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219 10 Chapter PRACTICE EXAMINATION I 1. Which of the following is NOT a “patient right”? a. Right dosage form b. Right drug c. Right price d. Right strength 2. What is the maximum number of refills allowed for a Schedule IV drug? a. None b. One c. Five d. Unlimited 3. What is the meaning of “DAW2” in billing a pre- scription to an insurance carrier? a. Brand dispensed as a generic b. Physician approved the use of a generic drug c. Physician approved the use of a generic drug; the patient requested brand name d. Physician requested brand name 4. Which of the following auxiliary labels should be placed on a prescription container of antianxiety, antidepressant, or anticonvulsant medication? a. Avoid dairy products b. May cause drowsiness c. Refrigerate d. Shake well 5. What is the basic reimbursement formula for phar- macies? a. Copayment b. Drug cost 1 Standard markup rate c. Drug cost 1 Dispensing fee d. Drug cost 1 Dispensing fee 2 Deductible 6. Which classification of drug recall occurs if the patient experiences a reversible side effect? a. Class I b. Class II c. Class III d. Class IV 7. What standards must be followed during extem- poraneous compounding? a. DEA b. FDA c. GMP d. OBRA-90 8. A pharmacy is reimbursed by an insurance com- pany for AWP 1 $3.25 per prescription. If the AWP for 100 tablets is $120.00, how much will the pharmacy be reimbursed for a prescription of 30 tablets? a. $36.00 b. $39.25 c. $120.00 d. $123.25 9. What is the generic name for Glucophage? a. Glipizide b. Glyburide c. Metformin d. Pioglitazone 10. Which drug law stated that all drugs must be pure, safe, and effective? a. FDCA 1938 b. Durham-Humphrey Amendment c. Kefauver-Harris Amendment d. Poison Prevention Act of 1970 Practice Examinations

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Page 1: 13 -- chapter 10 practice examinations

219

10Chapter

PRACTICE EXAMINATION I

1. WhichofthefollowingisNOTa“patientright”?a. Rightdosageformb. Rightdrugc. Rightpriced. Rightstrength

2. What is the maximum number of refills allowedforaScheduleIVdrug?a. Noneb. Onec. Fived. Unlimited

3. Whatisthemeaningof“DAW2”inbillingapre-scriptiontoaninsurancecarrier?a. Branddispensedasagenericb. Physicianapprovedtheuseofagenericdrugc. Physicianapprovedtheuseofagenericdrug;

thepatientrequestedbrandnamed. Physicianrequestedbrandname

4. Whichofthefollowingauxiliarylabelsshouldbeplacedonaprescriptioncontainerofantianxiety,antidepressant,oranticonvulsantmedication?a. Avoiddairyproductsb. Maycausedrowsinessc. Refrigerated. Shakewell

5. Whatisthebasicreimbursementformulaforphar-macies?a. Copaymentb. Drugcost1Standardmarkupratec. Drugcost1Dispensingfeed. Drugcost1Dispensingfee2Deductible

6. Which classification of drug recall occurs if thepatientexperiencesareversiblesideeffect?a. ClassIb. ClassIIc. ClassIIId. ClassIV

7. Whatstandardsmustbefollowedduringextem-poraneouscompounding?a. DEAb. FDAc. GMPd. OBRA-90

8. Apharmacyisreimbursedbyaninsurancecom-pany for AWP 1 $3.25 per prescription. If theAWP for 100 tablets is $120.00, how much willthepharmacybereimbursedforaprescriptionof30tablets?a. $36.00b. $39.25c. $120.00d. $123.25

9. WhatisthegenericnameforGlucophage?a. Glipizideb. Glyburidec. Metformind. Pioglitazone

10. Which drug law stated that all drugs must bepure,safe,andeffective?a. FDCA1938b. Durham-HumphreyAmendmentc. Kefauver-HarrisAmendmentd. PoisonPreventionActof1970

Practice Examinations

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220 Mosby’s Review for the Pharmacy Technician Certification Examination

11. Whatisthemeaningoftheabbreviation“qsad”?a. Asufficientquantityfortheleftearb. Asufficientquantityfortherightearc. Asufficientquantityfortherighteyed. Asufficientquantitytomakeupto

12. Whatistheminimumamountoftimethatapatientmust wait before purchasing another bottle of anexemptnarcotic?a. 24hrb. 48hrc. 72hrd. 96hr

13. Whatsystemdoestuberculosisaffect?a. Cardiovascularb. Digestivec. Endocrined. Respiratory

14. How much medication should a 70-lb childreceiveiftheadultdoseis250mg?a. 70mgb. 79mgc. 116mgd. 1458mg

15. Which of the following is a federal program forpatientsolderthan65yearsorwithcertaindiseases?a. ADCb. Medicaidc. Medicared. Workers’compensation

16. Which vitamin will increase the blood coagula-tionofapatienttakingCoumadin?a. VitaminB1

b. VitaminB6

c. VitaminCd. VitaminK

17. During which of the following processes can amedicationerroroccur?a. Administrationb. Dispensingc. Prescribingd. Alloftheabove

18. Which interpretation of the following instruc-tionsiscorrect?30-mLMOMPOacandhsprna. TakeoneteaspoonfulofMilkofMagnesiaby

mouthbeforemealsandatbedtimeasneeded.b. TakeonetablespoonfulofMilkofMagnesiaby

mouthaftermealsandatbedtimeasneeded.c. Take1ozofMilkofMagnesiabymouthafter

mealsandatbedtimeasneeded.d. Take1ozofMilkofMagnesiabymouthbe-

foremealsandatbedtimeasneeded.

19. WhatisNOTfoundinatotalnutrientadmixture?a. Aminoacidb. Dextrosec. Lipidsd. Protein

20. WhatdoesFDAreferto?a. FoodandDrugAbuseb. FoodandDrugAdministrationc. FoodandDrugAssociationd. FreeDrugAssistance

21. Whattypeofhospitalerroroccurswhenapatientreceiveshisorherprescribedmedicationoutsideofthenormalscheduledtime?a. Monitoringdrugerrorb. Omissionerrorc. Wrongtimeerrord. Wrongdosageform

22. Whichofthefollowingmayrequireapotassiumsupplement?a. Aldactoneb. Dyazidec. Dyreniumd. Lasix

23. Howoftenmustaninventoryofcontrolledsub-stancesbetaken?a. Weeklyb. Monthlyc. Yearlyd. Every2years

24. WhichofthefollowingcategoriesofmedicationsdoesNOTappearonthelistof“high-alertmedi-cations”?a. Antiarrhythmiab. Antibioticsc. Antithromboticsd. Oralhypoglycemicagents

25. Whichof the followingpharmacyabbreviationswould NOT be used for a regularly scheduledmaintenancemedication?a. BIDb. QIDc. STATd. TID

26. Whichofthefollowingshouldbeusedinliftingpharmacyweightstobeplacedonabalance?a. Filterpaperb. Forcepsc. Latexglovesd. Weighingpapers

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27. How many 150-mg clindamycin capsules arerequired to compound a prescription reading“clindamycin2%,propyleneglycol5%,isopropylalcoholqsad480mL”?a. 10b. 64c. 96d. 112

28. WhichofthefollowingisNOTtruewithregardtoorderingScheduleIIdrugs?a. Form222isatriplicateform.b. Form222mustbekeptinasecurelocation.c. IfanerrorismadeonForm222,onecancross

itoutandinitialit.d. A maximum of 10 different drugs can be

orderedononeform.

29. ApharmacybasesitsretailpricesonAWPplusaprofessionalfeeasfollows:

32. Atwhichpartoftheliquiddoesonelookwhenmeasuringliquids?a. A point between the bottom and top of the

meniscusb. Bottomofthemeniscusc. Topofthemeniscusd. Noneoftheabove

33. WhatisthegenericforLipitor?a. Atorvastatinb. Fluvastatinc. Pravastatind. Simvastatin

34. If120mLofa2%(w/v)isdilutedwithwaterto1pint,whatwillbethestrengthofthedilution?a. 0.25%b. 0.5%c. 1.0%d. 8.0%

35. Which of the following drugs is a Schedule IIdrug?a. Acetaminophenwithcodeineb. Alprazolamc. Cocained. Flurazepam

36. Howmanydayswillaprescriptionof60tabletslastifthedirectionsread“i-iitabsPOq4-6h”?a. 5daysb. 7daysc. 10daysd. 15days

37. WhatisthemaximumnumberofrefillsallowedforaScheduleIIIdrug?a. Noneb. Onec. Fived. Six

38. WhatisthemeaningoftheLatinabbreviationRxonaprescription?a. Insignab. Sigc. Takethisdrugd. Writeonlabel

Fee AWP

$2.25 $25.00orless$3.25 $25.01–$50.00$10.00 $50.01–$75.00$20.00 $75.01ormore

Aprescriptionispresentedthatreads“Sig:2tabsbid325days.”IftheAWPofthisdrugis$321.66for500tablets,whatwillbetheretailpriceoftheprescription?a. $66.53b. $70.20c. $74.33d. $85.25

30. WhichDAWcodeshouldbeusedifthephysicianauthorizes the use of a generic drug but thepatientrequeststhebrandnamedrug?a. 0b. 1c. 2d. 3

31. What is thedirection forairflowinahorizontallaminarairflowhood?a. Fromthebackofthehoodtothefrontb. Fromthebottomofthehoodtothetopc. Fromthefrontofthehoodtothebackd. Fromthetopofthehoodtothebottom

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39. IfapatienttakingwarfarinisNOThavinghisorherINRorPTTperformed,whattypeofmedica-tionerrorisoccurring?a. Complianceerrorb. Improperstorageerrorc. Monitoringerrord. Unauthorizeddrugerror

40. Whichof the following isNOTagoalof inven-torymanagement?a. Maximizecostsassociatedwithplacingorders

tothewholesaler.b. Minimizetimespentonpurchasingfunctions.c. Minimizecapitalchargeonaverageinventory.d. Minimize shrinkage, breakage, and obsoles-

cenceofinventory.

41. Drugs in which classification may yield sideeffects suchasdryeyes,drymouth,ordifficulturinationordefecation?a. Alpha-blockersb. Anticholinergicsc. Beta-blockersd. Cephalosporins

42. Which of the following must appear on a unit-doseproductlabel?a. Dosestrengthofthemedicationb. Expirationdateofthemedicationc. Medicationnamed. Alloftheabove

43. Which of the following inventory principles isdefinedasthecostofgoodssold/averageinven-toryvalue?a. Economicorderquantityb. Inventoryturnoverratec. Minimum–maximumd. PAR

44. What termrefers to theamountofmoneyapa-tientmustpayinagivenperiodbeforethethird-partyinsurerwillmakeapayment?a. AWP1dispensingfeeb. Capitationc. Copaymentd. Deductible

45. The following prescription is presented to thepharmacy:Hctz50mg#30itabPOqodcOJHow many days will the prescription last thepatient?a. 15daysb. 30daysc. 45daysd. 60days

46. WhatisthemaximumnumberofrefillsallowedonAccutaneprescriptions?a. Noneb. Onec. Sixd. Twelve

47. AccordingtotheMedicationErrorReportingandPrevention categories, what category of error isassignediftheerroroccurredbutitdidnotreachthepatient?a. Ab. Bc. Cd. D

48. WhichofthefollowingisNOTataskcompletedbypharmacytechnicians?a. Counselingpatientsb. Performinginventorymanagementtasksc. Orderingmedicationsd. Refillingprescriptions

49. Which of the following drugs is NOT a protonpumpinhibitor?a. Esomeprazoleb. Itraconazolec. Lansoprazoled. Pantoprazole

50. What typeof inventory isperformedbefore thepharmacy’sfirstdayofbusiness?a. Biennialb. Initialc. Perpetuald. Physical

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Chapter 10 Practice Examinations 223

51. Which of the following would NOT be used inthepreparationofintravenousmedications?a. Ampulesb. ClassAprescriptionbalancec. Laminarflowhoodd. Syringes

52. Which of the following is NOT an effect ofnarcotics?a. Analgesiab. CNSstimulationc. Euphoriad. Sedation

53. Whichofthefollowingcouldbeusedtopreparean ointment if another technician is using theointmentslab?a. Agraduateb. Amortarc. Parchmentpaperd. Weighingpaper

54. Which of the following would be a cause of amedicationerror?a. Handwritingisillegibleorunclearb. Knowledgedeficitc. Performancedeficitd. Alloftheabove

55. Whoassignsalotnumbertoaparticularbatchofmedicine?a. Drugmanufacturerb. FDAc. Pharmacistd. Pharmacytechnician

56. Which instrument shouldbeused tomeasureavolumelessthan1.0mL?a. Beakerb. Conicalgraduatec. Cylindricalgraduated. Pipette

57. WhatisthegenericnameforZithromax?a. Azithromycinb. Clarithromycinc. Minocyclined. Ofloxacin

58. Which of the following workplace issues maycontributetoaprescriptionerror?a. Fillingoneprescriptionatatimeb. Medicationlabelsthatusemultiplecolorand

sizefontsc. Multitaskingd. Quietworkenvironment

59. Howmuch timedoesapharmacisthave to com-pletethepartialfillingofaScheduleIIprescription?a. 24hoursb. 48hoursc. 72hoursd. 96hours

60. WhichofthefollowingdutiesmaythepharmacytechnicianNOTperform?a. Labelingmedicationdoses,preparingintrave-

nousadmixtures,andmaintainingthecleanli-nessofthelaminarflowhood

b. Maintaining patient records, filling and dis-pensingroutineordersforstocksupplies,andpreparingroutinecompounding

c. Prepackagingdrugs insingledoseorunitofuse,maintaininginventoriesofdrugsupplies,andcompletinginsuranceforms

d. Providingclinicalcounseling,providingclini-cal information to medical staff, and provid-ingpatientmedicalhistorydatatorequestors

61. Which of the following is NOT an automateddispensingsystem?a. TJCb. Pyxisc. Robot-Rxd. SureMed

62. If500mLofD5Wis tobe infusedover6hoursand thedrop factor is15gtt/mL,whatwill therateingtt/minbe?a. 1gtt/minb. 2gtt/minc. 10gtt/mind. 20gtt/min

63. Howoldmustapersonbetopurchaseanexemptnarcotic?a. 12yearsb. 16yearsc. 18yearsd. 21years

64. Whichofthefollowingmaybeusedtotreatsleepdisorders?a. Chromiumpicolinateb. Ginsengc. Glucosamined. Melatonin

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65. WhichofthefollowingisNOTanadvantageofaplasticbagIVparenteralsystem?a. Theplasticbagislightandcheaptotransport.b. Theplasticbagtakeslessroomforstorageand

disposal.c. Thequantity remaining in thebag is easy to

read.d. Alloftheabove

66. WhichofthefollowingisNOTacopaymentar-rangementdesignatedbythird-partyproviders?a. Feeforserviceb. Flatratec. Percentaged. Variablerate

67. Howmuchdextrosedoes1LofD10Wcontain?a. 10mgb. 100mgc. 1gd. 100g

68. Whichof the following interpretationsof“iigttbidos”iscorrect?a. Instilltwodropsinrighteartwiceperday.b. Instilltwodropsinlefteartwiceperday.c. Instilltwodropsinrighteyetwiceperday.d. Instilltwodropsinlefteyetwiceperday.

69. Whichdosageformisdescribedas“solidparti-clesdispersedinliquidvehicle”?a. Emulsionsb. Gelc. Lotiond. Suspensions

70. Whereshouldanoticproductbeinstilled?a. Intheearb. Intheeyec. Intherectumd. Underthetongue

71. Whichofthefollowingratingsindicatesthatthedrugiscontraindicatedinpregnancy?a. Ab. Bc. Cd. X

72. Whattypeofformularywouldaretailpharmacyuse?a. Closedb. Openc. Restrictedd. Noneoftheabove

73. Whichisthemostcommonrouteofadministra-tionwhentakingnitroglycerin?a. Buccalb. Oralc. Rectald. Sublingual

74. Whichofthefollowingfunctionsareperformedbypharmacycomputers?a. Druginformationb. Drugutilizationevaluationc. Qualityassuranced. Alloftheabove

75. Which of the following dosage forms is NOT asoliddosageform?a. Capsuleb. Elixirc. Plasterd. Powder

76. WhichofthefollowingisNOTarequiredtextinapharmacy?a. AcopyoftheControlledSubstanceActb. USP-NFc. Drug Facts and Comparisonsd. Allarerequiredreferences.

