1. A 72-year-old patient with seasonal allergic rhinitis is experiencing
confusion and urinary retention after starting an OTC sleep aid. Which
medication is most likely responsible?
A. Loratadine
B. Diphenhydramine
C. Montelukast
D. Cromolyn sodium
2. A patient with a history of CAD presents with chest tightness after taking
a migraine medication. Which drug is most likely responsible?
A. Sumatriptan
B. Acetaminophen
C. Dextromethorphan
D. Ibuprofen
3. A patient asks why they can’t take phenazopyridine for more than two
days. What’s the best response?
A. It loses effectiveness after two days
B. It can cause dependency
C. It’s only for symptom relief while antibiotics begin working
D. It interacts with antibiotics
4. A patient with asthma is prescribed a beta-blocker for glaucoma. Which
option is safest?
A. Timolol
B. Betaxolol
C. Propranolol
D. Latanoprost
,5. A patient with a seizure disorder is prescribed bupropion for depression.
What is the most appropriate action?
A. Continue therapy and monitor
B. Reduce the dose
C. Discontinue and select an alternative
D. Add an anticonvulsant
6. A patient reports orange discoloration of urine and is concerned. What is
the best teaching point?
A. This is a sign of kidney damage
B. This is a harmless side effect of phenazopyridine
C. This indicates dehydration
D. This is a sign of hematuria
7. A patient with a history of SJS is prescribed carbamazepine. Genetic
testing reveals HLA-B*1502. What is the next step?
A. Proceed with therapy
B. Reduce the dose
C. Switch to an alternative anticonvulsant
D. Add corticosteroids
8. Which of the following medications is most likely to cause gingival
hyperplasia?
A. Gabapentin
B. Phenytoin
C. Lamotrigine
D. Topiramate
, 9. A patient asks why gabapentin doesn’t work better at higher doses.
What’s the best explanation?
A. It’s metabolized faster at higher doses
B. It uses a saturable transporter in the gut
C. It’s cleared more rapidly by the kidneys
D. It binds less effectively to its receptor
10. A patient with insomnia is considering diphenhydramine. What is the
best teaching point?
A. It is habit-forming and should be avoided
B. It is safe for long-term use
C. It may cause tolerance but is not habit-forming
D. It is more effective than melatonin
11. A patient with allergic rhinitis is prescribed intranasal fluticasone. What
is the most accurate teaching point?
A. It provides immediate relief within minutes
B. It should be used only when symptoms flare
C. It may take several days to weeks for full effect
D. It is less effective than oral antihistamines
12. A patient with a history of glaucoma and asthma needs ocular therapy.
Which medication is preferred?
A. Timolol
B. Betaxolol
C. Phenylephrine
D. Latanoprost
confusion and urinary retention after starting an OTC sleep aid. Which
medication is most likely responsible?
A. Loratadine
B. Diphenhydramine
C. Montelukast
D. Cromolyn sodium
2. A patient with a history of CAD presents with chest tightness after taking
a migraine medication. Which drug is most likely responsible?
A. Sumatriptan
B. Acetaminophen
C. Dextromethorphan
D. Ibuprofen
3. A patient asks why they can’t take phenazopyridine for more than two
days. What’s the best response?
A. It loses effectiveness after two days
B. It can cause dependency
C. It’s only for symptom relief while antibiotics begin working
D. It interacts with antibiotics
4. A patient with asthma is prescribed a beta-blocker for glaucoma. Which
option is safest?
A. Timolol
B. Betaxolol
C. Propranolol
D. Latanoprost
,5. A patient with a seizure disorder is prescribed bupropion for depression.
What is the most appropriate action?
A. Continue therapy and monitor
B. Reduce the dose
C. Discontinue and select an alternative
D. Add an anticonvulsant
6. A patient reports orange discoloration of urine and is concerned. What is
the best teaching point?
A. This is a sign of kidney damage
B. This is a harmless side effect of phenazopyridine
C. This indicates dehydration
D. This is a sign of hematuria
7. A patient with a history of SJS is prescribed carbamazepine. Genetic
testing reveals HLA-B*1502. What is the next step?
A. Proceed with therapy
B. Reduce the dose
C. Switch to an alternative anticonvulsant
D. Add corticosteroids
8. Which of the following medications is most likely to cause gingival
hyperplasia?
A. Gabapentin
B. Phenytoin
C. Lamotrigine
D. Topiramate
, 9. A patient asks why gabapentin doesn’t work better at higher doses.
What’s the best explanation?
A. It’s metabolized faster at higher doses
B. It uses a saturable transporter in the gut
C. It’s cleared more rapidly by the kidneys
D. It binds less effectively to its receptor
10. A patient with insomnia is considering diphenhydramine. What is the
best teaching point?
A. It is habit-forming and should be avoided
B. It is safe for long-term use
C. It may cause tolerance but is not habit-forming
D. It is more effective than melatonin
11. A patient with allergic rhinitis is prescribed intranasal fluticasone. What
is the most accurate teaching point?
A. It provides immediate relief within minutes
B. It should be used only when symptoms flare
C. It may take several days to weeks for full effect
D. It is less effective than oral antihistamines
12. A patient with a history of glaucoma and asthma needs ocular therapy.
Which medication is preferred?
A. Timolol
B. Betaxolol
C. Phenylephrine
D. Latanoprost
