Show:
Cardiology/GI
Women's Health/Self-Care/OTC
Infectious Disease/Travel/Immunization
Pharmacy Law/CPhA/Las Vegas
100

Entresto is indicated for the treatment of:

  1. Hypertension

  2. Heart failure

  3. Depression

  4. Type II diabetes mellitus

Heart failure

100

What medication should you recommend for a patient with a wet cough and hypertension?

  1. Dextromethorphan 

  2. Guaifenesin

  3. Phenylephrine 

  4. Codeine 

Guaifenesin

100

Pneumococcal vaccines protect against what bacteria/disease?

  1. Streptococcus pneumonia 

  2. Streptococcus pyogenes 

  3. All streptococcal infections

  4. Pneumonia caused by all bacteria

Streptococcus pneumonia

100

Where are CPhA headquarters?

  1. San Francisco 

  2. Sacramento 

  3. San Diego

  4. San Jose

Sacramento

200

Amiodarone should be carefully prescribed to patients with:

  1. Hypertension

  2. Arrhythmia 

  3. Depression

  4. Hyperthyroidism 

Hyperthyroidism

200

What are signs and symptoms of preeclampsia?

I. a persistent headache

II. swelling of the face or hands

III. shoulder pain

  1. I only

  2. II only

  3. I and II only

  4. II and III only

I and II only

200

What malaria prophylaxis can be taken in pregnant patients?

  1. Atovaquone-proguanil 

  2. Mefloquine

  3. Doxycycline 

  4. Tafenoquine

Mefloquine

200

When was CPhA founded?

  1. 1989

  2. 1869

  3. 1903

  4. 1943

1869

300

Which of the following are components of the Child-Pugh score? Select all that apply.

  1. Aspartate aminotransferase

  2. International normalized ratio

  3. Encephalopathy

  4. Alanine aminotransferase

  5. Albumin

  1. International normalized ratio

  2. Encephalopathy

  3. Albumin

300

AB is a 31 year old female reporting to your clinic for a prenatal checkup. Her past medical history includes HTN. She is planning to become pregnant in the next few months and wants to be placed on a medication regimen that is appropriate during pregnancy. Which of the following would be contraindicated for AB’s hypertension during pregnancy? Select all that apply.

  1. Labetalol

  2. Methyldopa

  3. Losartan

  4. Nifedipine

  5. Lisinopril

losartan

lisinopril

300

A mother asks you about the vaccinations her 18-year-old daughter received before she went to college. The daughter’s health care provider gave her the MMR vaccine at her first visit and the varicella vaccine 2 weeks later. The mother wants to know if this method was acceptable. Which of the following is the correct response?

  1. They were given correctly, and her daughter is now protected.

  2. They were given too close together, and her daughter should have both vaccines repeated in 1 month.

  3. They were given too close together, and her daughter should receive the varicella vaccine 1 month from the date of the previous varicella vaccine.

  4. They were given too close together, and her daughter should receive another MMR vaccine 1 month from the date of her previous varicella vaccination.

They were given too close together, and her daughter should receive the varicella vaccine 1 month from the date of the previous varicella vaccine.

300

  1. How long is the Las Vegas strip?

    1. 2 miles

    2. 3 miles

    3. 4 miles

    4. 5 miles

4 miles

400

Which of the following statements is NOT TRUE about Xeljanz (tofacitinib)?

  1. It is a Janus kinase (JAK) inhibitor.

  2. It is indicated for the treatment of ulcerative colitis.

  3. The active ingredient found in Xeljanz is Tofacitinib.

  4. It should always be prescribed with Cyclosporine to increase its efficiency.

  5. If a serious infection develops, interrupt Xeljanz/Xeljanz XR until the infection is controlled.

It should always be prescribed with Cyclosporine to increase its efficiency.

400

Which of the following information is/are TRUE ABOUT Naloxone? [Select All That Apply].

  1. Naloxone hydrochloride is a pure opioid antagonist that competitively binds to μ-opioid receptors only when opioids are present.

  2. No tolerance or dependence is associated with naloxone use

  3. When comparing the μ-opioid receptor affinity of naloxone with that of most opioids, including heroin, naloxone has a greater affinity to bind to the receptor site.

