Haad new pattern questions

Form1: A patient came to pharmacy for insulin, while talking with her she revealed that she used to store
Insulin in freezer, how would you counsel the patient regarding the storage of insulin in freezercauses
crystallization and total loss of activity
a) Insulin can be stored in freezer
b) The freezer temperature will effect stability of insulin by decreasing the hydrogen bond that lead to lose
of its 3D structure
c) The freezer temperature will effect stability of insulin by increasing the hydrogen bond that lead to lose
of its 3D structure
d) The freezer temperature will lead to the precipitation of insulin.

Form2:A patient came to pharmacy for insulin, while talking with her she revealed that she used to store
Insulin in freezer, how would you counsel the patient regarding the storage of insulin in freezer causes
crystallization and total loss of activity
a. insulin can be stored in freezer
b. The freezer temperature will affect the 3D structure and it will become inactive
c. Precipitation form and it will reverse by heating insulin

What happens wen insulin gets accidentally freezed

a) Precipitation hapens
b) Efficacy of insulin decreases
-Least preferred rout for peptide/protien administration
a) IV
b) Oral
c) IM
d) Sc
Form1: In which condition nasal spray of Steroid is not contraindicated
a) Rhinitis
b) Nasal infection
c) Post nasal surgery until wound healed
d) Deviated septum
Form2: taking topical corticosteroid nasal spray. What condition is contraindicated
a) Deviated septum
b) Pulmonary TB
c) Active infection
d) Post-surgery until wound healed
- When refill of prescription can be done in the following condition
a) A patient came earlier because she is going for 21 days travel
b) A chronic medicines prescription of 5th refill for 3 month

…..Good luck….Aya Elshehabi

 c) Chronic disease patient with complete management

When refill of prescription can be done in the following condition

a) A patient came earlier because she is going for 21 days travel.
b) A chronic medicines prescription of 5th refill for 3 month
c) A chrons disease patient with complete management
- Pharmacist preparing IV preparation by mixing Cyclizine, Dexamethasone and NS 0.9% by using
aseptic technique, after few minute the mixture become cloudy. The PH of each preparations are 3, 5.5
and 7 respectively, what would be the cause of precipitation
a) Use of Aseptic technique
b) The mixture put in low temperature
c) cyclizine
d) Use of Normal saline
- In which container radioactive substance should be stored
a) Lead
b) Caupper
c) Iron
d) Aluminium
-A manufacturing company produced a new drug which is administered four times daily for maintaining
therapeutic concentration. Which formulation can be used to maintain 24 hr therapeutic concentration
and remove immediately
a) Transdermal patches
b) Intra muscular depot injection
c) Microglobular depot injection

-A lady bike has diabetic, she used to travel by carrying insulin in her bike by using ice pack, once she
complained about precipitation of Insulin what would be the cause
a) Ice pack were in direct contact with medicine
b) The temperature was not maintained properly
-A schizophrenic patient is on Lithium carbonate 300mg TID, his plasma level concentration of lithium
found to be 0.7mcg/ml If Loop diuretic is administered what will be the expected level of plasma
concentration lithium. Som loopduratice: (minor variablr effect)forced secretion for electrolyte makes
reabsorpition of lithium but the effect is not appearing in blood
a) 0.5
b) 0.9
c) 1.2/2.5
d) 0.7
- A schizophrenic patient is on Lithium carbonate 300mg TID, his plasma level concentration of lithium
found to be 0.7mcg/ml If Thiazide is administered what will be the expected level of plasma concentration
lithium.
a) 0.5
b) 0.9
…..Good luck….Aya Elshehabi
 c) 1.2 /2.5
d) 0.7
- A schizophrenic patient is on Lithium carbonate 300mg TID, his plasma level concentration of lithium
found to be 0.7mcg/ml .In the next day plasma concentration. Comes down in to 0.4mcg/ml, what will do
in the dose adjustment up to 1200 with constant frequencey tid- increase 100mg only on each dose
a) Lithium carbonate 400mg TID
b) Lithium carbonate 300mg QID
c) Lithium carbonate 400mg QID
d) No adjustment in frequency and dose

In the noon shift, the incharge noted the discrepancy in the narcotic stock, next day morning she
informed to the pharmacist and he reported the incident then he asked the incident about responsible
person. He said that the Narcotic medicine containing box is transferred to another health care facility.
In this incidence which step deviate from the standard management of Narcotics
a) The time of reporting incident.
b) Transfer of Narcotic to another care facility.
c) All comply the standards of narcotic management.
Narcotic 1 full stock was missing, was reported to pharmacist in charge then during enquiry was found
that the stock was transferred to another private hospital and the case was noted in the register the next
day. What is wrong in this scenario
a) Transfer of narcotics to private hospital
b) The case was noted next day
a medicine returned to pharmacy with intact label but Mfg date, Exp Date and cost are available from
pharmacy register. What can do with this medicine.
a) Refuse to take the medicine.
b) Return to indent department
Form1: A 21 year lady was on Carbamazepine and Phenytoin, but recurrent episode was happened so
she changed the medicine to Valproate, then she doesn’t have any seizures for the last five years, her
husband come to pharmacy for medicine and he said she try to conceive. What advice will give you
regarding medication
a) Change the medicine to another antiepileptic.
b) Stop valproate before 3 month of conceiving
c) Continue valproate because it doesn’t cause any teratogenic effect
d) Consult a neurologist before conceiving and take opinion about continuation of Valproate
Form2: A 21 year lady was on Carbamazepine , but no use .Took sodium Valproate for 5 years without
any seizure attack for 5 years She has come to pharmacy with haspand to take valproate tabs and have
plans to start a family
a. Stop sodium valproate and wait for 14 days washout period then plan
b. Can continue as no danger on pregnancy
c. Continue and then discontinue when become pregnant
…..Good luck….Aya Elshehabi
 d. Continue and when pregnant consult with neurologist and obstetrician about future plans

female to carbamazepine but no use, so switched to sodium valproate for 5 years without any
seizure attack for 5 years. She has come to the pharmacy with husband to take valproate
tablet and have plans to start a family
a. Withdraw valproate slowly prior to conception, by discussing with neurologist
b. Can continue as no danger in pregnancy
c. Continue and then discontinue when becomes pregnant
d. Continue and when pregnant discuss with neurologist or obstetrician about future plan
Form1:- A Diabetic patient came with complaints of swollen foot wound with redness and hot. He is a
farmer working in the field, he is allergic to penicillin antibiotic, and his renal clearance is 70ml/hr. He
want to continue working what will be the best advice to him

a) Refer him to the Emergency department

b) Advise him to do dressing for two days if not healing consult doctor
c) Give him antibiotic and analgesics
Form2:A Diabetic patient came with complaints of swollen foot wound with redness and hot. He is a
farmer working in the field, he is allergic to penicillin antibiotiche does not feel any pain what will be
the best advice to him
a. Send him to ER immediately
b. Send him to ER within 1 day
c. Give him antibiotic for 7 days if not healed transfer him to physician

Form1: A Diabetic patient came with complaints of swollen foot wound with redness and hot. He is a
farmer working in the field, he is allergic to penicillin antibiotic, and his renal clearance is 70ml/hr.
Which antibiotic is suitable for him g+antibiotic if no penicillin allergy:augmentin or b if allergy c
empericalDiabetic foot--culture then definitive therapy emperica

a) Coamoxclav
b) Cephalosporin
c) Clindamycin

Form2: A Diabetic patient came with complaints of swollen foot wound with redness and hot. He is a
farmer working in the field, he is allergic to tetracyclin,erythromycin sensitivity amoxclav and other
antibiotic from ampicillin group allergy, what to do cant give b-lactams,check doses for exam
a. Give tetracyclin 200mg oral for 7 days
b. Give erythromycin iv for 7 days
c. Give amoxclav
d. Give ampicillin groupantibiotics

-A Diabetic patient came with complaints of swollen foot wound with redness and hot. He is a farmer
working in the field, he is allergic to penicillin antibiotic, and his renal clearance is
70ml/hr. The culture report came after 3 days as given below

Cotrimoxazole Sensitive
Clindamycin Resistant
Doxycycline Sensitive
Metronidazole Resistant

…..Good luck….Aya Elshehabi

From1:Which of the following action is preferable
a) Complete the current course antibiotic for 7 days then start Doxycycline
b) Start sensitive antibiotic along with Current antibiotic and complete the course of 7 days
c) Discontinue the antibiotic and start one sensitive antibiotic
d) Administer Doxycycline 400mg as loading dose, then Doxycycline 200mg on daily basis for 5days
From2:Which of the following action is preferable
a. Complete the current course antibiotic for 7 days then start Doxycycline
b. Start sensitive antibiotic along with Current antibiotic and complete the course of 7 days
c. Discontinue the antibiotic and start one sensitive antibiotic
d. Administer Doxycycline 200mg , then Doxycycline 100 mg on daily basis for 5days
There’s a 3rd qstn also the same with the other that has table of sensitive/resistant antibiotics. I chose
discontinue empiric antibiotic and start ORAL doxycyline
From1:A 21 year old boy came with complaints of shortness of breath he is on Salbutamol inhaler
since last 10 years, X-ray doesn’t shows any consolidation (asthma case), now which drug can be
added for managing this condition
a) Ipratropium
b) Predenisolone
c) Beclomethasone
d) Ig antibody

A 21 year old boy came with complaints of shortness of breath he is on Salbutamol inhaler since last 10
years. Patient become stable on the medication, but his sleep breaking 3-4 times on the night what advice
will doctor give to the pharmacist

a) Change to long acting bronchodilator

b) Add ipratropium
c) Add predenisolone
d) Add Montelukast
From2:10. year old boy came with complaints of shortness of breath he is on Salbutamol inhaler since
last 10 years, X-ray doesn’t shows any consolidation, now which drug can be added for managing this
condition
a. Ipratropium
b. Predenisolone
c. Beclomethasone
d. Ig antibody
10.year old boy came with complaints of shortness of breath he is on Salbutamol inhaler since last 10
years. Patient become stable on the medication, but his sleep breaking 4-3 times on the night what advice
will doctor give to the pharmacist
a) Change to long acting bronchodilator
b) Add ipratropium
c) Add predenisolone
d) Add Montelukast
…..Good luck….Aya Elshehabi
patient is on long acting corticosteroids and bronchodialators(mostly short acting) he still have symptoms
at night what to start
a. Prednisolone
b. Leukotriene antagonist
c. Theophylline
d. Long acting bronchodialator
Phototoxic drug
a) Amiodarone
b) Quinine
c) Ibuprofen
d) All of the above
- The medicine which can’t be manipulated by bare hands as that cause skin irritation
a. Cetrizine
b. Paracetamol
c. Ibuprofen
d. Chlorpromazine
Precaution for Handling of methotrexate tablets
a) Wear labcoat
b) Use N-95
c) Use hand glove
d) Wear Apron
Patient went to see physician. Doctor prescribed him aspirin, clopidogrel, warfarin, simvastatin .But
patient not willing to take warfarin and aspirin, what the pharmacist will do

a) Let the patient to decide what to take

b) Dispense all medicines
a) Do not dispense anything
nsulin is given to one patient .After few days the company is telling that it’s having quality issue. What
will the pharmacist do

a) Pharmacist should tell to prescriber

b) Quarantine the product
c) Inform the patient to return back

A care taker came to pharmacy with rx he took all the medications to home . the pt developed sudden
headach after taking medicines if this is due to the drug or any other food interaction who is responsible
then:
a) Care taker
b) Pharmacist and pharmacy
c) Physician
d) Nurse

Pt come to pharmacy to collect insulin he ask for a chair he have dizziness and lightheadedness he had
lunch and he doesn’t make test the pharmacist guess

…..Good luck….Aya Elshehabi

a) 1/ plasm glucose level 5mm/l in the morning and 3mm/l after lunch
b) 2/plasma glucose level 4 mmol/ l in the morning and 5 after lunch
other option I can’t remember
Patient is undergoing Fluconazole treatment for candidiasis. INR is monitored while taking warfarin-
INR:13, naw he is suffering from nose bleeding .What he can do now normal inr 1.1 or less if wairf 2-3
b) Stop warfarin
c) Stop and recontime (or decrease warfarin dose)
d) Take vitamin K
Stop warfarin and give vit. K till patients inr is less than 5
A patient on warfarin presents with nose bleeding since yesterday. His INR=10, what should be the
pharmacist advice?
a) Administer charcoal
b) Perform dialysis
c) Holds warfarin and administer vitamin K
d) Continue the same dose and monitored INR closely
Case: patient on warfarin and inr:13 went to the hospital: and bleeding, what was on fluconazole And
othe rlist of medicines…… reason of b leeding (maybe coz of fluconazole)
A company make a product for colon cancer, its easily absorbed from the intestine , which statement is
not concern with the drug

a) Drug absorbed from intestine at pH from 6-7

b) It having gastric resistance enteric coating
c) Its with P-glycoprotien

Prescription contains simvastatin, and insulin lispro , which one should be dispensed in brand name
a) Simvastatin
b) Insulin lispro
c) Both
d) Non of those

pt take gentamicin , side effect after administration

a. Increase thrust it’s occr easy
b. Increased thrust must report to doctor
c. Not remember the other options
Patch is to be sterilised and it is stable at 90°. Wat is the sterilization procedure
a) Dry heat 150-170
b) Autoclave 121
c) Ethylene gas 37-63
d) Sevoflurane

…..Good luck….Aya Elshehabi

Form 1:A marketing company release new product and told the pharmacist to dispense to patient and
collect the information’s for market survey

a) Pharmacist refuses because its not health promotion goal

b) Pharmacist refuses because of unclaimed information
c) Pharmacist accept the offer
Form2:Marketing company reached you to take information about the patient for marketing reasons:
a) Give him.
b) Don’t give.
c) If there was contract, it is okay

