PTU Final Exam Review Questions With 100% Correct Answers | Verified | Latest Update 2024, Exams of Advanced Education

Download PTU Final Exam Review Questions With 100% Correct Answers | Verified | Latest Update 2024 and more Exams Advanced Education in PDF only on Docsity! PTU Final Exam Review Questions With 100% Correct Answers | Verified | Latest Update 2023-2024 Which is considered a mid-level prescriber? ◉ Dentist ◉ Nurse practitioner ◉ Physician ◉ Veterinarian - Correct Answer-Nurse practitioner Effexor XR works by increasing levels of: ◉ Dopamine ◉ Norepinepherine ◉ Serotonin ◉ Serotonin and norepinephrine - Correct Answer-Serotonin and norepinephrine Which medication can interact with tyramine-containing foods? ◉ Citalopram ◉ Selegiline ◉ Sertraline ◉ Venlafaxine - Correct Answer-Sertraline Mrs. Deegan bring in a prescription. Which medical condition would the pharmacist be most concerned about when dispensing the Wellbutrin XL prescription? ◉ Asthma ◉ Hyperlipidemia ◉ Hypertension ◉ Seizures - Correct Answer-Seizures Which lab test may be monitored during lithium therapy? ◉ Lithium blood levels ◉ Potassium ◉ Sodium ◉ All of the above - Correct Answer-All of the above Which medication is a long-acting injectable? ◉ Catapres TTS ◉ Emsam ◉ Geodon ◉ Risperdal Consta - Correct Answer-Risperdal Consta Which medication is classified as an atypical antipsychotic? ◉ Aripiprazole ◉ Fluconazole ◉ Omeprazole ◉ Pantoprazole - Correct Answer-Aripiprazole Mr. Adams brings in a prescription for Aricept 10 mg. Which side effect is Mr. Adams likely to experience? ◉ Flushing ◉ Insomnia ◉ Nausea and vomiting ◉ Tardive dyskinesia - Correct Answer-Nausea and vomiting Which medication is sometimes used to treat migraines? ◉ Fioricet ◉ Inderal ◉ Topamax ◉ Zestril - Correct Answer-Fioricet Which schedule of controlled substances is Valium classified under? - II - III - IV - V - Correct Answer-IV Which controlled substance medication has the most stringent requirements in the pharmacy? - Donnatal - Dilaudid - Lomotil - Lyrica - Correct Answer-Dilaudid A drug is usually permanently withdrawn from the market because it is considered: - Contaminated - Harmful ◉ 2 ◉ 5 - Correct Answer-1 Ms. Weatherford brings in a prescription to the pharmacy: Toujeo Max SoloStar 300 units/mL 45 units subcutaneously QD #3 mL pen How many days will the pen last? - 7 - 15 - 20 - 28 - Correct Answer-20 The pharmacy needs to restock two hydrocortisone 2.5% cream 1-lb jars for their compounding supplies. How many grams will you order? - 400 - 454 - 800 - 908 - Correct Answer-908 Which conversion is correct? ⚬ 1 gr = 35 g ⚬ 1 gr = 50 g ⚬ 1 oz = 30 g ⚬ 1 oz = 454 g - Correct Answer-1 oz = 30 g ----------------------------------- (a grain is medication dependent... 1 gr could equal 60 mg, 64.8 mg, or 65 mg) How many tablespoons are in 45 milliliters? ◉ 2 ◉ 3 ◉ 4 ◉ 5 - Correct Answer-3 You need to pull 10 lactulose oral solution unit-dose cups. Each unit-dose cup has 1 tbsp of lactulose in it. How many total milliliters of lactulose oral solution did you pull? ◉ 50 ◉ 75 ◉ 150 ◉ 300 - Correct Answer-150 A drug that contains a different active ingredient, but is in the same drug class and works similarly to another medication is considered a: ⚬ Pharmacologic alternative ⚬ Pharmacologic equivalent ⚬ Therapeutic alternative ⚬ Therapeutic equivalent - Correct Answer-Therapeutic alternative Which medication is a long-term care pharmacy technician most likely to prepare? ◉ A month's supply of a medication for an outpatient ◉ A medication that is to be sent through the mail ◉ A radioactive preparation used to diagnose cancer ◉ A pre-packaged cycle kit for a nursing home patient - Correct Answer-A pre- packaged cycle kit for a nursing home patient Cory, a community pharmacy technician, follows his pharmacy's protocols for keeping protected health information safe. This is an example of: ◉ Minimizing stress ◉ Respecting the patient ◉ Distributing quality medications ◉ Improving workplace performance - Correct Answer-Respecting the patient According to most state laws, pharmacy technicians are allowed to perform which activity? - Counsel patients on prescription medications - Make the final check of a completed prescription - Order medications from the pharmacy's wholesaler - Work in a pharmacy when a pharmacist is not present - Correct Answer-Order medications from the pharmacy's wholesaler In which setting is a technician most likely to assist patients at drop-off? - Community - Long-term care - Mail-order - Nuclear - Correct Answer-Community Mr. Jonas is prescribed Percocet 10/325 mg from a recent motorcycle accident. According to federal law, in most cases, the Percocet prescription: ◉ Can be called in by Mr. Jonas' nurse to expedite the filling process ◉ Can be called in by Mr. Jonas' prescriber to expedite the filling process ◉ Can be faxed to the pharmacy by Mr. Jonas to expedite the filling process ◉ Must be hand-written or electronically prescribed by Mr. Jonas' prescriber - Correct Answer-Must be hand-written or electronically prescribed by Mr. Jonas' prescriber What does DAW 5 mean? ◉ Brand-name is dispensed as generic ◉ Substitution is not allowed by the pharmacist ◉ Substitution is not allowed because the generic is not in stock ◉ Substitution is not allowed because the generic is not available in marketplace - Correct Answer-Brand-name is dispensed as generic Which law requires pharmaceutical manufacturers to prove a drug's purity, strength, and safety before it can be sold? - Hatch-Waxman Act of 1984 - Food, Drug, and Cosmetic Act of 1938 - Durham-Humphrey Amendment of 1951 - Omnibus Budget Reconciliation Act of 1990 - Correct Answer-Food, Drug, and Cosmetic Act of 1938 At the end of the day, you file all the prescriptions brought into the pharmacy. According to federal law, Mr. Jordan's methadone prescription should be filed: - Separate from all other pharmacy records - Together with all prescription pharmacy records - Together with all noncontrolled substance pharmacy records - Together with all Schedule III and IV controlled substance pharmacy records - Correct Answer-Separate from all other pharmacy records The Combat Methamphetamine Epidemic Act of 2005 was put in place to restrict the sale of: ◉ Buprenorphine ◉ Isotretinoin ◉ Pseudoephedrine ◉ Thalidomide - Correct Answer-Pseudoephedrine Mrs. Scott is prescribed alosetron. Which program must her prescriber enroll in before he can prescribe the medication to Mrs. Scott? - APPRISE - iPLEDGE - LOTRONEX REMS - TIRF - Correct Answer-LOTRONEX REMS ◉ A copy of the Patient-Prescriber Acknowledgement form - Correct Answer-A Pre- dispense Authorization code Mylan's clonazepam 1 mg is AB-rated to Klonopin 1 mg. This means: ◉ Clonazepam can't be substituted for Klonopin ◉ Clonazepam is a therapeutic equivalent to Klonopin ◉ Clonazepam is a therapeutic alternative to Klonopin ◉ Clonazepam is a pharmacologic alternative to Klonopin - Correct Answer- Clonazepam is a therapeutic equivalent to Klonopin Mr. Burns takes clonazepam. According to federal law, what must be included on the prescription label? - Date of filling - Date of issuance - Pharmacy's DEA number - Prescriber's DEA number - Correct Answer-Date of filling Which law created two classes of medications, prescription and nonprescription? - Pure Food and Drug Act of 1906 - Food, Drug, and Cosmetic Act of 1938 - Durham-Humphrey Amendment of 1951 - Omnibus Budget Reconciliation Act of 1990 - Correct Answer-Durham-Humphrey Amendment of 1951 NDC numbers consist of: - 10 digits divided into 3 segments - 13 digits divided into 3 segments - 10 digits divided into 5 segments - 13 digits divided into 5 segments - Correct Answer-10 digits divided into 3 segments Which is an example of a medication that is part of a Class II recall? ◉ An unapproved medication ◉ A mislabeled medication that is unlikely to cause adverse effects ◉ A dietary supplement that contains undeclared amounts of active ingredients ◉ A contaminated medication that could cause temporary, but reversible adverse effects - Correct Answer-A contaminated medication that could cause temporary, but reversible adverse effects If a nurse is not available to sign for a Demerol order, what action is recommended? ◉ Leave the order on the nurse's desk ◉ Take the order back to the pharmacy ◉ Leave the order on the cart in the patient care area ◉ Take the order to the patient's room and leave it next to his bed - Correct Answer- Take the order back to the pharmacy Which regulatory agency is responsible for creating standards for packaging to protect children from accidental poisonings with medications? ◉ Food and Drug Administration ◉ Consumer Product Safety Commission ◉ Centers for Disease Control and Prevention ◉ Occupational Safety and Health Administration - Correct Answer-Consumer Product Safety Commission An over-the-counter headache medication is falsely labeled. The medication is considered: ◉ Adulterated ◉ Adverted ◉ Misbranded ◉ Mislabeled - Correct Answer-Misbranded Using a controlled substance medication for recreational purpose is known as: ◉ Debasement ◉ Dependence ◉ Deviation ◉ Diversion - Correct Answer-Diversion Which medication must have an imprint code? - Preparation H suppositories - Prempro 0.625 mg/2.5 mg tablets - Pred-Forte 1% ophthalmic suspension - Protonix 40 mg granules for suspension - Correct Answer-Prempro 0.625 mg/2.5 mg tablets According to federal law, how long does a pharmacy have to fill the remaining portion of a Roxicodone prescription? ◉ 1 day ◉ 3 days ◉ 7 days ◉ There is no time limit as