COR JESU COLLEGE

Basic Education Department

Sacred Heart Avenue, Digos City 8002, Davao del Sur

PHARMACOLOGY: Senior High School – Final Examination Examination

Surname First Name M.I.

Grade & Section Subject Teacher: Date:

Test I: Multiple Choice

General Instructions: 1. Read the questions carefully.

2. Encirlce the letter of your choice
3. SRITCLY NO ERASURES ALLOWED

1. Mrs. Y was admitted due to acute exacerbation of rheumatoid arthritis. Which drug, used to treat clients with
rheumatoid arthritis which has both an anti-inflammatory and immunosuppressive effect?
a. Myochrysine b. Imuran c. Deltasone d. Naprosyn
2. A three year old child with Congestive Heart Failure has been receiving digoxin for one week. Nurse Zee needs to
recognize that an early sign of digitalis toxicity is:
a. bradypnea b. failure to thrive c. tachycardia d. vomiting
3. All of the following are actions of diuretic medications except:
a. it lessens production of urine c. decrease venous return and blood pressure
b. it decrease blood volume d. decrease preload and afterload
4. These are agents that affect intracellular calcium levels in the heart muscles leading to increased contractility.
a. beta blockers b. vasodilators c. cardiotonic drugs d. calcium channel blockers
5. These are agents extracted from foxglove plants which increase the contraction strength of the heart.
a. cardiac glycosides b. vasodilators c. cardiotonic drugs d. calcium channel blockers
6. The state in which the heart rate is slowed due to decreased rate of cellular repolarization.
a. positive inotropic effect c. negative inotropic effect
b. decreased conduction velocity d. repolarization
7. This refers to the state in the cell membrane change back to its resting state, mean from negative to positive charge
outside the cell.
a. positive inotropic effect c. negative inotropic effect
b. depolarization d. repolarization
8. It is an abnormality in the beating of the heart wherein it starts in the atrial chambers of the heart.
a. Paroxysmal atrial tachycardia c. Atrial fibrillation
b. Atrial flutter d. tachycardia
9. It is a type of arrhythmia, or irregular heartbeat.
a. Paroxysmal atrial tachycardia c. Atrial fibrillation
b. Atrial flutter d. tachycardia
10. This means that arrhythmia starts in the upper chambers of the heart.
a. Paroxysmal atrial tachycardia c. Atrial fibrillation
b. Atrial d. tachycardia
11. This means that the episode of arrhythmia begins and ends abruptly.
a. Paroxysmal c. Atrial fibrillation
b. Atrial d. tachycardia
12. All of the following are contraindications and precautions when giving cardiac glycosides except:
a. heart block b. myocardial infarction c. renal failure d. HR of 60-80 beats/minute
13. An important electrolyte for nerve and muscle cell functioning, especially for muscle cells in the heart.
a. magnesium b. Iron c. calcium d. potassium
14. A mineral that helps to maintain normal nerve and muscle function, supports a healthy immune system, keeps the
heart beat steady, and helps bones remain strong.
a. magnesium b. Iron c. calcium d. potassium
15. All of the following are adverse effects of cardiac glycosides except:
a. headache b. angina pectoris c. seizures d. drowsiness
16. Which of the following is a contraindication for digoxin administration?
a. blood pressure of 140/ 90 mmHG c. heart rate above 80
b. heart rate below 60 d. respiratory rate above 20
17. The action of medication is inotropic when it:
a. decreased afterload c. increased heart rate
b. increases the force of contraction d. is used to treat CHF
18. Which is the MOST appropriate action for the nurse to take before administering digoxin?
a. monitor potassium level c. assess blood pressure
b. evaluate urinary output d. avoid giving diuretics
19. The therapeutic drug level for digoxin is:
a. 0.1-2.0 ng/mg b. 1.0-2.0 ng/mg c. 0.1-0.5 ng/mg d. 0.5-2.0 ng/mg
20. Blurred vision or halos are signs of:
a. subtherapeutic digoxin levels c. Digoxin toxicity
b. nothing related to digoxin d. corneal side effects of digoxin
21. A cardiac glycoside that is eliminated via the liver.
a. digitoxin b. digoxin c. lidocaine d. dopamine
22. It is eliminated from the body via the kidneys , what cardiac glycoside is this?
a. digitoxin b. digoxin c. lidocaine d. dopamine
23. As a knowledgeable health care provide you must prepare the following emergency drugs at the patients bedside
when giving cardiac glycosides except:
a. lidocaine b. phenytoin c. antipyretic d. atropine
24. Nurse Anna knew that cardiac glycoside drugs were effective when patient may manifest all of the following except:
a. heart rate of 96 beats per minute c. increased urine output
b. normal heart rate in arrhythmia d. digitalis level is .6 ng/mg
25. A drug used principally in the treatment of angina pectoris and acts by dilating the blood vessels so as to reduce the
blood pressure.
a. Isosorbide mononitrate c. isosorbide mononitrate
b. Non Steroidal Anti-inflammatory drugs d. anti-emetic
26. A nurse is monitoring a client who is taking Digoxin. All of which are the side effects associated with the medication,
except?
a. anorexia b. blurred vision c. diarrhea d. tremors
27. Mrs. Ho arrives in the emergency room with complaints of chest pain and is diagnosed with acute MI. A morphine 4
mg IV was given 5 minutes ago. Which of the following assessment made by the nurse indicates a further action?
a. respiratory rate from 20 bpm to 12 bpm
b. blood pressure from 120/70 to 100/60 mmHg
c. the client still complaints of chest pain with a pain scale of 6/10
d. cardiac rate of 67 bpm and a normal ECG
28. A drug that relaxes the smooth muscles in the vascular system by its conversion to nitric oxide.
a. organic nitrates c. isosorbide mononitrate
b. Non Steroidal Anti-inflammatory drugs d. anti-emetic
29. It means that a person has developed the need to take greater doses of the drug to get the same effect initial doses
had __________________________
30. Process in which an electronic device sends an electric shock to the heart to stop an extremely rapid,
irregular heartbeat, and restore the normal heart rhythm.
a. intravenous infusion c. physiotherapy
b. electrocardiogram d. defibrillation
31. It is a life-threatening condition that occurs when the body is not getting enough blood flow.
a. shock b. dehydration c. hypoxia d. insomnia

