Pharma Finals 5

1.

1 point

EXAM 5 (PRINCIPLES OF CHEMOTHERAPY AND ANTIBACTERIALS)

The ff are true statements about antibacterial agents EXCEPT:

They are all selectively toxic

They are derived not only from microorganisms but from synthetics

They are effective against microbes that invade the human host

They inhibit the growth of bacterial organisms only

2.

5 points

EXAM 5 (PRINCIPLES OF CHEMOTHERAPY AND ANTIBACTERIALS)

Name (5) five pharmacotherapeutic principles that will enhance the effectiveness and safety of antibacterials

3.

1 point

EXAM 5 (THERAPY OF ORAL INFECTION)

The ff are pathogenic bacteria in the oral cavity w/c may cause significant morbidity in adults and children EXCEPT

Lactobacillus

Prevotella spp.

Streptococcus mutans

Treponema spp.

4.

1 point

EXAM 5 (THERAPY OF ORAL INFECTION)

Antibiotic is unnecessary for dental infections if they have the ff

Osteomyelitis

Pericoronitis

Fever >38.5

Asymptomatic periapical abscess

5.

1 point

EXAM 5 (THERAPY OF ORAL INFECTION)

The most important component in treating oral infections is

Orthodontic procedure such as curettage, dental extraction, incision and drainage

Antibiotic Therapy

Rest

Nothing per orem

6.

1 point

EXAM 5 (THERAPY OF ORAL INFECTION)

Choice of antibiotics for oral infections is based on the ff EXCEPT

Pathogens implicated and spectrum of activity of antibiotics

Local susceptibility pattern

Excretion of the drug

Severity of infection

7.

1 point

EXAM 5 (THERAPY OF ORAL INFECTION)

The antibiotics w/c are appropriate for use for endocarditis prophylaxis are the ff EXCEPT

Amoxicillin

Clindamycin

Cephalexin

Amikacin

8.

1 point

EXAM 5 (THERAPY OF ORAL INFECTION)

Choice of antibiotics for oral infections is based on the ff EXCEPT

Pathogens implicated and spectrum of activity of antibiotics

Local susceptibility pattern

Excretion of the drug

Severity of infection

9.

1 point

EXAM 5 (THERAPY OF ORAL INFECTION)

Penicillin has activity for the ff organisms EXCEPT

Streptococcus

Staphylococcus

Eikenella

Peptostreptococcus

10.

1 point

EXAM 5 (THERAPY OF ORAL INFECTION)

The antibiotics of choice for mild infections (outpatient therapy) of dental infections include the ff EXCEPT:

Penicillin

Clindamycin

Azithromycin

Ampicillin

11.

1 point

EXAM 5 (THERAPY OF ORAL INFECTION)

Supportive measures for tx of pericoronitis include using a saline gargle; maintenance of good oral hygiene, pain management, and local incision and drainage.

True

False

12.

1 point

EXAM 5 (THERAPY OF ORAL INFECTION)

Trench mouth is usually caused by fusiform bacilli and spirochetes

True

False

13.

1 point

EXAM 5 (THERAPY OF ORAL INFECTION)

Penicillin + curettage is needed for the tx of Vincent infection

True

False

14.

1 point

EXAM 5 (THERAPY OF ORAL INFECTION)

A 6 y/o with juvenile periodontitis who did not respond to root debridement and plaque control should be treated with tetracycline for 1 week

True

False

15.

1 point

EXAM 5 (THERAPY OF ORAL INFECTION)

Less severe dental infections w/ systematic symptoms, may usually be treated with penicillin or amoxicillin.

True

False

16.

1 point

EXAM 5 (THERAPY OF ORAL INFECTION)

Give the correct therapy for the following dental conditions

29y/o with aphthous ulcers

Metronidazole

Penicillin followed by local gingival curettage

Oral nystatin

Pain and fever management

Chlorhexidine mouth wash

17.

1 point

EXAM 5 (THERAPY OF ORAL INFECTION)

Give the correct therapy for the following dental conditions

6 y.o w/ juvenile periodontitis unresponsive to root debridement

Metronidazole

Penicillin followed by local gingival curettage

Oral nystatin

Pain and fever management

Chlorhexidine mouth wash

18.

1 point

EXAM 5 (THERAPY OF ORAL INFECTION)

Give the correct therapy for the following dental conditions

15y/o w/ acute necrotizing gingivitis

Metronidazole

Penicillin followed by local gingival curettage

Oral nystatin

Pain and fever management

Chlorhexidine mouth wash

19.

