CPJE TEST ACTUAL EXAM PAPER 2026
QUESTIONS WITH ANSWERS GRADED
A+
◍ Ancef, Kefzol.
Answer: Cefazolin (IV)- 1st generation ceph - cover Staph, strep ,PEK,
peptostreptococcus- D: 1-1.5 g Q8H- surgical prophylaxis- C/I in PCN type
1 allergyAE: seizure, GI upset, diarrhea, rash- IV refrigerated
◍ Ferate.
Answer: ferrous gluconate12% elemental iron
◍ FeroSul, Fer-In-Sol.
Answer: ferrous sulfate 20% elemental iron325mg (65) PO Qday -
TIDBBW: Accidental overdose: Fatal poisoning in children. Go to ER if
overdose even if asymptomatic.ADR: Constipation* (dose-related), dark &
tarry stools --> docusate to preventAntidote: deferoxamine (Desferal)
◍ Slow Fe, Slow Iron.
Answer: Ferrous sulfate, dried (30%)160mg (50) PO Qday - TIDBBW:
Accidental overdose: Fatal poisoning in children. Go to ER if overdose even
if asymptomatic.ADR: Constipation* (dose-related), dark & tarry stools -->
docusate to preventAntidote: deferoxamine (Desferal)
◍ Paul is a patient in the step-down unit. A basal metabolic panel is taken and
Paul is found to have a sodium level of 132 mEq/
L. His medications include levothyroxine, losartan, fluticasone,
chlorthalidone, Lamictal, Trileptal and Celexa. Which of the patient's
medications could be contributing to the low serum sodium level?.
Answer: Chlorthalidone, trileptal and celexa. Patients taking either
carbamazepine, oxcarbazepine, SSRIs or SNRIs and thiazide diuretics
, should have sodium checked, especially if symptoms of hyponatremia are
present. Hypothyroidism can cause hyponatremia, but not levothyroxine.
The most likely cause of low sodium levels is fluid loss.
◍ Ferretts, Ferrimin 150, Hemocyte.
Answer: ferrous fumarate 33% elemental ironBBW: Accidental overdose:
Fatal poisoning in children. Go to ER if overdose even if
asymptomatic.ADR: Constipation* (dose-related), dark & tarry stools -->
docusate to preventAntidote: deferoxamine (Desferal)
◍ Venofer.
Answer: iron sucrose (IV)BBW: Anaphylactic reactions
◍ Maureen is a 45 year-old female who takes the following medications:
clopidogrel 75 mg once daily, aspirin EC 81 mg once daily, Toprol XL 50
mg once daily and Nitrostat 0.4 mg 1 tablet SL PR
N. Maureen has a long history of schizoaffective disorder. She is not
currently taking any medication for this condition. Which of the following
options represents the safest choice in this patient?.
Answer: Seroquel because in this patient, it is best to avoid drugs with
higher QT prolongation risk due to the presence of co-existing coronary
artery disease.
◍ Which of the following antifungal agents is limited to one dose intravenous
(followed by oral dosing) with reduced renal function due to the
accumulation of a renally-cleared component in the IV formulation?.
Answer: Voriconazole, CrCl cutoff is 50 ml/min
◍ Feraheme.
Answer: Ferumoxytol (IV iron)
◍ Manuel has been discharged on linezolid 600 mg twice daily, to be taken at
home for 6 weeks. He should be counseled on the risk of this adverse effect,
which can occur with long-term use of linezolid:.
Answer: Myelosuppression and neuropathy
◍ A 19 year-old female patient has begun therapy with Atripla. This
, medication contains tenofovir. Which of the following statements
concerning tenofovir is correct?.
Answer: Tenofovir can damage the kidneys and it requires a reduced dosage
with renal insufficiency. It can cause Fanconi syndrome, weaken bone, and
can damage kidneys; it is necessary to monitor renal function when using
this drug.
◍ InFed.
Answer: iron dextran complexIV iron BBW: Anaphylactic reactions**
require test dose
◍ MEPHYTON, phytonadione.
Answer: Vitamin K tab, injWarfarin reversal agent1-10 mg po/iv-PO if INR
>10 no bleeding- IV if bleeding, any INRBW: anaphylaxis, hypersensitivity
rxn*** PROTECT FROM LIGHT*** no IM/SC
◍ Manuel is admitted to the orthopedic unit with an infected toe. The toe is
amputated. The surgeon reports that he is not sure how far up the bone the
infection has spread. He suggests that the patient be discharged on six weeks
of antibiotic therapy. He has been receiving linezolid 600 mg twice daily,
given by intravenous administration. Which of the following statements are
correct?
