1.  Which of the following medications is permitted as a verbal prescription? (Please assume that COVID-19 exemptions do not apply)

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a)  Hydrocodone

b)  Mersyndol (doxylamine, codeine, acetaminophen)

c)  Suboxone (buprenorphine/naloxone)

d)  Morphine

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2.  FG is a 72 year old male with a complex medication regimen admitted to the hospital for pneumonia.  He is taking chlorthalidone, amlodipine, pravastatin and escitalopram.  His blood pressure is 110/70 mm Hg and creatinine clearance is 30 mL/min.  The current order is for levofloxacin 750 mg daily every 48 hours x 5 days.  Which of the following is NOT one of his QT-prolongation risk factors?

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a)  Use of levofloxacin

b)  Use of escitalopram

c)  Use of chlorthalidone

d)  Use of amlodipine

3.  Continuing from Question 2, which of the following is an adverse effect of levofloxacin?

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a)  Hypertension

b)  Breast tenderness

c)  Tendonitis

d)  Black tongue

4.  JN received an order for compounded metronidazole suspension for a 22-lb child.  The dose is 20 mg/kg/day for 7 days.  Using a 5% w/v metronidazole stock solution, how much volume is required for the entire course of the 7 days?

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a)  28 mL

b)  62 mL

c)  140 mL

d)  280 mL

5.  Which of the following duties can a pharmacy technician perform in place of the pharmacist?

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a)  Accept a verbal prescription for lorazepam

b)  Transfer lorazepam to another pharmacy

c)  Purchase over-the-counter products from a wholesale supplier

d)  Assess a patient for referral to walk-in clinic

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6.  DN is a 25 year old male who has trouble sleeping at night due to recent exam stress.  Which of the following is suitable advice to assist DN?

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a)  Napping during the daytime when tired.

b)  Reading before bedtime.

c)  Exercising during daytime.

d)  Drinking alcohol before bedtime.

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7.  A clinical trial is looking at the incidence of Stevens-Johnson Syndrome among patients given drug X and drug Y.  In the drug X group, 10 out of 175 had the adverse effect, compared to 25 out of 170 in the drug Y group.  What is the relative risk of developing Stevens-Johnson Syndrome with drug X compared to drug Y?

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a)  25%

b)  30%

c)  34%

d)  39%

8.  Jerry is asking for a recommendation for a cough syrup.  During the patient interview, it is recommended to avoid confirmation bias with which of the following questions?

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a)  You are not taking any over-the-counter products currently, right?

b)  Do you have any allergies to medications?

c)  Is the cough productive or non-productive?

d)  What time of the day is the cough most severe?

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9.  Continuing from Question 8, after interviewing Jerry, you learn he is healthy and on no medications.  He developed a phlegm cough 4 weeks ago and started using guaifenesin syrup.  His phlegm disappeared within 2 weeks, however, his dry cough remains and keeps him up at night.  What is your recommendation for him?

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a)  Try dextromethorphan instead.

b)  Tell him to continue using guaifenesin syrup.

c)  Tell him to try behind-the-counter codeine cough syrup.

d)  Refer him to a physician for further assessment.

10.  Which of the following uses a dangerous abbreviation which the Institute of Safe Medication Practices does NOT approve of?

a)  50 mg

b)  25 μg

c)  0.5 g

d)  15 kg

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