1.

The common belief injections are usually better than medicine taken by mouth is
not true.
A. that
B. who
C. whom
D. of which
2. it is impossible to memorize all those .................. . of potential clinical significance.
A. interact
B. interacts
C. interactions
D. interaction
3. The drug effect is altered is referred to as the object drug.
A. what
B. which
C. whose
D. who
4. Tightness goes up into thejaw, into left shoulder, and down the left arm-symptoms of ...........
A. renal colic
B. angina pectorist
C. thoracic pain
D. mandibular pain
5. Pharmacists are often the first person patients ask for ............... advice.
A. medicine
B. medical
C. health
D. healthy
6. When I eat solid food, I have to.. it for a long time.
A. bite
B. chew
C. swallow
D. eat
7. Penicillin is a useful .
A. drug
B. food
C. drink
D. tonic
8. Vitamin B12 and liver extract should only be used ............... a health worker has prescribed
them
after testing the blood
A. where
B. who
C. which
D. when
9. If you are in good health condition, you are well, and have ........................
A. no happiness
B. no worries
C. no boredom
D. no illness
10. Drug .......... is a serious problem which occurs when people take too many drugs.
A. abuse
B.purchase
C. use
D.
prescription
11. To interact chemically, a drug molecule must have the appropriate Size, ............... , and
atomic composition.
A. characteristic
B. shape
C. weight
D.color
12. The route is suitable for patients who are unconscious or vomitting.
A. Oral
B. buccal
C. rectal
D. both B
&C
13. Drugs are both .and harmful.
A. Benefit
B. benefits
C. beneficial
D.
beneficially
14. Many drug interactions can be avoided . you take adequate precautions.
A. if
B. when
C. unless
D. while
15. Her health condition ........ , and she went on holiday with her family last week.
A. deteriorated
B. got worse
C. improved
D.
became serious 16. The most commonly used route of administration is the .............. route.
A. mouth
B. drunk
C. taken
D. oral
17. Distribution of the drug throughout the circulatory system is rapid and this route bypasses
many biological membranes ............. delaying absorption into the circulation.
A. who
B. x
C. that
D. which
18. Drugs the highest risk frequently have a narrow index.
A. which have
B. which has
C. which having
D. both A & B are
correct
19. Many drug interactions can . if you take adequate precautions.
A. avoid
B. be avoided
C. be avoid
D. avoided
20. Parenteral dosage forms . for administration by injection to various depths beneath
the skin surface.
A. are designed
B. designed
C. is designed
D. design
21. Covalent bonds are very strong and in many cases not reversible under ........... conditions.
A. biology
B. biologic
C. biological
D. biology
22. To interact chemically, a drug molecule must have the appropriate size, ............ , and atomic
composition.

