PTCB EXAM POSSIBLE QUESTIONS LATEST 2022

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PTCB EXAM LATEST 2022 A logical and systematic process used to help identify what, how, and why something happened in order to prevent recurrence is referred to as: A.root cause analysis. B... .selection error assessment. C.determination of cause analysis. D.risk of error assessment. ans: The key (A) is correct because a root cause analysis (RCA) is a process that examines the contributing factors regarding why and how an error (or near miss) occurred. Information gathered is then used to make changes to reduce the possibility of future errors. A major role of the Pharmacy and Therapeutics (P&T) Committee is developing: A.the formulary status of drugs. B.operational budgets. C.dispensing policies and procedures. D.pharmacy technician training. ans: The key (A) is correct because a Pharmacy and Therapeutics (P&T) Committee is a multidisciplinary committee required to meet on a routine basis to make decisions about the care of patients with a focus on the safe and effective use of medications; overseeing and making decisions for an institution's formulary is an example of the P&T Committee's responsibilities. A particular manufacturer packages metoprolol succinate 100 mg tablets with an NDC of 49884-0827-01. If a pharmacy technician wants to receive rosuvastatin 10 mg tablets from the same manufacturer, which of the following NDCs should they order? A.00378-2203-77 B.60687-0245-01 C.50090-0827-00 D.49884-0261-09 ans: The key (D) is correct because the first segment of an NDC is the labeler (manufacturer or distributor) code. The second segment of an NDC is the product code, while the third segment is the package code. The first segment in the key is the only option that matches the first segment in the stem. A patient decides to transfer their diazepam prescription from a chain pharmacy to a mail order pharmacy that does not share a real-time, online database. According to federal law, a schedule IV prescription: A.can be transferred no more than one time between these pharmacies. B.can be transferred no more than two times between C.can be transferred no more than five times between these pharmacies. D.may not be transferred between these pharmacies. ans: The key (A) is correct because, according to Title 21 Code of Federal Regulations (Part 1306), Schedule IV prescription information may be transferred only one time between pharmacies that do not share a real-time, online database. Pharmacies that do share a real-time, online database may transfer prescription information up to the maximum refills permitted by law and the prescriber's authorization. A patient diagnosed with type 2 diabetes requests a refill of a prescription for extended-release glipizide. The patient is approximately 15 days late in refilling the prescription. The patient, when asked if the medication is being taken as directed, says, "Yes, I always take it at breakfast, but many days I simply don't have time to eat before I leave for work." How should the pharmacy technician respond? A.Tell the patient that the medication is being taken incorrectly and advise that the medication should be taken every morning B.Ask the patient to speak with the pharmacist to clarify the prescription directions C.Ask the patient to call the prescriber immediately to have blood sugar testing ordered at once D.Tell the patient that the medication is being taken incorrectly and the prescriber should be seen at once ans: The key (B) is correct because the patient appears to have been taking the medication incorrectly and needs to be counseled, which can only be done by a pharmacist. A patient picking up a prescription order for naproxen inquires if the pharmacy has ibuprofen in a nonprescription strength. In response to this request, the pharmacy technician should: A.inquire if the ibuprofen is for the same patient as the naproxen; if so, notify the pharmacist of a potential therapeutic duplication. B.explain that medications must be taken with food or meals to avoid stomach upset. C.inform the patient that nonprescription ibuprofen is available and direct the patient to the nonprescription pain reliever section. D.inquire if the ibuprofen is for the same patient as the naproxen; if so, notify the patient of a potential therapeutic duplication. ans: The key (A) is correct because ibuprofen and naproxen are both non-steroidal anti-inflammatory drugs (NSAIDs) and therapeutic duplication could enhance the medications' adverse/toxic effects. The pharmacist must be notified because professional judgment is needed to determine appropriate next steps, such as counseling the patient to avoid taking two NSAIDs at the same time. A patient presents a new prescription order for labetalol. The patient's computer profile shows the following medications: glyburide, albuterol, furosemide, atenolol, and amlodipine. The labetalol prescription order is a therapeutic duplication of: A.amlodipine. B.atenolol. C.furosemide. D.albuterol. ans: The key (B) is correct because both labetolol and atenolol are beta blockers. Distractor (A) is a calcium channel blocker, distractor (C) is a diuretic, and distractor (D) is a beta2 agonist. A patient rushes to the pharmacy with an order written for digoxin 0.25 mg PO STAT, but the pharmacist has stepped out of the pharmacy to recommend an OTC medication. In this situation, the pharmacy technician should: A.ask the patient if it would be acceptable to substitute a