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Ultimate Pharmacy Knowledge Assessment Quiz

Test Your Pharmacy Skills and Insights

Difficulty: Moderate
Questions: 20
Learning OutcomesStudy Material

Ready to challenge your pharmacy expertise with an interactive Pharmacy Knowledge Assessment Quiz? This tailored quiz empowers pharmacy students and technicians to evaluate their understanding of drug classifications, dosage calculations, and pharmacy law. For more practice, check out our Pharmacy Product Knowledge Quiz or hone your calculation skills with the Pharmacy Math Practice Test. Everyone can customize questions in our editor to fit their learning goals. Explore more engaging quizzes to keep sharpening your pharmacy skills!

Which of the following drugs is an example of a beta-blocker?
Metformin
Amlodipine
Propranolol
Lisinopril
Beta-blockers work by blocking beta-adrenergic receptors, reducing heart rate and blood pressure. Propranolol is a non-selective beta-blocker used in hypertension and arrhythmias. The other options belong to different drug classes.
In a prescription, what does the abbreviation "q8h" mean?
At bedtime
Every 8 hours
Four times daily
Every 2 hours
"q8h" stands for "quaque 8 hora", meaning every 8 hours. This directs the patient to take the medication three times a day. The other options do not correspond to this abbreviation.
Concomitant use of warfarin and aspirin most significantly increases the risk of which adverse effect?
Nephrotoxicity
Bleeding
Hypertension
Hyperglycemia
Warfarin and aspirin both inhibit clotting pathways, so their combined use greatly raises bleeding risk. Hypertension, hyperglycemia, and nephrotoxicity are not primary effects of this interaction. Monitoring for signs of bleeding is essential.
A pediatric patient weighing 20 kg is prescribed 10 mg/kg/day of a drug. What is the total daily dose?
200 mg
400 mg
100 mg
150 mg
The total daily dose is calculated as 10 mg/kg × 20 kg = 200 mg. The other values do not match this weight-based calculation. Accurate dose calculations help ensure efficacy and safety.
Which schedule under the Controlled Substances Act contains drugs with high abuse potential and no accepted medical use?
Schedule III
Schedule I
Schedule V
Schedule II
Schedule I substances are defined as having high abuse potential and no accepted medical use. Schedule II - V drugs have recognized medical uses with decreasing abuse potential. Examples of Schedule I drugs include heroin and LSD.
Which class of medication is used as a short-acting bronchodilator in acute asthma attacks?
Leukotriene inhibitors
Inhaled corticosteroids
Short-acting beta-2 agonists (SABA)
Long-acting beta-2 agonists (LABA)
Short-acting beta-2 agonists (e.g., albuterol) provide rapid bronchodilation and are first-line for acute asthma relief. LABAs and inhaled corticosteroids are used for maintenance therapy. Leukotriene inhibitors have a slower onset.
A prescription for amoxicillin 500 mg TID for 7 days is written. How many capsules should be dispensed?
28 capsules
21 capsules
14 capsules
35 capsules
Three times daily for 7 days equals 3 × 7 = 21 capsules. Dispensing 21 ensures the full course is provided. Under- or over-dispensing could affect treatment efficacy or safety.
Which item is legally required on a controlled substance prescription in the U.S.?
Pharmacist's license number
Patient's blood type
Manufacturer's lot number
DEA registration number of prescriber
DEA numbers identify prescribers authorized to write controlled substance prescriptions. They are required for validation. The other items are not mandated by federal controlled substances regulations.
Concomitant use of an SSRI and an MAO inhibitor most commonly raises the risk of which condition?
Neuroleptic malignant syndrome
Serotonin syndrome
Tardive dyskinesia
Nephrolithiasis
Combining SSRIs with MAO inhibitors can cause excessive serotonergic activity leading to serotonin syndrome. Neuroleptic malignant syndrome and tardive dyskinesia are linked to antipsychotics. Nephrolithiasis is unrelated.
A 1,000 mL infusion of normal saline is to run over 8 hours using a 20 gtt/mL set. What is the drip rate in drops per minute?
42 gtt/min
53 gtt/min
33 gtt/min
