‫ﺗﺠﻤﻴﻌﺎت ‪SPLE question‬‬

‫ﻣﺤﺪﺛﺔ‬
‫‪Dr/Essa fuad‬‬

‫ﻳﺘﻢ ارﺳﺎل اﻻﺳﺌﻠﻪ اﻟﻤﺤﺪﺛﺔ ﻛﻞ ﻳﻮم ﻓﻲ اﻟﻘﻨﺎة‬

‫وﻳﺘﻢ ﻣﻨﺎﻗﺸﺘﻬﺎ ﻓﻲ اﻟﻮﻗﺖ اﻟﻤﺘﺎح ﻳﻮﻣﻴﺎ ﻣﻦ اﻟﺴﺎﻋﻪ ‪ 8‬إﻟﻰ ‪10‬‬
‫ﻣﺴﺎء ﻛﻞ ﻳﻮم‬
A 66-year-old diabetes patient has
been recently diagnosed with
congestive heart failure.
Which diabetes medication would be
least appropriate given this new
diagnosis?
A. Lantus
B. Pioglitazone
C. Glucotrol
D. Victoza
Which of the following is not true
regarding the use of long acting nitrates?
A. They can be given with or without
food
B. They are not used for acute relief of
angina
C. Monitoring blood pressure is
warranted while on therapy
D. Can be used safely with with PDE-5
inhibitors
A 19-year-old female presents about 6
hours after ingesting a large, unknown
amount of
acetaminophen. She is extremely
nauseated. What is the most
appropriate initial course of
action?
A. Administer activated charcoal
B. Give syrup of ipecac to induce
vomiting
C. Check an acetaminophen level
D. Administer N-acetylcysteine
Which of the following is considered a
thiazide-like diuretic often used to
augment fluid loss in
the treatment of congestive heart failure?
A. Bumetanide
B. Triamterene
C. Metolazone
D. Ethacrynic acid
 A primary provider is asking you for . A 45-year-old male presents to the
your opinion on which would be the clinic with an inflamed and extremely
most appropriate painful left big toe.
antihypertensive in a patient who has Recent labs reveal: Creatinine = 1.1
frequent gout flares. Which would be mg/dL, BUN = 19 mg/dL, hemoglobin
least appropriate? =15 g/dL, platelets =324,000/uL, uric
A. Metoprolol acid = 13 mg/dL, potassium = 4.3
B. Lisinopril mEq/L, and sodium = 136 mEq/L.
C. Chlorthalidone What
D. Clonidine medication would you use to treat
this patient’s pain?
A. Allopurinol
B. Indomethacin
C. Tylenol
D. Methotrexate
Which of the following statins can be Which of the following is LEAST likely
considered high-intensity lipid lowering to be a symptom of opioid withdrawal?
agents? Select A. Anxiety
all that apply. B. Nausea
A. Atorvastatin C. Constipation
B. Simvastatin D. Sweating
C. Pravastatin
D. Rosuvastatin

A 33-year-old female has a history of

hypertension, GERD, and depression.
Current
medications include: omeprazole,
lisinopril, TUMS (as-needed), and Zoloft.
She just found out
that she is pregnant. Which of the
following medications should be
discontinued
immediately?
A. Lisinopril
B. Omeprazole
C. Tums
D. Zoloft
What would be the most appropriate and
effective long-term treatment for her
osteoarthritis?
A. Ketorolac
B. Tramadol
C. Topical diclofenac
D. Acetaminophen

Dr/ Essa fuad

KL is a 47-year-old female with a history of smoking
and obesity. She presents to the emergency
department with an acute ischemic stroke. She is in
hypertensive crisis, BP 201/115 mmHg, but
otherwise eligible for alteplase therapy. Which of the
following agents would be most
appropriate to initiate to safely lower her blood
pressure < 185/110 mmHg?
A. Nitroglycerin
B. Labetalol
C. Hydralazine
D. Nitroprusside
Which of the following would be indicated in
the treatment of Graves’ disease?
A. Methimazole
B. Prednisone
C. Hydroxyzine
D. Prochlorperazine
For which of the following patients would a
pneumococcal vaccine not need to be given?
A. 53-year-old male with only a history of
osteoarthritis
B. 35-year-old female with moderate asthma
C. 63-year-old male with COPD
D. 69-year-old female with no comorbidities
A 46-year-old female is assessed with right knee pain.
She was instructed a couple of weeks ago to
try capsaicin cream for mild to moderate pain. Past
medical history includes GI bleed and chronic
kidney disease. She has tried it a few times when her
knee was aching but reports that it has not
been effective. The patient is asking for the
pharmacist’s recommendations.
A. Keep using the capsaicin, but use at least three
times daily for at least a few weeks
B. Self treatment is not recommended at this point
C. Recommend ibuprofen
D. Recommend glucosamine/chondroitin
A mother presents to the pharmacy with questions
on different pain medications for her 8
month old infant. She believes her baby is teething
and would like something to help with the
pain. She will not use Tylenol as she is concerned
that it will cause liver toxicity in her baby.
Which of the following would be the best alternative?
A. Aspirin
B. Ibuprofen
C. Tramadol
D. None of the above
45-year-old male has a history of hyperlipidemia,
gout, hypertension, and rheumatoid arthritis. His
current medications include ceftriaxone, niacin,
lisinopril, allopurinol, and methotrexate.
164. Which medication is most likely to exacerbate
his gout?
A. Ceftriaxone
B. Niacin
C. Methotrexate
D. Lisinopril
48-year-old male presents with an acute
exacerbation of his rheumatoid arthritis. He is
currently on methotrexate 7.5 mg weekly. Which of
the following would be most appropriate to
acutely relieve the pain symptoms?
A. Increase methotrexate
B. Add Tylenol
C. Add ibuprofen
D. Switch to hydroxychloroquine
Which of the following medications has the
potential to cause both hyponatremia and
hyperkalemia?
A. Enalapril
B. Hydrochlorothiazide
C. Metoprolol
D. Aldactone
Which of the following is the most appropriate
initial urate-lowering therapy for a patient with a
history of recurrent gout attacks?
A. Allopurinol
B. Febuxostat
C. Probenecid
D. Colchicine
JT is a 54-year-old male with rheumatoid arthritis and
hyperlipidemia. He presents with an LDL of 194
mg/dL, triglyceride level of 143 mg/dL, total cholesterol
of 296 mg/dL, and HDL of 58 mg/dL. He has a
history of MI and is currently on simvastatin 20 mg daily.
Which action would be most appropriate?
A. Education regarding lifestyle changes to reduce
cholesterol
B. Add Tricor
C. Add niacin
D. Recommend no changes
E. Change simvastatin to atorvastatin 40 mg daily