Question 1

Which of the following would not be an option for the treatment of genital herpes?

Accepted Answer

A)  Acyclovir
B)  Indinavir
C)  Famciclovir
D)  Valacyclovir B

Question 2

A woman comes into the pharmacy and tells you she has an at-home glucometer and regularly tests her blood sugar. It is sometimes a fasting blood sugar and sometimes not, but she remembers at least twice when she was fasting, her numbers were 128 and 134 mg/dL. What should you talk to her about?

Accepted Answer

A)  Nothing-she doesn't have a blood glucose problem, but she probably should cut back on her sweets.
B)  She probably has insulin resistance, but it's not very serious yet. She should come back in a few months with more glucose readings.
C)  She probably is pre-diabetic, but can take her time getting any information.
D)  She has diabetes and would benefit from a professional diagnosis and formal classes on living with diabetes. D

Question 3

A patient is newly diagnosed with exercise-induced bronchospasm. Cromolyn has been prescribed. What is the appropriate dosage for a child younger than 5 years old?

Accepted Answer

A)  5) 2 mg/spray in each nostril, PRN
B)  200 mg/mL qid, PO
C)  20 mg qid, nebulization
D)  Ophthalmic drops, 4% solution, 4-6 times daily. C

Question 4

Which of the following drugs can be used to treat Alzheimer's disease?

Accepted Answer

A)  Milrinone
B)  Galantamine
C)  Miglitol
D)  Pioglitazone

Question 5

A 42-year-old female is on the following medications: HCTZ, 25mg PO qd and Lisinopril 10mg, PO qd. Which of the following tests would be most vital to follow?

Accepted Answer

A)  Blood pressure
B)  Liver function tests
C)  Blood glucose levels
D)  INR

Question 6

An elderly patient comes to you saying that she is being treated for hypertension and wants you to answer some questions about adverse effects, but she cannot remember which drug she is taking. She only remembers that it is a pretty little pink, oval pill. Which of the following is most likely her medication?

Accepted Answer

A)  5 mg Glucotrol
B)  80 mg/12.5 mg Diovan HCT
C)  125 mg Amoxil
D)  5 mg Adderall

Question 7

Which of the following may be used as an antidote to ethylene glycol poisoning?
I. N-acetyl cysteine
II. Nalmefene
III. Physostigmine
IV. Fomepizole

Accepted Answer

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

Question 8

Which of the following drugs is contraindicated in a 25-year-old female taking oral contraceptives?

Accepted Answer

A)  Macrolides
B)  Ritonavir
C)  Barbiturates
D)  All of the above

Question 9

When discussing medroxyprogesterone treatment with a patient, which of the following is important to bring into the conversation?
I. There are no adverse effects to be concerned about with medroxyprogesterone.
II. Potential weight gain
III. Pulmonary emboli
IV. Current controversies concerning synthetic progestins and cancer

Accepted Answer

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

Question 10

A hospital pharmacist is asked to monitor an elderly dialysis patient on IV Amphotericin B. Which of the following lab parameters needs to be determined to appropriately monitor the patient?

Accepted Answer

A)  Serum magnesium and serum potassium levels
B)  Creatinine clearance
C)  INR
D)  All of the above would be appropriate.

Question 11

What is the zaleplon used to treat?

Accepted Answer

A)  Premenstrual Dysphoric Disorder
B)  Insomnia
C)  Diabetes, Type I
D)  Behcet's Disease

Question 12

In which of the following treatments could leucovorin be given as a rescue therapy?

Accepted Answer

A)  Methotrexate
B)  Doxorubicin
C)  Cytarabine
D)  None of the above.

Question 13

Which of the following are possible adverse effects of oxycodone?
I. Circulatory depression
II. Apnea
III. Constipation

Accepted Answer

A)  I and II only
B)  II and III only
C)  I and III only
D)  All of the above are possible adverse effects.

Question 14

Which of the following is not a characteristic drug and delivery system used in the treatment of iron deficiency anemia?

Accepted Answer

A)  Iron sucrose, PO
B)  Ferrous sulfate, PO
C)  Dextran 40, IV
D)  Sodium ferric gluconate, IV

Question 15

A clinic specializing in congestive heart failure has a number of elderly patients and has asked you to monitor their outcomes. They have used both nesiritide and bosentan and would like your input on these drugs. You feel comfortable telling them:

Accepted Answer

A)  Nesiritide should not be used in patients with an obstructive cardiomyopathy. Bosentan may be used in these patients. Nesiritide should not be used in patients with a systolic pressure under 90mm Hg.
B)  Bosentan is an endothelin-receptor agonist and should be used cautiously in elderly patients with mitral stenosis.
C)  Both A and B are correct.
D)  B is correct, but A is incorrect. The systolic pressure may safely be less than 90mm Hg as long as the patient is continuously monitored.

Question 16

A patient with COPD is also determined to be H1N1 positive. Which of the following drugs would likely be recommended?

Accepted Answer

A)  Tamiflu
B)  Relenza
C)  Zidovudine
D)  Amantadine

Question 17

What is liothyronine used to treat?

Accepted Answer

A)  Grave's disease
B)  Hyperthyroidism
C)  Hypothyroidism
D)  Adrenal fatigue

Question 18

A pregnant patient is being treated for hypertension. Which of the following anti-hypertensives would be considered safe to use in pregnancy?

Accepted Answer

A)  A diuretic such as metolazone
B)  Lisinopril
C)  Methyldopa
D)  Doxazosin

Question 19

Which of the following would be an effective anti-androgen therapy in a 58 year old patient with prostate cancer?
I. Bilateral orchiectomy.
II. A testosterone antagonist such as bicalutamide only.
III. An LHRH antagonist such as cetrorelix.

Accepted Answer

A)  I only
B)  III only
C)  I and/or III
D)  II only

Question 20

Olanzapine (Zyprexa) is a thienobenzodiazepine used for schizophrenia, psychosis, and bipolar disorder. One of its off-label uses is:

Accepted Answer

A)  Polycystic ovary syndrome
B)  Borderline personality disorder
C)  Depression
D)  Insomnia

Exam 2: Clinical