Questions from statewide protocol presentations

Question 1

Which of the following is NOT a medication that pharmacists can prescribe for Vulvovaginal Candidiasis?
A. Fluconazole oral tablet
B. Clotrimazole vaginal cream
C. Bactrim oral tablet
D. Miconazole cream

Answer 1

C

Question 2

Which of the following is a typical symptom of Vulvovaginal Candidiasis?
A. Painful urination
B. Fever
C. Pain in lower abdomen
D. Pruritis

Answer 2

D

Question 3

What is required for pharmacists to be able to prescribe Vulvovaginal Candidiasis care?
A. A 2 hour training session every 2 years
B. No extra training required
C. A VVC care license
D. 2 CE credits regarding VVC every 2 years

Answer 3

B

Question 4

Which of the following symptoms is specific for vulvovaginal candidiasis vs bacterial vaginosis?
A. Fishy scent
B. Red, swollen vulva
C. Itchiness
D. Absence of malodor

Answer 4

D

Question 5

Which of the following patients would you feel comfortable dispensing fluconazole 150mg medication for?
A. 30 y.o. pregnant woman with mild symptoms
B. 42 y.o. man with mild symptoms
C. 23 y.o. patient who is complaining of stomach cramps after a week
D. 37 y.o. woman who takes birth control pills every day

Answer 5

D

Question 6

A woman comes in with symptoms consistent for vulvovaginal candidiasis. After getting a full background of the patient, the pharmacist determines that she would be eligible for treatment. Which of the following would be the best treatment for this patient?
A. Fluconazole 150mg tonight, and another 3 days from now
B. Clotrimazole troche 10mg QID for 1 day
C. Fluconazole 150mg tonight, if symptoms return refer to physician
D. There is no effective oral treatment available, talk to the patient about vaginal cream options

Answer 6

C

Question 7

How long must a pharmacist maintain all records associated with prescribing?
A. 3 years
B. 5 years
C. 7 years
D. Indefinitely

Answer 7

C

Question 8

Which therapy is preferred for uncomplicated VVC?
A. Fluconazole
B. Clotrimazole
C. Miconazole
D. All therapies are equally effective

Answer 8

D

Question 9

True or False? If a patient says “yes” to at least one of the pregnancy screen questions and is free of pregnancy symptoms, proceed to next step.

Answer 9

true

Question 10

How long after you prescribe NRT should there be follow-up with the patient?
A. 1-7 days
B. 3-5 days
C. 7-21 days
D. 14-21 days

Answer 10

C

Question 11

What is the maximum duration of NRT that can be prescribed for?
A. 8 weeks
B. 12 weeks
C. 10 days
D. 14 days

Answer 11

B

Question 12

Which of the following patients would be eligible for NRT?
A. AK is a female with a BP of 162/84
B. MH is a male with a BP of 158/96
C. JL is a male with a BP of 200/100
D. ZL is a trans woman with a BP of 172/94

Answer 12

B

Question 13

If the patient has chronic nasal disorder such as nasal polyps, sinusitis or rhinitis, which of the following nicotine replacement therapy options should not be recommended?
A. Nicotine gum
B. Nicotine nasal spray
C. Nicotine inhaler

Answer 13

B

Question 14

When prescribing NRT (nicotine replacement therapy), the following are important considerations that require a referral to a PCP, except for?
A. Heart attack
B. Chest pain
C. Stomach ulcers
D. Asthma

Answer 14

D

Question 15

All of the following are disease/disorders that are contraindicated with the use of bupropion in tobacco cessation therapy except?
A. Chronic kidney disease
B. Seizure
C. Asthma
D. Eating disorder

Answer 15

C

Question 16

What makes a pharmacist eligible to participate in tobacco cessation prescribing in Oregon?
A. Completion of a comprehensive training program that includes trauma-informed care
B. Minimum of 4 hours comprehensive training program related to tobacco cessation prescribing-one time requirement
C. A minimum of 1 hour of prescribing tobacco cessation products continuing education every 24 months
D. Minimum of 2 hours of documented ACPE continuing education related to pharmacist prescribing of tobacco cessation products

