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Use the Cockcroft-Gault equation and ideal body weight to estimate Bart Smith's creatinine clearance:
What is the correct dose of enoxaparin (Lovenox) for Bart Smith?
90 mg SC twice daily
140 mg SC once daily
None; the patient should receive heparin, due to his renal function
i and ii
ii and iii
i, ii, and iii
Bart's doctor prescribes warfarin 4 weeks later. Which statement about warfarin therapy is TRUE?
Significant drug interactions occur, due to inhibition of R-warfarin metabolism by CYP2D6
Acetaminophen does not interact with warfarin
The antithrombotic effect of warfarin occurs prior to its anticoagulant effect
Warfarin interferes with cyclic interconversion of Vitamin K-dependent coagulation Factors II, VIII, IX, and X
Dosing can be guided by patient pharmacogenetics
Coag Lab reports Bart Smith's INR is 5.3 but he has no acute bleeding. What would you recommend for management of the INR?
Omit 1 or 2 doses of warfarin, then resume warfarin when the INR is within the therapeutic range
Reduce warfarin dose by 50% and recheck the INR in 24 hours
Administer 10 mg of Vitamin K (phytonadione) by slow IV infusion
i and ii
ii and iii
i, ii, and iii
Bart Smith requires surgery, so his warfarin is withheld. What is the proper procedure for maintaining appropriate anticoagulation?
Stop warfarin 5 days prior to surgery
Resume warfarin 12 to 24 hours after surgery
If Bart's INR => 1.5 one or two days prior to surgery, administer oral Vitamin K
i and ii
ii and iii
i, ii, and iii
Medical FPGEE Exam (Foreign Pharmacy Graduate Equivalency) Detailed Information
FPGEE or FOREIGN PHARMACY GRADUATE EXAMINATION COMMITTEE™(FPGEC®) CERTIFICATION
The FPGEC Certification program or FPGEE is accepted by more than 48 state boards of pharmacy as a means of documenting the educational equivalency of a candidate’s foreign pharmacy education. Foreign educated pharmacists succesfully passed FPGEC certification are considered to have partially fulfilled eligibility requirements for licensure in those states that accept the Certification.
FPGEE Committee Revises Pharmacy Curriculum
Requirement Beginning January 1, 2003, FPGEE will require foreign-educated pharmacists to have earned their professional degree from a five-year curriculum program in order to apply for FPGEE or Foreign Pharmacy Graduate Examination CommitteeT (FPGEC®) Certification.This change affects only those candidates who earn a pharmacy degree after the 2003 deadline.The new curriculum FPGEE requirements do not apply to foreign-educated pharmacists who have earned a four-year degree prior to January 1, 2003. These individuals will remain eligible for FPGEE under the current program requirements of a four-year curriculum. This revision was prompted by the Accreditation Council for Pharmacy Education's (ACPE) decision to revise the standards for the entry-level pharmacy degree in the United States from a five-year baccalaureate degree in pharmacy to the six-year PharmD. All accredited US colleges and schools of pharmacy must meet the ACPE requirement by 2004. NABP President John A. Fiacco notes that "NABP has implemented this policy change in the FPGEE program to ensure consistency and equivalency in the educational curriculum of pharmacy programs." Approximately 40% of foreign pharmacy programs presently offer a five-year curriculum. It is hoped that more educational institutions will expand their programs to meet the FPGEE requirement.
FPGEE Competency Statements:
NABP has developed the FPGEE Competency Statements. The Competency Statements summarize and outline the knowledge and skills that you are expected to have acquired before you take the FPGEE and that you are expected to be able to demonstrate in answering the examination questions. All questions are based on these Competency Statements, which are reviewed and revised as necessary. A strong understanding of the Competency Statements will aid in your preparation to take the FPGEE.
The Foreign Pharmacy Graduate Equivalency Examination, or FPGEE, is one of the examinations required as part of the FPGEC Certification Program. (You must also take and pass the TOEFL iBT, the English-language exam administered by Educational Testing Service.)
The FPGEE is offered twice each year, and it is administered at Pearson VUE test sites throughout the continental United States. Only individuals made eligible during the FPGEC application process can take the FPGEE.
Once you successfully complete the FPGEC evaluation process, you will receive a letter of acceptance to sit for the FPGEE as well as detailed information on the registration and scheduling process. An FPGEE Identification Card, which will contain instructions for beginning the exam registration process, will also be included.
