Herbal Supplements Flashcards

1
Q

What is melatonin commonly used for?

a. Depression
b. Insomnia
c. Hypertension
d. Hyperlipidemia

A

Insomnia

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2
Q

St. John’s Wort is an herbal supplement typically used to treat:

a. Depression
b. Anemia
c. Osteoporosis
d. Gestational diabetes

A

Depression

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3
Q

Which supplement is typically prescribed to pregnant women because it prevents neural tube defects in the fetus?

a. Thiamine
b. Folic acid
c. Phytonadione
d. Thalomid

A

Folic Acid

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4
Q

Saw palmetto can be used for:

a. Anemia
b. Prostate health
c. Menopause symptoms
d. Depression

A

Prostate health

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5
Q

Dark black stools are a side-effect of:

a. Lamotrigine
b. Sumatriptan
c. Ferrous sulfate
d. Digoxin

A

Ferrous sulfate

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6
Q

Which agent(s) is/are often dosed one per week? (check all that apply)

a. Atorvastatin
b. Enoxaparin
c. Alendronate
d. Ergocalciferol

A

Alendronate and Ergocalciferol

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7
Q

LASA is abbreviation for:

a. Look-alike / sound-alike
b. Long-acting / sustained-action
c. Long-acting aspirin
d. Long and short-acting drugs

A

Look-alike / sound-alike

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8
Q

High-alert medications are:

a. Medications that look similar making them easily confused
b. Medications dosed above 500mg per dose
c. Medications that have a high potential to cause harm if used incorrectly
d. Expensive medications

A

Medications that have a high potential to cause harm if used incorrectly

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9
Q

Which organizations help classify LASA and high-risk/high-alert medications? (Check all that apply)

a. DEA
b. FDA
c. EPA
d. ISMP

A

FDA and
ISMP

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10
Q

Which statement(s) (is/are) true of look-alike/sound-alike drugs? (check all that apply)

a. Their names can have a similar appearance when written or printed
b. Their names can sound similar
c. They have mix-ups that occur at a higher rate compared to other medications
d. They are likely to cause significant patient harm if an error occurs

A

Their names can have a similar appearance when written or printed

Their names can sound similar

They have mix-ups that occur at a higher rate compared to other medications

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11
Q

High-risk / high-alert medications:

a. Can cause significant patient harm if used incorrectly
b. Are more likely than average to be mixed up
c. Very expensive
d. Are considered to be specialty medications

A

Can cause significant patient harm if used incorrectly

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12
Q

According to ISMP, which medication found in a community pharmacy is most likely to cause significant patient harm if an error is made?

a. Glimepiride
b. Genvoya
c. Gabapentin
d. Gentamicin

A

Glimepiride

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13
Q

According to ISMP, which pair of medications is most likely to be confused with each other?

a. Abacavir and atazanavir
b. Bupropion and buspirone
c. Sevelamer and sertraline
d. Glimepiride and gabapentin

A

Bupropion and buspirone

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14
Q

According to ISMP, which pair of medications is most likely to be confused with each other?

a. Symbicort and Spiriva
b. Hydroxyzine and hydralazine
c. Eliquis and Elidel
d. Omeprazole and fluconazole

A

Hydroxyzine and hydralazine

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15
Q

Which of these medications is considered to be a high-alert medication?

a. Hydrochlorothiazide
b. Hydroxyzine
c. Hydrocortisone
d. Hydrocodone

A

Hydrocodone

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16
Q

Which of these is an example of an external report?

a. A report by your pharmacy manager listing drug inventory that is currently outside of its expiration
b. A vaccine administration report sent to the CDC
c. A report listing prescription requests that were left after the pharmacy was closed
d. An hourly prescription dispensing report to be used when doing the pharmacy staff schedule

A

A vaccine administration report sent to the CDC

17
Q

A prescription was wrongly filled hydralazine 50mg tablets instead of hydroxyzine 50mg tablets because the stock bottles had a similar design. The error was caught by the pharmacist at final verification. The prescription was corrected before being dispensed to the patient. How should this error be reported?

