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1. Which of the following are appropriate pa- Common side effects include
tient counseling points for the Combivent cough and dry mouth.
Respimat? (Select ALL that apply.) B
To take an inhalation, turn
the base, open the cap, and
press the dose-release but-
ton.
Take 1 inhalation four times
daily.
2. A pharmacist receives a prescription for Bacterial conjunctivitis
Ciloxan. Which of the following conditions
is Ciloxan used to treat?
3. A patient picks up a new prescription for If an OTC analgesic is need-
tacrolimus capsules from the pharmacy. ed, it is best to use an NSAID
Which of the following points should not be such as Advil.
included in the counseling session?
4. What is the mechanism of action of Arix- Synthetic pentasaccharide
tra? that binds to antithrombin to
selectively inhibit Factor Xa
5. Which of the following statements is cor- She needs a rescue inhaler
rect regarding DB's home asthma regi- added to her regimen.
men? (Select ALL that apply.) B
Serevent Diskus increases
the risk of asthma-related
deaths if used alone.
6. What is the best action to take regarding Repeat the laboratory test;
DB's serum phosphorus? this finding is not consistent
with the patient's medical his-
tory or medications.
7. By Day #2 of her visit, DB's oxygen satura- 75
tion has gradually improved and her physi-
cian has asked the pharmacist to convert
her SoluMedrol to the equivalent dose of
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oral prednisone. What is the equivalent dai-
ly dose of oral prednisone in milligrams?
(Answer must be numeric; no units or com-
mas; round the final answer to the nearest
WHOLE number.)
8. DB is discharged on Advair Diskus 250/50 Advair Diskus can cause
mcg 1 inhalation BID and ProAir HFA 90 thrush; she should rinse her
mcg 2 inhalations Q4H PRN. Which of the mouth and throat and spit out
following counseling points are correct? after each inhalation.
(Select ALL that apply.) C
ProAir HFA can cause ner-
vousness and palpitations.
D
She should use a peak flow
meter and seek medical at-
tention if she is in the red
zone, even if she feels fine.
E
There are 200 inhalations in
each ProAir HFA inhaler.
9. The pharmacist and diabetic educator meet 20
with DB. Her insurance covers long-acting
and rapid-acting insulin pens and DB is
excited to gain better control of her dia-
betes. How many units of Levemir is equiv-
alent to her current daily dose of NPH?
(Answer must be numeric; no units or com-
mas; round the final answer to the nearest
WHOLE number.)
10. DB is discharged on a new insulin regimen Levemir 42 days, Apidra 28
consisting of Levemir and Apidra pens. days
How long are these pens stable at room
temperature when in use?
11. What type of information can be found in Average wholesale price
The Red Book?
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12. Which of the following bacterial organisms Acinetobacter
is not covered by ertapenem?
13. What should the pharmacist tell the nurse Answer
regarding intravenous administration of
phenytoin in TU? (Select ALL that apply.) A
Phenytoin IV is only compati-
ble with normal saline.
B
Intravenous phenytoin can
cause arrhythmias if it is in-
fused too quickly.
C
Phenytoin IV, once prepared,
is only stable for 4 hours.
The maximum infusion rate is
50 milligrams per minute.
14. What are the components of Atripla? Emtricitabine, efavirenz,
tenofovir
15. Which of the following potential drug in- Phenytoin is an enzyme in-
teractions should the pharmacist alert the ducer and may decrease the
medical team about? (Select ALL that ap- effects of the HIV medication.
ply.)
Tube feedings will decrease
phenytoin absorption; they
should be held before and af-
ter phenytoin administration.
16. On 9/19, TU's total serum phenytoin con- The serum phenytoin con-
centration result is 8 mcg/mL. Which of the centration is likely higher than
following is a correct statement? reported; a corrected value
should be calculated.
17. JF is 76 year-old woman who will be start- Using long-acting oral for-
ing darifenacin (Enablex) for overactive mulations, topical gels or
bladder. Which statement below is correct patches can help reduce dry
mouth.