PRE-Test Flashcards

1
Q

A patient has been prescribed an MAOI for depression. How much time must lapse after discontinuing the MAOI before a different antidepressant is prescribed

A

14 days

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2
Q

Which of the following drugs may be used to counteract the side effects of antipsychotic medications?

A

Benztropine

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3
Q

What is the meaning of the abbreviation of SL in the following signa: 1 tab SL prn angina?

A

SL means sublingual or under the tongue

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4
Q

Who initiated the “Do Not Use” list?

A

TJC (The Joint Commission

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5
Q

Which term encompasses the absorption, distribution, metabolism, and elimination of a drug?

A

Pharmacokinetics

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6
Q

You have completed filling a prescription for 40 tablets of penicillin VK to be taken four times a day by the patient. Prior to filling the next prescription, which substance should be used to clean the counting tray?

A

70% isopropyl alcohol

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7
Q

Which of the following is an example of a Schedule V controlled substance?

A

gabapentin (Neurontin)

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8
Q

What is the meaning of the rejection code “refills not covered”?

A

The insurance plan requires refills to be obtained through the plan’s mail order pharmacy.

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9
Q

Which organization issued the List of Error-Prone Abbreviations, Symbols, and Dose Designations?

A

The Institute of Safe Medication Practices (ISMP)

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10
Q

What is the generic name for Glucophage?

A

metformin

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11
Q

Which of the following mechanisms of action is correctly matched to its antibiotic class?

A

Penicillins prevent bacteria from forming a cell wall.

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12
Q

All of the following drugs are classified as NSAIDs EXCEPT:

A

colchicine

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13
Q

Which is the generic name for Avandia?

A

Rosiglitazone

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14
Q

“Established conditions on the use and the disclosure of protected health information” describes a provision of which law or amendment?

A

Health Insurance Portability and Accountability Act (HIPAA) of 1996

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15
Q

An NCPDP rejection code 9 indicates which of the following?

A

Missing or invalid birth date

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16
Q

Which of the following indicates the correct use of zeroes and decimal points for a medication dose?

A

levothyroxine 0.2 mg

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17
Q

Effexor XR is an example of a ________.

A

drug found on the “Do Not Crush” list

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18
Q

Which of the following is classified as a bowel evacuant?

A

polyethylene glycol/electrolytes

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19
Q

For which of these conditions is Adacel indicated?

A

Diphtheria/Tetanus/Pertussis

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20
Q

Which of the following could be an advantage of a liquid dosage form?

A

Certain medications may cause gastrointestinal distress if administered in a solid dosage form.

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21
Q

Which of the following medications carries a boxed warning?

A

citalopram

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22
Q

What does Syrup USP contain?

A

Sucrose in water

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23
Q

While adjudicating a prescription, the pharmacy receives the following rejection codes: 6 & 7. What do these codes indicate?

A

Missing or invalid group number; missing or invalid cardholder ID

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24
Q

Which is the generic name for Lanoxin?

A

digoxin

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25
Q

Which organization enforces the Poison Prevention Packaging Act?

A

Consumer Products Safety Commission

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26
Q

Which of these supplements may be used in treating osteoarthritis?

A

Glucosamine

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27
Q

Which drug classification can be used to alleviate rhinorrhea and sneezing?

A

Antihistamines

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28
Q

What size bottle should be used in dispensing 150 mL of a syrup?

A

6-oz bottle

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29
Q

How should a warehouse delivery containing Zostavax (zoster vaccine live) be stored when it is received in the pharmacy?

A

In the freezer

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30
Q

Which of the following conditions is associated with the pancreas?

A

Type 2 diabetes mellitus

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31
Q

According to the Combat Methamphetamine Act, which medication must be kept behind the pharmacy counter?

A

pseudoephedrine

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32
Q

Which of the following medications has a narrow therapeutic index?

A

lithium carbonate

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33
Q

Which vitamin deficiency would result in rickets?

A

Vitamin D

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34
Q

A medication is available as a 10 mg/5 mL suspension; how many milliliters are needed to give a dose of 30 mg?

A

15 mL

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35
Q

What is missing or incorrect with the following: “Hydrochlorothiazide 50 mg PO for 30 days”?

A

The frequency is missing.

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36
Q

A physician has prescribed Augmentin for a patient and has approved the generic version to be dispensed. Which DAW code should the technician input?

A

DAW 0

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37
Q

What is the most common route of administration?

A

Oral

38
Q

A patient complains of seeing a green-blue halo. This is an example of a toxicity associated with which medication?

A

digoxin

39
Q

Where is pseudoephedrine stocked in a community pharmacy?

A

Behind the pharmacy counter

40
Q

Which of the following is true regarding the systems approach to medication errors?

A

The systems approach involves analyzing and classifying medication errors to establish safe procedures in the pharmacy.

41
Q

How many days would 40 capsules of a medication last if the directions were “i cap qid”?

A

10

42
Q

All the following are Joint Commission goals in improving patient safety EXCEPT ________.

A

reducing the usage of infusion pumps

43
Q

How much SWFI and D10W are required to make 250 mL of D6W?

A

SWFI–100 mL; D10W–150 mL

44
Q

Which of the following medications carries a boxed warning?

A

sertraline

45
Q

While working in a long-term care pharmacy, one should be extremely careful when dispensing which classification?

A

Anticoagulants

46
Q

Interpret the following: “ii caps stat, then i cap q hr, max 5 caps/12 hr.”

