NR565 VERIFIED EXAM QUESTIONS AND ANSWERS
,NR565 VERIFIED EXAM QUESTIONS AND ANSWERS
1. A patient has a TSH of .28, a free T4 of 3, and a free T3 over 650. What medication
should she be started on?
Answer: Methimazole, PTU, radioactive iodine. These labs indicate
hyperthyroidism. Treatment for thyroid storm: K iodide or strong iodine
solution to suppress thyroid release. Methimazole to suppress thyroid
synthesis.
2. When is it appropriate to increase insulin needs?
Answer: Pregnancy (after first trimester), stress, infection, weight loss,
adolescent growth spurt. DECREASE for exercise and first trimester.
3. What is the TDD of a person that weighs 70kg?
IF a person is eating a 50 carb meal, how much insulin will be needed based on the TDD
from the above question?
Answer: 42 TDD : 21 basal 21 bolus (Wt in kg x 0.6; 50% long acting
and 50% rapid acting)
500 divided by (the TDD) 42 = 12. (carb to insulin ratio) then (meal
carbs) 50 divided 12= 4.1 units with short acting insulin
,NR565 VERIFIED EXAM QUESTIONS AND ANSWERS
4. "As long as the short-acting insulin is drawn up first I can mix my insulin glargine with
it."
Answer: Of the long-acting medications, ONLY NPH the intermediate
duration is suitable for mixing with the short action insulins.
5. A women who is taking Pioglitazone states, "I'm glad that this medication promotes
weight loss."
Answer: First this medication promotes increase in LDL levels, which
increases cardiovascular risk. Also, she's a female so speak about
exercise and weight bearing exercise d/t possible increased risk for
fractures.
6. Glucocorticoid MOA
Answer: Most effective in long-term control of airway inflammation
7. Cromolyn MOA
Answer: Used as prophylaxis for mild to moderate asthma
8. Monoclonal Antibodies MOA
Answer: Used for allergy-related asthma and Eosinophilic asthma.
Omalizumab for allergy related and Ben ralizumab, mepliz, and resliz
are for eosinophilic
9. Leukotriene MOA
, NR565 VERIFIED EXAM QUESTIONS AND ANSWERS
Answer: Second-line therapy to reduce inflammation and
bronchoconstriction
10. B2 adrenergic agonists MOA
Answer: Can be used PRN, for EIB, COPD exacerbations, and
maintenance therapy
11. methylxanthines MOA
Answer: Maintenance therapy for chronic stable asthma (theophylline).
P. 570. Use ONLY if B2 or anticholinergics are not appropriate.
12. anticholinergic MOA
Answer: Approved for bronchospasm related to COPD
13. •What are some risk factors of fatal asthma attacks?
Answer: Uncontrolled, hospitalized recently, triggers,
14. •Roflumilast (select all that apply)
1. Reduces inflammation
2. Not intended during pregnancy
3. Approved for asthma
4. First-line drug for COPD
Answer: Reduces inflammation, not intended for pregnancy, approved
only for COPD, Second-line drug for COPD
,NR565 VERIFIED EXAM QUESTIONS AND ANSWERS
1. A patient has a TSH of .28, a free T4 of 3, and a free T3 over 650. What medication
should she be started on?
Answer: Methimazole, PTU, radioactive iodine. These labs indicate
hyperthyroidism. Treatment for thyroid storm: K iodide or strong iodine
solution to suppress thyroid release. Methimazole to suppress thyroid
synthesis.
2. When is it appropriate to increase insulin needs?
Answer: Pregnancy (after first trimester), stress, infection, weight loss,
adolescent growth spurt. DECREASE for exercise and first trimester.
3. What is the TDD of a person that weighs 70kg?
IF a person is eating a 50 carb meal, how much insulin will be needed based on the TDD
from the above question?
Answer: 42 TDD : 21 basal 21 bolus (Wt in kg x 0.6; 50% long acting
and 50% rapid acting)
500 divided by (the TDD) 42 = 12. (carb to insulin ratio) then (meal
carbs) 50 divided 12= 4.1 units with short acting insulin
,NR565 VERIFIED EXAM QUESTIONS AND ANSWERS
4. "As long as the short-acting insulin is drawn up first I can mix my insulin glargine with
it."
Answer: Of the long-acting medications, ONLY NPH the intermediate
duration is suitable for mixing with the short action insulins.
5. A women who is taking Pioglitazone states, "I'm glad that this medication promotes
weight loss."
Answer: First this medication promotes increase in LDL levels, which
increases cardiovascular risk. Also, she's a female so speak about
exercise and weight bearing exercise d/t possible increased risk for
fractures.
6. Glucocorticoid MOA
Answer: Most effective in long-term control of airway inflammation
7. Cromolyn MOA
Answer: Used as prophylaxis for mild to moderate asthma
8. Monoclonal Antibodies MOA
Answer: Used for allergy-related asthma and Eosinophilic asthma.
Omalizumab for allergy related and Ben ralizumab, mepliz, and resliz
are for eosinophilic
9. Leukotriene MOA
, NR565 VERIFIED EXAM QUESTIONS AND ANSWERS
Answer: Second-line therapy to reduce inflammation and
bronchoconstriction
10. B2 adrenergic agonists MOA
Answer: Can be used PRN, for EIB, COPD exacerbations, and
maintenance therapy
11. methylxanthines MOA
Answer: Maintenance therapy for chronic stable asthma (theophylline).
P. 570. Use ONLY if B2 or anticholinergics are not appropriate.
12. anticholinergic MOA
Answer: Approved for bronchospasm related to COPD
13. •What are some risk factors of fatal asthma attacks?
Answer: Uncontrolled, hospitalized recently, triggers,
14. •Roflumilast (select all that apply)
1. Reduces inflammation
2. Not intended during pregnancy
3. Approved for asthma
4. First-line drug for COPD
Answer: Reduces inflammation, not intended for pregnancy, approved
only for COPD, Second-line drug for COPD
