Pharmacy Courses

Clinical Pharmacy Questions and Answers

Q1. What is the indication of Neostigmine plus Glycopyrrolate are in the post-op Cardiovascular Surgery order set?

Answer: Reversal of anesthesia and muscle relaxants.

Q2. What is TOF (train-of-four) monitoring?

Answer: It’s a device that delivers a small shock to initiate muscle contraction in 4 spots in the area of the procedure and helps to determine when the effects of neuromuscular blockade agents have begun in a patient.

Q3. What is the maximum dose of Cymbalta (Duloxetine) in a day?

Answer: 120 mg/day

Q4. What is ACR in relation to CKD (Chronic Kidney Disease)?

Answer: Albumin creatinine ratio

Q5. What is the meaning of ACR value?


1. ACR of 3 or higher = indication of ACEi/ARB for patients with comorbid DM

2. ACR of 30 or higher = indication of ACEi/ARB for patients with comorbid HTN

3. ACR of 70 or higher = indication of ACEi/ARB irregardless of comorbidities

Q6. Which drugs are Mineralocorticoid (Aldosterone) Receptor Antagonists?


  • Aldactone
  • Eplerenone
  • Spironolactone

Q7. What is the duration of action (hours) for Bumetanide and Furosemide?

Answer: Bumetanide 4 to 6 hours and Furosemide 6 to 8 hours.

Q8. What is White Coat Effect or White Coat Syndrome?

Answer: Higher blood pressure reading while checking.

Q9. It says - “If you have protein C or protein S deficiency, you must never receive warfarin without first receiving another anticoagulant at the same time.” Why?

Answer: Because warfarin inhibits protein C and S (anticoagulant factors) first so it can cause clots, especially in patients who already have protein C and S deficiencies. So, you’ll need another anticoagulant to give warfarin time to inhibit clotting factors II, VII, IX, and X.

Q10. How is Ejection Fraction (EF) related with Coumadin (Warfarin) dosing?

Answer: A low ejection fraction may indicate that a patient may need a lower dose of warfarin.

Q11. Which drugs are used for cardiac stress test?

Answer: Dobutamine, Dipyridimole etc.

Q12. What would you consider the maximum duration of treatment for Vigamox (Moxifloxacin) eye drop?

Answer: 7 days for bacterial conjunctivitis.

Q13. Which Gene Testings May Be Considered for Warfarin?

Answer: VKORC1, CYP4F2 and CYP2C9.

Q14. A physician ordered Vitamin K 10 mg oral once daily for 5 days for a critical patient in ICU. What would be your guess for the indication?

Answer: Acutely decompensated cirrhosis.

Q15. For Withdrawal Seizures from Alcohol Withdrawal Syndromes which meds are recommended to use and which anticonvulsants are not recommended to use?


1. Benzodiazepines, Phenobarbital and Propofol are recommended.

2. Carbamazepine, Valproate and Levetiracetam are not recommended.


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