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Question 1: Gynecomastia can occur with which of the following medications? (Select one answer) A) Spironolactone Acdactonesanspir B) Valsartan C) Aliskiren D) Minoxidil Question 2: Which of the following should be avoided in patients with seizure disorders? (Select one answer) A) Effexor B) Lexapro C) Wellbutrin Bupropion D) Remeron Question 3: Plan B contains which of the following progestins? (Select one answer) A) Norgestrel B) Drospirenone C) Desogestrel D) Levonorgestrel Question 4: Which of the following conditions is an example of a macrovascular complication that can result from diabetes? (Select one answer) A) Retinopathy B) Nephropathy C) Coronary artery disease D) Peripheral neuropathy Question 5: Patient, Francine (16 lbs), will be taking 10 mg/kg/dose PO q6hrs as needed of Ibuprofen. The stock bottle comes as 50 mg/1.25 mL. How many mL per dose will be provided to Francine? (Numeric answer, round to nearest tenth) 16lb O come Back is if.se's ing To fm Question 6: TPN for patient MJ is running at 70 mL/hr over 24 hours. The protein component provides 500 kcal. The bag also contains 4% lipid and 13.2% dextrose. Lipid component was prepared using 20% IV Fat Emulsion. Determine the total amount of calories (in kcal) MJ receives per day from this TPN regimen. (Round to the nearest whole number) 1926kcal Question 7: Donepezil can be useful in treating the symptoms of Alzheimer’s disease through which of the following mechanisms? (Select one answer) A) Inhibiting acetylcholinesterase B) Activating serotonin receptors C) Increasing dopamine activity D) Inhibiting NMDA receptors Question 8: Allopurinol can cause which of the following serious adverse effects? (Select one answer) A) Myelosuppression B) Rhabdomyolysis C) Stevens-Johnson syndrome D) Ototoxicity Question 9: Patients taking bisphosphonates should be counseled to remain upright for 30 to 60 minutes after administration to prevent which of the following side effects? (Select one answer) A) Esophageal erosion B) Nausea C) Dyspepsia D) Crystalluria Question 10: sis Which is the correct antidote for acetaminophen toxicity? (Select one answer) A) Flumazenil B) Pyridoxine C) Atropine D) N-acetylcysteine Question 11: Iteration control Please calculate the number needed to treat for apixaban compared to enoxaparin for "major venous thromboembolism." (Enter whole number) Roundup NNT PARR RiskeRishi q.pl 005 8.006 NNE A 0.0006 1666.6 167 Question 12: Sumatripton treatmighte no Imitrex is contraindicated in patients with which of the following medical conditions? (Select one answer) A) Asthma B) Ischemic heart disease C) Chronic kidney disease D) Pancreatitis Question 13: Patient is picking up the following prescription. Please provide 2 distinct counseling points. (NO CREDIT WILL BE ALLOCATED FOR THE FOLLOWING COUNSELING POINTS: nausea, vomiting, diarrhea, you must finish the entire course.) Prescription: Ciprofloxacin 1. 2. 3. 4. You can take with or without food Separate from antacids and supplements Avoid excessive sun exposure Watch for tendon pain (Choose two counseling points) Question 14: as Tegra Carbamazepine exerts its anti-epileptic activity through which of the following mechanisms? (Select one answer) A) Inhibiting glutamate transmission B) Enhancing GABA transmission C) Inhibiting calcium channels D) Enhancing sodium channel inactivation Question 15: Patient was admitted to the ER due to a complicated UTI with a high suspicion of ESBLproducing bacteria. Please choose the most appropriate therapy for this patient. (Select one answer) A) Zyvox B) Levaquin C) Merrem mengeem D) Cipro Question 16: polorfongpo Wapo 0 Annie M. is a 71-year-old female who has received 40 mg IV of furosemide and 40 mg PO furosemide in the last 24 hours. The physician would like to discharge her on an equivalent oral dose of Lasix based on what she has received in the past 24 hours. What is the equivalent dose of Lasix that should be recommended per dose if the patient is to take the