Pharmacy Technician Responsibilities and Prescription Dispensing, Exams of Pharmacy

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PHARMACY TECHNICIAN PRACTICE EXAM

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At a minimum, patients and caregivers should understand 10 key pieces of information about their prescriptions. Which of the following pieces of information is NOT included in those 10 items? ---------CORRECT ANSWER-----------------best time to pick up the prescription from the pharmacy A sentinel event is defined by the Joint Commission as ---------CORRECT ANSWER-----------------an unexpected occurrence involving death or serious physical or psychological injury, or the potential for the occurrence to happen Which of the following is an unapproved abbreviation for mL? --------- CORRECT ANSWER-----------------cc Identify the incorrect statement. All prescription or medication orders --------

• CORRECT ANSWER-----------------written as a decimal should have a trailing zero The recommended abbreviation for the dose of the medication Lantus is --- ------CORRECT ANSWER-----------------units

To verify that the correct patient is receiving the prescription at pickup, the technician should ask the patient for his or her ---------CORRECT ANSWER-----------------date of birth or address To minimize errors during the medication filling process, the technician will scan the bar code of the ---------CORRECT ANSWER----------------- medication stock bottle The emphasis in retail pharmacy today is on ---------CORRECT ANSWER-- ---------------customer care The emotional stance that a worker adopts toward his or her job duties is called ---------CORRECT ANSWER-----------------attitude Which of the following is the primary rule of retail merchandising? --------- CORRECT ANSWER-----------------Be a model representative for your company Decorum is ---------CORRECT ANSWER-----------------proper or polite behavior, or behavior that is in good taste The major upward trend in drug abuse is primarily with ---------CORRECT ANSWER-----------------oxymorphone

When asking a customer for information for the patient profile, the pharmacy technician should explain ---------CORRECT ANSWER-------------- ---why the pharmacy needs this information Preferential treatment or mistreatment based on age, gender, ethnicity, or other criteria is known as ---------CORRECT ANSWER----------------- discrimination When answering the telephone in a retail pharmacy, a person should identify himself or herself and the name of the ---------CORRECT ANSWER-----------------pharmacy An underage teenager is on birth control pill. All of the following can review this medical information at the pharmacy except the ---------CORRECT ANSWER-----------------parents Protected health information under HIPAA and applicable state laws includes all the following patient information EXCEPT ---------CORRECT ANSWER-----------------insurance provider Discussing the competency of a local physician with a patient is an example of a breach of ---------CORRECT ANSWER-----------------etiquette Intimate personal relationships within the pharmacy are ---------CORRECT ANSWER-----------------discouraged in nearly all cases

Dispensing a prescription and postdating and billing prescription insurance two days later is a violation of ---------CORRECT ANSWER----------------- corporate ethics The most important nonverbal communication tool in dealing with the elderly or those who are hearing impaired is ---------CORRECT ANSWER--- --------------maintaining eye contact If the circumstances require, a patient's prescription information can be shared with all of the following except ---------CORRECT ANSWER----------- ------the patient's employer An organization that certifies pharmacy technicians is the --------- CORRECT ANSWER-----------------Pharmacy Technician Certification Board (PTCB) The format for the PTCE and ExCPT examination is ---------CORRECT ANSWER-----------------multiple choice According to the Bureau of Labor Statistics the need for pharmacy technicians within the next few years will ---------CORRECT ANSWER------- ----------increase Which of the following items is not a requirement for a candidate taking the pharmacy technician certification exam ---------CORRECT ANSWER--------- --------50 hours of work experience in a community or hospital pharmacy

Once a technician becomes certified, he or she must become recertified every ---------CORRECT ANSWER-----------------two years Which category of the PTCE carries the highest weighted percentage? ----- ----CORRECT ANSWER-----------------Medication Order Entry and Fill Process A standard resume typically does not provide ---------CORRECT ANSWER- ----------------the names, addresses, and telephone numbers of references A candidate without a great deal of work experience can compensate for this deficiency by emphasizing the ---------CORRECT ANSWER----------------

