ExCPT Practice Exam B Pharm Tech

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1
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76. A pharmacy technician is preparing to dispense a prescription. Which of the following findings is an indication that the prescription might be altered or forged?

handwriting is illegible

written in red ink

uses multiple abbreviations

unusually small dosage

Written in red ink

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77. A pharmacy technician should identify that which of the following organizational procedures encourages reporting of medication errors?

Inconsistent definition of medication errors

Punitive consequences

Complex reporting processes

Confidential error reporting

Confidential error reporting

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78. A pharmacy technician should identify that which of the following federal acts requires a patient to receive pharmacist counseling?

Prescription Drug Marketing Act of 1987

Omnibus Budget Reconciliation Act of 1990 (OBRA '90)

Medicare Modernization Act of 2003 (MMA)

Orphan Drug Act of 1983

Omnibus Budget Reconciliation Act of 1990 (OBRA '90)

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79. Based on the prescription below, a pharmacy technician should identify that which of the following information might cause a medication administration error? glimepiride (Amaryl) 2.0 mg one tablet orally once daily #90

The prescriber should use the abbreviation "QD" for "once daily"

The strength of 2.0 mg should be written as 2 mg

The word "orally" should be replaced with "po"

The prescriber should be spell out #90 for the quantity

The strength of 2.0 mg should be written as 2 mg

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80. A pharmacy technician should assign which of the following expiration dates to a magic mouthwash that contains water?

7 days

14 days

30 days

60 days

14 days

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81. A pharmacy technician should use a vertical airflow hood to compound which of the following types of medications?

IV piggyback

Chemotherapy

Total parenteral nutrition

Nuclear

Chemotherapy

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82. According to federal law, when transferring a Schedule II medication to another pharmacy, which of the following forms should the pharmacy complete and retain?

DEA Form 222

DEA Form 41

DEA Form 106

DEA Form 225

DEA Form 222

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83. A pharmacy technician is assisting a patient who reports that she is allergic to NSAIDs. Which of the following should the technician recognize as a medication that this patient should avoid taking?

loratadine (Claritin)

dextromethorphan (Delsym)

acetylsalicylic acid (Aspirin)

acetaminophen (Tylenol)

acetylsalicylic acid (Aspirin)

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84. A pharmacy technician is preparing to dispense a prescription for a patient. On the prescription, the instructions indicate "supp". Which of the following statements should the technician make to the patient?

"This medication is a supplement"

"This medication suppresses hunger"

"This medication needs to be supplied by a pharmacist"

"This medication is a suppository"

"This medication is a suppository"

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85. Which of the following conditions is a contraindication to taking Lipitor?

pregnancy

hypertension

osteoporosis

hyperkalemia

pregnancy

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86. Which of the following parts of Medicare covers durable medical equipment (DME)?

Part A

Part B

Part C

Part D

Part B

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87. A pharmacy technician should identify that which of the following is approximately equivalent to 1 quart?

240 mL

360 mL

480 mL

960 mL

960 mL

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88. Which of the following tasks is within a pharmacy technician's scope of practice?

Discussing the adverse effects of a medication with a patient

Answering a patient's questions regarding the use of medications

Obtaining a patient's health history

Recommending a change in medication

Obtaining a patient's health history

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89. A pharmacy technician should allow a laminar flow hood to run for which of the following amounts of time before sterile compounding can begin?

5 min

10 min

15 min

30 min

30 min

15
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90. A pharmacy technician should identify that which of the following information is required on a Schedule II prescription?

DEA number

number of refills

expiration date

manufacturer name

DEA number

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91. A pharmacy technician has dispensed a prescription for acetaminophen with codeine. The technician should identify that this medication is included in which of the following controlled substance schedules?

Schedule III

Schedule II

Schedule IV

Schedule V

Schedule IIl

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92. A pharmacy technician is preparing a clindamycin (Cleocin) oral suspension. Which of the following auxiliary labels should the technician place on the bottle?

