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Worksheets

Page 1

Total questions: 150

Worksheet time: 1hrs 15mins

Name
Class
Date
1.

Which federal law primarily regulates the manufacturing and distribution of controlled substances in the United States?

a)

Poison Prevention Packaging Act of 1970

b)

Drug Supply Chain Security Act

c)

Controlled Substances Act of 1970

d)

Food, Drug, and Cosmetic Act of 1938

2.

Which schedule includes drugs with high abuse potential but accepted medical use, such as oxycodone?

a)

Schedule I substances

b)

Schedule II substances

c)

Schedule III substances

d)

Schedule IV substances

3.

Which term best describes the process of translating a prescriber’s order into a filled and labeled medication for a patient?

a)

Prospective drug utilization review

b)

Prescription dispensing

c)

Medication reconciliation

d)

Therapeutic substitution

4.

Which activity requires a pharmacist’s clinical judgment and cannot be delegated to a pharmacy technician in most jurisdictions?

a)

Counting tablets and labeling containers

b)

Entering patient demographics

c)

Final verification of the prescription

d)

Processing insurance claims

5.

Which law mandates child-resistant packaging for certain household substances and prescription medications?

a)

Combat Methamphetamine Epidemic Act

b)

Drug Supply Chain Security Act

c)

Poison Prevention Packaging Act

d)

Omnibus Budget Reconciliation Act

6.

A prescriber writes for alprazolam. What schedule classification and typical refill limit applies under federal rules?

a)

Schedule II, zero refills permitted

b)

Schedule III, up to five refills allowed

c)

Schedule IV, up to five refills allowed

d)

Schedule V, unlimited refills allowed

7.

Which documentation element is essential for a valid prescription and most commonly leads to rejection if missing?

a)

Patient date of birth

b)

Prescriber DEA number

c)

Quantity to dispense

d)

Directions for use

8.

A pharmacy suspects a forged Schedule II prescription. Which action demonstrates proper compliance and professional practice?

a)

Fill the prescription and call the prescriber later

b)

Refuse to fill and notify law enforcement

c)

Hold the prescription until the patient returns

d)

Transfer the prescription to another pharmacy

9.

Which statement correctly distinguishes generic substitution from therapeutic substitution?

a)

Generic substitution changes the active ingredient

b)

Therapeutic substitution keeps the same pharmacologic class

c)

Generic substitution replaces the same active ingredient

d)

Therapeutic substitution uses an identical bioequivalent

10.

A pharmacist plans to implement barcode scanning to reduce dispensing errors. Which step shows strategic planning with evidence-based practice?

a)

Train staff after three months of use

b)

Install scanners without workflow changes

c)

Review error reports to target high-risk steps

d)

Use scanners only on controlled substances

11.

Which law first required drugs to be proven safe before marketing, expanding federal authority over labeling?

a)

Controlled Substances Act around 1970

b)

Durham–Humphrey Amendment of 1951

c)

Kefauver–Harris Amendment of 1962

d)

Food, Drug, and Cosmetic Act of 1938

12.

The Durham–Humphrey Amendment primarily created which legal distinction in medication access?

a)

Between Schedule II and Schedule III

b)

Between Rx and OTC drugs

c)

Between inpatient and outpatient dispensing

d)

Between brand and generic drugs

13.

After thalidomide, the Kefauver–Harris Amendment required which new standard for drug approval?

a)

Schedule classification of opioids

b)

DEA audits for pharmacies

c)

Mandatory electronic prescribing

d)

Proof of efficacy and safety

14.

Which ongoing framework introduced Schedules I–V and tightened rules for prescribing and recordkeeping?

a)

eRx mandates

b)

Controlled Substances Act

c)

Kefauver–Harris Amendment

d)

FD&C Act of 1938

15.

A key modern impact of the FD&C Act is best described as:

a)

Pharmacies rely on software workflows

b)

FDA oversight of drug safety and labeling

c)

Creation of drug schedules and DEA rules

d)

Mandatory electronic prescriptions

16.

Which change made pharmacies the gatekeepers for certain medications, increasing pharmacist oversight?

a)

Kefauver–Harris clinical standards

b)

Controlled Substances Act schedules

c)

FD&C Act safety proof

d)

Durham–Humphrey Rx vs OTC divide

17.

What was a major reason the Kefauver–Harris Amendment strengthened clinical trial standards?

a)

eRx fraud reduction

b)

COVID-19 emergency use

c)

Thalidomide birth defects

d)

Opioid epidemic monitoring

18.

