PTCE

The medication that has an expiration date 12/14 would expire on

the last day of December 2014 at midnight

in the NDC 4253-4221-11, what is represented by the second set of numbers

NDC number is 10 digits long and comprised of three sets of numbers

- the 1st set: 4-5 digits and represents the manufacturer

- The 2nd set: 3-4 = the product name, strength and dosage form.

- The 3rd set: 2 digits = package size

A pharmacy technician's scope of practice includes ....

answering patients's questions regarding their medications.

- Only pharmacists can counsel patients regarding their medications

Which act distingushed between legend and nonlegend drugs

the Durham Humphrey Amendment

- distinguish between prescription and over the counter drugs and prohibits the sale of legend drugs without a prescription

The Kefauver- Harris Amendment

requires drugs to be proven pure, safe and effective

The Orphan Drug Act

encourages findings drug treatment for rare diseases

The Harrison Narcotin Act

limits the transport, manufacture and safe of opium and any of its derivatives. it requires a written prescription to purchase any of the aforementioned drugs.

What is the maximum number of refills permitted for a schedule III-V medication

Five refills within 6 months, whichever occurs first. therefor a new prescription is required

A pharmacy technician receives a prescription that reads 2 gtt AU BID. What will the label placed on the patient's medication read?

Two drops in both ears two times daily

- 2gtt : 2 drops

- AU : both ears

- BID: Twice a day

What is CCXLIX equivalent to

249

Reducing a substance to fine particles using a mortar and pestle is know as

Triturating - breaking down of compounds into their finer particles

Automated dispensing machines

Accu-DOse, Omicell, Pyxis and ScriptPro

Digital pill counting machines

Baker Cell and Kirby Lester

How may days will the following prescription last ?

- Famotidine: 20mg # 120

- SIg: Famitidine 40mg po BID

- 30 days = 120 total # of tablets/ 4 # of tablets taken per day

- Famotidine 40 mp BID = 4 tablets/ day

How old must a person be to purchase an exempt narcotic or Schedule?

18 years old

- The quantity of purchase, the date of purchase ad the residential address of the purchaser ( not PO Box) must be record

T/F : a laminar flow hood is cleaned by using bleach and wate

False

- Need to be clean with water followed by 70% isopropyl alcohol

T/F : A horizontal laminar flow hood can be used for compounding chemotherapy

Hazardous products such as chemotherapy can only be compounded under a vertical flow hood or a barrier isolator with negative pressure

T/F: compound sterile products are also known as extemporaneous compounding.

False

- Extemporanous compounding are non - commercially available and non sterile products that are prepared for specific patients in response to a physician's percription.

T/F: A barrier isolator or a horizontal laminar flow hood can be used to compound IV antibiotics

True

To measure liquids in a graduated cylinder

one must read at eye level the lower portion of the meniscus.

- the meniscus is the concave shape that forms at the top of the graduated cylinder because od liquid's affinity to glass

- If the liquid that form an upside- down meniscus, one must read at eye level the highest point of the meniscus

Which of the following regulations gives enforceable guidelines for the preparation of sterile products to prevent contamination?

United States Pharmacopoeia 797

- gives enforceable guidelines for the preparation of sterile products or compounded sterile products in an effort to prevent contamination.

The Pure Food and Drug Act of 1906

Prohibit the manufacturer, sale or trasportaion of mis-brandished and adulterated foods and drugs

The Poison Prevention Packaging Act of 1970

requires all medications to be packaged in childproof containers to prevent accidental child poisoning.

- However, patients who sign a waiver are exempted from this regulation.

- Certain emergency medications such as nitroglycerin sub-lingual are dispensed in non-childproof packaging,

The FDA Medical Devices Act of 1990

requires reporting serious injuries and deaths caused by medical equipment to the FDA and the manufacturer.

Which of the following information is required on the medication label of a prepackaged or repackaged unit dose medication in an impatient setting?

Medication name, dosage form and strength , repackaging lot number, manufacture's name and expiration date.

