Questions from my exam (30-9-2019)

1 – Before fingolimod administration, check the following?

A – ECG

2 – Vitamin C daily dose in male

A – 90 mg/day

3 – Amiodarone, should avoid which fruit?

A – Grapefruit

4 – Amiodarone, side effect?

A – iodine hypothyroidism

5 – Clozapine, side effect?

A – agranulocytosis, check neutrophils before administration

6 – Verapamil MOA

A – inhibit Ca influx

7 – case where patient is given high dose methotrexate, what should be administered with
methotrexate?

A – (I am not sure about this but I wrote ca leucovorin) choices were calcium gluconate, ca
carbonate and one more don’t remember

8 – geriatric adverse reactions due to

A – polypharmacy

9 – which drug makes complex with dairy and antacids?

A – ciprofloxacin

10 – tramadol prescription given in Riyadh, pt comes two days later in Dammam, what to do?

A – fill the prescription

11 – high dose amoxicillin, pt comes for vaccination

A – give vaccination

12 – bisacodyl moa,

A – stimulate enteric nerves to cause colonic contractions.

13 – Pregnant pt has UTI, which drug?

A – nitrofurantoin

14 - most common cause in failure of treatment with epoetiin?

A – iron def anemia

15 – epoitin is ttt for which type of anemia?

A – anemia due to chronic kidney deficiency

16 – orthostatin hypotension, which drug SE?

A – tamsulosin

17 – H. pylori therapy which drugs?

A – two antibiotics and PPI

18 – case where patient has to be counselled about metoprolol?

A – it masks hypoglycemic symptoms

19 – pregnancy hypertensive

A – labetalol (methyldopa is not in choices)

20 – DOC for worms

A – praziquantel

21 – cholestyramine ttt for?

A – Hyperlipidemia

22 – what is contraindicated with kidney injury?

A – aminoglycoside

23 – case where patient has cough from ACEi, what to do?

A – (not sure about this - I selected change to ARBs, option was wait for four weeks till titration,
decrease dose of ACE I, increase dose of ACEi)

24 – Hydrochlorothiazide SE,

A - decrease K

25 – case where pt is on morphine (dose is given), he wants to change to fentanyl, what is dose of
fentanyl?

A – fentanyl is 10 times more potent than morphine

26 – digoxin toxicity increased with?

A – hypokalemia

27 – rifampin interaction with warfarin, why?

A – rifampin enxyme inducer

28 – warfarin determined by?

A – INR – international normalised ratio

29 – laxative lowest onset of action?

A – psyllium

30 – Lisinopril pregnancy category?

A – C pregnancy category

31 – case with lab values, phosphorus is high, sevelamer is ttt for?

A – hyperphosphotamia

32 – case where patient has lot of drugs and kidney problem, what is intervention?

A – metformin CI in kidney problem

33 – baclofen is?

A – antispasmodic

34 – misoprostolol is used to ?

A - treat and prevent gastric ulcer

35 – counselling for salbutamol inhaler?

36 – palizimuvab for?

A – RSV

37 – case where pt has miosis, dry mouth, etc, ttt?

A – methadone

38 – serotonin antagonist used for N and V for anti cancer drugs?

A – Granisetron

39 – desmopressin ttt for?

A – Diabetes insipidus

40 – asthma, SABA not working, next line?

A – budesonide inhaler

41 – least potent steroid?

A – hydrocortisone

42 – doxorubicin, SE?

A – bone marrow suppression

43 – oxytocin used for?

A – labor induction

44 – sulfa sensitivity, cannot give?

A – glyburide

45 – Short acting barbiturate?

A – thiopental

46 – pregnancy vaccine other than influenza?

A – TDAP vaccine

47 – BDZ overdose?

A – flumazenil

48 – calculate BSA,

A – learn formula for BSA

49 – calculation where you have to use 1 ml = 16 drops

50 – remember how to change mg to g, microg to mg,

51 – PPM means mg/L

52 – NSAID with most enterogenic effect?

A – piroxicam (ketorolac not in options)

53 – Old man on simvastatin and verapamil, simvastatin dose?

A – 10mg/day

54 – simvastatin max dose in geriatric?

A – 40 mg

55 – pregnant woman in hospital for DVT, ttt?

A – enoxaparin

56 – paracetamol max dose in children?

A – 1g/day

57 – case where patient is taking ttt for phobia, takes cimitedine, becomes phobic, why?

A – Cimitedine increase metabolism of anxiolytic

58 – how to store sublingual nitroglycerin tablets?

A – in original glass container with metal cap and keep with you at all times (amber bottle not in
options)

59 – fluxotine not effective, dr change to phenelzine, how much time should he wait?

A – 5 weeks

60 – duration of domperidone?

A – 7 days (options 7 days, 10 days, 14 days, 20 days)

61 – important vitamin for pregnancy?

A – folic acid

62- case where patient has drug A – pseudoephedrine and chlorpheniramine, drug B –
pseudoephedrine and desloratidine

A – drug B is better as it has more benefits

63 – expiry is December, 2019, what last date of consumption?

A – 31 dec, 2019

64 – drug expired, patient asking can she take it?

A – no, cannot take it.

65 – epilepsy and pregnancy, on valproic acid?

A – change to leviteracetam

66 – speed of response of receptors – one receptor response in miliseconds and other in seconds

A – ligand gated receptors and g protein receptors

67 – best drug delivery in infants?

A – neutralizer

68 – validity of pharmacy

A – 5 years

69 – GMP role

70 – vincristine how to give to the nurse to prevent intrathecal administration?

71 – how many days to dispense presc of diazepam?

A – 30 days

72 – baby with fever and tugging right ear, what is diagnosis?

A – otitis media

73 – pharmacy regulation and guidelines in KSA coming from?

A – gphc

74 – most common dispensed in OTC?

A – multivitamins

75 – phenytoin suspension dose?

A – 15ml/day

76 – two vaccines live and attenuated, how to give?

A – same time

77 – greenish yellow sputum, dr says it is viral, what should be added to cough mixture?

A – guafenacin

78 – L-dopa effect

79 – which type of BDZ cause irritability?

A – short acting
80 – prehypertension, doc,

A – diuretic

81 – SE of NSAID in third trimester?

A – premature ductal closure

82 – streptokinase used in?

A – myocardial infarction

That’s all I remember, good luck in exam!