Question 1

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?

Accepted Answer

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

Question 2

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?

Accepted Answer

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

Question 3

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

Accepted Answer

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

Question 4

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?

Accepted Answer

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 5

As a hospital pharmacist, you are given an order that reads: Digoxin, 5mg/mL IV over 24 hrs. What should be your next step?

Accepted Answer

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 6

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?

Accepted Answer

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 7

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?

Accepted Answer

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

Question 8

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.

Accepted Answer

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

Question 9

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?

Accepted Answer

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

Question 10

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

Accepted Answer

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

Question 11

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

Accepted Answer

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 12

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

Accepted Answer

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 13

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

Accepted Answer

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

Question 14

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?

Accepted Answer

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

Question 15

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?

Accepted Answer

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

Question 16

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%

Accepted Answer

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

Question 17

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

Accepted Answer

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 18

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?

Accepted Answer

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

Question 19

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

Accepted Answer

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

Question 20

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

Accepted Answer

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

Exam 4: Social Administrative