اﺳﺌﻠﻪ SPLEﺷﻬﺮ ﻣﺎﻳﻮ 2025
Part 5
د /ﻋﻴﺴﻰ ﻓﺆاد
00967734394504
.What the usual shelf life for reconstituted and
refrigerated antibiotic suspension?
A. 7 days
B. 14 days
C. 30 days
D. 60 days
A pharmacist asks patient with dermatological problem questions
about her problem, what is the goal of the pharmacist? Sell cosmetic
mediation
_______
amphetamine is?
A-Direct adrenergic stimulant
B- indirect adrenergic stimulant
C- direct cholinergic stimulant
D- indirect cholinergic stimulant
__________
A patient has a Naranjo score
of 8. What is the classification of the adverse drug reaction?
A. Possible
B. Definite
C. Probable
D. Doubtful
__________
What is the USP <797> chapter related to?
A. Non-sterile compounding
B. Hazardous drug handling
C. Sterile compounding practices
D. Storage of narcotics
_________
. Which immunoglobulin is found in mucosa-associated
lymphoid tissue (MALT)?
A. lgM
B. lgG
C. IgA
D. lgE
__________
Which immunoglobulin is the first to appear in the body during
an immune response?
A. lgA
B. lgG
C. IgE
D. lgM
_________
Patient was prescribed hypnotic anxiolytic and is to be taken before
bedtime, when she wakes up – she is still drowsy, what is the most
likely causative drug?
A. Ramelteon
B. Zolpidem
C. Diazepam
D. Midazolam
___________
A patient is on methylprednisolone 4 mg twice daily. You want to switch to an
equivalent dose of hydrocortisone. What is the appropriate hydrocortisone
dose?
A. 10 mg BID
B. 15 mg BID
C. 20 mg BID
D. 25 mg BID
______________
. A patient has pancreatic dysfunction. Which carbohydrate would be most
difficult for them
to digest?
A. Glucose
B. Starch
C. Sucrose
D. Fructose
__________
. A patient on warfarin presents with an INR of 11 but no signs of
bleeding. What is the best course of action?
A. Stop warfarin and give IV vitamin K 10 mg
B. Continue warfarin as usual
C. Hold warfarin and give oral vitamin K 2.5 mg
D. Give FFP immediately
_____________
What is the asthma severity in patient who experiences symptoms 2
days per week, with no exercise limitation and FEV1 >85%?
A- Mild
B- Moderate
C- Persistent Asthma
D- Intermittent
____________
What is Myrrh used for?
- A. Diabetes
- B. Hypertension
- C. Cough
_________________
Child is diagnosed with Duchenne muscular dystrophy.
Which of the following is the preferred corticosteroid
for management?
- A. Prednisolone
- B. Dexamethasone
- C. Deflazacort
- D. Hydrocortisone
___________________
Patient wants to go to Africa and is afraid of travel
diarrhea. What is the recommended?
- A. Don’t eat raw meat and fish.
- B. Rota vaccine
- C. Ciprofloxacin 3 days
- D. Face mask
_____________
Diabetic patient with HbA1c of 12% refuses to take insulin due
to fear of weight gain. What is the best response from the
pharmacist?
- A. Prescribe metformin instead
- B. Tell him insulin won’t cause weight gain
- C. Explain the risks of uncontrolled diabetes and benefits
of insulin
- D. Refer to psychiatrist
_______________
What is the primary mediator in an anaphylactic shock?
- A. Dopamine
- B. Histamine
- C. Acetylcholine
________________
- A 76-year-old cardiac male patient was transferred to the hospital
for palpitation with a heart rate of 177 bpm. He is a heavy smoker and
his past medical history includes hypertension, hyperlipidemia and
coronary artery disease. His medications include aspirin, clopidogrel,
carvedilol, valsartan and atorvastatin. He was diagnosed as having
fibrillation. Which of the following is the CHA2DS2-VASC score for this
patient?
- A. 1
- B. 3
- C. 4
_____________________
A child presents with leg pain. What medication might be necessary
based on symptomatology?
- a) Acetaminophen
- b) Ergocalciferol (Vitamin D2)
_________________
Meniere's disease management:
- A. cycloserine
- B. flucytosine
- C. betahistine
__________
Kidney transplant patient on cyclosporine, 2 weeks ago he
took herbal and developed organ rejection, which herbal
did he take?
- A. St John’s Wort
- B. Saw palmetto
- C. Ginkgo
- D. Grapefruit
_________
- A 56-year-old man with a history of epilepsy well
controlled with phenytoin 100 mg TID, has a nasogastric
tube placed for recent stroke. The nurse requested
phenytoin suspension. She is confused with the labeling on
the bottle which reads phenytoin base 30 mg/ 5 ml and his
original tablets reads phenytoin sodium 100 mg. What
would be the daily dose of phenytoin suspension?
