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Questions and Answers
Which of the following may be performed only by a pharmacist?
Which of the following may be performed only by a pharmacist?
- Alerting the pharmacist of a possible therapeutic duplication
- Accepting a return call from a prescriber's office clarifying a prescription (correct)
- Selecting an OTC product for a patient
- Manually checking order reports
All of the following duties may be performed by a pharmacy technician EXCEPT:
All of the following duties may be performed by a pharmacy technician EXCEPT:
- Providing counseling to patients (correct)
- Compounding prescriptions
- Selecting an OTC product for a patient (correct)
- Dispensing medication
What should the technician do when a patient brings in prescriptions for ibuprofen and Anaprox DS?
What should the technician do when a patient brings in prescriptions for ibuprofen and Anaprox DS?
Alert the pharmacist of a possible therapeutic duplication.
What is a list of goods or items a business will use in its normal operation called?
What is a list of goods or items a business will use in its normal operation called?
Checking order reports to ensure the order contains no errors is done how?
Checking order reports to ensure the order contains no errors is done how?
In receiving an order, it is important to be alert for drugs that have been incorrectly picked, receiving damaged, are outdated or missing. How are orders reconciled?
In receiving an order, it is important to be alert for drugs that have been incorrectly picked, receiving damaged, are outdated or missing. How are orders reconciled?
What is a small volume intravenous bag specifically used to deliver medication called?
What is a small volume intravenous bag specifically used to deliver medication called?
According to federal law, the prescriber must provide his/her DEA number for which of the following prescriptions?
According to federal law, the prescriber must provide his/her DEA number for which of the following prescriptions?
Isotretinoin is associated with?
Isotretinoin is associated with?
SDS sheets provide what?
SDS sheets provide what?
An antibiotic prescribed is for 15mg/kg twice a day by IV. What is the daily dose in mg for a child weighing 66 pounds?
An antibiotic prescribed is for 15mg/kg twice a day by IV. What is the daily dose in mg for a child weighing 66 pounds?
What can outdated drugs be?
What can outdated drugs be?
An example of a major drug-drug interaction is?
An example of a major drug-drug interaction is?
The Patient ___________ is necessary for billing a prescription.
The Patient ___________ is necessary for billing a prescription.
Why is a drug that is missing a label not dispensable?
Why is a drug that is missing a label not dispensable?
Companies that administer drug benefit programs are called?
Companies that administer drug benefit programs are called?
What does Copy 2 of DEA form 222 involve?
What does Copy 2 of DEA form 222 involve?
What is proper disposal or destruction of non-returnable medications?
What is proper disposal or destruction of non-returnable medications?
Each tablet of Claritin D 12 hour contains 120 mg of pseudoephedrine sulfate. What is the maximum amount per transaction if the limit is 3.6 g?
Each tablet of Claritin D 12 hour contains 120 mg of pseudoephedrine sulfate. What is the maximum amount per transaction if the limit is 3.6 g?
Exempt narcotics are in which DEA schedule?
Exempt narcotics are in which DEA schedule?
Exempt narcotics are regulated for how many dosage units can be sold without a prescription in a ________ hour period.
Exempt narcotics are regulated for how many dosage units can be sold without a prescription in a ________ hour period.
Federal law requires pharmacies to keep _______ of the DEA form 22.
Federal law requires pharmacies to keep _______ of the DEA form 22.
For aseptic technique, all work should be performed at least ________ inches inside the laminar flow hood.
For aseptic technique, all work should be performed at least ________ inches inside the laminar flow hood.
All of the following are used to store medications except:
All of the following are used to store medications except:
Counseling as required by OBRA is provided by?
Counseling as required by OBRA is provided by?
All of the following pharmacy personnel must be formally trained on HIPAA except:
All of the following pharmacy personnel must be formally trained on HIPAA except:
For the prescription of Amoxicillin 250 mg/5 mL, how much drug is taken each day if the sig is 2 teaspoons tid?
For the prescription of Amoxicillin 250 mg/5 mL, how much drug is taken each day if the sig is 2 teaspoons tid?
