‫دعواتكم لمن قام بالعمل‬

‫‪SPLE‬‬
‫) ‪July ( 7‬‬
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1. -Pin worm treatment: Mebendazole or albendazole

2. Longest IG : iGG

3. QRS , QT, ST

4.

5. Malaria pic and treatment : quinine

6. Arrows what is B : ACEi

7. black stools : iron

8. CI vaccine in pregnancy

9. pt received influenza ,pneumococcal what vaccine have to take

now

10. example of live vaccine

11. epimar of glucose

12.

13. before meal : AC

14. gtt o.u TID? drop in each eye 3 times daily

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15. -septic shock treatment? fluid then NE

16. -long question.. to make reasearc : meta analysis

17. water for enjection ? sterile water for injection

18. -liraglutide MOA : agonist of the glucagon-like peptide-1 receptor

19. antimalaria: artemether

20. -osteoporosis treatment

21. -open angle glaucoma : pilocarbine

22. -ductus closure management :

23. -pt with absent epilepsy and physician increase her valporate dose

what is the goal : zero epilepsy

24. -natural antiemetic: ginger

25. -rate control in atrial fibrillation : amidrone

26. -you have two injectable medication together what is the source :

27. -pt with social anxiety ,admitted to hospital and was now in

morphine we want to change the medication to decrease

depression which one safe : picrotoxin

28. -what percentage if 2g of medicine need 20ml to dissolve 10.3%

29. -dose 30 css 30 LD ? In mg = 900mg/ml

30. -who is responsible for stock in nurse unit? nurse

31. -heparin antidote : protamine sulfate

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32. what the prevention for renal :vit c , vitD , hydration, healthy food

33. how to solve problem:root of the problem

34. -phagocytosis: Eosinophils or neutrophile

35. WBC: Neutrophils

36. -warfarin gene :CYP2C9

37. -Narnjro scale ? 9

38. -A women take unknown amount of paracetamol 8 hr ago what

to take ? nac

39. -what to decrease triglycerides :

40. physical activity on most or all days of the week. ...

41. Avoid sugar and refined carbohydrates. ...

42. Lose weight. ...

43. Choose healthier fats. ...

44. Limit how much alcohol you drink.

45. double bond :C2H4

46. more sensitive antibiotics

47. -aim and objecive : introduction

48. largest organ in body? The skin

49. dose of ceftriaxone in meningitis iv

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50. herb prevant artery block ? Garlic , nicin, policosanol ,Hawthorn ,

Red yeast rice.

51. malaria pic and renin angiotensin system arrows and bacteria

sensetive agar plate

52.

53. not right to do during blood pressure measuremen

54. (Arm below heart level) The arm must also be horizontal at the

level of the heart as denoted by the midsternal level.

55. interact with statin (ketoconazole)

56. antibiotic for skin infection in 2 years child with penicillin allergy :

SMX/TMP...for skin in pnc allergy.

57. high ALT and AST indicate?liver disease

58. approved drug for bipolar ? lithium and lamotrigne

59. Omeprazole structure is ?

60.
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61. Banzimidazole and pyridine connected together with? : disulphide

bond

62. antidote for atropine ? Phisyostagmin

63. Bnzotropine toxicity treatment? Phisyostagmin

64. use with metronidazole to treat ameoba infection

65. erectile dysfunction treatment in patient with angina and htn and

DM

66. treat heparin induce thrombocytopenia : as lepirudin, danaparoid

or argatroban

67. child take cortisone for 5 days and come to take mmr and dtap ?

take it less than 14 days

68. hypertension in pregnancy : Methyldopa,labeta,ER Nifidipine

69. calculate crcl but Sr cr was by mmol/l

70. essential fatty acid names

71.

72. natural source of fatty acid : Fish and other seafood ,omega
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73. control Css ?I think infusion rate

74. banzotropine antidote : Physostigmine

75. Type of insulin can take by iv? Regular

76. ligase function is bind ?2 DNA fragments

77. amiodarone monitoring : LFT ( liver ) should also be monitored 6

monthly.

