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WorksheetsORION 111-127
Total questions: 118
Worksheet time: 59mins
Which of the following means that individuals have the understand basic health information to make appropriate health?
Health literacy
Cultural competency
Communication skills
Professional communication
A pharmacist is working in a busy community pharmacy where has several patients at the counter. A patient brought to you for Sildenafil for erectile dysfunction. Which of the following is the best way of communication with you to provide counseling?
Ask other patients to leave the pharmacy in order to communicate with the patient
To protect patient privacy, no need to communicate; just provide the drug to him
Ask the patient to move to a private area in the pharmacy to hear you clearly and ask questions
Write down the instructions on a paper and provide it to him, talking to him in front of other patients
Which of the following scenarios is considered a violation of the ethics?
Submitting a research approval extension request to institutional review board after failing to finish the project within the approved period
Distributing questionnaires to patients waiting in emergency to collect information about their health status without a consent page
Calling patients to collect information after telling them about the project and getting their agreements
Drawing blood samples after getting the approval from institutional review board
There are four principles in biomedical ethics these ethics autonomy, justice, beneficence, and one more principle. Which of following is the fourth principle of biomedical ethics?
Privacy
Dilemmas
Non-maleficence
Conflict of interest
Which of the following documents created by the World Medical Association is the statement of ethical principles for medical research involving human subjects?
Ethics Code
Belmont Report
Nuremberg Code
Declaration of Helsinki
Which one of the following statements accurately explain the idea of “Diffusion of innovation therapy for health promotion”?
Psychological process of creativity
The way people develop new ideas
How new ideas are controlled by a culture
The method of disseminating innovative ideas through a culture
Which of the following measurements is used to assess patient adherence?
Drug utilization reviews
Medication Event System
Medication Possession Ratio
Medication therapy management
Which of the following best describe pharmacy health literacy assessment?
Measure how well the pharmacy is serving patients with limited health literacy skills
Discover gaps in the written information provided to served patients
Explore understanding of health care information by the illiterate
Assess the level of literacy in the served patients
Research investigators must submit all research protocols to the institutional review board and obtain approval before performing the research. What is the main purpose of this board?
To help in collecting the data
To provide the needed fund for the research
To safeguard the rights of human research subjects
To calculate the most appropriate sample size for the research
Which of the following is used as an electronic medication dispenser to improve medication adherence?
Text messaging
Cell phone calendar
E-pill Multi Alarm Time Cap
Med-E-Lert Automatic Pill Dispenser
A pharmacy department needs to design a system to maximize the value of the drug therapy to the patients. Which of the following systems should the pharmacy department operate?
Patient safety program
Pharmacy benefit management
Pharmacy networking and bar-coding system
Communication with the prescriber and the therapist
Which of the following is the major risk associated with the use of over-the-counter drugs?
Increased cost without benefit
Decreased drug–drug interactions
Increased potential for misuse and abuse
Increased risk of adverse events
Which of the following situations allow for accepting verbal order?
In a code status
To start chemotherapy
When prescriber is on vacation
For a non-formulary drug request
Which of the following is the best approach for your patient when his/her objective measures of adherence are inconsistent with the subjective measures?
“I noticed there were some missing refills of your medication and I’m concerned that there might be a problem”
“Your refill records provide that you did not refill your medication for the past few months; do you want to be refilled now?”
“Many of my patients have some difficulties remembering to take their medication; what kind of problems have you experienced?”
“Sounds like you are not sure about how to take your medicine; show me how to take it”
A patient visits pharmacy with fever and cough but has no prescription. The patient requests acetaminophen, dextromethorphan syrup, glycerin suppository, and amoxicillin 500 mg capsules. Which of the following needs prescription for delivery?
Amoxicillin capsules
Glycerin suppository
Acetaminophen tablet
Dextromethorphan syrup
Which of the following systems can be integrated with computerized physician order entry to guide physician during prescribing medications?
Smart plumbs
Barcode systems
Electronic distribution cabinets
Clinical decision support system
Which of the following is considered a direct method to measure adherence?
Pill count
Pharmacy record
Patients’ questionnaires
Body drug concentration
Which of the ethical principles do you violate as a pharmacist when you take time and give consultations to only a relative?
Justice
Autonomy
Beneficence
Non-maleficence
The treatment of tuberculosis (AntiTB) involves multiple medication that has to be taken for a long period of time. Which of the following is the best way to ensure patient adherence to AntiTB?
