Herbal Supplements Flashcards
What is melatonin commonly used for?
a. Depression
b. Insomnia
c. Hypertension
d. Hyperlipidemia
Insomnia
St. John’s Wort is an herbal supplement typically used to treat:
a. Depression
b. Anemia
c. Osteoporosis
d. Gestational diabetes
Depression
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
Folic Acid
Saw palmetto can be used for:
a. Anemia
b. Prostate health
c. Menopause symptoms
d. Depression
Prostate health
Dark black stools are a side-effect of:
a. Lamotrigine
b. Sumatriptan
c. Ferrous sulfate
d. Digoxin
Ferrous sulfate
Which agent(s) is/are often dosed one per week? (check all that apply)
a. Atorvastatin
b. Enoxaparin
c. Alendronate
d. Ergocalciferol
Alendronate and Ergocalciferol
LASA is abbreviation for:
a. Look-alike / sound-alike
b. Long-acting / sustained-action
c. Long-acting aspirin
d. Long and short-acting drugs
Look-alike / sound-alike
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
Medications that have a high potential to cause harm if used incorrectly
Which organizations help classify LASA and high-risk/high-alert medications? (Check all that apply)
a. DEA
b. FDA
c. EPA
d. ISMP
FDA and
ISMP
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
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
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
Can cause significant patient harm if used incorrectly
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
Glimepiride
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
Bupropion and buspirone
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
Hydroxyzine and hydralazine
Which of these medications is considered to be a high-alert medication?
a. Hydrochlorothiazide
b. Hydroxyzine
c. Hydrocortisone
d. Hydrocodone
Hydrocodone
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 vaccine administration report sent to the CDC
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
It should be reported to MedWatch
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
An error that was caught before the prescription was dispensed to the patient
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
To find out the reason behind a mistake and prevent similar mistakes from occurring in the future
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)
Root-cause analysis (RCA)
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.
VAERS
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
All of the above
VAERS is jointly managed by which federal agencies
a. FDA and DEA
b. FDA and CDC
c. CDC and DEA
d. EPA and CDC
FDA and CDC
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 bottle of metoprolol tartrate was accidentally locked overnight in the CII safe
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
Internally
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
90.8g
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
0.045g
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
0.88g
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
1.8g
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
112.5mg
Which of the following is most likely to cause patient harm if used improperly?
a. Methotrexate
b. Methazolamide
c. Metformin
d. Metolazone
Methotrexate
