2. ICD-9 procedure codes are 3-4 digits in length (e.g., 47.01 – Laparoscopic appendectomy). Great exercise and great relaxation. Nausea, vomiting, sedation, drowsiness, dizziness and blurred vision are commonly reported side effects of the drug. The recommended dose is 20 to 40 mg once daily for 4 to 8 weeks. Unfortunately there's no CO study guide, so I'm starting with federal law then reading the 250 pages of state law posting on the CO govt website (ugh). Quinine 41. For hypertensive patients receiving moderate CYP3A4 inhibitors (e.g., erythromycin, saquinavir, verapamil, and fluconazole), the starting dose of Eplerenone (Inspra) should be reduced to 25 mg once daily. This is only a review tool for preparation of different pharmacy related exams. A 1:750 concentration of benzalkonium chloride is used for preoperative skin preparation, treatment of minor wounds, and lacerations, as a surgical scrub, and for sterilizing metallic instruments. Air - yellow;   (b). 5. Forty-Five: Mudding or dirt-biking. Since grapefruit juice is known to inhibit CYP3A4-mediated metabolism of oral amiodarone in the intestinal mucosa, resulting in increased plasma levels of Amiodarone, grapefruit juice should not be taken during treatment with oral Amiodarone. The solubility of the added calcium should be calculated from the volume at the time the calcium is added. Precipitates could develop because of a number of factors such as: the concentration, pH, and phosphate content of the amino acid solutions; the calcium and phosphorous additives; the order of mixing; the mixing process; or the compounder. In this article an infectious diseases pharmacist identifies five things to know about bamlanivimab. Therefore, it shall be carefully prescribed to patients suffering from hypo-hyper-thyroidism. Serum potassium should be assessed periodically thereafter. 45. It is supplied in delayed-release capsules and in packets for a delayed-release oral suspension. How to Become a Vestibular Physical Therapist. 66. Durlaza offers the only once-daily, 24-hour antiplatelet therapy through the extended release of its 162.5mg dose, resulting in prolonged absorption, and sustained platelet exposure to aspirin. We'll see what I score soon! I studied for a total of 1.5 months for the NAPLEX, started off slow and spent a week to really knock out calculations. They effectively filter out 96.7% of the rays in the ultraviolet spectrum, providing the required safety. (2). Homocysteine is an amino acid. Zurampic (Lesinurad) should not be used as monotherapy. It should be used in combination with a xanthine oxidase inhibitor. Onfi (Clobazam) is indicated for the adjunctive treatment of seizures associated with Lennox-Gastaut syndrome (LGS) in patients 2 years of age or older. Patients should not lie down for 30 minutes after taking the medication. Each cryogenic vessel subject to this section shall meet the following requirements:   (1). 63. Oxybutynin (Ditropan XL) must be swallowed whole with the aid of liquids, and must not be chewed, divided, or crushed. Dirithromycin 15. Answer: HSDD. 59(b): I and II only. It is indicated for the treatment of seasonal and perennial allergic rhinitis; and chronic idiopathic urticaria. It is indicated for the treatment of Congestive Heart Failure Post-Myocardial Infarction and Hypertension. The REMS requires that prescribers be certified with the REMS program by enrolling and completing training. Answer: (d). 37. Ultrasonographic scan should be used if the duration of pregnancy is uncertain, or if ectopic pregnancy is suspected. 53. Answer: (d), Type 4 hypersensitivity is often called delayed type. if a three-in-one admixture is medically necessary, then add the calcium before the lipid emulsion and according to the recommendations in number 1 above. Answer: (c) The Z-drugs, which include Eszopiclone (Lunesta), Zolpidem (Ambien), and Zaleplon (Sonata), are benzodiazepine receptor agonists. Authored By: Timothy P. Gauthier, Pharm.D., BCPS, BCIDP Disclaimer: Information on this topic is emerging rapidly, which could render some or all of this content inaccurate. Anaerobic respiration is also common in bacteria that live in environments without oxygen; depending on the bacteria, the products of their respiration include nitrite, nitrogen gas, hydrogen sulfide, methane and acetic acid. Such separate infusions must be properly diluted and slowly infused to avoid serious adverse events related to the