Question 1A 55-year-old patient with rheumatoid arthritis (RA) is receiving methotrexate therapy at a dose of 25 mg once weekly. The patient develops mucositis and stomatitis 5 days after their last dose. What is the best strategy to minimize this side effect? A) Reduce the methotrexate dose to 10 mg/weekB) Administer leucovorin after each dose … Read more
QuestionA 52-year-old man presents with symptoms of peptic ulcer disease, including burning stomach pain and indigestion. He has a history of chronic NSAID use and occasional alcohol consumption. He is also a smoker. Upon reviewing his lifestyle factors, which of the following is least likely to be a cause of his peptic ulcer? A) NSAID … Read more
Question 1:Which of the following is the mechanism of action of polyenes? A) Inhibition of (1,3)-β-D-glucan synthaseB) Inhibition of lanosterol 14α-demethylaseC) Inhibition of squalene epoxidaseD) Binding to ergosterol in fungal cell membranes, forming poresE) Inhibition of microtubule function Question 2:Which antifungal is primarily used for superficial infections such as oral thrush and is administered as … Read more
Question 1A 45-year-old patient with a history of moderate to severe persistent asthma is being considered for omalizumab therapy. His asthma is exacerbated by environmental allergens, and traditional treatments have been insufficient to control his symptoms. What is the most appropriate indication for prescribing omalizumab in this patient? A) Severe eosinophilic asthma unresponsive to corticosteroidsB) … Read more
Question 1:Which of the following is commonly used as a screening test for tuberculosis? A) Chest X-rayB) Sputum cultureC) Skin tuberculin test (Mantoux)D) Blood cultureE) Bronchoscopy Question 2:Where is the skin tuberculin test (Mantoux) typically administered on the body? A) Upper armB) AbdomenC) ForearmD) ThighE) Back Question 3:Which of the following bacteria is identified as … Read more
Question 1:A traveler is planning a 7-day trip to a region with chloroquine-resistant P. falciparum. They decide to use Atovaquone-Proguanil (Malarone) for chemoprophylaxis. How many days before travel should the traveler start taking the medication? A) 1-2 daysB) 3-4 daysC) 1 weekD) 2 weeksE) 3 weeks Question 2:If a traveler is using Doxycycline for malaria … Read more
Question 1What is the primary mechanism of action for Non-Nucleoside Reverse Transcriptase Inhibitors (NNRTIs)?A) Inhibit the protease enzymeB) Bind directly to reverse transcriptase and inhibit its activityC) Inhibit the integrase enzymeD) Block entry of the virus into the host cellE) Inhibit the synthesis of viral DNA Question 2Which NNRTI is associated with CNS toxicity, including … Read more
Case:A patient arrives at your pharmacy with a prescription for a blood pressure medication they have been taking for years. As you attempt to dispense the medication, the pharmacy computer system issues an alert regarding a Health Canada recall of the specific batch of the drug due to contamination concerns. The patient is unaware of … Read more
Below written are 26 case-type questions for your practice. Question A 32-year-old female patient with a history of major depressive disorder presents to the pharmacy with a new prescription for fluoxetine. She mentions that she is currently taking ibuprofen for chronic back pain. As a pharmacist, what potential interaction should you discuss with her? A) … Read more
Question 1: Monitoring for Hydrochlorothiazide You are a pharmacist at a community pharmacy, and a patient who has been prescribed hydrochlorothiazide 25 mg daily for hypertension asks about necessary monitoring while on this medication. The patient wants to ensure they are following the correct procedures to manage any potential side effects. What should you recommend … Read more