WorksheetsSpring 2022 - Exam 1
Total questions: 75
Worksheet time: 3hrs 30mins
What of the following inhalers is considered a "rescue" inhaler that is used for acute asthma attacks?
Albuterol
QVAR
Tiotropium
Advair
Which of the following medications is considered a long acting beta agonist?
beclomethasone
salmeterol
Proair
Atrovent
What is the primary functional unit of the lungs where gas exchange between carbon dioxide and oxygen occur?
Alveolar sacs
Bronchial tubes
Pharynx
Upper respiratory tract
A patient is having an asthma attack and uses an albuterol inhaler. How does this medication work to help the patient breathe?
It is a beta 2 antagonist and causes constriction of the bronchioles (bronchiole tubes)
It is a beta 2 agonist and causes dilation of the bronchioles (bronchiole tubes)
It is a beta 2 agonist and causes constriction of the bronchioles (bronchiole tubes)
It is a beta 2 antagonist and causes dilation of the bronchioles (bronchiole tubes)
Why is it important for a patient to rinse and spit with water after using a steroid inhaler? Choose the best answer.
It can prevent oral thrush as a major side effect
It can cause the medication to be absorbed more efficiently
It can reduce the systemic side effects of the medication
It can increase the bioavailability of the medication
Which statement best describes the difference between asthma and COPD?
Asthma is irreversible and COPD is reversible
Asthma is usually caused by smoking cigarettes
COPD is irreversible and asthma is reversible
COPD is not usually caused by smoking cigarettes
What are the components in Advair? Select all that apply.
salmeterol
formoterol
fluticasone
budesonide
A patient comes to the pharmacy to pick up Flonase. What is this medication most likely used for?
Seasonal allergies
Asthma
COPD
Cough and cold
What is the primary and preventable cause of COPD?
Smoking cigarettes
Genetics
Environmental allergies
Exercise induced
Which device can be used to create a fine air stream mist by vaporizing liquid medication for easier administration of inhaled drugs used for asthma and COPD?
Metered dose inhaler (MDI)
Dry powered inhaler (DPI)
Nebulizer
Spacer
Which of the following inhaled medications contains a steroid? Select all that apply.
Advair
Dulera
DuoNeb
Symbicort
A patient with COPD is given a prescription for Spiriva. Which statement is correct regarding this medication?
It should be used on a PRN basis for acute attacks
It should be taken by mouth every day at bedtime for maintenance
It should be inhaled every day for maintenance
It should be used with a spacer for easier administration
What are the hallmark signs and symptoms of asthma? Select all that apply
Shortness of breath
Wheezing
Coughing
Bronchospasms
Which neurotransmitter is primary involved with mood, cognition, and behavior?
Glutamate
Dopamine
Epinephrine
GABA
What pharmacological effects can be seen with Tylenol? Select all that apply.
Analgesia
Antipyretic
Anti inflammatory
Amnesia
Which receptor is primary found in the airways and bronchial tubes?
Histamine type 1
Beta 1
Beta 2
Alpha 1
What rare but serious and potentially life-threatening side effect is associated with inhaled general anesthetics such as isoflurane?
Malignant hyperthermia
Nephrotoxicity
Cardiac arrhythmias
QT prolongation
Which medication can be used to reverse the effects of malignant hyperthermia?
Neostigmine
Dantrolene
Narcan
Romazicon
Naloxone can be used to reverse which of the following medication overdoses
Fentanyl
Nimbex
Valium
Sumatriptan
Which opioid is not a controlled substance category II drug (C-II)?
Fentanyl
Dilaudid
Morphine
Tramadol
Which medication can be used to help treat substance abuse and addiction for opioids?
Suboxone
Morphine
Demerol
Propofol
What is a common indication for Dolophine?
Nausea and vomiting
Migraine headaches
Antibiotic
Substance abuse
Which side effects are associated with anticholinergic medications? Select all that apply.
Dry eyes
Dry mouth
Urinary retention
Dilated pupils
Which medication cannot be reversed with naloxone?
Duragesic
Ativan
Morphine
Percocet
Which medication should have an auxiliary label placed on it for "High Alert - Paralyzing Agent?" Hint: which medication is a neuromuscular blocking agent?