long as Rx is not expired. - Correct Answer-3 days The Controlled Substance Act is enforced by: - APhA - DEA - FDA - NABP - Correct Answer-DEA According to federal law, where should morphine be stored in the pharmacy? - On a cart in the patient care area of the pharmacy or institution - Locked in the pharmacy manager's office, away from other medications - On pharmacy shelves in a separate area designated for C-II medications - In a locked cabinet or dispersed throughout pharmacy shelves with other prescription medications - Correct Answer-In a locked cabinet or dispersed throughout pharmacy shelves with other prescription medications Paxil is an immediate-release paroxetine tablet. Paxil CR is a controlled-release paroxetine tablet. Both medications are used to treat the same condition. Paxil and Paxil CR are pharmacologic alternatives because they: - Are in different drug classes - Are AB-rated in the Orange Book - Absorb and release the same in the body - Contain the same active ingredient, but are different dosage forms - Correct Answer- Contain the same active ingredient, but are different dosage forms Which medication must have an imprint code? ⚬ Fluticasone 50 mcg nasal spray ⚬ Fluticasone 0.05% cream ⚬ Fluconazole 150 mg tablet ⚬ Fluconazole 40 mg/mL powder - Correct Answer-Fluconazole 150 mg tablet DAW 6 means: ◉ Override is required ◉ Substitution is not allowed by the pharmacist ◉ Substitution is not allowed because the generic is not in stock ◉ Substitution is not allowed because the generic is not available in marketplace - Correct Answer-Override is required After which phase of the drug approval process, does the drug company file a New Drug Application (NDA) to then sell the drug on the market? ◉ Phase 1 Testing ◉ Phase 2 Testing ◉ Phase 3 Testing - Reuse it for another patient - Put it in the bin to be shredded - Rip it in half and place in the trash bin - Place it in Ms. Mason's prescription bag - Correct Answer-Put it in the bin to be shredded According to federal law, how often is a pharmacy required to take a complete inventory of controlled substances? ◉ Annually ◉ Bi-annually ◉ Biennially ◉ Monthly - Correct Answer-Biennially The "do not dispense to patient after" date on an isotretinoin prescription for a female patient of child-bearing age is: ⚬ 7 days after the date of issuance ⚬ 7 days after the last negative pregnancy test ⚬ 30 days after the date of issuance ⚬ 30 days after the last negative pregnancy test - Correct Answer-7 days after the last negative pregnancy test The Health Insurance Portability and Accountability Act of 1996: ◉ Sets the requirements for dispensing controlled substances ◉ Governs patient privacy and the sharing of patient information ◉ Requires handouts that warn about significant risks to be dispensed with medications ◉ Requires pharmacists to discuss information about prescription medications with patients - Correct Answer-Governs patient privacy and the sharing of patient information Mr. Fox is prescribed Duragesic 25 mcg patches. According to federal law, how many refills is the Duragesic prescription allowed to have? ◉ 0 ◉ 1 ◉ 5 ◉ 12 - Correct Answer-0 Ms. Towsley is requesting pseudoephedrine from your retail pharmacy. According to federal law, where must pseudoephedrine be stored? ◉ Outside of the pharmacy in an area with cameras ◉ Inside the pharmacy away from customer access ◉ Inside the pharmacy with direct access to patients ◉ Outside the pharmacy with other cough and cold medications - Correct Answer- Inside the pharmacy away from customer access The pharmacist is placing an order for fentanyl patches. Which DEA form must be used to order fentanyl for the pharmacy? ◉ 41 ◉ 100 ◉ 106 ◉ 222 - Correct Answer-222 Mr. Cass tells you he has hepatitis. Which organ does this condition affect? - Correct Answer-Liver Mrs. Chancellor brings in the following prescription: Canasa 1,000 mg supp Sig: 1 pr twice daily #14 How should the directions be typed on the pharmacy label? ◉ Take 1 tablet by mouth twice daily ◉ Take 1 tablet as needed twice daily ◉ Insert 1 suppository as needed twice daily ◉ Insert 1 suppository into rectum twice daily - Correct Answer-Insert 1 suppository into rectum twice daily Mrs. Byrd brings in the following prescription: ASA 325 mg Sig: 1 tab q6h prn pain Disp: 30 Which medication is Mrs. Byrd prescribed? - Acamprosate - Acetaminophen - Aspirin - Azelastine - Correct Answer-Aspirin Mr. Bernard calls the pharmacy and speaks to the pharmacist about the best over-the- counter medication to treat nausea and diarrhea. What does the word part "-rrhea" mean in the word diarrhea? ⚬ Around ⚬ Excessive ⚬ Flowing ⚬ Inflammation - Correct Answer-Flowing Mrs. Harrelson brings a prescription into your retail pharmacy for Lazanda. What is a requirement of the TIRF program? - Mrs. Harrelson is required to take a pregnancy test. - You must dispense a package insert to her. - Her physician needs to complete eight hours of training before prescribing Lazanda. - Her Lazanda prescription must be processed through an electronic verification system. - Correct Answer-Lazanda prescription must be processed through an electronic verification system. Which application is submitted for naturally sourced drug compounds seeking FDA approval? - BLA - IBLA - NDA - PMA - Correct Answer-BLA Mr. Eddy brings in a prescription for oxycodone written by Dr. James Adkins. Which is a valid DEA number for Dr. Adkins? - AA1479335 - AA8283953 - BA1376427 - BA8283905 - Correct Answer-BA8283905 Which law allows manufacturers to submit ANDAs to market generic drugs? - Drug Listing Act of 1972 - Hatch-Waxman Act of 1984 - Durham-Humphrey Amendment of 1951 - Omnibus Budget Reconciliation Act of 1990 - Correct Answer-Hatch-Waxman Act of 1984 How many letters are in a valid DEA number? ◉ 0 ◉ 1 ◉ 2 ◉ 3 - Correct Answer-2 When you receive a new drug in the pharmacy, what's the medication under? ⚬ Pharmacologic brand name ◉ B ◉ M ◉ P ◉ X - Correct Answer-B A collaborative agreement is a system that allows pharmacists to automatically substitute: - Brand-name and generic medications - Misbranded and adulterated medications - Pharmacologic and therapeutic equivalents - Pharmacologic and therapeutic alternatives - Correct Answer-Pharmacologic and therapeutic alternatives Federal law says that you can only refill an Rx for a Schedule III controlled substance 5 times in 6 months. Your state law says that you can only refill an Rx for a Schedule III controlled substance 4 times in 6 months. What is the maximum number of refills you can dispense for a Schedule III controlled substance Rx? - 4 - 5 - 6 - 12 - Correct Answer-4 How many drops are in a 5 mL bottle of Maxitrol eye drops? Your pharmacy requires you to use 20 gtts per 1 mL conversion factor. ⚬ 4 ⚬ 20 ⚬ 50 ⚬ 100 - Correct Answer-100 According to federal law, in most cases, an oxycodone prescription can be: ◉ Verbal or faxed ◉ Electronic or written ◉ Electronic, written, or faxed ◉ Verbal, electronic, written, or faxed - Correct Answer-Electronic or written Which type of recall involves products that are unlikely to cause adverse effects? ◉ Class I recall ◉ Class II recall ◉ Class III recall ◉ Market withdrawal - Correct Answer-Class III recall Which schedule of controlled substances is Ambien classified under? - II - III - IV - V - Correct Answer-IV Which medication is a Schedule V controlled substance? ◉ Soma ◉ Subutex ◉ Vimpat ◉ Vyvanse - Correct Answer-Vimpat Which is a principle of HIPAA? ◉ To counsel patients on new and refill prescription medications ◉ To dispense prescription medications with child-resistant packaging ◉ To dispense certain prescription medications with a Medication Guide ◉ To use and disclose the minimum necessary amount of protected information - Correct Answer-To use and disclose the minimum necessary amount of protected information The Omnibus Reconciliation Act of 1990 requires: ◉ Each new medication to have a national drug code ◉ The pharmacist to consult about prescriptions with patients ◉ Dietary supplements to be treated more like drugs than food ◉ Oral contraceptives to be dispensed with a patient package insert - Correct Answer- The pharmacist to consult about prescriptions with patients Investigational drug returns may be performed by the: ◉ Drug manufacturer ◉ Drug sponsor ◉ IDS technician ◉ Nursing staff - Correct Answer-IDS technician Which organization must the Investigational New Drug application be filed with? ◉ CDC ◉ DEA ◉ FDA ◉ IND - Correct Answer-FDA Which responsibility may be performed by an IDS technician? - Drug preparation - Review study protocols - Revise brochures - Write study procedures - Correct Answer-Drug preparation Which medication is a Schedule V controlled substance? ⚬ Lomotil ⚬ Lopressor ⚬ Lortab ⚬ Lunesta - Correct Answer-Lomotil According to the Poison Prevention Packaging Act of 1970, a Symbicort inhaler: - Is considered an adulterated product - Must be dispensed with a patient package insert - Can be dispensed in a child-resistant container - Can be dispensed in a non-child-resistant container - Correct Answer-Can be dispensed in a non-child-resistant container Who usually makes the decision to recall a drug product? ◉ DEA ◉ Drug company ◉ FDA ◉ Pharmacist - Correct Answer-Drug company Mrs. Bradley's prescriber calls an emergency prescription for meperidine to the pharmacy over the weekend. According to federal law: - The meperidine prescription is allowed to have 5 refills - The meperidine prescription is good for up to 6 months after the date of issue - The pharmacy must receive a written, signed