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Haad 19-11-2015

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0% found this document useful (0 votes)
42 views15 pages

Haad 19-11-2015

Uploaded by

samreensajid18
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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1-As a pharmacist how can you know that a patient comes to your pharmacy has a vision

problem:
Wearing thick glasses
Looking as dogy eyes
Wearing black glasses
All of the above ✔

2-To help a patient to get into sleep and he has no problem in walking during sleep
Diazepam
Triazolam ✔

3- syrups can resist microbial growth because of :


Osmotic effect ✔
Antioxidant effect

4-The side effects of salbutamol except

Tremor

Headache

Hypoxia

Hypokalemia

Constipation ✔

5- 5 years old patient taking Ramipril the suitable dose

‫انا مش فاكره الصيغه بالضبط بس ال ى فاكره انه قصده مريض بقالو خمس سنين بياخد الدوا ده‬

1. 1.25mg

2. 2.5 mg

3. 50 mg

4. 10 mg✔

6-which one is a narcotic drug according to uae:

a-nabluphine.

b-buprenorphine oral tab. 200 microgram

c-Methylphenidate tab. mg✔


d-theophylline tab.

7- Which of the following is NOT used in Dandruff:


a. Selebium Sulphide
b. Premithrine✔
c. Ketokonazole
d. Salicylic acid

8-Used to prevent re-infarction post-MI:


a. Aspirin✔
b. Verapamil
c. Losartan

9-Best to describe Fiber-Cone is (are):


a. Used for diarrhea and constipation
b. Should be taken with plenty of water
c. Contraindicated with tetracycline
d. All✔

10-Infection caused by Staphylococcus aerues:


a. Impetigo✔

11- Oxymetazoline adverse effect:


a. Increase heart rate✔

12- Which of these medications should added with it auxilliray label ith or after food :
a. Erythromycin
b. Prednisolone✔
c. Tetracycline

13-Which is true statement about Alprazolam:


a. Short-acting anyxiotylic BDZ✔
. Does ’t eed dose adjustment in elderly
. Does ’t ha e i tera tio s ith drugs
d. Dose is 0.25-0.5 microgram 3times

14-Which of the following parameters you CANNOT overcome by making prodrug:


a. Potency✔

15-Which of the following microorganisms is treated by Bactropan nasal ointment:


a. Staphylococcus aerues✔
b. Streptococcus aerues
c. H.Influenza
d. Mycoplasma
16-Increased volume of distribution mean?

A-Too much drug bind to tissue✔

B- Binds to plasma protein

C-Increase the excretion

D-Too little drug bind to tissue

17-Drug has enzyme inhibition in first action:


a. Enalapril✔

18-Best medication to treat chronic inflammation of allergic rhinitis:


a. Beclomethasone nasal

19- Medication is preferred to be used in neuropathic pain rather than nociptive pain:
a. Nortryptillin✔
b. Ibuprofen
c. Tramadol

20-patient currently take 220mg of anhydrous Znso4 to receive amount of elemental zinc ,how
many mg of ZnSO4 (.7H2O)would the pt have to take(mwt Zn 65, ZnSO4 161,H2O 18)
a. 123mg,
b. 220mg
c. 300mg,
d. 392mg✔
e. 545mg

21-Theophyllin conc. In blood is 10-20 mg/ml, calculate it in millimol/l . Mol.wieght =180:


a. 55mMole/L-110mMole/L✔

22- pt using dopamine infusion with 2.5mcg/kg/min, pt wt 80kg,how many ml of dopamine pt


will consume if dopamine ampoule con 0.8mg/1ml within 24 hours
a. 360ml✔

-Patient using spacer with metered dose inhaler

1. Take quick breath after pressing the canister (x)

2. Hold breath 10 second after complete inhalation✔

3. Leave on finger(thumb) space between mouth and spacer (x)

4. Ask him to rinse mouth with water ✔


24-An adult recommended dose of drug is 5mg/kg/day, how many milligrams of drug is required
to be taken twice daily? Patient weight is 176pound
a. 200mg✔
b. 150mg
c. 400mg

25-Which is used for hyperamonia:


a. Duphalac
b. Enfalac
c. Lactulose
d. All✔

26-Lipitor is used for which type of hyperlipidemia markers:


a. IIa and IIb✔

27-Whi h of these edi atio s does ’t ause yopathy:


a. Cholestyramine✔
b. Statins

28-Saline flush, which is the best statement to describe:


a. Insert drug into blood circulation✔
b. Flush the face and body
c. Dilute drugs then insert in the blood

