[وحدهم المشرفون لديهم صلاحيات معاينة هذه الصورة] MOH
1. RY is an 85 year old male who lives alone, currently takes 12
different medications. For the past 2 weeks he has telephoned to ask the
pharmacist what dose of diuretic he should be taking (this medication
looks similar to another tablet that he takes). He calls again today
with the same question. After answering his question, the most
appropriate pharmacist action should be to:
a. call RY’s family doctor to suggest changing the diuretic to something that looks different.
b. suggest that RY have the labels on his prescription bottles changed to a
bigger font for easier reading.
c. recommend that the pharmacy use a blister packaging dosette to dispense RY’s medications.
d. suggest that RY write down the answer to his question so that he does not need to phone again.
e. recommend that RY have his hearing and vision tested at his next physician visit.
2. AD is a 58 year old male with diabetes, angina and erectile
dysfunction. His physician consults the pharmacist in order to decide if
AD would be a good candidate for sildenafil. The use of sildenafil is
CONTRAINDICATED for AD if he takes:
a. isosorbide 5-mononitrate.
b. metoprolol.
c. glyburide.
d. ASA.
e. enalapril.
3. RP has a prescription for famciclovir for shingles (prescribed 2 days
ago), and is uncertain about filling it, due to the high cost. Based on
the known effectiveness of famciclovir for herpes zoster, benefits that
the pharmacist should discuss with RP include:
I prevention of acute zoster-associated pain.
II faster healing time for rash.
III less and shorter duration of post-herpetic neuropathic pain.
a. I only
b. III only
c. I and II only
d. II and III only
e. I, II and III
4. Common etiologic agents of community-acquired pneumonia include:
I Escherichia coli.
II Haemophilus influenzae.
III Mycoplasma pneumoniae.
a. I only
b. III only
c. I and II only
d. II and III only
e. I, II and III
5. Iron may decrease the absorption of which of the following medications?
a. Ramipril
b. Atenolol
c. Moxifloxacin
d. Ibuprofen
e. Glyburide
6. Which of the following medications is the most appropriate choice for treatment of neuropathic rather than nociceptive pain?
a. Nabilone
b. Tramadol
c. Ibuprofen
d. Meperidine
e. Nortriptyline
7. Appropriate auxiliary labelling for clarithromycin suspension includes which of the following?
a. Shake well before using.
b. Take with plenty of fluids.
c. Avoid prolonged exposure to sunlight.
d. Keep refrigerated.
e. May cause discolouration of urine.
8. The pharmacist fills a prescription for sumatriptan 100 mg tablets
for a patient with migraine. Appropriate information to provide to the
patient includes which of the following?
a. If the sumatriptan does not relieve the headache within four hours,
ergotamine may be used.
b. If no relief is achieved in two hours, sumatriptan may be repeated.
c. If the headache is partially relieved with a single tablet, the dose may be
repeated after two hours.
d. The maximum dosage of sumatriptan 100 mg in any 24 hour period is six
tablets.
e. If relief is not achieved, no other medication can be used for at least 24
hours.
9. JG has been taking metoclopramide 20 mg, po q6h for the past 3 days
as part of her chemotherapy regimen. She normally takes 4 doses daily,
with each meal and at bedtime. This morning, she forgot to take her
morning dose before leaving home for a hospital check-up. When she
arrives at the clinic, she asks the pharmacist what she should do about
her missed dose, as she expects to be home again around 11:00 am. The
pharmacist should advise JG to:
a. take the missed dose immediately when she gets home and continue as
scheduled.
b. take two doses at lunchtime to make up for the missed dose.
c. skip the missed dose and take the next scheduled dose at lunchtime.
d. skip today’s medication and resume her normal schedule tomorrow.
e. space 4 doses into the remaining hours between when JG gets home and her
bedtime.
