‫‪June 2021‬‬

‫اللهم علمنا ماينفعنا وانفعنا بما علمتنا‬

‫اذكروا كل من شارك بدعوة‬

‫*‬
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1-

Ans is 14 days (refrigerated)

the 7 days for (room temperature)

2-HLA B 1502 positive, what's safe to take?

A.Carbamazepine
B.phenobarbital
C.lamotrigine
D.levetiracetam

3-starch is digested in saliva by? Amylase

4-Epimer of glucose?

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A.Ribose
B.galactose
C.deoxyribose

5-polysaccharide?
A.Glucose
B.glycogen
C.glucagon

6-MRSA infection (I think ocular)?

A.Vancomycin ointment
B. -mupirocin ointment

7-drug safe to take with hcg(mean pregnancy)?

A.Warfarin
B.levothyroxine

8-after meal abbreviation? PC

9- 1 gtt o.u. bid means?

One drop in both eyes twice daily

10- rate limiting step in bioavailability?

A.Dissolution
B.absorption

11-anti androgen medication?

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A.5alpha reductase inhibitors

B.tamoxifen

12- 9 year old with a dry cough?

A.Dextromethorphan 15 bid
B.Dextromethorphan 30 bid

13- UGT1A1*28 polymorphism associated with severe diarrhea in what

chemo?
A.Irinotecan
B.methotrexate

14-Norepinephrine is?
A.Coenzyme and neurotransmitter
B.hormone and neurotransmitter

15-patient with lab results.. high GGT, high ALT and high AST, what disease?
A.liverCirrhosis
B.hepatic steatoria
C.cholestasis

16-taken with food?

A.Apixaban
B.rivaroxaban
C.dabigatran

17- DASH diet in?

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A.Hyperlipidemia
B.DM
C.Hypertension

18- A pharmacist caring about a patient 's best interest?

A.Autonomy
B.beneficence
C.justice

19- long question.. research about Vitamin E and it's a collection of a lot of
studies?
Meta analysis

20-observational study about the relation between someone who eats fatty
food and obesity?
A.Association
B.causality

21-most direct anticoagulant that causes dyspepsia?

A.Dabigatran
B.rivaroxaban
C.apixaban
D.betrixaban

22- patient admitted to the hospital for MI ,he was on high intensity stating
but decreased it to moderate intensity bc he was having muscle pain?
A.Add niacin ER

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B.add ezetimibe
C.add gemfibrozil,
D. don't do anything

23-phenobarbital SE in elderly?
A.Ataxia
B.hypotension
C.agitation
D.dementia

24-vaccine contraindicated in pregnancy?

MMR

25- patient wants to travel in one week to a country with high hepatitis A?
A.Take hepatitis A vaccine only
B.take hepatitis A vaccine + Ig

26-Tyramine allergy? Linezolid

27- enteral nutrition contraindication?

A.Bowel ischemia
B.gastric achlorhydria
C.cranial hemorrhage

28- 3 months infant have RSV?

A.pavilimumab
B.supportive

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29-13 year old girl with sore throat for 2 days but no symptoms at all?
A.Gargoyle with salt and water
B.give antibiotics

30- cyclophosphamide toxicity?

hemorrhagic cystitis

31-antidote of methglobinemia?
Methylene blue

32- patient on benztropine, what's the antidote? Atropine

33- water for injection?

A.Sterile water
B.non sterile water
C.sterile water for injection

34- cleaning gloves in the laminar hood with?

Isopropanol 70%

35- cleaning in the laminar hood with?

A.Isopropanol 70%,
B.Isopropanol 90%
C.ethanol 70%
D.ethanol 90%

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36- a student touched a patient who has c.diff infection using aseptic wipes?
A.Aseptic wipes are enough
A.use rubbing alcohol
B.clean with soap and water
C.take metronidazole
D.immediately as prophylaxis

37- patient came to the pharmacy and admitted that he takes his wife's
lorazepam everyday before he sleeps and the Pharmacist wrote "patient has
substance abuse" what is the mistake that the Pharmacist did?
A.Disrespect patient's privacy
B. didn't call the police
C.gave diagnosis for substance abuse

38- Transportation is ?
Direct non medical cost

39- patient with minor wounds due to accident and unknown history of
vaccination?
A.Don't give anything
B.give td only
C.give td + IG

40- DM medication that causes weight loss?

Liraglutide

41- pioglitazone monitoring?

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A.Liver function
B.renal function

42- drug that is misused for weight loss?

A.Orlistat
B.levothyroxine
C.gliclazide

43- descriptive study?

A.Case series
B.case control
C.cross sectional
D.cohort

44-Lamotrigine serious risk? Rash

45-medication for osteoporosis and heartburn? Calcium carbonate

46- Antimalarial medications are made from?

Quinine (plant)

47- drug not given in G6PD?

A.TMP/SMX,
B.impenem/cilastatin
C.amoxacillin/clav

48-patient had an allergy to TMP/SMX?

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Gliclazide

49-patient with asthma and open angle glaucoma?

A.Timolol
B.bromonidine
C.latanoprost ✅
D.pilocarbine

50- patient is going to travel with no history of traveler's diarrhea, for

traveler's diarrhea prophylaxis?
A.Good hygiene
B.azithromycin
C.ciprofloxacin

51-two chemical configurations for the same drug, one is R and the other is S
what it is called? Isomers

52-present medications cost in dollars?

