Pharm. Practice Q's

Class III

Which classification states that a product with a strange color or taste will be recalled according to FDA requirements?

Nitroglycerine

Which drug must be mixed and stored in a glass container?

Kefauver Harris Amendment

Which federal law introduced a 'proof of efficacy' requirement

Shake well

Which of the following auxiliary labels would be appropriate for a suspension?

well-closed container

Which of the following containers protects the contents from other solids?

120 capsules

A 60 day supply for a prescription for Colace 100 mg capsule taken bid should be filled with ___.

if the product is expired

A customer presents to the counter of an outpatient pharmacy with an untampered pharmacy product and seeks a refund. Under which of the following circumstances will the refund request be denied?

Take the handwritten prescription and inspect it for industry-recognized tamper-resistant features. A medication financed in any part by Medicaid must be "tamper-resistant," which means handwritten prescriptions must be written on paper that ensures unauthorized copying, modification, and use of counterfeit prescription forms. Upon being presented a handwritten prescription, the pharmacy technician must inspect it to see if it complies with the tamper-resistant regulations. If a pharmacy technician is presented a prescription that appears to be on improper paper, the tech should consult with a pharmacist before filling the prescription.

A customer who claims to be a Medicaid recipient presents a handwritten prescription to be filled. Which of the following steps should be taken first by a pharmacy technician?

$29.99 - ($19.74 + $3.20) =$7.05

A drug sells for $29.99 retail and has a wholesale cost of $19.74. The dispensing cost is $3.20. What is the pharmacy's net profit?

unit-dose log A unit-dose (repackaging log) must be completed when preparing unit dose medications, a DEA Form 224 is submitted when registering a pharmacy with the DEA, a mixing record is used when compounding medications, and an SDS is a document for hazardous chemical or drugs.

A pharmacy technician is preparing unit doses of a medication. What form must be completed?

inhalers

A pharmacy technician needs to be aware that which of the following medication needs a patient package insert (PPI)?

1 year from the date the prescription was written

A physician prescribes a prescription for a non- controlled schedule prescription with "prn" refills. For what period of time is the prescription valid?

DAW 1

A prescriber writes in her own handwriting: "Brand Name Medically Necessary." What DAW number should be assigned to the prescription?

D.

All of the following procedures should be followed with medication recalls EXCEPT: A. identify and quarantine all stock that matches the recall lot number B. Return the recalled product to the manufacturer C. Contact patients who received the recall product D. Report your recalled quantity to the FDA and mail them a sample for testing

D? all the rest do not require the childproof cap

All of these are childproof container exemptions under the Poison Prevention Packaging Act EXCEPT: A. cyclically administered oral contraceptives in memory-aid dispenser packages B. Patient requests non-child resistant packaging C. sublingual dosage forms of nitroglycerin D. OTC drugs

special shipment containers

Among the packaging requirements for radiopharmaceuticals, the use of ___________ are included

FALSE An incorrect pharmacy is not a quality related event because it doesn't involve inappropriate dispensing or administration of a prescribed medication.

An incorrect pharmacy is a quality-related event TRUE OR FALSE?

congestive heart failure

An individual's patient profile indicates he has CHF. What does this mean?

refrigerated, 10

Augmentin suspension should be _________ and it will last for ___________ days.

Nitroglycerin drip

When two different physician orders come across the fax machine for two different patients, one for Nitroglycerin drip and one for Keflex capsules, the order for ____________ should be given priority and should be filled and delivered first.

6

How many digits is a BIN #?

1. 3.5 L x ( 2 mg / 1 L) = 7 mg 2. (2.5 mg / 5 mL) = (7 mg / x mL) x= 14 mL

How many mLs of a 2.5 mg / 5 mL stock solution would be needed to prepare 3.5 L of of a 2mg / L solution ?

take 5% of 900 = 45 g

How much dextrose is in a 900 mL solution of D5W?

