Module 3: Hospital Pharmacy Flashcards
Which of the following is NOT included in the treatment algorithm for allergic rhinitis?
A. Implement appropriate environmental controls.
B. Consider Cromolyn if with sneezing, itching and rhinorrhea.
C. Administer intranasal steroids if with sneezing, itching, rhinorrhea, and nasal congestion.
D. Give intranasal anticholinergics if with sneezing and ocular symptoms.
E. If symptoms still not controlled, consider Montelukast.
Give intranasal anticholinergics if with sneezing and ocular symptoms
Clinical presentation of Acute Renal Failure includes:
A. Edema
B. Orthostatic Hypotension
C. Foamy urine
D. A, B, C
E. A and B
A, B, C
Nail and nail beds are evaluated for which of the following?
A. Clubbing
B. Cyanosis
C. Trauma
D. All of these
E. None of these
All of these
Why is the Rinne Test performed?
A. To assess equilibrium.
B. To hearing acuity of high-frequency sounds.
C. To evaluate hearing in a person who hears better in one ear than in the other.
D. To compare air and bone conduction.
E. All of these
D. To compare air and bone conduction
Blistering of the skin due to second-degree burns is an example of a:
A. Excoriation
B. Lichenification
C. Millium
D. Nevus
E. Bulla
Bulla
Method of assessing the sinuses:
A. Inspection
B. Percussion
C. Transillumination
D. Expression
E. Auscultation
Transillumination
Which body position allows longer retention times for enemas?
A. Lithotomy
B. Supine
C. Sitting
D. Erect
E. Prone
Supine
Grade for hepatic encephalopathy with experience of drowsiness and grossly impaired calculation ability.
A. Grade 0
B. Grade 1
C. Grade 2
D. Grade 3
E. Grade 4
Grade 2
The following are factors that may exacerbate established chronic renal failure, EXCEPT:
A. Hypotension
B. Prostatic hypertrophy
C. Increased renal blood flow
D. Nephrotoxins
E. Hypertension
Increased renal blood flow
Another term for nearsightedness:
A. astigmatism
B. hyperopia
C. exophthalmos
D. Presbyopia
E. Myopia
Myopia
Which of the following may cause “hairy tongue”?
A. Hypercholesterolemia
B. Antibiotic therapy
C. Measles
D. Liver disease
E. Aging
Antibiotic therapy
Which strategy may be advised to a patient who considers Beta blockers unpleasant to take?
A. Change the dosage regimen.
B. Consider verapamil.
C. Encourage patient to use regularly.
D. A and B
E. All of these
All of these
Which of the following is NOT TRUE regarding Captopril?
A. Taken once daily.
B. First-dose hypotension may occur
C. May worsen renal failure
D. Cough and taste disturbance may occur
E. Hyperkalemia may be expected
Taken once daily
The following drugs may increase anticoagulant effect, EXCEPT:
A. Ketoconazole
B. Estrogen
C. Gemfibrozil
D. Erythromycin
E. Zafirlukast
Estrogen
Drug-induced bronchospasm due to reflex bronchoconstriction:
A. Pilocarpine
B. Aspirin
C. Lactose dry powder
D. Direct percussion
E. Timolol
Lactose dry powder
Physical assessment technique of creating a note by tapping a finger placed on the body:
A. Palpation
B. Auscultation
C. Ballotement
D. Direct percussion
E. Indirect percussion
Indirect percussion
Koilonychia is due to deficiency of ___________?
A. Iron
B. Vitamin B12
C. Calcium
D. Water
E. Vitamin C
Iron
Example of a Scale skin lesion:
A, Hives
B. Dandruff
C. Measles rash
D. Mouth sore
E. Wart
Dandruff
Which benzodiazepine is LEAST to be used among elderly patients?
