CPhT review pt 2 study guide
How many 8 ounce prescription bottles will you need to fill a prescription of 480 mL of cetirizine?
2, why?: 480/30 = 16. 16/8 = 2. you need two 8 ounce bottles
1 fl oz = ? mL
30 mL
According to OSHA, how long must an exposure document for an employee be kept on file? Select one: 10 years 20 years 30 years 40 years
30 years
What is a spirit?
Alcoholic or hydroalcoholic solution of volatile substances
To help patients understand you better while speaking: Select one: Actively listen Use a respectful tone Choose appropriate words Understand their individual needs
Choose appropriate words
What is an elixir?
Clear, sweetened, flavored, hydroalcoholic mixture
A prescription for a controlled medication must include the: Select one: Patient's full address Pharmacy's DEA number Prescriber's NPI number Insurance ID number
full address
Which dosage form is a semisolid preparation that contains very small solid particles that are suspended in a liquid?
gel
Which rectal dosage form is used for its cooling effect?
gel
Which item is generally used when weighing a cream or ointment? Foil squares Glassine paper Plastic tub Weigh boat
glassine paper
A patient needs to inject 20 units of insulin. Which size syringe should you dispense with the insulin order? Select one: 0.1 mL 0.3 mL 0.5 mL 1 mL
0.3 ml
Which product is an example of an isotonic solution? Select one: 0.9% sodium chloride 3% sodium chloride 1/2 Normal Saline 10% Dextrose in Water
0.9% sodium chloride
What is an example of the adjudication process? Select one: A patient fills out new patient profile documentation online. A third-party payer requests more information for claim approval. A pharmacy submits a claim electronically to the insurance company. A prescribers office sends an electronic prescription to the pharmacy.
A pharmacy submits a claim electronically to the insurance company.
What is a plan characteristic for patients with a PPO? Select one: a) Able to see the prescriber of their choice b) Restricted from seeing out-of-network prescribers c) Have smaller co-pays when they visit with out-of-network prescribers d) Unable to have their prescriptions covered by out-of-network prescribers
Able to see the prescriber of their choice
Which section of the SDS would you find information on how to clean a hazardous spill?
Accidental Release Measures
What is the process of accepting or denying a submitted claim called?
Adjudication
Which dosage form is bullet-shaped?
Adult rectal suppositories
Documenting medication errors is important because it: Select one: Allows the pharmacy to improve its dispensing process Allows the pharmacy to charge patients more for prescription costs Identifies the person in the pharmacy who should be held responsible Informs the pharmacist who isn't "pulling their weight" in the pharmacy
Allows the pharmacy to improve its dispensing process
What is a deductible known as? Select one: The patient's cost for their prescription A list of medications covered by insurance Monthly monetary amount paid to keep insurance active An amount of money due before the insurance pays for healthcare costs
An amount of money due before the insurance pays for healthcare costs
Injecting a suspension intravenously can lead to: Select one: Blood cells clumping together and strokes Blood cells shriveling and small blood vessels collapsing Blood cells expanding and severe electrolyte imbalances An undissolved particle getting stuck in a small blood vessel or lung
An undissolved particle getting stuck in a small blood vessel or lung
An SDS contains information about the medication's:
Appropriate handling
Achieving openness when communicating with patients means: Select one: Repeating back information Having positive body language Considering new views and possibilities Having your verbal message match your non-verbal message
Considering new views and possibilities
What is it called when you bill both of her insurances for a medication? Select one: Coordination of benefits Dual-eligible Primary payer Secondary payer
Coordination of benefits
At which point in the medication-use process should you double-check that Augmentin suspension has been reconstituted? Select one: Drop-off Order entry Filling Delivery
Delivery
Which type of alert would most likely show up when filling an Accutane prescription for a woman of child-bearing age?
Drug-Condition
Which drug requires an SDS because it can cause harm to an unborn fetus if handled improperly by a pregnant woman? Select one: Acetaminophen Finasteride Ibuprofen Penicillin
Finasteride
What is a benefit to using automated dispensing devices in the pharmacy?