1. take 15% of 55.56 = $8.334 $8.334 + $55.56 = $63.894 (for 100 pills) 2. set up ratio for 30 pills now (100 pills / $64.894) = (30 pills / x) = $25.16

If AWP for the bottle of 100 Percocet is $55.56 with a 15% markup and a $6 dispensing fee is charged, what would the retail cost be for 30 tablets?

treat the drug as if it was recalled

If a pharmacist receives a drug product that has its lot number torn off or it is no longer visible, what should the pharmacy do?

(225 mg / x) = (125 mg/ 5 mL ) x= 9 mL

If amoxicillin 225 mg PO TID is ordered, how many mL of the 125/5 mL suspension would be administered ?

2 ways to solve. A. 1. (2 mg / mL) x ( 1 hr / .8 mg) = (2.5 mL / 1 hr) 2. set up proportion (2.5 mL) = (x mL / 12 hr) x = 4.8 mL B. 12 hr x (.8 mg / 1 hr) x ( 1 mL / 2 mg) = 4.8 mL

If morphine is infused at the rate of 0.8 mg/hr, how many mL of morphine sulphate 2mg/mL would be needed for 12 hrs of analgesic?

D

Medicare Part ___ provides prescription coverage.

PPI

On which of these would you find information about the pharmacology of a drug?

simvastatin -due to a risk of toxicity

Patients should avoid grapefruit juice if they are taking:

mEq, inpatient The correct answer is "mEq" because that is the unit of measurement used to express the strength of this particular medication, and it's commonly dispensed from inpatient pharmacies, not outpatient pharmacies.

Potassium Chloride 20 _______/10 mL is commonly dispensed from _______ pharmacies.

a locked safe

Schedule II medication must be stored in:

counting tray

Solid dosage forms, such as tablets and capsules, are transferred from the stock bottle to the prescription container using which of the following?

Do not take with dairy or iron products -treats acne/ skin infections

Which auxiliary label should be affixed to a prescription for tetracycline ?

comminution

The action of reducing a material to small particles is...?

date unit dose was prepared, drug (generic name, medication strength, dosage form, quantity prepared, drug manufacturer, drug manufacturer lot number, manufacturer's expiration date), pharmacy- assigned beyond-use date, pharmacy lot number, pharmacy technician's initials, and pharmacist's initials.

The following information is required to be filled out on a unit-dose log record:

A.

The pharmacy technician notices that a dosage may be typed wrong in the system. The reading may be too large of a dose. What should the technician do in this case? A. alert the pharmacist to verify B. ask the patient C. go ahead and change the dosage D. call and ask the physician if it is the correct dose

trituration -using mortar and pestle

The process of reducing the particle size of a substance by GRINDING is

IV

The route of administration that allows medication the quickest onset of action is ____________.

0

The transferring of a Schedule II prescription can be done how many times?

Grave's Disease

This is an autoimmune disease in which the thyroid is overactive, and produces excessive amounts of thyroid hormones

true

True or false? Xanax is a schedule IV controlled substance?

treat all human blood and certain human body fluids as if they were bloodborne pathogens

Universal Precautions:

H2 blocker -Hw blockers, which are also called H2 receptors antagonists, are used to treat GERD

What classification of drug would be used for a patient suffering from acid reflux?

capsule

What dosage form would be placed in an amber blister pack?

medication order

What is an order written for a medication in the hospital setting?

Prescription

What is an order written for a medication in the outpatient setting?

ORDER

What is the DEA form 222 used for? to PRESCRIBE schedule II meds or to ORDER schedule II meds?

Myocardial infarction -more commonly known as a heart attack. It is usually caused by the blockage of a coronary artery.

What is the condition in which the blood supply to a part of the heart is interrupted, causing heart cells to die?

120 g

What is the maximum capacity for class A balance?

It is an unexpected response to medication.

What is the nature of a drug idiosyncrasy?

