Ptcb Practice Test

PTCB PRACTICE TEST

1. Which of the following is the most common cleaning agent used within a pharmacy and on a laminar flow hood?

1. Isopropyl alcohol 70%
2. Bleach
3. Soft scrub
4. Dish soap

1. Which of the following describes a formulary?

1. A limited list of drugs found in the pharmacy setting
2. A list of different formulations of drugs
3. Drugs that are extended or sustained – release
4. A compounding principle involving forms of gelatin capsules

1. Which of the following statements is false when talking about a TPN?

1. It’s also known as hyperalimentation
2. It’s intended for individuals who cannot take anything by mouth
3. It’s an IV admixture with multiple ingredients, including glucose and protein
4. It’s administered by mouth, so aseptic technique is not a concern

1. Which of the following terms is used to define a medication that kills or stops the growth of bacteria in the body?

1. ACE inhibitor
2. Anticonvulsant
3. Antibiotic
4. Antifungal

1. If an order was written for five grams of a medication to be dispensed, how should this be written on the prescription?

1. 5.0 grams
2. 5 grams
3. 5 gr
4. 0.5 grams

1. The NDC number consists of three sets of digits. What does the first set indicate?

1. The manufacturer
2. The product itself
3. The classification of the drug
4. The package size

1. A unit dose of medication is which of the following?

1. A medication that has numbers imprinted on it
2. An individual prepackaged medication
3. Medication used in specific nursing units
4. A drug that is neither a tablet nor a capsule

1. Of the following drugs, which one is classified as a COX -2 inhibitor?

1. Nifedipine
2. Atenolol
3. Celecoxib
4. Metformin

1. Which of the following should be included on the medication order as a patient identifier?

1. Birthdate of the patient
2. Medical records number
3. Hospital room number or location
4. All of the above

1. What does the abbreviation DUR mean, and which act created this term?

1. Drug utilization review; Poison Prevention Packaging Act (PPA)
2. Drug utilization review; FD&C Act
3. Drug utilization review; OBRA
4. Drug utilization review; Orphan Drug Act

1. The selling price of a drug is $43.29 with a 33% markup and a $7.50 dispensing fee. What is the final cost of this drug?

1. $48.50
2. $54.87
3. $65.08
4. $71.24

1. Of the following needles, which one has the smallest bore or diameter?

1. 1 ml 27 G ½ inch
2. 3 ml 23 G 1 inch
3. 5 ml 21 G 1 inch
4. 10 ml 30 G ¾ inch

1. Which of the following routes of administration would bypass the digestive system?

1. Oral
2. Nasal
3. NG
4. IM

1. Which of the following is a liquid dosage form where the medication is completely dissolved in the solvent?

1. Suspension
2. Solution
3. Emulsion
4. Syrup

1. Which of the following is the proper expiration date that should be used when typing a prescription?

1. One year from the date filled
2. Two years from the date filled
3. 30 days from the date filled
4. The date indicated on the stock bottle

1. Of the following DEA numbers, which one is correct for Dr. Norma Grimaud?

1. AN 4621858
2. AG 4621853
3. BN 4621852
4. BG 4621858

1. A leaflet the FDA requires to be dispensed with every prescription, which includes specific information about the drug being dispensed, is known as a:

1. Patient package insert
2. Lot number
3. Medication order
4. Prior authorization

1. Of the following drugs, which one would be considered a schedule III drug according to the Controlled Substance Act?

1. Percocet
2. Anabolic steroids
3. Ambien
4. Robitussin with codeine

1. For how many milliliters per minute would one set the administration pump for the following IV admixture?

D5 ½ NS 1,000 ml to be infused over eight hours

1. Approximately 1ml/min
2. Approximately 2ml/min
3. Approximately 3ml/min
4. Approximately 4ml/min

1. Of the following drugs, which one would be used in the treatment of hypertension?

1. Singulair
2. Depakote
3. Tenormin
4. Cymbalta

1. The government plan covering military patients is known as:

1. Medicare
2. Medicaid
3. TRICARE
4. PPO

1. Which of the following is the proper way to clean a laminar flow hood?

1. Back to front of the hood away from the HEPA filter, using side-to-side motions
2. Front to back of the hood toward the HEPA filter, using side-to-side motions
3. It does not matter as long as you use the correct cleaning agent
4. Up and down, side-to-side, away from the HEPA filter

1. In most hospitals, cart exchange of patient cassettes occurs every:

1. 6 hours
2. 12 hours
3. 18 hours
4. 24 hours

1. How many milliliters are needed to give an individual dose of 400 mg of the following drug?

FeSO4 220mg/5ml 473 ml

1. 2.2 ml
2. 4.7 ml
3. 9.1 ml
4. 12.4 ml

1. A patient has a question about his or her medication’s potential side effects. What should the pharmacy technician do?

