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57 Cards in this Set
- Front
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Which of the following drug classes is preferred for treatment of Prinzmetal's (variant) angina? Answer ANitrates BAntiplatelets CBeta blockers DCalcium channel blockers ERanolazine
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DCalcium channel blockers |
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A pharmacist is counseling a patient beginning therapy with clopidogrel. The pharmacist tells the patient that if he has fever and unexplained weakness or confusion, he should seek medical help right away. The pharmacist is informing the patient of warning signs of the following severe adverse reaction that can be due to clopidogrel therapy: Answer AMulti-organ hypersensitivity reaction BStevens Johnson syndrome CThrombotic thrombocytopenic purpura DToxic epidermal necrolysis EAgranulocytosis |
CThrombotic thrombocytopenic purpura |
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Marvin was just diagnosed with chronic angina. He left the doctor’s office with many new medications. Which of the following agents are used in the treatment of chronic angina? (Select ALL that apply.) Answer ABeta blockers BAlpha blockers CCalcium channel blockers DAntiplatelets ENItrates |
ABeta blockers
CCalcium channel blockers DAntiplatelets ENItrates |
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Jason has been prescribed the Nitrolingual Pumpspray. What is the dose of nitroglycerin provided with each spray? Answer A400 micrograms B0.4 micrograms C40 micrograms D4 micrograms E4 milligrams |
A400 micrograms |
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What is the mechanism of action of clopidogrel? Answer AInhibits platelet activation and aggregation BRenin-angiotensin-aldosterone antagonist CNon steroidal anti-inflammatory DInhibits clotting factors Xa and IIa EBlocks platelets from binding to arterial smooth muscle |
AInhibits platelet activation and aggregation |
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Jason is a 67 year old male with hypertension, dyslipidemia and coronary heart disease. He has been prescribedNitrolingual Pumpspray. What are the indications for nitroglycerin sublingual tablets and spray? (Select ALL that apply.) Answer AThey are used for hypertensive urgency. BThey are used for prophylaxis 5-10 minutes prior to an activity which might precipitate chest pain. CThey are used for hypertension in patients with coronary heart disease. DThey are used for acute chest pain. EThey are used to control heart rate. |
BThey are used for prophylaxis 5-10 minutes prior to an activity which might precipitate chest pain. DThey are used for acute chest pain. |
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Armando is a 70 year old male with coronary heart disease. He has been prescribed nitroglycerin sublingual tablets to take at the first sign of chest pain. Which of the following counseling instructions should be provided to the patient? Answer APlace one tablet under the tongue; do not chew or swallow the tablet. BWait five minutes and if chest pain persists, take a second dose. If chest pain does not go away after 4 doses, call 911 (or go to the emergency room). CTo get a tablet, shake the pills onto your hand and then put the extras back into the original amber bottle; the pills must be kept in the original amber bottle. DThe medication is good for 60 days after the bottle has been open. EThe medication is good for 90 days after the bottle has been open. |
APlace one tablet under the tongue; do not chew or swallow the tablet. |
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Harry is a 59 year old male with dyslipidemia, coronary heart disease, erectile dysfunction and mild memory impairment. His medications include lovastatin, atenolol, vardenafil and aspirin. He has just brought in a new prescription for nitroglycerin SL 0.4 milligrams #100. Which statement concerning nitroglycerin SL tablets is correct? Answer AHe can put the tablets in his pill box. BHe should swallow the tablet with 4 ounces (1/2 cup) of water. CHe can use nitroglycerin SL tablets safely with his other medicines. DNitroglycerin can commonly cause rash. ENitroglycerin can commonly cause headache, lightheadedness or dizziness. |
ENitroglycerin can commonly cause headache, lightheadedness or dizziness. |
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Henry uses the following medications daily: isosorbide mononitrate BID for chronic angina due to coronary artery disease, enalapril daily for blood pressure, simvastatin QHS for high cholesterol and finasteride daily for benign prostatic hypertrophy. Based on the medication profile, the pharmacist should make the following suggestion to the prescriber: Answer AHe must be counseled about the risk of PML from isosorbide. BHe will need a 6-hour nitrate-free period to reduce the risk of tolerance. CNitrates are not used alone for chronic therapy for stable angina. DThe physician should be called concerning the interaction between isosorbide and simvastatin. EThe physician should be called concerning the interaction between isosorbide and finasteride.
