Medication Order Entry/ Fill Process MCQs

A medicine with an expiration date of 09/2020 expires on which date? a. 08/31/2020 b. 09/01/2020 c. 09/30/2020 d. 10/01/2020

c. 09/30/2020 An expiration date of 09/2020 means that it expires at the end of the stated month - so, 30 September 2020.

What is the maximum number of refills for non-controlled drugs? a. 6 b. 10 c. 11 d. 12

c. 11 11 - the maximum number of refills permitted for non-controlled drugs.

Which of the following patient relationship codes should be selected for a patient that is the spouse of the primary cardholder when billing third-party providers? a. 02 b. 03 c. 08 d. 06

a. 02 02 = patient relationship code for the spouse 03 = child 05 = stepson or stepdaughter 08 = employee

Which of the following is an example of an auxiliary label? a. Avoid sunlight b. Take orally c. Take twice daily d. Prescriber's address

a. Avoid sunlight Auxiliary labels are used to provide additional information about the safe and effective use of a medicine, including additional warnings such as avoid sunlight and may cause drowsiness. All other answer options are mandated to be on prescriptions.

Which of the following controlled substance classes is NOT permitted to have refills? a. CII b. CIII c. CIV d. CV

a. C II Schedule II drugs are not permitted to have refills. Schedules III through to V are permitted a maximum of 5 refills (prescription valid for 6-months from date of issue).

Which of the following prescription terms refers to the medication ordered? a. Inscription b. Indication c. Signa d. Subscription

a. Inscription Inscription - the pharmacy term that refers to medication ordered: name, strength, dosage form, and quantity of medicine to be dispensed.

Which of the following is the final step where the pharmacy is authorized to dispense the medicine? a. Processing patient insurance b. Entering final number of refills c. Entering expiration date d. Pulling up the patient profile

a. Processing patient insurance Processing patient insurance is the final step and it's where the pharmacy is authorized to dispense a drug.

Which of these books is used to reference insurance or third-party pricing? a. Redbook b. The Orange Book c. Facts and Comparisons d. American Drug Index

a. Redbook The Redbook is used to reference insurance or third-party pricing.

Which of these books contains physical characteristics of different drugs and recipes? a. Remington's Pharmaceutical b. American Drug Index c. United States Pharmacopeia d. Handbook of Over-the-Counter Drugs

a. Remington's Pharmaceutical Remington's Pharmaceutical is an essential pharmacy book that contains the various physical characteristics of different drugs and drug recipes.

The medical prefix, brady-, is used to denote which of the following? a. Slow b. High c. Low d. Fast

a. Slow Bradycardia, for example, refers to a heart rate that is too slow.

What value is assigned to the following Roman numeral: CXXXIX? a. 89 b. 139 c. 809 d. 1,039

b. 139 When calculating Roman numerals, subtraction steps are always performed first. IX = 1 taken from 10 = 9 X = 10 Therefore, C (100) + XXX (30) + IX (9) = 139

Translate the following prescription details: iii tabs po ac bid x 5d a. 3 tablets taken orally as directed twice daily for 5 days b. 3 tablets taken orally before meals twice times daily for 5 days c. 3 tablets taken orally after meals twice daily for 5 days d. 3 tablets taken orally as needed three times daily for 5 days

b. 3 tablets taken orally before meals twice times daily for 5 days iii = 3; tabs = tablets; po = orally; ac before meals; bid twice daily, x5d for 5 days.

Which of the following details must be included on a label for a sterile medicine? a. Lot number b. Beyond-use date c. Compounder signature d. All the above must be included

b. Beyond-use date For sterile products, the beyond-use date must be included on the label.

Prescriptions for _______________ drugs must be accompanied by the DEA number of the prescriber. a. Opioid medicines b. Controlled substances c. Chemotherapeutic agents d. All the above must be accompanied by the DEA number

b. Controlled substances Prescriptions for controlled substances must include the prescriber's DEA number.