Prescriber now prescribed deferoxamine,refampicine Earlier the drug in the prescription was ascorbic
acid and dapson.What is the patient disease condition

a) Hematochroma and TB
b) Leprosy and scurvay
c) TB and Leprosy
d) Hematochroma and Leprosy
Patches stable at 90 degree siliceous . How to sterilize it
a. Dry heat
b. alcohol
c. Autoclave
d. chemicals
The prefilled medications that is given to the ward was found to be leaking what is the response of a
pharmacist
a) Inform to HAAD
b) Inform to pharmacy maneger
c) Seal the whole patch
Patient come to pharmacy and wants to return the unused medicines which including narcotic, semi
controlled and licensed medications.Batch number, expiry date and everything is written on the backage.
How will you respond to the patient
a) Can not take any of the medication
b) All medications can taken back as patch no, expiry , all details written in the package
c) Can take lisenced medication but cannot take others
d) Can take lisenced and semi contrlooed but can not take narcotic back
What should be least relevant in a prescription
a) Name of pharmacy
b) Name of physician
c) Name of pharmacist
d) Name of pharmacy technicians

…..Good luck….Aya Elshehabi

According to Healthcare authority -AbuDhabi ,in which of the following case should the prescribers use
the generic name only in prescription
a) Ampicillin
b) Insulin preparation
c) OTC
d) Digoxin
In parkinson’s disease which anti emetic can be used
a) Metoclopramide
b) Domperidone
c) Prochlorperazine
d) Promethazine
Other drugs: ondansetron (5-HT3 antagonist) and Hyoscine

Look-alike sound-alike medications what measures can be taken to minimize errors

a. Store LASA medications nearby
b. Do not purchase similar packing items
c. Ask the physician not to prescribe the medicine
A patient having pain in metacarpal joint and his renal clearance is around 25ml/hr ,diagnosed with
acute gout . best drug for treatment is if75ml/hr-ibuprofen, aspirin also avoid b/c of hyperuracemia
a. Colchicine
b. Allopurinol
c. Prednisolone
d. Ibuprofen
Same question in exam and mentiond that pt symptoms since 24 hoursand he had HTN+taking aspirin
a) Colchicine
b) Allopurinol
c) Prednisolone
d) Ibuprofen
patient having pain in metacarpal joint and his renal clearance is around 75ml/hr ,diagnosed with acute
gout . best drug for treatment is
a) Colchicine
b) Allopurinol
c) Prednisolone
d) Ibuprofen
- patient is for opoid withdrawal treatment but with QT prolongation , which will be the best drug for
him

…..Good luck….Aya Elshehabi

a) Buprenorphine no dependance , naloxone:toxicity
b) Methadone full agonist
c) Levoxphenol
d) Morphine
patient was prescribed Adalimumab and she is already taking prednisolone ,Azathioprine ,
Metronidazole ,what is the disease
a. psoriasis
b. Crohns disease
c. infection
Rare type of adverse drug reaction
a) Hyperthyroidism from Amiodarone
b) Aplastic anemia from Sertraline
c) Neutropenia from platinum compound
d) hypoglycemia from SU
Amiodarone side effect -common
A) Hypothyroidism
Side effect of Ibuprofen ?
a. Edema
b. Liver damage
c. Heart burn most common and not dose dependent
Also nephrotoxicity
Pt. came to pharmacy complaining about dizziness, resting tremors and difficulty in stepping the leg. She
also has QT prolongation. These symptoms appears one week ago when the patient toke the restless leg
syndrome medication.The pharmacy inspected the bottle of medicine the patient brought and saw that
the label indicated Quinine sulfate but the appearance of the tablets didn’t match the medicine. What
had contributed to this adverse effect
a. Quinapril (40mg)
b. Quetiapine (200mg)
c. Quinine (100mg)
d. Quinidine (40mg)
- you are writing an information about Oxycodone in Register Book and made a mistake . what you will
do

…..Good luck….Aya Elshehabi

a. Use a correction pen/ink to erase the error
b. Cross out/make a line on the error and write the correct info beside it
c. Write error on the remarks and write on the next line
d. Throw away the register and write it in a new one
The best method for sterilization of patches which is highly reactive and unstable at temprture above 90c
a) Autoclave
b) Dry heat
c) Sevofluran
d) Ethylene oxide
e) Uv radiation
Patch is to be sterilized and it is stable at 90°. What is the sterilization procedure
a) Dry heat
b) Autoclave
c) Ethylene gas
d) Sevoflurane
Sterilization of highly reactive material which is moisture sensitive which method used for sterilization
a. Depyrogenation
b. Filtration
c. Chemical substance
Some new formulation neede to be sterilized that is sensitive to heat and is soluble(or gets affected by
moisture, dont remember the term correctly) , wat method is best
a) Dry heat
b) Autoclave
c) Depyrogenation
d) Filtration
a prescription with Amoxicillin 5ml OD , the best way to write the direction ?
a. 5 ml 1teassponful 1 time daily
b. 5ml of one full teaspoonful one time daily
c. Five ml of 1 teaspoonful one time daily
d. 1 teaspoonful one time daily

…..Good luck….Aya Elshehabi

 A patient came with prescription of salbutamol , Prednisolone,beclomethasone , amoxiclacv . What is
the diagnosis?
a) chest infection
b) Pleural effusion
c) Asthma exacerbation
d) COPD exacerbation
a patient taking amlodipine 5 mg , but his BP was found to be 164/110 mgHg . what well his next
additional drug ?
a. Ramipril
b. Spironolactone
c. Candesartan
what is the second step of Root cause analysis
a. Identify root cause
b. Make action
c. Document and research (collect data/inspection)
d. Provide recommendation
A missup happened at the pharmacy yesterday in the absence of the pharmacist.today he has to rule out
the whole proplem .what sort of analysis he will make
a) Root cause analysis
b) General analysis
c) Deep…..analysis
root cuase incidence types
Type of incidents in the pharmacy: you dispensed
Form1:the patient is administrated with iv mannitol , nurse noticed the prescription of the substances
inside the infusion bag . the proper management is ? search if metjod depend on the concintration
mannitol available in various concentrations filter or warm store20-30 if percipitation (b/c of high conc
at conc of 20) not shade -not use
a. Do not use precipitated manitol bottle
b. Shake the precipitate manitol bottle before use
c. Dilute the precipitated manitol bottle before use
d. Use filter at the starting of iv fluid line
Form2:for management of intracranial damage patient administered with IV Mannitol, the ward nurse
noted the precipitation of the substances inside the infusion bag. The proper management is /Mannitol
…..Good luck….Aya Elshehabi
20% is known to crystallize at higher temperatures. What should be the appropriate precaution before
administering
a. Use filter at the starting of IV fluid line
b. Don’t use Precipitated Manitoulin bottle
c. Shake the precipitated Mannitol bottle before use
d. Dilute the precipitated Mannitol with sterile water
A family had to visit a malaria prone area. They include parents and two children. Hydroxy chloroquine
& proguanil had to taken by whom .??
a) all of them
b) only parents
c) only the elder child above___ year
pharmacy has monitor dosage system , which drug is appropriate to include in this system ?
a) Dispersible aspirin
b) Methotrexate
c) Ibuprofen
d) candesartan
which is the false/ not true statement regarding hydrocodone
a. Licensed physician can prescribe up to 3 days max only
b. Prescription validity is only 3 days stating from the day it was prescribed
c. Narcotic prescription should be kept in pharmacy for 5 years
d. No refill for hydrocodone
patient is taking Prednisolone, Amoxicillin and Theophylline. What is the diagnosis?
a) Chest infection w/o asthma and copd
b) Pleural effusion
c) Asthma exacerbation
d) COPD exacerbation
From1:Best way of precripng Digoxin 0.25 mg to avoid error ?
a. Digoxin 0.25 mg
b. Digoxin 250mcg
c. Digoxin 250000ng
d. Both a and b

…..Good luck….Aya Elshehabi

From2:What is the best way to write the dose for Digoxin 0.25mg
a) 250 ug
b) 250 μg
c) 250 mcg
d) 250,000 ng
Boy with his mother in ER, having diazepam empty bottle,
a. Activated charcoal…….
b. Flumazenil…….
Antidote for Diazepam….flumazenil
Case about a young man took diazepam 10 or 15 tablets, became
unconscious, what to give
a) Evacuate the bowel
b) Give flumazenil
c) Give charcoal
A 25-year-old man presents to the emergency room after ingesting 30 tablets of Alprazolam what should
be the appropriate antidote
a. Naloxone
b. Ethanol
c. Flumazenil
d. Physostigmine
Pethidine SE;
a. euphoria
b. mydriasis and sweating
c. Miosis
pharmacist observed stolen pethidine from pharmacy, and is known to be abused by medical
staff…….monitor staff for pethidine withdrawal symptoms: lacrimation, runny nose,muscle aches, yawing,
mydriasis
What is the withdrawal symptom of pethidine:
a. Lacrimation
b. Runny nose
c. Muscle aches, yawning

…..Good luck….Aya Elshehabi

d. Mydriasis
Side effects of Beta 1 adrenergic blocker:
a. sweating
b. palpitations
c. Extrapyramidal effect
Patient has high level of free drug level of phenytoin because of what?
a. hypoalbuminemia
b. hyperproteinemia
Statement about drug storing with single lock,
a) Semi-controlled
b) Narcotics
c) Normal
d) Psychiatric
Case with phenytoin infusion with dose …….. dr. wants to change to oral route of phenytoin 200mg t 2/1
22hr.
a) Increase the 200 ….. one or two days alternatively in 2 options
b) Increase the dose 2 days alternatively
c) Maintain same dose ……. 3/2 days like in two options
patient took iv infusion phenytoin dr changed to tablet 200 mg once daily. The blood level of phenytoin is
6 the ideal between 20-10 . What should the dr do to achieve the optimum level Tablet half-life is 22 hours
-review pheytoin max dose and if renal impairment
a. Give loading dose 400 mg with his same dose this will be in cordarone
b. continue same regimen
c. change to 200 mg bid (bioavilability diffrence 10 percent)
Female doesn’t take the medicine in child becoming age;
a. Tamsulosin
b. Finasteride
female patient assume have food allergie came to pharmacy and forgot her epinephrine injection, she
have diffculty breathing and collapse what to do
a) Call ER and do cardiopulmonary resuscitation
b) Give her diphyndramine
c) give her salbutamol for her breathing
…..Good luck….Aya Elshehabi
d) raise her leg for 1 minute and waite and don’t do anything
Pt with arrhythmia, rate control drug is;
a) CCB
b) BB
c) digoxin
The pharmacist works in aseptic area, she compounds the phenobarbitone with infusion, yet
precipitation happens. What is the cause,
a. Phenobarbitone mixed with cyclizine
b. Phenobarbitone mixed with 50% dextrose
c. Phenobarbitone mixed with sterile water
Where to prepare phenoparbital
a) D5W
b) Water for injection
Pt with UTI, prescribed nitrofurantoin, but high GFR noted;
a) No need of antibiotic
b) GFR too high. It exactly
c) GFR too low. It deposits in liver
d) GFR too high. It metabolized
A new marketing company produce a new product, it give to patients with same desired effect and the
company wants the pharmacist to give pt information for survey.
a. Pharmacist refuse bcs it is not healthy promotional goal
b. Pharmacist refuse bcs of unclaimed like information lack
c. Pharmacist accept ……..
A prescription contains simvastatin and insulin lispro, which should be dispense by brand name;
otc,nutrition supp, herpal,vacc,insulin and appendix b (know the brands) if allergic to drug doc write the
specific brand and dns
a) Neither
b) Both
c) Insulin Lispro
d) Simvastatin
Case of one disease, patient history carbidopa, levodopa …… which should used to reduce vomiting in
that pt.

