PTU Final Exam Review

Which controlled substance medication has the most stringent requirements in the pharmacy? - Donnatal - Dilaudid - Lomotil - LyricaDilaudidA drug is usually permanently withdrawn from the market because it is considered: - Contaminated - Harmful - Misbranded - MislabeledHarmfulMr. Granger brings in a prescription for alprazolam. According to federal law, where should the prescription records for Mr. Granger's alprazolam be stored? ⚬ Separate from all other prescription pharmacy records ⚬ Together with other C-II pharmacy records ⚬ Together with noncontrolled substance pharmacy records ⚬ Together with other C-III, C-IV, and C-V pharmacy records or in a readily retrievable fashionTogether with other C-III, C-IV, and C-V pharmacy records or in a readily retrievable fashionMrs. Ritz gives you a prescription for clozapine. Which lab result is most important for the pharmacy to know about? ◉ Absolute neutrophil count ◉ Liver function tests ◉ Negative pregnancy test ◉ Thyroid stimulating hormoneAbsolute neutrophil countAccording to federal and most state laws, which healthcare professional is authorized to write a prescription for Norco? ◉ Dentist ◉ Nurse Practitioner ◉ Optometrist ◉ Physician AssistantDentistMr. Lutz uses AndroGel. According to federal law, what must be included on the prescription label? ⚬ Warning: Sale only allowed in the United States ⚬ Caution: This product contains a controlled substance and may be addictive ⚬ Warning: If you are pregnant or nursing, do not use without consulting a physician ⚬ Caution: Federal law prohibits the transfer of this drug to any person other than the patient for whom it was prescribedCaution: Federal law prohibits the transfer of this drug to any person other than the patient for whom it was prescribedDSHEA requires that a: ◉ Medication is safe and effective before coming to market ◉ Pharmacist counsel patients on prescription medications ◉ Dietary supplement must make true claims ◉ Solid dosage form of a medication has an imprint codeDietary supplement must make true claimsPrescribers are required to complete special training before they can write prescriptions for:SuboxoneWhich DAW code means that no product selection is indicated and substitution is allowed? ◉ 0 ◉ 2 ◉ 3 ◉ 70According to federal law, how long is a Suboxone prescription good for? ◉ 1 month after date of issuance ◉ 6 months after date of issuance ◉ 12 months after date of issuance ◉ The prescription does not expire.6 months after date of issuanceThe Clozapine REMS program monitors the risk for: ◉ Cancer ◉ Dependence and abuse ◉ Pregnancy ◉ Severe neutropeniaSevere neutropeniaWhich committee approves patient consent forms and protects the welfare of drug research volunteers? - CDC - FDA - IRB - NDAIRBWhich DAW code means substitution is not allowed because the generic drug is not in stock? ◉ 1 ◉ 4 ◉ 5 ◉ 84Which DAW code means that substitution is not allowed by the prescriber? ◉ 0 ◉ 1 ◉ 2 ◉ 51Ms. Weatherford brings in a prescription to the pharmacy: Toujeo Max SoloStar 300 units/mL 45 units subcutaneously QD #3 mL pen How many days will the pen last? - 7 - 15 - 20 - 2820The pharmacy needs to restock two hydrocortisone 2.5% cream 1-lb jars for their compounding supplies. How many grams will you order? - 400 - 454 - 800 - 908908Which conversion is correct? ⚬ 1 gr = 35 g ⚬ 1 gr = 50 g ⚬ 1 oz = 30 g ⚬ 1 oz = 454 g1 oz = 30 g ----------------------------------- (a grain is medication dependent... 1 gr could equal 60 mg, 64.8 mg, or 65 mg)How many tablespoons are in 45 milliliters? ◉ 2 ◉ 3 ◉ 4 ◉ 53You need to pull 10 lactulose oral solution unit-dose cups. Each unit-dose cup has 1 tbsp of lactulose in it. How many total milliliters of lactulose oral solution did you pull? ◉ 50 ◉ 75 ◉ 150 ◉ 300150A drug that contains a different active ingredient, but is in the same drug class and works similarly to another medication is considered a: ⚬ Pharmacologic alternative ⚬ Pharmacologic equivalent ⚬ Therapeutic alternative ⚬ Therapeutic equivalentTherapeutic alternativeWhich medication is a long-term care pharmacy technician most likely to prepare? ◉ A month's supply of a medication for an outpatient ◉ A medication that is to be sent through the mail ◉ A radioactive preparation used to diagnose cancer ◉ A pre-packaged cycle kit for a nursing home patientA pre-packaged cycle kit for a nursing home patientCory, a community pharmacy technician, follows his pharmacy's protocols for keeping protected health information safe. This is an example of: ◉ Minimizing stress ◉ Respecting the patient ◉ Distributing quality medications ◉ Improving workplace performanceRespecting the patientAccording to most state laws, pharmacy technicians are allowed to perform which activity? - Counsel patients on prescription medications - Make the final check of a completed prescription - Order medications from the pharmacy's wholesaler - Work in a pharmacy when a pharmacist is not presentOrder medications from the pharmacy's wholesalerIn which setting is a technician most likely to assist patients at drop-off? - Community - Long-term care - Mail-order - NuclearCommunityMr. Jonas is prescribed Percocet 10/325 mg from a recent motorcycle accident. According to federal law, in most cases, the Percocet prescription: ◉ Can be called in by Mr. Jonas' nurse to expedite the filling process ◉ Can be called in by Mr. Jonas' prescriber to expedite the filling process ◉ Can be faxed to the pharmacy by Mr. Jonas to expedite the filling process ◉ Must be hand-written or electronically prescribed by Mr. Jonas' prescriberMust be hand-written or electronically prescribed by Mr. Jonas' prescriberWhat does DAW 5 mean? ◉ Brand-name is dispensed as generic ◉ Substitution is not allowed by the pharmacist ◉ Substitution is not allowed because the generic is not in stock ◉ Substitution is not allowed because the generic is not available in marketplaceBrand-name is dispensed as genericWhich law requires pharmaceutical manufacturers to prove a drug's purity, strength, and safety before it can be sold? - Hatch-Waxman Act of 1984 - Food, Drug, and Cosmetic Act of 1938 - Durham-Humphrey Amendment of 1951 - Omnibus Budget Reconciliation Act of 1990Food, Drug, and Cosmetic Act of 1938At the end of the day, you file all the prescriptions brought into the pharmacy. According to federal law, Mr. Jordan's methadone prescription should be filed: - Separate from all other pharmacy records - Together with all prescription pharmacy records - Together with all noncontrolled substance pharmacy records - Together with all Schedule III and IV controlled substance pharmacy recordsSeparate from all other pharmacy recordsThe Combat Methamphetamine Epidemic Act of 2005 was put in place to restrict the sale of: ◉ Buprenorphine ◉ Isotretinoin ◉ Pseudoephedrine ◉ ThalidomidePseudoephedrineMrs. Scott is prescribed alosetron. Which program must her prescriber enroll in before he can prescribe the medication to Mrs. Scott? - APPRISE - iPLEDGE - LOTRONEX REMS - TIRFLOTRONEX REMSAccording to federal law, which prescription medication can be transferred to another pharmacy only one time over the phone? ◉ Buprenorphine ◉ Bupropion ◉ Hydralazine ◉ HydroxyzineBuprenorphineThe Poison Prevention Packaging Act of 1970 is responsible for requiring: - Child-resistant caps on prescriptions - NDC numbers on prescription medications - Patient package inserts with certain Rx meds - MedGuides for medications that can cause harmChild-resistant caps on prescriptionsMs. Rodriguez is prescribed Lotronex. What is a requirement of the LOTRONEX REMS Program? ◉ Ms. Rodriguez's prescriber must enroll in an 8-hour training program. ◉ The pharmacy is allowed to accept an electronic Lotronex prescription for Ms. Rodriguez. ◉ The pharmacy must process Ms. Rodriguez's Lotronex prescription through an electronic verification system. ◉ Ms. Rodriguez's Lotronex prescription may not be refilled and she must see her prescriber each month for a new prescription.The pharmacy is allowed to accept an electronic Lotronex prescription for Ms. Rodriguez.You file all the prescriptions brought to the pharmacy at the end of the day. If today's date is 6/17/19, according to federal law, how many years should a pharmacy store prescription records for Schedule II medications? ◉ 2 ◉ 5 ◉ 7 ◉ Indefinitely2Which medication is a Schedule III controlled substance? ◉ Dextroamphetamine ◉ Phentermine ◉ Testosterone ◉ ZaleplonTestosteroneAccording to federal law, how many refills are allowed on a testosterone prescription? - 0 - 1 - 5 - 125According to federal law, how long does a pharmacy have to fill the remaining portion of a partial fill for an alprazolam prescription? - 1 day - 3 days - 7 days - There is no time limit as long as Rx is not expired.There is no time limit as long as Rx is not expiredAccording to federal law, which medication can be called into the pharmacy under most circumstances? ◉ Actiq ◉ Avinza ◉ Fiorinal ◉ FocalinFiorinalWhen is a DEA 222 form used? ◉ Sending expired Schedule II drugs to the wholesaler ◉ Destroying expired Schedule II drugs at the pharmacy ◉ Sending expired Schedule II drugs to the reverse distributor ◉ Destroying expired Schedule II drugs with a witness presentSending expired Schedule II drugs to the reverse distributorAccording to federal law, which DEA form must be used when transferring Schedule II medications from one pharmacy to another? ◉ 41 ◉ 106 ◉ 222 ◉ 301222Mrs. Trent brings a prescription into your retail pharmacy for clozapine. What is a requirement of the Clozapine REMS program? ◉ An eligibility check ◉ A Pre-dispense Authorization code ◉ A Risk Management Authorization number ◉ A copy of the Patient-Prescriber Acknowledgement formA Pre-dispense Authorization codeMylan's clonazepam 1 mg is AB-rated to Klonopin 1 mg. This means: ◉ Clonazepam can't be substituted for Klonopin ◉ Clonazepam is a therapeutic equivalent to Klonopin ◉ Clonazepam is a therapeutic alternative to Klonopin ◉ Clonazepam is a pharmacologic alternative to KlonopinClonazepam is a therapeutic equivalent to KlonopinMr. Burns takes clonazepam. According to federal law, what must be included on the prescription label? - Date of filling - Date of issuance - Pharmacy's DEA number - Prescriber's DEA numberDate of fillingWhich law created two classes of medications, prescription and nonprescription? - Pure Food and Drug Act of 1906 - Food, Drug, and Cosmetic Act of 1938 - Durham-Humphrey Amendment of 1951 - Omnibus Budget Reconciliation Act of 1990Durham-Humphrey Amendment of 1951NDC numbers consist of: - 10 digits divided into 3 segments - 13 digits divided into 3 segments - 10 digits divided into 5 segments - 13 digits divided into 5 segments10 digits divided into 3 segmentsWhich is an example of a medication that is part of a Class II recall? ◉ An unapproved medication ◉ A mislabeled medication that is unlikely to cause adverse effects ◉ A dietary supplement that contains undeclared amounts of active ingredients ◉ A contaminated medication that could cause temporary, but reversible adverse effectsA contaminated medication that could cause temporary, but reversible adverse effectsIf a nurse is not available to sign for a Demerol order, what action is recommended? ◉ Leave the order on the nurse's desk ◉ Take the order back to the pharmacy ◉ Leave the order on the cart in the patient care area ◉ Take the order to the patient's room and leave it next to his bedTake the order back to the pharmacyWhich regulatory agency is responsible for creating standards for packaging to protect children from accidental poisonings with medications? ◉ Food and Drug Administration ◉ Consumer Product Safety Commission ◉ Centers for Disease Control and Prevention ◉ Occupational Safety and Health AdministrationConsumer Product Safety CommissionAn over-the-counter headache medication is falsely labeled. The medication is considered: ◉ Adulterated ◉ Adverted ◉ Misbranded ◉ MislabeledMisbrandedUsing a controlled substance medication for recreational purpose is known as: ◉ Debasement ◉ Dependence ◉ Deviation ◉ DiversionDiversionWhich medication must have an imprint code? - Preparation H suppositories - Prempro 0.625 mg/2.5 mg tablets - Pred-Forte 1% ophthalmic suspension - Protonix 40 mg granules for suspensionPrempro 0.625 mg/2.5 mg tabletsAccording to federal law, how long does a pharmacy have to fill the remaining portion of a Roxicodone prescription? ◉ 1 day ◉ 3 days ◉ 7 days ◉ There is no time limit as long as Rx is not expired.3 daysThe Controlled Substance Act is enforced by: - APhA - DEA - FDA - NABPDEAAccording to federal law, where should morphine be stored in the pharmacy? - On a cart in the patient care area of the pharmacy or institution - Locked in the pharmacy manager's office, away from other medications - On pharmacy shelves in a separate area designated for C-II medications - In a locked cabinet or dispersed throughout pharmacy shelves with other prescription medicationsIn a locked cabinet or dispersed throughout pharmacy shelves with other prescription medicationsPaxil is an immediate-release paroxetine tablet. Paxil CR is a controlled-release paroxetine tablet. Both medications are used to treat the same condition. Paxil and Paxil CR are pharmacologic alternatives because they: - Are in different drug classes - Are AB-rated in the Orange Book - Absorb and release the same in the body - Contain the same active ingredient, but are different dosage formsContain the same active ingredient, but are different dosage formsWhich medication must have an imprint code? ⚬ Fluticasone 50 mcg nasal spray ⚬ Fluticasone 0.05% cream ⚬ Fluconazole 150 mg tablet ⚬ Fluconazole 40 mg/mL powderFluconazole 150 mg tabletDAW 6 means: ◉ Override is required ◉ Substitution is not allowed by the pharmacist ◉ Substitution is not allowed because the generic is not in stock ◉ Substitution is not allowed because the generic is not available in marketplaceOverride is requiredAfter which phase of the drug approval process, does the drug company file a New Drug Application (NDA) to then sell the drug on the market? ◉ Phase 1 Testing ◉ Phase 2 Testing ◉ Phase 3 Testing ◉ Postmarket TestingPhase 3 TestingMr. Chase wants to purchase pseudoephedrine over the counter for his cold. According to federal law, how much pseudoephedrine is Mr. Chase allowed to purchase in one day from a retail pharmacy? ◉ 3.6 grams ◉ 6 grams ◉ 7.5 grams ◉ 9 grams3.6 gramsWhich is an example of maintaining high standards of integrity and conduct? - Putting patients into "cookie-cutter" roles - Prejudging patients that pick up narcotic medications - Avoiding activities that discredit the pharmacy profession - Dispensing a product that doesn't meet quality standardsAvoiding activities that discredit the pharmacy professionWhich section of the NDC identifies the name, strength, and dosage form of the medication? - First - Second - Third - FourthSecondWhich DAW code is reserved and currently not in use? ◉ 2 ◉ 4 ◉ 8 ◉ 99Ms. Jackson is prescribed isotretinoin for her acne. Which program must Ms. Jackson be registered with in order to get the prescription filled? ◉ Antiepileptic Drug Pregnancy Registry ◉ iPLEDGE ◉ Opioid Analgesic REMS ◉ Thalomid REMSiPLEDGEWhen a pharmacist keeps an ongoing, exact count of Duragesic patches, this type of inventory is referred to as: ⚬ Biennial inventory ⚬ Current inventory ⚬ Perpetual inventory ⚬ Proposed inventoryPerpetual inventoryFDA approved an ANDA. This means a manufacturer: - Can bring a generic medication to market - Can bring a brand name medication to market - Has exclusive rights to the drug compound indefinitely - Has exclusive rights to the drug compound for at least 20 yearsCan bring a generic medication to marketWhat is a manufacturer allowed to change when creating an equivalent generic medication? - Dosage form - Drug compound - Drug strength - FillersFillersWhich governmental agency helps to enforce the laws and regulations surrounding controlled substances? ◉ BOP ◉ CDC ◉ DEA ◉ FDADEAAccording to federal law, destroying remaining doses of unused controlled substances: ◉ Is called reverse distributing ◉ Must be sent to DEA for proper disposal ◉ Requires the pharmacy to fill out a DEA Form 241 ◉ Requires a witness to be present and two signatures on the formRequires a witness to be present and two signatures on the formMs. George brings in a prescription for Ambien 10 mg. According to federal law, which item must be on Ms. George's prescription? ◉ Her last refill ◉ Her date of birth ◉ Her drug allergies ◉ Her full name and addressHer full name and addressWhile filling Ms. Mason's prescription, you accidentally printed two labels. According to HIPAA, how should you handle the extra label? - Reuse it for another patient - Put it in the bin to be shredded - Rip it in half and place in the trash bin - Place it in Ms. Mason's prescription bagPut it in the bin to be shreddedAccording to federal law, how often is a pharmacy required to take a complete inventory of controlled substances? ◉ Annually ◉ Bi-annually ◉ Biennially ◉ MonthlyBienniallyThe "do not dispense to patient after" date on an isotretinoin prescription for a female patient of child-bearing age is: ⚬ 7 days after the date of issuance ⚬ 7 days after the last negative pregnancy test ⚬ 30 days after the date of issuance ⚬ 30 days after the last negative pregnancy test7 days after the last negative pregnancy testThe Health Insurance Portability and Accountability Act of 1996: ◉ Sets the requirements for dispensing controlled substances ◉ Governs patient privacy and the sharing of patient information ◉ Requires handouts that warn about significant risks to be dispensed with medications ◉ Requires pharmacists to discuss information about prescription medications with patientsGoverns patient privacy and the sharing of patient informationMr. Fox is prescribed Duragesic 25 mcg patches. According to federal law, how many refills is the Duragesic prescription allowed to have? ◉ 0 ◉ 1 ◉ 5 ◉ 120Ms. Towsley is requesting pseudoephedrine from your retail pharmacy. According to federal law, where must pseudoephedrine be stored? ◉ Outside of the pharmacy in an area with cameras ◉ Inside the pharmacy away from customer access ◉ Inside the pharmacy with direct access to patients ◉ Outside the pharmacy with other cough and cold medicationsInside the pharmacy away from customer accessThe pharmacist is placing an order for fentanyl patches. Which DEA form must be used to order fentanyl for the pharmacy? ◉ 41 ◉ 100 ◉ 106 ◉ 222222Mr. Cass tells you he has hepatitis. Which organ does this condition affect?LiverMrs. Chancellor brings in the following prescription: Canasa 1,000 mg supp Sig: 1 pr twice daily #14 How should the directions be typed on the pharmacy label? ◉ Take 1 tablet by mouth twice daily ◉ Take 1 tablet as needed twice daily ◉ Insert 1 suppository as needed twice daily ◉ Insert 1 suppository into rectum twice dailyInsert 1 suppository into rectum twice dailyMrs. Byrd brings in the following prescription: ASA 325 mg Sig: 1 tab q6h prn pain Disp: 30 Which medication is Mrs. Byrd prescribed? - Acamprosate - Acetaminophen - Aspirin - AzelastineAspirinMr. Bernard calls the pharmacy and speaks to the pharmacist about the best over-the-counter medication to treat nausea and diarrhea. What does the word part "-rrhea" mean in the word diarrhea? ⚬ Around ⚬ Excessive ⚬ Flowing ⚬ InflammationFlowingMrs. Harrelson brings a prescription into your retail pharmacy for Lazanda. What is a requirement of the TIRF program? - Mrs. Harrelson is required to take a pregnancy test. - You must dispense a package insert to her. - Her physician needs to complete eight hours of training before prescribing Lazanda. - Her Lazanda prescription must be processed through an electronic verification system.Lazanda prescription must be processed through an electronic verification system.Which application is submitted for naturally sourced drug compounds seeking FDA approval? - BLA - IBLA - NDA - PMABLAMr. Eddy brings in a prescription for oxycodone written by Dr. James Adkins. Which is a valid DEA number for Dr. Adkins? - AA1479335 - AA8283953 - BA1376427 - BA8283905BA8283905Which law allows manufacturers to submit ANDAs to market generic drugs? - Drug Listing Act of 1972 - Hatch-Waxman Act of 1984 - Durham-Humphrey Amendment of 1951 - Omnibus Budget Reconciliation Act of 1990Hatch-Waxman Act of 1984How many letters are in a valid DEA number? ◉ 0 ◉ 1 ◉ 2 ◉ 32When you receive a new drug in the pharmacy, what's the medication under? ⚬ Pharmacologic brand name ⚬ Pharmacologic generic name ⚬ Protected brand name ⚬ Protected generic nameProtected brand nameWhich schedule of controlled substances is marijuana classified under? - I - II - III - IVIDAW 7 means: - Substitution is not allowed by the prescriber - No product substitution is indicated, and substitution is allowed - Substitution is not allowed since the brand-name drug is mandated by law - Substitution is allowed by the prescriber, but the patient requested the brand-name product to be dispensedSubstitution is not allowed since the brand-name drug is mandated by lawYour pharmacy stocks 100-count bottles of diazepam. According to federal law, during inventory, the pharmacy must have a(n): ◉ Exact count of diazepam ◉ Virtual count of diazepam ◉ Perpetual count of diazepam ◉ Estimated count of diazepamEstimated count of diazepamWhat is an investigational drug? ◉ A drug compound undergoing theoretical tests ◉ A drug compound undergoing tests to determine its use ◉ A drug compound undergoing clinical testing in humans ◉ A drug compound undergoing clinical testing in animalsA drug compound undergoing clinical testing in humansWhich controlled substance medication has the most stringent requirements in the pharmacy? ◉ Kadian ◉ Klonopin ◉ Provigil ◉ Robitussin ACKadianPatient package inserts contain information about the: ◉ Role of Food and Drug Administration ◉ Benefits and risks of using a medication ◉ Dispensing requirements for controlled substances ◉ Packaging requirements to protect children from harmful medsBenefits and risks of using a medicationFDA-approved handouts that inform patients about risks of drugs that pose the most significant and serious health concerns are called: ⚬ Medication guides ⚬ Patient package inserts ⚬ Consumer medication leaflets ⚬ Protected health information sheetsMedication guidesFor meds that require a Medication Guide, you must give one: ◉ With all outpatient prescriptions ◉ Only when an outpatient is receiving a new prescription ◉ When the patient signs a medication guide authorization form ◉ Only when the prescriber writes "MedGuide required" on the face of the prescriptionWith all outpatient prescriptionsMr. Wood is an inpatient at the hospital and is being treated with Fentora. What is a requirement for the TIRF program? - The inpatient pharmacy must enroll in the program before dispensing Mr. Wood's Fentora - Mr. Wood's Fentora prescription must be processed through an electronic verification system - Mr. Wood must sign a patient-prescriber agreement before he can receive his first dose of Fentora - Mr. Wood's prescriber must enroll in the TIRF program before he can prescribe Fentora to Mr. Wood.The inpatient pharmacy must enroll in the program before dispensing Mr. Wood's FentoraMrs. Banks brings a prescription into your retail pharmacy for Lotronex. What paperwork must you provide upon dispensing? ◉ MedGuide ◉ Package insert ◉ Patient acknowledgement form ◉ Program enrollment formMedGuideA pharmacy that is registered with the DEA will usually have a DEA number that starts with the letter: ◉ B ◉ M ◉ P ◉ XBA collaborative agreement is a system that allows pharmacists to automatically substitute: - Brand-name and generic medications - Misbranded and adulterated medications - Pharmacologic and therapeutic equivalents - Pharmacologic and therapeutic alternativesPharmacologic and therapeutic alternativesFederal law says that you can only refill an Rx for a Schedule III controlled substance 5 times in 6 months. Your state law says that you can only refill an Rx for a Schedule III controlled substance 4 times in 6 months. What is the maximum number of refills you can dispense for a Schedule III controlled substance Rx? - 4 - 5 - 6 - 124How many drops are in a 5 mL bottle of Maxitrol eye drops? Your pharmacy requires you to use 20 gtts per 1 mL conversion factor. ⚬ 4 ⚬ 20 ⚬ 50 ⚬ 100100According to federal law, in most cases, an oxycodone prescription can be: ◉ Verbal or faxed ◉ Electronic or written ◉ Electronic, written, or faxed ◉ Verbal, electronic, written, or faxedElectronic or writtenWhich type of recall involves products that are unlikely to cause adverse effects? ◉ Class I recall ◉ Class II recall ◉ Class III recall ◉ Market withdrawalClass III recallWhich schedule of controlled substances is Ambien classified under? - II - III - IV - VIVWhich medication is a Schedule V controlled substance? ◉ Soma ◉ Subutex ◉ Vimpat ◉ VyvanseVimpatWhich is a principle of HIPAA? ◉ To counsel patients on new and refill prescription medications ◉ To dispense prescription medications with child-resistant packaging ◉ To dispense certain prescription medications with a Medication Guide ◉ To use and disclose the minimum necessary amount of protected informationTo use and disclose the minimum necessary amount of protected informationThe Omnibus Reconciliation Act of 1990 requires: ◉ Each new medication to have a national drug code ◉ The pharmacist to consult about prescriptions with patients ◉ Dietary supplements to be treated more like drugs than food ◉ Oral contraceptives to be dispensed with a patient package insertThe pharmacist to consult about prescriptions with patientsInvestigational drug returns may be performed by the: ◉ Drug manufacturer ◉ Drug sponsor ◉ IDS technician ◉ Nursing staffIDS technicianWhich organization must the Investigational New Drug application be filed with? ◉ CDC ◉ DEA ◉ FDA ◉ INDFDAWhich responsibility may be performed by an IDS technician? - Drug preparation - Review study protocols - Revise brochures - Write study proceduresDrug preparationWhich medication is a Schedule V controlled substance? ⚬ Lomotil ⚬ Lopressor ⚬ Lortab ⚬ LunestaLomotilAccording to the Poison Prevention Packaging Act of 1970, a Symbicort inhaler: - Is considered an adulterated product - Must be dispensed with a patient package insert - Can be dispensed in a child-resistant container - Can be dispensed in a non-child-resistant containerCan be dispensed in a non-child-resistant containerWho usually makes the decision to recall a drug product? ◉ DEA ◉ Drug company ◉ FDA ◉ PharmacistDrug companyMrs. Bradley's prescriber calls an emergency prescription for meperidine to the pharmacy over the weekend. According to federal law: - The meperidine prescription is allowed to have 5 refills - The meperidine prescription is good for up to 6 months after the date of issue - The pharmacy must receive a written, signed meperidine prescription within 7 days - The pharmacy can't accept the meperidine prescription because this practice is not allowedThe pharmacy must receive a written, signed meperidine prescription within 7 daysAccording to the Poison Prevention Act of 1970, which medication class can be dispensed in a non-child-resistant package in an outpatient setting? ◉ Antidepressants ◉ Antihypertensives ◉ Opioids ◉ Oral contraceptivesOral contraceptivesA dietary supplement is recalled because it was found to contain ingredients that weren't listed on the label. It's considered: ◉ Adulterated ◉ Adverted ◉ Misbranded ◉ MislabeledAdulteratedMr. Wagner needs to have his zaleplon prescription transferred to another pharmacy in a different state. His prescription has 2 refills left. According to federal law, the prescription: ◉ Cannot be transferred over the phone ◉ Can be transferred one time over the phone ◉ Can be transferred up to 2 times over the phone ◉ Can be transferred over the phone as many times as Mr. Wagner needsCan be transferred one time over the phoneA generic product has the same active ingredient, strength, and dosage form as the brand-name product. If this generic also absorbs and releases the same as the brand-name drug, it is considered a: - Pharmacologic alternative - Pharmacologic equivalent - Therapeutic alternative - Therapeutic equivalentTherapeutic equivalentWhich is an example of a Class I recall? - An oral medication that smells moldy - An injectable med labeled with the wrong package size - An injectable med with pieces of glass in the medication - An oral medication that didnt go through the modern FDA-approval processAn injectable med with pieces of glass in the medicationOne responsibility of the Food and Drug Administration is: ◉ Regulating infection control ◉ Approving over-the-counter medications ◉ Creating standards for child-resistant packaging ◉ Enforcing the laws surrounding illegal drug substancesApproving over-the-counter medicationsNatural Medicines provides information to: a. Avoid IV incompatibilities b. Compare two medications c. Verify drug-herb interactions d. Determine drugs by imprint codesVerify drug-herb interactionsAccording to HIPAA, a patient's lab results are considered: ◉ BOP ◉ PPI ◉ PHI ◉ REMSPHIWhich medication must be accompanied by a patient package insert? ◉ Cenestin ◉ Cialis ◉ Coumadin ◉ CrestorCenestinWhich class of medications has a national registry to keep track of fetal malformations while pregnant? ◉ Antiepileptics ◉ Antifungals ◉ Antihypertensives ◉ AntiinflammatoriesAntiepilepticsEach new drug is required to have an NDC number according to the: - Drug Listing Act of 1972 - Hatch-Waxman Act of 1984 - Omnibus Reconciliation Act of 1990 - Food, Drug, and Cosmetic Act of 1938Drug Listing Act of 1972Which section of the NDC number identifies package size and type? ◉ First ◉ Second ◉ Third ◉ FourthThirdWhich stage of the drug approval process gives the study compound to animals? ◉ Phase 1 ◉ Phase 2 ◉ Phase 3 ◉ PreclinicalPreclinicalWhich act defines and regulates controlled substance medications? ◉ CSA ◉ DSHEA ◉ HIPAA ◉ OBRA' 90CSAWhich federal agency is responsible for the regulation of labeling on prescription and over-the-counter medications? ⚬ CDC ⚬ DEA ⚬ FDA ⚬ PDRFDAA system that allows pharmacists to automatically substitute with certain pharmacologic or therapeutic alternatives without calling the prescriber each time is known as a: ◉ Collaborative Agreement ◉ Collective Agreement ◉ Pharmaceutical Agreement ◉ Professional AgreementCollaborative AgreementWhen the pharmacist receives his weekly order of Ritalin, what must be documented on the DEA form? ⚬ The price of the drug ⚬ The date and amount received ⚬ The name of the manufacturer ⚬ The amount the pharmacy has on handThe date and amount received -------------------------------------- (Ritalin = methylphenidate is a C-II substance)A pharmacologic alternative is a drug that: ◉ Is identical in active ingredient, strength, and dosage form ◉ Contains the same active ingredient, but is a different strength ◉ Is identical in active ingredient, but has different inactive ingredients ◉ Contains a different active ingredient, but is the same drug class and works similarlyContains the same active ingredient, but is a different strengthFor a medication's packaging to be considered child-resistant, it: ◉ Cannot be opened by 80% of children younger than 5 years of age, but can be opened by 90% of adults ◉ Cannot be opened by 50% of children younger than 5 years of age, but can be opened by 50% of adults ◉ Cannot be opened by any child younger than 5 years of age, but can be opened by all adults ◉ Cannot be opened by any child younger than 5 years of age, but can be opened by 90% of adultsCannot be opened by 80% of children younger than 5 years of age, but can be opened by 90% of adultsThe goal of the Controlled Substance Act is to: ◉ Prevent diversion and abuse of drugs ◉ Guide generic substitution of controlled substances ◉ Provide each new controlled substance with an NDC number ◉ Protect the privacy of patients who take controlled substancesPrevent diversion and abuse of drugsByetta and Victoza are both incretin mimetics used to treat diabetes. Byetta and Victoza are: ◉ Pharmacologic alternatives ◉ Pharmacologic equivalents ◉ Therapeutic alternatives ◉ Therapeutic equivalentsTherapeutic alternativesThe pharmacist pulled expired Adderall capsules from the shelf. According to federal law, which DEA form is required when the pharmacist sends Adderall to the reverse distributor? - 41 - 106 - 116 - 222222A local pharmacy has been robbed and lost 10 bottles of OxyContin. According to federal law, which DEA form will the pharmacist need to fill out when reporting the theft of the OxyContin? ⚬ 41 ⚬ 106 ⚬ 130 ⚬ 222106A patient package insert: - Must be dispensed with every dose of an estrogen-containing medication in the inpatient setting - Is required to be dispensed for new estrogen-containing medications filled in an outpatient setting - Is required to be dispensed for new progesterone-containing medications filled in an outpatient setting - Is only required to be dispensed with estrogen-containing prescriptions if the patient is taking the med for more than 30 daysIs required to be dispensed for new estrogen-containing medications filled in an outpatient settingAccording to federal law, Ambien must be stored: ◉ In a locked cabinet in the OTC area of the pharmacy ◉ In a locked cabinet with other Schedule II medications ◉ On pharmacy shelves with other prescription medications ◉ On pharmacy shelves in a separate area designated for controlled substance medicationsOn pharmacy shelves with other prescription medicationsWhen a generic medication is identical in active ingredients, strength, dosage form, and route of administration as the brand-name product, it is considered a(n): - Abbreviated equivalent - Bioequivalent - Pharmaceutical equivalent - Therapeutic equivalentPharmaceutical equivalentWhich DAW code means that substitution is allowed by the prescriber, but the patient is requesting the brand-name product to be dispensed? - 0 - 1 - 2 - 82A physician assistant who is registered with the DEA