haad 5

100問 • 2年前

問題一覧

Child baring woman came to pharmacy which medicine you think is dangerous:

Warfarin

A 55-year-old man with an African descent is diagnosed with hypertension with a BP of 140/80. Which of the following is the most appropriate first line treatment?

Amlodipine

A content uniformity test for tablets is endorsed by the United Stated Pharmacopeia to ensure which quality?

Potency

Which one of the following medications can cause weight loss?

Orlistat

Which of the following is a benefit of the formulary system?

Increased safety

Which of the following therapies is considered as therapeutic equivalence for omeprazole 20 mg daily in a peptic ulcer patient?

Pantoprazole 40 m

What is the side effect associated with calcium carbonate containing antacids?

Constipation

A patient comes to the pharmacy with two cold medications asking if both can be used together. Drug A contains desloratadine 5 mg and pseudoephedrine 30 mg per tablet and Drug B contains diphenhydramine 25 mg and pseudoephedrine 30 mg per tablet. What should be the pharmacist response?

Use one of them as they are from same drug class

Patient double the dose of levothyroxine thinks that the prescribed dose is not beneficial. What to do?

Inform the doctor

Which one of these items is a function of the hospital Pharmacy and Therapeutics Committee?

Develops policies on the use of medications in the institution.

What is the indication of pseudoephedrine?

Nasal congestion

Radioactive substance should be stored which container.

Lead

Pharmacy has a new system, after 2 days of it, the pharmacist discovered he made mistakes because he doesn’t know about the system what to do?

Ask colleague to teach him

Hyperkalemia causing drug.

lisinopril

Which of the following strategies can reduce chemotherapeutic medications errors?

Pharmacist who verify chemo order should calculate dose

Dispensed clonidine instead of clozapine. (least)Not an appropriate method to avoid this error?

Highlight the use in label

Not a medicine optimization benefit or the least concern?

Cost effectiveness

Patient using hyaluronate ophthalmic drug for 5 months now. Its expiration date is December 25th. What will you advise the patient? Today is 21st od december

Continue using since it did not complete 6 months and it is not expired

Appropriate recommendation for diclofenac oral tablet use

With food or milk decrease GIT upset

Drug asked to put out of its container & put it in a tray which is the drug shouldn't be used to put out of its original container?

Carbamazepine or Chlorpromazine

Which of the following points should be emphasized when counseling a patient on the proper use of sublingual nitroglycerin tablets?

Store tablets in the original glass container and keep with you at all times

What is wrong with storing nitroglycerin?

Large clear container in the refrigerator opened everyday.

Patients stop taking digoxin because it is not effective anymore what is the reason of the ineffectiveness?

Plastic container that opens 3 times per day

what is the least effect on effectiveness of nitroglycerin?

Small amber glass opened once weekly, put in the fridge.

A mother presents to the pharmacy requesting an antipyretic for her one-month-old boy who has a low-grade fever. Which of the following recommendations would be most appropriate?

Take the boy to the hospital immediately

Which of the following anti-anginal agents reduce myocardial ischemia by dilating coronary arteries?

Isosorbide dinitrate

Patient taking nitroglycerin mononitrate 60 mg XR once daily. He was under control until he started to have symptoms. He decided to take another dose. What is your appropriate action?

Ask physician to change to patch to wear throughout the day

drug was changed from schedule V to III on April 1st. How you will register it?

Glyceryl trinitrate cannot be stored in PVC container. Why:

Glyceryl will be absorbed in PVC and affect its stability

Soft gelatin capsule most appropriate storage in:

Glass container with desiccant {drying agent}

Which is NOT preferable storage condition for Soft gelatin capsule?

Polyethylene terephthalate (PET) containers

Preregistered pharmacist and locum pharmacist got close. The preregistered pharmacist noticed that the locum pharmacist is ill and started to go to the bathroom more frequently. What he shall do:

Call the original pharmacist and ask for advice

You noticed ice on the refrigerator, and temperature on thermometer is 1-degree C. What might be the problem:

There is not enough ventilation

You notice ice on the refrigerator, what vaccine will be affected:

HPV

Patient with granulating red wound with moderate exudate what is the appropriate dressing:

Low adherent dressing

Which of the following is enzyme inducer: (all are enzyme inhibitor except)

Carbamazepine

Patient was using cream and she had rash (small blisters with yellow exudate). What is the name of this condition?

Impetigo

28 tablets of morphine were received from the company. At the same time a patient come with prescriptions of 28 tablets of morphine. What is the least appropriate reaction?

