Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Pharmacy Practice 6 > Questions from statewide protocol presentations > Flashcards

Questions from statewide protocol presentations Flashcards

1
Q

Which of the following is NOT a medication that pharmacists can prescribe for Vulvovaginal Candidiasis?
A. Fluconazole oral tablet
B. Clotrimazole vaginal cream
C. Bactrim oral tablet
D. Miconazole cream

A

C

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Which of the following is a typical symptom of Vulvovaginal Candidiasis?
A. Painful urination
B. Fever
C. Pain in lower abdomen
D. Pruritis

A

D

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What is required for pharmacists to be able to prescribe Vulvovaginal Candidiasis care?
A. A 2 hour training session every 2 years
B. No extra training required
C. A VVC care license
D. 2 CE credits regarding VVC every 2 years

A

B

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Which of the following symptoms is specific for vulvovaginal candidiasis vs bacterial vaginosis?
A. Fishy scent
B. Red, swollen vulva
C. Itchiness
D. Absence of malodor

A

D

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Which of the following patients would you feel comfortable dispensing fluconazole 150mg medication for?
A. 30 y.o. pregnant woman with mild symptoms
B. 42 y.o. man with mild symptoms
C. 23 y.o. patient who is complaining of stomach cramps after a week
D. 37 y.o. woman who takes birth control pills every day

A

D

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

A woman comes in with symptoms consistent for vulvovaginal candidiasis. After getting a full background of the patient, the pharmacist determines that she would be eligible for treatment. Which of the following would be the best treatment for this patient?
A. Fluconazole 150mg tonight, and another 3 days from now
B. Clotrimazole troche 10mg QID for 1 day
C. Fluconazole 150mg tonight, if symptoms return refer to physician
D. There is no effective oral treatment available, talk to the patient about vaginal cream options

A

C

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

How long must a pharmacist maintain all records associated with prescribing?
A. 3 years
B. 5 years
C. 7 years
D. Indefinitely

A

C

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Which therapy is preferred for uncomplicated VVC?
A. Fluconazole
B. Clotrimazole
C. Miconazole
D. All therapies are equally effective

A

D

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

True or False? If a patient says “yes” to at least one of the pregnancy screen questions and is free of pregnancy symptoms, proceed to next step.

A

true

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

How long after you prescribe NRT should there be follow-up with the patient?
A. 1-7 days
B. 3-5 days
C. 7-21 days
D. 14-21 days

A

C

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What is the maximum duration of NRT that can be prescribed for?
A. 8 weeks
B. 12 weeks
C. 10 days
D. 14 days

A

B

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Which of the following patients would be eligible for NRT?
A. AK is a female with a BP of 162/84
B. MH is a male with a BP of 158/96
C. JL is a male with a BP of 200/100
D. ZL is a trans woman with a BP of 172/94

A

B

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

If the patient has chronic nasal disorder such as nasal polyps, sinusitis or rhinitis, which of the following nicotine replacement therapy options should not be recommended?
A. Nicotine gum
B. Nicotine nasal spray
C. Nicotine inhaler

A

B

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

When prescribing NRT (nicotine replacement therapy), the following are important considerations that require a referral to a PCP, except for?
A. Heart attack
B. Chest pain
C. Stomach ulcers
D. Asthma

A

D

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

All of the following are disease/disorders that are contraindicated with the use of bupropion in tobacco cessation therapy except?
A. Chronic kidney disease
B. Seizure
C. Asthma
D. Eating disorder

A

C

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What makes a pharmacist eligible to participate in tobacco cessation prescribing in Oregon?
A. Completion of a comprehensive training program that includes trauma-informed care
B. Minimum of 4 hours comprehensive training program related to tobacco cessation prescribing-one time requirement
C. A minimum of 1 hour of prescribing tobacco cessation products continuing education every 24 months
D. Minimum of 2 hours of documented ACPE continuing education related to pharmacist prescribing of tobacco cessation products