A.Cost benefit
B.cost utility
C.cost effectiveness
D.cost minimization

53-preventive?
A.Medications errors
B.adverse effects

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54- A patient taking vancomycin and red man syndrome happened?

A.Decrease infusion rate
B.increase infusion rate
C. do nothing

55- a pregnant woman and her lab hemoglobin level is 10 and low ferritin and
other lab tests, give?
A.Iron only
B.Iron and pravastatin
C.no need for management

56- antioxidants that give food the color?

A.Tannins
B.alkaloids
C.flavoids

57- acute migraine?

A.Sumatriptan
other options

58- pregnant woman with migraine?

A.Acetaminophen
B.ibuprofen

59- pregnant and ductus closure happened what's the management?

A.Indomethacin
B.alprostdin

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C.misoprostol

60- corticosteroids are given in sepsis for?

A.Mortality
B.decrease pain scale
C.decrease staying in ICU
D.decrease need for fluids

61- methotrexate is given as?

Weekly with folic acid every other day

62-diffusion depends on?

A.Metabolism
B.metabolizing enzymes
C.absorption

63-100% bioavailability? Intravenous

64-least bioavailability?
A.Oral
B.rectal
C.buccal
D.IV

65-medication done in a vertical laminar hood?

A.Doxorubicin

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66- 75 years old woman with urinary incontinence?

A.Oxybutynin
B.duloxetine
C.imipramine
D.doxazosin

67- first line in status epilepticus?

Lorazamp
A.Midazolam
other options

68- patient with status epilepticus?

A.Alprazolam
Or other options

69- patient with absent epilepsy and the physician increased her valproate
dose because she had a seizure, goal?
A.Zero seizures
B.decrease seizures by 25%
C.decrease seizures by 50%

70-how to write a prescription in board accreditation?

A.HCTZ 100 mg orally twice daily
B.HCTZ 1g orally every 12 hour’s
C.hydrochlorothiazide 100 mg orally every 12 hours
D.hydrochlorothiazide 100 mg orally twice daily

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71-DM patient on insulin but he is not taking his dose, his HbA1c is 12%, he
refuses taking insulin right dose bc of weight gain what do you do as a
Pharmacist?
A.Refer to physician to decrease his insulin dose
B.decrease his doses
C. try to change his beliefs on insulin
D.tell him it's ok to not take his dose

72-bentonite is?
A.Preservative
B.emulsifying agent
C.suspending agent
D.vehicle

73-biotin a vitamin? B7

74-natural antiemetic?
A.Ginger
B.cinnamon

75-from high concentration to low concentration?

A.Passive Diffusion
B.active Diffusion
C.carrier

76-what's the medication contraindicated in CrCl less than 20?

A.Spironolactone

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B.furosemide
C.metolazone

77-patient on warfarin and has mechanical valve and INR 3.5, what should
you do?
A.No management
B.decrease warfarin dose

78-best anticoagulant in pregnancy?

A.Enoxaparin
B.warfarin
C.apixaban

79-best anticoagulant in cancer?

A.Enoxaparin
B.bivaluridin

80-rate control in atrial fibrillation?

A.Amiodarone
B.procainamide
C.sotalol
D.lidocaine

81-What medication causes increased lipids?

A.Isotretinoin

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82- patient has severe endocarditis with staphylococcus aureus on

vancomycin but sensitivity test is done and the patient is only sensitive on
linezolid but it's not FDA approved in endocarditis what's the management?
A.Increase vancomycin dose
B.don't give linezolid
C.give linezolid as off-label

83-best source for vaccinations?

A.WHO
B.MOH
C.SFDA

84-you want to know If you can give two injectable medications together
what's the source?
A.Red book
B.merck manual
C.handbook of injectable medications

85-preventive and curative institution is?

A.Primary
B.secondary
C.tertiary
D.speciality

86-what causes medication errors?

A.High alright medaction
High interruption

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87-non verbal communication?

A.Body posture

88- patient taking sildenafil and needs consultation but the pharmacy is full?
consult in private area

89-hepatitis B vaccine , how many doses?

A.1
B. 2
C. 3
D. 6

90-physician wrote for a patient on HCTZ " increase hydrochlorothiazide to

50 mg and come back in two weeks", what does this represent in the SOAP
method?
A.Plan
B.assessment
C.objective
D.subjective

91-disease that uses the PLATE method?

A.Hypertension
B.DM
C.hyperlipidemia

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92- Plan B pill?

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93- Biopharmaceutical categories ?

94-High risk preparation medium?

95-Half life of dabigatran? 12-17 hour

96-Substance responsible for Color for plants ?Chlorophyll

97- Vasopressin function ?

Vassopressin:antidiuretic hormone cause Na,water retension

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98-Drugs cause arrhythmia when given IV ?

Theophylline cause fatal arrythmia if given iv rapidly

99- Pt with HF need anti arrhythmic which agent is suitable ?

