PRE-NAPLEX PRACTICE EXAM NEWEST WITH QUESTIONS AND CORRECT VERIFIED ANSWERS|ALREADY GRADED A+

PRE-NAPLEX PRACTICE EXAM NEWEST WITH QUESTIONS AND CORRECT VERIFIED ANSWERS|ALREADY GRADED A+ Which of the following are appropriate patient counseling points for the Combivent Respimat? (Select ALL that apply.) - Correct Answer Common side effects include cough and dry mouth. B To take an inhalation, turn the base, open the cap, and press the dose-release button. Take 1 inhalation four times daily." "A pharmacist receives a prescription for Ciloxan. Which of the following conditions is Ciloxan used to trea? - Correct Answer Bacterial conjunctivitis" "A patient picks up a new prescription for tacrolimus capsules from the pharmacy. Which of the following points should not be included in the counseling session? - Correct Answer If an OTC analgesic is needed, it is best to use an NSAID such as Advil." "Which of the following statements concerning the use of erythropoiesis stimulating agents (ESAs) in this patient is correct? - Correct Answer ESAs contribute to tumor growth and should not be used in this patient if the treatment goal is curative." "This patient will be given an antiemetic regimen 30 minutes prior to the infusion. Which of the following combinations is appropriate? - Correct Answer Aprepitant + Dexamethasone + Ondansetron" "A patient receiving ramipril and a potassium-sparing diuretic is hospitalized with heart rhythm problems consistent with hyperkalemia. Which of the following drugs should be administered to counteract the effects of potassium on the heart? - Correct Answer Intravenous calcium" "How many grams of potassium chloride are needed to make 100 mL of a solution containing 250 mOsmol/L? (M.W. of potassium is 39 and M.W. of chloride is 35.5). (Answer must be numeric; no units or commas; include a leading zero when answer is less than 1; round the final answer to the nearest TENTH.) - Correct Answer 0.9" "What is the mechanism of action of Arixtra? - Correct Answer Synthetic pentasaccharide that binds to antithrombin to selectively inhibit Factor Xa" "Which of the following statements is correct regarding DB's home asthma regimen? (Select ALL that apply.) - Correct Answer She needs a rescue inhaler added to her regimen. B Serevent Diskus increases the risk of asthma-related deaths if used alone." "What is the best action to take regarding DB's serum phosphorus? - Correct Answer Repeat the laboratory test; this finding is not consistent with the patient's medical history or medications." "By Day #2 of her visit, DB's oxygen saturation has gradually improved and her physician has asked the pharmacist to convert her SoluMedrol to the equivalent dose of oral prednisone. What is the equivalent daily dose of oral prednisone in milligrams? (Answer must be numeric; no units or commas; round the final answer to the nearest WHOLE number.) - Correct Answer 75" "DB is discharged on Advair Diskus 250/50 mcg 1 inhalation BID and ProAir HFA 90 mcg 2 inhalations Q4H PRN. Which of the following counseling points are correct? (Select ALL that apply.) - Correct Answer Advair Diskus can cause thrush; she should rinse her mouth and throat and spit out after each inhalation. C ProAir HFA can cause nervousness and palpitations. D She should use a peak flow meter and seek medical attention if she is in the red zone, even if she feels fine. E There are 200 inhalations in each ProAir HFA inhaler." "The pharmacist and diabetic educator meet with DB. Her insurance covers long-acting and rapid-acting insulin pens and DB is excited to gain better control of her diabetes. How many units of Levemir is equivalent to her current daily dose of NPH? (Answer must be numeric; no units or commas; round the final answer to the nearest WHOLE number.) - Correct Answer 20" "DB is discharged on a new insulin regimen consisting of Levemir and Apidra pens. How long are these pens stable at room temperature when in use? - Correct Answer Levemir 42 days, Apidra 28 days" "What type of information can be found in The Red Book? - Correct Answer Average wholesale price" "Which of the following bacterial organisms is not covered by ertapenem? - Correct Answer Acinetobacter" "What should the pharmacist tell the nurse regarding intravenous administration of phenytoin in TU? (Select ALL that apply.) - Correct Answer Answer A Phenytoin IV is only compatible with normal saline. B Intravenous phenytoin can cause arrhythmias if it is infused too quickly. C Phenytoin IV, once prepared, is only stable for 4 hours. The maximum infusion rate is 50 milligrams per minute." "What are the components of Atripla? - Correct Answer Emtricitabine, efavirenz, tenofovir" "Which of the following potential drug interactions should the pharmacist alert the medical team about? (Select ALL that apply.) - Correct Answer Phenytoin is an enzyme inducer and may decrease the effects of the HIV medication. Tube feedings will decrease phenytoin