ExCPT Exam Questions and Answers 100% Pass

ExCPT Exam Questions and Answers 100% Pass Mr. Tucker weighs 65kg. What is his weight in pounds? 143 lb If a bottle of Protonix has been manufacturer-assigned expiration date of 09/2015, what is the last day it can be used? September 30, 2015 What is the generic drug name for Keppra? Levetiracetam Which task must be completed by a licensed pharmacists? Recommending an OTC medication for a patient Which class of FDA recall would be issued for a product that is unlikely to cause any adverse health effects? Class III Which of the following tasks may be performed by a pharmacy technician? Type a prescription label What is he primary role of the pharmacy technician? Assist the pharmacist Needles and syringes that have been used to compound a cancer chemotherapy infusion should be placed in which of the following waste containers? Yellow sharps container What is the purpose of rotating stock? To ensure that drugs closer to expiration are dispensed first Which of the following agencies is responsible for enforcing the federal Controlled Substance Act (CSA)? DEA Which controlled substance schedule fits the following description? Used medically; high potential for abuse and physical/psychological dependence. Schedule II What is the maximum amount of pseudoephedrine one person may purchase in one day? 3.6 grams per 24 hours What is the name of the form used to order Schedule II controlled substances? DEA Form 222 What is the correct DAW code to use when billing the patient's insurance for a generic drug? DAW 0 How many refills can be issued for a C-IV controlled substance prescription? Up to 5 refills Which of the following medication is not a Schedule III controlled substance? Ambien (Zolpidem) Prescribers that issue buprenorphine (Suboxone & Subutex) prescriptions for the treatment of narcotic drug addiction outside of a narcotics treatment facility must have a unique DEA number that begins with the _________. Letter X Which prescriber identification number is required for submitting an insurance claim? NPI Number What is the purpose of the Health Insurance Probability & Accountability Act (HIPPA)? Tp protect the privacy privacy of patient health information Which of the following practitioners would have limited prescribing authority (as opposed to full prescribing authority)? Nurse Practitioner How did the Poison Prevention Act (PPPA) affect pharmacy practice? It required that prescription drugs be dispensed with child-resistant bottle caps. Drugs must be dispensed in child-resistant packaging according to the PPPA, but certain drugs are exempt from this requirement. Which of the following is exempt? Nitrostat (Nitroglycerin) Where can you find the expiration date of prescription drug products? On the manufacturer drug package label Which reference would be used to determine whether a generic drug product is therapeutically equivalent to brand name products? Orange book In the Orange book, a generic drug that is therapeutically equivalent to a brand name drug woulld have a TE rating beginning with which of the following letters? A Which information does not appear on an OTC package label? Off-label uses Which of the following are not associated with HIPPA? Coordination of benefits NDC numbers contain three segments. Which does the first of an NDC number represent? The identity of the manufacturer A delayed-release tablet is most similar to which of the following? Enteric-coated tablet Which of the following is an indication for the OTC drug Azo (Phenazopyridine)? Urinary Pain What dosage form must be shaken well prior to administration? Suspension Which employee(S) is/are authorized to perform a drug utilization review (DUR)? Pharmacist Which of the following pieces of information is most useful in the event of a recall? Lot number A patient drops off a prescription for an 84-day supply of Trinessa (TRI-LINYAH), but her insurance company will only pay for a 28-day supply. This is an example ofa _____. Plan limitation Compared to brand name drugs, generic drugs often have which of the following characteristics? All of the above (equal quality, equal performance, equal safety, lower cost) Which of the following is an example of a brand name drug products? Motrin Which of the following is a sign of incompatibility in an IV admixyure? All of the above (bubbles, precipitate formation, cloudiness, color change) Which pregnancy category indicates that a drug should never be used during pregnancy? Pregnancy category X Interpret the sig: Take i-ii PO Q4-6H PRN for pain Take one to two tablets by mouth every 4 to 6 hours as needed for pain Which piece of information is not commonly collected when creating a patient profile? Dental insurance information Which of the following abbreviations should be avoided due to the potential for misinterpretation? QD What is bupropion (Wellbutrin) used to treat? Depression What does the sig code AU stand for? Both ears When creating or updating a patient profile, how should you respond if the patient refuses to disclose the information requested? Document the refusal in the patient profile Federal law indicates that prescription records must be kept for 2 years, but the state law where you work indicates that prescription records must be kept for 3 years. The records should be kept for _____. 