PTCB practice

A distributor has sent (2) invoices for recently received shipments. The total due on the first is $997.50, and the total due on the second is $287.90. This particular distributor offers a 2% discount if paid in full within 10 business days. What amount will the check need to be if these invoices are paid together within the discount period?

$1,259.48

What is the full price of 90 tablets of "Drug B" assuming your cost for 500 tablets is $425 with a 28% markup and a dispensing fee of $4.85?

$102.77

the point of sale system has crashed, and sales orders must be hand calculated. A customer is picking up a prescription for $18.56, and also wants to buy a Hallmark greeting card for $3.79, and a bag of Oberto Teriyaki Beef Jerky for $5.99. The local sales tax is 6.3% but prescription drugs are tax exempt. If the customer pays with two $20 bills, what change will be due?

$11.04

Your pharmacy offers a discount for prescriptions paid for with cash of 5% off generics and 10% off brand names. A customer is picking up an order filled with a generic substitute that costs $14.80, and an order filled with a brand name drug that costs $107.20. How much will they save if qualified for the discount?

$11.46

While waiting for a prescription at your retail pharmacy, a customer has decided to buy a Scooby Doo Chia Pet. The item consts $15.99, but its currently 20% off. The prescription co-pay is $10 and the customer has just one. The sales tax rate is 8.3%. Prescription drugs are exempt from sales tax. What will their total due be for both items?

$23.85

Your pharmacy calculates its retail prices based on 30% above AWP. Additionally, a professional fee of $5.00 is added. The AWP for drug Z is $55.00 for 250 tablets. Calculate the retail price for the following prescription: Rx: Drug Z #90 Sig: iii tabs TID x 10 days

$30.74

the regular price of an OTC drug is $19.99, and this week a coupon is available for a 20% discount. The coupon specifies a limit of two per customer. What would the total price be for a customer purchasing two of these items?

$31.98

Your wholesale cost for 1000 tablets of a sleep aid drug is $829.00. Your customer's order is for a 30 day supply with instructions to take 1 tablet at each bedtime. If the mark-up rate is 14% and the pharmacy's dispensing fee is $3.65, what will the final price of the order be at pick-up?

$32.00

Corporate faxed a memo which says a particular product is being discontinued, and to mark those products down by 35% tomorrow. In stock, you store only has two of the items left that sell for $49.99. How much will the new price be tomorrow?

$32.49

Sales are being hand written on invoices while I.T. tries to fix the registers. A customer is paying cash for her dog's prescriptions. One is $18.75 and another is $32.87. Additionally she wants to purchase a quart of milk for $0.99 and a pack of cigarettes for $4.29. Everything except the cigarettes are exempt from the local 8.25% sales tax. What will her change from a $100 bill be?

$42.75

At your hospital, regulated medical waste is treated differently than regular trash. Also known as Biohazard waste, it is handled carefully and disposed of through a specialty waste contractors for a fee. Their fee for RMW disposal is $0.26/per lb plus $40 for each pickup. In April, they were called for pickup 6 times and picked up a total of 345kg. Which of the following amounts is approximately what the RMW fees will be for April?

$435.34

While waitinf for a prescription at your retail chain pharmacy, a customer has decided to also buy 2 Ove'Gloves for $14.99ea, and 1 The Clapper for $19.99. Both items are part of this weeks 20% off sale. Their prescriptions co-pay is $10 and the customer has only one. The local sales tax rate is 8.5%. If prescription drugs are exempt from sales tax, what will be their total amount due for the four items?

$53.38

The pharmacy manager has given you a task to complete. A policy has changed on the mark-up percentage of OMRON brand durable medical devices, and she wants you to determine the new retail pricing for the OMRON products in stock. The current mark-up percentage is 42%, and starting tomorrow the mark-up percentage will be lowered to 32%. The 1st product you'll change the price of is a blood pressure monitor which has a wholesale cost of $50 and currently sells for $71. What will the new price be with the lower mark-up?

$66.00

A pharmacy may determine their retail price of a drug order by taking the average wholesale price (AWP) minus a certain percent discount, then add a set dispensing fee. If the discount off AWP is 12% and the dispensing fee is $8.71, what would the selling price be for an order with an AWP of $72.58?

$72.58

A new OTC product needs to be prices and added into stock inventory. The wholesale cost for a 36 unit case is $170.34. For this type of product, the required mark-up is 90%. What will the retail cost be for each unit of this product?

$8.99

Your pharmacy calculates the retail price of medication orders using the following formula: Average wholesale price (AWP) less 19%, plus a set dispensing fee of $7.58. What would the selling price be for a prescription with an AWP of $96.10?

$85.42

YOur pharmacy calculates the retail price of medication orders using the following formula: Average Wholesale Price less 19%, plus a set dispensing fee of $7.58. What would the selling price be for a prescription with an AWP of $96.10?

$85.52

Your retail pharmacy sells dispensed products at 25% markup over wholesale plus a set dispensing fee of $2.25. If the wholesale cost for 900 tablets of a particular drug is $702.00, what will be the final cost of an order for 90 tablets?

$90

Your wholesale cost for a drug is $360 for 500 tablets, your pharmacy charges a 32% markup and a dispensing fee of $5.25 per order. What is the full price for an order of 90 tablets?

$90.79

Your wholesale cost for a drug is $360 for 500 tablets. Your pharmacy charges a 32% mark-up and a dispensing fee of $5.25 per order. What is the full price for an order of 90 tablets?

$90.79

When treating young children, doctors must be careful to porperly customize therapy dosages. For pediatric dosage calculations, one formula used is called Clark's rule. Which of the following best describes Clark's rule?

(adult dose) x (child's weight/150lbs)

A capsule is a soluble container that encloses a dose of a drug or a nutritional supplement for oral administration. which of the following is the largest size of a capsule?

0

A pharmacy technician was calibrating a pipette dropper using a graduated cylinder. the 2.5mL mark was reached after 31 drops. Based on these results, how many mLs are in each drop?

0.08mL

Humulin U-500 is designed for pts injecting high daily doses of insulin per day. It contains 5 times as much insulin as standard U-100 insulin. How many mL of Humulin R U-500 are required to deliver per dose if the pt is prescribed 300 units/day in 3 equally divided dosages?

0.2mL

Con conjunctivitis, a pt was prescribed the following eye drops: Cilocan 3mg/mL sig: ii gtts OU q4h What strength of ophthalmic solution should be dispensed?

0.30%

A single use packet contain 1 gram of Drug S, as well as 8.4grams of additional ingredients and sweetening agent. The directions are to dissolve the contents in 6oz of sterile water. Not accounting for displacement effect, what is the approximate concentration strength of Drug S in the final solution?

0.56%

A single use packet contains one gram of Drug S, as well as 8.4 grams of additional ingredients and sweetening agent. The directions are to dissolve the contents in 6oz(180ml) of sterile water. Not accounting for displacement effect, what is the approximate concentration strength of Drug S in the final solution?

0.56%

For the purpose of selling, compounding and dosing; mass measurements are calculated. Which of the following dry measurements is the heaviest?

0.76 Kilograms

For an IV solution to be isotonic, it must have a similar concentration of Sodium Chloride found in normal body cells. Which of the following concentrations is isotonic?

0.90% NaCL

U-100 insulin is the most commonly prescribed. However, insulin may be ordered in different strengths (i.e. U-40). The "U" value indicates the number of active insulin units in each ____mL of liquid.

1

During the end of the swing shift, another technicians has poured 16oz of D5NS and 16oz of D10NS into a 1L Erlenmeyer flask for a custom compounding, What solution has this tech concocted?

1 Quart of: D7.5NS

A 26 year old pt who weighs 165lbs has been prescribed a therapy of 2mg/kg tid x10days of a certain drug to be dispensed as a solution. In stock, there are 12oz bottles of 1% premixed solution to dispense. Which of the following measurements will deliver the required amount for each dosage?

1 TBSP

You've been tasked to compound 30 grams of a 0.5% zinc oxide ointment. You have a stock preparation of zinc oxide 5% strength to mix with petrolatum to dilute to the ordered strength. In what (parts) ration could this be compounded?

1 parts zinc oxide 5%; 9 parts petrolatum

Vaginal yeast infections are caused by the overgrowth of a type of yeast called candida. A typical prescription to treat the condition is fluconazole. For the following fluconazole prescription, how many tablets will be dispensed? RX: Diflucan 150 SD

1 tablet

To maintain PTCB certifications, a Pharmacy Tech must complete a minimum of 20hrs of CEU withing every 2 years. How many of those hours must be in the subject of pt safety?

1(One)

For a therapy to treat an infection, an order for 30mg of injectable drug has been ordered STAT. The drug is available as 2.5% inj Solution. What volume of the solution is needed to fill this order?

1.2mL

A custom compound suspension has been ordered for a patient to pick up. The actice drug is available in 300mg tablets, and the order is asking for 200mL of a 1.5% solution. How many tablets will be used to compound this suspension?

10

A custom compound suspension has been ordered for a patient to pick up. The active drug is available in 300mg tablets, and the order is asking for 200mL of a 1.5% solution. How many tablets will be used to compound this suspension?

10

The drug Tramadol is typically prescribed for moderate pain in adults requireing treatment for an extended duration. How many days will the following prescription last? Rx: Tramadol #120 Sig: 2 tab po q4h

10 days

An order for 6oz of custom cough syrup needs to be compounded. Part of the directions call for 45ml of 40%ethanol alcohol. After this order is fully mixed, what will the syrup's approximate alcohol concentration strength be?

10%

A reconstituted suspension was compounded for an antibiotics therapy. The mixture contains 125mg/5ml, and an auxiliary label instructing to shake well and keep in the refrigerator was placed on the bottle. Which of the following temperatures does not fall within the recommended storage requirements?

10*C

Type I diabetes is sometimes referred to as insulin-dependent diabetes. Insulin is a hormone that treats diabetes by controlling the amount of sugar in the blood. Which of the following best describes the concentration found in U-100 insulin?

100 units per 1mL

A 24 year old pt weighs 220lbs. and the recommended adult dosage for a certain drug is 2.5mg/kg. The physician has asked for this dosage to be administered once daily and for the nurse to calculate their dosage. What is the pts weight in kilos?

100kg

Many NSAID drugs are sold without prescription and have several medical uses. They are often taken during self-care for their antipyretic effect. Which of the following symptoms might a pt be experiencing that an antipyretic drug could specifically help relieve?

102* Fever

A pt was scheduled an on-demand appointment, complaining of symptoms of dizziness and vomiting. During the exam, their body temp. was recorded as 39*C. What is their approximate temperature in Fahrenheit?

102.2

At 1800hrs, a pt was ordered 600mg of a drug to be infused intravenously over several hrs. The IV bad contains a 0.50% solution of the active drug, and the micro-drip(60gtt/ml) administration device was set to deliver 30gtt/min. What time will this infusion conclude?

10:00PM

A patient is prescribed: Heparin 25,000 Units in 250cc D5W to run at 1000 units/hr. A micro-drip set (60gtt/mL) will be used for infusion. What flow rate will be used?

10gtt/min

The minimum/maximum inventory level for prozac 20mg is 6/12. While taking inventory to prepare for a stock order, you find only 1 bottle on hand, what is the reorder quantity you will request?

