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DISPENSING 2|REVIEWER

1. Identify what step best describes the following. Depends intervention may be delayed or mishandled. What specific
on the type of medication review and the process of data violation happened in the following scenario?
collection on the access to these data. • It should have a procedure or handling Adverse
• Data Collection Events Following Immunization
2. What vaccine should be avoided for HIV patients? 19. The patient visited your pharmacy complaining of
• Inactivated Flu Vaccine sedation even though the patient religiously taking his
3. What incompatibility happens for the following medication. You asked the patient during patient
medication request? counseling what is his medications, the patient continue
Camphor Menthol 100 mg that it is B-complex and Diazepam only which he has been
Zinc Oxide 800 mg taking for almost 3 months now but the sedation seems
Talc Powder 1.9 g severe from the previous side effects he was been
M.et. Ft. foot powder experiencing so far. Then he added also that yesterday
Sig. apply to feet bid while attending a birthday party, he consumed one shot
• NONE of alcoholic beverages in which he cannot recall the
4. Patient OCM, a 4-year-old boy was brought to your facility. brand name. what recommendation will you give to the
The child has been experiencing a cough for 3 weeks, patient?
unexplained fever for 2 weeks, and loss of appetite. He • Alteration in Metabolism
was given a full course of antibiotics, but no improvement 20. The following is true about changing water as a solvent to
in symptoms was noted. The child has no history of any TB alcohol during salting out incompatibility, EXCEPT…
treatment and could not expectorate. Chest x-ray result • The addition of alcohol to the solution increases
revealed bilateral infiltrates on both upper lobes. What the covalent strength of the solvent.
type of presumptive TB is this? 21. “PharmaSafe” is a pharmacy that lacks proper Standards
• DS-TB Operating Procedures (SOPs) for vaccine storage,
5. Which of the following is the exclusion criteria for handling, preparation, dispensing, administration, and
medication review services? disposal. Despite the critical importance of following
• None of the choices established protocols, the pharmacy fails to implement
6. What angle should be observed on IM injection? standardized practices, potentially leading to errors,
• 90 contamination, and compromised vaccine efficacy.
7. Arrange the following step What specific violation of regulatory requirements for PBIS
I. Recap on the information previously said happened in the following scenario?
II. Introduce self as the pharmacist • It should have Standard Operating Procedures
III. Ask the patient about his/her knowledge about (SOPs) for vaccine storage, handling, preparation,
the medication dispensing, administration, and disposal.
IV. Inform the patient about the medication 22. The following is included in medication history data
• II-III-IV-I collection, EXCEPT…
8. What is the purpose of formulating enteric-coated • Drug-food interaction
medication? 23. The patient visited your pharmacy complaining of
• To protect drugs from the degradative effects of sedation even though the patient religiously taking his
gastric acidity medication. You asked the patient during patient
9. The following are eutectic compounds, EXCEPT… counseling what is his medications, the patient continue
• Acetaminophen that it is B-complex and Diazepam only which he has been
10. This is the condition that increases the risk for a serious taking for almost 3 months now but the sedation seems
adverse reaction to occur; the vaccine should not be severe from the previous side effects he was been
administered to the patient. experiencing so far. Then he added also that yesterday
• Contraindication while attending a birthday party, he consumed one shot
11. What recommendation should be done if the doctor’s of alcoholic beverages in which he cannot recall the
order says that the patient should be given with Live brand name. what recommendation will you give to the
parenteral and inactivated vaccine? patient?
• No necessary spacing • Do not drink alcohol while on medication of
12. What type of questions should be asked to the patient’s diazepam
understanding of his/her medication? 24. Identify what step best describes the following. The
• Open-ended evaluation is based on the own expertise, taking guidelines
13. Identify what step best described the following. Recording into account and other instruments for the detection of
of all DRPs identified all recommendation interventions. drug-related problems.
• Documentation • Detection and evaluation of DRP
14. Acid from the elimination of Iron salts, what other 25. It is the process of a solute becoming detached or
consideration should the patient observe while on extracted from its carrier substance by way of a solvent.
doxycycline therapy? • Leaching
• All of the choices 26. The color of epinephrine that has undergone oxidation
15. Which of the following mismatch with paired • Pink
incompatibility? 27. If the patient is on Erythromycin stearate, what should you
• Gel-Crumbling inform your patient during patient counseling?
16. The following individual are necessary considerations in • Take erythromycin ethylsuccinate instead
agreement on intervention, EXCEPT… 28. What happens when valproic acid has displaced
• None of the choices phenytoin from plasma protein binding sites?
17. Which of the following is an example of live vaccine? • Effects of phenytoin are increased
• Varicella Vaccine 29. You receive a medication order asking for mixing the
18. “Immunicare,” a vaccination center, neglects to have a following:
proper procedure for handling Adverse Events Following Castor Oil 30mL
Immunization (AEFI). In the event of an adverse reaction, Purified water q.s. to 100mL
the center lacks a systematic approach to documenting, • Immiscibility
reporting, and addressing AEFFIs. This oversight places 30. Which of the following does not necessarily one of the
patients at risk, as a timely and appropriate medical space requirements for vaccination services?
DISPENSING 2|REVIEWER