a. This error does not need to be reported since it was only a near-miss and did not reach the patient
b. It should be reported to MedWatch
c. It should be reported to the CDC
d. It should be reported to the DEA

A

It should be reported to MedWatch

18
Q

What is a “near-miss” medication error?

a. An error that was caught before the prescription was dispensed to the patient
b. An error with a look-alike/sound-alike drug
c. An error with an injectable medication
d. A therapeutic duplication error

A

An error that was caught before the prescription was dispensed to the patient

19
Q

What is the purpose of a root-cause analysis?

a. To determine if an error was a near-miss
b. To find the individual responsible for the error
c. It is the last step before an internal report can be submitted
d. To find out the reason behind a mistake and prevent similar mistakes from occurring in the future

A

To find out the reason behind a mistake and prevent similar mistakes from occurring in the future

20
Q

An investigation to find the reason why an error occurred is also called a(n)

a. Root-cause analysis (RCA)
b. Drug utilization review (DUR)
c. Risk evaluation and mitigation strategies (REMS)
d. Adverse drug reaction (ADR)

A

Root-cause analysis (RCA)

21
Q

Four hours after receiving her first dose of a shingles vaccine, a patient called the pharmacy and complained of swelling in the arm that received the injection and a whole-body rash. Where should the pharmacist report the reaction?

a. iPLEDGE
b. REMS
c. VAERS
d. The reaction does not need to be reported because it occurred on the first dose of the series.

A

VAERS

22
Q

Which event should be reported to VAERS?

a. Errors due to improper vaccine storage
b. Errors due to improper vaccine administration
c. Adverse/allergic reaction from a vaccine
d. All of the above

A

All of the above

23
Q

VAERS is jointly managed by which federal agencies

a. FDA and DEA
b. FDA and CDC
c. CDC and DEA
d. EPA and CDC

A

FDA and CDC

24
Q

Which of these is NOT a situation in which product integrity was compromised?

a. A bottle of metoprolol tartrate was accidentally locked overnight in the CII safe
b. A box of Trulicity was left out on the filling counter overnight
c. A box of NovoLog was placed in the freezer for 1 hour
d. A vial of Shingrix vaccine was left out on the counter for 6 hours

A

A bottle of metoprolol tartrate was accidentally locked overnight in the CII safe

25
Q

When the pharmacy order was being put away, a vial of flu vaccine was placed on the pharmacy’s fast moving section instead of the refrigerator. The unopened vial was found the next morning and sent to a reverse distributor for destruction. Where should the error be reported?

a. Internally
b. MedWatch
c. VAERS
d. DEA

A

Internally

26
Q

How much Urea powder is needed to make ½ pound of Urea 40% cream?

a. 90.8g
b. 181.6g
c. 68.6g
d. 137.2g

A

90.8g

27
Q

How much clobetasol powder is needed to compound 3 ounces of clobetasol propionate 0.05% ointment?

a. 0.045g
b. 4.5g
c. 0.15g
d. 0.0015g

A

0.045g

28
Q

Mupirocin 2% ointment is available in 22-gram tubes. How much mupirocin powder is needed to make two tubes?

a. 0.88g
b. 0.44g
c. 0.22g
d. 1.10g

A

0.88g

29
Q

How much ketoconazole is contained within a 90 gram tube of ketoconazole 2% cream?

a. 1.8g
b. 5.4g
c. 0.54g
d. 2.2g

A

1.8g

30
Q

How much sodium chloride is needed to prepare 1.25L of 0.9% irrigation solution?

a. 11.25g
b. 1,125mg
c. 112.5mg
d. 112.5g

A

112.5mg

31
Q

Which of the following is most likely to cause patient harm if used improperly?

a. Methotrexate
b. Methazolamide
c. Metformin
d. Metolazone

A

Methotrexate