COMMUNITY PHARM FINAL REVIEW

List 5 pieces of information that must be on a written prescription.

1. patient information, name, address, date of birth 2. drug information, drug name, quanity, concentration, sig 3. Prescriber's info, prescribers name, office address, phone number 4. number of refills 5. prescribers signature

When adding water to reconstitute an antibiotic suspension, what would the maximum beyond-use date be?

14 days

How many separate NDC checks for accuracy should the pharmacy technician take when filling a prescription? 1 2 3 6

3

What is a formulary? Briefly discuss the purpose of such a document.

A list of drugs that have been pre-approved for use by a committee of health professionals;used in hospitals, in managed care, and by many insurance providers. Continually revised compilation of pharmaceuticals Reflect the current clinical judgment of the medical staff or Pharmacy and Therapeutics(P&T) Committee Used by hospitals and insurance company/third-party payers Method whereby the medical staff evaluates, appraises, and selects from among the numerousavailable drug entities and drug products those that are considered most useful in patient care.Only those selected are routinely available from the pharmacy.

Briefly describe the P&T Committee. What is their purpose? Who sits on the committee andwhat are their responsibilities?

A policy-recommending body to the medical staff and the administration of the organization on matters related to the therapeutic use of drugs. Purpose: Establish procedures at a particular facility or for a particular third-party payer and determine which drugs will be stocked at that facility or covered by that third-party payer. The committee will establish anything having to do with drugs. Membership: Chairman - Chief of Staff or other physician Recorder - Chief of Pharmacy Services or other pharmacist Chiefs of all major departments (e.g. surgery, pediatrics, medicine, orthopedics,nursing, administrators, quality-assurance coordinators, etc.) Visitors - persons within or outside the organization who can contribute specialized or unique knowledge, skills, and judgments

A. Translate the following sig as it would appear on a prescription label: ii - iii gtts au tid x7d B. What would be the days supply?

A. Instill two to three drops in each ear three times a day for seven days. Can also be: Place two to three drops in both ears three times a day for seven days. B. The days supply would be 7 days as stated in the sig. They would not use it longer than that. Any medication left in the ear drop bottle would be discarded. As a pharmacy technician, you would need to make sure to dispense a bottle that had enough drops in it to last the seven day supply. 18 gtts/1 day = x gtts/7 days, x = 126 drops; 126 gtts/x mL = 15 gtts/1 mL, x = 8.4mL In this instance, you would need to dispense at least 8.4mL of the medication to last the 7 days supply. More than likely the medication would be available in a 10mL bottle.

A. Translate the following sig as it would appear on a prescription label: i cap po q6h prn p B. If you were to dispense a 10 day supply, how many capsules should be dispensed?

A. Take one capsule by mouth every six hours as needed for pain. B. A 30 day supply would be 40 capsules - 4 caps/1 day = x caps/10 days, x = 40 capsules

A. Translate the following sig as it would appear on a prescription label: i supp pr bid prn n/v B. If you were to dispense a 5 day supply, how many suppositories should be dispensed?

A. Unwrap and insert one suppository rectally two times a day as needed for nausea and vomiting. B. A 5 day supply would be 10 suppositories - 2 supp/1 day = x supp/5 days, x = 10 suppositories

Select the correct statement regarding e-prescriptions. E-prescriptions can mean decreased wait time for patients. The popularity of e-prescriptions is decreasing. The federal government requires all prescriptions to be electronic. Only 25% of prescriptions are communicated electronically.

E-prescriptions can mean decreased wait time for patients.

Which of the following statements about the administration of ear and eye medications is true? a. Eye drops can be used in the ear. b. Emulsion foams can be used in the eye. c. Eardrops can be used in the eye. d. Suppositories can be used in the ear.

Eye drops can be used in the ear.

