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Foreign

Pharmacy
Graduate
Equivalency
Examination
(FPGEE)

Study Guide
FPGEE Study Guide

2002 by the National Association of Boards of Pharmacy. All rights reserved.

No part of this publication may be reproduced in any manner without the written permission of the Executive
Director/Secretary of the National Association of Boards of Pharmacy. Violation of the copyright will lead to prosecution
under federal copyright laws.

National Association of Boards of Pharmacy reg. no. 1,162,334


NABP reg. no. 1,160,482
Foreign Pharmacy Graduate Equivalency Examination reg. no. 2,270,607
FPGEC reg. no. 2,113,836
FPGEE reg. no. 2,337,295

National Association of Boards of Pharmacy


Foreign Pharmacy Graduate Examination Committee
1600 Feehanville Drive
Mount Prospect, IL 60056
USA
847/391-4406
www.nabp.net

Carmen A. Catizone, MS, RPh, DPh


Executive Director/Secretary
12/04
Table of
Contents
FPGEE Blueprint ............................................................................... 1
Sample Questions ............................................................................... 5
Answer Key....................................................................................... 17
Textbooks Commonly Used in US Pharmacy Schools ....................... 19
FPGEE Blueprint

FPGEE Blueprint 8. Reproductive system


The Foreign Pharmacy Graduate Equivalency Ex- 9. Nervous system
amination (FPGEE) is based on a nationally uni- 10. Musculoskeletal system
form content blueprint. The blueprint provides 11. Dermatological system
important information about the topics covered on 12. Eye, ear, nose, and throat
the examination and the knowledge you are expected C. Pathogenic microbiology
to demonstrate while taking the FPGEE. 1. Classification of microbiological disease
The FPGEE is uniformly developed, administered, agents
and scored under policies and procedures developed
2. Characteristics and activities of micro-
by NABPs Advisory Committee on Examinations
biological disease agents
and approved by NABPs Executive Committee. The
content of the FPGEE is approved by practitioners 3. Etiology of infectious disease (viruses,
and educators from around the country through their bacteria, algae, protozoa, ameba, fungi,
service as Examination Review Committee members rickettsia, parasites, etc)
and item writers. 4. Pathogenic mechanism and host reaction
All candidates are tested on their mastery as out- 5. Infection control
lined in the FPGEE Blueprint. The FPGEE Blueprint D. Immunology
provides an outline of the topics covered on the ex- 1. Organization of the immune system
amination. It offers important information about the 2. Cells of the immune system
knowledge, judgment, and skills you are expected to 3. Cytokines
demonstrate. A strong understanding of the Blueprint 4. Immunoglobulins
will aid in your preparation to take the examination.
5. Complement system
The following FPGEE Blueprint provides impor-
tant information about the topics covered on the ex- 6. Autoimmune disorders
amination and the knowledge you are expected to 7. Methods of evading the immune system
demonstrate while taking the FPGEE. A strong un- 8. Active and passive immunizations
derstanding of the Blueprint will aid in your prepara- 9. Monoclonal antibodies
tion to take the examination. 10. Vaccine technologies
Note: Information concerning the format of the 11. Immunosuppressants
FPGEE will be provided in writing along with future 12. Immunostimulants
examination dates.
13. Adverse immune reactions
I. General Sciences (15%)
E. General chemistry

FPGEE Blueprint
A. Biology
1 Nomenclature (IUPAC)
1. Basic principles of living matter
2. Atomic and molecular structure (includ-
2. Chemical basis of life ing physical forces of interaction)
3. Cellular basis of plant and animal life 3. States of matter (gases, liquids, solids)
4. Morphology (including cell structure) 4. Stoichiometry
5. Genetics (including DNA/RNA informa- 5. Ionization and pH (not including buff-
tion transfer) ers)
B. Anatomy and physiology 6. Chemical equilibrium and reactivity
1. Gross body structures and functions 7. Chemical thermodynamics
2. Circulatory and cardiovascular systems 8. Chemical and instrumental analysis
3 Hematologic, hepatic, and lymphatic 9. Nuclear chemistry (radioactivity)
systems
F. Organic chemistry
4. Gastrointestinal system
1. Nomenclature (IUPAC)
5. Urinary system
2. Molecular structures, bonding, reso-
6. Respiratory system nance, tautomerism, stereochemistry
7. Endocrine system

1
3. Functional group chemistry 2. Reaction kinetics (0, 1, 2 order, rate law
4. Classes of compounds (structure and char- expressions, etc)
acteristics) 3. pH effects on stability (acid and base catalysis)
5. Types of reactions and reaction mecha- 4. Stability prediction (including Arrhenius Law)
nisms (reduction, oxidation, addition, elimi- 5. Incompatibilities
nation, hydrolysis, substitution, etc) 6. Diffusion
6. Stoichiometry F. Solubility
G . Biochemistry 1. Functional group effect on solubility
1. Descriptive chemistry, metabolic and bio- 2. Factors affecting solubility and dissolu-
chemical roles, biosynthesis, biodegrada- tion rate
tion, and nomenclature 3. Surfactants and micelles
2. Intermediary metabolism G. Equilibria
3. Metabolic diseases 1. Basicity and acidity (including buffers)
4. Nutrition biochemistry (vitamins, minerals, 2. Partitioning phenomena
essential fatty and amino acids, etc)
3. Complexation
5. Enzyme kinetics
4. Protein binding
II. Pharmaceutical Sciences (30%) 5 Adsorption-desorption processes
A. Fundamentals of drug action 6. Incompatibilities
1. Dose response relationships 7. Colligative properties
2. Absorption, distribution, and elimination H. Dosage forms (traditional and novel)
3. Metabolism 1. Rationale for use
4. Adverse reactions (toxicity, side effects, 2. Characterization of the bulk drug (including
abuse, etc) micromeritics)
B. Interaction of drugs with biological systems 3. Preparation, processing, and function (in-
1. Relationship of chemical structure to bio- cluding excipients)
chemical mechanism of action 4. Tests and criteria of performance
2. Stereochemical factors 5. Definitions and nomenclature
3. Structure-activity relationships within a se- 6. Routes of administration
ries of drugs I. Pharmaceutical calculations
4. Drug design strategies and development 1. Metrology
(Prodrugs, isosteres, drug latentiation, etc)
2. Calculation of drug dosage from appropriate
5. Active medicinals from natural sources data
C. Mechanism/Site of Action 3. Calculation of moles, millimoles,
1. Rationale for use of a drug (mechanistic, in- milliequivalents, and milliosmols
dication, and use) 4. Isotonicity calculations
2. Dosage regimen 5. Density, specific gravity, dilution, and con-
3. Precautions, including contraindications and centration calculations
toxicity (patient age, weight, gender, disease J. Pharmaceutical dispensing
factors, dosage schedule and pharmacoki-
1. Verification and interpretation of prescrip-
netic factors, effects of other drugs, foods,
tions
and environmental factors, incompatible
combinations) 2. Performance of packaging and labeling
functions
D . Pharmakinetics
3. Extemporaneous compounding
1. Basic concepts and principles
4. Patient advising
2. Bioequivalence and bioavailability
K. Biotechnology
3. Pharmacokinetic models and quantification
of absorption, distribution, and elimination 1. Principles
4. Multi-dose regimens 2. Methodologies
5. Linear and nonlinear pharmacokinetics 3. Products
6. Functions and graphs III. Biomedical/Clinical Sciences (35%)
E. Kinetic phenomena A. Epidemiology
1. Decomposition mechanisms (hydrolysis, 1. Basic concepts of epidemiology (incidence,
oxidation, racemization, decarboxylation, prevalence, risk ratio, etc)
photochemical, etc)

