NAPLEX Practice GUIDE WITH 100% CORRECT ANSWER

Another name for Enbrel a) Efavirenz b) Etanercept c) Eptifbatide d) Enfurvitide e) Entidronate - correct answer️️Etanercept A patient asks the pharmacist about a severe hangover from drinking vodka last night. He awakened with heartburn, nausea, tremor, dizziness, fatigue, body aches, headache and depression. What is the worst combination of ingredients for him? a) caffeine, calcium carbonate b) ibuprofen, calcium carbonate c) naproxen, calcium carbonate d) tums e) Advil, Maalox - correct answer️️caffeine, calcium carbonate After you ask for her allergies, and elderly woman mentions that she is allergic to capsules. She says that the capsules never seem to get into her throat correctly and that she hates swallowing them. She says that even after a full glass of water she still feels the capsule right in her mouth. After looking at her profile, you find out that 4 out of 7 of her medications are capsules. Which is likely to help her swallow? a) do not use water b) empty capsule contents into apple juice and drink c) extend head upward, when feeling capsule in the back of throat swallow d) take a sip of water with capsule, flex head forward and swallow e) swallow with some food - correct answer️️take a sip of water with capsule, flex head forward and swallow Another name for Macrobid is: a) nitrofurantoin b) gentamicin c) Bactrim DS d) metronidazole e) clarithromycin - correct answer️️nitrofurantoin Combivent is also known as: a) albuterol/formoteol b) albuterol/fluticasone c) albuterol/salmeterol d) albuterol/budesonide e) albuterol/ipratropium - correct answer️️albuterol/ipratropium I pray that this combo helps you vent better (albuterol) Another name for Bactrim is: a) Bacitracin b) Baclofen c) sulfamethoxazole/trimethoprim d) piperacillin/tazobactam - correct answer️️sulfamethoxazole/trimethoprim Many dosage forms and medication delivery methods are considered suitable for nonprescription use. However, some are not available for nonprescription products. Which of the following is not available on a nonprescription basis? a) inhalers b) suppositories c) enteric coated tablets d) injections e) powders for inhalation - correct answer️️powders for inhalation Magnesium stearate is commonly used as what type of pharmaceutic ingredient in tablet preparation? a) lubricant b) disintegrant c) opaquant d) polishing agent e) glidant - correct answer️️lubricant magnesium oil - oil - lubricant A 17 y/o sexually active gravid 0 para 0 presents with painful menstruation. This is accompanied by diarrhea, headache, nausea, and vomiting. She feels incapacitated for 48-72 hours during menstruation each period. She was tried on first line medication with side effects which she claims she could not tolerate. Doctor started her then on a combination oral contraceptive. What is one of the effects of this medication? a) osteoporosis b) gallstone formation c) vaginal dryness d) increased cholesterol levels e) blurry vision - correct answer️️gallstone formation you have some gall to start combo contraceptive A patient appearing to be aged in his 40s asks the pharmacist about a product to help his insomnia. He has only had it for 1 nights, and thinks it may be caused by worrying over an upcoming CPA exam. It may also be caused by the fact that his enlarged prostate causes him to have to urinate several times a night. He takes glyburide for diabetes. What should the pharmacist tell him? a) insomnia for 1 night requires a physician appointment b) nonprescription insomnia products are contraindicated with prostate enlargement c) nonprescription product are not indicated for short-term insomnia d) nonprescription insomnia products are contraindicated in patients with diabetes e) nonprescription insomnia products interact with glyburide - correct answer️️nonprescription insomnia products are contraindicated with prostate enlargement Which agent is available in a rectal formulation for relief of constipation? a) bisacodyl b) sorbitol c) lubiprostone d) methylcellulose e) docusate sodium - correct answer️️bisacodyl fleet, dulcolax suppositories A 24 y/o woman is studying for final exams and wants to know what she can do about several small vesicles that have formed a crust on the upper margin of her lip. The lesions are painful and she would like to minimize discomfort for an upcoming job interview. What most likely most likely caused this infection? a) fungus b) virus c) bacterial d) candida c) parasite - correct answer️️virus What is the appropriate needle gauge for a newly diagnosed diabetic patient requiring subcutaneous insulin? a) 25G, 1 inch b) 31G, 1 inch c) 33G, 5/6 inch d) 31G, 5/6 inch e) 25G, 5/6 inch - correct answer️️31G, 5/6 inch An 80 y/o patient comes to the pharmacy counter requesting assistance with choosing an appropriate medication to treat her cold symptoms. Her main symptom is nasal congestion. She