Dispensing (Blue) Flashcards
Upon dispensing the pharmacist what is the vital information can the pharmacist give when a patient buys calcium supplement.
A. Calcium’s absorption is enhance with Vitamin D
B. Calcium’s absorption is enhance with Vitamin E
C. Calcium’s absorption is deterred with Vitamin D
D. Calcium’s absorption is deterred with Vitamin E
a
What would be the appropriate auxillary label one can use in dispensing system A. For external use only B. Store in a cool dry place C. Shake the bottle before using D. Both B and C
c
A patient asks what constitutes Combivent. Combivent is a combination of
I . Ipratropium Br
II. Albuterol SO4
III. Metaproterenol
A. I only
B. I and II only
C. II and III only
D. AOTA
b
If the dispensing order requires the insulin that has the shortest duration of action and the fastest onset of action, then the insulin to be given is \_\_\_\_\_\_\_\_\_. A. Humulin R B. Lantus C. Humaloq D. Novoloq
d
The strength of folic acid in OTC vitamins should not exceed A. 1 mg B. 10 mg C. 0.4 mg D. 10 mcg
C
The medication requires Sumatriptan which is mainly indicated for treatment of:
A. Cancer therapy induced nausea and vomiting
B. Migraine
C. Depression
D. Seizure
B
Which of the following anti HPN helps in the treatment of diabetes? A. Verapramil B. Enalapril C. HCTZ D. Amiloride
B
A patient with antabuse for his treatment of alcohol withdrawal. Which of the following product(s) should taken with antabuse? I. Theophylline Na glycinate Elixir II. Theophylline elixir III. Theophylline tablet
A. I only B. I and II only C. II and III only not be D. All of the choices given
B
A patient under Ketorac treatment should avoid the following drugs except: A. Meclizine B. Cefotetan C. Gold compound D. Methotrexate
C
After initiation therapy, Mr. J.T suddenly suffers from spasm of the face and neck. Which of the following drug(s) should not be given to alleviate the above symptoms?
I. Diazepam injection
II. Diphenhydramine
III. Benztropine
A. I only
B. I and II only
C. II and III only
D. All of the above
C
When dispensing Ferrous sulfate vitamin to a patient, which precaution should Pharmacist give to the patient?
A. Avoid tea or coffee because it reduces iron absorption by as much 50%
B. Avoid vitamin A because it reduces iron absorption.
C. Avoid Tetracycline because it activates iron.
D. Avoid Aspirin because iron can cause elevated levels of aspirin in the blood.
A. Avoid tea or coffee because it reduces iron absorption by as much 50%
Which is not a routine procedure for dispensing prescription? A. Check the legal requirements B. Dispense the correct product C. Provide patient advice D. Inaptness of the prescription
d
Which is the most appropriate cautionary and advisory label for Brufen?
A. Do not take anything containing aspirin while taking this medicine.
B. This medicine may color the urine.
C. Take with or after food.
D. Do not take indigestion remedies at the same time of day as this medicine.
C. Take with or after food.
Which of the following drugs should be avoided by patient with liver disease as this may increase risk of bone marrow suppression? A. Apomorphine B. Chloramphenicol C. Antacids D. Carbamazepine
B
Pharmacist should counsel pregnant women not to take NSAID’s drugs during the entire period of
pregnancy because:
A. With regular use closure of fetal ductus arteriosus in utero may occur.
B. Risk of neural tube defects may be increased.
C. Placental perfusion may be reduced.
D. Genital malformations and cardiac defects may be developed.
A. With regular use closure of fetal ductus arteriosus in utero may occur.
Which is the most appropriate cautionary and advisory label for Nalidixic? A. Avoid alcoholic drink.