11 bottles

The pharmacy lead left a 750mL bottle of 18% solution on the table. She then asks you to mix it with sterile water to dilute it all to 12%. How much of the final solution be available?

1125mL

A custom order needs to be compounded. It calls for 400mL of a 0.15% solution. If the drug is available in 50mg tablets, how many will be required to mix the needed solution?

12 tablets

A prescription calls for 120mL of a 0.5% solution. In stock, you have a 100 count bottle of the drug in 50mg tablets. How many tablets will be needed to fill this prescription?

12 tablets

A solution drug is shipped from the wholesale supplier in highly concentrated gallon bottles. The direction say to mix the solution in a 1:3 ratio with sterile water. If the case received contains four of the gallon bottles, how many pint size bottles could you mix with this shipment?

128

Cyclosporine is an immunisuppressive agent administered 4-12hrs prior to solid organ transplantation to prevent rejection. The standard oral dosage is 15mg/kg PO. This drug is available in 50mL bottles of 100mg/1mL concentration. Approximately what volume would be required for a 177lb transplant pt?

12mL

Cyclosporine is an immunisuppressive agent administered 4-12hrs prior to solid organ transplantation to prevent rejection. The standard oral dosage is 15mg/kg PO. This drug is available in 50mL bottles of 100mg/1mL concentration. Approximately what volume would be required to be administered to a 177lb transplant pt.

12mL

An IV was started at 2300 and ordered to run at 10gtt/min. The bag contains 375mg of drug in a total of 1L of D5W. If the infusion set is calibrated to deliver 10gtt/mL, how much of the drug will the pt have received by 0500?

135mg

Amoxicillin is used for the treatment of bacterial infections and can be prescribed as an oral suspension. The shelf life for Amoxicillin powder for suspension is typically 3 years from manufacture date. Once the powder is reconstituted, how long is the shelf life of the suspension if it's kept refrigerated?

14 days

a 32 year old adult patient weighs 176lbs and has been prescribed a new therapy. THe directions are for 7.5mg/kg/D to be taken PO in 3 equally divided doses for 5 days. The drug is available in 200mg tablets. How many tablets will you dispense for this order?

15 tablets

A solution was mixed to yield 500mL of a 12% concentration. However upon review you realize the solutions needs to be an 18% strength. How much 20% solution could you add to increase the concentration to the desired strength?

1500mL

Two solutions are combined in a 3:1 ratio to make a custom compounded solution. How many of ea is required to make 200mL of this mixture?

150mL: 50mL

A patient with a skin condition has been prescribed a custom cream, which will contain 0.5% neomycin. If the order calls for 30g of the cream, how much neomycin will be needed to compound the order?

150mg

A PT was ordered a drug therapy of an antibiotic suspension with directions to take 250mg PO BID et hs x15 days. The compounding directions for the mixture yield a 125mg/5mL suspension. Approximately how many ounces will be needed to fill this order?

15oz

A pt was ordered a drug therapy of an antibiotic suspension with directions to take 250mg PO bid et hs x15 days. The compounding directions for the mixture yield a 125mg/5mL suspension. Approximately how many ounces will be needed to fill this order?

15oz

The recommended adult dosage for a certain drug is 400mg. What should the dosage be for an 8year old girl who weighs 52lbs if using Young's rule?

160mg

The recommended adult dosage for a certain drug is 400mg. What would the dosage be for an 8 year old girl who weighs 52lbs, if using Youngs Rule?

160mg

The recommended adult dosage for a certain drug is 400mg. What would the dosage be for an 8year old girl who weighs 52lbs, if using Youngs Rule?

160mg

a 6 year old boy named Dan has an infection, and his pediatrician will prescribe Drug #C. The adult dosage for drug#C is 500mg BID. Dan weighs 50lbs, and measure 3'7. If the dr decides to use the child BSA and prescribes a dosage of 200mg/m2 BID, how much will be administered for each dosage?

166mg

A pt with a respiratory condition has been ordered the following therapy: RX: Prednisone 5mg Tabs Sig: 5mg tid x3d 5mg bid x3d 5mg qd x3d How many tablets will be needed to fill this order?

18tablets

The drug sarafem is indicated to teah Prementrual Dysphoric Disorder; which is a sever form of PMS. The generic name for this drug is fluoxetine, which is also marketed under the brand name Prozac, and is approved to treat depression, OCD, eating disorders, and panic disorders. Including the initial prescription for fluoxetine, how many fills can be authorized on a single script?

1year

An order has arrived for a customers daughter who has influenza. The dr prescribed the following: Rx: Oseltamivir SUSP sig: 60mg PO BID x5D in stock you have TAMIFLU oral susp 6mg/ml in 60ml bottles. How many bottles will you need to dispense this order properly?

2

a 5year old boy with a kidney disorder weighs 44lbs and has been prescribed the following: RX: VERIPRED 20 Sol. sig: 2mg/kg/day in 2 equally divided doses If measured in teaspoonfuls, how many should be given daily considering VERIPRED 20 sol. contains 20mg prednisolone per 5mL?

2 (Teaspoons)

Dr. Sanchez has prescribed a pt 750mg of a drug to be taken in an oral solution twice a day. In stcok you have 2.5% solution to dispense. What amount of the available solution will each dose be?

2 TBSP

Dr. Sanchez has prescribed a pt 750mg of a drug to be taken in an oral solution twice a day. In stock, you have 2.5% solution to dispense. What amount of the available solution will each dose be?

2 TBSP

A cancer pt on the east wing has started feeling nauseous after chemo. The physician has decided to prescribe a STAT dose of 2mg of granisetron via oral solution. Your pharmacy stock 0.02% Granisetron oral solution, How much of the solution will need to be administered for this dose?

2 Teaspoons

At your LTC pharmacy, a prescription arrived for a pt at an addiction rehab/detox facility. The order is for: Rx: Amoxicillin susp sig: 450mg po tid x7d The directions on the dry powder vial instruct as follows: reconstitute with 51 mL of purified water for a concentration of 400mg/5mL (75mL total volume when reconstituted) How many vials of the dry powder will be used to fill this prescription?

2 vials

The DEA requires all records concerning controlled substances to be maintained for inspection and copying by duly authorized DEA official. Additionally. records for Sch. II drugs must be maintained separately from all other records. What is the minimum required period of time pharmacies in the US must keep records of DEA Sch !! drugs purchased, received, stored, distributed, dispensed, or otherwise disposed of?

2 years

Under the US Dept. of Justice, the DEA is charged with enforcing the Controlled Substances A t. They track the manufacture and distribution of drugs considered to have potential for abuse or addiction. A device used for tracking is DEA From 222, and must be used by pharmacies to order Schedule II drugs into stock. The forms must also be kept separate from all other paperwork in a secure file system. Under federal law, how long must a DEA form 222 be retained?

2 years

Amoxicillin is to be administered PO from a multiple dose container. After water is added for reconstitution, the well shaken oral suspension will yield 250mg/5mL. If the prescribed childs dose is 100mg BID, how much should be administered per dose?

2.00 Mililiters

When a needle is inserted through the stopper of a medication vial, occasionally a small piece of the stopper is shaved off and may not be noticed. This is referred to as "coring." Smaller gauge needles may reduce the risk of coring. Which of the following needles would least likely cause coring?

20 gauge

Medications all have specific requirements for their storage. For example, manufacturers recommend storing insulin in the pharmacy's refrigerator. Additionally, if drugs are stored in an area that gets too warm or cold, it can negatively affect their efficacy. A majority of drugs are best stored at controlled room temperature. Which of the following is withing Controlled Room Temperature?

20*C

Its 0500 at the hispital, an order for 1.2L of a 10% oral solution is needed STAT. In stock, you have only 12% solution. Which of the following mixtures will yield the volume and strength needed to fill this order?

200mL of Sterilized water + 1000mL of 12%

A majority of states now require pharmacy technicians to be nationally certified before they will issue a new or renewal state pharmacy technician license. National certification is offered through the National Healthcareer Association and the PTCB. After initial certification, tech must renew national certification every 2 years. Which of the following describes the minimum CEU requirements for CPhT re-certification through the PTCB?

20hrs appro ved CE( including 1hr pt safety + 1 pharmacy law)

For a special topical preparation, the compounding instructions call for a 25% alcohol solution. The pharmacy manager wants you to dilute a bottle which contains 80mL of 75% alcohol solution and make as much 25% as possible. What will the final volume be?

240mL

For a special topical preparation, the compounding instructions call for a 25% alcohol solution. The pharmacy manager wants you to dilute a bottle which contains 80mL of 75% alcohol solution, and make as much 25% as possible. What will the final volume be?

240mL

A customer at your pharmacy returned from a weekend camping trip suffering from a severe allergic contact dermatitis after falling into a shrub bed of poison sumac. His doctor has called in the following tapering prednisone prescription: RX: Prednisone 10mg Tabs sig: ii tab bid x3d iii tab qd x2d ii tab qd x2d i tab qd x2d ss tab qd x2d How many tablets should be dispensed for this order?

25

a 44 year old patient weighs 220lbs, the recommended adult dosage for a certain drug is 2.5mg/kg. The physician has asked for this dosage to be administered once daily. What is the pts dosage in mg?

250

An IV infusion has been ordered for a patient of 1L of 0.5% active drug in D5W/10hrs. The administration set is calibrated at 15gtt/mL. What flow rate will be used?

25gtt/min

A pt is prescribed Drug Q suspension, 7.5mg/kg/day to be taken with meals in 3 equally divided doses. Drug Q suspension contains 25mg/5mL. If the pt weighs 110lbs, what volume will each dosage be?

25mL

A capsule is a soluble container, usually made of gelatin, that encloses a dose of drug or a nutritional supplement for oral administration. Which of the following is the smallest size of capsule?

3

Dr. Wang is a private practice urologist, and has written a prescription order for a patient passing kidney stones. The order is for Vicodin ES PRN #15. What would the check digit of Dr. Wangs DEA number beased on the beginning sequence BW279561_?

3

Dr. Wang is a private practicee urologist and has written a prescription order for a patient passing kidney stones. The order is for Vicodin ES PRN #15. What would the check digit of Dr. Wangs DEA number be according to this BW279561__?

3

Clemastine fumarate syrup is indicated for relief of symptoms associated with allergic rhinitis. It's available and dispensed in 4oz bottles containing 0.5mg clemastime per 5ml. If a prescription calls for: Rx: clemastine Syr Sig: 2mg h10am and 1 mg hs x10d How many bottles will you need to dispense for this order?

3 bottles

While you are cashiering, a regular customer comes in to pick up several prescriptions for her son. She explains that he is leaving for camp early in the morning for 3 weeks. Then, she realizes she need to get him some OTC Claritin-D 12hr for his allergies. Claritiin-D 12 hr comes in boxes of 10/tabs, each containing 120 mg of pseudoephedrine. She asks to buy 5 boxes, since its been over a month since her last pseudoephedrine purchase. According to the law, how many boxes are you legally allowed to sell her today?

3 boxes

A solution drug is shipped from the wholesale supplier in concentrated (12%) gallon bottles. The directions say to mix the solution in a 1:3 ratio with sterile water. If diluted according to the given directions, what will the resulting concentration strength of the final product be?