Based on the significant incidents of adverse drug reactions, who has the power to recall, or pull off the market, a drug? a. Congress b. FTC c. DEA d. FDA

FDA

To determine generic equivalency of a brand name product, which reference source would you use? a. FDA Electronic Orange Book b. Drug Facts and Comparisons c. Homeopathic Pharmacopoeia of the United States d. Physician's Desk Reference

FDA Electronic Orange Book

What agency is responsible to monitor for the deceptive advertising of dietary supplements? a. U.S. Pharmacopeial Convention b. Federal Trade Commission c. Centers for Disease Control and Prevention d. Federal Advertising Committee

Federal Trade Commission

Which of the following is an example of a grocery store store pharmacy: Walmart Pharmacy HEB Pharmacy Lamar Plaza Drug Pharmacy CVS Pharmacy

HEB Pharmacy

Which drug is produced using DNA technology? a. digoxin b. aspirin c. Taxol d. Humulin

Humulin

Select the true statement regarding an active ingredient. a. It is found only in over-the-counter drugs. b. It stabilizes the dosage formulation. c. It is found only in prescription drugs. d. It exerts the desired therapeutic effect.

It exerts the desired therapeutic effect.

What is a reason a physician might prescribe a delayed-release tablet? a. It has increased absorption b. It can be split or crushed. c. It has a faster mechanism of action d.

It has a reduced dosing schedule.

_____ is an Internet-based program used by healthcare professionals and institutions to anonymously document, analyze, and track medication errors specific to an institution. a. e-MAR b. MERP c. MEDMARX d. ClearRx

MEDMARX

A national voluntary and confidential program for reporting medication errors is known as a. MERP b. MEDMARK c. iMAR d. eMAR

MERP

Even when a medical error has not occurred, a patient may experience an adverse drug reaction. What voluntary FDA program offers pharmacy staff and patients an avenue to anonymously report a serious adverse event related to a specific drug? a. iPledge b. MedWatch c. REMS d. MEDMARX

MedWatch

Pharmacists communicate serious or life-threatening adverse effects of drugs to the FDA through the ______________ a. MedWatch program. b. MedGuide. c. product package insert. d. PharmAlert website.

MedWatch program.

The _____ government health plan is administered through individual states. a. Medicare b. Medicaid c. Blue Cross/Blue Shield d. Tricare

Medicaid

List 5 classifications of drugs found in the community pharmacy setting we discussed in class.

OTC Products Legend/Prescription DrugsControlled Substances Dietary Supplements Homeopathic Drugs

List the five classifications of drugs found in the community pharmacy setting as we discussed in class.

OTC Products Legend/Prescription Drugs Controlled Substances Dietary Supplements Homeopathic

Select the true statement about transferring a prescription. Once a transfer out occurs, it is closed at the originating pharmacy. Early refills of controlled substances need to be transferred out. The patient is charged for the transfer out. A transfer in is allowed only between pharmacies of the same chain.

Once a transfer out occurs, it is closed at the originating pharmacy.

Which of the following is an example of an independent pharmacy: Costco Pharmacy Randall's Pharmacy People's Pharmacy Express Scripts

People's Pharmacy

What is the difference between a pharmaceutically equivalent drug product and a pharmaceutical alternative product?

Pharmaceutical alternative = contain the identical therapeutic moiety, or its precursor, but not necessarily in the same amount or dosage form, or the same salt or ester

A prescription for ofloxacin otic drops has the directions, "5 gtt as bid". What directions should be typed on the label? Place 5 drops in both ears two times a day. Place 5 squirts in the left ear two times a day. Place 5 drops in the right eye four a day Place 5 drops in the left ear two times a day.

Place 5 drops in the left ear two times a day.

Select the statement regarding Schedule III and IV prescription refills that is correct. Refills are allowed from the date a prescription is filled. Prescriptions may be refilled up to five times within six months. Refills can be transferred to another pharmacy three times. Prescriptions may be refilled up to six times within six months.

Prescriptions may be refilled up to five times within six months.

After the pharmacy technician completes the fill, the pharmacist initials the prescription. What does this mean? The pharmacy technician is not responsible for insurance refusals for that prescription. The pharmacy takes sole responsibility for the prescription. The pharmacist assumes legal responsibility for the correctness of the prescription and fill. The pharmacist assumes legal partnership in responsibility for dispensing accuracy and mistakes.

