CPJE Practice Clinical Questions and Answers Latest Updated 2024 (GRADED)

CPJE Practice Clinical Questions and Answers Latest Updated 2024 (GRADED) A pharmacist is dispensing new Rxs for fosamprenavir, ritonavir, and Truvada. In reviewing the patient's profile info, the pharmacist notes allergies to furosemide, glipizide, and Bactrim. The pharmacist should call the patient to change... A. Truvada to combivir B. fosamprenavir to saquinavir C. Truvada to atripla D. fosamprenavir to tipranavir --------- Correct Answer -------- Answer B Medicines that should avoided in those with sulfa allergies include furosemide, SURs, Bactrim, and certain PIs (tipranavir, fosamprenavir) A pharmacist is reviewing a patient's medication profile prior to filling anew Rx for fentanyl TD patches. Which of the following presents a potential risk of interaction with fentanyl? A. nicotine TD patches B. CBZ 200 mg BID C. brimonidine eye drops D. finasteride 5mg PO QD --------- Correct Answer -------- Answer B Ticlopidine may cause agranulocytosis, neutropenia, and TTP. A 67 YOM was started on ticlopidine 1 month ago for stroke prevention. The patient complains of recent fever, chills, and a sore throat. Which of the following is most appropriate for the pharmacist to ask the physician? A. Has the patient had an INR checked recently? B. Has the patient had a CBC done yet C. Has the patient's diet changed over the past month D. Hast he patient had LFTs done within the past 2 weeks --------- Correct Answer ------- - Answer B Which of the following auxiliary labels belong on a bottle of Vivotif Berna? A. Refrigerate B. External use only C. Avoid sunlight D. Shake well --------- Correct Answer -------- Answer A A patient has been counseled on the appropriate use of Niaspan. Which of the following statements would confirm patient understanding of the purpose for taking the medication? A. This medication will treat my high BP and lower my risk of stroke B. This medication will treat my high cholesterol and lower my risk of heart attack C. The medication will treat my enlarged prostate and I won't have to get up at night to urinate D. This medication will help keep my mood stable and allow me to sleep better at night. --------- Correct Answer -------- Answer B A patient presents a prescription for Prevacid but the pharmacy is out of this medication. Which of the following is the most appropriate alternative? A. pantoprazole B. aripiprazole C. sulfisoxazole D. Metronidazole --------- Correct Answer -------- Answer A Prevacid is lansoprazole. Which of the following drugs require a pharmacist to include a medication guide when dispensing a Rx? A. mefloquine and methocarbamol B. mefloquine and amiodarone C. methocarbamol and digoxin .D. digoxin and amiodarone --------- Correct Answer -------- Answer B Amiodarone requires a medication guide. Digoxin does not require a medication guide Mefloquine requires a medication guide Methocarbamol does not requires a medication guide. A 36 year old patient with schizaophrenia has been treated with clozapine 500 mg daily for the past 4 months. On July 7, the patient's WBC was 7.2 and neutrophils was 4.3. The most appropriate recommendation for the pharmacist to make is to... A. Continue current therapy B. discontinue therapy C. Hold therapy for 1 week and resume at 400 mg daily D. Repeat CBC and fill if WBC is 8 --------- Correct Answer -------- Answer A Clozapine should be started when baseline ANC is at least 1500. ANC is checked weekly for 6 months than every 2 weeks for 6 months, then monthly. Stop therapy if ANC 1000.