10. EK is a 25 year old female who presents to the pharmacy requesting
Plan B® (levonorgestrel) for emergency contraception following an
episode of unprotected sex 12 hours ago. After speaking with EK, the
pharmacist decides she is a good candidate to receive Plan B®. The
pharmacist should include all of the following information in
counselling EK, EXCEPT:
a. the effectiveness of Plan B® in EK’s situation is likely to be better than 90%.
b. Plan B® works mainly by dislodging an implanted fertilized egg from the
endometrium.
c. EK should take two tablets of Plan B® as a single dose.
d. side effects may include nausea, vomiting, breast tenderness, cramps and
spotting.
e. if vomiting occurs within one hour of dosing, a repeat dose may be warranted.
11. All of the following are reasons that elderly patients are more susceptible to drug-induced cognitive changes, EXCEPT:
a. they are more likely to take multiple drugs.
b. they may have hepatic dysfunction.
c. they may have renal dysfunction.
d. they are more sensitive to CNS effects of drugs.
e. they have increased metabolic rates for producing psychoactive metabolites.
12. For a child with asthma, all of the following factors are indicators of poor control, EXCEPT:
a. number of visits to the Emergency Room.
b. limitations on daily activities.
c. awakening at night with asthma symptoms.
d. keeping one canister of salbutamol at home and one at school.
e. number of parent work days missed due to the child illness.
13. Assessment of a patient's asthma control should include all of the following factors EXCEPT:
a. immunization status.
b. inhalation technique.
c. use of inhaled β2 agonist.
d. use of inhaled corticosteroid.
e. changes in environmental triggers.
14. Which of the following liver enzymes is the first to be elevated in a case of an acetaminophen overdose?
a. Lactic dehydrogenase (LDH)
b. Alanine transaminase (ALT)
c. Aspartate transaminase (AST)
d. Alkaline phosphatase (ALP)
e. Gamma glutamyl transpeptidase (GGT)
15. AJ is a 24 year old, married female, who is planning to become
pregnant in the near future. AJ has no medical conditions, no allergies,
and is not currently taking any medications. What vitamin supplement
should the pharmacist recommend to AJ to prevent neural tube defects in
her baby?
a. Niacin
b. Vitamin D
c. Folic acid
d. Pyridoxinee.
Ferrous sulphate
16. Side effects which the pharmacist should monitor in DS, when looking
for the effects of excessive topical corticosteroid use, include:
I pruritus.
II telangiectasias.
III striae.
a. I only
b. III only
c. I and II only
d. II and III only
e. I, II and III
COMPETENCY 2: Professional Collaboration and Teamwork
17. FR is a 70 year old female client who presents to the pharmacist,
complaining of nausea, diarrhea and dizziness for the past three days.
Her medication profile includes: ASA, digoxin, enalapril, and
amiodarone. She denies any recent diet changes and the only change to
her medications was the addition of amiodarone last week. She believes
she must have picked up a “stomach bug” and would like something for
symptom relief. The most appropriate pharmacist recommendation for FR is
to:
a. take loperamide and dimenhydrinate for symptom relief.
b. take increased fluids and bed rest until the symptoms resolve.
c. contact FR’s physician to discontinue the ASA until these symptoms resolve.
d. contact FR’s physician to discontinue amiodarone until these symptoms
resolve.
e. contact FR’s physician to suggest that a digoxin level be taken.
18. DS is a 27 year old male who comes to the pharmacy seeking advice
because, for the past 24 hours, he has experienced abdominal cramping,
mild fever and frequent, loose stools with some blood loss. DS thinks it
may be related to the antibiotic he has been taking for a dental
abscess. Current medications include: clindamycin 150 mg QID x10 days,
started 8 days ago, and losartan 25 mg daily for hypertension, started 3
months ago. The most appropriate pharmacist response is that these
symptoms:
a. are expected, transient side-effects of clindamycin; treat symptoms and
continue medications.
b. may indicate an interaction between clindamycin and losartan; pharmacist call
to dentist is warranted.
c. may indicate clindamycin-related pseudomembranous colitis; seek immediate
medical attention.
d. may indicate losartan-related pseudomembranous colitis; seek immediate
medical attention.
e. are probably unrelated to DS’s medications; treat for flu symptoms and follow-
up if no improvement.
