CPP - Practice Questions - ppt

Proverbs 16:3

C) I, IV

Which of the following statements refer to clinical pharmacy practice?
I. Ensures that the patient receives the right drug at the right dose at the right time
II. Practiced solely in hospital setting
III. Encompasses appropriate drug inventory
IV. Contribute to new knowledge that advances health and QOL
A. I, II
B. II, III
C. I, IV
D. I, II, III, IV

D) I, II, III

NSAIDs should be used in caution in which groups of patients?
I. Those with a history of heart disease
II. Those with pre-existing renal disease
III. Children recovering from influenza
A. I, Il
B. II, III
C. I, III
D. I, II, III

C) Sinecod®

Which of the following cough preparations is indicated in a 19 y.o male patient with dry cough?
A. Robitussin®
B. Mucosolvan®
C. Sinecod®
D. NOTA

D. NOTA

Which of the following cough preparations is indicated in a 2y.o female patient with productive cough?
A. Robitussin DM®
B. Vicks®
C. Fluimucil®
D. NOTA

C) Develop friendly

The best way to approach a physician to point out a medication or prescription order:
A. Show competence by informing the physician about your clinical pharmacy training
B. Bring your reference books when approaching the physician
C. Develop friendly
D. NOTA

B) Advise the patient to see a doctor

A patient requests to be given ketoconazole for what he believes is a fungal infection on his torso. The pharmacist should:
A. Recommend topical OTC drug instead
B. Advise the patient to see a doctor
C. Tell the patient the tablet is not available
D. Dispense the requested product and properly advise him of the expected side effects

D) AOTA

Which of the following information is/are considered a "sign"?
A. BP 110
B. Temperature of 38.5C
C. Heart murmurs
D. AOTA

A) I & II

The vital signs include:
I. Pulse rate
II. Respiratory rate
III. Age
IV. Weight
A. I & II
B. III & IV
C. I & III
D. I, II, IV

B) Tachypnea

Which of the following is the correct term to describe an abnormal finding of "rapid breathing"?
A. Dyspnea
B. Tachypnea
C. Apnea
D. Bradypnea

B) SBP <120 AND DBP <80

Normal blood pressure is defined as:
A. SBP

C) 18.5-22.9

The ideal BMI for a Filipino adult is:
A. 23-24.9
B. <18.5
C. 18.5-22.9
D. 18.5-24.9

A) I, II, IV

Which of the following are considered restricted antimicrobials!
I. Meropenem
II. Vancomycin
III. Clindamycin
IV. Amphotericin B
A. I, II, IV
B. I, II, III
C. I, II, III, IV
D. II, IV

D) l, II, III, IV

Which of the following drugs require therapeutic drug monitoring?
I. Warfarin
II. Digoxin
III. Phenytoin
IV. Theophylline
A. I, II
B. l, III, IV
C. II, III
D. l, II, III, IV

C) Dextrose

What is the most common carbohydrate used for total parenteral nutrition?
A. Starch
B. Fructose
C. Dextrose
D. Galactose

A) Vitamins

Which of the following components is usually the last to be added in a TPN preparation?
A. Vitamins
B. Trace minerals
C. Water
D. Electrolytes

B) 10/16/26 at 10 AM

Order: Start Nutriflex Lipid Peri 2500 + Tracutil + Vitalipid N + Soluvit N at 10 AM (10/15/26) at 95 mL/hr. Physician's daily requirement calories is 2480 kcal. Patient's weight is 115.75 kg. What time will the TPN solution* expire?
*shelf life: 24hrs AFTER starting
A. 10/15/26 at 10 PM
B. 10/16/26 at 10 AM
C. 10/16/26 at 10 PM
D. 10/17/26 at 10 AM

A) 4,1,3,5,2

Arrange chronologically the following steps in the preparation of TPN.
1. Add electrolytes and trace elements in the port.
2. Mix thoroughly then hang it on the drip stand.
3. Press the upper right chamber (lipid) to mix w/ lower chamber.
4. Press the upper left chamber (glucose) to mix with the lower chamber (amino acids).
5. Add vitamins
A. 4,1,3,5,2
B. 4,1,5,3,2
C. 1,3,4,2,5
D. 3,1,4,2,5

B) The selection of lab facility

Which of the ff. Factors would NOT really affect a lab test result?
A. Medicine intake
B. The selection of lab facility
C. How well the pre-test instructions were followed
D. None of the above

A) Abdominal ultrasound

Which of the ff diagnostic tests is non-invasive?
A. Abdominal ultrasound
B. Transvaginal ultrasound
C. Sigmoidoscopy
D. Liver laparoscopy

A) Plasma thromboplastin time

Which if the ff diagnostic tests are invasive?
A. Plasma thromboplastin time
B. Urine bacterial count
C. Checking for fecal occult blood
D. Pregnancy test

