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478 Cards in this Set

  • Front
  • Back

"combining simpler chemicals into more complex ones, creating a new chemical not found in nature."

Synthectic
"a cure-al"
Panacea
"a substance that acts against a toxin in the body."
Antitoxin
"a substance that harms or kills microorganisms like bacteria and fungi."
Antibiotic
"chemicals produced by the body that regulate body functions and processes."
Hormones
"the complete set of genetic material contained in a human cell."
Human Genome
"the study of physical, chemical, biochemical, and biological properties of drugs as well as the search for new drugs from natural sources."
Pharmacognosi
"information that is entered into and stored in a com- puter system."
Data
"generally pharmacology ,but also refers to the drugs in use."
Materia Medica
"of or about drugs; also, a drug product."
Pharmaceutical
"1. The first physician known by name was
a. Prometheus.
b. Hippocrates.
c. Imhotep.
d. Aesculapius."
Imhotep
"2. Hippocrates’ approach to medicine was based on
a. superstition.
b. careful observation.
c. astrology.
d. animal behavior."
Careful Observation
"3. The ancient Greek goddess of Medicinal Herbs was
a. Pandora.
b. Panacea.
c. Hippocrates.
d. Euphrates."
Panacea
"4. Derived from the bark of a Peruvian tree, Jesuit’s powder, used with other preventive measures, helps keep this disease under control.
a. smallpox
b. malaria
c. polio
d. tuberculosis"
Malaria
"5. Aspirin is made from salicylic acid from the bark of the ___________________ tree.
a. white willow
b. cinchona
c. tea
d. fig"
White Willow
"6. ____________________ was the first effective local anesthetic.
a. Quinine
b. Cocaine
c. Heroin
d. Morphine"
Cocaine
"7. From 200 B.C., an early forerunner to the FDA approved drug list
a. De Materia Medica
b. Papyrus Ebers
c. Pen Tsao Kang Mu
d. Shen Nung Pen Tsao"
Shen Nung Pen Tsao
"8. The __________ from ______ is an 1,100- page scroll document containing about 800 prescriptions using 700 drugs mostly derived from plants.
a. Pen Tsao, 200 B.C.
b. herbal, 200 B.C.
c. Papyrus Ebers, 1500 B.C.
d. De Materia Medica, 77 B.C."
Papyrus Ebers, 1500 B.C.
"9. The first great book of Indian medicine describing over 500 herbal drugs that had been used for centuries was written in
a. 500 B.C.
b. 500 A.D.
c. 100 A.D.
d. 1000 A.D."
100 A.D.
"10. The Persian Rhazes who wrote one of the most popular textbooks of medicine in the middle ages was a man of science and
a. an alchemist.
b. a sorcerer.
c. a politician.
d. a god."
An Alchemist
"11. __________ was a(n) ______ physician who wrote a five volume encyclopedia in _____, one of which was devoted to natural medicines and another compounding drugs from individual medications.
a. Li Shi Zen, Chinese, 1580 A.D.
b. Zabdiel Boylston, colonial, 1721 A.D.
c. William Withering, British, 1785 A.D.
d. Avicenna, Islamic, 1000 A.D."
Avicenna, Islamic, 1000 A.D.
"12. The first operation with general anesthesia used
a. digitalis.
b. morphine.
c. ether.
d. cocaine."
Ether
"13. ____________________________ showed that heat can be used to kill microorgan- isms associated with food spoilage.
a. Pasteur
b. Banting and Best
c. Watson and Crick
d. Fleming"
Pasteur
"14. ______________________ discovered penicillin could kill some bacteria.
a. Banting and Best
b. Watson and Crick
c. Fleming
d. Marker"
Fleming
"15. _________________________ are substances produced by the body to regulate body functions and processes.
a. Hormones
b. Antitoxins
c. Antibiotics
d. Genomes"
Hormones
"16. _____________________________ identified the structure of DNA.
a. Watson and Crick
b. Banting and Best
c. Serturner
d. Koller"
Watson and Crick
"17. The pharmaceutical manufacturing industry devotes about _____________ of its income to research and development.
a. 1/10
b. 1/6
c. 1/3
d. 1/2"
1/6
"18.____________________ protect(s) against illegal copying of new discoveries.
a. Generics
b. Brand names
c. Patenting
d. The FDA"
Patenting
"19. The FDA is required to
a. ensure that a drug is safe and effective for its intended use.
b. to monitor a drug after it is marketed to ensure it works as intended.
c. to monitor a drug for any adverse effects.
d. all of the above."
All of the Above
"20. The length of time from the beginning of development of a new drug to FDA approval is often more than ___________ years.
a. two
b. five
c. ten
d. twenty"
Ten (10)
"21. The first vaccine to target a cause of cancer:
a. smallpox
b. cowpox
c. diphtheria
d. Gardasil"
Gardisil
"22. The Omnibus Budget Reconciliation Act (OBRA) requires pharmacists to provide
a. counseling services to all patients.
b. mail-order medication to Medicaid
patients.
c. counseling services to Medicaid
patients.
d. HMO coverage to all patients."
Counseling Services to Medicaid patients
"23. To become a pharmacist in the United States,
a. an individual must graduate from an accredited college of pharmacy, pass a state licensing exam, and perform experiential training working under a licensed pharmacist.
b. an individual must graduate from a nonaccredited college of pharmacy and pass a state licensing exam.
c. no internship experience is required unless the pharmacist intends to practice in community pharmacy.
d. an individual must graduate from an accredited college of pharmacy, and perform an internship working under a licensed pharmacist, however, no examination is required."
An individual must graduate from an accredited college of pharmacy, pass a state licensing exam, and perform experiential training working under a licensed pharmacist
"24. The area of greatest employment for pharmacists is
a. hospitals.
b. mail order operations.
c. community pharmacies.
d. managed care."
Community pharmacies
"25. Medicare Modernization Act (MMA) expanded the role of the pharmacist to include
a. counseling.
b. MTM services.
c. home delivery.
d. dispensing."
MTM Services
"26. In managed care, care is managed by a(an)
a. patient.
b. physician.
c. pharmacist.
d. insurer."
Insurer
"27. Pharmacy computer systems generally offer
a. labeling.
b. pricing.
c. prescriber profile.
d. all of the above."
All of the above
"28. Information that is entered and stored into a computer, such as a patient’s name, is called
a. product.
b. inventory.
c. data.
d. billing."
Data
"a. what individuals may and may not do in their jobs."
Scope of Practice
"b. an assessment of one’s personal characteristics, skills, qualities, etc."
Personal Inventory
"c. the requirement of health-care providers to keep all patient information private among the patient, the patient’s insurer, and the providers directly involved in the patient’s care."
Confidentiality
"d. being qualified and capable to perform a task or job."
Competent
"e. a legal proof or document that an individual meets cer- tain objective standards, usually provided by a neutral professional organization."
Certification
"f. individuals who are given a basic level of training designed to help them perform specific tasks."
Technicians
"g. individuals who receive extensive and advanced levels of education before being allowed to practice, such as physicians and pharmacists."
Professionals
"1.______________ are individuals who are given a basic level of training designed to help them perform specific tasks.
a. LPNs
b. DOs
c. Professionals
d. Technicians"
Technicians
"2. In pharmacy, technicians perform essential tasks that do not require _______________ skill or expertise.
a. the clerk’s
b. the pharmacist’s
c. scientific
d. mathematical"
The pharmacists
"3. Specialized technician jobs in hospitals have ______________ compensation than entry level positions.
a. less
b. about the same
c. greater"
Greater
"4. Specific responsibilities and tasks for pharmacy technicians differ by setting and are described in writing by each
a. technician.
b. local police department.
c. employer.
d. state board of pharmacy."
Employer
"5. The pharmacy technician can do the fol- lowing functions except
a. take patient information.
b. fill prescription orders.
c. compound prescription orders.
d. advise patients on medications."
Advise patients on medications
"6. What individuals may and may not do on their jobs is referred to as their
a. job responsibilities.
b. scope of practice.
c. opinion.
d. employee guidelines."
Scope of practice
"7. The term that describes making an accounting of items on hand is a/an
a. policy.
b. inventory.
c. ordering.
d. reordering.
Inventory
"8. The Health Insurance Portability and Accountability Act of 1996
a. governs how often insurance companies can merge with each other.
b. makes insurers accountable to patients for reimbursement of approved medi- cal costs.
c. is a set of general rather than legal guidelines regarding the privacy of patient health information.
d. requires health-care providers to be responsible for the privacy and security of a patient’s protected health information."
requires health-care providers to be responsible for the privacy and security of a patient’s protected health information
"9. Under HIPAA, PHI stands for
a. Personal Health Information.
b. Protected Health Information.
c. Professional Health Information.
d. Programmed Health Information."
Protected Health Information.