absorption; they should be held before and after phenytoin administration." "On 9/19, TU's total serum phenytoin concentration result is 8 mcg/mL. Which of the following is a correct statement? - Correct Answer The serum phenytoin concentration is likely higher than reported; a corrected value should be calculated." "JF is 76 year-old woman who will be starting darifenacin (Enablex) for overactive bladder. Which statement below is correct regarding the side effect of dry mouth with this class of medications? - Correct Answer Using long-acting oral formulations, topical gels or patches can help reduce dry mouth." "Rank the following oral corticosteroids in order of their anti-inflammatory potency (least potent = 1 to most potent = 5). Left-click the mouse to highlight, drag, and order the answer options; All options must be used. - Correct Answer most potent -> Betamethasone, dexamethasone, triamcinolone, methylprednisolone, prednisolone, prednisone, hydrocortisone, cortisone -> least potent" "Calculate the patient's ANC. (Answer must be numeric; no units or commas; round the final answer to the nearest WHOLE number.) - Correct Answer 469" "Which of the following chemotherapy drugs, that this patient has taken now or in the past, has the highest emetogenic risk? - Correct Answer Cisplatin" "JM is a 56 year-old male who brings a prescription for tapentadol ER to the pharmacy. Choose the correct statement about this medication: - Correct Answer The brand name is Nucynta ER." "A patient comes to the pharmacy with a prescription for Harvoni. What are the components of Harvoni and what is it used to treat? - Correct Answer Ledipasvir and sofosbuvir; Hepatitis C" "A pharmacist has received a prescription for Gleevec. The patient most likely has which condition? - Correct Answer Cancer" "What is the safest and most practical use of prescription stimulant agents for weight loss? - Correct Answer Use only short-term, in patients with a BMI of 27-30 who have at least one weight-related comorbidity." "EB has just entered a skilled nursing facility. She has a diagnosis of Parkinson's disease, hypertension, occasional constipation and difficulty sleeping. Which of the following medications in her profile may worsen her movement disorder? - Correct Answer Metoclopramide 10 mg QID" "Mark is using a 10 mL graduated cylinder to measure out liquid. How much volume is in the graduated cylinder below? - Correct Answer 6.6 mL" "MH is a 65 year old post-menopausal female with a family history of breast cancer. She was recently diagnosed with osteoporosis and wants to know if she can use raloxifene. Which statement concerning raloxifene is correct? - Correct Answer Raloxifene is often used in women at risk of breast cancer, but it can cause dangerous blood clots." "Liraglutide once daily was compared with exenatide twice daily for type 2 diabetes in a 26-week randomized open-label trial. What does it mean that the trial was 'open-label'? - Correct Answer Both the physician and the patients knew which drug the patients received." "Pharmacists have been integral in the development of medication safety practices over the past decade. Which of the following practices do not help improve medication safety? - Correct Answer Allowing the nurse to use the override function on an automated dispensing cabinet in a non-emergent situation." "According to JNC 8, what is TP's blood pressure goal? - Correct Answer < 140/90 mmHg" "TP's physician would like increase the amlodipine to 10 mg PO daily and add another medication to his blood pressure regimen today. Which of the following would be most appropriate to initiate at this time (Select ALL that apply.) - Correct Answer Valsartan" "Which of the following statements is true regarding statin therapy for TP? - Correct Answer The maximum dose of simvastatin he should use is 20 mg." "The infusion set for PK's heparin drip is set to deliver 20 drops per milliliter. How many drops will PK receive per minute? (Answer must be numeric; no units or commas; round the final answer to the nearest WHOLE number.) - Correct Answer 8" "PK had an elevated vancomycin level due to her reduced renal function. What is the half-life, in hours, of vancomycin in PK? (Answer must be numeric; no units or commas; round the final answer to the nearest WHOLE number.) - Correct Answer 36" "Which medication increases the risk for C. difficile and pneumonia infections in PK? - Correct Answer Pantoprazole" "PK is initiated on warfarin because of the pulmonary embolism. What drug interaction exists between warfarin and the medications PK is taking? - Correct Answer Citalopram inceases bleeding risk when used in combination with warfarin." "It is discovered that an error was made when programming the rate of infusion for PK's fluids. Her 1 liter bag has been running at only 45 mL/hr for the past 4 hours. How many extra mEq of KCl would PK need to receive now to equal what she would have gotten if the