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PharmacyPrep.

Com QE Competency 3 MOCK Test

QE Competence 3 Ethics and Pharmacy Regulations


MOCK Test
1) JP is a regular customer of your pharmacy. His medication profile
is given in following table. He calls to your pharmacy on long
weekend for requesting his medication refills. However he has no
refills. His doctor is on vacation. JP request at least provide him all
his medication for next two days till his returns from vacation. What
is appropriate to do?

Rx # Medications/ Qty/ Repeat DR Original Repeats


Directions Days s Remaining
123 Ramipril 10 mg po od 30 3 Oz 1 mo ago 0
124 Simvastatin 10 mg po od 30 3 Oz 1 mo ago 0
125 Metformin 500 mg bid 60 3 OZ 1 mo ago 0
126 Glicalizide 30 mg bid 60 3 OZ 1 mo ago 0
127 Zopiclone 10 mg prn 30 0 Oz 15 d ago 0

A) Ask him to contact other walk in clinic doctor


B) Advance him all medication for two days except Zopiclone
C) Can be advanced all medication for two days as his regular
customer
D) Ask him to go to emergency to get a new prescription
E) Suggest him to stop using zopiclone
Ans: B

2) KP is a 55 year old male. He is social smoker and chronic alcoholic.


With the help of his family he decided to quit alcohol. His current
medication include diazepam 10 mg qid. He complains insomnia,
agitation, anxiety, and feeling shaky. He currently not well taken
care and not skipping several meals. What is possible drug related
problem?
A) Overdose of diazepam
B) Insufficient dose of diazepam

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C) Incorrect medications
D) Drug and disease interactions
E) Drug and food interactions
Ans: B
Tips: Insomnia, agitation, anxiety, and tremors are alcohol
withdrawal symptoms, may require increase dose of diazepam.

3) What Canadian federal agency ensure that drugs and controlled


substances are not diverted for illegal use. This involves developing
legislation, regulations, policies and operations that support the
control of illicit drugs and other substances.
A) Health Canada
B) The Office of Controlled Substances (OCS)
C) Provincial college of pharmacies
D) Food Drug Administration
E) Drug Enforcement Agency
Ans: B

4) Which of the following office licenses manufacturers and


distributors of drugs and controlled substances and issuing
import/export permits when necessary, to manage and track the
movement of drugs and controlled substances across the Canadian

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border authorizing the disposal of illegal drugs that have been


discovered or seized.
A) Health Canada
B) The Office of Controlled Substances (OCS)
C) Provincial college of pharmacies
D) Food Drug Administration
E) Drug Enforcement Agency
Ans: B

5) All Canadian prescription medications have a drug identification


number (DIN) which uniquely identifies?
A) strength and manufacturer, dosage form and supplier
B) strength and manufacturer, dosage form
C) strength and manufacturer, dosage form and dispensing pharmacy
D) strength and manufacturer, dosage form and pharmacist name
and location
E) strength and manufacturer, dosage form, province it dispensed
Ans: B

6) Diabetic supplies e.g. blood glucose testing agents, syringes,


lancets are identified as?
A) Drug identification number
B) Natural product number
C) Product identification number
D) Homeopathic Medicine Number (DIN-HM)
E) Universal product code
Ans: C
Tips: Identified by:
 Drug Identification Number (DIN)

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 Product Identification Number (PIN) Diabetic supplies e.g. blood


glucose testing agents, syringes, lancets, etc.
 Natural Product Number (NPN)

7) Patient reports adverse drug reaction to physician a new drug


varenicline. The physician reports adverse drug reaction to?
I) Health Canada's Canada vigilance program (med effect), offered by
Marketed Health Products Directorate.
II) Manufacturer of varenicline
III) All patient receiving varenicline of your pharmacy
A) I only B) III only C) I and II only D) II and III only E) I,II,III
Ans: C
Tips: All drugs in post marketing surveillance adverse drug reaction
should be reported to Health Canada vigilance programs and
manufacturer.

8) What is not a basic principle of Canadian health act?


A)Universality B)comprehensive C)public administration D)
Accountability E) Portability
Ans:D
Tips: accessibility is CHA principle not the accountability.

9) Which of the following group is NOT covered by the federal drug


benefit program?
A) Inmates B) refugees C)seniors >65 yr old D)natives or aboriginals
E)Royal Canadian Mounted Police (RCMP).
Ans: C
Tips: Seniors over 65 years
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10) Which of the following group is NOT covered by the provincial


drug benefit programs?
A)seniors > 65 yr old B)persons on social assistance C)Ontario
residents D)aboriginals or natives E) none
Ans: D
Tips: aborginals or natives are covered by federal.

11) Who can request for drugs that are offered through special
access program (emergence drugs) in hospital?
A) P&T committee B) doctor C) pharmacist D) Nurse supervisor E)
health Canada
Ans: B

12. What is not responsibility of health Canada?


A) drug pricing B) poison control centre C) drug safety and approval
in Canada D) flu watch programs E) immunization schedule
Ans: A

13. Who set the prices of prescription drugs in Canada?


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A)PMPRB B) Health Canada C)Provincial government D)Federal


government E)Manufacturer
Ans:A
Tips: All patented drugs prices are set by PMPRB
All generic drug prices are set by manufacturer (group purchasing,
volume purchasing)
OTC prices are set by pharmacist
No professional allowance is available for generic products.

14) Doctor contact pharmacist, asks particular indication of off label


use drug is NOT available in literature? What pharmacist can do?
A-Doctor can do this with his judgement and takes responsibility
B-Pharmacist may contact to manufacturer
C-pharmacist can lookup literature search
D-doctor cannot prescribe
Ans-A
Tips: If first step to do? search literature (tertiary literature) of if
question is about off label drug use than doctor can make judgement
alternatively if drug information centre than pharmacist have to
literature search.

