PHARMACOLOGY PRACTICE TEST

otic

ear

keflex class

cephalosporin

which two antibiotics cause cross sensitivity?

penicillin and cephalosporins

metroppolol comes in two-

salt forms

metoprolol tartrate and succinate

these are not interchangeable

qs ad

as much as sufficient

according to federal law, a pharmacy transferring an outdates schedule iv controlled substance to a reverses distributor for destruction should-

maintain a record of transaction

what is a reverse distributor?

a company that receives pharmaceuticals from a sellers for the purpose of returning unwanted, unusable, or outdates pharmaceuticals to the manufacturer or another entity that can reuse the medicine

give me two simple points on reverse distribution

the reverse distributor returns product to manufacturer

or

destroys it

when schedule 3-5 drugs are transferred to a reverse distributor what is needed

code of federal regulations requires pharmacies to maintain a record of distribution that lists the drug name, dosage form, strength, quantity, and date transferred

what is the reverse distributor responsible for in regards to destroying a drug

submitting a DEA for 41 to the DEA when the controlled substance has been destroyed

when should a DEA form 41 NOT be used

to record the transfer of controlled substances between the pharmacy and the reverse distributor disposing of the drug

prolonged overuse of acetaminophen may result in

liver damage because acetaminophen is almost exclusively processed by the liver

name what you would report to MedWatch

voluntarily report serious adverse events
product quality problems
produce use errors
product medication errors
therapeutic inequivalence/ failures associated with FDA regulated products
safety concerns with poor packaging or labeling

lithium

branch: Eskalith
class: bipolar disorder agent

who do you report vaccine errors to?

ISMP (institute for safe medication practices)

what type of things would you report to the ISMP?

medication errors
close calls
hazardous conditions
preventable adverse drug reactions
vaccine errors

what does scopolamine treat?

motion sickness

what forms does scopolamine come in?

dermal patch

a scopolamine patch should be changed every

3 days

what do DURs screen for?

therapeutic duplication
drug-disease contraindications
drug-drug interactions
incorrect drug dosage
incorrect duration of treatment
drug allergy interactions
clinical abuse/misuse of medication

if a certain drug, for example a Proventil HFA inhaler, is found to have no active ingredient, what class of drug recall would that be?

class 1

because if the active ingredient isn't there, the patient can literally die because the inhaler wouldn't work and that's a serious irreversible adverse drug event

at what time or point would a drug not be placed in childproof packaging?

usually if its a drug for acute relief like nitroglycerin, birth control, isosorbide dinitrate

what is nitroglycerin used for?

to relieve acute angina pain

which class of drugs can increase glucose levels in a patient with diabetes?

corticosteroid

can alter glucose production/regulation in patients with diacetates, which may lead to hyperglycemia

which medications does MethCheck track?

pseudoephedrine

qd

once a day

qid

four times a day

bid

twice a day

patients who are on isotretinoin must participate in an ipledge program, wats the time frame within which isotrentoin must be dispensed for patients of childbearing potential

7 days

according to the DEA a complete and accurate inventory of controlled substances should be done

every two years

so

physicals count upon receiving DEA registration then every two years after

whats the normal does for metoprolol succinate?

50-200mg once daily for high bp

what is metoprolol succinate

the XR form of metoprolol

at what temp should you stire NuvaRing?

2-8C in a fridge (35 to 46F)

what are some common type of hazardous drugs?

antineoplastics
antiviral drugs
hormones
bioengineered drugs
others

define reverse distributor

a private company that serves pharmacies by retuning unwanted or expired medication to the manufacturer or process them for disposal, important for controlled substance disposal but can accept non controlled as well

Quindine

Class: Sodium Channel Blocker
brand: quindex

Digoxin

Lanoxin, Digitek
cardiac glycoside

treats atrial fib/flutter and heart failure with a reduce ejection fraction

od

right eye

Quinapril

brand: Accupril
class: ACE Inhibitor

which vitamin is important in pregnancy to prevent birth (neural tube) defects?

folic acid

what does folate deficiency increase the risk of?

neural tube defects

fetus with congenital defecs and malformations

what should you not take with birth control?

antibiotics like amoxcillin

What is Ortho Tri-cyclen?

birth control


norgestimate + ethinyl estradiol: 21/7, standard estrogen (0.035mg), med androgenicity/high estrogenicity, triphasic

Advair Diskus

fluticasone and salmeterol
Asthma/COPD

advair diskus inhalation powder comes in a sealed pouch. Once the pouch is opened, any remainder should be discarded after how many months?

1

What is St. John's Wort used for?

mild to moderate depression and anxiety

qhs

every night at bedtime

1mL = ?mg

1000mg

1mL=?g

1g

1oz=?ml

30

1bsp=?ml

15

what form is digoxin not available in?

sublingual tablet

what form is digoxin available in?

oral solution
injection solution
oral tablets

reconstituted oral Augmentin suspension prepared on april 2, 2025, would have a maximum beyond use date of-

april 12, 2025

because it is stable for up to 10 days under refrigeration

What does sucralfate do?

treats duodenal ulcers

what temperature should you store gabapentin oral solution?

refrigerator at 2C-8C (36-46F)

Erthyromycin Oral Capsule/ Tablet/ Suspension, Injection

Macrolide antibiotic

what schedule is diazepam?

Schedule IV

a patient wants to transfer diazepam from a chain pharmacy to a mail order pharmacy to be refilled. if a pharmacy does not share a real-time, online database, according to federal law, this prescription may-

be transferred no more than one time between these pharmacies

change in a drug stability can be noticed by

physical changes such as color changes, noticeable change in consistency

ac

before meals

hs

bedtime, hour of sleep

qid

four times a day

according to the ISMP, the class of drugs that is considered high-alert in a COMMUNITY/AMBULATORY setting are

oral hypoglycemic agent
antiretroviral agents
oral chemotherapeutic agents (excluding hormonal)
immunosuppressant agents
all forms of insulin
all forms of opioids
pediatric liquid medications that require measurement
medications contradicted for pregnancy

what does ambulatory care setting mean?

outpatient care

what kind of water is used to dilute or dissolve medications for injection?

bacteriostatic water