77. AccordingtoMEDMARX,whichofthefollowingmedications has been associated with a largenumberofmedicationerrors?a. Amoxicillinb. Heparinc. Ibuprofend. Prilosec

78. Which of the following is an advantage of barcoding?a. Ensuresthepatientreceivesthecorrectdrugb. Ensuresthepatientreceivesthecorrectdosagec. Ensuresthepatientreceivesthecorrectdosage

formd. Alloftheabove

79. Whattermreferstoplacingmedicationwiththelongest expiration date behind those containerswithashorterexpirationdate?a. Beyond-usedateb. Just-in-timedatec. Productrecalld. Productrotation

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80. What USP term is assigned to any temperaturebetween15°and30°C?a. Freezerb. Coolc. Coldd. Roomtemperature

81. Which organization has issued a “do NOT uselist”ofpharmacyabbreviations?a. ISMPb. NationalAssociationBoardsofPharmacyc. StateBoardofPharmacyd. TJC

82. Whichofthefollowingisanexampleofbiomet-ricsusedtologintoapharmacycomputer?a. Each individual has a unique user name or

passwordb. Eyescanc. Fingerprintd. Universalusernameandpasswordsareused

83. Aphysicianhasauthorizedagenericmedicationto be dispensed to a patient but the patientwishes to receive the brand name drug. WhatDAWnumberwouldbeusedinsubmittingthisprescriptionclaimtothethird-partyprovider?a. DAW0b. DAW1c. DAW2d. DAW3

84. Whichofthefollowingmayrequirespecificmod-ificationstoapharmacysystemsdatabase?a. Drug–druginteractionsb. Drug–foodinteractionsc. Drug–laboratoryinteractionsd. Maximumdoseanddoserange

85. Whattermisassignedtoastoragetemperatureof30°to40°C?a. Controlledroomtemperatureb. Excessiveheatc. Roomtemperatured. Warm

86. Whattermisassignedtoanorganizationthatne-gotiatesthepriceofamedicationforapharmacy?a. Directpurchasingb. Grouppurchasingorganizationc. Jobberd. Primevendor

87. WhatisthemeaningofCPOE?a. CardiacPulmonaryObstructiveEmbolismb. Complicated Pregnancy Obstruction Exami-

nationc. ComputerizedPrescriberOrderEntryd. CongestivePulmonaryObstructiveEmbolism

88. WhichofthefollowinghasbeenimplementedbytheFDAtoeliminatemedicationerrors?a. DoNOTcrushlistb. Sound-alike,look-alikenamesc. “Tallman”lettersd. Alloftheabove

89. Which piece of legislation requires that a phar-macymaintainpatientprofilesforallpatients?a. Kefauver-HarrisAmendmentb. MMAc. OBRA-87d. OBRA-90

90. Whichof thefollowingtypesofmedicationsre-quire pre-authorization before submission of aprescriptionclaim?a. Noncovereddrugsb. Nonformularydrugsc. Restricteddrugsd. Alloftheabove

91. Which of the following management functionscanapharmacyinformationsystemprovide?a. Distributionreportsb. Filemaintenancec. Financialreportsd. Alloftheabove

92. How many categories of medication errors areclassifiedbyMERP?a. 4b. 5c. 9d. 10

93. Whattermreferstothepriceapharmacypaysformedicationafteralldiscountshavebeenappliedtoit?a. AACb. AWPc. MACd. Retailprice

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94. Which of the following is an example of com-putertechnologyusedinpharmacy?a. Automateddispensingsystemsb. Barcodingc. Touchscreensd. Alloftheabove

95. Whichofthefollowingcondition(s)willpreventan individual from preparing compoundedsterileproducts?a. Rashesb. Respiratoryinfectionsc. Sunburnd. Alloftheabove

96. Whichofthefollowingpharmacyabbreviationsshould NOT be used on a prescription due tothepossibilityofaprescriptionerror?a. acb. bidc. oud. tab

97. Which organization has developed tools to re-ducemedicationorders?a. CMSb. FDAc. ISMPd. TJC

98. WhatMERPclassificationoccurswhentheerrordidNOTreachthepatient?a. Noerrorb. Error,noharmc. Error,harmd. Error,death

99. What substance should be used to disinfectglovesaftercontactingnonsterileobjects?a. Distilledwaterb. Sterilewaterc. 70%IPAd. 90%IPA

100. WhichpieceoflegislationprovidedprescriptiondrugcoverageforpatientsreceivingMedicare?a. DrugListingActb. OBRA-87c. OBRA-90d. MMA

PRACTICE EXAMINATION II

1. Whichauxiliary labelshouldbeaffixedtoacon-taineroftetracycline?a. Avoidsunlightb. Take1hrbeforeor2hraftertakingdairyprod-

uctsorantacidsc. Takeallmedicationd. Alloftheabove

2. How many milligrams of atropine sulfate areneededtomake30mLofa1:200solution?a. 1.5mgb. 15mgc. 150mgd. 1500mg

3. Whatisthegenericnameforthebrand-namedrugBactrimDS?a. Amoxicillin–clavulanateb. Cephalexinc. Sulfamethoxazole–trimethoprimd. Sulfamethoxazole–trimethoprimDS

4. What is the maximum number of refills allowedforaprescriptionofoxycodone1APAPifautho-rizedbytheprescriber?a. Noneb. Fivec. 12d. Unlimited

5. Which organization established standards fore-prescribing?a. APHAb. ISMPc. NCPDPd. SCRIPT

6. WhatdoesDUEmean?a. Directionsunderevaluationb. Doctorunderexaminationc. Drugusedexternallyd. Drugutilizationevaluation

7. Whichofthefollowingisdefinedasthedifferencebetweentheprescriptionsellingpriceandthepre-scriptioncost?a. Discountb. Inventoryturnoverratec. Markupd. Netprofit

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8. Whattemperatureisconsideredroomtemperature?a. 8°Cb. 8°to15°Cc. 15°to30°Cd. 30°to40°C

9. What is the generic name for the beta-blockerTenormin?a. Atenololb. Metoprololc. Propranolold. Nadolol

10. Whatisthecostfor24mgofanactiveingredientusedinacompoundifthebulkbottleoftheac-tiveingredientcosts$250.00/g?a. $1.50b. $3.00c. $6.00d. $9.00

11. WhatisMedWatch?a. A device that signals that an another IV bag

needstobehunginaninstitutionb. Areportingprogramavailabletopharmacies

indicating physicians who may be overpre-scribingnarcotics

c. Areportingprogramavailable tohealthcareproviders to report adverse events that poseserioushealththreats

d. AserviceestablishedbytheAARPtomonitorpolypharmacyinelderlyadults

12. Which form is required to dispense controlledsubstances?a. Form222b. Form224c. Form225d. Form363

13. Which DAW code is used when the physicianwrites“brandnameonly”ontheprescription?a. 0b. 1c. 2d. 3

14. Howmanydayswouldaprescriptionof30tab-letslastifthedirectionswere“itabtidac”?a. 3daysb. 6daysc. 8daysd. 10days

15. Whatistheflowrateof1000mLofRinger’slac-tatetobeinfusedover8hours?a. 6.25mL/hrb. 12.5mL/hrc. 62.5mL/hrd. 125mL/hr

16. MedicationsinwhichschedulehavenomedicaluseintheUnitedStatesandpossessanextremelyhighpotentialforabuse?a. ScheduleIb. ScheduleIIc. ScheduleIIId. ScheduleIV

17. What typeofdrug isaffectedby theexpression“MAC”?a. Discontinueddrugsb. Investigationaldrugsc. Nonproprietarydrugsd. Proprietarydrugs

18. WhichofthefollowingisNOTanadvantageofe-prescribing?a. Increasedpharmacycostsb. Reducemedicationerrorsc. Reducetelephonecallstoprescribersd. Timesavings

19. Which of the following is NOT a manner for anewprescription tobepresented forfillingatapharmacy?a. Calledinbythephysicianb. Calledinbythepatientc. Faxd. Presentedbythepatient

20. Whatisthenameoftheopeningofaneedle?a. Bevelb. Hiltc. Lumend. Point

21. WhichofthefollowingprofessionallicensesdoesNOTconfertheabilitytoprescribemedications?a. DDSb. LCSWc. MDd. PA

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22. Howmanymillilitersofwatershouldbeaddedto100mLof10%stocksolutionofsodiumchlo-ride to prepare a 0.9% solution of sodium chlo-ride?a. 10.1mLb. 101mLc. 1011mLd. 1111mL

23. Whichof the followingdrugs isNOTa formofestradiol?a. Climarab. Estracec. Estradermd. Premarin

24. Whichinterpretationof“iigttosbid”iscorrect?a. Instilltwodropsinrighteartwiceaday.b. Instilltwodropsinrighteyetwiceaday.c. Instilltwodropsinlefteartwiceaday.d. Instilltwodropsinlefteyetwiceaday.

25. Whichdosageformisanaqueoussolutionwithsucrose?a. Emulsionb. Solutionc. Suspensiond. Syrup

26. Whattypeofpharmacybalanceisrequiredinallpharmacies?a. ClassAb. ClassBc. Electronicd. Triplebeam

27. How would one take a medication if the direc-tionssaid“PO”?a. Bymouthb. Byrectumc. Lefteard. Topically

28. Whichofthefollowingisfoundinanelectronichealthrecord(EHR)?a. Advanceddirectiveb. Immunizationrecordsc. Patientdemographicsd. Alloftheabove

29. What size syringe should be used to measure0.6mLoffluid?a. 1mLb. 5mLc. 10mLd. 20mL

30. What form must be submitted to the DrugEnforcementAdministration(DEA)torequesttodestroycontrolledsubstances?a. Form41b. Form49c. Form224d. Form225

31. In multiples of what number should tablets orcapsulesbecountedatatimeusingaspatulaandapilltray?a. 1b. 2c. 5d. 10

32. Whichofthefollowingorganizationisanadvo-cateforthepracticeofpharmacy?a. APHAb. ISMPc. USPd. TJC

33. Howmanygramsofdextrosearein1LofD5W?a. 50mcgb. 50mgc. 5.0gd. 50g

34. Amitriptyline is to TCA as venlafaxine is to

_______________.a. Calciumchannelblockerb. H2antagonistc. Proteaseinhibitord. SNRI

35. Howmanymilligramsareequalto2gr?a. 1mgb. 13mgc. 130mgd. 1300mg

36. Whatisthemeaningoftheprefixosteo-?a. Boneb. Cellc. Lymphd. Muscle

37. Whichofthefollowingisanadvantageofcom-puterizedphysicianorderentry(CPOE)?a. Canbeaccessedfromapatientcaresettingb. Canbeaccessedfromapharmacyc. Canbeaccessedfromaphysician’sofficed. Alloftheabove

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38. Achildweighs30kgandisprescribeda10-mg/kgdoseofamoxicillintid.Thepharmacystocks50 mg/mL. How much medication would thepatientreceiveeachday?a. 3mLb. 6mLc. 13mLd. 18mL

39. WhatisthegenericnameforZyprexa?a. Donepezilb. Metaxalonec. Olanzapined. Risperidone

40. How many tablets should be given to a patientwiththefollowingprescription?Hctz50mg1monthsupply1tabPOqodref36a. 15b. 30c. 90d. 180

41. HowmanypairsoflatexglovesshouldbewornwhenpreparingIVadmixtures?a. Noneb. Onec. Twod. Three

42. WhichofthefollowingdrugsisNOTaScheduleIIdrug?a. Codeineb. Fentanylc. Lorazepamd. Meperidine

43. Whichofthefollowingtermsisdefinedasapro-cess that requires the physician to request ap-proval to prescribe a nonformulary medicationandtodocumentthereasonthemedication?a. Formularyexceptionprocessb. Formularyoverridec. Onlineadjudicationd. Priorauthorization

44. Apatientweighs60lbandhasbeengivenapre-scriptioninwhichsheistoreceive3mg/lbeachday. How many milligrams will the patient re-ceiveeachday?a. 170mgb. 175mgc. 180mgd. 185mg

45. Whatisanothernameforanonproprietarydrug?a. Brandnamedrugb. Genericdrugc. Investigationaldrugd. OTCdrug

46. WhatmayapharmacytechniciandoasaresultofOBRA-90?a. Call a physician and recommend a different

drugdosage.b. Counsel a patient with regard to his or her

drugtherapy.c. Offertocounselapatient,ifallowedbystate

law.d. Screen patient profiles for drug–disease con-

traindications.

47. Whichofthefollowingtopicalcorticosteroiddos-ageformsismostpotent?a. Creamb. Gelc. Lotiond. Ointment

48. Whichofthefollowingisfalseregardingtechnol-ogyandHIPAA?a. Patientconfidentialityismaintainedb. CPOEcomplementsthetechnologyc. Limitspatientaccessd. Portability

49. You have received a medication order for Lasix40mgbidfor10days.YouprepareaunitdoseofLasixsuspension(10mg/mL).Howmuchwouldyoudispenseforaunitdose?a. 4mLb. 8mLc. 10mLd. 18mL

50. Whathospitalcommitteeisresponsibleforcreat-ingandmaintainingthedrugformulary?a. InfectionControlCommitteeb. NursingandPharmacyCommitteec. PharmacyandTherapeuticsCommitteed. ProductEvaluationsCommittee

51. Which of the following organizations accreditscontinuing education for both pharmacists andpharmacytechnician?a. ACPEb. APHAc. ASHPd. TJC

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52. Whattermreferstotheprocessofplacingnewlypurchased medications placed on the shelf be-hindthosethatwillexpiresooner?a. Inventoryrotationb. Perpetualinventoryc. Physicalinventoryd. Stockrotation

53. Whichofthefollowingstatementsisfalseregard-ingcontinuousqualityimprovement(CQI)?a. CQI promotes decisions to be made on the

basisofobjectivedataonly.b. CQIisasystemicapproachtoquality.c. CQIfocusesonproblemscausedbyindividuals.d. Bothaandb

54. Whichofthefollowingisconsideredamechani-calerror?a. Failingtocounselapatientb. Failing to make the correct decision during

drugutilizationevaluationc. Failingtoscreenapatientproperlyd. Performingincorrectpharmacycalculations

55. HowmuchDemerolwouldbegiventoapatientif the dose on hand was 50 mg/mL and thepatientwastoreceive75mg?a. 0.5mLb. 1.0mLc. 1.5mLd. 2.0mL

56. Whattypeofhospitalerroroccurswhenapatientisadministeredadosethatisgreaterorlessthantheprescribedamount?a. Improperdoseerrorb. Omissionerrorc. Wrongdosageformd. Wrongdosepreparation

57. Whatisthemeaningoftheterm“nonrep”?a. Donotrepeatb. Noknownallergiesc. Nothingbymouthd. Refill

58. Whichofthefollowingdocumentationprinciplesmustbeadheredtowithinformationtechnology?a. Auditabilityb. Retrievabilityc. Uniquepatientidentificationd. Alloftheabove

59. Whatisthebrandnameofenalapril?a. Accuprilb. Monoprilc. Vasotecd. Zestril

60. Which of the following is NOT required on aprescriptionlabel?a. Directionsforusageb. Drugnamewithstrengthandquantityc. Physician’sDEAnumberd. Prescriptionorserialnumber

61. Interpret the following: “ii caps stat, then i capqhr,max5caps/12hr.”a. Take two capsules by mouth immediately,

thenonecapsuleatbedtime,maximumoffivecapsulesin5hours.

b. Take two capsules by mouth immediately,thenonecapsuleeachhour,maximumoffivecapsulesin12hours.

c. Take11capsulesbymouthimmediately,thenonecapsuleatbedtime,maximumoffivecap-suleswithinthenext12hours.

d. Take11capsulesbymouthimmediately,thenonecapsuleeachhour,maximumoffivead-ditionalcapsulesin12hours.

62. Whichofthefollowingisfederallyfundedreim-bursementprogram?a. HSAb. HMOc. Medicared. Medicationassistanceprograms

63. Which Medication Error Reporting and Preven-tion(MERP)isassignedwhentheerroroccurredmayhavecontributedtothepatient’sdeath?a. CategoryGb. CategoryHc. CategoryId. CategoryJ

64. WhatisthemeaningoftheacronymJIT?a. JointInstituteofTherapeuticsb. Jointinformationtechnologyc. Just-intimed. Noneoftheabove

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65. What type of drug recall will be issued if maycausereversibleharmorinjurytoanindividual?a. ClassIb. ClassIIc. ClassIIId. ClassIV

66. WhichofthefollowingisNOTanadvantageofautomaticdispensingsystem?a. Costb. Efficiencyc. Productivityd. Reductioninmedicationerrors

67. WhichbodysystemisaffectedbyGERD?a. Cardiovascularb. Endocrinec. Gastrointestinald. Pulmonary

68. At what standard time would a patient receivemedicationifitwas0800hoursmilitarytime?a. 7amb. 8amc. 7pmd. 8pm

69. Whichofthefollowingisanexampleofclinicaldecisionsupportsystems(CDSS)?a. Nonformularydruguseb. Patientinformationc. Pharmacistinterventiond. Therapeuticduplication

70. WhichorganizationoverseesMedWatch?a. FDAb. IOMc. ISMPd. TJC

71. Howarecytotoxicdrugsdisposed?a. Discardedinthepharmacygarbageb. Placedinasharpscontainerc. Placedinaspecializedsharpscontainerlabel

“hazardouswaste”d. Rinsed down the sink or flushed down the

toilet

72. What color C should be stamped on controlledsubstanceprescriptions?a. Blackb. Bluec. Greend. Red

73. A patient is to receive 1 L of D5/0.45 NS with20mEqsolutionover24hours.Whatistheflowrate?a. 21mL/hrb. 24mL/hrc. 41mL/hrd. 84mL/hr

74. Which of the following is NOT a reason why amedicationwouldberecalled?a. Adulterationb. Incorrectexpirationdatec. Medicationboxiscrushedd. Misbranding

75. WhichofthefollowingmedicationsshouldNOTbecrushed?a. Accutaneb. Ambienc. Amoxicillind. Ampicillin

76. Which of the following is/are a way to controlqualityinthepharmacy?a. Follow the standard operating procedures

manual.b. Maintainpropertemperatures.c. Useproperpackaging.d. Alloftheabove

77. WhichofthefollowingdrugsisNOTavailableinatransdermaldosageform?a. Clonidineb. Estradiolc. Fentanyld. Fexofenadine

78. Whattermreferstoallofthedrugsavailablefordispensinginapharmacy?a. Inventoryb. Investigationaldrugsc. Reclamationd. Returns

79. Whichof the following isNOTaMERPrecom-mendation?a. Develop written policies and procedures for

personnelwhoadministermedications.b. Providetrainingtopersonnelwhoarerespon-

sibleformedicationmanagement.c. Ensurethatcontrolledmedicationsarestored

properlytopreventtheftanddiversion.d. When a medication error occurs, determine

whowasresponsiblefortheerror.

