Question 1

A patient asks you to explain how to take her medication. The prescription is for Actos (pioglitazone) 15 mg PO TID. The label reads: Take one tablet 3 times a day before mealtime by dissolving under the tongue. What is the error on the label?

Accepted Answer

15mg PO TID means the 15 mg tablet should be taken by mouth three times a day. PO means by mouth (per os). TID means three times a day (ter in die). The prescription does not indicate whether to take with meals or on an empty stomach-pioglitazone can be given either way.

Question 2

A woman gives you a prescription written for Zoloft on March 1 of last year. It is now May 1st. Which is the best response?

Accepted Answer

Expiration dates on prescriptions vary from state to state, but normally after a year, any prescription has expired. A pharmacist cannot make the decision to give a patient an expired prescription.

Question 3

You are an intern at a community pharmacy, but have been there for about 2 months and know the "regulars." One of these regulars comes in with a new prescription. Which of the following is true?

Accepted Answer

Any patient can refuse counseling. An intern must have a senior pharmacist present for any counseling and it is insufficient to substitute reading material for individual counseling.

Question 4

As a hospital pharmacist, you are given an order that reads: Etoposide 200 mg/mL IV per day on days 1, 3, 5. What should be your next step?

Accepted Answer

Etoposide comes in 20 mg/mL doses. 200 mg/mL is an error and must be checked. Etoposide can cause severe hypotension and bronchospasm and it is unethical to simply document your concerns. Etoposide can be given orally or by IV.

Question 5

What does the "V" in the chemotherapeutic combination, ABVD represent?

Accepted Answer

"V" in the gold-standard antineoplastic combination ABVD is for vinblastine. The other drugs in the combination are Adriamycin, Bleomycin, and Dacarbazine.

Question 6

Which of the following is NOT true of HIPAA (Health Insurance Portability and Accountability Act)?

Accepted Answer

HIPAA does address patient privacy issues. It is, in fact, one of its primary purposes. All the other statements are true.

Question 7

What does the "D" in the chemotherapeutic combination, ABVD represent?

Accepted Answer

The "D" in the gold-standard antineoplastic combination ABVD is for dacarbazine. The other drugs in the combination are Adriamycin, Bleomycin, and Vinblastine. Daclizumab is a monoclonal antibody used to prevent acute organ rejection. Diclofenac is an NSAID. Didanosine is a nucleoside reverse transcriptase inhibitor used primarily in HIV infections.

Question 8

Which of the following forms is lidocaine available in?
I. IM injectable
II. IV injectable
III. Topical gel, cream, patch, or spray
IV. Capsule

Accepted Answer

Lidocaine is available as an IM, IV, and various topical preparations and sprays. Lidocaine is not available as a capsule.

Question 9

Which of the following forms is Gleevec (Imatinib) available in?
I. IM injectable
II. IV injectable
III. Tablet
IV. Capsule

Accepted Answer

Gleevec (Imatinib mesylate) is only available in a 100 mg tablet and is used in the treatment of CML and CD117-positive GI tumors.

Question 10

Which of the following forms is meclizine available in?
I. IM injectable
II. IV injectable
III. Tablets
IV. Topical cream

Accepted Answer

Meclizine is available only as a tablet form. It is an antihistamine and anticholinergic used to treat motion sickness and vertigo and is marketed as Antivert, Bonamine, and Dramamine II.

Question 11

Which of the following are some of the most commonly prescribed drugs?
I. Hydrocodone
II. Lipitor
III. Dornase alfa

Accepted Answer

Hydrocodone and Lipitor are two of the most common drugs prescribed. Dornase alfa is a recombinant deoxyribonuclease I and is used in relatively rare cases of pulmonary infections and in cystic fibrosis.

Question 12

Which of the following forms is erythromycin available in? I. Oral suspension; 200 mg/5 mL and 400mg/5 mL
II. Powder for injection; 500 mg, 1 g
III. Tablet; 200, 250, 333, 400 and 500 mg
IV. Capsule; 250 mg
V. Topical ointment; 2%

Accepted Answer

Erythromycin, a macrolide antibiotic, is available in all the forms and dosages listed.

