PTCB PT #2

Benztropine is used to treat:

Alzheimer’s disease.
tremors.
anxiety.
depression.

A pharmacy technician should alert the pharmacist to counsel a patient who has presented prescriptions for both:

Viagra and metoprolol
Ortho Tri-Cyclen Lo and levothyroxine.
Zoloft and alprazolam.
Ambien and atorvastatin.

A pharmacy receives a prescription with the following instructions:

Sig: 2 cap qam and 3 cap qhs

How many capsules will be needed to fill a 30-day prescription?

50
75
100
150

Which of the following medications is a muscle relaxant?

meloxicam
cyclobenzaprine
ciprofloxacin
fexofenadine

A pharmacy technician is compounding a liquid medication for a patient, and a precipitate appears at the bottom of the vial. What should the technician do next?

properly dispose of the compounded liquid and start the compounding process from the beginning
shake the vial until the precipitate has mixed thoroughly with the rest of the compounded liquid
use a filter to remove the precipitate before dispensing the medication
dispense the solution with the precipitate

Which of the following IV medications carries a boxed warning for hepatotoxicity?

acetaminophen
hydrocodone
tigecycline
midazolam

The last number or numbers of an NDC identify the:

quantity.
strength.
medication.
manufacturer.

Dr. Freeman became a physician at a hospital in 1990. Which of the following could be his DEA number?

AF9234853
BF6547838
FA5874931
FB5683241

Which of the following is NOT a possible side effect of montelukast?

seizure
headache
flu symptoms
sore throat

Which auxiliary label should be affixed to a prescription bottle of atorvastatin?

Certain medications may alter the effectiveness of birth control pills.
Do not ingest any form of grapefruit.
Keep in refrigerator; do not freeze.
Do not drink alcoholic beverages when taking this medication.

Which medication can be crushed or broken in half (for a half dose) if necessary?

metronidazole extended release
metoprolol succinate
alprazolam XR
sumatriptan

Which medication should be taken on an empty stomach?

levothyroxine
ibuprofen
albuterol
montelukast

Which of the following medications commonly causes constipation?

hydrocodone
venlafaxine
amoxicillin
clonidine

Radiopharmaceuticals are used to treat:

cancer.
arthritis.
arrhythmia.
gastritis.

A prescription for Ativan could be filled with which of the following medications if generic substitution is allowed?

lorazepam
temazepam
alprazolam
diazepam

Which of the following medications does NOT increase the likelihood of GI bleeding?

clopidogrel
ibuprofen
methotrexate
losartan

Which DEA form is used for ordering Schedule II drugs?

DEA Form 222
DEA Form 224
DEA Form 106
DEA Form 41

How would the instructions “Take 2 tablets in the morning and 1 tablet in the evening as needed” be written on a prescription?

Take 2 tsp qd and 1 tsp qod prn
Take 2 tbsp qam and 1 tbsp qpm prn
Take 2 ts qam and 1 t qpm prn
Take 2 cs qam and 1 c qpm prn

A pharmacy receives a prescription with the following instructions:

Instill 2 gtts AU QID X7D

This medication should be administered in:

the right eye only.
both ears.
the rectum.
the vagina.

Which of the following medications is an antiviral?

cephalexin
quinapril
irbesartan
acyclovir

Which of the following, written on a prescription, means four times a day?

QD
QID
QOD
QAM

A prescription is written so that the patient takes 1 tablet on Monday, Wednesday, and Thursday, 0.5 tablet on Tuesday and Saturday, and 1.5 tablets on Friday and Sunday. How many tablets would a month’s prescription contain if the first dose is taken on a Monday?

14
28
30
35

How long after the date it is prescribed does a Schedule III or IV prescription expire?

120 days
5 months
6 months
1 year

How many days does a methylprednisolone dose pack last if the first day is 6 tablets?

6
7
10
12

D5W is the abbreviation for:

dextrose 5% in normal saline.
deionized water
dextrose 5% in water.
distilled 5% water.

