KAPS Clinical Procedures and Protocols 3

Question 1

Which ISO classification corresponds to the cleanroom environment required for compounding sterile preparations under USP <797>?

Accepted Answer

ISO Class 5

Answer

USP <797> requires an ISO Class 5 environment (≤3,520 particles ≥0.5 μm per cubic meter) for critical compounding areas.

Question 2

A pharmacist counseling a patient on self-monitoring of blood glucose should recommend that a fasting blood glucose reading below which value indicates good control in a non-pregnant adult with type 2 diabetes?

Accepted Answer

80–130 mg/dL

Answer

ADA guidelines recommend a preprandial (fasting) blood glucose target of 80–130 mg/dL for most non-pregnant adults with diabetes.

Question 3

When converting a patient from IV morphine to oral morphine, the equianalgesic conversion ratio is approximately:

Accepted Answer

1:3 (IV:oral)

Answer

Due to extensive first-pass metabolism, the IV to oral morphine equianalgesic ratio is approximately 1:3 (10 mg IV ≈ 30 mg oral).

Question 4

A medication error resulting in patient harm that requires intervention to sustain life is classified under the NCC MERP index as:

Accepted Answer

Category H

Answer

NCC MERP Category H is defined as an error that required intervention necessary to sustain the patient's life.

Question 5

Which technique is used to estimate renal function in obese patients when calculating creatinine clearance using the Cockcroft-Gault equation?

Accepted Answer

Adjusted body weight

Answer

Adjusted body weight (ABW) is recommended for obese patients in the Cockcroft-Gault equation to avoid overestimating renal function.

(KAPS) Knowledge Assessment of Pharmaceutical Sciences Practice Test

(KAPS) Knowledge Assessment of Pharmaceutical Sciences Practice Test

KAPS Clinical Procedures and Protocols 3