Question 1

Which of the following is the brand name for cyclosporine?
A)Remicade
B)LoSpor
C)Sandimmune
D)Sterapred

Accepted Answer

Cyclosporine is marketed as Sandimmune. Remicade is the brand name for Infliximab and prednisone is marketed as Sterapred. LoSpor is an imaginary name and doesn't exist.

Question 2

What is Medicaid?
A)A state-funded program for low income patients
B)A federally-funded program for patients with disabilities
C)A state-funded program for patients over the age of 65
D)A state-funded program for patients with kidney disease

Accepted Answer

Medicaid is an insurance program co-funded by individual states and the federal government, but managed by the states. It is designed for use by patients that meet specific low-income requirements. A federally-funded program for patients with disabilities is Medicare. There is not a state-funded program available for patients over the age of 65 or those with kidney disease.

Question 3

What is Tricare?
A)A program designed to assist patients who have been injured while at work
B)A federally-funded program available to active and retired service members in the US military, and their dependents
C)A state funded program for low-income patients
D)A federally-funded program for patients over age 65 and those with disabilities or kidney disease.

Accepted Answer

Tricare is a federally-funded program designed for active and retired service members in the US military, as well as their dependents. This program will help to pay for the cost of medications and healthcare for active and retired military personnel and their dependents

Question 4

Which of the following accurately describes a patient's deductible?
A)The patient pays a pre-determined percentage of the medication cost each time a prescription is filled
B)A predetermined amount of money that a patient must pay before an insurance company will begin to provide financial assistance
C)The price a patient is responsible for paying after the insurance company has paid their portion of the medication price
D)The average price of acquiring prescription medications at the wholesale level

Accepted Answer

A deductible refers to a predetermined amount of money that a patient must pay before an insurance company will begin to provide financial assistance. Deductibles can vary, depending on the insurance company and patient's plan. Choices A and C are types of co-payments, and choice D describes the Average Wholesale Price.

Question 5

Which of the following medications is a Pregnancy Category X?
I. Methotrexate
II. Metronidazole
III. Atorvastatin
IV. Loratadine
A)I only
B)I and II only
C)I, II and IV only
D)I, II and III only

Accepted Answer

Methotrexate (MTX), Metronidazole (Flagyl) and Atorvastatin (Lipitor) are all Pregnancy category X medications; the use of contraception by women of reproductive age is required (FDA definition: "Adequate, well-controlled or observational studies in animals or pregnant women have demonstrated positive evidence of fetal abnormalities or risks. The use of the product is contraindicated in women who are or may become pregnant."). Loratadine (Alavert, Claritin) is a histamine1-receptor antagonist used for seasonal allergies and is a Pregnancy Category B (FDA definition: "Animal studies have revealed no evidence of harm to the fetus, however, there are no adequate and well-controlled studies in pregnant women OR Animal studies have shown an adverse effect, but adequate and well-controlled studies in pregnant women have failed to demonstrate a risk to the fetus in any trimester.").

Question 6

Which of the following is the brand name of Zolpidem?
A)Ambien
B)Modafinil
C)Misoprostol
D)Lisinopril

Accepted Answer

Ambien is the brand name used for zolpidem. Misoprostol is the generic name for Cytotec. Modafinil is sold as Provigil. Lisinopril is sold as Prinivil or Zestril.

Question 7

When discussing contraception with a patient, which of the following is true?
I. The use of either NuvaRing or Seasonale will not protect against Sexually Transmitted Infections (STIs)
II. A Seasonale user will likely have a period every three months
III. A NuvaRing should be inserted every three months
A)I only.
B)III only.
C)I, II and III.
D)I and II only

Accepted Answer

Only statements I and II are correct. A Nuva Ring should be inserted monthly. NuvaRing contains both estrogens and progestins. Seasonale users take 84 active pills followed by 7 inactive pills, which allow for menses. Neither form of contraceptive gives any protection against STIs.

Question 8

Miglitol is a(n) ____________and a(n____________used to treat ____________and is contraindicated in ____________.
A)Alpha-adrenergic blocker, antihypertensive, hypertension, cerebral edema
B)Hypoglycemic agent, alpha-glucosidease inhibitor, Type 1 Diabetes, Type 2 diabetes
C)Hypoglycemic agent, alpha-glucosidease inhibitor, Type 2 Diabetes, Type I diabetes
D)Anti-coagulant, Vitamin K inhibitor, DIC, high blood pressure

Accepted Answer

Miglitol is an alpha-glucosidease hypoglycemic agent used to treat Type 2 (non-insulin-dependent diabetes; NIDDM) and is contraindicated for Type 1 (insulin-dependent diabetes; IDDM).

Question 9

Which of the following is a brand name for primidone?
A)Prima
B)Plendil
C)Mysoline
D)Probalan

Accepted Answer

Primidone is a barbiturate anti-convulsant and is used to treat seizure disorders. It is marketed as Mysoline. Prima is a made-up name. Plendil (felodipine) is a calcium channel blocker used to treat hypertension. Probalan is the brand name of probenecid, a sulfonamide-derived uricosuric used to treat gout.

