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A comprehensive set of practice questions and answers for the ptcb exam, covering key areas such as medication safety, compounding, and patient care. it's designed to help pharmacy technicians prepare for the certification exam by testing their knowledge on various aspects of pharmacy practice. The questions are detailed and the answers include explanations, enhancing understanding of the concepts.
Typology: Exams
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the formulary status of drugs.
operational budgets.
dispensing policies and procedures.
pharmacy technician training: The key (A) is correct because a Pharmacy and Therapeutics (P&T) Committee is a multidisciplinary committee required to meet on a routine basis to make decisions about the care of patients with a focus on the safe and effective use of medications; overseeing and making decisions for an institution's formulary is an example of the P&T Committee's responsibilities.
Drug-drug interaction
Drug-laboratory test interaction
Therapeutic intervention
Intravenous compatibility: The key (A) is correct because drug-drug interaction data provides information on whether drugs may be safely taken together; if not, the data may advise to monitor therapy, consider therapy modification, or avoid the combination altogether.
B.A technician should use the one-hand scoop method B. A technician should use the one-hand scoop method C.A technician should hold the syringe with one hand and use the other hand to recap the needle C. A technician should hold the syringe with one hand and use the other hand to recap the needle D.A technician should only recap a needle inside the laminar airflow work- station D. A technician should only recap a needle inside the laminar airflow worksta- tion: The key (B) is correct because, although needle recapping should be avoided when possible, sometimes a pharmacy technician may need to recap a needle (for example, if a sharps container is not immediately available). In these situations, the one-hand scoop method should be used to avoid potential contact with the needle.
transfer needle.
B.29-gauge needle. B. 29-gauge needle. C.needle with filter paper. C. needle with filter paper. D.filter needle. D. filter needle.: The key (D) is correct because filter needles must be used to withdraw solutions from ampules. This is because filter needles are able to keep glass or paint chips that may have fallen into the solution when the ampule's neck was broken from being drawn into the syringe. A regular needle may then be used to inject the drug into a sterile vial.
review the information with other pharmacy staff to ensure clarity.
ensure that the patient understands the side effects of current medication.
Oxycodone 5 mg immediate release tablets D.Nitroglycerin 0.4 mg sublingual tablets D. Nitroglycerin 0.4 mg sublingual tablets: The key (D) is correct because nitro- glycerin sublingual tablets should be kept in the original glass container and tightly capped after each use to prevent loss of tablet potency. Distractors (A), (B), and (C) do not need to be dispensed in their original containers.
recall and quality assurance.
staff performance evaluations.
drug distribution efficiencies.
cost control analyses.: The key (A) is correct because repackaging records should include information such as lot or batch number and the procedures followed during repackaging. Lot or batch number information is used to identify affected products during recalls, and documentation of procedures followed during repackaging is used to verify quality assurance.
the pharmacist cannot substitute any medications due to "the patient's right."
generic substitution is not authorized by prescriber.
the prescription is written as Dilaudid, not hydromorphone.
discard any of this medication on hand and request a refill.
continue to use the medication on hand if it seems to be working.
contact the prescriber to consider a therapy change.
bring the medication to the pharmacy to check the lot number and man- ufacturer.: The key (D) is correct because items affected by a recall may be identified using the product's National Drug Code (NDC) number (which includes manufacturer information) and lot or batch number. Further action may then be taken if necessary.
A.Reduce the number of dose check systems A. Reduce the number of dose check systems B.Limit the opiates available on floor stock B. Limit the opiates available on floor stock C.Keep Safety Data Sheets on hand for all narcotics C. Keep Safety Data Sheets on hand for all narcotics D.Perform monthly controlled medication inventories D. Perform monthly controlled medication inventories: The key (B) is correct be- cause the Institute for Safe Medication Practices (ISMP) includes narcotics/opioids on its list of high-alert medications in acute care settings; suggested strategies to avoid errors include standardizing the ordering, storage, preparation, and admin- istration of these products.
Pepcid. C.Axid. C. Axid. D.Zantac. D. Zantac.: The key (C) is correct because Axid is the brand name for nizatidine. Distractor (A) is the brand name for cimetidine, distractor (B) is the brand name for famotidine, and distractor (D) is the brand name for ranitidine.
Antipsychotics
Antiretrovirals
C.Antiemetics C. Antiemetics D.Diuretics D. Diuretics: The key (B) is correct because antiretrovirals appear on the Institute for Safe Medication Practice's (ISMP's) list of high-alert medications in communi- ty/ambulatory healthcare. Distractors (A), (C), and (D) do not.
60: The key (C) is correct and can be calculated as follows. First, interpret the prescription directions. "Tbsp" means "tablespoon," which equals 15 mL, and "b.i.d." means "twice a day." Therefore, the patient is directed to take 15 mL by mouth twice a day. 15 mL x two doses = 30 mL per day.
On the tongue
Under the tongue
Rectally: The key (C) is correct because SL comes from the Latin "sublingual," which means under the tongue. Distractor (A) can be abbreviated as SC, SQ, or subq (although these abbreviations are error-prone and should be avoided), distractor (B) does not have a specific abbreviation (although tablets to be taken on the tongue are called "ODT" or "orally disintegrating tablets"), and distractor (D) would be PR (from "per rectum").
Drug Facts and Comparisons
Martindale: The Complete Drug Reference
Stocking rate: The key (A) is correct because turnover rate is defined as the number of times inventory is sold or used in a time period such as a year; it can be calculated by dividing the cost of goods sold or net sales by the average inventory.
completeness and prioritizing the order based upon urgency.
dangerous abbreviations and placing the order in sequential order.
special handling precautions and contacting the onsite OSHA representa- tive. D.REMS and calling the appropriate insurance number. D.
REMS and calling the appropriate insurance number.: The key (A) is correct because new medication orders must be reviewed for completeness and clarity, meaning that all required information is present and legible, and prioritized on the basis of a number of factors, including the time the medication is needed, the seriousness of the condition being treated, and the urgency of the other orders waiting to be processed.
prescription prioritization.
patient identification.
principal diagnosis.
patient profiling.: The key (B) is correct because patient identifiers such as full name and date of birth are used to determine the correct patient profile to use for data entry as well as to confirm that a prescription is dispensed to the correct patient.