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PTCB Practice Test 2

Total questions: 90

Worksheet time: 3hrs 0mins

Name
Class
Date
1.

Which medication is a local anesthetic?

a)

lidocaine

b)

fluconazole

c)

montelukast

d)

donepezil

2.

When a prescription is returned to stock in a pharmacy, what happens to the insurance claim?

a)

it is maintained for pharmacy profit

b)

the claim is reversed

c)

the pharmacy must notify the insurance company for a prior authorization

d)

thepatient must pay cash the next time the prescription is filled

3.

Which of the following capsule sizes is the smallest, holding approximately 50mg?

a)

5

b)

2

c)

1

d)

00

4.

If the drug class for citalopram was indicated as an abbreviation on a prescription, what might it be confused with?

a)

acetaminophen

b)

morphine sulfate

c)

hydrochlorothiazide

d)

sliding scale regular insulin

5.

Which of the following organizations publishes a high-alert/high-risk medication list for internal pharmacy use?

a)

FDA

b)

DEA

c)

NIOSH

d)

ISMP

6.

Many medications in the antiviral drug class end in

a)

-cillin

b)

-vir

c)

-sporin

d)

-toin

7.

Which of the following organizations defines what makes a drug hazardous and maintains a hazardous drug list?

a)

FDA

b)

NIOSH

c)

SDS

d)

DEA

8.

An order is written for 100ml of a 6% solution. You have a 10% solution in stock. How much stock solution and how much diluent are needed to compound this order?

a)

50ml stock, 50ml diluent

b)

20ml stock, 80ml diluent

c)

60ml stock, 40ml diluent

d)

70ml stock, 30ml diluent

9.

Which of the following should always be disposed of in a red biohazard container?

a)

infectious waste

b)

needles

c)

gowns and gloves used when compounding chemotherapy

d)

warfarin packaging

10.

Which of the following drugs is considered by the ISMP to be high-risk/high-alert?

a)

glimepiride

b)

clindamycin

c)

meclizine

d)

ipratropium

11.

A patient's insurance is requiring an alternative generic medication to the prescribed fexofenadine. Which of the following would be an appropriate therapeutic substitution?

a)

pseudoephedrine

b)

benzonatate

c)

loratadine

d)

guaifenesin

12.

How much dextrose is in a 250ml bag of D5W?

a)

10 g

b)

12.5 g

c)

15 g

d)

20 g

13.

Which of the following is used to measure the weight of an item or substance using a Class A balance?

a)

weighing paper

b)

vehicle

c)

beaker

d)

calibration weights

14.

Which of the following vaccines should be stored frozen?

a)

Hepatitis A

b)

Rotavirus

c)

Varicella

d)

Pneumococcal

15.

Which of the following is able to be used for several doses?

a)

SDV

b)

Ampule

c)

MDV

d)

Epidural

16.

Which of the following drugs is considered by the ISMP to be high-risk/high-alert?

a)

apixaban

b)

bupropion

c)

citaprolam

d)

aripiprazole

17.

What is the maximum number of refills that could be written for a prescription for hydromorphone?

a)

no refills

b)

1 refill

c)

5 refills in 6 months

d)

no restriction o refills

18.

A patient has a 30-day supply of medication that is filled 8 times in one year. What is the adherence percentage for this patient?

a)

25%

b)

33%

c)

56%

d)

66%

19.

The abbreviation for International nit is often confused with

a)

U

b)

IM

c)

TPN

d)

IV

20.

Which of the following is the appropriate way to write "nine milligrams"?

a)

9.0 mg

b)

9 mcg

c)

9 mg

d)

9.0 mcg

21.

A pharmacy technician needs to prepare 100 grams of 3% hydrocortisone ointment using 5% and 1% hydrocortisone base. How many grams of each are required to compound this order?

a)

60g of the 1% and 40g of the 5%

b)

70g of the 1% and 30g of the 5%

c)

50g of the 1% and 50g of the 5%

d)

75g of the 1% and 25g of the 5%

22.

A patient has an order written as "Take 1 tablet PO QAM DX HTN." The patient is taking medication for

a)

heartburn

b)

headache

c)

high cholesterol

d)

blood pressure

23.