A. characteristic
B. shape
C. weight
D. color
23. The left lung is divided into two ...................... and the right into three.
A. lobes
B. parts
C. systems
D. nerves
24. may be slightly greater than the therapeutic dose?
- The toxic dose of narrow index drugs may.
A. which
B. What
C. When
D.
Who
25. About 1, 3 gallons of blood is moved through over 60,000 miles of ...............every minute
A. muscles
B. blood vessels
C. bones
D.
veins
26. The unconsciousshould be used the buccal route or the rectal route.
A. patients
B. doctors
C. healers
D.
pharmacists
27. Drugs interact with .................. by means of chemical forces or bonds
A. receptor
B. cells
C. molecules
D.compartments
28. Take a deep .. in.
A. breathe
B. breath
C. breathes
D. breathing
29. The oral route is the most commonly used route of .
A. administer
B. administration
C. administering
D. administered 30. Pharmacists
are the individuals who ..... ................. .
A. work in hospitals or clinics B. go to hospital
C. perform surgery.
D. deal with medication 31. When I eat
solid food, I have to it for a long time.
A. bite
B. chew
C. swallow
D. eat
32. Natural drugs come from plants and ....................
A. laboratories
B. libraries
C. animals
D. flowers
33. Scientists have studied to make ................ drugs in the laboratory similar to those taken from plants and animals.
A. synthetic
B. natural
C. original
D. primary
34. Patients are being treated for certain diseases appear to be at an increased risk of experiencing a drug
interaction.
A. Whose
B. which
C. who
D. whom
35. The unconscious patients should .the buccal route or the rectal route.
A. be useful
B. be used
C. be using
D.be use
36. Vitamins should not be .................... directly.
A. injected
B. eaten
C. used
D.prescribed
37. The chest is ............ from the abdomen by the diaphragm.
A. to separate
B.separating
C. separatted
D. separated 38. Drug abusers
often take too .drugs.
A. little
B. few
C. many
D. much
39. Doctors use drugs in many ways to . ............. and prevent illness.
A. cure
B. help
C. make
D. all of the above
40. Local anesthetics kill. in only one part of the body.
A. ache
B. pain
C. hurt
D. sore
41. ............. can help patients not feel pain during operation and sleep well.
A. drugs
B. poisons
C. antibiotics
D. anesthetics
42. Monitoring therapy may circumvent a potentially serious.. interaction.
A. food
B. drink
C. tonic
D. drug
43. The most commonly used route of administration is the .............. route.
A. mouth
B. drunk
C. taken
D. oral
44. Drugs are both .. and harmful.
A. Benefit
B. benefits
C. beneficial
D. beneficially
45. The oral route is not suitable the patients who are vomiting.
A. in
B. on
C. for
D. to
46. Drug may . solid at room temperature, liquid or gaseous.
A. is
B. be
C. are
D. been
47. Many doctors think that patients ............. expect medicine will not be satisfied unless they get some.
A. which
B. where
C. who
D. whose
48. It may be suggested that tablets ................... .before taking.

A. be chewed
B. being chewed
C. are chewed
chewing
49. Local anesthetics kill pain in.. one part of the body.

D. be

A . every
B. only
C. most
D. no
50. Drug ..is a serious problem which occurs when people take too many drugs.
A.use
B.purchase
C. abuse
D.
prescription
51. I need your help, doctor. Im having .............. with my Shoulder
A. problem
B. trouble
C. a pain
D. a
sickness
52. Local anesthetics kill. in only one part of the body.
A. ache
B. pain .
C. hurt
D.
sore
53. Drug abusers cannot stop too many drugs.
A. use
B. to use
C. using
D. used
54. Patients should avoid ................... overdosage of drugs.
A. use
B. be using
C. using
D. be used
55. Due to large size, cachets had better be .............. in water for some seconds.
A. swallowed
B. immersed
C. taken
D. consisted
56. Patients are .......... to sleep during operations with anesthetics so that they do not feel pain.
A. putting
B. putted
C. put
D. to put
57. Severely ill patients. suffer from drug interactions.
A. can
B. cannot
C. never can
D. cannot never
58. Take a deep. in.
A. breath
B. breathe
C. breathes
D. breathing
59. are prepared by compression of medicaments with a variety of excipients
into a solid dosage form.
A. Capsules
B. tablets
C. dusting powders
D. cachets
60. One of the natural drugs found in the 20th century is penicillin,. .............. is an antibiotic.
A. which
B. that
C. who .
D. what
61. Some kinds of drugs may ................ in pressured dispenses, Widely known as aerosols .
A. be packaging
B. be packaged
C. packaged .
D. packaging
62. transdermal route be useful for drugs with a long duration of action?
- No, it..
A. Can/ can
B. Can/ cannot
C. Cannot/ can
D. Cannot/ cannot
63. Advertise drug interactions can cause a .................. in therapeutic effect, toxicity or unexpected increases in pharmacologic
activity.
A. loss
B. gain
C. achievement
D. rise
64. is a very dangerous problem because it can destroy the users health and life.
A. drug use
B. use of chemicals
C. drug abuse
D. use of pennicilin
65. Drug therapy is known as the .treatment of disease.
A. surgical
B. surgically
C. no surgical
D. non-surgical
66. They dont need to be . with penicillin or any other antibiotic.
A. treat
B. treating
C. treated
D. treats
67. The overdose of aspirin can death .
A. causes
B. causes
C. cause
D. caused
68. The route is suitable for patients who are unconscious or vomitting.
B. Oral
B. buccal
C. rectal
D. both B & C
69. Many natural drugs have been found for many .. years.
A. hundred
B. hundreds
C. hundred of
D. hundreds of
70. Drug may solid at room temperature, liquid or gaseous.
A. is
B. be
C. are
D. been
71. When you are hot, you ..,
A. sweat
B. speak
C. shake
D. cry
72. Several medicines .. ............... used when they are prescribed by professional health workers.
A. can
B. may
C. must be
D. should be

