[IPS1] DISPENSING 300Qs

b. I and II

Which of the following holds TRUE for the term DISPENSING?

I. An act by a validly registered pharmacist

II. Filling of a prescription or doctor's order on the patient chart

III. Simply selling the medication

a. I, II and III

b. I and II

c. II and III

d. I and III

d. prescribing medicine

Good Pharmacy Practice (GPP) involves activities associated with all of the following EXCEPT;

a. selfcare

b. promotion of good health

c. supply and use of medicines and items for the administration of medicines

d. prescribing medicine

I, II and III

Based on the amendments to republic act no. 6675, all government health agencies and their personnel as well as other government agencies shall use generic terminology or generic names in all transactions related to;

I. purchasing of drugs and medicines

II. prescribing of drugs and medicines

III. dispensing and administering of drugs and medicines

III only

Violative prescription;

I. Generic name does not correspond to its brand name

II. The brand name precedes the generic name

III. Generic name is not legible and brand name is legibly written

b. generic equivalents

Based on generic dispensing guidelines, finished pharmaceutical products having the same active ingredient(s), same dosage form and strength as the prescribed drug is referred to as;

a. therapeutic equivalents

b. generic equivalents

c. bioequivalents

d. equivalent dosage form

II and III

Which of the following prescriptions shall NOT be filled based on A.O.62 - Generic prescribing guidelines?

I. Erroneous

II. Violative

III. Impossible

I, II, and III

Drugs belonging to List A are;

I. Dangerous drugs

II. Regulated Drugs

III. Controlled precursors and essential chemicals

c. The date to fully served the prescription

In partial filling of prescription, the following shall be written on the face of the prescription, EXCEPT:

a. The date of partial filling

b. The quantity served and balance of the prescription unserved

c. The date to fully served the prescription

d. Name and address of the drugstore

B. Price of the product

In dispensing products in unit-dose or not in their original packages, information that must be placed legibly on the drug outlet's label include all of the following EXCEPT;

a. Generic name of the drug

b. Price of the product

c. Directions for use

d. Name of pharmacist

erroneous prescription

When the generic name is preceded by the brand name, the prescription is;

III only

Drugs classified as class B, includes:

I. Oxycodone

II. Thiopental

III. Phenytoin

c. Transcription

The direction to the patient is referred to as;

a. Superscription

b. Subscription

c. Transcription

d. Inscription

white

The label (color) for drugs intended for oral administration is;

I and II

Correct statements about prescription drugs include;

I. bears Rx symbol on label

II. Dispensed upon presentation of a written order from physician

III. Also referred as OTC drug

I and III

TRUE statements regarding prescription include;

I. An order for medication, non drug products, and services

II. Written by a licensed practitioner such as physician, dentist, veterinarian and pharmacist

III. May be written, presented orally (by telephone), or presented electronically (fax or e-mail) to the pharmacist

II and III

Prescription for controlled substances;

I. prepared in 2 copies

II. S-2 number of the prescriber is required

III. obtained from Dangerous Drugs Board

I, II and III

Drugs should be taken on an empty stomach means;

I. Taking the medication 1 hour before eating

II. Taking the medication 2 hours after eating

III. Without food and for optimal absorption

M. ft. ung

This is an example of a subscription:

a. M. ft. ung

b. 1 tab qid

c. 50 capsules

d. shake well before using

transcription

In prescription, the instruction for the patient on how to take the medication is referred to as the:

Marital status of the patient

The following are found in the patient information EXCEPT

a. Name of the patient

b. age of the patient

c. Weight of the patient

d. Marital status of the patient

I and II

Which of the following statements holds TRUE for a medication order?

I. Issued or written by an individual authorized to prescribe and is intended for use by patient while in an institutional setting

II. Instructions for administration such as quantity, route, schedule and duration of use, can be found

III. It contains refill information

as needed

"prn" in prescription means;

immediately

A stat order means the drug has to be administered;

III only

Dosage forms that require special administration techniques, EXCEPT:

I. Eye drop and ointment .

II.Nose drops and sprays

III. Tablets and capsules

"Apply liberally as directed"

The direction for use of the product is "Applic ad lib ud". On the prescription label this would read as;

base

Distinct portion of a compound prescription responsible for the therapeutic action is termed as;

a. base

b. adjuvant

c. corrective

d. vehicle

Dosage regimen

Is the schedule of doses of medicine that includes the time between doses, the duration of treatment and the amount to be taken of each time

a.Dosage form

b. Dosage regimen

c. Therapeutic dose

d. Time of dose

d. all of the above

'Do not crush medication"

a. sustained release

b. enteric coated

c. extended release

d. all

II only

Common prescribers' abbreviation include;

