July 2015

8- Iron bind with:

a) Ferrin
1- All the following are symptoms of diabetic foot EXCEPT: b) Transferrin
a) Open skin c) Heme
b) Erythema d) Albumin
c) Neuropathic pain e) Hemosiderin
d) Inflammation
9- Bacteriophage
2- You have a complaint about technician or pharmacist at your community pharmacy. What is your a) Engulfing..
proper action:
a) Report to the college of pharmacy 10- PCR
b) Talk to the pharmacy manager a) Endocloneclease
c) Report to the provincial authority of pharmacies b) RNA polymerase

3- The highest iron absorption in the body will be obtained if taken: 11- Guanine contains same number as:
a) On empty stomach a) Cytocin
b) With food b) Uracil
c) With orange juice c) Thiamine

4- Which of the following bisphosphonates is used in vertebral and non-verterbral osteoporosis: 12- Fentanyl works on which receptors :
a) Alendronate a) Mu
b) Zoledronate b) Delta
c) Kappa
5- AUC of drug A is double AUC o drug B d) Mu and Delta
a) Clearance of drug B will decrease e) Mu and Kappa

6- What is the antimetabolite of the following structure: 13- What is true about the chemical structure of Immunoglobulin?
a) Contains heavy and light chain connected by disulfide bond
b) Consists of four subunits connected together by hydrogen bond

14- Simenal fluid produced in:

a) Simenal vesicle
b) Corpus carvenosum

15- Which of the following causes erectile dysfunction:

a) Acetoacetate
b) Para amino benzoic acid a) Atenolol
c) 5-fluorouracil b) Morphine
d) Trimethoprime
16- Indication of prostate cancer:
7- Common acquired meningitis: a) PSA
a) S. pneumonia
b) H. influenza 17- A 60- year old woman has hysterectomy and wants to take replacement therapy, what is the most
c) Moraxella catarrhallis appropriate?
 a) Combined estrogen + progesterone
b) Progesterone only
c) Estrogen only 25- Dysphonia is caused by using:
a) Prednisolone
18- Which of the following NSAIDs used in miocardiac infarction with no problem in GIT:
a) Naproxen 26- We treat fistula using:
b) Celecoxib a) Amoxicillin
c) Ketamine b) Metronidazole
d) Ibuprofen c) Infliximab
d) Methotrexate
19- What is used as a secondary prevention of stroke with atrial fibrillation:
a) Warafarin 27- Bacterial conjunctivitis may be caused by all the following EXCEPT:
b) ASA a) Staphylococcus aureus
c) Dipyridamole b) H. influenza
d) ASA + Dipyridamole c) S. pneumonia
e) Clopidogrel d) Pseudomonas aeruginosa
e) Dientamobea fragilis
20- During the treatment with warfarin, what is the importance of INR:
a) When you maintain the therapeutic dose within the right value, bleeding will not happen. 28- In Isotretinoin counselling, what is the most important point you should inform the patient about:
a) Avoid sun exposure while using isotretinoin
21- A patient KG, his weight is 90kg and his height is 145cm with type 2 diabetes. His sugar level b) Take it with food
didnt improve by diet and exercises for 3 months. What will be the drug of choice in this case:
a) Metformin 29- Using sunscreen is essential during the treatment with:
b) Metaglinide a) Isotretinion
c) Acarbose b)
d) Glyburide
e) Insulin 30- Metabolic acidosis is caused by all the following EXCEPT:
a) ASA
22- Which of the following will be taken to increase the insulin secretion: b) Metformin
a) Pioglitazone c) Sulfates
b) Acarbose d) Increase the reabsorption of sodium bicarbonate
c) Natiglinide e) Acetazolamide
d) Metformin
e) Saxagliptin 31- RH antigen with blood group A refers to which of the following:
a) A positive
23- Bloating, cramping and constipation alternate with loose feces: b) A negative
a) Crohns disease c) B positive
b) Irritable bowel syndrome d) B negative
c) Ulcerative colitis e) AB positive
d) Colon cancer
32- Dental infection is caused by:
24- In the treatment of asthma with salbutamol with no proper response. What will be the add on drug a) Streptococcus viridans
from the following: b) Pseudomonas aeruginosa
a) Frometrol c) Staph aureus
b) Bumethazone
c) Montikulast 33- What of the following antipsychotic drugs can be used with schizophrenic- resistant patient:
 a) Olanzapine c) Diabetes
b) Haloperidole
c) Paroxetine 42- What is your advice for cephalexin susupension:
d) Clozapine a) Shake well and refrigerate
e) Resperidone b) Shake well, take with food and expect mild diarrhea
c) Keep it in room temprature
34- In which area in the brain the motor regulation is found:
a) Parietal 43- Jaundice is caused by:
a) Isoniazide
35- Symptoms of Schizophrenia include: b) Phenytoin
a) Hallucination and delusion c) Valproic acid
b) Delirium d) Carbamazepine
c) Agitation
d) Seizures 44- Acarbose side effect:
a) Flatulence
36- Cranial bones include: b) Hypoglycemia
a) Ethmoid c) Tacchycardia
b) Sphenoid d) Weight gain
c) Occipital e) Hypothyrodism
d) Parietal
e) temporal 45- To treat myoclonic epilepsy we can use:
a) Phenytoin
37- HM is a 32 years old female, visited your pharmacy with a complaint with extra wax secretion in b) Gabapentin
her ear, discharge and may be an infection also. What is the proper act in such case: c) Valproic acid
a) Send her immediately to her health care professional d) Ethosuximide
b) Ask her to wait for 3 days and if there is no improvement happens, she should visit her health e) Topiramate
care professional
c) Clean the discharge by using clean Q-tip and oil 46- Methyphenidate side effect:
a) Weight loss
38- The second treatment of the head lice will be after: b) Headache
a) 3 days c) Tachycardia
b) 4 to 6 days d) Bradycardia
c) 7 to 10 days e) Weight gain

