haad 6

12回閲覧 • 100問 • 2年前

問題一覧

You are reviewing patient medication. Patient doesn’t want to take Lisinopril because she thinks it’s with no benefit.

Ask her why she doesn’t want to take Lisinopril, tell her about the risk of stopping it and the goals of taking it, then discuss about further steps.

Cancer patient want to use herbal recipes. The oncologist told him about the risks and wrote a note to the pharmacist. Patient came to you want to purchase herbal. What do you do?

Tell him about the risks of taking herbal

Which of the following is a rate control drug?

Digoxin

Which of the following is a rate control drug?

Beta blocker

Doctor prescribed Rifampin for a patient, the patient has HIV and is taking peptide protein inhibitor. A week later lab reports showed a lot of viral in his blood. What is the reason behind that?

Rifampin is a cytochrome p450 inducer so causes a breakdown of the peptide protein inhibitor, which will worsen patient condition.

The patient got infected when he took an IV infusion and it turned out that the “IV infusion” is the reason so who’s the one responsible for that mistake?

All of them share the same responsibility

COPD patient take Tiotropium and Roflumilast incharged in hospital with heart pulse = 135 What is the rate control used?

Deltiazim

Patient went to see physician. Doctor prescribed him aspirin, clopidogrel, warfarin, simvastatin, but patient not willing to take warfarin and aspirin, what the pharmacist will do

Let the patient to decide what to take

After few days of giving the insulin to a patient the company is informing you that there is a quality issue with it. What will the pharmacist do?

Quarantine the product

Which antibiotic is suitable for this patient penicillin allergy?

Clindamycin

Which of the following patient categories the gentamicin extended interval regimens (once daily dosing) is most suitable?

Gram-negative infections

A 26-year-old man is coughing up greenish yellow sputum. The doctor thinks it is of viral origin and decides not to prescribe antibiotics. The doctor also recommends that he sees the pharmacist for some cough mixture. Which of the following active ingredients would be best in the cough mixture?

Guaifenesin

Shortage of one drug in country and illegal supplier offer it what to do

Don't respond and tell doctor and there is shortage in drug and wait for ministry of health's decision in substitution

Which of the following is a benefit of the formulary system

Increased safety

study of chemical workers, 400 workers with respiratory disease and 150 workers without the respiratory disease were selected for examination. The investigators obtained the history of exposure to a particular solvent in both groups of workers. Among workers with respiratory disease, 250 gave a history of exposure to the solvent, compared to 50 of the workers without respiratory disease. The study design can be described as a:

Case-control study

Which medication adherence methods (device) is the most used to detect adherence?

MEMS

Which of the following are involved in practicing evidence-based medicine?

All the above

What is considered the lowest level of evidence when reviewing published medical literature?

Expert opinion

Pharmacy needs to update a patient's record. Which should not be longer included?

Cost of medicine

In clinical trials, what is the acceptable power of study?

What is the study design called when subjects act as both the control and the active arm?

Cross-over

Drug is waiting to be registered is called:

Non-formulary drug

A patient, who is on warfarin therapy, is using garlic supplements. To see any interaction, which reference would be most appropriate?

Review of natural products

The pharmacy received a call from the Intensive Care Unit nurse who has a patient receiving an intravenous solution containing amoxicillin. The doctor has now ordered morphine to be injected into the Y site of the intravenous solution every 4 hours. The nurse wants to know if these drugs will be compatible at the Y site. From which references the pharmacist should provide the required information?

Handbook on injectable drugs

Physician called the pharmacy and provided the name of a medication from another country. Which of the following references would be the best place to search for internationally available medications?

Martindale: The Complete Drug Reference

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 recommendation for administering live vaccine and an antibody containing product?

Separate the two administrations by two weeks

Which of the following vaccine is CI in pregnancy?

Varicella zoster vaccine

Which of the following vaccine is CI in pregnancy?

MMR

pregnant lady with body weight of 65 kg, planning to visit a malaria-prone area the very next day. want to take a daily prophylactic medicine. Suitable prophylaxis is?

100 mg chloroquine + 200 mg proguani

The nurse is asking the pharmacist about recommendations for administering inactivated and live vaccine. What would be the appropriate recommendation?

Both vaccines can be administered simultaneously or at any interval

What is the relationship between childhood vaccines and autism?

