‫السالم عليكم ورحمة هللا‬

2022 / ‫ أغسطس‬/ 10 ‫اختباري كان أمس يوم االربعاء‬

‫ من االختبار كان من التجميعات‬٪٤٠ ‫حوالي‬

‫وهذي االسئلة الي تذكرتها‬
‫القسم االول كان متوسط الصعوبة‬
‫ القسم الثاني كان ثقيل شوي اغلبه‬administrative and social questions

‫القسم الثالث كان اغلبه كلينيكال متوسط الصعوبة وفيه عدد ال بأس به من التجميعات‬
‫ال تنسونا من دعواتكم ونتمنى لكم التوفيق‬

A drug from plant origin?

Digoxin

Warfarin

Contraindicated in heart failure?

Amiodarone

Celecoxib

Increase gastric emptying rate?

PPI Metoclopramide

New hypertensive pt?

Lisinopril

A drug increase insulin secretion?

Glibenclamide

Pioglitazone

Metformin

Case about pt taking multiple drugs and he has dizziness when he stands, the responsible
drug is?

Hydralazine

Isosorbide dinitrate
Case about pt taking Methotrexate and has anemia what is the best drug for his case?

Folic acid

What is the interaction between warfarin and aspirin?

Protein binding displacement

Enzyme inhibitors

Case about pt with hypothyroidism taking levothyroxine try to conceive and asked the
pharmacist about this drug?

Continue levothyroxine

Stop levothyroxine

Elderly with diabetes and another conditions has neuropathic pain

Gabapentin

Which class from the following can cause diabetes?

Statin

ACEIs

Statin taking in bedtime?

Simvastatin

Atorvastatin

Least statin has drug-drug interaction?

Simvastatin

Atorvastatin

Patient with depression and loss of appetite?

Mirtazapine

Bupropion
Chlorpromazine MoA?

Blockade of dopamine 2 receptors

Haloperidol side effects?

Extrapyramidal side effects

Mood stabilizer drugs for bipolar disorder

Lamotrigine

Phenytoin

Mycophenolate stop before pregnancy?

Four weeks

Six weeks

Contraindicated in pregnancy

Finasteride

Class B COPD treatment

Albuterol

Fluticasone

Ipratropium ( or tiotropium I forgot)

Case about pt with renal transplantation taking tacrolimus and a new drug causes an
indication?

Anti fungal drug

Biotin side effects?

Anticoagulant that used just before delivery?

Unfractionated heparin

Enoxaparin

Warfarin
Warfarin lab result?

Gum bleeding

Hygiene to lower risk of UTI in women?

Urination after sexual intercourse

Patient with G6PD and has UTI?

Meropenem

Moxifloxacin or levofloxacin

Azithromycin

Enoxaparin antidote?

Protamine

Acetaminophen antidote?

Acetylcysteine

Clopidogrel metabolism?

CYP 2C19

Infant with psoriasis

Topical hydrocortisone

Oral hydrocortisone

Rifampicin counseling points?

Zolpidem dose for women?

2.5

15

20
Xalatan drops used for?

Question about which one is not from essential amino acids?

Amebiasis: Ipecac

Ramelteon MoA

Melatonin agonist

Melatonin antagonist

Vitamin D2 and D3 chemical names

Patient taking codeine and he is cyp2d6 poor metabolizer?

codeine overdose side effects

Insufficient relief of pain

Virus cell contain?

Plasmid

Peptidoglycan

…. Forgot the rest choices

Question about a pregnant woman when she can take a flu jab?

Usp795.. Non sterile

The most reliable study to make a clinical decisions?

Systematic review

Case control

Cohort study

A doctor noticed a new side effect for a drug, what study should he wrote?

Case control

Clinical trial
Hypersensitivity reaction type II

IgG

IgE

IgM

IgA

Crcl calculation

Bioavailability calculations

First order calculations t1/2

Room temperature 15-25

Cool room

Warm room

Structure questions:

Amphetracin B (hydrolysis)

Paracetamol (h-bond)

Sulphonylurea

4 principles of bio-ethics: definition of justice

 TAHANI

Antidote :

- Iron
- Morphine
- antidote of opioid
- Antidote of dabegatran
- Diazepam inactive
- Antidote heparin
- Benzodiazepine
- antidote of midazolam
- Mydriasis antidote : flumazil IV - IM – Naloxone IV – IM )
- NALOAXONE dose in pedia
-
-

Structure :

- Antimalaria
- Selenium
- Erythromycin
- Ergotamin
- Acyclovir
- Ethambutol
- Barbiturates
- common pharmacophore‫بيقولي‬
- lactone ring ithink
- Barbiturates ring
- conjugated amine
-
- analgesic for dysmenorrhea ? chose from structure
- which part of structure bind to nicotin receptor
- codeine → morphine (‫)او العكس‬
-
- Phenytoin SAR
- Photo oxidation
- ‫عالج يستخدم للزهايمر بس ممنوع عشانه يحتوي ع امفيتامين‬
- Ranitidine SAR
- Structure of TCA the most effective one the choice are imipramine,cholormipramine
and the others are wrong structure
- Structure of ethosuximide
- Structures containing sulpha gr and choose which one safe with sulphuric allergy
- Bio isoster of indomethacin
- Major metabolite of diclofenac
- Structure of paracetamol c8h9no2
- advantage od pseudoephedrine over ephedrine?
- What we can to add on morphine structure to increase its activity? Add OH group at
position 14
- physostigmine vs pyridostigmine structure and ask about replace pyridostigmine
from the formulary

8-2022 ‫اختبارات‬
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a) continue physostigmine b/c pyridostigmine can produce amphetamine

b) Replace to pyridostigmine b/c it can produce amphetamine
c) Replace b/c pyridostigmine has lower SE
-

Calculation :

- Crcl
- Ld
- Absolute bioavailability
- BMI
- calculate half life
- Bioavailability equation
- Cl equation
- ‫مل قطره عين‬٣ ‫المسأله تبع كم عدد النقط في‬
- Dose that give conc at 4hr (vd and Kel just are given)
- Phenytoin 300mg in 10ml with conc 75g/ml and diluted with D5%to 25mg/ml what
is the conc of both phenytoin and D5%
- Vancomycin correction
- Osmolarity : ++
- Clearance : ++
- Clearance → cl= elimination /dose
-

Anticoagulant :

- More
- Vitamin k and
- warfarin
- ‫ايش اللي ينأخذ مع االكل‬
- Anticoagulant for pregnant
- +1
- Antiplatlet CI in TIA
- Chadsvasc score for 60year htn and dm
- atrial fibrillation patient with a CHA2DS2-VACS score of 2 ??? man or women
- INR range Mittral valve
- INR DVT
- Vegan diet and INR ( Increase – decrease – no change IN INR )
- Extrinsic pathway in clotting occure by : tissue trauma
-
-

Immunity :

- iGg
- iGm
- iGe
- NK cell function
- Ig found in colestrim

8-2022 ‫اختبارات‬
 TAHANI

Bioche:

- how to activate trypsinogen to trypsin not pepsin?

- Which correct
a) Ergocalciferol is D3
b) Cholecalciferol is D2
c) Vit D 2 and D3 active biological
d) Vit D 2 and D3 inactive biological
-
- ↑ LP (alkaline phosphatase), ALT (alanine transaminase), AST (aspartate
aminotransferase), and gamma-glutamyl tansferase (GGT)…what mean liver
dysfunction
- Reaction (NAD _ NADH+) give + 30 energy (exogenic - endogenic -
- Endothermic - exothermic)
- Role of tetrahydrofolate : carbon transfer
- Substrate renin : ang I – ang II – Angiotensogmease
- What is the role of coenzyme Q?
a) reduction of NAD to NADH
b) oxidation of NAD to NADH
c) oxidation of FADH2 to FAD
- Reaction (NAD _ NADH+) give + 30 energy (exogenic - endogenic - Endothermic -
exothermic)
- Asa structure Cell can modify proteins by adding ubiquitin (?) on them, what's the
fate of this protein? (Stored- secreted- destroyed -repaired)
-

vomiting

- ginger
- vitamin b6

vaccine

- Deep wond vaccine

- Vaccinecan give for pregnant
- rota virus
- meningococcal
- varcilla
- MMR
- Oral vaccine
- Vaccine store in freezer
- Vaccine recommended beby with his mother
- Vaccine for hospital employees
- Vaccine for pregnancy
- vaccine and dental work what is type of demand : positive, negative , may be latent
- Vaccin : orally or im ( polo – varella – mmr )

8-2022 ‫اختبارات‬
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Women

- Pregnant E coli with G6PD

- ‫ اقصى مده تعطيه‬domperidone ‫للحامل‬
- Calcium elemental in pregnancy
- Pregnancy category
- HTN + PREGNANCY : SAFE AND HARM

Liver & Renal

- Increase gall bladder concentration : enteropeptidase

-

Definition:

- Privilege
- Budget
- Incident
- Morbidity
- Pharmacoepdemiology
- Planning
- Accounting
- Incidence
- Quarter tablet Definition
- Management
- MIC
- Accouting
- HAM
- Pharmaceutical psuchology
-

Study :

- 4q
- STUDY rear disease
-
- Phase post market
- +1
- group of smokers and non smokers , observe which will develope lymphoma and
which don't ... what's the kind of study
- which type of data the researchers collect from patients direct? (primary, 2ed , lab)
- clinical pharmacist during the round they ask her to choose one antibiotic for
C.diff,and after searching she found that vancomycin orally bid is the best to choose
,from where she conduct the information?
a) -expert opinion
b) -cohort study
c) -rct not su
-

8-2022 ‫اختبارات‬
 TAHANI

- primary information resources?

a) GUIDELINES FROM CDC
b) RCT FROM PubMed
c) handbook information
d) Review article
-

Communication

- assertive

infectious:

- Mrsa
- Mssa
- What it have oral good activity cephalosporin ?
- Colostine high dose monitor ?
- - ‫ سؤال ال‬sensitivity test ‫ اللي اجابته‬methicillin
- - encapsulated yeast
- Make up fungi
- Candida treatment?
- Pseudomonads treatment?
- Pertussis management for unvaccinated 1year baby (profen - azithromycin -
amoxicillin - dexamethasone)
- Pt has low TpmT which the effect with azathioprine--bone marrow suppression
- Treatment clostridium
- Plague transmited
- TB -TTT : ( 4MED )
- PT. with catheter jutter take : cipro
- pt. with pelyonephrities and -ve bacteria ttt?
- Pregnant take high dose ampicillin and after birth has high bilirubin what your
intervention : Ceftriaxone – genta – no antibiotic
-
-
- tuberculosis patient in ICU treatment?
a) Isolation
b) Treatment in icu then after stable treatment outpatient
c) Treatment in home
d) Hospital treatment without isolation
-