15) BM is a 47 year old male. Regular customer of your pharmacy


comes to refill his medication Metformin 500 BID, 60 tablet for 1
month supply. However he request to refill 90 tablets one month
supply, because he says currently he is taking metformin 500 mg tid.
What is appropriate action to do?
A) refill him metformin 500 mg 90 tablets
B) contact his doctor to confirm the dosing and get refill
authorisation for metfromin 500 mg tid
C) Call doctor write a new prescription of metformin 500 mg tid
D) Refuse to refill and check his compliance of medication
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E) Refer him to doctor to check his HbAIC for last three months blood
glucose levels
Ans: B

16. If dispensing error occurred in hospital setting, where to report?


A)health Canada B) Patient safety institute C) National safety system
D)Institute Safe Medication Practices
Ans: D

17) Visual presentation and picture will be supplemental to oral and


written counselling? for all except?
A) low literacy B) language barrier C) emotional distress D) hearing
problem E) cognitive problem
Ans: C

18) A patient type 2 DM using oral hypoglycemics gliclazide 30 mg


bid and metformin 500 mg bid. A community pharmacy going to
arrange seminar in clinic for newly diagnosed diabetic patient? all of
the following should be discussed. except?
A) mixing of different insulin
B) non pharmacologic self care advise
C) life style modification
D) talk about oral hypoglycemic drugs
E) choosing low carbohydrate diet
Ans: A

19) Which should not be included in OTC drug advertising?


A) price B) drug name C) treatment of disease D) Name of store
E) Drug strength

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Ans: C

20. Common drug review is conducted to determine the coverage of


drugs by drug formularies such as provincial formularies. What is
correct about common drug review?
A) Review brand drugs prices and availability and determine
coverage in insurance
B) Review generic drugs prices and availability and determine
coverage in insurance
C) Review over the counter drugs prices and availability and
determine coverage in insurance
Ans: A

21. Most new patented drug prices are limited so that the cost of
therapy is in the range of the cost of therapy for existing drugs.
Which of the following agency regulates and protects consumers by
ensuring that prices charged by manufacturers are not excessive for
brand drugs?
A) Consumer price index (CPI) B) Patented Medicine Price Review
Board
C) Health Canada D) Therapeutic Product Directorate E) Common
drug review
Ans: B

22. Who regulates pharmacy profession in Canada?

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A) NAPRA B) Provincial college of pharmacy C) PEBC D) Canadian


Pharmacy Association E) Health Canada
Ans: A

23. Who regulates member of pharmacy or practice of pharmacy?


A) NAPRA B) Provincial college of pharmacy C) PEBC D)Canadian
Pharmacy Association E)Health Canada
Ans: B
Tips: Provincial college of pharmacy

24. Who defines competencies of pharmacy profession in Canada?


A) NAPRA B) Provincial college of pharmacy C) PEBC D) Canadian
Pharmacy Association E) Health Canada
Ans: A

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25) A laxative is over the counter drugs, however, a pharmacist


notice drug shelf always emptied in few hours after stocking. What is
appropriate to do?
A) Always watch those drugs
B) Move drug from OTC to inside the pharmacy area
C) Ask technician keep in lock those products
D) Put the drug the drug behind the counter
E) Educate patient about harm of excessive use
Ans: B

26) When a manufacturer submits a New Drug Submission (NDS) for


non-prescription status or applies to have a drug removed from
schedule F, it should also make submission to?
A) Health Canada
B) National Drug Scheduling Advisory Committee (NDSAC)
C) Food Drug and Act
D) Office of control substances
E) Manufacturer association
Ans: B

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27)The Controlled Drugs and Substances Act (CDSA), is an act sets


standards for the control of narcotics, controlled drugs and targeted
substances. It is a federal act and the strictest of all the acts that
govern the pharmacy industry. Which of the following is NOT Lists
the responsibilities of pharmacist:
A) Ordering narcotics B) Dispensing C) Record keeping for sale of
narcotics
D) Witnessing destruction of returned narcotics E) Authorizing
refills to narcotics
Ans: E

28. Which of the following is NOT related to the CDSA?


A) Precursors B) Benzodiazepine and Targeted Substance C)
Narcotics D) Special Access Program
Ans: D
Tips: special access program is administered by health Canada
Therapeutic product directorate. Pseudoephedrine and acetone
solvents are precursors of meth crystals and regulated

29. How to obtain medical purpose marijuana? all of them, except


A) Contact health Canada to obtain seeds
B) Take permission from police to grow marijuana
C) Get approval from health Canada
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D) Get standard marijuana powder from health Canada


E) Get directly from pharmacy
Ans: E
Tips: authorise permits by health Canada less than 5 g/day to treat
pain (spasm, multiple sclerosis), this to be assessed by doctor.

30. Which of the following schedule regulates advertisement


restriction on prescription drugs?
A) Schedule 1 B) Schedule 8 C) Schedule F D) Schedule A
E) Narcotics
Ans: C

31. Which of the Food and Drugs Act deals with prescription drugs?
A) Schedule A B) Schedule B C) Schedule D D) Schedule F
E) schedule E
Ans: D

32) What is incorrect statement of advertisement of prescription


drugs in Canada?
A) prescription drugs cannot be advertised to consumers in Canada
B) Prescription drugs can be advertised to health professionals
C) Schedule F is controlled by NAPRA
D) Schedule F drugs are NOT controlled by health Canada
E) Schedule F can be advertised in TV to consumers
Ans: E
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33) What is incorrect about drug referred to in Schedule F of Food


Drug Act?
A) A pharmacist may transfer a prescription to another pharmacy.
B) A pharmaceutical manufacturer can advertise to consumers
C) A drug may not be repeated unless authorization has been
obtained from the practitioner.
D) The drug may not be refilled more than the number of times
indicated in the prescription.
E) The length of time prescription files must be retained is two years.
Ans: B

34) A customer brings prescription of Oxycontin 60 tablets. However


your pharmacy has only 30 tablets. What is the best action should be
taken?
A) Give part fill of 30 tablets, so patient pick up other 30 tablets later
B) Barrow other 30 tablet from other pharmacy
C) Transfer prescription to other pharmacy for remaining 30 tablets
D) Call doctor to change prescription to 30 tablets
Ans: A

35) A prescription of codeine 8 mg is regulated under?


A) straight narcotics
B) narcotic preparation of verbal prescription
C) exempted narcotic
D) A control drug substance
E) Targeted substance
Ans: A

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36. A prescription of codeine 1mg/ml is regulated under?


A)straight narcotics
B)narcotic preparation of verbal prescription
C)exempted narcotic
D)a control drug substance
E)Targeted substance
Ans: A

37) A prescription of codeine 5 mg/1 mL is regulated under?


A)straight narcotics
B)narcotic preparation of verbal prescription
C)exempted narcotic
D) a control drug substance
Ans:A

38) A prescription of codeine 8 mg + acetaminophen 300 mg +


caffeine 15 mg is regulated under?
A) straight narcotics
B) narcotic preparation of verbal prescription
C) exempted narcotic
D) a control drug substance
Ans:C

39) What is correct regulation of a prescription of codeine 8 mg?

