Download Exam 3: NU641/ NU 641 (Latest 2025/ 2026 Update) Review| Qs & As| 100% Correct- Regis and more Exams Nursing in PDF only on Docsity!
Exam l 3 : l NU641/ l NU l 641 l (NEW l 2025/ l
2026 l Update) l Advanced l Clinical l
Pharmacology l Review| l Questions l & l
Answers| l Grade l A| l 100% l Correct l
(Verified l Solutions)- l Regis
QUESTION
whatl drugl isl usedl forl Il PLEDGEl PROGRAM Answer: Isotrentoinl - l harml tol fetusl ptl mustl signl information
QUESTION
Atopicl Dermatitisl (Eczema) Answer: chronicl inflammationl ofl thel skin;l rashl occursl inl face,l neckl ,l elbows,l knees,l andl upperl trunkl ofl thel bodyl alongl withl itching
QUESTION
atopicl dermatitisl firstl linel treatment Answer: moisturizers topicall glucocorticoidsl topicall immunosuppressants
QUESTION
topicall immunosuppressants
Answer: tacrolimusl pimecrolimusl riskl forl skinl cancerl andl lymphoma
QUESTION
topicall steroidsl moa Answer: Inhibitl thel arachidonicl acidl cascadel ofl inflammation,l decreasel cytokinel productionl whichl arel antil inflammatoryl activity
QUESTION
highl potencyl topicall steroids Answer: Betamethasonel dipropionatel 0.05%l creaml (Diprolenel AF)l Triamcinolonel acetonide limitl 50mgl orl lessl perl weekl notl beyondl 3 l weeks
QUESTION
organicl sunscreenl mainl ingredient Answer: AVOBENZONE
QUESTION
organicl sunscreenl aka
QUESTION
Bethanicoll - l whatl itl isl usedl forl andl whatl underlyingl conditionl shouldl youl bel cautiousl with Answer: urinaryl retentionl treatment underlyingl asthmal itl canl triggerl asthmal attack
QUESTION
nonl selectivel betal agonistsl - l whatl dol theyl dol tol hr? Answer: AGONISTSl willl INCREASEl HR drugsl thatl endl inl - linel likel isoprenaline
QUESTION
ifl patientl onl nitrates,l whatl classl ofl drugl canl youl NOTl use? Answer: ALLl PD5l inhibitorsl canl reducel BPl andl causel extremel vasodilation
QUESTION
PD5l Inhibitors Answer: Sildenafil,l tadalafil,l vardenafil
QUESTION
ptl hasl BPHl andl decreasel sexl performancel - l whatl isl drugl ofl choice Answer: alfuzosin
QUESTION
someonel hasl anxietyl andl underlyingl restrictivel respiratoryl disorder,l whatl drugl ofl choice? Answer: alprazolam
QUESTION
thel firstl 2 l weeksl ofl antidepressantsl ifl ptl developsl SI,l whatl tol do? Answer: hospitalize
QUESTION
nonl drugl therapiesl MDD Answer: CBT somaticl therapies exercise
QUESTION
howl tol switchl froml MAOIl andl onl SSRI Answer: mustl taperl andl stopl SSRIl forl 2 l weeksl beforel startingl MAOI
QUESTION
howl oftenl tol monitorl labl levelsl ptl onl clozapine Answer: checkl beforel normall range checkl weeklyl firstl 6 l months,l thenl 2 l weeksl forl anotherl 6 l months
QUESTION
varenciclinel (chantix)l usel andl SEl andl whatl tol do Answer: smokingl cessation moodl swing/SIl SENDl TOl ER!!!