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CNitrates are not used alone for chronic therapy for stable angina. |
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Henry has had coronary heart disease for many years. His other conditions include heart failure and depression. He has been prescribed ranolazine, in addition to his other medications. Choose the correct statement concerning ranolazine: Answer ARanolazine can increase the risk of arrhythmias. BRanolazine is only indicated as a first-line therapy for chronic angina. CRanolazine is a safe agent with liver disease. DRanolazine has no significant drug interactions. EThe brand name of ranolazine is Prasugrel. |
ARanolazine can increase the risk of arrhythmias. |
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Select the statements that accurately describe stable angina pain: (Select ALL that apply.) Answer AAngina is chest pain or discomfort that occurs when an area of the heart muscle does not get enough blood. BAngina usually stems from coronary artery disease. CStable angina is usually due to vasospasm in the blood vessel. DThe coronary arteries are typically narrowed by plaque build up. EDefined as an imbalance between myocardial oxygen supply and demand. |
AAngina is chest pain or discomfort that occurs when an area of the heart muscle does not get enough blood. BAngina usually stems from coronary artery disease.
DThe coronary arteries are typically narrowed by plaque build up. EDefined as an imbalance between myocardial oxygen supply and demand. |
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Jason is a 67 year old male with hypertension, dyslipidemia and coronary heart disease. He has been prescribedNitrolingual Pumpspray. What is the correct way to use this medication? (Select ALL that apply.) Answer AFirst, prime the pump. Prime again if it has not been used for 6 weeks. BPress the button firmly with the forefinger to release the spray onto or under the tongue. CShake the spray. DDo not inhale the spray. ETry not to swallow too quickly after you spray.
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AFirst, prime the pump. Prime again if it has not been used for 6 weeks. BPress the button firmly with the forefinger to release the spray onto or under the tongue.
DDo not inhale the spray. ETry not to swallow too quickly after you spray. |
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A pharmacist will present a grand rounds talk on "Principles of Pharmacogenomics." Which of the following statements are accurate? (Select ALL that apply.) Answer APharmacogenomics is the study of inherited variations in genes. BPharmacogenomics is used to evaluate the potential for drug toxicity in an individual. CPharmacogenomics is the study of the genetic causes of the variability in drug response. DPharmacogenomic testing is not yet being practiced, but is considered the wave of the future. EPharmacogenomics is used to evaluate the potential for drug benefit in an individual.
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APharmacogenomics is the study of inherited variations in genes. BPharmacogenomics is used to evaluate the potential for drug toxicity in an individual. CPharmacogenomics is the study of the genetic EPharmacogenomics is used to evaluate the potential for drug benefit in an individual. |
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Which of the following statements concerning Single Nucleotide Polymorphisms (SNPs) are correct? (Select ALL that apply.) Answer ASNPs are composed by a 2, 3 or 4 base differences. BSNPs can result in a change protein synthesis. CA polymorphism is a change in the DNA caused by ultraviolet radiation or chemical exposure and usually affecting people in their senior (older) years. DA polymorphism in a gene can cause the resultant amino acid to change, or to stay the same; in other words, SNPs may or may not alter protein synthesis. EA polymorphism is a variation in the DNA that occurs in at least 1% of the population, such as the 2D6 extensive metabolizer (a SNP that results in some people producing more 2D6 enzyme than the general population). |
BSNPs can result in a change protein synthesis.
