Patients takingbudesonide oral capsules or tabletsshould avoid ingesting:
Answer : A
Grapefruit juice inhibits CYP3A4 enzymes, increasingbudesonide levels inthe blood, leading tohigher risk of side effects (immune suppression, adrenal insufficiency).
Budesonide is a corticosteroid used for Crohn's disease and asthma.
Why Other Options Are Incorrect:
B . Dairy products?No significant interaction.
C . Leafy greens?Affectswarfarin (not budesonide).
D . Aged cheese?Interacts withMAO inhibitors, not budesonide.
Reference:FDA Drug-Food Interaction Guide, PTCB Medication Safety Guidelines.
Thegeneric namefor5-FUis:
Answer : D
5-FU (Fluorouracil) is a chemotherapy drugused forcolon, breast, and skin cancers.
It is apyrimidine analogthatprevents cancer cell DNA replication.
Why Other Options Are Incorrect:
A . Fluocinonide?Topical corticosteroid for skin conditions.
B . Fluoxetine (Prozac)?SSRI antidepressant.
C . Fluocinolone?Topical corticosteroid.
Reference:National Cancer Institute Chemotherapy Guide, PTCB Oncology Medications.
According to theDEA, medications in all fivecontrolled substance schedules:
Answer : A
Controlled substances (Schedules I--V) are classified by the DEA based on their potential for abuse, medical use, and dependence risk.
Schedule I (highest risk, no medical use):Heroin, LSD, Ecstasy.
Schedule II (high abuse potential, medical use):Oxycodone, Morphine, Fentanyl.
Schedule III (moderate abuse potential):Codeine combinations, Ketamine.
Schedule IV (low abuse potential):Alprazolam, Zolpidem.
Schedule V (lowest risk):Cough syrups with low doses of codeine.
Why Other Options Are Incorrect:
B . All contain hydrocodone?OnlySchedule II and IIImay contain hydrocodone.
C . FDA-approved indications?Schedule I drugs haveno FDA-approved medical use.
D . Insurance verification?Not all controlled drugs require insurance verification.
Reference:DEA Controlled Substance Act, PTCB Controlled Substances Guide.
Which of the following medications is ahormonethat would be appropriate for pharmacies todispose of as hazardous waste?
Answer : C
Norethindrone is a synthetic progestin hormone found in oral contraceptives.
Hormones and chemotherapy drugs must be disposed of as hazardous pharmaceutical waste per EPA and USP <800> guidelines.
Reference:EPA Hazardous Drug Disposal Regulations, USP <800> Hazardous Drug List.
Famotidine oral suspensionremains stable for a maximum of how many days following reconstitution?
Answer : C
Famotidine suspension is stable for 21 days when stored in the refrigerator (2C--8C or 36F--46F).
Reference:FDA Famotidine Stability Guidelines, USP Storage Guidelines.
According tofederal law, aSchedule III narcotic drug prescriptionmay be filled a maximum of how many times?
Answer : C
Schedule III & IV drugs can be refilled up to 5 times within 6 months from the date written.
After 6 months or 5 refills, a new prescription is required.
Reference:DEA Controlled Substance Act (21 CFR 1306).
Drowsinessis a common side effect of:
Answer : D
Lyrica (pregabalin) is an anticonvulsant that causes drowsiness, dizziness, and sedation.
It is commonly prescribed for nerve pain, epilepsy, and fibromyalgia.
Reference:FDA Pregabalin Drug Label, PTCE Medication Safety Guide.