3%

If taken as prescribed, how many days should the following medication order last? Rx: Lithium 300mg #90 Sig: 1 tab Q8H PO TID

30 days

After arriving for the swings shift, a co-worker asked you to turn on a laminar flow hood that was turned off sometime during the previous shift. What is the soonest someone could use it for compounding?

30 minutes

Certain standards and procedures must be adhered to when preparing to perform sterile compounding. At minimum, how long should a technician spend thoroughly washing their hands, nails, and arms up to the elbow with an antiseptic cleaning agent before donning protective gloves?

30 seconds

An order calls for 150g of a custom 2:3:5 topical ointment. How much of each ingredient is needed?

30g: 45g: 75g

An infant pt has a bacterial infection and has been prescribed Cefazolin. He weighs 9lbs and 14oz and has a temperature of 99.4F. The standard pediatric dosage for Cefazolin is 20mg/kg/day. Which of the following directions would achieve the standard pediatric dosage for this pt?

30mg TID

The standard pediatric dose for cefazolin 20mg/kg/day. If an infant patient weighs 9lb 14oz, which of the following dosages would be correct if standard dosing is followed?

30mg TID

A teenage pt was admitted after showing symptoms of inhalant abuse. After oxygen levels were stabilized, the DR. ordered a drug therapy of 5mg/kg/hr for 2 hrs, then re-examine. The administration route will be an IV drop of 500mg of the drug dissolved in 250mL of electrolyte solution, delivered over the two hours. If the pt weighs 110lbs, and the infusion pump delivers 15gtt/mL, what flow rate will be used?

31gtt/min

Unopened insulin should be stored in a refrigerator. Which of the following temperature ranges is acceptable for insulin storage?

36*-46* fahrenheit

The label on a 12 oz prepackaged night time cough syrup lists that it contains 10% alcohol. Approximately what volume of alcohol does this bottle contain?

36mL

Normal human body temperature ranges between 96.8*f-99.5*F and can vary depending on age, activity level, time of day, etc. Which of the following temperatures fall within this range of normal human body temperature?

37*C

A custom preparation batch calls for a several liters of 8% alcohol solution. The pharmacy manager has asked you to check and calculate how much 8% can be compounded with stock on hand. You only find a 1500mL bottle of 20% alcohol solution. What quantity will you report?

3750mL

An 11 year old pt weighs 66lbs and has developed a new condition. After an exam, the physician has ordered an IV therapy of Drug D, 3mg/kg/hr. Drug D is available as 0/75% solution. The available IV set is calibrated to deliver 15gtt/mL. What should the flow rate be set to?

3gtt/min

A customer with Type I Diabetes has dropped off a prescription for Insulin. The directions for use are 20 units qAM and again at bedtime. How many 10mL vials of Insulin will be dispensed for this order to fill a 90 day supply?

4

A customer with type I diabetes has dropped off a prescription for Insulin. The directions for use are 20 Units qAM and again at bedtime. How many 10mL vials of Insulin will be dispensed for this order to fill a 90 day supply?

4

A pt has been directed to take: rx: drug T-75mg/kg/day sig: divided into 3 equal doses, PC Drug T is stocked as 200mg tablets, the pt is 33 years old and weigh 70.4lbs. How many tablets will the pt take at each dosage?

4(four)

Unopened insulin is to be stored in a refrigerator. Which of the following would be an acceptable temperature to store insulin in the pharmacy's fridge?

4*C

Sancuso is a transdermal patch containing granisetron. Its designed to protect against chemotherapy induced nausea and vomiting and releases 3.1 mg of the active drug per 24hrs for up to 7 days. If a patient applies the patch on Wednesday at 2200, about how much granisetron will she have received by 7am Friday?

4.3mg

You've been asked to mix a batch of Compound Q ointment. The final amount of ointment will be 0.25Kg, which will be later divided into small containers. The recipe is as follows: Compound Q Ingredient Parts s-7.5 k-8.0 d-9.0 o-25.5 How much of ingredient K will be needed to compound the batch?

40 Grams

Acetaminophen is indicated to relieve minor aches, pains and fever. Because acetaminophen overdosing is a common from, the FDA has set a recommended daily dosage maximum for adults. What amount of acetaminophen does the FDA recommend adults avoid exceeding?

4000mg in a 24hr period

A burn victim has been prescribed 90g of 3% topical lidocaine gel. In your stock you only have 0.5% and 5% topical lidocaine gel to work with. Of the following formulas, which would yield the needed 3% gel?

40g of 0.5% + 50g of 5%

A 17year old patient has been admitted and his records indicate he weighs 176lbs. The attending physician has prescribed a one time dose of 0.5mg/kg of an antibiotic. How many milligrams should this patient be administered?

40mg

The compounding instructions to make a custom UNG calls for 3 different drugs mixed in a 3:5:7 ration to yield a 225g ointment. How much of each drug is needed respectively?

45g; 75g; 105g

The directions on a 12oz bottle of Bismuth subsalicylate liquid recommend an adult dosage of 2 tablespoons every half hour, up to 8 doses as needed in a 24 hour period. If an adult patient decides to consume all 8 doses, what volume of liquid will be left in the bottle?

4oz

Carisoprodol is a muscle relaxant commonly used to relax muscles and relieve pain. In the US, how many refills could be included on a prescription order for Carisoprodol?

5 Refills

You've received an order for 0.5L of a 2.5% oral solution. In stock you have 1 gallon of 3% solution. Which of the following mixture ratios will yield the needed solution?

5 parts of 3%/ 1 part Sterile Water

A 32 year old patient was prescribed 300mcg/kg of a drug. According to their chart, he weighs 184lbs. The drug is available in 5mg tablets. How many tablets will need to be dispensed to fill this order?

5 tablets

To treat a dermal condition a pt has been prescribed 750mL of a potassium permanganate solution. In stock, you have 30mg KM04 tablets to use for compounding. At least how many tablets will be needed to make the prescribed 1:5000 solution?

5 tablets

A common order at your LTC pharmacy is Metoprolol 100mg/1x Daily. Its typically filled in 30 day bubble pack cards, which are made in-house. Since stock is getting low, you've been asked to prepackage more cards. However, all that's in stock is Metoprolol 50mg tablets. The lead pharmacist hands you three 1000 count containers of Metoprolol 50mg tabs to make as many bubble packs as possible. How many should you be able to make?

50

A psychiatrist has written a prescription for a therapy with a tapering dosage schedule. The directions for use are: 1 tab po qid x 5 days 1 tab po tid x 5 days 1 tab po bid x 5 days 1 tab po qd x 5 days How many tablets will you dispense for this order?

50

What is the days supply for Humulin R U-100 insulin 20 mL, if the dose is 40U Daily?

50 days

A pt was started on a drip of D10W from a 500mL bag at 1400. The micro-drip(60gtt/mL) administration device was set to deliver 30gtt/min. If the pt is administered the entire bag, how much dextrose will they receive?

50g

The following prescription was sent electronically Rx: Drug L Sig: 20mg PO bid x14 days You have 10mg tabs of drug L in stock. How many will this prescription order require?

56 tablets

After diagnosis a pt is to receive and IV therapy. the order is for 500mL of a mixture over the next 6hrs. If the administration set is calibrated to deliver 40gtt.mL, what flow rate will be set to accommodate this infusion?

56gtt/min

The NDC 58118-1528-8 is assigned to Celecoxib 200mg capsules #30. The electronic claims billing requires a standardized 11 digit NDC sequence with no hyphens for approval and payment. Which of the following numbers would be a correct entry for this product?

58118152808

For a particular drug, the usual adult dosage is 150mg. The drug has been ordered as a syrup solution to be given with a plastic dosing syringe. In stock, you have the syrup in 1% strength cherry flavor. Using Clark's rule, determine the fluid dosage for a 7 year old whose reported weight is 22.7kg

5cc

A 4 Year old pt weighs 17kg. She has been prescribed a drug that is available as a 0.50% solution, and prepackaged with an oral dosing spoon embossed with a milliliter scale. The normal adult dosage for this medication is 100 mg. What dosage should the child receive if Clark's rule is used to calculate it?

5mL

A 4 year old patient weighs 41lbs he has been prescribed a drug that is available as a 0.50% solution, and prepacked with an oral dosing spoon embossed with A milliliter scale. The normal adult dosage for this medication is 100 mg. What dosage should the child receive if Youngs rule is used to calculate it?

5mL

a 4year old patients weighs 17kg, she has been prescribed a drug that is available as a -.50% solution and prepackaged with an oral dosing spoon embossed with a milliliter scale. The normal adult dosage for this medication is 100mg, what dosage should the child receive if clarks rule is used to calculate it?

5mL

Intravenous medications are to be compounded in a sterile environment. When using a Laminar Flow Hood, how far in should such a manipulation be performed?

6 inches

Over the last 24 months, your pharmacy's average perpetual inventory of durable medical devices has a retail value of $58,536. The total sales of these products during that same period were $380,138.01 What was the average annual inventory turnover rate for durable medical devices for the 2 year period?

6.50%

a patient was started on 500mL infusion therapy at 2300. The pump was adjusted to deliver 22gtt/min of a solution. If the IV set is calibrated to 20gtt/mL, at approximately what time will the patient have received the entire 500mL?

6:30AM

a 35 year old pt weighing 176lb has been prescribed a dopamine drip to run at 2mcg/kg/min. The solution concentration is 400mg Dopamine is a 250mL bag of D5NS. It will be infused with a micro-drip(60gtt/mL) set. What flow rate will be needed?

6gtt/min

A pt was prescribed the following as part of asthma therapy: Rx: Albuterol 2mg/5mL Disp: 120mL Sig: 1.5tsp po bid Based on the dosage directions, how much of the drug will the pt receive daily?

6mg

Of the following chemicals, which could be used for routine cleaning of interioir surfaces of Laminar Flow Hood?

70% Isopropyl Alcohol

The 1972 Drug Listing Act requires drug products in the US to be assigned a unique national drug code number. The number is used to identify the drug products ingredients, strength, dosage form, packaging size and manufacturer. Based on the uniform rules for 10 and 11 digit NDC numbers, which of the following numbers cannot be a valid NDC number?

748-6841-022

A pt is directed to take Valproic acid syrup : 750mg in the AM and the 500mg in the PM It's available as 250mg/5cc. How much syrup will you dispense for a 30 day supply?

750mL

an 8year old was prescribed a particular drug which has an adult dosage of 2.75mg/kg. The recommended dosage for children 5-12 years old is 80% of the adult dosage. If the childs weight is 75lbs, what would her dosage be?

75mg

While organizing stock, the pharmacy manager finds 3 different bottles of isopropyl alcohol. She asks you yo measure, consolidate and re-label them into the largest container, which is a gallon bottle containing 1.5L of 90%. The second bottle contains 1L of 70%. The third bottle contained 1.25L of 70%. What will you write on the new label?

78%- Isopropyl Alcohol

A patient was prescribed the following as part of asthma therapy: Rx: Albuterol 2mg/5mL Disp: 120mL Sig: 1.5 tsp po bid Based on the dosage directions, approximately how long will this prescription last?

8 days

A pt was prescribed the following the as part of asthma therapy: RX: Albbuterol 2mg/5ml Disp: 120mL Sig: 1.5 tsp po bid Based on the dosage directions approximately how long will this prescription last?