"10. Pharmacy technicians should be detail oriented. This means
a. patients must receive medications exactly as they have been prescribed.
b. an incorrect strength will always be detected by the pharmacist.
c. technicians do not need to be careful because the pharmacist is supposed to find and correct all technician errors.
d. it is unusual for a technician to pay attention to details."
Patients must receive medications exactly as they have been prescribed.
"11. Good hygiene is important for pharmacy technicians because of the interactions with other persons and the expectation of performing in ________________ conditions.
a. warm
b. cold
c. infection free
d. sunny"
infection free
"12. Pharmacy technicians must be capable and competent in mathematics and prob- lem solving because
a. all medications that are available on prescription cannot lead to overdose death.
b. pharmacists always check their work. c. all medications come premixed and
prepackaged.
d. mathematical calculations are rou-
tinely used."
mathematical calculations are routinely used.
"13. Pharmacy technicians must be capable and competent with computer skills because
a. pharmacists will check their data entry.
b. pharmacists do all of the computer work.
c. pharmacists should operate the com- puter.
d. technicians regularly use computers."
technicians regularly use computers
"14. Pharmacy technicians must be capable and competent in the area of interper- sonal skills. This means
a. they must be able to communicate, cooperate, and work effectively.
b. they must socialize with their co- workers.
c. the pharmacist should obtain all con- fidential information from the patient. d. they must "
they must be able to communicate, cooperate, and work effectively.
"15. Training and certification requirements for pharmacy technicians are set by
a. each state’s board of pharmacy.
b. the ASHP
c. the PTCB.
d. the federal government."
each state’s board of pharmacy.
"16. The _____ is the leading association for pharmacists practicing in hospitals and other health-care systems.
a. ASHP
b. PTCB
c. PTEC
d. APhA"
ASHP
"17._________________ typically monitor and document competency of pharmacy technicians.
a. Employers
b. Technicians
c. Pharmacists
d. PTCB"
Employers
"18. Any complaints received regarding an employee’s employment
a. are discarded after two weeks.
b. are discarded after one year.
c. are discarded within one week after
the complaint was received.
d. may be kept in the employee’s performance/personnel file."
may be kept in the employee’s performance/personnel file.
"19. Training that occurs in actual workplace settings is called
a. performance-based training.
b. on-the-job training.
c. community college training.
d. certified training."
on-the-job training.
"20. _________________ is another term for being qualified and capable.
a. Realistic
b. Competent
c. Professional
d. Technical"
Competent
"21. In the United States, two organizations that performs pharmacy technician certifi- cation are the
a. APhA and ASHP.
b. PTCB and NHA.
c. ASHP and PTEC.
d. PTEC and APhA."
PTCB and NHA.
"22. The ExCPT exam contains _______ multiple choice questions.
a. 90
b. 100
c. 110
d. 120"
110
"23. To take the PTCE exam, candidates
a. need only submit an application form.
b. must be working at a pharmacy.
c. need to have completed an ASHP
accredited training program.
d. must have a high school diploma or GED by the application deadline and have never been convicted of a felony or a pharmacy or drug-related
misdemeanor."
must have a high school diploma or GED by the application deadline and have never been convicted of a felony or a pharmacy or drug-related
misdemeanor.
"24. Certification must be renewed every
a. three years.
b. year.
c. two years.
d. four years."
Two years
"25. After passing a pharmacy technician national certification exam, pharmacy technicians may use the following desig- nation after their name:
a. PT
b. RPhT
c. CPhT
d. none of the above"
CPhT
"26. CPhTs need _____________ of continu- ing education every _______________ years to renew certification.
a. 30 hours, 2
b. 10 hours, 1
c. 30 hours, 3
d. 20 hours, 2
20 hours, 2
"27. Continuing education for CPhTs must contain ___________ in pharmacy law every __________ years.
a. one hour, one
b. two hours, one
c. one hour, two
d. two hours, two
one hour, two
"a. medications with habit-forming ingredients that can be dispensed without a prescription by a pharmacist to persons at least 18 years of age."
Exempt Narcotics
"b. any drug that requires a prescription and this legend on the label: Rx only."
Legend Drug
"c. failing to do something you should have done."
Negligence
"d. important associated information that is not on the label of a drug product itself."
Product labeling
"e. legal responsibility for costs or damages arising from misconduct or negligence."
Liability
"f. status of medications like Plan B® that are classified as both prescription and OTC drugs."
Dual Marketing
"g. the action taken to remove a drug from the market and have it returned to the manufacturer."
Recall
"h. the mark (CII–CV) that indicates the control category of a drug with a potential for abuse."
Controlled substance mark
"I. Federal law that sets daily and monthly limits on OTC sale of pseudoephedrine and ephedrine."
Combat Methamphetamine Epidemic Act (CMEA)
"j. an inactive substance given in place of a medication."
Placebo
"k. having to do with the treatment of children."
Pediatric
"l. drug products that contain identical amounts of the same active ingredients in the same dosage form."
Pharmaceutical Equivalent
"m. pharmaceutical equivalents that produce the same effects in patients."
Therapeutic Equivalent
"n. five groups of drugs identified by the 1970 Controlled Substances Act (CSA) as having the potential for abuse and whose distribution is therefore strictly controlled by five control schedules set forth in the CSA."
Controlled substances
"o. an unintended side effect of a medication that is nega- tive or in some way injurious to a patient’s health."
Adverse Effect
"p. a court order preventing a specific action, such as the distribution of a potentially dangerous drug."
Injunction
"q. specific guideline for practice."
Protocol
"r. doing what is required."
Compliance
"s. a branch of philosophy that helps determine what should be done in a principled sense."
Ethics
"1. The _______________________ prohibited interstate commerce in adulterated or misbranded food, drinks, and drugs.
a. 1938 Food, Drug, and Cosmetic (FDC) Act
b. Food and Drug Act of 1906
c. Harrison Act
d. 1990 Omnibus Budget Reconciliation
Act (OBRA)"
Food and Drug Act of 1906
"2. In response to growing addiction to opiates and cocaine-containing medi- cines, the Harrison Narcotic Act of 1914 required that all manufacturers, importers, and physicians prescribing narcotics be
a. licensed.
b. taxed.
c. licensed and taxed.
d. fined."
licensed and taxed.
"3. The Food and Drug Administration was initially named the
a. Food, Drug, and Alcohol Commission.
b. Food, Drug, and Weapons
Administration.
c. Food, Drug, and Hazardous Substance
Regulatory Agency.
d. Food, Drug, and Insecticide
Administration.
Food, Drug, and Insecticide
Administration.
"4. Because of fatal poisoning from liquid sulfanilamide, the ___________________ required new drugs be shown to be safe before marketing.
a. Food and Drug Act of 1906
b. 1938 Food, Drug, and Cosmetic Act
c. 1951 Durham Humphrey Amendment
d. 1990 Omnibus Budget Reconciliation
Act (OBRA)"
1938 Food, Drug, and Cosmetic Act
"5. The ________________ required child- proof packaging for most prescription drugs.
a. Food, Drug, and Cosmetic Act
b. Poison Prevention Packaging Act
c. Durham-Humphrey Amendment
d. Kefauver-Harris Amendment"
Poison Prevention Packaging Act
"6. The 1984 Hatch-Watchman Act allowed for
a. quicker introduction of generic drugs only.
b. extension of drug patent terms only.
c. quicker introduction of drugs and
extension of drug patent terms.
d. introduction of generic versions of trade drugs regardless of patent terms."
quicker introduction of drugs and
extension of drug patent terms.
"7. Pharmacists were required to offer coun- seling to Medicaid patients by the
a. Durham-Humphrey Amendment.
b. 1990 Omnibus Budget Reconciliation
Act (OBRA).
c. Kefauver-Harris Amendment.
d. Harrison Act."
1990 Omnibus Budget Reconciliation
Act (OBRA).
