PTCB Practice Exam 2021-2022 SOLVED 100%

What is the generic name for Lexapro? - ANSWER Escitalopram For safety reasons the medical abbreviations q.d. and QD should not be used; instead they should be written as: - ANSWER once a day (because q.d. and QD a ...

What is the generic name for Lexapro? - ANSWER Escitalopram For safety reasons the medical abbreviations q.d. and QD should not be used; instead they should be written as: - ANSWER once a day (because q.d. and QD are both from the Latin "quaque die," or each day.) To prevent cross-contamination between solid dosage forms like tablets and capsules, a pharmacy technician should: - ANSWER wipe a counting tray clean after each use. (because powder from tablets may remain on a counting tray after use; if residue is left behind and the next patient is allergic to a previously counted medication, that patient may have an allergic reaction. Although a technician could wear gloves while counting out medication) Which of the following issues is the most likely target of a DUR? - ANSWER Therapeutic duplication (drug utilization reviews (DURs) screen for therapeutic duplication, drug-disease contraindications, drug-drug interactions, incorrect drug dosage, incorrect duration of treatment, drug-allergy interactions, and clinical abuse/misuse of medication.) Which of the following organizations is tasked with enforcing proper medication disposal practices to ensure that pharmaceutical waste does not contaminate waterways and drinking water? - ANSWER EPA (Environmental Protection Agency (EPA) and state health departments work together to enforce proper disposal of pharmaceutical waste to keep pharmaceuticals out of waterways and drinking water.) Which vitamin is of special importance during pregnancy in order to prevent birth (neural tube) defects? - ANSWER Folic Acid (national guidelines (from the American College of Obstetricians and Gynecologists, among others) recommend the use of oral folic acid before conception and during early pregnancy to reduce the risk of neural tube defects (NTDs).) Which of the following is most important to ensuring the chemical stability of medications stored in a pharmacy? - ANSWER Temperature, humidity, and lighting conditions (all three can affect the chemical stability of medications.) Which of the following antibiotic products may cause a cross-sensitivity reaction in patients who are allergic to penicillin? - ANSWER Augmentin (hypersentivity/allergies to beta-lactam antibacterial drugs (such as penicillins and cephalosporins) is one of Augmentin's specific contraindications due to the similarities in chemical structure and/or pharmacologic actions.) Which of the following routes of administration would be considered parenteral? - ANSWER Subcutaneous (any route except oral) Which of the following products must be dispensed in its original container? - ANSWER Nitroglycerin 0.4 mg sublingual tablets (nitroglycerin sublingual tablets should be kept in the original glass container and tightly capped after each use to prevent loss of tablet potency.) Under standard precautions, it is considered safe for healthcare workers to come in direct contact with patients': - ANSWER dirty hands (standard precautions assume that all blood, body fluids, secretions, excretions except sweat, nonintact skin, and mucous membranes may contain transmissible infectious agents. Standard precautions include recommendations regarding appropriate hand hygiene, appropriate personal protective equipment (PPE), and respiratory hygiene/cough etiquette intended to stop the transmission of pathogens.) A vial of medication shows the manufacturer's expiration date as November 2026. The last date on which this medication may be used is: - ANSWER November 30, 2026. (when a product's expiration date indicates only a month and year, the product can be used through the last day of the specified month.) Which of the following conditions may help prevent medication errors? - ANSWER Sufficient lighting (adequate lighting is recommended by the Institute for Safe Medication Practices (ISMP) to help curtail medication errors.) According to the Institute for Safe Medication Practices (ISMP), which of the following is considered a look-alike/sound-alike medication pair? - ANSWER Spiriva and Apidra (that pair appears on the list of confused drug names maintained by the Institute for Safe Medication Practices (ISMP).) Which auxiliary label should be affixed to a prescription bottle of metronidazole? - ANSWER Do not drink alcoholic beverages when taking this medication (metronidazole may enhance the adverse/toxic effect of alcohol and the combination should be avoided) Which of the following medications should be avoided by patients allergic to sulfa drugs? - ANSWER Bactrim (Bactrim (a brand name for sulfamethoxazole/trimethoprim) is a sulfonamide derivative) A particular manufacturer packages amlodipine 2.5 mg tablets with an NDC of 0603-2108-02. If a pharmacy technician wants to receive hydrochlorothiazide 12.5 mg capsules from the same manufacturer, which of the following NDCs should they order? - ANSWER 0603-3855-21 (first segment of a National Drug Code (NDC) indicates a product's labeler or manufacturer; that segment in only the key matches the one in the stem. The second segment of an NDC is the product code, and the third segment is the package code.) Incompatibility between two components of a non-sterile compound may result in the: - ANSWER formation of a new active ingredient. (drug incompatibilities are physical and chemical reactions that occur between two or more drugs when they are combined; these reactions can lead to reduced drug activity or inactivity, the formation of a new toxic or nontoxic active ingredient, increased toxicity of one or more of the involved drugs, and organoleptic changes.) Advair Diskus inhalation powder comes in a sealed pouch. Once the pouch is opened, any remainder should be discarded after how many months? - ANSWER 1 (the manufacturer advises that Advair Diskus should be discarded 1 month after the foil pouch is opened or when the counter reads zero, whichever comes first.) How many 250 mg tablets of metronidazole are needed to make 150 mL of suspension containing 100 mg/mL? - ANSWER 60 (First, find the total mg of metronidazole needed in the final product by setting up a proportion: x/150 mL = 100 mg/1 mL x = 15,000 mg Next, divide to find how many 250 mg tablets of metronidazole are needed to total 15,000 mg: 15,000 mg/250 mg per tablet = 60 tablets) The generic name of Zyprexa is: - ANSWER olanzapine St. John's wort is primarily used as a(n): - ANSWER mild antidepressant. (St. John's wort may be used as mono- or adjunctive therapy in the treatment of depression, and its effectiveness is comparable with standard antidepressants.) A prescription written for which of the following drugs could be filled with atorvastatin if generic substitution is allowed? - ANSWER Lipitor A pharmacy receives the following prescription: Warfarin 2.5 mg tablets Disp: 4 weeks supply Sig: 1 tab PO on Monday, Wednesday, and Friday, and 0.5 tab on Sunday, Tuesday, Thursday, and Saturday What quantity of tablets will be needed to fill this prescription if the first dose is taken on a Sunday? - ANSWER 20 (First, find how many tablets the patient needs per week: (1 tablet per day x 3 days per week) + (0.5 tablet per day x 4 days per week) = 5 tablets per week Next, multiply the tablets needed per week by the number of weeks to find the total number of tablets: 5 tablets per week x 4 weeks total = 20 ta