A. Diazepam
B. Oxazepam
C. Alprazolam
D. Lorazepam
E. Clonazepam
Diazepam
First-line treatment for Myoclonic seizures:
A. Phenobarbital
B. Acetazolamide
C. Phenytoin
D. Valproate
E. Topiramate
Valproate
A patient is diagnosed with parkinsonian syndrome if patient has bradykinesia, plus one or more of the following:
A. Classic rest tremor
B. Muscular rigidity
C. Postural instability
D. B and C
E. A, B, and C
A, B, and C
These are orders for in-patients in hospitals and other institutions written by physicians on forms:
A. Physician’s Order Sheet
B. Prescription
C. Medication Order
D. Recipe
E. Patient’s Chart
Medication Order
The following are types of information under social/ economic database, EXCEPT:
A. Daily activities
B. Ethnic background
C. Living arrangement
D. Sexual history
E. A and D
A and D
“Health is a state of complete physical, mental, and social well-being and not merely the absence of disease or infirmity.” This condition is according to which model?
A. Environmental model
B. Wellness model
C. World Health Organization model
D. Medical model
E. All of these
World Health Organization model
Patients of psychiatric conditions usually stay in which type of hospital?
A. Non-governmental
B. General
C. Long-term
D. 400-499 bed-capacity
E. Short-term
Long-term
Which function of the hospital is geared towards the improvement of hospital services and advancement of medical knowledge against disease?
A. Research
B. Wellness
C. Education
D. Patient care
E. Expansion
Research
Type of questioning: “What medication do you take for a headache?”
A. Direct Questioning
B. Indirect Questioning
C. Probing
D. Open-ended
E. Close-ended
Direct Questioning`
“Spell WORLD backwards” is an example of a test for what area of mental state?
A. Orientation
B. Attention
C. Recall
D. Registration
E. Language
Attention
Which information is under the Demographic database?
A. Patient Identification Number
B. Physician and prescribers
C. Occupation
D. Personality type
E. Ethnic background
Occupation
Volunteer service belongs to which department in the hospital?
A. Pharmacy service
B. Medical Library
C. Business office
D. Medical Social Service
E. Administrative
Medical Social Service
When using the standardized outline approach, which of the following is NOT followed when writing Progress Notes?
A. Subjective data
B. Objective data
C. Recommendation
D. Impression
E. None of these
None of these
The question “Are agents available in commercial formulation?” represents which request classification for drug information?
A. Adverse Drug Reaction
B. Availability
C. Compounding/ Formulation
D. Identification
E. Compatibility/ Stability
Compounding/Formulation
When looking for information regarding method of administration, which of the following drug information sources may be the most useful?
A. Drug Facts and Comparisons
B. RPS
C. Goodman and Gilman’s Pharmacological Basis of Therapeutics
D. Martindale: The Complete Drug Reference
E. USP DI
Drug Facts and Comparisons
If the answer to the question “Do you cough up blood?” is negative, which of the following is to be noted that the patient denied of?
A. Paroxysmal nocturnal dyspnea
B. Hemoptysis
C. Shortness of breath
D. Exertional SOB
E. Rales
Hemoptysis
This is an important tool for assuring the quality of drug use and controlling its cost in an institution such as the hospital.
A. Essential drug list
B. Formulary system
C. Formulary
D. P&T Committee
E. Core list
Formulary system
A facility where ambulatory patients are seen for appointments and treated by a group of physicians practicing together.
A. Long-term health care facility
B. Clinic
C. Hospital
D. County hospital
E. Resident treatment facility
Clinic
Which of the following belongs to the business management or administrative side of the hospital?
A. Medical Records
B. Medical Library
C. Biomedical Engineering
D. Pharmacy Service
E. Dietary and Nutrition Service
Biomedical Engineering
Which of the following statements regarding questioning strategies for the pharmacist-patient encounter is CORRECT?
A. Probing questions are assertive and aggressive.
B. Precise information may be obtained using the close-ended questions.
C. Open-ended questions are for narrow-focused answers.
D. Direct questions encourages patient to elaborate.
E. All except A
Precise information may be obtained using the close-ended questions.
Which of the following body areas is last in the sequence followed for physical examination?
A. HEENT
B. Genitals
C. Rectum
D. Neurogical System
E. Lower extremities
Neurological System
The USP contains nomograms for estimating body surface area (BSA) for both children and adults. Which of the following measurements must be known in order to use the nomogram?
