Dispensing (1-100 questions)

Proverbs 16:3

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. self-care
b. promotion of good health
c. supply and use of medicines and items for the administration of medicines
d. prescribing medicine

a. 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

a. I, II and III
b. I and II
c. II and III
d. I and III

d. 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

a. I, II and III
b. II and III
c. I and III
d. III only

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

d. 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

a. I only
b. III only
c. I and II
d. II and III

a. I, II and III

Drugs belonging to List A are;

I. Dangerous drugs
II. Regulated Drugs
III. Controlled precursors and essential chemicals

a. I, II and III
b. I and II
c. I and III

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

a. erroneous prescription

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

a. erroneous prescription
b. violative prescription
c. impossible prescription
d. non-violative prescription

d. III only

Drugs classified as List B include:

I. Oxycodone
II. Thiopental
III. Phenytoin

a. I, II and III
b. II and III
c. I and III
d. III only

c. Transcription

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• Superscription → “Rx” symbol on a prescription.

• Inscription → name and quantity of the drug prescribed.

• Subscription → Instructions to the pharmacist on preparation.

• Transcription (aka “Signa”) → Directions to the patient by prescriber

The direction to the patient is referred to as;

a. Superscription
b. Subscription
c. Transcription
d. Inscription

c. white

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Explanation:
In standard Philippine labeling color codes:

• White → Oral preparations

• Red → External use (poison or hazardous drugs)

• Yellow → Narcotics/Dangerous drugs (some coding systems)

• Green → Herbal or certain OTC classifications

The label for drugs intended for oral administration is;

a. red
b. yellow
c. white
d. green

d. 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

a. I, II and III
b. II and III
c. I and III
d. I and II

d. I and III

TRUE statements regarding prescription include;

I. An order for medication, nondrug 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

a. I, II and III
b. II and III
c. I and II
d. I and III

b. 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

a. I, II and III
b. II and III
c. I and III
d. III only

a. I, II, 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

a. I, II, III
b. I and II
c. I and III
d. III only

a. M. ft. ung

→ meaning “mix and make ointment”

This is an example of a subscription:

a. M. ft. ung
b. 1 tab qid
c. 50 capsules
d. shake well before using

a. transcription

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

a. transcription
b. superscription
c. inscription
d. subscription

d. 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

b. 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

a. I, II, and III
b. I and II
c. I and III
d. II and III

b. as needed

“prn" in prescription means;

a. as mentioned
b. as needed
c. do not repeat
d. at pleasure

a. immediately

A stat order means the drug has to be administered;

a. immediately
b. atvb the hour of sleep
c. as needed by the patient
d. before surgery

d. III

Dosage forms that require special administration techniques, EXCEPT:

I. Eye drop and ointment
II.Nose drops and sprays
III. Tablets and capsules

a.I, II, III
b. I and II
c. I and III
d. III

d. "Apply liberally as directed"

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

a. "Apply liberally"
c. "Use as directed"
b. "Apply as directed"
d. "Apply liberally as directed"

a. base

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• Base → main active ingredient that provides the intended therapeutic effect.

• Adjuvant → Enhances the effect of the base or aids in the drug’s action.

• Corrective → Masks unpleasant taste, odor, or side effects.

• Vehicle → Serves as the carrier or diluent for the active ingredient.

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

a. base
b. adjuvant
c. corrective
d. vehicle

Vehicle

[What Part of the Drug]

____- is use to dilute different ingredients

b. 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

Do not crush medication

a. sustained release
b. enteric coated
c. extended release
d. all

d. II only

Common prescribers' abbreviation include;

I. Pb for lead
II. HCTZ for hydrochlorothiazide
III. MTX for mixture

a. I, II and III
b. II and III
c. I and III
d. II only

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

b. 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

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• d. ❌ Incorrect — By law in the Philippines, prescription books are generally required to be kept for at least 2 years after the last entry, not the first entry.

Which of the following statements is NOT correct?

a. The purpose of numbering prescription 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

NOTE: Product consideration and not patient information

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

b. 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

a. I and II
b. II and III
c. I and III
d. I, II and III

b. 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

a. I and II
b. II and III
c. I and III
d. I, II and III

b. 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. I, II and III
b. II and III
c. I and III
d. I and II

a. making paracetamol tablets

NOTE: In manufacturing settings

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

d. I, II and III

Considerations in extemporaneous prescription compounding include;

I. stability of the compounded prescription
II. mathematical calculations
III. special adjuvants or techniques

a. I and III
b. I and II
c. II and III
d. I, II and III

a. 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

a. I, II and III
b. I and III
c. I and II
d. II and III

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

NOTE: If not refrigerated = 7days

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 e 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
c. Rx Hydrochlorothiazide
b. Rx Doxycycline
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.

