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Pharmacotherapy Knowledge Quiz
Test your pharmacotherapy knowledge with this comprehensive quiz designed for healthcare professionals and students. With 50 challenging questions, you'll explore various topics related to medication management, treatment protocols, and patient care.
- Assess your understanding of current guidelines
- Enhance your clinical decision-making skills
- Gain insights into real-world scenarios faced by practitioners
Which laboratory value is most essential to monitor given the new orders listed for TP?
Anti-Xa
Acetaminophen level
Creatine phosphokinase
Alkaline phosphatase
BNP
Which antibiotic is best for empiric coverage of Pseudomonas aeruginosa in this patient?
Cefepime
Aztreonam
Ertapenem
Piperacillin/tazobactam
Ceftazidime/avibactam
Which medication is preferred for the chronic management of hypertension in FS?
Lotensin
Exforge
Cozaar
Adalat CC
Zestoretic
If the hospital has IV tubing sets that deliver 20 drops/mL and FS IV fluid is to infuse as a rate of 42 drops/min, how many hours will it take to complete the infusion? (Whole number)
The intravenous antihypertensive medication ordered on admission for FS works as an antagonist at which receptors? (SATA)
Beta-1
Alpha-2
Alpha-1
Angiotensin II
Beta-2
Dopamine
The PCP would like to optimize control of ZB's diabetes by adding another oral medication, but she is concerned about ZB's high BMI. Which medication is the best choice?
Empagliflozin
Glumetza
Glimepiride
Levemir
Pramlintide
Which treatment regimen is recommended based on ZB's urea breath test result?
Oral budesonide + azathioprine
Psyllium + senna
Entereg
Protonix + Pylera
Pepcid + Reglan
Which treatment would be best for the long-term management of ZB's anxiety?
Lunesta
Phenelzine
Ability
Effexor XR
Amitriptyline
ZB will be receiving both pneumococcal vaccines. What is the correct sequence and interval?
PCV13 today, PPSV23 in 1 year
PPSV23 today, PCV13 in 8 weeks
PPSV23 today, PCV13 in 1 year
PCV13 today. PPSV23 in 5 years
PCV13 today, PPSC23 in 8 weeks
What are the components of the medication ZB is taking for weight loss?
Orlistat and semaglutide
Naltrexone and bupropion
Phentermine and topiramate
Phentermine and fenfluramine
Orlistat and liraglutide
Which of the following is ZB most at risk for based on her medication profile?
Drug-induced lupus erythematosus
Diabetic ketoacidosis
Seizure
Central nervous system depression
Intracranial bleeding
The nurse calls the clinic pharmacy to verify the frequency of administration for medications with missing information. How often should ZB take her osteoporosis medication?
Yearly
Every 3 months
Daily
Weekly
Monthly
What is the osmolarity (mOsmol/L) of BL's sodium chloride solution for inhalation (MW 58.5)? (Whole number)
Rank BL's inhaled treatments and chest physiotherapy in the recommended order of administration, from first to last
Albuterol
Hypertonic saline
Dornase alfa
Chest physiotherapy
TOBI Podhaler
Which antibiotic regimen is most appropriate to treat BL's acute lung infection?
Vancomycin + azithromycin
Ceftriaxone + doxycycline
Moxifloxacin
Tobramycin + cefepime
Azithromycin
A clinical trial reports that patients taking a new medication experience fewer incontinence episodes (the primary endpoint) compared to placebo. Incontinence episodes occurred in 13.2% of patients receiving the new medication and 31.9% of placebo-treated patients. The trial randomized 600 patients (300 patients in each arm). Based on this data, what is the number needed to treat to prevent 1 incontinence episode?
A 57-year-old female is going on a 14-day cruise and is concerned about having motion sickness, as she often gets very carsick. The patient is given a prescription for Transderm-Scop. Which counseling points for this medication are correct? (SATA)
This medication can cause drowsiness
The patch will work for up to 72 hours
Apply to the skin behind the ear
This medication can cause pupil dilation
Diarrhea is a common side effect
Sodium bicarbonate can be used to increase the excretion of which medication in the setting of overdose?