A. Age and height
B. Age and weight
C. Height and creatinine clearance
D. Height and weight
E. Weight and sex
Height and weight
Which of the following is a comprehensive, unbiased source of current information on drugs often used as hospital nursing stations, and serves as a basis for pharmacists to extend their role as pharmaceutical consultants to the medical profession?
A. Minimum Standard for Pharmacies in Hospitals
B. Mirror to Hospital Pharmacy
C. International Pharmaceutical Abstracts
D. American Journal of Health-System Pharmacy
E. Drug Information
Drug information
Which class of stock system consists of a predetermined list of medications that are usually used in large quantities and are prepackaged in standardized containers?
A. Unit-dose system
B. Charge floor stock
C. Free floor stock
D. Inpatient prescription system
E. Coordinated control system
Free floor stock
Aside from Policy Development, what is the other primary purpose of the P & T committee?
A. Operation
B. Organization
C. Community Health
D. Education
E. Drug Administration
Education
Water for injection is an example of drugs dispensed in which type of stock system?
A. Unit dose system
B. Charge floor stock
C. Free floor stock
D. Inpatient prescription system
E. Coordinated control system
Free floor stock
Which of the following drug information may not be found in Physician’s Desk Reference?
A. Lactation
B. Drug of choice
C. ADR
D. Dosage
E. Product availability
Drug of choice
Which of the following journals cover medical news and original articles?
A. Drug Information Journal
B. Archives of Internal Medicine
C. New England Journal of Medicine
D. Medical Letter
E. Annals of Pharmacotherapy
Medical Letter
Which of the following describes a medium intensity of feeling, which can be used in a medical interview?
A. Marvelous
B. Upset
C. Distraught
D. Blue
E. Gloomy
Gloomy
The following statements regarding arterial blood gases are true, EXCEPT:
A. Alveolar hyperventilation if PaCo2 <4.5 kPaB.
Oxygen saturation is measured by pulse oximetry
C. Alveolar ventilation may regulate PaCO2
D. Low PaCO2 implies alveolar hypoventilation.
E. Arterial oxygen tension < 12 kPa may indicate hypoxaemia
Low PaCO2 implies alveolar hypoventilation.
Which term refers to a decreased number of cell types is synonymous with aplastic anemia?
A. Microcytic
B. Pancytopenia
C. Aplastic
D. Thrombocytopenia
E. Neutrophilia
Pancytopenia
Which of the following is an invasive test or procedure?
A. Insertion of a central venous catheter
B. Taking of chest x-ray films
C. Collection of spontaneously voided urine
D. Comparative measurements of body parts
E. All except B
Insertion of a central venous catheter
Which one of the following uses high frequency sound waves imperceptible to the human ear to create images of organs?
A. Standard Radiography
B. Echocardiography
C. Echography
D. Echocardiogram
E. Radionuclide studies
Echography
Sexual history is under what patient information type/ section?
A. Demographic
B. Medical
C. Social
D. Behavioral
E. Administrative
Behavioral
Assessment of pancreatic function may be determined by the following, EXCEPT:
A. Glucose
B. Amylase
C. Thyroxine
D. Insulin
E. None of these
Thyroxine
Mini-mental status exam (MMSE) is an example of what data type?
A. Subjective
B. Objective
C. Assessment
D. Plan
E. Either A or B
Objective
Which one of the following is useful in the diagnosis and monitoring of liver disease?
A. Amylase
B. Hematocrit
C. Hemoglobin
D. Human Chorionic Gonadotropin
E. Bilirubin
Bilirubin
What color of the stool is generally associated with upper gastrointestinal tract bleeding?
A. Black
B. Gray
C. Light Gray
D. Brown
E. Red
Black
Which one of the following may indicate longer prothrombin time?
A. Hepatic dysfunction
B. Increased Vitamin K
C. Increased production of clotting factors
D. All of these
E. None of these
Hepatic dysfunction
Which of the following is TRUE regarding patient chart preparation?
A. Abbreviations of any kind should not be used.
B. Write in ink, felt, or pencil.
C. Blue ink is conventional.
D. The patient should be identifiable by at least one (1) demographic characteristic.
E. All of the choices except B
Abbreviations of any kind should not be used.