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

a. Tween 80
b. Acacia
c. Glycerin
d. Alcohol

Emulsifying agent (non-ionic surfactant)

[Identify the Use] Tween 80

Emulsifying agent (natural gum)

[Identify the Use] Acacia

Suspension (Humectant)

[Identify the Use] Glycerin

Humectant

Glycerin is use in Suspensions as ___ ?

Elixir (Solvent)

[Identify the Use] Alcohol

Solvent

Alcohol is use in Elixir as ____ ?

b. "Shake well before use"

→ Standard labeling for suspensions and emulsions includes “Shake well before use” to ensure uniform dosing.

Rx

Olive oil 60 mL
Vitamin A 60,000 units
Water qs 120 mL

Sig. 15 mL t.i.d.

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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"

b. 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?

a. 240 mg
b. 120 mg
c. 60 mg
d. 180 mg

c. 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?

a. 5 to 20 tsp
b. 1 to 5 tsp
c. 1 to 4 tsp
d. 2 to 3 tsp

c. 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

d. 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?

a. 5 g
b. 3 g
c. 1 g
d. 1.5 g

a. 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

a. I, II and III
b. I and II
c. II and III
d. III only

Salicylic acid 10%

_____ - is the active ingredient commonly used for wart treatment.

Acetone is flammable

Acetone 20 % is ____ [flammable/not flammable] ?

b. 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 (use applicator)
III. Store the prescription remote from fire or other flammable material

a. I, II and III
b. I and III
c. II and III
d. III only

c. 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

d. divided powders

Hinged-lid or slide boxes are used for packaging;

a. dusting powders
b. oral bulk powders
c. douche powders
d. divided powders

d. waxed paper

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• Waxed paper → Moisture-proof, ideal for wrapping hygroscopic or deliquescent powders.

• Ordinary bond paper → Not moisture-resistant; used for non-hygroscopic powders.

• Vegetable parchment → More resistant than bond paper but not fully moisture-proof.

• Glassine paper → Glazed, somewhat moisture-resistant, but less so than waxed paper.

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

a. ordinary bond paper
b. vegetable parchment
c. glassine paper
d. waxed paper

Waxed paper

[TYPE OF PAPER USED TO WRAP DIVIDED POWDERS]

____-

• Moisture-proof

• Ideal for wrapping hygroscopic or deliquescent powders

Ordinary bond paper

[TYPE OF PAPER USED TO WRAP DIVIDED POWDERS]

____-

• Not moisture-resistant

• Used for non-hygroscopic powders

Vegetable parchment

[TYPE OF PAPER USED TO WRAP DIVIDED POWDERS]

• More resistant than bond paper but not fully moisture-proof.

Glassine paper

[TYPE OF PAPER USED TO WRAP DIVIDED POWDERS]

_____-

• Glazed

• Somewhat moisture-resistant, but less so than waxed paper

b. I and II

Containers used in dispensing ointments;

I. Ointment jars
II. Collapsible tube
III. Sifter top containers

a. I, II and III
b. I and II
c. I and III
d. III only

b. lactose

Commonly used diluent in capsules;

a. talc
b. lactose
c. starch
d. acacia

b. II and III

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

I. Eyewash
II. Suspension
III. Emulsion

a. I, II and III
b. II and III
c. I and III
d. III only

b. Inscription

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

a. Supersciption

b. Inscription
c. Transcription
d. Subscription

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

c. II and III

→ NOTE: in Paracetamol the prescription is needed if >500 mg

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

a. I, II and III
b. I and II
c. II and III
d. III only

d. III only

→ NOTE: Tylenol is OTC but Rx because it has codeine

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Products given:

• Percocet 500 mg/7.5 mg → acetaminophen + oxycodone

• Tylenol with Codeine 300 mg/60 mg → acetaminophen + codeine

• Vicoprofen 7.5 mg/200 mg → hydrocodone + ibuprofen (no acetaminophen)

  III. All are prescription drugs ✅

  • True — All contain controlled substances, so they require a prescription.

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

a. I, II and III
b. II and III
c. I and III
d. III only

b. Norgesic Forte

NOTE: Norgesic Forte is a combination product, and one of its active ingredients is aspirin.

