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    Exam Review

    1. Genital yeast infections are increased with this class of medication due to the increased urinary glucose excretion:
      A)
      DPP4 inhibitors
      B)
      GLP-1 receptor agonists
      C)
      Sulfonylureas
      D)
      SGLT 2 inhibitors
    2. KB is a 60 kg newly diagnosed Type 1 insulin naive diabetic female that you plan to initiate a basal-bolus insulin regimen. You decide to initiate a total daily insulin dose of 0.5 units/kg/day. What would her bolus insulin dose be for lunch (assume she has 3 meals per day)?
      A)
      5 units
      B)
      10 units
      C)
      30 units
      D)
      15 units
    3. Which of the following antivirals may be used to treat influenza A and B:
      A)
      Oral Oseltamivir (Tamiflu)
      B)
      IV Acyclovir (Zovirax)
      C)
      Inhaled Ketoconazole (Nizoral)
      D)
      All of the options are correct
    4. The first-line treatment for cough related to an upper respiratory tract infection (URI) in a 4-year-old child is:
      A)
      Dextromethorphan and guaifenesin syrup (Robitussin DM for Kids)
      B)
      Fluids and symptomatic care
      C)
      Guaifenesin and codeine syrup (Tussin AC)
      D)
      Chlorpheniramine and dextromethorphan syrup (Nyquil for Kids)
    Page 1 of 13

    Exam Review

    1. CR, a 57 y/o male, presents to your hospital and is being treated for severe pneumonia in the ICU. You order the patient for broad spectrum coverage including vancomycin, a glycopeptide, and cefepime, a fourth generation cephalosporin. What organisms would these agents be uniquely targeting given the severity of his pneumonia?
      A)
      Streptococcus pneumoniae and Haemophilus influenza
      B)
      Methicillin resistant Staphylococcus aureus and Pseudomonas aeruginosa
      C)
      Enterococcus viridans and Escherichia coli
      D)
      Helicobacter pylori and Candida albicans
    2. SK is a 24 year old female that presents to your clinic with daily asthma symptoms. You diagnose SK with uncontrolled asthma and decide to start asthma therapy per GINA Track 1. What will the prescription include for SK?
      A)
      A leukotriene receptor antagonist
      B)
      As needed inhaled corticosteroid and short acting beta agonist
      C)
      An anticholinergic (muscarinic antagonist)
      D)
      Maintenance and Reliever Therapy (MART) using Inhaled Corticosteroid-Formoterol
    3. DL is a 42 y/o female you diagnosis with having community acquired pneumonia during a visit to your clinic. Due to a high rate of Mycoplasma pneumonia infections in the community, you decide to prescribe azithromycin. DL is also taking lisinopril and simvastatin for essential hypertension and hyperlipidemia treatment in addition to ibuprofen as needed for headaches. Which of the following therapy modifications would be advised?
      A)
      Hold simvastatin while taking azithromycin to avoid myopathy
      B)
      Continue all medications as prescribed and monitor blood pressure at home twice daily. Call provider if BP increases by >10mmHg systolic.
      C)
      Hold ibuprofen while taking azithromycin to avoid GI bleed
      D)
      Hold lisinopril while taking azithromycin to avoid hyperkalemia
    4. You initiated first line therapy for a Type II diabetic patient with no other serious illness and at low risk for hypoglycemia whose Hemoglobin A1C is 8.1%. In three to four months, you plan to bring the patient in to test his hemoglobin A1C (HbA1C), what would a reasonable goal HbA1C be?
      A)
      > 7.5%
      B)
      < 7%
      C)
      < 9%
      D)
      < 5.5%
    Page 2 of 13

    Exam Review

    1. Elderly patients who are on levothyroxine for thyroid replacement should be monitored for:
      A)
      Excessive sedation
      B)
      Tachycardia and angina
      C)
      Cold Intolerance
      D)
      Edema
    2. The preferred drug treatment for all stages of syphilis is:
      A)
      Ciprofloxacin (Cipro)
      B)
      Penicillin G (Bicillin LA)
      C)
      Azithromycin (Zithromax)
      D)
      Acyclovir (Zovirax)
    3. Which of the following adverse reactions is possible with a bisphosphonate such as ibandronate (Boniva)?
      A)
      Esophageal ulcers
      B)
      Heart Failure
      C)
      Prolonged QTc
      D)
      All of the above are correct
    4. Allison is an 18-year-old college student with type 1 diabetes. Allison's premeal blood glucose (BG) at 11:30 a.m. is 130. She eats an apple and has a sugar-free soft drink. At 1 p.m. before swimming her BG is 80. What should she do?
      A)
      Proceed with swimming class
      B)
      Take an additional dose of insulin
      C)
      Recheck her BG immediately
      D)
      Eat a granola bar or other snack with carbohydrates (CHO)
    Page 3 of 13

