Download CPJE FINAL SCRIPT 2026 FULLY SOLVED ANSWER COLLECTION and more Exams Clinical chemistry in PDF only on Docsity!
CPJE FINAL SCRIPT 2026 FULLY SOLVED
ANSWER COLLECTION
◉ By protocol, a pharmacist has the responsibility for managing patients with anemia. A 45-year-old woman has the following hematological data (reference values in parentheses): Hgb 11g/dL (12 - 15 g/dL) Hct 33% (30 - 45%) MCV 70 uL3 (80 - 100 uL3) MCH 24 pg/RBC (26 - 34 pg/RBC) What should the pharmacist order for this patient? Answer: Ferrous sulfate ◉ A pharmacist calls the physician to report an increase in INR from 2.2 to 3.6 for a 65-year-old patient with atrial fibrillation who is being monitored on a warfarin protocol. What drug is MOST LIKELY to account for this observation? Answer: Cefotetan ◉ What should be reported to the prescriber indicating an adverse drug reaction to montelukast? Answer: An increase in respiratory tract infections.
◉ The Board of Pharmacy has issued a waiver for offsite storage of records for a pharmacy. The pharmacist must store what in the pharmacy? Answer: The past year of non-controlled prescriptions and the past 2 years of controlled substance prescriptions. ◉ A prescriber wishes to purchase acetaminophen with codeine 60 mg for office use. Which of the statements is TRUE? A. The pharmacist cannot make this sale. B. The prescriber must write a prescription for himself. C. The prescriber must complete a DEA Form 222. D. The sale must be documented with an itemized invoice. Answer: The safe must be documented with an itemized invoice. ◉ A pharmacist receives a call from a nearby pharmacy requesting the purchase of 16 tablets of Mevacor® 20 mg. Which of the following BEST describes the pharmacist's legal requirements? A. The pharmacist can loan, but not sell the drug. B. The pharmacist can only sell an unopened, original container of the drug. C. The pharmacist can sell the drug as long as a record of the sale is maintained. D. The price charged to the pharmacy must be the same as the price charged to a patient.
about the medication and is adhering to the medication regimen. What statement made by the patient would convince the pharmacist that the patient understands how to use the chlorhexidine? Answer: "I use 15 mL undiluted, rinse for 30 seconds, and discard." ◉ The concept of preventing medication errors in the pharmacy is BEST characterized by a process that: Answer: monitors errors over time and reviews dispensing processes. ◉ A pharmacist is checking the accuracy of medications that were to be repackaged into unit dose form by a pharmacy technician. The medication that was to be repackaged is Cardura®. What medication should have been used? Answer: Doxazosin ◉ A pharmacist receives prescription: Cortisporin Otic # Sig: Otic iv AD t.i.d. x 7d Place 6 drops in left ear 3 times daily for one week. 5 mL Hydrocortisone/Polymixin B/Neomycin Otic Drops (FG) Exp. 1/ The pharmacist should...
Answer: Correct dose to be administered and the site of administration. ◉ A clinical coordinator at a medical center wishes to prepare a quality assurance report on patients receiving tobramycin per pharmacy protocol. What should be documented to assist in evaluating the appropriateness of therapy? Answer: Serum Creatinine and Culture and Sensitivty ◉ An order for phenytoin 300 mg IV is written. The pharmacy technician prepares this dose in 150 mL of D5W in a plastic bag and labels it to be infused over 10 minutes. What describes the error made by the technician? Answer: The diluent used should not have been D5W. ◉ If a burglary occurs within a pharmacy and controlled substances are stolen, the pharmacist must report the loss to the Board of Pharmacy within Answer: 30 days ◉ A hospital pharmacy has agreed to participate in an investigational drug study that will be double blinded. The manufacturer sends the initial supply to the pharmacy. The pharmacist should
◉ A patient comes into the pharmacy with a new prescription for triamcinolone 0.1%. The pharmacy technician realizes that triamcinolone comes both as a cream and an ointment. The technician phones the physician's office to ask for clarification on the prescription. The nurse checks the patient's chart and tells the technician that the physician prescribed the ointment. What is the MOST APPROPRIATE action of the technician? Answer: Fill the prescription once the pharmacist clarifies the order with the physician's office. ◉ A pharmacy computer fails and will not be available for the next hour. While the computer is down, the pharmacist has a patient requesting a refill. The patient has brought in the original prescription container and the pharmacist has verified that a refill is available. What is LEGAL and in the best interest of the patient? Answer: Prepare a label, fill in a new container, and record this on the back of the prescription. ◉ In order to make a generic substitution; a pharmacist must do what? Answer: Notify the patient of the substitution. ◉ Which of the following FDA-approved agents require that physicians comply with special safeguards and educational requirements before the drug can be dispensed?