All of the above
Succinylcholine
Vecuronium
Nimbex
Which medication is considered a cephalosporin antibiotic? Select all that apply.
Vantin
Rocephin
Ancef
Zosyn
What pharmacological effects can be seen with ibuprofen? Select all that apply.
Analgesia
Antipyretic
Anti inflammatory
Amnesia
Which medication should be used to treat oral thrush?
Fluconazole
Nystatin
Amphotericin B
Caspofungin
What special form is required to order controlled substance category II drugs?
DEA 222
DEA 106
DEA 145
DEA 219
Fentanyl is classified as a C-II drug and diazepam is classified as a C-IV drug. Which of the following is correct regarding C-II and C-IV drugs?
C-II drugs have higher potential for abuse than a C-IV and are not permitted refills
C-II drugs have lower potential for abuse than a C-IV and are not permitted refills
C-IV drugs have higher potential for abuse than a C-II and are not permitted refills
C-IV drugs have lower potential for abuse than a C-II and are not permitted refills
Which of the following resources would be most appropriate for reporting adverse drug reactions after a medication has been approved for use in the community?
ISMP
FDA
MedWatch
DEA
What auxiliary sticker would be most appropriate to place on a prescription bottle for Augmentin suspension?
Avoid sun exposure
Refrigerate
Do not take with antacids
May cause drowsiness
Which of the following drugs can cause nephrotoxicity? Select all that apply.
Bactrim
Vancomycin
Ancef
Amikacin
Which medications should have an auxiliary label to avoid sun exposure? Select all that apply.
Bactrim
Flagyl
Doxycycline
Ciprofloxacin
You are working in a sterile compounding (IV room) and receive a label with the following prescription: Daptomycin 500 mg IV in 250 mL D5W. Select the best answer.
Compound and fill the prescription as written
Ask the pharmacist to have the solution changed to NS
Ask the pharmacist to have the dose changed to 250 mg
Ask the pharmacist to have the volume changed to 500 mL
Choose the correct statement regarding metabolism and elimination.
The kidneys and liver are primarily responsible for elimination
The kidneys and liver are primarily responsible for metabolism
The kidneys are primarily responsible for metabolism and the liver is primarily responsible for elimination
The kidneys are primarily responsible for elimination and the liver is primarily responsible for metabolism
Which of the following auxiliary labels should be included with a prescription for metronidazole?
May cause tendon rupture
Do not take with antacids
Do not drink alcohol
Refrigerate
Which medications can be purchased over the counter? Select all that apply.
acetaminophen
diphenhydramine
loratadine
ibuprofen
Drug A has a half life of 2 hours. If there is 100 mg available in the blood how many half lives will it take for there to be 12.5 mg left?
1
2
3
4
Which of the following can help increase patient compliance and medication adherence? Select all that apply.
Less dosing frequency of medications
Adding flavoring agents for pediatric patients
Taking a brand name drug rather than a generic
Providing counseling to patients on side effects
Which side effects are associated with fluconazole?
Nephrotoxicity and photosensitivity
Hepatotoxicity and QTc prolongation
Tendon rupture and diarrhea
Bleeding and photosensitivity
What is the purpose of a culture and sensitivity report?
To identify which antibiotics will work against a particular organism
To identify resistance patterns among different bacteria
To identify the specific organism to help narrow antibiotic therapy
All of these are correct
Drug C has a half life of 12 hours. There is 25 mg available in the blood. How many milligrams will be left after 3 half lives?
1.56 mg
12.5 mg
6.25 mg
3.125 mg
A patient comes to the pharmacy and asks how long a 500 mg dose of acetaminophen will last before having to take another dose. The pharmacist states it should last anywhere from 4 to 6 hours. Which term best describes the concept of how long the medication will last?
Onset of action
Duration of action
Termination of action
Therapeutic range
Who is responsible for recalling controlled substances?
DEA
FDA
USP
ISMP
Select the medication(s) that are H2 receptor antagonists. Select all that apply.
famotidine
cimetidine
loratadine
fexofenadine
Which medications are considered antifungal agents? Select all that apply.
Abelcet
Vfend
Cipro
Azactam
Which medication(s) should not be taken together with antacids? Select all that apply.
ciprofloxacin
minocycline
vancomycin
clarithromycin
Drug A has a therapeutic range of 10 to 15 mcg/mL. A blood sample comes back with a value of 20 mcg/mL. Which answer best classifies this value?