Which DAW code represents "Substitution Allowed: Patient Requested that Brand Product Be Dispensed"? a. DAW 1 b. DAW 2 c. DAW 3 d. DAW 4

b. DAW 2 DAW 2 = Substitution Allowed: Patient Requested that Brand Product Be Dispensed DAW 1 = Substitution Not Allowed by Prescriber DAW 3 = Substitution Allowed - Pharmacist Selected Product Dispensed DAW 4 = Substitution Allowed - Generic Drug Not in Stock

Which part of the NDC code refers to the manufacturer? a. First 2 digits b. First 5 digits c. Second set of 4 digits d. Final 2 digits

b. First 5 digits The first 5 digits of an NDC code refer to the drug manufacturer. The second set of 4 digits refers to the drug product/strength etc. The final 2 digits refers to packaging size.

Interpret the following prescription: i pr hs a. Take one orally as needed b. Insert one rectally at bedtime c. Inhale one in the morning d. None of the above are correct

b. Insert one rectally at bedtime pr refers to "by the rectal route" and "hs" refers to "at bedtime".

It a patient is diagnosed with a "splenomegaly", what can we say about the patient's condition, even if we do not know what the condition is? a. It's a cancerous condition b. It's a condition in which an organ is enlarged c. It's a condition that involves the blood d. It's a condition that involves the bladder

b. It's a condition in which an organ is enlarged The suffix, -megaly, is used to describe enlargement. In this case, splenomegaly refers to an enlarged spleen.

Medicines are stored in amber containers to protect the medicine from which of the following? a. Heat b. Sunlight c. Water d. Humidity

b. Sunlight Amber containers are used to protect the medicine against the harmful effects of sunlight radiation.

How many tablets should be dispensed to a patient who receives the following prescription: iii caps ud q12h x 7d a. 21 b. 36 c. 42 d. 84

c. 42 Three tablets to be dispensed (ud = as directed) every 12 hours for 7 days. Three tablets every 12 hours = 6 tablets per day. 6 tablets per day x 7 days = 42 tablets

What does the pharmacy abbreviation pc mean? a. With food b. Before meals c. After meals d. With a full glass of water

c. After meals PC refers to post cibum, the Latin for "after food".

Which of these FDA recalls is the least serious, meaning that the drug is unlikely to cause adverse health consequences? a. Class I b. Class II c. Class III d. Class IV

c. Class III There are three classes of FDA drug recall, with Class I being the most serious and Class III being the least serious.

Which of the following Roman numerals is an invalid number? a. XII b. IX c. IIX d. XIII

c. IIX IIX is invalid. To represent the number 8, the correct form is VIII. You can only use one "I" before an X, not two. XII = 12; IX = 9; and XIII = 13

A prescription reads: ii gtts ou qid ud. How must the drug be administered to the patient? a. Orally b. Into the nasal passages c. Into both eyes d. Into the right ear

c. Into both eyes Gtts = drops Ou is the key term here, which means "both eyes". Therefore, the medicine must be administered via the ocular route.

Which of the following statements is false regarding controlled drug prescription orders? a. Must include patient address b. Must include DEA number of the prescriber c. Must be stamped d. Must include all information that a regular prescription has

c. Must be stamped Controlled substance prescriptions must include all information that a regular prescription has - in addition to a patient address and a DEA number of the prescriber. Furthermore, the prescription must be hand-signed, not stamped!

Which of the following prescription terms refers to the directions for use? a. Inscription b. Indication c. Signa d. Subscription

c. Signa Signa - the pharmacy term that refers to directions of use, how the patient is supposed to safely and effectively take the medicine prescribed to them.

When pulling up a patient profile to commence entering a prescription, which of the following protocols should be followed? a. Spell entire first name and first letter of surname b. Spell entire first name and entire surname c. Spell entire surname and first letter of first name d. Spell entire surname, then enter entire first name

c. Spell entire surname and first letter of first name When pulling up a patient profile, spell the entire surname first and then the first letter of the patient's first name. A list of names will come up and you can verify the patient by reviewing the date-of-birth.