…..Good luck….Aya Elshehabi

a. Domperidone
b. Metoclopramide
c. Promethazine
Patient taking (….dopa) and taking vitamins also which one pharmacist should concern about
a) Vit B6
b) VitB12
c) Glucoseamine
73 years old man with UTI and have allergy from penicillin, which should give;
a) Amoxicillin
b) Trimethoprim
c) Nitrofurantoin
d) Cephalexin
Pt with inhaled beta agonist and inhaled corticosteroid, he have oral thrush, which is due to
a. Bcz of inhaled corticosteroid
b. Bcz of inhaled beta agonist
c. Not due to these two medications
d. It occurs commonly bcz of use of two
Form1:Oral thrush while using inhalation therapy best advice;
a) Wash with water after use
b) Due to poor inhalation technique
c) Use spacer
Form2: Oral thrush happened to a patient while using inhalation therapy, so the best advice is to:
a. Wash with water after using
b. Use spacer technique
c. Due to poor inhalation technique
d. It is because of corticosteroid, use spacer for it.
A preparation is entering with gram positive bacteria, it should endotoxic, thus;
a. Heat At 80c
b. UV Light
c. Radiation

…..Good luck….Aya Elshehabi

Corticosteroid inhalation, asthma. Goal is to prevent control asthma.
a) Options with different puff of inhalation with different duration before exercise
A boy wants same prescription like 7 days daily routine, the mother of the patient came asking if he took
the medicine for today
a) Pharmacist asks the mother why you are not concern with your boy.
b) Pharmacist tell about truth…..
A medicine is cytotoxic, while discarding it should not consider which,
a. It contaminates the workmen
b. It absorbed through skin
c. By ingestion
d. Inhalation
Phenytoin crystalizes. Because of what
a) cyclizine
b) Nacl
Produce percipitate with phenytoin:
a. Dextrose
b. Fosphenytoin (water soluble prodrug of phenytoin inj only available injected with ns and gloucose)
c. Nacl (should dilyte in ns 50-100 ml) final conc not to exeed 10mg/ml. Donot refrigerate .commence
immediately after preparation and complete within 1 hour, inline filter 0.22-0.50 micron)
d. none

Form1:Chemotherapy patient ,being treated by capecitabine. 30% decrease in the neutrophils is noticed,
what should be done
a) administer g-csf and cese chemotherapy
b) administer g-csf after 72 hrs of chemotherapy
c) asminister g-csf soon after chemo
Form2:Chemotherapy patient being treated by capecitabine 30 %. Decrease in neutrophils has noticed.
What should be done:
a. Administer g-csf and stop chemotherapy
b. Administer g-csf after 24-72 hrs of chemotherapy
c. Administer g-csf before 24-72 hrs of chemotherapy
d. Administer g-csf immediately prior to chemotherapy
…..Good luck….Aya Elshehabi
some medicines are used as porphylaxis with other medicines to reduce its risk. What will be the
prophylaxis with amlodipine.
a. ramipril
b. furesomide
the pharmacy manager was not there during the incident.What is not the medication error analysis:
a) root cause
b) system cause
c) apparent cause
d) common cause
440mg of Gentamicin was given as IV infusion to a pt yesterday. The nurse checked the drug levels and it
was 2 mg/ml today. The normal level for gentamicin is <1mg/ml. What will you do?
a. Change the dose to 220mg and check levels again
b. Tell the doctor to check the levels after 6 hrs and give same dose
until it reaches less than 1
Form1:c. Call and confirm the time of administration to the nurse
Form2:c. Call and confirm the time of sampleto the nurse
pt travel to area that there is no refregrator , he take insulin 16 u in morning, 18 evening, 14 midnight..
He normally take 5 pen refill , each pen contain 3ml (100u/ml) he will travel for 14 days how many pen he
should take?
a. 1
b. 2
c. 3
d. 4
elderly pt have uti and porphyria and ckd stage 4, what is the best treatment
a) Cefalexin
b) Cotrimoxazole
c) Nitrofurantoin
d) Ciprofloxacin
which can’t dispense by generic name/ which drug should be dispensed in brand name
a. Lyrica
b. Tegretol
c. Tritace
…..Good luck….Aya Elshehabi
d. Lamictal
pt have mi and prescribed many drugs, there is interaction between lisinopril and metoprolol that the pt
feel lightheaded, what to do
a) Stop both drugs
b) Take it at bed time
c) Swap one drug
d) Swap both drugs
Form1: you have received 5 boxes of medicine during night the AC went down and the temp reached 31
“Above the regular room temp” when the pharmacist arrived it was 25 what to do with medicine call
manegar 1st then manufacture
a) Discard
b) Call manufacturer to take the medicine.
c) Dispense.
Form2:You have received 5 boxes of medicine during night. The AC went down, and the temperature is
25 C. when the pharmacist arrived it was 30 C. what to do with the medicine:
a. Discard
b. Call manufacturer to take the medicine.
c. Dispense.
Form3:You have received 5 boxes of drug xlable states to store drug below 30c and shelflife of 3 years the
traviling temperature was b/w 15-16 c and document states that temperature was 25c whenyou received
the boxes . The AC broke down and the temperature of pharmacy rose up to 40 c next day the AC was
fixed and temperature of pharmacy is naw b/w 20-25c. what to do with the medicine:
a. Discard 5 boxes of drug x bec of exposure to high temperature
b.Call the manufacturer to get the details about temperature changes the drug can bear
c. If there is no leakage occure continue dispensing drug x
d. Return the boxes to the manufacture
pt with severe insomnia what is the best intial treatment
a. Diazepam (dose) for 7 days
b. Nitrazepam..
c. Zopiclon (dose) for 28 day
pharmacy needs to update a patient’s record. Which should not be longer
Included
a) Allergy
…..Good luck….Aya Elshehabi
b) Cost of medicine
c) Pt. Instruction of wanting a non-child resistant container
d) Indication
where to prepare cytotoxic medicine
a. horizontal
b. vertical
c. aseptic
Your friend wants to open a pharmacy & asked you about cold chain. What is the least important
a) transport in refrigerator
b) transporter should have a data logger
c) -all the measuring devices are calibrated
d) the surrounding environment monitoring, like humidity
Doctor informed you that patient has no pain after having surgery. He was having morphine then
wanting to change into oral , patient was taking, 10 mg (3 or 4 ) times daily over 24 hours
a. Give 30 mg twice daily and 10 mg if needed
b. Give 90 mg if needed and 30 mg if needed
c. Gice 180 mg if needed and 30 mg if needed
steve johnson that will appear when giving phenytoin iv after
a) 2-1 - hours from the first dose

b) 5-3 - days after 1st dose

c) 14-7 - days after 1st dose

d) 14-7 - days after 2nd dose.

care giver has received a medicines from the physician .What is not the responsibility of care giver
a. To check the timing of delivery
b. To find the interaction with present mediines
c. To check the interaction with otc medicines that patient have bought
case about patient taking many medications, which drug cause gout
a) Atorvastatin
b) Nsaids
c) Furosemide
…..Good luck….Aya Elshehabi
d) Antidiabetic
dr wants to change anticoagulant for discharge pt from iv to noac which of the following patients have
the best criteria to take
pts taking multiple medicines including atorvastatin rosuvastatin clopidogrel aspirin
a) Clopedogrel, aspirin and cholecalciferol
b) Clopedogrel, rosuvastatin and fluoxetin
Nitroglycerin storage:
a. large glass with cotton open
b. small plastic twice
c. same choices with fridge
d. small amber glass opnen twice daily can be stored in fridge
swfi that was contaminated with organism. Which method is suitable for sterilization
a) heat at 80oc
b) radioactive
c) uv
d) filtration
pt. Came to ask about a diet plane outside your scoop of work. What you should do:
a. search learn and inform
b. tell him you don’t know
c. refer him to dietician
questions about enzyme inhibitor and 1 q about inducer
For example
a) Ramipril
b) Ketoconazole
pt. Is cuppose to take clonazepam but given carbemazepine, he is under care but no side effects which
category of error
a. C
b. D
c. E
d. F
Pt. Found tablet on the floor at home, he asked you about it and you know the tablet and know it’s for
elderly not for him what should do in this situation
…..Good luck….Aya Elshehabi
a) inform him about it about its use
b) show him a website about it
c) don’t inform since it’s not for him and tell him to check with physician
d) tell him you don’t know.
when doc write off label use for one medicine what to do
a. inform pt.
b. responsibility of doc he know what medicine to give for which disease
c. responsibility of manufacturer to include off label use in leaflet.
d. manufacture doesn't have to put an off-lable use
Off-label of cetirizine, the dose is 20 mg:
a) Manufacturer must put the off-label use in the leaflet
b) The pharmacist should explain it to the patient
c) Post it in the pharmacy, so the patient could read it

pt. Came to ER with fever and she is tiered i don’t remember if there is symptoms but maybe she has uti,
doc order empirical antibiotic tazobactam and piperacillin: what to do
Give and wait for lab report
don’t give wait for report
don’t give suggest narrow spectrum
elemental iron in ferrous sulfate tablet…..65 mg
about unlicensed medicine: which is the least to concern about:
a) Their prices are higher than brands
b) Their quality
c) Near expiry
d) Their storage
Form1:about unlicensed medicine: which is the least to concern about:
a. Their prices are higher than brands
b. Their quality
c. Near expiry
d. can purchase online
Form2:about unlicensed medicine: which is the least to concern about:
…..Good luck….Aya Elshehabi
a) Their prices are higher than brands
b) Their quality
c) Near expiry
d) can purchase online
e) Storage
cytotoxic medicine which is least dangerous:
a. inhalation
b. accidental ingestion
c. contaminated surface
d. touch with bare hand
about cd prescription which is not correct
a) consultant can write as much as he want
b) Prescring for 14 days
lamictal 100 mg, lamisil 25 mg, other two drugs with similar spelling, how to arrange them
a. By expiry
b. Generic
c. Strength
d. Brand.
the company reached to ask the patients info
a) Don’t give its not for medical pupose
b) Don’t give unless theres any contract
c) 2 more options with give theres contract and etc (wrong)
patient with cancer saw online herbal recipe it will benefit her she discussed with her physician and
Explained the risk of the treatments. And wrote for her a note to give to the pharmacist:
a. You will explian the side effects and tell them that you will not dispense.
b. Discuss the risk of the online recipes
c. You will go with patient decision
The results of one pt. revealed hyperkalaemia and might escalate to arrhythmia. What predisposed her to
this complication
a) Eplerenone and Ramipril and calcium gluconate
b) Furosemide and beta blocker

…..Good luck….Aya Elshehabi

glucose strips , you have purchase 4 boxes, the manufacturer ask for recall
Two questions
1 what kind of recall is this
a) Class 1 (severe)
b) Class 2 (major)
c) Class 3 (minor)
Which one of the following recalls is considered as (Minor)
a) Class I
b) Class II
c) Class III
d) All are critica

what is not to be done

a. Quarantine the batch
b. Keep it on shelf and mark it as do not dispense this batch
drug x in single lock steel cubpoard/cover that a physician can write/prescripe for 30 days
a) Narcotic.
b) Semi control.
c) Control
Single lock cover means that the drug is either controlled or semi-controlled Only semi-controlled drugs
can be given for 30 days by general practitioner while controlled are only for 3 days
Drug placed in tightly locked steel container in the pharmacy
d) Narcotic.
e) Controlled drugs
A physician prescribed a patient psychotic drug for 30 days. Which is correct:
a) Yes, a physician can prescribe it for 30 days.
b) No, a physician cannot prescribe it for 30 days.
c) Yes, he can refill it and prescribe whenever he wants.
patient stop taking digoxin because it is not effective anymore what is the reason of the Ineffectiveness
a) Small amber glass with cotton open 2 times a day
b) Small amber glass open 1 week
…..Good luck….Aya Elshehabi
c) Plastic container that opens 3 times per day
prescription dr wrote dalascin t (dns) what is the meaning
a) not dispense in brand name.
b) do not substitute
c) dr need this exact medicine so not change because of the excipients.
pharmacy has new system, after 2 days of it, the pharmacist discovered he made mistakes because .He
doesn’t know about the system what to do?
a) delete mistake and not tell anyone.
b) to talk to the owner to return the old system.
c) stay after his duty hours to learn the system.
d) ask colleague to teach his
case about asthmatic pt before 2 years, he is taking salbutamol2 -1 puffs pen , aggregates with Exercise,
he got asthmatic attack went to hospital: what is the advice
a) salbutamol 4-2 puffs 15 -10 mins before exercise and 1 puff in case of symptomatic there max 12 puffs a
day
b) salbutamol 4-2 puffs 15 mins before exercise there and 2-1 puff in case of symptomatic max 12 puffs a day
c) salbutamol 2-1 puffs 15-10 mins before exercise and 2-1 puff in case of symptomatic there max 8 puffs a
day
d) salbutamol 2-1 puffs 10 mins before exercise and 1 puff in case of symptomatic there max 8 puffs a day
Form1:Same case other questions- group of friends came to visit the pt, the ward pharmacist tell them if
he knew how to use it properly he won’t be in this situation, and there wont be rush in the hospital What
is the not the unprofessional behavior-the pharmacist joked on pt
a) the pharmacist did not breach the professionalism (2 options like this)
b) the pharmacist breached the professionalism (2 options like this)
Form2: Same case other questions> group of friends came to visit the pt, the ward pharmacist tell them if
he knew how to use it properly he won’t be in this situation What is the unprofessional behavior?
a) He assumed pt doesn’t know how to use
b) Visitors name was not checked in the list
c) He was exaggerating about his patient to the patent's friends (two more options)
d) He is not performing his job accurately
patient was taking allupurinol .. And he had rahs .. He came to refill or take med again
a) You will give
b) You will not
…..Good luck….Aya Elshehabi
c) Refer to doctor
Form1:patient with hf was in ward, was taking 5 medicines, when he was discharged he had only 4 med..
He went and asked for missing med
Which one is the med missing
a) Diazepam
b) Can’t remember
d) Refer to doctor
Form2:patient with HTN has 4 drugs the rx after reaching home he had only 3.Which one is the med
missing /forgot in the pharmacy
a) Diazepam
b) Omeprazole
c) Panadole
patient having uti allergic to trimethprim and gfr is 29
a. Give nitrofurantoin
b. Give ampicillin
c. Give penicillin
d. Give trimethoprim
which of the drugs has a physical dependency….Ans.benzodiapines
Form1:what is the most suitable place to store alcohol swabs
a) Flamable subs
b) Refrigerator
c) Closed cold place
Form2:what is the most suitable place to store alcohol swabs
a. Flamable subs
b. Refrigerator
c. Cupboard
Form3:Which is the best place to store alcohol swabs?
a) Refrigerator
b) Open air
c) Closed container
d) None of the above

