Sample Questions

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Exam Questions

Question 1
A vial of antibiotic for IM injection contains 1 g in 3 mL. What is the concentration in mg/mL?
A. 300
B. 333.33
C. 600
D. 666.66
Correct Answer: B
Rationale: Convert 1 g to 1000 mg, then divide by the volume: 1000 mg / 3 mL = 333.33 mg/mL. This is a standard concentration calculation used when reconstituting injectables. Knowing how to convert grams to milligrams and calculate mg/mL is essential for accurate dosing and avoiding medication errors.
Question 2
According to iPLEDGE, the maximum days' supply of isotretinoin permitted per fill is:
A. 7
B. 30
C. 60
D. 90
Correct Answer: B
Rationale: The iPLEDGE REMS program limits isotretinoin to a strict 30-day supply with no refills to ensure monthly pregnancy testing and monitoring for females of reproductive potential. This restriction minimizes fetal exposure risk due to the drug's severe teratogenicity. Pharmacies must verify iPLEDGE compliance before dispensing.
Question 3
Which of the following medications must be transported and handled according to the guidelines found in USP Chapter 800?
A. Acyclovir
B. Albuterol
C. Amantadine
D. Anastrozole
Correct Answer: D
Rationale: USP <800> governs handling of hazardous drugs (HDs); anastrozole is on the NIOSH hazardous drug list due to reproductive toxicity and carcinogenicity. Safe handling includes special PPE, closed-system transfer devices, and dedicated storage to protect healthcare workers. Non-hazardous drugs like the others do not require these precautions.
Question 4
A root-cause analysis (RCA) should be completed in the event of a:
A. medication recall.
B. near miss.
C. predictable side effect.
D. drug utilization review.
Correct Answer: B
Rationale: Root-cause analysis is a systematic process to identify underlying system failures that led to an error or near miss. Even if no harm occurred, near misses reveal latent errors that could cause patient harm in the future. RCA drives process improvements and prevents recurrence.
Question 5
A patient who is hypersensitive to ciprofloxacin should have noted in their electronic profile that they are allergic to:
A. macrolides.
B. fluoroquinolones.
C. penicillins.
D. sulfonamides.
Correct Answer: B
Rationale: Ciprofloxacin is a fluoroquinolone antibiotic; hypersensitivity reactions are class-specific. Documenting the allergy as 'fluoroquinolones' prevents prescribing other drugs in the class (levofloxacin, moxifloxacin) that could trigger cross-reactivity. Accurate allergy documentation is critical for patient safety.