Therapeutic
Subtherapeutic
Supratherapeutic
None of the above
A patient with impaired kidney function would most likely have problems with:
elimination
distribution
absorption
metabolism
A patient with impaired liver function would most likely have problems with:
elimination
metabolism
distribution
absorption
A patient comes to the pharmacy requesting a refill for the medications listed below in the answer choices. The patient can have all of the medications refilled except:
Augmentin
OxyContin
Flagyl
Valium
Which medication has a black box warning for potential carcinogenicity?
Flagyl
Cipro
Zyvox
Cubicin
Which medications can prolong the QTc interval? Select all that apply.
Erythromycin
Z-pac
Tetracycline
Diflucan
In general, which of the following definitions best describes bioavailability?
The amount of drug that reaches systemic circulation
The amount of drug that is eliminated from the body
The amount of drug that is metabolized and broken down
The amount of drug that is distributed to the site of action
Select all of the following routes of administration that can be taken orally. Select all that apply.
A tablet
A transdermal patch
An intramuscular injection
A capsule
Which of the following organizations is responsible for regulating the sale and distribution of controlled substances?
DEA
ISMP
MedWatch
FDA
Which route of administration will bypass the first pass metabolism effect?
IV
IM
PO
SL
Which organization provides best practice recommendations regarding medication safety?
FDA
ISMP
DEA
MedWatch
What is the brand name for cephalexin?
Keflex
Merrem
Valtrex
Rocephin
Which medication is an H1 receptor antagonist which can be purchased over the counter?
Pepcid
Tagament
Allegra
Zyvox
Vaccines help to promote active immunity through ______ production. FIll in the blank with the correct choice below.
Allergen
Antigen
Antibody
Anaphylaxis
You receive a prescription with the following sig: Diflucan 400 mg in 250 mL of NS IV daily. What route of administration does this label indicate?
Intravenously
Subcutaneously
By mouth
Transdermal
Which antibiotic is a macrolide that is typically used to treat pneumonia?
Azithromycin
Avycaz
Vancomycin
Zyvox
Morphine is classified as a C-II and Tylenol #3 is classified as a C-III controlled substance. Which of the following is true? Select all that apply.
Morphine can be refilled only twice within 6 months.
Tylenol #3 can be refilled up to 5 times within 6 months and up to a 120 day supply.
Morphine has a higher potential for abuse than Tylenol #3.
Tylenol #3 a higher potential for abuse than Morphine.
Which of the following tasks can be performed by a pharmacy technician? Select all that apply.
Counsel patients on their medications
Compound IV medications
Purchase controlled substances
Refill and stock medications in the pharmacy
What is MedWatch?
A reporting system for monitoring of safety and efficacy of drugs that have been released into the market.
A database that is used by the DEA to monitor the sale of controlled substances.
A monitoring services used by pharmacies to track prescriptions that have been refilled.
A form that is used to purchase controlled substances.
Which term best describes the labeling information to inform the patient and provider of known medical risks when taking a certain medication?
Black box warning
Controlled substance category
MedWatch
Brand name
Select the H2 receptor antagonist(s) from the list below. Select all that apply.
Benadryl
Tagamet
Allegra
Pepcid
Which of the following are symptoms of an allergic reaction? Select all that apply.
Nausea and vomiting
Hives
Rash
Pruritus
A patient's pain is normally well controlled after taking 1 tablet of Norco every 12 hours as prescribed. They noticed that overtime they need to take 1 tablet every 8 hours to achieve the same amount of pain relief. Which term best describes the situation above?
Addiction
Tolerance
Drug abuse
Drug dependence
Which phase of pharmacokinetics involves the process of moving drugs from the blood into other body fluids and tissues and ultimately to its sites of action?
Absorption
Distribution
Elimination
Metabolism
Which of the following would likely affect the absorption of medications? Select all that apply.
Drug or food interactions
IV route of administration
Low solubility
First pass metabolism
What is the generic name for Norco?
Hydrocodone with acetaminophen
Hydrocodone with ibuprofen
Oxycodone with acetaminophen
Oxycodone with aspirin
Which medication can be used to treat N/V?
metronidazole
metoclopramide
voriconazole
doxycycline