None of the vaccines causes autism

Which one of the following recalls is considered as (Minor)?

glucose strips

Glucose strips you have purchase 4 boxes, the manufacturer ask for recall? What kind of recall is this?

Class III (minor)

Glucose strips you have purchase 4 boxes, the manufacturer ask for recall. what is not to be done?

Keep it on shelf and mark it as do not dispense this batch

Glucose strips you have purchase 4 boxes, the manufacturer ask for recall. which of the following is unappropriate to prevent the dispensing of glucose strips

Call all the patients who took the glucose strips previously to return back.

Antibiotic suspension with changed smell and color (no patient took it yet) class of error?

major (class II)

After few days of giving the insulin to a patient the company is informing you that there is a quality issue with it. What will the pharmacist do?

Quarantine the product

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

Which is the NOT preferable storage conditions for soft gelatin capsules

Low density PVC bottle

Some capsules are allergic to PVC bottle & its contents dissolve with it, how will you Dispense sensitive to plastic (sensitive to light) shift to glass: digoxin and nitroglycerin

In glass jar

KCI solution is to be prepared in the aseptic area. The pharmacist knows there are specific conditions that needs to be done in preparing this. What is it

dilutes in an infusion and mixed thoroughly to avoid layering

The nurse is asking the pharmacist recommendation to reducing the inadvertent intrathecal administration of vincristine. Which one of the following is recommended?

Dispense vincristine in mini bag instead of syringe

Rubbing alcohol storage

Flammable substance area

Alcohol best storage

in flammable area

Intravenous preparation of methotrexate is prepared which is the best glass materia

Type 1 glass

ALKALI sensitive parenteral solution is to be prepared in an aseptic technique. What type of glass is to be used?

Type II

Alkaline parenteral did not mention alkali sensitive

typel

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

Type 3 glass

Previous day received new batch of vaccines and placed in refrigerator within limited space. Nex day morning fridge opened and found ice on refrigerator, alarm in off mode and thermometer temperature was within 1-2 degree Celsius. What would be the reason?

Not proper ventilation inside refrigerator

Large stock of vaccines come to your pharmacy, the refrigerator is already full of vaccines. Every rack is overloaded you try to manage the vaccine in fridge but suddenly the alarms start. This due to

No ventilation

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

Drugs storage temp must be between 25-30 °C, you noticed that temp reached45°C what to do?

Quarantine the product and ask manufacturer what to do

Drug storage temperature was 25 to 30 degrees centigrade the pharmacist founded the morning it was 25 degrees centigrade but wrote the maximum range of temperature not to less than 30

wrong qs

: you have received 5 boxes of medicine during night the AC went down and the temp reached 31 Above the regular room temp" when the pharmacist arrived it was 25 what to do with medicine

Call manufacturer to take the medicine.

You have received 5 boxes of drug label states to store drug below 30c and shelf life of 3 years the traveling temperature was b/w 15-16 c and document states that temperature was 25c when you received the boxes. The AC broke down and the temperature of pharmacy rose up to 40 c next day the AC was fixed and temperature of pharmacy is now b/w 20-25c. what to do with the medicine:

Call the manufacturer to get the details about temperature changes the drug can bear

Drugs storage temp must be between 25-30 °C, you noticed that temp reached 45°C what to do

Quarantine the product and ask manufacturer

which of the following agents is considered as a poisonous substance as per HAAD regulations?

All of the above

Your friend wants to open a pharmacy & asked you about cold chain. What is the least important v(or not a concern)?

The surrounding environment monitoring, like humidity or (regional change in surrounding)

Which is not true about controlled drugs?

Consultant can write as much as he wants

physician prescribed a patient psychotic drug for 30 days. Which is correct:

No, a physician cannot prescribe it for 30 days.

which is the false/ not true statement regarding hydrocodone

Licensed physician can prescribe up to 3 days max only

oxycodone prescription, which is not correct

licensed physician can prescribe up to 3 days maximum only

Maximum period for Diazepam for one prescription is

30 days

Drug X stored in a single lock steel cover that a physician can write for 30 days are ? ............

Semi-controlled drugs

Drug placed in tightly locked steel container in the pharmacy

Narcotic.

Record of semi control drug should be kept for ...

2 years

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

Caretaker visits pharmacy every day to collect medicine to the patient. Which medicine increased the pharmacist concern?