will have a DEA number that starts with the letter: ◉ A ◉ B ◉ M ◉ XMThe Drug Price Competition and Patent Term Restoration Act of 1984 is also known as the: ⚬ Drug Listing Act ⚬ Hatch-Waxman Act ⚬ Durham-Humphrey Amendment ⚬ Omnibus Budget Reconciliation ActHatch-Waxman ActMrs. Springer is an outpatient and needs her prescription for Actiq. Which program must her prescriber enroll in before he can prescribe the medication? - APPRISE - CNR - iPLEDGE - TIRFTIRFWhich employee may also perform tasks that a pharmacist performs? - Clerk - Intern - Supervisor - TechnicianInternKelly, a mail-order pharmacy technician, makes sure that patient information is protected and safe. This is an example of: - Balancing out duties - Respecting the patient - Maintaining professionalism - Improving workplace performanceRespecting the patientWhich duty is a nuclear pharmacy technician most likely to perform? ◉ Advise on OTC meds ◉ Prepare emergency kits ◉ Assist in patient drop-off ◉ Handle radioactive productsHandle radioactive productsOne quality of an effective pharmacy technician is to: - Increase workload - Work as an individual - Adapt to change quickly - Minimize body languageAdapt to change quicklyNikki, a long-term care pharmacy technician, uses her pharmacy knowledge and skills to the best of her ability when dispensing medications. This is an example of: - Minimizing stress at work - Respecting her patients' confidentiality - Ensuring the health and safety of patients - Maintaining professionalism and hygieneEnsuring the health and safety of patientsA pharmacy technician who meets predetermined qualifications specified by a nongovernmental organization is considered: ◉ Certified ◉ Licensed ◉ Permitted ◉ RegisteredCertifiedAccording to most states, which duty will you assist the pharmacist with when working as a pharmacy technician? ◉ Counseling patients ◉ Compounding medications ◉ Overriding drug interactions ◉ Clarifying orders with prescribersCompounding medicationsThe USP-NF can be used to look up: ◉ Generic substitution availability ◉ A side-by-side comparison of medications ◉ A medication by its imprint code and color ◉ Materials needed for compounding medicationsMaterials needed for compounding medicationsMr. Cook takes Lamictal 100 mg. According to most state laws, as a mail-order pharmacy technician, you will: - Perform the final check of Mr. Cook's Lamictal order - Prepare the radioactive medication needed for Mr. Cook's brain scan - Have a face-to-face interaction with Mr. Cook each time he gets a refill - Prepare Mr. Cook's Lamictal order so that it can be delivered to his homePrepare Mr. Cook's Lamictal order so that it can be delivered to his homeAccording to most state laws, a hospital pharmacy technician can: ◉ Review drug interactions ◉ Give advice on OTC meds ◉ Final check a filled medication ◉ Prepare parenteral medicationsPrepare parenteral medicationsWhich organization offers national pharmacy technician certification by exam? ◉ APhA ◉ ASHP ◉ NPTA ◉ PTCBPTCBAccording to the definition of a pharmacy technician, the primary role of a pharmacy technician is to: - Provide patient-centered care - Assist the pharmacist with dispensing prescriptions - Counsel patients on medications and medical conditions - Bill insurance companies for medical and prescription claimsAssist the pharmacist with dispensing prescriptionsA long-term care pharmacy technician is most likely to prepare meds for which type of patient? - Hospital - Mail-order - Nursing home - OutpatientsNursing homeKari, a community pharmacy technician, uses her body language to show her patients that she is actively listening. This is an example of: ◉ Minimizing stress ◉ Communicating effectively ◉ Maintaining professionalism ◉ Adapting to change quicklyCommunicating effectivelyAccording to most state laws, a community pharmacy technician is allowed to: ⚬ Perform the final check of a completed prescription ⚬ Gather insurance information from a patient ⚬ Counsel patients on over-the-counter medications ⚬ Take a refill prescription with changes from a prescriber over the phoneGather insurance information from a patientAccording to most state laws, pharmacy technicians are allowed to: - Obtain patient health information - Create individualized patient-care plans - Provide counseling to patients on prescription medications - Work in a pharmacy when a licensed pharmacist is off-dutyObtain patient health informationAccording to most state laws, a community pharmacy technician can: ◉ Counsel the patient on their refill ◉ Accept a refill request from a patient ◉ Receive changes to a refill from a prescriber ◉ Offer an alternative med for the patient's refillAccept a refill request from a patientMs. Robards is given furosemide 40 mg tablets. According to most state laws, which duty can a hospital pharmacy technician perform? ◉ Prepare a 24-hour supply of furosemide for Ms. Robards ◉ Counsel Ms. Robards on possible drug interactions with furosemide ◉ Speak to Ms. Robards' prescriber about changing her furosemide order ◉ Accept a new med order over the phone for Ms. Robards' furosemidePrepare a 24-hour supply of furosemide for Ms. RobardsMs. Garza is given Evista 60 mg. According to most state laws, which duty can a long-term pharmacy technician perform? - Prepare Ms. Garza's med-pack - Ring up Ms. Garza's prescription - Counsel Ms. Garza on drug interactions - Send Ms. Garza's prescription through the mailPrepare Ms. Garza's med-packIn which pharmacy setting is a technician most likely to maintain floor stock? - Community - Hospital - Long-term care - Mail-orderHospitalAccording to most state laws, a hospital pharmacy technician is allowed to: - Maintain and refill crash carts - Final check a filled med for accuracy - Counsel patients on prescription medications - Take a new med order from a prescriber over the phoneMaintain and refill crash cartsWhat are the five key components of the Pharmacists' Patient Care Process? - Get, analyze, dispense, bill, evaluate - Gather, examine, develop, action, educate - Collect, assess, plan, implement, follow-up - Obtain, review, prepare, execute, counselCollect, assess, plan, implement, follow-upWhich drug information resource defines the standards for medications, such as dosage forms and excipients? - Drug Facts and Comparisons - Pharmacy Technician's Letter - United States Pharmacopeia-National Formulary - Approved Products with Therapeutic Equivalence EvaluationsUnited States Pharmacopeia-National FormularyMr. Walker calls the pharmacy because he's concerned his son took too much medication. Which section of the package insert would the pharmacist read to find the signs and symptoms Mr. Walker should look out for? ◉ Clinical Pharmacology ◉ Drug Abuse and Dependence ◉ Nonclinical Toxicology ◉ OverdosageOverdosageWhich drug information resource contains a compilation of package inserts? ◉ Drug Facts and Comparisons ◉ Prescribers' Digital Reference ◉ United States Pharmacopeia-National Formulary ◉ Approved Products with Therapeutic Equivalence EvaluationsPrescribers' Digital ReferenceThe Drug Abuse and Dependence section of a package insert lists: - How to handle an overdose situation - Recommended doses and dosing schedules - Situations when the medication should not be used - The medication's controlled substance classificationThe medication's controlled substance classificationWhich drug information resource provides comprehensive information on dietary supplements, vitamins, and minerals? - Clinical Pharmacology - Facts and Comparisons eAnswers - Natural Medicines - Prescribers' Digital ReferenceNatural MedicinesWhich is a limitation to package inserts? ◉ The print is very small ◉ They fall off of drug bottles ◉ They take a long time to update ◉ They use nontechnical languageThey take a long time to updateWhich section of the package insert contains the most important prescribing information that can be found quickly? ⚬ Dosage and Administration ⚬ Highlights ⚬ Indications and Usage ⚬ Table of ContentsHighlightsPackage inserts are intended to be used by: - Distributors - Healthcare professionals - Patients - WholesalersHealthcare professionalsThe Indications and Usage section of a package insert lists: ◉ Situations when the medication should not be used ◉ Disease states or conditions the medication is approved to treat ◉ Recommended doses, dosing schedules, and administration requirements ◉ Safety concerns when using the drug during pregnancy or while breastfeedingDisease states or conditions the medication is approved to treatWhich section of the package insert contains the Post-marketing Experience? ◉ Adverse Reactions ◉ Drug Interactions ◉ Use in Specific Populations ◉ Warnings and PrecautionsAdverse ReactionsA brand and generic product must be identical in active ingredients, strength, and dosage form to be classified as: - Pharmaceutical alternatives - Pharmacologically equivalent - Therapeutic alternatives - Therapeutically equivalentTherapeutically equivalentAn "AB" rating in the Orange Book means a brand and generic drug are: ◉ Pharmacologic alternatives ◉ Pharmacologically equivalent ◉ Therapeutic alternatives ◉ Therapeutically equivalentTherapeutically equivalentLOTRONEX REMS Program is specific for female patients with: ◉ Acne ◉ Agranulocytosis ◉ Cancer pain ◉ Severe diarrhea-predominant IBSSevere diarrhea-predominant IBSAccording to federal law, which item must be on a written phentermine prescription? ⚬ Patient's diagnosis ⚬ Prescriber's signature ⚬ Patient's drug allergies ⚬ Pharmacy's DEA numberPrescriber's signatureThe Clinical Pharmacology section of a package insert lists: ◉ Reported side effects from taking the medication ◉ Any cancer and fertility risks from using the medication ◉ How a drug is absorbed, metabolized, and eliminated by the body ◉ Recommended doses, dosing schedules, and administration requirementsHow a drug is absorbed, metabolized, and eliminated by the bodyWhich section of the package insert describes how a drug works? - Clinical Pharmacology - Dosage and Administration - Indications and Usage - Nonclinical ToxicologyClinical PharmacologyWhen a prescriber writes a prescription for an unapproved use of a medication, this is referred to as: ◉ Off-label use ◉ On-label use ◉ Post-marketing experience ◉ Pre-marketing experienceOff-label useWhich drug information resource provides compatibility information on parenteral medications? - USP-NF - Prescribers' Digital Reference - Handbook on Injectable Drugs - Facts and Comparison's eAnswersHandbook on Injectable DrugsWhich pregnancy category is considered the riskiest? ◉ A ◉ D ◉ F ◉ XXMr. Cruz has diabetes and is concerned about taking a new medication. In which section of the package insert can you find information on whether Mr. Cruz needs to use caution with his new medication because of his diabetes? - Adverse Reactions - Drug Interactions - Indications and Usage - Warnings and PrecautionsWarnings and PrecautionsThe How Supplied/Storage and Handling section of a package insert lists the medication's: ◉ Chemical name ◉ Controlled substance classification ◉ Description of appearance ◉ Inactive ingredientDescription of appearanceThe Contraindications section of a package insert lists: ◉ Reported side effects ◉ Situations when the medication should not be used ◉ Safety concerns for special populations taking the medication ◉ Recommended doses, dosing schedules, and administration requirementsSituations when the medication should not be usedWhich drug information source provides generic substitution equivalence ratings for Lasix? ◉ Red Book ◉ Natural Medicines ◉ United States Pharmacopeia-National Formulary ◉ Approved Drug Products with Therapeutic Equivalence EvaluationsApproved Drug Products with Therapeutic Equivalence EvaluationsThe first letter in the Orange Book rating code indicates: - Clinical significance - Pharmaceutical alternatives - Pharmacological equivalence - Therapeutic equivalenceTherapeutic equivalenceYou're tasked to find the list of adverse reactions for levofloxacin. Which section of the package insert will indicate where you can find adverse reactions? ◉ Appendices ◉ Indications and Usage ◉ Summaries ◉ Table of ContentsTable of ContentsMrs. Parker is breastfeeding, and she asks you to refill her Adipex-P. Where in the package insert can you find information about breastfeeding while taking this medication?Use in Special PopulationsMs. Redstone has questions for the pharmacist about how to take her new medication. Which section of the package insert would the pharmacist refer to for this information? - Clinical Pharmacology - Dosage and Administration - Highlights - Patient Counseling InformationPatient Counseling InformationMr. Quarterman gives you a prescription for Chantix. The prescriber has "take as directed" written on the prescription. Which section of the package insert provides information about how a medication is usually taken? - Contraindications - Dosage and Administration - Indications and Usage - Warnings and PrecautionsDosage and AdministrationMs. Supat is concerned about her cancer risk while taking her medication. Which section of the package insert would the pharmacist refer to? ◉ Clinical Pharmacology ◉ Nonclinical Toxicology ◉ Product Description ◉ Use in Special PopulationsNonclinical ToxicologyYou input Ms. Wright's new birth control prescription in the computer. You get a warning about Ms. Wright taking birth control while on carbamazepine. Which section of the package insert will inform you about the effects of taking birth control while on carbamazepine? - Adverse Reactions - Contraindications - Drug Interactions - Warnings and PrecautionsDrug InteractionsMs. Holland calls the pharmacy because she isn't sure if her tablets are Seroquel 100 mg or 200 mg. Which section of the package insert can help you answer Ms. Holland's question? ⚬ Dosage and Administration ⚬ Dosage Forms and Strengths ⚬ Drug Interactions ⚬ Indications and UsageDosage Forms and StrengthsThe prescriber calls the pharmacy to find out how well a new drug is supposed to work for its approved indication. Which section of the package insert will the pharmacist look for this information? - Clinical Studies - Dosage and Administration - Indication and Usage - Product DescriptionClinical StudiesThe Product Description section of a package insert lists: - Cancer and fertility risks - How the medication works - The structural formula of the medication - The medications color, shape, and markingsThe structural formula of the medicationMr. Shauban brings in the following prescription: TMP/SMX 160/800 mg Sig: 1 tab po BID Disp: 14 What medication should be typed on the pharmacy label? ◉ Tazobactam/piperacillin ◉ Tetracycline/zinc sulfate ◉ Triamcinolone/sulfuric acid ◉ Trimethoprim/sulfamethoxazoleTrimethoprim/sulfamethoxazoleWhich word part means discharge? ◉ Hyper- ◉ Hypo- ◉ -rrhage ◉ -rrhea-rrhageThe pharmacist asks you to update Mr. Marshall's allergy profile. After talking with Mr. Marshall, you find out he has no drug allergies. Which abbreviation would you put in his profile? - Na - ND - NKDA - NTGNKDAMrs. Chapel brings in the following prescription: Zocor 20 mg Sig: 1 tab PM Disp: 30 How should the directions be typed on the pharmacy label? ◉ Take one tablet as needed ◉ Take one tablet at bedtime ◉ Take one tablet in the evening ◉ Take one tablet in the morningTake one tablet in the eveningWhich word part stands for blood vessel? - -emia - Ost- - Thrombo- - Vas-Vas-Mr. Grey gives you a prescription to treat his hyperthyroidism. What does the word part "hyper-" mean in the word hyperthyroidism? - Above normal - After - Before - Less than normalAbove normalMr. Greer brings in the following prescription: Xalatan solution Sig: Instill 1 drop os once daily Disp: 1 bottle How should the directions be typed on the pharmacy label? ◉ Instill 1 drop in left ear once daily ◉ Instill 1 drop in left eye once daily ◉ Instill 1 drop in right ear once daily ◉ Instill 1 drop in right eye once dailyInstill 1 drop in left eye once dailyMrs. Finn tells you that she suffers from dermatitis. Which area of the body does this condition affect? ◉ Ears ◉ Eyes ◉ Skin ◉ StomachSkinMrs. Fischer is taking a diuretic for her blood pressure. The pharmacist asks you to retrieve Mrs. Fischer's potassium level. Which lab would you look for? ◉ APAP ◉ Fe ◉ K ◉ PaKMr. Bower brings in the following prescription: Prozac 20 mg caps Sig: 1 po once daily Disp: 30 How should the directions be typed on the pharmacy label? - Take one capsule by mouth once daily - Take one capsule as needed once daily - Insert one capsule into rectum once daily - Place one capsule under the tongue once dailyTake one capsule by mouth once dailyMrs. Seng brings in the following prescription: Crestor 10 mg Sig: 1 tab po qd How should the directions be typed on the pharmacy label? - Take one tablet by mouth every day - Take one tablet by mouth four times a day - Take one tablet by mouth every other day - Take one tablet by mouth every morningTake one tablet by mouth every dayMr. Williams brings in the following prescription: Synthroid 125 mcg Sig: 1 tab po qd Disp: 30 What is the meaning of the abbreviation "mcg"? ◉ Microgram ◉ Microliter ◉ Milligram ◉ MilliliterMicrogramMr. Serta tells you that he will pick up his prescription after his appointment with his ophthalmologist. Which area of the body does an ophthalmologist specialize in? ⚬ Ears ⚬ Eyes ⚬ Skin ⚬ StomachEyesYou hear the pharmacist talking to a nurse over the phone about Mr. Kennedy who overdosed on APAP. Which medication did Mr. Kennedy overdose on? ◉ Acetaminophen ◉ Aspirin ◉ Penicillin ◉ PotassiumAcetaminophenMr. Phillips gives you the following prescription: Triamcinolone 0.025% cr Sig: AA as directed #1 tube How should the directions be typed on the pharmacy label? - Apply to left ear as directed - Apply to all areas as directed - Apply to right ear as directed - Apply to affected area as directedApply to affected area as directedMrs. Long brings in the following prescription: ProAir HFA inhaler #1 2 puff 15 min a exercise How should the directions be typed on the pharmacy label? ◉ Inhale two puffs 15 minutes after exercise ◉ Inhale two puffs 15 minutes during exercise ◉ Inhale two puffs 15 minutes before exercise ◉ Inhale two puffs 15 minutes as needed for exerciseInhale two puffs 15 minutes before exerciseMr. Victor brings in the following prescription: Bactroban ointment Sig: AA ung tid How should the directions be typed on the pharmacy label? - Apply to affected area twice a week - Apply ointment to affected area twice a day - Apply ointment to affected area three times a day - Apply ointment to affected area three times a weekApply ointment to affected area three times a dayThe pharmacy receives the following order for Mr. Bynum: MgSO4 IV Sig: Mix with D5W Disp: qs What medication should be typed on the pharmacy label? ◉ Morphine sulfate IV injection ◉ Magnesium sulfate IV injection ◉ Magnesium succinate IV injection ◉ Metoprolol succinate IV injectionMagnesium sulfate IV injectionMs. Willis' prescriber calls the pharmacy with a Crestor 5 mg prescription. According to most state laws, who can take the new prescription over the phone? - Pharmacist - Pharmacy clerk - Registered technician - Technician-in-trainingPharmacistMs. Lam gives you the following prescription: Depo-Provera Sig: Inject IM q 90 days #1 How should the directions be typed on the pharmacy label? ◉ Inject intradermally every 90 days ◉ Inject intravenously every 90 days ◉ Inject intramuscularly every 90 days ◉ Inject intravenous piggy back every 90 daysInject intramuscularly every 90 daysMrs. Platt drops off the following prescription: Cymbalta 30 mg 1 cap daily #30 How should the directions be typed on the prescription label? ◉ Take one tablet daily ◉ Take one capsule daily ◉ Apply cream once daily ◉ Take one daily with mealsTake one capsule dailyMs. Rhodes brings in the following prescription: Hydrocodone/APAP 7.5 mg/325 mg solution Sig: Take 1 tbsp po q4h prn Qty: 8 oz How should the directions be typed on the prescription label? ◉ Take one tablet by mouth every 4 hours as needed ◉ Take one to two tablets by mouth every 4 hours as needed ◉ Take one tablespoonful by mouth every 4 hours as needed ◉ Take one teaspoonful by mouth every 4 hours as neededTake one tablespoonful by mouth every 4 hours as neededMr. Schultz brings in the following prescription: Acyclovir 200 mg/5 mL suspension Sig: Take 5 ml po TID Disp: 4 oz How should the directions be typed on the prescription label? - Take 5 milliliters by mouth three times a day - Take 5 milligrams by mouth three times a day - Take 5 teaspoonfuls by mouth three times a day - Take 5 cubic centimeters by mouth three times a dayTake 5 milliliters by mouth three times a dayWhich word part indicates kidney? ◉ Cardio- ◉ Gastro- ◉ Hepato- ◉ Nephro-Nephro-Mr. Heller brings in the following prescription: Keflex 500 mg Sig: 1 cap po qid How should the directions be typed on the pharmacy label? ◉ Take one capsule by mouth every day ◉ Take one capsule by mouth every other day ◉ Take one capsule by mouth four times a day ◉ Take one capsule by mouth every four hoursTake one capsule by mouth four times a dayTopamax is an immediate-release topiramate tablet. Trokendi XR is an extended-release topiramate tablet. Both medications are used to treat the same condition. Topamax and Trokendi XR are: - Pharmacologic alternatives - Pharmacologic equivalents - Therapeutic alternatives - Therapeutic equivalentsPharmacologic alternativesMr. Adams brings in the following prescription: Medrol Dosepak Sig: ut dict What does "ut dict" mean? ◉ Take with food ◉ Take at bedtime ◉ Take as directed ◉ Take every dayTake as directedYour pharmacy receives an order of controlled substances. According to federal law, the pharmacist must document the date and amount received for which medication? ◉ Actiq ◉ Ambien ◉ Androderm ◉ AtivanActiqAccording to the Poison Prevention Packaging Act of 1970, which medication can be dispensed in a non-child-resistant package in an outpatient setting? ⚬ Sublingual nitroglycerin tablets ⚬ Sublingual nitrofurantoin tablets ⚬ Extended-release nitroglycerin capsules ⚬ Extended-release nitrofurantoin capsulesSublingual nitroglycerin tabletsMr. Conn brings in the following prescription: Lipitor 20 mg Sig: 1 tab daily p dinner #30 How should the directions be typed on the pharmacy label? ◉ Take one tablet daily after dinner ◉ Take one tablet daily during dinner ◉ Take one tablet daily before dinner ◉ Take one tablet daily 1 hour before dinnerTake one tablet daily after dinnerWhich word part indicates fever? - Ferro- - Hypno- - Pyro- - Thrombo-Pyro-Mr. Quinn brings in the following prescription: Bactroban ung UAD #22 g What is the meaning of the abbreviation "ung"? - Cream - Lotion - Ointment - SyrupOintmentMrs. Campos brings in the following prescription: Celexa 20 mg Sig: 1 tab po qam How should the directions be typed on the pharmacy label? ◉ Take one tablet by mouth every day ◉ Take one tablet by mouth as directed ◉ Take one tablet by mouth after meals ◉ Take one tablet by mouth every morningTake one tablet by mouth every morningMr. Lewis brings in the following prescription: Lopressor 100 mg Sig: ss tab po BID How should the directions be typed on the pharmacy label? ⚬ Take one-fourth tablet by mouth twice daily ⚬ Take one-half tablet by mouth twice daily ⚬ Take one tablet by mouth twice daily ⚬ Take two tablets by mouth twice dailyTake one-half tablet by mouth twice dailyMrs. Jenkins was recently hospitalized for thyrotoxicosis. Which area of the body does this condition affect? - Kidney - Liver - Mind - Thyroid glandThyroid glandMr. Russ gives you a new prescription to treat his hypothyroidism. What does the word part "hypo-" mean in the word hypothyroidism? - Above normal - After - Before - Less than normalLess than normalA patient brings in the following prescription: Warfarin 7.5 mg Take 1 tablet daily on days Sunday, Wednesday, Friday Take 0.5 tablet on days Monday, Tuesday, Thursday, Saturday What is the patient's weekly dose of warfarin? ◉ 5 mg ◉ 7.5 mg ◉ 37.5 mg ◉ 60.5 mg37.5 mg4/5 ÷ 1/3 ◉ 3/2 ◉ 4/15 ◉ 5/8 ◉ 12/512/5Solve: 2/7 + 3/5 ◉ 1/2 ◉ 5/12 ◉ 31/35 ◉ 56/7031/352/3 ÷ 5/7 ◉ 3/4 ◉ 7/10 ◉ 14/15 ◉ 10/2114/15The Arabic number for the Roman numeral C is: - 10 - 50 - 100 - 500100Solve: 6.5 ÷ 1.5 - 0.23 - 4.3 - 5 - 9.754.3Solve: 8.2 x 65.23 ◉ 0.12571 ◉ 57.03 ◉ 73.43 ◉ 534.886534.886Solve: 3/7 x 2/3 ⚬ 1/4 ⚬ 5/10 ⚬ 6/21 ⚬ 9/146/21Ms. Barker brings in the following prescription: Cefuroxime 250 mg/5 mL Sig: ½ tsp BID x 10 d Disp: 50 mL What is the Roman numeral for the dispensed quantity? - D - L - V - XLSolve: 1/2 - 1/5 ◉ 1/10 ◉ 3/10 ◉ 4/1 ◉ 7/53/10Solve: 1/4 + 5/4 - 4/4 - 5/9 - 6/4 - 12/86/41/2 ÷ 1/6 - 1/12 - 2/8 - 6/2 - 7/36/2What is the Arabic number for the Roman numeral M? - 50 - 100 - 500 - 1,0001,000Solve: 5/3 - 1/3 ⚬ 2/1 ⚬ 2/3 ⚬ 4/0 ⚬ 4/34/3What is the Arabic number for CVII? - 57 - 107 - 507 - 1,007107A patient brings in a prescription to take 1.25 mL of an antibiotic once daily. The bottle contains 300 mL. How many total doses does the bottle contain? ◉ 40 ◉ 120 ◉ 240 ◉ 360240Reduce the following fraction: 28/36 ⚬ 7/9 ⚬ 9/7 ⚬ 14/18 ⚬ 18/147/9Solve: 3.61 + 5.22 ◉ 0.692 ◉ 1.61 ◉ 8.83 ◉ 18.848.83Mrs. Shapiro brings in the following prescription: Prednisone 10 mg tabs Sig: iv tabs po qd Disp: 56 tabs How many tablets will the patient take per dose? - 4 - 6 - 9 - 114You are ringing up Mrs. Tokunaga for her medications, and she tells you she doesn't need Rx #3 today and wants you to return it. What is Mrs. Tokunaga's new total? Rx #1 = $5.60 Rx #2 = $6.56 Rx #3 = $5.00 Rx #4 = $7.60 ⚬ $17.16 ⚬ $18.20 ⚬ $19.16 ⚬ $19.76$19.76A liquid contains 22 mL of active ingredient and 125 mL of product. What is the ratio strength for the liquid? - 22 : 147 - 147 : 22 - 22 : 125 - 125 : 2222 : 125Mr. Richards brings in a prescription for his son: Augmentin ES 600 mg/5 mL 3.75 mL po bid Disp: 75 mL What days' supply would you input on this prescription? ◉ 5 days ◉ 7 days ◉ 10 days ◉ 20 days10 daysA 45 : 100 liquid contains how much liquid active ingredient in how much solution? ⚬ 45 g in 100 g ⚬ 45 g in 100 mL ⚬ 45 mL in 100 mL ⚬ 45 mL in 100 g45 mL in 100 mLCalculate how many mL you will dispense for the following prescription: Magic Mouthwash Swish and spit 15 mL po q4h x 12 days ◉ 180 ◉ 360 ◉ 720 ◉ 1,0801,080A drug is available as 30 mg/5 mL. How many mL are needed for each dose if the doctor ordered 225 mg? ⚬ 15 ⚬ 30 ⚬ 35.5 ⚬ 37.537.5How many milligrams are in one grain of phenobarbital using decimal point strengths? ⚬ 30.4 ⚬ 64.8 ⚬ 95.2 ⚬ 125.864.8A drug is available as 12 mg/1 mL. If the doctor ordered 66 mg, how many mL are needed for each dose? - 3 - 5.5 - 6 - 125.5The pharmacy ordered five 1-lb jars of hydrocortisone 1% cream. How many grams of hydrocortisone 1% cream were ordered? ◉ 908 ◉ 1,362 ◉ 2,270 ◉ 2,7242,270Your pharmacy is out of metformin 1,000 mg tablets, so you fill the patient's prescription with 120 metformin 500 mg tablets. If the patient takes 2 tablets BID, what is the days' supply? ◉ 15 days ◉ 20 days ◉ 30 days ◉ 60 days30 daysMs. Bowers brings in her prescription to be filled: Ibuprofen 600 mg 1 tab po q8h prn x 10 days Calculate how many tablets you will dispense ◉ 20 ◉ 30 ◉ 40 ◉ 6030Calculate the quantity to dispense for the following prescription: Phenytoin 100 mg Take 3 caps po qam x 30 days ◉ 30 capsules ◉ 60 capsules ◉ 90 capsules ◉ 120 capsules90 capsulesSelect the proportion that, when reduced, has ratios equal to each other. ◉ 2/6 = 24/72 ◉ 6/30 = 4/16 ◉ 17/51 = 13/26 ◉ 88/176 = 2/62/6 = 24/72A 6 : 240 cream contains how much solid active ingredient in how much cream base? ◉ 6 g in 240 mL ◉ 6 g in 240 g ◉ 6 mL in 240 mL ◉ 6 mL in 240 g6 g in 240 gMr. Trang brings in his prescription for Trileptal oral suspension to be filled. How many mL will you dispense for his prescription? Trileptal 300 mg/5 mL 20 mL po BID x 30 days ◉ 600 ◉ 1,200 ◉ 1,800 ◉ 2,4001,200Mr. Larson dropped off his prescription for pick up later today. Based on the following prescription, calculate the maximum amount of tablets you will dispense to Mr. Larson. Metoclopramide 10 mg 1 tab po q8-12h ac x 2 weeks ◉ 16 ◉ 24 ◉ 28 ◉ 4242Calculate the days' supply for the following prescription. Zofran 4 mg 1 po q4-6h prn nausea #30 tabs ◉ 2 days ◉ 4 days ◉ 5 days ◉ 7 days5 daysWhy would a patient be concerned about their days' supply being accurate? - To prevent being charged extra co-pays - To prevent receiving a bill for late charges - To ensure the pharmacy doesn't get audited - To ensure the manufacturer tracks the patients quantity they receivedTo prevent being charged extra co-paysYou need 4.7 g of solution. The pharmacy has in stock 10 g/5 mL solution. How many mL will you need? ◉ 2.35 ◉ 23.5 ◉ 235 ◉ 2,3502.35A cream mixture contains 8 g of active ingredient and 75 g of cream base. What is the ratio strength for the cream mixture? - 8 : 75 - 8 : 83 - 75 : 8 - 83 : 88 : 75The doctor orders 225 mg solution for a patient. The pharmacy has in stock a 500 mg/10 mL solution. How many mL will the patient receive each dose? ◉ 0.45 ◉ 4.5 ◉ 45 ◉ 4504.5A cream contains 20 g of active ingredient in 60 g of cream base. What is the ratio strength? ◉ 2 : 60 ◉ 20 : 60 ◉ 200 : 60 ◉ 200 : 60020 : 60You receive a prescription for metoclopramide 15 mg. The pharmacy has metoclopramide 5 mg/5 mL in stock. How many mL are needed per dose? ◉ 0.5 ◉ 1 ◉ 5 ◉ 1515The doctor orders 75 mg of metoprolol for Mrs. Taylor. Your pharmacy has metoprolol 25 mg tablets in stock. How many tablets will Mrs. Taylor receive at each dose? ◉ 0.5 ◉ 1 ◉ 2 ◉ 33A 1 : 100 solution contains how much solid active ingredient in how much solution? - 1 g in 100 mL - 1 g in 100 g - 1 mL in 100 mL - 1 mL in 100 g1 g in 100 mLWhat is the days' supply for the following prescription? Promethazine DM syrup 5 mL po q4-6h prn Qty: 240 mL - 3 days - 6 days - 8 days - 12 days8 DAYSMs. Green uses Lantus U-100, 0.52 mL at bedtime. How many days will one 10 mL vial last? - 2 - 19 - 30 - 19219How many milliliters of Tylenol oral suspension should Jason's mom measure out per dose, if Jason weighs 76 pounds? Weight (lb) / Age (yr) / Dose (mL) under 24 / under 2 /ask a doctor 24 - 35 / 2 - 3 / 5 mL 36 - 47 / 4 - 5/ 7.5 mL 48 - 59 / 6 - 8 / 10 mL 60 - 71 / 9 - 10 / 12.5 mL 72 - 95 / 11 /15 mL NOTE: Self-treatment should not exceed 3 days unless directed by a physician. Do not use more than 4 times a day. Give the recommended dose every 6-8 hours as needed. - 5 mL - 7.5 mL - 10 mL - 15 mL15Robert Snow turned in the following prescription. What is the strength of the medication in milligrams? Levothyroxine 75 mcg 1 po qd #30 ◉ 0.0075 mg ◉ 0.075 mg ◉ 0.75 mg ◉ 7.5 mg0.075 mgHow many grains are in 16 ounces? - 437.5 - 580 - 1,000 - 7,0007,000Mr. Wagner brings in a prescription for his son, Jack. What information should you collect in order to calculate Jack's dosage? ◉ Fat composition ◉ Height ◉ Water composition ◉ WeightWeightMrs. Taylor picked up 2 bottles of Peridex 0.12% rinse. Each bottle is 1 pint. How many fluid ounces total did she get? - 8 - 16 - 24 - 3232 (1 pint = 16 fl oz)What is an example of a metric unit for weight? - g - mL - lb - ptgCalculate how many milliliters the patient will receive for the following order: Demerol 90 mg IM solution On hand: Demerol 25 mg/0.5 mL solution ◉ 0.13 ◉ 1.8 ◉ 1,125 ◉ 4,5001.8Mrs. Monroe weighs 165 lb and is prescribed a med with a dosage of 0.8 mg/kg in 2 divided doses. How many milligrams will Mrs. Monroe receive per day? ◉ 30 mg ◉ 60 mg ◉ 90 mg ◉ 120 mg60 mgTylenol w/Codeine elixir is ordered for an inpatient. How many mL will the patient take at each dose if he's ordered 2 fl dr every 4 to 6 hours as needed for cough? ◉ 2.5 ◉ 5 ◉ 7.5 ◉ 1010How many mcg are in 15 mg? ◉ 0.15 mcg ◉ 1.5 mcg ◉ 1,500 mcg ◉ 15,000 mcg15,000 mcgDr. Nguyen orders Cipro 7.5 mg/kg in two divided doses. If the child weighs 44 lb, how many milligrams will the child get for each dose? ⚬ 75 mg ⚬ 115 mg ⚬ 150 mg ⚬ 330 mg75 mgYou need to prepare 1,400 units of heparin for a patient. Your pharmacy has heparin 1,000 units/mL in stock. How many milliliters will you dispense? - 0.14 - 1.4 - 14 - 1401.4How many drams are in one ounce? ◉ 2 ◉ 4 ◉ 6 ◉ 88GoLytely Use as directed prior to colonoscopy #1 gallon How many pints are in the 1-gallon container of GoLytely? - 4 - 8 - 10 - 128A patient picks up their prescription for Norco and is told to not take more than 4,000 mg of acetaminophen per day. What's the max acetaminophen daily amount in grams? ◉ 0.004 g ◉ 0.04 g ◉ 0.4 g ◉ 4 g4 gA patient is ordered potassium chloride 20 mEq in 1,000 mL normal saline. How many milliliters will you need for the order if your pharmacy stocks potassium chloride 2 mEq/mL concentrated solution? ⚬ 1 ⚬ 4 ⚬ 10 ⚬ 4010You receive an order for ceftriaxone 125 mg IM. If you use ceftriaxone 1 g/9.6 mL to fill the order, how many mL will you need? - 0.83 - 1.2 - 13 - 1,2001.2Triamcinolone 0.1% cream AAA bid Disp: 1 oz How many grams will be dispensed? ⚬ 27.35 ⚬ 28.35 ⚬ 28.55 ⚬ 29.3528.35 --------------- (1 oz = 28.35 g)Famotidine 40 mg/5 mL suspension 5 mL po bid Disp: 300 mL What is the quantity dispensed given in deciliters? ◉ 0.3 dL ◉ 3 dL ◉ 30 dL ◉ 3,000 dL3 dlIf the pharmacy stocks potassium chloride 30 mEq/mL, how many milliequivalents of potassium chloride are in 8 mL? - 3 - 4 - 160 - 240240Mr. Doran is prescribed methotrexate. The dosage range of the med for his condition is 0.625 - 2.5 mg/kg/day. If he weighs 165 lb, what is the range, in mg, that Mr. Doran can safely take? Round to the nearest milligram. - 23 - 93 mg - 47 - 187 mg - 94 - 374 mg - 103 - 412 mg47 - 187 mgHow many milligrams are in one grain? ◉ 30.4 ◉ 64.8 ◉ 95.2 ◉ 125.864.8Jocelyn is ordered a medication with a dosage of 2 mg/kg TID for 5 days. If she weighs 28 kg, how many milligrams will she receive per day? ◉ 19 mg ◉ 56 mg ◉ 168 mg ◉ 840 mg168 mgWhich conversion is correct? ◉ 2 tsp = 1 cup ◉ 1 oz = 3 tsp ◉ 1 oz = 2.5 tbsp ◉ 3 tsp = 1 tbsp3 tsp = 1 tbspYou receive the following order: Heparin 20,000 units in 1L D5NS Your pharmacy is out of heparin 20,000 units/mL. How many