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NURS 3550 FINAL EXAM LATEST 2025 QUESTIONS and ANSWERS GRADED A+
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Therapeutic indication of terazosin: - CORRECT ANSWER-Essential hypertension Therapeutic indication of terazosin: - CORRECT ANSWER-Benign prostatic hyperplasia
Therapeutic indication of terazosin: - CORRECT ANSWER-Antidote to alpha 1 overdose General beta antagonist prototype: - CORRECT ANSWER-Propranolol Therapeutic indication of propranolol: - CORRECT ANSWER-Cardiac dysrhythmia Therapeutic indication of propranolol: - CORRECT ANSWER-Myocardial infarct (heart attack) Therapeutic indication of propranolol: - CORRECT ANSWER-Heart failure Therapeutic indication of propranolol: - CORRECT ANSWER-Angina pectoris Therapeutic indication of propranolol: - CORRECT ANSWER-Hypertension Alpha 1 receptor in Sympathetic nervous system responsible for: - CORRECT ANSWER- Constriction of blood vessels in skin, GI tract, urinary tract Alpha 2 receptor in Sympathetic nervous system responsible for: - CORRECT ANSWER- Presynaptic off switch for NE release
Stimulating receptors in parasympathetic NS causes: - CORRECT ANSWER-Slows heart rate Stimulating receptors in parasympathetic NS causes: - CORRECT ANSWER-Stimulates digestive activity Stimulating receptors in parasympathetic NS causes: - CORRECT ANSWER-Contracts bladder Stimulating receptors in parasympathetic NS causes: - CORRECT ANSWER-Stimulates gallbladder Stimulating receptors in parasympathetic NS causes: - CORRECT ANSWER-Relaxes rectum Stimulating receptors in Sympathetic NS causes: - CORRECT ANSWER-Mydriasis Stimulating receptors in Sympathetic NS causes: - CORRECT ANSWER-Inhibits salivation Stimulating receptors in Sympathetic NS causes: - CORRECT ANSWER-Increase heart rate
Stimulating receptors in Sympathetic NS causes: - CORRECT ANSWER-Inhibits digestive activity Stimulating receptors in Sympathetic NS causes: - CORRECT ANSWER-Glucose release by liver Stimulating receptors in Sympathetic NS causes: - CORRECT ANSWER-Relaxes bladder Stimulating receptors in Sympathetic NS causes: - CORRECT ANSWER-Contracts rectum General Alpha agonist prototype: - CORRECT ANSWER-Norepinephrine Alpha 1 agonist prototype: - CORRECT ANSWER-Phenylephrine Therapeutic indication of phenylephrine: - CORRECT ANSWER-Preventing nasal congestion Therapeutic indication of phenylephrine: - CORRECT ANSWER-Maintain blood pressure Therapeutic indication of phenylephrine: - CORRECT ANSWER-Paroxysmal supraeventricular tachycardia
Adverse effect of propranolol: - CORRECT ANSWER-Bradycardia Adverse effect of propranolol: - CORRECT ANSWER-Exercise intolerance Adverse effect of propranolol: - CORRECT ANSWER-Hypoglycemia Adverse effect of propranolol: - CORRECT ANSWER-Bronchoconstriction Adverse effect of propranolol: - CORRECT ANSWER-Heart block due to reduced conductance from atrium to ventricles Beta 1 antagonist prototype: - CORRECT ANSWER-Metoprolol Therapeutic indication of metoprolol: - CORRECT ANSWER-Decrease heart rate Therapeutic indication of metoprolol: - CORRECT ANSWER-Decrease contractility Therapeutic indication of metoprolol: - CORRECT ANSWER-Decrease renin release Muscarinic antagonist prototype: - CORRECT ANSWER-Atropine
Therapeutic indication of atropine: - CORRECT ANSWER-Reduce secretions during surgery Therapeutic indication of atropine: - CORRECT ANSWER-Mydriasis when blocking M- receptors Therapeutic indication of atropine: - CORRECT ANSWER-Antidote to cholinergic crisis Therapeutic indication of atropine: - CORRECT ANSWER-Increased heart rate when blocking M-receptors Adverse effect of atropine: - CORRECT ANSWER-Constipation Adverse effect of atropine: - CORRECT ANSWER-Urinary retention Adverse effect of atropine: - CORRECT ANSWER-Xerostomia (dry mouth) Adverse effect of atropine: - CORRECT ANSWER-Anhidrosis (decreased sweating) Adverse effect of atropine: - CORRECT ANSWER-Blurred vision
Effect of ACE inhibitor: - CORRECT ANSWER-Decrease bradykinin breakdown Effect of ACE inhibitor: - CORRECT ANSWER-Decrease aldosterone Adverse effect of ACE inhibitor: - CORRECT ANSWER-Hyperkalemia Adverse effect of ACE inhibitor: - CORRECT ANSWER-Angioedema Adverse effect of ACE inhibitor: - CORRECT ANSWER-Cough Calcium channel blocker effect: - CORRECT ANSWER-Block Ca2+ channels of heart and vascular smooth muscle Calcium channel blocker prototype: - CORRECT ANSWER-Verapamil Dihydropyridine prototype: - CORRECT ANSWER-Nifedipine Nifedipine effect: - CORRECT ANSWER-Block Ca2+ channels in vascular smooth muscle Verapamil effect: - CORRECT ANSWER-Increase coronary perfusion in arteries
