NR565 NR 565 Final Exam Question Bank

NR565 / NR 565 Final Exam Question Bank

(Latest 2025 / 2026): Advanced

Pharmacology Fundamentals - Chamberlain Which of the following agents is the first-line treatment for hyperthyroidism or Grave's disease?

• Metoprolol
• Methimazole
• Allopurinol
• Levothyroxine - ANSWER b

Which of the following agents is the preferred treatment option for thyroid storm?

• Iodine-131
• Methylphenidate
• Levothyroxine
• PTU - ANSWER d

Which laboratory tests should be completed before prescribing methimazole?Select all that apply.

• thyroid-stimulating hormone (TSH)
• CMP
• free thyroxine (T4)
• free triiodothyronine (T3)
• CBC
• LFTs - ANSWER a, c, d, e, f 1 / 3

Sabrina is seen one year later and reports that she has developed atrial fibrillation and was put on warfarin by a new cardiologist. What monitoring concerns are associated with taking warfarin?

• Vitamin K
• INR
• Creatinine
• Lipid Panel - ANSWER b

Which of the following agents is the first-line treatment for hyothyroidism?

• Methimazole
• Allopurinol
• Metoprolol
• Levothyroxine - ANSWER d

Hypothyroid treatment in infants - ANSWER Hormone replacement therapy should last 3 years and then stop for 4 weeks to allow for follow-up testing.Hypothyroid treatment in pregnancy - ANSWER Should be screened and treated as soon as possible and may require increased dosages for a period of 4-12 weeks.hypothyroid treatment in adults - ANSWER Lifelong hormone replacement is needed.Cecilia is started on levothyroxine 100 micrograms daily. When should her TSH be re-checked?

• 6 weeks
• 8 weeks
• 4 weeks 2 / 3

• 2 weeks - ANSWER a

Once her labs reveal that her thyroid is euthyroid and her dose can be maintained at the current level, at what interval should her TSH be re-checked?

• every 12 months
• every 18 months
• every 6 months
• every 24 months - ANSWER a

What medications reduce the absorption of levothyroxine - ANSWER Histamine 2 (H2) receptor blockers (e.g., cimetidine [Tagamet]) Proton pump inhibitors (e.g., lansoprazole [Prevacid]) Sucralfate (Carafate) Colestipol (Colestid) Aluminum-containing antacids (e.g., Maalox, Mylanta), Calcium supplements (e.g., Tums, Os-Cal) Iron supplements (e.g., ferrous sulfate) Magnesium salts Orlistat (Xenical) What medications accelerate the absorption of levothyroxine - ANSWER Phenytoin (Dilantin) Carbamazepine (Tegretol, Carbatrol) Rifampin (Rifadin) Sertraline (Zoloft) Phenobarbital Drugs whose metabolism is altered by levothyroxine - ANSWER Warfarin Catecholamines Insulin Digoxin

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