Dispense morphine and don’t document it at all

Nurse came to the pharmacy. She needed 4 ampoules of pethidine urgently for a patient and there is a shortage in the country. At the same time another patient returned 8 unused ampoules. What is the least appropriate reaction:

Tell her you don’t have pethidine in stock

Patient having heart burn and she took Gaviscon, but it didn’t go away. The pain is radiating to neck and left shoulder. What you should do:

Refer her to her family physician

A patient came to pharmacy by complaining of Chest pain and it is not radiating to chest, you given an Antacid (mentioned brand) after two days he came and told now he is feeling relaxed but still feeling heaviness on chest. What would be the most appropriate action in this condition?

Refer him to consult with family Physician

Patient came to pharmacy by complaining of Chest pain that is radiating to Jaw and neck and she tired a strong heart burn not radiating, What is appropriate advice?

Refer her to family physician

Patient having heart burn she tried antacids but still in trouble what to do:

Give Gaviscon

Waste product what is not correct:

Waste should be disinfected before final disposal

A family of parents and 2 children are planning to travel to malaria prone country for 6 weeks. Physician prescribed chloroquine + proguanil combination tablets for 6 weeks. What is your advice to the physician?

All family members should take prophylaxis for 11 weeks

Which of the following is monoclonal antibody

Trastuzumab

Which of the following is monoclonal antibody

Bavacizumab

Expired ampoules of morphine, what is the most appropriate action:

Contact to make proper disposal and reissue.

Pharmacist was covering a shift replacing another. The narcotics were in double lock cabinet in separate room away from public. Which of the following did not breached protocol?

The pharmacist who isn't the owner can dispense narcotics

Which of the information is found in a morphine Rx but NOT on an amoxicillin Rx?

Prescriber’s registration number

Drug X ampoules (can't remember the name) were found to be leaking. Who is responsible to recall all the drug from the market:

Manufacturer

.In outpatient pharmacy, a patient wants to return drugs that he took 2 days ago. They were narcotics and licensed drugs. The expiration and everything are complete. What is the most appropriate action:

Refuse to take all

Which drugs are put in the pharmacy separately along with their register:

Narcotics, psychotropics, semi-controlled

The prefilled medications that is given to the ward was found to be leaking what is the response of a pharmacist

Inform to pharmacy manager

A 54-year-old man is diagnosed with stage 1 hypertension. His left ventricular ejection fraction is less than 40%. What would be the most appropriate drug for him?

Lisinopril

Long case of Afro-Caribbean patent taking nifedipine, and other drugs (can't remember). He had severe ankle swelling. Which of the following would be temporary fix for his condition?

switch to losartan and furosemide

Which of the following side effects is very common with dihydropyridine calcium channel blockers?

Swelling of ankles

Technician dispensed a drug instead of another. What is the least appropriate method to make sure it won't happen again:

Put it in shelf with Highlight the use

Adverse drug reaction should not report to

National health authority

Adverse drug reaction should not report to:

National health authority

Metoprolol and lisinopril cause lightheadedness when taken together. What to do:

Take at bedtime

What is the most appropriate consultation for doxazocin?

Take at bedtime

What is the best time to take simvastatin for its maximal effect?

Take at bedtime

Women come to you with her daughter that is suffering from headlice. She already had been treated with insecticide before, but it returned. What is the appropriate response:

Refer to physician

Patient with unstable angina. He was taking nitroglycerine mononitrates and bisoprolol but still not controlled. What is the next medication that should be consider adding?

Ranolazine

Why should pharmacists be aware of look-alike, sound-alike medications during the medications management process?

They can be mistaken for one another.

Which of the following represent medication error F?

Patient take bisoprolol 5 mg instead of Bisacodyl 5mg, and admitted to the hospital because he experienced dizziness

Which of the following is an adverse drug reaction:

Alendronate acid increase osteonecrosis

patient come to pharmacy with his inhaler. He wants to know how to use it. You don’t have it in your pharmacy. What is the most appropriate response?

Open his inhaler and show him how to use it

Patient with constipation she noticed blood in her stool. What is the most appropriate treatment?

Fybo-gel

Which of the following counselling points is very important to discuss with patients presenting with constipation?

Increase water intake throughout the day.

What is the most common side effect(s) of niacin that should be mentioned to patients during counseling?

