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Which of the following agents would not require a dosage adjustment in an 86-year-old woman with a CrCl < 30 ml/min?


A) Pepcid
B) Reglan
C) Imodium
D) Zantac

Correct Answer

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Which of the following counseling points regarding MiraLAX is FALSE?


A) Adverse GI effects such as gas and bloating are considerably more common with MiraLAX than other laxatives.
B) Results may not be seen for 2-4 days.
C) MiraLAX may be used safely for up to 6 months in patients with chronic constipation.
D) Mix 1 tablespoon of MiraLAX powder with 4-8 oz of water and drink.

Correct Answer

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Which of the following dosing instructions regarding Nexium is FALSE?


A) Oral/IV: 20-40 mg 1 to 2 times daily (dose- and frequency-dependent on indication)
B) 17 g of powder (1 capful filled to line) dissolved in 4-8 oz. of water daily; speak to a physician regarding use > 7 days
C) IV infusion: 80 mg bolus, followed by 8 mg/hour for 72 hours; convert to oral form thereafter
D) Hepatic dosage adjustment: In cases of severe hepatic impairment (Child-Pugh Class C) , maximum dose is 20 mg per day

Correct Answer

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A patient is picking up a new prescription for levothyroxine at the pharmacy counter. You notice that she is also purchasing Maalox from the OTC section. What counseling points are appropriate for this patient?


A) Maalox may decrease the efficacy of levothyroxine; recommend Tums.
B) Maalox may increase the efficacy of levothyroxine; recommend Tums.
C) Separate Maalox from the dose of levothyroxine by at least two hours.
D) Separate Maalox from the dose of levothyroxine by at least 30 minutes.

Correct Answer

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All of the following are indications of prochlorperazine, EXCEPT:


A) Anxiety
B) Nausea/vomiting
C) Peptic ulcer
D) Schizophrenia

Correct Answer

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Which of the following counseling points concerning Tums tablets is FALSE?


A) Patients should consult their doctors if symptoms persist for longer than 2 weeks.
B) Patients should not take more than 7,000 mg of calcium carbonate daily.
C) Tums may be taken at the same time as ciprofloxacin.
D) Tablets should be chewed before swallowing.

Correct Answer

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Which of the following agents may be used as a prokinetic agent in patients with diabetic gastroparesis and as an antiemetic for chemotherapy-induced nausea and vomiting?


A) Dicyclomine
B) Metoclopramide
C) Prochlorperazine
D) Simethicone

Correct Answer

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Which of the following counseling statements regarding antacids is/are true?


A) Aluminum containing compounds may accumulate in patients with renal dysfunction.
B) Contact a physician if prolonged use (greater than 2 weeks) is required.
C) Patients should separate administration of antacids from other medications by 1-2 hours.
D) All of the above.

Correct Answer

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Which of the following brand: generic name pairs do NOT match?


A) Bentyl: Dicyclomine
B) Prilosec: Esomeprazole
C) Reglan: Metoclopramide
D) Tagamet: Cimetidine

Correct Answer

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Which of the following products contains polyethylene glycol 3350?


A) HalfLytely Bowel Prep Kit
B) MiraLAX
C) MoviPrep
D) All of the above

Correct Answer

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Anticholinergic side effects of dicyclomine include all of the following, EXCEPT:


A) Blurry vision
B) Diarrhea
C) Dry mouth
D) All of the above

Correct Answer

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All of the following statements regarding bisacodyl are false, EXCEPT:


A) Bisacodyl is frequently used as part of a bowel preparation regimen prior to colonoscopy.
B) Bisacodyl is recommended as a first-line agent for treatment of constipation in the elderly.
C) Bisacodyl is recommended for chronic use in patients with persistent constipation.
D) Bisacodyl is better at preventing constipation than treating acute episodes.

Correct Answer

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Anticholinergic side effects of Bentyl include all of the following, EXCEPT:


A) Blurry vision
B) Diarrhea
C) Dry mouth
D) All of the above

Correct Answer

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Palonosetron is only available in which of the following dosage forms?


A) Injection
B) Oral solution
C) Orally disintegrating tablet
D) Rectal suppository

Correct Answer

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Which of the following side effects have NOT been associated with PPI use?


A) Clostridium difficile infection
B) Hypomagnesemia
C) Osteoporosis-related bone fracture
D) QT-prolongation

Correct Answer

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