Apply Direct Observed Therapy, short-course strategy (DOT)
Add multivitamins to increase absorption of AntiTB
Interview the patient to assess their knowledge about AntiTB
Review current medications profile to avoid drug–drug interaction with AntiTB
Which of the following is the name of the body responsible for the approval of research in health institutions?
Date Review Board
Research Review Board
Institutional Review Board
Date and Safety Monitoring Board
A hospital conducted a pharmacovigilance (PV) activity to detected events after certain treatment, by asking patients directly and patient records. Which of the following is the type of PV activity conducted by?
Active PV
Passive PV
Mandatory PV
Spontaneous PV
Which of the following fetal adverse effects are seen with the use of finasteride during pregnancy?
Growth restrictions
Genital abnormality
Neural tube defects
Placental abruptions
What is the main absorptive function of the colon?
Iron
Triglycerides
Water and glucose
Sodium, chloride, and water
Which of the following parts of the body does urea synthesis take?
Liver
Heart
Blood
Kidney
Which of the following agents can exert an antipsychotic effect which appears to be due to a dopamine receptor blockade in the central nervous system?
Fluoxetine
Bupropion
Bromocriptine
Chlorpromazine
A patient with major depression should receive antidepressant therapy for at least
2 weeks
6 weeks (not for major depression)
2 months
6 months
Which of the following drugs is used for positive symptoms of schizophrenia
Haloperidol
Levodopa
Sertraline
Citalopram
What is the Clozapine test monitoring
Neutropenia (ANC)
Liver functions
Kidney functions
Testing of vitamin B12 levels
A 22-year-old male presents to the primary care physician with complaints of an uncomfortable sensation in his legs during the day and he must constantly move them. History reveals that he has schizophrenia and is treated with antipsychotics over the last three months. Which of the following antipsychotic agents is this patient most likely to take
Clozapine
Haloperidol
Olanzapine
Risperidone
A patient (she was an elderly, about 75) has a seizure, a history of arrhythmia, and is diagnosed with depression. What's the best management
Bupropion
Paroxetine
Imipramine
Which of the following drugs is used for premature ejaculation
Atenolol
Dapoxetine
Olanzapine
Aripiprazole
Which of the following is a pharmacological property of chlorpromazine
Antihistamine
Antiemetic drug
Cholinesterase inhibitor
Selective serotonin reuptake inhibitor
Which of the following is the effect of smoking on serum olanzapine levels?
has no effect
Increase in serum olanzapine levels
decrease in serum olanzapine levels
decrease in olanzapine levels initially then increase in it
An 18-year-old obese girl with newly diagnosed depressive illness is being advised to start antidepressant treatment. Which of the following is best to initiate?
Bupropion
Paroxetine
Mirtazapine
Amitriptyline
A 68-year-old woman with type-2 diabetes, neuropathy and seizures has been newly diagnosed with depressive illness. Which of the following medication would be best to initiate?
Bupropion
Duloxetine
Paroxetine
Amitriptyline
A 27-year-old man presents with complaints of excessive checking and cleaning habits since childhood. Obsessive compulsive disorder is diagnosed. Which of the following is the most appropriate management?
Phentermine
Clomipramine
Levetiracetam
Methylphenidate
Which of the following drugs that are used for mania has a narrow therapeutic index?
lithium
haloperidol
aripiprazole
cholbazepam
Which of the following drugs that are used for mania has a narrow therapeutic index?
Lithium
Haloperidol
Aripiprazole
Clonzepam
COPD category B ttt?
ipratropium
Tiotropium
What is the therapeutic use of salbutamol?
antibiotic
antiemetic
anticoagulant
bronchodilator
Which of the following receptors is the main site of action for salbutamol to produce its pharmacological activity in asthma?
Beta 1 agonist
Beta 2 agonist
Alpha 2 agonist
Alpha 2 antagonist
Which agent is a powerful dilator of bronchial smooth muscle and can be used in the treatment of patients with asthma?
phenoxybenzamine
entacapone
propranolol
albuterol
Which biosimilar drug is approved for the treatment of moderate to severe allergic asthma?
Infliximab
Efalizumab
Omalizumab
Trastuzumab
Which of the following is a side effect of albuterol?
Convulsion
Bradycardia
Tachycardia
Hypotension
Case about status asthmaticus?
SABA
LABA
ICS
Methylprednisolone
Medication used with exercise-induced asthma?
Tiotropium
Cromolyn
Cortisone
Salmeterol
Which of the following is a side effect of using inhaled corticosteroids in a patient with bronchial asthma?