• skills section of the resume The cover letter sent with a resume should highlight your ---------CORRECT ANSWER-----------------qualifications How will the increasing geriatric patient population affect the job responsibilities of pharmacy technicians? ---------CORRECT ANSWER------- ----------Technicians will need to become familiar with Medicare Part D to assist these patients in gaining needed information about this drug coverage program Which of the following statements about pharmacy technician certification is correct? ---------CORRECT ANSWER-----------------Certification is transferrable to all states

Since its inception, the passing rate for the PTCB certification exam is approximately ---------CORRECT ANSWER-----------------75% Studies have demonstrated that the most important part of preparing for a job interview is to ---------CORRECT ANSWER-----------------learn as much as you can about the job and responsibilities If a physician writes a prescription for Coumadin that indicates " brand name medically necessary" on the prescription, what DAW code should be used in submitting a prescription claim? ---------CORRECT ANSWER--------- --------DAW code 1 (must say 'brand name medically necessary' or 'dispense as written) If a physician prescribes 250mg qid for 10 days how many milliliters of amoxicillin oral suspension containing 250mg/5mL should be dispensed? -- -------CORRECT ANSWER-----------------200mL (qid is four times a day - 5mL4 times a day10days) How many 250mg capsules are needed to fill the following prescription? amoxicillin 500mg tid for 10 days ---------CORRECT ANSWER----------------- 60 capsules (tid is three times a day - 2capsules per dose3times a day10days) Which of the following organizations is not involved with patient safety? ----- ----CORRECT ANSWER-----------------CMS is the Centers of Medicare and Medicaid Services

Which organization establishes standards for purity and quality of medications? ---------CORRECT ANSWER-----------------the United States Pharmacopoeia Which of the following is not a benefit of health information technology ------ ---CORRECT ANSWER-----------------alert fatigue What is the maximum number of refills allowed on a prescription of lorazepam if authorized by a physician? ---------CORRECT ANSWER-------- ---------5 times within 6 months of the prescription being written (Schedule IV medication) Which of the following reference books discusses the therapeutic equivalence of products? ---------CORRECT ANSWER----------------- Approved Drug Products with Therapeutic Equivalence Evaluation (aka Drug Topics Orange Book) What is the brand name for paroxetine? ---------CORRECT ANSWER-------- ---------Paxil What is a third-party payment? ---------CORRECT ANSWER-----------------a payment by a pharmacy benefits management (PBM) company How many grams of hydrocortisone powder should be used to prepare 1 lb of a 0.25% hydrocortisone cream? ---------CORRECT ANSWER--------------- --1.14g (454g per lb, 25g of hydrocortisone/100g)

What is the meaning of the abbreviation of "ut dict"? ---------CORRECT ANSWER-----------------as directed What is the meaning of the suffix - dipsia? ---------CORRECT ANSWER------ -----------thirst Which organization is responsible for accrediting pharmacy education programs? ---------CORRECT ANSWER-----------------Accrediting Council for Pharmacy Education (ACPE) Which of the following medications can be crushed? (Ambien CR, Augmentin XR, Maxzide, Tessalon Perles) ---------CORRECT ANSWER-----------------Maxzide (Ambien CR and Augmentin XR are long acting dosage forms, Tessalon Perles has liquid that will numb the throat) What is the generic name for Augmentin? ---------CORRECT ANSWER------ -----------amoxicillin-clavulante Which of the following is not a required text in a pharmacy? (A copy of the Controlled Substances Act, NF, PDR, USP) --------- CORRECT ANSWER-----------------Physician's Desk Reference (PDR) Which of the following medications should be tapered off at discontinuation? (Fexofenadine, INH, Prednisone, SMZ-TMP) ---------CORRECT ANSWER-- ---------------Prednisone

Which of the following products can be purchased as an exempt narcotic if all conditions outlined by the federal Controlled Substance Act are met? (Phenobarbital, Robitussin A-C, Stadol NS, Tussionex) ---------CORRECT ANSWER-----------------Robitussin A-C What is the maximum weighable amount for a class A prescription balance? ---------CORRECT ANSWER-----------------120g In what schedule is acetaminophen with codeine placed? --------- CORRECT ANSWER-----------------Schedule III In which classification of medication does acyclovir belong? --------- CORRECT ANSWER-----------------antiviral If a medication is to be taken 'tid,' how many times would it be taken each day? ---------CORRECT ANSWER-----------------three times Which of the following products is not a combination product? (Bactrim DS, Dyazide, Estrace, Prempro) ---------CORRECT ANSWER------ -----------Estrace Which organization has developed standards for e-prescribing? --------- CORRECT ANSWER-----------------NCPDP