39- In the control of scabies we should: 47- Which of the following doesnt cause dependence:
a) Have all the family members treated. a) Morphine
b) Dexomethorphan
40- which of the following is used in treatment and healing of GERD: c) Dimenhydrinate
a) Ranitidine d) Gabapentin
b) Misoprostol e) Lorazepam
c) Omeprazole
d) Antacid 48- Acetazolamide mechanism of action:
a) Carbonic anhydrase inhibitor
41- Osteoarthritis risk factor includes:
a) Obesity 49- Not used with hypertensive pregnant:
b) Hypertension a) Hydralazine
 b) Enalapril c) Ceftriaxone + Azithromycin
c) Methyldopa d) Cefixime
d) Clonidine e) Tertracycline

50- What is the most problem with elderly when they discharge from hospital: 59- Folic acid dose in epileptic woman taking Carbamazepine will be:
a) 1mg
51- Something about Pka and PH ..non signifigant b) 2.5 mg
c) 5mg
52- Which of the following causes vasodilation: d) 7.5 mg
a) Co
b) Co2 60- J.M. is a patient in last stage renal failure, drug excreted 10% unchanged in urine. What should
c) No we do regarding the dose:
d) No2 a) No need to adjust the dose
e) NH2 b) Reduce the dose to half
c) Reduce the dose to quarter
53- Sunscreen protects the skin from which radiation: d) Increase the interval to double
a) UVA
b) UVB 61- Megaloplastic anemia is caused by:
c) UVC a) Deficiency of folic acid and/or vitamin B12
d) IR b) Deficiency of iron
c) Deficiency of vitamin A
54- What causes hot flashes: 62- QT prolongation can caused by:
a) Anastrazole a) Clarithromycin

55- Plan B side effect includes: 63- Tumor lysis mechanism:

a) Breast tenderness a)
b)
56- The following is sumatriptan (structure A), metabolised to (structure B) which is:
64- What of the following drugs will be so dangerous if taken incorrectly:
a) Leflunomide
b) Methotrexate
c) Prednisolone
d) Infliximab

65- According to DONT USE list what is the most important of the following:
a) L
Structure A Structure B b) Prn
a) Triptamine c) Qid
b) Hypothanxine d) Cc

