1.  Which of the following medications is permitted as a verbal prescription? (Please assume that COVID-19 exemptions do not apply)

a)  Hydrocodone

b)  Mersyndol (doxylamine, codeine, acetaminophen)

c)  Suboxone (buprenorphine/naloxone)

d)  Morphine

Questions 2 to 4 refer to the following case:

FG is a 52 year old male who is taking pravastatin 40 mg at bedtime for cholesterol.  For the past 2 days, he has been feeling out of breath and coughing up sputum. He has no medical allergies.  His family doctor has prescribed levofloxacin 500 mg po daily for 7 days to treat his pneumonia.

2.  When counselling FG about levofloxacin, which of the following is an adverse effect you should mention?

a)  Hypertension

b)  Breast tenderness

c)  Tendonitis

d)  Black tongue

3.  FG sometimes has heartburn once a week, but does not take any medications for it. However, five days into his levofloxacin treatment, he began experiencing burning in his throat after taking the medication.  FG would like something to take at the same time with his levofloxacin to mitigate these symptoms. Which of the following is the MOST appropriate?

a)  Calcium carbonate

b)  Magnesium hydroxide

c)  Ranitidine

d)  Esomeprazole

4. Because FG was off for 2 weeks due to his illness, he is overwhelmed with workload stress since returning to work. He has trouble sleeping at night. Which of the following is suitable advice to assist FG?

a)  Napping during the daytime when tired.

b)  Reading before bedtime.

c)  Exercising during daytime.

d)  Drinking alcohol before bedtime.

5.  JN received a prescription order for compounded metronidazole suspension for a 22-lb child.  The dose is 20 mg/kg/day for 7 days.  Using a 5% w/v metronidazole stock solution, how much volume is required for the entire course of the 7 days?

a)  28 mL

b)  62 mL

c)  140 mL

d)  280 mL

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6.  A randomized controlled trial is looking at the incidence of ocular inflammation among patients given drug X and drug Y.  In the drug X group, 10 out of 175 had the adverse effect, compared to 25 out of 170 in the drug Y group.  What is the relative risk of developing ocular inflammation with drug X compared to drug Y?

a)  25%

b)  30%

c)  34%

d)  39%

Questions 7 and 8 refer to the following case:

Jerry is a 35 year old male who is asking for a recommendation for a cough syrup. He is a regular patient of your pharmacy, but you only know from his profile that he takes fluoxetine 20 mg po once daily and lorazepam 1 mg po once daily as needed. You want to gather more information from Jerry.

7. When interviewing Jerry, it is recommended to avoid confirmation bias with which of the following questions?

a)  You are not taking any over-the-counter products currently, right?

b)  Do you have any allergies to medications?

c)  Is the cough productive or non-productive?

d)  What time of the day is the cough most severe?

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8.  Which of the following duties can a pharmacy technician perform in place of the pharmacist?

a)  Accept a verbal prescription for lorazepam

b)  Transfer lorazepam to another pharmacy

c)  Purchase over-the-counter cough syrup from a wholesale supplier

d)  Assess Jerry for referral to walk-in clinic

9.  A diabetic patient does not have a sharps container to put her lancets in.  Because she is physically unable to come to the pharmacy due to mobility issues, what can she use to store her used lancets?

a)  Plastic baggy

b)  Plastic water bottle

c)  Paper bag

d)  Tin coffee can

10.  Which of the following uses a dangerous abbreviation which the Institute of Safe Medication Practices does NOT approve of?

a)  50 mg

b)  25 μg

c)  0.5 g

d)  15 kg

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