Question 13

A patient arrives and asks you to re-fill his Ambien prescription. There are no refills left. Which is the best approach for you to take?

Accepted Answer

The patient's doctor is the only one who can order a refill.

Question 14

Milrinone (Primacor) should not be mixed with ____________ or _________________as (a/n) _________________will form

Accepted Answer

Milrinone is used to treat heart failure and should not be given in the same IV line as furosemide or torsemide as a precipitate will form.

Question 15

As a hospital pharmacist, you are given an order that reads: Digoxin, 5mg/mL IV over 24 hrs. What should be your next step?

Accepted Answer

Digoxin comes in 0.05mg, 0.1 mg and 0.25 mg/mL doses. 5 mg /mL represents an overdose. The prescribing physician must be notified. Digoxin can cause severe arrhythmias and it is unethical to simply document your concerns. Digoxin can be given orally or by IV.

Question 16

Which of the following forms is not available for Amoxicillin?

Accepted Answer

Amoxicillin is available in all the forms listed except for intravenous injection.

Question 17

Which of the following is a "high-alert" drug meaning it can cause significant harm when used in error?

Accepted Answer

Of the agents listed, amiodarone, IV has significant potential for harm.

Question 18

Which of the following would be considered an incompatible intravenous combination?

Accepted Answer

Furosemide is incompatible with levofloxacin. They cannot be mixed in the same syringe or the same IV line. The other combinations listed are compatible.

Question 19

A patient comes into your pharmacy saying she found a prescription bottle in the garbage-all she could read was the name of your pharmacy. When you check the contents, you find 30 yellow pills shaped like an hourglass. What are the most likely contents of the bottle?

Accepted Answer

Maxzide comes in two doses (37.5/25 and 75/50). The 75/50 is yellow and both tablets are hour-glass shaped. Zocor comes in 5 doses-5, 10, 20, 40, and 80 mg. All but the 80 mg dose are shaped like shields. Viagra comes in 3 doses (25, 50, 100 mg) and is diamond-shaped. Topamax Sprinkles is a capsule.

Question 20

An order for 10 mL of epinephrine 1:10,000 is written. What would be another way of expressing this concentration?

Accepted Answer

1:10,000 is equal to 1 g in 10,000 mL. This is equivalent to 0.01 g in 100 mL which is equivalent to 0.01% w/v.

Quiz 4: Social Administrative

A patient asks you to explain how to take her medication. The prescription is for Actos (pioglitazone) 15 mg PO TID. The label reads: Take one tablet 3 times a day before mealtime by dissolving under the tongue. What is the error on the label?

A woman gives you a prescription written for Zoloft on March 1 of last year. It is now May 1st. Which is the best response?

You are an intern at a community pharmacy, but have been there for about 2 months and know the "regulars." One of these regulars comes in with a new prescription. Which of the following is true?

As a hospital pharmacist, you are given an order that reads: Etoposide 200 mg/mL IV per day on days 1, 3, 5. What should be your next step?

What does the "V" in the chemotherapeutic combination, ABVD represent?

Which of the following is NOT true of HIPAA (Health Insurance Portability and Accountability Act) ?

What does the "D" in the chemotherapeutic combination, ABVD represent?

Which of the following forms is lidocaine available in? I. IM injectable II. IV injectable III. Topical gel, cream, patch, or spray IV. Capsule

Which of the following forms is Gleevec (Imatinib) available in? I. IM injectable II. IV injectable III. Tablet IV. Capsule

Which of the following forms is meclizine available in? I. IM injectable II. IV injectable III. Tablets IV. Topical cream

Which of the following are some of the most commonly prescribed drugs? I. Hydrocodone II. Lipitor III. Dornase alfa

Which of the following forms is erythromycin available in? I. Oral suspension; 200 mg/5 mL and 400mg/5 mL II. Powder for injection; 500 mg, 1 g III. Tablet; 200, 250, 333, 400 and 500 mg IV. Capsule; 250 mg V. Topical ointment; 2%