What type of filter is used to prevent glass from entering the final solution when drawing from an ampule? ---------CORRECT ANSWER----------------- filter needle In which drug classification does Singulair belong? ---------CORRECT ANSWER-----------------leukotriene inhibitor When should a pharmacy technician seek assistance from the pharmacist? ---------CORRECT ANSWER-----------------a patient asks a question about drug interaction with a medication, during DUE a contraindication message shows up on the computer screen, if an elderly patient is receiving a prescription for an antiparkinson medication Why is it necessary to rotate medications on a shelf? ---------CORRECT ANSWER-----------------minimize medication from expiring before it is dispensed or administered Which of the following pharmacy abbreviations tells that a medication order is needed immediately? (ASAP, dtd, NOW, STAT) ---------CORRECT ANSWER-----------------STAT Which pharmacy legislation requires that tamperproof pads be used for Medicaid patients? - --------CORRECT ANSWER-----------------the Medicaid Tamper-Resistant Prescriptions Act of 2008

What letter indicates a midlevel practitioner, such as a nurse practitioner or physician's assistant, who may prescribe controlled substances? --------- CORRECT ANSWER-----------------M Which of the following medications is not a combination product? (Estratest, Hyzaar, Lotrel, Remeron) ---------CORRECT ANSWER------------- ----Remeron What is the sensitivity of a class A prescription balance? ---------CORRECT ANSWER-----------------6 mg Which of the following medications does not need to be dispensed in a "child-resistant" container? (Amoxicillin, Lanoxin, Nitrostat, Synthroid) ---------CORRECT ANSWER------ -----------Nitrostat Which of the following tasks may be performed by a pharmacy technician? (checking and verifying finished prescriptions, counseling a patient, receiving a verbal prescription over the phone from a designated person from a physician's office, receiving a written prescription from a patient) ----- ----CORRECT ANSWER-----------------receiving a written prescription from a patient What must be found on all controlled substance prescriptions? --------- CORRECT ANSWER-----------------physician's DEA number In which schedule does meperidine belong? ---------CORRECT ANSWER--- --------------Schedule II

Which association represents the interests of chain drugstores? --------- CORRECT ANSWER-----------------NACDS (National Association of Chain Drug Stores) Which of the following medications is considered a 'high-alert' medication according to the ISMP? (Amoxicillin, Insulin, Naproxen, Tessalon Perles) ---------CORRECT ANSWER-----------------Insulin An effervescent tablet has the following formula: APAP 325mg CaCO3 280mg Citric Acid 900mg Potassium Bicarbonate 300mg sodium Bicarbonate 465mg How many grams would one tablet contain? ---------CORRECT ANSWER--- --------------2.226g (sum of ingredients = 2270mg) What is the generic name for Serevent? ---------CORRECT ANSWER-------- ---------Salmeterol What does the pharmacy abbreviation 'Rx' mean? ---------CORRECT ANSWER-----------------take this drug Nitroglycerinn is to nitrate as nifedipine is to: ---------CORRECT ANSWER-- ---------------calcium channel blocker

What is the meaning of PHI? ---------CORRECT ANSWER----------------- Protected Health Information Which of the following organizations certifies health care organizations? (DEA, FDA, ISMP, TJC) ---------CORRECT ANSWER-----------------the Joint Commission (TJC) Which of the following medications is not indicated as a smoking cessation drug? (Chantix, Cubicin, Nicorette, Zyban) ---------CORRECT ANSWER-------------- ---Cubicin Which of the following drugs may be used prophylactically for influenza and Parkinson disease? (Amantadine, Bromocriptine, Levodopa-carbidopa, Selegiline) --------- CORRECT ANSWER-----------------Amantadine Who approves a change in an institution's formulary? ---------CORRECT ANSWER-----------------pharmacy and therapeutics committee How much time does a physician have to provide a written prescription for an "emergency prescription" for a Schedule II drug? ---------CORRECT ANSWER-----------------7 days Which is not a drug file that would be found in an ambulatory pharmacy's database? ---------CORRECT ANSWER-----------------investigational drugs

