Ambulatory Care Test Ambulatory Care Ambulatory Care Pharmacology 5

Question 1

A patient prescribed amiodarone long-term requires monitoring of which organ systems due to serious adverse effects?

Accepted Answer

Thyroid, lungs, and liver

Answer

Amiodarone can cause thyroid dysfunction, pulmonary toxicity, and hepatotoxicity, all requiring periodic monitoring.

Question 2

Which antidepressant class is associated with the highest risk of serotonin syndrome when combined with tramadol?

Accepted Answer

SSRIs and SNRIs

Answer

SSRIs and SNRIs combined with tramadol (which also increases serotonin) create additive serotonergic risk leading to serotonin syndrome.

Question 3

A patient with benign prostatic hyperplasia and hypertension is prescribed tamsulosin. Which antihypertensive combination increases the risk of orthostatic hypotension most significantly?

Accepted Answer

Phosphodiesterase-5 inhibitors (sildenafil)

Answer

Combining alpha-1 blockers (tamsulosin) with PDE-5 inhibitors causes additive vasodilation and severe orthostatic hypotension.

Question 4

Which vaccine is recommended annually for all ambulatory patients regardless of age or risk factors?

Accepted Answer

Influenza vaccine

Answer

Annual influenza vaccination is recommended for all persons aged 6 months and older by ACIP.

Question 5

A patient on warfarin reports recently starting a diet high in leafy green vegetables. What effect should the pharmacist anticipate?

Accepted Answer

Decreased INR due to increased vitamin K intake

Answer

Leafy greens are high in vitamin K, which promotes clotting factor synthesis and decreases the anticoagulant effect of warfarin.

Ambulatory Care Test Practice Test

Ambulatory Care Test Practice Test

Ambulatory Care Test Ambulatory Care Ambulatory Care Pharmacology 5