meperidine prescription within 7 days - The pharmacy can't accept the meperidine prescription because this practice is not allowed - Correct Answer-The pharmacy must receive a written, signed meperidine prescription within 7 days According to the Poison Prevention Act of 1970, which medication class can be dispensed in a non-child-resistant package in an outpatient setting? ◉ Antidepressants ◉ Antihypertensives ◉ Opioids ◉ Oral contraceptives - Correct Answer-Oral contraceptives Which act defines and regulates controlled substance medications? ◉ CSA ◉ DSHEA ◉ HIPAA ◉ OBRA' 90 - Correct Answer-CSA Which federal agency is responsible for the regulation of labeling on prescription and over-the-counter medications? ⚬ CDC ⚬ DEA ⚬ FDA ⚬ PDR - Correct Answer-FDA A system that allows pharmacists to automatically substitute with certain pharmacologic or therapeutic alternatives without calling the prescriber each time is known as a: ◉ Collaborative Agreement ◉ Collective Agreement ◉ Pharmaceutical Agreement ◉ Professional Agreement - Correct Answer-Collaborative Agreement When the pharmacist receives his weekly order of Ritalin, what must be documented on the DEA form? ⚬ The price of the drug ⚬ The date and amount received ⚬ The name of the manufacturer ⚬ The amount the pharmacy has on hand - Correct Answer-The date and amount received -------------------------------------- (Ritalin = methylphenidate is a C-II substance) A pharmacologic alternative is a drug that: ◉ Is identical in active ingredient, strength, and dosage form ◉ Contains the same active ingredient, but is a different strength ◉ Is identical in active ingredient, but has different inactive ingredients ◉ Contains a different active ingredient, but is the same drug class and works similarly - Correct Answer-Contains the same active ingredient, but is a different strength For a medication's packaging to be considered child-resistant, it: ◉ Cannot be opened by 80% of children younger than 5 years of age, but can be opened by 90% of adults ◉ Cannot be opened by 50% of children younger than 5 years of age, but can be opened by 50% of adults ◉ Cannot be opened by any child younger than 5 years of age, but can be opened by all adults ◉ Cannot be opened by any child younger than 5 years of age, but can be opened by 90% of adults - Correct Answer-Cannot be opened by 80% of children younger than 5 years of age, but can be opened by 90% of adults The goal of the Controlled Substance Act is to: ◉ Prevent diversion and abuse of drugs ◉ Guide generic substitution of controlled substances ◉ Provide each new controlled substance with an NDC number ◉ Protect the privacy of patients who take controlled substances - Correct Answer- Prevent diversion and abuse of drugs Byetta and Victoza are both incretin mimetics used to treat diabetes. Byetta and Victoza are: ◉ Pharmacologic alternatives ◉ Pharmacologic equivalents ◉ Therapeutic alternatives ◉ Therapeutic equivalents - Correct Answer-Therapeutic alternatives The pharmacist pulled expired Adderall capsules from the shelf. According to federal law, which DEA form is required when the pharmacist sends Adderall to the reverse distributor? - 41 - 106 - 116 - 222 - Correct Answer-222 A local pharmacy has been robbed and lost 10 bottles of OxyContin. According to federal law, which DEA form will the pharmacist need to fill out when reporting the theft of the OxyContin? ⚬ 41 ⚬ 106 ⚬ 130 ⚬ 222 - Correct Answer-106 A patient package insert: - Must be dispensed with every dose of an estrogen-containing medication in the inpatient setting - Is required to be dispensed for new estrogen-containing medications filled in an outpatient setting - Is required to be dispensed for new progesterone-containing medications filled in an outpatient setting - Is only required to be dispensed with estrogen-containing prescriptions if the patient is taking the med for more than 30 days - Correct Answer-Is required to be dispensed for new estrogen-containing medications filled in an outpatient setting According to federal law, Ambien must be stored: ◉ In a locked cabinet in the OTC area of the pharmacy ◉ In a locked cabinet with other Schedule II medications ◉ On pharmacy shelves with other prescription medications ◉ On pharmacy shelves in a separate area designated for controlled substance medications - Correct Answer-On pharmacy shelves with other prescription medications When a generic medication is identical in active ingredients, strength, dosage form, and route of administration as the brand-name product, it is considered a(n): - Abbreviated equivalent - Bioequivalent - Pharmaceutical equivalent - Therapeutic equivalent - Correct Answer-Pharmaceutical equivalent Which DAW code means that substitution is allowed by the prescriber, but the patient is requesting the brand-name product to be dispensed? - 0 - 1 - 2 - 8 - Correct Answer-2 A physician assistant who is registered with the DEA will have a DEA number that starts with the letter: ◉ A ◉ B ◉ M ◉ X - Correct Answer-M The Drug Price Competition and Patent Term Restoration Act of 1984 is also known as the: ⚬ Drug Listing Act ◉ APhA ◉ ASHP ◉ NPTA ◉ PTCB - Correct Answer-PTCB According to the definition of a pharmacy technician, the primary role of a pharmacy technician is to: - Provide patient-centered care - Assist the pharmacist with dispensing prescriptions - Counsel patients on medications and medical conditions - Bill insurance companies for medical and prescription claims - Correct Answer-Assist the pharmacist with dispensing prescriptions A long-term care pharmacy technician is most likely to prepare meds for which type of patient? - Hospital - Mail-order - Nursing home - Outpatients - Correct Answer-Nursing home Kari, a community pharmacy technician, uses her body language to show her patients that she is actively listening. This is an example of: ◉ Minimizing stress ◉ Communicating effectively ◉ Maintaining professionalism ◉ Adapting to change quickly - Correct Answer-Communicating effectively According to most state laws, a community pharmacy technician is allowed to: ⚬ Perform the final check of a completed prescription ⚬ Gather insurance information from a patient ⚬ Counsel patients on over-the-counter medications ⚬ Take a refill prescription with changes from a prescriber over the phone - Correct Answer-Gather insurance information from a patient According to most state laws, pharmacy technicians are allowed to: - Obtain patient health information - Create individualized patient-care plans - Provide counseling to patients on prescription medications - Work in a pharmacy when a licensed pharmacist is off-duty - Correct Answer-Obtain patient health information According to most state laws, a community pharmacy technician can: ◉ Counsel the patient on their refill ◉ Accept a refill request from a patient ◉ Receive changes to a refill from a prescriber ◉ Offer an alternative med for the patient's refill - Correct Answer-Accept a refill request from a patient Ms. Robards is given furosemide 40 mg tablets. According to most state laws, which duty can a hospital pharmacy technician perform? ◉ Prepare a 24-hour supply of furosemide for Ms. Robards ◉ Counsel Ms. Robards on possible drug interactions with furosemide ◉ Speak to Ms. Robards' prescriber about changing her furosemide order ◉ Accept a new med order over the phone for Ms. Robards' furosemide - Correct Answer-Prepare a 24-hour supply of furosemide for Ms. Robards Ms. Garza is given Evista 60 mg. According to most state laws, which duty can a long- term pharmacy technician perform? - Prepare Ms. Garza's med-pack - Ring up Ms. Garza's prescription - Counsel Ms. Garza on drug interactions - Send Ms. Garza's prescription through the mail - Correct Answer-Prepare Ms. Garza's med-pack In which pharmacy setting is a technician most likely to maintain floor stock? - Community - Hospital - Long-term care - Mail-order - Correct Answer-Hospital According to most state laws, a hospital pharmacy technician is allowed to: - Maintain and refill crash carts - Final check a filled med for accuracy - Counsel patients on prescription medications - Take a new med order from a prescriber over the phone - Correct Answer-Maintain and refill crash carts What are the five key components of the Pharmacists' Patient Care Process? - Get, analyze, dispense, bill, evaluate - Gather, examine, develop, action, educate - Collect, assess, plan, implement, follow-up - Obtain, review, prepare, execute, counsel - Correct Answer-Collect, assess, plan, implement, follow-up Which drug information resource defines the standards for medications, such as dosage forms and excipients? - Drug Facts and Comparisons - Pharmacy Technician's Letter - United States Pharmacopeia-National Formulary - Approved Products with Therapeutic Equivalence Evaluations - Correct Answer-United States Pharmacopeia-National Formulary Mr. Walker calls the pharmacy because he's concerned his son took too much medication. Which section of the package insert would the pharmacist read to find the signs and symptoms Mr. Walker should look out for? ◉ Clinical Pharmacology ◉ Drug Abuse and Dependence ◉ Nonclinical Toxicology ◉ Overdosage - Correct Answer-Overdosage Which drug information resource contains a compilation of package inserts? ◉ Drug Facts and Comparisons ◉ Prescribers' Digital Reference ◉ United States Pharmacopeia-National Formulary ◉ Approved Products with Therapeutic Equivalence Evaluations - Correct Answer- Prescribers' Digital Reference The Drug Abuse and Dependence section of a package insert lists: - How