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80. Whichofthefollowingisanexampleofaworklist thatcanbegeneratedthroughapharmacy’sinformationsystem?a. Cartfillupdatesb. Interventiondocumentationc. Narcoticdispensingrecordsd. PARlevels

81. Which of the following medical payment pro-gramsusestax-deductibledollars?a. HSAb. Manufacturerdrugcouponsc. Medicared. Self-pay

82. Who is responsible for ordering investigationalmedications?a. Hospitalb. Pharmacistinchargec. Pharmacytechniciand. Physician

83. Aftercompoundingasterilepreparation,wheredoesoneremoveone’sgloves?a. Anteroomb. Bufferroomc. Cleansideoftheanteroomd. Anyoftheaboveareas

84. Which of the following drug classifications isNOTusedtotreatdepression?a. Anticholinergicsb. MAOIsc. SSRIsd. TCAs

85. What term can be described as “the rules of afacilityorinstitution”?a. Policyb. Procedurec. Protocold. Standard

86. Whatis“buPROPion-busPIRone”anexampleof?a. “DoNOTchew”druglistb. “DoNOTuselist”c. Look-alike,sound-alikedrugsd. “Tallman”letters

87. Whichofthefollowingcanbereturnedtoadrugmanufacturer?a. Compoundedmedicationsb. Reconstitutedmedicationsc. Repackagedmedicationsd. Unopenedbottlesofmedication in theorigi-

nalmanufacturer’sbottle

88. Whattypeofmortarandpestleshouldbeusedinmixingaliquid?a. Glassb. Porcelainc. Wedgewoodd. Anyoftheabove

89. Which organization provides packaging guide-linestothedrugmanufacturers?a. DEAb. FDAc. ISMPd. USP

90. Which of the following types of medicationsrequirespecialhandling?a. Controlledsubstancesb. Investigationaldrugsc. Repackagedmedicationsd. Alloftheabove

91. Whichofthefollowingisadisadvantageofcen-tralizedautomation?a. Accuracycausedbybarcoderecognitionb. Costsavingscausedbybulkpurchasingc. Specificmedicationsmaynotbestockedd. Trackexpirationdates

92. Twotablespoonfulsof85%boricacidsolutionisdiluted to 10%. How many 3-oz bottles will thetechnicianbeabletofillwiththedilutedsolution?a. Oneb. Twoc. Threed. Eight

93. Intheantearea,howoftenarethesink,allcon-tactsurfaces,andfloorcleaned?a. Dailyb. Weeklyc. Biweeklyd. Monthly

94. WhichorganizationoverseesMEDMARX?a. ASHPb. IOMc. ISMPd. USP

95. Which of the following pieces of information iscontainedinanorganization’sformulary?a. Identification of proprietary or nonpropri-

etarynamesofmedicationb. Productpackagesizec. Productstrengthd. Alloftheabove

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96. Whichof the followingmaybeasideeffectofanantihistamine?a. Drowsinessb. Rapidheartbeatc. Stomachdistressd. Wateryeyes

97. Whichofthefollowingformsofmanagedcareusescapitation?a. EPOSb. HMOc. POSd. PPO

98. Drugs inwhatclassificationmayyieldsideef-fects suchasdrymouth,difficulturination,orconstipation?a. Alpha-blockersb. Anticholinergicsc. Beta-blockersd. Cholinergics

99. Whattermdescribestheresponsewhentwoormoredrugscombinetoprovidearesponsethatis greater than the sum of the two individualdrugs?a. Additiveeffectb. Potentiationc. Synergisticeffectd. Noneoftheabove

100. Whattermisassignedtoavendorwhenaphar-macyagreestopurchase90%to95%ofitsdrugpurchases?a. ABCanalysisb. Grouppurchasingorganizationc. Primevendoragreementd. 90-10rule

PRACTICE EXAMINATION III

1. Whatisthepurposeofpostmarketingmonitoringofnewdrugs?a. EnsureGMPb. Monitorthequalityofnewdrugsc. Removalofunsafedrugsd. Testing for purity and effectiveness of new

drugs

2. Whatdoes theabbreviation“hs”meanonapre-scription?a. Atbedtimeb. Hoursc. Housed. Noneoftheabove

3. What is the maximum number of refills allowedforaScheduleIIIdrug?a. Noneb. Onec. Fived. 10

4. WhichofthefollowingdrugsisNOTanNSAID?a. Colchicineb. Celecoxibc. Ibuprofend. Oxaprozin

5. Whatauxiliarylabelshouldbeincludedonacon-tainerofmedicationthathasthefollowinginstruc-tion:“igttosbid”?a. Forexternaluseb. Fortheearc. Fortheeyed. Userectally

6. Atechnicianisgiven120mLofa50%(w/v)potas-siumchloridesolutionand is told toadd6ozofsterilewatertoit.Whatwillbethefinalw/vper-centageconcentrationofthesolution?a. 10%b. 20%c. 33%d. 47%

7. Howlongmustalaminarairflowhoodbeonbe-forebeingused?a. 15minutesb. 30minutesc. 1hourd. 2hours

8. Whichofthefollowingisaprescribingerror?a. Failing to perform drug utilization evaluation

(DUE)properlyb. Earmedicationplacedintheeyec. Failuretooffertocounselpatientd. Failingtoreviewpatient’sallergies

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9. Whywouldapharmacyreceiveanoncompliancereport?a. The pharmacy failed to maintain adequate

controlled substance records and has beencitedbytheDEAonanaudit.

b. The pharmacy failed to properly fill out aForm222.

c. Thepharmacyfailedtopurchasemedicationsfromaspecificvendorwithwhomanagree-menthadbeennegotiatedbythegrouppur-chasingorganization(GPO).

d. Thepharmacypurchasedmoredrugsthanitispermittedbasedonitsbudget.

10. Whichofthefollowingdrugswouldbecontrain-dicatedwithvitaminKtherapy?a. Glyburideb. Heparinc. Pentoxifyllined. Warfarin

11. Whatisacomputerinterface?a. Aconnectionbetweentwocomputersystemsb. A device that connects the computer to a

networkc. The“brains”ofacomputerd. Providesthecomputerwithtemporarymemory

12. Whattermreferstoallofabusiness’sexpenses?a. Grossprofitb. Marginc. Netprofitd. Overhead

13. Whichofthefollowingdrugsmustbeplacedinachild-resistantcontainer?a. Inhalationproductsb. Mebendazoletabletsc. Ranitidined. Sublingualnitroglycerintablets

14. How often is a biennial inventory taken in apharmacy?a. Monthlyb. Twiceperyearc. Yearlyd. Every2years

15. ThepharmacytechnicianreceivesaprescriptionforFlexeril10mg,andtheinstructionsread“iPOtid.”Whatisthetotaldailydose?a. 10mgb. 20mgc. 30mgd. 40mg

16. Which part of the body would be affected by aconditionwiththewordrootarthro?a. Armb. Arteryc. Jointd. Membrane

17. How many grams of fluorouracil will a 154-lbpatient receive in 5 successivedaysat adosagerateof12mg/kg/day?a. 0.84gb. 1.848gc. 4.2gd. 9.24g

18. What are the two methods of pharmacy claimssubmissiontothird-partypayers?a. Electronicande-mailb. Electronicandfaxc. ElectronicandFedExd. Electronicandhardcopy

19. WhichofthefollowingisNOTataskapharmacytechnicianwouldperform?a. Countingmedicationb. Extemporaneouscompoundingc. Reconstitutingmedicationsd. Counselingapatient

20. Antidepressants in which of the followingclassifications need to be washed out of thebody before a patient switches to anotherantidepressant?a. Lithiumb. MAOIsc. SSRIsd. TCAs

21. Whattermisusedtodescribeasituationwhenacomputer user is exposed to excessive safetyalerts?a. Alertfatigueb. Alertismc. Alertphobiad. Environmentaldistractions

22. How much guaifenesin with codeine wouldyoudispensefora5-daysupply if theprescrip-tion calls for “Guaifenesin c Codeine 5 cc q4hPOprn”?a. 120mLb. 150mLc. 450mLd. 480mL

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23. What typeofalcohol isused tocleana laminarairflowhood?a. Ethylalcoholb. Isopropylalcoholc. Methylalcohold. Rubbingalcohol

24. Whichof the following interpretationsof“icapqidacandhs”iscorrect?a. Takeonecapletbymouth1hourbeforemeals

andatbedtime.b. Take one capsule by mouth 1 hour before

mealsandatbedtime.c. Take one capsule by mouth after meals and

beforebedtime.d. Takeonecapsulebymouthbeforemealsand

atbedtime.

25. Capsulesofwhichofthefollowingsizescontainthesmallestquantity?a. 0b. 1c. 2d. 4

26. Whattermreferstoapharmacyreceivingapre-determined amount of money for a patient re-gardlessofthenumberofprescriptionsfilledorthevalueoftheprescriptionseachmonth?a. Capitationb. Copaymentc. Deductibled. Feeforservice

27. Cephalexinistocephalosporinasciprofloxacinis

to__________.a. Macrolideb. Penicillinc. Quinoloned. Tetracycline

28. WhatisthemeaningofAAC?a. Actualacquisitioncostb. Averageacquisitioncostc. Averageassessedcostd. Averageacquisitioncostcontainment

29. WhatisthegenericnameforZestril?a. Enalaprilb. Fosinoprilc. Lisinoprild. Quinapril

30. Whichtermreferstothenameofthemedication,itsstrength,andthequantitytobedispensed?a. Inscriptionb. Rxc. Signad. Subscription

31. Whichofthefollowingmedicationsisanexam-pleofhazardouswaste?a. Epinephrineb. Heparinc. Hydrocodoned. Insulin

32. How many grams of a 10% and 1% ointmentshouldbeusedtomake45gofa2%ointment?a. 5gofthe1%,40gofthe2%b. 5gofthe1%,40gofthe10%c. 5gofthe10%,40gofthe2%d. 5gofthe10%,40gofthe1%

33. What should a pharmacy technician do whileprocessingaprescription ifheor she receivesacontraindication message on the pharmacy ter-minalscreen?a. Bypassthescreenandcontinuetoprocessthe

prescription.b. Contactthephysicianandaskthatadifferent

drugbeprescribed.c. Informthepatientthatyoucannotfillthepre-

scriptionbecausethephysicianmadeanerror.d. Informthepharmacistofthemessage.

34. Whichorganizationisresponsiblefordrugrecalls?a. Boardofpharmacyb. DEAc. FDAd. NABP

35. Whattypeofhospitalerroroccurswhenamedi-cation is compounded incorrectly and adminis-teredtothepatient?a. Wrongadministrationb. Wrongdosageformc. Wrongdrugpreparationd. Unauthorizeddrugerror

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36. What typeofdrugrecalloccurswhenadrug isNOTlikelytocauseatemporaryadversehealthconsequence?a. ClassIrecallb. ClassIIrecallc. ClassIIIrecalld. Norecallisrequired.

37. Whichofthefollowingdrugs,ifexpired,canre-sultinafatality?a. Amoxicillinb. Cephalexinc. Clarithromycind. Tetracycline

38. Whereshouldusedneedlesbeplacedafteruse?a. Inabiohazardcontainerb. Inaredplasticbagc. Inasharpscontainerd. Withnormaltrash

39. Howmanydayswillthefollowingprescriptionlast?Amoxicillin125mg/5mL75mLitspPOtida. 1b. 5c. 10d. 15

40. WhatdothefirstfivedigitsofanNDCnumberrepresent?a. Drugitemb. Drugmanufacturerc. Drugpackaged. Noneoftheabove

41. WhichofthefollowingmedicationsshouldNOTbechewed?a. Actonelb. K-Durc. Nitroglycerind. Noneofthemshouldbechewed.

42. Inwhatscheduleismethylphenidateclassified?a. ScheduleIb. ScheduleIIc. ScheduleIIId. ScheduleIV

43. Whichofthefollowingdrugsisacalciumchan-nelblocker?a. Carvedilolb. Nadololc. Nifedipined. Valsartan

44. Which of the following is federal prescriptionprogramforseniorcitizens?a. Healthmaintenanceorganization(HMO)b. Medicaidc. Medicared. Alloftheabove

45. WhatisthemaximumnumberofdifferentitemsthatmaybeorderedonaDEAForm222?a. 5b. 10c. 15d. 20

46. Howmanydayswould40capsulesofamedica-tionlastifthedirectionswere“icapqid”?a. 4daysb. 6daysc. 8daysd. 10days

47. Which of the following can a physician orderusingaCPOE?a. Laboratorytestsb. Medicalproceduresc. Medicationsd. Alloftheabove

48. Which dosage form would use the process ofinunctiontobeabsorbedintothebody?a. Capsulesb. Inhalantsc. Ointmentsd. Suppositories

49. Why is it important to followtheproceduresofaninstitution?a. Following procedures will result in a pro-

motion.b. Following procedures will result in a pay

increase.c. Procedures are established to prevent errors

fromoccurringinapharmacy.d. The Pharmacy Technician Certification Board

(PTCB) and state boards of pharmacy (BOPs)followupwithpharmacytechnicianstoensurethat they are following procedures. Failure tofollow procedures may result in either a sus-pensionorarevocationofone’scertification.

50. Howmanykilogramsarein4.4lb?a. 0.2kgb. 2.0kgc. 20kgd. 200kg

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51. WhichofthefollowingwouldNOTbefoundonaCSAR?a. Amountofmedicationadministeredb. Amountofmedicationwastedc. Date and time of the administration of a

drugd. Expirationdateofthedrugadministered

52. Dissolve40gofureainenoughliquidtomakea20%solution.Whatisthetotalvolume?a. 2mLb. 8mLc. 20mLd. 200mL

53. WhichofthefollowingdrugsisNOTacephalo-sporin?a. Keflexb. Lorabidc. Supraxd. Vantin

54. Whatisadrugmonograph?a. Apictureofthedrugfromthemanufacturerb. Apricelistforthedrugfromthemanufacturerc. Literatureonthedrugd. Literatureonthedrugmanufacturer

55. Whichofthefollowingisanexampleoftelephar-macy?a. Computersonwheelsb. CPOEc. Teleconferencingd. Alloftheabove

56. What is the correct interpretation of “10 mgMSO4IMq4hprnpain”?a. Inhale 10 mg of morphine sulfate every

4hoursasneededforpain.b. Insert10mLofmorphinesulfateintramuscu-

larlyevery4hoursasneededforpain.c. Inject10mgofmorphinesulfateintravenously

every4hoursasneededforpain.d. Inject10mgofmorphinesulfateintramuscu-

larlyevery4hoursasneededforpain.