The first set of numbers of an NDC represent the

a)

labeler

b)

drug

c)

package size

d)

lot number

24.

A patient uses the first dose from his regular insulin vial on April 1st. What BUD should he apply to this vial?

a)

April 15

b)

April 29

c)

May 13

d)

The expiration date on the vial

25.

A patient has an order for a medication for 200mg/m2. The patient has a BSA of 1.1 m2. What is the total dose for this patient in mg?

a)

220 mg

b)

225 mg

c)

230 mg

d)

2,250 mg

26.

Which of the following are PPE that may be worn in the pharmacy to prevent hazardous drug exposure?

a)

lab coat

b)

isolation kit

c)

shoe covers and gloves

d)

radiation dosimetry badge

27.

Which of the following DEA forms is needed when destroying outdated or damaged controlled substances?

a)

DEA Form 41

b)

DEA Form 106

c)

DEA Form 222

d)

DEA Form 224

28.

Benzonatate is which type of drug?

a)

decongestant

b)

antihistamine

c)

antitussive

d)

expectorant

29.

Celebrex is available in 100mg and 200mg

a)

tablets

b)

capsules

c)

oral solution

d)

IV injection

30.

A patient is prescribed Levemir 13 units subQ TID. A 10ml vial of insulin contains 100 units/ml. How long will one vial of insulin last?

a)

14 days

b)

25 days

c)

38 days

d)

76 days

31.

Which of the following is used for at-home testing of blood glucose?

a)

coagulation analyzer

b)

glucometer

c)

salivary assay

d)

pulse oximeter

32.

The process of reviewing clinical interventions for potential changes to patient therapy for optimal outcomes is known as

a)

adherence

b)

medication reconciliation

c)

drug utilization review

d)

therapeutic substitution

33.

Which of the following drugs stimulates insulin release from beta cells in the pancreas and increases sensitivity of tissues to insulin?

a)

metformin

b)

furosemide

c)

prednisone

d)

levothyroxine

34.

Which of the following statements is true regarding receiving controlled substances in the pharmacy?

a)

Each line of a Schedule II invoice can be signed by a pharmacy technician

b)

Schedule III and IV medications must be locked in a vault with Schedule II narcotics

c)

The pharmacist must sign each line of a Schedule II invoice

d)

The pharmacy technician can document how many Schedule II packages are received on the invoice.

35.

Which of the following ISO levels would consist of the dirtiest air?

a)

ISO 5

b)

ISO 6

c)

ISO 7

d)

ISO 8

36.

A patient has an order for a medication for 15 mg/m2. The patient has a BSA of 1.6 m2. The medication is available as a 100mg/5ml vial. How many ml is needed per dose?

a)

1.2 ml

b)

3.4 ml

c)

3.8 ml

d)

4.2 ml

37.

Schedule II narcotics must be stored

a)

in an open matrix drawer in an ADC

b)

on the regular shelves in a pharmacy inventory

c)

in an unlocked floor stock on a nursing unit

d)

within a vault or safe in the pharmacy

38.

What syringe would be measured in ml and units?

a)

insulin

b)

tuberculin

c)

hypodermic

d)

ampule

39.

What is the drug class of lamotrigine?

a)

antifungal agent

b)

antihistamine

c)

antidiabetic

d)

anticinvulsant

40.

Therapeutic equivalence is identified in the FDA Orange Book as which code?

a)

A

b)

B

c)

C

d)

D

41.

Which of the following is included as an ADE?

a)

adverse drug reactions

b)

near miss

c)

polypharmacy

d)

therapeutic substitutions

42.

Which of the following is required on a prescription for a controlled substance?

a)

patient's known allergies

b)

prescriber DEA number

c)

pharmacy phone number

d)

patient's medical record number

43.

A prospective DUR is performed

a)

before the medication is dispensed

b)

after the patient has received the medication

c)

when the patient refills the prescription

d)

when the patient is being prescribed the medication

44.

Janumet is a combination diabetic agent that contains metformin and which drug?

a)

glipizide

b)

sitagliptin

c)

liraglutide

d)

glyburide

45.

Which medication is considered to have a narrow therapeutic index?

a)

clindamycin

b)

triamcinolone

c)

levothyroxine

d)

rosuvastatin

46.

