Medical Review
An example of a Schedule II controlled substance is
! As of October 6, 2014, The US Drug Enforcement Adminstration required all products containing Hydrocodone to become a Schedule II controlled substance.
Transderm-Nitro is available in which dosage form?
! Transderm-Nitro is only available in patch form. The drug is absorbed through the skin. The syllable 'derm' is the key word. THE CORRECT ANSWER IS: Patch.
The abbreviation "AWP" used in pharmacy stands for:
"AWP" stands for Average Wholesale Price.
The term "AWP" stands for:
"AWP" stands for Average Wholesale Price.
What is the definition of "controlled room temperature"?
"Controlled Room Temperature" is defined as between 15 - 30 degrees centigrade and 59 - 86 degrees Fahrenheit.
According to most insurance coverage, if a prescription is written for a brand name product and "may substitute" is marked:
"May Substitute" is marked, most insurance coverage is only for the generic drug. The generic drug must be dispensed.
The directions for the use of Gentamicin Ophthalmic drops are "ii gtts au q4h x5d". The proper interpretation of "au" is:
"ou" is the Latin abbreviation for both eyes. THE CORRECT ANSWER IS: In both ears.
A semi-rigid cup-like plastic package that is normally used for oral solid medications and sealed with a foil type material is called a:
A blister package is a semi-rigid cup-like plastic package that is normally used for oral solid medication and sealed with a foil type material.
A semi-rigid cup-like plastic package that is normally used for tablets and capsules and sealed with a foil type material is called a:
A blister package is a semi-rigid cup-like plastic package that is normally used for oral solid medication and sealed with a foil type material.
A cash resgister is a mechanical or electronic device used for which of the following?
A cash register is used for calculating and recording sales transactions.
A prescription order of Flagyl is added to a patient's computerized profile by means of a:
A database program is used to add any medication to a patient's computerized profile. THE CORRECT ANSWER IS: Database program.
Anticoagulants are used in the treatment of
Anticoagulants are used in the treatment of pulmonary emboli, DVT, prophylaxis of systemic emboli after myocardial infarction, and atrial fibrillation with embolism.
What class of medication is used in the treatment of high cholesterol and heart disease?
Antilipidemic agents are used in the treatment of high cholesterol and heart disease.
Which is not a therapeutic class that is used in the treatment of cancer?
Antineoplastic agents, hormones, and antimetabolites are all used in the treatment of cancer. THE CORRECT ANSWER IS: Antithrombotics
Ethambutol, Rifampin, and Isoniazid are examples of
Antitubercular agents
The procedures for preparation of sterile products that is designed to prevent contamination is called:
Aseptic technique is the procedure for preparation of sterile products that is designed to prevent contamination.
The National Drug Code (NDC) is usually required for purchasing of pharmaceutical products. The NDC can be found in which of the following?
Drug topics publication "The Red Book" is a good source to find NDC numbers and AWP of drugs. THE CORRECT ANSWER IS: Drug Topics Red Book.
Drugs used in the treatment of cardiovascular abnormalities include
Drugs used in the treatment of cardiovascular abnormalities include Vasodilators, Beta-Andrenergic Blockers, and ACE Inhibitors.
Furosemide or Lasix is used as:
Furosemide or Lasix is loop diuretic.
Which non-governmental agency is responsible for the accreditation of institutional settings?
JCAHO (The Joint Commission on Accreditation of Heath Care Organizations) is responsible for accreditation of institutional settings.
The pharmacy technician is asked to assist in the compounding of a lotion. In what drug information source would this information be looked up?
Facts and Comparison contains detailed information of manufactured medications and drug classes. References of compounding is not in this manual. THE CORRECT ANSWER IS: Remington's Pharmaceutical Sciences.
Which drug information source would a technician use for information concerning the dosing of a newly marketed antihypertensive?
Facts and Comparisons is updated monthly and has information concerning new drugs.
Of the following, the reference source that would provide the most comprehensive indication and dosage information about a newly released Macrolide is:
Facts and Comparisons is updated monthly with facts about newly released drugs.
Which drug information source would the pharmacy technician check for a possible drug interaction?
Facts and Comparisons.
If a prescription for Fosamax states "refill prn", for how long may this RX be refilled?
Federal Law requires all prescriptions to expire one year from the date written. "prn" indicated refills as needed within the one year requirements of federal law. THE CORRECT ANSWER IS: 1 year.
How often must controlled substances be physically inventoried?
Federal Law requires controlled substances to be physically inventoried once every two years (biennial inventory).
The Joint Commission on Accreditation of Healthcare Organization (JCAHO) verifies that laminar flow hoods should be certified at least:
JCAHO verifies that the laminar flow hood should be certified at least once per year. Most states require the laminar flow hood to be certified twice a year.
Ketolides are
Ketolides are antibiotics belonging to the macrolide group that are modified giving it a much broader spectrum than other macrolides. THE CORRECT ANSWER IS: Antibiotics.
os/od
L./R. eye
Which drug is used as a RESCUE from toxicity of methotrexate?
Leucovorin - is used in rescue therapy from toxicity of methotrexate.
Which of the following medications is available by prescription only?
