IPPE Doc 1

What adverse effect is known as flushing, erythema, and pruritus during vancomycin infusion?

Red Man Syndrome

What is the generic name of Levophed?

Norepinephrine

Which medication is classified as a High-Alert Medication by ISMP?

Amiodarone

What is a major adverse effect associated with bivalirudin (Angiomax)?

Major bleeding

What adverse effect is most commonly associated with dobutamine?

Tachycardia

What is true regarding IV potassium administration?

Must be diluted prior to administration and infused slowly

What should a patient receiving a prolonged propofol infusion be monitored for?

Hypertriglyceridemia

Furosemide therapy may result in depletion of which electrolytes?

Potassium and magnesium

What laboratory abnormalities may occur with prolonged vancomycin therapy?

Leukopenia and renal impairment

Which condition is NOT a typical indication for hydroxyzine?

COPD

What is the most appropriate action for a patient taking chlorthalidone with persistent hypokalemia?

Reassess therapy and consider discontinuation

Which medication should be avoided in a patient with a documented heparin allergy?

Enoxaparin

When should metformin generally be avoided?

When renal function is significantly impaired

When should a medication order for esomeprazole be questioned?

When no indication is documented

What laboratory values should be monitored in a patient receiving losartan?

Potassium and serum creatinine

What should be verified before dispensing atorvastatin?

Presence of an appropriate indication

What is the ideal body weight (IBW) for a 65-year-old female who is 5'2"?

59.3 kg

Which educational institution is accredited by LCME?

Medical school

Which organization performs workplace inspections and promotes employee safety?

OSHA

What primary engineering control is commonly used to prepare hazardous sterile products?

Class II Biological Safety Cabinet

Which medication is classified as a bisphosphonate?

Zoledronic acid

Which medication is an ACE inhibitor?

Enalapril

Sublimaze is classified as what schedule?

Schedule II

USP <797> establishes standards for what?

Sterile compounding

The United States Pharmacopeia primarily establishes standards for what?

Drug compounding and quality

Which SBAR component identifies the patient's primary problem?

Assessment

When should a sterile compounding hood be cleaned?

Before each compounding session

Which section of a research article describes primary and secondary endpoints?

Methods

What is the primary purpose of the Introduction section of a research article?

Justify the study

HIPAA's minimum necessary standard requires what?

Disclosure of only information needed to perform duties

A child requires an IV loading dose of digoxin. IV doses are generally what percentage of oral doses?

80%

Which regulatory body establishes pharmacist licensure requirements?

State Board of Pharmacy

What is the generic name of Norvasc?

Amlodipine

Why do healthcare organizations pursue accreditation?

To participate in reimbursement programs

Which statement is TRUE regarding ADRs?

Allergic and idiosyncratic reactions are ADRs

Which organization awards BCPS certification?

BPS

All of the following help control medication costs EXCEPT:

Nonformulary drug use

Warfarin exerts its anticoagulant effect by what mechanism?

Decreasing synthesis of vitamin K-dependent clotting factors

Which organization does NOT accredit hospitals?

American Osteopathic Association

Computer technology improves medication safety through all of the following EXCEPT:

Extensive electronic references

A pharmacist spends most of their day participating in rounds, making therapeutic recommendations, and monitoring outcomes. Which practice model is this?

Clinical pharmacy practice model

What syndrome is most commonly associated with vancomycin?

Red Man Syndrome

Which medication is associated with hypertriglyceridemia during prolonged infusion?

Propofol

What is the brand name of bivalirudin?

Angiomax

Which medication is the most likely cause of hypomagnesemia and hypokalemia?

Furosemide

Which laboratory abnormalities may be associated with vancomycin therapy?

Leukopenia and renal impairment

Which of the following is NOT an appropriate indication for hydroxyzine?

COPD

What is the ideal body weight (IBW) for a 65-year-old female who is 5 feet 6 inches tall?

59.3 kg

What factor is applied specifically for a female patient when calculating creatinine clearance using the Cockcroft-Gault equation?

0.85

Which educational institution is accredited by the Liaison Committee on Medical Education (LCME)?

Medical school

Which organization is responsible for workplace safety and hazardous material exposure standards?

OSHA

Which primary engineering control is appropriate for compounding hazardous sterile preparations?

Class II Biological Safety Cabinet

What is the brand name of dexamethasone?

Decadron

Which of the following medications is an ACE inhibitor?

Enalaprilat

What is the schedule classification of fentanyl, known as Sublimaze?

Schedule II

What does USP <797> establish standards for?

Sterile compounding

What is the primary responsibility of the United States Pharmacopeia (USP)?

Compounding and quality standards

In the SBAR report, which component is represented by the statement: 'I believe he is experiencing uncontrolled hyperglycemia'?

Assessment

How often should a compounding hood be cleaned according to sterile compounding standards?

Before each compounding session

In a research article, which section typically contains the primary and secondary outcome measures?

