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Mr. Tucker weighs 65kg. What is his weight in pounds? CORRECT ANSWERS✅ 143 lb. If a bottle of Protonix has been manufacturer-assigned expiration date of 09/2015, what is the last day it can be used? CORRECT ANSWERS✅ September 30, 2015. What is the generic drug name for Keppra? CORRECT ANSWERS✅ Levetiracetam. Which task must be completed by a licensed pharmacist? CORRECT ANSWERS✅ Recommending an OTC medication for a patient. Which class of FDA recall would be issued for a product that is unlikely to cause any adverse health effects? CORRECT ANSWERS✅ Class III. Which of the following tasks may be performed by a pharmacy technician? CORRECT ANSWERS✅ Type a prescription label What is he primary role of the pharmacy technician? CORRECT ANSWERS✅ Assist the pharmacist Needles and syringes that have been used to compound a cancer chemotherapy infusion should be placed in which of the following waste containers? CORRECT ANSWERS✅ Yellow sharps container What is the purpose of rotating stock? CORRECT ANSWERS✅ To ensure that drugs closer to expiration are dispensed first
Which of the following agencies is responsible for enforcing the federal Controlled Substance Act (CSA)? CORRECT ANSWERS✅ DEA Which controlled substance schedule fits the following description? Used medically; high potential for abuse and physical/psychological dependence. CORRECT ANSWERS✅ Schedule II What is the maximum amount of pseudoephedrine one person may purchase in one day? CORRECT ANSWERS✅ 3.6 grams per 24 hours What is the name of the form used to order Schedule II controlled substances? CORRECT ANSWERS✅ DEA Form 222 What is the correct DAW code to use when billing the patient's insurance for a generic drug? CORRECT ANSWERS✅ DAW 0 How many refills can be issued for a C-IV controlled substance prescription? CORRECT ANSWERS✅ Up to 5 refills Which of the following medication is not a Schedule III controlled substance? CORRECT ANSWERS✅ Ambien (Zolpidem) Prescribers that issue buprenorphine (Suboxone & Subutex) prescriptions for the treatment of narcotic drug addiction outside of a narcotics treatment facility must have a unique DEA number that begins with the _________. CORRECT ANSWERS✅ Letter X
In the Orange book, a generic drug that is therapeutically equivalent to a brand name drug woulld have a TE rating beginning with which of the following letters? CORRECT ANSWERS✅ A Which information does not appear on an OTC package label? CORRECT ANSWERS✅ Off-label uses Which of the following are not associated with HIPPA? CORRECT ANSWERS✅ Coordination of benefits NDC numbers contain three segments. Which does the first of an NDC number represent? CORRECT ANSWERS✅ The identity of the manufacturer A delayed-release tablet is most similar to which of the following? CORRECT ANSWERS✅ Enteric-coated tablet Which of the following is an indication for the OTC drug Azo (Phenazopyridine)? CORRECT ANSWERS✅ Urinary Pain What dosage form must be shaken well prior to administration? CORRECT ANSWERS✅ Suspension Which employee(S) is/are authorized to perform a drug utilization review (DUR)? CORRECT ANSWERS✅ Pharmacist Which of the following pieces of information is most useful in the event of a recall? CORRECT ANSWERS✅ Lot number
A patient drops off a prescription for an 84-day supply of Trinessa (TRI-LINYAH), but her insurance company will only pay for a 28-day supply. This is an example ofa _____. CORRECT ANSWERS✅ Plan limitation Compared to brand name drugs, generic drugs often have which of the following characteristics? CORRECT ANSWERS✅ All of the above (equal quality, equal performance, equal safety, lower cost) Which of the following is an example of a brand name drug products? CORRECT ANSWERS✅ Motrin Which of the following is a sign of incompatibility in an IV admixyure? CORRECT ANSWERS✅ All of the above (bubbles, precipitate formation, cloudiness, color change) Which pregnancy category indicates that a drug should never be used during pregnancy? CORRECT ANSWERS✅ Pregnancy category X Interpret the sig: Take i-ii PO Q4-6H PRN for pain CORRECT ANSWERS✅ Take one to two tablets by mouth every 4 to 6 hours as needed for pain Which piece of information is not commonly collected when creating a patient profile? CORRECT ANSWERS✅ Dental insurance information
What are auxiliary labels used for? CORRECT ANSWERS✅ To provide additional information for proper use and storage of medication When is it necessary to shake a drug suspension or emulsion? CORRECT ANSWERS✅ Immediately prior to measuring quantities for dispensing and immediately prior to administration What is the purpose of tall man lettering? CORRECT ANSWERS✅ To emphasize the spelling of difference between medications with similar names Which of the following would not help avoid errors? CORRECT ANSWERS✅ Using trailing zeros when writing numbers with values greater than one. Which of the following medications should be dispensed in the original packaging? CORRECT ANSWERS✅ Pradaxa (dabigatran) and Nitrostat (nitroglycerine) You are in the clean room and an order comes in for norepinephrine 10mg in 250ml of D5W. How many vials of norepinephrine will you need to open if it comes in a 4mg/4ml vials? 10mg * vial/4mg = 3 vials CORRECT ANSWERS✅ 3 vials You receive an order for 90ml if lidocaine 4% nasal spray. You will use normal saline solution and 10% lidocaine solution to compound this prescription. How much 10% lidocaine solution will be needed?
