PTCB EXAM QUESTIONS WITH 100% CORRECT ANSWERS

PTCB EXAM QUESTIONS WITH 100% CORRECT ANSWERS "The physician prescribes 500mg of a drug with is available as 1gm / 2ml, how many milliliters should this patient receive? - CORRECT ANSWER *1ml* (The patient should receive 1ml. First, 1gm should be converted to 1000mg. Multiply 500mg by 2. Divide the product 1000mg by 1000mg.)" "Which of the following would be a solution to a patient identifiers error caused by nurses? - CORRECT ANSWER *Use bar coding to identify the patient and medication* (Nurses are now electronically connected to the pharmacy through bar codes. The nurse can ensure accuracy of medication dosage at the patient's bedside before medication is given. The nurse can be alerted to any special notes or warnings.)" "Which of the following is not part of the personal protective equipment? - CORRECT ANSWER *Jacket* (A laboratory jacket may be worn as part of the dress code in an institutional setting, but is not a part of PPE, instead personal will wear gowns or laboratory coats.)" "Which of the following is not an example of auxiliary labels? - CORRECT ANSWER *Take one tablet at bedtime* (Take one tablet at bedtime are directions or signa used on a prescription label. Take with food, avoid sunlight and shake well are additional warnings or information to the patient.)" "Which of the following is a type of computer input device? - CORRECT ANSWER *Light pen* (Light pen is an input device. Plotters, speaker and printers are output devices.)" "Which of the following is a potential side effect of ACE inhibitors? - CORRECT ANSWER *Dry cough* (A side effect of ACE inhibitor is a dry cough sometimes hacking cough that does not resolve over time. People who develop this sometimes need to be switched to an alternative class of medication.)" "The binder for Safety Data Sheets (SDS) consists of how many sections? - CORRECT ANSWER *16* (The binder for the SDS is now required to consist of 16 sections used for all potentially dangerous chemicals used in the workplace.)" "Which of the following is on the ISMP High Alert list for community and ambulatory setting? - CORRECT ANSWER *metFORMIN* (High alert medications cause a significant and considerable harm when used in error. metFORMIN is found on the list for community settings.)" "Which of the following is a 11-digit sequence of numbers assigned to a medication? - CORRECT ANSWER *NDC number* (The National Drug Code identifies the medication through a 5-4-2 segments representing the manufacturer, product and package size. DEA number is used when writing prescriptions for controlled substances. Bar codes are used to identify drug, dosage form and strength. NPI is a unique 10 identification number for covered health care providers.)" "Which of the following is true regarding prior authorization? - CORRECT ANSWER *The patient may need to wait 24 - 48 hours before receiving response* (At times patients must wait 24 to 48 hour before a physician will respond to a call made by the pharmacy. If patient do not want to wait they will be responsible for the entire cost of the medication.)" "How many types of pharmacy interfaces exist? - CORRECT ANSWER *2* (The two types of pharmacy interfaces are pharmacy based system which allows pharmacy to enter prescriptions and facility based system which allows medication order to connect to medical records.)" "The FDA manages certain programs which place drugs in a restricted status because of their adverse effects. Which of the following drugs is part of this program? - CORRECT ANSWER *Sotret* (Sotret (isotretinoin) is under a special program called iPledge because of the severe adverse effects such as birth defects. Methadone for opioid addiction needs specialized treatment for patient. Subutex a schedule III requires special consent forms completed by patients. Sodium fluoride can be packaged in a non-child resistant bottle.)" "Which type of container protects the content from contamination? - CORRECT ANSWER *Tight container* (Tight container protect content from contamination by liquids, solids or vapors. Tamper evident packaging are used for sterile article intended. Well closed containers protect the content from other solids. Hermetic container is impervious to air or gas.)" "Which part of the prescription gives additional information to the pharmacist? - CORRECT ANSWER *Subscription* (The subscription informs the pharmacist of how to compound a prescription. Superscription is the Rx symbol; the inscription gives name of medication and its quantity.)" "What type of injectable water is intended to be use for injections? - CORRECT ANSWER *Bacteriostatic water* (Bacteriostatic water is used to reconstitute powder form of medication. Purified, sterile water for irrigation and water can't be used to reconstitute injectable drug because it is not considered free of certain microorganisms.)" "Which of the following types of errors describes administration to the patient of medication not authorized by a legitimate prescriber? - CORRECT ANSWER *Unauthorized drug error* (Unauthorized drug error would include wrong drug, a dose to wrong patient or unordered drug. Omission error describes failure to administer a drug; monitoring error describes failure to review a prescribed regimen; wrong dosage describes administration of a dosage form other than what was ordered.)" "Which of the following is not a quality-related event? - CORRECT ANSWER *Incorrect pharmacy* (An incorrect pharmacy is not a quality related event because it doesn't involve inappropriate dispensing or administration of a prescribed medication.)" "The medical term -phagia means which of the following? - CORRECT ANSWER *Eat* (A - phagia means eat; -algia means pain; -pathy means disease; peri- means around)" "Which of the following demonstrates the gross profit formula? - CORRECT ANSWER *selling price - purchase price* (The selling price minus the purchase price of a medication is considered the gross profit. The purchase price plus the cost to dispense is the selling price; overall cost multiplied by desired percent profit is the net profit; selling price minus the overall cost is the profit.)" "Which of the following is a way pharmacy information systems can be used? - CORRECT ANSWER *Clinical screening* (Clinical screening help pharmacy personnel analyze and filter data to make clinical decisions. Electronic