PTU quizzes Flashcards
What are the five key components of the patient care process?
Collect, assess, plan, implement, follow up
What is the primary role of a pharmacy technician?
Assists the pharmacist with dispensing prescriptions
Depending on state law, who can perform the same tasks as pharmacists?
Intern
What does scope of practice provide pharmacy technicians?
Boundaries for duties pharmacy techs can and cannot perform
According to most state laws, what is the primary role of a pharmacist?
Counsels patients about their medication
Mr. Wagner has a prescription for promethazine syrup. What is one of your main roles as a pharmacy technician?
Gather a list of Mr. Wagner’s current medications and medical conditions
In which setting is a technician most likely to compound sterile products?
Hospital pharmacy
In which type of pharmacy will a pharmacy technician typically communicate with patients in person?
Community pharmacy
What is a basic description of a pharmacy technician’s role?
Works under pharmacist supervision to help and support patients
In which type of pharmacy will a pharmacy technician typically package medications to ship to patients via postal service?
Mail-order pharmacy
Scope of practice can differ for pharmacy technicians due to differences in:
Each state’s board of pharmacy
In which setting is a technician most likely to package medications in blister packs for nursing homes?
Long-term care pharmacy
What is the role of a physician when working with the pharmacy team?
Resolves medication therapy issues
How can pharmacy technicians help with the follow-up component of the patient care process?
Reschedule patients who miss appointments
According to most state laws, which duty can pharmacy technicians perform?
Manage pharmacy inventory
Who sets regulations and requirements to practice as a pharmacy technician?
State board of pharmacy
Completing continuing education courses is a way to:
Expand knowledge and grow professionally
A pharmacy technician who has listed with their state Board of Pharmacy for the sole purpose of keeping their information on file is considered:
Registered
What is an example of maintaining high standards of integrity and conduct?
Avoiding activities that discredit the pharmacy profession
Kelly, a mail-order pharmacy technician, makes sure that patient information is protected and safe. Which code of ethic is this an example of?
Supporting patient respect and confidentiality
What is a best practice for technicians to stay current with pharmacy practice and expand their knowledge?
Complete continuing education credits
If a state Board of Pharmacy requires pharmacy technicians to meet special qualifications, the technicians could be considered:
Certified
Nikki, a long-term care pharmacy technician, avoids illegal behavior. Which code of ethic is she following?
Being honest and maintaining integrity
Cory, a community pharmacy technician, follows his pharmacy’s protocols for keeping protected health information safe. Which code of ethic is this an example of?
Maintaining patient confidentiality
Regulations and requirements to practice as a pharmacy technician are set by:
State board of pharmacy
An example of a verbal prescription is one that comes to your pharmacy through a(n):
*A) Automated answering machine
B) Prescriber’s computer
C) Pharmacy’s fax machine
D) Patient’s computer
What should you do when a prescription is transferred to your pharmacy?
*A) Treat it like a new prescription
B) Call the pharmacy for refills
C) Tell the patient you can’t fill it
D) Wait 48 hours to fill after receiving it
Which medication must contain the prescriber’s DEA number on the prescription?
A) Amlodipine
B) Metoprolol ER
*C) Oxycodone
D) Telmisartan
If you have a prescription for metoprolol ER, what patient information should be on the prescription?
*A) Date of birth
B) Full address
c) Insurance ID number
D) Telephone number
Which medication should have the patient’s full address on the prescription
A) Lotensin HCT
*B) Percocet
C) Toprol-XL
D) Zocor
Noncontrolled prescriptions should contain the prescriber’s:
A) DEA number
*B) License designation
C) Telephone number
D) Fax number
A prescription for a noncontrolled substance should include the patient’s:
A) Home address
*B) Date of birth
C) Insurance information
D) Telephone number
When speaking with patients at drop off, you want to:
A) Avoid direct eye contact
B) Ask yes or no questions
C) Speak quickly and mumble
*D) Avoid using pharmacy jargon
Tamper-resistant paper is used to show:
*A) Alterations
B) Ink changes
C) Torn edges
D) Water stains
Which agency requires controlled prescriptions to include the patient’s full address?
