BIOL MISC Exam Questions And Answers | Verified 2023/2024 (GRADED)

Nurse patient coming in with a prescription of Zoster vaccine. He never had chicken box before, he never took varicella vaccine before, didn’t do any test to check if he has the Antibodies. ( he is in a province where pharmacist can order lab tests) a. Dispense the vaccine normally and give it to him b. Give him the varicella vaccine before the zoster vaccine c. Ode d. r a test to see if he is immune to the disease e. Tell him he is young to the vaccine ( he was younger than 60 years old)  Question about a study where all pharmacists took a questionnaire to see their opinion about (something ) a. Case study b. Cross sectional c. Delphi analysis d. Longitudinal study C. The Delphi method is a forecasting method based on the results of questionnaires sent to a panel of experts. Several rounds of questionnaires are sent out, and the anonymous responses are aggregated and shared with the group after each round. The experts are allowed to adjust their answers in subsequent rounds.  People in a gathering all got food poisoning , what is the bacteria that caused it a. C. perfinges b. Fragilis c. (No salmonella , shigella, e. coli in choices) A. C perfinges causes food poisoning. Bacteroid fragilis is associated with bacteremia, abscess formation etc.  UTI with pseudomonas aureginosa treatment a. Ciprofloxacin  Which have no activity against Pseudomonas aureginosa: a. Cefazolin b. Cefipim c. Ceftazidem d. Ciprofloxacin e. Pipracillin / tazobactam First generation cephalosporins are only effective against gram positive bacteria. Whereas P auroginosa is a gram negative bacteria.  Patient who came to the ER with severe exacerbated acute COPD give what a. Prednisone 5 days b. Doxycycline 500mg 1 day and 250 mg for 6 day c. tiotropium d. (No SABA nor LABA bronchodilator in choices)  Which drug does NOT interact with OCP a. Phenytoin b. Amoxicillin c. CBZ d. Celebrex e. Rifampin Most drug interactions reducing or negating contraceptive activity are due to concomitant use of drugs having microsomal enzyme-inducing activity (e.g., some antibiotics, especially rifampicin, and anticonvulsants, including phenobarbital, Phenytoin, and primidone. Other antibiotics (e.g., tetracycline) may also interact by interruption of the enterohepatic circulation of contraceptive steroids. Less well appreciated, oral contraceptive steroids may themselves modify the metabolism and pharmacological activity of various other drugs (e.g., anticoagulants, benzodiazepines, β-blockers, caffeine, corticosteroids, and tricyclic antidepressants); in this respect the oral contraceptives are acting as enzyme inhibitors.  Who is responsible for the pricing of newly patent medication a. Review board chosen by the parliament b. Manufacturer  A patient case with COPD with diabetes taking the following Venlafaxine qam Formeterol/ budesonide Salbutamol 100 mg Metformin Glyburide Tiotropium 18 mcg What should the pharmacist be concerned about? a. Venlafaxine in the morning b. Interaction between metformin and glyburide c. Taking Formeterol and salbutamol d. Dose of salbutamol e. Dose of tiotropium The answer is D dose of salbutamol is in mcg.  Patient has acne and will start taking isotretinoin a. Should start OCP before by 1 week b. Continue OCP 1 month after stopping isotretinoin c. Check with a pregnancy test every three month d. Use adequate contraception method D. it is suggested that patients should agree to at least one and preferably two complementary methods of contraception, a pill and a barrier method, before the initiation of therapy, during treatment and for 5 weeks after the end of it.  What drug cause Steven syndrome and epidermal necrosis a. hydralazine b. quinidine c. warfarin d. sulfamethixazole  Which drug shows a high alert medication and dangerous abbreviation according to ISMP? a. Insulin 10 units b. Methotrexate 5mg po daily c. Warfarin 50mg po tid d. Levothyroxine 0.008 mg po bid Warfarin and all anticoagulants are in the high alert list.  Which vitamin causes renal calculi? a. Vit C b. Vit A c. Vit K As we know, kidney stones are often composed of calcium oxalate. When excess vitamin C is excreted by the body, it is usually in the oxalate form, and this may lead to formation of more stones.  If a women is taking OCP and she is experiencing spotting in the 10-21 days , what should the pharmacist advise her a. Increase estrogen b. Increase progesterone c. Stop the OCP Answer is A. The estrogen in combination pills helps to stabilize the lining of the uterus. This can prevent irregular bleeding and spotting. Women who take progestin-only pills may experience more frequent spotting.  An obese women (BMI 39) with type 2 DM and overweight he tried diet and exercise but not effective and wanted to lose weight give her a. Metformin b. Liraglutide c. Methylphenidate d. Bupropion Ideally this woman should be given orlistat (an intestinal lipase inhibitor) because it given only to patients who have BMI greater than 30. They inhibit the enzymes in the gut which metabolize fats. It is not in the options so the next best option is Liraglutide because it causes weight reduction and maximum A1C lowering effect.