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1
Tips: Systemic antifungals are the most effective treatment, with meta-
analyses showing mycotic cure rates of 76% for terbinafine, 63% for
itraconazole with pulse dosing, 59% for itraconazole with continuous dosing,
and 48% for fluconazole. Concomitant nail debridement further increases cure
rates. Topical therapy with ciclopirox is less effective; it has a failure rate
exceeding 60%. Several nonprescription treatments have also been evaluated.
Laser and photodynamic therapies show promise based on in-vitro evaluation,
but more clinical studies are needed. Despite treatment, the recurrence rate of
onychomycosis is 10% to 50% as a result of reinfection or lack of mycotic cure.
2
20 mEq x 39 mg = 780 mg K
8) A clinical trial report shows that a control drug gives side effects in
50 patients among 500 and test drug gives 25 among 500 patients.
Find the number needed to treat?
A) 20 B) 200 C) 2000 D) 100 E) 50
Ans. A
Tips:
(50/500) x 100 = 10%
(25/500) x 100 = 5%
ARR = 10-5 = 5%
NNT = 1/ARR = (1/5) x 100 = 20
Absolute risk reductions Relative risk
3
ARR = CER-EER RRR = (CER-EER)/CER
NNT = 1/ARR
NNH = 1/ARI
4
i. 200 mL of 3.75 mg/mL solution will contain
(200 x 3.75) = 750 mg of triamcinolone
ii. 750 mg triamcinolone is contained in 750/40 =
18.75 mL
11. Venlafaxine?except
A. The drug of choice for major depressive disorder
B. The alternate option for hot flushes in post menopause
C. Hypotension is the major side effect concern
D. Velafaxine is a SNRI
E. Venlafaxine initial dose is 35 mg daily
Ans.c
Tips: high dose >225 mg/day of venlafaxine cause
hypertension.
5
B) Human anatomy and mouse anatomy
C) Human antibiotics developed from mouse
D) Human Assay for Mouse antigens
E) Human AntiMouse Antibody
Ans. E
Tips. HAMA is human antimouse antibody. Hypersensitivity and infusion-
related reactions, with or without the development of human antimouse
antibodies (HAMAs), are generally greatest with murine antibodies and least
with humanized antibodies also known chimeric antibodies. Example infliximab.
reaction.
6
C. Partition
D. Protein assisted absorption
Ans. B
7
17) A women comes to your pharmacy explains her
symptoms of vaginal irritation, yellow and fishy odor
discharge, which of the following can be cause of these
symptoms?
A) Candida infection B) Viral infection C) Fungal D)
Bacterial infections E) Allergic
Ans. D
Tips. Odor discharge and yellow color discharge are typical
symptoms of bacterial or Trichomonas symptoms. However
pruritus is the typical symptoms candida infections.
18) A woman phoned the pharmacist and told him that her husband has
swallowed 20 tabs of acetaminophen 325 mg. What is the proper advice?
A) Ask her wait and watch, he will be ok
B) Induce emesis-using ipecac
C) Call the poison center to ask for advice
D) Take him to the emergency department
E) Call doctor to ask what to do
Ans. C
Tips. The overdose of symptoms acetaminophen toxicity within 24 hours is
nausea and vomiting.
Symptoms:
Phase I (12-24 hrs) nausea, vomiting, anorexia, and sweating
Phase II (1-4 days) No symptoms (asymptomatic)
Phase III (2-3 days in untreated patient): nausea, abdominal pain, liver failure,
coma and death.
Treatment for more than 7 g in adults, 100 mg/kg in children
treatment is recommended. elderly and alcoholic patient higher
chance of toxicity. Within 2 hrs toxicity should be treated by ipecac
8
or gastric lavage. The N-acetyl cysteine is an antidote is used for
patients with toxic blood levels .
19) All of the following are the risk factors for deep vein thrombosis,
except?
A. estrogen therapy B. Immobility C. pregnancy D. malignancy
E. osteoarthritis
Ans. E
T= trauma H= hormones (OCP) R= road accidents O =operation
(cholestectomy); M = malignancy B = blood dysorders
(polycythemia); O = obesity, old age, orthopedic surgery S= serious
illness, I= immobilization S= splenectomy.
9
D. Blood pressure
E. Triglycerides
Ans. B
Tips. Valproic acid is hepatotoxicity require liver function test
monitoring.