calcium. Ledipasvir and Sofosbuvir (Harvoni) is a once-daily NS5A inhibitor and nucleotide analog polymerase inhibitor fixed-dose combination for the treatment of chronic hepatitis C genotype 1 infection. Cysteine also acts as an anti-oxidant. Levetiracetam (Spritam) is indicated for the treatment of partial onset seizures, myoclonic seizures and primary generalized tonic-clonic seizures in adults and children with epilepsy. Some people apply beta-sitosterol to the skin for treating wounds and burns. a. Prolactin b. Oestrogen c. Oxytocin d. Progesterone e. Luteinizing hormone Answer: (e). Amber glass protection is expensive, foil wrapping is cumbersome and time consuming. It should not be based upon the final volume. Sleepiness, weakness, dizziness, infection, tiredness, acting aggressive, nasal congestion, decreased appetite, and irritability are commonly reported side effects of Levetiracetam (Spritam). Would you say that all/most topics were equally represented on the test? Study materials and information available on Pharmacyexam.com are not intended as a substitute for the advice of a physician. The generic names for these drugs all contain the letter Z, and it is as good a name as any. The OTC version of Esomeprazole (Nexium) 24 HR is also commonly known as “Purple Pill”. The Simpson-Angus Scale (SAS), Barnes Akathisia Rating Scale (BARS), Abnormal Involuntary Movement Scale (AIMS), and Extrapyramidal Symptom Rating Scale (ESRS) are rating scales frequently used for such assessment and are not weighted for diagnostic purposes. In addition, the name and phone number of the physician who will be handling emergencies should be provided to the patient. Clotrimazole 8. Our accreditations and inspections are designed with pharmacies and distributors in mind. Vitamins B6 (pyridoxine), B12 and folic acid are needed to make this reaction occur. Answer: I and II only. Majority I took were HIV/Hep C related! Answer: (d) II and III only. Oxybutynin (Ditropan XL) uses osmotic pressure to deliver oxybutynin chloride at a controlled rate over approximately 24 hours. Indinavir 25. Pharmacy students are eligible if they are in their fourth­ or fifth­year, have a cumulative GPA of 2.5 or better and demonstrate dedication, service and leadership in the advancement of pharmacy. Answer: (a,b,c,d). The T lymphocytes pour out inflammatory signal substances called cytokines. The active ingredient found in Tavist ND is 10 mg Loratadine. Delayed hypersensitivity does not start to be noticeable until several hours to a full day after exposure to the antigen. Any intrauterine device (“IUD”) should be removed before treatment with Mifepristone (Mifeprex) begins. Passed the 2020 NAPLEX. Patients taking Mifepristone (Mifeprex) must take 400 μg of Misoprostol two days after taking Mifepristone (Mifeprex) unless a complete abortion has already been confirmed before that time. (Select All that apply) a. Renin b. Kinin c. Calcium d. Sodium e. Bradykinin   Answer: (c). The FDA is requiring this REMS because of the increased risk of severe hypotension and syncope due to the interaction between Addyi and alcohol. It is also indicated in the treatment of pediatric patients aged 6 years and older with symptoms of detrusor overactivity associated with a neurological condition (e.g., spina bifida). 60. Clobazam potentiates the GABAergic neurotransmission by binding at the benzodiazepine site of the GABAa receptor. Usually, the first exposure causes only sensitization, in which there is a proliferation of effector T-cells. 6. Routine vision and hearing screening. Interferon gamma is used to treat chronic granulomatous disease. Made flashcards for all the study tip gal / study key guy materials. Waste products like carbon dioxide are also produced during this process. These drugs are sometimes referred to as non-benzodiazepine hypnotics or just non-benzodiazepines. Your new thread title is very short, and likely is unhelpful. Both drugs in Harvoni interfere with the enzymes needed by HCV to multiply. In animals, including humans, the anaerobic cycle produces lactic acid, which causes muscle cramps. If homocysteine cannot be converted into cysteine or returned to the methionine form, levels of homocysteine in the body increase. Since it is difficult to measure extrapyramidal symptoms, rating scales are commonly used to assess the severity of movement disorders. It is available in tablet form. Oxybutynin (Ditropan XL) is an antispasmodic, anticholinergic agent. During the period immediately following the administration of Misoprostol, the patient may need medication for cramps or gastrointestinal symptoms. Bydureon is an extended-release formulation of Exenatide, administered as an injection once every 7 days (weekly). Nevirapine 33. Your message is mostly quotes or spoilers. 