Pharmacy Practice Quiz

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Questions and Answers

If an infant weighs 22 lb, what dose of morphine will he receive if ordered 0.1 mg/kg every 8 hours?

  • 22 mg
  • 0.1 mg
  • 1 mg
  • 2.2 mg (correct)

What is the flat fee paid for brand-name medication called?

  • Coinsurance
  • Co-payment (correct)
  • Profit
  • Markup

What does the middle set of digits of an NDC number identify?

  • A medication's package size and lot number
  • A medication's manufacture date and expiration date
  • A medication's manufacturer and distributor
  • A medication's strength, dosage form, and formulation (correct)

What is the correct order of aseptically cleaning hands and arms?

<p>Palms, fingers, nails, forearms, webbing, backs (B)</p> Signup and view all the answers

What is a duty only the pharmacist is allowed to perform according to most states?

<p>Counsel patients on a prescription refill (B)</p> Signup and view all the answers

How many pints are in a 1-gallon container of Colyte?

<p>8 (C)</p> Signup and view all the answers

Which duty is a hospital pharmacy technician allowed to perform for intravenous ondansetron?

<p>Prepare Mr. Jenkins' intravenous ondansetron order (B)</p> Signup and view all the answers

Which medication is used to treat heart failure from Mrs. Lieb's medications?

<p>Metoprolol tartrate (C)</p> Signup and view all the answers

How much medication should be dispensed to complete the therapy for Prednisone 20 mg tablets?

<p>47 tablets (A)</p> Signup and view all the answers

Which insurance program is managed by the federal government for people 65 years and older?

<p>Medicare (A)</p> Signup and view all the answers

Which of these options is correct?

<p>Notice of Privacy Practice (B), MedGuide (C), VIS (D)</p> Signup and view all the answers

Which dosage form involves placing the medication between the cheek and gum?

<p>Buccal (C)</p> Signup and view all the answers

When a patient is required to see a primary care physician in their network, the patient likely has which type of insurance?

<p>Health maintenance organization (C)</p> Signup and view all the answers

How should the adverse effect of nausea to Percocet be recorded in Ms. Singh's patient profile?

<p>Enter 'sensitivity to oxycodone/acetaminophen - N/V' in the comments section. (B)</p> Signup and view all the answers

Which Medicare Part will most likely cover the cost of Mr. Walter's medication?

<p>Part D (D)</p> Signup and view all the answers

What is the sensitivity requirement of a class A torsion balance?

<p>+/- 6 mg (A)</p> Signup and view all the answers

Where will Mr. Meeks' Toujeo prescription be found?

<p>In the refrigerator (A)</p> Signup and view all the answers

Which reporting system is specific to collecting information about adverse events related to vaccines?

<p>VAERS (A)</p> Signup and view all the answers

Which medication should be dispensed in its original packaging to prevent accidental exposure to an unborn fetus during the filling process?

<p>Finasteride (A)</p> Signup and view all the answers

Which medication is a PPI (Proton Pump Inhibitor)?

<p>Omeprazole (D)</p> Signup and view all the answers

What should you look for when pulling products out of the bins after a new warehouse order is delivered?

<p>Damaged items (A)</p> Signup and view all the answers

Which topical dosage form is good for hairy areas on the body?

<p>Gel (C)</p> Signup and view all the answers

Which flow hood is completely sealed and can be used to compound chemotherapy?

<p>CSTD (B)</p> Signup and view all the answers

Which auxiliary label should be applied to an azithromycin prescription during the filling process?

<p>Separate from calcium and magnesium (A)</p> Signup and view all the answers

What is the best way to ask a patient for medication allergy information?

<p>What medications are you allergic to? (A)</p> Signup and view all the answers

Which drug class does naproxen belong to?

<p>NSAID (B)</p> Signup and view all the answers

According to federal law, which medication must be packaged in a child-resistant container?

<p>Ambien (B)</p> Signup and view all the answers

What type of insurance allows Mrs. Taylor to choose her own healthcare providers?

<p>PPO (A)</p> Signup and view all the answers

After verifying Mr. Donovan's date of birth, which second identifier should you ask for?

<p>Insurance ID number (C)</p> Signup and view all the answers

What color sharps container is usually meant for non-hazardous used needles?

<p>Red (C)</p> Signup and view all the answers

Which auxiliary label should be applied to a doxycycline prescription during the filling process?

<p>May cause sun sensitivity (A)</p> Signup and view all the answers

Which medication when taken with hydrocodone/acetaminophen may cause difficulty breathing, sedation, and even death?

<p>Lorazepam (A)</p> Signup and view all the answers

Flashcards

What is the purpose of the middle digits of an NDC number?

The middle part of the NDC number, which identifies a medication's strength, dosage form, and formulation

What is a co-payment?

A co-payment is a flat fee that patients pay for picking up their medications.

What is the proper hand-washing sequence for aseptic technique?

The correct hand hygiene sequence involves washing all surfaces of the hands, including the palms, fingers, nails, forearms, webbing between fingers, and backs of the hands.

Who can counsel patients on prescription refills?

Only pharmacists can counsel patients on prescription refills.

