Ques. MJ is a 62 year old woman who has been a customer at your pharmacy for many years. MJ comes to pick her new prescription glargine (lantus). She is currently using regular insulin at bedtime. Her doctor advised her to continue regular insulin and a new prescription of glargine. When she asked about mixing glargine and regular insulin the same syringe. The pharmacist should buy the product.
A) Stable if administered immediately and may be premixed and stored in refrigerator for upto 7 days
B) Have not been studied when administered together
C) Should never be mixed in the same syringe
D) Mixing regular and glargine insulin increase risk of cancer side effect
E) If you are using regular and glargine, always choose insulin pen devices.
Answer: (c)
Ques. MK is an 80 year old patient recently diagnosed with recurrent paroxysmal atrial fibrillation (two or more episodes are termed as recurrent). His doctor informed him that even recurrences of atrial fibrillation can lead to thromboembolism and have an enormous amount of stroke risk. MKs current medical conditions include hypertension, high LDL, hypothyroidism and asthma. Currently he is on Canadesartan/hydrochlorothiazide 16 mg/12.5 mg, atorvastatin 40 mg, levothyroxine 0.25 mcg, salbutamol 1 puff prn, fluticasone inhaler bid. What is appropriate for all patients to prevent stroke associated with atrial fibrillations?
A) Anticoagulants therapy
B) antiplatelet therapy
C) ratre control drugs such as digoxin, beta-blockers, verapamil, and/or diltiazem.
D) rythm control drugs such as amiodarone or dronedarone
E) dual antiplatelet therapy
Answer: (a)
Ques. MKs doctor is considering initiating dronedarone therapy to maintain sinus rythm. Like amiodarone, dronedarone blocks sodium, calcium, and potassium myocardial currents, providing both rhythm and rate control. Which of the following is NOT the side effect of dronedarone?
A) pulmonary fibrosis
B) hypothyroidism
C) vision changes
D) skin discolouration
E) all of the above
Answer: (e)
Ques. Which of the following drugs would cause drug induced atrial fibrillation?
A) amiodarone
B) dronedarone
C) salbutamol
D) hydrochlorothiazide/candesartan
E) Metoprolol
Answer: (c)
Ques. A52-year-old female patient on omeprazole, iron supplements, ASA 81 mg, she got deep vein thrombosis, was admitted to the hospital and was given a thrombolytic agent. Doctor considering adding antiplatelets dose. What antiplatelet is suitable?
A) clopidogrel
B) increase ASA dose to 325 mg
C) ASA+Dipyradamole
D) GP IIb/IIIa inhibitors
Answer: (b)
Ques. Which of the following proton pump inhibitors is suitable in patients receiving clopidogrel?
A) omeprazole
B) lansoprazole
C) Pantoprazole
D) esomeprazole
Answer: (c)