Handles high prescription volume
Ms. blah tells you she is having a hard time reading her prescription label. Which technique will help in communicating with Ms. blah? Select one: Having the pharmacist counsel the patient Providing a printed patient information sheet Using pharmacy jargon on the prescription label Attaching the package insert with the prescription
Having the pharmacist counsel the patient
Insulin is a high-alert medication because it:
Is more likely to cause serious errors
Which is the name of the medication error reporting program used specifically for hospitals? Select one: MedicineNet MedMARx MedPage Medscape
MedMARx
Which strategy helps acknowledge that each patient is different and unique? Select one: Empathetic response Openness Repeat-back SOLER
Openness
What does Medicare Part D cover? Select one: Hospital visits Nebulizer medications Outpatient prescriptions Prescriber visits
Outpatient prescriptions
Who typically acts as a middleman between the insurer and the pharmacy? Select one: Human resources managers Managed care organizations Pharmacy benefits managers Preferred provider organizations
Pharmacy benefits managers
What strategy can reduce LASA medication errors?
Place LASA shelf tags on shelves in the pharmacy
Which best describes the correct administration of oral powders?
Place on the tongue and wash down with a drink.
What piece of information helps verify the medication a patient wants refilled?
Prescription number
Mr. Jackson often requests a refill for his clonazepam a few days early. When he comes to pick it up, the tech seems annoyed and impatient. Which openness strategy will help the tech's interaction with Mr. Jackson? Select one: Listening Questioning Reflecting Wondering
Questioning
What do third-party payers primarily work to accomplish?
Reduce the cost of healthcare services for individuals and families
How can bar codes on medication stock bottles help with your pharmacy tasks?
Reordering medications from the supplier
What is a plan characteristic for patients with an HMO? Select one: Able to see the prescriber of their choice Restricted from seeing out-of-network prescribers Have smaller co-pays when they visit with out-of-network prescribers Unable to have their prescriptions covered by out-of-network prescribers
Restricted from seeing out-of-network prescribers
All parenteral dosage forms must be:
free of pathogens
Mr. Carrington received Celexa instead of Celebrex in his medication vial. This medication error occurred most likely because of the: Select one: Checking pharmacist Filling technician Point-of-sale clerk System failure
System failure
What does it mean to need a "prior authorization" for a medication?
The prescriber needs to provide justification for medication use to the third-party payer.
What is adjudication known as?
The process of submitting a claim to the insurance company
The PCN on an insurance card identifies which information? Select one: The policyholder's name and number The number to call with billing questions The number of dependents on the policy The specific plan within an insurance company
The specific plan within an insurance company
Which information is the dependent code used in determining? Select one: The co-pay the spouse or child will have to pay The spouse or child who is receiving the prescription The policyholder who is responsible for the dependents The drug benefits that have been assigned to the children
The spouse or child who is receiving the prescription
What information does the BIN identify? Select one: The number of dependents on the plan The policyholder's member identification The insurance plan the policyholder belongs to The third-party payer that's billed by the pharmacy for a prescription
The third-party payer that's billed by the pharmacy for a prescription
What is an advantage to using nebulizer solutions over inhalers?
They dont require a press-and-breathe technique
What does a dual-eligible patient mean?
They have more than one insurance plan to cover the cost of medications
When can a patient enroll in Medicare Part D?
Three months before or after they turn 65
comes in with a new Rx for Lipitor. What should be done at prescription drop-off to avoid a medication error? Select one: Tell the pharmacist about any drug alerts that pop up. Separate look-alike medications on pharmacy shelves. Set up a working system to avoid errors with reconstituted antibiotics. Update her profile with current allergy information and any new medical conditions.
Update her profile with current allergy information and any new medical conditions.
Which is the abbreviation for right ear? AD AS OD OS
ad
Parenteral dosage forms must be prepared by a process known as: Select one: Aseptic technique Disinfectant technique Sterilize technique Decontamination technique
aseptic technique
What action might an insurance company take when a pharmacy is dispensing refills too soon?
audit
What is it called when a third-party payer looks for inconsistent billing from a pharmacy?
audit
what is an ADD? what are they able to do?
auto dispensing device. they're able to fill and Label a script vial
What is an ointment? Select one: a) A semisolid oil-in-water emulsion b) An oil-based greasy semisolid preparation c) A highly flammable mixture in which the active ingredient is dissolved in alcohol and ether d) A semisolid preparation that contains very small solid particles that are suspended in a liquid
b
Which number is used to tell the pharmacy which insurance company will be billed for a prescription? Dependent code Group BIN PCN
bin
What is it called when a percentage of the drug cost is to be paid, for each prescription? Select one: Co-insurance Deductible Formulary Premium
coinsurance
What term is used to describe insurance paying 85% of the cost of medication? Select one: Annual fee Coinsurance Commission Deductible
coinsurance
Which dosage form dries as a flexible film on the skin?