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Who is typically responsible for the final check of IV medications?

Pharmacists are generally responsible for the final verification of intravenous medication preparations, while pharmacy technicians typically do not perform this task.

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What is Metoprolol tartrate used for?

Metoprolol tartrate is a medication used to treat heart failure.

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What is the generic name for Plavix?

The generic name for Plavix is Clopidogrel.

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What is coordination of benefits?

Coordination of benefits is a process used when a patient has two insurance plans and helps determine how each insurance will cover the cost.

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What is Medicare?

Medicare is a federal program that provides healthcare coverage for people aged 65 and older.

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What is the maximum amount of pseudoephedrine that can be purchased without a prescription?

Federal regulations allow the sale of up to 3.6 grams of pseudoephedrine without a prescription.

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How long must pharmacy records for controlled substances be kept?

Pharmacy records for controlled substances must be kept for 2 years, according to regulations.

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What are auxiliary labels?

Auxiliary labels are added to medication bottles or containers to provide patients with important information about side effects or how to take the medication properly.

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What is the proper disposal procedure for controlled substances?

Proper disposal of medications, especially controlled substances, must be logged according to DEA regulations for safety and accountability.

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Where can you find information about expired methotrexate?

Safety data sheets (SDS) provide information on expired methotrexate, including potential hazards or handling procedures.

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Why is verifying the patient's date of birth important for prescription pickup?

Verifying the patient's date of birth is essential for prescription pickup to confirm their identity and ensure the medication is being dispensed to the correct person.

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What should patients avoid when taking MAO inhibitors?

Patients taking MAO inhibitors must avoid caffeine due to the risk of dangerous interactions, like increased heart rate or blood pressure.

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What extra precautions are needed when dispensing vincristine?

Vincristine prescriptions need to be handled with extra care and strict adherence to dispensing guidelines to prevent errors or accidental overdoses.

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What is the beyond-use date for multi-dose sterile medications?

Multi-dose sterile medications have a beyond-use date, even if it's not explicitly stated. This date ensures that the medication remains safe and effective after opening or reconstitution.

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What is the sensitivity requirement for class A torsion balances?

The sensitivity requirement for class A torsion balances is +/- 6 mg. This means that the balance should be able to accurately measure weights within a 6 mg range.

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What is terbinafine used for?

Terbinafine is an antifungal medication used to treat fungal infections.

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How are cough syrup dosages often measured?

Dosage instructions for cough syrup often involve conversion to teaspoons, as this measurement unit is more commonly used for liquid medications.

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What is the ideal storage temperature for most medications?

The optimal storage temperature for most medications is between 59°F and 86°F, commonly referred to as 'room temperature.'

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What are sharps containers used for?

Sharps containers are used to properly dispose of needles and syringes safely, minimizing the risk of accidental needle sticks and infections.

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What is an ADC?

An Automatic Dispensing Cabinet (ADC) is a computerized device used to store and dispense medications, offering a secure and efficient system for inventory management.

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What is the Orange Book used for?

The Approved Therapeutic Equivalence Evaluations (Orange Book) is a reference used by pharmacists to determine if generic medications are equivalent to brand-name medications.

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Where might medications be stored?

Medications may be stored in various locations, including refrigerators and freezers, to maintain their stability and effectiveness.

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What reporting systems are used for adverse events from medications?

MedWatch and VAERS are reporting systems used for reporting adverse events and reactions from medications. These systems help monitor the safety of medications and identify potential problems.

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Why is it important to keep certain medications in their original packaging?

Some medications, like finasteride, should remain in their original packaging during dispensing to minimize exposure to the active ingredient, which can be absorbed through the skin.

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What type of containers are required for medications?

Federal regulations mandate child-resistant containers for medications, particularly those that could be dangerous if taken by children.

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What type of medication is omeprazole?

Omeprazole is classified as a Proton Pump Inhibitor (PPI), which is a type of medication used to treat gastrointestinal conditions, such as heartburn and ulcers.

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What type of drug is naproxen?

Naproxen is categorized under the class of nonsteroidal anti-inflammatory drugs (NSAIDs), commonly used for relieving pain and inflammation.

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What are some common topical medication formulations?

Topical medications can be formulated into various forms, such as gels, creams, and ointments, to deliver the medication effectively and efficiently to different body areas.

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What is a Biological Safety Cabinet (BSC) used for?

A Biological Safety Cabinet (BSC) is an essential piece of equipment for compounding chemotherapy medications, providing a sealed and controlled environment to protect both the compounder and the medication from contamination.

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Why are specific auxiliary labels added to medications?

Specific auxiliary labels are often included when dispensing certain medications, such as azithromycin, to provide important information about potential interactions with certain foods or other medications.

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How should you ask patients about medication allergies?

When questioning patients about medication allergies, it's best to use direct and clear questions like “What medications are you allergic to?” to prevent any confusion or misinterpretation.

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What is a PPO plan?

A Preferred Provider Organization (PPO) plan allows individuals like Mrs. Taylor a greater degree of freedom to choose their healthcare providers.

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What is another way to verify a patient's identity during prescription pickup?