DA polymorphism in a gene can cause the resultant amino acid to change, or to stay the same; in other words, SNPs may or may not alter protein synthesis. EA polymorphism is a variation in the DNA that occurs in at least 1% of the population, such as the 2D6 extensive metabolizer (a SNP that results in some people producing more 2D6 enzyme than the general population). |
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Select the correct definition of chromosome: Answer AOrganized into 23 pairs (46 chromosomes), supercoiled structure, organizes the DNA BAn inherited variation in the DNA sequence CDouble-helix molecule containing noncovalent bonded nucleotides DBuilding blocks of DNA, composed of 4 bases: Adenine (A), Guanine (G), Thymine (T) and Cytosine (C) EA stretch of DNA that codes for a single protein |
AOrganized into 23 pairs (46 chromosomes), supercoiled structure, organizes the DNA |
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Warfarin does not have required pharmacogenomic testing but it can be used to identify at-risk patients. Which of the following statements are correct? (Select ALL that apply.) Answer AWarfarin has 2 isomers; the R and S isomer; the S isomer is more potent than the R isomer and is metabolized primarily by the CYP 2C9 enzyme. BIn addition to variations in the expression of the 2C9 alleles, the VKORC1 gene SNP is also important in response to warfarin. CIf a person has diminished expression of the CYP 2C9 enzyme they will be at higher risk for clotting. DIf a patient produces less VKORC1 they require a higher dose of warfarin. EChecking for these genetic variations can help clinicians choose an appropriate starting dose of warfarin in their patients. |
AWarfarin has 2 isomers; the R and S isomer; the S isomer is more potent than the R isomer and is metabolized primarily by the CYP 2C9 enzyme. BIn addition to variations in the expression of the 2C9 alleles, the VKORC1 gene SNP is also important in response to warfarin. EChecking for these genetic variations can help clinicians choose an appropriate starting dose of warfarin in their patients. |
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Select the correct definition of a nucleotide: Answer AOrganized into 23 pairs (46 chromosomes) BAn inherited variation in the DNA sequence CDouble-helix molecule containing noncovalent bonded nucleotides DBuilding blocks of DNA, composed of 4 bases: Adenine (A), Guanine (G), Thymine (T) and Cytosine (C) EA stretch of DNA that codes for a single protein |
DBuilding blocks of DNA, composed of 4 bases: Adenine (A), Guanine (G), Thymine (T) and Cytosine (C) |
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Select the correct definition of a polymorphism: Answer AOrganized into 23 pairs (46 chromosomes), supercoiled structure, organizes the DNA BAn inherited variation in the DNA sequence CDouble-helix molecule containing noncovalent bonded nucleotides DBuilding blocks of DNA, composed of 4 bases: Adenine (A), Guanine (G), Thymine (T) and Cytosine (C) EA stretch of DNA that codes for a single protein
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BAn inherited variation in the DNA sequence |
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Which of the following statements concerning chromosomes and alleles are correct? (Select ALL that apply.) Answer AHumans have one copy of every chromosome. BIn single nucleotide polymorphism, one nucleotide substitution results in two possible alleles. CIf the alleles are identical it is called a heterozygous genotype. DIf the alleles are different it is called a homozygous genotype. EThe phenotype is the observable trait that results from the gene expression. |
BIn single nucleotide polymorphism, one nucleotide substitution results in two possible alleles. EThe phenotype is the observable trait that results from the gene expression. |
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A child is a rapid metabolizer of the CYP 2D6 enzyme. Which of the following statements are correct? (Select ALL that apply.) Answer ACodeine, a partial pro-drug of morphine, would be rapidly converted to the potent opioid if used by this patient. BThe child will produce less morphine and receive reduced analgesia. CIt is unsafe to dispense Tylenol #3 to this patient. DThe child will have reduced opioid side effects. EIf Tylenol #3 is dispensed to this patient it is likely that the patient will experience tachycardia, very high blood pressure and agitation; seizures are possible.
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ACodeine, a partial pro-drug of morphine, would be rapidly converted to the potent opioid if used by this patient.