Which one of the following may be an indication of the presence of white blood cells in the stool?
A. Bile duct obstruction
B. Gastrointestinal infection
C. Measles
D. Dehydration
E. Rapid gastrointestinal transit
Gastrointestinal infection
Which dosage form is utilized in barium studies?
A. Troches
B. Enema
C. Implant
D. Ointment
E. Dressing
Enema
Using the Scratch Test, which one of the following is not a criterion for evaluation of the skin indicating the patient’s sensitivity to an allergen?
A. Itchiness
B. Swelling
C. Redness
D. No change/reaction
E. B and C
Itchiness
A bronchoscope is introduced through the following openings, EXCEPT:
A. Nose
B. Endotracheal tube
C. Rectum
D. Mouth
E. None of these
Rectum
Which one of the following is a noninvasive test or procedure?
A. Venipuncture
B. Radionuclide studies
C. Paracentesis
D. Ultrasonography
E. pH stimulation tests
Ultrasonography
Parameter of fecalysis that is used in the diagnosis of intestinal hemorrhage:
A. Consistency
B. Fecal parasites
C. Occult blood
D. Amount
E. pH
Occult blood
Drug that may cause brown-colored urine:
A. Methyldopa
B. Rifampicin
C. Indomethacin
D. Doxorubicin
E. Metronidazole
Metronidazole
Major component of plasma proteins and indicates severity in chronic liver disease
A. Albumin
B. Creatinine
C. Hemoglobin
D. Glucose
E. Bilirubin
Albumin
Test to evaluate the absorption of Vitamin B12:
A. Schilling Test
B. Rinne Test
C. Weber’s Test
D. Romberg Test
E. Schamroth Technique
Schilling Test
Which of the following pairs of clinical findings and laboratory values is TRUE?
A. Proteus mirabilis infection – urine pH 9.0
B. Hypothyroidism – FTI4: 6.4
C. Warfarin therapy – Bleeding time: 2 min
D. Primary hyperparathyroidism – Serum chloride: 128 mEq/L
E. Previous myocardial infarction – CK- MB: 5.7 ng/mL
Proteus mirabilis infection – urine pH 9.0
Which of the following pairs of clinical findings and laboratory values is FALSE?
A. Hepatocellular damage – Female patient: ALT: 50 U/L
B. Folic acid deficiency – Male patient: 76%
C. Lithium carbonate therapy – Serum Potassium: 2.1 mEq/L
D. Hemolytic disease – Total Bilirubin: 0.8 mg/d
E. Diabetes mellitus – GIT: 180 mg/dL at 2 hrs
Hemolytic disease – Total Bilirubin: 0.8 mg/dL
Test used to diagnose myasthenia gravis:A. Edrophonium tensilon test B. Ventilation Scanning C. Scratch and Patch TestD. Romberg TestE. Stress Test
Edrophonium tensilon
Test of choice in patients suspected of having iron deficiency anemia:A. Coomb’s Test B. Serum ferritin C. ZPP fluorescenceD. C-reactive proteinE. Haptoglobulin
Serum ferritin
This refers to the technique of manipulating unconscious or involuntary bodily processes made perceptible to the senses by conscious mental control:A. Naturopathy B. Auscultation C. AcupunctureD. BiofeedbackE. Holistic Health
Biofeedback
BMI category indicating a Possible likelihood of chronic protein-energy under nutrition:A. <10 kg/ m2 B. <18 kg/ m2 C. 18.5-20 kg/ m2D. 20-35 kg/ m2E. >35 kg/ m2
18.5-20 kg/ m2
In parenteral nutrition, which supplies Chloride the most per mL?A. Sodium chloride B. Potassium chloride C. Calcium chlorideD. Iron chlorideE. None of these
Sodium chloride
Which of the following statements is INCORRECT when handling cytotoxic drugs:A. Syringes and IV sets with luer-lock fittings are recommended.B. Syringes should be large enough to accommodate the total dose needed.C. Syringes should not be three-quarters full when containing the total drug dose.D. B and CE. None of these
None of these
Which among the following is NOT a characteristic of the therapeutic relationship between the patient and the pharmacist?A. Equality B. Trust C. EmpathyD. AuthenticityE. Responsiveness
Equality
Example of metabolic complications during parenteral nutrition, EXCEPT:A. ThrombocytopeniaB. Lipid intoleranceC. Thrombophlebitis D. Essential fatty acid deficiencyE. Refeeding syndrome
Thrombophlebitis
An important clinical skill that refers to the continuous process of deliberation and reflection during problem solving:A. Metacognition B. Ethnocentricity C. AdherenceD. GenuinenessE. Manipulation
Metacognition
Which clinical finding is associated to Measles?