to handle an overdose situation - Recommended doses and dosing schedules - Situations when the medication should not be used - The medication's controlled substance classification - Correct Answer-The medication's controlled substance classification Which drug information resource provides comprehensive information on dietary supplements, vitamins, and minerals? - Clinical Pharmacology - Facts and Comparisons eAnswers - Natural Medicines - Prescribers' Digital Reference - Correct Answer-Natural Medicines Which is a limitation to package inserts? - USP-NF - Prescribers' Digital Reference - Handbook on Injectable Drugs - Facts and Comparison's eAnswers - Correct Answer-Handbook on Injectable Drugs Which pregnancy category is considered the riskiest? ◉ A ◉ D ◉ F ◉ X - Correct Answer-X Mr. Cruz has diabetes and is concerned about taking a new medication. In which section of the package insert can you find information on whether Mr. Cruz needs to use caution with his new medication because of his diabetes? - Adverse Reactions - Drug Interactions - Indications and Usage - Warnings and Precautions - Correct Answer-Warnings and Precautions The How Supplied/Storage and Handling section of a package insert lists the medication's: ◉ Chemical name ◉ Controlled substance classification ◉ Description of appearance ◉ Inactive ingredient - Correct Answer-Description of appearance The Contraindications section of a package insert lists: ◉ Reported side effects ◉ Situations when the medication should not be used ◉ Safety concerns for special populations taking the medication ◉ Recommended doses, dosing schedules, and administration requirements - Correct Answer-Situations when the medication should not be used Which drug information source provides generic substitution equivalence ratings for Lasix? ◉ Red Book ◉ Natural Medicines ◉ United States Pharmacopeia-National Formulary ◉ Approved Drug Products with Therapeutic Equivalence Evaluations - Correct Answer-Approved Drug Products with Therapeutic Equivalence Evaluations The first letter in the Orange Book rating code indicates: - Clinical significance - Pharmaceutical alternatives - Pharmacological equivalence - Therapeutic equivalence - Correct Answer-Therapeutic equivalence You're tasked to find the list of adverse reactions for levofloxacin. Which section of the package insert will indicate where you can find adverse reactions? ◉ Appendices ◉ Indications and Usage ◉ Summaries ◉ Table of Contents - Correct Answer-Table of Contents Mrs. Parker is breastfeeding, and she asks you to refill her Adipex-P. Where in the package insert can you find information about breastfeeding while taking this medication? - Correct Answer-Use in Special Populations Ms. Redstone has questions for the pharmacist about how to take her new medication. Which section of the package insert would the pharmacist refer to for this information? - Clinical Pharmacology - Dosage and Administration - Highlights - Patient Counseling Information - Correct Answer-Patient Counseling Information Mr. Quarterman gives you a prescription for Chantix. The prescriber has "take as directed" written on the prescription. Which section of the package insert provides information about how a medication is usually taken? - Contraindications - Dosage and Administration - Indications and Usage - Warnings and Precautions - Correct Answer-Dosage and Administration Ms. Supat is concerned about her cancer risk while taking her medication. Which section of the package insert would the pharmacist refer to? ◉ Clinical Pharmacology ◉ Nonclinical Toxicology ◉ Product Description ◉ Use in Special Populations - Correct Answer-Nonclinical Toxicology You input Ms. Wright's new birth control prescription in the computer. You get a warning about Ms. Wright taking birth control while on carbamazepine. Which section of the package insert will inform you about the effects of taking birth control while on carbamazepine? - Adverse Reactions - Contraindications - Drug Interactions - Warnings and Precautions - Correct Answer-Drug Interactions Ms. Holland calls the pharmacy because she isn't sure if her tablets are Seroquel 100 mg or 200 mg. Which section of the package insert can help you answer Ms. Holland's question? ⚬ Dosage and Administration ⚬ Dosage Forms and Strengths ⚬ Drug Interactions ⚬ Indications and Usage - Correct Answer-Dosage Forms and Strengths The prescriber calls the pharmacy to find out how well a new drug is supposed to work for its approved indication. Which section of the package insert will the pharmacist look for this information? - Clinical Studies - Dosage and Administration - Indication and Usage - Product Description - Correct Answer-Clinical Studies The Product Description section of a package insert lists: - Cancer and fertility risks - How the medication works - The structural formula of the medication - The medications color, shape, and markings - Correct Answer-The structural formula of the medication Mr. Shauban brings in the following prescription: TMP/SMX 160/800 mg Sig: 1 tab po BID Disp: 14 What medication should be typed on the pharmacy label? ◉ Tazobactam/piperacillin ◉ Tetracycline/zinc sulfate ◉ Triamcinolone/sulfuric acid ◉ Trimethoprim/sulfamethoxazole - Correct Answer-Trimethoprim/sulfamethoxazole - Take one tablet by mouth four times a day - Take one tablet by mouth every other day - Take one tablet by mouth every morning - Correct Answer-Take one tablet by mouth every day Mr. Williams brings in the following prescription: Synthroid 125 mcg Sig: 1 tab po qd Disp: 30 What is the meaning of the abbreviation "mcg"? ◉ Microgram ◉ Microliter ◉ Milligram ◉ Milliliter - Correct Answer-Microgram Mr. Serta tells you that he will pick up his prescription after his appointment with his ophthalmologist. Which area of the body does an ophthalmologist specialize in? ⚬ Ears ⚬ Eyes ⚬ Skin ⚬ Stomach - Correct Answer-Eyes You hear the pharmacist talking to a nurse over the phone about Mr. Kennedy who overdosed on APAP. Which medication did Mr. Kennedy overdose on? ◉ Acetaminophen ◉ Aspirin ◉ Penicillin ◉ Potassium - Correct Answer-Acetaminophen Mr. Phillips gives you the following prescription: Triamcinolone 0.025% cr Sig: AA as directed #1 tube How should the directions be typed on the pharmacy label? - Apply to left ear as directed - Apply to all areas as directed - Apply to right ear as directed - Apply to affected area as directed - Correct Answer-Apply to affected area as directed Mrs. Long brings in the following prescription: ProAir HFA inhaler #1 2 puff 15 min a exercise How should the directions be typed on the pharmacy label? ◉ Inhale two puffs 15 minutes after exercise ◉ Inhale two puffs 15 minutes during exercise ◉ Inhale two puffs 15 minutes before exercise ◉ Inhale two puffs 15 minutes as needed for exercise - Correct Answer-Inhale two puffs 15 minutes before exercise Mr. Victor brings in the following prescription: Bactroban ointment Sig: AA ung tid How should the directions be typed on the pharmacy label? - Apply to affected area twice a week - Apply ointment to affected area twice a day - Apply ointment to affected area three times a day - Apply ointment to affected area three times a week - Correct Answer-Apply ointment to affected area three times a day The pharmacy receives the following order for Mr. Bynum: MgSO4 IV Sig: Mix with D5W Disp: qs What medication should be typed on the pharmacy label? ◉ Morphine sulfate IV injection ◉ Magnesium sulfate IV injection ◉ Magnesium succinate IV injection ◉ Metoprolol succinate IV injection - Correct Answer-Magnesium sulfate IV injection Ms. Willis' prescriber calls the pharmacy with a Crestor 5 mg prescription. According to most state laws, who can take the new prescription over the phone? - Pharmacist - Pharmacy clerk - Registered technician - Technician-in-training - Correct Answer-Pharmacist Ms. Lam gives you the following prescription: Depo-Provera Sig: Inject IM q 90 days #1 How should the directions be typed on the pharmacy label? ◉ Inject intradermally every 90 days ◉ Inject intravenously every 90 days ◉ Inject intramuscularly every 90 days ◉ Inject intravenous piggy back every 90 days - Correct Answer-Inject intramuscularly every 90 days Mrs. Platt drops off the following prescription: Cymbalta 30 mg 1 cap daily #30 How should the directions be typed on the prescription label? ◉ Take one tablet daily ◉ Take one capsule daily ◉ Apply cream once daily ◉ Take one daily with meals - Correct Answer-Take one capsule daily Ms. Rhodes brings in the following prescription: Hydrocodone/APAP 7.5 mg/325 mg solution Sig: Take 1 tbsp po q4h prn Qty: 8 oz How should the directions be typed on the prescription label? ◉ Take one tablet by mouth every 4 hours as needed ◉ Take one to two tablets by mouth every 4 hours as needed ◉ Take one tablespoonful by mouth every 4 hours as needed ◉ Take one teaspoonful by mouth every 4 hours as needed - Correct Answer-Take one tablespoonful by mouth every 4 hours as needed Mr. Schultz brings in the following prescription: Acyclovir 200 mg/5 mL suspension Sig: Take 5 ml po TID Disp: 4 oz How should the directions be typed on the prescription label? - Take 5 milliliters by mouth three times a day - Take 5 milligrams by mouth three times a day - Take 5 teaspoonfuls by mouth three times a day Celexa 20 mg Sig: 1 tab po qam How should the directions be typed on the pharmacy label? ◉ Take one tablet by mouth every day ◉ Take one tablet by mouth as directed ◉ Take one tablet by mouth after meals ◉ Take one tablet by mouth every morning - Correct Answer-Take one