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133 Cards in this Set
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What is the preferred treatment for heartburn during pregnancy? Answer AOmeprazole BCalcium CFamotidine DLansoprazole ESimethicone |
Calcium |
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A pregnant woman has a bacterial vaginosis infection. Which of the following antibiotics are acceptable treatment options? (Select ALL that apply.) Answer AClindamycin oral BClindamycin topical CMetronidazole oral DMetronidazole topical ECiprofloxacin |
AClindamycin oral CMetronidazole oral |
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What is the preferred treatment for constipation during pregnancy? Answer AStool softeners, such as docusate BFiber, such as psyllium CStimulant laxatives, such as senna DOsmotic laxatives, such as polyethylene glycol EGlycerin suppositories, as-needed |
Fiber, such as psyllium |
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A woman has been instructed by her doctor to get a folic acid 1 mg tablet and to take one daily. She has looked on the pharmacy shelf and cannot locate this dose. She goes to ask the pharmacist who provides this information: (Select ALL that apply.) Answer AYou can purchase a 400 microgram dose over-the-counter. BYou can purchase an 800 microgram dose over-the-counter. CThe 1000 microgram dose is available over-the-counter. DOne milligram is the same thing as 1000 micrograms. EThe 1 milligram dose requires a prescription. |
AYou can purchase a 400 microgram dose over-the-counter. BYou can purchase an 800 microgram dose over-the-counter. DOne milligram is the same thing as 1000 micrograms. EThe 1 milligram dose requires a prescription. |
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Jada is pregnant with her second child. She is in the pharmacy to pick up her prenatal vitamin prescription. The pharmacist asks Jada if she is consuming adequate dairy products. Jada replies that she does not like to drink milk because it gives her an upset stomach. Select the correct statements: (Select ALL that apply.) Answer AThe prenatal vitamin contains about 200 milligrams of calcium; Jada requires about five times this amount. BIf the mother does not consume adequate calcium, the child will build his or her skeleton by depleting the mothers. CJada can purchase milk that contains the lactase enzyme, such as Lactaid, that should not cause stomach upset. DPerhaps Jada can get the additional calcium from calcium supplements; choose one that contains vitamin D. EThe prenatal vitamin contains enough calcium, but many women do not choose to use it due to nausea from the iron component. |
AThe prenatal vitamin contains about 200 milligrams of calcium; Jada requires about five times this amount. BIf the mother does not consume adequate calcium, the child will build his or her skeleton by depleting the mothers. CJada can purchase milk that contains the lactase enzyme, such as Lactaid, that should not cause stomach upset. DPerhaps Jada can get the additional calcium from calcium supplements; choose one that contains vitamin D. |
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A drug is categorized by the FDA as Pregnancy Category A. Select the correct definition for the meaning of Pregnancy Category A: Answer AStudies in animals or humans show fetal abnormalities; use in pregnancy is contraindicated. BPositive evidence of fetal risk is available, but the benefits may outweigh the risk if life-threatening or serious disease. CNo controlled studies in humans have been performed and animal studies have shown adverse events, or studies in humans and animals are not available; give only if potential benefit outweighs the risk. DEither animal studies have not demonstrated a fetal risk but there are no controlled studies in pregnant women, or animal studies have shown an adverse effect that was not confirmed in controlled studies in women in the 1st trimester. EControlled studies in animals and women have shown no risk in the 1st trimester, and possible fetal harm is remote. |
EControlled studies in animals and women have shown no risk in the 1st trimester, and possible fetal harm is remote. |
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A pregnant woman at 28 weeks gestation has a UTI infection that is sensitive to amoxicillin, fosfomycin, sulfamethoxazole-trimethoprim and nitrofurantoin. Of the following antibiotics, which option is not preferred in pregnancy due to safety risks if other, safer options are available? Answer AAmoxicillin BFosfomycin CSulfamethoxazole-trimethoprim DNitrofurantoin EUTI treatment is not recommended during pregnancy; wait until after delivery to treat |
Sulfamethoxazole-trimethoprim |
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Select the correct statements regarding treatment of hypothyroidism during pregnancy: (Select ALL that apply.) Answer ADo not treat hypothyroidism except if the mother's life is at risk; the treatment could cause birth defects, in all trimesters. BLevothyroxine is the treatment of choice for hypothyroidism in pregnancy. CHypothyroidism is always treated in pregnancy, and the dose will need to be increased as the Vd increases. DLevothyroxine is pregnancy category A. ELevothyroxine is pregnancy category B. |
BLevothyroxine is the treatment of choice for hypothyroidism in pregnancy. CHypothyroidism is always treated in pregnancy, and the dose will need to be increased as the Vd increases. DLevothyroxine is pregnancy category A. |
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What is the preferred treatment for allergy symptoms (runny nose, itchy eyes) during pregnancy? Answer AOxymetazoline nasal spray BPseudoephedrine CChlor-Trimeton DPhenylephrine EFluticasone nasal spray |
Chlor-Trimeton |
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Select the lifestyle changes that might help reduce constipation during pregnancy (and at other times as well): (Select ALLthat apply.) Answer AIncreasing fiber in the diet. BAdequate fluid intake. CIf the woman will not increase water intake, suggest green or black tea as an alternative. DPhysical activity can be helpful, using forms that are safe during pregnancy. EChanging from white rice to brown rice, or from white bread to whole grain bread. |
AIncreasing fiber in the diet. BAdequate fluid intake. DPhysical activity can be helpful, using forms that are safe during pregnancy. EChanging from white rice to brown rice, or from white bread to whole grain bread. |
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A pregnant female approaches the pharmacy counter with a bottle of ibuprofen. She informs the pharmacy intern that she has a headache from spending too many hours on a computer and that she has been told that ibuprofen is the safe to take during pregnancy, but not in the third trimester. What is a correct statement to tell this patient? Answer AShe is correct; it is best to say that ibuprofen should be avoided during weeks 12 and after. BShe is correct; it is best to say that ibuprofen should be avoided during weeks 27 and after. CNaproxen is the safest option in pregnancy, if an NSAID is chosen. DAcetaminophen, such as in Tylenol and store-brands, is safest in pregnancy and NSAIDs are not recommended in most cases. EThe prescription drug etodolac is the safest NSAID option in pregnancy. |
DAcetaminophen, such as in Tylenol and store-brands, is safest in pregnancy and NSAIDs are not recommended in most cases. |
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A pharmacist will provide information on treatment options for hyperthyroidism during pregnancy. (Select ALL that apply.) Answer APropylthiouracil is Pregnancy Category D and is used during the first trimester. BMethimazole is Pregnancy Category D and is used during the first trimester. CMethimazole is Pregnancy Category D and is used after the first trimester. DMethimazole has a higher risk of hepatotoxicity than propylthiouracil. EBoth agents can cause serious liver damage. |
APropylthiouracil is Pregnancy Category D and is used during the first trimester. CMethimazole is Pregnancy Category D and is used after the first trimester. EBoth agents can cause serious liver damage. |
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What are preferred treatments for nausea, including morning sickness, during pregnancy? (Select ALL that apply.) Answer AVitamin B6 BPyridoxine CMetoclopramide DOndansetron EProchlorperazine |
AVitamin B6 BPyridoxine |
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A drug is categorized by the FDA as Pregnancy Category D. Select the correct definition for the meaning of Pregnancy Category D: Answer AStudies in animals or humans show fetal abnormalities; use in pregnancy is contraindicated. BPositive evidence of fetal risk is available, but the benefits may outweigh the risk if life-threatening or serious disease. CNo controlled studies in humans have been performed and animal studies have shown adverse events, or studies in humans and animals are not available; give only if potential benefit outweighs the risk. DEither animal studies have not demonstrated a fetal risk but there are no controlled studies in pregnant women, or animal studies have shown an adverse effect that was not confirmed in controlled studies in women in the 1st trimester. EControlled studies in animals and women have shown no risk in the 1st trimester, and possible fetal harm is remote. |
Positive evidence of fetal risk is available, but the benefits may outweigh the risk if life-threatening or serious disease. |
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A pharmacist will provide information on medical rounds for a patient who is pregnant and requires treatment for venous thromboembolism. (Select ALL that apply.) Answer AUnfractionated heparin is the preferred treatment in all stages of pregnancy, and prior to the last month or if delivery appears imminent, low molecular weight heparin use is acceptable. BPneumatic compression is never used in pregnancy due to risk to the fetus from a dislodged clot. CWarfarin is acceptable to use after the first trimester only if heparin use is contraindicated due to HIT. DClopidogrel is the treatment of choice for VTE in pregnancy. EOnly aspirin is recommended in pregnancy if treating DVT. |
AUnfractionated heparin is the preferred treatment in all stages of pregnancy, and prior to the last month or if delivery appears imminent, low molecular weight heparin use is acceptable. |
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A pharmacist is asked questions regarding asthma medication use during pregnancy and in infants. Select the correct statements. (Select ALL that apply.) Answer ACiclesonide is the preferred inhaled steroid for use in pregnancy. BBudesonide is the preferred medication for infants with asthma, in the Respules inhalation formulation. CAll pregnant women with asthma should have an albuterol inhaler. DAll pregnant woman should be preferably treated with the Advair Diskus. EAsthma, unless it is rated as moderate or severe, should not be treated during the first trimester.