- A. 100 mg
- B. 270 mg
- C. 300 mg
- D. 900 mg
_______
Which USP chapter can be used for information of
chemotherapy
preparation?
A. USP 800
B. USP 797
___________
A patient has pancreatic dysfunction. Which nutrient is
difficult
to digest?
A. Protein
B. Glucose
C. Starch
D. Fiber
_______________
What is the definition of Medication
Therapy Management (MTM)?
A. Dispensing medication to patients
B. Reviewing insurance claims
C. A service to optimize therapeutic outcomes for
patients
D. Counseling only for chronic diseases
______________
What is an Orphan Drug?
A. A medication with multiple uses
B. A drug developed for rare diseases
C. A medication for pediatric use
D. A generic drug without a brand name
__________
What is an Antibiogram?
A. A diagram of drug metabolism
B. A record of patient antibiotic history
C. A summary of local antibiotic susceptibility patterns
D. A schedule of vaccine administration
A 16-year-old girl presents with severe
nodulocystic acne that has not responded to topical
therapies. What is the most appropriate treatment
option?
A. Tretinoin
B. Isotretinoin
C. Clindamycin 1%
D. Salicylic acid
__________
Gram negative bacteria bacilli rods
A. Staphylococcus spp
B. Staphylococcus pugen
C. Neisseria gonorrhoeae
D. E.coli
_______________
The properties of polymorphs:?
A. same stability
B. same melting point
C. same solubilized
D. differ in stability and solubility
________
A patent receiving TPN has hypomagnesemia,
hypophosphatasemia, and hypokalemia,
what is this conditon called?
A. Refeeding Syndrome
_______
Why add hypertonic solution in IM due to
A. increase absorption
B. increase efficacy
C. increase solubility
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Lab results of a patient with very high GGT?
A-Cholestasis
B-Cirrhosis
____________
- 0.1% to ppm?
A. 10 ppm
B. 100 ppm
C. 1000 ppm
D. 10000 ppm
________
- Which vitamin deficiency causes poor baby growth?
A. Vitamin A
B. Vitamin B
C. Vitamin C
D. Vitamin D
___________
Child weighning 12kg „.the physician prescribed
acetaminophine syrup available concentration
120mg/5ml, how many ml patient need?
a) 7.5 ml
b) 10 ml
c)15 ml
d) 20 ml
Patient taking statin complaining from myalgia,which
of the following parameters elavate?
A. Ck-BB
B. Ck-MM
C. AST
___________
What are the Synonyms of death?
a)Mortality
b)Morbidity
c)Prevelance
d)lncedance
- What is the is the most common type of genetic
variation among people?
a. Pharmacogenomics
b. Single nucleotide polymorphisms (SNPs)
c. Pharmacogenetics
d. Genotype and Phenotype
__________
- What type of error if physician prescribes 3300 mg of MgSO4 to a
patient with epilepsy, leading to baby
being admitted to NICU?
a. Transcription error
b. Prescription error
c. Dispensing error
d. Administration error
___________
- patient with inflammatory benign prostatic hyperplasia
(BPH), which of the following department he need to visit ?
a. Dermatology
b. Ophthalmology
c. Orthobiology
d. Urology
____________
What is the treatment choice for enterococci infection?
a. Erythromycin
b. Ampicillin
c. Clindamycin
d. Sulfamethoxazole
___________
- Which of the following is an alpha hemolytic bacteria ?
a. Pseudomonas
b. Actinobacter
c. E. coli
d. Streptococcus Pneumonia
________
i qttt OU TID , What does it mean?
a. One drop in both eye 3 times a day
b. One drop in one eye eye 3 times a day
c. One drop in both eye 2 times a day
d. 2 drops in both eye 3 times a day
___________
- Which of the following is the recommended dose of Vitamin D
in child with rickets ?
a. 1500 unit weekly for 6 months
b. 50000 unit daily for 8 weeks
c. 1500 unit daily for 6 months
d. 50000 unit weekly for 8 weeks
____________
Which C-terminus amino acid does trypsin cleave?
a) Lysine
b) Leucine
c) Phenylalanine
d) methionine
----------
- which of the following describe the process of mRNA to
protein?
A. Termination
B. Duplication
C. Transcription
D. Translation
_________
- which of the following pathogens can cause vaginal
infection?
A. Neisseria Gonorrhoeae
B. Streptococcus pneumoniae
C. Staphylococcus aureus
D. E.coli
__________
- Who is responsible for house cleanr treatment in saudi
Arabia?
a. Private hospital
b. Ministry of Health
c. Saudi Commission for Health Specialties
d. Health insurance
___________
- In which process the potent drug (0.5%) is blended
with large amount of diluent?
A. Levigation
B. Trituration
C. Geometric dilution
_________
- A child suffering from diarrhea for 2day and has viral infection. Which of the
following drug should be given?
A- Acyclovir
B- Oral dehydration
C- Antibiotics
_________
Degradation when first order can be calculated by?