"8. Drugs that require prescriptions are ________________ drugs.
a. Durham
b. Humphrey
c. legend
d. Kefauver"
legend
"9. Both domestic and imported drugs require approval by (a/the) ___________ before they can be marketed in the United States.
a. FDA
b. U.S. Marshal
c. DEA
d. U.S. Customs"
FDA
"10. An inactive substance given in place of a medication during clinical trials is a
a. pediatric.
b. phase 2.
c. phase 3.
d. placebo."
placebo
"11. The FDA requires ____________ phases of testing in humans.
a. two
b. three
c. four
d. five"
three
"12. The main purpose of phase 2 clinical tri- als is
a. dosage.
b. economics.
c. animals.
d. effectiveness."
effectiveness
"13. Phase 3 clinical trials generally have ________________ participants.
a. several hundred to several thousand
b. 20–100 patients
c. less than 10
d. up to several hundred patients"
several hundred to several thousand
"14. After a patent has expired for a medication, other manufacturers may copy the drug and release it under the ______________ name.
a. generic
b. trade
c. brand
d. patent"
generic
"15. Drugs that do not require a prescription are _____________ drugs.
a. FDA
b. OTC
c. Durham-Humphrey
d. legend"
OTC
"16. The Combat Methamphetamine Epidemic Act requires that OTC cold and allergy medications containing which of the fol- lowing drugs be kept behind the counter?
a. antihistamine
b. methamphetamine
c. ephedrine and pseudoephedrine
d. antitussive"
ephedrine and pseudoephedrine
"17. Purchasers of exempt narcotics must be at least _____ years of age.
a. 12
b. 16
c. 18
d. 21"
18
"18. There are limits to how many dosage units of an exempt narcotic can be sold in a _____–hour period.
a. 24
b. 48
c. 72
d. 96"
48
"19. A prescription to dispense Plan B®
a. is not required.
b. is required for patients under 17.
c. is required for patients 17 years of age
and under.
d. is required for patients 17 years of age
and under unless otherwise allowed by state law."
is required for patients under 17.
"20. The second set of digits in an NDC rep- resents the
a. manufacturer.
b. name of drug and strength.
c. package size.
d. lot number."
name of drug and strength.
"21. Of the following Schedule of drugs, which one deals with drugs that have no accept- ed medical use in the United States?
a. Schedule I
b. Schedule II
c. Schedule III
d. Schedule IV"
Schedule I
"22. Amphetamines, opium, cocaine, and methadone are in DEA Schedule _____ because they have accepted medical use, but have a high potential for abuse and may lead to physical or psychological dependence.
a. II
b. III
c. IV
d. V"
II
"23. The form for ordering Schedule II con- trolled substances is DEA Form
a. 106.
b. 222.
c. 224.
d. 363."
222
"24. The FDA reporting system for adverse effects that occur from use of approved drugs is called
a. Class I.
b. MedWatch.
c. VAERS.
d. Class II."
MedWatch
"25.________________ drug recalls are issued by manufacturers when there is a strong likelihood that the product will cause serious adverse effects or death.
a. Class I
b. Class II
c. Class III
d. Class IV"
Class I
"26. Basic criminal and civil laws, like theft, discrimination, sexual harassment, and fraud, apply to pharmacy technicians.
a. True
b. False"
True
"27. Pharmacies located in health-care institu- tions (hospitals, etc.) are required to fol- low regulations of this organization:
a. ASHP
b. USP
c. ASCP
d. TJC"
TJC
"a. absorbs water."
Hydrates
"b. ingredients in a formulation designed to control the pH."
Buffer System
"c. mixture of two non-miscible liquids where one is dis- persed throughout the other as tiny droplets."
Emulsions
"d. water based."
Aqueous
"e. when drug activity is at the site of administration."
Local Effect
"f. pouch between the teeth and cheek in the mouth."
Buccal
"g. painful swollen veins in the anal/rectal area, generally caused by strained bowel movements from hard stools."
Hemorrhoid
"h. solvent that dissolves a freeze-dried powder or dilutes a solution."
Diluent
"i. the ease of flow when a suspension is injected into a patient."
Injectability
"j. the area in the muscle where the formulation is injected during an intramuscular injection."
Depot
"k. particles up to a hundred times smaller than those in suspensions that are, however, also suspended in a solution."
Colloids
"l. not irritating; does not promote infection or abscess."
Biocompatibility
"m. the gland that produces tears for the eye."
Lacrimal Gland
"n. the tear ducts."
Lacrimal canalicula
"o. the eyelid lining."
Conjunctiva
"p. the small sacs of specialized tissue that transfer oxygen out of inspired air into the blood and carbon dioxide out of the blood and into the air for exhalation."
Alveolar sacs (Alveoli)
"q. an intrauterine contraceptive device that is placed in the uterus for a prolonged period of time."
Intrauterine Device (IUD)
"r. device or formulation designed to prevent pregnancy."
Contraceptive
"s. the cavity behind the nose and above the roof of the mouth that filters air and moves mucus and inhaled contaminants outward and away from the lungs."
Nasal Cavity
"t. a device that contains a drug that is vaporized by inhalation."
Nasal Inhaler
"u. the cellular lining of the nose."
Nasal Mucosa
"v. the breaking apart of a tablet into smaller pieces."
Disintegration
"w. when the smaller pieces of a disintegrated tablet dissolve in solution."
Dissolution
"x. a stabilizing agent in emulsions."
Emulsifier
"a. a condition that is free of all microorganisms."
Sterile
"b. the absorption of drugs through the skin, often for a systemic effect."
Percutaneous Absorption
"c. related to the eye"
Ophthalmic
"d. a measure of a liquid’s thickness or resistance to flow."
Viscosity
"e. under the tongue."
Sublingual
"f. when a drug is introduced into the circulatory system and carried to the site of activity."
Systemic Effect
"g. measures the acidity or the opposite (alkalinity) of a substance."
pH
"h. the ease with which a suspension can be drawn from a container into a syringe.
Syringiability
"I. a raised, blister-like area on the skin caused by an intradermal injection."
Wheal
"j. the outermost cell layer of the epidermis."
Stratum Corneum
"k. able to dissolve in water."
Water Soluble
" l. increase in cell death."
Necrosis
"m. a clear liquid made up of one or more substances dis- solved in a solvent."
Solution
"1. Which route of administration is not a parenteral route?
a. intranasal
b. buccal
c. inhalation
d. ophthalmic"
ophthalmic
"2. A local effect occurs
a. at the site of administration.
b. throughout the body.
c. only after intravenous administration.
d. only within the alimentary tract."
at the site of administration
"3. The stomach has a pH of
a. 3–4.
b. 7–8.
c. 5–6.
d. 1–2."
1–2
"4. A dissolution step would not be neces- sary for drug absorption from a/an
a. tablet.
b. enteric coated tablet.
c. oral syrup.
d. bulk powder."
oral syrup
"5. Modified release tablets might be called
a. extended release.
b. prolonged action.
c. long acting.
d. all of the above."
all of the above
"6. Nonaqueous solutions often contain glycerin, alcohol, and
a. polyethylene glycol.
b. polyvinyl alcohol.
c. propylene glycol.
d. chloroform."
propylene glycol
"7. Which oral formulation is characterized by a high sucrose content?
a. solution
b. syrup
c. elixir
d. suspension"
syrup
"8. An oral liquid formulation in which one non-miscible liquid is dispersed throughout another in the form of small droplets is called
a. an emulsion.
b. a suspension.
c. a gel.
d. a solution."
an emulsion
"9. ____________ tablets are placed under the tongue.
a. Enteric coated
b. Buccal
c. Sublingual
d. Sugar coated"
Sublingual
"10. Which statement is false?
a. Rectal administration can be used for systemic effect.
b. Drug absorption from rectal administration is erratic and unpredictable.
c. Rectal suppositories are intended to
spread around the anal opening.
d. Rectal enemas create an urge to defecate"
Rectal suppositories are intended to
spread around the anal opening
"11. Which statement is true?
a. Parenteral formulations containing active drug(s) also serve as buffers.
b. Parenteral formulations can be administered in non-enteral routes.
c. Parenteral formulations must be administered through a syringe.
d. All of the above."
Parenteral formulations can be administered in non-enteral routes
"12. Which is not an injection dependent parenteral route?
a. subcutaneous
b. inhalation
c. intramuscular
d. epidural"
inhalation
"13. Which will not be caused by particulate material in an intravenous injection?
a. air emboli
b. thrombus
c. phlebitis
d. blood clots"
air emboli
"14. The gradual intravenous injection of a volume of fluid into a patient is called
a. bolus.
b. infiltration.
c. infusion.
d. Z-tracking."
infusion
"15. Which order of the absorption rate (from fastest to slowest) is correct when considering IM administration?
a. aqueous solutions > oleaginous solutions > colloids > suspensions
b. oil-in-water emulsions > oleaginous solutions > aqueous solutions > suspensions
c. colloids > suspensions > oleaginous solutions > aqueous solutions
d. oleaginous solutions > colloids > aqueous solutions > suspensions"
aqueous solutions > oleaginous solutions > colloids > suspensions
"16. Needles for subcutaneous injection are generally ____ inches long and ____G.
a. 3/8 to 1, 18 to 20
b. 1 to 1.5, 24 to 27
c. 3/8 to 1, 24 to 27
d. 1 to 1.5, 18 to 20"
3/8 to 1, 24 to 27
"17. A raised, blister-like area on the skin caused from an intradermal injection is called a
a. thrombus.
b. pachyderma.
c. wheal.
d. phlebitis."
wheal
"18. Which ophthalmic formulation will maintain drug contact with the eye for the longest period of time?
a. solution
b. suspension
c. gel
d. ointment"
ointment
"19. When administering ophthalmic drops, why is instilling two drops at a time not recommended?
a. The eye only holds about 10 microliters.
b. The second drop will be lost due to spillage.
c. The average drop size is 50 microliters.
d. The second drop will cause corneal abrasion."
