PTCB practice
ACE inhibitors
"PRIL" Captopril, Enalapril, Afosiopril Antihypertensive. Blocks ACE in lungs from converting angiotensin I to angiotensin II (powerful vasoconstrictor). Decreases BP, Decreased Aldosterone secretions, Sodium and fluid loss. Check BP before giving (hypotension) *Orthostatic Hypotension
Celsius to Fahrenheit formula
(Cx1.8)+32=F
mg/kg/day
(mg) times (kg) = dose per day
What is the formulas for alligation?
(x/x+y) (total volume) = high volume (y/x+y) (total volume) = low volume
Fahrenheit to Celsius formula
(°F - 32) / 1.8 = °C
How to know if a DEA number is correct
- add up all the odd numbers (except for last digit) - add up all even numbers and multiple by 2 - add the sum of steps 1 and 2 - the last digit in the sum should be the same as the last digit in the DEA number
Convert 1 : 7,500 to a percentage strength.
0.013%
What is the minimum weight class for schedule 3 (III) Balance is calibrated to?
1 gram
1 liter
1,000 milliliters
In what proportions should 20 % alcohol be mixed with 80% alcohol to obtain 50 % alcohol
1/2 of 80 % and 1/2 of 20 %
1 milligram
1000 micrograms
1 gram
1000 milligrams
You are aske to make 300 ml of a 4% NaCI solution. Using the 10% of NaCI stock solution and water. How much of each do you use
120 ml of 10% an 180 ml of water sums up to 300 ml
1 tablespoon
15 mL
You have 50% solution and 20 % solution, you are asked to make 480 ml of a 30% solution. What parts of each strength will be use. Give final volume needed for each prescription
158.4 ml of 50% and 321.6 of the 20 both sums up to 480 ml
Pharmacies must keep all records that pertain to controlled substances C-III through CV including receipts, inventories, prescriptions, documentation, of theft or loss and disposition for at least
2 years
1 kilogram
2.2 pounds
1 mL
20 drops
According to the DEA the original and transferred prescription for a controlled substance must be maintained for a minimum period of
24 months
1 ounce
28.35 grams
Prepare a gallon of 20% goop using 90 % goop ad plain sludge. How much of each do you add (in ml). What is the ratio strength of mixture?
2:7
One gallon
3,840 ml
How many drops are in 1 mL
30
1 ounce
30 mL
Before use, for how long should a laminar air flow hood be turned on?
30 minutes
1 pound
454 grams
1 teaspoon
5 milliliters
1 grain
64.8 milligrams
A drug ending in -pril falls into which drug class
Ace Inhibitor
What is a proportion?
An equation stating that two ratios are equal (RATIO)
What is teratogenicity?
Any drug that causes harm to the developing fetus or embryo
What classification of drug recall will cause serious adverse health consequences or death
Class I
Antitussive drugs are used to treat which of the following conditions?
Cough
What form is used to report theft of controlled substances
DEA form 106
Manufacturing status report should include
Dates and number of customer notified Number of customers notified and responded quantity of recalled product returned during recall
Alpha blockers
Drugs that block the alpha-1 receptors found in the smooth muscle in the bladder, neck, and prostate, causing them to relax.
Which act defines the defines the kind of drugs that cannot be safely used without medical supervision and restricts their sale for prescription by a licensed practitioner
Durham-Humphrey act
Federal legislation states that pharmacies must complete an inventory of controlled substances. How regularly should this be conducted?
Every 2 years
Which agency may issue a drug recall
FDA
Which organization is responsible for reviewing and approving REMS
FDA
What's the difference between flow rate and drop factor?
Flow rate is time. Drop is ml
What filter is in place to meet particulate requirements for a clean room to prevent microorganisms form entering the area ?
HEPA
Which med should be stored in original container ?
Nitorglycerin
enternal route
Orally, sublingually rectal
DEA Form 222?
Order form for CI and CII substances. Must be kept for 2 years. DEA Form 222s are only used to transfer or order Schedule II controlled substances.
What is the preferred method of measuring of adherence
PDC
Underuse of medication adherence
Patients underusing or overusing their medication
A drug that contains identical amounts of the same active ingredients
Pharmaceutical equivalent
All factors that influence the quality of meds and related products, pharm service and patient care in the medication process is called
Quality assurance
Where must recalled meds be stored
Quarantined, Isolated from other active meds
Varicella is administered in what route
Subcutaneous
What vitamin interacts with warfarin
Vitamin K
What medication can cause teratogenicity
Warfarin
All of the following are characteristics of a forged or fraudulent prescription except...
all the above
What is flow rate?
amount of fluid that flows in a given time
antifungal
an agent that destroys or inhibits the growth of fungi
OU (SIG)
both eyes
Which of the following requires REMS
clozapine
Time is measured in
days. hours, minutes and seconds
Parental route
directly into tissues under the skin. Intramuscular, intravenous, subcutaneous, intradermal
What is the name of the type of error that occurs when something is performed incorrectly, such as dispensing the medicine incorrectly?
error of commission
What needle is used for chemotherapy
huber
A patient receives an IV of 20,000 units of heparin in a 100mL bag over 45 minutes. If the set is calibrated to drop 15gtt/mL, what is the drops per minute rate?
in the first sentence they tell you 100 mL is given over 45 minutes >>>>> 100 mL/45 minutesYou want gtt/min and they give you gtt/mL. Multiply 15 gtt/mL by 100 mL to get 1500 gtt. Divide this by 45 minutes to get ~33.3 gtt/min.
Fluid is measured by
liters, milliliters and drops
Flow rate can be expressed as...
ml per minute, ml per second, gtt (drops) per mintue, gtt (drops per second)
Personal grooming that is accepted while working in sterile compounding
natural nails trimmed neatly
how to set flow track ?
put whatever you have on the left side and what you're trying to find on the right side
narrow therapeutic index
small differences in drug dose or blood concentration can be fatal (example fentanyl or levothyroxine)
flow rate formula
times all your answers then divide
What is the smallest microbe
virus