Pharm III Practice Quiz 1
Which of the following PE findings is NOT consistent with viral conjunctivitis?
Unilateral or bilateral
Eyelid swelling
Bulbar conjunctival injection
Yellow-green purulent discharge
A 4y/o male was brought to the clinic by mom for evaluation of right ear pain, general malaise, and fever of 100.2F onset 2 days ago. Mom reports the patient has NKDA. What is the appropriate treatment for this patient?
Amoxicillin BID x10 days
Augmentin BID x10 days
Amoxicillin BID x7 days
Erythromycin x10 days
If the above patient had an allergy to PCN, which antibiotic should be used instead?
Augmentin
Erythromycin
Cefdinir (Omnicef)
Ancef (Cefazolin)
Which condition does not require management of sexual partners?
Pediculosis pubis
Scabies
Bacterial Vaginosis
Chancroid
Which type of contraceptives duplicate the pattern of the menstrual cycle and tend to have fewer ADRs?
Monophasic OCP
"mini pills"
Multiphasic OCP
Continuous pills
How many HSV outbreaks per year qualify the patient for suppressive treatment?
>3
>4
>5
>6
Which of the following is not true regarding epinephrine?
Stimulates alpha 1 and beta 2 adrenergic receptors
Selective H1 receptor antagonist
Reduces mucosal secretions
Relaxes bronchial smooth muscles
An 18 y/o female patient with no significant PMH presents to the clinic complaining of homogenous, thin vaginal discharge onset 2 days ago. You take a swab of the discharge and find clue cells on microscopy. Which of the following is the appropriate first line treatment for this condition?
Metronidazole 2g PO x1 dose
Clindamycin cream 2% intravaginally every night for 7 days
Ketoconazole 100mg BID for 10 days
Azithromycin 1g PO x1 dose
Varicose veins are a symptom of ________ sensitivity.
Estrogen
Progestin
Androgenic
Regarding the above patient, which monophasic combined OCP would be best to prescribe in order to reflect the patient's hormone sensitivity?
Yaz
Mircette
Ortho-cyclen
Micronor
What is the BBW of Lindane?
Hepatotoxicity
Neurotoxicity
Syncope
Acute renal failure
Which drug dosing method is useful for chemotherapy?
Body surface area dosing
Mg/kg/day dosing
Age-based dosing
Mg/kg/dose dosing
Which of the following is not a way to administer antipyretics?
PO tabs
Per rectum
IM
IV
How often is Femring replaced?
Daily
Every month
Every 3 months
Every 6 months
Which of the following is a CI for testosterone replacement therapy?
Hx of DVT
Hypogonadism
Prostate cancer
Age >75 y/o
What is the most effective method of emergency contraception?
Yupze method
Plan B
Ella
ParaGard IUD
A pregnant female presents for evaluation of a painful ulceration on the vulva. Which of the following is NOT an adverse effect seen in the DOC to treat this condition in pregnancy?
Photosensitivity
Esophageal irritation
QTc prolongation
GI upset
An OCP would not be contraindicated in which of the following patients?
39 yo F with history of diabetic retinopathy
34 yo F with hx of HTN (last office visit BP was 165/100)
18 yo F who is having knee surgery in 3 weeks
37 yo F who smokes 1/2 ppd
27 yo F with family history of cervical CA
A pregnant female is diagnosed with Chlamydia. She is allergic to Macrolides. Which of the following medications should you prescribe to her?
Azithromycin
Doxycycline
Amoxicillin
Erythromycin
Which of the following are used for regional anesthesia during a reduction?
Bupivacaine
Propofol
Etomidate
Ketamine
When calculating dosages for children, the rule of thumb is that the rounded dose can be +/- ____% of the calculated dose?
5%
10%
15%
All pediatric medications require exact dosing with no rounding
What is the function of nitroglycerin?
Decreases mean arterial pressure by reducing preload and afterload
Causes diuresis which reduces preload
Stimulates peripheral glucose uptake, which helps regulate glucose metabolism
Stimulate post-synaptic GABA receptors
What is the appropriate antibiotic treatment for community acquired PNA?
Doxycycline
Ceftriaxone and Azithromycin
Augmentin
Vancomycin and Azithromycin
Which drug is the first line choice for treatment of GERD in pediatrics?
Ranitidine (Zantac)
Metoclopramide (Reglan)
Omeprazole (Prilosec)
Famotidine (Pepcid)
What is the BBW of the 1st line drug used to treat primary, secondary, and tertiary syphilis?
Neurotoxicity
Pseudomembranous colitis
Preterm rupture of membranes in pregnant patients
IV administration
What is the most common reason women discontinue OCPs?
Mood swings
Breakthrough bleeding and spotting
Bloating
Poor compliance
Which antibiotic is used to treat a tick bite in pediatrics?
Doxycycline
Amoxicillin
Ceftriaxone
Azithromycin
Which of the following liver reactions occurs in phase 2?
Conjugation
Hydrolysis
Reduction
Oxidation
Your 24 y/o male patient is diagnosed with uncomplicated gonococcal infection of the urethra. He has an allergy to cephalosporins. Which of the following is the appropriate treatment for this patient?
Ceftriaxone 250 mg IM x1 and Azithromycin 1g PO x1
Azithromycin 2g PO
Ceftriaxone 1g IV Q24hrs for 10-14 days
Metronidazole 2g PO x1 dose
Which of the following is an estrogen compound?
Norethindrone
Mestranol
Ethynediol
Desogestrel
Which of the following corticosteroids comes in an oral suspension and is used to treat asthma exacerbations in children?
Solumedrol
Prednisolone
Prednisone
Methylprednisolone
Which of the following is true?
Metabolism is substantially higher in infants compared to older children and adults
Gastric pH is decreased in neonates
BBB is more permeable in children
GFR normalization usually occurs between 5-7 months of age
What is the treatment of ophthalmia neonatorium?
Oral Doxycycline
Oral Azithromycin
Oral Levofloxacin
Oral Erythromycin
Which of the following can be used with oil-based lubricants?
Lamb skin condoms
Latex condoms
Polyurethane condoms
No condoms can be used with oil-based lubricants due to it decreasing condom strength
What is the appropriate analgesia for a patient with a scalp laceration?
1% lidocaine
2% lidocaine
Bupivacaine 0.25%
1% lidocaine with epinephrine
What is the appropriate treatment for viral conjunctivitis in pediatrics?
Erythromycin
Ketoroloac
Supportive treatment
Olopatadine
In which of the following conditions would you see intracytoplasmic inclusion bodies on biopsy?
Molluscum Contagiosum
HSV
Condyloma Accuminata
Disseminated Gonorrhea
T/F: PO and IV steroids are thought to be equivalent, therefore, it is not necessary to establish an IV in a patient JUST to administer steroids.
True
False
A patient calls your office worried because she missed 2 pills in a row during week 2 of her monthly BC pack. What is the appropriate advice to give her? Is a back up method needed?
Take it when you remember and if you don’t remember until the next day, take 2 pills at the same time; no back up method is needed
Take 2 tabs daily for the next 2 days and then take 1 pill a day until the pack is finished; a back up method should be used for 7 days
Take 1-2 tabs daily for the next 2 days and then take 1 pill a day until the pack is finished; no back up method is needed
Take 1 pill daily until Sunday and on Sunday, throw out the rest of the pack and start a new pack the same day; use a back up method for 7 days
All of the following can be used to treat a patient with an animal bite EXCEPT?
Rabies vaccine/immunoglobulin
Clindamycin
Augmentin
Azithromycin
Bactrim DS
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