AD HAAD Pharmacy Exam: Sabeer Nasri
Doc UPDATED Actual Exam Questions
and CORRECT Answers
Long case of Afro-Caribbean patient. He had severe ankle swelling. Which of the following
drug cause this condition
a. Nifedipine
b. Losartan
c. Metoprolol
d. spiranolacon - CORRECT ANSWER- ✔✔Nifedipine
Lexicomp: Cardiovascular: Flushing (IR: 25%; ER: <3%), peripheral edema (4% to 30%).
google: Some swelling of the feet and ankles occurs in almost half the people who take
calcium channel blockers
which condition nasal spray of steroid is contraindicated
a. deviated septum
b. post nasal surgery
c. rhinitis
d. nasal infection - CORRECT ANSWER- ✔✔post nasal surgery
Which drug can cause agranulocytosis:
a. Levothyroxine
b. Pyrimethamine
c. .......
d. ......
(Cytarabin not in my option) - CORRECT ANSWER- ✔✔Pyrimethamine
Found Facts:
- A serious condition that occurs when there is an extremely low number of granulocytes (a
type of white blood cell) in the blood.
-A variety of drugs can cause acquired agranulocytosis and neutropenia by destroying special
cells in the bone marrow that later mature and become granulocytes (precursors). These drugs
include phenytoin, pyrimethamine, methotrexate, and cytarabine.
,-Pyrimethamine, sold under the brand name Daraprim among others, is a medication used
with leucovorin to treat the parasitic diseases toxoplasmosis and cystoisosporiasis. It is also
used with dapsone as a second-line option to prevent Pneumocystis jiroveci pneumonia in
people with HIV/AIDS.
- Cytarabine (Conventional) (Lexi-Drugs):Antineoplastic Agent, Antimetabolite;
Antineoplastic Agent, Antimetabolite (Pyrimidine Analog)
-The following are the medications commonly involved with agranulocytosis:
Cancer chemotherapies.
Analgesic and anti-inflammatory (gold, naproxen, and penicillamine)
Anti-thyroid (carbimazole, propylthiouracil)[2][3]
Anti-arrhythmics (quinidine, procainamide)
Anti-hypertensives (captopril, enalapril, nifedipine)
Mother came with child having symptoms (nausea & vomiting blood). Test results showed he
had metabolic acidosis. Which of the following is the cause: a. Acetaminophen
b. Aspirin
c. Iron
d. Ascorbic acid - CORRECT ANSWER- ✔✔b. Aspirin
-Aspirin causes high anion gap metabolic acidosis and respiratory alkalosis. The high anion
gap comes from the addition of salicylic acid as well as the generation of lactic acid (due to
uncoupling of oxidative phosphorylation causing anaerobic respiration
-Lexicomp: Endocrine & metabolic: Dehydration, hyperglycemia, hyperkalemia,
hypoglycemia (children), increased thirst, metabolic acidosis
Patient using hyaluronate ophthalmic drug for 5 months now. Its expiration date is on
December 25th. what you will advise the patient:
a. Discard since it is opened for 28 days
b. Continue using since it did not complete 6 months and it is not expired
c. Discard although it is not expired - CORRECT ANSWER- ✔✔Given answer: Continue
using since it did not complete 6 months and it is not expired
Found facts:
-HYLO-FORTE® Preservative Free and Phosphate Free
can be used for 6 months after opening. The bottle must be discarded after 6 months use.
, -Composition: 1 ml HYLO-FORTE® contains 2 mg sodium hyaluronate, citric acid
anhydrous, sodium citrate, sorbitol and water for injections.
-What is HYLO-FORTE® used for? HYLO-FORTE® is an eye drop for the intensive and
therapeutic lubrication of the ocular surface in more severe and persistent dry eye sensation
including treatment after surgical procedures
-How long can you use eye drops after opening them? Many manufacturers recommend that
you throw away eye drops 28 days after opening the bottle. This is because the preservatives
inside can start to break down and allow bacteria to grow.
Patient taking nitroglycerin mononitrate 60 mg XR once daily. He was under control until he
started to have symptoms. He decided to take another dose. What is your appropriate action:
a. Ask physician to change to dinitrate since it has longer duration of action.
b. Ask physician to change to patch to wear throughout the day
c. Tell patient to continue taking the drug twice a day
d. Tell patient to take the drug daily as it was originally prescribed - CORRECT ANSWER-
✔✔Ask physician to change to patch to wear throughout the day
Found facts:
Isosorbide mononitrate: Angina pectoris, prevention:
Note: For prevention of recurrent angina, may use in combination with other anti-anginal
therapy (eg, beta-blocker) (Ref).
Extended release: Oral: Initial: 30 to 60 mg once daily in the morning; may titrate after
several days to 120 mg once daily; rarely, 240 mg once daily may be required.
-Nitorglycerin: Topical patch, transdermal: Application site should be clean, dry, and hair
free. Remove patch after 12 to 14 hours. Rotate patch sites. Dispose of any used of unused
patches by folding adhesive ends together, replace in pouch or sealed container and discard
properly in trash, away from children and pets.
-The elimination half-life of isosorbide dinitrate is 1 hour, while the elimination half-life of
isosorbide mononitrate is 5 to 6 hours
Calculation. Patient was prescribed prednisolone 10 mg for 14 days, then 7.5 mg for 1 week,
then 5 mg for 1 week, then 2.5 mg for 4 weeks. How many tablets of 2.5 mg prednisolone
you will need? - CORRECT ANSWER- ✔✔119 tablets of 2.5 mg prednisolone.
