Mock Competency Assessment

3/21/24, 10:31 AM Examsoft | Assessment Post 702L - Mock Competency Assessment 1. Zestoretic should be avoided in patients with: A. Arrhythmia B. Pregnancy C. Osteoporosis D. Heart failure 2. What is a potential drug-drug interaction with Xarelto? A. Increased risk of bleeding when combined with aspirin B. Enhanced anticoagulant effect when combined with acetaminophen C. Reduced efficacy when combined with beta-blockers D. Decreased risk of thrombosis when combined with diuretics 3. In patients taking Benicar, which electrolyte requires regular monitoring to avoid a potential adverse effect? A. Sodium B. Calcium C. Potassium D. Magnesium 4. What is the mechanism of action of Zetia? A. Inhibits cholesterol absorption in the small intestine B. Inhibits platelet aggregation C. Inhibits HMG-CoA reductase D. Increases the breakdown of triglycerides 5. Vascepa and Lovaza are both medications containing: A. Omega-3 fatty acids B. Fibrates C. Antiplatelet agents D. HMG-CoA reductase inhibitors 6. Which medication requires monitoring for pulmonary toxicity and hepatotoxicity? A. Pacerone B. Intuniv C. Lanoxin D. Apresoline https://ui.examsoft.io/assessments/1182096/postings/1414010/post 1/10 3/21/24, 10:31 AM 7. Examsoft | Assessment Post Select the correct mechanism of action for Vasotec. A. Blocks angiotensin converting enzyme B. Blocks the binding of angiotensin II to the AT1 receptor C. Blocks the reabsorption of sodium and chloride in the distal tubule D. Blocks calcium channels in cardiac and smooth muscle cells 8. Lotrel is a combination medication that includes which two drug classes? A. Beta-blocker and diuretic B. Calcium channel blocker and ACE inhibitor C. ACE inhibitor and diuretic D. ARB and calcium channel blocker 9. Which medication requires patients to rinse their mouth and spit after use? A. Combivent Respimat B. Spiriva Handihaler C. ProAir Respiclick D. Arnuity Ellipta 10. Select the boxed warning associated with Singulair. A. Neuropsychiatric events B. Oral candidiasis C. Hyperkalemia D. Rhabdomyolysis 11. Select the drug class(es) contained in Dulera. A. ICS/LABA B. ICS only C. SABA only D. SABA/SAMA 12. Combivent contains which medication class(es)? A. ICS B. ICS / LABA C. Anticholinergic / SABA D. Anticholinergic / ICS 13. Which medication is indicated for the maintenance treatment of COPD? A. Singulair B. Advair Diskus C. QVAR D. ProAir https://ui.examsoft.io/assessments/1182096/postings/1414010/post 2/10 3/21/24, 10:31 AM 14. Examsoft | Assessment Post Which medication may be used as both a controller and reliever in adults and adolescents with asthma? A. Symbicort B. QVAR C. Combivent Respimat D. Proventil 15. Select the correct counseling point for use of Atrovent HFA. A. The mouthpiece should be cleaned at least once weekly. B. The patient should inhale quickly and deeply. C. There is no need to prime the inhaler prior to use. D. The contents of each capsule should be inhaled twice to ensure drug delivery. 16. Which classes of medications are known as bronchodilators? Select all that apply. A. Inhaled corticosteroids B. Long-acting beta-2 agonists C. Short-acting beta-2 agonists D. Phosphodiesterase-4 inhibitors E. Long-acting anticholinergics 17. Which medication is classified as a histamine antagonist? A. Vistaril B. Flonase C. Phenergan D. Restasis 18. Lumigan is used for the treatment of which condition? A. Glaucoma B. Dry eyes C. Conjunctivitis D. Allergies 19. A patient comes to your pharmacy looking for Hibiclens. What is the generic name? A. Chlorhexidine B. Clobetasol C. Clotrimazole/Betamethasone D. Cyclosporine 20. Which medication belongs to the drug class of histamine receptor antagonists? A. Zyrtec B. Lumigan C. Tessalon D. Flonase https://ui.examsoft.io/assessments/1182096/postings/1414010/post 3/10 3/21/24, 10:31 AM 21. Examsoft | Assessment Post What is the generic name for Patanol? A. Levocetirizine B. Olopatadine C. Polytrim D. Optivar 22. Select the correct generic name for Phenergan DM. A. Dextromethorphan/Promethazine B. Brompheniramine/Pseudoephedrine/Dextromethorphan C. Codeine/Promethazine D. Neomycin/Polymyxin B/Dexamethasone 23. Which medication is indicated for treatment of hemorrhoids? A. Preparation H B. Lamisil AT C. Neosporin D. Monistat 24. Which medications are classified as nasal steroid inhalers? Select all that apply. A. Rhinocort B. Flonase C. Afrin D. Sudafed E. Xyzal 25. Oxytrol may be used for what indication? A. Overactive bladder B. Dry eyes C. Tinea infections D. Earwax removal 26. Patients taking OTC products containing pseudoephedrine should be counseled on the risk of: A. Increased blood pressure B. Drowsiness C. Reduced heart rate D. Increased urination 27. Select the most appropriate counseling