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PTCB Exam Book Questions And Answers 100% Correct
1. Which of the following would be found on an institutional medication order, but
not on a retail pharmacy prescription?
a. patient name
b. the patient's diagnosis
c. drug dosage schedule
d. both b and c: d. both b and c
the paper prescription contains only the information needed to fill the prescription, dosage directions, and information given by the patient. Therefore, the diagnosis and dosage schedule would not be included; however, they would be found on a hospital order
2. Which of the following must be present on the prescription at the time of
acceptance?
a. the prescriber's signature
b. the exact name, strength, and form of the drug
c. the age of the patient
d. both a and b: d. both a and b
When the prescription is received, it must contain information relating to the patient and prescriber. Information such as the patient's address, age, and allergies may be taken at the time of acceptance
3. Which of the following may the technician not perform?
a. accept refill requests by telephone
b. refill authorizations
c. accept prescriptions by electronic means
d. both b and c: d. both b and c
the technician may fill prescriptions that have been properly documented (ex. hard copy prescription). Since refills are made on a previous filled (documented) prescription, and prescriptions are normally filled off of hard-copy prescriptions, the technician may do both of these. However, prescriptions submitted by electronic
means must be transferred to a hard-copy from by the pharmacist (or intern) before filling, and refill authorizations may only be taken by the pharmacist.
4. Which of following is required on a retail prescription but not on a hospital
order?
a. the generic name of the drug dispensed
b. the strength of the drug dispensed
c. the DEA number of the prescriber
d. the name of the prescriber: c. the DEA number of the prescriber
the drug information on a hospital order is essentially the same as the paper prescription; however, a physician practicing in a hospital will have a DEA number
8. You receive a prescription for a secobarbital a (C-II), which was written two
weeks ago and appears to be altered. You should:
a. fill the prescription
b. consult the pharmacist
c. refuse to fill the prescription and give it back to the patient
d. call the prescriber for authorization: b. consult the pharmacist prescriptions for
controlled substances must be filled within three days of writing
depending on the state. Therefore, the prescription is no longer valid. The problem should be transferred to the pharmacist
9. You receive a prescription for a drug that is available only by brand name. The
prescriber has written the generic name on the prescription.You should:
a. call to see if a generic is available
b. fill the prescription and consult the pharmacist
c. tell the patient that the prescription cannot be filled
d. call the prescriber for authorization to dispense the brand-name drug: b. fill
the prescription and consult the pharmacist a prescription that is written for a generic drug may always be filled with a proprietary (brand) name. Thus, you may fill the prescription with the brand name; however, the pharmacist may wish to explain the situation to the patient.
10. You receive a prescription for Roxicet. You may enter the following data on
the prescription form:
a. the address of the patient
b. the age of the patient
c. all of the above
d. none of the above: d. none of the above
no information is to be added or changed on a prescription for a schedule II drug
11. Dosage forms
• Orally-by mouth
• Suppository form (for a vomiting patient)
• Topically-in the eye
• Systemically- on the skin ( for a rash or skin condition)
• Oral liquid form (for a child)
Transdermal- through the skin:
12. atc: around the clock
13. os: left eye
21. IA: into the artery
22. ID: into the skin
23. IT: intrathecal
24. aa: of each
25. ºThe tablet is made of pressed powder. How hard the powder is pressed
determines how the tablet can be used. · A sublingual tablet is made to dissolve quickly. Under the tongue, and therefore cannot be pressed hard into a dense tablet: · Ex. A nitroglycerin tablet, which is made to dissolve quickly so the drug may be rapidly absorbed into the system
· An enteric tablet is coated with a hard-shell coating, designed to protect the drug
from acid into the stomach. Enteric coated tablets should not be split or crushed.
26. Drugs available in lozenge form: · Morphine sulfate
· Haloperidol
· Nystatin
· Metoclopramide
· Benzotropine mesylate
· Lorazepam
· Clortrimazole
· Diphenhydramine
· Dexamethasone
27. capsules: · Is a gelatin "container" filled with powdered drug, drug granules, a
liquid formulation, or an oil. Ex. Antibiotic capsules, liquid vitamins, and many over the counter cold remedies
28. lozenges: designed to be held in the mouth while it slowly releases drug for oral
absorption. This dosage from is particularly useful for administration of pain medication for chronic pain and for the relief of nausea during cancer chemother- apy
29. ºElixir is similar to syrup but contains a relatively high percentage of alcohol: º
Drugs in suspension need to be handled carefully, as drug particles may settle to the bottom of the container while the dose is being withdrawn!
30. Tincture is another liquid dose form. In modern times, it is only used topi-
cally.: The tincture is an alcohol-based drug forms, such as tincture of merthiolate, and is normally dispensed in a dropper bottle. These drugs are not taken internally.
the particular hospital unit where it is located. Like the med carts, drugs are filled in locked drawers within the cabinet. The computer within the Pyxis is on a local area network, which interfaces with the main hospital computer. Thus, the unit actually charts patient medications as they are withdrawn from the cart by hospital personnel.
43. You receive a shipment of lotion that appears to have separated into two
layers, within the bottle. The shipment has probably:
a. always been this way
b. been exposed to extreme heat
c. ben frozen and allowed to thaw out, perhaps more than once
d. either b or c could be correct: d. either b or c could be correct
emulsions, such as lotions, are delicate mixtures of oil and water. Rapid changes in temperature or prolongued exposure to very hot or cold temperatures will cause them to separate.