The pharmacist assumes legal responsibility for the correctness of the prescription and fill.

Select the correct statement about pharmacy technicians and new prescriptions in most states. The technician may take a new prescription over the telephone. The technician may take written prescriptions from walk-in customers. The technician may discuss a potential drug interaction with a physician. The technician may counsel a patient about a new prescription.

The technician may take written prescriptions from walk-in customers.

Which of the following statements about pharmacy technicians is true? They work independently of a pharmacist and physician to prescribe to patients. They are under the direct supervision of another pharmacy technician. They work independently to manage medication therapy. They act as cashiers, inventory managers, and check patient demographics for accuracy.

They act as cashiers, inventory managers, and check patient demographics for accuracy.

Which of the following statements is TRUE regarding mail-order pharmacies? They are more likely to dispense a 90-day supply of medication than an independent pharmacy. They are less likely than a chain to fill a 90-day supply of a medication. They are more likely than a chain to compound individualized prescriptions. They are less likely to substitute with generic drugs.

They are more likely to dispense a 90-day supply of medication than an independent pharmacy.

What is the reason patients often prefer creams over ointments? a. They vanish once applied. b. They have a longer shelf life. c. They have longer duration of action d. They are more effective.

They vanish once applied.

How is the Prescription Drug Monitoring Program used by a technician to combat drug abuse? a. To check if the patient has been banned from your pharmacy because of abuse b. To check if the prescription is from a prescriber who has committed prescription fraud. c. To check it to see if the patient is receiving controlled substances from other pharmacies. d. To alert the DEA to have them make an arrest.

To check it to see if the patient is receiving controlled substances from other pharmacies.

What is the purpose of prescribing a rectal dosage form? a. To provide regular drug absorption rates. b. For quick metabolizing by the liver. c. For convenience and comfort of administration. d. To treat a vomiting or nauseated patient.

To treat a vomiting or nauseated patient.

_____ is designed to cover active and retired members of the military and their dependents. a. Medicaid b. Workers' Compensation c. COBRA d. Tricare

Tricare

Where should vaccine errors be reported to?

Vaccine Adverse Event Reporting System (VAERS)

Which of the following is an example of a chain pharmacy: Target Pharmacy HEB Pharmacy People's Pharmacy Walgreen's Pharmacy

Walgreen's Pharmacy

In what way do drug manufacturers use inert ingredients? a. to ensure sterility of injectable products b. to exert the desired therapeutic effect c. to help mask unpleasant oral drugs for pediatric patients d. a and c

a and c

Medication therapy management is a patient-focused, multistep process where the pharmacist meets with a patient and recommends adjustments to the patient's medication therapy for better results. b. a patient-focused process where the pharmacist and a nurse sit in on a doctor visit with the patient to make adjustments to the patient's medications. c. when the patient reviews their medications with the doctor. d. when the pharmacist goes to the doctor with the patient.

a patient-focused, multistep process where the pharmacist meets with a patient and recommends adjustments to the patient's medication therapy for better results.

What is root-cause analysis? a. investigating causes of root-canal infections and the best antibiotic therapy b. a systematic approach to analyzing pharmacy data to determine common reasons for typical errors to prevent them in the future c. investigating which employee was at the root of a medication error d. analyzing prescription data to find the cause of prescription sales reductions

a systematic approach to analyzing pharmacy data to determine common reasons for typical errors to prevent them in the future

Which of the following attributes is most important in filling a prescription? speed accuracy friendly organized

accuracy

What can a pharmacy technician NOT do when working with the immunization pharmacist? draw up the vaccine in a syringe administer the immunization with the pharmacist overseeing assemble all the supplies remind patients about the importance of vaccination

administer the immunization with the pharmacist overseeing

Pharmaceutical care _____. is a cost-effective drug therapy strategy offers highly specialized medical services allows the pharmacist to include appropriate medication use to achieve positive outcomes with prescribed drug therapy is a mail-order pharmacy service only

allows the pharmacist to include appropriate medication use to achieve positive outcomes with prescribed drug therapy

When is beyond-use dating initiated? a. at the time of dispensing b. at the time of labeling c. at the time of compounding d. at the time of packaging

at the time of compounding

The measurement of the amount of active ingredient and time it takes for it to be absorbed, metabolized, distributed, or eliminated from the body is called ____________ a. bioavailability. b. therapeutics. c. pharmacogenomics. d. biodynamics.

bioavailability.