10
D. 41.25
E. 2.60%
Ans. B
50ml of 20% MgSO4 = 10 g
Equivalent weight = 246/2 = 123 g
Total mEq of Mg2+ = (10/123)x1000 = 81.30 mEq
11
B. Pneumococcal vaccine is given annually
C. Flu vaccine is not given for children age 6 months to 5 years
D. Tetanus toxoid is given every 10 years up to adolescent
E. Hepatitis vaccine is NOT recommended to travelers
Ans. D.
Tips.
Dukoral. 2 dosage 1 week apart, first dose 2 wks before travel.
Pneumococcal vaccine q5 to 10 yrs.
Vaccine
Flu vaccine annually
pneumococcal 5-10 y
Dukoral Effective up to 3 yrs
Hepatitis A and B
Gardasil 12-26 yo
Zostavax >55 yo
25) In insurance plan drug price is $29.00 and $6.00 prescription fee.
Every time this patient pays $2.00 for each prescription what is it
called?
a. Coinsurance
b. Co-payment
c. Prescription fee
d. Gross margin
Ans. B
Tips. Each time patient pays specific amount is co-payment.
Deductible Co-payment Co-insurance
Pay onetime in the Pay each time for every Each time you share the
beginning of every year. prescription expenses
12
26) A 60 year old patient is suffering from CHF. He is taking Captopril
25 mg tid and Carvedilol 25mg bid. His LVEF 35%, BP 115/82,
Creatinine clearance 65 ml/min, Serum potassium 6.15 mmol/L,
Serum sodium= 140 mEq/L. If doctor considering to treat edema.
Which of the followings should not be added to this patient?
A) Digoxin
B) Furosemide
C) Spironolactone
D) Hydrochlorothiazide
E) All of the above
Ans. C
Tips: Lab results of potassium (normal K levels to 3.5 to 5 mmol/L)
shows 6.15 mmol/L thus adding potassium sparing agent like
spironolactone may increase potassium. Therefore avoid
spironolactone.
13
C. Jet urination
D. turbid urine
E. Hypovolemia
Ans. B
14
A) 0.5% B) 20% C) 10% D) 40% E) 5%
Ans. A
Tips. Absolute risk reduction (ARR) = EER CER : 2.5%-2% = 0.5%
15
Tips: The first line therapy for CHF is ACEi and BBs.
16
33. What is the drug of choice for secondary prevention of stroke with atrial
fibrillation?
A. warfarin B. ASA 81 mg C. clopidogrel 75 mg D. Dipyradamol 200
mg + ASA E. Ticarugrel
Ans. A
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E. All of the above
Ans. A
Tips: cardiac tissue ischemia (O 2) infarction necrosis
18
19
37) A 75-year-old patients suffering from pneumonia. Her daughter
is looking after her. She has 2 children at home. Doctor hesitates to
give flu shot to the patient. What will doctor do?
A) Immunize other family member
B) Send him to nursing home
C) Do not gives flu shot to others
D) Flu vaccine is irrelevant
E) Refer to emergency
Ans: A
20
39) If a pediatric patient is to receive ampicillin oral suspension,
which of the following is NOT important?
A) Affix label of expiration date
B) Affix an auxiliary "shake well before use" label
C) Ensure the patient is NOT allergic to penicillin's
D) Use aseptic techniques to reconstitute the medication
E) Label store in refrigerator
Ans. D
Tips. All extemporaneous preps should contain expiration date. All
oral preps need NOT to prepare in sterile conditions. Only
parenteral, chemo and ophthalmic products require sterile
conditions.
21
41) A pharmacist adds 400 ml of alcohol (95%) v/v to a 1 litre
of a mouthwash formula. What is the new percentage of
alcohol present if the ordinary mouthwash was labelled as
12% v/v of ethanol?
A) 36% B) 40% C) 45% D) 50%
Ans. A
(400 ml) (95 %) + 1000 ml (12%) = (1400 ml) (X%)
380 + 120 = (1400 ml) (X%)
X% or (X/100) = (500/1400)
X = 35.7
22
43. What is the property of drug that can be found in high
concentration in breast milk?
A. low molecular weight
B. low lipid solubility
C. high protein binding
D. high acidic drugs
Ans. A
Tips
Drug Factors effects on excretion of drug into breast milk;
PKa (dissociation constant)
Molecular size
Lipid solubility
Oral bioavailability
Long acting drugs
Basic drugs
23
Ans. A
Tips: Vd = 9 L 90 dL k = 0.693/t 1/2
T = 1 hr = 0.693/1
C ss = 15 mg/dL = 0.693
R = C ss x V d x K el
= 15mg/dl x 90 dl x k el
= 935.55 mg/hr
24
47) Patient using bisphosphonates should be monitored for all
except?