73. Patients .. are being treated for certain diseases appear to be at an increased risk of experiencing a drug
interaction.
A. Whose

B. which

C. whom

D. who

74. Patients should advoid ................... overdosage of drugs.

A.use

B. be using

C. using

D. be used

75. Transdermal route is useful for drugs with a .. duration of action.

A. long

B. small

C. short

D. big

Hi thoi
Bi s 1
Customer: Good morning, I come for picking up my childs prescription
Pharmacist: Could I have the name, please?
Customer: Jeremy Manbeck
Pharmacist: . How do you spell your last name?
Customer: M-A-N-B-E-C-K
Pharmacist: Has Jeremy been here before?
Customer: Oh, yes! many times.
Pharmacist: Its a prescription for Pulmozyme, which is a colorless solution.
Customer: Yeah! Thats it.
Pharmacist: I just need to confirm Jeremys age. Hes 8?
Customer: Yeah. His date of birth is March 3, 1999.
Pharmacist: Do you have any questions about how to use this medication?
Customer: Not really. I feel like a cystic fibrosis expert. My son has had so many different
drugs in the last 7 years.
Pharmacist: So you also have a nebulizer at home?
Customer: Yeah!
Pharmacist: Good. Well, Jeremys doctor has prescribed he inhale the Pulmozyme using his nebulizer twice a day. This should
help to break up the thick, sticky mucus thats clogging up his lungs. It will help him breathe easier
Customer: Any side effects I should be looking for?

Pharmacist: He may experience hoarseness or laryngitis.

Customer: Ok. I dont think I have any other questions right now.
Pharmacist: Ok, just sign here for the prescription. Your co-pay is $20.00
BI S 2
Pharmacist: Hello, sir. How can I help you?
Patient: My private doctor called in a prescription for Zofran in your drugstore.
Pharmacist: So What are you treated for?
Patient: For my nausea Ive got leukemia.
Pharmacist: Ok. Whats your name, sir?
Patient: You can all me Peter.
Pharmacist: Fine. Take a seat please, Peter. Have you ever used Zofran before?
Patient: No. But I began to have more vomitting after some rounds of chemotherapy
Pharmacist: Thats not uncommon. Hopefully, the Zofran can help alleviated both.
Patient: I hope so. Am I going to feel any other side-effects?
Pharmacist: Well, you might expect some lightheadness, headaches, difficult breathing. Some people can
experience muscle stiffness and vision problems.
Patient: Wow, all of that just to make my trouble and vomitting go away.
Pharmacist: You said youreceiving chemotherapy.
Patient: Yes, thats right.
Pharmacist: OK. Your doctor has prescribed that you need to take one tablet about 30 minutes before
your treatment. Let your doctor know if the medication is not working for you.
Patient: OK. l will. I see him tomorrow morning.
Pharmacist: Good luck and hope you get better soon.
Patient: Thank you
BI S 3:
Customer: Hi, Im here to pick up my wifes prescription. The last name is Smith.
Pharmacist: Can you spell it for me?

