Kaduceus Mock Exam #1

If a patient has an order to take 1 capsule for days 1-8, then 2 capsules for days 9-18, then 3 capsules thereafter; dispense 1-months' supply. How many total capsules would you dispense?

64 capsules

Minimizing drug errors is crucial. Which of the following ways would be best practice?

Physicians using CPOE (Computerized Physician Order Entry)

You have good reason to believe that a patient is not being compliant with his dosage regimen, you should:

Ask for the patient to speak to the pharmacist to go over his medication

You get a prescription for Altace and upon entering into your pharmacy software, you receive a therapeutic duplication alert. The patients profile includes: Flagyl, Lotensin, folic acid, and Pepcid. Which of these is the cause for the therapeutic duplication?

Lotensin

Which of the following syringes would you dispense with the following prescription: Humulin N (100 units/mL) Sig: 55 units every AM and 53 units every PM

1 mL syringe

You are about to pull a drug from the shelf to fulfill an order and you realize that two drugs look very alike and are unsure which to select. You confirm which drug to select by:

Verifying the NDC number on the bottle

You compounded a diaper rash ointment for a patient exactly one week ago. The patient came in to show that the ointment has crystalized and now feels very gritty. The patient mentions that it was not like this yesterday when she applied it to her baby. What could be occurring and how should you handle this situation?

The drug stability of the ointment might have been compromised and you ask her to speak to the pharmacist

A patient transferred his prescription for Zolpidem. He mentioned that he is out on a business trip. He is returning back home in a week and is asking when he can transfer his prescription back to his local pharmacy. Your response is that he can:

No longer transfer it back to his pharmacy

Which of the following drugs are considered analgesic, antipyretic, and anti-inflammatory?

aspirin

A patient asks where to find Tylenol. You show him where it is and the patient asks if it would be best to take Regular Tylenol or Extra Strength for her backache. What would be best practice in this situation?

You refer him to the pharmacist for any other questions or recommendation

According to ISMP and FDA's recommended list of drugs to use Tall Man Lettering, which two drugs are paired as LASA?

glyburide and glipizide

A patient is drops off a prescription for gemfibrozil and is requesting the brand name product of a medication. What DAW code would you select and what drug would you dispense?

DAW 2; Lopid

Which of the following reference books contain therapeutic equivalence?

Orange book

Who is assigned in assisting and deciding which drugs will appear in a hospital's formulary?

P&T Committee

You receive a prescription for Estradiol Transdermal Patch 0.025mg/day, apply 1 patch sl daily. What error do you notice on this prescription?

The abbreviation sl should not be used in this prescription

A patient has a prescription for Strattera. The prescription indicates that generic substitution is allowed. Which of the following would you dispense:

atomoxetine

A patient is prescribed 2 mg/kg T.I.D PC. How many mg will this patient receive per dose if she weighs 110 lbs?

100 mg

If a patient is prescribed 2 teaspoons Q.I.D x 16 days, how many total fl. oz. would you dispense for this order?

22 fl. oz

On December 1, 2024 you select a brand name bottle of atorvastatin 10mg to fulfill an order. After looking at the expiration date on the bottle, you know that this particular medication can be used up until August 31, 2025. Which of the following drugs are you referring to?

A bottle of Lipitor with an expiration date of 08/25 on its label

Which of the following is classified as a C-III?

AndroGel

Which of the following amphetamines may cause dizziness/drowsiness and should avoid taking alcohol with?

Adderral XR

A prescription for an antibiotic reads: 3 gtts OU q.i.d x7 days What auxiliary label would you need to place on the bottle?

For the eyes

What is the generic name of Bactrim?

sulfamethoxazole/trimethoprim

Which of the following C-IV drugs may cause dizziness and would be advised not to drive while taking this medication?

Xanax

Which of the following is available as an ointment?

Neosporin

Proper handwashing:

Is required any time hands are visibly soiled or contaminated regardless of the pharmacy setting

Writing amlodipine 5.0 mg could cause:

Increase in dispensing error

Which of the following would be considered an authentic DEA number for Dr. Garcia:

AG2576835

What is BUD after compounding amoxicillin 250 mg/5 mL oral suspension?

14 days

Which of the following NDCs would be the same drug and manufacturer as Vicodin Tablets 5mg/300mg NDC# 0074-3041-13

0074-3041-53

Which of the following is not required on a prescription?