drip had been hanging at the correct rate for the past 4 hours? (Answer must be numeric; no units or commas, round the final answer to the nearest TENTH.) - Correct Answer 4.8" "Which of the following is an oral antibiotic that will cover MSSA and does not require a renal dosage adjustment? - Correct Answer Dicloxacillin" "What is PK's estimated creatinine clearance on 10/18? (Answer must be numeric; no units or commas; round the final answer to the nearest WHOLE number.) - Correct Answer 33" "MX is a 22 year-old graduate student. She has suffered from bouts of depression for as long as she can remember. She has failed trials of citalopram and sertraline. The prescriber has written her a prescription for bupropion. Which of the following are side effects or potential adverse effects of bupropion? - Correct Answer Dry mouth, insomnia, and seizures" "MB is an 82 year-old woman in a skilled nursing facility taking chlorpromazine for dementia-related psychosis. The nurse notices she is making a 'smacking' motion with her lips and unusual movements with her eyes. Which of the following statements is correct? - Correct Answer She is experiencing a form of tardive dyskinesia. This side effect is more likely because of her age and gender." "Jessica is preparing a master formulation record for cod liver oil. She wishes to compound the cod liver oil as an oil-in-water emulsion and to add a flavoring agent in order to mask the fishy taste. The flavoring agent should be added to which phase? - Correct Answer Continuous phase" "JF is a thin, white female who has been taking prednisone 10 mg daily for several months. The pharmacist understands the many risks associated with long-term prednisone use and reviews the patient profile to check for which of the following recommended agent/s? - Correct Answer Calcium and Vitamin D" "CN has had difficult sleeping since she changed the hours of her work shift. She asked her physician for a sleeping pill and was given a prescription for Ambien. Which of the following statements concerning Ambien is correct? - Correct Answer Ambien can cause somnolence and ataxia." "The pharmacy has a formulation of acetaminophen suspension that contains 160 mg/5 mL. Select the correct dose, in milligrams, to be given to MW every 8 hours. (Answer must be numeric; no units or commas; round the final answer to the nearest WHOLE number.) - Correct Answer 120" "The pharmacy has amoxicillin 250 mg/5 mL suspension in stock. The pharmacist will instruct the mother on how many milliliters of the suspension to draw up in an oral syringe. How many milliliters should be administered per dose? (Answer must be numeric; no units or commas; round the final answer to the nearest WHOLE number.) - Correct Answer 7" "1 month later, the physician calls the pharmacy to ask for the correct dose of montelukast for MW. Which of the following recommendations is correct? - Correct Answer A 4 mg dose of oral granules in the evening." "A patient weighing 115 kg is to receive 0.8 mg/kg/day of amphotericin B by continuous 24-hr IV infusion. The product is reconstituted and diluted to 0.1 mg/mL. What should the rate be in mL/hr to deliver the daily dose? (Answer must be numeric; no units or commas, round the final answer to the nearest WHOLE number.) - Correct Answer 38" "Etanercept carries a boxed warning for which of the following conditions? (Select ALL that apply.) - Correct Answer Increased risk of serious infections D Increased risk of malignancies E Reactivation of latent tuberculosis" "Which of the following statements concerning hypertensive urgency is accurate? - Correct Answer An appropriate treatment for hypertensive urgency is oral clonidine." "A pharmacist is preparing an injection of the Zostavax vaccine. Which of the following statements concerning Zostavax are correct? (Select ALL that apply.) - Correct Answer Do not administer if the patient has an allergy to neomycin or gelatin. D Zostavax is a live vaccine and must not be used in patients with severe immunosuppression. E This vaccine is administered subcutaneously in the fatty tissue over the triceps." "What is the most concerning risk to MG based on his home medication regimen? - Correct Answer Liver damage." "Which of the following statements is correct regarding MG's use of cyclobenzaprine? - Correct Answer Cyclobenzaprine can cause sedation and confusion." "Based on MG's history of present illness and laboratory findings, which of the following statements is correct? - Correct Answer MG has fatigue and weight gain due to hypothyroidism." "What is an appropriate recommendation for diabetes management in MG? (Select ALL that apply.) - Correct Answer He is taking a starting dose of metformin; the dose can be increased. He is a good candidate for insulin based on his A1C." "While awaiting the incision and drainage, the infectious disease specialist would like to treat MG with antibiotics covering gram-positive skin