"Do Not Take with Aspirin"

"Take with Food"

"Take with a Full Glass of Water"

"Refrigerate"

"Take with a Full Glass of Water"

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93. A pharmacy technician should identify that which of the following information is required on an OTC medication label?

off-labeling indications

serial number (Rx number)

net contents

federal legend

net contents

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94. According to USP <797>, how many times must a negative gloved fingertip sampling be demonstrated prior to preparing sterile products?

one time

two times

three times

four times

three times

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95. A pharmacy technician should identify that which of the following is an example of a solid dosage form?

suspension

otic drops

transdermal patch

effervescent tablets

effervescent tablets

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96. Which of the following actions by a pharmacy technician demonstrates proper hand-washing hygiene in a sterile environment?

scrubbing under watches and rings

using clean hands to turn the water faucet off

drying hands and forearms with a lint-free towel

scrubbing hands vigorously with soap and water for at least 5 seconds

drying hands and forearms with a lint-free towel

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97. A pharmacy technician should identify that which of the following is a benefit of an automated medication delivery system?

increases pharmacy workload

reduces the pharmacy's long-term cost savings

reduces medication errors

increases unexplained inventory losses

reduces medication errors

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98. Which of the following should a pharmacy technician identify as the primary purpose of MedWatch?

to educate health care workers and the public about safe medication practices

to prove the safety and efficacy of new medication

to allow the voluntary report of adverse effects

to regulate the labeling, marketing, and manufacturing of products

to allow the voluntary report of adverse effects

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99. A pharmacy technician is preparing to dispense several medications. Which of the following medications should the technician label and dispense in its original container?

amoxicillin (Amoxil)

nitroglycerin (Nitrostat)

esomeprazole (Nexium)

meloxicam (Mobic)

nitroglycerin (Nitrostat)

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100. A pharmacy technician should recognize that the CDC recommends a patient who is 65 years of age receive which of the following vaccines?

measles, mumps and rubella (MMR)

zoster live

human papilloma (HPV)

meningococcal

zoster live

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51. When validating a DEA number, a pharmacy technician should identify that the second letter should be the first letter of which of the following?

Prescriber's first name

Pharmacist's first name

Prescriber's last name

Pharmacist's last name

Prescriber's last name

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52. A pharmacy technician should identify that which of the following medication is required to be stores behind the pharmacy counter?

Meclizine (Dramamine)

Dextromethorphan (Delsym)

Fexofenadine (Allegra)

pseduoephedrine (Sudafed)

pseduoephedrine (Sudafed)

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53. A pharmacy technician should identify that which of the following pain medications poses the lowest risk for women who are pregnant?

Tramadol (Ultram)

Hydrocodone (Vicodin)

Ibuprofen (Advil, Motrin)

Acetaminophen (Tylenol)

Acetaminophen (Tylenol)

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54. Under federal law, a pharmacy technician should identify that which of the following statements is true regarding prescription for Schedule II medications?

They can be refilled up to five times

In the event of a partial filling, the remainder should be filled within 24 hrs

They should be kept on file for up to 6 months

They should be filed separately from all other prescriptions.

They should be filed separately from all other prescriptions.

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55. According to federal law, a Schedule III medication can be refilled up to how many time when authorized by a prescriber?

Fives times within 6 months

One time within 30 days

Six times within 12 months

Three times within 90 days

Fives times within 6 months

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56. A patient asks a pharmacy technician to contact her prescriber to request a refill of Singulair. The technician should expect the prescriber to send a prescription for with of the following generic medications?

montelukast

levalbuterol

mometasone

ipratropium

montelukast

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57. A pharmacy technician should identify that which of the following over-the-counter (OTC) medications is most likely to increase a patient's risk for gastrointestinal (GI) bleeding?

acetaminophen (Tylenol)

famotidine (Pepcid)

ibuprofen (Motrin)

diphenhydramine (Benadryl)

ibuprofen (Motrin)

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58. Which of the following actions should a pharmacy technician take to promote medication compliance?

Suggest the patient stop taking an expensive medication and replace it with a less-expensive alternative

Instruct the patient to increase the dosage if pain becomes more instense

Ask the patient to monitor medication intake by keeping a log

Use medical terminology to explain the patient's medication therapy

Ask the patient to monitor medication intake by keeping a log

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59. Based on the prescription below, how many tablets should a pharmacy technician dispense? Sulfasalazine (azulfidine) 500mg tabs 1.5g qid x 10days

40 tablets

60 tablets

120 tablets

160 tablets

120 tablets

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60. A pharmacy technician should identify that which of the following abbreviations is prone to medication errors and is on the Institute for Safe Medication Practices (ISMP) " Recommended Do Not Use" List?