100- Cases :UTi + different scenarios

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note:
Infection in lower urinary tract tract = the bladder (cystitis) ,(un) = uncomplicated ,( c) = complicated ,
(FQ)=Fluoroquinolones, Infection in upper urinary tract= (pyelonephritis)

101-What Ig , first release ? iGm

102-Type of allergy occurs if pt. Develop hemolytic anemia after 2 week of use of penicillin?
Type 1 ige

103- Which cell type has antigen present in it is surface

T cells have which antigen type on its surface ?
T-cell

104- What is the type of bacteria I use coagulase + test to differentiate between them ?

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105-Pili of bacteria , function ?

Bacteria, like eukaryotes, employ cytoskeletal elements to perform many functions, including cell morphogenesis,
cell division, DNA partitioning, and cell motility.

106- What organism causes osteomyelitis?staphylococcus

107- What is the most high risk Abbreviation? PRN

108- Can Mg sulfate and Na take in the same line ?

109- Osteomyelitis treatment duration ? 4-8 weeks

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110-MRSA ointment ? Mupirocin ointment

111- Deep wound vaccine ?

Deep wound + received 5 y -- NO ttt
If last dose received more than 5y -- Td only
If unknowns-- Td + TIG

112-Name of health care system in SA ? MOH

113-Pt elderly with Hx of peptic ulcer what is the safest analgesic given ?Acetaminophen

114-Rocatan “isotretinoin“ contraindicated in which case ? Preganncy

And should stop before pregnancy
6 weeks for women
12 weeks for men

115-Cystine in chemotherapy agent benefit?

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116-Lifestyle modification in pt with atherosclerosis?

3-6 month

117- Half life of dabigatran? 12 _17 hours

118-Phase 2 metabolism where it can happen ? Congaction

119-epoetin alfa hemoglobin goal? 11 g/dl

120-what's the medication contraindicated in CrCl less than 20?

A-Spironolactone
B-furosemide
C- metolaz
D- bivalirudin

121-best source for vaccinations?

A- WHO
B-MOH
C-SFDA

122-you want to know If you can give two injectable medications together what's the source?
A-Red book
B-merck manual
C-handbook of injectable medications

123-Ciprofloxacin given in? Anthrax

124-patient on enteral nutrition came with lab tests, low phosphate low magnesium?
Refeeding syndrome

125-patient with severe gastric pain radiating to the right upper quadrant with vomiting and pain radiating to the
back also and getting worse with fatty meals?
A-Pancreatic
B-gallstones
C-hepatic disease

126-Medication for osteoporosis in menopausal women given monthly?

A- Zoledronic acid
B- ibandronate

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C-raloxifene

127-Which direct anticoagulant needs premedication 5-10 days with anticoagulant?

A-Apixaban
B- rivaroxaban
C-dabigatran

128-important counseling in taking sublingual nitroglycerin?

Keep it with you , wait 2 minutes for effect if didn't work go to ER, take it while standing, chew it

129- p-value?
P-value > 0.05 is significant and hypothesis is rejected

130-mycoplasma bacteria? Pneumonia

131-cyclosporine is given, which medication is safe to give with it?

A- Azithtomycin
B-erythromycin
C-clarithromycin

132-medication for tinnitus (meniere's disease)?

betahistine
I only remember cycloserine from the options

133-amphetamine is?
A-Direct adrenergic stimulant
B- indirect adrenergic stimulant
C- direct cholinergic stimulant
D- indirect cholinergic stimulant

134-patient with social anxiety is admitted to the hospital and is now on Morphine. We want to change his
anxiolytic medication to decrease respiratory depression, which one is safe?
A-Bupropion
B-zolpidem
C-lorazepam

135-atomoxetine is metabolized by?

A-CYP2D6p
B-CYP2C19

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136-pregnant with HIV and viral load <100 which medication is given in delivery?
A-Tenofovir
B-lamivudine
C- zidovudine
D- efavirenz

137-Patient with history of hypertension, DM, hyperlipidemia admitted to the hospital for atrial fibrillation and he
was discharged on
Metformin 1000 mg twice
Lisinopril 20 mg
Bisoprolol 5 mg
Aspirin 81 mg
Atorvastatin 40 mg
What's wrong in the discharge medications?
A- One medication is dosed wrong
B- two medications are dosed wrong
C-inferior medication was prescribed while major medication was not prescribed
D- drug-drug interaction

138-what causes the lysis of fibrin?

A- tpA
B- plasminogen
C-thrombin
D- plasmin

139-infant given ophthalmic erythromycin for?

Chlamydia infection

140-given methotrexate? Folic acid

141-patient with crohn's disease and is going to be started on infliximab what is the test done before?
Latent TB

142-plasma cells are derived from?

A-T cells
B- B cells
C-TNF

143-primary hypothyroidism?
A-Low TSH and highT4

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B-high TSH and low T4

144-medication given for hyperthyroidism causes permanent decline in thyroid hormones?

A-PTU
B-methimazole
C-RAI

145-patient is on regular morphine every 12 hours for pain, what morphine dose is given for breakthrough pain?
A-5 mg
B-10 mg
C-20 mg

146-vaccination given for diarrhea? Rotavirus vaccine

147-24 years old male patient with no chronic diseases is diagnosed with active tuberculosis. What's the
management?
Rifampicin+isoniazide+ethambutol+pyrazenamide

148-a child came to the hospital 4 days ago and given amoxicillin for 5 days and prednisone for 5 days (I forgot
for what)
Now he's 36 months old and ready for MMR vaccine. what do you do?
A-Give the patient
B- wait 1 month to give because he is taking amoxicillin
C-wait 1 month because he is taking prednisone

149-antibiotic safe in pregnancy?