milliliters will you dispense of heparin 5,000 units/mL? ◉ 2 ◉ 4 ◉ 10 ◉ 404Calculate how many milliliters of drug the patient will receive at each dose for the following order: Vancomycin Give 500 mg q6h IV On hand: Vancomycin 0.5 g/10 mL ⚬ 0.1 ⚬ 1 ⚬ 10 ⚬ 2510Apidra SoloStar 100 units/mL pen 30 units subcutaneously BID ac 5 pens How many days will 5 pens last if they're 3 mL each? ◉ 8 ◉ 25 ◉ 28 ◉ 3225Ibuprofen 100 mg/5 mL suspension 2 tsp po q8h prn Disp: 0.5 pint How many ounces will be dispensed to the patient? - 4 - 8 - 10 - 168Alicia is ordered cefprozil 7.5 mg/kg PO every 12 hours for 10 days. She weighs 23 kg. How many milligrams will Alicia receive per dose? - 15 mg - 78.4 mg - 172.5 mg - 345 mg172.5 mgMr. Stark just got 1.5 mL of lidocaine 40 mg/mL solution. How many milligrams of lidocaine did he receive? - 27 - 30 - 60 - 7060Which medication must be dispensed with a patient package insert? ◉ Aspirin ◉ Estrogen ◉ Ibuprofen ◉ NitroglycerinEstrogenHow many 8-ounce prescription bottles will you need to fill a prescription of 480 mL of cetirizine? - 1 - 2 - 3 - 42In which setting is a technician most likely to fill med carts? - Community - Hospital - Long-term care - NuclearLong-term careWhich section of the package insert provides information on a drug affecting a lab test? ◉ Adverse Reactions ◉ Contraindications ◉ Indications and Usage ◉ Warnings and PrecautionsWarnings and PrecautionsAccording to federal law, which prescription is good for only 6 months after the date of issuance? ◉ Bactrim ◉ Percocet ◉ Valium ◉ VyvanseValiumYou receive the following prescription: Pred Forte susp 1-2 gtts ou q4-6h 5 mL Which auxiliary label should be applied to the prescription? ⚬ Shake well ⚬ Use by date ⚬ Topical use only ⚬ For use in the earShake wellWhich type of supplier is used first when products are needed before the pharmacy warehouse delivery?Preferred supplierYou have 2 bottles of pantoprazole 40 mg in stock. The par level is 3 bottles and the max quantity is 9 bottles. How many bottles should be ordered?7Which type of ordering process provides a comparison of par levels to current stock levels? ⚬ Automated ⚬ Manual ⚬ Perpetual ⚬ ProgrammedAutomatedYou receive the following prescription: Triamcinolone 0.05% cream AAA bid #30 g tube If the medication is available in 15 g tubes, how many tubes will you need to order to fill the prescription? - 1 - 2 - 3 - 42Which technique will improve communication with low health literacy patients? ◉ Providing the package insert to the patient ◉ Providing a printed patient information sheet ◉ Using clear and simple directions on the label ◉ Using pharmacy jargon on the prescription labelUsing clear and simple directions on the labelWhich drug requires an SDS because it can cause harm to an unborn fetus if handled improperly by a pregnant woman? ⚬ Acetaminophen ⚬ Finasteride ⚬ Ibuprofen ⚬ PenicillinFinasterideWhich section of an SDS would you use to find out if a medication is flammable? ⚬ Accidental Release Measures ⚬ Disposal Considerations ⚬ Handling and Storage ⚬ Hazards IdentificationHazards IdentificationWhen can a patient enroll in Medicare Part D?3 months before or after they turn 65Where should unopened vials of nebulizer solutions be stored?Foil packs, vials should only be opened at time of administrationHow should most rectal suppositories be stored?Room temperatureWhich inhaler type might require the patient to use a spacer to simplify the inhaler technique?Metered-dose inhalerYou receive a prescription for metronidazole 0.75% vaginal gel. If one box contains 5 applicators and one 70-gram tube of gel, what quantity will you enter into the computer? - 1 tube - 5 applicators - 70 grams - 135 grams70 gramsWhich medication can be given intramuscularly? ◉ Insulin ◉ 0.9% sodium chloride ◉ Medroxyprogesterone ◉ Tuberculosis diagnostic testMedroxyprogesteroneWhat's the name of the process of adding water, or another solvent, to a dry powder? ◉ Effervescence ◉ Levigation ◉ Reconstitution ◉ TriturationReconstitutionWhich is the abbreviation for left eye? ◉ AD ◉ AS ◉ OD ◉ OSOSInjecting a suspension intravenously can lead to: - Blood cells clumping together and strokes - Blood cells shriveling and small blood vessels collapsing - Blood cells expanding and severe electrolyte imbalances - An undissolved particle getting stuck in a small blood vessel or lungAn undissolved particle getting stuck in a small blood vessel or lungAn advantage to using a parenteral dosage form is that it: - Acts rapidly - Can be reversed easily - Doesn't require special handling to prepare - Absorbs in the intestine to avoid stomach irritationActs rapidlyMr. Grant brings in a prescription for Cipro ophthalmic drops. If he administers 1 drop in both eyes six times a day for 5 days, what size bottle of Cipro will you dispense? - 2.5 mL - 5 mL - 10 mL - 20 mL5 mLWhich dosage form is good for providing a protective layer to the affected area? ◉ Collodion ◉ Cream ◉ Liniment ◉ PastePasteParenteral medications are absorbed: - By the stomach - Through the mouth - Through the intestine - Directly into the bloodstreamDirectly into the bloodstreamWhich characteristic describes Proctofoam HC aerosol dosage form? - Completely dissolved in a liquid - Absorbed through the skin after being applied with friction - Released when the product melts after being inserted into the body - Packaged under pressure and released upon activation of the devicePackaged under pressure and released upon activation of the deviceWhich transdermal patch can be cut in half safely? ⚬ Androderm ⚬ Catapres-TTS ⚬ Duragesic ⚬ LidodermLidodermA medication that is injected into the vein is referred to as: ◉ Intradermal ◉ Intramuscular ◉ Intrathecal ◉ IntravenousIntravenousParenteral dosage forms must be prepared by a process known as: - Aseptic technique - Disinfectant technique - Sterilize technique - Decontamination techniqueAseptic techniqueWhich medication is an example of a dry-powder inhaler? - Advair Diskus - Dulera - Flovent HFA - SymbicortAdvair DiskusOnce removed from its foil wrapper, which date should be used to determine the expiration for Symbicort? ◉ Manufacturer's ◉ Prescription ◉ Refill ◉ Use-byUse-byMrs. Dillon brings in the following prescription: Ipratropium 0.02% 1 vial QID PRN #1 box If one box contains 25 vials, how long will it last Mrs. Dillon? ◉ 6.25 days ◉ 16.7 days ◉ 25 days ◉ 37.5 days6.25 daysWhat is a spirit? - Concentrated solution of sugar in water - Clear, sweetened, flavored hydroalcoholic mixture - Alcoholic or hydroalcoholic solution of volatile substances - Liquid extract of vegetable drugs that contain alcohol as solventAlcoholic or hydroalcoholic solution of volatile substancesWhich auxiliary label should be applied to a DPI that use capsules? ◉ Shake well ◉ Refrigerate ◉ Do not swallow ◉ For the nasal route onlyDo not swallowWhat are products called that are made to be used in the eye? - Ophthalmics - Otics - Parenterals - TransdermalsOphthalmicsWhat is a cream? - A semisolid oil-in-water emulsion - An oil-based greasy semisolid preparation - A highly flammable mixture in which the active ingredient is dissolved in alcohol and ether - A semisolid preparation that contains very small solid particles that are suspended in a liquidA semisolid oil-in-water emulsionWhat is a characteristic of pediatric suppositories? - Bullet-shaped - Pencil-shaped - Larger than adult suppositories - Same size as adult suppositoriesPencil-shapedWhat is a gelcap? ◉ Capsule-shaped tablet ◉ Capsule filled with liquid medication ◉ Capsule filled with powdered medication ◉ Capsule that must be opened and sprinkled onto foodCapsule filled with liquid medicationWhich dosage form is bullet-shaped? ◉ Adult buccal tablets ◉ Pediatric buccal tablets ◉ Adult rectal suppositories ◉ Pediatric rectal suppositoriesAdult rectal suppositoriesHow does ProAir HFA get into the patient's lungs? ⚬ Uses a spring device to aerosolize the medication ⚬ Uses a propellant to help carry the drug into the lungs ⚬ Requires the force of the patient's breath to pull the med into the lungs ⚬ Requires the patient to expose the powder in the device before inhalingUses a propellant to help carry the drug into the lungsWhat is a consideration to keep in mind when dispensing eye and ear drops? - Ear drops must be sterile - Eye drops can be used in the ear - Eye drops are more acidic than ear drops - Eye and ear drops can be automatically substituted for one anotherEye drops can be used in the earWhich dosage form dries as a flexible film on the skin? ◉ Collodion ◉ Gel ◉ Liniment ◉ PasteCollodionWhich is a hydroalcoholic mixture? ⚬ Water and alcohol ⚬ Water and sugar ⚬ Alcohol and sugar ⚬ Alcohol and sodium bicarbonateWater and alcoholAn intrauterine device is classified as which type of dosage form? - Rectal - Transdermal - Urethral - VaginalVaginalWhat is a caplet? ⚬ Capsule-shaped tablet ⚬ Capsule filled with liquid medication ⚬ Capsule filled with powdered medication ⚬ Capsule that must be opened and sprinkled onto foodCapsule-shaped tabletHow is an oral disintegrating tablet administered? - Swallowed whole - Placed under the tongue - Placed on top of the tongue - Dissolved in water before swallowingPlaced on top of the tongueMr. English comes into the pharmacy wanting a medicine for a weeping, oozing skin rash. Which topical dosage form will the pharmacist likely recommend? ◉ Cream ◉ Liniment ◉ Ointment ◉ PasteCreamMr. Martinez comes into the pharmacy wanting a medicine for a dry, scaly rash on his elbow. Which topical dosage form will the pharmacist likely recommend? ◉ Cream ◉ Liniment ◉ Lotion ◉ OintmentOintmentWhich area of the body are ointments good to apply to? ◉ Dry, scaly areas ◉ Hairy areas ◉ Large areas ◉ Weeping, oozing areasDry, scaly areasWhich dosage form is good for applying to large areas of the body? ◉ Gel ◉ Lotion ◉ Ointment ◉ PowderLotionYou need to fill a prescription for one box of Perforomist 20 mcg/2 mL. If one box contains sixty 2-mL vials, what quantity, in milliliters, will you enter into the computer? - 1 - 2 - 60 - 120120D5W is an example of a(n): ⚬ Hypertonic suspension ⚬ Hypotonic liquid ⚬ Injectable emulsion ⚬ Isotonic solutionIsotonic solutionWhich product is an example of an isotonic solution? ◉ 0.9% sodium chloride ◉ 3% sodium chloride ◉ 1/2 Normal Saline ◉ 10% Dextrose in Water0.9% sodium chlorideWhich dosage form is a semisolid preparation in which an active ingredient is incorporated into petroleum jelly? - Cream - Gel - Lotion - OintmentOintmentMrs. Allen has a prescription for Gelnique 10%. What is the best description of a gel? ◉ A semisolid emulsion ◉ A greasy preparation with a petroleum jelly base ◉ A semisolid suspension of very small particles in a water base ◉ A highly flammable solution made up of pyroxylin, ether, and alcoholA semisolid suspension of very small particles in a water baseWhat is an advantage to using nebulizer solutions over inhalers? - They can be swallowed for faster action - They are good choices for healthy adults - They require a spacer to inhale the medication - They dont require a press-and-breathe techniqueThey dont require a press-and-breathe techniqueWhich oral dosage form is held in the mouth until it dissolves? - Caplet - Effervescent tablet - Lozenge - SoftgelLozengeHow is a lozenge administered? ◉ Swallowed whole ◉ Mixed with water ◉ Placed under the tongue ◉ Held in the mouth until it dissolvesHeld in the mouth until it dissolvesWhat is a tablet? ◉ A strip that is held under the tongue ◉ An oblong, gelatin container filled with powder ◉ An oral dosage form that is made by compression ◉ A mixture thats dissolved in water before drinkingAn oral dosage form that is made by compressionWhat is reconstitution? ⚬ Adding sweetener to hydroalcoholic mixture ⚬ Adding vegetable extract to alcoholic solution ⚬ Adding water, or another solvent, to alcohol ⚬ Adding water, or another solvent, to a dry powderAdding water, or another solvent, to a dry powderYou receive a prescription for Estrace vaginal cream. If the patient uses 2 grams per day, how long will a 42.5-gram tube last? - 7 days - 14 days - 21 days - 30 days21 daysWhich medication should be labeled with a "for rectal use only" auxiliary label? ◉ Mirena intrauterine device ◉ Muse urethral suppositories ◉ Phenergan suppositories ◉ Premarin vaginal creamPhenergan suppositoriesWhich preparation has solid active ingredients that are completely dissolved in water? - Elixir - Solution - Spirit - SuspensionSolutionWhich dosage form must be shaken before administration? - Elixir - Fluid extract - Solution - SuspensionSuspensionWhat is an elixir? - Concentrated solution of sugar and water - Hydroalcoholic solution of volatile substances - Clear, sweetened, flavored, hydroalcoholic mixture - Alcoholic solution prepared from vegetable extractsClear, sweetened, flavored, hydroalcoholic mixtureMedications that are injected into the fatty tissue just below the skin are known as: ⚬ Intradermal injections ⚬ Intramuscular injections ⚬ Intravenous injections ⚬ Subcutaneous injectionsSubcutaneous injectionsWhich rectal dosage form is used to provide extra protection to the area? ◉ Foam ◉ Ointment ◉ Suppository ◉ SuspensionOintmentWhich dosage form is used rectally? ◉ Buccal tablet ◉ DPI ◉ Liniment ◉ SuppositorySuppositoryA patient receives an intravenous injection. This is an example of what type of drug administration? ◉ Intranasal ◉ Otic ◉ Parenteral ◉ TransdermalParenteralMs. Barrington needs to measure 1 mL of an antibiotic for her daughter. Which measuring device should she use? ◉ Dosing cup ◉ Household teaspoon ◉ Household tablespoon ◉ Oral syringeOral syringeA "for vaginal use only" auxiliary label should be applied to which medication? - Cleocin Ovules - Cleocin capsules - Cleocin topical foam - Cleocin injectable solutionCleocin OvulesWhich dosage form is a semisolid oil-in-water emulsion? ◉ Cream ◉ Gel ◉ Lotion ◉ OintmentCreamWhat is a suppository designed to do? ◉ Be inserted in the buccal pouch ◉ Remain solid until inserted into the body ◉ Be inserted into the ear canal to create a local effect ◉ Release in two steps to create an extended-release effectRemain solid until inserted into the bodyMedications that are injected into the buttocks or deltoid are referred to as: - Intradermal injections - Intramuscular injections - Intravenous injections - Intravenous injectionsIntramuscular injectionsWhich dosage form is a liquid mixture of various substances in an oil, emulsion, or alcoholic solution of soap? - Collodion - Gel - Liniment - PasteLinimentWhich preparation has solid ingredients that are NOT completely dissolved in a liquid? ◉ Solution ◉ Spirit ◉ Suspension ◉ SyrupSuspensionA 0.5 mL insulin syringe measures up to: - 10 units of insulin - 30 units of insulin - 50 units of insulin - 100 units of insulin50 units of insulinWhich liquid is a concentrated solution of sugar in water? ⚬ Elixir ⚬ Spirit ⚬ Syrup ⚬ TinctureSyrupYou receive the following prescription: ProAir HFA 2 puffs q4-6h prn #1 inhaler If one ProAir HFA inhaler contains 200 inhalations, how long will it last the patient? ◉ 5 days ◉ 16 days ◉ 25 days ◉ 60 days16 daysWhich needle can cause the most pain and discomfort during an injection? ◉ 22-gauge ◉ 25-gauge ◉ 27-gauge ◉ 31-gauge22-gaugeAn 18-gauge needle is: - Fatter than a 22-gauge needle - Longer than a 22-gauge needle - Shorter than a 22-gauge needle - Skinnier than a 22-gauge needleFatter than a 22-gauge needleA patient needs to inject 20 units of insulin. Which size syringe should you dispense with the insulin order? ◉ 0.1 mL ◉ 0.3 mL ◉ 0.5 mL ◉ 1 mL0.3 mLYou fill an order for a 5/16 inch needle. The prescription is likely an order for: ◉ Insulin ◉ Medroxyprogesterone ◉ Testosterone ◉ Vitamin B-12InsulinA needle that is 5/16 inch long is good for administering: ◉ Intradermal injections ◉ Intramuscular injections ◉ Intravenous injections ◉ Subcutaneous injectionsSubcutaneous injectionsAll parenteral dosage forms must be: ◉ Free of pathogens ◉ Stored in the fridge ◉ Kept in a light-resistant container ◉ Administered by a healthcare providerFree of pathogensTestosterone is an example of which type of injection?IntramuscularWhat is the correct definition of a capsule? - An oral dosage form that is held inside the mouth - An oral dosage form that is made by compression - An oblong, gelatin container filled with a medication - A mixture to be dissolved in water before swallowing until it dissolvesAn oblong, gelatin container filled with a medicationWhat is an ointment? ◉ A semisolid oil-in-water emulsion ◉ An oil-based greasy semisolid preparation ◉ A highly flammable mixture in which the active ingredient is dissolved in alcohol and ether ◉ A semisolid preparation that contains very small solid particles that are suspended in a liquidAn oil-based greasy semisolid preparationWhich tablet contains a special coating or mechanism that helps the drug release more slowly? ⚬ Buccal ⚬ Controlled-release ⚬ Effervescent ⚬ SublingualControlled-releaseHow are controlled-released products administered? - Swallowed whole - Dissolved on the tongue - Chewed before swallowing - Placed between the cheek and gumSwallowed wholeWhere are Muse suppositories inserted in the patient? ◉ Ear ◉ Rectum ◉ Urethra ◉ VaginaUrethraWhich best describes the correct administration of oral powders? - Chew before swallowing. - Dissolve under the tongue. - Mix in a glass of water before swallowing - Place on the tongue and wash down with a drinkPlace on the tongue and wash down with a drinkWhich dosage form is good for an unconscious patient? - Buccal tablet - Gelcap - Meter-dose inhaler - SuppositorySuppositoryWhich rectal dosage form is used for its cooling effect? ◉ Gel ◉ Ointment ◉ Solution ◉ SuppositoryGelYou receive the following prescription: Maxitrol susp 1-2 gtts os q4-6h #5 mL How many days will the bottle last the patient? ⚬ 4 days ⚬ 8 days ⚬ 16 days ⚬ 25 days8 daysMr. Warner brings in the following prescription: Xopenex HFA 2 puffs qid PRN # 1 month supply If one inhaler contains 200 doses, how many inhalers will Mr. Warner need to last him at least 30 days?2Ms. Lane brings in the following prescription: Vigamox 1 gtt ou tid x 7d What size bottle of medication will you dispense? - 3 mL - 6 mL - 9 mL - 12 mL3 mLWhich area of the body are lotions good to apply to? - Dry, rough areas - Areas with a lot of hair - Areas that need protection - Weeping, oozing areasAreas with a lot of hairHow is a buccal tablet administered? ◉ Swallowed whole ◉ Placed under the tongue ◉ Swallowed after mixing with water ◉ Placed between the cheek and gumPlaced between the cheek and gumWhich dosage form can be injected intravenously? ◉ Solution ◉ Suspension ◉ Syrup ◉ TinctureSolutionMs. Brenton was told to take an enteric-coated aspirin tablet. How will she take her medication? - Swallow it whole. - Place it under the tongue. - Place it between the cheek and gum. - Sprinkle it on food before swallowing.Swallow it whole.Which best describes the correct administration of oral powders? - Chew before swallowing. - Dissolve under the tongue. - Mix in a glass of water before swallowing. - Place on the tongue and wash down with a drink.Place on the tongue and wash down with a drink.You receive a prescription for promethazine suppositories. Which auxiliary label should be applied to the prescription? - Shake well - Refrigerate - For sublingual use only - Take on an empty stomachRefrigerateWhich preparation has solid active ingredients that are completely dissolved in water or alcohol? - Elixir - Solution - Suspension - SyrupSolution (key phrase is completely dissolved!)Which medication comes as a rectal suppository? ◉ Alprostadil ◉ Levonorgestrel ◉ Miconazole ◉ PromethazinePromethazineWhich dosage form is usually rubbed in with friction? - Collodion - Gel - Liniment - LotionLinimentWhich transdermal patch should be flushed down the toilet instead of thrown in the trash? ◉ Climara ◉ Duragesic ◉ Flector ◉ LidodermDuragesicHow is a sublingual tablet administered? ◉ Swallowed whole ◉ Placed under the tongue ◉ Chewed before swallowing ◉ Placed between the cheek and gumPlaced under the tongueWhich dosage form uses a spring device to aerosolize a medication? - Aqueous nasal spray - Dry-powder inhaler - Metered-dose inhaler - Soft-mist inhalerSoft-mist inhaler ---------------------------- (soft-mist = spring device)Which agency determines requirements for controlled prescriptions? - CDC - DEA - FDA - NIHDEAWhich type of label contains the information "May Cause Drowsiness?" ◉ Auxiliary ◉ Expiration ◉ High-alert ◉ Look-alike/sound-alikeAuxiliaryWhich prescription information are you allowed to inform patients about, according to most states? ◉ Drug name ◉ Indication ◉ Missed dose ◉ Side effectsDrug nameWhat should you do when a prescription is transferred to your pharmacy? ◉ Treat it like a new prescription ◉ Call the pharmacy for refills ◉ Tell the patient you cant fill it ◉ Wait 48 hours to fill after receiving itTreat it like a new prescriptionA patient is at your pharmacy drop-off window talking about his medications. What do you need to do? ◉ Have the patient write down the information that is considered PHI. ◉ Tell the patient they cannot talk about their medications at your window. ◉ Make sure the patient is talking loud enough for the pharmacist to overhear. ◉ Make sure you are talking in a location where other customers cannot overhear.Make sure you are talking in a location where other customers cannot overhear.Mr. Harvey comes to your pharmacy for a refill of his lactulose, 1440 mL. How many 12 ounce prescription bottles will you need to use fill his prescription? - 2 - 4 - 6 - 84Which law requires patients to receive counseling by the pharmacist or an offer for pharmacist counseling? - ADA - FDMA - HIPAA - OBRA '90OBRA '90Insulin is a high-alert medication because it: ◉ Can cause reproductive toxicity ◉ Can cause serious side effects ◉ Is more likely to cause errors ◉ Is more likely to cause serious errorsIs more likely to cause serious errorsWith which pharmacy function do automated dispensing devices help? - Filling prescriptions - Processing insurance claims - Identifying refills too soon to fill - Ordering medications from the supplierFilling prescriptionsWhen a patient receives less medication than what's on the prescription label, it can lead to: ⚬ Late-fill notices ⚬ Over-extended therapy ⚬ Refill-too-soon rejections ⚬ Paying less than they shouldRefill-too-soon rejectionsOunces are often used as the measure for: - Amber bottles - Graduated cylinders - Prescription vials - Weigh boatsAmber bottlesHow can the use of automated dispensing devices help keep patients safe? ⚬ Slows down the dispensing process ⚬ Adds more steps to the pharmacist's final check ⚬ Reduces the amount of errors in the dispensing process ⚬ Eliminates the need to verify the med's physical appearanceReduces the amount of errors in the dispensing processMrs. Russos is deaf. She comes into your pharmacy with her daughter to drop off three prescriptions. Which communication technique is appropriate while helping Mrs. Russos? ◉ Overexaggerate words ◉ Ask open-ended questions ◉ Use a telephone interpretation service ◉ Maintain eye contact with Mrs. Russos' daughterAsk open-ended questionsThe pharmacist hands you a prescription he took over the phone for Mr. Jordan. When Mr. Jordan picks up his med he says it's supposed to be for Levemir FlexTouch, but Lovenox was filled instead. Which written communication strategy could have prevented this error? - Writing in block lettering - Avoiding readable handwriting - Using understandable handwriting - Avoiding drug name abbreviationsUsing understandable handwritingMs. Simmons calls the pharmacy and explains her daughter's amoxicillin suspension is a bottle of powder. The pharmacy forgot to add water to it. Which strategy will help you in this situation? - Listen to the patient and remain calm. - Tell the pharmacist which employee is at fault. - Inform the patient it's not a problem and happens often. - Tell the patient that you'll inform the pharmacist and call her back.Listen to the patient and remain calmMr. Rivas brings in his new prescription for clopidogrel. After you enter the prescription into the computer, you can see the claim is approved. What is this process known as? - Adjudication - Cost-sharing - Med reconciliation - Prior authorizationAdjucationMr. Ramsey is a new patient and is dropping off his prescription. What information do you need to obtain from Mr. Ramsey? ◉ Completed New Drug form ◉ Height, weight, and body mass index ◉ Address and phone number of his employer ◉ Current medications and medical conditionsCurrent medications and medical conditionsWhen responding to a patient, you should: ◉ Make eye contact ◉ Speak slowly ◉ Talk in a loud tone ◉ Use medical lingoMake eye contactFor which pharmacy task can prescription label bar codes be useful? ◉ Restocking shelves ◉ Accepting refill authorizations ◉ Processing prescription refills ◉ Refilling automated dispensing devicesProcessing prescription refillsWhat information must be distributed to the patient, according to federal law, when they are at the pick-up window? - Privacy Rule Practice - Privacy Practice Form - Notice of Privacy Practice - Note of Privacy RegulationsNotice of Privacy PracticeWhich type of question is a good way to ensure you are getting the right information from a patient? - Application - Empathetic - Knowledge-based - Open-endedOpen-endedA prescription for a noncontrolled substance should include the patient's: ◉ Home address ◉ Date of birth ◉ Insurance information ◉ Telephone numberDate of birthIf you are pregnant or may become pregnant, why is it recommended that you do not handle broken or crushed hazardous meds? ◉ They may be absorbed through your skin and cause you harm ◉ They may be absorbed through your clothes and cause you harm ◉ They may be absorbed through your skin and cause birth defects ◉ They may be absorbed through your clothes and cause birth defectsThey may be absorbed through your skin and cause birth defectsA prescription that comes to the pharmacy through an automated answering machine is known as which type of prescription? - Electronic - Faxed - Paper - VerbalVerbalWhat is an example of tall man lettering? ◉ Clonidine ◉ LaMICtal ◉ SPIRONOLACTONE ◉ topiriMateLaMICtalWhat information is required on a prescription for Tramadol? - Patient's full address - Prescriber's NPI number - Patient's insurance provider - Pharmacy's DEA numberPatient's full addressLook-alike/sound-alike medications are found on the Institute for Safe Medication Practices List of: - Confused Drug Names - Dangerous Abbreviations - Hazardous Medications - High-Alert MedicationsConfused Drug NamesWhen you're preparing creams or ointments and need to weigh your ingredients, you generally will use a(n): ⚬ Beaker with lid ⚬ Electronic balance ⚬ Graduated cylinder ⚬ Measuring cupElectronic balanceA prescription that is hand-delivered to the pharmacy is considered which type of prescription? - Electronic - Paper - Phone - VerbalPaperWhat is a benefit to using automated dispensing devices in the pharmacy? - Reverses insurance claims - Reduces inventory turnover - Manages medication therapy - Handles high prescription volumeHandles high prescription volumeWhich item is generally used when weighing a cream or ointment? - Foil squares - Glassine paper - Plastic tub - Weigh boatGlassine paperWhy is a patient identifier significant at the pick-up counter? ◉ Verifies the right patient ◉ Moves the pick-up line faster ◉ Identifies who needs counseling ◉ Locates where the med is storedVerifies the right patientWhat is required on a noncontrolled prescription? - Prescriber's DEA number - Patient's name - Prescriber's telephone number - Patient's addressPatient's nameWhere would you look to find a prescription for a non-controlled liquid medication that has been prepared for a patient? - Locked cabinet - Reconstitution area - Refrigerator - Will-call areaWill-call areaWhen applying a prescription label, a good way to adhere the label is to move from: - Bottom to top - Left to right - Right to left - Top to bottomLeft to rightA prescription for a non-controlled medication must include the: - Patient's telephone number - Patient's full address - Prescriber's DEA number - Date writtenDate writtenA prescription label is important because it: - Provides counseling information to the patient - Explains the side effects of the specific medication - Clarifies all the ingredients that are in the medication - Tells the patient how to correctly take the medicationTells the patient how to correctly take the medicationWhich medication must contain the prescriber's DEA number on the prescription? ◉ Amlodipine ◉ Metoprolol ER ◉ Oxycodone ◉ TelmisartanOxycodoneWhat number is required on a prescription label? - Insurer ID - Patient Social Security - Pharmacy Telephone - Prescriber DEAPharmacy TelephoneWhat information is important to gather at drop-off for all patients? ⚬ Credit card number ⚬ Drug allergies ⚬ Height and weight ⚬ Spouse's nameDrug allergiesThe prescription number is used to verify the: - The medication the patient wants refilled - Prescriber's telephone number - Pharmacy's DEA number - Patient's medication profileThe medication the patient wants refilledA prescription for a controlled medication must include the: ◉ Patient's full address ◉ Pharmacy's DEA number ◉ Prescriber's NPI number ◉ Insurance ID numberPatient's full addressWhat is required on a noncontrolled prescription? ◉ Drug NDC number ◉ Medication strength ◉ Pharmacy address ◉ Prescriber's telephoneMedication strengthWhich equipment will you need to fill a prescription for metformin 500 mg tabs? ◉ Graduated cylinder and beaker ◉ Counting tray and spatula ◉ Needle and syringe ◉ Mortar and pestleCounting tray and spatulaA graduated cylinder is used to measure: - Capsules - Liquids - Ointments - TabletsLiquidsHandwashing should be done after: - Putting away inventory - Selecting LASA medications - Reconstituting a medication - Handling hazardous medicationsHandling hazardous medicationsWhat is one of the main causes for medications that need to be packaged in their original container to lose their potency? - Exposure to light - Lid secured too tightly - Being a specific shape - Too many preservativesExposure to lightWhich is an example of an appropriate liquid measuring device for patients? ◉ Amber bottle ◉ Dosing cup ◉ Graduated cylinder ◉ Household teaspoonDosing cupWhen you are selecting a medication from the pharmacy shelf, you need to double-check the drug's name, strength, manufacturer, and: - AMP - AWC - NDC - NPINDCWhich button on a digital scale clears the memory and resets the scale to 0 g? - Memory - Power - Reset - TareTareWhen speaking with patients at drop off, you want to: - Avoid direct eye contact - Ask yes or no questions - Speak quickly and mumble - Avoid using pharmacy jargonAvoid using pharmacy jargonHaving your tablets in a single layer on the counting tray can: ◉ Prevent miscounts ◉ Increase miscounts ◉ Make counting slower ◉ Make counting harderPrevent miscountsWhich medication would you generally need to double-count? ◉ Alprazolam ◉ Escitalopram ◉ Trazodone ◉ VenlafaxineAlprazolamWhat type of paper is commonly used for prescriptions to help show possible alterations? ◉ Blot-resistant ◉ Ink-resistant ◉ Tamper-resistant ◉ Water-resistantTamper-resistantWhich is an example of a red flag for a fraudulent prescription? - Small quantity - Local prescriber - Hometown patient - Incomplete prescriptionIncomplete prescriptionWhat term is used to describe Mr. Losser's insurance paying 85% of the cost of his medication? ◉ Annual fee ◉ Co-insurance ◉ Commission ◉ DeductibleCoinsuranceWhat is the term used to describe a percentage of the medication's cost? ◉ Co-insurance ◉ Deductible ◉ Premium ◉ ProportionCoinsuranceA new patient comes to your pharmacy's drop-off window right before closing time. He hands you a prescription written for a significantly large quantity of Percocet. What do you do? - Process the prescription as you normally would. - Fill the medication for only half of the quantity prescribed. - Alert the pharmacist about the large quantity of medication. - Tell the patient it's a fraudulent prescription so it can't be filled.Alert the pharmacist about the large quantity of medication.How can bar codes on medication stock bottles help with your pharmacy tasks? - Processing insurance claims - Bringing up a patient's profile - Identifying prescriptions to be refilled - Reordering medications from the supplierReordering medications from the supplierWhen counting finasteride tablets, which personal protective equipment must you use? ◉ Chemotherapy gloves ◉ Respiratory protection ◉ Single layer gloves ◉ VentilationSingle layer gloves"Caution: Federal law prohibits the transfer of this drug to any person other than the person for whom it was prescribed" should appear on the prescription label for which category of drugs? ⚬ Controls ⚬ Generics ⚬ Legends ⚬ OTCsControlsIf you have a prescription for Tekturna, what patient information should be on the prescription? - Home address - Full name - Insurance ID number - Telephone numberFull nameWhat information should be on a prescription for Cardizem? - Patient's date of birth - Prescriber's DEA number - Patient's full address - Prescriber's fax numberPatient's date of birth (cardizem or diltiazem is not a controlled substance)Which type of interaction alert would show up for simvastatin and grapefruit? ◉ Drug-Age ◉ Drug-Disease ◉ Drug-Drug ◉ Drug-FoodDrug-FoodIf information is missing from a prescription, you should alert the patient at: ◉ Drop-off ◉ Data entry ◉ Filling ◉ Pick upDrop-offA patient's co-pay is determined by their: ◉ Health insurance ◉ Pharmacy ◉ Prescriber ◉ Treatment planHealth insuranceWhat section in the package insert would state whether a drug should be stored in its original container? ⚬ Indications and Usage ⚬ Warnings and Precautions ⚬ Dosage Forms and Strengths ⚬ How Supplied/Storage and HandlingHow Supplied/Storage and HandlingWhat is tall man lettering? ◉ Name of a medication written in