57- Essential fatty acid: 66- Lubricant :

a) Linoleic acid a) Starch
b) Cellulose
58- Jk is a 35 years old man has gonnorhea, what will be the proper treatment plan for him:
a) Cephalexin 67- We use glycerin in mixing with two insoluble powders, we call this process :
b) Doxycycline
 a) Grinding 77- C Z is a 30 years old woman came to your pharmacy complaining from nausea and vomiting
b) Lavegation since few days, and after using combined oral contraceptive she is still experiencing nausea and
vomiting. What will be your counselling point with her:
68- What is the right statement about franchise: a) Ask her to
a) if there is problem the franchisee pharmacy will be responsible for it b)
b) Standard operating procedure c)

69- Cisplastin mechanism of action 78- First symptom after marijuana administration is:
a) Conjuctivitis ( redness in the eye)
70- A study takes place in chemicals factory, to find a relationship between having chest cancer and b) Diarrhea
working for long time there. Observation along 10 years proved that there is possibility of cancer c) Shortness of breath
is 70% of total workers. What do we call with study:
a) Cohort study 79- The difference between nucleoside and nucleotide:
b) Meta-analysis a) Phosphate
c) Double blind study
d) Randomised study 80- Nociceptive pain is related to:
a) Smooth muscle
71- What is the most reliable study in the following: b) Skeletal muscle
a) Randomised
81- Impairment in phrenic nerve will affect:
72- Phase 11 a) Breath
b) Expanding the leg
73- What found in dorsal part of the body: c) Rotating the shoulder
a) Spinal cord d) Hip movement

74- Which organ will not be affected by hypertension: 82- Lateral is opposite to:
a) Kidney a) Medial
b) Liver b) Proximal
c) Lung c) Vertical
d) Eye d) Frontal
e) Dorsal
75- Methadone is considered :
a) Narcotic 83- Metformin GIT side effect :
b) Straight narcotic a) Lactic acidosis
c) Targeted benzodiazepine b) Constipation
d) Schedule II c) Nausea
e) Schedule I d) Hypoglycemia

76- Number of chromosomes pairs in human: 84- Which of the following stimulate the nuclear receptor peroxisome proliferator-activated receptor
a) 23 gamma (PPAR-):
b) 24 a) Acarbose
c) 26 b) Pioglitazone
d) 28 c) Nateglinide
e) 30 d) Metformin
e) Glyburide
85- Which of the following drugs needs to be prescribed: c) Infection
a) Fucidine cream
97- NOT a risk factor for osteoporosis:
86- Emulsifier used in IV preparations: a) Obesity
a) Magnesium stearate
b) Methyle cellulose 98- Osteoarthritis 1st line treatment:
c) Sodium lauryl sulphate a) Acetaminophen
b) Ibuprofen
87- Healthy volunteers c) Methotrexate
a) Phase I d) Prednisolone
e) Infliximab
88- Primary literature: f) Celecoxib
a) Pub med
b) Clinical study 99- Granisetron works on which receptor
c) CPS a) Serotonin
b) Dopamin
89- Collagen consists of: c) Histamine
a) Vitamin A
b) Vitamin C 100- Phenelzine mechanism of action:
c) Vitamin B a) Monoamine Oxidase Inhibitor
d) Vitamin D b) Epinephrine reuptake inhibitor
e) Vitamin K c) Dopamine antagonist
d) Serotonin agonist
90- All of the following about Vigilance EXCEPT:
a) Adverse side effects 101- What should we avoid while taking Phenelzine:
a) Aged cheese for the risk of hypertensive crisis
91- Which if the following is a proven case for prevalence:
a) 117 died from community of 300 infected by salmonilla 102- Which of the following doesnt cause serotonin syndrome with phenelzine:
b) 1021 died in 2010 a) Guaifenesin

92- Should be concurrent administered with Isoniazide treatment: 103- Tick bite virus
a) Thiamine a) Malaria
b) Niacin b) Rocky mountain spotted fever
c) Pyridoxine c) Rubella
93- What we need to monitor the most while treatment with isotretinoin:
a) Lipid and liver function levels 104- The following structure which is B-carotene is metabolized by:

94- What do we need to test frequently with lithium treatment:

a) Thyroid function

95- What we need to monitor after 3 weeks prednisolone treatment: a) Hydrolysis

a) Glucose b) Oxidative cleavage

96- Osteoporosis risk factor: 105- Prolong life with negative chronotropic effect:
a) Hypertension a) Enalapril
b) Hyperthyroidism
 b) Carvedelol b) Delirium
c) Captopril c) Mixed dementia
d) Vascular dementia
106- Which part of the brain is responsible for the balance:
a) Brain stem 115- Acute dystonia treatment:
b) Cerebrum a) Benzotropine
c) Cerebrellum
d) Medulla 116- Angioedema is a side effect of:
a) Ca channel blocker
107- Sympathatic action on heart: b) Enalapril
I- c) Hydrocholothiazides
II- conduction of AV node d) Loop diuretics
III- Increase the cardiac output c) Spironolactone
a) I only
b) III only 117- What is the relation between bone marrow and B- Lymphocytes:
c) I & II a) B-Lymphocytes originated in bone marrow
d) II & III
e) all of them 118- Cold chain..
a) Something about transportation and storage
108- Cant be used with diabetic patient:
a) 119- Dabigatran mechanism of action:
a) Inhibit platelets aggregation
109- Prevention of migraine can be achieved by: b) Direct thrombin inhibitor
a) Avoid triggers. c) Anti thrombocytosis

110- Quaternary surfactant 120- Which if the following causes Systemic Lupus Erthymatosus:
a) a) Hydralazine
b)
121- Cause photosensitivity:
111- Ophthalmic suspension: a) Clarithromycin
a) Short time of duration b) Clindamycin
b) Increase the bioavailability c) Amoxicillin
c) Brisk agitation before use to obtain homogenous distribution of the particle.
122- Carbonic anhydrase inhibitor:
112- Gauge number for needle of injection refers to: a) Dorzalamide
a) Bevel b) Captopril
b) The external diameter of the needle c)
c) The internal needle volume
123- Which of the following causes dilatation of veins and arteries:
113- Beta amyloid found in: a) Hydralazine
a) Parkinsons disease b) Clonidine
b) Schizophrenia c) Prazocin
c) Alzheimers disease b) Sodium Nitroprusside

114- Rivastigmine is used in the treatment of all the following: 124- NPH dose:
a) Lowes body dementia a) Once daily
 b) Twice daily a) Inhibin
c) Before meals b) Mucin
d) After meals c) Myocin

125- What is the best management for hyperlipidimic patient: 137- Flumazenil is an antidote for:
a) Maintain effective dose with help of diet and exercises a) Benzodiazepines

126- What we call the process of Cholesterol conversion to Cholate: 138- Which of the following doesnt work for atrial fibrillation:
a) Oxidation a) Verapamil
b) Reduction b) Digoxin
c) Hydrolysis c) Amiodarone

127- Which causes discolouration of urine: 139- Neutrophil mechanism of action:

a) Nitrofurantoin a) Engulfing ..
b) Clotrimazole
140- Which of the following drugs cause insomnia as a side effect:
128- Infliximab increase the risk of: a) Buprobion
a) Infection b) Mertazipine
c)
129- While treatment with Carbimazipine we monitor:
a) INR 141- Sertraline side effect:
b) White blood cells count a) Cholinergic side effects
c) Hameoglobin b) Sexual dysfunction
c) Arrhythmias
130- Gynecomastia is the side effect of:
a) Spironolactone 142- Increase the risk of peptic ulcer:
a) Morphine sulfate
131- Protease mechanism b) Tramadol
a) Lyse
143- Acute.
132- Cis and trans structureasked about number of cis and trans plus Chiral atoms .
a) 1 144- Otitis media causative organism:
b) 3 a) S.pneumonia
c) 5
d) 7 145- Not sexually transmitted disease:
a) Hepatitis B
133- The most absorbed drug in breast milk: b) HIV
a) Highly binding acidic drugs c) Clostridium

134- Fentanyl is taken with ritonavir, what will happen: 146- Why TAC is conjugated with PCR polymerase:
a) The metabolism of fentanyl will decrease a) The most compatible one

135- Inulin is completely eliminated by kidney ratio..!! 146- Which drug used with absence seizures:
a) Actively excreted a) Ethoxumide
b) Phenytoin
136- All of the following cause contraction EXCEPT: c) Valproic acid
147- Which of the following drugs causes Alopecia: 160- Elderly fall increases by administration of:
a) Cyclophosfamide a) Lorazepam