2
2. Age-related disorders (pediatrics, geriat- 3. Payment and reimbursement
rics, etc) 4. Supply and demand (health care ser-
3. Health promotion and disease prevention vices, medicines/drug products, eco-
(risk factors for development of dis- nomic modeling, etc)
ease, vaccination schedules in normal 5. Economic evaluation of medicines and
hosts, post-exposure vaccinations/pro- therapy (quality of life, outcomes
phylaxis, wellness and self-care, etc) [therapeutic/clinical/humanistic/cost],
B. Pathophysiology pharmacoecononiic analyses, DUE/DUR
1. Pathophysiologic alterations of disease programs, etc)
(physical assessment, laboratory tests B. Ethics/Jurisprudence
and home diagnostics, disease diagno- 1. Jurisdiction: state vs federal
sis, signs and symptoms of disease, eti- 2. Statutes and regulations
ology, etc) 3. Regulatory agencies federal and state
2. Disease process (course of disease, (FDA, Public Health, DEA, FTC,
prognosis, non-drug treatment, etc) HCFA, etc)
3. Drug-induced diseases 4. Ethical principles and practice appli-
C. Clinical pharmacology and therapeutics cations
1. Rational pharmacologic treatment of C. Health care systems
disease (drug of choice, rationale for 1. Delivery of care/organizations
selection, etc) 2. Private and public programs (Medicare/
2. Monitoring of drug therapy (parameters Medicaid, insurance)
of efficacy, parameters of toxicity, etc) 3. Types of non-pharmacist providers and
3. Adverse drug reactions (hypersensitivity their roles
reactions, dose-related reactions, pre- 4. Drug development process
vention, etc)
D . Communication and information technology
4. Drug interactions
1. Patient consultation
5. Individualization of drug dosage (clinical
2. Health care professional communications
phannacokinetics, drug dosage in renal
failure dialysis, etc) 3. Barriers to communication
D. Clinical toxicology 4. Information systems
E. Management
1. Etiolo
1. Financial management
E. Clinical nutrition
2. Personnel management
1. Nutrition-related disorders (obesity, pro-
3. Marketing management
tein/calorie malnutrition, drug-nutrient
interactions, etc) 4. Organization
2. Nutrition support (oral supplements, en- F. Marketing
teral nutrition, parenteral nutrition, etc) 1. Health care professionals (influencing
F. Literature evaluation market)
1. Drug information resources (computer 2. Services

FPGEE Blueprint
applications; primary, secondary, and 3. Advertising
tertiary literature, etc) 4. Industry
2. Clinical trial design (hypothesis testing, 5. Products
randomization, sampling, blinding, etc) G . Professional practice settings, trends, and
3. Statistical tests (descriptive statistics, activities
parametric tests, non-parametric tests, 1. Practice and practice interfaces (institu-
etc) tional, community based, educational/
IV. Economic, Social, and Administrative academic, pharmaceutical industry,
Sciences (20%) government, professional organizations,
etc)
A. Health care economics
2. Trends (manpower/practice patterns,
1. Health care costs (systems and pharma-
movements, issues, etc)
ceuticals)
3. Practice activities of pharmacists
2. Trends

3
H. Social/Behavioral 3. Compliance (personal perception of illness,
1. Socialization/professionalism (development reinforcements, compliance measures, vari-
of professional identity, role conflict inter- ables affecting compliance, patient educa-
nal and external, agents of socialization, ef- tion, compliance programs, etc)
fects of socialization in pharmacy, etc) 4. Factors affecting drug use legitimate and
2. Illness/Behavior (models describing illness/ illicit (peer pressure, cultural considerations,
behavior, health belief models, effect of ill- environmental considerations, economic/in-
ness on significant others, strategies of in- come considerations, legal and political con-
tervention, self-care, etc) siderations, patient demographics, etc)

4
Sample Questions

Sample Questions 5. The ratio of ionized to non-ionized mercaptan in a


The following questions are typical of those found on solution is 10:1. The mercaptan has a pKa of 7.6.
the FPGEE. However, their overall difficulty is not nec- What is the pH of the solution?
essarily representative of the overall difficulty of the ac- A. 6.6
tual examination, nor do they provide a complete B. 7.6
overview of the content of the entire 300-item examina- C. 8.6
tion. The questions are organized by the four major con- D . 8.9
tent areas of the examination. Figures in parentheses
indicate the percentage of items that are covered by that 6. If enantiomorphs are considered to be different
area. For example, 15% of the 300 items on the exami- compounds and if any one-hydrogen atom is re-
nation relate to Area I, General Sciences. An answer key placed with a chlorine atom, the compound be-
is provided on page 24. low will produce how many monochloro
derivatives?
I. General Sciences (15%) CH3
1. Which of the following statements about perni-
cious anemia is true? CH3 CH CH2 C CH3
A. It occurs only in adults.
CH3 CH3
B. It is caused by a deficiency of intrin-
sic factor.
C. It is caused by insufficient iron A. 4
absorption. B. 5
D . The best treatment is oral vitamin B12. C. 6
D. 7
2. Which of the following structures can enable a cell
to synthesize different products simultaneously 7. What is the preferred IUPAC system name of the
within different regions of the cytoplasm? compound shown below?
A. Golgi bodies Br
B. Endoplasmic reticulum
C. Mitochondria
D . Lysosomes
CH 3
3. When the equation below is balanced, how many
moles of O2 are needed to consume 1 mole of

Sample Questions
A. 1-Bromo-3-methylcyclohexene
C4H8O2 ? B. 2-Bromo-6-methylcyclohexene
C4H8O2 + O2 CO2 + H2O C. 1-Methyl-3-bromo-2-cyclohexene
A. 3 D . 3-Methylcyclohexene bromide
B. 5
C. 6 8. Essential amino acids include which of the fol-
D . 10 lowing?
I. Methionine
4. Infectious mononucleosis is associated with: II. Lysine
I. heterophil antibody formation. III. Leucine
II. Epstein-Barr virus.
III. coxsackievirus type A. A. I only
B. I and II only
A. I only C. II and III only
B. I and II only D . I, II, and III
C. II and III only
D . I, II, and III 9. How many milligrams of silver nitrate would be re-
quired to prepare 60 mL of a 0.4% w/v solution?

