1. According to the Narcotic Control Regulations of the Controlled Drugs and
Substances Act, which of the following practitioners may prescribe narcotic
drugs?
a. Midwives
b. Chiropractors
c. Osteopaths
d. Pharmacists Ans✓✓✓ A
10. Which of the following is the national voluntary organization for advocacy of
pharmacists and patient care?
a. Canadian Pharmacists Association
b. Canadian Patient Safety Institute
c. Institute for Safe Medication Practices
d. National Association of Pharmacy Regulatory Authorities Ans✓✓✓ a
101. Which of FN's medications may worsen her Parkinson's diseases?
a. Risperidone
b. Donepezil
c. Ramipril
d. Calcium citrate Ans✓✓✓ a
103. Which of the following provides the smallest, correct volume of amoxicillin
suspension needed for each dose of this prescription?
,a. 3.75 mL of amoxicillin 125 mg/5 mL
b. 7.5 mL of amoxicillin 125 mg/5 mL
c. 3.75 mL of amoxicillin 250 mg/5 mL
d. 7.5 mL of amoxicillin 250 mg/5 mL Ans✓✓✓ c
11. According to Health Canada, a pharmacist administering a vaccine must
document which of the following information in the patient's record of
vaccination?
a. Date of birth
b. List of other medications
c. Post-immunization adverse effects
d. Drug allergies Ans✓✓✓ c
12. RY is an 85 year old male who lives alone and currently takes 12 different
medications. For the past 2 weeks he has telephoned to ask the pharmacist what
dose of diuretic he should be taking (this medication looks similar to another
tablet that he takes). He calls again today with the same question. After
answering his question, the most appropriate pharmacist action should be to:
a. call RY's family doctor to suggest changing the diuretic to something that looks
different.
b. suggest that RY have the labels on his prescription bottles changed to a bigger
font for easier reading.
c. recommend that the pharmacy use a blister packaging dosette to dispense RY's
medications.
,d. suggest that RY write down the answer to his question so that he does not
need to phone again. Ans✓✓✓ c
13. JQ is a 67 year old male with type 2 diabetes that is controlled with insulin.
Today, JQ's wife calls the pharmacist to inquire what to do regarding JQ's very low
blood glucose reading (2.8 mmol/L). She also notes that he seems to be confused.
JQ's wife should be instructed to:
a. take JQ immediately to the nearest emergency department.
b. have JQ eat a carbohydrate-rich meal and retest in 1 hour.
c. give JQ a 15-20 gram glucose supplement and retest in 15 minutes.
d. retest JQ's blood glucose level in 1 hour and phone back if it remains low.
Ans✓✓✓ c
14. RF is an 80 year old female who developed CDAD (Clostridium difficile-
associated diarrhea) after recent treatment of a urinary tract infection with
ciprofloxacin. She is admitted to hospital with severe symptoms including
profound diarrhea (8 watery bowel movements per day), severe abdominal pain,
fever (39°C) and confusion. Based on her symptoms, which of the following is the
most appropriate therapy choice for her?
a. Oral fidaxomicin
b. Oral metronidazole plus intravenous vancomycin
c. Oral cholestyramine
d. Oral vancomycin plus intravenous metronidazole Ans✓✓✓ d
15. CC, a 72 year old female, complains to the pharmacist that her stomach has
been bothering her recently. Current medications include: levothyroxine 0.1 mg
, po daily (x 30 years), acetaminophen 500 mg po qid (x 5 months), atorvastatin 40
mg po hs (x 4 years), ibuprofen 400 mg po tid prn for joint pain (x 2 months) and
zopiclone 3.75 mg po hs prn (x 3 months). Which of the following drug therapy
problems is most likely contributing to CC's recent symptoms?
a. Too high a dosage of atorvastatin
b. Too high a dosage of zopiclone
c. Use of ibuprofen without gastroprotection
d. Drug interaction between atorvastatin and zopiclone Ans✓✓✓ c
16. AM has been taking bupropion XL 300 mg po daily for four months for the
treatment of depression and reports to the pharmacist that he is not experiencing
any improvement in his symptoms. After the pharmacist consults with the
prescriber, it is decided to change his medication to citalopram 20 mg po daily.
Which of the following is the recommended method for making this switch in
antidepressant therapy?
a. Stop bupropion and start citalopram 20 mg daily the next day.
b. Stop bupropion and wait 7 days before starting citalopram 20 mg daily.
c. Taper bupropion over 7 days and then start citalopram 20 mg daily.
d. Start citalopram 20 mg daily and then taper bupropion dose over 7 days.
Ans✓✓✓ c
17. The pharmacist fills a prescription for sumatriptan 100 mg tablets for a patient
with migraine. Appropriate information to provide to the patient includes which
of the following?