148- patient with Shingle we should start the treatment 161- Antipsychotic can be taken with diabetic patients:
a) 72 hours from skin rash appearance a) Haloperidol
b) 72 hours from crusting b) Olanzapine
c) Clozapine
149- Propyluracil mechanism of action: d) Quetiapine
a) Inhibit TSH e) Sertraline
b) Inhibit thyroxin synthesis
162- Controlled drug delivery by all EXCEPT:
150- Question about Dexamethazone.. a) Liposome
b) Capsule
151- Gout might cause the following complication if its not treated: c) Microparticles
a) Orthoarthiritis d) Nanoparticles
b) Osteoclast e) Apo
c) Neurodegeneration
163- Fasting blood glucose level test:
152- What is the aim of Multiple sclerosis treatment: a) 7 mmole/ L
a) Cure the disease
b) Decrease the possibility of repeated demeylation 164- sleeping apnea could be dangerous with:
a) Seizures
153- Exacerbation of asthma will be caused by all the following EXCEPT: b) Coma
a) Oxygen c) Stroke
b) Theophylline
c) Prednisolone 165- A 35 years woman has cyctitis, started treatment with amoxicillin for one week. She has no
d) Salbutamol sulfa allergy and her renal function is good. What will be the second line treatment for 3 days:
c) Na cromolyn a) Clotrixmazole
c) Cephalexin
154- Chlamydia treatment:
a) Azithromycin 166- Alzeheimer coucelling:
a) Council the patient in presence of his spouse or caregiver
155- Glycin
167- Corpus Callosum
156- Sensitivity means:
a) True positive 168- What is not found in powder inhalation:
a) there is no propellant
157- The chart of prednisolone treatment and physician visits
a) The higher the dose the less the doctor visits. 169- One of your neighbours came to your pharmacy and found a long queue to the cashier. He was
in hurry and cant wait. What is the proper action you can do:
158- Microcytic anemia due to: a) Give him estimated time for waiting and explain to him that you cant disturb the sequence
a) Iron deficiency
170- KM is a pharmacy manager. He was told about a mistake made by a technician. What will be
159- HAMA the proper action from your side:
a) Human Anti-Mouse Antibodies a) Do a meeting for all staff and discuss the incidence
 b) Do a private meeting with the concerned person. 186- T Pc
2 4
171- One of your regular patients asked you to waive the co-payment he should pay because he buys 4 2
from your pharmacy on regular bases. If you agreed on his request you will violate: Dose 160mg
a) Justice
What is the volume of distribution?
172- Cost effective a) 10
b) 20
173- In elderly everything decrease except: c) 40
a) PH of the stomach d) 50
b) Gastric Empting time e) 60

174-Antitussive contains codeine is suitable to be used by more than which age: 187- What is the prefilled insulin syringe advantage:
a) 6 years a) Very helpful for patient with impairment vision
b) 8 years
c) 12 years 188- Vd = 9mg /kg
Weight = 70kg
175- Drug adherence. Css= 0.9
What is the loading dose?
178- High dose antibiotic is sometimes used because:
a) Tolerance 189- Prevention of recurrence of otitis media:
b) Resistance a) Pnemococcal vaccine
c) nocumal
200- Patient taking allopurinol after acute gout attach and not responding what is the alternative
179- Taken on empty stomach: uricosuric action:
a) Norfloxacin a) Colchicine
b) Febuxostat
180- HPLC c) Prednisolone

181- Extrasavation means: 201- What anticancer agent which increase uric acid:
a) Escape of the fluids from blood capillaries or vessels to the surrounded tissues a)

182- Type I error : 202- The pharmacist union discussing the price and the service should be reembursed by the
a) when there is a difference when its not true provincial authorities:
a) Colligative bargaining
183- What is the most burden on the private insurance companies:
a) Pharmaceuticals 203- What is the agency will determine the funded pharmaceuticals by public funds:
b) Salaries a) Canadian Agency for drugs and health technology
b) PMPI
184- Tacrolimus mechanism of action:
a) Reduce interleukin-2 (IL-2) 204- What is the objective of the hospital formulary:
a) To help physicians to know what the cost effective medications
185- You noticed that a patient is filling the prescription higher interval than it should be, this b) To manage the inventory of the pharmacy
indicates : c) To help the pharmaceutical companies
a) non adherence of the patient to the dose
205- What is the function cerebrospinal fluid:
 a) Protect brain lobes b) ATP
b) c)