60 gtt/min
Drip rate = (Volume × Drop factor) / Time in minutes = (1000 mL × 20 gtt/mL) / (8×60 min) = 20000/480 ≈ 42 gtt/min. Accurate infusion rates ensure correct fluid administration.
Which federal act regulates the labeling requirements for over-the-counter (OTC) products?
Federal Food, Drug, and Cosmetic Act
Controlled Substances Act
Pure Food and Drug Act
Poison Prevention Packaging Act
The Federal Food, Drug, and Cosmetic Act mandates labeling standards for OTC products, ensuring accurate drug facts. The Poison Prevention Packaging Act addresses child-resistant packaging. The Controlled Substances Act covers controlled drugs.
Which counseling point is most important for a patient starting metformin therapy?
Avoid dairy products
Take with food to reduce GI upset
Limit fluid intake
Take on an empty stomach
Metformin commonly causes gastrointestinal upset, which is minimized when taken with meals. The other statements are not recommended guidelines. Proper counseling improves adherence and tolerability.
Which drug is considered first-line therapy for type 2 diabetes mellitus?
Rosiglitazone
Metformin
Pioglitazone
Glyburide
Metformin is widely accepted as first-line therapy for type 2 diabetes due to its efficacy and safety profile. Sulfonylureas and TZDs may be added if needed. Choice reflects clinical guidelines.
Use of an ACE inhibitor is contraindicated in patients with which of the following conditions?
Bilateral renal artery stenosis
Hyperlipidemia
Asthma
Type 2 diabetes
ACE inhibitors can precipitate renal failure in bilateral renal artery stenosis by reducing glomerular filtration pressure. They are not contraindicated in diabetes, hyperlipidemia, or asthma but require monitoring in other conditions.
A patient weighing 60 kg requires 5 mg/kg/day of a medication, divided into two equal doses. What is the dose per administration?
150 mg
75 mg
100 mg
300 mg
Total daily dose = 5 mg/kg × 60 kg = 300 mg. Divided into two doses yields 150 mg per dose. Accurate splitting ensures therapeutic levels and safety.
How many refills are allowed for a Schedule III controlled substance prescription within six months from the issue date under U.S. federal law?
No refills allowed
Up to 5 refills
Up to 11 refills
Unlimited refills
Schedule III and IV prescriptions may be refilled up to five times within six months of the issue date. After five refills or six months, a new prescription is required. This ensures controlled dispensing.
Which anticoagulant therapy requires monitoring of anti - factor Xa levels in certain patient populations?
Apixaban
Low molecular weight heparin
Warfarin
Unfractionated heparin
Low molecular weight heparins (e.g., enoxaparin) may require anti - factor Xa monitoring in renal impairment or obesity. Unfractionated heparin uses aPTT monitoring. Apixaban and warfarin use different monitoring parameters.
Concurrent intake of simvastatin with grapefruit juice primarily increases the risk of which adverse effect?
Rhabdomyolysis
QT prolongation
Thrombocytopenia
Hypoglycemia
Grapefruit juice inhibits CYP3A4, increasing simvastatin blood levels and risk of muscle breakdown (rhabdomyolysis). QT prolongation, hypoglycemia, and thrombocytopenia are not primary outcomes of this interaction.
A patient requires 40 mEq of KCl over 24 hours. The stock concentration is 2 mEq/mL. What infusion rate in mL/hour is required?
2 mL/h
0.5 mL/h
0.83 mL/h
1.2 mL/h
Total volume needed = 40 mEq ÷ 2 mEq/mL = 20 mL. Over 24 hours, rate = 20 mL ÷ 24 h ≈ 0.83 mL/h. Precise infusion rates maintain electrolyte balance safely.
A pharmacist suspects prescription drug abuse when a patient requests early refills on a controlled substance. What is the most appropriate action?
Refuse to fill and do nothing else
Fill the prescription and monitor usage
Contact the prescriber to verify concerns and document
Report the patient to law enforcement immediately
Ethical and legal practice requires the pharmacist to address concerns by consulting the prescriber and documenting the interaction. Simply refusing without communication or involving law enforcement prematurely can violate regulations or patient trust.
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Learning Outcomes