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BBudesonide is the preferred medication for infants with asthma, in the Respules inhalation formulation. CAll pregnant women with asthma should have an albuterol inhaler. |
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A pregnant woman has an infection that is sensitive to amoxicillin, cephalexin, azithromycin, erythromycin and clarithromycin. Of the above antibiotics, which is considered the least safe in pregnancy? Answer AAmoxicillin BCephalexin CAzithromycin DClarithromycin EErythromycin |
Clarithromycin |
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Which of the following are acceptable treatment options for vaginal trichomoniasis during pregnancy? (Select ALL that apply.) Answer AMetronidazole, oral 2 grams x 1 BMetronidazole, oral 500 mg BID x 7 days CCeftriaxone, IM DTinidazole, topical EClindamycin or metronidazole, topical formulations |
AMetronidazole, oral 2 grams x 1 BMetronidazole, oral 500 mg BID x 7 days |
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Beth is in the third month of pregnancy. She has a condition that is usually treated with a Pregnancy Category X drug. Select the correct statement concerning Pregnancy Category X: Answer AThe drug is contraindicated in pregnancy, under all circumstances. BThe drug can be used if the mother's life is in danger. CThe drug can be used if the life of the fetus is in danger. DPregnancy Category X means the drug is safe to use in the 1st trimester only. EOnly hormone products are Pregnancy Category X. |
The drug is contraindicated in pregnancy, under all circumstances. |
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It is common for women to get anemic during pregnancy and the iron in the prenatal vitamin or as a separate supplement can be important. What is the best way to get the highest amount of iron absorbed from a supplement? Answer ATake the iron with a glass of milk. BTake the iron with an antacid. CTake the iron with an H2-blocker. DTake the iron with a proton pump inhibitor. ETake the iron on an empty stomach. |
Take the iron on an empty stomach |
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When Lilly initially had glaucoma, it was just in one eye and the physician did not want to use a prostaglandin analog because if the medicine was used in one eye only it would make the one eye darker than the other. He prescribed Lilly timolol drops. Choose the correct statement concerning timolol drops: Answer ATimolol is dosed three times daily. BTimolol is a beta-1 selective blocker. CTimolol can cause burning or stinging when the drop is placed in the eye. DThe brand name is Ocupress. EThe brand name is Betagan.
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Timolol can cause burning or stinging when the drop is placed in the eye. |
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Which of the following drugs covers MRSA and VRE faecium and can cause optic neuropathy, with possible vision loss? Answer AIsoniazid BEthambutol CIsotretinoin DLinezolid ETetracycline |
Linezolid |
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Lilly is a 59 year-old female who uses latanoprost for glaucoma. Lilly has noticed that her eyelashes are thicker than they used to be and she likes it. She asked her primary physician for a prescription for Latisse in order to make her eyelashes even thicker, and the physician complied. Lilly has brought the Latisse prescription to the pharmacy. Which of the following statements are correct? (Select ALL that apply.) Answer AThe Latisse prescription will increase the IOP. BLatisse, taken in addition to a prostaglandin analog for glaucoma, could make the glaucoma medication less effective. CThe pharmacist should check with the patient's eye doctor prior to filling the Latisse. DLatisse contains acetazolamide. ELatisse is applied to the lower lid only, once daily. |
BLatisse, taken in addition to a prostaglandin analog for glaucoma, could make the glaucoma medication less effective. CThe pharmacist should check with the patient's eye doctor prior to filling the Latisse. |
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Choose the correct counseling statement concerning dorzolamide: Answer ADorzolamide comes in a combination glaucoma medication with timolol called Cosopt. BThe most frequent adverse events are ocular burning, stinging, or discomfort immediately following administration. CMany patients get a bitter taste following administration. DThis drug, along with acetazolamide (Diamox) and brinzolamide (Azopt), are carbonic anhydrase inhibitors. EAll of the above. |
All of the above |
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Brandy has COPD. She is on the verge of needing oxygen; the COPD is advanced and Brandy continues to smoke a half-pack daily. Brandy has been diagnosed with glaucoma. If a beta blocker is required, which medication would be the best option in a patient with breathing problems, such as asthma or COPD? Answer ATimolol BLevubonolol CCarteolol DMetipranolol EBetaxolol |
Betaxolol |
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What is the preferred treatment for most cases of blepharitis? Answer ATopical NSAIDs BWarm compresses CSystemic NSAIDs DTobrex eye drops EVigamox eye drops |
Warm compresses |
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A patient gave the pharmacist a prescription for Xalatan 2.5 mL, insert 1 drop in both eyes once daily in the evening. Which of the following is an appropriate generic substitution for Xalatan? Answer ATravoprost BBimatoprost CLatanoprost DTimolol EDorzolamide |
Latanoprost |
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Each of the following drugs is known to cause some type of visual damage. Which drug can cause corneal micro-deposits and optic neuropathy? Answer AVoriconazole BSildenafil CAmiodarone DHydroxychloroquine EDigoxin |
Amiodarone |
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Each of the following drugs is known to cause some type of visual damage. Which drug can cause yellow-green vision, blurriness and halos around objects when toxic? Answer AVoriconazole BSildenafil CAmiodarone DHydroxychloroquine EDigoxin |
Digoxin |
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A patient gave the pharmacist a prescription for Xalatan 2.5 mL, insert 1 drop in both eyes once daily in the evening. How should the bottles be stored (Select ALL that apply.) Answer AThe patient should keep all bottles, including the one in use, in the refrigerator. BThe patient can keep the bottle in use at room temperature. CThe unused bottles should be kept frozen. DIn the pharmacy the bottles are stored in the refrigerator. EThe patient should store unopened bottles in the refrigerator. |
BThe patient can keep the bottle in use at room temperature. DIn the pharmacy the bottles are stored in the refrigerator. EThe patient should store unopened bottles in the refrigerator. |
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Timolol comes in a gel formulation called Timoptic XE. Choose the correct counseling statement/s for this formulation: (Select ALL that apply.) Answer AIf you use other topically applied ophthalmic medications, they should be administered at least 10 minutes before Timoptic XE. BTurn the container upside down and shake the contents once prior to use (the gel is a suspension and needs to be mixed-you do not need to shake more than once.) CIt should be stored in the refrigerator. DThe gel is used once daily. EThe dispenser tip is designed to provide a single drop; therefore, do not enlarge the hole of the dispenser tip. |
AIf you use other topically applied ophthalmic medications, they should be administered at least 10 minutes before Timoptic XE. BTurn the container upside down and shake the contents once prior to use (the gel is a suspension and needs to be mixed-you do not need to shake more than once.) DThe gel is used once daily. EThe dispenser tip is designed to provide a single drop; therefore, do not enlarge the hole of the dispenser tip. |
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A new user of Xalatan wears contact lenses. How should the pharmacist instruct the patient regarding contact lenses and the use of a prostaglandin analog for glaucoma? Answer AYou cannot use this medication if you wear contact lenses. BRemove the contact lenses prior to using the medication. CXalatan is taken in the morning; wait five minutes after inserting the medication before putting in contact lenses. DXalatan is taken in the morning; wait 30 minutes after inserting the medication before putting in contact lenses. EIf patients use contact lenses they should use Lumigan instead. |
Remove the contact lenses prior to using the medication |
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Many drugs can raise intraocular pressure. The use of these medications can be dangerous if the patient has glaucoma. Which of the following medication classes does not pose a risk of increasing the intraocular pressure? Answer ACough/cold/motion sickness medications (antihistamines) BAnticholinergics used for a variety of conditions, including centrally-acting agents and incontinence drugs CPrednisolone and other steroid eye drops DTopiramate (Topamax) EPhenytoin (Dilantin)
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Phenytoin (Dilantin) |
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Choose the correct counseling statement that a pharmacist should provide to a patient beginning prostaglandin analog therapy for glaucoma: Answer AInsert once daily each morning. BIf you have light eyes and your doctor has prescribed the medication for use in one eye, it is not a concern as both eyes will darken evenly; the medication is absorbed systemically. CYou can leave contact lens in when administering this medication. DIf using Rescula, you should administer three times daily. EAn increase in brown pigment in the iris and gradual changes in eye color may occur, eyelash growth and pigmentation may increase and the skin on the eyelids and around the eyes may darken.
