EDPNA FINAL TEST 2026 QUESTIONS
WITH CORRECT ANSWERS GRADED
A+
◍ Dependent authority to prescribe.
Answer: Certified nurse-midwife, nurse practitioner, physician assistant
◍ Independent and Dependent authority.
Answer: Pharmacists (can do these tasks independently): EC, self
administered hormonal contraception, travel medicine recommended by the
CDC NOT requiring a diagnosis, routine immunizations recommended by
the CDC for 3+ years old, naloxone, prescription NRT
◍ Lamictal Starter Kits & starting dose.
Answer: Orange - Standard - 25mg/dayfeeling "BLUE" = start lower dose if
used with valproic acid - 25mg QODGREEN means "go" = higher dose if
used with inducers - 50mg/dayInducers: CBZ, PHT, Pb, primidone,
rifampin, lopinavir/ritonavirVPA: inhibits lamotrigine metabolism, ↑ risk of
rash - slower/lower titration
◍ Calcium elemental contents/admin.
Answer: Ca Carbonate (40% elemental) - Take WF Os-Cal, Tums,
Caltrate, OyscoCa Citrate (21% elemental) w/ or w/o food Calcitrate,
Citracal
◍ Independent and Dependent Authority.
Answer: Naturopathic Doctors (can do these tasks independently):
Epinephrine to treat anaphylaxis, Hormones, Vitamins, minerals, AA,
glutathione, botanicals, and their extracts, homeopathic medicines,
electrolytes, sugars, and diluents, only when such substances are available
withOUT a prescription, NDF prefix is a part of their license number.
,◍ Requirements to be a pharmacists.
Answer: Greater than or equal to 18 YO, graduated from an ACPE
accredited school of pharmacy or be a graduate of a foreign school of
pharmacy and be certified by the NABP's foreign pharmacy graduate
examination committee, completed 150 hours of college credit (90h from a
pharmacy school), or have received at least a baccalaureate degree in a
course of study devoted to pharmacy. Completed 1500 hours of pharmacy
practice experience (900h must be completed in a pharmacy (intern
pharmacists graduating from an ACPE accredited school of pharmacy after
1/1/16 are deemed to have met the hour requirement), pass a criminal
background check,
◍ Alzheimers AChE inhibitors.
Answer: Donepezil (Aricept)Rivastigmine (Exelon)Galantamine
(Razadyne)Tacrine (Cognex)
◍ Optometrist Prescribing.
Answer: Independent authority, limited to scope of practice. Certified with
the Board of Optometry to prescribe drugs, these prescribers will have "T"
at the END of thier license number. For codeine containing or hydrocodone
containing products--there is a max 3 day supply.
◍ How to identify a Dry Powder Inhaler.
Answer: Diskus, Ellipta, Pressair, Handihaler, Neohaler, RespiClick,
FlexhalerQuick & forceful inhalation (no need to press anything)Spacers
cannot be used, drug is delivered by the breath so no coordination is
needed.Do not shakeNo priming except for Flexhaler (prior to 1st use)
◍ Drug classes that generally require a MedGuide.
Answer: Antidepressants, antipsychotics, anticonvulsants, LONG ACTING
BETA AGONISTS, most antiarrhythmics, and NSAIDS
◍ Patient Package Inserts.
Answer: Patient package inserts (PPIs) are dispensed with
estrogen-containing products
,◍ How to identify a metered dose inhalerHow many doses do most albuterol
inhalers contain?.
Answer: HFA, Respimat or no suffix (e.g. Alvesco)Slow deep inhalation at
the same time as pressing the canister to deliver the doseSpacer can be
usedShake well in most cases, except:--QVAR RediHaler, Alvesco,
RespimatMost albuterol inhalers contain 200 actuations
◍ Moral Convictions.
Answer: A pharmacy can refuse to hire someone that chooses not to
dispense medications based on moral convictions
◍ Reconstitution Systems.
Answer: ADD-Vantage system, Mini-bag plus system, addEASE
◍ Not considered compounding in CA.
Answer: Reconstituting a drug, according to the manufacturer's directions,
splitting tablets, adding a flavoring agent to an existing drug project in order
to enhance palatability.
