CPJE Practice Clinical Questions
A 36 year vintage affected person with schizaophrenia has been dealt with with clozapine 500
mg day by day for the beyond 4 months. On July 7, the affected person's WBC became 7.2 and
neutrophils changed into four.Three. The maximum suitable recommendation for the pharmacist
to make is to...
A. Continue modern therapy
B. Discontinue therapy
C. Hold therapy for 1 week and resume at 400 mg daily
D. Repeat CBC and fill if WBC is >eight - ANS-Answer A
Clozapine need to be started while baseline ANC is at least 1500. ANC is checked weekly for
six months than each 2 weeks for six months, then month-to-month. Stop therapy if ANC <one
thousand.
A sixty seven YOM became began on ticlopidine 1 month ago for stroke prevention. The patient
complains of recent fever, chills, and a sore throat. Which of the subsequent is most appropriate
for the pharmacist to invite the health practitioner?
A. Has the patient had an INR checked currently?
B. Has the patient had a CBC achieved but
C. Has the patient's eating regimen modified over the last month
D. Hast he patient had LFTs accomplished in the past 2 weeks - ANS-Answer B
A compounding pharmacist has received the subsequent prescription for a 44 lb 5 12 months
old infant: metronidazole oral suspension 50 mg/mL; provide 6 mL BID x 10 days (30
mg/kg/day). Which movement is most appropriate?
A. DAW
B. Touch the health practitioner to exchange the dose
C. Contact the medical doctor to trade the frequency
D. Contact the doctor seeing that metronidazole is CI with peds - ANS-Answer A
A new affected person enrolling in an HIV adherence program is began on the subsequent
medications: REyataz 300 mg PO QD, Norvir 100 mg PO QD, Videx EC 250 mg PO QD, Viread
three hundred mg PO Qd. The dosing routine that the pharmacist ought to supply the patient
is...
A. Reyataz, Norvir, Videx EC, and Viread with breakfast
B. Reyataz, Norvir, Videx EC, and VIread at bedtime on an empty belly
C. Reyataz, Norvir, and Viread with breakfast, and Videx EC at bedtime on an empty belly
D. Videx EC and Viread with breafast and Reyataz and Norvir at bedtime on an empty stomach
- ANS-Answer C
Videx EC (didanosine) is a NRTI this is taken without meals. Many NRTs inclusive of Viread
(TDF) may be taken with or without meals.
, Protease inhibitors including Reyataz (atazanavir) are eager about food. The handiest PI that is
not excited about food is fosamprenavir oral suspension.
PK boosters inclusive of Norvir (ritonavir) and Tybost (cobicstat) are inquisitive about meals.
A patient calls a pharmacy for a refill of antihypertensive medicine formerly stuffed at a
pharmacy that is no longer in enterprise. The patient offers the pharmacy with the cellphone
variety of the previous owner who has saved the Rx documents at his home. Which of the
subsequent is the most appropriate action for the pharmacy?
A. Take the verbal Rx as a switch order and fill the Rx
B. Verify the facts are kept in a locked cabinet
C. Notify the BOP
D. Have the pharmacist fax the tough copy to the pharmacy - ANS-Answer C
A affected person comes into the drugstore with a Rx for erythromycin. During session, the
patient mentions her new process in production has made her allergic reactions unbearable.
The patient asks the patient to name her health practitioner for anew Rx for this circumstance.
Which antihistamine ought to the be suggested for this affected person?
A. Loratadine
B. Clemastine
C. Cetirizine
D. Diphenhydramine - ANS-Answer A
Diphenhydramine (benadryl), Clemastine (Tavist) are first generation antihistamines that may
motive drowsiness. Cetirizine (Zyrtec) is a 2d generation antihistamine this is sedating. Most first
generation antihistamines inhibit CYP3A4, while 2d era anithistamines have few CYP3A4
interactions. Erythromycin and clarithycin are predominant substrates of Cyp3A4 and are
CYP3A4 inhibitors.
A patient has been suggested on the proper use of Niaspan. Which of the subsequent
statements would verify affected person expertise of the cause for taking the drugs?
A. This medicinal drug will deal with my high BP and lower my risk of stroke
B. This medicine will treat my high ldl cholesterol and lower my risk of coronary heart attack
C. The medicinal drug will deal with my enlarged prostate and I may not have to get up at night
time to urinate
D. This remedy will help keep my temper solid and permit me to sleep better at night. -
ANS-Answer B
A affected person provides a prescription for Prevacid however the pharmacy is out of this
medication. Which of the subsequent is the most suitable opportunity?
A. Pantoprazole
B. Aripiprazole
C. Sulfisoxazole
D. Metronidazole - ANS-Answer A
Prevacid is lansoprazole.