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An increase in brown pigment in the iris and gradual changes in eye color may occur, eyelash growth and pigmentation may increase and the skin on the eyelids and around the eyes may darken. |
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Which of the following drugs causes a greenish tinge around objects and a rare, but possible risk of permanent vision loss in one or both eyes? Answer AVoriconazole BSildenafil CAmiodarone DHydroxychloroquine EDigoxin |
Sildenafil |
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Choose the correct counseling statement concerning glaucoma medications: Answer AGlaucoma can be treated successfully with yoga and meditation, rather than with medications. BGlaucoma medications lower intraocular pressure by reducing vascular resistance in the coronary arteries. CThe brand name of brimonidine is Miostat. DThe brand name of dorzolamide/timolol is Cosopt. EThe brand name of acetazolamide is Azopt. |
The brand name of dorzolamide/timolol is Cosopt. |
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Which of the following drugs causes abnormal vision, color vision change and/or photophobia in about 20% of patients and comes with this warning to patients: Can cause vision problems. If used more than 28 days you need to have your vision checked? Answer AVoriconazole BSildenafil CAmiodarone DHydroxychloroquine EDigoxin |
Voriconazole |
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Which of the following drugs is used for tuberculosis and can cause possible vision loss due to optic neuritis? Answer ARifampin BIsoniazid CTetracycline DStreptomycin EPyrazinamide |
Isoniazid |
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What is the primary diagnostic criteria used for glaucoma? Answer ADecreased intraocular pressure BIncreased intraocular pressure C"Floaters" in the field of vision DDecrease in vision EDamage to the optic nerve |
increased intraocular pressure |
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Which of the following counseling statements concerning eye drop administration is not correct? Answer AAfter washing your hands thoroughly, hold the bottle in one hand, resting your thumb against your eyebrow or the bridge of your nose. BUse the index finger of your other hand to gently pull down your lower lid and make a pocket for the drop. Gently squeeze the bottle to dispense 1 drop into the pocket of your lower lid. CIf you tend to blink before the drop hits your eye, try looking to the side rather than straight at the dropper. DPress down on the "bump" on the inside of your eye (near the nose) for one minute-this is the drainage duct and by pressing it down closed (gently) you are allowing the medicine to stay in the eye and get absorbed. EIf using another medicine, wait at least two minutes before using the second eye drop. |
If using another medicine, wait at least two minutes before using the second eye drop. |
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Which of the following drugs has this warning: May impair your vision, especially at night. Be careful if you drive or do anything that requires you to see clearly. Answer AAspirin BClarithromycin CIsotretinoin DZyvox ETetracycline |
Isotretinoin |
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Each of the following drugs is known to cause some type of visual damage. Which drug is used for lupus and rheumatoid arthritis and can cause retinopathy? Answer AVoriconazole BSildenafil CAmiodarone DHydroxychloroquine EDigoxin |
Hydroxychloroquine |
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There are many topical antibiotic eye drops, including moxifloxacin (Vigamox) and tobramycin/dexamethasone (antibiotic and steroid), among others. Counseling for ophthalmic antibiotics should include the following: (Select ALLthat apply.) Answer ATo avoid contamination, do not let the dropper tip touch any surface (true for all eye drops). BTo avoid resistance, use only until symptoms disappear. CSome patients get an allergic reaction to the antibiotic; if your eye becomes red or feels worse, contact the doctor DAs this is an antibiotic, finish the course of therapy-do not stop until the treatment is complete, rather than when your eye feels better. EAll antibiotic drops should be kept refrigerated.
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ATo avoid contamination, do not let the dropper tip touch any surface (true for all eye drops). CSome patients get an allergic reaction to the antibiotic; if your eye becomes red or feels worse, contact the doctor DAs this is an antibiotic, finish the course of therapy-do not stop until the treatment is complete, rather than when your eye feels better.
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Taclonex is a popular dermatological drug. Taclonex is used for this condition: Answer APsoriasis BAcne CCA-MRSA DPoison ivy, oak or sumac EEczema |
Psoriasis |
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A patient has suspected onychomycosis and the doctor is considering systemic terbinafine therapy. Choose the correct statement: Answer APotassium hydroxide smears are rarely required for this condition; it is generally sufficient to use a visual inspection. BIf starting terbinafine, monitor for hepatotoxicity. CEight weeks are required for treatment of toenail onychomycosis. DFour weeks is a usual treatment duration for treatment of fingernail onychomycosis. EThe brand name for terbinafine is Sporanox.
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BIf starting terbinafine, monitor for hepatotoxicity. |
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A pharmacist is discussing oral isotretinoin with a prescriber. Which statements are correct? (Select ALL that apply.) Answer ADue to the birth defect risk, this is a REMS drug. It can only be dispensed by a pharmacy registered with the pregnancy risk management iPLEDGE program. BThe progestin-only "mini pill" is not adequate as a form of birth control in females using oral isotretinoin. CThis medication is Pregnancy Category X; use causes severe birth defects if pregnancy occurs while using this medication. DPatients should be instructed that they will have dry skin; use a lip moisturizer and carry a water bottle to keep well-hydrated. EYou cannot get pregnant while taking this medication and for six months afterwards.