The transfer warning must be on all prescriptions for _______________________ prescription drugs. controlled substances. nonscheduled drugs. birth control medications.

controlled substances.

A disadvantage of the oral route of administration is the________________________ delayed onset of action. inconvenience for patients. unreliable absorption. risk of contamination.

delayed onset of action.

An enteric-coated tablet (ECT) is an example of a _____ formulation. a. delayed-released b. immediate-release c. controlled-release d. sustained-release

delayed-released

What does the prescription's sig refer to? prescriber's signature directions for the patient to follow medication prescribed patient information

directions for the patient to follow

A medication can be returned by a patient for credit or refund if the______________ a. patient finds it cheaper somewhere else. b. patient returns a generic drug. c. drug is recalled. d. vial is unopened.

drug is recalled.

A pharmacy technician might help with MTM by counseling patients on drug therapy. recommending over-the-counter products to patients. suggesting to physicians lower priced pharmaceuticals. entering accurate patient history.

entering accurate patient history.

What is the purpose of the FDA-and CDC-run VAERS program? a. for vaccine error reporting b. for reporting vaccine administration c. to find approved healthcare administers of vaccines d. for reporting adverse drug events from vaccines

for reporting adverse drug events from vaccines

A preferred drug list established by the insurer and administered by a Pharmacy Benefits Manager is called a(n) _______________ a. benefits drug list b. prime purchaser's list. c. accepted inventory. d. formulary.

formulary

Which of the following would be classified as drugs by the FDA? a. herbal supplements b. homeopathic medications c. vitamins supplements d. nutritional drinks

homeopathic medications

When can the Food and Drug Administration (FDA) regulate diet supplements? a. if proven safety concerns exist b. if the packaging does not contain a "Drug Use" box c. if the efficacy is not tested d. if the supplement does not contain key ingredients

if proven safety concerns exist

Aerosols and sprays are common dosage forms for the _____ route of administration. a. ocular b. topical c. inhalation d. conjunctival

inhalation

What is NOT a parenteral route of administration? a. intradermal b. intramuscular c. intrauterine d. subcutaneous

intrauterine

What dosage form provides a fast onset of action for a localized condition with minimal systemic side effects? a. suppository b. lotion c. patch d. tablet

lotion

What is an advantage of a primary wholesale purchasing agreement? a. more variety in stock and competitive service fees b. an exclusive agreement by a pharmacy and prime vendors c. lower inventory and inventory-associated costs d. reduces the quantity of each product on the shelves

lower inventory and inventory-associated costs

What is compounding? a. dividing off a section of a pharmacy for the manufacture of drugs b. making a medication in the pharmacy following a doctor's prescription for a specific patient c. making bulk batches of prescription medication for no specific patient d. an illegal practice under federal law

making a medication in the pharmacy following a doctor's prescription for a specific patient

What handheld, propellant-driven device would a patient with asthma commonly use? a. metered-dose inhaler b. home nebulizer c. diskus d. vaporizer

metered-dose inhaler

The e-prescriber's signature for all e-prescriptions _____________________ may be omitted. must be through a secure network approved by the state Board of Pharmacy must be handwritten and scanned in as part of the e prescription must be encrypted and triple authenticated with password and other security measures

must be through a secure network approved by the state Board of Pharmacy

The pharmacist is going to administer the shingles vaccine to a patient. How can a technician help? counsel the patient take the patient's blood to test for shingles antibodies notify primary care physician sign the consent form

notify primary care physician

What is the name of the route of administration when a drug is administrated into the eye? a. buccal b. ocular c. topical d. intranasal

ocular

The field of study that examines the relationship between an individual's genes and his or her body's response to drugs is known as _____________ a. pharmacology. b. pharmacogenomics. c. pathophysiology. d. biogenetics.

pharmacogenomics.