Lisinopril
Which of the following medications is available by prescription only?
Lisinopril (Zestril, Prinivil) is an ACE inhibitor for blood pressure. Available by prescription only.
Loop diuretics are used for:
Loop diuretics are used for blood pressure treatment and for fluid retention therapy.
Lovastatin would be prescribed to:
Lovastatin (Mevacor) is used to decrease cholesterol.
What is the proper generic name for Mevacor?
Lovastatin.
A lozenge is also know as a(n):
Lozenge and Troche are the same
A lozenge is also know as a(n):
Lozenge and Troche are the same.
Which of the following types of syringes should be used in the mixing of Vinblastine?
Luer-lock syringes should be used when mixing any cytotoxic agents.
MEDWATCH may be used to report what type of problems?
MEDWATCH may be used to report Prescriptions drugs, Glucose-test kits and Breast pumps problems. All of the above
Which of the following is used to ensure the safe handling of hazardous materials?
MSDS is to ensure the safe handling of hazardous materials.
The directions for Fosamax states "10 mg po bid pc". The technician should bring this to the pharmacist's attention because:
Manufacturer recommends taking Fosamax 1/2 hour before breakfast once daily. Thus the "pc" which means 'after meals' is in contradiction to the manufacturer's recommendations.
Pharmaceutical manufacturers will notify the pharmacy of a drug recall in writing by listing the name of the drug and the:
Manufacturers will notify the pharmacy of drug recall listing drug, NDC number and lot or batch number.
There are legend drugs that are exempt from The Poison Prevention Packaging Act of 1970. One is ___________________________.
Medroxyprogesterone acetate tablets is exempt from THE Poison Prevention Act of 1970
There are legend drugs that are exempt from The Poison Prevention Packaging Act of 1970. One is ___________________________.
Medroxyprogesterone acetate tablets is exempt from THE Poison Prevention Act of 1970 Medroxyprogesterone acetate tablets
Which of the following groups is usually not a member of the P + T Committee?
Members of the P + T Committee include the following: A Medical, Nursing, and a Pharmacy Representative, but not a Dental Representative. THE CORRECT ANSWER IS: Dental representative.
Which of the following groups is usually not a member of the P + T Committee?
Members of the P + T Committee include the following: A Medical, Nursing, and a Pharmacy Representative, but not a Physical Therapy Representative.
Meperidine belongs to which category of controlled substances?
Meperidine is a Schedule II drug. Meperidine is legal when dispensed with a physician's prescription.
Which drug requires a follow-up "cover" prescription when dispensed as a verbal order?
Meperidine.
Which of the following medications would be prescribed to treat a bacterial infection?
Metronidazole
Suspending or thickening agents are added to suspensions to thicken the suspending medium and the sedimentation rate. Which of the following is not a suspending agent?
Milk of Bismuth is not a suspending agent. It is an anti-diarrhea preparation.
Most drugs and their metabolites are excreted by the:
Most drugs and their metabolites are excreted by the kidneys
Most drugs are metabolized by the:
Most drugs are metabolized by the liver. The liver is the primary organ for changing the chemical structure of a drug.
The purchasing of drugs directly from the manufacturer requires:
Most manufacturers require a minimum order.
NTG is prescribed for the treatment of:
NTG, or nitroglycerin, is used to treat heart pain of angina pectoris.
What information is required to be posted on each cell of an automated counting device?
Name, strength, Lot # and expiration date of a drug is required.
Which of the following medications is an over the counter analgesic?
Naproxen tablets
Needles used to prepare sterile IV solutions should be disposed in:
Needles used to prepare I.V. solution should be disposed in a Sharp's Container.
Filgrastim is available under which of the following proprietary (Brand Name)?
Neupogen is the proprietary (brand name) for Filgrastim.
Filgrastim is available under which of the following proprietary (Brand Name)?
Neupogen.
Which of the following is classified as a calcium-channel blocker?
Nifedipine
The Poison Prevention Packaging Act requires childproof packaging for all medications except:
Nitroglycerin is one of the Legend Drugs on the exempt list.
Which of the following medications must be administered in a glass IV container?
Nitroglycerin must be administered in a glass I.V. container because Nitroglycerin readily undergoes sorption to many soft plastics.
Which of the following drugs is a coronary vasodilator?
Nitroglycerin.
The maximum daily supply that can be prescribed at one time for Thalomid is:
No more than a 4 week (28 days) supply can be dispensed at one time.
Patient Protection and Affordable Care Act (PPACA) is More often called ______________for short.
ObamaCare is officially called the Patient Protection and Affordable Care Act (PPACA). More often it is called the Affordable Care Act (ACA) for short
Which of the following has to be stored frozen before use?
Oral polio vaccine must be stored frozen
What is the Orange Book's rating that indicates that a product is considered bioequivalent?
Orange Book rating for bioequivalent is a "AB" rating.
All outpatient prescription requires which of the following?
Outpatient prescription must have the prescribers phone number and address.
Which of the following substances is not classified as a Schedule II controlled substance?
Oxazepam
Which of the following substances is not classified as a Schedule II controlled substance?
Oxazepam.
