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Last Updated: Aug 08, 2026
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| Section | Weight | Objectives |
|---|---|---|
| Patient-Centered Pharmacotherapy | 55% | - Assessment of Patient-Specific Information
|
| System-Based Standards and Population-Based Pharmacotherapy | 20% | - Medication-Use Systems
|
| Drug Information and Evidence-Based Medicine | 25% | - Literature Evaluation
|
1. A patient is admitted to the hospital after a motor vehicle collision. The patient takes methadone
40 mg once daily for management of an opiate addiction. The remainder of the patient's medical history is unremarkable. The medical resident caring for the patient wants to order methadone but Expresses concern related to the Substance Abuse and Mental Health Services Administration (SAMHSA) regulations.
What is the appropriate action?
A) Order methadone 40 mg once daily if the patient shows signs of withdrawal.
B) Order methadone 40 mg once daily during inpatient treatment.
C) Order methadone 40 mg once daily if the medical resident is a registered opioid treatment program (OTP) practitioner.
D) Order morphine at equivalent dose as an alternative management.
2. A 58-year-old patient presents to a clinic for a routine physical. The patient has no significant past medical history. A recent visit to the primary care physician revealed the following fasting laboratory values:
* Glucose: 120 mg/dL
* TSH: 2.5 ulU/mL
* Total cholesterol: 256 mg/dL
* HDL cholesterol: 36 mg/dL
* LDL cholesterol: 170 mg/dL
* Triglycerides: 250 mg/dL
The patient would like to initiate alternative therapy in addition to the physician's diet and exercise recommendations. Which of the following alternative products may be effective for this patient?
A) Red yeast rice
B) Ginkgo biloba
C) Valerian root
D) Hawthorn leaf
3. A 67-year-old patient is hospitalized for decompensated heart failure. The serum sodium concentration is 130 mEq/L on admission. Which of the following is the most appropriate approach to managing the patient's hyponatremia?
A) Restriction of both sodium and fluids
B) Conivaptan 20 mg intravenously over 24 hours
C) 0.9% NaCl 200 mL/h intravenously for 5 hours
D) 3% NaCl 50 mL/h intravenously for 5 hours
4. A patient presents a first-time prescription for exenatide subcutaneously twice daily. Which of the following information should the pharmacotherapy specialist present during patient counseling?
A) The drug should be taken within 60 minutes after eating the morning and evening meals.
B) Dose size should be adjusted according to the size of each meal.
C) The most common side effect is nausea, which usually decreases over time.
D) The drug should be discarded 60 days after first use, even if some remains in the pen.
5. A patient is receiving oxcarbazepine. Which is the most relevant toxicity monitoring parameter?
A) Serum potassium
B) TSH
C) Serum Creatinine
D) Serum Sodium
Solutions:
| Question # 1 Answer: B | Question # 2 Answer: B | Question # 3 Answer: A | Question # 4 Answer: A | Question # 5 Answer: D |
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