5
A. 1.56 peroxide in the erythrocyte to be
B. 15.6 reduced.
C. 240 D . the diversion of glucose 6-phos-
D. 384 phate into the glycolytic pathway.

10. Which of the following molecules should have 15. What two immunoglobulins normally are active
the largest dipole moment? in the respiratory secretions?
A. Cl H A. IgA and IgE
B. IgA and IgM
C=C C. IgD and IgM
Cl H D . IgG and IgM

B. Cl Cl 16. Which of the following statements about the


bodys potassium is FALSE?
C=C A. Acidosis elevates the level of serum
Cl Cl potassium.
B. When body mass is reduced, body
C. H3C H potassium is reduced.
C=C C. Most body potassium is found within
the intracellular compartment.
H3C H D . Administration of glucose and
insulin causes hyperkalemia.
D . Cl H
17. The most common organisms isolated from
C=C
intra-abdominal infections are:
H Cl A. Escherichia coli and Bacteroides
fragilis.
11. The anticodon is found in which of the B. Escherichia coli and Staphylococ-
following? cus aureus.
A. Ribosomal RNA C. Pseudomonas aeruginosa and
B. Messenger RNA Bacteroides fragilis.
C. Transfer RNA D . Pseudomonas aeruginosa and
D . DNA Staphylococcus aureus.

12. Dietary fiber consists primarily of: 18. Which of the following is NOT considered an
immune-complex disease in humans?
A. lipids.
B. proteins. A. Amyloidosis
C. minerals. B. Serum sickness
D . carbohydrates. C. Ampicillin skin rash
D . Post-streptococcal glomerulonephritis
13. An acidic solution should result when 1 L of
water is added to 0.1 mole of: 19. Relative to other nodes, the SA node:
A. sodium chloride. A. is located in the right atrium.
B. ammonium chloride. B. causes the strongest impulse
C. phenobarbital sodium. formation.
D . potassium bicarbonate. C. has the greatest rate of impulse
formation.
14. In glucose 6-phosphate dehydrogenase defi- D . is completely independent of neural
ciencies, hemolysis may be caused by: control.
A. a level of NADPH inadequate to
20. Food poisoning can be caused by a species of:
maintain the required level of
reduced glutathione in the erythro- A. Klebsiella.
cyte. B. Bacteroids.
B. an inadequate level of hydrogen C. Salmonella.
peroxide in the erythrocyte mem- D . Pseudomonas.
brane.
21. Which of the following pairs of molecules
C. an accumulation of NADPH, which
would most likely exhibit a dipole-induced di-
causes the level of hydrogen
pole interaction?

6
A. Benzene, hexane C. blocking the muscarinic receptors.
B. Benzene, benzene D . blocking the H2-receptors.
C. Ethanol, ethanol
29. Which of the following statements about the
D . Ethanol, benzene absorption of drugs administered subcutane-
22. An aqueous alkaline solution is formed by: ously is FALSE?
A. calcium chloride. A. The SC route avoids first-pass
B. cetylpyridinium chloride. metabolism in the liver.
C. atropine sulfate. B. The absorption phase can be
D . cefazolin sodium. prolonged by injecting a suspension.
C. Absorption is faster from SC
II. Pharmaceutical Sciences (30%) injections than from IM injections.
D . Substances that produce local
23. An amine base that is not metabolized and has
vasoconstriction can be used to
a pKa of 7 will be reabsorbed from the renal tu-
decrease the rate of SC drug
bules most quickly if the pH of the urine is ad-
absorption.
justed to:
A. 4. 30. Which of the following statements about lyo-
B. 6. philic colloidal dispersions is true?
C. 7. A. They tend to be more sensitive to
D . 8. the addition of electrolytes than
lyophobic systems.
24. Which of the following compounds has the B. They tend to be more viscous than
lowest numerical pKa value? lyophobic systems.
A. Phenol C. They can be precipitated by pro-
B. p-Nitrophenol longed dialysis.
C. p-Methoxyphenol D . They separate rapidly.
D . p-Methylphenol
31. The following question refers to the pH profile
25. Which of the following substances is an inhibi- shown below.
tory neurotransmitter?
A. -Aminobutyric acid
B. Norepinephrine
C. Acetylcholine slope = -1
D . Serotonin log Kapp
26. Which of the following diuretics works prima- slope = +1
rily by inhibiting sodium and chloride reabsorp-
tion in the ascending Henles loop?
A. Spironolactone
B. Chlorothiazide

Sample Questions
C. Furosemide
2 4 6 8 10 12
D . Mannitol
pH
27. Antihypertensives that act by stimulating
2-receptors include: From this pH profile, the pharmacist can deter-
mine that pilocarpine hydrolysis is:
I. methyldopa.
II. clonidine. A. more susceptible to catalysis by
III. hydralazine. OH than catalysis by H+.
B. more susceptible to catalysis by H+
than catalysis by OH .
A. I only
C. equally susceptible to catalysis by
B. I and II only
H+ and OH.
C. II and III only
D . susceptible to buffer catalysis.
D . I, II, and III
32. Which of the following is a bactericidal antitu-
28. Cimetidine exerts its pharmacologic action by:
bercular drug that inhibits cell wall synthesis?
A. inhibiting renin secretion.
A. Rifampin
B. stimulating 2-adrenergic receptors.
B. Isoniazid

7
C. Ethambutol C. 2k + 1
D . Streptomycin D . 0.693/k
33. Drugs undergoing the second phase of enzy- 38. Which of the following statements about an
matic transformations are usually converted injectable phenytoin preparation is true?
from an active compound into an inactive com- A. It will not be absorbed from IM
pound by: sites.
A. oxidation. B. It must not be administered by IV
B. reduction. injection.
C. hydrolysis. C. It must be solubilized in an acidic
D . conjugation. solution.
D . It precipitates after IM injection.
34. The steroid shown below functions as:
OH 39. In the compound shown below, what are the
H3C relative basicities of the nitrogen atoms as
numbered (strongest base first, weakest base
H3C
last)?

