Test #5 Review

What is the smallest volume that can be accurately measured with a 100-mL graduated cylinder? a. 5 mL b. 10 mL c. 20 mL d. 50 mL

c. 20 mL

Which of the following directions is appropriate for a patient receiving a prescription of Januvia (sitagliptin)? a. 5 mg by mouth once or twice a day b. 20 mg by mouth twice a day c. 50 mg by mouth once a day d. 500 mg by mouth three times a day

c. 50 mg by mouth once a day

When is accreditation by The Joint Commission (TJC) required? a. Open a pharmacy b. Fill a controlled substance prescription c. Accept Medicare and Medicaid payments d. Accreditation is required for all of the above

c. Accept Medicare and Medicaid payments

Where does a technician log information concerning the contents of a particular product that has been compounded? a. Material safety data sheets (SDS) b. Formulation record c. Compounding record d. GMP

c. Compounding record

The symptoms of Cushing disease, excess secretion of adrenocorticotropic hormone (ACTH), are similar to overmedication side effects of what type of drug? a. Thyroid hormones b. Insulin c. Corticosteroids d. Vitamin D

c. Corticosteroids

Which of the following is not used in mixing compounds? a. Mortars and pestles b. Spatulas c. Cylindrical graduated cylinders d. Automated ointment mill

c. Cylindrical graduated cylinders

Which of the following types of diabetes is the least common? a. T1DM b. T2DM c. Diabetes insipidus d. All types occur equally in the population

c. Diabetes insipidus

Which insulin has an onset of action of 5-15 minutes? a. Insulin detemir (Levemir) b. Insulin glargine (Lantus) c. Insulin lispro (Humalog) d. NPH insulin (Humulin N)

c. Insulin lispro (Humalog)

Which of the following is not an advantage of blister packing in long-term care facilities? a. Allows older adult patients to get one dose out of the package without spilling or touching the other doses. b. Allows the crediting of unused doses if the physician changes the medication. c. Is less expensive. d. Identifying missed doses is easy; therefore, compliance is increased.

c. Is less expensive.

Which of the following insulin products is(are) long acting? a. Humalog b. NovoLog c. Lantus d. Humalog and NovoLog

c. Lantus

What does a Code Blue mean in the hospital? a. Bomb threat b. Hazardous material spill/release c. Medical emergency for an adult d. Medical emergency for a pediatric patient

c. Medical emergency for an adult

What is used for patient identification in hospital order entry in lieu of the patient's address and telephone number? a. Room number b. Insurance number c. Medical record number d. Birth date

c. Medical record number

What type of mortar and pestle is used for blending powders and pulverizing soft aggregates or crystals? a. Aluminum b. Glass c. Porcelain d. Wood

c. Porcelain

Which pharmacy technician works in a small specialty pharmacy that supplies a specific area of the hospital? a. Supply b. Inventory c. Satellite d. Patient

c. Satellite

Which is true about a standing order? a. A standing order needs to be filled as quickly as possible. b. A standing order is a protocol for a treatment that can be used in a specific situation. c. A standing order is a patient's regularly scheduled medication. d. A standing order is only used in an emergency situation.

b. A standing order is a protocol for a treatment that can be used in a specific situation.

Which of the following dosage forms are prepared using the punch method? a. Gelcaps b. Capsules c. Suppositories d. Enteric coated tablets

b. Capsules

Which of the following would be an appropriate flavoring for an antibiotic? a. Apricot b. Cherry c. Lime d. Raspberry

b. Cherry

What should be done with pill trays that are used for guiding tablets into unit-dose containers after each use? a. Nothing b. Clean with alcohol prep pads c. Rinse with water d. Clean with alcohol prep pads and rinse with water

b. Clean with alcohol prep pads

Doxercalciferol (Hectorol), which is used to treat hyperparathyroidism, is a form of which vitamin? a. A b. D c. E d. K

b. D

Which oral hypoglycemic agent is frequently used in combination products? a. Carbose b. Metformin c. Pioglitazone d. Sitagliptin

b. Metformin

Who requires hospitals to make all medications patient-dose specific? a. ASHP b. TJC c. NABP d. USP

b. TJC

What is the BUD for a water-containing oral formulation? a. The BUD is not later than the time remaining until the earliest expiration date of any API or 6 months b. The BUD is not later than 14 days when stored at controlled cold temperatures c. The BUD is not later than 21 days d. The BUD is not later than 30 days

b. The BUD is not later than 14 days when stored at controlled cold temperatures

Which condition is pioglitazone indicated? a. Type 1 diabetes mellitus (T1DM) b. Type 2 diabetes mellitus (T2DM) c. T1DM and T2DM d. No options are correct

b. Type 2 diabetes mellitus (T2DM)

All of the following statements are true regarding investigational drug use except: a. a logbook must be maintained for each investigational drug. b. all steps must be performed by a pharmacist. c. all medication must be returned to the sponsor upon completion of the study. d. investigational drugs must be separately stored from other drugs.

b. all steps must be performed by a pharmacist.