- thalidomide (Thalomid®)
- dofetilide (Tikosyn®)
- quinupristin/dalfopristin (Synercid®)
- drotrecogin alfa (Xigris®) Answer: Thalidomide and Dofetilide ◉ A medication error resulting in serious patient harm has occurred in a hospital, and a root cause analysis is conducted. The results of the analysis indicate that similarity in generic name may have been involved. This should be reported to the Answer: FDA and Hospital pharmacy and therapeutics committee ◉ A hospital's Pharmacy and Therapeutics Committee decides to retain triamcinolone acetonide 0.1% cream as the medium potency product of choice. Which of the following is a medium potency preparation that should be removed from the formulary? A. fluocinonide 0.01% cream B. mometasone 0.1% cream C. desonide 0.05% cream D. clobetasol 0.05% cream Answer: Mometasone 0.1% cream ◉ A pharmacist is conducting a medication use evaluation to assess the potential adverse effects of metoclopramide. For those patients
◉ A pharmacist wants to document and evaluate the prevalence of Clostridium difficile colitis from antibiotic usage. What should be monitored to obtain the highest yield for identifying this potential adverse drug reaction? Answer: medication orders for oral metronidazole ◉ A pharmacist is revising the hospital's adverse drug reaction policy and procedure. The pharmacist wishes to include guidelines for analyzing possible reactions. What recommendations should be placed in these guidelines? Answer: 1. Determine if the drugs on the patient's profile have ever been associated with causing the reported reaction.
- Assess how the patient may have responded to any interventions made after the reaction was noted. ◉ At a minimum, the adverse drug reaction monitoring and reporting program at a hospital should include what? Answer: 1. disseminating adverse drug reaction information for educational purposes
- notifying the prescriber of any suspected adverse drug reaction ◉ A dentist calls and orders Percocet 5/325® for a patient who has had a root canal procedure. Percocet 5/325® is currently out of stock at the pharmacy. The dentist asks for a comparable pain
medication. Which of the following should the pharmacist recommend? Answer: Vicodin ◉ A patient tells the pharmacist that his physician recommended emedastine to treat his allergic conjunctivitis. What statement should the pharmacist make? Answer: "Emedastine requires a prescription." ◉ A pharmacist is presenting monitoring information to a physician while participating on intensive care rounds. Which of the following information should the pharmacist include when the physician inquires how well her patient is tolerating an amphotericin IV regimen? Answer: Serum potassium level Serum magnesium level ◉ A pharmacy that is preparing to open a parenteral solution preparation service installs a laminar flow biological safety cabinet in order to prepare cytotoxic chemotherapeutic solutions. Certification records for this cabinet must be retained by the pharmacy for: Answer: 3 years
◉ A community pharmacy is preparing a new prescription for a patient who is well known to the pharmacy and its staff. What is legal? Answer: The patient may refuse verbal consultation on the new prescription. ◉ A patient who has prescription insurance presents a new prescription for rabeprazole for treatment of a duodenal ulcer. The patient's insurance plan will reimburse proton pump inhibitor prescriptions for up to 4 weeks of duodenal ulcer therapy. What action is CORRECT with respect to reimbursement eligibility? Answer: Advise the patient that this prescription is eligible for reimbursement. ◉ A woman presents a new prescription for pemoline on September
- The prescription is dated March 3. The pharmacist should: Answer: not fill the prescription since it has expired. ◉ A new prescription for allopurinol reads Allopurinol 100 mg PO T.I.D. # The label on the filled prescription vial reads: Take one tablet by mouth two times a day #60 Allopurinol 100 mg tablets Which of the following is an error on the label?
Answer: Dosage frequency ◉ What would indicate that a patient understands why he is taking amoxapine? Answer: "This medication will help my depression." ◉ A patient with psoriasis asks the pharmacist if she can use a skin lotion that contains comfrey. The pharmacist should counsel the patient that: Answer: comfrey-containing products are not recommended for use in any form due to possible toxicity. ◉ A pharmacist is asked to design a monitoring protocol for nesiritide use in a congestive heart failure clinic. The pharmacist should recommend that nesiritide therapy NOT be initiated IF: Answer: the systolic blood pressure is less than 90 mmHg.