I. Pb for lead

II. HCTZ for hydrochlorthiazide

III. MTX for mixture

a. Good customer service

In the pharmacy, the process of ensuring customer satisfaction with a product or a service.

a. Good customer service

b. Good patient care

c. Good customer care

d. Patient care

dating the prescription

This step in processing the prescription order is important in determining the appropriate refill frequency and patient compliance.

a. patient's information

b. dating the prescription

c. numbering the prescription

d. labeling the prescription

D. Prescription book shall be kept in the pharmacy department for 2 years after the first entry

Which of the following statements is NOT correct?

a. The purpose of numbering prescriptions is for identification.

b. The name of the prescriber is recorded in the prescription book.

c. Morphine sulfate dispensed must be recorded in the DDB book.

d. Prescription book shall be kept in the pharmacy department for 2 years after the first entry

b. Expiration date of the drug

Patient considerations in evaluating the safety of a prescribed dose include all of the following EXCEPT;

a. Age of the patient

b. Expiration date of the drug

c. Weight and condition of the patient

d. Possible influence of the other drugs taken

II and III

In reading the prescription;

I. It must be done in front of the patient

II. If illegible or an error has been made, consult another pharmacist or the prescriber

III. Never guess the meaning of an indistinct word or unrecognized abbreviation

II and III

Numbering of prescription is a legal requirement. This step is important;

I. in determining the appropriate refill frequency

II. in identifying the bottle or package

III. for reference in case of refill

II and III

Information legally required on the label of a product

I. The name and address of the pharmacist

II. Date of dispensing

III. Prescription number

a. making paracetamol tablets

Extemporaneous pharmacy compounding includes all of the following EXCEPT

a. making paracetamol tablets

b. IV admixture

c. fortify a dermatological preparation

d. making paper tabs

I, II and III

Considerations in extemporaneous prescription compounding include;

I. stability of the compounded prescription

II. mathematical calculations

III. special adjuvants or techniques

I, II, and III

A compounded prescription requires protection from light due to the presence of a highly light sensitive drug. Which of the following could be employed?

I. amber bottle

II. plastic container made opaque

III. glass container with carbon paper as outer wrapping

B. Not later than 14 days when stored at cold temperatures

Based on USP guidelines the stability of extemporaneously compounded aqueous liquids (reconstituted formulations) is;

a. A beyond use date of not later than 25% of the time remaining until the products' expiration date or 6 months, whichever is earlier

b. Not later than 14 days when stored at cold temperatures

c. Not less than the intended duration of therapy or 30 days, whichever is earlier

d. Maximum beyond use date is 6 months or 25% of the remaining time between the compounding date and the shortest expiration date of the ingredients, whichever is earlier

d. Rx Meperidine HCl

Which of the following is a controlled prescription?

a. Rx Amoxicillin

b. Rx Doxycycline

c. Rx Hydrochlorothiazide

d. Rx Meperidine HCl

c. emulsion

Rx Olive oil 60 mL

Vitamin A 60,000 units

Water qs 120 mL

Sig. 15 mL t.i.d.

What formulation can be made from the given prescription?

a. suspension

b. solution

c. emulsion

d. elixir

b. Acacia

Rx Olive oil 60 mL

Vitamin A 60,000 units

Water qs 120 mL

Sig. 15 mL t.i.d.

In reference to the above prescription, the pharmacist would need to add;

a. Tween 80

b. Acacia

c. Glycerin

d. Alcohol

"Shake well before use"

Rx Olive oil 60 mL

Vitamin A 60,000 units

Water qs 120 mL

Sig. 15 mL t.i.d.

In labeling the above prescription, which of the following caution label should be affixed?

a. "Refrigerate after opening"

b. "Shake well before use"

c. "For External Use Only"

d. "Do not swallow"

120 mg

Rx Morphine 1 mg/mL

Flavored vehicle, qs ad 120 mL

Sig. 5-20 mg po q 3-4 hours prn for pain

How much morphine is required to compound the prescription?

1 to 4 tsp

Rx Morphine 1 mg/mL

Flavored vehicle, qs ad 120 mL

Sig. 5-20 mg po q 3-4 hours prn for pain

How many tsp (based on the dosage range) is to be given per dose?

The dosage form for the above prescription is a solution

Rx Morphine 1 mg/mL

Flavored vehicle, qs ad 120 mL

Sig. 5-20 mg po q 3-4 hours prn for pain

Which statement about the prescription is correct?

a. The amount of morphine needed is 240 mg

b. Powdered morphine alkaloid should be used in compounding the prescription

c. The dosage form for the above prescription is a solution

d. A red label should be used

1.5 g

Rx Podophyllum 5%

Salicylic acid 10%

Acetone 20 %

Flexible collodion ad 30 mL

Sig. Apply q h.s.