  1. Analyse drug classification and therapeutic uses
  2. Evaluate prescription accuracy and legal compliance
  3. Identify adverse drug interactions and contraindications
  4. Apply dosage calculation methods to pharmacy scenarios
  5. Demonstrate understanding of pharmacy law and ethics
  6. Master patient counseling best practices

Cheat Sheet

  1. Master the Five Controlled Substance Schedules - Learn to distinguish Schedules I through V, from the high-risk, no-medical-use drugs to those with minimal abuse potential. Understanding this hierarchy unlocks the rules for prescribing, dispensing, and refilling, making you the boss of controlled substances. Keep your knowledge sharp and impress everyone with your regulatory prowess! Pharmacy Law and Regulations Flashcards
  2. Check All Prescription Essentials - Before you stamp "filled," verify the patient's name, drug name, strength, dosage form, directions, and prescriber's signature. Missing even one item can trigger nasty legal snags or, worse, patient harm. Think of it as a mini detective mission every time you prepare a prescription! Pharmacy Law Essentials: What Every Pharmacist Needs to Know
  3. Spot Potential Drug Interactions - Channel your inner pharmacovigilance superhero by reviewing medication histories and checking reliable databases for red-flag combinations. Catching contraindications early not only prevents adverse reactions but also boosts patient trust in your superpower. Keep your interaction radar on full alert! The Pharmacist's Role in Medication Safety
  4. Master Dosage Calculations - Workout your math muscles with formulas like Dose = (Desired Dose / Stock Strength) × Volume until numbers are your best friends. Precision here isn't optional - accurate doses are the backbone of safe and effective therapy. Get ready to conquer any calculation challenge! Pharmacy Law and Regulations Flashcards
  5. Nail Key Pharmacy Laws - From the Controlled Substances Act to the Food, Drug, and Cosmetic Act, these statutes shape every pill you dispense. Grasping their nuances helps you navigate safety, efficacy, and legal responsibilities with confidence. Become the ultimate legal eagle of the pharmacy world! Guide to Federal Pharmacy Law
  6. Uphold Pharmacy Ethics - Champion patient confidentiality, informed consent, and integrity in every interaction. Ethical practice isn't just a rule - it's the heart-and-soul of pharmacist-patient trust and top-notch care. Let your moral compass guide every decision! Understanding Pharmacy Law and Ethics
  7. Polish Your Patient Counseling Skills - Communicate clearly, address questions with empathy, and confirm understanding to boost medication adherence. Great counseling turns dosages and side effects into digestible stories, fostering better health outcomes. Make every conversation count! The Pharmacist's Role in Medication Safety
  8. Master Proper Storage and Handling - Treat medications like VIPs by controlling temperature, protecting them from light, and respecting expiration dates. Correct storage safeguards potency and patient safety - no wilted meds allowed! Keep these guidelines close to ensure every dose delivers its best. Pharmacy Law Essentials: What Every Pharmacist Needs to Know
  9. Stay Updated on Drug Approvals and Recalls - Bookmark the FDA and related bulletins to catch new approvals, safety alerts, and product recalls before your next shift. Being in the know means you can deliver the freshest, safest information to patients. Knowledge is power - keep it current! Guide to Federal Pharmacy Law
  10. Perfect Medication Reconciliation - During transitions of care, compile and compare comprehensive drug lists to avoid omissions, duplications, and harmful interactions. Accurate reconciliation bridges gaps in treatment and safeguards patient journeys. Become the reconciliation rockstar in your healthcare team! The Pharmacist's Role in Medication Safety
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