pathogens, gram-negatives (including Pseudomonas), and anaerobes. Which of the following IV regimens should the pharmacist recommend for MG? - Correct Answer Zosyn monotherapy" "The medical team calculates MG's 10-year ASCVD risk to be 36%. His lipid panel from his last clinic visit is as follows: TC 247, LDL 167, HDL 36, and TG 160. Which of the following recommendations is consistent with the 2013 ACC/AHA guidelines for treating dyslipidemia? - Correct Answer Initiate therapy with Lipitor 40 mg" "During the hospitalization, MG's pain is well-controlled on morphine 3 mg IV Q4 hours. The team has started discharge planning and asks the pharmacist to convert the morphine back to Norco and reduce the dose by 25%. Which Norco dosing regimen should the pharmacist recommend if the milligram dose of oral hydrocodone is equivalent (1:1) to the milligram dose of oral morphine? - Correct Answer Norco 10/325 mg every 6 hours" "Calculate MG's corrected calcium level? (Answer must be numeric; no units or commas; round the final answer to the nearest ONE DECIMAL PLACE.) - Correct Answer 7.9" "A pharmacist is compounding an anesthetic cream by mixing an equal amount of lidocaine and prilocaine powder. Separately, the lidocaine powder and prilocaine powder are solid. But when they are mixed together, the powder mixture begins to melt. What best describes this type of compounded preparation? - Correct Answer Eutectic" "The pharmacy receives a prescription for 100 grams of 5% salicylic acid ointment. The pharmacy has a 26% salicylic acid ointment and petrolatum available. Using only these products, how much petrolatum should be used to compound the prescription? Express the answer in grams. (Answer must be numeric; no units or commas; include leading zero when answer is less than 1; round the final answer to the nearest ONE DECIMAL PLACE.) - Correct Answer 80.8" "DB is a 67 year-old female who has been prescribed weekly alendronate for osteoporosis prevention. Which of the following dosing recommendations is correct for this patient? - Correct Answer 35 mg PO weekly" "Which of the following statements concerning Zyvox is true? - Correct Answer Zyvox should not be used within 2 weeks of MAO inhibitors." "How many milliequivalents of sodium chloride will LK receive per day from the IV fluid ordered on March 4th? (MW of Na = 23; MW of Cl = 35.5). (Answer must be numeric; no units or commas; round final answer to the nearest WHOLE number.) - Correct Answer 111" "A patient with left popliteal deep vein thrombosis is starting Lovenox 1 mg/kg BID. Which of the following is a correct counseling point? - Correct Answer Inject Lovenox twice daily into the abdomen" "A 43 year-old female patient with type 2 diabetes and normal renal function started taking Januvia 100 mg daily in the morning. Which of the following is correct regarding Januvia? (Select ALL that apply.) - Correct Answer It is weight neutral. E It can cause pancreatitis." "A male patient will begin taking citalopram for depression. Which of the following statements regarding citalopram are correct? (Select ALL that apply.) - Correct Answer Difficulty ejaculating and/or decreased libido is a common side effect. There is a risk for QT prolongation if a cardiac condition is present. D There is a risk of suicidal behavior in younger patients." "BW is a 77 year-old male with Parkinson's disease. He is taking carbidopa/levodopa 25/250 mg TID. He has been experiencing "wearing off" and the physician has prescribed ropinirole 1 mg TID. BW's wife brings the new prescription into the pharmacy. What recommendation should the pharmacist discuss with BW's physician? - Correct Answer The dose of ropinirole is too high; it is recommended to start low and slowly titrate to avoid side effects." "Lorcaserin is indicated for weight loss. Which of the following statements concerning lorcaserin is correct? - Correct Answer Lorcaserin is a serotonin (5-HT2C) receptor agonist." "Which of the following counseling statements concerning Concerta is correct? - Correct Answer The tablet releases some medication that acts immediately and some that is longer acting." "Which of the following statements concerning sumatriptan is correct? - Correct Answer Sumatriptan is contraindicated in patients with uncontrolled hypertension." "A pharmacist will counsel a female patient who is beginning lamotrigine therapy for bipolar disorder. There are no interacting medications on the profile. Which of the following counseling statements should the pharmacist share with the patient? (Select ALL that apply.) - Correct Answer This medication can cause serious skin reactions, including a very severe rash. B It is important that this medication is titrated slowly; follow the instructions carefully. Your starter kit packaging should be orange." "What is the relative risk (as a decimal) of all-cause mortality in the trial? (Answer must be numeric; no units or commas; include leading zero when answer