When you are accepted to take the FPGEE, you will have the opportunity to take the examination on one of two consecutive testing opportunities. For example, if you are accepted for the October 14, 2016 FPGEE, but decide not to take the exam, you can still take the next exam. The April 25, 2017 FPGEE will be your second, and final, opportunity to take the FPGEE. However, if you provide documentation showing that a work, health, personal, or visa-related circumstance is preventing you from taking the examination, the FPGEC will review the documentation and decide if an additional opportunity to test will be granted.
Preparing to Register and Sit for the FPGEE
If you haven’t already, download the FPGEC Candidate Application Bulletin. It provides detailed information about the FPGEC Certification Program and applying for the FPGEE. The Bulletin includes information about the following:
An overview of FPGEC Certification
FPGEC and ECE application procedures
Documentation of pharmacist credentials
Registering for the FPGEE
FPGEE score results
Download the FPGEC Application Bulletin
Be sure to download the Application Bulletin only from this website to get the most accurate, updated information about the FPGEC and FPGEE. NABP is aware of some websites that are posting fake, outdated, or incorrect registration bulletins.
Register for the FPGEE
After the FPGEC determines that you are qualified to take the FPGEE, NABP will mail you an FPGEE Identification Card, which contains instructions for beginning the FPGEE registration process.
Candidates have from July 1, 2016, to September 30, 2016, to register for the FPGEE with NABP. Within a few days of registering to test with NABP, you will be emailed your Authorization to Test (ATT) from Pearson VUE. The ATT authorizes you to schedule an appointment to take the FPGEE at a Pearson VUE test site within the continental United States.
Register Now for the October 14, 2016 FPGEE
Schedule Your Exam Appointment
Scheduling for the October 14, 2016 FPGEE is available.
Before you can schedule your examination with Pearson VUE, you must register to take the FPGEE with NABP. Within a few days of registering to test with NABP, you will be emailed your Authorization to Test (ATT) from Pearson VUE, NABP’s test vendor. The ATT authorizes you to schedule an appointment to take the FPGEE at a Pearson VUE test site.
Candidates have from July 7, 2016, to October 7, 2016, to schedule their exam. Scheduling is completed through the Pearson VUE website or by contacting Pearson VUE customer service at 888/709-2679. Any changes to your testing appointment must be made through Pearson VUE. Detailed scheduling instructions will be provided in your ATT.
Retain the FPGEE Identification Card that you received with your acceptance letter. You must present it at the Pearson VUE test site to be admitted to the exam on your scheduled exam day.
Review the FPGEE Competency Statements
The FPGEE Competency Statements provide a blueprint of the topics covered on the examination. A strong understanding of the Competency Statements will aid in your preparation to take the examination. The 250 questions on the FPGEE are divided among four content areas:
Basic biomedical sciences – 10%
Pharmaceutical sciences – 33%
Social, behavioral, administrative pharmacy sciences – 22%
Clinical sciences – 35%
The statements can be found in the FPGEC Candidate Application Bulletin.
Prepare With the Pre-FPGEE
To get a feel for what is on the exam, consider the Pre-FPGEE. The Pre-FPGEE is a 66 question practice exam that will help you see what it will be like to take the FPGEE. Available online, the Pre-FPGEE is accessible anywhere you have an internet connection.
Important Information for Your Test Day
Bring your FPGEE Identification Card. Also, bring two forms of ID as follows:
A government-issued identification that contains a recent photograph and signature is required. Examples include:
Other valid government-issued IDs:
US-issued or foreign driver’s license
US state identification card Secondary ID
A secondary ID may be requested at the testing center. Acceptable forms of secondary ID, which must be current, include the following:
State-issued ID card
US passport card
US military ID
Valid debit/credit/ATM cards (must be Visa, Discover, MasterCard, or American Express)
The printed name on both your primary and secondary forms of ID must match the name that appears on your FPGEE Identification Card. If you do not have the correct IDs with you on the day of your test, you will not be able to test.
See Identification Requirements in the FPGEC Candidate Application Bulletin for more information.
2. Arrive 30 minutes early: This will give you time to complete check-in procedures.
You will be required to provide a digital signature and have your photograph taken. You will also provide a palm vein scan if this is your first time taking the test; if you are a repeat test-taker you will need to provide both a digital fingerprint and a palm vein scan.