In current practice, which statement about Schedule II medications is most accurate?

a)

They are exempt from DEA regulation

b)

They require minimal documentation

c)

They can be sold OTC with limits

d)

They face strict controls and pharmacist red flag review

19.

A common motivation for eRx mandates in the 2010s–2020s was to:

a)

Remove inventory controls for controlled drugs

b)

Allow OTC access to antibiotics

c)

Reduce handwriting errors and some fraud

d)

Eliminate informed consent

20.

Which operational consequence did eRx mandates create for pharmacies?

a)

Greater reliance on verification and software workflows

b)

Reduced regulation of controlled substances

c)

Less need for audit trails and documentation

d)

Elimination of pharmacist review of prescriptions

21.

Which change during the pandemic most expanded pharmacy responsibilities?

a)

Reduced vaccine supply chains nationwide

b)

Decreased telehealth utilization overall

c)

Expanded public-health role for pharmacies

d)

Lowered prior authorization requirements

22.

What lasting impact today reflects pharmacies' pandemic-era role?

a)

Reduced emergency authorization processes

b)

Stronger role in immunization and public health

c)

Less use of tech-based healthcare tools

d)

Fewer medication access changes overall

23.

Which factor commonly drives prescription drug costs higher?

a)

Intense generic market competition

b)

Elimination of copays across plans

c)

Short-term use of acute medications

d)

Brand pricing and specialty biologics

24.

A practical effect of administrative insurance complexity is:

a)

Reduced patient frustration overall

b)

More time spent on paperwork

c)

Lower overall system labor needs

d)

Faster prior authorization approvals

25.

Hospital/provider costs often rise due to:

a)

Decreased imaging and staffing needs

b)

Reduced provider labor requirements

c)

Higher facility charges and procedures

d)

Eliminated discharge therapy expenses

26.

How do chronic diseases affect total healthcare costs?

a)

Fewer recurring medications needed

b)

Recurring meds and complications increase costs

c)

Shorter monitoring periods reduce expenses

d)

Complications decrease overall spending

27.

In community pharmacy, a core technician workflow step is:

a)

Delivering meds to inpatient units

b)

Assisting sterile compounding procedures

c)

Preparing unit-dose medications routinely

d)

Intake eRx and process insurance

28.

Top priorities in community pharmacy include:

a)

Operating inpatient safety systems

b)

Speed, accuracy, and customer service

c)

Cabinet restocking and unit delivery

d)

Patient unit-dose distribution accuracy

29.

A major safety risk in community pharmacy is:

a)

Look‑alike and sound‑alike drug mix-ups

b)

Sterile compounding contamination events

c)

Wrong strength stocked in automated units

d)

Errors in unit-dose distribution cabinets

30.

In hospital pharmacy, which technician task is typical?

a)

Labeling and assisting at retail pickup

b)

Managing inpatient unit-dose medication prep

c)

Processing outpatient insurance claims

d)

Running front counter customer service

31.

Which situation makes mail-order pharmacy helpful for patients?

a)

Improves adherence with automatic refills and 90-day supplies

b)

Eliminates all copays regardless of insurance plan rules

c)

Removes all restrictions on controlled substance dispensing

d)

Allows unlimited counseling time for every shipment

32.

What is a common risk associated with mail-order medications?

a)

Shipping delays leading to missed doses

b)

Fewer rules for controlled substances

c)

Guaranteed on-time delivery for all packages

d)

Enhanced face-to-face counseling availability

33.

Which temperature-related issue can make mail-order risky?

a)

All drugs being stable at room temperature for months

b)

Heat exposure degrading medications in transit

c)

Insulated packaging removing any temperature concerns

d)

Cold chain never needed for any medications

34.

Why can mail-order reduce counseling access?

a)

No need for counseling due to clear printed labels

b)

Less face-to-face interaction limits patient questions

c)

Mandatory video calls with pharmacists each shipment

d)

More in-person visits than local pharmacy refills

35.

Which task is appropriate for a pharmacy technician?

a)

Final clinical verification before dispensing

b)

Entering prescription information for data entry

c)

Providing patient counseling and education

d)

Approving controlled substance concerns

36.

Which task requires a pharmacist’s professional judgment?

a)

Counting, pouring, measuring, and labeling meds

b)

Counseling patients and providing clinical education

c)

Managing inventory ordering and restocking

d)

Preparing prescriptions for verification

37.

Why is maintaining boundaries between technician and pharmacist duties important?

a)

Ensures technicians make clinical substitutions

b)

Prevents harm from incorrect therapy decisions

c)

Speeds up data entry without any oversight

d)

Eliminates need for legal compliance checks

38.

