pregnant woman with hypothyroidism take levothyroxine and start feeling fatigue?

25-year-old woman, on thyroxine for hypothyroidism, become pregnant. She now complains of constant fatigued. What is the most proper recommendation?

A 73-year-old woman has a three-week history of weight loss, heat intolerance, palpitations and tachycardia. On examination she is anxious and has warm extremities. She is not fit for ablative therapy and the doctor wants to try medications instead (see lab results). What would be the best initial choice of drug?

A 43-year-old man is admitted to the hospital with pneumonia. his past medical history includes Addison’s disease for which he takes hydrocortisone (20 mg in the morning and 10 mg in the afternoon). What is the most appropriate action with respect to his steroid dose?

Which of the following Which of the following antineoplastic medications is known to cause bone marrow suppression?

Which drug can cause agranulocytosis

Which drug can cause agranulocytosis?

Antineoplastic medications can be given intrathecal

Patient with breast cancer and hypertension is taking these medications: Tamoxifen, Capecitabine, Ibuprofen and Lisinopril. She/he developed nephrotoxicity as a result. Which drug should NOT be stopped?

What is not a side effect of contraceptive pills:

Antiemetic in cancer / antiemetic with capecitabine?

What is the recommended hemoglobin target when treating anemia due to chronic kidney disease with epoetin Alfa?

About Granulocyte colony stimulating factor (G-CSF) administration?

Chemotherapy patient, being treated by capecitabine. 30% decrease in the neutrophils is noticed, what should be done

Administer 5 microgram g-csf after 24-72 hrs of chemotherapy .Breast cancer inpatient in the ward treated with cytarabine . prescribed Iv morphine 10 mg every 4 hours , doctor today discharge her so need to convert to oral morphine :How many mg oral morphine needed ? The same patient suffer from vomiting . what is the anti-vomiting

Which of the following antineoplastic medications can be administered intrathecally?

A 55-year-old man is prescribed simvastatin for hyperlipidemia. He is already taking verapamil for hypertension. What should be the maximum dose of simvastatin to be prescribed?

A 68-year-old woman with a history of type-2 diabetes and dyslipidemia is on atenolol and lisinopril. The doctor has started simvastatin as her estimated 10-year ASCVD risk is 7.5%. What would be the recommended dose for simvastatin?

A patient was prescribed atorvastatin, amlodipine, and another drug {can't remember}. What is appropriate counselling?

A drug that causes serious interaction with simvastatin

Simvastatin interacts with?

Which one of the following medications is known to be a powerful enzyme inducer?

Patient went to pharmacy complaining of severe muscle pain. She said that she was prescribed to take lansoprazole 2 weeks for GERD. The pharmacist inspected her previously dispensed medications and saw Salbutamol and Simvastatin. What caused this symptom to appear to the patient?

Patient of arrhythmia and hyperlipidemia take simvastatin , Digoxin , phenytoin for epileptic episodes . He suffer from Fatigue and …… : the cause is

Which of the following is a high intensity statin?

Which of the following is a high intensity statin?

the pharmacological category for insulin lispro?

Which of the following is rapid acting insulin (Doctor prescribed 10 IU Three times a day Which of the following)

Patient come to you with hypoglycemia. When you see the prescription, it was written Insulin Gl 10.0 U. What is the least reason to cause his condition?

Patient taking metformin 500 twice daily, long acting insulin one dose, short acting insulin 3 times daily. His blood glucose levels are not under controlled. He did not change his lifestyle or diet. What is your advice:

Type 1 diabetic patient did a glucose test in the afternoon, but the result is not up yet. He came to your pharmacy and asked a chair to sit because he has lightheadedness and dizziness. He told you he had his lunch but didn’t check his blood glucose. What is the least correct about his glucose levels?

Type 1 diabetic patient did a glucose test in the afternoon, but the result is not up yet. He came to your pharmacy and asked a chair to sit because he has lightheadedness and dizziness. He told you he had his lunch but didn’t check his blood glucose. What is the least correct about his glucose levels?

52 Year type1 diabetes. In the morning feel fatigue and drowsiness . he take insulin before meals and before dedtime . What is the least cause for these symptoms :

A patient is taking long-acting insulin 16U in the morning and ultrashort acting insulin 3U three times in a day. But the patient HbA1C found to be 7.6% and he showed the every recorded FBS and PPBS which were also high. what is the most advice can be given to the patients

A patient Fasting blood sugar found 3.5millimol/Liter. He is taking insulin what would be the preferable advice that can be given by the pharmacist

Patient come to you with hypoglycemia. His fasting blood glucose level was 3.5 mmole/L. He is taking insulin. What is the most appropriate advice?

An 18 year-old boy, weighing 60 kg, is diagnosed with type I diabetes. He is prescribed a basal/bolus insulin regime of 0.5 U/kg to mimic physiological levels of insulin as closely as possible. Which would be the most appropriate initial basal insulin regimen?

Patient is your regular customer, it’s her 3rd time tjis mont for clotrimazole. She is silent and always in hurry What as a pharmacist you will do / May be this is the cause.. yes, diabetic patients prone to infections: Patient came to dispense clotrimazole. You noticed that had dispensed it many times in the past few months. She is diabetic and hypertensive. She is taking gliclazide and amlodipine. What is the most appropriate advice?

