Exam 1

Types of Pharmacy

• Retail

• Independent

• Compounding

• Mail Order

• Franchise

• Institutional

What is the #1 priority of a Pharmacist

To make sure patients are safe

What percentile do you have to be on the PCAT

89%

What does DUR stand for

Drug Utilization Reviews

What are examples of Pharmacists roles

• Gather information/inquire about medical, medication, and allergy history

• Check age appropriate dosing

• Check possible reactions

• Counsel

• Administer vaccines

• Record/monitor safe usage of controls

Technician requirements

• State license

• HIPAA

• METH

• National Certification (PTCB or ExCPT)

Skill required for Technicians

• Communication

• Good math skills

• Patience

• Multi-tasking

• Organized

What are the lines of defense and who can perform them?

• 1st: Reception/Data Entry (Tech. & Pharm.)

• 2nd: Product Dispensing (Tech. & Pharm.)

• 3rd: Verification (ONLY Pharm.)

• 4th: Release to the patient (Tech. & Pharm.)

Which of the following are true in regards to accountability?

a. A technician can be fired if it is proven that they overstepped the limitations of the job

b. A technician holds on accountability in the pharmacy

c. Neither the technician nor the pharmacist can be fired

d. Accountability only pertains to the cash register

Correct answer: A

Prescription medications are used for which of the following?

a. To cure disease

b. To prevent disease

c. To control disease

d. All of the above

Correct answer: D

Which of the following is a major area in which errors most often occur?

a. Incorrect entry of order into computer

b. Prescription given to the patient’s mother

c. Dispensing a different manufacturer of the same medication

d. All of the above

Correct answer: A

A technician is responsible for…

a. Counseling the patient on side effects

b. Maintaining and organizing the pharmacy records

c. Notifying the doctor of interactions

d. Giving the final verification on the prescription

Correct answer: B

What are examples of licensed prescribers?

• Physicians

• Dentists

• Vets

• Nurse Practitioners

• Physician Assistant

• Ophthalmologists

What does Signa (or Sig) mean

Directions

What are Non-Legend Medications?

Medications used to treat conditions and not requiring care from a health care professional

What does OTC mean

Over the Counter

What is a name for pain relievers

Analgesics

Examples of internal pain relievers

Tylenol, Advil, Aleve

Examples of external pain relievers

Bengay, Ora-gel

Examples of sleep aids

Tylenol PM, Melatonin

Examples of motion sickness

Dramamine, Bonine

Examples of leg cram remedies

quinine

Examples of anacids

Tums, Prilosec

Examples of anti-flatulents

Gas X

Examples of laxatives

Ex-lax, Miralax

Examples of Anti-diarrheal

Imodium AD

Examples of enzymes

Lactaid

Examples of cough syrups

Robitussin

Examples of cold tablets

Sudafed

What can Sudafed be used to make?

Meth

An example of a behind the counter drug is

a. Pseudoephedrine

b. All Birth Controls

c. Probiotics

d. Antibiotics

Correct answer: A

Examples of nasal spray

Pretz Saline Spray

Example of antihistamines

Benadryl, Claritin, Zyrtec

Examples of asthma remedies

Primatene mist

What can Primatene mist be used to make?

Meth

Examples of dietary aids/vitamins and minerals

• Fiber (Metamucil)

• Meal Replacements

• Salt substitutes

• Vitamin C

• Iron

• Probiotics

What are Legend Medications

Federal and State laws mandate that all drugs bear a “legend” prohibiting sale without prescription

Examples of Prevacid

Prevents Acid

Examples of Legend (Non-Controlled) Medications

• Antibiotics

• Antihypertensive

• Antidiabetic

• NSAIDs (Nonsterodial anti-inflammatory drugs)

• Asthma

Example of Legend (Controlled) Medications

CI, CII, CIII, CIV, CV

Examples of CI

• Heroin

• Marijuana

Examples of CII

• Cocaine

• Meth

• Fentanyl

• Adderall

• Morphine

Examples of CIII

• Testosterone

• Estrogen

Examples of CIV

• Xanex

• Tramidal

Examples of CV

• Robitussin w/ codiene

What is another name of third class of drugs

Behind the counter drugs

How much behind the counter drugs are you allowed to purchase?

