Deck 4: Social Administrative

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?

A)The tablet should be swallowed and not dissolved under the tongue.
B)The tablet should be taken twice a day, not three times a day.
C)The tablet should be taken with meals and not on an empty stomach.
D)Both A and B are correct.

Answer 1

The tablet should be swallowed and not dissolved under the tongue.

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?

A)Fill the prescription. It is legitimate.
B)Do not fill the prescription. It is over a year old and has expired.
C)Fill the prescription after advising the patient that you don't really have to do this, but she seems to be a very nice lady.
D)Call the prescribing physician and ask them to fax you a new prescription.

Answer 2

Do not fill the prescription. It is over a year old and has expired.

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?

A)You can counsel her on the new prescription without the pharmacist being present.
B)The "regular" can be handed the prescription without any counseling because she knows enough to ask any questions.
C)She can refuse counseling.
D)Since the senior pharmacist is out, you can simply tell her to read the printed information on the prescription label.

Answer 3

She can refuse 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?

A)Call the prescribing physician with a question about the dose.
B)Dispense as prescribed.
C)Dispense as prescribed, but note your concerns on the record.
D)Call the prescribing physician with a question about the route of delivery.

Question 5

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

A)Vinblastine
B)Vincristine
C)Vinorelbine
D)Vibramycin

Question 6

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

A)One purpose was to improve the Medicare and Medicaid programs.
B)It is enforced by the Office of Civil Rights.
C)HIPAA regulations apply to electronic healthcare transactions.
D)HIPAA does not address privacy issues.

Question 7

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

A)Dacarbazine
B)Daclizumab
C)Diclofenac
D)Didanosine

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

A)I only
B)I, II, and III only
C)IV only
D)Lidocaine is available in all the listed forms.

Question 9

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

A)I only
B)I, II, and III only
C)III only
D)III and IV only

Question 10

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

A)I only
B)I, II, and III only
C)III only
D)All the listed forms are available.

Question 11

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

A)I and II only
B)All of the above
C)I only
D)II and III only

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%

A)I and V only
B)I, II, and III only
C)III only
D)All of the above

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?

A)Tell him to go and get another appointment with his doctor. You cannot do anything for him.
B)Give him 1 or 2 pills-he looks tired.
C)Call the prescriber and determine whether the prescriber wishes to refill.
D)Both A and B are correct.

Question 14

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

A)Adenosine, digoxin, precipitate
B)Furosemide, torsemide, emulsion
C)Furosemide, torsemide, precipitate
D)Adenosine, digoxin, soluble complexes

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?

A)Call the prescribing physician with a question about the dose.
B)Dispense as prescribed.
C)Dispense as prescribed, but note your concerns on the record.
D)Call the prescribing physician with a question about the route of delivery.

Question 16

Which of the following forms is not available for Amoxicillin?

A)Intravenous injection
B)Oral suspension
C)Capsule
D)Tablets

Question 17

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

A)Amiodarone, intravenous
B)Tricalcium phosphate, PO
C)Fentanyl, transdermal
D)Gabapentin, PO

Question 18

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

A)Famotidine and Amphotericin B
B)Cefazolin and diltiazem
C)Epinephrine and amiodarone
D)Furosemide and levofloxacin

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?

A)Maxzide (a combination of triamterene and HCTZ)
B)Zocor (Simvastatin)
C)Viagra (Sildenafil)
D)Topamax Sprinkle (Topiramate)

Question 20

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

A)10% w/v
B)1% w/v
C)0)1% w/v
D)0)01% w/v

Question 21

When discussing ophthalmic solutions, which of the following is false?
I. Ophthalmic solutions can be used with contact lenses in place.
II. Patients should pull out the lower eyelid to form a pocket to place ophthalmic drops.
III. Different ophthalmic preparations should be applied at least 10-20 minutes apart.
IV. Ophthalmic solutions have no systemic effects.

A)I only
B)III only
C)I, II, and III
D)I and IV only

Question 22

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

A)I only
B)I, II, and III only
C)IV only
D)Atomoxetine is available in all the listed forms.

