Q1. A pharmacy technician needs to be aware that which of the following medication needs a patient package insert (PPI)?
Albuterol is a metered dose inhaler that requires that the patient receive a patient package insert. Inderal, Hydrocortisone and Bactroban does not require additional information be given to the patient because of the possibility of adverse effects.
Q2. A pharmacy receives a prescription for Pilocar 4% Eye Drops #15ml, i gtt both eyes bid. How many days will this bottle last?
Using the converting factor of 20gtt per ml. Multiple 20 x 15 = 300. Divide product 300 by 4 = 75.
Q3. Which of the following represents the cost the pharmacy paid for the medication?
The actual acquisition cost is what the pharmacy paid for the medication. DAW is dispense as written and are used for brand name medication; AWP is average wholesale price and is the price the wholesalers sell a medication; MAC is maximum allowable cost is used in calculating the reimbursement formula for generic medication.
Q4. Which type of medication order may be filled or administered when a patient requests it?
As needed orders are filled or administered when a patient request it, but there may be limitations. STAT orders should be filled immediately or within 15 minutes. ASAP or as soon as possible. ASA stands for aspirin.
Q5. A prescription is written for Tenormin 50mg tablets. How long should this prescription be kept on file?
Tenormin is a legend drug and the prescription should be kept on file for 2 years. Prescriptions for controlled substances should be kept on file no less than 2 years. If the state, law supersede that of the federal, then that state law will be followed.
Q6. Which classification states that a product with a strange color or taste will be recalled according to FDA requirements?
Class 3 (lowest) products have a minor defect or other condition that would not harm the patient but that prevents the drug from being sold. Class 1 (highest) products cause harm or prove fatal. Class 2 products found to cause a temporary health problem or to pose a slight threat of serious harm.
Q7. Which technique used in compounding describes the mixing of two ingredients of unequal quantities?
Geometric dilution is the technique for mixing two ingredients of unequal quantities, whereas one begins with the smallest quantity and add an equal quantity of the larger amount until all ingredients are used. Levigation is the trituration of a powder with a solvent. Pulverization is the reducing of the size of a particle. Blending is the combing of two substances.
Q8. Which method is used to prepare capsules?
The punch method is used to prepare capsules by punching the open end into dry powder until filled. Wet, Dry and Beaker methods are used to prepare emulsions.
Q9. Which condition is a potential side effect of taking dopamine antagonist, which results in unwanted, involuntary rhythmic movement?
Tardive dyskinesia results from taking dopamine antagonist such as phenothiazines or other medications; the symptoms may continue after medication has been discontinued. Extrapyramidal symptoms result from taking antipsychotic medication which results in parkinsonism and tremors. Parkinson’s disease is a movement disorder with symptoms of tremor rigidity and bradykinesia. Bradykinesia is slowed movement.
Q10. Which of the following is not a potential cause of medication error?
The physician is not a part of the types of medication errors. Wrong patient, time and technique are parts of a list on which health care professionals and patients are responsible for identifying and preventing errors when possible.
Q11. Which of the following is a type of inventory required by the Drug Enforcement Agency of all controlled substances every 2 years?
Biennial inventory are conducted every 2 years of all controlled substances. Initial is an accurate inventory of all controlled substances take before a new pharmacy opens. Perpetual reflects exactly what is on hand. Physical is conducted on a basis to determine exactly what is on hand.
Q12. Which of the following methods should be used in recapping a needle if necessary?
The one hand scoop method is used is needle needs recapping. Needle should remain attached to the syringe and placed in a red sharps container. Needles should never be bent or directed toward the body.
Q13. Which of the following part of Medicare is a health plan offered by private insurance companies?
Medicare Part C or Advantage Plan contracts with Medicare to provide Part A and Part Benefits through HMO and PPO. Medicare Part A covers inpatient hospital care; Medicare Part B covers physician services and outpatient care; Medicare Part D covers prescription medications.
Q14. The National Council for Prescription Drug Program created standards for electronic exchange of health information, which includes the following except?