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ADue to the birth defect risk, this is a REMS drug. It can only be dispensed by a pharmacy registered with the pregnancy risk management iPLEDGE program. BThe progestin-only "mini pill" is not adequate as a form of birth control in females using oral isotretinoin. CThis medication is Pregnancy Category X; use causes severe birth defects if pregnancy occurs while using this medication. DPatients should be instructed that they will have dry skin; use a lip moisturizer and carry a water bottle to keep well-hydrated. |
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Which of the following steroid topical formulations are available over-the-counter? (Select ALL that apply.) Answer AHydrocortisone 2.5% BHydrocortisone 0.5% CHydrocortisone 1% DBetamethasone 0.25% EBetamethasone 0.5% |
BHydrocortisone 0.5% CHydrocortisone 1% |
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Which of the following statements concerning mupirocin is correct? Answer AThe brand name is Bacitracin. BIt provides only gram negative coverage. CIt does not provide coverage against MRSA and would not be a useful option for MRSA-colonizers. DIt is available over the counter. EIt is a topical product that provides very good staph and strep coverage. |
EIt is a topical product that provides very good staph and strep coverage. |
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A father is picking up a prescription of Elidel for his child. Counseling statements should include the following: (SelectALL that apply.) Answer AUse the smallest amount needed to control symptoms. Continue as long as signs and symptoms persist; discontinue if resolution occurs. BWash your hands after application. Keep the skin well hydrated by using a good moisturizer. CThis medication cannot be used in children who are not at least 36 months of age; use is contraindicated in infants. DLimit sun and ultraviolet ray exposure if using this medication. EThis drug may add to your child's chance of getting lymphoma or other cancers. |
AUse the smallest amount needed to control symptoms. Continue as long as signs and symptoms persist; discontinue if resolution occurs. BWash your hands after application. Keep the skin well hydrated by using a good moisturizer. DLimit sun and ultraviolet ray exposure if using this medication. EThis drug may add to your child's chance of getting lymphoma or other cancers. |
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A patient asks for help choosing an over-the-counter acne product. She is also asking what causes acne. She does not like having it. She had a friend who used the product Duac and asks if she can have it. Which of the following statements are correct? (Select ALL that apply.) Answer ASalicylic acid is a stronger agent than benzoyl peroxide. BAndrogens (male sex hormones) are the primary determinant of acne, which is why boys usually get acne worse than girls. In addition, the prescence of an organism called mycobacterium that lives in the skin and fatty acids in oil glands in the skin must be present; all three in combination produce a bad case of acne. CSome women find benefit in treating acne using birth control pills. DCommon times to get acne are during puberty, in infants, and women around the time of the menstrual cycle. EBenzoyl peroxide comes in combinations with the antibiotics clindamycin or erythromycin; these require a prescription.
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CSome women find benefit in treating acne using birth control pills. DCommon times to get acne are during puberty, in infants, and women around the time of the menstrual cycle. EBenzoyl peroxide comes in combinations with the antibiotics clindamycin or erythromycin; these require a prescription. |
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Which of the following statements concerning pimecrolimus is correct? Answer AThis product can be used in children ages 12 months or older. BApply a thin layer only to the affected skin areas, once a day. CUse on a continual basis even if resolution of eczema occurs. DUse is associated with lymphomas and skin malignancies. EOral tacrolimus is preferred for intermittent eczema. |
DUse is associated with lymphomas and skin malignancies. |
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Choose the correct statement concerning ketoconazole shampoo (Nizoral AD): Answer AThis is a prescription-only product. BThis shampoo should be applied continuously (daily) in order to prevent flaking. CThis product should not be applied to open sores or irritated skin. DIt is important not to use acid-suppressing agents when using Nizoral AD. EThis shampoo is the first-line recommendation for dandruff.
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CThis product should not be applied to open sores or irritated skin.
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The topical retinoids such as tretinoin (Avita, Retin-A), adapalene (Differin) and tazarotene (Tazorac, Avage) are first line prescription agents for treating most cases of acne. Choose the correct statements concerning these agents: (SelectALL that apply.) Answer AThey are safe to use in breastfeeding. BThey are safe to use in pregnancy. CThey are derivatives of vitamin A. DThey are applied on each acne pimple as "spot" therapy. EThey are applied in a pea sized amount, which is divided into 1/4's and applied.
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CThey are derivatives of vitamin A. EThey are applied in a pea sized amount, which is divided into 1/4's and applied. |
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A patient is purchasing Lamisil AT cream for a fungal foot infection. What is the active ingredient? Answer AClotrimazole BButenafine CTerbinafine DTolnaftate EUndecylenic acid |
Terbinafine |
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Choose the correct application instructions/safety information for a topical retinoid: Answer ALimit sun exposure; your skin will burn more easily. BUse several times a day in the beginning of treatment to improve tolerance. CProducts should be used as "spot" therapy only. DIt works best if you use salicylic acid while taking this product; be sure to apply the retinoid first. EThese products are available over the counter.
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Limit sun exposure; your skin will burn more easily. |
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A patient asks the pharmacist to recommend a sunscreen that is "broad spectrum". What is the correct meaning of the term "broad spectrum" when used for a sunscreen? (Select ALL that apply.) Answer AIt provides and SPF of at least 30. BIt provides and SPF of at least 60. CIt protects against UVA, which causes aging. DIt protects against UVB, which causes burning. EIt provides and SPF of at least 15.
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CIt protects against UVA, which causes aging. DIt protects against UVB, which causes burning. |
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Choose the correct statement concerning Nizoral A-D: Answer AIt is first-line treatment for OTC dandruff treatment. BShampoo daily. CIt contains itraconazole. DRub shampoo in well and leave in for 5 minutes, then rinse out, use twice weekly EIs less expensive than most OTC dandruff shampoos. |
Rub shampoo in well and leave in for 5 minutes, then rinse out, use twice weekly |
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Jennifer comes to the pharmacy and asks to speak to a pharmacist. She states that she has uncomfortable symptoms of vaginal itching and burning on urination. She states that she has never had this before and just wants it to go away quickly. Which of the following would be the best recommendation for Jennifer? Answer AMycelex 7 BVagistat 1 CFluconazole 150 mg po X 1 DSuggest that Jennifer see a doctor for a diagnosis; recommend OTC antifungal EMonistat 7
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Suggest that Jennifer see a doctor for a diagnosis; recommend OTC antifungal |
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A 29 year-old male patient uses the local gym daily. He was not careful to use sandals in the shower and his feet are itchy, particularly between the toes. Choose appropriate OTC medications that will eradicate the infection and are recommended for this purpose: (Select ALL that apply.) Answer ALamisil AT BHydrocortisone 1% OTC CDiphenhydramine oral (not topical) DClotrimazole 7-day treatment ELotrimin AF
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Lamisil AT |
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Which of the following agents used to treat lice is flammable? Answer ASpinosad BLindane CPermethrin DOvide EBenzyl alcohol lotion |
Ovide |
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Which of the following statements concerning sunscreens are correct? (Select ALL that apply.) Answer AIf a patient would normally burn in 10 minutes, if they used a sunscreen with an SPF of 5 they would burn in 50 minutes (5 x 10 = 50). BIf a person is avoiding the sun they may require vitamin E supplementation; this fat-soluble vitamin is produced through sun exposure on the skin, and can be consumed in dietary sources. CAll sunscreens should be reapplied at least every two hours and after going in the water; no sunscreens are truly "waterproof." DUVA and UVB exposure increases the risk of skin cancer. EWater-resistant means the sunscreen is resistant for somewhere between 40-80 minutes. |
AIf a patient would normally burn in 10 minutes, if they used a sunscreen with an SPF of 5 they would burn in 50 minutes (5 x 10 = 50). CAll sunscreens should be reapplied at least every two hours and after going in the water; no sunscreens are truly "waterproof." DUVA and UVB exposure increases the risk of skin cancer. EWater-resistant means the sunscreen is resistant for somewhere between 40-80 minutes. |
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Which of the following topical steroids is considered a very high potency agent? Answer AHydrocortisone 2.5% BHydrocortisone valerate 0.2% CDesonide 0.05% DClobetasol propionate 0.05% EFluocinolone acetonide 0.01% |
Clobetasol propionate 0.05% |
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Which of the following brand-generic matches are correct? (Select ALL that apply.) Answer ATerbinafine-Lamisil AT BButenafine-Lotrimin Ultra CTolnaftate-Tinactin DClotrimazole-Lotrimin EUndecylenic acid-Desenex |
ATerbinafine-Lamisil AT BButenafine-Lotrimin Ultra CTolnaftate-Tinactin DClotrimazole-Lotrimin EUndecylenic acid-Desenex |
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If you squeeze out enough steroid cream to stretch the length from the fingertip to the first joint, what approximate area of skin would this amount of medication treat? Answer AAbout the area of one finger BAbout the area from your foot to your knee CAbout one leg, front and back DAbout the area of your hand and arm EAbout the area of your hand
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About the area of your hand |
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Counseling for a parent treating lice in a child should include all of the following except: Answer ASoak combs and brushes in hot water for 10 minutes. BWash clothes and bedding in hot water, followed by a hot dryer. CVacuum the carpet well. DIn addition to the OTC treatment, remove the live lice and nits by inspecting the hair in 1-inch segments and using a lice comb. ECheck all family members and treat anyone with an infestation except those over the age of 70.
