PHARMACOLOGY EXAM ms
Exam Solution
ms
NR 565 advanced pharmacology midterm Chamberlain
ms ms ms ms ms
2026 A+ GRADE ASSURED COMPLETE SOLUTIONS AND
ms ms ms ms ms ms ms
VERIFIED ANSWERS (AF3B3)
ms ms ms
QUESTION 1 ms
During what trimester is a pregnant woman most at risk for adverse drug reactions w
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
ith potential long term consequences?
ms ms ms ms
ANSWER
1st trimester (fetus most at risk d/t rapid growth)
ms ms ms ms ms ms ms ms
QUESTION 2 ms
What is BEERS criteria?
ms ms ms
ANSWER
Recommendations of medications inappropriate for elderly (65 and older), prescriber ultimately deci
ms ms ms ms ms ms ms ms ms ms ms
des
QUESTION 3 ms
What is the CYP450 (cytochrome P450)
ms ms ms ms ms
ANSWER
liver enzyme system where medications are metabolized, can either be inducers or inhibitors and cr
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
eate drug-drug interactions
ms ms
QUESTION 4 ms
CYP450 inducers ms
ANSWER
,Speed up metabolism of drugs (drug is cleared faster), drug has lesser effect (decrease blood levels
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
of drug), elevate CYP450 enzymes
ms ms ms ms
QUESTION 5 ms
CYP450 inducers pneumonic
ms ms
ANSWER
"Bullshit Crap GPS INDUCES rage"
ms ms ms ms
QUESTION 6 ms
CYP450 inducer drug names
ms ms ms
ANSWER
Barbituates, St John wort, Carbamazepine, rifampin, alcohol, phenytoin, griseofulvin, phenobarbital, su
ms ms ms ms ms ms ms ms ms ms
lfonylureas
QUESTION 7 ms
CYP450 inhibitors
ms
ANSWER
inhibit metabolism, increase blood levels of medications
ms ms ms ms ms ms
QUESTION 8 ms
CYP450 pneumonic
ms
ANSWER
"VISA credit card debt INHIBITS spending on designers like CK to look GQ"
ms ms ms ms ms ms ms ms ms ms ms ms
QUESTION 9 ms
CYP450 inhibitors drug names
ms ms ms
ANSWER
Valproate, isoniazid, sulfonamides, amiodarone, chloramphenicol, ketoconazole, grapefruit juice, quini
ms ms ms ms ms ms ms ms
dine
QUESTION 10 ms
,Physiological changes during pregnancy that impact pharmacodynamics and pharmaco
ms ms ms ms ms ms ms ms
kinetic properties of drugs?
ms ms ms
ANSWER
increase glomerular filtration rate leads to increase durg excretion increase hepatic metabolism decr
ms ms ms ms ms ms ms ms ms ms ms ms
ease tone and motility of bowel increase drug absorption
ms ms ms ms ms ms ms ms
QUESTION 11 ms
Examples of medications that can be teratogenic
ms ms ms ms ms ms
ANSWER
Antiepileptic drugs, antimicrobials such as tetracyclines and fluoroquinolones, vitamin A in large dos
ms ms ms ms ms ms ms ms ms ms ms ms
es, some anticoagulants, and hormonal medications such as diethylstilbestrol (DES).
ms ms ms ms ms ms ms ms ms
QUESTION 12 ms
How is absorption of intramuscular medications different in neonates?
ms ms ms ms ms ms ms ms
ANSWER
slow and erratic due to low blood flow in muscles first few days of life
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
QUESTION 13 ms
Why is absorption of medication in the stomach increased in infancy?
ms ms ms ms ms ms ms ms ms ms
ANSWER
delayed gastric emptying
ms ms
QUESTION 14 ms
Some medications that should be avoided in the pediatric patient?
ms ms ms ms ms ms ms ms ms
ANSWER
glucocorticoids, discoloration of developing teeth with tetracyclines, and kernicterus with sulfonamid
ms ms ms ms ms ms ms ms ms ms
es, levofloxacin (antibiotics) aspirin (Severe intoxication from acute overdose)
ms ms ms ms ms ms ms ms
QUESTION 15 ms
what should be included in medication administration patient education?
ms ms ms ms ms ms ms ms
ANSWER
, dosage size and timing route and technique of administration duration of treatment drug storage nat
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
ure and time course of desired responses nature and time course of adverse responses finish taking
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
antibiotic
QUESTION 16 ms
What are some things that put the elderly patient at higher risk for adverse drug reac
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
tions?