tablet by mouth every morning Mr. Lewis brings in the following prescription: Lopressor 100 mg Sig: ss tab po BID How should the directions be typed on the pharmacy label? ⚬ Take one-fourth tablet by mouth twice daily ⚬ Take one-half tablet by mouth twice daily ⚬ Take one tablet by mouth twice daily ⚬ Take two tablets by mouth twice daily - Correct Answer-Take one-half tablet by mouth twice daily Mrs. Jenkins was recently hospitalized for thyrotoxicosis. Which area of the body does this condition affect? - Kidney - Liver - Mind - Thyroid gland - Correct Answer-Thyroid gland Mr. Russ gives you a new prescription to treat his hypothyroidism. What does the word part "hypo-" mean in the word hypothyroidism? - Above normal - After - Before - Less than normal - Correct Answer-Less than normal A patient brings in the following prescription: Warfarin 7.5 mg Take 1 tablet daily on days Sunday, Wednesday, Friday Take 0.5 tablet on days Monday, Tuesday, Thursday, Saturday What is the patient's weekly dose of warfarin? ◉ 5 mg ◉ 7.5 mg ◉ 37.5 mg ◉ 60.5 mg - Correct Answer-37.5 mg 4/5 ÷ 1/3 ◉ 3/2 ◉ 4/15 ◉ 5/8 ◉ 12/5 - Correct Answer-12/5 Solve: 2/7 + 3/5 ◉ 1/2 ◉ 5/12 ◉ 31/35 ◉ 56/70 - Correct Answer-31/35 2/3 ÷ 5/7 ◉ 3/4 ◉ 7/10 ◉ 14/15 ◉ 10/21 - Correct Answer-14/15 The Arabic number for the Roman numeral C is: - 10 - 50 - 100 - 500 - Correct Answer-100 Solve: 6.5 ÷ 1.5 - 0.23 - 4.3 - 5 - 9.75 - Correct Answer-4.3 Solve: 8.2 x 65.23 ◉ 0.12571 ◉ 57.03 ◉ 73.43 ◉ 534.886 - Correct Answer-534.886 Solve: 3/7 x 2/3 ⚬ 1/4 ⚬ 5/10 ⚬ 6/21 ⚬ 9/14 - Correct Answer-6/21 Ms. Barker brings in the following prescription: Cefuroxime 250 mg/5 mL Sig: ½ tsp BID x 10 d Disp: 50 mL What is the Roman numeral for the dispensed quantity? - D - L - V - X - Correct Answer-L Solve: 1/2 - 1/5 ◉ 1/10 ◉ 3/10 ◉ 4/1 ◉ 7/5 - Correct Answer-3/10 Solve: 1/4 + 5/4 - 4/4 - 5/9 - 6/4 - 12/8 - Correct Answer-6/4 1/2 ÷ 1/6 - 1/12 - 2/8 - 6/2 - 7/3 - Correct Answer-6/2 What is the Arabic number for the Roman numeral M? - 50 - 100 - 500 Swish and spit 15 mL po q4h x 12 days ◉ 180 ◉ 360 ◉ 720 ◉ 1,080 - Correct Answer-1,080 A drug is available as 30 mg/5 mL. How many mL are needed for each dose if the doctor ordered 225 mg? ⚬ 15 ⚬ 30 ⚬ 35.5 ⚬ 37.5 - Correct Answer-37.5 How many milligrams are in one grain of phenobarbital using decimal point strengths? ⚬ 30.4 ⚬ 64.8 ⚬ 95.2 ⚬ 125.8 - Correct Answer-64.8 A drug is available as 12 mg/1 mL. If the doctor ordered 66 mg, how many mL are needed for each dose? - 3 - 5.5 - 6 - 12 - Correct Answer-5.5 The pharmacy ordered five 1-lb jars of hydrocortisone 1% cream. How many grams of hydrocortisone 1% cream were ordered? ◉ 908 ◉ 1,362 ◉ 2,270 ◉ 2,724 - Correct Answer-2,270 Your pharmacy is out of metformin 1,000 mg tablets, so you fill the patient's prescription with 120 metformin 500 mg tablets. If the patient takes 2 tablets BID, what is the days' supply? ◉ 15 days ◉ 20 days ◉ 30 days ◉ 60 days - Correct Answer-30 days Ms. Bowers brings in her prescription to be filled: Ibuprofen 600 mg 1 tab po q8h prn x 10 days Calculate how many tablets you will dispense ◉ 20 ◉ 30 ◉ 40 ◉ 60 - Correct Answer-30 Calculate the quantity to dispense for the following prescription: Phenytoin 100 mg Take 3 caps po qam x 30 days ◉ 30 capsules ◉ 60 capsules ◉ 90 capsules ◉ 120 capsules - Correct Answer-90 capsules Select the proportion that, when reduced, has ratios equal to each other. ◉ 2/6 = 24/72 ◉ 6/30 = 4/16 ◉ 17/51 = 13/26 ◉ 88/176 = 2/6 - Correct Answer-2/6 = 24/72 A 6 : 240 cream contains how much solid active ingredient in how much cream base? ◉ 6 g in 240 mL ◉ 6 g in 240 g ◉ 6 mL in 240 mL ◉ 6 mL in 240 g - Correct Answer-6 g in 240 g Mr. Trang brings in his prescription for Trileptal oral suspension to be filled. How many mL will you dispense for his prescription? Trileptal 300 mg/5 mL 20 mL po BID x 30 days ◉ 600 ◉ 1,200 ◉ 1,800 ◉ 2,400 - Correct Answer-1,200 Mr. Larson dropped off his prescription for pick up later today. Based on the following prescription, calculate the maximum amount of tablets you will dispense to Mr. Larson. Metoclopramide 10 mg 1 tab po q8-12h ac x 2 weeks ◉ 16 ◉ 24 ◉ 28 ◉ 42 - Correct Answer-42 Calculate the days' supply for the following prescription. Zofran 4 mg 1 po q4-6h prn nausea #30 tabs ◉ 2 days ◉ 4 days ◉ 5 days ◉ 7 days - Correct Answer-5 days Why would a patient be concerned about their days' supply being accurate? - To prevent being charged extra co-pays - To prevent receiving a bill for late charges - To ensure the pharmacy doesn't get audited - To ensure the manufacturer tracks the patients quantity they received - Correct Answer-To prevent being charged extra co-pays You need 4.7 g of solution. The pharmacy has in stock 10 g/5 mL solution. How many mL will you need? ◉ 2.35 ◉ 23.5 ◉ 235 ◉ 2,350 - Correct Answer-2.35 A cream mixture contains 8 g of active ingredient and 75 g of cream base. What is the ratio strength for the cream mixture? - 8 : 75 - 8 : 83 - 75 : 8 - 83 : 8 - Correct Answer-8 : 75 The doctor orders 225 mg solution for a patient. The pharmacy has in stock a 500 mg/10 mL solution. How many mL will the patient receive each dose? Mr. Wagner brings in a prescription for his son, Jack. What information should you collect in order to calculate Jack's dosage? ◉ Fat composition ◉ Height ◉ Water composition ◉ Weight - Correct Answer-Weight Mrs. Taylor picked up 2 bottles of Peridex 0.12% rinse. Each bottle is 1 pint. How many fluid ounces total did she get? - 8 - 16 - 24 - 32 - Correct Answer-32 (1 pint = 16 fl oz) What is an example of a metric unit for weight? - g - mL - lb - pt - Correct Answer-g Calculate how many milliliters the patient will receive for the following order: Demerol 90 mg IM solution On hand: Demerol 25 mg/0.5 mL solution ◉ 0.13 ◉ 1.8 ◉ 1,125 ◉ 4,500 - Correct Answer-1.8 Mrs. Monroe weighs 165 lb and is prescribed a med with a dosage of 0.8 mg/kg in 2 divided doses. How many milligrams will Mrs. Monroe receive per day? ◉ 30 mg ◉ 60 mg ◉ 90 mg ◉ 120 mg - Correct Answer-60 mg Tylenol w/Codeine elixir is ordered for an inpatient. How many mL will the patient take at each dose if he's ordered 2 fl dr every 4 to 6 hours as needed for cough? ◉ 2.5 ◉ 5 ◉ 7.5 ◉ 10 - Correct Answer-10 How many mcg are in 15 mg? ◉ 0.15 mcg ◉ 1.5 mcg ◉ 1,500 mcg ◉ 15,000 mcg - Correct Answer-15,000 mcg Dr. Nguyen orders Cipro 7.5 mg/kg in two divided doses. If the child weighs 44 lb, how many milligrams will the child get for each dose? ⚬ 75 mg ⚬ 115 mg ⚬ 150 mg ⚬ 330 mg - Correct Answer-75 mg You need to prepare 1,400 units of heparin for a patient. Your pharmacy has heparin 1,000 units/mL in stock. How many milliliters will you dispense? - 0.14 - 1.4 - 14 - 140 - Correct Answer-1.4 How many drams are in one ounce? ◉ 2 ◉ 4 ◉ 6 ◉ 8 - Correct Answer-8 GoLytely Use as directed prior to colonoscopy #1 gallon How many pints are in the 1-gallon container of GoLytely? - 4 - 8 - 10 - 12 - Correct Answer-8 A patient picks up their prescription for Norco and is told to not take more than 4,000 mg of acetaminophen per day. What's the max acetaminophen daily amount in grams? ◉ 0.004 g ◉ 0.04 g ◉ 0.4 g ◉ 4 g - Correct Answer-4 g A patient is ordered potassium chloride 20 mEq in 1,000 mL normal saline. How many milliliters will you need for the order if your pharmacy stocks potassium chloride 2 mEq/mL concentrated solution? ⚬ 1 ⚬ 4 ⚬ 10 ⚬ 40 - Correct Answer-10 You receive an order for ceftriaxone 125 mg IM. If you use ceftriaxone 1 g/9.6 mL to fill the order, how many mL will you need? - 0.83 - 1.2 - 13 - 1,200 - Correct Answer-1.2 Triamcinolone 0.1% cream AAA bid Disp: 1 oz How many grams will be dispensed? ⚬ 27.35 ⚬ 28.35 ⚬ 28.55 ⚬ 29.35 - Correct Answer-28.35 --------------- (1 oz = 28.35 g) Famotidine 40 mg/5 mL suspension 5 mL po bid Disp: 300 mL What is the quantity dispensed given in deciliters? ◉ 0.3 dL - 172.5 mg - 345 mg - Correct Answer-172.5 mg Mr. Stark just got 1.5 mL of lidocaine 40 mg/mL solution. How many milligrams of lidocaine did he receive? - 27 - 30 - 60 - 70 - Correct Answer-60 Which medication must be dispensed with a patient package insert? ◉ Aspirin ◉ Estrogen ◉ Ibuprofen ◉ Nitroglycerin - Correct Answer-Estrogen How many 8-ounce prescription bottles will you need to fill a prescription of 480 mL of cetirizine? - 1 - 2 - 3 - 4 - Correct Answer-2 In which setting is a technician most likely to fill med carts? - Community - Hospital - Long-term care - Nuclear - Correct Answer-Long-term care Which section of the package insert provides information on a drug affecting a lab test? ◉ Adverse Reactions ◉ Contraindications ◉ Indications and Usage ◉ Warnings and Precautions - Correct Answer-Warnings and Precautions According to federal law, which prescription is good for only 6 months after the date of issuance? ◉ Bactrim ◉ Percocet ◉ Valium ◉ Vyvanse - Correct Answer-Valium You receive the following prescription: Pred Forte susp 1-2 gtts ou q4-6h 5 mL Which auxiliary label should be applied to the prescription? ⚬ Shake well ⚬ Use by date ⚬ Topical use only ⚬ For use in the ear - Correct Answer-Shake well Which type of supplier is used first when products are needed before the pharmacy warehouse delivery? - Correct Answer-Preferred supplier You have 2 bottles of pantoprazole 40 mg in stock. The par level is 3 bottles and the max quantity is 9 bottles. How many bottles should be ordered? - Correct Answer-7 Which type of ordering process provides a comparison of par levels to current stock levels? ⚬ Automated ⚬ Manual ⚬ Perpetual ⚬ Programmed - Correct Answer-Automated You receive the following prescription: Triamcinolone 