PTCE Practice Questions

A pharmacy technician receives a prescription that reads 2 gtt AU BID. What will the label placed on the patient's medication read? A. two drops in both ears two times daily B. two drops in both eyes two times daily C. two drops in the right ear three times a day D. two drops in the left eye two times daily

A. two drops in both ears two times daily

Which of the following refers to the process of moving products with an early expiration date to the front of a shelf and placing products with later expiration dates in the back? A. stock rotation B. stock depletion C. stock turn D. stock arrangement

A. stock rotation

How long is a DEA form 222 valid after its execution by the purchaser? A. 30 days B. 60 days C. 120 days D. 360 days

B. 60 days

Which of the following is an equipment required by law to be available in every pharmacy? A. digital balance B. class A balance C. spatula D. pill counting tray

B. class A balance A class A balance or torsion balance is required by law to be available in every pharmacy. This balance has a sensitivity requirement of 6mg and can accurately weigh a minimum of 120mg up to 15g

Which of the following is NOT a true statement regarding closed formularies? A. A physician needs a permission to order any medication not included on the formulary. B. Less expensive medications are stocked for cost saving reasons. C. The allow physicians to order any medication. D. The list of approved medications is limited.

C. They allow physicians to order any medication.

Where should C2 narcotics be stored? A. separately in a secure place B. dispersed on the shelf with other prescription medications C. stored next to oral chemotherapy medications D. in the same compartment as investigational drugs

A. separately in a secure place Preferably in a locked compartment. Chemotherapy medications and investigational drugs should also be stored separately.

Work area is designated by how many inches fro the front edge and the sides of the laminar? A. 6 inches from the front edge and 3 inches from the sides. B. 6 inches from the front edge and 6 inches from the sides. C. 5 inches from the front edge and 5 inches from the sides. D. 8 inches from the front edge and 6 inches from the sides

B. 6 inches from the front edge and 6 inches from the sides.

How long is nitroglycerin sublingual stable after opening the container? A. 30 days B. 6 months C. 12 months D. 1 year

B. 6 months

According to USP 797, how often should a compounder performing high-risk preparations undergo validation testing? A. every month B. every 6 months C. every year D. every 2 years

B. every 6 months

What is the generic name for Tenormin? A. atenolol B. carvedilol C. albuterol D. metoprolol

A. atenolol *Carvedilol is generic for Coreg. *Albuterol is generic for ProAir, Ventolin, and Proventil. *Metoprolol is generic for Lopressor.

How many grams of dextrose can be found in 500mL of d10w? A. 5g B. 50g C. 500g D. 5000g

B. 50g d10w = dextrose 10% in water 10$ = 10g dextrose in every 100mL of water 10g/100mL = x/500mL x = (500*10)/100 = 50g of dextrose

Digibind is an antidote for which of the following medications? A. Digoxin B. vitamin K C. Coumadin D. metoprolol

A. Digoxin

How many continuing education credits are required over the course of 2 years by a certified pharmacy technician? A. 10 B. 20 C. 30 D. 40

B. 20

Which of the following abbreviations does not indicate a route of administration? A. SL B. SR C. PR D. SC

B. SR

What is 0.45% NS? A. 0.45% normal strength B. half normal saline C. 0.45% nonstop D. 0.45% nonstandard

B. half normal saline

As long as the manufacturer's storage requirements are met, what is the beyond-use date of a multidose vial such as insulin injection after opening? A. 1 week B. 14 days C. 28 days D. 30 days

C. 28 days

Where should the gowns and gloves used in chemotherapy compounding be disposed? A. regular trash B. sharps container C. yellow chemo waste bag D. red biohazard bag

C. yellow chemo waste bag

Which of the following is an anticonvulsant medication? A. etoposide B. carbamazepine C. sulfadiazine D. glipizide

B. carbamazepine *Etoposide is an antineoplastic. *Sulfadiazine is a sulfa antibiotic. *Glipizide is an antidiabetic.

Which of the following auxiliary labels should be affixed to containers of NSAIDs? 1. Take with food. 2. Take with plenty of water. 3. May cause photosensitivity. 4. Do not refrigerate. A. 1 and 2 only B. 1 and 3 only C. 2 and 3 only D. 2 and 4 only

A. 1 and 2 only

What is the equivalent of the temperature 86C in Fahrenheit? A. 122.8F B. 186.8F C. 30F D. 66F

B. B. 186.8F F = (C*1.8)+32 F = (86*1.8)+32 = 186.8F

Which of the following sig codes indicates that a medication should be taken after a meal? A. AC B. PC C. QD D. AD

B. PC

A pharmacy technician receives an order for 1.6 million of penicillin G in 100mL NS. Penicillin G is diluted to 100000 units/mL concentration. How many milliliters should be added to the IV bag? A. 20mL B. 0.001mL C. 16mL D. 62.5mL

C. 16mL 1600000/100000 = 16

Which of the following is not a side effect of cholinergic agents? A. hypertension B. diarrhea C. excessive urination D. sweating or flushing

A. hypertension

Which of the following medications should NOT be protected from light? A. nitroglycerin B. nitrofurantoin C. methylprednisolone D. all of the above

B. nitrofurantoin

Which of the following filters removes particulate matter and bacteria that may have been introduced during the preparation of an epidural? A. 0.22 micron B. 5 micron C. 10 micron D. 15 micron

A. 0.22 micron A 5 micron filter is used to filter out glass particles when preparing sterile products from ampoules.

If 600mg of lidocaine powder is suspended in 150mL of water, what would be the percent concentration of the suspension? A. 0.4% B. 400% C. 40% D. 4%

A. 0.4% Step 1: Convert from milligrams to grams: 1g = 1000mg 600/1000 = 0.6g Step 2: Calculate the percent concentration using the following formula: percent concentration = [(active ingredient)/(inactive ingredient)]*100 percent concentration = (0.6g/150mL)*100 = 0.4% Note: The units of active and inactive ingredients can only be expressed in grams or milliliters, depending on whether the quantity represents a volume or a solid.

If a patient receives 5mL of a 20% solution, ow many milligrams of the solution did he receive? A. 1000mg B. 400mg C. 25mg D. 1mg

A. 1000mg 20% = 20gm/100mL 20gm/100mL = x/5mL x = (20*5/100 = 1g = 1000mg

A patient is ordered 20mEq of potassium chloride in 1000mL of 1.45% NS to be infused over 12 hours using a 10 drops per milliliters infusion set. Potassium chloride is available in a concentration of 2 mEq/mL. What is the flow rate of the IV bag in drops per minute? A. 14 gtt/min B. 13 gtt/min C. 8 gtt/min D. 6 gtt/min

A. 14 gtt/min There is 60gtt(drops) in a mL Step 1: Calculate the infusion rate in milliliters per hour using the following formula: infusion rate (mL/hr) = total volume to be infused (mL)/total amount of time the IV will run (hr) infusion rate = 1000mL/12hr = 83mL/hr Step 2: Convert the rate to drops per minute using the following formula: infusion rate (gtt/min) = (infusion rate in mL/hr)(drop factor in gtt/hr)(1hr/60min) infusion rate (gtt/min) = (83mL/hr)*(10gtt/mL)*(1hr/60min) = 13.83gtt/min = 14gtt/min

A patient who is 168lb is ordered dopamine 50mcg/kg/min to be infused at 400mg in 250mL of 0.45% NS using a 60gtt/mL infusion set. What is the IV flow rate in milliliters per hour? A. 143mL/hr B. 2mL/hr C. 315mL/hr D. 140mL/hr

A. 143mL/hr Step 1: Convert weight from pounds to kilograms 1kg = 2.2lb 168lb/2.2 = 76.36kg Step 2: Calculate the dose of medication needed for the patient: 50mcg/kg 50*76.36 = 3818mcg Step 3: Convert the medication dose from micrograms to milligrams: 1mg = 1000mcg 3818/1000 = 3.82mg Step 4: Calculate amount of medication the patient will receive in milligrams per hour: 3.82mg*60mins = 229mg/hr Step 5: Calculate the amount of medication received by the patient in milliliter per hour: 400mg/250mL = 229mg/x x = 143mL or 143mL/hr

A patient is ordered 30mEq of potassium chloride in 1000mL of 0.45% NS to be infused over 12 hours. Potassium chloride is available in a concentration of 2mEq/mL. How many milliliters of potassium chloride should be added to each IV bag? A. 15mL B. 30mL C. 20mL D. 45mL

A. 15mL

How long are drug patents effective? A. 20 years from the date of the patent filing B. 20 years from the time the drug is placed on the market C. 20 years after the end of phase 2 trials D. 20 years after the end of phase 3 trials

A. 20 years from the date of the patent filing After a drug patent runs out, competitor manufacturer industries are allowed to produce generics of the drug

Use Fried's rule to calculate the medication dose for a 6 month old infant based on the adult dose of 500mg. A. 20mg B. 167mg C. 10mg D. 5mg

A. 20mg Use Fried's rule: (child's age in months*adult dose)/150months (6*500mg)/150 = 20mg Note: Fried's rule is preferably used for infants up to 2 years of age

A patient with a severe urinary tract infection is ordered 5.5g of ciprofloxacin to be taken over 14 days. Available at the pharmacy is ciprofloxacin 250mg tablets. How many tablets should the pharmacy technician dispense for the course of therapy? A. 22 tablets B. 11 tablets C. 308 tablets D. 45 tablets

A. 22 tablets 1g = 1000mg 5.5*1000 = 5500 5500/250 = 22 tablets

After diluting 8kg of 30% hydrocortisone ointment to 2.5% strength, how many 28g tubes can be filled? A. 3428 tubes B. 667 tubes C. 96 tubes D. 336 tubes

A. 3428 tubes Step 1: Convert the following: 8kg = 8000gm Step 2: Calculate the final quantity using the dilution equation: (C1)*(Q1) = (C2)*(Q2) (30%)(8000g) = (2.5%)(X) X = (30*8000)/2.5 = 96000g Step 3: Calculate the quantity of tubes that can be filled: 96000g / 28g = 3428 tubes

Which of the following DAW codes indicates that drug substitution is allowed because the generic drug is not available in the pharmacy? A. 4 B. 5 C. 6 D. 7

A. 4 Dispense as written (DAW) codes are as follows: *DAW 0 = no DAW specified *DAW 1 = brand name requested by physician (substitution allowed) *DAW 2 = brand name requested by patient (substitution allowed) *DAW 3 = brand name selected by pharmacist (substitution allowed) *DAW 4 = generic is not available in the pharmacy (substitution allowed) *DAW 5 = brand name is dispensed and priced as generic (substitution allowed) *DAW 6 = override *DAW 7 = brand name madated by law (substitution not allowed) *DAW 8 = generic drug backordered in marketplace (substitution allowed) *DAW 9 = other These codes can affect payment of claims.