A. Calcium levels
B. vitamin D levels
C. Bone pain
D. DXA test
E. Lung function test
Ans. E
Tips: DXA: Dual energy X-ray Absorptiometry is used for measuring
bone mineral density. The normal T score -1. If -2.5 is osteoporosis.
25
A. Carbamazepine, has non-linear kinetics and so complicated dose
adjustment
B. Phenytoin, has non-linear kinetic at high doses so complicated
dose adjustment
C. Carbamazepine and phenytoin has non-linear kinetics
D. Phenytoin has linear kinetic so dose adjustment is complicated.
Ans. B
26
C. removes fetus from embryo
D. delays pregnancy
Ans. a
Tips: emergency contraceptive prevents conception by delaying ovulation.
27
53) Which gland does aldosterone secrete from?
A) Anterior pituitary gland
B) Adrenal Cortex
C) Pancreas
D) Hypothalamus
E) None of the above
Ans. B
Adrenal cortex inner layer testosterone
Middle layer corticosteroids
Outer layer aldosterone
Adrenal medulla epinephrine (adrenaline)
28
55) You have a perpetual inventory record in the hospital for
narcotics and controlled drugs. The following is/are true:
A) It is a continuous record.
B) Purchases added and products delivered are subtracted.
C) Products when returned from the ward are added to the
perpetual.
D) All of the above.
E) None of the above.
Ans. D
29
57) In a DNA, if a base sequence is AGT, what is the
complimentary paired base sequence?
A) ACG B) GUC C) AAC d)TCU e) TCA
Ans. E
58) A patient taking OCP and have spot vaginal bleeding on day 14 to 16.
What is cause?
A. Deficiency of estrogens
B. Deficiency of progestin
C. Deficiency of estrogen and progestin
D. Deficiency of androgen
E. Deficiency of hCG
Ans. B
30
59) Which of the following is the overdose symptom of levothyroxine?
A. weight gain
B. constipation
C. hair loss
D. oily skin
E. sensitive to cold
Ans. d
31
61. MP is 70 yo women with Parkinsonism, her treatment for Parkinsonism is
responding well. Recently her dr. diagnosed with atrial fibrillation and prescribed
amiodarone 200 mg daily. Which of the following test should be monitored after
initiating amiodarone therapy?
A. blood pressure
B. Tardive dyskinesia
C. Serum TSH
D. Rigidity
E. Dystonia
Ans.c
32
63) Two generic brands of drugs with equal strength are
given orally. Tablet A results in AUC 250 (mg/L)x hour and
Tablet B results in an AUC 500 (mg/L) x hour. Which product
has better bioavailability?
A. Tablet A has higher bioavailability
B. Tablet B has higher bioavailability
C. Tablet A and Tablet B has equal bioavailability
D. Tablet A has high bioavailability then Tablet B
Ans. B
33
Tips:
Bisphophonate: inhibit osteoclast and increase BMD
Teriperatide: increase bone formation.
Raloxofine: bone growth by increasing estrogen
34
68) How many grams of 60% w/w HCl acid should be added to 100 g
of 40% w/w HCl acid to prepare 400 g of 55% w/w HCl acid?
a) 300 g b) 250 g c) 150 g d) 100 g e) 50 g
Ans. A
60 15 (60%)
55
40 5 (40%)
-----------
20
400 : 20 = X : 15 ; 400/20 = X/15; 400 x15/20 = X
X= 300 g
69) You are giving ZnCl2 0.7%, phenylephrine 0.1% and boric acid
1.1% with E values 0.16, 0.32 and 0.5 respectively. This solution will
be:
a) Isotonic b) Hypertonic c) Hypotonic d) Iso-osmotic
e) Isotonicity cannot be finding.
Ans. C
Tips. (0.7 x 0.16) + (0.1 x 0.32)+ (1.1 x 0.5) = 0.0694
= 0.0112 + 0.0032 + 0.055
NaCl = 0.9/100 = 0.009>0.00694 = Hypotonic
35
70) Which part of brain that controls important cognitive
skills in humans, such as emotional expression, problem
solving, memory, language?
