★★★ PART 1★★★

1.what is the physiologicalantagonist of histamine

a)Cromolyn sodium.

b)Epinephrine✔

c)Cinnarizine

2.Which is the least likely to cause posturalhypotension?

a)Direct vasodilators

b)Diuretics

c)Alpha blockers

d)B blockers✔

3.Which immunoglobulin is released during Penicillin allergy?

a)IgM

b)IgE✔

c)IgG

4.Which medications can be dispensed without a prescription?

a)Aspirin 81mg

b)Decussate sodium 100 mg 5tab

c)Loratidine 10mg tab

d)ALL✔

5.Which are examples of situations when a pharmacist should not dispense a prescription?

harmacist suspects fraud or cheating.

b)Pharmacist thinks the medication might harm the patient

c)Pharmacist doesn’t know the doctor

d)ALL✔

6.Which is not a responsibility of HAAD?

a)Pharmacy

b)Drug store

c)Scientific Office

d)Door to door pharmacy✔

7.What is a pharmaceuticalalternative?

1-Drug products that contain the same therapeutic moiety but as different salts,esters,or complexes.

2-Drug products that contain the same therapeutic moiety but as different dosage.

3-drug products contain different therapeutic moiety

4.1and 2✔

8.In which phase of drug investigation is the dose of drug determined to be used in further trials?

a)Phase 1

b)Phase 2✔

c)Phase4

d)phase3

9.Bronchodilator drugs shouldn’t enter systemic circulation not enter CNS?

A)Salbutamol

B)Terbutaline

c)Ipratropium✔

10.Pub med definition:

Database that access Medline freely and concern about science researches and biomedical life.✔

11.Salbutamoloverdose causes allexcept.

a)Tachycardia

b)Hypokalemia

c)Constipation✔

d)tremor

12.Which is inappropriate when counseling for Isotretinoin?

a)The acne willget worse when you first start treatment,but after that it willget better.

b)Avoid sunlight as this medication willmake your skin burn more easily.

c)Your night vision may improve,as this medication contains vitamin A.✔

d)Avoid pregnancy

13.Which is a prodrug?

Enalapril✔

14.Propranololnot used in:

PartialAV block.✔

Cardiomyopathy

15.Which is false about handling anticancer drugs?

a)Gowns should be made of fabric that has low-permeability to the agents in use,with

closed-front and cuffs,intended for single use

b)Wear double latex gloves

c)Negative pressure laminar flow hood should be used

d)Use positive pressure when withdrawing solution from vial✔

16.Definition of formulary:

An officiallist of drugs approved for prescription or administration to patients of a hospital and clinic and
pharmacy.✔

17.Which statement about antibiotic resistance is not true?

Antibiotic reactivate by b lactamase✔

18.Which of the following is considered as illegal?

a)Asking a demographic question for a patient with hypertension

b)Discussing a rare genetic disease case of a patient with other colleagues in the cafeteria

c)Advising a patient to see a consultant because you think the treatment given by his resident is
ineffective

D )B+ C✔

19. 26) Alcohol may be incorporated at which of the following dermal preparations
a- lotions✔
b- ointments
c- suppositories

20.In Randomization controlled trials,randomization refers to:

Randomly assigning people to groups that compare different treatment✔

21.Which medicine causes steatorhea?

a- orlistat✔

b- Simvastatin

22.Nifedepine is used in allexcept:

a)Hypertension

b)Angina

c)Pre eclampsia✔

d)Premature Labour
23.The expiration date on the originalpackage: Nov 2013,Today is 1Dec 2012: the pharmacist
repackaged the medicine using FDA guidelines: 25% of the remaining time on the originalpackage to
maximum 6 months.What is the new expiration date:

A-Feb 2013

B-Jan 2013

C-May 2013✔

D-June 2013

24.MOA Hydralazine 
-Alpha agonist,

-peripheral vasodilator✔

25.Pain radiating to jaw after a heavy meal

-atypical angina✔

,peptic ulcer,

gastric cancer,

gastritis

26.The anti-inflammatory effect of NSAIDs is due to their ability to

1. inhibit prostaglandin synthesis✔
II. inhibit the stimulation of the chemoreceptor trigger zone (CTZ)
III. reset the hypothalamic "set point"