8 days

A DEA number is assigned to authorized prescribers, which allows them to write prescriptions for controlled substances. The number portion has 6 digits plus a check digit. In the following DEA number, what would the check digit be: BC765432_

9

A physician has ordered a pt to receive 2mg/kg/hr of an IV drug solution for several hrs. The requested drug solution is available in 500mL bags of 0.25%. If the pt weighs 151.8lbs, for how many full hrs will one bag supply the ordered infusion for?

9 full hours

a prescription order for a drug which is supplied in 5mg tablets was filled during the graveyard shift but not approved. The pharmacists on your shift asked you to double check the quantity dispensed. The order called for a tapered dosage therapy as follows: 10mg po qid x5d 10mg po tid x5d 10mg po bid x3d 5mg po bid x3d 5mg po qd x2d How Many tablets should be in the bottle?

90

A physician has prescribed a drug in the form of a solution. The order is for 180ml of 3% solution. In your stock you have 2 different strengths, and you will need to mix them to create the desired strength. The first bottle is labeled 2.5% and contains half a liter. The other is a 6oz bottle and is labeled 3.5%. What volumes of the two stock solutions would you mix to compound the ordered solution?

90mL of 2.5% + 90mL of 3.5%

An IV bag containing a 0.1% solution has been set to run at 15 gtt/min. How many mg of the drug will the pt receive in 2hrs if the set is calibrated to deliver 20gtt.mL?

90mg

HEPA filters are used in Laminar Flow Hoods to provide maximum protection for products mixed and dispensed in the pharmacy. HEPA is an acronym for High Efficiency Particulate Air, which refers to a filer that is manufactured, tested, certified and labeled in accordance with current HEPA filter standards. What are the minimum filtration requirements for LFH HEPA filter?

99.97% of all particles greater than 0.3 microns

A pharmacys role in healthcare is to provide medication in an accurate, effective and efficient manner. As such, proper inventory management and organization is vital. In pharmacy, which of the following describes a drug formulary?

A list of approved medicine covered by a particular drug benefit plan

Part of the HIPAA requires the protection and confidential handling of patients health information. Which of the following is not a violation of HIPAA?

A pharmacist asking a customer if they have taken a certain medication before.

HIPAA outlines some rules to protect patients privacy and control fraud and abuse of the healthcare system. Violations are punishable by federal law, and may result in a monetary fine and/or prison sentence. Which of the following actions would be a violation of HIPAA

A pharmacy tech looking up a pts address in the database without a valid reason

The FDA Orange Book categorizes therapeutic equivalance evaluations and assigns codes to denote a drug products rating. Which of the following rating codes is assigned to products meeting necessary bioequivalence requirements?

AB

The drug Vasotec is used in the treatment of hypertension. Of the following, which drug category is Vasotec in?

ACE Inhibitors

The drug Vasotec is used in the treatment of hypertension. Of the following, which drug category is Vasotec in?

ACE inhibitors

Schizophrenia is one of the indicated treatments for which the FDA has granted approval for the drug Aripiprazole. What is the brand name for this drug?

Abilify

Pharmacokinetics is the action drugs take while they are in a patients body. In what order does the body process drugs?

Absorption- Distribution- Metabolism- Elimination

For various safety and security reasons, drugs have pre-determined storage guidelines and requirements. Which of the following drug products, when stored in the pharmacy, would not need to be stored at a refrigerated temperature?

Actos

ADHD is a common childhood disorder. As the name describes, symptoms mostly include hyperactivity and difficulty paying attention. Which of the following is indicated for the treatment of ADHD in children 6 years of age and older, adolescents, and adults up to the age of 65?

Adderall

In retail pharmacy setting which of the following scenarios is it acceptable to release a drug order for a Schedule II controlled substance, which was filled with a script transmitted to the pharmacy electronically as a facsimile of a handwritten prescription?

After the original physical script has been presented and reviewed by the pharmacist

Beta 2 agonists are short acting bronchodilators, they work differently than steroid anti-inflammatory drugs by relaxing the airways smooth muscle that carry air to the lungs, thereby making it easier to breathe by increasing airflow within minutes. Short acting Beta 2 agonists are designed to relieve COPD and allergy/exercise related asthma symptoms for 3-6hrs. Which of the drugs below is classified as a beta 2 agonist?

Albuterol

Calcium Channel Blockers are often referred o by the acronym CCB. They are used to treat high blood pressure and angina. What is the generic name for Norvasc?

Amlodipine

Unlike a sore throat, which is caused by a viral infection, strep throat is a bacterial infection. Strep gets its name from streptococcal, which is the type of bacteria that causes the condition. WHich of the following be prescribed to treat strep throat?

Amoxil

Acetylsalicylic Acid (ASA) was originally patented by Bayer, a German pharmaceutical maker. They registered it under the brand name Aspiring. After WWII, they lost the trademark, and Aspirin was quickly adopted as the generic name for the drug. Today, Aspirin is one of the most common drugs found in medicine cabinets worldwide. It is an NSAID drug and commonly used as an analgesic for minor aches and pain. Aspirin also helps reduce fever with antipyretic effects. Additionally, for pts who are considered at risk for a heart attack or stroke, their doctor may advise them to take a daily regimen of low-dose aspirin. This is because Aspirin is also:

An antiplatelet agent

A small percentage of people are seriously affected by bee-stings, resulting in an overreaction from their immune system. Which of the following medical terms refers to the body's life threatening reaction to such an even?

Anaphylaxis

A small percentage of people are seriously affected by bee-stings, resulting in an overreaction from their immune system. Which of the following medical terms refers to the body's life threatening reaction to such an event?

Anaphylaxis

The DEA classifies controlled substances by schedules. Schedule I substances are considered to have the highest risk of abuse and Sch. V substances are subject to DEA regulations relating to manufacturing, storage, interstate distribution and prescription. Which of the following drugs is contained in DEA Sch. III?

AndroGel

A customer has come in to the pharmacy with bloodshot eyes and a runny nose. His physician has diagnosed him as having sinusitis and prescribed the following: Rx: Avelox Tabs #8 Sig: 400mg PO/ 1 daily What kind of drug has this patient been prescribed?

Antibiotic

A prescription was sent electronically containing the information: RX: Vistaril SUSP 25mg/5mL Sig: 75mg qid Which of the following is Vistaril(Hydroxyzine) indicated for?

Anxiety/Tension

Donepezil is a reversible acetylcholinesterase inhibitor indicated to treat severe Alzheimer dementia. What is the brand name for donepezil?

Aricept

Abbreviations used in pharmacy are mostly derived from their latin descriptions. One such abbreviation is PRN, from the latin phrase "Pro re nata." When written on a prescription order what does PRN mean?

As Needed

In the pharmacy, certain standards must be maintained to insure a sterile compounding environment. Which of the following is a set of procedures followed by a pharmacy staff in an effort to properly maintain pt safety by preventing the spread of microorganisms?

Aseptic Technique

The generic name for the drug Coumadin is warfarin. It is the most widely prescribed oral anti-coagulant drug in the US and is mainly used to help prevent a treat blood clots. Which of the following drugs is contraindicated for a patient on a warfarin therapy?

Aspirin

Today is May 6th, and the pharmacy manager has asked you to do some inventory management. SHe wants you to pull aside any containers that are within 90 days of expiration. A container of drug you find has an expiration date of August of this year. At midnight on what day is the actual expiration date of this container?

August 31

Dr Johnson is a heart surgeon in Accident, Maryland. One of the DEA numbers below is assigned to him. Which of the following DEA numbers is valid?

BJ5324126

A customer has been prescribed Cyclobenaprine 15mg, to be taken PRN(as needed). The drug is available in your stock in 5mg, 7.5mg and 10mg tablets. This drug is typically taken in the PM or HS (at bedtime). Which of the following conditions would cyclobenzaprine be prescribed for?

Back and Neck Spasms

The PPPA requires "special packaging" of household prodcuts and drugs to protect children from serious injury or illness. Which of the following is not exempt from the PPPA?

Baclofen

A pt has dropped off the following script for his wife: RX: Tobramycin Opth. Sol. 0.3% sig: i gtt OU Q4H Which of the following disorders would this therapy most likely be prescribed for?

Bacterial Infection

Olmesartan is classfied as an angiotensin II receptor antagonist. It is indicated to treat high blood pressure and reduce the risk of stroke and heart attack. Which of the following brand names is associated with this drug?

Benicar

The generic name for the drug Tenormin is Atenolol. Based on the suffix in the generic name being -olol, what classification does Tenormin belong to?

Beta Blocker

In the US the DEA enforces the Controlled SUbstances Act. Under federal guidelines, how often do controlled substances need to be inventoried?

Biennially

Which of the following terms is used to refer to the degree and rate at which an administered drug through absorption, reaches systemic circulation becoming available to the site of physiological activity.

Bioavailability

When a newer drug's patent expires, it may be manufactured and distributed by industry competitors as a generic. When generics become available, it leads to lower drug prices. However, in order for a drug to be sold as generic, it must have the same ________?

Bioequivalent Range

A drug order for Neomycin drops contains the information: Sig: i-ii gtt ou Q4H Which of the following should the directions for administration on the packaging label include?

Both eyes

In a pharamcy setting, the methods for ordering, stocking, storing, tracking inventory of, and dispensing DEA controlled drugs is different from other drugs. Which controlled substances must be secured within a specific type of locking cabinet?

CII only

Anticholinergics are a class of drugs that block the action of the neurotransmitter acetylcholine in the brain. One such drug in this class is Spiriva, which goes by the generic name Tiptropium. Which of the following dosiroders is Spiriva indicated to treat?

COPD

NSAI drugs are commonly referred to as NSAID drugs. They provide relief from pain, reduce fever and have anti-inflammatory effects. Which of the following drugs is not an NSAID?

Carisoprodol

The FDA has guidelines for drug makers to initiate recalls of products found to have problems after distribution. What kind of recall would be initiated in response to the fatal poisoning of multiple users, which are linked back to the drug?

Class I Recall

Drug-drug interactions can be dangerous. They occur when the effect of a one drug is altered by taking another drug. Which of the following drug combinations, when taken together, could produce a major drug-drug interaction?

Clopidogrel + Warfarin

Many different providers offer a variety of health care insurance options. Each plan offers different coverage and methods of payment for services. What is a specific flat-fee dollar amount of a prescription that an insured patient is required to pay at the time they pick up a drug order called?

Co-Pay

The drug Fioricet is indicated for the treatment of tension headaches. Fioricet contains a combination of drugs which work in concert to achieve a desired result. Which of the following chemicals is not found in Fioricet?

Codeine

A condition known as gout may occur when urate crystals accumulate in a joint and cause inflammation. This can be caused by elevated level of uric acid in the bloodstream. Some of the risk factors associated to gout are obesity, elevated fat and cholesterol level and heavy alcohol usage. Which of the following medications may be prescribed to treat and prevent gout?

Colchicine

Federal law requires restrictions on the sale of non prescribed products containing pseudoephedrine. Individual walk-in consumers are limited to 3.6 grams in a single day and a 9 grams per month. Which of the following is the federal legislation enacted in 2005 to create this law?