A patient has a prescription for 3 tsp TID PO x 7d. Select the correct package size that would be most appropriate to fill this order.

a)

125 ml

b)

250 ml

c)

360 ml

d)

480 ml

47.

A patient has a prescription for levothyroxine 75 mcg. How many mg is this dose?

a)

7.5 mg

b)

750 mg

c)

0.75 mg

d)

0.075 mg

48.

When cleaning a CAI, what must also be cleaned in addition to the main compounding chamber?

a)

buffer chamber

b)

HEPA filter

c)

glove box

d)

antechamber

49.

Humira is indicated for treatment of

a)

nodular acne

b)

psoriasis and Crohn's disease

c)

impetigo

d)

athlete's foot, jock itch, and ringworm

50.

Robaxin is the name brand of

a)

carisoprodol

b)

methocarbamol

c)

chlorthalidone

d)

brimonidine

51.

A pharmacy technician is entering an order for tramadol 50mg for a patient. The order is written as 1 tab PO Q4-6HPRN DISP#24. The technician calculates this as a 6-day supply.

What type of error is this?

a)

prescribing error-tramadol should not be taken every 4 to 6 hours

b)

dispensing error-this would last the patient 4 days

c)

administering error-the patient may be misusing this medication

d)

monitoring error-the patient should avoid tramadol for allergies

52.

Hydralazine is used to treat

a)

high cholesterol

b)

high blood pressure

c)

diabetes

d)

inflammation

53.

An order is written for 1,000 ml of a 4% solution. You have a 12% solution in stock. How much stock solution and how much diluent are needed to compound this order?

a)

333 ml diluent is added to 667 ml stock

b)

700 ml diluent is added to 300 ml stock

c)

400 ml diluent is added to 600 ml stock

d)

667 ml diluent is added to 333 ml stock

54.

Which of the following is used to compound hazardous drugs?

a)

CAI

b)

CACI

c)

Horizontal flow hood

d)

HEPA

55.

A drug with the suffix -oxacin is in which drug class?

a)

steriod

b)

antibiotic

c)

antiviral

d)

antihyperlipidemic

56.

Which of the following questions should be considered when conducting an RCA?

a)

What is an appropriate level of punishment fir the error that occured?

b)

What are all the possible human errors that caused this event?

c)

What can we do to prevent it from happening again?

d)

How badly was the patient harmed from the error?

57.

How many times can a prescription for a Schedule II controlled substance be transferred?

a)

none-no transfers permitted

b)

once

c)

as many times as refills remaining

d)

unlimited if the pharmacies are within the same chain

58.

A drug-drug interaction in which the effects of the drug are greater or longer in duration than the sum of the two is which type of effect?

a)

additive

b)

potentiation

c)

synergistic

d)

antagonistic

59.

CPOE helps prevent medication errors by

a)

utilizing confusing abbreviations

b)

transcribing verbal orders

c)

preventing the dispensing of an expired medication

d)

eliminating manual writing of prescriptions

60.

Which of the following needles is the smallest?

a)

15 G

b)

19 G

c)

25 G

d)

30 G

61.

Which ISO level is required for clean air?

a)

ISO class 5

b)

ISO class 6

c)

ISO class 7

d)

ISO class 8

62.

Lansoprazole is indicated to treat

a)

GERD

b)

high cholesterol

c)

rhinitis

d)

nausea and vomiting

63.

A patient taking rosuvastatin should avoid drinking which beverage for potential interaction?

a)

milk

b)

tea

c)

coffee

d)

grapefruit juice

64.

Which dosage form is designed to dissolve under the tongue?

a)

buccal

b)

sublingual

c)

enteric-coated

d)

effervescent

65.

How often should hood cleaning occur?

a)

at the end of the day only

b)

at the beginning of every shift and after a batch is completed

c)

every 60 minutes

d)

at the beginning of every shift, every 30 minutes or before every batch, and if a spill occurs

66.

If a medication is injected into the top layer of the skin, this would be considered which route of administration?

a)

intra-arterial

b)

intradermal

c)

intravenous

d)

intramuscular

67.

Which route of administration involves the delivery of medication systemically through the skin?

a)

otic

b)

transdermal

c)

parenteral

d)

iv push

68.