27.Bioavailability F= 1-E refers to:

A-elimination rate

b-extraction ratio✔

C-excretion rate

d- ALL

28.allare effect of epinephrine Except”

A-hyperkalemia

b-hypoglycemia✔

C-mydriasis

D-nervousness
29.rebound congestion happen with long term use “

a- B blocker

b-xylometazoline✔

30.RX : Timolol 25% eye drop ,S: i.o.d .BID , M: 15 ml on prescription lable should read as :

a- apply 1drop into both eyes twice daily

b- apply 1drop into left eye twice daily

c- apply 1drop into right eye twice daily✔

d- shake will and instilldrop into left eye twice daily

31.Which of the following antimicrobialagents would be most usefulin treatment of infection caused by
beta-lactamase producing staphylococcusL( Lang question)

a- impenem

b- cephalexin

c- cefepime✔

32.Metfomine used for diabetic caution must be taken with:

a- patient obesity✔

33.Drug of choice in treatment of hypothyroidism:

a- iodothyroxin

b- Carbamazol

c- levothyroxin✔

34.Which is not correct about using inhalers?

a- if you need to make 2 buff leave one min.between them

b- using b-agonist after using corticosteroids✔

C-take 10 sec.breath after complete inhalation

d- None of the above

35.CD prescription,what’s max.Duration to be dispensed:

a- 10 days

b- 1month

c- 3 days✔

d- 1week

36.If the controlled prescription is give on Sunday .last day on??

1-SUNDAY

2- Monday

3-tuseday✔

37.Which is not correct in treatment of motion sickness?

a- treatment with avomin above 5years

b- treatment with Phenergan(promethazine)elixir to child 1year✔

c- give stugeron tab.to child 6 years

d- phenergan tab. 10 mg to child 5 years

38.Albumin is widely bind to:

a- week base

b- neutrals

c-week acid✔

d- Water

39.The most common side effect of (furosemide,corticosteroids,tetracycline)is :

a- acute pancriatitis✔

b- acute gout

c- Megalloplastic anemia

d- Acute asthma
40.Mahmud wants to travelto other country,this region having malarialinfection.What is th e best
Prophylaxis drug for him?

a- choroquin

b- proguanil✔

c- Primaquin

d- Mefloquin

41.Which is NOT an example of adulteration?

1-Wrong number of pills in a bottle✔

2-Change in the tab expeint

3-Manufacture change the dose

42.Which causes constipation?

Codeine✔

43.Which of these aggravates angina?

Hydralazine✔

44.A drug degrades at pH<5.5,traverse muco-cutaneous membranes.Which of the following

preparations should be used to ensure maximum bioavailability:

a)IV solution

b)Capsule

c)Suspension

d)Aerosol✔

45.Case patient have meningitis Which of these drugs cause hemolytic anemia ?

Chloramphenicol✔

Amikacin
46.COPD patient taking beta agonist and corticosteroid,but his asthma is stillnot properly
controlled,which of these drugs should he add to his regimen?

1-Ipratropium✔

2-salmetrol

3-beclomethasone

4-chromylin sodium

47.Which of these supplements should be taken with sulfasalazine?

1-Folic acid✔

2-vit b6

3-vit a

48.Which of these are enzyme inducers?

a)Phenobarbital✔

b)Cimetidine

c)phenytoin✔

d)erythromycin

49.Patient with sickle cell anemia is given a blood transfusion,and signs of liver failure begin to
appear,this is due to overdose of:

a)iron✔

b)Erythropoietin

50.Metabolism of ethanol:

a)Cyp450

b)alcoholdehydrogenase

c)glucourinde

d)all✔
51.Insecticide poisoning,which antidote should be given?

a)Atropine

b)Pralidoxime

c)methylmonoamine

d)ALL✔

52.Drugs can be returned for this reasons except???