  4. Naloxone has a short duration of activity about 30 to 90 minutes.

All of the above

400

BB is a 28-year-old female who presents to your clinic with dysuria, suprapubic heaviness, flank pain and nausea. She is running a fever of 101.2 F but is otherwise hemodynamically stable. Her urinalysis results show 3+ bacteria, WBC 425 per high power field, positive for leukocyte esterase and positive for nitrite. Her urine cultures are still pending, but she is diagnosed with a suspected UTI and will be treated as an outpatient. She has a PMH significant for hyperlipidemia, anxiety, and myasthenia gravis. She has an allergy to sulfa drugs listed on her profile (rash/hives). She is currently taking 20mg atorvastatin PO once daily, buspirone 15mg PO BID PRN, and pyridostigmine 180mg extended release tablets PO BID.  This is her first UTI. Which of the following statements regarding treatment for BB are true? 

  1. This UTI should be classified as acute cystitis  

  2. The most likely pathogen causing this UTI is E. coli 

  3. The patient could receive Macrobid 100 mg PO BID x 5 days  

  4. The patient could receive Bactrim 800mg/160mg PO BID for 7 days

  5. The patient could be given a dose of ceftriaxone 1 g IM once then started on Augmentin 875mg PO BID for 7-14 days.

The most likely pathogen causing this UTI is E. coli 

The patient could be given a dose of ceftriaxone 1 g IM once then started on Augmentin 875mg PO BID for 7-14 days.

400

What act was implemented to keep Sudafed sales lower?

  1. Pediatric Labeling Act

  2. Combat Methamphetamine Epidemic Act

  3. Anabolic Steroid Control Act

  4. Orphan Drug Act

Combat Methamphetamine Epidemic Act

500

RL is a 54 YOM who’s calculated 10-year atherosclerotic cardiovascular disease (ASCVD) risk is 18%. Which of the following is the most appropriate pharmacotherapy recommendation for RL?

  1. Rosuvastatin 10 mg PO QHS

  2. Atorvastatin 80 mg PO QHS

  3. Lovastatin 10 mg PO QHS

  4. Pravastatin 20 mg PO QHS

Atorvastatin 80 mg PO QHS

500

Which statements are true about Fosamax? Select all that apply.

  1. Fosamax works by stimulating osteoblastic activity which promotes bone formation

  2. She should take this medication first thing in the morning and wait at least 30 minutes before eating and remain upright for at least 30 minutes

  3. If this oral formulation is not tolerated, there is an IV formulation of Fosamax available for administration

  4. She should take this medication with a full glass (6-8 oz) of water

  5. Use of Fosamax should not be administered to our patient due to renal insufficiency

She should take this medication first thing in the morning and wait at least 30 minutes before eating and remain upright for at least 30 minutes

She should take this medication with a full glass (6-8 oz) of water

500

DT is a 22-year-old male (NKDA) who arrives at the college student health clinic for his annual check-up. He reports no signs or symptoms currently but has had previous episodes of burning sensation on his genitals a few months ago. His sexual history indicates he has had multiple partners, both males and females, in the past several months. He notes having unprotected intercourse in his last sexual encounter (HIV status unknown) occurring a week ago. He has no prior PMH or medications upon looking at his medical profile. When asked about his vaccination record, DT states all his vaccinations were done during his childhood and a state database inquiry revealed his last vaccine was given when he was 9 years old. 

Pertinent Labs: 

  • HIV: Negative 

  • RPR: Negative 

  • Chlamydia and Gonorrhea testing: Negative

  • Urinalysis: Leukocyte esterase negative, Nitrite positive, and bacteria positive 

What recommendations can you give to DT at this time?

  1. Treat for a urinary tract infection with Bactrim DS 1 PO BID. 

  2. Due to his high risk of sexually transmitted infections, empirically treat for chlamydia and gonorrhea with doxycycline 100 mg PO BID for 7 days and ceftriaxone 500 mg IM once. 

  3. Start Truvada plus Isentress for post exposure prophylaxis for HIV due to potential exposure from his recent sexual encounter.

  4. Offer the HPV vaccine, Gardasil-9, for prevention as he qualifies.

Offer the HPV vaccine, Gardasil-9, for prevention as he qualifies.

500

Which FDCA amendment exempted certain drugs from the "adequate directions for use" labeling requirement if they bear "Rx only" on their labels?

  1. Durham-Humphrey Amendment

  2. Fair Packaging and Labeling Act

  3. Kefauver-Harris Amendment

  4. Poison Prevention Packaging Act

Durham-Humphrey Amendment