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What is the body surface area for a child who is 90Ib and 165cm tall? A. 1.3m2 B. 1.4m2 C.4.7m2 D. 2.2m2 ANSWERV V¥ D.2.2m2 BSA=[square root of (weight(kg)*height(cm)]/3600 or [square root of weight(lb)*height(in)]/3 131 1kg=2.21b lin=2.54em A medication that has an expiration date of 12/14 would expire on: A, the last day of December 2014 B. 12/01/14 ©. 12/14/14 D. December of 2012 ANSWERV V A. the last day of December 2014 In the NDC 4253-4221-11, what is represented by the second set of numbers? A. the manufacturer B. the package size C. the product name, strength, and dosage form D. the number of tablets in the medication package ANSWERV ¥ C. the produc name, strength, and dosage form The NDC is 10 digits long and comprised of 3 sets of numbers that are divided as follows: 1. The first set can be comprised of 4-5 digits and represents the manufacturer. 2. The second set is comprised of 3-4 digits and represents the product name, strength, and dosage form 3. The third set is comprised of 2 digits and represents the package size The Orange Book is most often used to find: A. compatibility of medications given parenterally B. average wholesale prices C. manufacturer's standards D. therapeutic equivalents ANSWERV V D. therapeutic equivalents *The Injectable Drug Handbook is a reference source for compatibility of medications given parenterally. *The Red Book is a reference source for the average wholesale prices. *The manufacturer's standards are referenced in the Physician's Desk Reference(PDR). which is a compilation of package inserts for FDA-approved drugs. A pharmacy technician's scope of practice includes all of the following EXCEPT: A. refilling medications B. answering patients’ questions regarding their medications C. answering insurance-related questions D. reviewing prescription orders for accuracy of information ANSWERV ¥ B. answering patients’ questions regarding their medications Only pharmacists can counsel patients regarding their medications. Which of these drugs docs not belong to the penicillin class of antibiotics? *The Durham IIumphrey Amendment distinguished between prescription and over-the- counter (nonlegend) drugs prohibiting the sale of legend (prescription) drugs without a prescription. *The Kefauver-Harris Amendment requires drugs to be proven pure, safc, and effective. *The Orphan Drug Act encourages finding drug treatments for rare (orphaned) discases. *The Harrison Narcotic Act limits the transport, manufacture, and the sale of opium and any of its derivatives. It requires a written prescription to purchase any of the aforementioned drugs. What s the maximum number of refills permitted for a C2 medication? A. no refills are allowed B. six refills within 5 months, whichever occurs first C. five refills within 6 months, whichever occurs first D. three refills within 90 days ANSWERV ¥ C. five refills within 6 months, whichever occurs first. C3-C5 medications can be refilled up to 5 times within 6 months, whichever occurs first. Thereafter, a new prescription is required. A pharmacy technician receives a prescription that reads 2 gtt AU BID. What will the label placed on the patient's medication read? A. two drops in both ears two times daily B. two drops in both eyes two times daily C. two drops in the right ear three times a day D. two drops in the left cye two times daily ANSWERV V A. two drops in both cars two times daily What is CCXLIX equivalent to? A. 254 B. 269 C. 240 D. 249 ANSWERV ¥ D. 249 C=100 L=50 X=10 Glyburide is classified into which drug class’? A. anticonvulsant B. hypertension C. antidiabetic D. proton pump inhibitor ANSWERV ¥ C. antidiabetic Reducing a substance to [ine particles using a mortar and pestle is known as which of the following? A. blending B. triturating C. sifting D. tumbling ANS WERV ¥ B. triturating *Blending is the mixing together of two different substances until a homogenous mixture is achieved. *Sifling is the process of climinating large particles by using a sifler *Tumbling is the process of mixing by adding different ingredients into a bag or jar and shaking them until a