◍ Traditional compounding drugs.
Answer: Do not need to comply with the FDA's current good manufacturing
practices (CGMPs), they do not need to provide labeling with adequare
directions for use, and they do not need to omplete a New Drug Application
in order to have the end product FDA approved.
◍ If vomiting within 2 hours of taking Plan B One Step.
Answer: Consider repeating the dose
◍ Nuvaring.
Answer: If the ring is removed, or falls out, it should be inserted back within
3 hours in order to retain effectiveness. Can be stored at room temperature
for 4 months
◍ Xulane.
Answer: The transdermal patch (Xulane) may less effective in women > 90
kg
, ◍ Aceon.
Answer: Aceon is brand name for perindopril.
◍ Antihypertensives available for IV injection.
Answer: EsmololLabetalolMetoprololPropranololChlorothiazideEnalaprilatClevidipi
◍ Demadex.
Answer: Torsemide
◍ Which beta blockers have shown ↓ mortality in HFrEF?.
Answer: Metoprolol succinate (Toprol XL)Carvedilol (Coreg)Bisoprolol
(Zabeta)
◍ Tagamet.
Answer: Cimetidine
◍ Amolidipine/Simvastatin.
Answer: Simvastatin cannot exceed 20 mg/d when combined with
amlodipine
◍ Capsofungin.
Answer: (Cancidas)
◍ Epinephrine (EpiPen) Dosing & Administration.
Answer: Available as 1 mg/mL epinephrine - IM for anaphylaxisAdults:
0.3mgPediatrics 15-30kg: 0.15mgInject into the middle of the outer thigh at
a 90° angleHold needle firmly in place on thigh for 3 sec Remove needle
and massage area for 10 sec*It is normal to see liquid remaining in the
autoinjector device after injection.Refrigeration is not requiredAll products
can be administered through clothingCall for emergency helpA 2nd dose
can be administered in the opposite leg if needed (within 5-15 min) prior to
arrival of medical help
◍ Blood pressure medications that should be taken with or immediately
following food.
Answer: Metoprolol Tartrate (IR)Carvedilol (IR/CR)
◍ Which meds contain abacavir?.
WITH CORRECT ANSWERS GRADED
A+
◍ Dependent authority to prescribe.
Answer: Certified nurse-midwife, nurse practitioner, physician assistant
◍ Independent and Dependent authority.
Answer: Pharmacists (can do these tasks independently): EC, self
administered hormonal contraception, travel medicine recommended by the
CDC NOT requiring a diagnosis, routine immunizations recommended by
the CDC for 3+ years old, naloxone, prescription NRT
◍ Lamictal Starter Kits & starting dose.
Answer: Orange - Standard - 25mg/dayfeeling "BLUE" = start lower dose if
used with valproic acid - 25mg QODGREEN means "go" = higher dose if
used with inducers - 50mg/dayInducers: CBZ, PHT, Pb, primidone,
rifampin, lopinavir/ritonavirVPA: inhibits lamotrigine metabolism, ↑ risk of
rash - slower/lower titration
◍ Calcium elemental contents/admin.
Answer: Ca Carbonate (40% elemental) - Take WF Os-Cal, Tums,
Caltrate, OyscoCa Citrate (21% elemental) w/ or w/o food Calcitrate,
Citracal
◍ Independent and Dependent Authority.
Answer: Naturopathic Doctors (can do these tasks independently):
Epinephrine to treat anaphylaxis, Hormones, Vitamins, minerals, AA,
glutathione, botanicals, and their extracts, homeopathic medicines,
electrolytes, sugars, and diluents, only when such substances are available
withOUT a prescription, NDF prefix is a part of their license number.
,◍ Requirements to be a pharmacists.
Answer: Greater than or equal to 18 YO, graduated from an ACPE
accredited school of pharmacy or be a graduate of a foreign school of
pharmacy and be certified by the NABP's foreign pharmacy graduate
examination committee, completed 150 hours of college credit (90h from a
pharmacy school), or have received at least a baccalaureate degree in a
course of study devoted to pharmacy. Completed 1500 hours of pharmacy
practice experience (900h must be completed in a pharmacy (intern
pharmacists graduating from an ACPE accredited school of pharmacy after
1/1/16 are deemed to have met the hour requirement), pass a criminal
background check,
◍ Alzheimers AChE inhibitors.