The second drop will be lost due to spillage
"20. Do not use an ophthalmic solution if it is/ has
a. particles.
b. discolored.
c. developed gas bubbles.
d. all of the above."
all of the above
"21. What percent of an administered ophthalmic solution is delivered to the eye?
a. 5%
b. 20%
c. 50%
d. 75%"
20%
"22. When administering a nasal spray,
a. lay on the bed with the head hanging over the edge.
b. keep both nostrils open.
c. breathe through the nostril while
spraying the solution.
d. exhale immediately."
breathe through the nostril while
spraying the solution
"23. A drug is administered by inhalation using a metered dose inhaler (MDI) aerosol. Which pathway will the drug follow?
a. mouth, trachea, alveoli, bronchioles
b. mouth, bronchioles, trachea, alveoli
c. mouth, trachea, bronchioles, alveoli
d. bronchioles, alveoli, nasal cavity,
trachea"
mouth, trachea, bronchioles, alveoli
"24. Which is the barrier to drug absorption after dermal administration?
a. stratum corneum layer
b. epidermis layer
c. dermis layer
d. subcutaneous tissue"
stratum corneum layer
"25. Dermal formulations can deliver about ______mg/day of active drug.
a. 2
b. 4
c. 6
d. 10"
2
"26. Plasters are generally used with the ________ route of administration.
a. dermal
b. rectal
c. intranasal
d. vaginal"
dermal
"27. The primary reason to use a vaginal applicator is to
a. prevent a “mess” during application.
b. prevent patients from using oral tablets by the route.
c. place the formulation high in the vaginal tract.
d. enable patients to retrieve the formulation if needed."
place the formulation high in the vaginal tract
"a. the substantial degradation of an orally administered drug caused by enzyme metabolism in the liver before the drug reaches the systemic circulation."
First - Pass Metabolism
"b. the increase in hepatic enzyme activity that results in greater metabolism of drugs."
Enzyme Induction
"c. the comparison of bioavailability between two dosage forms."
Bioequivalency
"d. the amount of an administered dose that reaches the general circulation and the rate at which this occurs."
Bioavailability
"e. water repelling; cannot associate with water."
Hydrophobic
"f. capable of associating with or absorbing water."
Hydrophilic
"g. the blood filtering process of the nephron."
Glomerular filtration
"h. the time a drug will stay in the stomach before it is emptied into the small intestine."
Gastric emptying time
"I. the decrease in hepatic enzyme activity that results in reduced metabolism of drugs."
Enzyme inhibition
"j. a complex protein that catalyzes chemical reactions."
Enzyme
"k. the transfer of drugs and their metabolites from the liver to the bile in the gall bladder, then into the intestine, and then back into circulation."
Enterohepatic cycling
"l. the process of metabolism and excretion."
Elimination
"m. the time the drug concentration is above the MEC."
Duration of action
"n. a term sometimes used to refer to all the ADME processes together."
Disposition
"o. when different molecules associate or attach to each other."
Complexation
"p. the movement of drugs from an area of lower concentration to an area of higher concentration; requires cellular energy."
Active transport
"q. the movement of a drug from the dosage formulation to the blood."
Absorption
"r. drugs that activate receptors to accelerate or slow normal cellular function."
Agonists
"s. drugs that bind with receptors but do not activate them."
Antagonists
"t. fat-like substance."
Lipoidal
"u. the bioavailability a drug product compared to the same drug in a rapidly administered IV solution."
Absolute bioavailability
"a. the attachment of a drug molecule to a protein, effectively making the drug inactive."
Protein Binding
"b. the cellular material that interacts with a drug."
Receptor
"c. the movement of drugs from an area of higher concentration to lower concentration."
Passive Diffusion
"d. the characteristic of a drug that makes its action specific to certain receptors."
Selective (Action)
"e. the location where an administered drug produces an effect."
Site of Action
"f. the blood concentration needed for a drug to produce a response."
Minimum Effective Concentration (MEC)
"g. the time MEC is reached and the response occurs."
Onset of action
"h. a drug’s blood concentration range between its MEC and MTC.
Therapeutic window
"I. the upper limit of the therapeutic window."
Minimum toxic concentration (MTC)
"j. the substance resulting from the body’s transformation of an administered drug."
Metabolite
"k. the functional unit of the kidney."
Nephron
"l. drug products that contain identical amounts of the same active ingredient in the same dosage form."
Pharmaceutical Equivalent
"m. pharmaceutical equivalents that produce the same effects in patients."
Therapeutic Equivalent
"n. drug products that contain the same active ingredient but not necessarily in the same salt form, amount, or dosage form."
Pharmaceutical Alternative
"o. the bioavailability of a drug product compared to the same drug in any other dosage form than a rapidly administered IV solution."
Relative Bioavailability
"1. The place where a drug causes an effect to occur is called the
a. site of action.
b. site of administration.
c. therapeutic window.
d. minimum toxic concentration (MTC)."
Site of action
"2. When a drug produces an effect, it is acting at a/an _____________________ level.
a. tissue
b. atomic
c. cellular
d. organ"
Cellular
"3. Drug action can be determined by the
a. number of receptors occupied.
b. number of receptors present.
c. sensitivity of the receptors.
d. all of the above."
all of the above
"4. An agonist will
a. not bind to a receptor.
b. accelerate a normal body process.
c. prevent other drugs from binding to a
receptor.
d. increase the number of stimulated
receptors."
accelerate a normal body process
"5. Blood concentrations are the result of ____ simultaneously occurring processes.
a. two
b. four
c. three
d. five"
four
"6. Blood concentration–time profiles can be used to predict the amount of drug at the site of action because
a. blood is in rapid equilibrium with the site of administration and the site of action.
b. blood is in rapid equilibrium with the site of action.
c. blood is in rapid equilibrium with the receptor.
d. blood can be repeatedly sampled."
blood is in rapid equilibrium with the site of administration and the site of action
"7. In a blood concentration–time curve, the range between the minimum toxic concentration (MTC) and the minimum effective concentration (MEC) is called the
a. onset of action.
b. concentration at site of action.
c. duration of action.
d. therapeutic window."
therapeutic window
"8. If the blood concentration–time pro- file reflects the amount of drug at the site of action, the maximum therapeutic response would occur
a. at the onset of action.
b. at the MEC.
c. at the peak blood concentration.
d. when elimination is the predominant
process."
at the peak blood concentration
"9. Which drug would not typically be monitored with peak and trough blood concentrations?
a. vancomycin
b. valproic acid
c. promethazine
d. phenytoin"
promethazine
"10. For elimination of a drug to be essentially complete, ____ times the half-life must elapse.
a. two
b. three
c. five
d. seven"
five
"11. Unionized drugs are
a. actively transported.
b. hydrophobic drugs.
c. passively diffused through membranes.
d. hydrophilic drugs."
hydrophobic drugs
"12. The transfer of a drug out of a dosage form and into the blood is called
a. absorption.
b. dissolution.
c. metabolism.
d. elimination."
absorption
"13. Which processes can influence the absorption of drugs given orally?
a. first-pass metabolism
b. intestinal transit time
c. gastric emptying
d. all of the above"
all of the above
"14. Which formulation does not have an absorption step?"
a. rapidly administered solution
b. intramuscular emulsion
c. topical cream
d. vaginal suppository
intravenous"
rapidly administered solution
"15. Why is a plasma protein bound drug essentially “inactive”?
a. bound drug cannot enter the site of action
b. bound drug can enter the site of metabolism
c. bound drug can move through tissue membranes and cellular openings.
d. bound drug can be displaced by a drug with a stronger binding capacity."
bound drug cannot enter the site of action
"16. First-pass metabolism refers to the substantial degradation of the drug following
a. passage through the small intestine.
b. oral absorption.
c. distribution to the liver.
d. interaction with liver enzymes."
distribution to the liver
"17. When some drugs are chronically administered, the liver will decrease its enzyme activity. This is called
a. enzyme induction.
b. enzyme inhibition.
c. enzyme secretion.
d. first pass metabolism."
enzyme inhibition
"18. Enterohepatic recycling occurs when
a. a drug is metabolized to a metabolite.
b. drug is secreted into the intestines
along with the bile
c. drug is secreted into the intestines
along with the bile and reabsorbed
back into the blood circulation.
d. all of the above."
drug is secreted into the intestines
along with the bile and reabsorbed
back into the blood circulation
"19. Elimination is
a. absorption and metabolism.
b. metabolism and excretion.
c. distribution and excretion.
d. distribution and metabolism."
metabolism and excretion
"20. Which set of circumstances will result in a drug undergoing urinary reabsorption?
a. basic drug in high urine pH
b. basic drug in low urine pH
c. acidic drug in high urine pH
d. none of the above"
basic drug in high urine pH
"21. The amount of drug excreted in the urine is the amount
a. filtered + secreted + reabsorbed.
b. filtered + secreted - reabsorbed.
c. filtered - secreted + reabsorbed.
d. filtered - secreted - reabsorbed."
filtered + secreted - reabsorbed
"22. The amount of drug that is delivered to the site of action and the rate at which it becomes available is the drug’s
a. bioequivalence.
b. bioavailability.
c. biotransformation.
d. biopharmaceutics."
bioavailability
"23. To determine the bioavailability of a drug product, it must be compared to another product containing the same drug. If the second product is a rapidly administered intravenous solution, the bioavailability is termed _________ availability.
a. relative
b. bioequivalent
c. redundant
d. absolute"
absolute
"24. The _____ requires drug manufacturers to perform bioequivalency studies on their products before they are approved for marketing.
a. DEA
b. AMA
c. FDA
d. USP"
FDA
"a. when two different molecules associate or attach to each other."