A. Frontal lobe
B. Occipital lobe
C. Temporal lobe
D. Parietal lobe
E. Brainstem
Ans.A
36
Clearance 8.3
37
75.Which of the following infection prevents recurrent
middle ear infection in children?
A. Flu vaccine B. Polio vaccine C. Measles vaccine D.
pneumococcal vaccine
Ans. D
38
78) Mechanism of bisphophonates?
A. Inhibit osteoclast formation
B. Inhibit osteoblast formation
C. Increase osteoclast formation
D. increase osteoblast formation
E. All of the above
Ans. A
79) To avoid dispensing error, pharmacist can check and verify all of
the followings before dispensing a prescription, except:
A) Patients name, address and date of birth
B) Name of the drug prescribed
C) Drug strength
D) Directions for use
E) Manufacturers name
Ans. E
39
80) A patient call the pharmacy asking why his heart medication is yellow
instead of the usual white color. Upon investigation, it is discovered that the
prescription was filled with digoxin 0.125 mg instead 0.25 mg strength. Which
of the following is the most appropriate action to take?
A) Tell patient to take two tablets daily
B) Tell patient cut the tablets in half and take one half tablet daily
C) Ask the patient to call doctor immediately to inform inappropriate intake of
digoxin and document
D) Explain the situation to patient and ask the patient to bring the medication
to replace with correct and document the error.
E) Prepare a new prescription with 0.25 mg strength and inform the patient
that pharmacy manager is solely responsible for accuracy of prescription
Ans. D
81) A prescription direction says tabs ii stat pc; tab i pc od. In this
prescription, the term od can be differently meant as
A-Right ear
B-Left ear
C-Both the eyes
D-Left eye
E-Right eye
Ans. E
Tips. o.d or OD
40
82) What dosage form of drug is preferred post cataract
management?
A. oral B. Injection C. Topical D. Sublingual
E. OTIC
Ans. C
41
A) propargylamine B) alkylamine C) catecholamine D)
dihydroxyl group
Ans. A
Tips: propargylamine group is essential for irreversible action
of Rasagiline and selegiline.
42
88) Which of the following is an essential building block of
folate antagonist (PABA) and antimetabolites anticancer drug
methotrexate?
A. Purine analog guanine and adenine
B. Pyrimidine analog cytosine, thymine, and uracil
C. Para aminobenzoic acid
d. nucleotide analog
Ans. C
Tips: methotrexate and 5-FU are PABA analogs
43
90) A study experiment event rate or treatment reduced 10% risk
and control reduced 7.5% risk. What is absolute risk reduction?
A. 7.5% B. 2.5% C. 10% D. 15%
Ans. b
ARR = EER-CER or 10-7.5 = 2.5%
NNT = 1/ARR = (1/2.5) x 100 = 40
NNT are always rounded up to the nearest whole number.
44
93) According to institute of safe medication practice (ISMP)
guidelines, which of the following is the least confusing
abbreviation?
A) q4h B) per os c) q.d d) g e) mg
Ans. A
Tips. q6h or qid
45
95) Zero order, except
A. Independent of concentration
B. Time dependent
C -dc/dt = Ko
D. Slope k/2.303
E. Example Photochemical degradations
Ans. D
46
97) You have 20 ml ampoule having a concentration of 0.75% and
you need to prepare 250 ml solution having concentration of 0.125%,
so what the volume of liquid needed to dilute the solution?
A) 75 ml B) 42 ml C) 250 ml D) 125 ml E) 20 ml
Ans. B
How to solve:
C1 x V 1 = C 2 x V 2
0.75 x V 1 = 0.125 x 250
Therefore V 1 = 41.67 ml
47
99) What correct instructions should be labelled in the
following preparation?
Salicylic acid 2%
Lactic acid 6 ml
Flexible collodion ad 30 ml
A- Flexible collodion is extremely flammable.
B- Tightly close the container to prevent ether and alcohol.
C- Keep away from fire
D- All of the above
E- None of the above
Ans. D
48
101) Mass spectroscopy is used to:
a) Detect traces of unknown chemical structure
b) Structure elucidation of unknown chemical
c) Traces in environmental samples
d) Drug traces in blood samples
e) All of the above
Ans. E
Tips: Mass spectrometer detects molecular structures based
molecular weight ions. Thus this can be used for unknown
chemical structures.
102) A patient with renal clearance 120 mg/ml and now changed 200
mg/ml, because?