Flushing and dyspepsia

Regulatory authority of health changes some guidelines related to pharmacy. Whose responsibility is to train the pharmacists:

Regulatory of pharmacy responsible for professionals

Regulatory authority of health changes some guidelines related to pharmacy. Whose responsibility is to train the pharmacists

Pharmacy manager

Pharmacist woke up not feeling well. What he should do:

Call the pharmacy manager to arrange replacement

What is the least relevant to drug use:

Patient partner

Trainee pharmacist ordered a huge amount of omeprazole accidently. What is the least appropriate to do:

Ask patients to tell prescribers to add it to their prescription

Which is least important (relevant) in prescription?

Name and sign of technician

Intravenous preparation of methotrexate is prepared which is the best glass material.

Type 1 glass

A patient came to pharmacy and he said that he purchased one medicine 2 weeks ago. His friend taking the same medicine and he said that this Brand has recalled 6 month ago. On verification it is found that he is correct. Who is responsible for this error?

Pharmacist

COVID vaccine was opened yesterday afternoon but then nurse forgot to keep it in the refrigerator. What to do?

Discard as no efficacy

The medicine which can’t be manipulated by bare hands as that cause skin irritation

Chlorpromazine

When refill of prescription can be done in the following condition

Chronic disease patient with complete management

manufacturing company produced a new drug which is administered four times daily for maintaining therapeutic concentration. Which formulation can be used to maintain 24 hr. therapeutic concentration and remove immediately?

Transdermal patches

Non-Aqueous preparations and powders for parenteral use should be stored in which

Type 3 glass

Which drug should not be given to patients with reduced ejection fraction?

Pioglitazone

One of this is a weak electrolyte:

creatinine

Medical abbreviation for “oral route “is

Which of the following OTC medications can be given to 31-year-old man with dry cough?

Dextromethorphan

Patient is taking the following medications: Baclofen Allopurinol, Prednisolone, diclofenac and colchicine What’s the diagnosis?

MS & Gout

Patient with acute gout and having pain in the metacarpal joint, his GFR is 25. What predisposed him to this gout?

furosemide

Patient with acute gout and having pain in the metacarpal joint, his GFR is 25.What is the best drug for treatment?

Prednisolone

Patient with acute gout and having pain in the metacarpal joint, his GFR is 25. t symptoms since 24 hrs. and he had HTN + taking aspirin. What is best treatment

Prednisolone

patient having pain in metacarpal joint and his renal clearance is around 75ml/min, diagnosed with acute gout. best drug for treatment is

Colchicine

Drug taken with Amlodipine as prophylaxis

Furosemide

What is the drug to treat edema caused by amlodipine?

Furosemide

What is a high alert drug?

Warfarin

Patient had a history of taking dapsone and ascorbic acid (vitamin C) Now the doctor prescribed rifampicin and deferoxamine what is the disease before and after?

Leprosy and hemochromatosis

DOAC (Direct Oral Anticoagulant) Apixaban/rivaroxaban/dabigatran What is not a concern of testing or least monitored?

Activated partial thromboplastin time aPPT

100

Which is the best place to store alcohol swabs

Closed container

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ユーザ名非公開 · 12回閲覧 · 100問 · 2年前

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問題一覧

Child baring woman came to pharmacy which medicine you think is dangerous:

Warfarin

A 55-year-old man with an African descent is diagnosed with hypertension with a BP of 140/80. Which of the following is the most appropriate first line treatment?

Amlodipine

A content uniformity test for tablets is endorsed by the United Stated Pharmacopeia to ensure which quality?

Potency

Which one of the following medications can cause weight loss?

Orlistat

Which of the following is a benefit of the formulary system?

Increased safety

Which of the following therapies is considered as therapeutic equivalence for omeprazole 20 mg daily in a peptic ulcer patient?

Pantoprazole 40 m

What is the side effect associated with calcium carbonate containing antacids?

Constipation

Use one of them as they are from same drug class

Patient double the dose of levothyroxine thinks that the prescribed dose is not beneficial. What to do?

Inform the doctor

Which one of these items is a function of the hospital Pharmacy and Therapeutics Committee?

Develops policies on the use of medications in the institution.

What is the indication of pseudoephedrine?

Nasal congestion

Radioactive substance should be stored which container.

Lead

Pharmacy has a new system, after 2 days of it, the pharmacist discovered he made mistakes because he doesn’t know about the system what to do?

Ask colleague to teach him

Hyperkalemia causing drug.

lisinopril

Which of the following strategies can reduce chemotherapeutic medications errors?

Pharmacist who verify chemo order should calculate dose

Dispensed clonidine instead of clozapine. (least)Not an appropriate method to avoid this error?