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A) can be repeated or refilled B) can be transferred C) require


sales report
D) can be prescribed verbally E) none
Ans: C

40) A hospital nurse is preparing morphine iv admixture, of 2 ml,


however only 1 ml was utilized and there is 1 ml leftover. What to
do?
a) return to hospital pharmacy
B) discard and document
C)discard in presence of witness
D)before discard contact office of substance
E)can be used for other patient
Ans: A

41) Which of the drug sales does not required to enter in narcotic
register (sales report)?
A) ketamine B) Fentanyl patch C) Methadone D) Meperidine E)
Lorazepam
Ans: E

42. A customer brings prescription of OxyNeo 60 tablets. However


your pharmacy has only 30 tablets. What is the best action should be
taken?
A)give part fill of 30 tablets, so patient pick up other 30 tablets later
B)barrow other 30 tablet from other pharmacy
C)transfer prescription to other pharmacy for remaining 30 tablets
D)call doctor to change prescription to 30 tablets
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Ans: A

43. A prescription of codeine 8 mg is regulated under?


A)straight narcotics
B)narcotic preparation of verbal prescription
C)exempted narcotic or OTC narcotics
D)a control drug substance
E)Targeted substance
Ans: A

44. A prescription of codeine 1 mg/ml is regulated under?


A)straight narcotics
B)narcotic preparation of verbal prescription
C)exempted narcotic
D)a control drug substance
E)Targeted substance
Ans: A

45. A prescription of codeine 5 mg/1 mL is regulated under?


A)straight narcotics
B)narcotic preparation of verbal prescription
C)exempted narcotic
D)a control drug substance
Ans:A

46. A prescription of codeine 8mg+acetaminophen 300mg + caffeine


15mg is regulated under?
A)straight narcotics
B)narcotic preparation of verbal prescription
C)exempted narcotic
D)a control drug substance
Ans:C

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47. What is correct regulation of a prescription of codeine 8 mg?


A)can be repeated or refilled
B)can be transferred
C)require sales report
D)can be prescribed verbally
E)none
Ans: C

48) A hospital nurse is preparing morphine iv admixture, of 2 ml,


however only 1 ml was utilized and there is 1 ml leftover. What to
do?
a)return to hospital pharmacy
B)discard and document
C)discard in presence of witness
D)before discard contact office of substance
E)can be used for other patient
Ans: A

49. Which of the drug sales does not required to enter in narcotic
register?
A) Ketamine B) Fentanyl patch C) Methadone D) Meperidine E)
Lorazepam
Ans: E

50. A prescription for morphine is on hold. Patient calls your


pharmacy to transfer to other pharmacy. What to do?
A) It is not transferable because narcotic
B) It can be transferred it is just on hold
C) Ask patient come to your pharmacy to discuss
D) Refer patient to doctor
E) None
Ans: A

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51) What are you going to do if you have a patient with prescription
for controlled drug and you see in his profile that he has 2 more
prescriptions for such drug from 2 different doctors?
A) Hold prescription and contact doctor
B) Ask patient about discrepancy
C) Call police
D) Alert pharmacy manager
E) Narcotic monitoring system
Ans: A

52. A patient came to your pharmacy with Rx of narcotic Percocet. It


happens to 2nd week from walk in clinic. She has not seen her
family doctor. She finished 50 tablets in 2 weeks. What should you
advise her?
A) you advise her to see her family dr. discuss and find suitable
treatment
B) to use Capsaicin instead
C) dispense the Rx as Percocet for good for her condition. just advise
her not to use too much
D) call the doctor and tell she is too much Percocet
E)
Ans: A

53. A patient approaches with prescription for Tylenol # 3, take 4 tab


q3h prn. Dispense 300 tab. Repeats 2. What makes you think this Rx
is forged?
A) Tylenol # 3 is most forged B) Take 4 tab q3h prn C) Dispense
300 tab D) Repeats 2
Ans: B

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54.Which primary website can you use to verify a physician's contact


information?
A) www.oma.org B) www.CPSO.on.ca C) www.health.gov.on.ca
D) www.pebc.ca
Ans: B

55. Benzodiazepines are regulated under control drug substance act


categorized as?
A)control substances B)targeted substances C)narcotics
D)narcotic preparations
Ans: B

56. What is incorrect about alprazolam regulations?


A)can be prescribed on phone B)can be repeated or refilled
C)require sales report
D)Can be transferred once E)destruction required witness
Ans: C

57) A patient of your pharmacy comes to picks refill of


benzodiazepine. However he is coming two weeks before date of
refill. What is appropriate to do?
A) Ask patient to see doctor because his medical conditions require
assessment
B) Ask patient how medications are used
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C) Refuse to refill and explains regulations does not allow to refill in


earlier dates
D) Tell patient to come on date of refill specified
E) Ask patient purpose of earlier refill
Ans: E

58) A patient of your pharmacy comes to picks refill of


benzodiazepine. However he is coming two month later date of refill.
What is appropriate to do?
A) Ask patient to see doctor because his medical conditions require
assessment
B) Ask patient how medications are used
C) Refuse to refill and explains regulations does not allow to refill in
earlier dates
D) Tell patient to come on date of refill specified
E) Dispense is it is
Tips: B

59. An unidentified caller asks for the name of a chemical that is


understood to interfere with tests for marijuana in the blood or
urine. Pharmacists provide this information that might be used for
questionable purposes. What ethical principles have violated?
A-Autonomy B-Beneficence C-Nonmaleficence D-Veracity E-
Justice
Ans-C

60. A local physician requests information on a potentially harmful


homeopathic remedy and advice on how to deal with a family that is

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utilizing the product for their small children. Pharmacist


recommended measures to deal toxicity. What ethical principles
have followed?
A-Autonomy B-Beneficence C-Nonmaleficence D-Veracity E-
Justice
Ans-C

61. A patient presents a new prescription to be filled. It is a


prescription for Tiagabine, a new anti-convulsant agent related to
vigabatrin. Vigabatrin has never been approved for use in the
Canada due to reports of adverse effects on vision. Although this
adverse event has never been reported with Tiagabine, the agents
affect gamma-amino butyric acid (GABA) in much the same way, and
affects on GABA are thought to be the basis for the vision problem.
The patient asks the pharmacist to address what adverse effects
could occur with this agent. The pharmacist knows the patient to be
anxious individual with a history of noncompliance with his seizure
medications, despite poorly controlled seizures. It relates to what
ethical dilemma?
A-Autonomy B-Beneficence C-Nonmaleficence D-Veracity E-
Justice
Ans-D