Customer: S-M-l-T-H. Her first name is Bella.

Pharmacist: OK, here it is. Did the doctor explain to your wife or to you know how Aramesp is used?
Customer: Well, Dr. Patel told us its an injection to help her with the anemia she has as a result of her
chemotherapy.
Pharmacist: Which doctor Patel?
Customer: Amit Patel. A-M-l-T.
Pharmacist: OK. Ill explain how to use it and the possible side effects as soon as I confirm some information. Has Bella been
here before?
Customer: Many, many times. Her birth date is February 12, 1955. We live on 4601 Westmon Road.
Pharmacist: OK. I see this information in our system. Insurance is the same.
Customer: Yeah. I don't have a co-pay.
Pharmacist: Thats right. Aranesp is a colorless vial. Your doctor has ordered two vials that you can refill. She needs to inject it
under her skin. if shes too weak, you can do it. Needless dont make you queasy. do they?
Customer: Ive been a diabetic for years and have experience injecting my insulin.
Pharmacist: OK then. Her doctor wants her to use it once a week. It usually takes 2 to 6 weeks before shell start feeling better.
You can read the patient information pamphlet regarding preparation and usage instruction.
Customer: I will. Any side effects?
Pharmacist: its possible to experience a headache, body aches, and diarrhea. in rare cases, the medication can cause blood
clots. so keep an eye out for swelling, redness, and weakness of arms and legs. Call the doctors immediately. And of course, if
you or your wife have any questions, please call us
Customer: Sure. We will. Thanks.
BI S 4
Ps mother: Hi. Are you the pharmacist?
Pharmacist: Yes. I am the pharmacist on duty today. What can I help you with?
Ps mother: This is the prescription for my baby boy from our family doctor. I cannot read the name of
the drug because I cannot figure out his handwriting
Pharmacist: Lets take a look at the prescription. Uhm ...... It is a prescription for Nystatin
suspension. Does your baby have thrush?
Ps mother : Yes. This is the first time my baby boy has had thrush. Can you explain
how to use Nystatin, please?

Pharmacist: Of course. This Nystatin is a liquid so what you need to do is squirt the liquid drops into the side of his cheek four
times a day. Use the marked dropper that comes with the medicine. Give all the doses that the doctor has
ordered and do not discontinue the drop if your baby starts feeling better
Ps mother: Should I give him the medicine before or after he eats?
Pharmacist: Try to give him the drops before you give him the bottle. Make sure you
carefully sterilize them and the nipples. And you must call your pediatrician if
your baby has possible side effects such as vomiting or diarrhea.
Ps mother: Thanks for your help.
Pharmacist: Sure, glad to be of help.
BI S 5
Customer: Hi, my name is Debra Allen. Im here to pick up my Nasonex prescription. The last name is Smith.
Pharmacist: One moment please. How do you spell your name?
Customer: D-E-B-R-A, Allen, A-L-L-E-N
Pharmacist: Ok, here you go. Have you ever used Nasonex before?
Customer: No, but my nasal congestion has gotten so bad. Now I have nasal blockage so my doctor called it in for me to pick
up.
Pharmacist: Yeah, I can see. Have you been using any other (medicine?
Customer: No, but Ive been sleeping with a vaporizer, but it hasnt helped.
Pharmacist: Well, let me explain how to use the spray. First, make sure you prime the pump.
Customer: Im sorry. What do you mean?
Pharmacist: Hold the bottle in the air and squeeze the pump about 10 times until you see a mist.
Customer: OK. How often should I spray my nose?
Pharmacist: Use it once a day, at the same time. And even if you start to feel better and youre breathing better, do not skip a
day.
Customer: How long should I use it?
Pharmacist: Well, it can take up to 2 weeks before you start to feel some relief, so keep using it, but call your doctor if after 2
weeks you see no change.
Customer: Are there any side effects?
Pharmacist: Well, you might ecperience a headache, a sore throat, some coughing, and even a nosebleed. If the symtoms get
severe, call your doctor. Your Nasonex comes with a package insert. Read it carefully.

