FPGEE Pharmacy Practice 2 — Questions and Answers
Question 1: A patient presents a prescription for warfarin 5 mg tablets. Which lab value must be monitored to assess therapeutic effect?
- Serum creatinine
- INR (Correct answer)
- Platelet count
- aPTT
Correct answer: INR
INR (International Normalized Ratio) is the standard monitoring parameter for warfarin anticoagulation therapy.
Question 2: A pharmacy receives a DEA Form 222 to order Schedule II controlled substances. How many copies does this form have?
- 2
- 3 (Correct answer)
- 4
- 5
Correct answer: 3
DEA Form 222 is a triplicate form with 3 copies: Copy 1 and 2 go to the supplier and DEA, Copy 3 is retained by the purchaser.
Question 3: Which auxiliary label is MOST important to include on a prescription for metronidazole?
- Take with food only
- Avoid alcohol (Correct answer)
- Shake well before use
- Refrigerate after opening
Correct answer: Avoid alcohol
Metronidazole causes a disulfiram-like reaction with alcohol, making an 'Avoid alcohol' label essential.
Question 4: A patient with a sulfa allergy asks about safety of taking hydrochlorothiazide. What is the pharmacist's BEST response?
- It is completely safe, no cross-reactivity exists
- Use with caution as cross-reactivity with sulfonamides is possible (Correct answer)
- It is absolutely contraindicated
- Switch to furosemide which has no sulfa component
Correct answer: Use with caution as cross-reactivity with sulfonamides is possible
Hydrochlorothiazide contains a sulfonamide moiety; potential cross-reactivity with sulfa allergy warrants caution and clinical assessment.
Question 5: Which medication requires a REMS program due to risk of teratogenicity?
- Metformin
- Isotretinoin (Correct answer)
- Lisinopril
- Atorvastatin
Correct answer: Isotretinoin
Isotretinoin is managed under the iPLEDGE REMS program because it causes severe birth defects.
Question 6: A pharmacist is counseling a patient on proper use of a metered-dose inhaler (MDI). What should the patient do immediately after inhaling the medication?
- Exhale forcefully
- Hold breath for 10 seconds (Correct answer)
- Rinse the inhaler with water
- Take a second puff immediately
Correct answer: Hold breath for 10 seconds
Holding the breath for 10 seconds after inhalation allows the medication to deposit in the lungs before exhaling.
Question 7: Under HIPAA, which entity is considered a 'covered entity'?
- A pharmaceutical manufacturer
- A community pharmacy (Correct answer)
- A medical device company
- A health insurance broker
Correct answer: A community pharmacy
Community pharmacies are covered entities under HIPAA because they transmit health information electronically for standard transactions.
FPGEE Pharmacy Practice 2
A patient presents a prescription for warfarin 5 mg tablets.
Which lab value must be monitored to assess therapeutic effect?