A pharmacy receives an order for a Persantine IV bag for a stress test. Persantine is a radiopharmaceutical dosed at 0.57mg/kg. How many mg should be added to an IV bag for a patient who weighs 180lb? A. 46.6mg B. 143.5mg C. 694.7mg D. 225.7mg

A. 46.6mg Step 1: Convert pounds to kilograms: 1kg = 2.2lb 180/2.2 = 81.82kg Step 2: Calculate the dose for the patient: 81.82*0.57 = 46.6mg

A patient is ordered 300 grains of thyroid tablets. Available in the pharmacy is 300mg tablets of thyroid. How many tablets should be dispensed? A. 65 tablets B. 59 tablets C. 30 tablets D. 35 tablets

A. 65 tablets 1gr = 65mg

How many milliliters are contained in 2 pints of liquid? A. 946mL B. 1892mL C. 454mL D. 60mL

A. 946mL 1 pint = 473mL

Which of the following statements regarding sterile compounding is true? A. A barrier isolator or a horizontal laminar flow hood can be used to compound IV antibiotics. B. Compounded sterile products (CSPs) are also known as extemporaneous compounding. C. A horizontal laminar flow hood can be usd for compounding chemotherapy. D. A laminar flow hood is cleaned using bleach and water.

A. A barrier isolator or a horizontal laminar flow hood can be used to compound IV antibiotics. *A barrier isolator or glove box and the horizontal laminar flow hood can be used to compound IV antibiotics *Extemporaneous compounding are non-commercially available and nonsterile products that are prepared for specific patient needs in response to a physician's prescription. These include ointments, creams, liquids, and so on. *Hazardous products such as chemotherapy can only be compounded under a vertical flow hood or a barrier isolator with negative pressure. A laminar flow hood is cleaned with sterile water followed by 70% isopropyl alcohol.

A 58 year old patient is prescribed morphine sulfate CR 15mg tablets following major surgery. He comes to the pharmacy for a refill 1 week after his medication was originally filled and indicates that he misplaced the container of medication and he is in severe pain. Which of the following would be the most appropriate action to take as a pharmacy technician? A. Advise the patient that he cannot obtain a refill unless he receives a new prescription from his physician. B. Fill a limited emergency dose for the patient to take care of his pain. C. Fill the prescription and advise the patient that he needs to call his physician to fax a refill order to the pharmacy. D. none of the above

A. Advise the patient that he cannot obtain a refill unless he receives a new prescription from his physician.

What is the name of the government agency that administers Medicare and Medicaid services? A. CMS B. DEA C. FDA D. TJC

A. CMS *The Centers for Medicare and Medicaid Services (CMS) is a U.S. federal government agency that administers all laws and policies related to Medicare and Medicaid. *The FDA is the Food and Drug Administration, which regulates prescription and over-the-counter drugs. *The DEA is the Drug Enforcement Agency, which deals with controlled substances. *The TJC is The Joint Commission, which accredits healthcare organizations. Formerly known as The Joint Commission on Accreditation of Healthcare Organizations (JCAHO).

Which of the following medications should not be crushed? A. olanzapine 10mg tablet B. Cardizem LA 300mg tablet C. pravastatin 20mg tablet D. lisinopril 10mg tablet

A. Cardizem LA 300mg tablet All medications with extended-release formulation should not be crushed.

Which of the following statements is true regarding generic drugs? A. Drugs have many brand names but only one generic name. B. Generic drugs are less effective than brand names. C. Generic drugs are just as expensive as brand names. D. Insurances would cover brand name drugs if the patient does not want the generic alternative.

A. Drugs have many brand names but only one generic name. *Insurances would cover a brand name drug only if the doctor states that it is medically necessary.

Which of the following tablets cannot be crushed? A. Ecotrin 325mg B. aspirin 325mg C. furosemide 20mg D. glyburide 2.5mg

A. Ecotrin 325mg Ecotrin is enteric coated aspirin. The enteric coating protects the aspirin against stomach acid to be dissolved in the enteric or small intestine. Crushing the tablet would interfere with its formulation and make it ineffective. Other drugs with special formulations such as extended-release or long-acting drugs also should not be crushed.

Which of the following statements is true regarding why pharmacies prefer purchasing most of their stock from wholesalers or distributors? A. It is difficult to deal with all the different manufacturers. B. Manufacturers stock most medications at competitive prices. C. Manufacturers make daily deliveries and provide systems for ordering medications. D. all of the above

A. It is difficult to deal with all the different manufacturers. Pharamacies prefer purchasing most of their stock from wholesalers or distributors because: *It is difficult to deal with all the different manufacturers. *Wholesalers stock most medications at competitive prices. *Wholesalers make daily deliveries and provide systems for ordering medications. Pharmacies purchase from manufacturers' special orders and backordered items.

Which of the following statements is true regarding measurement of liquid using a graduated cylinder? A. Liquids are measured at eye level by reading the top of the meniscus. B. Liquids that form an upside-down meniscus are measured at eye level by reading the lowest point. C. Liquids that form an upside-down meniscus are measured at eye level by reading the midpoint between the top and the bottom of the meniscus. D. Liquids are measured at eye level by reading the bottom of the meniscus.

A. Liquids are measured at eye level by reading the top of the meniscus.

Which of the following drug classes should be avoided while on enoxaparin (Lovenox), warfarin (Coumadin), and clopidogrel (Plavix)? A. NSAIDs B. macrolides C. antihistamines D. proton pump inhibitors (PPI)

A. NSAIDs Should not be taken with anticoagulants or antiplatelets. Concomitant use may lead to hemorrhage.

Which of the following organizations enforces health and safety in the workplace? A. OSHA B. FDA C. DEA D. TJC

A. OSHA *OSHA is the Occupational Safety and Health Administration, which enforces health and safety in the workplace. *The FDA is the Food and Drug Administration, which regulates prescription and over-the-counter drugs. *The DEA is the Drug Enforcement Agency, which deals with controlled substances. *The TJC is The Joint Commission, which accredits healthcare organizations. Formerly known as The Joint Commission on Accreditation of Healthcare Organizations (JCAHO).

Which of the following is an automated dispensing machine? A. Omnicell B. Baker cell C. Kirby Lester D. both A and B

A. Omnicell Accu-Dose, Omnicell, Pyxis, and ScriptPro are all automated dispensing machines. Baker Cell and Kirby Lester are digital pill counting machines.

Which of the following would be responsible for managing pharmacy benefits? A. PBM B. MAC C. AWP D. ATM

A. PBM *A pharmacy benefits manager (PBM) administers pharmacy benefits for third-party payers (insurances). *The maximum allowable cost (MAC) is an insurance reimbursement formula based on the lowest available cost of the generic equivalent to the drug prescribed. *The average wholesale price (AWP) is the average wholesale cost of a drug before the addition of markups and dispensing fees. * It's a ATM.....

Which of the following statements is true regarding beyond-use dating of repackaged medications? A. The expiration date should be 6 months or 25% of the remaining manufacturer's expiration, whichever comes first. B. It should be 1 year after the manufacturer's expiration date. C. It should be 1 year from the date of repackaging without regard to the manufacturer's expiration date. D. The expiration date of repackaged medications should be the same as the one provided by the manufacturer.

A. The expiration date should be 6 months or 25% of the remaining manufacturer's expiration, whichever comes first. *The general rule for beyond-use dating of repackaged medications is that it should be 6 months or 25% of the remaining manufacturer's expiration, whichever comes first, unless otherwise indicated by the manufacturer

Which of the following statements regarding temperature is NOT true? A. Water boils at 100F B. Body temperature is about 37C C. Refrigerator temperature is between 2 and 8C D. Freezer temperature is between -20 and -26C

A. Water boils at 100F Water boils at 100C = 212F

The pharmacy filling system include all of the following EXCEPT: A. a folder for all medications including C2-5 B. a folder for C2, a folder for C3-5 stamped with a red C in the lower right-hand corner, and a folder for all other prescriptions C. A folder for C2-5 with C3-5 prescriptions stamped with a red C in the lower right-hand corner, and a folder for all other prescriptions D. a folder for C2, a folder for C3-5 and all other prescriptions, with C3-5 being idenified with a red C stamp in the lower right-hand corner

A. a folder for all medications including C2-5

What are the base components of a hyperalimentation admixture? A. amino acids and dextrose B. amino acids, dextrose, and proteins C. amino acids, dextrose, and electrolytes D. amino acids, dextrose, multivitamins, and trace elements

A. amino acids and dextrose

Which of the following medications can alter the effectiveness of birth control? A. antibiotics B. benzodiazepines C. NSAIDs D. muscle relaxants

A. antibiotics

A pharmacy technician misinterpreted a prescription that read: "insulin 10u" for 100 units of insulin. What type of error occured? A. assumption error B. selection error C. capture error D. extra dose error

A. assumption error *An assumption error occurs when information that cannot be interpreted is guessed. *A selection error occurs when the wrong drug is selected. *A capture error is created when an individual's attention is diverted causing an error to be made. *An extra dose error occurs when more doses than were prescribed are dispensed

How long should a compounding pharmacy technician scrub the hands and up to the elbow with warm water and antimicrobial soap? A. at least 30 to 90 seconds B. at least 30 minutes C. at least 5 minutes D. at least 5 seconds

A. at least 30 to 90 seconds

Which of the following drugs requires weekly complete blood cell counts (CBCs) prior to drug dispensing? A. clozapine B. Prozac C. paroxetine D. sertraline

A. clozapine Clozapine is an antipsychotic drug that may lead to agranulocytosis. In 1990, the "no blood, no drug" program was initiated, which required weekly CBCs prior to drug dispensing of clozapine (Clozaril). Prozac, paroxetine, and sertraline are SSRIs.

Which of the following is a C2 drug? A. cocaine B. phenobarbital C. lorazepam D. marinol

A. cocaine

How often is the temperature of controlled-temperature areas of a pharmacy recorded? A. daily B. weekly C. monthly D. twice every year

A. daily

What is required during preparation of chemotherapy? A. double gloving B. compounding under a horizontal flow hood C. compounding on a counter top in an open area D. using filter needles

A. double gloving

How often should all work surfaces and flooring of a cleanroom be sanitized? A. every day B. every week C. twice per week D. every month

A. every day As per USP 797

Which of the following drug classes is a medication that thins the mucus so it may be easier to expel from the chest? A. expectorant B. antitussive C. decongestant D. antiseptic

A. expectorant

Which of the following DEA form 222 copies is sent by the supplier to the local DEA? A. green copy B. blue copy C. red copy D. brown copy

A. green copy DEA form 222 is composed of 3 copies as follows: *copy 1 (brown) is forwarded to the supplier *copy 2 (green) is forwarded to the supplier and then sent to the DEA *copy 3 (blue) is retained by the purchaser for a minimum of 2 years

Which of the following is the proper garbing order? A. head cover, face mask, beard cover (if needed), shoe covers, hand wash, gown, gloves B. hand wash, head cover, face mask, beard cover (if needed), shoe covers, gown, gloves C. gown, head cover, face mask, beard cover (if needed), show covers, hand wash, gloves D. head cover, hand wash, face mask, beard cover (if needed), shoe covers, gown, gloves

A. head cover, face mask, beard cover (if needed), shoe covers, hand wash, gown, gloves Following this garbing order is important to avoid contamination of hands after hand washing.

