PHARMACY EXAM WITH COMPLETE SOLUTION, Exams of Pharmacy

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PHARMACY EXAM WITH COMPLETE SOLUTION

Purpose of medwatch? - ANSWER To allow the voluntary report if adverse events I tab qd am hbp? - ANSWER Take one tablet by mouth once daily in the morning for high blood pressure A contraindication to taking atorvastatin (Lipitor) - ANSWER Pregnant Insurance coverage plans allows a patient to see a specialist without a referral? - ANSWER PPO preferred provider organization provide prescribes an adult patient to receive 80 MEq of potassium over 3 hr. Which of the following will be the flow rate in ML/hr if 80meq/500 ml solution was dispensed? - ANSWER 167 adminstration record indicates that he is receiving ampicillin sulbactam (undaunted) piggyback aid. The pharmacy tech. Should recognize that this medication is delivered which of the following routes of administrated? - ANSWER Intravenous Cleaning a laminar flow hood which of the following actions should the tech. Take? - ANSWER Wipe the hood in a horizontal fashion from back to front Acronym phi is used to represent which of the following? - ANSWER Protected health information Health care professionals can prescribe a medication for a child's toothache? - ANSWER DDS- doctor of dental surgery Controlled substances schedules represents substances that contain limited quantities of certain narcotics and have a low potential for abuse? - ANSWER Schedule V - Receives a request from a patient to fill a prescription for an SSRI medication. The tech should identify that which of the following medication is classified as an SSRI? - ANSWER Paraxetin ( Paxil) SSRI - treat depression Receives a prescription for a patient who has the patient in the patients profile software system. Which of the following information should the tech. Verify to ensure she is working with the correct patient profile? - ANSWER Verify the patients date of birth Preparing a clindamycin (Cleocin) oral suspension. Which of the following

ii gtts ad tid UD? - ANSWER Instill two drops in the right ear three times per day as directed Medication is exempt from child- resistant safety closure packaging requirements? - ANSWER SL nitroglycerin (Nitrostat) A potential services or group of services that can optimize therapeutic outcomes for a patient? - ANSWER Medication Therapy management Brand name for alendronate? - ANSWER Fosamax Dispense a prescription which of the following findings is an indication that the prescription might be altered or forged? - ANSWER Written in red ink Be aware of regarding prednisone (deltasone) and prednisone (orapred)? - ANSWER Tall man lettering is in corporates on their labels How much sodium chloride is found in a 1L bag of 0.9% sodium Chloride? - ANSWER 9 g Discovers that a medication was dispensed to the wrong patient after reporting the error to the pharmacist to which of the following organizations should the error be reported? - ANSWER mERP- medication error reporting program Statement is true when no refill information is provided on a non controlled substance prescription? - ANSWER Refills require authorization from the prescriber Over-the-counter (otc) medication that is used to treat diarrhea? - ANSWER Loperamide (Imodium) Personal who are authorized to enter the sterile compounding room should receive training in accordance with which of the following organizations? - ANSWER United state pharmacopeia (USP) Sulfasalazine (azulfidine) 500 mg tablet 1.5 g qid x 10days? - ANSWER 120 A prescription for a noncontrolled that indicates the medication should be refilled "PRN" indicates which of the following? - ANSWER The prescription can be refilled for a maximum of 1 year from the date it was written Compounding on IV prescription which of the following actions should the tech take to demonstrate best practice for quality assurance? - ANSWER Use a bar code verification system

Preparing to make a sterile compounding. She is starting with a non sterile product which of the following categories of compounded sterile preparation does this compounded fall under? - ANSWER High risk According to USP <797> which of the following personal protective equipment (PPE) should a pharmacy tech. Apply first when performing aseptic technique? - ANSWER Shoes cover Entering a prescription that states "dispense a written" which of the following DAW codes should the tech enter into the computer system? - ANSWER Daw 1 DAW 0 - ANSWER No product selection indicated Information is required by federal law to be include on a prescription label? - ANSWER The prescription expiration date Identify that HIPAA privacy regulations apply to which of the following? - ANSWER Patient counseling A medication prescription calls for dextrose 5% in water (D5W) 1000 ml with 40 meq of potassium chloride to be infused at 125ml/hr. How many 1L bags will be needed over a 24hr period? - ANSWER Three The final step in the filling process of a new prescription? - ANSWER Ask the pharmacist to perform a verification check Information does the FDA require to be published in a medications monograph? - ANSWER Contraindications Assisting a patient who reports that she is allergic to NSAIDS which of the following should the technician recognize as a medication that this patient should avoid taking? - ANSWER Acetylsalicylic (Aspirin) Validating a DEA number, a pharmacy tech should identify that the second letter should be the first letter of which of the following? - ANSWER Prescribers last name Assign which of the following expiration date to a magic mouthwash that contains water? - ANSWER 14 days Available to patient over the counter (otc)? - ANSWER Minoxidil (regaine) hair growth Preparing to inject a diluted into a vial for a powder medication which of the following needles should the tech use for this process? - ANSWER Vented Hypodermic - ANSWER Draw blood