B. May cause drowsiness.
C. Avoid exposure of skin to direct sunlight or sun lamps.
D. Do not stop taking this medicine except on your doctor’s advice.
c
Pharmacist should counsel pregnant women not to take Theophylline during the entire period of pregnancy because:
A. Possibility of premature separation of placenta in first 18 weeks may occur.
B. Neonatal irritability and apnea may develop
C. Congenital anomalies may develop.
D. Neonatal respiration may be depressed.
b
In evaluating the appropriateness of the prescription and medication order, the pharmacist should check the following, except:
A. The patient’s disease or condition requiring treatment.
B. The prescribed route of administration.
C. The biological action of the prescribed product.
D. The auxiliary and cautionary labels
d
In selection of the proper package or container, the pharmacist choose the container that: A. Ensure the product stability B. Comply with legal requirements C. Promote patient compliance D. All of the choices given
d
In order to ensure proper medication use, storage and compliance with applicable statutes, what should be affixed on the label of the drug? A. expiration date of the mediation B. Auxillary and/or cautionary labels C. Quantity of medication dispensed D. Product strength
B. Auxillary and/or cautionary labels
It is a part of patient profile which is necessary to assess the appropriateness of the dose: A. Birth date and weight B. Clinical condition C. Direction for use D. Medication strength
a
In performing therapeutic intervention, the following information should be communicated to the prescriber, except:
A. Brief description of the problem
B. Reference source that documents the problem
C. Description of the clinical significance of the problem
D. Possible physical and chemical incompatibility
D. Possible physical and chemical incompatibility
Detection of drug-related problems requires an assessment of the need for a change in drug therapy. Possible problem includes the following, except: A.Inappropriate compliance B. Dose too low C. Wrong drug D. Undiagnosed condition
d
In dispensing antifungal medication for skin, the patient should be instructed to:
A. Exposure to air whenever possible
B. Use caution with Povidone-iodine in anyone with allergies
C. Keep area covered at all times with cream and sterile dressing
D. Avoid combination of cholinergic medications
A. Exposure to air whenever possible
In dispensing Accutane for acne, which is the most appropriate instruction that should be given to the patient?
A. Avoid multivitamins that contain Vitamin A
B. Keep area covered at all times with cream and sterile dressing
C. Avoid prolong use
D. Discontinue and seek medical aid if irritation occurs
A. Avoid multivitamins that contain Vitamin A
What is the most appropriate patient education for those undergoing ulcer therapies?
A. Avoid Cigarette smoking, this seems to decrease the effectiveness of medicine in the healing of duodenal ulcers
B. Adequate fluid intake and bland diet.
C. Aboid self medication for longer than 48 hours D. Regular exercise to develop muscle tone.
a
It is an example of eutectic substance A. Aspirin B. Camphor C. Citirc acid D. Color formation
C
Which is not a manifestation of chemical incompatibility? A. Evolution of gas B. Immiscibility C. Precipitation D. Color formation
B
The term applied to reaction of organic compounds with water resulting in fragmentation into its component molecule is: A. Ionic hydrolysis B. Molecular hydrolysis C. Simple hydrolysis D. None of the above
B. Molecular hydrolysis
It is classified as one of the human errors in dispensing, which are always physical in nature and are defined as
unintended actions rather than as error in judgment.
A. Slips
B. Lapses
C. Mistakes
D. None of the above
A
It is classified an error in dispensing which is usually either due to inattention or over attention A. Knowledged-basesd error B. Rule-based error C. Medication-based error D. Skill-based error
D. Skill-based error
Which is not an example of slips of human error? A. Fatigue B. Forgetfulness C. Boredom D. Frustration
B
It is classified as one of the human ewrrors in dispensing, which largely refer to failures in memory A. Slips B. Lapses C. Mistakes D. Rule-based error
B
Before dispensing Theophylline prescription, Pharmacist must advise the patient to:
A. Avoid acid foods like orange juice and tomato
B. Take food rich in lipids.
C. Take on an empty stomach with a glass of water
D. Take with foods but avoid foods rich in protein and cabbages.
d
It is classified as an error in dispensing which are usually due to either the misapplication of good rules/ procedures, or application of bad rules/ procedures. A. Knowledge-based error B. Medication-based error C.Rule-based error D. Skill-based error
C
It is an error in judgment, and in most situations, it is made as either a failure of expertise or lack of experience. A. Slips B. Lapses C. Mistakes D. Skill-based error
C
The following drugs should be taken on an empty and with a glass full of water, except: A. Tetracycline . B. Metronidazole C. Rifampicin D. Lincomycin
B
It is the most complex error type which is made within the realm of problem solving and judgment. A. Knowledged-based error B.Medication-based error C.Rule-based error D. Skill based error
A. Knowledged-based error
Situation(s) in which Pharmacists are more likely to make mistakes in dispensing.