Zolpidem

What of the following is related to drug abuse

Fentanyl

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

Patient returned 28 tablets of morphine to pharmacy and on the same day after some time a prescription came for 28 tabs morphine what will you do

Prescribe those 28 tabs with proper inventory in documentation

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.

Patient come to pharmacy and wants to return the unused medicines which including narcotic, semi controlled and licensed medications. Batch number, expiry date and everything is written on the backage. How will you respond to the patient

Cannot take any of the medication

Medical ward nurse returned narcotic medication to pharmacist what to do

Take and send it to central purchase store for disposal

Which is the least thing to be necessary in a narcotic or controlled drug containing prescription

Type of container in which it was dispensed

While you are writing an information about Oxycodone in Register Book and made a mistake. what you will do

Write error on the remarks and write on the next line

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

Wrong statement regarding narcotic prescription:

Schedule II medications can be refilled

Validity of narcotic prescription?

3 days

Patient used to take diazepam from a pharmacy. But, the pharmacist took a vacation & she had to go to another pharmacy. How would you deal with this situation?

Refuse to give and document it as error and offer OTC

Patient came to pharmacy want diazepam OTC because it is easy for her than going to a doctor,she assume that she used to take it from the pharmacist as OTC what to do

Don't give her report to RAAD and offer her another O1C medication

Narcotic 1 full stock was missing, was reported to pharmacist in charge then during enquiry was found that the stock was transferred to another private hospital and the case was noted in the register the next day. What is wrong in this scenario?

Transfer of narcotics to private hospital

In the noon shift, the in-charge noted the discrepancy in the narcotic stock, next day morning she informed to the pharmacist and he reported the incident then he asked the incident about responsible person. He said the Narcotic medicine containing box transferred to another health care facility. In this incidence, which step deviate from the standard management of Narcotics?

Transfer of Narcotic to another healthcare facilit

you received narcotics what to administer in the record beside voucher number drug name strength quantity ?

Voucher date

Details like Voucher number, Strength is added, what is additional information is to be added in control book

Voucher Date

A new pharmacist receive medicine of narcotics, while looking the narcotics register the book was finished. So he have to write in new narcotics register book . He already included name, strength, quantity and voucher no . What should be added from the following

voucher date

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

Contact to make proper disposal and reissue.

Expired ampoules of morphine, what is the least appropriate action

discard them in acrylic acid

What is NOT correct regarding expired morphine ampoules?

Discard in the sharp object box

Empty narcotic drug ampoule should be?

Discard in Sharp container

Narcotic ampoule breakdown. What is the not appropriate method for disposal?

A reagent pour to narcotic ampoule , ex : acrylic or acid

what is the second step of Root cause analysis?

Document and research (collect data/inspection)

A miss up happened at the pharmacy yesterday in the absence of the pharmacist. today he has to rule out the whole problem. what sort of analysis he will make?

Root cause analysis

The pharmacist wasn't there during error happened what is not the cause error? (Or pharmacy manager was not there during the incident, what is the not the medication error analysis?)

System cause error

if patient prescribed quinine and start having symptoms and upon reviewing the medication it did not match ?

Keeping similar named medication near each other

patient was taking a drug for restless leg syndrome suffered from some side effects like difficulty stepping on his leg , tremors and Qt prolongation what is the root cause of error ?

Keeping similar named medication near each other

100

The pharmacy department will perform a Root cause analysis after the dispensing error. Which of the following is not a Root cause?

The handwritten prescription was illegible.

haad

haad

haad 2

haad 2

haad 3

haad 3

haad 4

haad 4

haad 4 sterilization

haad 4 sterilization

haad 5

haad 5

haad 7

haad 7

問題一覧

You are reviewing patient medication. Patient doesn’t want to take Lisinopril because she thinks it’s with no benefit.

Ask her why she doesn’t want to take Lisinopril, tell her about the risk of stopping it and the goals of taking it, then discuss about further steps.

Cancer patient want to use herbal recipes. The oncologist told him about the risks and wrote a note to the pharmacist. Patient came to you want to purchase herbal. What do you do?

Tell him about the risks of taking herbal

Which of the following is a rate control drug?

Digoxin

Which of the following is a rate control drug?

Beta blocker

Doctor prescribed Rifampin for a patient, the patient has HIV and is taking peptide protein inhibitor. A week later lab reports showed a lot of viral in his blood. What is the reason behind that?