1
O O
A. an estrogenic hormone. CH3 N O CH3
C
B. an androgenic hormone.
C. a mineralocorticoid. H
D . a glucocorticoid. N N

35. The following two systems were prepared 2 H CH3 3

without a surfactant.
System A System B A. 1 > 2 >3
Volume of oil 20 mL 100 mL B. 2 > 3 >1
Droplet radius 1 1 C. 3 > 1 >2
Interfacial tension 80 dyne/cm 80 dyne/cm D. 3 > 2 >1
Volume of water 250 mL 250 mL
40. If, at a constant ionic strength, the rate of hy-
Which of the following statements about the drolysis of a compound is 10 times faster at a
thermodynamic stability of System A is true? pH of 2 than at a pH of 3, the reaction is
A. It is as stable as System B. probably catalyzed by a:
B. It is 5 times more stable than A. general acid.
System B. B. general base.
C. It is 10 times more stable than C. specific acid.
System B. D . specific base.
D . It is 25 times more stable than
System B. 41. The half-life of a drug is 9 days. A single 0.5-
mg dose of the drug yields an [AUC] value
36. Six hours after 500 mg of a drug is adminis- of 408 ng h/mL. In nanograms per milliliter,
tered by IV injection, a patients plasma con- what plasma level will result at steady state if
centration is 10 g/mL. If the half-life (t ) of this product is given once daily and is 77%
this drug is four hours and the minimal effec- bioavailable?
tive concentration (MEC) is 2 g/mL, how A. 5
many hours after the first dose should a second B. 13
dose be administered?
C. 17
A. 4.0 D . 23
B. 6.0
C. 15.4 42. 5-(4-Hydroxyphenyl)-5-phenyl-2,4-
D . 20.5 imidazolidinedione is a major metabolite of:
A. phenytoin.
37. First-order half-life is equal to which of B. mephobarbital.
the following? C. phenobarbital.
A. 1/k D . valproic acid.
B. k

8
43. The radioactive decay of radium has a rate con- 49. The major metabolic product that results from aro-
stant of 4.22 x 10-4 per year. How many years will matic hydroxylation of toluene in humans is:
it take for 20% of the radium initially present to de- A. o-hydroxytoluene.
grade? (The amount initially present can be speci- B. m-hydroxytoluene.
fied as 100%.) C. p-hydroxytoluene.
A. 230 D . benzyl alcohol.
B. 529
C. 1,000 50. Drug oxidation is NOT likely to be prevented by:
D . 3,815 A. adding EDTA to the solution.
B. adding ascorbic acid to the solution.
44. Tetracycline must NOT be taken concurrently with C. removing CO2 from the solution.
antacids because: D . protecting the solution from light.
A. antacids destroy tetracycline in the
stomach. 51. What effect do alkaline buffers have in commercial
B. antacids chelate tetracycline, thus formulations of aspirin?
reducing its absorption. A. They increase the rate of absorption of
C. antacids increase the risk of tetracy- aspirin by alkalinizing the pH of the
cline-induced renal toxicity. stomach contents.
D . the combined use of tetracycline and B. They have no effect on the rate of
antacids causes an exothermic reaction absorption of aspirin from the GI tract.
that results in GI damage. C. They increase the rate of absorption of
aspirin by increasing the pH immedi-
45. Which of the following drugs is a direct-acting ately around the disintegrating aspirin
cholinergic antagonist? particles and accelerating their disso-
A. Demecarium bromide lution.
B. Physostigmine D . They reduce the rate of absorption of
C. Neostigmine aspirin from the GI tract by converting
D . Tolterodine aspirin to the less readily absorbed ionic
form.
46. Which of the following surfactants is incompatible
with bile salts? 52. A solution initially contains methyl acetate (0.01 M)
A. Polysorbate 80 and sodium hydroxide (0.01 M). The solution is
B. Potassium stearate unbuffered and both reacting species are con-
C. Sodium lauryl sulfate sumed. If the rate constant for this reaction at
D . Benzalkonium chloride 25C is 1.082 liters/(molemin), how many minutes
will it take for the concentration of methyl acetate
47. Which of the following lists of compounds is to fall to 0.0090 M?
ranked according to expected ability to penetrate A. 92.4
lipid membranes? B. 33.6
A . Oxytetracycline > tetracycline > C. 10.3
doxycycline D . 0.10

Sample Questions
B. Doxycycline > tetracycline > oxytet-
racycline 53. If the concentration of reactant A is doubled in a
C . Tetracycline > doxycycline > oxytet- reaction that is third order in A, by what factor will
racycline the rate of reaction change?
D . Tetracycline = doxycycline > oxytet- A. 2
racycline B. 3
C. 6
48. What two proteins are most commonly involved in D. 8
plasma protein binding?
A. Globulin and plasmin 54. Which of the following sulfonylurea oral
B. Globulin and albumin hypoglycemics has the longest duration of action?
C. Fibrin and plasminogen A. Glyburide
D . Fibrin and plasmin B. Tolbutamide
C. Chlorpropamide
D . Glipizide