Combat Methamphetamine EPidemic Act (CMEA)

Compounding pharmacies are required to meet the guidelines set forth in USP 797. These standards help compounding practitioners deliver consistent and good quality sterile prepared medicines to patients. Which of the following sources introduces the most significant amount of contamination particles inside a typical compounding clean room?

Compounding technicians

The DEA requires that special forms be used for the distribution of some controlled substances to pharmacies. Which of the following drugs must be ordered from a distributor using a DEA form 222?

Concerta (Methylphenidate)

This week you've noticed a trend of multiple/similar prescriptions for students at a nearby college for Rx: Fusidic acid 1% Sig: i gtt OU Q12H x7D Based on these orders, which of the following diseases are the students contracting?

Conjunctivitis

Codeine is a narcotic pain reliever and also an effective antitussive. As such, it is prescribed in syrup for a persistent dry cough; and, the combination of it's effects can help induce restful sleep. However, which of the following is a very common side effect associated with codeine?

Constripation

While working in the pharmacys cleanroom, you notice a bottle of cleaning chemicals has leaked and is emitting a noxious odor. The pharmacist has asked you to take care of it STAT. What should you do to determine the proper spill-handling procedure?

Consult the products MSDS

In the US the DEA is the branch of the US Department of Justice which enforces federal drug laws. Which of the following is the congressional act that created the legislation to initially enact the DEA?

Controlled Substances Act

When a pt is covered by more than one health insurance plan, a method is used to determine which plan has primary payment responsibility, and which may pay towards the remaining costs. What is this determination process referred to as?

Coordination of Benefits

Retail prescriptions packaging labels are required to have certain information. Which of the following is optional and is not a requirement for retail prescription label?

Customer's phone number

While auditing insurance billing you come across a prescription that was filled with Zocor. On the original scripts, you notice the dr has written "Brand Medically Necessary." Which of the following DAW codes would be appropriate for this scenario?

DAW 1

While auditing insurance billing, you come across a prescription that was filled with Zocor. On the original script, you notice the doctor has written " brand medically necessary." Which of the following DAW codes would be appropriate for this scenario?

DAW 1

Federal regulations require that the DEA be notified in the event of theft or significant loss of any controlled substances within one business day. Which of the following is the official document that must be completed and submitted to officially report the details of such an incident?

DEA Form 106

Occasionally, controlled substances are misappropriated. Like all transactions involving scheduled drugs, these must be accounted for with a paper trial. Which of the following DEA forms would be used for reporting loss or theft of controlled substances?

DEA Form 106

The DEA oversees the distribution of controlled substances. What paperwork is required for a pharmacy to order Vicodin(Hydrocodone/APAP) from its distributor?

DEA Form 222

Phentermine is a stimulant and appetite suppressant which is prescribed to treat obesity. Is has several reported side effects including: chest pain, blurred vision, dry mouth, sleeplessness, irritability and difficulty urinating. Which DEA schedule is this drug in?

DEA Sch. IV

The drug Modafinil (ProVigil) is indicated for the treatment of daytime sleepiness and may be prescribed to people who suffer shift work sleep disorder. Which DEA controlled substances schedule is Modafinil classified as?

DEA Sch. IV

Amohetamines like Adderall and Vyvanse have side effects ranging from insomnia and elevated blood pressure, to as serious as irregular heartbeat, and seizures. They also can be highly addictive, which is why they're classified in the same DEA schedule as Oxycontin and Morphine. Which DEA schedule are Adderall and Vyvanse in?

DEA Schedule II

Eszopiclose is a sedative hypnotic drug mainly prescribed for sleep disorders. Although the drug has a low potential for abuse, extended use may subject users to physical or psychological dependence. For this reason, eszopiclose is listed as a controlled substance. Which DEA controlled drug schedule does this drug belong?

DEA Schedule IV

Opiod drugs are commonly used to relieve pain. The effect of the drug is caused by decreasing the pts perception of pain and reducing the pain signals reaching the brain. Similar to other pain medications, opiods have the potential to create dependency. How is the opiod drug Tramadol classified?

DEA Schedule IV

Restoril is indicated for the short term treatment of insomnia. What DEA controlled substance schedule does this drug belong to?

DEA Schedule IV

In the US the Drug Listing Act of 1972 enacted a requirement for drug makers to provide the FDA with a current list of all drugs manufactured and distributed. Each product is assigned a unique identifying number called a NDC. Which of the following data is not indicated by an NDC number?

DEA Schedule Number

The drug Tramadol is an analgesic, typically prescribed for moderate pain in adults requiring treatment for an extended duration. Due to its potential for abuse, the DEA has decided to classify Tramadol as a controlled substance, which CSA schedule is this drug in?

DEA sch. IV

a customer is waiting in the lobby for a new prescription. Its an order for a 30-day supply of tablets to be taken qhs(daily at bedtime) You notice an expiration date of December of this year on the only bulk container in stock. Today is November 10th, 2014. At the end of what day do the drugs in this bulk container actually expire?

December 31st

Different Routes of Administration are used in order to achieve cerftain desired results. Of the following which is probably not a consideration by a medical doctor when prescribing a rectal suppository?

Delayed onset of Action

Divalproex is classifies as an anticonvulsant. Its indicated for the treatment of epilepsy, to treat the manic phase of bipolar disorder and to prevent migraine headaches. Which of the following is the brand name for Divalproex?

Depakote

Divalproex sodium is a neurological drug, which is medically used as an anticonvulsant prescribed to treat various types of seizure disorders. Which of the following is the brand name for Divalproex?

Depakote

The drug Clarinex is mainly indicated for the treatment of allergies. : Some common side effects from using this medication are headache, dry mouth, and upset stomach. The name Clarinex is the trade name used by the Schering-Plough Corp to market the drug. What is the generic name for this drug?

Desloratadine

Electrolyte solutions can help replenish the body's mineral level balance and maintain or restore hydration. Which of the following elements is not an electrolyte?

Dextrose

A customer has transferred a prescription for Ortho Tri-Cyclen from a different pharmacy. Which of the following is required before it is dispensed to the pt?

Dispensed with pt package insert

The human circulatory system is a complex organ system mainly responsible to distribute blood and lymph fluid throughout the body. Blood cells play a vital role in the circulatory system. What is the main function of red blood cells?

Distribute oxygen to the bodies cells, tissue and organs

The human circulatory system is a complex organ system mainly responsible to distribute blood and lymph fluid throughout the body. Blood cells play a vital role in the circulatory system, What is the main function of red blood cells?

Distribute oxygen to the bodies cells, tissue and organs.

A Pt with bacterial vaginosis was prescribed the following: Rx: Metronidazole 400mg #10 sig: po BID x5d Which of the following aux labels should be placed on the pts packaging?

Do not drink alcoholic beverages

A patient has brought in a new drug order for a therapy her specialist has prescribed. Which of the following drug references could be used to check for possible drug-drug interactions against her other currently prescribed medications?

Drug Facts and Comparison

When a patient is administered a drug, and another substance is already present in their system, it may affect the activity of the drug. In such a case, the result may be undesirable. What is this scenario typically referred to as?

Drug Interaction

When a pt is administered a drug and another substance is already present in their system, it may affect the activity of the drug. In such a case, the result may be undesirable. What is this scenario typically referred to as?

Drug Interaction

Some drugs must be stored in powder from in order to retain their active potency. Before being administered, the powder is then mixed with a liquid diluent to create a solution. Which of the following best describes this process?

Drug Reconstitution

The USP National FOrmulary is a publication of pharmacopeia standards. Which of the following drug information could be referenced in the USP-NF?

Drug Storage Requirements

The Omnibus Budget Reconciliation Act of 1990 (OBRA) was chiefly enacted to reduce the US federal budget deficit. Which of the following does OBRA require pharmacists to offer medicaid patients?

Drug counseling

The USP National Formulary is a publication of pharmacopeia standards. Which of the following drug information could be referenced in the USP-NF?

Drug storage requirements

Ace Inhibitors are primarily prescribed for hypertension and CHF. They inhibit angiotensin-converting enzymes, thereby avoiding elevated blood pressure episodes. Which of the following is a common side effect of ACE Inhibitor use?

Dry cough

Vasopressors are used to treat hypotension by increasing blood pressure. Which of the Following drugs is a Vasopressor?

Epinephrine

A regular customer is filing her monthly prescription for Premarin. At what frequency should you include a patient package insert with her Premarin?

Everytime

The primary active ingredient in Mucinex is guaifenesin, which is a mucokinetic drug. Guaifenesin works by breaking up thick mucus phlegm secretions of the lungs, bronchi and trachea so they may be expelled through coughing. Which of the following is another name for this type of drug?

Expectorant

Antihyperlipidemic drugs are indicated to prevent or counteract the accumulation of lipids in the blood, which helps to lower cholesterol levels. For best results, pts are also encouraged to make positive lifestyle changes, such as diet and exercise. Which of the following drugs is an antihyperlipidemic?

Ezetimibe

in 1982, seven people in Chicago died after taking poison laced capsules of Extra-Strength Tylenol. The events triggered a recall, and about 31 million bottles of the product were removed from store shelves. What kind of drug recall is this an example of?

FDA Class I Recall

in 2009 the FDA recalled some lots of Motrin saying the product was adulterated. Johnson & Johnson was ordered to organize and pull approximately 88,000 tablets from store shelves. The recalled products had a low chance of causing major injuries or death, but still posed some risk of "adverse events." As such, what class of recall would this have been?

FDA Class II recall

Which class of FDA recall would most likely be conducted in a situation where use of or exposure to the product is not likely to cause adverse health consequences?

FDA Class III

Most FDA recalls are initiated voluntarily by drug manufacturers when they've discovered an issue. What would and FDA recall be classified as in the event the product is unlikely to cause any adverse health consequences but has violated some kind of FDA regulation?

FDA Class III Recall

In order to continually monitor drug products, even beyond their lengthy approval process, the FDA instituted a program for reporting problems. Both consumers and healthcare professionals can use this system to report poor quality or adverse reactions to FDA approved products. Which of the following is the official designated name the FDA's Safety Information and Adverse Event Reporting Program?

FDA MedWatch

most FDA recalls are initiated voluntarily by drug manufacturers when they've discovered an issue. What would an FDA recall be classified as in the event the product is unlikely to cause any adverse health consequence, but has violated some kind of FDA regulation?

FDA class II Recall

Excess cholesterol in the bloodstream can build up in the arteries, and put individuals at risk for heart disease and stroke. In addition to more healthy lifestyle choices, prescription drugs can help lower cholesterol. Which of the following drugs is indicated for treatment of elevated cholesterol levels?

Fenofibrate

The concentration of medication of medication taken orally may be greatly reduced before reaching systemic circulation. This is because it is first metabolized by the GI and hepatic systems. In Pharmacology, what is this phenomenon known as?

First pass effect

Zolpidem is mainly prescribed for insomnia. If the prescriber has authorized, how many refills(max) can be ordered with the following prescription order: Rx: Zolpidem 10mg #30

Five

Cyclobenzaprine is a muscle relaxant prescribed to relieve pain and discomfort. Which of the following is the brand name for Cyclobenzaprine?

Flexeril

Cyclobenzaprine is a muscle relaxant prescribed to relieve pain and discomfort. Which of the following is the name band Cyclobenzaprine?