57. Which of the following is an indication forNSAIDs?a. Analgesicb. Antiinflammatoryc. Antipyreticd. Alloftheabove

58. Whatistheflowrateof1LofNStobeinfusedover8hr?a. 8mL/hrb. 12.5mL/hrc. 125mL/hrd. 1000mL/hr

59. Which of the following medications shouldNOT be given to individuals younger than age18years?a. Cephalexinb. Ciprofloxacinc. Clarithromycind. Clindamycin

60. WhichofthefollowingisNOTadutyperformedbyapharmacytechnician?a. Answeringtelephonesb. Acceptinganewprescriptionoverthephone

fromaphysician’sofficec. Preparingprescriptionlabelsd. Pricingprescriptions

61. Whichisthecorrectwaytowritefivemilligrams?a. 5mgb. 5.0mgc. 5.00mgd. Alloftheabove

62. Howmanymillilitersofwatermustbeaddedto250mLofa0.9%(w/v)stocksolutionofsodiumchloridetopreparea1⁄2NSsolution?a. 125mLb. 250mLc. 375mLd. 500mL

63. Whichofthefollowingisthefederallegendthatmustappearonallprescriptions?a. Caution: Federal law prohibits dispensing

withoutaprescriptionb. Caution: Federal law prohibits the transfer

of this prescription to anyone other than theintended

c. Packagenotchildresistantd. Warning:Maybehabitforming

64. Whatdoesthewordrootcardiomean?a. Earsb. Eyesc. Heartd. Skin

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65. Who controls the electronic personal health re-cord(EPHR)?a. Healthcareprovidersb. Patientc. Pharmaciesd. Physicians

66. Which organization ensures a safe environmentforemployees?a. DEAb. EPAc. FDAd. OSHA

67. Whatadviceshouldbegiventoapatienttakingmetronidazole?a. Avoidalcohol.b. Takewithfood.c. Takeallofthemedication.d. Alloftheabove

68. How many grams of a 10% and 2% ointmentshouldbeusedtomake25gofa5%ointment?a. 2%:9.4g;10%:15.6gb. 2%:10g;10%:15gc. 2%:12.5g;10%:12.5gd. 2%:15.6g;10%:9.4g

69. WhatdoesPCAstandfor?a. Patient-calibratedanalysisb. Patient-controlledanalgesiac. Partiallycollapsedarteryd. Perennialcircumventedarteriosclerosis

70. Which phase of new drug development deter-minestheappropriatedoserangeofthemedica-tionwithregardtosafetyandtoxicity?a. Preclinicalb. PhaseIc. PhaseIId. PhaseIII

71. For which of the following may “u” (unit) bemistaken?a. ccb. Fourc. Zerod. Alloftheabove

72. BywhatrouteshouldPhenergan25mgsupposi-torybetaken?a. POb. PRc. SLd. TOP

73. Whatisdonewithleftoverinvestigationalmedi-cations?a. Destroyedbypharmacyb. Retainforfutureusec. Returntodrugmanufacturerd. Submit a DEA Form 41 and dispose of as

directed

74. Whatwas thepurposeof theOccupational andSafetyAct?a. Ensuregoodmanufacturepracticesarebeing

employed.b. Preventreimportationofmedicationsintothe

UnitedStates.c. Provideasafeandhealthfulworkingenviron-

mentforemployees.d. Reduceaccidentalpoisonings.

75. Whichof thefollowingcanbeaddedtoaphar-macydatabase?a. Insuranceplansb. Patientc. Physiciand. Alloftheabove

76. Whattermisdefinedastheprocessofidentifyingthemostup-to-date listofall themedicationsapatientistaking?a. Drugutilizationevaluationb. Drugutilizationreviewc. Medicationreconciliationd. Patientprofileupdate

77. WhichofthefollowingisNOTacharacteristicofanautomateddispensingsystem?a. All functions are performed on a patient-

specificbasis.b. Automated dispensing systems are storage,

dispensing,andchargingdevices.c. Decentralizedautomateddispensingsystems

arenotfortrackinginventory.d. Thesystemrequiresentryofpatientmedica-

tionordersunlessobtainedfromaninterface.

78. WhatDEAformisusedtodocumentthebreak-age of spillage of a controlled substance in apharmacy?a. DEAForm41b. DEAForm106c. DEAForm222d. DEAForm224

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79. Whatisthemostcommonerrormadeduringtherepackagingprocess?a. Failingtomaintainarepackaginglogb. Failingtorecordinformationinrepackaginglogc. Labelingd. Selectingthewrongmedication

80. Whoestablishesaformularyforaninstitutionormanagedcareorganization?a. Pharmacistsb. PharmacyandTherapeuticsCommitteec. Pharmacybenefitmanagerd. Physicians

81. Ifapatient is to receive2.4gofmedicationperdayandthedrugisavailable in600-mgtablets,howmanytabletsareneededforaday’sdose?a. Halfatabletb. 1tabletc. 4tabletsd. 8tablets

82. Whichofthefollowingtermsreferstothereduc-ingasubstancetosmall,fineparticles?a. Blendingb. Comminutionc. Levigationd. Tumbling

83. Which of the following is an advantage of pur-chasingmedicationsfromadrugmanufacturer?a. Deliver95%to98%oforderonscheduleb. Lowerdrugcostc. Provideelectronicorderdevicesandsuppliesd. 24-hour/7-day-perweekemergencyservice

84. WhichofthefollowingisNOTacharacteristicofa“dumbterminal”?a. Canbehookeduptoamainframesystemb. Functionsasapersonalcomputeronitsownc. Inexpensived. Usefulforalargenumberofpeopletoaccess

thesystem

85. Which of the following abbreviations shouldNOTbeusedinprescriptions?a. “aa”b. “dc”c. “dtd”d. “emul”

86. Who may handle the disposition of controlledsubstances?a. DEAb. FDAc. Drugmanufacturerd. Reversedistributor

87. Whatfactor(s)influence(s)theeffectofadrugonanindividual?a. Ageb. Diseasec. Genderd. Alloftheabove

88. Whichofthefollowingaccreditspharmacytech-nicianprograms?a. ACPEb. ASHPc. PTCBd. PTCE

89. Which form of insurance is required and en-forcedbythegovernmentforemployeeswhoareinjuredonthejob?a. Medicaidb. Medicarec. Medigapd. Worker’scompensation

90. Howoftenshouldafentanylpatchbechanged?a. Onceperdayb. Every3daysc. Onceperweekd. Oncepermonth

91. WhatDEAFormisusedtoorderScheduleIII,IV,andVmedications?a. DEAForm41b. DEAForm106c. DEAForm222d. NoDEAFormisrequired.

92. Which of the following is a disadvantage toe-prescribing?a. Connectsprescribersandpatientsinrealtimeb. Createselectronicrecordsc. Pharmacyincursthefeed. Alloftheabove

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93. AccordingtoMEDMARX,whichofthefollowingmedications has resulted in a large number ofmedicationerrors?a. Hydrochlorothiazideb. Naproxenc. Propranolold. Warfarin

94. Whichof thefollowingpharmacytechnicianre-sponsibilitiescanbeimprovedthroughautoma-tion?a. Fillingcartsb. PreparingIVadmixturesc. Replacingfloorstockd. Alloftheabove

95. Whatistheroleofthestateboardofpharmacy?a. Investigatecomplaintsofprofessionalmiscon-

ductbypharmacistsandpharmacytechniciansb. Licensure of both pharmacies and pharma-

cistsc. Oversee the practice of pharmacy in the

stated. Alloftheabove

96. Wherewouldabuccaltabletbeplaced?a. Betweenthecheeksandgumb. Orallyc. Rectallyd. Underthetongue

97. Howmuchwatershouldbeaddedto1Lof70%isopropylalcoholtopreparea30%solution?a. 2.33mLb. 42.86mLc. 1333mLd. 2.33L

98. WhichofthefollowingmedicationsisNOTmea-suredininternationalunits?a. Heparinb. Insulinc. VitaminBd. VitaminE

99. Which organization established standards forbatchtransactions,pharmacyidentificationcards,andmedicationhistory?a. ISMPb. NCPDPc. PSTACd. SCRIPT

100. What disease may result in the formation of agoiter?a. Cancerb. Hypertensionc. Hypoglycemiad. Hyperthyroidism

PRACTICE EXAMINATION IV

1. Youhavereceivedamedicationordertopreparea250-mLbagofNSwith1gofKefzol.Thepatientistoreceivea250-mgdoseperhour.Theinfusionis calibrated at 10 gtt/mL. What flow rate isneededtodeliverthedose?a. 1gtt/minb. 10gtt/minc. 15gtt/mind. 20gtt/min

2. Whichprocessbringsadrugfromtheadministra-tionsiteintothebloodstream?a. Absorptionb. Distributionc. Metabolismd. Elimination

3. WhatisthegenericnameforLotensin?a. Benazeprilb. Enalaprilc. Lisinoprild. Prinivil

4. Howmany inches insidea laminarairflowhoodshouldoneprepareasterileproduct?a. 4inchesb. 6inchesc. 10inchesd. 12inches

5. Whichdosageformfeaturesagelatinshell?a. Capletb. Capsulec. Enemad. Suppository

6. Whichlawisbeingviolatedifadrugisdispensedwithoutavalidprescription?a. ControlledSubstancesActof1970b. Durham-HumphreyAmendmentc. FDCA1938d. OBRA-90

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7. WhatdoesAWPstandfor?a. Actualwarehousepriceb. Actualwholesalepricec. Averagewholesalepriced. Averagewholesalepromotion

8. When a pharmacy technician is performing geo-metricdilution,whendoesthetechnicianaddthemostpotentingredient,whichmayalsohavethesmallestweightorsmallestvolume,tothemortar?a. Anytimeb. Asthefirstingredientc. Asthelastingredientd. Intermittentlyduringthecompoundingprocess

9. Howmanydayswill the followingprescriptionlast?Ampicillin250mg#40icapPOqidacandhsa. 5daysb. 8daysc. 10daysd. 20days

10. Which of the following is a calcium channelblocker?a. Atenololb. Carvedilolc. Diltiazemd. Lisinopril

11. Howmany500-mgdosescanbepreparedfroma10-gvialofcefazolin?a. 15b. 20c. 25d. 50

12. Which of the following might be used to treatarthritis?a. Feverfewb. Gingerc. Ginkgod. Glucosamine

13. Whichofthefollowingagentsisusedtoincreasetheviscosityofasuspension?a. Emulsifierb. Flocculatingagentc. Mucilaged. Thickeningagent

14. Whichofthefollowingistrueregardingsign-inorcomputeraccesscodes?a. Allemployeeshavethesamesign-inoraccess

code.b. A sign-in or access code identifies the indi-

vidualusingthecomputersystem.c. All pharmacists and pharmacy technicians

have the same level of security assigned tothem.

d. The state board of pharmacy assigns sign-inor access codes to all certified pharmacytechnicians.

15. WhatisthegenericnameforFosamax?a. Alendronateb. Calcitonin–salmonc. Etidronated. Raloxifene

16. Whichofthetherapeuticequivalencecodesstatesthat theproductmeetsthenecessarybioequiva-lencerequirements?a. AAb. ABc. Bd. BC

17. Whichofthefollowingisanexampleofahealthmaintenanceorganization(HMO)?a. BlueCross-BlueShieldb. CHAMPUSc. KaiserPermanented. Worker’scompensation

18. WhichofthefollowingwouldNOTbeareasonforaprescriptiontoberejectedbyaninsuranceprovider?a. Compounded drugs with one ingredient

beingalegenddrugb. IncorrectNDCnumberc. InvalidIDnumberd. Prescriptioncoveragehasexpired

19. WhatisthegenericnameforZyprexa?a. Nefazodoneb. Olopatadinec. Olanzapined. Trazodone

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20. How many grams of boric acid are required tomake4flozofthefollowingboricacidsolution?Boricacid50gPurifiedwaterqstomake1000mLa. 0.006gb. 0.06gc. 0.6gd. 6g

21. What type of label is placed on medications towarnpatientsorprovideadditionalinformation?a. Auxiliarylabelb. Patientproductinsertc. Patientprofiled. Prescriptionlabel

22. Whichof the following isNOTan inputdeviceforacomputer?a. Barcodetechnologyb. Keyboardc. Printerd. Touchscreenapplications

23. WhatdrugisabbreviatedHCTZ?a. Hycomineb. Hycodanc. Hydrochlorothiazided. Hydrea

24. WhichofthefollowingdrugsdoesNOTneedtobepackagedinachild-resistantpackage?a. Digoxinb. Ibuprofenc. Nitroglycerind. Simvastatin

25. WhichofthefollowingproductsisNOTusedtotreathyperlipidemia?a. Aspirinb. Fibricacidderivativesc. HMG-CoAreductaseinhibitorsd. Metamucil

26. Whichofthefollowingtermsreferstoa“member”or“recipient”inmanagedcareorganizations?a. Deductibleb. Providerc. Subscriberd. Thirdpayer

27. Which drug classification of antibiotics shouldbetakenwithcautionifthepatientisallergictopenicillin?a. Aminoglycosidesb. Cephalosporinsc. Macrolidesd. Quinolones

28. WhatisthesensitivityofaclassAbalance?a. 1mgb. 6mgc. 10mgd. 20mg

29. Whatisthepercentequivalentofa1:20ratio?a. 0.05%b. 0.5%c. 5.0%d. 50%

30. Whatdoes“U&C”meanwhenbillingprescrip-tions?a. Unusualcustomerb. Unusualandcustomaryc. Usualcustomerd. Usualandcustomary

31. Which of the following expressions defines thequantityofaproductinstockreachesapredeter-minedpoint?a. Desiredlevelb. Minimum/maximumlevelc. Parleveld. Stocklevel

32. Gentamicin120mg in100mLD5Wisadminis-teredover30minevery8hrwitha10-dropkit.Whatwilltheratebe?a. 2gtt/minb. 4gtt/minc. 16gtt/mind. 33gtt/min

33. WhichofthefollowingwouldbeacorrectDEAnumberforDr.A.Shedlock?a. AB135426b. BS2456879c. FS1578926d. MS2254235

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34. What type of inventory is performed on con-trolledsubstances?a. Biennialinventoryb. Openinventoryc. Perpetualinventoryd. Physicalinventory

35. Whichofthefollowingformsofcomputertech-nology are used in the practice of pharmacytoday?a. Automateddispensingsystemsb. Barcodingc. Touchscreensd. Alloftheabove

36. Whichofthefollowingisconsideredasoliddos-ageform?a. Creamb. Emulsionc. Suspensiond. Tablet

37. What is the maximum number of refills for aScheduleIVdrugifauthorizedbythephysician?a. Noneb. Fivec. 12d. Unlimited

38. Which of the following terms refers to cost ofhealthinsurance?a. Benefitb. Copayc. Deductibled. Premium

39. Whatassumptionshouldapharmacytechnicianmakeifsheobservesawhite,fluffyprecipitateina250-mLbagofD5W?a. Thesolutionhasbeencontaminated.b. Thesolutionhasbeenexposedtothecold.c. Thesolutionhasbeenexposedtobrightlight.d. Thesolutionshouldbeshakentodispersethe

precipitatebeforedispensing.

40. How many refills may a physician order for aScheduleIIdrug?a. Noneb. Onec. Fived. Unlimitedrefillsina1-yeartimeframe

41. WhatisthemeaningofCSAR?a. Controlledstudiesarereviewedb. Controlledsubstanceadministrationrecordc. Controlledsubstanceauditandreviewd. Cost,sales,allocation,andresources

42. Whatisthepercentagestrengthofasolutionthatis made by adding 100 mL of purified water to600mLofa25%solution?a. 4.2%b. 12.5%c. 21.4%d. 30.00%

43. WhatdothethreesetsofnumbersinaNationalDrugCode(NDC)numberreflect?a. Drugmanufacturer,drugproduct,andtheyear

theNewDrugApplication(NDA)wasfiledb. Drugmanufacturer,drugproduct,andpack-

agesizec. Drug manufacturer, drug name, and drug

strengthd. Noneoftheabove

44. Levothyroxineistohypothyroidismasglyburide

isto__________.a. ACEinhibitorb. Beta-blockerc. Oralhyperglycemicagentd. Oralhypoglycemicagent

45. Inwhichschedulewouldyoufindthecombina-tionproductoxycodone1acetaminophen?a. ScheduleIIb. ScheduleIIIc. ScheduleIVd. ScheduleV

46. Which of the following drugs is NOT used forasthma?a. Albuterolb. Ipratropiumc. INHd. Salmeterol

47. Which organization accredits pharmacy techni-cianprograms?a. ACPEb. APHAc. ASHPd. Alloftheabove

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48. Forwhichofthefollowingdrugsisitmandatorythata customer receiveaPatientProduct Insert(PPI)?a. Amoxicillinb. Lithonatec. Premarind. Synthroid

49. Whichdosageformisproducedbycompression?a. Capsuleb. Lozengec. Suppositoryd. Tablet

50. Whichofthefollowingdrugsissafetotakeforaheadacheifthepatienthaspepticulcerdisease?a. Acetaminophenb. Acetylsalicylicacidc. Ibuprofend. Naproxensodium

51. Who makes notations in and signs medicationadministrationrecords(MARs)inaninstitution?a. Doctorsb. Nursesc. Pharmacistsd. Pharmacytechnicians

52. Whatisthemeaningof“igttoutidud”?a. Instillonedropineachearthreetimesaday

asdirected.b. Instillonedropineacheyetwotimesadayas

directed.c. Instillonedropineacheyethreetimesaday

asneeded.d. Instill one drop in each ear twice a day as

directed.

53. Howmanymilligramsarein“griss”?a. 32.5mgb. 65mgc. 97.5mgd. 130mg

54. Whichofthefollowingistrueregardingreport-ingprescriptionerrors?a. Allprescriptionerrorsmustbereportedtothe

NationalAssociationofBoardsofPharmacy.b. All prescription errors must be reported to

stateboardofpharmacy.c. Itismandatorytoreport.d. Itisvoluntarytoreport.