A) CDC
*B) DEA
C) FDA
D) NIH
A prescription for a controlled substance must include the:
*A) Prescriber’s DEA number
B) Pharmacy’s DEA number
C) Insurance ID number
D) Pharmacy’s license number
If information is missing from a prescription, you should alert the patient at:
*A) Drop-off
B) Data entry
C) Filling
D) Pick up
What information is required on a prescription for tramadol?
*A) Patient’s full address
B) Prescriber’s NPI number
C) Patient’s insurance provider
D) Pharmacy’s DEA number
A prescription that comes to the pharmacy computer directly from the prescriber’s computer is considered what type of prescription?
*Electronic
Fax
Paper
Verbal
What piece of information helps verify the medication a patient wants refilled?
Prescriber name
*Prescription number
Patient representative name
Prescriber telephone number
What is required on a noncontrolled prescription?
Drug NDC number
*Medication strength
Pharmacy address
Prescriber’s telephone
How would you respond to a patient that is not pleased they are having to wait for clarification on their prescription?
*Empathetically
Frustratingly
Subliminally
Upsettingly
What can technicians do to help with the “transfer out” process?
A) Gather medication history for the patient’s profile
*B) Confirm the prescription isn’t expired before transferring it
C) Make sure the medication is in stock at the pharmacy that’s transferring out
D) Ask the patient for their insurance information before billing the prescription
Which Schedule of controlled substances are not allowed to be transferred?
*II
III
IV
V
What does it mean to “transfer in” a prescription?
A) The pharmacy who has the prescription on file places it “on hold.”
B) The pharmacy sending the prescription to another pharmacy fills it.
C) The pharmacy who has the prescription on file mails it to the patient.
*D) The pharmacy receiving the prescription from another pharmacy fills it.
What can technicians do to help with the “transfer in” process?
*A) Setup patient profiles
B) Fax transferring prescriptions to another pharmacy
C) Inform the receiving pharmacy of the last refill date
D) Ask patients nicely why they’re leaving the pharmacy
How involved can technicians get with the Rx transfer process?
A) No states allow pharmacy technicians to transfer prescriptions
B) Every state allows pharmacy technicians to transfer prescriptions
*C) State law determines whether technicians can transfer prescriptions
D) Staff pharmacists may allow pharmacy technicians to transfer prescriptions
What information is important to gather at drop-off for all patients?
Drug allergies
Mr. Ramsey is a new patient and is dropping off his prescription. What information do you need to obtain from Mr. Ramsey?
Current medications and medical conditions
Which type of question is a good way to ensure you are getting the right information from a patient?
Open-ended
A new patient comes to your pharmacy drop-off window. She hands you an OxyContin prescription written by an out-of-state prescriber. She tells you her insurance does not cover this medication and she’ll pay cash. What do you do?
Alert the pharmacist about the out-of-state prescriber.
A patient is at your pharmacy drop-off window talking about his medications. What do you need to do?
Make sure you are talking in a location where other customers cannot overhear.
What is an example of a red flag for a fraudulent prescription?
Using multiple prescribers to obtain prescriptions for the same controlled med
What is the process of accepting or denying a submitted claim called?
*Adjudication
Coinsurance
Formulary
Premium
Mrs. Huang just turned 65 and comes to your pharmacy wanting more information about Medicare. She asks when open enrollment of Medicare Part D is. Which date range do you tell her?
January 1 to April 15
May 1 to July 7
*October 15 and December 7
November 15 to December 31
PBMs (Pharmacy Benefits Manager) are:
Organizations who act as a middleman between the pharmacy and the insurer
What is a deductible known as?
An amount of money due before the insurance pays for healthcare costs
Insurance Premiums are:
Ongoing amount paid to keep insurance active
If a patient’s insurance plan requires a primary care physician, it’s likely they have which type of insurance?
