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Pharmacology Quiz

Total questions: 20

Worksheet time: 10mins

Name
Class
Date
1.

A 62-year-old patient presents with dizziness and a new persistent dry cough after starting an antihypertensive. Which drug is responsible?

a)

Losartan

b)

Captopril

c)

Metoprolol

d)

Amlodipine

2.

A 70-year-old on nifedipine reports severe dizziness on standing and constipation. Which adverse effect explains this?

a)

Hyperkalemia

b)

Severe hypotension and constipation

c)

Hepatotoxicity

d)

Renal impairment

3.

A patient with HF and low potassium is most likely taking which drug?

a)

Spironolactone

b)

Hydrochlorothiazide

c)

ACE inhibitor

d)

ARB

4.

A 55-year-old with crushing chest pain and ST elevation should receive which FIRST?

a)

Nitroglycerin patch

b)

Morphine IV

c)

Clopidogrel

d)

Atorvastatin

5.

A patient abruptly stops atenolol and now has severe hypertension and tachycardia. Why?

a)

Sodium retention

b)

Rebound hypertension from β-blocker withdrawal

c)

Angioedema

d)

Fluid overload

6.

A patient on lisinopril develops sudden facial swelling. Which complication is suspected?

a)

Hypercalcemia

b)

Angioedema

c)

Bradycardia

d)

Hypoglycemia

7.

Hydralazine lowers blood pressure by which mechanism?

a)

Renal vasoconstriction

b)

Arteriolar smooth muscle dilation

c)

Increasing preload

d)

Increasing afterload

8.

After an MI, which drug reduces preload, afterload, and anxiety?

a)

Nifedipine

b)

Morphine

c)

Verapamil

d)

Digoxin

9.

A patient develops bradyarrhythmia with prolonged PR interval. Which drug class is likely responsible?

a)

Beta-blockers

b)

SGLT-2 inhibitors

c)

GLP-1 agonists

d)

DPP-4 inhibitors

10.

A dehydrated patient with high sodium and cellular dehydration is experiencing which imbalance?

a)

Hypotonic alteration

b)

Isotonic alteration

c)

Hypertonic alteration

d)

Plasma osmolarity decrease

11.

A 56-year-old man on metformin is scheduled for a contrast CT. What is the priority?

a)

Increase fluids only

b)

Continue metformin

c)

Stop metformin (lactic acidosis risk)

d)

Take with food

12.

A Type 1 diabetic becomes pale, shaky, and conscious with BG 52 mg/dL. Best immediate action?

a)

IM glucagon

b)

IV dextrose

c)

Orange juice

d)

NPH insulin

13.

A patient asks if glargine can be mixed with regular insulin. You respond:

a)

Mix both

b)

Mix if refrigerated

c)

Never mix glargine

d)

Mix only with NPH

14.

A patient on an SGLT-2 inhibitor develops dysuria and itching. Likely issue?

a)

Hypokalemia

b)

Myopathy

c)

Genital mycotic infection

d)

Thyroid disorder

15.

A patient on repaglinide begins gemfibrozil. What risk increases?

a)

Drug inactivation

b)

Severe hypoglycemia

c)

Hyperkalemia

d)

Weight gain

16.

Which drug is best for a Type 2 DM patient wanting no weight gain and no hypoglycemia?

a)

Glipizide

b)

Repaglinide

c)

Metformin

d)

Insulin

17.

A hyperthyroid patient with tremors, weight loss, and tachycardia will show which labs?

a)

↑TSH, ↓T4

b)

↓TSH, ↑T4

c)

↑TSH, normal T4

d)

↓TSH, ↓T4

18.

A woman on levothyroxine complains of palpitations and insomnia. What does this indicate?

a)

Dose too low

b)

Dose too high

c)

Normal adjustment

d)

Drug interaction

19.

A hypothyroid patient asks when to take levothyroxine. Correct instruction?

a)

With dinner

b)

With calcium

c)

Empty stomach before breakfast

d)

With food

20.

A patient started on methimazole shows improved HR and weight gain. This means:

a)

Medication is working

b)

Thyroidtoxicosis

c)

Overcorrection

d)

Side effect