0.05% cream AAA bid #30 g tube If the medication is available in 15 g tubes, how many tubes will you need to order to fill the prescription? - 1 - 2 - 3 - 4 - Correct Answer-2 Which technique will improve communication with low health literacy patients? ◉ Providing the package insert to the patient ◉ Providing a printed patient information sheet ◉ Using clear and simple directions on the label ◉ Using pharmacy jargon on the prescription label - Correct Answer-Using clear and simple directions on the label Which drug requires an SDS because it can cause harm to an unborn fetus if handled improperly by a pregnant woman? ⚬ Acetaminophen ⚬ Finasteride ⚬ Ibuprofen ⚬ Penicillin - Correct Answer-Finasteride Which section of an SDS would you use to find out if a medication is flammable? ⚬ Accidental Release Measures ⚬ Disposal Considerations ⚬ Handling and Storage ⚬ Hazards Identification - Correct Answer-Hazards Identification When can a patient enroll in Medicare Part D? - Correct Answer-3 months before or after they turn 65 Where should unopened vials of nebulizer solutions be stored? - Correct Answer-Foil packs, vials should only be opened at time of administration How should most rectal suppositories be stored? - Correct Answer-Room temperature Which inhaler type might require the patient to use a spacer to simplify the inhaler technique? - Correct Answer-Metered-dose inhaler You receive a prescription for metronidazole 0.75% vaginal gel. If one box contains 5 applicators and one 70-gram tube of gel, what quantity will you enter into the computer? - 1 tube - 5 applicators - 70 grams - 135 grams - Correct Answer-70 grams Which medication can be given intramuscularly? ◉ Insulin ◉ 0.9% sodium chloride ◉ Medroxyprogesterone ◉ Tuberculosis diagnostic test - Correct Answer-Medroxyprogesterone What's the name of the process of adding water, or another solvent, to a dry powder? Mrs. Dillon brings in the following prescription: Ipratropium 0.02% 1 vial QID PRN #1 box If one box contains 25 vials, how long will it last Mrs. Dillon? ◉ 6.25 days ◉ 16.7 days ◉ 25 days ◉ 37.5 days - Correct Answer-6.25 days What is a spirit? - Concentrated solution of sugar in water - Clear, sweetened, flavored hydroalcoholic mixture - Alcoholic or hydroalcoholic solution of volatile substances - Liquid extract of vegetable drugs that contain alcohol as solvent - Correct Answer- Alcoholic or hydroalcoholic solution of volatile substances Which auxiliary label should be applied to a DPI that use capsules? ◉ Shake well ◉ Refrigerate ◉ Do not swallow ◉ For the nasal route only - Correct Answer-Do not swallow What are products called that are made to be used in the eye? - Ophthalmics - Otics - Parenterals - Transdermals - Correct Answer-Ophthalmics What is a cream? - A semisolid oil-in-water emulsion - An oil-based greasy semisolid preparation - A highly flammable mixture in which the active ingredient is dissolved in alcohol and ether - A semisolid preparation that contains very small solid particles that are suspended in a liquid - Correct Answer-A semisolid oil-in-water emulsion What is a characteristic of pediatric suppositories? - Bullet-shaped - Pencil-shaped - Larger than adult suppositories - Same size as adult suppositories - Correct Answer-Pencil-shaped What is a gelcap? ◉ Capsule-shaped tablet ◉ Capsule filled with liquid medication ◉ Capsule filled with powdered medication ◉ Capsule that must be opened and sprinkled onto food - Correct Answer-Capsule filled with liquid medication Which dosage form is bullet-shaped? ◉ Adult buccal tablets ◉ Pediatric buccal tablets ◉ Adult rectal suppositories ◉ Pediatric rectal suppositories - Correct Answer-Adult rectal suppositories How does ProAir HFA get into the patient's lungs? ⚬ Uses a spring device to aerosolize the medication ⚬ Uses a propellant to help carry the drug into the lungs ⚬ Requires the force of the patient's breath to pull the med into the lungs ⚬ Requires the patient to expose the powder in the device before inhaling - Correct Answer-Uses a propellant to help carry the drug into the lungs What is a consideration to keep in mind when dispensing eye and ear drops? - Ear drops must be sterile - Eye drops can be used in the ear - Eye drops are more acidic than ear drops - Eye and ear drops can be automatically substituted for one another - Correct Answer- Eye drops can be used in the ear Which dosage form dries as a flexible film on the skin? ◉ Collodion ◉ Gel ◉ Liniment ◉ Paste - Correct Answer-Collodion Which is a hydroalcoholic mixture? ⚬ Water and alcohol ⚬ Water and sugar ⚬ Alcohol and sugar ⚬ Alcohol and sodium bicarbonate - Correct Answer-Water and alcohol An intrauterine device is classified as which type of dosage form? - Rectal - Transdermal - Urethral - Vaginal - Correct Answer-Vaginal What is a caplet? ⚬ Capsule-shaped tablet ⚬ Capsule filled with liquid medication ⚬ Capsule filled with powdered medication ⚬ Capsule that must be opened and sprinkled onto food - Correct Answer-Capsule- shaped tablet How is an oral disintegrating tablet administered? - Swallowed whole - Placed under the tongue - Placed on top of the tongue - Dissolved in water before swallowing - Correct Answer-Placed on top of the tongue Mr. English comes into the pharmacy wanting a medicine for a weeping, oozing skin rash. Which topical dosage form will the pharmacist likely recommend? ◉ Cream ◉ Liniment ◉ Ointment ◉ Paste - Correct Answer-Cream Mr. Martinez comes into the pharmacy wanting a medicine for a dry, scaly rash on his elbow. Which topical dosage form will the pharmacist likely recommend? ◉ Cream ◉ Liniment ◉ Lotion ◉ Ointment - Correct Answer-Ointment Which area of the body are ointments good to apply to? ◉ Dry, scaly areas ◉ Hairy areas - 14 days - 21 days - 30 days - Correct Answer-21 days Which medication should be labeled with a "for rectal use only" auxiliary label? ◉ Mirena intrauterine device ◉ Muse urethral suppositories ◉ Phenergan suppositories ◉ Premarin vaginal cream - Correct Answer-Phenergan suppositories Which preparation has solid active ingredients that are completely dissolved in water? - Elixir - Solution - Spirit - Suspension - Correct Answer-Solution Which dosage form must be shaken before administration? - Elixir - Fluid extract - Solution - Suspension - Correct Answer-Suspension What is an elixir? - Concentrated solution of sugar and water - Hydroalcoholic solution of volatile substances - Clear, sweetened, flavored, hydroalcoholic mixture - Alcoholic solution prepared from vegetable extracts - Correct Answer-Clear, sweetened, flavored, hydroalcoholic mixture Medications that are injected into the fatty tissue just below the skin are known as: ⚬ Intradermal injections ⚬ Intramuscular injections ⚬ Intravenous injections ⚬ Subcutaneous injections - Correct Answer-Subcutaneous injections Which rectal dosage form is used to provide extra protection to the area? ◉ Foam ◉ Ointment ◉ Suppository ◉ Suspension - Correct Answer-Ointment Which dosage form is used rectally? ◉ Buccal tablet ◉ DPI ◉ Liniment ◉ Suppository - Correct Answer-Suppository A patient receives an intravenous injection. This is an example of what type of drug administration? ◉ Intranasal ◉ Otic ◉ Parenteral ◉ Transdermal - Correct Answer-Parenteral Ms. Barrington needs to measure 1 mL of an antibiotic for her daughter. Which measuring device should she use? ◉ Dosing cup ◉ Household teaspoon ◉ Household tablespoon ◉ Oral syringe - Correct Answer-Oral syringe A "for vaginal use only" auxiliary label should be applied to which medication? - Cleocin Ovules - Cleocin capsules - Cleocin topical foam - Cleocin injectable solution - Correct Answer-Cleocin Ovules Which dosage form is a semisolid oil-in-water emulsion? ◉ Cream ◉ Gel ◉ Lotion ◉ Ointment - Correct Answer-Cream What is a suppository designed to do? ◉ Be inserted in the buccal pouch ◉ Remain solid until inserted into the body ◉ Be inserted into the ear canal to create a local effect ◉ Release in two steps to create an extended-release effect - Correct Answer-Remain solid until inserted into the body Medications that are injected into the buttocks or deltoid are referred to as: - Intradermal injections - Intramuscular injections - Intravenous injections - Intravenous injections - Correct Answer-Intramuscular injections Which dosage form is a liquid mixture of various substances in an oil, emulsion, or alcoholic solution of soap? - Collodion - Gel - Liniment - Paste - Correct Answer-Liniment Which preparation has solid ingredients that are NOT completely dissolved in a liquid? ◉ Solution ◉ Spirit ◉ Suspension ◉ Syrup - Correct Answer-Suspension A 0.5 mL insulin syringe measures up to: - 10 units of insulin - 30 units of insulin - 50 units of insulin - 100 units of insulin - Correct Answer-50 units of insulin Which liquid is a concentrated solution of sugar in water? ⚬ Elixir ⚬ Spirit ⚬ Syrup ⚬ Tincture - Correct Answer-Syrup You receive the following prescription: ProAir HFA 2 puffs q4-6h prn #1 inhaler If one ProAir HFA inhaler contains 200 inhalations, how long will it last the patient? ◉ 5 days ◉ 16 days ◉ 25 days - Place on the tongue and wash down with a drink - Correct Answer-Place on the tongue and wash down with a drink Which dosage form is good for an unconscious patient? - Buccal tablet - Gelcap - Meter-dose inhaler - Suppository - Correct Answer-Suppository Which rectal dosage form is used for its cooling effect? ◉ Gel ◉ Ointment ◉ Solution ◉ Suppository - Correct Answer-Gel You receive the following prescription: Maxitrol susp 1-2 gtts os q4-6h #5 mL How many days will