A-Factory not follows GMP

B-A.I partially degraded

C- Recipients partially degraded

D-no f tablets not written in the bottle✔

53.Adrenoreceptor for action of drugs??

A- Mydrasis

B- Antihypertensive

C- Intraocular pressure reducer

D- Bronchodilators

E- All✔

54.For stress test taken???

-Dobutamine✔

55.Junior pharmacist new one,he asks about Refill?

A-narcotic prescription must dispensed under restrict condition✔

56.about the insecticides as DIFP,which increase the transdermalabsorption??

A- High lipid solubility✔

B- High molecular wt

C- Volatility

D- A+ B
57.Which drug cause nausea vomiting sever hypotention when suddenly stopped

A- Alprazolam

B- Phenytoin

C- Prenisolone✔

58.Which of the following make ankle edema?

A-amlodipine✔

B-b blocker

.59DINOPROSTONE used for what at labor??

A- ASSIST cervical repining✔

B- Cervicalcontraction

C-cervicalrelaxation

d- Increased uterine contractions

60.Advice after admistration of dinoprostone?

A- Stay at supine position for 2 hr✔

B-stay aside 30 min

61.For pregnant women to avoid neuraltube defect give?

A- Folic acid✔

B- Vitamin A

62.fluoxetine dose 20mg Q.I.D for one monthb:

A-it s high dose call doctor and adjust dose✔

B-the dose is correct

C-fluxetine is given once daily

d- Fluxetine is used for compulsive sessonaldisorder

63.Not used in angina

A- Losartan✔

B- CCBS

C- Verapamil

D- Nitrates

64.warfarin for women may be pregnant and come to dispense drug?

A-tellher to take pregnant test

B-Calldoctor and discuss prescription with him✔

65.AntiT.B drug cause Down syndrome in pregnancy?

A- Ethionamide✔

B-isoniazid

C-rifampicin

66.Not used in preservatives?

A-benzoic acid

B-sodium picosulfate✔

67.Increased volume of distribution mean?

A-drug bind to tissue✔

B- Binds to plasma protein

C-Increase the excretion

68.warfarine mechanism of action

A- Vit k reductase inhibitor✔

b-ant thrombin
69.used in mechanicalventilation to reduce UN wanted respiratory movement

A-pancronium✔

b- Succinylcholine

C-baclofen

70.DRUG is enzyme inhibitor in the primary action:

A- Enalapril✔

71.Aspartam not used in the

A –phenylketon urea✔

72.TCA cause all except

A-short in breath✔

B-constipation

73.To know the patient understand how to use drug

A-when use medicine✔

74.Drug for treatment migraine acute attake?

A-Zolmitrptan✔

B-propanol

C-valporate

A-Sodium nitroprusside

75.Optimum blood pressure for hypertensive patient,not suffers from any other problem ?

A-systolic< 140 …diastolic<90 mmHg✔

 
76.Cold cream:

A-w/o✔

77.Antihypertensive agent contains iron and cyanide in its structure:

A-Na nitroprusside✔
78.As an anti-arrhythmic drug, Phenytoin is most similar in action to which one of the following 
1. lidocaine✔,

3. Propafenone
2. Verapamil)

4. Sotalol

79.There is a case and the patient has megaloplastic anemia developed neurological problems so you
give as a supplement:

A-Vit B12✔

80.Which of these statements is not true?

A-Diphenhydramine is the drug of choice in morning sickness✔

81Thrush caused by:

A-Amoxicillin✔

82.Not true about statin:

A-take in the morning✔

83.Which of the following, according U.A.E regulation is considered NARCOTICS?

13) Methylphenidate 5mg✔
14) Bupernorphin

84. 203.drugs used in acute asthma attack

Formetrol
Terbutaline✔
Sulbutamol

85.low drug bioavailability  ?

A-Increase the dose ✔

86.Patient taken beclomethasone and terbutaline for COPD for 2 years  but condition become worse
which drug should be added  to improve condition?

