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1. During the course of a targeted medication review for a patient who has asthma, the pharmacist discovers a poor response to a recently increased dose of inhaled corticosteroids which has cause excessive use of rescue with a B2-agonist Upon further investigation, the pharmacist identifies a causal gene variant reported in the patient's recent pharmacogenomics test results variation in which of the following genes would MOST likely have caused an altered response to an inhaled corticosteroid?

A) G6PO
B) TPMT
C) CFTR
D) FCER2

2. A physician calls an MTM clinic and asks a pharmacist for a recommendation for empiric antibiotic therapy to treat a patient who is routinely seen at the clinic. The patient's urinalysis and culture nave confirmed greater than 100.000CFU/mL of a gram-negative rod (sensitivity pending) and it is the first urinary tract infection the patient has been treated for in over 10 years. The pharmacist reviews the patient's profile and notes that the patient has an allergy to penicillin (severe hives) and a current medication list trial includes:
* lisinopril 10mg daily
* warfarin 5mg daily
* digoxin 0 125mg daily
* rosuvastatin 5mg daily
Which antibiotic recommendation would be MOST appropriate for this patient?

A) Cephalexin 500mgtid.
B) Nitrofurantoin 100rng bid
C) Trimethoprim/sulfamethoxazole DS b.i.d.
D) Ciprofloxacin 250mg b.l.d.

3. A physician has diagnosed a patient with Addison's disease but believes the condition may be medication induced, if contained on the patient's current medication list, which of the following would MOST likely be the offending drug responsible for the diagnosis of this condition?

A) Prednisone
B) Sitagtiptin/metaformin
C) indomethacin
D) Metoprololsuccinate

4. An 85-year-oia patient who has several disease conditions and is enrolled in Medicare Part D presents to a pharmacy to refill prescriptions After reviewing the patient's medication vials to provide refills, the pharmacist realizes that, even though the refills are due. many of the vials are still half full with medication Which Initial reaction by the pharmacist lo this observation would be BEST?

A) "Since medication therapy management services are an included benefit of Medicare Pan D. can you explain to me why you have not been taking your medication'?"
B) "There are quite a few tablets remaining in these, which is not good Are you forgetting to take your medication*?"
C) "Is your physician aware that you're not taking your medications'?"
D) "Many or my patients have difficulty remembering to take medications. What kind of problems nave you experienced?"

5. Which guideline BE ST describes a daily nutrient goal for a patient who is following the DASH diet?

A) Sodium intake should be no more than 2300mg daily
B) Protein intake should De at least 55% of total daily calories.
C) Saturated fat intake should be no more than 17% of total daily calories
D) Fiberintake should be between Gg and 10g daily

問題與答案：