audit request, financial information and codified prescription sig formatting are types of standards created by the NCPDP for electronic exchange.)" "Which of the following medication is used to treat GERD? - CORRECT ANSWER *Ranitidine* (Ranitidine is used to treat gastroesophageal reflux disease (GERD). Infliximab treats Crohn's disease; Loperamine treats diarrhea; Bisacodyl treats constipation)" "The transferring of a Schedule II prescription can be done how many times? - CORRECT ANSWER *Zero* (A Schedule II prescription are not transferrable because they can be filled only once. Schedule III - V prescriptions may be transferred one time only.)" "Which type of Laminar Flood Hood uses recycled air within the hood? - CORRECT ANSWER *Type B3* (Type B3 uses recycled air with the hood. B1 expel most of the contaminated air. B2 removes all contaminated air to the outside. Type A recirculates a portion of the air.)" "A prescription is written for Dilantin 125mg/5ml # 16oz, 2 tsp po bid. What is the days supply? - CORRECT ANSWER *24 days* (First convert dispense quantity to ml's, then determine quantity to be taken in one day. 16oz = 480ml, 2 tsp = 10ml x bid = 20ml. 480ml divided by 20ml)" "A daily log should be kept for medications stored in the refrigerator that must maintain a temperature of? - CORRECT ANSWER *2 to 8 degrees C* (The refrigerator temperature ranges from 2 to 8 degrees C. All medications have specific storage conditions determined by the manufacturer. 20 to 25 degrees represents controlled room temperature; -25 to -10 degrees represents freezer; 8 to 15 degrees represents cool.)" "Which of the following is the classification for Vesicare? - CORRECT ANSWER *Overactive Bladder* (Vesicare is classified as an agent for treatment of overactive bladder.)" "When entering the information into the computer, which code would be used for the spouse? - CORRECT ANSWER *02* (The code 02 is used to show the relationship to the cardholder as the spouse. 03 is used for dependent; 00 or 01 can be used for the cardholder.)" "In which section of the drug monograph would you find an abbreviated summary of the most clinically adverse reactions? - CORRECT ANSWER *Warning and precaution* (Warning and precaution sections gives a summary of the most clinically adverse reactions and action taken. Adverse reactions list commonly occurring adverse reactions and incidence of these effects. Overdosage gives information on toxicity and the antidotes. Contraindication are situations in which the drug should not be used.)" "The technician is checking the refrigerators temperature that reads 8 degree Celsius, what is this temperature in Fahrenheit? - CORRECT ANSWER *46.4* (Multiplying 8 times 1.8. Add the product 14.4 to 32.)" "Which of the following documentation form requires that patient profile be maintained for every patient regardless of the pharmacy setting? - CORRECT ANSWER *Patient profile* (A patient profile is required by OBRA 90 and may be either hard copy or a computerized list of the patient's prescription and other information such name, date of birth and medical history. Medication administration record documents medication administered to a patient. Physician order sheet listing the physician order including drug and nondrug orders. Resident monitoring form documents behavior of a patient and any precipitating factors.)" "Which of the indicates the correct expiration date for 12/17? - CORRECT ANSWER *12/31/2017* (All medication expiration dates with a month and year indicates the last day of the month.)" "Which of the following date is assigned by the pharmacy when repacking a medication? - CORRECT ANSWER *Beyond use date* (A beyond use date is assigned by the pharmacy when repackaging or compounding a medication. Expiration date is given by the manufacturer; Prescription date is written by the physician; Compounding date is given when a product is compounded.)" "Which of the following is a disadvantage to implementing pharmacy information systems? - CORRECT ANSWER *Barriers in accessing different databases* (Databases may vary from one pharmacy to another.)" "Which of the following is not an organ in the lymphatic system? - CORRECT ANSWER *Thyroid* (The thyroid is a gland that is a part of the endocrine system that produces hormones. Thymus, tonsil and spleen are organs part of the lymphatic system that production and proper functioning of the immune system.)" "A physician with a DEA number starting with "X" represents? - CORRECT ANSWER *Opioid treating practitioner* ("X" is used for prescribers who qualify to order medications used to treat opioid addiction. Mid-level practitioners use the letter "M". The letters A, B, or F are used for all other physicians writing a prescription for controlled substances)" "All the following are classification list of hazardous waste based on ignitability, corrosivity, reactivity and toxicity except? - CORRECT ANSWER *Q list* (Q is not a list for hazardous waste. All other lists F, K, P and U are types of hazardous waste. P and U list may be found in a pharmacy.)" "Which of the following organization does not track medication errors? - CORRECT ANSWER *Board of Pharmacy (BOP)* (The Board of Pharmacy regulates state agencies that oversee the practice of pharmacy. FDA MedWatch is a voluntary program that allows the reporting of adverse events. The Joint Commission address quality of patient care and patient safety. NCCMERP address interdisciplinary causes of medication errors and strategies for prevention.)" "What storage condition would indicate a temperature of 75 degrees Fahrenheit? - CORRECT ANSWER *Controlled room temperature* (Controlled room temperature range from 59 to 86 degrees; Cold is 36 to 46 degrees; Cool is 46 to 59 degree; Warm 86 to 104 degrees)" "E-prescribing tools can include all the following except? - CORRECT ANSWER *Printers* (Printers are output devices. Software, hardware, and touch screens can be used to transfer prescription data among prescribers and pharmacy.)" "Which of the following is not a condition that affects the dermatological system of skin? - CORRECT ANSWER *Onychomycosis* (Onychomycosis is fungal condition that affects the nails, and is the most common disease of the nails. It normally starts with the tip of the toe nails. Acne, psoriasis and Urticaria all are conditions that affect the skin.)" "Pharmacy