Answer: Donepezil (Aricept)Rivastigmine (Exelon)Galantamine
(Razadyne)Tacrine (Cognex)
◍ Optometrist Prescribing.
Answer: Independent authority, limited to scope of practice. Certified with
the Board of Optometry to prescribe drugs, these prescribers will have "T"
at the END of thier license number. For codeine containing or hydrocodone
containing products--there is a max 3 day supply.
◍ How to identify a Dry Powder Inhaler.
Answer: Diskus, Ellipta, Pressair, Handihaler, Neohaler, RespiClick,
FlexhalerQuick & forceful inhalation (no need to press anything)Spacers
cannot be used, drug is delivered by the breath so no coordination is
needed.Do not shakeNo priming except for Flexhaler (prior to 1st use)
◍ Drug classes that generally require a MedGuide.
Answer: Antidepressants, antipsychotics, anticonvulsants, LONG ACTING
BETA AGONISTS, most antiarrhythmics, and NSAIDS
◍ Patient Package Inserts.
Answer: Patient package inserts (PPIs) are dispensed with
estrogen-containing products
,◍ How to identify a metered dose inhalerHow many doses do most albuterol
inhalers contain?.
Answer: HFA, Respimat or no suffix (e.g. Alvesco)Slow deep inhalation at
the same time as pressing the canister to deliver the doseSpacer can be
usedShake well in most cases, except:--QVAR RediHaler, Alvesco,
RespimatMost albuterol inhalers contain 200 actuations
◍ Moral Convictions.
Answer: A pharmacy can refuse to hire someone that chooses not to
dispense medications based on moral convictions
◍ Reconstitution Systems.
Answer: ADD-Vantage system, Mini-bag plus system, addEASE
◍ Not considered compounding in CA.
Answer: Reconstituting a drug, according to the manufacturer's directions,
splitting tablets, adding a flavoring agent to an existing drug project in order
to enhance palatability.
◍ Traditional compounding drugs.
Answer: Do not need to comply with the FDA's current good manufacturing
practices (CGMPs), they do not need to provide labeling with adequare
directions for use, and they do not need to omplete a New Drug Application
in order to have the end product FDA approved.
◍ If vomiting within 2 hours of taking Plan B One Step.
Answer: Consider repeating the dose
◍ Nuvaring.
Answer: If the ring is removed, or falls out, it should be inserted back within
3 hours in order to retain effectiveness. Can be stored at room temperature
for 4 months
◍ Xulane.
Answer: The transdermal patch (Xulane) may less effective in women > 90
kg
, ◍ Aceon.
Answer: Aceon is brand name for perindopril.
◍ Antihypertensives available for IV injection.
Answer: EsmololLabetalolMetoprololPropranololChlorothiazideEnalaprilatClevidipi
◍ Demadex.
Answer: Torsemide
◍ Which beta blockers have shown ↓ mortality in HFrEF?.
Answer: Metoprolol succinate (Toprol XL)Carvedilol (Coreg)Bisoprolol
(Zabeta)
◍ Tagamet.
Answer: Cimetidine
◍ Amolidipine/Simvastatin.
Answer: Simvastatin cannot exceed 20 mg/d when combined with
amlodipine
◍ Capsofungin.
Answer: (Cancidas)
◍ Epinephrine (EpiPen) Dosing & Administration.
Answer: Available as 1 mg/mL epinephrine - IM for anaphylaxisAdults:
0.3mgPediatrics 15-30kg: 0.15mgInject into the middle of the outer thigh at
a 90° angleHold needle firmly in place on thigh for 3 sec Remove needle
and massage area for 10 sec*It is normal to see liquid remaining in the
autoinjector device after injection.Refrigeration is not requiredAll products
can be administered through clothingCall for emergency helpA 2nd dose
can be administered in the opposite leg if needed (within 5-15 min) prior to
arrival of medical help
◍ Blood pressure medications that should be taken with or immediately
following food.
Answer: Metoprolol Tartrate (IR)Carvedilol (IR/CR)
◍ Which meds contain abacavir?.