29-The anxiolytic of BZD is usually attributed to their ability to do which of the following
a. Potentiate the effects of GABA✔
b. Alert the sodium ion influx
c. Alert the calcium ion influx
d. Interfere with amine

30-In which cases Gentamicine is NOT toxic:


a. When Plasma concentration less than 2mg/ml✔

31-Which is false about handling anticancer drugs?

a)Gowns should be made of fabric that has low-permeability to the agents in use,with

closed-front and cuffs,intended for single use

b)Wear double latex gloves

c)Negative pressure laminar flow hood should be used

d)Use positive pressure when withdrawing solution from vial✔

32-re ou d o gestio happe ith lo g ter use


a- B blocker
b-xylometazoline✔

33-Which of the following antimicrobial agents would be most useful in treatment of infection
caused by beta-lactamase producing staphylococcus

a- impenem

b- cephalexin

c- cefepime✔

35-what is the main side effect of atenolol:

a-fatigue

36-Aspartam not used in the

A –phenylketon urea✔

b-phenyl keton nemia

37-Chloroquine toxicity is treated with


Diazepam✔

38-.Ahmad is a 27 year old male who comes to the pharmacy seeking advice because, for the
past 24 hours, he has experienced abdominal cramping, mild fever and frequent, loose stools
with some blood loss. DS thinks it may be related to the antibiotic he has been taking for a
dental abcess. Current medications include: clindamycin 150 mg QID x10 days, started 8 days
ago, and losartan 25 mg daily for hypertension, started 3 months ago. The most appropriate
pharmacist response is that these symptoms:
a. are expected, transient side-effects of clindamycin; treat symptoms and continue
medications.
b. may indicate an interaction between clindamycin and losartan; pharmacist call to dentist is
warranted.
c. may indicate clindamycin-related pseudomembranous colitis; seek immediate medical
attention.✔
d. may indicate losartan-related pseudomembranous colitis; seek immediate medical attention.
e. are pro a ly u related to D“’s edi atio s; treat for flu sy pto s a d follo -up if no
improvement.

39-FD, a 58 year old male with hypertension, asks the pharmacist if cranberry juice would be
useful for his current symptoms, which include frequency and a large
volume of urine, but no urgency, or painful urination. Further questioning reveals that for the
past 2 months he has also experienced polydipsia and polyphagia. The pharmacist should refer
FD to his physician because these symptoms are consistent with
a. cholelithiasis.

b. a urinary tract infection.

c. prostate hyperplasia.
d. diabetes mellitus.✔
e. renal complications of hypertension.

40-Auxiliary labelling for clarithromycin suspension includes which of the following?


a. Shake well before using.✔
b. Take with plenty of fluids. c. Avoid prolonged exposure to sunlight. d. Keep refrigerated. e.
May cause discolouration of urine.

41-Agood advice for sumatriptan :


a. If the sumatriptan does not relieve the headache within four hours, ergotamine may be used.

b. If no relief is achieved in two hours, sumatriptan may be repeated.


c. If the headache is relieved but another headache occurs eight hours later, sumatriptan may
be used for the second headache.✔

42-Mariam has been taking metoclopramide 20 mg, po q6h for the past 3 days as part of her
chemotherapy regimen. She normally takes 4 doses daily, with each meal and at bedtime. This
morning, she forgot to take her morning dose before leaving home for a hospital check-up.
When she arrives at the clinic, she asks the pharmacist what she should do about her missed
dose, as she expects to be home again around 11:30 am. The pharmacist should advise JG to:
a. take the missed dose immediately when she gets home and continue as scheduled. b. take
two doses at lunchtime to make up for the missed dose.
c. skip the missed dose and take the next scheduled dose at lunchtime.✔
d. skip today’s edi atio a d resu e her or al s hedule to orro . e. space 4 doses into the
remaining hours between when JG gets home and her bedtime.

43-For a child with asthma, all of the following factors are indicators of poor control, EXCEPT:
a. number of visits to the Emergency Room.

b. limitations on daily activities

. c. awakening at night with asthma symptoms.


d. keeping one canister of salbutamol at home and one at school.✔
e. number of parent work days missed due to the child illness.

