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What is the purpose of a group purchasing organization (GPO)? A. Negotiates prices for hospital pharmacies B. Purchases medications for hospital pharmacies C. Purchases medications for community pharmacies D. Purchases medications for managed care pharmacies ANSWERV ¥ A. Negoliates prices for hospital pharmacies Group purchasing organizations (GPOs) negotiate prices for hospitals. They do not make the actual purchase of medications for hospitals. A drug is available in the following strengths and dosage forms: 125-mg tablets, 250-mg capsules, and 125-mg/5 mL liquid. A child weighs 55 Ib, and the recommended dose is 10 mg/kg/24 hr, which is to be given in either 6- or 12-hr intervals. Which of the following would not be an appropriate regimen? A.One 125 mg tablet every 12 hr B.One 250 mg capsule every 12 hr C. One teaspoon of 125 mg’5 mL liquid every 12 hr D. % of a 125 mg tablet every 6 hr ANSWERVV B.One 250 mg capsule every 12 hr Which of the following workplace issues has been identified as a cause of medication errors by MEDMARX? A, Multitasking B. Similar medication labels C. Stress D. All of the above ANSWERV ¥ D. All of the above Common workplace issues include noise, stress, multitasking, similar medication labels (font size and color of font), and medication labels that are difficult to read What is the brand name for sertraline? A. Celexa B. Paxil C. Prozac D. Zoloft ANSWERV V D. Zoloft Sertraline is the generic name for Zoloft. The generic names for the other branded medications are as follows: Celexa—citalopram, Paxil—paroxetine, and Prozac—fluoxetine. Which of the following is not an advantage of health information technology? A. Alert fatigue occurs when excessive drug safety alerts occur B. Improved communication and health care delivery C, Improvement in reimbursement processes D. Ability to track the effectiveness of treatment options and quality of care ANSWERV 4 A. Alert fatigue occurs when excessive drug safety alerts occur Answers b, c, and d are all advantages of health information technology. Alert fatigue occurs when the user is continually receiving alerts regarding medication interactions, which results in the user ignoring the alerts. Which of the following items should be reviewed when receiving a new prescription from a patient? A. The date of the prescription is valid. B. The name, strength, and medication dosage are appropriate for the patient. A. Dose strength of the medication B. Expiration date of the medication C. Medication name D. All of the above ANSWERV ¥ D. All of the above Unit-dose labels require the name and strength of the medication, expiration date of the medication, manufacturer's name, and lot number. What is the meaning of PDA? A. Personal digital aid B. Personal digital assistant C. Physician digital assistant D. Pharmaceutical data assistant ANS WERV V B. PDA is an acronym for personal digital assistant. How many tablets need to be dispensed to a patient if the directions are "i tab po tid for one month"? A.B B. 30 C.90 D. 100 ANSWERVV C. 90 "tid" means three times a day, and a month is equal to 30 days. 3 tablets/day * 30 days/month = 90 tablets. Which drug classification ends in -pril? A. ACE inhibitors B. Benzodiazepines C. Corticosteroids D. H2 antagonists ANSWERV ¥V A. ACE inhibitors The suffix -pril designates the medication is an ACE inhibitor used in the treatment of cardiovascular disease. A pharmacy technician is preparing heparin 25,000 units in 500 mL of DSW. What is the appropriate concentration on the label? A. 50 units/mL B. 75 units/mL C. 100 units/mL D. 125 units/mL ANSWERV Vv A. 50 units/mL This is a proportion problem. 