The pharmacist must complete DEA Form 222 to obtain which of the following medications?
Oxycodone
PCA pumps are used to administer:
PCA pumps are used in pain management (analgesics).
Per the Patient Protection and Affordable Care Act or PPACA, health benefits do not include:
PPACA covers emergency services, Pediatric Serviuces and outpatient Services. It does not cover Nursing home services.
The last two of digits of the NDC represents:
Package size is the last two digits of a NDC number.
An example of a major drug-drug interaction would be:
Penicillin and Cephalosporin are two antibiotics. They are not usually given together, but no major drug to drug interaction. THE CORRECT ANSWER IS: Warfarin-aspirin.
Which of the following 2 drug classes have cross sensitivity?
Penicillin and Cephalosporin have cross sensitivity due to their similar chemical structures.
At which temperature should procaine penicillin G be stored?
Penicillin is recommended to be kept under refrigeration at 2 - 8 degrees centigrade or 35 - 46 degrees Fahrenheit.
What medication in a dose of 20 mg qd, is used to treat dyspepsia?
Pepcid (Famotidine) is used to treat dyspepsia (indigestion) it is an H2 antagonists.
Which of the following products would be contraindicated in a patient who has had an anaphylactic reaction to ASA?
Percodan has ASA (aspirin).
Pharmacist may substitute a generic product for a brand name product if the following criteria are met:
Pharmacist may substitute if physician has not signerd DAW,The substituted drug is equal to or less in price than the brand name drug, the savings are passed onto the consumer or a third party payer
Which of the following is not an antihistamine?
Phenylpropanolamine is a nasal decongestant.
Phosphodiesterase type 5 inhibitors are used to treat
Phosphodiesterase type 5 inhibitors are used to treat pulmonary arterial hypertension and erectile dysfunction.
Federal Law requires prescription orders for controlled drugs (Schedules II - IV) must contain all of the following except:
Physician's telephone number.
After syringes are used for preparation of hazardous substances, the pharmacy technician should:
Place the syringes in a sealed plastic bag and dispose in special waste.
What does the CPhT need to do to ensure that short dated items are used first?
Placing stock with earliest expiration date in front ensures that short dated items are used first.
Which of the following drugs in not an OTC product?
Poly-Vi-Flor drops.
Pravastatin would be prescribed to:
Pravastatin (Pravachol) is used to decrease cholesterol.
Labels for Patient Med Pak should not contain _____________________.
Prescribers DEA number is not needed on a Patient Med Pak the patient name, strength and quantity of medication and directions are needed.
The purpose of complying with the "Universal Precautions" is to:
Prevent the transmission of blood-borne pathogens.
Which of the following drugs is an antiarrhythmic?
Procainamide
Which of the following drugs is an antiarrhythmic?
Procan is classified as an antiarrhythmic drug.
To which drug classification does the drug prochlorperazine belong?
Prochlorperazine (Compazine) is used to treat nausea (antiemetic). THE CORRECT ANSWER IS: Antiemetic.
Tylenol sinus would be contraindicated in a patient with:
Products that contain Pseudoephedrine are contraindicated in patients with a history of hypertension. THE CORRECT ANSWER IS: A history of hypertension.
Propranolol is the generic name for:
Propranolol is the generic name for Inderal.
In what publication can the information found on a manufactures package insert for Premarin be found?
The Physicians' Desk Reference (PDR) containes information found in the manufacturers's package inserts.
Of the following, which one deals with the issue of safety caps on prescription bottles?
The Poison Prevention Act.
The pharmacy technician is asked to assist in the compounding of a lotion. In what drug information source would this information be looked up?
The Remington's Pharmaceutical Sciences is the reference book used to look up formulas.
Which statement concerning Levothyroxine is correct?
The brand name is Synthroid.
What does DAW mean on a written prescription?
The brand name is to be dispensed as written.
The computer term "mnemonic" is defined as:
The computer term mnemonic is referred to as a shortened term used to facilitate data entry. THE CORRECT ANSWER IS: A shortened term used to facilitate data entry.
When using a graduated cylinder for measuring a liquid what is the proper method.
The correct method for measuring a liquid in a graduated cylinder is to hold at eye level and read the bottom of the meniscus.
The prescription label on an outpatient pharmacy medication requires:
The dispensing label for all outpatient pharmacy prescriptions require the legal name of the pharmacy and address.
Medications containing Isotretinoin are restricted to what program?
The iPledge program, approved by the FDA,restricts the distribution of Isotretinoin.
Medications containing Isotretinoin are restricted to what program?
The iPledge program, approved by the FDA,restricts the distribution of Isotretinoin. THE CORRECT ANSWER IS: iPledge
The middle set of digits in a National Drug Code (00013-5112-10) number represents:
The last two digits represent the product size (package size). THE CORRECT ANSWER IS: The product strength and dosage form.
The decrease of effectiveness of the drugs when Omnipen and Gentamicin are given together is an example of which incompatibility?
Therapeutic incompatibility is when the effectiveness of two drugs is decreased when given together. THE CORRECT ANSWER IS: Therapeutic.
Sixteen ounces are equal to?
