CPJE Practice Questions

CPJE Practice Questions A pharmacist is counseling a 58-year-old man with a new prescription for repaglinide 0.5 mg t.i.d. According to the patient profile, he is homeless. Which of the following information should be ...

CPJE Practice Questions A pharmacist is counseling a 58-year-old man with a new prescription for repaglinide 0.5 mg t.i.d. According to the patient profile, he is homeless. Which of the following information should be requested from the patient and what is the rationale? - ✔✔Are you eating three regular meals per day? Drug is taken with meals and skipped if meal is skipped. What could be considered barriers to providing a thorough oral consultation to a patient? - ✔✔Educational Background. Primary language. Physical Impairment. A hospital pharmacist has just received a new medication order for brimonidine. The pharmacist wishes to confirm the appropriateness of this order and calls the nurse for the patient's diagnosis. What diagnoses would confirm that the brimonidine order is APPROPRIATE? - ✔✔Glaucoma A physician writes the following prescription: Finasteride 1 mg tablets #30 1 tab p.o. daily for benign prostatic hyperplasia What would be the MOST APPROPRIATE action of the pharmacist? - ✔✔Call physician regarding dosage strength. Which of the following is CORRECT about a prescription for naproxen sodium 275 mg tablets #20 Sig: i tab b.i.d.? A. Naproxen sodium at that dosage may be sold without a prescription as a product called Aleve®. B. The prescription may be filled as written. C. The prescription may be filled with Naprosyn® if Anaprox® is not available. D. Naproxen sodium at that dosage should not be given b.i.d. - ✔✔B. Fill as written. The pharmacist receives a telephone prescription for testosterone patches from a physician's nurse. Assuming that the dosage, quantity, and instructions are appropriate, and the prescription is reduced to writing, the pharmacist should - ✔✔Fill the prescription after noting the physician's and the nurse's names on the prescription. A pharmacist receives a security prescription from a known local medical group for promethazine with codeine. The prescription blank has the physician's name, address, phone number, DEA number, and license number, but is signed only by a physician's assistant (PA). The pharmacist's best course of action is to - ✔✔Call the medical group and request the PA's DEA number. A patient brings in a prescription for Propecia® written by a known physician on a plain piece of paper. The paper is not a prescription blank, but just a plain white sheet of paper with all the needed information hand written. The pharmacist should - ✔✔Fill the prescription as written and file. A 60-year-old woman who recently had a hysterectomy comes to the pharmacy with new prescriptions for estradiol, ibuprofen, calcium carbonate, and medroxyprogesterone. Which of the following drugs should be discussed with the prescriber? - ✔✔Medroxyprogesterone What would be the MOST APPROPRIATE auxiliary labels for a prescription for clarithromycin 250 mg/5 mL? - ✔✔Do not refrigerate and Shake well. A pharmacy technician has prepared four IV piggyback doses of sulfamethoxazole/trimethoprim for 24-hour dosing for a patient. The technician asked the pharmacist to verify the medication before delivery to the patient ward. What is a concern regarding the preparation? - ✔✔Short term drug stability A technician has prepared a 16-oz bulk supply of spironolactone suspension 1 mg/mL to be packaged into 5 mg/5 mL oral syringes for future dispensing. The pharmacist checking this preparation should ensure that the records include what? - ✔✔1. Manufacturer's lot number. 2. Package size and number of syringes prepared. 3. Formula for the suspension. A pharmacist is performing a final check of a new prescription for lithium carbonate extended release tablets. What auxiliary label should the pharmacist affix to the container? - ✔✔Take with food or milk. A pharmacist is performing a final check on a new prescription for a patient with a nasogastric tube. The prescription label reads: Lotensin 10 mg #60 Take one tablet via NG tube daily. What is CORRECT for administration of this dose through a nasogastric tube? - ✔✔The tabs can be crushed and mixed with water. A pharmacist receives a prescription for Ativan® 1 mg and elects to dispense a generic equivalent manufactured by S-G. What drug descriptions on the label would be legally CORRECT? - ✔✔Lorazepam 1 mg (S-G) What auxiliary labels should be placed on a prescription container for amoxicillin/clavulanate suspension? - ✔✔1. Take until gone. 2. Refrigerate. Which of the following requires the advisory label warning, "May cause drowsiness"? A. tegasorb B. indapamide C. cyclobenzaprine D. modafinil - ✔✔Cyclobenzaprine A technician prepares a new prescription for Coreg®. The vial is labeled as follows: Coreg 3.125 mg tablets #60 Take 1 tablet twice daily. Auxiliary label: Take with food. Assuming the technician interpreted the prescription as written, what would be the MOST APPROPRIATE action? - ✔✔Dispense coreg as written. The following prescription is presented to the pharmacist for checking prior to dispensing: Prescription: AeroBid #1 2 p b.i.d. Label: Flunisolide (Forest) #1 Inhale 2 puffs in nostrils twice daily What is an error on the label? - ✔✔The route of administration is incorrect. A pharmacist is checking a medication order prior to dispensing it. The order calls for a patient to receive enoxaparin 1.5 mg/kg subcutaneously daily for 7 days. The patient weighs 148 lb. Based on this order, what is the total daily dose that this patient should receive? - ✔✔100 mg A pharmacy technician has prepared an IV piggyback dose of levothyroxine 100 mcg in the morning for 24-hour dosing for a patient due later tonight. The technician asked the pharmacist to verify the medication b