Rifampin is a cytochrome p450 inducer so causes a breakdown of the peptide protein inhibitor, which will worsen patient condition.

The patient got infected when he took an IV infusion and it turned out that the “IV infusion” is the reason so who’s the one responsible for that mistake?

All of them share the same responsibility

COPD patient take Tiotropium and Roflumilast incharged in hospital with heart pulse = 135 What is the rate control used?

Deltiazim

Patient went to see physician. Doctor prescribed him aspirin, clopidogrel, warfarin, simvastatin, but patient not willing to take warfarin and aspirin, what the pharmacist will do

Let the patient to decide what to take

After few days of giving the insulin to a patient the company is informing you that there is a quality issue with it. What will the pharmacist do?

Quarantine the product

Which antibiotic is suitable for this patient penicillin allergy?

Clindamycin

Which of the following patient categories the gentamicin extended interval regimens (once daily dosing) is most suitable?

Gram-negative infections

Guaifenesin

Shortage of one drug in country and illegal supplier offer it what to do

Don't respond and tell doctor and there is shortage in drug and wait for ministry of health's decision in substitution

Which of the following is a benefit of the formulary system

Increased safety

Case-control study

Which medication adherence methods (device) is the most used to detect adherence?

MEMS

Which of the following are involved in practicing evidence-based medicine?

All the above

What is considered the lowest level of evidence when reviewing published medical literature?

Expert opinion

Pharmacy needs to update a patient's record. Which should not be longer included?

Cost of medicine

In clinical trials, what is the acceptable power of study?

What is the study design called when subjects act as both the control and the active arm?

Cross-over

Drug is waiting to be registered is called:

Non-formulary drug

A patient, who is on warfarin therapy, is using garlic supplements. To see any interaction, which reference would be most appropriate?

Review of natural products

Handbook on injectable drugs

Martindale: The Complete Drug Reference

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 recommendation for administering live vaccine and an antibody containing product?

Separate the two administrations by two weeks

Which of the following vaccine is CI in pregnancy?

Varicella zoster vaccine

Which of the following vaccine is CI in pregnancy?

MMR

pregnant lady with body weight of 65 kg, planning to visit a malaria-prone area the very next day. want to take a daily prophylactic medicine. Suitable prophylaxis is?

100 mg chloroquine + 200 mg proguani

The nurse is asking the pharmacist about recommendations for administering inactivated and live vaccine. What would be the appropriate recommendation?

Both vaccines can be administered simultaneously or at any interval

What is the relationship between childhood vaccines and autism?

None of the vaccines causes autism

Which one of the following recalls is considered as (Minor)?

glucose strips

Glucose strips you have purchase 4 boxes, the manufacturer ask for recall? What kind of recall is this?

Class III (minor)

Glucose strips you have purchase 4 boxes, the manufacturer ask for recall. what is not to be done?

Keep it on shelf and mark it as do not dispense this batch

Glucose strips you have purchase 4 boxes, the manufacturer ask for recall. which of the following is unappropriate to prevent the dispensing of glucose strips

Call all the patients who took the glucose strips previously to return back.

Antibiotic suspension with changed smell and color (no patient took it yet) class of error?

major (class II)

After few days of giving the insulin to a patient the company is informing you that there is a quality issue with it. What will the pharmacist do?

Quarantine the product

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

Which is the NOT preferable storage conditions for soft gelatin capsules

Low density PVC bottle

Some capsules are allergic to PVC bottle & its contents dissolve with it, how will you Dispense sensitive to plastic (sensitive to light) shift to glass: digoxin and nitroglycerin

In glass jar

KCI solution is to be prepared in the aseptic area. The pharmacist knows there are specific conditions that needs to be done in preparing this. What is it

dilutes in an infusion and mixed thoroughly to avoid layering

The nurse is asking the pharmacist recommendation to reducing the inadvertent intrathecal administration of vincristine. Which one of the following is recommended?

Dispense vincristine in mini bag instead of syringe

Rubbing alcohol storage

Flammable substance area

Alcohol best storage

in flammable area

Intravenous preparation of methotrexate is prepared which is the best glass materia

Type 1 glass

ALKALI sensitive parenteral solution is to be prepared in an aseptic technique. What type of glass is to be used?

Type II

Alkaline parenteral did not mention alkali sensitive

typel

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

Type 3 glass

Not proper ventilation inside refrigerator

No ventilation

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

Drugs storage temp must be between 25-30 °C, you noticed that temp reached45°C what to do?