Oral candidiasis
Hyperkalemia
Hypoglycemia
A non-smoker patient suffers from wheezing and chest tightness. What medication should he use?
B2 agonist
Corticosteroids
Omalizumab
A woman suffers from an acute asthma attack. What is the best choice for her attack?
Ipratropium
Tiotropium
Corticosteroids
Patient with lab results normal except for hypokalemia (was 3). Which is the most likely cause?
Inhaled corticosteroids
Leukotriene antagonist
Inhaled beta agonist
Inhaled antimuscarinic
Asthma classification for a patient who has cough twice weekly with no interference with daily activity:
Intermittent
Mild persistent
Moderate persistent
Severe persistent
What is the maximum beyond-use date of a repackaged drug?
3 months
6 months
9 months
Phenobarbital prescription as outpatient for how many days?
30
60
70
90
Narcotics prescription?
7 days
3 days
1 month
6 months
Non-narcotics prescription?
7 days
3 days
1 month
6 months
Patient came to the pharmacy with a prescription that was prescribed 95 days ago; what should you do?
dispense the necessary medication only
dispense for one month only
ask the patient for the latest prescription
refuse dispense
Who can open pharmacy in Saudia?
Only Saudi citizen
Can be non Saudi but registered pharmacists should be there to manage shifts
Can be non Saudi but manager should be Saudi citizen
only pharmacist can open
Which ministry is responsible for cases of recovery and the number of diseases during the Hajj season?
WHO
SFDA
MOHAU (ministry of hajj and umrah)
Ministry of Health
A fresh graduate was employed by a pharmaceutical company. The company asked her to create a direct-to-consumer advertisement of one of their products that is sold in two dosages: one for prescription and one dosage is sold OTC. Soon after the ad, the Saudi FDA contacted the company to take it down. Explain why?
Because direct-to-consumer advertisement is prohibited in Saudi Arabia
Because advertisement of prescription products is prohibited in Saudi Arabia
Because they did not pay an initial fee
Who is responsible to promote the health in Saudi Arabia?
Saudi Food and Drug Authority (SFDA)
Ministry of Education (MOE)
Ministry of Health (MOH)
Health Colleges
Which of the following best describes the structure of the healthcare systems in Saudi Arabia?
Primary care based
Private based care
3-tier system
2-tier system
Who is responsible for producing regulation for practicing health professions that include pharmacist?
Minister of Health (MOH)
Dean of the college of pharmacy
Executive director of Saudi Food and Drug Authority
Saudi Commission for Health Specialties (SCFHS)
Which governmental agency gives approval to generic medical enter the drug market in Saudi Arabia after completing all requirements?
Ministry of Health (MOH)
Ministry of Commerce (MOC)
Saudi Food and Drug Authority (SFDA)
Saudi Commission for Health Specialists (SCFHS)
Which of the following governmental bodies is responsible for diseases prevention during Hajj?
Ministry of Health
Saudi Health Council
Saudi Food and drug authority
Saudi commission for Health specialists
Which of the following local organization's primary mission is to the safety and quality of healthcare in health institution?
Saudi central board for accreditation of healthcare institutions (CBAHI)
Saudi Commission for Health Specialties (SCFHS)
Saudi Food and Drug Authority (SFDA)
Saudi pharmaceutical Society (SPS)
Which of the following is the time after which morphine empty vials are to be discarded?
3 months
6 months
9 months
12 months
Which of the following is the validity of diazepam prescription (in days) according to ministry of health rules and regulation?
3
7
10
14
A pharmacist is hired as in charge of controlled medication pharmacist made inventory record for controlled medications pharmacy before the old pharmacist left. Which of the following is most likely to receive the original record?
Pharmacy
Hospital Administration
Medical Record Department
Saudi Food and Drug authority
Which of the following drugs causes water retention?
codeine
tramadol
indomethacin
acetaminophen
When to use Erythropoietin?
iron deficiency
B12
folic acid
Polystyrene role?
Y ca
Y k
Y ca
Y k
Reabsorption of amino acid in renal tubules occurs in which part?
