NHA pharmacy exam

Coinsurance

Patients pay specified percentage of their Rx expenses

Deductible

Patient pays for all of their Rx expenses until a specified dollar amount has been paid for out-of-pocket

Copayment

Patients pay a specified dollar amount for every Rx received

DAW code 0

No product selection indicated

DAW code 1

Substitution not allowed by prescriber

DAW code 2

Substitution allowed - patient requested product

DAW code 3

Substitution allowed - pharmacist selected product

DAW code 4

Substitution allowed - generic drug not in stock

DAW code 5

Substitution allowed - brand drug dispensed as generic

DAW code 6

Override

DAW code 7

Substitution not allowed - brand drug mandated by law

DAW code 8

Substitution allowed - generic drug not available in marketplace

DAW code 9

Other

a (with line over it)

Before

ac

before meals

am

in the morning

PRN

as needed

sig

label/directions

qh

every hour

NKA

no known allergies

q

every

c (with line over it)

with

p (with line over it)

after

qod

every other day (error prone)

ss (with line over it)

one half

s

without

qd

every day

AD

right ear

AU

each ear

AS

left ear

OS

left eye

OU

both eyes

Medicare Part A

The part of the Medicare program that pays for hospitalization, care in a skilled nursing facility, home health care, and hospice care. (INPATIENT/HOSPITAL SETTING)

Medicare Part B

The part of the Medicare program that pays for physician services, outpatient hospital services, durable medical equipment, and other services and supplies. (OUTPATIENT)

Medicare Part C

Managed care health plans offered to medicare beneficiaries under the medicare advantage program, not often used on test/quiz

Medicare Part D

Prescription drug coverage

Durham-Humphrey Amendment

the 1951 legislative act that defined prescription drugs as those drugs that could only be given to patients under the care of a physician, (RX ONLY!)

OBRA-90 (Omnibus Budget Reconciliation Act of 1990)

Required counseling and review for patients receiving medication

Kefauver-Harris Amendment

This requires drug manufacturers to provide proof of safety and efficacy.

Comprehensive Drug Abuse Prevention and Control Act of 1970

Created a stair step schedule

DEA 222

Used for purchasing and returning of outdated CII drugs

DEA 41

Used to document the destruction of controlled substances

Sudafed

3.6 g/day, 9 g/month

Cleaning a laminar flow hood

BACK TO FRONT (horizontally)

ISO 3

Not used in pharmacy

ISO 5

Hospital cleanroom sterile compounding area

ISO 7

Clean room

ISO 8

Anteroom

What age is shingles vaccine recommended?

60+

ACE inhibitors end in

pril (captopril, lisinopril, etc.)

Used to relieve a cough

Antitussive

SSRI

selective serotonin reuptake inhibitor

Generic Name:
Alendronate

Brand Name:
Fosamax & Binosto (osteoporosis)

Generic Name:
Zolpidem

Brand Name:
Ambien (insomnia)

Generic Name:
Montelukast

Brand Name:
Singulair (asthma)

Generic Name:
Pravastatin

Brand Name:
Pravachol (hyperlipidemia)

Vitamin B12

Cyanocobalamin

Which vitamin is fat soluble?

Vitamin A, D, E, K

NDC Code- First segment

Labeler

NDC Code- Second Segment

Product code (strength, dosage form)

NDC Code-Third Segment

Package size

How often should floor stock be inspected

Daily

Ibuprofen increases the risk of

Gastrointestinal bleeding

Bioavailability

Used to prove generic is equivalent to brand name

Clarks Rule

Most common law used in the calculation of drug dosage for children; based on weight of the child

Youngs Rule

Pediatric dosage law applied to children over the age of 1 year, based on their age in years

Fried's Rule

A method of determining a pediatric drug dose for a child younger than 1 year of age, based on the child's age and the usual adult dose (assumes that an adult dose would be appropriate for a 12.5-year-old child)

Pulverization

The process of reducing particle size, especially by using a solvent

Geometric dilution

a technique for mixing two powders of unequal quantity

Titration

A solution of known concentration is used to determine the concentration of another solution.

APAP

Acetaminophen (Tylenol)

When filling a Rx for contraceptives, what must be present on PHI

Email

Generic Name:
Amitriptyline

Brand name:
Elavil (Anti-depressant)

A pharmacy technician is preparing an in date return to the warehouse. Which of the following should the technician identify as a medication that is required to be sent in a refrigerated tote

Latanoprost (Xalatan)

A pharmacy tech should identify that which of the following volumes is equivalent to 45 mL

3 tbsp

Which health care professionals can prescribe a medication for a child's toothache

DDS (Doctor of Dental Surgery)

What statement about storage conditions should a pharmacy tech make to a patient who is taking nitroglycerin (Nitrostat) sublingual tablets

Nitroglycerin should be stored in the original airtight container

Which medication should a pharmacy tech stock in an automated machine

Metformin (Glucophage)

Which of the following terms should a pharmacy tech recognize as the practice of identifying a potential service or group of services that can optimize outcomes for a patient

Medication Therapy Management

Which resource is used to determine the therapeutic equivalence of a brand and generic medication

Orange Book

What information is used to determine the beyond use date (BUD) of a compounded sterile product

Stability of the medication

What medication is hazardous and requires special handling

Doxorubicin (Adriamycin)

What information is required on labels for compounded sterile products

BUD (Beyond Use Date)

A pharm tech is entering a prescription that states dispense as written which of the following DAW codes should the technician enter into the computer system

DAW 1

Which auxiliary label should a pharm tech place on a prescription for amoxicillin suspension (amoxil)

''Shake well before use"

A black box label indicates

to indicate that the medication carries a risk for life threatening adverse effects

A pharmacy technician has received an emergency prescription by phone for a schedule II medication. according to the federal law, the prescriber must issue a written, signed prescription within how many days?

7 days

A pharm tech should identify that which of the following is a basic element of a prescription

Prescribers address

A pharmacy technician is compounding and doesn't know how much diluent to use. Where can the technician kind this information

Product package insert

What is the max daily dose recommended for acetaminophen (Tylenol)

4000mg

DEA requires reporting the exact quantities for which of the following schedule of controlled substances

Schedule II

What is the primary goal of the Risk Evaluation and Mitigation Strategy REMS program

To inform patients of the risks associated with a medication

A technician in a hospital setting receives a bottle of a partially used med that a patients prescriber has discontinued. what actions should the tech take

Set aside the med in a secure location to await disposal

What should a tech recognize as an adverse effect of taking methylphenidate (Ritalin)

Weight loss

What is a security requirement for no controlled Medicaid prescriptions set forth by the centers for Medicare and Medicaid services (CMS)

The prescription is required to be written on a tamper resistant pad

Celecoxib (Celebrex) is included in which med class

Cyclooxygenase 2 inhibitor (COX-2 inhibitor)

A pharmacy technician should mark medications that are set to expire how many months before the listed expiration date

6 months

A pharm tech is preparing unit dose packages which of the following should the tech identify as the max length of time that a med is good for after it has been repackaged

12 months

Which of the following items should a pharmacy technician include with a prescription to inform a patient about how to safely use a med

Medication guide

According to HIPAA privacy rules a pharm tech should identify that which of the following is a requirement regarding patients acknowledgement signature

They must be maintained separately from the patients consultation log