問題一覧
1
Long case of Afro-Caribbean patient. He had severe ankle swelling. Which of the following drug cause this condition
Nifedipine
2
A care taker came to pharmacy with Rx and he took all the medications to home. The pt developed sudden headache after taking medicines if this is due to the drug or any other food interaction who is responsible then
Pharmacist and pharmacy
3
Patience grandfather died he came to return the bag of medicine. How will you discard them
Discard in chemical Bin
4
A company is marketing a new drug and these are the specifications Stomach - absorbed t 1/2 - 2 hrs. Packaged in a 1,000 Units in a box The use of coating is justified for what reason?
To prevent the active ingredients from being exposed to oxygen
5
case of Afro-Caribbean patient taking nifedipine, and Lisinopril. He had severe ankle swallowing. Which of the following would be temporary fix for his condition?
)Switch to losartan 50 mg and furosemide 20 mg
6
A ward nurse returned Bisoprolol tablet after 11? Days to the pharmacy. She said that the medicine was stored in a room temp. What will you do?
Don’t take it back since it’s been more than 3days for the allowed return
7
What is the recommendation regarding air bubble in the syringe for a patient starting on enoxaparin subcutaneous injection?
Inject the dose with the air bubble
8
An 89-year-old man with benign prostatic hypertrophy (BPH) has been on alpha blocker for eight months. On his routine follow up he is complaining of lower urinary tract symptoms of difficulty voiding. The doctor has decided to start him on a Phosphodiesterase-5 inhibitor in addition to the a-blocker. Which of the following combination is most appropriate?
Tadalafil 4 hours after Tamsulosin
9
Long case of patient. He had severe ankle swelling. Which of the following would be temporary fix for his condition:
losartan
10
What information should be provided to patients starting on diphenhydramine
May cause drowsiness
11
What is the LEAST appropriate counseling for pt. with eczema?
Using lot of soap and water when taking a bath
12
A diabetic pt with HTN and dyslipidemia was ordered to take aspirin 81 and bisoprolol 5 mg and lisinopril 20 and atorvastatin 40 and metformin 1g what is the medication error the doctor made?
BB MASK THE HYPOGLYCEMIC EFFECT
13
Long case of Afro-Caribbean patient. He had severe ankle swelling. Which of the following would be temporary fix for his condition:
Losartan
14
According to Healthcare authority -Abu Dhabi , which of the following case should the prescribers use the generic name only in prescription
Arnpicillin
15
He is starting to experience a range of side effects, blurred vision, confusions, vomiting and an irregular heartbeat. His previous medication are review to identify if there could be an interaction with phenytoin. Which of the following is the most likely cause of the side effects.
Digoxin
16
Record information about patient, what is least concern?
Criminal history of the patient
17
Which of the following is an appropriate instruction for oral suspension?
Shake well before use
18
Which diuretic listed below would have the greatest blood pressure lowering effect when given in patients with an eGFR below 60 ml/min?
Chlorthalidone25mgdaily
19
A 60-year-old woman has been recently diagnosed with stage II hypertension. Which of the following medications would be suitable for her?
Losartan/hydrochlorothiazide
20
All are contraindicated in decreased kidney function except Sevelamer (it corrects high phosphate level)
Sevelamer
21
The least important information to be written in the drugs leaflet?
Recipient
22
feeling lightheadness which medicine she used?
Atenolol and lisinopril
23
About unlicensed medicine, which is the least concern about?
Their prices are higher than brands
24
physian prescribed Depakote chrono against valpro chrono is available?
The prescribed drug should be dispensed because of dr specifically mentioned the brand name
25
patient presents to the pharmacy complaining that few days after starting benzoyl peroxide cream and soap the acne got worse. What should be the pharmacist advice?
Continue the cream and soap
26
A 65-year-old man with a history of chronic NSAID use presents with melena. the endoscopy shows erosive esophagitis. Which of the following drugs will be most appropriate treatment?