If the strength of a drug is omitted from the prescription, your duty as a pharmacy technician would be to

Tell the pharmacist

How often can a patient refill a Schedule II prescription?

No refills even if a written prescription indicated an infinite amount of refills

What is required during preparation of chemotherapy ?

- Double gloving is the most important of donning personal protective equipment.

- Compounded under a vertical flow hood.

SWFI

Sterile water for irrigation

LR

Lactated Ringer's solution

Which of the following is the net cost of medications paid by a pharmacy after applying all adjustment and discounts ?

Actual Acquisition cost

Which method would be the most accurate for determining the appropriate pediatric dose ?

Drug- specific information from the manufacturer

- PT should always refer to information from the manufacturer or packages insert for the most accurate drug-specific information

Work area is designated by how many inches from the from edge and the sides of the laminar airflow hood?

6 inches from the edge and 6 inches from the sides to guard against contamination

Fat Soluable Vitamin

Vitamin D, E, A, K

What is the most important thing to remember when preparing products using an ampoule?

To use a filter needle to draw up the solution and to change the needle when injecting the solution into the JV bag or vice versa.

- It is also crucial to change the needle before transferring the solution into an IV bag because the needle used first could be contaminated with glass particle.

- Using a 5 micron filter to eliminate all glass particles

How would 8:30 p.m. be expressed in military time?

2030

- 1:00 am = 0100

- After 12 noon = 1200 add 100 to each hr.

- 1:00pm = 1300

which of the following procedures must be followed to prevent coring?

Coring = a piece of the vial's rubber stopper broke off and entered the drug.

- Inset the needle into the vial with the lumen side up

- Insert the needle at a 45 - 60 angle

The larger the needle gauge

the smaller the diameter of the needle

- SO 28-gauge needle is smaller than a 16- gauge needle

What are the base components of a hyperalimentation admixture?

Amino acid and dextrose or amino acids, dextrose and lipids combinations

- Aminoc acide provide protein while dextrose provide energy

A vertical laminar flow hood is reserved for the preparation of which of the following?

Hazardous agents such as chemotherapy

What is the generic name for Concerta?

Methylphenidate

Generic name for Amidate

Etomidate

Generic name for Diovan

Valsartan

Generic name for Lopressor

Metoprolol

Which is an anticonvulsant medication?

Carbamazepine

Which is an antineoplastic ?

Etoposide

Which is an sulfa antibiotic ?

Sulfadiazine

Which is an antidiabetic?

Glipizide

Which is an anti-neoplastic medication?

Doxorubicin

Which is an aminoglycoside?

Amikacine

Which is a tricyclic antidepressant?

Doxepin

Which is a macrolide antibiotic?

Erythromycin

How much codeine is found in Tylenol #3?

30 mg of codeine and 300 mg of acetaminophen

Tylenol #1

Contains 8 mg of codeine and 325 mg of acetaminophen

Tylenol # 2

Contains 15 mg of codeine and 300 mg of acetaminophen

Tylenol # 4

Contains 60 mg of codeine and 300 mg of acetaminophen

What is the generic name for Ternomin?

Atenol

What is the generic name for Coreg?

Carvedilol

What is the generic name for ProAir, Ventoline and Proventil?

Albutero;

What is the generic name for Lopressor?

Metoprolol

An FDA recall of a product that is not likely to result in any adverse health consequences is knnow as

Recall II

Why is a problem when one get tobramycin and gentamicin at the same time?

Because there is a drug -drug interaction and both are aminoglycosides which may lead to serious adverse effects including liver toxicity

brand name drugs are also known as ...

Trade, proprietary, and innovator

At what temperature are Fahrenheit and Celcius equal?

At -40 degree

F= ( C *1.8)+32

C= (F -32) / 1.8

Water boils at

100 C = 212 F

Freezing point is

0 C = 32 F

Body temperature

37 C =98.6 F

Which DEA form 222 copies is sent by the supplier to the local DEA?

