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A Pharmacist is dispensing new B prescriptions for fosamprenavir, ritonavir, and truvada. In reviewing the patient's profile info, the pharmacist notes allergies to furosemide, glipizide, and bactrim. The pharmacist should call the physician to change: A. Truvada to combivir B. Fosamprenavir to Saquinavir C. Truvada to Atripla D. Fosamprenavir to tipranavir A pharmacist is reviewing a patients B medication profile prior to filling a new prescription for fentanyl transdermal patches. Which of the following presents a potential risk of interaction with fentanyl? A. Nicotine transdermal patches B. Carbamazepine 200 mg BID C. Brimonidine eye drops OU BID D. Finasteride 5 mg QDAY
A 67 - year old man was started on B ticlopidine 1 month ago for stroke prevention. The patient complains of recent fever, chills, sore throat. Which of the following is the MOST appropriate for the pharmacist to ask the physician? A. "Has the patient had an INR check recently?" B. "Has the patient had a CBC done yet?" C. "Has the patients diet changed over the past month?" D. "Has the patient had LFTs done in the past 2 weeks?" Which of the following auxillary labels A belongs on a bottle of Vivotif Berna? A. Refrigerate B. For external use only C. Avoid sunlight D. Shake well A patient has just been counseled on B appropriate use of Niaspan. Which of the following statements would confirm patient understanding of the purpose for taking this medication? A. This medication will treat my high BP and lower risk of stroke. B. This medication will treat my high cholesterol and lower my risk of heart attack. C. This medication will treat my enlarged prostate and I won't have to get up at night to urinate. D. This medication will help keep my mood stable and allow me to sleep better at night. A patient presents a prescription for A Prevacid, but the pharmacy is out of this medication. Which of the following is MOST appropriate for the pharmacist to recommend to the physician as an alternative? A. Pantoprazole B. Aripirprazole C. Sulfisoxazole D. Mebendazole
A patient presents the following prescription: Levofloxacin 750 mg PO q24h x 7 days The patient is currently taking the following medications: Pepcid AC prn Amlodipine 5 mg daily Ovrette daily Coumadin 3 mg daily Which of the following recommendations is MOST appropriate for the pharmacist to make? A. Monitor for bruising and bleeding while taking levo B. Continue to take OVrette and use back up contraception while taking levo C. Monitor for muscle aches while taking levo D. D/c pepcid AC use until completion of levo
A
A pharmacy must retain a record of which of the following after obtaining fentanyl from a distributor? A. manufacturer DEA number B. Packing slip C. invoice D. Medication lot number
C
A patient comes into the pharmacy with a prescription for erythromycin. During a consultation, the patient mentions that her new job in construction has made her allergies unbearable. The patient asks the pharmacist to call her physician for a new prescription for this condition. The physician asks for the pharmacists recommendation. Which of the following antihistamines should be suggested for this patient? A. Loratidine B. Clemastine C. Cetirizine D. Diphenhydramine
A
A pharmacist is checking the accuracy of medications repackaged into unit dose form by pharmacy technician. The medication that was to be repackaged in monopril. Which of the following medications should have been used? A. quinapril B. Moexipril C. foinopril D. benazepril
C
A new patient enrolling in an HIV adherance program is started on the following medications: Reyataz 300 mg PO QD Norvir 100 mg PO QD Videx EC 250 mg PO QD Viread 300 mg PO QD The dosing regimen that the pharmacist should give the patient is: A. Reyataz, Norvir, Videx EC, and Viread with breakfast B. Reyataz, Norvir, Videx EC and Viread at bedtime with empty stomach C. Reyataz, Norvir, Viread with breakfast, and Videx EC at bedtime with an empty stomach D. Videx EC and Viread with breakfast and Reyataz and Norvir at bedtime on empty stomach
C
A patient presents a prescription with legible license number, but the doctors name and signature are illegible. Which of the following is MOST appropriate advice for the pharmacist to give the staff? A. Ask if the patient remembers the doctors name B. Tell the patient the prescription cannot be filled C. Call the prescribers telephone number printed on the prescription D. Have the patient return the prescription to the doctor and ask for a legible name