*HMO
PBM
PPO
TRI
Once a patient has enrolled or made changes to Medicare Part D, when does it take effect?
*January 1
April 15
July 4
December 31
What does Medicare Part B cover?
Most outpatient prescriptions
Hospice
Hospital visits
*Prescriber visits
What is the role of third-party payers?
Reimburse healthcare providers for their services
What is a formulary known as?
A list of drugs covered by the insurance, organized in tiers by cost
Which Medicare plan combines original Medicare with a prescription plan?
Part A
Part B
*Part C
Part D
What does Medicare Part D cover?
Hospital visits
Nebulizer medications
*Outpatient prescriptions
Prescriber visits
Medicaid is run by:
Federal and state governments
What is it called when a percentage of the drug cost is to be paid, for each prescription?
*Coinsurance
Deductible
Formulary
Premium
Hospital visits, hospice, and skilled nursing facilities are covered by which Medicare part?
*A
B
C
D
What is a plan characteristic for patients with a PPO?
Able to see the prescriber of their choice
Which designation will you usually find on an insurance card that signifies pharmacy benefits?
Drug
Med
Pharm
*Rx
Which number is used as a second identifier to identify a specific plan within an insurance company?
Group
BIN
Member ID
*PCN
You are entering a prescription for Xeljanz for Mrs. Robinette into the computer. A message appears stating the prescribed medication is not covered and more information is needed from the prescriber before the drug is covered. What is this an example of?
Partial fill
*Prior authorization
Reconciliation
Refill too soon
What does a dual-eligible patient mean?
They have more than one insurance plan to cover the cost of medications
Mr. Rivas brings in his new prescription for clopidogrel. After you enter the prescription into the computer, you can see the claim is approved. What is this process known as?
*Adjudication
Cost-sharing
Med reconciliation
Prior authorization
How is the coordination of benefits process best described?
Submitting claims to dual-eligible third parties
What information does the BIN identify?
The third-party payer that’s billed by the pharmacy for a prescription
Which number on an insurance card is used to identify the policyholder?
Group
IIN
*Member ID
PCN
Which type of data entry error can flag an insurance company to perform an audit?
Late refill
Invalid member ID
*Invalid days’ supply
Missing dependent code
What action might an insurance company take when a pharmacy is dispensing refills too soon?
Audit
Which information is the dependent code used in determining?
The spouse or child who is receiving the prescription
What would you tell a colleague about billing diabetes testing supplies to Medicare Part B?
An ICD-10 groups of E08-E13 diagnosis code is needed to support medical necessity.
Which strategy will best help to avoid problems during a Medicare audit on DME orders?
Having proper documentation
Which item is generally covered under Medicare Part D?
Needles and syringes
What piece of information must be on an electronic order for diabetes testing supplies for a patient with Medicare?
Specific frequency for use
Which product can be classified as durable medical equipment?
Crutches
Which characteristic would you use to best describe medical supplies?
They are often used once, then discarded.
What is the maximum number of lancets Medicare will cover for a patient with diabetes who does not use insulin?
100 every three months
Which strategy would you recommend when dispensing and billing a DME prescription to Medicare?
Keep the documentation for proof of delivery in the pharmacy for at least 7 years.
Which item is generally covered under Medicare Part B?
Glucose control solution
Which personal protective equipment must be worn when cutting or crushing hazardous tablets?
Double gloves, respiratory protection, protective gown, and ventilation
Which statement must appear on all controlled substance prescription labels?
“Caution: Federal law prohibits the transfer of this drug to any person other than the person for whom it was prescribed”
Which medication class may cause fetal harm or birth defects if inhaled or absorbed through the skin?
Chemotherapy
Which number would Mrs. Laurie find on her prescription label?
Prescription number
When you’re preparing creams or ointments and need to weigh your ingredients, you generally will use a(n):
Electronic balance
Which equipment will you need to fill a prescription for metformin 500 mg tabs?
