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139 Terms

1

Which of the following products must be dispensed in its original container?

A. Oxycodone 30 mg sustained release tablets

B. Isosorbide mononitrate 30 mg sustained release tablets

C. Oxycodone 5 mg immediate release tablets

D.Nitroglycerin 0.4 mg sublingual tablets

D.

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2

A prescription is written for an albuterol inhaler: "Dispense two inhalers of 8.5 gm, 2 puffs q.i.d." How many days will the supply last if there are 200 metered doses in each inhaler?

A. 25

B. 30

C. 50

D. 100

C.

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3

A patient presents a new prescription order for labetalol. The patient's computer profile shows the following medications: glyburide, albuterol, furosemide, atenolol, and amlodipine. The labetalol prescription order is a therapeutic duplication of:

A. amlodipine

B. atenolol

C. furosemide.

D. albuterol

B.

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4

An example of a drug-disease interaction is:

A. gemfibrozil-arthritis

B. cephalexin-asthma

C. pseudoephedrine-hypertension

D. digoxin-diabetes

C.

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5

According to federal law, a complete inventory of the controlled substances on hand in a pharmacy must be made every:

A. month

B. 6 months

C. year

D. 2 years

D.

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6

Which of the following medications would require extra security if placed in a point-of-care automated dispensing unit?

A. Toradol 10 mg tablets

B. Reglan 10 mg tablets

C. Hydromorphone 2 mg ampules

D. Promethazine 25 mg ampules

C.

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7

A major role of the Pharmacy and Therapeutics (P&T) Committee is developing:

A. the formulary status of drugs

B. operational budgets

C. dispensing policies and procedures

D. pharmacy technician training

A.

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8

Which of the following antibiotic products may cause a cross-sensitivity reaction in patients who are allergic to penicillin?

A. Amphotericin

B. Augmentin

C. Amikacin

D. Aminophylline

B.

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9

Which of the following could be a valid DEA number for Robert Smith, M.D.?

A. RS2569576

B. BS1568356

C. RS1568356

D. AS2569576

B.

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10

A prescriber writes a prescription for "XCIX tablets." How many tablets did the prescriber order?

A. 29

B. 49

C. 79

D. 99

D.

"I" equals 1, "X" equals 10, and "C" equals 100. When a lower number appears in front of a higher number, subtract the lower number from the higher number (e.g., "XC" is 100 - 10, or 90, and "IX" is 10 - 1, or 9). Then add those numbers together to equal the total: 90 + 9 = 99.

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11

A physician writes a prescription for "lactulose syrup 1 tbsp PO b.i.d." What volume, in mL, should the patient take per day?

A.5

B. 10

C. 30

D. 60

C

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12

What kind of lettering is encouraged by the FDA, ISMP, and TJC to help distinguish look-alike/sound-alike drugs from one another and avoid medication errors?

A. Capital

B. Tall Man

C. Special

D. Italicized

B.

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13

The theft or loss of significant quantities of controlled substances must be reported to the:

A. USP

B. FDA

C. DEA

D. JCAHO

C.

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14

The SDS provides safety information for:

A. dealing with exposure to a hazardous drug

B. drug recalls of controlled substances.

C. substitution of single source drugs.

D. routine inspection of a laminar flow hood.

A.

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15

When intravenous solutions are prepared, end-product testing involves:

A. checking for isotonicity.

B. having the laboratory check one of the solutions for molarity.

C. visually inspecting the compounded solution for particulate matter

D. having a pharmacist monitor the entire procedure.

C.

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16

A pharmacy receives the following prescription:

Suboxone 8 mg/2 mg SL film #60

Sig: 2 films SL once a day

How should this medication be used?

A. Subcutaneously

B. On the tongue

C. Under the tongue

D. Rectally

C.

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17

A pharmacy has established product inventory maintenance levels. There are two bottles containing 100 capsules of Prozac 20 mg on the shelf. A new prescription for 60 capsules has been presented by a patient who will return tomorrow. If the inventory maintenance level for Prozac 20 mg is 5 bottles of 100 capsules each, how many 100 capsule bottles should be ordered for tomorrow's delivery?

A. 2

B. 3

C. 4

D. 5

C.

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18

Medicare Part D requires a patient to have which of the following to be eligible?

