CSP Exam Test Specialty Pharmacy
PDC calculation - Correct Answer-(# of unique days with supply / number of days in a
period) x 100
Jak inhibitor - Correct Answer-Xeljanz (tofacitinib)
Cholesterol-elevating medication - Correct Answer-Actemra (toclizumab)
Shingles vaccine safe with TNF inhibitors - Correct Answer-Shingrix
Neutropenia risk - Correct Answer-Taltz (ixekizumab)
Psoriasis medication without tuberculosis screening - Correct Answer-Otezla
(apremilast)
Standard starting dose for Taltz (ixekizumab) in psoriatic arthritis - Correct Answer-
160mg subcutaneously once, followed by 80mg subcutaneously every 4 weeks
Medication recommendation for severe dermatitis in a 45 y/o patient - Correct Answer-
Dupixent (dupilumab)
Starting dose for Stelara (ustekinumab) in psoriasis - Correct Answer-Inject 45 mg
subcutaneously at weeks 0 and 4, followed by 45 mg every 12 weeks
Oral oncology medication without caution in hepatic impairment - Correct Answer-
Ibrance (palbociclib)
Non-side effect of Zytiga (abiraterone acetate) - Correct Answer-Mucositis
Smoking effect on Tarceva (erlotinib) levels - Correct Answer-Smoking decreases
Tarceva levels and the medication will be less effective if he continues to smoke
Oral oncology agents taken with food - Correct Answer-Xeloda (capecitabine) and
Temodar (temozolomide)
Recommended oncology treatment for metastatic HER 2+ breast cancer - Correct
Answer-Tykerb (lapatinib) in combination with Xeloda (capecitabine)
, Incorrect oral chemotherapy cycle - Correct Answer-Afinitor (everolimus) 10mg daily for
21 days, then 7 days off
Grapefruit and grapefruit juice interaction with oral chemotherapy - Correct Answer-
Zytiga (abiraterone acetate)
Transition from Exjade (deferasirox) to Jadenu (deferasirox) - Correct Answer-The
Jadenu dose should be started at a dosage 30% less than current Exjade dose
Oral antiandrogen for metastatic castration-resistant prostate cancer - Correct Answer-
Xtandi (enzalutamide) 160mg once daily
Celgene product not requiring REMS enrollment - Correct Answer-Ninlaro (ixazomib)
FDA-approved indication for renal cell carcinoma - Correct Answer-Mekinist (trametinib)
Black box warning for arterial thrombosis - Correct Answer-Iclusig (ponatinib)
Interaction between Tasigna and fluconazole - Correct Answer-Fluconazole may
increase Tasigna concentrations and is contraindicated
Dose recommendation for Temodar (temozolomide) with BSA of 1.67m2 - Correct
Answer-250.5mg (rounded down to 250mg capsule) - 1 capsule PO qday x 5 days of a
28 day cycle
Treatment for chronic phase Philadelphia chromosome positive CML - Correct Answer-
Mayvret (glecaprevir/pibrentasvir)
Treatment for hepatitis C with prior exposure to hepatitis B - Correct Answer-Complete
the medication education as usual and contact the prescriber to verify they will be
monitoring for HBV reactivation before shipping the order
Hepatitis C medication contraindicated in decompensated cirrhosis - Correct Answer-
Vosevi (velpatasvir/sofosbuvir/voxilaprevir)
Taking omeprazole with Vosevi - Correct Answer-Vosevi should be taken
simultaneously with omeprazole 20mg daily with food
HIV treatment initiation recommendation - Correct Answer-All patients, regardless of
CD4 count, are recommended for treatment
Standard of care for HIV treatment - Correct Answer-The standard of care includes
three active antiretroviral agents from two classes
Live vaccines not contraindicated in patients with CD4+ count <200 cells/mm3 - Correct
Answer-Hepatitis A
PDC calculation - Correct Answer-(# of unique days with supply / number of days in a
period) x 100
Jak inhibitor - Correct Answer-Xeljanz (tofacitinib)
Cholesterol-elevating medication - Correct Answer-Actemra (toclizumab)
Shingles vaccine safe with TNF inhibitors - Correct Answer-Shingrix
Neutropenia risk - Correct Answer-Taltz (ixekizumab)
Psoriasis medication without tuberculosis screening - Correct Answer-Otezla
(apremilast)
Standard starting dose for Taltz (ixekizumab) in psoriatic arthritis - Correct Answer-
160mg subcutaneously once, followed by 80mg subcutaneously every 4 weeks
Medication recommendation for severe dermatitis in a 45 y/o patient - Correct Answer-
Dupixent (dupilumab)
Starting dose for Stelara (ustekinumab) in psoriasis - Correct Answer-Inject 45 mg
subcutaneously at weeks 0 and 4, followed by 45 mg every 12 weeks
Oral oncology medication without caution in hepatic impairment - Correct Answer-
Ibrance (palbociclib)
Non-side effect of Zytiga (abiraterone acetate) - Correct Answer-Mucositis
Smoking effect on Tarceva (erlotinib) levels - Correct Answer-Smoking decreases
Tarceva levels and the medication will be less effective if he continues to smoke
Oral oncology agents taken with food - Correct Answer-Xeloda (capecitabine) and
Temodar (temozolomide)
Recommended oncology treatment for metastatic HER 2+ breast cancer - Correct
Answer-Tykerb (lapatinib) in combination with Xeloda (capecitabine)
, Incorrect oral chemotherapy cycle - Correct Answer-Afinitor (everolimus) 10mg daily for
21 days, then 7 days off
Grapefruit and grapefruit juice interaction with oral chemotherapy - Correct Answer-
Zytiga (abiraterone acetate)
Transition from Exjade (deferasirox) to Jadenu (deferasirox) - Correct Answer-The
Jadenu dose should be started at a dosage 30% less than current Exjade dose
Oral antiandrogen for metastatic castration-resistant prostate cancer - Correct Answer-
Xtandi (enzalutamide) 160mg once daily
Celgene product not requiring REMS enrollment - Correct Answer-Ninlaro (ixazomib)
FDA-approved indication for renal cell carcinoma - Correct Answer-Mekinist (trametinib)
Black box warning for arterial thrombosis - Correct Answer-Iclusig (ponatinib)
Interaction between Tasigna and fluconazole - Correct Answer-Fluconazole may
increase Tasigna concentrations and is contraindicated
Dose recommendation for Temodar (temozolomide) with BSA of 1.67m2 - Correct
Answer-250.5mg (rounded down to 250mg capsule) - 1 capsule PO qday x 5 days of a
28 day cycle
Treatment for chronic phase Philadelphia chromosome positive CML - Correct Answer-
Mayvret (glecaprevir/pibrentasvir)
Treatment for hepatitis C with prior exposure to hepatitis B - Correct Answer-Complete
the medication education as usual and contact the prescriber to verify they will be
monitoring for HBV reactivation before shipping the order
Hepatitis C medication contraindicated in decompensated cirrhosis - Correct Answer-
Vosevi (velpatasvir/sofosbuvir/voxilaprevir)
Taking omeprazole with Vosevi - Correct Answer-Vosevi should be taken
simultaneously with omeprazole 20mg daily with food
HIV treatment initiation recommendation - Correct Answer-All patients, regardless of
CD4 count, are recommended for treatment
Standard of care for HIV treatment - Correct Answer-The standard of care includes
three active antiretroviral agents from two classes
Live vaccines not contraindicated in patients with CD4+ count <200 cells/mm3 - Correct
Answer-Hepatitis A