Complexation
"b. an abnormal sensitivity resulting in an allergic reaction."
Hypersensitivity
"c. a potentially fatal hypersensitivity reaction producing severe respiratory distress and cardiovascular collapse."
Anaphylactic shock
"d. an unexpected reaction the first time a drug is taken, generally due to genetic causes."
Idiosyncrasy
"e. the ability of a substance to cause cancer."
Carcinogenicity
"f. when two drugs with similar pharmacological actions produce an effect equal to the sum of their individual effects."
Additive Effects
"g. when two drugs with similar pharmacological actions produce an effect greater than the sum of their individual effects."
Synergism
"h. a drug that antagonizes the toxic effect of another drug."
Antidote
"i. a chronic and potentially fatal liver disease causing loss of function and increased resistance to blood flow through the liver."
Cirrhosis
"j. an inflammatory liver condition caused by viruses."
Acute Viral Hepatitis
"k. when elements of ingested nutrients interact with a drug and this affects the disposition of the drug."
Drug-diet interactions
"l. an obstruction of the bile duct that causes hepatic waste products and bile to accumulate in the liver."
Obstructive jaundice
"m. a condition in which thyroid hormone secretions are above normal; having an overactive thyroid."
Hyperthyroidism
"n. a condition in which thyroid secretions are below normal, often referred to as an underactive thyroid."
Hypothyroidism
"o. a field of study that defines the hereditary basis of individual differences in the ADME processes."
Pharmacogenomics
"p. an unintended side effect of a medication that is negative or in some way injurious to the patient’s health."
Adverse Drug Reaction
"q. an effect produced when one drug with no inherent activity of its own increases the activity of another drug."
Potentiation
"r. a drug bound to a plasma protein is removed when another drug of greater binding potential binds to the same protein."
Displacement
"s. the decrease in hepatic enzyme activity that results in reduced metabolism of drugs."
Enzyme inhibition
"t. the increase in hepatic enzyme activity that results in greater metabolism of drugs."
Enzyme Induction
"1. What criteria is commonly used to define the elderly?
a. age greater than 55
b. age greater than 65
c. age greater than 70
d. age greater than 80"
age greater than 70
"2. Children between the ages of _______ metabolize certain drugs more rapidly than adults.
a. 0 and 6 months
b. 6 and 18 months
c. 1 and 2 years
d. 1 and 12 years"
(Press 328)
1 and 12 years
"3. Some drugs given to children require a higher than normal adult dose. Why?
a. Children have a more rapid renal excretion than adults.
b. Children metabolize some drugs faster than adults.
c. Children have a more immature renal function than adults.
d. Children have a higher cardiac output than adults."
Children metabolize some drugs faster than adults.
"4. The distribution of drugs may be differ- ent between men and women due to
a. normal fluctuations.
b. age.
c. body composition.
d. activity."
body composition
"5. The placebo effect is a
a. psychological variable.
b. gender variable.
c. hypersensitive reaction.
d. drug dependence variable."
psychological variable
"6. Adults have a gradual decline in many physiological functions between the ages of
a. 12–20 years.
b. 20–40 years.
c. 30–70 years.
d. 40–75 years."
30–70 years
"7. Adults that have greater than _____ body fat have significant changes in drug dis- tribution and renal excretion.
a. 10%
b. 20%
c. 30%
d. 40%"
30%
"8. Decreased blood circulation can affect drug metabolism by
a. shunting blood away from functioning hepatic cells.
b. changing the rate at which drugs move from the blood into hepatic cells.
c. reducing drug clearance.
d. all of the above"
all of the above
"9. In end-stage renal disease, _________ levels increase and _________ levels decrease.
a. albumin, orosomucoid
b. orosomucoid, albumin
c. anastomoses, orosomucoid
d. albumin, thyroid"
orosomucoid, albumin
"10. Which endogenous compound is used to monitor renal function?
a. cortisol
b. creatinine
c. cholesterol
d. calcium"
creatinine
"11. When hepatic function is decreased by a hepatic disease, it is expected that
a. first-pass metabolism will increase.
b. urinary excretion will decrease.
c. first-pass metabolism will decrease.
d. hepatic blood flow will increase."
first-pass metabolism will decrease
"12. Acute viral hepatitis is an inflammatory condition caused by
a. chronic alcohol abuse.
b. obstructive jaundice.
c. decreased hepatic blood flow.
d. viruses."
viruses
"13. Which set of conditions is required for an adverse drug reaction to occur?
a. normal drug dosage, affects only the organ being treated, occurs in most patients taking the drug
b. normal drug dosage, affects all of the organs, occurs in most patients taking the drug
c. elevated drug dosage, affects only the organ being treated, occurs in a few patients
d. none of the above"
none of the above
"14. Hypersensitivity generally happens because a patient develops
a. anaphylaxis.
b. anorexia.
c. antibodies.
d. hepatotoxicity."
antibodies
"15. The ability of a substance to cause abnor- mal fetal development when given to pregnant women is called
a. hematological effects.
b. idiosyncrasy.
c. nephrotoxicity.
d. teratogenicity."
teratogenicity
"16. Anaphylactic shock usually occurs within
a. minutes.
b. hours.
c. days.
d. weeks."
minutes
"17. Ciprofloxacin bioavailability can be reduced when given with calcium, magnesium, and aluminumion containing drugs. What type of drug–drug interaction is this?
a. additive
b. potentiation
c. induction
d. complexation"
complexation
"18. Induction and inhibition involve enzymes in the ______ system.
a. gastric
b. circulatory
c. hepatic
d. renal
hepatic
"19. If a drug is _____ plasma protein bound, a displacement interaction will probably be significant.
a. 10%
b. 30%
c. 60%
d. 90%
90%
"20. The renal excretion of a drug is a combination of
a. glomerular filtration plus renal secretion.
b. glomerular filtration plus urinary reabsorption minus renal secretion.
c. glomerular filtration plus renal secretion minus urinary reabsorption.
d. glomerular filtration plus renal secretion plus urinary reabsorption."
glomerular filtration plus renal secretion minus urinary reabsorption.
"21. In acidic urine, acidic drugs are reabsorbed and basic drugs are not. This occurs because
a. acidic drugs are more unionized in acidic urine.
b. acidic drugs are more ionized in acidic urine.
c. basic drugs are more unionized in acidic urine.
d. basic drugs are more ionized in basic urine."
acidic drugs are more unionized in acidic urine.
"22. When two drugs with similar pharmacological actions produce an effect equal to the sum of the individual effects, the interaction is called
a. an additive effect.
b. a complexation effect.
c. an induction effect.
d. a displacement effect."
an additive effect
"23. A/an ______________ is a drug that antagonizes the toxic effects of another drug.
a. agonist
b. synergist
c. antidote
d. inducer"
antidote
"24. Which effect will the presence of food in the gastrointestinal tract have on drug absorption?
a. react chemically with the drug and decrease absorption
b. alter the solubility of a drug by increasing bile secretion
c. alter the gastric emptying time
d. all of the above"
all of the above
"25. Drug–diet interactions that alter drug absorption can be minimized by separating the administration of the drug and food intake by
a. 15 minutes.
b. 30 minutes.
c. 2 hours.
d. 4 hours."
2 hours
"26. A high carbohydrate (low protein) diet would be expected to _______________ the metabolism of many drugs.
a. decrease
b. have no effect
c. increase"
decrease
"27. What do these foods have in common: beer, red wine, yeast products, chicken livers, and aged cheeses?
a. They inhibit hepatic metabolism.
b. They contain tyramine.
c. They contain monoamine oxidase
inhibitors.
d. They contain an inherent anticoagu-
lant activity."
