Download PTCB PRACTICE TEST - Pharmacy Technician Educators

PTCB PRACTICE TEST
1. Which of the following is the most common cleaning agent used within a pharmacy and
on a laminar flow hood?
A.
B.
C.
D.
Isopropyl alcohol 70%
Bleach
Soft scrub
Dish soap
2. Which of the following describes a formulary?
A.
B.
C.
D.
A limited list of drugs found in the pharmacy setting
A list of different formulations of drugs
Drugs that are extended or sustained – release
A compounding principle involving forms of gelatin capsules
3. Which of the following statements is false when talking about a TPN?
A.
B.
C.
D.
It’s also known as hyperalimentation
It’s intended for individuals who cannot take anything by mouth
It’s an IV admixture with multiple ingredients, including glucose and protein
It’s administered by mouth, so aseptic technique is not a concern
4. Which of the following terms is used to define a medication that kills or stops the
growth of bacteria in the body?
A.
B.
C.
D.
ACE inhibitor
Anticonvulsant
Antibiotic
Antifungal
5. If an order was written for five grams of a medication to be dispensed, how should this
be written on the prescription?
A. 5.0 grams
B. 5 grams
C. 5 gr
D. 0.5 grams
6. The NDC number consists of three sets of digits. What does the first set indicate?
A.
B.
C.
D.
The manufacturer
The product itself
The classification of the drug
The package size
7. A unit dose of medication is which of the following?
A.
B.
C.
D.
A medication that has numbers imprinted on it
An individual prepackaged medication
Medication used in specific nursing units
A drug that is neither a tablet nor a capsule
8. Of the following drugs, which one is classified as a COX -2 inhibitor?
A.
B.
C.
D.
Nifedipine
Atenolol
Celecoxib
Metformin
9. Which of the following should be included on the medication order as a patient
identifier?
A.
B.
C.
D.
Birthdate of the patient
Medical records number
Hospital room number or location
All of the above
10. What does the abbreviation DUR mean, and which act created this term?
A.
B.
C.
D.
Drug utilization review; Poison Prevention Packaging Act (PPA)
Drug utilization review; FD&C Act
Drug utilization review; OBRA
Drug utilization review; Orphan Drug Act
11. The selling price of a drug is $43.29 with a 33% markup and a $7.50 dispensing fee.
What is the final cost of this drug?
A.
B.
C.
D.
$48.50
$54.87
$65.08
$71.24
12. Of the following needles, which one has the smallest bore or diameter?
A.
B.
C.
D.
1 ml 27 G ½ inch
3 ml 23 G 1 inch
5 ml 21 G 1 inch
10 ml 30 G ¾ inch
13. Which of the following routes of administration would bypass the digestive system?
A.
B.
C.
D.
Oral
Nasal
NG
IM
14. Which of the following is a liquid dosage form where the medication is completely
dissolved in the solvent?
A.
B.
C.
D.
Suspension
Solution
Emulsion
Syrup
15. Which of the following is the proper expiration date that should be used when typing a
prescription?
A.
B.
C.
D.
One year from the date filled
Two years from the date filled
30 days from the date filled
The date indicated on the stock bottle
16. Of the following DEA numbers, which one is correct for Dr. Norma Grimaud?
A.
B.
C.
D.
AN 4621858
AG 4621853
BN 4621852
BG 4621858
17. A leaflet the FDA requires to be dispensed with every prescription, which includes
specific information about the drug being dispensed, is known as a:
A.
B.
C.
D.
Patient package insert
Lot number
Medication order
Prior authorization
18. Of the following drugs, which one would be considered a schedule III drug according to
the Controlled Substance Act?
A.
B.
C.
D.
Percocet
Anabolic steroids
Ambien
Robitussin with codeine
19. For how many milliliters per minute would one set the administration pump for the
following IV admixture?
D5 ½ NS 1,000 ml to be infused over eight hours
A.
B.
C.
D.
Approximately 1ml/min
Approximately 2ml/min
Approximately 3ml/min
Approximately 4ml/min
20. Of the following drugs, which one would be used in the treatment of hypertension?
A. Singulair
B. Depakote
C. Tenormin
D. Cymbalta
21. The government plan covering military patients is known as:
A.
B.
C.
D.
Medicare
Medicaid
TRICARE
PPO
22. Which of the following is the proper way to clean a laminar flow hood?
A.
B.
C.
D.
Back to front of the hood away from the HEPA filter, using side-to-side motions
Front to back of the hood toward the HEPA filter, using side-to-side motions
It does not matter as long as you use the correct cleaning agent
Up and down, side-to-side, away from the HEPA filter
23. In most hospitals, cart exchange of patient cassettes occurs every:
A.