Methods

Under HIPAA's Minimum Necessary Standard, healthcare workers should:

Access only the information needed to perform their duties

A 68-year-old female is admitted to the hospital for weakness and dizziness. Her past medical history includes type 2 diabetes mellitus, hypertension, and hyperlipidemia. Her documented allergy is heparin (history of heparin-induced thrombocytopenia [HIT]).

Vital signs: BP 98/56 mmHg, HR 78 bpm, RR 16 breaths/min, and temperature 98.4°F.

Laboratory values reveal SCr 2.6 mg/dL, eGFR 26 mL/min/1.73m², potassium 5.8 mEq/L, AST 22 U/L, ALT 24 U/L, LDL 176 mg/dL, and A1c 10.2%.

The admitting provider orders chlorthalidone 25 mg PO daily, enoxaparin 40 mg SQ daily, metformin 1000 mg PO BID, glyburide 5 mg PO daily, esomeprazole 40 mg PO daily, losartan 100 mg PO daily, and atorvastatin 40 mg PO daily.

Which medication order should be questioned because of the patient's documented allergy?

Enoxaparin

3 multiple choice options

A 68-year-old female is admitted to the hospital for weakness and dizziness. Her past medical history includes type 2 diabetes mellitus, hypertension, and hyperlipidemia. Her documented allergy is heparin (history of heparin-induced thrombocytopenia [HIT]).

Vital signs: BP 98/56 mmHg, HR 78 bpm, RR 16 breaths/min, and temperature 98.4°F.

Laboratory values reveal SCr 2.6 mg/dL, eGFR 26 mL/min/1.73m², potassium 5.8 mEq/L, AST 22 U/L, ALT 24 U/L, LDL 176 mg/dL, and A1c 10.2%.

The admitting provider orders chlorthalidone 25 mg PO daily, enoxaparin 40 mg SQ daily, metformin 1000 mg PO BID, glyburide 5 mg PO daily, esomeprazole 40 mg PO daily, losartan 100 mg PO daily, and atorvastatin 40 mg PO daily.

Which medication order should be questioned because the patient's renal function is severely impaired?

Metformin

3 multiple choice options

Which medication places this patient at increased risk of prolonged hypoglycemia due to renal dysfunction?

Glyburide & Metformin

3 multiple choice options

Which medication should be questioned because it may worsen the patient's hyperkalemia?

Losartan and Atorvastatin

Which diuretic is preferred for management of congestion in symptomatic HFrEF?

Furosemide

Is IV levothyroxine used in the treatment of Addison's disease?

False

Which class of medications commonly causes dry mouth?

Anticholinergics

What is the BMI of a patient weighing 88 kg and 1.73 meters tall?

29.4 kg/m²

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

59.3 kg

What factor is applied to the Cockcroft-Gault equation for a female patient?

0.85

Which laboratory value is NOT included in a Basic Metabolic Panel (BMP)?

Phosphorus

Which laboratory value is included in a BMP?

Creatinine

Which medication should be questioned due to a documented allergy?

Enoxaparin

Which medication should be questioned because of the patient's elevated potassium?

Losartan

Which medication is most appropriate to verify?

Atorvastatin

Which medication may worsen a potassium level of 5.8 mEq/L?

Losartan

Which laboratory values are included in a Chem-7 profile?

Sodium, potassium, chloride, bicarbonate, BUN, creatinine, glucose

Which test would require a separate order because it is NOT included in a BMP?

Phosphorus

Which disease state is treated with IV levothyroxine?

Myxedema coma

Which medication is most likely to cause persistent dry mouth after starting a new inhaler?

Tiotropium

Hydromorphone is classified as which DEA Schedule?

Schedule II

Which medication is classified as a Schedule II controlled substance?

Hydromorphone

What adverse effect should be monitored most closely with IV labetalol?

Bradycardia and hypotension

What is a common adverse effect of nitroglycerin?

Hypotension

What adverse effect would be expected from a nitroglycerin infusion?

Hypotension

Which diuretic is preferred for a patient with HFrEF and signs of fluid overload?

Furosemide

Which class of diuretics is preferred for symptomatic congestion in HFrEF?

Loop diuretics

Is IV levothyroxine indicated for treatment of Addison's disease?

False

IV levothyroxine is most appropriately used in which condition?

Myxedema coma

Dry mouth is a common adverse effect of medications with which pharmacologic property?

Anticholinergic

What information is most appropriately found in the Methods section of a research article?

Outcome measures and study design

Which of the following would typically be included in the Methods section?

Primary and secondary endpoints

What is the primary purpose of the Introduction section?

Justify why the study was performed

Which study design is exclusively observational?

Cross-sectional study

Which of the following is an observational study design?

Case-control study

What is a composite endpoint?

Multiple individual outcomes combined into one endpoint

Which statement best describes a composite endpoint?

Combines several clinically relevant outcomes into a single measure

Which adverse effect is commonly associated with IV labetalol?

Bradycardia and hypotension

Which adverse effect is commonly associated with promethazine?

Sedation/drowsiness