How much podophyllum is required to compound the product?

I, II and III

Rx Podophyllum 5%

Salicylic acid 10%

Acetone 20 %

Flexible collodion ad 30 mL

Sig. Apply q h.s.

In preparing the prescription, the pharmacist should;

I. triturate podophyllum with acetone

II. add salicylic acid to the collodion

III. a " for external use" label should be affixed to the container

I and III

Rx Podophyllum 5%

Salicylic acid 10%

Acetone 20 %

Flexible collodion ad 30 mL

Sig. Apply q h.s.

Which of the following information is TRUE for the prescription?

I. The prescription is for wart treatment

II. It should be applied using the forefinger

III. Store the prescription remote from fire or other flammable material

Patient's role

The following are included in the Minimal Information Model for Patient Safety Incident Reporting, EXCEPT:

a. Incident type

b. Resulting actions

c. Patient's role

d. Incident outcomes bn

divided powders

Hinged-lid or slide boxes are used for packaging;

waxed paper

A type of paper used to wrap divided powders that is moisture proof is;

I and II

Containers used in dispensing ointments;

I. Ointment jars

II. Collapsible tube

III. Sifter top containers

b. lactose

Commonly used diluent in capsules;

a. talc

b. lactose

c. starch

d. acacia

II and III

A "shake well before use" label is affixed to;

I. Eyewash

II. Suspension

III. Emulsion

Inscription

A part of the prescription that contains the medication prescribed for a specific patient.

c. All suspensions need a direction to shake the bottle

Which of the following statements is TRUE?

a. Freshly boiled and cooled purified water must be used when making suspensions.

b. All suspensions will attract a 4-week discard date.

c. All suspensions need a direction to shake the bottle.

d. Suspensions containing a suspending agent do not need a direction to shake the bottle

II and III

Which of the following pain relievers require a physician's prescription?

I. Mefenamic acid 250 mg cap

II. Paracetamol 600 mg tab

III. Tramadol 100 mg tab

III only

Which of the following correctly applies to this group of drug products? Percocet 500mg/7.5 mg tab, Tylenol with Codeine 300 mg/60 mg tab, Vicoprofen 7.5 mg/200 mg tab

I. all are generically equivalent

II. all are acetaminophen containing fixed-dose combination products

III. all are prescription drugs

b. Norgesic Forte

Which of the following drugs for aches/pain does not contain paracetamol/acetaminophen?

a. Panadol

b. Norgesic Forte

c. Tylenol

d. Zgesic

d. life-threatening side effects

In filling prescription, all of the following instructions should be given by the pharmacist to the patient EXCEPT:

a. dangers of mixing drugs in one container

b. danger of over-dosage

c. proper storage for stability

d. life-threatening side effects

ears

When the word otic appears in the label of a medication, this means that the drug is intended to be administered in the:

c. Do not take with milk or antacid

Which of the following information apply to Naprosyn EC 250 mg tab?

a. Should be dissolved in water or juice

b. Must be chewed first before swallowing

c. Do not take with milk or antacid

d. Should not be swallowed

I and II

Which of the following formulations should not be crushed or broken in half?

I. Tegretol Retard 200 mg tab

II. Glucotrol XL tab

III. Xanax 1 mg tablet

c. Elixophyllin

This product may cause dizziness or drowsiness due to alcohol content

a. Maalox

b. Nutrilin

c. Elixophyllin

d. Ambrolex

a. Solution for inhalation

This type of product for inhalation therapy is to be recommended for infants and children less than 5 years old

a. Solution for inhalation

b. Metered dose inhaler

c. Turbuhaler

d. Aerosol

d. Dilute medication with sterile saline solution

When dispensing metered-dose inhaler in aerosol form, the following information must be provided to the patient EXCEPT;

a. Do not puncture container

c. Rinse mouth after use

b. Shake well prior to use

d. Dilute medication with sterile saline solution

Nitroderm TTS

A heating pad, hot shower, or sauna bath should be avoided if a patient is using this product due to the massive release of the drug from its formulation matrix.

a. Salonpas pain relieving patch

b. Mediplast Corn plaster

c. Levonorgestrel (Norplant) Implant

d. Nitroderm TTS

a. ampicillin

Which of the following drugs should not be taken with food?

a. ampicillin

b. metformin

c. griseofulvin

d. aspirin

III only

Which is correctly matched generic name-brand name?

