International Trained-PharmD (ITPD)
Foundational Examinations Study Guide
All applicants for the ITPD program are required to pass two foundational pharmacy sciences competency
exams (one on biomedical sciences and one on pharmaceutical sciences) prior to admission into the ITPD
program. These foundational competencies exams will cover the following learning objectives.
BASIC BIOMEDICAL SCIENCES
Anatomy & Physiology
structure and function of Minor body systems: integumentary, muscular skeletal, cardiovascular, lymphatic,
respiratory, digestive, nervous, endocrine, urinary, reproductive, and body fluid and electrolytes
molecular aspects of cell biology
cell physiology and cellular structure and organization
basic principles and mechanisms of disease including: inflammation & repair, degeneration, disturbances on
hemodynamics, developmental defects, neoplasia
pathophysiology of disease states amenable to pharmacist intervention
pathogenic micro-organisms of man
human immunity and immune response
principles of antigen-antibody relationships
molecular biology of immune response
genetic basis for antibody synthesis, development, function, and immunopathology
chemistry of biomacromolecules (proteins, lipids, carbohydrates, and DNA)
enzymology and co-enzymes and kinetics
metabolic pathways to energy utilization
nucleic acid metabolism, including DNA replication and repair, RNA, and protein synthesis
recombinant DNA technology
cell structure and components
ion channels and receptor physiology
mitosis and meiosis
chromosomes and DNA
gene transcription and translation processes
recombinant DNA technology
understanding of commonly-used statistical tests and their basis
management of data sets
evaluation of statistical results
understanding of statistical versus clinical significance
physico-chemical properties of drug molecules in relation to drug absorption, distribution, metabolism, & excretion
chemical basis of pharmacology and therapeutics
fundamental pharmacophores for drugs used to treat disease
structure activity relationships in relation to drug-target interactions
chemical pathways of drug metabolism
application to making drug therapy decisions
mechanism of action of drugs in various categories
role of pharmacology in drug choice and the treatment of disease
pharmacodynamics of drug action and absorption, distribution, metabolism, and elimination
adverse effects and side effects of drugs
drug-drug, drug-food, drug-lab test interactions
drug discovery and development
Pharmacognosy & alternative & complemetary med.
concepts of crude drugs, semi-purified, and purified natural products
variability of occurrence of pharmacologically active substances in plants & impact on regulatory aspects of herbal
mechanism of toxicity and toxicokinetics
acute and chronic toxic effect of xenobiotics on the body, including drug or chemical overdose and toxic signs of
drugs of abuse
antidotes and approaches to toxic exposures
physical-chemical principles of dosage forms
biological principles of dosage forms
principles of drug delivery via dosage forms (e.g., liquid, solid, semi-solid, controlled release, patches, & implants)
principles of dosage form stability and drug degradation in dosage forms
materials and methods used in preparation and use of dosage forms
basic principles of in vivo drug kinetics (linear and nonlinear)
principles of bioavailability/bioequivalence
physiologic determinates of drug onset and duration
drug, disease, and dietary influences on absorption, distribution, metabolism, and excretion
clinical pharmacokinetics of commonly used and low-therapeutic-index drugs
the pharmacokinetic-pharmacodynamic interface
United States Pharmacopeia guidance on compounding and FDA Compliance Policy Guidelines
techniques and principles used to prepare and dispense individual extemporaneous prescriptions, including dating of
compounded dosage forms
liquid (parenteral, enteral), solid, semi-solid, and topical preparations
dosage form preparation calculations
sterile admixture techniques: United States Pharmacopeia (USP) Chapter 797, stability and sterility testing and dating,
clean room requirements, infusion devices and catheters
Suggested Study References:
BASIC BIOMEDICAL SCIENCES
• Molecular Biology of the Cell, 4th edition; Bruce Alberts, Alexander Johnson, Julian
Lewis, Martin Raff, Keith Roberts, and Peter Walter. New York: Garland Science; 2002.
• The Cell, 2nd edition; A Molecular Approach; Geoffrey M Cooper. Boston University
Sunderland (MA): Sinauer Associates; 2000.
• Immunobiology, 5th edition; The Immune System in Health and Disease; Charles A
Janeway, Jr, Paul Travers, Mark Walport, and Mark J Shlomchik. New York: Garland
• The Biology of Cancer, 7th Edition; Robert A. Weinberg. New York: Garland Science;
• Lehninger Principles of Biochemistry, by David L. Nelson and Michael M. Cox, Fifth
• Biochemistry by Jeremy M. Berg, John L. Tymoczko, and Lubert Stryer, Sixth Edition.
• Foye’s Principles of Medicinal Chemistry 7th edition. Thomas L. Lemke. Lippincott Williams &
• Bauer, Larry A. Applied Clinical Pharmacokinetics. McGraw-Hill. 2001.
• Handbook of Basic Pharmacokinetics, Including Clinical Applications, 7e (Wolfgang
Ritschel, Gregory Kearns)
• Basic Physical Pharmacy. 1st edition. Joseph K.H. Ma and Boka W. Hadzija. 2013
• Foye’s Principles of Medicinal Chemistry 7th edition. Thomas L. Lemke. Lippincott
Williams & Wilkins; 2012
• Brunton L L, Blumenthal D K, Murri N, Dandan R H, Knollmann B C. Goodman & Gilman's
The Pharmacological Basis of Therapeutics. 12th ed. New York: McGraw-Hill, 2011
Learning Objectives : Intro to Immunolgy
Please note: The objectives in this unit are intended to familiarize you with learning
objectives as we use them in this course. Try to answer them now as well as you can, but
don't panic if you think your answers are inadequate; all the material in Unit 1 will be
covered again later in the course. Rest assured that by mid-term time these somewhat
difficult-looking objectives will be easy as pie.
1. Please define: antigen
pathogen-associated molecular pattern
2. Discuss the role of the innate immune system.
3. Describe how innate immunity can lead to adaptive
immunity, and name the cell that bridges the two systems.
4. Give an example each of how the immune system can be
helpful or harmful to its host.
5. Describe the recognition and effector functions of the
immune system. Distinguish recognizing and effector cells.
6. Discuss the similarities and differences between T cell-
mediated and antibody-mediated immunity.
7. Describe at least 2 functions of T cells.
8. Describe at least two functions of the complement
9. Define the concept of immunopathology, and give two
Anatomy and Physiology of the Immune System
plasma and serum
2. Sketch schematically a neutrophil; eosinophil; basophil; small
lymphocyte; lymphoblast; plasma cell; monocyte. Indicate the
characteristic features which distinguish each cell type.
6. Define antigen, and compare it to immunogen. Discuss a
potential uses if any antigen could be made into a tolerogen.
7. Discuss lymphocyte activation by antigen with respect to:
receptor binding, proliferation, differentiation.
kappa and lambda chains
Fab, F(ab')2, Fc
variable (V) and constant (C) regions
VL and CL
2. Name the 5 antibody classes, and their characteristic heavy
3. Draw a diagram of the structure of typical molecules of each
class. Label the heavy and light chains; Fc and Fab parts; J chains;
antibody combining sites; main interchain disulfide bonds; secretory
4. Discuss the significance of the fact that in any one antibody
molecule, both H and both L chains are identical.
6. Describe the structure of antibody combining sites.
7. Explain why complementarity-determining regions are also called
8. Give an example of a subclass, an allotpe, an idiotype.
11. Define Fc receptors. Name the inflammatory cells whi