homogenous mixture is achieved. C. A horizontal laminar flow hood can be usd for compounding chemotherapy. D. A laminar flow hood is cleaned using bleach and water. ANSWERV V A. A barrier isolator or a horizontal laminar flow hood can be used to compound IV antibiotics. *A barrier isolator or glove box and the horizontal laminar flow hood can be used to compound IV antibiotics *Extemporaneous compounding are non-commercially available and nonsterile products that are prepared for specific patient needs in response to a physician's prescription. These include ointments, creams, liquids, and so on. *Tazardous products such as chemotherapy can only be compounded under a vertical flow hood or a barrier isolator with negative pressure. A laminar flow hood is cleaned with sterile water followed by 70% isopropyl alcohol. Which of the following statements is true regarding measurement of liquid using a graduated cylinder? A. Liquids are measured at eye level by reading the top of the meniscus. B. Liquids that form an upside-down meniscus are measured at eye level by reading the lowest point. C. Liquids that form an upside-down meniscus are measured at eye level by reading the midpoint between the top and the bottom of the meniscus. D. Liquids are measured at eye level by reading the bottom of the meniscus. ANSWERV 4 A. Liquids are measured at eye level by reading the top of the meniscus. Which of the following regulations gives enforceable guidelines for the preparation of sterile products to prevent contamination’? A. Pure Food and Drug Act 1906 B. Poison Prevention Packaging Act of 1970 C. USP 797 D. FDA Safe Medical Devices Act of 1990 ANSWERV v C. USP 797 *The Pure Food and Drug Act of 1906 prohibits the sale of misbranded and adulterated foods and drugs. *The Poison Prevention Packaging Act of 1970 requires all medications to be packaged in childproof containers to prevent accidental child poisoning. However, paticnts who sign a waiver are exempt from this regulation. Also, certain emergency medications such as nitroglycerin sublingual are dispensed in non-childproof packaging. *The FDA Medical Devees Act of 1990 requires reporting serious injuries and deaths caused by medical equipment to the FDA and the manufacturer Which of the following information is required on the medication label of a prepackaged or repackaged unit-dose medication in an inpatient setting? A. patient's name, date of birth, name of medication, and direction of use B. medication name and strength, lot number, and expiration date C. medication name and strength, lot number, and directions for use D. patient's name, pharmacy name and address, physician's name, and the number of refills ANSWERVVY B. medication name and strength, lot number, and expiration date Unit-dose packages must have the following information: *medication name *dosage form and strength *manufacturer's name *the repackaging lot number *the repackaging expiration date Which of the following is an example of an aminoglycoside? A. tobramycin B. amoxicillin C. penicillin What is required during preparation of chemotherapy? A. double gloving B. compounding under a horizontal flow hood C. compounding on a counter top in an open area D. using filter needles ANSWERV V A. double gloving What is 0.45% NS? A. 0.45% normal strength B. half normal saline C. 0.45% nonstop D. 0.45% nonstandard ANSWERV ¥ B. half normal saline Which of the following is the net cost of’ medications paid by a pharmacy aficr applying all adjustments and discounts? A. capitation fee B. copay fee C. actual acquisition cost D. dispensing fee ANSWERV V C. actual acquisition cost *A capitation fee is a set amount of money received by a pharmacy from an insurance company per patient regardless of the number of prescriptions filled per year. *A dispensing fee is the cost of filling a prescription incurred by a pharmacy. This includes employee salaries, overhead, and the overall cost of preparing and dispensing the medication. Which method would be the most accurate for determining the appropriate pediatric dose? A. Young's rule B. Clark's rule C. drug-specific information from the manufacturer D. BSA