Directions written in coded abbreviations

Prescription: Tylenol #3 1-2 Tab QID prn X 7 days How many tablets will you need to fulfill this order?

56 tablets

A patient has two separate prescriptions, for Cozaar and Diovan HC. The technicians alerts the pharmacist because of a potential:

Therapeutic duplication

Which of the following can be used in a hospital setting to verify that the correct product is chosen before dispensing to patients:

Bar coding technology

Which of the following recalls involves a drug or product that can cause a serious health problem or death?

Class I

A complete narcotic inventory count is required:

every 2 years

Which one of these would need to be stored in the refrigerator after opening?

Xalatan

A patient has been prescribed Zyrtec. What is the generic name for this drug?

cetirizine

Which DEA form is needed to be properly completed prior to ordering controlled substances?

DEA Form 222

A customer is complaining of back pain and asks if you can help her find lidocaine patches in the OTC area, you:

Direct the customer to the designated aisle where the lidocaine patches are found

Mr. Adams is picking up his new prescription for risperidone. He chats away about how he really appreciates your pharmacy as he has been coming here for years. Upon check-out:

You ask him to step to the counseling area and advise the pharmacist that a patient has a new prescription

Pharmacist play a key role in the process of DUE and DUR. During this process the pharmacist can assist in reviewing:

Possible drug interactions and therapeutic duplications

A patient is ordered 500 mg b.i.d for 20 days. If the pharmacy only stocks 250 mg tablets, how many capsules should be dispensed for this order?

80 capsules

What medication would be prescribed for an ear infection?

ciprofloxacin/dexamethasone

After preparing an IV Piggy Back (IVPB), all used ampules and needles should be placed in the:

Sharps container

Which of the following would be considered as a therapeutic substitution for Paxil?

fluoxetine

Taking potassium chloride along with a potassium-sparing diuretic would be an example of:

drug-drug interactions

A patient drops off a prescription for azithromycin. She mentions she will be waiting for the prescription. While she is waiting, she complains of upset stomach and asks you where to find Maalox. What should you do?

Alert the pharmacist of a possible drug interaction so he/she can counsel the patient upon pickup of the prescription.

While working at the Children's Regional Hospital, you are receiving a prescription for one dose of Children's Advil 7 mL. How would you prepare this order?

Dispensing in a 10 mL oral syringe

Which of the following compounding environments is suitable to compound a skin rash cream?

Nonsterile

It is not recommended for Cialis to be:

taken with nitrates due to the risk of hypotension

Which of the following medications cannot be refilled beyond a 6-month period:

Tylenol #3

Prescription: Estradiol 10 mcg Insert PV every day for 2 weeks How should this medication be administered?

Vaginally

Which of the following issues may decrease the possibility of a prescription drug error?

Use of Tall Man Lettering and reviewing storage areas of LASA drugs

What is the most important aspect of PPE (Personal Protective Equipment) in regard to non-sterile compounding?

Hand hygiene and wearing gloves is required for all compounding activity

What medication categories are used to suppress cough?

antitussives

Which of the following auxiliary labels would accompany a prescription for Synthroid?

Take on an empty stomach

Your pharmacy is asking for staff feedback on changes that could help decrease medication errors, which of the following would be something to consider sharing?

Adjusting pharmacy lighting and decreasing crowded work areas

Which of the following standard precautions should be performed when touching or handling equipment or surfaces contaminated with blood or body fluids (e.g., countertops, IV poles/pumps, vaginal speculums)?

Handwashing and wearing gloves are required

What could be considered a therapeutic substitution for Bystolic?

carvedilol

Limitations on the sale and purchase of pseudoephedrine was a result of:

2005 - Combat Meth Act

Although errors should be avoided at all costs, mistakes in which of the following medications can have significantly heightened harm to patients if an error is made?

Antiretroviral agents, immunosuppressant agents and opioids

A prescription is written as following: Take 1-2 tablets q.i.d and 1 tablet at bedtime. If you are to dispense a month's supply, how many tablets would you dispense with this order?

270 tablets

A patient picking up a prescription for his high blood pressure was asking where to find decongestants. Why is this a concern?

Decongestants narrow blood vessels to alleviate nasal stuffiness, this in turn can cause high blood pressure

Vibramycin is categorized by the FDA as a Class/Category D drug in pregnancy. What does this mean?

