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Quiz
Question 1/101/10
Pharmacology
Pharmacology
Pharmacology
Patient Profile: Patient Name: Dane Christiansen, Address: 85 Holloway Cres, South Port QLD 4036, Age: 62, Height: 180 cm, Sex: Male, Weight: 70 kg, Allergies: Nil known. DIAGNOSIS: Presenting Complaint: 1. Hyperglycaemia. Laboratory/Diagnostic Tests: 11/5 Blood glucose 9.0 mmol/L (3-8 mmol/L); 11/5 Serum creatinine 0.17 mmol/L (0.05-0.12 mmol/L); 11/5 Urate 0.58 mmol/L (0.2-0.45 mmol/L). PHARMACIST NOTES: Nil. Question: If Dane was started on metformin, which ONE of the following statements is CORRECT in regard to this medication?
Select the answer:Select the answer
1 correct answer
A.
Can be used in patients with severe renal impairment with careful monitoring
B.
Can be used in renal impairment but not below a CrCl of 60 mL/minute
C.
Can be used and its dose is not dictated by the state of the renal function
D.
Can cause renal impairment and it should be ceased until renal impairment has resolved
Metformin can be used in Dane with careful monitoring despite his elevated creatinine, per updated guidelines.
Right Answer: A
Quiz
Question 2/102/10
Diagnostics
Diagnostics
Diagnostics
Patient Profile: Patient Name: Dane Christiansen, Address: 85 Holloway Cres, South Port QLD 4036, Age: 62, Height: 180 cm, Sex: Male, Weight: 70 kg, Allergies: Nil known. DIAGNOSIS: Presenting Complaint: 1. Hyperglycaemia. Laboratory/Diagnostic Tests: 11/5 Blood glucose 9.0 mmol/L (3-8 mmol/L); 11/5 Serum creatinine 0.17 mmol/L (0.05-0.12 mmol/L); 11/5 Urate 0.58 mmol/L (0.2-0.45 mmol/L). PHARMACIST NOTES: Nil. Question: Which ONE of the following is the BEST indicator of Dane’s ongoing blood glucose control?
Select the answer:Select the answer
1 correct answer
A.
Random blood glucose levels
B.
Three monthly HbA1C levels
C.
Weekly fasting blood glucose levels
D.
Regular serum creatinine measurements
HbA1C reflects Dane’s average glucose control over 2-3 months, superior to random or fasting measures.
Right Answer: B
Quiz
Question 3/103/10
Pharmacy Calculations
Pharmacy Calculations
Pharmacy Calculations
Patient Profile: Patient Name: Thomas Bean, Address: 32 Hickory Drive, Melamine, Age: 3 years, 2 months, Height: 120 cm, Sex: Male, Weight: 14 kg, Allergies: Rash following use of penicillin. DIAGNOSIS: Presenting Complaint: 1. Pain and fever. Medical History: 1. Otitis media. Laboratory/Diagnostic Tests: 17/3 Temperature 38°C (36.8°C plus/minus 0.4 degrees). PHARMACIST NOTES: 17/3 Thomas has been experiencing localised pain in the ear for 2 days, which has not resolved with regular paracetamol use. Question: If Thomas’ mother is using paracetamol mixture 100 mg/mL, what directions are MOST appropriate for Thomas?
Select the answer:Select the answer
1 correct answer
A.
1.4 mL 4 hourly, maximum 5 doses in 24 hours
B.
2.1 mL 4-6 hourly, maximum 4 doses in 24 hours
C.
4.2 mL 4-6 hourly, maximum 4 doses in 24 hours
D.
1.2 mL 4-6 hourly, maximum 4 doses in 24 hours
For Thomas (14 kg), paracetamol dose is 15 mg/kg every 4-6 hours, max 4 doses/24h. 14 * 15 = 210 mg/dose. At 100 mg/mL, 210 mg / 100 mg/mL = 2.1 mL.
Right Answer: B
Quiz
Question 4/104/10
Therapeutics
Therapeutics
Therapeutics
Patient Profile: Patient Name: Thomas Bean, Address: 32 Hickory Drive, Melamine, Age: 3 years, 2 months, Height: 120 cm, Sex: Male, Weight: 14 kg, Allergies: Rash following use of penicillin. DIAGNOSIS: Presenting Complaint: 1. Pain and fever. Medical History: 1. Otitis media. Laboratory/Diagnostic Tests: 17/3 Temperature 38°C (36.8°C plus/minus 0.4 degrees). PHARMACIST NOTES: 17/3 Thomas has been experiencing localised pain in the ear for 2 days, which has not resolved with regular paracetamol use. Question: After five days of treatment, Thomas develops severe diarrhoea with the antibiotics that he is using. Which ONE of the following is the MOST appropriate treatment?
Select the answer:Select the answer
1 correct answer
A.