A. Low income

B. Medicaid

C. Previous employment

D. Medicare Parts A and/or B

D.

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19

The pharmacy technician should suspect the possibility of a counterfeit medication if the:

A. last two digits of the NDC number change.

B. manufacturer's container indicates "new color" on the label.

C. bottle is written in English but manufactured out of the country.

D. patient reports that the drug tastes or looks different and does not work as well.

D.

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20

A pharmacy technician is entering a prescription when a warning message appears that reads, "Contraindicated in patients with sulfa sensitivity." Which part of the patient profile should be reviewed?

A.Medical history

B.Medication allergies

C.Medication interactions

D.Medication profile

B

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21

When submitting a claim to Medicare for Zostavax administration, which professional service code should be sent for appropriate reimbursement to occur?

A. MA

B. M0

C. 2B

D. 1C

A

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22

Which of the following references would provide a pharmacy technician with information about identifying foreign drugs?

A.Drug Facts and Comparisons

B. Martindale: The Complete Drug Reference

C. Remington: The Science and Practice of Pharmacy

D. Physicians' Desk Reference

B.

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23

A pharmacy receives the following prescription:

Ciprofloxacin 0.3% solution

#1 bottle

Sig: 1-2 drops OS q2h while awake for 2 days then 1-2 drops q4h while awake for the next 5 days

Where is the patient instructed to use the medication?

A.Left ear

B.Right ear

C.Left eye

D. Right eye

C.

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24

A logical and systematic process used to help identify what, how, and why something happened in order to prevent recurrence is referred to as:

A.root cause analysis.

B.selection error assessment.

C.determination of cause analysis.

D.risk of error assessment.

A.

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25

A physician orders amoxicillin 50 mg/mL for a child at 1 mL PO q8h for 10 days. What is the total volume to be dispensed, in mL, if the amoxicillin stock is 125 mg/5 mL?

A. 2

B. 30

C. 60

D. 150

C.

First, find how many mg the child should receive per day according to the instructions. Taking 1 mL of 50 mg/mL amoxicillin q8h means that the child will be taking 50 mg every 8 hours, or three times a day:

50 mg per dose x 3 doses per day = 150 mg per day

Since the stock amoxicillin contains 125 mg per 5 mL, this means that the stock contains 25 mg per mL. Divide 150 mg per day by 25 mg/mL to find how many mL are required per day:

150 mg per day ÷ 25 mg/mL = 6 mL per day

Finally, multiply the total mL required per day by the total days of therapy to find how many mL are needed to complete the course:

6 mL per day x 10 days of therapy = 60 mL total

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26

When a pharmacy order is received, the shipment should be inspected for:

A.inclusion of samples.

B.attached package inserts.

C.completeness.

D.manufacturer rebates.

C.

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27

The brand name for nizatidine is:

A.Tagamet.

B.Pepcid.

C.Axid.

D.Zantac.

C

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28

Which patient monitoring function identifies drugs to avoid using together?

A.Drug-drug interaction

B.Drug-laboratory test interaction

C.Therapeutic intervention

D.Intravenous compatibility

A.

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29

When withdrawing an injectable drug from a glass ampule to transfer it into a sterile empty vial, the pharmacy technician should use a:

A.transfer needle.

B.29-gauge needle.

C.needle with filter paper.

D.filter needle.

D.

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30

A vial of medication shows the manufacturer's expiration date as November 2020. The last date on which this medication may be used is:

A.October 31, 2020.

B.November 1, 2020.

C.November 30, 2020.

D.6 months after the stated date.

C

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31

A pharmacy technician receives the following prescription:

Hydrocortisone 2.5% cream and Aquaphor in 1:1

Quantity: 4 oz total

What quantity of hydrocortisone 2.5% cream, in g, should be entered on the compounding record?

A.30

B.60

C.90

D.120

B.

1:1 compound contains an equal amount of both ingredients. First convert 4 oz to g and then divide the total in half. 1 oz = 30 g, so 4 oz = 120 g. 120 g divided by 2 = 60 g.

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32

All of the following must appear on a repackaged unit-dose label except:

A.strength of medication.

B.wholesaler name.

C.dosage form of medication.

D.generic name of medication.

B

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33

Which of the following activities may be performed by a clinically oriented pharmacy technician on a nutrition service?

