NRP507 Week 6 | Pharmacology in Health Care - University of Phoenix

NRP507 Advanced Pharmacology Week 6 Quiz

Question 1

Which of the following medications prevents the seizures and delirium tremens associated with alcohol withdrawal?

1. Clonidine

2. Lorazepam

3.Ethanol supplementation

4.Barbiturates

Question 2

The first-line medication(s) for alcohol withdrawal is/are:

1. Valproates

2. Benzodiazepines

3.Carbamazepine

4.Clonidine

Question 3

Why is taking paroxetine (Paxil) consistently and never running out of medication more important with this drug than with most other SSRIs?

1. It has a shorter half-life and withdrawal syndrome has a faster onset without taper.
2. It has the longest half-life and the withdrawal syndrome has a faster onset.
3. It is quasi-addictive in the dopaminergic reward system.
4. It is the most activating of SSRI medications and a sudden stop to taking it will cause the person to have sudden deep sadness.

Question 4

What “onset of action” symptoms should be reviewed with patients who have been newly prescribed an SSRI?

1. They will have insomnia for a week.
2. They may feel a bit of nausea, but this will resolve in a week.

3.They will have an “onset seizure” but this is considered normal.

1. They will no longer dream.

Question 5

First-line therapy for an adult with ADHD is:

1.Methylphenidate

2.Atomoxetine

3.Clonidine

4.Behavioral therapy

Question 6

After an adult is started on stimulants for ADHD the following should be monitored:

1. Height and weight for increased body mass index (BMI)

2.Blood pressure for hypotension

3. Refill pattern for diversion

4. All of the above

Question 7

A 54-year-old female has a history of migraines that do not respond well to over-the-counter (OTC) migraine medication. She is asking to try Maxalt (rizatriptan) because it works well for her friend. Appropriate decision making would be: 1.Prescribe the rizatriptan, but only give her four tablets with no refills to monitor the use.

1. Prescribe rizatriptan and arrange to have her observed in the clinic or urgent care with the first dose.

3.Explain that rizatriptan is not used for postmenopausal migraines and recommend Fiorinal (aspirin and butalbital). 4.Prescribe sumatriptan (Imitrex) with the explanation that it is the most effective triptan.

Question 8

A 24-year-old patient has had migraines for 10 years. She reports a migraine on average of once a month. The migraines are effectively aborted with naratriptan (Amerge). When refilling her naratriptan, education would include: 1.Naratriptan will interact with antidepressants, including selective serotonin reuptake inhibitors (SSRIs) and St. John’s Wort, and she should inform any providers she sees that she has migraines.

1. Continue to monitor her headaches, and if the migraines are consistently happening around her menses there is preventive therapy available.

3.Pregnancy is contraindicated when taking a triptan.

4.All of the above

Question 9

Nicotine replacement therapy should not be used in which patients?

1.Pregnant women

2.Patients with worsening angina pectoris

3.Patients who have just suffered an acute myocardial infarction

4.All of the above

Question 10

The most appropriate smoking cessation prescription for pregnant women is:

1. A nicotine replacement patch at the lowest dose available

2.Bupropion (Zyban)

3. Varenicline (Chantix)

4. Nonpharmacologic measures