62. A 55 yo women indicates that she was just discharged two weeks
ago after fracturing her right wrist after a fall at home. She states
that she got up at night to use the washroom and tripped over a
loose rug. She tried to support herself using her right hand, when she
felt severe pain at the wrist. She had difficulty moving her hand and
tried applying ice. However, by the next morning her pain was worse
and she decided to get help. Now her pain is well controlled at
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present with medications. Who should have bone mineral density


(BMD) testing? Except
A-postmenopausal women and men over age 50
B- Vertebral compression fracture
C- Family history of osteoporotic fracture
D-Systemic glucocorticoid therapy > 3 months duration
E-A person with BMI over 35
Ans-E

63. Review for an unapproved use, the following elements are


considered when evaluating a potential, medically accepted off-label
use: Except
A) Positive therapeutic perspective as reflected by clinical evidence,
expert opinion, best practices, and/or authoritative guidelines
B) Absence of potential clinically important concerns about the drug
such as increased toxicity with no substantial therapeutic gain
support in peer-reviewed literature
C) Assessment of the level of evidence reflected in published reports
and availability of published reports of well-designed clinical studies
systematic reviews
D) Pharmaceutical manufacturer promotional information package
insert
Ans-D

64) Mr x loyal and Mr y are loyal customer of your pharmacy Mr x


bring all family member prescription to your pharmacy and Mr y only
person from family bring prescription to your pharmacy and you
waived co-payment for Mr x so what ethics seeking
a) beneficence b) veracity c-fidelity d-justice e-honesty
Ans-C

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65) An evening doctor writes prescription, to his wife, in your corner


pharmacy. What is right action to do?
A-it is illegal to dispense B) it is legal but unethical to dispense C-
it is illegal but ethical
D-illegal and unethical E-just refuse to dispense
Ans-B

66. A palliative care patient receiving morphine for cancer pain. Few
days later the lady grand son comes to fill prescription for his grand
mother. The pharmacist notices that the patient is using more
morphine. What should pharmacist do?
A-Don’t fills the prescription because it is earlier than time interval
B-Counsel patient not to take medications more than prescribed
C-Call the doctor to change morphine to Fentanyl
D-Call the doctor to increase the dose of morphine
E-None of the above
Ans-D

67) In order to Health Canada approve drug as substitute drugs, drug


should have the following characteristics:
A-Therapeutic equivalents B) Pharmaceutical equivalents C)
Pharmaceutical alternates
D-Bioequivalent E-Relative bioavailability
Ans-A

68) Dispensing error occurs in the pharmacy. The errors may be


occurring due to excessive workload on pharmacist. Some functions

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of pharmacist may be transferred to technician. To achieve this, all


of the following will be barriers, except?
A-Pharmacist availability B-Government regulations C-Risk
management
D-Pharmacist attitude E-Technician training
Ans-A

69. The Canadian health care system is based on five fundamental


principles, which of the following is correct?
A-Effectiveness of drugs B-Accessibility of health care services C)
Availability of medications D-Individuality of treatment E-
Providing economic therapy
Ans-B

70. Which of the following are exempted preparations?


a) Codeine 30 mg + caffeine 15 mg+ ASA 325 mg
b) Codeine 3.3 mg/5ml + Caffeine 15mg+ASA 325 mg
c) Codeine 3.3 mg/1ml+ caffeine + ASA suspension 325 mL
d) Codeine 8 mg/mL
e) Codeine 19.8 mg/mL
Ans: B

71) What is incorrect about Tylenol # 3


A-May be dispensed by verbal prescription
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B-Transfers are not permitted


C-Sales report does not require
D-loss and theft should be reported to office of controlled
substances
E-Require written prescription only
Ans-E

72. PT. with COPD on treatment salbutamol brings RX for same


antibiotic during short period. Pharmacist knows that
corticosteroids will be helpful for him. Which ethical principles will
be broken if he does not tell the patient about it?
A) Beneficence B. Nonmaleficence C. Justice D. Veracity E.
Paternalism
Ans: A

73. Which ethical principles will be broken if clinical trial for a drug
was poorly conducted
A. Beneficence B. Nonmaleficence C) Justice D) Veracity
E. Paternalism
Ans: B
Tips: Example of Harm reduction programs such as needle exchange
program, returned narcotics destroying program.

74. A new patient came to your pharmacy with a prescription of a


narcotic drug from a physician whom you do not know. What is the
best action?
A-Refuse to dispense the prescription
B-Send him to anther pharmacy
C-Dispense the prescription
D-Call and the phone doctor as it is written in the prescription to
verify the prescription
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E-Look for the phone number of the Doctor and call him to verify the
prescription
Ans: E

75) What is correct about acetaminophen 300 mg/codeine 60 mg?


A-Can be verbally or written prescriptions
B-This prescription can have repeats
C-Have to be written prescription only
D-This prescription does not require sales record
E-This prescription can be transferred
Ans-C

76. A lady is planning to go to Mexico for a project. Her doctor


suggested taking antidiarrheal medications in her trip. She is taking
bismuth subsalicylate should be counselled for all of the following,
EXCEPT:
a) Side effects are similar to Lopramide
b) The medication darkens the oral cavity, especially the tongue
c) The medication colors the stools
d) Do not take this medication if allergic to aspirin
e) This medication will only treat the symptoms, not the cause
Ans: A

77) She calls to your pharmacy a day before her departure, she
wants to know if need to any vaccination, which of the following is
the most for a person traveling abroad appropriate vaccination
recommendation?
A) Hepatitis A B) Hepatitis B C) Hepatitis A and B D) Flu shot
E) Pneumonia
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Ans-C
Tips: Hepatitis B is given in three doses of interval of 0, 7, 21 days as
fast track. The regular schedule 0, 1, 6 months.

78) Which of the following is required to have sales report?