HIPAA is a federal law that protects a patient's PHI when it is:
HIPAA is a federal law that protects a patient's PHI when it is:
The directions on a prescription read ii gtt q8h ou. How should the directions on the label read?
The directions on a prescription read ii gtt q8h ou. How should the directions on the label read?
How many cases of 8 dram vials should be ordered to last two weeks if there are 500 vials per case?
How many cases of 8 dram vials should be ordered to last two weeks if there are 500 vials per case?
The common abbreviation ss means?
The common abbreviation ss means?
Which abbreviation is on the Joint Commission's 'Do Not Use List'?
Which abbreviation is on the Joint Commission's 'Do Not Use List'?
How many grams of sucrose are needed to prepare 4 ounces of a 20% solution?
How many grams of sucrose are needed to prepare 4 ounces of a 20% solution?
How many milliliters of magnesium sulfate 4 mEq/mL are needed to add 10 mEq of magnesium sulfate to an IV bag?
How many milliliters of magnesium sulfate 4 mEq/mL are needed to add 10 mEq of magnesium sulfate to an IV bag?
Aseptic techniques are methods used to maintain?
Aseptic techniques are methods used to maintain?
How much hydrocortisone powder is needed to compound 60 g of hydrocortisone cream 2%?
How much hydrocortisone powder is needed to compound 60 g of hydrocortisone cream 2%?
Good interpersonal skills include?
Good interpersonal skills include?
How much should be withdrawn from a vial if the strength of the medication is 1 mg/mL and a dose of 5000 micrograms is needed?
How much should be withdrawn from a vial if the strength of the medication is 1 mg/mL and a dose of 5000 micrograms is needed?
How should a prescription for BenzaCline be stored after it has been mixed?
How should a prescription for BenzaCline be stored after it has been mixed?
Which dispensing code should be used for a prescription written for Cymbalta 20 mg if DAW was not written?
Which dispensing code should be used for a prescription written for Cymbalta 20 mg if DAW was not written?
If medication is to be taken PC, when should it be taken?
If medication is to be taken PC, when should it be taken?
Which dispensing code should be used for a prescription written for Norvasc 5 mg if the patient requested the brand name?
Which dispensing code should be used for a prescription written for Norvasc 5 mg if the patient requested the brand name?
If the dose of liquid amoxicillin for a child is one and one-half teaspoonful three times a day for 10 days, what is the volume needed to fill the prescription?
If the dose of liquid amoxicillin for a child is one and one-half teaspoonful three times a day for 10 days, what is the volume needed to fill the prescription?
Information about generic equivalents can be found in the?
Information about generic equivalents can be found in the?
Tall man letters are used for?
Tall man letters are used for?
MedWatch form 3500 is for reporting adverse reactions to?
MedWatch form 3500 is for reporting adverse reactions to?
Normal saline solution is?
Normal saline solution is?
OSHA requires notice for hazardous substances that provide hazard, handling, clean-up, and first aid information. What are these called?
OSHA requires notice for hazardous substances that provide hazard, handling, clean-up, and first aid information. What are these called?
When a technician receives a rejected claim 'NDC not covered', this probably means?
When a technician receives a rejected claim 'NDC not covered', this probably means?
The age required to purchase a CV exempt narcotic without a prescription is?
The age required to purchase a CV exempt narcotic without a prescription is?
Premarin cream has been prescribed 0.5 g pv twice a week. The medication should be administered?
Premarin cream has been prescribed 0.5 g pv twice a week. The medication should be administered?
Lidoderm is an example of an?
Lidoderm is an example of an?
What is the % concentration if 134 g of sugar is in 200 mL of aqueous solution?
What is the % concentration if 134 g of sugar is in 200 mL of aqueous solution?
Sublingual nitroglycerin is used for?
Sublingual nitroglycerin is used for?
The term for a drug that reduces fever is?
The term for a drug that reduces fever is?
When a technician receives a rejected claim 'Invalid Person Code', this probably means?
When a technician receives a rejected claim 'Invalid Person Code', this probably means?
When a technician receives a rejected claim 'Unable to connect', this probably means?
When a technician receives a rejected claim 'Unable to connect', this probably means?
The class of drugs to dissolve blood clots is?
