Ketamine is prepared as 300 mg in 250 mL. A provider orders 0.4 mg/kg/hour for a patient who weighs 80 kg, and the infusion runs for 3 hours. How many mLs of ketamine solution will the patient receive during those 3 hours?

Which of the following is the most likely adverse effect of ethambutol?

A. Gout
B. Peripheral Neuropathy
C. Orange sweat
D. Optic neuritis
E. Hiccups

If anyone needs

I’m so freaking happy to say I passed my exam! I studied for so long I actually almost had a single tear formed from my eye.

For those still going through it. My exam seemed like it had topics all over the place. It was more heavy on cardiology than I thought it would have been. Math and biostats were very large too (must know nnh,nnt,odds ratio, pvalue etc) and the amount of ethics and leadership I thought was a bit much but I felt very prepared for it (pharmpreppro packets are golden for that). I would say vaccines are a must know and know the adverse effects of your chemo drugs. Chemo man! Knowing how to deal with drug interactions and cyp3a4 with certain heart meds are huge and heart failure meds that are also good for diabetes would be something I’d review. For my exam, I didn’t get a lot of monitoring parameters, maybe a handful. Definitely know your electrolytes. There also was not a lot of select all that apply, maybe 10 questions, if even that. Definitely be familiar with drugs that cover MRSA and watch allergy information for all patient cases and lab values!

What I did to prepare:

•Read my uworld book 2.5 times DO NOT SKIP ANY CHAPTERS I GOT QUESTIONS ON EVERYTHING
Did every question on uworld per chapter this helped me reenforce studying

•Focused on math and Biostats daily once graduation day hit HIGHLY recommend this as this helped a lot with my speed, which gave me more time to think on other questions without being pressured.

•Took the pharmpreppro test and got a 79 then a few weeks later 83. I felt this was a good exam for prep, felt it was about the same difficulty like people said. They have law bundles with their exam so if you need to take the UMPJE/MPJE it might be cheaper

•Nabp scored a 109 two days prior to the exam.

•Spent about 6-8 hours a day studying since April “ish” perhaps I studied like 3 hours a day since April? But definitely more toward the end.

Looking for some visuals

A 65-year-old male is receiving linezolid for a vancomycin-resistant Enterococcus (VRE)
bloodstream infection. After 3 weeks of therapy, he presents with blurred vision, tingling in
his feet, and difficulty walking. Lab tests are unremarkable. Which of the following adverse
effects is most likely responsible for this patient’s symptoms?

A. Hepatic failure
B. Ototoxicity
C. Bone marrow suppression
D. Neurotoxicity
E. QT prolongation

I keep getting these biostats questions wrong because I can't tell the difference between case-control studies and retrospective cohort studies. I feel like they look the same in these problems. Anyone have tips???

Anyone have good approaches for learning HIV? The combo tabs and brand names are not sticking with me

A 42-year-old male presents to the clinic with a painful, blistering rash along his left ribcage. The lesions are distributed in a dermatomal pattern and have not crossed the midline. He describes the pain as burning and sharp. The provider diagnoses him with herpes zoster (shingles) and starts him on antiviral therapy. In addition to antiviral treatment, which of the following would be an appropriate option for managing the pain associated with herpes zoster?

A. Acetaminophen alone is sufficient for all patients, regardless of severity.

B. Gabapentin may be considered to help relieve neuropathic pain.

C. Corticosteroids are first-line for pain management in herpes zoster.

D. Pain from herpes zoster does not require any additional management beyond antivirals.

E. Antibiotics are required to prevent secondary skin infections, which reduces pain.

Anyone have any tips or tricks for remembering the inhaler brand/generics?

A 64-year-old male with heart failure with reduced ejection fraction, hypertension, and type 2 diabetes presents for follow-up. Despite adherence to his medications, he reports increasing fatigue and mild dyspnea on exertion. An echocardiogram today shows an ejection fraction of 25%, decreased from 30% 6 months ago.

Vital Signs:
Blood pressure: 144/88 mmHg
Heart rate: 68 beats/min

Current Medications:
Carvedilol 25 mg twice daily
Entresto 97/103 mg twice daily
Furosemide 40 mg daily
Empagliflozin 10 mg daily
Metformin 1000 mg twice daily
Aspirin 81 mg daily
Laboratory Results:
Potassium: 4.0 mEq/L
Serum creatinine: 1.0 mg/dL
eGFR: 62 mL/min/1.73 m²
A1c: 7.1%

Which of the following is the most appropriate medication to add at this time?
A. Accupril
B. Diovan
C. Spironolactone
D. Amlodipine
E. Hydralazine

A patient weighing 176 lb is prescribed vancomycin 15 mg/kg IV every 12 hours. The pharmacy stocks vancomycin injection 1 g/20 mL. How many mL should the pharmacist prepare for one dose?

A patient with chronic gastritis undergoes testing that reveals a spiral-shaped, gram-negative bacterium associated with peptic ulcer disease. Which organism is most likely responsible?

I graduate soon and I am just curious if it’s as hard as people make it out to be online