There are 16 ounces in one pint.
Which of the following are true about a formulary?
They reduce drug inventory costs. They limit medications used based on safety, efficacy, and cost. They are often used by HMO's and Institutional Pharmacy. All of the above.
Which of the following is proof of receipt of Class II controlled substances?
Third copy of DEA Form 222C is used for Class II drugs, along with the original commercial invoice.
ATS solution should be stored in the:
Topical section.
Which of the following drugs is a NSAID?
Toradol
All of the drugs listed below are scheduled narcotics except:
Toradol tablets.
Which of the following describes administration of medication through the skin using a flat unit?
Transdermal holds medication in a reservoir designed to provide a continual supply of medication over a period of time and is absorbed into the blood through the skin.
Which of the following medications is a Schedule IV substance?
Triazolam is classified as a Schedule IV substance.
Grinding of Prednisone into a fine powder in a porcelain mortar is an example:
Trituration is the grinding of tablets into a fine powder in a porcelain mortar. THE CORRECT ANSWER IS: Trituration.
The term "turnover rate" usually means:
Turnover rate is how fast a product is purchased, sold, and replaced during specific accounting period (how fast the inventory is used). THE CORRECT ANSWER IS: How fast the inventory is used.
In which controlled substance schedule is Tylenol No. 2 classified?
Tylenol No. 2 has 15 mg of codeine and is classified a Schedule III.
What reference book should a Pharmacy Technician look to find storage requirements for a particular medication?
USP-NF standards provide essential specifications for product development, quality control, production, labeling and storage.
What reference book should a Pharmacy Technician look to find storage requirements for a particular medication?
USP-NF standards provide essential specifications for product development, quality control, production, labeling and storage. THE CORRECT ANSWER IS: USP-NF
The pharmacy technician should use what kind of precautions to protect themselves and other from infection?
Univeral Precautions are a simple set of effective practices designed to protect health workers and patients from infection.
Which of the following ophthalmic medications must be refrigerated?
Viroptic
Two drugs that should not be taken together because of a major drug-drug interaction would be:
Warfarin (Coumadin) thins the blood. Aspirin thins the blood. The two together create a drug to drug interaction.
Which of the following is important to emphasize when establishing policies and procedures?
t is important to follow established policies and procedures because they formally establish a system to prevent the occurrence of medication errors.
The name of the book that drugs and OTC products are listed daily in the pharmacy that will be used to order from?
ÒWant BookÓ Ða book of drugs and OTC products that are needed to be ordered in the pharmacy.
When water containing formulations that are prepared from ingredients in a powder form in the absence of stability information should be assigned a beyond use date of.
14 days when stored at controlled cold temperatures
You receive an order to prepare 250 mg of dobutamine in a 100-ml pump cassette with NS as the diluent. Dobutamine is available as a 12.5-mg/ml solution. How many milliliters of dobutamine do you need to prepare this prescription?
20ml 12.5/1=250/x
A pharmacy technician re-packs bulk solid dosage forms into unit dosed packages. What expiration date will appear on the package?
50% of labeled expiration date to a maximum of 1 year.
Tylenol No. 4 is Acetaminophen 325 mg and Codeine ______ mg.
60 mg of Codeine is a No. 4.
A prescriber's DEA number is:
A DEA number is two letters and 7 digits. THE CORRECT ANSWER IS: Needed on outpatient prescriptions for controlled substances.
What is the meaning of Therapeutic Equivalency?
Therapeutic equivalency of drugs have the same quantity of active ingredient.
The device that links computers via communication lines is called the:
A modem is used to connect computer via communication lines such as telephone lines.
Which of the following is the least desirable source of drug information to be given to the patient:
A package insert.
Who does a reverse distributors provide services for?
A reverse distributor provide services to Government, hospital, independent retail, chain stores and clinic pharmacies.
Which drug is most likely to cause a photosensitivity reaction?
A side effect of tetracycline is photosensitivity.
The pharmacy technician is filling a prescription for Cephalexin and notices in the patient profile that the patient is taking Cefaclor. This is an example of:
A therapeutic duplication.
How often must a vertical laminar flow hood be checked?
A vertical laminar flow hood must be checked every 6 months.
Which of the following functions may a Pharmacy Technician participate in?
A well trained technician may participate in the following functions: Documenting investigational drug use, preparing chemotherapeutic agents, and purchasing and inventory control.
Which of the following vitamins are fat-soluble?
A, D, E and K are fat-soluble vitamins.
Amoxicillin oral suspension is stable in a refrigerator for how many days after reconstitution?
Amoxicillin oral suspension has a manufacturer stated stability date of 14 days after reconstituted when refrigerated.
ATS solution should be stored in the:
ATS is a topical solution and should be stored in the topical section.
The "computer access code" for pharmacy software is used to:
Access prescription files.
According to federal law, in the event of the suspected theft of a Schedule II medication, the pharmacy is required to notify which agency or agencies?
According to federal law in the event of a theft of Schedule II medication, the pharmacy is required to notify the DEA.
Which of the following nonprescription analgesics would be the safest choice for a patient taking Warfarin (Coumadin)?
