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Exam (elaborations)

ExCPT Pharmacy Tech Exam with 100% Correct Answers 2023

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ExCPT Pharmacy Tech Exam Pharmacists duties are - Correct Answer-clinical Where will a medication with the prescription sig code "ii gtts os tid" be used? - Correct Answer-Left eye Room Temperature - Correct Answer-20-25 degrees C Refrigerator Temperature - Correct Answer-1.7-7.8 degrees C Freezer Temperature - Correct Answer--15+ degrees C Celsius & Fahrenheit Conversion - Correct Answer-5F=9C+160 What is the expiration date for insulin in the fridge? Outside the fridge? - Correct Answer-Manufacturer's date; 28 days Disposal of Controlled Substances - Correct Answer-1. Remove med from inventory 2. Complete DEA-41 form 3. Dipose *2 witnesses on required to dispose Medication Recall on Class I - Correct Answer-strong chance of serious adverse effects or death Medication Recall on Class II - Correct Answer-temporary (but reversible) chance of adverse effect or little chance of serious adverse effect Medication Recall on Class III - Correct Answer-problem that's not likely to cause any adverse effects A vial of insulin is removed from the refrigerator to compound an IV bag on April 1. When should the vial be discarded if stored at room temp? - Correct Answer-April 29 USP 800 - Correct Answer-hazardous medications P-listed Meds - Correct Answer-Acutely hazardous; empty containers are considered hazardous Epinephrine, Nicotine, Warfarin are - Correct Answer-P-listed meds D-listed Meds - Correct Answer-toxic, ignitable, corrosive, or reactive; potential to get into drinking water Benzoyl Alcohol, Albuterol Inhalers, Silver Sulfadiazine are - Correct Answer-D-listed meds U-listed Meds - Correct Answer-toxic; usually chemo Cyclophosphamide, Mercury, Mitomycin are - Correct Answer-U-listed Meds What are statutes and who passes them? - Correct Answer-Statutes are enacted laws and legislatures pass them. What happens if there are federal and state laws covering the same things? - Correct Answer-The more stringent law takes precedence. What is a PPI? - Correct Answer-Product Package Insert; prescribing info for prescribers and dispensers MedWatch - Correct Answer-Reporting program for adverse reactions to medications CSA - Correct Answer-Controlled Substances Act of 1970 DEA - Correct Answer-Drug Enforcement Agency HIPAA - Correct Answer-Health Insurance Portability & Accountability Act of 1996 What is the name of the principle that requires pharmacy professionals to disclose only the info other parties require about a patient? - Correct Answer-Minimum Necessary Standard How often must employers of pharmacy staff provide training about HIPAA's privacy and security rules? - Correct Answer-Annually OBRA - Correct Answer-Omnibus Budget Reconciliation Act of 1990; requires pharmacists to keep records for all medications that medicaid recipients use and to offer counseling Can technicians offer advice? Can they read info from the label or the medication guide? - Correct Answer-No, yes What is a legend statement? - Correct Answer-The "Rx Only" or "Caution: Federal Law prohibits dispensing without a prescription" What does an NDC consist of? - Correct Answer-1st 4-5: Manufacturer 2nd 3-4: Name, Strength, Dosage Last 2: Package Size How many numbers does an NDC contain for billing? What happens if there aren't that many? - Correct Answer-11; zeros are added to the appropriate area What is the general rule for how much of a prescription a patient must use before health insurance will cover a refill? - Correct Answer-75% Poison Prevention Packaging Act of 1970 - Correct Answer-Requires child-resistant packaging on any substance that could cause serious injury to children What must be dispensed in its original, unopened containers? - Correct AnswerSublingual Nitroglycerin and Sublingual/Chewable Isosorbide When should sharps containers be sealed and replaced? - Correct Answer-After they are 75% full PMPs - Correct Answer-Prescription Monitoring Programs; track controlled prescription medications dispensed w/i the state When reviewing the quantity requested on a prescription for a controlled substance, what might be a sign of forgery? - Correct Answer-An unusually large quantity What do patient profiles contain? - Correct Answer-Demographics, medication/prescription history, medication allergies, conditions/diseases, 3rd party info Controlled Substances Act of 1970 - Correct Answer-categorized drugs identified as controlled substances into 5 groups/schedules Schedule I Drugs - Correct Answer-Highly addictive and completely illegal Schedule II Drugs - Correct Answer-High potential for abuse; morphine, oxycodone, hydrocodone, meth, etc. Schedule III Drugs - Correct Answer-Moderate-low potential for dependence; acetaminophen w/ codeine, testosterone, anabolic steroids, etc. Schedule IV Drugs - Correct Answer-Low potential for abuse; Diazepam, Zolpidem, Clonazepam, etc. Schedule V Drugs - Correct Answer-Contain limited quantities of some narcotics; pregablin, guaifenesin w/ codeine, etc. Steps to Determine DEA # - Correct Answer-1. Add 1st, 3rd, 5th digits 2. Add 2nd, 4th, 6th and multiply by 2 3. Add results of steps 1 and 2 4. Check that last digit of the summed is same as last digit of the DEA # CII Refills - Correct Answer-None allowed CIII & CIV Refills - Correct Answer-5 times w/i 6 months after date of pres. issue CV - Correct Answer-5 times w/i 6 months When did the DEA give prescribers the option to write electronic prescriptions for controlled substances? - Correct Answer-June 1, 2010 Combat Methamphetamine Epidemic Act of 2005 - Correct Answer-Regulates sales of OTC products containing ephedrine, pseudophedrine, and phenylpropanolamine (meth precursors) *SALES CAN'T EXCEED 3.6 g/day & 9 g/month *NON-LIQUID MUST BE IN 2-UNIT BLISTER P'S DEA Form-222 - Correct Answer-ordering/transferring CII drugs How is a DEA Form-222 filled out by the pharmacist? Where do the copies go? - Correct Answer-In triplicate; 1st=supplier, 2nd=DEA, 3rd=Pharmacy What is the name of the system allowing for online ordering of CII's? - Correct AnswerControlled Substance Ordering System (CSOS) DEA Form-41 - Correct Answer-used for disposal of controlled substance DEA Form-106 - Correct Answer-used to report loss/theft of controlled substances What are dosage forms? - Correct Answer-various formulations in which medications are available (solids, semisolids, solutions) Sublingual - Correct Answer-Under the tongue Buccal - Correct Answer-between the cheek and gums LA, SA, SR, CR, ER, TR - Correct Answer-long-acting sustained action sustained release controlled release extended release time release Enteral - Correct Answer-through GI

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