Question. JP is a regular customer of your pharmacy. His medication profile is given in the following table. He calls your pharmacy on a long weekend requesting his medication refills. However he has no refills. His doctor is on vacation. JP requested at least to provide him all his medication for the next two days till his return from vacation. What is appropriate to do?
| Rx# | Medications/Directions | Qty/Days | Repeats | DR | Original | Repeats Remaining |
| 123 | Ramipril 10 mg po od | 30 | 3 | Oz | 1 mo ago | 0 |
| 124 | Simvastatin 10 mg po od | 30 | 3 | Oz | 1 mo ago | 0 |
| 125 | Metformin 500 mg bid | 60 | 3 | Oz | 1 mo ago | 0 |
| 126 | Glicalizide 30 mg bid | 60 | 3 | Oz | 1 mo ago | 0 |
| 127 | Zopiclone 10 mg prn | 30 | 0 | Oz | 15 d ago | 0 |
A) Ask him to contact other walk in clinic doctor
B) Advance him all medication for two days except Zopiclone
C) Can be advanced all medication for two days as his regular customer
D) Ask him to go to emergency to get a new prescription
E) Suggest him to stop using zopiclone
Answer: (b)
Question. KP is a 55 year old male. He is a social smoker and chronic alcoholic. With the help of his family he decided to quit alcohol. His current medication includes diazepam 10 mg qid. He complains of insomnia, agitation, anxiety, and feeling shaky. He is currently not well taken care of and not skipping several meals. What is a possible drug related problem?
A) Overdose of diazepam
B) Insufficient dose of diazepam
C) Incorrect medications
D) Drug and disease interactions
E) Drug and food interactions
Answer: (b) [Tips: Insomnia, agitation, anxiety, and tremors are alcohol withdrawal symptoms, may require increased dose of diazepam.]
Question. What Canadian federal agency ensures that drugs and controlled substances are not diverted for illegal use. This involves developing legislation, regulations, policies and operations that support the control of illicit drugs and other substances.
A) Health Canada
B) The Office of Controlled Substances (OCS)
C) Provincial college of pharmacies
D) Food Drug Administration
E) Drug Enforcement Agency
Answer: (b)
Question. Which of the following office licenses manufacturers and distributors of drugs and controlled substances and issuing import/export permits when necessary, to manage and track the movement of drugs and controlled substances across the Canadian border authorizing the disposal of illegal drugs that have been discovered or seized.
A) Health Canada
B) The Office of Controlled Substances (OCS)
C) Provincial college of pharmacies
D) Food Drug Administration
E) Drug Enforcement Agency
Answer: (b)
Question. All Canadian prescription medications have a drug identification number (DIN) which uniquely identifies?
A) strength and manufacturer, dosage form and supplier
B) strength and manufacturer, dosage form
C) strength and manufacturer, dosage form and dispensing pharmacy
D) strength and manufacturer, dosage form and pharmacist name and location
E) strength and manufacturer, dosage form, province it dispensed
Answer: (b)
Question. Diabetic supplies e.g. blood glucose testing agents, syringes, lancets are identified as?
A) Drug identification number
B) Natural product number
C) Product identification number
D) Homeopathic Medicine Number (DIN-HM)
E) Universal product code
Answer: (c)
Question. Patient reports adverse drug reaction to physician a new drug varenicline. The physician reports adverse drug reactions to?
I) Health Canada's Canada vigilance program (med effect), offered by the Marketed Health Products Directorate.
II) Manufacturer of varenicline
III) All patient receiving varenicline of your pharmacy
A) I only
B) III only
C) I and II only
D) II and III only
E) I, II, III
Answer: (c) [All drugs in post marketing surveillance adverse drug reaction should be reported to Health Canada vigilance programs and manufacturer.]
Question. What is not a basic principle of the Canadian health act?
A) Universality
B) comprehensive
C) public administration
D) Accountability
E) Portability
Answer: (d) [accessibility is CHA principle not the accountability]
Question. Which of the following groups is NOT covered by the federal drug benefit program?
A) Inmates
B) refugees
C) seniors >65 yr old
D) natives or aboriginals
E) Royal Canadian Mounted Police (RCMP).
Answer: (c) [Seniors over 65 years]
Question. Which of the following groups is NOT covered by the provincial drug benefit programs?
A) seniors > 65 yr old
B) persons on social assistance
C) Ontario residents
D) aboriginals or natives
E) none
Answer: (d) [aborginals or natives are covered by federal.]