Which example qualifies as Protected Health Information (PHI)?

a)

A de-identified dataset without names or addresses

b)

A public health poster listing general symptoms

c)

A diagnosis linked to a patient’s name and DOB

d)

An anonymous drug monograph with no identifiers

39.

Which item in a pharmacy is PHI?

a)

Shelf tag with drug price and barcode only

b)

Generic medication flyer for all customers

c)

Empty stock bottle without any patient identifiers

d)

Prescription label and bag showing name, drug, directions

40.

What is a practical way to prevent a HIPAA violation when discussing medications at the counter?

a)

Speak loudly to ensure the patient hears directions

b)

Lower voice and move conversation to a private area

c)

Skip counseling to avoid sharing personal details

d)

Discuss full medical history while the line forms

41.

Which organization commonly certifies pharmacy technicians through a standardized exam?

a)

NABP via MPJE exam

b)

PTCB via PTCE exam

c)

ASHP via residency boards

d)

FDA via licensure test

42.

What does PTCB certification primarily signal to employers?

a)

Authority to dispense without pharmacist oversight

b)

Eligibility for independent clinical practice

c)

Baseline competency in safety, laws, and processes

d)

Advanced pharmacotherapy specialization

43.

Why do pharmacies value PTCB-certified technicians?

a)

It replaces state registration requirements

b)

It guarantees zero dispensing errors

c)

It reduces training burden and improves quality

d)

It ensures higher wages by mandate

44.

What is a key reason renewal and continuing education matter for technicians?

a)

To qualify for controlled substance prescribing

b)

To stay current on evolving laws and safety practices

c)

To meet DEA inventory audits

d)

To satisfy HIPAA patient consent forms

45.

Which source type presents original research and new data?

a)

Tertiary sources

b)

Primary sources

c)

Grey literature

d)

Secondary sources

46.

Which is the best example of a secondary source for pharmacy teams?

a)

FDA recall announcement

b)

Systematic review comparing statin outcomes

c)

Published clinical trial on a new drug

d)

Drug handbook monograph

47.

Which resource is most appropriate to answer: “Is this med safe with my condition?”

a)

Red Book pricing tables

b)

FDA Orange Book listings

c)

MedlinePlus and Wikipedia

d)

AHFS and Drug Facts & Comparisons

48.

Which resource best explains: “What does it do?” for a medication?

a)

Merck Manual and pricing benchmarks

b)

Red Book and insurance formulary lists

c)

FDA recall database and AHFS

d)

MedlinePlus and Drug Facts & Comparisons

49.

Which resource is best for: “Why is it expensive?”

a)

AHFS clinical details

b)

Red Book pricing reference

c)

FDA safety alerts

d)

MedlinePlus patient education

50.

Where should you check first to answer: “Is there a recall?”

a)

State board newsletters

b)

Manufacturer marketing sites

c)

AHFS monograph footnotes

d)

FDA official recall postings

51.

Which purpose is most commonly associated with Unit 2 in a Health Sciences pharmacy course?

a)

Analyze hospital formulary management

b)

Practice aseptic compounding techniques

c)

Teach pediatric dosing calculations

d)

Introduce pharmacy laws overview

52.

In a pharmacy curriculum, Unit 2 typically transitions from basic science to which focus?

a)

Animal toxicology studies

b)

Sports medicine therapeutics

c)

Advanced organic chemistry

d)

Professional laws and practice

53.

Which topic best fits a Unit 2 section header labeled for pharmacy practice?

a)

Emergency surgical triage

b)

Radiology imaging protocols

c)

Botany classification methods

d)

Terminology and legal standards

54.

If a section is titled Unit 2 without subheadings, what is the safest assumption for planning study?

a)

Memorize drug brand names

b)

Practice IV admixture skills

c)

Review prior unit objectives

d)

Skip until details appear

55.

A Unit 2 header appears alone on a page. What organizational step should you take first?

a)

Create a study outline

b)

Begin clinical simulations

c)

Calculate pharmacokinetics

d)

Draft patient care plans

56.

When encountering only a unit title, which strategy supports comprehension for upcoming pharmacy law content?

a)

List key legal terms

b)

Collect patient histories

c)

Measure tablet friability

d)

Chart drug interaction maps

57.

Which preparatory activity aligns with starting a unit on terminology?

a)

Compile definitions glossary

b)

Perform ECG interpretation

c)

Run sterility testing assays

d)

Design vaccine cold chain

58.