Highlight the use in label

Not a medicine optimization benefit or the least concern?

Cost effectiveness

Patient using hyaluronate ophthalmic drug for 5 months now. Its expiration date is December 25th. What will you advise the patient? Today is 21st od december

Continue using since it did not complete 6 months and it is not expired

Appropriate recommendation for diclofenac oral tablet use

With food or milk decrease GIT upset

Drug asked to put out of its container & put it in a tray which is the drug shouldn't be used to put out of its original container?

Carbamazepine or Chlorpromazine

Which of the following points should be emphasized when counseling a patient on the proper use of sublingual nitroglycerin tablets?

Store tablets in the original glass container and keep with you at all times

What is wrong with storing nitroglycerin?

Large clear container in the refrigerator opened everyday.

Patients stop taking digoxin because it is not effective anymore what is the reason of the ineffectiveness?

Plastic container that opens 3 times per day

what is the least effect on effectiveness of nitroglycerin?

Small amber glass opened once weekly, put in the fridge.

A mother presents to the pharmacy requesting an antipyretic for her one-month-old boy who has a low-grade fever. Which of the following recommendations would be most appropriate?

Take the boy to the hospital immediately

Which of the following anti-anginal agents reduce myocardial ischemia by dilating coronary arteries?

Isosorbide dinitrate

Patient taking nitroglycerin mononitrate 60 mg XR once daily. He was under control until he started to have symptoms. He decided to take another dose. What is your appropriate action?

Ask physician to change to patch to wear throughout the day

drug was changed from schedule V to III on April 1st. How you will register it?

Glyceryl trinitrate cannot be stored in PVC container. Why:

Glyceryl will be absorbed in PVC and affect its stability

Soft gelatin capsule most appropriate storage in:

Glass container with desiccant {drying agent}

Which is NOT preferable storage condition for Soft gelatin capsule?

Polyethylene terephthalate (PET) containers

Preregistered pharmacist and locum pharmacist got close. The preregistered pharmacist noticed that the locum pharmacist is ill and started to go to the bathroom more frequently. What he shall do:

Call the original pharmacist and ask for advice

You noticed ice on the refrigerator, and temperature on thermometer is 1-degree C. What might be the problem:

There is not enough ventilation

You notice ice on the refrigerator, what vaccine will be affected:

HPV

Patient with granulating red wound with moderate exudate what is the appropriate dressing:

Low adherent dressing

Which of the following is enzyme inducer: (all are enzyme inhibitor except)

Carbamazepine

Patient was using cream and she had rash (small blisters with yellow exudate). What is the name of this condition?

Impetigo

28 tablets of morphine were received from the company. At the same time a patient come with prescriptions of 28 tablets of morphine. What is the least appropriate reaction?

Dispense morphine and don’t document it at all

Tell her you don’t have pethidine in stock

Patient having heart burn and she took Gaviscon, but it didn’t go away. The pain is radiating to neck and left shoulder. What you should do:

Refer her to her family physician

Refer him to consult with family Physician

Patient came to pharmacy by complaining of Chest pain that is radiating to Jaw and neck and she tired a strong heart burn not radiating, What is appropriate advice?

Refer her to family physician

Patient having heart burn she tried antacids but still in trouble what to do:

Give Gaviscon

Waste product what is not correct:

Waste should be disinfected before final disposal

All family members should take prophylaxis for 11 weeks

Which of the following is monoclonal antibody

Trastuzumab

Which of the following is monoclonal antibody

Bavacizumab

Expired ampoules of morphine, what is the most appropriate action:

Contact to make proper disposal and reissue.

Pharmacist was covering a shift replacing another. The narcotics were in double lock cabinet in separate room away from public. Which of the following did not breached protocol?

The pharmacist who isn't the owner can dispense narcotics

Which of the information is found in a morphine Rx but NOT on an amoxicillin Rx?

Prescriber’s registration number

Drug X ampoules (can't remember the name) were found to be leaking. Who is responsible to recall all the drug from the market:

Manufacturer

Refuse to take all

Which drugs are put in the pharmacy separately along with their register:

Narcotics, psychotropics, semi-controlled

The prefilled medications that is given to the ward was found to be leaking what is the response of a pharmacist

Inform to pharmacy manager

A 54-year-old man is diagnosed with stage 1 hypertension. His left ventricular ejection fraction is less than 40%. What would be the most appropriate drug for him?