I. The patient can be discharged on the same oral dose as he has been using
in an intravenous formulation.I
I. The patient is using linezolid long-term and this will put him at risk for a
low platelet count.II
I. Linezolid has good gram positive and good gram negative coverage, with
some coverage of anaerobes.I
V. The primary side effects the may experience are headache and diarrhea..
Answer: I, II & IV
◍ Lumigan, Latisse.
Answer: Bimatoprost Prostaglandin Analog (-prost) - increase aqueous
humor outflowI:- Lumigan: 0.01%, 0.03% opth sln - Glaucoma - Latisse:
0.03% opth sln - increase eyelash growth only** do NOT use both
, togetherD: 1 gtt into affected eye(s) QHSAE: blurred vision, stinging,
increase pigmentation of iris/eyelashes, eyelash growth/thickening, foreign
body sensationC:- may cause brown pigmentation in the iris, eyelashes,
eyelids, increase length & number of eyelashes. May happen in only the
treated eye.- Eye drops technique: -- lie down, tilt head backward, look up,
drop sln inside lower lid, to not touch the tip. -- wait >5 mins before
instilling another opth drug -- remove contact lenses prior to use, wait >15
mins before reinserting.
◍ Steglatro.
Answer: ertugliflozinSGLT2 inhibitor D: 5-15 mg QDC/I: eGFR < 30W:
Ketoacidosis, genital mycotic infections, urosepsis and pyelonephritis,
necrotizing fasciitis of the perineum, hypotension, acute kidney injury,
hyperkalemia, UTI▪ risk of intravascular volume depletion ↑ with diuretics,
RAAS inhibitors or NSAIDsADR: Weight loss, ↑urination, ↑thirst
◍ Diamox.
Answer: AcetazolamideMOA- Carbonic Anhydrase Inhibitorsun protection
and hydration are recommended- for Altitude sickness and motion sickness
--> 125 mg BID- CI: sulfa allergy
◍ Caplyta.
Answer: lumateperoneatypical antipsychotic SGA I: SchizoD: 42 mg
QDAE: somnolence, EPS
◍ A 44 year-old female presented to the Emergency Department with oliguria
x 4 days. She was admitted and diagnosed with a Staph aureus bacteremia.
She was initially treated with vancomycin, which was changed to
daptomycin (Cubicin) after four days due to a lack of clinical progress.
Which of the following statements concerning daptomycin are correct?
I. Creatinine phosphokinase (CPK) must be monitored with the use of this
agent.I
I. Daptomycin is compatible with dextrose only; do not administer in any
preparation containing saline.II
I. The INR can become elevated with the use of daptomycin.I
QUESTIONS WITH ANSWERS GRADED
A+
◍ Ancef, Kefzol.
Answer: Cefazolin (IV)- 1st generation ceph - cover Staph, strep ,PEK,
peptostreptococcus- D: 1-1.5 g Q8H- surgical prophylaxis- C/I in PCN type
1 allergyAE: seizure, GI upset, diarrhea, rash- IV refrigerated
◍ Ferate.
Answer: ferrous gluconate12% elemental iron
◍ FeroSul, Fer-In-Sol.
Answer: ferrous sulfate 20% elemental iron325mg (65) PO Qday -
TIDBBW: Accidental overdose: Fatal poisoning in children. Go to ER if
overdose even if asymptomatic.ADR: Constipation* (dose-related), dark &
tarry stools --> docusate to preventAntidote: deferoxamine (Desferal)
◍ Slow Fe, Slow Iron.
Answer: Ferrous sulfate, dried (30%)160mg (50) PO Qday - TIDBBW:
Accidental overdose: Fatal poisoning in children. Go to ER if overdose even
if asymptomatic.ADR: Constipation* (dose-related), dark & tarry stools -->
docusate to preventAntidote: deferoxamine (Desferal)
◍ Paul is a patient in the step-down unit. A basal metabolic panel is taken and
Paul is found to have a sodium level of 132 mEq/
L. His medications include levothyroxine, losartan, fluticasone,
chlorthalidone, Lamictal, Trileptal and Celexa. Which of the patient's
medications could be contributing to the low serum sodium level?.
Answer: Chlorthalidone, trileptal and celexa. Patients taking either
carbamazepine, oxcarbazepine, SSRIs or SNRIs and thiazide diuretics
, should have sodium checked, especially if symptoms of hyponatremia are
present. Hypothyroidism can cause hyponatremia, but not levothyroxine.
The most likely cause of low sodium levels is fluid loss.
◍ Ferretts, Ferrimin 150, Hemocyte.
Answer: ferrous fumarate 33% elemental ironBBW: Accidental overdose:
Fatal poisoning in children. Go to ER if overdose even if
asymptomatic.ADR: Constipation* (dose-related), dark & tarry stools -->
docusate to preventAntidote: deferoxamine (Desferal)
◍ Venofer.