A-codeine 8 mg/acetaminophen 300 mg/caffeine 15mg
B-Alprazolam C-Concerta D) Fiorinal C1/2 E) Risperidone
Ans-C

79) A diabetic patient came to you complaining about his


hyperglycemia, you realized the increased dose, sometime you
realized that he is buying a rich chocolate, sugar candies and food
containing high carbohydrates.
A) Should you advice him and explain the risks and ask her see her
physician
B) Let him decide what he wants
C-But not (do not) obligates him and forbid him
D-Refer her to doctor
E-Refer her to emergency
Ans-A

80. A pharmacist will register as member of college of pharmacy; all


of the following are the scope of provincial college of pharmacy,
except:
A-Safety of pharmacist at work place
B-Registration as member of pharmacy
C-Pricing of pharmaceuticals
D-Punishing violators
E-Best of interest of patient
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Ans-C

81) A lady using a contraceptive vaginal ring (Nuva ring). The


following should be counselled to the lady EXCEPT:
a- For back up diaphragm or cervical cap is not recommended
b- Condom could be used as a back up
c- The use of tampons has an effect on serum concentration of
estrogen and progesterone of this ring
d- It is a once a month contraceptive regimen
e- Nuva ring for contraception may be indicated form weeks
postpartum in women who elect not to breast feed
Ans-C

82. All of the following courses of action may be implemented when


a pharmacist is confronted with a patient who has missed several
methadone doses.
a) Refuse the next dose
b) Report the patient to the methadone program coordinator
c) Contact the authorized prescriber
d) Ask a walk-in clinic to phone in a new prescription
e) Cut the dose in half
Ans: b
Tips: A pharmacy would require a written Rx for methadone, and
only form an authorized prescriber. Not all physicians are authorized
prescribers.
Reference: www.ocpinfo.com

83) Pharmacy manager wants to raise salary of staff pharmacy, do


you consider all except?
A) Other pharmacist available to do his job
B) Budget
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C) Pharmacist asking a raise


D) Consider his experience
E) Life allowance or bonus
Ans: A

84) Medical representative negotiating with hospital pharmacy


manager for drug contract and gave him tickets for hockey games
and gifts, what he should do?
a. Manager to get it for the hospital already agreed to get the drug
b. Manager accept the ticket and refuse gift as it is his personal life
c. Manager refuses both for it is unethical
d. Manager refuse ticket and accept the gift
Ans: C

85. Special Access Programme (SAP) allows health care professionals,


to all of the following, except?
I- To gain limited access to drugs, natural health products and
medical devices that has not been authorized for sale in
Canada.
II- Special access can be requested for emergency use or if
conventional therapies have failed, are unsuitable or are
unavailable to treat a patient.
III- A mechanism to promote or encourage the early use of
therapeutic products where the degree of risk and efficacy
may not be known or to circumvent the regular therapeutic
product review process.
A-I only B-III only C-I and II only D-II and III only E-All of the
above
Ans-B

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86. A well-trained and experienced pharmacy technician going on


maternity and pharmacist took new graduate pharmacy technician in
month before she is living the pharmacy. What benefits of it:
a. Good training for new PT in month- sharing information
b. It’s less stressful; for new PT to start
c. It’s easy to operate pharmacy in busy hours
d. Help to cashiers in rush hours
Ans: A

87) A women come to pharmacy with prescription for abortion drug


and tell pharmacist that accidentally happened sex abuse and she
didn’t tell it to her family Dr. What pharmacist has to do:
I. Fill Rx as written
II. Give telephone number (help line for sexually abused group)
III. Report to police
A-I only B-III only C-I and II only D-II and III only E-All of the
above
Ans: C

88. You noticed the technician come down to help a patient choosing
a Cough Product contains Codeine. You may do all of the following
actions EXCEPT
A-Go down to interrupt the discussion and make the sale
B-Ask the technician if the patient has allergy to Codeine after the
sale
C-Review with her the Law of dispensing over the counter drugs
d-Don't humiliate the technician in front of the customer
E-Send her to additional training courses
Ans-B

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89. A pharmacist is making a presentation on appropriate


medication use to a group of clients. Which of the following would
be an indicator of the effectiveness of the presentation for an
individual?
a. Increase in number of prescriptions filled per month
b. Reduced number of prescriptions filled per month
c. Increase in use of non-prescription medications
d. Reduced number of prescription fills dates per month
e. Prescription fill dates closer to expected fill intervals
Ans: E

90) The compliance and monitoring of controlled substances in


Canada are regulated by?
A) Health Canada's Controlled Drugs and Substance Act
B) Pharmacy Association of Canada
C) Provincial college of pharmacy
D) Federal regulations
E) At present no national system
Ans: A

91. Which of the following clinical days presented in a community


pharmacy would be beneficial in helping clients reduce their risk
factors for heart disease?
I Smoking cessation
II Dietary strategies for fat and cholesterol
III Pulmonary function home testing
A-I only B-III only C-I and II only D-II and III only E-All of the
above
Ans: C

92. Androgen hormones in Canada are regulated, which is


categorized as?

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A-Control and targeted substances B-Control drug Part I C-Control


drug Part II
D-Control drug Part III E-Narcotic preparations
Ans: D

93. Factors that determine bioequivalence of two brands of a drug


include:
I the taste of the preparations.
II the physical appearance of the preparations.
III pharmacokinetic parameters of the preparations.
A-I only B-III only C-I and II only D-II and III only E-All of the
above
Ans: B

94. Which of the following criteria should be considered when


reviewing a medication for addition to the hospital formulary?
The amount of samples provided to hospital physicians
b. Research funds donated to the hospital by the pharmaceutical
company
c. National adverse drug reaction reports
d. Whether it is a gluten-free oral formulation
e. The length of patent period remaining
Ans: C

95. The federal government oversees drug benefit programs for the
following client groups: Except
A-First nations (aboriginals) B) Veterans C) Refugees D-
Inmates of federal penitentiaries
E-Seniors over 65-year age
Ans-E

96. All of the following should be included in the Sales Narcotics and
Controlled Drug register, EXCEPT
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a) Doctor’s name
b) Patient’s name
c) Date dispensed
d) Name of dispensing pharmacist
e) Name of supplier
Ans: E
Tips: Name of supplier goes into purchase register.

