Appendix.

List of Assessment Items and Pharmacists’ Success Rates on Statewide Pretest.

Item	Success Rate
1. When dispensing levothyroxine for a dog, which of the following is true?  a. The medication should always be administered on an empty stomach.  b. There is no FDA-approved product for use in a dog.  c. 0.8 µg is an appropriate dose.  d. 0.8 mg is an appropriate dose.	22.09%
2. Which of the following is inappropriate to dispense?  a. Prednisone for a dog.  b. Prednisone for a cat.  c. Prednisone for a hamster.  d. Prednisone for a guinea pig.	5.32%
3. What would be your concern in dispensing some artificially sweetened medications to a canine patient?  a. Sucralose can cause toxicity in a dog.  b. Aspartame can cause toxicity in a dog.  c. Sorbitol can cause toxicity in a dog.  d. Xylitol can cause toxicity in a dog.	31.89%
4. You compound a medication using simple syrup and purified water. You have no information regarding a stability-indicating assay. What BUD should you assign?  a. 14 days at room temperature  b. 30 days at room temperature  c. 14 days in the refrigerator  d. 30 days in the refrigerator	13.46%
5. The FDA would most likely take regulatory action against the pharmacy in which of the following scenarios?  a. Duplicating a commercially available product.  b. Compounding with bulk drug substances for use in food animals.  c. Compounding with bulk drug substances for use in nonfood animals.  d. Compounding when no veterinary-client-patient relationship exists.	46.18%
6. You receive a prescription to compound 10 mg/mL doxycycline oral suspension for a dog. Which of the following should you consider first?  a. Is doxycycline stable in a fixed-oil suspension?  b. Is doxycycline stable in an aqueous suspension?  c. If there is an FDA-approved product that can be used?  d. Should doxycycline monohydrate or doxycycline hyclate be used as the bulk ingredient?	59.47%
7. The veterinary abbreviation “SID” stands for:  a. Once daily  b. Twice daily  c. Three times daily  d. Four times daily	18.44%
8. An owner comes into the pharmacy asking about an appropriate dosing of Claritin for her dog. What do you do?  a. Refer to Plumb’s Veterinary Drugs Handbook for an appropriate dosing regimen.  b. Tell the owner you will need a prescription from the dog’s veterinarian. Federal law prohibits you from making any recommendation.  c. Ask her what her veterinarian has suggested. You must make sure a veterinarian-client-patient relationship exists before making a recommendation.  d. Ask for the dog’s weight. This information is essential when dosing medications in animals.	60.96%
9. Which of the following sources might you request from a veterinarian in order to verify they are appropriately licensed?  a. The veterinarian’s state veterinary license number.  b. The veterinarian’s National Provider Identifier (NPI) number.  c. The veterinarian’s Drug Enforcement Agency (DEA) registration number.  d. The veterinarian’s Social Security Number.	18.11%
10. An owner calls the pharmacy to report an adverse drug reaction in one of your veterinary patients. How do you report this?  a. FDA MedWatch  b. NC VMA Form Number 230b  c. FDA Form Number 1932a  d. AVMA Form Number 45	29.90%
11. What is an important consideration when dispensing Vetsulin for a cat with diabetes?  a. Provide the owner with U-40 syringes.  b. Provide the owner with U-100 syringes.  c. Counsel the owner to avoid taking blood samples from the marginal ear vein and paw pads.  d. Counsel the owner to avoid shaking the insulin prior to dosing.	63.12%
12. You dispense a potassium bromide compound for a dog with idiopathic epilepsy. What is an important counseling point?  a. Polyuria and polyphagia are signs of toxicity. If you notice any of these adverse effects, contact your veterinarian immediately.  b. Do not allow your dog to ingest salt water while out playing on the beach.  c. Weight loss is a common adverse effect seen with this medication.  d. A benefit of this medication is that therapeutic drug-level monitoring is unnecessary. This will prevent regular follow-up trips to the veterinarian.	27.41%
13. Some canine breeds display a genetic polymorphism that increases their risk of severe central nervous system toxicity with particular medications like loperamide. Which patient below would you need to be concerned about dispensing loperamide to?  a. Collie  b. Boxer  c. Golden Retriever  d. Chihuahua	60.13%
14. You receive 2 prescriptions for a canine patient. The DVM would like to start the patient on a concurrent regimen of ketoconazole and cyclosporine. What should you, the dispensing pharmacist, do?  a. This combination could result in a potentially dangerous drug-drug interaction. Contact the veterinarian.  b. Cyclosporine is contraindicated in dogs. Contact the veterinarian.  c. Ketoconazole is contraindicated in dogs. Contact the veterinarian.  d. This is an intentional drug-drug interaction. There is no need to contact the veterinarian.	17.44%
15. Which of the following oral medications are safe to administer to a rabbit?  a. Fluoroquinolones  b. Macrolides  c. Beta-lactams  d. Corticosteroids	32.72%
16. Some medications are contraindicated during the first trimester of pregnancy. Which pregnant canine below could not safely receive these medications?  a. A dog that is 55 days pregnant.  b. A dog that is 15 days pregnant.  c. A dog that is 35 days pregnant.  d. A dog that is 25 days pregnant.	11.30%
17. Canines are at risk of developing keratoconjunctivitis sicca (KCS) when given which of the following medications?  a. Fluoroquinolones  b. Sulfonamides  c. Cephalosporins  d. Aminoglycosides	69.77%

Abbreviations: FDA, Food and Drug Administration; BUD, beyond use date; SID, once per day; NC VMA, North Carolina Veterinary Medical Association; AVMA, American Veterinary Medical Association; DVM, Doctor of Veterinary Medicine.