CPJE Practice Clinical Questions Actual Exam

CPJE Practice Clinical Questions Actual Exam Latest Update - 900 Questions and 100% Verified Correct Answers Guaranteed A+

A 36 year old patient with schizaophrenia has been treated with clozapine 500 mg daily for the past 4 months. On July 7, the patient's WBC was 7.2 and neutrophils was 4.3.The most appropriate recommendation for the pharmacist to make is to...

• Continue current therapy
• discontinue therapy
• Hold therapy for 1 week and resume at 400 mg daily

D. Repeat CBC and fill if WBC is >8 - CORRECT ANSWER: Answer A

Clozapine should be started when baseline ANC is at least 1500. ANC is checked weekly for 6 months than every 2 weeks for 6 months, then monthly. Stop therapy if ANC <1000.

A 67 YOM was started on ticlopidine 1 month ago for stroke prevention. The patient complains of recent fever, chills, and a sore throat. Which of the following is most appropriate for the pharmacist to ask the physician?

• Has the patient had an INR checked recently?
• Has the patient had a CBC done yet
• Has the patient's diet changed over the past month

D. Hast he patient had LFTs done within the past 2 weeks - CORRECT ANSWER:

Answer B

A compounding pharmacist has received the following prescription for a 44 lb five year

old child: metronidazole oral suspension 50 mg/mL; give 6 mL BID x 10 days (30

mg/kg/day). Which action is most appropriate?

A. DAW

• contact the physician to change the dose
• contact the physician to change the frequency

D. contact the physician since metronidazole is CI with peds - CORRECT ANSWER:

Answer A

A new patient enrolling in an HIV adherence program is started on the following

medications: REyataz 300 mg PO QD, Norvir 100 mg PO QD, Videx EC 250 mg PO

QD, Viread 300 mg PO Qd. The dosing regimen that the pharmacist should give the patient is...

• Reyataz, Norvir, Videx EC, and Viread with breakfast
• Reyataz, Norvir, Videx EC, and VIread at bedtime on an empty stomach
• Reyataz, Norvir, and Viread with breakfast, and Videx EC at bedtime on an empty

stomach

• Videx EC and Viread with breafast and Reyataz and Norvir at bedtime on an empty

stomach - CORRECT ANSWER: Answer C 1 / 4

Videx EC (didanosine) is a NRTI that is taken without food. Many NRTs such as Viread (TDF) can be taken with or without food.Protease inhibitors such as Reyataz (atazanavir) are taken with food. The only PI that is not taken with food is fosamprenavir oral suspension.PK boosters such as Norvir (ritonavir) and Tybost (cobicstat) are taken with food.

A patient calls a pharmacy for a refill of antihypertensive medication previously filled at a pharmacy that is no longer in business. The patient provides the pharmacy with the phone number of the previous owner who has kept the Rx files at his home. Which of the following is the most appropriate action for the pharmacy?

• Take the verbal Rx as a transfer order and fill the Rx
• Verify the records are kept in a locked cabinet
• Notify the BOP

D. Have the pharmacist fax the hard copy to the pharmacy - CORRECT ANSWER:

Answer C

A patient comes into the pharmacy with a Rx for erythromycin. During consultation, the patient mentions her new job in construction has made her allergies unbearable. The patient asks the patient to call her physician for anew Rx for this condition. Which antihistamine should the be suggested for this patient?

• loratadine
• clemastine
• cetirizine

D. diphenhydramine - CORRECT ANSWER: Answer A

Diphenhydramine (benadryl), Clemastine (Tavist) are first generation antihistamines that can cause drowsiness. Cetirizine (Zyrtec) is a second generation antihistamine that is sedating. Most first generation antihistamines inhibit CYP3A4, whereas second generation anithistamines have few CYP3A4 interactions. Erythromycin and clarithycin are major substrates of Cyp3A4 and are CYP3A4 inhibitors.

A patient has been counseled on the appropriate use of Niaspan. Which of the following statements would confirm patient understanding of the purpose for taking the medication?

• This medication will treat my high BP and lower my risk of stroke
• This medication will treat my high cholesterol and lower my risk of heart attack
• The medication will treat my enlarged prostate and I won't have to get up at night to

urinate

• This medication will help keep my mood stable and allow me to sleep better at night.