CIt is unsafe to dispense Tylenol #3 to this patient. |
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A patient has received pharmacogenomic testing and has been identified lacking the CYP 2C19 enzyme due to a single-nucleotide polymorphism. Which of the following statements is correct? Answer AThe patient is at risk for bleeding if clopidogrel is used. BThe patient should be instructed not to use any 2C19 inhibitors, such as omeprazole or fluoxetine. CThe patient would be expected to have a very good response to clopidogrel since he is lacking the enzyme that metabolizes this drug. DThe patient would experience an increased INR if clopidogrel is administered. EThe patient should not receive clopidogrel.
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EThe patient should not receive clopidogrel. |
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A female with breast cancer has received pharmacogenomic testing. She is positive for the HER2/neu oncogene. Select the correct statement/s. (Select ALL that apply.) Answer AThis testing is an example of using pharmacogenomics to ascertain benefit (rather than toxicity) from the use of a drug; pharmacogenomics is used for both purposes. BThe patient would likely receive benefit with the use of trastuzumab. CThe patient would likely receive benefit with the use of Lupron. DThe patient would likely receive benefit with the use of Herceptin. EThere is currently no accepted pharmacogenomic testing for cancer drugs.
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AThis testing is an example of using pharmacogenomics to ascertain benefit (rather than toxicity) from the use of a drug; pharmacogenomics is used for both purposes. BThe patient would likely receive benefit with the use of trastuzumab.
DThe patient would likely receive benefit with the use of Herceptin. |
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Select the correct definition of a gene: Answer AOrganized into 23 pairs (46 chromosomes) BAn inherited variation in the DNA sequence CDouble-helix molecule containing noncovalent bonded nucleotides DComposed of 4 bases: Adenine (A), Guanine (G), Thymine (T) and Cytosine (C) EA stretch of DNA that codes for a single protein |
EA stretch of DNA that codes for a single protein |
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Select the correct definition of DNA: Answer AOrganized into 23 pairs (46 chromosomes), supercoiled structure, organizes the DNA BAn inherited variation in the DNA sequence CDouble-helix containing noncovalent bonded nucleotides DBuilding blocks of DNA, composed of 4 bases: Adenine (A), Guanine (G), Thymine (T) and Cytosine (C) EA stretch of DNA that codes for a single protein |
CDouble-helix containing noncovalent bonded nucleotides |
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A patient has tested positive for the HLA-B*5701 allele. Which of the following statements is correct? Answer AThe patient can receive Epzicom. BThe patient cannot be dispensed Ziagen. CThe patient can receive Trizivir. DThe patient would be expected to launch an aggressive immune response against HIV. EThe patient is not at risk for hypersensitivity reactions with any of the common HIV medications. |
BThe patient cannot be dispensed Ziagen. |
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Wei-Ling is a 12 year old Chinese girl who has epilepsy. Wei-Ling has been on several anticonvulsants, which have brought her seizure activity down but not under good control. The neurologist is considering a trial of carbamazepine. Which of the following statements are correct? Answer AShe should be tested for the HLA-B*5701 allele. BPatients with the at-risk allele are more likely to experience a multi-organ hypersensitivity syndrome with the use of carbamazepine, including acute respiratory distress. CShe should be tested for the HLA-B*1502 allele. DIf she has the at-risk allele for carbamazepine, she will be considered low risk for the anticonvulsants phenytoin and this should be used instead. EShe does not need pharmacogenomic testing prior to the use of this drug because she is of Asian descent. |
CShe should be tested for the HLA-B*1502 allele. |
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What is the guideline called that issues standards for anticoagulation/antithrombotic therapy? Answer AAACE BThe CHEST guideline CNCEP ATP DJoint National Commission (JNC) EThe ADA
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BThe CHEST guideline |
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Winston is an inpatient clinical pharmacist. He is making his rounds when a nurse asks him to identify several medications that she has taken from a man who recently arrived from overseas. Which of the following resources can help Winston identify foreign drugs? (Select ALL that apply.) Answer AMartindales BMicromedex CEuropean Drug Index DThe Merck Index EUSP Dictionary of USAN and International Drug Names |