For an upcoming unit on practice standards, which resource is most relevant?

a)

State pharmacy board rules

b)

High school biology notes

c)

Gym performance programs

d)

Veterinary surgical manuals

59.

If Unit 2 focuses on pharmacy laws, which assessment type is most likely useful?

a)

Aerobic fitness testing

b)

Scenario-based compliance

c)

Anatomy labeling drills

d)

Microscopy slide identification

60.

Seeing only a unit title, what planning mistake should be avoided?

a)

Reducing terminology practice

b)

Assuming clinical procedures

c)

Ignoring legal components

d)

Overemphasizing biochemistry

61.

Which federal law facilitated faster entry of generic drugs by allowing bioequivalence instead of repeating full clinical trials?

a)

Pure Food and Drug Act of 1906

b)

Hatch–Waxman Act of 1984

c)

Drug Supply Chain Security Act

d)

Controlled Substances Act of 1970

62.

Under Hatch–Waxman, what must a generic manufacturer primarily demonstrate to obtain approval?

a)

New active ingredient discovery

b)

Longer exclusivity than the brand

c)

Novel clinical endpoints superiority

d)

Bioequivalence to the brand product

63.

Which application does a brand‑new drug submit to the FDA for initial approval?

a)

NDA (New Drug Application)

b)

ANDA (Abbreviated New Drug Application)

c)

IND (Investigational New Drug)

d)

BLA (Biologics License Application)

64.

Which statement best describes pharmacy practice related to generics when permitted by state law and prescriber instructions?

a)

Pharmacies need patient consent for every generic

b)

Pharmacies may substitute a generic to improve affordability

c)

Pharmacies cannot carry generics for chronic therapies

d)

Pharmacies must dispense only brand drugs

65.

What market effect was a key goal of Hatch–Waxman?

a)

Eliminate patent protections for brands

b)

Limit access to chronic medications

c)

Increase prices through extended exclusivity

d)

Reduce costs via more generic competition

66.

During pre‑clinical testing, what is primarily assessed before human trials begin?

a)

Post‑market adverse reports

b)

Insurance coverage criteria

c)

Basic toxicity and dosing ranges

d)

Marketing claims accuracy

67.

Which clinical trial phase focuses mainly on initial safety, dosing, and side effects in a small group?

a)

Phase 2

b)

Post‑marketing

c)

Phase 1

d)

Phase 3

68.

Which clinical phase evaluates effectiveness and side effects in a medium‑sized group of patients?

a)

Pre‑clinical animal tests

b)

Phase 1 focus on dosing safety

c)

Phase 3 large‑scale outcomes

d)

Phase 2 evaluate effectiveness

69.

What are key elements the FDA reviews in an NDA before deciding on marketing authorization?

a)

Insurance formularies and copays

b)

Manufacturing quality and accurate labeling

c)

Pharmacy substitution policies

d)

International pricing benchmarks

70.

After approval, how is drug safety commonly monitored and acted upon?

a)

Exclusive hospital audits yearly

b)

Post‑marketing surveillance with MedWatch

c)

Patient surveys required at refill

d)

Only annual manufacturer reports

71.

Which statement best defines a medication recall in pharmacy practice?

a)

Manufacturer discounting of overstocked products

b)

Marketing halt for drugs awaiting patent renewal

c)

Routine replacement of near‑expiry inventory items

d)

Removal and correction of unsafe or mislabeled drugs

72.

A technician locates the affected lot and NDC, quarantines the product, and stops dispensing. What immediate task is this addressing during a recall?

a)

Clinical assessment of patient adverse events

b)

Insurance adjudication and claim reversal

c)

Manufacturer stability testing of new batches

d)

Inventory handling procedures during a recall

73.

Which reason is a common cause for initiating a drug recall?

a)

Contamination with microbes or particles

b)

Competitor releasing a cheaper generic

c)

Hospital formulary changes to alternatives

d)

Seasonal demand fluctuations in pharmacies

74.

During a recall, which notification step is appropriate for a technician within scope?

a)

Amend prescriber directions without approval

b)

Provide individualized clinical advice to patients

c)

Authorize therapeutic substitutions independently

d)

Alert pharmacist and manager to coordinate actions

75.

Which item is always required on a prescription label for a dispensed medication?

a)

Patient name and pharmacy contact information

b)

Drug monograph and manufacturer sales data

c)

Insurance BIN and group identification codes

d)

DEA registration of the prescribing clinic

76.