A 36 year vintage affected person with schizaophrenia has been dealt with with clozapine 500
mg day by day for the beyond 4 months. On July 7, the affected person's WBC became 7.2 and
neutrophils changed into four.Three. The maximum suitable recommendation for the pharmacist
to make is to...
A. Continue modern therapy
B. Discontinue therapy
C. Hold therapy for 1 week and resume at 400 mg daily
D. Repeat CBC and fill if WBC is >eight - ANS-Answer A
Clozapine need to be started while baseline ANC is at least 1500. ANC is checked weekly for
six months than each 2 weeks for six months, then month-to-month. Stop therapy if ANC <one
thousand.
A sixty seven YOM became began on ticlopidine 1 month ago for stroke prevention. The patient
complains of recent fever, chills, and a sore throat. Which of the subsequent is most appropriate
for the pharmacist to invite the health practitioner?
A. Has the patient had an INR checked currently?
B. Has the patient had a CBC achieved but
C. Has the patient's eating regimen modified over the last month
D. Hast he patient had LFTs accomplished in the past 2 weeks - ANS-Answer B
A compounding pharmacist has received the subsequent prescription for a 44 lb 5 12 months
old infant: metronidazole oral suspension 50 mg/mL; provide 6 mL BID x 10 days (30
mg/kg/day). Which movement is most appropriate?
A. DAW
B. Touch the health practitioner to exchange the dose
C. Contact the medical doctor to trade the frequency
D. Contact the doctor seeing that metronidazole is CI with peds - ANS-Answer A
A new affected person enrolling in an HIV adherence program is began on the subsequent
medications: REyataz 300 mg PO QD, Norvir 100 mg PO QD, Videx EC 250 mg PO QD, Viread
three hundred mg PO Qd. The dosing routine that the pharmacist ought to supply the patient
is...
A. Reyataz, Norvir, Videx EC, and Viread with breakfast
B. Reyataz, Norvir, Videx EC, and VIread at bedtime on an empty belly
C. Reyataz, Norvir, and Viread with breakfast, and Videx EC at bedtime on an empty belly
D. Videx EC and Viread with breafast and Reyataz and Norvir at bedtime on an empty stomach
- ANS-Answer C
Videx EC (didanosine) is a NRTI this is taken without meals. Many NRTs inclusive of Viread
(TDF) may be taken with or without meals.
, Protease inhibitors including Reyataz (atazanavir) are eager about food. The handiest PI that is
not excited about food is fosamprenavir oral suspension.
PK boosters inclusive of Norvir (ritonavir) and Tybost (cobicstat) are inquisitive about meals.
A patient calls a pharmacy for a refill of antihypertensive medicine formerly stuffed at a
pharmacy that is no longer in enterprise. The patient offers the pharmacy with the cellphone
variety of the previous owner who has saved the Rx documents at his home. Which of the
subsequent is the most appropriate action for the pharmacy?
A. Take the verbal Rx as a switch order and fill the Rx
B. Verify the facts are kept in a locked cabinet
C. Notify the BOP
D. Have the pharmacist fax the tough copy to the pharmacy - ANS-Answer C
A affected person comes into the drugstore with a Rx for erythromycin. During session, the
patient mentions her new process in production has made her allergic reactions unbearable.
The patient asks the patient to name her health practitioner for anew Rx for this circumstance.
Which antihistamine ought to the be suggested for this affected person?
A. Loratadine
B. Clemastine
C. Cetirizine
D. Diphenhydramine - ANS-Answer A
Diphenhydramine (benadryl), Clemastine (Tavist) are first generation antihistamines that may
motive drowsiness. Cetirizine (Zyrtec) is a 2d generation antihistamine this is sedating. Most first
generation antihistamines inhibit CYP3A4, while 2d era anithistamines have few CYP3A4
interactions. Erythromycin and clarithycin are predominant substrates of Cyp3A4 and are
CYP3A4 inhibitors.
A patient has been suggested on the proper use of Niaspan. Which of the subsequent
statements would verify affected person expertise of the cause for taking the drugs?
A. This medicinal drug will deal with my high BP and lower my risk of stroke
B. This medicine will treat my high ldl cholesterol and lower my risk of coronary heart attack
C. The medicinal drug will deal with my enlarged prostate and I may not have to get up at night
time to urinate
D. This remedy will help keep my temper solid and permit me to sleep better at night. -
ANS-Answer B
A affected person provides a prescription for Prevacid however the pharmacy is out of this
medication. Which of the subsequent is the most suitable opportunity?
A. Pantoprazole
B. Aripiprazole
C. Sulfisoxazole
D. Metronidazole - ANS-Answer A
Prevacid is lansoprazole.