A. Increase tubular secretion
B. Decreased tubular section
C. Increased reabsorption
D. Decreased glomerular filtration
E. None of the above
Ans. A
49
103. Hospital pharmacy hiring a pharmacy technician for IV
reconstitution. She has been asked, if nurse advise about administration
of drug and for the same pharmacist differs in advise. What is
technician opinion?
A. accept pharmacist advise
B. accept nurse advise
C. do not accept nurse and pharmacy and do due diligence
D. Call doctor and ask for advise
E. accept both nurse and pharmacist
Ans. A
104) Mr. Masons mother is a patient of your pharmacy. Now Mr. Mason
wants to admit her into a rehabilitation centre. He thinks that it will help her
to improve her health condition. He requests you to talk to his mother. Both of
you have tried to convince her to go there. Although she thinks that it will not
make any difference and she does not want to go there. Which ethics have you
applied (uphold) as a pharmacist?
a) Paternalism
b) Beneficence
50
c) Autonomy
d) Veracity
e) Justice
Ans: b
51
Tips. Narcotic prescription should specify exact "mitte" or
direction should be clearly state frequency and days.
52
109) In renal failure CaCO3 is given to treat?
A. hyperphosphetemia
B. Hypophosphetemia
C. Hyperkalemia
D. Hypokalemia
E. Hypercalcemia
Ans. a
53
Tips: Delegation of a job should include the suggested steps to
accomplish the project; a negotiation of time schedule for completion of the project and the person
doing the delegation should provide support and follow up as required.
54
113) A clinical trial application must be submitted to health
Canada prior to?
A) Preclinical laboratory studies in animals
B) Phase 2 clinical trial but after phase 1
C) Phase 3 of clinical studies but after phase 2
D) Phase 4 of clinical studies but after phase 3
E) Phase 1 clinical trails
Ans: E
Ans, D
55
115) Vitamin C contains?
A. drug identification number
B. Product identification number
C. Natural product number
D. Homeopathic Number
E. Pseudo DIN
Ans. C
Tips: all natural products, vitamins and nutritional supplements have
NPN.
56
117) How many 500 mg tablets of Ciprofloxacin HCl is
required to prepare 240 ml of 2% Ciprofloxacin HCl solution?
A. 5 Tablets B. 10 Tablets C.20 Tablets D. 25 Tablets
E)30 Tablets
Ans. B
57
A) It is associated with a greater risk of stomach cancer.
B-Stress may aggravate IBS
C-Avoiding candies, gums and caffeine help to improve the
condition
D-It may be constipation or diarrhea predominant
E-Abdominal pain or discomfort is the most common
characteristic
Ans.A
120) A 33 years old patient with diabetes type I. He is taking basal insulin NPH
30/70 40U in the morning and 50U at night, and using Insulin IR 200U BID
(morning and bedtime). His blood glucose level is as such:
Morning Noon Supper Bedtime
3-5 7 5 8
(A) Reduce IR dose in the morning and increase IR dose in the evening
(B) Change Insulin NPH to insulin glargine (Lantus)
(C) Avoid giving insulin IR and keeps him on basal insulin NPH
(D) Reduce insulin NPH dose at night, and increase insulin NPH in the morning
(E) None of the above
Ans. D
TIPS. The regular (IR) insulin has no effect on the morning and night
level. It may have in the afternoon or early morning. However the
basal insulin should be adjusted, taking into consideration no change
in the diet or physical exercise.
58
121) A pharmacy dispensing error dispensed Pradaxa (Dabigatran)
instead of Plavix (clopidogrel). If patient used. Which of the following
problem expected?
A) Increase risk myocardial infarction
B) Increase risk of platelet aggregation
C) Increase risk of bleeding
D) Increase risk of blood clot formation
Ans. C
Tips. Pradaxa is a new anticoagulant dabigatran act as factor Xa
inhibitor. However Plavix is clopidogrel an antiplatelets drugs. So
increase risk of bleeding
122) A patient had a recent MI, but he like stop smoking. What is
contraindicated?
A. bupropion b. vareniciline C. NRT D. clonidine E. cold
turkey method
Ans. C
59
D) Shape of pills
E) Physician name
Ans. B
60
A. CYP450
B. Alcohol dehydrogenase
C. Dioxygenase
D. CYP3A4
E. Oxidative deamination
Ans. C
61
D. Glipizide (Glucotrol)
E. Oxybutynin (Lyrenel XL)
Ans. A
62
Ans. B
63
132) Which of the following ophthalmic conditions required referral
to doctor?