What is the generic name for Celexa? ---------CORRECT ANSWER----------- ------citalopram Which of the following is not a patient's right covered under HIPAA? (the right to request an amendment to his or her health record, the right to obtain an accounting of any disclosures of his or her protected health information, the right to obtain a copy of his or her designated record set of protected health information, the right to receive compensatory and punitive damage for violations of HIPAA) ---------CORRECT ANSWER----------------- the right to receive compensatory and punitive damage for violations of HIPAA Which form is used to inform a drug manufacturer of errors caused by commercial packaging and labeling? ---------CORRECT ANSWER------------- ----MERF (Medication Error Reporting Form) You have received a medication order to prepare 500mL of a 1: solution. The pharmacy has in stock a concentrate of 80%. How much of the concentrate will you need to use? ---------CORRECT ANSWER------------ -----1.25mL A physician orders KCl 40mEq to be added to D5W 1000mL and administered over 4 hr. The injection solution on hand is KCl 2 mEq/mL. How many milliliters of KCl should be added? ---------CORRECT ANSWER- ----------------20mL

You have been asked to prepare 1 L of a 2% (w/v) solution. You have a 100% solution in stock. How much diluent will be needed? --------- CORRECT ANSWER-----------------980mL Which of the following patient monitoring function is found in a pharmacy information system? (drug-allergy interaction, drug duplication, IV incompatibilities) --------- CORRECT ANSWER-----------------all of the above How many grams of NaCl are in a 100mL of NS solution? --------- CORRECT ANSWER-----------------0.9g (NS is normal saline) Which of the following medications is approved for the treatment of diabetes? (Januvia, Lunesta, Remeron, Telithromycin) ---------CORRECT ANSWER--- --------------Januvia Which part of Medicare pays for prescriptions for senior citizens if enrolled in the prescription component of Medicare? ---------CORRECT ANSWER---- -------------Medicare Part D In what drug classification is quinapril? ---------CORRECT ANSWER---------- -------ACE inhibitor Which of the following OTC medications must be recorded in a book before it is sold to the customer? (ACE inhibitor, alpha-blocker, beta-blocker. calcium channel blocker) --------

• CORRECT ANSWER-----------------alpha-blocker

Which of the following is an example of a drug with and "sl" dosage form? - --------CORRECT ANSWER-----------------nitrostat (treatment of angina) How long is a prescription valid if it has a "prn" refills written on it by the physician? ---------CORRECT ANSWER-----------------1 year from date of prescription What provides a computer with temporary work space? ---------CORRECT ANSWER-----------------RAM (random access memory) Which amendment to the Food, Drug and Cosmetic Act of 1938 distinguished prescription and over-the-counter medications? --------- CORRECT ANSWER-----------------The Durham Humphrey Amendment Which organization provides pharmacy resources such as "Do Not Crush List," "Error Prone Abbreviations," and "Sound-Alike, Look-Alike Drug Lists"? ---------CORRECT ANSWER-----------------The Institute of Safe Medication Practices (ISMP) A Pyxis machine is an example of a(n): ---------CORRECT ANSWER--------- --------automatic dispensing machine A prescription has the following directions: "1 tab po bid X 14d for URI." How should it appear on the prescription label? ---------CORRECT

ANSWER-----------------1 tablet by mouth twice a day for 14 days for upper respiratory infection Which of the following is not overseen by the FDA? ---------CORRECT ANSWER-----------------MERP is overseen by the ISMP Who oversees the FAERS program? ---------CORRECT ANSWER------------ -----FDA Which of the following pieces of information is not required on a prescription label? (Directions for use, Name and address of the pharmacy, Name and address of the prescriber, Telephone number of the prescriber) --------- CORRECT ANSWER-----------------telephone number of the prescriber Which of the following abbreviations is not a dosage form? --------- CORRECT ANSWER-----------------BS is blood sugar How many capsules each containing 250mg of chloramphenicol are needed to provide 50mg/kg/day for 10 day for and adult weighing 187lb? --- ------CORRECT ANSWER-----------------170 capsules (187lbs/2.2lbs per kg * 50mg per kg per day * 10 days / 250mg per capsule) What does aseptic technique prevent? ---------CORRECT ANSWER---------- -------introduction of a pathogen