The class of drugs to dissolve blood clots is?
The CMEA set _______ and _______ limits on the OTC sales of pseudoephedrine.
The CMEA set _______ and _______ limits on the OTC sales of pseudoephedrine.
The commission that surveys and accredits health-care organizations is the?
The commission that surveys and accredits health-care organizations is the?
Nitroglycerin sublingual tablets should be dispensed?
Nitroglycerin sublingual tablets should be dispensed?
The Controlled Substance Act is enforced by the?
The Controlled Substance Act is enforced by the?
The directions state 2 gtt au q12h. How is the drug administered?
The directions state 2 gtt au q12h. How is the drug administered?
The CPT codes for billing medication therapy management service provided by pharmacists are?
The CPT codes for billing medication therapy management service provided by pharmacists are?
Which of the following types of information is generally not required for the online claim process?
Which of the following types of information is generally not required for the online claim process?
The following drugs are antidepressants except:
The following drugs are antidepressants except:
The following drugs are considered Antihyperlipidemics except:
The following drugs are considered Antihyperlipidemics except:
The following medications should be refrigerated except:
The following medications should be refrigerated except:
The generic name for Neurotin is?
The generic name for Neurotin is?
The government agency that regulates investigational medications is the?
The government agency that regulates investigational medications is the?
An example of a robotic dispensing machine is?
An example of a robotic dispensing machine is?
The middle set of digits of the NDC represents?
The middle set of digits of the NDC represents?
Patient package inserts are required to be dispensed with all new prescriptions and at least every 30 days with refill prescriptions for?
Patient package inserts are required to be dispensed with all new prescriptions and at least every 30 days with refill prescriptions for?
The pharmacist should be alerted if a patient is allergic to sulfa and prescribed?
The pharmacist should be alerted if a patient is allergic to sulfa and prescribed?
The Red Book provides information about?
The Red Book provides information about?
Prescriptions for controlled substances from schedules 2, 3, and 4 must contain the following warning:
Prescriptions for controlled substances from schedules 2, 3, and 4 must contain the following warning:
The temperature of a refrigerator in a pharmacy should be?
The temperature of a refrigerator in a pharmacy should be?
The type of formulary that allows the pharmacy to obtain only drugs listed on the formulary with no exceptions is?
The type of formulary that allows the pharmacy to obtain only drugs listed on the formulary with no exceptions is?
The type of medication order for medication to be administered only on an as-needed basis is called a?
The type of medication order for medication to be administered only on an as-needed basis is called a?
The unique identifying number of a drug is called a?
The unique identifying number of a drug is called a?
Theft or loss of controlled substance must be recorded on DEA form?
Theft or loss of controlled substance must be recorded on DEA form?
When compounds are prepared from solids dissolved in water, the beyond-use date should not be later than ______ when stored in the refrigerator.
When compounds are prepared from solids dissolved in water, the beyond-use date should not be later than ______ when stored in the refrigerator.
The type of recall for drug products most likely to cause serious adverse effects or death is?
The type of recall for drug products most likely to cause serious adverse effects or death is?
Under HIPAA, who cannot have access to information about a patient's prescription?
Under HIPAA, who cannot have access to information about a patient's prescription?
Under the Combat Methamphetamine Epidemic Act, what is the maximum amount of pseudoephedrine that can be sold per month to an individual?
Under the Combat Methamphetamine Epidemic Act, what is the maximum amount of pseudoephedrine that can be sold per month to an individual?
Warfarin is a common?
Warfarin is a common?
What is the cost for 6 tablets of a drug if the cost for 100 tablets is $75.00?
What is the cost for 6 tablets of a drug if the cost for 100 tablets is $75.00?
Which type of mortar and pestle is recommended for mixing liquids and semisolids?
Which type of mortar and pestle is recommended for mixing liquids and semisolids?
When compounding parenteral, multi-dose vials?
When compounding parenteral, multi-dose vials?
What size of insulin syringe is needed to deliver a dose of 60 units?
What size of insulin syringe is needed to deliver a dose of 60 units?
Irrigation solutions are administered how?
Irrigation solutions are administered how?
Which class of drugs is used to treat elevated blood lipids?