They contain tyramine
"skills involving relationships between people."
"interpersonal skills"
"counter areas designated for taking prescriptions and for dispensing them to patients."
"transaction windows"
"a child-resistant cap."
"safety caps"
"the price of a unit of medication (such as an ounce of a liquid cold remedy)."
"unit price"
"a tray designed for counting pills."
"counting tray"
"specific warnings that are placed on filled prescriptions."
"auxiliary labels"
"book which patients sign for the prescriptions they receive, for legal and insurance purposes; may be electronic"
"signature log"
"the amount of the retailer’s sale price minus their purchase price."
"markup"
"stickers with bar codes that can be scanned for inventory identification."
"shelf stickers"
"automated machines that fill and label pill bottles with correct quantities of ordered drugs."
"automated filling and dispensing machines"
"federal legislation enacted to regulate over-the-counter sales of ephedrine and pseudoephedrine."
"Combat Methamphetamine Epidemic Act
(CMEA)"
"federal legislation designed to protect patients’ personal and medical information and also to encourage use of electronic data interchange in the United States."
"Health Insurance Portability and Accountability Act (HIPAA)"
"federal legislation requiring pharmacists to provide counseling to Medicaid patients who are receiving new prescriptions."
"Omnibus Budget and Reconciliation Act (OBRA)"
"a set of provisions created by the Federal Trade Com- mission (FTC) to help prevent identity theft from patient billing accounts maintained by medical and financial institutions."
"Red Flag Rule"
"federal legislation that created Medicare Part D and made allowance for Medicare recipients to receive Medicare medical coverage through private health insurance plans."
"Medicare Prescription Drug Improvement and Modernization Act"
"1. ____________________________ are skills involving relationships between people.
a. Computer skills
b. Data management skills
c. Transaction skills
d. Interpersonal skills
Interpersonal skills
"2. More technicians and pharmacists are employed in ________________ than any other type of pharmacy.
a. community pharmacy
b. hospital pharmacy
c. mail order pharmacy
d. long-term care"
community pharmacy
"3. Community pharmacies that are indi- vidually owned local pharmacies are
a. food store pharmacies.
b. mass merchandiser pharmacies.
c. chain pharmacies.
d. independent pharmacies.
independent pharmacies.
"4. Community pharmacies, such as CVS and Walgreens, that are part of regional or national pharmacy chains are
a. independent pharmacies.
b. food store pharmacies.
c. chain pharmacies.
d. mass merchandiser pharmacies."
chain pharmacies.
"5. Examples of pharmacist clinical services programs include
a. teaching diabetic patients to use a blood glucose meter.
b. recommending a medication change to a patient’s physician.
c. administering a vaccination to a patient.
d. all of the above.
all of the above.
"6. _____________________ require(s) community pharmacists to offer counseling to Medicaid patients regarding medications.
a. Medicare Part D
b. The 1990 Omnibus Budget and Reconciliation Act (OBRA)
c. HIPAA
d. The DEA"
The 1990 Omnibus Budget and Reconciliation Act (OBRA)
"7. The HIPAA laws
a. require pharmacists to provide counselling on all new medications.
b. requires that health information be kept confidential.
c. allows pharmacy staff to discuss a patient’s health information outside the pharmacy.
d. none of the above."
requires that health information be kept confidential.
"8. The Combat Methamphetamine Epidemic Act limits the over-the-counter sales of
a. acetaminophen.
b. aspirin.
c. pseudoephedrine.
d. laxatives."
pseudoephedrine.
"9. Individual states
a. do not regulate pharmacy practice.
b. may require national pharmacy technician certification or may have their
own certification process.
c. regulate the scope of pharmacy technician practice, including the ratio of
pharmacists to technicians.
d. b & c
(Press 416)
Press, Perspective. The Pharmacy Technician, 5th Edition. Morton Publishing Company, 02/01/2013. VitalBook file.
b. may require national pharmacy technician certification or may have their
own certification process. and c. regulate the scope of pharmacy technician practice, including the ratio of
pharmacists to technicians.
"10. The refrigerator in a community pharmacy may be used to store
a. drugs only.
b. drugs as well as lunches of pharmacy
personnel.
c. drugs and sealed containers of soda
pop.
d. drugs and the pharmacist’s lunch."
drugs only.
"11. Completed prescriptions are generally placed in bins or on shelves
a. alphabetically by the name of the drug being dispensed.
b. alphabetically by the customer’s last name.
c. randomly. d. in the same order in which they were
completed."
alphabetically by the customer’s last name.
"12. Pharmacy technicians
a. must be calm and courteous when interacting with customers.
b. must know when to refer a customer complaint or customer question to the pharmacist.
c. must be familiar with the layout of the store.
d. all of the above.
a. must be calm and courteous when interacting with customers.
b. must know when to refer a customer complaint or customer question to the pharmacist.
c. must be familiar with the layout of the store.
"13. Good interpersonal skills include
a. making eye contact.
b. calling the customer by name.
c. listening carefully.
d. all of the above."
a. making eye contact.
b. calling the customer by name.
c. listening carefully.
14. A patient’s questions regarding medications or general health
a. can be handled by the technician
b. should be referred to the pharmacist.
c. can be answered by the pharmacy technician or by the pharmacist, depending on state regulations.
d. can sometimes be answered by the pharmacy technician and sometimes by the pharmacist, depending on the technician’s judgement.
should be referred to the pharmacist.
15. "The patient profile information
a. includes the patient’s name, date of birth, and current address.
b. can be bypassed by the pharmacy technician if the customer is in a rush.
c. may include the customer’s preferences such as child-proof caps or easy-open caps.
d. a and c"
a. includes the patient’s name, date of birth, and current address. and c. may include the customer’s preferences such as child-proof caps or easy-open caps.
16. "When entering a new prescription into the pharmacy computer, the technician must enter the following information:
a. the prescription number
b. the dispensing code
c. the sig
d. b and c"
b. the dispensing code
c. the sig
"17. An NDC number
a. is nine-digits long and is the same for some drugs.
b. is the same as the prescription number
c. is an 11-digit number unique to each
product.
d. None of the above."
is an 11-digit number unique to each
product.
"18. All dispensed prescriptions must have a _________________ cap unless that patient specifies a ________________ cap.
a. child-resistant, non-child-resistant
b. child-resistant, child-resistant
c. non-child-resistant, non-child-resistant
d. non-child-resistant, child-resistant"
child-resistant, non-child-resistant
"19. A Kirby-Lester® is
a. a medication specially mixed by a pharmacist.
b. a machine to measure liquids such as syrups.
c. an automatic pill counter.
d. a counting tray."
an automatic pill counter.
"20. The pharmacist _______ check the final product dispensed by an automated filling machine.
a. must
b. may
c. does not need to
must
"21. Products such as eye drops, insulin vials, and inhalers are all examples of
a. prepackaged medications.
b. unpackaged medications.
c. unlabeled medications.
d. none of the above."
prepackaged medications.
"22. Labels that are placed on the prescription container in addition to the prescription label and provide specific warnings are called
a. poison labels.
b. flags.
c. prescription labels.
d. auxiliary labels.
auxiliary labels.
"23. The pharmacist always checks the prescription
a. after it is filled by the technician.
b. when the patient signs the log.
c. after it is rung on the cash register.
d. as it is given to the patient."
after it is filled by the technician.
"24. A(n) ____________________ is a book that patients sign for prescriptions they receive.
a. exempt narcotic book.
b. patient register book.
c. patient compliance book.
d. signature log."
signature log
"25. A few of the many tasks that pharmacy technicians are responsible for include
a. keeping the pharmacy in clean, neat, and proper working order.
b. entering new and refill prescriptions into the computer.
c. both A and B.
d. none of the above."
a. keeping the pharmacy in clean, neat, and proper working order.
b. entering new and refill prescriptions into the computer.
"26. Ordering stock is a responsibility of the
a. computer system.
b. prescription counter.
c. pharmacy technician.
d. third party."
pharmacy technician.
"27. Operating a cash register generally requires
a. handling cash payments.
b. handling credit cards and checks.
c. using a bar-code scanner.
d. all of the above."
a. handling cash payments.
b. handling credit cards and checks.
c. using a bar-code scanner.
"28. Unit price information is found on shelf stickers for
a. Schedule III, IV, and V medications.
b. Schedule II medications.
c. OTC products.
d. legend drugs."
OTC products.
"29. All unused documents and labels containing protected health information
a. can be used as scrap paper.
b. must be shredded.
c. can be removed from the pharmacy
daily in the regular trash.
d. must be disposed of in sharps containers."
must be shredded.
"the process of quickly obtaining an out-of-stock medication in an urgent situation."
"emergency drug procurement"
"area designed for the preparation of sterile products"
"clean room"
"a system in which medications are dispensed from an automated unit at the point of use."
