Pharmacy Evaluating Exam Preparation – Question Set #8

Question 1: Which of the following drugs causes respiratory acidosis?

A. Morphine
B. Sildenafil
C. Isoprostol
D. Colchicine
E. Amphetamine

Question 2: Which of the following is an obligate intracellular bacteria making it resistant to cell wall active antibiotics?

A. Listeria monocytogenes
B. Streptococcus pneumoniae
C. Chlamydophila pneumoniae
D. Clostridium perfringens
E. Enterococcus faecalis

Question 3: JT is 29 year old female. JT is taking Clozapine to manage her schizophrenia symptoms. Also, JT smokes more than 1 pack of cigarettes per day. JT is actively seeking some help to quit her smoking addiction. What is the pharmacist’s recommendation?

A. Vernaciline
B. Nicotine Replacement Therapy
C. Bupropion
D. Buspirone
E. Cognitive Behavioural Therapy (CBT)

Question 3: For Dorzolamide, a carbonic anhydrase inhibitor, which of the following statements is correct?

A. Used as a lubricant in topical decongestant
B. Increases the formation of aqueous humor
C. Inhibits the conversion of Angiotensin I to Angiotensisn II
D. Decreases the formation of aqueous humor
E. Increases the outflow of aqueous humor

Question 4: JT is a 29 year old female. She is prescribed isotretinoin by her dermatologist. Which of the following tests would the pharmacist recommend JT to do after 1 month of taking Isotretinoin?

A. Urea Breath test
B. Chest X ray
C. Haemoglobin
D. Kidney function test
E. Liver function test

Question 5: JA patient comes to the pharmacy asking for a test for strep sore throat. After testing, it was found that he did not have it. He asks the pharmacist to check again because he thinks that he has the infection. What is he suspecting?

A. False positive
B. False negative
C. Viral infection
D. Allergy
E. HIV

Question 6: JT is taking Paroxetine for her depression. Her doctor wants to switch her from Paroxetine to Venlafaxine. Which of the following options is correct?

A. No need to washout while changing from SSRI to SNRI
B. Taper Paroxetine for 7 days and then start Venlafaxine
C. Wash out Paroxetine for 5 days and then start Venlafaxine
D. Wash out Paroxetine for 2 weeks and then start 
E. Taper Paroxetine for 2 weeks and then start Venlafaxine

Question 7: A 43-year-old woman with newly diagnosed focal seizures is started on carbamazepine 200 mg twice daily. Her levels initially reach 6 mcg/mL (therapeutic: 4–12 mcg/mL), but 3 weeks later, her seizures return and the level drops to 2 mcg/mL. What best explains the drop in carbamazepine levels?

A. Poor medication adherence
B. Drug interaction with valproate
C. Autoinduction of hepatic enzymes
D. Decreased oral bioavailability
E. Increase in renal clearance

Question 8: JT, a 67-year-old patient with angina, uncontrolled hypertension, and uncontrolled diabetes. His HbA1c is 8%. He is taking metformin for diabetes and an ACE inhibitor for hypertension. His heart rate is 62. Based on the given information, answer the following questions.

Question 8.1: Which of the following should be added to Metformin to control his diabetes?

A. Glyburide
B. Pioglitazone
C. Empagliflozin
D. Semaglutide
E. Linagliptin

Question 8.2: What can be given to JT to control his hypertension?

A. Losartan
B. Captopil
C. Nifedipine
D. Carvedilol
E. Furosemide

Question 8.3: This patient is also drinking grapefruit juice every morning. Which of the following medications should get your attention?

A. Pravastatin qhs
B. Donepezil
C. Nifedipinde qam
D. Codeine
E. Clopidogrel

Question 9: JT is a 54-year-old male patient who is taking nitrates. Which of the following medications is contraindicated for JT?

A. Tadalafil
B. Clopidogrel
C. Codeine
D. Acetaminophen
E. Ibuprofen

Question 10: A woman just had a baby 4 weeks ago and came to the pharmacy saying she is crying all day and is tired all the time. What should be the pharmacist’s response?

