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Medical Plaza Pharmacy frequently prepares Magic Mouthwash, a mucosal
liquid for chemotherapy patients with mucositis. Based on the master
formulation record and prescription information below, what would be the
appropriate beyond-use-date for this compounded preparation?
Magic Mouthwash Mucosal Liquid
Viscous lidocaine 2% 80 mL
Mylanta 80 mL
Diphenhydramine 12.5 mg/5 mL 80 mL
Nystatin suspension 80 mL
Prednisolone 15 mg/5 mL 80 mL
Distilled water 80 mL
Storage: store at room temperature.
Instructions: Swish, gargle and spit 5 - 10 mL Q6H PRN. Do not swallow.
Answer
A
7 days
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B
14 days
C
30 days
D
45 days
E
60 days
C
30 days
A 43 year-old female patient with type 2 diabetes and normal renal function
started taking Januvia 100 mg daily in the morning. Which of the following is
correct regarding Januvia?
Answer
A
The generic name is saxagliptin.
B
It is a glucagon-like peptide (GLP-1) agonist.
C
It is an alpha-glucosidase inhibitor.
D
It does not require renal dose adjustments.
E
It can cause pancreatitis.
E
It can cause pancreatitis.
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Which of the following are safety concerns when using etanercept? (Select
ALL that apply.)
Answer
A
Embryo-fetal toxicity
B
Increased risk of serious infections
C
High risk of severe skin reactions such as SJS/TEN
D
Increased risk of malignancies
E
Reactivation of latent tuberculosis
B
Increased risk of serious infections
D
Increased risk of malignancies
E
Reactivation of latent tuberculosis
What should the pharmacist tell the nurse regarding the phenytoin loading
dose prescribed for TU? (Select ALL that apply.) 15 mg/kg IV
Answer
A
It is only compatible with normal saline.
B
It can cause arrhythmias if administered too quickly.
C
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Once prepared, it is only stable for 4 hours.
D
Tube feeds should be held while the loading dose is administered.
E
The maximum rate of administration is 50 milligrams per minute.
A
It is only compatible with normal saline.
B
It can cause arrhythmias if administered too quickly.
C
Once prepared, it is only stable for 4 hours.
E
The maximum rate of administration is 50 milligrams per minute.
Which of the following potential drug interactions should the pharmacist alert
the medical team about? (Select ALL that apply.)
Answer
A
Phenytoin may decrease the effects of the HIV medication.
B
The HIV medication may increase the effects of Lipitor.
C
Tube feedings should be held before and after maintenance doses of
phenytoin.
D
Lipitor may decrease the effects of phenytoin.
E
Phenytoin may increase the effects of duloxetine.