A.Procuring patients' serum chemistry values to assist pharmacists in monitoring TPN formulations

B.Initiating a change in the electrolyte composition of the solution based on the patients' serum chemistry values

C.Interpreting patients' serum chemistry values and notifying the physician

D.Counseling patients on their nutritional status

A

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34

A pharmacy fills an average of 11,518 prescriptions on a third-party plan in a one month period. Of these, 42% are from new prescriptions, 18% are transfers (electronic or telephone), and 40% are refills. What is the average number of prescriptions refilled each month?

A.2,073

B.4,607

C.6,680

D.11,518

B.

Since 40% of the total prescriptions are refills, multiply 11,518 by 40% to find how many prescriptions are refills. Convert 40% to a decimal by moving the decimal point 2 digits to the left.

0.4 x 11,518 = 4,607.2, which rounds to 4,607

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35

Upon obtaining initial patient information, the pharmacy technician should:

A.review the information with other pharmacy staff to ensure clarity.

B.ensure that the patient understands the side effects of current medication.

C.recommend additional pharmacotherapy.

D.document known allergies.

D

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36

According to the ISMP, which of the following drug classifications is considered high-alert in a community pharmacy setting?

A.Antipsychotics

B.Antiretrovirals

C.Antiemetics

D.Diuretics

B.

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37

Medical device safety alerts are issued by the FDA when a device:

A. may present an unreasonable risk of substantial harm.

B. is used by a person for whom it was not prescribed.

C. is superseded by a newer device for the same purpose.

D. has not been patented prior to manufacturing.

A

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38

How many grams of dextrose are contained in 400 mL of 70% dextrose solution?

A. 120

B. 280

C. 400

D. 700

B.

A 70% dextrose solution means that there are 70 g of dextrose per 100 mL of solution. Set up a proportion to find how many g of dextrose are in 400 mL of solution.

70 g/100 mL = x/400 mL

x = 280 g

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39

A patient picking up a prescription order for naproxen inquires if the pharmacy has ibuprofen in a nonprescription strength. In response to this request, the pharmacy technician should:

A. inquire if the ibuprofen is for the same patient as the naproxen; if so, notify the pharmacist of a potential therapeutic duplication.

B. explain that medications must be taken with food or meals to avoid stomach upset.

C. inform the patient that nonprescription ibuprofen is available and direct the patient to the nonprescription pain reliever section.

D. inquire if the ibuprofen is for the same patient as the naproxen; if so, notify the patient of a potential therapeutic duplication.

A

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40

Which of the following would be an appropriate source to consult regarding the handling of glacial acetic acid?

A. Safety Data Sheets

B. Physicians' Desk Reference

C. Drug Facts and Comparisons

D. Trissel's Handbook on Injectable Drugs

A

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41

A pharmacy technician receives the following order:

Synalar crm 0.01% 30 g

Menthol 300 mg

Salicylic acid 2%

Sulfur 2%

White petrolatum q.s. ad 120 g

Sig: Apply to scalp ut dict

How much white petrolatum, in g, should be used to compound this prescription?

A. 75

B. 80

C. 85

D. 90

C.

The abbreviation "q.s. ad," from the Latin "quantum sufficit ad," means that enough white petrolatum should be added to the other ingredients to total 120 g of final product. Find how much of each other ingredient is required, then subtract that amount from 120 g to determine how much white petrolatum is necessary.

30 g Synalar

+ 0.3 g Menthol (300 mg ÷ 1000 mg/g = 0.3 g)

+ 2.4 g Salicylic acid (0.02 x 120 g = 2.4 g)

+ 2.4 g Sulfur (0.02 x 120 g = 2.4 g)

35.1 g (rounds to 35 g)

120 g - 35 g = 85 g white petrolatum.

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42

The generic name for Aldactone is:

A. acetazolamide.

B. spironolactone.

C. aminocaproic acid.

D. simethicone.

B.

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43

Which of the following must be included if a new prescription is to be considered complete and clear?