All of the following are reasons to compound medications except: a. a compound medication is no longer manufactured by a drug company. b. compounding a medication saves the patient money. c. a specialized dose is needed. d. the patient is allergic to something in the manufactured form.

b. compounding a medication saves the patient money.

All of the following are examples of medications found in a crash cart except: a. adult. b. geriatric. c. neonatal. d. pediatric.

b. geriatric.

Glucocorticoids, such as cortisol, have all of the following effects except: a. increases glucose levels. b. increases inflammation. c. increases the capacity to cope with stress. d. All options are correct.

b. increases inflammation.

The prime regulatory mechanism used by the endocrine system to maintain homeostasis is: a. endocrine mechanism. b. negative feedback. c. exocrine mechanism. d. homeostasis feedback

b. negative feedback.

Suppositories can be prepared using all of the following methods except: a. hand-rolling. b. punch. c. compression. d. fusion-molding.

b. punch.

All of the following are benefits of using an automated dispensing system (ADS) except: a. decreases errors. b. saves money. c. decreases patient wait time. d. simplifies inventory control.

b. saves money.

Vasopressin is another term for which of the following hormones? a. ADH b. Calcitonin c. Follicle-stimulating hormone d. GH

a. ADH

Which drug classification does metformin belong? a. Biguanide b. Meglitinides c. Sulfonylureas d. Thiazolinedione

a. Biguanide

Which of the following is(are) true about controlled substances in the institutional setting? a. Controlled substances must always be signed in and out of the pharmacy. b. The pharmacy technician verifies the beginning and final count. c. The pharmacy technician must perform a complete inventory of the pharmacy stock at the beginning of each day. d. All options are correct.

a. Controlled substances must always be signed in and out of the pharmacy.

Who assigns the expiration date for a medication? a. Drug manufacturer b. Individual compounding a medication c. Individual reconstituting a medication d. Individual repackaging a medication

a. Drug manufacturer

Who may mass produce medications? a. Drug manufacturers b. Hospital pharmacies c. Long-term care pharmacies d. Mail order pharmacies

a. Drug manufacturers

Which dosage form consists of alcohol and water? a. Elixir b. Emulsion c. Syrup d. Suspension

a. Elixir

Which of the following products is available in a 75/25 mix of long-acting and rapid-acting types of insulin? a. Humalog b. NovoLog c. Humulin d. Novolin

a. Humalog

What is the meaning of hypokalemia? a. Low potassium b. Low vitamin K c. Low calcium d. High potassium

a. Low potassium

Which of the following ingredients is(are) considered hydrophobic? a. Ointment b. Cream c. Oleaginous base d. Ointment and cream

a. Ointment

Which one of the following is not a reason for a pharmacy to repackage a bulk medication? a. Repackaging helps the technicians learn the drug names and strengths. b. Purchasing a bulk medication is less expensive than purchasing a unit-dosed medication. c. Certain medications are not available in unit doses. d. Repackaging may decrease the wait time for the patient to receive the medication.

a. Repackaging helps the technicians learn the drug names and strengths.

Which of the following is not a taste that may need to be masked in medicines? a. Sweet b. Salty c. Sour d. Bitter

a. Sweet

Which type of diabetes involves a complete lack of insulin secretion, resulting in the need for insulin injections for treatment? a. T1DM b. T2DM c. Diabetes insipidus d. All options are correct

a. T1DM

What auxiliary labels are needed for thyroid hormone replacement medications? a. Take as directed and take with water on an empty stomach. b. Take after eating. c. May cause dizziness and drowsiness. d. Take after eating; may cause dizziness and drowsiness.

a. Take as directed and take with water on an empty stomach.