Flexeril

Prescription auxiliary labels are placed on prescription packaging and provide supplementary information, various warning, ROA, etc . Which of the following aux labels would be appropriate for an order of Oflocaxin Otic 0/3% Solution?

For the ear

At the beginning of your overtime shift, you come across an order for an antibiotic solution that has the following sig code: Rx: Ofloxacin solution 0.3%/20mL Sig: ii gtt OU TID x10D Which of the following aux labels should be placed on the bottle?

For the eye

A Glaucome pt has been prescribed the following: RX: LAtanoprost (0.005% solution) Sig: 1gtt OU qPM Based on the information, what auxiliary label would go on the packaging?

For the eyes

Hospitals and managed healthcare organizations prepare a list of drugs that have been approved for use on the basis of therapeutic and economic considerations. What is the common name of such a list of drugs?

Formulary

Neurontin is indicated for the treatment of epilepsy, neuropathic pain and restless leg syndrome. Which of the following is the generic drug name for the drug Neurontin?

Gabapentin

Neurotin is indicated for the treatment of epilepsy, neuropathic pain and restless leg syndrome. Which of the following is the generic drug name for the drug Neurotin?

Gabapentin

Beta Blockers are mainly used to manage heart conditions and prevent heart attacks. They may also be used to treat glaucoma(as eye drops). One of the most commonly prescribed beta blockers is Atenolol. Which of the following is not a common side effect of the beta blocker Atenolol?

Gastrointestinal Bleeding

Glucotrol is indicated to help control blood sugar levels in diabetic patients. What is the generic name for Glucotrol?

Glipizide

Nitroglycerin is used as a vasodilator, and prescribed to treat heart conditions. It is available in different dosage forms, including SL tablets, sprays and transdermal patches. Of the following, which is a common side effect associated with nitroglycerin?

Headache and dizziness

The the US various health insurance plans are available. One type of plan requires all of your health care services to go through a primary care doctor, who can refer you to a specialist in a network. What is this type of plan called?

Health Maintenance Organization (HMO)

As required for billing procedures, pahrmacy technicians often deal with several drug pricing models. As such, they must become familiar with terms and acronyms used in the industry. What is meant by the Maximum Allowable Cost(MAC)?

Highest dollar amount an insurer or PBM will pay for a given product

For some drugs that have a high addiction potential, regulations may restrict or limit refills. Which of the following drugs cannot have any prescription refills?

Hydrocodone/APAP 5mg/300mg

In the US MERK Pharmaceuticals markets the drug Zetia. The generic name of the drug is Ezetimibe. What use is Zetia indicated for?

Hypercholesterolemia

Furosemide (Lasix) is a loop diuretic. It works by creating an increase in urine output by blocking absorption of water, along with sodium and other minerals. By doing so, it promotes the excretion of potassium. Which of the following electrolyte imbalances is associated with low potassium?

Hypokalemia

Laxatives are typically used to relieve occasional constipation. Some laxatives work by stimulating or increasing the frequency of bowel movement, while others are designed to add bulk or soften the patients stool. Which of the following drugs is not a laxative?

Imodium

The drug epinephrine is an effective vasopressor used for a number of conditions including anaphylaxis and cardiac arrest. What is the primary action vasopressor drugs like epinephrine make happen in the body?

Increase Blood Pressure

The drug Levothyroxine is mostly dispensed as an oral tablet, but its also available as a solution for IV infusion. Which of the following statements is not true concerning Levothyroxine?

Indicated for the treatment of hyperthyroidism

A drug effectiveness, onset time and action duration can be affected by the route which its administered. Which of the following is the most direct route for administering pulmonary medications?

Inhalation

In pharmacy, the potential for errors must be minimized in order to avoid potentially serious injuries to patients. Which of the following organizations is dedicated entirely to medication error prevention and safe medication use, including the perpetual collection of data from error reports received from the National Medication Errors Reporting Program(MERP)?

Institute for Safe Medication Practices (ISMP)

In pharmacy, the potential for errors must be minimized in order to avoid potentially serious injuries to pts. Which of the following organizations is dedicated entirely to medication error prevention and sage medication use, including the perpetual collecting of data from error reports received from the National Medication Errors Reporting Program?

Institute for Safe Medication Practices (ISMP)

The Combivent Respimat inhaler is indicated for the treatment of COPD. Which of the following drugs is found in this medication?

Ipatropium bromide

The FDA has established 5 categories to indicate the potential of a drug to cause birth defects if used during pregnancy. Which of the following medications is assigned to the FDA's pregnancy Category X?

Isotretinoin

Diuretic drugs are used to treat various conditions, such as heart failure, liver cirrhosis, hypertension and certain kidney diseases. Which of the following is not a diuretic?

Lamotrigine

A customer has a prescription for Prevacid. She lives on a tight income, and wants to get a generic to save money. If allowed, what drug will be used to fill her order?

Lansoprazole

Selective Seratonin Reuptake Inhibitors are a class of psychotropic drugs. SSRI drugs are the most commonly prescribed antidepressant drugs in the US. Which of the drugs listed below is a SSRI?

Lexapro

Selective seratonin reuptake inhibitors are a class of psychotropic drugs. SSRI drugs are the most commonly prescribed antidepressant drugs in the US. Which of the drugs listed below is a SSRI?

Lexapro

An 87 year old resident in assisted living has an infection and shes been prescribed an azithromycin regimen. Even though her digestive system is working fine, like many elderly people she has difficulty swallowing solid dosage forms. Which of the following is an efficient alternative?

Liquid(suspension)

Certain drugs in heavy volume may cause hepatotoxicity. For example, the OTC drug tylenol is usually well tolerated at recommended doses, however, the amount people self-prescribe may create overdose. Which organ is mainly affected by hepatotoxicity?

Liver

Which of the following is prescribed as birth control, also known as contraception used to prevent pregnancy?

Loestrin

If one drug product has been issued an NDC number of 0280-2500-10, and another is issued the number 0280-1158-06. What do these two products have in common?

Manufacturer

CIALIS is indicated for the treatment of men with erectile dysfunction, and the isngs and symptoms of benign prostatic hyperplasia. Eli Lilly manufacturers the drug and NDC number for CIALIS/5mg 2 tablet blister pack is 0002-4462-34. In this NDC number, what does the first string of numbers represent?

Manufacturer or Distributor

You've been asked to fill an order for: Rx: Amoxicillin susp 250 mg/5mL (150 ml) Which Aux. label would not be placed on the packaging?

May cause drowsiness

Tetracycline antibiotics are used to treat a range of bacterial infections. Some examples include strep throat, pneumonia, acne, respiratory infections and chlamydia. Which of the following aux. labels needs to be placed on a retail prescription package of tetracycline antibiotics?

May cause photo-sensitivity

In the US individuals whose income and resources are insufficient to pay for healthcare may apply for government assistance. Which of the following is a social orogram administered by each state, intended to provide health care to families and individuals with low income and resources?

Medicaid

On July 30, 1965, President Johnson signed the US Social Security Act. One of the components of the law is a national health insurance program for people aged 65 and older who have worked for at least 10 years, and are citizens or permanent residents of the US. What is the program called?

Medicare

Which of the following federal programs provides health coverage to citizens with certain disabilities and those over age 65?

Medicare

Different parts of Medicare cover different services. Which of the following is the part of Medicare that provides outpatient prescription drug coverage?

Medicare Part D

Drugs that are classified in DEA schedules must be stored inside the pharmacy in such a manner as to obstruct the theft or diversion of controlled substances. Which of the following drugs would not be subject to this storage requirement?

Methocarbamol

Which of the following drugs may not be refilled and must have a new script for each fill?

Methylphenidate

Asthma is a lung diease that often starts during childhood years. People with asthma have inflamed airways, which are hypersensitive to certain inhaled substances. Which of the following drugs is not indicated for the treatment of asthma?

Metoprolol

Asthma is a lung disease that often starts during childhood years. People with asthma have inflamed airways, which are hypersensitive to certain inhaled substances. Which of the following drugs is not indicated for the treatment of asthma?

Metoprolol

Hypertension is referred to as " the silent killer" because most people don't know they have it. Which of the following drugs is primarily prescribed to maintain proper blood pressure?

Metoprolol

Prescription drugs are grouped ino different classes, usually based on their primary therapeutic action. Which of the following drugs is indicated to treat Respiratory issues?

Montelukast

In the US the FDA often approves drugs for one or more indications. An indication is a particular use for a drug. Which of the following is the drug carisoprodol indicated for?

Muscle Spasm

For pts with hypertension, diuretics are commonly prescribed to help their body eliminate unneeded water and salt. This action helps lower blood pressure and reduce their hearts overall workload. Which of the following drugs is not a diuretic?

Nabumetone

Alzheimer's Disease is the most common form of Dementia and is most often diagnosed in people over 65 years old. Which of the following drugs is indicated for the treatment of Alzheimer's?

Namenda

A pharmacy customer went on a business trip to another state and forgot to pack their bottle of Meperidine. She's on the phone and wants help from the pharmacist. What are the options the pharmacist can offer?

Neither fill/not transfer the prescription

When a UTI affects the lower tract, its known as a bladder infection. Symptoms from a bladder infection include the urge to urinate and painful urinaion. Which of the following drugs would most likely be prescribed to a patient with a UTI?

Nitrofurantion

Crash carts are located in areas of patient care in case of a life-threatening occurrence. Which of the following drugs is least likely to be found in a crash cart?

Nitrofurantoin

According to the Poison Prevention Packaging Act (PPPA) unless requested otherwise, drugs must be dispensed in child-resistant packaging. However, certain drugs are exempt from the law. Which of the following drugs should not be dispensed in a child resistant container?

Nitroglycerin

The 1970 Poison Prevention Packaging Act requires that most drugs be dispensed in child-proof containers. However, there are some drugs that are exempt from the requirements. Which of the following prescriptions is exempt from the PPPA?

Nitrostat

ADDERALL XR is indicated for the treatment of ADHD. A prescription for ADDERALL XR 15mg #30 has been presented for a customer's 14 year old son. The directions for use are 1 capsule daily, in the morning. If authorized by the physician, how many refills may be dispensed from this presription?

No Refills

An outpatient had a procedure and is being sent home with the following prescription: RX: Vicodin sig: I tab qid prn x7d Vicodin is a combination drug which contains Hydrocodone and APAP. If the prescriber has authorized, up to how many refills could this script be written to include?

No Refills

Over the last decade, hydrocodone with acetaminophen was the most-prescribed drug in the US. When a prescription for this popular drug combination is ordered, how many refill orders can be authorized on the script?

No Refills

Because of the nature of the activity in hospitals, if proper sterilization and sanitation protocols are not followed, they can become favorable environments for bacterial microorganisms. As such, a patient or staff member may become ill with bacterial infection. What is this type of infection commonly referred to as?

Nocosomial Infection

The primary treatment for epilepsy is anticonvulsant medications. Which of the following drugs would least likely be indicated to manage epilepsy?

Nortriptyline

A neurologist's office has transmitted a fax prescription for a pt. The DRs. name is Dr. Whittierm and the order is as follows: RX: Hydrocodone/APAP 5/500 #25 Sig: i tab Q6H or PRN for pain The Drs DEA number on the cript copy AW4723195, and the script was written today and manually signed before being faxed. According to the controlled substances act(CSA), how would you proceed?