1. Inform the patient of potential side effects
2. Give the patient a drug manufacturer’s insert, which will have side effects in it
3. Inform the patient not worry
4. Have the patient see the pharmacist for a consultation

1. The use of aseptic technique involves which of the following?

1. Wearing a new pair of shoes
2. Cleaning the equipment before and after compounding
3. Preparing a sterile product without contaminating it
4. Keeping customers 50 feet from the compounding area

1. How much of a 1:1,000 stock solution is needed to make 360 ml of a 1:2,400 solution?

1. 10 ml
2. 100 ml
3. 150 ml
4. 240 ml

1. How many milliliters of NPH insulin U-100 will you need to add to the following IV?

D5W 1,000 ml

Add: NPH U-100 35 units

1. 3.5 ml
2. 35 ml
3. 0.35 ml
4. 350 ml

1. How many grams of NaCl are there in the following IV?

NS 500 ml

1. 0.45 g
2. 4.5 g
3. 0.9 g
4. 9 g

1. When a patient approaches the pharmacy to ask what the generic for Claritin is, you tell him:

1. Only a pharmacist can answer his question, and you will get one from him shortly
2. The generic for Claritin is loratadine
3. The generic for Claritin is cetirizine
4. The generic for Claritin is diphenhydramine

1. In which drug classification would you find enalapril?

1. Beta-blocker
2. Calcium channel blocker
3. ACE inhibitor
4. 5A phosphodiesterase inhibitor

1. Which laminar flow hood should be used when mixing chemo drugs?

1. Horizontal laminar flow hood
2. Parallel laminar flow hood
3. Vertical laminar flow hood
4. Perpendicular laminar flow hood

1. What packaging method does an institutional setting most commonly use?

1. Bulk supply
2. Unit dose
3. Monthly supply
4. Individual dose

1. Of the following references, which one has to do with therapeutic equivalencies?

1. Facts and Comparisons
2. OBRA Handbook
3. The Orange Book
4. Redbook

1. Which dosage form would mask the taste of a drug?

1. Chewable tablet
2. Buccal tablet
3. Troche
4. Gelatin capsule

1. A patient requests assistance finding an OTC medication for his allergies. How can a pharmacy technician assist him?

1. By suggesting the medication that he or she thinks works best
2. By showing the patient where the cough and cold aisle is
3. By having a pharmacist assist him
4. None of the above

1. Which of the following was established to set forth sterile compounding standards within pharmacies?

1. USP – 797
2. UPS
3. FDA
4. DEA

1. The dose of drug A is 5mg/kg body weight. What would the individual dose be for a man who weighs 234 lb?

1. 532 mg
2. 724 mg
3. 850 mg
4. 1,170 mg

1. How many prednisone 5 mg tablets would you dispense for the following directions?

Sig: 40 mg po bid x 2d, 20 mg po qd x 2d, 10 mg po qd x 2d, 5 mg po qd x 2d, then dc.

1. 24 tablets
2. 32 tablets
3. 46 tablets
4. 60 tablets

1. A pharmacy technician is verifying the correct drug was selected using the NDC number. She notices the last 2 digits of the NDC number do not match. What is wrong with the product she selected?