technicians are not allowed to counsel patients. Which of the following is considered counseling of a patient? - CORRECT ANSWER *Action to take if a dose is missed* (Providing information about action to take if a dose is missed is considered counseling because this decision must be made by the pharmacist.)" "Which dispense as written codes indicates an override? - CORRECT ANSWER *6* (DAW code 6 indicates an override; 1 indicates substitution not allowed by provider; 3 indicates substitution allowed - pharmacist selected; 4 indicates substitution allowed - generic drug not in stock)" "Insurance companies enact plan limitations to control drug use, which of the following is a limitation for a mail order pharmacy for days' supply? - CORRECT ANSWER *90* (Days supply restriction for a mail order supplies is 90 days. Retail pharmacies will have a 30 day limit.)" "A pharmacy technician may perform all of the following tasks except: - CORRECT ANSWER *Advising patients about aspirin*" "Upon passing the PTCB exam, pharmacy technicians earn a: - CORRECT ANSWER *Pharmacy Technician certificate*" "The federal agency that administers and enforces federal laws for controlled substances such as narcotics is the: - CORRECT ANSWER *DEA*" "Biennial inventory is inventory of all controlled substances on hand to be conducted: - CORRECT ANSWER *Every 2 years*" "Adhering to ethical principles means: - CORRECT ANSWER *Doing the right thing, Complying with laws and regulations, & Maintaining competency*" "A bothersome or unwanted effect that results from the use of a drug, unrelated to the intended effect of the drug is a (an): - CORRECT ANSWER *Adverse drug reaction*" "When a patient drops off a prescription for the first time, which of the following information is NOT necessary for the pharmacy to have? - CORRECT ANSWER *Marital status*" "A system in which all medications are available for a prescriber to use on his or her patient is a (an): - CORRECT ANSWER *Open formulary*" "Historically, hospital pharmacy services were: - CORRECT ANSWER *Primarily involved with drug distribution, Performed from a central pharmacy, & Provided medications in bulk containers to nursing units*" "Technician responsibilities in a hospital pharmacy include all the following except: - CORRECT ANSWER *Monitoring and evaluating patient response to medications*" "Pharmacy technicians assist pharmacists in all of the following except: - CORRECT ANSWER *Providing patient education*" "When adding fractions, the three steps in the correct order are: - CORRECT ANSWER *Convert to common denominators, add the numerators, reduce to the simplest fractions or mixed numbers*" "Percentage means: - CORRECT ANSWER *Per 100*" "One dram is used to represent: - CORRECT ANSWER *5ml; 1 teaspoon*" "When calculating a daily supply for a patient's ophthalmic medication, assume 1 mL = - CORRECT ANSWER *20 drops*" "IV administration of medication is advantageous for what reasons? - CORRECT ANSWER *There is a rapid onset of action, Patients who are unconscious can be medicated, & Patients who are nauseated can be medicated*" "The concentration of heparin used in heparin locks is usually: - CORRECT ANSWER *10 unit/mL or 100 units/mL*" "When a prescription is filled with a wrong strength of a medication because of illegible handwriting, it should be classified as a: - CORRECT ANSWER *Prescribing error*" "Odd doses on a prescription: - CORRECT ANSWER *Should be double-checked with a pharmacist & May indicate a prescribing error*" "The bioavailability (the amount of active ingredient or other substance that enters the bloodstream) of a drug depends on: - CORRECT ANSWER *The amount of drug dissolved, Its dosage form, & Its route of administration*" "The DEA Form 41 is required when controlled substances are expired and need to be disposed of. - CORRECT ANSWER *True*" "In which Controlled Substance Schedule does morphine belong? - CORRECT ANSWER *Schedule II*" "Calculate the inventory turnover rate if the pharmacy's purchases for the past year were $14,845,222 and the inventory as of December 31 was $655,879 (round to the nearest whole number). - CORRECT ANSWER *23 times*" "Which of the following corresponds to "refrigerated" by USP standards? - CORRECT ANSWER *2 to 8C (36 to 46F)*" "How many 10 mL doses can be packaged from a pint of medication (round down to the nearest 10 mL increment)? - CORRECT ANSWER *47*" "Which of the following is an atypical antipsychotic? - CORRECT ANSWER *Risperidone (Risperdal)*" "Which of the following is the brand name for loratidine? - CORRECT ANSWER *Claritin*" "What is 25% equal to? - CORRECT ANSWER * 25 out of 100, 0.25, 1/4*" "Which abbreviation stands for "at bedtime"? - CORRECT ANSWER *hs*" "Which of the following is an anticonvulsant? - CORRECT ANSWER *phenytoin*" "A patient is supposed to take 375 mg of an antibiotic three times daily for 10 days. The pharmacy dispenses 250 mg per 5 mL suspension. How much should the pharmacy dispense for the full 10-day supply? - CORRECT ANSWER *225 ml*" "A patient is supposed to take 375 mg of an antibiotic three times daily for 10 days. The pharmacy dispenses 250 mg per 5 mL suspension. How much must the patient take per dose? - CORRECT ANSWER *7.5 mL*" "What is one kg equal to? - CORRECT ANSWER *2.2 pounds*" "Which abbreviation stands for "before meals"? - CORRECT ANSWER *ac*" "Which of the following is not a low molecular weight heparin (LMWH)? - CORRECT ANSWER *heparin*" "Mr. Jones presents a prescription for Lantus 100 units/mL (1 vial = 10 mL) with directions: Inject 20 units QAM and 20 units QPM. Dispense one-month supply with three refills. How many vials or milliliters should be dispensed, and what is the days supply? - CORRECT ANSWER *1,000 units (1 vial) for 25 days*" "Mrs. Jones comes into your pharmacy with a new prescription for Aricept and a prescription ID card for Medco Medicare Part D plan. You enter the information into the pharmacy system and get a message that states, 'prior authorization required.' You tell Mrs. Jones that: - CORRECT ANSWER *she is entitled to a 30-day supply of medication while her physician completes the paperwork for a prior authorization.