PTCB Diagnostic Practice Test

1. What type of tip will you find on a syringe meant to hold a needle in place?

A. Luer lockB. GlassC. Slip-tipD. Reusable

2. Of the following drug classifications, which one would the drug fluoxetine be found in?

A. H2 receptor blockerB. Beta-blockerC. SSRID. ACE Inhibitors

3. Which category of drug would be indicated for the treatment of pain?

A. AntitussiveB. AnalgesicC. AntipyreticD. Antihyperlipidemic

4. Tenormin or atenolol would be in which classification of drug?

A. Proton pump inhibitorB. Angiotensin 2 receptor blocker (ARBS)C. ACE InhibitorsD. Beta-blockers

5. A leaflet required by the FDA to be dispensed with every prescription, which includes information about the drug, including indication and mechanism of action, is known as the:

A. MedWatchB. Patient package insert

C. Medication guideD. Tall Man lettering

6. Calculate the flow rate in drops per minute if a physician orders D5W/NS 1,000 mls over 12 hours, with an administration set that delivers 16gtt/ml.

A. 17 gtt/minB. 22gtt/minC. 30gtt/minD. 44gtt/min

7. An additional person covered under a member’s insurance plan is known as a:

A. SubscriberB. DependentC. DeductibleD. Reimbursement

8. A physician special-orders 120 g of 1.5% hydrocortisone cream. The pharmacy stocks 2.5% and 1% hydrocortisone creams. How much of each stock item will a technician need to prepare this compound correctly?

A. 80g of 1 % and 40 g of 2.5%B. 60 g of each strengthC. 80 g of 2.5% and 40 g of 2.5%D. 90 g of 1% and 30 g of 2.5%

9. Medications that are prepackaged into unit doses must have what information included on the label?

A. Patient’s name, dispense date, medication name, and directions for useB. Medication name and strength, lot number and directions for useC. Directions for use, medication name and strength, expiration dateD. Medication name and strength, lot number and expiration date

10. In which class of controlled medications is Percocet found, as indicated by the Controlled Substances Act (CSA)?

A. Schedule IB. Schedule IIC. Schedule IIID. Schedule IV

11. The following prescription is brought to the pharmacy: “Amoxil suspension 400 mg po tid x 10 days.” The pharmacy stocks 500mg/5ml amoxicillin suspension. What is the volume of medication needed to fill the entire prescription?

A. 60 mlB. 120 mlC. 240 mlD. 30 ml

12. Of the following solutions, which one is the least concentrated?

A. 1:100B. 1:500C. 1:1,000D. 1:1,500

13. A technician takes a phone call from a patient complaining that she doesn’t feel well a few hours after taking a new medication. She wants to know what the side offects are for her new medication. What should the technician do?

A. Ask the patient to hold while he or she looks up the side effects in a reference book.B. Tell the patient to lie down and wait for the side effects to wear off.C. Put the patient on hold and notify the pharmacist of the situation.D. Tell the patient what the side effects are, since they are commonly known.

14. The retail price of a prescription is based on AWP, plus a markup and dispensing fee. Use the information below to determine the retail price of a prescription of 20 tablets, if a bottle of 100 has an AWP of $49.70 and a markup fee of 6%.AWP - $0 - $5.00 Dispensing Fee - $4.40AWP - $5.01 - $10.00 Dispensing Fee - $5.40AWP - $10.01 - $20.00 Dispensing Fee - $6.40AWP - $20.00 and up Dispensing Fee - $7.40

A. $11.49B. $15.34C. $9.94D. $15.94

15. How many 500 mg metronidazole tablets are needed to compound the following prescription: “metronidazole 6% 150 ml”?

A. 18B. 16C. 8D. 4

16. In the NDC number 00093-4150-10, what do the numbers “10” identify?

A. ManufacturerB. Package sizeC. ProductD. Strength

17. Which of the following medications is classified as an angiotensin 2 receptor blocker (ARB)?

A. GlipizideB. EnalaprilC. LosartanD. Atenolol

18. How many tablets will it take to fill the following prescription? “Amoxicillin 250mg 1 po tid x 14 days.”

A. 46B. 42C. 18D. 53

19. The portion paid by a patient, who has insurance, for a retail prescription is known as the:

A. Co-paymentB. DeductibleC. PremiumD. Tip

20. What is the total volume in milliliters of fluid needed if D5W is to run at 25ml/hr for 24 hours?

A. 425B. 500C. 250D. 600

21. The doctor order codeine gr ¼. How many milligrams is this equal to?

A. 15B. 30C. 60D. 90

22. How much dextrose would be found in a D5W 1,000 ml IV bag?

A. There are 5 g of dextrose in this bag.B. There are 50 g of dextrose in this bag.C. There are 250g of dextrose in this bag.D. There are 500g of dextrose in this bag.

