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Community Pharmacy (PTN) Drug Lists > Final Exam - Labs > Flashcards

Final Exam - Labs Flashcards

1
Q

What can we recommend to a patient that is concerned about getting an accurate BP reading?

A
  • Sitting for 5 min and resting before checking
  • Take BP reading at the same time every day
  • Don’t chat with others
  • Arm at rest, palm upwards
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2
Q

Knowing our general categories of hypertension medication, Nifedipine is a ________.

A

CCB

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3
Q

According to the blood pressure video, recent national guidelines recommend self-measured blood pressure monitoring and then sharing these results with your healthcare provider team.

A

TRUE

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4
Q

According to the blood pressure video, it is helpful to remind our patients to bring their home blood pressure machine to all of their appointments.

A

TRUE

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5
Q

According to the American Heart Association chart of blood pressure categories, we could expect to see a diastolic number around ________ during a hypertensive crisis?

A

124

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6
Q

Which type of insulin reaches the bloodstream in about 30 minutes after injection, peaks in 2-3 hours, and is effective for 3-6 hours?

A

Regular (Short-Acting)

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7
Q

If a patient opts for a vial insulin delivery system, what products will they need to successfully deliver their insulin?

A

Swabs, Syringes, Sharps Container, Needle Tips

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8
Q

Which type of Diabetes will always require insulin?

A

Type 1

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9
Q

What type of insulin is Toujeo?

A

Ultra Long-Acting

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10
Q

Insulin are all Schedule I, prescription-only medication.

A

FALSE

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11
Q

Where is the least painful (and most recommended) area of the body to test blood sugar?

A

The outside of the fingertips

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12
Q

Lancets are interchangeable and can be used with any lancing device/brand.

A

FALSE

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13
Q

What does a glucometer test?

A

The approximate concentration of glucose in the blood

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14
Q

Best practice is to use alcohol swabs before lancing (piercing) the dermis of the skin to obtain a blood sample.

A

FALSE

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15
Q

If a patient is managing their diabetes with anti-diabetes medication and is at low risk of causing hypoglycemia, how many test strips will Ontario Drug Benefit (ODB) reimburse per year?

A

200

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16
Q

What should a patient do if they experience symptoms of hypoglycemia?

A

Eat or drink a fast-acting carb

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17
Q

Which of the following would be considered symptoms of hypoglycemia?

A

Hunger, Pale, Sweating

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18
Q

Best practice is to start with the highest depth setting on a lancing device to ensure that we obtain a significant amount of blood to apply to a glucometer test strip.

A

FALSE

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19
Q

“The body overreacts to allergy triggers and releases chemicals to protect itself, which in severe cases can result in life-threatening symptoms” is the definition of:

A

Anaphylactic Shock

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20
Q

According to the EpiPen.ca website, what medications are the most common causes of medication-related allergic reaction?

A

Local anesthetics, Sulfa antibiotics, Aspirin and NSAIDs

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21
Q

EpiPens are a Schedule I, prescription-only medication.

A

FALSE

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22
Q

According to the EpiPen.ca website, what are some severe allergy triggers that may result in anaphylaxis?

A

Insect Stings, Exercise, Medication, Latex, Food, Unknown

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23
Q

According to the EpiPen.ca website, exercise-induced anaphylaxis is also linked to:

A

NSAIDS

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24
Q

As an important demonstration start-up, we should always ensure that we are dispensing an EpiPen with a short expiry date.

A

FALSE

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25
Q

According to the EpiPen.ca website, when should an individual inject an EpiPen?

A

At the first sign/symptom of a severe allergic response to a known or suspected allergen

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26
Q

According to the EpiPen.ca website, what foods are the most common food allergens in Canada?

A

Peanuts, Eggs, Milk, Mustard, Soy

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27
Q

Whenever an EpiPen is used, it is best practice that we instruct our patients to call 911.

A

TRUE

28
Q

Each foil strip within a diskus inhaler contains how many doses?

A

60

29
Q

When beginning a demonstration for an inhalation device it is very important to ask the patient:

A

Have you used an inhaler before?

30
Q

Match the following colour of Aerochamber to the applicable age category:

A

Infant: Orange, Child: Yellow, Adult: Blue

31
Q

Which of the following statements regarding turbuhalers/diskus devices are TRUE?

A

Patients should rinse their mouth out after each use if the product contains a corticosteroid

32
Q

Aerochambers and other spacers:

A

Can be used on animals, are for young children, enable slow delivery of meds

33
Q

A second dose of medication can be self-administered right away (without waiting) when using MDI inhalation devices.

A

FALSE

34
Q

Which of the following is a leading cause of misuse by patients with respect to inhalation devices?

A

Forgetting to take off the cap

35
Q

Which of the following is NOT a dry-powder inhalation device?

A

MDI

36
Q

During the demonstration video on How to Use a Metered Dose Inhaler, the steps for successful inhalation are shown.

A
  1. Remove Cap
  2. Shake inhaler
  3. Breathe Out
  4. Seal lips around mouthpiece
  5. Start to breathe in slowly
37
Q

Patients should be instructed to actuate 2 or more doses into an Aerochamber and then continue to breath in those doses over a prolonged period of time (as long as it takes to inhale the contents of the chamber).

