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North American Pharmacist Licensure Examination Questions 51–55 (page: 12)

Updated On: 9-Feb-2026

RL is a 54 YOM who’s calculated 10-year atherosclerotic cardiovascular disease (ASCVD) risk is 18 %. Which of the following is the most appropriate pharmacotherapy recommendation for CR?

  1. Rosuvastatin 10 mg PO QHS
  2. Atorvastatin 80 mg PO QHS
  3. Lovastatin 10 mg PO QHS
  4. Pravastatin 20 mg PO QHS
  5. Atorvastatin 20mg PO QHS

Answer(s): B

Explanation:

This patient belongs in one of the four statin benefit groups because his estimated 10-year ASCVD risk is over 7.5%. Adults 40 to 75 years of age with LDL–C 70 to 189 mg/dL, with an estimated 10-year ASCVD risk ≥7.5% and without clinical ASCVD or diabetes should receive either a moderate-intensity or high-intensity statin. Since the extent of reducing the risk of ASCVD is proportionally related to the degree of LDL-C reduction, risk could be reduced more so with a high intensity statin. Considering the given options, Atorvastatin 80 mg PO QHS is the best choice.



What is the mEq/ml (Milliequivalents) of 50% Magnesium Sulfate? (Molecular weight of MgSO4 is 120.4g/mol.)

  1. 8.3mEq/ml
  2. 4.11mEq/ml
  3. 62mEq/ml
  4. 50mEq/ml
  5. 2.06mEq/ml

Answer(s): B

Explanation:

50gm/100ml × 1equiv/120.4gm × 1000meq/1equiv = 4.16meq/ml



All of the following may increase triglycerides except:

  1. Protease inhibitor
  2. Bile acid sequestrants
  3. Fish oil
  4. Oral estrogens
  5. Glucocorticoids

Answer(s): C

Explanation:

Agents that can cause elevated triglycerides: oral estrogens, glucocorticoids, bile acid sequestrants, protease inhibitors, retinoic acid, anabolic steroids, sirolimus, raloxifene, tamoxifen, beta blockers (not carvedilol), and thiazides.



Which of the following is/are ordinal data?

  1. NYHA I-IV
  2. Grade of breast cancer
  3. Sex
  4. Improvement Yes/No
  5. Alive or Dead

Answer(s): B

Explanation:

Categorical data includes ordinal (ordered categories) and nominal (unordered categories). NYHA I-IV and grade of breast cancer are considered ordinal data because the categories for the answer choice are in order, you can have NYHA class I, II, III, or IV. Grade of breast cancers are also in order, grade 1, 2, or 3. Sex, Improvemnet Yes/No, Alive or Dead is considered nominal, unordered data because the answer choices are female or male, and do not have a set order.


Reference:

http://www.bmj.com/about-bmj/resources-readers/publications/statistics-square-one



What is the Osmolarity in mOsm/L of 40mEq of KCl in 100ml sterile water? (Molecular weight of KCl is 74.5gm/ mol.)?

  1. 400mOsm/L
  2. 800mOsm/L
  3. 80mOsm/L
  4. 200mOsm/L
  5. 1600mOsm/L

Answer(s): B

Explanation:

40mEq × 1equiv/1000mEq × 74.5g/1equiv = 2.98 gm of KCl in 100ml. Calculate: mOsm/L. 2.98g/100ml × 1mol/74.5g × 2Osm/1mol × 1000mOsm/ Osm × 1000ml/1L = 800mOsm/L



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