44. A prescription for a Timoptic reads "1 gtt ou bid". The instructions would be:
a. take one drop twice a day
b. take 1 mL twice a day
c. insert one drop in each ear twice a day
d. place one drop in each eye twice a day: d. place one drop in each eye twice a day
even if you don't remember the notations, your first clue should be the brand name, Timoptic; gtt drop, o eye, u both, bid means two times a day.
45. Which of the following is not a solid dosage form?
a. an indomethacin capsule
b. a CEclor pulvule
c. an antibiotic cream
d. a Ticlid tablet: c. an antibiotic cream
solid dosage forms are, in general, those which can be picked up and handled. the only one that cannot be safely handled is cream
46. In an institutional setting, medications are normally filled:
a. using a unit dose cary, filled daily
b. by individual dose, as needed
c. in bulk, so that the nurses can help themselves
d. by prescription: a. using a unit dose cart, filled daily
most doses to the patient are dispensed using a unit dose cart. Occasionally, individual doses may be ordered, under special circumstances, but normal dosing is done with the use of a unit dose cart
Procardia and Procardia XL (the extended release form) are not the same. Even though the names look similar, the technician could not dispense this drug for Pericardia.
48. An enteric-coated tablet protects the drug from:
a. the basic pH of the duodenum
b. the acid in the stomach
c. the lining of the colon
d. none of the above: b. the acid in the stomach
Enteric-coated drugs are designed to dissolve in the intestines. The coating is a protection for the drug against stomach acid in order for it to make it to the intestines safely.
49. Elixirs generally contain:
a. high sugar content
b. oils or active plant portions
c. high percentage of alcohol
d. suspended drug particles: c. high percentage of alcohol
Syrups contain high concentrations of sugar, extracts contain high concentrations of oils or plant portions, and elixirs contain high concentration of alcohol
50. SQ injections must be given:
a. with a very fine needle
b. with a very large needle
c. deep into a muscle
d. through an IV line: a. with a very fine needle
SQ injections are placed just under the skin so a very fine needle is required.
51. Drug half-life is used to determine:
a. how often a drug is given
b. when a drug expires
c. when refills are needed
d. if an allergy is present: a. how often a drug is given
the half-life defines how long a drug is active in the body, so it can be used to determine how often it should be given
52. Dispense as written (DAW) means:
a. you can dispense whatever is available
b. you must dispense the brand requested
c. you only have to use that brand if you stock it
d. none of the above: b. you must dispense the brand requested
DAW means that no generics may be dispensed. Therefore, the brand name of the drug must be dispensed.
is allowed to request a copy of his or her patient profile. The pharmacy is allowed to charge a fee for this service.
60. The following would be found on a patient profile, under "concurrent
medications":
a. prescription drugs
b. nonprescription drugs, such as Tylenol and aspirin
c. herbal medications, such as herbal diuretics and goldenseal
d. all of the above: d. all of the above
concurrent medications are those which the patient is taking at the same time as the prescription drug. These include any medications, whether they are over-the-counter drugs such as aspirin; prescription drugs; or potent herbal med- ications, such as "herbal Fen-Fen" or goldenseal, both of which mimic the sympa- thetic nervous system and act as sympathomimetic drugs.
61. A patient profile would be created for:
a. hospital inpatient
b. a new patient to a pharmacy
c. a regular pharmacy customer
d. anyone who receives prescription medications from any pharmacy: d.
anyone who receives prescription medications from any pharmacy A patient profile must be created for ANYONE receives prescription drugs form a pharmacy
62. A former patient comes to the pharmacy with a prescription. His address has
changed. You should:
a. take the new information and update his patient profile
b. advise the pharmacist
c. put him in as a new patient and create a new profile
d. ignore the information, as the address is not important: a. take the new
information and update his patient profile a change in demographic information must be recorded in the profile but is not sufficient importance to report to the pharmacist. The technician may simply update the profile
63. The patient comes back with a new prescription and has a rash from the
prescription that he had filled a few days ago. You should:
a. note the rash in the "allergies" section of his patient profile
b. alert the pharmacist
c. fil the new prescription
d. both a and b: d. both a and b
65. An example of medication duplication would be:
a. a prescription for trimethoprim and another for sulfixazole
b. a prescription for Tylenol #3, when the patient is taking acetaminophen
capsules
c. a prescription for generic digoxin and for Gigibind
d. a prescription for an antihistamine given to a patient taking aspirin: b. a
prescription for Tylenol #3, when the patient is taking acetaminophen capsules a therapeutic duplications means two of the same drug, or drugs that do exactly the same thing. Thrimethoprim and sulfisoxazole are both antibiotics but may be used together. Antihistamines and aspirin are not related. Tylenol #3 contains acetaminophen, so it would be a duplication to take acetaminophen as well
66. Identifying information includes:
a. hair and eye color of the patient
b. weight and height of the patient
c. name and address of the patient
d. name of both parents: c. name and address of the patient
identification information includes name, address, and date of birth
67. Insurance information should include:
a. co-pay or self-pay information
b. patient mostly premium payments
c. dietary considerations
d. none of the above: a. co-pay or self-pay information
in order for a prescription to be filed, the co-pay or self-pay information is necessary
68. Retail profiles include:
a. lab tests and diagnosis
b. blood tests and diagnosis
c. treatment and physical therapy
d. date of birth and telephone number: d. date of birth and telephone number
hospital profiles include labs, diet information, blood work results, diagnosis, and treatment information
69. The use of multiple medications at one time is called:
a. concomitant medications
b. concurrent medications
c. effective therapy
d. polypharmaceutical therapy: b. concurrent medications
concurrent medications means that multiple medications are being taken by the patient.