What information does a manufacturer stock label help the pharmacy identify for inventory?

a)

Drug name, strength, dosage form, NDC, lot, expiry

b)

Copay tier, prior authorization status, plan ID

c)

Prescriber specialty, clinic hours, fax number

d)

Patient allergies, height, weight, last visit date

77.

Which element belongs in the directions (Sig) section of a prescription label?

a)

Patient’s insurance formulary tier status

b)

Route of administration with dosing instructions

c)

Pharmacy technician initials and badge number

d)

Manufacturer’s wholesale acquisition cost

78.

Which extra attention is required when handling controlled substance prescriptions?

a)

Exact drug, strength, quantity, prescriber, and patient must match requirements

b)

Skip documentation if the patient is known to the pharmacy

c)

Accept verbal changes to directions from any clinic staff

d)

Allow early refills if stock is sufficient and patient requests

79.

Which statement about Schedule II refills aligns with stricter controlled substance rules?

a)

Refills allowed once with pharmacist approval

b)

No refills are permitted; new prescription required

c)

Unlimited refills permitted within six months

d)

Refills permitted if the insurance pays for them

80.

Which labeling mistake could most likely cause patient harm?

a)

Pharmacy logo printed in outdated colors

b)

Missing barcode on the stock shelf divider

c)

Manufacturer lot number omitted from invoice

d)

Wrong strength listed on the prescription label

81.

Which controlled substance schedule is most restrictive and why?

a)

Schedule IV due to common anxiety treatments

b)

Schedule III due to moderate abuse potential

c)

Schedule V due to OTC availability

d)

Schedule II due to limited refill allowance

e)

Schedule I due to no accepted medical use

82.

As the schedule number increases from I to V, what generally happens to abuse potential and restrictions?

a)

Restrictions loosen while abuse potential increases

b)

Abuse potential and restrictions both increase

c)

Abuse potential decreases and restrictions loosen

d)

Abuse potential increases and restrictions tighten

e)

Abuse potential stays same while restrictions tighten

83.

Which statement best describes refill and documentation rules for Schedule II drugs?

a)

No refills; new prescription required each time

b)

Up to five refills within six months

c)

Unlimited refills for chronic therapy

d)

Refills allowed only by phone authorization

e)

Refills allowed with partial fills only

84.

Which schedules commonly allow up to five refills within six months under federal rules?

a)

Schedules I–II for strict control

b)

Schedule V with no limits

c)

Schedules III–IV with limits and documentation

d)

Schedule II only for chronic therapy

e)

Schedule I for research use

85.

Select the correct drug example for Schedule II controlled substances.

a)

Oxycodone, morphine, amphetamine

b)

Heroin, LSD

c)

Buprenorphine combination products

d)

Certain low-dose codeine syrups

e)

Alprazolam, lorazepam

86.

Which drug is a Schedule I example listed in the material?

a)

Heroin or LSD

b)

Buprenorphine combos

c)

Oxycodone tablets

d)

Alprazolam tablets

e)

Codeine cough syrup

87.

DEA Form 222 is primarily used to order and transfer which schedule of controlled substances?

a)

Schedule II only

b)

Schedule V only

c)

Schedule I only

d)

All schedules I–V

e)

Schedules III–IV

88.

Which step is part of a technician’s process when a Schedule II shipment arrives?

a)

Discard supplier invoices after unpacking

b)

Skip quantity verification to save time

c)

Store products openly on retail shelves

d)

Check items against the order and record details

e)

File documents only when requested by DEA

89.

Which item qualifies as Protected Health Information (PHI) in a pharmacy setting?

a)

Anonymous sales totals

b)

Store hours and location

c)

Patient name with medication taken

d)

Generic drug class list

e)

Manufacturer lot numbers

90.

Which action best reflects the HIPAA principle of minimum necessary in daily pharmacy work?

a)

Copy labels with all identifiers for convenience

b)

Open full chart to verify allergies every time

c)

Access only the PHI needed for a task

d)

Share full patient profile with the prescriber

91.

Before sharing patient information over the phone, what verification step should occur?

a)

Confirm caller’s full name and favorite color

b)

Ask for DOB, address, and established identifiers

c)

Have the caller spell their prescription name

d)

Request insurance BIN and PCN numbers

92.

Which daily best practice helps prevent casual disclosure of PHI in the pharmacy?

a)

Discuss PHI loudly behind the counter

b)

Leave computer profiles open when stepping away

c)

Speak quietly and avoid discussing PHI where others hear

d)

Place printed labels on the counter until pickup

93.