Acetaminophen (Tylenol) is safe to take with Warfarin (Coumadin).
According to the Federal Controlled Substance Act, a prescription for Acetaminophen No. 4 would be filed in which schedule?
Acetaminophen No. 4 (Tylenol No. 4) are Schedule III and have less potential for abuse and dependence than Schedule II.
Which of the following is a Schedule III controlled substance under federal law?
Acetaminophen with Codeine is a Class III.
Which of the following may only be ordered by completing the DEA Form 222?
Acetaminophen with codeine is a Schedule III. No DEA Form 222 needed. THE CORRECT ANSWER IS: Oxycodone.
All of the following are requirements for a prescription label except:
Address of patient.
Computer generated safety features include drug alerts that _______________________.
Alerts and clinical warnings should be relayed to the Pharmacist on duty
Adverse drug reactions and outcomes should be reported to the:
All adverse drug reactions and outcomes should be reported to the FDA.
Which of the following drugs is prescribed for the relief of allergy symptoms? Phenylpropanolamine. Phenylephrine. Antihistamines. All of the above.
All of the above
A cross sensitivity is which of the following?
Allergic to two drug which are chemically similar
POS Systems allows the advantage of
Allows management of inventory.
Which of the following medications is a Schedule IV controlled substance?
Alprazolam is a Schedule IV controlled substance.
Which of the following medications is Schedule IV substance?
Alprazolam is classified as a Schedule IV substance.
Judy, a pharmacy technician for Med Pharmacy needs to find the information contained in the manufacturerer's package insert for Premarin. Which one of the following books is this information found?
American Drug Index provides all the following: Brand to generic name cross referencing, available medication dosage forms, and manufacturer name, address and phone number Physicians' Desk Reference (PDR)
What is the system called that generate electronic records of medication administration?
Bar Code Medication Administration (BCMA) generates electronic records of medication administration? THE CORRECT ANSWER IS: BCMA
Which of the following drugs is not a beta-blocking agent?
Benazepril
The percentage or fraction of the administered dose of a drug that actually reaches systemic circulation and the rate at which this occurs is the drugs:
Bioavailability is the percentage or fraction of the administered dose of a drug that actually reaches systemic circulation.
Which of the following is an example of a side effect of Fluorouracil therapy?
Bone marrow suppression is a side effect of Fluorouracil (antineoplastic) therapy.
The pharmacy technician can best prevent data entry errors by knowing_______.
Brand and Generic names of medications
NMDA Receptor Antagonists is a classification of drugs that is used to treat
Drug classes that are used to treat Alzheimer's Disease are NMDA Receptor Antagonists and Cholinesterase Inhibitors. THE CORRECT ANSWER IS: Alzheimer's Disease
Computerized Physician Order Entry (CPOE) is _____________________________.
COPE is a perscription that is directly entered by physicians into a healthcare system's electronic health record (EHR) Prescription that is directly entered by physicians
Caution should be exercised during reconstitution of alkylating agents because these agents
Can cause severe itching and burning upon contact.
Which of the following medications is prescribed to treat CHF?
Captopril.
What is the storage requirement for reconstituted Cefaclor 250 mg/5 ml?
Cefaclor, after reconstitution, must be refrigerated at 36 to 46 degrees F.
How would you identify a medication in a drug recall situation?
Drug recalls are identified by the drug's lot number.
Which of the following are true about Cimetidine:
Cimetidine (Tagamet) is an OTC preparation. It is used to reduce stomach acid and it does interact with many other drugs. [It will interact with Aminophylline and Barbiturates in I.V. solutions.]
All of the following medications must be prepared in a vertical laminar airflow hood except:
Cisplatin, Cyclophosphamide and Etoposide are toxic chemo drugs and must be prepared in a vertical hood to protect the Technician. Ceftriaxone
Which of the following medication might cause heart palpitation?
Claritin-D 12 hour contains Pseudoephedrine as a decongestant and might cause heart palpitation.
What type of prescription balance must be used for compounding 120 mg of a 1% topical anti fungal cream?
Class A balance has 6 mg sensitivity and can accurately weigh between 120 mg and 15 gm.
What type of prescription balance must be used for weighing 120 mg of a 1% Hydrocortisone cream?
Class A balance has 6 mg sensitivity and can accurately weigh between 120 mg and 15 gm.
Which Diagnostic Kit is used to test glucose in the urine?
Clinistix test glucose in the urine.
Which of the following medications is available in transdermal form?
Clonidine (Catapres TTS) patches are available in transdermal form.
Computer systems with POS soft ware help the pharmacy to determine the patinet's
Co-Pay amount Co-Pays are determined with POS systems
The cost-sharing plan in which patients pay a specified dollar amount for every prescription received is known as:
Co-payment is the cost-sharing plan in which patients pay a specified dollar amount for every prescription received.
Cocaine belongs to which category of controlled substances?
Cocaine is a Schedule II drug. Cocaine is legal when dispensed with a physician's prescription.
Codeine, Demerol and Percodan all belong to which controlled schedule?
Codeine, Demerol and Percodan are all classified as Schedule II narcotics.
Which of the following documents is proof of receipt of Class III controlled substances?