A) Red eye B) Pain in eye C) Blurred vision D) Dry eyeE) B and C
Ans. E
Ans.c
64
135) A patient is 5 years old child was kept on a regimen of and
fluticasone 1 puffx2. Patient is suffering with daytime coughing twice
weekly, and wakes up once weekly. The patients asthma was still
not under control. What is appropriate dosage form is recommended
to children <8 year age?
A-Turbuhaler
B. Nasal spray
C. Meter dose inhaler and aerochamber
D) Handihaler
E) Diskus
Ans. C
65
A) To obtain drugs that are not approved to sale in Canada
B) To obtain compassionate drugs from manufacturer
C) To obtain illegal drugs or street drug from health Canada
D) To obtain drug that do not have safety information
E) To obtain narcotics and control drugs form health Canada
Ans. A
Tips. Health Canada special access program (SAP), provides
drugs that are NOT approved in Canada or investigational
drugs by special request from prescribers.
138) What is the pharmacist concern in patient using fixed ratio insulin?
A) Exercise before insulin dose
B) Snacks between meals
C) Patient compliance
D) Patient age
E) Types of insulin
Ans. B
66
A) The evaluation and selection of all drugs currently in use in
the hospital
B) Setting of use for all medications in the hospital
C) Setting standards with that third party
D) Evaluating drugs based on drug studies, available literature
and financial considerations.
E) Education program for staffs
Ans. C
67
141. An optometrist prescribed ciprofloxacin drops 2 gtt OD for 10
days. What is correct?
A. Instill 2 drops in both eye for 10 days
B. Instill 2 drops in affected eye for 10 days
C. Take ciprofloxacin 500 mg daily for 10 days
D. Instill 2 drops in right eye for 10 days
Ans. d
68
143) If physician name is not readable in prescription, what is
the appropriate action?
A. Call physician
B. Ask patient first
C. Ignore and process prescription
D-Look in computer
E. Write doctor name
Ans. B
69
145) All of the following factors effects on renal creatinine clearance or
estimated GFR, except
A. age
B. stable serum creatinine
C. body weight
D. height
E. race
Ans. d
Tips: Estimated GFR MDRD (Modification of Diet in Renal Disease) depends on
factors CrCl, gender, age, and race
GFR (mL/min/1.73 m2)=186x(SCr)-1.154x(age)-0.203
X(0.742 if female)x (1.210 if African American)
70
A) Arbitration
B) Mediation
C) Collective Bargaining
D) Arguing
E) Consulting
Ans. C
71
b) 1 tablets
c) 2 tablets
d) 4 tablets
e) 5 tablets
Ans: C
Working. use the formula MEq = (mg x valence)/(molecular weight)
)Each tablets contains: (600 x1)/(74.5) = 8.05 mEq
Patient needs 16 mEq = 2 tablets
72
C. duration of therapy
D. prescription from other doctor
Ans. B
73
D. Health Canada MedEffect program inform about drugs withdrawn
from market
E. All of the above
Ans. C
74
156. A economic analysis that compares the relative costs and
outcomes in effect unit of two or more drugs is described as?
A. Cost minimization analysis
B. Cost effective analysis
C. Cost utility analysis
D. All of the above
Ans. B
158.A customer of your pharmacy was prescribed warfarin 2.5 mg daily. She
is currently using St. John wart to improve her mood related problem. What
is true?
A. St. John wart increase INR
75
B. St. John wart decrease INR
C. No change in INR
D. Combination potentiate bleeding
E. Combination cause serotonin syndrome
Ans. b
76
Surfactants. Disinfect and remove contaminants.
Protein cleaners or enzyme cleaners contain papain, pancreatin, or subtilism.
Remove protein deposits by catalysing the natural breakdown of debris into
simple compounds.
Wetting and rewetting solutions. Produce cushioning and lubricant effect
between lens and eyelid, between eye and cornea (removes dryness).
162. A 30 yr old woman walks into pharmacy. She want to buy over
the counter pain reliever to treat migraine. All of the following are
migraine symptoms, except?
A) Hemicranial throbbing pain
B) Pain is so bad so that one cannot do usual activity and effect on
quality of life.