19. FD, a 58 year old male with hypertension, asks the pharmacist if
cranberry juice would be useful for his current symptoms, which include
frequency and a large volume of urine, but no urgency, or painful
urination. Further questioning reveals that for the past 2 months he has
also experienced polydipsia and polyphagia. The pharmacist should refer
FD to his physician because these symptoms are consistent with:
a. cholelithiasis.
b. a urinary tract infection.
c. prostate hyperplasia.
d. diabetes mellitus.
e. renal complications of hypertension.
20. A local physician approaches the community pharmacist to collaborate
on a health promotion pamphlet addressing medication adherence. Which
of the following is NOT an appropriate topic for the pamphlet?
a. The team relationship of the patient with both his physician and pharmacist
b. The service of the pharmacy providing reminder calls for medication refills
c. Advice to bring upcoming refill requests to scheduled physician appointments
d. The various kinds of reminder packaging available to assist patients
e. Referral to industry-sponsored consumer websites for information regarding
medications
21. Academic detailing by pharmacists provides a service to physicians by:
a. educating on improved prescribing legibility.
b. advising on optimal patient interviewing techniques.
c. recommending strategies to avoid medication wastage.
d. providing current information on best prescribing practices.
e. promoting the use of physician samples given to patients.
COMPETENCY 3: Ethical, Legal and Professional Responsibilities
22. According to the Narcotic Control Regulations of the Controlled
Drugs and Substances Act, which of the following practitioners may
prescribe narcotic drugs?
a. Veterinarians
b. Nurse practitioners
c. Podiatrists
d. Midwives
e. Physiotherapists
23. The ethical principle of veracity requires that pharmacists:
a. respect the rights of others to make choices.
b. do good to patients, placing the benefit of the patient over other factors such
as cost.
c. avoid, remove or prevent harm.
d. act with fairness, to allow people to receive that to which they are entitled.
e. act with honesty, without deception.
24. JN, a 17 year old male with a highly resistant form of testicular
cancer, is in hospital for treatment. He is an intelligent, articulate
young man. His parents are insisting that the physician treat him with
the latest experimental therapy, but JN does not want to undergo the
treatment. If the physician goes ahead and gives the experimental
therapy what ethical principle will have been violated the most?
a. Confidentiality
b. Non-maleficence
c. Justice
d. Veracity
e. Autonomy
25. Which of the following medications does NOT require witnessed destruction?
a. Ketamine
b. Nabilone
c. Diazepam
d. Testosterone
e. Gabapentin
26. The Canada Health Act (1984) embodies all of the following principles, EXCEPT:
a. affordability.
b. accessibility.
c. comprehensiveness.
d. portability.
e. universality.
27. ST is no longer satisfied with the service she has been getting at
Pharmacy X across town, so she comes to your pharmacy requesting a
refill of 3 months’ supply on a prescription for an oral contraceptive
that she originally had filled at Pharmacy X. What is the correct
procedure for obtaining the remaining refills?
a. The pharmacist must contact Pharmacy X to get the prescription refills
transferred, and document the transfer appropriately.
b. The pharmacist cannot refill this prescription without phoning the prescribing
physician.
c. The pharmacist may refill the prescription as long as the patient provides you
with the label from the original prescription.
d. The pharmacist may refill the prescription and notify Pharmacy X within 24
hours that this has been done.
e. Inform ST that the prescription resides at Pharmacy X and she must return
there for refills.
28. According to federal legislation, which of the following examples
shows a legally correct refill designation on a written prescription for
dexamphetamine?
a. Repeat twice.
b. Repeat monthly.
c. Repeat as needed.
d. Repeat twice as required.
e. Repeat twice at 14 day intervals.
29. According to the Benzodiazepine and Other Targeted Substances
Regulations, what is the expiry date for refilling a prescription for
lorazepam?
a. Six months from the date written
b. Six months from the date originally filled
c. One year from the date written
d. One year from the date originally filled
e. No specific expiry date; at the pharmacist’s discretion
30. The standard of publicly funded health care in Canada is mandated by:
a. the Canada Health Act.
b. individual provinces and territories.
c. Health Canada’s Health Environment and Consumer Safety directorate.
d. Canadian Agency for Drugs and Technologies in Health.
e. National Association of Pharmacy Regulatory Authorities.