• Counseling room • While amoxicillin acts as an antibiotic that stops


31. The following can cause premature liberation of Bisacodyl bacterial growth, potassium clavulanate prevents
EC, EXCEPT... bacteria from a counter-effect of amoxicillin.
• Ascorbic Acid 46. When a patient is on Acarbose medication, which patient
32. The patient visited your pharmacy complaining of counseling will best be given to patients?
sedation even though the patient religiously taking his • Take acarbose at the start (with the first bite) of
medication. You asked the patient during patient each main meal.
counseling what is his medications, then the patient 47. What factor contributing to the occurrence of drug
continue that it is B-complex and Diazepam only which he interaction is the following? Concerned with the primary
have been taking for almost 3 months now but the effects of the drug and overlooks the secondary effects.
sedation seems severe from the previous side effects he • Multiple pharmacological effects
was been experiencing so far. Then he added also that 48. What regimen should be given to patients having lymph TB
yesterday while attending a birthday party, he consumed • Regimen 1
one shot of alcoholic beverages in which he cannot recall 49. Identify what step best describes the following. Requires a
the brand name. What is the PD in this drug interaction? coordinated collaboration with the other health
• Alcohol professionals such as physician and nurses.
33. The following belong to Clinical data and investigation • Agreement on intervention
during documentation, EXCEPT... 50. Example questions of determining the patient’s level of
• Allergies comprehension
34. The combination of atropine and antacid will result in the • All of the choices
following, EXCEPT...
• Increase GI motility
35. what variations should be applied for the addition of
vaccination services in pharmacy establishments?
• Major
36. Which of the following patient should permanently not be
given vaccination?
• Severe allergy to the previously given vaccine
37. What is the NovoMix 30 flexpen composition?
• Aspart + Protamine
38. Give the remedy of incompatibility: Gum + alcohol
• Change alcohol to H2O
39. Which of the following forms is the document listing the
specifications of vaccine/s that a patient has requested?
• VAR
40. A newer bile acid-binding agent that appears less likely to
interact with other medications
• Colesevelam
41. Patient receiving medication for TB develop peripheral
neuropathy. What should be the best management for this
patient?
• Give Vit B complex
42. Arrange the following recording/reporting sequence on TB
patient
I. Referral
II. Laboratory
III. Enrolment
IV. Screening
V. Treatment
• IV-III-II-I-V
43. The patient visited your pharmacy complaining of
sedation even though the patient religiously taking his
medication. You asked the patient during patient
counseling what is his medications, then the patient
continue that it is b-complex and diazepam only which he
has been taking for almost 3 months now but the sedation
seems severe from the previous side effects he has been
experiencing so far. Then he added also that yesterday I
attend a birthday party, recall the brand name. What
could be the reason why the patient is experiencing
severe sedation while on therapy?
• The patient is an acute alcoholic in which the
alcohol consumption from the party affected the
effect of diazepam.
44. What best incompatibility was described when the
Dulcolax suppository was not melted as it should be?
• Racemization
45. Some medications were manufactured as combined fixed
medication because it helps in making the drug more
effective. One example is the combination of Amoxicillin
and Clavulanic Acid. What is the purpose of the
combination of these two antibiotics?

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