A. Drug allergies

B. Date written

C. NDC number

D. Billing information

B

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44

A pharmacy technician receives a telephone call from a worried patient who heard on the news that an inhaler is being recalled. The technician should tell the patient to:

A. discard any of this medication on hand and request a refill.

B. continue to use the medication on hand if it seems to be working.

C. contact the prescriber to consider a therapy change.

D. bring the medication to the pharmacy to check the lot number and manufacturer.

D

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45

Which of the following medications may need additional separation on the shelf to avoid dispensing errors with Librium (Chlordiazepoxide; anxiety) if they are stored alphabetically by generic name?

A. Xanax

B. Thorazine

C. Keflex

D. Trimox

B

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46

If 30 g of 0.5% hydrocortisone ointment is combined with 15 g of 2.5% hydrocortisone ointment, what is the percentage of the drug in the final product?

A. 0.012%

B. 0.117%

C. 1.17%

D. 11.67%

C.

First, determine how many g of hydrocortisone are contained in each component. Convert percentages to decimals by moving the decimal point 2 places to the left.

0.005 x 30 g = 0.15 g of hydrocortisone in 30 g of 0.5% hydrocortisone

0.025 x 15 g = 0.375 g of hydrocortisone in 15 g of 2.5% hydrocortisone

Next, add those sums to find how many g of hydrocortisone are in how many g of final product:

0.15 g of hydrocortisone + 0.375 g of hydrocortisone = 0.525 g of hydrocortisone

30 g of 0.5% hydrocortisone + 15 g of 2.5% hydrocortisone = 45 g of total product

Finally, divide to find how much hydrocortisone is in the final product and multiply by 100%:

0.525 g of hydrocortisone ÷ 45 g of total product = 0.0117 x 100% = 1.17% hydrocortisone

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47

Thiamine is one of which of the following vitamins?

A. A

B. B

C. C

D. D

B

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48

According to the Institute for Safe Medication Practices (ISMP), which of the following is considered a look-alike/sound-alike medication pair?

A. Amoxicillin and penicillin

B. Lorazepam and loratadine

C. Zanaflex and Zithromax

D. Spiriva and Apidra

D.

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49

A pharmacy technician receives a prescription for Dilaudid 4 mg tablets DAW. The pharmacy is out of Dilaudid. The technician fills the prescription with hydromorphone. The pharmacist performs the final check and tells the technician that hydromorphone cannot be dispensed because:

A. the pharmacist cannot substitute any medications due to "the patient's right."

B. generic substitution is not authorized by prescriber.

C. the prescription is written as Dilaudid, not hydromorphone.

D. hydromorphone and Dilaudid are two different Schedule controlled substances.

B

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50

The primary routing mechanism for a real-time third-party prescription claim is a:

A. person code.

B. BIN.

C. group number.

D. member number.

B

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51

An important step that helps ensure that prescriptions are filled for and dispensed to the correct patient is:

A. prescription prioritization.

B. patient identification.

C. principal diagnosis.

D. patient profiling.

B

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52

What quantity, in mL, of 3% acetic acid must be mixed with 15% acetic acid to give 2500 mL of 10% acetic acid?

A. 1040

B. 1460

C. 2080

D. 2460

A.

15% 7 parts of 15% acetic acid

10% +

3% 5 parts of 3% acetic acid

12 parts total

The calculation above is set up by putting the higher concentration on the top (15%), the lower concentration on the bottom (3%), and the desired concentration in the middle (10%). Subtract the desired concentration from the higher concentration to find out how many parts of the lower concentration are needed (15% - 10% = 5 parts of 3% acetic acid). Then, subtract the lower concentration from the desired concentration to find out how many parts of the higher concentration are needed (10% - 3% = 7 parts of 15% acetic acid).

Next, divide the total quantity of the product (2500 mL) by the total number of parts (12 parts) to determine mL per part:

2500 mL/12 parts = 208 mL/part

Finally, multiply 5 parts of 3% acetic acid by one part of the final product to determine total mL of 3% acetic acid necessary:

5 parts of 3% acetic acid x 208 mL/part = 1040 mL

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53

A pharmacy technician is asked to divide a bulk bottle of chloral hydrate 500 mg/5 mL into 1 teaspoon unit-of-use packaging. The best option for portioning out the drug is to use a(n):

A. oral liquid syringe.

B. medicine cup.

C. small glass bottle.

D. hypodermic syringe.

A

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54

In order to minimize the risk of contamination by pathogens, hospital staff should:

A. make all chemotherapeutic preparations under a horizontal laminar flow hood.

B. follow procedures to ensure that infectious agents are handled and disposed of properly.

C. dispose of bloodstained dressings in a regular trash can to be emptied daily.

D. place all infected patients into reverse isolation.

B.

