GNRS 5301 Advanced Pharmacology

GNRS 5301 Advanced Pharmacology 01) What is the first line and most effectiveness drug of a healthy patient with the following symptoms: severe runny nose, red watery eyes, pale and boggy turbinates: A. Cromolyn sodium (Nasalcrom) nasal spray B. Saline Nasal Spray (Simply) C. Ipratropium bromide (Atrovent) Nasal Spray D. Oxymetazoline (Afrin) Nasal Spray E. Fluticasone Propionate(Flonase) Nasal Spray This pt has allergic rhinitis 02) What is the most likely diagnostic and treatment plan for Liz adolescent female patient: A. Bacterial Conjunctivitis and should be treated with antibiotic ocular drops B. Blepharitis and should be treated with warm compress and antibiotic ocular drops/ointment C. Allergic Conjunctivitis and should be treated with antihistamines D. Stye and should be treated with antibiotic 03) Cromolyn’s mechanism of action is as: A. An anti-immunoglobin E antibody B. A mast cell stabilizer C. A vasoconstrictor D. A leukotriene modifier Mast cell stabilizer prevent the release of histamine. 04) Which ones of the following conditions can be treated with an alpha-adrenergic antagonist? A. Functional Incontinence B. Renal Insufficiency C. Overflow incontinence D. Urge/Stress incontinence 05) Which alternative herbal is used by patients for the treatment for hot flashes related to menopause? Ginseng 06) Which of the following is the most appropriate antimicrobial for treatment of community- acquired pneumonia (CAP) in a 42-year-old man with no comorbidity, no reported drug allergy, and no recent antimicrobial use? A) Clarithromycin B. Levofloxacin C. JCeftriaxone D. Amoxicillin 07) Which ones of the following medications should you avoid? Please select all that apply? A. Sulfa contains drugs B. Azithromycin C. Aspirin D. Amoxicillin 08) You see a 70 year old women in a walk-in center with a chief complaint of increased urinary frequency and dysuria. Urinalysis reveals pyuria and positive nitrites. She mentions she has a “bit of kidney trouble, not too bad.” Recent evaluation of renal status is unavailable. In considering antimicrobial therapy for this patient, you prescribe: A. Doxycycline B. Ciprofloxacin C. Nitrofurantoin (Macrodantoin) D. Fosfomycin 09) An example of a first line therapeutic agent for treatment of pyelonephritis is: A. Trimethoprim-sulfamethoxazole/Ciprofloxacin B. Nitrofurantoin/Trimethoprim-sulfamethoxazole C. Clindamycin/Fosmomycin D. Amoxicillin with clavulanate/Macrolides 10) Megan, your adult female patient presents in the clinic with a dry, hacking, nonproductive cough that is interfering with her sleep. The family nurse practitioner would encourage the patient to purchase an OTC preparation that contains: A. Guaifenesin (expectorant) B. Pseudoephedrine (vasoconstrictor) C. Diphenhydramine (antihistamine/allergy) D. Dextromethorphan (cough suppressant) 11) Montelukast (Singular) may be prescribed for A. A two-year-old with moderate persistent asthma. B. A six-year-old with exercise-induced asthma C. None of the above. Montelukast is not approved for use in children D. An eighteen-month-old with seasonal allergic rhinitis 12) Lucy, an adult patient presents to the family nurse practitioner’s office with the following complaints for the past 10 days: fever and complaints of right facial pain, copious yellow nasal discharge, and acute pain and headache primarily when bending over. The physical exam is significant for maxillary sinus tenderness upon palpation. With allergy to PNC, the first line of treatment should be: A. Doxycycline (Vibramycin) B. Clindamyci