is less than 1; round the final answer to the nearest HUNDREDTH.) - Correct Answer 0.88" "What is the absolute risk reduction of death from vascular causes in this trial? (Answer must be numeric; no units or commas; include leading zero when answer is less than 1; round the final answer to the nearest TENTH.) - Correct Answer 1.2" "Based on the results of this trial, how many patients need to be treated with simvastatin for 5 years to prevent one death due to vascular causes? (Answer must be numeric; no units or commas.) - Correct Answer 84" "What does the reported confidence interval for the risk of death from vascular causes indicate? - Correct Answer The result is statistically significant because the confidence interval does not cross one." "How was the data analyzed in this study? - Correct Answer Data was analyzed for patients randomized to each treatment group (active and control) whether the patient completed or did not complete the trial according to protocol." "The hospital has 100 mL vials of Integrilin 0.75 mg/mL. If the pharmacist sends a 100 mL vial, how many hours will the vial last? (Answer must be numeric; no units or commas; round the final answer to the nearest TENTH.) - Correct Answer 7.6" "Which medication on SL's profile is a glycoprotein IIb/IIIa receptor antagonist? - Correct Answer Integrilin" "Which of the following should be added to SL's medication regimen? - Correct Answer Crestor 20 mg" "The cardiac ICU medical team includes a pharmacist. Which drug interactions should the pharmacist alert the team about? (Select ALL that apply.) - Correct Answer SL should not take Plavix and Prilosec together; Prilosec can decrease the efficacy of Plavix.SL should not take nitroglycerin at the same time as Viagra; this combination can cause an unsafe drop in blood pressure." "SL developed trouble breathing and hypotension after receiving morphine injections. Which of the following statements is correct? - Correct Answer Morphine should be added to his allergy profile and fentanyl would be the preferred opioid analgesic." "While SL is hospitalized, he is screened to see if he requires any immunizations. Which drug references would be useful to determine vaccine requirements for SL? (Select ALL that apply.) - Correct Answer The American Diabetes Association Standards of Medical Care C Morbidity and Mortality Weekly Report D The CDC's Pink Book" "SK has unsuccessfully tried various nicotine replacement products to quit smoking. She is interested in trying Chantix. Which of the following statements is correct about Chantix? - Correct Answer The generic name is varenicline." "A patient is receiving ribavirin as part of her hepatitis C regimen. Which of the following are boxed warnings for ribavirin? - Correct Answer Significant teratogenic effects and hemolytic anemia" "A 72 year-old female had a stroke. The medical resident wants to give alteplase. Which of the following statements is false? - Correct Answer Treatment should be initiated within 3 hours of arrival at the emergency department." "RK is a 27 year-old male who presents to the emergency department reporting a purulent urethral discharge and painful urination for 3 days. He was found to be infected with gonorrhea. Which of the following is the best recommendation for this patient? - Correct Answer He should be treated with ceftriaxone 250 mg IM x 1 and azithromycin 1 gram PO x 1." "A patient is using Opana ER tablets. Which of the following statements concerning Opana ER is correct? - Correct Answer Opana ER should be taken on an empty stomach." "TC is picking up a prescription for pancreatic enzymes for his son. How should the pharmacist counsel him regarding administration of pancreatic enzymes? - Correct Answer Give the full dose before each meal and 1/2 of the normal dose with each snack." "PK has received a prescription for Forteo. Which statement concerning Forteo is correct? - Correct Answer This medication should be injected while sitting or lying down as it can cause dizziness and lightheadedness, especially with the first few doses." "The pharmacist in charge at Sunrise Hospital is reviewing the cleaning log of the sterile compounding area on February 5th. The pharmacy is open 24 hours a day and the pharmacy compounds sterile preparations every day. The pharmacy staff at Sunrise Hospital documents how often cleaning is done by writing in their initials on the cleaning log. Based on the cleaning log below, what area is not being cleaned often enough? - Correct Answer Floors" "NM is a business executive being seen in the Family Medicine Clinic for "really bad sadness and feeling really depressed" every month, during the week prior to her menstrual cycle. She has an important presentation coming up next month with the senior vice president of her company, which is scheduled the week before her period. She is asking for a medication that will help her avoid becoming depressed every month. Which statement