78. Cushing syndrome ? Adrenal hyperplasia as a cause of Cushing's

syndrome

79. arrange look-alike and sound-alike drugs(tall man lettering)

80. basophil bind to which ig? IGE

81. prophylaxis of influenza? vaccination every year..

82. Which of the following play a role in calcium homeostasis

A.1,25 - dihydrocycholecalciferol and calcitonin

B. 1,25 - dihydrocycholecalciferol and insulin

C. parathyroid hormone and glucagon

D. Insulin and lipase.

85-Which of the following is an inhibitory neurotransmitter?

A. Aspartate
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B. Serotonin

C. Glutamate

D. Gamma aminobutyric acid (GABA)

86- which of the following immunoglobulin (ig) in mast cell?

A.IgA

B.IgM

C.IgG

D.IgD

87-Which of the following is the function of the Pharmacy and

Therapeutic Committee in a hospital?

A. Responsible for poison management

B. Monitor the adverse reactión reporting FDA

C. Monitor the medication error reporting

D. Responsible for Drug formulary management

88-A 20-year-old man encounters a serious road accident. He is

brought to The hospital with 'deep wounds'. His vaccination history

is unknown. Which of the following would be best to administer to

this patient at this time?

A. Tetanus vaccine
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B. Tetanus immune globulin

C. Tetanus vaccine and tetanus immune globulin .

D.Tetanus vaccine and human papillomavirus vaccine

89-enzyme in cell wall in bacteria?

A.lysozyme

B.lysozysis

99-Which of the following is the time after which morphine

empty vials are to be discarded?

A.3 months

B. 6 months

C. 9 months

D. 12 months

44-Which of the following is used as an electronic medication

dispenser to improve medication adherence?

A. Text messaging

B. Cell phone calendar

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C. E-pill Multi-Alarm TimeCap

D .Med-E-Lert Automatic pill Dispenser

49-Which of the following is the major risk associated with the

use of over-the-counter drugs?

A. Increased cost without benefit X

B. Decreased drug-drug interactionsr

C. Increased potential for misuse and abuse

D. Increased risk of adverse events

56-A 24- year-old male presented to the hospital with a skin

infection the microbiology technician received a sample fo rm

patient the sample in a special media was incubated over 24

hour and showed Staphylococcus aureus. The microbiologist

used disk diffusion method to determine the susceptibility of

different antibiotics (see image) What is the most sensitive

antibiotic? A. Ampicillin

(Amp) B. Vancomycin

(Van) C. Methicillin

(Meth) D. Penicillin (Control)

59-Which of the following terms describes living microbe with

reduced virulence, and used for vaccination?

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A. Virulent

B. Dormant

D. Attenuated .

D. Encapsulated

74-which of the following systems can be integrated with

computerized physician order entry to guide physician during

prescribing medications ?

A.Smart plumbs

B. barcode systems

C.Electronic distribution cabinets

D. Clinical decision support system

76-Whieh of the following method is successful in reducing

medication error and enhance patient safety in hospitals?

A. Performing continuous education sessions on safe

dispensing .

B. Providing the pharmacy with the most updated drug

references

C. Implementation of computerized physician order entry

(CPOE) system

D.Encourage medical staff to participate in conferences and

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scientific meetings regular

An 8-year-old child had difficulty in breathing, swelling of lips

and tongue, and fainted following eating a piece of cake

containing nuts. Which of the following types of

hypersensitivity reactions the child is exhibiting?

A Immune-complex

B. Delayed hypersensitivity

C. Cytotoxic hypersensitivi

D. Immediate hypersensitive

89- A researcher gathered all vitamin E studies from the past

ten years. Vitamin E was used for a variety of condition. The

populations studied as well as the vitamin E formulations and

doses were all different. The researcher compared the Oi sease

incidences of cardiovascular-related mortality in those taking

Cxeti vitamin E supplements versus those that did not. Which

of the following best describe this type of study?