ANSWER
reduced renal function polypharmacy (the use of five or more medications daily) greater severity of
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
illness presence of comorbidities use of drugs that have a low therapeutic index (e.g., digoxin) increa
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
sed individual variation secondary to altered pharmacokinetics inadequate supervision of long-
ms ms ms ms ms ms ms ms ms ms
term therapy poor patient adherence
ms ms ms ms
QUESTION 17 ms
How can healthcare providers decrease likelihood of an elderly patient experiencing a
ms ms ms ms ms ms ms ms ms ms ms
n adverse drug reaction?
ms ms ms
ANSWER
obtaining a thorough drug history that includes over-the-
ms ms ms ms ms ms ms
counter medications considering pharmacokinetic and pharmacodynamics changes due to age monito
ms ms ms ms ms ms ms ms ms ms
ring the patient's clinical response and plasma drug levels using the simplest regimen possible monit
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
oring for drug-
ms ms
drug interactions and iatrogenic illness periodically reviewing the need for continued drug therapy e
ms ms ms ms ms ms ms ms ms ms ms ms ms
ncouraging the patient to dispose of old medications taking steps to promote adherence and to avoi
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
d drugs on the Beers list
ms ms ms ms ms
QUESTION 18 ms
How can we promote medication adherence with elderly patients?
ms ms ms ms ms ms ms ms
ANSWER
simplifying drug regimens providing clear and concise verbal and written instructions using an appr
ms ms ms ms ms ms ms ms ms ms ms ms ms
opriate dosage form clearly labeling and dispensing easy-to-
ms ms ms ms ms ms ms
open containers developing daily reminders monitoring frequently affordability of drugs support syst
ms ms ms ms ms ms ms ms ms ms ms
ems
QUESTION 19 ms
Why do nitrates need to be taken no later than 4 PM?
ms ms ms ms ms ms ms ms ms ms ms
ANSWER
Need nitrate free interval so tolerance doesn't develop
ms ms ms ms ms ms ms
Exam Solution
ms
NR 565 advanced pharmacology midterm Chamberlain
ms ms ms ms ms
2026 A+ GRADE ASSURED COMPLETE SOLUTIONS AND
ms ms ms ms ms ms ms
VERIFIED ANSWERS (AF3B3)
ms ms ms
QUESTION 1 ms
During what trimester is a pregnant woman most at risk for adverse drug reactions w
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
ith potential long term consequences?
ms ms ms ms
ANSWER
1st trimester (fetus most at risk d/t rapid growth)
ms ms ms ms ms ms ms ms
QUESTION 2 ms
What is BEERS criteria?
ms ms ms
ANSWER
Recommendations of medications inappropriate for elderly (65 and older), prescriber ultimately deci
ms ms ms ms ms ms ms ms ms ms ms
des
QUESTION 3 ms
What is the CYP450 (cytochrome P450)
ms ms ms ms ms
ANSWER
liver enzyme system where medications are metabolized, can either be inducers or inhibitors and cr
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
eate drug-drug interactions
ms ms
QUESTION 4 ms
CYP450 inducers ms
ANSWER
,Speed up metabolism of drugs (drug is cleared faster), drug has lesser effect (decrease blood levels
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
of drug), elevate CYP450 enzymes
ms ms ms ms
QUESTION 5 ms
CYP450 inducers pneumonic
ms ms
ANSWER
"Bullshit Crap GPS INDUCES rage"
ms ms ms ms
QUESTION 6 ms
CYP450 inducer drug names
ms ms ms
ANSWER
Barbituates, St John wort, Carbamazepine, rifampin, alcohol, phenytoin, griseofulvin, phenobarbital, su
ms ms ms ms ms ms ms ms ms ms
lfonylureas
QUESTION 7 ms
CYP450 inhibitors
ms
ANSWER
inhibit metabolism, increase blood levels of medications
ms ms ms ms ms ms
QUESTION 8 ms
CYP450 pneumonic
ms
ANSWER
"VISA credit card debt INHIBITS spending on designers like CK to look GQ"
ms ms ms ms ms ms ms ms ms ms ms ms
QUESTION 9 ms
CYP450 inhibitors drug names
ms ms ms
ANSWER
Valproate, isoniazid, sulfonamides, amiodarone, chloramphenicol, ketoconazole, grapefruit juice, quini
ms ms ms ms ms ms ms ms
dine
QUESTION 10 ms
,Physiological changes during pregnancy that impact pharmacodynamics and pharmaco
ms ms ms ms ms ms ms ms
kinetic properties of drugs?