A

Take 2 capsules immediately, then one capsule every hour, maximum 5 capsules in 12 hours.

47
Q

Which of the following might increase the possibility of a medication error?

A

Receiving a telephoned prescription from a nurse in a physician’s office who received the verbal prescription from the physician

48
Q

All the following are examples of human factors that could contribute to a medication error EXCEPT________.

A

rule violations

49
Q

What is the meaning of the abbreviation “K” when found on a patient’s lab results?

A

Potassium

50
Q

A disadvantage of a liquid oral medication is ________.

A

its shorter shelf life

51
Q

If a medication error occurs, when should it be reported?

A

As soon as possible after the error occurs

52
Q

What is NOT a reason that medication guides are required to be given to a patient?

A

Information is necessary to prevent medication errors.

53
Q

A prescriber has authorized the pharmacy to substitute the generic for Lipitor; which of the following should be dispensed?

A

atorvastatin

54
Q

The formation of a precipitate indicates instability of which dosage form?

A

Solution

55
Q

The hospital pharmacy stocks 5000 units/mL. A patient is prescribed 13,000 units of heparin; how many milliliters should the patient receive?

A

2.6 mL

56
Q

The MedWatch program can be used to report adverse events for all of the following EXCEPT

A

investigational drugs.

57
Q

Which of the following should be used with hot water when washing one’s hands and arms for infection control purposes?

A

Betadine

58
Q

Which of the following drugs requires prescribers, pharmacists, and patients to register with the FDA iPledge program?

A

isotretinoin

59
Q

Which of the following accredits health care organizations?

A

TJC

60
Q

When measuring a liquid using a graduate cylinder, an accurate reading of the amount would be made by looking at the ________.

A

Bottom of the meniscus

61
Q

The pharmacy technician receives a TPN order where 40 mEq of NaCl are needed. Using a concentrated sodium chloride solution (23.4%) that contains 4 mEq/ mL, how many mL will the technician need to measure?

A

10 mL

62
Q

According to MEDMARX, which of the following medications has been associated with a large number of medication errors?

A

heparin

63
Q

How is insulin injected into the body?

A

SC

64
Q

Which medication may increase a patient’s blood glucose?

A

prednisone

65
Q

Drug manufacturers have attempted to reduce medication errors by ________.

A

all of the above

66
Q

Which of the following is an inhaled corticosteroid indicated for the treatment of respiratory allergies?

A

momentasone

67
Q

How long must controlled substances records be retained according to federal law?

A

2 years

68
Q

Which classification of drug recall occurs if the patient experiences a reversible side effect?

A

Class II

69
Q

Which organization establishes standards of care for hospitals and long-term care facilities?

A

TJC

70
Q

A patient is to receive medication at 1800 hours; what time is this in standard time?

A

6:00 PM

71
Q

A patient is prescribed anastrozole for breast cancer; how is it administered?

A

Orally

72
Q

Which of the following medications must be packaged in a child-resistant container?

A

metformin tablets

73
Q

Strategies that can be used to help prevent look-alike/ sound-alike errors include which of the following?

A

Tall man lettering

74
Q

Which of the following medications could be used with a spacer?

A

ProAir

75
Q

All of the following are examples of medications contained on the ISMP high-alert medications for a community pharmacy EXCEPT

A

levothyroxine.

76
Q

What is the maximum number of refills allowed for a lorazepam prescription?

A

Five

77
Q

Which of the following antidepressant is classified as an SNRI?

A

duloxetine

78
Q

During which type of drug utilization evaluation (DUE) would it be detected that a patient was attempting to refill his or her medication early?

A

Prospective DUE

79
Q

An alcoholic or hydroalcoholic solution containing volatile aromatic ingredients would describe a ________.

A

spirit

80
Q

Which of the following is indicated for chronic obstructive pulmonary disease?

A

Symbicort

81
Q

When must a pharmacy perform a biennial inventory of controlled substances stocked in the pharmacy?

A

Every 2 years after an initial inventory is completed

82
Q

A 55-year-old female is currently receiving furosemide for edema in the patient’s ankles. Which of the following would be an appropriate adjunct therapy for the patient?

A

potassium chloride

83
Q

A patient has been prescribed KCl as a potassium supplement; which unit of measurement is associated with this medication?

A

Milliequivalents

84
Q

A patient is diagnosed with hypertension; which of the following medications would be prescribed for this condition?

A

lisinopril

85
Q

Of the following medications, which one has been associated with a high incidence of medication errors?

A

heparin

86
Q

How many 150-mg clindamycin capsules are required to compound a prescription reading: “Clindamycin 2%, propylene glycol 5%, isopropyl alcohol qs ad 240 mL”?

A

32

87
Q

An intravenous solution containing 20,000 units of heparin in 500 mL of a 0.45% sodium chloride solution is to be infused at a rate of 1000 units/hr. How many drops per minute should be infused to deliver the desired dose if the intravenous set is calibrated at a rate of 15 gtt/mL?

A

7 gtt/min

88
Q

Which of the following would be appropriate for a pharmacy technician to do to ensure the correct drug name appears on the prescription label?

A

Verify after the data has been entered into the system that the prescription label contains the accurate drug, strength, and dosage as written on the prescription

89
Q

What should a pharmacy technician do while processing a prescription if they receive a contraindication message on the pharmacy terminal screen?

A

Inform the pharmacist of the message.

90
Q

A patient is complaining of muscle spasms; which medication is an appropriate treatment?

A

cyclobenzaprine