Notify the pt you cannot dispense this drug with only a faxed script

The Practice of pharmacy is governed by various local, state and federal laws. Which of the following federal acts enacted a law creating a standard for pharmacists to offer patient counseling?

OBRA

To comply with workplace hazardous communication standards, some chemicals are required to be distributed with Material Safety Data Sheet. Which of the following is the abbreviation for the federal agency that outlines the requirements of MSDS disclosure ?

OSHA

To comply with workplace hazardous communication standards, some chemicals are required to be distributed with a MSDS. Which of the following is the abbreviation for the federal agency that outlines the requirements of MSDS disclosure?

OSHA

An elderly customer waiting for her prescription is asking you to recommend an OTC medication for some sharp chest pains that she just started having. How should you advise her?

Offer for her to consult the Pharmacist on duty

Occasionally, Pharmacy Technicians are tasked with compounding products intended for ophthalmic administration. From the dosage forms listed below, select the type commonly used for ophthalmic preparations

Ointment

Occasionally, Pharmacy Technicians are tasked with compounding products intended of ophthalmic administration. From the dosage forms listed below, select the type commonly used for ophthalmic preparations.

Ointment

What directions for use will be written on the dispensed patient packaging label? Sig: 1 tsp qid po pc et hs

One teaspoonful by mouth for times daily after meals and at bedtime

After a new drugs patent expires, other manufacturers can seek approval to distribute a generic substitute. In order to be considered a generic version of a brand name drug, the medication must prove to be biologically equivalent. Which of the following reference tools, maintained by the FDA, lists approved drug products with therapeutic equivalence evaluations?

Orange Book

the FDA publishes a guide for approved drug products with therapeutic equivalence evaluations. The purpose of the book is to identify drugs approved by the FDA on the basis of effectiveness aznd safety, as well as therapeutic equivalence evaluations. What is this book most commonly called?

Orange Book

Health insurance providers offer different programs that cover certain expenses for medical care. One is a plan that has contracts with a network of providers from which you choose from. If you receive care from a dr in that network, you'll usually be responsible for your annual deductible. If you get care "out of network" you'll pay a higher amount and likely need to file a claim for reimbursement. What type of plan does this describe?

PPO (preferred Provider)

VArenicline is an FDA approved drug indicated to help with smoking cessation, and is marketed by Pfizer under the brand name Chantix. The NDC number for Chantix 56 TAB, FOLM COATED in 1 box is 0069-0469-12. What does the third set of number represent in this NDC number?

Package size and type

In the US drug products approved for medical use are issued an identification number known as an NDC number, The FDA maintains a database of these unique numbers, which is called the National Drug Code directory. In and NDC number, what does the third string of numbers represent?

Packaging

The PPPA was enacted in the early 1970s. The law requires ingestable consumer products (including prescription drugs) to have child-resistant packaging, in order to prevent the risk of accidental poisoning of young children. However, with prescription containers, a request can be made to use non child-proof containers. What is needed to properly fulfill a request to use non-child proof prescription vials?

Patient's Signature

Since Benzodiazepines may cause dependence or addiction, they are monitored by the DEA, usually in Sch. IV. Which of the following drugs is not a Benzodiazepine?

Paxil

With todays computer technology, pharmacy inventory systems have become highly efficient. One such system automatically adds and deleted inventory quantity as its received or dispensed and allows it to be updated on a continuous basis. What is this system called?

Perpetual Inventory

In institutional settings, drug products used for long term therapies are often re-packaged for 'unit dose' dispensing. Solid dosage forms are placed into disposable containers designed to hold a single dose to be administered directly from the container. Which of the following is not required on the label of a re-packaged unit dose container?

Pharmacist's DEA Number

Prescription packaging labels provide critical communication which helps to ensure a pts safety. The label containes information from the dr and dispensing pharmacy about using the medication correctly, refills, expiration, etc. For the following Rx, which of the items below is not mandatory prescription packaging label information? Rx: Zolpidem 10mg sig: i tab hs PRN

Pharmacist's DEA number

Prescription packaging labels provide critical communication which helps to ensure pts safety. The label contains information from the dr and dispensing pharmacy about using the medication correctly, refills, expiration, etc. For the following Rx, which of the items below is not mandatory prescription packaging label information? rx: Zolpidem 10mg, i tab HS PRN

Pharmacists DEA number

Similar to hospitals large correctional facilities usually have an in-house pharmacy. In a hospital setting, what organized group meets to decide on the formulary used in the pharmacy?

Pharmacy and Therapeutics Committee

A special order medication needs to be stored until dispensed. The instructions for storage listed in the Physicians Desk Reference indicated to store the drug at 2*-8*C. What would be an appropriate location to store this medication?

Pharmacy refrigerator

Loss of appetite is a side effect of several prescription drugs, while other drugs are directly designed to decrease appetite. Which of the following medications is indicated for, and FDA approved for short-term use as an appetite suppressant.

Phentermine

A PPI provides extensive information about prescribed drugs. Package inserts follow a standard format that explains things like chemical make-up, mechanism of action, indicated uses and how to safely use the product. Which of the following publications is updated annually and contains every current prescription drug package insert?

Physicians Desk Reference

A PPI provides extensive information about prescribed drugs. Package inserts follow a standard format that explains things like chemical make-up, mechanism of action, indicated uses, and how to safely use the product. Which of the following publications is updated annually and contains every current prescription drug package insert?

Physicians Desk Reference

The improper disposal of used hypodermic needles can create the risk of needle sticks, cuts and punctures. If a sharps disposal container is not available, which of the following is the most appropriate action to take to dispose of a used needle until you have the opportunity to dispose of it properly?

Place cap on a flat surface and use one hand to recap

The generic name for the drug Plavix is Clopidogrel. Which of the following classifications is Plavix?

Platelet Aggregate Inhibitor

Nonsteroidal anti-inflammatory drugs are a class of drugs indicated for the treatment of pain and inflammation. Which of the following drugs is not an NSAID?

Prednisolone

Estrogen replacement therapy is used to increase estrogen levels in women who experience early menopause and other "low estrogen" related conditions. Estrogen is a hormone, and usually found in significantly higher levels in women of reproductive age. Which of the following is an estrogen replacement drug?

Premarin

NDC numbers serve as unique product identifiers for drugs manufactured and distributed in the US. The NDC number 0074-2274-15 is designated for VICODIN HP/100 count tablets. What does the second set of numbers identify?

Product code

In 1970, federeal law was enacted to prevent drug related injuries to children. The Poison Prevention Packaging Act requires the use of child-resistant safety caps on dispensing containers for most prescription drugs. Which of the following drugs is not exempt from the P.P.P.A.?

Promethazine/Codeine Syrup

A Customer brought in 3 prescription orders from 3 different doctors. A psychiatrist wrote her son a script for methyphenidate. A neurologists ordered codeine/APAP for her husband's back pain, and her primary care doctor wrote her a script for clonazepam. According to the DEA which of these prescriptions cannot be prescribed with authorized refills?

RX: Methylphenidate

People over the age of 50, who regularly take NSAIDs are at an increased risk for developing stomach ulcers. Which of the following drugs is indicated for the treatment of stomach ulcers?

Rabeprazole

People over the age of 50, who regularly take non-steroidal anti inflammatory drugs (NSAIDs) are at an increased risk for developing stomach ulcers. Which of the following drugs is indicated for the treatment of stomach ulcers?

Rabeprazole

A peptic ulcer is an open sore in the tissue layer of the stomach, intestines or esophagus. Which of the following drugs may be used as part of a treatment plan for a gastric ulcer?

Ranitidine

SSRI are typically prescribed to treat depression and anxiety. Which of the following is not an SSRI?

Ranitidine

In the US the acronym AWP usually refers to the Average Wholesale Price used to determine the average/usual drugs are purchased for at wholesale level. AWP prices are normally over-inflated. As such, third-party payers typically pay AWP minus a percentage. What is the reference guide called which contains AWP information?

Red Book

Pharmaceutical manufacturers recommend proper storage requirements to maintain product stability. Which of the following best describes the temperature range from 2*-8*C?

Refrigerated Storage

Imitrex is indicated for the treatment of migraine and cluster headaches. Whichof the following categories does Imitrex belong in?

Rx only/ Legend

Daily insulin injections are required for people with type I diabetes, and sometimes necessary for people with type II diabetes. Which route is most often used for injecting insulin?

SQ ( subcutaneous)

The CMEA of 2005 was enacted to curb the growing problem of underground manufacture of illegal drugs. New federal policies were enacted to regulate the sales of OTC ephedrine based products. For example, purchasers must now show acceptable identification and each individual sale is tracked. Which of the following is not true about OTC sales of ephedrine based products in the US?

Sales prohibited in pharmacy drive thru lanes

Many states have laws that restrict the filling of DEA schedule II drugs to within a certain number of days of the scripts issue date. These laws are enacted to supersede the lengthy federal law for this. What is the federal law regarding the expiration of Sch II scripts?

Scripts for C-II never expire

To ensure that proper aseptic technique is followed, drug compounding environments must be inspected and testing at regular intervals. According to USP-797 standards, at what frequency must a Laminar Flow Clean Bench be inspected and tested for acceptable air particulates and proper air-flow?

Semi-Annually

A pt with a mild infection has been prescribed the following: RX: Amoxicillin SUSP 125mg/5mL Sig: 375mg PO Q8H Which of the following aux. labels should be placed on the dispensed container?

Shake Well

An IV infusion is used to administer fluids, often containing medications to a patient. This ROA has several advantages over other delivery methods. Which of the following best describes an IV piggyback?

Solution connected to a pts primary IV line, used to administer additional medication

Which of the following mught be prescribed to be used with a metered dose asthma inhaler to increase the ease of use and effectiveness?

Spacer

Pharmacies rely on wholesale distributors to order their inventory of drugs from the transactions which involve ordering DEA controlled drugs must be track-able and recorded appropriately. Which of the following from would be used to order Eszopiclone-Lunesta?

Standard Purchase Order

Pharmacies rely on wholesale distributors to order their inventory of drugs from, the transactions which involve ordering DEA controlled drugs must be track able and recorded appropriately. Which of the following forms would be used to order Eszopiclone-Lunesta?

Standard Purchase Order

Of the following drug classes, which is indicated for the reduction of total cholesterol and LDL-cholesterol in pts with hypercholesterolemia as an adjunct to other lipid-lowering therapies?

Statins

To comply with USP 797 standards, pharmacy staff must follow proper SOP checklist when performing sterile compounding. Of the following items, which should personnel don last before entering the compounding buffer area?

Sterile Gloves

When new inventory is stocked on the shelf, the best practice is to pull existing stock forward and place new stock behind it. This way of replenishing stock helps to dispense items with a shorter expiration date first. What is this practice known as?

Stock Rotation

A National Drug Code (NDC) Number is assigned to drugs as a unique product identifier. What does the second set of numbers in a drugs NDC identify?

Strength and Dosage form

Enteral routes of administration are different from parenteral, and each has certain advantages and disadvantages. Which of the following does not describe an enteral administration route?

Subcutaneous(SC)

Which of the following drug dosage forms is a preparation consisting of solid particles dispersed tthrought (but not dissolved in) a liquid?

