RITE AID PTU EXAM ACTUAL QUESTIONS AND ANSWERS LATEST UPDATED 2024/2025 (GRADED A+), Exams of Pharmacy

Download RITE AID PTU EXAM ACTUAL QUESTIONS AND ANSWERS LATEST UPDATED 2024/2025 (GRADED A+) and more Exams Pharmacy in PDF only on Docsity! RITE AID PTU EXAM ACTUAL QUESTIONS AND ANSWERS LATEST UPDATED 2024/2025 (GRADED A+) Package inserts: highlights - ✔✔-boxed warnings -safety alerts from FDA Package inserts: indications and usage - ✔✔Which disease or conditions the med has been approved to treat by the FDA . Package insert: dosage and administration - ✔✔Doses for particular age, groups, and different disease states administration requirements Package insert: contraindications - ✔✔When a drug should not be used Package insert: warning and precautions - ✔✔-Serious and life-threatening reactions -using med in certain patient populations -Lab test affected by a drug Package insert: adverse reactions - ✔✔Grouped by body systems a report showing how many people experience side effects -side effects reported after drug hit the market "post marketing experience section" Package insert: drug interactions - ✔✔-Two more drugs react with each other -how and why drugs interact -when interacting that should be avoided Package insert: drug abuse and dependence - ✔✔Schedule classification, abuse/addiction and tolerance potential of drug Package insert: overdosage - ✔✔Signs symptoms, treatments of overdosing Package insert: clinical pharmacology - ✔✔Used by pharmacist/prescribers How the drug works (mechanism of action) How drug is absorbed metabolized eliminated by body Package insert: non-clinical toxicology - ✔✔Used by pharmacist/prescribers If it affects fertility or causes cancer Package insert: clinical studies - ✔✔Used by, pharmacist prescribers How well drug for approved indications Package insert: How supplied - ✔✔Med dosage form Storage handling Description of appearance What is the Orange Book? - ✔✔Approved Drug Products with Therapeutic Equivalence Evaluations Which drug info resource contains a compilation of package inserts? - ✔✔Prescribers digital reference Off-label use - ✔✔Prescribing the medication for an unapproved indication Which pregnancy category is considered the riskiest? - ✔✔x Handbook on Injectable Drugs - ✔✔Used to determine the compatibility of medications that will be used in an IV bag. Shows the compatability, solubility, and stability of medications Which drug information resource defines the standards for medications, such as dosage forms and excipients? - ✔✔United States Pharmacopeia/National Formulary Medication Guides (MedGuides) - ✔✔A patient handout provided for many prescription medications to help avoid serious adverse events -Must give one with all outpatient prescriptions Combat Methamphetamine Epidemic Act of 2005 - ✔✔Restrict the sale of pseudoephedrine Which class of medication has a national registry to keep track of fetal malformations in pregnant patients? - ✔✔Antiepileptics Which DEA form must be used when transferring schedule to medication from one pharmacy to another? - ✔✔222 What is a requirement of the clozapine REMS program? - ✔✔Predispense Authorization code What is a manufacturer allowed to change when creating an equivalent generic medication? - ✔✔Fillers Controlled substance act - ✔✔law that established penalties for possession, use, or distribution of illegal drugs and established five schedules for classifying drugs DEA number formula - ✔✔2 letters followed by seven single digit numbers. the formula for checking a DEA number on a prescription form is :(1st + 3rd + 5th) + 2 (2nd + 4th + 6th) = last digit is last digit of DEA # Which organization must the investigational new drug application be filed with - ✔✔FDA A collaborative agreement as a system that allows pharmacist to automatically substitute? - ✔✔Pharmacologic and therapeutic Alternatives How many refills are allowed on a testosterone prescription? - ✔✔5 Hatch-Waxman Act of 1984 - ✔✔Allows manufacturer to submit ANDAs (abbreviated new drug application) to market generic drugs AKA The drug price, competition and patent term restoration act of 1984 Durham-Humphrey Amendment of 1951 - ✔✔• Created a distinction between "OTC" and "Perscription Drugs". Omnibus Budget Reconciliation Act of 1990 (OBRA 90) - ✔✔Pharmacists must provide patient counseling and drug utilization review on (all patients) Poison Prevention Packaging Act of 1970 - ✔✔Requires use of child-resistant containers for prescription and nonprescription drugs. Meds that can be dispensed without child resistance: inpatient meds, sublingual nitroglycerin tablets, inhalers, oral contraceptives Which type of drugs are involved in a Class 3 recall? - ✔✔Drugs unlikely to cause adverse events The CSA defines and regulates: - ✔✔controlled substance medications DEA letters - ✔✔A, B, F - physicians writing a