A-cromolyne

B-ibratropium bromide✔

C- salbutamol

D- budenosoide

87.vaccines document kept for :

a)min. 2 yrs✔
b) min. 3 yrs
c) min. 5 yrs

88.preferred pathwayfor metabolism of succinylcholine

1-ester hydrolysis✔
2-n-oxidation 
3-a&b
4-glucuronidation

89.what is true about clearance:

A – Cl = elimination rate/cpss
B - cl = Q*E
C – Cl= .7 Vd/t1/2
D – all✔

90.which drug is not used in asthma 

· atenolol ✔ 
· verapamil

91.Which of the following is an example of oligosaccharide? 

Sucrose✔
Starch 
Glucose

92.Amino acid IV solution may contain all the following:

1- Low amount of non-essential amino acids.✔
2- Different concentrations of different amino acids.✔
3- Contain amounts of big branched amino acids.✔

93.A patient come to your pharmacy and give you a prescription, you told him to come two hours
later. When he comes, his prescription was not ready .he shouted at you .what would you say to
him:
a- Calm down. This behavior disturb all in the pharmacy.✔
b- Go out and get your medicine from another pharmacy.
c- If you continue to shout your prescription would take a longer time.
d- Shout at him and tell him to go out.

94.which of the following not cause tachycardia

Clonidine✔
Terazosin 
Minoxidil

95.Total LDL in a patient with myocardial infarction should be

( less than 100 mg/dl)✔

96.A patient comes to you with controlled drug prescription. The name of the prescriber is not well
written, you would:
a- Call the facility and ask for this prescriber.
b- Ask the patient about the prescriber name.
c- Get the facility number and ask for the prescriber.✔
d- Call the HAAD and ask about the prescriber.

97.A patient comes to your pharmacy and behaves in a rude manner. How would you deal with him?
a- Assertiveness.✔
b- Aggressiveness.
c- Frustration.
d- Rudely.

98.A patient was prescribed for hypercalcemia. What is the serum calcium concentration above
which the patient is to be considered as hypercalcemic?
a- 10.5✔
b- 8.5
c- 15.5
d- 9.5

99.In the above case, what would be the rate of infusion of calcium in case of hypocalcaemia?
a- 400-500ml/hr.
b- 500-100ml/hr.
c- 200-300ml/hr.✔
d- 1000-1500ml/hr.

100.What are the major causes of hypercalcemia?

a- Malignancy, calcium dietary.
b- Malignancy, hyperparathyroidism.✔
c- Calcium dietary, hyperthyroidism.
d- Malignancy, hyperthyroidism.
101.Patient has been consulted for diabetes mellitus, he has fasting blood glucose of about (120-
180) mg/dl.
What should the prescriber advise him?
a- Shift NPH to bed time.✔
b- Shift NPH to morning time.
c- Take insulin 3 times per day.
d- Take NPH after meals.

102.For the above patient if he would be shifted to long acting insulin he should use
a- Lispro.
b- Glargine.✔
c- Regular insulin.
d- Humulin R.

103.Calcium channel blocker given IV in arrhythmia:

a- Nefadipine.
b- Amlodipine.
c- Verapamil.✔
d- Necardipine.

104.ACE-Is are contraindicated in all of the following except:

a- Renuvasculosclerosis.
b- Previous angioedema due to ACE-Is.
c- Atrioventricular fibrillation.✔
d- Pregnancy.

105.Antacids major side effects are:

a- Constipation, diarrhea.✔
b- Nausea and vomiting.
c- Peptic ulcer.
d- Softening of stool.

