. Patient education for Nicotine Gum? - ANSWER -Chew gum slowly and intermittently for about 30 minutes. Don't eat or drink while chewing or 15 minutes before chewing. Patient education for Nicotine Nasal Spray? - ANSWER -Could be addictive. Contraindications to Wellbutrin? - ANSWER -Hx of seixures, anorexia nervosa, cocaine use and ETOH withdraw. What is the recommended length of treatment with Buproprion (Zyban)? - ANSWER -7-12 weeks. What is MDR-TB? - ANSWER -Multidrug resistant TB is resistant to isoniazid and rifampin. What is XDR-TB? - ANSWER -Extensively drug resistant TB is resistant to isoniazid, rifampin, and all fluroquinolones (ex: moxifloxacin) and at least one of the injectable second line anti TB drugs (amikacin or capreomycin). What is treatment of TB in a pregnant person? What all should be included? - ANSWER -Rifabutin (Mycobutin). The CDC justifies the risk for isoniazid, rifampin and pyrazinamide. CDC does NOT recommend rifapentine. Ethambutol has caused teratogenesis in animal studies. What drug can be used to prevent TB in people that have been exposed? - ANSWER -Isoniazid (INH). Examples of decongestants? - ANSWER -Beclomethasone, dipropionate, budesonide, fluticasone, triamcinolone. Which cough and cold drug class has no significant drug interactions? - ANSWER -Expectorant (Guaifenesin). What do H2 receptor antagonists do? - ANSWER -Treat gastric duodenal ulcers. Ends in "DINE". Examples of H2 receptor antagonists? - ANSWER -Cimetidine (Tagamet), famotidine (pepcid), nizatidine (axid), ranitidine (zantac). Which H2 receptor antagonist is most likely to interact due to the CYP450 enzyme system? - ANSWER -Cimetidine (Tagamet). What do proton pump inhibitors do? - ANSWER -Treat duodenal ulcers and gastric ulcers, erosive esophagitis, GERD, NERD, inpatient prevention of stress ulcers, hypersecretory conditions (Zollinger-Ellison syndrome). How long should PPIs be used? What is the exception? - ANSWER -Limit therapy to 4-8 weeks except in Zollinger Ellison. What vitamin/mineral deficiencies are associated with PPI use? - ANSWER Decreased absorption of calcium, magnesium, and vitamin B12. Short term used of PPIs increases risk of what? - ANSWER -Community acquired pneumonia (CAP). How to treat moderate to severe GERD? - ANSWER -PPIs and antacids. What medication for GERD should be avoided in older adults and why? - ANSWER -PPIs should be avoided. They have many medication interactions and cause vitamin and mineral deficiencies that increase the risk of fractures and osteoporosis. Which cytoprotective agents would be used to treat GERD in pregnancy? - ANSWER -Sucralfate (Carafate). When to test for H.Pylori? - ANSWER -If a patient is being treated with a PPI and they are not getting better. What is triple therapy treatment for H. Pylori? - ANSWER -1. PPI 2. Clarithromycin 500 mg BID or Metronidazole 500 mg BID 3. Amoxicillin 1 gm BID Treat for 10-14 days. What is quadruple therapy treatment for H. Pylori? - ANSWER -1. PPI 2. Metronidazole 250 mg QID 3. Tetracycline 500 mg QID

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NR 565 –
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NR 565 –

Voorbeeld van de inhoud

NR 565 – Final Exam: Advanced Pharmacology
Fundamentals | Chamberlain University (2025) |
Actual Questions and Verified Answers

Benefits of using a LABA? - ANSWER -Help with decreasing the frequency of
attacks for the long-term control (it must be combined with IGC, preferably in the
same inhaler).

What are LABAs used for in COPD? - ANSWER -Preferred for bronchodilation
in COPD patients and can be started in step A for these patients.

Examples of Inhaled Corticosteroids (ICS)? - ANSWER -Beclomethasone,
budesonide, ciclesonide, flunisolide, fluticasone, mometasone.

What are the benefits of using an ICS? - ANSWER -Effective for long term
control of airway inflammation. Effective for asthma prophylaxis and management
of COPD exacerbations.

How does Nicotine replacement work? - ANSWER -Allows smokers to substitute
a pharmaceutical source of nicotine and gradually withdraw the replacement
nicotine.

Patient education needed for Nicotine Patch? - ANSWER -Apply to clean, dry,
non-hairy skin of the upper body. Change daily, rotate sites.

Patient education for Nicotine Gum? - ANSWER -Chew gum slowly and
intermittently for about 30 minutes. Don't eat or drink while chewing or 15 minutes
before chewing.

Patient education for Nicotine Nasal Spray? - ANSWER -Could be addictive.

, Contraindications to Wellbutrin? - ANSWER -Hx of seixures, anorexia nervosa,
cocaine use and ETOH withdraw.

What is the recommended length of treatment with Buproprion (Zyban)? -
ANSWER -7-12 weeks.

What is MDR-TB? - ANSWER -Multidrug resistant TB is resistant to isoniazid
and rifampin.

What is XDR-TB? - ANSWER -Extensively drug resistant TB is resistant to
isoniazid, rifampin, and all fluroquinolones (ex: moxifloxacin) and at least one of
the injectable second line anti TB drugs (amikacin or capreomycin).

What is treatment of TB in a pregnant person? What all should be included? -
ANSWER -Rifabutin (Mycobutin). The CDC justifies the risk for isoniazid,
rifampin and pyrazinamide. CDC does NOT recommend rifapentine. Ethambutol
has caused teratogenesis in animal studies.

What drug can be used to prevent TB in people that have been exposed? -
ANSWER -Isoniazid (INH).

Examples of decongestants? - ANSWER -Beclomethasone, dipropionate,
budesonide, fluticasone, triamcinolone.

Which cough and cold drug class has no significant drug interactions? - ANSWER
-Expectorant (Guaifenesin).

What do H2 receptor antagonists do? - ANSWER -Treat gastric duodenal ulcers.
Ends in "DINE".

Examples of H2 receptor antagonists? - ANSWER -Cimetidine (Tagamet),
famotidine (pepcid), nizatidine (axid), ranitidine (zantac).

Which H2 receptor antagonist is most likely to interact due to the CYP450
enzyme system? - ANSWER -Cimetidine (Tagamet).

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NR 565 –

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