What information would you NOT find in the medication information sheet for the patient? ingredient names pharmacokinetics possible side effects how to use the medication

pharmacokinetics

Why does the FDA require OTC product labeling to list active and inactive ingredients? a. easier for generic competition b. prevent allergic reactions c. prevent misuse of product d. easier to determine health benefit

prevent allergic reactions

The advantage of the transmucosal route of administration is __________________________ a. localized treatment. b. easy to reverse effects. c. quick onset of action. d. delayed onset of action.

quick onset of action.

What is an unexpected occurrence resulting from a medication that involves death or serious physical or psychological injury called? a. root-cause analysis b. healthcare provider service c. medical error d. sentinel event

sentinel event

The _____ takes final responsibility and liability for a pharmacy technician's actions. supervising pharmacy technician pharmacy store manager licensing board supervising pharmacist

supervising pharmacist

A designer drug made in home chemistry laboratories by modifying chemical structures is an example of a ______________ a. synthesized drug. b. biogenetically engineered drug. c. dietary supplement. d. homeopathic remedy.

synthesized drug.

What are the two most common types of oral dosage forms? a. tablets and capsules b. solutions and troches c. syrups and suspensions d. elixirs and sprays

tablets and capsules

A risk evaluation and mitigation strategy (REMS) must be developed by a drug manufacturer when _________________ a. the use of the drug will out-pace the ability to manufacture more drug. b. the benefit of using a high-risk drug outweighs the adverse effects in certain patient populations. c. the FDA requires further clinical drug studies. d. the USP wants to guarantee the drug is manufactured by the proper standards.

the benefit of using a high-risk drug outweighs the adverse effects in certain patient populations.

What are the patient's five rights concerning medication errors?

the right patient, the right drug, the right dose, the right route, and the right time

What is the purpose of pharmacodynamic agents? a. to prevent infection b. to disable viruses c. to kill bacteria d. to alter body functioning

to alter body functioning

What is the purpose of the DEA number on a prescription? to authorize the pharmacist to substitute a generic drug to authorize the prescriber to prescribe controlled substances to authorize the prescription to be refilled the designated number of times to authorize the prescriber to e-prescribe

to authorize the prescriber to prescribe controlled substances

What is the rationale for inventory management? a. to save as much money as possible for patients on prescriptions b. to send automated refill messages to patients c. to have an extensive variety of stock of drugs to meet all patient wants and needs d. to establish and maintain adequate levels of needed and often used materials in stock

to establish and maintain adequate levels of needed and often used materials in stock

What is the purpose of USP Chapter <795>? a. to recommend accredited pharmacies b. to identify quality standards for nonsterile compounding c. to address standards for sterile compounding d. to list accredited compounding schools and pharmacies

to identify quality standards for nonsterile compounding

What is the mission of the Institute for Safe Medication Practices (ISMP)? a. to grant accreditation to healthcare organizations b. to regulate the manufacture and sale of drugs c. to provide medication error reduction strategies d. to set standards in conjunction with the United States Pharmacopeial Convention (USP

to provide medication error reduction strategies

What is the purpose of auxiliary labels? to provide the pharmacy's hours to override the information on the drug label to supplement the information on the drug label to replace a medication container label

to supplement the information on the drug label

What would be the role of the automation specialist? to train others on use of technology to purchase new technology to educate patients about glucometers all of the choices

to train others on use of technology

What is the purpose of the MedGuide? to provide information on the safe use of any prescribed medication to warn patients of potential adverse side-effects of high-risk medications to prepare prescriptions for Schedule II-V drugs to identify where a drug is located in the inventory

to warn patients of potential adverse side-effects of high-risk medications

A prescription is received for " doxycycline 100 mg 1 po BID." How often should the medication be taken? every other day once a day twice a day three times a day

twice a day

A drug that is administrated sublingually is absorbed _________________________ a. under the arm. b. through the check pouch. c. through the skin. d. under the tongue.

under the tongue.