NSG 533 Advanced Pharmacology
Practice Exam with 300 Questions and
Correct Answers/ Advanced
Pharmacology NSG 533 Practice Test
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Which initial antidepressant regimen is likely to be the best tolerated by a patient with panic disorder?
A. Duloxetine 60 mg daily
B. Bupropion 300 mg XL daily
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C. Imipramine 50 mg three times daily
D. Paroxetine 10 mg daily
E. Buspirone 15 mg three times daily –
Correct Answer :D
A 22-year-old woman with SAD has significant improvement in anxiety after 14 weeks of
treatment with sertraline. How long should she remain on sertraline?
A. Discontinue now
B. Additional 3 months
C. Additional 6 months
D. Additional 1-2 years
E. Lifetime therapy –
Correct Answer :C
A 26-year-old African American man with SAD has been stable on sertraline 100 mg/day for
the past year. He reports to the clinic today with complaints of increased anxiety, agitation, and
nausea. Upon further examination, you notice he last filled his sertraline Rx (90-day supply) 4
months ago. Medications: Ibuprofen 400 mg as needed for joint pain. He reports taking sertraline
most days but ran out 4 days ago. What is most likely going on with AS?
A. Serotonin syndrome
B. Serotonin withdrawal
C. Neuroleptic malignant syndrome
D. Relapse of SAD
E. Rebound anxiety
- Correct Answer :B
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A 78-year-old black woman has HTN, DJD, osteoporosis, and GAD. Which of the following medications
is the best choice for management of her GAD?
A. Pregabalin
B. Trazodone
C. Quetiapine
D. Escitalopram
E. Mirtazapine –
Correct Answer :D
What is the best initial treatment for a 39-year-old man with comorbid panic disorder and alcohol use
disorder?
A. Sertraline
B. Quetiapine
C. Pregabalin
D. Bupropion
E. Alprazolam –
Correct Answer :A
What monitoring parameters should be followed in a 10-year-old initiated on fluoxetine for SAD?
A. Suicidal Ideation
B. School performance
C. Anxiety Symptoms
D. Nausea, headache, stomach ache
E. All of the above –
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Correct Answer :E
Which of the following GAD patients is most likely to be a CYP 2C19 poor metabolizer and will have an
exaggerated response to diazepam 5 mg three times daily with increased sedation and CNS and
cognitive side effects?
A. 25-year-old white woman
B. 25-year-old black woman
C. 45-year-old black man
D. 45-year-old Asian man
E. 45-year-old white man –
Correct Answer :D
AD is a 58-year-old man who presents to your clinic with the complaint that he "just can't sleep at
night." Upon further questioning, he reports that he typically falls asleep without problem but wakes
up multiple times throughout the night. Which of the following sleep disorders could AD possibly
have?
A. Insomnia
B. Obstructive sleep apnea
C. Narcolepsy
D. Restless legs syndrome
E. All of the above –
Correct Answer :E
RS is a 28-year-old man with a history of obsessive-compulsive disorder who reports that he kicks his
legs during the night, which wakes him up. He reports that he does not really have any symptoms of
restless legs syndrome, but the leg kicking frequently awakens him in the middle of the night and
causes him to be sleepy during the daytime. RS has a body mass index of 21 kg/m2 and is
normotensive, and his wife says he does not snore or stop breathing during sleep. What would you
recommend for RS?
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