Lansoprazole
27
A patient is asking the pharmacist about sharing the insulin pen with his brother to save some money. What should be the most appropriate response?
Insulin pens should not be shared even if the needle is changed
28
What is the role of ascorbic acid when added to extemporaneously prepared formulations?
Preservative
29
What dose high volume of distribution indicate?
Drug accumulates in the tissues
30
Lamicital 100 mg and Lamisil 25 mg are two drugs with similar spelling, how to arrange them?
Generic
31
A long case of a patient taking Lithium 300 mg TID. His plasma concentration of lithium is 0.7mcg/ml.. His plasma levels decreased to 0.5mcg/ml. What is the appropriate dose adjustment
Lithium carbonate 400mg TID
32
Which drug is suitable for MDS(Monitored Dosage Form)?
Candesartan
33
69-year-old man on routine follow-up is complaining of erectile dysfunction. He has a history of angina, hypertension, and diabetes mellitus. His medications include daily Aspirin, Metoprolol, Metformin and Nitrates as required for his angina pain. Which of the following recommendations would be best?
Non-pharmacological treatment
34
patient asks the pharmacist to verify bottle of his medicine. The label was attached to the wrong medicine and dispensed to the patient by another pharmacist. What should be the most appropriate response?
Apologize and give the correct medication and report error to the medication safety officer
35
patient is taking Prednisolone, Amoxicillin and Theophylline. What is the diagnosis?
Chest infection
36
Corticosteroids given in sepsis for
Decrease staying in ICU
37
for management of intracranial damage patient administered with IV Mannitol, the ward nurse noted the precipitation of the substances inside the infusion bag. The proper management is /Mannitol 20% is known to crystallize at higher temperatures. What should be the appropriate precaution before administering
Use filter at the starting of IV fluid line
38
In what situation should a generic name be okay to use?
Amiodarone and the brand is effective for the pt
39
Marketing company reached you to take information about the patient for marketing reasons:
Pharmacist refuses because of unclaimed information (don't give)
40
Which one of the following is a property of well-formulated suspension?
Re-suspend upon moderate shaking
41
Which one of the following is a side effect to chronic use of corticosteroids?
Sodium and water retention
42
Manufacturing come to invite patients to a drug launch. What will you do?
Didn't allow as it was not a promotion goal
43
New cardiovascular drug is making hard block of b1 agonist what likely can happen
Palpitation
44
For a multiple dose vial, what might be the changes in its expiry, just in case?
Follow the manufacturer’s expiry
45
A 79-year-old woman has urinary urgency, frequency and bed wetting at night. She has a history of osteoarthritis and hyperthyroidism. Which of the following interventions is most appropriate?
Darifenacin
46
Metoprolol and lisinopril cause lightheadedness when taken together. What to do:
Take at bedtime
47
What is the possible serious side effect that is common amongst all anticoagulant agents?
Major Bleeding
48
Which of the following drugs would have contributed to the abnormalities in lab results? (Low magnesium)
Omeprazole
49
years old boy was found with empty bottle of 100 chewable multivitamin gummy. Each gummy contain 18mg iron.he has no symptoms upon admission to er. What is the management?
Whole bowel irrigation
50
Case of patient with mental illness. Caretaker told the pharmacist the patient is not taking the medicine and his condition is getting worse (violent). What is the best step to take?
Plan a meeting among doctor, pharmacist, patients relatives and caretaker to decide what to do
51
Pharmacist was preparing IV preparation by mixing Cyclizine, Dexamethasone and NS 0.9% by using an aseptic technique. After a few minutes the mixture became cloudy. The PH of preparations are 3.5, 4 and y respectively, what would be the cause of precipitation?
Use of normal saline
52
The nurse come to you asking about which type of dressing to be used in a patient having lower leg wound which is yellow (infection) and perfusing.
Honey dressing
53
Side effects of b Agonist?
Palpitation
54
The company reached to ask about patient’s information.