31. The pharmacist receives a phone call from a physician who wishes to
leave a verbal prescription for 30 alprazolam 0.25 mg tid, with 2
repeats. It is a new prescription for the patient. Which of the
following statements is true?
a. Prescriptions for benzodiazepines should be filed with the narcotic and
controlled prescriptions.
b. The prescription should not be dispensed because verbal prescriptions are
not allowed for benzodiazepines.
c. The prescription may be dispensed for the original quantity only, because
refills are not permitted.
d. Transfer of this prescription is permitted as long as the prescription is only
transferred once.
e. Keeping reports of sales in a manner that permits an audit is required for all
benzodiazepines.
32. For a drug going through research and development processes in Canada, which of the following statements is true?
a. Application for patent protection is granted for a maximum period of three
years.
b. A New Drug Submission must be filed in order to start clinical trials.
c. Clinical trials involve three phases assessing animal safety and efficacy.
d. Each package size of a drug product must have a unique Drug Identification
Number (DIN).
e. Health Canada under the Food & Drugs Act & Regulations provides Notice of
Compliance.
33. Which of the following is the national voluntary organization for advocacy of pharmacists and patient care?
a. Canadian Foundation for Pharmacy
b. Canadian Pharmacists Association
c. Canadian Patient Safety Institute
d. Institute for Safe Medication Practices
e. National Association of Pharmacy Regulatory Authorities
COMPETENCY 4: Drug, Therapeutic and Practice Information
34. Which of the following would be the most useful reference to learn
what combination of antiretroviral agents is currently recommended as a
first line therapy to treat HIV infection?
a. Meta-analyses
b. Randomized, controlled trial
c. Pharmacology textbook
d. Clinical practice guidelines
e. Compendium of Pharmaceuticals and Specialties
35. Which information source would be most appropriate to consult first,
to determine if labetalol is a cardioselective beta-blocker?
a. Compendium of Pharmaceuticals and Specialties
b. Randomized, controlled trial data
c. Meta analysis of beta blocker therapy
d. Cochrane Library database
e. Case reports
36. Type II statistical error in a study comparing 2 drug treatment regimens occurs when:
a. the control drug is not a "gold standard" treatment.
b. a statistically significant difference exists but the difference is not clinically
important.
c. the population under investigation does not represent the population with the
disease.
d. the data shows no difference between 2 treatment regimens and a difference
actually does exist.
e. the data shows a difference between 2 treatment regimens but a difference
does not actually exist.
37. An adequately powered, randomized controlled trial conducted over 2
years demonstrated that the primary outcome (a serious cardiovascular
event) occurred in 15% of the patients who received the new drug,
whereas the primary outcome occurred in 25% of the patients who received
a placebo. The relative risk reduction achieved with the new drug is:
a. 10%.
b. 15%.
c. 25%.
d. 40%.
e. 50%.
38. In an adequately powered, randomized controlled trial conducted over
3 years, a specific serious side effect (i.e. reduction in leukocytes)
with conventional therapy is seen in 0.5% of the study sample. In
patients who receive a newly discovered drug, only 0.45% experience the
same side effect. Based on these results, the minimum number of patients
that would need to receive the new drug for 3 years to statistically
demonstrate the prevention of one episode of this side effect in at
least one patient (i.e., NNT) is:
a. 15.
b. 20.
c. 150.
d. 200.
e. 2000.
COMPETENCY 5: Communication and Education
39. For elderly patients with chronic respiratory conditions, which of
the following vaccinations are usually recommended on a yearly basis?
I Influenza virus
II Pneumococcus
III Meningococcus
a. I only
b. III only
c. I and II only
d. II and III only
e. I, II and III
40. All of the following are appropriate suggestions for a pharmacist to
give to a patient with allergic rhinitis from multiple environmental
triggers, to minimize exposure to possible allergens, EXCEPT:
a. open windows to get fresh air into the home.
b. clean and vacuum on a regular basis.
c. wash bed linens regularly in hot water.
d. use mattress and pillow covers.
e. remove any carpets, if possible.