The amount of medication prescribed, quantity, and strength

What is the part of the prescription that contains the inscription?

wash hands and forearms TO THE ELBOW for at least 30 seconds

What is the proper hand washing guideline in USP <797>

Provides additional information about the medication that may include when to take the medication, storage, and possible adverse effects

What is the purpose of an auxiliary label?

The Rx symbol

What is the superscription ?

01 01 refers to the cardholder, 02 is the spouse of the cardholder, and 03 and 04 refer to cardholder's dependent based on chronological order (oldest to youngest)

What relationship code would be used to identify the cardholder of a prescription drug card?

cool A cool environment is defined as any temperature between 8° and 15° C (46° and 59° F).

What term refers to a temperature of 10° C?

Member ID number, BIN, and PCN

What three components are needed to bill a pharmacy claim?

Hermetic

What type of container prevents air from reach- ing the medication?

On prescriptions for all controlled medications only

When is the prescriber's DEA number required on prescriptions?

vertical laminar flow hood

When preparing chemotherapy drugs, which of the following is

The larger part of a solution The larger part of a solution is called the "solvent." A solvent is a substance, usually a liquid, that dissolves another substance to make a solution.

Which of the following defines a solvent?

Oral contraceptives

Which of the following drug classifications does not need to be dispensed in a child-resistant container?

Pyxis Medstation Pyxis Medstation is commonly used to store medication, while also providing safety and security.

Which of the following is a type of automated medication dispensing system kept on nursing units that gives nurses and physicians quick access to medications?

b. The expiration date and medication lot num-ber do not need to appear on patient product in-sert. Information contained on a patient product insert includes the drug name, clinical pharmacology, indications and usage, contraindications, warnings, precautions, adverse reactions, drug abuse and dependence, overdosage, dosage and administration, how supplied, storage information, the date of initial product approval; and a toll-free number and Internet address.

Which of the following is not found on a patient package insert ? a. Description of medication b. Expiration date and lot number of medication c. Indications for medication d. Date of drug approval

C. medication # (lot #)

Which of the following is not required on a medi- cation order label? a. Expiration date of medication b. Lot number of medication c. Medication number d. Name and location of patient

A prescriber or a patient may request that one is placed on the container.

Which of the following is true regarding EZ-open prescription bottle lids?

MedWatch Form

Which of the following is used to report medication quality problems?

Ace Inhibitors (PPIs usually provide additional info about the drug)

Which of the following medications does not require that a patient package insert be given to the patient?

Sublingual nitroglycerin

Which of the following medications is permitted to be dispensed in nonchildproof containers?

Have the patient sign the back of the prescription indicating that he or she has requested an easy-open container.

Which of the following must be done if a patient requests an easy-open container?

Medicare Part C -Medicare Part C or Advantage Plan contracts with Medicare to provide Part A and Part Benefits through HMO and PPO. Medicare Part A covers inpatient hospital care; Medicare Part B covers physician services and outpatient care; Medicare Part D covers prescription medications

Which of the following part of Medicare is a health plan offered by private insurance companies?

subscription -Any special instructions or directions to the pharmacist

Which of the following parts of the prescription would contain the refill information?

Prescriber's DEA number

Which of the following pieces of information does not need to appear on a prescription label for a controlled substance?

Patient's ID #

Which of the following pieces of information is not needed on a patient's prescription?

AAC The actual acquisition cost (AWP is average wholesale price and is the price the wholesalers sell a medication)

Which of the following represents the cost the pharmacy paid for the medication?

SL

Which of the following ways are Nitrostat tablets taken?

kava

Which of these herbal medications can be used to treat anxiety?

Class B balance The ability to accurately balance product is extremely important in compounding. The Class B balance measures 650 mg to 120 g. The Class A balance is only required to be sensitive enough to measure 120 mg to 15 g. -sensitivity reading of 6 mg

Which scales are sensitive enough to measure a 650 mg to 120 g?

regular

Which type of insulin may be added to an IV solution?