Zestril Generic

What is the generic name for Zestril?

Losartan

Atorvastatin

Lisinopril

Amlodipine

None

GLP-1 Classification

Which of the following is a GLP-1 agonist?

Ozempic

Invokana

Jardiance

Januvia

None

SSRI Classification

Which of these medications are SSRIs?

Duloxetine

Aripiprazole

Trazodone

Sertraline

None

Percocet Prescription

A prescriber writes an order for Percocet with approval for a change to generic. When entering the order, what medication would be selected?

Oxycodone/Acetaminophen

Tramadol/Acetaminophen

Hydrocodone/Acetaminophen

Tylenol/Codeine

None

Atorvastatin Brand

A new medical student calls and is curious about the brand name for Atorvastatin. Which of the following is the appropriate response?

Zetia

Lipitor

Crestor

Zocor

None

Therapeutic Equivalence

What is therapeutic equivalence?

A drug that has the same bioequivalence and can be expected to have the same clinical effect and safety profile.

A drug that doesn’t have the same bioequivalence but can be expected to have the same clinical and safety profile.

A drug that has the same bioequivalence and can be expected to have the same clinical effect but not the same safety profile.

A drug that has the same bioequivalence and can be expected to have the same safety profile, but not the same clinical effect.

None

FDA Book

Which FDA book can you find more information surrounding therapeutic equivalence codes and equivalence?

Red

Purple

Orange

Green

None

Therapeutic Equivalence Example

Which of the following demonstrates therapeutic equivalence?

A Metoprolol ER generic rated BC to Toprol XL

A ezetimibe generic rated BX to Zetia

A rosuvastatin generic rated BT to Crestor

A losartan generic rated AB to Cozaar

None

Warfarin Vitamin Interaction

A patient is starting on warfarin and would like you to look through their supplement list and see if anything looks concerning. What vitamin would you be concerned about?

Vitamin D

Vitamin K

Vitamin C

Vitamin B6

None

10.

Nitro Sublingual Interaction

A patient was recently given nitroglycerin sublingual tablets. What medication on their current list should be consulted on?

Sildenafil

Atorvastatin

Metoprolol

Furosemide

None

11.

Gentamicin Ototoxicity Interaction

A patient is admitted to the hospital for a severe infection and begins on gentamicin. Which of their home meds is most likely to cause a drug-drug interaction resulting in ototoxicity?

Canagliflozin

Sertraline

Amlodipine

Furosemide

None

12.

Clopidogrel Interaction

A patient is being discharged after a heart attack and was prescribed clopidogrel. Looking over the patient's home medications you discover a medication that may decrease the effectiveness of the clopidogrel. What medication should the patient change to prevent that?

Enalapril

Omeprazole

Pioglitazone

Aspirin

None

13.

Buccal Administration

A patient is prescribed a medication to be administered buccally, and asks how to use the medication. What is the appropriate response?

Place under the tongue.

Swallow whole. Do not crush or chew.

Place it between your gums and cheek.

Let it dissolve on your tongue.

None

14.

Sertraline Liquid Calculation

A patient is being swapped from sertraline tablets to oral solution. The patient is taking 100mg daily. The stock bottle comes in a concentration of 20mg/mL. How many mL do you need to dispense for a 30 day supply?

50mL

100mL

125mL

150mL

None

15.

IM Administration Sites

Which of the following is NOT a common site for IM injections?

Abdomen

Thigh

Deltoid

Buttock

None

16.

Azithromycin Dosing

A patient is receiving 615 mg of Azithromycin daily, divided into 3 doses. If the patient weighs 20.5kg what is the dose in mg/kg for each dose?

30 mg/kg

20 mg/kg

15 mg/kg

10 mg/kg

None

17.

Cough Adverse Effect

A patient comes in to discuss a new development of a dry cough. Looking over their medication list, what would be the most likely cause?