B.
C.
D.
6 hours
12 hours
18 hours
24 hours
24. How many milliliters are needed to give an individual dose of 400 mg of the following
drug?
FeSO4 220mg/5ml 473 ml
A.
B.
C.
D.
2.2 ml
4.7 ml
9.1 ml
12.4 ml
25. A patient has a question about his or her medication’s potential side effects. What
should the pharmacy technician do?
A. Inform the patient of potential side effects
B. Give the patient a drug manufacturer’s insert, which will have side effects in it
C. Inform the patient not worry
D. Have the patient see the pharmacist for a consultation
26. The use of aseptic technique involves which of the following?
A.
B.
C.
D.
Wearing a new pair of shoes
Cleaning the equipment before and after compounding
Preparing a sterile product without contaminating it
Keeping customers 50 feet from the compounding area
27. How much of a 1:1,000 stock solution is needed to make 360 ml of a 1:2,400 solution?
A.
B.
C.
D.
10 ml
100 ml
150 ml
240 ml
28. How many milliliters of NPH insulin U-100 will you need to add to the following IV?
D5W 1,000 ml
Add: NPH U-100 35 units
A.
B.
C.
D.
3.5 ml
35 ml
0.35 ml
350 ml
29. How many grams of NaCl are there in the following IV?
NS 500 ml
A.
B.
C.
D.
0.45 g
4.5 g
0.9 g
9g
30. When a patient approaches the pharmacy to ask what the generic for Claritin is, you tell
him:
A.
B.
C.
D.
Only a pharmacist can answer his question, and you will get one from him shortly
The generic for Claritin is loratadine
The generic for Claritin is cetirizine
The generic for Claritin is diphenhydramine
31. In which drug classification would you find enalapril?
A.
B.
C.
D.
Beta-blocker
Calcium channel blocker
ACE inhibitor
5A phosphodiesterase inhibitor
32. Which laminar flow hood should be used when mixing chemo drugs?
A.
B.
C.
D.
Horizontal laminar flow hood
Parallel laminar flow hood
Vertical laminar flow hood
Perpendicular laminar flow hood
33. What packaging method does an institutional setting most commonly use?
A.
B.
C.
D.
Bulk supply
Unit dose
Monthly supply
Individual dose
34. Of the following references, which one has to do with therapeutic equivalencies?
A.
B.
C.
D.
Facts and Comparisons
OBRA Handbook
The Orange Book
Redbook
35. Which dosage form would mask the taste of a drug?
A. Chewable tablet
B. Buccal tablet
C. Troche
D. Gelatin capsule
36. A patient requests assistance finding an OTC medication for his allergies. How can a
pharmacy technician assist him?
A.
B.
C.
D.
By suggesting the medication that he or she thinks works best
By showing the patient where the cough and cold aisle is
By having a pharmacist assist him
None of the above
37. Which of the following was established to set forth sterile compounding standards
within pharmacies?
A.
B.
C.
D.
USP – 797
UPS
FDA
DEA
38. The dose of drug A is 5mg/kg body weight. What would the individual dose be for a
man who weighs 234 lb?
A.
B.
C.
D.
532 mg
724 mg
850 mg
1,170 mg
39. How many prednisone 5 mg tablets would you dispense for the following directions?
Sig: 40 mg po bid x 2d, 20 mg po qd x 2d, 10 mg po qd x 2d, 5 mg po qd x 2d, then dc.
A.
B.
C.
D.
24 tablets
32 tablets
46 tablets
60 tablets
40. A pharmacy technician is verifying the correct drug was selected using the NDC number.
She notices the last 2 digits of the NDC number do not match. What is wrong with the
product she selected?
A.
B.
C.
D.
Incorrect manufacturer
Incorrect drug and strength
Incorrect package size
None of the above
41. What is the last PPE that should be donned before entering a clean room?
A.
B.
C.
D.
Shoe covers
Gloves
Gown
Hair cover
42. How much hydrocortisone powder would be found in 4 oz of a 2.5% cream?
A.
B.
C.
D.
3,000 mg
4,000 mg
5,000 mg
6,000 mg
43. Which drops would you use for the following prescription?
Cortisporin drops 10 ml
Sig: ii gtts au bid x 10d
A. Cortisporin topical drops
B. Cortisporin ophthalmic drops
C. Cortisporin otic drops
D. Cortisporin nasal drops
E.