- CORRECT ANSWER: Answer B

A patient presents a prescription for Prevacid but the pharmacy is out of this medication.Which of the following is the most appropriate alternative?

• pantoprazole
• aripiprazole
• sulfisoxazole
• Metronidazole - CORRECT ANSWER: Answer A 2 / 4

Prevacid is lansoprazole.

A patient presents a prescription with a legible license number, but the doctor's name and signature are illegible. Which of the following is the most appropriate advice for the pharmacist to give the staff?

• Ask if the patient remembers the doctor's name
• Tell the patient the prescription cannot be filled
• Call the prescriber's telephone number printed on the Rx
• Have the patient return the prescription to the doctor and askf or a legible name -

CORRECT ANSWER: Answer C

A patient presents the following Rx: levofloxacin 750 mg PO Q24H x 7 days. THe

patient is also taking pepcid, amlodipine, OVrette, Coumadin. Which recommendation is the most appropriate?

• MOnitor for bruises and bleeding while taking levofloxacin
• Continue to take Ovrette and use back up contraception while on levofloxacin
• Monitor for muscle aches while taking levofloxacin

D. Discontinue Pepcid AC until completion of levofloxacin - CORRECT ANSWER:

Answer A Quinolones can increase the effects of warfarin. Ovrette (norgestrel) is a horomonal contraceptive. Quinolones do not interact with HCs.

A patient with diabetes and HTN is being managed by a pharmacist. Which of the following medications is most likely to cause a dry cough in this patient?

• doxazosin
• lisinopril
• hydralazine

D. spironolactone - CORRECT ANSWER: Answer B

A pharmacist is checking the accuracy of medications repackaged into unit dose form by a pharmacy technician. The medication that was to be repackaged is MOnopril.Which medication should be used?

• Quinapril
• Moexipril
• Fosinopril

D. benazepril - CORRECT ANSWER: Answer C

Quinapril (Accupril) Moexipril (Univasc) Benazepril (Lotensin)

A pharmacist is conducting a medication use evaluation on epidural clonidine. Which of the following indicators would be the MOST APPROPRIATE to determine if the use of epidural clonidine has had a beneficial effect on patient outcomes?A The number of patients who are diagnosed with HTN crisis

• the number of analgesic doses needed for breakthrough pain in cancer patients 3 / 4

• The amount of methadone needed by patients who are enrolled in methadone

maintenance program

• The number of patients who are smokers needing nicotine patches during admission

- CORRECT ANSWER: Answer B

A pharmacist is dispensing new Rxs for fosamprenavir, ritonavir, and Truvada. In reviewing the patient's profile info, the pharmacist notes allergies to furosemide, glipizide, and Bactrim. The pharmacist should call the patient to change...

• Truvada to combivir
• fosamprenavir to saquinavir
• Truvada to atripla

D. fosamprenavir to tipranavir - CORRECT ANSWER: Answer B

Medicines that should avoided in those with sulfa allergies include furosemide, SURs, Bactrim, and certain PIs (tipranavir, fosamprenavir)

A pharmacist is reviewing a patient's medication profile prior to filling anew Rx for fentanyl TD patches. Which of the following presents a potential risk of interaction with fentanyl?

• nicotine TD patches
• CBZ 200 mg BID
• brimonidine eye drops

D. finasteride 5mg PO QD - CORRECT ANSWER: Answer B

Ticlopidine may cause agranulocytosis, neutropenia, and TTP.

A pharmacy can dispense Ilaris after which of the following conditions has been met?

• An infectious disease physician has approved the patient's treatment regimen
• The FDA has granted an orphan drug exemption to the pharmacy
• The patient has been admitted into a general acute care hospital
• The manufacturer designates the pharmacy as an authorized distributor - CORRECT

ANSWER: Answer D

Ilaris (canakinumab) is an anti-inflammatory drug used to treat systemic junvenile idiopathic artiris and cryopyrine associated periodic syndromes.

A pharmacy must retain a record of which of the following after obtaining fentanyl from a distributor?

• Manufacturer DEA number
• packing slip
• invoice

D. medication lot number - CORRECT ANSWER: Answer C

A woman asks a community pharmacist for advice on treating a cut on her child's face.The pharmacist notices that the woman seems very impatient. The child appears fearful and has several large bruises on his face, forehead, neck and arms. Which of the following actions should the pharmacist take?

• Advise the woman to take her child to a physician for evaluation and treatment
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