9
55. True statements about tissue plasminogen activa- C. Oxidation and reduction reactions
tors include which of the following? are enhanced.
I. They increase the conversion of D . The blood-brain barrier is less
fibrinogen to fibrin. permeable than in normal sub-
II. They increase the extent of the jects.
formation of plasmin at the site of the
fibrin clot. 61. Which of the following statements about ac-
III. They are more selective than uroki- etaminophen-induced liver damage is true?
nase and streptokinase. A. It causes hepatic cholestasis.
B. It usually produces jaundice and
A. I only stupor within 24 hours of drug
B. I and II only intake.
C. II and III only C. It is likely to lead to chronic renal
disease.
D . I, II, and III
D . It is lessened if N-acetyl-L-
56. A 24-hour urine sample is collected from a pa- cysteine is given within 24 hours.
tient who has noninsulin-dependent diabetes mel-
litus (Type 2) and a stable creatinine level of 2 62. Which of the following parameters is el-
mg/dL. The sample shows a total volume of 1400 evated in uncomplicated primary hypothy-
mL and a creatinine concentration of 100 mg/dL. roidism?
In milliliters per minute, what is the approximate A. Triiodothyronine (T3 )
glomerular filtration rate for this patient? B. Thyroxine (T4 )
A. 50 C. Thyroxine-binding globulin (TBG)
B. 75 D . Thyroid-stimulating hormone
C. 100 (TSH)
D . 200 63. Asthma is NOT characterized by:
57. Retroviral transduction is characterized by: A. bronchospasm.
A. uncoating of viral DNA. B. shortness of breath.
B. blockade of viral mRNA production. C. a prolonged inspiratory period.
C. incorporation of viral RNA into the D . decreased forced expiratory
nucleus. volume.
D . expression of viral genes in dividing 64. Hypertension may be a risk factor in the de-
cells. velopment of:
III. Biomedical/Clinical Sciences (35%) I. atherosclerosis.
II. renal insufficiency.
58. Which of the following is a non-parametric test? III. congestive heart failure.
A. Chi-square
B. t-test A. I only
C. F-test B. I and II only
D . Analysis of variance C. II and III only
59. Which of the following drugs is indicated for the D . I, II, and III
treatment of hyperphosphatemia associated with 65. The initial effects of diazepam in treating sta-
renal failure? tus epilepticus diminish in a short time, be-
A. Calcium carbonate. cause:
B. Sodium bicarbonate. A. the metabolic rate increases when
C. Magnesium carbonate. the patient has a seizure.
D . Potassium chloride. B. diazepam has minimal efficacy for
status epilepticus.
60. Which of the following statements about chronic
C. diazepam is redistributed to other
renal failure is true?
tissues.
A. Protein binding of drugs is generally D . diazepam is eliminated within
decreased. hours.
B. Peripheral sensitivity to insulin is
enhanced.

10
66. A patient who has severe pneumocystis carinii 70. Dilated pupils, blurred vision, dry mouth, con-
pneumonia should be given corticosteroids stipation, and tachycardia are symptomatic of
and: poisoning by:
A. trimethoprim - sulfamethoxazole. A. a neuromuscular blocker.
B. erythromyacin. B. a cholinergic stimulant.
C. doxycycline. C. an anticholinergic agent.
D . ciprofloxacin. D . an -adrenergic stimulant.
67. Which of the following sources does NOT in- 71. Hypokalemia may develop during treatment of
clude documentation from the primary literature? severe diabetic ketoacidosis as a result of:
A. APhA Handbook of Non-prescrip- I. effective insulin therapy to increase
tion Drugs utilization of glucose.
B. APhA Evaluation of Drug Interac- II. dilution of body fluid with potas-
tions sium-free solutions.
C. AHFS Drug Information III.correction of metabolic acidosis.
D . Drugdex Information System
A. I only
68. A 91-year-old nursing home patient has
B. I and II only
Alzheimers disease and congestive heart fail-
ure that is being treated with digoxin. The pa- C. II and III only
tient is now to be administered imipramine for D . I, II, and III
depression. What is the best dose and regimen 72. Inflammation of the synovium is the primary
of imipramine for this patient? tissue pathology for:
A. 10 mg bid initially, increased slowly A. gouty arthritis.
into the therapeutic range B. rheumatoid arthritis.
B. 25 mg tid, increased to 50 mg tid in C. osteoarthritis.
1 week
D . infectious arthritis.
C. 75 mg at bedtime
D . 150 mg at bedtime 73. Which of the following best exemplifies the
null hypothesis?
69. A patient has been taking 30 U of Lente in-
A. The effect of A is greater than that
sulin every morning before breakfast. His
blood glucose levels for the past several of B.
days have been nearly identical with the fol- B. The effect of A is different from
lowing pattern. that of B.
C. The effect of A is no different from
Fasting 7 AM 110 mg/100 mL that of B.
Prelunch 12 noon 270 mg/100 mL D . The effects of A and B are unpre-
Presupper 5 PM 180 mg/100 mL dictable.
Bedtime 10 PM 150 mg/100 mL
74. Which of the following statements about ethyl-
The inadequate control of his blood glucose

Sample Questions
ene glycol is true?
level should be corrected by: A. It is a quick source of energy when
A. decreasing the Lente insulin to 20 U ingested.
and recalibrating because of the B. It is an excellent nontoxic solvent
suspected Somogyi effect. for many drugs.
B. increasing the insulin to 45 U, C. It is associated with metabolic
monitoring closely for a day, and alkalosis when ingested.
then increasing the insulin gradually D . It is metabolized to oxalate and then
as necessary. precipitated in the kidneys as the
C. substituting an equivalent dose of calcium salt.
insulin protamine zinc and following
closely.
D . adding 6 to 8 U of regular insulin to
the Lente insulin and adjusting as
necessary.

11
75. Which of the following drugs produces the C. Pancreatitis
highest incidence of anaphylactic reactions? D . Family history of diabetes
A. Phenytoin
B. Penicillin 81. A circular area on the skin that is red, but not
C. Chlorpromazine rough or raised, is most likely a:
D . Digoxin A. vesicle.
B. pustule.
76. A sputum sample is taken from a patient who C. macule.
is compromised with leukopenia and has a pul- D . papule.
monary infection. A Grams stain would most
likely show: 82. Which of the following is the usual source of
A. many organisms and few white the organisms that cause acute urinary tract
blood cells. infections?
B. many organisms and many white A. Bloodstream
blood cells. B. Left heart valve
C. few organisms and few white C. Upper respiratory tract
blood cells. D . Gastrointestinal tract
D . few organisms and many white
83. Loop diuretics may induce:
blood cells.
A. metabolic acidosis.
77. Acidic diuresis can appropriately be used in B. metabolic alkalosis.
the treatment of poisoning with: C. respiratory acidosis.
I. phencyclidine. D . respiratory alkalosis.
II. amphetamine.
III. phenobarbital. 84. The neutrophil concentration at which a patient
is considered severely neutropenic and gener-
ally without cellular defense mechanisms is:
A. I only
B. I and II only A. 5000/mm3 .
C. II and III only B. 3000/mm3 .
D . I, II, and III C. 1500/mm3 .
D . 100/mm3.
78. In testing independence in a 3 x 2 contingency
table, chi-square has how many degrees of 85. Which of the following symptoms of methanol
freedom? toxicity is associated with a markedly in-
creased anion gap?
A. 1
B. 2 A. Metabolic acidosis with increased
C. 3 respirations
B. Severe epigastric pain
D. 4
C. Abdominal rigidity
79. Patients with emphysema have difficulty D . CNS depression
breathing because:
86. Congestive heart failure does NOT result in:
A. their diaphragms are fully and
permanently expanded. A. increased sodium retention by the
B. air leaking into the pleural space kidneys.
causes lung collapse. B. decreased delivery of blood to the
C. recurrent episodes of pneumonia kidneys.
and fibrosis restrict lung expansion. C. decreased release of renin and
D . blebs and air cysts in the lungs aldosterone.
restrict the space into which normal D . accumulation of fluids in the
lung tissue can expand. interstitial spaces.