A. All moms are like that
B. It's only like that in the beginning. 
C. Once your baby gets some sleep, it will be better
C. Try to get some sleep when your baby sleeps because these are the symptoms of you just being tired
D. Check with your doctor because it might be post partum depression
E. Tell her it's normal to feel this way after having a baby and it will pass with time.

Question 11: Which of the following statements is correct about pyrogen?

A. Pyrogens are products of bacterial metabolism
B. Changes the physical appearance of the product
C. Pyrogen is a universal buffer
D. Pyrogen is added as a solubility enhancer
E. Pyrogen is added as a stability enhancer

Question 12: If you are a patient and went to a doctor to prescribe morphine. According to the law, you should inform the doctor that you had a prescription before from another doctor for morphine for how many days?

A. 30 days
B. 60 days
C. 10 days
D. 15 days
E. 20 days

Question 13: An 82-year-old woman is prescribed diazepam for muscle spasms. After a few days, she presents with confusion, sedation, and frequent falls. Her creatinine is normal.

What is the most likely reason for her adverse effects?

A. Drug-induced hyponatremia
B. Increased hepatic clearance with age
C. Accumulation due to lipid solubility and active metabolites
D. Diazepam induces P-glycoprotein
E. Her creatinine clearance is underestimated

Question 14: A patient is taking insulin and gets hypoglycemia when he exercises. What is the pharmacist’s recommendation to this patient?

A. Take a bar of chocolate when you feel hypoglycemic
B. Take a light meal 2 hours before exercise
C. Take a snack after exercise
D. Refer to a doctor for further evaluation
E. Take a snack before the exercise

Question 15: What is the systematic review that the employer does to compare the expectations that were agreed upon?

A. Raise
B. Reference
C. Accomodation
D. Appraisal
E. Promotion

Question 16: Which of the following statements is true for a prescription of testosterone?

A. Written prescription with no refills allowed
B. Written or verbal prescription with no refills allowed
C. Written or verbal prescription and refill should be with specific interval
D. Written or verbal and refill is allowed
E. No restriction on refill for verbal prescription

Question 17: What is the mechanism of action of Omeprazole?

A. Xanthine Ocidase inhibitor
B. H2 blocker
C. 5 alpha reductase II inhibitor
D. Irreversible inhibition of Hydrogen potassium ATPase pump
E. reversible inhibition of Hydrogen potassium ATPase pump

Question 18: Which of the following site for insulin administration is fast-acting?

A. Abdomen
B. Thigh
C. Upper arm
D. Lower back
E. Shoulder

Question 19: JT is a 29-year-old female who just started taking antidepressants. She is otherwise a healthy female with no other medications on her profile. Based on the information given, answer the following question.

Question 19.1: She is complaining that she can t sleep and she is asking the pharmacist that when can she start sleeping?

A. 1 - 2 weeks
B. 2 - 4 weeks
C. 6 - 8 weeks
D. 2 - 5 days
E. Less than 24 hours

Question 19.2: When should the efficacy of the antidepressant drug be evaluated?

A. 1 - 2 weeks
B. 2 - 4 weeks
C. 6 - 8 weeks
D. 2 - 5 days
E. Less than 24 hours

Question 20: A patient with COPD is taking salbutamol and tiotropium. The patient is not feeling better. What to add?

A. Montelukast
B. Formoterol
C. Umecledinium
D. Ipratropium
E. Formoterol + ICS

Question 21: In which of the following infections, the whole house need to be treated?

A. Lice
B. Threadworm
C. Round worm
D. Pinworm
E. Filariasis

Question 22: Which of the following statements is true regarding half-life?

A. The half-life is the time it takes for the drug to be completely eliminated from the body.
B. The half-life is the time it takes for the drug concentration to reduce by half in the bloodstream.
C. The half-life is dependent on the frequency of drug administration.
D. The half-life can be altered by changing the dose of the drug.
E. The half-life is the time it takes for the drug to reach its peak concentration.

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