CSP exam test (specialty pharmacy )With Correct Answers!!
PDC calculation - Answer PDC = (# of unique days with supply / number of days in a
period) x 100
Which medication is a Jak inhibitor?
a. Humira (adalimumab)
b. Orencia (abatacept)
c. Actemra (toclizumab)
d. Xeljanz (tofacitinib) - Answer d. Xeljanz (tofacitinib)
Which medication can elevate cholesterol?
a. Actemra (toclizumab)
b. Enbrel (etanercept)
c. Simponi (golimumab)
d. Kineret (anakinra) - Answer a. Actemra (toclizumab)
Which shingles vaccine is safe to administer with TNF inhibitors?
a. Adacel
b. Zostavax
c. Shingrix
d. Varivax - Answer c. Shingrix
Most biologics increase the risk of infections, which of the following also increases the risk of
neutropenia?
a. Rituxin (rituximab)
b. Taltz (ixekizumab)
c. Remicade (infliximab)
d. Cimzia (certolizumab pegol) - Answer b. Taltz (ixekizumab)
Which psoriasis medication does not require screening for tuberculosis?
a. Stelara (ustekinumab)
b. Otezla (apremilast)
c. Cocentyx (seculinumab)
d. Humira (adalimumab) - Answer b. Otezla (apremilast)
What is the standard starting dose for Taltz (ixekizumab) when used to treat psoriatic
arthritis?
a. 160mg subcutaneously once, followed by 80mg subcutaneously at weeks 2, 4, 6, 8, 10
and 12; then 80mg subcutaneously every 4 weeks
b. 160mg subcutaneously once, followed by 80mg subcutaneously every 4 weeks
c. 160mg subcutaneously once, followed by 80mg subcutaneously every week for 4 weeks,
then 80mg every 4 weeks
d. 160mg subcutaneously once, followed by 80mg subcutaneously every other week - Answer b. 160mg subcutaneously once, followed by 80mg subcutaneously every 4 weeks CSP exam test (specialty pharmacy )With Correct Answers!!
A 45 y/o, 200lb patient is struggling with severe dermatitis and the provider wants to potentially
start a biologic. Which medication would you recommend?
a. Protopic (tacrolimus)
b. Humira (adalimumab)
c. Stelara (ustekinumab)
d. Dupixent (dupilumab) - Answer d. Dupixent (dupilumab)
A 56 y/o, 140lb patient with psoriasis will be starting Stelara (ustekinumab), but the provider
wants to verify the dosing of the medication. What starting dose would you recommend?
a. Inject 45 mg subcutaneously at weeks 0 and 4, followed by 45 mg every 12 weeks
b. Inject 90 mg subcutaneously at weeks 0 and 4, followed by 90 mg every 12 weeks
c. Infuse 260 mg IV over at least 1 hour as a single dose, followed 8 weeks later with
90 mg
subcutaneously every 8 weeks
d. Infuse 520 mg IV over at least 1 hour as a single dose, followed 8 weeks later with
90 mg
subcutaneously every 8 weeks - Answer a. Inject 45 mg subcutaneously at weeks 0 and 4, followed by 45 mg every 12 weeks
Which of the following oral oncology medications does NOT require using caution in patients
with hepatic impairment?
a. Votrient (pazopanib)
b. Ibrance (palbociclib)
c. Zytiga (abiraterone acetate)
d. Tykerb (lapatinib) - Answer b. Ibrance (palbociclib)
Which side effect listed below is NOT a side effect of Zytiga (abiraterone acetate)?
a. Edema
b. Hot flush
c. Hepatotoxicity
d. Mucositis - Answer d. Mucositis
A 45 year old male with pancreatic cancer is given a prescription for Tarceva (erlotinib). He
states that he currently smokes about one pack of cigarettes a day. How should you consult the
patient?
a. Smoking increases Tarceva levels and he will experience more side effects if he
continues to smoke
b. Smoking decreases Tarceva levels and the medication will be less effective if he
continues to smoke
c. Tarceva levels aren't affected by tobacco use
d. Smoking while taking Tarceva is contraindicated - Answer b. Smoking decreases Tarceva levels and the medication will be less effective if he
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