Counting tray and spatula
A prescription label is important because it:
Tells the patient how to correctly take the medication
What is an example of tall man lettering?
Clonidine
*LaMICtal
SPIRONOLACTONE
topiriMate
What should be done after handling a hazardous medication?
Wash hands thoroughly
Which identifier should be double-checked when selecting a product from the pharmacy shelf?
NDC number
What is tall man lettering?
Name of a medication written with certain parts in capital letters
What strategy can reduce LASA medication errors?
Place LASA shelf tags on shelves in the pharmacy
Which type of label contains the information “May Cause Drowsiness?”
Auxiliary
Which drug is most likely to cause devastating harm if an error occurs?
Avodart
*Humulin N
Topamax
Viagra
Which medication is classified as a hazardous drug?
Citalopram
Fluoxetine
*Paroxetine
Sertraline
USP <800> standards are intended to do what?
Protect healthcare personnel, patients, and the environment from exposure to hazardous drugs
OSHA requires that you have access to which type of resource when handling certain hazardous drugs?
HZD
PDR
*SDS
USP
Your pharmacy’s policy requires you to wear gloves when handling tamoxifen tablets because the medication is classified as carcinogenic. This means tamoxifen may potentially cause which adverse effect when touched?
*Cancer
Diarrhea
Dizziness
Low blood pressure
Which pharmacy employee should be most concerned about handling broken colchicine tablets?
An employee who is pregnant
Which strategy would you share with a new colleague about dispensing hazardous drugs?
Wear chemo gloves when unpacking cartons and vials of hazardous drugs.
What will you likely find in a hazardous drug spill kit?
NIOSH list
Black waste bin
Closed-system transfer device
*Personal protection equipment (PPE)
Having your tablets in a single layer on the counting tray can:
*Prevent miscounts
Increase miscounts
Make counting slower
Make counting harder
When a patient receives more medication than what’s on the prescription label, it can lead to:
Refill-too-soon rejections
Paying more than they should
Treatment regimen being cut short
*Pharmacy shortages and lost money
Which medication would you generally need to double-count?
*Alprazolam
Escitalopram
Trazodone
Venlafaxine
What may occur when a medication needs to be packaged in its original container, but is exposed to light and moisture?
*Loss of potency
Decrease in size
Increase effectiveness
Medication changes form
Which section in the package insert would state whether a drug should be stored in its original container?
Indications and Usage
Warnings and Precautions
Dosage Forms and Strengths
*How Supplied/Storage and Handling
When a drug is given a pregnancy category A rating it means the drug:
Has been shown to cause no harm to the fetus
Mr. Greer comes into the pharmacy and asks you to refill his blood pressure medication. When you look into the computer you see that he has both Crestor and Diovan available for refill. Which section of the package insert provides information about which medication is used to treat high blood pressure?
Dosage and Administration
*Indications and Usage
Use in Specific Populations
Warnings and Precautions
Which section of the package insert contains the most important prescribing information that can be found quickly?
Dosage and Administration
*Highlights
Indications and Usage
Table of Contents
Which section of the package insert is a reference area to help find specific prescribing information?
Appendices
Charts
Highlights
*Table of Contents
Mr. Quarterman gives you a prescription for Chantix. The prescriber has “take as directed” written on the prescription. Which section of the package insert provides information about how a medication is usually taken?
Contraindications
*Dosage and Administration
Indications and Usage
Warnings and Precautions
Which section of the package insert contains the Postmarketing Experience?
*Adverse Reactions
Drug Interactions
Use in Specific Populations
Warnings and Precautions
Mrs. Roberts brings in a prescription for Augmentin 875 mg. She informs you that she is severely allergic to penicillin. What section of the package insert provides information about drug allergies?
*Contraindications
Dosage and Administration
Indications and Usage
Use in Specific Populations
Which section of the package insert provides information on a drug affecting a lab test?
Adverse Reactions
Contraindications
Indications and Usage
*Warnings and Precautions
The Use in Specific Populations section of a package insert lists:
Safety concerns when using the drug in elderly patients
How are package inserts organized?