80. Which of the following is NOT a predisposing 87. During which of the following periods of preg-
factor to diabetes mellitus? nancy is a developing fetus most susceptible to
drug-induced toxicity?
A. Hypertension
B. Obesity A. First 8 weeks
B. Second 8 weeks

12
C. Third 8 weeks 95. Which of the following findings on an electro-
D . Final 8 weeks cardiogram (EKG) would be observed in a pa-
tient receiving digoxin?
88. Azathioprine-induced immunosuppression re-
A. Prolongation of the QT interval
sults from:
B. Prolongation of the PR interval
A. suppression of immunoglobulin C. Symmetric peaking of the T waves
production. D . Widening of the QRS complex
B. cytotoxic activity against prolifera-
tive cells. 96. In order to offset increased losses due to dialy-
C. suppression of the humoral immune sis, daily supplementation is indicated for all of
system. the following vitamins EXCEPT:
D . enhanced production of interleukin- A. vitamin A.
2. B. vitamin C.
C. folic acid.
89. A random sample of the diastolic blood pres-
sures of 100 patients revealed a mean of D . pyridoxine.
85.6 mm Hg and a mode of 80.0 mm Hg. The 97. A patient who is receiving TPN is started on
frequency distribution of the sample was: propofol by continuous infusion. Which of the
A. positively skewed. following statements about the patients lipid
B. negatively skewed. emulsion requirements is true?
C. normally distributed. A. They will be decreased.
D . indeterminable from the data given. B. They will be unchanged.
90. The risk of deep venous thrombosis is in- C. They will be increased.
creased by: D . There is insufficient information
to determine whether or how they
A. progressive atherosclerosis. will change.
B. progressive blood stasis.
C. increased blood volume. IV. Economic, Social, and Administrative
D . decreased renal function. Sciences (20%)

91. The incubation period for chickenpox is ap- 98. Literature about the professional socializa-
proximately: tion of a student in a health profession sug-
A. 1 to 2 days. gests that:
B. 14 to 16 days. A. the student is accepted by peers as
C. 20 to 30 days. a professional early in the educa-
D . 1 to 2 months. tional program.
B. as the student achieves scholastic
92. Immunosuppression occurs when HIV de- excellence, the faculty respects the
stroys significant numbers of: student as a professional colleague.
A. plasma cells. C. the students identity as a profes-
B. erythrocytes. sional person does not crystallize

Sample Questions
C. lymphocytes. until the values and beliefs of the
D . thrombocytes. profession are internalized.
D . physicians easily confer the status
93. Acute disseminated intravascular coagulation of professional upon a student who
(DIC) is most commonly associated with: provides sound advice.
A. respiratory failure.
B. acute renal failure. 99. An investigational new drug application must
be submitted to the FDA prior to:
C. myocardial infarction.
D . bacterial sepsis. A. preclinical laboratory studies in
animals.
94. Which of the following drugs is most likely to B. Phase 1 of clinical studies.
cause the syndrome of inappropriate antidi- C. Phase 2 of clinical studies, but after
uretic hormone (SIADH) in an elderly person? Phase 1.
A. Lithium D . Phase 3 of clinical studies, but after
B. Phenytoin Phase 2.
C. Metoclopramide
D . Chlorpropamide

13
100. Drug product selection is best described as: 105. An individual who feels that a prescription
A. choosing a bioequivalent product medication is too costly is likely to try to save
from the same chemical class. money by:
B. choosing a bioequivalent drug I. not taking the medicine.
within the same therapeutic class. II. reducing the number of doses
C. identifying products for inclusion in taken each day.
the hospital formulary. III. consulting another physician.
D . prescribing therapy based on the
physicians diagnosis. A. I only
B. I and II only
101. According to the Health Belief Model, a patient
C. II and III only
would be LESS likely to be compliant with
drug therapy if the patient: D . I, II, and III
A. believes that the disease is serious. 106. The Diagnosis-Related Groups (DRGs) can be
B. believes that a prescribed drug is classified as what type of payment system?
appropriate for the disease. A. Projective
C. receives a reminder that it is time B. Prospective
for a drug refill. C. Retrospective
D . believes that a drugs side effects D . Introspective
exceed its benefits.
107. To control health care costs, it is critical to in-
102. Adherence of elderly patients to their medica- crease:
tion therapy may be affected by their:
A. the manpower supply.
I. confusion about the purpose of B. insurance premiums.
the medication. C. use of technology.
II. failure to understand the desired D . operating efficiency.
effects of the medication.
III. forgetting to take the medication. 108. Which of the following items would appear
on a cash flow statement but NOT on an in-
A. I only come statement?
B. I and II only A. Debt payment
C. II and III only B. Taxes and licenses
D . I, II, and III C. Managers salary
D . Interest
103. Good communication skills include:
I. developing listening skills. 109. Attempts at cost containment are undermined
II. evaluating nonverbal clues. when patients suffering from minor illnesses
III. asking open-ended questions. visit which of the following easily accessible
health care facilities?
A. I only A. Private physicians office
B. I and II only B. Outpatient office in a Health Mainte-
C. II and III only nance Organization (HMO)
D . I, II, and III C. Hospital emergency room
D . Community health clinic
104. Cost-containment strategies of Health Mainte-
nance Organizations do NOT include: 110. Which of the following statements about drugs
A. freedom of choice in health care classified as Schedule I substances is true?
providers. A. They have no potential for abuse.
B. use of nonphysician providers. B. They have a significant potential for
C. emphasis on prevention. abuse.
D . reduced hospitalization. C. All of these substances are pro-
duced from natural sources.
D . They are commonly used in medical
treatment.