is a routine customer in your pharmacy and is compliant with her blood pressure medications, glaucoma eye drops, and bisphosphonates for osteoporosis. Which would you recommend? a) oral loratadine b) nasal saline spray c) oxymetazoline nasal spray d) oral diphenhydramine e) oral pseudoephedrine - correct answer️️oxymetazoline nasal spray non systemic, won't raise BP A 17 y/o sexually active G1P1 female presents with white cheesy vaginal discharge. Speculum exam is performed visualizing adherent white and erythematous vaginal membranes. KOH smear - hyphae are seen. The patient is diagnosed with vaginal candidiasis and is prescribed fluconazole for treatment. She is allergic to penicillin (anaphylaxis). Which side effects should she be counseled on? a) anaphylaxis potential due to cross reactivity b) injection site reaction c) nausea and vomiting in conjunction with alcohol use d) teeth discoloration e) mild nausea and vomiting after a single pill use - correct answer️️mild nausea and vomiting after a single pill use flagyl/metronitazole has disulfiram A 24 y/o woman is studying for final exams and wants to know what she can do about several small vesicles that have formed a crust on the upper margin of her lip. The lesions are painful and she would like to minimize discomfort for an upcoming job interview. What OTC agent can be used? a) carbide peroxide 10% b) benzocaine 20% c) capsaicin d) oxybenzone e) camphor 20% - correct answer️️benzocaine 20% and docosanol/abreva A 24 y/o woman is studying for final exams and wants to know what she can do about several small vesicles that have formed a crust on the upper margin of her lip. The lesions are painful and she would like to minimize discomfort for an upcoming job interview. Which is a trigger for fever blisters? a) shingles b) chicken pox c) avobenzone d) ultraviolet radiation e) sulfonamides - correct answer️️ultraviolet radiation Fentanyl citrate injection USP is dispensed as a single dose in a syringe for use in surgery scheduled the same day the drug product is prepared. What would the appropriate storage conditions and BUD be for the product if it was prepared under ISO Class 5 conditions? a) 14 days at cold temperature b) 30 hours at room temperature c) 45 days in solid frozen state d) 48 hours at room temperature e) 9 days at cold temperature - correct answer️️fentanyl can only be stored at room temp 48 hours at room temperature 14 days at cold 45 days frozen What dosage adjustment needs to be taken into consideration if a patient's phenytoin regimen needs to be changed from a capsule to a suspension? a) decrease dose by 8% b) increase dose by 8% c) decrease dose by 50% d) increase dose by 50% e) increase dose by 10% - correct answer️️decrease dose by 8% A patient purchasing Ali (orlistat) asks the pharmacist whether there are any special instructions he should follow. What should the pharmacist tell him? a) take w/ a fiber supplement to prevent constipation b) take 4-6 capsules daily to reach max potential c) take a multivitamin daily at bedtime d) take along with an herbal weight loss product e) ingest 1 serving of fat with each meal to counteract fat malabsorption - correct answer️️take a multivitamin daily at bedtime A 56 y/o male presents to the urologist with complaints of urinary frequency, urgency, hesitancy and nocturne. Upon examination, it is determined that the prostate is enlarge and weights approximately 50 grams. His current medications are atorvastatin 40mg QD, lisinopril 20mg QD, ASA 325mg QD, HCTZ 25mg QD, homolog 7U w/ meals, lantus 50U QPM. PSA 4.6, BP 120-130/74-80, fasting glucose 106, A1c 6.2%. the physician decides to initiate terazosin. Which education points will you address first? a) monitor BP for decreases b) monitor PSA levels annually for efficacy c) SE incude nausea, headache, and stomach upset d) s/sx of depression or suicide seek help e) women of childbearing age should not handle this medication. - correct answer️️monitor BP for decreases A mother is asking for assistance. Her 6 y/o son has white bumps on his fingers that appear to be warts. The warts do not seem to bother him but he keeps injuring the warts. Use nonprescription concentration of salicylic acid a) 10% b) 12% c) 17% d)40% e) 35% - correct answer️️17% available 17% (for warts & 40% (for planter warts) cefazolin sodium for injection, sterile powder for reconstitution thimerosal bulk powder, non sterile 0.9% NaCl for injection, sterile What is the BUD? a) high risk, 9 days refrigerated b) high risk, 3 days refrigerated c) medium risk, 14 days refrigerated d) medium risk, 9 days refrigerated e) medium risk, 3 days refrigerated - correct answer️️high risk (due to non sterile thimerosal), 3 days refrigerated A 21 y/o male presents to his primary care physician with urethritis, proctitis, urethral discharge, dysuria, and itching. Findings include C. trichamoniasis from unprotected sex 10 