AMartindales BMicromedex CEuropean Drug Index
EUSP Dictionary of USAN and International Drug Names |
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A pharmacist is working in a community setting. A patient enters the store and reports that she had swelling around her ankles after beginning pregabalin. The pharmacist wishes to report this reaction to the FDA. The pharmacist will report to this program at the FDA: Answer AISMP's Medication Safety Reporting System BMartindales CCDER DMedWatch ECMS
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DMedWatch |
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A patient who is breastfeeding is prescribed an antibiotic. The pharmacist is not sure if the drug is safe to use during lactation. In addition to the package insert (which may have information on drug use in pregnancy and lactation) which resources might be useful to find if the drug is safe to take? (Select ALL that apply.) Answer ANatural Standard BMicromedex CBreastfeeding: A Guide for the Medical Profession DThe Centers for Disease Control (CDC) EBriggs
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BMicromedex CBreastfeeding: A Guide for the Medical Profession DThe Centers for Disease Control (CDC) EBriggs |
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The following resources represent the two standard "drug therapy" textbooks used for the pharmacological treatment overview, and are organized by disease state. (Select ALL that apply.) Answer AApplied Therapeutics, by Koda-Kimble, et al BHarrison's Principles of Internal Medicine CMerck Index DPharmacotherapy, by DiPiro, et al EThe Sanford Guide |
AApplied Therapeutics, by Koda-Kimble, et al
DPharmacotherapy, by DiPiro, et al |
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Peter has opened his own community pharmacy and wishes to find a formula for compounding a unit dose mixture. He may be able to find guidance from the following sources: (Select ALL that apply.) Answer AHandbook on Extemporaneous Formulations BInternational Journal of Pharmaceutical Compounding CUS Pharmacopoeia National Formulary (chapter on Pharmacy Compounding) DAllen's Compounded Formulations ELexicomp |
AHandbook on Extemporaneous Formulations BInternational Journal of Pharmaceutical Compounding CUS Pharmacopoeia National Formulary (chapter on Pharmacy Compounding) DAllen's Compounded Formulations |
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A hospital has not had a pediatric pharmacist on staff for years. They have had several incidents of medication errors in neonates and have convinced one of the trusted staff pharmacists to take on this role. The staff pharmacist has limited experience in pediatric doses. The pharmacist can draw on information from the following sources: (Select ALL that apply.) Answer AHarriet Lane Handbook BPediatric Dosage Handbook CAHFS Drug Information or Micromedex DTrissel's EProfessional colleagues |
AHarriet Lane Handbook BPediatric Dosage Handbook CAHFS Drug Information or Micromedex
EProfessional colleagues |
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A pharmacist needs to find if a drug has a generic that is AB rated to the brand. Choose the reference source that the pharmacist can use to locate if a generic equivalent is available: Answer AHandbook on Extemporaneous Formulations BThe Orange Book CThe Pink Sheet DGoodman and Gilman's EMicromedex |
BThe Orange Book |
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A hospital pharmacist is aware that a nurse has given a drug to the wrong patient. The pharmacist will report the medical error to the following authority: Answer AThe local police BThe drug manufacturer CThe FDA DCMS ETo the P&T Committee directly, or designated staff, such as a medical safety officer (as defined by facility) |
ETo the P&T Committee directly, or designated staff, such as a medical safety officer (as defined by facility) |
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What are the names of the organizations that set treatment standards for the management of diabetes? (Select ALL that apply.) Answer AAACE BThe CHEST guideline CNCEP ATP DJoint National Commission (JNC) EThe ADA |
AAACE
EThe ADA |
