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1. Which of the following is a type of basal insulin?

A. Insulin glargine B. Insulin aspart C. Regular insulin D. Insulin lispro

2. Which of the following is an advantage of using insulin pens?

A. They are less expensive compared to vials B. They can be used for multiple patients C. Dial-up dosing decreases error potential D. They can be used as a pen or vial if needed

3. Concentrated insulin:

A. Is available in vials, pens, and pre-filled syringes B. Can be administered without dose conversion with any syringe C. Should be stored so that it is not confused with other products D. Should be reserved for hospital use

4. Insulin should be stored:

A. In the refrigerator only until the expiration date provided on the product B. In the refrigerator or at room temperature until the expiration date C. In the freezer until dispensed to the patient, then in the refrigerator D. In the refrigerator or at room temperature for the duration specified by the manufacturer (e.g., 28 days)

5. Which of the following describes a medication error?

A. Unanticipated, but often known, ranging from self-limited to serious B. Preventable; inappropriate use of a medication; may or may not result in undesired effect C. Drug-induced outcome that is undesirable D. Potentially undesired effect that did not reach patient

6. Which of the following can contribute to hypoglycemia with insulin?

A. Younger age B. Lack of exercise C. Use of metformin D. Change in renal function

Evaluation Questions

7. To what extent did the program meet objective #1?

A. Excellent B. Very Good C. Good D. Fair E. Poor

8. To what extent did the program meet objective #2?

A. Excellent B. Very Good C. Good D. Fair E. Poor

9. To what extent did the program meet objective #3?

A. Excellent B. Very Good C. Good D. Fair E. Poor

10. To what extent did the program meet objective #4?

A. Excellent B. Very Good C. Good D. Fair E. Poor

11. Rate the effectiveness of how well the program related to your educational needs:

A. Excellent B. Very Good C. Good D. Fair E. Poor

12. Rate how well the active learning strategies (questions, cases, discussions) were appropriate and effective learning tools:

A. Excellent B. Very Good C. Good D. Fair E. Poor

13. Rate the quality of the faculty:

A. Excellent B. Very Good C. Good D. Fair E. Poor

14. Rate the effectiveness and the overall usefulness of the material presented:

A. Excellent B. Very Good C. Good D. Fair E. Poor

15. Rate the appropriateness of the examination for this activity:

A. Excellent B. Very Good C. Good D. Fair E. Poor

16. Rate the effectiveness of how well the activity related to your practice needs:

A. Excellent B. Very Good C. Good D. Fair E. Poor

17. Rate the effectiveness of how well the activity will help you improve patient care:

A. Excellent B. Very Good C. Good D. Fair E. Poor

18. Will the information presented cause you to change your practice?

A. Yes B. No

19. Are you committed to making these changes?

A. Yes B. No

20. As a result of this activity, did you learn something new?

A. Yes B. No

21. What is your practice setting or area of practice?

A. Community Pharmacy/Independent B. Community Pharmacy/Chain C. Hospital/Health Systems D. Administrative/Pharmacy Director E. Critical Care Pharmacy F. Long-term Care G. Managed Care/PBM H. Oncology I. Specialty Pharmacy J. Industry/Manufacturing

22. How many years have you been in practice?

A. <5 B. 5 – 10 C. 11 – 20 D. >20

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