C
A Pharmacist is conducting a medication use evaluation (MUE) on epidural clonidine. Which of the following indicators would be most appropriate to determine if the use of epidural clonidine has had a beneficial effect on patient outcomes? A. The number of patients who are diagnosed with HTN crisis B. The number of analgesic doses needed for breakthrough pain in cancer patients C. The amount of methadone needed by patients who are enrolled in methadone maintenance programs D. The number of patients who are smokers needing nicotine patches
B
A pharmacy can dispense "Ilaris" after which of the following conditions have been met? A. An infectious disease physician has approved the patients treatment regimen B. The FDA granted orphan drug exemption to the pharmacy C. The patient has been admitted into a general acute care hospital D. The manufacturer designates the pharmacy as authorized distributor
D
A compounding pharmacist has received the following prescription for a 44-pound five-year-old child: Metronidazole oral suspension 50mg/ml; give 6 ml BID x 10 days (NOTE: 30 mg/kg/day) Which of the following is MOST appropriate action for the pharmacist to take? A. Dispense as written B. Contact the physician to change the dose C. Contact physician to change the frequency D. Contact the physician since metronidazole is contraindicated with pediatric patients
A
A prescription for dilaudid is written for a long-term care resident of Pleasant home. It is written for 90 tabs. The nurse would only like 15 tabs for a few days supply. What is the best course of action? A. Dispense 15 tabs and fill the rest within 60 days from the date of issue. B. Dispense 15 tabs and fill remaining within 72 hours. C. Dispense 15 tabs after notifying the prescriber. D. Dispense 90 tabs Who can sign Forms 222?
- The person who signed the last DEA registration
- The person with the POA
- All pharmacists
- All pharmacy interns A. 1 and 2 only B. 1 and 4 only C. 2 and 3 only D. 3 and 4 only Which of the following tasks cannot be performed by a pharmacy technician? A. Pull Lipitor off the shelf, count it, and put it into a bottle B. Pull xanax off the shelf, count it, put it into a bottle C. Ask the patient if he/she would like to talk to the pharmacist about his/her new prescription D. Reconstitute an Augmenting suspension A mother is picking up a new antibiotics prescription for her child. Which of the pharmacy staff can provide an offer to counsel?
- The pharmacist interns
- The pharmacy technicians
- The pharmacists
- The pharmacy clerk A. 1 and 2 B. 3 and 4 C. 1 and 3 D. 2 and 4
Which statement is required by law to be on A the prescription label of ALL schedule II-IV drugs? A. Caution: federal law prohibits the transfer of this drug to any person other than the patient for whom it was prescribed. B. Caution: may cause drowsiness. Use care when driving a car or operating machinery. C. Caution: dangerous unless used as directed. Do NOT mix with alcohol or other drugs. D. Caution: this is an opion, and there is a risk of overdose and addiction. Which of the following auxillary labels D should be placed on a container of Vivotif? A. Avoid sunlight when using this medication B. Shake well prior to use C. Do not drive a car or operate machinery while using this medication D. Refrigerate Which of the following medications should D have the auxillary label "check for peanut or soy allergy" applied to the bottle? A. Pacerone B. Paxil C. Pravachol D. Prometrium Which of the following medications should D have the auxiliary label "separate from dairy products, calcium, magnesium, or iron tables and antacids" applied to the bottle? A. Flagyl B. Azithromycin C. Griseofulvin D. Levofloxacin Which of the following medications should B have the auxiliary label "Medication should be taken with plenty of water" applied to the bottle EXCEPT: A. Alendronate B. Coreg C. Boniva D. Bactrim
Which of the following auxiliary labels A should be applied to a medication container of Roxicodone?
- Caution: federal law prohibits the transfer of this drug to any person other than the patient for whom it was prescribed.
- Do not drink alcoholic beverages
- Do not crush or chew.