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55

A patient rushes to the pharmacy with an order written for digoxin 0.25 mg PO STAT, but the pharmacist has stepped out of the pharmacy to recommend an OTC medication. In this situation, the pharmacy technician should:

A. ask the patient if it would be acceptable to substitute a nonprescription equivalent.

B. dispense digoxin to the patient and ask the pharmacist to check later.

C. page the pharmacist to come back to dispense the digoxin.

D. ask the patient to wait for the pharmacist to come back.

C

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56

A physician orders phenobarbital elixir 60 mg for a patient. The drug is available in a 20 mg/5 mL concentration. How many teaspoonfuls should be given for each dose?

A. 1

B. 2

C. 3

D. 4

C.

First, find how many mL of elixir are required for a dose of 60 mg.

20 mg/5 mL = 4 mg/mL

60 mg ÷ 4 mg/mL = 15 mL

Then, convert mL to teaspoonfuls. 1 teaspoonful is equivalent to 5 mL.

15 mL/5 mL per teaspoonful = 3 teaspoonfuls

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57

A patient decides to transfer their diazepam prescription from a chain pharmacy to a mail order pharmacy that does not share a real-time, online database. According to federal law, a schedule IV prescription:

A. can be transferred no more than one time between these pharmacies.

B. can be transferred no more than two times between these pharmacies.

C. can be transferred no more than five times between these pharmacies.

D. may not be transferred between these pharmacies.

A.

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58

For safety reasons the medical abbreviation QOD should not be used; instead it should be written as:

A. right eye.

B. once daily.

C. four times a day.

D. every other day.

D.

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59

When medication is repackaged, a record is kept for:

A. recall and quality assurance.

B. staff performance evaluations.

C. drug distribution efficiencies.

D. cost control analyses.

A.

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60

The following information appears in a pharmacy patient profile:

Age: 3 years

Weight: 40 kg

Height: 36 inches

Gender: male

Allergies: amoxicillin

Which of the above fields appears to have been completed erroneously?

A. Age

B. Weight

C. Height

D. Allergies

B.

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61

Which of the following is the best strategy for reducing the possibility of dispensing errors when utilizing narcotics in nursing wards?

A. Reduce the number of dose check systems

B. Limit the opiates available on floor stock

C. Keep Safety Data Sheets on hand for all narcotics

D. Perform monthly controlled medication inventories

B.

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62

Which of the following sequences in the process of billing is correct when a patient has two insurance plans?

A. The primary plan must be billed first and then the secondary plan

B. The insurance plan that pays the most can be billed for the whole amount

C. The primary insurance is the only plan billed

D. The patient can decide which plan to bill first if they have multiple plans

A.

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63

When generic drugs or formulary products are dispensed, some third-party payers reward pharmacies by:

A. paying a higher dispensing fee.

B. paying a lower dispensing fee.

C. charging patients a lower co-pay

D. charging patients a higher co-pay.

A.

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64

Which of the following is the best method for informing a physician that a particular drug has been discontinued by the manufacturer?

A. Have the drug manufacturer contact the physician

B. Notify the patient to tell the physician when a refill is requested

C. Have the wholesaler call the physician's office

D. Communicate directly with the physician or the physician's staff

D.

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65

Which of the following is an antiemetic?

A. Loperamide

B. Cimetidine

C. Sucralfate

D. Prochlorperazine

D.

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66

Which of the following medication purchases must be tracked in MethCheck?

A. Methylphenidate

B. Phenylephrine

C. Pseudoephedrine

D. Methamphetamine

C.

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67

In accordance with USP, when a pharmacy technician is unpacking a shipment order that may contain cytotoxic agents, which of the following should be worn as a minimum precaution?

A. Gloves

B. Mask

C. Shoe covers

D. Goggles

A.

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68

How many 250 mg tablets of metronidazole are needed to make 150 mL of suspension containing 100 mg/mL?

A. 25

B. 30

C. 50

D. 60

D.