A. Hairy tongue
B. Chvostek’s sign
C. Osler’s node
D. Koplik spots
E. Xanthelesma
Koplik spots
A small, circumscribed, elevated solid lesion:A. Papule B. Vesicle C. PatchD. MaculeE. Comedo
Papule
What body organ is associated with fetor hepaticus?A. Kidney B. Uterus C. Oral mucosaD. SkinE. Liver
Liver
Practice sites for Ambulatory Care Setting:A. Nursing homes B. Patient’s residence C. Clinic environmentD. A, B, CE. B and C
Clinic environment
Conditions that can affect vision, EXCEPT:A. Astigmatism B. Muddy sclera C. Conical corneaD. Corneal arcusE. All except B
Muddy sclera
Which of the following describes a macule?
A. Wart
B. Colored lesion
C. Less than 1cm
D. A and C
E. B and C
B and C
Which among the given characteristics is NOT true regarding a Social interaction as to space boundaries with patient?A. Patient is 4-12 feet away.B. Body contact is described as out of reach.C. Eye contact is important.D. Low and frequent vocalizationE. None of these
Low and frequent vocalization
Herpes zoster is an example of ________A. Patch B. Scale C. VesicleD. PapuleE. Macule
Vesicle
Which of the following databases is published by the American Society of Health-System Pharmacists (ASHP)?
A. MEDLARS
B. International Pharmaceutical Abstracts
C. Index Medicus
D. Toxline
E. EMBASE
International Pharmaceutical Abstracts
What is deficiency in scurvy?A. Vitamin B1 B. Vitamin C C. CalciumD. IronE. Phosphorus
Vitamin C
Blistering of the skin due to second-degree burns is an example of a:A. Excoriation B. Lichenification C. MilliumD. VesicleE. Bulla
Bulla
Volume of air inspired or expired with normal breathing:A. Tidal volumeB. Residual volumeC. Peak expiratory flowD. Forced tidal capacityE. A and B
Tidal volume
Comparative measurements of parts of the body are used to assess nutritional status:
A. Manometry
B. Anthropometrics
C. Schilling Test
D. EMG
E. ESR
Anthropometrics
Which of the following is NOT a primary literature for drug information?A. Morbidity and Mortality Weekly ReportB. Annals of Internal MedicineC. Clin-AlertD. LancetE. Pharmacotherapy
Clin-Alert
Electrolyte level is increased due to spironolactone use: A. Potassium B. Magnesium C. SodiumD. CalciumE. Chloride
Potassium
Drugs that may cause dyspepsiaA. Corticosteroids B. Iron C. AntibioticsD. Either A or BE. A, B, C
A, B, C
The following are precipitating factors of hepatic encephalopathy, EXCEPT:A. Constipation B. High-protein diet C. HyperkalemiaD. Bacterial peritonitisE. Benzodiazepines
Hyperkalemia
Contraindications to thrombolysis as an intervention to acute coronary syndrome:A. One week postpartum B. CNS Neoplasm C. Oral anticoagulant therapyD. A, B, CE. A and C
A, B, C
When organizing a patient’s Problem-Oriented Medical Record (POMR), which of the following may be found on the last pages/ sections?A. Graphic charts B. Laboratory data C. Progress notesD. Medication ListE. Physicians Orders
Medication List
Which of the following is NOT a clinical manifestation of heart failure?A. Bradycardia B. Pallor C. FatigueD. ConfusionE. Hepatomegaly
Bradycardia
What is the interaction of Tetracycline and milk?A. Potentiation B. Drug displacement C. Complexation D. Enzyme inhibitionE. Addition
Complexation
In what section of the medical chart can one find the patient’s Past Medical History (PMH)? A. Flow sheet B. Admit summary C. Admission formD. Progress notesE. Patient interview
Admit summary
Which of the following decreases theophylline clearance?A. Cigarette smoking B. Viral pneumoniaC. PhenytoinD. Age (1-12 years old)E. High-protein, low carbohydrate diet