Which of the following auxiliary labels should be affixed to conatiners of sulfonamides, fluoroquinolones, and tetracyclines? A. may cause drowsiness B. take on an empty stomach C. may cause photosensitivity D. do not drink with alcohol

A. may cause photosensitivity

Which of the following is not a C3 drug? A. oxycodone and acetaminophen B. hydrocodone and acetaminophen C. codeine and acetaminophen D. testosterone

A. oxycodone and acetaminophen B. hydrocodone and acetaminophen

Which of the following healthcare professionals may not take a telephone order from a physician? A. pharmacy technician B. registered nurse C. pharmacist D. respiratory therapist

A. pharmacy technician

Another name for a single supplier that provides pharmacies with a major portion of the system's purchases at lower cost is: A. prime supplier B. manufacturer C. group purchasing organization D. sole provider

A. prime supplier

Needles should never be detached from a syringe but sometimes this is necessary. What is the correct way of detaching a needle from a syringe if absolutely necessary? A. scoop up the cap of the needle from the LAFW surface and turn the syringe so that the cap is side up, then push the cap down until it snaps in place, and then twist the needle off while holding the cap B. hold the cap with one hand and insert the needle into it with the other hand and then twist off the needle while holding the cap C. twist the needle of the syringe without first recapping the needle D. twist the needle off of the syringe using a gauze swab

A. scoop up the cap of the needle from the LAFW surface and turn the syringe so that the cap is side up, then push the cap down until it snaps in place, and then twist the needle off while holding the cap

If the strength of a drug is omitted from the prescription, your duty as a pharmacy technician would be to: A. tell the pharmacist B. call the doctor C. guess what strength the drug is supposed to be, because you know the patient's diagnosis D. input the strength that is most ordered for this drug

A. tell the pharmacist

Which act distinguished between legend and nonlegend drugs? A. the 1951 Durham Humphrey Amendment B. the 1962 Kefauver-Harris Amendment C. the 1983 Orphan Drug Act D. the 1914 Harrison Narcotic Act

A. the Durham Humphrey Amendment *The Durham Humphrey Amendment distinguished between prescription and over-the-counter (nonlegend) drugs prohibiting the sale of legend (prescription) drugs without a prescription. *The Kefauver-Harris Amendment requires drugs to be proven pure, safe, and effective. *The Orphan Drug Act encourages finding drug treatments for rare (orphaned) diseases. *The Harrison Narcotic Act limits the transport, manufacture, and the sale of opium and any of its derivatives. It requires a written prescription to purchase any of the aforementioned drugs.

A medication that has an expiration date of 12/14 would expire on: A. the last day of December 2014 B. 12/01/14 C. 12/14/14 D. December of 2012

A. the last day of December 2014

Which of the following is an example of an aminoglycoside? A. tobramycin B. amoxicillin C. penicillin D. Augmentin

A. tobramycin The other medications belong to the penicillin class of antibiotics

At what temperature are Fahrenheit and Celsius equal? A. 40 B. -40 C. 0 D. 100

B. -40 F = (C*1.8)+32 F = (-40*1.8)+32 = -40F C = (F-32)/1.8 C = (-40-32)/1.8 = -40C

A diabetic patient is ordered 75 units of insulin U-100 in 0.9% NS 100mL. How many units of insulin should be added to the IV bag? A. 75mL B. 0.75mL C. 75000mL D. 0.075mL

B. 0.75mL 100 units = 1mL So, 75/100 = 0.75

What is 1:125 in percent strength? A. 125% B. 0.8% C. 0.008% D. 0.08%

B. 0.8% 1:125 = 1/125 when written as a fraction Convert to percent strength by dividing the numerator by the denominator and multiplying by 100: (1/125)*100 = 0.8% Or can be written as a proportion: 1/125 = X/100 X = (1*125)/100 = 0.8%

How many 300mg tablets are needed to make 1500mL of a 1:400 solution? A. 12 tablets B. 13 tablets C. 1 tablet D. 20 tablets

B. 13 tablets Step 1: Calclulate the amount needed in milligrams: 1:400 = 1g/400mL 1g/400mL = X/1500mL X = (1*1500)/400 = 3.75g = 3750mg Step 2: Figure out how many tablets are needed: quantity to be dispensed = desired dose / dose available 3750mg / 300mg = 12.5 or 13 tablets

A patient is ordered 20mEq of potassium chloride in 1000mL of 0.45% NS to be infused over 6 hours using a 10 drops per milliliter infusion set. What is the flow rate of the IV bag in milliliters per hour? A. 50mL/hr B. 167mL/hr C. 200mL/hr D. 150mL/hr

B. 167mL/hr Calculate the infusion rate in milliliters per hour using the following formula: infusion rate (mL/hr) = total volume to be infused (mL)/total amount of time the IV will run (hr) infusion rate = 1000mL/6hr = 167hr

Which of the following accurately defines sterility of compounded sterile products (CSPs)? A. lack of color change B. no precipitates C. free of microorganisms D. both A and B

C. free of microorganisms A sterile CSP is free of microorganisms. This is important because nonsterile products given intravenously could lead to a systemic infection, which would be hazardous to health.

A pharmacy technician receives an order for a child weighing 50lb whose height is 110cm. If the adult dose is 250mg, what is the appropriate child dose? A. 221mg B. 179mg C. 83mg D. 100mg

B. 179mg Step 1: Convert height from lb to kg 1kg = 2.2lb 50/2.2 = 22.7kg Step 2: Calculate based on the BSA of the child: BSA = (square root of [weight(kg)*height(cm)/3600]) child's dose = (BSA of child/1.73m2)*adult dose child's dose = (1.24m2/1.73m2)*250mg = 179mg Note: This formula is based on the average adult who weighs 140lb and has a body surface area of 1.73m2.

A geriatric patient who weighs 150lb is ordered vancomycin (Vancocin) 30mg/kg/24hr IV in two equally divided doses. How much medication will the patient receive per dose? A. 2g B. 1g C. 1200mg D. 1.2g

B. 1g Step 1: Convert weight from pounds to kilograms: 1kg = 2.2lb, so 150lb/2.2 = 68.18kg Step 2: Find out how much medication the patient will receive per dose: Since the dose is 30mg/kg/24hr in two equally divided doses, one dose is equal to 15mg/kg/12hr: 68.18kg*15 = 1022.7mg per dose = 1.02g per dose or 1g per dose

A diabetic patient is ordered 5 units of regular insulin before every meal and 40 units of Lantus insulin QHS. How many vials of Lantus insulin will the patient need over the course of 1 month? A. 1 B. 2 C. 3 D. 4

B. 2 1mL = 100 units Vials of insulin are 10mL each. QHS = every night before bedtime

A pharmacy technician receives a written prescription that reads: Moxifloxacin 0.5% iii gtt OU TID x 7d. If each bottle has a total volume of 5 mL, how many bottles should be dispensed to complete this therapy? A. 1 B. 2 C. 7 D. 8

B. 2 1mL = 16 drops

How many milliliters are in a cup? A. 120mL B. 240mL C. 360mL D. 480mL

B. 240mL

How many days will the following prescription last? Famotidine 20mg #120 Sig: Famotidine 40mg po BID A. 28 days B. 30 days C. 32 days D. 34 days

B. 30 days

Dr. White precribed a patient the following prednisone taper regimen: *Prednisone 40mg BID QD for 5 days followed by *Prednisone 40mg QD for 5 days followed by *Prednisone 20mg QD daily for 11 days How many 20mg prednisone tablets should be dispensed? A. 51 tablets B. 41 tablets C. 820 tablets D. 104 tablets

B. 41 tablets

A pharmacy technician is asked to dilute 300mL of a 50% solution of acetic acid to a 20% concentration. How much diluent should be added? A. 750mL B. 450mL C. 120mL C. 180mL

B. 450mL Step 1: Use the dilution equation: concentration 1(C1)*quantity 1(Q1) = concentration 2(C2)*quantity 2(Q2) 50%*(300mL) = 20%*(X) X = (50*300)/20 = 750mL Step 2: Calculate the amount of diluent: volume of diluent = final volume - initial volume volume of diluent = 750mL - 300mL = 450mL Note: In the dilution equation, the abbreviations are as follows: *C1 is the initial concentration *Q1 is the initial quantity *C2 is the final concentration *Q2 is the final quantity The initial concentration will always be larger than the final concentration and the initial volume will always be smaller than the final volume. This is because in order to break down the concentration, a diluent needs to be added, which results in a larger volume and a smaller concentration.

Which of the following is an effective antidote to episodes of hypoglycemia? A. Glucotrol B. glyburide C. glucagon D. Glucophage

C. glucagon

If a pharmacy has an annual purchasing cost of $1400000 and the inventory cast at the beginning of a particular month was $200000 and $400000 at the end of the month, what is the turnover rate? A. 4 B. 5 C. 6 D. 7

B. 5 Step 1: Calculate the average inventory: Average inventory = (beginning inventory / ending inventory)/2 (200000/400000)/2 = 300000 Step 2: Calculate the inventory turnover rate by using the folowing formula: inventory turnover rate = cost of annual purchase / value of average inventory on hand 1400000/300000 = 4.6 or 5 turns

How many omeprazole 20mg capsules would be required to make the following omeprazole solution? *Omeprazole 2% *Sodium bicarbonate 50% *Qs with 0.45% normal saline to 50mL A. 4 capsules B. 50 capsules C. 125 capsules D. 200 capsules

B. 50 capsules Step 1: Calculate quantity of omeprazole needed to make a 50mL solution: 2/100 = x/50 X = (2*50)/100 = 1g Step 2: Calculate the quantity of omeprazole capsules needed: 1g = 1000mg 1000/20 = 50 capsules

Amoxicillin suspension is diluted using 100mL of sterile water to a final volume of 150mL. What is the power displacement volume? A. 100mL B. 50mL C. 250mL D. 150mL

B. 50mL powder displacement volume = final volume - diluent volume powder volume = 150mL-100mL = 50mL

A pharmacy technician is given 120mL of a 20% dextrose solution and is told to dilute it with 6oz of sterile water. What would be the final percent concentration? A. 13% B. 8% C. 14% D. 20%

B. 8% 1oz=30mL, so 6oz=6*30mL=180mL Use the dilution equation: Concentration1(C1)*Quantity(1)=Concentration(2)*Quantity(2) C1=20%, Q1=120mL, Q2=180mL+120mL=300mL 20%(120mL)=X(300mL) X=2400/300=8%

How much dextrose 70% should be mixed with dextrose 20% to make 400mL of a 30% dextrose solution? A. 320mL of the 70% dextrose and 80mL of the 20% dextrose B. 80mL of the 70% dextrose and 320mL of the 20% dextrose C. 100mL of the 70% dextrose and 300mL of the 20% dextrose D. 300mL of the 70% dextrose and 100mL of the 20% dextrose

B. 80mL of the 70% dextrose and 320mL of the 20% dextrose Step 1: Use the dilution equation: concentration 1(C1)*quantity 1(Q1) = concentration 2(C2)*quantity 2(Q2)

A pharmacy technician receives an order for amoxicillin 20mg per kg every 12 hours. The patient is a child who weighs 40lb and whose height is 120cm. The medication is available in a concentration of 400mg/5mL. How much amoxicillin will the patient receive per day? A. 20mL B. 9mL C. 10mL D. 4.5mL

B. 9mL Step 1: Convert the weight of the patient from pounds to kilograms: 1lb = 2.2kg, so 40lb/2.2 = 18.18kg Step 2: Calculate the dose in milligrams: 18.18kg*20mg = 363.3 per dose Step 3: Calculate amount of medication patient is to receive per day: 363.6mg*2 = 727.2mg Step 4: Calculate amount of medication in milliliters: 400mg/5mL = 8, so 727.2mg/8 = 9.09 So the answer is 9mL per day or 4.5mL per dose

Which of the following organizations governs the management of pharmaceutical hazardous waste? A. FDA B. DEA C. EPA D. TJC

C. EPA *The Environmental Protection Agency (EPA) governs the management of pharmaceutical hazardous waste. *The FDA is the Food and Drug Administration, which regulates prescription and over-the-counter drugs. *The DEA is the Drug Enforcement Agency, which deals with controlled substances. *The TJC is The Joint Commission, which accredits healthcare organizations.