"automated dispensing system"
"the main inpatient pharmacy in a hospital that has pharmacy satellites."
"central pharmacy"
"advance preparation of large quantities of unit-dose oral solutions/suspensions or small volume parenterals for future use."
"batching"
"a record of medications compounded in the pharmacy."
"bulk compounding log"
"medications that must be prepared by following a specific recipe or formula, usually because they are not available commercially."
"extemporaneous compounds"
"a type of formulary that requires physicians to order only the medications on the formulary list."
"closed formulary"
"a computerized patient medical record; also known as an electronic health record (EHR)."
"electronic medical record (EMR)"
"a device placed at the end of an IV line that is used to remove particulate matter."
"final filter"
"a process in which the pharmacy technician goes to specific nursing units to find out what IV drips will be needed later that day."
"drip rounds"
"a system in which the physician or the physician’s agent enters orders directly into the hospital computer system."
"CPOE"
"a sterile, preservative-free medication administered into a patient’s epidural space."
"epidural"
"voluntary or involuntary removal of a drug product by the manufacturer, usually pertaining to a particular shipment or lot number."
"drug recall"
"a locked cart of medications and other medical equipment for emergency use only."
"code cart"
"a form that tracks medications that have been administered to a patient."
"medication administration record"
"the amount of a drug product that should be kept on the pharmacy shelf."
"par"
"protein, carbohydrates, and essential nutrients given to the patient through an IV line."
"total parenteral nutrition (TPN)"
"a branch of the inpatient pharmacy responsible for preparing, dispensing, and monitoring medications for specific patient areas."
"pharmacy satellite"
"a system that shuttles objects through a tube using com- pressed air as the force."
"pneumatic tube"
"an order for medication to be administered only on an as-needed basis."
"PRN order"
"a hospital pharmacy that services patients who have left the hospital or who are visiting doctors in a hospital outpatient clinic."
"outpatient pharmacy"
"making a solution or suspension by adding water or other diluent to a premade powder form of a drug in a drug bottle or vial."
"reconstitute"
"medication that will expire soon after preparation (i.e., within 1–6 hours after preparation)."
"short stability"
"an order to give medication at scheduled intervals."
"standing order"
"an order to administer medication immediately."
"STAT order"
"a package containing the amount of a drug required for one dose."
"unit dose"
"drugs not on the formulary list and not regularly stocked in the pharmacy."
"non-formulary drugs"
"work station for medical personal on a nursing unit."
"nurses’ station"
"a review of a nursing unit to ensure compliance with hospital medication policies."
"unit inspection"
"a policy approved by the hospital P&T Committee allowing the pharmacist to change a medication order to a therapeutically equivalent formulary medication."
"therapeutic interchange"
"a small volume parenteral added into or piggybacked onto a large volume parenteral (LVP).
"intravenous piggyback (IVPB)"
"a pharmacy located in a hospital that services only those patients in the hospital and its ancillary areas."
"inpatient pharmacy"
"a list of drugs stocked at the hospital that have been selected based on therapeutic factors as well as cost."
"formulary"
"1. In a hospital, patients are admitted to different nursing units based on similar
a. medical insurance.
b. medical problems.
c. demographics.
d. income."
medical problems.
"2. The main responsibilities of a pharmacy technician may include all of the following EXCEPT:
a. preparing medications orders.
b. conducting unit inspections.
c. administering medications to patients.
d. monitoring patients drug therapy."
administering medications to patients.
"3. A pharmacy technician who is working in the clean room may be responsible for preparing
a. parenteral nutrition.
b. oral medications.
c. extemporaneous oral compounds.
d. enteral nutrition."
parenteral nutrition.
"4. Non-formulary medications
a. must always be stocked in the pharmacy.
b. may not be in supply and could take several days before they can be stocked in the pharmacy.
c. are commonly used when a hospital has a closed formulary.
d. are always inexpensive."
may not be in supply and could take several days before they can be stocked in the pharmacy.
"5. HIPAA is a federal law that protects a patient’s private information when it is
a. spoken.
b. written.
c. electronically transferred.
d. all of the above"
a. spoken.
b. written.
c. electronically transferred.
"6. An IVPB is due at 2 p.m. What time would that be using military time?
a. 02:00
b. 12:00
c. 14:00
d. 20:00"
14:00
"7. In order to determine what rate a patient’s dopamine drip is running, the pharmacy technician must look in the __________________ section of a patient’s medical chart.
a. lab/test results
b. demographics
c. progress notes
d. documentation flow sheet"
documentation flow sheet"
"8. A(n) __________ order is an order for a medication to be administered as needed.
a. PRN
b. STAT
c. Routine
d. NPO"
PRN
"9. Nurses track medication administration on a(an)
a. PCU.
b. PRN.
c. STAT.
d. MAR."
MAR."
"10. Automatic stop orders
a. can only be ordered by certain physicians in a hospital.
b. limit the period of time the order will remain active.
c. require approval from the appropriate service before the medication can be dispensed.
d. allow medications to be ordered for long periods of time."
limit the period of time the order will remain active.
"11. A medication order reads, “Ciprofloxacin 400 mg q 12 hours X 7 days.” What essential information is missing from this order?
a. dose
b. route
c. drug interactions
d. timing"
route
"12. If a medication has been dispensed by the pharmacy and the nurse calls stating the medication is missing, where might the medication be found?
a. In the automated dispensing cabinet.
b. On another unit from which the
patient was recently transferred.
c. In the pharmacy ready to be delivered.
d. All of the above."
a. In the automated dispensing cabinet.
b. On another unit from which the
patient was recently transferred.
c. In the pharmacy ready to be delivered.
"13. Hepatitis B vaccine requires refrigeration. This means it must be kept between
a. 2 ̊–8 ̊C.
b. 8 ̊–15 ̊C.
c. 15 ̊–25 ̊C.
d. 25 ̊–30 ̊C.
2 ̊–8 ̊C.
"14. Bulk bottles used for extemporaneous oral compounding MUST be labeled with the name of drug, expiration date, and
a. concentration, lot number specific to the hospital, and pharmacist initials.
b. concentration, lot numbers for all ingredients used in the preparation of the product, and pharmacist initials.
c. manufacturer for all ingredients used in the preparation of the product, and pharmacist initials.
d. manufacturer for all ingredients used in the preparation of the product, and technician initials."
concentration, lot number specific to the hospital, and pharmacist initials.
"15. When the pharmacy technician prepacks oral liquids the syringes MUST be
a. amber colored.
b. at least 5 ml in volume.
c. able to accept a needle.
d. unable to accept a needle."
unable to accept a needle."
"16. A single dose vial
a. can be used for 30 days after opening.
b. should never be used in a hospital.
c. contains no preservative.
d. must always be reconstituted."
contains no preservative.
"17. A code cart
a. should never be locked.
b. is where Material Safety Data Sheets
(MSDS) should be stored.
c. contains different medications and
equipment commonly used in emergency situations. d. is a cart used for pharmacy technicians to delivery medications through- out the hospital."
contains different medications and
equipment commonly used in emergency situations.
"18. If a patient’s current rate of NaCl 0.9% is 125 ml/hr, how many one liter intravenous bags will be necessary to fill a 24-hour supply?
a. 2
b. 3
c. 5
d. 4"
3
"19. How many doses of amoxicillin 500 mg can be drawn up from a 250 ml bottle of amoxicillin 250 mg/5ml oral suspension?
a. 10
b. 50
c. 25
d. 20"
25
"20. A medication order reads: gentamicin 120 mg iv 8 hours. The last dose was given to the patient at 16:00. When is the next dose due?
a. 14:00
b. 18:00
c. 12:00
d. 00:00"
00:00
"21. Ampicillin/sulbactam (Unasyn®) 3 grams is reconstituted with 6.4 ml to give a final concentration of 375 mg/ml. How many ml are required to give a dose of 2 grams?
a. 4.3 ml
b. 5.3 ml
c. 6.4 ml
d. 7.5 ml"
5.3 ml
"22. An IV infusion order calls for dopamine 800 mg in 250 ml of D5W to be infused at 10 mcg/kg/min. The patient weighs 55 kg. What will the flow rate be in ml/hr?
a. 0.2 ml/hr
b. 10.3 ml/hr
c. 22.7 ml/hr
d. 105.6 ml/hr"
10.3 ml/hr
"23. An order arrives in the IV room for 1,000 ml of dextrose 15%. How many ml of dextrose 70% will be needed to be added to sterile water make this solution?
a. 184 ml
b. 214 ml
c. 150 ml
d. 70 ml"
214 ml
"continuing condition that requires ongoing treatment for a prolonged period."
"chronic condition"
"a sudden condition requiring immediate treatment."
"acute condition"
"a common home infusion service used in treating AIDS related and other infections."
