Category: Uncategorized

1. How many grams of NaCl are in 600 mL of 1/2 NS?

2. A woman with ESRD due to lupus is taking the following medicaitons: erythropoeitin, CellCept, Prograf, carvedilol, prednisone, and Norco. She begins to develop elevated fasting glucose. Which drug(s) most likely contributed to her increased blood sugar?

3. James is a 65-year-old male newly prescribed tamsulosin for benign prostatic hyperplasia. Which of the following statements is correct?

4. A patient reports ankle swelling after starting pregabalin. Where should this adverse effect be reported?

5. Maria is a 30-year-old woman with lupus nephritis. Her renal function has progressively declined, and her estimated creatinine clearance is 23 mL/min. Her serum potassium is 4.8 mEq/L. Current medications include enalapril, hydroxychloroquine, a vitamin D supplement, and atorvastatin. Maria is seeking a reliable form of contraception. Which of the following contraceptive methods would be inappropriate for Maria given her current clinical status?

6. A pharmacist dissolves 3 ketoconazole tablets, each containing 200 mg, into a base to prepare 30 mL of a topical solution. What is the % strength (w/v)?

7. A patient hospitalized with acute myocardial infarction. What statin should they be started on to reduce risk of recurrent ischemia?

8. A patient is receiving hydromorphone 4 mg orally every 6 hours for severe chronic pain. The provider wants to switch the patient to oral morphine without dose reduction for insurance coverage reasons. What is the appropriate total daily oral morphine equivalent dose?

9. Emily has a long-standing history of psychosis and anxiety. She presents to the clinic with an involuntary, rhythmic movement of the neck that is painful. Which of her current medications is the most likely cause of this drug-induced movement disorder?

10. A heart failure patient was started on Vasotec 2.5mg twice daily and Toprol XL 25 mg daily. During the one month follow-up the patient's blood pressure is 120/80 mmgHg and heart rate at 75 BPM. The patient developed a dry cough and drinking water doesn't help. What medication changes are appropriate?