A patient came to Pharmacy for Clotrimazole ointment while checking her record found that she is taking this medicines from last two -three month and she also taking Metformin and last review with doctor was 6 months ago. What would be the best counselling to the patient?

Patient taking linagliptin, amlodipine, ibuprofen, other form aspirin ramipril. His creatinine clearance become low. What medication you think he should stop, if any:

Pt was take ramipril, aspirin,linagliptin . Her gfr 25ml/min What should stop?

Which of the following anti-diabetic medications should be used as a first line agent in patients with pre-diabetes?

Who is contraindicated to use amorolfine nail lacquer?

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

Which of the following strategy can be recommended to reduce metformin associated gastrointestinal side effects?

A 65-year-old man was diagnosed with Type II DM 5 years ago and he is on oral biguanides. His routine follow ups and laboratory workup is scheduled. Which of the following additional tests is recommended?

A 55-year-old man with a BMI of 37 is diagnosed with Type II diabetes three months ago. He failed to adhere to prescribed diet and exercise regimen. Which of the following medications would be best indicated?

Patient with diabetes with a list of drugs & asking about drug which may have the highest SE for him (they mentioned that he receives many synergistic drugs)?

Patient taking glipizide and is having hypoglycemia episodes what to do

Patient taking gliclazide and is having hypoglycemia episodes what to do :

patient taking synergistic medicine for diabetes. What medicine will be danger for him...

patient with DM treated with 2 types (synergestic treatment ) of sulfonyl groups . which drug is CI to this patient???

Drug of choice for gestational diabetes

Produce precipitate with phenytoin:

Phenytoin prepared with

Phenytoin crystalizes. Because of what

Phenobarbital precipitate with?

What is the caution when prepare potassium solution?

Drugs with pka =5 absorption site?

At which pH aspirin (pka 3.5) will be most soluble?

Why ophthalmic suspension should not be freeze?

Pharmacist preparing IV preparation by mixing Cyclizine, Dexamethasone and NS 0.9% by using aseptic technique, after few minutes the mixture become cloudy. The PH of each preparations are 3, 5.5 and 7 respectively, what would be the cause of precipitation

patient came to pharmacy for insulin, while talking with her she revealed that she used to store Insulin in freezer, how would you counsel the patient regarding the storage of insulin in freezer causes crystallization and total loss of activity

A lady bike has diabetic, she used to travel by carrying insulin in her bike by using ice pack, once she complained about precipitation of Insulin what would be the cause.

What happens when insulin gets accidentally frozen?

Filgrastim was diluted with 500ml instead of 1000 ml. cloudy solution appears. What is the cause:

A company make a product for colon cancer, its easily absorbed from the intestine , which statement is not concern with the drug

Which of the following is the least to be used in a medication for colon cancer?

A new active ingredient for ulcerative colitis has been identified it needs to be absorbed in the intestine to be effective. Which of the following formulation strategies would Not be effective at delaying absorption until the active ingredient reach the intestine

Which dosage form is appropriate when maximum moisturization is required?

Which of the following medications can be used to lower the elevated serum potassium concentration?

What is the bioavailability (F) of a diclofenac intramuscular injection?

Patient is allergic to preservatives what base is suitable to use to make sublingual preparation:

Hygroscopic substance needs to be coated what is the least suitable material to use:

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

Double wrapping required for ?

Which of the following bases can be used to prepare rectal suppositories?

Potassium chloride administration:

Dimethicone mechanism of action:

the way permethrin works is by over-exciting an insect nervous system. When an insect encounters permethrin, it becomes paralyzed and in this weakened state, the insect generally disengages, falls off, and frequently dies. What is the reason of death?

New nurse is giving adolescent injection in gluteus muscle and doesn’t know what is maximum volume of injection

Most suitable form of infants

Administration of BOTOX injection

Least preferred rout for peptide/protein administration

One of this is a weak electrolyte:

Which of the following replacement solution is isotonic?

Depot injection is administered by.

A patient has allergic reaction. He has very short bowel. The physician prescribed prednisolone enteric coated tablet. What is your advice to the physician?

Patient is taking methotrexate and is known to be excreted 90% unchanged in the urine. Methotrexate levels diminish at 96 hours. What might be the cause of prolonged excretion of this drug?

In which one of the following conditions estrogens containing contraceptive is contraindicated?

A 52 female suspected to have osteoporosis. She has hot flushing and undergoes hysterectomy. What is the most appropriate treatment?

the content of monophasic contraceptive pill?

Monophasic contraceptive

A woman on mycophenolate is planning for pregnancy. She is asking for pharmacist advice, what should be the appropriate advice?

A 27-year-old pregnant woman has been recently diagnosed with iron deficiency anemia. Her hemoglobin is less than 11 g/dl. What would be the best recommended?

Which one of the following is an important counselling point for woman starting on Fingolimod (treat relapsing of MS)?

Which of the following medications require observing the patient for six hours with hourly heart rate monitoring after the first dose?

What is Which medication requires negative pregnancy test before dispensing to woman of childbearing age?

Which of the following medications can be teratogenic if a pregnant women handles crushes or breaks the tablet?

What is the most important ingredient in maternal multi-vitamin products?