Which of the following Orange Book equivalency ratings indicates that a generic drug is not bioequivalent to its respective brand name? A. AB B. BP C. AO D. AT

B. BP Any rating that starts with an "A" indicates that the drugs is bioequivalent. However, drug rating that start with a "B" indicate that the drug is not bioequivalent.

Which of the following organizations enforces the comprehensive drug abuse prevention and control act of 1970? A. FDA B. DEA C. TJC D. FBI

B. DEA

Which of the following is not true regarding the Poison Prevention Packaging Act of 1970? A. It requires most drugs to be packaged in child-resistant packages to prevent accidental child poisoning. B. Exceptions to the law include oral medicines and controlled substances. C. A patient may sign a release form to waive the right for childproof packaging. D. Drugs dispensed in an institution may not require childproof packaging.

B. Exceptions to the law include oral medicines and controlled substances.

Patients' right to confidentiality in healthcare-related practices is primarily protected by which of the following law? A. discretionary law B. HIPAA privacy rule C. compliance rules D. standard code of ethics

B. HIPAA privacy rule

A pharmacy technician receives a written prescription that reads: ii gtt AD TID x 2-3 days. Which of the following is the correct translation? A. instill 2 drops into the left ear three times per day for 2 to 3 days. B. Instill 2 drops into the right ear three times per day for 2 to 3 days. C. Instill 2 drops into the left eye three times per day for 2 to 3 days. D. Instill 2 drops into the right eye three time per day for 2 to 3 days.

B. Instill 2 drops into the right ear three times per day for 2 to 3 days.

Which of the following insurances requires higher copayments but allows patients a wide range of access to out-of-network physicians? A. HMO B. PPO C. Medicare D. TRICARE

B. PPO *The preferred provider organization (PPO) requires higher copayments but allows patents a wide range of access to out-of-network physicians. *The health maintenance organization (HMO) requires lower copayments but gives patients restricted access to out-of-network physicians. *TRICARE covers military personnel on active duty, retired military personnel, and dependents of military personnel.

Who can sign the record to validate for narcotic delivery to automated dispensing systems within a hospital? A. LPN B. RN C. pharmacist D. pharmacy technician

B. RN

What is the Orphan Drug Act of 1983? A. a law that alows the sale of discontinued drugs to orphans. B. a law that gives incentives to manufacturers to develop drugs for orphaned or rare diseases that affect a small portion of the population. C. a law that requires pharmacists to counsel patients taking orphaned drugs that are rarely used. D. a law that prohibited adulteration or addition of unlisted orphaned ingredients into drug recipes.

B. a law that gives incentives to manufacturers to develop drugs for orphaned or rare diseases that affect a small portion of the population.

Total control of quality of drugs is the responsibility of: A. the pharmacy director B. all pharmacy staff C. the nursing supervisor D. all of the above

B. all pharmacy staff

A pharmacy technician's scope of practice includes all of the following EXCEPT: A. refilling medications B. answering patients' questions regarding their medications C. answering insurance-related questions D. reviewing prescription orders for accuracy of information

B. answering patients' questions regarding their medications Only pharmacists can counsel patients regarding their medications.

Which of the following auxiliary labels should be affixed to containers of cytotoxic agents? A. may cause drowsiness B. antineoplastic material--handle properly C. shake well D. may be habit forming

B. antineoplastic material--handle properly

Which of the following can be transported via a pneumatic tube? A. rituximab B. atenolol 50mg tablets C. Epogen D. all of the above

B. atenolol 50mg tablets Medications that cannot be transported via pneumatic tube include hazardous medications, controlled substances, and medications in glass containers.

What is the route of administration for lozenges and troches? A. oral B. buccal C. transdermal D. rectal

B. buccal This indicates that they are placed between the gum and inner cheek until they dissolve and get absorbed through the oral mucosal membranes.

A pharmacy technician receives a written prescription that reads: Cortisporin otic ii drops AD TID x 2-3 days. Which of the following is the appropriate route of administration? A. eye B. ear C. orally after meals D. intradermally

B. ear Otic is the medical term for "ear."

How often should the laminar air flow hood (LAFW) be certified? A. once every 2 years B. every 6 months C. three time per year D. every 4 months

B. every 6 months

If a nurse call with a question regarding compatibility of two different medications, a pharmacy technician receiving the call should: A. answer the question to the best of his knowledge B. forward the call to the pharmacist C. ask another pharmacy technician for help D. place the nurse on hold, look up the answer in one of the pharmacy reference books, and then provide the best answer

B. forward the call to the pharmacist

A vertical laminar flow hood is reserved for the preparation of which of the following? A. antibiotic IV piggybacks B. hazardous agents C. antibiotic irrigation solutions D. creams and ointments

B. hazardous agents Such as chemotherapy

Where should hazardous pharmaceutical waste be disposed? A. municipal waste landfills B. hazardous waste disposal facilities C. municipal incinerators D. medical waste plants

B. hazardous waste disposal facilities

Which of the following information is required on the medication label of a prepackaged or repackaged unit-dose medication in an inpatient setting? A. patient's name, date of birth, name of medication, and direction of use B. medication name and strength, lot number, and expiration date C. medication name and strength, lot number, and directions for use D. patient's name, pharmacy name and address, physician's name, and the number of refills

B. medication name and strength, lot number, and expiration date Unit-dose packages must have the following information: *medication name *dosage form and strength *manufacturer's name *the repackaging lot number *the repackaging expiration date

Which of the following drugs is an antifungal medication? A. omeprazole B. miconazole C. lansoprazole D. pantoprazole

B. miconazole Most antifungal medications end with the suffix -conazole. All other choices are proton pump inhibitors

What is another name for a decentralized pharmacy unit? A. remote B. satellite C. internal D. external

B. satellite In large hospitals, the main inpatient pharmacy is also known as the central pharmacy. Smaller satellite pharmacies exist in different departments (i.e., operating room pharmacy, intensive care unit pharmacy, emergency department pharmacy, etc.). This improves medication delivery time, which is important for providing quality care. Satellite pharmacies are stocked by the central pharmacy

A pharmacy technician accidentally spills a hazardous product on the floor of the pharmacy. Which of the following references can be referred to for information on cleanup and disposal of hazardous products? A. The Handbook on Injectable Drugs B. the Material Safety Data Sheets (MSDSs) C. the Red Book D. the Physician's Desk Reference (PDR)

B. the Material Safety Data Sheets (MSDSs) *The Handbook on Injectable Drugs provides information on compatibility, solubility, and stability of injectable drugs. *The MSDSs provide precautions for safe storage, disposal, handling, and spill cleanup of hazardous materials (HazMat). *The Red Book provides information on the available strengths, sizes, and average wholesale prices (AWP) of drugs. *The PDR is mainly used by physicians. It is a compilation of package inserts of FDA-approved products.

Which of the following regulates the transport of hazardous materials? A. the U.S. Department of Hazardous Materials B. the U.S. Department of Transportation C. the Environmental Protection Agency D. the U.S. Department of Domestic Security

B. the U.S. Department of Transportation (USDOT) Transportation of hazmat is regulated by the Federal Hazardous Materials Transportation Law, which requires the training of all employees who will transport hazmat.

Where should Xalatan eye drops be stored? A. on the shelf at room temperature B. in the refrigerator C. in the freezer D. in a warmer

B. the refrigerator

While filling a medication order, you notice that a patient who is allergic to penicillin is ordered tobramycin 80mg. Furthermore, the patient's profile shows that gentamicin 60mg is an active order. You alert the pharmacist because: A. there is an allergic cross-sensitivity between penicillin and tobramycin B. there is a drug-drug interaction between tobramycin and gentamicin C. there is an allergic cross-sensitivity between penicillin and gentamicin D. all of the above

B. there is a drug-drug interaction between tobramycin and gentamicin Can cause serious adverse effects including liver toxicity

Reducing a substance to fine particles using a mortar and pestle is known as which of the following? A. blending B. triturating C. sifting D. tumbling

B. triturating *Blending is the mixing together of two different substances until a homogenous mixture is achieved. *Sifting is the process of eliminating large particles by using a sifter *Tumbling is the process of mixing by adding different ingredients into a bag or jar and shaking them until a homogenous mixture is achieved.

All of the following vitamins are fat-soluble except: A. vitamin A B. vitamin B C. vitamin D D. vitamin K

B. vitamin B Only B and C vitamins are water soluble. Vitamins A, D, E, and K are fat soluble

How often should a pharmacy technician sanitize the walls and ceilings of an anteroom? A. daily B. weekly C. monthly D. yearly

B. weekly The anteroom is the area outside the cleanroom where stock is stored and garbing takes place. As per USP 797

What is the body surface area for a child who is 90lb and 165cm tall? A. 1.3m2 B. 1.4m2 C. 4.7m2 D. 2.2m2

B.1.4m2 BSA=[square root of (weight(kg)*height(cm)]/3600 or [square root of weight(lb)*height(in)]/3131 1kg=2.2lb 1in=2.54cm

The cost of metoprolol tablets is $200 per 50 tablets. How much will the cost be for a prescription of 60 tablets if the patient is eligible for a 20% senior citizen discount? A. $240 B. $220 C. $192 D. $48

C. $192

The total cost of Lovenox 40mg at Joe's pharmacy is $3000 for 24 injections. If the pharmacy sells products at AWP + 20% markup + $5 dispensing fee, what is average wholesale price (AWP) of one injection? A. $125 B. $155 C. $95 D. $144

C. $95

Which of the following is part of the adjudication process? 1. Determination of patient drug coverage eligibility 2. Lowering patient payments 3. Determination of patient copayment 4. Determination of reimbursement amount to the pharmacy A. 1, 2, and 3 only B. 1, 2, and 4 only C. 1, 3, and 4 only D. 2, 3, and 4 only

C. 1, 3, and 4 only

Which of the following organizations regulates medical devices? A. DEA B. CMS C. FDA D. TJC

C. FDA *The Centers for Medicare and Medicaid Services (CMS) is a U.S. federal government agency that administers all laws and policies related to Medicare and Medicaid. *The FDA is the Food and Drug Administration, which regulates prescription and over-the-counter drugs. *The DEA is the Drug Enforcement Agency, which deals with controlled substances. *The TJC is The Joint Commission, which accredits healthcare organizations. Formerly known as The Joint Commission on Accreditation of Healthcare Organizations (JCAHO).