- 4 parts 10% lidocaine solution
- 6 parts normal saline solution (normal saline solution contains zero percent lidocaine) 90ml/10 parts * 4 parts of 10% lidocaine/1 = 36 ml of 10% lidocaine See pg. 185-189 CORRECT ANSWERS✅ 36ml You are using a class A prescription balance with a sensitivity requirement of 6mg. Using this balance, you can measure 300mg of a substance with ___% error. % Error= Sensitivity Reqyuirement/Measured Weight * 100% = 6mg/300mg * 100% = 2% CORRECT ANSWERS✅ 2% error A patient presents a prescription for 450ml of allopurinol 40mg/ml oral suspension. Allopurinol is available from the manufacturer in an oral tablet form only. Using allopurinal 100mg tablets, how many tablets will you need to pulverize and triturate to compound this prescription? 450ml * 40mg/ml = 18,000mg *Since we know there are 100mg of allopurinol in each tablet, the next step is: 18,000mg * tablet/100mg = 180 tablets CORRECT ANSWERS✅ 180 tablets
- Finally, multiply the dose by 3 since the patient will receive 1 dose every 8 hours in a 24 hour time period. See pg. 201 CORRECT ANSWERS✅ 390mg Which of the following statements is correct regarding scored tablets? CORRECT ANSWERS✅ Scored tablets are designed to be easily split into fractions. Which of the following is a type of insurance plan? CORRECT ANSWERS✅ PPO If the normal adult dose of Clindamycin is 300mg, then what is the dose of a 4- year-old patient that weighs 60 lbs? (calculate the dose using Clark's Rule). Child Dose = 60 lbs/150 lbs * 300mg = 120mg For pediatric dosing see pg. 202-204 CORRECT ANSWERS✅ 120mg A prescription is written for Prednisone 10mg tablets with instructions to take 4TQD X2d, then 3TQD X2D, then 2TQD X2D, then 1TQD X1D, then 0.5TQD X2d. How many tablets will you need to dispense? CORRECT ANSWERS✅ 21 tablets A prescription is written for 60 tablets of Wellbutrin (Buproprion) XL 150mg with instructions for the patient to take 1TQD X8D, and then 2TQD thereafter. What is the day's supply? CORRECT ANSWERS✅ 34 day's supply According to the manufacturer, Travatan Z eye drops should be stored between 2- 25C. Which of the following environments would be acceptable? CORRECT
ANSWERS✅ A cold environment, cool environment, or a room temperature environment Which of the following could be an example of an NDC number? CORRECT ANSWERS✅ 0093-0437- When handling needles (EX: when compounding sterile products for infusion), it is important to.... CORRECT ANSWERS✅ Never recap the needle after it has been used, and place the used needle in a red sharps container When selecting a filter for Total Nutrient Admixtures (TNAs), which contain emulsified fat droplets, what is the optimal pore size? CORRECT ANSWERS✅ 1. microns (which is large enough to allow fat droplets to pass through without clogging) In what order should the clean room garb be donned? CORRECT ANSWERS✅ 1. shoe covers
- hair cover
- face mask
- gown
- gloves A 1,000 tablet bottle of Metformin 500mg is repackaged into unit dose packages. Assuming the expiration date printed on the stock bottle label is at least two (2) years from today, what is the maximum beyond-use date for the repackaged doses if no stability tests are conducted? CORRECT ANSWERS✅ 6 months
What are the four parts of a prescription sig? CORRECT ANSWERS✅ Action word, quantity with units, route of administration, and dosing frequency. Typically, how long does it take for an insurance company to process a prior authorization (P.A.)? CORRECT ANSWERS✅ A few days Which of the following statements is true regarding the practice of compounding? CORRECT ANSWERS✅ A drug product can only be compounded after receiving an individual, patient-specific prescription order, or in anticipation of receiving a patient-specific prescription order based on an established prescribing pattern. Which of the following should not be worn in a clean room/buffer area? CORRECT ANSWERS✅ Artificial nails The quantity for a prescription for diphenhydramine 12.5 mg/5 ml elixir is written by the prescriber as "CXX milliliters." How many ounces of the elixir should you dispense? (Calculate your answer based on a conversion factor of 30ml per ounce.) CORRECT ANSWERS✅ 4 ounces Oxycodone is a _______ controlled substance. CORRECT ANSWERS✅ Schedule II What agency or organization is responsible for the administration of Medicare? CORRECT ANSWERS✅ CMS
