Patient Counseling
Which diabetes treatment should be avoided in a patient who has a history of thyroid cancer?
A.) SGLT-2 inhibitors
B.) GLP-1 agonists
C.) Metformin
D.) Sulfonylureas
E.) Thiazolidinediones
B.) GLP-1 agonists
A 69-year-old female with a past medical history of HFrEF is admitted to the hospital with fever, chills, shortness of breath, and lower extremity swelling. Her home medications include Lisinopril 5mg QD, furosemide 20mg QD, carvedilol 25mg BID, Farxiga 10mg QD. Which intervention should be made to her home medication list?
A.) Add Entresto
B.) Add amlodipine
C.) Change furosemide to chlorthalidone
D.) Increase the dose of carvedilol
E.) Add spironolactone
E.) Add spironolactone
A 65 year old patient with a past medical history of diabetes, hypertension, and tobacco use receives his lipid panel results: Total Cholesterol 168; HDL 38; LDL 120; TG 188. His ASCVD risk score is 22%. What treatment is indicated based on the patient’s labs?
A.) Atorvastatin 20mg
B.) Fluvastatin 40mg
C.) Lovastatin 40mg
D.) Pitavastatin 1mg
E.) Rosuvastatin 40mg
E.) Rosuvastatin 40mg
The medical team wants to switch a patient’s IV Lasix dose of 40mg IV Q12H to an equivalent oral dose. What dose should be recommended?
A.) 20mg BID
B.) 40mg QD
C.) 80mg QD
D.) 80mg BID
D.) 80mg BID
(IV to po ratio 1:2)
This soft drink, invented by a pharmacist, comes from coca leaves and was the first soft drink to be consumed in space in 1985
coca-cola
What are the generic ingredients of Advair Diskus?
A.) glycopyrrolate + formoterol + budesonide
B.) ipratropium bromide + albuterol
C.) salmeterol + fluticasone
D.) tiotropium
E.) vilanterol
C.) salmeterol + fluticasone
What change in COPD treatment is most appropriate to recommend for a patient experiencing dyspnea on exertion. Current COPD medications include Spiriva Respimat.
A.) Add Combivent Respimat
B.) Add Flovent HFA
C.) Add Serevent Diskus
D.) Switch to Breo Ellipta
E.) Switch to Proventil HFA
C.) Add Serevent Diskus
Identify the cause of a patient's anemia based on the mean corpuscular volume: 65fL
A.) Blood loss (normocytic)
B.) Iron deficiency anemia (microcytic)
C.) Vitamin B12 deficiency (macrocytic)
B.) Iron deficiency anemia
Calculate the ideal body weight of a 5'7", 110kg female.
A.) 62 kg
B.) 94 kg
C.) 108 kg
D.) 110 kg
A.) 62 kg
IBW = 45.5 + (2.3)(#inches over 5 ft)
This brand of mouthwash was named after English doctor and surgeon Joseph Lister who believed in the concept of sterilization and antiseptics in the operating room.
Listerine
Which of the following medications is a non-selective beta blocker with additional alpha-1 blocking properties?
A.) Atenolol
B.) Carvedilol
C.) Esmolol
D.) Nebivolol
E.) Propranolol
B.) Carvedilol
A patient presents to your clinic needing help falling and staying asleep. Which of the following medications would be appropriate to recommend?
A.) Doxepin
B.) Eszopiclone
C.) Ramelteon
D.) Suvorexant
E.) Zaleplon
B.) Eszopiclone
A gram stain of a respiratory culture shows numerous white blood cells with many gram-stain positive cocci in clusters. What is the possible bug?
A.) Anaerobe
B.) E. Choli
C.) Pseudomonas
D.) Staphylococcus
E.) Streptococcus
D.) Staphylococcus
A new prescription for a compounded topical pain gel requires, 20g ketoprofen, 8g of lidocaine, and poloxamer 30% gel qs ad 175g. What is the percentage strength (w/w) of lidocaine in the compounded topical pain gel?
A.) 0.2%
B.) 4.6%
C.) 11.4%
D.) 16.0%
E.) 33.1%
B.) 4.6%
This famous mystery author, known for her books such as "Murder on the Orient Express" and "Death on the Nile", was a pharmacy technician where she learned about poison and dangerous drugs as inspiration for her mysteries.
Agatha Christie
Which of the following SSRIs is the most activating and should be taken in the morning?
A.) Citalopram
B.) Escitalopram
C.) Fluoxetine
D.) Paroxetine
C.) Fluoxetine
The medical team is needing a recommendation for a newly diagnosed gout patient to prevent further gout attacks. Which of the following recommendations would be appropriate?
A.) Allopurinol
B.) Colchicine
C.) Prednisone
D.) Indomethacin
E.) Naproxen
A.) Allopurinol
Which of the following is ranges is the usual goal AUC/MIC ratio for vancomycin?
A.) 200-400
B.) 400-600
C.) 800-1000
D.) 100-1200
E.) 1500-1700
B.) 400-600
Calculate the correction factor for the following insulin dose regimen: Lantus 50 units daily and Novolog 15 units TID. (Hint: use the rule of 1800 for rapid acting insulin)
A.) 19
B.) 26
C.) 36
D.) 40
E.) 47
A.) 19
CF = 1800 / total daily dose of insulin
This famous actor, who is known for his works in the Marvel Cinematic Universe, worked in a pharmacy in Australia before making it big in Hollywood.
Chris Hemsworth
Which of the following medications can decrease A1C?
A.) Amlodipine
B.) Celexa
C.) Methotrexate
D.) Spiriva Respimat
E.) Welchol
E.) Welchol
A 59-year-old male who weighs 80kg was recently diagnosed atrial fibrillation and has a CHADSS2-VASC score of 3. Which of the following agents would be the correct blood thinner to initiate?
A.) Warfarin 10mg QD
B.) Lovenox 40mg SQ QD
C.) Xarelto 15mg BID x 21 days, then 20mg QD
D.) Eliquis 5mg BID
E.) Aspirin 81mg QD
D.) Eliquis 5mg BID
If enoxaparin dose is administered at 0600 and 1800, what time should the anti-Xa level be drawn?
A.) 0530
B.) 0630
C.) 1000
D.) 1400
E.) 1800
Calculate the absolute neutrophil count: WBC = 14,800; segs = 10%; bands = 11%
A.) 148 cells/mm^3
B.) 3,108 cells/mm^3
C.) 16,280 cells/mm^3
D.) 159,826 cells/mm^3
E.) 162,810 cells/mm^3
B.) 3,108 cells/mm^3
ANC = WBC x [(%segs + %bands) / 100]
This U.S. state is a located in the southeast on the Gulf of Mexico and is known for it's melting pot of French, African, American, and French Canadian cultures. It was also the first state the required licensing for pharmacists in 1804.
Louisiana