106.Signs of irritable bowel syndrome include:

1- Bloating of stomach.✔
2- Bloating diarrhea and constipation✔
3- Mucous coming out with stool.✔

107.Drugs used in chemotherapy induced nausea and vomiting:

1-dexamethasone✔
2-apripetant✔
3-ondansetron✔
108.Infliximab used in rheumatoid arthritis with:
a- methotrexate✔
b- aspirin

109.Monoclonal antibody used in rheumatoid arthritis

a- Omalizumab.
b- Adalimumab.✔
c- Basiliximab.
d- Rituximab.✔

110.Fat soluble vitamins include

a- phytomenadion✔
b- tocopherol✔
c- retinol✔

111.Drug used for trigeminal neuralgia

a- carbamazepine✔
b- Na valproate

112.Antibiotic for pregnant woman on labor for streptococcal infection

a- tetracycline
b- penicillin G✔
c- cephalosporin
d- erythromycin

113.Dinoprostone pessaries for pregnant woman at delivery which iglf the following we should
consider before using it:
a- meningitis
b- pneumonia✔
c- herpes simplex
d- herpes zoster

114.Drug that soften the cervix

a- dinoprostone✔
b- terbutaline
c- oxytocin

115.Meclizine dose for motion sickness

12-24hrs✔

116.A prescription came to you with atenolol. But you give the patient allopurinol instead of atenolol.
What would you do first?
a- call the patient
b- call the physician✔
c- Call the Haad.
117.All are risk factors for osteoporosis except
a- cigarette smoking
b- high body mass✔
c- glucosteroid treatment
d- late menopause✔

118.Moon face and buff hump are symptoms of

Cushing's syndrome✔

119.Methotrexate is used in
a- psoriasis✔
b- breast cancer ✔ 
c- osteoporosis

120.Treatment of alopecia include

a- finasteride✔
b- minoxidil✔
c- chlorhexidine

121.Drugs cause dry mouth

a- simvastatin✔
b- hyoscine✔
c- butyl bromide✔

122.1ry treatment of the first stage hyper tension include

a- beta blockers
b- diuretics✔
c- calcium channel blockers
d- ACE-Is

123.Traveller with motion sick ness should

Drive or sit at the first seat✔

124.Patient with renal insufficiency has gout at joints of one toe. Primary treatment would include
a- colchicine
b- NSAIDs
c- cortisone injection at the joint of the toe✔

125.Tariq came to your pharmacy complain that he does not digest.to make sure that he has gastro
esophageal reflux disease he should have
Superstential burning sensation✔

126.The main use of nitrofurantoin is

UTI✔
127.Which one of the following is a vaccine
a- Tamiflu
b- engerix-b✔
c- tripedia✔

128.drug used in hyperthyroidism to relief high heart rate and hyper activity
Propranolol✔

129.If a female with vaginal infection came to you. You would refer her to physician if she
a- Older than 60 years old.✔
b- Has repeated infection.✔
c- Went to physician previously for the same reason.✔

130.Controlled drug prescription came to you at 1/june.it would be expired at

4/June✔

131.An anxiolytic with the least sedative effect

a- diazepam
b- lorazepam
c- Diaz epoxide
d- buspirone✔

132.Which of the following is considered as first generation antipsychotic?

a- quatiapine
b- resperidone
c- haloperidol✔

133.useful in eradication of tinea organisms:

1.butoconazol
2.griseofilvine✔
3.terbinafine✔

134.Pregnant women with urinary tract infection. What would be the drug of choice?
a- sulfa drugs
b- trimethoprim
c- tetracycline
d- cephalexin✔

135.Which of the following drugs need dose modification in renal insufficiency?

a- isoniazid
b- rifampicin
c- pyrazinamide✔

136.Thiazolidinedione's used in
Diabetes mellitus✔
137.Which of the following drugs may cause photosensitivity?
a- sulfonyl urea✔
b- thiazide diuretics✔
c- flouroqinolones✔

138.Which of the following anti-epileptic cause acne and hirsutism?