days ago. He is allergic to penicillin and clarithromycin. Which is the most appropriate treatment? a) acyclovir b) penicillin G c) doxycycline d) azithromycin c) cefdinir - correct answer️️doxycycline This patient is prescribed Lastisse. When she comes to pick it up, she asks how it should be stored. Package insert says 2-25C. Which is the best storage recommendation? a) cool b) cold e) frozen d) warm e) room temp - correct answer️️cool Which of the following is an SSRI that is marketed as an isomer rather than racemic? a) citalopram b) fluoxetine c) escitalopram d) paroxetin e) sertraline - correct answer️️escitalopram A mother is asking for assistance. Her 6 y/o son has white bumps on his fingers that appear to be warts. The warts do not seem to bother him but he keeps injuring the warts. She is afraid they are contagious. Salicylic acts is in all of these except. a) Compound W freeze off b) Occlusal-HP c) Dr. Schol's Clear Away d) Wart-off e) Compound W Wart Strips - correct answer️️Compound W freeze off Omnipred contains prednisone acetate 1%, benzalkonium chloride 0.01%, hypromellose, dibasic sodium phosphate, polysorbate 80, date disodium, glycerin, citric acid and/or sodium hydroxide and purified water. What does hypromellose do? a) surfactant b) viscous vehicle d) pH adjuster e) tonicity adjuster e) preservative - correct answer️️viscous vehicle Which of the following is FDA-approved for treatment of infection C. difficile? a) ciprofloxacin b) metronidazole c) vancomycin d) streptomycin e) clindamycin - correct answer️️vancomycin Unless specified by a requirement in a USP monograph, in general the expiration date of a pharmaceutical product means that after that date, the product would lose what percentage of its original activity? a) 10% b) 20% c) 15% d) 5% e) 2% - correct answer️️10% Good oral hygiene is important to prevent a specific drug-related effect of which of the following drugs? a) lamotrigine b) phenytoin c) phenobarbital d) valproic acid e) carbamazepine - correct answer️️phenytoin hyperplasia of the gums A 46 y/o male inquires about quitting smoking. He currently smokes 9 cigarettes per day. He admits that he is chronic gum chewer and he is concerned about going weight upon quitting. His PMI is significant for hypertension, depression, epilepsy, and seasonal allergies. He has tried nicotine patches in the past with limited success. What is the most appropriate treatment? a) clonidine 0.1 mg patch daily b) nicotine 21 mg patch daily c) bupropion 150 mg twice daily d) nicotine gum 4 mg every week e) nortiptyline 25 mg twice daily - correct answer️️nortriptyline nortirptyline - for depression bupropion will lower seizure threshold gum won't work if constantly chewed patch didn't work before clonidine not as effective, 2nd line The formula for 33 grams of coal tar ointment is: 0.33 g of crude coal tar, 0.165 g of polysorbate 80, and 32.50 g of zinc oxide paste. What equipment should be used to measure the required amount of coal tar? a) stirring rod b) 10 mL cylindrical graduate c) oral or injectable syringe d) spatula and electronic balance e) spoon - correct answer️️spatula and electronic balance Which of the following mathematical equations can be used to calculate the pH of an electrolyte solution? a) Henerson-Hasselbalch b) Arrhenius c) Crocroft and Gault d) Michalis-Menton f) Fundalis - correct answer️️Henerson-Hasselbalch Arrhenius - shelf life Crocroft and Gault - CrCl Michalis-Menton - nonlinear kinetics Fundalis Which of the following is an appropriate route for administration of heparin? a) heparin flush b) subcutaneous c) IV infusion administered intermittently d) Intramuscular administration e) continuos IV infusion - correct answer️️heparin flush subcutaneous IV infusion administered intermittently continuos IV infusions A 64 y/o male is brought to the ER by his spouse after she found him wandering in the back yard. He was spraying grass when he expereinced stomach pain with cramping. He had episodes of diarrhea and vomiting. He is currently somewhat confused, his eyes are watery, pupils constricted, and skin is flushed. His medications include verapamil, hydrochlorothiazide, lisiwopril, cetirizine, warfarin, codeine, allopurinol, vitamin D, St. John's wort, lansoprazole, and ibuprofen. He drinks a 6 pack of beer per day. Vitals: T 37C (98.6), BP 120/68, P 58, RR14. Which treatment? a) naloxone b) physostigmine c) 2PAM and atropine d) activated charcoal e) N-acetylcystein - correct answer️️2PAM and atropine naloxone - opiod physostigmine - anticholinergic N-acetylcystein - acetaminophen A 23 y/o woman with plaque psoriasis on the scalp asks the pharmacist to recommend a product. Which of the following is effective? a) head and shoulders intensive treatment b ) DHS tar shampoo (coal tar extract) c) mizoram A-D (ketoconazole d) zinc pyrithione e) lomalux psoriasis liquid - correct answer️️coal tar extract