1. Incorrect manufacturer
2. Incorrect drug and strength
3. Incorrect package size
4. None of the above

1. What is the last PPE that should be donned before entering a clean room?

1. Shoe covers
2. Gloves
3. Gown
4. Hair cover

1. How much hydrocortisone powder would be found in 4 oz of a 2.5% cream?

1. 3,000 mg
2. 4,000 mg
3. 5,000 mg
4. 6,000 mg

1. Which drops would you use for the following prescription?

Cortisporin drops 10 ml

Sig: ii gtts au bid x 10d

1. Cortisporin topical drops
2. Cortisporin ophthalmic drops
3. Cortisporin otic drops
4. Cortisporin nasal drops

1. The process of grinding tablets or other substances into a fine powder is known as:

1. Levigation
2. Trituration
3. Spatulation
4. Reconstitution

1. D5NS stands for which of the following?

1. Dextrose 5% in sterile water
2. Dextrose 5% in 0.22% NaCl
3. Dextrose 5% in 0.45% NaCl
4. Dextrose 5% in 0.9% NaCl

1. You need to measure 48 ml of liquid. What size graduated cylinder would you use?

1. 1 oz
2. 2 oz
3. 3 oz
4. 4 oz

1. The enzyme HMG-CoA reductase is involved in synthesizing the cholesterol from fat. Which of the following drugs is considered to be an HMG-CoA reductase inhibitor?

1. Cholestyramine
2. Clofibrate
3. Pravastatin
4. Probucol

1. In the community pharmacy setting, there must be a refrigerator for storing medications that require a storage temperature between:

1. 0-4 degrees Celsius
2. 1-6 degrees Celsius
3. 2-8 degrees Celsius
4. 4-10 degrees Celsius

1. The government insurance company for patients with low incomes is known as:

1. Medicare
2. Medicaid
3. TRICARE
4. HMO

1. One requirement of recertification for either of the national certifying organizations is that the pharmacy technician must participate in continuing education every two years for which of the following lengths of time?

1. 10 contact hours
2. 20 contact hours
3. 30 contact hours
4. 40 contact hours

1. A drug class recall informing the likeliness of causing serious adverse reactions or death would be which of the following?

1. Class I
2. Class II
3. Class III
4. Class IV

1. Which of the following is a reference book that contains drug manufacturer drug inserts?

1. Facts and Comparisons
2. OBRA Handbook
3. PDR
4. The Orange Book

1. The fee a patient pays when picking up a prescription is known as the:

1. Co-payment
2. Deductible
3. Premium
4. Third party

1. If a patient is on the drug Glucophage, what is this patient most likely being treated for?

1. Hypertension
2. Diabetes
3. Depression
4. Gingival hyperplasia

1. How much D20W 1,000 ml and D5W 1,000 ml is needed to make D7.5W 500 ml?

1. 83.3 ml D20W and 416.7 ml D5W
2. 416.7 ml D20W and 83.3 ml D5W
3. 102 ml D20W and 398 ml D5W
4. 398 ml D20W and 102 ml D5W

1. For the following IV, what would the infusion rate be in gtts/min?

D51/2NS 1,000 ml over 16 hours

Drop factor: 13gtts/ml

1. 12 gtts/min
2. 14 gtts/min
3. 16 gtts/min
4. 18 gtts/min

1. How much diluent do you need to add to a 4 g vial to get a concentration of 500 mg/ml? (Note: Disregard the space the powder occupies.)

1. 6 ml
2. 8 ml
3. 10 ml
4. 12 ml

1. The cost of two ounces of triamcinolone acetonide 0.125% is $14.75. What would the cost be for 15 g?

1. $1.20
2. $2.69
3. $3.69
4. $4.19

1. A health maintenance organization (HMO) requires patients to specify a:

1. Pharmacy
2. Primary care physician
3. Insurance company
4. Formulary

1. Which auxiliary label would you use for the following sig?

i-ii gtts ad ud prn

1. Take with meals
2. For the eye
3. Avoid sunlight
4. For the ear

1. Which of the following classes of drugs would require a medication guide to be dispensed with the prescription?

1. NSAID
2. Antidepressants
3. Antibacterials
4. Both A and B

1. Which of the following medications is used in patients with thyroid hormone deficiency?

1. Singulair
2. Synthroid
3. Plavix
4. Premarin

1. Which of the following medications is used for insomnia?

1. Xanax
2. Metformin
3. Ambien
4. Atenolol

1. A coordination of benefits ensures that:

1. Claims are not paid in duplicate or overpaid.
2. The primary insurer is billed first.
3. The secondary insurer is not billed more than the remaining balance after the primary third party is billed.
4. All of the above.