55. HowmanydaysdoesapharmacyhavetofillaprescriptionofAccutane?a. 1dayb. 7daysc. 30daysd. 180days

56. You have a solution of heparin 100,000 units/Lwith an infusion apparatus labeled 60 gtt/mL.What is the flow rate to deliver a dose of20units/min?a. 3gtt/minb. 12gtt/minc. 15gtt/mind. 20gtt/min

57. WhichofthefollowingwouldNOTbeacorrectauxiliarylabelforapatienttakingdoxycycline?a. Avoiddairyproductsb. Avoidsunlightc. Not tobe takenbypregnantwomenor chil-

drenyoungerthanage9yearsd. Takeonanemptystomach

58. How many drops per milliliter does a “mini-drip”systemprovide?a. 10gtt/mLb. 15gtt/mLc. 30gtt/mLd. 60gtt/mL

59. Wherewouldyoupreparehazardousdrugsinapharmacy?a. Inabiologicsafetyhoodb. Inahorizontallaminarairflowhoodc. Inaverticallaminarairflowhoodd. Onanointmentslab

60. Rx:Codeinephosphate30mg/tspTussinsyrup30mLElixophyllinqs240mLSig:5mLqidpchsIf5mLofTussinsyrupcontains100mgofguai-fenesin,howmanymilligramsofthedrugwouldbetakendaily?a. 2.5mgb. 5mgc. 10mgd. 50mg

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61. Whatisthefirstthingapharmacytechnicianshoulddoifheorshediscoversaprescriptionerror?a. Apologizetothepatient.b. Contactthephysician.c. FileareportwithMEDMARX.d. Informthepharmacist.

62. Thecostof100tabletsofaparticularmedicationis $2.00. What would the retail price be if therewerea30%grossprofit?a. $0.60b. $2.00c. $2.30d. $2.60

63. Wherewouldoxycodonewithacetaminophenbestoredinthepharmacy?a. Intherefrigeratorb. Inthepharmacysafec. Withthe“fastmovers”d. Withthepillsandtablets

64. Whichof the followingdrugs isNOTusedasaprophylacticproduct?a. Amoxicillinb. Imitrexc. Norgestimate–ethinylestradiold. Propranolol

65. Which of the following products can be usedasasmokingcessationproductandasanantide-pressant?a. Bupropionb. Nicotinec. Trazodoned. Zolpidem

66. A patient informs the pharmacy technicianthatheexperiencedanadverseeventcausedbya vaccine he received. What report should besubmitted?a. FAERSb. Insuranceclaimc. VAERSd. Worker’scompensation

67. HowmuchofaD10Wsolutioncontains100gofdextrose?a. 0.01Lb. 0.1Lc. 1Ld. 2L

68. What does an 80/20 report tell a pharmacist orpharmacytechnician?a. Productsthathavean80%grossprofitb. Productsthathavea20%grossprofitc. Drug products that reflect 80% of the

pharmacy’spurchasingdollarsd. Controlled substances that represent 20% of

thetotalnumberofprescriptionsfilled

69. Whatunitsareusedtomeasureelectrolytes?a. mEqb. mgc. mLd. units

70. WhattypeofdrugrequiresaDEAnumber?a. Controlledsubstanceb. Investigationaldrugc. Legenddrugd. OTCdrug

71. WhatwasthepurposeoftheDurhamHumphreyAmendment?a. DistinguishedprescriptionandOTCmedica-

tionsb. Distinguished proprietary and nonpropri-

etarymedicationsc. Established schedules of medications based

ontheirpotentialforabused. Alloftheabove

72. Whichofthefollowingreportscanbegeneratedusingthepharmacycomputer?a. ControlledSubstanceDrugReportb. CustomerHistoryReportc. DailyPrescriptionLogReportd. Alloftheabove

73. Whatpieceoflegislationrequiredthatdrugutili-zationevaluation(DUE)beperformedwitheachprescription?a. HIPAAb. OBRA-87c. OBRA-90d. MMA

74. WhichofthefollowingrespiratorymedicationsisNOTacombinationproduct?a. Advairb. AllegraDc. Combiventd. Singulair

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75. WhichofthefollowingisNOTanexampleofadispersion?a. Emulsionb. Lotionc. Ointmentd. Suppository

76. Whattermreferstoaconnectionbetweentwoormorecomputersystems?a. Dumbterminalb. Interfacec. Microcomputerd. Minicomputer

77. Whatisthemeaningof“w/v”?a. Numberofgramsper1mLb. Numberofgramsper100mLc. Numberofmicrogramsper100mLd. Numberofmilligramsper100mL

78. Who may recommend an OTC product to apatient?a. Allpharmacytechniciansb. AllPTCB-certifiedtechniciansc. Alltechnicianswhohavecompletedcontinu-

ingeducationinOTCproductsd. Noneoftheabove

79. What type of card is provided to a patient thatallowsapatienttoobtainmedicationsatthecon-tractedproviderrate?a. DrugCouponCardb. DrugDiscountCardc. MedicareCardd. MedicaidCard

80. Whichofthefollowingstatementsisfalseregard-ingtheexpectationsofapharmacytechnicianinpreventingmedicationerrors?a. Askthepatientorthepatient’srepresentative

any questions you may have filling the pre-scription.

b. Readtheprescriptionatleastthreetimesdur-ingtheprescriptionfillingprocess.

c. Show all pharmacy calculations to the phar-macistbeforecompoundingaprescription.

d. Noneofthemarefalse.

81. Whatistherouteofadministrationforaprescrip-tionwiththedirections“isuppprq6hprn”?a. Orallyb. Rectallyc. Urethrallyd. Vaginally

82. Whichof thefollowingis trueconcerningphar-macytechnicianinputtedmedicationorders?a. Highlighting or flashing is used to identify

pharmacytechnician-enteredorders.b. Afteramedicationorderhasbeenenteredby

apharmacytechnician,itcannotbemodifiedbyapharmacist.

c. Ordersenteredbyapharmacytechnicianareactiveimmediately.

d. Pharmacytechniciansarenotallowedtoentermedicationorders.

83. Whichof thefollowingtypesofmedicationsre-quires a special form to be submitted when or-dering?a. Cytotoxicmedicationsb. Hazardoussubstancec. Proprietaryandnonproprietarydrugsd. ScheduleIImedications

84. WhichofthefollowingisNOTagoalofautoma-tioninanambulatorycarepharmacy?a. Increasecostsb. Increaseefficiencyc. Increaseproductivityd. Simplifyworkflow

85. Whatisthepercentequivalentofa1:10ratio?a. 0.01%b. 0.1%c. 1.0%d. 10.0%

86. Which of the following estrogen medications isNOT atransdermaldosageform?a. Climarab. Estradermc. Premarind. Vivelle

87. What type of drug recall may cause temporaryhealthproblemsandhavealowriskofcreatingaseriousproblem?a. ClassIb. ClassIIc. ClassIIId. ClassIV

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88. Whichofthefollowingistrueregardingtheuseofbarcoding?a. Barcodescanidentifyproductsonly.b. Bar codes require the use of a scanner to

“read”theinformationonthebarcode.c. Bar codes cannot be used in performing in-

ventorycontrolfunctions.d. Barcodescannersmustbeinafixedposition.

89. A pharmacy technician is preparing heparin25,000unitsin500mLofD5W.Theappropriate

concentrationonthelabelshouldread__________.a. 50units/mLb. 75units/mLc. 100units/mLd. 125units/mL

90. Howquicklymustamultidosecontainerbeusedafteropeningit?a. 7daysb. 14daysc. 21daysd. 28days

91. Which of the following may increase the likeli-hoodofamedicationerror?a. Excessivenoiseb. NOT scheduling sufficient help during peak

timesc. Poorlightinginthepharmacyd. Alloftheabove

92. Deficiency of what vitamin may result in beri-beri?a. VitaminAb. VitaminB1

c. VitaminCd. VitaminD

93. Whichofthefollowingisusedtoremovewater-solubleresiduesfoundinthesterilecompound-ingarea?a. Cloroxb. IPA70%c. IPA95%d. USPpurifiedwater

94. WhichofthefollowingisNOTanadvantageofautomatedsystemusingrobotics?a. Highdegreeofaccuracyforfilledmedicationsb. Pharmacistcheckingofmedicationcassettesis

quickusingabarcodescannerc. Returned medications can be easily credited

by scanning the patient ID label and themedication

d. Systemautomaticallyrestocksitself

95. Which of the following is NOT a reason for amedicationtobereturnedtoamanufacturer?a. Medicationhasbeendamagedb. Medicationhasbeenrecalledc. Medicationisclosetoitsexpirationdated. Patientreturnsthemedication

96. Whichofthefollowingcanprocesscontrolde-vicesdo?a. Addelectrolytesandmicronutrientstototal

parenteralnutrition(TPN)b. Batch-fillsyringesc. Prepare base solutions for total parenteral

nutrition(TPN)d. Alloftheabove

97. Youhavereceivedaprescriptionforamoxicillin500 mg PO. The patient is unable to chew orswallowcapsulesortablets.Howmanymillili-tersshouldbegivenineachdoseiftheconcen-trationis125mg/5mL?a. 5mLb. 10mLc. 15mLd. 20mL

98. What is the primary source of medication forcommunitypharmacies?a. Chainpharmacywarehousesb. GPOsc. Manufacturersandwholesalersd. Store-to-storevendors

99. Whatbodyorganwouldbeaffectedbyhepato-toxicity?a. Intestinesb. Kidneysc. Liverd. Thyroid

100. Whatisauniversalprecaution?a. Aninfectioncontrolprincipleb. Aninfectioncontrolprinciplethatrequiresa

healthcareprovidertotreathumanbloodasinfectious

c. Aninfectioncontrolprinciplerequiredwhenusingequipment

d. Precautionsusedwhenhandlinghazardouswaste

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PRACTICE EXAMINATION V

1. What organ would be affected if a patient wereexperiencingrhinitis?a. Bladderb. Earc. Eyed. Nose

2. Whatvolumedoesasmall-volumeparenteralcon-tain?a. 100mLb. 250mLc. 500mLd. Alloftheabove

3. Whatprocessoccurswhenadrugblockstheactiv-ityofmetabolicenzymesintheliver?a. Additiveeffectsb. Inhibitionc. Potentiationd. Synergism

4. Which of the following auxiliary labels wouldNOTbeappropriateforaprescriptionofsulfasala-zine?a. Avoidsunlightb. Drinkplentyofwaterc. Keeprefrigeratedd. Maydiscolorurine

5. Whenopeningaglassampule,alwaysuseagauzeswabforwhichofthefollowingreasons?a. Toprotectyourfingerfromcutsb. Topreventcontaminationoftheproductinside

theampulec. Todisinfecttheampuled. Noneoftheabove

6. How many inventory turns would a pharmacyexperience if the initial inventoryof theaccount-ingperiodwas$225,000,thefinalinventoryoftheperiodwas$250,000,andthepharmacyhadsalesof$2.75million?a. 12.22turnsb. 11.58turnsc. 11.00turnsd. 5.79turns

7. Which organization is concerned with employeesafety?a. HIPAAb. TJCc. OBRAd. OSHA

8. Whichofthefollowingmayleadtoapharmacycalculationerror?a. Incorrectconversionsusedb. Misplacingthedecimalpointc. Notrecheckingyourcalculationsd. Alloftheabove

9. Thepharmacistasksyoutoprepare250mLofa25%acetic acid solution.Howmuchacetic acidwouldyouneedtomakethispreparation?a. 62.5mgb. 6250mgc. 62.5gd. 6250g

10. Which of the following ophthalmic productsshouldberefrigerated?a. Apraclonidineb. Brimonidinec. Brinzolamided. Latanoprost

11. Apharmacyhas300mLofa50%solution;200mLisaddedtothissolutiontodecreasetheconcen-tration. How many grams of active ingredientwouldbeinthedilutedsolution?a. 7.5gb. 30gc. 150gd. 300g

12. Inhowmanydirection(s)doesairflowinalami-narflowhood?a. Oneb. Twoc. Threed. Four

13. Which answer best describes the informationthat should be included in a Schedule C-V salelog for Schedule C-V drugs sold without aprescription?a. Dispensingdate,printedname,signatureand

address of buyer, name and quantity of theproductsold,andthepharmacist’ssignature

b. Dispensing date, signature and phone num-berof thebuyer,productname,andproductcompanywithlotnumber

c. Dispensingdate,signatureofthebuyer,nameand quantity of product sold, price of theproductsold,andthelotnumberoftheprod-uctsold

d. Dispensingdate,buyersignature,pharmacistsignature,productnameandamount,andtheexpirationdateoftheproduct

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14. WhichofthefollowingisNOTacardiovascularmedication?a. Coregb. Diovanc. Evistad. Plavix

15. Whatisanothertermforamasterformulasheet?a. MARb. MSDSc. Pharmacycompoundinglogd. Recordlogsheet

16. Howwouldaprescriberwriteaprescriptionfor“Zolpidem5mgatbedtimeifneeded”?a. Zolpidem5mgqhsprnb. Zolpidem5mgqhsadc. Zolpidem5mgq9pmadlibd. Zolpidem5mgqhsqs

17. Whatisanothertermforsuggestedretailprice?a. Discountedpriceb. Listpricec. Netpriced. Saleprice

18. A pharmacy must ensure that its pharmacy re-cords are “readily retrievable” for a pharmacyinspector. This means they must be able to beproducedwithinhowmuchtime?a. 24hoursb. 48hoursc. 72hoursd. 96hours

19. Which dosage form is a clear, sweetened, fla-vored hydroalcoholic solution containing waterandethanol?a. Collodionb. Elixirc. Suspensiond. Syrup

20. TheproductInfants’MyliconDropscontains2gofsimethiconeina30-mLcontainer.Howmanymilligramsofthedrugarecontainedineachtea-spoonfuldose?a. 0.33mgb. 33mgc. 333mgd. 1000mg

21. Which of the following may increase the likeli-hoodofaprescriptionerror?a. Asking another pharmacy technician check

yourworkbeforehavingthepharmacistcheckyourwork

b. Havingthepharmacistcheckyourworkc. E-prescribingd. Taking a verbal prescription over the phone

fromanurseafter theprescriptionwascom-municatedtoherverballybythephysician

22. WhatisthegenericnameforAvapro?a. Candesartanb. Irbesartanc. Losartand. Valsartan

23. Whatshouldbedoneinpreparingaprescriptionforetoposide?a. Flushtheremainingcontentsdownasinkor

toilet.b. Wearprotectiveclothingifyouareallergicto

etoposide.c. Place labels on the container so that it has a

professionalappearance.d. Prepareitinabiologicsafetycabinet.

24. To which organization would an individual re-portamedicationerror?a. DEAb. FDAc. MedWatchd. Stateboardofpharmacy

25. AccordingtoTJC,whichofthefollowingmustbeaddressedbyaninstitutioninitsinfectioncontrolpolicy?a. Infectionsurveillance,prevention,andcontrol

forthepharmacyb. Microbialmonitoringoflaminarflowhoodsc. Properuseoflaminarflowhoodsd. Alloftheabove

26. Adruginwhichscheduleofmedicationmaybepurchasedasan“exemptnarcotic”?a. ScheduleIIb. ScheduleIIIc. ScheduleIVd. ScheduleV

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27. Which of the following tasks do computersperform?a. Communicationb. Inputandoutputc. Processingandstoraged. Alloftheabove

28. Howoftendoesacertifiedpharmacytechnicianneedtorenewhisorhercertification?a. Every6monthsb. Yearlyc. Every2yearsd. Pharmacy technicians do not need to renew

theircertifications

29. Whatisamedicationordercalledwhenitispre-sentedtoacommunitypharmacy?a. Inscriptionb. MARc. Patientprofiled. Prescription

30. WhatisthegenericnameforPrevacid?a. Esomeprazoleb. Lansoprazolec. Omeprazoled. Pantoprazole

31. Whichlawisbeingviolatedifapharmacistpre-paresamedicationunderunsanitaryconditions?a. DietarySupplementHealthEducationActof

1994b. Food, Drug, and Cosmetic Act (FDCA) of

1938c. OBRA-90d. Health InsurancePortabilityandAccounting

Act(HIPAA)

32. Whatwouldbetheinfusionratefora50-mg/mLmagnesiumsulfatesolutiontoprovide1.2g/hr?a. 0.4mL/hrb. 2.5mL/hrc. 20mL/hrd. 24mL/hr

33. NewOTCdrugsarerequiredtogothroughnec-essaryphases.Whichphaseoccurswhenafinalreviewisdoneontheingredientsoftheagentinquestionandthepublicisabletogivefeedback?a. PhaseIb. PhaseIIc. PhaseIIId. PhaseIV

34. Which of the following organizations may disci-plineapharmacytechnicianforegregiousbehavior?a. ASHPb. BOPc. NABPd. PTEC

35. Whatpartofthelaminarflowhoodisresponsibleforremovingcontaminants?a. Theblowerb. TheHEPAfilterc. Therecoveryventd. Thesidewalls

36. Which of the following is NOT a reason for athird-partyclaim tobe rejectedbyan insurancecarrier?a. Drugnotcoveredb. Invalididentificationnumberc. Genericdrugdispensedd. Refilltoosoon

37. If 1 g of dextrose provides 3.4 kcal, how manykilocalorieswill200mLofa25%dextrosesolu-tionprovide?a. 17kcalb. 170kcalc. 340kcald. 680kcal

38. What term describes directions to a pharmacistonaprescription?a. DAWindicatorb. Inscriptionc. Subscriptiond. Signa

39. Whichofthefollowingtermsisasetamountofmoney that must be paid by the patient beforetheinsurerwillcoveradditionalexpenses?a. Coinsuranceb. Copaymentc. Deductibled. Maximumallowablecost

40. Whatisthecorrectmeaningforthesignainthefollowingprescription?Timoptic0.25%15mLigttoubida. Instill1dropineacheartwiceperday.b. Instill1dropineacheyetwiceperday.c. Instill1dropinlefteyetwiceperday.d. Instill1dropinlefteartwiceperday.