DEA form 222 have 3 copies

- Copy 1 ( brown) is forwarded to the supplier

- Copy 2 ( green) is forwarded to the supplier ans then sent to the DEA

- Copy 3 ( blue) is retained by the purchaser for a minimum of 2 years

How many different medication items can be ordered per each DEA form 222?

DEA form 222 has 10 lines so only 10 item can be order per form

- If a mistake is made while writing the form must be voided and kept on file

How long is a DEA form 222 valid after its execution by the purchaser?

60 days

Which of the following DEA forms allows the manufacturing and distribution of controlled substances?

DEA form 225

Which of the following is the most used reference book in hospital pharmacy?

Drug Facts and Comparisions

What is the Orphan Drug Act of 1983 ?

a law that gives incentives to manufacturers to develop drugs for orphaned or rare diseases that affect a small portion of the population

What is Schedule II drug?

- highly abused drugs that have medicial purposes. Include

- Oxycodone

- Acetaminophen

- Morphine

- Hydrocodone

- Cocainne

- Percocet

- Fentanyl

- mesperidine

- Hydromorphone

- Methylphenidate

- Adderall and secobarbital

The Omnibus Reconciliation Act ( OBRA) 1990

requires pharmacists to offer counseling on all new drup prescriptions

The Food, Drug and Cosmetic Act of 1938

indicated that mis-branding and adulteration of drug is illegal. It also required manufacturers to provide package inserts and to follow FDA guidelines to present evidence of safety for new drugs before marketing. This law also gives the FDA authority to issue food standards and inspect factories/

Schedule I drugs

such as LSD, PSP, Heroin and peyote

- No medical use and highly abused.

Schedule III drugs

less abused than schedule II drugs

- Include : Tylenol No.3. Vicodin, Marinol, testosterone and cough syrups containing hydrocodone.

Schedule IV drugs

comprised of mainly all the benzodiazepines

- Include phentermine, pextazocine, phenobarbital and diethylpropion

Schedule V drugs

least abused of all the schedule drugs

- Include antitussives with codeine and antidiarrheals with opioids.

Which of the following organizations enforces the comprehensive drug abuse prevention and control act of 1970 ?

DEA - Drug Enforcement Agency

FDA- Food and Drug Administration

which regulates prescription and over the counter drugs

FBI - Federal Bureau of Investigation

which is a governmental agency that investigates crimes

SL

the abbreviation for sub-lingual route

SR

the abbreviation for sustained release which refers to a drug formulation

PR

the abbreviation for rectum or rectal route

SC

the abbreviation for subcutaneous route

A patient who is on captopril for her high blood pressure wants to purchase an OTC cough syrup.

The patient may be experiencing a ACE cough as a common side effects of ACE inhibitors and the pharmacist should be alerted

Digibind is an antidote for which medications?

Digoxin toxicity

Vitamin K is an antidote for which medications?

Coumadin

The remainder of a partial filling for a schedule II drug must be available for the patient within how many hours?

72 hours . However, for long care facilities and terminally ill patients can be partially filled up to 60 days

T/F : PT are not authorized to receive telephone orders.

True.

- Authorized healthcare professionals such as registered nurses , pharmacists and respiratory therapists may receive orders through telephone.

The Combat Methamphetamine Epidemic Act of 2005 regulate..

Ephedrine

Pseudoephedrine

Phenylpropanolamine

- stop the illegal production of crystal meth

- A log book must be kept

Once an investigational study is complete, what happens to the remaining drugs?

they are returned to the sponsor with the record logs

Which of the healthcare professionals cannot prescribe medications

psychologist

Side effect of anticholinergic agents

Dry mouth, drownsiness, nausea, vomitting and restlessness or moodiness, lack of urination, blurred vision and confusion

Side effect of cholinergic agents

Hypo-tension, low heart rate, diarrhea, sweating or flushing, miosis and breathing difficulty

Effective antidote to episodes of hypoglycemia

Glucagon

Side effect of alpha-adrenergic agonist agents

Vasoconstriction, elevated blood pressure, rebound congestiona dn tremore

Antiseptic

can inhibit the growth of microorganisms and is usually a topical agent