Alphabetically
Chapters
Numerically
*Sections
Off-label use means:
Prescribing the medication for an unapproved indication
You input Ms. Wright’s new birth control prescription in the computer. You get a warning about Ms. Wright taking birth control while on carbamazepine. Which section of the package insert will inform you about the effects of taking birth control while on carbamazepine?
Adverse Reactions
*Contraindications
Drug Interactions
Warnings and Precautions
Ms. Woodenhall would like to get her acetaminophen with codeine prescription as a liquid because her throat is too sore to swallow tablets. Which section of the package insert will indicate if it’s available as a liquid?
Indications and Usage
Dosage and Administration
Use in Specific Populations
*Dosage Forms and Strengths
The Product Description section of a package insert lists:
The structural formula of the medication
Which section of the package insert highlights information as a tool for the pharmacist when explaining how to take a medication to a patient?
Patient Counseling Information
A package insert’s wording must be approved by:
Food and Drug Administration
The Clinical Pharmacology section of a package insert lists:
How a drug is absorbed, metabolized, and eliminated by the body
Which section of the package insert provides the signs and symptoms for when a patient takes too much of the medication?
Overdosage
Mr. Khan has just been prescribed Lyrica. In which section of the package insert can you find Lyrica’s controlled substance schedule?
Drug Abuse and Dependence
The How Supplied/Storage and Handling section of a package insert lists the medication’s:
Description of appearance
Ms. Supat is concerned about her cancer risk while taking her medication. Which section of the package insert would the pharmacist refer to?
Nonclinical Toxicology
Which section of the package insert provides information on how well the drug works for its approved indication?
Clinical Studies
The USP-NF can be used to look up:
Materials needed for compounding medications
A generic medication is identical in active ingredients, strength, and dosage form as the brand-name product. What else must be identical to be considered therapeutically equivalent?
Absorption and release in the body
An “AB” rating in the Orange Book means a brand and generic drug are:
Therapeutically equivalent
Natural Medicines provides information to:
Verify drug-herb interactions
Which drug information source provides generic substitution equivalence ratings for Lasix?
Prescribers’ Digital Reference
Which drug information resource provides compatibility information on parenteral medications?
Handbook on Injectable Drugs
The first letter in the Orange Book rating code indicates:
Therapeutic equivalence
When applying a prescription label, a good way to adhere the label is to move from:
Left to right
How many 8-ounce prescription bottles will you need to fill a prescription of 480 mL of cetirizine?
2
What is an example of an appropriate measuring device for patients?
Oral syringe
Prescription amber bottles are measured in:
Ounces
Which item is generally used when weighing a cream or ointment?
Glassine paper
Which button on a digital scale clears the memory and resets the scale to 0 g?
Tare
A graduated cylinder is used to measure:
Liquids
According to federal law, what information must be distributed to the patient when picking up a prescription?
Notice of Privacy Practice
Why is a patient identifier significant at the pick-up counter?
Verifies the right patient
What is the term used to describe a percentage of the medication’s cost?
Coinsurance
What does OBRA ‘90 require?
Patients to be counseled or offered counseling by the pharmacist
Where would you look to find a prescription for a non-controlled liquid medication that has been prepared for a patient?
Will-call area
Which prescription information are you allowed to inform patients about, according to most states?
Drug name
A patient’s co-pay is determined by their:
Health insurance
How can you prevent mishaps when mailing or delivering medications?
Store meds flagged for delivery separately from other meds.
What should you keep in mind when mailing or delivering medications?
The delivery date is the date of service with Medicare-billed DME.
What’s an important factor to consider with medication delivery?
It may increase the number of new patients.
What strategy is the most appropriate when packaging meds for mail or delivery?
Write “Fragile” on packages that contain liquid meds.
How can bar codes on medication stock bottles help with your pharmacy tasks?
Reordering medications from the supplier
What’s a good best practice for preventing a wrong patient med error?