Which of the following may be used to measure the exact volume of a liquid?

a)

mortar

b)

weigh boat

c)

graduated cylinder

d)

ointment slab

69.

Which of the following may result if aspirin is administered to a child?

a)

reye's syndrome

b)

stevens-johnson syndrome

c)

tendon rupture

d)

tooth decay and discoloration

70.

Which of the following best describes an automated dispensing cabinet?

a)

a cabinet that dispenses IVs only for nurses to administer to patients

b)

a cabinet located in a patient's room for medication withdrawal

c)

a cabinet located securely in a nursing unit for dispensing of frequently used medications

d)

a cabinet used in the pharmacy for dispensing of medications by technicians

71.

At which stage in the garbing process should hand washing occur?

a)

after the sterile gloves have been donned

b)

after the non-shedding gown has been donned

c)

after shoe covers and a hair cover are donned

d)

before donning any type of PPE

72.

Which of the following must be used quickly after opening, as the contents are exposed to air?

a)

SDV

b)

MDV

c)

insulin vial

d)

ampule

73.

Which of the following medications would require a med guide?

a)

atorvastatin

b)

atenolol

c)

meloxicam

d)

lisinopril

74.

A patient with a cold and a secondary viral infection is prescribed cefdinir. Which of the following best describes this prescription error?

a)

underuse

b)

overuse

c)

misuse

d)

administration error

75.

Benzonatate is indicated for relief of

a)

rhinitis

b)

congestion

c)

fever

d)

cough

76.

Which of the following may have a side effect of pain at the injection site?

a)

adalimumab

b)

loperamide

c)

methylcellulose

d)

clonazepam

77.

A prescriber does not view a critical lab result for a patient and, as a result, the patient suffers drug toxicity from impaired renal function. This would be an example of which type of error?

a)

prescribing error

b)

dispensing error

c)

administration error

d)

monitoring error

78.

What is the purpose of a desiccant?

a)

to protect a medication from light degradation

b)

to protect a medication from heat exposure

c)

to protect a medication from physical incompatibilities

d)

to protect a medication from moisture accumulation

79.

For which of the following is ginseng indicated?

a)

energy boost

b)

bph

c)

insomnia

d)

migraine

80.

Which vitamin is important for blood clotting?

a)

vitamin a

b)

vitamin d2

c)

vitamin e

d)

vitamin k

81.

A patient taking which medication should avoid sunlight?

a)

bactrim

b)

tegretol

c)

percocet

d)

lantus

82.

Spironolactone would cause a significant interaction with which drug?

a)

metoprolol

b)

verapamil

c)

losartan

d)

enalapril

83.

Which of the following could be used to prevent a dispensing error?

a)

CPOE

b)

barcode scanning

c)

monitoring creatine levels

d)

using the five rights

84.

Which of the following storage ranges would be appropriate for carbidopa/levodopa?

a)

2 C to 8 C

b)

8 C to 15 C

c)

20 C to 25 C

d)

30 C to 40 C

85.

Meloxicam is available in which strengths and dosage forms?

a)

100 mg and 200 mg capsules

b)

50 mg tablets

c)

7.5 mg and 15 mg tablets

d)

75 mg cream

86.

Which class of drugs should be taken in the morning?

a)

HMG-CoA reductase inhibitors

b)

beta blockers

c)

diuretics

d)

hypnotics

87.

Unexpected bleeding could be a side effect of which of the following?

a)

vitamin k

b)

bactrim ds

c)

claritin

d)

coumadin

88.

Which of the following error reporting tools may initiate a recall by the FDA?

a)

MERP

b)

AHRQ

c)

MedWatch

d)

RCA

89.

The process of creating smaller particles through crushing, grinding, or pulverizing using a mortar and pestle is known as

a)

trituration

b)

levigation

c)

spatulation

d)

geometric dilution

90.

An order is written for 250 ml of a 2% solution. You have a 6% solution in stock. How much stock solution and how much diluent are needed to compound this order?

a)

166.7 ml diluent is added to 83.3 ml stock

b)

200 ml diluent is added to 50 ml stock

c)

142.8 ml diluent is added to 107.2 ml stock

d)

151.7 ml diluent is added to 98.3 ml stock

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