First, find the total mg of metronidazole needed in the final product by setting up a proportion:

x/150 mL = 100 mg/1 mL

x = 15,000 mg

Next, divide to find how many 250 mg tablets of metronidazole are needed to total 15,000 mg:

15,000 mg/250 mg per tablet = 60 tablets

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69

Workers' compensation provides coverage for:

A. dependents of active and retired military personnel.

B. surviving spouses of veterans who died from service-related disabilities.

C. most citizens aged 65 and over as well as people with disabilities.

D. people with job-related illnesses or injuries.

D.

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70

A prescription written for which of the following drugs could be filled with atorvastatin if generic substitution is allowed?

A. Lipitor

B. Lopid

C. Mevacor

D. Zocor

A.

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71

What is the most important step to ensure proper payment from a third-party payer when a pharmacy technician receives and processes a prescription?

A. Obtaining prior authorization from the insurance provider

B. Having the Pharmacy Care Manager review prior to dispensing

C. Entering prescription information into the system as written

D. Clearing the prescription through the senior pharmacist

C.

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72

Upon receipt of a medication order, two important steps should be taken, which include reviewing the order for:

A. completeness and prioritizing the order based upon urgency.

B. dangerous abbreviations and placing the order in sequential order.

C. special handling precautions and contacting the onsite OSHA representative.

D. REMS and calling the appropriate insurance number.

A.

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73

How many 8 fl oz bottles can be packaged from a 1 gallon bottle of cough syrup?

A. 10

B. 14

C. 15

D. 16

D.

1 gallon is equal to 128 fluid ounces. 128 fluid ounces divided into bottles containing 8 fluid ounces each yields 16 bottles.

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74

A patient diagnosed with type 2 diabetes requests a refill of a prescription for extended-release glipizide. The patient is approximately 15 days late in refilling the prescription. The patient, when asked if the medication is being taken as directed, says, "Yes, I always take it at breakfast, but many days I simply don't have time to eat before I leave for work." How should the pharmacy technician respond?

A. Tell the patient that the medication is being taken incorrectly and advise that the medication should be taken every morning

B. Ask the patient to speak with the pharmacist to clarify the prescription directions

C. Ask the patient to call the prescriber immediately to have blood sugar testing ordered at once

D. Tell the patient that the medication is being taken incorrectly and the prescriber should be seen at once

B.

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75

Which auxiliary label should be affixed to a prescription bottle of metronidazole?

A. Chew tablets before swallowing

B. May cause drowsiness

C. Keep in refrigerator; Do not freeze

D. Do not drink alcoholic beverages when taking this medication

D.

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76

If a pharmacy organizes its inventory with generic products next to the corresponding brand name products, which of the following medications will be correctly paired?

A. Propoxyphene and Proscar

B. Diphenhydramine and Benadryl

C. Pantoprazole and Carafate

D. Ranitidine and Prozac

B.

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77

Which of the following is the correct term for the number of times that a pharmacy's entire stock is used and replaced within a certain period of time, such as a year?

A. Turnover rate

B. Purchasing rate

C. Inventory rate

D. Stocking rate

A.

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78

Expired investigational drugs should be:

A. returned to the sponsor of the drug study according to instructions provided.

B. returned to the manufacturer for credit.

C. discarded in accordance with the pharmacy's hazardous waste policy and procedure.

D. destroyed, with documentation on DEA Form 41.

A.

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79

A physician prescribes 5 mg of a drug per kilogram of body weight b.i.d. for a patient weighing 110 lb. How many 0.5 g tablets of the drug are required for a 10 day duration?

A. 5

B. 10

C. 20

D. 40

B.

First, convert the patient's weight from lb (pounds) to kg (kilograms). There are 2.2 kg per lb.

110 lbs ÷ 2.2 kg/lb = 50 kg

Next, find how many mg the patient requires per dose and multiply that by two to determine total mg required per day ("b.i.d." means "twice a day").

50 kg x 5 mg/kg = 250 mg per dose x 2 doses per day = 500 mg per day

The available tablets are 0.5 g. Convert 0.5 g to mg. There are 1000 mg per g.

0.5 g per tablet x 1000 mg/g = 500 mg per tablet

Since the patient requires 500 mg per day and the available tablets are 500 mg per tablet, one tablet is required per day and 10 tablets are required for 10 days.

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80

To properly maintain a pharmacy software system, database files should be:

A. easily accessible to all.

B. stored in a safe.

C. backed up daily.

D. printed daily.

C.