…..Good luck….Aya Elshehabi

Opinion…not sure:Alcohol swabs or any ethanol preparation including hand sanitizer
should store in hazardous material cabinet or in flammable
material cabinet. That should be placed separate place in
pharmacy, especially nearby door is suggested. I think..
case copd /asthma which response will likely the least to affect the prognosis
a) prdnisolone 20mg
b) Salbutamol if copd
c) Clarithromycin 12/ 500 hrs if asthma/both copd and asthma??
d) Thyophiline
a question about the thyroid level table of tsh measurements for a patient over a month, it increased over
the months And the last month was 21.2…this Q cotains table with tsh level of the pt last month is
21.2.What is the cause of the pt reading
a) Pt take the levothyroxine with caffiene
b) Pt take the levothyroxine with soy milk
c) milk
d) Pt was taking it grape fruit juice
Form1: patient relative (mother) come to ask if the patient (adult )has refilled his medication
What is the most appropriate response
a) refuse to tell her
b) ask her /refer her to the prescriper
Form2:patient taking regular medicine from your pharmacy, the mother of the patient came asking if the
he took the medicine for today:
a) You will give her the information needed about the patient.
b) You won’t give the information related to patient.
patient taking regular medicine from your pharmacy, the mother of the patient came asking if the he
took the medicine for today
a) you will give her the information needed about the patient.
b) you won't give the information related to patient.
control prescription valid fro how many days
a) 2
b) 3
c) 4
…..Good luck….Aya Elshehabi
why nitrofurantion cannot be given with abnormal patient gfr
a) Gfr is too high that no need to antibiotic
b) Gfr is low it will precipitate in liver
c) Gfr is too high it will excret
Case Scenario: Pt with hypertension was rushed to the ER due to signs and symptoms of acute kidney
injury. These are the drugs she/he were taking:
Candesartan
Atorvastatin
Aspirin
Ibuprofen
Bisoprolol
Paracetamol
What drugs should be discontinued?
a) Stop candesartan, bisoprolol and atorvastatin
b) Stop candesartan, aspirin and paracetamol
c) Stop candesartan, aspirin and ibuprofen
d) Stop candesartan, atorvastatin and paracetamol
Pt take the same drug and cuse hyperkalemia and might escalate to arrhythmia. What predisposed her
to this condition…. Eplerenone and Ramipril
Sumatriptan is known to be effective for migraine. Which of these situations are contraindicated from
taking it
a) Pt. with a cardiovascular disease
b) Pt. who is taking 10 cigarettes per day
c) 55 years old patient with 2 migraine attacks over the last 2 months
d) Family history of CV disease where his brother died with heart attack at age of 40
Pt. with breast cancer and hypertension is taking these medications: Tamoxifen, Capecitabine,
Ibuprofen and Lisinopril. She/he developed nephrotoxicity as a result. Which drug should NOT be
stopped?
a) Capecitabine
b) Lisinopril
c) Ibuprofen
d) Tamoxifen

…..Good luck….Aya Elshehabi

ALKALI sensitive parenteral solution is to be prepared in an aseptic technique. What type of glass is to
be used
a. Type I
b. Type II
c. Type III
Pt. with CrCl of 15ml/min and is diagnosed with DVT. What is the recommended
dose for enoxaparin Pt weight is 60kg.
a) 45mg OD
b) 45mg BID
c) 60mg OD
d) 60md BID
For a multiple dose vial, what might be the changes in its expiry, just in case
a) No change in expiry
b) Follow the manufacturer’s expiry
c) Change the shorter expiry date vials to the longer expiry date vials
d) Follow the manufacturer’s expiry OR change to 1 year after you dispensed (Whichever is shorter)
Which of the information is found in a morphine rx but NOT on an amoxicillin rx ?
a. Prescriber’s address
b. Prescriber’s registration number
c. Prescriber’s telephone
d. Diagnosis
Black pt. taking amlodipine 5mg for hypertension. His BP was found 110/164mmhg
,what can be added to his regimen
a) Ramipril
b) Candesartan
c) Spironolactone
d) Lisinopril
patient with cancer saw online herbal recipe it will benefit her she discussed with her physician and
explained the risk of the treatments. And wrote for her a note to give to the pharmacist:
a) Do not dispense.
b) Discuss the risk of the online recipes.

…..Good luck….Aya Elshehabi

c) Go as the dr advised the pt.
patient is on Amlodipine 5mg his BP was found 110/164mmhg
the next adding drug
a. candesartan
b. Ramipril
c. Soiranolactone
e) Lisinopril
Pt. is taking a monoclonal antibody and she knows how to administer it herself. However, she noticed a
red bump on her arm due to repeated injection on that
site. What condition of the skin might be appropriate to inject the medicine
a. Apply on red
b. Apply on tender
c. Apply on hard
d. Apply on sweaty
Pt. is taking methotrexate and is known to be excreted %90
unchanged in the urine. Methotrexate levels diminish at 96 hours. What might be
the cause of prolonged excretion of this drug
a. Concomitant use with sulfamethoxazole
b. CYP450 inhibition with clarithromycin
c. Increased fluid in body due to effusion
What is NOT the appropriate measure when cleaning a vertical laminal flow hood
a) Use of isopropyl alcohol and leaving it for 30 secs
b) Disinfecting the area BEFORE and AFTER every batch
c) Food and beverage can be stored in ante area and not in the buffer room
d) Disinfecting the instrument
In exam there was choice with spilge
What is the BEST counseling for a pt. applying topical tacrolimus for his psoriasis
a. Apply tacrolimus with another medicine for enhanced effect
b. Use a sunscreen of at least 15 spf after applying
c. Wash hands after use
d. Advice to get apply in thick layer to get maximum effect
…..Good luck….Aya Elshehabi
What is the LEAST appropriate counseling for pt. with eczema
a) Avoiding hot water
b) Using lot of soap and water when taking a bath
c) Adding sunscreen
20 year old pt. is rushed to the ER due to low respiration rate,
etc and has asthma. What is the next medication to give after stabilizing the pt
a. Omalizumab SC
b. Prednisolone 5mg in the morning
c. Modified release theophylline
d. long acting beta agonist
A pt. with asthma was brought to the hospital. She was already
taking SABA and ICS for maintenance. However, she feels scared that another
attack might cause her medications to not be effective anymore. What drug is the
LEAST helpful should she experience another attack
a) Theophylline(dose)
b) Ipratropium(dose)
c) Prednisolone(dose)
An 85-year-old male with chronic kidney disease is diagnosed with UTI. Which drug should
not be given?
a. Amoxicillin
b. Azithromycin
c. Nitrofurantoin
d. Ceftriaxone
Pt. has UTI with a GFR of 15ml/min. Which drug is contraindicated
a. Nitrofurantoin
b. SMX-TMP
c. Co-amoxiclav
Case scenario: Pt. went to pharmacy complaining of severe muscle pain. She
said that she was prescribed to take lansoprazole 2 weeks for GERD. The
pharmacist inspected her previous dispensed medications and saw Salbutamol

…..Good luck….Aya Elshehabi

and Simvastatin. What caused this symptom to appear to the pt
a) Drug interaction between her medications
b) Adverse effect of Simvastatin
c) Adverse effect of Lansoprazole
d) An underlying disease that was not treated

Prescription containing Frusemide, Bisoprolol, Lisinopril the Disease is

a. HF
b. Hypertension
c. Arrhythmia
The least interaction producing PPI (this question was not direct)
a) Lansoprazole
b) Pantoprzole
c) Omeprazole
d) Rabeprazole
Patience grandfather died he came to return the bag of medicine. How will you discard them
a. Discard in chemical Bin
b. Discard in biological bin
c. Discard in normal bin
Patient want to discard the medication in house as not needed what to advise her solid-coffe,liquid-tissue
a. Mix it with chlor
b. Dissolve it water
c. Keep it in container without neer trash pag as not recognaize asc medication
Disposal of return medicines by Pharmacist yelow chemical bin
a. Dissolve in water
b. Dissolve in coffee
c. Throw in dust bin
radioactive substance (not remembering name of element) with radio activity 4380 curium received by
pharmacist at Monday 08:00am for thyroid patient treatment. The optimum radioactivity for thyroid
gland treatment is below 230 curium , if the half life of substance is 6 hours in what time it can be used.
(may be variation in radioactivity values)

…..Good luck….Aya Elshehabi

a. Tuesday 08 am
b. Tuesday 02 pm
c. Thursday 08 am
d. Following week 08am
Pt. with diabetes went to pharmacy with redness, swelling and pain on his leg but he doesn’t feel any
systemic symptoms. What can you recommend as a pharmacist
First qstn:
a) Give NSAID and tell him to bandage his leg. If after 5 days, he still feels
b) something then he must go to doctor
c) Assist him to the acute care immediately without giving any pain reliever
d) Give him antibiotics
Second qstn:
The doctor ruled out it was a mild infection. What is the suitable antibiotic?
a. Amoxicillin (dose)
b. Flucloxacillin
c. Metronidazole
d. Co-amoxiclav
Pt. with infection has penicillin allergy. What is alternative drug
a) Cefalexin
b) Levofloxacin
c) Cofluampicil
d) Co-amoxiclav
Pfizer covid vaccine was opened yesterday afternoon but the nurse forgot to keep it in the fridge. what
can we do
a. Can be used today morning
b. Discard as no efficacy
c. Can be used till tomorrow evening
oxycodone prescription,which is not correct
a. a licensed physician can prescribe up to 3 days maximum only
b. the prescription validity is only 3 days starting from the day it was prescribed
c. narcotic prescriptions should be kept in the pharmacy for 5 years

…..Good luck….Aya Elshehabi

d. there is no refill
Management Return IPD medicine after three days dispensing those expiry is less than 11
month
Medical ward nurse returned prescription only medication medication to pharmacist opened since 7
days ago and the expiration date after 11 months what to do
A ward nurse returned Bisoprolol tablet after 11? days to the pharmacy. She said that the medicine was
stored in a room temp. What will you do? Returned meds in inpt before 3 days…accept and
reissue.after3days accept and discard….for narcotic accept in and out even if expired…check good status
med reissue..not good..to main store
a. Discard the medicine
b. Put it back to the shelf with the other meds
c. Dont take it back since its been more than 3 days for the allowed return
A physician prescribed Dicorate Chrono, against this Encorate Chrono is available
a. It can be dispensed because both have same pharmaceutical Active ingredient
b. It cant be dispensed because this drug have very narrow therapeutic rage
c. It cant be dispensed because both of them have different Active pharmaceutical ingredient
d. The prescribed drug should be dispensed because the Doctor Specifically mentioned the Brand name.
Medical ward nurse returned narcotic medication to pharmacist what to do
a) Donot take
b) Take and send it to central purchase store and discard immediately
c) Take and send it to central purchase store for disposal
Depot injection is administered by :
a) IM
b) IV
c) SC
Which of the following is LABA drug ( Serevent (salmeterol), Foradil (formoterol), and Striverdi
(olodaterol).)
a. sulbutamol
b. Albuterol
c. Formetrol
Mother came to the pharmacy with her baby who’s unconscious & reports to show
metabolic acidosis and he is also having bloody stools, which type of poisoning

…..Good luck….Aya Elshehabi

a) Aspirin
b) Digoxin
c) Acetominophen 10mg safes dose
d) None
Nurse came to you asking about which type of dressing to be used in a patient having
lower leg wound which is yellow(infection) and perfusing
a. low adherent dressing
b. Iodine dressing antimicrobial effect for superficial woundsc/I in pregnancr,lactation,kidney disease
c. Honey dressing anti-inflamatory ,deep wounds, for mild to moderate superficial and partial
thickness burns
d. Colloidal dressing remove scares or birth marks used post op--- excisional surgeries.Hydrocolloid
Dressings.They adhere to the burn wound on their own and provide a moist environment by trapping water
in the matrix, thereby promoting wound healing. Compared with 1% silver sulfadiazine, these dressings
show improvements in wound healing and reductions in pain and number of dressing changes.A
hydrocolloid dressing is a special kind of wound dressing used in the treatment of mildly exuding wounds,
like minor burns or bed sores. These dressings are waterproof, and unlike simpler dressings, they provide a
moist and insulating environment to promote wound healing.
e. Siver dressing Silver dressings are part of current partial-thickness burn care. Naamocrystalint.Acticoat is a
silver impregnated antimicrobial barrier dressing. Acticoat can stay intact for 3 days and Acticoat 7 for up
to 7 days. Acticoat needs to be activated by moistening it with Sterile water before applying it on the
wound bed.
A patient is admitted to hospital after 2 days you noticed that he is using some eye
drops. Upon asking he said he brought it from home & he is been using the same bottle
of eye drops for the last 5 months , the expiry date on the bottle is still valid as a
pharmacist what will you do
a) Discard the eye drop
b) Allow him to keep using it as the expiry date is still valid
c) Discard it as it’s opened from 5 months
Regulatory authority of health changes some guidelines related to pharmacy due to
some regulations, whose responsibility train the pharmacist
a. pharmacy manager 3
b. regulatory authority 2
c. DOH 1
d. pharmacist himself 4
…..Good luck….Aya Elshehabi
Senior pharmacist notices that his junior pharmacist is not feeling.. sneezing and his
temperature is high what will you do
a) Ask him to go home
b) prescribe him medicines
c) consult the manger about his health.
d) don’t bother and ask him to continue his work
Pharmacist is on morning shift when he wakes up in the morning he is suffering from
103 F body temp and his health diner allow him to get up to work , what will he do
a) ask the night shift pharmacist to do his duty
b) ask the pharmacy technician to do his duty
c) call the manger and tell him to arrange someone to do the duty
Which of the following is adverse drug reaction
a) Atropine - Mydriasis atropine causes blurred vision
b) Salbutamol -bronchodilation
c) Phenytoin-antiarrythmia
d) Lithium-convulsions
Which of the following side effects is very common with dihydropyridine calcium channel
blockers?
a) Pulmonary edema
b) Swelling of ankles
c) Bradycardia
d) Pericarditis
Which of the following medication is most appropriate in a 71-year-old man to treat
extrapyramidal effects emerging out of neuroleptics?
a. Benztropine
b. Haloperidol
c. Donepezil
d. Ibuprofen
You got a prescription states to prescribe ramipril 100mg but the previous history of the
patient showed that patient is taking ramipril 10mg , you noticed that there’s a

