1. A patient needs 0.5mg of metoclopramide given SQ. Metoclopramide is 5mg/mL. How many milliliters do you need? 2. A patient needs 187.5mg of Clavamox. You only have 62.5 tablets. How many tablets does this patient needs for a Bid x 14d treatment? 3. A patient needs 0.5mg/kg of famotidine IV. The patient weighs 25lb. How many milligrams will you give? 4. A patient that weighs 2kg needs 22mg/kg of cefazolin IV. Cefazolin comes in 100mg/mL concentration. How many milliliters will you give?

Your patient is admitted with cellulitis and is ordered cephalexin 0.5g PO every six hours. The safe dosage parameter is 25mg/kg/day PO in 2 to 4 divided doses (Max: 2 g/day). Your patient weighs 176 pounds. The medication is available in 250mg tablets  Is the patient’s daily dose within the safe dose parameters? Show your calculations

35.  There is a  mystery  and an unusual bacterial disease in Contra Costa County. Researchers as well as physicians  conclude that  it  must be controlled  before it  goes out of hand.  They also find that the pathogen has a extended generation time. What antibiotic do you suggest to use? Group of answer choices Rifamycin Penicillin Quinolones ( such as ciprofloxacillin) Tetracycline Sulfa drug and trimethoprim combination   36.   Which of the following best describes action of the ciprofloxacillin in prokaryotes ? Group of answer choices inhibits RNA polymerase, consequently no RNA synthesis in bacteria interferes with DNA replication by randomly nicking the DNA enhances DNA gyrase activity in killing UTI pathogens binds and modifies elongation factor ( ADP ribosylates) inhibits prokaryotic translation by binding to 50S subunits and arresting translocation inhibits DNA gyrase; prevents snapping back of the separated strands at replication fork

6. What are this medication's pharmacodynamics? 1. 80 mg Diovan 2. 10mg Prinivil 3. Lantus 18 units subcutaneous                                4. Humalog 19 units subcutaneous

14. Rx           Amoxicillin 125 mg/5 mL oral suspension           Dispense 100 mL           Sig.: ss tsp t.i.d. What is the daily dose of amoxicillin prescribed?   a 62.5 mg   b 125.0 mg   c 187.5 mg   d 250.0 mg

Order: nifedipine (Procardia) 20 mg PO BID Pharmacy supply: 10 mg capsules How will you give this to your patient?  Order: Fluphenazine (Prolixin ) 10 mg PO daily  Pharmacy supply: 2.5 mg tablets How many tablets will you give your patient?

CHOOSE THE BEST ANSWER:   2. ALL are true about the activity of Macrolides EXCEPT:    It is effective against syphilis infections it resembles that of penicillin it is very effective against G(-) bacteria it is effective against erysipelas infections   3. These are ALL causes of bacterial resistance against macrolides EXCEPT:    active efflux bacterial endospores release of esterases modification of binding site   4. These are ALL adverse effects of Erythromycin EXCEPT:    CYP450 inhibition Hepatotoxicity Neutropenia Acute cholestatic hepatitis   5. These are drugs that have prolonged half-life when taken with erythromycin EXCEPT:    Rifampicin Lipitor Lanoxin Lasix

A physician orders carboplatin, 360 mg/m2 in 250 mL normal saline infused over one hour. The patient has a BSA of . How many mL must the technician add to the IV bag? Carboplatin is available after reconstitution in a concentration of 10 mg/mL.

# 2 ONLY

11. Condition where chloramphenicol is ineffective    pseudomonas infection chlamydial infection gonorrheal infection syphilis infection   12. Formulation of chloramphenicol that is palatable    chloramphenicol palmitate chloramphenicol esolate chloramphenicol chlorate chloramphenicol carbonate   13. Substance which is a component of lincomycins    lactone sulfur nitrobenzene amino sugars   14. Definition of Clindamycin    7-hydro-7-dioxy Lincomycin 7-hydroxy-7-deoxy Lincomycin 7-dichloro-7-hydroxy Lincomycin 7-chloro-7-deoxy Lincomycin   15. Type of bacteria most susceptible to aminoglycosides    Anaerobic G(-) Aerobic G(+) Anaerobic G(+) Aerobic G(-)