PHT 108 quiz #1
Exempt narcotics can be sold by a pharmacist to persons at least ________ years of age.
18
Under the Combat Methamphetamine Epidemic Act, the pharmacy or store that sells pseudoephedrine-containing products must maintain written or electronic records of the transactions for a period of
2 years
To renew their certification, CPhTs must complete at least
20 contact hours of pharmacy-related continuing education every two years.
. When a needle is inserted through the stopper of a medication vial, occasionally a small piece of the stopper is shaved off and may not be noticed. This is referred to as coring. Smallr gauge needle may reduce the risk of coring. Which of the following needles would be likely cause coring?
20 gauge
Chapter <797> defines a Primary Engineering Control as a device or room that provides appropriate air quality of ISO Class____limits.
5
The Waxman-Hatch Act provided for up to _________ year extensions of patient protection beyond the 17 years for a drug patent.
5
Which of the following is a source of comprehensive, evidence-based drug information grouped by therapeutic use?
AHFS Drug Information
When the directions for a prescription are unclear, the pharmacy technician should
ASK THE PHARMACIST FOR CLARIFICATION
The model curriculum for pharmacy technician training is provided by the
American Society of Health-System Pharmacists.
The discovery of _____________ revolutionized surgery and dentistry.
Cocaine
Which is a true statement about coloring a compounded liquid?
Coloring agents are contraindicated in all sterile preparations.
Intrauterine device (IUD) provide long term
Contraceptive protection
Orally administered drugs can be lost (i.e., not reach the systemic circulation) by which mechanism?
Degradation due to stomach acidity. First-pass metabolism Retarded dissolution All of the above
What common drug information reference is the flagship publication from Lexicomp?
Drug information handbook
_______________ believed there were four "humours" in man.
Galen
Which is not a small volume parenteral (SVP)?
Glycine 1.5% irrigation solution
When considering subcutaneous (SC) administration, which listing is the expected order of absorption rates from fastest to slowest?
IM>SC>>Oral
When an antibiotic injection is given in a small volume of solution that is connected to a main IV fluid bag, this is known as an?
IV piggyback
Which listing of parenteral routes is the expected order of absorption rates from fastest to slowest?
IV>IM>SC
Which is a disadvantage of an oral suspension formulation?
It settles over time
Quinine is also called
Jesuit's powder.
The DEA is a division of the
Justice Department
An early form of immunization was practiced by
King Mithridates of Pontos.
Cocaine was the first effective
Local anesthetic
What subscription service is used for voluntarily and anonymously reporting adverse drug events in the United States?
MEDMARX
What pharmacy reference would a technician use to research foreign drugs?
Martindale: The Complete Drug Reference
A pharmacy technician searching for information on a foreign drug should use
Martindale: The Complete Drug Reference.
The usual site for an intradermal injection is the
anterior surface of the forearm
A high-alert medication is
any medication with a narrow therapeutic index.
The most widely used drug in the world is
aspirin acetylsalicylic acid
A local effect occurs
at the site of administration
Communicating effectively with patients from diverse backgrounds is called
cultural competence
A drug is administered by inhalation using a metered dose inhaler (MDI) aerosol. Which pathway will the drug follow
Mouth, trachea, bronchioles, alveoli
Imhotep was the first physician known by
Name
What organization developed the Verified Internet Pharmacy Practice Sites (VIPPS) in response to concern about the safety of pharmacy practices on the Internet?
National Association of Boards of Pharmacy (NABP)
__________________ are published frequently and provide a useful source of current information.
Newsletter
Which of the following is true regarding the use of a laminar airflow workstation?
No work should be done within 6 inches from the front of the workstation.
Which nonaqueous oral solution has 20 grams of drug per 100 ml of solution?
Non-potent tincture
. Which ointment base is the most effective occlusive dressing?
Oleaginous
The ____________________________________________ requires pharmacists to offer counseling to Medicaid patients receiving prescriptions.