is true regarding the treatment of Premenstrual Dysphoric Disorder (PMDD)? - Correct Answer PMDD can treated with Sarafem, taken daily or starting 14 days before menstruation and stopping after the 1st full day of bleeding." "Jerry is compounding progesterone capsules and needs to use the electronic balance to weigh 25 mg of micronized progesterone powder. Rank the following steps used to weigh out powder with an electronic balance. Left-click the mouse to highlight, drag, and order the answer options; ALL options must be used. - Correct Answer Place the electronic balance on a flat, stable surface (such as a pharmacy counter). B Turn the electronic balance on. C Place a weigh boat on the balance platform. D Press the "Tare" or "Zero" button. E Add the powder to the weigh boat." "Medical Plaza Pharmacy frequently prepares Magic Mouthwash, a mucosal liquid for chemotherapy patients with mucositis. Based on the master formula record and prescription information below, what would be the appropriate beyond-use-date for this compounded product? - Correct Answer 30 days" "A young adult female patient has been prescribed Tylenol #3 in the emergency department. Choose the correct statement concerning Tylenol #3. - Correct Answer If she is a 2D6 rapid metabolizer, she will produce higher amounts of morphine which could be harmful." "Which vaccine contains Hepatitis A and Hepatitis B in a combination injection? - Correct Answer Twinrix" "AR has end stage renal disease (ESRD) and uses many medications, including PhosLo. Which of the following statements about PhosLo is true? - Correct Answer PhosLo can cause an increase in serum calcium levels." "A 4 mL vial is labeled potassium chloride (4 mEq/mL). How many grams of potassium chloride are present in the vial? (MW of KCl = 74.5). (Answer must be numeric; no units or commas; include leading zero when answer is less than 1; round the final answer to the nearest TENTH.) - Correct Answer 1.2" "GS is a 225 pound male with a history of hypertension and pain. On August 15th, he visits his PCP and inquires about using a patch for his pain. The physician thinks a fentanyl patch is a good idea, but calls the pharmacy to verify. Which statement is correct? - Correct Answer Fentanyl patches can only be used in patients who have taken 60 mg of morphine equivalent daily for at least 7 days; the patient qualifies for a fentanly patch." "A pharmacist receives a prescription for Vigamox. This is indicated to treat: - Correct Answer Bacterial conjunctivitis" "Which of the following is true regarding niacin formulations? - Correct Answer Niaspan is extended-release niacin; it causes less flushing and less hepatotoxicity." "What type of drugs are compounded in the compounding area below? - Correct Answer Sterile, hazardous drugs" "The combined calcium and phosphorus in a PN should not exceed 45 mEq/L. What is the combined calcium and phosphorus (there are 2 mEq PO4/mmol) in this PN order and is it considered safe? - Correct Answer 30 mEq/L, yes" "How many total kilocalories will LB receive daily from the 2-in-1 parenteral nutrition? (Answer must be numeric; no units or commas; round the final answer to the nearest WHOLE number.) - Correct Answer " "When making 2-in-1 parenteral nutrition, the pharmacy uses D50% w/v. How many milliliters of D50% are required to prepare LB's parenteral nutrition order? (Answer must be numeric; no units or commas; round the final answer to the nearest WHOLE number.) - Correct Answer 740" "Calculate the daily grams of nitrogen that LB will be receiving from the parenteral nutrition. (Answer must be numeric; no units or commas; round the final answer to the nearest WHOLE number.) - Correct Answer 17" "What percentage of the total daily calories is represented by the protein component? (Answer must be numeric; no units or commas; round the final answer to the nearest WHOLE number.) - Correct Answer 20" "If the 2-in-1 parenteral nutrition provides 1678 kilocalories daily, what rate (mL/hr) should the pharmacist suggest for the Intralipid to provide the remaining daily kilocalories? (Answer must be numeric; no units or commas; round the final answer to the nearest WHOLE number.) - Correct Answer 32" "Potassium phosphate vials contains 3 mmol of phosphate and 4.4 mEq of potassium per mL, and potassium chloride vials contains 2 mEq of potassium per mL. How many milliliters of potassium phosphate and how many milliliters of potassium chloride will be required to make LB's 2-in-1 parenteral nutrition order? - Correct Answer 8 mL KPO4 and 14.9 mL KCl" "Which of the following statements is true about the progestin-only daily contraceptive pill? - Correct Answer If a pill is missed and taken 3 or more hours later, a back-up contraceptive method is needed for 48 hours." "Which of the following statements are true about HIV pre-exposure prophylaxis? (Select ALL that apply.) - Correct Answer An individual who does not have HIV can take one