all capital letters ◉ A specific size font used on the label of stock bottles ◉ A specific themed font used on the label of stock bottles ◉ Name of a medication written with certain parts in capital lettersName of a medication written with certain parts in capital lettersWhat information does the BIN identify? ◉ The number of dependents on the plan ◉ The policyholder's member identification ◉ The insurance plan the policyholder belongs to ◉ The third-party payer that's billed by the pharmacy for a prescriptionThe third-party payer that's billed by the pharmacy for a prescriptionThe "Rx" symbol on an insurance card means it's used for which entity? - Dentist - Hospital - Pharmacy - PhysicianPharmacyPremiums are: - The patients cost for their prescription - A list of medications covered by insurance - Ongoing amount paid to keep insurance active - An annual amount of money due before insurance kicks inOngoing amount paid to keep insurance activeWhat does a dual-eligible patient mean? ◉ They applied for insurance and are awaiting approval from the company ◉ They have more than one insurance plan to cover the cost of medications ◉ They have two insurances, but must choose one to cover their medications ◉ Their benefits have ended and have been put in a temporary insurance programThey have more than one insurance plan to cover the cost of medicationsWhich number on an insurance card is used to identify the policyholder? ◉ Group ◉ BIN ◉ Member ID ◉ PCNMember IDHospital visits, hospice, and skilled nursing facilities are covered by which Medicare part? - A - B - C - DAWhat does it mean to need a "prior authorization" for a medication? ◉ The prescriber has to provide the pharmacy with the patient's lab results. ◉ The pharmacy can't fill the medication because the patient still has some at home. ◉ The prescriber needs to provide justification for medication use to the third-party payer. ◉ The pharmacy has to order the medication, but provides a few days' supply in the meantime.The prescriber needs to provide justification for medication use to the third-party payer.Prescriber visits, DME, limited outpatient prescriptions, and physical therapy are covered by which Medicare part? - A - B - C - DBA joint government program that helps with medical costs for those who fall under the national poverty level is called what? ◉ Medicaid ◉ Medicare ◉ TRICARE ◉ Preferred Provider OrganizationMedicaidWhich Medicare plan combines original Medicare with a prescription plan? - Part A - Part B - Part C - Part DPart CWhat action might an insurance company take when a pharmacy is dispensing refills too soon? - An audit - A compliance check - A contract review - A fee evaluationAn auditMs. Sampson has two prescription insurance plans. What is it called when you bill both of her insurances for a medication? ◉ Coordination of benefits ◉ Dual-eligible ◉ Primary payer ◉ Secondary payerCoordination of benefitsWhich number is used to identify each family member on an insurance plan? ◉ Dependent code ◉ Group ◉ BIN ◉ Member IDDependent codeMedicare Part D enrollment is between which dates? - January 1 to April 15 - May 1 to July 7 - October 15 and December 7 - November 15 to December 31October 15 and December 7What is a list of medications that insurance will cover called? - Adjudication - Co-pay - Formulary - Open enrollmentFormularyWhat is the set amount of money paid by the patient until the insurance pays for health coverage? ◉ Co-pay ◉ Deductible ◉ Formulary ◉ PremiumDeductibleWhat is it called when a third-party payer looks for inconsistent billing from a pharmacy? ◉ Assessment ◉ Audit ◉ Override ◉ ReviewAuditIf a patient's insurance plan requires a primary care physician, it's likely they have which type of insurance? ◉ HMO ◉ PBM ◉ PPO ◉ TRIHMOWhich number is used as a second identifier to identify a specific plan within an insurance company? ◉ Group ◉ BIN ◉ Member ID ◉ PCNPCNWhat does Medicare Part D cover? ◉ Hospital visits ◉ Nebulizer medications ◉ Outpatient prescriptions ◉ Prescriber visitsOutpatient prescriptionsWhat is it called when a patient pays a set amount of money for their medication? - Co-pay - Deductible - Formulary - PremiumCo-payPBMs are: ◉ Organizations who regulate controlled substances ◉ Third-party providers who act on behalf of the prescriber ◉ Third-party providers who enforce the standards for prescription drugs ◉ Organizations who act as a middleman between the pharmacy and the insurerOrganizations who act as a middleman between the pharmacy and the insurerWhat is the process of accepting or denying a submitted claim called? ◉ Adjudication ◉ Co-insurance ◉ Formulary ◉ PremiumAdjudicationMedicare Part A includes which coverage? ◉ Hospital visits ◉ Nebulizer medications ◉ Outpatient prescriptions ◉ Prescriber visitsHospital visitsWhich type of data entry error can flag an insurance company to perform an audit? ◉ Late refill ◉ Invalid member ID ◉ Invalid days' supply ◉ Missing dependent codeInvalid days' supplySpeaking at an appropriate volume: ◉ Shows you care ◉ Can help you speak clearly ◉ Prompts the listener to ask questions ◉ Gives the impression you lack confidenceCan help you speak clearlyMr. Miller shares with you he only has $50 until he gets paid again, and he's concerned because his med costs $20. How can you show Mr. Miller you're empathetic to his situation? ◉ "There's nothing we can do to help." ◉ "You should be a little wiser with your money." ◉ "Hopefully next month you'll be better at budgeting." ◉ "Let's see if the pharmacist has a way to save you money.""Let's see if the pharmacist has a way to save you money."Having patients repeat information back to you shows: - How well you are actively listening - That you are interested and paying attention - How well the patient understands what you are saying - That you understand what the other person thinks or feelsHow well the patient understands what you are sayingA goal for effective communication is to increase: - Patient safety - Patient tolerability - Pharmacy safety - Pharmacy satisfactionPatient safetyHow is the coordination of benefits process best described? - Submitting claims to the primary payer - Submitting claims to dual-eligible third parties - Requesting benefit information from the prescriber - Requesting benefit information from the insurance companySubmitting claims to the primary payerMedicaid is run by: - Employers - Drug companies - Private insurance companies - Federal and state governmentsFederal and state governmentsWhat is it called when a percentage of the drug cost is to be paid, for each prescription? ◉ Co-insurance ◉ Deductible ◉ Formulary ◉ PremiumCo-insuranceWhat is an example of the adjudication process? ◉ A patient fills out new patient profile documentation online. ◉ A third-party payer requests more information for claim approval. ◉ A pharmacy submits a claim electronically to the insurance company. ◉ A prescribers office sends an electronic prescription to the pharmacy.A pharmacy submits a claim electronically to the insurance company.What do third-party payers primarily work to accomplish? - Dispense medications to individuals and families - Provide effective and expensive healthcare services - Increase the cost of how much the patient will be charged - Reduce the cost of healthcare services for individuals and familiesReduce the cost of healthcare services for individuals and familiesWhen a patient is able to see the physician of their choice, it's likely they have which type of insurance? ◉ HMO ◉ PBM ◉ PPO ◉ TRIPPOOnce a patient has enrolled or made changes to Medicare Part D, when does it take effect? - January 1 - April 15 - July 4 - December 31January 1Which section of the SDS would you find information on how to clean a hazardous spill? - Accidental Release Measures - Disposal Considerations - First-Aid Measures - Hazard(s) IdentificationAccidental Release MeasuresIn which section of the SDS can compounding garb information be found? - Accidental Release Measures - Exposure Controls/Personal Protection - Handling and Storage - Hazard(s) IdentificationExposure controls/personal protectionMr. Carrington received Celexa instead of Celebrex in his medication vial. This medication error occurred most likely because of the: ◉ Checking pharmacist ◉ Filling technician ◉ Point-of-sale clerk ◉ System failureSystem failureMr. Phaelen tells you that his levothyroxine tablets are a different color than the last time he got them filled, and he is concerned something is wrong. You should: - Identify which employee made the error - Alert the pharmacist and investigate the concern - Inform the patient the error was a misunderstanding - Calm the patient down and offer excuses why the error likely occurredAlert the pharmacist and investigate the concernWhich is the name of the medication error reporting program used specifically for hospitals?MedMARxWhich drug category requires an SDS? ◉ Bulk ingredients ◉ Dietary supplements ◉ Homeopathic ◉ Over-the-counterBulk ingredientsAn SDS contains information about the medication's: ◉ Administration ◉ Cost ◉ Side effects ◉ StorageStorageWhile handling Mrs. Wiley's Lamisil Rx, you notice Lamisil looks like Lamictal. Separating these products on the pharmacy shelf is an important step in which part of the prescription process? ◉ Drop-off ◉ Order entry ◉ Filling ◉ DeliveryFillingHow can medication errors be avoided at order entry? ◉ Be alert for drug names with suffixes. ◉ Ask patients if they have any new allergies. ◉ Encourage patients to ask questions about their medications. ◉ Use shelf tags to separate look-alike/sound-alike medications.Be alert for drug names with suffixes.Medication errors, such as mixing up glipizide and glyburide, should be reported to which FDA-regulated program? ◉ Medline ◉ MedManage ◉ Medscape ◉ MedWatchMedWatchAt which point in the medication-use process should you double-check that Mr. Thomas' Augmentin suspension has been reconstituted? ◉ Drop-off ◉ Order entry ◉ Filling ◉ DeliveryDeliveryMrs. Thompson comes in with a new Rx for Lipitor. What should be done at prescription drop-off to avoid a medication error? ◉ Tell the pharmacist about any drug alerts that pop up. ◉ Separate look-alike medications on pharmacy shelves. ◉ Set up a working system to avoid errors with reconstituted antibiotics. ◉ Update her profile with current allergy information and any new medical conditions.Update her profile with current allergy information and any new medical conditions.Which strategy should you use when you're confronted with a medication error? ⚬ Admit liability. ⚬ Acknowledge the error. ⚬ Alert the pharmacist at the end of the day. ⚬ Tell the patient you will call them later to discuss it.Acknowledge the errorWhich agency requires an SDS for every hazardous drug in the pharmacy? ◉ OSHA ◉ ASHP ◉ AAPT ◉ DEAOSHAIn which section of the SDS can you find information on how to properly discard a drug? ◉ Disposal Considerations ◉ First-Aid Measures ◉ Handling and Storage ◉ Hazards IdentificationDisposal ConsiderationsHow does a near miss differ from a medication error? ◉ It results in patient harm. ◉ It doesn't reach the patient. ◉ It is an unpreventable error. ◉ It is due to a prescribing error.It doesn't reach the patient.Which is most likely a cause for medication errors? ◉ Fault of one individual ◉ Failure in the process or system ◉ Having a new employee in the pharmacy ◉ Gross negligence of a healthcare professionalFailure in the process or systemOSHA requires that an exposure document be kept on file in the pharmacy for: - 5 years - 10 years - 20 years - 30 years30 yearsThe name of a reporting program that's operated by ISMP and USP is called: - APhA - CDC - MERP - NABPMERPYou receive a prescription for Colocort enema. Which auxiliary label should you apply to the Rx? ◉ Refrigerate ◉ Shake well ◉ Take with food ◉ Topical use onlyShake wellMr. Morgan tells you that his warfarin tablets are a different color than the last time he got them filled, and he is concerned something is wrong. You should: ◉ Accept liability for the medication error ◉ Be honest with the patient and pharmacist ◉ Offer reasons why the error probably happened ◉ Check the computer for a copy of the prescriptionBe honest with the patient and pharmacistDocumenting medication errors is important because it: ◉ Allows the pharmacy to improve its dispensing process ◉ Allows the pharmacy to charge patients more for prescription costs ◉ Identifies the person in the pharmacy who should be held responsible ◉ Informs the pharmacist who isn't "pulling their weight" in the pharmacyAllows the pharmacy to improve its dispensing processMr. Jackson often requests a refill for his clonazepam a few days early. When he comes to pick it up, the tech seems annoyed and impatient. Which openness strategy will help the tech's interaction with Mr. Jackson? ◉ Listening ◉ Questioning ◉ Reflecting ◉ WonderingQuestioningWhich technique can help patients understand your verbal communication? ◉ Active listening ◉ Attentive body language ◉ Speaking clearly ◉ Writing clearlySpeaking clearlyMs. Petrov is hard to understand over the phone. To demonstrate you have all of the correct information, you should use: ◉ An empathetic response ◉ An informative response ◉ The repeat-back method ◉ The open-ended question techniqueThe repeat-back methodA more patient-friendly way of saying "adverse event" would be: ◉ Anaphylaxis ◉ Bad reaction ◉ In place of ◉ PrecautionBad reactionTaking a long time to fill out a new patient profile form could indicate the patient has: ◉ Low health literacy ◉ High health literacy ◉ Low health learning ◉ High health learningLow health literacyWhich nonverbal communication technique helps to open the line of communication with patients? ⚬ Looking beyond the patient ⚬ Wondering about the patient ⚬ Having positive body language ⚬ Reflecting on your interactionHaving positive body languageWhen leaving a written note for another tech, what strategy will help them understand your note better? ◉ Using pictures ◉ Using shorthand ◉ Writing in jargon ◉ Writing legiblyWriting legiblyMs. Vu comes to the drop-off window with a new prescription. Which is an example of an open-ended question? ◉ "Do you need this prescription today?" ◉ "Are you going to wait for your prescription?" ◉ "It'll be ready at 5 pm, will that work for you?" ◉ "When would you like to pick up your prescription?""When would you like to pick up your prescription?"Mr. Fernandez is in a lot of pain, and it took him over an hour to get to the pharmacy. Which is an example of giving him an empathetic response to his situation? ◉ "Next time take a pain med before leaving the house." ◉ "I'm sorry to hear that. I'll get your med as soon as possible." ◉ "That doesn't sound ideal. You should plan ahead a little better." ◉ "There's a lot of traffic in this area. It'll usually take you over an hour to get here.""I'm sorry to hear that. I'll get your med as soon as possible."Leaning toward your listener gives the impression you are: ◉ Giving your divided attention ◉ Interested and paying attention ◉ Lack patience and attentiveness ◉ Willing to help after you finish your workInterested and paying attentionYou wrote out Ms. Sargenta's med list to give to the pharmacist. He was able to read all of the meds you wrote out, but misread Excedrin as Midrin. Which written communication strategy could have prevented this error? - Writing legibly - Proofreading - Avoiding pharmacy jargon - Avoiding dangerous abbreviationsWriting legiblyWhich term is considered jargon? ◉ By mouth ◉ Eye ◉ Formulary ◉ High blood pressureFormularyMs. Featherton takes care of her two special needs children and always seems flustered and hurried when she picks up their medication. Which openness strategy will help you put yourself in Ms. Featherton's shoes? ◉ Acknowledging ◉ Listening ◉ Questioning ◉ ReflectingAcknowledgingYou receive a faxed prescription for levothyroxine 75 mcg, 1 po qd. There are several ink smears on the fax copy, so you misinterpreted the sig for 1 po qid. Which strategy should be used with written communication? ◉ Use cursive handwriting ◉ Avoid faxed communication ◉ Abbreviate medication names ◉ Write out symbols and sig codesWrite out symbols and sig codesMr. Popov would like help finding an item over-the-counter. Which type of body language lets Mr. Popov know you're approachable and friendly? ⚬ Having open posture ⚬ Looking beyond the patient ⚬ Leaning away from the patient ⚬ Crossing your arms over your chestHaving open postureA technique for effective verbal communication is: ◉ Avoiding jargon ◉ Maintaining eye contact ◉ Asking closed-ended questions ◉ Counting a medication while talking to a patientAvoiding jargonHow can you open up dialogue with your patient to get complete and accurate information? ◉ Conduct a patient survey. ◉ Ask open-ended questions. ◉ Use patient questionnaires. ◉ Ask closed-ended questions.Ask open-ended questions.Mrs. Potter is blind. Which communication technique will help her understand how to take her medication? ⚬ Auxiliary labels ⚬ Block lettering ⚬ Braille labels ⚬ Simple sentencesBraille labelsWhat type of response is an example of good verbal communication? ◉ Callous ◉ Empathetic ◉ Indifferent ◉ StimulatedEmpatheticMs. Rosales doesn't understand how to take her medication and speaks little English. Which communication technique should you use? ⚬ Overexaggerate words when speaking to Ms. Rosales. ⚬ Have the pharmacist speak loudly during her consultation. ⚬ Provide labels and medication information sheets in pharmacy jargon. ⚬ Use the computer to translate labels and medication information sheets.Use the computer to translate labels and medication information sheets.Which communication technique could help a non-English speaking patient understand how to take their medication? - Use sign language - Give a written note - Provide translated labels - Using a family member to translateProvide translated labelsMr. Vu speaks very little English. Which communication technique should you use with Mr. Vu? ◉ Speak at a higher volume ◉ Talk directly to the patient ◉ Overexaggerate words to enhance understanding ◉ Ask questions that require a "yes" and "no" response.Talk directly to the patientWhich communication technique can help someone who has trouble reading and understanding health information? - Having the pharmacist counsel the patient - Providing a MedGuide with the prescription - Providing a printed patient information sheet - Using pharmacy jargon on the prescription labelHaving the pharmacist counsel the patientMs. Langston has spent most of her day at her physician's office and is ready to get her meds and go straight home. How can you show Ms. Langston you understand her feelings and situation? ◉ Give an empathetic response. ◉ Encourage her to switch physicians. ◉ Repeat back her feelings and concerns. ◉ Ask her follow-up questions about her day.Give an empathetic response.You ask Mr. Hanks to fill out a health questionnaire prior to receiving a vaccination. You notice he has his son fill out the form for him. This could be an indication of low: - Health literacy - Patience - Vaccination preparedness - VisualityHealth literacyWhich is an example of a good communication technique when communicating with a non-English speaking patient? - Talk directly to the interpreter. - Overexaggerate words to enhance understanding. - Use pictures to illustrate how to take a medication. - Ask questions that require a "yes" and "no" response.Use pictures to illustrate how to take a medication.Mr. Pavlov prefers that the pharmacist shows him pictures on how to take his medication. This is likely because he: - Has low health learning - Can't see because he's blind - Prefers written communication - Speaks and understands little EnglishSpeaks and understands little EnglishWhich is an example of a good communication technique when communicating with a patient who is deaf? ◉ Talk directly to the interpreter. ◉ Speak loudly and over-exaggerate words. ◉ Ask questions that require a "yes" and "no" response. ◉ Determine the patient's preferred method of communication.Determine the patient's preferred method of communicationWhich is a component of clear speech? ⚬ Looking pleased ⚬ Repeating words ⚬ Speaking quickly ⚬ Using a pleasant toneUsing a pleasant toneWhich component of clear speech lets your patient know you're interested in what they're saying? - Articulating clearly - Speaking at the appropriate speed - Using a pleasant, professional tone - Speaking at an appropriate volumeUsing a pleasant, professional toneWhen communicating with patients, openness can be achieved by: ◉ Paying attention, speculating, identifying, having positive body language ◉ Listening, acknowledging, wondering, recognizing, questioning, reflecting ◉ Determining preferred method of communication, speaking clearly, writing legibly, being patient ◉ Squarely facing patient, having open posture, leaning towards the patient, maintaining eye contact, relaxingListening, acknowledging, wondering, recognizing, questioning, reflectingEvery other week Mr. Fullerton comes into the pharmacy to purchase OTC pseudoephedrine and pays cash. You assume he's making methamphetamines. Which openness strategy will help you realize your assumption and bias? - Listening - Recognizing - Reflecting - WonderingRecognizingMr. Carrington received celexa instead of celebrex in his med vial, this med error occurred most likely because of a:System failureWhich agency requires employee training on how to use information contained in the SDS?OSHAWhich is an example of a good communication technique when communicating with an elderly patient? - Using elderspeak - Speaking in pharmacy jargon - Speaking loudly to the patient - Addressing them by their nameAddressing them by their nameYou wrote Anita a note yesterday to order "4.0" bottles of rubbing alcohol. Today, 40 bottles came in the order. Which written communication strategy could have prevented this mix-up? ◉ Proofread notes ◉ Write notes in cursive ◉ Read-back messages ◉ Avoid using trailing zerosAvoid using trailing zerosNurse Daniella calls over the phone looking for a medication for her patient. Which SOLER technique will let Daniella know you're willing to take the time to help her? ◉ Clear speech ◉ Eye contact ◉ Professional tone ◉ RelaxRelax"What medications, foods, or dyes are you allergic to?" is an example of: ◉ A closed-ended question ◉ An open-ended question ◉ Pharmacy jargon ◉ Standard lingoAn open-ended questionCommunicating effectively in the pharmacy will increase: ◉ Attitude ◉ Emotion ◉ Personality ◉ TrustTrustProviding prescription labels in large font is a good communication technique for patients that: - Don't speak English - Have difficulty hearing - Have a hard time seeing - Need an interpreter presentHave a hard time seeingUsing pictures to show a patient how to take their medication is an example of a good communication technique for patients who: ⚬ Are blind ⚬ Don't speak English ⚬ Prefer sign language ⚬ Have high health literacyDon't speak EnglishWhich technique will help you speak clearly? ◉ Articulate words ◉ Sound concerned ◉ Speak quickly ◉ Use high pitchArticulate wordsMs. Schwartz doesnt understand why her insurance isnt paying for her medication. Which SOLER technique lets Ms. Schwartz know you're willing to take the time to explain things to her? ◉ Being fidgety ◉ Using clear speech ◉ Speaking professionally ◉ Staying relaxedStaying relaxedMr. Pankerton has a difficult time understanding health and medical information. Which technique will help him understand how to take his medication? ◉ Using pharmacy jargon on the prescription label ◉ Labeling the vial with clear and simple directions ◉ Attaching the package insert with the prescription ◉ Providing a printed patient information sheet about his medicationLabeling the vial with clear and simple directionsIn regard to inventory, what is automatic drug substitution? - When a pharmacy automatically updates the medications they need ordered - When a pharmacy automatically fills a generic med in place of a brand-name drug - When a supplier is out of stock of a med and sends a different size or manufacturer - When a supplier cancels the pharmacy's order because they're out of the medicationWhen a supplier is out of stock of a med and sends a different size or manufacturerWhich step is important to do when checking in an inventory delivery? ◉ Sending damaged items back with the delivery driver ◉ Placing room temperature items on pharmacy shelves first ◉ Verifying the number of bins received matches number shipped ◉ Alerting the pharmacist that a non-controlled drug order is being deliveredVerifying the number of bins received matches number shippedWhich strategy helps acknowledge that each patient is different and unique? ◉ Empathetic response ◉ Openness ◉ Repeat-back ◉ SOLEROpennessHow is a manual ordering process managed? - Keeping an eye on physical levels of current stock - Being alerted when a product falls below par level - Having an ongoing, real-time account for stock levels - Receiving a list all products that need to be replenishedKeeping an eye on physical levels of current stockHow is a manufacturer, when used as a supplier, described? ◉ Functions as the pharmacy's internal wholesaler ◉ Used to transfer meds to pharmacies within the same company ◉ Used first when products are needed before the warehouse delivery ◉ Provides limited distribution or meds have special storage requirementsProvides limited distribution or meds have special storage requirementsAchieving openness when communicating with patients means: ◉ Repeating back information ◉ Having positive body language ◉ Considering new views and possibilities ◉ Having your verbal message match your non-verbal messageConsidering new views and possibilitiesWho generally orders and checks in Schedule II controlled substances? - Pharmacy technician - Pharmacist - Inventory pharmacy technician - P&T committee memberPharmacistWhat is the definition of perpetual inventory? ◉ An automated delivery system ◉ The reorder point for a specific medication ◉ An ongoing, real-time account of stock levels ◉ A manual method to account for stock levelsAn ongoing, real-time account of stock levelsHow should you handle meds that need to be returned to the supplier? - Immediately box up and ship meds back to the supplier. - Inform the pharmacist of meds that need to be returned. - Place meds that need to be returned in a designated area. - Send expired medications back with the inventory delivery driver.Place meds that need to be returned in a designated area.At which temperature range should insulin be stored in the pharmacy? ⚬ -20°C to -10°C ⚬ 15°C to 30°C ⚬ 15°F to 30°F ⚬ 36°F to 46°F36°F to 46°FThe package insert for Abilify recommends storing the tablets at 25°C. Based on this information, where should you store the medication? ⚬ In the freezer ⚬ In the refrigerator ⚬ Room temperature on OTC shelves ⚬ Room temperature on shelves inside the pharmacyRoom temperature on shelves inside the pharmacyA pharmacist usually handles which inventory responsibility? - Placing stock on shelves - Checking in non-controlled inventory - Controlling par levels for perpetual inventory - Ordering and returning medications as neededControlling par levels for perpetual inventoryWhich pharmacy zone should a ProAir HFA inhaler be stored? - Durable medical equipment - Prescription needed - Refrigerator - Restricted over-the-counterPrescription neededWhat is par level? ◉ A manual ordering process ◉ An automated delivery system ◉ The reorder point for a specific medication ◉ An ongoing account for the pharmacy's inventoryThe reorder point for a specific medicationWhere should products be stored if they require a temperature range of -13°F to 14°F? - In dry ice - In the freezer - In the refrigerator - On room temperature shelvesIn the freezerWhy are short-dated products sometimes sent back to the pharmacy's supplier? - Because the supplier is short on stock - To get rid of excess inventory and free up inventory dollars - To fulfill the supplier's notice to send back the defective meds - Because patients likely won't use the meds before they expireBecause patients likely won't use the meds before they expireWhy is it important to file the order invoice? ◉ Ensures all bins have been delivered ◉ In case an item needs to be returned ◉ Maintains compliance in the pharmacy ◉ Verifies all items have been marked off the invoiceMaintains compliance in the pharmacyWhich strategy is used to reduce the amount of medication the pharmacy has out of stock? ⚬ Par levels ⚬ Drug diversion ⚬ Manual orders ⚬ Automatic drug substitutionAutomatic drug substitutionWhich type of ordering process provides a listing of all products that need to be replenished? ⚬ Automated ⚬ Manual ⚬ Quarterly ⚬ SeasonalAutomatedWhat strategy is used to provide affordable medication options to pharmacies? ◉ Par levels ◉ Perpetual inventory ◉ Automated reordering ◉ Automatic drug substitutionsAutomatic drug substitutionsWhat temperature range is proper refrigerator temperature? ⚬ -25°C to -10°C ⚬ 2°C to 8°C ⚬ 9°C to 14°C ⚬ 15°C to 30°C2°C to 8°C ---------------------------------- (refrigerator temperature: 2°C to 8°C and 36°F to 46°F)Which temperature range should frozen medications be stored at inside the pharmacy? ◉ -25°C to -10°C ◉ 15°C to 30°C ◉ 15°F to 30°F ◉ 36°F to 46°F-25°C to -10°CAccording to the product label, Zostavax should be stored at -15°C prior to reconstitution. Based on this information, where should you store the medication? ◉ In the freezer ◉ In the refrigerator ◉ At room temperature ◉ On the shelf in the pharmacyIn the freezerMs. Berger needs help locating items from her shopping list. Which item is generally found behind the counter in the pharmacy? - Aspirin - Denture paste - Ear plugs - PseudoephedrinePseudoephedrineYou have 6 bottles of lisinopril 10 mg in stock. The par level is 4 bottles, and the maximum quantity is 10 bottles. How many bottles should be ordered? ◉ 0 ◉ 2 ◉ 4 ◉ 100Which scenario can make a pharmacy a target for robbery? - Rotating pharmacy staff often - Leaving the pharmacy door open - Pharmacy staff taking frequent work breaks - Ensuring adequate visibility in the parking lotLeaving the pharmacy door openWhy would a pharmacy send back overstock items to their supplier? ◉ The supplier needs the stock back. ◉ The meds are going to expire within one year. ◉ The meds are going to expire within one to three months. ◉ The pharmacy can earn credit for meds they likely won't use.The pharmacy can earn credit for meds they likely won't use.Where should products be stored if they require storage temperatures between 15°C to 30°C? ◉ In dry ice ◉ In the freezer ◉ In the refrigerator ◉ On room temperature shelvesOn room temperature shelvesThe pharmacist asks you to restock inventory items in the pharmacy. Which items are considered behind the counter pharmacy inventory? ◉ Amber vials and lids ◉ Contact lens solutions ◉ Eyeglasses and magnifiers ◉ Sugar-free diabetic candiesAmber vials and lidsWhen a quantity level discrepancy is discovered for a medication, how should it be handled? ◉ Inform other pharmacy staff members of the discrepancy. ◉ Update the quantity to the on-hand amount quickly to avoid future errors. ◉ Research the discrepancy to see if it warrants the need to update the quantity. ◉ Alert the pharmacist to the discrepancy and request an update in the computer system.Research the discrepancy to see if it warrants the need to update the quantity.You receive the following prescription: Pulmicort Respules 0.25 mg/2 mL Inhale contents of 1 respule twice daily #60 respules If the medication is available in boxes of 30 respules, how many boxes will you need to order to fill the prescription? - 1 - 2 - 3 - 42Which type of supplier functions as the pharmacy's own internal wholesaler? ◉ Distribution center ◉ Manufacturer ◉ Non-preferred supplier ◉ Other pharmaciesDistribution centerWhich responsibility is usually handled by the inventory pharmacy technician? - Managing drug shortages - Determining hospital formulary - Analyzing demand and purchase history - Controlling par levels for perpetual inventoryManaging drug shortagesYou are stocking inventory and notice a bottle of metoprolol tartrate 50 mg has an expiration date of January 2022. When must the product be dispensed by? - January 1, 2022 - January 31, 2022 - February 1, 2022 - February 28, 2022January 31, 2022Which situation is a red flag for diversion? ⚬ An employee that comes late to work often ⚬ A staff member taking frequent work breaks ⚬ Missing a large quantity of expensive medication ⚬ Keeping controlled substances on shelves in the back of the pharmacyMissing a large quantity of expensive medicationWhich order check-in step ensures items that are supposed to be delivered have been delivered? - Calling the supplier to verify items delivered - Pointing out discrepancies to the delivery driver - Scanning or entering each item into the inventory system - Marking off items on the packing slip as they're removed from the binMarking off items on the packing slip as they're removed from the binHow is a non-preferred supplier described? ◉ Aren't as cost-effective and the pharmacy may lose money ◉ Has limited distribution or meds have special storage needs ◉ May transfer meds to pharmacies within the same company ◉ Usually used by larger chain pharmacies for an automated deliveryAren't as cost-effective and the pharmacy may lose moneyIn what area of the pharmacy should insulin be stored? ◉ Durable medical equipment ◉ Freezer ◉ Locked cabinet ◉ RefrigeratorRefrigeratorWhich dosage form is good for providing a protective layer to the affected area? ◉ Collodion ◉ Cream ◉ Liniment ◉ PastePasteWhich dosage form is weighed using a balance? - Cream - Syrup - Tablet - TrocheCreamMr. Gordon brings in a prescription for Zoloft. Which medical condition would you update his pharmacy profile with? ◉ Alzheimer's disease ◉ Depression ◉ Parkinson's disease ◉ SeizuresDepressionDr. Purcell orders the following prescription for Mr. Gibbs: Lantus Inject 10 units in PM Disp: 