A-Rifampicin
B-doxycycline
C-Rifampicin+doxycycline

150-patient came to the ER his lab tests are: Blood pressure 60/54
(Other lab tests I don't remember them) Give him fluid resuscitation?
A-Hypertonic saline
B- albumin
C-ringers lactate

151-FDA approved that it induces sleep? Lavendula

152-phase 1 clinical trial?

A- In animals

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B-healthy people for pharmacokinetics

C-diseased people for safety
D-post marketing

153-patient on warfarin she started a new medication and her INR after became 6.2 what is the medication?
Warfirine

154- A patient (she was an elderly I think 75) has a seizure, a history of arrhythmia and is diagnosed with
depression. What's the best management?
A-Buprobion
B- paroxetin
C- imipramine

155-herbal anti stressor?

A-Ginseng
B-black liquorice

156-A medication was increased in cost and the demand decreased from 120 to 80. What's the demand type
here?
A-Inelastic
B- elastic

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 ‫‪41‬‬

‫الى اي مجموعة ينتمي ‪Abacavir‬‬

‫‪41‬‬
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‫تصنيف البريدنيسولون‬

157- statistics Z what to refer to Mode?

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158-categories of drug

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159-inferiority test

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160-blind study ‫ دوا‬٢ ‫بس كان سؤال غريب مش بيفرق بين‬

161-hydroxychloroquine monitoring?
Baseline: CBC, lytes, Cr, BUN, AST, ALT. Baseline major eye exam. Every year, repeat basic labs described
above and ensure repeat major eye exam to look for retinopathy due to this medication.

162-‫ ال‍‍سالبيوتامول بيشتغل ع انه‬receptor

163-‫ و مثال ع‬ARB antagonists? Losartan

164-‫الصيدلي اللي بيعطي أقاربه اكتر من اي حد‬

‫ده بيخل بمبدأ ال‬
justice

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)consent(‫ ايه اول حاجة الزم تبقى موجودة موافقة الشخص طبعا‬study ‫ مرة حد هيبدأ‬-165

166-amiodaron+quetiabine? Qt prolongation

167- CCB ? Verapamil

168-inhibit slow inward phase 2..‫اختارات‬

169-‫ اسئلة عن حاالت محتاجة‬antiplatelets

‫ مرة في‬ischemic ‫وايه الممنوع‬
‫ ومرة بيسأل عن الكلوبيدوجريل اكتر واحد بيتأثر ب ال‬polymorphism
‫ ومرة عايز يمشي مريض‬asthma ‫ع كلوبيدوجريل وتعطي معاه ايه؟‬
‫ ومرة بنقيس ال‬heparin ‫بايه‬
Atpp

170-‫ وسأل بنقيس ال‬renal function ‫ب‬

Pharmacokinetic. Parameter ‫ايه ؟‬

171-‫ سنين وعايزة اظبط ال‬٥ ‫ صيدلية بتعمل خطة لمدة‬immediate tasks
‫ نوع ال‬planning ‫ايه؟‬

172- ‫ واحدة حامل وال‬CD

COUNT 100000
‫ وهتحمل تاخد‬ANTIVIRAL ‫اختيارات وال متاخدش؟‬

173-medication given for hyperthyroidism causes premenent decline in thyroid hormones?

PTU,
methimazole,
RAI radio active iodine ☑️☑️
174-plasma cells are derived from?
T cells,
B cells ☑️☑️
, TNF

175-vaccination given for diarrhea?

Rota virus vaccine ☑️☑️
176-FDA approved that it induces sleep?
Lavendula ☑️☑️
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‫‪Lavender, one of the more popular essential oils, is most commonly used for relaxation and sleep.‬‬

‫‪ Pharmacovigillance...‬أسئلة على ال ‪3‬‬

‫‪ adverse Drug reaction‬منهم تعريف‪ ...‬وواحد منهم بيقول احنا بنعملها ليه‪ ....‬عشان ال ‪2‬‬
‫‪.....‬‬
‫‪... Cost‬ممكن تعمله ‪ cost analysis‬ايه هو ابسط ‪ Drug formulary...‬بيقولك لو انت ف المستشفى وعايزين تدخلوا دوا جديد ف ال ‪ cost‬سؤال ف ال‬
‫‪minimization analysis‬‬
‫‪.....‬‬
‫‪ advantage of randomized controlled studies...‬كان في سؤال‪ ....‬ال‬
‫‪... Samples can be controlled‬من ضمن االختيارات‬