- 10mg (10/2.5)-> 14days. 4 tablets per day X 14 days= 56tab
- 7.5mg -> 7 days. 3 tablets X 7 days = 21 tablets
- 5mg-> 7 days. 2 tabletsX7days= 14 tab
Doc UPDATED Actual Exam Questions
and CORRECT Answers
Long case of Afro-Caribbean patient. He had severe ankle swelling. Which of the following
drug cause this condition
a. Nifedipine
b. Losartan
c. Metoprolol
d. spiranolacon - CORRECT ANSWER- ✔✔Nifedipine
Lexicomp: Cardiovascular: Flushing (IR: 25%; ER: <3%), peripheral edema (4% to 30%).
google: Some swelling of the feet and ankles occurs in almost half the people who take
calcium channel blockers
which condition nasal spray of steroid is contraindicated
a. deviated septum
b. post nasal surgery
c. rhinitis
d. nasal infection - CORRECT ANSWER- ✔✔post nasal surgery
Which drug can cause agranulocytosis:
a. Levothyroxine
b. Pyrimethamine
c. .......
d. ......
(Cytarabin not in my option) - CORRECT ANSWER- ✔✔Pyrimethamine
Found Facts:
- A serious condition that occurs when there is an extremely low number of granulocytes (a
type of white blood cell) in the blood.
-A variety of drugs can cause acquired agranulocytosis and neutropenia by destroying special
cells in the bone marrow that later mature and become granulocytes (precursors). These drugs
include phenytoin, pyrimethamine, methotrexate, and cytarabine.
,-Pyrimethamine, sold under the brand name Daraprim among others, is a medication used
with leucovorin to treat the parasitic diseases toxoplasmosis and cystoisosporiasis. It is also
used with dapsone as a second-line option to prevent Pneumocystis jiroveci pneumonia in
people with HIV/AIDS.
- Cytarabine (Conventional) (Lexi-Drugs):Antineoplastic Agent, Antimetabolite;
Antineoplastic Agent, Antimetabolite (Pyrimidine Analog)
-The following are the medications commonly involved with agranulocytosis:
Cancer chemotherapies.
Analgesic and anti-inflammatory (gold, naproxen, and penicillamine)
Anti-thyroid (carbimazole, propylthiouracil)[2][3]
Anti-arrhythmics (quinidine, procainamide)
Anti-hypertensives (captopril, enalapril, nifedipine)
Mother came with child having symptoms (nausea & vomiting blood). Test results showed he
had metabolic acidosis. Which of the following is the cause: a. Acetaminophen
b. Aspirin
c. Iron
d. Ascorbic acid - CORRECT ANSWER- ✔✔b. Aspirin
-Aspirin causes high anion gap metabolic acidosis and respiratory alkalosis. The high anion
gap comes from the addition of salicylic acid as well as the generation of lactic acid (due to
uncoupling of oxidative phosphorylation causing anaerobic respiration
-Lexicomp: Endocrine & metabolic: Dehydration, hyperglycemia, hyperkalemia,
hypoglycemia (children), increased thirst, metabolic acidosis
Patient using hyaluronate ophthalmic drug for 5 months now. Its expiration date is on
December 25th. what you will advise the patient:
a. Discard since it is opened for 28 days
b. Continue using since it did not complete 6 months and it is not expired
c. Discard although it is not expired - CORRECT ANSWER- ✔✔Given answer: Continue
using since it did not complete 6 months and it is not expired
Found facts:
-HYLO-FORTE® Preservative Free and Phosphate Free
can be used for 6 months after opening. The bottle must be discarded after 6 months use.
, -Composition: 1 ml HYLO-FORTE® contains 2 mg sodium hyaluronate, citric acid
anhydrous, sodium citrate, sorbitol and water for injections.
-What is HYLO-FORTE® used for? HYLO-FORTE® is an eye drop for the intensive and
therapeutic lubrication of the ocular surface in more severe and persistent dry eye sensation
including treatment after surgical procedures
-How long can you use eye drops after opening them? Many manufacturers recommend that
you throw away eye drops 28 days after opening the bottle. This is because the preservatives
inside can start to break down and allow bacteria to grow.
Patient taking nitroglycerin mononitrate 60 mg XR once daily. He was under control until he
started to have symptoms. He decided to take another dose. What is your appropriate action:
a. Ask physician to change to dinitrate since it has longer duration of action.
b. Ask physician to change to patch to wear throughout the day
c. Tell patient to continue taking the drug twice a day
d. Tell patient to take the drug daily as it was originally prescribed - CORRECT ANSWER-
✔✔Ask physician to change to patch to wear throughout the day
Found facts:
Isosorbide mononitrate: Angina pectoris, prevention:
Note: For prevention of recurrent angina, may use in combination with other anti-anginal
therapy (eg, beta-blocker) (Ref).
Extended release: Oral: Initial: 30 to 60 mg once daily in the morning; may titrate after
several days to 120 mg once daily; rarely, 240 mg once daily may be required.
-Nitorglycerin: Topical patch, transdermal: Application site should be clean, dry, and hair
free. Remove patch after 12 to 14 hours. Rotate patch sites. Dispose of any used of unused
patches by folding adhesive ends together, replace in pouch or sealed container and discard
properly in trash, away from children and pets.
-The elimination half-life of isosorbide dinitrate is 1 hour, while the elimination half-life of
isosorbide mononitrate is 5 to 6 hours
Calculation. Patient was prescribed prednisolone 10 mg for 14 days, then 7.5 mg for 1 week,
then 5 mg for 1 week, then 2.5 mg for 4 weeks. How many tablets of 2.5 mg prednisolone
you will need? - CORRECT ANSWER- ✔✔119 tablets of 2.5 mg prednisolone.
- 10mg (10/2.5)-> 14days. 4 tablets per day X 14 days= 56tab
- 7.5mg -> 7 days. 3 tablets X 7 days = 21 tablets
- 5mg-> 7 days. 2 tabletsX7days= 14 tab