Which organization establishes the standards of the practice of pharmacy in that state? ---------CORRECT ANSWER-----------------the board of pharmacy Which of the following will a pharmacy computer program? (Identify drug interactions, maintain patient profiles, indicate non-formulary usage) ---------CORRECT ANSWER-----------------all of the above What should a pharmacy technician do if he or she witnesses a patient attempting to purchase Bayer aspirin while he or she is waiting for a prescription of warfarin to be filled by the pharmacy? ---------CORRECT ANSWER-----------------inform the pharmacist of the situation and allow the pharmacist to counsel the patient What would a computer message of "NDC Not Covered" indicate to the pharmacy technician? ---------CORRECT ANSWER-----------------the product is not covered by the insurance plan Which of the following expressions refer to the price a pharmacy pays for drug after receiving discounts or rebates? ---------CORRECT ANSWER------ -----------AAC (actual acquisition cost) What type of information should be collected from the patient or representative before a prescription is processed? ---------CORRECT ANSWER-----------------disease state of the patient, drug allergies, medications taken by the patient (prescription and OTC)

Where does one measure a liquid in a conical graduate? ---------CORRECT ANSWER-----------------bottom of the meniscus How many times may a prescription with "prn" refills be transferred from a pharmacy? ---------CORRECT ANSWER-----------------1 time Which of the following terms is associated with reimbursement of generic medications? ---------CORRECT ANSWER-----------------MAC (maximum allowable cost) To what does the term "inventory" refer? ---------CORRECT ANSWER------- ----------all of the drugs available for sale Which of the following individuals cannot originate an e-PHR? (nurse, patient, pharmacist, physician) ---------CORRECT ANSWER---------- -------nurses Which of the following should not be taken with Sandimmune? (Carbonated beverages, chocolate milk, milk, orange juice) --------- CORRECT ANSWER-----------------carbonated beverages A prescription is received, and the directions state "1 sup pr qd." How should it be taken by the patient? ---------CORRECT ANSWER----------------- per rectum (pr)

A prescription order has the following directions: "4 gtt in each ear tid." How many drops will a patient use each day? ---------CORRECT ANSWER-------- --------- 24 Which of the following is an advantage of a parenteral drug? (difficult to reverse and overdose, rapid onset of action, possibility of injecting pathogens and pyrogens into the body, trauma to the body from the needle) ---------CORRECT ANSWER-----------------rapid onset of action Which of the following tasks may a pharmacy technician not perform? (compounding nonsterile products, making decisions during drug utilization evaluation, ordering medications, stocking pharmacy shelves) --------- CORRECT ANSWER-----------------making decisions during drug utilization evaluation What is the minimum number of times a prescription should be read while it is being filled? ---------CORRECT ANSWER----------------- 3 Which of the following expressions refers to a point in which inventory is reordered? (AAC, JIT, PAR, U&C) ---------CORRECT ANSWER-----------------PAR (periodic automatic replenishment) Which of the following is not an input device? (mouse, keyboard, printer, touch screen) ---------CORRECT ANSWER------- ----------printer

How many hours of continuing education are required for a pharmacy technician to be recertified every 2 years? ---------CORRECT ANSWER------ -----------20 hours Which of the following provides an income tax deduction for medical expenses? (HSA, HMO, PPO, POS) ---------CORRECT ANSWER-----------------HSA What is the net profit for a prescription that has a acquisition cost of $45.00 and a dispension cost of $3.75 and retails at $55.00? ---------CORRECT ANSWER-----------------$6.25 (55- 45 - 3.75) Which of the following abbreviations indicates the medication is to be taken orally? (po, pr, sl, top) ---------CORRECT ANSWER-----------------PO (per os - by mouth) Which organization oversees Medicare and Medicaid payments? --------- CORRECT ANSWER-----------------CMS Modern-day formularies had their origins in ---------CORRECT ANSWER---- -------------Mesopotamia What country was the forerunner in developing a logical, scientific-based approach to medical practice? ---------CORRECT ANSWER----------------- Greece

