問題一覧
1
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.
2
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
3
Which of the following is a rate control drug?
Digoxin
4
Which of the following is a rate control drug?
Beta blocker
5
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.
6
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
7
COPD patient take Tiotropium and Roflumilast incharged in hospital with heart pulse = 135 What is the rate control used?
Deltiazim
8
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
9
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
10
Which antibiotic is suitable for this patient penicillin allergy?
Clindamycin
11
Which of the following patient categories the gentamicin extended interval regimens (once daily dosing) is most suitable?
Gram-negative infections
12
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
13
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
14
Which of the following is a benefit of the formulary system
Increased safety
15
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
16
Which medication adherence methods (device) is the most used to detect adherence?
MEMS
17
Which of the following are involved in practicing evidence-based medicine?
All the above
18
What is considered the lowest level of evidence when reviewing published medical literature?
Expert opinion
19
Pharmacy needs to update a patient's record. Which should not be longer included?
Cost of medicine
20
In clinical trials, what is the acceptable power of study?
85
21
What is the study design called when subjects act as both the control and the active arm?
Cross-over
22
Drug is waiting to be registered is called:
Non-formulary drug
23
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
24
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
25
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
26
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.
27
What is the recommendation for administering live vaccine and an antibody containing product?
Separate the two administrations by two weeks
28
Which of the following vaccine is CI in pregnancy?
Varicella zoster vaccine
29
Which of the following vaccine is CI in pregnancy?
MMR
30
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
31
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
32
What is the relationship between childhood vaccines and autism?
None of the vaccines causes autism
33
Which one of the following recalls is considered as (Minor)?
glucose strips
34
Glucose strips you have purchase 4 boxes, the manufacturer ask for recall? What kind of recall is this?
Class III (minor)
35
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
36
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.
37
Antibiotic suspension with changed smell and color (no patient took it yet) class of error?
major (class II)
38
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
39
Glyceryl trinitrate cannot be stored in PVC container. Why:
Glyceryl will be absorbed in PVC and affect its stability
40
Soft gelatin capsule most appropriate storage in:
Glass container with desiccant {drying agent
41
Which is NOT preferable storage condition for Soft gelatin capsule?
Polyethylene terephthalate (PET) containers
42
Which is the NOT preferable storage conditions for soft gelatin capsules
Low density PVC bottle
43
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
44
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
45
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
46
Rubbing alcohol storage
Flammable substance area
47
Alcohol best storage
in flammable area
48
Intravenous preparation of methotrexate is prepared which is the best glass materia
Type 1 glass
49
ALKALI sensitive parenteral solution is to be prepared in an aseptic technique. What type of glass is to be used?
Type II
50
Alkaline parenteral did not mention alkali sensitive
typel
51
Non-Aqueous preparations and powders for parenteral use should be stored in which
Type 3 glass
52
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
53
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
54
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
55
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
56
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
57
: 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.
58
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
59
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
60
which of the following agents is considered as a poisonous substance as per HAAD regulations?
All of the above
61
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)
62
Which is not true about controlled drugs?
Consultant can write as much as he wants
63
physician prescribed a patient psychotic drug for 30 days. Which is correct:
No, a physician cannot prescribe it for 30 days.
64
which is the false/ not true statement regarding hydrocodone
Licensed physician can prescribe up to 3 days max only
65
oxycodone prescription, which is not correct
licensed physician can prescribe up to 3 days maximum only
66
Maximum period for Diazepam for one prescription is
30 days
67
Drug X stored in a single lock steel cover that a physician can write for 30 days are ? ............
Semi-controlled drugs
68
Drug placed in tightly locked steel container in the pharmacy
Narcotic.
69
Record of semi control drug should be kept for ...
2 years
70
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
71
Caretaker visits pharmacy every day to collect medicine to the patient. Which medicine increased the pharmacist concern?
Zolpidem
72
What of the following is related to drug abuse
Fentanyl
73
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
74
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
75
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.
76
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
77
Medical ward nurse returned narcotic medication to pharmacist what to do
Take and send it to central purchase store for disposal
78
Which is the least thing to be necessary in a narcotic or controlled drug containing prescription
Type of container in which it was dispensed
79
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
80
drug was changed from schedule V to III on April 1st. How you will register it?
Register as schedule V until April 1st then registers as schedule III in their register separately
81
Wrong statement regarding narcotic prescription:
Schedule II medications can be refilled
82
Validity of narcotic prescription?
3 days
83
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
84
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
85
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
86
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
87
you received narcotics what to administer in the record beside voucher number drug name strength quantity ?
Voucher date
88
Details like Voucher number, Strength is added, what is additional information is to be added in control book
Voucher Date
89
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
90
Expired ampoules of morphine, what is the most appropriate action:
Contact to make proper disposal and reissue.
91
Expired ampoules of morphine, what is the least appropriate action
discard them in acrylic acid
92
What is NOT correct regarding expired morphine ampoules?
Discard in the sharp object box
93
Empty narcotic drug ampoule should be?
Discard in Sharp container
94
Narcotic ampoule breakdown. What is the not appropriate method for disposal?
A reagent pour to narcotic ampoule , ex : acrylic or acid
95
what is the second step of Root cause analysis?
Document and research (collect data/inspection)
96
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
97
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
98
if patient prescribed quinine and start having symptoms and upon reviewing the medication it did not match ?
Keeping similar named medication near each other
99
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.