medication BID? (Numeric answer only; Round appropriately) Songthlongerongpo24hr BID71760mg Question 17: Which of the following diuretics should be avoided in patients with a sulfa allergy? (Select one answer) A) Spironolactone B) Triamterene C) Hydrochlorothiazide D) Edecrin Question 18: Antibiotic A patient who is being treated with metronidazole should be counseled to avoid which of the following? (Select one answer) A) Antacids B) Dairy products C) Alcohol D) Grapefruit juice Question 19: comeback A patient is in need of ephedrine sulfate 0.5 g in an isotonic solution (MW = 428.544, Evalue = 0.23). In order to compound this medication, how many mg of sodium chloride will x s.is gz sisoonssi si g.amsolution isotonic? be needed to make the 50mL (Numeric answer only; Round to nearest whole number) Question 20: Compact 269002 python How many milliosmoles of CaCl₂ (MW = 111) are represented in 260 mL of a 10% (w/v) calcium chloride solution? mosmokueretsubston914 portidexto (Numeric answer only; Round to the nearest whole number) MW 2 Question 21: 8 3 19000 703Mosnol Select the correct order of steroid potency from least potent to most potent. (Select one answer) A) Prednisone, dexamethasone, hydrocortisone, methylprednisolone B) Hydrocortisone, dexamethasone, prednisone, methylprednisolone C) Dexamethasone, prednisone, hydrocortisone, methylprednisolone D) Hydrocortisone, prednisone, methylprednisolone, dexamethasone HPMD 260 19 4 Question 22: Linezolid Zyvoxso has a potential drug-drug interaction with which of the following medications? (Select one answer) A) Amlodipine B) Fluoxetine C) Flagyl D) Simvastatin 3 1000 no anebodd Question 23: Patient RN is to receive 500mg PO q12h x 14 days for an ear infection. Your store carries the following amoxicillin. (Calculate the correct dose) 1mLIce volumeany prescribeddoseconglivolmeabaibheary ofacouilbesuspensions Soong Is Volare strength 250 90mL C How many cc should you instruct the patient to take per dose? (Numeric Answer Only; Round to Appropriately) 190000mg Question 24: A cough syrup contains 100 mg of Guaifenesin per 5 mL. How many milligrams of the drug are contained in a 473 mL container of the syrup? (Numeric answer only, round to nearest tenth) logs Question 25: 973M 9460mg tautog Doses greater than 40 mg per day are not recommended due to the risk of QT prolongation for which of the following antidepressants? (Select one answer) A) Zoloft B) Celexa C) Paxil D) Prozac COME Bads Question 26: The pharmacist has calculated that the patient requires 24 mmol of phosphate and 52 mEq of potassium. The pharmacy has stock solutions of potassium phosphate (3 mmol of phosphate and 4.4 mEq of potassium/mL) and potassium chloride (2 mEq K/mL). How remainingpotassium needed vourepotofty 52 352 1658 4 1628met 8.4mL 8 homeofpotassium phosphate needed 24 3 some po fro potassium PMI 31 eq phosphate much potassium chloride will be required to meet the patient’s needs? (Numeric answer only; round to the nearest whole number) Question 27: Which of the following values indicates hyperthyroidism? (Select one answer) A) High TSH B) Low TSH C) Low T3 D) Low T4 Question 28: Aniongap 403 What is the anion gap (without potassium) of patient Jim Raat? Na Labs: 130 99 26          Serum Sodium: 130 mEq/L (Range: 135 - 147) Serum Chloride: 99 mEq/L (Range: 94 - 107) Serum Potassium: 4.4 mEq/L (Range: 3.5 - 5.1) Serum Magnesium: 1.7 mEq/L (Range: 1.5 - 2.5) Total Serum Calcium: 9.2 mg/dL (Range: 8.5 - 10.5) Serum Phosphorous: 3.2 mg/dL (Range: 2.5 - 5) Bicarbonate: 26 mEq/L (Range: 22 - 28) BUN: 10 mg/dL (Range: 6 - 24) SCr: 0.7 mg/dL (Range: 0.5 - 1.5) (Numeric answer only) Question 29: Which of the following is considered first-line in the treatment ofI hypertension in pregnancy? (Select one answer) A) Labetalol B) Valsartan C) Quinapril D) Lisinopril 5 Question 30: COMEBACK looks A patient (220 lbs) was given 30 mg/kg in a 150 mL bag of a medication. How many grams were given in 1 hour and 45 minutes if the drip rate is 23 gtts/min? (Assume 20 drops per mL. Numeric