1. RY is an 85 year old male who lives alone, currently takes 12
different medications. For the past 2 weeks he has telephoned to ask the
pharmacist what dose of diuretic he should be taking (this medication
looks similar to another tablet that he takes). He calls again today
with the same question. After answering his question, the most
appropriate pharmacist action should be to:
a. call RY’s family doctor to suggest changing the diuretic to something that looks different.
b. suggest that RY have the labels on his prescription bottles changed to a
bigger font for easier reading.
c. recommend that the pharmacy use a blister packaging dosette to dispense RY’s medications.
d. suggest that RY write down the answer to his question so that he does not need to phone again.
e. recommend that RY have his hearing and vision tested at his next physician visit.
2. AD is a 58 year old male with diabetes, angina and erectile
dysfunction. His physician consults the pharmacist in order to decide if
AD would be a good candidate for sildenafil. The use of sildenafil is
CONTRAINDICATED for AD if he takes:
a. isosorbide 5-mononitrate.
b. metoprolol.
c. glyburide.
d. ASA.
e. enalapril.
3. RP has a prescription for famciclovir for shingles (prescribed 2 days
ago), and is uncertain about filling it, due to the high cost. Based on
the known effectiveness of famciclovir for herpes zoster, benefits that
the pharmacist should discuss with RP include:
I prevention of acute zoster-associated pain.
II faster healing time for rash.
III less and shorter duration of post-herpetic neuropathic pain.
a. I only
b. III only
c. I and II only
d. II and III only
e. I, II and III
4. Common etiologic agents of community-acquired pneumonia include:
I Escherichia coli.
II Haemophilus influenzae.
III Mycoplasma pneumoniae.
a. I only
b. III only
c. I and II only
d. II and III only
e. I, II and III
5. Iron may decrease the absorption of which of the following medications?
a. Ramipril
b. Atenolol
c. Moxifloxacin
d. Ibuprofen
e. Glyburide
6. Which of the following medications is the most appropriate choice for treatment of neuropathic rather than nociceptive pain?
a. Nabilone
b. Tramadol
c. Ibuprofen
d. Meperidine
e. Nortriptyline
7. Appropriate auxiliary labelling for clarithromycin suspension includes which of the following?
a. Shake well before using.
b. Take with plenty of fluids.
c. Avoid prolonged exposure to sunlight.
d. Keep refrigerated.
e. May cause discolouration of urine.
8. The pharmacist fills a prescription for sumatriptan 100 mg tablets
for a patient with migraine. Appropriate information to provide to the
patient includes which of the following?
a. If the sumatriptan does not relieve the headache within four hours,
ergotamine may be used.
b. If no relief is achieved in two hours, sumatriptan may be repeated.
c. If the headache is partially relieved with a single tablet, the dose may be
repeated after two hours.
d. The maximum dosage of sumatriptan 100 mg in any 24 hour period is six
tablets.
e. If relief is not achieved, no other medication can be used for at least 24
hours.
9. JG has been taking metoclopramide 20 mg, po q6h for the past 3 days
as part of her chemotherapy regimen. She normally takes 4 doses daily,
with each meal and at bedtime. This morning, she forgot to take her
morning dose before leaving home for a hospital check-up. When she
arrives at the clinic, she asks the pharmacist what she should do about
her missed dose, as she expects to be home again around 11:00 am. The
pharmacist should advise JG to:
a. take the missed dose immediately when she gets home and continue as
scheduled.
b. take two doses at lunchtime to make up for the missed dose.
c. skip the missed dose and take the next scheduled dose at lunchtime.
d. skip today’s medication and resume her normal schedule tomorrow.
e. space 4 doses into the remaining hours between when JG gets home and her
bedtime.