…..Good luck….Aya Elshehabi

prescription error , you are calling the GP but he is not answering what will you do
A) call the clinic of the Gp and ask them to contact the Gp
B) Do not prescribe the medicine
C) you correct the medication by yourself to
10mg
Which of the following is not correct regarding waste collection and disposal
a) waste must be collected and stored away from patients
b) glass ampoules should be stored in separate containers
c) waste must be sterilized before adding it to the final container
d) in waste collection area , space must be provided to regular inspect waste for leakage
Form1:A patient came to you saying that his blood sugar level drops after taking insulin , his
prescription shows insulin regular 10.0IU twice daily , what you will notice
a. prescription error
b. patient is taking 100 IU infested of 10IU
c. capital word error in prescription
d. Decimal point Error
Form2:One question a patient got hypoglycemia after taking insulin it was labeled
"insulin GI 10.0U sth" What is the mistake?
a) U not unit
b) Zero after the decimal
c) Brand written in abbreviation sth like that
d) And another option
Insulin is not effective on patient diabetes and his blood sugar level doesn’t drop to the level as it was
before of
a) insulin is not refrigerated
b) administering point & insulin is not changed frequently
c) Frequently advise him to rub the needle administration area for better absorption of insulin
Treatment of head lice
a. Premethin
b. calamine lotion
c. Dimethicone
…..Good luck….Aya Elshehabi
Dimethicone MOA:
a) interfere with metabolic process and kill the lice
b) Inhibit execretion of water leading to osmotic stress
c) causes paralysis of lice leading to death
d) interfere for O2 receptors of lice
the way permethrin works is by over-exciting an insect nervous system. When an insect
encounters permethrin, it becomes paralyzed and in this weakened state, the insect generally
disengages, falls off, and frequently dies. What is the reason of death
a. Makes paralysis leading to death
b. Hydrolysis
c. Dehydration
d. Affect metabolism
Pharmacy technician dispensed diphenhydramine instead of Dimenhydrinate cause of
this error can be minimized by :
a. Installing lights in cabinets
b. Appointing tell the pharmacy technician to less prescribe LASA
c. Installing barcode scanner for LASA medicine
Patient come to pharmacy complaining no effect of medicine , when the prescription is
matched with the drug it showered instead of dispensing merevan ( warfarin ) , the dispensed drug was
a) Methotrexate high alert like warfarin?
b) Meperidine sound alike?
Patient returned one narcotic medicine and 4 other licensed drugs to pharmacy, both of
these medications have expiry date , dose and all other necessary information
mentioned , how will you reissue or reuse these medicines
a. reissue all
b. reissue only licensed
Patient returned 28 tablets of morphine to pharmacy and on the same day after some
time a prescription came for 28 tabs morphine what will you do
a) Prescribe that 28 tabs to the new patient
b) Do not prescribe

…..Good luck….Aya Elshehabi

c) Prescribe that 28 tabs with proper inventory in documentation mostly
How will you discard expired narcotics
a. Discard after breaking it
b. Do not discard and keep it in separate place
c. Do not discard and keep it in separate place and wait for pharmacy & therapeutic committee to visit
d. Discard it in Dust

An elderly patient who has proper knowledge about the drug asks for your opinion
relating to a drug which is the least relevant to this
a) Patient age
b) Patient weight
c) Patient’s partner
Patient came to the pharmacy complaining about heartburn while working and pain in
his chest that upon asking confirmed it doesn’t relieve, what will you prescribe
a. Omeprazole pellets
b. Govison syrup
Patient came to the pharmacy complaining about heartburn and it’s not relieving using
goviscon syrup and he has severe pain , what will you prescribe
a. Omeprazole pellets
b. Acidic food causes heartburn….. if there is relation to question ex: pt ate acidic food
c. Life style modification …..if threr is refer to doctor it will be the answeralso there is similar symptoms for
missed angainal pain
You mix a drug in 500ml normal saline instead of 1000ml what will happen in that case…depend on the
drug nature ex:cyclizine with ns it will not percipitate also percipitation similar to cloudy so read c and d
in exam
a. Precipitation occurs
b. Cloudy solution etc
Some capsules are allergic to PVC bottle & its contents dissolve with it, how will you
Dispense sensitive to plastic (sensetine to light) shift to glass:digoxin and nitroglycerin
a. In glass jar
b. In non PVC bottle

…..Good luck….Aya Elshehabi

c. PVC container
New formulation, single dose for a patient then some property about the drug... should be stored in which
container
a) Type 1 glass
b) Type 2
c) Type 3
d) D. Pvc plastic container
A prescription came to you for a drug to be taken BIWEEKLY , what does that mean
a) Twice in a week
b) One week after another week
A missing drug name is present on a prescription i-e- clobe … how will you react….from symptoms wa
cen guess or refer to doctor if its in choice.maybe its appreviations..search also rx abbreviation
Form1:Which is least important in a prescription
a) Pharmacist name & signature
b) Name and emblem of pharmacy
b) Physician name & signature
c) Technician name & signature
Form2:What should be the least relevant in a prescription or in the bill something
like that***
a) Name of the pharmacist who dispense the drug
b) Name of the physician who written the order
c) Name and address of the pharmacy
d) Name of the pharmacy technician who compound the drug
Which is the least thing to be necessary in a narcotic or controlled drug containing prescription
a) Physicians adress
b) Physicians name
c) Physician reg numbr
d) Type of container in which it was dispensed
What of the following is related to drug abuse
a. Methotrexate
b. Ganiciclover

…..Good luck….Aya Elshehabi

c. Fentanyl
Large stock of vaccines come to your pharmacy, the refrigerator is already full of
vaccines. Every rack is overloaded you try to manage the vaccine in fridge but suddenly
the alarms start. This due to
a. No ventilation
b. Over loading …….temp also when icrease can cause alerm
In the morning you noticed that the temperature of the fridge is on -1C for the few
hours. Which of the vaccine will be affected
a) HPV vaccine 3…..,alco hipb 2, dtap1
b) BCG vaccine
Mistakenly large dose of omeprazole pellets added into the inventory whose expiry is
also near. You already have a lot of stock of omeprazole. What will you do
a) Ask Gp to prescribe it more -pt first
b) Ask patient to take it more
c) Exchange with another pharmacy for some drugs with the same cost or a if written in appropriate way or
compare c with d

A prescription came to you by patient having a certain drug which is not in your stock and the
stock is already empty for that specific drug , what will you do
a) Ask the patient to go to another pharmacy
b) Give him another drug from the same class
A certain medicine is short in whole UAE, you only have a little stock of it , a nurse came to you with a
prescription of that drug. You have good terms with the nurse what will you do
a) Give her that medicine or if there is choice to call the doctor to shift bec of the shotage
b) Give her alternative of the medicine-icant shift active ingredient without call the doctor…search if the
meaning is brand or active ingredient
Give her the midicine … if this option is clear mostly it will be the choice
Where to prepare cytotoxic medicine
a) Horizontal
b) Vertical
c) Aseptic

…..Good luck….Aya Elshehabi

 Pt. came to ask about a diet plane outside your scoop of work. What you should do:
a) Search learn and inform
b) tell him you don’t know
c) refer him to dietician
Case about 2 medicines you think its interacting with each other: either increase or decrease. The Q is
what to do
a. Stop two
b. stop one and replace other
c. choose two new
d. don’t do any thing
e. Stop one drug and continue the other
pt. doesn’t take one of his medicine because he doesn’t like. What to do:
a) Explain about the benefit
b) call the doc and inform him
c) tell patient there is alternative
d) don’t do anything
A patient supposes to take some medicine but took the other medicine, which cause no harm. What type
of error is this:
a. C
b. D
c. E
d. F
Pt. was admitted to emergency because of side effects to wrong med.
a. Which category of error :C - D - E - F
b. Why it happened :……Human error ?!
Pharmacist dispensed wrong medication and patient suffer from side effect what to do
When doc write off label use for one medicine what to do
a) Inform pt.
b) responsibility of doc he know what medicine to give for which disease
c) responsibility of manufacturer to include off label use in leaflet.
Child baring woman came to pharmacy which medicine you think is dangerous:

…..Good luck….Aya Elshehabi

a. Warfarin
b. digoxin
c. phenytoin
Pt. is for opioid withdrawal treatment but with QT prolongation. Which is the best drug for him
a. Methadone
b. Buprenorphine
c. levorphanol
d. Morphine
In what situation should a generic name be okay to use?
a) Amiodarone and the brand is effective for the pt
b) Valproate and the pt. experience adverse effect to that brand
c) Warfarin and its the first time to prescribe
d) Theophylline and that brand is an unsuccessful therapy
A pt. is using a medication that needs to be refrigerated and every time he travels he uses a container for
it. One time, he noticed that his medicine has frozen. What might be the cause
a) Many things were stacked inside the ref-
b) The ice pack was in close proximity with the medicine
c) There was not enough insulation
d) The ref was open
The use of coating is justified for what reason? Industrial and in vivo causes according to coating type
a. To handle the attrition and abrasion
b. To prevent the active ing from being exposed to oxygen
c. To flow smoothly on the machine
d. To prevent the drug from degrading
What is an example of allergy and not side effect
a) eczema
b) vasculitis
c) liver dysfunction
d) nephritis
A KCl solution is to be prepared in the aseptic area. The pharmacist knows there are specific conditions
that needs to be done in preparing this. What is it

…..Good luck….Aya Elshehabi

a. avoid PVC container
b. put in a non rigid container
c. dilute in an infusion and mixed thoroughly to avoid layering
Filtration
Dilution in which diluent dext or ns
Ringer better than dext: glucosr intracellur shift:hypokalemia
Ns: hypernatremia
Pt careria èyaa came to phamacy asking how to cover the bitter taste of the medicine as the patient
doesnt want to take it, the medication is for mental disorder, what to do The choices were long but in
summary
a) teach the carer how to cover the taste
b) The patient have the choice not to take the medication
c) 3-pharmacist should do assessment if the pt have the appility to make his decision
d) the carer and the family have the choice to decide if the patient can Medication or not
23 year old male, have swelling., redness, hot wound,and have ampicillin allergy what to give
a) Co amoxiclav
b) Azithromycin
c) Cephlixen
d) Meropenam
A 23-year-old man developed a maculopapular rash, urticaria following an IV infusion of
amoxicillin. Which of the following drugs can be safely administered?
a. Cephalexin
b. Co-amoxiclav
c. Azithromycin
d. Meropenem
Patient went to the physician he prescribed him(aspirin,warfarin,clopidogrel,simvastatin)he doesn’t
want to take (aspirin and warfarin )what to do
a. Do what he want and have the right to decide what to take
b. Dispense all,may be he will take after
c. Don’t dispense anything
Pharmacist developed new systems online, what the medicine we can include in the system?

…..Good luck….Aya Elshehabi

a) The choices included 2 control medications
b) dispersible aspirin
c) and other prescription only medications
A 6 year old boy had abnormal amount of medicine stored in their washroom cupboard his blood result
shown metabolic acidosis ,leukocytes .Which drug he consumed
a) Aspirin
b) Ascorbic acid
Botox injection site of administration
a. IV
b. IM
c. Oral
d. SC
Form1:A drug was dispensed (iv medication) and then known to be contaminated (traced).the staff
members who must ensure the safety and the reception of sterile preparation are
a) Prescriber physician
b) Manufacture of the drug
c) Manufactuer of the iv set
d) Pharmacist
e) Nurse
f) all members share equal responsibility
Which hold the responsibility
Form2: patient received infusin and got infection, turn out the infection was by infusion
People reponsible:
physian
Pharmacits
manufacturer
Nurse
The person whos more responsible
a. physcian who prescribed
b. nurse who administered
c. manufuturer

…..Good luck….Aya Elshehabi

pharmacist, manufacturer, nurse and physician
Form3: A drug was dispensed (iv medication) and it seems to be
contaminated because patient shows symptoms. Who holds the
responsibility:
a. Pharmacist.
b. Nurse.
c. Physician or manufacturer.
d. Pharmacist, manufacturer, nurse, and physician.
Form4: A drug was dispensed (iv infusion medication)in ICU patient developes hypersensitivity reaction.
It was treated on time and pt was fine again . it was ruled out that the cause of the reaction was the IV
infusion. Who is to be rsponsible for this neglicance
a) Nurse and physician
b) Manufactuer
c) Pharmacist and physician
d) All Nurse ,physician,Manufactuer ,Pharmacist
Which hold the responsibility Pt suffers from mild rash after single dose of allopurinol what is the most
suitable response
a. Give 2nd dose and observe.if rash occurs DC the drug immediately
b. Since the rash was mild …stop the drug at once
c. Since the rash was mild, give 2nd dose. If the symptoms appear again stop it
d. Since the rash was mild …Give 2nd dose with no observation
A depressive pt come to your pharmacy he has frontal headache.,for 7 months he took paracetamol ,
ibuprofen and codeine but they r not reliving him options:
a) The headache bec of the depression
b) The headache bec of misuse of analgesics
Question giving past and current medication and asking what does the patient have
a) IBS and hyperparathyroidism
b) Hyperparathyroidism and ulcerative colities
c) ulcerative colities and hyperthyroidisim
d) IBS and hyperthyroidisim
Physician asked pharmacy to send information about patient -online system-the pharmacist send
information for another patient, what to do:

…..Good luck….Aya Elshehabi

a. Delete the system error and ignore
b. Call the physician and re send the right information
c. Call the online system founder
Form1:Patient came to pharmacy want diazepam OTC because it is easy for her than going to a
doctor,she assume that she used to take it from the pharmacist as OTC what to do
a) Give her the medication
b) Don't give her and call police
c) Don't give her report to HAAD and offer her another OTC medication
d) Give her the medication and report to HAAD