3.6 grams per 7 days or 7.2 grams in 30 day

What is an example of an emergency contraceptive

Plan B

What is the NDC

National Drug Code

What do the first five numbers stand for in the NDC

Product manufacture (given by FDA)

What do the middle four numbers of the NDC stand for

Drug

What do the last two numbers of the NDC stand for

Package size

Where are most tablets designed to dissolve

The GI tract

What can you do with capsules

Be opened and mixed with applesauce

A subcutaneous injection is given

a. In the dermis layer of the skin

b. Into the muscle

c. Directly into a vein

d. In the fatty layer directly under the skin

Correct answer: D

Intramuscularly injection means

in the muscle (ex. COVID, Flu)

Subcutaneously injection means

in fatty layer (ex. insulin, diabetes)

Intravenous injection means

directly into vein (ex. chemotherapy, saline) ONLY in hospitals

Anucort suppositories are prescribed for John Rally, 1 qod, what exactly should the prescription label say?

UNWRAP and insert RECTALLY one every other day

Which of the following can be cut in half?

a. A controlled release tablet

b. A suppository

c. A capsule

d. None of the above

Correct answer: B

What are solutions

Equally dissolved

What are suspensions

Must be shaken for equal distribution

What are elixars

Contains alcohol

What is an example of a reconstitutable

Amoxicillin

What is the correct Route of Administration for by mouth

Take

What is the correct Route of Administration for rectally

Insert

What is the correct Route of Administration for vaginally

Insert

What is correct Route of Administration for nasally

Inhale/Spray

What is the correct Route of Administration for penial

Insert

What is the correct Route of Administration for eyes/ears

Instill

What is the roman numeral for 50

L

What is the roman numeral for 100

C

What is the roman numeral for 500

D

What is the roman numeral for 1000

M

How do you calculate day supply

Total dispensed/Total daily = Day supply

How do you calculate quantity

Dosage x Frequency x Duration = Quantity

When there is conflict between state and federal law, which law applies

a. Federal

b. State

c. Whichever is strictest

d. Who said anything about following the law?

e. The DEA

Correct answer: C

All control Prescription labels must state…

Caution federal law prohibits the TRANSFER of this drug to any person other than the patient for whom prescribed

A NON-CONTROLLED prescription is good for up to a..

Year

A CONTROLLED prescription is good for up to…

Six months

Containers for medications storage and dispensing must meet USP standards for _________ & __________

“light and tight”

What are the small colorful labels that are added to dispensed medication to add needed information

Auxillary labels

When do you receive Patient Information Sheets (informative patient guide)

only on the FIRST time of getting the prescribed medication

True or False: Are Medication Guides (a guide for patients receiving certain high risk medications) REQUIRED

TRUE

Examples of high-risk medications

NSAIDS, Advair, Antidepressants, ADHD, Fluoroquinolones

What is a “Black box warning”

Can cause a serious/life-threatening adverse reaction

An example of one of the most highly regulated and legal controlled drugs is….

a. Adderall

b. Xanex

c. Amoxicillin

d. Lipitor

Correct answer: A

What does VAERS stand for

Vaccine Adverse Events Reporting Systems

What does CHIRP stand for

Children and Hoosiers Immunization Registry Program

What are all controlled prescriptions required of

E-prescribed

What can CII be refilled

No they can not be reilled

Can CII - CV be refilled

Yes, they can be refilled a total of 6 times (5 refills) and may be transferred ONE time

What is a Drug Seeker

A patient who receive RX’s (Prescriptions) for the same controlled drug from several prescribers, or constantly asks for early refills

When ordering CII medication it is ordered on what type of form?

a. DEA 666

b. FDA 222

c. FDA 666

d. DEA 222

Correct answer: D

What does FDA stand for

Food and Drug Administration

What does DEA stand for

Drug Enforcement Agency

What does OSHA stand for

Occupational Safety & Health Administration

What does FTC stand for

Federal Trade Comission

What does HCFA, DHHS, and CMS have in common

All agencies for Medicare & Medicaid

What does USP mean

United States Pharmacopoeia