Natural products

- Ipecac
- St John's wort
- Ginko biloba
- ‫نبته تستخدم للنقرس‬
- Enhance physical activity
- Enhance diabetic medication

8-2022 ‫اختبارات‬
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- Decrease TG level
- Use in dry cough
- Valrina uses
-

Genom

- Cyp 2c19 clopidogrel

Economic

- +1

Statistic

- patient 65kg Standard deviation 5 what mean

a) Mean not less5
b) M Mean not less10
c) mean not less20
d) Mean not less…..
-

Pain

- Gout +hf ? ( colichicine – indocid )

Resource :

- 10page file
- Orion _ +1
- Ashwaq
- All non pharma

Threabutics

- Ulcerative colitis
- Case in ER Toxic symptom was constructe eye pupil ? ( atropine – physostigmen )
- Drug decrease MAC
- -Breast-feeding have tonic-clonic seizures
- Drug cause dry cough
- Drug cause constipation
- anti-anginal drug that cause dilatation of vascular smooth muscle
- which of the following describe nicardepine (ccb)
- drug contraindicated in diabetic pt. with CHF
- which cause peripheral edema
- - drug that cause sedation for fetus
- Dose vit A
- ‫ عالج‬TIA

8-2022 ‫اختبارات‬
 TAHANI

- ‫عالج سكر ممنوع لمرضى القلب‬

- ) ‫الرجال الي سافر ويبي مسيل دم ( مكرر‬
- Does of allopurinol in 9-3 crcl
- Drug glutamine antagonist
- 88 yr with OA pain (brofen - celecoxib- acetaminophen - codeine paracetamol )
- ‫ سؤال البنت اللي جات الصيدليه وعندها‬sore throat without fever and other symptoms the
answer gargle water and salt
- Asthma class
- CASE – sever musel crump , abdominall pain ,nausea , vomiting EXAMINATION
reveal hypoadrenal function immediate ttt
a) 100mg IV hydrocortisone
b) 5mg prednisolone orally
c) 5% dextrose then NS
-

PHARMACOLOGY

- Methotrexate moa
- Isoniazid S.E
- Long insulin
- Time take aspart before meal ?
- Vit ci in pregnancy
- ‫ اختار عالج‬narcotic
- Anesthesia iv ?
- Renin
- Less sadetive antihistamine
- What is the following predisposing to atherosclerosis (‫من ضمن الخيارات‬
hypothyroidism ‫واخرتها‬
- Drug cause constipation (atorvastatin.verapamil.nitrate)
- Pt has muscle pain and dark stool the atorvastatin from the choices
- Moa flurouracil
- Case pt use adol + ibrufen → black stool : drug drug interaction – toxicity – gi
bleeding
-
- Pt with ischemic stroke when discharge from hospital must refer for which unit
(cardio – psychiatric – occupational )
- Pao2 in extracellular fluid (500.275-295 mm.hg/l/kgor 275-285mmole/l ‫تقريبا‬
- Drug cause SJS TEN
- Pioglitazone : contraindication
- Non stimulant ADHD → atomoxifen
- Amitriptyline can cause : ( neuropathy – sedation – drowsiness )|

- Normal lecithin /sphingomyelin ratio lung for fetus : 1.5- .05

- Monitoring enoxaparin : Xa factor ??
- Not use in decrease wight : levothyroxine
- which more otc poisoning
a) Infant
b) Child

8-2022 ‫اختبارات‬
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c) Adult
d) Elderly
-
-

Cardio :

- Drug cause bradycardia and depression ? mcq propranolol

- Case HF
- HTN
- Class 3 in arrhythmia
- Qt ?
- qrs
- What is the drug will exacerbate in HF : Amitriptyline – gabapentin
- Anti arrhythmic drugs used in supra-ventricular and Ventricular Arrhythmia
- Pt. HTN , heart disease , pulmonary edema ttt for pulmonary edema :
a) Digoxin
b) Furosemide
c) Spironolactone
- Cause QT prolongation : citalopram
- Cause QT prolongation + bradycardia : propranolol
- antiarrhythmic drug in phase 0?
-
-
-

Pscy

- drug with narrow therapeutic index and used in mania

LAB

- Dragondof test

GEN

- Ph ‫رسمه‬
- COPE Limits
- ‫رسمه الليثل دوز بس كان خط واحد‬
- snRNA function
- Ligase function
- Amylase function
- Flashing tables?
- Csf from which area
- Gluteal muscle volume of im inj
- Filtered syring in ampules. Vial..all iv prpn
- Variation in genes noticed with (frusemide. Opioid ....
- Labeling of controlled drug (C. N. O )

8-2022 ‫اختبارات‬
 TAHANI

- TB patient in ER and Discharge ?????

a) give anti TB and Discharge
b) he is now not contaginous so keep pt in ER until stabilizing then go home
c) hospitilaize with no isolation
d) hospitilize without isolation

- High risk – low risk – intermediate ( ‫) ملف شيماء‬

- Pt. remain in TPN 6month will cause : (CKD – Acid-base imbalance – bone disease)
- Pt. visit doctor after that have appointment after 3 month -→ form SOAP → (PLAN -
ASSMENT – OBJECTIVE – SUBJECTIVE )
- No current disease : incidence – prevalence – morbidity – mortality )
- sterile water for injection is : pyrogen less than 1000/ml
- double check mean
a) 2 professional check dependently
b) 2 professional check independently
-
-
-

CUTICS

- From powder to granulation?

Kin

- Many questions in enzyme inducers and inhibitors

- Antifungal absorbed in low ph best recommendations (take it in empty
stomach.with lemon juice.with omeprazole and other thing)
- Drug first pass metabolism decrease conc by 0.1 what is the drug conc
- Drug age related age decrease hepatic clearance ??? diazepam

Admn :

- responsible determine essential drug : moh – sfda

- you are chief pharmacist ,when will you distribute sample drugs to a hospital?
a) after consulting with ethical committee
b) as per physicians order after consulting with
c) therapeutic committee
d) after consulting with pharmacy supervis
-
- Service for geriatric patient with High risk : awlawia
-

NON-PHARMA

- ‫ مده صرف عالج‬diazepam

- ‫وش تحتاج معلومه عشان تعرف مدة صرف العالج‬
- cost utility )time trade of ,rating scale.......)

communication :

8-2022 ‫اختبارات‬
 TAHANI

- Case about fresh pharmacist work in community pharmacy and customer ask why
cosmetics products is expensive then the pharmacist say because Our products are
good brand, not counterfeit what is type of communication
a) Assertive
b) Passive
c) Professional
d) Aggressiv
-

GEN2

‫ الصيدالنية لما شافت‬hypothyroidsm and osteoprosis and DM ‫مرأة كبيرة راحت للصيدلية معاها‬ -
metformin and other drug for DM ‫الملف لقت ان بس فيه‬

‫الخيارات‬
need more drug for other conditions -
non adherance -

‫يقول صيدالني توه متحرج وتوظف بصيدلية خاصة وش يسقط عنه‬ -

‫بالخيارات انه يصير يقدر يتعالج ببعض مستشفيات‬
-
‫جاني حقت الصيدلية اللي دخلت تهاوش اسعاركم غالية‬ -
‫وجاني اللي ما يتكلم غير هندي وش هنا ؟ ننادي زوجته تتفاهم معاه‬ -
‫مدير صيدليات في مكه وعدد من المدن وطلب صيدلي لفرع مكه ومن ضمن اسئله المقابلة كيف تساعد في‬ -
‫زياده المبيعات او حاجه قريبه لكده تقريبا‬
Part describe job need............ -
This called job description, job advertisement -

there is schedule program for ‫وحده جات الصيدليه تسأل من التطعيم لطفلتها واالجابه مفروض‬ -
vaccination
‫ من ضمن الخيارات‬cbahi ‫ في السعوديه وماكانت‬health accreditation ‫مين المسؤول من ال‬ -
-

8-2022 ‫اختبارات‬
 1-10 August 2022

Antidotes
**Copy/Pasted
Question Answer
Iron
Morphine
antidote of opioid
Antidote of dabegatran
Diazepam inactive
Heparin
Benzodiazepine
midazolam
Naloxone dose in paediatrics a) 2-4mg
b) 0.4-2mg
c) 0.5-2mg
Case in ER Toxic symptom was constructe eye Atropine
pupil Physostigmen
Morphine overdose doc: Naloxone
Antidote for vasopressor extravasation a) Atropine
b) Phentolamine
c) Vitamin K
Patient with mydriasis which antidote a) Flumazenil IV
b) Flumazenil IM
c) Naloxone 400mg IM
d) Naloxone 400ng IV
Paracetamol Acetylcysteine

Structures
**Copy/Pasted
Question Answer
Antimalaria
Selenium
Erythromycin
Vitamin D
Ergotamin
Acyclovir
Ethambutol
Barbiturates
Common pharmacophore
Lactone ring
Penicillin
Barbiturates ring
Conjugated amine
Analgesic for dysmenorrhea?Choose from
structure
Which part of structure bind to nicotine
receptor
Codeine → morphine
Phenytoin SAR

@beethepharmacist
 1-10 August 2022

Photo oxidation
‫عالج يستخدم للزهايمر بس ممنوع عشانه يحتوي ع‬
‫امفيتامين‬
Ranitidine SAR
Structure of TCA the most effective one The choice are imipramine,cholormipramine
and the others are wrong structure
Structure of ethosuximide
Structures containing sulpha gr and choose
which one safe with sulphuric allergy
Bio isoster of indomethacin
Major metabolite of diclofenac
Structure of paracetamol c8h9no2
Advantage of pseudoephedrine over
ephedrine?
What we can to add on morphine structure to Add OH group at position 14
increase its activity?
physostigmine vs pyridostigmine structure and a) Continue physostigmine b/c
ask about replace pyridostigmine from the pyridostigmine can produce
formulary amphetamine
b) Replace to pyridostigmine b/c it can
produce amphetamine
c) Replace b/c pyridostigmine has lower SE

