Pharm Made Easy Practice Exam 2016 B

Pharmacy Law and Regulation

1. Which of the following is used to report medication quality problems?

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The MedWatch Form can be obtained from the FDA to report serious adverse events, quality problems or product use errors associated with FDA regulated products.  The form is used to voluntarily report medication problems to the FDA.

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2. How many refills are allowed on CIII drugs?

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CIII drugs can have up to 5 refills and are refillable up to 6 months.  Some examples of CIII drugs include Vicodin and Xanax.

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Medication Order Entry, Interpretation and the Fill Process

3. A 60 day supply for a prescription for Colace 100 mg capsule taken bid should be filled with ___.

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The correct answer is 120 capsules because the prescription is for a 60 day supply and directions are one capsule twice daily (bid).  In other words, 1 x 2 x 60 = 120.

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4. A PRN order is an order for a medication that is used on a(n) ________ basis in a hospital.

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PRN is a medical term that means "as needed."  PRN orders are requests for mediation that is not used on a routine basis.  Instead PRN medications are used only when the patient needs it, such when Phenergan is used for nausea and vomiting.

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Pharmacology for Technicians

5. Pharmacy technicians can refer to the _______ Book to find out of if two drugs are equivalent.

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The primary reference for therapeutic equivalence is the FDA's Approved Drug Products with Therapeutic Equivalence Evaluations, commonly known as the Orange Book.  It is the official source that provides standards, which dictate drug equivalence.

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6. What is the nature of a drug idiosyncrasy?

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Unexpected responses to medications are called idiosyncrasies or idiosyncratic effects.

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Compounding Procedures and Safety

7. Before, after, and throughout each shift, pharmacy technicians should wash their hands with an anti-microbial agent for at least _____.

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Pharmacy technicians should always wash their hands for at least 30 seconds, allowing the friction and antimicrobial agent to thoroughly clean the hands and arms.

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8. Which of the following defines a solvent?

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The larger part of a solution is called the "solvent."  A solvent is a substance, usually a liquid, that dissolves another substance to make a solution.

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Calculations

9. A physician order for a 120 mg dose of Gentamycin 40mg/mL should be filled with ______ of Gentamycin.

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The correct answer is 3 mL because for every 1 mL of Gentamycin medication there are 40 mg.  40 mg x 3 equals 120 mg, which is the same as desired dose of 120 mg.

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10. There are ______ ounces (oz.) in a pound (lb).

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There are 16 ounces in a pound.  This is a common conversion that is used when weighing material on a scale.

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Anatomy and Physiology

11. Epilepsy is caused by excessive ______ activity within the brain.

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Excessive electrical activity within the brain can cause seizures.  Grand mal seizures involve convulsions and can include unconsciousness.  Petit mal seizures do not involve convulsions but may include periods of stupor.

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12. Which age ranges defines a neonate?

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A neonate is a newborn baby who is 1 month old or less.  After a baby reaches the age of 1 month, it is then considered an "infant."

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Inventory Management and Quality Assurance

13. While working in a pharmacy, a technician can locate storage requirements for a particular drug in which resource?

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The United States Pharmacopeia and National Formulary provides standards for storage.  Details such as light, ventilation, sanitation, and temperature are also provided.

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14. Augmentin suspension should be _________ and it will last for ___________ days.

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Augmentin suspension should be refrigerated and it lasts for ten days.

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Medication Administration

15. The seven rights of medication include all of the following EXCEPT_______________.

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The seven rights of medication include the right patient, dose, time, route, technique, drug and documentation.  Gender is not one of the seven rights.

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16. After administering a drug, the time when the body first starts to respond to the medication is called:

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The onset of action is the time after a drug administration in which the body initially responds to the medication. Some drugs may have a rapid onset of action but a short half-life, while others may have a slower onset, but their effects last longer.

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Professionalism

17. A patient asks a pharmacy technician if it is okay to drink grapefruit juice every day while taking a Coumadin. A pharmacy technician should _______.

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Even though the pharmacy technician may know the answer to a patient's question, the pharmacy technician should refer the patient to a pharmacist because pharmacy technicians are not allowed to counsel patients on drug interactions.

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18. What should countertops in I.V. rooms be cleaned with?

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Isopropyl Alcohol should be used to clean countertops, as well as the laminar flood hood, and gloves in between I.V. admixtures.

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Equipment

19. Laminar flow hoods require ________ filters for use.

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HEPA filters should be used with laminar flow hoods

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20. Which scales are sensitive enough to measure a 650 mg to 120 g?

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The ability to accurately balance product is extremely important in compounding.  The Class B balance measures 650 mg to 120 g.  The Class A balance is only required to be sensitive enough to measure 120 mg to 15 g.

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Billing and Reimbursement

21. Medicare ___ provides prescription coverage.

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Medicare Part D provides prescription drug coverage.

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22. What three components are needed to bill a pharmacy claim?

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In order to bill a patient's insurance you must have the BIN and PCN to ensure proper routing of the claim as well as the member ID number to identify patient specific benefits. Even if the patient does not have their card, benefit information can still be obtained if they are able to provide these three key pieces of information.

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