‫‪.......‬‬
‫تقريبا‪ ....‬كان ‪ myocoplasma‬أو ‪Test to differentiate between Pseudomonas and E. Coli‬‬
‫‪Acid fast stain‬‬
‫‪.......‬‬
‫‪....‬من المواضيع الجديدة ‪ Tpn...‬أسئلة تقريبا عن ال ‪5‬‬
‫‪....‬‬
‫‪ HIV‬لطفل مولود الم عندها ‪ zidovodine‬مدة العالج بال‬
‫‪.....‬‬
‫سؤال اختياراته‬
‫‪E. Coli‬‬
‫‪ e. Coli‬أنواع مختلفة‪ ....‬اخترت ال ‪ strep...‬والباقي‬
‫‪......‬‬
‫‪... Meta analysis‬سؤال عن أن واحد جمع أبحاث كتيرة‪ ...‬وطلع منها بنتيجة ومعلومة مهمة‬
‫‪ systematic review...‬مش‬
‫االتنين كانوا ف االختيارات‬
‫‪.. . ..........‬‬
‫‪......‬‬
‫ف االختيارات مش عارف صح وال غلط ‪ confounding‬كان فيه ‪ independent variables....‬وال ‪ dependent‬العالقه بين ال‬
‫عموما ‪ Clinical research‬بس االمتحان كان في تركيز كبير على مواضيع ال ‪....‬‬
‫‪ Discussion‬وال ال ‪ intro‬موجودين فين ف ال ‪ objectives‬و ال ‪ Aim‬زي سؤال ال‬
‫و‬

‫‪ p value =0.05....‬يعني ايه ال‬

‫وال ‪ %5‬وال ‪ ....%95‬وتعلق ع النتيجة‪ ....‬حاولوا تفهموها كويس ‪50%‬‬
‫‪ descriptive‬و جالي سؤال ايه ال‬
‫‪Mean‬‬
‫‪T Students test‬‬
‫‪Anova‬‬
‫‪ Mean‬وحاجة كمان‪ ..‬انا اخترت‬

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‫‪.....‬‬
‫‪ haloperidol‬وال ‪ benztropine‬تعالجه ب ‪ EPS...‬واحد جاله‬
‫‪......‬‬
‫‪ Narcotic‬سؤال عن األدوية ال‬
‫تقريبا ‪ oxycondone‬و ‪ codeine‬كان جايب‬
‫‪.......‬‬
‫‪ azathioprine...‬مع ال ‪ Drug drug interaction‬ايه اللي بيعمل‬
‫‪ allopurinol‬كان في ف االختيارات‬
‫‪......‬‬
‫لمدة ‪ 90‬يوم‪ ...‬وزنه ‪ 75‬كيلو‪ ....‬أول يوم هياخد الجرعة تقريبا ‪ dioxin‬عيان بياخد‬
‫‪10 mcg / kg‬‬
‫‪ mcg / kg‬وال ‪ 89‬يوم التانيين هياخد ‪5‬‬
‫‪ mcg‬واألقراص ف الصيدلية تركيزها ‪125‬‬
‫احسب هياخد كام قرص ‪...‬‬
‫‪273‬‬
‫‪.......‬‬
‫‪ genital fetal abnormalities...‬سؤال عن الهرمونات‪ ..‬ايه اللي يعمل‬
‫‪Estrogen‬‬
‫‪Progesterone‬‬
‫‪Androgen‬‬
‫‪Finasteride‬‬
‫مش متأكد ‪ androgen..‬انا اخترت ‪..‬‬
‫‪.......‬‬
‫اتسالت فيه مرتين بطريقتين مختلفتين ‪ abciximab....‬ال‬
‫‪.....‬‬
‫‪ crohns disease..‬وال ‪ ulcerative colitis‬جالي سؤال عن الدوا اللي ينفع في عالج ال‬
‫‪ infliximab....‬اخترت‬
‫‪ monoclonal Anti bodies drugs‬تقريبا كلهم كانوا‬
‫‪.......‬‬
‫‪ steady state...‬والمريض هياخده كل ‪ 12‬ساعة‪ ....‬امتى نوصل ل ‪ %95‬من ال ‪ t half = 12...‬دوا‬
‫كان في من ضمن االختيارات ‪ 51.3‬ساعة‪ ....‬انا اخترتها‬
‫‪........‬‬
‫‪Compassionate Drug use‬‬
‫يعني ايه‬
‫‪.......‬‬
‫وقت العالج ‪ monitor..‬ايه اللي ت ‪ HIV‬عيان عنده‬
‫‪ viral load and cd4 count‬كان اختيارات كتير‪ ....‬انا اخترت ال‬
‫‪.......‬‬
‫كل شوية الممرضة تعمل حاجة ويقولك ايه تعليقك‪ ....‬مثال عيان مشي وكان باقي أدوية كيمو وهي رجعتهم الصيدلية ‪ scenarios....‬كان في كام سؤال ف ال‬
‫‪.....‬أو حاجة كده‪ ..‬ايه الغلط اللي عملته ‪ pneumatic tube‬ف‬

