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CPJE Practice Clinical Questions with Complete Solutions
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CPJE Practice Clinical Questions with Complete Solutions
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CPJE Practice Clinical Questions withComplete Solutions
A pharmacist is dispensing new Rxs for fosamprenavir, ritonavir, and
Truvada. In reviewing the patient's profile info, the pharmacist notes
allergies to furosemide, glipizide, and Bactrim. The pharmacist should call
the patient to change...
A. Truvada to combivir
B. fosamprenavir to saquinavir
C. Truvada to atripla
D. fosamprenavir to tipranavir - -Answer B
Medicines that should avoided in those with sulfa allergies include
furosemide, SURs, Bactrim, and certain PIs (tipranavir, fosamprenavir)
-A pharmacist is reviewing a patient's medication profile prior to filling anew
Rx for fentanyl TD patches. Which of the following presents a potential risk of
interaction with fentanyl?
A. nicotine TD patches
B. CBZ 200 mg BID
C. brimonidine eye drops
D. finasteride 5mg PO QD - -Answer B
Ticlopidine may cause agranulocytosis, neutropenia, and TTP.
-A 67 YOM was started on ticlopidine 1 month ago for stroke prevention. The
patient complains of recent fever, chills, and a sore throat. Which of the
following is most appropriate for the pharmacist to ask the physician?
A. Has the patient had an INR checked recently?
B. Has the patient had a CBC done yet
C. Has the patient's diet changed over the past month
D. Hast he patient had LFTs done within the past 2 weeks - -Answer B
-Which of the following auxiliary labels belong on a bottle of Vivotif Berna?
A. Refrigerate
B. External use only
C. Avoid sunlight
D. Shake well - -Answer A
-A patient has been counseled on the appropriate use of Niaspan. Which of
the following statements would confirm patient understanding of the purpose
for taking the medication?
A. This medication will treat my high BP and lower my risk of stroke
B. This medication will treat my high cholesterol and lower my risk of heart
attack
, C. The medication will treat my enlarged prostate and I won't have to get up
at night to urinate
D. This medication will help keep my mood stable and allow me to sleep
better at night. - -Answer B
-A patient presents a prescription for Prevacid but the pharmacy is out of
this medication. Which of the following is the most appropriate alternative?
A. pantoprazole
B. aripiprazole
C. sulfisoxazole
D. Metronidazole - -Answer A
Prevacid is lansoprazole.
-Which of the following drugs require a pharmacist to include a medication
guide when dispensing a Rx?
A. mefloquine and methocarbamol
B. mefloquine and amiodarone
C. methocarbamol and digoxin
.D. digoxin and amiodarone - -Answer B
Amiodarone requires a medication guide.
Digoxin does not require a medication guide
Mefloquine requires a medication guide
Methocarbamol does not requires a medication guide.
-A 36 year old patient with schizaophrenia has been treated with clozapine
500 mg daily for the past 4 months. On July 7, the patient's WBC was 7.2 and
neutrophils was 4.3. The most appropriate recommendation for the
pharmacist to make is to...
A. Continue current therapy
B. discontinue therapy
C. Hold therapy for 1 week and resume at 400 mg daily
D. Repeat CBC and fill if WBC is >8 - -Answer A
Clozapine should be started when baseline ANC is at least 1500. ANC is
checked weekly for 6 months than every 2 weeks for 6 months, then
monthly. Stop therapy if ANC <1000.
-A patient with diabetes and HTN is being managed by a pharmacist. Which
of the following medications is most likely to cause a dry cough in this
patient?
A. doxazosin
B. lisinopril
C. hydralazine
D. spironolactone - -Answer B
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