Don’t give its not for medical purpose
55
Patient taking some drugs like; Aluminum hydroxide, Magnesium silicate, Beta blocker..., now prescribed doxycycline. What is the advice?
Administer Doxycycline with meals (to avoid GI SE) & 2 hrs. after or before aluminum hydroxide & magnesium silicate administration (because it decreases their absorption)
56
Which one of the following CCB is a non-dihydropyridine drug?
Diltiazem
57
Doctor wrote Dalacin T (DNS) in the prescription. What is the meaning?
Do not substitute
58
An agitated women calls the pharmacy and tells that she has burned her hand while retrieving a baking tray from hot oven. What would be the best first aid?
Wash the hand with tap water for 20-30 minutes
59
The patient is taking a monoclonal antibody and she knows how to administer it herself. However, she noticed a red bump on her arm due to repeated injections on that site. What condition of the skin might be appropriate to inject the medicine?
Apply on sweaty
60
Hyperkalemia causing drug.
Lisinopril
61
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
62
When doctor write off label use for one medicine what to do?
Inform patient about the use
63
A 60-year-old man with chronic kidney disease for five years, hypertension, coronary artery disease and diabetes mellitus is due for routine follow up (see lab results). Which of the following drugs is most appropriate? (High phosphate)
Sevelamer
64
same case of Afro-Caribbean patient taking nifedipine, and Lisinopril. He had severe ankle swallowing and developed dry cough. Which of the following would be temporary fix for his condition?
Switch to losartan 50 mg and furosemide 20 mg
65
A female patient whom you have known for years came to the pharmacy with some allergy after taking peanuts food from outside. She has a history of frequent anaphylaxis. She forgot her epinephrine injection and epinephrine was out of stock in the pharmacy. The patient collapsed. What Is the appropriate action?
Call the emergency medical team and start cardiopulmonary resuscitation
66
Patient is using benzyl peroxide soup and cream for acne treatment but her acne got worse than before, what to do:
continue using
67
clinical case like this patient is on Amlodipine 5mg his BP was found 164/110mmhg the next adding drug?
Ramipril
68
Which drug causes faint
Ramipril
69
What is the BEST counseling for a pt. applying topical tacrolimus for his psoriasis?
Wash hands after use
70
An adult patient's mother came to ask if the patient (adult) has refilled his medication. What is the most appropriate response?
Refuse to tell her /You won't give the information related to patient
71
Female patients has genital herpes and is asking for the safest and inexpensive treatment :
Acyclovir 200mg every 6 hours for 5 days
72
What would be the expected change in the clearance of medications in acute renal failure?
Clearance of drugs eliminated mainly by the kidney decreases.
73
What is an example of allergy and not side effect?
eczema
74
Which of the is NOT a root cause????
the handwritten prescription was illegible
75
patient is taking levodopa. Which vitamin is the cause of concern for pharmacists
Vitamin b6
76
prescription contains simvastatin and insulin lispro. which should be dispensed with brand name
Insulin lispro
77
Patient found tablet on the floor at home, he asked you about it and you know the tablet and know it’s for elderly not for him what should do in this situation?
Don’t inform since it’s not for him and tell him to check with physician
78
Which diuretic listed below would have the greatest blood pressure lowering effect when given in patients with an eGFR below 30 ml/min?
Furosemide40mgdaily
79
A clinical case like this A black race patient is on Amlodipine 5mg his BP was found 164/110mmhg the next adding drug?
Candesartan
80
Drug to be wrote in brand name.
Tegretol
81
Which of the following pairs is considered as acceptable patient identifiers?
Medical record number and full name
82
group A waste: (anatomical, pathological waste) should be stored and disposed in?
Red color polyethylene (gauge 400) bags
83
Why is medication formulated in XL formulation?
To release the active ingredient slowly
84
85-year-old male with chronic kidney disease is diagnosed with UTI. Which drug should not be given?
Nitrofurantoin