If you arrive at the test center 30 minutes after your scheduled examination time, you will forfeit your appointment.
3. Read the FPGEC Candidate Application Bulletin for more information about procedures and restrictions.
Report Exam Irregularities
Please read the FPGEC Application Bulletin for more information about exam misconduct. If you have witnessed such misconduct or other irregularities as described in the Bulletin, please report it to NABP immediately.
Missed Appointments and Rescheduling Your Exam
If you need to cancel a scheduled appointment to test, you must cancel your examination at least five business days before your scheduled test date. See FPGEE Information in the FPGEC Candidate Application Bulletin for information on canceling your examination appointment.
If you arrive at the test center without the appropriate credentials, you will be refused entrance into the examination. There will be no refund of your testing fee. You will be required to reapply for the FPGEE and pay the examination fee.
Exam Limits: 5 Attempts
FPGEC candidates are allowed a maximum of five attempts to successfully pass the FPGEE. This became effective January 1, 2012, for all current and new candidates. See the FPGEC Candidate Application Bulletin for more information on the retake policy.
FPGEE Certification: Passport to the Promised Land for Indian Pharm.D graduates
It’s any pharmacy students dream to practice their profession in the United States (US) because it stands out in providing dignity and the remuneration it pays off to the pharmacist than any other country in the world. Foreign pharmacy graduate equivalent examination (FPGEE) certification is mandated to all the foreign pharmacists as a first step to practice pharmacy profession in the United States of America. After the new requirement mandated in the US from 2003, Pharmacy Council of India launched Doctor of pharmacy as a 6 years integrated course to help the college ready students and a 3 year post-baccalaureate bridge course for the students graduated after 2003 as an intervention in 2008. Even though the process is so laborious most of the foreign graduates think it’s worth taking a shot. It starts off with applying for transcripts and ends with taking up the FPGEE held by the National Association of Board of Pharmacy (NABP). Obtaining eligibility for the exam is a laborious process that can take anywhere from 6 months to 1 year depending upon the university of graduation, country’s pharmacy board/council, its reciprocation with the NABP and the country’s postal transit. Despite fulfilling all the requirements accurately, the entry of the candidate into the country is not certain as it lies in the hands of the visa issuing offer whose actions are always unpredictable.
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Morris Cody and RxSchool liberate New online FPGEE
DENVER--(company WIRE)--Pharmacy alternative and RxSchool, in partnership with Morris Cody and co-workers, are proud to announce the launch of a new, on-line FPGEE®(a) mini-overview route. The direction replaces the Morris Cody and co-workers’ four-day guidance live seminar, and is attainable to all candidates making read FPGEEy for this exam, which is usually the first step within the system for fitting licensed as a pharmacist in the U.S.
“Our success during the past with our on-web page 4-day seminar has been overwhelming, and we are completely happy to announce this on-line route to the general public because the premier option for closing coaching for the FPGEE®(a) examination.” William Feinberg, Senior vice president, Morris Cody and co-workers.
The FPGEE® examination, which is a requirement for all overseas pharmacists, is a semiannual examination, constantly provided in Chicago, new york and San Francisco. these getting read FPGEEy for the December 2006 examination now have the primary chance to prepare the usage of the online Mini-course provided on the RxSchool.com web page.
using streaming audio and video technology, the 18 hours of recorded lectures offer students the vital competencies and assessment of gigantic issues. Presenters are U.S. educators and practitioners with decades of real-world experience. The application covers fundamental Sciences, Pharmaceutical Sciences, scientific Sciences & the U.S. Healthcare equipment. lots of the emphasis (and time) is spent on the latter two issues because they appear to cause the ultimate challenges.
“we now have utilized the gold standard applied sciences accessible to existing this content. The capacity for college kids to review the application from the consolation of their own home will permit the fabric to attain a broader audience than the reside course. We couldn’t be happier with the exceptional of this product and our persevered partnership with Morris Cody and associates.” – prosperous Barnhart, Co-Founder and CTO of RxSchool.
For enrollment inquiries or more advice about this path, students can discuss with the RxSchool net web site at http://rxschool.com or call one of our qualified acquaintances at 888-682-4415.
(a) Disclaimer: Naplex® and FPGEE® are registered logos of the national affiliation of Boards of Pharmacy (NABP). evaluation classes provided by using Morris Cody & pals, Inc. (or RxSchool) are not informed, licensed or counseled through NABP.