Hospital And Clinical Pharmacy PDF

HOSPITAL AND CLINICAL PHARMACY 9. The following are factors that may exacerbate 1. Which of the following is NOT included in the established chronic renal failure, EXCEPT: treatment algorithm for allergic rhinitis?...

HOSPITAL AND CLINICAL PHARMACY 9. The following are factors that may exacerbate 1. Which of the following is NOT included in the established chronic renal failure, EXCEPT: treatment algorithm for allergic rhinitis? A. Hypotension D. Nephrotoxins A. Implement appropriate environmental controls. B. Prostatic hypertrophy E. Hypertension B. Consider Cromolyn if with sneezing, itching and C. Increased renal blood flow rhinorrhea. C. Administer intranasal steroids if with sneezing, 10. Another term for nearsightedness: itching, rhinorrhea, and nasal congestion. D. Give intranasal anticholinergics if with sneezing and A. astigmatism D. Presbyopia ocular symptoms. B. hyperopia E. Myopia E.I f symptoms still not controlled, consider Montelukast. C. exophthalmos 2. Clinical presentation of Acute Renal Failure includes: 11. Which of the following may cause “hairy tongue”? A. Edema D. A, B, C A. Hypercholesterolemia D. Liver disease B. Orthostatic Hypotension E. A and B B. Antibiotic therapy E. Aging C. Foamy urine C. Measles 3. Nail and nail beds are evaluated for which of the 12. Which strategy may be advised to a patient who following? considers Beta blockers unpleasant to take? A. Clubbing D. All of these A. Change the dosage regimen. D. A and B B. Cyanosis E. None of these B. Consider verapamil. E. All of these C. Trauma C. Encourage patient to use regularly. 4. Why is the Rinne Test performed? 13. Which of the following is NOT TRUE regarding Captopril? A. To assess equilibrium. B. To hearing acuity of high-frequency sounds. A. Taken once daily. C. To evaluate hearing in a person who hears better in B. First-dose hypotension may occur one ear than in the other. C. May worsen renal failure D. To compare air and bone conduction. D. Cough and taste disturbance may occur E. All of these E. Hyperkalemia may be expected 5. Blistering of the skin due to second-degree burns is 14. The following drugs may increase anticoagulant an example of a: effect, EXCEPT: A. Excoriation D. Nevus A. Ketoconazole D. Erythromycin B. Lichenification E. Bulla B. Estrogen E. Zafirlukast C. Millium C. Gemfibrozil 6. Method of assessing the sinuses: 15. Drug-induced bronchospasm due to reflex bronchoconstriction: A. Inspection D. Expression B. Percussion E. Auscultation A. Pilocarpine D. Penicillin C. Transillumination B. Aspirin E. Timolol C. Lactose dry powder 7. Which body position allows longer retention times for enemas? 16. Physical assessment technique of creating a note by tapping a finger placed on the body: A. Lithotomy D. Erect B. Supine E. Prone A. Palpation D. Direct percussion C. Sitting B. Auscultation E. Indirect percussion C. Ballotement 8. Grade for hepatic encephalopathy with experience of drowsiness and grossly impaired calculation ability. 17. Koilonychia is due to deficiency of ___________? A. Grade 0 D. Grade 3 A. Iron D. Water B. Grade 1 E. Grade 4 B. Vitamin B12 E. Vitamin C C. Grade 2 C. Calcium 18. Example of a Scale skin lesion: A. Research D. Patient care B. Wellness E. Expansion A, Hives D. Mouth sore C. Education B. Dandruff E. Wart C. Measles rash 27. Type of questioning: “What medication do you take for a headache?” 19. Which benzodiazepine is LEAST to be used among elderly patients? A. Direct Questioning D. Open-ended B. Indirect Questioning E. Close-ended A. Diazepam D. Lorazepam C. Probing B. Oxazepam E. Clonazepam C. Alprazolam 28. “Spell WORLD backwards” is an example of a test for what area of mental state? 20. First-line treatment for Myoclonic seizures: A. Orientation D. Registration A. Phenobarbital D. Valproate B. Attention E. Language B. Acetazolamide E. Topiramate C. Recall C. Phenytoin 29. Which information is under the Demographic 21. A patient is diagnosed with parkinsonian syndrome if database? patient has bradykinesia, plus one or more of the following: A. Patient Identification Number B. Physician and prescribers A. Classic rest tremor D. B and C C. Occupation B. Muscular rigidity E. A, B, and C D. Personality type C. Postural instability E. Ethnic background 22. These are orders for in-patients in hospitals and 30. Volunteer service belongs to which department in the other institutions written by physicians on forms: hospital? A. Physician’s Order Sheet D. Recipe A. Pharmacy service B. Prescription E. Patient’s Chart B. Medical Library C. Medication Order C. Business office D. Medical Social Service 23. The following are types of information under social/ E. Administrative economic database, EXCEPT: 31. When using the standardized outline approach, A. Daily activities D. Sexual History which of the following is NOT followed when writing B. Ethnic background E. A and D Progress Notes? C. Living arrangement A. Subjective data 24. “Health is a state of complete physical, mental, and B. Objective data social well-being and not merely the absence of disease C. Recommendation or infirmity.” This condition is according to which model? D. Impression E. None of these A. Environmental model D. Medical model B. Wellness model E. All of these 32. The question “Are agents available in commercial C. World Health Organization model formulation?” represents which request classification for drug information? 