Calculations
**Copy/Pasted
Question Answer
Crcl
Ld
Absolute bioavailability
BMI
Calculate half life
Bioavailability equation
‫ مل قطره عين‬٣ ‫المسألة تبع كم عدد النقط في‬
Phenytoin 300mg in 10ml with conc 75g/ml and
diluted with D5%to 25mg/ml what is the conc of
both phenytoin and D5%
Vancomycin correction
10 ml ampoule of 3% drug how many mls 5ml
required to give 150mg dose?
50% alcohol is to be diluted with purified water, 30parts water + 20 parts 50% alcohol
how many parts of purified water (0% alcohol) to
prepare 20% preparation?
A dose for pt. is 75mg, how ml needed from a) 5 ml
125mg/5ml solution: b) 3 ml
c) 15 ml
If dose of drug is 0.2 mg, how many doses are in 75 doses
15ml:
How many gram of 5% ointment will be prepared 40mg
from 2mg:

@beethepharmacist
 1-10 August 2022

If dose of drug is 0,2 ml , how many dose will be 75

in 15ml:
What is the concentration at T= 12 hrs.: 5 mg
Powdered drug 200mg is reconstituted in 4ml 3.9 ml
water, the displacement value of 100 mg of drug
is 0.05 ml. calculate the amount of water
Drug with a dose 500mg and after 5hr, 300mg of
the drug has been eliminated, if we increase the
dose calculate the time needed to eliminate
600mg of the drug if the dose became 1000mg, if
you know that it’s a leaner kinetic

Anticoagulants & Antiplatelet

**Copy/Pasted
Question Answer
Vitamin k and warfarin
‫ايش اللي ينأخذ مع االكل‬
Anticoagulant for pregnant
Antiplatlet CI in TIA
CHA2DS2-VACS score for 60year htn and dm https://youtu.be/K0KFVKNlVP8
Atrial fibrillation patient with a CHA2DS2-VACS score
of 2? man or women
INR normal range Mittral valve a) 2-3
b) 2.5-3.5
c) 1-2
INR normal range in DVT
Vegan diet and INR a) Increase
b) Decrease
c) No change in INR
Extrinsic pathway in clotting occur by Tissue trauma
Monitoring enoxaparin : Xa factor

TIA‫عالج‬
‫الرجال الي سافر ويبي مسيل دم‬

Anticoagulant that used just before delivery a) Unfractionated heparin

b) Enoxaparin
c) Warfarin
Warfarin lab results Gum bleeding
Enoxaparin antidote Protamine sulphate

@beethepharmacist
 1-10 August 2022

Clopidogrel metabolism CYP 2C19

What is the interaction between warfarin and aspirin Protein binding displacement
Enzyme inhibitors

Immunity & vaccines

**Copy/Pasted
Question Answer
IgG
IgM
IgE
NK cell function
Ig found in colostrum a) IgG + IgM
b) IgM + IgE
c) IgG + IgD
Deep wound vaccine
Vaccine can give for pregnant
Rota virus
Meningococcal
varicella
MMR
Oral vaccine
Vaccine store in freezer
Vaccine recommended baby with his mother
Vaccine for hospital employees
Vaccine and dental work what is type of a) Positive
demand : b) Negative
c) May be latent
Vaccine : orally or IM a) Polio
b) Varicella
c) MMR
‫وحده جات الصيدلية تسأل من التطعيم لطفلتها واإلجابة‬
there is schedule program for ‫مفروض‬
vaccination
CD4 coreceptor CCR5 , (the target of the HIV T lymphocyte
virus ) binds to
Which is not true about immune reconstitution a) Corticosteroids and anti-inflammatory
inflammatory syndrome drugs don’t shorten inflammation action
b) The action of antiviral start when virus
load is high
c) The patient start respond to treatment
when CD4 is high
Hypersensitivity reaction type II a) IgG
b) IgE
c) IgM
d) IgA
Question about a pregrant women when she
can take a flu jab?

@beethepharmacist
 1-10 August 2022

@beethepharmacist
 1-10 August 2022

Biochemistry
**Copy/Pasted
Question Answer
How to activate trypsinogen to trypsin not pepsin?
Which correct a) Ergocalciferol is D3
b) Cholecalciferol is D2
c) Vit D 2 and D3 active biological
d) Vit D 2 and D3 inactive biological
↑ LP (alkaline phosphatase), ALT (alanine
transaminase), AST (aspartate aminotransferase), and
gamma-glutamyl tansferase (GGT)…what mean liver
dysfunction
Role of tetrahydrofolate Carbon transfer
Substrate renin a) Ang I
b) Ang II
c) Angiotensogmease
What is the role of coenzyme Q? a) Reduction of NAD to NADH
b) Oxidation of NAD to NADH
c) Oxidation of FADH2 to FAD
Reaction (NAD _ NADH+) give + 30 energy a) Exogenic
b) Endogenic
c) Endothermic
d) Exothermic

GIT: GERD, Gastritis, Peptic ulcer, IBD, Constipation, Diarrhea, N&V

**Copy/Pasted
Question Answer
Vomiting Ginger
Vitamin b6
Ulcerative colitis
Drug cause constipation
Drug cause constipation a) Atorvastatin
b) Vrapamil
c) Nitrate
Drug used in IBD (Inflammatory bowel disease) infliximab
remission:
Charcoal act by which: adsorbent
DOC for motion sickness Scopolamine

Women
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Question Answer
Pregnant E.coli with G6PD
‫ للحامل‬domperidone ‫اقصى مده تعطيه‬
Calcium elemental in pregnancy
Pregnancy category
HTN + PREGNANCY : SAFE AND HARM
Drug that cause sedation for fetus
Vit CI in pregnancy

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 1-10 August 2022

Normal lecithin /sphingomyelin ratio lung for fetus : 1.5- .05

Used in pregnancy: clonazepam
Women during pregnancy took high doses of ampicillin a) Ceftriaxone
and after birth, the baby has high bilirubin. What is b) Gentamycin
ypur intervention c) No antibiotic needed
Mycophenolate stop before pregnancy Four weeks
Six weeks
CI in pregnancy Finasteride
Hygiene to lower risk of UTI in women Urination after sexual intercourse

Zolpidem dose for women 2.5

5
15
20

more ‫ بفعل تكسر كريات الدم الحمراء وهذا باإلضافة يكون‬hemolytic anemia ‫ يسبب‬G6PD‫المختصر ان نقص ال‬
:‫ القلق واألدوية مثل‬،‫ مع بعض أنواع االكل‬triggered
1. Hydroxychloroquine (RA treatment & Anti-malaria)
2. Sulfasalazine (RA treatment)
3. SMX/TMP (Antibiotic)
4. Primaquine (Anti-malaria)
5. Nitrofurantoin (used in UTI **mentioned before in urine discoloration)
!!!hemolysis risk‫ ألن نخاف من ال‬G6PD‫ مع مرضى ال‬CI ‫عموما ً االدوية المذكورة ما نستخدمها‬
Pregnant women with UTI go ‫ عادي‬G6PD deficiency ‫ يعني ما عندها‬...‫إذا المرأة سليمة‬
‫ليش تكلمنا عن الحامل بالذات؟ الن الحامل معرضة‬ with Nitrofurantoin
.‫ خالل الحمل‬pH‫ اكثر بسبب اختالف ال‬UTI‫لل‬ ‫ الزم نبدل ال‬:‫ مو عادي‬...G6PD deficiency ‫إذا المرأة عندها‬
.‫ ألنه آمن اكثر‬Cefuroxime‫ ب‬Nitrofurantoin
‫؟‬Nitrofurantoin ‫ عادي نعطيها‬...G6PD deficiency ‫لو كانت المرأة مو حامل لكنها عندها‬
!contraindicated ‫الاااا! احنا مو قلنا‬

Jet Melatonin Zolpidem

lag  MOA of Zolpidem: BZDs like action
 Uses: Jet lag, insomnia & geriatric “hypo hypnotic”
#DONOT cause addiction & withdrawal
 The patient who using zolpidem will be: drowsy, Dizzy, Weak &
lightheaded
 Dose:
1. Man: 3.5 mg → Max: 10 mg
2. Woman: 1.75 mg → Max: 5 mg

Vitamins
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Question Answer
Dose vit A
Biotin side effects

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 1-10 August 2022

Vitamin D2 and D3 chemical names

Ultraviolet radiation photoisomerase

7-dehydrocholecalciferol in the skin to
vitamin D3 (cholecalciferol)

Vitamin D3 (cholecalciferol) oxidized in

the liver to 25-hydroxy-cholecalciferol

25-hydroxy-cholecalciferol
oxidized in the kidney to the active
form of vitamin D (1,25-Di-hydroxy-
cholecalciferol

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 1-10 August 2022

Respiratory, Liver & renal

**Copy/Pasted
Question Answer
Increase gall bladder concentration Enteropeptidase
Asthma class
Drug first pass metabolism decrease conc by 0.1 what
is the drug conc
Drug age related age decrease hepatic clearance Diazepam
Many questions in enzyme inducers and inhibitors
Ipratropium approved for: Maintaining COPD
case about COPD and he asked about the drug that a) Salmeterol
affect the prognosis of the disease: b) Salbutamol
c) Corticosteroid
d) Ipratropium Br
Pt with COPD and heart failure, which to avoid: Nicardipine Amiodarone
(causes acute respiratory distress
symptom (ARDS) (lung diffusion)
Patient with asthma, 2-3 attacks per week & asthma a) Acute intermittent
attack during the day with limitation in daily activity & b) Mild
using inhaler more than one time per day c) Moderate
d) Severe

Definitions
**Copy/Pasted
Question Answer
Privilege
Budget
Incident
Morbidity
Pharmacoepdemiology
Planning
Accounting
Incidence
Quarter tablet
Management
MIC
Accounting
HAM
Pharmaceutical psychology
Part describe job need
This called job description, job
advertisement
MTC mean: minimum safe conc OR Min. toxic conc.
MEC mean: minimum effective concentration
CMAX.: a. maximum conc. of the drug
to reach max effect
TMAX.: time required to reach max.
plasma conc