Customer: Thank you so much.

Pharmacist: No problem. Glad to be of help.
SP XP CU
l. Tell/ health worker/ doctor/ or/ you/ your/ only/ medicine/ want/ if/ needed/ it/ definitely/ is
2. what/ the/ useful/ is/ self-administered/ route/ drugs/ for/?
3. Pharmacists / a variety/ work/ in/ of/ with/ places/ many/ specialties/ different.
4. guidlines/ are/ some/ Here/ use/ safe/ the/for/ medicines/ of
5. Colds/ cannot/ be/ flu/ by/ treated/ and/ with/ penicillin .
6. solid/ be/ may/ Drugs/ temperature/ at/ room
7. I have/ Ive lost/ in the last few weeks/ no appetite/ and/ 5 kilos.
8. dangerous/ are/ all/ drugs/ Almost/ too many/ take/ them/ of/ patients/ when
9. Penicillin/ only/ certain/ works/ against/ types/ injections/ of
10. feeling/ How/ you/ been/ ill/ have/ long?
11. Can/ Chloramphenicol/ used/ to/ be/ newborn/ infants/?
12. patients/ Pharmacists/ fill/ and/ prescriptions/ counsel/ medications/ about/ patients
13. if/ has/ a/ a/ drug/ narrow/ therapeutic/ index, the/ dose/ toxic/ be/ may/ greater/ slightly/ the/ than/ therapeutic dose/
14. their effect/ drugs must be/ into the compartment/ very large/ administered directly/ where they have.
15. look/ injection/ the/ makes/ Skin/ nicer/ and protect/from/ us/body
16. . Their effect/ drugs must be/ into the compartment/ very large/ administered directly/ where they have.
17. Anesthetics/ patients/ to / sleep/ put/ so that/ do/ not/ pain/ they/ feel.
18. deals/ effects/ with/ living/ Toxicology/ undesirable/ chemicals/ of/ systems/on
19. the organs of respiration/ the heart / the chest contains/ and.
20. administration/mucosa may/ also/ be/ route of systemic/ the nasal/ used as.
21. you/ take/ should/ this/ an/ medicine/ hour/ before eating/.
22. returning to normal/ If a patients / the process of/ the patient/ health is in/ is improving.
23. First/ he/ pharmacist/ was/ the/ extract/ to/ a drug/ cinchona bark/ the/ from
24. interactions/ drug/ be/ problem/ can/ important/ an/ clinical/.
25. Drugs / that/ are/ substances/ act/ living systems/ on/ at/ the/ molecular/ chemical/ level

26. How/ onset/ of/ long/ drug/ does/ interactions/ prolong?

27. tonics/ many people waste/ syrups, / unfortunately/ and elixirs/ their money on/ that contain
vitamins/.
28. there/ routes/ are/ of/ six/ administration/ for/ systemic/ effects/.
29. administration/mucosa may also be/ route of systemic/ the nasal/ used as.
30. Drugs/ substances/ act/ that/ are/ living system/ on/ the/ chemical/ at/ molecular level
31. People/ die/ sometimes/ overdoses/ from/ of/ aspirin.
32. Body/ local/ anesthetics/ kill/ only/ in/ pain/ one/ part/ the/ of
33. prevention of/of drug interactions may allow / Knowledge/ and/ adverse consequences/ early
recognition.
34. India/ China/ and/ Doctors/ are/ in/ famous/ their/ for/ knowledge/ medicinal plants/ of.
35. drug/ is/ serious/ abuse/ problem/ a/.
36. interactions/ drug/ be/ problem/ can/ important/ an/ clinical/.
37. Main/ the/ respiratory/ the/ parts/ system/ the/ airways/ are/ and/ lung/ the/ of
38. injections/ more/ dangerous/ are/ and/ than/ expensive/ more/ pills.
39. the organs of respiration/ the heart / the chest contains/ and.
40. you/ take/ should/ this/ an/ medicine/ hour/ before eating/.
41. Doctors/ drugs/ many/ use/ cure/ to/ and/ prevent/ in/ ways/ illness.
42. Drugs / that/ are/ substances/ act/ living systems/ on/ at/ the/ molecular/ chemical! level
43. the doctor / a patient is telling/ the parts of the body / about his back pain and/ it radiates to.
44. injections/ more/ dangerous/ are/ and/ than/ expensive/ more/ pills.
45. the organs of respiration/ the heart / the chest contains/ and.
p n phn 1
1A

