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Midterm Practice MSN 571

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Mid Term Pharm MSN571 1. Which is required for red blood cell production ● All ● Iron ● Folate ● Vitamin B12 2. A female patient has an iron deficiency anemia and GI bleed has been ruled out. You will: ● Refer the patient to hematologist ● Prescribe ferrous sulfate 325mg po TID and schedule the patient to return in 1 month for a repeat CBC, serum iron and TIBC ● Prescribe iron dextran 50mg IM weekly for 4 weeks and schedule weekly office visits for injections. ● Schedule the patient to return in 6 months for additional guaiac stool testing. 3. Most clinically used opioids analgesics are selective for which type of opioid receptor? ● alpha ● delta ● mu ● beta ● kappa 4.Which is true about morphine ● It does not cause tolerance with prolong use ● It promotes nausea and vomiting through direct stimulation of the chemoreceptor trigger zone of the medulla ● It does not cause urinary retention and hesitancy ● Respiratory depression is rare 12. Which of the following medications is a fluroquinolone antibiotic? ● Azithromycin ● Ciprofloxacin ● Penicillin ● Amikacin 13. Which of the following terms best describes the mechanism of action of metoprolol? ● Alpha 1 antagonist effects ● Beta 1 selective ( beta-1-adrenergic receptor inhibitor) ● Nonselective Beta with Alpha blocking ● Nonselective Alpha blockers 14. Which antibiotic class disrupts metabolism in bacteria and is often combined with trimethoprim? ● Aminoglycosides ● Cephalosporins ● Macrolides ● Fluoroquinolones ● Sulfonamides 15. Which of the following group of antibiotics has a beta-lactam ring in the molecular structure? ● Cephalosporins ● Fluoroquinolones ● Macrolides ● Sulfonamides ● Tetracycline 16. Which of the following drug classes should be avoided in peptic ulcer disease? ● Avoid antibiotics ● Avoid NSAIDS ● Avoid diuretics ● Avoid proton pump inhibitors 17. Fluroquinolones antibiotics are most likely indicated in which of the following conditions? ● Follicular conjunctivitis ● GERD ● Asthma ● Genital Infections 18. Which antibiotics binds to the 505 subunit of the bacterial ribosome and could most likely result in the development of pseudomembranous colitis? ● Tetracycline ● Clindamycin ● Amoxicillin ● Vancomycin 19. Beta Lactamase inhibitors are often indicated in which if the following? ● May decrease absorption of medications ● First dose effect ● Often combined with penicillin antibiotics ● Delayed absorption of oral drugs

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