I. Cloxacillin-Keflex

II. Sulfinpyrazone-Zyloprim

III.Digoxin-Lanoxin

a. First-In-First-Out

To control finished products in the warehouse of a company, the distribution practice is:

a. First-In-First-Out

b. Ratio and proportion

c. Samples needed

d. Both a and b

b. prescribing a drug to a wrong patient

The following are considered as dispensing error, EXCEPT:

a. Labelling error

b. prescribing a drug to a wrong patient

c. equipment failure

d. poor drug-storage practice

dry powder for inhalation

DPI means;

Rule-based Error

"Injecting diclofenac into the lateral thigh rather than the buttock"

a. Rule-based Error

b. Lapse

c. Slip

d. Mistake

II and III

Which of the following products is an oral iron preparation?

I. Iron dextran

II. Ferrous gluconate

III. Ferrous fumarate

Body surface area

The most appropriate patient parameter used for evaluating the dosages intended for children

I, II and III

Which of the following could be written in a prescription?

I. Prescribed medications

II. Request for laboratory test

III. Referrals to specialists

d. ciprofloxacin

Which of the following NOT a cephalosporin?

a. ceftriaxone

b. cefuroxime

c. ceftazidime

d. ciprofloxacin

Stalevo

Levodopa-carbidopa-entacapone combination is

b. Patients must be well equipped with the necessary knowledge and skills in order to conduct patient counseling effectively.

Which of the following statements is incorrect?

a. For patients with hearing problems, provide hand out of drug information which they can read at home.

b. Patients must be well equipped with the necessary knowledge and skills in order to conduct patient counseling effectively.

c. The counselling environment must ensure privacy and confidentiality and must be conducive to patient involvement, learning and acceptance.

d. Patient counseling consists of three stages: introduction, process content, and conclusion

Generic dispensing

This means dispensing the buyer's choice from among the generic equivalents.

Directions for use

A part of the label which indicates the frequency, duration and method of administering the medication

Expiration date

A part of the drug outlet's label which indicates the shelf-life of the dispensed product.

c. Hygroton (Chlorthalidone)

Which of the following products is a diuretic?

a. Soma (Carisopodol)

b. Haldol (Haloperidol)

c. Hygroton (Chlorthalidone)

d. Dolobid (Diflunical)

c. GI and GU conditions

Tolterodine (Detrol →) is employed in/as;

a. Antiseizure

b. Skeletal muscle relaxant

c. GI and GU conditions

d. Cardiovascular conditions

A. Diagnose diseases and prescribe prescription medicines

These are roles of the pharmacy assistants, except:

a. Diagnose diseases and prescribe prescription medicines

b. Recommend OTC drugs according to established algorithm

c. Provide health information provision

d. Receive medicines according to Good Distribution Practice

II and III

Nitroglycerin transdermal patch brands include;

I. Nitrostat

II. Minitran

III. Nitro-Dur

evolution of gas

The following are manifestations of physical incompatibility in extemporaneous compounding, EXCEPT:

a. evolution of gas

b. salting out

c. liquefaction

d. immiscibility

I and III

Which statement regarding NSAIDS is correct?

I. Ibuprofen can be indicated for mild to moderate pain including those associated with arthritis, gout and dysmenorrheal

II. Celecoxib and Aspirin are equally effective in preventing thrombotic conditions

III. GI toxicity is a common problem, but less likely with the coxib's

aspirin

This analgesic drug should not be given to patients who have undergone dental surgery since it can prolong bleeding time.

4 g

The daily dose of APAP should not exceed;

additive

Alcohol + Barbiturates may lead to this effect

a. antagonism

b. synergism

c. additive

d. potentiation

I, II and III

Roaccutane capsule;

I. an oral medication for acne

II. it contains isotretinoin

III. effective contraceptive methods should be used concomitantly with the drug

an anti-androgen used to treat certain types of acne

Diane-35 tablet is;

a. a drug for dysmenorrhea

b. for infertility in women

c. a sleeping aid

d. an anti-androgen used to treat certain types of acne

Acute toxicity

A label/symbol which is represented by a skull and cross bones.

B. Shake before use

Symbicort Turbohaler is dispensed. Which information does not apply to the proper use of the product?

a. Rinse mouth after use

b. Shake before use

c. Inhale twice a day to prevent attack

d. Do not wash - wipe clean if necessary

I and II

Which of the following products is a powder for inhalation?

I. Zanamivir (Relenza) Diskhaler

II. Salmeterol (Seretide Accuhaler)

III. Salbutamol (Ventolin) inhaler

Advair Diskus

Fluticasone/Salmeterol inhalation product for asthma is;

a. Advair Diskus

b. Serevent Diskhaler

c. Symbicort Turbohaler

d. Flixotide Diskus

Cranberry

Which of the following herbal products is recommended for recurrent UTI?