formula ANSWERV ¥ C. drug-specific information from the manufacturer *Young's and Clark's rules are now outdated. *The BSA formula is useful in determining the patient's BSA or the appropriate dose based on the BSA if an adult dose is given. However, without the drug-specific information, this would be useless. Which of the following is invalid regarding airflow in a horizontal laminar flow hood? A. The air flows from the back of the hood toward the compounder. B. The expelled air ejected toward the compounder is picked up by the pre-filter and recycled through the high-efficiency particulate air (HEPA) filter. C. Hanging an IV bag over a reconstituted vial may lead to obstruction of air flow. D. Air flow may be obstructed creating a zone of turbulence or backwash when two objects are placed in front of one another inside the laminar flow hood. ANSWERV¥ ¥ C. Hanging an IV bag over a reconstituted vial may lead to obstruction of air flow. This statement applics to the vertical flow hood. Work area is designated by how many inches fro the front edge and the sides of the laminar? A. 6 inches from the front edge and 3 inches from the sides. B. 6 inches from the front edge and 6 inches from the sides. C. 5 inches from the front edge and 5 inches from the sides. D. 8 inches from the front edge and 6 inches from the sides ANSWERY V¥ B. 6 inches from the front edge and 6 inches from the sides. All of the following vitamins are fat-soluble except: A. vitamin A Which of these statements is true? A. The larger the needle gauge, the larger the diameter of the needle. B. The larger the needle gauge, the longer the diameter of the needle. C. The larger the needle gauge, the smaller the diameter of the needle. D. The larger the needle gauge, the shorter the diameter of the needle ANSWERV V C. The larger the needle gauge, the smaller the diameter of the needle. What are the base components of a hyperalimentation admixture? A. amino acids and dextrose B. amino acids, dextrose, and proteins C. amino acids, dextrose, and electrolytes D. amino acids, dextrose, multivitamins. and trace elements ANSWERV V A. amino acids and dextrose A vertical laminar flow hood is reserved for the preparation of which of the following? A. antibiotic IV piggybacks B. hazardous agents C. antibiotic irrigation solutions D. creams and ointments ANS WERY ¥ B. hazardous agents Such as chemotherapy What is the generic name for Concerta? A. ctomidate B. valsartan C. lopressor D. methylphenidate ANSWERYV ¥ D. methylphenidate *Etomidate is the generic name for Amidate. *Valsartan is generic for Diovan. *Metoprolol is generic for Lopressor. Which of the following is an antineoplastic medication? A, amikacin B. doxepin C. doxorubicin D. erythromycin ANSWERV ¥V C. doxorubicin *Amikacin is an aminoglycoside. *Doxepin is a tricyclic antidepressant. *Erythromycin is a macrolide antibiotic Which of the following is an anticonvulsant medication? A. etoposide B. carbamazepine C. sulfadiazine D. glipizide ANSWERV ¥ B. carbamazepine *Etoposide is an antineoplastic. *Sulfadiazine is a sulfa antibiotic. *Glipizide is an antidiabetic. Ifa drug is ordered | cap TID x 20 days; what would be the total quantity needed to complete the medication regimen? A. 3 capsules B. class 2 recall C. class 3 recall D. class 4 recall ANSWERV ¥ C. class 3 recall *A class | recall indicates that a serious adverse heath consequence or death may occur. *A class 2 recall indicates that a temporary or reversible adverse health consequence may occur *There is no such thing as a class 4 recall *The lot number is useful is identifying the recalled batch A pharmacy technician receives an order for amoxicillin 20mg per kg every 12 hours. The patient is a child who weighs 401b and whose height is 120cm. The medication is available in a concentration of 400mg/SmL. How much amoxicillin will the patient receive per day? A. 20mL B. 9mL C.10mL D. 4.5mL ANSWERV ¥V B. 9mL Step 1: Convert the weight of the patient from pounds to kilograms: IIb = 2.2kg. so 40Ib/2.2 = 18.18kg Step 2: Calculate the dose in milligrams: 18.18kg*20mg = 363.3 per dose Step 3: Calculate amount of medication patient is to