Lisinopril

Long case of Afro-Caribbean patent taking nifedipine, and other drugs (can't remember). He had severe ankle swelling. Which of the following would be temporary fix for his condition?

switch to losartan and furosemide

Which of the following side effects is very common with dihydropyridine calcium channel blockers?

Swelling of ankles

Technician dispensed a drug instead of another. What is the least appropriate method to make sure it won't happen again:

Put it in shelf with Highlight the use

Adverse drug reaction should not report to

National health authority

Adverse drug reaction should not report to:

National health authority

Metoprolol and lisinopril cause lightheadedness when taken together. What to do:

Take at bedtime

What is the most appropriate consultation for doxazocin?

Take at bedtime

What is the best time to take simvastatin for its maximal effect?

Take at bedtime

Women come to you with her daughter that is suffering from headlice. She already had been treated with insecticide before, but it returned. What is the appropriate response:

Refer to physician

Patient with unstable angina. He was taking nitroglycerine mononitrates and bisoprolol but still not controlled. What is the next medication that should be consider adding?

Ranolazine

Why should pharmacists be aware of look-alike, sound-alike medications during the medications management process?

They can be mistaken for one another.

Which of the following represent medication error F?

Patient take bisoprolol 5 mg instead of Bisacodyl 5mg, and admitted to the hospital because he experienced dizziness

Which of the following is an adverse drug reaction:

Alendronate acid increase osteonecrosis

patient come to pharmacy with his inhaler. He wants to know how to use it. You don’t have it in your pharmacy. What is the most appropriate response?

Open his inhaler and show him how to use it

Patient with constipation she noticed blood in her stool. What is the most appropriate treatment?

Fybo-gel

Which of the following counselling points is very important to discuss with patients presenting with constipation?

Increase water intake throughout the day.

What is the most common side effect(s) of niacin that should be mentioned to patients during counseling?

Flushing and dyspepsia

Regulatory authority of health changes some guidelines related to pharmacy. Whose responsibility is to train the pharmacists:

Regulatory of pharmacy responsible for professionals

Regulatory authority of health changes some guidelines related to pharmacy. Whose responsibility is to train the pharmacists

Pharmacy manager

Pharmacist woke up not feeling well. What he should do:

Call the pharmacy manager to arrange replacement

What is the least relevant to drug use:

Patient partner

Trainee pharmacist ordered a huge amount of omeprazole accidently. What is the least appropriate to do:

Ask patients to tell prescribers to add it to their prescription

Which is least important (relevant) in prescription?

Name and sign of technician

Intravenous preparation of methotrexate is prepared which is the best glass material.

Type 1 glass

Pharmacist

COVID vaccine was opened yesterday afternoon but then nurse forgot to keep it in the refrigerator. What to do?

Discard as no efficacy

The medicine which can’t be manipulated by bare hands as that cause skin irritation

Chlorpromazine

When refill of prescription can be done in the following condition

Chronic disease patient with complete management

Transdermal patches

Non-Aqueous preparations and powders for parenteral use should be stored in which

Type 3 glass

Which drug should not be given to patients with reduced ejection fraction?

Pioglitazone

One of this is a weak electrolyte:

creatinine

Medical abbreviation for “oral route “is

Which of the following OTC medications can be given to 31-year-old man with dry cough?

Dextromethorphan

Patient is taking the following medications: Baclofen Allopurinol, Prednisolone, diclofenac and colchicine What’s the diagnosis?

MS & Gout

Patient with acute gout and having pain in the metacarpal joint, his GFR is 25. What predisposed him to this gout?

furosemide

Patient with acute gout and having pain in the metacarpal joint, his GFR is 25.What is the best drug for treatment?

Prednisolone

Patient with acute gout and having pain in the metacarpal joint, his GFR is 25. t symptoms since 24 hrs. and he had HTN + taking aspirin. What is best treatment

Prednisolone

patient having pain in metacarpal joint and his renal clearance is around 75ml/min, diagnosed with acute gout. best drug for treatment is

Colchicine

Drug taken with Amlodipine as prophylaxis

Furosemide

What is the drug to treat edema caused by amlodipine?

Furosemide

What is a high alert drug?

Warfarin

Patient had a history of taking dapsone and ascorbic acid (vitamin C) Now the doctor prescribed rifampicin and deferoxamine what is the disease before and after?

Leprosy and hemochromatosis

DOAC (Direct Oral Anticoagulant) Apixaban/rivaroxaban/dabigatran What is not a concern of testing or least monitored?

Activated partial thromboplastin time aPPT

100

Which is the best place to store alcohol swabs

Closed container