DHA Pharmacy & Medication Management 2

Question 1

Under DHA medication management standards, which category of medications requires an independent double-check before administration?

Accepted Answer

High-alert medications including concentrated electrolytes, insulin, heparin, and neuromuscular blocking agents

Answer

All oral medications

Answer

Medications prescribed by resident physicians only

Answer

All antibiotics

Question 2

A pharmacy receives a prescription for methotrexate 2.5mg daily (written as 'QD') for a cancer patient. What is the pharmacist's primary safety concern?

Accepted Answer

Methotrexate for non-cancer indications (RA, psoriasis) is typically weekly — daily dosing is a common fatal prescribing error; the indication must be verified before dispensing

Answer

The dose is too low for cancer treatment

Answer

Methotrexate should only be given intravenously

Answer

The 2.5mg tablet strength is not available commercially

Question 3

In the context of medication reconciliation, when is it most critical to perform this process to prevent adverse drug events?

Accepted Answer

At all care transitions: admission, transfer between units, and discharge

Answer

Only during discharge from hospital

Answer

Only in the ICU

Answer

Once monthly during medication review clinics only

Question 4

A patient is prescribed gentamicin 5mg/kg/day once daily. The patient weighs 80kg and has a normal eGFR of 75 mL/min. What dose should the patient receive?

Accepted Answer

400 mg once daily

Answer

320 mg once daily

Answer

200 mg once daily

Answer

160 mg once daily

Question 5

Which of the following correctly describes the mechanism of action of proton pump inhibitors (PPIs)?

Accepted Answer

They irreversibly inhibit the H+/K+ ATPase (proton pump) on the luminal surface of gastric parietal cells

Answer

They neutralize stomach acid by acting as bases

Answer

They competitively block H2 histamine receptors on parietal cells

Answer

They reduce gastrin secretion from G cells

Question 6

What is the appropriate storage temperature for insulin that is currently in use (opened vial/pen)?

Accepted Answer

Room temperature (up to 25–30°C) for up to 28–30 days after opening

Answer

Frozen (-20°C to -10°C)

Answer

Refrigerated (2°C to 8°C) continuously

Answer

Only refrigerated overnight; room temperature during day