ms ms ms
ANSWER
increase glomerular filtration rate leads to increase durg excretion increase hepatic metabolism decr
ms ms ms ms ms ms ms ms ms ms ms ms
ease tone and motility of bowel increase drug absorption
ms ms ms ms ms ms ms ms
QUESTION 11 ms
Examples of medications that can be teratogenic
ms ms ms ms ms ms
ANSWER
Antiepileptic drugs, antimicrobials such as tetracyclines and fluoroquinolones, vitamin A in large dos
ms ms ms ms ms ms ms ms ms ms ms ms
es, some anticoagulants, and hormonal medications such as diethylstilbestrol (DES).
ms ms ms ms ms ms ms ms ms
QUESTION 12 ms
How is absorption of intramuscular medications different in neonates?
ms ms ms ms ms ms ms ms
ANSWER
slow and erratic due to low blood flow in muscles first few days of life
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
QUESTION 13 ms
Why is absorption of medication in the stomach increased in infancy?
ms ms ms ms ms ms ms ms ms ms
ANSWER
delayed gastric emptying
ms ms
QUESTION 14 ms
Some medications that should be avoided in the pediatric patient?
ms ms ms ms ms ms ms ms ms
ANSWER
glucocorticoids, discoloration of developing teeth with tetracyclines, and kernicterus with sulfonamid
ms ms ms ms ms ms ms ms ms ms
es, levofloxacin (antibiotics) aspirin (Severe intoxication from acute overdose)
ms ms ms ms ms ms ms ms
QUESTION 15 ms
what should be included in medication administration patient education?
ms ms ms ms ms ms ms ms
ANSWER
, dosage size and timing route and technique of administration duration of treatment drug storage nat
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
ure and time course of desired responses nature and time course of adverse responses finish taking
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
antibiotic
QUESTION 16 ms
What are some things that put the elderly patient at higher risk for adverse drug reac
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
tions?
ANSWER
reduced renal function polypharmacy (the use of five or more medications daily) greater severity of
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
illness presence of comorbidities use of drugs that have a low therapeutic index (e.g., digoxin) increa
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
sed individual variation secondary to altered pharmacokinetics inadequate supervision of long-
ms ms ms ms ms ms ms ms ms ms
term therapy poor patient adherence
ms ms ms ms
QUESTION 17 ms
How can healthcare providers decrease likelihood of an elderly patient experiencing a
ms ms ms ms ms ms ms ms ms ms ms
n adverse drug reaction?
ms ms ms
ANSWER
obtaining a thorough drug history that includes over-the-
ms ms ms ms ms ms ms
counter medications considering pharmacokinetic and pharmacodynamics changes due to age monito
ms ms ms ms ms ms ms ms ms ms
ring the patient's clinical response and plasma drug levels using the simplest regimen possible monit
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
oring for drug-
ms ms
drug interactions and iatrogenic illness periodically reviewing the need for continued drug therapy e
ms ms ms ms ms ms ms ms ms ms ms ms ms
ncouraging the patient to dispose of old medications taking steps to promote adherence and to avoi
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
d drugs on the Beers list
ms ms ms ms ms
QUESTION 18 ms
How can we promote medication adherence with elderly patients?
ms ms ms ms ms ms ms ms
ANSWER
simplifying drug regimens providing clear and concise verbal and written instructions using an appr
ms ms ms ms ms ms ms ms ms ms ms ms ms
opriate dosage form clearly labeling and dispensing easy-to-
ms ms ms ms ms ms ms
open containers developing daily reminders monitoring frequently affordability of drugs support syst
ms ms ms ms ms ms ms ms ms ms ms
ems
QUESTION 19 ms
Why do nitrates need to be taken no later than 4 PM?
ms ms ms ms ms ms ms ms ms ms ms
ANSWER
Need nitrate free interval so tolerance doesn't develop
ms ms ms ms ms ms ms