The pharmacy receives the following prescription:

Ibuprofen 800 mg q6h $\bar{\textup{c}}$ food × 10 days

The patient should be counseled to take the medication:

in the evening.
twice a day.
with food.
sublingually.

DEA numbers are composed of:

two letters and seven numbers.
three letters, six numbers, and one check digit
two letters, six numbers, and one check digit.
two letters, five numbers, and two check digits.

All of the following are true of the DEA formula EXCEPT:

the first letter is the DEA registrant number.
the second letter is the first letter of the prescriber’s last name.
the first, second, and third numbers are added together and multiplied by 2.
the second, fourth, and sixth numbers are added together; then the sum is multiplied by 2.

Which abbreviation means “dispense such doses”?

dtd
ATC
LCD
DAW

A month’s supply prescription is typically written for how many days?

30 days
31 days
the number of days left in the current month
the number of days in the month the prescription was written

A drug company uses an NDC of 897-465-2. Which of the following NDCs is the same as this NDC?

00897-0465-20
11896-1465-20
00089-7465-20
00897-0465-02

What information is NOT found in a compounding log?

physician’s name
lot number
pharmacist’s initials
beyond-use date

A prescription for Zoloft could be filled with which of the following medications if generic substitution is allowed?

sertraline
paroxetine
mirtazapine
olanzapine

How many milliliters of a 60% solution and a 20% solution are required to make 500 mL of a 45% solution?

250 mL 60% and 250 mL 20%
300 mL 60% and 200 mL 20%
312.5 mL 60% and 187.5 mL 20%
367.5 mL 60% and 132.5 mL 20%

All of these are strategies used to differentiate LASA drugs from regular stock EXCEPT:

not stocking LASA drugs in the pharmacy.
using Tall Man lettering
color-coding.
stocking LASA drugs in a special area in the pharmacy.

Which of the following is NOT an SSRI?

risperidone
fluoxetine
sertraline
escitalopram

What is the daily supply of ephedrine or pseudoephedrine allowed by the CMEA?

2.5 g
3.6 g
7.5 g
9 g

During DEA inspections, inspectors require all of the following information EXCEPT:

the Schedule II perpetual inventory log.
Schedule III invoices.
Schedule III – Schedule V invoices.
all filed hard copy prescriptions.

How many grams are required to make 500 mL of a 1:5000 solution?

0.01 g
0.1 g
1 g
10 g

A Schedule II prescription may be written for a maximum supply of:

60 days.
30 days.
28 days.
90 days.

The generic name of Robaxin is:

varenicline
sumatriptan.
terazosin.
methocarbamol.

Which drug is NOT considered a controlled substance?

hallucinogens
NSAIDs
opioids
sedatives

Which pharmacy automation helps maintain an accurate accounting of controlled substances?

pneumatic tube delivery systems
centralized narcotic dispensing and tracking devices
web-based compliance and disease management tracking systems
electronic clinical documentation systems

A patient wants to transfer a prescription for a controlled substance from another pharmacy within the same chain. The pharmacy technician should:

tell the patient that the prescription cannot be transferred.
call the prescriber to have a new prescription written.
inform the pharmacist of the transfer request.
transfer the prescription and dispense the medication.

Which of the following drugs is NOT a diuretic?

spironolactone
furosemide
fosinopril
hydrochlorothiazide

Which of the following is NOT required on a noncontrolled, hard copy prescription?

patient’s name
prescriber’s DEA number
patient’s phone number
prescriber’s name

Which of the following DEA forms is used for the transfer of Schedule II drugs to a pharmacy?

DEA Form 41
DEA Form 222
DEA Form 224
DEA Form 106

The expiration date for a Schedule II prescription is:

set at 21 days by the federal government.
regulated by the state.
determined by the pharmacist.
written on the prescription by the provider.