44-All of the following are appropriate suggestions for a pharmacist to give to a patient with
allergic rhinitis from multiple environmental triggers, to minimize exposure to possible
allergens, EXCEPT:
a. open windows to get fresh air into the home. ✔

b. clean and vacuum on a regular basis.

c. wash bed linens regularly in hot water.

d. use mattress and pillow covers.

e. remove any carpets, if possible

45-A vertical laminar flow hood would be the best choice when preparing a parenteral
formulation of:
a. aminophylline.
b. doxorubicin.✔
c. magnesium sulfate.

d. nitroglycerin.

e. penicillin.

46-Case about patient taking theophylline and ask about good advice:

a-Do ’t rush the ta lets

47-Patient with allergy conjunctivitis using lens


1. Neither gas permeable lenses nor soft lens should wear during apply eye drop✔
2. Remove gas lenses 30minut before apply eye drop
3. Soft lenses only removed during applying eye

48- sitaglibtin mech of action


dipeptedyle dipeptidase enz Inhibitor ✔

49- which is contraindicated in liver impairment

a) leflunomide✔

b) vinblastine

c) atomoxetine

50- Which is true about laxatives:

A-Lactulose should be avoided in diabetes patients

B-Fy ogel should ’t used i glute i tolera e


C-Bulk laxatives act within 24 hours

D- paraffin should be avoided because it causes pneumonia✔

51- Which of the following liver enzymes is the first to be elevated in a case of an

acetaminophen overdose?

a. Lactic dehydrogenase (LDH)

b. Alanine transaminase (ALT)

c. Aspartate transaminase (AST)✔

d. Alkaline phosphatase (ALP)

e. Gamma glutamyl transpeptidase

52- For elderly patients with chronic respiratory conditions, which of the following

vaccinations are usually recommended on a yearly basis? (this question repeated twice)

I Influenza virus✔

II Pneumococcus

III Meningococcus

a. I only

b. III only

c. I and II only

d. II and III only

e. I, II and III

53- A physician wants to switch a terminally-ill patient from slow release morphine

sulphate tablets, 15 mg twice daily, to a liquid morphine sulphate dosage form because the

patient has difficulty in swallowing tablets. If a morphine sulphate solution containing 5 mg

per mL is prescribed q4h, what volume should be dispensed for a 20 day supply to provide

the same pain relief as the tablet regimen?

a. 20 mL
b. 60 mL

c. 80 mL

d. 100 mL

e. 120 mL ✔

54-which of the following has least half life time

1.erythromycin✔

2.zithromax

3.klarthromycin

4.tetracycline

55-Case about patient taking pseudoephedrin and also has depression and ask about which
avoid :

a-monoamine oxidase inhibitor

56-prevalent factors of metformin :

-obesity &renal failure.✔

57-in highly polar compound like mannitol elimination rate equal to:

-absorption—excretion✔—distribution

58-what is wrong about statin :

a-take statin at breakfast

59-patient suffer from cold sore and you give him acyclovir how many times he should apply

1 -4 times

2- 5 times✔

-Most potent topical corticosteroid cream:

· Clobetasol propionate ✔

· Betamethasone

· Dexamethasone
61-MA is a 75 year old patient who has just been diagnosed with hypothyroidism. Her past
medical history is significant for congestive heart failure, type 2 diabetes mellitus, osteoporosis
and chronic stable angina, all of which are well-controlled. Her medications include:

Metoprolol 25mg bid

Calcium carbonate 1250mg bid

Vitamin D 1000 IU daily

Glyburide 2.5mg bid

Enalapril 10mg bid

Furosemide 40mg daily

Nitroglycerin SL spray prn

MA should be started on a low dose of levothyroxine because of her:

a. age.✔

b. gender.

c. diabetes.

d. metoprolol use.

e. nitroglycerin use.

62-Appropriate counselling and follow-up for MA with initiation of levothyroxine includes all of
the following, EXCEPT:

a. separate the levothyroxine dose from calcium tablets by several hours.

b. take levothyroxine on a full stomach for greater absorption.✔

c. improved control of thyroid levels may also improve her glycemic control.

d. physician follow-up is needed in 6-8 weeks to have her thyroid function tests

repeated.

e. closer monitoring of her angina should be done during dosage titration of

levothyroxine.