Pharmacy Informatics focuses on using information technology and drug information to maximize medication use.
Q15. Which of the following is an error that is caused by the prescriber?
Physicians sometimes use abbreviations that are not approved or may be misinterpreted. All health care professionals will need to familiarize themselves with the TJC – Do Not Use list and ISMP Error Prone Abbreviation list. Sound alike, transcription and misinterpretation are errors caused by the pharmacy.
Q16. What is the generic name for the drug Cytomel?
The generic name for Cytomel is liothyronine; Levothyroxine is the generic for Synthroid; Liotrix is the generic for Thyrolar, all used to treat hyperparathyroidism. Liraglutide is the generic for Victoza used to treat Type 2 Diabetes.
Q17. Which of the following can be flagged or alerted using patient monitoring functions?
Therapeutic duplication identifies medications with the same indications or in the pharmacological class. Date written, brand/generic and drug classification are used to track prescriptions.
Q18. Which of the following is the maximum dose for aspirin in an adult?
4000 mg or 4 gm per day is the maximum adult dose and is used to treat pain, fever and inflammation. Many physicians prescribe 81 to 325 mg per day for antiplatelet effects.
Q19. Which of the following containers protects the contents from other solids?
A well closed container protect contents from solids and from loss of the article under normal conditions. Light resistant is used to protect from the effects of light. Tamper evident is used to seal that containers. Tight container protect from contamination by liquids.
Q20. When performing hand washing, hands should be washed for a minimum of?
Hand washing should be done vigorously, making sure to include forearms to elbow for a minimum of 30 seconds with antimicrobial soap and water before donning gloves.
Q21. Which of the following would be a solution to a patient identifiers error caused by nurses?
Nurses are now electronically connected to the pharmacy through bar codes. The nurse can ensure accuracy of medication dosage at the patient’s bedside before medication is given. The nurse can be alerted to any special notes or warning.
Q22. All the following are reasons why covered entities may disclose protected health information (PHI) to law enforcement officials except?
Communicable disease must be reported to public health authorities authorized by law to collect or receive information.
Q23. Which of the following is a medication is used to treat hyperlipidemia?
Pravachol is an HMG-CoA used to treat hyperlipidemia. Procardia, Prinivil and Cardura are used to treat hypertension.
Q24. The physician prescribes 500mg of a drug with is available as 1gm / 2ml, how many milliliters should this patient receive?
The patient should receive 1ml. First, 1gm should be converted to 1000mg. Multiply 500mg by 2. Divide the product 1000mg by 1000mg.
Q25. Which of the following is a potential side effect of ACE inhibitors?
A side effect of ACE inhibitor is a dry cough sometimes hacking cough that does not resolve over time. People who develop this sometimes need to be switched to an alternative class of medication.
Q26. Which of the following is a 11-digit sequence of numbers assigned to a medication?
The National Drug Code identifies the medication through a 5-4-2 segments representing the manufacturer, product and package size. DEA number is used when writing prescriptions for controlled substances. Bar codes are used to identify drug, dosage form and strength. NPI is a unique 10 identification number for covered health care providers.
Q27. Which of the following rejection code describes invalid days supply?
Code 19 is for invalid days supply; Code 7 is invalid cardholder ID number; Code 22 is invalid DAW or product selection; Code 28 is invalid date prescription written.
Q28. The FDA manages certain programs which place drugs in a restricted status because of their adverse effects. Which of the following drugs is part of this program?
Sotret (isotretinoin) is under a special program called iPledge because of the severe adverse effects such as birth defects. Methadone for opioid addiction needs specialized treatment for patient. Subutex a schedule III requires special consent forms completed by patients. Sodium fluoride can be packaged in a non-child resistant bottle.
Q29. Which of the following is a type of computer input device?
Light pen is an input device. Plotters, speaker and printers are output devices.
Q30. Which type of container protects the content from contamination of liquids, solids, and vapors?
Tight container protects content from contamination by liquids, solids or vapors. Tamper evident packaging are used for sterile article intended. Well closed containers protect the content from other solids. Hermetic container is impervious to air or gas.