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PHARMACOLOGY FINAL EXAM 2025

Total questions: 65

Worksheet time: 38mins

Name
Class
Date
1.

Which of the following German pharmacologist is the founder of the first Institute of Pharmacology?

a)

Rudolf Bucheim

b)

Arnold Holste

c)

Oswald Schmiedeberg

d)

Rodolphe Archibald Reiss

2.

A German pharmacologist put forward many fundamental concepts in pharmacology. His works include development of the experimental methods leading to the improvement of pharmacological knowledge. Which of the following is known as the Father of Pharmacology?

a)

J Langley

b)

Oswald Schmiedeberg

c)

Rudolf Bucheim

d)

Paul Ehrlich

3.

He was known as the prototype of the physician-scientist and was an ardent supporter of Galenic medicine and introduces the use of chemicals for treatment of disease. Which of the following is considered the Grandfather of Pharmacology?

a)

Valerius Cordus

b)

Dioscorides

c)

Claudius Galen

d)

Paracelsus

4.

He is a Greek physician with the most outstanding figure in the history of medicine. His big legacy is the development of clinical observation that is the diagnosis, prognosis, observation and treatment. Which of the following historical figures that is also described as the father of medicine?

a)

Eber

b)

Pontus

c)

Hippocrates

d)

Charaka

5.

Pharmacology is a vital foundation of midwifery practice. As future midwives, you are not only caregivers but also safe medication handlers and advocates for mothers and newborns. Which of the following is the study of drug movement in the body?

a)

Pharmacognosy

b)

Pharmacokinetics

c)

Pharmacodynamics

d)

Pharmaceutics

6.

Pharmacology is at the heart of evidence-based maternal and newborn care. Mastery of these basics equips you to provide safe, effective, and compassionate service in every stage of pregnancy, labor, and postpartum. Which of the following refers to what a drug does to the body?

a)

Pharmacodynamics

b)

Pharmacokinetics

c)

Pharmaceutics

d)

Biopharmaceutics

7.

Which of the following is considered the oldest, safest and most economical route of drug administration?

a)

Intravenous

b)

Inhalation

c)

Oral

d)

Rectal

8.

Patient XY came in to emergency room due to an increase in blood pressure. The doctor prescribed Captopril 25 mg 1 tab SL NOW. Which of the following sublingual administration is correct?

a)

On top of the tongue

b)

Under the tongue

c)

Inside the cheek

d)

Swallowed directly

9.

Which of the following refers to the placement of drug between gums and cheek?

a)

Oral

b)

Sublingual

c)

Buccal

d)

Parenteral

10.

Which of the following refers to the administration of drug as suppository or enema?

a)

Parenteral

b)

Inhalation

c)

Rectal

d)

Oral

11.

Which of the following is the recommended position for administration of drug via rectal route?

a)

Fowler’s

b)

Supine

c)

Prone

d)

Sim’s (left lateral)

12.

A parenteral route is an injection or infusion by means of a needle or catheter inserted into the body. Which of the following is also correct when referring to parenteral means of drug administration?

a)

Through the GI tract

b)

Outside the GI tract

c)

On the skin

d)

Via inhalation

13.

Which of the following route of drug administration provides the fastest onset in emergencies?

a)

Oral

b)

Intramuscular

c)

Intravenous

d)

Rectal

14.

Nitroglycerin patch is used to prevent angina (chest pain) caused by coronary artery disease. Which of the following is the route of administration of the drug?

a)

Transcutaneous

b)

Sublingual

c)

Oral

d)

Intradermal

15.

Salbutamol is used to relieve symptoms of asthma and chronic obstructive pulmonary disease such as coughing, wheezing and feeling breathless. Which of the following is the route of administration of the drug?

a)

Rectal

b)

Inhalation

c)

Topical

d)

Oral

16.

The Rights of Drug Administration are vital in midwifery because they ensure the safe and effective use of medications for both the mother and the newborn. Which of the following is NOT part of the Rights of Drug Administration?

a)

Right height

b)

Right drug

c)

Right route

d)

Right patient

17.

By following the rights—such as the right patient, drug, dose, route, and time—midwives prevent errors that could lead to serious complications. Which of the following must be check before the midwife gives the parenteral drug to the patient?

a)

Check for any history of allergies

b)

Check the pulse of the patient

c)

Check the blood sugar

d)

Ensure available liver enzymes test

18.