Question 23

A frantic mother calls and tells you her toddler has just ingested some pills. What are some reasonable recommendations for her?
I. Call a poison control center for information on the use of ipecac.
II. Have the toddler take some ipecac immediately-liberal amounts until emesis occurs.
III. Use activated charcoal-it is safer than ipecac, but call a poison control center first.
IV. Ipecac is associated with several contraindications including lack of a gag reflex and its use may lead to serious adverse effects with the ingestion of certain caustic agents. It should be used cautiously and after consultation with a poison control center.

A)I only
B)I and II only
C)I, III, and IV only
D)III only

Question 24

Which of the following IV medications are photosensitive?

A)Dobutamine
B)Nitroprusside
C)Nitroglycerin
D)Epinephrine

Question 25

Which of the following forms is levalbuterol (Xopenex) available in?
I. IM injectable
II. IV injectable
III. Inhalation
IV. Capsule

A)I only
B)I, II, and III only
C)III only
D)III and IV only

Question 26

An adult comes into your pharmacy with a deep puncture wound in his foot from stepping on a rusty nail in his backyard. He has cleaned the wound and is looking for bandages. He also tells you he hasn't had a tetanus shot in 25 years. Which of the following would be a reasonable statement concerning a tetanus booster shot?

A)He is overdue for a booster shot-one should be given every ten years and now would be an appropriate time.
B)A booster shot won't help him now-it is only useful before a puncture wound occurs.
C)An adult should never get a tetanus shot as it has been proven to cause neurological damage.
D)None of the above are true statements.

Question 27

Which of the following forms is methadone available in?
I. IM injectable
II. Oral solution
III. Tablets
IV. Subcutaneous injections

A)I only
B)I, II, and III only
C)III only
D)All the listed forms are available.

Question 28

Which of the following forms is drotrecogin alfa available in?
I. Oral suspension; 200 mg/5 mL and 400mg/5 mL
II. Lyophilized powder for injection; 5 and 20 mg
III. Tablet; 200, 250, and 500 mg
IV. Capsule; 250 and 500 mg

A)I and IV only
B)I, II, and III only
C)II only
D)All of the above

Question 29

How long is a patent on a drug product valid for?

A)15 years
B)22 years
C)20 years
D)25 years

Question 30

Which of the following government agencies regulates advertising of prescription medications?

A)DEA
B)FDA
C)CMS
D)IOM

Question 31

Which of the following pieces of legislation was responsible for creating Medicare and Medicaid?

A)Social Security Amendments of 1965
B)Medicare Modernization and Improvement Act of 2003
C)The Food, Drug and Cosmetic Act of 1938
D)The Kefauver Harris Amendment of 1962

Question 32

Which of the following sources of payment are billed for the highest percentage of healthcare spending in the United States?

A)Medicare
B)Out of pocket payments
C)Veterans Administration
D)Private insurance

Question 33

Which of the following types of pharmacoeconomic analysis assesses the cost of treatment of an illness by calculating quality-adjusted life years to assess outcomes of treatment?

A)Cost-benefit ratio
B)Cost of illness
C)Cost-effectiveness
D)Cost-utility

Question 34

Which of the following types of pharmacoeconomic analysis is considered to be the most typical type of analysis used for healthcare decision making?

A)Cost-benefit ratio
B)Cost of illness
C)Cost-effectiveness
D)Cost-utility

Question 35

Which of the following is not one of Mankiw's 10 Principles of Economics?

A)The cost of something is what you give up to get it
B)Governments cannot improve market outcomes
C)Prices rise when the government prints too much money
D)People respond to incentives

Question 36

Which of the following types of pharmacoeconomic analysis compares the price of treatments for an illness directly, assuming their outcomes are equivalent?

A)Cost-benefit ratio
B)Cost of illness
C)Cost-effectiveness
D)Cost-minimization

Question 37

Which of the following terms describes the number of people affected by a disease during a specific period of time?

A)Incidence
B)Prevalence
C)Mortality rate
D)Epidemiology

Question 38

Which of the following terms refers to a study of one patient experiencing an illness?

A)Case control study
B)Cohort study
C)Randomized controlled trial
D)Case report

Question 39

Mrs. Smith comes to the pharmacy and reports that she is experiencing tinnitus. After some discussion with her, you discover that the tinnitus started when she started taking furosemide for her swollen ankles, and that it worsened when she had to increase the dose. Which of the following surveillance systems would it be most appropriate to report this to?