A. Meta analysis

b.Cohort study

C. Observational study
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D. Controlled clinical trial

96- A 20-year-old man patient has had a ro ad accident in which

he suffers from minor injuries (no deep wound). His history of

vaccination is unknown. Which of the following is

recommended regarding the administration of tetanus

vaccine?

. There is no need of tetanus vaccination o

B. Both Td and TIG should be administered

C. Only tetanus vaccination (Td) should be administered

D. Only tetanus immunoglobulin (TIG) should be administered .

98 -year-old pregnant female in labor is admitted to the

hospital. She tested positive for Group B streptococcus

colonization at her 36 week appointment. She has a penicillin

allergy and her culture are resistant to both clindamycin and

erythromycin. What is the recommended treatment for this

patient?

A. Cefazolin

B. Penicillin G

C.Ceftriaxone

D.Vancomycin
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99- Which of the following is an alkylating anticancer agent?

A. cyclophosphamide

B. fluorouracil

C. doxorubicin

D. etoposide

100-Frepeated with-3-66 What is the Latin abbreviation for

"after meals"?

A. A.C.

B. A.A.

C . P.C.

D. I.C.

101-Which of the fallowing is a potential side effect of using

chlorpromazine in an elderly person?

A. dyskinesia

B. constipation

C urinary retention

D. tardive dyskinesia

Which of the following molecules contains double bond ?

A. CH3

B. CNH
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C. C2H2

D. C2H4

103-Which of the following statements best describes drug

dependence

A. discontinuatlon of the drug will produce withdrawal

symptoms

B. action of one drug is dependent on the presence of another

drug

C. discontinuation of the drug will not produce withdrawal

symptoms

D. patients progressively require Increasingly larger doses of

drug to achieve the same effect

104- A 7-year-old boy presents with complaint of itchiness

around the anus at night. Lab tests revealed Enteroblus

vermicularis Infectlon (pinworm infection) .

Which of the following is the most approprlate management?

A. fluconazole

8. praziquantel

C. pantoprazole
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D. mebendazole

105-which of the following drugs passes into mothers milk due

to high liqid solubility?

A.diazepam

C. promethazine

D. dihydroergolamine

106- 49-year-old-woman is regularlydrinking an herbal made

from dry senna fruit she developede severe hepatotoxicity .

which of the following is the active glycoside of the senna that

Is associated with hepatotoxic effectr?

A. flavonoid

B. Saponine

C. triterpene

D. anthraquinone

107-Which of the following Is the timeline where symptoms

start to occur in type-1 diabetes mellitus?

A. as early when destruction of the Islets of langerhans of the

pancreas is starting

B. when 50% of the islets of langerhans of the pancreas are

destroyed
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C. when 70% of the islets of langerhans of the pancreas are

destroyed

D. when destruction of the islets of langerhans of the pancreas

is complete

108-Which of the following conditlons use " the plate method"

as lifestyle modification?

A. asthma

B. dyslipidemia

C. hypertension

D. diabetes mellitus

109-Which of the following can be used safely in a patient with

sulfa allergy?

A. gliclazide

B.furosemidex

c.sulfamethoxazole

D.sodium thiosulfate

110-Which of the following Is the most appropriate regimen

prevent constipation in a patient starting on morphine for

paln?

A. docusate and senna

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B. bisacodyl and lactulose

C. polyethylene glycol and Metamucil

D.methylnaltrexone and magnesium sulfate

111- The treatment of tuberculosis (AntiTB) involves multiple

medication have to be taken for a long period of time. Which

of the following is the best way to ensure patient adhe

AntiTB?

A. Apply Direct Observed Therapy, Short course strategy (DOT

B. Add multivitamins to increase absorption of Ant iTB

C. Interview the patlent to assess their knowledge about

AntITB

D. Review current medications profile to avoid drug-drug Inten

with AntiTB

112- Which of the following is the interpretation of a P-value

of Q.05?