‫‪48‬‬
 ‫‪49‬‬

‫‪........‬‬
‫‪ fats...‬ف تصنيع ال ‪ rate limiting step‬ال‬
‫‪Hmg Co A reductase‬‬
‫‪Hmg Co A synthase‬‬
‫بتشتغل عليه‪ ..‬مش متأكد ‪ statin‬ألن ال ‪ reductase..‬وال كمان اختيارين كده‪ ....‬انا اخترت ال‬
‫‪.......‬‬
‫‪ t half =theophylline 6 hrs‬وجايب ال‪ % theophylline....‬اللي فيه ‪ aminophylline500 mg .. 80‬عيان هياخد‬
‫‪...‬وطالب كمية الدوا اللي موجودة ف الدم بعد يوم‬
‫‪25 mg‬‬
‫‪........‬‬
‫و جمعتهم ف االخر وحليتهم كلهم مع بعض‪ ...‬ألن مفيش ورقة وقلم ف ال برومتريك ‪ mark‬المسائل عموما سهلة وبسيطة‪ ....‬انا عن نفسي عملت ليهم كلهم‬
‫‪....‬العماني وكمان اآللة الحاسبة كتير بدائية‪ ......‬وهما ما كانوش كتير عموما‬
‫‪........‬‬
‫‪Trough of vancomycin‬‬
‫‪30 min before dose 4‬‬
‫‪.......‬‬
‫جرعة قليلة وبعدين تزود ‪ lamotrigine..‬ليه بتدي ال‬
‫‪...‬كان في من ضمن االختيارات‬
‫‪ Dose...‬بيكون معتمد ع ال ‪ rash‬ألن ال‬
‫انا اخترتها‬
‫‪.......‬‬
‫ما ياخدوش الناس اللي عندهم حساسية من ايه؟؟؟ ‪ Rota vaccine...‬ال‬
‫‪.......‬‬
‫‪ DVT...3 months‬مدة عالج ال‬
‫‪........‬‬
‫‪Side effects of bisphosphonate‬‬
‫‪Osteonecrosis of jaw‬‬
‫‪........‬‬
‫ماعدا ‪ normal‬جايب ال انزيمات‪ ...‬والتحاليل كلها‬
‫كلهم عاليين ويقولك المريض احتمال عنده ايه ‪ alkaline phosphatase‬و ال ‪ ast‬و ال ‪Alt‬‬
‫‪ Liver disease‬انا اخترت‬
‫‪.......‬‬
‫مريضة عندها برد و سخونية وكده وف االخر طلع فيروس‪ ..‬وجايب نديها ايه ف االختيارات‪ 2 ...‬مضاد حيوي و باراسيتامول و اوسلتاميفير‪ ....‬انا اخترت‬
‫‪....‬اوسلتاميفير‬
‫‪........‬‬
‫‪ pyridoxine...‬حالة جالها تسمم واخدت‬
‫‪... Isoniazide‬ايه الدوا اللي عمل تسمم‬
‫‪.......‬‬
‫‪ mortality rate‬وايه اللي قلل ال ‪ mortality rate...‬ايه الدوا اللي زود ال ‪ Heart failure...‬سؤالين ف ال‬
‫‪Ace I‬‬

‫‪49‬‬
 50

Beta blocker
Amiodarone
‫وحاجة تانية‬
.......
MOA of dapagliflozin
... ‫ بيزود ال‬...‫ االختيارات‬Glucose excretion in the urine
.......
‫ مريض‬HTN ‫ اخد دوا عمله‬tender of breasts
Spironolactone
........
Mode of action
Of hydralazine
Nitrates
‫سؤالين‬
.........
12.5 ‫ وجاتلي روشتة تحضيرة‬....% 2.5 ‫ دوا تركيزه عندي ف ال ستوك‬..‫ مسألة‬mg / ml
‫ مل و انت عندك‬10 ‫ عايز‬Saline.... ‫ هتاخد قد ايه من ال‬stoke ‫ مع ال‬Saline
5 ml + 5 ml
.........
Case of COPD ‫ وبيسال تاخد ايه‬Anti muscarinic...
Ipratropium
........
‫ ال‬..‫ دوا‬pka 2.5.... ‫ وال‬duedenum Ph = 4.5....
‫ كمية الدوا اللي هتكون‬Lipid soluble ‫كام؟؟؟‬
.........
‫ حالة جاية‬vomiting ‫ و‬seizures.. ‫ ايه اهم حاجة عندي دلوقتي‬... ‫بعد ما بلعت دوا من ساعة‬
2-HLA B 1502 positive, what's safe to take? A.Carbamazepine
B.phenobarbital
C.lamotrigine
D. ✔️levetiracetam
drug safe to take with hcg(mean pregnancy)?
A.Warfarin
B. ✔️levothyroxine
Norepinephrine is?
A.Coenzyme and neurotransmitter B. ✔️hormone and neurotransmitter
15-patient with lab results.. high GGT, high ALT and high AST, what disease?
A. ✔️haptic Cirrhosis
B.hepatic steatoria
C.cholestasis
DASH diet in?

50
 51

A.Hyperlipidemia
B.DM
C. ✔️Hypertension
long question.. research about Vitamin E and it's a collection of a lot of studies?
Meta analysis
20-observational study about the relation between someone who eats fatty food and obesity?
A.✔️Association
B.causality
Comprehensive medication
vaccine contraindicated in pregnancy?
✔️MMR
water for injection?
A.Sterile water
B.non sterile water
C. ✔️sterile water for injection
cleaning in the laminar hood with?
A.Isopropanol alcohol65%,
B.Isopropanol alcohol80%
C.ethanol alcohol70%
D.ethanol alcohol90%
patient came to the pharmacy and admitted that he takes his wife's lorazepam everyday before he sleeps and the
Pharmacist wrote "patient has substance abuse" what is the mistake that the Pharmacist did?
A.Disrespect patient's privacy
B. didn't call the police
C. ✔️gave diagnosis for substance abuse
two chemical configurations for the same drug, one is R and the
other is S what it is called? ✔️Isomers
DM patient on insulin but he is not taking his dose, his HbA1c is 12%, he refuses taking insulin right dose bc of
weight gain what do you do as a Pharmacist?
A.Refer to physician to decrease his insulin dose
B.decrease his doses
C. ✔️try to change his beliefs on insulin
D.tell him it's ok to not take his dose
patient with absent epilepsy and the physician increased her valproate dose because she had a seizure, goal?
A.✔️Zero seizures
B.decrease seizures by 25%
C.decrease seizures by 50%
70-how to write a prescription in board accreditation?
A.HCTZ 100 mg orally twice daily