Phenytoin✔

139Which of the following NSAIDs may increase the rate of excretion of lithium?
Ibuprofen✔

140.Which of the following is considered as h1 receptor antagonist?

a- disloratidine✔
b- fexofenadine✔
c- cetirizine✔

141.topical nasal corticosteroid for allergic rhinitis:

1.triamcinilone
2.cetirizine
3.budesonide✔
4.zafilukast
5.prednisone

142.Which of the following is an antidiarrheal otc drug

a- metronidazole
b- loperamide✔

143.It is non androgenic drug used in breast cancer

Tamoxifen✔

144.Drug that inhibit remission of ulcerative colitis

Sulfasalazine✔

145.metoclopramide is used for 

IBS
GERD(gastro oesophageal reflux disease)✔
Nausea and vomiting✔

146.Drugs for treatment of malaria

a- chloroquine✔
b- primaquine✔
c- mefloquine
d- proguanil

 147.The person with ultimate responsibility of wrong dispensing of drug is

Licensed pharmacist✔

148.Study of the effect of diabetes mellitus on pancreatitis using historical insurance claim is called
Control studies✔

149.Chloroquine toxicity is treated with

Diazepam✔

150.Omega 3 tablets dose in a patient with myocardial infarction would be:

1gm✔

151.To get primary drug information

a- primary literature ✔
b- Scientific journals✔

152.Patient with diabetes mellitus. You advise him to make life style changes. He told you that this
would be difficult because of his work
You should tell him that life style change is difficult but it is effect is long lasting✔

153.Digoxin mechanism of action include

a- affect vagal rate of transmission✔
b- cause some atrioventricular block✔
c- Inhibit Na channels✔

154.Cleaning of laminar flow hood is done with

a- Alcohol.✔
c- Betadine.
c- Chlorhexidine.

155.Patient with diarrhea should go to doctor if he is

a- diabetic patient with diarrhea longer than 36 hours✔
b-children younger than4 years old for 36 hours with temperature of 37✔
c- Patient with diarrhea for 4 days✔

156.Patient came to you to ask about orlistat for weight reduction. You must council him about
Life style changes✔

 157.best choice for treatment systemin pseudomonas infection:

1.ceftizoxime✔
2.cefoxitin
3.cephradine
4.cefprozil
5.cefazolin

158.Which drug is high alert and should be isolated and labeled? 

pseudoephedrine
epinephrine inj✔
diclophenac sodium
salbutamol

159.Which drug should be given for prophylaxis when going to dentist? 

clarithromycin 
ampicillin ✔
azithromycin

160.The main mode of action employed in Alzehiemer drugs: 

Sympathomemtic
Cholinergic✔
Anticholinergic 
COMT inhibitors
Dopaminergic

161.Hypercapnia management: 
doxapram ✔
disopyramide 
dopamine

162.TCA used in the treatment of nocturnal enuresis? 

Imipramine✔

163.Tylenol Elixir (Acetaminophen 160mg + 8mg codiene) example of:

.pharmacist intervention needed
.requires a written order from an authorized prescriber .✔
example of legally exempted codeine product
.regulated under the Benzodiazepines and Other Targeted Substances Act

164.What holds back Vitamin E from being favorable as supplement: 

.causes diarrhea on regular doses✔
.causes bone pain and hair loss in toxic doses
.fat soluble and absorped like water soluble vitamins

165.First line treatment in Myclonic seizures: 

Valproate✔

166.Drug not used for Syphillus: 

Benzathine Penicillin 
Doxycycline 
Cefriaxone 
Azithromycin -✔
167.Angiotensin receptor antagonist: 
-Losartan ✔ -Methyldopa  -Lisinopril

168.Which of the following morphine derivatives is most likely to cause dependence?

(A) diacetylmorphine (heroin)✔
(B) ethylmorphine
(C) methylmorphine
(D) hydrocodone
(E) oxycodon

169.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. 

170.RP has a prescription for famciclovir for shingles (which started 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.✔

171.Patients who would be good candidates for treatment with Avandamet (rosiglitazone/metformin) include those with:
a. insulin resistance.✔
b. renal insufficiency.
c. congestive heart failure.
d. elevated enzyme levels.
e. microvascular complications

i172.Iron may decrease the absorption of which of the following medications?

a. Ramipril
b. Atenolol
c. Moxifloxacin✔
d. Ibuprofen
e. Glyburide

173.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 abcess. 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.
I174.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.