Distal convolutions
proximal convolutions
loop of Henle
collecting duct
Which of the following medications may alter the renal function?
isoniazid
gentamicin
acetaminophen
cyclophosphamide
What is the indication of sevelamer in a patient with chronic kidney disease?
hypercalcemia
aluminum toxicity
hypermagnesemia
hyperphosphatemia
An 80-year-old female patient is admitted to the hospital for pyelonephritis with sepsis. Past medical history: myocardial infarction, heart failure, hypertension, osteoporosis. She is initiated on trimethoprim/sulfamethoxazole (TMP/SMX). Other medications: lisinopril, digoxin, furosemide, carvedilol, and calcium carbonate. Her labs are shown in the table. Which of the following is the best assessment for this patient’s renal function?
Her SCr is in the normal range, and no dosage adjustments are necessary
Her SCr is in the normal range but her BUN is elevated, so dosages may need to be adjusted
Because of the pyelonephritis, she will have renal dysfunction, and dosages may need to be adjusted
Because of her age, she will have some degree of renal dysfunction and dosage may need to be adjusted
Which of the following is a potassium-sparing diuretic?
Furosemide
Spironolactone
Acetazolamide
Hydrochlorothiazide
What is the clinical indication for Epotin Alpha?
anemia in renal failure patient
iron deficiency anemia
anemia in pregnancy
sickle cell anemia
Which pharmacokinetic parameter estimates the renal function?
serum creatinine
intrinsic clearance
blood urea nitrogen
creatinine clearance
Which of the following is the mechanism by which probenecid increases the duration of action of ampicillin when administered at the same time?
Increasing the glomerular filtration
Increasing the intestinal absorption
Inhibition of renal tubular secretion
Inhibition of renal tubular reabsorption
Which of the following is the reason why magnesium-containing antacids should be avoided in patients with renal failure?
Increased renal elimination of magnesium
Decreased renal elimination of magnesium
Increased magnesium absorption in renal failure
Decreased magnesium absorption in renal failure
Target hemoglobin in kidney disease on Darbepoetin?
10–12 g/dL
7–9 g/dL
12–14 g/dL
15–17 g/dL
Treatment of metabolic alkalosis?
calcium carbonate
saline
ringer lactate
dopamine IV
Which of the following prevent renal injury?
Vit C
Vit D
i.v fluid
Metabolic acidosis what is increase?
Pco2
CO2
COH
In metabolic acidosis, what is decreased?
Pco2
HCO3
CO2
A patient with metabolic alkalosis and edema should use which therapy?
Ringer
Isotonic solution
Acetazolamide
Estimating GFR using creatinine clearance by the Cockcroft–Gault equation is used for which patients?
Patients on dialysis
Patients with AKI
Patients with normal kidney function
Patients with stable CKD
Why is thiazide not recommended in kidney patients?
Because it is expensive
Not used in case of kidney impairment
Causes depletion in K and Na
In the ICU, what is the best thing to do in order to evaluate kidney function?
BUN and urine volume
Quantity on a daily basis
Urinalysis
Which of the following drugs used in rheumatoid arthritis can be dosed once a week?
Hydroxychloroquine
Methotrexate
Sulfasalazine
Prednisone
A 68-year-old man was diagnosed with rheumatoid arthritis 1 month ago. He has high disease activity as per the patient activity scale and erosions on radiograph. A trial of non-pharmacologic therapy is ineffective. Which of the following is the best drug therapy?
Hydroxychloroquine
Mercaptopurine
Adalimumab
Abatacept
A 73-year-old man is diagnosed with osteoarthritis of the knee. Which of the following is the best initial therapy?
Ibuprofen
Gabapentin
Acetaminophen
Glucosamine sulfate
A patient with rheumatoid arthritis has been taking methotrexate and is still not improved after 3 months. What is the most appropriate next step?
Add adalimumab and abatacept
Add hydroxychloroquine
Continue methotrexate
Switch to another medication
In which situation is methotrexate contraindicated?
Pediatric patients
Osteoporosis
Breastfeeding
Heart failure
A 70-year-old patient with rheumatoid arthritis of initially mild severity took methotrexate for 3 months; the disease has progressed to moderate. What should be done?
Continue methotrexate
Add hydroxychloroquine
Start abatacept
Start adalimumab plus abatacept
Which type of medication error is most difficult to prevent?
Omission error
Wrong-time error
Incorrect duration of treatment
Allergic reactions to an unknown patient
Which of the following prescriptions has the greatest potential to cause a medication error?
Amlodipine 5.0 mg PO OD
Thyroxine 25 mcg PO daily
Acetaminophen 500 mg PO TID
Regular insulin 5 units subcutaneously STAT
A patient’s medication was changed from carbamazepine to phenytoin. A technician pulled 100 mg tablets of phenobarbital instead of the prescribed 30 mg tablets, and the pharmacist did not notice when checking. The patient received a higher dose of phenobarbital and was hospitalized for observation. Which statement best characterizes this situation?