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Study
**Copy/Pasted
Question Answer
4q
STUDY rear disease
Phase post market
Group of smokers and non-smokers , observe which
will develope lymphoma and which don't ... what's the
kind of study
Which type of data the researchers collect from a) Primary
patients direct? b) Secondary
c) Lab
Clinical pharmacist during the round they ask her to a) Expert opinion
choose one antibiotic for C.diff, and after searching she b) Cohort study
found that vancomycin orally bid is the best to choose, c) RCT
from where she conduct the information?
Primary information resources? a) Guidelines from CDC
b) RCT from PubMed
c) Handbook information
d) Review article

Communication/ Regulation
**Copy/Pasted
Question Answer
Assertive
Fresh pharmacist work in community pharmacy and a) Assertive
customer ask why cosmetics products is expensive b) Passive
then the pharmacist say because Our products are c) Professional
good brand, not counterfeit what is type of d) Aggressive
communication
‫يقول صيدالني توه متحرج وتوظف بصيدلية خاصة وش يسقط عنه‬
‫بالخيارات انه يصير يقدر يتعالج ببعض مستشفيات‬
‫جاني حقت الصيدلية اللي دخلت تهاوش اسعاركم غالية‬
‫وجاني اللي ما يتكلم غير هندي وش هنا ؟ ننادي زوجته تتفاهم معاه‬
‫مدير صيدليات في مكة وعدد من المدن وطلب صيدلي لفرع مكة ومن‬
‫ضمن أسئلة المقابلة كيف تساعد في زياده المبيعات او حاجه قريبه لكده‬
‫تقريبا‬
‫ في السعودية وما كانت‬health accreditation ‫مين المسؤول من ال‬
‫ من ضمن الخيارات‬cbahi
diazepam ‫مده صرف عالج‬
‫وش تحتاج معلومة عشان تعرف مدة صرف العالج‬
Responsible determine essential drug : moh – sfda
you are chief pharmacist ,when will you distribute a) After consulting with ethical
sample drugs to a hospital? committee
b) As per physicians order after
consulting with
c) Therapeutic committee
d) After consulting with pharmacy
supervisor
Service for geriatric patient with High risk Awlawia

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 1-10 August 2022

‫ى‬ ‫ى‬ ‫ى‬

‫وف النهاية الطبيب قالها‬
‫ سيدة يف المستشف بتاخذ الرعاية الصحية ي‬a) Plan
‫ شهور المتابعة‬3 ‫ بعد‬b) Assessment
c) Object
d) Subject

Infection
**Copy/Pasted
Question Answer
MRSA
MSSA
What it have oral good activity cephalosporin?
Colostine high dose monitor?
methicillin‫الل اجابته‬
‫ ي‬sensitivity test ‫سؤال ال‬
Encapsulated yeast
Make up fungi
Candida treatment
Pseudomonads treatment
Pertussis management for unvaccinated 1year baby a) Ibuprofen
b) Azithromycin
c) Amoxicillin
d) Dexamethasone
Pt has low TpmT which the effect with azathioprine--
bone marrow suppression
Treatment clostridium a) IV vancomycin
b) Oral metronidazole
Plague transmitted by a) House flies
b) Fleas
c) Mosquitoes
TB -TTT INH + rifambin + pyrazinamide +
ethambutol
PT. with catheter jutter take : Ciprofloxacin
PT. with pelyonephrities and -ve bacteria ttt?
Pregnant take high dose ampicillin and after birth has a) Ceftriaxone
high bilirubin what your intervention b) Gentamicin
c) No antibiotic
Tuberculosis patient in ICU treatment? a) Isolation
b) Treatment in ICU then after stable
treatment outpatient
c) Treatment in home
d) Hospital treatment without
isolation
Antifungal absorbed in low ph best recommendations take it in empty
Suitable Tetracycline for Renal impairment:
doxycycline
NOT fungus: E. coli
Bacteria move by Flagella
Which antiviral cause mitochondrial toxicity Stavudine 1 st OR zidovudine 2nd
Used for HIV&HIB Lamivudine
In HIV the CD4 less than 200

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 1-10 August 2022

Case scenario about patient HIV and have low fever

and lung diffuse and ask which negative myco-
bacterium like to cause this infection: Mycobacterium
avium
Patient diagnosed with TB, is taking INH, rifampicin, Peripheral neuropathy
ethambutol. Which of the following side effects is
associated with INH:
Pharyngitis, penicillin allergic, organism sensible to a) Azithromycin
bacitracin: b) Tetracycline
c) Cefaclor
d) Amoxicillin
Disease caused by Ebola virus a) Pulmonary embolism
b) Pneumonia
c) Haemorrhage
d) Fever

Natural products
**Copy/Pasted
Question Answer
Ipecac
St John's wort
Ginko biloba
‫نبته تستخدم للنقرس‬
Enhance physical activity
Enhance diabetic medication
Decrease TG level
Use in dry cough
Valerian uses

Dyslipidemia
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Question Answer
What is the following predisposing to atherosclerosis ‫ واخترته‬hypothyroidism ‫من ضمن الخيارات‬
Hypothyroidism
Hyperthyroidism
Cushing syndrome
Peptic ulcer
Pt has muscle pain and dark stool the atorvastatin from
the choices
Niacin Has the Highest effect on HDL (the case with choices fenofibrate and niacin and
mild dyslipidemia and low HDL) others, I choose niacin
Simvastatin causes serious interaction with: Amiodaron
Which need to calculate CHA2DS2-VACS to calculate a) Patient with stroke
statin dose b) Patient with MI
c) Patient with DM
Which class from the following can cause diabetes Statin
ACEI
Statin taken at bed time
Least statin has drug drug interaction Simvastatin
Atorvastatin

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Cancer
**Copy/Pasted
Question Answer
Methotrexate moa

Moa flurouracil

Case about pt taking

mtx and has anemia
what is the best
drug for this case

Genomics
**Copy/Pasted
Question Answer
CYP 2C19 Clopidogrel
Patient taking codeine and he is cyp2d6 poor Codeine overdose side effects
metabolizer Insuffincident relief of pain
https://www.ncbi.nlm.nih.gov/books/NBK100662/#!po=0.694444

The CYP450 enzymes are polymorphic, which means there are different forms of the same
enzyme; these polymorphisms may be responsible for much of the variability in medication
response
Clopidogre CYP2C19  Clopidogrel is a prodrug. It must be converted to Consider
its active metabolite by CYP2C19. alternative
 The CYP2C19*1 allele is fully functional, whereas treatment
the *2 & *3 alleles indicate reduced metabolism
(less active metabolite formed).
 Patients with CYP2C19*2 or *3 alleles are poor
metabolizers and have ↑ cardiovascular events
Codeine CYP2D6 Codeine is a prodrug & it’s metabolized to morphine Don’t use
via CYP2D6. Ultra-rapid metabolizers are at ↑ risk of (toxicity risk)
opioid overdose due to extensive conversion to
morphine.

Statistics
**Copy/Pasted
Question Answer
Patient 65kg Standard deviation 5 what mean a) Mean not less5
b) Mean not less10
c) mean not less20
d) Mean not less…..

Psychiatric
**Copy/Pasted
Question Answer

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 1-10 August 2022

Breast-feeding 1m baby have tonic-clonic seizures a) Olanzapine

b) Valproic acid
c) Rsperidone
d) Ethosuximide
Non stimulant ADHD → Atomxoetine

Amitriptyline can cause a) Neuropathy

b) Sedation
c) Drowsiness
Drug with narrow therapeutic index and used in mania
Carbidopa prevents decarboxylation of levodopa in
peripherally thus enhance its dopaminergic action
Symptoms of Parkinson: Agitation – difficulty in
initiating movement- difficulty in persisting a supine
standing card
Metabolism of TCA: CYP 450
Doctor wants to discontinue anti-epileptic drug for a) EEG
female patient, which of the following guarantees low b) History of frequent seizures
recurrence c) Onset in childhood
d) MRI
Doc in absence seizure Ethosuximide 1wst
Lamotrigine 2nd
Antiviral used in Parkinson amantadine
All used as anti-Parkinson except: a) Chlorthalidone
b) Levodopa
c) Carbidopa
d) Seligline
MOA of TCA by acting on Serotonin & Norepinephrine
Case patient take imipramine and asking TCA used in a) Panic attack
all of the following expect: b) Schizophrenia
c) Migraine
d) Neuropathic pain
Parkinson case and ask about the decrease in the a) Six month
efficacy of levodopa occurs after: b) 3-5 years
c) 2 years
Phenytoin Side effects except: Gingival hyperplasia
Acne
Hirsutism
Nystagmus
Nephrotoxicity
Steven-Johnson syndrome
Tonic-colonic seizures DOC is: a) Phenytoin
b) Ethosuximide
c) Valproate
Anti-epileptic used for status epilepticus: Diazepam 1 st Clonazepam 2nd
phenytoin 3rd
Which of the following is true of fluoxetine: a) Used in bulimia nervosa

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 1-10 August 2022

b) Suffers from extensive first pass

metabolism
c) Its metabolite is as potent as the
parent drug
d) It has t1/2 of 50 hrs
Which of the following drugs is not used in the a) Benzhexol
treatment of Parkinson’s disease because its b) Amantadine
antagoniste of dopamine: c) Haloperidol
d) Carbidopa
TCA act on all of the following receptors expect: a) Histamine receptors
b) Cholinergic receptors
c) Alpha receptors
d) Beta receptor
Short-barbiturates Thiopental
Patient with depression and loss of appetite Mirtazapine
Bupropion
Chlorpromazine MOA Blockage of dopamine 2 receptors
Haloperidol side effect Extrapyramidal side effects
Mood stabilizer drugs for bipolar disorder Lamotrigine
Phenytoin

Therapeutics & pharmacology

**Copy/Pasted
Question Answer
Drug decrease MAC
Drug cause dry cough
Which cause peripheral edema
Drug glutamine antagonist
sore throat without ‫الل جات الصيدليه وعندها‬
‫سؤال البنت ي‬
fever and other symptoms the answer gargle water
and salt
Sever musel crump , abdominall pain ,nausea , a) 100mg IV hydrocortisone
vomiting EXAMINATION reveal hypoadrenal function b) 5mg prednisolone orally
immediate ttt c) 5% dextrose then NS
Less sedative antihistamine
Which more OTC poisoning a) Infant
b) Child
c) Adult
d) Elderly
Atropine least S.E: - decrease gastric secretion
All of the following Anticholinesterase non-competitive a) Galantamine
except: b) Rivastigmine
c) Tacrine
d) Donepezil
SIADH (Syndrome of inappropriate antidiuretic a) Hyponatremia
hormone) cause all of the following except: b) Hypernatremia
c) water excess
d) Inadequate vasopressin
production

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 1-10 August 2022

Which drug is high alert and should always be properly Epinephrine inj –EpiPen
labelled and separated
Infant with psoriasis Topical hydrocortisone
Oral hydrocortisone

CVD: Arrhythmias, heart failure, angina, stroke & shock

**Copy/Pasted
Question Answer
Anti-anginal drug that cause dilatation of vascular
smooth muscle
Which of the following describe nicardepine (CCB)
Drug contraindicated in diabetic pt. with CHF
Pt with ischemic stroke when discharge from a) Cardio
hospital must refer for which unit b) Psychiatric
c) Occupational
Drug cause bradycardia and depression ? mcq
propranolol
Class 3 in arrhythmia
Qt ?
qrs
What is the drug will exacerbate in HF Amitriptyline – gabapentin
Anti arrhythmic drugs used in supra-ventricular and
Ventricular Arrhythmia
- Pt. HTN , heart disease , pulmonary edema ttt for a) Digoxin
pulmonary edema b) Furosemide
c) Spironolactone
Cause QT prolongation : Citalopram
Cause QT prolongation + bradycardia : Propranolol
Antiarrhythmic drug in phase 0?
All are route of administration of nitroglycerin a) Oral
except: b) Sublingual
c) Transdermal
d) Buccal
Patient with arrhythmia discharged from the
hospital which medication used to control his
condition: verapamil
Common side effects of arrhythmic drug Torsade de pointe
CASE About Arrhythmia statements: which is true: a) Most cause of recurrent arrhythmia
due to re-entry
b) Most of them is Calcium and sodium
blocker
c) SA node is the pace maker
d) Antiarrhythmics safer than operation
The role of B-blocker in MI is all of the following a) Decrease mortality and morbidity
expect b) Decrease infarct size
c) Increase O2 demand
Prinzmetal angina: a) Sudden spasm at rest
b) Sudden spasm with atherosclerosis

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 1-10 August 2022

c) Sudden spasm with atherosclerosis

and not responsive to CCBs and
nitrogl
Which is Contraindicated in prinzmetal angina: a) Nitroglycerin
b) Nifedipine
c) Atenolol
d) Diltiazem
β- blocker SE except: a) Reduced glycogenolysis
b) Hyperglycemia
c) Hypertriglyceridemia
d) Reduce gluconeogenesis
Mechanism of action of digoxin include all of the a) Positive inotropic effect
following except: b) Decrease peripheral vascular
resistance
c) Has modulatory effect on autonomic
nervous system
d) Maintain ventricular rate in atrial
fibrillation
Patient suffering from arrhythmia and doctors are a) The most common cause is reentry
discussing whether to prescribe anti-arrhythmics or and antiarrhythmics are safer than
convert to defibrillator, The following is true about operations, SA node sets the pace for
anti-arrhythmias: contraction of the myocardium
b) The most common cause is reentry
and arrhythmia doesn’t respond to Ca
and Na channel blockers
c) Antiarrhythmics are safer and SA
node sets the pace for contraction of
the myocardium
d) The most common cause for
arrhythmia is reentry, SA node sets
the pace for contraction of the
myocardium, arrhythmia responds to
Ca and Na channel blockers
In anaphylactic shock which is the 1st choice: bee- a) Norepinephrine
sting b) Epinephrine
c) Anti-histamine
Patient with arrhythmia discharged from the Verapamil
hospital
Drug CI in heart failure Amiodarone
Celecoxib
Case about pt taking multiple drugs and he has Hydralazine
dizzenes when he stand which drug is responsible Isosorbide mononitratie
for this

HTN: RRAs-I, Beta blockers, CCBs, Diuretics, Centrally acting, Vasodilators, Pregnancy &
selection
**Copy/Pasted
Question Answer
Renin
Least to interact with b- blocker a) Phenytoin

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 1-10 August 2022

b) Phenobarbital
c) Rifampin
d) Fluoxetine
CI of loop diuretic except: renal impairment
All of the following is the SE of thiazide diuretics expect a) Hypokalemia
b) Hyponatremia
c) Hypocalcemia
d) Hyperuricemia
Which true about dry cough with ACE inhibitors a) In women more than in men
b) It is mediated by bradykinin and
other mediators
c) Appear within 6 months of using
drug dose related
b blockers are used in all the following except: a) Migraine
b) Bronchial asthma
c) Hyperthyroidism
Patient with HTN, put on antihypertensive drug, after verapamil
few months developed heart failure, reduction in heart
rate, velocity, contraction:
Timolol CI expect: HTN
New Hypertensive pt Lisinopril

Discoloration & syndromes

**Copy/Pasted
Question Answer
Drug cause SJS TEN a) Fosphenytoin
b) CBZ
c) Lamotragine
Isoniazid S.E

Musculoskeletal: Osteoporosis, Osteoarthritis, Rheumatoid arthritis, Gout, Multiple sclerosis,

Myasthenia gravis
**Copy/Pasted
Question Answer
88y with OA pain a) Ibuprofen
b) Celecoxib
c) Acetaminophen
d) Codeine paracetamol

Does of allopurinol in 9-3 crcl

In myasthenia gravis which is not true: a) Autoimmune disease against ACh
receptors
b) Diagnosed by edrophonium
c) Not treated or responded with
Corticosteroids

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case scenario about female patient have GOUT was a) Allopurinol

weak & dizzy & fatigue and other problems like she b) Colchicine
can’t raise her hand and having some blood disorders c) Probenecid
like agranulocytosis and leukopenia and type of
anaemia which anti-gout are probably to cause this
Side effects:

Pain management and anesthetics

**Copy/Pasted
Question Answer
narcotic ‫اختار عالج‬
Anesthesia IV?
Patient took paracetamol & ibuprofen and had black a) Drug-drug interaction
stool due to b) Paracetamol
‫*تكرر‬ c) Ibuprofen cause GI bleeding
Meperidine not suitable for use long time because: a) Nephrotoxicity
b) Neurotoxicity
c) Cardiotoxicity
All used for Morphine dependence except: a) Methadone
b) Codeine
c) Clonidine
d) Buprenorphine
Patients develops tolerance against all of the following a) Respiratory depression
effects of morphine except: b) Euphoria
c) Analgesia
d) Pinpoint pupil

Endocrine
**Copy/Pasted
Question Answer
Long insulin
Time take aspart before meal?
Patient with HTN, DM, & MI which drug is CI Pioglitazone
Not use in decrease weight : levothyroxine
hypothyroidism, ‫مرأة كبيرة راحت للصيدلية معاها‬ a) need more drug for other
‫ الصيدالنية لما شافت الملف لقت ان بس‬osteoporosis & DM conditions
metformin & other DM medication ‫فيه‬ b) non adherence
81yr old diabetic patient on oral hypoglycemics and a) Losartan
suffering from hypertension, which of the following b) Enalapril
antihypertensive drugs is not recommended: c) Hydrochlorothiazide

Migraine & Glaucoma

**Copy/Pasted
Question Answer
Antiglaucoma used to: reduce intraocular pressure
Pilocarpine used in all of the following except: a) Acute attack of closed angle of
glaucoma
b) Standard drug for close angle
glaucoma

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 1-10 August 2022

c) Used alternatively with mydriatic

to separate the iris
d) Standard one for open angle
glaucoma

Men Genitourinary: Erectile dysfunction, BPH, urinary incontinence

**Copy/Pasted
Question Answer
Least to be used in BPH (benign prostate hyperplasia): b- blockers
Prazosin which is true about: a) Have first dose effect
b) First dose effect not decrease with
decreasing dose
c) Patient will not develop tolerance
other choice I don’t remember , I
choose a.

Pharmaceutics/ preparations
**Copy/Pasted
Question Answer
From powder to granulation
Advantages of IV route over oral route: a) Safe and convenient, rapid onset,
dose can be titrated, can be used
in ER
b) Rapid onset, can be used in ER
c) Safe and convenient, can be used
in ER
d) Rapid onset, dose can be titrated,
can be used in ER
Particle size affect which of the following: a) Uniformity
b) Homogeneity
c) Dissolution
Particle size affect the following: a) Solubility
b) Dissolution
c) Content-content uniformity
d) Suspendability
e) Penetrability
Emulsion inversion: conversion of W/O emulsion to O/w
emulsion and vice versa
Which is true about dry gum emulsion: a) Ratio 4:2
b) Gum and water are added
together and triturated then add
water at once
c) Gum and oil and water added
slowly
d) None of the above

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Foam in pharmacy found as spray is used as: a) Burn dressing and topical but not
for rectal administration
b) Topical and rectal but not for
burns
c) Topical, rectal and for burn
dressing
Conductivity test – Dilution test – Dye test used for Susp. Emulsion
which dosage form:
If an emulsion is able to conduct electricity then the a) Aqueous
dispersion phase is probably: b) Non-Aqueous
c) Low-lipophilic
d) Hydrophilic

Eye & ear

**Copy/Pasted
Question Answer
Mydriatic used to determine the true refractive error Tropicamide
of the eye: Note: Atropine is not used nowadays
because of its prolonged effect
Xalatan drops used for

GEN
**Copy/Pasted
Ph ‫رسمه‬
- COPE Limits
- ‫رسمه الليثل دوز بس كان خط واحد‬
- snRNA function
- Ligase function
- Amylase function
- Flashing tables?
- Csf from which area
- Gluteal muscle volume of im inj
- Filtered syring in ampules. Vial..all iv prpn
- Variation in genes noticed with (frusemide. Opioid ....
- Labeling of controlled drug (C. N. O )
High risk – low risk – intermediate ( ‫) ملف شيماء‬
- Pt. remain in TPN 6month will cause : (CKD – Acid-base imbalance – bone disease)
- Pt. visit doctor after that have appointment after 3 month -→ form SOAP → (PLAN -ASSMENT
– OBJECTIVE – SUBJECTIVE )
- No current disease : incidence – prevalence – morbidity – mortality )
- sterile water for injection is : pyrogen less than 1000/ml
- double check mean
a) 2 professional check dependently
b) 2 professional check independently

@beethepharmacist
 1-10 August 2022

Natural products
Recurrent UTI Cranberry juice
BPH (benign prostatic hypertrophy) Saw palmetto
Se: dizziness, headache, n/v/c/d.
Painful menstruation & hot flashes Black cohosh
**Estrogen-like
Don’t use it with amiodarone Grapefruit
Herbal safe with warfare Fish oil
Dry cough Thyme
Cough relief Ivy plant
Oil form eucalyptus tree
Stress Chamomile, lavender, lemon
Herbal for mental disease Ginkgo biloba
Used in Alzheimer **Increase cerebral blood flow
Herbal for sedative Valerian
Increase physical activity Ginger
Flavour used in medications Fruits
Natural products of burning Running water, Aloe Vera, honey , coconut oil,
vinegar
Silver sulfadiazine FDA approved for wound
infection and burn
To treat vomiting Ginger
Citrus lemon, berberis vulgaris, malus domestica,
mentha piperita, valeriana officinalis, zingiber
officinalis
Natural products for hyperlipidemia Garlic, red yeast rice, Fish oil
Plant with adaptogenic effect Ginger, Chinese Schisandra
Plant source use for acute gout Colchicine
Derived of belladonna Atropine
Chondroitin/ glucosamine Osteoarithritis
Melatonin Sleep regulation for people work with different
shifts
St. John's wort Anxiety & depression
CYP inducer
Co-enzyme Q10 ↓myopathy when co-administer with STATINS
Anti-malaria from natural source Cinchona “quinine”
Plant sources of anticancer  Vinca Alkaloid: Vinblastine, Vincristine,
Vindesine, Vinorelbine
**Vincristine Fatal if given intrathecal ONLY IV
infusion
 Texans: Paclitaxel, Docetaxel
 Plant origin (epipodophyllotoxin): Etoposide
Natural estrogen Estrone, Estriol, Estradiol
Sources of insulin  Human insulin → E.coli by DNA technology
 Cows
 Pigs
 Human
Natural emulsifying agent Acacia
Decoction: Is a method of extraction by boiling herbal or plant material to dissolve the
chemicals of the material.

@beethepharmacist
 1-10 August 2022

‫ يعني نفس لما نغلي شي وبعدين نشرب الماي ماله‬..‫**بالعربي ترجمتها االستخالص بالغليان‬

Incr. (↑) INR (bleeding risk) Dec. (↓) INR (clotting risk)
Natural Cranberry, Chinese Angelica, Ginger, Soya, St John’s Wort, Green tea,
products Grapefruit, Garlic, Ginseng, Ginkgo Vitamin E, Co-enzyme Q10

Vitamins
Fat soluble vitamins (ADEK)
Lipid vitamins are important for liver
Vit Name Uses/ notes Deficiency
A Retinol  Antioxidant Night blindness
 High doses (>15000 IU) is CI in
pregnant woman
D3 Cholecalciferol  Needed to absorb Ca → bone  Children→ Rickets
growth  Adults→ Osteomalacia
 CKD→ ↓PTH  ↑ risk of CVD
 ↓Breast cancer risk
 Used with patient using
corticosteroids for 6 months
E Tocopherol,  Antioxidant
alpha-tocopherol  Fertility→ used in infertility
cases
K Phylloquinone **Remember WARfarin is a vitamin Bleeding
K antagonist
Water soluble vitamins (B&C)
B1 Thiamine Beriberi
B2 Riboflavin Ariboflavinosis

B3 Niacin  Antihyperlipidemic (↑ HDL) Pellagra (4D’s: diarrhea,

 In doses above 500 mg daily dermatitis, dementia, &
causes transient increase in possible even death)
liver enzymes
B5 Pantothenic acid Paresthesia
B6 Pyridoxine  Antidote to Isoniazid (INH)  Neurological symptoms
 Nausea in pregnant women  Anemia
B7 Biotin  Alopecia
 Dermatitis
B9 Folic acid  Administer with MTX  Megaloblastic anemia
 Should be taken 1m before  Neural tube defects
pregnancy & during pregnancy
B12 Cobalamin Its derivative (hydroxycobalamin)  Megaloblastic anemia;
used in cyanide toxicity pernicious anemia

@beethepharmacist
 1-10 August 2022

**↓intrinsic factor → ↓B12

To detect B12 amount→ absorption → pernicious
schilling test anemia
 Medications cause
decrease in B12:
metformin, PPIs, H2RA
C Ascorbic acid  Antioxidant Scurvy
 Co-administer with iron →
increase iron absorption
 Used in preparation→
preservative agent
 Used in cold ”flu”→ reduce the
duration

@beethepharmacist
WEEK : 1 WEEK : 2 WEEK 1+2 : ++ TAHANI

‫تجميع أسئلة بدون حلول‬

Antidote :

- Iron
- Morphine
- opioid
- dabigatran : darucizumab ++
- Antidote heparin : protamine sulphate ++
- Enoxaparin : protamine sulphate
- Benzodiazepine ++
- Midazolam
- Diazepam inactive
-
- Mydriasis antidote : flumazil IV - IM – Naloxone IV – IM )
- NALOAXONE dose in pedia
- Digoxin
- Lithium
- Methaglubilinemia
- Organophosphates
- Acetaminophen antidote? Acetylcysteine

Structure :

- Antimalaria ++++
- Quinine and asked what is the action of it if converted to quinidine
-
- Selenium
- Erythromycin
- Ergotamin
- Acyclovir
- Ethambutol
- Barbiturates
- common pharmacophore‫بيقولي‬
- lactone ring I think
- Barbiturates ring
- conjugated amine
- analgesic for dysmenorrhea? choose from structure
- which part of structure bind to nicotin receptor
- codeine → morphine (‫ )او العكس‬++

- Phenytoin SAR
- Photo oxidation ++
- ‫عالج يستخدم للزهايمر بس ممنوع عشانه يحتوي ع امفيتامين‬
- Ranitidine SAR
- Structure of TCA the most effective one the choice are imipramine ,cholormipramine
and the others are wrong structure ++
- Structure of ethosuximide
- Ethosuximide : Enatrizomer ??

UPDATE 1 8-2022 ‫اختبارات‬

WEEK : 1 WEEK : 2 WEEK 1+2 : ++ TAHANI

- Structures containing sulpha gr and choose which one safe with sulphuric allergy
- Bio isoster of indomethacin
- Major metabolite of diclofenac ++
- Structure of paracetamol c8h9no2
- advantage od pseudoephedrine over ephedrine?
- What we can to add on morphine structure to increase its activity? Add OH group at
position 14
- physostigmine vs pyridostigmine structure and ask about replace pyridostigmine
from the formulary ++
a) continue physostigmine b/c pyridostigmine can produce amphetamine
b) Replace to pyridostigmine b/c it can produce amphetamine
c) Replace b/c pyridostigmine has lower SE
- NO of tabs 3 questions
- structures of cephalosporins asked which one is oral
- acetyl choline What function group binding with receptor
- levothyroxine
- NSAIDs
- Oseltamivir
- Aspirin
- Fondaparinux
- Azoles
- How Methicillin penicillin resistance
- Amphotericin B (hydrolysis)
- Paracetamol (h-bond)
- Sulphonylurea

Calculation :

- Crcl ++++++++
- Ld ++
- Absolute bioavailability ++++
- BMI ++++
- calculate half life
- Bioavailability equation ++++
- Cl equation
- ‫مل قطره عين‬٣ ‫المسأله تبع كم عدد النقط في‬
- Dose that give conc at 4hr (vd and Kel just are given)
- Phenytoin 300mg in 10ml with conc 75g/ml and diluted with D5%to 25mg/ml what
is the conc of both phenytoin and D5%
- Vancomycin correction
- Osmolarity : ++
- Clearance : ++
- Clearance → cl= elimination /dose
- Rate of administration 4 questions ++
- Tmax
- Relation between T1/2 and css
- Phenytoin corrections
- Elimination rate

UPDATE 1 8-2022 ‫اختبارات‬

WEEK : 1 WEEK : 2 WEEK 1+2 : ++ TAHANI

- First order calculations t1/2

- Calculate dose : should convert Ib to Kg
-

Anticoagulant + antiplatelet :

- More
- Vitamin k and
- warfarin
- anticoagulants used after food : rivaroxaban ++
- Anticoagulant for pregnant
- +1
- Antiplatelet CI in TIA ++
- Chadsvasc score for 60year htn and dm
- atrial fibrillation patient with a CHA2DS2-VACS score of 2 ??? man or women
- INR range Mittral valve
- INR DVT
- Vegan diet and INR ( Increase – decrease – no change IN INR )
- Extrinsic pathway in clotting occure by : tissue trauma
- Monitoring enoxaparin : Xa factor ??

- MOA apixaban : direct factor Xa inhibitors

- Patient came with INR 11 and minor bleeding what to do
a. oral Vit K (1-10 mg PO / IV)
b. IM Vit K
c. Prothrombin complex concentrate ( Administer with vitamin K )
d. Recombinant activated factor VII ( Administer with vitamin K )

- anticoagulant used in HIT

a. argatruban
b. LMWH
c. rivaroxaban
d. UFH
injectable DTI argatroban is the drug of choice. Dabigatran (Pradaxa) is an oral
DTI
- Tow agent Aspirin + ticagrelor dose :
- interaction warfarin and aspirin? Protein binding displacement, Enzyme inhibitors
- Warfarin late lab result? Gum bleeding
- Vegan diet : increase INR

Immunity :

- iGg
- iGm
- iGe
- NK cell function
- Ig found in colestrim
- Hypersensitivity reaction type II ? IgG - IgE - IgM – IgA
- Dominate : IgG

UPDATE 1 8-2022 ‫اختبارات‬

WEEK : 1 WEEK : 2 WEEK 1+2 : ++ TAHANI

- Cross placenta : IgG

- Bite hypersensitivity mediator : T-B

Bioche:

- how to activate trypsinogen to trypsin not pepsin?

- Which correct
a) Ergocalciferol is D3
b) Cholecalciferol is D2
c) Vit D 2 and D3 active biological
d) Vit D 2 and D3 inactive biological
- Chemical name : Vitamin D2 ( ergocalciferol ) and D3 ( cholecalciferol )
- Vitamin d3-d2 : inactive form
- Vitamin D Active form : CALCITROL ??
-
- ↑ LP (alkaline phosphatase), ALT (alanine transaminase), AST (aspartate
aminotransferase), and gamma-glutamyl tansferase (GGT)…what mean liver
dysfunction
- Reaction (NAD _ NADH+) give + 30 energy (exogenic - endogenic -
- Endothermic - exothermic)
- Role of tetrahydrofolate : carbon transfer
- Substrate renin : ang I – ang II – Angiotensogmease
- What is the role of coenzyme Q?
a) reduction of NAD to NADH
b) oxidation of NAD to NADH
c) oxidation of FADH2 to FAD
- Reaction (NAD _ NADH+) give + 30 energy (exogenic - endogenic - Endothermic -
exothermic)
- Asa structure Cell can modify proteins by adding ubiquitin (?) on them, what's the
fate of this protein? (Stored- secreted- destroyed -repaired)
- Fat soluble vitamin : ADEK

vomiting

- Ginger ++
- vitamin b6

vaccine

- Deep wond vaccine

- Vaccinecan give for pregnant
- rota virus
- meningococcal
- varcilla
- MMR
- Oral vaccine
- Vaccine store in freezer
- Vaccine recommended beby with his mother
- Vaccine for hospital employees
- Vaccine for pregnancy

UPDATE 1 8-2022 ‫اختبارات‬

WEEK : 1 WEEK : 2 WEEK 1+2 : ++ TAHANI

- vaccine and dental work what is type of demand : positive, negative , may be latent
- Vaccin : orally or im ( polo – varella – mmr )
- Herps simple box : varicella vaccine
- Vaccine give between 6-12 month :

Women

- Pregnant E coli with G6PD

- ‫ اقصى مده تعطيه‬domperidone ‫للحامل‬
- Calcium elemental in pregnancy
- Pregnancy category
- HTN + PREGNANCY : SAFE AND HARM
- pregnant + UTI what to give : norfloxacin -nitrofurantoin-Bactrim- Amoxicillin
- Anticoagulant that used just before delivery? Unfractionated heparin Enoxaparin.
- Hygiene to lower risk of UTI in women? Urination after sexual intercourse
- a pregnant woman when she can take a flu jab?
- Candida + pregnancy : clotrimazole
- Antiestrogen effect :
- CI laxative in pregnancy: castor oil

Liver & Renal

- Increase gall bladder concentration : enteropeptidase

- Case high liver enzyme : liver cirrhose

Definition:

- Privilege
- Budget
- Incident
- Morbidity
- Pharmacoepdemiology
- Planning
- Accounting
- Incidence
- Quarter tablet Definition
- Management
- MIC
- Accouting
- HAM
- Pharmaceutical psuchology
- 4 principles of bio-ethics:
- justice5 +
- DM : incidence – prevalence
- What sterile vail, ampule …
- Pharmacovigilance
- Flash tab : fast release
- Bioavailability

UPDATE 1 8-2022 ‫اختبارات‬

WEEK : 1 WEEK : 2 WEEK 1+2 : ++ TAHANI

Study :

- 4q
- STUDY rear disease
- Phase post market
- group of smokers and non smokers , observe which will develope lymphoma and
which don't ... what's the kind of study
- which type of data the researchers collect from patients direct? (primary, 2ed , lab)
- clinical pharmacist during the round they ask her to choose one antibiotic for
C.diff,and after searching she found that vancomycin orally bid is the best to choose
,from where she conduct the information?
a) -expert opinion
b) -cohort study
c) -rct not su
-
- primary information resources?
a) GUIDELINES FROM CDC
b) RCT FROM PubMed
c) handbook information
d) Review article
- The most reliable study to make a clinical decision? Systematic review - Case
control Cohort study
- doctor noticed a new side effect for a drug, what study should he wrote? Case
control - Clinical trial
- deemed trail : ethical approval
- small number Patient : phase II
- risk ratio equation : or for what :

Communication

- assertive ++

infectious:

- Mrsa
- Mssa
- What it have oral good activity cephalosporin ?
- Colostine high dose monitor ?
- ‫ سؤال ال‬sensitivity test ‫ اللي اجابته‬methicillin
- encapsulated yeast
- Make up fungi
- Candida treatment?
- Pseudomonads treatment?
- Pertussis management for unvaccinated 1year baby (profen - azithromycin -
amoxicillin - dexamethasone)
- Pt has low TpmT which the effect with azathioprine--bone marrow suppression
- Treatment clostridium
- Plague transmitted
- TB -TTT : ( 4MED ) ++++
- PT. with catheter jutter take : cipro ++++

UPDATE 1 8-2022 ‫اختبارات‬

WEEK : 1 WEEK : 2 WEEK 1+2 : ++ TAHANI

- pt. with pelyonephrities and -ve bacteria ttt?

- Pregnant take high dose ampicillin and after birth has high bilirubin what your
intervention : Ceftriaxone – genta – no antibiotic
- Patient with G6PD and has UTI ? Meropenem – levofloxacin – Azithromycin
- MOA Cipro :
- MOA Azol :
- Colitis : vancomycin

- tuberculosis patient in ICU treatment?

a) Isolation
b) Treatment in icu then after stable treatment outpatient
c) Treatment in home
d) Hospital treatment without isolation

- infective endocarditis Culture show staph sensitive to linezolid but linezolid not
approved by FDA for infective endocarditis So what to do.
a. Give vancomycin
b. Don't give linezolid
c. Give linezolid as off label
- Vit c used to decrease
a. viral infection severity
b. Viral infection duration
- which vitamin used to decrease flu infection duration : ( vit C – D- Ca++ - folic acid )
- sore throat : Hemophilus influnza - Mycobacterium tuberculosis
- NOT effective for the treatment of P.aeruginosa UTI ? (TMP/SMX – Ciprofloxacin –
Methenamine – Norfloxacine )
- nose congestion + cough: Diphenhydramine
- Rifampicin counseling points?
- Virus cell contain? Plasmid – Peptidoglycan
- Antiviral +pneumonia : oseltamivir
- HIV + Pregnancy : zidovudine
- HIV : CD4

Natural products

- Ipecac
- St John's wort
- Ginko biloba
- ‫نبته تستخدم للنقرس‬
- Enhance physical activity
- Enhance diabetic medication
- Decrease TG level
- Use in dry cough
- Valrina uses
- Source digoxin : foxglove
- Source warfarin : coumarin
- Amebiasis: Ipecac

UPDATE 1 8-2022 ‫اختبارات‬

WEEK : 1 WEEK : 2 WEEK 1+2 : ++ TAHANI

Genom

- Clopidogrel metabolism? CYP 2C19 ++

- Codeine
- 1502
- Warfarin VOK
- Trastizumab

Economic

- +1
- Cost drug same generic name

Statistic

- patient 65kg Standard deviation 5 what mean

a) Mean not less5
b) M Mean not less10
c) mean not less20
d) Mean not less…..

Pain

- Gout +hf ? ( colichicine – indocid )

SAFTY:

- Medical error: non compliance

- Medical error in elderly : polypharmacy

Resource :

- 10page file
- Orion _ +1
- Ashwaq
- All non pharma

Threabutics

- Ulcerative colitis
- Case in ER Toxic symptom was constructe eye pupil ? ( atropine – physostigmen )
- Drug decrease MAC
- -Breast-feeding have tonic-clonic seizures
- Drug cause dry cough
- Drug cause constipation
- anti-anginal drug that cause dilatation of vascular smooth muscle
- which of the following describe nicardepine (ccb)
- drug contraindicated in diabetic pt. with CHF
- which cause peripheral edema
- - drug that cause sedation for fetus
- Dose vit A
- ‫ عالج‬TIA

UPDATE 1 8-2022 ‫اختبارات‬

WEEK : 1 WEEK : 2 WEEK 1+2 : ++ TAHANI

- ‫عالج سكر ممنوع لمرضى القلب‬

- ) ‫الرجال الي سافر ويبي مسيل دم ( مكرر‬
- Does of allopurinol in 9-3 crcl
- Drug glutamine antagonist
- 88 yr with OA pain (brofen - celecoxib- acetaminophen - codeine paracetamol )
- ‫ سؤال البنت اللي جات الصيدليه وعندها‬sore throat without fever and other symptoms the
answer gargle water and salt
- Asthma class
- CASE – sever musel crump , abdominall pain ,nausea , vomiting EXAMINATION
reveal hypoadrenal function immediate ttt
a) 100mg IV hydrocortisone
b) 5mg prednisolone orally
c) 5% dextrose then NS
-
- Elderly DM and another conditions has neuropathic pain : Gabapentin
- Mycophenolate stop before pregnancy? Four weeks Six weeks
- Class B COPD treatment: Albuterol Fluticasone Ipratropium ( or tiotropium I forgot)
- Infant with psoriasis : Topical hydrocortisone - Oral hydrocortisone
- Zolpidem dose for women? 2.5 - 5 – 15 – 20
- Deficiency B12 : cobalamin
- Prevent DM foot :
- Mild persist asthma classification :
- Acute asthma LABA : Montelukast ????
- Alternative lidocaine in anesthesia :

PHARMACOLOGY

- Methotrexate moa
- Isoniazid S.E
- Long insulin
- Time take aspart before meal ?
- Vit CI in pregnancy
- ‫ اختار عالج‬narcotic
- Anesthesia iv ?
- Renin
- Less sadetive antihistamine
- What is the following predisposing to atherosclerosis (‫من ضمن الخيارات‬
hypothyroidism ‫واخرتها‬
- Drug cause constipation (atorvastatin.verapamil.nitrate)
- Pt has muscle pain and dark stool the atorvastatin from the choices
- Moa flurouracil
- Case pt use adol + ibrufen → black stool : drug drug interaction – toxicity – gi
bleeding
-
- Pt with ischemic stroke when discharge from hospital must refer for which unit
(cardio – psychiatric – occupational )
- Pao2 in extracellular fluid (500.275-295 mm.hg/l/kgor 275-285mmole/l ‫تقريبا‬
- Drug cause SJS TEN

UPDATE 1 8-2022 ‫اختبارات‬

WEEK : 1 WEEK : 2 WEEK 1+2 : ++ TAHANI

- Pioglitazone : contraindication
- Non stimulant ADHD → atomoxifen
- Amitriptyline can cause : ( neuropathy – sedation – drowsiness )|