Parts of Medicare should a pharmacy tech bill for a 70 year old patients blood glucose test strips? - ANSWER Medicare part B 65 up Receives a prescription to dispense vI fl oz of promethazine syrup. What size bottle should the tech. Use to fill this prescription? - ANSWER 180 ml Tasks is written a pharmacy tech. Scope of practice? - ANSWER Obtaining a partients health history Should mark medications that are set to expire how many months before the listed expiration date? - ANSWER 6 month Medication is required to be stored be stored behind the pharmacy counter? - ANSWER Pseudoephedrine (Sudafed) Preparing to fill a prescription for a toddler which of the following is the weight base formula the tech. Should use to determine the correct pediatric dose? - ANSWER Clarks rule Organizations oversees the disposal of hazardous waste from health care facilities? - ANSWER Environmental protection agency (EPA) When calculating the beyond use date (BUD) for a sterile compound which of the following information should a pharmacy tech. Consider? - ANSWER The stability of the medication According to federal law when transferring a schedule 11 medication to another pharmacy which of the following forms should the receiving pharmacy complete and retain? - ANSWER DEA form 222 Disposing of controlled substances - ANSWER 41 Theft and loss control substance - ANSWER 225 distribution Type of active listening involves asking the patient clarifying questions regarding what the tech heard the patient say? - ANSWER Evaluating Identify as a type of medication that is used to relieve coughing? - ANSWER Antitussive Information is required on labels prepared for compounded sterile products? - ANSWER Beyond use date An NDC code of 0079-5420-66 which of the following sets of numbers in the NDC code represent the medication active ingredient and dosage form? - ANSWER 5420

A pharmacy tech. Dilutes a 1g vial of cefazolin (ancef) to 100mg/ml which of the following is the amount of solution to tech should use to compound a 500 mg dose? - ANSWER 5 ml Fried - ANSWER Month Young - ANSWER Years According to federal law which of the following is classified as a schedule 11 medication? - ANSWER Cocaine Which of the federal acts requires a patient to receive pharmacist counseling? - ANSWER Omnibus budget reconciliation act of 1990 (OBRA '90) Medications is contraindicated for adminstration to a patient who is allergic to penicillin (pen vk)? - ANSWER Amoxicillin/clavulante (augmentin) Singular - ANSWER montelukast Naproxen (anaprox) 550 mg 2 tabs po q4-6h prn? - ANSWER Take two tablets by mouth every 4 to 6 hr as needed Medication instructions will be included on a prescription levothyroxine (synthroid)? - ANSWER Take the medication on an empty stomach Supplies is typically used in a compounding pharmacy to crush tablets? - ANSWER Mortar and pestle Federal acts created a stair step schedule of controlled substance? - ANSWER Comprehensive drug abuse prevention and control act of 1970 How often should a pharmacy tech inspect floor stock medications? - ANSWER Daily Celecoxib (Celebrex)is included which class? - ANSWER Cuclooxgenase 2 inhibitor (cox 2 inhibitor) When a manager care plan covers 80% of a prescription cost and the patient pay the remaining 20% this payment arrangement is known as which of the following? - ANSWER Coinsurance According to usp 797 how many times must negative gloved fingertips sampling be demonstrated prior to preparing sterile product? - ANSWER Three times Task can a pharmacy tech legally perform? - ANSWER Fill a unit does cart

Include a patient package insert when dispensing which of the following medications to a patient? - ANSWER Drospirenone (Yasmin) Over the counter (otc) medication is most likely to increase a patient risk for gastrointestinal (GI) bleeding? - ANSWER Ibuprofen (Motrin) Indicated by the NDC number? - ANSWER The manufacturer According to the federal combat methamphetamine epidemic act of 2005 a pharmacy tech should identify that which of the following is the maximum amount of pseudoedrine (Sudafed) that a patient can obtain in 1 day? - ANSWER 3.6g Vitamin A (fat soluble) - ANSWER Vitamins K Recognize as an adverse effect of taking methylphenidate (Ritalin)? - ANSWER Weight loss The purpose of a black box warning on a medication label? - ANSWER To indicate that the medication Carrie's a risk for life threatening adverse effects When repackage medications from a stock container to a unit does package which of the following information should a pharmacy tech record? - ANSWER The lot number of the medicated Federal agencies should a pharmacy staff member contact if controlled substances are stolen from the pharmacy? - ANSWER DEA When assisting a pharmacist with medication therapy management (MTM)? - ANSWER Schedule patient appointment Use to look up the compatibility of two intravenous solutions? - ANSWER Trusses handbook on injectable drugs ii tsp po bid ac - ANSWER Take 2 teaspoons by mouth twice per day before meals How many different types of controlled substances can be ordered on DEA form 222? - ANSWER 10 Laws requires medication manufacturers to place a label stating "caution federal law prohibits dispensing without a prescription on medication stock bottle? - ANSWER Durham Humphrey amendment According to the DEA how often should a pharmacy tech conduct an inventory check for controlled substances? - ANSWER Every 2 years