Diazepam
Aspirin
Iron
Isoniazid
Digoxin
A premenopausal woman with hormone-sensitive breast cancer is a candidate for treatment with:
Flutamide
Fluvestrant
Tretinoin
Anastrozole
Goserelin
A patient comes to the pharmacy with questions regarding is Flolan. What is the primary indication for this drug?
Chronic MRSA infection
Cushing's syndrome
Ulcerative colitis
Pulmonary arterial hypertension
Severe, psoriatic arthritis
TN is a 60-year-old female (5'3, 115 lb) admitted to the hospital for treatment of pyelonephritis. She is empirically prescribed meropenem. If TN has a serum creatinine of 2.8, which dosing regimen is appropriate based on the recommendations below?
500 mg IV Q12H
1 gram IV Q8H
1 gram IV Q12H
Meropenem is contraindicated in this patient
500 mg IV Q24H
GS is a 72-year-old male with heart failure. He is admitted to the hospital, and tolvaptan 15mg PO daily is ordered. What is tolvaptan used for?
Hemostasis
Neuromuscular blockade
Hypervolemic hyponatremia
Life-threatening hypokalemia
Anesthesia
A patient using subcutaneous methotrexate for RA should be instructed to inject the medication:
As needed for acute flares
Once monthly
Once weekly
Once daily and as needed for acute flares
Once daily
Which medication can cause the urine to be discolored red? (SATA)
Mitoxantrone
Rifampin
Levodopa
Nitrofurantoin
Doxorubicin
Which medication can be purchased over-the-counter for the treatment of cold sore (herpes simplex labials)?
Abreva
Differin
Propecia
Lamisill
Nizoral
JW is a 49-year-old female with a history of chronic back and knee pain attributed to morbid obesity. Her chronic medication include Kadian, Percocet, Senna S and Cymbalta. She asks her primary care provider for a weight loss medication. Which weight los drug is contraindicated in JW?
Qsymia
Contrave
Adipex-P
Saxenda
Alli
A patient is starting a new medication for glaucoma. The pharmacist includes the following statement when counseling the patient: "this medication can cause a darkening of eyelid skin and eyelashes." Which medication has been prescribed?
Cosopt PF
Pataday
Timoptic
Alaway
Lumigan
The absorption of oral iron tablets can be enhanced by: (SATA)
Taking the tablets at the same time as lansoprazole
Routine use of docusate during treatment
Taking the tablets on an empty stomach
Maintaining an acidic gastric environment
Taking the tablets at the same time as Tums
LD was admitted to the hospital for pancreatitis and was found to have serum triglycerides of 635 mg/dL. Which medications, when used chronically, can lower triglyceride levels? (SATA)
Trilipix
Colesevelam
Pravachol
Vascepa
Niacin
A 12-day-old infant develops symptoms concerning for bacterial meningitis. The medical intern researches common causative pathogens and learns that Listeria monocytogenes should be covered in this age group. Which antibiotic provides coverage for this organism?
Cefotaxime
Ampicillin
Vancomycin
Ceftriaxone
Gentamicin
An outpatient pharmacy is prepares Mile's Solution (a type of magic mouthwash) based on the formula and instructions below. This compounded preparation should be assigned a beyond-use-date of:
7 days
14 days
30 days
45 days
60 days
A patient complains that she is leaking urine when she sneezes and sometimes when she coughs. She is also having a hard time making it to the bathroom in time when she has an urge to urinate. Her PCP prescribes a beta-3 agonist. Which medication has been prescribed?
Solifenacin
Trospium
Oxybutynin
Fesoterodine
Mirabegron
A pharmacist receives an order to compound an ophthalmic solution. The compounding monograph lists the following ingredients: How many parts per million of thimerosal are present in this compound? (Whole number)
A patient with Alzheimer's disease is started on Aricept. He should be consoled about which side effect?
Risk of seizures
Sedation
Constipation
Vision disturbances
Nausea
A pharmacy resident is completing a formulary review for the aminosalicylate class of medications. Which medication should be included in the report?