10. EK is a 25 year old female who presents to the pharmacy requesting
Plan B® (levonorgestrel) for emergency contraception following an
episode of unprotected sex 12 hours ago. After speaking with EK, the
pharmacist decides she is a good candidate to receive Plan B®. The
pharmacist should include all of the following information in
counselling EK, EXCEPT:
a. the effectiveness of Plan B® in EK’s situation is likely to be better than 90%.
b. Plan B® works mainly by dislodging an implanted fertilized egg from the
endometrium.
c. EK should take two tablets of Plan B® as a single dose.
d. side effects may include nausea, vomiting, breast tenderness, cramps and
spotting.
e. if vomiting occurs within one hour of dosing, a repeat dose may be warranted.
11. All of the following are reasons that elderly patients are more susceptible to drug-induced cognitive changes, EXCEPT:
a. they are more likely to take multiple drugs.
b. they may have hepatic dysfunction.
c. they may have renal dysfunction.
d. they are more sensitive to CNS effects of drugs.
e. they have increased metabolic rates for producing psychoactive metabolites.
12. For a child with asthma, all of the following factors are indicators of poor control, EXCEPT:
a. number of visits to the Emergency Room.
b. limitations on daily activities.
c. awakening at night with asthma symptoms.
d. keeping one canister of salbutamol at home and one at school.
e. number of parent work days missed due to the child illness.
13. Assessment of a patient's asthma control should include all of the following factors EXCEPT:
a. immunization status.
b. inhalation technique.
c. use of inhaled β2 agonist.
d. use of inhaled corticosteroid.
e. changes in environmental triggers.
14. Which of the following liver enzymes is the first to be elevated in a case of an acetaminophen overdose?
a. Lactic dehydrogenase (LDH)
b. Alanine transaminase (ALT)
c. Aspartate transaminase (AST)
d. Alkaline phosphatase (ALP)
e. Gamma glutamyl transpeptidase (GGT)
15. AJ is a 24 year old, married female, who is planning to become
pregnant in the near future. AJ has no medical conditions, no allergies,
and is not currently taking any medications. What vitamin supplement
should the pharmacist recommend to AJ to prevent neural tube defects in
her baby?
a. Niacin
b. Vitamin D
c. Folic acid
d. Pyridoxinee.
Ferrous sulphate
16. Side effects which the pharmacist should monitor in DS, when looking
for the effects of excessive topical corticosteroid use, include:
I pruritus.
II telangiectasias.
III striae.
a. I only
b. III only
c. I and II only
d. II and III only
e. I, II and III
COMPETENCY 2: Professional Collaboration and Teamwork
17. FR is a 70 year old female client who presents to the pharmacist,
complaining of nausea, diarrhea and dizziness for the past three days.
Her medication profile includes: ASA, digoxin, enalapril, and
amiodarone. She denies any recent diet changes and the only change to
her medications was the addition of amiodarone last week. She believes
she must have picked up a “stomach bug” and would like something for
symptom relief. The most appropriate pharmacist recommendation for FR is
to:
a. take loperamide and dimenhydrinate for symptom relief.
b. take increased fluids and bed rest until the symptoms resolve.
c. contact FR’s physician to discontinue the ASA until these symptoms resolve.
d. contact FR’s physician to discontinue amiodarone until these symptoms
resolve.
e. contact FR’s physician to suggest that a digoxin level be taken.
18. DS is a 27 year old male who comes to the pharmacy seeking advice
because, for the past 24 hours, he has experienced abdominal cramping,
mild fever and frequent, loose stools with some blood loss. DS thinks it
may be related to the antibiotic he has been taking for a dental
abscess. Current medications include: clindamycin 150 mg QID x10 days,
started 8 days ago, and losartan 25 mg daily for hypertension, started 3
months ago. The most appropriate pharmacist response is that these
symptoms:
a. are expected, transient side-effects of clindamycin; treat symptoms and
continue medications.
b. may indicate an interaction between clindamycin and losartan; pharmacist call
to dentist is warranted.
c. may indicate clindamycin-related pseudomembranous colitis; seek immediate
medical attention.
d. may indicate losartan-related pseudomembranous colitis; seek immediate
medical attention.
e. are probably unrelated to DS’s medications; treat for flu symptoms and follow-
up if no improvement.