A)FDA Med Watch
B)Drug Abuse Warning Network
C)Surveillance, Epidemiology, and End Results program
D)Prescription Event Monitoring system

Question 40

A study was designed to analyze the effects of sun and wind exposure on skin damage in base jumpers. One group of jumpers wore SPF 50 sunscreen, while another group did not wear sunscreen. After 2 years, the progression of skin damage was reassessed. Which of the study designs would describe this study?

A)Case control study
B)Cohort study
C)Randomized controlled trial
D)Case report

Question 41

Jennifer is a pharmacist in the process of opening her own independent pharmacy. In order to dispense controlled medications in her pharmacy, she must register the pharmacy with the DEA. Which of the following forms must she file with the DEA in order to obtain a Certificate of Registration?

A)Form 222
B)Form 41
C)Form 104
D)Form 224

Question 42

Maria is a new employee at the XYZ drug distribution center. She is filing the 222 forms that should be kept by the supplier, and organizing the forms that need to be sent in to the DEA. Which copy must be sent to the DEA?

A)Green copy
B)Blue copy
C)Brown copy
D)Both A and B

Question 43

The pharmacist heads in to work on Saturday at DrugZone Pharmacy and notices the door was broken into and the locked cabinet for Schedule II drugs was opened as well. When must the pharmacist notify the DEA field division office about the robbery?

A)By the end of the business day Monday
B)By the following Friday
C)By the following Sunday
D)Two weeks from Saturday

Question 44

Jonathan and his wife have sinus congestion, and they want pseudoephedrine products. Jonathan wants to buy a 10 count box of the 24 hour pseudoephedrine (2400mg per box) for himself and a 10 count box of loratadine + pseudoephedrine tablets (2000mg pseudoephedrine per box) for his wife. Can he buy these two products in one transaction?

A)No; it is over the daily purchase limit of 3.6g per day
B)Yes; it is under the daily purchase limit of 3.6g per day
C)No; they should each buy their own box of pseudoephedrine tablets to remain under the daily limit of 3.6g
D)Both A and C

Question 45

Which of the following terms is not one of the commonly used measures of central tendency?

A)Average
B)Median
C)Range
D)Variance
E)Both C and D

Question 46

Which of the following terms is a standard measure of dispersion?

A)Range
B)Standard Deviation
C)Median
D)A and B
E)A, B, and C

Question 47

Which of the following terms describes the hypothesis to be tested in the scientific method?

A)Alternative hypothesis
B)Null hypothesis
C)Test statistic
D)P value
E)Both A and B

Question 48

A researcher is studying the relationship between income and education. What type of analysis should the researcher use?

A)Correlation analysis
B)Regression analysis
C)Chi-square test
D)Progression analysis

Question 49

Which of the following terms is used to describe the obligation to do no harm?

A)Autonomy
B)Beneficence
C)Confidentiality
D)Non-maleficence
E)Both B and D

Question 50

Which of the following options are part of the APhA Code of Ethics for Pharmacists?

A)"A pharmacist promotes the good of every patient in a caring, compassionate and confidential manner"
B)"A pharmacist respects the values and abilities of colleagues and other health professionals"
C)"A pharmacist is not required to seek justice in the distribution of health resources"
D)"A pharmacist acts with honesty and integrity in professional relationships"
E)A, B, and D

Question 51

Joseph comes to the pharmacy with a prescription for Cipro that he desperately needs filled. The only Cipro you have in stock was supposed to be saved for Ms. Johnson who came in two weeks ago and asked you to set it aside for her. However, Mrs. Johnson was not sure she would need it, does not yet have a prescription for it and she has not returned to the pharmacy for it yet. You decide to keep the drug for Ms. Johnson and tell Joseph that you do not have any for him. Which of the following ethical terms was not followed in this situation?

A)Justice
B)Autonomy
C)Confidentiality
D)Veracity

Question 52

Pharmacists are bound by ethics to promote which of the following drug products?

A)Drug products manufactured within the United States
B)Drug products that are name brand only
C)Drug products that are approved by the FDA or those with sufficient evidence available in professional literature
D)Drug products that are available as generic only
E)Both A and C

Question 53

Which of the following people would not be considered vulnerable in regards to health literacy?

