Before being able to practice pharmacy, pharmacists must register with or be licensed by which of the following?
A) APhA
B) ACPE
C) OJT
D) State board of pharmacy
D
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Normal maternal blood loss during delivery of an infant usually does not exceed how much?
A) 250 cc B) 1,000 cc C) 100 cc D) 500 cc
You have been called for a patient with a sickle cell crisis. In reviewing the pathophysiology of sickle cell anemia, you understand that the underlying problem is:
A) the blood is thick and has difficulty circulating. B) there is abnormal hemoglobin formation that cannot carry oxygen. C) the number of white blood cells is abnormally elevated. D) there is a decreased amount of circulating RBCs that do not release O2.
Which of the following statements regarding the integumentary system is true?
a. The skin protects the body against bacteria and other pathogens. b. The skin contains four layers: the epidermal, dermal, subcutaneous, and nerve layers. c. The epidermis is the thickest and most important layer of the skin. d. The dermal layer is the outermost layer of the skin and contains sensory nerves.
INDICATIONS: 55-year-old male with episodic abdominal pain for almost a year. Recurrence of the pain ultimately led to cholecystectomy in 8–90. Periodically the pain has been severe enough that he goes to the emergency room. I have seen him in the past for left upper quadrant pain, which I felt, was due to irritable bowel syndrome. Four days ago, he had an episode of severe epigastric pain that
seemed to radiate up into his chest and at times his neck. He described the pain as burning. It lasted a few hours and then resolved. Last night the pain recurred and was extremely severe. He was taken to the emergency room where he required parenteral narcotics. PROCEDURE: Following informed consent , he was sedated with Demerol 40 mg and Versed 1 mg IV. Oropharyngeal anesthesia with Cetacaine spray was administered. An Olympus OES type GIF-XQlO endoscope was introduced. The esophagus was unremarkable. The z-line was at 40 cm. from the incisors. There was no endoscopic esophagitis. No hiatal hernia was seen. Retroflex exam of the fundus and cardia was unrevealing. Pylorus , duodenal bulb, and several centimeters of post-bulbar duodenum were also unremarkable. The ampulla of Vater was seen tangentially and normal. He tolerated the procedure well. Two biopsies were taken of the distal esophagus to look for histologic evidence of inflammation. IMPRESSION: Normal esophagogastroduodenoscopy. Wonder if he is having panic attacks. He does describe some symptoms of gastroesophageal reflux disease and irritable bowel syndrome as noted above. PLAN: He will be discharged to home and will remain on Zantac 105 mg po bid. I will notify him with the biopsy reports. He will try Xanax 0.5 mg po at the onset of pain in the future. He is aware that this may cause sedation and that he should be careful around moving vehicles. ICD-9-CM diagnosis code(s): _____________________ __________________________________________________ ICD-10-CM diagnosis code(s): _____________________ __________________________________________________ CPT code(s) with modifier, if applicable: _____________________ What will be an ideal response?