Omnibus Budget Reconciliation Act (1990)
The PTCB requires that pharmacy technicians obtain 20 hours of continuing education credit every 2 years; which of the following also applies?
One contact hour must be in pharmacy law,One contact hour must be in patient safety
Which dosage form does not have a disintegration and dissolution step as part of its oral absorption process?
Oral solutions
The _____________________________ provides incentives to promote research, approval, and marketing of drugs needed for the treatment of rare diseases.
Orphan Drug Act (1983)
This word means a cure all:
Panacea
_______________ is the most complete record of ancient Egyptian medicine and pharmacology and included about 800 prescriptions using 700 drugs.
Papyrus Ebers
_______________ was a Swiss alchemist in the early 1500s who rejected all previous medical teaching other than Hippocrates.
Paracelsus
Which of the following tasks is not the role of a pharmacy technician?
Performing final label and product check.
Which is a positive pressure infusion device?
Peristaltic pump Smart pump Syringe pump
Quinine is made from the bark of the
Peruvian cinchona tree.
The study of drugstheir properties, uses, application, and effectsis called
Pharmacology
A technician that uses technology tools to support the pharmacy information management is known as a
Pharmacy Technician informaticist
Which of the following is NOT required on a valid written prescription when it is presented for filling?
Pharmacy name
The largest number of patients are in __________ of clinical drug testing.
Phase III
The _____________________________ requires pharmacists to dispense most prescription drugs in child-proof packaging.
Poison Prevention Packaging Act (1970)
Which is not a common solvent/vehicle used in compounded solutions?
Polyethylene glycol
What type of publication is America's Pharmacist?
Professional Practice Journal
________________ was the first drug to be used successfully in the treatment of malaria.
Quinine
What does the FDA require for some products to ensure that their benefits outweigh their risks?
REMs
Which is the correct procedure of adding a lyophilized drug packaged in a vial to the LVP solution?
Reconstitute the lyophilized drug in the vial and add to the LVP
_______________ wrote the Book of Medicine Dedicated to Mansur.
Rhazes
An example of an abbreviation for a route of administration could be
SL
The documentation that addresses step-by-step written instructions for conducting specific activities in a compounding pharmacy is the
SOP (standard operation procedure
25. Which is not a guideline to minimize parenteral incompatibilities?
Store parenterals at least 48 hours before using them
_____________________ tablets are placed under the tongue.
Sublilingual
Ancient __________ believed that illness was caused by demons.
Sumerians
Which intravenous (IV) administration device would be appropriate to inject a small volume of medication (e.g., 5 mL) over 1 to 2 minutes?
Syringe and needle
A prescription written i tab q hs is correctly interpreted as
TAKE A TABLET AT BED TIME
If a prescription reads ii gtt AU qid it is intended for use in
THE EYE
"Sig" is an abbreviation for the Latin word signa, which means
TO WRITE
Which of the following is a health-care website for consumers?
WebMd
Which of the following contains short abstracts from journal articles and information on clinical trials?
The Medical Letter
Which of the following is an incorrect step-process when performing a aseptic technique?
The airflow workstation is only cleaned at the beginning and end of a shift
__________ is an example of an OTC product with a brand name extension.
Tylenol
Which is not considered a particulate material?
Undissolved active drug particles
. When selecting a device for liquid measurement,
Use the smallest device that will accommodate the volume of liquid.
which is a parenteral rout of administration?
Vaginal
Ophthalmic formulations must be ____________ in their final container.
sterile
The Food Drug and Cosmetic Act (1938) followed the fatal poisoning by
sulfanilamide
Individuals in health care who are given a basic level of training designed to help them perform specific tasks are
technicians
Clinical trials involve
testing drugs on people
Systemic absorption of a drug administered as an ophtalmic formulation can occur when
the drug drains into the lacrimal canaliculi.
The second set of numbers in the NDC indicates
the drug name, strength, and dosage form.