IV

U

tid

TD

U

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61. Which of the following routes of administration is parenteral?

rectally

orally

sublingual

intramuscular

intramuscular

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62. A pharmacy technician receives a prescription for a brand-name medication that has a generic available. Which of the following acronyms on the prescription indicates the provider wishes to ensure the brand-name medication will be dispensed?

MAC

PBM

DAW

DUR

DAW

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63. A pharmacy technician should identify that which of the following organizations oversees the disposal of hazardous waste from health care facilities?

OSHA

FDA

EPA

DEA

EPA

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64. A pharmacy technician should identify that which of the following medication is an example of an antitussive?

psuedoephedrine (Sudafed)

bisacodyl (Dulcolax)

dextromethorphan (Delsym)

loperamide (Imodium)

dextromethorphan (Delsym)

40
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65. A medication prescription calls for dextrose 5% in water (D5W) 1,000 mL with 40 mEq of potassium chloride to be infused at 125 mL/hr. How many 1 L bags will be needed over a 24 hours period?

two

three

four

five

three

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66. A pharmacy technician is discussing a patient's medication refill with the prescriber. According to HIPAA guidelines, how much of the patient's confidential information can the technician disclose to the prescriber?

All of the information in the patient's medical chart

None of the patient's medical chart information

The minimum amount of information needed to complete the task

Only the information the patient has signed a form to disclose

The minimum amount of information needed to complete the task

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67. A pharmacy technician should identify that which of the following is represented by the abbreviation APAP?

aspirin

immediately

acetaminophen

as soon as possible

acetaminophen

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68. Which of the following actions should a pharmacy technician take when receiving a delivery of non-controlled substances?

reconcile the shipment invoice

validate the barcode on the box

contact the distributor to verify delivery

obtain the pharmacist signature

reconcile the shipment invoice

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69. When calculating the beyond-use date (BUD) for a sterile compound, which of the following information should a pharmacy technician consider?

the brand name of the medication

The stability of the medication

the indication of the medication

the NDC number of the medication

The stability of the medication

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70. A pharmacy technician should identify that which of the following pharmaceutical dosage forms is alcohol free?

suspensions

tinctures

elixirs

fluid extracts

Suspension

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71. A pharmacy technician should identify that which of the following is recommended for the Institute for Safe Medication Practices (ISMP) when labeling a prescription?

text should be vertical

barcodes should be avoided

labels should be white with blue lettering

dosing instructions should use numbers

dosing instructions should use numbers

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72. Which of the following vitamins should a pharmacy technician identify as fat-soluble?

Vitamin B6

Vitamin C

Vitamin B12

Vitamin K

Vitamin K

48
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73. According to the Institute for Safe Medication Practices (ISMP), which of the following abbreviations should a pharmacy technician use? ?

U

pc

SC

cc

pc

49
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74. Which of the following is a retail provision covered under the Combat Methamphetamine Epidemic Act (CMEA) of 2005 for pseudoephedrine purchased without a prescription?

Patients cannot purchase more than 9 g of pseudoephedrine products per day

There is a 30 day purchase limit on pseudoephedrine products

The pharmacy must dispense pseudoephedrine products in childproof containers

Pseudoephedrine products are accessible to all patients on an open shelf

There is a 30 day purchase limit on pseudoephedrine products

50
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75. A pharmacy technician should identify that which of the following statements is true when no refill information is provided on a non-controlled substance prescription?

The prescription can be refilled up to five times in 6 months

The prescription can be refilled one time.

Refills require authorization from the pharmacist

Refills require authorization from the prescriber

Refills require authorization from the prescriber

51
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26. A pharmacy technician is preparing to inject a diluent into a vial for a powder medication. Which of the following needles should the technician use for this process?

Vented

Hypodermic

Filter

Pen

Vented

52
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27. Which of the following actions demonstrates a pharmacy technician's compliance with laws and regulations while filling a prescription?

