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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.
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
E) Refer him to doctor to check his HbAIC for last three months blood
glucose levels
Ans: B
Ans: C
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
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
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
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
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
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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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
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.
E-Look for the phone number of the Doctor and call him to verify the
prescription
Ans: E
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.
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
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.
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?
Ans-C
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
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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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
Ans: A
a) Tell the technician right away that it is not his job, disregarding
who is around
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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
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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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
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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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
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
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
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
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
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%)