2C
16D
30D
44C
58A
72D

3C
4B
5B
17B
18A
19B
31B
32A
33A
45C 46B
47C
59B
60A 61B
73D
74C
75C

PHN SP XP CU

6B
20A
34C
48A
62B

7A
21B
35B
49B
63A

8D
22B
36A
50C
64C

9D
23A
37D
51B
65D

10A
24B
38C
52B
66C

11B
25B
39A
53C
67C

12D
26A
40B
54C
68D

13C
27A
41D
55B
69D

14A
28B
42D
56C
70B

15C
29B
43D
57A
71A

1. Tell your doctor or health worker you only want medicine if it is definitely needed.
2. What route is useful for the self-administered drugs?
3. Pharmacists work in a variety of places with many different specialties.
4. Here are some guidelines for the safe use of medicines
5. Colds and flu cannot be treated with penicillin
6. Drugs may be solid at room temperature.
7. I have no appetite and Ive lost 5 kilos in the last few weeks.
8. Almost all drugs are dangerous when patients take too many of them.
9. Penicillin works only against certain types of injections
10. How long have you been feeling ill?
11. Can Chloramphenicol be used to newborn infants?
12. Pharmacists fill prescriptions and counsel patients about medication.
13. If a drug has a narrow therapeutic index, the toxic dose toxic may be slightly greater than the therapeutic dose
14. Very large drugs must be administered directly into the compartment where they have their effect.
15. Skin makes us look nicer and protect the body from infection.
16. Very large drugs must be administered directly into the compartment where they have their effect.
17. Anesthetics put patients to sleep so that they do not feel pain.
18. Toxicology deals with undesirable effects of chemicals on living systems.
19. The chest contains the organs of respiration and the heart.
20. The nasal mucosa may also be used as route of systemic administration.
21 . You should take this medicine an hour before eating.
22. If a patients health is in the process of returning to normal, the patient is improving
23. He was the first pharmacist to extract a drug from the cinchona bark.
24. Drug interactions can be an important clinical problem.
25. Drugs are substances that act on living systems at the chemical molecular level.
26. How long does onset of drug interactions prolong?
27. Unfortunately, many people waste their money on syrups, tonics, and elixirs that contain vitamins.

28. There are six routes of administration for systemic effects.

29. The nasal mucosa may also be used as route of systemic administration.
30. Drugs are substances that act on living systems at the chemical molecular level.
31. People sometimes die from overdoses of aspirin.
32. Local anesthetics kill pain in only one part of the body.
33. Knowledge of drug interactions may allow early recognition and prevention of adverse consequences.
34. Doctors in India and China are famous for their knowledge of medicinal plants.
35. Drug abuse is a serious problem.
36. Drug interactions can be an important clinical problem.
37. The main parts of the respiratory system are the airways and the lungs.
38. Injections are more dangerous and more expensive than pills.
39. The chest contains the organs of respiration and the heart.
40. You should take this medicine an hour before eating.
41. Doctors use drugs in many ways to cure and prevent illness.
42. Drugs are substances that act on living systems at the chemical molecular level.
43. A patient is telling the doctor about his back pain and the parts of the body it radiates to.
44. Injections are more dangerous and more expensive than pills.
45. The chest contains the organs of respiration and the heart.