answer only; round to the nearest hundredth) Imine Totaldose a 900kg 3819g 3ooonginisomlboy 2 3 2329 14 hismuntin 930989 Prismof 120.75mL factor28 drop 20Pa 120.7520 2415 ng 9 2.4199 Question 31: Which of the following cardiovascular home medications decrease mortality in heart failure patients? (Select all that apply) A) Carvedilol B) Simvastatin C) Furosemide D) Lisinopril E) Fluticasone Question 32: A patient was given tobramycin 160 mg IV. After 10 minutes, the plasma concentration was measured and was found to be 4 mg/L. Assuming that no elimination happened in the first 10 minutes, what is the apparent volume of distribution of tobramycin? (Select one answer) cons A) 40 L B) 4 L/hour plasmaconcentration C) 40 L/hour D) 16 L 4001 E) 4 L ud Ud Dose Ul I Question 33: A patient was diagnosed with CA-MRSA and requires an oral antibiotic regimen. EMR indicates severe allergy to sulfa. Which of the following would be the most appropriate option? (Select one answer) A) Bactrim B) Vibramycin C) Zosyn D) Vancomycin Question 34: GUYqueCf Wawel Bonus: How many grams of zinc oxide should be added to 3200 g of 5% zinc oxide ointment to prepare an ointment containing 20% of zinc oxide? (Numeric answer only; round to the nearest whole number) 685 Question 35: Sammy received theophylline IV after having an asthma attack. If the initial concentration was 10 mcg/L at 19:00, what would be the concentration at 03:00? Assume half-life is 4 hours. (Numeric answer only; round to the nearest whole number) Ct cotta Question 36: Which of the following medications cannot be transferred to another pharmacy? (Select one answer) A) Flexeril B) Duragesic as narcotic C) Soma D) Tramadol z Pong 25 2 Question 37: Which of the following medications can prevent peripheral neuropathies in patients taking isoniazid? (Select one answer) A) Cyanocobalamin B) Pyridoxine C) Pyridium D) That is not a known toxicity of isoniazid Question 38: Patient dropped off the following prescription at your pharmacy. Please select the most appropriate action. Prescription: Ketorolac 10 mg #28 (Select one answer) A) Verify patient's age, and fill if < 65 y/o B) Fill as is C) Do not fill D) Verify patient’s weight, and fill as is if weight is > 50 kg Question 39: Which of the following medications requires LFT monitoring? (Select one answer) A) Mupirocin B) Terbinafine C) Ceftriaxone D) Suprax Question 40: Clopidogrel should be discontinued at least how many days before an elective coronary artery bypass graft (CABG)? (Select one answer) A) 5 days B) 2 days C) 10 days D) 7 days Question 41: When initiating a treatment with INH, what laboratory values are critical to monitor? (Select one answer) A) BMP B) ESR C) Troponin D) LFT Question 42: What would be Patient Roq Innit’s Corrected Calcium? (Numeric answer only; round to the nearest tenth) corrected Patient RI Lab Values:        9.3 Serum Sodium: 140 mEq/L Serum Chloride: 98 mEq/L Serum Potassium: 4.2 mEq/L Serum Magnesium: 2.1 mEq/L Total Serum Calcium: 9.3 mg/dL Serum Phosphorus: 5 mg/dL Serum Albumin: 2.4 g/dL Verena megsMG MW Question 43: cat U albuminlxorl 2 44 2041 0181 2366 33 Magnesium sulfate vial contains 20 mg per mL of MgSO₄. How many mEq of magnesium sulfate are present in a 10 mL vial? (Molecular weight is 120.366; numeric answer only; round to the nearest tenth) Question 44: What is the pKa of a buffer solution containing 120 g/L citric acid and 70 g/L sodium citrate with a pH of 7.42? (Molecular weight for citric acid is 192 g/mol, and molecular weight for sodium citrate is 214 g/mol; please round to the nearest hundredth) pka pit109 Question 45: Ip 74 1091 3 7,1 LegCo's237 0.281 7.9 60.281 PH pkalog LAT 82 0523 Moles Pnw citricacid CHAT 141in0625mg sodium citrate 768 RRR Apffypoo What is the relative risk reduction (RRR) of death from non-fatal MI? (Select one answer) A) 2.2% B) 0.76 C) 24% D) 1.3% Question 46: Which of the following calcium channel blockers is used for arrhythmias? (Select one answer) A) Diltiazem B) Amlodipine C) Nifedipine D) Felodipine 214min03 t