Most importantly, they reflect the midwife’s responsibility to provide safe, evidence-based, and woman-centered care throughout pregnancy, labor, and postpartum. Which of the following a midwife must ensure always?

a)

Assume the dose is correct

b)

Rely only on the doctor’s order

c)

Check the prescription, label and patient name

d)

Skip adverse effect monitoring

19.

Which of the following refers to the danger of incorrect drug administration?

a)

Faster recovery

b)

Stronger immune system

c)

Faster wound healing

d)

Worsening of condition

20.

Which of the following legal basis allows Philippine midwives to give oxytocics in emergencies?

a)

RA 11148

b)

RA 7600

c)

RA 7392

d)

RA 9173

21.

Which of the following drug is used for active management of 3rd stage of labor, treatment/prevention of post partum hemorrhage and stimulate uterine contractions?

a)

Antimicrobials

b)

Anticonvulsants

c)

Hematologic agents

d)

Uterotonics

22.

Midwife JP administer oxytocin 1 amp via IM to a postpartum mother in the delivery room. Which of the following is part of the midwifery responsibility in administering the drug?

a)

Perform uterine massage

b)

Instruct the mother to increase fluid intake

c)

Advise mother to start slow walking exercise one hour after delivery

d)

Instruct SO that lugaw is the food of choice

23.

Which of the following is considered an oxytocics drug that is used in stimulating uterine contractions and preventing postpartum hemorrhage?

a)

Pitocin

b)

Misoprostol

c)

Methergine

d)

All of the above

24.

Which of the following is considered anticonvulsants drugs given for hypertensive disorders in pregnancy preventing and controlling seizures in preeclampsia?

a)

Sodium bicarbonate

b)

D50 Water

c)

Magnesium sulfate

d)

Potassium chloride

25.

Midwife JP administers the magnesium sulfate to patient DT. The patient verbalizes “It’s so hot in here. My face feels really warm.” Which of the following action is the most appropriate for midwife JP?

a)

Administer calcium gluconate

b)

Refer to the attending physician immediately

c)

Apply a cool compress on the injection site

d)

Reassure the patient that facial flushing is a common side effect

26.

Midwife RR is giving a health education to patient who is 36 weeks pregnant and had recurrent UTI. Which of the following is most appropriate for midwife RR to include in the health education?

a)

Ask for any history of allergies to drugs or food

b)

Advise to complete the recommended treatment regimen

c)

Inform patient that GI upset may occur when taking the medication

d)

All of the above

27.

RC is on her first trimester of pregnancy. She came to visit you in the health center. Blood laboratory results reveal a below normal hemoglobin. The physician orders an iron supplements plus folic acid supplementation. Which of the following should be included in the plan of care of RC?

a)

Inform her that iron may have a rusty iron taste

b)

Advise her that milk and iron supplements should not be taken together

c)

Inform patient that GI upset is common and may cause a dark or black stools

d)

All of the above

28.

Which of the following is recommended to be taken together with iron supplement for faster absorption?

a)

Vitamin C

b)

Vitamin B

c)

Vitamin E

d)

Zinc

29.

You were assisting a preterm labor at 34 weeks of gestation at the ER-DR. The attending physician verbally ordered to the nurse to give Dexamethasone IV to the patient. Which of the following is the main purpose of administering the drug to the patient?

a)

To prevent further bleeding

b)

To accelerate fetal lung maturity

c)

To decrease severe pain of the mother

d)

To increase amniotic fluid consistency

30.

Which of the following is the recommended drug used to control maternal blood pressure?

a)

Sitagliptin

b)

Methyldopa

c)

Catapress

d)

Amlodipine

31.

Which of the following is the purpose of administering lidocaine to patient prior episiotomy repair?

a)

To prevent further bleeding

b)

Promotes uterine contraction

c)

Provide comfort and reduce pain

d)

Increase milk production

32.

Which of the following is the main purpose of administering tocolytics like terbutaline to pregnant patients?

a)

To delay preterm labor

b)

To stimulate contraction

c)

To promote latching

d)

To prevent bleeding

33.

Which of the following refers to the name given to drug that is used to identify the drug in a clinical or marketing situation?

a)

Chemical name

b)

Non-proprietary name

c)

Proprietary name

d)

Brand name

34.