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A pharmacist did a PGY2 specialty residency in pediatrics. She is an expert in everything about infants, but is lacking in knowledge about medication issues affecting the elderly. Her father passed away this past year, and her Mom has moved in with her and her family. The pharmacist finds out that her Mother is taking many medications, and she is unsure which are safe and which combinations pose risk. What would be reputable resources to locate information on the management of drug use in the elderly? (Select ALL that apply.) Answer AThe National Institutes of Health Senior pages BThe American Geriatrics Society at americangeriatrics.org CFDA's guide for older adults Dseniorlivingmagazine.org Eelderly.org |
AThe National Institutes of Health Senior pages BThe American Geriatrics Society at americangeriatrics.org CFDA's guide for older adults |
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Which reference name and reference purpose match is not correct? Answer AYellow Book-Travelers Health Information BOrange Book-Therapeutic Equivalence CPink Book-Principles of Immunization DRed Book-AWP and Retail Pricing EPink Sheet-Medication Safety Principles |
EPink Sheet-Medication Safety Principles |
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A medical resident stops by the pharmacy satellite with a complaint. He says "I never learned much about women's health, and I just had to deliver a baby!" Recommend reputable resources to the physician to help bring him up to speed: (SelectALL that apply.) Answer AThe World Health Organization BThe FDA's For women website pages CThe United Nations website for Women's Health DCenters for Disease Control Women's Health pages EDepartment of Health and Humans Services at womenshealth.gov |
AThe World Health Organization BThe FDA's For women website pages
DCenters for Disease Control Women's Health pages EDepartment of Health and Humans Services at womenshealth.gov |
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What is the guideline called that issues standards for treatment of dyslipidemia? Answer AAACE BThe CHEST guideline CNCEP ATP DJoint National Commission (JNC) EThe ADA |
CNCEP ATP |
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Select the correct section of the US Pharmacopoeia (USP) National Formulary that includes standards for sterile compounding: Answer AUSP Chapter 790 BUSP Chapter 795 CUSP Chapter 797 DUSP Chapter 875 EUSP Chapter 890 |
CUSP Chapter 797 |
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Jan, a pharmacy intern, is about to graduate. She is looking for a periodic resource that is delivered to home at least monthly that she can use to "keep up" with changes in drug therapy. Select the name of the appropriate resource. Answer APharmacist's Letter BAHFS Drug Information Handbook CMedlinePlus DMedMARx EThe Sanford Guide
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APharmacist's Letter |
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A physician pops his head into the pharmacy satellite. He is flustered and very angrily asks the pharmacist: "I saw a package labelling update for ACE Inhibitors this past week regarding some new contraindication and I think it relates to my patient. Quick. Where can I find the warning?" What is the best place to find this information? Answer AQuickly take the package label off a bottle of ACE Inhibitor tablets. BCall the company's drug information hotline. CLook on the FDA website. DUse LexiComp or Micromedex. EDo an internet search using "google." |
CLook on the FDA website. |
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A pharmacist needs to price a drug in her store. Which drug reference source will list the average wholesale price (AWP) and the suggested retail price? Answer AThe Red Book BThe Orange Book CThe Pink Sheet DGoodman and Gilman's EMicromedex |
AThe Red Book |
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What is the guideline called that issues standards for treatment of hypertension? Answer AAACE BThe CHEST guideline CNCEP ATP DJoint National Commission (JNC) EThe ADA |
DJoint National Commission (JNC) |
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Which resource would provide the best background information on the chemical structure and related compounds (the medicine's class) for a prescription medicinal compound? Answer AGoodman and Gilman's BTrissel's CThe Handbook of OTC Medications DNeofax ESanford Guide |
AGoodman and Gilman's |
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A female patient has recently received a diagnosis of multiple sclerosis. She wants to do everything possible to slow down disease progression and to learn how to effectively self-manage the condition. The pharmacist can refer her to this website: Answer AFDA's CDER website BMedlinePlus CFDA's MedWatch website DMedMARx program EInstitute for Safe Medication Practices (ISMP) |
BMedlinePlus |