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41. Which schedules of controlled substances aremonitoredthroughprescriptionmonitoringpro-grams?a. ScheduleIIb. ScheduleIIIc. ScheduleIVd. Alloftheabove

42. Whatistheunitofmeasurementforinsulin?a. USPunitsb. Milliequivalentsc. Millilitersd. Milliosmoles

43. Which organization establishes standards forpharmacycontinuingeducation?a. ACPEb. APHAc. ASHPd. PTEC

44. Whatisthepercentageofa1:25(w/v)solution?a. 0.04%b. 0.4%c. 4.0%d. 40.0%

45. WhichofthefollowingmedicationsmayNOTbeusedtotreatosteoporosis?a. Actonelb. Bonivac. Cordaroned. Fosamax

46. WhatisthemeaningofNPI?a. NationalPharmaceuticalInstituteb. NationalPharmacopeiaIndexc. NationalProviderIdentifierd. Noprovideridentified

47. Which of the following would be considered awrongdrugpreparationerror?a. AddingNOTenoughwatertoreconstitutean

Augmentinsuspensionprescriptionb. Usingthewrongbasetocompoundanointmentc. Using the wrong diluent in compounding a

sterilepreparationd. Alloftheabove

48. What type of unit-dose system is referred to aspunch cards, bingo cards, orblister packs?a. Blendedunit-dosesystemb. Modifiedunit-dosesystemc. Modularcassetted. Multiplemedicationpackages

49. Whichdosageformmayeitherbeoil-in-waterorwater-in-oil?a. Emulsionb. Solutionc. Suspensiond. Syrup

50. Howmuchofa10%and60%dextrosesolutionshouldbemixedtoprepare1Lofa40%dextrosesolution?a. 10%:600mL;60%:400mLb. 10%:500mL;60%:500mLc. 10%:400mL;60%:600mLd. 10%:300mL;60%:700mL

51. Whichofthefollowinghavedrugmanufacturersdonetoreducemedicationerrors?a. Changetheproprietarymedicationname.b. Use lettering that matches the color of the

medication.c. Use“tallman”letters.d. Alloftheabove

52. Whichof the following isNOTrequiredforau-thorizationtoreleasepatientinformation?a. Ahandwrittencopyb. A list of the patient’s prescription and over-

the-countermedicationsc. Areasonforthereleased. Patient’ssignature

53. Howoftenaredrugformulariesupdated?a. 4to6monthsb. 12to18monthsc. 2yearsd. 4years

54. Whatistheproperdosefora6-year-oldchildiftheadultdoseis10mg?a. 33mcgb. 3.3mgc. 33mgd. 333mg

55. Which of the following is NOT true regardingpharmacyautomation?a. Automation can change both the pharmacist

andpharmacytechnician’sresponsibilities.b. Automationcanimprovethequalityofwork

inthepharmacy.c. Automationincreasesthepossibilityofmedi-

cationerrors.d. Automationrequiresinformedindividuals.

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56. Towhichscheduledoanabolicsteroidsbelong?a. ScheduleIIb. ScheduleIIIc. ScheduleIVd. ScheduleV

57. Prescriptionsfordrugsinwhichofthefollowingcontrolledsubstanceschedulesmaybefaxedtoapharmacy?a. ScheduleIIIb. ScheduleIVc. ScheduleVd. Alloftheabove

58. Which of the following units of measure forweightisthesmallest?a. Gramb. Kilogramc. Microgramd. Milligram

59. What is themeaningof thepharmacyabbrevia-tion“dtd”?a. Daylighttimedosesb. Donottakedailyc. Giveofsuchdosesd. Ofeach

60. Whichofthefollowingroutesofadministrationisadministrationintoavein?a. IAb. IMc. IVd. SL

61. Which of the following analgesic medicationsrequiresaphysiciantohaveaDEAnumber?a. Dayprob. Motrinc. Naprosynd. Vicoprofen

62. What type of medication error occurs when apatientdoesNOTtakehisorhermedicationasdirectedbythephysician?a. Complianceerrorb. Improperstorageerrorc. Monitoringdrugerrord. Wrongadministration

63. Whichformisusedtodocumentmedicationbe-ingadministeredtoapatient?a. MARb. MDRc. POSd. TAR

64. A44-lbchildistoreceive4mgofphenytoinperkilogramofbodyweightdailyasananticonvul-sant.Howmanymillilitersofpediatricphenytoinsuspension containing 30 mg/5 mL should thechildreceive?a. 13.3mLb. 50mLc. 80mLd. 176mL

65. Which of the following dosage forms could apatientwithdiabetesreceive?a. Elixirb. Emulsionc. Spiritsd. Syrups

66. Which of the following is the generic name forPercocet?a. Acetaminophen1codeineb. Acetaminophen1hydrocodonec. Acetaminophen1oxycodoned. Acetaminophen1propoxyphene

67. Allof the followingaredisadvantagesofacen-trallyautomateddispensingsystemusingrobot-icsexceptwhichone?a. Anindividualisrequiredtoactasapackager.b. Expired medications must be manually re-

movedfromthesystem.c. Specialmedicationcassettesarerequired.d. Specialpackagesarerequired.

68. Whatisanothertermfora“crashcart”?a. Codebluecartb. Codeorangecartc. Coderedcartd. Codeyellowcart

69. Whatisthebrandnameforlorazepam?a. Ativanb. Dalmanec. Klonopind. Valium

70. Whichofthefollowingisusedasanincentivetotake a particular medication or to assist in pa-tientswhomeetspecificincomerestrictions?a. DrugCouponCardb. DrugDiscountCardc. Medicaidd. Worker’scompensation

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71. Whichofthefollowingstatementsistrueregard-ing the role of pharmacy technicians and phar-macyinformationsystems?a. Onlythepharmacistcangatherdataforqual-

ityassurancepurposesandusethecomputertoenterthisdata.

b. Pharmacytechnicianscancollectdataonly.c. Pharmacy technicians can gather data for

quality assurance activities and can use thecomputertoorganizeandinputthedata.

d. Pharmacy technicians can’t gather or inputdatabecauseitisjudgmentalactivityassignedonlytopharmacists.

72. Whichof the followingdoesBloodbornePatho-genStandardrequire?a. Requiresanemployertoprovideallemploy-

eestoreceiveahepatitisBinjectionb. Requiresanemployertoprovideyearlytrain-

ingforallemployeeswhomaybeexposedtobloodbornepathogens

c. Requires latex gloves be provided to all em-ployees who may be exposed to bloodbornepathogens

d. Requires that management evaluate and de-terminewhatsafetyequipmentwillbeusedtopreventexposuretobloodbornepathogens

73. WhatdoesASHPmean?a. AmericanSchoolsofHealthPracticesb. AmericanSocietyofHealth-SystemPharmacistsc. AmericanSocietyofHospitalPharmacistsd. AssociationofSpecialtyHealthPractitioners

74. Which of the following is NOT a managementfunctionofapharmacyinformationsystem?a. Collectnarcoticusedatab. Compileworkloaddatac. Generatelabelsd. Maintainbillinginformation

75. Howmanymillilitersarein1pint?a. 120mLb. 240mLc. 480mLd. 960mL

76. Whichofthefollowingdrugswouldbeadminis-tered to a patient if he or she had received anoverdoseofheparin?a. Aspirinb. Phytonadionec. Protaminesulfated. Warfarin

77. Which of the following is a way to inform thepharmacystaffaboutprescriptionerrors?a. Newslettersb. ProvidestaffwithmaterialsprovidedbyISMPc. Yearlystaffin-servicesaddressingmedication

errorsd. Alloftheabove

78. WhichreferencebookisincludedinUSP DIVol-ume III and contains the FDA’s approved drugproducts?a. American Drug Indexb. Blue Bookc. Orange Bookd. Red Book

79. Whichofthefollowingsideeffectsmaybeattrib-utedtoanoverdosageofsalicylates?a. GIupsetb. Plateletchangesc. Tinnitusd. Alloftheabove

80. Howmanymillilitersofwatershouldbemixedwith1200mLof65%(v/v)tomakea45%(v/v)solution?a. 533mLb. 667mLc. 830mLd. 1733mL

81. Which of the following is a potassium-sparingdiuretic?a. Chlorthalidoneb. Furosemidec. Hydrochlorothiazided. Spironolactone

82. Whatisthebasicunitofmeasurementofweightinthemetricsystem?a. Gramb. Kilogramc. Microgramd. Milligram

83. Whichofthefollowingonlineclinicalmonitoringcanbeperformedbecauseofautomation?a. Drug–disease, drug–drug, drug–food, and

drug–laboratorytestinteractionsb. IVincompatibilitiesc. Therapeuticduplicationd. Alloftheabove

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84. Whichof the followingmanagedcareorganiza-tionsprovidespatientswiththemostoptionsandthereforehavehigherout-of-pocketexpenses?a. HMOb. Medicarec. Medicaidd. PPO

85. WhichDEAFormisusedtorequestofficialorderform,DEAForm222?a. DEAForm41b. DEAForm106c. DEAForm224d. DEAForm363

86. Whichdocumentpermitsitemstobepurchasedfromavendor?a. Invoiceb. Packingslipc. Purchaseorderd. Statement

87. Whendoesa“codeblue”occur?a. Whenapatientishavingaheartattackb. Whenapatientstopsbreathingc. AandBd. Noneoftheabove

88. Whichof the followingpharmacyabbreviationscanbemistakenwith“ou”?a. odb. osc. ud. Bothaandb

89. WhichofthefollowingisNOTrequiredonapa-tient’smedicationprofile?a. Medicationnameandstrengthb. Patient’sdemographicsc. Route of administration for each medication

thepatientisreceivingd. Startdateofthemedication

90. Whichofthefollowingwouldbeanexampleofbiometricsbeingusedinthepharmacy?a. Assigning an personal id to access the com-

putersystemb. Assigningakeytothepharmacyc. Scanning an individual’s hand to access the

pharmacyd. Alloftheabove

91. Whichofthefollowingmedicationsislimitedtoa30-daysupplywithnorefills?a. Isotretinoinb. Imitrexc. Insulind. Viagra

92. Whichglandinfluenceswaterbalance,bodytem-perature,appetite,andemotions?a. Hypothalamusb. Pancreasc. Thymusd. Thyroid

93. Which of the following is the proper order ofgarbingintheanteroom?a. Shoesorshoecovers,headandfacialhaircov-

erings,fingernailcleansing,handandforearmwashinganddrying,nonsheddinggown,andfacemask

b. Shoesorshoecovers,headandfacialhaircov-erings, face mask, fingernail cleansing, handand forearm washing and drying, and non-sheddinggown

c. Shoesorshoecovers,headandfacialhaircov-erings, fingernail cleansing, face mask, handand forearm washing and drying, and non-sheddinggown

d. Thereisnoparticularorder.

94. Whichof the following isacause foramedica-tionerror?a. Asking thepharmacist ifyouahaveaques-

tionwhilefillingaprescriptionb. Checkingtheprescriptionlabelwiththemed-

icationbottlec. Failure to follow standard operating proce-

duresforthepharmacyd. Verifying the patient’s information with the

patient

95. Whatisthepurposeofagrouppurchasingorga-nization?a. Negotiatespricesforhospitalpharmaciesb. Purchases medications for hospital pharma-

ciesc. Purchases medications for community phar-

maciesd. Purchases medications for managed care

pharmacies

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96. WhichofthefollowingisanInternet-accessibledatabasethathospitalsandhealthcaresystemscanusetoreportmedicationerrors?a. ISMPb. MEDMARXc. MedWatchd. NCCMERP

97. Which of the following is NOT an antiviralagent?a. Acyclovirb. Clotrimazolec. Didanosined. Zidovudine

98. Howmuch1%boricacidsolutionand5%boricacidsolutionareneededtomake30mLof3%boricacidsolution?a. 5%:20mL;1%:10mLb. 5%:5mL;1%:15mLc. 5%:10mL;1%:20mLd. 5%:5mL;1%:25mL

99. Whatdoesthewordrootcardio mean?a. Heartb. Lungsc. Skind. Stomach

100. UndertheBloodbornePathogenStandard,howoftenshouldsafetyequipmentbeevaluated?a. Annuallyb. Every6monthsc. Every5yearsd. DoesNOTstate

PRACTICE EXAMINATION VI

1. What part of Medicare reimburses a retail phar-macyforprescriptionmedications?a. PartAb. PartBc. PartCd. PartD

2. What type of interaction occurs when a patienttakestetracyclinewithmilk?a. Adverseeffectb. Drug–drugc. Drug–foodd. Synergistic

3. Atwhatstandardtimewouldapatientreceiveamedicationifthemilitarytimewas1800hours?a. Midnightb. 8amc. 6pmd. 8pm

4. Which of the following is NOT used to treatgastrointestinalproblems?a. Antacidsb. H2receptoragonistsc. H2receptorantagonistsd. Protonpumpinhibitors

5. Howmanyminutesshouldapharmacybeallowedtodelivera“stat”order?a. 5to15minutesb. 5to30minutesc. 30to45minutesd. 45to60minutes

6. An IV order calls for the addition of 45 mEq ofCaCO3(calciumcarbonate).Youhavea25-mLvialof calcium carbonate 4.4 mEq/mL. How manymillilitersofthisconcentrationdoyouneedtoaddtothisIVsolution?a. 5.6mLb. 8.4mLc. 10.2mLd. 12.8mL

7. Inwhosenameisaninsurancepolicyisheld?a. Beneficiaryb. Dependentc. Subscriberd. Patient

8. The medications Diovan HCT, Dyazide, Hyzaar,and Zestoretic are combination products used inthe treatment of cardiovascular disease. Whichmedicationisfoundinallofthem?a. Hydrochlorothiazideb. Lisinoprilc. Triamterened. Valsartan

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9. Which of the following pieces of information isrequiredonamedicationorderforapatientinahospitalbutNOTforaprescriptionbeingfilledataretailpharmacy?a. Medicalrecordnumberb. Patient’snamec. Physician’snamed. Nameandstrengthofmedication

10. WhatdoesMDImean?a. Medicaldiagnosisincludedb. Medicaldoctorunderinvestigationc. Metered-doseinhalerd. Multidoseinhaler

11. Wholicensespharmacistsineachstate?a. DEAb. FDAc. Federalgovernmentd. Stateboardofpharmacy

12. Apharmacywantstomarkupaproductby30%.Howmuchwouldanitemwiththismarkupcostifitsoriginalcostwas$4.50?a. $5.85b. $6.23c. $6.40d. $7.10

13. Whatpieceofequipmentreducestheriskofcon-taminationwhenIVadmixturesareprepared?a. Footpedalsinksb. Humidifiersc. Laminarflowhoodsd. Ultravioletlighting

14. Whattypeofdosageformispreparedusingthe“punchmethod”?a. Capsulesb. Emulsionsc. Suppositoriesd. Tablets

15. Howmany2-tspdosescanbepreparedfrom1Lofasolution?a. 50b. 100c. 500d. 1000

16. WhatistheroleoftheDEA?a. AcceptingNDAsfrommanufacturersb. EnforcingtheControlledSubstancesActof1970c. Licensingpharmacistsd. OverseeingtheMedWatchprogram

17. WhichofthefollowingdrugsisNOTamacrolide?a. Azithromycinb. Clarithromycinc. Doxycyclined. Erythromycin–sulfisoxazole

18. Whichtermonaprescriptionisaninstructiontothepharmacist?a. Inscriptionb. Rxc. Signad. Subscription

19. Whattypeofformularyisalimitedlistofdrugs?a. Closedformularyb. Openformularyc. Restrictedformularyd. Noneoftheabove

20. Whichmethodofadministrationisusedtopro-videmedicationtoanunconsciouspatient?a. Inunctionb. Inhalationc. Parenterald. Peroral

21. ApatienthasbeenorderedPhenobarbital 1⁄2gr;how many 15-mg tablets should the patientreceive?a. 1b. 2c. 3d. 4

22. Who may accept new prescriptions phoned infrom a physician’s office according to federallaw?a. Pharmacistsb. Pharmacyaidesc. Pharmacyclerksd. Pharmacytechnicians

23. Whyareambervialsusedtopackagemedications?a. Toclearlyidentifyoralproductsfromtopical

productsb. To prevent an individual from identifying a

medicationc. To prevent moisture from getting inside the

containerd. To protect the medication from ultraviolet

lightandpossibledegradation

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24. Which law is being violated if an employerdiscriminates against a potential employeebecause of medical reasons that would NOTprevent him or her from properly performingthejob?a. ADAb. AnyWillingProviderc. OSHAd. PrescriptionDrugEquityAct

25. WhatisthegenericnameforDepakote?a. Divalproexb. Gabapentinc. Primidoned. Valproicacid

26. What is the minimum weighable quantity for aclassAbalance?a. 120mgb. 150mgc. 250mgd. 500mg

27. Which formula for calculating a child’s dose isthemostaccurate?a. Bodysurfaceareab. Clark’srulec. Fried’sruled. Young’srule

28. What type of copayment is a different dollaramount based on the type of drug being dis-pensed?a. Fixedcopaymentb. Percentagecopaymentc. Variablecopaymentd. Noneoftheabove

29. Whichof the followingprovidesregulations forcompoundingsterilepreparations?a. PureFoodandDrugActb. Food,Drug,andCosmeticActc. MSDSd. USP797

30. Whichofthefollowingisrequiredtoappearonarepackageddruglabel?a. Drugstrengthb. Expirationdateassignedattimeofrepackagingc. Manufacturer’snamed. Alloftheabove

31. Which of the following would be appropriatedirectionsforAmbien?a. itabPOqamb. itabPOqhsc. itabslqhsd. itabPOtidprnanxiety

32. Whatdoesthecomputerinsuranceerrormessage“patient not found” or “invalid ID number”indicate?a. Thecustomerisnotalegitimatepatient.b. Themedicationisnotcoveredundertheplan.c. Thepatientdoesnotappeartobeenrolledin

theinsuranceprogram.d. The patient’s condition is not covered under

theprescriptionplan.

