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1. Which of the following is the primary role of a pharmacist in patient
care?
a) Diagnose diseases
b) Prescribe medications
c) Ensure safe and effective use of medications
d) Perform surgical procedures
Rationale: Pharmacists are trained to manage medication therapy,
counsel patients, and ensure medication safety, not to diagnose or
perform surgeries.
2. The FDA requires which of the following before a new drug can be
marketed in the U.S.?
a) Animal studies only
b) Clinical trials and FDA approval
c) Physician testimonials
d) Consumer surveys
Rationale: Drugs must undergo preclinical studies, clinical trials, and
receive FDA approval before being marketed.
3. A prescription reads: "Amoxicillin 500 mg PO TID x 10 days." How should
the pharmacist instruct the patient?
a) Take 500 mg once daily
, b) Take 500 mg twice daily
c) Take 500 mg by mouth three times daily for 10 days
d) Take 500 mg every 4 hours
Rationale: "PO" means by mouth, "TID" means three times daily, and
the duration is 10 days.
4. Which of the following medications is classified as a Schedule II
controlled substance?
a) Diazepam
b) Alprazolam
c) Oxycodone
d) Lorazepam
Rationale: Oxycodone has a high potential for abuse and dependence
and is classified as Schedule II; benzodiazepines like diazepam and
alprazolam are Schedule IV.
5. The term "bioavailability" refers to:
a) The rate of drug metabolism in the liver
b) The fraction of an administered dose that reaches systemic
circulation
c) The time it takes for a drug to be eliminated
d) The binding of drug to plasma proteins
Rationale: Bioavailability measures the proportion of a drug dose that
reaches the bloodstream and is available for therapeutic effect.
6. Which of the following is the antidote for acetaminophen overdose?
a) Naloxone
b) N-acetylcysteine
c) Flumazenil
d) Atropine
Rationale: N-acetylcysteine replenishes glutathione and prevents liver
damage in acetaminophen toxicity.
7. Which vaccine is contraindicated in immunocompromised patients?
a) Influenza inactivated
b) Measles, Mumps, Rubella (MMR) live
c) Hepatitis B
, d) Tetanus
Rationale: Live vaccines like MMR can cause disease in
immunocompromised individuals.
8. The correct storage condition for insulin is:
a) Room temperature indefinitely
b) Refrigerated at 2–8°C until opened
c) Freezer storage
d) Keep in direct sunlight
Rationale: Insulin should be refrigerated until use; once opened, certain
types may be kept at room temperature for limited time.
9. A patient presents with a cough and is taking an ACE inhibitor. Which
adverse effect should be considered?
a) Bradycardia
b) Dry cough
c) Insomnia
d) Weight gain
Rationale: ACE inhibitors commonly cause a persistent dry cough due to
increased bradykinin levels.
10.Which of the following represents the correct conversion: 1 mg = ?
a) 100 mcg
b) 1000 mcg
c) 10 mcg
d) 0.1 mcg
Rationale: 1 mg equals 1000 micrograms (mcg).
11.Which of the following is considered a high-alert medication by the
ISMP?
a) Acetaminophen
b) Loratadine
c) Insulin
d) Ibuprofen
Rationale: Insulin is high-alert due to the risk of severe harm from
dosing errors.