1 point

EXAM 5 (THERAPY OF ORAL INFECTION)

Give the correct therapy for the following dental conditions

1 y/o female with oral thrush

Metronidazole

Penicillin followed by local gingival curettage

Oral nystatin

Pain and fever management

Chlorhexidine mouth wash

20.

1 point

EXAM 5 (THERAPY OF ORAL INFECTION)

Give the correct therapy for the following dental conditions

18 mos old boy with herpangina

Metronidazole

Penicillin followed by local gingival curettage

Oral nystatin

Pain and fever management

Chlorhexidine mouth wash

21.

1 point

EXAM 5 (THERAPY OF ORAL INFECTION)

64y/o male w/ prosthetic cardiac valves

cardiac condition w/c requires antibiotic prophylaxis if the patient has a high/moderate risk cardiac condition

otherwise

22.

1 point

EXAM 5 (THERAPY OF ORAL INFECTION)

7 y/o female w/ unrepaired tetralogy of Fallot (congenital heart disease)

cardiac condition w/c requires antibiotic prophylaxis if the patient has a high/moderate risk cardiac condition

otherwise

23.

1 point

EXAM 5 (THERAPY OF ORAL INFECTION)

10 y/o male with surgically repaired arterial septal defect, no residuals, 2 years after procedure

cardiac condition w/c requires antibiotic prophylaxis if the patient has a high/moderate risk cardiac condition

otherwise

24.

1 point

EXAM 5 (THERAPY OF ORAL INFECTION)

31 y/o female w/ cardiac transplant patients 6 yrs after w/o residual defects

cardiac condition w/c requires antibiotic prophylaxis if the patient has a high/moderate risk cardiac condition

otherwise

25.

1 point

EXAM 5 (THERAPY OF ORAL INFECTION)

17 y/o male w/ rheumatic heart disease w/ severe mitral stenosis

cardiac condition w/c requires antibiotic prophylaxis if the patient has a high/moderate risk cardiac condition

otherwise

26.

1 point

EXAM 5 (THERAPY OF ORAL INFECTION)

Taking dental radiographs

dental procedures which require prophylaxis if the patient has a high or moderate risk cardiac condition

otherwise

27.

1 point

EXAM 5 (THERAPY OF ORAL INFECTION)

dental extractions

dental procedures which require prophylaxis if the patient has a high or moderate risk cardiac condition

otherwise

28.

1 point

EXAM 5 (THERAPY OF ORAL INFECTION)

Shedding of deciduous teeth

dental procedures which require prophylaxis if the patient has a high or moderate risk cardiac condition

otherwise

29.

1 point

EXAM 5 (THERAPY OF ORAL INFECTION)

Adjustment of orthodontic appliances

dental procedures which require prophylaxis if the patient has a high or moderate risk cardiac condition

otherwise

30.

1 point

EXAM 5 (THERAPY OF ORAL INFECTION)

Intracanal endodontic treatment

dental procedures which require prophylaxis if the patient has a high or moderate risk cardiac condition

otherwise

31.

1 point

EXAM 5 (MEDICATION ERRORS AND PRESCRIPTION WRITING)

The most common causes of medication errors are lack of knowledge about the drug and:

Lack of information about the patient

Lack of timely test results

Lack of communication between pharmacist and the physician

Lack of communication between the physician and the nurse

32.

1 point

EXAM 5 (MEDICATION ERRORS AND PRESCRIPTION WRITING)

Failure to observe the ff R’s of therapy may lead to an ADMINISTRATION ERROR?

Right patient and drug

Right dose, route and time

Right cost

Only A and B are correct

33.

1 point

EXAM 5 (MEDICATION ERRORS AND PRESCRIPTION WRITING)

Which of the ff statements is /are true regarding medication errors?

Children and elderly patients are vulnerable populations for medication errors

The lack of information on the multiple drugs that an elderly patient is taking may lead to medication errors

Errors in the calculation of drug dose based on child’s weight may lead to medication errors

AOTA

34.

1 point

EXAM 5 (MEDICATION ERRORS AND PRESCRIPTION WRITING)

Medication error may still be prevented while the drug is in the hands of any of the ff:

Patient

Pharmacist

Nurse

AOTA

35.

1 point

EXAM 5 (MEDICATION ERRORS AND PRESCRIPTION WRITING)

The anesthesiologist prescribed 20mg every 6 hours to an infant post-op at the anesthesia care unit. After two days at the pay ward, the infant was diagnosed with paracetamol poisoning. What do you think is the most likely proximal cause of the error?

10-fold error occurred in the dose of the paracetamol from a transcribing error due to the trailing zero

100-fold error occurred in the dose of the paracetamol from a transcribing error due to the trailing zero

The IV paracetamol administered contained impurities

Both A and B are likely causes for the error committed by the nurse

36.