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Check all family members and treat anyone with an infestation except those over the age of 70. |
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Which natural product is used in a topical formulation for a soothing effect after sunburn? Answer AAcacia BAloe CFenugreek DFeverfew ESaw palmetto |
Aloe |
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Select the correct statement concerning oral isotretinoin: Answer AThis medication is for mild to moderate acne. BThis medication is only for male patients due to the high risk of birth defects; and, males typically get worse acne than females. CIf female, only patients who can remember to use two effective forms of birth control can use the drugs similar to Accutane. DIsotretinoin is Pregnancy Category D. ENone of the above. |
CIf female, only patients who can remember to use two effective forms of birth control can use the drugs similar to Accutane. |
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A father will apply Neosporin on a scrape on the outer surface of his ten-year old son's hand. He asks if he should cover it with a Band-Aid. How should the pharmacist respond? Answer AYes, use a bandage during the day since his hand is likely to get dirty. BNo, bandages are not recommended for light scrapes. CNo, we only use bandages currently for burn wounds. DNo, bandages will delay healing of the scrape. EYour son should get a tetanus shot if it has been over 15 years from his last tetanus vaccination. |
Yes, use a bandage during the day since his hand is likely to get dirty. |
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Choose the correct statements concerning benzoyl peroxide-antibiotic combination products (Benzamycin, BenzaClin): (Select ALL that apply.) Answer ABenzamycin is an oral formulation indicated for mild acne. BBenzamycin is stored by the patient in the refrigerator. BenzaClin is stored at room temperature. CBenzamycin is mixed with 70% ethyl alcohol and shaken prior to dispensing. DBenzamycin contains benzoyl peroxide and clarithromycin. EBenzamycin contains benzoyl peroxide and erythromycin. |
BBenzamycin is stored by the patient in the refrigerator. BenzaClin is stored at room temperature. CBenzamycin is mixed with 70% ethyl alcohol and shaken prior to dispensing. EBenzamycin contains benzoyl peroxide and erythromycin. |
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Which of the following prescription agents may be prescribed to a teenager with acne? Answer ASolodyn BKetoconazole CLamisil AT DNizoral EClearasil |
Solodyn |
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Correct application instructions for topical steroid products should include the following points except: Answer AOveruse of this product can cause thinning of skin, striae in the skin folds, and can worsen acne. BDo not use more than directed. CHigher potency steroids (prescription strengths) are usually applied once daily. DLower potency steroids (OTC strengths) are usually applied three or four times daily. EAll of the above are correct counseling statements. |
Lower potency steroids (OTC strengths) are usually applied three or four times daily. |
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Which acne products are available over-the-counter? Answer ASalicylic acid, benzoyl peroxide BSalicylic acid, benzoyl peroxide, isotretinoin CSalicylic acid, benzoyl peroxide, tazarotene DSalicylic acid, benzoyl peroxide, adapalene ESalicylic acid, benzoyl peroxide, dapsone gel |
ASalicylic acid, benzoyl peroxide |
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What is the brand name for imiquimod cream (used primarily for genital/perianal warts)? Answer AReoPro BCampral CPlenaxis DAldara EOrencia
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Aldara |
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Which of the following statements concerning athlete's foot are correct? (Select ALL that apply.) Answer AIt is also called tinea cruris. BIt is usually treatable with topical OTC agents. CSymptoms include itching, peeling and redness. DPharmacists should not recommend OTC treatment without first obtaining a potassium hydroxide smear. EPatients should be careful to wear sandals or other foot coverings in public showers and locker rooms in order to avoid infection (and avoid spreading it). |
BIt is usually treatable with topical OTC agents. CSymptoms include itching, peeling and redness. EPatients should be careful to wear sandals or other foot coverings in public showers and locker rooms in order to avoid infection (and avoid spreading it). |
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Which of the following statements concerning sun exposure and sunscreens are correct? (Select ALL that apply.) Answer AIt is advisable to stay out of the sun when it is strongest: between 10AM-4PM. Sun-protective clothing is also helpful. BAgents that block UVA include avobenzone and ecamsule (and others); the American Academy of Dermatology states that a sunscreen with a recommended UVA-blocking agent should be chosen. COn a cloudy, overcast day there is little risk of burning. D"Broad-spectrum" sunscreens protect against both UVA and UVB. EA sunscreen of an SPF of 50 or higher should be chosen for infants. |
AIt is advisable to stay out of the sun when it is strongest: between 10AM-4PM. Sun-protective clothing is also helpful. BAgents that block UVA include avobenzone and ecamsule (and others); the American Academy of Dermatology states that a sunscreen with a recommended UVA-blocking agent should be chosen. D"Broad-spectrum" sunscreens protect against both UVA and UVB. |
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Which of the following medications are first-line treatments for lice? (Select ALL that apply.) Answer ALindane BNix CRID DImiquimod EPermethrin |
BNix CRID EPermethrin |
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Which medications cannot be used if a patient is taking oral isotretinoin? (Select ALL that apply.) Answer AVitamin D supplements BVitamin A supplements CTetracyclines DSteroids ESt John's wort |
BVitamin A supplements CTetracyclines DSteroids ESt John's wort |
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A patient approaches the pharmacy counter to ask if she should purchase a steroid cream, ointment or lotion. She wants to treat an itchy rash on her palm. She reports that she sometimes gets topical reactions to things that she touches, which appear similar to the current reaction and it generally dissipates on its own. The skin appears thick and calloused. Which formulation would be most appropriate? Answer AAn ointment BA cream CA lotion DTo treat the palm, she needs a systemic product. EShe should be referred to the physician. |
An ointment |
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A patient asks the pharmacist if Duac topical gel is a useful product for acne. Choose the correct statement concerningDuac: Answer ADuac contains erythromycin and benzoyl peroxide. BDuac can be stored at room temperature for up to two months. CDuac cannot bleach clothing. DPrior to dispensing, store in the freezer. EDuac contains isotretinoin.
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Duac can be stored at room temperature for up to two months. |
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Megan will begin therapy with Retin-A Micro. Which of the following are correct counseling statements? (Select ALL that apply.) Answer ABegin with a reduced frequency of application (every second or third day) and shorter duration of contact (washing off the application after a period of time), to improve tolerance. BA pea-sized amount is sufficient (for facial application); it should be divided into 4 equal parts and smoothed over the entire surface of the face. This medication should not be used as "spot" therapy. CIt will take 1-3 months to see the full response. Initially, the acne may actually worsen. DThe topical retinoid acne medications such as this one do not cause photosensitivity like the OTC products can; they are safer if going out in the sun. EThe topical retinoids are safe to use in pregnancy; the oral form is not.