This is an adverse drug reaction
The physician should have informed the pharmacist about the prescription change
The patient should be aware of what was prescribed and the difference
This is a preventable medication error if the pharmacy employs safety measures
An ambulatory care pharmacist received a prescription for liraglutide under REMS from a bariatric endocrine consultant; as per medication under REMS, documents should be provided to the patient. Which of the following is the meaning of REMS beside the name?
This medication has teratogenicity effect
This medication is under restriction and evaluation medication strategy
This medication is under Risk Evaluation and Mitigation
This medication is under Restriction Evaluation Medication
Which of the following drugs require extra precautions during handling to ensure medication safety?
Methotrexate
Potassium
Dopamine
Thiamine
Which of the following effects is considered an adverse drug reaction related to extension of a drug's pharmacological action?
Hypotension with nifedipine
Hepatic necrosis with acetaminophen
Dry mouth with tricyclic antidepressants
Interstitial nephritis secondary to penicillin
To ensure safe and proper disposal of hazardous waste, a color-coded system was created. Which of the following colors is the color of hazardous waste containers?
red
blue
yellow
orange
A patient returned phenytoin 30 mg suspension bottles to the pharmacy. He explained that when he opened the second after consuming the first one, he noticed the solution was different. The pharmacist dispensed another bottle to the patient and recorded the event in the patient profile. Which one of the following reports should the pharmacist use for the product?
Opportunity Report form
Quality Defects Reporting Form
Adverse Drug Event Reporting Form
Medication Returned by patient form
Which of the following needs a double check?
Anti inflammatory
Anti depression
Anti thrombosis
Antibiotics
Which of the following is required to consider an adverse drug event report?
drugs dose
patients tall
event name
D- reports phone
What is the most common source of infection in a sterile area?
People
roof
table
equipment
What is the highest risk when an error happens?
Look Like Medication
High Alert Medication
Sound Like Medication
Who is the first one to prevent medication error?
Pharmacist
Nurse
Doctor
Patient
During a patient-centered pharmaceutical care clinic, what is the difference between errors and violations?
Errors are common but violations are rare
Errors can be corrected but violations cannot be corrected
Errors are made by experienced professionals, but violations are made by inexperienced professionals
Which of the following systems can be integrated with computerized physician order entry to guide physicians during prescribing medications?
Smart plumbs
barcode systems
Electronic distribution cabinets
Clinical decision support system
A nurse ordered epinephrine from the pharmacy. Fifteen minutes later she called the pharmacy and no one answered. Then she took a vial from the crash cart, prepared it herself for the patient, and administered it safely to the patient. What did this nurse do wrong?
prepare the medication herself
Used the crash cart for non-emergency cases
There was a high chance of error
Which of the following substances is used to disinfect gloves during compounding sterile products?
liquid soap
sterile water
70% isopropyl alcohol
povidone-iodine
Which of the following is required to consider an adverse drug event report a valid report?
Drug dose
Patients tall
Event name
Reporter's phone
Which of the following method is successful in reducing medication error and enhance patient safety in hospitals?
Performing continuous education sessions on safe dispensing
Providing the pharmacy with the most updated drug references
Implementation of computerized physician order entry (CPOE) system
Encourage medical staff to participate in conferences and scientific meetings regular
Which of the following error detection strategies result in limiting detection?
bar-coding
trigger tools
voluntary reporting
mandatory reporting
A patient is admitted to the hospital for the treatment of atrial fibrillation. During hospital stay, the patient receives IV diltiazem and is discharged on oral diltiazem plus his previous antihypertensive medication verapamil. Which of the following medication error-reduction programs would most likely have helped to prevent this duplication of therapy?
Bar Coding
High-Risk Drug Protocol
Medication Reconciliation
Computerized physician order entry
A 25-years-old male is admitted due to hypersensitivity reaction to some drug ingestion four hours ago. Patient is given a drug which causes dilation of vessels in muscle, constriction of cutaneous vessels, and positive inotropic and chronotropic effects on the heart. Which of the following is the most likely drug given?
Adrenaline
Isoproterenol
Acetylcholine
Metaproterenol
Which of following is a vasopressor that is given in a fixed dose without titration for patients with septic shock?
dopamine
vasopressin
epinephrine