During prescription pickup, confirming a second identifier, like the prescription number, alongside the patient's name is crucial to ensure you're dispensing the medication to the correct person.

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What is the proper disposal method for non-hazardous sharps?

Non-hazardous sharps, like syringes and needles that have not been in contact with hazardous substances, are typically disposed of in red containers to maintain proper waste management within a pharmacy.

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What is a significant drug interaction to be aware of?

Combining hydrocodone/acetaminophen with lorazepam can increase the risk of severe sedation and respiratory depression due to their synergistic effects.

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Study Notes

Dosage and Administration

  • Morphine dose for infants: 0.1 mg/kg every 8 hours; for a 22 lb infant, total dose is 1 mg.
  • Hydroxyzine ordered at 10 mg every 6 hours; for a 24-hour period, fill 4 tablets.
  • Infusion rate for 3 L of PN in 24 hours is 125 mL/hr.
  • Morphine tablets 15 mg, sig: 1 tab po q6h, results in a days' supply of 75.
  • Dosage of clotrimazole in 60 grams of 1% cream totals 0.6 grams.

Medication Fees

  • Flat fee for medication pickup is known as a co-payment.

NDC Numbers

  • Middle digits of an NDC number represent a medication's strength, dosage form, and formulation.

Aseptic Techniques

  • Correct hand cleaning sequence includes palms, fingers, nails, forearms, webbing, and backs.

Pharmacist Responsibilities

  • Only pharmacists may counsel patients on prescription refills.
  • Final checking of intravenous medications typically not within the pharmacy technician's duties.

Medication Conversions and Pharmacology

  • 1 gallon equals 8 pints.
  • Metoprolol tartrate is used to treat heart failure.
  • Generic name for Plavix is Clopidogrel.

Insurance and Benefits

  • Coordination of benefits applies when a patient has two insurance plans.
  • Medicare is a federal program that covers individuals aged 65 and above.

State and Federal Laws

  • According to federal law, 3.6 grams of pseudoephedrine can be sold without a prescription.
  • Pharmacy records for controlled substances must be kept for 2 years.

Safety Regulations

  • Auxiliary labels inform patients about side effects and proper medication use.
  • Disposal of medications must be logged as per DEA regulations for controlled substances.

Prescription Management

  • Information about expired methotrexate can be found in a safety data sheet.
  • Verify the patient's date of birth for prescription pickup to ensure proper identification.

Drug Interactions and Management

  • Patients must avoid caffeine when on MAO inhibitors due to dangerous interactions.
  • Vincristine prescriptions require strict adherence to dispensing guidelines to prevent errors.

Compounding and Pharmaceutical Practices

  • Multi-dose sterile medications have a beyond-use date if not stated.
  • Sensitivity requirement for class A torsion balance is +/- 6 mg.

Medical Conditions and Treatments

  • Terbinafine treats fungal infections.
  • Dosage instructions for cough syrup typically require conversion to teaspoons.

Medication Storage and Handling

  • Room temperature for medications is 59°F to 86°F.
  • Sharps containers are essential for proper disposal of needles and syringes.

Additional Pharmacy Knowledge

  • A computerized device for storing and dispensing medications is known as ADC.
  • The approved therapeutic equivalence evaluations reference assists in determining generic substitutions.### Medication Storage and Handling
  • Medications may be stored in various locations such as the refrigerator or freezer, emphasizing the importance of specific storage conditions.
  • Medications like Shingrix may cause adverse reactions; reporting systems such as MedWatch or VAERS are designated for these events.

Adverse Events Reporting

  • MedWatch and VAERS are key systems for reporting adverse effects from medications. These systems ensure patient safety and monitor drug performance.

Medication Packaging and Safety

  • Certain medications, like finasteride, should remain in original packaging to prevent exposure risks during dispensing.
  • Medications must also be provided in child-resistant containers as mandated by federal law to enhance safety.

Drug Classification and Formulation

  • Omeprazole is classified as a Proton Pump Inhibitor (PPI), crucial for treating gastric issues.
  • Naproxen is categorized under NSAIDs, used for pain relief and inflammation.
  • Different topical dosage forms serve various functions; for example, gels are well-suited for hairy body areas.

Compounding and Pharmacy Equipment

  • Biological Safety Cabinet (BSC) is essential for compounding chemotherapy due to its sealed environment ensuring safety and contamination control.

Auxiliary Labels and Patient Communication

  • Specific auxiliary labels are necessary during the filling process; for azithromycin, include instructions on interaction with calcium and magnesium.
  • When inquiring about medication allergies, it's best to use direct questions like “What medications are you allergic to?” for clarity.

Insurance Types and Patient Identification

  • Individuals like Mrs. Taylor with the option to choose healthcare providers likely have a PPO plan, known for its flexibility.
  • During prescription pickup, confirming a second identifier such as the prescription number is critical for patient verification.

Sharps Disposal

  • Non-hazardous sharps are typically disposed of in red containers, highlighting the need for appropriate waste management in pharmacies.

Drug Interactions

  • Concurrent use of hydrocodone/acetaminophen with lorazepam may increase the risk of severe side effects, including sedation and respiratory depression.

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