A

D

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Which of the following would be considered a reason to refer a patient to their PCP regarding smoking cessation therapy?
A. BP reading 156/88
B. 21 year old patient
C. Have a history of stomach ulcers
D. Currently smokes more than 10 cigarettes per day

A

C

18
Q

A patient who has a score of 3 or greater on the PHQ-2 assessment is not eligible to receive tobacco cessation therapy.
A. True
B. False

A

B

19
Q

A pharmacist in Oregon can prescribe pre-travel medications for _________ prophylaxis, traveler’s diarrhea, acute mountain sickness and motion sickness.
A. Lyme disease
B. Flu
C. Malaria
D. Ringworm

A

C

20
Q

How many hours minimum of travel medicine related comprehensive training does a pharmacist need
to be able to prescribe travel medications?
A. 2 hours
B. 4 hours
C. 6 hours
D. 8 hours

A

B

21
Q

A parent and their 17 y.o. presents to your pharmacy. They’ll be heading to the home country next week and the parent is worried about both of them getting severe diarrhea while they’re outside the United States. The parent’s friend told the parent that pharmacists are able to prescribe azithromycin. Can you as the pharmacist prescribe azithromycin to the parent and their child?
A. You can prescribe azithromycin to the parent but not the child
B. You can prescribe azithromycin to the parent and the child
C. You can not prescribe azithromycin to the parent or the child as it’s an antibiotic
D. You can prescribe azithromycin to the parent and prescribe doxycycline to the child

A

A

22
Q

What training is required for an Oregon Pharmacist to dispense medications for Traveler’s Diarrhea?
A. No additional training required to prescribe traveler’s diarrhea medications
B. 2 hour CE on travel medications repeated annually
C. Dispensing medications for traveler’s diarrhea requires a population-specific CPA
D. 4 hour comprehensive training program related to pharmacy-based travel medicine services intended for the pharmacist (one-time requirement) and a minimum of 1 hour of travel medication CE every 24 months

A

D

23
Q

Q: What would be an appropriate prescription for the prophylaxis of Acute Mountain Sickness?
A. Chloroquine 500mg tablet weekly beginning 1-2 weeks prior to travel
B. Acetazolamide 125mg twice daily starting 24 hours before ascent continuing during ascent and 2-3 days after highest altitude achieved or upon return
C. Loperamide 2mg taking 2 tablets prior to ascent following with 2mg as symptoms continue
D. Promethazine 25mg suppository 30-60 minutes prior to ascent and then every 12 hours as experiencing symptoms

A

D

24
Q

Per the Oregon protocol, are pharmacists allowed to prescribe ciprofloxacin for traveler’s diarrhea?
A. True
B. False

A

B

25
Q

Q: Which of the following can a pharmacist prescribe for motion sickness for people 18 years old and
older?
A. Scopolamine patches
B. Promethazine tablets
C. Promethazine suppositories
D. All of the above

A

D

26
Q

What are some things that would put patients at high risk for contracting HIV? Choose all that apply.
A. Shaking hands with someone who is HIV+
B. Sexual contact with someone who is HIV+
C. Injecting illicit drugs with used needles
D. Donating blood

A

B,C

27
Q

A patient comes into the pharmacy and asks for PEP. They state the protection that was used with
their partner last night broke and want to ensure they do not acquire HIV from unprotected intercourse. They recently moved to the city, and have yet to establish care with a primary care provider. Additionally, you see they are on metformin and sitagliptin to control diabetes. They are not known to be HIV positive, have no history of chronic kidney disease and have a history of hepatitis-B infection. Which of the following is the correct course of action?
A. PEP should be prescribed and dispensed because they came in within the 72 hour time frame
and are not known to be HIV positive
B. PEP should not be prescribed or dispensed because the patient does not have a primary care
provider and they have a history of Hepatitis-B infection
C. The patient should not be prescribed PEP because a history of diabetes is an exclusion criteria
for PEP
D. PEP should be prescribed and dispensed but the patient must be notified they need to find a
primary care physician within the month for testing

A

?

