FPGEE Pharmacy Practice 2

Question 1

A patient presents a prescription for warfarin 5 mg tablets. Which lab value must be monitored to assess therapeutic effect?

Accepted Answer

INR

Answer

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?

Accepted Answer

3

Answer

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?

Accepted Answer

Avoid alcohol

Answer

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?

Accepted Answer

Use with caution as cross-reactivity with sulfonamides is possible

Answer

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?

Accepted Answer

Isotretinoin

Answer

Isotretinoin is managed under the iPLEDGE REMS program because it causes severe birth defects.

FPGEE Exam Practice Test