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ABegin with a reduced frequency of application (every second or third day) and shorter duration of contact (washing off the application after a period of time), to improve tolerance. BA pea-sized amount is sufficient (for facial application); it should be divided into 4 equal parts and smoothed over the entire surface of the face. This medication should not be used as "spot" therapy. CIt will take 1-3 months to see the full response. Initially, the acne may actually worsen. |
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Which of the following agents is not used first line for scabies (mites), due to neurotoxicity/seizures, and requires a Medication Guide if dispensed? Answer ALindane BPermethrin COvide DBenzyl alcohol lotion ESpinosad |
Lindane |
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Counseling instructions for the use of a topical antifungal for athlete’s foot (tinea pedis) should include all of the following except: Answer AApply the medicine directly on the rash; you do not need to extend the application beyond the visible rash. BUse for at least 2-4 weeks, even if the rash appears to be healed. CDo not walk barefoot to avoid spreading it. DWear sandals in public showers to avoid catching it. EAll of the above are correct statements. |
AApply the medicine directly on the rash; you do not need to extend the application beyond the visible rash. |
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Which of the following agents is used for alopecia? Answer AAvodart BValproic Acid CTegretol DMinoxidil EProscar |
Minoxidil |
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What does SPF indicate on a sunscreen product? Answer AThe amount of time the product will last if the patient gets wet. BThe amount of time the product will last if the patient stays in the sun, up to 5 hours duration. CThe product's moisturizing efficacy. DThe degree of protection from UVA. EThe degree of protection from UVB. |
EThe degree of protection from UVB. |
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A patient asks the pharmacist what to do about a circular patch on her forearm that has raised, red edges. The inner part of the circle is clear. The circle edges have small bumps that look like blisters. The patch is ¾" in diameter. Which product should the pharmacist recommend? Answer AHydrocortisone 0.5% cream BHydrocortisone 1% cream CTerbinafine DIvy Block EDiphenhydramine cream
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Terbinafine |
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Which OTC acne product is considered the first-line recommendation due to higher efficacy for acne than the others? Answer ASalicylic acid BBenzoyl peroxide CSulfur DResorcinol ELactic acid |
Benzoyl peroxide |
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Occasionally antifungal agents such as ketoconazole are given as intermittent “pulse” therapy when being used long-term. What is the purpose of pulse therapy? Answer ALess side effects and less costly BEasier to remember to take the doses as prescribed. CIncreased hair growth. DHigher risk of liver damage than with daily administration. EIt kills the organism more efficiently. |
ALess side effects and less costly |
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If systemic ketoconazole is used to treat onychomycosis, which of the following medications must be stopped during the ketoconazole therapy? Answer AAmlodipine BCarvedilol CRabeprazole DMultivitamin/mineral supplement EDigoxin
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CRabeprazole |
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Jennifer, a 44 year-old Asian female, has struggled with eczema patches since she was a child. She typically usesAveeno colloidal oatmeal bath. She has never used anything else and found that this product provided moderate relief. She is at her annual physical and the physician has written a prescription for Elidel. Choose the correct statement: Answer AThe drug is considered first line for this type of presentation. BIt is likely that the insurance company will provide coverage. CShe should be using diphenhydramine (oral) or a similar product instead prior to the use of this agent. DShe should be using oral steroids instead. EElidel is not indicated currently.
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EElidel is not indicated currently. |
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What are the ingredients in the OTC “Triple Antibiotic” products? Answer APolymyxin, bacitracin, amikacin BPolymyxin, bacitracin, neomycin CPolymyxin, bacitracin, gentamicin DPolymyxin, bacitracin, colistin EPolymyxin, bacitracin, mupirocin |
BPolymyxin, bacitracin, neomycin |
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Zoe is a fifteen year old girl who was hiking in the woods near her home in California. She picked up a rash that is itchy and spreading. The pharmacist suspects the rash is from contact with poison sumac. The pharmacist should offer the following advice to Zoe: (Select ALL that apply.) Answer AYou can use a product such as Aveeno or Caladryl that may provide relief. Cold compresses may help. BThe skin should be washed with soap and water-it is best to try and remove the toxin. CIf the rash worsens you can ask your physician for stronger medicine, such as an oral steroid. DAvoid baths until the rash is healed. ERemove the oil from the skin using 70% propyl alcohol. |
AYou can use a product such as Aveeno or Caladryl that may provide relief. Cold compresses may help. BThe skin should be washed with soap and water-it is best to try and remove the toxin. CIf the rash worsens you can ask your physician for stronger medicine, such as an oral steroid. |
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Rank the following topical steroids in order from highest to lowest potency. Answer AMometasone (cream) 0.1% BHalobetasol 0.05% CFluocinonide 0.05% DHydrocortisone 1% |
Halobetasol 0.05% Fluocinonide 0.05% Mometasone (cream) 0.1% Hydrocortisone 1%
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Hendrick is a community pharmacist who runs a vaccination clinic. He has run out of the vaccine information sheets (VIS) for one of the vaccines. What are recommended websites to get a current VIS to use to make more copies? (Select ALL that apply.) Answer AFrom the Pharmacist's Letter BFrom the Medical Letter CFrom the Immunization Action Coalition's Website DFrom the Centers for Disease Control (CDC) website EFrom the World Health Organization (WHO) website |
CFrom the Immunization Action Coalition's Website DFrom the Centers for Disease Control (CDC) website |
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Select the correct administration site for the herpes zoster vaccine in an adult: Answer AAbdomen BBiceps CFatty tissue over the triceps DDeltoid muscle EGluteus maximus |
CFatty tissue over the triceps
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A patient requires the Hepatitis B vaccine and HBIG (hepatitis B immune globulin), due to a recent possible exposure. Which of the following statements is correct concerning the administration of these two medications? Answer AThey can be administered on the same day and in the same location but cannot be mixed in the same syringe. BThey can be administered on the same day, but need to be given in two separate anatomical sites (two different arms). CThey can be given on the same day and they can be mixed in the same syringe. DThey cannot be administered on the same day, and must be separated by at least 3 months. EThey cannot be administered on the same day, and must be separated by at least 6 months.
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BThey can be administered on the same day, but need to be given in two separate anatomical sites (two different arms).
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A mother asks if her eleven month old son will receive thimerosal from vaccines. She is concerned that this mercury-containing preservative might increase the risk of autism in her son. Select the correct statements. (Select ALL that apply.) Answer AChildren whose parents do not wish to vaccinate can choose to do so if they live in an urban (not rural) center where the child will likely be protected by "herd" immunity. BWhile it is true that thimerosal is contained in many childhood vaccines, it is not linked to autism. CThere has been a lack of vaccine-preventable disease occurrence in recent years; instruct the mother to avoid vaccines in her children. DThimerosal may be present in multi-dose influenza vaccines, and can be avoided upon request. EThe link between vaccines and autism has not been shown to be valid; pharmacists should promote vaccination to reduce disease spread. |
DThimerosal may be present in multi-dose influenza vaccines, and can be avoided upon request. EThe link between vaccines and autism has not been shown to be valid; pharmacists should promote vaccination to reduce disease spread. |
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Select the correct statements concerning the hepatitis C virus: Answer AHepatitis C is most commonly spread by accidental needlestick injuries. BHepatitis C is transmitted by ingestion of fecal matter from contaminated foods and drinks. CThere is no vaccine available to prevent Hepatitis C infection. DThere are no treatments available for active hepatitis C infection. EFew people infected with hepatitis C develop chronic liver disease. |
CThere is no vaccine available to prevent Hepatitis C infection. |
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A pharmacist is working in a hospital that requires hepatitis B vaccination. She received her 1st dose of a 3-dose series. She did not return for the 2nd dose, which was due one month later. It is now four months after the 1st dose. Select the correct recommendation: Answer AShe is more than 30 days late with the 2nd dose; she must start the series over. BShe is more than 60 days late with the 2nd dose; she must start the series over. CShe is more than 90 days late with the 2nd dose; she must start the series over. DShe is no longer a candidate for hepatitis B vaccination. EShe should get the 2nd dose now and return for the 3rd dose at the proper time
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EShe should get the 2nd dose now and return for the 3rd dose at the proper time |
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Shira will be offering vaccines at her pharmacy in the fall. She is writing a list to order supplies. What type of syringe will she need to administer adult intramuscular injections, such as for the influenza shot and the pneumococcal polysaccharide (Pneumovax) injections? (Select ALL that apply.) Answer AIntramuscular injections are given straight down, at a ninety degree angle. BTd and Tdap are also both intramuscular injections. CNeedles that are 22 to 25 gauge are used for IM Injections. DAdminister at the top border of the deltoid, near the acromion. EIf women greater than 200 pounds and men greater than 260 pounds a 1 inch needle is required. |
AIntramuscular injections are given straight down, at a ninety degree angle. BTd and Tdap are also both intramuscular injections. CNeedles that are 22 to 25 gauge are used for IM Injections.
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Faith is thirteen years old. The mother is upset that the physician suggested that Faith should receive the HPV vaccine. The pharmacist wishes to relay to the mother why this vaccine might be beneficial. Which of the following statements concerning the HPV vaccine are correct? (Select ALL that apply.) Answer AHPV is the most common sexually transmitted disease and can cause genital warts and cervical cancer, the 2nd most deadly cancer in women. BThe vaccine series should be completed before Faith is sexually active. CIt is true that receiving HPV will encourage her daughter to have sexual relations earlier than she might otherwise, but she should get the vaccine anyway. DIf she chooses not to have her daughter vaccinated, Faith should be diligent about getting tested with the pap or co-test when she is older (which should be done anyway). EHPV vaccine should only be administered to girls; boys are not candidates for the vaccine.
