Prometric Questions - Yellow File - MOH | SPLE | HAAD | DHA - 5

   PROMETRIC EXAM QUESTIONS WITH EXPLANATION

Q: According to the FDA categories of the drug safety during pregnancy Amoxicillin is under category B. What does that mean?

A)No adequate animal or human studies have been conducted

B)Controlled human studies show no fetal risks from amoxicillin

C)Evidence of human fetal risk exists ,but benefits may outweight 

D)Animal studies show no risk to the fetus and no controlled human studies

Explanation:

FDA Pregnancy Category B indicates that either animal reproduction studies have not demonstrated a fetal risk but there are no controlled studies in pregnant women, or animal studies have shown an adverse effect that was not confirmed in controlled studies in pregnant women in the first trimester.

For amoxicillin specifically, animal studies have shown no evidence of harm to the fetus, but adequate and well-controlled studies in pregnant women are not available.  

So the correct answer is option D.

Reference: uspharmacist.com

Which of the following is the function of the pharmacy and therapeutic committee in a hospital?

A)Responsible for poison management

B)Monitor the adverse reaction reporting

C)Monitor the medication error reporting 

D)Responsible for drug formulary management

Explanation:

The Pharmacy and Therapeutics (P&T) committee in a hospital is primarily responsible for managing the drug formulary system, which involves the evaluation, selection, and therapeutic use of drugs to promote rational, safe, and cost-effective medication practices. 

While the committee is involved in all of the listed activities in some capacity, drug formulary management is its central function and the one from which most of its other roles stem. The P&T committee also develops policies for the monitoring and reporting of adverse drug reactions and medication errors as part of its overall goal of ensuring drug safety, but these are components of the broader mandate of managing medication use, which is tied to the formulary. 

So the correct answer is option D.

Which of the following best describe pharmacy health literacy assessment? 

A)Measure how well the pharmacy is serving patients with limited health literacy skills

B)Discover gaps in the written information provided to served patients

C)Explore understanding of health care information by the illiterate

D)Assess the level of literacy in the served patients

Explanation:

Pharmacy health literacy assessment focuses on evaluating pharmacy systems, communication practices, and materials, not on testing patients’ reading ability. Its goal is to improve how pharmacies support patients with varying health literacy levels.

Option B also somehow describe it but the best description among the given options about health literacy assessment is option A.

Which of the following medication error is difficult to prevent ?

A)Omission error

B)Wrong time error

C)Incorrect duration of treatment 

D)Allergic reactions to an unknown patient

Explanation:

Allergic reactions to an unknown patient are difficult to prevent because the healthcare provider is unaware of the allergy status, especially if the patient also does not know about it or fails to disclose it. Without prior knowledge, it is almost impossible to predict and prevent such a reaction. 

Omission errors (failure to administer an ordered dose) are generally preventable through careful checking, clear documentation, and the use of systems like checklists or electronic health records that flag missed doses.

Wrong time errors can be minimized with time-tracking systems, adherence to administration schedules, and clear protocols. While common, systems can be put in place to manage them effectively.

This error can be prevented with clear instructions, proper monitoring, and defined treatment protocols, often aided by computerized decision-support systems that highlight appropriate treatment durations. 

So the correct answer is option D.

69-year-oId woman presented with complains of severe dry cough for a has week ,she has been recently prescribed hydrochlorothiazide and captopril for hypertension ,salbutamol and fexofenadine for allergic asthma

Which drug is the most likely reason of the patient’s complaint? 

A)Captopril

B)Salbutamol

C)Fexofenadine

D)Hydrochlorothiazide

 Explanation:

The most likely cause of the severe dry cough in the 69-year-old woman is A) Captopril, an ACE inhibitor, as a persistent dry cough is a very common and well-known side effect of this class of blood pressure medications, often due to accumulation of bradykinin. While Hydrochlorothiazide can sometimes be associated with cough, especially with ACE inhibitors, captopril is the primary culprit. This cough is typically dry, non-productive, and can develop days to months after starting the medication, often resolving after stopping the drug.  

The patient should contact her doctor to discuss this cough, as captopril may need to be switched to another type of blood pressure medication (like an ARB) to resolve the symptom. 

So the correct answer is option A.

Which one of the following medication can a gynecologist prescribe to a patient ?

A)Tamoxifen

B)Fingolimod

C)Anastrozole 

D)Misoprostol

Explanation:

Misoprostol is a medication that a gynecologist can prescribe. It is commonly used in gynecology for various indications, including medical termination of pregnancy (in combination with mifepristone), induction of labor, and management of postpartum hemorrhage. Gynecologists routinely prescribe this medication as part of their practice

Tamoxifen is an anti-estrogen medication primarily used for the treatment and prevention of breast cancer. While related to women's health, it is typically prescribed and managed by oncologists or specialists in breast cancer care, not a general gynecologist.

Fingolimod is an immunosuppressant medication used to treat multiple sclerosis (MS). This condition is managed by neurologists, not gynecologists.

Anastrozole is an aromatase inhibitor used primarily in the treatment of postmenopausal women with breast cancer. Like tamoxifen, it is a specialized oncology drug generally managed by cancer specialists.  

So the correct answer is option D.

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