*" "What is the generic name for Cytotec? - CORRECT ANSWER *Misoprostol*" "In which classification does DynaCirc belong? - CORRECT ANSWER *Calcium Channel Blocker*" "How often must pharmacy scales and weights be evaluated and calibrated? - CORRECT ANSWER *Every 12 months*" "Patient is to be given 90 mg dose of naproxen via suspension containing 25 mg of naproxen per 10 mL. How many mL must be administered? - CORRECT ANSWER 36 mL" "Which act established revisions to Medicare and Medicaid Conditions of Participation regarding long term care facilities and pharmacy? - CORRECT ANSWER *Omnibus Reconciliation Act of 1987*" "What does the abbreviation NPO mean? - CORRECT ANSWER *Nothing by mouth.*" "What is the brand name for eszopiclone? - CORRECT ANSWER *Lunesta (eszopiclone) is a hypnotic that is used to treat insomnia.*" "If a physician writes an order for 400 mL of D5W to be infused over a 4-hour time period, and the IV drop factor is 12 gtt/mL, how many drops per minute should be delivered? - CORRECT ANSWER *20* (To solve this problem, you must first find the total number of minutes: 60 x 4 = 240 Then find mL/min: 400/240 = 1.67 ml infused in 1 minute. Then multiply this by the drop factor: 1.67 x 12 = 20 drops per minute.)" "If two drugs are taken together and one of them intensifies the action of the other, what type of drug interaction has occurred? - CORRECT ANSWER *Potentiation* (Antagonism is when two drugs work against each other. Synergism is when the effect of two drugs together is greater than the sum of their individual effects. Additive Effect is when the effect of two drugs together is equal to the sum of their individual effects.)" "Which of these herbal medications can be used to treat anxiety? - CORRECT ANSWER *Kava* (Kava is sedating and it is usually consumed in order to relax without disrupting mental clarity.)" "A drug sells for $29.99 retail and has a wholesale cost of $19.74. The dispensing cost is $3.20. What is the pharmacy's net profit? - CORRECT ANSWER *$7.05* (Gross profit is selling price minus purchase price. For net profit you also need to subtract the dispensing cost as well.)" "Which of the following medications is NOT used to treat high cholesterol? - CORRECT ANSWER *Nexium*" "What is the generic drug suffix for a proton pump inhibitor? - CORRECT ANSWER *-prazole* (Generic proton pump inhibitors usually have the suffix "prazole")" "You are planning to prepare 600 mL of 20% dextrose solution, by mixing your 5% and 50% dextrose solution. How much of each solution will be needed? - CORRECT ANSWER *200 mL of the 50% and 400 mL of the 5%* (This is an alligation problem, so you will put 50 in the upper left of your tic-tac-toe table, 5 in the lower left, and 20 in the middle. Subtracting across the middle you will put 15 in the upper right and 30 in the lower right. So you need 15 parts of the 50% and 30 parts of the 5%, for a total of 45 parts. Amount of 50% needed will be: (15/45) x 600 = 200 Amount of 5% needed will be: (30/45) x 600 = 400)" "The action of reducing a material to small particles is: - CORRECT ANSWER *Comminution* (There are 3 methods for comminution: trituration, pulverization by intervention, and levigation.)" "What is DEA form 222 used for? - CORRECT ANSWER *To order Schedule II medications.*" "Seventy-four degrees Fahrenheit is equal to what temperature in Celsius? - CORRECT ANSWER *23.3* (9C = 5F -160)" "The Red Book is a resource that focuses on: - CORRECT ANSWER *Drug pricing* (The Red Book is the leading resource for information on drug pricing.)" "A list of medications available for use within a health care system is called a: - CORRECT ANSWER *Formulary*" "Tall man letters are used for drugs which: - CORRECT ANSWER *Have look-alike names*" "According to federal law, DEA forms need to be maintained for __ years. - CORRECT ANSWER *2 years.* (These regulations are issued by the Drug Enforcement Agency, which is an agency of the U.S. Department of Justice.)" "Laminar flow hoods must be certified every ___ months. - CORRECT ANSWER *6* (Laminar flow hoods are used to remove contaminants and provide clean air to the working area.)" "Which of the following is NOT used to treat insomnia? - CORRECT ANSWER *Chantix*" "What is the brand name for aripiprazole? - CORRECT ANSWER *Abilify* is an antipsychotic." "An order is written to administer 2 liters of an IV fluid over 18 hours. What will the flow rate be? - CORRECT ANSWER *111.1 ml/hr* (Divide the volume by the time to get the flow rate: 2 liters equals 2,000 mL 2000/18 = 111.1 mL/hr)" "What type of drug is loratadine? - CORRECT ANSWER *Antihistamine*" "The percent equivalent of a 1:125 ratio is: - CORRECT ANSWER *0.8* (Percent means parts per hundred: 1/125 = x/100 Cross multiply: 125x = 100 x = 0.8)" "An order is written for 500 mL of NS to infuse at 40 gtt/min. How long would it take to infuse the NS if the set delivers 10 gtt/mL? - CORRECT ANSWER *125 minutes* (10 gtt/mL means 10 drops per mL. So for 500 mL you will get: 10 X 500 = 5,000 drops. The flow rate is 40 gtt/min, which means 40 drops per minute, so divide total drops by 40 to get the number of minutes: 5,000/40 = 125.)" "Which of the following is a non-prescription medication used to treat insomnia? - CORRECT ANSWER *Melatonin*" "What type of drug is omeprazole? - CORRECT ANSWER *Proton Pump Inhibitor* (Prilosec (omeprazole) is a proton pump inhibitor that is used to treat gastroesophageal reflux disease.)" "What is the maximum capacity for a class A balance? - CORRECT ANSWER *120 g* (The minimum weight that can be weighed on a Class A Prescription Balance is 120 mg and the maximum weight is 120 g. The sensitivity is 6 mg, meaning that 6 mg of a substance will move the pointer of the balance one division off equilibrium, or one degree.)" "Which of these is an antihistamine? - CORRECT ANSWER *Fexofenadine* (Brand name: Allegra)" "Schedule II medication must be stored in: - CORRECT ANSWER *A locked safe* (All schedule II substances should be stored in a locked safe, while schedule III, IV and V may be stored throughout the pharmacy.)" "Which statement is true of PPO plans? - CORRECT ANSWER *PPO membership provides a substantial discount below the regular rates of the medical professionals who are in the network.