175.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.

176.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 relieved but another headache occurs eight hours later, sumatriptan may be used for the second headache.✔
d. The maximum dosage in any 24 hour period is six tablets. e. If relief is not achieved, no other medication can be used for 24
hours.

177.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 11:30 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.

178.All of the following are reasons that elderly patients are more susceptible to drug-induced
cognitive changes, EXCEPT:
a. elderly patients are more likely to take multiple drugs. b. elderly patients may have hepatic dysfunction. c. elderly patients may
have renal dysfunction. d. elderly patients are more sensitive to CNS effects of drugs.
e. elderly patients have increased metabolic rates for producing psychoactive metabolites.✔

179.When evaluating patients with angina for possible development of nitrate tolerance, true statements include:
I tolerance is rarely associated with isosorbide dinitrate.
II tolerance does not occur in patients who are concurrently on metoprolol.
III tolerance is dependent upon the administration schedule of nitrate medication.✔

180.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.
181.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.✔

182.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

183.A vertical laminar flow hood would be the best choice when preparing a parenteral formulation of:
a. aminophylline.
b. doxorubicin.✔
c. magnesium sulfate. 

d. nitroglycerin. 

e. penicillin.

184.Zanamevir used for

1. treatment of influenza✔
2. prophylaxis against influenza✔
3. treatment of respiratory syncytial virus

185.Respiratory damage is the most likely to occur with the use of which of the following
1. Vincristine
2. Cytarabine
3. Doxorubicin
4. Bleomycin✔
5. Flutamide

186.Patients receiving amiodarone (Cordarone) should be monitored for the development of

1. pulmonary toxicity✔
2. pseudomembranous enterocolitis
3. tinnitus 
4. ptosis 
5. stasis dermatitis

187.which of the foll. Antiseptic and germicide

Povidone✔
, chlorhexidine✔
, cetyl pyridium✔

188.Theophylline is metabolised by cytochrome isoenzyme cyp 1A2 smoking increase this ezyme
level .patient who is asmatic and can not smoke what is the effect on theophylline clearance
no effect✔ -increase  -decrease -slightly increase

189.which of the following bactereostatic

tetracycline✔

Aminoglycoside,

macrolides✔

190.How can you get medication information resource, 

1. literature
2. chemical abstract ,international 
3. pharmaceutical abstract
4. Medline✔.

191.sumatriptan is 
-serotonin agonist ✔,

-available orally and in nasal form✔

-prevent the migrain

192.Secondary prevention to prevent re infarction (ASA✔,ramipril,verapamil,B.blocker)

193.drug used in treatment of bacterial vaginosis in pregnant woman

A.doxycycline

B.metronidazole✔

194.Case control study ✔

means comparing variable between 2 groups one takes drug and one placebo 

195.High risk of nosocomial infection

-surgery

-mechanical ventilator✔

-hospitalized more than 10 days

-Health care staff infection

196.Treatment of sickle cell anaemia 

hydroxyl urea✔
197.pt using spacer and b-agonist what is the recommended action
1. Take quick breath after pressing the canister (x)
2. Hold breath for 10 second after complete inhalation✔
3. Leave on finger(thumb) space between mouth and spacer (x)
4. Ask him to rinse mouth with water✔

198.Drugs that have the tendency to impart an orange color to urine, sweat, and tears include
1. carbamazepine
2. isoniazid
3. verapamil
4. phenolphthalein
5. Rifampin✔

199.Patients taking the antitubercular drug rifampin (Rifadin) should be told that the drug
(A) may cause diarrhea
(B) may cause them to sunburn more easily
(C) may impart an orange color to their urine and sweat✔
(D) may produce nausea and vomiting if used with alcohol
(E) should be swallowed whole (i.e., not chewed) to prevent staining of the teeth

200.Patient with allergy conjunctivitis using lens 

1. Neither gas permeable lenses nor soft lens should wear during apply eye drop✔
2. Remove gas lenses 30minut before apply eye drop
3. Soft lenses only removed during applying eye