C) Nausea and Vomiting
D) Photophobia and get worse around light
E) Facial and shoulder pain
Ans: E
Tips. Facial pain are trigeminal neuralgia. It is not symptom of
migraine. Nauseas vomiting, hemi cranial throbbing pain are classical
symptoms. Shoulder and upper back pain can be present in
fibromyalgia.
77
163. Cholecystokinin (CCK)?
A. released from duodenum when fats and proteins digested
B. released from lung upon emphysema
C. released from lungs in COPD
D. Increase appetite by digestion of food
E. Increase prokinetic effect
Ans. A
Tips CCK does fat-absorption (breakdown)
165. Which of the following high levels usually indicates iron deficiency?
A. Mean cell volume (MCV)
B) Hematocrit (Hct)
C) Hemoglobin
D) Serum ferritin
E) Total iron binding capacity (TIBC)
Ans. E
78
166. Homocysteine level increase?
a. indicate liver problems
B. cardiovascular problems
C. kidney problems
D. lung problems
Ans.b
167. The federal government's roles in health care include all the
below EXCEPT
a) Regulation of pharmaceuticals
b) Consumer safety
Ans, E
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A. albumin
B. bilirubin
c. platelet
D. globulin
Ans. D
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A. Sunscreen products containing PABA need to avoid by the individuals, who
are allergic to benzocaine, sulfonamides, or thiazides.
B. Sunscreen can cause contact dermatitis and photosensitive reactions
C. The UV light is the least between the hours of 10:00 am to 4:00 pm
D. Organic sunscreen absorb UV light
E. Inorganic physical sunscreen reflect and scatter UV light
Ans. C
UV-A protection is important in person using sunscreen.
175. Smoking?
A. enzyme inhibitor
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B. enzyme inducer
c. metabolic substrate
D. Digestive enzyme
e. catalyst
Ans. b
Tips: smoking is a CYP1A2 inducer
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178. What method of sterilization is used as terminal
sterilization?
A.dry heat,
B.moist heat,
C.Filtration,
D.radiation,
E.gas
Ans. C
Copd treatment:
Salbutamol PRN or ipratropium PRN tioptroium LABA (formeterol)
theophylline
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180 A doctor switched patient to a new opioid therapy and
started low dose. It is due to?
A. Tolerance
B. Resistance
C. Dependency
D. Addiction
E. Ineffective therapy
Ans. a
181. Morphine?
A. effective nociceptive pain only
B. effective neuropathic pain only
C. effective in nociceptive and touch pain
D. effective only in mild to moderate pain
E. effective in head injury pain
Ans. C
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Ans. a
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186. Categorical (nominal) data?
188. All of the following measures can help improving adherence, except?
A. Providing private counseling area
B. Use plain language
C. Ask about taking medication at each visit
D. Work with physician simplifying regimen
E. Use medication adherence scale
Ans. A
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A. Psychological factors
B. Injury to body tissue
C. Damage to nerve
D. Diabetes
E. Post herpetic infection
Ans. B
Tips. Nociceptive are due injury to body tissue, throbbing pain
(migraine).
190. Which of the following drug dispensing error can be most serious
concern?
A. Infliximab
B. Methotrexate
C. Fluoxetine
D. Olanzapine
E. Lamisil
Ans. B
191. What of the following is the safest prescription according to dangerous
ISMP abbreviations?
a- Latanoprost i gtt TID
c- ciprofloxacin PO od
d- Warfarin .5 mg qd am
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192. DAUNOrubicin prescription mistakenly dispensed for DOXOrubicin. This
sound alike name error can be minimized by?
A. Reading prescription generic names
B. using Tallman letter in names
C. Confirming with prescriber
D. Clarifying with patient
E. Keeping away from in the shelf
Ans. B
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Ans. c
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197.What is the drug of choice to treat Chlamydia infections?
A. Cefixime
B. Ceftriaxone
C. Ciprofloxacin
D. Azithromycin
Ans. D
Tips. Azithromycin is the drug of choice to treat chlamydia infection.
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C. X-ray
D. Pap smear test
E. Epigastric pain
Ans. B
Vitamin E once reduced in cell, then which vitamin in body converts it by reduction
active form again?
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A. Metoprolol 50 mg + lisinopril 20 mg /day
B. Atenolol 25 mg/day + irbesartan 150 mg/day
C. HCTZ 50 mg/day + amlodipine 2.5 mg
D. Diltiazem 120 mg.day + captopril 25 mg.day
A. III and IV
B. II and III
C. I and II
D. Iv only
Ans.c
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