IPPE Doc 1

Which medication is indicated for the treatment of heart failure, atrial fibrillation, and atrial flutter?

Digoxin

Keflex (cephalexin) is classified as which type of antibiotic?

Cephalosporin antibiotic

According to USP <797>, how often must easily cleanable work surfaces be cleaned?

Daily

Which organization does NOT accredit hospitals in the United States?

Board of Pharmacy Specialties

True or False: All high-risk compounded sterile preparations (CSPs) are hazardous CSPs.

False

Micronase and DiaBeta contain which generic medication?

Glyburide

How many milliliters of isopropyl alcohol are in 560 mL of a 75% solution?

420 mL

Enoxaparin is ordered at 1 mg/kg for a patient weighing 125 lb. How many mg should the patient receive?

56.8 mg

What is a major adverse effect of enoxaparin?

Hemorrhage

Which of the Five Rights of medication use is reflected in the statement: 'The mission of pharmacists is to help people make the best use of medicines.'?

Right drug

True or False: Sarafem is classified as a selective serotonin reuptake inhibitor (SSRI).

True

What is the generic name of Norvasc?

Amlodipine

Why must healthcare organizations obtain accreditation and certification?

To participate in governmental or private reimbursement programs

True or False: Board certification may be obtained by examination after a period of specialty practice experience or completion of a residency.

True

Gabapentin is approved for the treatment of what condition?

Seizures

Which statement is TRUE regarding allergic and idiosyncratic reactions?

Allergic reactions and idiosyncratic reactions are considered adverse drug reactions (ADRs)

Why should medication-use decisions and performance-improvement initiatives be evidence-based?

Because evidence-based guidelines have been shown to improve patient outcomes

Which primary engineering control may be used to prepare hazardous compounded sterile products?

Class II Biological Safety Cabinet (BSC)

Insulin aspart is marketed under which brand name?

Novolog

Which of the following is insulin lispro?

Humalog

How long will a heparin infusion of 215 mL at 12 drops/min last with a delivery rate of 32 drops/mL?

9.6 hours

Which medication is indicated for the treatment of GERD?

Nexium

Which organization is responsible for awarding board certifications in pharmacy specialties?

BPS

Which brand/generic pair is incorrectly matched?

Vibramycin - Clindamycin

What is the brand name for metformin?

Glucophage

What is the usual frequency for Lipitor (atorvastatin)?

QD

Where does a pharmacist have the greatest impact on patient care?

Influencing physician prescribing decisions

In which dosage form is Lopid (gemfibrozil) available?

600 mg tablet

What is the beyond-use date (BUD) for a low-risk CSP stored under refrigeration according to USP <797>?

14 days

Which medication is a direct-acting systemic vasodilator antihypertensive?

Hydralazine

Insulin glargine is marketed under which brand name?

Lantus

For which indications is Symbicort FDA-approved?

Asthma and COPD

Which organization conducts workplace inspections related to hazardous materials?

OSHA

Which drug-dose combination is incorrect?

TriCor 165 mg QD

What is a common starting dosage for Cymbalta (duloxetine) in major depressive disorder?

30 mg BID

Which of the following may be used to control drug costs EXCEPT?

Nonformulary drugs

What is the infusion rate for a dopamine infusion ordered at 20 mcg/kg/min for a patient weighing 110 lb?

25 mL/hr

What must labels for batch-prepared CSPs include EXCEPT?

Directions for use

Which medication is a leukotriene receptor antagonist?

Montelukast

What is Drug Use Evaluation (DUE) best defined as?

A method for evaluating and improving medication-use processes to optimize patient outcomes

Is Chlorthalidone classified as a loop diuretic?

False

Which medication decreases synthesis of vitamin K-dependent clotting factors?

Warfarin

Which is a second-generation (atypical) antipsychotic?

Ziprasidone

Are all side effects considered adverse drug reactions (ADRs)?

False

Which medication is used in the treatment of myxedema coma?

Levothyroxine (Synthroid)

How many mL should be administered for heparin 5,000 units if the vial contains 10,000 units/mL?

0.5 mL

Can healthcare workers always access their own medical records within the electronic health record system?

False

What does Ortho Tri-Cyclen contain?

Norgestimate/Ethinyl estradiol

What is the estimated creatinine clearance for a 65-year-old female patient with a weight of 180 lb and SCr of 2.0 mg/dL?

29 mL/min

What is the ideal body weight (IBW) for a female patient who is 5 feet 6 inches tall?

59.3 kg

Which medication is an ACE inhibitor?

Enalaprilat

What is the adjusted daily dose of gentamicin for a patient weighing 245 lb who is receiving only 35% of the normal dose?

64.9 mg

Which organization conducts and supports research related to quality improvement and patient safety?

AHRQ

Which medication is NOT used in the treatment of depression?

Lorazepam (Ativan)

Which organization does NOT accredit hospitals in the United States?

American Osteopathic Association

What is an example of a structure necessary to ensure safe medication use?

Adequate staffing

Which ISO classification has a maximum allowable concentration of approximately 100,000 particles/m³?

ISO 5

Which key clinical pharmacy service is identified by Bond and Raehl?

Pharmacokinetic consultation

Which medication is indicated for treatment of overactive bladder (OAB)?

Tolterodine

Which medication is an HMG-CoA reductase inhibitor?

Zocor

In which dosage form is Zanaflex (tizanidine) available?

4 mg capsule

Which was NOT a major contributor to patient safety improvements?

Improved personnel

What is the ideal body weight (IBW) for a female patient weighing 95 kg and 165.1 cm tall?

57 kg

What dose of IV acyclovir should be administered using IBW for a female patient weighing 95 kg?

1824 mg

Which U.S. hospital computer technology does NOT improve medication safety?

Extensive electronic references

How many mL of amikacin should be added to a 250 mL D5W for a patient weighing 155 lb?

0.71 mL

Which statement regarding nonprofit hospitals is TRUE?

They do not seek a return on investment for owners.

What is the primary purpose of accreditation by The Joint Commission?

To hold healthcare organizations accountable for minimum standards of practice

To maintain accreditation, pharmacists should work cooperatively with which groups?

Other healthcare departments

What is the powder volume of a vial containing 5,000,000 units of penicillin G potassium after adding 23 mL diluent to achieve a concentration of 200,000 units/mL?

2 mL

How much diluent should be added to a 5,000,000-unit vial of penicillin G potassium to achieve a final concentration of 500,000 units/mL with a powder volume of 2 mL?

8 mL

Which healthcare profession is NOT recognized by the federal government as a primary care provider?

Pharmacists

What best describes the difference between centralized and decentralized pharmacy systems?

Centralized systems are more efficient for medication preparation and distribution, while decentralized systems allow greater pharmacist influence.