This medication should not be used during pregnancy

The FDA is responsible for alerting the public of recalls pertaining to all of the following except:

All of the above are regulated by the FDA

You receive a prescription for Cleocin Pediatric 2 tsp tid for 7 days. Cleocin Pediatric is only available in 75 mg per 5 mL oral solution 100 mL bottles. How much oral solution should you prepare to dispense to fulfill this order?

210 mL

How much would you dispense for the following prescription: Augmentin suspension 200mg/5mL; 1 tbls q12h x 10 days

300 mL

A patient receives an order for prednisone 10 mg tablets with the following instructions: Take 60 mg X 3 days, then 50 mg X 3 days, then 40 mg for 2 days, then 30 mg for 2 days, then 20 mg for 2 days and 10 mg for 2 days. How many tablets would you dispense to fulfill this order?

53 tablets

Medications have to be properly stored in the pharmacy. Which of the following is not considered when selecting proper storage?

Color of medication label

Hazardous drugs (such as chemotherapeutic drugs and other antineoplastic) require:

Special ordering and return protocol

Following MSDS guidelines when handling

Special inventory and storage guidelines

The purchase of pseudoephedrine is limited to:

3.6 grams per calendar day

7.5 grams per 30 days by mail order

9 grams per 30 days from a retailer

You receive a prescription for: Megace ES 625 mg/5 mL. Take 3 mL b.i.d. How many milligrams are contained in 1 dose?

375 mg

What is wrong with the following prescription? Restasis 60 vials Instill 1-gtt AU BID

Restasis is an eye drop and the prescription reads to be used in ears

Warfarin, levothyroxine, and digoxin are some examples of drugs that have a _____, where any small difference in dose or blood concentration may lead to serious effects. This is an example of drugs with a _____.

NTI - Narrow Therapeutic Index

Which of the following is an example of identifying the right patient in a retail pharmacy setting?

Asking for a patient's date of birth

Look-Alike Sound-Alike drugs would be best kept:

Separated to avoid confusion and avoid incorrectly selecting the wrong drug that can ultimately result in prescription error

Patients with ulcers should avoid taking NSAIDS/aspirin because these drugs may cause exacerbation of ulcer, this an example of:

Drug-Disease Interaction

Two facts regarding the drug Nitrostat are:

Used sublingually and must be dispensed in its original container

A patient alerts the pharmacy of an unexpected serious adverse effect to a medication. What is the most important thing the pharmacist should do?

Report the adverse reaction to MedWatch

What should a pharmacy technician do if they feel a customer is not taking their medication correctly?

Advise your pharmacist that a customer is possibly not taking his medication as indicated and him/her counsel the customer.

How would you tell a new pharmacy technician what to look out for with regards to look-alike drugs?

Double check the NDC number

Which of the following is an antipyretic?

Tylenol

You need a total of 36 grams of 8% hydrocortisone cream to fulfill an order. In stock you have 2% and 10% hydrocortisone cream. How much of each would you need to fulfill this order?

27 grams of 10%; 9 grams of 2%

A patient has a new prescription for four medications. You receive an alert that the patient is allergic to Levaquin. Which of these medications should you advise your pharmacist about?

ciprofloxacin

You have to compound a Progesterone Cream. As you pull each ingredient needed to compound your prescription, you verify its individual expiration date. Progesterone, micronized expires May 2030, Pentylene glycol expires December 2030, and VersaBase Cream expires September 2030. If you are compounding it January 1, 2030, what would be the expiration date of this prescription?

May 31, 2030

You are compounding an oral solution. Upon mixing the ingredients called for in the prescription, you notice that the solution starts bubbling and fizzing. What could possibly be occurring and what should you do?

Bubbling and fizzing is not expected when compounding an oral solution; you ask your pharmacist how to proceed

Prescription: Methylphenidate 10 mg/5 mL Take 2 tsp t.i.d ac If the order calls to dispense 600 mL, how many days will this supply?

20 days

A patient has a prescription for cephalexin and mentions that he is allergic to penicillin, your response is to:

Add the allergy to the patient profile and alert the pharmacist that the patient may have a cross-sensitivity to cephalexin

Which of the following proton pump inhibitors are accurately paired as brand-generic?

lansoprazole - Prevacid