Refilling a prescription for acetaminophen/oxycodone (Percocet) for a patient who is displaying intense pain

Announcing a patient's atenolol (Tenormin) prescription is ready over the intercom system

Filling a prescription without offering counseling to a new patient who is in a hurry

Informing a new patient of the pharmacy's privacy policies and procedures

Informing a new patient of the pharmacy's privacy policies and procedures

53
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28. According to the Poison Prevention Packaging Act of 1970 (PPPA), which of the following medications can be dispensed from a retail pharmacy in a non-childproof container without a signed written request?

sublingual nitroglycerin

suboxone films

nortriptyline tablets

neomycin eye drops

sublingual nitroglycerin

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29. Which of the following actions should a pharmacy technician take to avoid contamination in the pharmacy setting?

Count pills by hand before bottling

Clean trays with hot water

Transfer ointments into ointment jars using a gloved finger

Disinfect countertops with isopropyl alcohol

Disinfect countertops with isopropyl alcohol

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30. A pharmacy technician should expect which of the following types of medication to be prescribed for a patient who has depression?

SSRI

Proton Pump Inhibitor

NSAID

ACE Inhibitor

SSRI

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31. A pharmacy technician should identify that HIPAA privacy regulations apply to which of the following?

Patient counseling

Brand/generic selection

Prescriber licensing information

Over-the-counter (OTC) medication

Patient counseling

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32. Personnel who are authorized to enter the sterile compounding room should receive training in accordance with which of the following organizations?

United States Pharmacopeia (USP)

Pharmacy Technician Certification Board (PTCB)

The Department of Health

The Joint Commission (TJC)

United States Pharmacopeia (USP)

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33. A pharmacy technician should verify that which of the following information is recorded on a hard copy of a prescription for a Schedule II medication?

The patient's age

The name of the patient's insurance plan

The patient's Social Security number

The patient's address

The patient's address

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34. A pharmacy technician should identify that which of the following statements regarding refills for Schedule II medications is correct?

They can be refilled up to five times in 6 months

They cannot be refilled

They can be refilled if authorized by the prescriber

They can be refilled one time

They cannot be refilled

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35. Which of the following should a pharmacy technician identify as the purpose for rotating an inventory of medications?

To ensure that medications that will expire soon are used first

To prevent theft of medications

To ensure look-alike and sound-alike medications are not stocked together

To prevent medication recalls

To ensure that medications that will expire soon are used first

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36. A pharmacy technician should identify that which of the following prescription instructions corresponds with the prescription below? Naproxen (Anaprox) 550mg 2 tabs po q4-6h prn

Take two tablets every 4 to 6 hours as needed

Take two tablets by mouth every 4 to 6 hours as needed

Take two tablets by mouth every 4 to 6 hours

Take 2 capsules by mouth every 4 to 6 hours as needed

Take two tablets by mouth every 4 to 6 hours as needed

62
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37. A pharmacy technician is preparing to dispense a prescription for amoxicillin oral suspension 500 mg bid for 10 days. How many mL of amoxicillin 250mg/5 mL should the technician dispense?

50 mL

100 mL

150 mL

200 mL

200 mL

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38. According to USP <797>, which of the following personal protective equipment (PPE) should a pharmacy technician apply first when performing aseptic technique?

Face mask

Hair bonnet

Gown

Shoe covers

Shoe Cover

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39. A pharmacy technician receives a prescription for a non-controlled medication that indicates the medication should be refilled "prn". The technician should identify that "prn" indicates which of the following?

The prescription can be refilled indefinitely

The prescription can be refilled for a maximum of 1 year from the date it was written

The prescriber's authorization is needed for each refill

The prescription can be refilled five times

The prescription can be refilled for a maximum of 1 year from the date it was written

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40. Based on the prescription below, a pharmacy technician should dispense which of the following days' supply of the medication? Proventil Syrup ii tsp qid disp 8 oz.

3 days

6 days

12 Days

15 Days

6 Days

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41. Which of the following references should a pharmacy technician use to determine if a medication is a therapeutic equivalent to another medication?

Physicians' Desk Reference (PDR)

Red Book

Orange Book

Unites States Pharmacopeia and the National Formulary (USP-NF)

Orange Book

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42. Which of the following tasks should a pharmacy technician identify as the final step in the filling process of a new prescription?