10 mL Lantus is which type of insulin? ◉ Intermediate-acting ◉ Long-acting ◉ Rapid-acting ◉ Short-acitingLong-actingMr. Manning calls the pharmacy to refill his SSRI. Which medication is classified as an SSRI? ◉ Bupropion ◉ Fluoxetine ◉ Mirtazapine ◉ TrazodoneFluoxetineMr. Odom hands you a prescription for his diabetes. Which medication should be stored in the refrigerator before dispensing to the patient? ◉ Glimepiride ◉ Insulin detemir ◉ Pioglitazone ◉ SitagliptinInsulin detemirMrs. Joseph is prescribed estradiol. What is the brand name of this medication? ◉ Estrace ◉ Premarin ◉ Prometrium ◉ XulaneEstraceMrs. Harrison is prescribed Prempro. Which medical condition should be added to her profile? ◉ Acne ◉ Contraception ◉ Menopausal symptoms ◉ Premenstrual dysphoric disorderMenopausal symptomsMr. Clemons is prescribed finasteride. What medical condition would you update his pharmacy profile with? ◉ BPH ◉ CAD ◉ OCD ◉ PMSBPHWhich drug class does Climara fall under? ◉ Estrogen ◉ Monophasic oral contraceptive ◉ Progestin ◉ Triphasic oral contraceptiveEstrogenWhich medication is a monophasic oral contraceptive? ◉ Estring ◉ Loestrin Fe ◉ NuvaRing ◉ XulaneLoestrin FeLoestrin Fe replaces "inactive" pills with: ◉ Calcium ◉ Chloride ◉ Iron ◉ SodiumIronMr. Darwin has been taking Actos. Which lab result would the pharmacist be most concerned about? ◉ A1C ◉ CBC ◉ TSH ◉ WBCA1CWhat does "Fe" stand for in the drug name Loestrin Fe? ◉ Calcium ◉ Iron ◉ Potassium ◉ SodiumIronWhat is a common side effect of 5-alpha reductase inhibitors? ◉ Drowsiness ◉ Erectile dysfunction ◉ Heartburn ◉ NauseaErectile dysfunctionWhat is the brand name for bicalutamide? ◉ Cardura ◉ Casodex ◉ Jalyn ◉ UroxatralCasodexWhich medication is a 5-alpha reductase inhibitor? ◉ Alfuzosin ◉ Bicalutamide ◉ Finasteride ◉ TestosteroneFinasterideWhat is the brand name of finasteride? ◉ Avodart ◉ Casodex ◉ Jalyn ◉ ProscarProscarWhich medication is a 5-alpha reductase inhibitor? ◉ Avodart ◉ Casodex ◉ Hytrin ◉ RepafloAvodartWhat is the generic name of Adriamycin? ◉ Adracinamide ◉ Clarithromycin ◉ Doxorubicin ◉ MethotrexateDoxorubicinWhich medication type has a drug interaction with Femara? ◉ Anti-inflammatories ◉ Antihypertensives ◉ Estrogens ◉ OpioidsEstrogensWhat is a common side effect of tamoxifen? ◉ Blurred vision ◉ Dry mouth ◉ Hot flashes ◉ VomitingHot flashesHow long should a patient take tamoxifen to reduce breast cancer recurrence? ◉ 1 year ◉ 5 years ◉ 10 years ◉ 20 years5 yearsHow long should a patient take Nolvadex to reduce breast cancer recurrence? ◉ 6 months ◉ 1 year ◉ 3 years ◉ 5 years5 yearsWhich medication type has a drug interaction with Evista? ◉ Antibiotics ◉ Estrogens ◉ Muscle relaxants ◉ OpioidsEstrogensWhat is the brand name of tamoxifen? ◉ Evista ◉ Nolvadex ◉ Tamiflu ◉ XifaxanNolvadexWhich medication is classified as an aromatase inhibitor? ◉ Arimidex ◉ Cipro ◉ Flexeril ◉ ZoloftArimidexWhat is the brand name of methotrexate? ◉ Doxol ◉ Methylin ◉ Trexall ◉ XultophyTrexallWhat is the generic name of Trexall? ◉ Allopurinol ◉ Doxorubicin ◉ Methotrexate ◉ TrimethoprimMethotrexateWhat is a common side effect of chemotherapy? ◉ Diarrhea ◉ Headache ◉ Insomnia ◉ SedationDiarrheaWhat is a common side effect of chemotherapy? ◉ Constipation ◉ Hair loss ◉ Insomnia ◉ Shortness of breathHair lossWhich lab would a pharmacist be most concerned about with chemotherapy? ◉ Ca ◉ LFT ◉ K ◉ NaLFTChemotherapeutic agents, such as Taxol, are used to treat what medical condition? ◉ Cancer ◉ High blood pressure ◉ High cholesterol ◉ Bacterial infectionCancerWhen typing a prescription for an ACE inhibitor, a drug interaction alert pops up. Which electrolyte is responsible for this interaction? ◉ Calcium ◉ Magnesium ◉ Potassium ◉ SodiumPotassiumYou are combining a medication list before a comprehensive medical review appointment for Mr. Stevens. Among his medications, you notice that Mr. Stevens takes Vitamin B6. Vitamin B6 is also known as: ◉ Cyanobalamin ◉ Folic acid ◉ Niacin ◉ PyridoxinePyridoxineMr. Davis is purchasing several vitamins. Which vitamin is necessary for vision, especially night vision? ◉ Ascorbic acid ◉ Cyanocobalamin ◉ Pyridoxine ◉ RetinolRetinolMrs. Jennings takes a number of medications. Which medication is classified as an aromatase inhibitor? ◉ Anastrozole ◉ Cyclobenzaprine ◉ Raloxifene ◉ TamoxifenAnastrozoleWhich vitamin is fat soluble? ◉ Vitamin A ◉ Vitamin B6 ◉ Vitamin B12 ◉ Vitamin CVitamin AVitamin K is mainly used for: ◉ Calcium absorption ◉ Healthy blood clotting ◉ Muscle development ◉ Night visionHealthy blood clottingNiacin is used for: ◉ Lowering bad cholesterol ◉ Preventing cavities in teeth ◉ Avoiding neural tube defects ◉ Treating certain types of anemiaLowering bad cholesterolWhich vitamin is water soluble? ◉ Vitamin A ◉ Vitamin C ◉ Vitamin D ◉ Vitamin EVitamin CWhich statement means that dietary supplements are of good quality, and they've been tested for accurate content? ◉ "D5 quality" ◉ "Excellent ingredients" ◉ "Supplement strength" ◉ "USP verified""USP verified"Mr. Knutson comes to the pharmacy counter to purchase ferrous sulfate. Ferrous sulfate is used to manage: ◉ Anemia ◉ Arthritis ◉ Constipation ◉ High cholesterolAnemiaMr. Simpson is purchasing several over-the-counter vitamins. Which vitamin is necessary for calcium absorption? ◉ Vitamin A ◉ Vitamin B12 ◉ Vitamin C ◉ Vitamin DVitamin DVitamin A is mainly used for: ◉ Calcium absorption ◉ Healthy blood clotting ◉ Muscle development ◉ Night visionNight visionWhat does "USP verified" mean with dietary supplements? ◉ They have been used in clinical trials ◉ They were made in the United States ◉ They have been made with substandard ingredients ◉ They're of good quality and tested to verify contents are accurateThey're of good quality and tested to verify contents are accurateWhat is the federal controlled schedule of AndroGel? ◉ Schedule II ◉ Schedule III ◉ Schedule IV ◉ Schedule VSchedule IIIWhich dosage form does Xyosted come in? ◉ Intramuscular solution ◉ Oral disintegrating tablet ◉ Subcutaneous solution ◉ TabletSubcutaneous solutionWhich side effect could be expected when taking a PDE5 inhibitor? ◉ Acne ◉ Flushing ◉ Increased hematocrit ◉ InfertilityFlushingPDE5 inhibitors have a severe drug interaction with which medication? ◉ Hydrocodone ◉ Memantine ◉ Nitroglycerin ◉ TestosteroneNitroglycerinWhich common side effect could a patient have while using testosterone topical gel? ◉ Aggression ◉ Flushing ◉ Nausea ◉ Mood swingsMood swingsWhat is the brand name for sildenafil ◉ Cialis ◉ Levitra ◉ Stendra ◉ ViagraViagraWhich lab values should be monitored when using some testosterone therapy products? ◉ ANC ◉ BUN ◉ INR ◉ PSAPSAWhich medication is a PDE5 inhibitor? ◉ Fortesta ◉ Muse ◉ Stendra ◉ XyostedStendraWhich hormonal contraceptive comes as a vaginal insert? ◉ Microgestin Fe ◉ NuvaRing ◉ Xulane ◉ YazminNuvaRingWhat is the generic name of Cialis? ◉ Avanafil ◉ Sildenafil ◉ Tadalafil ◉ VardenafilTadalafilWhich medication represents duplicate therapy with Cialis? ◉ Stalevo ◉ Stelara ◉ Stendra ◉ StribildStendraWhat is the generic name for Xyosted? ◉ Hayfever ◉ Testosterone cypionate ◉ Testosterone enanthate ◉ VardenafilTestosterone enanthateWhat is the brand name for silodosin? ◉ Cardura ◉ Hytrin ◉ Repaflo ◉ UroxatralRepafloWhat is the generic name of Hytrin? ◉ Doxazosin ◉ Dutasteride ◉ Finasteride ◉ TerazosinTerazosinWhat is the generic name of Flomax? ◉ Doxazosin ◉ Dutasteride ◉ Tamsulosin ◉ TerazosinTamsulosinWhich medication is an alpha-1 blocker? ◉ Avodart ◉ Casodex ◉ Flomax ◉ ProscarFlomaxWhich auxiliary label should you place on an alpha-1 blocker Rx? ◉ "Take with food" ◉ "For topical use only" ◉ "Take in the morning" ◉ "May cause dizziness""May cause dizziness"What is the brand name of dutasteride? ◉ Avodart ◉ Cardura ◉ Casodex ◉ RepafloAvodartMr. Schwartz is picking up his Uroxatral prescription. Which dosage form does this medication come in? ◉ Capsule ◉ Suppository ◉ Tablet ◉ Topical creamTabletWho should avoid handling broken finasteride tablets? ◉ Elderly patients ◉ Immunocompromised patients ◉ Menopausal women ◉ Pregnant womenPregnant womenMr. Castillo requested a refill for Cardura. Which generic medication in his patient profile will you select? ◉ Alfuzosin ◉ Doxazosin ◉ Tamsulosin ◉ TerazosinDoxazosinMr. Ellison is prescribed Casodex. Which medical condition would you update his pharmacy profile with? ◉ Benign prostatic hyperplasia ◉ Erectile dysfunction ◉ Hypotension ◉ Prostate cancerProstate cancerWhat is a common side effect of birth control? ◉ Dizziness ◉ Insomnia ◉ Nausea ◉ Shortness of breathNauseaMs. Hill said she prefers the brand name product for Ocella. What is the brand name for Ocella? ◉ Loestrin Fe ◉ Ortho Tri-Cyclen ◉ Yasmin ◉ YazYasminWhich medication is a controlled substance? ◉ Staxyn ◉ Stendra ◉ Viagra ◉ VogelxoVogelxoWhat is a brand name for ethinyl estradiol and drospirenone? ◉ NuvaRing ◉ Ortho Tri-Cyclen ◉ Seasonale ◉ YasminYasminWhich precaution is common with oral hormonal contraceptives? ◉ Low blood pressure ◉ Lung cancer ◉ Smoking tobacco ◉ Urinary tract infectionSmoking tobaccoWhich medication is a triphasic oral contraceptive? ◉ Ortho Tri-Cyclen ◉ Seasonale ◉ Yasmin ◉ YazOrtho Tri-CyclenMrs. Benjamin is prescribed Provera. What is the generic name of this medication? ◉ Conjugated estrogens ◉ Estradiol ◉ Medroxyprogesterone ◉ ProgesteroneMedroxyprogesteroneWhich hormonal contraceptive comes as a transdermal patch? ◉ Junel Fe ◉ NuvaRing ◉ Tri-Sprintec ◉ XulaneXulaneWhat is the brand name of diazepam? ◉ Ativan ◉ Klonopin ◉ Restoril ◉ ValiumValiumMr. Milton gives you a prescription for Abilify. What drug class does Abilify belong to? ◉ Antipsychotics ◉ Sedatives ◉ Stimulants ◉ TriptansAntipsychoticsWhat is a common side effect of antipsychotics? ◉ Hypertension ◉ Hypoglycemia ◉ Insomnia ◉ Weight gainWeight gainWhich drug is commonly used to treat bipolar disorder? ◉ Bupropion ◉ Lithium ◉ Paroxetine ◉ SertralineLithiumMr. Raysor brings in a prescription for amitriptyline 10 mg. Amitriptyline belongs to which drug class? ◉ MAOI ◉ SNRI ◉ SSRI ◉ TCATCAMr. Jensen brings in a prescription for paroxetine. Which medical condition would you update his pharmacy profile with? ◉ Alzheimer's disease ◉ Depression ◉ Psychosis ◉ SeizuresDepressionMr. Eaton brings in a prescription for duloxetine 30 mg. Duloxetine belongs to which drug class? ◉ MAOI ◉ SNRI ◉ SSRI ◉ TCASNRIMrs. Kringle needs a refill on her Cymbalta. What is the generic name for Cymbalta? ◉ Duloxetine ◉ Lamotrigine ◉ Sertraline ◉ VenlafaxineDuloxetineMr. Gore gives you a prescription for Azilect. What drug class does Azilect belong to? ◉ MAOI ◉ SNRI ◉ SSRI ◉ TCAMAOIWhat is the generic name of Abilify? ◉ Aripiprazole ◉ Olanzapine ◉ Risperidone ◉ ZiprasidoneAripiprazoleWhat is the generic name of Seroquel? ◉ Aripiprazole ◉ Olanzapine ◉ Quetiapine ◉ RisperidoneQuetiapineWhat is the brand name of olanzapine? ◉ Abilify ◉ Lithobid ◉ Seroquel ◉ ZyprexaZyprexaWhich medical condition should you update Mr. Causey's profile with if he's turning in a new prescription for Levoxyl? ◉ Hyperglycemia ◉ Hyperthyroidism ◉ Hypoglycemia ◉ HypothyroidismHypothyroidismWhat drug class can cause lithium levels to increase? ◉ Diuretics ◉ Muscle relaxants ◉ Opioids ◉ StimulantsDiureticsMr. Wynn gives you a prescription for Seroquel. What drug class does Seroquel belong to? ◉ Antipsychotics ◉ Sedatives ◉ Stimulants ◉ TriptansAntipsychoticsWhich drug is commonly used to treat bipolar disorder? ◉ Escitalopram ◉ Lamotrigine ◉ Paroxetine ◉ SertralineLamotrigineWhich medication treats anxiety? ◉ Aricept ◉ Ativan ◉ Imitrex ◉ MirapexAtivanWhat is the generic name of Ativan? ◉ Alprazolam ◉ Diazepam ◉ Lorazepam ◉ TemazepamLorazepamMr. Lamar is in the hospital and his prescriber orders insulin to be given IV. Which insulin can be given by this route? ◉ Detemir ◉ Glargine ◉ NPH ◉ RegularRegularMr. Dante brings in the following prescription: Novolin 70/30 Inject 20 units before breakfast and at evening meal Disp: 10 mL Which size syringes should be dispensed with Mr. Dante's insulin prescription? ◉ 0.3 mL ◉ 0.5 mL ◉ 1 mL ◉ 3 mL0.3 mLWhich side effect will the pharmacist tell the patient about when taking a benzodiazepine? ◉ Abuse ◉ Diarrhea ◉ Insomnia ◉ Weight lossAbuseMs. Danvers is picking up her hormone replacement therapy and is wondering about side effects she may get from the medication. What common side effect will the pharmacist tell Mrs. Danvers about? ◉ Drowsiness ◉ Pain ◉ Sun sensitivity ◉ Weight gainWeight gainMs. Danvers is worried about taking her benzodiazepine, and wants to speak with the pharmacist about possible side effects. Which side effect will the pharmacist tell Ms. Danvers about? ◉ Addiction ◉ Constipation ◉ Hemorrhoids ◉ Yeast infectionsAddictionMr. Garcia discusses a new prescription for Namenda, for his mother, with the pharmacist. You should update Mr. Garcia's mother's profile with which medical condition? ◉ Alzheimer's disease ◉ Osteoporosis ◉ Parkinson's disease ◉ SchizophreniaAlzheimer's diseaseMrs. Lieb smokes ½ pack of cigarettes a day, drinks 2 glasses of wine, takes over-the-counter acetaminophen, and doesn't exercise. Which activity would concern the pharmacist the most when Mrs. Lieb takes her Valium? ◉ Drinking alcohol ◉ Not exercising ◉ Smoking cigarettes ◉ Taking acetaminophenDrinking alcoholWhich medication treats anxiety? ◉ Abilify ◉ Ambien ◉ Lunesta ◉ ValiumValiumWhat is the brand name of alprazolam? ◉ Ativan ◉ Klonopin ◉ Restoril ◉ XanaxXanaxWhat is the generic name of Restoril? ◉ Alprazolam ◉ Clonazepam ◉ Lorazepam ◉ TemazepamTemazepamWhich schedule classification is Ritalin? ◉ II ◉ III ◉ IV ◉ Not a controlled substanceIIMr. Ashe brings in a prescription for Concerta. Which medical condition would you update the patient's profile with? ◉ ADHD ◉ ATTN ◉ PDD ◉ PCOSADHDWhat is a common side effect of stimulants? ◉ Appetite suppression ◉ Diarrhea ◉ Rash ◉ Shortness of breathAppetite suppressionWhich is a common side effect of stimulants? ◉ Drowsiness ◉ Insomnia ◉ Rash ◉ Shortness of breathInsomniaWhat is the generic name of Strattera? ◉ Atomoxetine ◉ Dexmethylphenidate ◉ Lisdexamfetamine ◉ MethylphenidateAtomoxetineWhat is the brand name of lisdexamfetamine? ◉ Adderall XR ◉ Metadate CD ◉ Strattera ◉ VyvanseVyvanseWhich ADHD med is classified as an alpha-agonist? ◉ Intuniv ◉ Ritalin ◉ Strattera ◉ VyvanseIntunivWhat is a common side effect of anticonvulsants? ◉ Constipation ◉ Drowsiness ◉ Schizophrenia ◉ Weight lossDrowsinessWhich seizure medication can have a toxic effect on the liver? ◉ Depakote ◉ Keppra ◉ Lamictal ◉ TopamaxDepakoteWhat is the generic name of Lamictal? ◉ Carbamazepine ◉ Lamotrigine ◉ Phenobarbital ◉ TopiramateLamotrigineWhat is the brand name of carbamazepine? ◉ Lamictal ◉ Luminal ◉ Tegretol ◉ TopamaxTegretolWhat is the brand name of phenytoin? ◉ Dilantin ◉ Lamictal ◉ Tegretol ◉ TopamaxDilantinWhich seizure medication can have a toxic effect on blood cells? ◉ Lamictal ◉ Luminal ◉ Tegretol ◉ TopamaxTegretolWhich controlled substance is Lyrica classified under? ◉ III ◉ IV ◉ V ◉ Not a controlled substanceVWhat is the generic name of Trileptal? ◉ Carbamezapine ◉ Gabapentin ◉ Oxcarbazepine ◉ PregablinOxcarbazepineMr. Johnson discusses a new prescription for donepezil, for his father, with the pharmacist. You should update Mr. Johnson's father's profile with which medical condition? ◉ Alzheimer's disease ◉ Epilepsy ◉ Parkinson's disease ◉ Rheumatoid arthritisAlzheimer's diseaseWhat is the brand name of donepezil? ◉ Aricept ◉ Exelon ◉ Namenda ◉ SinemetAriceptMr. Freeman gives you a prescription for Requip. Which medication represents a duplicate therapy? ◉ Ambien ◉ Lexapro ◉ Mirapex ◉ NexiumMirapexWhat is the brand name of pramipexole? ◉ Aricept ◉ Mirapex ◉ Requip ◉ SinemetMirapexWhat is the generic name of Sinemet? ◉ Carbidopa / levodopa ◉ Donezepil ◉ Memantine ◉ RopiniroleCarbidopa / levodopaWhat is the generic name of Exelon? ◉ Carbidopa ◉ Pramipexol ◉ Rivastigmine ◉ RopiniroleRivastigmineWhich drug class may cause serotonin syndrome if combined with a triptan? ◉ ARBs ◉ DRIs ◉ NSAIDs ◉ SSRIsSSRIsMr. Lopez gives you a prescription for Mirapex. Which medication represents a duplicate therapy? ◉ Ambien ◉ Lexapro ◉ Nexium ◉ RequipRequipWhich medication is classified as an acetylcholinesterase inhibitor? ◉ Carbidopa ◉ Memantine ◉ Rivastigmine ◉ RopiniroleRivastigmineWhich medical condition, if left uncontrolled, could cause a problem for a patient taking a triptan medication? ◉ Constipation ◉ High blood pressure ◉ Nerve pain ◉ SchizophreniaHigh blood pressureWhich medical condition, if left uncontrolled, could cause a problem for a patient taking a triptan medication? ◉ Diarrhea ◉ Epilepsy ◉ High blood pressure ◉ Rheumatoid arthritisHigh blood pressureWhat is the generic name of Maxalf? ◉ Eletriptan ◉ Rizatriptan ◉ Sumatriptan ◉ ZolmitriptanRizatriptanWhat is a common side effect of triptan medications? ◉ Diarrhea ◉ Dizziness ◉ Headache ◉ InsomniaDizzinessWhat is a common side effect of a triptan medication? ◉ Diarrhea ◉ Fatigue ◉ Headache ◉ HypotensionFatigueWhat is the brand name of eletriptan? ◉ Imitrex ◉ Maxalt ◉ Relpax ◉ ZomigRelpaxDr. Dresden orders the following prescription for Mrs. Lewis: Toujeo SoloStar Inject 10 units qd in AM Disp: 1 box Toujeo SoloStar is classified as which type of insulin? ◉ Rapid-acting ◉ Short-acting ◉ Intermediate-acting ◉ Long-actingLong-actingWhat is the brand name for liothyronine? ◉ Armour Thyroid ◉ Cytomel ◉ Levoxyl ◉ Nature-Throid NTCytomelWhat is the brand name for insulin glulisine? ◉ Apidra ◉ Lantus ◉ Levemir ◉ NovoLogApidraWhich auxiliary label should be applied to levothyroxine Rxs? ◉ "Take in the evening" ◉ "May cause photosensitivity" ◉ "Take on an empty stomach" ◉ "Do not operate heavy machinery""Take on an empty stomach"Which medical condition should you update Mrs. Sander's profile with if she's turning in a new prescription for levothyroxine? ◉ Hyperglycemia ◉ Hyperthyroidism ◉ Hypoglycemia ◉ HypothyroidismHypothyroidismMr. Drennen has been taking Levoxyl. Which lab result would the pharmacist be most concerned about? ◉ A1C ◉ CBC ◉ TSH ◉ WBCTSHWhich medication is used for hyperthyroidism? ◉ Armour Thyroid ◉ Cytomel ◉ Nature-Thyroid NT ◉ TapazoleTapazoleWhat is the brand name for levothyroxine? ◉ Armour Thyroid ◉ Cytomel ◉ Nature-Thyroid NT ◉ SynthroidSynthroidWhich auxiliary label should be applied to Synthroid Rxs? ◉ "Take in the afternoon" ◉ "May cause drowsiness" ◉ "Take on an empty stomach" ◉ "May cause issues with developing fetus""Take on an empty stomach"Mr. Kim brings in the following prescription: Humalog Inject 15 units TID at mealtime Disp: 10 mL Humalog is classified as which type of insulin? ◉ Intermediate-acting insulin ◉ Long-acting insulin ◉ Rapid-acting insulin ◉ Short-acting insulinRapid-acting insulinWhat is the brand name for insulin aspart? ◉ HumaLog ◉ Lantus ◉ NovoLog ◉ TresibaNovoLogHumulin 70/30 combines regular insulin with which other insulin? ◉ Degludec ◉ Glulisine ◉ Lispro protamine ◉ NPHNPHMr. Church brings in the following prescription: Humulin 70/30 Inject 35 units before breakfast and at evening meal Disp: 10 mL Which size syringe should be dispensed with Mr. Church's insulin prescription? ◉ 0.3 cc ◉ 0.5 cc ◉ 1 cc ◉ 3 cc0.5 ccNovoLog 70/30 combines insulin aspart with which other insulin? ◉ Aspart protamine ◉ Degludec ◉ Glargine ◉ Lispro protamineAspart protamineMr. Wilson is in the hospital and his physician orders insulin to be given IV. Which insulin can be given by this route? ◉ Degludec ◉ Detemir ◉ Glargine ◉ LisproLisproMr. Buchanan hands you a new prescription for his diabetes. Which medication should be stored in the refrigerator before dispensing to the patient? ◉ Amaryl ◉ Avandia ◉ NovoLog ◉ OnglyzaNovoLogMr. Watson brings in the following prescription: NovoLog Inject 15 units TID at mealtime Disp: 10 mL NovoLog is classified as which type of insulin? ◉ Rapid-acting insulin ◉ Short-acting insulin ◉ Intermediate-acting insulin ◉ Long-acting insulinRapid-acting insulinMr. Madison brings in a new prescription for his diabetes. Which medication is available as an injection? ◉ Fortamet ◉ Glucophage ◉ Invokana ◉ VictozaVictozaMr. Holmes has been taking Janumet. Which lab result would the pharmacist be most concerned about? ◉ A1C ◉ CBC ◉ RBC ◉ TSHA1CMr. Cooper brings in a prescription for his diabetes. Which medication is available as an injection? ◉ Avandia ◉ Byetta ◉ Fortamet ◉ JanuviaByettaWhat is the generic name for Tradjenta? ◉ Alogliptin ◉ Linagliptin ◉ Saxagliptin ◉ SitagliptinLinagliptinWhich medication represents duplicate therapy with Viagra? ◉ Levitra ◉ Levoxyl ◉ Lopressor ◉ LunestaLevitraMr. Nichols was prescribed glimepiride. Which drug represents a duplicate therapy? ◉ Avandia ◉ DiaBeta ◉ Invokana ◉ VictozaDiaBetaMr. Glenn is picking up a prescription for his type 2 diabetes. Which medication is used to treat his condition? ◉ Metformin ◉ Methimazole ◉ Metoprolol ◉ MetronidazoleMetforminWhat is the brand name for repaglinide? ◉ Actos ◉ Prandin ◉ Starlix ◉ VictozaPrandinMrs. Robinson is picking up a prescription for her type 2 diabetes. Which medication is used to treat her condition? ◉ Gabapentin ◉ Gemfibrozil ◉ Glipizide ◉ GuaifenesinGlipizideWhat is the generic name of Zomig? ◉ Eletriptan ◉ Rizatriptan ◉ Sumatriptan ◉ ZolmitriptanZolmitriptanWhat is the brand name of sumatriptan? ◉ Imitrex ◉ Maxalt ◉ Relpax ◉ ZomigImitrexWhich medication may cause serotonin syndrome if combined with a triptan? ◉ Acetaminophen ◉ Ibuprofen ◉ Naproxen ◉ TramadolTramadolMrs. Lang needs a refill on her Effexor XR. What is the generic name for Effexor XR? ◉ Duloxetine ◉ Lamotrigine ◉ Sertraline ◉ VenlafaxineVenlafaxineMr. Clinton gives you a prescription for selegiline. What drug class does selegiline belong to? ◉ MAOI ◉ SNRI ◉ SSRI ◉ TCAMAOIMr. Jerod purchases a box of Prevacid 24HR. What is the generic name for Prevacid 24HR? ◉ Lansoprazole ◉ Omeprazole ◉ Pantoprazole ◉ RabeprazoleLansoprazoleWhich medication is indicated for dermatitis? ◉ Claciopotriene ◉ Clobetasol propionate ◉ Ketoconazole ◉ TretinoinClobetasol propionateWhat medication is classified as a topical corticosteroid? ◉ Adapalene ◉ Hydrocortisone ◉ Mupirocin ◉ TretinoinHydrocortisoneMr. Tarnovsky's e-prescription was sent over for fentanyl patches and Mr. Tarnovsky requested the brand name. What is the brand name for this medication? ◉ Dilaudid ◉ Duragesic ◉ Opana ◉ OxyContinDuragesicWhat is the brand name for prednisolone? ◉ Deltasone ◉ Medrol ◉ PediaPred ◉ SterapredPediaPredWhat is a common side effect of fish oil? ◉ Constipation ◉ Diarrhea ◉ Muscle pain ◉ NauseaDiarrheaMs. Samuels brings in a prescription for Restasis. What is the generic name for Restasis? ◉ Cyclosporine ◉ Lifitegrast ◉ Olapatadine ◉ TetrahydrozolineCyclosporineA patient comes into the pharmacy and is complaining of black stools. Which medication is most likely responsible fo this side effect? ◉ Colace ◉ Dulcolax ◉ Pepto-Bismol ◉ SenokotPepto-BismolWhich medication is classified as a serotonin-receptor antagonist? ◉ Compazine ◉ Emend ◉ Phenergan ◉ ZofranZofranWhat is the generic name for Colcrys? ◉ Allopurinol ◉ Colchicine ◉ Pegioticase ◉ ProbenecidColchicineMr. Browne has a new prescription for Ultram. What is the generic name for Ultram? ◉ Diclofenac ◉ Meloxicam ◉ Nabumetone ◉ TramadolTramadolWhich medication comes as a topical patch? ◉ Actiq ◉ Flector ◉ Motrin ◉ MS ContinFlectorWhat is a common side effect of parathyroid hormone analogs? ◉ Bone pain ◉ Drowsiness ◉ Heartburn ◉ NauseaNauseaWhich medication comes as a capsule? ◉ Lovaza ◉ Praluent ◉ Vytorin ◉ ZetiaLovazaWhich dosage form does Prolia come in? ◉ Intravenous solution ◉ Softgel capsule ◉ Subcutaneous solution ◉ TabletSubcutaneous solutionWhich auxiliary label would you apply on a Fosamax Rx? ◉ May cause drowsiness ◉ May cause sun sensitivity ◉ Take on an empty stomach ◉ Chew tablet before swallowingTake on an empty stomachCalcium is given with which vitamin to help with absorption? ◉ Vitamin B ◉ Vitamin C ◉ Vitamin D ◉ Vitamin EVitamin DWhich medication comes as a transdermal patch? ◉ Duragesic ◉ Lazanda ◉ Sublimaze ◉ SubsysDuragesicMs. Brooks is picking up her prescription for oxycodone and acetaminophen. What is the brand name for this combo med? ◉ Apadaz ◉ Norco ◉ Percocet ◉ Tylenol #4PercocetMrs. Welch has a new prescription for prednisone. Which side effect should the pharmacist be concerned about the patient developing while taking this medication long term? ◉ Dry mouth ◉ Diarrhea ◉ Muscle weakness ◉ Weight gainWeight gainMr. Collins has a prescription for Tylenol #3. What is the generic name for Tylenol #3? ◉ Acetaminophen / butalbital ◉ Acetaminophen / codeine ◉ Acetaminophen / hydrocodone ◉ Acetaminophen / oxycodoneAcetaminophen / codeineWhat is the brand name of warfarin? ◉ Coumadin ◉ Eliquis ◉ Lovenox ◉ PradaxaCoumadinMr. Keith takes warfarin. Which blood test will the pharmacist be most concerned about? ◉ CBC ◉ INR ◉ LFTs ◉ WBCINRWhat is the generic name of Effient? ◉ Clopidogrel ◉ Prasugrel ◉ Ticagrelor ◉ VorapaxarPrasugrelWhich medication has a serious drug interaction with isosorbide? ◉ Amoxicillin ◉ Lisinopril ◉ Sumatriptan ◉ TadalafilTadalafilWhat's the generic name of Betapace? ◉ Amiodarone ◉ Digoxin ◉ Isosorbide ◉ SotalolSotalolMr. Roosevelt has a prescription for nitroglycerin. Which dosage form will he receive if he's taking it to immediately stop an angina attack? ◉ Ointment ◉ Oral capsule ◉ Patch ◉ Sublingual tabletSublingual tabletPrasugrel has a drug interaction with which other drug class? ◉ ACEIs ◉ CCBs ◉ NSAIDs ◉ SSRIsNSAIDsWhich drug class does ibuprofen belong to? ◉ COX-2 inhibitor ◉ Muscle relaxant ◉ NSAID ◉ OpioidNSAIDMs. Gilland takes amiodarone. What is amiodarone used to treat? ◉ Arrhythmias ◉ High cholesterol ◉ Hypertension ◉ Lung toxicityArrhythmiasWhich medication is available as a sublingual tablet? ◉ Amiodarone ◉ Clopidogrel ◉ Nitroglycerin ◉ WarfarinNitroglycerinWhich medication should be used with caution in a patient with a sulfa allergy? ◉ Benicar ◉ Cardura ◉ Edarbyclor ◉ MicardisEdarbyclorWhich medication should be used with caution in a patient with a sulfa allergy? ◉ Azor ◉ Edarbi ◉ Exforge ◉ HytrinExforgeWhich lab result would a pharmacist be concerned about with a patient taking furosemide? ◉ APTT ◉ Ca2+ ◉ LFT ◉ SCrSCrWhat is the correct drug combination of Exforge HCT? ◉ Valsartan / hydrochlorothiazide ◉ Olmesartan / hydrochlorothiazide ◉ Olmesartan / amlodipine / hydrochlorothiazide ◉ Valsartan / amlodipine / hydrochlorothiazideValsartan / amlodipine / hydrochlorothiazideWhat's wrong with the following medication order? Promethazine 25 mg solution IV q8h prn nausea. Hold for confusion. ◉ Dosage form ◉ Indication ◉ Route of administration ◉ Side effectRoute of administrationMr. Gokey is picking up his eye drop containing brimonidine and brinzolamide. What is the brand name for his eye drop? ◉ Cequa ◉ Cosopt ◉ Simbrinza ◉ TobraDexSimbrinzaWhat is the brand name of ondansetron? ◉ Aloxi ◉ Compazine ◉ Kytril ◉ ZofranZofranMr. Franks takes nitroglycerin and is worried about his blood pressure dropping too low when he takes another medication. Which medication is most likely to cause this drug-drug interaction? ◉ Cephalexin ◉ Losartan ◉ Sildenafil ◉ TacrolimusSildenafilWhat is the generic name for Aleve? ◉ Acetaminophen ◉ Ibuprofen ◉ Meloxicam ◉ NaproxenNaproxenMr. Domingo brings in a prescription for Celebrex. What medical condition is Mr. Domingo being treated for? ◉ Fever ◉ Inflammation ◉ Muscle spasms ◉ OsteoporosisInflammationWhat is the generic name of Kytril? ◉ Dolasetron ◉ Granisetron ◉ Ondansetron ◉ PalonosetronGranisetronWhich medication should be stored in the fridge before dispensing? ◉ Lipitor ◉ Praluent ◉ Vytorin ◉ ZetiaPraluentMs. Flannigan brings in a Rx for Nexium. What medical condition would you update her pharmacy profile with? ◉ Acid reflux ◉ Constipation ◉ Diarrhea ◉ FlatulenceAcid refluxMr. Cook has high cholesterol. Which medication on his profile helps lower cholesterol? ◉ Zocor ◉ Zofran ◉ Zoloft ◉ ZoviraxZocorMrs. Saechow needs an antiemetic for her daughter. Which antiemetic is available in a dissolvable tablet? ◉ Anzemet ◉ Compazine ◉ Kytril ◉ ZofranZofranMr. Lynch asks for the pharmacist to help him select an over-the-counter product for diarrhea. Which medication is classified as an antidiarrheal? ◉ Bisacodyl ◉ Linezolid ◉ Loperamide ◉ SimethiconeLoperamideWhat is the brand name of Icosapent ethyl? ◉ Crestor ◉ Lipitor ◉ Repatha ◉ VascepaVascepaWhich medication comes as a rectal suppository? ◉ Aspirin ◉ Edoxaban ◉ Rivaroxaban ◉ WarfarinAspirinMr. Boomer is receiving a laxative in the hospital. Which laxative is available in a rectal form? ◉ Bisacodyl ◉ Lactulose ◉ Naloxegol ◉ Polyethylene glycolBisacodylWhich drug is a PCSK 9 inhibitor? ◉ Alirocumab ◉ Atorvastatin ◉ Ezetimibe ◉ FenofibrateAlirocumabMrs. Snacks has developed a dry cough after taking a medication. Which medication is most likely responsible for this? ◉ Avapro ◉ Edarbi ◉ Prinivil ◉ TekturnaPrinivilWhich medication should be used cautiously in patients with a latex allergy? ◉ Crestor ◉ Mevacor ◉ Repatha ◉ ZocorRepathaMr. Tyson is dropping off an Rx for Verelan. Verelan is the brand name for: ◉ Amlodipine ◉ Diltiazem ◉ Felodipine ◉ VerapamilVerapamilMrs. Riley has a known severe allergy to latex. Which medication should be used cautiously with her? ◉ Alirocumab ◉ Ezetimibe ◉ Evolocumab ◉ Icosapent ethylEvolocumabWhich medication should be used cautiously with Plavix? ◉ Crestor ◉ Niaspan ◉ Vascepa ◉ ZetiaVascepaWhat is the generic name of Movantik? ◉ Bisacodyl ◉ Diphenoxylate ◉ Naloxegol ◉ Polyethylene glycolNaloxegolMr. Layne asks for the pharmacist to help him select an over-the-counter product for diarrhea. Which medication is classified as an antidiarrheal? ◉ Colace ◉ Dulcolax ◉ Pepto-bismol ◉ SenokotPepto-bismolWhat is the brand name of bisacodyl? ◉ Colace ◉ Dulcolax ◉ Metamucil ◉ SenokotDulcolaxMr. O'Neal is picking up an eye emulsion for his eyes. Which medication comes as an emulsion? ◉ Cequa ◉ Opti-Clear ◉ Restasis ◉ XiidraRestasisWhat is a common side effect of Lumigan? ◉ Bleeding ◉ Drowsiness ◉ Eye color change ◉ Runny noseEye color changeMr. Langston has calcipotriene cream on his med list. What is the brand name for his medication? ◉ Clobex ◉ Dovonex ◉ Lidex ◉ TaclonexDovonexMrs. Slayton was told by her physician to pick up generic Cortizone cream. Which medication name will be labeled on the package? ◉ Betamethasone ◉ Clobetasol ◉ Hydrocortisone ◉ MometasoneHydrocortisoneWhat is the drug class of hydralazine? ◉ ACE inhibitor ◉ Alpha-2 agonist ◉ ARB ◉ VasodilatorVasodilatorWhat is the brand name for fluocinonide ointment? ◉ Clobex ◉ Kenalog ◉ Lidex ◉ SernivoLidexWhat is the diuretic drug class of spironolactone? ◉ Loop ◉ Osmotic ◉ Potassium-sparing ◉ ThiazidePotassium-sparingWhat is the generic name for Rogaine? ◉ Minocycline ◉ Minoxidil ◉ Mometasone ◉ MupirocinMinoxidilMr. Del Rio is picking up a prescription for Cipro HC. What is one side effect the pharmacist will inform Mr Del Rio about? ◉ Diarrhea ◉ Headache ◉ Inflammation ◉ Tendon ruptureHeadacheWhich drug class does Elidel cream fall under? ◉ Calcineurin inhibitors ◉ Corticosteroids ◉ Topical retinoids ◉ Vitamin D3 analogCalcineurin inhibitorsMr. Costello's profile shows that he is taking Tylenol #3. Which medication represents duplicate therapy? ◉ Carisoprodol ◉ Methadone ◉ Naproxen ◉ PrednisoneCarisoprodolWhich medication is a topical spray? ◉ Betamethasone ◉ Minoxidil ◉ Tretinoin ◉ TacrolimusBetamethasoneHow many days is BenzaClin good for after reconstitution? ◉ 30 ◉ 60 ◉ 90 ◉ 12090Mrs. Mangram is getting a new Rx for Nitrostat. Which side effect will the pharmacist tell her about? ◉ Dizziness ◉ Heartburn ◉ Insomnia ◉ Shortness of breathDizzinessWhich medication may cause breast enlargement? ◉ Differin ◉ Elidel ◉ Enstilar ◉ PropeciaPropeciaMr. Jerod purchases a box of lansoprazole. What is a brand name for lansoprazole? ◉ Dexilant ◉ Maalox ◉ Prevacid ◉ TagametPrevacidWhich medication is a prescription fish oil product? ◉ Lipitor ◉ Lotrel ◉ Lovaza ◉ LovenoxLovazaMs. Samuels brings in a prescription for Patanol. What is the generic name for Patanol? ◉ Cyclosporine ◉ Ketotifen ◉ Olopatadine ◉ TetrahydrozolineOlopatadineWhat is the brand name for triamcinolone acetonide ointment? ◉ Diprolene ◉ Elocon ◉ Kenalog ◉ TemovateKenalogWhat is the generic name for Xalatan? ◉ Bimatoprost ◉ Latanoprost ◉ Tafluprost ◉ TravoprostLatanoprostWhich medication has a serious drug interaction with Sporanox? ◉ Cholestyramine ◉ Colesevelam ◉ Fenofibrate ◉ SimvastatinSimvastatinWhat is Xalatan used to treat? ◉ Bacterial eye infection ◉ Dry eyes ◉ Fungal eye infection ◉ GlaucomaGlaucomaMs. Galindo asks for your help to find Debrox on the store shelves. What will Ms. Galindo use Debrox for? ◉ Ear infection ◉ Earwax removal ◉ Inner ear imbalance ◉ Swimmer's earEarwax removalWhich parenteral medication should only be given intramuscularly? ◉ Aloxi ◉ Compazine ◉ Phenergan ◉ ReglanPhenerganWhat is the generic name of Aloxi? ◉ Dolasetron ◉ Granisetron ◉ Ondanestron ◉ PalonosetronPalonosetronMr. Walls takes Lasix in the morning after breakfast. Lasix is the brand name for: ◉ Furosemide ◉ Hydrochlorothiazide ◉ Metolazone ◉ SpironolactoneFurosemideWhat is a brand name of lovastatin? ◉ Lipitor ◉ Mevacor ◉ Pravachol ◉ WelcholMevacorMr. Wolfe can't swallow meds and needs an antiemetic for himself. Which med is available in a solution? ◉ Dolasetron ◉ Granisetron ◉ Ondansetron ◉ ProchlorperazineOndansetronMr. Weaver brings in a new prescription for Phenergan. Which medication on his profile is a duplicate therapy with this new medication? ◉ Azithromycin ◉ Famotidine ◉ Pantoprazole ◉ ProchlorperazineProchlorperazineMr. Weaver brings in a prescription for Welchol. You would update Mr. Weaver's profile with which medical condition? ◉ Blood clots ◉ Heart failure ◉ High cholesterol ◉ Irregular heart beatHigh cholesterolMr. Johnstone purchases a box of famotidine. What is the brand name for famotidine? ◉ Pepcid ◉ Phenergan ◉ Prevacid ◉ PrilosecPepcidMs. Powell is getting a consultation on her Duavee Rx. What side effect will the pharmacist warn her about? ◉ Breakthrough bleeding ◉ Excess calcium in urine ◉ Joint pain ◉ Leg crampsBreakthrough bleedingWhich is the correct drug combination of Edarbyclor? ◉ Azilsartan / chlorthalidone ◉ Irbesartan / hydrochlorothiazide ◉ Olmesartan / amlodipine ◉ Valsartan / amlodipineAzilsartan / chlorthalidoneWhich medication is used for diarrhea? ◉ Colace ◉ Imodium-AD ◉ Metamucil ◉ MovantikImodium-ADWhich medication is used for constipation? ◉ Imodium-AD ◉ Kristalose ◉ Lomotil ◉ SimethiconeKristaloseWhich diuretic can potassium interact with? ◉ Furosemide ◉ Hydrochlorothiazide ◉ Metolazone ◉ SpironolactoneSpironolactoneWhat is the generic name of Amitiza? ◉ Docusate ◉ Lubiprostone ◉ Naloxegol ◉ PsylliumLubiprostoneMrs. Corona is getting a medication for her son for heartburn. Which med is available in a chewable tablet? ◉ Axid ◉ Dexilant ◉ Rolaids ◉ TagametRolaidsMs. Fox brings in a prescription for Dexilant. What medical condition would you update her pharmacy profile with? ◉ Acid reflux ◉ Constipation ◉ Diarrhea ◉ FlatulenceAcid refluxVytorin is a combination of ezetimibe and which other medication? ◉ Atorvastatin ◉ Lovastatin ◉ Rosuvastatin ◉ SimvastatinSimvastatinWhat is the brand name for the eye drop containing brimonidine and timolol? ◉ Combigan ◉ Cosopt ◉ Simbrinza ◉ TobraDexCombiganWhich medication for glaucoma is available as an eye implant? ◉ DurystaCataracts ◉ Lumigan ◉ Travatan Z ◉ VyzultaDurystaCataractsWhich medication interacts with MAOIs? ◉ Akbeta ◉ Azopt ◉ Iopidine ◉ Isopto CarpineIopidineMs. McCarley is looking for an eye drop to help reduce redness. Which OTC eye drop is used for this? ◉ Combigan ◉ Restasis ◉ Visine ◉ ZioptanVisineMr. Farris was recommended to purchase tetrahydrozoline eye drops. Whats the brand name for tetrahydrozoline eye drops? ◉ Combigan ◉ Cosopt ◉ Patanol ◉ VisineVisineWhat is the generic name for Diprolene ointment? ◉ Betamethasone dipropionate ◉ Fluticasone furoate ◉ Hydrocortisone valerate ◉ Mometasone furoateBetamethasone dipropionateWhich medication may cause erectile dysfunction? ◉ Adapalene ◉ Finasteride ◉ Minoxidil ◉ TacrolimusFinasterideMrs. Robinson brings in a prescription for alendronate. Which medical condition would you update her profile with? ◉ Arthritis ◉ Gout ◉ Muscle spasms ◉ OsteoporosisOsteoporosisMr. Rogers has a prescription for Lanoxin. Which monitoring parameter would the pharmacist be most concerned about? ◉ CBC ◉ ECG ◉ LFT ◉ WBCECGWhich drug is classified as an NSAID? ◉ Relafen ◉ Robaxin ◉ Skelaxin ◉ SomaRelafenMs. Gibson is picking up a refill on her ramipril. What is the brand name for ramipril? ◉ Accupril ◉ Altace ◉ Monopril ◉ ZestrilAltaceWhat is the brand name of nitroglycerin patches? ◉ Imdur ◉ Isordil ◉ Nitro-Dur ◉ NitrostatNitro-DurWhat is the generic name for Skelaxin? ◉ Cyclobenzaprine ◉ Metaxalone ◉ Methacarbamol ◉ TizanidineMetaxaloneMrs. Gibbs has a new prescription for methylprednisolone. Which side effect will the pharmacist be concerned about the patient developing while taking this medication? ◉ Flu-like symptoms ◉ Diarrhea ◉ Mood changes ◉ Respiratory depressionMood changesMs. Smart takes amiodarone. Which drug class does amiodarone belong to? ◉ Antiarrhythmics ◉ Anticoagulants ◉ Antiplatelets ◉ AntithromboticsAntiarrythmicsWhich medication is classified as a neurokinin-1 receptor antagonist? ◉ Compazine ◉ Emend ◉ Phenergan ◉ ZofranEmendNitro-bid is available as a(n): ◉ Ointment ◉ Oral tablet ◉ Patch ◉ Sublingual tabletOintmentWhat is a common side effect of Compazine? ◉ Confusion ◉ Ear pain ◉ Drowsiness ◉ RashDrowsinessMr. Flowers is getting a probenecid prescription. Which auxiliary label will you apply to his medication bottle? ◉ Shake well ◉ Avoid prolonged sun exposure ◉ Do not drink alcoholic beverages ◉ Take with plenty of waterTake with plenty of waterWhich medication is indicated for contact dermatitis? ◉Cetirizine ◉ Hydrocortisone ◉ Ketoconazole ◉ LinezolidHydrocortisoneWhat is a benefit to using a corticosteroid with an antibiotic for an ear infection? ◉ Decreases inflammation ◉ Decreases ringing ◉ Reduces imbalance ◉ Reduces pressureDecrease inflammationWhat class of medications can be added to an antibiotic to decrease inflammation in the ear? ◉ Analgesics ◉ Beta-agonists ◉ Beta-blockers ◉ CorticosteroidsCorticosteroidsFill in the blank. Alirocumab 75 mg _________ once a month ◉ Administer sublingually ◉ Insert rectally ◉ Inject subcutaneously ◉ Take orallyInject subcutaneouslyWhat is the brand name of nitroglycerin sublingual tablets? ◉ Imdur ◉ Isordil ◉ Nitro-Dur ◉ NitrostatNitrostatWhich medication may cause more bleeding if taken with warfarin? ◉ Alirocumab ◉ Ezetimibe ◉ Evolocumab ◉ Icosapent ethylIcosapent ethylWhat is the brand name for carvedilol? ◉ Coreg CR ◉ Inderal ◉ Lopressor ◉ Toprol-XLCoreg CRMs. Kunik takes carvedilol twice daily. Carvedilol is classified as a(n): ◉ ARB ◉ ACE inhibitor ◉ Beta-blocker ◉ Calcium channel blockerBeta-blockerWhat is the generic name for Rhospressa eye drops? ◉ Apraclonidine ◉ Liftegrast ◉ Netarsudil ◉ PilocarpineNetarsudilWhich ear drop should be avoided in someone with a sulfite allergy? ◉ Cortisporin ◉ Debrox ◉ Floxin ◉ OtovelCortisporinWhat is a side effect of Ciprodex? ◉ Dizziness ◉ Fatigue ◉ Pain ◉ SwellingPainWhat is the brand name for ciprofloxacin and fluocinolone otic solution? ◉ Cipro HC ◉ Ciprodex ◉ Cortisporin ◉ OtovelOtovelMs. Sager brings in a prescription for Travatan Z. This medication is classified as a(n): ◉ Alpha-2 agonist ◉ LatanoprostBeta-blocker ◉ Prostaglandin analog ◉ Rho kinase inhibitorProstaglandin analogMr. Whitaker brings in a new Rx for Compazine. Which medication on his profile represents a duplicate therapy? ◉ Aciphex ◉ Linzess ◉ Phenergan ◉ TagametPhenerganMs. Rocks is dropping off a prescription for lisinopril. What is the brand name for lisinopril? ◉ Accupril ◉ Altace ◉ Monopril ◉ PrinivilPrinivilWhat is a side effect of Xarelto? ◉ Bleeding ◉ Constipation ◉ Drowsiness ◉ HeadacheBleedingWhich medication has a drug interaction with potassium-sparing diuretics? ◉ Accupril ◉ Cardura ◉ Catapres ◉ HytrinAccuprilWhich medication can be used to treat benign prostatic hyperplasia? ◉ Doxazosin ◉ Enalapril ◉ Losartan ◉ TelmisartanDoxazosinMr. Stellar takes Hytrin in the evening. What is the generic name for Hytrin? ◉ Enalapril ◉ Doxazosin ◉ Lisinipril ◉ TerazosinTerazosinMr. Scooby has developed a dry cough after taking a medication. Which medication is most likely responsible for this? ◉ Altace ◉ Diovan ◉ Micardis ◉ TribenzorAltaceMr. Long takes Micardis. Which medication would represent a duplicate therapy? ◉ Amlodipine ◉ Bisoprolol ◉ Furosemide ◉ ValsartanValsartanWhich medication can be used to treat benign prostatic hyperplasia? ◉ Candesartan ◉ Hydralazine ◉ Olmesartan ◉ TerazosinTerazosinMr. Long takes Micardis. Which medication would represent a duplicate therapy? ◉ Amlodipine ◉ Bisoprolol ◉ Furosemide ◉ ValsartanValsartanWhich medication comes as an intravenous solution? ◉ Amlodipine ◉ Enalaprilat ◉ Irbesartan ◉ QuinaprilEnalaprilatA patient is about to get a consultation on a new Rx for amlodipine. Which side effect can happen with this medication? ◉ Cancer ◉ Chest pain ◉ Fast heart rate ◉ SwellingSwellingWhich supplement can interact with spironolactone? ◉ Calcium ◉ Potassium ◉ Sodium ◉ ZincPotassiumMr. Hogan has Gloperba on his med list. Which dosage form does Gloperba come in? ◉ Capsule ◉ Oral solution ◉ Rectal suppository ◉ TabletOral solutionWhat is a common side effect of Phenergan? ◉ Blood pressure increase ◉ Diarrhea ◉ Drowsiness ◉ InsomniaDrowsinessMr. White is picking up his son's ciprofloxacin / dexamethasone prescription. Which dosage form will Mr. White receive? ◉ Ophthalmic solution ◉ Ophthalmic suspension ◉ Otic solution ◉ Otic suspensionOtic suspensionA sulfite allergy is associated with which medication? ◉ Ciprodex ◉ Cortisporin ◉ Floxin ◉ Murine for EarsCortisporinWhat is the generic name for Murine for Ear solution? ◉ Carbamide peroxide ◉ Fluocinolone ◉ Hydrocortisone ◉ Hydrogen peroxideCarbamide peroxideMs. Byrde dropped off her daughter's prescription for Cortisporin ear solution. What are the generic names for Cortisporin? ◉ Ciprofloxacin / dexamethasone ◉ Ciprofloxacin / hydrocortisone ◉ Neomycin / polymyxin B / bacitracin ◉ Neomycin / polymyxin B / hydrocortisoneNeomycin / polymyxin B / hydrocortisoneWhat is incorrect with the following hospital order? Bystolic 5 mg tablet Take one tablet sublingually once daily for heart failure ◉ Dosage form ◉ Frequency ◉ Indication ◉ Route of administrationRoute of administrationMr. Pham is about to get a consultation on a new Rx for Lopressor. Which side effect of this medication will the pharmacist tell Mr. Pham about? ◉ Diarrhea ◉ Chest pain ◉ Insomnia ◉ Slow heart rateSlow heart rateMr. Weinhemer is about to get a consultation on a new Rx for Cardizem. Which side effect of this medication will the pharmacist tell Mr. Weinhemer about? ◉ Diarrhea ◉ Chest pain ◉ Headache ◉ Slow heart rateSlow heart rateWhich medication comes as an intravenous solution? ◉ Azilsartan ◉ Hydralazine ◉ Irbesartan ◉ TerazosinHydralazineWhich medication is used to treat acne? ◉ Cortisone ◉ Differin ◉ Elocon ◉ NizoralDifferinWhat is the brand name for nebivolol? ◉ Coreg CR ◉ Bystolic ◉ Procardia ◉ TenorminBystolicWhich medication comes as an intravenous solution? ◉ Cardizem ◉ Norvasc ◉ Plendil ◉ TenoreticCardizemWhich medication is a therapeutic duplication for Inderal? ◉ Lopressor ◉ Norvasc ◉ Plendil ◉ ProcardiaLopressorMrs. Welch has a new prescription for Kadian. Which side effect should the pharmacist be concerned about the patient developing while taking this medication? ◉ Diabetes ◉ Diarrhea ◉ Osteoporosis ◉ Respiratory depressionRespiratory depressionWhich medication has a therapeutic duplication with Procardia? ◉ Coreg ◉ Lopressor ◉ Norvasc ◉ Toprol-XLNorvascWhat is the generic for Alphagan P eye drops? ◉ Brimonidine ◉ Cyclosporine ◉ Olopatadine ◉ TimololBrimonidineMrs. Rudabegga is looking for vitamin B3. What's another name for Vitamin B3? ◉ Atorvastatin ◉ Cholestyramine ◉ Gemfibrozil ◉ NiacinNiacinMr. Daugherty is picking up a prescription for ofloxacin ear solution. What is the brand name for ofloxacin? ◉ Cipro HC ◉ Debrox ◉ Floxin ◉ OtovelFloxinCoumadin blocks which vitamin's action? ◉ Vitamin B12 ◉ Vitamin C ◉ Vitamin E ◉ Vitamin KVitamin KMr. Phan is about to get a consultation on a new Rx for hydrochlorothiazide. Which side effect of this medication will the pharmacist tell Mr. Phan about? ◉ Diarrhea ◉ Dizziness ◉ Insomnia ◉ Shortness of breathDizzinessMr. Crew takes his furosemide every morning. Furosemide is the generic name for: ◉ Aldactone ◉ Hydrodiuril ◉ Lasix ◉ MaxzideLasixMaxzide combines triamterene with which other medication? ◉ Bumetanide ◉ Furosemide ◉ Hydrochlorothiazide ◉ TorsemideHydrochlorothiazideMr. Willows dropped off a new Rx for Demadex. What is the generic name for this medication? ◉ Bumetanide ◉ Furosemide ◉ Hydrochlorothiazide ◉ TorsemideToresemideWhat is the brand name of ibandronate? ◉ Actonel ◉ Alenaze ◉ Boniva ◉ FosamaxBonivaWhich drug can cause colchicine levels to go too high? ◉ Clarithromycin ◉ Levetiracetam ◉ Penicillin ◉ TerbinafineClarithromycinMr. Ocean drops off his prescription for Tymlos. What is the generic name for Tymlos? ◉ Abaloparatide ◉ Calcitonin ◉ Denosumab ◉ RisedronateAbaloparatideWhat is the brand name for probenecid? ◉ Aloprim ◉ Benemid ◉ Colcrys ◉ UloricBenemidWhat is the generic name for Reclast? ◉ Bazedoxifene ◉ Romosozumab ◉ Teriparatide ◉ Zoledronic acidZoledronic acidWhat medication is a bisphophonate? ◉ Caltrate ◉ Evenity ◉ Miacalcin ◉ ReclastReclastWhich drug class does Tymlos belong to? ◉ Bisphosphonates ◉ Parathyroid hormone analogs ◉ RANKL inhibitors ◉ Sclerostin inhibitorsParathyroid hormone analogsMrs. Robinson brings in a prescription for her osteoporosis. Which medication would most likely be on her prescription? ◉ Bactrim ◉ Bonine ◉ Boniva ◉ BrilintaBonivaWhat is the brand name of teriparatide? ◉ Evenity ◉ Forteo ◉ Prolia ◉ TymlosForteoWhat is the generic name for Fosamax? ◉ Abaloparatide ◉ Alendronate ◉ Calcitonoin ◉ RomosozumabAlendronateWhat is the brand name of risedronate? ◉ Actonel ◉ Boniva ◉ Fosamax ◉ RisperdalRisperdalVitamin D helps which element absorb better in the body? ◉ Calcium ◉ Magnesium ◉ Potassium ◉ SodiumCalciumWhat is the generic name for Fosamax? ◉ Abaloparatide ◉ Alendronate ◉ Calcitonin ◉ RomosozumabAlendronateMr. Jennings takes Diovan. Which medication would represent a duplicate therapy? ◉ Amlodipine ◉ Bisoprolol ◉ Furosemide ◉ LosartanLosartanWhat is the diuretic drug class of Lasix? ◉ Loop ◉ Osmotic ◉ Potassium-sparing ◉ ThiazideLoopWhich medication has a drug interaction with potassium-sparing diuretics? ◉ Atacand ◉ Catapres-TTS ◉ Diovan ◉ HytrinDiovanMr. Jensen is prescribed metolazone. What is the brand name for this medication? ◉ Bumex ◉ Lasix ◉ Thalitone ◉ ZaroxolynZaroxolynWhich medication has a potentially serious drug interaction with grapefruit? ◉ Atorvastatin ◉ Colesevelam ◉ Fenofibrate ◉ RosuvastatinAtorvastatinWhich cholesterol medication is available as an oral powder for suspension? ◉ Colesevelam ◉ Niacin ◉ Pravastatin ◉ SimvastatinColesevelamMs. Smith-Neal takes a fibrate to help lower her cholesterol. Which cholesterol-lowering drug is a fibrate? ◉ Lopid ◉ Mevacor ◉ Niaspan ◉ ZetiaLopidWhat is the generic name of Zetia? ◉ Atorvastatin ◉ Diltiazem ◉ Ezetimibe ◉ TiagabineEzetimibeWhich medication comes as a chewable tablet? ◉ Aspirin ◉ Edoxaban ◉ Ticagrelor ◉ VorapaxarAspirinWhich auxiliary label would you apply on a Fosamax Rx? ◉ For topical use only ◉ May cause drowsiness ◉ May cause sun sensitivity ◉ Take on an empty stomachTake on an empty stomachWhich medication is a uricosuric agent? ◉ Aloprim ◉ Probalan ◉ Uloric ◉ ZyloprimProbalanWhich auxiliary label should be placed on febuxostat prescriptions? ◉ Avoid sun exposure ◉ Store in the refrigerator ◉ Take with plenty of water ◉ Chew tablet before swallowingTake with plenty of waterMs. Bunner takes several different medications. Which med is used to treat her gout attacks? ◉ Acetaminophen ◉ Alendronate ◉ Clonidine ◉ ColchicineColchicineWhat is the brand name for colchicine capsules? ◉ Gloperba ◉ Krystexxa ◉ Mitigare ◉ ZyloprimMitigareMr. Bunner has been taking metoclopramide. Which medication does Mr. Bunner likely have? ◉ Intestinal gas build-up ◉ Irritable bowel syndrome ◉ Opioid-induced constipation ◉ Slow gastrointestinal motilitySlow gastrointestinal motilityWhat is a common side effect of dorzolamide? ◉ Anemia ◉ Bitter taste ◉ Dizziness ◉ DrynessBitter tasteWhat is a common side effect for allopurinol? ◉ Constipation ◉ Dry mouth ◉ Irritability ◉ RashRashWhat are alpha-2 agonists used for? ◉ Cataracts ◉ Dry eyes ◉ Eye allergies ◉ GlaucomaGlaucomaWhat is the drug class of Vasotec? ◉ ACE inhibitor ◉ Alpha-1 blocker ◉ ARB ◉ VasodilatorACE inhibitorMr. Jackson takes Cardura at night. What is the generic name for Cardura? ◉ Enalapril ◉ Doxazosin ◉ Lisinopril ◉ TerazosinDoxazosinWhich drug is a xanthine oxidase inhibitor? ◉ Benemid ◉ Colcrys ◉ Krystexxa ◉ ZyloprimZyloprimWhat is the brand name of allopurinol? ◉ Colcrys ◉ Krystexxa ◉ Uloric ◉ ZyloprimZyloprimPegloticase is part of which drug class? ◉ Bile acid sequestrants ◉ PEGylated uric acid specific enzyme agents ◉ Uricosuric agents ◉ Xanthine oxidase inhibitorsPEGylated uric acid specific enzyme agentsWhich medication is a PEGylated uric acid specific enzyme agent? ◉ Aloprim ◉ Benemid ◉ Krystexxa ◉ MitigareKrystexxaWhich medication for gout comes as an intravenous solution? ◉ Benemid ◉ Krystexxa ◉ Mitigare ◉ UloricKrystexxaWhat is the generic name for Colcrys? ◉ Allopurinol ◉ Colchicine ◉ Pegloticase ◉ ProbenecidColchicineMr. Hyers brings in a prescription for his osteoporosis. Which medication would most likely be on his prescription? ◉ Allopurinol ◉ Carisoprodol ◉ Prednisone ◉ RisedronateRisedronateWhat is the brand name of febuxostat? ◉ Colcrys ◉ Krystexxa ◉ Uloric ◉ ZyloprimUloricTolerance is a serious precaution for patients taking meds in which drug class? ◉ Analgesics ◉ Muscle relaxants ◉ Opioids ◉ Systemic corticosteroidsOpioidsWhat is the generic name of Benemid? ◉ Allopurinol ◉ Colchicine ◉ Febuxostat ◉ ProbenecidProbenecidMr. Schroeder brings in a prescription for a new antiplatelet medication. Which medication is Mr. Schroeder taking? ◉ Brilinta ◉ Imdur ◉ Lanoxin ◉ NitrostatBrilintaWhich medication is classified as an H-2 blocker? ◉ Dexilant ◉ Nexium ◉ Pepcid ◉ ProtonixPepcidWhich medication is classified as a proton pump inhibitor? ◉ Nexium ◉ Pepcid ◉ Tagamet ◉ ZantacNexiumMrs. Bennett has a new prescription for Taclonex. Which medical condition would you update her profile with? ◉ Acne ◉ Allergies ◉ Poison ivy ◉ PsoriasisPsoriasisDyazide combines hydrochlorothiazide with which other medication? ◉ Bumetanide ◉ Chlorthalidone ◉ Metolazone ◉ TriamtereneTriamtereneWhich medication comes in an intramuscular solution? ◉ Bumetanide ◉ Chlorthalidone ◉ Spironolactone ◉ TorsemideBumetanideWhat drug class is used to treat glaucoma? ◉ Antihistamines ◉ Beta-blockers ◉ Lubricants ◉ VasoconstrictorsBeta-blockersMrs. Henderson is receiving an acid reducer in the hospital. Which proton pump inhibitor is available in an intravenous dosage form? ◉ Dexlansoprazole ◉ Esomeprazole ◉ Lansoprazole ◉ RabeprazoleEsomeprazoleWhat is the generic name for Axid? ◉ Calcium carbonate ◉ Esomeprazole ◉ Magnesium hydroxide ◉ NizatidineNizatidineMs. Nixon comes to the counter with a bottle of Tums. This product is classified as an: ◉ Antacid ◉ Antidiarrheal ◉ Antiemetic ◉ AntihistamineAntacidWhat is a common side effect of Tums? ◉ Bruising ◉ Constipation ◉ Dry mouth ◉ HeadacheConstipationWhat is the generic name for Protonix? ◉ Dexlansoprazole ◉ Esomeprazole ◉ Lansoprazole ◉ PantoprazolePantoprazoleWhich gastrointestinal medication is a Schedule V controlled substance? ◉ Imodium-AD ◉ Kristalose ◉ Lomotil ◉ SenokotLomotilWhich controlled scheduled class of medication is Lomotil? ◉ II ◉ IV ◉ V ◉ VIVWhich medication would indicate Mr. Jeffers is being treated for high cholesterol? ◉ Lomotil ◉ Protonix ◉ Tenormin ◉ ZocorZocorTenoretic combines atenolol with what other medication? ◉ Amlodipine ◉ Chlorthalidone ◉ Hydrochlorothiazide ◉ NebivololChlorthalidoneWhat is a common side effect of magnesium hydroxide? ◉ Diarrhea ◉ Drowsiness ◉ Leg pain ◉ WheezingDiarrheaTenoretic combines chlorthalidone with what other medication? ◉ Atenolol ◉ Bisoprolol ◉ Metoprolol ◉ PropranololAtenololWhat is a common side effect of nitrates? ◉ Constipation ◉ Headache ◉ Hypertension ◉ Shortness of breathHeadacheWhat is the brand name for methylprednisolone? ◉ Deltasone ◉ Dolophine ◉ Medrol ◉ MobicMedrolWhich medication is used to remove earwax? ◉ Ciprodex ◉ Debrox ◉ Travatan ◉ ZioptanDebroxWhich medication would flag an allergy if Mrs. Walters is allergic to sulfites? ◉ Betaxolol ◉ Bimatoprost ◉ Latanoprost ◉ LevobunololLevonunololWhich lab result would a pharmacist be concerned about with a patient taking hydrochlorothiazide? ◉ BUN ◉ Ca 2+ ◉ LFT ◉ PTBUNWhich medication requires INR levels to be checked? ◉ Coumadin ◉ Pradaxa ◉ Savaysa ◉ XareltoCoumadinWhat is the generic name of Pradaxa? ◉ Apixaban ◉ Dabigatran ◉ Enoxaparin ◉ WarfarnDabigatranPatients should separate their calcium-containing antacid dose by at least four hours if they take which other med? ◉ Dexlansoprazole ◉ Escitalopram ◉ Levothyroxine ◉ ZolpidemLevothyroxineAt least how long should patients separate their levothyroxine dose from their dose of calcium-containing antacid? ◉ 30 minutes ◉ One hour ◉ Two hours ◉ Four hoursFour hoursWhat is the brand name for tafluprost eye drops? ◉ Alphagan P ◉ Combigan ◉ Cosopt ◉ ZioptanZioptanWhere should Repatha be stored before dispensing? ◉ Freezer ◉ Refrigerator ◉ Any temperature ◉ Room temperatureRefrigeratorWhat is the brand name of amiodarone? ◉ Cordarone ◉ Cortisone ◉ Lotronex ◉ MalaroneCordaroneWhat is the generic name of Zurampic? ◉ Allopurinol ◉ Febuxostat ◉ Lesinurad ◉ PegloticaseLesinuradWhat is the generic name of Cordarone? ◉ Amiodarone ◉ Dronedarone ◉ Mitoxantrone ◉ TestosteroneAmiodaroneA patient is currently taking a fluoroquinolone. Which medication should they separate by 2 to 6 hours to prevent binding up of the fluoroquinolone? ◉ Bismuth subsalicylate ◉ Docusate ◉ Loperamide ◉ SimethiconeBismuth subsalicylateWhich medication is a subcutaneous injection? ◉ Crestor ◉ Praluent ◉ Vascepa ◉ VytorinPraluentWhich medication has a serious drug interaction with Biaxin? ◉ Crestor ◉ Livalo ◉ Welchol ◉ ZocorZocorWhat is a brand name of pitavastatin? ◉ Crestor ◉ Livalo ◉ Pravachol ◉ ZocorLivaloMr. Jones has high cholesterol. Which medication on his profile helps lower cholesterol? ◉ Aspirin ◉ Ciprofloxacin ◉ Lisinopril ◉ LovastatinLovastatinMrs. Schick takes medication for high cholesterol. Which medication is classified as a statin? ◉ Crestor ◉ Niaspan ◉ Tricor ◉ VasotecCrestorMs. Smith has flushing of the face and neck when she takes her cholesterol med. Which drug would cause this side effect? ◉ Fish oil ◉ Gemfibrozil ◉ Lovastatin ◉ NiacinNiacinWhich medication is a shampoo? ◉ Calcipotriene ◉ Clobetasol propionate ◉ Isotretinoin ◉ Triamcinolone acetonideClobetasol propionateWhat is the generic name of Krystexxa? ◉ Colchicine ◉ Lesinurad ◉ Pegloticase ◉ ProbenecidPegloticaseMrs. Moody is taking Lipitor. What is the generic name for Lipitor? ◉ Atorvastatin ◉ Lovastatin ◉ Pravastatin ◉ RosuvastatinAtorvastatinWhich drug class does niacin belong to? ◉ Bile acid sequestrants ◉ Nicotinic acid products ◉ HMG-CoA reductase inhibitors ◉ Cholesterol absorption inhibitorsNicotinic acid productsNiacin is also known as vitamin: ◉ B3 ◉ B6 ◉ B9 ◉ B12B3Which product is classified as an antacid? ◉ Bisacodyl ◉ Calcium carbonate ◉ Docusate sodium ◉ PsylliumCalcium carbonateWhat is the brand name of docusate? ◉ Amitta ◉ Colace ◉ Linzess ◉ MovantikColaceWhat is the generic name for Duac gel? ◉ Adapelene ◉ Pimeceolimus ◉ Calcipotriene / betamethasone dipropionate ◉ Clindamycin / benzoyl peroxideClindamycin / benzoyl peroxideMr. Burns is purchasing OTC minoxidil. What condition is he treating? ◉ Acne ◉ Hair loss ◉ Poison ivy ◉ PsoriasisHair lossWhat is the generic name of Pradaxa? ◉ Apixaban ◉ Dabigatran ◉ Enoxaparin ◉ WarfarinDabigatranMs. Grey has been constipated for a few days, and she wants to speak to the pharmacist about getting a medication to help. Which product is the pharmacist most likely to recommend? ◉ Bisacodyl ◉ Diphenoxylate / atropine ◉ Omeprazole ◉ RabeprazoleBisacodylWhich medication comes as a subcutaneous solution? ◉ Clopidogrel ◉ Enoxaparin ◉ Prasugrel ◉ WarfarinEnoxaparinMs. Powell is getting a consultation on her Boniva Rx. What side effect will the pharmacist warn her about? ◉ Diarrhea ◉ Dizziness ◉ Headache ◉ NauseaNauseaMr. Dingess has been constipated for a few days, and she wants to speak to the pharmacist about getting a product to help. The pharmacist is likely to recommend a(n): ◉ Acid reducer ◉ Antidiarrheal ◉ Antiflatulent ◉ LaxativeLaxativeClopidogrel has a drug interaction with which other drug class? ◉ ACEIs ◉ ARBs ◉ NSAIDs ◉ TCAsNSAIDsWhich drug class does gemfibrozil belong to? ◉ Bile acid sequestrant ◉ Fibrate ◉ Nicotinic acid ◉ StatinFibrateA patient is about to get a consultation on a new Rx for amlodipine. Which side effect can happen with this medication? ◉ Cancer ◉ Chest pain ◉ Fast heart rate ◉ SwellingSwellingWhich cholesterol medication is available as an oral powder for suspension? ◉ Lipitor ◉ Lopid ◉ Questran ◉ ZocorQuestranWhat is the brand name of apixaban? ◉ Coumadin ◉ Eliquis ◉ Savaysa ◉ XareltoEliquisMs. Phoenix takes metoprolol tartrate twice daily. Metoprolol is classified as a(n): ◉ ARB ◉ ACE inhibitor ◉ Beta-blocker ◉ Calcium channel blockerBeta-blockerWhat is incorrect with the following prescription? Atenolol 50 mg capsule Take 1 capsule orally every day for hypertension ◉ Dosage form ◉ Frequency ◉ Indication ◉ Route of administrationDosage formMrs. Gunderson is picking up her prescription for Duavee. What is the generic name for Duavee? ◉ Calcium citrate / vitamin D3 ◉ Conjugated estrogens / bazedoxifene ◉ Denosumab ◉ TeriparatideConjugated estrogens / bazedoxifeneA patient is about to get a consultation on a new Rx for Procardia. Which side effect can happen with this medication? ◉ Cancer ◉ Drowsiness ◉ Gastrointestinal blockage ◉ SwellingSwellingWhich medication comes in an intravenous solution? ◉ Furosemide ◉ Hydrochlorothiazide ◉ Metolazone ◉ TorsemideFurosemideWhat is the generic name of Xarelto? ◉ Apixaban ◉ Edoxaban ◉ Enoxaparin ◉ RivaroxabanRivaroxabanMs. Lincoln has a new prescription for Plavix. What is this medication classified as? ◉ Antiarrhythmic ◉ Antihistamine ◉ Antihypertensive ◉ AntiplateletAntiplateletMr. Cooper's profile shows that he is taking OxyContin. Which medication represents duplicate therapy? ◉ Celebrex ◉ Flexeril ◉ Indocin ◉ PercocetPercocetMs. Burris brings you a new prescription. Which medication is used to prevent gout attacks? ◉ Allopurinol ◉ Clonidine ◉ Ibandronate ◉ LisinoprilAllopurinolWhat is the generic name of Plavix? ◉ Clopidrogrel ◉ Prasugrel ◉ Ticagrelor ◉ VorapaxarClopidrogrelWhich vitamin's action does warfarin block? ◉ Vitamin A ◉ Vitamin C ◉ Vitamin D ◉ Vitamin KVitamin KWhich is a side effect of Eliquis? ◉ Bruising ◉ Diarrhea ◉ Itching ◉ Muscle painBruisingMrs. Yan is about to get a consultation on a new Rx for furosemide. Which side effect of this medication will the pharmacist tell Mrs. Yan about? ◉ Constipation ◉ Drowsiness ◉ Insomnia ◉ PhotosensitivityPhotosensitivityWhich medication comes as a tablet? ◉ Lovaza ◉ Praluent ◉ Repatha ◉ VytorinVytorinWhat is the brand name of evolocumab? ◉ Lovaza ◉ Praluent ◉ Repatha ◉ VytorinRepathaWhat is the brand name of alirocumab? ◉ Lovaza ◉ Praluent ◉ Repatha ◉ ZetiaPraluentWhat is a brand name of evolocumab? ◉ Lovaza ◉ Praluent ◉ Repatha ◉ VytorinRepathaDiclegis combines vitamin B6 with what other product? ◉ Doxylamine ◉ Ondansetron ◉ Prochlorperazine ◉ RolapitantDoxylamineMr. Bird has problems with slow GI motility. Which med on his profile is likely being used to treat this condition? ◉ Cephalexin ◉ Cimetidine ◉ Metoclopramide ◉ OndansetronMetoclopramideWhat is the brand name of metoclopramide? ◉ Emend ◉ Phenergan ◉ Reglan ◉ ZofranReglanWhat is the brand name of lubiprostone? ◉ Amitiza ◉ Colace ◉ Miralax ◉ SenokoAmitizaWhat is a common side effect of Lovaza? ◉ Constipation ◉ Heartburn ◉ Insomnia ◉ Shortness of breathHeartburnWhat is a common side effect of antacids? ◉ Diarrhea ◉ Drowsiness ◉ Leg pain ◉ WheezingDiarrheaWhich medication comes as an intravenous solution? ◉ Alendronate ◉ Denosumab ◉ Ibandronate ◉ RemosozumabIbandronateMr. Barnes is picking up Plendil. Plendil is the brand name for: ◉ Amlodipine ◉ Diltiazem ◉ Felodipine ◉ VerapamilFelodipineWhich medication comes as an intravenous solution? ◉ Coreg CR ◉ Inderal ◉ Procardia ◉ TenorminInderalWhich medication should be used cautiously in patients with asthma? ◉ Carvedilol ◉ Diltiazem ◉ Felodipine ◉ VerapamilCarvedilolWhich medication should be used cautiously in patients with COPD? ◉ Amlodipine ◉ Propranolol ◉ Nifedipine ◉ VerapamilPropranololMrs. Rice is picking up a prescription for tizanidine. What medical condition is Mrs. Rice being treated for? ◉ Inflammation ◉ Migraine ◉ Muscle spasms ◉ PainMuscle spasmsWhich auxiliary label would you apply on an Actonel Rx? ◉ May cause dizziness ◉ Take before bedtime ◉ Take 30 minutes after breakfast ◉ Remain upright 1 hour after takingRemain upright 1 hour after takingMr. Costello's profile shows that he is taking cyclobenzaprine. Which medication represents duplicate therapy? ◉ Carisoprodol ◉ Methadone ◉ Naproxen ◉ PrednisoneCarisoprodolMs. Cash is picking up her prescription for tretinoin cream. What is a brand name for her medication? ◉ Embeline ◉ Renova ◉ Taclonex ◉ ZenataneRenovaMr. Twiggs has a prescription for digoxin. Which drug class does digoxin belong to? ◉ Antiarrhythmics ◉ Anticoagulants ◉ Cardiac glycosides ◉ NitratesCardiac glycosidesMrs. Dasani is getting a medication for her daughter for gas. Which med is available in a dissolvable film? ◉ Bisacodyl ◉ Linaclotide ◉ Senna ◉ SimethiconeSimethiconeWhich antibiotic is commonly used in the hospital for severe bacterial infections? ◉ Mupirocin ◉ Tobramycin ◉ Ciprofloxacin/dexamethasone ◉ Neomycin sulfate/polymyxin B/bacitracinTobramycinPharmacokinetics is the study of: ◉ Medication indications ◉ Medication drug classes ◉ How drugs interact with the body ◉ How the body interacts with drugsHow the body interacts with drugsYou receive the following prescription: Penicillin 500 mg tablets Take 1 tablet orally three times daily #30 2 refills Which part of the prescription is an example of the dosage form? ◉ #30 ◉ 500 mg ◉ Penicillin ◉ TabletsTablets"Benzodiazepine" is an example of a(n): ◉ Drug class ◉ Frequency ◉ Indication ◉ InteractionDrug classWhat is the value of learning pharmacology as a pharmacy technician? ◉ It permits technicians to perform minor medical surgeries ◉ It helps for spotting potentially dangerous drug interactions ◉ It allows technicians to consult patients on new medications ◉ It grants technicians the ability to administer injectable drugsIt helps for spotting potentially dangerous drug interactionsThe study of drugs and their interactions with the body is called: ◉ Pharmacokinetics ◉ Pharmacology ◉ Pharmacovigilance ◉ PharmacyPharmacologyMrs. Gunther is an 85-year-old woman, dropping off a new medication for her back pain. Why should the tech be concerned about Mrs. Gunther's medication? ◉ She shouldn't be taking pain medications ◉ She is more prone to side effects with pain medications ◉ She should be taking a higher dose of pain medications ◉ She should be taking multiple medications for her painShe is more prone to side effects with pain medicationsAcetaminophen is converted to an inactive form. This process is called what? ◉ Absorption ◉ Distribution ◉ Elimination ◉ MetabolismMetabolismWhich type of medication blocks the body from performing an action? ◉ Agonist ◉ Antagonist ◉ Starter ◉ SynergizerAntagonistWhich LADME step is described as a drug entering the bloodstream from its original administration site? ◉ Absorption ◉ Distribution ◉ Liberation ◉ MetabolismAbsorptionWhat is dizziness an example of when taking a beta-blocker? ◉ Contraindication ◉ Interaction ◉ Mechanism of action ◉ Side effectSide effectWhat is drug distribution in the body? ◉ When a drug is eliminated by the liver ◉ When a drug causes a certain side effect in the patient ◉ When a drug is transported to its intended site of action ◉ When a drug breaks down into an inactive form in the bodyWhen a drug is transported to its intended site of actionWhat is it called when a drug is excreted from the body? ◉ Absorption ◉ Distribution ◉ Elimination ◉ LiberationEliminationWhich medication prompts the body to start an action? ◉ Alpha-agonist ◉ Alpha-blocker ◉ Beta-antagonist ◉ Beta-blockerAlpha-agonistWhat is a drug's indication? ◉ It's uses ◉ It's side effects ◉ It's drug interactions ◉ It's mechanism of actionIt's usesWhich antibiotic comes in an otic formulation?CiproDexMr. Davis takes montelukast for his nighttime asthma symptoms. Montelukast is the generic name for: ◉ Septra DS ◉ Serevent Diskus ◉ Singulair ◉ Spiriva RespimatSingulairWhich is an example of a systemic adverse reaction to a vaccine? ◉ Injection site pain ◉ Fever ◉ Swelling at injection site ◉ Redness around injection siteFeverIf a patient receives a live vaccine today, how many weeks must they wait to receive another live vaccine, if not given on the same day? ◉ 1 ◉ 2 ◉ 4 ◉ 84Children and adolescents who receive the Varivax vaccine need to avoid which medication for six weeks? ◉ Acetaminophen ◉ Aspirin ◉ Ibuprofen ◉ NaproxenAspirinMrs. Lewis has a prescription for Isentress chewable tablets for her daughter. Isentress belongs to which class of antiretrovirals? ◉ Fusion inhibitors ◉ Integrase strand transfer inhibitors ◉ Non-nucleoside reverse transcriptase inhibitors ◉ Nucleotide reverse transcriptase inhibitorsIntegrase strand transfer inhibitorsWhat is a common side effect of Combivir? ◉ Constipation ◉ Diarrhea ◉ Dry mouth ◉ InsomniaDiarrheaWhat is a common side effect of beta-lactam antibiotics? ◉ Bruising ◉ Constipation ◉ Diarrhea ◉ Hair lossDiarrheaMrs. Cruz is picking up a medication for her son's fungal infection. Which med is available as a topical powder? ◉ Clotrimazole ◉ Nystatin ◉ Tavaborole ◉ TerbinafineNystatinWhat is a brand name for trimethoprim/ sulfamethoxazole?Bactrim DSMrs. Pack has a prescription for Diflucan. Diflucan belongs to which drug class? ◉ Aminoglycosides ◉ Azoles ◉ Cephalosporins ◉ FluoroquinolonesAzolesWhat is a common side effect of fluconazole? ◉ Dry skin ◉ Headache ◉ Swelling ◉ RashHeadacheMrs. Wong is prescribed valacyclovir. Which condition does valacyclovir treat? ◉ Chickenpox ◉ Cold sores ◉ HIV ◉ InfluenzaCold soresMrs. Roque is picking up a medication for her son for his infection. Which med is available as a powder for oral suspension? ◉ Azithromycin ◉ Aztreonam ◉ Ertapenem ◉ MeropenemAzithromycinMr. Jones calls to get a refill on his Sustiva prescription. What generic medication will be dispensed to Mr. Jones? ◉ Efavirenz ◉ Enfuvirtide ◉ Raltegravir ◉ TenofovirEfavirenzWhich influenza vaccine is grown in cell cultures? ◉ Flublok Quadrivalent ◉ Flucelvax Quadrivalent ◉ Fluzone Quadrivalent ◉ Fluzone HD QuadrivalentFlucelvax QuadrivalentWhat does a standing order allow? ◉ A pharmacist to dispense vaccines to patients with an Rx from their prescriber ◉ A pharmacist to order vaccines for patients without an Rx from their prescriber ◉ A qualified pharmacy technician to administer vaccines to patients ◉ A qualified pharmacy technician to dispense vaccines to patientsA pharmacist to order vaccines for patients without an Rx from their prescriberWhat is a common side effect of Sudafed? ◉ Constipation ◉ Diarrhea ◉ Drowsiness ◉ InsomniaInsomniaThe pharmacist recommends Mrs. Paulson take diphenhydramine for an allergic reaction. Which side effect would the pharmacist warn Mrs. Paulson about?DrowsinessMrs. Ferdinand has a prescription for Augmentin oral suspension for her young daughter. Augmentin