What is the most appropriate storage temperature for biologicals? a) 85 C b) 20 C c) 2-10 C d)15 - 20 C e) 2-8 C - correct answer️️2 - 8 C (refrigerator) Which of the following statements regarding the use of controlled-release analgesic formulation to provide longer lasting analgesia is true? a) higher Cmax then immediate release b) shorter Tmax than immediate release c) higher bioavailability than immediate release d) same bioavailability as immediate release e) break down in the stomach for optimal absorption - correct answer️️same bioavailability A 54 y/o male patient complains of a rash between the eyes, in the eyebrows, down the sides of the nose, and in the ear canals. He says it burns and itches. The pharmacist notes reddened areas of skin in a symmetric pattern with indistinct boarders, greasy yellowish scaling flakes. What condition is this? a) psoriasis b) contact dermatitis c) miliaria d) tinea e) seborrheic dermatitis - correct answer️️seborrheic dermatitis You receive a prescription for crude coal tar ointment 33 g. You have vials that contain triamcinolone acetone suspension 40 mg/mL. What equipment do you need? a) ointment tile b) stirring rod c) porcelain mortar and pestle d) glass mortar and pestle e) wood mortar and pestle - correct answer️️ointment tile In an inpatient hospital pharmacy setting unit dose packaging refers to which of the following? a) exact dose of the drug prescribed for the patient b) a specific route of administration for the drug c) the amount of drug necessary for the patient's stay d) half of the amount of the drug available in the pharmacy e) one dose of the drug to complete the entire regimen - correct answer️️exact dose of the drug It is essential that patients use a metered dose inhaler properly as drug effectiveness may be reduced considerably by poor technique. The recommended techniques for using a metered dose inhaler include? a) exhale, place in mouth, begin inhaling slowly, activate inhaler while inhaling, hold breath for 10 seconds and exhale b) breath normally into spacer while activating inhaler c) exhale, place in mouth, activate inhaler, inhale, hold breath for a few seconds d) exhale, hold 4 inches from mouth, inhale when activated. Repeat 2-3 to insure sufficient inhalation of a drug e) rinse mouth with water and swallow after use of a steroidal - correct answer️️exhale, place in mouth, begin inhaling slowly, activate inhaler while inhaling, hold breath for 10 seconds and exhale With respect to drug entry into the CNS, the blood brain barrier a) impermeable to chloral hydrate b) impermeable to dopamine receptor antagonist c) semi-permeable barrier of the brain only d) semi-permeable barrier of the spine only e) is more easily penetrated by lipophilic molecules - correct answer️️is more easily penetrated by lipophilic molecules After which phase of a new drug development process is a New Drug Application (NDA) submitted to the FDA? a) Phase I b) Phase II c) Phase III d) Phase IV e) preclinical testing phase - correct answer️️Phase III Investigational New Drug (IND) at preclinical testing (before Phase I) A 20 yo female presents to her gynecologist with a greenish vaginal discharge with a strong odor and vaginal itching. She also mentioned that the last time she and her boyfriend had intercourse, it was very painful and she bled afterward. Which of the following is this patient most likely experiencing? a) trichomoniasis b) gonorrhea c) HPV d) HSV e) syphilis - correct answer️️trichomoniasis Which of these is a contraindication for Nicorette gum? a) renal dysfunction b) vivid dreams c) hepatic dysfunction d) skin eczema e) stomach ulcers - correct answer️️stomach ulcers A 45 yo woman presents to the clinic with a complaint of a runny nose, coughing, and chest congestion. She made a New Year's resolution to lose weight and is looking to you for advice. The patient has a past medical history of hypertension (6 months), arthritis in the knee (2 years), and asthma (5 years). The patient is 5'7, 165 lbs, and has a waist circumference of 36 inches. The patient states she eats a light breakfast and lunch. She eats skinless chicken and salad for dinner. She has been on this diet for 2 weeks. She does not like to exercise, but walks around the block twice a week. Which of the following is most appropriate to treat her weight concerns? a) healthy eating habits b) phentermine 37.3 mg daily c) begin jogging 30-45 min at least 5 days a week d) sibutramine 10 mg daily e) orlistat 60 mg twice daily - correct answer️️healthy eating habits A patient ingested a month's supply of amitriptyline 50 mg tablets in a suicide attempt. Her roommate found her approximately 2 hours after the ingestion and called 911. When the patient arrives in the emergency room, the pharmacist is involved in the discussion of the treatment options. Which of the following is most appropriate to treat this patient> a) activated