Another name for a community pharmacy is a ---------CORRECT ANSWER- ----------------retail pharmacy Which of the following is NOT considered an institutional pharmacy? --------

• CORRECT ANSWER-----------------mail-order pharmacy A laminar airflow hood would most likely be found in a ---------CORRECT ANSWER-----------------hospital pharmacy Knowledge of the medicinal functions of natural products from animal, plant, or mineral origins is known as ---------CORRECT ANSWER------------- ----pharmacognosy The emergence of the pharmaceutical industry threatened to reduce the role of the pharmacist to that of a ---------CORRECT ANSWER----------------- drugstore operator The work that heralded the emergence of modern clinical pharmacy was the ---------CORRECT ANSWER-----------------Millis Commission report The primary role of a clinical pharmacist is to ---------CORRECT ANSWER-- ---------------share knowledge about drug use Medication therapy management, or MTM, is best defined as --------- CORRECT ANSWER-----------------ensuring positive outcomes for drug therapy

Which of the following items is NOT a recommendation for admission to a doctor of pharmacy educational program? ---------CORRECT ANSWER------ -----------a prior bachelor of science (BS) degree Licensing and professional oversight of pharmacists and pharmacy technicians are tasks carried out by ---------CORRECT ANSWER-------------- ---state boards of pharmacy What professional pharmacy organization established a model curriculum for pharmacy technicians? ---------CORRECT ANSWER----------------- American Society of Health-System Pharmacists (ASHP) A pharmacy technician can do all the following except ---------CORRECT ANSWER-----------------counsel a patient The final responsibility for the accuracy of the pharmacy technician's work is ---------CORRECT ANSWER-----------------the supervising pharmacist The Food, Drug, and Cosmetic (FD&C) Act of 1938 designated which agency to develop standards for all drugs marked in the United States? ----- ----CORRECT ANSWER-----------------FDA The Kefauver-Harris Amendment of 1962 stated that all new drugs must be proven ____ before being marketed ---------CORRECT ANSWER-------------- ---effective

The Verified Internet Pharmacy Practice Sites (VIPPS) program is administered by the ---------CORRECT ANSWER-----------------NABP The first four numbers of the National Drug Code (NDC) found on a prescription or on an over-the-counter (OTC) medication represent the ------ ---CORRECT ANSWER-----------------manufacturer What organization is responsible for overseeing the policies and procedures of a pharmacy that prepares and dispenses hazardous drugs? - --------CORRECT ANSWER-----------------OSHA The Omnibus Budget Reconciliation Act of 1990 (OBRA-90) requires the pharmacist or pharmacy technician to ---------CORRECT ANSWER----------- ------offer patient counseling regarding medications What agency is responsible for classifying controlled substances? --------- CORRECT ANSWER-----------------DEA Which of the following controlled substances is classified as a Schedule III drug? ---------CORRECT ANSWER-----------------anabolic steroid The Dietary Supplement Health and Education Act (DSHEA) of 1 994 limited the FDA's authority to regulate ---------CORRECT ANSWER----------- ------herbal, vitamin, and nutritional products

Which organization was responsible for the development of the Model State Pharmacy Practice Act (MSPPA) ---------CORRECT ANSWER---------- -------NABP Which authority has the right to remove a pharmacist's or pharmacy technician's license or registration? ---------CORRECT ANSWER--------------- --state board of pharmacy If a patient sues a pharmacy, then which party is responsible for the burden of proof in the case? ---------CORRECT ANSWER-----------------patient A pharmacist may be sued for ___ when he or she fails to meet a minimum standard of care ---------CORRECT ANSWER-----------------negligence The Orange Book is published online by the ---------CORRECT ANSWER--- --------------FDA To be approved as a generic drug, the pharmaceutical manufacturer must prove ---------CORRECT ANSWER-----------------bioequivalence Which type of FDA drug recall requires a pharmacy technician to immediately remove the product from the shelf? ---------CORRECT ANSWER-----------------Class I