42. Certified pharmacies must only dispense Addyi to patients with a prescription from a certified prescriber. Your reply is very short and likely does not add anything to the thread. The presence of a lipid emulsion in the TPN admixture would obscure the presence of any precipitate. The macrophages become activated by the cytokines and attack everything in the vicinity, and can cause severe tissue damage. Nitrous oxide - blue;   (g). MMRV = Measles, mumps, rubella, varicella   The following vaccines can be stored in refrigerator (2 to 8 degree C) or freezer (-50 to -15 degrees C): 1. The resources I used were Rxprep book, question bank and quizlet. Zurampic (Lesinurad) should be taken by mouth, in the morning with food and water. 51. Your reply has occurred very quickly after a previous reply and likely does not add anything to the thread. ZipDose Technology enables the delivery of a high drug load, up to 1,000 mg in a single dose. Beta-sitosterol is used for heart disease and high cholesterol. 74. Because of the alcohol interaction, the use of alcohol is contraindicated while taking Addyi. use a two-in-one admixture with the lipid infused separately, or (2). Arthralgia, myalgia and nausea are commonly reported side effects of Risedronate (Actonel). Some women use it for symptoms of menopause. Interferon betas are used to treat or slow down the progression of multiple sclerosis. Your message may be considered spam for the following reasons: JavaScript is disabled. Because of the potential for life threatening events, caution should be taken to ensure that precipitates have not formed in any parenteral nutrition admixtures. Helium - brown;   (e). e. In bacteria, it may produce nitrite, nitrogen gas, hydrogen sulfide, methane and acetic acid. The patient should be given instructions on what to do if significant discomfort, excessive vaginal bleeding or other adverse reactions occur and should be given a phone number to call if she has questions following the administration of the Misoprostol. Risedronate (Actonel) is a pyridinyl bisphosphonate that inhibits osteoclast-mediated bone resorption and modulates bone metabolism. Amiodarone (Cordarone) contains 37.3% iodine by weight. Liver enzyme abnormalities, rhabdomyolysis and myopathy are commonly reported side effects of Zetia. There’s no greater fun than watching close to six years of Breaking Bad in two weeks. Metronidazole 28. Valproic acid. Homocysteine can also be recycled back into methionine using vitamin B12-related enzymes. Zurampic (Lesinurad) is a URAT1 inhibitor. As used in this section, "cryogenic vessel" means an insulated metal container in the form of a cylinder or other design used to hold gases that have been liquefied by extreme reductions in temperature. 71. In fact, when tuberculosis bacteria infect the lung, it is the delayed hypersensitivity against them which destroys the lung. Dry mouth, constipation, blurred vision and vasodilation are commonly reported side effects of Oxybutynin (Ditropan XL). This visit is very important to confirm by clinical examination or ultrasonographic scan that a complete termination of pregnancy has occurred. Ranitidine 43. Three 200 mg tablets (600 mg) of Mifeprex are taken in a single oral dose. 3. In order for these cramps to stop, oxygen must find its way back into the muscle again so these cells can switch back to aerobic respiration and stop building up lactic acid. Rotavirus 9. Kidney function is required to monitor. 