Verifying a prescribers DEA number on a prescription as part of the verification process which of the following parts of the DEA number should the tech multiply by two? - ANSWER The sum of the second, fourth, and sixth digits According to HIPAA guidelines which of the following patient information is considered protected health information (PHI)? - ANSWER E mail address Storing prescription in compliance with document retantion regulations the tech should file the prescriptions sequentially according to which of the following? - ANSWER Prescription serial number Organization issue a pharmacy tech a pharmacy's national provider identifier (NPI)? - ANSWER Centers for Medicare and Medicaid services (CMS) Filling a prescription for tetracycline (sumycin) -treat acne antibiotic which of the following reactions should the tech recognize as an expected adverse effect of this medication? - ANSWER Upset stomach Ace inhibitor with suffixes? - ANSWER Pril- lisinopril Alendronate (fosamax) classes medication? - ANSWER Bisphosphonate Otic which part of the body - ANSWER Ears Intradermally injection - ANSWER into the skin A faxed prescription for dilitiazem (cardizem) the tech should recognize that this medication is prescribed for patients who have which of the following conditions? - ANSWER Hypertension Amitriptyline (Elavil) adverse- preventing reactions? - ANSWER Suicidal thoughts Intravenous injection - ANSWER within a vein Subcutaneous injection - ANSWER Under the skin Intramuscular injection - ANSWER into the muscle That precipitation in an IV medication solution that was just prepared is an Indication of which of the following? - ANSWER Incompatibility- visible to see Levothyroxine (Synthroid) although a generic equivalent is available the prescriber requests the brand name medication which of the following DAW codes should a pharmacy tech indicate on the prescription for this patient? - ANSWER DAW 1

A patient receives cefdinir (omnicef) 250 mg/5ml and is to receive 125 mg tid for 10 days. How many mg of cefdinir (omicef) will the patient receive daily? - ANSWER 375 mg A pharmacist will inspect a compounded sterile IV bag repaired by a pharmacy technician by closely looking for which occurrence? - ANSWER Presence of precipitate A pharmacy technician is required too included which of the following information when making an entry into a repackaging log? - ANSWER Patient name A pharmacy technician receives a prescription over the telephone for a patient. The technician notices that it has been a few months since the patient has refilled the prescription. The pharmacist should counsel the patient regarding which of the following? - ANSWER medication adherence A pharmacy technician receives a prescription with the following direction: "take as tsp po aid x14 days. "How many ml should the pharmacy technician dispense? - ANSWER 140 A pharmacy technician should clean the counting tray after dispensing which of the following medications? - ANSWER Amoxicillin (amoxil) tablets A pharmacy technician should identify tall man lettering as a safety strategy to prevent which of the following? - ANSWER High alert medication dispensing A pharmacy technician should identity that a CMS tamper-resistant prescription contains which of the following features? - ANSWER A feature to prevent medication of prescriber instruction A pharmacy technician should identify that maximizing a patient therapeutic outcome is the goal of which of the following? - ANSWER Medication therapy management (MTM) A pharmacy technician should identify that the Roman numeral Vll is equivalent to which of following? - ANSWER 8 A pharmacy technician should identify that the vaccines for children (VFC) program provides which of the following vaccines for pediatric patients? - ANSWER Varicella A pharmacy technician should identify that which of the following checks should identify that which of the following checks should be performed during the third- part adjudication process? - ANSWER 0.9% A pharmacy technician should identify that which of the following information referred to external poraneous repackaging? - ANSWER Repackaged large quantities into smaller quantities