97) In a randomized double blind studies, if you have NOT taken


control group (placebo), which of the following ethical principles are
violated:
A-Justice B-veracity C-Nonmaleficence D-Beneficence E-
Autonomy
Ans-C

98) In randomized double blind studies, if you have NOT taken


consideration of pediatric populations, which of the following ethical
principles are looking for:
A-Justice B-Veracity C-Nonmaleficence D-Beneficence E-
Autonomy
Ans-C

99. Dispensing narcotic in hospital is according to which law?


A. Hospital regulation B. Provincial regulation C. Federal
regulation
D. Canadian Society of Hospital Pharmacy (CSHP) E. Canadian
Pharmacist Association
Ans: C

100. Narcotic prescriptions can be written by which of the following:


a) Physician, dentist, veterinary doctor
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b) Physician and chiropractor


c) Dentist and chiropractor, and nurse
d) Veterinary doctor and chiropractor
Ans: A

101) Pharmacist morals prohibit him from giving oral contraceptives


to teenager. What will you do?
a. Tell her that it is not available
b. Do not give her so that she will not break her moral and
principles
c. Give her and put patients need above her personal beliefs and
morals
d. Send her to another pharmacy
e. Refuse prescription
Ans-D

102) National Association of Pharmaceutical authority (NAPRA)


schedules 2 drugs, what is right?
A. Medication should be counselled
B. Warts medication are in this schedule
C. Both a and b
D. Require prescription
E. None of the above
Ans: A

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103) A patient coming your pharmacy with Rx. You have busy
pharmacy and you need to call the doctor regarding his Rx. The
patient got angry because he is waiting so long in your pharmacy.
What is the appropriate act?

a. Let him went all his anger


b. Listening skills
c. Respect him acknowledge of his frustration
d. Ignore his anger
e. Force out him from pharmacy

Ans-C

104) All of the following are mandate of the Pharmacy and


Therapeutic committee, except?
A-Selecting the drug, negotiating terms of purchase from vendor or
logistics agent, and then purchasing.
B-Receiving medications and storing a product on site hospitals.
C-Hospital pharmacy and pharmacy therapeutic committee
determines the specific medication that will maintained in closed
formulary or inventory
D-Review of safe medication practices in determining the formulary
status of medications.
E-Assess patient therapeutic effect and adverse reactions.
Ans-E

105. A father of a teenaged girl phones the pharmacy and asked him
whether his daughter is taking birth control pills or not? What are
the contradicting ethics pressing the pharmacist?
a) Nonmaleficence and confidentiality

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b) Beneficence and confidentiality


c) Autonomy and confidentiality
d) Veracity and confidentiality
e) Justice and confidentiality
Ans-D

106. A 12-year-old son, NOT covered by insurance plan, he wants to


buy medication on mother insurance plan.
A-Call mother and get OK B-Fill the prescription C-It is unethical
to fill Rx
D-It is illegal to fill Rx E-Just dispense but do not mention to
insurance company
Ans-D

107. A 30 yr old male got written Rx for Morphine liquid, comes to


pharmacy long before his part fill time, what is appropriate action.
A-Verify with prescriber
B-Refuse to dispense
C-Dispense and encourage to comply in the future
D-Dispense acetaminophen PRN
E-Refer to emergency
Ans-A

108) A mother comes into your pharmacy and told you that the
insurance company has lost all of her daughter’s receipts. Her
daughter’s profile shows that she has two antibiotics 3 weeks ago,
and a refill for OCP last week. What is the appropriate action?
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A. Give receipts for free


B. Give receipts for a nominal fee
C. Before doing anything obtain permission from her daughter
D. Refuse to give receipts
Ans-C

109. You are a male pharmacist and you need to counsel a women
patient to an initial treatment of a vaginal cream. The patient is
having an issue to receive the counseling because her culture do not
permit that she talks to other man than her husband about intimacy
problems. What would be the best way to manage this situation?
a) Leave the patient goes home without counseling
b) Ask permission to her husband and bring her to the counseling
area alone
c) Ask her husband to participate of the counseling together with his
wife and you
d) Ask a woman pharmacy assistant to be present during the
counseling
e) Ask the help of the woman pharmacist that is currently working to
counseling would be the best way to manage this situation.
Ans-E

110. Insurance companies pay for the drugs of cheapest price of


substituted medications. According to the following data which
medication could be chose?
a) 40 mg bid with a cost of $0.55/tablet
b) 20 mg qid with a cost of $0.60/tablet
c) 80 mg qd with a cost of $1.90/tablet
d) 120 mg/hs with a cost of $2.30/tablet
e) 40 mg qid with a cost of $0.50/tablet
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Ans: A

111. In a patient cost sharing plan, when a patient has to pay a


specified amount of the cost of prescriptions and a third party will
pay the remaining cost of prescriptions, it is known as:
A. Co-payment B. Co-insurance C. Deductible D.
Retrospective payment
Ans: A

112. Two groups, one exposed to an intervention e.g smoking


cessation. And other not exposed: groups are followed for future if
they develop outcome of interest (COPD)
A-case control study B-prospective cohort study C-retrospective
study
D-crossover study E-cross sectional study
Ans-B

113. Parents come to refill prescription for salbutamol and


zafirlukast for their child. But the child’s symptoms are getting
worse. If the pharmacist fails to inform the parents or doctor about
the importance of using corticosteroids, he is breaking which of the
following ethics?
A. Beneficiary B. Nonmaleficence C. Justice D. Veracity E.
Autonomy
Ans: D

114. A pharmacist notices the technician writing down the


information of the new Rx for a patient while the pharmacist is on
the phone with a doctor. What would be the appropriate course of
action?

a) Tell the technician right away that it is not his job, disregarding
who is around
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b) See if the Rx is correct, if there is an error, the pharmacist should


show him how to correct the error so the technician can do it right
next time.
c) Plan a meeting so that everyone is aware of the work they are
responsible for
d) None of the above
Ans: C

115) What is incorrect about anabolic steroids, regulations?


I- Prescription cannot be transferred
II- Do not require sales report
III- Cannot be refilled
A-I only B-III only C-I and II only D-II and III only E-All of
the above
Ans-B

116) Prescriptions for:


Codeine 30 mg
M: 60 tab
Repeat every 30 days

What is correct regarding this?


a) Can be done verbally
b) Repeats are ok
c) Have to be written prescription
d) None of the above
Ans: C
117. If a therapeutic intervention is necessary, all of the following
information should be communicated to the prescriber EXCEPT:
a) A declaration that “a mistake was made”
b) A brief description to the problem
c) A reference source that documents the problem
d) An alternative or suggestion to resolve the problem
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e) A description of the clinical significance of the problem


Ans: A

118. Auxiliary and cautious labels should be utilized for all of the
following purposes EXCEPT to:
a) Substitute for verbal consultation
b) Ensure proper usage
c) Inform of storage requirement
d) Comply with regulatory requirements
e) Warn against the concomitant use of certain drugs
Ans: A

119. In case of reporting a new side effect for a drug:


a) Health professional should report it and complete a copy of ADR
reporting form and send it to the ADR centre
b) He may send the report to the manufacturer
c) Both a and b
d) Refer to emergency
e) None of the above
Ans-C