Which of the following is NOT considered a possible abbreviation error based on the Joint Commission’s Do Not Use list?

using cc (cubic centimeter) instead of mL (milliliter)
using apothecary units instead of metric units
using STAT to mean “as soon as possible”
using MS to mean both “morphine sulfate” and “magnesium sulfate”

At what temperature should insulin be stored?

body temperature: 97.52 – 99.68°F (36.4 – 37.6°C)
room temperature: 60 – 86°F (15 – 30°C)
refrigerated: 36 – 46°F (2 – 8°C)
frozen: -4 – 14°F (-20 – 10°C)

How often should the weights on a Class A balance be calibrated?

every six months
every other year
three times a year
annually

Patients taking which of the following medications should be counseled to use caution while driving or operating heavy machinery?

ibuprofen
methylprednisolone
tamsulosin
tramadol

A prescription for a Schedule III substance can be transferred from one pharmacy to another by:

any pharmacy technician.
a pharmacy technician with a current PTCB certification.
a pharmacy technician with approval from the pharmacist.
the pharmacist only.

A patient with a recent peptic ulcer was told by their doctor not to take NSAIDs. Which of the following OTC medications is likely to be recommended to the patient for pain management?

naproxen
ibuprofen
aspirin
acetaminophen

Which of the following questions from a patient must be answered by the pharmacist?

“Can you call my doctor for a refill for alprazolam?”
“On what date can I refill my prescription?”
“Are there any interactions between my two prescriptions?”
“Can I get fewer than thirty days filled for this prescription?”

Which of the following questions from a patient must be answered by the pharmacist?

“Does this medication use red dye?”
“What foods should I avoid with this medication?”
“Is this medication a controlled substance?”
“Is diazepam the same medication as Valium?”

The ratio of the compound betamethasone 0.1% and ketoconazole 2% 60 g is 1:2. How much of each drug should be added to the compound?

20 g of betamethasone and 40 g of ketoconazole
15 g of betamethasone and 30 g of ketoconazole
30 g of betamethasone and 15 g of ketoconazole
25 g of betamethasone and 50 g of ketoconazole

Which is NOT a true statement about stocking shelves in the pharmacy?

Drugs are separated by routes of administration.
Refrigerated items must be stocked in the refrigerator as soon as possible.
Drugs are always stored alphabetically by generic name on the shelves.
Stock must be rotated so that the drug expiring first is located in the front on the shelf.

Which of the following drugs is a LASA drug?

alprazolam
meloxicam
hydrochlorothiazide
clomiphene

A pharmacy technician who is using an automatic pill counter is required to double count the medication if:

the medication is a controlled substance.
the pill counter has not been calibrated within the last month.
they are dispensing more than 150 tablets.
they do not have other prescriptions to fill.

A patient should be counseled to avoid alcohol if they are taking which of the following medications?

eszopiclone
benzonatate
mupirocin
irbesartan

Pharmacy technicians may do all of the following when checking expiration dates on bottles EXCEPT:

donate expired drugs to clinics for low-income patients.
mark items that will expire within 60 days
remove expired items from the shelves.
return expired items to the manufacturer for credit.

When verifying a prescription, the pharmacist does all of the following EXCEPT:

return the stock bottle to the shelf.
compare the hard copy to the label.
check the NDC number on the stock bottle with the NDC number on the label.
check the patient’s profile for drug utilization reviews (DURs).

Which of the following written quantities correctly follows procedures for preventing medication errors?

1.0 mL
5 mL
10.0 mL
.5 mL

Which of the following is NOT a part of the five rights for medication administration?

right drug
right dose
right patient
right brand

This warning label is used for:

cytotoxic drugs.
flammable substances
biohazards.
poisons.

If Solution 1 and Solution 2 are combined at a ratio of 3:1 to make a compounded solution, what volume of each substance is required to make a 250 mL mixture?