25,000 units/500 mL = X units/1 mL, where X = 50 mL. How many inches inside a laminar airflow hood should one prepare a sterile product? A.4 B.6 C.10 D. 12 ANSWERVV B.6 One must be at least 6 inches inside of the laminar airflow hood to use proper aseptic technique. Which of the following is not required on a prescription label? A. Expiration date of prescription B. Patient's name B. The physician's DEA number for controlled substances C. The patient's name D. The expiration date of the medication ANS WER¥ ¥ B. The physician's DEA number for controlled substances A physician's DEA number is required on all prescriptions for a controlled substance, not all prescriptions. Which of the following is a goal of technology used in pharmacies? A. Improve the quality of prescription filling processes. B. Process prescriptions faster. C. Reduce errors in cost-effective ways. D. All of the above ANSWERV ¥ D. All of the above Work that was previously performed in a pharmacy by pharmacists and pharmacy technicians is being performed through technology and automation, allowing both pharmacists and pharmacy technicians to focus on other patient-related areas. Which of the following can be uscd to treat asthma? A. B2 agonists B. Cromolyn C. Corticosteroids D. All of the above ANSWERV ¥ D. All of the above {2 agonists, cromolyn, and corticosteroids are all treatments for asthma. Which of the following would be a correct DEA number for Dr. A. Shedlock? A. AB135426 B. BS2456879 C. 1'S1578926 D. MS2254235 ANSWERV V B. BS2456879 The first letter may be either an A or B. The second letter is the first letter of the prescriber's last name. Next, add the numbers in the first, third, and fifth position. Then add the numbers in the second, fourth, and sixth positions: multiply this sum by two. Add both sums together. and the correct number should be the last number. Which of the following is considered a "high-alert" medication? A. Amoxicillin B. Atorvastatin C. Fluoxetine D. Levothyroxine ANSWERV V D. Levothyroxine The Institute of Safe Medication Practices (ISMP) has identified levothyroxine as being involved in a very large number of prescription errors. Which of the following terms refers to the part of the computer that you can actually touch? A. Data B. Hardware C. Software D. User ANSWERV V B. Hardware A red C stamped on a prescription indicates that the medication is a controlled substance. All filled controlled substance prescriptions must be stamped with a l-inch red C. Which of the following forms of Medicare provides for prescription medications, biologicals, insulin, vaccines, and select medical supplics? A. Medicare Part A B. Medicare Part B C. Medicare Part C D. Medicare Part D ANSWERV ¥ D. Medicare Part D Medicare Part D provides for prescription medications, biologicals, insulin, vaccines, and select medical supplies. All medications are not covered under Medicare Part D. Medicare Part A covers inpatient hospital care, skilled nursing facilities, hospice, and home health care. Medicare Part B provides for physician services, outpatient care. and some physical and occupational therapy. Medicare Advantage (Part C) allows participants in Medicare Part A and B to obtain coverage through an HMO or PPO that provides additional services at a higher cost. Which of the following percents is considered a wrong dose error? AL% B.3% C.5% D.8% ANSWERV V D.8% A wrong dose error occurs when a dose is above or below the intended dose by more than 5%. Which drug classification should not be taken with potassium-sparing diuretics’? A. ACE inhibitors B. Beta-blockers C. Calcium channel blockers D. Nitrates ANSWERV V A. ACE inhibitors ACE inhibitors have a potassium-sparing effect, which, if taken with potassium-sparing diuretics, may result in hyperkalemia. Which of the following is not a required text in a pharmacy? A. A copy of the Controlled Substances Act B. Orange Book Cc. PDR D. USP-NF ANSWERVV C. PDR The PDR is not a required reference in a pharmacy. All pharmacics must maintain a library for reference. Which of the following is true regarding the storage of CII medications in a pharmacy? A.CII medications must always be stored in a locked safe or cabinet. B.CII medications must be stored separately from CIII, CIV, and CV medications. C.CII medications may be dispersed on the shelves with CIII, CIV, and CV medications D.AII of the above ANSWERV V A.CII medications must always be stored in a locked safe or cabinet CII medications must be stored cither in a locked safe or cabinet to reduce theft. What type of inventory identifies the actual quantity of a specific medication on hand at a particular time? A. Biennial inventory contributions. They may withdraw IISA funds tax free to reimburse themselves for qualified medical expenses, and they may defer taking Which of the following is required for a