Question 1

Which of the following would be most appropriate to treat stenotrophomonas maltophilia?

Options :

A : Meropenem

B : Vancomycin

C : Ciprofloxacin

D : Sulfamethoxazole/trimethoprim

E : Cefepime

Answer: D

Question 2

Which of the following Anti-epileptic medication can cause pancreatitis?

Options :

A : Carbamazepine

B : Gabapentin

C : Valproic acid

D : Levetiracetam

E : Phenobarbital

Answer: C

Question 3

Select the class of Anti-diabetic medication that works in the specified organ to prevent hyperglycemia.

Select all that applies. Liver (D)

Options :

A : Sulfonylureas

B : Alpha- Glucosidase Inhibitors

C : DPP4 Inhibitors

D : Glucagon-like peptide-1 receptor agonists

E : Thiazolidinediones

F : Biguanide

G : SGLT2 inhibitors

Answer: C

Question 4

CJ is a 69-year-old male with a history of diabetes, hypertension and hypercholesterolemia. His fasting lipid

profile is TC 530 mg/dL; LDL-C 125; HDL-C 48 mg/dL; and TG 640 mg/dL. His A1c 8.1, calculate creatinine

clearance is 65mls/hr, BP 135/80 mm Hg, HR 70 beats /min.

His current medications include metformin 1000mg po bid, lisinopril 20mg daily, sitagliptin 50mg bid and

atorvastatin 40mg daily.

What is the best pharmacological agent to initiate on CJ?

Options :

A : Increase atorvastatin to 80mg

B : Niacin 500mg twice daily

C : Fenofibrate 162mg daily

D : Gemfibrozil 600mg twice daily

E : Fish oil 500mg twice daily

Answer: C

Question 5

LN is 84 YOM who is in hospital for a back surgery. His height is 5 feet and 4 inches, weight 85 kg and

NKDA. His past medical history includes hypertension, diabetes mellitus, major depression, hypothyroidism

and chronic back pain.

Post-op day 1, LN’s medication includes Dexamethasone 8 mg iv q6h with taper dosing, Ondansetron 4 mg

iv q6h prn for N/V, Levothyroxine 0.075 mg po daily, Lisinopril 10 mg po daily, Citalopram 20 mg po daily,

Docusate sodium / Senna 1 tab po twice a day, Bisacodyl 10 mg suppository daily prn for constipation,

Famotidine 20 mg iv q12hr, Metoclopramide 10 mg iv q6h, Metformin 500 mg po bid, D51/2NS with 20 K at

125 mls/hour and Hydromorphone PCA at 0.2 mg/hour of basal rate, demand dose 0.1 mg. lock-out every 6

min, one hour limit 2.2 mg/hour. Pertinent morning labs includes serum creatinine 1.4 mg/dl, Mg 1.5 mg/dl,

K 5.0 mmol/L, Na 135 mmol/L.

Which of the following medication may increase LN’s Blood glucose?

Options :

A : Lisinopril

B : Dexamethasone

C : Famotidine

D : Metoclopramide

E : Hydromorphone

Answer: B