* (PPO plans provide substantial discounts for doctors and hospitals in the network. When using out-of-network providers, PPO members are reimbursed at a reduced rate. With a PPO, members can see the doctor or specialist they like without having to see a PCP first. PPO premiums tend to be higher than HMO plans, and there is usually a deductible.)" "The FDA publishes a book called Approved Drug Products with Therapeutic Equivalence Evaluations, which is more commonly known as the: - CORRECT ANSWER *Orange Book* (The Orange Book identifies drug products approved on the basis of safety and effectiveness by the FDA. It also contains therapeutic equivalence evaluations for generic drugs, using Therapeutic Equivalence codes such as AA, AB, BC, and BD. If the first letter of the code is an 'A', the FDA has concluded that the generic formulation is therapeutically equivalent to the reference drug. If the first letter is a 'B', the FDA has concluded that the compared drugs are not equivalent. The second letter of the code gives more detailed information about formulations. The Orange Book also lists the patents which are purported to protect each drug.)" "Which part of the NDC number indicates the manufacturer of a drug? - CORRECT ANSWER *The first 4-5 digits*" "The iPLEDGE program is designed to mitigate the risks associated with taking: - CORRECT ANSWER *Isotretinoin* (Isotretinoin is a medication primarily used to treat cystic acne. Common brands include Absorica, Accutane, Amnesteem, Claravis, Epuris, Isotroin, and Roaccutane. iPLEDGE is a mandatory distribution program that is intended to prevent the use of isotretinoin during pregnancy, due to the high risk of birth defects.)" "Which of the following is NOT a medication for Parkinson's? - CORRECT ANSWER *amlodipine* (amlodipine (Norvasc) is a CCB used to treat hypertension)" "A prescription calls for 25mg of a medication t.i.d. for 7 days. The stock solution is composed of a 100mg/3mL. How many Liters of the stock solution is needed for the order? - CORRECT ANSWER *0.01575* (The abbreviation t.i.d. means 3 times a day. So 7 days x 3 times per day x 25 mg each = 525 mg total needed. 100/3 = 525/x Cross multiply to solve for x: 100x = 1575 x = 15.75 mL. The answer asks for liters so divide by 1000: 15.75/1000 = 0.01575 L)" "How many digits is a BIN number? - CORRECT ANSWER *6* (The NCPDP Processor ID Number (BIN) is a six-digit number that health plans can use to process electronic pharmacy claims if they do not use pharmacy benefit cards with a magnetic stripe. Plans that use cards with a magnetic stripe should use the recommended American National Standards Institute (ANSI) Issue Identifier Number (IIN) for processing electronic pharmacy claims. ANSI issues IIN numbers. NCPDP issues the Processor ID Number (BIN).)" "Which is the proper use of tall man letters to help differentiate these look-alike/sound-alike medications? - CORRECT ANSWER *PARoxetine — FLUoxetine*" "The process by which a health insurance company determines if it should be the primary or secondary payer of medical claims for a patient who has coverage from more than one health insurance policy: - CORRECT ANSWER *Coordination of benefits* is important when a patient is covered by more than one insurance plan. Medicare is often one of the plans involved with COB." "Which of the following covers inpatient hospitals stays? - CORRECT ANSWER *Medicare Part A*" "What is DEA form 106 used for? - CORRECT ANSWER *Theft or loss of controlled substances.*" "Which federal law introduced a 'proof-of-efficacy' requirement? - CORRECT ANSWER *Kefauver Harris Amendment*" "Individuals with a severe allergy to penicillin SHOULD NOT receive: - CORRECT ANSWER *amoxicillin*" "How much dextrose is in a 900mL solution of D5W? - CORRECT ANSWER *45 g* (D5W means 5% dextrose in the solution. Calculate: 5% of 900 = 45 g)" "Which of the following potential hazards are addressed by OSHA regulations? - CORRECT ANSWER *All of these potential hazards are addressed by OSHA regulations.* (OSHA regulations address the following potential hazards in a pharmacy: Exposure to bloodborne pathogens (HIV, Hepatitis B & C), exposure to hazardous chemicals or drugs, exposure of eyes or bodies to corrosive materials, exposure to latex allergy, exposure to wet surfaces that could cause slip and falls, and availability of personal protective equipment.)" "Bar Code Medication Administration (BCMA) is a system designed to: - CORRECT ANSWER *Prevent medication errors in healthcare settings.* (The BCMA system is used by nurses in healthcare settings who are administering medications. With this system the nurse can scan a barcode on the patient's wristband to make sure it is the right patient. Then the nurse scans a barcode on the medicine to ensure it is: the right medicine, the right dose, the right time, and is administered by the right route.)" "Which of the following is NOT a diuretic? - CORRECT ANSWER *pioglitazone*" "Which of the following cannot be refilled under any circumstances? - CORRECT ANSWER *Methylphenidate* (Methylphenidate (Concerta, Daytrana, Methylin, Ritalin, Ritalin LA, Metadate ER, Aptensio XR, Cotempla XR-ODT, QuilliChew ER, and Quillivant XR) is a controlled class II drug. It is indicated for treatment of attention deficit hyperactivity disorder (ADHD). It cannot be refilled under any circumstances.)" "Valproic acid syrup is available as 250 mg/5 cc. If a patient were taking 1000 mg in the morning and 750 mg in the evening, how many cc of syrup would you dispense for a 30-day supply ? - CORRECT ANSWER *1050 cc*" "If a patient were taking Glyburide for his type II diabetes, and a physician prescribed him Chlorpropamide, a pharmacy technician would: - CORRECT ANSWER *Notify a pharmacist about the duplication of therapy.