The proper and accurate way to read a graduated cylinder is: a. at eye level. b. from a distance. c. at the top of the meniscus. d. at eye level and at the top of the meniscus.

a. at eye level.

Policies and procedures manuals contain information regarding all of the following except: a. employees' weekly schedules. b. emergency situations. c. daily work routines and responsibilities. d. mandatory trainings.

a. employees' weekly schedules.

The Pyxis MedStation utilizes __________. a. fingerprint scans b. passwords c. swipe cards d. All options are correct

a. fingerprint scans

Insulin is released in response to ____________________, and glucagon is released in response to ____________________. a. high blood glucose levels; low blood glucose levels b. low blood glucose levels; high blood glucose levels c. exercise; eating meals d. low glucose levels; exercise

a. high blood glucose levels; low blood glucose levels

The essential element for triiodothyronine (T3) and thyroxin (T4) production is: a. iodine. b. potassium. c. calcium. d. sodium

a. iodine.

Which is a true statement regarding satellite pharmacies? a. Satellite pharmacies are used in all hospitals. b. Satellite pharmacies are staffed by only technicians. c. Satellite pharmacies expedite order preparation and delivery. d. All options are correct.

c. Satellite pharmacies expedite order preparation and delivery.

What is the water portion of saline solution called? a. Dissolver b. Solute c. Solvent d. Dissolvent

c. Solvent

Which abbreviation implies an emergency situation? a. ASAP b. PRN c. Stat d. SO

c. Stat

Which of the following is an appropriate auxiliary label to be affixed to a bottle of orlistat? a. Avoid sunlight; may cause photosensitivity b. May cause drowsiness c. Take with food d. Avoid sunlight; may cause photosensitivity; may cause drowsiness

c. Take with food

Which organization establishes the standards for a non-sterile compounding area? a. U.S. Food and Drug Administration (FDA) b. American Society of Health-System Pharmacists (ASHP) c. United States Pharmacopeia (USP) d. Drug Enforcement Administration (DEA)

c. United States Pharmacopeia (USP)

When combining two or more ingredients that have different melting points, the ingredients are: a. placed in a container and melted together. b. melted from the lowest to the highest melting point. c. melted from the highest to the lowest melting point. d. mixed; the order of mixing is not important.

c. melted from the highest to the lowest melting point.

What is the minimum weighable quantity for a class A balance? a. 6 mg b. 60 mg c. 100 mg d. 120 mg

d. 120 mg

Which of the following capsules is the smallest? a. 000 b. 0 c. 1 d. 5

d. 5

What is aseptic technique? a. A method to prevent contamination b. Techniques used to prepare all intravenous (IV) medications c. Delivery system for medication orders d. A method to prevent contamination and techniques used to prepare all intravenous (IV) medications

d. A method to prevent contamination and techniques used to prepare all intravenous (IV) medications

After a medication is used from a crash cart the pharmacy technician must _________. a. retrieve the crash cart from the floor b. refill the medications used c. check the expiration dates of medications in the crash cart d. All options are correct

d. All options are correct

Which of the following criteria is(are) used to distinguish between types of hospitals? a. Size b. Profit or non-profit c. Types of services provided d. All options are correct

d. All options are correct

Which of the following is a compounding activity? a. Mixing b. Reconstituting c. Packaging d. All options are correct

d. All options are correct

Which substance(s) maintains calcium levels? a. Calcitonin b. Vitamin D c. Parathyroid hormone (PTH) d. All options are correct

d. All options are correct

A Pharmacy and Therapeutics Committee is made up of: a. pharmacists. b. nurses and physicians. c. administrative personnel. d. All options are correct.

d. All options are correct.

A hospital pharmacy that is not open 24 hours a day has which of the following options for filling after-hours medication orders? a. Allow limited access to medications by specific nursing personnel. b. Have an on-call pharmacist. c. Have an off-site pharmacy that can deliver medications. d. All options are correct.

d. All options are correct.

Compounded gummy lozenges may include: a. glycerinated gelatin and water. b. fruit flavoring. c. medicinal drug. d. All options are correct.

d. All options are correct.

Which is a true statement about parenteral medications? a. Parenteral medications bypass the digestive system. b. Parenteral medications are usually intended for systemic action. c. Parenteral medications are commonly considered to be injections. d. All options are correct.

d. All options are correct.