A pharmacy technician notes that the names on the prescriptions do not match. One of the letters is different. How should the technician react? a. Continue to process the prescription in the patient profile b. Ask the patient to confirm his identity c. Stop dispensing the drug and refer the matter to the prescriber/pharmacist d. Verify that the drug on the label matches the prescription

c. Stop dispensing the drug and refer the matter to the prescriber/pharmacist If there is a mismatch in names, no matter how small, the drug dispensing process must stop until that problem is rectified and the patient is correctly identified. The prescriber and/or pharmacist may have to be involved in this correction process.

Which of the following pharmacy books is used to identify products that are therapeutically equivalent? a. Redbook b. USP c. The Orange Book d. American Drug Index

c. The Orange Book The Orange Book is used to identify products that are therapeutically equivalent.

Which of the following books is mandated to be present in every pharmacy? a. BNF b. American Drug Index c. USP d. All the above books are mandated

c. USP The United States Pharmacopeia must be present in each pharmacy.

Which of the following pharmacy terms refers to "oral administration"? a. ou b. or c. po d. ud

c. po po is the pharmacy term that described a medicine that needs to be taken via the oral route of administration.

Which of these pharmacy abbreviations means "as needed"? a. ud b. ad c. prn b. qd

c. prn PRN is the pharmacy term that refers to "as needed".

For a non-controlled substance prescription drug, for how long is the prescription valid from the date of issue? a. 1-month b. 3-months c. 6-months d. 12-months

d. 12-months For a non-controlled substance prescription drug, the prescription is valid for up to 1-year from the date of issuance.

If a prescription is a controlled drug and found within Schedules III through V, what is the maximum number of permitted refills? a. 1 b. 2 c. 3 d. 5

d. 5 For a controlled drug within Schedules III through to V, a maximum of 5 refills of the medicine is permitted.

Which of the following medicines are not required to have child resistant packaging, as otherwise obliged by the Poison Prevention Packaging Act, 1970? a. Sublingual nitroglycerin b. Oral contraceptives c. Nursing home medicines d. All the above

d. All the above Medicines that are not obliged to have child-resistant packaging include sublingual nitroglycerin, oral contraceptives, and medicines used in nursing homes or other inpatient environments.

What does the pharmacy term, gtt, refer to? a. Oral administration b. Lotion c. After meals d. Drop

d. Drop The pharmacy abbreviation gtt refers to drop, as in eye drops or ear drops.

One of the ways to identify a fake prescription is to spot an incorrect or invalid DEA number. Which of these letters, when used as the first digit of the number, indicate that the DEA is invalid? a. A b. B c. F d. N

d. N DEA numbers always begin with either an A, a B, an F, or an M. Any other letter indicates that the DEA number is invalid.

Which of the following prescription terms refers to instructions given to the pharmacist, for example, specifying whether a generic drug may be substituted for a branded equivalent? a. Inscription b. Indication c. Signa d. Subscription

d. Subscription Subscription: instructions given to the pharmacist, such as the number of refills permitted, or whether a generic drug can be used in place of a branded drug.

A "shake well" auxiliary label is appropriate when dispensing drugs with which kind of dosage form? a. Lotions b. Liniments c. Elixirs d. Suspensions

d. Suspensions Suspensions have tiny particulates of drug which ordinarily collect at the bottom of the solution. Shaking the bottle well disperses the drug and ensures that each dose of medicine contains the right amount of active ingredient.

Expired drugs pose a hazard to the patient. Fanconi syndrome may result if a patient takes which of the following expired drugs? a. Penicillins b. Aspirin c. Ibuprofen d. Tetracycline

d. Tetracyclines Taking expired tetracyclines can cause Fanconi syndrome; a disorder of kidney function that results in excess amounts of glucose, bicarbonate, phosphates (phosphorus salts), uric acid, potassium, and certain amino acids being excreted in the urine.