C) Eosinophils

This WBC differential increases during acute allergic reactions or in the presence of parasitic infections
A. Neutrophils
B. Lymphocytes
C. Eosinophils
D. Monocytes

B) AST/ALT (liver)

What should be monitored in a patient taking simvastatin?
A. CK-MB
B. AST/ALT
C. Creatinine
D. CBC
*Rosuvastatin is the LEAST hepatotoxic -statin

B) Lower GI Bleeding

The presence of fresh blood in the stool is an indication of?
A. Upper GI Bleeding
B. Lower GI Bleeding
C. Fat malabsorption
D. Dehydration

D) Decreased serum creatinine level

A 40/M patient has chronic kidney disease. Which s/sx below may NOT be present in him?
A. Hyperkalemia
B. Hyponatremia
C. Increased BUN level
D. Decreased serum creatinine level

A) HDL

Which parameter in a lipid profile lowers the risk for cardioembolic events?
A. HDL
B. LDL
C. TG
D. VLDL

B) Abnormal

The presence of glucose in urine in someone who is not taking any medications is considered:
A. Normal
B. Abnormal
C. Inconclusive
D. NOTA

C) Epithelial cells

An abundance of these cells in the urine sample may imply contamination or a "poor catch"
A. White blood cells
B. Red blood cells
C. Epithelial cells
D. Platelets

C) Take mefenamic acid for the pain

An elderly patient suffers from a steady "burning" sensation in his abdomen and was diagnosed with PUD. Which of the ff should NOT be recommended?
A. Limit intake of spicy food and caffeinated drinks
B. Discontinue smoking
C. Take mefenamic acid for the pain
D. Start a proton pump inhibitor

D) Left ventricle

Which chamber of the heart is most prone to being damaged in a patient with heart failure?
A. Right atrium
B. Right ventricle
C. Left atrium

B) Intracellular fluid → 40%

What comprises the largest body fluid compartment?
A. Extracellular fluid
B. Intracellular fluid
C. Interstitial fluid
D. Plasma

B) II, IV

You are approached by a patient with loose watery stools for the past 2 days. Which of the ff may be recommended to them?
I. Loperamide
II. ORS
III. Azithromycin
IV. Zinc Sulfate
A. I, II
B. II, IV
C. I, III
D. II, III, IV

B) M2: Broncho C

Which of the ff is incorrectly paired?
A. A1: Vaso C
B. M2: Broncho C
C. B2: Broncho D
D. B1: Tachy

B) Enalapril + Telmisartan

Which of the ff antihypertensive medications should NOT be combined?
A. Amlodipine + Valsartan
B. Enalapril + Telmisartan
C. Losartan + HCTZ
D. Ramipril + Metoprolol

C) Phenoxybenzamine → NS α blocker; irreversible; for pheochromocytoma

The ff drugs may cause wt loss EXCEPT:
A. Phentermine
B. Phendimetrazine
C. Phenoxybenzamine
D. Fenfluramine

B) Isosorbide mononitrate: SL → ISDN is SL, ISMN is Oral

Which of the ff is incorrectly paired with its ROA?
A. Regular human insulin: IV
B. Isosorbide mononitrate: SL
C. Enoxaparin: SC
D. Penicillin G: IM

C) Potentiation

The combination of metformin + glimepiride demonstrates?
A. Addition
B. Synergism
C. Potentiation
D. Antagonism

D) Chlorpropramide

Which may be used in the mgt of DM?
A. Chlorpheniramine
B. Chlorpromazine
C. Chlordiazepoxide
D. Chlorpropramide

A) A 55/M who had elevated Troponin I levels

Which among the ff patients will likely require lifetime aspirin tx?
A. A 55/M who had elevated Troponin I levels
B. A 90/F with low serum Ca and K
C. A 14/F who has low hemoglobin
D. A 44/M on dialysis with excessively high creatinine

A) Elevated PT-INR

A 64/M patient had been on warfarin therapy for the past 3 months. He develops pneumonia and was prescribed levofloxacin. What would be most likely found in his lab tests?
A. Elevated PT-INR
B. Reduced PT-INR
C. Elevated aPTT
D. Low platelet count

D) Metoclopramide for vomiting episodes

A female patient was admitted for acute gastroenteritis, among other conditions. She was also found to be 6 weeks pregnant. Which of the ff medications was rationally prescribed?
A. Ciprofloxacin for infectious diarrhea
B. Methimazole for hyperthyroidism
C. Valproic acid for BPD
D. Metoclopramide for vomiting episodes

D) Maalox + Ferrous Sulfate

An elderly patient is taking multiple medications. Which of the ff should not be taken simultaneously?
A. ISMN + Warfarin
B. Ipratropium + Montelukast
C. Simvastatin + Warfarin
D. Maalox + Ferrous Sulfate