belongs to which class of antibiotics? ◉ Cephalosporin ◉ Macrolide ◉ Penicillin ◉ SulfonamidePenicillinMr. Snyder is prescribed penicillin V. What medical condition would you update his pharmacy profile with? ◉ Bacterial infection ◉ Fungal infection ◉ Parasitic infection ◉ Viral infectionBacterial infectionWhat is a brand name for azithromycin? ◉ Erythrocin ◉ Keflex ◉ Septra ◉ ZithromaxZithromaxWhat is the generic name of Vibramycin? ◉ Doxycycline ◉ Erythromycin ◉ Levofloxacin ◉ PolymyxinDoxycyclineThe prescriber ordered Kaletra for Ms. Lugo. What is the generic name for this drug? ◉ Abacavir / lamivudine ◉ Emtricitabine / tenofovir ◉ Lamivudine / zidovudine ◉ Lopinavir / ritonavirLopinavir / ritonavirWhat is a common concern when using Jublia? ◉ It can interact with Biaxin ◉ It must be applied for 48 weeks ◉ LFTs must be closely monitored ◉ It should be separated from dairy productsIt must be applied for 48 weeksWhich medication has abuse potential when used in high doses? ◉ Azelastine ◉ Benzonatate ◉ Cetirizine ◉ DextromethorphanDextromethorphanWhat is a common side effect of Truvada? ◉ Bruising ◉ High cholesterol ◉ Skin reddening ◉ Injection site reactionsHigh cholesterolWhich vaccine is grown in insect cells? ◉ Afluria ◉ Flublok ◉ Fluzone ◉ Fluzone HDFlublokWhat info must be documented on a vaccination administration record form? ◉ Patient's weight ◉ Prescriber's name ◉ Vaccine lot number ◉ Patient's insurance informationVaccine lot numberFluticasone represents an important class of inhaled: ◉ Anticholinergics ◉ Beta-2 agonists ◉ Corticosteroids ◉ XanthinesCorticosteroidAnthony processed a prescription for Doryx. Which drug class does Doryx belong to? ◉ Aminoglycosides ◉ Fluoroquinolones ◉ Lincosamides ◉ TetracyclinesTetracyclinesWhat type of vaccine is created from the substance produced by bacteria? ◉ Inactivated ◉ Live ◉ Subunit ◉ ToxoidToxoidWhich drug class does Levaquin fall under? ◉ Aminoglycosides ◉ Beta-lactams ◉ Fluoroquinolones ◉ TetracyclinesFluoroquinolonesMs. Dyson's daughter has impetigo. Which medication is commonly used as a topical formulation to treat this bacterial skin infection? ◉ Clindamycin ◉ Metronidazole ◉ Mupirocin ◉ VancomycinMupirocinMrs. York needs an allergy medication for her daughter. Which medication is available in an oral liquid?ClaritinThe pharmacist needs to administer 0.5 mL of Shingrix to a patient. Which size syringe will you provide to the pharmacist? ◉ 0.5 mL ◉ 1 mL ◉ 3 mL ◉ 5 mL1 mLMr. Holmes is scheduled to receive a live vaccine. But the pharmacist tells him he must wait 3 to 11 months before the vaccine can be administered. This means Mr. Holmes recently received: ◉ Blood products ◉ Bone marrow ◉ Chemotherapy agents ◉ ImmunosuppressantsBlood productsMrs. Dimple comes into your pharmacy wanting a flu shot. She asks the pharmacist what kind of adverse reactions she should expect. Which local reaction will she most likely encounter? ◉ Dizziness ◉ Loss of appetite ◉ Muscle pain ◉ RednessRednessWhat is the brand name for efavirenz / emtricitabine / tenofovir? ◉ Atripla ◉ Famvir ◉ Reyataz ◉ TruvadaAtriplaWhat is a common concern when taking ketoconazole?It can interact with many other medicationsWhich medication is classified as a nucleotide reverse transcriptase inhibitor?TenofovirMrs. Martinez is ordered Azactam during her hospital stay. What type of infection would her health record be updated with?BacterialWhat is a common concern when taking Atripla? ◉ LFT levels should be monitored ◉ TSH levels should be monitored ◉ It should be avoided in patients with COPD ◉ It should be avoided in patients with emphysemaLFT levels should be monitoredWhat is a common concern when taking Epzicom? ◉ Monitoring blood sugar ◉ Monitoring serum creatinine ◉ It should be separated from dairy products ◉ It should be separated from iron-containing supplements by two hoursMonitoring blood sugarYou are filling out a vaccination administration record form for Mr. Kohl. What info must be documented on this form? ◉ His weight ◉ His medical history ◉ Vaccine manufacturer ◉ Size of needle and syringe usedVaccine manufacturerMr. Wolfe can't swallow meds and needs an allergy medication for himself. Which med is available in a disintegrating tablet? ◉ Azelastine ◉ Diphenhydramine ◉ Levocetirizine ◉ PseudoephedrineDiphenhydramineWhich medication should be used cautiously in people with uncontrolled high blood pressure? ◉ Cetirizine ◉ Diphenhydramine ◉ Loratadine ◉ PseudoephedrinePseudoephedrineMrs. Saunders has a new prescription for clotrimazole troches. This medication is used to treat which type of infection? ◉ Acne ◉ Genital warts ◉ Gonorrhea ◉ ThrushThrushMrs. Sikora purchases chlorpheniramine over-the-counter for her allergies. Which side effect would Mrs. Sikora likely experience? ◉ Constipation ◉ Diarrhea ◉ Drowsiness ◉ InsomniaDrowsinessWhich medication should be used cautiously if Mrs. Walker has uncontrolled blood pressure ◉ Allegra ◉ Claritin-D ◉ Robitussin ◉ XyzalClaritin-DMr. Kent brings in a prescription for genital warts. Which medication is available as a topical dosage form? ◉ Aldara ◉ Diflucan ◉ Truvada ◉ ValtrexAldaraA small amount of bacteria or virus that is killed or weakened to trigger immunity is called a(n): ◉ Antibiotic ◉ Antiviral ◉ Immunosuppressant ◉ VaccineVaccineChildren and adolescents should avoid taking aspirin for 6 weeks after receiving which vaccine? ◉ Afluria ◉ Prevnar ◉ Varivax ◉ ZostavaxVarivaxMr. Whitley comes to the pharmacy counter to purchase Sudafed. Which drug class is Sudafed classified under? ◉ Antihistamine ◉ Antitussive ◉ Corticosteroid ◉ DecongestantDecongestantMr. Twitty comes to the pharmacy counter to purchase a decongestant. Which medication is a decongestant? ◉ Diphenhydramine ◉ Loratadine ◉ Montelukast ◉ PseudoephedrinePseudoephedrineMr. Schlosky comes to the pharmacy to receive two vaccinations. You're out of one of the vaccines, so now he must wait 4 weeks to return for the second immunization. What type of vaccine is Mr. Schlosky receiving today? ◉ Inactivated ◉ Live ◉ Subunit ◉ ToxoidLiveWhat is the brand name for clindamycin? ◉ Cipro ◉ Cleocin ◉ Minocin ◉ VibramycinCleocinMr. McBee has asthma and uses albuterol occasionally. Albuterol is a bronchodilator, which means that it: ◉ Prevents coughing ◉ Lowers blood pressure ◉ Opens up airways ◉ Dries up nasal congestionOpens up airwaysWhat does the CDC mandate when an influenza vaccine is dispensed in the pharmacy?A VIS is required to be given to the patientMs. Byrd brings in a prescription for Serevent Diskus. This medication is classified as a(n): ◉ Short-acting beta-2 agonist ◉ Long-acting beta-2 agonist ◉ Inhaled anticholinergic ◉ XanthineLong-acting beta-2 agonistMrs. Bennix has a new prescription for fluconazole. What is the brand name for fluconazole? ◉ Diflucan ◉ Lotrimin AF ◉ Nizoral ◉ Zeasorb AFDiflucanMs. Tyler brings in a prescription to treat an ear infection. Which medication contains an antibiotic? ◉ Ciprodex ◉ Debrox ◉ Pataday ◉ RestasisCiprodexShingrix is which type of vaccine? ◉ Inactivated ◉ Live ◉ Subunit ◉ ToxoidInactivatedWhat organization provides vaccine information statements? ◉ BOP ◉ CDC ◉ DEA ◉ FDACDCWhat is a common side effect of Xyzal? ◉ Blood pressure increase ◉ Diarrhea ◉ Drowsiness ◉ InsomniaDrowsinessWhich medication is classified as a non-nucleoside reverse transcriptase inhibitor? ◉ Acyclovir ◉ Docosanol ◉ Efavirenz ◉ ImiquimodEfavirenzWhich antiretroviral medication is available in a subcutaneous dosage form? ◉ Epzicom ◉ Fuzeon ◉ Isentress ◉ VireadFuzeonWhat degree angle does a needle need to be when a subcutaneous vaccine is administered? ◉ 30 ◉ 45 ◉ 60 ◉ 9045Which lab value will the pharmacist be most concerned about when dispensing parenteral aminoglycosides? ◉ BUN ◉ CBC ◉ RBC ◉ TSHBUNMrs. Bennix has a new prescription for terbinafine. What is the brand name for terbinafine? ◉ Diflucan ◉ Lamisil ◉ Lotrimin AF ◉ NizoralLamisalMrs. Phelan is picking up her prescription for Lotrimin troches. This medication is used to treat which type of infection? ◉ Chlamydia ◉ Herpes ◉ Thrush ◉ Urinary tractThrushMs. MacDonald asks for the aisle where she can locate Monistat cream. What type of infection is Monistat cream used for? ◉ Acne ◉ Thrush ◉ Urinary ◉ Vaginal yeastVaginal yeastWhat type of infection is miconazole cream used for?Vaginal yeastWhat is the brand name for emtricitabine / tenofovir / rilpivirine? ◉ Aldara ◉ Atripla ◉ Complera ◉ Mycolog IICompleraMr. Summers calls to get a refill on his acyclovir prescription. What is the brand name for acyclovir? ◉ Aldara ◉ Famvir ◉ Valtrex ◉ ZoviraxZoviraxMr. Johnson comes in asking the pharmacist to help him select a cough suppressant. Cough suppressants are also called:AntitussivesMr. Davidson brings in a new prescription for Nizoral. Which drug class does this medication belong to? ◉ Azoles ◉ Corticosteroids ◉ Macrolides ◉ SulfonamidesAzolesA patient who is severely allergic to gelatin may have an allergic reaction if given which vaccine? ◉ Afluria ◉ Fluzone ◉ Gardasil 9 ◉ M-M-R IIM-M-R IIWhich auxiliary label should be applied to an Rx for Cipro? ◉ May cause drowsiness or dizziness ◉ May cause discoloration of urine or feces ◉ Do not drink alcoholic beverages while taking this medication ◉ Do not take dairy, antacids, or iron preparations within 2 hours of this medicationDo not take dairy, antacids, or iron preparations within 2 hours of this medicationWhat is the brand name of loratadine? ◉ Allegra ◉ Claritin ◉ Xyzal ◉ ZyrtecClaritinWhat is the generic name for Benadryl? ◉ Chlorphenamine ◉ Diphenhydramine ◉ Doxylamine ◉ LoratadineDiphenhydramineMr. Tower uses Intal for his exercise-induced asthma symptoms. Intal is the brand name for: ◉ Albuterol ◉ Cromolyn ◉ Levalbuterol ◉ SalmeterolCromolynWhich medication has the potential for abuse? ◉ Allegra ◉ Clarinex ◉ Tussionex ◉ ZyrtecTussionexMr. Evans is taking ciprofloxacin. Which type of products interact with ciprofloxacin? ◉ Alcohol ◉ Iron ◉ Serotonergic ◉ TyramineIronMs. Gokey is prescribed metronidazole. To prevent a disulfiram like reactions, she should avoid products containing:AlcoholWhich drug class does Vancocin fall under?GlycopeptidesJennifer is filling a medication order for Zyvox. Which drug class does Zyvox belong to? ◉ Fluoroquinolones ◉ Glycopeptides ◉ Lincosamides ◉ OxazolidinonesOxazolidinonesWhich antibiotic comes in an ophthalmic formulation? ◉ Centany ◉ Ciprodex ◉ Minocin ◉ TobrexTobrexMrs. Gift has a new prescription for nystatin/triamcinolone. What is the brand name for nystatin/triamcinolone? ◉ Lamisil ◉ Lotrisone ◉ Mycolog II ◉ NizoralMycolog IIAminophylline is chemically similar to: ◉ Albuterol ◉ Caffeine ◉ Nicotine ◉ SulfonamidesCaffeineMr. King is prescribed Norvir. Which drug class does this medication belong to? ◉ Fusion inhibitors ◉ Integrase strand transfer inhibitors ◉ Nucleotide reverse transcriptase inhibitors ◉ Protease inhibitorsProtease inhibitorsDr. Sneed calls in a prescription for Mr. Peters for Norvir to treat: ◉ Cold sore ◉ Common cold ◉ Genital warts ◉ HIVHIVMr. Conner takes theophylline to control his asthma. Theophylline is chemically similar to ◉ Albuterol ◉ Caffeine ◉ Nicotine ◉ SulfonamidesCaffeineWhich medication is classified as a sulfonamide? ◉ Augmentin XR ◉ Bactrim DS ◉ Omnicef ◉ ZithromaxBactrim DSHow should Shingrix vaccines be stored? ◉ In the freezer ◉ In the refrigerator ◉ At any temperature ◉ At room temperatureIn the refrigeratorHow should Fluzone be stored? ◉ In the freezer ◉ In the refrigerator ◉ At any temperature ◉ At room temperatureIn the refrigeratorWhich medication is also known as triple antibiotic therapy? ◉ Bactroban ◉ Neomycin ◉ Neosporin ◉ PolymyxinNeosporinWhat is the brand name for fexofenadine? ◉ Allegra ◉ Claritin ◉ Xyzal ◉ ZyrtecAllegraWhat lab result should be monitored for someone taking oral terbinafine? ◉ hCG ◉ LFTs ◉ SCr ◉ WBCLFTsDr. Walker prescribes ritonavir to treat which condition? ◉ Cold sore ◉ Common cold ◉ Genital warts ◉ HIVHIVWhat is the generic name for Mycostatin? ◉ Atorvastatin ◉ Lovastatin ◉ Nystatin ◉ PravastatinNystatinWhat is the generic name for Invanz? ◉ Aztreonam ◉ Cilastatin ◉ Ertapenem ◉ ErythromycinErtapenemWhat is a common concern when taking erythromycin? ◉ It can interact with lovastatin ◉ It can interact with orange juice ◉ It should be separated from dairy products ◉ It should be separated from iron-containing supplements by two hoursIt can interact with lovastatinMrs. Apple comes into your pharmacy wanting a pneumococcal shot. She asks the pharmacist what kind of adverse reactions she should expect. Which systemic reaction will she most likely encounter? ◉ Decreased appetite ◉ Injection site pain ◉ Swelling at the site ◉ Redness around injection siteDecreased appetiteA high-risk patient with Medicare is trying to get a Hepatitis B vaccine in your pharmacy. Which Medicare Part will you bill? ◉ A ◉ B ◉ C ◉ DBWhat is a common concern when taking Biaxin? ◉ It can lead to dialysis ◉ It can cause hyperthyroidism ◉ It can interact with many other medications ◉ It should be avoided in patients with emphysemaIt can interact with many other medicationsWhat is a common side effect of Augmentin?DiarrheaIf a patient has a severe allergic reaction to amoxicillin, which antibiotic should they not take?Cefdinir (Omnicef)Which medication contains an antifungal? ◉ Augmentin ◉ Ciprodex ◉ Lotrisone ◉ NeosporinLotrisoneWhich medication is classified as an oxaborole antifungal? ◉ Jublia ◉ Kerydin ◉ Lamisil ◉ Mycolog IIKerydinThe pertussis component of the vaccine, DTaP, uses only a part of the whole organism to help prevent the disease. Which type of vaccine is this? ◉ Inactivated ◉ Live ◉ Subunit ◉ ToxoidSubunitWhich is a type of toxoid vaccine? ◉ Influenza ◉ Measles ◉ Pertussis ◉ TetanusTetanusWhat is an example of an inactivated vaccine? ◉ FluMist ◉ Gardasil ◉ ProQuad ◉ ZostavaxGardasilWhat is the generic name for Sudafed? ◉ Chlorpheniramine ◉ Guaifenesin ◉ Loratadine ◉ PseudoephedrinePseudoephedrineDr. Berry calls in a new prescription for Ms. Teager's young daughter for minocycline. The pharmacist would be most concerned with its potential effect on the patient's: ◉ Eyes ◉ Liver ◉ Teeth ◉ TendonsTeethWhich class of drugs is used to thin mucus excretions in the lungs? ◉ Antihistamines ◉ Corticosteroids ◉ Decongestants ◉ ExpectorantsExpectorantsThe MMR vaccine may cause an allergic reaction if you are severely allergic to: ◉ Eggs ◉ Gelatin ◉ Neomycin ◉ YeastGelatinWhich vaccine can cause adverse effects in patients with a severe allergy to eggs? ◉ Fluzone ◉ Prevnar ◉ Varivax ◉ ZostavaxFluzoneThe production of antibodies to prevent a disease is a characteristic of: ◉ Antivirals ◉ Chemotherapy ◉ Immunosuppressants ◉ VaccinesVaccinesPatients receiving blood products may need to delay administration of live vaccines. What is the recommended range for the waiting period? ◉ 2-4 months ◉ 2-12 months ◉ 3-8 months ◉ 3-11 months3-11 monthsMr. Jackson comes in asking the pharmacist to help him select a cough suppressant. Which medication is a cough suppressant? ◉ Dextromethorphan ◉ Diphenhydramine ◉ Phenylephrine ◉ PseudoephedrineDextromethorphanYou are working in a hospital and receive an order for Ms. Clemons. The prescriber has written a prescription for the drug, oseltamivir. What is the brand name for this drug? ◉ Tamiflu ◉ Tenormin ◉ Tobrex ◉ TruvadaTamifluFlublok is a vaccine grown in what type of media: ◉ Chicken eggs ◉ Insect cells ◉ Yeast cells ◉ BacteriaInsect cellsDr. Fanoli orders a tobramycin IV for Mrs. Layne. Which lab value will the pharmacist be most concerned about? ◉ LFT ◉ RBC ◉ SCr ◉ TSHSCrWhat is a vaccine? ◉ A disease that affects certain people ◉ Immunity after suffering from the disease ◉ An injection to get rid of a specific disease ◉ Weakened or killed bacteria or virus that triggers immunityWeakened or killed bacteria or virus that triggers immunityWhich is a live, attenuated vaccine? ◉ Afluria ◉ Fluzone ◉ Shingrix ◉ ZostavaxZostavaxWhich vaccine component is a common subunit vaccine? ◉ Diphtheria ◉ Measles ◉ Pertussis ◉ TetanusPertussisWhat is the generic name for Ceftin? ◉ Cephalexin ◉ Cefdinir ◉ Cefuroxime ◉ CeftriaxoneCefuroximeIf a patient has a severe yeast allergy, which vaccine may cause an allergic reaction to occur? ◉ Afluria ◉ Prevnar ◉ Recombivax HB ◉ VarivaxRecombivax HBA patient of average size will be given an intramuscular vaccine injection. Which length of needle will you need to select? ◉ 1/4" ◉ 1/2" ◉ 1" ◉ 2.5"1"Which is a role of the pharmacy technician in vaccine administration? ◉ Calling the prescriber for a prescription ◉ Counseling the patient on various vaccines ◉ Giving a patient vaccination forms to complete ◉ Determining if the vaccine should be administered to the patientGiving a patient vaccination forms to completeHow often should the screening questionnaire be filled out by a patient getting a flu vaccine? ◉ Prior to the first time they receive a flu vaccine ◉ After they receive their first flu vaccine ◉ Prior to every flu vaccine they receive ◉ After every flu vaccine they receivePrior to every flu vaccine they receiveA severe allergy to which substance could cause a reaction with a Fluzone vaccine? ◉ Eggs ◉ Gelatin ◉ Neomycin ◉ YeastEggsVarivax is which type of vaccine? ◉ Inactivated ◉ Live ◉ Subunit ◉ ToxoidLiveWhat drug classes does the combo med CiproDex belong to? ◉ Fluoroquinolone / analgesic ◉ Fluoroquinolone / corticosteroid ◉ Macrolide / analgesic ◉ Macrolide / corticosteroidFluoroquinolone/corticosteroidMr. Jones calls to get a refill on his Zovirax prescription. What generic medication will be dispensed to Mr. Jones? ◉ Acyclovir ◉ Imiquimod ◉ Valacyclovir ◉ ValganciclovirAcyclovirWhich is an example of a systemic adverse reaction to a vaccine? ◉ Swelling ◉ Muscle pain ◉ Injection site pain ◉ Redness at the injection siteMuscle painA patient of average size will be given a subcutaneous vaccine injection. Which length of needle will you need to select? ◉ 5/8" ◉ 1" ◉ 1.5" ◉ 2"5/8"Mrs. Andria asks the pharmacist to recommend a cough and cold product. Which medication is considered an expectorant? ◉ Dextromethorphan ◉ Guaifenesin ◉ Loratadine ◉ PhenylephrineGuaifenesinMr. Stein has a prescription for Levaquin for his elderly mother. Which side effect is associated with Levaquin? ◉ Breathing problems ◉ Renal failure ◉ Tendon rupture ◉ Tooth discolorationTendon ruptureWhich medication is classified as a macrolide? ◉ Bactrim DS ◉ Cefdinir ◉ Principen ◉ ZithromaxZithromaxMrs. Marks is ordered Pfizerpen during her hospital stay. What is the generic name for Pfizerpen? ◉ Amoxicillin ◉ Amoxicillin/clavulanate ◉ Penicillin G ◉ Penicillin VPenicillin GMs. Burns has COPD and brings in the following prescription: Stiolto Respimat inh 1 puff po QD #1 inhaler Stiolto Respimat is the brand name for: ◉ Indacaterol / Glycopyrrolate ◉ Olodaterol / Tiotropium ◉ Salmeterol / Fluticasone ◉ Vilanterol / UmeclidiniumOlodaterol / TiotropiumMs. Henry has COPD and brings in the following prescription: Spiriva Respimat 1 puff po QD #1 box Spiriva Respimat is the brand name for: ◉ Albuterol ◉ Ipratropium ◉ Levalbuterol ◉ TiotropiumTiotropiumWhich is a sign of anaphylactic shock? ◉ Muscle pain ◉ Pain at injection site ◉ Swelling at the injection site ◉ Immediate swelling of mouth and airwaysImmediate swelling of mouth and airwaysWhich is an example of a local reaction to a vaccine? ◉ Headache ◉ Muscle pain ◉ Loss of appetite ◉ Pain at injection sitePain at injection siteMs. Weaver brings in a prescription for Flovent HFA. This medication is used to treat: ◉ Allergies ◉ Asthma ◉ Common cold ◉ InfluenzaAsthmaWhat is a common side effect of nystatin cream?Skin irritationMr. Hesson has COPD and uses ipratropium daily. How does ipratropium work? ◉ Prevents coughing ◉ Opens up airways ◉ Lowers blood pressure ◉ Dries up nasal congestionOpens up airwaysMs. Jensen is prescribed Flovent HFA for her asthma. Flovent HFA represents an important class of: ◉ Beta-2 agonists ◉ Inhaled anticholinergics ◉ Inhaled corticosteroids ◉ Leukotriene modifiersInhaled corticosteroidsVaccines are important because they: ◉ Inhibit disease by suppressing the immune system ◉ Cause disease by attacking blood cells within the body ◉ Prevent disease by making antibodies which fight off that disease ◉ Stimulate disease by increasing the amount of fungal growth in the bodyPrevent disease by making antibodies which fight off that diseaseWhat is the generic name for Levaquin? ◉ Doxycycline ◉ Erythromycin ◉ Levofloxacin ◉ PolymyxinLevofloxacinMr. Williams experienced difficulty breathing and dangerously low blood pressure after receiving an influenza vaccine. These are signs of: ◉ Kidney failure ◉ Cirrhosis of the liver ◉ Anaphylactic reaction ◉ High blood sugar levelsAnaphylactic ReactionWhich auxiliary label should be applied to a Flagyl Rx? ◉ May cause drowsiness or dizziness ◉ Avoid prolonged direct sunlight while taking this medication ◉ Do not drink alcoholic beverages while taking this medication ◉ Do not take dairy, antacids, or iron preparations within 1 hour of this medicationDo not drink alcoholic beverages while taking this medicationMrs. Henderson is receiving an antibiotic in the hospital. Which penicillin antibiotic is available in a parenteral dosage form? ◉ Amoxicillin ◉ Amoxicillin/clavulanate ◉ Ampicillin ◉ Penicillin VAmpicillinMr. Pack is prescribed Keflex.What is the generic name for Keflex? ◉ Cefdinir ◉ Cefuroxime ◉ Cephalexin ◉ CilastatinCephalexinMr. Mattox brings in his prescribed Keflex. Which drug class does this medication belong to? ◉ Cephalosporins ◉ Macrolides ◉ Penicillins ◉ SulfonamidesCephalosporinsMs. Dawson is prescribed fluconazole 150 mg tablet. What is a common side effect she may experience if she is taking it as a single dose? ◉ Dry Skin ◉ Headache ◉ Swelling ◉ RashHeadacheMrs. Montoy is picking up a vaginal cream. Which antifungal is available as a vaginal cream? ◉ Clotrimazole ◉ Efinaconazole ◉ Fluconazole ◉ KetoconazoleClotrimazoleWhich vaccine is live and attenuated? ◉ Afluria ◉ Fluzone ◉ ProQuad ◉ ShingrixProQuadThe AWP for ninety tablets of Savaysa 60 mg is $997.92. If your pharmacy's retail price is AWP plus an $8.00 dispensing fee, what will be the retail price for thirty Savaysa 60 mg tablets? ◉ $335.31 ◉ $340.64 ◉ $997.92 ◉ $1,005.92$340.64Mr. Springstein brings in the following prescription: Jublia 10% soln Apply qd 4 mL If Mr. Springstein pays $280 for his prescription, and the pharmacy paid $165 for it, what is the markup percent? Round up to the nearest percentage. ◉ 41% ◉ 47% ◉ 70% ◉ 74%70%How many fills of a medication can eligible patients in federal disaster areas receive through EPAP?1Your pharmacy just ran its inventory. The initial inventory value was $175,500. The ending inventory value was $55,000. What's your pharmacy's average annual inventory? ◉ $60,000 ◉ $115,250 ◉ $120,000 ◉ $230,500$115,250Which definition best describes selling price? ◉ The "sticker" price of a drug ◉ Amount a pharmacy pays for a drug ◉ Price a business charges for a product ◉ Money received from the sale of a productPrice a business charges for a productWhich definition best describes cost? ◉ The "sticker" price of a drug ◉ Amount a pharmacy pays for a drug ◉ Price a business charges for a product ◉ Money received from the sale of a productAmount a pharmacy pays for a drugMs. Hassid brings in the following prescription: Zolpidem 10 mg tabs Take 1 HS #30 If the pharmacy charges $153 for 30 tablets, how much will Ms. Hassid pay for 7 tablets? ◉ $5.10 ◉ $35.70 ◉ $73.20 ◉ $153.00$35.70Your pharmacy's initial inventory was $325,900, and your ending inventory is $245,000. The pharmacy's cost of goods sold was $800,000. What is the ITOR? Round to the nearest tenths place. ◉ 2.8 ◉ 3.8 ◉ 4.8 ◉ 5.82.8Mr. Souliere has to pay out of pocket for his Eliquis. The pharmacy's selling price for 60 tablets of Eliquis 5 mg is $315. The pharmacy's purchase price for 60 tablets is $250. What is the markup? ◉ $45 ◉ $53 ◉ $65 ◉ $72$65How much does each tablet cost if the pharmacy pays $165 for a 500-count bottle of hydroxyzine 10 mg? ◉ $0.03 ◉ $0.33 ◉ $3.03 ◉ $33.00$0.33Mr. Butterworth brings in the following prescription: Farxiga 5 mg 1 po qd #30 If Mr. Butterworth pays $242 for his prescription, and the pharmacy paid $125 for it, what is the markup percent for Farxiga? ◉ 48% ◉ 58% ◉ 74% ◉ 94%94%Ms. Taylor brings in the following prescription: ProAir HFA 2 puffs q6h prn #1 inhaler Your pharmacy's retail price for medication is the AWP plus a $4.00 dispensing fee. What will be the retail price for Ms. Taylor's prescription if the AWP for one inhaler is $44.52? ⚬ $40.52 ⚬ $44.52 ⚬ $48.52 ⚬ $52.52$48.52Express the drug concentration for clotrimazole 1% w/w. ◉ 1 g/100 g ◉ 1 g/100 mg ◉ 1 mg/100 g ◉ 1 mg/100 mg1 g/100 gYou receive the following prescription: Dextrose 5% solution 100 mL You have dextrose 20% solution in stock. How much diluent do you need to fill the prescription? 25 mL 50 mL 75 mL 90 mL75 mL ------------------------------- (diluent is the product mixed with the drug to lower it's concentration, you find out how much diluent is added or needed by subtracting)You receive the following medication order: Lidocaine 2.5% solution Qty: 125 mL Using lidocaine 5% solution and lidocaine 1% solution, calculate how many parts of each ingredient you need. ◉ 2.5 parts of 1%, 1.5 parts of 5% ◉ 2.5 parts of 5%, 1.5 parts of 1% ◉ 2.5 parts of 5%, 4 parts of 1% ◉ 2.5 parts of 1%, 4 parts of 5%2.5 parts of 1%, 1.5 parts of 5%You are tasked to make 2 mL of tobramycin 8% solution. You calculate that you need to use 1 mL of tobramycin 16% stock solution to make it. How much diluent will you need to use? ⚬ 1 mL ⚬ 2 mL ⚬ 3 mL ⚬ 4 mL1 mLHow many parts of sodium chloride 0.9% are in 100 parts of solution? ⚬ 0.09 ⚬ 0.9 ⚬ 9 ⚬ 900.9How much dextrose is contained in 250 mL D10W? ◉ 25 g ◉ 25 mg ◉ 250 g ◉ 250 mg25 gYou need to make a 0.45% sodium chloride solution. The pharmacy has 1,000 mL of 0.9% sodium chloride in stock. Calculate the final quantity of the 0.45% sodium chloride solution that can be made from the stock solution. ◉ 2,000 mL ◉ 900 mL ◉ 9,000 mL ◉ 200 mL2,000 mLHow many grams of diphenhydramine are in 60 g of diphenhydramine 2% cream? ◉ 0.12 ◉ 1.2 ◉ 12 ◉ 1201.2A nurse is to infuse 1 L of normal saline over 120 minutes. What is the flow rate in mL/hr? ⚬ 8.3 mL/hr ⚬ 250 mL/hr ⚬ 500 mL/hr ⚬ 750 mL/hr500 mL/hrExpress rubbing alcohol 70% as a decimal. ⚬ 0.07 ⚬ 0.7 ⚬ 7.0 ⚬ 70.00.7How long will the IV bag last a patient receiving the following order? Potassium chloride 20 mEq in D5NS 50 mL IV q24h Rate: 100 mL/hr ◉ 15 min ◉ 30 min ◉ 60 min ◉ 120 min30 minYou receive a prescription for spironolactone suspension. If you need to make a total of 45 fl oz, how much peppermint extract do you need? Use the formula below. Sprionolactone suspension Sprionolactone powder 1,800 mg Peppermint extract 0.9 mL Ora-Blend® qsad 900 mL ◉ 0.3 mL ◉ 0.9 mL ◉ 1.35 mL ◉ 18 mL1.35 mLExpress the drug concentration for ethanol 70% v/v. ⚬ 70 L/100 L ⚬ 70 L/100 mL ⚬ 70 mL/100 L ⚬ 70 mL/100 mL70 mL/100 mLCalculate the amount of each ingredient for the following medication order: Prepare 250 mL of ethyl alcohol 20% solution using ethyl alcohol 50% and ethyl alcohol 10%. Round to the tenths place. ⚬ 62.5 mL of 10%, 187.5 mL of 50% ⚬ 62.5 mL of 20%, 187.5 mL of 10% ⚬ 62.5 mL of 50%, 187.5 mL of 10% ⚬ 62.5 mL of 10%, 187.5 mL of 20%62.5 mL of 50%, 187.5 mL of 10%You have a 10% progesterone cream in stock. How much of the stock cream do you need to make 45 grams of 5% cream? ◉ 90 g ◉ 225 g ◉ 22.5 g ◉ 25 g22.5 gYou have 40 parts bleach in 100 parts water. How is this expressed as a percent? ⚬ 0.04% ⚬ 0.44% ⚬ 4% ⚬ 40%40%You receive the following medication order: Zinc oxide 13% 80 g Using zinc oxide 10% cream and zinc oxide 20% cream, calculate how many grams of each ingredient you need. ◉ 30 g of 10%, 50 g of 20% ◉ 56 g of 10% , 24 g of 20% ◉ 50 g of 10%, 30 g of 20% ◉ 24 g of 10%, 56 g of 20%56 g of 10% , 24 g of 20%How is hydrocortisone 2.5% written as a fraction? ⚬ 0.025/100 ⚬ 0.25/100 ⚬ 2.5/100 ⚬ 25/1002.5/100You receive the following medication order in your pharmacy: Famotidine 20 mg in 100 mL D5W over 30 min What is the drip rate in gtt/min if you have a 15-drop set? Round to the nearest drop. ⚬ 3 gtt/min ⚬ 10 gtt/min ⚬ 50 gtt/min ⚬ 200 gtt/min50 gtt/minYou need to prepare Ms. Emmanuel's Magic Mouthwash using the formula below. If her prescription calls for 2 fl oz of Magic Mouthwash, how much of each ingredient will you use to make the prescribed amount? Magic Mouthwash Diphenhydramine elixir 12.5 mg/5 mL 80 mL Lidocaine viscous 2% 80 mL Nystatin suspension 80 mL Yields 240 mL ◉ 20 mL ◉ 40 mL ◉ 60 mL ◉ 100 mL20 mLConvert 0.01 to a percent. ◉ 0.1% ◉ 1% ◉ 10% ◉ 11%1%Express the drug concentration for dextrose 20% w/v. ⚬ 20 mg/100 L ⚬ 20 mg/100 mL ⚬ 20 g/100 mL ⚬ 20 g/100 L20 g/100 mLA compounding formula is also known as a(n): ⚬ List ⚬ Order ⚬ Prescription ⚬ RecipeRecipeA patient is to receive 1 L of PN solution at 75 mL/hr. What is the rate in gtt/min if the drop set used is 20 gtt/mL? ◉ 12.5 gtt/min ◉ 20 gtt/min ◉ 25 gtt/min ◉ 1,500 gtt/min25 gtt/minCalculate the amount of each ingredient for the following medication order: Prepare 1,000 mL of D10W using D20W and D2.5W ◉ 428.6 mL of D2.5, 571.4 mL of D20 ◉ 428.6 mL of D20, 571.4 mL of D2.5 ◉ 571.4 mL of D2.5, 428.6 mL of D10 ◉ 571.4 mL of D10, 428.6 mL of D2.5428.6 mL of D20, 571.4 mL of D2.5Calculate how many parts of each ingredient are needed for the following medication order: Prepare a lidocaine 2% cream using a lidocaine 1% cream and a lidocaine 5% cream. ◉ 3 parts of 5%, 1 part of 2% ◉ 1 part of 5%, 3 parts of 1% ◉ 1 part of 2%, 4 parts of 1% ◉ 5 parts of 1%, 2 parts of 3%1 part of 5%, 3 parts of 1%What does the abbreviation "QSAD" mean? ⚬ Add and stir as directed ⚬ Add suspension as directed ⚬ Add sufficient quantity to make ⚬ Add sufficient quantity and divideAdd sufficient quantity to makeYou receive the following medication order: Acyclovir 10 mg/kg/dose in D5W 100 mL Infuse IV over 60 min. What is the flow rate in mL/hr? ⚬ 1.6 mL/hr ⚬ 16.6 mL/hr ⚬ 100 mL/hr ⚬ 400 mL/hr100 mL/hrYou receive a prescription for PUPP cream. If you need to make a total of 2 oz, which amounts of menthol crystals and Eucerin emollient do you need? Use the formula below. PUPP Cream Hydrocortisone powder 1 g Menthol crystals 0.25 g Camphor powder 0.25 g Eucerin emollient 98.5 g Yields 100 g ◉ 0.375 g menthol crystals, 157.6 g Eucerin emollient ◉ 157.6 g menthol crystals, 0.375 g Eucerin emollient ◉ 0.15 g menthol crystals, 59.1 g Eucerin emollient ◉ 59.1 g menthol crystals, 0.15 g Eucerin emollient0.15 g menthol crystals, 59.1 g Eucerin emollientYou have dextrose 60% solution in stock. How much of the stock solution do you need to make a 100 mL dextrose 10% solution? ⚬ 167 mL ⚬ 6 mL ⚬ 60 mL ⚬ 16.7 mL16.7 mL -------------------------------- (this is a dilution problem!)An incorrect dose error occurs when a patient: ⚬ Takes two or more of the same medication ⚬ Has multiple medications that interact with each other ⚬ Has a disease, but is not taking any medications to treat it ⚬ Is given too high, or too low, of a medication dose for their conditionIs given too high, or too low, of a medication dose for their conditionWhat is an MTM function that techs can perform in most states? ◉ Perform the MTM interview themselves ◉ Complete the PMR after the MTM interview ◉ Notify eligible patients of their MTM eligibility ◉ Call prescribers to change a patient's medicationNotify eligible patients of their MTM eligibilityWhich is an example of a duplication error? ⚬ Two of the same anti-seizure medications are taken at once ⚬ Anti-seizure medication dose is too high for patient's seizures ⚬ Multiple interacting medications causing severe side effects ⚬ Diagnosis of seizures but patient is not taking any anti-seizure medsTwo of the same antiseizure medications are taken at onceA patient-centered document that includes all medications, indications, directions, and prescriber information is known as: ⚬ CMR ⚬ MAP ⚬ PML ⚬ TMRPMLWhich test screens for prostate cancer? ⚬ BP ⚬ PrEP ⚬ PSA ⚬ TSHPSAWhat does "CMR" stand for? ⚬ Certified Medication Record ⚬ Concentrated Medication Rate ⚬ Continuing Medication Response ⚬ Comprehensive Medication ReviewComprehensive Medication ReviewAn omission error occurs when a patient: ◉ Takes two or more of the same medication ◉ Has multiple medications that interact with each other ◉ Has a disease, but is not taking any medications to treat it ◉ Is given too high, or too low, of a medication dose for their conditionHas a disease, but is not taking any medications to treat itWhat is one benefit health and wellness services provide to pharmacies? ◉ Additional income ◉ Increase in staff ◉ Less busy ◉ Low turnoverAdditional incomeA thorough medication reconciliation will always contain the drug's: ◉ Imprint ◉ Shape ◉ Size ◉ StrengthStrengthWhat is the primary purpose of pharmacy health and wellness programs? ◉ Help pharmacies become primary care providers ◉ Ensure patients are getting the most of their health insurance benefits ◉ Ensure pharmacies have additional opportunities to earn more revenue ◉ Help patients prevent, identify, and manage acute and chronic conditionsHelp patients prevent, identify, and manage acute and chronic conditionsWhat is a factor when determining a patient's eligibility for MTM services? ◉ Sex ◉ Weight ◉ Economic status ◉ Number of medicationsNumber of medicationsWhich item should patients bring to their MTM appointments? ◉ Credit card ◉ Gym membership ◉ Medication list ◉ Social security cardMedication listWhich is a primary function of a medication reconciliation technician? ⚬ Administering medication to the patient ⚬ Gathering a list of the patient's medications ⚬ Consulting the patient about medication use ⚬ Making a diagnosis based on the patient's conditionGathering a list of the patient's medicationsWhat is one patient benefit health and wellness services provide? ◉ Instant cure ◉ Better patient care ◉ Expanded hours to care ◉ Shorter appointment timesExpanded hours to careWhat does a TSH test diagnose or monitor for? ⚬ Thyroid ⚬ Total cholesterol ⚬ Total