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1. A nurse's aide calls the drug information center, tells the pharmacotherapy specialist that she has found a capsule on her client's countertop and asks if the capsule can be identified. There is an imprint on the capsule. Which reference is the most appropriate to identify this capsule?

A) Martindale: The Complete Drug Book
B) Micromedex
C) The Harriet Lane Handbook
D) Red Book

2. A pharmacy student on rotation in a community health clinic states that he saw medical charts outside exam rooms in the box on the door. He wants to know if this conforms to the Health Insurance Portability and Accountability Act (HIPAA) privacy rule. What is the best response?

A) No, patient charts may not be placed outside an exam room door
B) No, patient charts must be kept in a secure location at the nurses' station or in the room with the patient
C) Yes, provided that the clinic takes reasonable and appropriate measures to protect the patient's privacy
D) Yes, if the clinic removes the patient's name from the outside of the chart and places the chart in an unlabeled bin

3. A 47-year-old patient with type 2 diabetes mellitus and no known coronary heart disease has the following fasting lipid profile. HDL cholesterol = 40 mg/dL, LDL cholesterol = 164 mg/dL, and triglycerides = 150 mg/dL. The patient has an ASCVD 10-year risk score of 6%. According to the ACC/AHA, which of the following is the most appropriate intervention for this patient's LDL?

A) Reduce LDL by >50% (high intensity statin)
B) No indication to lower LDL
C) Reduce LDL by 30-50% (moderate intensity statin)
D) LDL lowering only warranted if the LDL was > 190 mg/dL

4. A 58-year-old woman presents to the emergency department of a small rural hospital with recurrent chest pain that is unrelieved by three sublingual nitroglycerin tablets. Initial evaluation of her ECG and cardiac enzymes are consistent with non-STEMI. The woman is admitted for observation and given aspirin. Which of the following should be added to this patient's regimen to reduce her risk of death, MI, and recurrent ischemia?

A) Subcutaneous enoxaparin
B) Subcutaneous heparin
C) Oral warfarin
D) Intravenous t-PA

5. The Randomized Aldactone Evaluation Study (RALES) yielded the following results:
* Placebo death rate: 386/841
* Spironolactone death rate: 284/822
Given these data, which of the following is the relative risk reduction for death with spironolactone, in comparison with placebo?

A) 45%
B) 11%
C) 31%
D) 24%

問題與答案：