point for a patient purchasing Xyzal. A. This medication may cause dizziness or drowsiness. B. This medication may cause increased urination. C. Must be taken with food as it may cause upset stomach. D. This primary use of this medication is to treat cough. https://ui.examsoft.io/assessments/1182096/postings/1414010/post 4/10 3/21/24, 10:31 AM 28. Examsoft | Assessment Post Patients seeking treatment for alopecia may be recommended this medication: A. Minoxidil B. Pyrithione zinc C. Ketoconazole D. Selenium sulfide 29. You receive a prescription for Cosopt. Which medication do you dispense? A. Dorzolamide-timolol B. Brimonidine C. Latanoprost D. Ketorolac 30. Which medication is a topical corticosteroid? A. Astepro B. Patanol C. Lotrisone D. Travatan Z 31. What is the pH of a solution containing 0.1 M sodium citrate and 0.01 M citric acid (pKa of citric acid is 3.13)? Numerical answer only. Round to the nearest tenths. 1 pH 1 32. You are asked to prepare 12 CC of 2% Drug X solution. You have 1% and 4% Drug X solution in stock. How much (in mL) of the 1% and 4% Drug X solution should be used? Round to the nearest whole number. Numerical answer only. 1 mL of 1% Drug X solution 2 mL of 4% Drug X solution 1 2 33. You are asked to prepare 0.5% Drug Y ointment using 1 g of 1% Drug Y ointment. How much diluent (in g) should be added to the 1% ointment? Assume complete use of starting material. Numerical answer only. Round to the nearest whole number. 1 g diluent 1 34. What is the percent ionization of drug Z, a weak acid with a pKa of 5 in a solution with a pH of 3? Numerical answer only. Round to the nearest whole number. 1 % ionized 1 https://ui.examsoft.io/assessments/1182096/postings/1414010/post 5/10 3/21/24, 10:31 AM 35. Examsoft | Assessment Post What is the percent strength of a 50 g tube of ointment containing 5 mg of Drug C? A. 10.00% w/w B. 1.00% w/w C. 0.10% w/w D. 0.01% w/w 36. Calculate the CrCl for this patient using the Cockcroft-Gault equation. Round to the nearest whole number. 52 year-old female with SCr of 1.2 mg/dL, weight 146 pounds and height of 5'8" 1 mL/min 1 37. A patient is being transitioned to home care. They are going home on oral Bumex. Convert Lasix 120mg IV BID to an equivalent Bumex PO daily. Answer: 1 mg daily 1 38. Calculate the LDL-C of a patient with the following lipid values: TC 245 mg/dL, HDL-C 40 mg/dL, TG 160 mg/dL. Numerical value only. No units. Answer: 1 mg/dL 1 39. Calculate the corrected calcium for a patient with the following laboratory values. Round to the nearest tenth. Calcium 7.9 mg/dL; albumin 1.6 g/dL Answer: 1 mg/dL 1 40. You receive an order for norepinephrine 0.1 mcg/kg/min for a patient weighing 88 kg. Your pharmacy stocks norepinephrine in 8 mg/250 mL bags. Calculate the flow rate in mL/hr. Numerical answer only. Round final answer to the nearest whole number. Answer: 1 mL/hr 1 https://ui.examsoft.io/assessments/1182096/postings/1414010/post 6/10 3/21/24, 10:31 AM Examsoft | Assessment Post Figure A.JPG 41. Use the attached table to answer the following question. How many patients would need to be treated in the Intensive Treatment group to avoid one additional death from cardiovascular causes? A. 167 B. 166 C. 2 D. 1 E. 0.57 Figure A.JPG 42. Use the attached table to answer the following question. What is the relative risk (RR) of the Primary outcome in the Intensive Treatment group compared to the Standard Treatment group? Express answer as a decimal. No units. Round answer to the nearest hundredth. Answer: 1 1 https://ui.examsoft.io/assessments/1182096/postings/1414010/post 7/10 3/21/24, 10:31 AM Examsoft | Assessment Post Exhibit B.jpg 43. Use the attached table to answer the following question. What is the relative risk reduction (RRR) of the primary endpoint of death from vascular causes, MI, or stroke for the Ticagrelor group relative to the Clopidogrel group? A. 1.9% B. 9.8% C. 16.2% D. 11.7% E. 0.84% https://ui.examsoft.io/assessments/1182096/postings/1414010/post 8/10 3/21/24, 10:31 AM Examsoft | Assessment Post Exhibit B.jpg 44. Use the attached table to answer the following question. What is the absolute risk increase (ARI) of stroke for the Ticagrelor group compared to the Clopidogrel group? A. 1.5% ARI B. 1.3% C. 0.2% D. 1.17% E. 0.22% https://ui.examsoft.io/assessments/1182096/postings/1414010/post 9/10 3/21/24, 10:31 AM Examsoft | Assessment Post Exhibit B.jpg 45. Use the attached table to answer the following question. Which of the outcomes compared to Ticagrelor and Clopidogrel were statistically significant? Assume the level of significance was set at 0.05. Select all that apply. A. Primary endpoint B. MI C. Stroke D. TIA E. Severe recurrent ischemia https://ui.examsoft.io/assessments/1182096/postings/1414010/post 10/10