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34. A drug information response contains an important uncertainty because evidence is conflicting. What should the pharmacist do?

A. Hide the uncertainty
B. Clearly communicate the strength and limitations of the evidence
C. Select the most convenient answer
D. Present speculation as fact

#PharmacyRxplus online class Question 2027
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1. A 67-year-old patient presents with a prescription for warfarin 5 mg once daily. The pharmacist notices that the prescription also contains trimethoprim-sulfamethoxazole for 7 days. The patient reports easy bruising. What is the most appropriate immediate action?

A. Dispense both medicines and advise taking them with food
B. Replace warfarin with aspirin
C. Identify the potential interaction and contact the prescriber before dispensing
D. Tell the patient to stop warfarin for 7 days

#PharmacyRxplus online class Question 2027
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100. A 68-year-old patient with diabetes, hypertension, CKD, osteoarthritis, and heart failure takes 10 medicines. They report dizziness and falls. The patient also uses OTC ibuprofen and occasionally skips medicines because of cost. What is the most comprehensive pharmacist intervention?

A. Add another medicine for dizziness
B. Stop all prescribed medicines
C. Perform medication reconciliation and comprehensive medication review, identify potentially inappropriate/duplicative therapy, assess renal dosing and NSAID risk, evaluate adherence and affordability, and communicate recommendations to the healthcare team
D. Tell the patient to choose which medicines to continue

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6. During dispensing, a pharmacist notices that the patient's previous prescription contained lisinopril 10 mg daily, but the new prescription says lisinopril 100 mg daily. The patient has no documented dose change. What is the most appropriate action?

A. Assume the prescriber increased the dose
B. Dispense half the tablets
C. Clarify the unusually high dose before dispensing
D. Substitute losartan



100.
A patient is switched from an immediate-release product to a controlled-release formulation. The main intended pharmacokinetic advantage is:

A. Complete elimination of adverse effects
B. More prolonged and potentially smoother drug concentrations with less frequent dosing
C. Guaranteed 100% bioavailability
D. Complete prevention of first-pass metabolism


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48. A prescription contains two medications from the same therapeutic class with no documented indication for duplication.
What should the pharmacist do?
A. Dispense both automatically
B. Clarify the intended therapy and assess for therapeutic duplication
C. Delete one medication without contacting anyone
D. Increase both doses

49. A patient is discharged with 12 medications. The pharmacist identifies that the discharge list differs from the pre-admission medication list, and one chronic medicine has been unintentionally omitted.
What is this process primarily addressing?
A. Medication reconciliation
B. Pharmacokinetic loading
C. Bioavailability
D. Therapeutic drug monitoring

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Pharmacists contribute to public health by:
1, Vaccination support
2, Smoking cessation counseling
3, Diabetes education
4, Hypertension screening
5, Family planning counseling
6, Antimicrobial stewardship
7, Healthy lifestyle promotion

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187. A tablet formulation shows increasing friability after reducing binder concentration. Which explanation is most plausible?

A. Reduced interparticle bonding may have weakened tablet mechanical strength
B. Reduced binder necessarily increases hardness
C. Friability is unrelated to formulation composition
D. Friability is determined only by drug pKa


146. An analytical method gives a result of 98 mg/L when the true concentration is 100 mg/L, but repeated measurements are tightly clustered around 98 mg/L. Which statement is most appropriate?

A. The method may be precise but biased and therefore insufficiently accurate
B. The method is necessarily accurate because results are reproducible
C. The method has no precision
D. Precision and accuracy are identical concepts

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