receive per day: 363.6mg*2 = 727.2mg Step 4: Calculate amount of medication in milliliters: 400mg/5mL = 8, so 727.2mg/8 = 9.09 So the answer is 9mL per day or 4.5mL per dose While filling a medication order, you notice that a patient who is allergic to penicillin is ordered tobramycin 80mg. l’urthermore, the patient's profile shows that gentamicin 60mg is an active order. You alert the pharmacist because: A. there is an allergic cross-sensitivity between penicillin and tobramycin B. there is a drug-drug inter tion between tobramycin and gentamicin. C. thete is an allerpie erous-seusitivity bewween penicillin and peneamnicin D. all of the above ANS WERV ¥ B. there is a drug-drug interaction between tobramycin and gentamicin Can cause serious adverse effects including liver toxicity A patient who is taking Lipitor find out that she is pregnant. Lipitor is FDA pregnancy category X. What should the patient do? A. continue the course of the medication because there is no evidence of risk to the fetus B. continuc using the medication because the benefits outweigh the potential risks C. stop taking the medication immediately and tell the physician because this medication may lead to fetal abnormalities D. none of the above ANSWERV V C. stop taking the medication immediately and tell the physician because this medication may lead to fetal abnormalities FDA pregnancy categories are as follow: *Category A: The patient can continue to take the medication since studies do not show any risk to the fetus. *Catcgory B: The paticnt can continue to take the medication but should be aware that there are no adequate human studies, although animal studies do not show any fetal risk. *Category C: The patient should be aware that she should take this medication only if the benefits outweigh the potential risks. *Category D: The patient should take the medication only if the benefits outweigh the potential risks in life-threatening situations in which safer drugs cannot be used. BSA = [square root of (1801b*70in)]/3131 = 2.00m2 Step 3: Find out how much medication the patient will receive per dose: 20 mg/m2 = x/2 m2 = 40mg Step 4: Find out how much medication the patient will receive per day by multiplying the dose by 4 since the dose is given every 6 hours or 4 times a day: 24/6 =4 40mg*4 = 160mg A patient with a severe urinary tract infection is ordered 5.5g of ciprofloxacin to be taken over 14 days. Available at the pharmacy is ciprofloxacin 250mg tablets. How many tablets should the pharmacy technician dispense for the course of therapy? A. 22 tablets B. 11 tablets C. 308 tablets D. 45 tablets ANSWERV V A. 22 tablets lg = 1000mg $.5*1000 = 5500 5500/250 = 22 tablets A patient is ordered 8.4% sodium bicarbonate 150mEq in 1000mL of D5W to be infused at 100mL/hr. Sodium bicarbonate is available in 5mEg/5mL. How much sodium bicarbonate should be added to the IV bag? A. 1786mL B. 84mL C. 1000mL D. 150mL ANSWERV ¥ D. 150mL mEq = milliequivalent D5W = 5% Dextrose in Water solution A patient is ordered 20mLq of potassium chloride in 1000mL of 0.45% NS to be infused over 6 hours using a 10 drops per milliliter infusion set. What is the flow rate of the IV bag in milliliters per hour? A. 50mL/hr B. 167mL/hr C. 200mL/hr D. 150mL/hr ANSWERV ¥ B. 167mL/hr Calculate the infusion rate in milliliters per hour using the following formula: infusion rate (mL/hr) = total volume to be infused (mL)/total amount of time the IV will run (br) infusion rate = 1000mL/6hr = 167hr A patient is ordered 20mEq of potassium chloride in 1000mL of 1.45% NS to be infused over 12 hours using a 10 drops per milliliters infusion set. Potassium chloride is available in a concentration of 2 mEq/mL. What is the flow rate of the IV bag in drops per minute? A. 14 gtt/min B. 13 gtt/min C. 8 gtt/min D. 6 gtt’min ANSWERV V A. 14 gtt/min There is 60gtt(drops) in a mL Step 1: Calculate the infusion rate in milliliters per hour using the following formula: infusion rate (mL/hr) = total volume to be infused (mL)/total amount of time the TV will run (hr) infusion rate = 1000mL/12hr = 83mL/hr Step 2: Convert the rate to drops per minute using the following formula: 