23. What is the proper temperature for storing an item in the refrigerator?

A. Less than 36 degrees FahrenheitB. 2 to 8 degrees CelsiusC. 15 to 30 degrees CelsiusD. 59 to 86 degrees Fahrenheit

24. An example of a prescription dispensed that would require a medication guide is a(n):

A. AntibioticB. AntidepressantC. AntifungalD. Treatment for GERD

25. Which of the following classes of drug recalls indicates there is a strong likelihood that the drug will cause serious adverse effects or death?

A. Class IB. Class IIC. Class IIID. Class IV

26. Which of the following concepts refers to the protection of identity and health information of patients?

A. MoralityB. MortalityC. MotilityD. Confidentiality

27. A patient needs KCl 5 mEq IV. The pharmacy stocks 20mEq/ml in a 5 ml multi-dose vial. What will be the volume needed to provide the correct dose?

A. 4 mlB. 0.25 mlC. 5 mlD. 0.5 ml

28. According to the CSA, what is the maximum number of refills permitted for a schedule IV controlled substance?

A. 6 refills in six monthsB. 11 refills in one yearC. 5 refills in six monthsD. No refills allowed

29. What is the trade name for metformin?

A. GlucophageB. MicronaseC. GlucotrolD. Diabinese

30. 240 ml of a Zithromax 5% suspension contains how many milligrams of active ingredient?

A. 12 mgB. 120 mgC. 1,200 mgD. 12,000 mg

31. To ensure the correct medication was selected, what must always match on the prescription label and stock bottle?

A. NDC numberB. UPCC. Patient’s nameD. Pharmacy address

32. Which of the following medications is an H2 receptor antagonist?

A. LoratadineB. HyoscyamineC. RanitidineD. Clonidine

33. Gentamicin injection is given to a patient at 5mg/kg/day in three divided doses. If a patient weighs 144 lb, what would be the approximate strength of a single dose?

A. 109 mgB. 110 mgC. 327 mgD. None of the above

34. If a patient calls for refills of the Tenormin and Glucotrol, which of the following combinations of medications would be needed to fill the order?

A. Enalapril and MetforminB. Atenolol and GlyburideC. Atenolol and GlipizideD. Enalapril and Glipizide

35. How many 125 mg doses of Vancocin can be withdrawn from a 1 g vial?

A. Eight dosesB. Six dosesC. Nine dosesD. Four doses

36. Which of the following needles has the largest bore or diameter?

A. 29 gaugeB. 16 gaugeC. 27 gaugeD. 23 gauge

37. The laminar flow hood should remain on at all times. If it shut off, how long must it be left on before pharmacy staff can compound products in it?

A. 45 minutesB. One hourC. 15 minutesD. 30 minutes

38. Which of the following is the correct way to indicate a patient is to receive two tenths of a milligram dose?

A. 0.2 mgB. .2 mgC. .20 mgD. 0.2 g

39. Approximately how many milliliters of a 1:250 stock solution will be needed to make 240 ml of 1:5,000 solution?

A. 6B. 12C. 18D. 24

40. If a patient is allergic to amoxicillin, what class of antibiotics should be listed under the patient profile as should not be taken?

A. PenicillinB. MacrolidesC. SulfonamidesD. Tetracyclines

41. In order for patients to properly adhere to a prescribed drug regimen, they should be encouraged to ask for:

A. Early refillsB. Counseling from a technicianC. Counseling from a pharmacistD. Help from the insurance company

42. When a liquid is added to a powder formulation such as an oral antibiotic suspension, what do we call this?

A. TriturationB. LevigationC. ReconstitutionD. Mixation

43. When a patient’s primary insurance is billed first, ensuring that a claim is not overpaid or paid in duplicate, this is known as a:

A. PremiumB. Prior AuthorizationC. Coordination of benefitsD. Deductible

44. The practice of pharmacy is regulated by both federal and state law. Which one of the following federal laws requires the use of child-resistant packaging?