charcoal b) syrup of ipecac c) gastric lavage d) hemodialysis e) hydrating excessively - correct answer️️activated charcoal Compared to the typical antipsychotic agents, the newer atypical antipsychotic drugs are less likely to cause which of the following side effects? a) orthostatic hypotension b) sedation c) akathisia d) weight gain e) agranulocytosis - correct answer️️akathisia What is the term for the inactive ingredient that holds the tablet together and provides stability and strength? a) binder b) lubricant c) polymer d) disintegrant e) flavoring - correct answer️️binder Which of the following statements concerning FDA approved manufactured drug products is/are correct? SELECT ALL a) FDA approved and regulated drugs must have an approved NDA b) must be produced under GMPs c) must have an expiration date that is provided to the pharmacy d) must have an NDC number e) include compounded preparations - correct answer️️FDA approved and regulated drugs must have an approved NDA must be produced under GMPs must have an expiration date that is provided to the pharmacy must have an NDC number Which of the following statements concerning mortars, pestles, and spatulas is correct? a) wedgewood has a smoother surface than porcelain and is preferred for blending powders or pulverizing soft materials. b) porcelain is used for liquids and chemicals that are oily or will stain c) bond paper should be used for weighting ointments and creams d) generally large stainless steel spatula blades are used, except plastic is used for chemicals that can react with stainless steel. e) glass mortars are best for titurating rough powders - correct answer️️plastic is used with reactive chemicals Which of the following definitions describes a solution? a) liquid preparation of soluble chemicals dissolved in solvents such as water, alcohol, or propylene glycol b) solid dosage form used to deliver medicine into rectum, vagina, or urethra c) semisolid dosage form used externally on the skin or mucous membranes d) a two phased system of two immiscible liquids, one of which is dispersed through the other as small droplets e) a two passed system of a finely divided solid in a liquid medium - correct answer️️liquid of soluble dissolved in solvents Sorbitol has many uses in drug delivery. Which of the following represents viable uses for sorbitol? SELECT ALL a) sweetener (sugar substitute) b) thickening agent c) plasticizer for gelatin capsules d) treatment of GI distress in patients with IBS e) suspending agent - correct answer️️sweetener (sugar substitute) thickening agent plasticizer for gelatin capsules Which of the following statements concerning compounded medications is/are correct? SELECT ALL a) compounding is different from manufacturing since it is patient specific b) compounds are regulated by the state board of pharmacy c) each compounded formula must be assigned a unique NDC number d) compounds can only be prepared in specialty pharmacies e) prescriptions for compounds cannot be filled - correct answer️️compounding is different from manufacturing since it is patient specific compounds are regulated by the state board of pharmacy Which of the following is true? a) creams have a higher percentage of oil than lotions b) lotions have a higher percentage of oil than ointments c) lotions are water in oil preparations d) ointments was off the skin easily e) creams provide stronger skin barrier than ointments - correct answer️️creams have a higher percentage of oil than lotions Which of the following correctly describes the use of Tween (polysorbate)? SELECT ALL a) it is used most commonly as a thickening agent b) Tween is a surfactant c) surfactants are compounds with polar sides and nonpolar sides d) surfactants are used as wetting agents e) surfactants are used most often in ointments - correct answer️️Tween is a surfactant surfactants are compounds with polar sides and nonpolar sides surfactants are used as wetting agents Which of the following are used as ointments and can provide a protective barrier on the skin? a) agar, carrageenan, and gelatin b) aquaphor, aquabase, eucerin, petrolatum c) acacia d) arlacel, span, myrj, tween e) dry gum - correct answer️️etanercept (Embrel) Which of the following criteria meet CMS's requirements for exemption for DMEPOS accreditation? a) the pharmacist in charge must take an additional 20 hours of annual CE credits b) all pharmacist working with the DME section must complete and additional 20 hours of annual CE credits c) the pharmacy must pay CMS a fee to avoid the accreditation process d) the pharmacist in charge must have been born prior to 1960 e) the total billing for CMS is <5% total of the pharmacy's total sales for the previous three years - correct answer️️the total billing for CMS is <5% total of the pharmacy's total sales for the previous three years Which of the following reasons can cause a patch to become