Sandra has prescription drug insurance, but she has never used it. Which of the following payments has Sandra probably made to her insurance company? CORRECT ANSWERS✅ Premium. ***** Deductibles and co-payments are only paid when the insurance is used. Premiums are paid to maintain active coverage, regardless of whether the patient is using the insurance. What are "analgesics?" CORRECT ANSWERS✅ Drugs used for pain. Which of the following insulin formulations is available over-the-counter (OTC)? CORRECT ANSWERS✅ Novolin 70/ Which of the following products reverses the effect of Warfarin? CORRECT ANSWERS✅ Vitamin K How long is a vial of insulin stable at room temperature? CORRECT ANSWERS✅ 28 days What is an anticonvulsant? CORRECT ANSWERS✅ A substance or medication that prevents and/or treats seizures What is an antiemetic? CORRECT ANSWERS✅ A substance or drug that prevents and/or treats nausea and vomiting What is an anti antiplatelet? CORRECT ANSWERS✅ A substance or drug that prevents and/or treats psychosis (ex. bipolar disorder, schizophrenia)
What is an Anticholinergic? CORRECT ANSWERS✅ A substance or drug that opposes parasympathetic nervous system activity. The parasympathetic nervous system is associated with rest & digestion. What is ADME? CORRECT ANSWERS✅ An acronym that stands for "absorption, distribution, metabolism, and elimination." This describes the order by which drugs enter and exit the body. What is Nitric Oxide? CORRECT ANSWERS✅ A chemical in the body that causes blood vessels to dilate/expand What is a nephron? CORRECT ANSWERS✅ The most basic unit of the kidney. Diuretic drugs work by modulating electrolyte exchange at certain locations in the nephron; for exapmle, loop diruetics prevent sodium from being re-absorbed from the Loop of Henle (A segment of the nephron) What is Phosphodiesterase-5 (PDE-5)? CORRECT ANSWERS✅ A key enzyme involved in the breakdown of nitric oxide. What is Polyuria? CORRECT ANSWERS✅ Excessive urine production What is Priapism? CORRECT ANSWERS✅ A painful, prolonged erection What is a sedative-hypnotic? CORRECT ANSWERS✅ A substance or drug that induces sleep. Also known as a tranquilizer
What is serotonin syndrome? CORRECT ANSWERS✅ A condition caused by excessive stimulation of serotonin receptors What is Stevens-Johnson syndrome (SJS)? CORRECT ANSWERS✅ A disease characterized by fever and severe skin rashes involving the mouth, eyes, and mucous membranes What is syncope? CORRECT ANSWERS✅ Where an individual passes out or faints What is Tachycardia? CORRECT ANSWERS✅ An abnormally rapid resting heart rate. (Normal resting heart rate is 60-90 beats per minuite) What is Vasoconstrictor? CORRECT ANSWERS✅ A substance or drug that causes contraction/narrowing of a blood vessel, decreasing the volume of blood flowing through the vessel and increasing blood pressure What is Vasodilator? CORRECT ANSWERS✅ A substance or drug that causes expansion/relaxation of a blood vessel, which increases the volume of blood flowing through the vessel and decreases blood pressure In which classification does Betaxolol belong to? CORRECT ANSWERS✅ Beta Blocker In which classification does Betaxolol belong to? CORRECT ANSWERS✅ In which classification CORRECT ANSWERS✅