Mercaptopurine
Natalizumab
Mesalamine
Alvimopan
Dolutegravir
Which of the following are acceptable reasons to compound a drug product for a patient? (SATA)
There is currently a shortage of the commercially available product
The compounded drug product would be less expensive than the commercially available product
The patient is allergic to preservatives, dyes or other inactive ingredients in the commercially available products
The patient needs a drug strength that is not commercially available
The patient needs a drug in a formulation that is not commercially available
How frequently should Victoza be administered?
Once weekly
Once daily
Once monthly
Twice daily
Every 3 months
The surfaces of the laminar airflow workbench should be disinfected with:
2% sodium hypochlorite
Germicidal detergent
70% isopropyl alcohol
Peroxide
Chlorhexidine spray
A pharmacist receives an order for Intergrilin. What is an indication for the use of this medication?
Percutaneous coronary intervention
Acure ischemic stroke
Addisonian crisis
Thyroid storm
Neuroleptic malignant syndrome
Which of the following patients is a candidate for Menveo? (SATA)
A healthy 12-year old female
A 24-year old pregnant female
A 42-year old male with a CD4 count of 124
An 18-year old college student living in resident housing
A 30-year old male traveling to sub-Saharan africa regions with a high prevalence of meningitis
A 9-year old male victim of sexual abuse
A 6-year old female with sickle cell disease
A pharmacy manager is taking an inventory of the sterile compounding area garbing supplies and finds some garb that should not be worn in the sterile compounding area. According to USP 797, all of the following items can be work in the cleanroom EXCEPT:
Disposable gowns
Face masks
Shoe covers
Powdered gloves
Chemotherapy-rated gloves
A patient with possible meningitis is receiving an antibiotic regimen that includes vancomycin. The hospital has not yet implemented AUC/MIC monitoring and uses vancomycin trough levels to assess efficacy and safety. An appropriate goal vancomycin trough level for the condition being treated is:
<2
20-30
15-20
3-4
0.8-2
Which of the following oral non steroidal anti-inflammatory drugs are available over-the-counter? (SATA)
Ketorolac
Naproxen
Ecotrin
Celebrex
Diclofenac
A pediatric patient (weight 26lb) is given 25 mpg/kg of intravenous digoxin. If a measured serum concentration is 1.5 mcg/L, what is the column of distribution (in L) of digoxin in this patient? (Whole number)
A pharmacist is using a torsion balance to prepare a prescription troche. The sensitivity requirement is 6 mg. The acceptable error rate is 5%. What is the minimum weighable quantity for the torsion balance?
1.2 mg
120 mg
83 mg
0.12 mg
0.83 mg
A pharmacist receives an order for a D10W infusion to run at 45 mL/hr. The pharmacy has only D50Q and sterile water available. How many milliliters of D50W should be added to 500 mL of sterile water to make D10W? (Whole number)
TN is a 27-year old male with bipolar disorder. He is hospitalized with a feeding tube and needs his lithium tablets converted to an oral solution for administration via the tube. TN's current lithium dose is 300mg TID. How many milliliters of lithium oral solution should he receive per dose?
12.5
2.5
5
10
7.5
An HIV-positive patient currently taking Complete comes to the pharmacy counter with a box of Prilosec OTC. How should the pharmacist counsel the patient?
Take prilosec OTC at the same time as complera
Separate prilosec OTC from complete by 12 hours
Take complete on an empty stomach to reduce heart burn
Use tums, instead of prilosec OTC, and take complete simultaneously
Do not take pilosec OTC with complera
The preparation of some compounds may require melting of ingredients in order for them to mix well. How should ingredients be melted?
Melt all ingrediens at the same time, using the highest melting point from among the ingredients
Melt each ingredient separately and then mix them all together using geometric dilution
Melt the ingredient with the lowest melting point first, then add the other ingredients according tot heir increasing melting points
Melt the ingredient with the highest melting point first, then add the other ingredients according to their decreasing melting points
Melt each ingredient separately and then mix them together with an electronic mortar and pestle
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