collodion
Which dosage form is a semisolid oil-in-water emulsion?
cream
a pt comes into the pharmacy wanting a medicine for a weeping, oozing skin rash. Which topical dosage form will the pharmacist likely recommend? Select one: Cream Liniment Ointment Paste
cream
Which auxiliary label should be applied to a DPI (dry powder inhaler) that use capsules?
do not swallow
Which area of the body are ointments good to apply to?
dry scaly areas
Which transdermal patch should be flushed down the toilet instead of thrown in the trash? Select one: Climara Duragesic Flector Lidoderm
duragesic
Medicaid is run by: Select one: Employers Drug companies Private insurance companies Federal and state governments
fed and state govts
a pt comes into the pharmacy wanting a medicine for a dry, scaly rash on his elbow. Which topical dosage form will the pharmacist likely recommend?
ointment
If a patient's insurance plan requires a primary care physician, it's likely they have which type of insurance? Select one: HMO PBM PPO TRI
hmo
Testosterone is an example of a(n):
im injection
You fill an order for a 5/16 inch needle. The prescription is likely an order for: Insulin Medroxyprogesterone Testosterone Vitamin B-12
insulin
D5W is an example of a(n):
isotonic solution
Once a patient has enrolled or made changes to Medicare Part D, when does it take effect? Select one: January 1 April 15 July 4 December 31
jan 1
When applying a prescription label, a good way to adhere the label is to move from:
left to right
Which transdermal patch can be cut in half safely? Select one: Androderm Catapres-TTS Duragesic Lidoderm
lidoderm
Which dosage form is usually rubbed in with friction?
liniment
A joint government program that helps with medical costs for those who fall under the national poverty level is called what?
medicaid
Medication errors, such as mixing up glipizide and glyburide, should be reported to which FDA-regulated program? Select one: Medline MedManage Medscape MedWatch
medwatch
Which inhaler type might require the patient to use a spacer to simplify the inhaler technique? Select one: Breath-actuated Dry-powder inhaler Metered-dose inhaler Soft-mist inhaler
metered dose inhaler
Which law requires patients to receive counseling by the pharmacist or an offer for pharmacist counseling?
obra 90
Medicare Part D enrollment is between which dates? Select one: January 1 to April 15 May 1 to July 7 October 15 and December 7 November 15 to December 31
oct 15 and dec 7
Which dosage form is a semisolid preparation in which an active ingredient is incorporated into petroleum jelly?
ointment
Which rectal dosage form is used to provide extra protection to the area?
ointment
a pt needs to measure 1 mL of an antibiotic for her daughter. Which measuring device should she use? Select one: Dosing cup Household teaspoon Household tablespoon Oral syringe
oral syringe
Carefully translating drug name suffixes and dosing intervals can prevent errors from occurring during which part of the medication-use process? Select one: Drop-off Order entry Dispensing Point-of-sale
order entry
Which agency requires an SDS for every hazardous drug in the pharmacy? Select one: OSHA ASHP AAPT DEA
osha
Hospital visits, hospice, and skilled nursing facilities are covered by which Medicare part?
part a
Which Medicare plan combines original Medicare with a prescription plan? Part A Part B Part C Part D
part c
Which dosage form is good for providing a protective layer to the affected area?
paste
an ongoing amount paid by an individual to maintain insurance coverage is called: Select one: Co-insurance Deductible Formulary Premium
premium
What does Medicare Part B cover?
prescriber visits
You scan prescription bottle's bar code to do which function?
refill meds
How should most rectal suppositories be stored?
room temp
You receive a prescription for Colocort enema. Which auxiliary label should you apply to the Rx?
shake well
You receive the following prescription: Pred Forte susp 1-2 gtts ou q4-6h 5 mL Which auxiliary label should be applied to the prescription? Select one: a) Shake well b) Use by date c) Topical use only d) For use in the ear
shake well
Which dosage form can be injected intravenously? Select one: Solution Suspension Syrup Tincture
solution
Which liquid is a concentrated solution of sugar in water?
syrup
Where are Muse suppositories inserted in the patient?
urethra
An intrauterine device is classified as which type of dosage form? Select one: Rectal Transdermal Urethral Vaginal
vaginal
Where would you look to find a prescription for a non-controlled liquid medication that has been prepared for a patient? Select one: Locked cabinet Reconstitution area Refrigerator Will-call area
wc