28
Q

True/False- The pharmacist must refer patients if exposure to HIV occurred >72 hours prior to the
initiation of medication.

A

true

29
Q

True/False- When on the HIV PEP regimen, when you miss a dose, it is okay to double up on doses to
make up for the missed dose.

A

false

30
Q

What are the two medications included in the Oregon PEP statewide protocol that pharmacists in
Oregon can prescribe for and that must be start within 72 hours of the HIV exposure?
Mark all that apply:
A. Isentress
B. Doxycycline
C. Fluconazole
D. Truvada

A

A,D

31
Q

Which of the following are exclusion criteria for prescribing PEP? Select all that apply:
A. The patient is less than 13 years old
B. The patient is a survivor of sexual assault
C. The patient is known to be HIV positive
D. The exposure was greater than 72 hours ago

A

A,C,D

32
Q

Which of the following medications are able to be used and prescribed by pharmacists in Oregon for
HIV Post-Exposure Prophylaxis (PEP)? Select all that apply:
A. Truvada (emtricitabine/tenofovir)
B. Isentress (raltegravir)
C. Bevacizumab (Avastin)
D. Trastuzumab (Herceptin)

A

A,B

33
Q

For PEP follow-up, the recommended tests are listed below. All labs involve a blood draw and your
provider may choose to perform more tests as needed. When should the test be performed?
-HIV antigen/antibody 4th generation -Hepatitis B surface antigen and surface antibody
-Hepatitis C antibody -Treponema pallidum antibody -Comprehensive metabolic panel
A. At 4 weeks and 4 months
B. At 4 weeks and 3 months
C. At 6 weeks and 3 months
D. At 6 weeks and 6 months

A

C

34
Q

Why are there so many criteria that have to be met and questionnaires that have to be filled out for
PrEP treatment?
A. Because PrEP is not safe for everyone and we need to make sure someone will not be harmed
before they are treated with it
B. Because only some people, like gay men, can contract HIV and thus are eligible for PrEP
C. Because PrEP can only be used for prophylaxis so it is important to make sure patients taking it
are HIV negative
D. Both A and C
E. All of the above

A

D

35
Q

Why are prescriptions for PrEP only good for 90 days?
A. Because each pill expires after 90 days
B. Because it is unsafe for someone to take PrEP for longer than 3 months without a treatment
holiday
C. Because healthcare providers need to ensure that the patient taking PrEP is negative for HIV by
testing every 3 months
D. Because there is a limited supply of PrEP and they want to make sure they can evenly distribute
it to anyone who needs it

A

C

36
Q

Why must patients get tested for STIs every 6 months in order to be eligible for PrEP?
A. Because if a patient has any other STI, then they can no longer safely take PrEP
B. Because the risk of contracting HIV increases upon contracting other untreated STIs
C. Because patients with STIs are automatically considered positive for HIV and require post-
exposure treatment
D. Because patients have to test positive for another STI to qualify for PrEP treatment

A

B

37
Q

What is a risk factor that would require referral to a healthcare provider for patient’s seeking PrEP
treatment from a pharmacist in Oregon?
A. NSAID use
B. Hepatitis B infection
C. Pregnant
D. Impaired kidney function of CrCl >60 mL/min

A

B

38
Q

What is the longest length of therapy for PrEP that a pharmacist in Oregon can prescribe for?
A. 14 days
B. 21 days
C. 90 days
D. 180 days

A

C

39
Q

Which specific training is a requirement for a pharmacist licensed in Oregon to be able to prescribe PrEP?
A. Comprehensive training and trauma-informed care
B. 2 hours of CE
C. PrEP Prescribing Practice (PPP)
D. No special training required

A

A

40
Q

True/False- Pharmacists are required to complete a comprehensive training program related to
prescribing HIV PrEP medications

A

true

41
Q

Which of the following medications are FDA approved for Pre-Exposure Prophylaxis of HIV in both
men and women?
A. Descovy
B. Truvada
C. Acyclovir
D. Tivicay

A

B

Pharmacy Practice 6 (8 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions