PNN QUESTIONS WITH 100% CORRECT
ANSWERS
A.J is a 49 year old male with history of liver cirrhosis. He is brought in to ER by family members with
chief complaint of confusion and altered mental status for the last 24 hours. On exam, AJ is difficult to
arouse; he is not oriented on time, person or place. Which of the following treatment measures do you
recommend? - correct answer -PO lactulose, Xifaxan
P.B is a 32 yeaqr old male with cirrhosis. His recent labs are as follows. What is PBs corrected calcium
level? - correct answer -9.6
a 25 year old female presents to a walk-in clinic with chief complaint of dysuria, suprapubic pressure,
low back pain and nausea. She was sent home with bactrim PO and her urine was sent out for culture
and sensitivity. Three days later, she calls and states that she is still symptomatic. Which of the following
antibiotics would be the most appropriate outpatient choice for her? - correct answer -Levaquin
A.J. a 32-year old male comes in to your pharmacy to refill his Clozapine. The laboratory has faxed over
his CBC from 5 days ago. Which one of the following is the correct course of action? - correct answer -
Can fill prescription
A 72-year old female patient complains of confusion, weakness, and unsteadiness. She is currently on
Luvox. Which of the following choices represent the common electrolyte abnormality associated with
luvox? - correct answer -Hyponatremia
D.B. a 37-year old female has been complaining of weakness for one week. her physician orders blood
work and her basic metabolic panel is as follows. What is her anion gap? - correct answer -10
A 67-year old male patient with a history of alcoholism complains of shortness of breath, and fatigue. He
is found to have a hemoglobin level of 8.5 g/dL and an MCV of 108 fL. Which of the following choices
most correctly describes his condition? - correct answer -Macrocytic anemia likely secondary to folate
deficiency
D.B is a 67-year old male with ESRD on dialysis who has been on Epogen 3000 units SC three times a
week for anemia of chronic renal failure. His recent labs are as follows. With regards to his Epogen
dosing, what would be the most appropriate course of action? - correct answer -Discontinue for a few
weeks and when HgB < 10 g/dL, restart Epogen at a lower dose
B.K. a 37-year old male has the following CBC results. What is his absolute neutrophil count? - correct
answer -4000
Which of the following equations is used to measure CrCl? - correct answer -(Urine Volume x Urine Cr)/
(SrCrx 24 hr x 60 minutes)
The main laboratory test used to diagnose H. Pylori infection is: - correct answer -Urea Breath test
ANSWERS
A.J is a 49 year old male with history of liver cirrhosis. He is brought in to ER by family members with
chief complaint of confusion and altered mental status for the last 24 hours. On exam, AJ is difficult to
arouse; he is not oriented on time, person or place. Which of the following treatment measures do you
recommend? - correct answer -PO lactulose, Xifaxan
P.B is a 32 yeaqr old male with cirrhosis. His recent labs are as follows. What is PBs corrected calcium
level? - correct answer -9.6
a 25 year old female presents to a walk-in clinic with chief complaint of dysuria, suprapubic pressure,
low back pain and nausea. She was sent home with bactrim PO and her urine was sent out for culture
and sensitivity. Three days later, she calls and states that she is still symptomatic. Which of the following
antibiotics would be the most appropriate outpatient choice for her? - correct answer -Levaquin
A.J. a 32-year old male comes in to your pharmacy to refill his Clozapine. The laboratory has faxed over
his CBC from 5 days ago. Which one of the following is the correct course of action? - correct answer -
Can fill prescription
A 72-year old female patient complains of confusion, weakness, and unsteadiness. She is currently on
Luvox. Which of the following choices represent the common electrolyte abnormality associated with
luvox? - correct answer -Hyponatremia
D.B. a 37-year old female has been complaining of weakness for one week. her physician orders blood
work and her basic metabolic panel is as follows. What is her anion gap? - correct answer -10
A 67-year old male patient with a history of alcoholism complains of shortness of breath, and fatigue. He
is found to have a hemoglobin level of 8.5 g/dL and an MCV of 108 fL. Which of the following choices
most correctly describes his condition? - correct answer -Macrocytic anemia likely secondary to folate
deficiency
D.B is a 67-year old male with ESRD on dialysis who has been on Epogen 3000 units SC three times a
week for anemia of chronic renal failure. His recent labs are as follows. With regards to his Epogen
dosing, what would be the most appropriate course of action? - correct answer -Discontinue for a few
weeks and when HgB < 10 g/dL, restart Epogen at a lower dose
B.K. a 37-year old male has the following CBC results. What is his absolute neutrophil count? - correct
answer -4000
Which of the following equations is used to measure CrCl? - correct answer -(Urine Volume x Urine Cr)/
(SrCrx 24 hr x 60 minutes)
The main laboratory test used to diagnose H. Pylori infection is: - correct answer -Urea Breath test