14
111. Federal law requires that the labels of OTC drugs A. I only
bear the: B. I and II only
A. generic names of the ingredients printed C. II and III only
in a type at least half the size of the D. I, II, and III
brand names.
B. name and address of the manufacturer, 117. Which of the following marketing research tech-
packer, or distributor. niques would most likely produce generalizable re-
C. patent numbers of all active ingredients. sults?
D . name of the pharmacy. A. Focus groups
B. Self-administered questionnaires
112. The federal Food and Drug Administrations au- C. In-depth personal interviews
thority to regulate drug distribution comes from: D . Test marketing
A. the Department of Justice.
B. the interstate commerce clause of the 118. One diagnosis and procedure coding system for
US Constitution. hospital care is:
C. agreements established with state A. UPC.
legislatures. B. NDC.
D . a mandate of the Executive Office. C. ICD-9.
D . PCS.
113. An item is reduced in price from $2 to $1 and the
number of units sold is increased from 10 to 20. 119. The inventory turnover rate is a measure of a
What is the coefficient of elasticity? pharmacys:
A. 0.5 A. efficiency.
B. 1.0 B. profitability.
C. 2.0 C. solvency.
D . 5.0 D . liquidity.
114. The best indicator of a pharmacys overall 120. For a 100-tablet bottle of a drug, the actual whole-
financial performance is the: sale price (AWP) is $10. The pharmacist charges
A. acid test. AWP, less 10%, plus $2.50, so the patient pays:
B. net profit percentage. A. $10.25
C. return-on-investment ratio. B. $10.50
D . inventory-to-working-capital ratio. C. $11.50
D . $12.50
115. The Poison Prevention Packaging Act includes
regulations that: 121. Before designing the prescription department, a
I. exempt nitroglycerin SL tablets from pharmacist maps the probability distribution of pre-
the safety cap requirement. scription demand and compiles data about the time
II. glass containers may be reused when a required to complete all pharmaceutical services
prescription is refilled if a new safety in a first come/first served mode. What model is
employed?

Sample Questions
cap is provided each time.
III. plastic containers may be reused when A. Staffing model
a prescription is refilled. B. Queuing model
C. Work-sampling model
A. I only D . Design model
B. I and II only
122. Which of the following describes the FDA require-
C. II and III only
ment that all promotional materials distributed for a
D. I, II, and III prescription drug product include a prominently
116. Which of the following drugs may be found under displayed review of the drugs indications, con-
the Schedule II classification? traindications, and side effects?
I. Cocaine A. Fair balance
II. Methylphenidate B. Full disclosure
III. Methadone C. Brief summary
D . Product labeling

15
16
Answer Key

Area I Area II Area III Area IV


1. B 23. D 58. A 98. C
2. B 24. B 59. A 99. B
3. B 25. A 60. A 100. A
4. B 26. C 61. D 101. D
5. C 27. B 62. D 102. D
6. C 28. D 63. C 103. D
7. A 29. C 64. D 104. A
8. D 30. B 65. C 105. B
9. C 31. A 66. A 106. B
10. A 32. B 67. C 107. D
11. C 33. D 68. A 108. A
12. D 34. B 69. D 109. C
13. B 35. B 70. C 110. B
14. A 36. C 71. D 111. B
15. A 37. D 72. B 112. B
16. D 38. D 73. C 113. C
17. A 39. D 74. D 114. C
18. A 40. C 75. B 115. B
19. C 41. C 76. A 116. D
20. C 42. A 77. B 117. D
21. D 43. B 78. B 118. C
22. D 44. B 79. D 119. A
45. D 80. A 120. C
46. D 81. C 121. B
47. B 82. D 122. C
48. B 83. B
49. C 84. D
50. C 85. A
51. C 86. C
52. C 87. A
53. D 88. B
54. C 89. A

Answer Key
55. C 90. B
56. A 91. B
57. D 92. C
93. D
94. D
95. B
96. A
97. A

17
18
Textbooks Commonly Used in US
Pharmacy Schools
The following is a suggested reading list. It does Drug Stability: Principles and Practice/2nd Edition
not claim to include all textbooks used in US phar- Revised and Expanded/Carstensen/M. Dekker
macy schools, but is a guide for your preparation. Effective Pharmacy Management/NARD/8th Edi-
Many of the books on this list have been pub- tion, 1996
lished in more than one edition. Please consult a
bookstore or a health sciences librarian for more Drug Facts and Comparisons/Covington, et al/Facts
detailed information. and Comparisons/updated monthly
Title/Author/Publisher The Sanford Guide to Antimicrobial Therapy/D. Gil-
bert, et al/Antimicrobial Therapy, Inc/2000
Applied Biopharmaceutics and Pharmacokinetics/
4th Edition/L. Shargel, A.B. Yu/McGraw-Hill Handbook of Basic Pharmacokinetics: Including
Clinical Applications/Ritschel/Drug Intelligence
Applied Pharmacokinetics: Principles of Therapeu- Publications
tic Drug Monitoring/3rd Edition/W.E. Evans, J.J.
Schentag, W. Jusko/Applied Therapeutics, Inc Handbook of Clinical Drug Data/9th Edition/J.E.
Knoben, et al/McGraw-Hill
Applied Therapeutics: The Clinical Use of Drugs/6th
Edition/Young, et al/Applied Therapeutics, Inc Handbook of Nonprescription Drugs/12th Edi-
tion/Covington, et al/American Pharmaceuti-
Basic Clinical Pharmacokinetics/3rd Edition/M. cal Association
Winter/M. Koda-Kimble, ed/Applied Therapeu-
tics, Inc Medical Terminology: A Programmed Systems Ap-
proach/8th Edition/G. Smith, et al/Delmar
Principles of Biochemistry/3rd Edition/Lehninger,
et al/Worth Modern Pharmaceutics, Drugs & the Pharmaceu-
tical Sciences/3rd Edition/Banker & Rhodes/
Biochemistry/4th Edition/L. Stryer/WH Freeman M. Dekker
& Co
Patient Counseling Handbook/3rd Edition/APhA/1998
Biochemistry: A Case-Oriented Approach/6th Edi-
tion/Montgomery, et al/Mosby-Year Book Pharmaceutical Calculations/10th Edition/M.
Stoklosa and H. Ansel/Lippincott Williams &
Biopharmaceutics and Clinical Pharmacokinet- Wilkins
ics/4th Edition/M. Gibaldi/Lippincott Williams
& Wilkins Pharmaceutical Calculations/3rd Edition/Wiley, John
& Sons, Inc
Chemical Stability of Pharmaceuticals: A Hand-
book for Pharmacists/2nd Edition/Connors & Pharmaceutical Dosage Forms and Drug Delivery
Amidon/Wiley Systems/H. Ansel, et al/7th Edition/Lippincott Wil-
liams & Wilkins
Clinical Pharmacokinetics /3rd Edition/Rowland and
in US Pharmacy Schools
Pharmaceutical Marketing, Strategy and Cases/
Textbooks Commonly Used
Tozer/Williams & Wilkins
Mickey Smith/Haworth Press/1991
Clinical Pharmacokinetics Pocket Reference/2nd
Edition/J. Murphy/American Society of Health- Pharmaceutical Principles of Solid Dosage Forms/
System Pharmacists Carstensen/Technomic/1992
Communication Skills in Pharmacy Practice/3rd Pharmacology/3rd Edition/H. Rang/Harcourt Health
Edition/W. Tindall, R. Beardsley, C. Kimberlin/ Sciences Group
Williams & Wilkins Pharmacotherapy: A Physiologic Approach/3rd Edi-
Drug Interaction Facts/Facts and Comparisons/up- tion/DiPiro/Appleton & Lange
dated quarterly

