FPGEE Pharmacy Practice 5

Question 1

A pharmacist receives a prescription for amoxicillin 250 mg/5 mL suspension, dispense 150 mL. After reconstitution, what storage instruction should be provided?

Accepted Answer

Refrigerate and discard after 14 days

Answer

Store at room temperature for up to 30 days

Answer

Store at room temperature and discard after 7 days

Answer

Freeze and thaw as needed

Question 2

Which law requires pharmacies to report dispensing errors that cause patient harm to regulatory authorities?

Accepted Answer

State pharmacy practice acts

Answer

OBRA '90

Answer

The Poison Prevention Packaging Act

Answer

The Drug Quality and Security Act

Question 3

A patient asks about potential interactions between St. John's Wort and their oral contraceptive. What should the pharmacist advise?

Accepted Answer

St. John's Wort induces CYP enzymes, potentially reducing contraceptive efficacy

Answer

No interaction exists between herbal products and prescription drugs

Answer

St. John's Wort inhibits CYP3A4, increasing hormone levels

Answer

Use of St. John's Wort enhances contraceptive effectiveness

Question 4

During a drug utilization review (DUR), a pharmacist identifies a patient receiving both an ACE inhibitor and a potassium-sparing diuretic. What is the primary concern?

Accepted Answer

Hyperkalemia due to additive potassium retention

Answer

Additive antihypertensive toxicity causing excessive hypotension

Answer

Hypokalemia worsened by the ACE inhibitor

Answer

Reduced efficacy of both medications

Question 5

What is the correct needle gauge to use when administering a subcutaneous (SQ) injection to an average-weight adult?

Accepted Answer

25–27 gauge

Answer

16–18 gauge

Answer

20–22 gauge

Answer

30–32 gauge

Question 6

A pharmacist is performing medication therapy management (MTM) for an elderly patient on multiple medications. Which tool is MOST commonly used to identify potentially inappropriate medications in older adults?

Accepted Answer

The Beers Criteria

Answer

The Naranjo Algorithm

Answer

The STOPP/START criteria

Answer

The CIOMS guidelines

Question 7

Which type of medication error involves a drug being administered via the wrong route (e.g., IV instead of IM)?

Accepted Answer

Wrong route error

Answer

Omission error

Answer

Wrong dose error

Answer

Prescribing error