Preparation got contaminated with bacterial endotoxin, how to sterilize?

Purified water having bacteria of gram tve and gram -ve, this water is used for manufacturing of the product, which method is used for the sterilization.

SWFI that was contaminated with organisme WHICH method is suitable for sterilitici?

Some new Formulation needs to be sterilized that is sensitive to heat and is soluble (or gets affected by moisture) what method is best

Some new Formulation needs to be sterilized that is sensitive to heat and is soluble (or gets affected by moisture) what method is best

sterile material that is chemically reactive and they mentioned something about heat and that it had large particles?

Patch is to be sterilized and it is unstable above 90° and highly reactive. What is the sterilization procedure

Patch is to be sterilized and it is unstable above 90° and highly reactive. What is the sterilization procedure

Iv medication have bacterial growth what best

A preparation is entering with gram positive bacteria, it should endotoxic, thus;

Where to prepare cototoxic medicine?

A sterile preparation was prepared in a septic area, what are the precautions that should be taken?

Which measure is not appropriate when cleaning a vertical laminar flow hood?

What is NOT the appropriate measure when cleaning a vertical laminar flow hood?

Drug cannot be used in MDS:

Which of the following medication can be put together in the same ward?

Which medicine can be stored in same compartment?

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

Cytotoxic drug, what's the least thing to be concerned about?

Precaution while handling Methotrexate tablet

Pharmacy has a new system called Monitor Dosage System. What drug should is appropriate to include in this?

Patient is supposed to take clonazepam, but given carbamazepine, he is under care but no side effects, which category of error is this?

Patient took one dose of a drug. Bo harm but requires monitoring, which error

patient supposes to take some medicine but took the other medicine, which cause no harm. What type of error is this:

Pt. was admitted to emergency because of side effects to wrong med. a. Which category of error:

An error occurred but the error didn't reach the patient. This error can be categorized as.

Which of the following strategies can reduce chemotherapeutic medications errors?

patient brought a drug back to pharmacy because it was not effective. After inspection it was found to be expired. What is the least to be done, if any, to ensure this won't happen again?

which of the following is not a way to reduce medication misuse?

In OPD pharmacy pharmacist dispensed a medicines from bulk stock which was received in store yesterday after some time patient returned the same medicines and complained it is expired medicines. Omission of which appropriate steps would be leaded to this error?

Which of the following represent medication error F

Which of the following represent medication error F?

A pediatric patient who was recovering from brain tumor surgery is given 650 mg dose of Methotrexate into the brain. what kind of error is this?

Which one of the following is considered a dangerous abbreviation?

A prescription with Amoxicillin 5ml OD, the best way to write the directions ?

patient come with prescription of ramipril 100 mg. His history showed that he is taking ramipril 10 mg. you have been trying to call physician for 1 hour, but you can't reach him, and the patient is getting anxious. What is the most appropriate action?

prescription error, you are calling the GP but he is not answering what will you do

What is the best way to write the dose for Digoxin 0.25mg? or Best way of prescribing Digoxin 0.25 mg to avoid error ?

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

Biweekly means: Biweekly Rx for monoclonal antibodies, what to do?

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?

A physician prescribed a cream for 1-month old baby starting with CLOBETA... REMAINING CANT READ PROPERLY. The strength of the cream is mentioned as 0.05%, which is these can be consider regarding the prescription

Which of the following circumstances would not require the pharmacist to complete a “medication error “ reporting form ; should they become aware of the incident

What is not a potential concern for recording a Medication error?

The doctor wants to change anticoagulant for discharge patient from IV to NOAC which of the following patients have the best criteria to take? Patient taking multiple medicines including atorvastatin rosuvastatin clopidogrel aspirin

A 61-year-old woman with deep vein thrombosis is on heparin 1200 units/ hour. The nurse asks for heparin dosing recommendation after receiving the hematology test this morning Test Result Normal Values APTT 240. 30-40 sec INR 1.1 0.8-1 .2 Prothrombin time 12 10-13 sec What is the best recommendation based on hospital heparin protocol?

following parenteral anticoagulants require routine monitoring of coagulation lab parameters?

Which of the following P2Y12 receptor inhibitors exhibit the most variable anti-platelet effects?

Stroke or previous TIA transient ischemic attack is a contraindication to the use of which anti-platelet agent?

The physician is asking the pharmacist about when to discontinue clopidogrel before open- heart surgery. What should the pharmacist suggest?

A 70-year-old man with a history of osteoarthritis is admitted for knee replacement surgery. Postoperative follow up is smooth with no complications. What would be the recommended prophylaxis for venous thromboembolism?

A 78-year-old man recently had acute myocardial infarction and had a drug eluting stent placed. He has a history of hypertension, hypertriglyceridemia, and asthma. What would be the recommendation about anti-platelet therapy in addition to clopidogrel 75 mg daily?

Patient female with food poisoning and went to hospital with troponin high NSTMI what is the management

Which PPI is safe with clopidogrel?

The least interaction producing PPI with clopidogril

A 55-year-old man with myocardial infarction presents to the clinic with dyspnea interrupting his daily activity. Which of the following medications can cause it?

Mother came with child ingested a drug by mistake & having symptoms (nausea & vomiting blood). Test results showed he had metabolic acidosis & leukocytosis. Which of the following is the cause?

Aspirin overdose symptom

Aspirin overdose symptoms are all the following except:

What is the appropriate mode of taking chewable aspirin tablet

In patients who require dual antiplatelet therapy, what is the recommended maintenance dose of aspirin when used in combination with ticagrelor?