Question 10

Which of the following may be used as an antidote to benzodiazepine overdose?
I. Nalmefene
II. Physostigmine
III. Protamine
IV. Flumazenil
A)I only
B)II only
C)I, II and III only
D)IV only

Accepted Answer

Flumazenil is used as an antidote to benzodiazepines and acts as a competitive inhibitor at the GABA receptors. Nalmefene is a competitive antagonist at opioid receptors and is used in alcoholism treatment. Physostigmine is a classic acetylcholinesterase inhibitor and is used as an antidote for anticholinergics. Protamine is an anti-coagulant and complexes with heparin and neutralizes the anti-coagulative properties of both agents.

Question 11

Which of the following conditions is a contraindication for the use of NSAIDs?
A)Hemoglobin levels over 14
B)Evidence or history of GI bleeds
C)A history of blood dyscrasias
D)Joint pain

Accepted Answer

NSAIDs are contraindicated with any history of GI bleeding, as they are a major cause of ulcers.

Question 12

Which of the following would be considered a contraindication for the use of psyllium?
A)Pregnancy.
B)Hashimoto's thyroiditis
C)Helminthic infection
D)Intestinal obstruction

Accepted Answer

Psyllium is a bulk laxative and is contraindicated with any intestinal obstruction or volvulus.

Question 13

Which of the following forms is testosterone available in?
I. Injection
II. Topical gel
III. Subcutaneous implant
IV. Troche
A)I only
B)I, II and III only
C)IV only
D)Testosterone is available in all the listed forms.

Accepted Answer

Testosterone is available in all the forms listed. Additionally, it is available as a transdermal patch.

Question 14

Which of the following is potential side effect of niacin?
A)Facial flushing
B)Increased urination
C)Decreased urination
D)All of the above

Accepted Answer

An uncomfortable facial flushing is the most common side effect of niacin. Niacin is used to treat hyperlipidemia, pellagra and niacin deficiency.

Question 15

Which of the following are possible adverse effects of Folvite?
I. Bronchospasm
II. Cardiac arrest
III. Tinnitus
A)I only.
B)II and III only
C)I and III only
D)All of the above are possible adverse effects.

Accepted Answer

Folvite is the brand name of folic acid. Bronchospasm is the only adverse effect listed that has been seen with Folvite use.

Question 16

Which of the following statement(s) about A1c is/are TRUE?
I. Measurement of A1c correlates approximately with the lifespan of a red blood cell, about 6-8 months.
II. Normal A1c should be at 4-6%.
III. A1c gives an approximation of glucose control in a patient corresponding to the previous 3-4 months.
IV. A1c will also be raised in chronic renal failure.
A)I only
B)II only
C)II and III only
D)II, III and IV only

Accepted Answer

Statements II, III and IV are true. A1c does correlate with the lifespan of a red blood cell (rbc), but the lifespan of an rbc is on the order of 3-4 months (90-120 days), NOT 6-8 months. The other statements are true.

Question 17

What is the mechanism of action of tolterodine (Detrol)?
A)Tolterodine is an opioid agonist.
B)Tolterodine is a corticosteroid analog.
C)Tolterodine is a GABA agonist.
D)Tolterodine is an anti-cholinergic agent.

Accepted Answer

Tolterodine is an anti-cholinergic agent and is used as a urinary tract anti-spasmotic for patients with an overactive bladder.

Question 18

Which of the following is an appropriate agent and dosing schedule for a newly diagnosed patient with depression?
A)Hydroxycobalamin, 200 mcg, PO, qd
B)Venlafaxine, 37.5 mg, PO, bid
C)Nortriptyline, 400 mg, PO, tid
D)Ezetimide, 10 mg, PO, qd

Accepted Answer

Venlafaxine is an anti-depressant, and dosage listed is possible. Ezetimide is a cholesterol absorption inhibitor, and hydroxycobalamin is vitamin B12. Nortriptyline IS an anti-depressent, but the dosage listed represents 1.2 g a day. Maximum dosage of Nortriptyline is 150 mg daily. All other dosages and routes for all the agents listed are possible.

Quiz 1: Administrative

Which of the following is the brand name for cyclosporine?

What is Medicaid?

What is Tricare?

Which of the following accurately describes a patient's deductible?

Which of the following medications is a Pregnancy Category X? I. Methotrexate II. Metronidazole III. Atorvastatin IV. Loratadine

Which of the following is the brand name of Zolpidem?

Miglitol is a(n) and a(nused to treat and is contraindicated in .

Which of the following is a brand name for primidone?

Which of the following may be used as an antidote to benzodiazepine overdose? I. Nalmefene II. Physostigmine III. Protamine IV. Flumazenil

Which of the following conditions is a contraindication for the use of NSAIDs?

Which of the following would be considered a contraindication for the use of psyllium?

Which of the following forms is testosterone available in? I. Injection II. Topical gel III. Subcutaneous implant IV. Troche

Which of the following is potential side effect of niacin?

Which of the following are possible adverse effects of Folvite? I. Bronchospasm II. Cardiac arrest III. Tinnitus

What is the mechanism of action of tolterodine (Detrol) ?

Which of the following is an appropriate agent and dosing schedule for a newly diagnosed patient with depression?