1. Which of the following medications is used for depression?

1. Prozac
2. Flonase
3. Altace
4. Vicodin

1. A third party administrator of pharmacy benefits to several companies is known as a:

1. PBM
2. HMO
3. PPO
4. FDA

1. Which of the following medications is used to treat GERD?

1. Nifedipine
2. Trazodone
3. Esomeprazole
4. Enalapril

1. A solution containing 150 mg of drug in 1,000 ml solution would be expressed as which percent?

1. 0.015%
2. 0.15%
3. 1.5%
4. 15%

1. Using the formula below, what would the temperature in Celsius be if the temperature is 78 degrees Fahrenheit?

C = F – 32 divided by 1.8

1. 12.2 degrees
2. 16.4 degrees
3. 25.6 degrees
4. 34.8 degrees

1. How do ACE inhibitors work?

1. Preventing the attachment of angiotensin 2 from attaching to receptor sites
2. Blocking angiotensin receptor sites of the heart
3. Preventing the conversion of angiotensin 1 to angiotensin 2
4. Preventing the stimulation of alpha-2 receptor sites

1. If the expiration date on a prescription reads 12/2010, what is the exact expiration date of this drug?

1. 11/30/2010
2. 12/01/2010
3. 12/31/2010
4. 01/01/2011

1. A prescription orders 300 milligrams of carbamazepine, but only 200 milligram tablets are available. How many tablets will you dispense?

1. 2.5
2. 1.5
3. 1
4. 4

1. What is the maximum number of refills allowed for a prescription for zolpidem?

1. No refills allowed
2. 3 refills
3. 5 refills
4. 11 refills

1. A prescription orders 2.5 grams of neomycin sulfate. 500 milligram tablets are available. How many tablets will you dispense?

1. Two
2. Four
3. Three
4. Five

1. The part of Medicare that covers prescription drug is:

1. Part A
2. Part B
3. Part C
4. Part D

1. The following prescription is brought to the pharmacy: “Amoxil 400 mg po tid x 14 days.” The pharmacy stocks 500mg/5ml amoxicillin suspension. What is the volume of medication needed to fill the entire prescription?

1. 60 ml
2. 168 ml
3. 240 ml
4. 30 ml

1. What does NaCl mean?

1. Potassium chloride
2. Sodium chloride
3. Calcium chloride
4. Magnesium chloride

1. When a federal law and a state law both exist covering the same issues, which one should be followed?

1. State law, as this is relevant in the state where you live
2. Federal law, as this relevant in the state where you live
3. The less stringent of both laws
4. The more stringent of both laws

1. When storing an item at room temperature, the room should be:

1. 36 to 46 degrees Fahrenheit
2. Greater than 30 degrees Celsius
3. 2 to 8 degrees Celsius
4. 15 to 30 degrees Celsius

1. How many 1 L bags will be needed if D5W is to run 80ml/hr for 24 hours?

1. One bag
2. Two bags
3. Three bags
4. Four or more bags

1. What volume of albuterol 5% solution will be needed if 120 ml of 0.05% solution must be compounded for patient use?

1. 8.3 ml
2. 0.83 ml
3. 12 ml
4. 1.2 ml

1. Of the following medications, which one would be exempt from the Poison Prevention Packaging Act?

1. Clotrimazole troches
2. Verapamil tablets
3. Nitrostat SL tablets
4. Ketorolac tablets

1. Allergies to medications, birthdate, and insurance information are all indicated where in a pharmacy system?

1. Patient profile
2. Third party database
3. Pyxis machine
4. Order entry

1. Which of the following are computer applications that may be utilized in the pharmacy?

1. Inventory reports
2. DUR override reports
3. Drugs usage reports
4. All of the above

1. How many tablets are needed if a patient is taking a medication with the directions “1 tab po bid x 7 days?”

1. 14
2. 20
3. 30
4. 40

1. If a cart exchange is not until 10 A.M. the next day, how many doses should be sent to fill a new patient order received at 2 P.M. for the following medication?

Lopressor 100 mg po q8h (8 A.M, 4 P.M., and 12 A.M.).

1. One dose
2. Two doses
3. Three doses
4. Four doses

1. Cyclobenzaprine is a skeletal muscle relaxant. What is the trade or brand name?

1. Norvasc
2. Tenormin
3. Flexeril
4. Augmentin

1. To prevent any harm or risk, any sharps or broken glass should always be disposed of in a:

1. Regular trashcan
2. Sharps container
3. Biohazard bin
4. Cardboard box

1. From the following prescription order, how many capsules should you dispense?

1. XXIV
2. XXVIII
3. XVIII
4. XXIX

1. Of the following which information would not be on a unit dose label?

1. Manufacturer
2. Expiration date
3. Patient’s name
4. Lot number