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81

Which of the following medications should be avoided by patients allergic to sulfa drugs?

A. Biaxin

B. Keflex

C. Ceftin

D. Bactrim

D.

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82

According to federal law, prescriptions for Schedule III controlled substances may:

A. be refilled for up to 6 months if indicated.

B. not be refilled under any circumstances.

C. have p.r.n. refills.

D. be refilled for up to 12 months if indicated.

A.

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83

An insurance plan's contract price consists of average wholesale price (AWP) minus 5%, plus a $3.00 dispensing fee. A prescription calls for 60 tablets of a drug whose AWP is $249.99 per 100 tablets. What price will be billed to the insurance company?

A. $142.44

B. $145.49

C. $149.94

D. $152.99

B.

First, find the AWP per tablet and multiply that by 60 to find the AWP for 60 tablets:

$249.99/100 tablets = $2.4999 per tablet

$2.4999 x 60 tablets = $149.994 for 60 tablets

Next, multiply the AWP for 60 tablets by 5% (0.05) and subtract that from the AWP for 60 tablets:

0.05 x $149.994 = $7.4997

$149.994 - $7.4997 = $142.4943

Finally, add the dispensing fee of $3.00:

$142.4943 + $3.00 = $145.4943, which rounds to $145.49

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84

According to USP Chapter 797, how should a pharmacy technician recap a needle to prevent a needle stick?

A. A needle should never be recapped

B. A technician should use the one-hand scoop method

C. A technician should hold the syringe with one hand and use the other hand to recap the needle

D. A technician should only recap a needle inside the laminar airflow workstation

B.

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85

A particular manufacturer packages metoprolol succinate 100 mg tablets with an NDC of 49884-0827-01. If a pharmacy technician wants to receive rosuvastatin 10 mg tablets from the same manufacturer, which of the following NDCs should they order?

A. 00378-2203-77

B. 60687-0245-01

C. 50090-0827-00

D. 49884-0261-09

D.

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86

Which of the following should not be refrigerated when stored at the pharmacy?

A. DDAVP rhinal tube

B. Biaxin suspension

C. Phospholine iodide

D. Epogen

B.

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87

Which of the following products or services does OBRA require pharmacists to offer to Medicaid patients?

A. Package inserts

B. Discount prices

C. Counseling

D. Delivery

C.

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88

A reverse distributor for pharmaceuticals:

A. distributes pharmaceuticals to hospitals.

B. removes and disposes of pharmaceutical waste.

C. transports medications from the manufacturer to the wholesaler.

D. transports medications in an emergency.

B.

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89

The pharmacy computer database should include all of the following except:

A. patient allergy information.

B. patient Social Security numbers.

C. prescriber NPI numbers.

D. prescriber DEA numbers.

B.

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90

A patient would like a printout of their medication profile for the past 12 months as well as one for their child. In order to further assist the patient, the pharmacy technician should ask about the:

A. child's age.

B. reason for the request.

C. insurance information.

D. patient's allergy history.

A.

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91

What is potentiation?

Combination of 2 medications increasing the effect or length of effect

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92

What is synergism?

the effect of two drugs together is greater than the effect of either alone

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93

What is antagonism?

the effect of two drugs together is less than the effect of either alone

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94

What is additive effect?

the effect of two drugs together is equal to the sum of their individual effects.

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95

Graves disease

most common cause of hyperthyroidism

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96

Generic suffix for proton pump inhibitor (ompePRAZOLE, pantoPRAZOLE, lansoPRAZOLE, rabePRAZOLE, esomePRAZOLE)

prazole

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97

Generic suffix for beta blocker (atenOLOL, propranOLOL, nadOLOL, timOLOL, metoprOLOL, labetOLOL erc.)

olol

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98

Generic suffix for benzodiazepine (lorAZEPAM, diAZEPAM, temAZEPAM, clonAZEPAM, etc.)

azepam

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99

74 degrees Fahrenheit is equal to what temperature in Celsius ?

fahrenheit to celsius: (F - 32) / 1.8

(74 - 32) / 1.8 = 23.3 C

23.3 C

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100

This law defined two specific categories for medications: prescription and over-the-counter.

Durham-Humphrey Amendment.

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