Inpatient with MI taking 5 drugs (prasugrel, bisoprolol, aspirin, & another 4th), upon discharge he found only 4 drugs what is the missing one?

Which NSAID permanently inactivates thromboxin-A2 synthesis in platelets?

A 58-year-old man is admitted in the hospital for DVT treatment. The physician is initiating unfractionated heparin and warfarin therapy. The physician is asking the pharmacist, Which the following about the duration of anticoagulants overlapping in DVT treatment? (What should be the pharmacist recommendation?

Which of the following could lead to decrease PT/INR in a patient on warfarin therapy?

patient is on warfarin for mechanical mitral valve replacement. What should be the INR goal range

The patient is taking warfarin and the doctor prescribed fluconazole. The patient came with INR=11 and he’s bleeding. What is the reason of this bleeding?

A patient on warfarin presents with nose bleeding since yesterday. His INR=10, what should be the pharmacist's advice?

Patient is undergoing Fluconazole treatment for candidiasis. INR is monitored while taking warfarin INR:13, now he is suffering from nose bleeding .What he can do now ? normal inr 1.1 or less if wairf 2-3Patient is undergoing Fluconazole treatment for candidiasis. INR is monitored while taking warfarin INR:13, now he is suffering from nose bleeding .What he can do now ? normal inr 1.1 or less if wairf 2-3

Which of the following is an important counseling point for patients starting on warfarin?

Antiarythmic drug that increases warfarin toxicity?

What is the monitoring parameter for warfarin therapy?

Phototoxic drug?

Patient on amiodarone and other drugs. She started to have palpitations, anxiety, and wight loss. Which drug is associated with her condition?

Patient having high TSH levels. She was taking drugs including amiodarone and ibuprofen. Which drug is associated with her condition?

A patient is taking Levothyroxine from last 2 year, she is taking amiodarone from last 2 month her Thyroid function test in this time found as following: . T3- very Small Variation (0.1 from normal range). TSH- Very high . T4- Within Normal Limits What will be the cause of this condition?

Which of the following antiarrhythmic drugs may cause iodine induced hypothyroidism?

What is a rare type of adverse drug reaction?

Which of the following is a rare side effect of amiodarone (less than 1%)):

Amiodarone side effect -common

Which of the following is a rare side effect of amiodarone

Which one of the following medications is known to induce pulmonary toxicity?

A 70-year-old woman is diagnosed with sustained ventricular tachycardia. The resident doctor wants to initiate one of the ClassIll potassium channel blockers. She has a history of Torsades de Pointes arrhythmia and has renal impairment. Which of the following medications is best to initiate?

At what time should the routine plasma samples for digoxin monitoring be drawn?

A 78-year-old woman with a history of atrial fibrillation and heart failure is on amiodarone, ACEI and B-blocker. She has been taking digoxin to improve symptoms and exercise intolerance. She has a normal renal function. What would be the most appropriate dose of digoxin per day?

Which is the anticoagulant preferred during hemodialysis procedure?

Which one of the following is known side effect of unfractionated heparin?

Glucagon may be used and as an antidote for which of the following?

A 60-year-old man with history of HF presents with acute attack of gout in his left toe with excruciating pain. He rates his pain as 8/10. Which of the following medications could have contributed (causes) to his acute gout?

Heparin is chemically bonded to catheters to prevent

A 48-year-old man with myocardial infarction is started on an ACEI. He is started on a low dose and the aim is to titrate to the target dose within four weeks. On routine follow up of labs one week from starting the drug, his serum creatinine is increased by 20% from the baseline. What would be the most appropriate action?

A 65-year-old man with NYHA class-IV heart failure has been started on digoxin to improve his symptoms. Which of the following electrolyte imbalances will predispose him to digoxin toxicity?

A 72-year-old man with a history of hypertension and COPD has EKG finding suggestive of irregular rhythm (see vitals). Blood pressure 135/80 mmHg Heart rate 80/min What is the most appropriate drug to manage his atrial fibrillation?

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 52-year-old woman with NYHA Class III Heart Failure was started on lisinopril 40 mg/day and carvedilol 25 mg BID. She is recently complaining of dizziness. Blood pressure 100/70 mmHg Heart rate 70/min What is the best approach for Heart failure and her symptoms?

A 44-year-old man presents to his doctor for blood pressure check. His blood pressure reading is 169/95 mmHg. He has been seeing his doctor several times in the last three months for blood pressure checks and lab tests. Although his lab tests are fine, the doctor recommended him to start blood pressure reducing medicines. Which of the following pharmacotherapy regimens would be most appropriate?

A 65-year-old man with a history of hypertension, hyperlipidemia, erectile dysfunction, and newly diagnosed diabetes mellitus type II, is on metformin 1000 mg twice daily, lisinopril 10 mg daily, atorvastatin 40 mg once daily, and sildenafil 25 mg as needed. He comes to the pharmacy with a new prescription for metoprolol tartrate 25 mg twice daily. Which one of the following advice should be given?

Prescription containing Frusemide, Bisoprolol, Lisinopril the Disease is?

Patient with hypertension was rushed to the ER due to signs and symptoms of acute kidney injury. These are the drugs she/he were taking: Candesartan, Atorvastatin, Aspirin, Ibuprofen, Bisoprolol, Paracetamol What drugs should be discontinued?

The result of one patient revealed hyperkalemia and might escalate to arrhythmia. Her current medications are ff… What predisposed her to this complication?