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Toprol is the brand name for what medication?
propranolol
carvedilol
metoprolol
atenolol
metoprolol
A prescription is written for Paxil 10 mg QD. What medication and dosing schedule are being ordered?
paroxetine 10 mg once daily
fluoxetine 10 mg once daily
citalopram 10 mg once daily
escitalopram 10 mg once daily
paroxetine 10 mg once daily
How should patients take their nitroglycerin sublingual tablet?
Chew the tablet and then allow it to dissolve before swallowing.
Chew until the patient feels a slight tingling sensation, then stop chewing and park the tablet between your cheek and gum.
Swallow the tablet whole.
Place tablet under the tongue and do not eat, drink, or smoke while the tablet is dissolving.
Place tablet under the tongue and do not eat, drink, or smoke while the tablet is dissolving.
What dosing instruction is consistent with enteral medication administration?
inhale
swallow
inject
apply
swallow
Enteral administration simply means that the gastrointestinal tract is used
What source should be used to determine therapeutic equivalence?
Orange Book
Facts and Comparisons
Lexi-Comp
Federal Register
The Orange Book
The Orange Book provides a list of approved drug products with therapeutic equivalence evaluations.
Which dosage form is to be shaken well prior to administration?
otic suspension
topical paste
insulin vial
oral solution
Suspensions must be shaken well prior to administration to disperse the drug particles that are suspended in another liquid.
What is the generic name for Zoloft?
sitagliptin
simvastatin
sertraline
simethicone
sertraline
A patient is taking Percocet and Tylenol to manage pain after a surgery. What active ingredient is present in both medications?
ibuprofen
oxycodone
naproxen
acetaminophen
Acetaminophen
Percocet is a brand name for the combination product of oxycodone and acetaminophen. Tylenol's active ingredient is acetaminophen.
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According to the U.S. Food and Drug Administration, finasteride is in pregnancy category X. This classification is an example of what type of warning?
drug-laboratory interaction
side effect
contraindication
allergy
Contraindicated
Pregnancy category X indicates that the potential risks of using the drug in a pregnant woman clearly outweigh the potential benefits; therefore, finasteride is contraindicated for use in pregnant women.
A suppository is intended to be given via what route of administration?
intravenous
rectal
topical
oral
rectal
APAP is the abbreviation for the drug ____.
ampicillin
acetaminophen
acetazolamide
amoxicillin
acetaminophen
A patient who develops muscle weakness shortly after starting to take simvastatin is experiencing what type of medication-related problem?
side effect
therapeutic contraindication
drug-drug interaction
allergy
side effect
Muscle weakness or cramping is a common side effect of "-statin" medications used to treat high cholesterol.
What is a common side effect of diphenhydramine?
drowsiness
neuropathic pain
diarrhea
liver failure
drowsiness
Diphenhydramine is the active ingredient in Benadryl and several other over-the-counter cough and cold medications and pain relievers. Diphenhydramine is an antihistamine associated with drowsiness and other "slowing" anticholinergic side effects, such as dry eyes, dry mouth, constipation, and urinary retention.
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Liver failure can result from an unintentional overdosage of what over-the-counter pain reliever?
naproxen
aspirin
acetaminophen
ibuprofen
acetaminophen
What is an example of a non-steroidal anti-inflammatory drug?
acetaminophen
lidocaine
capsaicin
ibuprofen
ibuprofen
Non-steroidal anti-inflammatory drugs (NSAIDs) include ibuprofen, naproxen, and aspirin.
Which pain prescription reliever contains acetaminophen?
Oxycontin
Roxicodone
Roxicet
Percodan
Roxicet
Roxicet is a combination product containing oxycodone and acetaminophen. Percodan contains oxycodone and aspirin, while Oxycontin and Roxicodone are oxycodone-only formulations. While not all acetaminophen-containing products end with the "-cet", that suffix is a clue that a controlled substance contains acetaminophen. Additional examples include Ultracet (tramadol and acetaminophen), Fioricet (acetaminophen, butalbital, and caffeine), and Percocet (oxycodone and acetaminophen made by a different manufacturer than Roxicet).