Which of the following is NOT the focus of the evidence-based practices for pharmacology in midwifery?

a)

Pain management

b)

Postpartum

c)

Family planning

d)

Treatment of common

35.

Postpartum hemorrhage is the leading cause of maternal mortality worldwide. Which of the following is the drug of choice for preventing and managing postpartum hemorrhage?

a)

Ethinyl estradiol

b)

Oxytocin

c)

Verapamil

d)

Calcium gluconate

36.

Magnesium sulfate is the drug of choice in management of hypertensive disorders. Which of the following is the antidote for magnesium toxicity?

a)

Calcium gluconate

b)

Protamine

c)

Ketorolac

d)

Tramadol

37.

Which of the following management should be included in administering magnesium sulfate?

a)

Monitor vital signs and deep tendon reflexes

b)

Monitor urine output of patient and respiration

c)

Inform patient to report signs of severe headache and blurring of vision

d)

All of the above

38.

Which of the following mandates to improve the health and nutrition of pregnant and lactating women, infants, young children and adolescent females in the first one thousand days of life?

a)

RA 9173

b)

RA 11123

c)

RA 11148

d)

EO 51

39.

Which of the following management should be included in administering corticosteroids for preterm labor?

a)

Monitor maternal blood sugar

b)

Monitor hemoglobin levels of the mother

c)

Instruct to avoid tea/coffee

d)

Educate mother on adherence and hygiene

40.

Which of the following is the drug of choice for antenatal corticosteroids?

a)

Betamethasone

b)

Hydralazine

c)

Montelukast

d)

Sildenafil

41.

Which of the following is used for opioid overdose?

a)

Naproxene

b)

Ethambutol

c)

Naloxone

d)

Tenofovir

42.

You are giving a health teaching among pregnant women. Which of the following is not part of the importance of taking the right supplement for pregnant women?

a)

To ensure that both mother and baby receive the essential vitamins and minerals

b)

To ensure that both mother and baby receive the essential vitamins and minerals

c)

To ensure that both mother and baby receive the essential vitamins and minerals

d)

To ensure that both mother and baby receive the essential vitamins and minerals

43.

Adequate supply of this supplement prevents cognitive impairments, developmental delays and complications like preterm birth. Which of the following supplements help in producing thyroid hormones which are essential for fetal brain development and nervous system development?

a)

Iron

b)

Folic acid

c)

Vitamin C

d)

Iodine

44.

Which of the following supplements helps in aiding calcium absorption and can help relieve pregnancy discomforts like muscle cramps and constipation?

a)

Magnesium

b)

Calcium

c)

Potassium

d)

Sodium

45.

Which of the following statement best identifies correct understanding of the midwife in providing health instruction to a pregnant woman about taking iron supplement?

a)

Take 1 tablet 1 hour before meals or 2 hours after meals

b)

Iron supplement can be taken with antacids for faster absorption and reduced gastric upset

c)

Vitamin D enhances the absorption of iron

d)

A glass of milk is recommended to improve effectiveness

46.

Which of the following supplement is not recommended for a patient with severe allergies from shellfish or any seafoods or contrast-dyes procedures?

a)

Folic acid

b)

Iodine

c)

Vitamin C

d)

Vitamin B

47.

A pregnant client in her third trimester complains of frequent and severe heartburn. Which lifestyle modification should the midwife recommend first?

a)

Lying down immediately after meals

b)

Avoiding spicy and fried foods and eating smaller, more frequent meals

c)

Consuming large meals three times a day

d)

Taking over-the-counter sodium bicarbonate antacids

48.

Which of the following is not a characteristic of a broad-spectrum antibiotic?

a)

Kills a wide range of bacteria including gram-positive and gram-negative

b)

Higher chance of success in treating serious, unidentified infection

c)

Lower risk of disrupting normal flora and contributing to resistance

d)

Can kill beneficial good bacteria

49.

Constipation is a common digestive issue that involves infrequent, hard and difficult bowel movements. Which of the following is not considered part in causes of constipation among pregnant women?

a)

Hormonal changes

b)

Increase water intake

c)

Reduced physical activity

d)

Iron and calcium supplements

50.

Consider the following: 1 – Release, 2 – Replication, 3 – Attachment, 4 – Assembly, 5 – Penetration and Coating. Which of the following is the correct sequence of the viral life cycle?

a)

3,5,2,4,1

b)

3,4,2,5,1

c)

3,2,5,4,1

d)

3,1,4,2,5

51.