pharmacy to participate in a third-party reimbursement program? A. DEA number B. NABP number C. NPI number D. All of the above ANSWERV ¥ C. NPI number HIPAA mandates that all health care providers possess a National Provider Identifier (NPI) number. Which of the following terms refers to an insurance company's use of three different copays? A. Donut hole B. Dual copay C. Online adjudication D.Tiered copay ANSWERV Vv D.Tiered copay A tiered copay system develops a copay for generic drugs, brand name drugs, and medications that may not be part of the formulary or considered a lifestyle drug. What is the meaning of DX on a patient's chart? A.Date of birth B. Diabetes C.Diagnosis D.Dispense ANSWERV ¥ C.Diagnosis DX means diagnosis. What is the maximum number of refills allowed on Accutane prescriptions? AO C.6 D. 12 ANSWERVV A. 0 Prescriptions for Accutane (isotretinoin) may not have refills. The patient must return to see the physician on a monthly basis and be provided with a new written prescription. Which act distinguished between legend and nonlegend drugs? a) The 1951 Durham Humphrey amendment b) The 1962 Kefauver-Iarris amendment c) The 1983 Orphan drug act d) The 1914 Harrison narcotic act ANSWERV V a) The 1951 Durham Humphrey amendment 2What is CCXLIX equivalent to? a) 254 b) 269 c) 240 d) 249 ANSWERV ¥ d) 249 31a manufacturer markets sugar pills as a cure for headache, which law would the manufacture violate? a) Pure Food and Drug Act of 1906 A) By rectum B) Normal reaction C) No refill D) Normal rinse ANSWERV V C) No refill If a technician is counting pills manually, how should he or she count? A) In multiples of 2 B) In multiples of 10 C) In multiples of 5 D) Individually ANSWERV ¥ C) In multiples of 5 What temperature should not be exceeded when storing unit-dose medications? A) 14 degrees Celsius B) 32 degrees Celsius C) 28 degrees Celsius D) 25 degrees Celsius ANSWERV V D) 25 degrees Celsius Which pharmacy abbreviation means "before meals"? A) po B) am C) pe D) ac ANSWERV VJ D) ac Which abbreviation should be used when a medication is to be administered by mouth? A) ATC B)g C) po D) IM ANSWERVYV C) po Mrs. Smith brings in the following prescription: Tussionex suspension Sig: Take 2 tsp PO q4h prn cough Disp: 12 0z Using Roman numerals, how many ounces of Tussionex suspension will you dispense to Mrs. Smith? A) VIL B) xX c) Xl D) XINV ANSWERV J Mr. Jones brings in the following prescription: Colcrys 0.6 mg Sig: Take | tablet every 4 hours until pain is stopped Disp: 30 If Mr. Jones took 15 tablets to stop his pain, what is the total mg of Colerys that he took? A) 0.9 mg B)9 mg C) 18 mg D) 1.8 mg ANSWERV ¥ B) 9 mg A patient brings the following prescription into the pharmacy: A) Transdermal gels B) Oral liquids C) Parenterals D) Troches ANSWERV ¥ D) Troches Which of the following pieces of information is not required on a repacking log? A) Repackaged quantity B) Patient's name C) Manufacturer's name D) Pharmacist's initials ANS WERV ¥ B) Patient's name Who is a technician filling a prescription for if he or she enters "03" in the relationship field? A) Insured B) Dependent C) Unknown D) Spouse ANS WERV ¥ B) Dependent If you are dispensing 8 ounces of medication to a patient, how many teaspoonfuls will the patient have? A) 16 tsp B) 48 tsp C) 24 tsp D 54 tsp ANSWERVV B) 48 tsp Which of the following containers is resistant to air? A) Tight container B) Well-closed container C) Tamper-evident packaging D) Hermetic container ANSWERV V D) Hermetic container Which of the following best describes what a collapsible tube would be used for? A) To dispense liquid medications B) To dispense semisolid dosage forms C) To dispense tablets D) To dispense powders ANSWERV V B) To dispense semisolid dosage forms Why are auxiliary labels used when dispensing medication? A) To provide the patient with the pharmacy's information B) To prompt the patient to ask questions C) To provide the medication strength D) To provide additional information ANSWERV¥V D) To provide additional information Mr. Brown brings in the following prescription: Tussi 12 DS Suspension Sig: Take 10 to 15 mL g8h as needed Disp: 473 mL Tow many total liters (L) will Mr. Brown receive fro his Tussi prescrition? A) 0.0473 L B) 0.473 L. C) 473,000 L, 