A pharmacy technician receives an order for Vicodin i-ii tabs po TID-QID prn x 14d. How many tablets should be dispensed? A. 42 tablets B. 56 tablets C. 112 tablets D. 168 tablets

C. 112 tablets Since the patients should have a sufficient supply of the medication, the dose should be calculated using the maximum amount of tablets that may be needed per day.

A cancer patient who weighs 80kg and is 177cm in height is ordered Ifosfamide 1.2gm/m2/day for 5 consecutive days. How much medication will the patient receive over the course of therapy? A. 24mg B. 5mg C. 12mg D. 2mg

C. 12mg Step 1: Calculate the BSA: BSA = [square rootof (80kg*177cm)]/3600 = 1.98m2 Step 2: Calculate the medication dose per day: 1.2gm*1.98m2 = 2.38mg Step 3: Calculate the amount of medication to be given over the course of therapy by multiplying the dose per day by 5: 2.38mg*5 = 11.89mg or 12mg

A cancer patient with hematologic toxicity is ordered leucovorin 20mg/m2 every 6 hours. The patient is 180lb and 5'10. How much medication will the patient receive per day? A. 1636mg B. 40mg C. 160mg D. 240mg

C. 160mg (m2 means "square meter" Step 1: Convert height to inches: 1ft = 12in, so 5*12 = 60 + 10 = 70in Step 2: Find the BSA: BSA = [square root of (180lb*70in)]/3131 = 2.00m2 Step 3: Find out how much medication the patient will receive per dose: 20 mg/m2 = x/2 m2 = 40mg Step 4: Find out how much medication the patient will receive per day by multiplying the dose by 4 since the dose is given every 6 hours or 4 times a day: 24/6 = 4 40mg*4 = 160mg

If a pharmacy has an annual puchasing cost of $2400000 and the average cost of the inventory on hand is $140000, what is the turnover rate? A. 15 B. 16 C. 17 D. 18

C. 17 Use the following formula: inventory turnover rate = cost of annual purchases / value of average inventory on hand $2400000/$140000 = 17 turns Since the turnover in this case is high, the pharmacy can fix that by ordering more stock to last a longer time.

How old must a person be to purchase an exempt narcotic? A. 12 years B. 16 years C. 18 years D. 21 years

C. 18 years

If 450mL of a 20mg/mL solution was diluted to 5mg/mL, what would be the final volume? A. 0.2mL B. 113mL C. 1800mL D. 800mL

C. 1800mL Use the dlution equation: (C1)(Q1) = (C2)(Q2) (20mg/mL)(450mL) = (5mg/mL)(X); X = (20*450)/(5) = 1800mL Note: Remember final concentration is always greater than the initial concentration. If the initial concentration was given in different units than the final concentration or vice versa, you need to convert to the same denomination before using the dilution equation.

How long should records for controlled substances be stored? A. 30 days B.1 year C. 2 years D. 7 years

C. 2 years

How many pounds are there in 36 ounces? A. 3lb B. 2.5lb C. 2.25lb D. 1.5lb

C. 2.25lb 1lb = 16oz

A patient is ordered metronidazole 500mg in 100mL of NS to be infused at a rate of 5mL/min. Calculate the infusion time. A. 30 minutes B. 1 hour C. 20 minutes D. 45 minutes

C. 20 minutes Figure out how many minutes it will take for one bag to run out: infusion time = total volume/rate so 100mL/(5mL per min) = 20 minutes

How would 8:30pm be expressed in military time? A. 2130 B. 1830 C. 2030 D. 2050

C. 2030

A pharmacy has a minimum / maximum inventory level of 20/40 for hydroxyzine 25mg tablets. If 15 tablets were left in stock, what is the minimum amount of tablets that should be reordered? A. 20 tablets B. 40 tablets C. 25 tablets D. 10 tablets

C. 25 tablets 40 - 15 = 25 tablets Note: The reordering quantity should bring the periodic automatic replenishment (PAR) level up to the maximum quantity required. So, the amount reordered is always the maximum quantity minus the amount on hand.

Use Young's rule to calculate the medication dose for a 12 year old child who weighs 90lb if the adult dose is 500mg. A. 27mg B. 833mg C. 250mg D. 300mg

C. 250mg According to Young's rule: child dose = age in years/(age+12)*adult dose child dose = 12/(12+12)*500mg = (12/24)*500mg = 250mg Note: Young's rule is preferably used for children between 1 to 12 years of age. Remember that Young's rule is based on age just like young refers to age. In Young's rule, 12 is constant.

A patient is ordered potassium chloride 15mEq in 1000mL of 0.45% NS to be infused at a rate of 2mL/min. How many bags should be dispensed for a 24-hour supply? A. 1 bag B. 2 bags C. 3 bags D. 4 bags

C. 3 bags Step 1: Calculate infusion time: infusion time = total volume/rate 1000mL/(2mL per min) = 500 minutes (infusion time for each bag) Step 2: Calculate the amount of IV bags needed for a 24-hour supply. A day is comprised of 24 hours and each hour is 60 minutes, so there is a total of 1440 minutes per day: 1000mL/500min = x/1440; x = (1440*1000)/500 = 2880mL Step 3: Calculate how many bags should be dispensed: dose ordered/dose available = amount to be dispensed 2880mL/1000mL = 2.88 or 3 bags

How much codeine is found in Tylenol #3? A. 8mg B. 15mg C. 30mg D. 60mg

C. 30mg *Tylenol #1 contains 8mg of codeine and 325mg of acetaminnphen. *Tylenol #2 contains 15mg of codeine and 300mg of acetaminnphen. *Tylenol #3 contains 30mg of codeine and 300mg of acetaminnphen. *Tylenol #4 contains 60mg of codeine and 300mg of acetaminnphen.

How much dextrose 70% should be mixed with 500mL of dextrose 10% to make a 45% dextrose solution? A. 292mL of the 70% dextrose B. 857mL of the 70% dextrose C. 700mL of the 70% dextrose D. 1200mL of the 70% dextrose

C. 700mL of the 70% Step 1: Use the dilution equation: concentration 1(C1)*quantity 1(Q1) = concentration 2(C2)*quantity 2(Q2)

What is the flow rate of 1000mL of 0.45% sodium chloride solution infused over 12 hours? A. 7mL/hr B. 50mL/hr C. 83mL/hr D. 125mL/hr

C. 83mL/hr Use the following equation: flow rate = (total volume)/(total hours) (1000mL)/(12hours) = 83mL/hr Always round to a whole number. The infusion rate is never indicated by a decimal number.

Which of the following is a correct way of cleaning the laminar air flow hood? A. Clean the laminar air flow hood surface, side walls, and the hanging rack with lint-free absorbent cloth first with sterile water followed by 70% isopropyl alcohol using a side-to-side and a front-to-back motion. B. Spray all surfaces with 70% isopropyl alcohol. Wipe down the HEPA filter first, followed by the work surface, side walls, and the hanging rack using a side-to-side and a back-to-front motion. C. Clean the laminar air flow hood surface, side walls, and the hanging rack with lint-free absorbent cloth first with sterile water followed by 70% isopropyl alcohol using a side-to-side and a back-to-front motion. D. Clean the laminar air flow hood surface, side walls, and the hanging rack with gauze pads first with bleach followed by 70% isopropyl alcohol using aside-to-side and a back-to-front motion.

C. Clean the laminar air flow hood surface, side walls, and the hanging rack with lint-free absorbent cloth first with sterile water followed by 70% isopropyl alcohol using a side-to-side and a back-to-front motion. Note: compounder must wait 30 minutes before using after cleaning.

Which of the following DEA forms allows the manufacturing and distribution of controlled substances? A. DEA form 41 B. DEA form 363 C. DEA form 225 D. DEA form 106

C. DEA form 225 *DEA form 41 is used to document the destruction of controlled substance. *DEA form 363 is used for registration of a controlled substance treatment program. *DEA form 106 is used to report lost or stolen controlled substances.

Which of the following forms is used to document the desctruction of controlled substances? A. DEA form 222 B. DEA form 106 C. DEA form 41 D. DEA form 224

C. DEA form 41 *DEA form 222 is used for purchasing or returning of expired C2 drugs. *DEA form 106 is used to report lost or stolen controlled substances. *DEA form 224 is a registration form that enables a pharmacy to dispense controlled substances.

Which of the following is invalid regarding airflow in a horizontal laminar flow hood? A. The air flows from the back of the hood toward the compounder. B. The expelled air ejected toward the compounder is picked up by the pre-filter and recycled through the high-efficiency particulate air (HEPA) filter. C. Hanging an IV bag over a reconstituted vial may lead to obstruction of air flow. D. Air flow may be obstructed creating a zone of turbulence or backwash when two objects are placed in front of one another inside the laminar flow hood.

C. Hanging an IV bag over a reconstituted vial may lead to obstruction of air flow. This statement applies to the vertical flow hood.

What does the abbreviation HIPAA stand for? A. heparin-induced platelet activation assay B. High Individual Privacy and Accountability Act C. Heath Insurance Portability and Accountability Act D. Heath information Protecting and Accounting Act

C. Heath Insurance Portability and Accountability Act

Which of the following insurance plans would cover citizens with end-stage renal disease? A. TRICARE B. CHAMPVA C. Medicare D. Medicaid

C. Medicare These are all government programs, However: *TRICARE covers military personnel on active duty, retired military personnel, and their dependents. *CHAMPVA covers veterans with permanent disabilities related to service and their dependents. *Medicare is federally funded and covers citizens 65 years of age or older, people with disabilities, spouses of entitled individuals, and people with end-stage renal disease. *Medicaid is funded by federal and state government. It covers individuals with low income who cannot afford medical care.

Which of the following statements is NOT true regarding reverse distributors or automated return companies? A. Reverse distributors sort through unused or expired medications to determine which can be returned to the manufacturer or wholesaler for credit. B. Reverse distributors warehouses have to be licensed by the Department of Health, Bureau of Statewide Pharmaceutical Services. C. Partial intravenous medications, partially used vials, and partially used ointments or creams can be returned to reverse distributors for credit. D. Reverse distributors accept the return of recalled items.