protein ⚬ TriglyceridesThyroidA drug-drug interaction error occurs when a patient: ⚬ Takes two or more of the same medication ⚬ Has a disease, but is not taking any medications to treat it ⚬ Has multiple medications that cause one drug level to increase ⚬ Is given too high, or too low, of a medication dose for their conditionHas multiple medications that cause one drug level to increaseWhich is an example of an open-ended question? ⚬ "Do you have high blood pressure?" ⚬ "Did you take your metoprolol today?" ⚬ "How often do you take your metoprolol?" ⚬ "Is metoprolol the name of your blood pressure med?""How often do you take your metoprolol?"It's flu season and Ms. McKenzie comes to the pharmacy to pick up her meds. Which duty are you allowed to perform pertaining to your pharmacy's immunization health and wellness program, depending on state law? ◉ Prescribe antivirals for Ms. McKenzie ◉ Share flu test results with Ms. McKenzie ◉ Consult Ms. McKenzie on the benefits of the flu vaccine ◉ Determine if Ms. McKenzie is a candidate for the flu vaccineDetermine if Ms. McKenzie is a candidate for the flu vaccineYou've been working at a retail pharmacy for 5 years. After receiving proper training, which duty do some states allow you to perform? ⚬ Interpret Strep A test results ⚬ Perform a Strep A test on a patient ⚬ Advise diabetes patients on healthy eating habits ⚬ Recommend a lower dose of a diabetes medicationPerform a Strep A test on a patientMs. Warner's non-sterile compound requires you to start with the smallest quantity ingredient and add an equal amount of the second ingredient in a series of steps. Which compounding technique is this called? ⚬ Geometric dilution ⚬ Levigation ⚬ Spatulation ⚬ TriturationGeometric dilutionWhich step should be performed to maintain proper hygiene before performing non-sterile compounding? ⚬ Take off eyeglasses ⚬ Brush and detangle hair ⚬ Remove jewelry and sweaters ⚬ Wear recently laundered clothingRemove jewelry and sweatersYou are asked to mix two commercially available ointments together for your patient, Ms. Myers. Which piece of equipment will you likely use to mix the two ointments? ⚬ Cylindrical graduate ⚬ Mortar and pestle ⚬ Spatula ⚬ SyringeSpatulaWhy were USP <795> guidelines created? ◉ To control good compounding practices that pharmacies must follow ◉ To control the number of compounded products that reach the market ◉ To regulate the number of technicians that can participate in non-sterile compounding ◉ To regulate the number of pharmacies that can offer non-sterile compounding productsTo control good compounding practices that pharmacies must followWhich compounding technique is used to mix two hazardous powders together? ◉ Sifting ◉ Spatulation ◉ Tumbling ◉ TriturationTumblingWhich prescription balance has a sensitivity requirement of +/- 6 mg? ⚬ Class III torsion balance ⚬ Counterbalance ⚬ Digital electronic balance ⚬ Kitchen balanceClass III torsion balanceWhich piece of equipment is suitable for measuring exact volumes of liquids? ◉ Amber prescription bottles ◉ Beakers ◉ Flasks ◉ Glass cylindrical graduatesGlass cylindrical graduatesYou compounded a cream for Mr. Black. Which documentation would you find the ingredients' lot numbers on? ⚬ Compounding record ⚬ Master formulation record ⚬ Prescription ⚬ RecipeCompounding recordWhich compounding technique uses a solvent to help reduce particle size of a solid? ⚬ Levigation ⚬ Pulverization ⚬ Spatulation ⚬ TriturationPulverization ---------------------- (pulverization is a comminution technique where a particle size is reduced by using a solvent)Non-sterile compounding can be performed when a commercially available product: ⚬ Isn't affordable for patients ⚬ Doesn't meet patient needs ⚬ Is low in stock at the pharmacy ⚬ Doesn't meet formulary standardsDoesn't meet patient needsYou are preparing an ointment for Mr. Browne that requires you to combine a powdered medication into an ointment base. Which piece of equipment are you likely to use? ◉ Cylindrical graduate ◉ Mortar and pestle ◉ Ointment slab ◉ SyringeOintment slabWhich compounding technique uses a mortar and pestle to grind a crystalline powder into a fine powder? ⚬ Levigation ⚬ Pulverization ⚬ Sifting ⚬ TriturationTriturationIf you prepare a non-aqueous compounded ointment for Mr. Grady on 10/30/21, what is the maximum beyond-use date you could put on the Rx label? ⚬ 04/01/22 ⚬ 04/30/22 ⚬ 10/01/22 ⚬ 10/30/2204/30/22 (6 months) ---------------------------------- (non-aqueous formulations have a 6-month beyond-use date or the earliest expiration date of the ingredients used, whichever comes first)Which preparation is a simple non-sterile compounded product? ⚬ Captopril oral solution ⚬ Morphine sulfate suppositories ⚬ Transdermal preparations ⚬ Modified-release preparationsCaptopril oral solution ----------------------------------- (simple non-sterile compounding includes reconstituting or manipulating commercially available products by adding more ingredients to them)Which beyond-use date is given to topical compounds that contain water? ⚬ 14 days ⚬ 30 days ⚬ 3 months ⚬ 6 months30 days --------------------------------- (all aqueous formulations have a 30-day beyond-use date, except aqueous oral dosage formulations that have a 14-day beyond-use date)Which beyond-use date is given to oral compounds that contain water? ⚬ 14 days ⚬ 30 days ⚬ 3 months ⚬ 6 months14 daysWhich mortar and pestle is best to use when compounding liquids? ⚬ Glass ⚬ Hard rubber ⚬ Porcelain ⚬ Stainless steelGlassYou receive a prescription for magic mouthwash for Ms. Johnstone. Where is the best place to find the recipe of ingredients to use for compounding this preparation? ⚬ Compounding record ⚬ Master formulation record ⚬ Orange Book ⚬ Patient Package InsertMaster formulation recordAccording to most state laws, which task may pharmacy technicians perform with non-sterile compounding? ⚬ Weigh and measure ingredients ⚬ Review for drug adverse reactions ⚬ Complete a final review of the preparation ⚬ Answer patient questions about side effectsWeigh and measure ingredientsWhat is the general compounding term used for reducing a substance to fine particles? ◉ Blending ◉ Comminution ◉ Trituration ◉ TumblingComminutionMrs. Stevens is an inpatient in your hospital. Her prescriber just ordered hydroxyzine 10 mg every 8 hours. How many tablets of hydroxyzine 10 mg will you put in Mrs. Stevens' med cart drawer for a 24-hour fill? ⚬ 2 ⚬ 3 ⚬ 5 ⚬ 73What is an example of an entry in the current medication section of an EMR? ◉ "EKG q 12h" ◉ "Furosemide 40 mg IV" ◉ "Serum potassium labs q4h" ◉ "Lovastatin 20 mg: 1 tablet po bid""Lovastatin 20 mg: 1 tablet po bid"The social history section of a patient's EMR will display their: ⚬ Alcohol use ⚬ Familial diseases ⚬ Medication history ⚬ Vital signsAlcohol useWhich item has a bar code that includes an NDC, lot number, and expiration date? ◉ Drug stock bottle ◉ eMAR ◉ Patient wristband ◉ Physician orderDrug stock bottleAfter placing the appropriate medications to fill an ADC on the pharmacy counter, you should: ⚬ Place the meds in the bucket ⚬ Check the meds against the fill list ⚬ Take the meds to the ADC for filling ⚬ Ask the pharmacist to check the medsAsk the pharmacist to check the medsMr. Cartwright is an inpatient in your hospital. His prescriber just ordered tamsulosin 0.8 mg every 24 hours. How many capsules of tamsulosin 0.4 mg will you put in Mr. Cartwright's med cart drawer? ◉ 1 ◉ 2 ◉ 3 ◉ 42All inpatient medication orders should contain the patient's: ◉ Date of birth ◉ Insurance information ◉ Address ◉ Telephone numberDate of birthThe information on a hospital medication label usually requires the patient's: ◉ Insurance carrier ◉ Phone number ◉ Physical address ◉ Room numberRoom numberWhich medication type must be hand-delivered to the floor, due to potential issues with pneumatic tube delivery? ⚬ Cream ⚬ Parenteral nutrition ⚬ Powder ⚬ Unit-dose liquidParenteral nutritionAfter delivery of the med cart, the med cart list is: ◉ Kept with the med cart ◉ Given to the nurse to file ◉ Kept on file in the pharmacy ◉ Disposed of in the pharmacy trashKept on file in the pharmacyA chemotherapy medication is usually delivered to which area of the hospital? ⚬ ED ⚬ NICU ⚬ OB/GYN ⚬ ONCONC --------------------------------------- (onc- like in oncology pertains to tumors)In which area of an EMR will you find the patient's name, date of birth, address, and phone number? ◉ Demographics ◉ Lab results ◉ Care team ◉ Medication orderDemographicsWhich steps are in the correct order for refilling a crash box? ◉ Charge, refill, flag earliest expiration date, prep for pharmacist verification ◉ Flag earliest expiration date, charge, prep for pharmacist verification, refill ◉ Prep for pharmacist verification, flag earliest expiration date, refill, charge ◉ Refill, charge, prep for pharmacist verification, flag earliest expiration dateCharge, refill, flag earliest expiration date, prep for pharmacist verificationA discharge order is a medication order that is filled when the patient is: ⚬ First accepted into the hospital ⚬ In urgent need of the medication ⚬ Leaving the hospital ⚬ Renewing a daily medication in the hospitalLeaving the hospitalCPOE is a medication order that is sent to the pharmacy via: ◉ Computer ◉ Fax ◉ Oral ◉ Pneumatic tubeComputerWhen a nurse picks up a patient's medication at the hospital pharmacy window, you should verify the patient's: ◉ Current address ◉ Drug name ◉ Phone number ◉ Prescriber nameDrug nameMost crash box meds are given parenterally because they: ◉ Cost less to dispense ◉ Have fewer side effects ◉ Are safer to administer ◉ Act faster in an emergencyAct faster in an emergencyWhich crash box medication should have a "must be diluted" auxiliary label? ⚬ Adenosine ⚬ Potassium ⚬ Sterile water ⚬ VasopressinPotassiumWhat are unit-dose medications? ◉ A 90-day supply of medication ◉ A packaged single dose of a medication ◉ Doses that are meant to be given intravenously ◉ An injection thats administered subcutaneouslyA packaged single dose of a medicationWhat is an example of a medication order that is filled when the patient is first accepted into the hospital? ◉ Admitting ◉ Daily ◉ Discharge ◉ StatAdmittingMost ADCs are located near nursing stations in hospitals. This is beneficial because it: ◉ Provides decreased security in the hospital ◉ Can be accessed and opened by anyone on the floor ◉ Decreases the time it takes to make an IV in the pharmacy ◉ Provides direct access for nurses to nearly all meds in patient care areasProvides direct access for nurses to nearly all meds in patient care areasIn a hospital, a patient's weight is sometimes needed for: ⚬ Allergy verification ⚬ Diagnoses ⚬ Lab results ⚬ Medication dosingMedication dosingWhich medication dosage form needs a "shake well" auxiliary sticker? ⚬ Elixir ⚬ Solution ⚬ Suspension ⚬ SyrupSuspensionThe lab & medical tests section of the EMR will contain the patient's: ⚬ Care team ⚬ Medication order ⚬ Social history ⚬ Vital signsVital signsWhat is an example of a STAT medication order? ⚬ "Acetaminophen 650 mg PO when Temperature is > 38°C" ⚬ "Morphine 5 mg IV for severe pain. Give now" ⚬ "Simvastatin 20 mg 1 tablet po qhs" ⚬ "Trazadone 100 mg po qhs for sleep""Morphine 5 mg IV for severe pain. Give now"When delivering a medication to an area in the hospital, you should identify the patient with their nurse by using their: ⚬ Diagnosis ⚬ Drug ⚬ Name ⚬ Room numberRoom numberAn electronic record of patient health information is also called a(n): ⚬ BCMA ⚬ CPOE ⚬ EMR ⚬ HIPAAEMR (Electronic Medical Record)Each drug product sold in the U.S. is assigned a unique 10-digit number. This number is referred to as the: ◉ DAW number ◉ DEA number ◉ NDC number ◉ Serial numberNDC numberAfter delivering a controlled medication to the appropriate floor, whose signature is needed to document receiving the medication? ◉ Nurse's ◉ Patient's ◉ Pharmacist's ◉ Technician'sNurse'sWhat would an institutional setting use in order to have a more efficient workflow and a reduction in medication errors? ⚬ ADC ⚬ JC ⚬ NDC ⚬ TPAADCRobert is a hospital pharmacy technician, and one of his job functions is dealing with crash box medications. Which best describes his role with this specific job? ◉ Restocking used crash boxes ◉ Administering crash box meds ◉ Verifying restocked crash boxes ◉ Billing insurance for crash box medsRestocking used crash boxesNurses can ensure that med and lab orders are associated with the correct patient by using: ⚬ Bar codes ⚬ DAW numbers ⚬ DEA numbers ⚬ Physician ordersBar codesIf you are allergic to penicillin, you should wear gloves when handling: ⚬ Amoxicillin ⚬ Finasteride ⚬ Furosemide ⚬ SulfamethoxazoleAmoxicillinA temperature auxiliary sticker is usually which color? ⚬ Blue ⚬ Red ⚬ White ⚬ YellowBlueSteven is about to start his second round of chemotherapy. His chemotherapy medication is dosed by his BSA. He weighs 200 lb and is 72 in tall. What is his BSA? ◉ 2.00 m2 ◉ 2.15 m2 ◉ 4.61 m2 ◉ 4.64 m22.15 m2The difference between single-dose vials and multi-dose vials is that multi-dose vials: ⚬ May contain preservatives ⚬ Can be punctured only once ⚬ Are made purely of thin glass ⚬ Require a filter needle to withdraw fluidMay contain preservativesAn inspector has come to your pharmacy and is testing the air quality of the anteroom. What should the ISO class of the anteroom be if you're compounding non-hazardous meds? ⚬ 8 ⚬ 9 ⚬ 10 ⚬ 118Which sterile garb item is donned right after shoe covers? ⚬ Bouffant cap ⚬ Face mask ⚬ Non-shedding gown ⚬ Sterile glovesBouffant cap ------------------------- (donning order: shoe coverings, hair cover, beard cover, face mask, eye shield, non-shedding gown, sterile glovesA prescription comes through your pharmacy. It states: "Vincristine 1.4 mg/m2 IV weekly for 4 weeks." If the patient's BSA is 2.56 m2, which is the correct dose to give the patient today? ⚬ 0.55 mg ⚬ 1.83 mg ⚬ 3.59 mg ⚬ 14.36 mg3.59 mgYou are about to compound a sterile order for furosemide. You calculate the amount you'll need to withdraw is 2 mL. Which syringe size should you pick? ◉ 2 mL ◉ 5 mL ◉ 20 mL ◉ 30 mL5 mLGeorgia needs to withdraw 5 mL of fluid from a vial. How much air should be in her syringe before she inserts the needle into the vial? ⚬ 2.5 mL ⚬ 5 mL ⚬ 7.5 mL ⚬ 10 mL5 mLThe device that's used to prevent contamination of the syringe during transport is a syringe: ⚬ Bag ⚬ Cap ⚬ Needle ⚬ PlungerCapJasmine received a chemotherapy order for a patient. She calculated the dose needed to be 25 mL. Which syringe size should Jasmine choose to fill the order? ◉ 10 mL ◉ 20 mL ◉ 25 mL ◉ 50 mL50 mLThe process of injecting small amounts of air into the vial at a time to prevent leaking is called: ⚬ Coring ⚬ Decoding ⚬ Milking ⚬ ScoopingMilkingIf it's not stated, the beyond-use date of a multi-dose vial is understood to be how many days? ◉ 1 ◉ 7 ◉ 14 ◉ 2828Which is an example of an IV drug incompatibility? ⚬ Two medications that are mixed to form a solid ⚬ Two medications that are mixed to form a solution ⚬ Medication that is dangerous to use because it's expired ⚬ Medication that causes the patient to have an allergic reactionTwo medications that are mixed to form a solidWhich needle gauge should be used in sterile compounding? ◉ 16 G ◉ 18 G ◉ 23 G ◉ 28 G18 GWhich dosage route requires compounding with preservative-free medications? ◉ Epidural ◉ Intramuscular ◉ Otic ◉ SubcutaneousEpiduralA luer-to-luer connector is used to: ◉ Accurately measure syringe volume ◉ Protect the syringe tip from contamination ◉ Help the slip-tip needle fit onto the syringe tip ◉ Split the contents of one syringe into two syringesSplit the contents of one syringe into two syringesIt's January 1, and Maria just compounded an order for calcium chloride. She notices the drug is in a multi-dose vial, but the label has no stated beyond-use date. Which beyond-use date should she write on the vial? ◉ January 2 ◉ January 12 ◉ January 17 ◉ January 28January 28Which pattern is the correct way to clean the forearm? ◉ Downward straight motion, starting from the wrist ◉ Downward circular motion, starting from the wrist ◉ Upward straight motion, starting from the elbow ◉ Upward circular motion, starting from the elbowDownward circular motion, starting from the wristWhat is an intravenous admixture seal used for? ◉ To protect the IV port cover ◉ To shield the IV bag from light ◉ To attach an Rx label to syringe ◉ To protect fingers when breaking an ampuleTo protect the IV port coverWhy is sterile garb important? ◉ Makes technicians look professional ◉ Avoids the need of aseptic technique ◉ Prevents contamination of compounds ◉ Helps quicken the sterile compounding processPrevents contamination of compoundsA flow hood must be cleaned: ◉ At the end of the shift ◉ After compounding a medication ◉ When compounding a STAT med ◉ Before starting a batch compoundBefore starting a batch compoundWhich supply item should be used to add diluent to powdered medications to prevent foaming? ◉ Bevel extractor ◉ Filter needle ◉ Needle cap ◉ Vented needleVented needleWhich items must be garbed before aseptic handwashing? ◉ Beard cover, sterile gown, and shoe covers ◉ Face mask, sterile gloves, and beard cover ◉ Hair cover, sterile gown, and face mask ◉ Shoe covers, hair cover, and face maskShoe covers, hair cover, and face maskLatasha just finished a sterile compound and is looking for a place to throw her needle. Where should she dispose of it? ⚬ Anteroom sink ⚬ Needle bin ⚬ Regular trash ⚬ Sharps containerSharps containerWhich chemotherapy medication pair is a look-alike/sound-alike example? ◉ CISplatin and taxOL ◉ IDArubicin and taxOTERE ◉ TaxOTERE and taxOL ◉ VinBLAStine and IDArubicinTaxOTERE and taxOLA filter needle is used to withdraw contents from an ampule to: ◉ Prevent coring from occurring ◉ Limit the number of punctures ◉ Equalize pressure inside the vial ◉ Prevent glass from drawing up into the syringePrevent glass from drawing up into the syringeIf a product is sterile, it is free from: ◉ Diluents ◉ Medications ◉ Microorganisms ◉ SolventsMicroorganismsThe first item to clean in the flow hood is the: ◉ Hang bar ◉ HEPA filter ◉ Laminar bench ◉ Side wallHang barJenny needs to puncture the same vial multiple times, but she's worried about coring. What supply item should she use to prevent coring? ◉ Dispensing pin ◉ Filter needle ◉ Luer-lock syringe ◉ Syringe capDispensing pinGlorio, an IV technician, must compound a STAT IV potassium order for a patient. Which type of flow hood is normally used for non-hazardous compounds? ⚬ Biological ⚬ Horizontal ⚬ Isolator ⚬ VerticalHorizontalWhich room in the pharmacy is used for sterile compounding? ⚬ Ante ⚬ Buffer ⚬ Clinic ⚬ StagingBufferA flow hood HEPA filter needs to be changed: ◉ Daily ◉ Weekly ◉ Monthly ◉ BiannuallyBiannuallyWhich USP guideline covers sterile compounding? ◉ <792> ◉ <794> ◉ <795> ◉ <797><797>A sharps container is used for: ◉ Drug vials ◉ Needle caps ◉ Syringe wrappers ◉ Used needlesUsed needlesWhat is the correct order of cleaning the flow hood? ◉ Ceiling, workbench, side walls, hang bar ◉ Hang bar, ceiling, side walls, workbench ◉ Side walls, ceiling, hang bar, workbench ◉ Workbench, side walls, ceiling, hang barHang bar, ceiling, side walls, workbenchWhich sterile garb item can be reused? ⚬ Bouffant cap ⚬ Non-shedding gown ⚬ Shoe covers ⚬ Sterile glovesNon-shedding gownYou are compounding a chemotherapy medication, and you drop a vial on the ground. The liquid spills everywhere. What should you do next? ◉ Grab the SDS ◉ Isolate the area ◉ Pour water on the liquid ◉ Soak up the liquid with a towelIsolate the areaWhich drug class does a chemotherapy order usually contain as a premedication to help prevent side effects? ◉ Antacid ◉ Antiandrogen ◉ Antiemetic ◉ AntihypertensiveAntiemeticThe pharmacy's anteroom is used for: ◉ Checking medication orders ◉ Compounding sterile products ◉ Storing compounding supplies ◉ Typing new medication ordersStoring compounding suppliesWhere is aseptic handwashing performed? ⚬ Anteroom ⚬ Bathroom ⚬ Buffer room ⚬ Inside the flow hoodAnteroomWhat is ½ normal saline? ◉ 0.45% sodium chloride ◉ 0.9% sodium chloride ◉ 5% dextrose ◉ 10% dextrose0.45% sodium chlorideWhen compounding chemotherapy, when should the tubing spike be inserted into the IV port? ⚬ Before adding chemotherapy to IV bag ⚬ During the addition of chemotherapy to IV bag ⚬ After adding chemotherapy to IV bag ⚬ Right before giving the chemotherapy to the patientBefore adding chemotherapy to IV bagWhich USP chapter requires the use of CSTDs when compounding chemotherapy? ◉ 795 ◉ 797 ◉ 800 ◉ 823800The slanted end of the needle is called the: ⚬ Bevel ⚬ Hub ⚬ Lumen ⚬ ShaftBevelAn order calls for furosemide in dextrose 5% in 0.9% sodium chloride. Which base solution bag should you pull? ◉ D5W ◉ D5LR ◉ D5NS ◉ D5½NSD5NSWhich condition is chemotherapy used to treat? ◉ Cancer ◉ Gout ◉ Pneumonia ◉ PsychosisCancerA prescription comes through your pharmacy. It states: "Cisplatin 50 mg/m2 IV as a single dose once every 3 to 4 weeks." If the patient's BSA is 2.10 m2, which is the correct dose to give the patient today? ◉ 0.04 mg ◉ 24 mg ◉ 50 mg ◉ 105 mg105 mgAn order calls for furosemide in dextrose 5% in water. Which base solution bag should you pull? ⚬ D5W ⚬ D5LR ⚬ D5NS ⚬ D5½NSD5WWhat is a dispensing pin used for? ◉ To protect the syringe cap from contamination ◉ To transfer the contents of one syringe to another ◉ To prevent coring when a vial is punctured multiple times ◉ To filter shards of glass when withdrawing fluid from an ampuleTo prevent coring when a vial is punctured multiple timesPiercing the rubber stopper of the vial with a needle must be done at which angle? ◉ 0 to 60 degrees ◉ 15 to 90 degrees ◉ 45 to 90 degrees ◉ 90 to 180 degrees45 to 90 degreesMatthew, a pharmacy technician, is about to aseptically wash his hands. Using the sink's foot pedals, he wets his hands. Then he opens his scrub packet, then takes out the sponge brush and nail pick. He sets the sponge brush down on the counter while he uses the nail pick to clean underneath his nails. What did he do wrong? ⚬ Opened scrub packet with wet hands ⚬ Set sponge brush down on the counter ⚬ Used nail pick for cleaning underneath his nails ⚬ Used his sink's foot pedals to activate the waterSet sponge brush down on the counterWhich area in the pharmacy must have an air quality of ISO class of 5 or better? ◉ Anteroom ◉ Buffer room ◉ Laminar hood ◉ Washroom sinkLaminar hoodA chemotherapy order comes to your pharmacy for a patient. On the order, you see "dexamethasone 4 mg IV prn fever." Which part of the sig should give the pharmacy concern? ⚬ Dose ⚬ Indication ⚬ Route ⚬ StrengthIndicationWhen sterile compounding, which length needle will you normally use? ⚬ 1" ⚬ 2" ⚬ 2.5" ⚬ 3"1" ------------------------------- (use 1" to 1.5" needles during sterile compounding)The air flows parallel to the compounder in which type of flow hood? ⚬ Ductless ⚬ Horizontal ⚬ Isolator ⚬ VerticalVertical --------------------------------- (vertical goes up and down, so it's parallel to the compounder)What is an advantage of aseptic handwashing? ◉ It sterilizes your whole body. ◉ It's quicker than regular handwashing. ◉ It can be done anywhere in the pharmacy. ◉ It helps prevent contamination of the sterile product.It helps prevent contamination of the sterile product.Luer-lock syringe tips must be used when withdrawing which type of medication from a vial? ◉ Antibiotic ◉ Cardiovascular ◉ Chemotherapy ◉ DiureticChemotherapyWhere should you compound in the laminar flow hood? ◉ Inner six inches ◉ Outer edge of hood ◉ On top of the hood ◉ Next to the side wallInner six inchesPiercing the rubber stopper with a needle at a 45- to 90-degree angle prevents: ◉ Coring ◉ Decoding ◉ Milking ◉ ScoopingCoringCynthia just compounded an IV push for a patient in the hospital. She's going to hand deliver the syringe to the ED, but doesn't want to transport it with the needle attached. What should she use to prevent contamination of the syringe when the needle is removed? ◉ Amber dark bag ◉ Luer-to-luer connector ◉ Rubber syringe cap ◉ Vented filter needleRubber syringe capFlora needs to sterile compound an IV order for furosemide 40 mg in 1 L normal saline. In which specific area of the pharmacy should she compound this order? ⚬ Anteroom sink ⚬ Buffer room shelf ⚬ Pharmacy counter ⚬ Laminar work benchLaminar work benchWhat is an advantage of dispensing a medication in an Add-Vantage system? ◉ Aseptic garbing can be skipped ◉ Labeling can be skipped to save time ◉ It can be mixed outside of an anteroom ◉ Any type of needle can be used when compoundingIt can be mixed outside of an anteroomDolores is about to withdraw the contents of a vial to add to an IV bag. She has 1/2", 5/8", 1" and 3" needles in stock. Which size should she choose? ◉ 1/2" ◉ 5/8" ◉ 1" ◉ 3"1"A flow hood must be cleaned: ◉ At the beginning of every shift ◉ Before compounding a STAT med ◉ After compounding a medication ◉ While compounding an IV orderAt the beginning of every shiftWhat is an advantage of dispensing a medication in an Add-a-Vial system? ◉ Pharmacy labels are optional. ◉ Only aseptic garbing is needed. ◉ The vial can be pierced at any angle. ◉ A flow hood isn't needed before dispensing.A flow hood isn't needed before dispensing.The buffer room must be at least which ISO class? ◉ 7 ◉ 8 ◉ 9 ◉ 107What is the brush side of the sponge brush used to clean? ◉ Underneath the nails ◉ In between the fingers ◉ The palms of the hands ◉ The backs of the handsUnderneath the nailsWhich item needs an amber bag? ◉ Aminophylline ◉ Dextrose ◉ Lactated ringers ◉ Normal salineAminophyllineWhich product is required to be sterile? ◉ Ophthalmic solution ◉ Oral elixir ◉ Rectal suspension ◉ Vaginal oilOphthalmic solutionWhich part of the syringe has volume demarcations? ◉ Barrel ◉ Hub ◉ Plunger ◉ TipBarrelChemotherapy medications must be compounded in which type of hood? ⚬ Horizontal ⚬ Isolator ⚬ Perpendicular ⚬ VerticalVertical ------------------------------------- (any contaminated air passes through a second HEPA filter in an exhaust vent as opposed to the horizontal flow hood, where non-hazardous meds are compounded)Samantha is about to compound a chemotherapy medication. Which PPE item is she required to wear before she starts compounding? ⚬ Face shield ⚬ Hazmat suit ⚬ Respiratory mask ⚬ Safety gogglesSafety gogglesWhich type of flow hood has an acrylic barrier, but the compounder is potentially still exposed to chemotherapy? ⚬ BSC ⚬ CACI ⚬ CSTD ⚬ LAFWBSC (Biological Safety Cabinet) ------------------------------------- ⚬ (chemotherapy vertical flow hood that is not completely closed off) ⚬ (CACI is another chemotherapy vertical flow hood, but it is completely enclosed)Which part of the syringe is safe to touch? ⚬ Knob ⚬ Plunger ⚬ Shaft ⚬ TipKnobYou need 10 mL of chemotherapy medication. Which syringe size should you choose? ⚬ 5 mL ⚬ 10 mL ⚬ 12 mL ⚬ 20 mL20 mL ------------------------------ (if it's a chemotherapy medication, don't fill the syringe with more than 75% of the med; choose a larger-sized syringe if the volume will exceed 75%)Which activity happens in the anteroom? ⚬ Aseptically washing hands ⚬ Gathering medication vials ⚬ Typing medication orders ⚬ Compounding sterile productsAseptically washing handsWhich part of the needle is safe to touch? ◉ Bevel ◉ Cap ◉ Shaft ◉ TipCapWhich item is doffed first after sterile compounding has finished? ◉ Eye shield ◉ Hair cover ◉ Non-shedding gown ◉ Sterile glovesSterile glovesWhich sterile garb item can be reused in non-hazardous sterile compounding? ◉ Eye shield ◉ Hair cover ◉ Shoe covers ◉ Sterile glovesEye shieldWhat color is a chemotherapy sharps container? ◉ Black ◉ Green ◉ Red ◉ YellowYellowWhich combination causes the medication to form a white solid in a y-site? ⚬ Ampicillin and gentamicin ⚬ Fosphenytoin and NS ⚬ Imipenem and cilastatin ⚬ Phenytoin and D5WPhenytoin and D5WHarry is about to compound a sterile order for daptomycin. He calculates the amount he'll need to withdraw is 12 mL. Which syringe size should he pick? ⚬ 10 mL ⚬ 15 mL ⚬ 20 mL ⚬ 60 mL15 mLWho is sent by FEMA to provide medical care to patients affected by a disaster? ◉ American Red Cross ◉ Food and Drug Administration ◉ Department of Homeland Security ◉ Disaster Medical Assistance TeamsDisaster Medical Assistance TeamsWhose emergency plans should you know? ◉ City council's ◉ Family's work sites ◉ Local church's ◉ Local government'sFamily's work sitesPrepare your pharmacy for an emergency by: ⚬ Contacting local physicians ⚬ Storing food for employees ⚬ Informing third-party processors ⚬ Anticipating supply chain problemsAnticipating supply chain problemsDuring an emergency, when is the best time to evacuate? ◉ As soon as possible ◉ Once the roads clear up ◉ Once everything is packed ◉ As soon as it's on the newsAs soon as possibleRequiring immediate action to prevent or minimize widespread human, economic, or environmental loss is known as a(n): ⚬ Dilemma ⚬ Emergency ⚬ Incident ⚬ PredicamentEmergencyAn element for an emergency plan is: ⚬ Report to the local news ⚬ Contact local authorities ⚬ Establish a meeting place ⚬ Contact emergency respondersEstablish a meeting placeAccording to the Emergency Prescription Assistance Program, how often can prescriptions be renewed for eligible patients in federal disaster areas? ⚬ 7 days ⚬ 14 days ⚬ 21 days ⚬ 30 days30 daysWhat is one essential item needed in an emergency kit? ⚬ Batteries ⚬ Cell phone ⚬ Laptop ⚬ ShovelBatteriesWhich type of disaster is a chemical spill considered? ⚬ Industrial accident ⚬ Natural Disaster ⚬ Pandemic ⚬ Terrorist attackIndustrial accidentDuring an emergency, a pharmacy staffing plan ensures employees: ⚬ Are given breaks every hour ⚬ Have a family emergency kit ⚬ Don't work too many hours in a day ⚬ Contact their family members periodicallyDon't work too many hours in a dayWhat training would the pharmacy's emergency program committee set up? ⚬ Basic life support ⚬ Continuing education ⚬ Sexual harassment ⚬ Theft preventionBasic life supportWhich resource ensures access to medications in case of a supply-chain breakdown during an emergency? ◉ Healthcare Ready ◉ Strategic National Stockpile ◉ Emergency Prescription Assistance Program ◉ NABP's Rules for Public Health EmergenciesHealthcare ReadyWho should be located outside of your local area for your emergency plan? ⚬ Animal shelters ⚬ Mobile pharmacies ⚬ Emergency responders ⚬ Central point of contactCentral point of contactDuring an emergency, a shelter may require your pet's: ◉ Dietary restrictions ◉ Immunization records ◉ Flea prevention process ◉ Veterinarian's contact infoImmunization recordsWhich federal agency coordinates responses to disasters that overwhelm local resources? ⚬ CDC ⚬ DEA ⚬ FEMA ⚬ DMATFEMA (federal emergency management agency)Which size of needle, if any, should be used with a CSTD? ◉ No needle ◉ 18 gauge ◉ 25 gauge ◉ 30 gaugeNo needleWhat can you offer to patients to help prevent pandemics? ◉ Analgesics ◉ Vaccinations ◉ Vitamin C ◉ ZincVaccinationsThe DCA is where you'll: ◉ Aseptically wash hands ◉ Gather medication vials ◉ Type medication orders ◉ Compound sterile productsCompound sterile productsWhat role does the National Response Framework play in emergencies? ◉ Assesses vulnerabilities and threats to the U.S. ◉ Guides the federal government's response to an emergency ◉ Supplies prescription drugs to eligible patients in federal disaster areas ◉ Provides information-sharing and problem-solving forums on medication availabilityGuides the federal government's response to an emergencyWhich preparation is an example of moderate non-sterile compounding? - A controlled-release tablet - Suppositories without stability data - Adding water to an antibiotic powder for suspension - An oral solution from commercially available tabletsSuppositories without stability dataPregnant women should always use gloves when handling which medication? - Acetaminophen - Dutasteride - Penicillin - SulfamethoxazoleDutasterideWhich type of emergency is a pandemic? - Bioterrorism - Industrial accident - Natural disaster - Terrorist attackNatural disasterWho is likely responsible for setting up Basic Life Support training for employees to prepare for emergency situations? ◉ American Red Cross ◉ Lead technician ◉ Program committee ◉ Store managerProgram committeeWhere should the central point of contact be located? ◉ In the same town ◉ Outside the local area ◉ At least one state away ◉ In the same neighborhoodOutside the local areaWho usually preps IV tubing on a chemotherapy medication bag? - Chemotherapy nurse - Medical assistant - Oncologist - Pharmacy technicianPharmacy technicianJenni just finished compounding chemotherapy. Where should she throw her empty medication vial? ◉ Anteroom PPE bin ◉ Broken glass bin ◉ Black trash bag ◉ Yellow sharps containerYellow sharps containerThe last item to clean in the flow hood is the: ◉ Hang bar ◉ HEPA filter ◉ Laminar bench ◉ Side wallLaminar benchWhich syringe tip must be used when withdrawing or injecting chemotherapy medications? - Filter-tip - Luer-lock - Slip-tip - Vented-lockLuer-lockWhich supply item should be used to withdraw contents from an ampule? - Bevel extractor - Filter needle - Needle cap - Vented needleFilter needleWhich room in the pharmacy must have an air quality of ISO class of 7 or better if it's used for non-hazardous meds? ◉ Anteroom ◉ Buffer room ◉ Control area ◉ Pharmacy fridgeBuffer roomWhat is the sponge side of the sponge brush used to clean? - Under the biceps - Underneath the nails - The sides of the fingers - The front of the tricepsUnderneath the nailsThe part of the needle that connects to the syringe is called the: - Bevel - Hub - Lumen - ShaftHubA flow hood prefilter needs to be changed: ◉ Daily ◉ Weekly ◉ Monthly ◉ BiannuallyMonthlyWhich resource ensures access to medications in case of a supply-chain breakdown during an emergency? - Healthcare Ready - Strategic National Stockpile - Emergency Prescription Assistance Program - NABP's Rules for Public Health EmergenciesHealthcare Ready

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