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ACLASTA_AUGUST

Total questions: 20

Worksheet time: 3600secs

Name
Class
Date
1.

What is the composition of Aclasta?

a)

Amoxicillin 500mg

b)

Sildenafil 50mg

c)

Denusomab

d)

Zolendronic Acid

2.

What is the drug classification of Aclasta?

a)

Anti – Diuretic

b)

Antibiotic

c)

Bisphosphonate or n-BPs or Nitrogen-containing bisphosphonate

d)

Anti- epileptic

3.

What is the formulation of Aclasta?

a)

5mg/100mL Solution for Intravenous Infusion

b)

4mg/100mL Solution for Intravenous Infusion

c)

10mg/100mL Solution for Intravenous Infusion

d)

15mg/100mL Solution for Intravenous Infusion

4.

Mode of Action of Aclasta.

a)

It inhibits osteoclast activity, increasing resorption and turnover thereby leading to increased bone mass.

b)

It inhibits osteoclast activity, reduces resorption and turnover thereby leading to decrease bone mass.

c)

It inhibits osteoclast activity, reduces resorption and turnover thereby leading to increased bone mass.

d)

It inhibits osteoclast activity, reduces resorption and turnover thereby leading to increased bone density.

5.

What is the indication of Aclasta?

a)

Prevention of post-menopausal osteoporosis

b)

Treatment of osteoporosis

c)

Treatment of post-menopausal osteoporosis

d)

Treatment and prevention of post-menopausal osteoporosis & glucocorticoid-induced osteoporosis.

6.

What is the dosage of Aclasta?

a)

5mg Once a Month via IV Infusion

b)

5mg twice a Year via IV Infusion

c)

5mg Once a Year via IV Infusion

d)

5mg Once a Year via IM

7.

What is the packaging of Aclasta?

a)

Infusion solution of 5mg/100 mL per Vial

b)

Infusion solution of 4mg/100 mL per Vial

c)

Infusion solution of 5mg/50 mL per Vial

d)

Infusion solution of 5mg/10 mL per Vial

8.

What is a systemic skeletal-disease characterized by low bone density and micro architectural deterioration of bone tissue with consequent increase in bone fragility?

a)

Menopause

b)

Andropause

c)

Osteoporosis

d)

Paget’s disease

9.

What are the side effects of Aclasta?

a)

Headache

b)

Pain in Extremities

c)

Flu-like symptoms

d)

All options are correct

10.

What are the contraindications of Aclasta?

a)

Hypocalcemia

b)

Pt w/ Creatinine clearance of >35 mL/min

c)

Pregnancy and lactation

d)

All options are correct

11.

What is the price of Aclasta?

a)

24,848.00

b)

26,730.00

c)

21,000.00

d)

19.000.00

12.

Is Aclasta indicated for paget’s disease?

a)

YES

b)

NO

c)

Maybe

d)

No comment

13.

All bisphosphonates are eliminated from the human body by:

a)

Hepatic Clearance

b)

Renal excretion

c)

Sweat glands

d)

Tears

14.

Treatment with intravenous bisphosphonates, including zoledronic acid, has been associated with renal impairment manifested as deterioration in renal function (i.e. increased serum creatinine) and in rare cases acute renal failure.

a)

True

b)

False

15.

Creatinine clearance should never be measured before each zoledronic acid dose

a)

True

b)

False

16.

In the Horizon PFT, Treatment with zoledronic acid reduced the risk of morphometric vertebral fracture by 70% during a 3-year period, as compared with placebo (3.3% in the zoledronic-acid group vs. 10.9% in the placebo group; relative risk, 0.30; 95% confidence interval [CI],0.24 to 0.38)

a)

True

b)

False

17.

The study design of Horizon PFT is:

a)

Double-blind, placebo-controlled trial, 3889 patients (mean age, 73 years) were randomly assigned to receive a single 15-minute infusion of zoledronic acid (5 mg) and 3876 were assigned to receive placebo at baseline, at 12 months, and at 24 months;the patients were followed until 36 months.

b)

Double-blind, placebo-controlled trial, 3889 patients (mean age, 73 years) were randomly assigned to receive a single 15-minute infusion of zoledronic acid (5 mg) and 3876 were assigned to receive placebo at baseline, at 3 months, and at 6 months;the patients were followed until 12 months.

c)

Double-blind, placebo-controlled trial, 3889 patients (mean age, 73 years) were randomly assigned to receive a single 30-minute infusion of zoledronic acid (5 mg) and 3876 were assigned to receive placebo at baseline, at 12 months, and at 24 months;the patients were followed until 36 months.

d)

Double-blind, placebo-controlled trial, 5889 patients (mean age, 73 years) were randomly assigned to receive a single 15-minute infusion of zoledronic acid (5 mg) and 3876 were assigned to receive placebo at baseline, at 12 months, and at 18 months;the patients were followed until 24 months.

18.

Identify the primary objectives of Horizon PFT.

a)

A.Incidence of hip fxs

b)

B. Incidence of new vertebral fxs

c)

A&B

d)

None of the options are correct

19.

Identify the results of the Horizon PFT:

a)

A. Reduced the risk of hip fracture by 41% (1.4% in the zoledronic-acidgroup vs. 2.5% in the placebo group; hazard ratio, 0.59; 95% CI, 0.42 to 0.83).

b)

B. Nonvertebral fractures, clinical fractures, and clinical vertebral fractures were reduced by 25%, 33%, and 77%, respectively (P<0.001 for all comparisons).

c)

C. None of the options are correct

d)

D. A&B

20.

What is the message of our first RTE for Aclasta?

a)

Effective treatment for Osteoporosis

b)

Compliance is Key

c)

Affordability and Quality

d)

Safety is paramount