"antibiotic therapy"
"a system in which medication orders are communicated electronically and dispensed from an automated unit at the point-of-use."
"automated dispensing system"
"develops and maintains an individual pharmaceutical plan for each long-term care patient."
"consultant pharmacist "
"a medication that is required on a continuing basis for the treatment of a chronic condition."
(Press 471)
Press, Perspective. The Pharmacy Technician, 5th Edition. Morton Publishing Company, 02/01/2013. VitalBook file.
"maintenance medication"
"businesses that provide a range of home nursing care services, including infusion."
"home care agencies"
"makes sure long-term care patients receive the correct medications ordered."
"distributive pharmacist"
"1. Mail order pharmacies are used for maintenance medications, for chronic conditions. Which of the following conditions would NOT be likely to require maintenance medication?
a. root canal
b. HIV/AIDS
c. depression
d. hypertension"
root canal
"2. The delivery time for mail order medications is at least
a. 24 to 48 hours.
b. 2 weeks.
c. 4 weeks.
d. 6 weeks."
24 to 48 hours.
"3. A sudden condition requiring immediate treatment is a(an)
a. chronic condition.
b. PRN condition.
c. acute condition.
d. maintenance condition."
acute condition.
"4. A continuing condition that requires ongoing treatment for a prolonged period is called a(an)
a. chronic condition.
b. acute condition.
c. infectious condition.
d. maintenance condition."
chronic condition.
"5. Mail order pharmacies must follow ______________ requirements.
a. only state
b. federal and state
c. international
d. only federal"
federal and state
"6. The type of order processing used by mail order pharmacies in which each step in the prescription fill process is completed or managed by a person who specializes in that step is called
a. extemporaneous processing.
b. assembly line processing.
c. bin fill processing.
d. automated processing."
assembly line processing.
"7. The majority of long-term care services are
a. psychiatric institutions.
b. rehabilitation facilities.
c. nursing homes.
d. urgent care centers."
nursing homes.
"8. Long-term care facilities must have pharmacy services available
a. 9 am–5 pm.
b. 7 am–7 pm.
c. 7 am–11 pm.
d. 24 hours a day."
24 hours a day."
"9. The distributive pharmacist for a long- term care facility mainly works outside the facility.
a. True
b. False"
True
"10. A licensed pharmacist must perform a drug regimen review for each nursing home patient
a. at least once a month.
b. at least twice a month.
c. at least three times a month.
d. every week."
at least once a month.
"11. The requirement for pharmacy services in nursing homes to meet the needs of each patient is in the Code of Federal Regulations.
a. True
b. False"
True
"12. The type of infusion therapy associated with patients with digestive disorders or AIDS is called
a. admixture therapy.
b. PO.
c. NPO.
d. parenteral nutrition therapy."
parenteral nutrition therapy."
"13. The type of infusion therapy generally associated with an oncology program at a hospital or clinic is called
a. chemotherapy.
b. antibiotic therapy.
c. PO.
d. NPO."
chemotherapy.
"14. Compounding parenteral admixtures for home infusion requires all of the following EXCEPT:
a. aseptic practices.
b. laminar flow hoods.
c. ointment tiles.
d. use of clean rooms."
ointment tiles.
"15. Which member of the home care team orders the infusion therapy?
a. R.Ph.
b. physician
c. Pharm.D.
d. pharmacy technician"
physician
"16. Which member of the home care team coordinates and monitors the care plan?
a. home care aide
b. registered nurse
c. R.Ph.
d. Pharm.D."
registered nurse
"17. Which member of the home care team works with the supervising nurse to select the appropriate infusion device?
a. home care aide
b. physician
c. pharmacy technician
d. pharmacist"
pharmacist"
"18. Which member of the home care team may be involved with compounding, labeling, delivery, and other non-consulting activities?
a. R.Ph.
b. home care aide
c. pharmacy technician
d. Pharm.D."
pharmacy technician
"19. Which member of the home care team works under the supervision of the registered nurse?
a. home care aide
b. pharmacy technician
c. R.Ph.
d. Pharm.D."
home care aide
"20. Which member of the home care team is not involved in medication therapy?
a. pharmacy technician
b. nurse
c. home care aide
d. physician"
home care aide
"21. Procedures to prepare radiopharmaceuticals follow _____________standards.
a. USP <102> and <104>
b. USP <355> and <356>
c. USP <795> and <797>
d. none of the above"
USP <795> and <797>
"22. Prescription orders for radiopharmaceuticals consist of the agent to be administered, the amount of radioactivity, the time of administration , and ___________.
a. lot number
b. expiration date
c. patient name
d. DEA number"
patient name
"23. Patients are administered radiopharmaceuticals by the intravenous route only.
a. True
b. False"
False
"inflammation of the conjunctiva (eyelid lining)."
"conjunctivitis"
"another term for an antagonist drug, because antago- nists block the action of neurotransmitters."
"blocker"
"a state in which pain is not felt even though a painful condition exists."
"analgesia"
"reduces fever."
"antipyretic"
"drug that destroys worms."
"anthelmintic "
"bacteria killing."
"bactericidal"
"bacteria inhibiting."
"bacteriostatic"
"a product used to treat a skin condition."
"dermatological"
"when a compound breaks down and separates into smaller components."
"dissociation"
"a substance that in solution forms ions that conduct an electrical current."
"electrolytes"
"the fluid outside the body’s individual cells found in plasma and tissue fluid."
"extracellular fluids"
"the semiliquid form of food as it enters the intestinal tract."
"chyme"
"factors in the blood coagulation process."
"clotting factors"
"Factor I."
"fibrinogen"
"the fiber that serves as the structure for clot formation."
"fibrin"
"a decrease in hemoglobin or red blood cells."
Anemia
"a system of glands that secrete hormones into the bloodstream.
Endocrine System
"male sex characteristic hormones."
Androgens
"female sex characteristic hormone that are involved in calcium and phosphorus conservation."
Estrogens
"hormonal steroid substances produced by the cortex of the adrenal gland."
Corticosteroid
"a condition in which the body does not produce enough insulin or is unable to use it efficiently."
Diabetes Mellitus
"a negatively charged ion."
Anion
"a positively charged ion."
Cation
"chemicals produced by the body that regulate body functions and processes."
"hormone"
"a type of white blood cell that helps the body defend itself against bacteria an diseased cells."
"lymphocyte"
"a hormone that helps convert amino acids to glucose."
"glucagon"
"electrically charged particles."
Ions
"abnormally high pressure within the eye leading to optic nerve damage and loss of vision."
Glaucoma
"the body covering, i.e., skin, hair, and nails."
integumentary system
"a painful inflammatory condition in which excess uric acid accumulates in the joints."
Gout
"a hormone that controls the body’s use of glucose."
Insulin
"specialized cells of the pancreas that secrete insulin."
"Islands (or islets) of Langerhans"
"the state of equilibrium of the body."
"homeostasis"
"drugs that dilate the pupil."
Mydriatics
"inside the eye."
Intraocular
"drugs used to treat anemia."
"hematopoietics"
"cell fluid."
"intracellular fluid"
"drugs that prevent excessive bleeding."
"hemostatic drugs"
"tissue fluid."
"interstitial fluid"
"underproduction of thyroid hormone."
"hypothyroidism"
"when cancer cells spread beyond their original site."
"metastasis"
"overproduction of thyroid hormone."
"hyperthyroidism"
"another term for an agonist, because agonists imitate or mimic the action of the neurotransmitter."
mimetic
"a new and abnormal tissue growth, often referring to cancer cells."
"neoplasm"
"chemicals released by nerves that interact with receptors to cause an effect."
"neurotransmitter"
"an overdose of anesthesia that paralyzes the respiratory and heart centers of the medulla, leading to death."
"medullary paralysis"
"a disorder characterized by weight-bearing bone deterioration, decreasing range of motion, pain, and deformity."
"osteoarthritis"
"a chronic and often progressive inflammatory condition with symptoms that include swelling, feelings of warmth, and joint pain."
"rheumatoid arthritis"
"drugs used to treat gout that increase the elimination of uric acid."
"drugs used to treat gout that increase the elimination of uric acid."
"the stage of anesthesia in which surgery can be safely conducted."
"the stage of anesthesia in which surgery can be safely conducted."
"an antiviral used for HIV and hepatitis C that blocks the enzyme responsible for viral replication."
"an antiviral used for HIV and hepatitis C that blocks the enzyme responsible for viral replication."
"a state in which cancer cells are inactive."
Remission
"the wave-like motion of the intestines that moves food through them."
Peristalsis
"drugs used for minor bleeding when sutures are not appropriate."
Topical Hemostatics
"blood sugar."
Serum Glucose
"a female sex characteristic hormone involved in ovulation prevention."
Profesterone
"the primary androgen."
Testosterone