What is the maximum number of days a water-based compounded oral solution is considered to be stable (maximum stability date)?
14 days
28 days
3 days
10 days
14 days
To ensure the integrity of the compounded product, the maximum length of time that an oral solution with a water base is stable is 14 days.
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Which of the following is not a sign of incompatibility?
formation of a precipitate
a color change from original product
nonuniform product
new or unexpected cloudiness
nonuniform product
While some products are required to be uniform, some products such as suspensions are not uniform.
If gentamicin is available in 80 mg/2 ml vials, how many vials are needed to compound an IV bag containing 480 mg of gentamicin?
12 vials
2 vials
6 vials
3 vials
6 vials
If a 500 ml IV bag is infused over 3.5 hours, what is the infusion rate?
142.86 ml/min
29.16 ml/min
0.42 ml/min
2.38 ml/min
2.38 ml/min
Note: Remember that the units in the answer choices are per minute and not per hour. This change is made during the calculations.
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If octreotide is available in 1000 mcg/5ml vials, how many milliliters are needed to compound an IV bag containing 600 mcg?
4 ml
1 ml
2 ml
3 ml
3 ml
If you plan to run a dose of medication over 12 hours, how many total milliliters are needed for the infusion to run 1 ml/minute?
5000 ml
720 ml
7200 ml
500 ml
720 ml
On what drug packaging is an expiration date required?
only prescription drugs
only over-the-counter drugs
all drugs—prescription and over-the-counter
only liquid dosage forms of drugs
all drugs—prescription and over-the-counter
What is a generic drug?
the most expensive version of a drug
a drug that has a different dosage form than the original drug
a drug that is manufactured by a different manufacturer other than the original developer of the drug
a drug that is manufactured by the original developer of the drug
a drug that is manufactured by a different manufacturer other than the original developer of the drug
What is a therapeutic substitution?
a substitution for a brand name drug
a substitution for a generic drug
a substitution for a drug that is the same chemically and has a different clinical effect
a substitution of a drug for another drug that is chemically different but exerts the same clinical effect
a substitution of a drug for another drug that is chemically different but exerts the same clinical effect
How should a prescription be filled when the prescriber indicates "dispense as written" on the prescription?
with generic or brand name drug as decided by the pharmacist
with generic or brand name drug as decided by the patient
with the generic drug
with the brand name drug
with the brand name drug
At what temperature should refrigerated items be kept?
36 to 46 degrees F
35 to 45 degrees F
-13 to 14 degrees F
68 to 77 degrees F
36 to 46 degrees F
Room temperature is considered to be 68 to 77 degrees F. Freezer temperatures should be kept from -13 to 14 degrees F.
If a drug has no specific storage requirements listed, at what temperature should it be kept?
36 to 46 degrees F
55 to 65 degrees F
68 to 77 degrees F
-13 to 14 degrees F
68 to 77 degrees F
Who monitors a drug's safety once it is approved?
the drug manufacturer
the prescriber
the pharmacy
the FDA
The FDA
The FDA is the main organization that is responsible for monitoring continuing drug safety. The FDA has a program called MedWatch where patients can report problems with a drug.
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Which of these medications has a narrow therapeutic index?
pantoprazole (Protonix®)
lisinopril (Zestril®)
warfarin (Coumadin®)
acetaminophen (Tylenol®)
warfarin (Coumadin®)
Warfarin (Coumadin®) has a narrow therapeutic index, requiring patients on this medication to undergo blood tests regularly. A blood sample is taken and used to measure the patient's INR, which is, in simple terms, the time it takes the blood to clot. The normal INR value while on warfarin is 2.0 to 3.0. Any value falling outside the range will require an omission or change in the patient's current dosing.