Clopidogrel

Famotidine

Lisinopril

Acetaminophen

None

18.

Hydrocodone/Acetminophen SE

What would be a common side effect of hydrocodone/acetaminophen?

Headache

Constipation

Neutropenia

Fever

None

19.

Side Effect Matching

Which side effect and medication are accurately matched?

Doxycycline and Sun sensitivity

Penicillin and edema

Bactrim and neuropathy

Amoxicillin and dizziness

None

20.

Prednisone Side Effects

A patient is picking up prednisone and is curious about some side effects. Which list best describes some of the most common side effects?

Depression, inflammation, and weight gain

Mood changes, inflammation, and sun sensitivity

Mood changes, increased appetite, and sun sensitivity

Decreased appetite, inflammation, and weight loss.

None

21.

Seizure Medications

Which of these medications would NOT be considered for use in seizures?

Eszopiclone

Carbamazepine

Oxcarbazepine

Levetiracetam

None

22.

Herbal Supplement With Interactions

What herbal supplement is used as a mild antidepressant but interacts with a lot of medications?

St. John’s Wort

Capsaicin

Menthol

Cinnamon

None

23.

Water Compound - Days Supply

You have just compounded a water-based oral suspension. What is the appropriate day supply for this compound?

14 Days

30 Days

3 Months

6 Months

None

24.

Tablets Expiration in Vial

Assuming the expiration date is not before, how long after dispensing tablets is the vial considered good for?

1 month

6 months

1 year

2 years

None

25.

NTI

What definition best describes a narrow therapeutic index medication?

A drug where large differences in dose or blood concentration may lead to serious therapeutic failures and/or adverse drug reactions.

A drug where small differences in dose or blood concentration may lead to serious therapeutic failures and/or adverse reactions.

A drug where small differences in dose or blood concentration may lead to serious therapeutic failures but not adverse reactions.

A drug where small differences in dose or blood concentration may lead to serious adverse reactions but not therapeutic failure.

None

26.

NTI Medication

Which of the following is considered a narrow therapeutic index medication?

Prednisone

Furosemide

Tacrolimus

Amlodipine

None

27.

Ointment Preparation

You are preparing an ointment. Which of the following bases would NOT be appropriate to use?

Aquaphor

White Petrolatum

Eucerin

Dermabase

None

28.

Storage

During your discussion with a patient, they ask about the best place for their 30-day supply of Fluoxetine. What is the most appropriate storage location?

Bathroom (Hot and Wet)

Dresser top (Cool and Dry)

Kitchen (Hot and Dry)

Basement (Cool and Wet)

None

29.

NuvaRing Storage

Where would be an appropriate location to store your stock of NuvaRing?

Room Temperature (59-77 degrees F)

Refrigerator (36-46 degrees F)

Freezer (-13-14 degrees F)

Warmer (86-104 degrees F)

None

30.

Reconstituted Antibiotic Storage

Which of the following reconstituted antibiotics does not need to be refrigerated?

Augmentin Suspension

Penicillin VK Suspension

Keflex Suspension

Bactrim Suspension

None

31.

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None

Time's up

4 Comments

Matthew B Zimmerman on June 12, 2023 at 9:44 pm

Eric I question the indicated answer for storage of NuvaRing? The internet states storage should be room temperature (between 68 degrees F and 77 degrees F). The answer on this quiz indicates storage as refrigerated. the internet indicates room temperture storage of 4 months after you receive Nuvaring, then discard. Please respond.
Reply
- Eric Christianson on June 18, 2023 at 6:22 am
  
  Great question! It is recommended to store it in the fridge at the pharmacy prior to dispensing. Once it is dispensed to the patient it can be stored at room temp for up to 4 months.
  Reply
Ravi k aggarwal on December 22, 2023 at 9:35 pm

Impressive
Reply
Ali on January 6, 2024 at 4:40 pm

Really great mix of questions. Deeply appreciated as a review. Thanks!
Reply