A

FALSE

38
Q

If there are still doses left inside of a Spiriva Respimat, should the patient continue to use up what is left before obtaining a refill?

A

If the device is now beyond the 3 month expiry date, the patient would need to get a new one from the pharmacy (refill).

39
Q

According to the Warnings and Precautions within the Canadian Monograph of Spiriva Respimat, which of the following should we bring to the attention of our patients just starting out on this medication?

A

Sensitivity to atropine, urinary retention issues, glaucoma

40
Q

A Spiriva Respimat is a Schedule I, prescription-only medication.

A

TRUE

41
Q

Should Spiriva Respimat be used as a first-line treatment (or “monotherapy”) for asthma?

A

No, Spiriva Respimat should not be used as a first-line treatment/monotherapy for asthma.

42
Q

How much active ingredient is delivered in each inhalation/actuation of a Spiriva Respimat?

A

There is 2.5mcg of medication delivered with each inhalation.

43
Q

What is the acronym associated with the Spiriva Respimat to help our patients remember the steps to use this device correctly?

A

TOP

44
Q

Using the Canadian Monograph of Spiriva Respimat, determine whether or not this medication has been deemed both safe and effective for patients under the age of 18.

A

Safety and efficacy of Spiriva Respimat in patients less than 18 years of age have not been established.

45
Q

Can a “spacer” be used with a Respimat in order to assist those who do not have adequate breath control?

A

Unfortunately no, a spacer is only able to be used with MDIs.

46
Q

Your training inhalation device has 120 doses, but this is not the same as how many doses are inside an actual Spiriva Respimat inhaler. Use your literature to determine how many doses are inside an actual Spiriva Respimat inhaler.

A

60 doses

47
Q

No matter the demonstration, the best method to ensure that your patient understands how to use the device is to:

A

Teach Back

48
Q

Working to our full scope of practice (i.e. taking verbal prescription orders) allows our pharmacist ‘counterparts’ to also practice to their full scope of practice.

A

True

49
Q

When considering the legal requirements of a verbal prescription, what must we always include?

A

RPhT signature

50
Q

When transcribing a prescription for a pediatric patient, we should try and remember to always ask for:

A

Weight

51
Q

Physicians must not attempt to influence the patient’s choice of pharmacy unless doing so is in the patient’s best interest and does not create a conflict of interest for the physician.

A

TRUE

52
Q

Physicians must ensure that written prescriptions are legible.

A

True

53
Q

Which of the following is INCORRECT with respect to considerations made before prescribing?

A

Consent is implied when the patient books the appointment

54
Q

Why is it important to ask about the classification (Pr, C, T/C, N) of a medication when taking a verbal order from a prescriber?

A

To avoid wasting time, to ensure we keep within our scope of practice

55
Q

According to our guide on taking a verbal prescription, which of the following would be considered a “leading question”?

A

Asking if the patient has been to our pharmacy before

56
Q

Verbal orders are a protected act

A

TRUE

57
Q

Registered Pharmacy Technicians are NOT able to take verbal orders for the following prescription classifications:

A

N, T/C, C

58
Q

Using the chart provided by NAPRA on the scope of practice of a Registered Pharmacy Technician in Canada, which jurisdiction currently does not allow RPhTs to be the transferring member for a prescription?

A

Manitoba

59
Q

During our class on Verbal Prescription Orders, Lyona played a scenario video which simulated a call from a prescriber. What mistake did she make?

A

Drug strength

60
Q

Where do we complete BPMHs?

A

Ambulatory clinics, Home care, Hospital admission, Long-term care, Community pharmacy, Transitions in care

61
Q

As part of our Med Rec/BPMH with a patient, Shirley indicated that we should always remember to ask about Cannabis use, but it can be a tricky discussion to have.

Which of the following question ‘styles’ is both professional andtends to illicit a more truthful response?

A

“Can you tell me about your cannabis intake?”

62
Q

Shirley instructed us that when it comes to asking our patients information-gathering questions during Med Rec/BPMH, the best way to phrase our questions would be:

A

“Tell me how you take this medication.”

63
Q

After the interactive case study, Shirley highlighted an important component to remember when compiling the patient details during a BPMH:

A

If an allergy is indicated, we should always ask what reaction the patient has experienced when they have used that particular product

64
Q

Shirley indicated when performing a transition-in-care Med Rech/BPMH that involves discharge paperwork (particularly in the hospital setting) we should always be cautious of:

A

Auto-sub medications

65
Q

Shirley introduced you to Connecting Ontario, which is a tool that captures all prescriptions filled for ODB-covered medications.

The only drawback of this tool is that it does not include frequency/directions of each medication, requiring extra calculations (and investigation) by the pharmacy team when using Connecting Ontario for Med Rec/BPMH.

A

TRUE

66
Q

Shirley discussed some helpful tips with respect to dose considerations when completing a BPMH.

Which of the following is correct?

A

For partial tablets, always record the amount taken in mg (milligrams)

Community Pharmacy (PTN) Drug Lists (15 decks)

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