51
 52

B.HCTZ 1g orally every 12 hour’s C. ✔️hydrochlorothiazide 100 mg orally every 12 hours D.hydrochlorothiazide
100 mg orally twice daily
amphetamine is?
A-Direct adrenergic stimulant
B- ✔️indirect adrenergic stimulant
C- direct cholinergic stimulant
D- indirect cholinergic stimulant
phenytoin
✔️first order kinetics
Not with sulfa allergy
✔️glypurid
Methotrexate contraindication in ? Choices are:
✔️Breastfeeding
Paediatric
Osteoporosis
HF
Galucoma + pregnancy: *Brimonidine or Timolol*
green urine-, Indomethacin, imitryptaline and promethazine
QRS : ventricular depolarizationMaintain vital signs
Treat seizures
Prevent more absorption
‫ انا اخترت‬...‫ وفي اختيار رابع‬prevent more absorption
.........
‫ ايه اللي بيحصل ف‬phase 3.... ‫ ف ال‬action potential ‫ ف ال‬cardiac muscle
........
‫ دوا عايزين نخلي ال‬..‫ مسألة‬steady state 20 ‫ بتاعة‬mg/ litre.. ‫ و ال‬clearance = 5 litre / Hr... ‫ وبيقولك بدون‬Loading dose... ‫احسب ال‬
infusion rate....
125 ‫ و‬100 ‫االختيارات جايب فيها‬....
..........
‫ عشان تحمي من ال‬breast cancer
Vit A 100
Vit D 200
None of them
Vit A + vit d
.........
‫واحد تعبان قرصه‬
Anti venom
.......
When the patient at rest the volume of the blood found more in
1- ✔️vein
52
 53

2-arterial
3-heart
4-pulmonary cerculation

Hepatitis b vaccine should be given to children

At birth , 1, 6 months✓
1 year , 2 ...
6 months , 1 ,2 year

Your colleagues has been contacted with c.difficile patient and used disinfectant wipes what to do:
Use alcohol
Wash hands ✓
Take tetracycline

Immune cells have Y shape that antibodies attaches to which part:

Hinge side
Consistent h side
Variable h side
Consistent L side
Variable L and h side

Immune system works an important role in cancer treatment by :

Macrophage - cytotoxic -complex -....etc
I choosed cytotoxic

2-HLA B 1502 positive, what's safe to take? A.Carbamazepine

B.phenobarbital
C.lamotrigine
D. ✔️levetiracetam
drug safe to take with hcg(mean pregnancy)?
A.Warfarin
B.✔️levothyroxine
Norepinephrine is?
A.Coenzyme and neurotransmitter
B.✔️hormone and neurotransmitter
15-patient with lab results.. high GGT, high ALT and high AST, what disease?
A.✔️haptic Cirrhosis
53
 54

B.hepatic steatoria
C.cholestasis

DASH diet in?

A.Hyperlipidemia
B.DM
C. ✔️Hypertension
long question.. research about Vitamin E and it's a collection of a lot of studies?
Meta analysis

20-observational study about the relation between someone who eats fatty food and obesity?
A.✔️Association
B.causality

Comprehensive medication

vaccine contraindicated in pregnancy?

✔️MMR
water for injection?
A.Sterile water
B.non sterile water
C. ✔️sterile water for injection
cleaning in the laminar hood with?
A.Isopropanol alcohol65%,
B.Isopropanol alcohol80%
C.ethanol alcohol70%
D.ethanol alcohol90%

patient came to the pharmacy and admitted that he takes his wife's lorazepam everyday before he sleeps and the
Pharmacist wrote "patient has substance abuse" what is the mistake that the Pharmacist did?
A.Disrespect patient's privacy
B. didn't call the police
C. ✔️gave diagnosis for substance abuse
two chemical configurations for the same drug, one is R and the
other is S what it is called?
✔️Isomers
54
 55

DM patient on insulin but he is not taking his dose, his HbA1c is 12%, he refuses taking insulin right dose bc of
weight gain what do you do as a Pharmacist?
A.Refer to physician to decrease his insulin dose
B.decrease his doses
C. ✔️try to change his beliefs on insulin
D.tell him it's ok to not take his dose

patient with absent epilepsy and the physician increased her valproate dose because she had a seizure, goal?
A.✔️Zero seizures
B.decrease seizures by 25%
C.decrease seizures by 50%

70-how to write a prescription in board accreditation?