19. FD, a 58 year old male with hypertension, asks the pharmacist if
cranberry juice would be useful for his current symptoms, which include
frequency and a large volume of urine, but no urgency, or painful
urination. Further questioning reveals that for the past 2 months he has
also experienced polydipsia and polyphagia. The pharmacist should refer
FD to his physician because these symptoms are consistent with:
a. cholelithiasis.
b. a urinary tract infection.
c. prostate hyperplasia.
d. diabetes mellitus.
e. renal complications of hypertension.
20. A local physician approaches the community pharmacist to collaborate
on a health promotion pamphlet addressing medication adherence. Which
of the following is NOT an appropriate topic for the pamphlet?
a. The team relationship of the patient with both his physician and pharmacist
b. The service of the pharmacy providing reminder calls for medication refills
c. Advice to bring upcoming refill requests to scheduled physician appointments
d. The various kinds of reminder packaging available to assist patients
e. Referral to industry-sponsored consumer websites for information regarding
medications
21. Academic detailing by pharmacists provides a service to physicians by:
a. educating on improved prescribing legibility.
b. advising on optimal patient interviewing techniques.
c. recommending strategies to avoid medication wastage.
d. providing current information on best prescribing practices.
e. promoting the use of physician samples given to patients.
COMPETENCY 3: Ethical, Legal and Professional Responsibilities
22. According to the Narcotic Control Regulations of the Controlled
Drugs and Substances Act, which of the following practitioners may
prescribe narcotic drugs?
a. Veterinarians
b. Nurse practitioners
c. Podiatrists
d. Midwives
e. Physiotherapists
23. The ethical principle of veracity requires that pharmacists:
a. respect the rights of others to make choices.
b. do good to patients, placing the benefit of the patient over other factors such
as cost.
c. avoid, remove or prevent harm.
d. act with fairness, to allow people to receive that to which they are entitled.
e. act with honesty, without deception.
24. JN, a 17 year old male with a highly resistant form of testicular
cancer, is in hospital for treatment. He is an intelligent, articulate
young man. His parents are insisting that the physician treat him with
the latest experimental therapy, but JN does not want to undergo the
treatment. If the physician goes ahead and gives the experimental
therapy what ethical principle will have been violated the most?
a. Confidentiality
b. Non-maleficence
c. Justice
d. Veracity
e. Autonomy
25. Which of the following medications does NOT require witnessed destruction?
a. Ketamine
b. Nabilone
c. Diazepam
d. Testosterone
e. Gabapentin
26. The Canada Health Act (1984) embodies all of the following principles, EXCEPT:
a. affordability.
b. accessibility.
c. comprehensiveness.
d. portability.
e. universality.
27. ST is no longer satisfied with the service she has been getting at
Pharmacy X across town, so she comes to your pharmacy requesting a
refill of 3 months’ supply on a prescription for an oral contraceptive
that she originally had filled at Pharmacy X. What is the correct
procedure for obtaining the remaining refills?
a. The pharmacist must contact Pharmacy X to get the prescription refills
transferred, and document the transfer appropriately.
b. The pharmacist cannot refill this prescription without phoning the prescribing
physician.
c. The pharmacist may refill the prescription as long as the patient provides you
with the label from the original prescription.
d. The pharmacist may refill the prescription and notify Pharmacy X within 24
hours that this has been done.
e. Inform ST that the prescription resides at Pharmacy X and she must return
there for refills.
28. According to federal legislation, which of the following examples
shows a legally correct refill designation on a written prescription for
dexamphetamine?
a. Repeat twice.
b. Repeat monthly.
c. Repeat as needed.
d. Repeat twice as required.
e. Repeat twice at 14 day intervals.
29. According to the Benzodiazepine and Other Targeted Substances
Regulations, what is the expiry date for refilling a prescription for
lorazepam?
a. Six months from the date written
b. Six months from the date originally filled
c. One year from the date written
d. One year from the date originally filled
e. No specific expiry date; at the pharmacist’s discretion
30. The standard of publicly funded health care in Canada is mandated by:
a. the Canada Health Act.
b. individual provinces and territories.
c. Health Canada’s Health Environment and Consumer Safety directorate.
d. Canadian Agency for Drugs and Technologies in Health.
e. National Association of Pharmacy Regulatory Authorities.
