front 1 JY is admitted to the hospital. Admission Orders: Protonix 40 mg daily Zosyn 4.5 g IV Q8H Solu-Medrol 40 mg IV Q12H Zestril 10 mg dailyJY's first dose of antibiotic is administered at 1600. What times should the next 2 doses be given? | back 1 0000 and 0800 |
front 2
Vital Signs:
Convert SZ's temperature to degrees Celsius. (Answer must be numeric; no units or commas; round the final answer to the nearest TENTH.) | back 2 37.2 |
front 3 Past Medical History: COPD, heart failure (last EF 30%), alcoholism Home Medications: Altace 10 mg daily, Lasix 40 mg BID, Coreg CR 40 mg daily, Digox 0.25 mg daily, Combivent Respimat 1 inhalation QID, Procardia XL 60 mg daily, Aldactone 25 mg daily Which of SZ's medications can decrease her heart rate? (Select ALL that apply.) | back 3 Digox and Coreg CR |
front 4 What are the components of Triumeq? | back 4 Lamivudine + abacavir + dolutegravir |
front 5 While this patient is receiving Lasix, all of the following are important monitoring parameters EXCEPT: | back 5 Hepatic function |
front 6 MI is a 48-year-old male being seen today by his healthcare provider. Past Medical History: hypertension, heart failure, atrial fibrillation, type 2 diabetes, HIV
Medications:
Which of the following accurately describes this patient's stroke risk and recommended treatment? | back 6 CHADSVASC score is > 2; apixaban at the current dose is appropriate |
front 7 This patient has been using insulin for 12 months. His blood glucose remains high (both fasting and post-prandial). What single intervention should be made now to align his therapy with current ADA guidelines?
Medications:
| back 7 Add metformin |
front 8 Which of the following should be discussed with this patient when dispensing Nexium? (Select ALL that apply) | back 8 Nexium must be taken every day for the best results; it does not work immediately Do not crush or chew the medication |
front 9 This patient reports that he has not received any vaccines other than an annual influenza vaccine since he was 14 years old. Which of the following vaccines are recommended in this patient? (Select ALL that apply) | back 9 Hepatitis B Tdap Menactra Prevnar 20 |
front 10 Convert 88°F to Celsius. (Answer must be numeric; no units or commas; round final answer to the nearest TENTH.) | back 10 31.1 Degrees Celsius = (88 - 32) / 1.8 = 31.1111 = 31.1 |
front 11 Which of the following technologies has helped the most in eliminating the problem of drug errors due to prescriber's sloppy handwriting? | back 11 CPOE is Computerized Prescriber Order Entry. |
front 12 Which mechanisms of action are represented in KB's antihypertensive regimen? (Select ALL that apply.) | back 12 ARB CCB The patient is taking Benicar (olmesartan, an angiotensin receptor blocker), amlodipine (a dihydropyridine calcium channel blocker), and chlorthalidone (a thiazide-type diuretic) for hypertension. |
front 13
Diagnostic Tests (10/16)
Which medication should be considered for discontinuation based on the CT abdomen test results? | back 13 Exenatide |
front 14 What additional medication is indicated for KB based on his past medical history? | back 14 Atorvastatin |
front 15 Based on KB's medication list, which condition is missing from the past medical history? | back 15 Detrol LA (tolterodine) is an anticholinergic medication used to treat urinary incontinence. |
front 16 Which of the following are expected side effects of the diuretic on KB's medication profile? (Select ALL that apply.) | back 16 Hypokalemia Hypomagnesemia Chlorthalidone can cause low potassium, magnesium and sodium, and elevated calcium and uric acid. |
front 17 A pharmacist is counseling a patient on a new antihypertensive medication. After he finishes the counseling, he says, "any questions?" What is a better way to conclude the counseling session that would likely make the patient feel more comfortable asking questions? | back 17 What questions can I answer about your new medication |
front 18 Past Medical History Parkinson disease (diagnosed 6 weeks ago) Atrial fibrillationMitral valve repair (bioprosthetic valve)Cerebrovascular accidentModerate-severe Alzheimer's disease Ankylosing spondylitis Cholecystectomy Arthroscopy of the right knee BG's medical history and clinical presentation indicate which of the following? | back 18 His gallbladder has been removed |
front 19 Which of the following statements is true of health literacy? (Select ALL that apply.) | back 19 Low health literacy is linked to poor health outcomes Health literacy is the degree to which patients are able to obtain/understand health information and make decisions |
front 20 JY is admitted to the hospital with an asthma exacerbation. Admission Orders:Clindamycin 150 mg PO Q6HProtonix 40 mg PO dailySolu-Medrol 40 mg IV Q8HZestril 10 mg daily JY's first corticosteroid dose is administered at 1300. When should the next two doses be given? | back 20 2100 and 0500 |
front 21 KG is an elderly female with osteoporosis, hypertension and glaucoma. She picks up her blood pressure pills and glaucoma drops at the pharmacy near her home. This patient has a Medicare Plan, which covers her inpatient and outpatient medication costs. The pharmacy bills the costs for the hypertension and glaucoma medications to the following Medicare program: | back 21 Part D |
front 22
History of Present Illness: AF is a 38-year-old
female with worsening symptoms of her inflammatory bowel disease. She
presents to her gastroenterologist on 11/3 to discuss treatment
options for her disease, which is assessed as moderate-severe.
Entocort EC 9 mg once daily | back 22 Norvasc Prozac Xyzal Pataday |
front 23 Which of the following describes the predominant effect of Prozac on neurotransmitters? | back 23 It increases levels of serotonin |
front 24 What is the generic name of Xyzal? | back 24 Levocetirizine |
front 25 Which of the following best describes Yaz? | back 25 It contains the progestin drospirenone |
front 26 Which pathogen is covered by Diflucan? | back 26 Candida albicans |
front 27 The pharmacy dispenses a 5 mL bottle of Pataday 0.1% for AF. Assuming the patient uses the medication every day as prescribed, how many days should the bottle last? (A standard eyedropper dispenses 0.05 mL/drop.) (Answer must be numeric; no units or commas.) | back 27 OU = each eye |
front 28 AF presents to the pharmacy with a new prescription for phenelzine from her gastroenterologist. The pharmacist should call the prescriber to discuss which of the following? | back 28 Prozac needs to be stopped for 5 weeks before starting phenelzine |