A. Excessive reliance on memory and lack of standardisation
B. Inadequate availability of information
C. A only
D. Both A and B
D
The benefits of electronic prescribing and dispensing are the following, except:
A. Rapid information exchange
B. Better clarity and communication of prescription information
C. Amplify fraud risks present in the paper – based process
D. Improved confidentiality and security of health information
C
Common errors in dispensing can result from: A. Unfamiliarity with drug names B. Similar packaging or labeling C. Newly available products D. All of the choices given
D
In the management of chronic conditions, Pharmacist can help by:
A. Demonstrating the value of pharmacy
B. Helping in developing local “shared care” protocols
C. Training for other professionals and careers
D. Developing drugs
B
Computerized patient medication records allow Pharmacist to:
A. Counsel the patient on the appropriate use of medicines
B. Monitor patient compliance
C. Provide health promotion information
D. All of the above
B
The medication dispensing area should be designed to prevent errors by:
A. Providing staffing and other resources appropriate to the workloads
B. Taking action when adverse reactions occur
C. Storing requirements of the medication
D. Providing accurate and usable drug information.
A
45. Duty of Pharmacy assistants in dispensing process, except: A. Record and file the prescription B.Get the payment for the product C. Deliver the drug product D. Give the price of the product
A
In order for the Pharmacist to adhere to the standard dispensing procedures, he/she must not:
A. Verify doubtful prescriptions from the paitent
B. Checked dose limits
C. Checked the potential interaction between any medicine currenlty taken and the drug on the prescription D. Advise the patient on the proper use of the medications.
A
In the dispensing of outpaitent medication, the pharmacist mus not do the following, except: A. review all appropriate information regarding prescription refills
B. Be personally present for supervision
C. None of the above
D. All of the above
D
Which of the following conditions is/ are a consequence of wrongly dispensing Fentanyl with Sufentanil or vice versa?
A. Episodes of respiratory arrest due to potency difference between the two drugs
B. Severe toxicity and death
C. Decline in mental status
D. Cardiovascular complications
A. Episodes of respiratory arrest due to potency difference between the two drugs
Which of the following conditions is/are a consequence of wrongly dispensing Cisplatin with Carboplatin or vice versa?
A. Episodes of respiratory arrest due to potency difference between the two drugs
B. Severe toxicity and death
C. Decline in mental status
D. Cardiovascular complications
B. Severe toxicity and death
Which of the following conditions is/are a consequence of wrongly dispensing Celebrex with Cerebryx or vice versa?
A. Episodes of respiratory arrest due to potency difference betwwen the two drugs
B. Severe toxicity and death
C. Decline in mental status
D. Cardiovascular complications
C. Decline in mental status
According to the FDA, pharmacist can help in fixing the problem of drug name confusion through the following means, except:
A. Verifying with the doctor information that is not clear before filling a prescription
B. Keeping look-alike, sound-alike products separated from one another on pharmacy shelves
C. Avoiding stocking the multiple product sizes together
D. Separate the products of the same packaging
D
According to the FDA, pharmacist can help in fixing the problem of drug name confusion through the following means, except:
A. Verifying with the doctor information that is not clear before filling a prescription
B. Keeping look-alike, sound-alike products separated from one another on pharmacy shelves
C. Avoiding stocking the multiple product sizes together
D. Separate the products of the same packaging
D
What is the most common cause of medication errors?
A. Miscommunication between physicians, pharmacist and nurses
B. Incomplete patient medication information
C. Misunderstood abbreviations
D. Illegible doctor’s writing on the prescriptions
A
It is defined as any preventable event occurring in the medication-use process, including prescribing, transcribing, dispensing, using and monitoring, which results in inappropriate medication use or patient harm. A. Prescribing error B. Medication error C. Dispensing error D. Knowledged-based error
B
An error which occurs when a patient is given a medication other than the one intended by the prescriber. A. Prescribing error B. Medication error C. Dispensing error D. Knowledged-based error
C
A physical incompatibility wherin 2 or more liquids fail to dissolve or mix with one another. A. Insolubility B. Immiscibility C. Precipitation D. Liquefaction
B
Forms of liquefaction where there is lowering of melting point of the substances lower than their individual melting point. A. Eutexia B. Hygroscopy C. Deliquescence D. All of the above
A
A type of drug action which is vanishing and disappearing gradually. A. Evanescent B. Steady C. Cumulative D. All of the above
A
Bulk-forming laxatives are the choice for older adults or laxative-dependent patients. Patients who are using this laxative should be strictly instructed by the pharmacist to
