FPGEE Pharmacy Practice 3

Question 1

A patient is prescribed lithium for bipolar disorder. Which condition increases the risk of lithium toxicity?

Accepted Answer

Dehydration

Answer

Hypertension

Answer

Hyperglycemia

Answer

Hyperthyroidism

Question 2

Which schedule of controlled substances has the HIGHEST accepted medical use but LOWEST potential for abuse?

Accepted Answer

Schedule V

Answer

Schedule I

Answer

Schedule II

Answer

Schedule IV

Question 3

A pharmacist checks a new prescription for ciprofloxacin and notes the patient is also taking sucralfate. What interaction should be addressed?

Accepted Answer

Sucralfate chelates ciprofloxacin, reducing its absorption

Answer

Sucralfate increases ciprofloxacin bioavailability

Answer

Ciprofloxacin increases sucralfate toxicity

Answer

No clinically significant interaction exists

Question 4

What is the maximum daily acetaminophen dose recommended for a healthy adult to avoid hepatotoxicity?

Accepted Answer

4,000 mg

Answer

2,000 mg

Answer

3,000 mg

Answer

5,000 mg

Question 5

Which route of administration completely bypasses first-pass hepatic metabolism?

Accepted Answer

Intravenous

Answer

Oral

Answer

Rectal

Answer

Sublingual

Question 6

A patient taking phenytoin is started on valproic acid. What pharmacokinetic effect should the pharmacist anticipate?

Accepted Answer

Increased free phenytoin levels due to protein binding displacement

Answer

Decreased free phenytoin levels due to induction

Answer

Decreased valproic acid levels due to renal clearance

Answer

No significant pharmacokinetic interaction

Question 7

A pharmacist receives a telephone prescription for a Schedule III controlled substance. Which of the following is true?

Accepted Answer

Telephone orders are permitted and can be filled immediately

Answer

Telephone orders are never permitted for any controlled substance

Answer

Telephone orders require written confirmation within 7 days

Answer

Telephone orders require DEA Form 222