What should be done with PHI printouts or labels to comply with HIPAA?

a)

Shred them promptly and securely

b)

Store them under the keyboard

c)

Photocopy for backup records

d)

Recycle them in regular trash

94.

A HIPAA violation can lead to which patient consequence?

a)

Delayed shipping on mail-order

b)

Higher copay on future refills

c)

Loss of privacy and discrimination risks

d)

Automatic medication substitutions

95.

Which ethical principle was violated when tissue was taken and used without meaningful consent?

a)

Beneficence only

b)

Autonomy and informed consent

c)

Veracity without context

d)

Nonmaleficence exclusively

96.

Today, how would modern patient rights and HIPAA change research use of identifiable health information?

a)

No oversight needed for tissue studies

b)

Clearer limits on disclosure with stronger consent

c)

Patients cannot access their privacy notices

d)

Private companies decide standards alone

97.

Which daily responsibility helps pharmacy technicians prevent privacy harm?

a)

Access PHI for personal curiosity

b)

Verify identity, speak discreetly, secure documents

c)

Share PHI with family if they seem concerned

d)

Document minimally to avoid scrutiny

98.

Which agency primarily enforces federal controlled substance regulations in pharmacies?

a)

Occupational Safety and Health Administration

b)

Drug Enforcement Administration

c)

Centers for Disease Control and Prevention

d)

Food and Drug Administration

99.

What is the main purpose of a pharmacy formulary within a health system?

a)

Track patient vaccination histories

b)

List approved medications for prescribing

c)

Report adverse drug reactions monthly

d)

Set retail prices for over-the-counter drugs

100.

Which term best describes the legal requirement that a pharmacist must verify the accuracy of a filled prescription before dispensing?

a)

Collaborative practice agreement

b)

Post-marketing surveillance audit

c)

Medication therapy management consult

d)

Prospective drug utilization review

101.

A Schedule II controlled substance prescription expires under which common state regulation?

a)

Expires 30 days after issuance

b)

No refills and expires after specific time

c)

No expiration but limited refills allowed

d)

Expires 6 months with five refills

102.

Which practice reduces dispensing errors during peak pharmacy hours?

a)

Use tall-man lettering for look-alike drugs

b)

Allow phone orders without read-back

c)

Disable barcode verification systems

d)

Batch-count multiple prescriptions together

103.

Which situation requires patient counseling by the pharmacist under OBRA ’90?

a)

Refill of an unchanged prescription

b)

Dispensing to an institutional inpatient

c)

New prescription for an outpatient

d)

Transfer between two pharmacies

104.

A technician notices a forged prescription for oxycodone. What is the most appropriate immediate action?

a)

Return it without documentation

b)

Fill it to avoid confrontation

c)

Keep it and contact the pharmacist

d)

Shred it and dismiss the patient

105.

Which document must be provided to patients with certain high-risk medications to communicate serious safety information?

a)

Insurance formulary exception letter

b)

Pharmacy privacy policy notice

c)

Medication Guide mandated by FDA

d)

Lot-specific recall announcement

106.

Under HIPAA, which practice best protects patient health information at the pickup counter?

a)

Call full name and birthdate loudly

b)

Use a separate counseling window

c)

Allow unrestricted family access

d)

Store bags with labels outward

107.

If a prescriber authorizes a therapeutic substitution policy, which change can the pharmacist make?

a)

Dispense an expired formulary item

b)

Switch to any brand without consent

c)

Replace with a bioequivalent generic

d)

Substitute a different class entirely

108.

Which breakdown correctly defines arthritis using root and suffix?

a)

Root arthr = bones; suffix -itis = irritation

b)

Root arthr = arteries; suffix -itis = infection

c)

Root arthr = joints; suffix -itis = inflammation

d)

Root arthr = muscles; suffix -itis = swelling

109.

What is the plain-English meaning derived from the term arthritis?

a)

Irritation of a muscle

b)

Swelling of an artery

c)

Inflammation of a joint

d)

Infection of a bone

110.

In hypoglycemia, which component correctly matches its meaning?

a)

Suffix -emia = oxygen level

b)

Whole term = high blood sugar

c)

Prefix hypo = below/deficient

d)

Root glyc = fat

111.

Which full translation best represents hypoglycemia?

a)

Low blood oxygen

b)

High blood sugar

c)

High blood pressure

d)

Low blood sugar

112.

Which breakdown correctly defines hepatomegaly using root and suffix?

a)

Root hepat = liver; suffix -megaly = enlargement

b)

Root hepat = kidney; suffix -megaly = removal

c)

Root hepat = liver; suffix -megaly = infection

d)

Root hepat = stomach; suffix -megaly = repair

113.