3 years Hydralazine and Hydroxyzine are examples of __________. Look-alike/Sound-alike medications In which situation is it appropriate to indicate a DAW 7 code when dispensing the brand name of a drug? When the law mandates that the brand name product be dispensed What are the four numbers that are needed to submit a claim to a prescription drug insurance company? The BIN, PCN, Group Number, and ID Number What are auxiliary labels used for? To provide additional information for proper use and storage of medication When is it necessary to shake a drug suspension or emulsion? Immediately prior to measuring quantities for dispensing and immediately prior to administration What is the purpose of tall man lettering? To emphasize the spelling of difference between medications with similar names Which of the following would not help avoid errors? Using trailing zeros when writing numbers with values greater than one. Which of the following medications should be dispensed in the original packaging? Pradaxa (dabigatran) and Nitrostat (nitroglycerine) You are in the clean room and an order comes in for norepinephrine 10mg in 250ml of D5W. How many vials of norepinephrine will you need to open if it comes in a 4mg/4ml vials? 10mg * vial/4mg = 3 vials 3 vials You receive an order for 90ml if lidocaine 4% nasal spray. You will use normal saline solution and 10% lidocaine solution to compound this prescription. How much 10% lidocaine solution will be needed? * 4 parts 10% lidocaine solution * 6 parts normal saline solution (normal saline solution contains zero percent lidocaine) 90ml/10 parts * 4 parts of 10% lidocaine/1 = 36 ml of 10% lidocaine See pg. ml You are using a class A prescription balance with a sensitivity requirement of 6mg. Using this balance, you can measure 300mg of a substance with ___% error. % Error= Sensitivity Reqyuirement/Measured Weight * 100% = 6mg/300mg * 100% = 2% 2% error A patient presents a prescription for 450ml of allopurinol 40mg/ml oral suspension. Allopurinol is available from the manufacturer in an oral tablet form only. Using allopurinal 100mg tablets, how many tablets will you need to pulverize and triturate to compound this prescription? 450ml * 40mg/ml = 18,000mg *Since we know there are 100mg of allopurinol in each tablet, the next step is: 18,000mg * tablet/100mg = 180 tablets 180 tablets The pharmacist wants the refrigerator temperature to be set at 6*C. What is the temperature in degrees Fahrenheit? 43*F If a solution of Ampicillin is being infused at the rate of 60 drops per minute, how long will it take to infuse 100ml if the administration set delivers 20 drops per milliliter? 100ml * 20 drops/ml * minute/60 drops = 33 minutes 33 minutes Tanya weighs 210 lbs and has a life-threatening fungal infection. Her physician prescribes a 0.3mg/kg dose of Amphotericin B. How many micrograms of Amphotericin B should Tanya receive? * Pay attention to the units! Asking for an answer in micrograms. 210 lbs * kg/2.2 lbs * 0.3mg/kg * 1,000mcg/mg = 28,636 mcg = 29,000mcg 29,000mcg The dosage of experimental drug DH is 55mg/m^2 every 8 hours. How many milligrams of DH should be given over the course of 24 hours for a male patient that is exactly 6 feet tall and weighs 240 lbs? 1. Calculate the body surface area (BSA). Convert height to centimeters and weight to kilograms. 2. Once you have the BSA, multiply it by 55mg/m^2 to calculate the dose. 3. Finally, multiply the dose by 3 since the patient will receive 1 dose every 8 hours in a 24 hour time period. See pg. 201 390mg Which of the following statements is correct regarding scored tablets? Scored tablets are designed to be easily split into fractions. Which of the following is a type of insurance plan? PPO If the normal adult dose of Clindamycin is 300mg, then what is the dose of a 4-year-old patient that weighs 60 lbs? (calculate the dose using Clark's Rule). Child Dose = 60 lbs/150 lbs * 300mg = 120mg *For pediatric dosing see pg. mg A prescription is written for Prednisone 10mg tablets with instructions to take 4TQD X2d, then 3TQD X2D, then 2TQD X2D, then 1TQD X1D, then 0.5TQD X2d. How many tablets will you need to dispense? 21 tablets A prescription is written for 60 tablets of Wellbutrin (Buproprion) XL 150mg with instructions for the patient to take 1TQD X8D, and then 2TQD thereafter. What is the day's supply? 34 day's supply According to the manufacturer, Travatan Z eye drops should be stored between 2-25*C. Which of the following environments would be acceptable? A cold environment, cool environment, or a room temperature environment Which of the following could be an example of an NDC number? When handling needles (EX: when compounding sterile products for infusion), it is important to.... Never recap the needle after it has been used, and place the used needle in a red sharps container When selecting a filter for Total Nutrient Admixtures (TNAs), which contain emulsified fat droplets, what is the optimal pore size? 1.2 microns (which is large enough to allow fat droplets to pass through without clogging) In what order should the clean room garb be donned? 1. shoe covers 2. hair cover 3. face mask 4. gown 5. gloves A 1,000 tablet bottle of Metformin 500mg is repackaged into unit dose packages. Assuming the expiration date printed on the stock bottle label is at least two (2) years from today, what is the maximum beyond-use date for the repackaged doses if no stability tests are conducted? 