Solution 1: 150 mL Solution 2: 100 mL
Solution 1: 175.5 Ml Solution 2: 74.5 mL
Solution1: 187.5 mLSolution 2: 62.5 mL
Solution 1: 200 mLSolution 2: 50 mL

Which of the following is NOT a part of the clean room of the pharmacy?

faucet
laminar airflow workbench
barrier isolators
buffer area

$1.286\: \textup{L} \times \frac{33.814 \:\textup{oz}}{1 \:\textup{L}}\times \frac{1 \:\textup{bottle}}{8 \:\textup{oz}}\approx \mathbf{6 \:bottles}$ A pharmacy tech is asked to prepare 3 L of a 30% solution. The active ingredient needed is stored in 8-ounce bottles of the 70% strength solution. How many bottles of the 70% solution are needed to complete the order?

3
6
10
12

If a patient is prescribed a drug that is dosed as 5 mg/kg TID, and the patient weighs 178 lbs, how many mgs per day should he or she receive?

1,076 mg/day
1,214 mg/day
1,325 mg/day
2,512 mg/day

According to the Medical Device Amendment of 1976, medical devices with low risks to humans are classified as:

Class IV.
Class III.
Class II.
Class I.

A pharmacy technician is preparing a drug that requires 2.5 ml of magnesium sulfate in 100 ml normal saline. The technician misreads the medication order as 25 ml of magnesium sulfate and prepares the drug this way. What type of medication error did the technician make?

incorrect drug error
drug preparation error
compliance error
deteriorated drug error

Which of the following drugs is NOT an opioid pain medication?

hydrocodone
methadone
morphine
tizanidine

A doctor wrote a prescription for a patient that requires 750 mg of drug A, TID for 30 days. The only strength the pharmacy has available is 250 mg. How many 250 mg tablets are needed to fill the 30-day supply prescription?

180
240
270
360

If 10 mL of glycerin is dissolved in enough water to make a 200-mL solution, what is the v/v% of the glycerin?

0.5
5
0.005
0.05

Which organization is in charge of regulating safety in the workplace?

FDA
CDC
OSHA
DEA

Which act outlines the process for drug companies to file an abbreviated new drug application (ANDA)?

Drug Price Competition and Patent Term Restoration Act of 1984
Health Insurance Portability and Accountability Act (HIPAA) of 1996
Patient Protection and Affordable Care Act of 2010
Drug Listing Act of 1972

Which agency regulates the practice of pharmacy by state?

ATF
DEA
CMS
BOP

The National Association of Boards of Pharmacy (NABP) works with which agency to develop and implement uniform standards relating to pharmacy?

FDA
BOP
DEA
CMS

Which regulating agency does NOT enforce laws and regulations under the Controlled Substances Act (CSA)?

DEA
FDA
EPA
Department of Health and Human Services

Which of the following medications does NOT cause drowsiness?

mirtazapine
alprazolam
methylphenidate
propranolol

Which of the following medications is NOT used topically for fungal infections?

clotrimazole
nystatin
terbinafine
triple antibiotic cream

What is the w/v% of magnesium 5 g in a 1-L solution?

0.005
0.05
0.0005
5.0E-5

A National Provider Identifier (NPI) is assigned to practitioners to meet federal standards set by:

OSHA.
HIPAA.
CBD dispensary regulations.
USP.

How many numbers appear on an RX BIN on a pharmacy insurance card?

4
5
6
9

A pharmacist needs as much 12% solution as can possibly be made by using sterile water to dilute a 1.5-L bottle of a 20% solution. How much sterile water is needed?

1,200 mL of SW
1,000 mL of SW
800 mL of SW
900 mL of SW

The first five digits of the NDC number refer to the:

manufacturer.
drug.
package.
pharmacy.

Which of the following is NOT a required part of the patient’s profile?

allergy information
spouse’s name
patient’s date of birth
insurance information

The suffix –prazole refers to which drug class?

opioid narcotics
proton pump inhibitors
ACE inhibitors
benzodiazepines

Which agency has the complete authority to enforce the Resource Conservation and Recovery Act of 1976?

FDA
DEA
CIA
EPA

PTCB PT #2

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