A- T90=0.10/K
B- T90=32K
C- T90=0.105/K
___________
Initial concentration of drug 500mg and a er 5hours become 300mg, lf same drug
initial dose 1000mg, when to reach 600mg?
a) 5 hr
b) 10 hr
c) 20 hr
d) 2 hr
------------
Which of the folowing is the choice for a woman with
severe UTI infection?
A. Nitrofurantoin
B. Fosfomycin
C. Trimethoprim/sulfamethoxazole
D. Ciprofloxacin
----------
Which of the following benzodiazepines is safe for use in elderly
patients?
A. Diazepam
B. Flurazepam
C. Triazolam
________
Which of the following SNP dose not change coding of protein ?
A.Synonymous - nonsense
B.Non synonymous - nonsense
C.Synonymous - missense
D.Non synonymous - missense
____________
Which of the following the ionized percentage for aspirin if pKa 3.5 and PH 7.5 ?
A- 99.9%
B- 90 %
__________
Which of the following compounds is urea cycle a biochemical reaction that
produce urea from ?
A)Sucrose
B) Glucose
C)Glycogen
D) Ammonia(NH3)
-------
- A 68-year-old woman with type-2 diabetes, neuropathy
and seizures has been newly diagnosed with depressive
illness. Which of the following medication would be best to
initiate?
A. Bupropion
B. Duloxetine
C. Paroxetine
D. Amitriptyline
-------
Patient was on olanzapine and not well controlled random glucose test
was high, what is the best alternative ?
A) aripiprazole
B) clozapine
C) donepezil
D) haloperidol
-----------
What is the usual shelf life for reconstituted oral solutions ?
A. 7 days
B. 14 days
C. 30 days
D. 60 days
________________
What is the duration of the treatment of provoked
DVT?
A. 1 month
B. 2 months
C. 3 months
D. 12 months
________________
- Which major histocompatibility complex (MHC) molecule
does cytotoxic (CD8+) T cells bind to?
A. MHC 2
B.MHC 1
C. MHC 8
D non of the above
_________________
- Long case, woman 57 yr old on the maximum dose
of rosuvastatin and not improved?
A- Switch to atorvastatin
B- Add ezetimibe
C- Add ezetimibe and cholestyramine
_____________
A 39-year-old woman presents with complain of epigastria
burning and pain for the last 6 month 33 / 272 significant
medical history but reports an allergy to beta-lactam antibiotics.
An office based Urea Breath Test is performed to diagnose
Helicobacter pylori infection (see lab result)
Test Result
Urea breath test Positive
Which of the following is the most appropriate treatment
regimen?
A) Levofloxacin and lansoprazole for 14 days
B) Omeprazole, clarithromycin, and amoxicillin for 10 days
C)Omeprazole, clarithromycin, and metronidazole for 14 days
_____________
- A patient underwent gastric sleeve and came a er
few days with fatigue and couldn’t stand on her feet.
Lab tests shows high levels of homocysteine. Which
of the following is she deficient of?
A – Selenium
B – Vitamin B12
C – Vitamin D
D – Iron
________________
- Healthy Woman afraid from respiratory infection in winter what
you recommended?
A. Hand sanitizer
B. Vitamin C
C. Zinc sulfate
D. Ask her to bring prescription for Antibiotics
____________
- new drug that has excellent effects in decreasing
death rate associated with highly fatal disease , how will
that drug affect the disease rate ?
1. Prevalence will be increased
2. Prevalencewillbedecreased
3. Incidence will be decreased
4. Incidence will be increase
______________
25 years old female didn't exposed to the sun two months ago, when she
exposed for 3 minutes she got her face sun burn, doctor prescribed her sun
block and when she applied it for 18 minutes she got the same degree of sun
burn but in her back. What's the calculated sun block SPF?
A-SPF 7
B-SPF 9
C-SPF 10
D-SPF 15
______________
In which phase of clinical trials is the investigative drug compared with
another drug?
A. Phase I
B. Phase II
C. Phase III
D. Phase IV
______________
A 3-year-old girl with symptoms of caughor the past 2 days came to the
clinic with her mother.She has no fever and not other symptoms .
Which of the following is the appropriate recommendation ?
A) Vicks
B)Honey
C)Diphenhydramine
D)Dextromethorphan
______________
- Which of the following local organization's primary mission is
to the safety and quality of healthcare in health institution ?
A) Saudi central board for accreditation of healthcare institutions
(CBAHI )
B) Saudi Commission for Health Specialties (SCFHS )
C) Saudi Food and Drug Authority (SFDA )
____________
- A 25-years-old male is admitted due to hypersensitivity
reaction to some drug ingestion four hours ago. Patient
is given a drug which causes dilation of vessels in muscle
constriction of cutaneous vessels ,and positive inotropic
and chronotropic effects on the heart Which of the
following is the most likely
drug given?
A)Adrenaline
B)Isoproterenol
C)Acetylcholine
D)Metaproterenol