3. The recommended dose of Ezetimibe (Zetia) is 10 mg once daily with or without food. Mibefradil 29. b. Norfluoxetine 35. A few were as easy as just the generic name of something. It may be administered with or without food. Durlaza, like immediate-release aspirin, increases the risk of bleeding and gastric ulceration, and may cause fetal harm when administered to a pregnant woman. Because of a potentially serious interaction with alcohol, treatment with Addyi will only be available through certified health care professionals and certified pharmacies. In all patients taking Eplerenone (Inspra) who start taking a moderate CYP3A4 inhibitor, check serum potassium and serum creatinine in 3-7 days. TPN solutions are made according to a variety of formulations and compounding protocols. Congratulations on passing the test. Writing scores take longer to process and are usually added up to two weeks later, or four-and-a-half weeks after your test date. Zurampic (Lesinurad) is not recommended for the treatment of asymptomatic hyperuricemia. I've read about 100 pages of this book and it is a VERY helpful review of … Normally, the active ingredient found in Tavist is Clemastine. High-risk race/ethnicity. Answer: High risk for misuse, [https://www.nabp.net]. No dosage adjustment is necessary in patients with a creatinine clearance ≥ 30 mL/min or in the elderly. The U.S. Food and Drug Administration has recently approved Addyi (Flibanserin) to treat acquired, generalized hypoactive sexual desire disorder (HSDD) in premenopausal women. While the body is making platelets 24-hours a day, current immediate-release traditional aspirin only stays in the blood for about a mean duration of four to six hours, with peak plasma concentrations peaking after just 30 minutes. Delavirdine 11. Pharmacy Technician Practice Online Access, https://www.pharmaceutical-journal.com/cpd-and-learning/learning-article/postnatal-depression-recognition-and-diagnosis/20207360.article?firstPass=false, https://www.nei.nih.gov/learn-about-eye-health/eye-conditions-and-diseases/glaucoma/types-glaucoma, https://www.nei.nih.gov/learn-about-eye-health/eye-conditions-and-diseases/refractive-errors/types-refractive-errors. They are GABA agonists meaning they somewhat mimic the action of gamma-Aminobutyric acid, the inhibitory neurotransmitter and thereby induce sleepiness. 67. 76. Forty-Four: Swimming. A1C ≥5.7%, Impaired Glucose Tolerance (IGT), or Impaired Fasting Glucose (IFG) on previous testing. Marathon runners sometimes use beta-sitosterol to reduce pain and swelling after a run. It is also available for oral administration as an off-white suspension containing clobazam at a concentration of 2.5 mg/mL. Beta-sitosterol supports the good prostate health primarily by maintaining healthy male hormone balance. The recommended dose is 1.34 mg orally twice a day. Answer: (b,c,e). Interferons also activate other cells that serve as part of the immune system and destroy invading pathogens. Further, even within sleep medicine, there are compounds that are non-benzodiazepine hypnotics that would not be considered part of this class: antihistamines and Ramelteon, for instance. The vessel shall be color coded as follows:   (a). Bydureon is a GLP-1 receptor agonist that enhances glucose-dependent insulin secretion by the pancreatic beta-cell, suppresses inappropriately elevated glucagon secretion, and slows gastric emptying. Cyclosporine 9. These are an intellectual property of PharmacyExam.com. 39. It is also used for boosting the immune system and for preventing colon cancer, as well as for gallstones, the common cold and flu (influenza), HIV/AIDS, rheumatoid arthritis, tuberculosis, psoriasis, allergies, cervical cancer, fibromyalgia, systemic lupus erythematosus (SLE), asthma, hair loss, bronchitis, migraine headache, and chronic fatigue syndrome. The active ingredient found in Onfi is Clobazam. Azithromycin 4. 200 - 500 = Be curious - moderate risk for misuse. Yes. 2. 4. These phosphate ions and the volume at the time the phosphate is added should be considered when calculating the concentration of phosphate additives. The FDA approved Simeprevir (Olysio) in November 2013 and Sofosbuvir (Sovaldi) in December 2013. Just wanted to add to this post and hopefully its helpful to anyone who is taking the NAPLEX. The active ingredients found in Coricidin HBP Night are 500mg Acetaminophen, 10mg Dextromethorphan Hydrobromide and 2mg Chlorpheniramine. It is available as blue film-coated tablets for oral administration containing 200 mg Lesinurad. Poison ivy rash is caused by an allergic reaction to an oily resin called urushiol (u-ROO-she-ol). (Select All that apply)   a. 3. 75. The recommended daily allowance is 400 mcg (NOT mg) per day. 38. Recurrent ventricular fibrillation. The U.S. Food and Drug Administration approved Rolapitant (Varubi) to prevent delayed phase chemotherapy-induced nausea and vomiting (emesis). Hepatic injury, hypothyroidism, hyperthyroidism, tremor, poor coordination and pulmonary fibrosis are commonly reported side effects of Amiodarone (Cordarone). 