Form2:‫ في كمان سؤال عن أنو في مريضة تعودت تاخد‬diazepam ‫من صيدلية بس الصيدالني اخد‬

‫ ك صيدالني شو رح تتعامل معها؟‬،،‫اجازة و اضطرت تروح ع صيدلية تانية‬

a. Give her without Rx
b. Refuse to give her and offer OTC medicine
c. Refuse to give and document it as error and offer OTC
d. Refuse to give, offer OTC, document the error, and call the
regulations and police
Pt taking parkinsons disease medication, have symptoms dizziness, fatigue, heavy breathing his hb is 7
what to give him
a) Hydroxocobalamin iv every 1-3 monthis
b) Folic acid oral daily
c) Darbepoetin s.c every 3 weeks
Same case qustions about drug drug interaction and best treatment
Why ophthalmic suspension should not be freezed ?
a. It will make crystallization
b. It will affect the bioavailability
Which is the first line agent to treat glaucoma in pregnancy
a. Beta-blockers
b. Prostaglandin analogue
c. Brimonidine
d. Pilocarpine
Category B agents: Brimonidine & dipivefrin
…..Good luck….Aya Elshehabi
However, in late 3rd trimester Brimonidine causes CNS depression in newborns and must be replaced by
TOPICAL carbonic anhydrase inhibitor (end with Zolamide)
Non-Aqueous preparations and powders for parenteral use should be stored in which
container
a) Type 1 glass
b) Type 2 glass
c) Type 3 glass
d) PVC plastic containers
A 43-year-old man is admitted to the hospital with pneumonia. his past medical history includes
Addison’s disease for which he takes hydrocortisone (20 mg in the morningand 10 mg in the afternoon).
What is the most appropriate action with respect to his steroid dose?
a. Continue to take the same dose
b. Double hydrocortisone to 40mg in the morning and 20 mg afternoon
c. Half hydrocortisone to 10 mg morning and 5 in the afternoon
d. Continue to take the same dose and prescribed proton pump inhibitor
Rule: Dose must be doubled for patients on long-term CS and have intercurrent illnesses
In a study of chemical workers, 400 workers with respiratory disease and 150 workers without the
respiratory disease were selected for examination. The investigatorsobtained the history of exposure to a
particular solvent in both groups of workers. Among workers with respiratory disease, 250 gave a history
of exposure to the solvent, compared to 50 of the workers without respiratory disease. The study design
can be described as a:
a) Case-control study
b) Cohort study
c) Cross-sectional study
d) Comparative clinical trail
A pregnant lady with body weight of 65 kg, planning to visit a malaria-prone area the very next day.
want to take a daily prophylactic medicine. Suitable prophylaxis is
a) 325 mg of chloroquine Base
b) 100 mg chloroquine + 200 mg proguanil
c) Doxycycline 750 mg
250 mg of atovaquone + 100 mg daily
Only options A & B are safe in pregnancy however chloroquine base must be started a week before the
trip

…..Good luck….Aya Elshehabi

An error occurred but the error didn’t reach the patient. This error can be categorized as.
a. Category A
b. Category B
c. Category I
d. Category N
A pediatric patient who was recovering from brain tumor surgery is given 650 mgdose of Methotrexate
into the brain. what kind of error is this?
a) Wrong Drug
b) Wrong Dose
c) Wrong route
d) Wrong time
Which medication adherence methods (device) is the most commonly used to detect adherence?
a. MAQ
b. SEAMS
c. MARS
d. MEMS (medication events monitoring system)
which of the following agents is considered as a poisonous substance as per HAAD regulations
a) Chenopodium oil
b) Picrotoxin
c) Codeine and it’s salts
d) All of the above
group A waste: (anatomical, pathological waste) should be stored and disposed in?
a. Red color polyethylene (gauge 400) bags
b. plastic boxes of yellow color
c. blue transparent bags
d. Gauge 200 polyethylene bags of yellow color
then which of the following is a rare ADR?
a) Sulfonylurea induced hypoglycemia
b) Amiodarone induced hyperthyroidism
c) Doxorubicin introduced neutropenia
d) Cisplatin induced emesis
…..Good luck….Aya Elshehabi
Usually causes hypothyroidism
Physician called the pharmacy and provided the name of a medication from anothercountry. Which of
the following references would be the best place to search for internationally available medications?
a. AHFS drug information
b. PDR
c. USP DI volume 2
d. Martindale: The Complete Drug Reference
What is the effect of thiazide dietetics on serum lithium concentration?
a) Concentration will increase
b) Concentration will decrease
c) Minor variable changes
d) No changes
Wrong statement regarding narcotic prescription:
a. New prescription must be written every time
b. Schedule II medications can be refilled
c. Medications classified as a schedule III and IV controlled substances may be refilled
d. All of the above
Which PPI is safe with clopidogrel?
a) Pantoprazole
b) Omeprazole
c) Ranitidine
d) All of the above
Methotrexate injection is kept in which type of container
a) Type 1 glass
b) PVC
c) Type 2 glass
d) None of the above
Glucagon may be used and as an antidote for which of the following?
a. Amitriptyline
b. Metoprolol
c. Furosemide
…..Good luck….Aya Elshehabi
d. Digoxin
In COPD patients what medication should ipratropium be administered with?
a) Albuterol (Salbutamol)
b) Tiotropium
c) Prednisolone
d) None of the above
Effect of Loop Diuretics on lithium level
a. Increase lithium level
b. Increase lithium level
c. Minor variable effect
d. None of the above
Heparin is chemically bonded to catheters to prevent
a) Thrombogenicity
b) Biocompatibility
c) Radiopacity
d) Bio inertness
which of the following is not a way to reduce medication misuse
a. Using computed order entry
b. Using bar code administration
c. Advocating use of unapproved abbreviations
d. Developing a computerized medical record
Expiry dates as mentioned as 2022/09/02. As per HAAD guidelines this medication expires on
a. 2nd of September 2022
b. 9th February 2022
c. 30th February 2022
d. 30th September 2022
A sterile preparation was prepared in a septic area, what are the precautions that should be taken?
a) ISO 2) 1-14644) should be used for classification of cleanliness according to the
b) concentration of Airborne particles
c) components after washing should be handled in at least Grade D environment

…..Good luck….Aya Elshehabi

d) The preparation of solutions which are to be sterile filtered during the process should be undertaken in a
Grade C environment (unless a closed system is used, in which case a Class D environment may be
justifiable)
e) All of the above
A 62-year-old man has been admitted in the surgical ward for 14 days and it's suspected to
have methicillin-resistant staphylococcus aureus infection (MRSA) in his wound. He is
started on Vancomycin 1500 mg IV as a loading dose followed by 1000 mg every 12 hours.
he has normal renal function, and his weight is 70 kg. What is the recommended time to take
Vancomycin serum levels?
a. After the first dose
b. After the second dose
c. After the 3rd dose
d. After the 4th dose
Which drug should not be given to patients with reduced ejection fraction?
a) ParacetamolB. Carvedilol
b) Eplerenone
c) Pioglitazone
A 25-year-old woman on Levothyroxine become pregnant. She now complains of persistent fatigue. What
should be done?
a. Increase dietary Iodine
b. Double the dose of levothyroxine
c. Do nothing, fatigue is normal in pregnancy
d. Adjust thyroxine dose based on TSH value
Corticosteroids given in sepsis for
A. Mortality
a) B. Decrease pain scale
b) C. Decrease staying in ICU
c) D. Decrease needs for fluids
Aspirin overdose symptoms are all of the following except:
a. Hypothermia
b. Metabolic acidosis

…..Good luck….Aya Elshehabi

c. Ringing in the ear
d. Hyperthermia
A 61-year-old woman with RA experienced Progressive central vision loss and scotoma
affecting her reading ability, A fundus examination showed bilateral bull’s eye maculopathy.
Which drug likely to cause this SE?
a) Hydroxychloroquine
b) Prednisolone
c) Aspirin
d) Adalimumab
When given ethambutol for a long duration, continuous follow up/ checkup is necessary
because of this condition:
a. Renal failure
b. Liver failure
c. Optic neuritis
d. Myopathy
Rice water stool is a symptom of
a) Dengue
b) Malaria
c) Cholera
d) Typhoid
54-year-old man with history of cirrhosis and alcoholic liver disease presents with hepatic
encephalopathy, what is the best treatment option?
a. Senna
b. Lactulose
c. Rifaximin
d. Ceftriaxone
Which of the following replacement solution is isotonic?
a) 3% saline
b) Ringer’s lactate
c) Dextrose %2.5

…..Good luck….Aya Elshehabi

d) 9% saline
Which of the following cardiac enzymes have the highest specificity and sensitivity to aid the
diagnosis of an acute coronary syndrome?
a. BNP and NT-proBNP
b. Troponin T and I
c. C-reactive protein (CRP)
d. Creatinine Kinase (CK-MB)
An elderly patient is suffering from depression was given St.Johhn’s wort. Which of the
following drug if administered concomitantly will have clinically significant interaction?
a) Simvastatin
b) Salbutamol
c) Sertraline
d) Gliclazide
An elderly man presented to the emergency room with dizziness, altered consciousness,
respiratory depression, and inability to sleep. Which is the most likely drug to cause toxicity?
a. Benzodiazepines
b. Acetaminophen
c. Salicylate
d. Opioid
A woman on mycophenolate is planning for pregnancy. She is asking for pharmacist advice,
what should be the appropriate advice?
a) Mycophenolate should be continued during pregnancy
b) Mycophenolate should be continued for the first trimester then discontinued
c) Mycophenolate should be discontinued at least 6 weeks prior to trying to conceive
d) Mycophenolate should be discontinued at least 12 weeks prior to trying to conceive
What is the content of monophasic contraceptive pill?
a. Constant dose of estrogen
b. Variable dose of progesterone
c. Constant dose of estrogen and progesterone
d. Variable dose of estrogen and progesterone

…..Good luck….Aya Elshehabi

Which of the following is correct direction for diclofenac
a) Take with food or milk to avoid gastric irritation
b) Take half an hour before food
c) Take with fatty meals to increase absorption
d) Take 2 hours before food
A 60-year-old man with a history of angina pectoris is complaining of shoulder pain. Which
of the following analgesics inversely affect his condition?
a. Acetaminophen
b. Celecoxib
c. Morphine
d. Codeine
Which of the following vaccine is CI in pregnancy?
a) Hepatitis B vaccine
b) Influenza virus vaccine
c) Varicella zoster vaccine
d) Meningococcal polysaccharide vaccine
Any live attenuated vaccine is CI in pregnancy (another example MMR)
Which one of the following Ca channel blockers is a non-dihydropyridine drug?
a. Nicardipine
b. . Amlodipine
c. Nifedipine
d. Diltiazem
Which one of the following is an important counselling point for woman starting on Fingolimod (treat
relapsing of MS)
a) Must use effective contraception to avoid pregnancy during and for 2 months after treatment
b) Pregnancy should be avoided for 6 months after discontinuation of drug
c) Use effective contraception to avoid pregnancy during treatment
d) Fingolimod is safe during pregnancy
Which one of the following medications can be dispensed without prescription?
a. Metoprolol 100 mg
b. Ibuprofen 400 mg
…..Good luck….Aya Elshehabi
c. Insulin vials
d. Aripiprazole 10 mg
A 60-year-old man with history of HF presents with acute attack of gout in his left toe with excruciating
pain. He rates his pain as 10/8. Which of the following medications could have contributed to his acute
gout?
a) Losartan 20 mg daily
b) Furosemide 40 mg daily
c) HCT 25 mg daily
d) Carvedilol 25 mg BID
A 60-year-old man with history of HF presents with acute attack of gout in his left toe with excruciating
pain. He rates his pain as .10/8
Which is the best treatment?
a. Aspirin 300 mg daily
b. Diclofenac 75 mg daily
c. Allopurinol 300 mg daily
d. Colchicine 600 mcg daily
Which of the following is a high intensity statin
a) Lovastatin 40 mg HS
b) Pravastatin 40 mg HS
c) Simvastatin 40 mg HS
d) Atorvastatin 40 mg HS
A patient who is on warfarin therapy takes ginger supplement, in order to see any
interactions, which reference would be most appropriate?
a. Red book
b. Merk manual
c. Review of natural products
d. Handbook on injectable drugs
Which of the following are involved in practicing evidence-based medicine?
a) Searching the literature for relevant clinical articles
b) Evaluating and critically appraising the evidence for validity and usefulness
c) Implementing useful findings in clinical practice

…..Good luck….Aya Elshehabi

d) All of the above
A 45-year-old man with bipolar disorder has been stable on lithium for 12 months. He is due
for his routine laboratory work up. Which of the following electrolyte imbalances will
predispose him to lithium toxicity
a. Mg
b. K
c. Ca
d. Na
A 65-year-old man with a history of chronic NSAID use presents with melena. the
endoscopy shows erosive esophagitis. Which of the following drugs will be most appropriate
treatment?
a) Ranitidine
b) Sucralfate
c) Lansoprazole
d) Metoclopramide
A 65-year-old man was diagnosed with Type II DM 5 years ago and he is on oral biguanides.
His routine follow ups and laboratory workup is scheduled. Which of the following
additional tests is recommended.
a. Vit C
b. Vit D
c. Vit B 12
d. Electrolytes
. The physician is asking the pharmacist about when to discontinue clopidogrel before an
open-heart surgery.
What should the pharmacist suggest?
a) Discontinue 3 days before surgery
b) Discontinue 5 days before surgery
c) Discontinue 2 weeks before surgery
D. Risk of bleeding is minimal, continue clopidogrel
A 68-year-old woman with type 2 diabetes, neuropathy, and seizures has been newly