    Exam Review

    1. Second generation antihistamines such as loratadine (Claritin) are prescribed for seasonal allergies because they are:
      A)
      Able to be taken with central nervous system (CNS) sedatives, such as alcohol
      B)
      Less sedating than the first generation antihistamines
      C)
      More effective than first generation antihistamines
      D)
      Prescription products, and therefore covered by insurance
    2. To prevent further development of antibacterial resistance it is recommended that fluoroquinolones be reserved for treatment of:
      A)
      Community-acquired pneumonia in patients with comorbidities
      B)
      Upper respiratory infections in adults
      C)
      Gonorrhea treatment
      D)
      Urinary tract infections in young women
    3. Which of the following represents the mechanism of action of GLP-1 agonists such as Semaglutide (Ozempic)
      A)
      Promotes insulin release from pancreatic beta cells in the presence of elevated glucose concentrations and suppress glucagon secretion
      B)
      Decrease filtered glucose reabsorption in kidneys and Increases urinary excretion of glucose therefore decreases plasma glucose
      C)
      Stimulate insulin release from beta cells
      D)
      Decrease glucose production in liver, decrease GI glucose absorption and improves insulin sensitivity by increasing peripheral glucose uptake and utilization
    4. Which therapy would be best to regain control in an adult patient still experiencing asthma exacerbations despite increased reliever therapy?
      A)
      Starting prednisone 40mg/day for 5 days
      B)
      Increasing frequency of beta 2 agonists
      C)
      Starting montelukast (Singulair), a leukotriene receptor antagonist
      D)
      Doubling maintenance inhaler therapy
    Page 4 of 13

    Exam Review

    1. Your colleague is treating a pregnant diabetic patient and seeks your opinion on her treatment regimen. Before speaking with your colleague, you know the preferred treatment option for pregnant diabetic patients is which following:
      A)
      Rapid Acting Insulin (Insulin Lispro (Humalog))
      B)
      SGLT-2 Inhibitor (Canagliflozin (Invokana))
      C)
      No medications, lifestyle modifications only
      D)
      Meglitinides (Repaglinide (Prandin))
    2. What happens to a patient's thyroid hormone replacement dose when a woman becomes pregnant?
      A)
      Most women will need to decrease their dose
      B)
      Most women do not require a dosage change
      C)
      Most women only need more medication when carrying multiples
      D)
      Most women will need to increase their dose
    3. A patient has been diagnosed with COPD. Using both mMRC and CAT, the nurse practitioner has determined that the patient falls into GOLD group B. The nurse practitioner will prescribe or ensure the patient is taking:
      A)
      ICS-LABA, such as budesonide/formoterol (Symbicort)
      B)
      LAMA plus SABA as needed, such as aclidinium (Trudoza) plus albuterol (ProAir)
      C)
      ICS-LAMA-LABA plus SABA as needed, such as fluticasone/umeclidinium/vilanterol (Trelegy)
      D)
      LAMA-LABA combination plus SABA as needed, such as umeclidinium/vilanterol (Arono) plus albuterol (Proair)
    4. Which of the following oral diabetes treatments are associated with high risks of hypoglycemia?
      A)
      DPP-4 inhibitors (like Sitagliptin)
      B)
      GLP-1 receptor agonist (like exanitide)
      C)
      SGLT-2 Inhibitors (like Dapaglifozin)
      D)
      Sulfonylureas (like Glipizide)
    Page 5 of 13

    Exam Review

    1. You diagnosis a 68 year old male with Chronic Obstructive Pulmonary Disorder (COPD) in your clinic. The patient falls into GOLD Group A. Which class of medications should your consider prescribing per the GOLD therapy recommendations?
      A)
      Inhaled high dose corticosteroid
      B)
      Inhaled Leukotriene Modifier and inhaled short acting beta agonist (SABA)
      C)
      Inhaled long acting bronchodilator (LABA) and inhaled corticosteroid (ICS)
      D)
      Inhaled long-acting muscarinic antagonist (LAMA) and inhaled short acting beta agonist (SABA)
    2. The treatment for sinusitis in an adult WITH risk factors for pneumococcal resistance and no drug allergies is:
      A)
      Sulfamethoxazole/Trimethoprim (Bactrim)
      B)
      Cephalexin (Keflex)
      C)
      Levofloxacin (Levaquin)
      D)
      Amoxicillin/clavulanate (Augmentin)
    3. Bupropion (Zyban) is contraindicated for the treatment of smoking cessation in patients with:
      A)
      Hypothyroidism
      B)
      Depression
      C)
      Seizure Disorders
      D)
      Asthma
    4. A 67 yo patient with DM recently treated with antibiotics is diagnosed with community acquired pneumonia (CAP). Which of the following is the best treatment?
      A)
      Amoxicillin (Amoxil) and Cephalexin (Keflex)
      B)
      Doxycycline (Vibramycin)
      C)
      Linezolid (zyvox)
      D)
      Levofloxacin (Levaquin)
    Page 6 of 13