Use verified home and mailing addresses.
Automation is used in the pharmacy to:
Increase accuracy
You scan Mr. Dorsey’s prescription bottle’s bar code to do which function?
Refill his medication
How can the use of automated dispensing devices help keep patients safe?
Reduces the amount of errors in the dispensing process
With which pharmacy function do automated dispensing devices help?
Filling prescriptions
What is a best practice for incorporating a new pharmacy service into workflow?
Divide tasks among co-workers
Which practice can help evaluate and improve workflow?
Identify areas that take a long time to complete
What can hinder pharmacy workflow?
Arriving to work after a scheduled shift
What is a strategy to optimize pharmacy workflow?
Keep the pharmacy clean and organized
Marco has downtime during his pharmacy shift. What can he do to help with the workflow?
Restock supplies
Insulin is a high-alert medication because it:
Is more likely to cause serious harm
High alert medication:
High-alert medications are drugs that bear a heightened risk of causing significant patient harm when they are used in error.
Which pharmacy employee should be most concerned about handling broken colchicine tablets?
An employee who is pregnant
Prescription amber bottles are measured in:
Ounces
Which medication is classified as a hazardous drug?
Divalproex
What is an appropriate measure to take when handling a hazardous drug spill?
Double-bagging used supplies and garb after cleaning the spill
If you are pregnant or may become pregnant, why is it recommended that you do not handle broken or crushed hazardous meds?
They may be absorbed through your skin and cause birth defects
USP <800> standards are intended to do what?
Protect healthcare personnel, patients, and the environment from exposure to hazardous drugs
What is a benefit to using automated dispensing devices in the pharmacy?
Handles high prescription volume
What should you tell a colleague about dispensing hazardous drugs
Outer packaging of hazardous drugs is prone to contamination, leading to skin exposure.
Which personal protective equipment must be worn when cutting or crushing hazardous tablets?
Double gloves, respiratory protection, protective gown, and ventilation
Which section in the package insert would state whether a drug should be stored in its original container?
How Supplied/Storage and Handling
How can bar codes on medication stock bottles help with your pharmacy tasks?
Reordering medications from the supplier
Which safety precaution should be performed when dispensing methotrexate tablets?
Avoid handling broken tablets
What is an example of tall man lettering?
ALPRAZolam
Liraglutide is classified as hazardous because it can cause harm to an unborn baby. Which term best describes this potential adverse effect?
Teratogenic
Look-alike/sound-alike medications are found on the Institute for Safe Medication Practices List of:
Confused Drug Names
Which medication would you generally need to double-count?
Alprazolam C-IV
Which type of alert would most likely show up when filling an Accutane prescription for a woman of child-bearing age?
Drug-Condition
Ms. Sampson has two prescription insurance plans. What’s the process called when you submit a claim to both of her insurances for a medication?
Coordination of benefits
Which supplies are needed when filling a prescription for potassium chloride 20 mEq/15 mL oral solution?
Funnel and graduated cylinder
What temperature range should room temperature products be stored in the pharmacy?
59°F to 86°F
You are stocking inventory and notice a bottle of metoprolol tartrate 50 mg has an expiration date of January 2022. When will the product expire?
January 31, 2022
What temperature range is proper refrigerator temperature?
2°C to 8°C
Which inventory responsibility is usually assigned to a pharmacy technician?
Storing and placing stock in the pharmacy
A pharmacist usually handles which inventory responsibility?
Controlling par levels for perpetual inventory
Which temperature range should frozen medications be stored at inside the pharmacy?
-25°C to -10°C
According to the product label, Varivax should be stored at -15°C prior to reconstitution. Based on this information, where should you store the medication?
In the freezer
Which pharmacy zone should a Proair HFA inhaler be stored?
Prescription needed
Ms. Berger needs help locating items from her shopping list. Which item is generally found behind the counter in the pharmacy?
Pseudoephedrine
What is the definition of perpetual inventory?
An ongoing, real-time account of stock levels