…..Good luck….Aya Elshehabi

diagnosed with depressive illness. Which medication would be best to initiate?
a. Bupropion
b. Duloxetine
c. Paroxetine
d. Amitriptyline
What information should be provided to a patient on fentanyl transdermal patches?
a) Avoid increase in body core temperature
b) Rotate the site of application to avoid tolerance
c) Store patches in the refrigerator to decrease stinging sensation
d) Apply heating pads on the transdermal patch to improve absorption
A 27-year-old pregnant woman has been recently diagnosed with iron deficiency anemia. Her hemoglobin
is less than 11 g/dl What would be the best recommended?
a. Ferrous sulphate tablets with cup of tea/coffee
b. Ferrous sulphate tablets on an empty stomach
c. Ferrous sulphate tablets with antacids
d. Ferrous sulphate slow-release tablets
What would be the expected change in the clearance of medications in acute renal failure?
a. Clearance of drugs eliminated mainly by the kidney increases
b. Clearance of drugs eliminated mainly by the kidney decreases
c. Clearance is a constant parameter and it's affected by the drug dose
d. Clearance is a constant parameter and it's affected by the drug concentration
Which is the anticoagulant preferred during hemodialysis procedure?
a) Unfractionated heparin
b) Apixaban
c) dabigatran
d) Enoxaparin
Which of the following OTC medications can be given to 31-year-old man with dry cough
a. Ambroxol
b. Levosalbutamol -maybe
c. Guaifenesin
d. Dextromethorphan -not sure
…..Good luck….Aya Elshehabi
A drug that causes serious interaction with simvastatin
a) Amiodarone
b) Lidocaine
c) Quinine
d) Ciprofloxacin
Which medication would you avoid administering with calcium?
a) Amoxicillin
b) Ciprofloxacin
c) Nitrofurantoin
d) Ibuprofen
Two drugs increases lighthedness
a) Atenlol and Atorvastatin
b) Atenlol and lisinopril
Which drug causes faint
a. Diazepam
b. Ramipril
New cardiovascular drug is making hard bloch of b1 agonist what likely can hpeen
a) Palpitation
b) Sweating
c) Extrapyramidal side effect
d) Cough and wheezing
High risk compound and highly reactive (include moist). did not mention sensetive to heat /temoerature
or not
a. Depyrogenation
b. Filteration
c. Autoclave
d. Dry heat
Alkaline parentral did not mention alkali sensitive
a) Type I
b) Type II
c) Type III
…..Good luck….Aya Elshehabi
Prescription is received at pharmacy dispensed 14 days ago which drug in the prescription will not
bother you as pharmacist
a. Benzodiazepine
b. B-Blocker
c. narcotics
pt with severe insomnia what is the best initial treatment?
a) Diazepam (dose) for 7 days
b) Nitrazepam..
c) Zopiclon (dose) for 28 days

Notes:
Generic drug : generic substitute ‫مثيل‬vs theraputic substitute‫بديل‬
Asprin high doses….metabolic acidosis
High alert medication:amidarone,digoxin,dopamine,epinephrine,gentamycin,heparin,ins,morph,nor
adrenaline,phenytoin,k,propofol,tacrolimus
Phenoparb in ethanol or d5w not in water it will precipitate
T4 1 or less to 2and 3
Tsh:
INR (2.5-3.5)
bleeding
more than 10 stop wairfarin and admin vitK5-10mg
Less than 10 stop wairfarin and admin vitK2.5-5mg bid
Opioid -post op pts-must be graduall
Soy milk and levothyroxin interaction
Inducers---increase doseof affected/decrease meds effect---
…phenytoin,carbamezipine,ethanol,.smoking,thioph,rifami,oc,grsofulvin,
inhibitors:azoles,fibrate,allopurinol,isoniazide,thymitidine,ereythromycin
Analgesic misuse--- chronic headache
Propylthiouracil /carbimazole tx for hyperthyroidism
Hyperparathyroidisim=senacalcit
Parathyroid hormone=increase blood calcium
Ph of gasteric 1.5-3.5
…..Good luck….Aya Elshehabi
Intestine ph 6-7 almost neutral
Absop drug from intestine1-lipophilic drug---passive diff
2-Hydrophilic-----pores and gaps btw cells
3-active transport----huge drug
Hb 113-16.5 male
11,5-15 female
Anemia hb very low ferrous/folic acid daily
Dose of narcotic numbers and letters…..Discard by admins by and witness
Vertical laminar flow cleaning mistake spoilage of alcohol we swab only
Uti:nitrofuran
Uti for pregnant-- nitrof, kidney issue: sulfamethaxole,trimethoprime if crcl more or=to15….. start
quinilone(dose adjusment),cotramoxazole..ciprofloxacine… crcl more than 15ml/min ciptrim…if crcl
less than 15 quinilones not suitable for elderly/sever kidney…..study uti guidline also
cephalosprin/pencillin can be used in uti
GFR more than 60 can give nitrofuran normal GFR 90-120
K:3.5-5.2 meq/l=mmol/l
Na:135-145 meq/l=mmol/l
Ca:2.1-2.5 meq/l=mmol/l
Ca:8.5-10.2 mg/dl
Cotramoxazole and quinolone c/I in preg
Phenytoin st,syndrome 7-14 days symptoms appear so stop bec syndrom is lethal
Noac new anti coagulation with atorvastatins or rosovastatins
Nitroglycerin….glasss and frdge more stable more than in room temp donot store in plastic
Uv for swfi sterilazation
Digoxin ok for preg cat c
Clopidpgrel and statins=may interact with eachother
Phenytoin and warfarin c/I in pregnancy
Valproate risk benefit ratio
buprinorphine not cause Qt prolongation
Fentanyl patch…. avoid increase in body core temp
Ferrous tabs best taken on empty stomach

…..Good luck….Aya Elshehabi

Glucose less than 70---hungery ,anger,sweat,headache,cold
Less than 50 dizzness trople speeking
Less than 40 seaziure, coma,death
Fentanyl store: avoid moisture and temperature
Foot diabetic infection:coamoxclav 1g bid if allergy avoid bta lactam:clinda,azithromycin
Acute asthma prednisolone 40-80 mg the answer can be theophyllin study asthma file drugs doses
Tacrolumus---wash hand ,sun screen spf15 not effective
Autoclave,dry heat,depyrogination….c/I in heat sensitive alternative chemicals like sevofuran
high intensity statins
Atorvastatin (Lipitor) 40 mg.
Atorvastatin (Lipitor) 80 mg.
Rosuvastatin (Crestor) 20 mg.
Rosuvastatin (Crestor) 40 mg
Simva and amiodarone: liver damage and rabdomylysis
Aspirin doses
Prophylactic
Tx
indications
Light hidness meds:
Ldopa-may affect b6 (decrease)
Schemic heart disease: single or dual anti platlet , high intensity statins, vasodailator (adj therapy) b-
blocker
Insulin Denaturation: exessive heet /cool
Heat: prownish color with percipitation
Cool:crystalyzation percoptation white color
Amitriptyline increases weight also diabetes
Hb1ac 4.5-6…7prediabetic…more than or = 10:take insulin
Buprenorphine for smoking cessation and decreases seizures threshold
Metformin:lactic acidosis in advanced age,pcos tx,cause periphral neuropathy so give vit b6
Lithium act on same na receotor : sodium high lithium low
Acetyl systien anti dote of pcm and used for kidney protection (force execretion)
…..Good luck….Aya Elshehabi
questions about enzyme inhibitor and 1 q about inducer
drug cause tendon rupture…. Ciprofloxacin
Question about isotretinoin the patient is taking folic acid and another drug , what to do before starting
the drug ….I chose call the physician and make sure patient is not pregnant
How to discard fentanyl patch….policy
Look like sound like medicine storage condition
Root cause steps
Types of prescription errors
Why cant freeze certain medications
Vaccine storage condition scenario
Different type of rout of administration specification (trans-dermal,SC,coated tablet,XR tablets )
Different medication storage material (radioactive,cancer ,heat sensitive)
Q about what to write in control book (choices has vouch number and expiry date)
High alert medication …… a. warfarin b.insulin……
A sterile preparation was prepared in an aseptic area, wat are the precautions that should be taken
Questions about UTI in stage 4 chronic kidney disease and UTI in pregnancy

Medical error:…. near miss

Chemotherapy medication has a 30% chance of causing neutropenia: capicitapine

Some in nanogram - some in mg - One option don’t monitor and don’t give

Which of the following medicines can let you question the homecare giver - cyano or s.th toxic

Question about apixaban

Question about amilodipine
2 questions about renal clearance, contraindications
Q about hypertention
Question about type of errors:
a. Type I (major)
b. Type II (mild)
…..Good luck….Aya Elshehabi
c. Type III (minor)
Dr wants to change anticoagulant for discharge pt from IV to Noac which of the following patients have
the best criteria to take
4) pts taking multiple medicines including atorvastatin rosuvastatin clopidogrel aspirin

Patient taking many medicines developed hyperkalemia, which statement is correct (asking about the
reason)
- Different medications interacting b/w each other.
eczema
vasculitis
liver dysfunction
nephritis
You notice that stock of pethidine is missing week after week, you removed pethidine and started
monitoring the staff. what is the sign you are looking for in the staff.
Patient is taking the following drugs amiodarone, ibuprofen,.. Suddenly his TSH level
drops that’s because of which drug
Case about morphine sulphate and other morphine salt with different amount and different duration.
Some drugs with prescription, pt want to dispense in multilayered packaging, which drugs are in same
compartment (box) like;Prescription contains digoxin, amlodipine, warfarin, prasugrel
Uti contraindictd in elderly man, chronic kidney pt
Nitrofurantoin was there(Option)
2 or 3 drugs stating different medications and asking which disease is the patient
suffering from
A patient taking losartan, ibuprofen & metoprolol and he came for a prescription of
Lisinopril-renoprotective his ceratinine is already high what will you do….search
A mother came with her daughter who is having open blisters on face and neck having
filled with fluid, which drug you will give….in exam may be calamine lotion for itchness(check if used in
open blisters) soothing agent some pain killers(NSAID…aspirin/ibuprofen) and antiviral ,antihistamine
(check if used in tx of chicken box/shingles) are pom… some qs diffrentiate btw otc vs pom….if not refer
to doctor
Citrizine with saline question asking about cause of cloudy precipitation
I choose citrizine ppt
Not remembering the choices but i select 50 mg atenolol once daily

…..Good luck….Aya Elshehabi

Drug cause tendon rupture? Ciprofloxacin
about what to write in control book , it already has medicine name, quanityAhet to add (choices has
vouch number and expiry date)
Patient has 6 drugs wants to put them in a plastic container for drugs what are the two medicines that
shouldn’t be put together
Patient was taking 3 drugs, before them he was taking other different 3 drugs, what is the disease he is
suffering from
Other Q to guss the disease from drugs 1 mcq :TB and laprosy other mcq : parkinsons disease and
multiple scelerosis
Q about head injury and pt was unconsuss
Q drug-drug interaction
Anew drug is received at pharmacy the documant cotain info related to dosembrandmgenericmprice m
exp..ect.what additional info would the pharmacist need in documentation
a. Manufacturer’s adress
There was 1 question insulin will be taken 3 times per day which one ?
a) Lantus Humalog

A company is marketing a new drug with a film coating---Stomach – absorbed pass stmach acidity then
medium controll the release
Interic coated: resist intestin acidity
A company is marketing a new drug and these are the specificationsStomach - absorbed t 2 - 2/1 hrs
immiediate release
Packaged in a 1,000 tabs in a machine (something like that) attration
7.Pt taking b agonist fr copd with inhaled corticosteroids had oral thrush and treated wit medicine. Aftr
2,3 weeks came to doctr with light headedness nd dizziness,.. wat is the cause
Question about arrhythmia
Q about Safe ppi
Quest. About the drug and grapefruit
Adalilumab ques.
Drug belongs to which class A,B,C forgit the drug name
Old pattern contain same Q about anti arrythmics
Drug used to decrease side effect of amlodipine?
- Not remembering the choices but i select 50 mg atenolol once daily

…..Good luck….Aya Elshehabi

One question I had about prescription error,that he dispense one medication and after two weeks the
patient came suffering from symptoms ,when the Pharmacist checks the inventory,he found that
dispensed wrong medication? What possible is the wrong medication. The choices have LASA
medications with brand names and same strength
Study about drug- drug interactions Simavstatin /ccb/digoxin/ACEVantiplatelet/epilepsy drug.
Drugs afect GFR+Cerium creatinine @cases about Copd (emergency case, sever case, management
case) same for Asthma
What is the caution when prepare potassium solution ..
Diluted with huge amount of water
drug x is delivered, the temperature was noticed througout the time it was within the rang. On arriving
the temperature reached 45 and the optimum temp for drug is 30. What will you do.
pt take gentamicin , side effect I think vestibular problem
pt take gentamicin , side effect after administration
Crystallization and precipitation are two different things. Crystallization is reversible whereas
precipitation is not since a new substance is produced. The qstn in my exam said 20% mannitol so you
should look at the percent carefully
Difference b/w licensed & not licensed drugs
2Qs about ulcerative colities
Same condition different drug-this question in august
a. Pharmacist tell the prescriber
b. Should label…….
1 Q about Hba1c-read about normal values
About auxelliry lables
Aspirin doses cant remember for what….1g,75mg,300mg two times, 75mg four times Q about
prophylactic dose 75 or 300
Sod valproate wash out period before pregnancy .. 14 days.
Overall I got about 10 calculations of which 8 are so easy and very direct .. actually the other 2 i
was about to run out of time and couldn't think well about I think one was for the allegation
method question but I had no time to think .. others were very straight forward and easy ...Most of the
exam was about diabetes and gastro .. i got 2 questions asthma .. 1 or 2
kidney.. 1 to 3 heart ... it's very important to know insulin brands ..
Most of the cases were long and basically asking about d-d interactions or side effects
and drugs inducing side effects ...