- May be opened and placed into a small amount of applesauce A. 1 and 2 only B. 1 and 4 only C. 2 and 3 only D. 1 and 3 only Which of the following medications should D have the auxillary label "Finish all this medication unless otherwise directed by a prescriber" applied to the bottle? A. Sildenafil B. Percocet C. Phenazopyridine D. Valcyte Which of the following medications should C have the auxillary label "swallow whole. do not chew or crush" applied to the bottle? A. Roxicodone B. Klonopin C. Concerta D. Lopressor Which of the following products will require D the pharmacist to affix an auxiliary label that says "Shake well before using"? A. Robitussin DM B. Guaifenesin with codeine C. Advair D. ProAir HFA A pharmacist is preparing a doxorubicin A infusion. The pharmacist must place the following label on the bag: A. Chemotherapy-dispose of properly B. Protect from light C. High Alert D. Do not refrigerate
Which of the following does NOT require D refrigeration after reconstitution? A. Benzamycin B. Keflex C. Zithromax D. Augmentin Each of the following medications should C have the auxiliary label "May cause blurred vision" applied to the bottle EXCEPT: A. Transderm-scop B. Vfend C. Diflucan D. Cialis Each of the following medications should A have the auxiliary label "AVOID prolonged exposure to SUNLIGHT when using this medicine" applied to the bottle EXCEPT: A. Plavix B. Isotretinoin C. Furosemide D. Bactrim How long must a pharmacy keep records of C the patients acknowledgement that they have received the notice of privacy practices? A. 3 years B. 1 year C. 6 years D. 30 days A wholesaler received 3 cases of insulin D detemir, which were inadvertently placed in the non-refrigerated section of the warehouse and stored for 2 weeks. During this time, the temperature was not regulated or monitored. The wholesaler wishes to delivery these cases to a local pharmacy. What is the best course of action at this time? A. The wholesaler should report this to the DEA with a DEA 106 form. B. Deliver the insulin to the pharmacy with a 30 - day expiration date C. Place the insulin in the refrigerator to obtain the correct temperature before delivery. D. Discard all of the insulin
The pharmacy must keep the biennial self- A assessment forms for this time period: A. 3 years B. 6 years C. 1 year D. 30 days A pharmacist was recently married and D decided to change her last name. How long does the pharmacist have to notify the CA Board of her name change? A. 6 months B. 45 days C. 1 year D. 30 days How often does a hospital need to perform B an inventory of schedule II drugs? A. Monthly B. Quarterly C. Annually B. Beinnially A patient has clonidine 0.2 mg tablets at her B house that she no longer needs. There is no local drug take-back program in her area. How can the pharmacist instruct her to dispose of this medication safely? A. Flush the tabs down the toilet B. Mix with water and an undesirable substance (i.e kitty litter), seal the bottle with tape and dispose of in the trash C. Give the tabs to a friend or family member who uses the same strength D. Mail the tabs back to the manufacturer Which of the following can be inventoried D with an estimated count? A. Unopened bottle of Tylenol with Codeine #4, 500 tabs/bottle B. Opened bottle of Concerta, 100 tabs/bottle C. Unopened bottles of Marinol, 60 caps/bottle D. Open bottle of Provigil, 30 tabs/bottle
The staff pharmacist is on a 30 - minute break B for lunch while the pharmacist intern and technician are in the pharmacy. A patient comes to the pick-up window and asks for her new prescription Addyi. The patient says she does not need counseling since her physician already told her how to use the drug. Which of the following would be most appropriate action of the technician? A. Ask the pharmacist intern to counsel the patient B. Ask the patient to return when the pharmacist is back C. Ask the patient for identification before dispensing D. Dispense the drug to the patient A pharmacist-in-charge completed the last C self-assessment for for her community pharmacy in 2021. When is the next self- assessment for due? A. By December 31, 2023 B. By December 31, 2022 C. By July 1, 2023 D. By July 1, 2022 A pharmacy receives a call from a retired A pharmacist who has recently shut down his pharmacy and kept the pharmacy records in his home. The retired pharmacist is requesting to transfer a prescription on behalf of his former patient. What action should the receiving pharmacist take? A. Contact the BOP B. Take the transfer over the phone C. Request that the retired pharmacist fax a copy of the prescription D. Report the retired pharmacist to the prescriber Pharmacists, interns, and technicians must D wear name tags that meet the following requirements:
- The tag contains their name
- The letters are in 10 - point font
- The tag has to be affixed to the upper right hand side of the staff's shirt
- The tag contains their license status A. 2 and 3 B. 1 and 3 C. 2 and 4 D. 1 and 4
The patient has the following medications at A home which have expired: hydrocodone- apap, pregabalin, Daytrana, Strattera, sertraline. She asks the pharmacist if she can flush them down the toilet. According to the FDA, it is permissible to flush which of the following medications? A. Daytrana B. Sertraline C. Strattera D. Pregabalin Which of the following tasks is matched with A the correct frequency that it needs to be performed? A. Medication error investigation: within 2 days of the error B. Submit dispensing data to CURES: biweekly C. Controlled substance inventory: every 3 years D. Self-assessment form: every even- numbered year before July 1st Which of the following records do NOT C need to be kept for 3 years?
- Purchase invoices for all prescription drugs
- Patient acknowledgement of HIPAA
- Record documenting return of drugs to wholesaler or manufactuer
- Certificate of completion for continuing education An outpatient pharmacy operates within a D large medical building. Drugs ordered in bulk are delivered to the pharmacy and stored in a locked storage room when the pharmacy is closed. This is acceptable if the following condition is met: A. A physician supervisor is granted access to the storage room in case of emergencies B. The individual delivering the drugs must provide the delivery receipt to an on-site supervisor C. Only pharmacy personnel have access to the storage room after the drugs have been delivered D. The storage area must be secure and located in the same building at the pharmacy
Which of the following resources that consumers and healthcare providers can refer to in order to be up to date with current drug shortages and methods to manage during the shortage?
- Food and Drug administration
- Lexicomp
- American society of health-system pharmacists
- Physicians' Desk Reference A. 1 and 2 B. 2 and 3 C. 1 and 3 D. 2 and 4
C
Which of the following statements about continuing education for pharmacists is correct? A. All new licensees are exempt from the first two CE renewal cycles B. The pharmacist must complete 30 hours of CE every 2 years C. The pharmacist must complete 20 hours of CE every 2 years D. Documentation of continuing education must be kept for 3 years
B
A pharmacy special ordered Vivotif capsules for a patient who did not pick up the medication. The pharmacy then returned the capsules to the wholesaler. how long does the pharmacy need to keep the record of the returned drugs? A. 30 days B. 1 year C. 3 years D. 6 years
C
Which of the following is the correct procedure for a technician checking technician program in a hospital? A. The first technician will compound the medication, the second technician will validate accuracy B. The first technician will fill the unit-dose medication drawer, and the second technician will validate the accuracy of the filling. C. The first technician will verbally accept an order from the prescriber, and the second technician will enter the order into the computer. D. The first technician will transport the cassette to the nursing station, and the second technician will verify the drug against the medication administration record.
B
A patient calls the pharmacy and asks how she can properly return or throw away an unused container of Percocet. Which of the following is the preferred method to dispose of Percocet? A. Mail the Percocet tablets to a DEA authorized collector through a mail-back program. B. Mail the Percocet tablets to the local DEA office in an unmarked package. C. Dispose of the Percocet tablets by flushing them down the toilet. D. Mail the Percocet tablets to the local pharmacy
A
Patient profiles must be kept for this time period: A. 30 days from the last fill B. 1 year from the last fill C. 3 years from the first fill D. 3 years from the last fill
B
Who is responsible for completing the pharmacy self-assessment forms? A. the pharmacist in charge B. the pharmacy owner C. The human resources manager D. The store manager, if the pharmacy is located within a chain store setting
A