33. Which of the following medications should bepreparedinabiologicsafetycabinet?a. Etoposideb. IVsolutioncontaininginsulinc. IVsolutionofgentamicind. Skincream

34. Whatisthemaximumnumberoftabletsthatcanbetakenin1daywiththedirections“1–2tabsPOq4-6hprnpain”?a. 4tabletsb. 6tabletsc. 8tabletsd. 12tablets

35. Which of the following is NOT required on aprescriptionlabel?a. Nameandaddressofthepharmacyb. Nameoftheprescriberc. Serialnumberoftheprescriptiond. Telephonenumberofthepatient

36. WhichofthefollowingisanindicationofZofran?a. Constipationb. Diarrheac. Migraineheadached. Nauseaandvomiting

37. Whichofthefollowingsuffixesdesignatesthatadrugisacalciumchannelblocker?a. -dipineb. -mycinc. -oloned. -pril

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38. Whatistheinfusionrateinmillilitersperhourifatotalof500mLisinfusedover4hours?a. 100mL/hrb. 125mL/hrc. 500mL/hrd. 2000mL/hr

39. Whichofthefollowingstatementsisfalseregard-ingtheIsotretinoinSafetyandRiskManagementActof2004?a. Women are required to have monthly preg-

nancytests.b. Patientsarerequiredtoundergomonthlyed-

ucationregardingthemedication.c. Prescriptionscanbewrittenfora90-daysupply.d. Prescriptions cannot be telephoned to the

pharmacyfromthephysician’soffice.

40. A180-lbmanistoreceive1.75mgoftobramycinperkilogramperday.Thepharmacytechnicianistopreparethetobramycinin100mLofD5W,anditistobegiventhreetimesperday.Thedrugisavailableina40-mg/mLvialandistobeadmin-isteredover30min.Howmuchmedicationwillthepatientreceiveeachday?a. 48mgb. 96mgc. 143mgd. 315mg

41. WhichofthefollowingtermsdoesNOTmeana“proprietary”drug?a. Brandb. Genericc. Patentedd. Trade

42. Howmanydayswill the followingprescriptionlast?Ampicillin250mg#401capPOqidRef3iia. 4b. 10c. 20d. 30

43. Whatdoestheterm“pc”mean?a. Aftermealsb. Asneededc. Beforemealsd. Bymouth

44. Wherewouldmeperidinebestoredinthephar-macy?a. Intherefrigeratorb. Inthepharmacysafec. Withthe“fastmovers”d. Withthepillsandtablets

45. Convert10°CelsiustodegreesFahrenheit.a. 212°Fb. 32°Fc. 42°Fd. 50°F

46. In this formula,howmuch talc isneeded tofill120gofthecompound?

Nupercainalointment 4%Zincoxide 20%Talc 2%

a. 1200mgb. 1500mgc. 2400mgd. 120g

47. WhattypeofdocumentationdoesOSHArequireforpharmaciesthathandlehazardouschemicals?a. ManufacturerSafetyDocumentationSheetsb. Manufacturer Sheets for Documentation of

Safetyc. SafetyDataSheet(SDS)d. MixtureSafetyDocumentationSheets

48. Whatisthemeaningof“qid”onaprescription?a. Onceadayb. Twiceadayc. Threetimesadayd. Fourtimesaday

49. Whichofthefollowingisanantidoteforanover-doseofheparin?a. Coumadinb. Enoxaparinc. Phytonadioned. Protaminesulfate

50. Where should a patient store a prescription ofliquidamoxicillinsuspension?a. Inabathroomvanityb. Inakitchencupboardc. Intherefrigeratord. Doesnotmatterwhereitisstored

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51. Whatcomponentswouldbefoundintotalnutri-entadmixture?a. Aminoacids,dextrose,andlipidsb. Aminoacids,dextrose,andproteinsc. Aminoacids,dextrose,andvitaminsd. Aminoacids,dextrose,minerals,andvitamins

52. Whodevelopstheformularyforahospital?a. Boardofdirectorsofthehospitalb. FDAc. GPOd. P&Tcommittee

53. Whatdoes“qsad”meanonaprescription?a. Asufficientquantityb. Asufficientquantityfortherightearc. Asufficientquantitytomaked. Tomakefortherightear

54. Howlongmustcontrolledsubstancerecordsberetainedaccordingtofederallaw?a. 6monthsb. 1yearc. 2yearsd. 7years

55. How much gentian violet is in 100 mL of a1:10,000solution?a. 0.01mgb. 10mgc. 0.01gd. 10g

56. Whattypeofdrugclassificationendsin-pril?a. ACEinhibitorsb. Benzodiazepinesc. Corticosteroidsd. H2antagonists

57. Which pharmacy law clearly defined adultera-tionandmisbranding?a. PureDrugActof1906b. Food,Drug,andCosmeticActof1938c. Durham-HumphreyAmendmentd. PoisonControlActof1970

58. Amanufacturer’sinvoicetotals$500.00withtheterms3%net.Howmuchshouldberemittedtothemanufacturerifitispaidin30days?a. $15.00b. $150.00c. $485.00d. $500.00

59. What is themaximumday’s supplyapharmacybenefitmanagerwillreimbursearetailpharmacy?a. 15-daysupplyb. 30-daysupplyc. 60-daysupplyd. 90-daysupply

60. Whatisthemeaningofthewordrootosteo?a. Arteryb. Bonec. Celld. Muscle

61. Where should one place medication with theshortestexpirationdate?a. Behindtheotherstockb. Infrontoftheotherstockc. Returnittothedrugmanufacturerd. Anyoftheabove

62. Which liquid form isadispersion inwhichoneliquidisdispersedinanotherimmiscibleliquid?a. Emulsionb. Lotionc. Ointmentd. Suspension

63. WhichofthefollowingisNOTacharacteristicoftouch-screentechnology?a. A stylus or pen can be used to touch the

screen.b. Lightpensystemsaremoreaccuratethanfin-

gersystems.c. Thetechnologysensesthelocationofafinger

asitnearsortouchesthescreen.d. Touch-screentechnologyhashighresolution.

64. Whatsizecontainerwouldyouuseindispensing240mLofaliquidmedication?a. 2ozb. 4ozc. 6ozd. 8oz

65. WhichofthefollowingisNOTfoundonaMasterFormulaSheetusedincompounding?a. Amountofingredientneededb. Colorofingredientc. Manufacturer’s lot number and expiration

dated. Name of individual who weighed or mea-

suredingredient

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66. WhichreferencebookistheofficialcompendiumofpharmaceuticalproductsintheUnitedStates?a. Facts and Comparisonsb. Physicians‘ Desk Referencec. Remington’s Pharmaceutical Sciencesd. USP-NF

67. WhichofthefollowingisNOTadisadvantageofanoraldosageform?a. Delayedonsetofactionb. Easeofadministrationc. First-passmetabolismd. Tasteofmedication

68. Whichofthefollowingwouldbetheappropriateaction to be taken by a pharmacy technicianwhenafillinglabelindicatesaprescriptionerror?a. Checkthe labelagainst theoriginalprescrip-

tion or medication order to determine if anerrorwasmade.

b. Contactthephysiciantoverifytheorder.c. Correcttheerror.d. Informthepharmacistofthepossibleerror.

69. Inwhichofthefollowingenvironmentsshouldasterileproductbecompounded?a. Class25environmentb. Class50environmentc. Class75environmentd. Class100environment

70. Whattermreferstowherealistofdrugs,devices,orsuppliesthatneedtobereorderedarewrittendown?a. Formularyb. Orange Bookc. Red Bookd. Wantbook

71. Which of the following limits access to a com-putersystem?a. CPUb. Hardwarec. Passwordd. Software

72. Which of the following statements about phar-macyautomationisfalse?a. Automation can change the scope of a phar-

macytechnician’sresponsibilities.b. Automationcanimprovethequalityofwork.c. Automationincreasesthepotentialforerrors.d. Automation requires informed, educated

operators.

73. An IV solution is to be infused over a 12-hourperiod.The totalexactvolume is800mL.Whatwouldbetheinfusionrate?a. 0.56mL/minb. 1.11mL/minc. 2.7mL/mind. Noneoftheabove

74. Whatistherouteofadministrationforheparin?a. IAb. IMc. IVd. Oral

75. What is the purpose of quality assurance pro-grams?a. Document causes of errors and implement

programstoreducethemb. Punishindividualsformakingerrorsc. Provideaservicetocustomersd. Provide additional responsibilities for phar-

macytechnicians

76. Whichorganizationdevelopedthefollowingini-tiatives: leadership process and accountability,competentandcapableworkforce,safeenviron-ment for staff and patients, clinical care of pa-tients,andimprovingqualityandsafety?a. FDAb. ISMPc. OSHAd. TJC

77. Whichofthefollowingcontributestothehighestpercentageofmedicationerrors?a. Communicationb. Computerentryc. Documentationd. Performancedeficit

78. What advice should NOT be given to a patienttakingpenicillinproducts?a. DoNOTtakewithjuicesorcolasb. Maycausedrowsinessc. Takeonanemptystomachd. Takewithwater

79. WhichofthefollowingisrequiredbyOBRA-90?a. Patientconfidentialityb. Patientprofilesc. Prescriptionsfromaveterinarianforanimalsd. Prohibiting the dispensing of professional

samplesfromapharmacy

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80. Whatdoesthewordrootdermmean?a. Brainb. Skinc. Skulld. Tooth

81. Whichofthefollowingis/areafalsestatement(s)regardingcontinuousqualityimprovement(CQI)?a. CQIfocusesonpeople.b. CQIpermitsdecisionstobemadeonthebasis

ofobjectivedata.c. CQIisascientific/systemicapproachtoquality.d. Bothbandcarefalse.

82. Whichofthefollowingareexamplesofprotectedhealthinformation?a. Patient’sdiagnosisb. Patient’smedicalrecordnumberc. Patient’snamed. Alloftheabove

83. Anintravenoussolutioncontaining20,000unitsofheparinin500mLofa0.45%sodiumchloridesolutionistobeinfusedatarateof1000units/hr.Howmanydropsperminuteshouldbeinfusedtodeliverthedesireddoseiftheintravenoussetiscalibratedatarateof15gtt/mL?a. 0.42gtt/minb. 6gtt/minc. 16gtt/mind. 32gtt/min

84. Which classification of drugs has interactionswithmanyfoodsandOTCproducts?a. MAOIsb. MOAsc. SSRIsd. TCAs

85. Which device transfers information from onecomputertoanotherthroughtelephonelines?a. Barcodeb. CPUc. Modemd. Scanner

86. Whichofthefollowingarethetwomajormeansforpharmacyreimbursementforprescriptions?a. Capitationandcopaymentsb. Capitationandfeeforservicec. Copaymentsanddeductiblesd. CopaymentsandPOS

87. Which of the following automation devices is/areusedtopreparehyperalimentationsolutions?a. MicroMixb. RobotRxc. SureMedd. Alloftheabove

88. Whichofthefollowingmayresultinunexpectedmedicationshortagesinthepharmacy?a. Changesinprescribinghabitsofphysiciansb. Drugmanufacturershortagesc. Increasedneedforseasonalmedicationsd. Alloftheabove

89. WhichofthefollowingsituationswouldrequireaHEPAfiltertoberecertified?a. Dustedb. Dryc. Wetd. Alloftheabove

90. What typeofmedication requiresaSafetyDataSheets(SDS)beprovidedtothepurchaser?a. Hazardouschemicalsanddrugsb. Investigationaldrugsc. Intravenousdrugsd. Alloftheabove

91. WhichorganizationreviewsInvestigationalNewDrugApplications?a. FDAb. ISMPc. TJCd. USP

92. Which federal law requires that all controlledsubstancesbearthefollowinglegend:“Warning:maybehabitforming”?a. Comprehensive Drug Abuse Prevention and

ControlActb. Food,DrugandCosmeticActc. HarrisonNarcoticsActd. CombatMethamphetamineEpidemicAct

93. Whatisthecorrectdosagefora25-lbchildiftheadultdoseis100mg?a. 7.6mgb. 17mgc. 68mgd. 113mg

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94. Whattermreferstothefailuretoprovidearea-sonableamountofcaretopreventinjury?a. Abuseb. Dependencec. Malpracticed. Negligence

95. Whattypeofmortarandpestleshouldbeusedinmixingliquidcompounds?a. Glassb. Latexc. Porcelaind. Wedgwood

96. Which of the following automated dispensingdeviceswouldbefoundinanursingunit?a. Bakercellsb. OmniLinkRxc. PyxisMedstationd. SafetyPak

97. Whichofthefollowingareincludedinthe“ad-ministrative simplification” provision of theHealthInsurancePortabilityandAccountabilityAct(HIPAA)?a. ElectronicHealthTransactionStandardsb. Insurancepremiumstandardsc. PrivacyandConfidentialityStandardsd. Bothaandc

98. Which organization requires that unit-dose bedispensedinahospital?a. APHAb. ASHPc. FDAd. TJC

99 Which of the following products should NOTbechewed?a. Azatadineb. Azelastinec. Benzonatated. Fexofenadine

100. Whatshouldapatienttakeforaheadacheifheorsheistakingwarfarin?a. APAPb. ASAc. Narcoticanalgesicsd. NSAIDs

PRACTICE EXAMINATION VII

1. Howmanyteaspoondosesareinapintofelixir?a. 24b. 48c. 72d. 96

2. Which organ would be affected if the root wordnephrowasindicated?a. Earb. Heartc. Kidneyd. Liver

3. Howisinsulinadministered?a. IDb. IMc. POd. SC

4. Whatisthecorrectinterpretationofthefollowingprescription: “1 tsp PCN 250 mg PO qid for10days”?a. Take one tablespoonful of penicillin 250 mg

bymouthfourtimesadayfor10days.b. Take one teaspoonful of penicillin 250 mg by

moutheveryotherdayfor10days.c. Take one teaspoonful of penicillin G 250 mg

bymouthfourtimesadayfor10days.d. Take one teaspoonful of penicillin 250 mg by

mouthfourtimesadayfor10days.