A)An 82-year-old woman
B)A 34-year-old man with hypertension
C)A 56-year-old diabetic patient
D)A 42-year-old Mexican-American woman
E)Both B and C

Question 54

Which of the following is not one of the basic seven questions when interviewing a patient who has a health complaint?

A)Location of the symptoms
B)Severity of the symptoms
C)Timing of the symptoms
D)Allergies to medications
E)Both C and D

Question 55

Ms. Smith is a cardiac patient new to your practice. You are assigned the task of taking her medication history. She provides you with a list of the medications she is taking. What other pieces of information do you need to collect to complete her medication history?

A)Allergies and adverse drug reactions
B)Over the counter medications and supplements the patient is taking
C)Adherence to medications
D)Both A and B
E)A, B, and C

Question 56

You are sitting down with Mr. Johnson, an elderly patient, to have a full medication review and consultation. Which of the following effective listening techniques should be used during this consultation?

A)Avoid establishing eye contact
B)Remove distractions
C)Pay attention to nonverbal cues
D)Avoid providing feedback
E)B and C

Question 57

Which of the following is not one of the core elements that MTM programs should incorporate into their design?

A)Avoid recommending interventions
B)Review of medication therapy
C)Action plan for medications
D)Documentation of plans and follow up with the patient
E)A and D

Question 58

Which of the following characteristics are not identified by the collaborative working relationships model as helpful in maintaining successful working relationships between healthcare providers?

A)Group characteristics
B)Exchange characteristics
C)Participant characteristics
D)Context characteristics

Question 59

Johnny is a six year old in the first grade. During recess, he enjoys playing a made up game called Kingdom, in which he is the king and leads his kingdom to victory in battle. Which of the following theories of leadership describes Johnny's leadership skills?

A)Situational theory
B)Determinate theory
C)Trait theory
D)Behavioral theory

Question 60

Johnny is a six year old in the first grade. During recess, he enjoys playing a made up game called Kingdom, in which he is the king and leads his kingdom to victory in battle. Which of the following characteristics would be present in Johnny according to the trait theory of leadership skills?

A)Personality
B)Social status
C)Charisma
D)Motivation

Question 61

Which of the following is not one of the five steps of the medication use process?

A)Administering
B)Dispensing
C)Counseling
D)Disco fever

Question 62

Which of the following is not one of the behaviors identified by Outcome Engineering as a behavior that can cause errors to happen?

A)Technology error
B)At risk behavior
C)Reckless behavior
D)A and B
E)A, B, and C

Question 63

Seacrest Hospital prepares its medications in forms that are commonly used and stores them in a locked room on each patient care floor. Which of the following distribution models describes this type of distribution?

A)Inpatient centralized
B)Cart delivery distribution
C)Inpatient decentralized
D)Floor-stock distribution

Question 64

Greg is a pharmacist who accidentally dispensed ropinirole instead of Rozerem. He needs to use a continuous quality improvement program to retrospectively analyze the adverse event to determine the cause. Which model should he use?

A)PDSA model
B)Root cause analysis
C)Failure Mode Effect Analysis
D)Behavior analysis

Question 65

PharmaPlus Pharmacy sold $600,000 worth of goods last year, with a beginning inventory of $120,000 and an ending inventory of $100,000. Calculate the inventory turnover rate.

A)4)54
B)5)45
C)5)95
D)2)72

Question 66

John is buying drugs for his independent pharmacy. Which of the following abbreviations would refer to the most ideal cost for him to obtain drugs at?

A)AWP
B)AAC
C)AWC
D)WPA

Question 67

A patient brings in a prescription for OxyContin on a Friday morning, but you do not have enough in stock. The earliest you would be able to get another supply would be on Tuesday evening. Can you dispense a partial supply and dispense the remainder on Tuesday evening?

A)Yes, as long as you document how many you gave the patient on Friday and Tuesday
B)No, Tuesday evening is not within the 72 hour window in which the remainder of a partial must be filled
C)No, if you give the patient some on Friday, they must get a new prescription for any remaining fills
D)B and C

Question 68

What is the retail price of a box of 100 test strips if the product's cost complement is 80% and the cost of a box of 100 test strips is $76.59?

A)$85.10
B)$382.95
C)$0.95
D)$95.74