Quarantine the product and ask manufacturer what to do

Drug storage temperature was 25 to 30 degrees centigrade the pharmacist founded the morning it was 25 degrees centigrade but wrote the maximum range of temperature not to less than 30

wrong qs

: you have received 5 boxes of medicine during night the AC went down and the temp reached 31 Above the regular room temp" when the pharmacist arrived it was 25 what to do with medicine

Call manufacturer to take the medicine.

Call the manufacturer to get the details about temperature changes the drug can bear

Drugs storage temp must be between 25-30 °C, you noticed that temp reached 45°C what to do

Quarantine the product and ask manufacturer

which of the following agents is considered as a poisonous substance as per HAAD regulations?

All of the above

Your friend wants to open a pharmacy & asked you about cold chain. What is the least important v(or not a concern)?

The surrounding environment monitoring, like humidity or (regional change in surrounding)

Which is not true about controlled drugs?

Consultant can write as much as he wants

physician prescribed a patient psychotic drug for 30 days. Which is correct:

No, a physician cannot prescribe it for 30 days.

which is the false/ not true statement regarding hydrocodone

Licensed physician can prescribe up to 3 days max only

oxycodone prescription, which is not correct

licensed physician can prescribe up to 3 days maximum only

Maximum period for Diazepam for one prescription is

30 days

Drug X stored in a single lock steel cover that a physician can write for 30 days are ? ............

Semi-controlled drugs

Drug placed in tightly locked steel container in the pharmacy

Narcotic.

Record of semi control drug should be kept for ...

2 years

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

Caretaker visits pharmacy every day to collect medicine to the patient. Which medicine increased the pharmacist concern?

Zolpidem

What of the following is related to drug abuse

Fentanyl

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

Patient returned 28 tablets of morphine to pharmacy and on the same day after some time a prescription came for 28 tabs morphine what will you do

Prescribe those 28 tabs with proper inventory in documentation

Refuse to take all.

Cannot take any of the medication

Medical ward nurse returned narcotic medication to pharmacist what to do

Take and send it to central purchase store for disposal

Which is the least thing to be necessary in a narcotic or controlled drug containing prescription

Type of container in which it was dispensed

While you are writing an information about Oxycodone in Register Book and made a mistake. what you will do

Write error on the remarks and write on the next line

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

Wrong statement regarding narcotic prescription:

Schedule II medications can be refilled

Validity of narcotic prescription?

3 days

Patient used to take diazepam from a pharmacy. But, the pharmacist took a vacation & she had to go to another pharmacy. How would you deal with this situation?

Refuse to give and document it as error and offer OTC

Patient came to pharmacy want diazepam OTC because it is easy for her than going to a doctor,she assume that she used to take it from the pharmacist as OTC what to do

Don't give her report to RAAD and offer her another O1C medication

Transfer of narcotics to private hospital

Transfer of Narcotic to another healthcare facilit

you received narcotics what to administer in the record beside voucher number drug name strength quantity ?

Voucher date

Details like Voucher number, Strength is added, what is additional information is to be added in control book

Voucher Date

voucher date

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

Contact to make proper disposal and reissue.

Expired ampoules of morphine, what is the least appropriate action

discard them in acrylic acid

What is NOT correct regarding expired morphine ampoules?

Discard in the sharp object box

Empty narcotic drug ampoule should be?

Discard in Sharp container

Narcotic ampoule breakdown. What is the not appropriate method for disposal?

A reagent pour to narcotic ampoule , ex : acrylic or acid

what is the second step of Root cause analysis?

Document and research (collect data/inspection)

A miss up happened at the pharmacy yesterday in the absence of the pharmacist. today he has to rule out the whole problem. what sort of analysis he will make?

Root cause analysis

The pharmacist wasn't there during error happened what is not the cause error? (Or pharmacy manager was not there during the incident, what is the not the medication error analysis?)

System cause error

if patient prescribed quinine and start having symptoms and upon reviewing the medication it did not match ?

Keeping similar named medication near each other

patient was taking a drug for restless leg syndrome suffered from some side effects like difficulty stepping on his leg , tremors and Qt prolongation what is the root cause of error ?

Keeping similar named medication near each other

100

The pharmacy department will perform a Root cause analysis after the dispensing error. Which of the following is not a Root cause?

The handwritten prescription was illegible.