5. Which of the following drugs does NOT requirebloodworkfromapatient?a. Lithiumb. Phenytoinc. Sulfasalazined. Warfarin

6. Whichreferencebookisacompilationofpackageinserts?a. Drug Topics Red Bookb. Facts and Comparisonsc. Physicians’ Desk Referenced. USP DI

7. How much codeine is contained in one tablet ofTylenol#3?a. 1⁄4grb. 1⁄2grc. 3⁄4grd. 1gr

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8. What is the most common route of administra-tion?a. Inhalationb. Inunctionc. Orald. Rectal

9. Which termencompasses theabsorption,distri-bution,metabolism,andeliminationofadrug?a. Pharmacokineticsb. Pharmacognosyc. Pharmacologyd. Pharmacopeia

10. Apharmacytechnicianreceivesamedicationor-derthatrequireshimtoadd40unitsofinsulintoan intravenous solution. How many milliliterswillheneed?a. 0.3mLb. 0.4mLc. 0.5mLd. 0.6mL

11. WhatisthemeaningofURI?a. Upperrespiratoryinfectionb. Urethralandrectalinfectionc. Urinereceptacleinfectiond. Upperrespiratoryinfluenza

12. Whichofthefollowingisthestrongestdose?a. NTG1/100grb. NTG1/150grc. NTG1/200grd. NTG1/400gr

13. Howmanydayswould40capsulesofamedica-tionlast if thedirectionswere“icapqidacandhs”?a. 4daysb. 8daysc. 10daysd. Noneoftheabove

14. Which of the following drugs will produce anadverseeffectifalcoholisconsumedduringthecourseoftherapy?a. Disulfiramb. Guaifenesinc. Hydrochlorothiazided. Triamcinolone

15. WhichofthefollowingdrugsisNOTaquinolonemedication?a. Ciprofloxacinb. Norflexc. Norfloxacind. Floxin

16. Howmanymillilitersofa1:50(w/v)stocksolu-tion can be prepared from 1 pint of a 5% stocksolution?a. 96mLb. 192mLc. 720mLd. 1200mL

17. Whichofthefollowingdrugswoulduse“pulsedosing”?a. Clotrimazoleb. Fluconazolec. Itraconazoled. Ketoconazole

18. WhatisthemeaningoftheabbreviationBS?a. Bloodsugarb. Bloodinstoolsc. Bodysurfaced. Bowelsyndrome

19. Whichofthefollowingistrueaboutgenericallyequivalentdrugs?a. Chemically different but are expected to pro-

ducethesametherapeuticoutcomeandtoxicityb. Chemically identical in strength, concentra-

tion,dosageform,androuteofadministrationc. Containdifferentactiveingredientsd. Pricedexactlythesameasbrandnamedrugs

20. Which of the following dosage forms bypassesthedigestivesystem?a. Capsuleb. Enteric-coatedtabletc. Oraltabletd. Sublingualtablet

21. How many units of heparin are in 50 mL of100,000units/L?a. 50unitsb. 500unitsc. 5000unitsd. 50,000units

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22. Whatishypoglycemia?a. Highbloodpressureb. Highbloodsugarc. Lowbloodpressured. Lowbloodsugar

23. Which of the following medications could beusedasaprophylacticformigraines?a. Imitrexb. Inderalc. Ergotamined. Stadol

24. How would a patient take a medication if thedirectionsread“prn”?a. Asdirectedb. Asneededc. Bymouthd. Byrectum

25. Which pharmacy reference book contains drugcosts?a. Blue Bookb. Orange Bookc. Red Bookd. White Book

26. WhichorganizationenforcesthePoisonPreven-tionAct?a. CentersforMedicareandMedicaidServicesb. ConsumerProductsSafetyCommissionc. DrugEnforcementAdministrationd. FoodandDrugAdministration

27. Which of the following conditions would havesymptomsofexcessivefluidresultinginswollenlegsandankles?a. Congestiveheartfailureb. Coronaryarterydiseasec. Dysrhythmiad. Hyperlipidemia

28. What disease may result in the formation of agoiter?a. Cancerb. Hypertensionc. Hypoglycemiad. Hyperthyroidism

29. Which of the following is a disadvantage of aroboticcartfillingsystem?a. Barcodingaidsinidentifyingthepatientb. Improvedinventorycontrolc. Removal of expired medications before they

haveexpiredd. Specialpackagingandequipment

30. Howmanypairsofglovesshouldbewornwhenhandlingantineoplasticagents?a. Glovesdonotneedtobewornbyeitherphar-

macistsorpharmacytechniciansb. Onepairofglovesc. Pharmacy technicians are not permitted to

handleantineoplasticagentsd. Twopairofgloves

31. Whatisthemeaningoftheprefixintra-?a. Belowb. Betweenc. Equald. Within

32. WhichofthefollowingisNOTagoalforsecurityofprotectedhealthinformation?a. Ensuringtheintegrityoftheinformationb. Ensuringtheavailabilityoftheinformationto

thecorrectinatimelymannerc. Maintainingpatientconfidentialityd. Protecting the informational privacy of

patient-relateddata

33. Whatistheautomaticstopdateforantibiotics?a. Oneweekb. Twoweeksc. Threeweeksd. Fourweeks

34. Amotheriswaitingforanantibioticprescriptionofamoxicillinsuspensionforherchildandasksthe pharmacy technician what she should giveherchildforafever.Whatshouldthepharmacytechniciando?a. Inform the pharmacist of the parent’s ques-

tion.b. Offertocallthephysicianforaprescriptionto

reduceachild’sfever.c. Recommendchildren’saspirintothemother.d. Tell the mother to apply cold compresses to

thechild’sforehead.

35. Whatisthemeaningofthesuffix-ism?a. Conditionb. Processc. Specialistd. tumor

36. What is the minimum age to purchase pseudo-ephedrine?a. 12yearsofageb. 14yearsofagec. 16yearsofaged. 18yearsofage

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37. Whatisanongoing,systematicprocessformoni-toring,evaluating,andimprovingthequalityofpharmacyservices?a. Peerreviewb. Pharmacycertificationc. Processvalidationd. Qualityassurance

38. Which of the following medications is NOT abisphosphonateusedtotreatosteoporosis?a. Actonelb. Bonivac. Fosamaxd. Miacalcin

39. Whichtypeoffireextinguisherwouldbeusedtoextinguish a fire caused by ordinary combusti-blessuchaswood,cloth,andpaper?a. ClassAb. ClassBc. ClassCd. ClassD

40. Which of the following drug classifications re-quires that a package insert be provided to thepatient?a. Cephalosporinb. Estrogenc. Nonsteroidalantiinflammatorydrugd. Protonpumpinhibitor

41. Which piece of legislation requires that SafetyDataSheet (SDS)documentsbeprovidedtothepurchaserforhazardousmaterials?a. ControlledSubstanceActb. PureFoodandDrugActc. OccupationalSafetyandHealthActd. PoisonPreventionAct

42. Which of the following pieces of information isuseful to verify that the correct medication hasbeenselectedfromtheshelftofillaprescription?a. Brandorgenericnameonthestockbottleb. Drugnameontheprescriptionc. NDCnumberd. Alloftheabove

43. Whattermisusedtodefinethedesiredactionofadrug?a. Adverseeffectb. Physiologicaleffectc. Psychologicaleffectd. Therapeuticeffect

44. Which of the following is true about a flexiblespendingaccount?a. Theemployee is required topayacopay for

providerservices.b. An employee is able to set aside tax-deduct-

ible pay that may be used for medical ex-pensesinacalendaryear.

c. The patient is required to pay for out-of-pocketservicesandsubmitdocumentationforreimbursement.

d. Thepatientisrequiredtopayanannualfeetoparticipateintheprogram.

45. What part of the computer connects the com-putertoaremotenetworkviatelephonelines?a. CPUb. Modemc. RAMd. ROM

46. Which of the following pieces of legislation re-quiredthatpatientprofilesbemaintainedforallpatients?a. Food,DrugandCosmeticActb. OBRA‘87c. OBRA‘90d. PureFoodAct

47. WhatisthegenericnameforGlucophage?a. Glimepirideb. Glipizidec. Glyburided. Metformin

48. Whatisaprocedure?a. Anestablishedwayofperformingataskb. Optionsofdoingsomethingc. Rulesofanorganizationd. Alloftheabove

49. WhattypeofamachineisaPyxis?a. Automateddispensingmachineb. Automatedcompounderc. Laminarflowworkbenchd. PreparesTPNs

50. Whichpieceoflegislationrequiresthatamedica-tionbeproveneffectivetotheFDAbeforeitmaybemarketed?a. Durham-HumphreyAmendmentb. Kefauver-HarrisAmendmentc. PoisonPreventionActd. OmnibusBudgetReconciliationAct

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51. Which of the following medications should bedispensedinitsregularcontainertothepatient?a. Crixivanb. Diflucanc. Epitold. Singular

52. The dispensing fee for a prescription is $6.50.How much should the patient be charged for50 tablets of a drug when the cost is $12.43 for100tablets?a. $6.22b. $7.12c. $9.47d. $12.72

53. Why would a pharmacy technician check thetemperatureoftherefrigerator?a. To ensure medication is being stored at the

correct temperature to avoid having unsale-ableinventory

b. StateBoardofPharmacyRegulationc. USP795requirementd. USP797requirement

54. Whichofthefollowingshouldbecheckedwhenreceivinganorderfromawholesaler?a. Expirationdateofdrugproductb. Nameofdrugproductc. Drugproductstrengthd. Drugcost

55. Whichofthefollowingisrequiredbythebodytoproducethyroidhormone?a. Calciumb. Iodinec. Magnesiumd. Sodium

56. What is the markup rate for a prescription thatcosts$35.00andretailsfor$50.00?a. 30%b. 43%c. 57%d. 70%

57. WhatdoesaredCindicateonaprescription?a. The prescription has been canceled by the

physician.b. The prescription has been copied and trans-

ferredtoanotherpharmacy.c. The prescription has been processed by the

pharmacy and has been picked up by thepatient.

d. Theprescriptionisacontrolledsubstance.

58. WhatdoesSyrupUSPcontain?a. Alcoholinwaterb. Oleaginousfluidinwaterc. PEGinwaterd. Sucroseinwater

59. What typeofcompanyadministersprescriptiondrugbenefitsforcoveredindividualsfrommanydifferentinsurancecompanies?a. Healthmaintenanceorganizationb. Pharmacybenefitmanagerc. Pointofserviced. Preferredproviderorganization

60. Whichofthefollowingroutesofadministrationproducesitseffectslowest?a. IMb. IVc. POd. SL

61. What is the inventory turnover rate if a phar-macypurchases$500,000ofinventoryayearandhasanaverageinventoryof$125,000?a. 0.25b. 0.33c. 3d. 4

62. Which of the following is NOT contained in apatientproductinsert?a. Drugindicationb. Drugcontraindicationc. Drugprecautionsd. Drugcost

63. WhichofthefollowingisNOTanadvantageofaninventorycontrolsystems?a. Calculatespersonnelexpendituresb. Computesinventorycostsc. Maintainsrecordsofpurchasesd. Tracksmedicationusage

64. Whattermreferstothepriceapharmacypaysforadrugafteralldiscountsandshippingcostshavebeenapplied?a. Actualacquisitioncost(AAC)b. Averagewholesaleprice(AWP)c. Discountedpriced. Firstin,firstout

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65. WhichofthefollowingisNOTabenefitofpaper-lesscharting?a. Bedsideterminalsallowthenursetobewith

thepatientb. Beneficialforgatheringdataforauditsc. Decreases the amount of time available for

patientcared. Onlineavailabilityofpatients’medicalrecord

66. WhatistheintentoftheOrphanDrugAct?a. Ensures that all medications are pure, safe,

andeffectiveb. EstablishestheusageofNDCnumbersforall

medicationsc. Establishes drug schedules for medication

based upon an approved medical use in theUnitedStatesandthepotentialforabuse

d. Permitsdrugmanufacturerstobypasslengthytestingto treat individualswithraremedicaldiseases

67. Whattermreferstoappropriatestandardsofcon-ductwithinaprofession?a. Ethicsb. Moralsc. Regulationsd. Torts

68. What type of medication error occurs when aprescriberisnotlicensedinthestate?a. Compliancedrugerrorb. Monitoringdrugerrorc. Prescribingerrord. Unauthorizeddrugerror

69. Whattypeofmedicationerroroccursbutdidnotreachthepatient?a. Noerrorb. Error,noharmc. Error,harmd. Error,death

70. WhichtypeofinsulincanbeaddedtoanIVsolu-tion?a. Extendedinsulinzincb. Isophaneinsulinc. NPHinsulind. Regularinsulin

71. Which of the following is a source for medica-tion?a. Animalb. Plantc. Syntheticd. Alloftheabove

72. Whichof the following shouldbedonewhenamedicationthathasbeenorderedforaprescrip-tion is dispensed before the order has beenchecked?a. Alwaysprovidesufficienttimeforanorderto

be checked before providing the patient thetimetheprescriptionwillbeready.

b. Assume all medication has been deliveredandremove theneededmedication fromtheorder.

c. Havethepatientwaituntiltheorderhasbeenchecked.

d. Makeanotethemedicationhasbeenremovedfromtheorderandreconcileitwhentheorderhasbeenchecked.

73. Who controls the electronic personal health re-cord?a. Patientb. Physicianc. Pharmacistd. Pointofcare

74. WhichofthefollowingisNOTanadministrationerror?a. Earmedicationplacedintheeyeb. Intravenous medication injected intramuscu-

larlyc. Patientforgottotaketheirmedicationd. Totalparenteralnutritionadministeredintra-

venously

75. What type of solution is a total parenteralsolution?a. Dialysissolutionb. Hypotonicsolutionc. Hypertonicsolutiond. Isotonicsolution

76. Whatfactorsshouldbeconsideredwhendealingwithelderlypatients?a. Auditoryissuesb. Chronicconditionsc. Multiplemedicationsd. Alloftheabove

77. Which organization developed the terminologyassociatedwithstoragetemperatures?a. FDAb. ISMPc. USPd. TJC

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78. Whichofthefollowingworklistscouldbegener-atedbyapharmacycomputer?a. Cartfillb. Cartfillpickc. IVfilld. Alloftheabove

79. How often should a patient change his or herCatapresTTSpatch?a. Onceperdayb. Everyotherdayc. Weeklyd. Monthly

80. Which of the following organizations certifiespharmacytechnicians?a. ASHPb. NABPc. PTCBd. Stateboardofpharmacy

81. WhatisthenonproprietarynameforDeltasone?a. Lithiumb. Methylprednisolonec. Prednisoloned. Prednisone

82. Whatisthepurposeofanauxiliarylabel?a. TocomplywithOBRA-90b. Toprovideadditionaldruginformationtothe

patientc. Tosave timebyNOThaving thepharmacist

counselthepatientd. Toscarethepatient

83. Which of the following is an advantage of anintravenousdrug?a. Theycanbeusedbypatientswhoareunable

totakemedicationbymouth.b. Theybypassthedigestivetract.c. Theyproduceaquicktherapeuticeffect.d. Alloftheabove

84. Which piece of legislation established theNationalDrugCode(NDC)?a. Durham-HumphreyAmendmentb. DrugListingActc. Food,DrugandCosmeticActd. OBRA‘90

85. WhichofthefollowingisNOTanexampleofapatient-causedmedicationerror?a. ThepatientdidNOTreceivethefullquantity

ofmedicinefromthepharmacy.b. Thepatientforgottotakehermedicationlast

night.c. Thepatienttookamedication1hourbeforea

meal,andthelabelsaidtotakeitwithfood.d. Thepatienttookantibioticsthatwereleftover

fromaninfection6monthsago.

86. Whichdocumentmustbesignedwhendispens-inganInvestigationalNewDrug?a. CSARb. DARc. MARd. TAR

87. WhatdothelasttwonumbersofaNationalDrugCode(NDC)numberindicate?a. Drugmanufacturerb. Drugproductc. Drugpackaged. Drugquantity

88. What term is used to identify the area betweenthe HEPA filter and the sterile product beingcompounded?a. ClassIareab. Criticalareac. Criticalsited. Laminarareaworkbench

89. What term refers to the document describing apurchasemadebythepharmacyandtheamountduetothevendor?a. Invoiceb. Packingslipc. Primevendoragreementd. Purchaseorder

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90. Which of the following is NOT true regardinghospitalautomation?a. Both centralized and decentralized automa-

tionmakedispensingefficient.b. Dispensingautomationmaybecentralizedin

thepharmacyordecentralizedatthepointofcare.

c. Decentralized automation is preferred overcentralizedautomation.

d. Some institutions use both centralized anddecentralized automation to use the advan-tagesofeach.

91. Howoftenmustapharmacyscalebecertified?a. Every6monthsb. Every12monthsc. Every18monthsd. Every24months

92. Which of the following pieces of information isrequiredonthelabelofintravenousadmixture?a. Nameandstrengthofmedicationb. Patient’snamec. Prescriber’snamed. Alloftheabove

93. Which of the following information is not re-quiredforaninstitutionalpharmacy?a. Medicationfilesb. Payerandinsuranceinformationc. Physicianinformationd. Prescriberinformation

94. AccordingtotheUSP,howmanyCSPMicrobialContaminationRiskLevelsexist?a. Twob. Threec. Fourd. Five

95. What is the duration of action for Humulin Ninsulin?a. 3to4hoursb. 4to6hoursc. 14to20hoursd. Upto36hours

96. Whatistheprimaryconcernwhencompound-ingasterileproduct?a. Costb. Efficiencyc. Productavailabilityd. Safety

97. Asolutionofhaloperidolcontains2mg/mLofactiveingredient.Howmanygramsarein1pintofthissolution?a. 0.0096gb. 0.096gc. 0.96gd. 9.6g

98. Whichofthefollowingdrugclassificationslow-ersbloodpressure?a. Antihypertensiveb. Antimanicsc. Antipyreticd. Antitussive

99. Which of the following is an electrolyte thatcould be used in preparing a total parenteralnutritionproduct?a. Aminoacidsb. Dextrosec. Lipidsd. Potassiumchloride

100. Deficiency of which vitamin may result inscurvy?a. VitaminAb. VitaminB1

c. VitaminCd. VitaminD

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