Which of the following is the primary reason for using a combination of antiretroviral drugs to manage HIV?

a)

To increase the cost of treatment plan

b)

To reduce the risk of drug-resistant HIV strains developing

c)

To make the drug regimen easier to manage for the patient

d)

A blistering skin rash which also affects the mucous membranes of the mouth

52.

Which of the following is the purpose of IV therapy?

a)

Replace oral

b)

Maintain or restore fluid and electrolyte balance

c)

The vein

d)

Promote rest

53.

IV therapy provides a rapid way to deliver substances into the body, ensuring quick absorption and action, making it ideal for restoring hydration, correcting electrolyte imbalances, delivering medications, providing nutrition, and in emergency situations. Which of the following IV therapy is directly administered?

a)

The muscle

b)

The skin

c)

The vein

d)

The peritoneum

54.

1 gram is equivalent to _____mg

a)

1000mg

b)

100mg

c)

10mg

d)

1mg

55.

1 teaspoon is equivalent to _____mL

a)

10mL

b)

5mL

c)

2.5mL

d)

15mL

56.

A primigravid mother in her 26th week AOG was prescribed by the attending physician of 1500mg calcium carbonate. The pharmacist informed you that the available stock is only 250mg / tab. Which of the following figure is the number of tablets to be given to the patient? Show your solution on your answer sheet.

a)

4tabs

b)

5tabs

c)

6tabs

d)

7tabs

57.

The physician orders codeine gr1/4. When you conferred with the pharmacy, the available is 30mg/tab. Which of the following number of tablets be given to the patient?

a)

0.25tab

b)

0.5tab

c)

1tab

d)

2tabs

58.

The pharmacy has sent 125mg/5mL suspension of cefuroxime. Dr. JIP orders 100mg orally. Which of the following is the correct dose to be given to the patient? Show your solution on your answer sheet.

a)

2mL

b)

3mL

c)

4mL

d)

5mL

59.

12-year-old Ice is having an episode of fever. The attending physician orders paracetamol 500mg per tablet. Upon checking his medicine cubicle, the available stock is only 250 mg per tablet. Which of the following is the correct number of tablets to be given to the patient? Show your solution on your answer sheet.

a)

1tab

b)

2tabs

c)

3tabs

d)

4tabs

60.

The doctor orders amikacin 150 mg to patient JC via IV once a day. The available bottle is labeled with 100 mg in 5 mL ampule. Which of the following mL will you give to the patient? Show your solution on your answer sheet.

a)

5mL

b)

7.5mL

c)

10mL

d)

15mL

61.

A pregnant mother at 24th weeks AOG came to ER-DR because of frequent vomiting. The attending physician orders 1L of IV fluid to run for 8 hours. Which of the following figures is the correct flow rate of an IV? Show your solution on your answer sheet.

a)

80mL/hr

b)

100mL/hr

c)

120mL/hr

d)

125mL/hr

62.

A newly admitted post-partum patient was ordered with a 1L of D5LR to infuse over 10 hours using a 15 gtt/mL set. Which of the following is the correct flow rate of the IV? Show your solution on your answer sheet.

a)

20gtts/min

b)

25gtts/min

c)

30gtts/min

d)

40gtts/min

63.

A 12th week primigravida patient came in to the health center for her first prenatal checkup. The doctor prescribes Ferrous sulfate 300mg daily. Several hours after, the patient came back from the pharmacy and told you that the available stock is 150mg/tablet. Which of the following is the correct number of tablets required for the dose? Show your solution on your answer sheet.

a)

1tab

b)

1.5tabs

c)

2tabs

d)

3tabs

64.

You are instructing a newly discharge patient with order from the attending physician of Ascorbic Acid syrup 1 teaspoon (tsp). which of the following is the correct equivalent required for the dose? Show your solution on your answer sheet.

a)

1mL

b)

5mL

c)

10mL

d)

15mL

65.

The physician ordered to start venoclysis with D5 0.3NaCl 1L solution. The IV fluid will be infused for 14 hours and the drop factor of the macrodrip used is 20. Which of the following is the correct IV infusion rate? Show your solution on your answer sheet.

a)

20gtts/min

b)

24gtts/min

c)

28gtts/min

d)

30gtts/min