44. The process of grinding tablets or other substances into a fine powder is known as:
A.
B.
C.
D.
Levigation
Trituration
Spatulation
Reconstitution
45. D5NS stands for which of the following?
A.
B.
C.
D.
Dextrose 5% in sterile water
Dextrose 5% in 0.22% NaCl
Dextrose 5% in 0.45% NaCl
Dextrose 5% in 0.9% NaCl
46. You need to measure 48 ml of liquid. What size graduated cylinder would you use?
A.
B.
C.
D.
1 oz
2 oz
3 oz
4 oz
47. The enzyme HMG-CoA reductase is involved in synthesizing the cholesterol from fat.
Which of the following drugs is considered to be an HMG-CoA reductase inhibitor?
A.
B.
C.
D.
Cholestyramine
Clofibrate
Pravastatin
Probucol
48. In the community pharmacy setting, there must be a refrigerator for storing medications
that require a storage temperature between:
A.
B.
C.
D.
0-4 degrees Celsius
1-6 degrees Celsius
2-8 degrees Celsius
4-10 degrees Celsius
49. The government insurance company for patients with low incomes is known as:
A.
B.
C.
D.
Medicare
Medicaid
TRICARE
HMO
50. One requirement of recertification for either of the national certifying organizations is
that the pharmacy technician must participate in continuing education every two years
for which of the following lengths of time?
A.
B.
C.
D.
10 contact hours
20 contact hours
30 contact hours
40 contact hours
51. A drug class recall informing the likeliness of causing serious adverse reactions or death
would be which of the following?
A.
B.
C.
D.
Class I
Class II
Class III
Class IV
52. Which of the following is a reference book that contains drug manufacturer drug
inserts?
A.
B.
C.
D.
Facts and Comparisons
OBRA Handbook
PDR
The Orange Book
53. The fee a patient pays when picking up a prescription is known as the:
A.
B.
C.
D.
Co-payment
Deductible
Premium
Third party
54. If a patient is on the drug Glucophage, what is this patient most likely being treated for?
A.
B.
C.
D.
Hypertension
Diabetes
Depression
Gingival hyperplasia
55. How much D20W 1,000 ml and D5W 1,000 ml is needed to make D7.5W 500 ml?
A. 83.3 ml D20W and 416.7 ml D5W
B. 416.7 ml D20W and 83.3 ml D5W
C. 102 ml D20W and 398 ml D5W
D. 398 ml D20W and 102 ml D5W
56. For the following IV, what would the infusion rate be in gtts/min?
D51/2NS 1,000 ml over 16 hours
Drop factor: 13gtts/ml
A.
B.
C.
D.
12 gtts/min
14 gtts/min
16 gtts/min
18 gtts/min
57. How much diluent do you need to add to a 4 g vial to get a concentration of 500 mg/ml?
(Note: Disregard the space the powder occupies.)
A.
B.
C.
D.
6 ml
8 ml
10 ml
12 ml
58. The cost of two ounces of triamcinolone acetonide 0.125% is $14.75. What would the
cost be for 15 g?
A.
B.
C.
D.
$1.20
$2.69
$3.69
$4.19
59. A health maintenance organization (HMO) requires patients to specify a:
A.
B.
C.
D.
Pharmacy
Primary care physician
Insurance company
Formulary
60. Which auxiliary label would you use for the following sig?
i-ii gtts ad ud prn
A.
B.
C.
D.
Take with meals
For the eye
Avoid sunlight
For the ear
61. Which of the following classes of drugs would require a medication guide to be
dispensed with the prescription?
A.
B.
C.
D.
NSAID
Antidepressants
Antibacterials
Both A and B
62. Which of the following medications is used in patients with thyroid hormone deficiency?
A.
B.
C.
D.
Singulair
Synthroid
Plavix
Premarin
63. Which of the following medications is used for insomnia?
A.
B.
C.
D.
Xanax
Metformin
Ambien
Atenolol
64. A coordination of benefits ensures that:
A. Claims are not paid in duplicate or overpaid.
B. The primary insurer is billed first.
C. The secondary insurer is not billed more than the remaining balance after the
primary third party is billed.
D. All of the above.
65. Which of the following medications is used for depression?
A.
B.
C.
D.
Prozac
Flonase
Altace
Vicodin
66. A third party administrator of pharmacy benefits to several companies is known as a:
A.
B.
C.
D.
PBM
HMO
PPO
FDA
67. Which of the following medications is used to treat GERD?
A.
B.
C.
D.