32. A shock that results from bacteria multiplying in the blood and releasing toxins.
a. neurogenic shock b. septic shock c. anaphylactic shock d. cardiogenic shock
33. It is a fatal condition which can occur as a result of hypersensitivity which is a serious and potentially life-threatening
condition.
a. neurogenic shock b. septic shock c. anaphylactic shock d. cardiogenic shock
34. This happens when the heart is damaged and unable to supply sufficient blood to the body.
a. neurogenic shock b. septic shock c. anaphylactic shock d. cardiogenic shock
35. A shock that is caused by severe blood and fluid loss, such as from traumatic bodily injury, which makes the heart
unable to pump enough blood to the body.
a. neurogenic shock b. hypovolemic c. anaphylactic shock d. cardiogenic shock
36. It is indicated for the correction of hemodynamic imbalances present in the shock syndrome.
a. organic nitrates c.dopamine
b. Non Steroidal Anti-inflammatory drugs d. anti-emetic
37. A drug that will inactivate the dopamine drug.
a. Non Steroidal Anti-inflammatory drugs c. antipyretic
b. sodium bicarbonate d. antibiotic
38. What is the first intervention for a client experiencing MI?
a. Administer morphine b. Administer oxygen
b. Administer sublingual nitroglycerin d. Obtain an ECG
39. Which of the following conditions is associated with a predictable level of pain that occurs as a result of physical or
emotional stress?
a. anxiety b. stable angina c. unstable angina d. variant angina
40. Which of the following tests is used most often to diagnose angina?
a. Chest x-ray b. Echocardiogram c. Cardiac catheterization d. electrocardiogram (ECG)
41. Which of the following interventions should be the first priority when treating a client experiencing chest pain while
walking?
a. Sit the client down c. Obtain an ECG
b. Get the client back to bed d. Administer sublingual nitroglycerin
42. Aspirin is administered to the client experiencing an MI because of its:
a. antipyretic action c. antiplatelet action
b. analgesic action d. antithrombotic action
43. It is a drug class that reduce pain, decrease fever, prevent blood clots and, in higher doses, decrease inflammation.
a. anti-biotics c. Non Steroidal Anti-Inflammatory Drugs
b. anti- protozoals d. antipyretics
44. One of a number of hormone-like substances that participate in a wide range of body functions such as the
contraction and relaxation of smooth muscle, the dilation and constriction of blood vessels, control of blood pressure,
and modulation of inflammation.
a. prostaglandin b. epinephrine c.. adrenalin d. estrogen
45. Which goal of treatment of inflammation is NOT met by NSAIDs?
a. arrest tissue damaging processes that accompany chronic inflammation
b. relief of symptoms and maintenance of function
c. treat GIT problems
d. treat nausea and vomiting
46. Aspirin, NSAIDs and acetaminophen act by:
a. Releasing endorphin c. Competitively blocking the neuronal terminal
b. Inhibiting the synthesis of prostaglandins. d. Inhibiting impulses to brain.
47. The health care provider recognizes that manifestations of NSAID toxicity include:
a. constipation b. nausea and vomiting c. tremors d. urinary retension
48. A mother calls the clinic to ask what medication to give her 5-year-old child for a fever during a bout of chickenpox.
The nurse's best response would be:
a. "Your child is 5 years old, so it would be okay to use children's aspirin to treat his fever."
b. "Start with acetaminophen or ibuprofen, but if these do not work, then you can try aspirin."
c. "You can use children's dosages of acetaminophen or ibuprofen, but aspirin is not recommended."
d. "It is best to wait to let the fever break on its own without medication."
49. During a teaching session about antigout drugs, the nurse tells the patient that antigout drugs work by which
mechanism?
a. Increasing blood oxygen levels c. Increasing protein and rheumatoid factors
b. Decreasing serum uric acid levels d..decreasing leukocytes and platelets
50. These are drugs that reduces fever by lowering body temperatures.
a. analgesics b. antipyretics c. anti malarial d. anti helmentics
51. The part of the brain that lies below the thalamus it regulates bodily temperature, certain metabolic processes, and
other autonomic activities.
a. temporal lobe b. cerebellum c. thalamus d. hypothalamus
52. All of the following are drug preparations of antipyretic drug except:
a. ointment b. tablet c. suppository d. suspension
53. These are agents that inhibit bacterial growth or kills bacteria.
a. antibiotics b. antipyretics c. anti malarial d. anti helmentics
54. He was a doctor and bacteriologist who discovered penicillin. ______________________
55. Drugs obtained from plants and animals it is producein the living cells of plants or animals.
a. semi synthetic b. synthetic c. natural d. semi natural
56. Penicillin, Metronidazole, Tempra and Cephalexins are examples of:
a. semi synthetic drugs b. synthetic drugs c. natural drugs d. semi natural drugs
57. Natural antibiotics that has been chemically modified in the laboratory to enhance its stability.
a. semi synthetic drugs b. synthetic drugs c. natural drugs d. semi natural drugs
58. It is a biological or chemical agent that stops bacteria from reproducing, while not necessarily killing them.
a. bacteriostatic b. bactericidal c. natural drugs d. semi natural drugs
59. A class of medication used specifically for treating or controlling viral infections.
a. antibiotics b. antipyretics c. anti malarial d. anti virals
60. A highly contagious viral infection of the respiratory passages causing fever, severe aching, and catarrh, and often
occurring in epidemics.
a. bronchial asthma b. influenza c. pneumonia d. bronchitis
61. Also known as an antimycotic medication, is a pharmaceutical fungicide or fungistatic used to treat and prevent
mycoses such as athlete's foot, ringworm, candidiasis.
a. antibiotics b. antipyretics c. anti fungals d. anti virals
62. A group of anti parasitic drugs that expel parasitic worms and other internal parasites from the body by either
stunning or killing them and without causing significant damage to the host.
a. antibiotics b. antipyretics c. anti helmintics d. anti virals
63. A range of drugs is used to treat infections caused by single-celled organisms called protozoa.
a. antiprotozoals b. antipyretics c. anti helmintics d. anti virals
64. It is the inflammation of liver cells, caused by drugs, toxins, organisms ______________________
65. The branch of medicine concerned with the uses, effects, and modes of action of drugs is called
__________________________