Commercial invoice is good documentation of receipt of Class III substances.
Which of the following is a "Capital Expense".
Computer hardware,Shelving, and Fixtures are all capital expenses.
Who is responsible for the drug recall process?
FDA - Is responsible for drug recalls.
Tall Man lettering is approved by witch organization?
FDA approves "tall man" letters
Which of the following is NOT a technician's responsibility?
Signing the DEA form from a wholesaler can only be signed by a registered pharmacist.
Of the following, which medication is most likely to be associated with development of photosensitivity?
Doxycycline, Tetracycline and Minocycline all have the side effect of photosensitivity.
A two-phase system of finely divided insoluble solid particles dispensed in a liquid is called:
suspension
The process of using dehydration to remove moisture from a solid substance, is called:
Desiccation is the act or process of desiccating or the state of being or becoming desiccated. This is the complete or nearly complete deprivation of moisture or of water not chemically combined
The process, which utilized dehydration to remove moisture from a solid substance, is called:
Desiccation.
According to the Controlled Substances Act, a prescription for Dexedrine should be filed under which schedule?
Dexedrine has high abuse potential and has accepted medical use placing it in Schedule II.
Which of the following medications belong to the same class of drugs as Etodolac?
Diclofenac
Digoxin belongs to which drug classification?
Digoxin (Lanoxin) is a cardiac glycoside used to increase muscle contraction of the heart.
Which drug requires a follow-up "cover" prescription when dispensed with an emergency verbal order?
Dilaudid is a Schedule II and requires a follow-up "cover" prescription when dispensed with an emergency verbal order.
Which of the following drugs is a calcium channel blocker?
Diltiazem Nifedipine
Which of the following auxiliary labels should be affixed to a prescription for Diphenhydramine elixir?
Diphenhydramine (Benadryl) is a Type I sedating antihistamine and should have auxiliary label May Cause Drowsiness.
A prescription states "Norvasc 5 mg #100 1 tab po qd". If the third party coverage limits the dispensing to a 30 day supply, the pharmacy should:
Dispense a 30 day supply with refills.
Distribution is the physiological process by which a drug:
Distribution is the physiological process by which a drug is transported throughout the body.
When selling pseudoephedrine per the CMEA regulations, it is not necessary for patients to provide _____________________.
Does not need employment of purchaser.
If Domboro tablets are received from the wholesaler, where should they be stocked?
Dolobid is an oral prescription drug. Domboro tablets is classified as 'over the counter' drugs. They should be stored with other 'OTC' external products. Where the bacitracin ointment is stored.
When a drug is filtered by the kidney into the bladder, this process is called:
Elimination is the process by which a drug is excreted from the body through the kidneys.
What is the primary function of the P + T Committee:
Establish standards for therapeutics.
Estraderm is available in which dosage form?
Estraderm is only available in patch form. The drug is absorbed through the skin. The syllable 'derm' is the key word.
Which of the following medications belongs to the same class of drugs as etodolac?
Etodolac (Lodine) and Diclofenac (Voltaren) are both NSAID's.
Which of the following medications belong to the same class of drugs as Etodolac? Phenylephrine. Diclofenac. Haloperidol. Cefaclor.
Etodolac (Lodine) is a NSAID. Cefaclor (Ceclor) is a Cephalosporin (antibiotic). THE CORRECT ANSWER IS: Diclofenac.
If a bottle breaks under the laminar flow hood, a spill kit should be used if the bottle contained which of the following?
Etoposide.
How often must a laminar flow hood be checked?
Every 6 months.
Which class of drugs decreases the viscosity of respiratory tract secretions?
Expectorants.
The process of repackaging quantities of medications that will be used in a short time usually for one patient is called:
Extemporaneous- repackaging is the process of repackaging quantities of medication that will be used in a short time usually for one patient.
Which drug agency is responsible to regulate medical devices?
FDA (Food and Drug Administration) is responsible for regulation of medical devices and drugs.
Who is responsible for recalling drugs?
FDA - Is responsible for drug recalls
The pharmacist asked you to check the compatibility of parenteral Dilantin with sodium chloride 0.9%. Which reference would you select to find this information?
Handbook on Injectable Drugs is the reference book used to check compatibility of parenteral drugs.
During prescription computer entry, the technician is responsible for all of the following except:
Handling drug interaction messaging. It is the responsibility of the Pharmacist to handle drug interaction messaging.
Pastilles are:
Held in the mouth and sucked.
The purpose of a horizontal laminar flow hood is to:
Horizontal laminar flow hood is to provide a sterile environment for admixture compounding.
As of October 6, 2014 the US Drug Enforcement Administration required all products containing what to become a Schedule II controlled substance?
Hydrocodone.
Which class of drugs stimulates insulin release in the body and is used in Type II Diabetes?
Hypoglycemic agents.
According to The Institute for Safe Medication Practice (ISMP) and ther Joint Commission (JC) using abbreviations in writing prescriptions:
ISMP and JC document that abbreviatiions can be misinterpreted, confusing or misunderstood
Which of the following drugs is not a laxative? Bisacodyl. FiberCon. Imodium. Colace.