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AHPV is the most common sexually transmitted disease and can cause genital warts and cervical cancer, the 2nd most deadly cancer in women. BThe vaccine series should be completed before Faith is sexually active. DIf she chooses not to have her daughter vaccinated, Faith should be diligent about getting tested with the pap or co-test when she is older (which should be done anyway).
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Which of the following represent patient groups that are candidates for the shingles vaccine, according to the ACIP recommendations? Answer AAdults 50 years and older BAdults 60 years and older CAdults 50 years and older and children at 2-3 months and 10-11 years DAdults 60 years and older and children at 2-3 months and 10-11 years EAdults 60 years and older and college students who live in dormitories |
BAdults 60 years and older |
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A pharmacist is instructing an intern how to administer the EpiPen. Which of the following instructions are important in properly administering the injection? Answer ADo not remove the safety cover; removing the cover "caps" the needle and is done after the injection is administered. BInject in the abdomen for best absorption, through clothes if necessary. CHold the injector firmly against the skin over the deltoid for ten seconds to give the medicine time to disperse. DKeep at least one pen in both adult and one in junior sizes in the emergency kit at the pharmacy. EInject into the thigh, hold against skin for at least ten seconds. |
EInject into the thigh, hold against skin for at least ten seconds. |
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Peter is 45 years old and has a history of asthma, hypertension, anxiety and intermittent depressive episodes. He was drinking a year ago, which resulted in a motor vehicle accident. He received a lung puncture, two fractured ribs and lost his spleen, but has otherwise recovered. He has not had any vaccines since he was an infant. It is October and there are presently no shortages of influenza vaccine. The pharmacist can recommend the following vaccines: Select the most complete answer. Answer APneumovax and the Fluvarin shot BPrevnar and the Fluvarin shot CPneumovax and FluMist DPrevnar and FluMist EPrevnar, Pneumovax and Fluzone |
EPrevnar, Pneumovax and Fluzone |
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Jerry is a 72 year-old male who is due for his tetanus vaccine. Jerry lives in an apartment with his daughter, a 3 month old granddaughter and a 2 year old grandson. He does not know if he ever received the pertussis vaccine. Which vaccine should Jerry receive? Answer ATd BTdaP CTdP DTetanus only EDTAP |
TdaP |
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Which of the following vaccines can be given in the time interval as stated below? Answer AMMR and the zoster vaccine (Zostavax) separated by 7 days BMMR and the zoster vaccine (Zostavax) separated by 14 days CVarivax and FluMist separated by 28 days DMMR and FluMist separated by 10 days EMMR and FluMist separated by 14 days
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CVarivax and FluMist separated by 28 days |
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Kate asks the pharmacist if her children should receive the annual influenza vaccination. She has a daughter, age 6 months, with no known illnesses, a daughter, 4 years, with asthma, and a son, 10 years, with ADHD. Which statement is correct? Answer AHer 6 month old is too young to receive the influenza vaccine. BHer 6 month old can receive either the influenza shot or nasal mist. CHer four year old daughter can receive the influenza nasal mist. DHer 10 year-old son can receive the influenza nasal mist. EHer 10 year-old son cannot receive the influenza nasal mist. |
DHer 10 year-old son can receive the influenza nasal mist. |
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What is an immunization registry? Answer AA place where immunization records are kept BA place to facilitate record sharing among health care providers CA method to help increase immunization rates DA method to reduce vaccine-preventable disease EAll of the above |
EAll of the above |
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A small community pharmacy just received a delivery of fall flu vaccine. The pharmacy owner needs to instruct the staff on storage requirements. He should include the following information: Answer AThe refrigerator temperature is recorded in a log record once daily. BThe temperature log record is kept for at least one year. CThe stock should be rotated so that the oldest vaccines (earliest expiration dates) are in the front. DThe temperature log record can only be maintained by a registered pharmacist or intern. EIf administering vaccines, the temperature log must be checked every day (including days in which the pharmacy is closed). |
CThe stock should be rotated so that the oldest vaccines (earliest expiration dates) are in the front. |
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A patient who had a severe reaction to eggs (with hives and facial swelling or trouble breathing) should not receive the following vaccines in a community pharmacy setting: (Select ALL that apply.) Answer AMeasles, Mumps and Rubella (MMR) BFluBlok CYellow Fever DFluzone EFluMist |
CYellow Fever DFluzone EFluMist |
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Select the correct information for the shingles vaccines as well as the chickenpox vaccine (Zostavax and Varivax): Answer AOnly Zostavax (not Varivax) can be given during pregnancy. BThe diluent must be stored in the freezer and the vaccine is refrigerated. CBoth the diluent and the vaccine are kept frozen until needed. DOnce drawn up in a syringe, the vaccine must be used quickly; do not store reconstituted vaccine. EThe vaccines are ready to use; no reconstitution is required. |
DOnce drawn up in a syringe, the vaccine must be used quickly; do not store reconstituted vaccine. |
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Kate asks the pharmacist if her children will be protected from the scary H1N1 flu if they receive vaccine this year. Which of the following statements is true concerning the current influenza vaccine? Answer AA current influenza vaccine (quadrivalent only) covers the H1N1 strain. BAll of the current influenza vaccines cover the H1N1 strain. CThe current influenza vaccine is bivalent; it covers two strains. Dthe H in H1N1 stands for haemophilus EThe H1N1 is in a separate vaccine that is taken in addition to the influenza vaccine; a patient can request this at the pharmacy.
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BAll of the current influenza vaccines cover the H1N1 strain. |
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Select the correct statement concerning the hepatitis B virus: Answer AHepatitis B is a deadly form of the hepatitis virus, yet there is no vaccine available. BHepatitis B is transmitted by ingestion of fecal matter from contaminated foods and drinks. CHepatitis B is transmitted by contact with infected body fluids (sex, IV drug abuse, mother to child, needlestick injury). DPharmacists who work in a hospital and have exposure to needlesticks or blood products are considered low-risk (however, others such as surgeons and nurses require vaccination). EInfants are not routinely vaccinated for hepatitis B. |
CHepatitis B is transmitted by contact with infected body fluids (sex, IV drug abuse, mother to child, needlestick injury). |
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Shira will be offering vaccines at her pharmacy in the fall. She is writing a list to order supplies. She will be offering theZostavax vaccine. Choose the correct statements concerning Zostavax administration: (Select ALL that apply.) Answer AZostavax vaccine (not the diluent) is stored in the freezer. BIf giving two vaccines in the same area of fatty tissue separate by at least one inch. CMMR is an intramuscular vaccine, and Varicella and Zoster are not. DSC injections are administered at a 45 degree angle. ESC injections are administered with a 23 to 25 gauge needle that is 5/8" long. |
AZostavax vaccine (not the diluent) is stored in the freezer. BIf giving two vaccines in the same area of fatty tissue separate by at least one inch. DSC injections are administered at a 45 degree angle. ESC injections are administered with a 23 to 25 gauge needle that is 5/8" long. |
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A pharmacy that is administering vaccines must be prepared to administer the following medication in the event of an anaphylactic reaction: Answer AEpinephrine injection BDexamethasone injection CTriamcinolone injection DInsulin EEpinephrine and Dexamethasone |
Epinephrine injection |
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A child was not vaccinated for meningococcal disease. The child is at risk for severe disease and complications, including death. Choose the correct statement concerning meningococcal disease: Answer AMeningitis is most common in the elderly. BOnly a very small minority of people who contract meningitis suffer fatality. CMenomune can be given to children as young as 2 months. DThe vaccine is required by the government of Egypt during certain pilgrimages, such as the Hajj. ENone of the above
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None of the above |
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A small community pharmacy just received a delivery of fall flu vaccine. The pharmacy had a small refrigerator that had a freezer compartment within the refrigerator. He tells the staff to make sure that the FluMist is kept in the refrigerator door to keep it separate from the influenza shot vials. Which of the following vaccine storage information is correct? Answer AThe refrigerator he purchased is acceptable if the door is not open and closed repeatedly. BThis type of refrigerator is not acceptable. CThe vaccine shot vials should be kept in the door. DThe influenza vaccine should be frozen, not refrigerated. EFood can be kept in the same refrigerator but not on the same shelf as the vaccine (or any medication) |
BThis type of refrigerator is not acceptable. |
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How is influenza spread most commonly? Answer AConsuming contaminated food and/or water BBy blood borne products CBy sexual relations DThrough respiratory droplets, such as sneezing or coughing EInfluenza is not spread person-to-person; it is contracted from mosquito bites |
DThrough respiratory droplets, such as sneezing or coughing |
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The shingles vaccine is used to prevent shingles outbreak. Children receive the chickenpox vaccine. Which of the following statements are correct? (Select ALL that apply.) Answer AVarivax vaccine is given to persons ages 60 years and older. BIf a patient has an outbreak and suffers pain, they can use lidocaine orally for pain relief. CTo prevent varicella (chickenpox) in children they can receive a combination vaccine for MMR and varicella (MMRV) called ProQuad. DAnother name for shingles is herpes simplex. EVaricella vaccines are live vaccines.
