Ques. A woman phoned the pharmacist and told him that her husband had swallowed 30 tabs of acetaminophen 325 mg. What is the proper advice?

a. he will be ok

b. induce emesis-using ipecac

c. call the poison center to ask for advice

d. take him to the emergency department

 

Answer: (c)

 

Ques. A patient came to his family physician experiencing severe Elbow pain after severe contact with another soccer player. There is swelling also in his ankle. He treated his ankle at the time of incidence with ice packs, for 24 hrs, however the pain is still persistent. The patient has a peptic ulcer. What will you recommend

I) cold compress

II) NSAIDs rubs

III) Ibuprofen

 

A) I only

B) III only

C) I and II only

D) II and III only

E) I, II, III

 

Answer: (c)

 

Ques. Which of the following agents is preferred when used to heal an NSAID-induced ulcer if the NSAID must be continued.

a. sucralfate

b. misoprostol

c. proton pump inhibitor

d. H2 receptor antagonist

 

Answer: (c)

 

Ques. MP is a 78 year old female who had difficulty sleeping over the past several days and some leg cramping and rigidity in the early hours of morning. Her medical history includes angina, chronic constipation and Parkinson's disease. Currently she is using levodopa/carbidopa 100/25 1 tablets 8 am 12 noon 4 pm and 8 pm. Amantadine 100 mg qd, ASA 81 mg, Nitrodur 0.6 mg qam, bisacodyl PRN.

Which of the following is the most likely explanation for MP symptoms?

A) anticholinergic side effects of amantadine

B) On-off fluctuation

C) wearing off effect

D) Extrapyramidal side effects

E) levodopa induced urinary incontinence

Answer: (c)

 

Ques. Which of the following do you suggest to improve MP symptoms?

A) Decrease the dose of levodopa/carbidopa

B) Switch to controlled release levodopa/carbidopa

C) Switch to amantadine

D) decrease the frequency of levodopa/carbidopa

E) Discontinue levodopa and add entacapone

 

Answer: (b)