* (Glyburide and Chlorpropamide are oral sulfonylurea agents indicated for treatment of diabetes. Pharmacy technician will notify the pharmacist about duplication of therapy.)" "All of the following drugs should be carefully prescribed with aspirin EXCEPT: - CORRECT ANSWER *Metoclopramide (Reglan for GERD)* (Aspirin is a blood thinning agent indicated for prevention of heart stroke. It should be carefully prescribed with other blood thinning agents because of risks of bleeding. Lovenox (Enoxaparin), Coumadin (Warfarin), Heparin, Plavix (Clopidogrel), Ticlid (Ticlopidine), Depakene (Valproic acid), Persantine (Dipyridamole), Mandol (Cefamandole), Cefotan (Cefotetan), Cefobid (Cefoperazone) and Moxam (Moxalactam) are agents that increase bleeding tendency in patients and should be carefully prescribed with other blood thinning agents.)" "An overdose of Coumadin can be treated by administering: - CORRECT ANSWER *vitamin k* (The overdose of Coumadin can be treated by administration of Vitamin K1 (Mephyton)." "Prochlorperazine can be classified as an: - CORRECT ANSWER *Anti-emetic* (Compazine (Prochlorperazine) is indicated for treatment of nausea and vomiting and therefore is classified as an anti-emetic (agent that prevent nausea and vomiting)." "A patient is taking Amoxicillin 500 mg by mouth three times a day for 7 days. How many capsules of 500 mg of Amoxicillin will you dispense for the whole supply? - CORRECT ANSWER *21*" "The cost for 100 tablets of Olanzapine is $420.00. The percentage mark up on the prescription is 15. What will be the retail cost for 30 tablets of the above drug? - CORRECT ANSWER *$145*" "How much quantity of 3% Salicylic acid powder is required to mix with a talc powder to prepare a 0.20%, 500 grams of Salicylic acid? - CORRECT ANSWER *33 gm*" "Clopidogrel is classified as an: - CORRECT ANSWER *Inhibitor of platelets' aggregation* (Plavix (Clopidogrel) is a blood thinning agent. Agents of this class generally act by inhibiting aggregation of platelets which is thought to be the primary mechanism of blood clotting. It is indicated for prevention of heart stroke in patients with CHF.)" "Which condition is a potential side effect of taking dopamine antagonist, which results in unwanted, involuntary rhythmic movement? - CORRECT ANSWER *Tardive dyskinesia* (Tardive dyskinesia results from taking dopamine antagonist such as phenothiazines or other medications; the symptoms may continue after medication has been discontinued. Extrapyramidal symptoms result from taking antipsychotic medication which results in parkinsonism and tremors. Parkinson's disease is a movement disorder with symptoms of tremor rigidity and bradykinesia. Bradykinesia is slowed movement.)" "Which classification states that a product with a strange color or taste will be recalled according to FDA requirements? - CORRECT ANSWER *Class 3* (Class 3 (lowest) products have a minor defect or other condition that would not harm the patient but that prevents the drug from being sold. Class 1 (highest)products cause harm or prove fatal. Class 2 products found to cause a temporary health problem or to pose a slight threat of serious harm.)" "Which technique used in compounding describes the mixing of two ingredients of unequal quantities? - CORRECT ANSWER *Geometric dilution* (Geometric dilution is the technique for mixing two ingredients of unequal quantities, whereas one begins with the smallest quantity and add an equal quantity of the larger amount until all ingredients are used. Levigation is the trituration of a powder with a solvent. Pulverization is the reducing of the size of a particle. Blending is the combing of two substances.)" "Which of the following is not a potential cause of medication error? - CORRECT ANSWER *Wrong physician* (The physician is not a part of the types of medication errors. Wrong patient, time and technique are parts of a list on which health care professionals and patients are responsible for identifying and preventing errors when possible.)" "Which of the following methods should be used in recapping a needle if necessary? - CORRECT ANSWER *One handed scoop* (The one hand scoop method is used is needle needs recapping. Needle should remain attached to the syringe and placed in a red sharps container. Needles should never be bent or directed toward the body.)" "A pharmacy technician needs to be aware that which of the following medication needs a patient package insert (PPI)? - CORRECT ANSWER *Albuterol Inhaler* (Albuteral is a metered dose inhaler that requires that the patient receive a patient package insert. Inderal, Hydrocortisone and Bactroban does not require additional information be given to the patient because of the possibility of adverse effects.)" "Which of the following is a type of inventory required by the Drug Enforcement Agency of all controlled substances every 2 years? - CORRECT ANSWER *Biennial* (Biennial inventory are conducted every 2 years of all controlled substances. Initial is an accurate inventory of all controlled substances take before a new pharmacy opens. Perpetual reflects exactly what is on hand. Physical is conducted on a basis to determine exactly what is on hand.)" "Which of the following part of Medicare is a health plan offered by private insurance companies? - CORRECT ANSWER *Medicare Part C* (Medicare Part C or Advantage Plan contracts with Medicare to provide Part A and Part Benefits through HMO and PPO. Medicare Part A covers inpatient hospital care; Medicare Part B covers physician services and outpatient care; Medicare Part D covers prescription medications)" "The National Council for Prescription Drug Program created standards for electronic exchange of health information, which includes the following except? - CORRECT ANSWER *Pharmacy informatics* (Pharmacy Informatics focuses on using information technology and drug information to maximize medication use.)" "What is the generic name for the drug Cytomel? - CORRECT ANSWER *liothyronine* (The generic name for Cytomel is liothyronine; Levothyroxine is the generic for Synthroid; Liotrix is the generic for Thyrolar, all used to treat hyperparathyroidism. Liraglutide is the generic for Victoza used to treat Type 2 Diabetes.)" "A prescription is written for Tenormin 50mg tablets. How long should this prescription be kept on file? - CORRECT ANSWER *2 years* (Tenormin is a legend drug and the prescription should be kept on file for 2 years. Prescriptions for controlled substances should be kept on file no less than 2 years. If the state, law supersede that of the federal, then that state law will be followed.)" "Which method is used to prepare capsules? - CORRECT ANSWER *Punch method* (The punch method is used to prepare capsules by punching the open end into dry powder until filled. Wet, Dry and Beaker methods are used to prepare emulsions.)" "Which of the following is an error that is caused by the prescriber? - CORRECT ANSWER *unapproved abbreviation* (Physicians sometimes use abbreviations that are not approved or may be misinterpreted. All health care professionals will need to familiarize themselves with the TJC - Do Not Use list and ISMP Error Prone Abbreviation list. Sound alike, transcription and misinterpretation are errors caused by the pharmacy.)" "When performing handwashing, hands