CSP Pharmacy Practice Test verified answers

CSP Pharmacy Practice Test verified answers A patient is started on Humira for HS. How should the patient be dosed? a) 40 mg SC every 2 weeks b) 160 mg SC once, then 80 mg on day 15, then 40 mg weekly on day 29 c) 160 mg SC once, then 80 mg on day 15, then 40 mg every 2 weeks on day 29 d) 80 mg SC once, then 40 mg every 2 weeks starting on day 8 - b) 160 mg SC once, then 80 mg on day 15, then 40 mg weekly on day 29 Which biologic therapy is indicated to treat CAPS and FMF? a) Actemra b) Otezla c) Spevigo d) Ilaris - d) Ilaris A patient is being treated for CD with Tysabri infusions. At what point should therapy be discontinued if no benefit is observed? a) 12 weeks b) 8 weeks c) 6 weeks d) 14 weeks - a) 12 weeks JK is a 50 year old male with past medical history of diabetes, seizure, arrhythmia, and prostate cancer. He was diagnosed with rheumatoid arthritis and his provider is starting him on Rituxan. What monitoring is required during infusion? a) cardiac monitoring b) IPIR c) bleed monitoring d) anaphylaxis - a) cardiac monitoring Which of the following medications has a boxed warning for myelosuppression? a) Actemra b) Otrexup c) Rituxan d) Lupkynis - b) Otrexup Which of the following conditions is Xeljanz FDA-approved to treat? a) JIA b) Chrohn's Disease c) Psoriatic arthritis d) nr-axSpA - c) Psoriatic arthritis A 45-year-old female patient (height: 5' 9", weight: 58 kg) is starting on Skyrizi for management of CD? a) 45 mg SC at weeks 0 and 4, then every 12 weeks b) 390 mg IV once, then 90 mg SC every 8 weeks c) 600 mg IV at weeks 0, 4, 8, then 180-360 mg SC every 8 weeks starting week 12 d) 150 mg SC at weeks 0 and 4, then every 12 weeks - c) 600 mg IV at weeks 0, 4, 8, then 180-360 mg SC every 8 weeks starting week 12 Which of the following medications carries a risk for suicidal ideation? a) Taltz b) Adbry c) Arcalyst d) Otezla - d) Otezla A patient who was recently diagnosed with ankylosing spondylitis is initiating therapy but he would like to trial a therapy with the least frequent injections. Which of the follow subcutaneous therapies do you recommend? a) Simponi b) Actemra c) Siliq d) Benlysta - a) Simponi Which of the following is true of the JAK inhibitors? a) They are first-line treatment for conditions such as rheumatoid arthritis and psoriatic arthritis b) All of the oral JAK inhibitors carry the risk of leaving an inert shell in the stool c) They require an EKG as part of baseline monitoring d) They should be avoided at different hemoglobin cut-offs - d) They should be avoided at different hemoglobin cut-offs Which of the following medications carries a boxed warning for anaphlaxis? a) Rituxan b) Rasuvo c) Xolair d) Entyvio - c) Xolair Which class of medications does Arcalyst belong to? a) TNF inhibitors b) IL-23 inhibitors c) IL-17 inhibitors d) IL-1 inhibitors - d) IL-1 inhibitors How is Taltz dosed in the treatment of plaque psoriasis for a 30 year old (height: 6' weight: 150 pound) man? a) 300 mg SC weekly for 5 weeks, then 300 mg every month b) 600 mg SC once, followed by 300 mg every 2 weeks c) 160 mg SC once, followed by 80 mg at weeks2, 4, 6, 8, 10, 12, and then 80 mg every 4 weeks d) 150 mg SC at weeks 0 and 4, then every 12 weeks - c) 160 mg SC once, followed by 80 mg at weeks2, 4, 6, 8, 10, 12, and then 80 mg every 4 weeks How is Cosentyx dosed in someone with psoriatic psoriasis as well as moderate plaque psoriasis? a) 150 mg SC weekly for 5 weeks, then 150 mg every month b) 160 mg SC once, then 80 mg every 4 weeks c) 150 mg SC weekly for 5 weeks, then 300 mg every month d) 300 mg SC weekly for 5 weeks, then 300 mg every month - d) 300 mg SC weekly for 5 weeks, then 300 mg every month What is the dosing for Stelara for treatment of plaque psoriasis? a) 4-8 mg/kg IV every 4 weeks b) if 100 kg or under, then 45 mg SC at weeks 0 and 4, then every 12 weeks. if over 100 kg, 90 mg SC at weeks 0 and 4, then every 12 weeks. c) 300 mg IV at weeks 0, 2, and 6, then every 8 weeks d) 600 mg at weeks 0, 4, and 8, then 180-360 mg every 8 weeks starting on week 12 - b) if 100 kg or under, then 45 mg SC at weeks 0 and 4, then every 12 weeks. if over 100 kg, 90 mg SC at weeks 0 and 4, then every 12 weeks. Which class of medications should be avoided in a patient with a history of diverticulitis due to risk of GI perforation? a) IL-17 inhibitors b) IL-6 inhibitors c) IL-1 inhibitors d) IL-23 inhibitors - b) IL-6 inhibitors A patient calls because they are concerned that they have left their Cosentyx out at room temperature for 48 hours. What do you tell them? a) Cosentyx is only stable at room temperature for 24 hours. They should dispose the medication. b) Cosentyx is stable at room temperature for 2 weeks, it is okay to continue with their injection if the injection is due within the next 12 days c) Cosentyx is stable at room temperature for 4 days, it is okay to continue with their inje