Imodium is used to treat diarrhea.
In most states signature logs are required for which of the following:
In most states, signature logs are required for Medicaid, Third Party and Schedule V controlled prescriptions.
If a prescription is labeled "ii gtts au tid", the drug product may be:
In the directions "au" is the abbreviation for both ears. Cortisporin otic should be dispensed. THE CORRECT ANSWER IS: Cortisporin Otic.
Label direction for a prescription read "ii gtts os q4h x 5 d". Where should this medication be instilled?
In the sig: of the direction "os" is the abbreviation for left eye. THE CORRECT ANSWER IS:
If mailing controlled substances via the USPS,the authorized sender must _________________.
Incorrect!! The outside wrapper or container is free of markings that would indicate the nature of the contents Not Label the outside wrapper with name and quantity of drug within the package.
When the CPhT is obtaining information on a new ambulatory patient the technician should.
Information on patient profile: Name, DOB, Address, Phone, Insurance, Allergies and weight for children and infants.
Preservative-free injectable drugs must be used when drugs will be injected by which route of administration?
Intrathecal (brain or spinal cord) injection must be preservative-free.
Which of the following is not a function of good inventory control?
Inventory control does not reduce cash flow. Good inventory control should increase cash flow. THE CORRECT ANSWER IS: Reduce cash flow.
The main concern of pharmacy practice today is the:
Provision of optimal drug therapy for all patients.
Which of the following drugs requires the auxiliary label May Discolor Urine Red?
Pyridium
An ongoing, systematic process for monitoring, evaluating, and improving the quality of pharmacy services is:
Quality assurance is an ongoing, systematic process for monitoring, evaluating and improving the quality of pharmacy services.
Reconstituted Keflex is stable in the refrigerator for:
Reconstituted Keflex is stable in a refrigerator for 14 days at 36 to 46 degree F.
Which of the following is not a function of the inventory control area?
Reduce cash flow.
Refrigeration is difined as a temperatue range between_________.
Refrigeration is difined as between 2-8 degrees C or 46-59 degrees F
Reported medication errors occur (per the ISMP) how often?
Reported medications errors occur 3% of the time.
An overdose of Morphine would cause:
Respiratory depression
If a prescription is created, signed, transmitted, and received electroncially, all records related to that prescription must be
Retained electronically.
Morphine Sulfate oral solution 20 mg/5 ml and morphine sulfate oral solution concentrate 20 mg/1 ml should be stored at what temperature?
Room Temperature, at 15 degrees C to 30 degrees C (59 degrees F to 86 degrees F) for both.
What is the SBTL button on as cash register used for?
SBTL button: Used to get the final amount of the sale including tax.
How long may Demerol be refilled?
Schedule Class II may not be refilled.
Schedule III medications must be ordered in which of the following ways?
Schedule III medication can be obtained by calling the drug wholesaler directly.
In which controlled substance schedule is Fioricet with Codeine classified?
Schedule III.
Schedule V medications must be ordered in which of the following ways?
Schedule V medication can be obtained by calling the drug wholesaler directly.
Your receive a prescription for Sertraline (Zoloft) qd x 30 days. What is Sertraline?
Sertraline (Zoloft) is an antidepressant.
What auxiliary label should be attached to Amoxil 250mg/5cc suspension?
Shake Well
The computer program used for dispensing medication in the pharmacy setting is referred to as:
Software is generally referred to as an application program consisting of instructional tasks that could perform the task of dispensing medication in a pharmacy setting. THE CORRECT ANSWER IS: Software.
Which therapeutic class is not used in the treatment of blood and blood formation abnormalities?
Some therapeutic classes that are used in the treatment of blood and blood formation abnormalities are thrombolytics, hemostatics, and hemorrheologic agents. THE CORRECT ANSWER IS: Antimetabolites.
The ability for medication to maintain chemical and physical integrity over time is termed:
Stability is the ability for medication to maintain chemical and physical integrity over time.
Which of the following is NOT required on a unit-dosed packaged drug?
Storage requirements are not required on unit dose.
When dispensing unit dose, what is not required on the package.
Storage requirements.
If Phenergan suppositories is to be stored in a "cold place," the appropriate temperature range for storage is:
Store in a cold place means store in refrigerator at 2 to 8 degrees C or 46 to 59 degrees F.
Sumycin and Achromycin should not be administered with which of the following beverages?
Sumycin and Achromycin are both Tetracycline and will bind to calcium and should not be given with milk.
A patient package insert is mandatory when dispensing which of the following?
Supplemental information patient package inserts is mandatory when dispensing oral contraceptives. (Norethindrone)
When an adult patient requests to receive a vaccination, what supply is not needed in order to proceed to administer the vaccine?
Supplies needed Vaccine,Consent form,Gloves,Alcohol swabs, Cotton ball, Band-Aid and Sharps container
Corticosteroid therapy is characterized by:
Suppression of the body's production of cortisol.
Suprax suspension requires which auxiliary label?
Suprax is a suspension and must Shake Well Before Use. It is stable at room temperature and does not need refrigeration. THE CORRECT ANSWER IS: Shake Well.
