PTCB EPIC REVIEW

When handing a finished prescription to a pt, the pharmtech notices that the pt date of birth is incorrect the technician should?

A. dispense the medication w/o verifying the DOB

B.take the medication back to the pharmacist for review

C. change the DOB in the system to match the pt

D. tell the pharmacist about the incorrect DOB after the pt leaves

B.take the medication back to the pharmacist for review

Profound sedation, respiratory depression, coma, or death may occur when clonazepam is taken concomitantly with

A. tamozifen

B.tramadol

C.Truvada

D.Tradjenta

B.tramadol

The FDA requires the pharmacy to provide a pt info for oral contraceptives?

A. only with a new prescription

B. every time the prescription is filled

C. at the pharmacist’s discretion

D. only when refills are requested

B. every time the prescription is filled

Which class of antibiotic is most likely to pose a risk of cross sensitivity for pt allergic to cephlosporins?

A. Macrolides

B. Sulfonamides

C. Fluroquinolones

D. Penicillins

D. Penicillins

Which of the following situations requires a pharmacist’s intervention?

A. a prescriber wants to discuss therapeutic substitution of a non-formulary drug

B. A prescriber wants to check the cost of a prescription over the phone

C. A Prescriber wants to confirm which drug allergies a pharmacy has on file for a pt

D. A prescriber wants to know if a pharmacy carries a specific OTC drug

A. a prescriber wants to discuss therapeutic substitution of a non-formulary drug

Which of the following is the name for a drug-drug interaction that causes decreased drug effects?

A. Antagonism

B. Addition

C. Synergism

D. Potentiation

A. Antagonism

Gemfibrozil is indicated to treat elevated levels of:

A. hemoglobin

B.potassium

C.urokinase

D. triglycerides

D. triglycerides

Fentanyl transdermal patches typically should be changed every

A. 24 hrs

B. 36 hrs

C. 72 hrs

D. 96 hrs

C. 72 hrs

if a caustic material comes in contact with contact with the skin or eyes, the immediate response should be to:

A. lie down and cover the affected area

B. call 911 and wait until medical personnel arrive

C. wash the area throughly with an antibacterial soap and warm water

D. flush the affected area with large volumes of cold water

D. flush the affected area with large volumes of cold water

In an acute care setting, which of the following is considered a high-alert category?

A. Anticoagluants

B. Anti-inflammatory drugs

C. Antibiotics

D. Analgesics

A. Anticoagluants

Which of the following is the best suited to the treatment athlete’s foot

A. Neosporin

B. Cortaid

C. Desitin

D. Lotrimin AF

D. Lotrimin AF

Which of the following is classified as a rapid acting insulin

A. Humulin N

B. Levemir

C. Humalog

D. Lantus

C. Humalog

The Synera patch, which contains lidocaine and tetracaine, is indicated for

A. local anesthesia

B. dizziness and motion sickness

C. cardiac arrhythmia

D. estrogen replacement

A. local anesthesia

Which of the following auxilary labels should be used when dispensing alendronate?

A. '“avoid sunlight while taking this medication”

B. "take with food or milk”

C. “Do not lie down for 30 minutes after taking this medication”

D. “may cause drowsiness. Use care when operating a car or dangerous machinery”

C. “Do not lie down for 30 minutes after taking this medication”

The disposal of controlled substances fails under the jurisdiction of the:

A. DEA

B. FDA

C. manufacturer

D. distributor

A. DEA

When a pt does not follow a dosing regimen, it is called a(n):

A. improper dose error

B. deterioted drug error

C. adherence error

D. wrong dosage form error

C. adherence error

Which Class are you not allowed to refill?

A. Schedule I

B. Schedule II

C. Schedule II and I

D. Schedule III

B. Schedule II

Upon receiving a prescription for a noncontrolled substance, the pharmacy technician should:

A. verify that all necessary information is legibly included on the on the prescription

B. ensure that the proper drug has been prescribed

C. provide the HIPAA Notice of Privacy Practices

D. check the pt’s refill history with the prescription monitoring program

A. verify that all necessary information is legibly included on the on the prescription

Which of the following injections presents the highest potential for fatal overdose?

A. Pantoprazole

B. Cefazolin

C. Potassium Chloride

D. Ondansetron hydrochloride

C. Potassium Chloride

Proper storage of a medication in a pharmacy is best determind by:

A. reading the package insert

B. asking the pharmacist

C. calling the FDA

D. consulting the Merck Index

A. reading the package insert

Which of the following is most likely to cause constipation?

A. pyridoxine

B. Ascorbic acid

C. Calcium

D. Niacin

C. Calcium

With regard to inpatient care, the utilization of electronic medication ordering reduces:

A. dispensing effciency

B. drug formulary options

C. adverse drug events

D. number of medications dispensed

C. adverse drug events

Tinctures that contain contain high concentration of alcohol to dissolve the active ingredient may develop which of the following if diluted or mixed with aq systems:

A. Emulsion

B. Preciptation

C. Osmolarity

D. Trituration

B. Preciptation

MedWatch allows healthcare professionals to:

A. find suitable alternatives during a medication shortage

B. provide voluntary adverse event reports

C. monitor a pt’s current medication regimen

D. perform drug utilization

B. provide voluntary adverse event reports

Which of the following medications is a FDA-approved antiviral?