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

a. Panadol
b. Norgesic Forte
c. Tylenol
d. Zgesic

b. Norgesic Forte

Orphenadrine Citrate + Aspirin + Caffeine

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
c. proper storage for stability
b. danger of over-dosage
d. life-threatening side effects

a. ears

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The correct answer is a. ears ✅

Explanation:

• Otic = ear (from Latin otus = ear).

• Nasal = nose

• Ophthalmic = eyes

• Rectal = rectum

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

a. ears
b. nose
c. eyes
d. rectum

c. Do not take with milk or antacid

NOTE:

• Naprosyn EC has a coating.

• Milk/antacid can break it.

• Swallow whole with water

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

Enteric-coated (EC) tablet

[What Dosage Form]

_____- is a Delayed-release tablet

b. I and II

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I. Tegretol Retard 200 mg tab ✅ (Extended-release)
II. Glucotrol XL tab ✅ (Extended-release)

III. Xanax 1 mg tablet ❌ (Immediate release) — usually can be split unless otherwise specified

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

a. I, II and III
b. I and II
c. II and III
d. I and III

c. Elixophyllin

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Elixophyllin contains theophylline dissolved in 6% alcohol, which can cause dizziness or drowsiness.

This product may cause dizziness or drowsiness due to alcohol content.

a. Maalox
b. Nutrilin
c. Elixophyllin
d. Ambrolex

Elixophyllin

[Drug]

_____ - has “6% alcohol” content in its elixir formulation.

c. Elixophyllin

Theophylline + 20% alcohol

a. Maalox
b. Nutrilin
c. Elixophyllin
d. Ambrolex

a. Solution for inhalation ( aka “nebulizer solution”)

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

d. Nitroderm TTS

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Nitroderm TTS patch + heat → too much drug release → low BP (hypotension) /toxicity

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

a. Salonpas pain relieving patch
c. Levonorgestrel (Norplant) Implant
b. Mediplast Corn plaster
d. Nitroderm TTS

Nitroderm TTS

____-

• is a transdermal nitroglycerin patch.

• Can cause hypotension due to vasodilation

a. ampicillin

NOTE:

• Ampicillin → Empty stomach

• Metformin → With meals

• Griseofulvin → With fatty food

• Aspirin → With food

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

a. ampicillin
b. metformin
c. griseofulvin
d. aspirin

d. III only

NOTE:

• Cloxacillin ≠ Keflex → Keflex = Cephalexin. (Cloxacillin = Cloxapen)

• Sulfinpyrazone ≠ Zyloprim → Zyloprim = Allopurinol. (Sulfinpyrazone = Anturane)

• Digoxin = Lanoxin

Which is correctly matched generic name-brand name?

I. Cloxacillin-Keflex
II. Sulfinpyrazone-Zyloprim
III. Digoxin-Lanoxin

a. I, II and III
b. II and III
c. I and III
d. III only

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

c. dry powder for inhalation

DPI means; ,

a. dose per inhalation
b. drug prescription inventory

c. dry powder for inhalation
d. drug for peritoneal injection

a. Rule-based Error

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• Rule-based error → Used the wrong rule, even if you knew better.

• Lapse → Forgot to do something.

• Slip → Did the wrong action by accident.

• Mistake → Wrong decision/plan from lack of knowledge or bad judgment.

Injecting diclofenac into the lateral thigh rather than the buttock

a. Rule-based Error
b. Lapse
c. Slip
d. Mistake

d. II and III

NOTE: Iron dextran = parenteral

Which of the following products is an oral iron preparation?

I. Iron dextran
II. Ferrous gluconate
III. Ferrous fumarate

a. I, II and III
b. I and III
c. I and II
d. II and III

b. Body surface area

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

a.Weight
b. Body surface area
c. age
d. height

d. all

Which of the following could be written in a prescription?

a. Prescribed medications
b. Request for laboratory test
c. Referrals to specialists
d. all

d. ciprofloxacin

NOTE: Ciprofloxacin = floroquinolone

Which of the following is NOT a cephalosporin?

a. ceftriaxone
b. cefuroxime
c. ceftazidime
d. ciprofloxacin

b. Stalevo

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• Stalevo = levodopa + carbidopa + entacapone used in Parkinson’s disease treatment.

• Sinemet = levodopa + carbidopa

• Tagamet = cimetidine (H2 blocker)

• Dilantin = phenytoin (anticonvulsant)

Levodopa-carbidopa-entacapone combination is;

a. Tagamet
b. Stalevo
c. Sinemet
d. Dilantin

Sinemet

Levodopa + carbidopa combination is ____ ?

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

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→ Explanation: It is the pharmacist or healthcare provider who must be well equipped with knowledge and skills to conduct effective patient counseling, not the patient.

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