the bottle last the patient? ⚬ 4 days ⚬ 8 days ⚬ 16 days ⚬ 25 days - Correct Answer-8 days Mr. Warner brings in the following prescription: Xopenex HFA 2 puffs qid PRN # 1 month supply If one inhaler contains 200 doses, how many inhalers will Mr. Warner need to last him at least 30 days? - Correct Answer-2 Ms. Lane brings in the following prescription: Vigamox 1 gtt ou tid x 7d What size bottle of medication will you dispense? - 3 mL - 6 mL - 9 mL - 12 mL - Correct Answer-3 mL Which area of the body are lotions good to apply to? - Dry, rough areas - Areas with a lot of hair - Areas that need protection - Weeping, oozing areas - Correct Answer-Areas with a lot of hair How is a buccal tablet administered? ◉ Swallowed whole ◉ Placed under the tongue ◉ Swallowed after mixing with water ◉ Placed between the cheek and gum - Correct Answer-Placed between the cheek and gum Which dosage form can be injected intravenously? ◉ Solution ◉ Suspension ◉ Syrup ◉ Tincture - Correct Answer-Solution Ms. Brenton was told to take an enteric-coated aspirin tablet. How will she take her medication? - Swallow it whole. - Place it under the tongue. - Place it between the cheek and gum. - Sprinkle it on food before swallowing. - Correct Answer-Swallow it whole. Which best describes the correct administration of oral powders? - Chew before swallowing. - Dissolve under the tongue. - Mix in a glass of water before swallowing. - Place on the tongue and wash down with a drink. - Correct Answer-Place on the tongue and wash down with a drink. You receive a prescription for promethazine suppositories. Which auxiliary label should be applied to the prescription? - Shake well - Refrigerate - For sublingual use only - Take on an empty stomach - Correct Answer-Refrigerate Which preparation has solid active ingredients that are completely dissolved in water or alcohol? - Elixir - Solution - Suspension - Syrup - Correct Answer-Solution (key phrase is completely dissolved!) Which medication comes as a rectal suppository? ◉ Alprostadil ◉ Levonorgestrel ◉ Miconazole ◉ Promethazine - Correct Answer-Promethazine Which dosage form is usually rubbed in with friction? - Collodion - Gel - Liniment - Lotion - Correct Answer-Liniment Which transdermal patch should be flushed down the toilet instead of thrown in the trash? ◉ Climara ◉ Duragesic ◉ Flector ◉ Lidoderm - Correct Answer-Duragesic How is a sublingual tablet administered? ◉ Swallowed whole ◉ Placed under the tongue ◉ Chewed before swallowing ◉ Placed between the cheek and gum - Correct Answer-Placed under the tongue Which dosage form uses a spring device to aerosolize a medication? - Aqueous nasal spray - Dry-powder inhaler - Metered-dose inhaler ⚬ Slows down the dispensing process ⚬ Adds more steps to the pharmacist's final check ⚬ Reduces the amount of errors in the dispensing process ⚬ Eliminates the need to verify the med's physical appearance - Correct Answer- Reduces the amount of errors in the dispensing process Mrs. Russos is deaf. She comes into your pharmacy with her daughter to drop off three prescriptions. Which communication technique is appropriate while helping Mrs. Russos? ◉ Overexaggerate words ◉ Ask open-ended questions ◉ Use a telephone interpretation service ◉ Maintain eye contact with Mrs. Russos' daughter - Correct Answer-Ask open-ended questions The pharmacist hands you a prescription he took over the phone for Mr. Jordan. When Mr. Jordan picks up his med he says it's supposed to be for Levemir FlexTouch, but Lovenox was filled instead. Which written communication strategy could have prevented this error? - Writing in block lettering - Avoiding readable handwriting - Using understandable handwriting - Avoiding drug name abbreviations - Correct Answer-Using understandable handwriting Ms. Simmons calls the pharmacy and explains her daughter's amoxicillin suspension is a bottle of powder. The pharmacy forgot to add water to it. Which strategy will help you in this situation? - Listen to the patient and remain calm. - Tell the pharmacist which employee is at fault. - Inform the patient it's not a problem and happens often. - Tell the patient that you'll inform the pharmacist and call her back. - Correct Answer- Listen to the patient and remain calm Mr. Rivas brings in his new prescription for clopidogrel. After you enter the prescription into the computer, you can see the claim is approved. What is this process known as? - Adjudication - Cost-sharing - Med reconciliation - Prior authorization - Correct Answer-Adjucation Mr. Ramsey is a new patient and is dropping off his prescription. What information do you need to obtain from Mr. Ramsey? ◉ Completed New Drug form ◉ Height, weight, and body mass index ◉ Address and phone number of his employer ◉ Current medications and medical conditions - Correct Answer-Current medications and medical conditions When responding to a patient, you should: ◉ Make eye contact ◉ Speak slowly ◉ Talk in a loud tone ◉ Use medical lingo - Correct Answer-Make eye contact For which pharmacy task can prescription label bar codes be useful? ◉ Restocking shelves ◉ Accepting refill authorizations ◉ Processing prescription refills ◉ Refilling automated dispensing devices - Correct Answer-Processing prescription refills What information must be distributed to the patient, according to federal law, when they are at the pick-up window? - Privacy Rule Practice - Privacy Practice Form - Notice of Privacy Practice - Note of Privacy Regulations - Correct Answer-Notice of Privacy Practice Which type of question is a good way to ensure you are getting the right information from a patient? - Application - Empathetic - Knowledge-based - Open-ended - Correct Answer-Open-ended A prescription for a noncontrolled substance should include the patient's: ◉ Home address ◉ Date of birth ◉ Insurance information ◉ Telephone number - Correct Answer-Date of birth If you are pregnant or may become pregnant, why is it recommended that you do not handle broken or crushed hazardous meds? ◉ They may be absorbed through your skin and cause you harm ◉ They may be absorbed through your clothes and cause you harm ◉ They may be absorbed through your skin and cause birth defects ◉ They may be absorbed through your clothes and cause birth defects - Correct Answer-They may be absorbed through your skin and cause birth defects A prescription that comes to the pharmacy through an automated answering machine is known as which type of prescription? - Electronic - Faxed - Paper - Verbal - Correct Answer-Verbal What is an example of tall man lettering? ◉ Clonidine ◉ LaMICtal ◉ SPIRONOLACTONE ◉ topiriMate - Correct Answer-LaMICtal What information is required on a prescription for Tramadol? - Patient's full address - Prescriber's NPI number - Patient's insurance provider - Pharmacy's DEA number - Correct Answer-Patient's full address Look-alike/sound-alike medications are found on the Institute for Safe Medication Practices List of: - Confused Drug Names - Dangerous Abbreviations - Hazardous Medications - High-Alert Medications - Correct Answer-Confused Drug Names When you're preparing creams or ointments and need to weigh your ingredients, you generally will use a(n): ⚬ Beaker with lid ⚬ Electronic balance ⚬ Graduated cylinder ⚬ Measuring cup - Correct Answer-Electronic balance - Pharmacy's DEA number - Patient's medication profile - Correct Answer-The medication the patient wants refilled A prescription for a controlled medication must include the: ◉ Patient's full address ◉ Pharmacy's DEA number ◉ Prescriber's NPI number ◉ Insurance ID number - Correct Answer-Patient's full address What is required on a noncontrolled prescription? ◉ Drug NDC number ◉ Medication strength ◉ Pharmacy address ◉ Prescriber's telephone - Correct Answer-Medication strength Which equipment will you need to fill a prescription for metformin 500 mg tabs? ◉ Graduated cylinder and beaker ◉ Counting tray and spatula ◉ Needle and syringe ◉ Mortar and pestle - Correct Answer-Counting tray and spatula A graduated cylinder is used to measure: - Capsules - Liquids - Ointments - Tablets - Correct Answer-Liquids Handwashing should be done after: - Putting away inventory - Selecting LASA medications - Reconstituting a medication - Handling hazardous medications - Correct Answer-Handling hazardous medications What is one of the main causes for medications that need to be packaged in their original container to lose their potency? - Exposure to light - Lid secured too tightly - Being a specific shape - Too many preservatives - Correct Answer-Exposure to light Which is an example of an appropriate liquid measuring device for patients? ◉ Amber bottle ◉ Dosing cup ◉ Graduated cylinder ◉ Household teaspoon - Correct Answer-Dosing cup When you are selecting a medication from the pharmacy shelf, you need to double- check the drug's name, strength, manufacturer, and: - AMP - AWC - NDC - NPI - Correct Answer-NDC Which button on a digital scale clears the memory and resets the scale to 0 g? - Memory - Power - Reset - Tare - Correct Answer-Tare When speaking with patients at drop off, you want to: - Avoid direct eye contact - Ask yes or no questions - Speak quickly and mumble - Avoid using pharmacy jargon - Correct Answer-Avoid using pharmacy jargon Having your tablets in a single layer on the counting tray can: ◉ Prevent miscounts ◉ Increase miscounts ◉ Make counting slower ◉ Make counting harder - Correct Answer-Prevent miscounts Which medication would you generally need to double-count? ◉ Alprazolam ◉ Escitalopram ◉ Trazodone ◉ Venlafaxine - Correct Answer-Alprazolam What