Answer: iron sucrose (IV)BBW: Anaphylactic reactions
◍ Maureen is a 45 year-old female who takes the following medications:
clopidogrel 75 mg once daily, aspirin EC 81 mg once daily, Toprol XL 50
mg once daily and Nitrostat 0.4 mg 1 tablet SL PR
N. Maureen has a long history of schizoaffective disorder. She is not
currently taking any medication for this condition. Which of the following
options represents the safest choice in this patient?.
Answer: Seroquel because in this patient, it is best to avoid drugs with
higher QT prolongation risk due to the presence of co-existing coronary
artery disease.
◍ Which of the following antifungal agents is limited to one dose intravenous
(followed by oral dosing) with reduced renal function due to the
accumulation of a renally-cleared component in the IV formulation?.
Answer: Voriconazole, CrCl cutoff is 50 ml/min
◍ Feraheme.
Answer: Ferumoxytol (IV iron)
◍ Manuel has been discharged on linezolid 600 mg twice daily, to be taken at
home for 6 weeks. He should be counseled on the risk of this adverse effect,
which can occur with long-term use of linezolid:.
Answer: Myelosuppression and neuropathy
◍ A 19 year-old female patient has begun therapy with Atripla. This
, medication contains tenofovir. Which of the following statements
concerning tenofovir is correct?.
Answer: Tenofovir can damage the kidneys and it requires a reduced dosage
with renal insufficiency. It can cause Fanconi syndrome, weaken bone, and
can damage kidneys; it is necessary to monitor renal function when using
this drug.
◍ InFed.
Answer: iron dextran complexIV iron BBW: Anaphylactic reactions**
require test dose
◍ MEPHYTON, phytonadione.
Answer: Vitamin K tab, injWarfarin reversal agent1-10 mg po/iv-PO if INR
>10 no bleeding- IV if bleeding, any INRBW: anaphylaxis, hypersensitivity
rxn*** PROTECT FROM LIGHT*** no IM/SC
◍ Manuel is admitted to the orthopedic unit with an infected toe. The toe is
amputated. The surgeon reports that he is not sure how far up the bone the
infection has spread. He suggests that the patient be discharged on six weeks
of antibiotic therapy. He has been receiving linezolid 600 mg twice daily,
given by intravenous administration. Which of the following statements are
correct?
I. The patient can be discharged on the same oral dose as he has been using
in an intravenous formulation.I
I. The patient is using linezolid long-term and this will put him at risk for a
low platelet count.II
I. Linezolid has good gram positive and good gram negative coverage, with
some coverage of anaerobes.I
V. The primary side effects the may experience are headache and diarrhea..
Answer: I, II & IV
◍ Lumigan, Latisse.
Answer: Bimatoprost Prostaglandin Analog (-prost) - increase aqueous
humor outflowI:- Lumigan: 0.01%, 0.03% opth sln - Glaucoma - Latisse:
0.03% opth sln - increase eyelash growth only** do NOT use both
, togetherD: 1 gtt into affected eye(s) QHSAE: blurred vision, stinging,
increase pigmentation of iris/eyelashes, eyelash growth/thickening, foreign
body sensationC:- may cause brown pigmentation in the iris, eyelashes,
eyelids, increase length & number of eyelashes. May happen in only the
treated eye.- Eye drops technique: -- lie down, tilt head backward, look up,
drop sln inside lower lid, to not touch the tip. -- wait >5 mins before
instilling another opth drug -- remove contact lenses prior to use, wait >15
mins before reinserting.
◍ Steglatro.
Answer: ertugliflozinSGLT2 inhibitor D: 5-15 mg QDC/I: eGFR < 30W:
Ketoacidosis, genital mycotic infections, urosepsis and pyelonephritis,
necrotizing fasciitis of the perineum, hypotension, acute kidney injury,
hyperkalemia, UTI▪ risk of intravascular volume depletion ↑ with diuretics,
RAAS inhibitors or NSAIDsADR: Weight loss, ↑urination, ↑thirst
◍ Diamox.
Answer: AcetazolamideMOA- Carbonic Anhydrase Inhibitorsun protection
and hydration are recommended- for Altitude sickness and motion sickness
--> 125 mg BID- CI: sulfa allergy
◍ Caplyta.
Answer: lumateperoneatypical antipsychotic SGA I: SchizoD: 42 mg
QDAE: somnolence, EPS
◍ A 44 year-old female presented to the Emergency Department with oliguria
x 4 days. She was admitted and diagnosed with a Staph aureus bacteremia.
She was initially treated with vancomycin, which was changed to
daptomycin (Cubicin) after four days due to a lack of clinical progress.
Which of the following statements concerning daptomycin are correct?
I. Creatinine phosphokinase (CPK) must be monitored with the use of this
agent.I
I. Daptomycin is compatible with dextrose only; do not administer in any
preparation containing saline.II
I. The INR can become elevated with the use of daptomycin.I