- Normal lecithin /sphingomyelin ratio lung for fetus : 1.5- .05

- Not use in decrease wight : levothyroxine
- which more otc poisoning
a) Infant
b) Child
c) Adult
d) Elderly

- Statin use at night or evening: simvastatin ++

- Least statin has drug-drug interaction? Atorvastatin
- Monitor fingolimod : (ECG required at baseline and at end of initial observation period or
if treatment course is interrupted)
- Omeprazole :ppi
- Cipro + phosphate binder what should do : separate or together
- Gold stander thyroid gland : TSH
- Hyperthyroid : tachycardia
- Hypothyroid : bradycardia
- Aspirin 325mg frequency ?
- Increase gastric emptying rate? PPI - Metoclopramide
- A drug increase insulin secretion? Glibenclamide
- dizziness when he stands, the responsible drug is? Hydralazine - Isosorbide dinitrate
- Which class from the following can cause diabetes? STATIN
- Chlorpromazine MoA? Blockade of dopamine 2 receptors
- pt with renal transplantation taking tacrolimus and a new drug causes an indication?
Anti fungal drug
- Biotin side effects?
- Xalatan drops used for?
- MoA of Ramelteon : Melatonin agonist - Melatonin antagonist
- SGLT2 : canagliflozin
- AntiDM use in post paradial
- Insulin dose : .05/kg/unite
- Blouse / Basal insulin : basal 15 unit glargine
- IV insulin : regular
- Pt. DM – Wt. lose :
- Pt. DM A1C 13% : Insulin
- Ca++ dose elderly :
- CKD +anemia : erythropoietin
- Active form : pepsin
- 20mg Atorvastatin equivalent dose:

- Partial seizure ttt:

- Med with food : iron ???? ‫أتوقع خطاء‬
- Miosis : morphine
- Muscle pain : statin

UPDATE 1 8-2022 ‫اختبارات‬

WEEK : 1 WEEK : 2 WEEK 1+2 : ++ TAHANI

- Alzheimer : Donepezil
- Increase absorption iron : vit C
- Ca++ dose in elderly pt. : 1200mg ?
- Interaction theophylline + smoking : increase dose
- Posterior pituitary gland : antidiuretic hormone ( ADH )
- CI in osteoarthritis : cortisone
- Dry cough ttt :
- Tow agent cause hepatotoxic : aminoglycoside + furosemide ????

Cardio :

- Drug cause bradycardia and depression ? mcq propranolol

- Case HF
- HTN
- Class 3 in arrhythmia
- Qt ?
- QSR +
- What is the drug will exacerbate in HF : Amitriptyline – gabapentin
- Anti arrhythmic drugs used in supra-ventricular and Ventricular Arrhythmia
- Pt. HTN , heart disease , pulmonary edema ttt for pulmonary edema :
a) Digoxin
b) Furosemide
c) Spironolactone
- Cause QT prolongation : citalopram ++
- Cause QT prolongation + bradycardia : propranolol ++
- antiarrhythmic drug in phase 0?
- ACEIs + spironolactone : increase Potassium (K)
- PR interval :
- Rate control
- SE OF Amiodarone :
- Pt. use statin but still lipid profile high : fish oil – niacin

Pscy

- drug with narrow therapeutic index and used in mania

- Patient with depression and loss of appetite? Mirtazapine – Bupropion
- Haloperidol side effects? Extrapyramidal side effects
- Mood stabilizer drugs for bipolar disorder Lamotrigine Phenytoin
- Depression + lose appetite : use mirtazapine

LAB

- Dragondof test
- Statin : creatin kinase
- Estimate renal function : CrCL
- Warfarin: gum bleeding

UPDATE 1 8-2022 ‫اختبارات‬

WEEK : 1 WEEK : 2 WEEK 1+2 : ++ TAHANI

GEN

- Ph ‫رسمه‬
- COPE Limits
- ‫رسمه الليثل دوز بس كان خط واحد‬
- snRNA function
- Ligase function
- Amylase function
- Flashing tables?
- Csf from which area
- Gluteal muscle volume of im inj
- Filtered syring in ampules. Vial..all iv prpn
- Variation in genes noticed with (frusemide. Opioid ....
- Labeling of controlled drug (C. N. O )
- TB patient in ER and Discharge ?????
a) give anti TB and Discharge
b) he is now not contaginous so keep pt in ER until stabilizing then go home
c) hospitilaize with no isolation
d) hospitilize without isolation

- High risk – low risk – intermediate ( ‫) ملف شيماء‬

- Pt. remain in TPN 6month will cause : (CKD – Acid-base imbalance – bone disease)
- Pt. visit doctor after that have appointment after 3 month -→ form SOAP → (PLAN -
ASSMENT – OBJECTIVE – SUBJECTIVE )
- No current disease : incidence – prevalence – morbidity – mortality )
- sterile water for injection is : pyrogen less than 1000/ml
- double check mean
a) 2 professional check dependently
b) 2 professional check independently
- More acquired body temp. measurement : rectal
- Aerotolerant anaerobes :Growth occurs in absence of O2 but can grow in presence
of O2
- How allow dispense misoprostol: gynecologist
- Monophase contraceptive :
- Common Couse CKD : DM – smoking

CUTICS

- From powder to granulation?

- Hydrophilic : head
- Lipophilic : tail
- Veegum : suspending agent
- Sterility : 70% isopropyl
- Vit C : preservative
- Large capsule : 000

UPDATE 1 8-2022 ‫اختبارات‬

WEEK : 1 WEEK : 2 WEEK 1+2 : ++ TAHANI

Kin

- Many questions in enzyme inducers and inhibitors ++++

- Antifungal absorbed in low ph best recommendations (take it in empty
stomach.with lemon juice.with omeprazole and other thing)
- Drug first pass metabolism decrease conc by 0.1 what is the drug conc
- Drug age related age decrease hepatic clearance ??? diazepam
- codeine and he is cyp2d6 poor metabolizer? codeine overdose side effects
Insufficient relief of pain
- phenytoin : non-liner metabolism

Admn :

- responsible determine essential drug : moh – sfda

- you are chief pharmacist ,when will you distribute sample drugs to a hospital?
a) after consulting with ethical committee
b) as per physicians order after consulting with
c) therapeutic committee
d) after consulting with pharmacy supervis

- Service for geriatric patient with High risk : awlawia

NON-PHARMA

- ‫ مده صرف عالج‬diazepam

- ‫وش تحتاج معلومه عشان تعرف مدة صرف العالج‬
- cost utility )time trade of ,rating scale.......)
- Room temperature 15-25
- Usp795.. Non sterile
- Orange book : FDA approved drug
- 3ed resource ex. : Textbooks/Books - guidelines – Micromedex- Lexicomp - Review
articles in journals ALL CORRECT
- MAX control prescription ?
- Identification drug name : lexi ID
- Strategy: vision, mission
- Operation : immediately
- Budget
- SE reference : maylor

communication :

- Case about fresh pharmacist work in community pharmacy and customer ask why
cosmetics products is expensive then the pharmacist say because Our products are
good brand, not counterfeit what is type of communication
a) Assertive
b) Passive
c) Professional
d) Aggressiv
-

UPDATE 1 8-2022 ‫اختبارات‬

‫‪WEEK : 1 WEEK : 2‬‬ ‫‪WEEK 1+2 : ++‬‬ ‫‪TAHANI‬‬

‫‪GEN2‬‬

‫مرأة كبيرة راحت للصيدلية معاها ‪ hypothyroidsm and osteoprosis and DM‬الصيدالنية لما شافت‬ ‫‪-‬‬
‫الملف لقت ان بس فيه ‪metformin and other drug for DM‬‬

‫الخيارات‬
‫‪need more drug for other conditions‬‬ ‫‪-‬‬
‫‪non adherance‬‬ ‫‪-‬‬

‫يقول صيدالني توه متحرج وتوظف بصيدلية خاصة وش يسقط عنه‬ ‫‪-‬‬
‫بالخيارات انه يصير يقدر يتعالج ببعض مستشفيات‬
‫‪-‬‬
‫جاني حقت الصيدلية اللي دخلت تهاوش اسعاركم غالية‬ ‫‪-‬‬
‫وجاني اللي ما يتكلم غير هندي وش هنا ؟ ننادي زوجته تتفاهم معاه‬ ‫‪-‬‬
‫مدير صيدليات في مكه وعدد من المدن وطلب صيدلي لفرع مكه ومن ضمن اسئله المقابلة كيف تساعد في‬ ‫‪-‬‬
‫زياده المبيعات او حاجه قريبه لكده تقريبا‬
‫‪Part describe job need............‬‬ ‫‪-‬‬
‫‪This called job description, job advertisement‬‬ ‫‪-‬‬

‫وحده جات الصيدليه تسأل من التطعيم لطفلتها واالجابه مفروض ‪there is schedule program for‬‬ ‫‪-‬‬
‫‪vaccination‬‬
‫مين المسؤول من ال ‪ health accreditation‬في السعوديه وماكانت ‪ cbahi‬من ضمن الخيارات‬ ‫‪-‬‬
‫)‪Amphetamines (pyrdostgmin‬انه اكتشفو منه دواء تاني ودايرين يقرروا بالمستشفى انه يستخدميه وال‬ ‫‪-‬‬
‫ال‬

‫مكرر ‪Orion file Number question:‬‬

‫‪518‬‬ ‫‪572‬‬ ‫‪61-56‬‬ ‫‪246‬‬ ‫‪796‬‬ ‫‪1027‬‬

‫‪847‬‬ ‫‪541‬‬ ‫‪1046‬‬ ‫‪434‬‬ ‫‪1040‬‬ ‫‪996‬‬
‫‪637 - 642‬‬ ‫‪710‬‬ ‫‪698‬‬ ‫‪735‬‬ ‫‪680‬‬ ‫‪1037‬‬
‫‪754‬‬ ‫‪1085‬‬ ‫‪1110‬‬ ‫‪68‬‬ ‫‪806‬‬ ‫‪449‬‬
‫‪123‬‬ ‫‪505‬‬ ‫‪115‬‬ ‫‪313‬‬ ‫‪435‬‬ ‫‪1046‬‬

‫‪UPDATE 1‬‬ ‫اختبارات ‪8-2022‬‬

Fondaparinux

‫ دعواتكم انجح‬August 14 ‫اختباري‬