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CTo prevent varicella (chickenpox) in children they can receive a combination vaccine for MMR and varicella (MMRV) called ProQuad. EVaricella vaccines are live vaccines. |
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Hendrick is a community pharmacist who runs a vaccination clinic. He wants to review current vaccine administration recommendations. What source is best for Hendrick to obtain the current vaccine recommendations and other essential immunization information? Answer ACenters for Disease Control (CDC) website BKoda Kimble: Applied Therapeutics CHis old pharmacy school notes DThe vaccine manufacturer's product package inserts EA website he found by searching with Google |
ACenters for Disease Control (CDC) website |
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The meningococcal disease can be prevented by the following vaccines: MCV4 and MPSV4. Select the vaccine formulation preferred for ages 2 years - 55 years (if available): Answer AMenactra (MCV4) BMenveo (MCV4) CMenomune (MPSV4) DMerrem EMetadate |
BMenveo (MCV4) |
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Laura is at the pharmacy today to get her annual flu vaccine. She has just turned 67 years old and never got a pneumococcal vaccine. She has never received the shingles vaccine and it is recommended. Can she get all three vaccines today? Answer AYes, and the two inactivated vaccines (influenza and pneumococcal) can be mixed in the same syringe. BNo, the shingles is a live vaccine and this must be administered on a different day. CShe can get all three vaccines today as separate shots. DShe can get influenza today but needs to wait at least two weeks to receive the other vaccines. EShe is not a candidate for any of these vaccines due to her age. |
CShe can get all three vaccines today as separate shots. |
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A 70 year old female enters the pharmacy and requests a vaccination against shingles (herpes zoster). Prior to administering the vaccine the following screening question must be asked: Answer AHave you ever had a life-threatening allergic reaction to the antibiotic streptomycin? BDo you have a history of smoking? CAre you taking medication for thyroid disease? DAre you receiving more than 5 mg prednisone per day for at least the past two months? EHave you ever had a bad reaction to gelatin? |
EHave you ever had a bad reaction to gelatin? |
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Select the correct administration site for the influenza injection in an adult (not the intradermal): Answer ADeltoid BGluteus maximus CAbdomen DBiceps EFatty tissue over the anterolateral thigh muscle or fatty tissue over the triceps |
Deltoid |
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A 12 month old child was hospitalized two months ago and received immune globulin. Which vaccine would be adversely affected by this treatment? Answer APneumococcal conjugate BPolio vaccine CMeasles DInfluenza vaccine, shot, inactivated EHepatitis B vaccine |
Measles |
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Which of the following groups should receive the pneumococcal vaccine (Pneumovax)? (Select ALL that apply.) Answer A8 month old baby with patent ductus arteriosus B26 month old child with asthma C79 year old male with COPD D68 year old female with hypertension, no other known medical conditions E6 year old child receiving chemotherapy for lymphoma |
B26 month old child with asthma C79 year old male with COPD D68 year old female with hypertension, no other known medical conditions E6 year old child receiving chemotherapy for lymphoma |
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Select the correct name for the chickenpox vaccine: Answer AZovirax BVarivax CValtrex DZostavax EEngerix-B |
Varivax |
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Instruct a nurse on the correct administration technique for FluMist: Answer ALeave the protector tip on the vial; do not remove until administering the second half of the dose. BAdminister the full dose into one nostril. CThe patient must breathe through their nose forcefully in order to get the dose. DSit upright and bend the head back slightly. EDo not administer to children; children must receive the flu shot (until 14 years of age). |
DSit upright and bend the head back slightly. |
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It is very rare for a patient receiving an injection to experience anaphylaxis. However, if any serious reaction does occur to a vaccine, it must be reported to the following agency: Answer AThe local police department BThe local department of public health (for your city, or county) CThe Centers for Disease Control DThe Morbidity and Mortality Weekly Report EVAERS |
VAERS |
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Select the correct statement concerning active and passive immunity: Answer AActive immunity is weaker than passive immunity. BThe MMR vaccine provides active immunity. COne way to get passive immunity is to survive an infection. DBreast milk, during the early days of a baby's life, provides active immunity. EImmune globulin provides active immunity. |
BThe MMR vaccine provides active immunity. |
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Benjamin is a 54 year-old male who enters the pharmacy to get his annual flu shot, but he is coughing and sneezing. He has a cold and says his cough kept him up all night. Select the correct statement: Answer AHe should get the flu shot today. BHe should wait until the illness symptoms have cleared. CHe should wait at least a month before he challenges himself with a flu vaccine. DHe should get FluMist; it is better to avoid a painful shot when you are ill. EHe should get the intradermal flu shot which causes less swelling than the IM injection. |
AHe should get the flu shot today. |
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A patient at your pharmacy has had diabetes and heart disease for over ten years. She remembers that she got the pneumococcal shot when she turned 50 years old and was diagnosed with diabetes. She is now 67 years old. Select the correct statement: Answer AShe received the shot before the age of 65 so she does not need one now. BShe needs one dose of the Pneumovax vaccine now. CShe needs to receive Pneumovax as a two-dose series. DShe does not need the pneumococcal vaccine, but she does need to get the MMR vaccine. EShe does not need the pneumococcal vaccine, but she should receive the FluMist vaccine annually. |
BShe needs one dose of the Pneumovax vaccine now. |
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The manager at Huntington Pharmacy has ordered 100 single-dose vials of Fluvirin. He found them in the store's freezer. Choose the correct course of action: Answer AThe vaccine can be moved into the refrigerator if it has been frozen less than 1 hour. BThe vaccine cannot be used; it must be safely discarded. CThe vaccine can be used if administered within 24 hours. DThe vaccine can be used if administered within 48 hours. EThe vaccine can be used if administered within 72 hours |
BThe vaccine cannot be used; it must be safely discarded. |
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Kimberly asks the pharmacist if her children should receive the annual influenza vaccination. She states that every time she gets the flu shot, she gets the flu, but is worried about her kids getting a bad strain of the virus. She notes that her ten-year old daughter has an allergy to eggs; every time she eats scrambled eggs she gets an upset stomach. Otherwise, she has no known medical conditions except for a possible sensitivity to gluten. Kimberly home-schools her children. Which statements concerning the flu vaccine are correct? Answer AYou can get the flu from the flu shot, but the disease should be mild. BUnless children have a chronic disease, if they are home schooled they are not routinely vaccinated against influenza. CIt is impossible to get influenza from the nasal flu vaccine. DHer daughter can receive the nasal FluMist vaccine. EHer daughter cannot receive MMR due to the allergy, but she can receive the influenza vaccine. |
DHer daughter can receive the nasal FluMist vaccine. |