Which class of drugs is used to treat elevated blood lipids?
Which dispensing code should be entered if a physician has ordered Coumadin DAW?
Which dispensing code should be entered if a physician has ordered Coumadin DAW?
Which drug does not require child-resistant packaging according to the Poison Prevention Packaging Act?
Which drug does not require child-resistant packaging according to the Poison Prevention Packaging Act?
If a laminar airflow workstation is turned off between aseptic processing sessions, how long should it run before it is used again?
If a laminar airflow workstation is turned off between aseptic processing sessions, how long should it run before it is used again?
Which drug is an NSAID?
Which drug is an NSAID?
Which information is not required by federal law on a prescription label?
Which information is not required by federal law on a prescription label?
Which medication is ordered using DEA form 222?
Which medication is ordered using DEA form 222?
Which of the following drugs is a controlled substance?
Which of the following drugs is a controlled substance?
Which of the following drugs is considered a diuretic?
Which of the following drugs is considered a diuretic?
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Study Notes
Pharmacy Practice and Regulations
- Only a pharmacist can accept a return call clarifying a prescription from a prescriber’s office.
- Pharmacy technicians cannot select OTC products for patients.
- Therapeutic duplication, such as ibuprofen and Anaprox DS prescribed simultaneously, should be reported to the pharmacist.
Inventory Management
- Inventory refers to the list of goods a business uses in operations.
- Orders must be manually checked for errors upon receipt to ensure accuracy.
- Item-by-item reconciliation is crucial for identifying incorrectly picked or damaged drugs.
Drug Administration and Prescribing
- IVPB (Intravenous Piggyback) is a small volume IV bag used for medication administration.
- Federal law requires a prescriber’s DEA number for prescriptions like Xanax.
- Isotretinoin is associated with the iPledge program for safety.
Drug Information and Storage
- Safety Data Sheets (SDS) provide crucial hazard and handling information about substances.
- Controlled substances prescriptions require warnings against transferring medication.
- Medications must be stored appropriately, with misbranded drugs needing return or destruction.
Calculations and Conversion
- For dosing calculations: 15 mg/kg/day for a 66 lb child equates to 900 mg.
- The maximum pseudoephrine allowed per transaction is 30 tablets based on formulation.
- A hydrocortisone cream requires 1200 mg of the powder for 60 g at 2% concentration.
Drug Interaction and Patient Safety
- Warfarin has a significant interaction with aspirin.
- Allergies, such as to sulfa drugs, must be monitored especially with prescriptions like Bactrim.
- Proper disposal of non-returnable medications must meet EPA regulations.
Compliance and Regulations
- HIPAA protects patient health information (PHI) and all pharmacy staff must be trained about it.
- Exempt narcotics are in DEA schedule V and regulated under strict sales limits.
- The CMEA sets daily and monthly limits on the OTC sales of products like pseudoephedrine.
Prescription Processing
- Ensure correct abbreviations used; "ss" means one-half.
- Be aware of Joint Commission's "Do Not Use" list, which includes abbreviations like "qd".
- Claims rejections can indicate formulary issues or incorrect patient information.
Compounding and Pharmacotherapy
- Aseptic techniques maintain sterility; compounding can influence beyond-use dates.
- The proper technique is required for mixing liquids, ideally using glass mortar and pestle.
- Pharmacists provide counseling as mandated by OBRA (Omnibus Budget Reconciliation Act).
Key Medications and Their Characteristics
- Recognize that antidepressants do not include diazepam.
- Sucrose concentrations are critical; a 20% solution requires 24g for 4 ounces.
- Common medications: Warfarin is an anticoagulant, while Furosemide is a diuretic.
Controlled Substance Regulations
- Theft or loss of controlled substances should be documented on DEA form 106.
- Use of a glass container for dispensing nitroglycerin sublingual tablets is standard.
- The DEA enforces the Controlled Substance Act, ensuring proper medication management.
Miscellaneous
- The temperature for drug storage, especially refrigerants, should be maintained between 40-42°F.
- The FDA regulates investigational medications for safety and efficacy.
- Improper claims handling must consider patient ID, including age for purchasing controlled substances.
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