A. Tamiflu

B. Tikosyn

C. Cipro

D. Activase

A. Tamiflu

A pt is picking up a prescription for aripiprazole. A Med guide must be given to the pt because the drug:

A. should be taken with food

B. may increase the risk of suicidal thoughts or actions

C. should only be taken as needed

D. may cause minimal side effects

B. may increase the risk of suicidal thoughts or actions

A pt would develop a reddish-orange discoloration of the urine after taking:

A. pyridoxine

B. pseudophedrine

C.phenazopyride

D. penicillin

C.phenazopyride

Pts taking isotretinoin should receive information regarding:

A. excessive vomiting and extrapyramidal side effects.

B. excessive constipation and possible impaction

C. serotonin syndrome and ototoxicity

D. becoming pregnant and depression or other mental illness

D. becoming pregnant and depression or other mental illness

Which of the following organizations sponsors National Prescription Drug Take Back Day Events?

A. EPA

B. DEA
C. OBRA
D.OSHA

B. DEA

When donning two pairs of gloves for the manipulation of hazardous drugs, best practice is to wear:

A. both pairs under the gown cuff

B. the first pair under and the second pair over the gown cuff

C. both pairs over the gown cuff

D. the first pair over and the second pair under the gown cuff

B. the first pair under and the second pair over the gown cuff

A PharmacyTech experiences a sharps injury. Which of the following is the first action the technician should take?

A. Clean the area with anti-bacterial cream

B. Fill out the worker’s compensation paperwork

C. Wash needle sticks and cuts with soap and water

D. Notify infection control

C. Wash needle sticks and cuts with soap and water

Which of the following statements is correct in regard to needle gauge?

A. The longer the needle, the higher the gauge number

B. The larger the needle diameter the lower the gauge number

C. The larger the needle the higher the gauge number

D. The longer the needle, the lower the guage number

B. The larger the needle diameter the lower the gauge number

An unopened vial of Humalog may be stored at room temperature for how many days?

A.7

B.14

C.21

D.28

D.28

According to Federal Law, if a bottle of Lyrica is transferred from one pharmacy to another, what is the minimum number of years that the transfer records must be maintained?

A. 1

B. 2

C. 3

D. $

B. 2

Master Formulation Drug Records are used for which of the following reasons?

A. to evaluate staff performance

B. To prevent drug diversion

C. To eliminate pt profiles

D. To ensure quality control

D. To ensure quality control

A pharm tech enters an order for Janumet XR 50/1000 as Janumet 50/1000. What error was made?

A. Transcription

B. Missed Dose

C. Substitution

D. Dosing

A. Transcription

When prescription writing the use of seros is reccomended?

A. using whole numbers

B. to clarify the pt’s age

C. to prevent underdosing

D. before a decimal point

D. before a decimal point

Once reconstituted, amoxicillin is stable for a minimum of how many days?

A.7

B.10

C.14

D.21

C.14

According to OSHA regulations a pharmtech who could experience occupational exposure to bloodborne pathogens must receive training at least?

A.quarterly

B.biannualy

C.annualy

D.biennially

C.annualy

DEA Form 222

orders of controlled substances

DEA Form 41

reporting for destruction of outdated/damaged controlled substances

DEA Form 106

reporting theft of controlled substances

antitussive

suppresses cough

antipyretic

treats fever

analgesic

treats pain

anticoagulant

blood thinners (prevents the formation of blood clots)

Schedule l

no medical use (illlegal drugs)

Schedule ll

high potential for abuse and dependence (narcotic pain meds, stimulants for ADHD), no refills

Schedule lll

moderate to low dependence, less abuse, 5 refills in 6 months, testosterone products

Schedule IV

low dependence and less abuse (sleep/benzodiazepines for anxiety)

Unit dose package must contain

drug name and strength, expiration date, lot number

diuretics

decrease fluid/swelling

antihypertensives

blood pressure

DEA Form 222a

to order more 222 forms

DEA 224

pharmacy DEA registration

DEA 224a

pharmacy DEA license renewal

H1 antagonists are?

antihistamines

NTI

Narrow Therapeutic Index- small differences can lead to very significant undesired effect

co-payment

the set amount the pt has to pay after the insurance payed their half

anticonvulsant

drugs used to treat/prevent seizures

nitroglycerin

vasodilator for chest pain, NTG

Orange book

THe book with the therapeutic equivalence code

AA

ingredients and dosage forms presenting neither actual nor potential bioequivalence problems

AB

actual or potential bioequivalence problems have been resolved in vivo

Drug-Drug interaction

interactions that involve prescription or OTC drugs that alter the action of another drug

Addition

The combined effects of 2 drugs = to when the drugs are taken alone

Antagonism

one drug work against another drug

Potentiation

One drug increases the effect of the other drug, the sum of the two drugs is greater than the sum of each drug alone

Synergism

The joint action of drugs in which their combined effect is more intense that the sum of both drugs

USP 795 non-aq

earliest expiration date or 6 months eariler

USP 795 Water oral formulations

no later than 30 days expiration

Omission error

failure to admin an ordered dose before the next scheduled dose

Wrong time error

admin of a medication outside a predetermined time interval/scheduled admin time

Wrong dosage form

admin to the pt of a drug product in different dosage form than the one prescribed

compliance error

inappropriate pt behavior regarding adhering to a prescribed medication regimen

FAERS

FDA adverse drug effects reporting system

VAERS

Vaccine Adverse event reporting system, (under FDA)

Root-Cause analysis

by the TJC for continuous quality improvement

DAW 0

no product selection indicated

DAW 1

sub allowed by provider

DAW 2

sub allowed, pt requested

DAW 4

Sub allowed, generic not in stock