QUESTION
goall ofl drugl rehab Answer: abstinence
QUESTION
kidl withl ADHD,l whatl tol knowl beforel prescribingl methyphenidate? Answer: heightl &l weight canl causel growthl delay,l insomnia
QUESTION
opioidl usel disorderl treatmentl options
Answer: opioidl agonist:l methadone opioidl agonist/antagonist:l buprenorphine opioidl antagonist:l naltrexone
QUESTION
whyl methadonel isl usedl inl withdrawall clinics Answer: helpsl preventl withdrawall andl reducel thel euphorial associatedl withl drugl use,l usedl inl suppressivel therapyl tol givel highestl dosel tol achievel this
QUESTION
Suboxonel (buprenorphine/naloxone)l use Answer: discouragesl IVl use,l ifl youl takel whilel onl youl willl withdrawl - l sol onlyl usedl forl MAINTENANCEl therapy
QUESTION
whatl youl needl tol knowl aboutl pregnantl ladyl withl ETOH Answer: howl muchl theyl drink whenl lastl drinkl was
QUESTION
hypertensivel agentsl safel inl pregnancy Answer: methyldopal nifedipinel labetolol
Answer: howl used:l asl dopaminel replacementl inl parkinsonsl undergoesl conversionl tol DAl inl brainl andl activatesl DAl receptors.l why:l blocksl destructionl ofl levodopal inl peripheryl tol decreasel amountl ofl decarboxylationl sol morel drugl canl enterl CNSl andl increasel dopaminel synthesisl (tiesl upl vitaminl bl 6)
QUESTION
patientl educationl levodopa Answer: avoidl highl proteinl mealsl delaysl drugl canl havel on/offl periodl - l telll MD N/Vl commonl takel withl fruits/veggies monitorl cardiacl s/sl andl renal/liverl function psychosisl seel MD
QUESTION
whatl can'tl youl combinedl levodopal with? Answer: antipsychoticsl decreasel effectiveness MAOl increasel toxicity
QUESTION
pramipexolel - l whatl isl itl usedl for? Answer:
- l parkinsonsl asl dopaminel agonistl inl earlyl stagesl ofl PDl tol improvel motorl functionl andl combinedl withl levodopal inl advancel stagesl tol reducel fluctuationsl ofl motorl controll
- l restlessl legl syndrome
QUESTION
SEl pramipexole Answer: nausea,l dizziness,l somulence,l insomnia,l constipation,l hallucinations,l SLEEPl ATTACKSl &l IMPULSEl CONTROLl DISORDERSl (screenl forl this) hasl lessl sleepl attacksl thanl otherl agents
QUESTION
whatl drugl increasesl pramipexolel levels? Answer: cimetidine
QUESTION
selectivel andl nonl selectivel Bl agonists Answer: b1l drugsl helpl heart b2l drugsl lungs/uterus
QUESTION
xl adrenergicl antagonists Answer: use:l HTN,l BPH,l pheochromocytomal tol reducel HTN,l raynaud'sl drugs:l tamulosin,l alfuzosin,l silodosinl
antil epilepticl drugsl thatl reducel effectivenessl ofl birthl control Answer: phenytoin dilantinl phenobarb carbamazepine
QUESTION
antil eplilepticl drugsl thatl increasel metabolisml ofl birthl control Answer: oxcarbazepine topiramatel lamotrigine
QUESTION
alll antil epilepticl drugl SE Answer: dizziness somulencel overgrowthl ofl dentall gumsl - l flossing
QUESTION
whatl antil epilepticsl okl forl pregnancy Answer: oxcarbazepine,l lamotrigine,l levetiracetam
QUESTION
antidotel forl benzos
Answer: Flumazenill (Romazicon)
QUESTION
baclofenl use Answer: spasticityl inl MSl andl spinall cordl injuries
QUESTION
baclofenl SEl withdrawal Answer: visuall hallucinations,l paranoia,l seizures
QUESTION
Zaleplonl forl insomnia Answer: thosel whol stayl upl latel andl cannotl falll sleep,l getl upl earlyl (sleepl deprived) notl goodl tol helpl stayl asleep,l onlyl falll asleep.l rapidl andl shortl durationl ofl action.
QUESTION
Ambienl use Answer: xx
QUESTION
AE:l dizziness,l syncope,l hypotension,l DOESl NOTl AFFECTl EJACULATIONl BUTl CAUSESl QTl PROLONGING contraindication:l severel hepaticl impairmentl interaction:l hypotensivel drugsl lowersl BP,l CY3A4l drugsl raisel levels
QUESTION
silodosinl usel andl AE Answer: use:l BPH AE:l ejaculationl problems,l dizziness,l lightheadedness,l nasall congestion
QUESTION
migrainesl - l ifl someonel hasl asthmal orl COPDl whatl dol youl avoid? Answer: nonl selectivel BBl likel propanolol
QUESTION
whatl isl usedl forl migrainel prophlyaxis Answer: BB anticonvulsantsl CCB tricyclicsl metoclapramidel forl n/v
QUESTION
triptansl SE
Answer:
- l Chestl pressure,l heavyl arms,l transientl effectl andl notl heartl attackl likelyl duel tol pulmonaryl vasoconstriction,l esophageall spasm,l intercostall musclel spasm
- l Coronaryl vasospasm
- l Teratogenesisl - l notl givenl duringl pregnancy
QUESTION
whatl kindl ofl skinl preparationl hasl greatestl absoprtion Answer: ointmentl andl greaterl inl childrenl becausel thinnerl skinl andl bloodl brainl barrier
QUESTION
ifl salicylicl acidl used,l toxicityl s/sl andl howl tol avoid Answer: avoidl usel ofl largel areasl tinnitus,l hyperpnea,l psychologicl disturbances
QUESTION
openl comedones Answer: blackheads
QUESTION
closedl comedones Answer: whiteheads
QUESTION
cholinesterasel agentsl forl ALZ Answer: donzepil galantaminel rivastigmine
QUESTION
whichl alzl medl isl irreversiblel inhibition? Answer: rivastigmine
QUESTION
howl dol cholinesterasel agentsl work Answer: preventl breakdownl ofl ACHl andl increasel availabilityl ofl achl atl synapses.l importantl forl ALZl tol improvel symptomsl becausel nervel cellsl arel lostl duringl thisl disease.
QUESTION
cholinesterasel SE Answer: GI:l n/v/dyspepsia/diarrhea dizziness/headache bronchoconstrictionl - l cautionl copd CV:l symptomaticl bradycardial - l falls,l faintingl spellsl ALL:l lightheadedness,l bradycardia