C. Partial intravenous medications, partially used vials, and partially used ointments or creams can be returned to reverse distributors for credit.

Which of the following statements regarding temperature is true? A. Water boils at 100F. B. Body temperature is about 50C. C. Room temperature is between 15C and 30C D. Freezing point is about 10C

C. Room temperature is between 15C and 30C *Water boils at 100C = 212F *Body temperature is about 37C = 98.6F *Freezing point is about 0C = 32F

Which of these statements is true? A. The larger the needle gauge, the larger the diameter of the needle. B. The larger the needle gauge, the longer the diameter of the needle. C. The larger the needle gauge, the smaller the diameter of the needle. D. The larger the needle gauge, the shorter the diameter of the needle

C. The larger the needle gauge, the smaller the diameter of the needle.

Which of the following regulations gives enforceable guidelines for the preparation of sterile products to prevent contamination? A. Pure Food and Drug Act 1906 B. Poison Prevention Packaging Act of 1970 C. USP 797 D. FDA Safe Medical Devices Act of 1990

C. USP 797 *The Pure Food and Drug Act of 1906 prohibits the sale of misbranded and adulterated foods and drugs. *The Poison Prevention Packaging Act of 1970 requires all medications to be packaged in childproof containers to prevent accidental child poisoning. However, patients who sign a waiver are exempt from this regulation. Also, certain emergency medications such as nitroglycerin sublingual are dispensed in non-childproof packaging. *The FDA Medical Devces Act of 1990 requires reporting serious injuries and deaths caused by medical equipment to the FDA and the manufacturer

What is the meaning of the abbreviation USP? A. unique selling proposition B. United State pharmacist C. United States Pharmacopeia D. uniform stability of pharmaceuticals

C. United States Pharmacopeia The United States Pharmacopeia is a nongovernmental organization that sets standards for medications, food ingredients, and dietary supplements to be followed by manufacturers and regulatory agencies. The standards are intended to ensure strength, quality, purity, and consistency of the various products.

Which of the following is necessary to have while transporting chemotherapy medications? A. a phone B. a pager C. a spill kit D. a respirator

C. a spill kit A spill kit contains: goggles, gown, latex-free gloves, show covers, respirator mask, scoop and brush, absorbent towels, hazardous drug exposure form, and spill control pillows

Which of the following is the net cost of medications paid by a pharmacy after applying all adjustments and discounts? A. capitation fee B. copay fee C. actual acquisition cost D. dispensing fee

C. actual acquisition cost *A capitation fee is a set amount of money received by a pharmacy from an insurance company per patient regardless of the number of prescriptions filled per year. *A dispensing fee is the cost of filling a prescription incurred by a pharmacy. This includes employee salaries, overhead, and the overall cost of preparing and dispensing the medication.

Glyburide is classified into which drug class? A. anticonvulsant B. hypertension C. antidiabetic D. proton pump inhibitor

C. antidiabetic

An FDA recall of a product that is not likely to result in any adverse health consequences known as: A. class 1 recall B. class 2 recall C. class 3 recall D. class 4 recall

C. class 3 recall *A class 1 recall indicates that a serious adverse heath consequence or death may occur. *A class 2 recall indicates that a temporary or reversible adverse health consequence may occur *There is no such thing as a class 4 recall *The lot number is useful is identifying the recalled batch

How are pharmaceutical labels disposed of in a long-term care facility? A. regular trash B. hazardous waste container C. confidential data shredding bucket D. biohazard waste container

C. confidential data shredding bucket

Which of the following is an antineoplastic medication? A. amikacin B. doxepin C. doxorubicin D. erythromycin

C. doxorubicin *Amikacin is an aminoglycoside. *Doxepin is a tricyclic antidepressant. *Erythromycin is a macrolide antibiotic

Which method would be the most accurate for determining the appropriate pediatric dose? A. Young's rule B. Clark's rule C. drug-specific information from the manufacturer D. BSA formula

C. drug-specific information from the manufacturer *Young's and Clark's rules are now outdated. *The BSA formula is useful in determining the patient's BSA or the appropriate dose based on the BSA if an adult dose is given. However, without the drug-specific information, this would be useless.

According to the DEA, how often must a full inventory of control substances take place? A. every 3 years B. every day C. every 2 years D. twice per year

C. every 2 years In accordance with DEA rules, Inventory should be maintained when first engaging in dispensing controlled substances and every 2 years afterwards.

According to USP 797, how often should a compounder performing low to medium risk preparations undergo validation testing? A. every month B. every 6 months C. every year D. every 2 years

C. every year The media-fill test or glove fingertip sampling ensures the competency of the compounding technician.

Which of the following is not a side effect of anticholinergic agents? A. dry mouth B. constipation C. excessive urination D. blurred vision

C. excessive urination

Which of the following items can be returned to reverse distributors or the manufacturer for credit? A. partially used medication vials B. partially used ointments C. expired drugs D. reconstituted suspensions

C. expired drugs For parital credit

Which of the following auxiliary labels should be affixed to containers of anti-infective agents? A. take with dairy products B. avoid dairy products C. finish all this medication unless otherwise directed by the prescriber D. may cause drowsiness

C. finish all this medication unless otherwise directed by the prescriber

What s the maximum number of refills permitted for a C2 medication? A. no refills are allowed B. six refills within 5 months, whichever occurs first C. five refills within 6 months, whichever occurs first D. three refills within 90 days

C. five refills within 6 months, whichever occurs first. C3-C5 medications can be refilled up to 5 times within 6 months, whichever occurs first. Thereafter, a new prescription is required.

What is another name for vitamin B9? A. cyanocobalamin B. thiamine C. folic acid D. pyridoxine

C. folic acid *Vitamin B1 = thiamine *Vitamin B2 = riboflavin *Vitamin B3 = niacin *Vitamin B5 = pantothenic acid *Vitamin B6 = pyridoxine *Vitamin B9 = folic acid *Vitamin B12 = cyanocoblamin

Which of the following information is not necessary in determining the status of a patient insurance coverage? A. gender B. marital status C. food preferences D. the name of the drug plan and identifying numbers

C. food preferences

Which of the following would NOT be an adequate reason for recalling medications? A. contamination B. mislabeling or mispackaging C. good manufacturing D. all of the above

C. good manufacturing Contamination, mislabeling or mispackaging, and poor manufacturing are all adequate reasons for recalling medications. Recalls can range from severe to non-life threatening as follows: *Class 1 recall: There is a high probability that the use of the medication will cause severe adverse health consequence or death. *Class 2 recall: The use of the medication will cause a temporary or reversible adverse health consequence. *Class 3 recall: The use of the medication is not likely to cause any adverse health consequences.

Which of the following fruits and fruit juices should be avoided while on calcium channel blockers and HMG-CoA enzyme inhibitors? A. strawberry B. orange C. grapefruit D. pineapple

C. grapefruit Exceptions include rosuvastatin, diltiazem, and amlodipine

Which of the following negotiates medication prices for institutions but does not make the actual purchases/. A. drug manufacturer B. wholesaler C. group purchasing organization D. government

C. group purchasing organization

Which of the following is the most effective way to prevent contamination and the spread of infection within a hospital? A. taking vitamin C B. wearing a face mask C. hand washing D. taking antibiotics

C. hand washing

Which of the following is the newest method of inventory control used in management of set order points? A. purchase order B. want book C. handheld device D. none of the above

C. handheld device Want book is an old and widely used method of inventory control used in management of set order points. This method is now replaced by the wireless handheld device, which can look up items by barcode scan and allow for the information to be directly transferred to the main computer ordering system.

Which of the following is not true regarding just-in-time ordering? A. supplies items close to the time of use B. reduces large inventories C. increases cost and space requirements D. all of the above

C. increases costs and space requirements

Which of the following is not a side effect of alpha-adrenergic agonist agents? A. vasoconstriction B. rebound congestion C. low blood pressure or hypotension D. tremors

C. low blood pressure or hypotension

Which of the following drugs can crystallize at very low temperatures? A. nitroglycerin B. amiodarone C. mannitol D. sodium bicarbonate

C. mannitol Mannitol should be stored at room temperature. If it crystallizes, it should be placed in an autoclave for at least 20 minutes until all crystals have dissolved. The vials should not be used if crystals are present.

At a minimum, how often should a pharmacy technician sanitize the walls and ceilings of a cleanroom? A. daily B. weekly C. monthly D. yearly

C. monthly As per USP 797

Which clinical trial phase involves studies done on 1000 to 5000 patient volunteers to confirm effectiveness and monitor adverse effects associated with long-term use of an experimental drug? A. phase 1 B. phase 2 C. phase 3 D. phase 4

C. phase 3 *Phase 1 involves 20 to 100 patient volunteers and is intended to determine safety and dosage of an experimental drug. *Phase 2 involves 100 to 500 patient volunteers and is intended to evaluate effectiveness and look for side effects of an experimental drug *Phase 4 involves postmarketing studies required by the FDA to determine long-term safety of an experimental drug.

Which of the following is a system that automatically deducts scanned items from the inventory, making it easy to reorder and keep track of medication counts? A. set order points B. perpetual inventory C. point of sale (POS) D. turnover rate

C. point of sale (POS) *The set order points system is based on minimum and maximum ordering points. This requires visual inspection of stocks to determine the reordering quantity for each item available in the pharmacy. If the information is processed through the computer, it will make it easier to determine the needed inventory levels. *The turnover rate determines how frequently during a particular year new stock is purchased to replenish the inventory.

What is the purpose of a breakdown room in a nuclear pharmacy? A. quality control assurance of compounded radiopharmaceuticals B. dispensing area of radiopharmaceuticals C. restricted area where radiopharmaceutical returns or wastes are accepted D. packaging area for delivery of radiopharmaceuticals

C. restricted area where radiopharmaceutical returns or wastes are accepted (and broken down into different waste barrels) *The quality control area is the location where quality assurance testing may be performed. *The compounding area is the dispensing area. *The packaging area is where radiopharmaceuticals are packaged for delivery.

Which of the following is a term used to denote directions for a patient? A. superscription B. inscription C. signa D. subscription

C. signa *Superstition includes the prescription date, patient name, patient address, patient age, and the symbol Rx, which means "recipe" or "to receive." *Inscription is the part of the prescription that includes the name and amount of the medication prescribed or strength of each ingredient. *Subscription refers to the instructions to the pharmacist, which usually includes the total quantity to be dispensed

Which of the following medications is listed as hazardous waste? A. furosemide B. metoprolol C. some chemotherapy agents D. all of the above

C. some chemotherapy agents Nitroglycerin, warfarin, and some chemotherapy agents are considered hazardous waste. Others include: arsenic trioxide, epinephrine, nicotine, physostigmine, physostigmine salicylate, chlorambucil, cyclophosphamide, daunomycin, melphalan, mitomycin C, streptozotocin, and uracil mustard.