Cease the antibiotics and encourage fluids
B.
Cease antibiotic and use loperamide 2 mg stat and after each loose bowel motion
C.
Continue the antibiotics and encourage fluids
D.
Continue the antibiotics and use loperamide 2 mg stat and after each loose bowel motion
Severe diarrhoea in Thomas suggests antibiotic-associated issues (e.g., C. difficile); ceasing antibiotics and hydrating is safest.
Right Answer: A
Quiz
Question 5/105/10
Microbiology
Microbiology
Microbiology
Patient Profile: Patient Name: Thomas Bean, Address: 32 Hickory Drive, Melamine, Age: 3 years, 2 months, Height: 120 cm, Sex: Male, Weight: 14 kg, Allergies: Rash following use of penicillin. DIAGNOSIS: Presenting Complaint: 1. Pain and fever. Medical History: 1. Otitis media. Laboratory/Diagnostic Tests: 17/3 Temperature 38°C (36.8°C plus/minus 0.4 degrees). PHARMACIST NOTES: 17/3 Thomas has been experiencing localised pain in the ear for 2 days, which has not resolved with regular paracetamol use. Question: Which ONE of the following organisms is MOST likely to cause otitis media?
Select the answer:Select the answer
1 correct answer
A.
Staphylococcus aureus
B.
Escherichia coli
C.
Streptococcus pneumoniae
D.
Mycoplasma pneumoniae
Streptococcus pneumoniae is the most common cause of otitis media in children like Thomas.
Right Answer: C
Quiz
Question 6/106/10
Calculations: Drug concentrations
Calculations: Drug concentrations
Calculations: Drug concentrations
A 5% w/v drug solution contains 5 g of the drug in every 100 mL. How many mL of solution are required to administer 250 mg of the drug?
Select the answer:Select the answer
1 correct answer
A.
2.5 mL
B.
5 mL
C.
25 mL
D.
50 mL
A 5% w/v solution has 5000 mg per 100 mL, which equals 50 mg per mL. Dividing 250 mg by 50 mg per mL gives 5 mL.
Right Answer: B
Quiz
Question 7/107/10
Calculations: Drug half lives
Calculations: Drug half lives
Calculations: Drug half lives
A drug with an initial concentration of 100 mg has a half-life of 4 hours. What is the approximate concentration of the drug remaining after 8 hours?
Select the answer:Select the answer
1 correct answer
A.
100 mg
B.
50 mg
C.
25 mg
D.
12.5 mg
The drug undergoes two half-lives in 8 hours (8 ÷ 4 = 2). After the first half-life the concentration halves to 50 mg, and after the second to 25 mg.
Right Answer: C
Quiz
Question 8/108/10
Calculations: Required dosages
Calculations: Required dosages
Calculations: Required dosages
A doctor prescribes a dose of 50 mg per kg for a child weighing 24 kg. What is the total dosage required in mg?
Select the answer:Select the answer
1 correct answer
A.
1200 mg
B.
1100 mg
C.
1250 mg
D.
1000 mg
To calculate the dosage, multiply the child's weight (24 kg) by the dose per kilogram (50 mg). The result is 24 x 50 = 1200 mg. This is the total amount required, making option A the correct answer.
Right Answer: A
Quiz
Question 9/109/10
Counselling: Dosage forms
Counselling: Dosage forms
Counselling: Dosage forms
Which counselling advice is most appropriate when advising a patient on the proper use of oral liquid dosage forms?
Select the answer:Select the answer
1 correct answer
A.
Use a household teaspoon for measurement
B.
Use a calibrated oral syringe or dosing cup for accurate measurement
C.
Estimate the dose based on bottle markings only
D.
Avoid shaking the liquid before administration
Accurate dosing is essential when using oral liquid formulations. Patients should be advised to use a calibrated oral syringe or dosing cup to measure their dose, ensuring precision and safety. Household spoons and visual estimations can lead to dosing errors. Although shaking the liquid is important if the formulation requires it, the main focus here is on using the correct measuring device.
Right Answer: B
Quiz
Question 10/1010/10
Counselling: Drug interactions
Counselling: Drug interactions
Counselling: Drug interactions
When counselling a patient taking warfarin, which of the following drugs should be used with caution due to an increased risk of bleeding caused by drug interactions?
Select the answer:Select the answer
1 correct answer
A.
Aspirin
B.
Acetaminophen
C.
Ibuprofen
D.
Metformin
Ibuprofen, an NSAID, may increase the risk of bleeding when taken with warfarin due to its impact on platelet function and potential for gastrointestinal irritation. Awareness of such interactions is critical during counselling to ensure patients understand the heightened risk and take preventive measures.
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Quiz name:Competency Assessment for Overseas Pharmacist
Total number of questions:534
Number of questions for the test:50
Pass score:80%
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