The first set of numbers in the NDC indicates
the manufacturer
The third set of numbers in the NDC indicates
the package size
Third-party billing means
the patient's insurance provider will be billed.
Prescription errors can be prevented by
the pharmacist. the technician. computer alerts.
A medication error may include all of the following EXCEPT
the wrong-sized vial.
Demonstration of competency during a pharmacy technician's training is generally through
written tests and practical demonstrations.
To ensure that a syringe will deliver a correct volume of liquid,
fill the syringe, hub, and needle with liquid and remove all air bubbles.
Air injected into a vial before a volume of solution is removed
helps withdraw the solution by pressurizing the vial.
Chemicals produced by the body that regulate body functions and processes are
hormones
A technician that identifies the most accurate list of all the medications patients are taking is known as a
medication reconciliation technician
Adapta-Caps are designed to be used with
oral Syringes
An assessment of one's characteristics, skills, qualities, etc., is called
personal inventory
Drug products that contain identical amounts of the same active ingredients in the same dosage form are
pharmaceutical equivalents.
All of the following health-care professionals are allowed to order prescriptions EXCEPT
pharmacist
ASHP is the leading association for
pharmacists practicing in hospitals and other health-care systems.
An inactive substance given in place of a medication is a/an
placebo
When extemporaneously compounding capsules, glove should be worn to
prevent a technician's fingers from contacting the powder
The Kefauver-Harris Amendment (1962) required manufacturers to provide
proof of both safety and efficacy before marketing.
Under HIPAA, PHI stands for
protected health information
A Safety Data Sheet (SDS) provides product information on
protective measures for chemical exposure.
Prescriptions are governed by federal and state rules and regulations. The primary purpose of these rules and regulations is to
provide minimal standards of practice.
When a solution is free from soluble products produced by microorganisms, it is said to be
pyrogen free
The abbreviation ______ is on the TJC do not use list.
qd
Lyophilized powder in a vial
requires a diluent to solubilize the powder before withdrawing from the vial.
The main purpose of phase I clinical drug testing is
safety
A natural medicine that is found in some of today's teas and that became popular in the 1500s for its use on kidney and bladder ailments is
sarsaparilla.
What individuals may and may not do in their jobs is called
scope of practice
. In order for the laminar airflow workstation to meet Class 100 standards, its HEPA filter must allow fewer than 100 particles that measure greater than 0.3 micrometers per cubic foot of air. At the minimum , how often should a laminar flow airflow workstation be professionally serviced?
semiannualy
All suspension formulations should have the following auxiliary label on the container.
shake well before use
. When calibrating a medicine dropper, the drops should be measured in a
small graduated cylinder (10mL).
The extent to which a dosage form retains, within specified limits, and throughout its period of storage and use, the same properties and characteristics it possessed when it was made" in one definition of
stability
The sale of exempt narcotics is limited by how many dosage units can be sold in any given ____________ period.
48-hour
Being _________ means being capable and qualified.
competent
To ensure the accuracy of a volume dispensed with a syringe,
completely fill the hub.
The preparation, mixing, assembling, altering, packaging, and labeling of a drug or device in accordance with a licensed practitioner's prescription, medication order, or an initiative based on the practitioner/patient/pharmacist/compo under relationship in the course of professional practice" is an official definition of
compounding
The supernatural approach to treating illness gave way to a more scientific approach around
400 B.C.
The Chinese Emperor Shen Nung was one of the first known practitioners of
"trial and error" drug testing.
What size particle is expected to reach the alveolar sacs after inhalation administration?
0.6 micron
Which is the largest hard gelatin capsule size?
00
16. According to the USP-NF, one (1) gram of a drug that is "soluble" in a solvent will _______________ mL of solvent to dissolve.
10-30
To pass the PTCE, candidates must score at least
1400 out of 1600
The maximum number of 30 mg pseudoephedrine tablets that can be sold to an individual under the Combat Methamphetamine Epidemic Act in a day is
146
A prescription is written for amoxicillin 500 mg with the directions "ii caps to start, then i cap tid for seven days." The number of capsules needed is
22
Two large weight boats taken from the same box can vary as much as _______mg.