prescription for controlled substances M - mid'level practitioner (physician assistant) X - prescribers who qualify to order medications used to treat opioid addiction To bring a generic medication to market a manufacturer must submit a? - ✔✔Abbreviated New Drug Application Which DEA form will the pharmacist need to fill out and reporting the theft of a controlled substance? - ✔✔106 Diversion is - ✔✔The use of controlled substance medication's for recreational purpose Which federal agency is responsible for the regulation of labeling on prescription and OTC meds? - ✔✔FDA Which regulatory agency is responsible for creating standards for packaging to protect children from accidental poisonings with meds? - ✔✔Consumer product safety commission Maximum amount of pseudoephedrine Allowed to receive through the mail each month? - ✔✔7.5 grams How often is a pharmacy required to take a complete inventory of controlled substances? - ✔✔every 2 years biennially The Clozapine REMS program monitors the risk for: - ✔✔severe neutropenia Food, drug and cosmetic act of 1938 - ✔✔-BEFORE selling, manufacturer have to prove drugs: purity, strength, and safety Class I Recall - ✔✔Cause life-threatening adverse effects Pure Food and Drug Act of 1906 - ✔✔Prohibits misbranding (false labeling) and adulteration(contamination of unknown/unsafe contents) Class II recall - ✔✔A contaminated medication that could cause temporary, but reversible adverse effect Sublingual tablets - ✔✔placed under the tongue D5W (5% dextrose in water) - ✔✔Isotonic solution How is an effervescent tablet administered? - ✔✔Mixed with water before administration Ointment is best used for? - ✔✔Dry, scaly rash Lozenge - ✔✔Medicated tablet that dissolves in the mouth Liniment - ✔✔a liquid or lotion, especially one made with oil, for rubbing on the body to relieve pain. metered-dose inhaler (MDI) - ✔✔Use a propellant to carry drug into the lungs Canister down while inhaling deeply and slowly through mouth Might need spacer dry powder inhaler (DPI) - ✔✔Use the force of the patient's breath to pull med into lungs Store capsules in blister packs until time of administration Inhalant (Nebulizer) Solutions - ✔✔Solution placed in nebulizer creates mist inhaled by the patient through a mask Soft mist inhalers SMI - ✔✔Use a spring device to aerosolize the drug Tube shaped What area of the body or lotions good to apply to? - ✔✔Areas with a lot of hair Capsule - ✔✔oblong gelatin container filled with powder Subcutaneous injections - ✔✔Injection of a small amount of a medication under the skin into fatty or connective tissue Gel - ✔✔Semi solid preparation that contains very small, solid particles that are suspended in a liquid Cream - ✔✔Semi solid oil in water emulsion Elixir - ✔✔Clear sweetened flavored Hydro alcoholic mixture Paste - ✔✔Provide a protective layer for the affected area A controlled substance prescription label needs? - ✔✔Patient's full address, date of filling, pharmacy's name & address Which statement must appear on all controlled substance prescription labels? - ✔✔*"Caution: federal law prohibits the transfer of this drug to any person other than the person for whom it was prescribed"* non-Controlled medication must include - ✔✔Date written, prescriber's license designation, directions for use What info must be distributed to the patient when picking up a prescription - ✔✔Notice of privacy practice Coinsurance - ✔✔A percentage of the medication's cost Milliliters to ounces conversion - ✔✔29 mL for 1 oz Pounds to kilograms conversion - ✔✔1 kg = 2.2 lbs Weighing boat - ✔✔Used to contain powder when weighing Which medication class may cause fetal harm, or birth effects, if inhaled, absorbed through the skin - ✔✔Chemo What is adjudication known as - ✔✔The process of submitting a claim to the insurance company The PCN on the insurance card identifies which information - ✔✔The specific plan with the insurance company What does an ongoing amount paid by an individual to maintain insurance coverage? - ✔✔Premium What is the set amount of money paid by patient until insurance pays for the health coverage? - ✔✔deductible Medicare part C includes what coverage - ✔✔Hospital, prescribers, and prescriptions Which Medicare plan covers most outpatient prescriptions - ✔✔Part D What information does the BIN identify? - ✔✔The third-party payer that's billed by the pharmacy for a prescription Medicare Part A - ✔✔Hospital visits, hospice, and skilled nursing facilities Medicare Part B - ✔✔Prescriber visits Which section of the SDS would you find information on how to clean a hazardous spill - ✔✔Accidental Release Measures Examples: -Hepatitis B, -Human papillomavirus(gradasil 9) -herpes (shingrix) Size of needle for subcutaneous vaccine - ✔✔5/8 What is the minimum amount of time that a patient needs to wait after receiving a blood product