Pharm.D. Doctor of Pharmacy Clinical Pharmacy and Patient Care

Question 1

Which parameter is used to assess kidney function most commonly in clinical practice for drug dosing?

Accepted Answer

Creatinine clearance (CrCl) estimated by Cockcroft-Gault

Answer

Blood urea nitrogen (BUN)

Answer

Serum albumin

Answer

Urine osmolality

Question 2

A patient on warfarin is started on ciprofloxacin. What interaction should the clinical pharmacist anticipate?

Accepted Answer

Increased INR due to reduced warfarin metabolism and gut flora suppression

Answer

Decreased INR due to enzyme induction

Answer

No clinically significant interaction

Answer

Decreased warfarin absorption

Question 3

Which medication reconciliation step is MOST critical at hospital discharge?

Accepted Answer

Comparing discharge medications to pre-admission medications and counseling the patient

Answer

Verifying the patient's insurance

Answer

Ordering refills for all home medications

Answer

Documenting all allergies in the chart

Question 4

Which clinical pharmacy service is MOST associated with reducing hospital readmissions for heart failure patients?

Accepted Answer

Medication therapy management (MTM) and adherence counseling

Answer

Compounding sterile preparations

Answer

Investigational drug services

Answer

Drug information consultation

Question 5

A patient presents with signs of digoxin toxicity. Which electrolyte abnormality most potentiates this toxicity?

Accepted Answer

Hypokalemia

Answer

Hyperkalemia

Answer

Hypernatremia

Answer

Hypermagnesemia

Question 6

In anticoagulation management, which lab value is used to monitor unfractionated heparin therapy?

Accepted Answer

aPTT

Answer

INR

Answer

Anti-Xa level only

Answer

Platelet count only