61.Answer: (c). Prior to Addyi’s approval, there were no FDA-approved treatments for sexual desire disorders in men or women. This oil is in the leaves, stems and roots of poison ivy, poison oak and poison sumac. Therefore, we prefer the term Z-drugs. Hypertension (≥140/90 mm Hg or on therapy). c. In animals, including humans, the anaerobic cycle produces lactic acid, which causes muscle cramps. It is indicated for prevention of neural tube defects in pregnancy. This loss can be greatly minimised by protecting from light. Do a test run before the big day so you can be familiar with the testing environment as well as the required documentation that ETS makes you bring along for the date. A rise in this hormone signals the ovary to release the egg. Ezetimibe (Zetia), administered alone, is indicated as adjunctive therapy to diet for the reduction of elevated total cholesterol (total-C), low-density lipoprotein cholesterol (LDL-C), apolipoprotein B (Apo B), and nonhigh- density lipoprotein cholesterol (non-HDL-C) in patients with primary (heterozygous familial and nonfamilial) hyperlipidemia. The aspirin delivery technology in Durlaza extends the release of aspirin in a manner designed to provide a stable antiplatelet effect over the course of the day. It is classified as schedule IV controlled substance. Year 1: 64, 103, 152, 73 Year 2: 66, 103, 160, 72 Year 3: 68, 104, 162, 78 Year 4: 73, 12 Rosa's Italian restaurant wants to develop forecast of daily demand for the next week. Answer: Herpes zoster. Answer: (b). Interferons enhance the immune system in many ways so can be used to treat different conditions involving the immune system. Nefazodone 31. Answer: (c) 1:750. Nausea, vomiting, diarrhea, dyspepsia, injection site reactions, constipation and hypoglycemia are commonly reported side effects of Bydureon. Urushiol, which is a hapten, when absorbed through the skin from a poison ivy plant, it (urushiol) undergoes oxidation in the skin cells to generate the actual hapten, a reactive molecule called a quinone, which then reacts with skin proteins to form hapten adducts. T lymphocytes recognize the foreign substances, usually after the antigen is eaten, degraded, and presented (in pieces) by so-called antigen-presenting cells such as Langerhans cells in the skin, or macrophages. The patient should taper by decreasing the total daily dose by 5-10 mg/day on a weekly basis until discontinued. Isoniazid 26. Gestodene 23. I feel like there was a good spread of disease states, but not too detailed. 2. After a subsequent, second exposure, the proliferated T-cells can become activated, generating an immune reaction that produces typical blisters of a poison ivy exposure. 40. Go Accreditations & Inspections. 1. The line should be flushed between the addition of any potentially incompatible components. Quinidine 40. These three-digit scores (000-999) help practitioners to decide whether or not they need to review a patient history before prescribing additional medications. Norfloxacin 34. It is antimicrobial against a wide variety of bacteria, fungi and protozoa. This rule adopts updated versions of the code sets, under the authority of HIPAA (ICD-10 final rule). Answer: (e) Esomeprazole (Nexium). Amiodarone 2. Erythromycin 18. (b) 500 mg. Risedronate (Actonel) With Calcium is a co-package product containing Risedronate sodium tablets, 35 mg for once weekly dosing and calcium carbonate tablets, USP (1250 mg, equivalent to 500 mg elemental calcium) for daily dosing for the remaining 6 days of the week. Pregnancy termination by surgery is recommended in cases when Mifepristone (Mifeprex) and misoprostol fail to cause termination of intrauterine pregnancy Serious and sometimes fatal infections and bleeding occur very rarely following spontaneous, surgical, and medical abortions, including following Mifepristone (Mifeprex) use. Because of its life-threatening side effects and the substantial management difficulties associated with its use, Amiodarone (Cordarone) is indicated only for the treatment of the following documented, life-threatening recurrent ventricular arrhythmias when these have not responded to documented adequate doses of other available antiarrhythmics or when alternative agents could not be tolerated. HepA (Hepatitis A) 2. PCAT® (Pharmacy College Admission Test) is a registered trademark owned by Harcourt Assessment, Inc., our PCAT® study material is in no way authorized by or sponsored by the Harcourt Assessment, Inc. BPS® is an autonomous Division of the American Pharmacists Association (APhA), our BPS® study material is in no way authorized by or sponsored by APha®. Interferon alphas are used to treat viral infections (chronic hepatitis, human papillomavirus) and treating cancer (hairy cell leukemia, AIDS related - Kaposi sarcoma, malignant melanoma). NAPLEX. 