loose from the skin or fall off? SELECT ALL a) applied Lubriderm after bathing and before applying the patch b) applied Nivea to their skin after bathing and before applying the patch c) the not press down on the patch for the required time during application d) patient shaved prior to the patch application e) patient cut the hair on the skin short prior to patch application - correct answer️️applied Lubriderm after bathing and before applying the patch applied Nivea to their skin after bathing and before applying the patch the not press down on the patch for the required time during application If it is inconvenient to cut up patches and mix with a noxious substance, it is acceptable to flush the following patches down the toilet: SELECT ALL a) butrans b) Neupro c) EMSAM d) Daytrana e) Duragesic - correct answer️️butrans, daytrana, duragesic The pharmacy has an order for a glucose test meter and strips, and another order for a nebulizer to be used with budesonide respules. Which of the following statements is correct? a) the nebulizer is billed under part B, and the glucose meter and strips is part D b) the nebulizer is billed under part D, and the glucose meter and strips is part B. c) the nebulizer, glucose meter, and strips are all billed under part B d) the nebulizer, glucose meter, and strips are all billed under part D e) none of these are sold in the pharmacy; - correct answer️️they are only sold by mail order the nebulizer, glucose meter, and strips are all billed under part D Application instructions for the hormone patches (estrogen, progestin and testosterone) include the following correct counselling points: SELECT ALL a) do not let children or animals near used patches; dispose of safely b) do not apply more than one patch at a time, or to broken or irritated skin c) estrogen patches can be used if the women has had breast cancer, but the oral formulations cannot be used with this history d) do not apply to breasts or genitals e) can be applied to lower abdomen - correct answer️️do not let children or animals near used patches; dispose of safely do not apply more than one patch at a time, or to broken or irritated skin do not apply to breasts or genitals can be applied to lower abdomen If a drug has any of the following suffixes in the name, the pharmacist should counsel the patient not to crush/chew the medications: SELECT ALL a) CR b) IR c) XL d) ER e) LA - correct answer️️CR, XL, ER, LA A middle aged man has paranoid schizophrenia. He has been in intensive therapy and states he is willing to use his antipsychotic. However, he is likely to forget to take a daily dose and may change his mind and decide not to use it. Which medications come in a long acting injection that may be useful to improve adherence? SELECT ALL a) Abilify b) Seroquel c) Haldol d) Latuda e) Risperdal - correct answer️️Haldol deconoate and Abilify Maintena Q 4 weeks Invega/Risperdal consta Q 2 weeks Which of the following opioids comes in several sublingual formulations designed to provide faster onset of action (relative to oral gut absorption) for cancer patients requiring breakthrough pain medication? a) Oxycodone b) Morphine c) Fentanyl d) Buprenorphine/Naloxone e) Hydromorphone - correct answer️️Fentanyl A 30 yo male has migraines with dizziness, nausea, and occasional vomiting. The migraines come on quickly and cause debilitating pain. Choose the drug and formulation that would be preferable: a) Frovatripan compressed tablet b) Maxalt-MLT c) Imitrex STAT dose d) Duragesic injection e) Calcitonin nasal spray - correct answer️️Imitrex STAT Select the most accurate definition of durable medical equipment (DME): a) long lasting items used for a medical condition kept in the patient's home b) long last items kept in skilled nursing facilities labelled for patient's use c) medical items designed to be disposed of after each use d) medical items used for acute care conditions only e) items such as oral medications, patches, and injections - correct answer️️long lasting items used for a medical condition kept in the patient's home CMS routinely audits pharmacies providing DME. The most important requirement is documentation that can support DME-approved practices. Which of the following represents a DME-approved practice? a) refills for supplies come only from the pharmacy b) "as-needed" orders are acceptable c) delivery documentations should be kept for three years d) refills for supplies come only from the patient or the patient's caregiver e) transfers from one pharmacy to another do not require a new order, the transfer alone is acceptable to fill and fill for DME - correct answer️️refills for supplies come only from the patient or the patient's caregiver Which of the following items are covered under DME? SELECT ALL a) enteral nutrition b) walkers c) supplies to receive medications by the intravenous route at home d) ostomy supplies e) OTC medications, such