Which organ system is involved when pneumonia is present?

a)

Endocrine system

b)

Urinary system

c)

Respiratory system

d)

Digestive system

114.

Gastroscopy most accurately examines which structure?

a)

Upper airway passages

b)

Inner walls of the bladder

c)

External surface of the liver

d)

Inside lining of the stomach

115.

Which root-suffix pair correctly forms a term for bladder inflammation?

a)

cyst + -itis → cystitis

b)

cyst + -ectomy → cystectomy

c)

cyst + -emia → cystemia

d)

cyst + -plasty → cystoplasty

116.

Which term describes a procedure using a scope to look inside the bladder?

a)

Cystectomy

b)

Cystoscopy

c)

Cystitis

d)

Cystoplasty

117.

Dermaplasty is best defined as which procedure?

a)

Injection therapy under the skin

b)

Surgical repair or reconstruction of the skin

c)

Removal of a section of the skin

d)

Visual examination of the skin

118.

Which statement correctly distinguishes -plasty from -ectomy?

a)

-plasty = removal; -ectomy = repair

b)

-plasty = inflammation; -ectomy = infection

c)

-plasty = examination; -ectomy = incision

d)

-plasty = repair/reconstruction; -ectomy = removal

119.

Why can medical abbreviations pose risks in pharmacy communication?

a)

They may be misread and cause medication errors

b)

They eliminate the need for patient counseling

c)

They are always standardized and unambiguous

d)

They simplify directions without any drawbacks

120.

Which abbreviation is often misread as four times daily, risking a quadruple dose?

a)

PRN meaning as needed

b)

BID meaning every morning

c)

QID meaning twice daily

d)

QD meaning daily dosing

121.

Which error can result from misreading "10U insulin"?

a)

Reading 10 micrograms overdose

b)

Reading 1 unit subdose

c)

Reading 10 milliliters underdose

d)

Reading 100 units overdose

122.

During development, what is assigned before a drug receives a generic name?

a)

An FDA pregnancy category

b)

A code or suggested nonproprietary name

c)

A trademarked brand logo

d)

A boxed warning statement

123.

Which feature helps a proposed drug name improve safety in orders?

a)

Short and distinctive sound and spelling

b)

Includes an unpronounceable chemical suffix

c)

Uses capital letters to stand out

d)

Contains numbers to mark dosage

124.

A hint at drug class through syllables like “-pril” mainly supports which benefit?

a)

Reduced manufacturing costs

b)

Improved pill stability in heat

c)

Faster metabolism in patients

d)

Safer recognition and learning

125.

What class of therapy do drugs ending in “-pril” usually belong to?

a)

Analgesics opioid agonists

b)

Antidiabetics insulin analogs

c)

Anticoagulants thrombin blockers

d)

Antihypertensives ACE inhibitors

126.

Which common counseling point applies to starting an ACE inhibitor like lisinopril?

a)

Avoid all dairy products

b)

Expect cough suppression

c)

Take with grapefruit juice

d)

May cause dizziness initially

127.

The stem “-statin” usually indicates which type of drug?

a)

Antihistamine medications

b)

Anticoagulant therapies

c)

Broad-spectrum antibiotics

d)

Cholesterol-lowering agents

128.

Which brand–generic pair matches a statin example?

a)

Zithromax and azithromycin

b)

Lipitor and atorvastatin

c)

Prozac and fluoxetine

d)

Nexium and esomeprazole

129.

What monitoring concern is emphasized with statins?

a)

Check for chronic cough daily

b)

Watch for muscle pain symptoms

c)

Assess for rash after sunlight

d)

Monitor blood glucose hourly

130.

Match each stem to its likely class. Select the best pairing for “-cycline”.

a)

Antibiotics doxycycline example

b)

Antifungals fluconazole example

c)

Antivirals acyclovir example

d)

Beta-blockers metoprolol example

131.

Which stem commonly signals a fluoroquinolone antibiotic?

a)

-conazole ending agents

b)

-cillin ending agents

c)

-oxacin ending agents

d)

-mycin ending agents

132.

Why do recognized drug stems help prevent medication errors?

a)

They reduce pill manufacturing flaws

b)

They eliminate all drug interactions

c)

They guarantee perfect adherence

d)

They support quick class recognition

133.

Classify lisinopril by body system and by type of action. Which pair fits best?

a)

Cardiovascular agent lowers blood pressure

b)

Respiratory agent increases airflow

c)

Renal agent increases urine output

d)

Endocrine agent raises glucose levels

134.

