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| Section | Objectives |
|---|---|
| Topic 1: Part II: Applied Clinical Decision Making | - Case-based pharmacotherapy scenarios
|
| Topic 2: Patient Care and Pharmacotherapy Principles | - Therapeutic decision making
|
| Topic 3: Disease State Management | - Infectious diseases
|
| Topic 4: Part I: Knowledge-Based Assessment | - Foundational pharmacotherapy knowledge
|
| Topic 5: Special Populations | - Renal and hepatic impairment
|
Question 1
A 49-year-old patient has been taking pregabalin for the treatment of fibromyalgia for one year with good relief of symptoms. However, this patient recently lost access to health insurance.
Although she experienced excellent relief from pregabalin, she is unable to continue this therapy due to cost.
Which of the following would be the best intervention?
A. Change to gabapentin
B. Change to tramaddy
C. Change to duloxetine
D. Change to amitriptyline
Question 2
A 58-year-old man presents with symptoms of the common cold (nasal congestion, headaches, and dry Cough).
He purchased XYZ Cold formula (acetaminophen, pseudoephedrine, and dextromethorphan), but after reading the cautionary information on the package, he thought he should obtain his pharmacist's advice. He has hypertension and is taking hydrochlorothiazide daily. His office blood pressures range from 127-134/82-88 mm Hg, and he has no other medical problems.
Which of the following instructions are applicable to this patient regarding XYZ Cold formula?
A. He should substitute nasal cromolyn for the decongestant.
B. He should avoid XYZ Cold because it significantly raises blood pressure.
C. XYZ Cold would be safe short term because he has well-controlled hypertension.
D. Although pseudoephedrine is safe to use, he should use an antihistamine instead to better control his symptoms.
Question 3
A 54-year-old male patient (BSA = 1.8 m2) is being treated for head and neck cancer with the following regimen:
* Cisplatin 100 mg/m2 intravenously on day 1
* 5-Fluorouracil 1000 mg/m2 intravenously by continuous infusion on days 1 through 5
* Ondansetron 16 mg intravenously
Which of the following is the appropriate administration instruction for ondansetron?
A. One dose 30 minutes before Cisplatin and a repeat dose immediately before 5- fluorouracil on day 1; then repeat daily before 5-fluorouracil
B. Thirty minutes prior to Cisplatin, thereafter as needed for nausea
C. Daily prior to 5-fluorouracil infusion on days 1 through 5
D. Thirty minutes before Cisplatin on day 1
Question 4
A 40-year-old transplant recipient who is receiving cyclosporine develops seizures requiring anticonvulsant therapy. Because a drug interaction is likely to occur between cyclosporine and phenytoin, the pharmacotherapy specialist suggests that the resident do which of the following?
A. Decrease the phenytoin dose.
B. Increase the phenytoin dose.
C. Increase the cyclosporine dose.
D. Decrease the cyclosporine dose.
Question 5
A 28 year old patient presents to a physician and reports persistent nasal discharge and facial tenderness for the past 15 days. The patient has no known drug allergies. Which recommendation would be best for treating this acute sinusitis?
A. Azithromycin
B. Amoxicillin/clavulanate acid
C. No antimicrobial indicated at this time
D. Sulfamethoxazole/trimethoprim
Solutions:
| Question 1 Answer: C | Question 2 Answer: C | Question 3 Answer: D | Question 4 Answer: C | Question 5 Answer: B |
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