250
To prevent errors, labels should be read _____ times.
3
To prevent medication errors, replenishment of automated dispensing machines should be checked ______ times.
3 times
Needles for subcutaneous injection are generally ______inches long and _________G.
3/8 to 1, 24 to 27
Before, after, and throughout each shift, pharmacy technicians should wash their hands with an antimicrobial agent for at least _____seconds.
30
A prescription reads Cephalexin 250 mg/5 mL; 10 mL qid qs 5 days. How many mg of cephalexin does the patient receive per dose?
500 MG
Which of the following should be used to clean the interior of the laminar airflow workstation?
70% sterile isopropyl alcohol
A prescription reads Cephalexin 250 mg/5 mL; 10 mL qid qs 5 days. Cephalexin 250 mg/5 mL, once reconstituted, comes in 100 mL, or 200 mL bottles. Which would be the most logical choice of bottle for dispensing this prescription?
A 200 mL bottle would be sufficient.
What specialty reference is used to find information on physical pharmacy?
Ansel's Pharmaceutical Dosage Forms and Drug Delivery Systems
Which reference would best help a pharmacy technician review principles involved in the production of compounded products?
Applied Pharmaceutics in Contemporary Compounding
If two patients have the same name and live at the same address, the best way to ensure the correct patient is selected is to
CHECK THE BIRTHDATE
Pharmacy technicians who pass the PTCE or ExCPT have the designation
CPhT
___________ is an example of a drug with a potentially confusing drug name suffix.
Cardizem
A legal document certifying that an individual meets certain objective standards is a
Certificate
_______________ wrote the first great book of Indian medicine.
Charaka
Which statement best describes the consideration in selection a graduated cylinder?
Choose a graduated cylinder slightly larger than volume of liquid you intended to mesure.
Dioscorides wrote
De Materia Medica.
Co-administering epinephrine with a subcutaneous (SC) administered drug is expected to
Decrease regional blood flow and decrease the subcutaneous absorption of the drug
_______________ was the first person in what is now the United States known to administer a smallpox vaccine.
Dr. Zabdiel Boylston
What common pharmacy reference is used to compare medications in the same therapeutic class?
Drug Facts and comparison
The _____________________________ defines which drugs require a prescription.
Durham-Humphrey Amendment (1951)
_______________ successfully used the vaccine from cowpox to vaccinate against smallpox
Edward Jenner
__________ was used for general anesthesia in the first publicized operation with general anesthesia.
Ether
A laminar airflow workstation is a piece of equipment that provides an ultra clean work environment for compounding. What direction does the air flow in a vertical laminar airflow workstation?
From the top of the airflow workstation to the bottom
Under HIPAA, any electronic transmission of health information, including claims and billing, must be done via
HIPAA-compliant EDI.
Where should the pharmacy technician check for a possible incompatibility of two intravenous medications?
Handbook of Injectable Drugs
A pharmacy technician searching for storage information on inactive ingredients used in compounding would consult which reference book?
Handbook of Pharmaceutical Excipients
__________________________ is a specialty reference used for finding safety and storage information on inactive ingredients used in compounding.
Handbook of Pharmaceutical Excipients
The _____________________________ allowed for quicker introduction of lower-cost generic drugs.
Hatch-Waxman Act (1984)
The ____________________________________________ provides regulations for the transfer of patient health information.
Health Insurance Portability and Accountability Act (1996)
Which organization can a pharmacy technician use to check the credibility of an Internet website?
Health on the Net Foundation (HON)
On which site would a pharmacy technician look for information on the privacy and security of electronic health records?
HealthIT.gov
Which is an example of packaging for SVP solutions?
Minibags Glass vials Ampules
___________________ is an early Chinese forerunner to the FDA approved drug list.
Shen Nung Pen Tsao
What do irrigation solutions, peritoneal dialysis solutions, and total parenteral nutrition solutions have in common?