25. Patients of psychiatric conditions usually stay in which type of hospital? A. Adverse Drug Reaction B. Availability A. Non-governmental C. Compounding/ Formulation B. General D. Identification C. Long-term E. Compatibility/ Stability D. 400-499 bed-capacity E. Short-term 33. When looking for information regarding method of administration, which of the following drug information 26. Which function of the hospital is geared towards the sources may be the most useful? improvement of hospital services and advancement of medical knowledge against disease? A. Drug Facts and Comparisons B. RPS C. Goodman and Gilman’s Pharmacological Basis of 40. The USP contains nomograms for estimating body Therapeutics surface area (BSA) for both children and adults. Which D. Martindale: The Complete Drug Reference of the following measurements must be known in order E. USP DI to use the nomogram? 34. If the answer to the question “Do you cough up A. Age and height D. Height and weight blood?” is negative, which of the following is to be noted B. Age and weight E. Weight and sex that the patient denied of? C. Height and creatinine clearance A. Paroxysmal nocturnal dyspnea 41. Which of the following is a comprehensive, unbiased B. Hemoptysis source of current information on drugs often used as C. Shortness of breath hospital nursing stations, and serves as a basis for D. Exertional SOB pharmacists to extend their role as pharmaceutical E. Rales consultants to the medical profession? 35. This is an important tool for assuring the quality of A. Minimum Standard for Pharmacies in Hospitals drug use and controlling its cost in an institution such as B. Mirror to Hospital Pharmacy the hospital. C. International Pharmaceutical Abstracts D. American Journal of Health-System Pharmacy A. Essential drug list E. Drug Information B. Formulary system C. Formulary 42. Which class of stock system consists of a D. P&T Committee predetermined list of medications that are usually used E. Core list in large quantities and are prepackaged in standardized containers? 36. A facility where ambulatory patients are seen for appointments and treated by a group of physicians A. Unit-dose system practicing together. B. Charge floor stock C. Free floor stock A. Long-term health care facility D. Inpatient prescription system B. Clinic E. Coordinated control system C. Hospital D. County hospital 43. Aside from Policy Development, what is the other E. Resident treatment facility primary purpose of the P & T committee? 37. Which of the following belongs to the business A. Operation D. Education management or administrative side of the hospital? B. Organization E. Drug Administration C. Community Health A. Medical Records B. Medical Library 44. Water for injection is an example of drugs dispensed C. Biomedical Engineering in which type of stock system? D. Pharmacy Service E. Dietary and Nutrition Service A. Unit dose system B. Charge floor stock 38. Which of the following statements regarding C. Free floor stock questioning strategies for the pharmacist-patient D. Inpatient prescription system encounter is CORRECT? E. Coordinated control system A. Probing questions are assertive and aggressive. 45. Which of the following drug information may not be B. Precise information may be obtained using the close- found in Physician’s Desk Reference? ended questions. C. Open-ended questions are for narrow-focused A. Lactation D. Dosage answers. B. Drug of choice E. Product availability D. Direct questions encourages patient to elaborate. C. ADR E. All except A 46. Which of the following journals cover medical news 39. Which of the following body areas is last in the and original articles? sequence followed for physical examination? A. Drug Information Journal A. HEENT D. Neurological System B. Archives of Internal Medicine B. Genitals E. Lower extremities C. New England Journal of Medicine C. Rectum D. Medical Letter E. Annals of Pharmacotherapy A. Subjective D. Plan B. Objective E. Either A or B 47. Which of the following describes a medium intensity C. Assessment of feeling, which can be used in a medical interview? 55. Which one of the following is useful in the diagnosis A. Marvelous D. Blue and monitoring of liver disease? B. Upset E. Gloomy C. Distraught A. Amylase B. Hematocrit 48. The following statements regarding arterial blood C. Hemoglobin gases are true, EXCEPT: D. Human Chorionic Gonadotropin E. Bilirubin A. Alveolar hyperventilation if PaCo2