A. There is 0.05% probability that the result are due to random

chance

B. There is 5% probabllity that the results are due to random

C. There is 50% probability that the results are due to random

D. There is 95% probability that the results are due to random

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113-Which of the following is a common enzyme

polymorphism that could potentially alter clopidogrel efficacy

A. Cyp2c7

B. Cyp2c9

. Cyp2c10

D. Cyp2c19

114-what is the recommended prophylactic therapy for pregnant

women colonized with group B streptococcus in labor with penicillin

allergies at high risk for anaphylaxis?

A. Cefazoline

B. Linezolid

C. Penicillin G

D. Clindamycin

115-Which of the following is a side effect of using inhaled

corticosteroids in patient with bronchial asthma.

A. Tachycardia

B.heperkalemia

C.hypoglycemia

D. Oral candidiasis
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116-Which of the following anti-arrhythmic drugs can is considered a

rate control drug?

A. sotalol

C. flecainide

c.amidarone

D.propofenone

117-year-old pregnant woman presents to the emergency department

with severe vomiting What is the most likely safe drug?

A. pyridoxine

B. ondansetron

C. domperidrone

D. promethazine

118. type of cell in hypersensitivity reaction

-B cell

119-dose of ceftriaxone in meningitis

- 2g bid IV

119-small RNA(SRNA)- function play important roles in cellular

processes such as cell differentiation, growth/proliferation, migration,

apoptosis
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120-. synthetase enzyme function-Synthase is an enzyme that catalyzes

the synthesis of new compounds in the body. Because of this

121-pt.with depression and neuropathic pain

-gabapentine

121-.drug used in insomnia

-Zolpidem

122-sterile water for injection prepared by

-reverse osmosis Q.

123-milk production harmone

-prolactin

124-component of fungi cell-The fungal cell wall is a complex and flexible

structure composed basically of chitin, a- and B- linked glucans,

glycoproteins, and pigments.

125.Wich parameter is used for statin -cr.clearance

126-.Name of phase in clinical trial -post marketing survey

127-passive diffusion

assive diffusion is the process by which molecules diffuse from a region

of higher concentration to a region of lower concentration

128-how to clean HCL

spil-by sodium bicarbonate

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129-rifampicin side effect

-urine discoloration

130-doctor can prescribe doxycycline and and rifampicin what

pharmacist do-take rifampicin wise

131-.orphan drug-means drug use in emergency condition

132-naloxone antidote

-opium,morphine,codine

133-fifth generation cephalosporin ceftroline

134-Ig found in mucos?

IGA
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which is complex proton?

A-PR

B-sec

C-tri

D-Quat

year-old male is currently taking prednisolone 10 mg. His physician would -

like to switch to an equivalent methylprednisolone dose. What is the correct

? dose

Anonymous Poll

mg 5 —

mg 8 —

mg 10 —

mg 20 —

‫ منذ خمس سنوات و عمل تحاليل و‬simvastatin 80 per a day ‫جات كيس طويلة مريض يستخدم‬

‫ لكن المريض ما كان عنده اعراض‬SLCO1B1 positive ‫بصدفه اكتشف الصيدلي ان المريض هذا عنده‬

‫ و كان السؤال عبارة عن ما هو التصرف‬will control ‫ كان ممتاز ما كان مرتفع كان‬LDL level ‫و كان‬

‫الصحيح في هذي الحاله ؟‬

simvastatin ‫ ) توقف‬١

simvastatin ‫) تقلل الجرعه‬٢

omega 3 ‫ و تسخدم بداله‬simvastatin ‫) توقف‬٣

Gemfibrozil ‫ و تستخدم بداله‬simvastatin ‫) توقف‬٤

Patient use Prednisolone 20mg iv four time the dose of oral will be ?
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‫‪A- 20mg‬‬

‫‪B- 60mg‬‬

‫‪C- 100mg‬‬

‫‪D- 80mg‬‬