A pharmacy tech should identify that which of the following items should be billed through Medicare part D? - ANSWER Blood glucose monitor A pharmacy tech should identify that which of the following medications can be dispensed without a child proof container? - ANSWER Nitroglycerin (nitrostat) A pharmacy tech should identify that which of the following medications has the therapeutic use as astorvastatin (Lipitor)? - ANSWER Ezetimibe (zetia) A pharmacy tech should identify that which of the following must be included on the prescription for a scheduled 11 medication? - ANSWER The DEA number of the provider who wrote the prescription A pharmacy tech should identify that which of the following processes can reduce cross- contamination of medications? - ANSWER Cleaning the pill- counting trays before each use A pharmacy tech should identify that which of the following products requires refrigeration? - ANSWER Injectable vaccines A pharmacy tech should identify that which of the following properties creates and incompatible in an IV solution? - ANSWER PH A pharmacy tech should identify that which of the following quantities of a liquid should be dispensed for the prescription below? - ANSWER ii tsp q8h x10 days =300 ml A pharmacy tech. Should identify which of the following as a best practice to ensure potency of medications? - ANSWER Reconstitute an oral suspension if the patient is not present to pick up the prescription A pharmacy tech should identify which of the following is a goal of inventory to increase patient compliance? - ANSWER Medication box A pharmacy tech should identify which of the following is a goal of inventory maintenance? - ANSWER Fill prescriptions without having too much inventory on the shelf A pharmacy tech should identify which of the following types of packaging is required for ophthalmic drop? - ANSWER I'm single-dose A pharmacy tech should recognize that amphetamine dextroamphetamine (adderall) has how many allowable refills in a 6 month time frame? - ANSWER 0 A pharmacy tech should recognize that black box warning can be found on which of the following? - ANSWER A prescription package insert

How many ml are in a fluid ounce? - ANSWER 30 How should the following directions be typed on a prescription label? Sig Tsp I qid pc prn allergy? - ANSWER Take one teaspoon four times a day after meals as needed for allergy If a pharmaceutical manufacturer issues a medication recall, which of the following would be the most important for the pharmacy to know about the recall drug? - ANSWER The medication name and lot number If patient requires a partial fill of a prescription for oxycodone/ acetaminophen, which must the remaining quantity be filled? - ANSWER Within 7 days from the date of prescription If the cost of 100g of salicylic acid Eucerin ointment is $8.95, what would be the cost for 60g of ointment? - ANSWER $5. In a retail pharmacy setting, which of the following numbers help ensure the correct medication is being dispensed? - ANSWER NDC number Penalties under HIPAA for violating patient privacy are enforced by which of the following agencies? - ANSWER Department of Health and Human Services Prescriptions for NSAID require the pharmacy tech to give which of the following to the patient? - ANSWER Medication guide The CDC recommends that which of the following immunization should be administered yearly? - ANSWER Influenza The combat methamphetamine epidemic act of 2005 (CMEA) regulates the over- the -counter sale of which of the following medications? - ANSWER Pseudoephedrine (Sudafed) The recorder point for amoxicillin 250 mg is 4 and the maximum is 7. How many bottles should be ordered if there are 4 bottles of amoxicillin 250mg? - ANSWER 3 When comparing sertraline (Zoloft) and fluoxetine (Prozac), a pharmacy tech should identify that these medications represent which of the following? - ANSWER Antipsychotic medications Which of the following abbreviations mean " right eye"? - ANSWER Od Which of the following abbreviations means "one-half"? - ANSWER Ss

Which of the following agencies is responsible for providing information regarding medication recalls? - ANSWER Food and drug administration (FDA) Which of the following agencies requires tamper-proof prescription for any medications paid for by the federal government? - ANSWER Center for Medicare and Medicaid Services (CMS) Which of the following best describes an IV route of administration in which a dose is given gradually over a period of time? - ANSWER IV infusion Which of the following best describes the process of the metabolism of a drug? - ANSWER the transformation of a drug to an active or inactive state Which of the following categories of medications might need an auxiliary warning warning label regarding drowsiness or dizziness? - ANSWER Anti anxiety Which of the following classes of over-the-counter medications can increase blood pressure? - ANSWER Decongestants Which of the following controlled substance schedules does the medication diphenoxylate/ atropine (lomotil) fall under? - ANSWER Schedule V Which of following controlled substance schedules has the least potential for abuse? - ANSWER Schedule v Which of the following correctly describes the administration of small-volume parenteral medication? - ANSWER The can be administered piggyback Which of the following describes the method for reporting adverse events to the FDA after administering tetanus toxoid? - ANSWER Vaccine adverse event reporting system Which of the following dispense as written (DAW) codes indicates the provider wants the medication to be dispensed as brand only? - ANSWER DAW Which of the following dispense as written (DAW) codes is used when a patient requests a brand-name drug and the provider allows the generic? - ANSWER DAW 5 Which of the following dosage forms should be labeled with a "shake will" auxiliary label? - ANSWER Suspension Which of the following entities requires a copy of the DEA form 222? - ANSWER Distributor Which of the following equipment should be used for preparing chemotherapy medications? - ANSWER biological safety cabinet