A patient who is taking Lipitor find out that she is pregnant. Lipitor is FDA pregnancy category X. What should the patient do? A. continue the course of the medication because there is no evidence of risk to the fetus B. continue using the medication because the benefits outweigh the potential risks C. stop taking the medication immediately and tell the physician because this medication may lead to fetal abnormalities D. none of the above

C. stop taking the medication immediately and tell the physician because this medication may lead to fetal abnormalities FDA pregnancy categories are as follow: *Category A: The patient can continue to take the medication since studies do not show any risk to the fetus. *Category B: The patient can continue to take the medication but should be aware that there are no adequate human studies, although animal studies do not show any fetal risk. *Category C: The patient should be aware that she should take this medication only if the benefits outweigh the potential risks. *Category D: The patient should take the medication only if the benefits outweigh the potential risks in life-threatening situations in which safer drugs cannot be used. *Category X: The patient should be aware that this medication is contraindicated in pregnancy and should not be taken.

Which of the following are crash or code cart medications? A. amiodarone injection B. epinephrine Abboject C. sumatriptan injection D. atropine Abboject

C. sumatriptan injection Sumatriptan is a migraine prophylactic medication.

Which of these drugs does not belong to the penicillin class of antibiotics? A. Unasyn B. Augmentin C. tetracycline D. Pen Vee K

C. tetracycline Belongs to the tetracycline class of antibiotics.

A patient who is on captopril for her high blood pressure wants to purchase an OTC cough syrup. You would suspect that: A. the patient has a cold B. the patient should be prescribed an antibiotic for her cough C. The patient may be experiencing an ACE cough and the pharmacist should be alerted. D. none of the above

C. the patient may be experiencing an ACE cough and the pharmacist should be alerted

What does the NCPDP ID identify? A. the insurance provider B. the patient C. the pharmacy D. the prescriber

C. the pharmacy The national council for prescription drug programs (NCPDP) provider identification number is a seven-digit unique pharmacy identification number used during claim processing>

In the NDC 4253-4221-11, what is represented by the second set of numbers? A. the manufacturer B. the package size C. the product name, strength, and dosage form D. the number of tablets in the medication package

C. the produc name, strength, and dosage form The NDC is 10 digits long and comprised of 3 sets of numbers that are divided as follows: 1. The first set can be comprised of 4-5 digits and represents the manufacturer. 2. The second set is comprised of 3-4 digits and represents the product name, strength, and dosage form 3. The third set is comprised of 2 digits and represents the package size

What is the most important thing to remember when preparing products using an ampoule? A. to use an ampoule breaker B. to wipe the ampoule with a alcohol swab C. to use a filter needle to draw up the solution and to change the needle when injecting the solution into the IV bag or vice versa D. to use a Luer-Lok syringe

C. to use a filter needle to draw up the solution and to change the needle when injecting the solution into the IV bag or vice versa

How soon should the supplier be paid for stock purchases? A. as soon as the order is placed B. as soon as the order is delivered C. within 30 days from the date of delivery D. within 1 year from the date of purchase

C. within 30 days from the date of delivery

How many grams of lidocaine can be found in 20 mL of a lidocaine 2% solution? A. 0.004g B. 0.04g C. 0.4mg D. 0.4g

D. 0.4g 2g/100mL = x/20mL x = (2*20)/100 = 0.4g of lidocaine

How many times can C3-5 controlled substances be transferred between pharmacies? A. 10 B. 5 C. 3 D. 1

D. 1 Pharmacies with electronically linked databases can transfer prescriptions for C3-5 an infinite amount of times. C2 drugs cannot be transferred.

A patient who weighs 135lb is ordered penicillin G 25000 units/kg in 100mL NS every 4 hours for a serious pneumonia infection. How many units will be added to each IV bag? A. 6 million units B. 409 units C. 153400 units D. 1.5 million units

D. 1.5 million units Step 1: Convert weight from pounds to kilograms: 1kg/2.2lb 135/2.2 = 61.36kg Step 2: Calculate the dose for the patient: 25000units*61.36kg = 1534000 or 1.5 million units

How many different medication items can be ordered per each DEA form 222? A. 2 B. 6 C. 8 D. 10

D. 10 DEA form 222 has 10 lines, and so only 10 items can be ordered per form. Note: If a mistake is made while writing the a DEA form 222, the form must be voided and kept on file.

A patient is ordered labetalol 200mg in 200mL of NS to be infused at 2mg/min using a 60gtt/mL infusion set. What is the infusion rate in gtt/min? A. 60gtt/min B. 20gtt/min C. 10gtt/min D. 120gtt/min

D. 120gtt/min Step 1: Calculate the rate of the medication in milliliters per minute: 200mg/200mL = 2mg/x x = 2mL or 2mL/min Step 2: Calculate the infusion rate: infusion rate (gtt/min) = (infusion rate in mL/min) (drop factor in gtt/mL) infusion rate = (2mL/min)*(60gtt/mL) = 120gtt/min

A patient is ordered 8.4% sodium bicarbonate 150mEq in 1000mL of D5W to be infused at 100mL/hr. Sodium bicarbonate is available in 5mEq/5mL. How much sodium bicarbonate should be added to the IV bag? A. 1786mL B. 84mL C. 1000mL D. 150mL

D. 150mL mEq = milliequivalent D5W = 5% Dextrose in Water solution

Which of the following represents 70% in ratio strength? A. 1:1 B. 1:2.5 C. 1:3 D. 1:1.43

D. 1:1.43

A pharmacy technician receives an order for amoxicillin 125mg q8h x 10 days. Amoxicillin is available in 100mL bottles with a concentration of 125mg/5mL. How many bottles should be dispensed to complete this order? A. 1.5 B. 1 C. 3 D. 2

D. 2 24h/8h = 3 times a day 10days*3 = 30 doses 100mL/5mL = 20 doses per bottle So, we need 30 doses but bottles come in 20 doses so we would dispense 1.5 or 2 bottles.

A 6 year old child with fever was ordered 15mg/kg of Tylenol 160mg/5mL. The child weighs 58lb. How many teaspoons will the child receive per dose? A. 1 teaspoon B. 2 teaspoons C. 3 teaspoons D. 2.5 teaspoons

D. 2.5 teaspoons Step 1: Convert pounds to kilograms: 1kg/2.2lb 58/2.2 = 26.36kg Step 2: Calculate the dose for the child: 15mg/kg = x/26.36kg x = 26.36*15 = 395mg Step 3: Calculate the dose in milliliters: 160mg/5mL = 395mg/x x = (395*5)/160 = 12.4mL Step 4: Convert to teaspoons: 1tsp = 5mL 12.4mL/5 = 2.5tsp

What is CCXLIX equivalent to? A. 254 B. 269 C. 240 D. 249

D. 249 C=100 L=50 X=10

How soon before the expiration date should medications be pulled off the shelf? A. 1 week B. 1 month C. 2 months D. 3 months

D. 3 months

Use Clark's rule to calculate the medication dose for a 12 year old child who weighs 90lb if the adult dose is 500mg. A. 27mg B. 833mg C. 250mg D. 300mg

D. 300mg According to Clark's rule: child's dose = (child's weight in lb*adult dose)/150lb child's dose = (90*500mg)/150lb = 300mg Note: Clark's rule is based on weight and it is the only formula that uses weight in pounds instead of kilograms. In Clark's rule, 150lb is a constant and so that number never changes.

A pharmacy technician received an order for IV gtt OU q3-4h x 7d. How many drops will the patient receive over the course of therapy? A. 224 drops B. 168 drops C. 56 drops D. 448 drops

D. 448 drops calculate using the max amount of drops the patient can use.

A pharmacy technician is asked to dilute 300g of a 20% lidocaine solution to a 10% concentration. How much is the final quantity of lidocaine? A. 600mg B. 150g C. 700mg D. 600g

D. 600g Use the dlution equation: (C1)(Q1) = (C2)(Q2) 20%*(300g) = 10%*(X) X = (20*300)/10 = 600g

If an emergency C2 drug is ordered by a physician, a written order must be submitted to the pharmacy within how much time? A. 4 hours after calling in the order B. 24 hours C.48 hours D. 7 days

D. 7 days In cases of extreme emergency, a pharmacy may fill a limited amount of a C2 order without a prescription. However, the physician must submit a written order to the pharmacy within 1 week. If the order is not received by the pharmacy within the 1-week timeframe, the DEA must be informed of the transaction.

The remainder of a partial filling for a C2 drug must be available for the patient within how many hours? A. 12 B. 24 C. 48 D. 72

D. 72 Note: C2 drugs for long-term care facilities and terminally ill patients can be partially filled for up to 60 days

Which of the following can help reduce medication errors? A. knowing the common look-alike and sound-alike medications B. keeping hazardous medications in a separate storage area C. always questioning bad handwriting D. all of the above

D. all of the above Other error-reduction strategies include: using the Tall Man lettering system, avoiding the use of abbreviations, checking medication names on bottles against labels and the original order, and asking questions when in doubt.

Which of the following can result from lack of stability of a CSP? A. color change B. precipitate formation C. chemical degradation D. all of the above

D. all of the above The CSP should be discarded to avoid severe health consequences.

Which of the following is the most used reference book in hospital pharmacy? A. Red Book B. Orange Book C. Green Book D. Drug Facts and Comparisons

D. Drug Facts and Comparisons *The Red Book is most used in retail pharmacies. *The Orange Book compares therapeutic equivalences of brand and generic drugs. *There is no such thing as a Green Book.

If a manufacturer markets sugar pills as a cure for headache, which law would the manufacturer violate? A. Pure Food and Drug Act of 1906 B. Durham Humphrey Act C. Kafauver-Harris Amendment D. Food, Drug, and Cosmetic Act of 1938

D. Food, Drug and Cosmetic Act of 1938 *The Pure Food and Drug Act of 1906 prohibits the manufacture, sale, or transportation of adulterated or misbranded foods, liquors, and drugs. *The Durham Humphrey Act distinguished between prescription and over-the-counter drugs prohibiting the sale of legend drugs without a prescription. *The Kefauver-Harris Amendment requires drugs to be proven pure, safe, and effective. *The Food, Drug, and Cosmetic Act of 1938 indicated that misbranding and adulteration of drugs is illegal. It also required manufacturers to provide package inserts and to follow FDA guidelines to present evidence of safety for new drugs before marketing. This law also gave the FDA authority to issue food standards and inspect factories.

