FPGEE Clinical Pharmacy 5

Question 1

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

Accepted Answer

Increased asthma-related mortality without concomitant ICS

Answer

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

Question 2

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

Accepted Answer

Administer stress-dose steroids perioperatively

Answer

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

Question 3

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

Accepted Answer

ALT/AST levels

Answer

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

Question 4

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

Accepted Answer

Renal function tests

Answer

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

Question 5

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

Accepted Answer

Give oral carbohydrates and notify a healthcare provider

Answer

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

FPGEE Exam Practice Test