A. Avoid its use longer than one week without medical supervision
B. Discontinue if any signs of diarrhea or abdominal pain occurs.
C. Dissolve the laxative in one full glass of water and followed by another glass of fluid to prevent obstruction
D. Avoid exposure to sunlight
C
The following are instructions necessary to patients who are taking decongestant, except:
A. To be used only for few days to avoid rebound congestion.
B. To be avoided when cardiac and thyroid conditions are present
C. To discontinue when its side effects set in, such as nervousness, tremor, headache, etc.
D. To avoid all estrogen and progestin products.
D
Celeberex is contraindicated for those individuals allergic to which of the following drugs? A. Penicillin B. Aspirin C. Sulfa Drugs D. Quinolones
B
The following are the common causes of medication errors, except: A. Failed communication B. Dose miscalculations C.Lack of the patient education D. All of the choices given
D
A type of incompatibility which occurs when norepinephrine is added to sodium carbonate. A. Physical incompatibility B. Chemical incompatibility C. Therapeutic incompatibility D. All of the choices given
A
Incompatibility problems are common in mixtures containing; A. Mannitol C. Bicarbonate C. Nutritional solutions D. All of the choices given
D
Which of the following drugs must be protected from light during administration to maintain their stability?
A. Na nitroprusside and Amphotericin B
B. Gentamicin and Heparin
C. Penicillin and Chloramphenicol D. Erythromycin and Penicillin
A
A patient is carrying prescription of Ampicillin, which of the following advises can the Pharmacist give to the patients upon dispensing?
A. Take with food
B. Do not take with food
C. Avoid foods rich in proteins
D. Taken on an empty stomach with a glass of water and avoid acid foods
D
Factors commonly associated with chemical incompatibility for I.V. admixtures except: A. Drug concentration B. pH of the solution C. Color change D. Temperature and light
C
The incompatibility which occurs between Chloramphenicol and Penicillin.
A. Chloramphenicol potentiates the effect of Penicillin
B. Chloramphenicol antagonizes the Penicillin’s antibacterial action
C. Penicillin inhibits Chloramphenicol antibacterial action
D. Synergistic effect of Penicillin with Chloramphenicol
B. Chloramphenicol antagonizes the Penicillin’s antibacterial action
The following factors can affect the compatibility of an I.V. drug or solution, except: A. Light B. Pressure C. Contact time D. Temperature
B. Pressure
Incompatibbility which occurs when Heparin solution is mixed with an intermittent Aminoglycosides infusion is manifested with the following, except: A. Precipitation B. Color change C. Gas bubbles D. Cloudiness
D
An incompatibility observed when Amiodarone HCl 12.5 mg /mL is mixed with Clavulanic acid 10 mg/mL.
A. Immediate lactescence (milky appearance)
B. Immediate yellow coloring
C. Initial heavy orange turbidity becoming red-orange liquid with red precipitate
D. Immediate Opalescence
A. Immediate lactescence (milky appearance)
An incompatibility observed when Rifampicin 6mg/mL is mixed with Tramadol 8.33 mg/mL
A. Immediate lactescence (milky appearance)
B. Immediate yellow coloring
C. Initial heavy orange turbidity becoming red-orange liquid with red precipitate
D. Immediate Opalescence
C
An incompatibility observed when Pantopropazole 8mg/mL is mixed with Midazolam 0.1 mg/mL
A. Immediate lactescence (milky appearance)
B. Immediate yellow coloring
C. Initial heavy orange turbidity becoming red-orange liquid with red precipitate
D. Immediate Opalescence
B
All of the following instruction must be given by the pharmacist to the patients who are going to take digitalis, except:
A. Avoid abrupt withdrawal after prolonged use; must be reduced gradually under physician supervision.
B. Avoid all OTC medications, especially antacids and cold remedies.
C. Avoid changing with other brand or dosage form for it may act differently
D. Rise slowly from reclining position
D
Patient education for inhaled corticosteroid treatment would include all of the following except: A. Rinse equipment after use
B. Use of bronchodilator
C. Expect dry mouth
D. Rinse mouth after
B
Patients who are going to take antihistamines must be advised by the Pharmacist to avoid its use for a longer period of time because:
A. It can increase bronchial or nasal congestion and dry cough.
B. It can cause nervousness, tremors, dizziness and conclusion C. It can increase blood pressure
D. It can increase blood sugar
A
The following are effects of food on drugs, except: A. Change drugs absorption B. Neutralize drug effects C. Interact with drugs D. Influence their absorption
D
Patients who are using oral contraceptives should be informed by the Pharamcist that its frequent use can result in a deficiency of which vitamin B? A. Vitamin B5 B. Vitamin B1 C. Vitamin B6 D. Vitamin B12
C
Which of the following advises can you give to the patients on Griseofulvin therapy?
A. Take with foods rich in lipids
B. Avoid food rich in proteins and cabbages C. Avoid foods rich in vitamin K
D. Avoid acid foods
A
Vitamins are considered drugs if/when; A. They are prescribed
B. They are recommended
C. They are used for pharmacological effects
D. Vitamins are not drugs, they are nutrients
C
Large intake of this vitamin can cause CNS malformations, cleft palate and other severe fetal defects. Which of the following vitamins should not be taken by pregnant women due to its severe fetal defects? A. Vitamin A B. Vitamin B C. Vitamin E D. Vitamin D
A
Zinc taken during pregnancy can cause: A. Premature deliveries B. Stillbirths C. Liver damage D. Both A and B
D
Benefits derived from good physician-patient interaction, except;
A. Patient’s compliance with therapy
B. Patient’s have more trust in their caregiver
C. reduced resistance to therapy and management
D. Increase patient’s self-medication
D
When the pharmacist is faced with a prescription they are not familiar with, they may read it as something they are familiar with and this called A. Drug confusion B. Confirmation bias C. Lapses D. Wrong dispensing
B
Medication errors due to failed communication, except;
A. Poor handwriting
B. Mispronunciation of a medication is not the same.
C. Doses normally used with the medication are not the same.
D. hastily written prescription
C
The following are the benefits of electronic dispensing, except:
A. Boost fraud risks present in the paper-based process.
B. Improved confidentiality and security of helath information
C. Better clarity and communication of prescription information
D. More time for consumers with health professionals due to less paperwork.
A
Based on 2005 survey, the most frequent error(s) in dispensing inappropriate dose is /are: A. No actual problem B. Lack of knowledge of the drug C. Poor communication D. All of the above
B
Most common types of medication error in community setting, except: A. Incorrect dose B. Quantity not specified C. Substitution D. Dose not specified
C
An error committed when a person begins to lose focus. A. Skill-based error B. Knowledge-based error C. Rule-based error D. Lapses
A
- the most appropriate cautionary and advisory label for Diclofenac sodium.
A. Taken with or after food
B. Taken an hour before food or an empty stomach
C. Dissolved under the tongue
D. This medicine may color the urine.
A
Pregnant woman should be advised not to take ACE inhibitors due to its adverse effect(s) which include(s): A. Possible skull defects B. Oligohydramnios C. Both A and B D. Impaired platelet function
C. Both A and B
Reconstituted Acyclovir sodium has a pH of 11, this can destabilize drugs such as \_\_\_\_\_\_ which oxidize rapidly at high pH. Which among the drugs can be destabilized when mixed with Acyclovir? A. Epinephrine and Norepinephrine B. Epinephrine and Dopamine C. Acetycholine and Norepinephrine D. Acetycholine and Dopamine
B
Acyclovir when mixed with HCl salts of amine containing drugs, like Diltiazem HCl, Meperidine HCl, etc., will
show an incompatibility will be produced?
A. Color change
B. Evolution of gas
C. Insolubility
D. Precipitation
D
The following are drugs which should not be mixed with drug containing surfactants because it may produce precipitation and cloudiness, except: A. Benzyl alcohol B. Ciprofloxacin C. Gentamicin D. Penicillin
B
Which of the following advises can the Pharmacist give to patients on Hydrochlorothiazide therapy?
A. Take with or without food, but always on the same condition.
B. Avoid foods rich in Vitamin K.
C. Not take after 18 o’ clock so that it doesn’t interfere with the sleep.
D. Take with food rich in lipids.
C