Answer 16

D

Question 17

Which of the following would be considered a reason to refer a patient to their PCP regarding smoking cessation therapy?
A. BP reading 156/88
B. 21 year old patient
C. Have a history of stomach ulcers
D. Currently smokes more than 10 cigarettes per day

Answer 17

C

Question 18

A patient who has a score of 3 or greater on the PHQ-2 assessment is not eligible to receive tobacco cessation therapy.
A. True
B. False

Answer 18

B

Question 19

A pharmacist in Oregon can prescribe pre-travel medications for _________ prophylaxis, traveler’s diarrhea, acute mountain sickness and motion sickness.
A. Lyme disease
B. Flu
C. Malaria
D. Ringworm

Answer 19

C

Question 20

How many hours minimum of travel medicine related comprehensive training does a pharmacist need
to be able to prescribe travel medications?
A. 2 hours
B. 4 hours
C. 6 hours
D. 8 hours

Answer 20

B

Question 21

A parent and their 17 y.o. presents to your pharmacy. They’ll be heading to the home country next week and the parent is worried about both of them getting severe diarrhea while they’re outside the United States. The parent’s friend told the parent that pharmacists are able to prescribe azithromycin. Can you as the pharmacist prescribe azithromycin to the parent and their child?
A. You can prescribe azithromycin to the parent but not the child
B. You can prescribe azithromycin to the parent and the child
C. You can not prescribe azithromycin to the parent or the child as it’s an antibiotic
D. You can prescribe azithromycin to the parent and prescribe doxycycline to the child

Answer 21

A

Question 22

What training is required for an Oregon Pharmacist to dispense medications for Traveler’s Diarrhea?
A. No additional training required to prescribe traveler’s diarrhea medications
B. 2 hour CE on travel medications repeated annually
C. Dispensing medications for traveler’s diarrhea requires a population-specific CPA
D. 4 hour comprehensive training program related to pharmacy-based travel medicine services intended for the pharmacist (one-time requirement) and a minimum of 1 hour of travel medication CE every 24 months

Answer 22

D

Question 23

Q: What would be an appropriate prescription for the prophylaxis of Acute Mountain Sickness?
A. Chloroquine 500mg tablet weekly beginning 1-2 weeks prior to travel
B. Acetazolamide 125mg twice daily starting 24 hours before ascent continuing during ascent and 2-3 days after highest altitude achieved or upon return
C. Loperamide 2mg taking 2 tablets prior to ascent following with 2mg as symptoms continue
D. Promethazine 25mg suppository 30-60 minutes prior to ascent and then every 12 hours as experiencing symptoms

Answer 23

D

Question 24

Per the Oregon protocol, are pharmacists allowed to prescribe ciprofloxacin for traveler’s diarrhea?
A. True
B. False

Answer 24

B

Question 25

Q: Which of the following can a pharmacist prescribe for motion sickness for people 18 years old and older? A. Scopolamine patches B. Promethazine tablets C. Promethazine suppositories D. All of the above

Answer 25

D

Question 26

What are some things that would put patients at high risk for contracting HIV? Choose all that apply. A. Shaking hands with someone who is HIV+ B. Sexual contact with someone who is HIV+ C. Injecting illicit drugs with used needles D. Donating blood

Answer 26

B,C

Question 27

A patient comes into the pharmacy and asks for PEP. They state the protection that was used with their partner last night broke and want to ensure they do not acquire HIV from unprotected intercourse. They recently moved to the city, and have yet to establish care with a primary care provider. Additionally, you see they are on metformin and sitagliptin to control diabetes. They are not known to be HIV positive, have no history of chronic kidney disease and have a history of hepatitis-B infection. Which of the following is the correct course of action? A. PEP should be prescribed and dispensed because they came in within the 72 hour time frame and are not known to be HIV positive B. PEP should not be prescribed or dispensed because the patient does not have a primary care provider and they have a history of Hepatitis-B infection C. The patient should not be prescribed PEP because a history of diabetes is an exclusion criteria for PEP D. PEP should be prescribed and dispensed but the patient must be notified they need to find a primary care physician within the month for testing

Answer 27

?

