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WorksheetsCalculations HY 1
Total questions: 20
Worksheet time: 10mins
You have a 32-year-old female here for a follow up on her abnormal calcium levels, what is the patient's calcium level? Current Labs: Na = 136 mEq/L K = 3.5 mEq/L BUN = 29 mg/dL SCr = 2.9 mg/dL Ca = 8.8 mg/dL Albumin = 2.0 g/L INR = 1.9
8.8
6.8
8.5
12.9
10.4
You have received a prescription for Ms. Doe's insulin (see below):
You realize, however, that there is no quantity to dispense noted on the prescription for either the insulin detemir or the insulin aspart. You call Dr. Smith who asks that you dispense a 90 day supply. Given insulin flexpens are dispensed as 5 pens per box (i.e. the flexpens are not sold by the pen, but by the box), how many boxes of insulin detemir and insulin aspart need to be dispensed for Ms. Doe?
Detemir - 2 boxes; Aspart - 1 box
Detemir - 2 boxes; Aspart - 2 boxes
Detemir - 3 boxes; Aspart - 2 boxes
Detemir - 3 boxes; Aspart - 3 boxes
What is the sodium chloride equivalent (i.e., E-value) for potassium chloride (MW = 74.55 g/mol)?
0.22
0.94
0.78
0.47
1.24
A physician requested regular insulin 4 U/h by intravenous (IV) infusion. Your hospital pharmacy mixes 50 units of regular insulin in 250 mL NS. At what infusion rate should the IV pump be set?
20 mL/h
25 mL/h
30 mL/h
40 mL/h
Express 5 PPM of magnesium as percentage strength.
0.0005%
0.5%
0.0000000000005%
0.000000005%
A doctor ordered Phenytoin 0.15 g to be given via a nasogastric tube. Phenytoin is available as 30 mg/tsp. How many milliliters should be dispensed?
5 mL
15 mL
25 mL
50 mL
A 23-year-old male was admitted to the ICU due to a motor vehicle accident. He has been in coma for 3 days consecutive days. His BP = 160/99, HR = 50, weight = 160 pounds, height: 5' 8", Temp: 98.2F, Pain = 12/10, RR = 20 bpm. What is the basal energy expenditure of the patient using the Harris Benedict equation and with a needed activity factor of 1.2 and stress factor of 1.7?
2500
3619
2134
4543
3210
ou are reviewing the below prescription order: Sodium hydroxide: 25 grams Water: q.s. 160 milliliters What is the molarity of the solution? Note: The molecular weight (MW) of NaOH = 40 g/mol
0.625
3.910
4.543
1.240
3.232
How many milligrams of Adapalene Topical should be used in the compounding of the following prescription? Prescription: Adapalene (1/4) % Hydrophilic ointment ad 20 g
25
100
45
50
125
A 65 year old female has been admitted with paraneoplastic syndrome secondary to stage 4 small cell pancreatic cancer. She has a history of breast cancer and frequent UTIs. Her height is 5' 4". The patient is provided parenteral nutrition therapy based on 1.2 g/Kg/IBW/day. How many grams of protein will she receive per day?
88
86
66
72
A 28-year-old pregnant African American female (G3P1) is currently receiving 8,000 units of unfractionated heparin (UFH) every 12 hours by IV infusion for antiphospholipid syndrome. The patient is found bleeding 20 minutes after injecting her morning dose at 10 am. If 1 mg of protamine neutralizes 100 units of heparin, how many milligrams should be infused to stop the bleeding?
50
80
25
125
75
You receive the following this prescription:
Polyethylene glycol 3350 60 mL
Sodium chloride 1.46 g
Potassium chloride 0.745 g
Sodium bicarbonate 1.68 g
Sodium hydroxide -
Water q.s ad. 4 L
Calculate the quantity of sodium bicarbonate in milligrams needed to prepare 100 liters of the above colonoscopy prep?
42000
42
2380
24
A professional baseball player who is 6 ft 3 inches and weighs 220 lbs have been determined to have the following nutritional requirement:
Protein: 220 g/day
Lipids: 92.23 g/day
Carbohydrates: 276 g/day
Water: 2088.82 to 2740.91 mL/day
Total Calories: 3550 kcal/day
If this baseball player decides to go on a liquid diet and picks Nestle Boost which provides 41 grams carbohydrate, 10 grams protein and 240 calories per 1 bottle (237 mL). How many milliliters (mL) would he need to consume to reach is calorie goal?
3000
3505
2473
1982
4500
A physician would like to prescribe azithromycin for a child with otitis media, and she asks you what directions should be provided to the patient's mother. The 7-year-old child weighs 55 pounds. Azithromycin dosage for otitis media in patients over 6 months of age is 10 mg/kg on day 1 and then 5 mg/kg daily for days 2 thru 5. Which contains the most appropriate dose and directions?
Azithromycin 100 mg / 5 mL - Administer 7 mL day 1 then 4 mL days 2 through 5
Azithromycin 100 mg / 5 mL - Administer 2.5 tsp day 1 then 1.5 tsp days 2 through 5
Azithromycin 200 mg / 5 mL - Administer 1 tsp day 1 then 0.5 tsp days 2 through 5
Azithromycin 200 mg / 5 mL - Administer 7 mL day 1 then 4 mL days 2 through 5
You are initiating insulin in a 165-pound female who was newly diagnosed with diabetes. The physician requests you dose at 0.5 unit/kg with a combination of regular and NPH insulins. Typically, the dose is given two-thirds in the morning and one-third in the evening as a 2:1 ratio of NPH to regular insulin. What is the most appropriate subcutaneous dose for this patient?
NPH insulin 10 U QAM and 5 U QPM and Regular insulin 20 U QAM and 10 U QPM
NPH insulin 14 U QAM and 10 U QPM and Regular insulin 7 U QAM and 3 U QPM
NPH insulin 17 U QAM and 8 U QPM and Regular insulin 9 U QAM and 4 U QPM
NPH insulin 20 U QAM and 10 U QPM and Regular insulin 12 U QAM and 8 U QPM
The pka value for the conjugate acid of a compound is 8.25, what is the basicity dissociation constant (Kb) of the compound?
2.7 * 10 -3
1.7 * 10-5
4.6 * 10-8
2.6 * 10-5
A resident of a city in Michigan was randomly selected to measure the amount of lead in the patient blood. A blood specimen shows 0.024 PPM (parts per million). How many micrograms of lead does the patient blood contain if the blood volume is 5000 mL?
200
10000
10
120
20
A new immigrant to the United States shows you his blood glucose log. You note his blood glucose readings are recorded in mmol/L with the most recent being 6.4 mmol/L. You know the molecular weight of glucose is 180 mg/mmol. Which of the following accurately converts his blood glucose reading to mg/dL?
85
95
115
125
A patient presents with the following prescription:
Which of the following represent an appropriately dispensed prescription using readily available strengths?
Levothyroxine 25mcg - 1 tablet by mouth every day. Qty: 90 tablets
Levothyroxine 50mcg - 1/2 tablet by mouth every day. Qty: 90 tablets
Levothyroxine 100mcg - 2 and 1/2 tablets by mouth every day. Qty: 270 tablets
Levothyroxine 125mcg - 2 tablets by mouth every day. Qty: 180 tablets
Calculate the change in pH after the addition of 0.05 mol of KOH to 1 Liter of a buffer solution containing 0.3 M concentration of potassium acetate and an unknown acid (pKa = 3.56).
0.25
0.18
0.15
0.72
1.24