19
Pharmacy and the US Health Care System/2nd Edition/J. Review of Medical Physiology/19th Edition/Ganong/
Fincham and A. Wertheimer/Haworth Press McGraw-Hill
Pharmacy Law Digest/Fink, et al/Facts and Compari- Review of Organic Functional Groups: Introduction to
sons/updated biannually Medicinal Organic Chemistry/3rd Edition/Lemke/Lea
Social & Behavioral Aspects of Pharmaceutical Care/ & Febiger
Smith and Wertheimer/Haworth Press/1996 Robbins Pathologic Basis of Disease/6th Edition/K.
Physical Chemistry: Principles & Applications in Bio- Cotran, et al/W.B. Saunders
logical Sciences/3rd Edition/Tinoco, Jr and Wang/ Textbook of Biochemistry: With Clinical Correlations/4th
Prentice Hall Edition/T.M. Devlin, ed./John Wiley & Sons
Physical Pharmacy/4th Edition/Martin and Bustamonte/ Textbook of Therapeutics: Drug and Disease Manage-
Lippincott Williams and Wilkins ment/7th Edition/Herfindal and Gourley/Lippincott
Williams and Wilkins
Principles of Biochemistry/A. Lehninger, D. Nelson, M.
Cox/Worth Pub, 2nd Edition Goodman and Gilmans The Pharmacological Basis of
Therapeutics/9th Edition/ Hardman, et al/McGraw Hill
Principles of Clinical Toxicology/3rd Edition/Gossel &
Bricker/Lippincott-Raven USPDI Volume II Advice for the Patient/Heller, et al/
US Pharmacopeial Convention, Inc./Updated annually
Principles of Medicinal Chemistry/4th Edition/Foye, et
al/ Lippincott Williams and Wilkins USPDI Volume I Drug Information for the Health Care
Principles of Pharmacoeconomics/2nd Edition/J. Lyle Provider/Heller, et al/US Pharmacopeial Convention,
Bootman, et al/Harvey Whitney Books Inc/Updated annually

Principles of Pharmaceutical Marketing/3rd Edition/ Wilson and Gisvolds Textbook of Organic Medicinal and
Smith/Books on Demand Pharmaceutical Chemistry/10th Edition/Delgado &
Remers/Lippincott Williams and Wilkins
Remington: The Science and Practice of Pharmacy, Vol-
ume I and Volume II/19th Edition/A.R. Gennaro, Edi-
tor/Mack Publishing Co.

20
21
Preamble and Mission Statement of the
National Association of Boards of Pharmacy
Preamble
Given that medications are an integral part of disease management, medication therapies and their delivery sys-
tems are becoming more complex, technological enhancements have improved the capabilities for patient monitor-
ing, and entities motivated by economic gain are eroding standards of care, there is greater potential harm to the
public and a greater need for patients medication use to be managed by a licensed pharmacist and state regulatory
agencies to aggressively enforce standards of care.

NABP Mission Statement


The National Association of Boards of Pharmacy (NABP) is the independent, international, and impartial Asso-
ciation that assists its member boards and jurisdictions in developing, implementing, and enforcing uniform stan-
dards for the purpose of protecting the public health.

NABP Member Boards of Pharmacy


Alabama State Board of Pharmacy Minnesota Board of Pharmacy Virginia Board of Pharmacy
Alaska Board of Pharmacy Mississippi State Board of Pharmacy Washington State Board of Pharmacy
Arizona State Board of Pharmacy Missouri Board of Pharmacy West Virginia Board of Pharmacy
Arkansas State Board of Pharmacy Montana Board of Pharmacy Wisconsin Pharmacy Examining
California State Board of Pharmacy Nebraska Board of Pharmacy Board
Colorado State Board of Pharmacy Nevada State Board of Pharmacy Wyoming State Board of Pharmacy
Connecticut Commission of Pharmacy New Hampshire Board of Pharmacy
Australia:
Delaware State Board of Pharmacy New Jersey Board of Pharmacy
Pharmacy Board of New South
District of Columbia Board of New Mexico Board of Pharmacy Wales*
Pharmacy New York Board of Pharmacy Pharmacy Board of Victoria*
Florida Board of Pharmacy North Carolina Board of Pharmacy
Georgia State Board of Pharmacy North Dakota State Board of Canada:
Guam Board of Examiners Pharmacy Alberta College of Pharmacists*
for Pharmacy Ohio State Board of Pharmacy College of Pharmacists of British
Hawaii State Board of Pharmacy Oklahoma State Board of Pharmacy Columbia*
Idaho Board of Pharmacy Oregon State Board of Pharmacy Manitoba Pharmaceutical
Illinois Department of Financial and Pennsylvania State Board of Association*
Professional Regulation, Division of Pharmacy New Brunswick Pharmaceutical
Professional Regulation State Puerto Rico Board of Pharmacy Society*
Board of Pharmacy Nova Scotia Pharmaceutical Society*
Rhode Island Board of Pharmacy
Indiana Board of Pharmacy Ontario College of Pharmacists*
South Carolina Department of Labor,
Iowa Board of Pharmacy Examiners Licensing, and Regulation Board of Prince Edward Island Board of
Kansas State Board of Pharmacy Pharmacy Pharmacy*
Kentucky Board of Pharmacy South Dakota State Board of Quebec Order of Pharmacists*
Louisiana Board of Pharmacy Pharmacy
Maine Board of Pharmacy Tennessee Board of Pharmacy New Zealand:
Maryland Board of Pharmacy Texas State Board of Pharmacy Pharmaceutical Society of
New Zealand*
Massachusetts Board of Registration Utah Board of Pharmacy
in Pharmacy Vermont Board of Pharmacy Africa:
Michigan Board of Pharmacy Virgin Islands Board of Pharmacy* South African Pharmacy Council*

* Associate Member
National Association of Boards of Pharmacy
1600 Feehanville Drive
Mount Prospect, IL 60056
847/391-4406
www.nabp.net

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