Suspension

Several state, federal and independent groups have programs to oversee and regulate the pharmacy trade in the US. One program is called MedWatch, and nearly everyone in the trade is obligated to contribute to it when appropriate. Which of the following best briefly describes MedWatch?

System to report adverse drug events to the FDA

Oravig is a buccal tablet indicated for the treatment of oropharyngeal candidiases. Which of the following best described the buccal dosage form?

Tablet that slowly dissolves when held between the cheek and gum

A pt with ulcerative colitis has been ordered the following prescription: RX: Prednisolone Syrup 0/30% Sig: 15mg qd ac x7days What will the dosage instructions be on the pts packaging?

Take 1 Teaspoon daily before a meal

Which of the following directions will need to be on the dispensed package bottle for an adolescent patient? Rx: SG39 Custom Compound Susp sig: 1tsp qid po pc et hs

Take 1 teaspoonful four times daily after meals and at bedtime

Prescription auxiliary labels provide additional information regarding proper and safe drug administration. They also serve as reminders for patients. Which of the following auxiliary labels would not be used on an order of Achromycin ( Tetracycline)?

Take with Food

Coumadin is mainly prescribed as an anticoagulant. Its generic name is warfarin, and it works by reducing and preventing the formation of blood clots in veins and arteries. Which of the following would not be contraindicate to a pt who is prescribed a therapy of warfarin?

Taking it in the evening

when drugs are improperly stored in a pharmacy they can lose their potency and even become dangerous. Most drugs are designed to be safely stored at room temperature. However, because of their chemical make-up, some drugs must be stored at refrigerated temperature. Which of the following drugs would not need to be stored at refrigerated temperature?

Tamiflu

In the US health care providers who are authorized to prescribe controlled drugs are assigned a special number by the DEA. A DEA number is made up of 7 digits proceeded by 2 letters. What does the second letter in a DEA number represent?

The 1st letter of the prescribers last name

On a drug order, the in-charge pharmacists has placed a note that says" "Off Label-counseling recommended." What does it mean when a drug is prescribed " Off Label?"

The Medication was prescribed for something rather than the FDA approved indication.

The US FDA publishes a guide for approved drug products with therapeutic equivalence evaluations. What is this publication commonly known as?

The Orange Book

The US FDA pusblishes a guide for approved drug products with therapeutic equivalence evaluations. What is this publication commonly known as?

The Orange Book

A popular needle size for injecting insulin is 32 gauge. When referring to injection needles, what does the gauge size refer to?

The exterior diameter thickness of the needles shaft

Which refrigerator would you alert the pharmacy manager of? North Refrigerator=43*F South Refrigerator= 3*C Green Refrigerator= 9*C

The green refrigerator is set too high

A patient has been ordered to start a therapy of syrup Q. The directions call for 45mg TID AC et 15mg HS x10D. Syrup Q is dispensed in pre-mixed 6 ounce bottles of 0.3% concentration. How many bottles will be dispensed for this prescription?

Three

The drug Metronidazole is an antibiotic that is prescribed to treat bacterial infections. Which of the following dosage forms is Metronidazole not available as?

Tincture

Drug products are formulated in different ways in order to meet several individual needs and administration routes. Which of the following dosage forms typically contains the highest strength of alcohol?

Tinctures (e.g. Belladonna)

Diuretic drugs are those that promote the body's production of urine and are frequently used for the treatment of edema, CHF, kidney disorders and other conditions. The diuretic Hydrochlorothiazide(HCTZ) is often prescribed to act in concert with other hypertension medications. In such a situation, what is the role of the Hydrochlorothiazide?

To inhibit the body's ability to retain water, which also reduces the volume of blood for the cardiac system to handle

Patients taking certain medications long term may encounter a reduced reaction to the concentration of the drug. This issue typically requires increasing the drug concentration to achieve the desired results. In this case, what is the condition state referred to as?

Tolerance

Ultram ER is an extended release analgesic, and is indicated for moderate to semi-severe chronic pain management in adults. What is the generic name for Ultram ER?

Tramadol HCL

On Nov. 13,2013 President Obama signed a bill that gives a financial incentive to ]states to stockpile emergency medication like EpiPen in schools. What can vasopressors like Epinephrine do?

Treat anaphylactic shock

Hypercholesterolemia is a condition where high levels of cholesterol are present in the blood stream. To treat this condition, doctors prescribe medication to reduce LDL levels, as well as increasing HDL levels. Which of the following drugs would be prescribed to treat hypercholesterolemia?

Tricor

The lozenge is a medicated tablet intended to slowly dissolve in the pts mouth. They are commonly indicated to treat coughs and sore throat symptoms. What is another name used in pharmacy for this dosage form?

Troche

A prescribed drug is available as a 2.75% syrup. The patient weighs 121bs and has been ordered to take 5mg/kg q12h x10 days. If the solution is pre-packaged in 6fl oz bottles with an attached oral dosing cup, how many bottles will be dispensed for this order?

Two

Antacids containing aluminum, reduce the absorption of the some other drugs when dosed closely together. This drug-drug interaction can reduce the effectiveness of the medication and become disruptive to therapy. How much time should, taking antacids, be spaced after dosing interaction affected medications to prevent such an occurrence?

Two Hours

An order for a custome compounded solution has the directions: Sig: gtt ii OD Q3H Which of the following is the best translation for these instructions?

Two drops in the right eye every three hours

which of the following is the best translation for these instructions : Sig: gtt ii OD Q3H

Two drops in the right eye every three hours

The DEA tracks the distribution of controlled substances in the US and also enforce federal guidelines for prescription refills. Which statement best describes the refill limit for DEA Sch III medications?

Up to 5 refills within 6 months of script date

In the US, the DEA keeps track of controlled susbtances distributed by pharmacies. Of the following drugs, which would not need to be ordered using a DEA form 222

Valium

herpes zoster is a painful skin rash that commonly occurs in older adults. Its caused by the varicella-zoster virus. Which is the same virus that causes chickenpox in children and young adults. Which of the following drugs is indicated to treat Herpes Zoster(shingles) in adults?

Valocyclovir

Smoking cessation medications typically help decrease the craving for nicotine by reducing its mood-altering effects. Which of the following drugs is indicated for smoking cessation?

Varenicline

The drug Calan is a Calcium Channel Blocker and is often prescribed for hypertension. What is the generic name for Calan?

Verapamil

The drug Calan is a calcium channel blocker and is often prescribed for hypertension. What is the generic name for Calan?

Verapamil

Dermatologists will often prescribe Doxycyline 100mg BID for teenage acne. Doxycycline is a tetracycline antibiotic. Which of the following is the brand name for Doxycycline?

Vibramycin

According to the US Department of Justice, "Schedule IV controlled substances are defined as drugs with a low potential for abuse and low risk of dependence" Which of the following drugs is not in DEA Schedule IV?

Vicodin

For a patients convenience, drug order refills are often allowed by the prescriber and included on the original script. According to US federal law, which of the following brand name drugs cannot be prescribed with any refills?

Vicodin

Thiazide diuretics are commonly used to treat hypertension, edema, and CHF. They help to increase urination, thereby decreasing body fluids. Because of this action, some additional vital minerals are also excreted. As such, pts prescribed thiazide diuretics may also be prescribed to take a dietary supplement of_______?

Vitamin K

Dermatologists will often prescribe Doxycycline 100mg BID for teenage acne. Doxycycline is a tetracycline antibiotic. Which of the following is the brand name for Doxycycline?

Vubramycin

Hypercholesterolemia is a disorder characterized by elevated levels of blood cholesterol. In addition to diet and lifestyle changes, patients with this condition may be prescribed medication. Which of the following is used to lower cholesterol and triglycerides?

Vytorin

During the swing shift at the hospital, the pharmacists are called into a brief unscheduled meeting. During that time, a STAT order is placed for a commonly filled drug. You have it filled, and a volunteer is waiting to deliver it to the south wing. Which option is best to get this order dispensed and to the patient in a timely manner?

Wait until a pharmacist approves it, and send it out

In Pharmacy, many different methods are used to calculate pediatric dosages. One such formula is Clark's rule, which is often used to determine dosages in patients from 2-17 years old. Which of the following is a factor used to determine dosage in Clark's Rule?

Weight in lbs.

On OCtober 6, 2014, the DEA rescheduled hydrocodone combination products to Sch. II of the CSA. Which of the following drugs is not in a DEA Schedule?

Wellbutrin

On October 6,2014, the DEA rescheduled hydrocodone combination products to Schedule II of the CSA. Which of the following drugs is not in a DEA schedule?

Wellbutrin

In the field of pharmacy, there is a widespread use of abbreviations and specific terminology. What does it mean when drugs are "scored"?

When tablets are indented by the manufacturer to more easily break into smaller pieces

Patients complaining of perpetual heartburn combined with painful regurgitation of gastric acid are often diagnosed with gastroesophageal reflux disease. Which of the following drugs is not indicated for the treatment of GERD?

Zetia

Patients complaining of perpetual heartburn, combined with painful regurgitation of gastric acid are often diagnosed with gastroesophageal reflux disease. Which of the following drugs is not indicated for the treatment of GERD?

Zetia

One of the most prescribed drugs in the US is Simvastatin. It is classified as a statin drug, and used to lower cholesterol level. Although it is commonly filled as a generic drug, what is the brand/trade name for simvastatin?

Zocor

Herpes Zoster is a viral disease normally characterized by a painful skin rash and blisters. Also known as "shingles" the condition typically lasts 2-4 weeks. The drug maker Merck has developed a vaccine for Shingles, which can reduce the incidence of herpes zoster by almost 50%. What is the brand name of the shingles vaccine?

Zostavax

In effort to maintain patient safety, oral liquid medications must clearly communicate exact dosage instructions, which statement is true regarding the writing of decimal numbers with accuracy, and to help avoid dosage errors?

always use a leading zero before a decimal point

In the hospital setting, administering the correct medication in the correct dose at the correct time to the correct patients is a top priority. Which of the following is a medication administration software tool used in hospitals to improve patient safety and reduce the amount of time spent on documentation?

eMAR

Most states now require pharmacies to keep a perpetual inventory of CSA Schedule II drugs, which is performed by their computer systems. However, the DEA has different requirements. After the initial inventory of Schedule II drugs is recorder, another physical inventory must be counted within what time-frame?

every 2 years

Because there is a high risk that isotretinoin will cause major complications in a pregnancy, a program has been set up to make sure that women who are or may become pregnant are not exposed to the drug. All pts, including men must be registered with the program to have a prescription filled for isotretinoin. What is this program called?

iPLEDGE

What would you type on the packaging label for the following prescription order? Rx: Ofloxacin solution 0.3%/10mL Sig: 5gtt AD BID x10D

instill 5 drops into the right ear twice daily for 10 days

A prescription below is presented by a pt with a throat condition Rx: Lidocaine Solution sig: 300mg PO q4h PRN x3D Your pharmacy stocks 2% lidocaine solution in 100 mL bottles. What directions for use will you put on the bottles dispended?

take 3 teaspoons every 4hrs as needed

A 4year old child was prescribed a therapy which was unsuccessful. She has developed a worsening condition. and her pediatrician wants to try a different drug. The normal adult dosage is 400mg every 6 hrs. Your pharmacy stocks this drug in 50mg tabs. How many tabs will be needed for each dose if calculated with young's rule for pediatric dosages?

two