as the Oxytrol patch - correct answer️️enteral nutrition, walkers, supplies to receive medications by the intravenous route at home, ostomy supplies Which of the following statements concerning durable medical equipment (DME) is accurate? a) DME does not require a prescription or order to be billed under the patient's insurance, but drugs do require a prescription for billing b) DME is paid for by CMS under part D c) nebulizers are covered by part D, as they are used with drugs d) prosthetics are not covered under DME e) the patient will bring in an order for the DME, and the pharmacy will be paid by CMS under part B - correct answer️️the patient will bring in an order the DME, and the pharmacy will be paid by CMS under part B What is the primary purpose of using glycerin suppository in a child or adult? a) prevent constipation b) treat constipation c) prevent ileus d) treat ileus e) avoid the use of oral agents - correct answer️️treat constipation A patient is using oxybutynin 5mg TID. She often forgets to take her evening dose. She complains of incontinence and dry mouth. Choose the correct statement: a) it would be preferable for her to take the medication more frequently so that she can use smaller doses, such as 1mg QID or 5 times a day b) she would have less dry mouth if she used a longer acting formulation or the patch formulation c) she should be counseled to take the medication on an empty stomach to assist with the dry mouth d) oxybutynin worsens urge incontinence episodes and should not be recommended in a patient with this pre-existing condition e) oxybutynin does not cause dry mouth - correct answer️️she would have less dry mouth if she used a longer acting formulation or patch formulation Patients with cystic fibrosis require pancreatic enzymes taken with meals and snacks to assist with food absorption. Which of the following statements concerning pancreatic enzymes are correct? a) these medications are not required if the child can limit their fat intake b) these can be mixed with foods with a hight pH only, such as mashed peas c) these are taken only if the snack or meal is >300 kcal d) instruct the child not the chew the capsule contents e) they are taken 1/2 hour after the meal has been consumed - correct answer️️instruct the child not the chew the capsule Which of the following sublingual medications is used for patients who have difficulty falling asleep when they go to bed in the evening? a) Intermezzo b) Fentora c) Bunavail d) Edluar e) Abstral - correct answer️️Intermezzo (zolpidem SLG) for middle of the night awakening Edluar (zolpidem SLG) for falling asleep Which of the following drugs is available in an ODT formulation? a) Effexor b) Prozac c) Remeron d) Wellbutrin e) Nardil - correct answer️️Remeron Medicare requires that a new order be written for a DME item if any of the following conditions are met: SELECT ALL a) supplier of the DME item has changed b) 60 days from the original order c) item has been replaced, such as glucose meter d) change in order of how to use the item e) if it's been 90 days from the original order - correct answer️️supplier of the DME item has changed item has been replaced, such as glucose meter if it's been 90 days from the original order Select the name of the glatiramer subcutaneous injection used for multiple sclerosis: a) Peg-Intron b) Rebif c) Evzio d) Copaxone e) Simponi - correct answer️️Copaxone A drug has a high therapeutic index. What does that mean? a) eliminated by kidneys b) unlikely to have significant adverse effects c) minimal entry to the brain d) must monitor plasma concentrations e) minimal interactions with other drugs - correct answer️️unlikely to have significant adverse effects What clinical trial is designed to show that a treatment is no less effective than an existing treatment? a) non-inferiority b) superiority c) equivalence d) cohort e) randomized - correct answer️️non-inferiority A patient presents to the pharmacy to refill prescriptions; she brings a grocery bag full of prescription medications, dietary supplements, and OTCs. Two she received from a relative in Spain. She would like to get a similar med if it's available in the US. Where would you look? a) Remington b) Martindale c) USP d) Facts & Comparisons e) Micromedex - correct answer️️Martindale Which of the following is an appropriate statistic to describe the most common value in data data distribution? a) mean b) median c) mode d) standard deviation e) central tendency - correct answer️️mode What statement is true regarding the primary objective of different clinical studies in drug development? a) Phase 4 determines appropriate dosage regime in a large number of patients b) Phase 3 for the purpose of post-marketing surveillance c) Phase 3 study for evaluation of response in large number with target disease d) Phase 2 determines pharmacokinetics in small number of healthy volunteers