206- Pharmacy with net profit margin 15%. Net profit is $ 90000 to retain on his investment 217- Glutathion derivative of
a) $ 600000
b) $ 200500 218- Which one of the following is antimetabolite
c) $ 900000 a) Flurouracil
d) $ 450000
219- What is the following drugs can be written and verbal prescription:
207- 8% a) Testosteron

208- concentration of the drug is 0.02 % w/v. what is the ratio 220- Structure includes acetyl
a) 1:5
b) 1:50 221- When you need to adjust the insulin dose all EXCEPT:
c) 1:500 a) Before exercise
d) 1:5000 b) After meals

209- Hyoid bones found in 222- Metformin can be taken with all the following except:
a) Neck a) Ketoacidosis
b) Renal failure
210- when you acquire a new business what is the first thing you think about: c) Insulin
a) Geographical market area analysis
b) Competition with near convenience outlets 223- CER 3 EER 5 . what is the number need to treat.( 50)
c) 224- What is the causes of renal stones:
a) Calcium
211- According to Oxford university what is the most trusted trial
Randomised 225- Inverse agonist:
a) Binds to the receptors as agonist but induce opposite pharmacological response
212- When the physician asking you about fast and accurate information about glucosamine:
a) Check if cocarine is mentioned by the doctor or no 226- If you established a vaccination clinic in the pharmacy its considered as:
b) CPS a) Primary care
c) Minor aleiments b) Secondary care
d) Natural products is not included in cocarine
227- If u establish diabetec measuring services in ur pharmacy and you put breakeven price which
213- Question mentioned for you the relative risk of side effects of relative risk increase only covers the cost of the service after a week you found that you have 10 cases in the clinic.. at
a point of time the financial statement of the pharmacy will reflect which of the following:
214- All of the following are techniques of decreasing the errors in the pharmacy EXCPET: a) Increase the revenue
a) Decrease the number of technicians in the pharmacy b) Decrease the net profit
b)
228- If you are preparing a surgical preparation what is the most proper one to do:
215- Chicken pox vaccine: a) Single dose
a) Live attenuated b) Multiple dose
b) Inactive c) Stock solution

216- Phosphorelation needs which group to be active: 229- Which if the following obey the non linear kinectics:
a) ADP a) Zero order
 b) First order a) Capillary dilatation
c) Second order b) Comidones

230- A well-known cancer patient to the pharmacist, was prescribed for her codeine 50mg and 240- The protrusion of the upper part of the stomach into the thorax through a tear or weakness in the
sinusoid. Her daughter brought a prescription to the pharmacist hydromorphone 2mg and lactulose. diaphragm:
Which one will call the attention of the pharmacist? a) Hiatal hernia
a) Escalating her need for analgesics 241- 250 mg of Substance X 50 % needed to be diluted to be 10 %, how many mg diluents should be
b) Inappropriate prescription of senoside with lactulose added?
c) To refuse to fill the prescription a) 1000 mg
d) Call the doctor and discuss the case with him b) 1250 mg
c) 750 mg
231- Mechanism of action of amphetamine:
a) Inhibit the reuptake of epinephrine

232- What is the fastest absorption of sublingual forms:

a) Spray
b) Tablets
c) Capsules

233- What is the difference between amorphous and crystalline

234- When we add a salt to a solvent we have:

a) Increase the boiling point
b) Decrease the boiling point
c) Increase the freezing point
d) Decrease the freezing point

235- What does pre authorised medication refer to:

a) Previously approved by insurance

236- Which of the following cause sulfa allergy:

a) Phenytoin
b) Penicillin

237- What of the following will increase the risk of VT:

a) Post operation
b) Diabetes patient
c)

238- Zolidrenate mechanism of action:

a) Inhibit osteoclast
b) Inhibit osteoblast
c) Decrease calcium excretion
d) Increase calcium absorption

239- What is characteristic of acne rosacea?