Pharmacology Flashcards
6 cards from real Family Nurse Practitioner Test practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 6 Pharmacology flashcards as text
A 72-year-old patient is prescribed a benzodiazepine for anxiety. The FNP recognizes this is a Beers Criteria concern because:
Answer: Older adults are at increased risk for falls, cognitive impairment, and paradoxical agitation
The AGS Beers Criteria flags benzodiazepines in older adults due to heightened sensitivity causing falls, fractures, motor impairment, and cognitive decline.
A patient with an MRSA skin infection requires oral outpatient treatment. Which antibiotic is MOST appropriate?
Answer: Trimethoprim-sulfamethoxazole (TMP-SMX)
TMP-SMX provides reliable oral coverage against community-acquired MRSA for uncomplicated skin and soft tissue infections.
The FNP prescribes isotretinoin for a female patient with severe acne. Which MANDATORY program must the patient be enrolled in?
Answer: iPLEDGE
iPLEDGE is the FDA-mandated Risk Evaluation and Mitigation Strategy (REMS) program for isotretinoin due to its severe teratogenicity.
A patient on chronic NSAIDs develops a peptic ulcer. Which is the MOST appropriate gastroprotective co-therapy?
Answer: Proton pump inhibitor (e.g., omeprazole)
PPIs provide the most effective mucosal protection in patients requiring ongoing NSAID therapy and are the first-line gastroprotective agent.
Which inhaler medication is used as a RESCUE (quick-relief) agent in asthma?
Answer: Albuterol (short-acting beta-2 agonist)
Albuterol, a SABA, acts within minutes to relieve acute bronchoconstriction and is the standard rescue inhaler for asthma.
A patient taking amiodarone for arrhythmia asks about thyroid effects. The FNP explains that amiodarone can cause:
Answer: Both hypothyroidism and hyperthyroidism due to its high iodine content
Amiodarone is 37% iodine by weight and can cause either hypo- or hyperthyroidism via the Wolff-Chaikoff effect or Jod-Basedow phenomenon.