1 point

EXAM 5 (MEDICATION ERRORS AND PRESCRIPTION WRITING)

As a dental practitioner, which of the ff measures will help you prevent a medication error from occurring

Confirming the weight of the patient especially for children

Recalculation the dose of drugs with very narrow margin of safety

Checking the patient’s drug history including known drug allergies

AOTA

37.

1 point

EXAM 5 (MEDICATION ERRORS AND PRESCRIPTION WRITING)

Prescribing errors may be defined as an incorrect drug selection for a patient, be it the dose. Strength, route, quantity, indication and contraindication.

True

False

38.

1 point

EXAM 5 (MEDICATION ERRORS AND PRESCRIPTION WRITING)

Medication error are considered as system error. Assigning clinical pharmacist at the ICU may help prevent medication errors from reaching the patient

True

False

39.

1 point

EXAM 5 (MEDICATION ERRORS AND PRESCRIPTION WRITING)

When the dose to be prescribed is less than (1) it is best to put zero before the decimal point to avoid a 100-fold error such as 0.2milligrams instead of .2milligrams

True

False

40.

1 point

EXAM 5 (MEDICATION ERRORS AND PRESCRIPTION WRITING)

When transcribing a physician’s medication order for the pharmacy to dispense, spell out the dosage strength. ( Ex. microgram instead of mg as this can be mistaken as milligram)

True

False

41.

1 point

EXAM 5 (MEDICATION ERRORS AND PRESCRIPTION WRITING)

The ff is/ are true of a prescription:

It is a legal document

It is the prescriber’s written order to the pharmacists

It includes direction to the patient on how to take the meds

AOTA

42.

1 point

EXAM 5 (MEDICATION ERRORS AND PRESCRIPTION WRITING)

The ff is/are read to write a prescription using the Generic name of the drug except:

Physician

Dental Practitioner

Pharmacy Practitioner

Veterinary Practitioner

43.

1 point

EXAM 5 (MEDICATION ERRORS AND PRESCRIPTION WRITING)

When a dentist prescribes a drug included in the Schedule List of the Annex of the Dangerous Drugs Act of the Philippines, three copies of the prescription are read. Which of the ff statements is/are correct?

1 original and 2 duplicates copies of the prescription will be written by dental practitioner

The original copy after the precroption has been served will be reatined by the pharmacist for at least a year

The original copy of the prescription may also be retained by the patient so he can refill the prescription

Only A and B are correct

44.

1 point

EXAM 5 (MEDICATION ERRORS AND PRESCRIPTION WRITING)

When a prescription is made for very young children the ff patient information should be included:

Weight

Date of birth

age

AOTA

45.

1 point

EXAM 5 (MEDICATION ERRORS AND PRESCRIPTION WRITING)

When formatting a prescription, the body of the prescription includes which of the ff:

The refill instruction to the pharmacist

Direction to the patient

Instruction for generic substitution

AOTA

46.

1 point

EXAM 5 (MEDICATION ERRORS AND PRESCRIPTION WRITING)

When writing the dose frequency, no abbreviation should be made to avoid a prescribing error for which of the ff?

Every week

Twice daily

Every other day

only A and B are correct

47.

1 point

EXAM 5 (MEDICATION ERRORS AND PRESCRIPTION WRITING)

When a controlled substance like opioid analgesic is prescribed for pain management the ff statements is/are true:

The presriber info should include both PRC license and S2 license issued by PDEA

It is not necessary to ask for any previous drug dependence

The prescriber should allow for at least three refills of prescription

Only A and B are correct

48.

1 point

EXAM 5 (MEDICATION ERRORS AND PRESCRIPTION WRITING)

The ff are important elements of a prescription:

R/

Sig

Date of Consultation

AOTA

49.

1 point

EXAM 5 (MEDICATION ERRORS AND PRESCRIPTION WRITING)

The ff are important points when writing a prescription:

Write the prescription legibly using ink

When writing a prescription state the dose, frequency and amount to be supplied

When amount to be prescribed in less than 1 put a zero before the decimal point to avoid medication errors

AOTA

50.

1 point

EXAM 5 (MEDICATION ERRORS AND PRESCRIPTION WRITING)

JJ a five- year old boy will require Amoxicillin ff a dental procedure. He weighs only 15kg. Which of the ff statements should be included under the element R/ or recipere?

Give Amoxicillin Suspension (250mg/ 5ml) one teaspoon every 8 hours (6am-2pm-10pm) for 7 days with or without food

Give Amoxicillin Suspension (250mg/5ml) every8 hrs for seven day (6am-2pm-10pm) for 7 days with or without food

None of the above

Either A or B can be included under R/