63-Which of the following parameters is the most appropriate for MA's self-evaluation of the
effectiveness of levothyroxine therapy?
a. Increased energy✔

b. Weight loss

c. Improved vision

d. Less frequent angina

e. Less frequent urination

64-Mononucleosis caused by:

EBV (Epstein-Barr Virus)✔

65-It mostly affects:

a. Adult.

b. Children.

c. Elderly.

d. Teenage.✔

66-One lady patient with Levothyroxine Rx, you want to be sure that she understands why she
took her medication? What will you ask?

1. Did you remove your thyroid

2. Did your doctor tell you that you have hypothyroidism

3. Why did you see your doctor?✔

67-Small volumes of suspensions shouldn't be given in which route:

-IV✔

-IM

-SC

68-Hydrochlorothiazide/Amiloride contraindicated with

Enalapril ✔

Salbutamol

Diazepam

69-Treatment of otitis media


· Corticosteroids

· Analgesic✔

· Emollient

7 -Cocaine show all except

· Mydriatic

· Peripheral vasodilation✔

· Tachycardia

· CNS stimulant

· None of the above

7 -Lomotil

(Diphenoxylate and Atropine)✔

-Which of these statements is not true?

Diphenhydramine is the drug of choice in morning sickness✔

-Patient received morphine 20mg every 4hr. If we want to shift to MST continuous Tab, what
is the dose?

a. 60mg BID ✔

b.120mg BID

c.180mg BID

-A drug with t1/2 is 3 hr, after how many of this drugs will remain in the body after 24 hr?

100

87

12.5

6.125

less than 1✔

75-Patiant diagnosed with pneumonia microorganism, he was healthy before he catches the
disease. Which antibiotic is suitable?
1. Pathogen is mycoplasma-and treatment is clarithromycin (macrolide)✔

2. Pathogen is pseudomonas-and treatment is levofloxacin

3. Pathogen is mycoplasma-and treatment is levofloxacin

4. Pathogen is pseudomonas-and treatment is clarithromycin (macrolide

76- Patient who is a regular customer to your pharmacy is taking Nifedipine 200mg daily for 6
months and come to refill the prescription but the (dose)x mg is not clear for you due to dr hand
writing so ur response

1. ask her about the previous medication she took

2. ask her if the prescription has changed

3. call the doctor to confirm or explain the dose✔.

77- Patient was taking mineral oil for 10 days as he had constipation; he came to your pharmacy
as he is not improving. What do advise him?

1. Advise him to see a doctor to know reason for constipation✔

2. Tell him to wait one week more to see effect of mineral oil

3. Give him milk magnesia

78-Which have narrow therapeutic index?

· Vancomycin ✔

· Alprazolam

· Warfarin ✔

· Heparin✔

79- 24 hrs pharmacy, how many staff they need?

3 pharmacists and unlimited number of assistants✔

80- Must avoid Gluten, people who have which diseases?

Celiac disease✔

81- What is the lowest temperature to keep medicine in refregirator

a-1
b- -2

c-5

d-2C✔

82- Which drug is enantiomer?

Escitalopram✔

83- Inderal is brand name of?

-atenolol

-Propranolol ✔

84-Which consider as opoid agonist :

Tramadol ✔

85- Drug used in influenza as oral tablet:

oseltamavir✔

86-Patient with dog allergy want to vist his friends how have Dog , and he is also
hyperthyrodism What pharmacist should advice him to take before the trip?

A* Pseudoephedrine 5 mg one morning and one evening one day before the day of visit

B* Pseudoephedrine 10mg before going to the visit

C* Take Cetrizine 10mg before the visit✔

87- community acquired pneumonia is caused by which virus ;

a. haemophilus influenza

b. mycoplasma pneumonia

c.both ✔

88- prescription come to u as (cefurexime 250 im state)

a. Give cefurexime 250 mg immediately until the case is changed ✔

b. Give cefurexime 250 mg as intramascukar or by mouth till the case us changed

c. give cefurexime 250 by 8 times daily


89- if a controlled medication has been missed,returned ,expired or the ampule broken ,How
you will inform HAAD

a. Put in black disposable bag

b. put in secure bag then send it to HAAD

c. send report to HAAD

‫انا اخترت رق‬b

90—Amoxicillin 500mg orally used if Doctor shifted to IV, what the dose?

a* 1g

b* 500mg✔

c*250mg

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