Which of the following statements is(are) true concerning beyond-use dating of compounded non-sterile products? a. The BUD of the final compound cannot exceed the expiration date of any of the separate components. b. No non-sterile compounded product can be assigned a BUD longer than 6 months unless documented in the literature. c. A topical formulation containing water has a 30-day maximum BUD unless documented in the literature. d. All options are correct.

d. All options are correct.

Which of the following statements is(are) true regarding a class A balance? a. Class A balance is also called a torsion or class III balance. b. Class A balance is required by most states' boards of pharmacy. c. Class A balance uses special milligram and gram weights for counterbalance. d. All options are correct.

d. All options are correct.

Which hospital department t stores backup stock for the pharmacy? a. Pharmacy supply b. Pharmacy closet c. Central stock d. Central supply

d. Central supply

What is the meaning of the acronym CADM? a. Complementary alternative drug monitoring b. Complementary alternative drug medication c. Computerized adverse drug monitoring d. Computerized adverse drug event monitoring

d. Computerized adverse drug event monitoring

Which of the following compounding additives maintains the dispersion of finely divided liquid droplets in a liquid vehicle made from two or more immiscible liquids? a. Disintegrant b. Lubricant c. Plasticizer d. Emulsifying agent

d. Emulsifying agent

Which one of the following is primarily considered a mineralocorticoid? a. Methylprednisolone b. Hydrocortisone c. Prednisone d. Fludrocortisone acetate

d. Fludrocortisone acetate

What is the meaning of the acronym GMP? a. Good mixing process b. Good manufacturing process c. Good manufacturing procedure d. Good manufacturing practice

d. Good manufacturing practice

All of the following are true of Graves disease except: a. Graves disease is an auto-immune disorder. b. common symptoms of Graves disease are goiter and exophthalmos. c. although rare, Graves disease is more common in women than men. d. Graves disease can be treated with thyroid hormone replacement therapy.

d. Graves disease can be treated with thyroid hormone replacement therapy.

What dosage forms are found in Crash or code carts? a. Oral suspensions b. Creams c. Suppositories d. Injectable medications

d. Injectable medications

Which dosage form is not covered under USP <795>? a. Ointments b. Elixirs c. Suppositories d. Intravenous (IV) medication

d. Intravenous (IV) medication

Which one of the following statements is true about hypothyroidism? a. Hypothyroidism is a rare medical condition. b. Symptoms include weight loss. c. Hypothyroidism is a life-threatening disorder. d. It can be treated with a thyroid hormone replacement medication.

d. It can be treated with a thyroid hormone replacement medication.

87. Humulin consists of: a. insulin aspart protamine + insulin aspart. b. insulin aspart protamine + insulin lispro protamine. c. insulin lispro protamine + insulin lispro. d. NPH insulin + regular human insulin.

d. NPH insulin + regular human insulin.

Which is the most important benefit of using the E-MAR system? a. Less paperwork b. Less time spent with the patient c. Less money d. Overall improved communication benefitting patient care

d. Overall improved communication benefitting patient care

Which is the largest gland of the endocrine system? a. Pituitary b. Adrenal c. Thyroid d. Pancreas

d. Pancreas

Which type of medications bypass the digestive system but are intended for systemic action? a. Enteral b. Oral c. Topical d. Parenteral

d. Parenteral

Which of the following dosage forms has the highest percentage of solid ingredients? a. Creams b. Ointments c. Suspensions d. Pastes

d. Pastes

Which term refers to a set of standards or guidelines within which a facility functions? a. Laws b. Ethics c. Dogma d. Protocol

d. Protocol

Which one of the following is not necessary when manually repackaging? a. Gloves b. Laboratory coat c. Hand washing d. Shoe covers

d. Shoe covers

Which medication(s) contain(s) the generic ingredient levothyroxine? a. Synthroid b. Levoxyl c. Armour Thyroid d. Synthroid and Levoxyl

d. Synthroid and Levoxyl

All of the following are GMPs for repackaging bulk medication except: a. equipment is in good, clean condition. b. appropriate packaging is used. c. correct beyond-use date (BUD) is assigned. d. medication is checked by a technician.

d. medication is checked by a technician.

For continuity of measurement with a class A balance, the weights are always placed on the: a. right side. b. left side. c. weighing boat or paper. d. right side and weighing boat or paper

d. right side and weighing boat or paper

All of the following should appear on a Unit Dose Record Log Sheet except: a. drug name. b. manufacturer's lot number. c. technician's initials. d. time prepared

d. time prepared