Solution volumes are greater than 1, 000 mL
Which technique will not reduce the particle size of powder?
Spatulation on an ointment slab.
A prescription reads Cephalexin 250 mg/5 mL; 10 mL qid qs 5 days. The directions on the label for this prescription should read:
Take two teaspoonsful (10 mL) four times a day for five days.
Which type of pharmacy literature provides the foundation for the development of other pharmacy literature?
Teritary
Which of the following consists of a systematic review of evidence-based primary research in human health care and health policy?
The Cochrane Library
Which association accredits and certifies health-care organizations and programs in the United States?
The Joint Commission
Which pharmacy publication provides information about the entire body of pharmacy practice and also includes continuing education articles?
The Journal of Pharmacy Technology
The USP-NF provides beyond-use date recommendations for compounded preparations when other scientific stability information not available. For nonaqueous preparations, what is the USP-NF recommended beyond-use date?
The earliest expiration date of any active principal ingredient 6 months, whichever is earlier
Patients are responsible for administering their own medications in the following setting:
Their own homes
Which ingredient is used in a suspension to retard the settling of the suspended particles?
Thickening agent
. Liquid drugs, solvents, or additives are measured in volumetric glassware etched with either TD or TC. What does TD means?
To deliver; will deliver the total volume measured when emptied.
Which technique would be expected to increase the solubility of a drug in a solution?
Trituration Stirring the solvent Sonication Correct Answer None of the above
A DUR (Drug Utilization Review) warning may concern all of the following EXCEPT
a food allergy
An example of a Schedule II drug is
a narcotic pain reliever
A typical review for an altered prescription includes looking for each of the following EXCEPT
a prescription for a child
Geometric dilution should be used to blend
a small amount of drug powder with a large amount of powder diluent.
An established design feature to prevent dispensing errors is
adequate lightening
When a drug is added to a parenteral solution, the resulting preparation is called an
admixture solution
Nonverbal communication can be conveyed by
body language
When intranasally administering a drug with an MID aerosol,
breath in as the MDI is actuated.
The action of reducing a material to small particles is called
comminution
A prescriber indicates that the brand name drug is to be dispensed rather than the generic alternative by writing
dispense as written (DAW).
The largest area of the ExCPT exam covers
dispense process
Glycerinated gelatin is the preferred vaginal suppository base because it
dissolves slowly in vaginal mucus secretions
The main purpose of phase II clinical drug testing is
efficacy
If a prescription reads QID pc it is to be taken
four times a day after food.
Which of the following is (are( used to describe a needle?
gauge
17. The "zone of turbulence" formed in a horizontal airflow workstation is an area of turbulent airflow formed.
in front of (i.e., on the opening side of the workstation) a large container.
Which is not an "injection dependent" parenteral rout of administration?
inhalation
Injectability refers to the properties of a suspension while being
injected through a needle
Piggybacks are used to administer
intermittent intravenous medications 50-100 mL of intravenous fluid fluid through the same administration set as a primary LVP fluid.
. When compounding an emulsion by the breaker method, the
internal phase is added and mixed with the external phase.
Which injectable route is the most rapid acting?
intravenous
Which dermal formulation is a suspension?
lotions
The 1996 Health Insurance Portability and Accountability Act
makes health-care providers responsible for the privacy and security of all identifiable patient health information.
It is the responsibility of the ___________ to provide proof that a drug is safe and effective.
manufacturer
Which is an incorrect statement regarding clean rooms?
must have restricted airflow.
Child-proof containers are
not required for liquid dosages. required by law on all prescriptions without exception. not required for patients aged 65 and older. NONE OF THESE ARE.
Emily's Law defines qualified pharmacy technicians in
ohio
Emulsions are compounded using a combination of
oleaginous and aqueous components plus emulsifying agent plus energy.
In horizontal laminar airflow workstations, air blows
toward the operator
