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NEW QUESTION # 57
The physician or a 73-year-oid patient recommended mat the patient begin taking an iron supplement. The patients current medication list includes:
* omeprazole 40mg daily
* warfarin 4mg daily
* metformin 500mg b.i.d
* simvastatin 40mc q.p.m
* llsinopril 10mg daily
Which of the patient's rredications is MOST likely to interfere with absorption of any iron supplement?
- A. Lisinoprll
- B. Warfarin
- C. Simvastatin
- D. Omeprazole
Answer: D
NEW QUESTION # 58
Gastrointestinal side effects are the MOST common adverse effects associated with which gout therapy?
- A. Colchicine
- B. Allopurinol
- C. Celecoxib
- D. Probenecid
Answer: D
NEW QUESTION # 59
Which intervention is MOST important for the prevention and treatment or COPD?
- A. Smoking cessation
- B. Pulmonary rehabilitation
- C. Regular physical exercise
- D. Pharmacologic treatment
Answer: A
NEW QUESTION # 60
A physician has diagnosed a patient with Addison's disease but believes the condition may be medication induced, if contained on the patient's current medication list, which of the following would MOST likely be the offending drug responsible for the diagnosis of this condition?
- A. Metoprololsuccinate
- B. Prednisone
- C. indomethacin
- D. Sitagtiptin/metaformin
Answer: D
NEW QUESTION # 61
A patient presents with stage 1 hypertension. Diabetes, and an atherosclerotic cardiovascular disease 10-year risk score of 7%. Current guidelines indicate that which medication wouldbe the MOST appropriate first-line therapy for the patient?
- A. Atenolol
- B. Amiodipine
- C. Irbesartan
- D. Hydrochlorothiazide
Answer: C
NEW QUESTION # 62
A patient has Been using rivastigmine transdermal patch for eight months but missed applying the medication for the last 15 days. Which recommendation would De MO ST appropriate for the pharmacist tor helping the patient resume adherence?
- A. Restart rivastigmine patch at the current dose.
- B. Restart rivastigmine at the current dose and add memantine.
- C. Restart rivastigmine at the lowest dose and titrate
- D. Restart rivastigmine put change to the oral dosage form.
Answer: A
NEW QUESTION # 63
When comparing demographics and other patient characteristics, which group of patients would typically show the LOWE ST rates of medication adherence to statin therapy?
- A. Patients with a previous history of congenital heart disease when compared to those without it
- B. Higher-income patients when compared to Medicaid patients
- C. Non-smokers when compared to patients that smoke
- D. Younger otherwise healthy patients when compared to older patients
Answer: D
NEW QUESTION # 64
What are the genes involved in the metabolism pathway or warfarin?
- A. CYP2D6, VKORC1
- B. CYP3A4, VKORC1
- C. CYP2C19, VKORC1
- D. CYP2C9, VKORC1
Answer: C
NEW QUESTION # 65
A male patient who was recently diagnosed with prostatitis was prescribed levofloxacin 500mg PO daily.
Which counseling point would be MOST important for a pharmacist to provide lo the patient?
- A. Consume meals nigh in Tat for the duration of therapy.
- B. Avoid drinking milk within 2 hours or taking levofloxacin.
- C. Take levofloxacin with an iron supplement
- D. Avoid grapefruit juice for the duration of therapy
Answer: B
NEW QUESTION # 66
A 55-year-old female patient presents to the pharmacy to pick up her monthly medications. Her medication history includes: methotrexate 7.5mg once weekly, losartan 50mg once daily, alprazolam 0.5mg b.i.d. p.r.n., atorvastatin 10mg daily, glipizide 10mg daily, and metformin 500mg daily. She presents a new prescription to the pharmacy for folic acid 1mg daily and Bactrim DS 160/800mg 1 tablet b.i.d. for 5 days for a UTI. She states that a recent diagnosis of folate deficiency was contributing to her "weakness and fatigue." Which of the following medications can be contributing to her folic acid deficiency?
- A. Glipizide
- B. Methotrexate
- C. Losartan
- D. Bactrim DS
Answer: B
NEW QUESTION # 67
Which combination is an integrase-strand-transfer-inhibitor-based regimen used in the treatment of HIV?
- A. Doravirime. tenofovr. emtricitabine
- B. Darunavir. ritonavir, tenofovir. emtricitabine
- C. Darunavir. tenofovir. emtricitabine
- D. Dokjtegravii. lenofovir, emtricitabine
Answer: C
NEW QUESTION # 68
A patient who is taking norethindrone 0.35mg daily for contraception is 5 hours late for a dose. How many hours must pass for a dose of norethindrone to be considered MISSED?
- A. 0
- B. 1
- C. 2
- D. 3
Answer: B
NEW QUESTION # 69
A pharmacist places the following note in the Plan section or a patients soap note:
'Recommend patient increase ibuprofen 200mg to q.I.d scheduled dose Patient agrees.
Which description of an error with this note is most accurate?
- A. It introduces new Information that should be included in the Subjective section
- B. it includes irrelevant information mat should have been excluded.
- C. it should have been placed in the Objective section.
- D. it is missing a follow-up and monitoring plan
Answer: D
NEW QUESTION # 70
Apatient removed an etonogestre1/etradio1 (Nuvaring) before intercourse, left it out for 4.5 hours, and then re- inserted the ring as directed. The patient did not intend to leave the ring out for thatlong and fears becoming pregnant. Whichcounseling point would be BEST to provide to the patient?
- A. Continue using the ring as directed and use a backup birth control during future intercourse
- B. Use a backup birth control method until the ring has been in place for 7 days.
- C. Directions were property followed and continue using the ring as directed.
- D. Use a backup birth control method until the ring has been in place for 3 days
Answer: D
NEW QUESTION # 71
in treating venous thromboembolism, which direct oral anticoagulant would be BEST for maintenance treatment in a 78-yeaf-oia adult who has a creatinine clearance of 23mL/min and weighs less than 60Kg?
- A. EdoxaDan 30mg PO daily
- B. Apixaban 5mg PO b.i.d.
- C. Rivaroxaban 20mg FO daily
- D. Dabigatran I50mg PO b.i.d.
Answer: B
NEW QUESTION # 72
A patient with a history of hypertension and Design prostatic hyperplasia presents with complaints of nasal congestion. Which medication would be most appropriate to recommend?
- A. Acetaminophen
- B. Cetirizine
- C. Fluticasone nasal spray
- D. Pseudoephedrine
Answer: C
NEW QUESTION # 73
A pharmacist is conducting a medication review for a 56-year-old female patient who has been diagnosed with rheumatoid arthritis. The patient states that she takes methotrexate once each week and that it seems to be helping her symptoms. The patient has also been prescribed folic acid daily but mentions often forgetting to take the medication. Based on this interaction, which recommendation would be BEST for the pharmacist to include in the patient's medication-related action plan (MAP)?
- A. Discontinue the folic acid.
- B. Take the folic acid during a daily activity, such as teeth brushing.
- C. Change the folic acid dosing to a weekly dosing that aligns with methotrexate.
- D. Switch the methotrexate weekly to hydroxychloroquine daily.
Answer: B
NEW QUESTION # 74
For a patient who has pulmonary arterial hypertension and acute vasoreactivity, which medication is the preferred treatment?
- A. Verapamil
- B. Amlodipine
- C. Hydrochlorothiazide
- D. Metoprolol
Answer: B
NEW QUESTION # 75
A 67-year-oiapatient with a history of type 2 diabetes and hypertension presents to the pharmacy and asks to receive the recombinant zoster (shingles) vaccine (RZV) the patient reports receiving the zoster vaccine live (ZVL) at a doctors office 10 weeks ago because the recombinant vaccine was out of stock Which response to the patient's immunization request would be MOST appropriate?
- A. "You have to wait 12 weeks from your ZVL to get an initial dose of RZV. so you should come back in
2 weeks." - B. "You can receive a dose or RZV today, followed by a second dose in 2 to 6 weeks."
- C. "You cannot get the RZV since you already received the ZVL. andthere is no need to get it since you are already immunized."
- D. "You can receive a dose of the RZV today followed by the second dose in 2 to 6 months "
Answer: D
NEW QUESTION # 76
While performing a medication review for a patient who was diagnosed with asthma last year, the pharmacist notes current use of an albuterol inhaler, as needed, which is typically 2 to 4 times per week when the patient's symptoms Hare up. The patient is not Inking any other medicatians for asthma Based on this information, which therapy should the pharmacist recommend to the patient's provider?
- A. Add monteiukast QMS.
- B. Change the albuterol inhaler to a formoterol as monotherapy.
- C. Change the albuterol Inhaler to a prednisone burst p.r.n
- D. Add a budesonide Inhaler b.i.d
Answer: A
NEW QUESTION # 77
A 45-year-oid patient with a medical history or hypertension. hypercholesterolemia, chronic pain from cancer, and obesity is taking
* phentermine 37 5mg daily
* losartan-HCTZ 50/25 daily
* rosuvastatin 20mg daily
*oxycodone 30mg one tablet dally every 6 hours p.r.n. (#120)
The patient presents to the pharmacy with a prescription of oxycodone 30mg hut two tablets every 6 hours prn tor pain (#240); The pharmacist notices an increase in the dosage of the medication with360MME on this prescription. The patient states that the old dosage was not helping their pain, so the doctor increased the dose.
taking more as needed Tor pain relief. Which of the following recommendations would be best for the pharmacist to present to the patient's prescriber?
- A. increase their oxycodone quantity and recommend naloxone spray.
- B. Decrease their oxycodone quantity and recommend an extended release with naloxone spray
- C. Decrease oxycodone quantity and recommend naloxone spray.
- D. increase oxycodone quantity and recommend a laxative
Answer: B
NEW QUESTION # 78
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