120. Which of the following is the drug of choice for treatment of


patients with alcohol withdrawal syndrome?
A. Ethanol B. Neuroleptic agent C. Serotonin reuptake
inhibitor
D. Benzodiazepine E. Disulfiram
Ans-D

121. A 15-year-old girl pierced her ear and she was wearing new ear
rings she got a reaction and it was oozing of fluid from her ears.
Pharmacist advised her to see her doctor. What is most important
reason why pharmacist sends her to the doctor?
A. Because these are the symptoms of contact dermatitis
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B. It can be a middle ear infections


C. It can be external ear infection
D. This is not a red flag, need not refer to doctor
E. This is serious concern, this should have been refer to
emergency
Ans-A

122. A lady phoned your pharmacy and tell you that her sister 20
year old, has swallowed 30 tabs of Sinutab (Acetaminophen 325 mg,
pseudoephedrine 15 mg), what should you
advice her:
A. Take her to the emergency room
B. Induce emesis
C. Call the poison control to inquire of what to do
D. Tell her that her sister will be fine after 24 hours
E. Recommend activated charcoal and gastric lavage
Ans-C

123. Parents want to give the supplement to the 2-month baby who
is not on the breast feeding which is the best choice.
A-Iron fortified milk formula. B-Cereal with iron. C-Oral iron
solution
D-IV iron E-None of the above
Ans-A

124. In a hospital pharmacy there is lot of wastage of the KCl


solution. Pharmacist wants to manage the wastage. All of the
following are the benefits, except.
A. Decrease number of orders.
B. Decrease wastage.
C. Proper handling and storage.
D. Easy for calculation
E. Prevent errors
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Ans-A

125. Mr ABC had a prescription for 3 months, filled from 2 and half
month, his son came with a new prescription and asked the
pharmacist to fill the new prescription as his father is living in Texas,
USA. His insurance plan covers 3 month’s prescription. What is the
least concern for the pharmacist?
A-Call doctor to verify prescription
B-Tell the son that his father should see doctor in USA
C-Tell the son he need signed paper from father that he approves to
get the medicine
D- He cannot fill the prescription as father is living now in USA
E-Refuse to fill prescription it is illegal
Ans-D

126. When can the insurance company pay for the new prescription?
A) After 1 year B) After 6 months C) After 1 month D) After 2
weeks E) The same day of prescription

Ans: D

127. During the last week of classes, the University of Finch police
arrive at a dormitory after receiving a call from a male student. On
arrival, the police find the student locked out of his dorm room. He
explains to the police that his roommate locked himself in the room
and moved the furniture in front of the door because he was
convinced that everyone was trying to steal his thesis. Other
students confirm that the roommate has been screaming and
pounding on walls for the past 3 hours.
After attempting to talk the hallucinating student into opening the
door, the police manage to enter the room through a window. On
entering the room, they find the student to be disoriented, anxious,
paranoid, and irritable. The student's pupils are not dilated. The
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student's speech is slurred. He has an unsteady gait, drooping


eyelids, and rapid involuntary eye movements.
The student who had been locked out admits that his roommate
uses illicit drugs. He does not know if his roommate had used any
this evening, because he went to the library to study for an
examination.
Which of the following agents should the police suspect is the cause
of the student's hallucinations and other symptoms?
A-Psycho mimetic stimulant like phencyclidine (PCP) overdose
symptoms
B-Morphine overdose symptoms
C-Heroin overdose symptoms
D-Benzodiazepine withdrawal symptoms
E-Amitriptyline overdose symptoms
Ans-A

128) A 55 years old patient has an acute pain in his ankle after
falling down from a ladder in his store. His doctor prescribed for him
morphine IR 5mg Q6h prn. The following are true, EXCEPT:
(A) After 1 month convert to equivalent daily dose of controlled,
release formula
(B) Some of side effects are Nausea and Constipation
(C) Morphine dose of Morphine parenteral is different from oral
(D) The analgesic activity is decreased with somatostatin
(E) Morphine IR is more potent than oxycodone IR
Ans: (A)
Reference: Therapeutic Choices 5th edition Page 220

129) A pharmacist is working as a relief in another pharmacy. A


patient came with a prescription of Ativan 1 mg. The pharmacist
remembered that the same patient came with another prescription
of same drug two days ago in the other pharmacy where he worked.
What should the pharmacy do?
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A. Call the police


B. Refuse to fill the new prescription
C. Discuss the matter with the patient
D. Call the Doctor and tell him that the patient is addictive
Ans-C

130) A patient diagnosed with are gastrointestinal tract


complications ulcers. The risk of having ulcers is bigger in people
having which of the following conditions:
a) Smokers b) Chronic alcoholics c) NSAID long-term treatment
d) Corticosteroids long-term treatment e) All are correct
Ans-E

131) For drugs sound like, what should manager do to decrease the
error, EXCEPT?
a. Put them away from each other
b. Put label on vial (call for error)
c. Put in computer system alarm to work on dispensing
d. Technician ask patient for what disease being treated for?
e. Make two persons double check before dispensing
Ans: D

132. Patient coming to take early refill from lorazepam 14 tabs


(repeat), because he is going away and he had his last refill 6 days
ago, 14 tabs once daily. Still 8 tablets left. What you should do to
patient who has history of alcoholism
a. Do not give him
b. Give him for he has right for refills
c. Give him 14 tab (one refill) only
d. Call doctor to ask him for authorization
Ans: C

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133. A company is developing promotional material for a low


molecular weight heparin. Which of the following can they include in
their promotional material?
I. Indications approved by health promotion branch (HPB).
II. Indications approved by Provincial Medical Association
III. Results from peer reviewed journals
A-I only B-III only C-I and II only D-II and III only E-All of
the above
Ans-E

134. What is incorrect about medical reconciliation?


A-It ensures the collection and communication of accurate
client/patient medication information.
B- medical reconciliation is to facilitate continuity of pharmaceutical
care for patients at admission/beginning of services and or at
discharge/transition from hospital to home or another level of care.
C-The overall objective of medical reconciliation is to reduce adverse
effects.
D-To minimize the hospital admissions due to inappropriate
prescribing
E-Retention and use of medication, and discontinuation of
medication, if not necessary
Ans-D

135) Medication reconciliation performed mainly during, except


A-Medication reconciliation process on admission
B-Medication reconciliation process on transfer
C-Medication reconciliation process on discharge
D-Medication reconciliation process on surgical pre-admission
E-Medication reconciliation process at community pharmacy
Ans-E

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136) Dentist, who is well known to you, came to your pharmacy and
wants to write a prescription of Tylenol # 3 for a patient for back
pain.
A) It is unethical to dispense Tylenol 3 for the patient for back pain,
discuss with dentist
B) It is unethical to dispense Tylenol 3 for the patient for back pain,
refer patient to doctor
C) It is unethical to dispense Tylenol 3 for the patient for back pain,
give otc pain reliever
D) It is illegal to dispense Tylenol 3 for the patient for back pain, refer
patient to doctor
Ans-B

137) Methods of measuring appropriate prescribing


A-Prescription review (most effective)
B-Chart Review
C-Linked longitudinal administrative data
D-Standardized patients
E-Electronic prescription and medical records
Ans-A

138) Which of the following are reportable narcotics?