should be washed for a minimum of? - CORRECT ANSWER *30 seconds* (Handwashing should be done vigorously, making sure to include forearms to elbow for a minimum of 30 seconds with antimicrobial soap and water before donning gloves.)" "A pharmacy receives a prescription for Pilocar 4% Eye Drops #15ml, i gtt both eyes bid. How many days will this bottle last? - CORRECT ANSWER *75 days* (Using the converting factor of 20gtt per ml. Multiple 20 x 15 = 300. Divide product 300 by 4 = 75.)" "Which of the following represents the cost the pharmacy paid for the medication? - CORRECT ANSWER *AAC* (The actual acquisition cost is what the pharmacy paid for the medication. DAW is dispense as written and are used for brand name medication; AWP is average wholesale price and is the price the wholesalers sell a medication; MAC is maximum allowable cost is used in calculating the reimbursement formula for generic medication.)" "Which of the following can be flagged or alerted using patient monitoring functions? - CORRECT ANSWER *Therapeutic duplication* (Therapeutic duplication identifies medications with the same indications or in the pharmacological class. Date written, brand/generic and drug classification are used to track prescriptions.)" "Which of the following is the maximum dose for aspirin in an adult? - CORRECT ANSWER *4000mg* (4000mg or 4gm per day is the maximum adult dose and is used to treat pain, fever and inflammation. Many physicians prescribe 81 to 325mg per day for antiplatelet effects)" "Which of the following containers protects the contents from other solids? - CORRECT ANSWER *Well-closed container* (A well closed container protect contents from solids and from loss of the article under normal conditions. Light resistant is used to protect from the effects of light. Tamper evident is used to seal that containers. Tight container protect from contamination by liquids.)" "Which type of medication order may be filled or administered when a patient requests it? - CORRECT ANSWER *PRN* (As needed orders are filled or administered when a patient request it, but there may be limitations. STAT orders should be filled immediately or within 15 minutes. ASAP or as soon as possible. ASA stands for aspirin.)" “Which of the following is a medication is used to treat hyperlipidemia? - CORRECT ANSWER *Pravachol* (Pravachol is a HMG-CoA used to treat hyperlipidemia. Procardia, Prinivil and Cardura are used to treat hypertension.)" "All the following are reasons why covered entities may disclose protected health information (PHI) to law enforcement officials except? - CORRECT ANSWER *When the covered entity believes that individuals may have contracted a communicable disease when notification is authorized by law.* (Communicable disease must be reported to public health authorities authorized by law to collect or receive information.)" "When receiving medications in the pharmacy, which of the following will prevent a high volume of expired medications on the shelf? - CORRECT ANSWER *Place medication on shelf and rotate stock* (When placing medication on shelf rotating stock by placing product with shortest date in front and longest date behind it.)" "Which of the following rejection code describes invalid days supply? - CORRECT ANSWER *19* (Code 19 is for invalid days supply; Code 7 is invalid cardholder ID number; Code 22 is invalid DAW or product selection; Code 28 is invalid date prescription written.)" "Which of the following is a role of the United States Pharmacopeia? - CORRECT ANSWER *Establish standards for medication identity, purity and strength.* (US Pharmacopeia publishes and oversees USP-NF which contains standards for biological and chemical drugs substances, as well as standards for food ingredients and dietary supplements.)" "A prescription is written for 480ml of a prescription for Zantac Solution. What would be the volume equivalent in household measurement? - CORRECT ANSWER *One pint* (One pint is equivalent to approximately 480ml. One cup is equal 240ml, one quart equals 960ml, one gallon equals 3840ml)" "Which of the following is a drug the helps remove mucous from the respiratory system? - CORRECT ANSWER *Expectorants* (Expectorants are used to remove mucous secretions by loosening and thinning sputum making it easy to expectorate. Antitussives are used to decrease the coughing reflex; Decongestants are used to shrink swollen membranes in the nasal cavity; Antihistamines are used to inhibit the effects of histamines.)" "Which DEA Form is used to engage in wholesale distribution by retail pharmacy for drugs containing pseudoephedrine? - CORRECT ANSWER *DEA Form 510* (DEA Form 510 is used to for retail pharmacies that want to engage in wholesale distribution of bulk quantities containing pseudoephedrine, phenylpropanolamine or ephedrine. DEA Form 41 is used for authorization to destroy controlled substances; DEA Form 106 is used for loss and theft of controlled substance; DEA Form 222 is used to order and transfer Schedule II controlled substances.)" "Which of the following is used to identify medications affected by recalls? - CORRECT ANSWER *Lot Number* (The pharmacy is notified by the FDA or manufacturer with the drug name, strength package size, lot number and expiration and reason for recall.)" "Which of the following is an incorrect match for the ISMP tall man lettering? - CORRECT ANSWER *CycloSERINE and clomiPRAMINE* (Tall man lettering help distinguish similar drugs making them less prone to mix-ups. This draws attention to the dissimilarities in their names.)" "Which of the following organization regulates pharmacies and other entities that manufacture or distribute medication? - CORRECT ANSWER *State Board of Pharmacy* (The State Board ensures pharmacists and technicians meet certain standard for licensure as well as regulates pharmacies. ISMP is dedicated to medication error and prevention and safe medication practices. TJC accredits health care organization and USP establishes standard for medication identity)" "Which of the following is not a reason a claim will be rejected? - CORRECT ANSWER *invalid medication strength* (A claim will not be rejected due to the medication strength. Claims will be rejected because of incorrect days' supply -19; refill too soon -79; incomplete prescriber ID-25)" "Which of the following report is used to account for significant