What is Syrup of Ipecac indicated for?
Syrup of Ipecac is used to induce vomiting and treatment of poisoning.
Tagamet, Axid, and Pepcid are examples of a:
Tagamet, Axid, and Pepcid are antihistamines type II blockers, giving rise to the H2 receptor blocker.
What is the generic name for Nolvadex an anti-estrogen type medication that is often used in the treatment of breast cancer?
Tamoxifen
When filling a prescription, a pharmacy technician should not _________________.
Technicians should be familiar with drugs that look alike, drug names that sound alike and be familiar with abbreviations to avoid (TJC "Do Not Use" List THE CORRECT ANSWER IS: be familiar with the chemical makeup of drugs
Terbutaline belongs to which drug classification?
Terbutaline (Brethine, Bricanyl) act on beta-2 receptors and are bronchodilators. THE CORRECT ANSWER IS: Bronchodilator.
The computer error message "refill too soon" indicates:
The "refill too soon" indicates that the patient is attempting to get the prescription earlier than the "day supply" indicated. There may be a good reason for the early refill, the technician should ask the Pharmacist.
The first five digits of the National Drug Code (NDC) number identifies the:
The 1st five digits identify the manufacturer.
American Drug Index provides the following information:
The American Drug Index provides all the following: (A) Brand to generic name cross referencing. (B) Available medication dosage forms. (C) Manufacturer name, address and phone number.
The PBM routing mechanism for real-time third party claims is a:
The BIN number indicaters which PBM that your claim is sent to. It is the primary routing mechanism for real time prescriptions claims processing.
Which act states that before a dietary supplement or dietary ingredient can be marketed, the manufacturer must ensure it is safe?
The Dietary Supplement Health and Education Act of 1994 (DSHEA) states that before a dietary supplement or dietary ingredient can be marketed, the manufacturer must ensure it is safe.
The most widely used reference of an IV admixture program is the:
The Handbook of Injectable Drugs is the resource for stability and incompatibility studies of admixtures.
Valtrex is used in the treatment of
The Herpes Virus.
A MSDS provides what type of product information?
The MSDS provides information regarding product ingredients.
Which of the following books is used for FDA's list of approved drug products?
The Orange Book is used for FDA's list of approved drug products with the two letter code for therapeutic equivalence of generic drugs.
Who implements formulary review?
The P & T (Pharmacy and Therapeutics) Committee is responsible for formulary review.
When using a Class A Torsion balance to weigh Acetaminophen powder:
The proper method of use of a torsion balance is the weight goes on the right pan and the powder goes on the left pan.
The purpose of a formulary is a document:
The purpose of a formulary is to document a listing of committee-approved pharmaceuticals and therapeutics in stock.
What is the ratio strength (w/v) of a solution containing 300 g of solute in 1500 ml of solution?
The ratio strength (W/V) of a solution 300 gm of solute in 1500 ml of solution can be written as 1:5, 1/5, 300/1500.
The two parts of the syringe that should not be touched and remain sterile are:
The tip and plunger are sterile components that come in contact with medication used as injectables. These two components of a syringe must remain sterile.
The two basic parts of a needle are the:
The two basic parts of a needle are the shaft and hub
The AB letter code assigned by the Orange Book indicates the:
The two letter code assigned by the Orange Book indicates therapeutic equivalence of generic drugs.
The two letter code assigned by the Orange Book indicates the:
The two letter code assigned by the Orange Book indicates therapeutic equivalence of generic drugs.
The walls of a clean room should be washed how often?
The wall of a clean room should be washed monthly.
According to DEA regulations, when Schedule II substances are received, which of the following items of information must be recorded on DEA Form 222?
When receiving Schedule II substances the number of items received and the date of receipt must be recorded on DEA Form 222.
When medications are received in a pharmacy, the CPhT should check the order invoice against what?
When receiving goods verfying products ordered vs. prodcuts received must be checked against orginal purchase order.
Which auxiliary label should be affixed to the vial when dispensing Metronidazole?
When taking Metronidazole (Flagyl), avoid Alcohol due to its vomiting reaction. Auxiliary label Do Not Drink Alcoholic Beverages.
A patient on Warfarin 2 mg therapy should never take which of the following pain medications?
When taking Warfarin (Coumadin) the patient should not take medication that has aspirin. Percocet, Tylenol and Demerol do not have aspirin. Percodan does contain aspirin. Percodan.
When taking endothelin receptor antagonists, side effects can include
When taking endothelin receptor antagonists, side effects can include pale skin, troubled breathing with exertion, usual bleeding or bruising, and usual tiredness or weakness.
If Betadine ointment is received from the wholesaler, where should they be stocked?
Where the bacitracin ointment is stored.
Which of the following ophthalmic medications must be refrigerated?
Xalatan.
Which of the following is a Schedule IV controlled substance?
Xanax
Which of the following medications may not be crushed?
cotrin is an enteric coated tablet that is designed to dissolve in the intestines and should not be crushed.
The iPledge program, restricts the distributiion of:
iPledge program, restricts the distribution of all Isotretinoin (Accutane,Claravis) THE CORRECT ANSWER IS: All of the above