PHARMACOLOGY EXAM 4 (2026) MOST
RECENT COMPREHENSIVE QUESTIONS AND
ANSWERS |COMPLETE SOLUTIONS |A+
GRADED |100% CORRECT!!
What are three lab tests we run for chest pain? - ANSWER✔️Creatine Kinase, Troponin,
Myoglobin
What are the details about Creatine Kinase? - ANSWER✔️It's specific to myocardial cells,
because if myocardial cells are damaged, CK is released. This number peaks in 15-20 hours after
incident.
, What about Troponin? - ANSWER✔️Levels rise more quickly, and is more specific to heart
damage than CK. Peaks in same amount of time.
Which type of antacid is known to cause diarrhea as a common adverse effect? -
ANSWER✔️Magnesium hydroxide
Mechanism of Action: Histamine2 Receptor Antagonists (H2RA) - ANSWER✔️They suppress
gastric acid secretion by blocking H2receptors.
What central nervous system adverse effects might older adults experience with H2RAs like
Cimetidine? - ANSWER✔️Confusion, drowsiness, or restlessness.
Mechanism of Action: Proton Pump Inhibitors (PPIs) - ANSWER✔️They suppress gastric acid
secretion by irreversibly inhibiting the proton pump (H+/K+-ATPase).
What are two potential complications associated with long-term use of Proton Pump Inhibitors? -
ANSWER✔️Pneumonia and C.difficileinfection.
Mechanism of Action: Sucralfate (Carafate) - ANSWER✔️It forms a protective coating over the
stomach lining/ulcer crater.
Difference between HDL, LDL, and triglycerides? - ANSWER✔️HDL is considered the good,
LDL the bad, and Tri is the ugly. HDL should be higher to protect the body
Define these four ECG's
Telemetry, 12 lead, holter, and stress - ANSWER✔️Telemetry keeps a track of the electrical
activity of the heart
12 lead is twelve different electrodes across the body to get all the best angles of the heart
function
Holter is remote tracing that people wear for a few days to look for correlation between activity
and heart rate
Tress test is where you put a 12 lead on someone and have them walk.
What is an ECHO and how do you read it? Transesophageal? - ANSWER✔️You read it upside
down and backwards (LV is upper right). This helps us see how the left ventricle is working
because it has the most amount of push and work in the heart.
We sedate patients and put a tube down the esophagus to help get a clearer picture
What is an angiogram and where do you do it from? - ANSWER✔️This is the most evasive way
to view the heart. You do it femorally or radially, and it helps us check for blockages and/or
heart disease. We inject die into vascular part of the heart.
Numbers for prehypertension and stage 1 hypertension - ANSWER✔️Pre: 120-139 or 80-89
Stage 1: greater than 139 or 89