Viral pneumonia
Who among the following is under the Chief Pharmacist but above the other positions based on the organizational chart of a hospital?A. Staff PharmacistB. Chief Administrative OfficerC. Senior PharmacistD. Supervising PharmacistE. Associate Pharmacist
Supervising Pharmacist
Which of the following is a qualification for a Senior Pharmacist in a hospital?A. With at least 3 years work experienceB. With at least 1 year pharmacy practice C. Have passed sub professional Career Service Eligibility examinationD. MS in Pharmacy or its equivalentE. With at least 18 units of post-graduate studies
With at least 3 years work experience
Which of the following is a qualification for a Supervising Pharmacist in a hospital?A. With at least 1 year pharmacy practice B. With at least 18 units of post-graduate studiesC. MS in Pharmacy or its equivalentD. With at least 3 years work experienceE. Have passed sub professional Career Service Eligibility examination
With at least 18 units of post-graduate studies
Who among the following personnel prepares reports of monthly consumption and balance of stocks?A. Senior Pharmacist B. Staff Pharmacist C. Administrative AideD. Chief PharmacistE. Laboratory Pharmacy Aide
Administrative Aide
Which of the following drugs is deemed inappropriate for use in elderly patients?
A. Secobarbital
B. Meprobamate
C. Gluthetimide
D. Only A
E. A, B, C
A, B, C
In the pharmacy functional chart, Poison Control is part of which service?A. Dispensing B. Clinical C. CompoundingD. ResearchE. Administrative
Clinical
Investigational Drug Study is part of which service among the hospital pharmacy services?A. Dispensing B. Clinical C. CompoundingD. ResearchE. Administrative
Research
Physical Examination results may be found in which section of the medical chart?A. Admit summary B. Progress Notes C. Flow sheetD. A, B, CE. B and C
A, B, C
Who is considered as the head of the Nutrition Support Team?
A. Pharmacist
B. Physician
C. Nurse
D. Dietitian
E. All of these
Physician
Carcinogenesis is an example of what type of ADR?A. Type A B. Type B C. Type CD. Type DE. Type E
Type D
Syndromes that are typical of drug-induced pulmonary disease, EXCEPT:A. Cardiogenic pulmonary edemaB. AsthmaC. Plural effusionsD. Interstitial fibrosisE. Pulmonary vascular disease
Cardiogenic pulmonary edema
Ethambutol- optic neuropathy is an example of what type of ADR?A. Ending of use B. Bizarre C. ContinuousD. Failure of efficacyE. Augmented
Continuous
Deteriorated or outdated medication is a cause of what type of medication error?A. Prescribing error B. Dispensing error C. Administration errorD. B and CE. A, B, C
Administration error
Which among the categories of medication error has the presence of error but poses no harm?A. Type A B. Type C C. Type FD. Type GE. Type I
Type C
Prescriptions for Phenobarbital tablet is filed for how long?A.6 months B. 1 year C. 2 yearsD. 3 yearsE. 5 years
2 years
Drugs that are implicated in disorders of mood:A. Oral contraceptives B. Analgesics C. SteroidsD. B and CE. A, B, C
A, B, C
The following are found on the Flow Sheet section of the medical chart, EXCEPT:
A. Physical Examination
B. Pulmonary Function Test
C. Chief Complaint
D. Laboratory tests
E. None of these
Pulmonary Function Test
What does a Category I Medication Error mean?A. No error B. Error, No Harm C. Error, With HarmD. Error, DeathE. No error, With Harm
Error, Death
The green color coding for the medication cards is for drugs administered:A. O.D B. B.I.D C. T.I.DD. Q.I.DE. H.S
Q.I.D