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Clinical Pharmacy Flashcards

7 cards from real FPGEE practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.

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  1. A patient with asthma is initiated on a long-acting beta-agonist (LABA) as monotherapy. What is the primary safety concern?

    Answer: Increased asthma-related mortality without concomitant ICS

    LABAs carry a black-box warning for increased risk of asthma-related death when used without an inhaled corticosteroid.

  2. A patient on chronic corticosteroid therapy undergoes elective surgery. What perioperative consideration is most critical?

    Answer: Administer stress-dose steroids perioperatively

    Chronic steroid use suppresses the HPA axis; surgical stress requires supplemental (stress-dose) corticosteroids to prevent adrenal crisis.

  3. Which laboratory value is the most sensitive early marker of acetaminophen-induced hepatotoxicity?

    Answer: ALT/AST levels

    Serum transaminases (ALT and AST) rise early in acetaminophen-induced hepatic injury, often before clinical symptoms appear.

  4. A pharmacist is verifying a prescription for amiodarone. Which baseline assessment is NOT required before initiating therapy?

    Answer: Renal function tests

    Amiodarone monitoring focuses on thyroid, pulmonary, hepatic, and ocular toxicity; renal function is not a primary baseline requirement.

  5. A patient with type 1 diabetes is given glucagon for a severe hypoglycemic episode at home. What should be done immediately after recovery?

    Answer: Give oral carbohydrates and notify a healthcare provider

    After glucagon restores consciousness, oral carbohydrates replenish glycogen stores and the event should be reported to a provider.

  6. Which counseling point is most important for a patient newly prescribed bisphosphonates for osteoporosis?

    Answer: Remain upright for at least 30 minutes and take with a full glass of water

    Oral bisphosphonates must be taken on an empty stomach with water, and the patient must remain upright for ≥30 minutes to prevent esophageal irritation.

  7. A patient with schizophrenia is switched from haloperidol to clozapine. Which unique and mandatory monitoring is required?

    Answer: Regular absolute neutrophil count (ANC) monitoring

    Clozapine carries a risk of life-threatening agranulocytosis, requiring mandatory ANC monitoring through the REMS program.