2. Day 14: Post-Treatment Examination   Patients will return for a follow-up visit approximately 14 days after the administration of Mifeprex. Pretty much whatever you want it to be, really. These drugs are in the categories pyrazolopyrimidines, imidazopyridines or cyclopyrrones, but they are not all in the same category. Do not use any information of this website for any kind of self-treatment. Answer: (c) 240 mg/dl. Miconazole 30. Omeprazole 36. The most common side effects in patients treated with Rolapitant (Varubi) include a low white blood cell count (neutropenia), hiccups, decreased appetite and dizziness. For pediatric patients aged 6 years of age and older, the recommended starting dose of Oxybutynin (Ditropan XL) is 5 mg once daily at approximately the same time each day. Overview. That’s a dumb name, if you ask us. Less than 200 = Be confident - low risk for misuse. Diethyldithiocarbamate 13. Diltiazem 14. Answer: (C) All. Each package contains a 28-day course of therapy. The recommended dose is 1 tablet every 6 hours, not more than 4 tablets in 24 hours. Ethinyl estradiol 19. Onfi (Clobazam) is classified as benzodiazepine. The combination of Ezetimibe (Zetia) and Atorvastatin or Simvastatin is indicated for the reduction of elevated total-C and LDL-C levels in patients with Homozygous Familial Hypercholesterolemia (HoFH). Extrapyramidal symptoms (EPS) are drug-induced movement disorders that include acute and tardive symptoms. An aerobic cycle may produce between 36 and 38 ATP molecules, while anaerobic respiration only creates 2 ATP molecules. Folic acid is a water-soluble vitamin that has antidepressant, antiproliferative, anti-teratogenic, gingival and anti-inflammatory effects. 68. Fluoxetine 21. Answer: (c) Beta-Sitosterol. Answer: (a,b). Ledipasvir and Sofosbuvir (Harvoni) is the first combination pill approved to treat chronic HCV genotype 1 infection. Women who delivered a baby >9 lb or were diagnosed with GDM. Do not administer any dose of mentioned drugs on this website without consulting your physician. The active ingredient found in Bydureon is Exenatide indicated for the treatment of type II diabetes mellitus. Recurrent hemodynamically unstable ventricular tachycardia. Recent significant change in mental state or emergence of new psychiatric symptoms; New thoughts or acts of violent self-harm; New and persistent expressions of incompetency as a mother, such as: Being over-critical for not recognising what the baby needs; Saying that she/he is not doing things correctly; Saying that she/he is not a good mother for her child; Saying that the baby may be better cared for by someone else; Saying that she/he is not providing good care for her baby or that other parents seem to be more able to look after their babies. Danazol 10. A filter should be used when infusing either central or peripheral parenteral nutrition admixtures. With the ICD-10-PCS mandate, the length of inpatient procedure codes will increase to 7 alphanumeric characters (e.g., ODTJ4ZZ – Laparoscopic appendectomy). Answer: Green. 65. Rolapitant (Varubi) is approved in adults in combination with other drugs (antiemetic agents) that prevent nausea and vomiting associated with initial and repeat courses of vomit-inducing (emetogenic and highly emetogenic) cancer chemotherapy. Chemists call it a “plant sterol ester.” It is found in fruits, vegetables, nuts, and seeds. Answer: (c) is NOT TRUE. Cysteine is an important protein in the body that has many roles. Cysteine is a source of sulfide and is part of the metabolism of different metals in the body including iron, zinc and copper. Not very math-heavy I felt. It is available for oral administration contains 25 mg or 50 mg of Eplerenone (Inspra). The duration of pregnancy may be determined from menstrual history and by clinical examination. 49. Standards of practice vary, but the following is suggested: a 1.2 micron air eliminating filter for lipid containing admixtures, and a 0.22 micron air eliminating filter for nonlipid containing admixtures.
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