A. FD&C ActB. PPPAC. HIPPAD. OSHA

45. What would be the approximate-size container for the dispensing of 180 ml of liquid medication?

A. Two ouncesB. Four ouncesC. Six ouncesD. Eight ounces

46. A prescription reading “i-ii tabs qid prn pain” should have directions that state:

A. Take one or two tablets every six hours as needed.B. Take one or two tablets four times a day as needed.C. Take one or two tablets every six hours as needed for pain.D. Take one or two tablets four times a day as needed for pain.

47. What is one method of ensuring the correct patient receives the correct medication?

A. Bar-coding technologyB. CPOEC. DURD. Therapeutic equivalencies

48. To ensure that a laminar flow hood is working properly, how often should it be inspected?

A. SemiannuallyB. BiannuallyC. MonthlyD. Annually

49. A patient calls in asking for help because he has forgotten to take a dose of his medication and is not sure what to do. You tell him:

A. Not to worry, just to take the next dose when it is scheduled.B. To take the missed dose right away.C. To double the next dose.D. The pharmacist will be right with him, and allow the pharmacist to answer this

question.

50. Quality assurance includes:

A. Documented training and evaluation of pharmacy personnel.B. Programs for monitoring and evaluating products produced in the pharmacy.C. A written plan for corrective actions if problems are identified.D. All of the above.

51. The process of identifying issues that may require pharmacist intervention is known as:

A. OBRAB. FormularyC. Periodic Automation Replenishment (PAR)D. Drug Utilization Review (DUR)

52. The establishment of the Omnibus Budget Reconciliation Act (OBRA) in 1990 led to most states requiring which of the following?

A. The use of pharmacy techniciansB. The counseling of patients by pharmacistsC. The enactment of the Controlled Substances ActD. Inventory management of each pharmacy setting

53. One requirement of recertification is that the pharmacy technician must participate in how much continuing education?

A. 10 contact hours every yearB. 20 contact hours every yearC. 10 contact hours every two yearsD. 20 contact hours every two years

54. What size syringe should be used to give a 3.4 ml dose?

A. 1 mlB. 3 mlC. 5 mlD. 10 ml

55. A pharmacy technician could assist a patient with which of the following issues?

A. Possible drug interactionB. A side effect questionC. Product location in the pharmacyD. Product selection for a cold

56. Of the following organ systems, which one is associated with the term antitussive?

A. Endocrine systemB. Gastrointestinal systemC. Respiratory systemD. Urinary system

57. A rejected claim in which a preapproval was needed before an expensive brand name medication is dispensed is known as a(n):

A. Reimbursement systemB. Plan limitationC. DependentD. Prior Authorization

58. To prevent cross contamination, a counting tray should be swabbed with:

A. Distilled waterB. Sterile waterC. 70% IPAD. Normal saline

59. A list of approved or preferred drugs is known as a :

A. FormularyB. Third partyC. DeductibleD. Reimbursement

60. When storing an item at room temperature, how warm should the room be?

A. 36 to 46 degrees FahrenheitB. Greater than 30 degrees CelsiusC. 2 to 8 degrees CelsiusD. 15 to 30 degrees Celsius

61. What schedule of controlled substances does zolpidem fall under?

A. Schedule IIIB. Schedule IIC. Schedule IVD. Schedule V

62. How is a lot number used in the pharmacy?

A. To tell when a drug is no longer effectiveB. To ensure the correct product was selectedC. In case of a recallD. To verify manufacturing requirements

63. The maximum level of product stocked for inventory is known as the:

A. PAR levelB. PO levelC. FormularyD. P & T Committee

64. Protocols established in your pharmacy setting can be found where?

A. Pharmacy reference bookB. Pharmacy policy and procedures manualC. Facts and Comparisons

D. Pharmacy Protocol Manual (PPM)

65. If a product expires 06/14, this means it is good through:

A. 06/01/14B. 06/30/14C. 06/15/14D. Six months from the current date

66. A laminar flow hood should be cleaned using side-to-side motions from:

A. The front of the hood to the back toward the HEPA filter.B. The back of the hood to the front away from the HEPA filter.C. Up and down from the top of the hood to the bottom of the hood starting in the

back.D. Up and down from the top of the hood to the bottom of the hood starting in the

front.