Truvada tablet daily to reduce the risk of becoming infected. B An individual must be at a very high risk for acquiring HIV in order to be a candidate for pre-exposure prophylaxis." "TR is beginning amiodarone therapy for new-onset atrial fibrillation. Which of the following statements is correct? - Correct Answer Amiodarone is a p-glycoprotein inhibitor; the dose of digoxin should be decreased by up to 50%." "Which of the following statements concerning the influenza vaccine is correct? - Correct Answer The completely egg-free flu vaccine product is called Flublok." "JL has anemia caused by end stage renal disease (ESRD). Which of the following statements is true concerning treatment of this type of anemia with erythropoiesis-stimulating agents (ESAs)? - Correct Answer ESAs should only be used to treat anemia in ESRD when the hemoglobin level is < 10 g/dL." "Pill tiles are used to prepare pills. The pill mass is combined with active ingredient(s) and rolled into a cylinder shape. When the mass reaches the proper length, it is placed over the scale on the pill tile and cut into segments. In addition to preparing pills, a pill tile can be used as an alternative to what other equipment? - Correct Answer Ointment slab" "Maggie is in charge of ordering supplies for the compounding pharmacy. She needs to replenish the ingredients for preparing capsules. The compounded powders in capsules can be made from all of the following commercially available products, except: - Correct Answer ?" "Fairmont Compounding Pharmacy has an electronic balance with a sensitivity of 1 mg. What is the minimum weighable quantity (also referred to as "least measurable quantity") that will result in an error of 5% or less for this balance? Express the answer in milligrams. (Answer must be numeric; no units or commas.) - Correct Answer 20" "A pharmacist needs to prepare 60 grams of a 7.5% lidocaine ointment. The pharmacist has 2% and 10% lidocaine ointments in stock. How many grams of each ointment will the pharmacist need to prepare this prescription? - Correct Answer 18.75 g of 2% and 41.25 g of 10%" "A bottle is labeled 15 PPM of Drug X. How many liters of this solution will contain 6 mg of Drug X? (Answer must be numeric; no units or commas; include leading zero when answer is less than 1; round the final answer to the nearest TENTH.) - Correct Answer .4" "EK is a 63 year old Caucasian female with NYHA functional class III systolic heart failure. She needs to use an additional drug to lower her blood pressure. Which of the following medications should be added for improved blood pressure control? Current Medications: Lotensin 20 mg PO daily Lasix 40 mg PO daily - Correct Answer Carvedilol" "A pharmacy resident completes a retrospective study of patients in a clinic who were prescribed amiodarone. The resident examines the medical profile of each patient to determine if the amiodarone caused hyperthyroidism. He then compares the risk of hyperthyroidism to a group of patients who did not receive amiodarone. This is an example of what type of study? - Correct Answer Cohort" "Which of the following patients, if they have not received the vaccine previously, meet criteria to receive the pneumococcal vaccine (Pneumovax 23)? (Select ALL that apply.) - Correct Answer A 26 month old child with asthma. C A 79 year old male with COPD. D A 50 year old female smoker. E An otherwise healthy 67 year old male." "A pharmacist is making the following compounded prescription. If the specific gravity of polyethylene glycol 1450 is 1.21, how many milliliters are needed for the prescription? (Answer must be numeric; no units or commas; include leading zero when answer is less than 1; round the final answer to the nearest TENTH.) - Correct Answer 19.4" "Which of the following antipsychotics are available in oral formulations suitable for patients with difficulty swallowing or for use in patients who might try to hide the medication in their mouth in order to spit it out? (Select ALL that apply.) - Correct Answer Clozapine B Olanzapine C Risperidone" "Which of the following statements concerning insulins are correct? (Select ALL that apply.) - Correct Answer Novolog 70/30 contains 70% intermediate-acting insulin and 30% short-acting insulin. C Lispro and Afrezza are rapid-acting insulins." "Which antipsychotic is most likely to present a problem in a patient already taking a drug that prolongs the QT interval? - Correct Answer Geodon" "The pharmacist did not have the 200 mg/5 mL strength on hand and the antibiotic needed to be started immediately. The pharmacist dispensed a 15 mL bottle of azithromycin 100 mg/5 mL strength until more azithromycin suspension 200 mg/5 mL could be obtained. The child's mother calls the pharmacy to say she has just finished the temporary supply and the bottle is now empty. Assuming the medication was measured and administered correctly, how many more days of treatment remain? (Answer must be