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A pharmacist has a patient with a rare medical condition. The patient is not doing well, and inquires if there are any clinical trials of new drugs that may be useful for this condition. Where would she look for available trials? Answer Aguidelines.gov Baap.org Caafp.org Dclinicaltrials.gov Easco.org |
Dclinicaltrials.gov |
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Jan, a pharmacy intern, is participating in rounds with the thoracic surgical team. A patient has a hospital-acquired pneumonia. Jan wishes to quickly look up the recommended empiric antibiotic treatment, using a resource that she has in her white coat pocket. Select the name of the appropriate resource. Answer APharmacist's Letter BAHFS Drug Information Handbook CMedlinePlus DMedMARx EThe Sanford Guide |
EThe Sanford Guide |
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A pharmacist is attempting to find out which ACE inhibitors use starch as an excipient in order to help a patient with celiac disease avoid starch-containing drugs. Which would be the preferred initial resource to look in for the excipient information? Answer AGoodman and Gilman's BTrissel's CThe product's package insert (product labeling) DNeofax ESanford Guide |
CThe product's package insert (product labeling) |
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Select the correct section of the US Pharmacopoeia (USP) National Formulary that includes standards for non-sterile compounding: Answer AUSP Chapter 790 BUSP Chapter 795 CUSP Chapter 797 DUSP Chapter 875 EUSP Chapter 890 |
BUSP Chapter 795 |
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Which branch of the FDA publishes the Orange Book? Answer AThe Cosmetics Act BCDER CPostmarketing Drug Safety Division DCDRH EOffice of Dietary Supplements |
BCDER |
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Benjamin is hospitalized with trouble breathing, hives, confusion and weakness. He is unable to communicate easily and hands the intake nurse a bag with a pink, oval tablet inside with “M20” imprinted on one side. The nurse calls the pharmacy to locate the name of the medication. The pharmacist can look up the medication using this resource: Answer ABriggs BThe Merck Index CKoda-Kimble DGoodman and Gilman's EIdent-A-Drug |
EIdent-A-Drug |
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Which resource is most appropriate if you wish to read about regulatory compliance news that affects the pharmaceutical industry, and would like to keep current with issues concerning patents and manufacturing? Answer AThe Red Book BThe Orange Book CThe Pink Sheet DThe Merck Index EMicromedex
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CThe Pink Sheet |
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A female patient requests information on a sexually transmitted infection. The pharmacist can refer her to this website: Answer AFDA's CDER website BCDC website CFDA's MedWatch website DMedMARx program EInstitute for Safe Medication Practices (ISMP) |
BCDC website |
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Jane is picking up her hypertension medication. She is interested in using something over-the-counter to treat her "low mood." Jane says she is very weepy, and does not want to discuss this with her doctor who "doesn't listen anyway." The pharmacist is unsure what to recommend and recognizes that she needs to have a good resource to find out if a natural product works for different conditions, and to be able to check for dosing and drug interactions. Of the following sources with natural product information, which source is available online, is up-to-date, and would have the information that the pharmacist requires for most natural products? Answer ANatural Medicines Comprehensive Database BPDR for Herbal Medicines CThe Complete German Commission E Monographs DThe Handbook of OTC Medications EKing's Guide |
ANatural Medicines Comprehensive Database |
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A pharmacist on the P&T Committee has become aware of a particular dangerous problem that occurred at their facility. The pharmacist signed off on a prescription for vancomycin four times daily. The pharmacist simply checked the order, which was written for "vancomycin 1 g Q1D" which the prescriber meant as 1 gram daily, but was misread as QID, or four times daily. Due to medication toxicity the patient went into acute renal failure and, in addition, suffered hearing loss. The pharmacist who has reviewed this error can increase awareness about this type of mistake by reporting it to the following organization: Answer AThe drug manufacturer BThe state branch of the CDC CThe FDA's CDER unit DCMS's Drug Safety Committee (DSC) EISMP's Medication Errors Reporting Program (MERP) |
EISMP's Medication Errors Reporting Program (MERP) |