Question 28

True/False- The pharmacist must refer patients if exposure to HIV occurred >72 hours prior to the initiation of medication.

Answer 28

true

Question 29

True/False- When on the HIV PEP regimen, when you miss a dose, it is okay to double up on doses to make up for the missed dose.

Answer 29

false

Question 30

What are the two medications included in the Oregon PEP statewide protocol that pharmacists in Oregon can prescribe for and that must be start within 72 hours of the HIV exposure? Mark all that apply: A. Isentress B. Doxycycline C. Fluconazole D. Truvada

Answer 30

A,D

Question 31

Which of the following are exclusion criteria for prescribing PEP? Select all that apply: A. The patient is less than 13 years old B. The patient is a survivor of sexual assault C. The patient is known to be HIV positive D. The exposure was greater than 72 hours ago

Answer 31

A,C,D

Question 32

Which of the following medications are able to be used and prescribed by pharmacists in Oregon for HIV Post-Exposure Prophylaxis (PEP)? Select all that apply: A. Truvada (emtricitabine/tenofovir) B. Isentress (raltegravir) C. Bevacizumab (Avastin) D. Trastuzumab (Herceptin)

Answer 32

A,B

Question 33

For PEP follow-up, the recommended tests are listed below. All labs involve a blood draw and your provider may choose to perform more tests as needed. When should the test be performed? -HIV antigen/antibody 4th generation -Hepatitis B surface antigen and surface antibody -Hepatitis C antibody -Treponema pallidum antibody -Comprehensive metabolic panel A. At 4 weeks and 4 months B. At 4 weeks and 3 months C. At 6 weeks and 3 months D. At 6 weeks and 6 months

Answer 33

C

Question 34

Why are there so many criteria that have to be met and questionnaires that have to be filled out for PrEP treatment? A. Because PrEP is not safe for everyone and we need to make sure someone will not be harmed before they are treated with it B. Because only some people, like gay men, can contract HIV and thus are eligible for PrEP C. Because PrEP can only be used for prophylaxis so it is important to make sure patients taking it are HIV negative D. Both A and C E. All of the above

Answer 34

D

Question 35

Why are prescriptions for PrEP only good for 90 days? A. Because each pill expires after 90 days B. Because it is unsafe for someone to take PrEP for longer than 3 months without a treatment holiday C. Because healthcare providers need to ensure that the patient taking PrEP is negative for HIV by testing every 3 months D. Because there is a limited supply of PrEP and they want to make sure they can evenly distribute it to anyone who needs it

Answer 35

C

Question 36

Why must patients get tested for STIs every 6 months in order to be eligible for PrEP? A. Because if a patient has any other STI, then they can no longer safely take PrEP B. Because the risk of contracting HIV increases upon contracting other untreated STIs C. Because patients with STIs are automatically considered positive for HIV and require post- exposure treatment D. Because patients have to test positive for another STI to qualify for PrEP treatment

Answer 36

B

Question 37

What is a risk factor that would require referral to a healthcare provider for patient’s seeking PrEP treatment from a pharmacist in Oregon? A. NSAID use B. Hepatitis B infection C. Pregnant D. Impaired kidney function of CrCl >60 mL/min

Answer 37

B

Question 38

What is the longest length of therapy for PrEP that a pharmacist in Oregon can prescribe for? A. 14 days B. 21 days C. 90 days D. 180 days

Answer 38

C

Question 39

Which specific training is a requirement for a pharmacist licensed in Oregon to be able to prescribe PrEP? A. Comprehensive training and trauma-informed care B. 2 hours of CE C. PrEP Prescribing Practice (PPP) D. No special training required

Answer 39

A

Question 40

True/False- Pharmacists are required to complete a comprehensive training program related to prescribing HIV PrEP medications

Answer 40

true

Question 41

Which of the following medications are FDA approved for Pre-Exposure Prophylaxis of HIV in both men and women? A. Descovy B. Truvada C. Acyclovir D. Tivicay

Answer 41

B