Nifedipine
Trazodone
Esomeprazole
Enalapril
68. A solution containing 150 mg of drug in 1,000 ml solution would be expressed as which
percent?
A.
B.
C.
D.
0.015%
0.15%
1.5%
15%
69. Using the formula below, what would the temperature in Celsius be if the temperature
is 78 degrees Fahrenheit?
C = F – 32 divided by 1.8
A.
B.
C.
D.
12.2 degrees
16.4 degrees
25.6 degrees
34.8 degrees
70. How do ACE inhibitors work?
A.
B.
C.
D.
Preventing the attachment of angiotensin 2 from attaching to receptor sites
Blocking angiotensin receptor sites of the heart
Preventing the conversion of angiotensin 1 to angiotensin 2
Preventing the stimulation of alpha-2 receptor sites
71. If the expiration date on a prescription reads 12/2010, what is the exact expiration date
of this drug?
A.
B.
C.
D.
11/30/2010
12/01/2010
12/31/2010
01/01/2011
72. A prescription orders 300 milligrams of carbamazepine, but only 200 milligram tablets
are available. How many tablets will you dispense?
a.
b.
c.
d.
2.5
1.5
1
4
73. What is the maximum number of refills allowed for a prescription for zolpidem?
A.
B.
C.
D.
No refills allowed
3 refills
5 refills
11 refills
74. A prescription orders 2.5 grams of neomycin sulfate. 500 milligram tablets are available.
How many tablets will you dispense?
A.
B.
C.
D.
Two
Four
Three
Five
75. The part of Medicare that covers prescription drug is:
A.
B.
C.
D.
Part A
Part B
Part C
Part D
76. The following prescription is brought to the pharmacy: “Amoxil 400 mg po tid x 14
days.” The pharmacy stocks 500mg/5ml amoxicillin suspension. What is the volume of
medication needed to fill the entire prescription?
A.
B.
C.
D.
60 ml
168 ml
240 ml
30 ml
77. What does NaCl mean?
A.
B.
C.
D.
Potassium chloride
Sodium chloride
Calcium chloride
Magnesium chloride
78. When a federal law and a state law both exist covering the same issues, which one
should be followed?
A.
B.
C.
D.
State law, as this is relevant in the state where you live
Federal law, as this relevant in the state where you live
The less stringent of both laws
The more stringent of both laws
79. When storing an item at room temperature, the room should be:
A.
B.
C.
D.
36 to 46 degrees Fahrenheit
Greater than 30 degrees Celsius
2 to 8 degrees Celsius
15 to 30 degrees Celsius
80. How many 1 L bags will be needed if D5W is to run 80ml/hr for 24 hours?
A.
B.
C.
D.
One bag
Two bags
Three bags
Four or more bags
81. What volume of albuterol 5% solution will be needed if 120 ml of 0.05% solution must
be compounded for patient use?
A.
B.
C.
D.
8.3 ml
0.83 ml
12 ml
1.2 ml
82. Of the following medications, which one would be exempt from the Poison Prevention
Packaging Act?
A.
B.
C.
D.
Clotrimazole troches
Verapamil tablets
Nitrostat SL tablets
Ketorolac tablets
83. Allergies to medications, birthdate, and insurance information are all indicated where in
a pharmacy system?
A.
B.
C.
D.
Patient profile
Third party database
Pyxis machine
Order entry
84. Which of the following are computer applications that may be utilized in the pharmacy?
A.
B.
C.
D.
Inventory reports
DUR override reports
Drugs usage reports
All of the above
85. How many tablets are needed if a patient is taking a medication with the directions “1
tab po bid x 7 days?”
A.
B.
C.
D.
14
20
30
40
86. If a cart exchange is not until 10 A.M. the next day, how many doses should be sent to
fill a new patient order received at 2 P.M. for the following medication?
Lopressor 100 mg po q8h (8 A.M, 4 P.M., and 12 A.M.).
A.
B.
C.
D.
One dose
Two doses
Three doses
Four doses
87. Cyclobenzaprine is a skeletal muscle relaxant. What is the trade or brand name?
A.
B.
C.
D.
Norvasc
Tenormin
Flexeril
Augmentin
88. To prevent any harm or risk, any sharps or broken glass should always be disposed of in
a:
A.
B.
C.
D.
Regular trashcan
Sharps container
Biohazard bin
Cardboard box
89. From the following prescription order, how many capsules should you dispense?
A. XXIV
B. XXVIII
C. XVIII
D. XXIX
90. Of the following which information would not be on a unit dose label?
A.
B.
C.
D.
Manufacturer
Expiration date
Patient’s name
Lot number