The Medicare prescription drug improvement and modernization act (MMA) of 2003 led to the development of which part of Medicare? A. Medicare part A B. Medicare part B C. Medicare part C D. Medicare part D

D. Medicare part D *Medicare part A deals with inpatient services such as hospital stays, care in skilled nursing facilities, hospice care, and home health care. *Medicare part B covers outpatient visits. *Medicare part C combines coverage for parts A and B. *Medicare part D is a voluntary insurance benefit for outpatient prescription coverage enacted as a part of the Drug Improvement and Modernization Act (MMA) of 2003

Which of the following routes of administration is enteral? A. IV B. SC C. SL D. PR

D. PR Enteral routes are oral and rectal.

Which of the following drug classes are considered vesicants? A. antitumor antibiotics B. mechlorethamine C. vinca alkaloids D. all of the above

D. all of the above Vesicants can cause severe skin blistering in addition to eye and mucosal pain and irritation. Many chemotherapy drugs are considered vesicants. These agents include antitumor antibiotics (doxorubicin, daunorubicin, mitomycin, idarubicin, epirubicin, and actinomycin), mechlorethamine, vinca alkaloids (vinblastine, vinorelbine, and vincristine), taxanes (paclitaxel [Abraxane], docetaxel), and many others (amsacrine, etoposide, streptozocin, oxaliplatin, and ifosfamide).

A nuclear pharmacy technician must have access to which of the following equipment? A. body and ring dose meters B. protective clothing C. decontamination kit D. all of the above

D. all of the above

According to the Controlled Substances Act, which of the following statements is true regarding disposal of unused or expired controlled medications? A. They may be returned to the manufacturer B. They may be flushed down the drain C. They may be returned to reverse distributors D. all of the above

D. all of the above

New stock items should be inspected for which of the following? A. expiration date B. damage during shipping C. item names and quantities D. all of the above

D. all of the above

Quality control of medications encompasses which of the following? A. formulation, compounding, and dispensing B. packaging, purchasing, and storage C. distribution of medication to the patient D. all of the above

D. all of the above

The Combat Methamphetamine Epidemic Act of 2005 regulated which of these drugs behind the counter? A. ephedrine B. pseudoephedrine C. phenylpropanolamine D. all of the above

D. all of the above

Which of the following commonly accounts for insurance claim rejection? A. invalid date of birth B. loss of insurance coverage C. maximum benefit has been reached D. all of the above

D. all of the above

Which of the following represents drug diversion cases? A. the use of addictive drugs for nontherapeutic purposes B. the illegal distribution of drugs C. prescription forgery D. all of the above

D. all of the above

Which of the following statements is true regarding the notice of privacy practices (NPP)? A. It discloses the patient's rights. B. It is given to patients at their first visit to a doctor's office or pharmacy. C. I explains how patient PHIs may be used. D. all of the above

D. all of the above

Brand name drugs are also known as which of the following? A. trade B. proprietary C. innovator D. all of the above

D. all of the above Also known as "trade". A generic drug would be known as nonproprietary. It can only be produced when the patent for a brand name drug expires.

Which of the following is an antihypertensive drug class? A. ACE inhibitors B. angiotensin 2 receptor blockers C. beta blockers D. all of the above

D. all of the above Antihypertensive drug classes include ACE inhibitors, alpha blockers, alpha-beta blockers, angiotensin 2 reuptake blockers, beta blockers, calcium channel blockers, diuretics, nervous system inhibitors, and vasodilators. These are drug classes that lower blood pressure

Which of the following drugs require the distribution of a package insert to the patient? A. accutane B. birth control pills C. metered dose inhalers D. all of the above

D. all of the above Federal law requires the distribution of a package insert to the patient with the following drugs: Accutane, birth control pillsm metered dose inhalers, and agents that contain estrogen or progesterone.

Which of the following statements is true regarding the herbal supplement chamomile? A. It may interfere with the efficacy of hormonal therapies. B. It may cause additive effects and side effects when used along with benzodiazepines. C. It may reduce the effectiveness of birth control pills. D. all of the above

D. all of the above It can also cause additive effects and side effects when given concurrently with buccal fentanyl

Why should nursing units be inspected or inventoried? A. to remove deteriorated or expired medications B. to ensure overall cleanliness and organization of the medication storage area C. to ensure proper temperature of refrigerators containing medications and that no food, beverages or culture media are stored with medications D. all of the above

D. all of the above Nursing units are inspected by pharmacy staff once every month.

Expired or unused medications can be returned to which of the following facilities? A. centralized warehouse B. manufacturer C. wholesaler D. all of the above can accept returns

D. all of the above can accept returns Medications are pulled from stock 3-4 months before they expire and returned to a centralized warehouse, manufacturer, or the wholesaler for partial credit. Medications with open seals or that are partially used cannot be returned and have to be discarded in a biohazard container.

How long should the laminar air flow hood be turned on before use? A. at least 5 minutes and it should be disinfected B. at least 10 minutes and it should be disinfected C. at least 20 minutes and it should be disinfected D. at least 30 minutes and it should be disinfected

D. at least 30 minutes and it should be disinfected The laminar flow hood should never be turned off. If turned off for any reason, it should be turned on for at least 30 minutes and disinfected before use.

Which of the following auxiliary labels should be affixed to containers of suspension antibiotics? A. refrigerate B. shake well C. may cause drowsiness D. both A and B

D. both A and B Most have a stability limit of 14 days unless otherwise indicated by the manufacturer.

Which of the following auxiliary labels should be affixed to containers of narcotics, muscle relaxants, and antihypertensive agents? A. may cause drowsiness B. take on an empty stomach C. do not drink with alcohol D. both A and C

D. both A and C

What is the proper way of handling an unopened prescription vial that was returned by the patient? A. credit the patient and return the medication to stock B. the medication should be credited and destroyed within 72 hours C. a destruction record should be kept on file D. both B and C

D. both B and C

Which of the following is an example of quality assurance and validation testing performed by pharmacy technicians who compound sterile products? A. media refill test procedure B. media fill test procedure C. glove fingertip sampling procedure D. both B and C

D. both B and C

Which of the following procedures must be followed to prevent coring? A. insert the needle into the vial with the bevel tip down B. insert the needle into the vial with the lumen side up C. insert the needle at a 45-60 degree angle D. both B and C

D. both B and C Coring means that a piece of the vial's rubber stopper broke off and entered the drug. If coring is suspected, the solution should be filtered before transfer into the IV bag.

Determine which of the following DEA numbers are valid for Dr. Rachel White. A. AW5436789 B. BW5448899 C. AW6789450 D. both B and C

D. both B and C The first letter of the DEA number depends on the registrant type. It could be an "A" if the registrant is an older entity; a "B" if it is a hospital/clinic; a "C" if it is a practitioner; a "D" if it is a teaching institution; a "E" if it is a manurfacturer; a "F" if it is a distributor; a "G" if it is a researcher; a "H" if it is an analytical lab; a "J" if it is an importer; a "K" for an exporter; a "L" for a reverse distributor; a "M" for a midlevel practitioner (example: nurse practitioner, PA); and "N-U" for narcotic treatment programs. The second letter is usually the first letter of the doctor's last name. In this case, "W" is correct. The two letters are followed by seven digits that have a mathematical relationship as follows: 1. Add the first, third, and fifth digits: 5+3+7 = 15 2. Add the second, fourth, and sixth digit and then multiply the sum by 2: (4+6+8)*2 = 36 3. Add the sum of the answers from step 1 and step 2: 36+15 = 51 4. If the last digit of the DEA number matches the last digit of the above sum, then the DEA number is valid. If the number if different, it is an invalid DEA.

While on the job, a nurse calls with a question regarding the suitability of a medical equipment for a given patient. What should the pharmacy technician do in this situation? A. answer the nurse's question to the best of his knowledge B. collect as much information as possible and search for the answer on the internet C. call the manufacturer of the medical equipment and share the nurse's concerns in hopes of finding the answer D. direct the question to the pharmacist

D. direct the question to the pharmacist

Which of the following is not a patient's protected health information (PHI)? A. name B. address C. telephone number D. eye color

D. eye color

What is the generic name for Concerta? A. etomidate B. valsartan C. lopressor D. methylphenidate

D. methylphenidate *Etomidate is the generic name for Amidate. *Valsartan is generic for Diovan. *Metoprolol is generic for Lopressor.

How often can a patient refill a C2 prescription? A. one time B. twice within 1 year C. as needed D. no refills

D. no refills

How often should pharmacy balances be evaluated? A. weekly B. monthly C. twice a year D. once every year

D. once a year

Which of the following drugs would precipitate if mixed with calcium gluconate? A. magnesium sulfate B. sodium chloride C. potassium chloride D. potassium phosphate

D. potassium phosphate Usually, potassium phosphate is added first and then calcium gluconate at the very end after all other electrolytes are added.

Which of the following healthcare professional cannot prescribe medications? A. nurse practitioner B. physician assistant C. podiatrist D. psychologist

D. psychologist

Who decides if a new drug on the market should be added to the hospital's drug formulary? A. the doctors on staff B. the pharmacy director C. the nursing supevisors D. the pharmacy and therapeutic (P&T) committee

D. the pharmacy and therapeutics (P&T) committee The pharmacy and therapeutics (P&T) committee is composed of physicians, pharmacists, and other health professionals who would meet monthly to discuss any matters pertaining to the drug formulary, non-formulary drugs, and investigational drugs.This includes discussions of drug use, cost effectiveness, institutional compliance, distribution, administration, and precribing of drugs within the institution.

The Orange Book is most often used to find: A. compatibility of medications given parenterally B. average wholesale prices C. manufacturer's standards D. therapeutic equivalents

D. therapeutic equivalents *The Injectable Drug Handbook is a reference source for compatibility of medications given parenterally. *The Red Book is a reference source for the average wholesale prices. *The manufacturer's standards are referenced in the Physician's Desk Reference(PDR), which is a compilation of package inserts for FDA-approved drugs.

Once an investigational study is complete, what happens to the remaining drugs? A. they are kept by the pharmacy in case another patient needs them B. they are destroyed and recorded on a destruction log C. they are given to the patient to continue the therapy at home D. they are returned to the sponsor along with the record logs

D. they are returned to the sponsor along with the record logs

A certified pharmacy technician can perform which of the following duties? A. drug utilization review (DUR) B. contact prescribers regarding drug therapy modification C. perform dispensing process validation D. with the approval of the pharmacist, transfer prescriptions issued for nonscheduled drugs between pharmacies

D. with the approval of the pharmacist, transfer prescriptions issued for nonscheduled drugs between pharmacies

Where should partially used chemotherapy vials be disposed? A. regular trash B. biohazard waste container C. yellow chemo waste bag D. yellow chemotherapy waste sharp container

D. yellow chemotherapy waste sharps container All chemotherapy vials, syringes, needles, and empty IV bags should be disposed of in a yellow chemotherapy waste sharps container so they may be incinerated or autoclaved because they are considered dangerous. Other waste such as gowns, gloves, goggles, tubing, and wipes should be disposed of in a yellow chemotherapy bag. The biohazard waste container is reserved for needles, vials, syringes, and chemical waste that is noncytotoxic.

If a drug is ordered 1 cap TID x 20 days; what would be the total quantity needed to complete the medication regimen? A. 3 capsules B. 20 capsules C. 1 capsule D. 60 capsules

D.60 capsules