6 months Your pharmacy purchases 30-tablet bottles of Celexa (Citalopram) 20mg from a distributor at the price of $7.45 per bottle. What is the retail cost of each bottle if the pharmacy has a 29% markup and a $9 dispensing fee? Retail Cost = (AWP * (1 + Markup*)) + Dispensing Fee ****Markup expressed as a decimal Retail Cost = ($7.45 * (1 /0.29)) + $9 = $18.61 $18.61 Which of the following parenteral administration routes requires the use of sterile, preservative-free (PF) ingredients? Epidural Jane walks into your pharmacy to purchase pen needles for her insulin pens. Jane says that she wants the thinnest 1/2 inch-long needle you have. If the following needle sizes represent what you have in stock, which size should you give her? 31 gage, 12.7 millimeters If C-III, C-IV, and C-V controlled substance prescription records are stored in the same file with non-controlled substance prescription records, what mark must must appear on the lower right corner of the controlled substance prescription? In red ink, the letter "C" at least 1 inch high Which drug combination could result in dangerous drug-drug interaction? Viagra and Nitrostat Based on the definition of each word part, what does the term "arthritis" mean? Joint inflammation What are the four parts of a prescription sig? Action word, quantity with units, route of administration, and dosing frequency. Typically, how long does it take for an insurance company to process a prior authorization (P.A.)? A few days Which of the following statements is true regarding the practice of compounding? A drug product can only be compounded after receiving an individual, patient-specific prescription order, or in anticipation of receiving a patient-specific prescription order based on an established prescribing pattern. Which of the following should not be worn in a clean room/buffer area? Artificial nails The quantity for a prescription for diphenhydramine 12.5 mg/5 ml elixir is written by the prescriber as "CXX milliliters." How many ounces of the elixir should you dispense? (Calculate your answer based on a conversion factor of 30ml per ounce.) 4 ounces Oxycodone is a _______ controlled substance. Schedule II What agency or organization is responsible for the administration of Medicare? CMS Sandra has prescription drug insurance, but she has never used it. Which of the following payments has Sandra probably made to her insurance company? Premium. ***** Deductibles and co-payments are only paid when the insurance is used. Premiums are paid to maintain active coverage, regardless of whether the patient is using the insurance. What are "analgesics?" Drugs used for pain. Which of the following insulin formulations is available over-the-counter (OTC)? Novolin 70/30 Which of the following products reverses the effect of Warfarin? Vitamin K How long is a vial of insulin stable at room temperature? 28 days What is an anticonvulsant? A substance or medication that prevents and/or treats seizures What is an antiemetic? A substance or drug that prevents and/or treats nausea and vomiting What is an anti antiplatelet? A substance or drug that prevents and/or treats psychosis (ex. bipolar disorder, schizophrenia) What is an antipyretic? A substance or drug that reduces fever What is an antitussive? A substance or drug that surpasses a cough What is Atherosclerosis? Hardening and occlusion of arteries caused by the build-up of calcium and cholesterol What is Atrial Fibrillation? A type of cardiac arrhythmia in which a specific area of the heart (the right atrium) receives irregular electrical impulses from the nervous system, causing a rapid, irregular heartbeat, which can cause blood clots capable of traveling to the brain and causing strokes What is Benign Prostatic Hyperplasia (BPH) Non-cancerous growth/enlargement of the prostate gland. The enlarged prostate presses against the urethra, blocking the outflow of urine What is an Angiotensin Converting Enzyme? A key catalyst within the body that is involved in the production and release of blood pressure-raising hormones What is an Anti-arrhythmic? A substance or drug that prevents and/or treats cardiac arrhythmias What is an Anticholinergic? A substance or drug that opposes parasympathetic nervous system activity. The parasympathetic nervous system is associated with rest & digestion. What is ADME? An acronym that stands for "absorption, distribution, metabolism, and elimination." This describes the order by which drugs enter and exit the body. What is Nitric Oxide? A chemical in the body that causes blood vessels to dilate/expand What is a nephron? The most basic unit of the kidney. Diuretic drugs work by modulating electrolyte exchange at certain locations in the nephron; for exapmle, loop diruetics prevent sodium from being re-absorbed from the Loop of Henle (A segment of the nephron) What is Phosphodiesterase-5 (PDE-5)? A key enzyme involved in the breakdown of nitric oxide. What is Polyuria? Excessive urine production What is Priapism? A painful, prolonged erection What is a sedative-hypnotic? A substance or drug that induces sleep. Also known as a tranquilizer What is serotonin syndrome? A condition caused by excessive stimulation of serotonin receptors What is Stevens-Johnson syndrome (SJS)? A disease characterized by fever and severe skin rashes involving the mouth, eyes, and mucous membranes What is syncope? Where an individual passes out or faints What is Tachycardia? An abnormally rapid resting heart rate. (Normal resting heart rate is 60-90 beats per minuite) What is Vasoconstrictor? A substance or drug that causes contraction/narrowing of a blood vessel, decreasing the volume of blood flowing through the vessel and increasing blood pressure What is Vasodilator? A substance or drug that causes expansion/relaxation of a blood vessel, which increases the volume of blood flowing through the vessel and decreases blood pressure In which classification does Betaxolol belong to? Beta Blocker In which classification does Betaxolol belong to? In which classification