…..Good luck….Aya Elshehabi

Metformin c/I in elderly due to lactic acidosis
A diabetic pt witj htn and dislipidemia was orderd to take aspirin 81 and bisobrolol 5 mg and lisinopril
20 and atorvastatin 40 and metformin 1g what is the medication error the doctor made?
Psoriasis question
I got 2 questions about vaccines :
There is a group of vaccines together and the temp changed to freeze 0 to 2
.. which one will be the most sensitive vaccine and damage
You received a big quantity of vaccines and put in the refrigerator and then
sth happened or there was a sound alarming sth like that and they are
asking why this happened what is the possible cause

One question was a child took a big quantity of medicine he got gastric pain
and other symptoms they are asking which one to cause these symptoms
study DoH copd and asthma files which i will share very well

I got the carbamezapine enzyme inducer question only from the other
forms and that question for when u r sick what to do call manager and tell
him to find a recover or call the pharmacist in the night shift to cover ur
shift don't remember other choices
know Amiodarone everything related to it, focus on knowing
indications of drugs when u see a drug to be able to match it with the
indication, the App questions she got like 3-4 of them, Steroid calculation,
focus on Insulin Brand Names , normal levels of Electrolytes (K,Na,Ca..)
Disulfram like reaction
Seratonin syndrom
Prednisolone tapering dose
Antimycobacterial drugs
Compare drugs below with tuberculosis therapy for an overview
The four drugs used as first-line treatment are “RIPE”: Rifampin, Isoniazid, Pyrazinamide,
and Ethambutol.
Rifamycins

…..Good luck….Aya Elshehabi

Drugs
Oral or IV rifampin (rifampicin)
Oral rifabutin
Mechanism of action
Obstruct bacterial protein synthesis by inhibiting bacterial DNA-dependent RNA-polymerase, thus
preventing transcription
Bactericidal
CNS penetration: only when meninges are inflamed
Route of elimination: biliary
Clinical use
Mycobacteria
Tuberculosis
In combination with dapsone and clofazimine: leprosy
Haemophilus influenzae type b prophylaxis
Gram-negative coccobacillus that can cause life-threatening acute epiglottitis in children
Meningococcal prophylaxis
Adverse effects
Harmless orange discoloration of body fluids (e.g., urine, tears)
Flulike symptoms (fever, arthralgia and in severe cases hemolytic anemia, thrombocytopenia, renal
failure)
Hepatotoxicity
Resistance develops rapidly if used as monotherapy
CYP induction (CYP3A4, CYP2C9)
Contraindications
Hepatic failure (relative contraindication)
Pregnancy (relative contraindication)
The 4Rs' of rifampin: RNA polymerase inhibition, Ramping up of cytochrome P450 activity, Red or
orange colored urine, and Rapid developement of resistance if used alone
Isoniazid (INH)
Mechanism of action
Prevents cell wall synthesis by inhibiting the synthesis of mycolic acid

…..Good luck….Aya Elshehabi

Bacterial catalase-peroxidase converts isoniazid into its active metabolite.
Decreased expression of catalase-peroxidase confers bacterial resistance.
Bactericidal
CNS penetration: variable (20–100% of serum concentration)
Route of elimination: renal
Clinical use: treatment and prophylaxis of M. tuberculosis; first-line monotherapy for latent TB
Adverse effects:
Hepatotoxicity
Drug-induced systemic lupus erythematosus
Vitamin B6 deficiency :
Peripheral neuropathy due to S-adenosylmethionine accumulation
Sideroblastic anemia, aplastic anemia, thrombocytopenia
Optic neuropathy
Contraindications
Hepatic failure (relative contraindication)
Pregnancy (relative contraindication)
INH Injures Neurons and Hepatocytes!
Neurotoxicity and lupus may be prevented by supplementing with pyridoxine (vitamin
B6)!References:[14]
Pyrazinamide
Mechanism of action
Not completely understood.
Bactericidal
CNS penetration: only when meninges are inflamed
Route of elimination: renal
Clinical use: M. tuberculosis
Adverse effects
Hyperuricemia → gout
Hepatotoxicity
Contraindications
Hepatic failure (relative contraindication)
…..Good luck….Aya Elshehabi
Pregnancy (relative contraindication)
Ethambutol
Mechanism of action
Prevents cell wall synthesis by inhibiting arabinosyltransferase
Bacteriostatic
CNS penetration: only when meninges are inflamed
Route of elimination: primarily renal
Clinical use
M. tuberculosis
M. avium-intracellulare
Adverse effects
Optic neuritis, retrobulbar neuritis → ↓ visual acuity and red-green color-blindness→ can result in
irreversible blindness
Resistance develops rapidly if used as a monotherapy.
Contraindications
Children (relative contraindication)
EYEthambutol causes optic neuropathy!
Dapsone
Mechanism of action
Prevents synthesis of folic acid by acting as a competitive antagonist of para-aminobenzoic acid (PABA)
Bactericidal or bacteriostatic
Route of elimination: mostly renal
Clinical use
M. leprae
Alternative to TMP/SMX for the prophylaxis of P. jiroveci pneumonia
Alternative to sulfadiazine + pyrimethamine for toxoplasmosis
In combination with pyrimethamine as an alternative to standard therapy for chloroquine-
resistant malaria
Adverse effects
Methemoglobinemia
Triggers hemolytic anemia in G6PD-deficient patients

…..Good luck….Aya Elshehabi

Gastrointestinal side effects
Peripheral neuropathy
Contraindications
Patients with G6PD deficiency
For people with diabetes, blood sugar level targets are as follows: Before meals: 4 to 7 mmol/L for people
with type 1 or type 2 diabetes After meals: under 9 mmol/L for people with type 1 diabetes and under
8.5mmol/L for people with type 2 diabetes
UTI case obviously the answer is Nitrofurantoin
-Pregnant lady with UTI: also give Nitrofurantoin
-Elderly patient with reduced GFR: don’t give Nitrofurantoin, give Trimethoprim
Asthma guideline
1- SABA inh on need
2- SABA inh on need + Corticosteroid inh 400mcg
3- SABA inh on need + Corticosteroid inh on need 800mcg + LABA
4- SABA inh on need + Corticosteroid inh 2000mcg + LT inh or theophylline
-Inhaled SABA
-Inhaled SABA + Inhaled corticosteroids
-Inhaled SABA + increase DOSE of Inhaled corticosteroids
-Inhaled SABA + increase DOSE of Inhaled corticosteroids + LABA
THEY ARE PUTTING PRRSSURE ON (MUST BE DILUTED)
Before use, perform the following checks:
Inspect each container. Read the label. Ensure solution is the one ordered and is within the expiration
date. Verify that closure is black and is printed with the words "MUST BE DILUTED".
Invert container and carefully inspect the solution in good light for cloudiness, haze, or particulate
matter; check the bottle for cracks or other damage. In checking for cracks, do not be confused by
normal surface marks and seams on bottom and sides of bottle. These are not flaws. Look for bright
reflections that have depth and penetrate into the wall of the bottle. Reject any such bottle.
Remove plastic cap
IN ANOTHE RLINE THEY ARE SAYING USE GLASS CONTAINER
Potassium Chloride for Injection Concentrate USP (2 mEq K+/mL) is supplied sterile and nonpyrogenic
in 250 mL glass containers with solid stoppers, Pharmacy Bulk Packages, packaged 12 per case.

…..Good luck….Aya Elshehabi

…..Good luck….Aya Elshehabi
…..Good luck….Aya Elshehabi
…..Good luck….Aya Elshehabi
…..Good luck….Aya Elshehabi
…..Good luck….Aya Elshehabi
…..Good luck….Aya Elshehabi
…..Good luck….Aya Elshehabi
…..Good luck….Aya Elshehabi
…..Good luck….Aya Elshehabi
…..Good luck….Aya Elshehabi
…..Good luck….Aya Elshehabi
…..Good luck….Aya Elshehabi
…..Good luck….Aya Elshehabi
…..Good luck….Aya Elshehabi
…..Good luck….Aya Elshehabi
…..Good luck….Aya Elshehabi
…..Good luck….Aya Elshehabi
Calculation:
A patient is started on dopamine 5 mcg/kg/min. A patient weight is 60 kg. How many
milligrams of dopamine will be administered and 24 hours?
a) 43 mg
b) 180 ml
c) 432 mg
d) 1800 mg
How many grams of dextrose are present in 100 ml of 10% dextrose solution?
a. 1 g
b. 10 g
c. 100 g
d. 1000 g
A patient is receiving 5% dextrose saline at a rate of 100 ml/h. How many liters he would
receive in 20 hours?
a) 2L
b) 3L
c) 4L
d) 6L
Calculations about different dosage forms
Total volum from different dosage forms
IV
Stock solution
Calculate the number of tablets to be dispensed based on the prescription
drug x is formulated as patch, it contain 1mg , deliver 50microgram each
1hour for up to 72 hr , what is the bioavailability
A cream contains 3% w\v of a drug; you want to dispense 30mg of the drug in the syrup
drug x formulated as patch , contain 1 mg medicine, delivers 50 mcg, what will be the bioavalability in 72
hours.

…..Good luck….Aya Elshehabi

A4 year old child needs …. unites ex:4 of drug/hour.smallest vial contains 4200….ex:mch.how mach
amount will you take from the vial
pateint was traveling with insulin, bought a box of insulin containg 5 pens. He wants to take only pens
require. His dose is 18 -16 -14 , hes traveling for 14 days , how many pens he will take ……3 pens
Pt taking insulin 100 u in 1 ml pt will travel he usually take 3 ml penfill when I calculate the unitshe need
during the trip six hundred sth for 14 days how many prefill of insulin he will take.
.5 .4 .3 .2 1
Pharmacist had open the bottle four days ago. Now we need to dispence some quantity from that bottle to
patient.Expiry date is not being mentioned be he is informed that it will be valid after opening for 28
days. According to pharmaceutical law it will expire after 6 months,whatwill be the expiry you will put
a) 24 days
b) 28 days
Pt. taking 500mg twice daily tablet wants to shift to oral solution. Pharmacy has
125mg/5ml of oral solution in stock. The bioavailability of tablet is 0.6 and oral
solution is 0.8. How many ml of oral solution must be given if the prescription
calls for 3 days
a. 45ml
b. 100ml
c. 300ml
d. 90 ml
18._mg _x daily 7/21
Packaged in a 125mg/5ml 200ml bottle. Bottle expires after compounding .7/7
How many bottles to be dispensed(My answer was
around (2.1)
a) 2
b) 3
c) 7
d) 10
what is the half-life of a drug A if it's elimination rate constant is 0.02 per hour?
a. 20
b. 28
c. 35

…..Good luck….Aya Elshehabi

d. 48
form. How many mg will be dispensed if it contains 3mg in 0.5ml
A patient weight is 50kg came with a prescription of prednisolone 1mg\kg , prescription
states that to prescribe 50mg for 2 weeks, a dose reduction of 5mg for the next 2 weeks
once daily & once weekly for the next one month , the strength of tablets is 5mg each .
How many tablets you will dispense
patient's presents a prescription with prednisolone. It is advised to start the therapy with 40
mg for 7 days followed by a reduction of 5 mg every 3 days until finished. How many 5 mg
prednisolone tablets are needed to be dispensed?
a. A. 60
b. B. 130
c. C. 140
d. D. 160
How many parts of 90% solution and how many parts of 50% solution is required to prepare
80% solution?
a) 40 parts of 90% solution and 40 parts of 50% solution has to be mixed to get 80% solution
b) 30 parts of 90% solution and 10 parts of 50% solution has to be mixed to get 80% solution
c) 50 parts of 90% solution and 30 parts of 50% solution has to be mixed to get 80% solution
d) 60 parts of 90% solution and 20 parts of 50% solution has to be mixed to get 80% solution
10 .87 ml ampule of 3% drug, how many mL required to give 150 mg dose?
a. 3 ml
b. 5 ml
c. 7 ml
d. 9 ml
An NSAID has dose of 200 mg and oral bioavailability is 80% and t2/1 is 4 hours. How
much drug will be remaining after 12 hours?
a) 20 mg
b) 40 mg
c) 80 mg
d) 60 mg

…..Good luck….Aya Elshehabi

A 25-year-old woman with history of migraine associated with aura has taken ergotamine
2mg sublingual tablets at first sign of migraine, then 2 mg every 30 minutes as needed.
What is the maximum number of ergotamine tablets that can be used in one week?
a. 4
b. 5
c. 6
d. 7
Max 3 per day and 5 per week
What is the recommended Digoxin dose for a 36 month old infant weighing 17kg
12-0 months - 14mcg
24-12 months - 11mcg
5-2 years - 9mcg
10-6 years - 7mcg
Answer: 153mcg
Rx menthol 0.6% simple syrup as ad 100ml how many gramsof menthol to be used
6,60,0.6,1.2
Solution of drug has 0.1% express it as parts per million:1000ppm

…..Good luck….Aya Elshehabi

…..Good luck….Aya Elshehabi
…..Good luck….Aya Elshehabi
…..Good luck….Aya Elshehabi
…..Good luck….Aya Elshehabi
…..Good luck….Aya Elshehabi