1. Tylenol #4
2. Fiorinal C ½
3. Robitussin AC
4. Meperidine (Demerol)
a) 1 and 2 b) 1 and 3 c) 1 and 4 d) 2 and 4
Ans-C

139. Which ethical principles will be broken if clinical trial for a drug
was poorly conducted
A-Beneficence B-Nonmaleficence C-Justice D-Veracity E-
Paternalism
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Ans-B

140) Which of the following is inappropriate to enhance appropriate


prescription?
A-Consumer directed policies
B-Cost sharing
C-Encouraging compliance
D-Physician directed policies
E-Educational seminar to prescribers
Ans-C

141) A 58-year-old man presents you with a prescription for


acetaminophen 300 mg / codeine 60 mg (Tylenol # 4) PRN for
breakthrough pain. He has been diagnosed with colon cancer. He is
currently on simvastatin and ibuprofen 300 mg q6h daily. His mother
and father have died with heart attack in ages of 60’s.
What is correct about acetaminophen 300 mg/codeine 60 mg?
A-Can be verbally or written prescriptions
B-This prescription can have repeats
C-Have to be written prescription only
D-This prescription does not require sales record
E-This prescription can be transferred
Ans-C

142. A lady is planning to go to Mexico for a project. Her doctor


suggested taking antidiarrheal medications in her trip. She is taking
bismuth subsalicylate should be counselled for all of the following,
EXCEPT:
A-Side-effects are similar to Loperamide
B-The medication darkens the oral cavity, especially the tongue
C-The medication colors the stools
D-Do not take this medication if allergic to aspirin
E-This medication will only treat the symptoms, not the cause
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Ans-A

143. Which of the following error(s) is/are commonly associated


with compliance?
I ) Overutilization of drug
II ) Underutilization of drug
III) Administration of medication at inappropriate times
A-I only B-III only C-I and II only D-II and III only E-All of
above
Ans-E

144. What is true about Reference Based Pricing: (RBP)?


I-It is often implemented as policy to start or change patients for a
less expensive drug therapy,
II-it is possible to change to a different drug if the patient is non
responsive or experience side effects.
III- It is often implemented as policy to start or change expensive
therapy
A-I only B-III only C-I and II only D-II and III only E-All of
the above
Ans-C

145. The chances of noncompliance are high if:


I) Prescribed medication is to costly to buy
II) Patient age is over 60 years
III) Patients do not know the importance of taking the drugs
A-I only B-III only C-I and II only D-II and III only E-All of
the above
Ans-E

146. Canadian Optimal Medication Prescribing and Utilization


Service (COMPUS), works for?

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a-federal, provincial, and territorial ministries of health to identify


and promote evidence based best practices in drug prescription and
utilization among healthcare providers and consumers.
B-National Association of Pharmacy Regulatory Authority to include
drugs in schedules
C-Control Substances and Drugs to ensure safety of drugs
D-None of the above
Ans-A

147. Patient coming to take OTC cough syrup and pharmacist noticed
that patient took same medication yesterday, what you should do?
a. Tell her no more medication available
b. Ask her why she needs the medication again
c. Give her the name of the addiction group
d. Call the police
Ans-B

A 40 yo male smokers patient approaches your pharmacy, as he was


concern about on his 40th birth, as he read that over 40 years have
risk factors of metabolic syndrome like diabetes, high cholesterol
and coronary artery diseases. As his father had died at age of 45
years by myocardial infarction.

148. In trans-theoretical model of smoking cessation, what stage is


appropriate to provide information about smoking cessation?
A-Precontemplation B-Contemplation C-Action D-Preparation
E-Termination
Ans-A

149. When stage is quit date is set for smoking cessation?


A-Precontemplation B-Contemplation C-Action D-Preparation
E-Termination
Ans-D
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150) Importation, production, distribution and possession of various


drugs and substances in Canada are governed primarily by the
provisions of?
A) Health Canada CDSA B) Provincial college of pharmacy C)
Manufacturers D) Individual provinces E) RCMP
Ans: A

151) When a prescription drugs is offered for sale in Canada to treat


or prevent diseases or symptoms. What agency evaluate and
monitoring the safety, effectiveness and quality of pharmaceutical
drugs in Canada?
A) The Food and Drugs Act. Health Canada's Therapeutic Products
Directorate
B) The Control Drug Substance Act. Health Canada's Therapeutic
Products Directorate
C) The Natural health products act. Health Canada's Therapeutic
Products Directorate
D) National Pharmacy Regulatory Authority
E) Health Canada
Ans: A

152) Which of the following is correct sequence of health care


expenses in Canada?
A) Hospital > Drugs > Physician> other health care professionals >
Public health
B) Hospital > Physician > Drugs > other health care professionals >
Public health
C) Hospital > other health care professionals > Drugs > Physician >
Public health
D) Drugs > other health care professionals > Hospital > Physician >
Public health

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PharmacyPrep.Com QE Competency 3 MOCK Test

E) Public health > other health care professionals > Drugs > Physician
> Hospital
Ans: A
Tips: Health care expenses in Canada are Hospital (29.9%), Drugs
(17,5%), Physician (12.8%)
Other professionals (10.7%), Other institutions (9.9%), Other health
spending (6.1%), Public health (5.5%), Capital (4.2%) and
Administration (4.1%)

153) Prescription from USA. Pharmacist decided to dispense


due to emergence conditions. What principle he followed?
A) ethical as per principle of beneficence
B) ethical as per using professional judgment
C) legal according to Canadian health act
D) illegal according to nothing

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