e) Phase 1 determines toxicity in a large number of patients - correct answer️️Phase 3 study for evaluation of response in large number with target disease A multi center randomized controlled phase 3 trial is designed to investigate whether daclizumab is better than placebo in treatment of early breast cancer. Phase 2 showed significant benefit over placebo in 42 women in response and recurrence rates. Women 34-65 will be enrolled if they have unilateral breast cancer, have not had prior chemo, normal SCr and liver function, and MUGA tests. Patients who are HER2/neu positive, have other prior cancers, or any comorbidity will be excluded. Following treatment ER/PR+ patients will be offered tamoxifen for 5 years. Intern analysis performed 2 years after opening the study. What is the limitation? a) interim analysis done too early b) interim analysis needs to be done in the 1st year c) tamoxifen may skew results d) exclusion of HER2/neu patients e) study is unethical - correct answer️️the study is unethical A pharmacist receives a new prescription for an isotonic eye solution. He would like to consult a reference about isotonicity before compounding the prescription; what reference should he use? a) Remington b) Martindale c) USP d) Facts & Comparisons e) Micromedex - correct answer️️Remington A patient wishes to attend a party tonight and ingest alcohol. He will have to drive home alone. He wants to purchase something he saw advertised to minimize alcohol absorption allowing him to drive and avoid a hangover. What advice should you give? a) injest syrup of ipecac after drinking. Emesis will reduce alcohol load from reaching blood b) no OTC can minimize or prevent hangover c) stop drinking 30 min before needing to drive d) OTCs contain herbal ingredients c) activated charcoal will reduce alcohol absorption - correct answer️️no OTC can minimize or prevent hangover Which term is measuring the variability of a data set? a) mean b) median c) mode d) standard deviation e) range - correct answer️️range A patient's bone mineral density (BMD) test revealed a T score of -2.7. Based on this, she was diagnosed with osteoporosis. The WHO compares an individual's BMD to which? a) age and gender matched peers b) post menopausal women w/ previous fractures c) american women at age 60 d) perimenopausal women with risk factors e) young adult caucasian women - correct answer️️found adult caucasian women During the counseling session you encourage lifestyle changes to reduce the likelihood of future gouty attacks. Which do your recommend? a) add more protein in the form of seafood b) reduce purine-rich foods c) decrease sodium intake d) increase fructose intake e) reduce fruit intake - correct answer️️reduce during rich foods What is the therapeutic target range for hemoglobin in patients receiving erythropoiesis stimulating agent? a) 10 - 11 g/dl b) 10 - 13 g/dl c) 11 - 12 g/dl d) 12 - 13 g/dl e) 9 - 12 g/dl - correct answer️️11 - 12 g/dl Which of the following is appropriate target for erythropoietic therapy? a) improved QOL b) improved cognitive function c) increase in hemoglobin from baseline d) reduction in hemoglobin from baseline e) increased platelet count - correct answer️️increased hemoglobin from baseline A patient receiving warfarin 5mg M/W/F and 3mg other days presents with an INR of 3.7. He is usually between 2.4 and 2.7. The patient was diagnosed with afib 6 mo ago. When should he return for the next INR test? a) 2 weeks b) 1 week c) 5 days d) 3 months e) 6 months - correct answer️️2 weeks What laboratory test should be monitored when taking allopurinol? a) serum amylase b) serum potassium c) serum uric acid d) blood glucose e) serum sodium - correct answer️️serum uric acid A patient presents to initiate warfarin. He is post MI with high risk for left ventricular thromboembolism. What is the therapeutic range for his INR? a) 1.0 - 2.0 b) 2.0 - 3.0 c) 1.5 - 4.0 d) 2.5 - 3.0 e) 2.5 - 4.5 - correct answer️️2.0 - 3.0 Which of the following antibacterial agents is judged to be "probably safe" and can be given to a pregnant patient? a) azithromycin b) metronidazole c) tetracycline d) doxycycline e) erythromycin estolate - correct answer️️azithromycin What would be the desirable gastric pH with antacid administration> a) 4.5 b) 3.5 c) 2.5 d) 6.5 e) 5.5 - correct answer️️3.5 Antimicrobial resistance is usually associated with which? a) increased use of broad spectrum antibiotics b) restriction of use by formulary c) decreased treatment failure d) decreased use of antibiotics e) increased cost of antibiotics - correct answer️️increased use of broad spectrum antibiotics What risk factors/lipid class combo most closely identifies the need to institute pharmacotherapy? a) LDL > 110; no history of CHD b) HDL > 60; cigarette smoker c) HDL < 40; age men > 45, women > 55 d) VLDL < 100; diabetes e) TC < 200; HTN - correct answer️️HDL < 40; age men > 45, women > 55