numeric; no units or commas.) - Correct Answer 2" "Referring to the figure, which choice best represents the site where Aldactone exerts its mechanism of action? - Correct Answer Choice A and B" "A medical resident calls the pharmacy to ask how a patient should be converted from warfarin to Pradaxa. What advice should the pharmacist offer? - Correct Answer Discontinue warfarin and start Pradaxa when the INR is less than 2." "Select the correct application site and the duration of use for the Transderm Scop patch: - Correct Answer Apply behind the ear every 3 days" "What is BD's dopamine dose in mcg/kg/min? (Answer must be numeric; no units or commas; round the final answer to the nearest WHOLE number.) - Correct Answer 13" "Calculate BD's anion gap. (Answer must be numeric; no units or comma; round the final answer to the nearest WHOLE number.) - Correct Answer 12" "Which of the following statements concerning use of Precedex in BD is correct? - Correct Answer Precedex is an alpha-2 adrenergic agonist; it will decrease blood pressure." "BD is at risk for which vitamin deficiency? - Correct Answer Vitamin B1 (thiamine)" "TT has Parkinson's Disease and uses Requip and Sinemet to control his symptoms. He has been exhibiting some disturbing symptoms of psychosis. Which is the most appropriate antipsychotic for TT? - Correct Answer Seroquel" "A patient is receiving 500 mL of sodium chloride irrigation solution labeled 327 mOsm/L. The pharmacist needs to reduce the osmolarity of the irrigation solution to 225 mOsm/L by diluting with sterile water. How many milliliters of sterile water should be added to the bag? (Answer must be numeric; no units or commas; round the final answer to the nearest WHOLE number.) - Correct Answer 227" "A medical resident calls the pharmacy to ask how a patient should be converted from warfarin to Eliquis. What advice should the pharmacist offer? - Correct Answer Discontinue warfarin and start Eliquis when the INR is less than 2." "Which statistical test would be appropriate to analyze data for the primary outcome? - Correct Answer Chi-square test" "A 72 year-old female had a STROKE. The medical resident wants to give alteplase. Which of the following statements is FALSE? - Correct Answer Treatment must be initiated within 90 minutes of onset (Door-to-needle time within 60min)" "Which of the following are safety concerns when using etanercept (Enbrel)? (Select ALL that apply.) - Correct Answer Increased risk of serious infections increased risk of malignancies reactivation of latent tuberculosis Lupus-like syndrome" "Which of the following are correct statements regarding Spiriva? (Select ALL that apply.) - Correct Answer Spiriva is formulated as a capsule that is placed into the HandiHaler device. Spiriva comes in a metered dose inhaler and dry powdered inhaler." "Select the correct statement regarding SP's BNP level. - Correct Answer Increased BNP indicates cardiac stress, but it is not specific to heart failure or heart disease." "The medical team would like a recommendation for VTE prophylaxis while SP is hospitalized. Which of the following should the pharmacist recommend? - Correct Answer Lovenox 40 mg SC daily" "SP has a biopsy of the lung nodules and is diagnosed with small cell lung cancer (SCLC). The cancer center has had good success in limited stage SCLC using radiation and chemotherapy with cisplatin and etoposide. Where in the cell cycle do cisplatin and etoposide work? - Correct Answer Cisplatin, Non-cell cycle specific; Etoposide, G2 and S-phase" "A pharmacist is compounding diphenhydramine soft lozenges. Which of the following would be an appropriate ingredient to prepare the base of the lozenges? - Correct Answer PEG" "When TB went to the hospital for chest pain on 7/15, she was very anemic (Hgb 10.4 g/dL). A Coombs test was ordered. What medication prescribed in the Family Medicine Clinic on 7/12 was part of the drug-induced differential diagnosis her providers were testing for? - Correct Answer Macrobid" "During TB's hospitalization, she was started on an oral anticoagulant for stroke prevention that requires no monitoring for efficacy. Which of the following medications meet this criteria? - Correct Answer Eliquis, Xarelto, Pradaxa" "What is TB's blood pressure goal according to JNC 8? - Correct Answer < 150/90 mmHg" "In addition to the active pharmaceutical ingredient, compounded preparations include inert ingredients called: - Correct Answer Excipients" "Reading correct measurement - Correct Answer 6.6ml" "Which should be included when counseling on how to use lovenox injection? - Correct Answer Clean an area of abdomen with alcohol Place used syringe in sharps container Pinch cleansed skin and insert needle at 90 degree angle" "Which opioid should be taken on an empty stomach? - Correct Answer Oxymorphone (Opana)" "Which statement concerning tepiratide (Forteo) is correct? - Correct Answer It is an analog of human parathyroid hormone"