before receiving a varicella vaccine? - ✔✔3 months What temperature range should a refrigerator that store stores vaccines be kept - ✔✔2 to 8 celcius What temperature should room temperature products be stored in the pharmacy - ✔✔59 to 86°F USP 795: Non-sterile compounding - ✔✔- oral (solid/liq), rectal, vaginal, topical, nasal, otic 1. non-preserved aqueous = 14 days 2. preserved aqueous = 35 days 3. non-aqueous = 90 days 4. solid dosage form = 180 days (6 mo) Temp: - fridge = 2-8C - freezer = (-)10-(-)25C - room temp (CRT) = 20-25C What must be included on a label of a non-sterile compound? - ✔✔Beyond use date A general compounding term: Geometric dilution - ✔✔requires you to start with the smallest quantity ingredient and add an equal amount of the second ingredient in a series of steps A general compounding term: Levigation - ✔✔triturating a powder drug with a solvent in which it is insoluble to reduce its particle size Uses an agent to help combine an insoluble solid with a cream or ointment A general compounding term: Spatulation - ✔✔Combines two creams together by folding A general compounding term: Trituration - ✔✔The general compounding term: The process of grinding powders to reduce particle size A general compounding term: Comminution - ✔✔reducing a substance to fine particles What piece of equipment is flat and non-pour surface where you'll mix cream? - ✔✔Ointment slab What information must be included on the label of a non-sterile product - ✔✔Storage conditions General compounding term: Blending - ✔✔used for mixing two substances together The temperature auxiliary sticker is what color - ✔✔Blue Why was USP 795 created? - ✔✔Created to ensure patients benefit without significant risk of Med errors Which product can be made by non-stereo compounding - ✔✔Topical creams Which resource do you need to perform non-hazardous non-sterile compounding - ✔✔A designated area How much pseudoephedrine for retail sale? - ✔✔9 grams for 30 days 3.6 grams per transaction/day Liberation - ✔✔Medication breaks down into a form the body can absorb Absorption - ✔✔When the body absorbs the medication into bloodstream Distribution - ✔✔Where the medication is transported to Metabolism - ✔✔Destruction of the medication into an inactive form Elimination - ✔✔Excretion or removal of the medication from the body Agonist - ✔✔Stimulates body to perform an action Antagonist - ✔✔Blocks body from performing an action Master Formulation Record - ✔✔Recipe that provides the ingredients and instructions on how to prepare the compounded product Compound Record - ✔✔contains names, dates, compound process Which process best describes non-sterile compounding? - ✔✔Making a specific medication that is not available commercially Which mortar and pestle is best used when compounding liquid? - ✔✔Glass Where are ADCs commonly found in a hospital? - ✔✔Nursing stations Where is aseptic hand washing performed - ✔✔anteroom How to calculate correct dose with patient - ✔✔Multiply BSA by the prescription Which items are usually garbed before hand hygiene? - ✔✔Shoe covers, hair cover, and face mask What is an advantage of dispensing a medication with an Add-Vantage system? - ✔✔Can be mixed outside the anteroom USP <797> Hand Hygiene Procedure - ✔✔-must wash hands and forearms to elbow for 30 seconds - remove debris from under fingernails with nail cleaner and warm water - do not use antimicrobial scrub brushes on the skin because they can cause skin shedding - dry hands and forearms completely using lint free disposable wipes of electronic dryer What supply item should be used to protect a top of a used vile? - ✔✔IVA seal What is donning? - ✔✔Putting on PPE What type of flow hood is completely enclosed? - ✔✔CACI What supply item do you use to prevent coring when piercing a vile multiple times? - ✔✔Dispensing pin Piercing a rubber stopper of a vial should be done at what angle? - ✔✔45 to 90° Which part of the syringe is safe to touch? - ✔✔knob Which part of the syringe has the volume demarcations? - ✔✔barrel What needs an ISO 5 or better? - ✔✔PEC Which PPE is needed during chemotherapy compounding? - ✔✔Safety goggles George needs 10 mL of fluid. How much air should be in the syringe before he inserts the needle into the vial? - ✔✔10ML Why is a antimetic given to chemo patients? - ✔✔Minimize nausea and vomiting What length of needle do you use for SQ injections? - ✔✔5/8 inch What length needle for intramuscular injections? - ✔✔1-1.5 inch How thick of a needle is suitable for most vaccines? - ✔✔22 - 25 gauge What angle degree for SQ injections? - ✔✔45 degrees What angle degree for intramuscular injections? - ✔✔90 degrees Intramuscular injection - ✔✔an injection into deep muscle tissue, usually of the buttock, thigh, or upper arm intradermal injection - ✔✔Injected between upper layers of the skin usually in back or arm