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Pharmacology (including, but not limited to, mechanism of action, side effect profiles,
drug interactions, dosing, approved indications, and monitoring parameters)
Biostatistics
Clinical Case
Participants will be presented with a clinical case vignette (250 words or less) and a series of five
one-best-answer questions based on the information in the case text and/or supporting
laboratory, physical examination, and/or medical history information contained therein. Point
values for each question in this category will be assigned on the basis of difficulty (one 100-point
item, two 200-point items, and three 300-point items).
Jeopardy Style
Participants will have an opportunity to answer questions of varying point values
(100, 200, or 300 points) in five predetermined categories and may answer as many as possible
within the allotted time. All items in this segment will be multiple choice. Items in the segment will
be selected from five (5) of the following categories:
Anticoagulation
Asthma/COPD
Biostatistics
Cardiovascular Disorders
Critical Care
Drug Information
Emergency Medicine
Endocrinology
Geriatrics
GI/Liver/Nutrition
Hematology/Oncology
Infectious Diseases
Nephrology
Pediatrics
Pharmacy Informatics
Psychiatry/CNS Disorders
Vaccinations
Womens Health
Follow the instructions given by your local faculty member or proctor for
each segment of the examination.
Do NOT open the examination booklet until instructed to do so.
Page 1 of 13
Trivia/Lightning Section
This section consists of 15 items. Each correct answer is worth 75 points. Please circle your
answer for each question.
Question 1
True or False: Part of the blood pressurelowering effect of ACE inhibitors is caused by increased
prostaglandin effects.
1. True
2. False
Question 2
The preferred pharmacologic class for the management of ethanol withdrawal syndrome is:
1.
2.
3.
4.
Barbiturate
Benzodiazepine
-Blocker
Calcium channel blocker
Question 3
Which type of analysis is useful for either developing predictive models or performing survival
analysis?
1.
2.
3.
4.
Correlation
Regression
Meta-analysis
Histograms
Question 4
Which antibiotic is penicillinase-resistant penicillin?
1.
2.
3.
4.
Ampicillin
Piperacillin
Penicillin
Nafcillin
Page 2 of 13
Question 5
According to the manufacturers label information, which bisphosphonate must be administered at
least 60 minutes before the first food, non-water drink, or any medication of the day?
1.
2.
3.
4.
Alendronate
Ibandronate
Pamidronate
Risedronate
Question 6
Which drug is considered first-line maintenance therapy for a patient with mild persistent asthma?
1.
2.
3.
4.
Albuterol
Fluticasone
Montelukast
Salmeterol
Question 7
Which physiologic/metabolic change in the elderly is most likely to affect serum digoxin
pharmacokinetics?
1.
2.
3.
4.
Question 8
Which diuretic exerts its primary mechanism of action by inhibiting sodium reabsorption in the
distal tubule?
1.
2.
3.
4.
Amiloride
Spironolactone
Chlorthalidone
Furosemide
Question 9
You wish to survey patients about their preferences regarding the route of administration of
hormonal contraceptives and present the results at a national meeting. True or False: The
institutional review board (IRB) does not need to be informed because this is a survey.
1. True
2. False
Question 10
The Colcrys brand of colchicine is indicated for the treatment of which condition?
1. Fibromyalgia
2. Gout flare
Page 3 of 13
3. Osteoarthritis
4. Rheumatoid arthritis
Question 11
Male patients taking which one of the following antidepressants should receive counseling
regarding the possibility of its causing the rare, but potentially serious, adverse effect of priapism?
1.
2.
3.
4.
Amoxapine
Desvenlafaxine
Duloxetine
Trazodone
Question 12
True or False:
In a patient with no known drug allergies, trimethoprim/sulfamethoxazole is the drug of choice for
the oral treatment of community-acquired MRSA cellulitis.
1. True
2. False
Question 13
Use of which diabetes medication may result in weight loss?
1.
2.
3.
4.
Glipizide
Insulin glargine
Pioglitazone
Exenatide
Question 14
Which medication is a major inducer of cytochrome P450 3A4?
1.
2.
3.
4.
Clarithromycin
Isoniazid
Ketoconazole
Phenytoin
Question 15
What is the minimum time needed to safely correct a serum sodium concentration from 120
mEq/L to 135 mEq/L (SI 120135 mmol/L)?
1.
2.
3.
4.
15 hours
30 hours
45 hours
60 hours
Team/Individual ID
_____________________________
Page 5 of 13
Page 6 of 13
1 month
36 months
612 months
Long term
Team/Individual ID
_____________________________
Page 8 of 13
Jeopardy Segment
This segment will consist of 15 items in five predetermined categories. Point values for each item
are indicated below. Please circle your answer for each item.
Cardiovascular Disorders
Item 1 (100 points)
What is the LDL cholesterol goal for a 52-year-old man with a history of hypertension, a 40 packyear history of smoking, gastroesophageal reflux disease, and abdominal aortic aneurysm?
1.
2.
3.
4.
Page 9 of 13
Critical Care
Item 1 (100 points)
Which opioid is most potent as a single dose if all are given in the same milligram amount to a
critically ill patient?
1.
2.
3.
4.
Morphine
Oxycodone
Meperidine
Fentanyl
Propofol
Dexmedetomidine
Haloperidol
Midazolam
Page 10 of 13
Hematology/Oncology
Dextrose 5% in water
Lactated Ringers solution
Mannitol 25%
Normal saline
Lorazepam
Fluoxetine
Soy protein
Conjugated estrogens and medroxyprogesterone
Page 11 of 13
Infectious Diseases
Item 1 (100 points)
Which of the following organisms is known as an atypical respiratory tract pathogen?
1.
2.
3.
4.
Legionella pneumophila
Moraxella catarrhalis
Haemophilus influenzae
Streptococcus pneumoniae
Page 12 of 13
Pediatrics
Item 1 (100 points)
An 8-year-old girl (Wt = 25 kg) is admitted to the hospital for an asthma exacerbation and
pneumonia. Her temperature is currently 39.5C. What is the most appropriate single dose of
acetaminophen for this patient?
1.
2.
3.
4.
160 mg
325 mg
500 mg
650 mg
Humidified oxygen
Racemic epinephrine
Fluticasone
Cefuroxime
Team/Individual ID
_____________________________
Page 13 of 13