type of paper is commonly used for prescriptions to help show possible alterations? ◉ Blot-resistant ◉ Ink-resistant ◉ Tamper-resistant ◉ Water-resistant - Correct Answer-Tamper-resistant Which is an example of a red flag for a fraudulent prescription? - Small quantity - Local prescriber - Hometown patient - Incomplete prescription - Correct Answer-Incomplete prescription What term is used to describe Mr. Losser's insurance paying 85% of the cost of his medication? ◉ Annual fee ◉ Co-insurance ◉ Commission ◉ Deductible - Correct Answer-Coinsurance What is the term used to describe a percentage of the medication's cost? ◉ Co-insurance ◉ Deductible ◉ Premium ◉ Proportion - Correct Answer-Coinsurance A new patient comes to your pharmacy's drop-off window right before closing time. He hands you a prescription written for a significantly large quantity of Percocet. What do you do? - Process the prescription as you normally would. - Fill the medication for only half of the quantity prescribed. - Alert the pharmacist about the large quantity of medication. - Tell the patient it's a fraudulent prescription so it can't be filled. - Correct Answer-Alert the pharmacist about the large quantity of medication. How can bar codes on medication stock bottles help with your pharmacy tasks? - Processing insurance claims - Bringing up a patient's profile - Identifying prescriptions to be refilled - Reordering medications from the supplier - Correct Answer-Reordering medications from the supplier When counting finasteride tablets, which personal protective equipment must you use? What does a dual-eligible patient mean? ◉ They applied for insurance and are awaiting approval from the company ◉ They have more than one insurance plan to cover the cost of medications ◉ They have two insurances, but must choose one to cover their medications ◉ Their benefits have ended and have been put in a temporary insurance program - Correct Answer-They have more than one insurance plan to cover the cost of medications Which number on an insurance card is used to identify the policyholder? ◉ Group ◉ BIN ◉ Member ID ◉ PCN - Correct Answer-Member ID Hospital visits, hospice, and skilled nursing facilities are covered by which Medicare part? - A - B - C - D - Correct Answer-A What does it mean to need a "prior authorization" for a medication? ◉ The prescriber has to provide the pharmacy with the patient's lab results. ◉ The pharmacy can't fill the medication because the patient still has some at home. ◉ The prescriber needs to provide justification for medication use to the third-party payer. ◉ The pharmacy has to order the medication, but provides a few days' supply in the meantime. - Correct Answer-The prescriber needs to provide justification for medication use to the third-party payer. Prescriber visits, DME, limited outpatient prescriptions, and physical therapy are covered by which Medicare part? - A - B - C - D - Correct Answer-B A joint government program that helps with medical costs for those who fall under the national poverty level is called what? ◉ Medicaid ◉ Medicare ◉ TRICARE ◉ Preferred Provider Organization - Correct Answer-Medicaid Which Medicare plan combines original Medicare with a prescription plan? - Part A - Part B - Part C - Part D - Correct Answer-Part C What action might an insurance company take when a pharmacy is dispensing refills too soon? - An audit - A compliance check - A contract review - A fee evaluation - Correct Answer-An audit Ms. Sampson has two prescription insurance plans. What is it called when you bill both of her insurances for a medication? ◉ Coordination of benefits ◉ Dual-eligible ◉ Primary payer ◉ Secondary payer - Correct Answer-Coordination of benefits Which number is used to identify each family member on an insurance plan? ◉ Dependent code ◉ Group ◉ BIN ◉ Member ID - Correct Answer-Dependent code Medicare Part D enrollment is between which dates? - January 1 to April 15 - May 1 to July 7 - October 15 and December 7 - November 15 to December 31 - Correct Answer-October 15 and December 7 What is a list of medications that insurance will cover called? - Adjudication - Co-pay - Formulary - Open enrollment - Correct Answer-Formulary What is the set amount of money paid by the patient until the insurance pays for health coverage? ◉ Co-pay ◉ Deductible ◉ Formulary ◉ Premium - Correct Answer-Deductible What is it called when a third-party payer looks for inconsistent billing from a pharmacy? ◉ Assessment ◉ Audit ◉ Override ◉ Review - Correct Answer-Audit If a patient's insurance plan requires a primary care physician, it's likely they have which type of insurance? ◉ HMO ◉ PBM ◉ PPO ◉ TRI - Correct Answer-HMO Which number is used as a second identifier to identify a specific plan within an insurance company? ◉ Group ◉ BIN ◉ Member ID ◉ PCN - Correct Answer-PCN What does Medicare Part D cover? ◉ Hospital visits ◉ Nebulizer medications ◉ Outpatient prescriptions ◉ Prescriber visits - Correct Answer-Outpatient prescriptions What is it called when a patient pays a set amount of money for their medication? - Co-pay - Deductible - Formulary ◉ A pharmacy submits a claim electronically to the insurance company. ◉ A prescribers office sends an electronic prescription to the pharmacy. - Correct Answer-A pharmacy submits a claim electronically to the insurance company. What do third-party payers primarily work to accomplish? - Dispense medications to individuals and families - Provide effective and expensive healthcare services - Increase the cost of how much the patient will be charged - Reduce the cost of healthcare services for individuals and families - Correct Answer- Reduce the cost of healthcare services for individuals and families When a patient is able to see the physician of their choice, it's likely they have which type of insurance? ◉ HMO ◉ PBM ◉ PPO ◉ TRI - Correct Answer-PPO Once a patient has enrolled or made changes to Medicare Part D, when does it take effect? - January 1 - April 15 - July 4 - December 31 - Correct Answer-January 1 Which section of the SDS would you find information on how to clean a hazardous spill? - Accidental Release Measures - Disposal Considerations - First-Aid Measures - Hazard(s) Identification - Correct Answer-Accidental Release Measures In which section of the SDS can compounding garb information be found? - Accidental Release Measures - Exposure Controls/Personal Protection - Handling and Storage - Hazard(s) Identification - Correct Answer-Exposure controls/personal protection Mr. Carrington received Celexa instead of Celebrex in his medication vial. This medication error occurred most likely because of the: ◉ Checking pharmacist ◉ Filling technician ◉ Point-of-sale clerk ◉ System failure - Correct Answer-System failure Mr. Phaelen tells you that his levothyroxine tablets are a different color than the last time he got them filled, and he is concerned something is wrong. You should: - Identify which employee made the error - Alert the pharmacist and investigate the concern - Inform the patient the error was a misunderstanding - Calm the patient down and offer excuses why the error likely occurred - Correct Answer-Alert the pharmacist and investigate the concern Which is the name of the medication error reporting program used specifically for hospitals? - Correct Answer-MedMARx Which drug category requires an SDS? ◉ Bulk ingredients ◉ Dietary supplements ◉ Homeopathic ◉ Over-the-counter - Correct Answer-Bulk ingredients An SDS contains information about the medication's: ◉ Administration ◉ Cost ◉ Side effects ◉ Storage - Correct Answer-Storage While handling Mrs. Wiley's Lamisil Rx, you notice Lamisil looks like Lamictal. Separating these products on the pharmacy shelf is an important step in which part of the prescription process? ◉ Drop-off ◉ Order entry ◉ Filling ◉ Delivery - Correct Answer-Filling How can medication errors be avoided at order entry? ◉ Be alert for drug names with suffixes. ◉ Ask patients if they have any new allergies. ◉ Encourage patients to ask questions about their medications. ◉ Use shelf tags to separate look-alike/sound-alike medications. - Correct Answer-Be alert for drug names with suffixes. Medication errors, such as mixing up glipizide and glyburide, should be reported to which FDA-regulated program? ◉ Medline ◉ MedManage ◉ Medscape ◉ MedWatch - Correct Answer-MedWatch At which point in the medication-use process should you double-check that Mr. Thomas' Augmentin suspension has been reconstituted? ◉ Drop-off ◉ Order entry ◉ Filling ◉ Delivery - Correct Answer-Delivery Mrs. Thompson comes in with a new Rx for Lipitor. What should be done at prescription drop-off to avoid a medication error? ◉ Tell the pharmacist about any drug alerts that pop up. ◉ Separate look-alike medications on pharmacy shelves. ◉ Set up a working system to avoid errors with reconstituted antibiotics. ◉ Update her profile with current allergy information and any new medical conditions. - Correct Answer-Update her profile with current allergy information and any new medical conditions. Which strategy should you use when you're confronted with a medication error? ⚬ Admit liability. ⚬ Acknowledge the error. ⚬ Alert the pharmacist at the end of the day. ⚬ Tell the patient you will call them later to discuss it. - Correct Answer-Acknowledge the error Which agency requires an SDS for every hazardous drug in the pharmacy? ◉ OSHA ◉ ASHP ◉ AAPT ◉ DEA - Correct Answer-OSHA In which section of the SDS can you find information on how to properly discard a drug? ◉ Disposal Considerations ◉ First-Aid Measures