31. The pharmacist receives a phone call from a physician who wishes to
leave a verbal prescription for 30 alprazolam 0.25 mg tid, with 2
repeats. It is a new prescription for the patient. Which of the
following statements is true?
a. Prescriptions for benzodiazepines should be filed with the narcotic and
controlled prescriptions.
b. The prescription should not be dispensed because verbal prescriptions are
not allowed for benzodiazepines.
c. The prescription may be dispensed for the original quantity only, because
refills are not permitted.
d. Transfer of this prescription is permitted as long as the prescription is only
transferred once.
e. Keeping reports of sales in a manner that permits an audit is required for all
benzodiazepines.
32. For a drug going through research and development processes in Canada, which of the following statements is true?
a. Application for patent protection is granted for a maximum period of three
years.
b. A New Drug Submission must be filed in order to start clinical trials.
c. Clinical trials involve three phases assessing animal safety and efficacy.
d. Each package size of a drug product must have a unique Drug Identification
Number (DIN).
e. Health Canada under the Food & Drugs Act & Regulations provides Notice of
Compliance.
33. Which of the following is the national voluntary organization for advocacy of pharmacists and patient care?
a. Canadian Foundation for Pharmacy
b. Canadian Pharmacists Association
c. Canadian Patient Safety Institute
d. Institute for Safe Medication Practices
e. National Association of Pharmacy Regulatory Authorities
COMPETENCY 4: Drug, Therapeutic and Practice Information
34. Which of the following would be the most useful reference to learn
what combination of antiretroviral agents is currently recommended as a
first line therapy to treat HIV infection?
a. Meta-analyses
b. Randomized, controlled trial
c. Pharmacology textbook
d. Clinical practice guidelines
e. Compendium of Pharmaceuticals and Specialties
35. Which information source would be most appropriate to consult first,
to determine if labetalol is a cardioselective beta-blocker?
a. Compendium of Pharmaceuticals and Specialties
b. Randomized, controlled trial data
c. Meta analysis of beta blocker therapy
d. Cochrane Library database
e. Case reports
36. Type II statistical error in a study comparing 2 drug treatment regimens occurs when:
a. the control drug is not a "gold standard" treatment.
b. a statistically significant difference exists but the difference is not clinically
important.
c. the population under investigation does not represent the population with the
disease.
d. the data shows no difference between 2 treatment regimens and a difference
actually does exist.
e. the data shows a difference between 2 treatment regimens but a difference
does not actually exist.
37. An adequately powered, randomized controlled trial conducted over 2
years demonstrated that the primary outcome (a serious cardiovascular
event) occurred in 15% of the patients who received the new drug,
whereas the primary outcome occurred in 25% of the patients who received
a placebo. The relative risk reduction achieved with the new drug is:
a. 10%.
b. 15%.
c. 25%.
d. 40%.
e. 50%.
38. In an adequately powered, randomized controlled trial conducted over
3 years, a specific serious side effect (i.e. reduction in leukocytes)
with conventional therapy is seen in 0.5% of the study sample. In
patients who receive a newly discovered drug, only 0.45% experience the
same side effect. Based on these results, the minimum number of patients
that would need to receive the new drug for 3 years to statistically
demonstrate the prevention of one episode of this side effect in at
least one patient (i.e., NNT) is:
a. 15.
b. 20.
c. 150.
d. 200.
e. 2000.
COMPETENCY 5: Communication and Education
39. For elderly patients with chronic respiratory conditions, which of
the following vaccinations are usually recommended on a yearly basis?
I Influenza virus
II Pneumococcus
III Meningococcus
a. I only
b. III only
c. I and II only
d. II and III only
e. I, II and III
40. All of the following are appropriate suggestions for a pharmacist to
give to a patient with allergic rhinitis from multiple environmental
triggers, to minimize exposure to possible allergens, EXCEPT:
a. open windows to get fresh air into the home.
b. clean and vacuum on a regular basis.
c. wash bed linens regularly in hot water.
d. use mattress and pillow covers.
e. remove any carpets, if possible.