theft or loss of a controlled substance? - CORRECT ANSWER *Diversion report* (Diversion reports are used to track significant theft or loss of controlled substance. Inventory report is used to determine inventory count based on various factors; override is used to determine the pharmacy personnel users that override or disregard warnings employed by the system; Usage evaluate patterns and trends of medications.)" "Which of the following hormone stimulates bone and muscle growth in men? - CORRECT ANSWER *Testosterone hormone* (One of the functions of testosterone is bone and skeletal muscle growth which affects size and mass. Androgen stimulates and controls development and maintenance of male characteristics; Luteinizing stimulates secretions of sex steroids from gonads; Progesterone has no function in men)" "Which of the following is a way to reduce medication errors for a pharmacy technician? - CORRECT ANSWER *Do a mental check of dosage appropriateness* (Pharmacy technicians should do a mental check of dosage appropriateness and bring any concerns to the attention of the pharmacist. Never use error prone abbreviation, scan the original prescription and maintain a safe work area are way pharmacies can reduce errors.)" "Which of the following is used to identify and define inventory items based on their usage? - CORRECT ANSWER *ABC analysis* (ABC analysis focuses on the products that will have the greatest inventory turnover rate. Periodic Automatic Replacement automatically orders a medication when it falls below a predetermine quantity; Just in Time orders a product just before it is used; Minimum and maximum is a predetermined number that states the min and max amount to be kept on shelf.)" "Which of the following is a method of payment when a patient does not have insurance? - CORRECT ANSWER *Self-pay* (When a patient is responsible for the total cost of their prescription, they must pay by using cash, check or credit card. Coupons are used for specific products as an incentive for the patient to take the drug; Prior authorization is needed before a prescription can be filled by the physician from the managed care organization; Private plans gives the patient a prescription drug card from a pharmacy benefits manager.)" "A child is to be treated with 50 milligrams (mg) of a particular drug per kilograms (kg) of body weight. If the child weighs 38 pounds, the correct dose of the drug that should be administered, rounded to the nearest 5 mg, is 865 mg. How much would be needed to provide the correct dose if the drug concentration is 100 mg per millilieter (mL)? - CORRECT ANSWER *8.65 mL*" "Express the following in reduced form: 3/4 + 7/8 - CORRECT ANSWER *1-5/8*" "Ms. Smith presents a prescription for itraconazole 100-mg oral capsules with directions: Take two capsules by mouth twice daily for one week. The prescribing physician signed the prescription, indicating 'may substitute.' The pharmacy does not have the generic product in stock and only has the brand-name product (Sporanox 100-mg capsules). Which of the following should the pharmacy technician do? - CORRECT ANSWER *Offer to fill the prescription with the brand-name product. Dispense 28 capsules of Sporanox and process the claim with DAW code 4.*" "What was the Drug Price Competition and Patent Term Restoration Act of 1984 created for? - CORRECT ANSWER *To establish the modern system for generic drugs*" "A 70% HCl solution has the strength of 35 mEq/mL. How many mL are needed to prepare 50 mEq? - CORRECT ANSWER *1.43 mL*" "Which disease is characterized by a relatively permanent state of worry and nervousness? - CORRECT ANSWER *Anxiety*" "What is Vitamin B1 mostly required for? - CORRECT ANSWER *Converting sugars into energy*" "What was the Pure Food and Drug Act of 1906 created for? - CORRECT ANSWER *To prohibit interstate sales of adulterated or misbranded drugs*" "Which of the following provides the Medicare prescription drug benefit? - CORRECT ANSWER *Medicare Part D* is a federal government program which subsidizes the costs of prescription drugs and drug insurance premiums for Medicare Recipients. This program was authorized by the Medicare Modernization Act of 2003." "Which of the following is NOT a Schedule I narcotic? - CORRECT ANSWER *OxyContin*" "This is an autoimmune disease in which the thyroid is overactive, and produces excessive amounts of thyroid hormones: - CORRECT ANSWER *Graves' Disease* is the most common cause of hyperthyroidism." "This law defined two specific categories for medications: prescription and over-the-counter. - CORRECT ANSWER *Durham-Humphrey Amendment - 1951* (Until the Durham-Humphrey Amendment was passed, there was no requirement that any drug be labeled for sale by prescription only. The amendment defined prescription drugs as those unsafe for self-medication and which should therefore be used only under a doctor's supervision.)" "The pharmacy technician notices that a dosage may be typed wrong in the system. The reading says 0.1g but it should probably be 0.01g as 0.1 may be too large of a dose. What should the technician do in this case? - CORRECT ANSWER *Alert the pharmacist to verify.*" "A drug is recalled by the FDA, but the problem is unlikely to cause any adverse health reactions. What type of recall would this be? - CORRECT ANSWER *Class III* (Class I recalls are the most serious type. Class II recalls are for less serious problems, such as temporary adverse health consequences. Class III recalls are for situations in which adverse health consequences are unlikely.)" "What is the proper hand washing guideline in USP <797>? - CORRECT ANSWER *Wash hands and forearms to the elbow for at least 30 seconds* (USP <797> Hand Hygiene Procedure: 1) Remove debris under fingernails with nail cleaner and warm water. 2) Wash hands and forearms to the elbow for at least 30 seconds with soap and water. Be vigorous and thorough. 3) Do not use antimicrobial scrub brushes on the skin because they can damage the skin and increase skin shedding. 4) Dry hands and forearms completely using lint-free disposable wipes or an electric hand dryer.)" "Which Act of Congress addresses the privacy and security of health data? - CORRECT ANSWER *Health Insurance Portability and Accountability Act of 1996.*" "Which of the following correctly matches brand/generic names? - CORRECT ANSWER *Cymbalta (duloxetine)*"