Which statement best describes blockers (antagonists) compared to mimetics (agonists)?

a)

Bind receptors and block natural signals

b)

Convert enzymes into receptor sites

c)

Detach receptors from cell membranes

d)

Increase signal by mimicking hormones

135.

Which brand-generic pair is correctly matched with its class and common use?

a)

Cozaar—lisinopril—hormone—hypothyroidism

b)

Glucophage—levothyroxine—cardiovascular—diabetes

c)

Zestril—lisinopril—cardiovascular—hypertension

d)

Norvasc—losartan—cardiovascular—angina

136.

Which drug is a hormone used to treat hypothyroidism?

a)

Norvasc—amlodipine

b)

Zestril—lisinopril

c)

Synthroid—levothyroxine

d)

Cozaar—losartan

137.

Which counseling tip is appropriate for a patient starting sertraline?

a)

Take with antacids to improve effect

b)

Increase dose quickly to feel results

c)

Use only as needed for sudden anxiety

d)

Expect benefit in weeks; avoid abrupt stop

138.

A patient takes acetaminophen for pain. What is the maximum daily dose to avoid toxicity?

a)

Do not exceed 4000 mg per day

b)

Do not exceed 1000 mg per day

c)

Do not exceed 6000 mg per day

d)

Do not exceed 2000 mg per day

139.

Which instruction best supports omeprazole effectiveness and safety for long-term use?

a)

Take with milk; extended use reduces potassium

b)

Take only at bedtime; doses above 800 mg are safe

c)

Take before breakfast; high long-term doses have risks

d)

Take after lunch; long-term use increases absorption

140.

Which safety tip is most important when counseling on insulin?

a)

Know hypoglycemia signs and rotate injection sites

b)

Crush tablets to improve absorption

c)

Stop if glucose rises above normal once

d)

Store at room temperature after opening for years

141.

For levothyroxine therapy with calcium and iron supplements, which timing advice is correct?

a)

Take at bedtime together with calcium and iron

b)

Take on empty stomach and separate calcium/iron

c)

Take with breakfast and combine with calcium

d)

Take with lunch and split iron tablets

142.

Why should calcium and iron be separated from levothyroxine doses?

a)

They cause immediate hypoglycemia when combined

b)

They reduce levothyroxine absorption and effectiveness

c)

They convert levothyroxine to inactive metabolites

d)

They increase thyroid hormone levels dangerously

143.

Translate: ii ODT tab bid pc prn nausea x 10 days.

a)

Swallow two tablets twice daily after meals scheduled for nausea for 14 days

b)

Dissolve two ODT tablets twice daily after meals as needed for nausea for 10 days

c)

Take two tablets twice daily before meals as needed for pain for 10 days

d)

Chew two ODT tablets once daily with meals for nausea for 5 days

144.

Translate: i tab po qhs prn insomnia; max i tab/24 hr.

a)

Take one tablet by mouth at bedtime as needed for insomnia; maximum one tablet every 24 hours

b)

Take one tablet by mouth every morning for insomnia; maximum two per day

c)

Take one capsule with food at bedtime as needed; max one every 12 hours

d)

Place one tablet under tongue at bedtime scheduled; max three per 24 hours

145.

Which agency primarily enforces controlled substance regulations in pharmacies within the United States?

a)

Food and Drug Administration

b)

Drug Enforcement Administration

c)

Centers for Disease Control

d)

Federal Trade Commission

146.

Which law established prescription-only and over-the-counter drug categories in the United States?

a)

Controlled Substances Act

b)

Pure Food and Drug Act

c)

Kefauver–Harris Amendment

d)

Durham–Humphrey Amendment

147.

Which schedule includes drugs with high abuse potential and no accepted medical use?

a)

Schedule III substances

b)

Schedule I substances

c)

Schedule II substances

d)

Schedule IV substances

148.

Which identifier must appear on all prescriptions to legally dispense controlled substances?

a)

Pharmacy board license

b)

State tax identification

c)

National Provider Identifier

d)

DEA registration number

149.

Which action best meets HIPAA requirements when discussing a patient’s medication at the pharmacy counter?

a)

Speak loudly to finish quickly

b)

Use a private counseling area

c)

Hand paperwork without speaking

d)

Call out full name and birthdate

150.

Which term describes substituting an FDA-rated AB generic product for a brand-name medication when permitted?

a)

Medication reconciliation

b)

Generic substitution

c)

Pharmaceutical compounding

d)

Therapeutic interchange