67. What kind of error occurs when a drug is administered too early or too late?

A. Wrong dose errorB. Wrong drug errorC. Omission errorD. Wrong time error

68. You have Ceclor 250mg/5ml 200 ml. How many milliliters are needed to give a dose of 400mg?

A. 2 mlB. 4 mlC. 6 mlD. 8 ml

69. If the dose in question number 68 is “400 mg po q8h x 10 days,” what is the total volume needed to last the full ten days?

A. 100 mlB. 140 ml

C. 200 mlD. 240 ml

70. Which drug would be found in the classification of drugs called benzodiazepines?

A. ZolpidemB. MetoprololC. AlprazolamD. Azithromycin

71. The federal program that covers medical expenses for patients over the age of 65 is:

A. TRICAREB. MedicareC. MedicaidD. CHAMPVA

72. When entering a clean room, the first PPE that should be donned is:

A. GlovesB. GownC. Shoe coversD. Mask

73. How many tablets are needed for the following directions?

“vi po bid x 2d, iv po bid x 2d, ii po qd x 2d then dc”A. 24B. 34C. 44D. 54

74. At what distance within the laminar flow hood must all manipulations be performed?

A. 6 inchesB. 4 inchesC. 12 inchesD. 8 inches

75. Which form is used to order CII narcotics?

A. DEA Form 220B. DEA Form 121C. DEA Form 222D. DEA Form 200

76. Which medication is classified as a calcium channel blocker?

A. NitroglycerinB. EnalaprilC. AtenololD. Amlodipine

77. Which DEA number would not be valid for Dr. George Carswell?

A. BC3421234B. AC6782329C. AC3081421D. AC1355672

78. Which of the following medications is used to regulate the level of fluid in the body?

A. Anti-inflammatoryB. AntipyreticC. DiureticD. Benzodiazepine

79. The Orange Book is most commonly used to find what?

A. Direct pricesB. Manufacturers’ standardsC. Therapeutic equivalenceD. Generic equivalence

80. Another name for an insurance company is:

A. PremiumB. Third partyC. Self-payD. Ususal and customary

81. The amount that must be paid each year before benefits kick in is known as the:

A. Co-paymentB. DeductibleC. PremiumD. Coinsurance

82. A handout given for specific drugs or drug classes which highlights specific issues or possible side effects of a medication is known as a:

A. Patient package insertB. Quality assurance guideC. Medication guideD. MedWatch

83. Vicodin is the same as:

A. Acetaminophen with codeineB. Hydrocodone with codeineC. Oxycodone with acetaminophenD. Hydrocodone with acetaminophen

84. In some hospitals, what is utilized for electronic documentation of medication administration?

A. eMARB. drug databaseC. patient profileD. none of the above

85. An antibiotic injection given in a small volume of solution that is connected to main line IV is commonly known as an:

A. IV piggybackB. IV pushC. IV injectionD. IV transfusion

86. Which of the following is a purpose of pharmacy software in the retail setting?

A. To help reduce medication errorsB. Inventory ordering and processingC. To increase efficiencyD. All of the above

87. Of the following reference books, which one would be the most updated?

A. Facts and ComparisonsB. Physician’s Desk Referene (PDR)C. Remington’s Pharmaceutical SciencesD. United States Pharmacopeia Drug Information (USPDI)

88. Which of the following is an example of automated dispensing technology?

A. PyxisB. Third partyC. USP-797D. OBRA

89. A patient is on an insulin regimen of 40 units SC q am and 35 units SC q pm. How many vials will be needed to last 30 days?

A. One vialB. Two vialsC. Three vialsD. Four or more vials

90. Which of the following is a way to help prevent a calculation error in the pharmacy?

A. Double-check all completed workB. Reference any conversions instead of relying on memory

C. Have another person check through all calculationsD. All of the above