Verapamil effect: - CORRECT ANSWER-Decrease SA node in heart Verapamil effect: - CORRECT ANSWER-Decrease AV node in heart Verapamil effect: - CORRECT ANSWER-Decrease muscle contractility Verapamil adverse effect: - CORRECT ANSWER-Constipation due to blocking Ca2+ channels in the smooth muscle of GI tract Verapamil adverse effect: - CORRECT ANSWER-Cardiac blockade due to decreased SA and AV node activity Nifidepine effect: - CORRECT ANSWER-Increases HR via baroreceptor reflex response Thiazide diuretic prototype: - CORRECT ANSWER-Hydrochlorothiazide Hydrochlorothiazide therapeutic indication: - CORRECT ANSWER-Hypertension, Edema, Diabetes insipidus, Osteoporosis in post-menopausal women Hydrochlorothiazide - CORRECT ANSWER-Have a ceiling dose
Digoxin kinetics: - CORRECT ANSWER-Low therapeutic index - not a very safe drug to use Digoxin kinetics: - CORRECT ANSWER-Excreted unchanged by kidney Digoxin mechanism of action: - CORRECT ANSWER-Inhibits sodium/potassium ATPase Digoxin mechanism of action: - CORRECT ANSWER-Increases intracellular calcium in cardiac cells which increases contractility Digoxin mechanism of action: - CORRECT ANSWER-Diuresis: increase contractility which reduces blood volume and edema Digoxin mechanism of action: - CORRECT ANSWER-Reflex decrease HR due to increase cardiac output Digoxin mechanism of action: - CORRECT ANSWER-Decrease renin release Digoxin therapeutic indication - CORRECT ANSWER-Heart failure Digoxin herbal interaction - CORRECT ANSWER-Hawthorne
Digoxin herbal interaction - CORRECT ANSWER-Real licorice Digoxin herbal interaction - CORRECT ANSWER-Ginseng Anticoagulant prototype: - CORRECT ANSWER-Heparin Purpose of heparin - CORRECT ANSWER-Inactivate clotting factors Therapeutic indication of Heparin - CORRECT ANSWER-Prophylaxis of venous thrombosis Therapeutic indication of Heparin - CORRECT ANSWER-Treating acute venous thrombosis Protamine sulfate - CORRECT ANSWER-Binds heparin and inactivates it Stimulating Mu and Kappa receptors have this in common: - CORRECT ANSWER- Analgesia Stimulating Mu and Kappa receptors have this in common: - CORRECT ANSWER- Sedation
Effect of Kappa receptor that Mu receptor doesn't have: - CORRECT ANSWER- Nightmares Opioid agonist prototype: - CORRECT ANSWER-Morphine Other effects of opioid agonist include: - CORRECT ANSWER-Activate chemoreceptor trigger zone causing nausea and emesis Therapeutic indication of morphine - CORRECT ANSWER-Treatment of moderate to severe pain: Decrease substance P, Cause euphoria, Cause Sedation Therapeutic indication of morphine - CORRECT ANSWER-Treat diarrhea Therapeutic indication of morphine - CORRECT ANSWER-Cough suppressant Morphine adverse effect: - CORRECT ANSWER-Respiratory depression Morphine adverse effect: - CORRECT ANSWER-Constipation due to decreased GI activity Morphine adverse effect: - CORRECT ANSWER-Orthostatic hypotension
Moderate pain opioid prototype: - CORRECT ANSWER-Codeine Codeine is metabolized by: - CORRECT ANSWER-CYP 2D After metabolization, codeine is converted into: - CORRECT ANSWER-Morphine Codeine is more dangerous in: - CORRECT ANSWER-Black/asian patients Opioid antagonist prototype: - CORRECT ANSWER-Naloxone Naloxone mechanism of action: - CORRECT ANSWER-Competitive antagonist for mu and kappa receptors Therapeutic indication of naloxone: - CORRECT ANSWER-Reverse opioid effects in case of overdose Example of innate immunity: - CORRECT ANSWER-Skin Example of innate immunity: - CORRECT ANSWER-Mucous membranes Example of innate immunity: - CORRECT ANSWER-Normal microbes
Example of a cytokine - CORRECT ANSWER-Interleukin Example of a cytokine - CORRECT ANSWER-Tumor necrosis factor Role of eosinophil - CORRECT ANSWER-Attack cells coated with IgE and are non-specific Role of Mast cells or basophils - CORRECT ANSWER-Triggered by antigen binding to surface of IgE Role of neutrophils - CORRECT ANSWER-Phagocytose bacteria that have been coated with IgG from the blood Role of monocytes and macrophages - CORRECT ANSWER-Activate T cells and are called antigen-presenting cells Role of dendritic cell - CORRECT ANSWER-APC Role of natural killer cells - CORRECT ANSWER-Boost immune response and are non- specific
Role of MHC1 - CORRECT ANSWER-Present in all cells except erythrLocytes and enhance APC response to CD8 cells Role of MHC2 - CORRECT ANSWER-Present on B-cells and enhance APC response to CD cells Glucocorticoid - CORRECT ANSWER-Stress hormone that provides the brain with glucose Impact of cortisol: - CORRECT ANSWER-Damages all systems when body is under consistent stress by sacrificing everything to supply brain with glucose Impact of cortisol: - CORRECT ANSWER-Metabolic effects: affects macronutrients Impact of cortisol: - CORRECT ANSWER-Cardiovascular effects: heart vasculature Impact of cortisol: - CORRECT ANSWER-Effects on water and electrolytes: Na, Ca, K, P Intermediate t1/2 glucocorticoid prototype: - CORRECT ANSWER-Prednisone Glucocorticoid mechanism of action: - CORRECT ANSWER-Decreases inflammation and immune response