Asking the pharmacist to perform a verification check

Verifying a patient's insurance information

Inputting prescription information into the computer system

Entering patient health conditions into the computer system

Asking the pharmacist to perform a verification check

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43. A pharmacy technician is assisting a patient who has a new prescription. Which of the following actions should the pharmacy technician take?

Provide counseling to the patient on this medicaiton

Tell the patient the prescriber will provide counseling on this medication

Tell the patient counseling is not required for this medication

Offer counseling with the pharmacist on this medication

Offer counseling with the pharmacist on this medication

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44. A pharmacy technician is assisting a patient who is picking up a a prescription, Which of the following questions should the technician ask the patient to ensure the correct prescription is provided?

"Can you provide your insurance card?"

"What medication are you picking up today?"

"Is your medication a new prescription or a refill?"

"Can you verify your name and date of birth?"

"Can you verify your name and date of birth?"

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45. Which of the following organizations is responsible for reviewing new generic equivalents and therapeutic indications for existing medications?

OSHA

DEA

FDA

CDC

FDA

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46. Which of the following should a pharmacy technician identify as an area that needs to be cleaned monthly in a sterile compounding area?

Laminar airflow workbench

Walls

Floors

Counters

Walls

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47. A pharmacy technician should identify that which of the the following prescription labels corresponds with the prescription below: 1 tsp qid pc prn allergy

Take 1 tablespoon four times daily by mouth as needed for allergy

Take 1 teaspoon daily after meals for allergy

Take 1 tablespoon daily before meals for allergy

Take 1 teaspoon four times daily after meals as needed for allergy

Take 1 teaspoon four times daily after meals as needed for allergy

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48. A pharmacy technician is processing recalled medications. Which of the following should the technician identify as a Class III recall?

Medications that have a reasonable probability of causing severe adverse health effects

Medications that can cause temporary or medically reversible adverse health effects

Medications that are unlikely to cause adverse health effects

Medications that have a reasonable probability of causing death

Medications that are unlikely to cause adverse health effects

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49. A pharmacy technician should identify that which of the following liquid dosage forms are concentrated solutions of sucrose in water?

Spirits

Emulsions

Suspensions

Syrups

Syrups

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50. A pharmacy technician is preparing to fill a prescription for a toddler. Which of the following is the weight-based formula the technician should use to determine the correct pediatric dose?

Young's Rule

Alligation method

Clark's Rule

Fried's Rule

Clark's Rule

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1. Which of the following medications should a pharmacy technicians identify as being included in the Risk Evaluation and Mitigation Strategies (REMS) program?

Clindamycin (Cleocin)

Tretinoin (Retin-A)

Isotretinoin (Accutane)

Doxycylcine (Oracea)

Isotretinoin (Accutane)

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2. When repackaging medications from a stock container to a unit-dose package, which of the information should a pharmacy technician record?

The name of the patient

The date of administration

The name of the presciriber

The lot number of the medication

The lot number of the medication

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3. A pharmacy technician receives a prescription to dispense VI fl oz of promethazine syrup. What size bottle should the technician use to fill this prescription?

90 mL

240 mL

180 mL

120 mL

180 mL

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4. Which of the following information is indicated by the NDC number?

The expiration date

The manufacturer

The lot number

The average wholesale price (AWP)

The manufacturer

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5. A pharmacy technician receives a prescription for hydrocortisone ointment 45 g. Which of the following container sizes should the technician use to dispense the medication?

180 mL

2 oz

1 fl oz

6 drams

2 oz

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6. A pharmacy technician is completing a new patient profile. Which of the following information should the technician record from the patient's insurance card?

Group number

Employer

Customer service number

Patient phone number

Group number

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7. A pharmacy technician should identify that which of the following information is required to be included on the label of a compounded sterile preparation.

The medication's expiration date

The medication's beyond-use date

The pharmacist's signature

The pharmacy technician's signature

The medication's beyond-use date

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8. Which of the following controlled substance schedules represents substances that contain limited quantities of certain narcotics and have a low potential for abuse?

Schedule V

Schedule II

Schedule IV

Schedule III

Schedule V

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9. A pharmacy technician should recognize that how much sodium chloride is found in 1 L bag of 0.9% sodium chloride?