A.HCTZ 100 mg orally twice daily
B.HCTZ 1g orally every 12 hour’s
C. ✔️hydrochlorothiazide 100 mg orally every 12 hours D.hydrochlorothiazide 100 mg orally twice daily
amphetamine is?
A-Direct adrenergic stimulant
B- ✔️indirect adrenergic stimulant
C- direct cholinergic stimulant
D- indirect cholinergic stimulant

phenytoin
✔️first order kinetics
Not with sulfa allergy
✔️glypurid
Methotrexate contraindication in ? Choices are:
✔️Breastfeeding
Paediatric
Osteoporosis
HF

Galucoma + pregnancy: *
Brimonidine or Timolol*

green urine-, Indomethacin, imitryptaline and promethazine

55
 56

QRS : ventricular depolarization

% C.difficile
Treatment : metronidazole or Vancomycin
usedC.difficile poor absorption
Oral Vancomycin ✔️
Znenate with coagulopathy which vitamine K rout will you use?
1-suppositry
2-IV
3-SubQ
4-IM ✅
WBC response for viral infections
✔️Neutrophil
After Hajj seasons MOH have to send reports about diseases and
deaths during al Hajj to ?
A.Ministry of Hajj ✅
B.WHO
C.SFDA
D.CBAHS

QT interval ?
Ventricular action potential ✅
pregnant women has an infection of groub B streptococcus with penicillin allergy, what to give?
1-cefazolin
2-pen G
3-ceftriaxone
4-vancomycin ✅
ame of vitamin D that we can give for patient with renal and liver impairment?
- calcitriol ✔️✔️
- cholecalciferol
Aminophylline % in theophylline?
70,75 ✅,85,90
‫خيارات جت لي غير‬
60

56
 57

70
80 ✔️
90

90- Which of the following vaccines is contraindicated Live atfinuated pregnant woman?
A. Hepatitis
B. BCG vaccine ✅
C. Polio vaccine
D.Meningococcal vaccine

used for VA and SVA

A.procainamide
B.sotalol
C.dofetilde
D. Flecainide or propafenone ✅ ‫جلي بدون هذول الخيارين فحطيت‬c
Dr called DIC and asked about mono clonal antibodies in type of cancer but pharmacist only found 1 case
series
A. tell the dr there are no sufficient evidence
B. formulate the answer upon the 1 case series
C. aske for help from USA FDA
D. look for this mono clonal in different cancer ✅
Immunoglobulins cells found in colostrum ?
⭐ Ig G and ig M
IgG and ig E
Ig M and ig D

Drug A stability in ph (1-8)

In which point is less stable
A. 1
B. 5
C. 7
D. 8
‫وكان في قراف اول مره يمر علي س رسمته تقريبي‬

57
 58

If a doctor request you to prepare 10ml with conc. Of 12.5mg/ml (1.25%) of drug A, and the available conc. Of
drug A Is 2.5%.
How much ml you nead to dissolve in normal saline to prepare 10ml.
A. 3ml of drug A and 7ml of NS.
B. 2ml of drug A and 8ml of NS.
C. 5ml of drug A and 5ml of NS.
‫هذا السؤال م اعرف اذا في طريقه معينه لحله انا حليته بالمنطق برسلكم الطريقه االن‬.

58
 59

Which part of the zidovudine is responsible of DNA synthesis termination

N3

59
 60

What is the conc. % W/W of 2g of drug dissolve in 20ml of water

(‫ الحجم نفسه الوزن‬1 ‫)الحل باعتبار أن كثافة الماء تقريبا‬
A. 9.9%
B. 10.3%

clostridium difficile causes what disease

Colitis

What is the maximum beyond use date of rebackage drug

A. 3 months
B. 6 months (not sure)
C. 9 months
D. 1 year

Vancomycin optimum trough concentration (mg/L)

A. 5-10
B. 10-15
C. 15-20

Morphine tablet numbers of refill

A. 0
B. 1
C. 2
D. 3

1-source of data in insurance companies

(CLAIMS - health data -information collection)

2- mode of transmission for covid 19

(RESPIRATORY-from stool contamination to oral-skin)

3 type of skin normal Flora

(STAPH EPIDERMIDIS- other viridans - klebsiella)

4- he gave 4 different structure for antihistamines w asking which is more dominant

5- women came to the pharmacy asking for antacid what shall I do at time of prescribing( ask for Rx - ask her to
see a dr-PRINT A LABEL with end date and how to use)

Patient with fever admitted hospital +fever his wbc around normal

60
 61

He made sputum culture revealed candida

Asking
1-fluconazol
2. Many cultures don’t mean that is true infection
I chose 2

Patient has burn in finger (ice -ointment-running water )

3 questions about ECG

Bark of pomegranate use

Antihistamine used for preparing 2ry non sedating antihistamine

Hydroxyzine >>> cetirizine

Vaccines in Haj

B blocker has vagal sympathomimetic

BMI calculation
Bioavailability
LD
MD

NSTMI management (doses of aspirin and ticagrelol )

Asthma classification of severity

Alcohol converted into acid by (oxidation-reduction -carboxylation)

No of amino acids in our body

Dose of
furosemide:spironolactones

Mycophenolate safe period before pregnancy (6weeks)

When the patient at rest the volume of the blood found more in
1-vein ✔️
61
 62

2-arterial
3-heart
4-pulmonary cerculation

62
63

63
64

64
65

65
66

66
67

67
68

68
69

69
70

70
71

71
72

72
73

73
74

74
75

75
76

76
77

77
78

78
79

79
80

80
81

81
82

82
83

83
84

84
85

85
 86

Giving different structure of anti histamines w asking which is more dominant

86
87

87