90 mg

9 mg

0.9 mg

9 g

9 g

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10. A provider prescribes an adult patient to receive 80 mEq of potassium over 3 hr. Which of the following will be the flow rate in mL/hr if 8o mEq/500 mL solution was dispensed?

0.16

27

167

240

167

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11. A pharmacy technician should identify that which of the following medication is contraindicated for administration to a patient who is allergic to penicillin?

Doxycycline (Vibramycin)

Amoxicillin/clavulanate (Augmentin)

Tetracycline (Sumycin)

Sulfamethoxazole/trimethoprim (Bactrim)

Amoxicillin/clavulanate (Augmentin)

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12. To reduce medication errors, which of the following formats should be used to present a dosage measured in grams?

00.3 g

0.3 g

.300 g

0.30 g

0.3 g

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13. A pharmacy technician is preparing an amoxicillin (Amoxil) suspension. Which of the following auxiliary labels should the technician apply to the container?

"For the Eye"

"Shake Well Before Use"

"May Cause Drowsiness"

"For the Ear"

"Shake Well Before

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14. When a managed care plan covers 80% of a prescription cost and the patient covers the remaining 20%, this payment arrangement is known as which of the following?

Tiered Copayment

Premium

Coinsurance

Deductible

Coinsurance

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15. A pharmacy technician should identify that which of the following is the generic name for Ambien?

Warfarin

Venlafaxine

Atorvastatin

Zolpidem

Zolpidem

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16. When a medication has been recalled, which of the following actions should a pharmacy technician take?

Destroy the medication

Return the medication to the manufacturer

Return the medication to the FDA

Retain the medication in the back of the pharmacy

Return the medication to the manufacturer

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17. Which of the following describes the primary purpose of the Durham-Humphrey Amendment of 1951?

To require prescription medication to bear the legend "Rx Only"

To require manufacturers to supply proof of a medication's effectiveness

To classify the five levels of controlled substances

To require childproof packaging on all medcations

To require prescription medication to bear the legend "Rx Only"

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18. Which of the following information does the FDA require to be published in a medication's monograph?

Expiration Date

Contraindications

Wholesale price

Manufacturer

Contraindications

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19. Which of the following information should a pharmacy technician be aware of regarding prednisone (Deltasone) and prednisolone (Orapred)?

Tall-man lettering is incorporated on their labels

Both medications need to be shaken before being measured

The NDC numbers are the same for both medications

They have a high potential for abuse

Tall-man lettering is incorporated on their labels

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20. A pharmacy technician should identify that which of the following insurance coverage plans allows a patient to see a specialist without a referral?

HMO

Point-of-Service

Medicare

PPO

PPO

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21. Which of the following actions is outside the scope of practice for a pharmacy technician who works at a community pharmacy that provides immunizations?

Ordering vaccines

Ensuring proper storage of the vaccine vials

Explaining potential adverse effects of an immunization

Billing and collecting payments for immunization procedures

Explaining potential adverse effects of an immunization

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22. A pharmacy technician should identify that which of the following medications is recommended for a patient who has symptoms of acid reflux and upset stomach?

Acetaminophen (Tylenol)

Diphenhydramine (Benadryl)

Omeprazole (Prilosec)

Loperamide (Imodium)

Omeprazole (Prilosec)

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23. A pharmacy technician should identify that which of the following prescription instructions is represented by the SIG code listed here: ii gtts ou tid

Insert three drop in both eyes twice daily

Instill two drops in both eyes three times daily

Insert two drops in both ears three times daily

Instill two drops in both ears three times daily

Instill two drops in both eyes three times daily

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24. A pharmacy technician should identify that which of the following information applies to a prescription for isotretinoin (Accutane)?

Patients can receive a 90 day supply of this medication

Prescribers and patients must be registered with iPledge

Patients much pick up their prescription within 3 days

Female patients should use contraception for 3 months after discontinuation of the medication.

Prescribers and patients must be registered with iPledge

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25. A pharmacy technician is required to include a patient package insert when dispensing which of the following medications to a patient?

Simvastatin (Zocor)

Drospirenone (Yasmin)

Oxycodone (Percocet)

Esomeprazole (Nexium)

Drospirenone (Yasmin)