nonprescription equivalent. B.dispense digoxin to the patient and ask the pharmacist to check later. C.page the pharmacist to come back to dispense the digoxin. D.ask the patient to wait for the pharmacist to come back. ans: The key (C) is correct because the prescription is urgently needed and a pharmacist must be present to dispense the medication. A patient would like a printout of their medication profile for the past 12 months as well as one for their child. In order to further assist the patient, the pharmacy technician should ask about the: A.child's age. B.reason for the request. C.insurance information. D.patient's allergy history. ans: The key (A) is correct because HIPAA (the Health Insurance Portability and Accountability Act of 1996) states that, in most cases, parents are the personal representatives for their minor children and can therefore exercise individual rights, such as access to medical records, on behalf of their minor children. However, an adult child would generally need to retrieve their own record. A pharmacy fills an average of 11,518 prescriptions on a third-party plan in a one month period. Of these, 42% are from new prescriptions, 18% are transfers (electronic or telephone), and 40% are refills. What is the average number of prescriptions refilled each month? A.2,073 B.4,607 C.6,680 D.11,518 ans: The key (B) is correct and can be calculated as follows. Since 40% of the total prescriptions are refills, multiply 11,518 by 40% to find how many prescriptions are refills. Convert 40% to a decimal by moving the decimal point 2 digits to the left. 0.4 x 11,518 = 4,607.2, which rounds to 4,607 A pharmacy has established product inventory maintenance levels. There are two bottles containing 100 capsules of Prozac 20 mg on the shelf. A new prescription for 60 capsules has been presented by a patient who will return tomorrow. If the inventory maintenance level for Prozac 20 mg is 5 bottles of 100 capsules each, how many 100 capsule bottles should be ordered for tomorrow's delivery? A.2 B.3 C.4 D.5 ans: The key (C) is correct because filling this prescription will leave 1 full bottle containing 100 capsules of Prozac 20 mg on the shelf. 4 more bottles must be ordered to achieve the inventory maintenance level of 5 full bottles of 100 capsules each. A pharmacy receives the following prescription: Ciprofloxacin 0.3% solution #1 bottle Sig: 1-2 drops OS q2h while awake for 2 days then 1-2 drops q4h while awake for the next 5 days Where is the patient instructed to use the medication? A.Left ear B.Right ear C.Left eye D.Right eye ans: The key (C) is correct because OS comes from the Latin "oculus sinister," meaning left eye. Distractor (A) would be AS (from "auris sinister"), distractor (B) would be AD (from "auris dexter"), and distractor (D) would be OD (from "oculus dexter"). However, it should be noted that all of these abbreviations are error-prone and should not be used. A pharmacy receives the following prescription: Suboxone 8 mg/2 mg SL film #60 Sig: 2 films SL once a day How should this medication be used? A.Subcutaneously B.On the tongue C.Under the tongue D.Rectally ans: The key (C) is correct because SL comes from the Latin "sublingual," which means under the tongue. Distractor (A) can be abbreviated as SC, SQ, or subq (although these abbreviations are error-prone and should be avoided), distractor (B) does not have a specific abbreviation (although tablets to be taken on the tongue are called "ODT" or "orally disintegrating tablets"), and distractor (D) would be PR (from "per rectum"). A pharmacy technician is asked to divide a bulk bottle of chloral hydrate 500 mg/5 mL into 1 teaspoon unit-of-use packaging. The best option for portioning out the drug is to use a(n): A.oral liquid syringe. B.medicine cup. C.small glass bottle. D.hypodermic syringe. ans: The key (A) is correct because oral liquid syringes are appropriate to use with oral medication and can provide a precise measurement for 1 teaspoon (or 5 mL). Distractors (B), (C), and (D) are either inappropriate to use with oral medication or do not provide precise measurements for the required quantity. A pharmacy technician is entering a prescription when a warning message appears that reads, "Contraindicated in patients with sulfa sensitivity." Which part of the patient profile should be reviewed? A.Medical history B.Medication allergies C.Medication interaction D.Medication profile ans: The key (B) is correct because medication allergies cause sensitivity or hypersensitivity to medications, so the patient's medication allergies should be checked for a sulfa allergy. A pharmacy technician receives a prescription for Dilaudid 4 mg tablets DAW. The pharmacy is out of Dilaudid. The technician fills the prescription with hydromorphone. The pharmacist performs the final check and tells the technician that hydromorphone cannot be dispensed because: A.the pharmacist cannot substitute any medications due to "the patient's right." B.generic substitution is not authorized by prescriber. C.the prescription is written as Dilaudid, not hydromorphone. D.hydromorphone and Dilaudid are two different Schedule controlled substances. ans: The key (B) is correct because "DAW" is an abbreviation for "Dispense as Written," a notation that indicates that the prescriber wants only the medication named on the prescription to be dispensed. This means that brand name Dilaudid must be dispensed for this prescription; Dilaudid's generic, hydromorphone, is not authorized by the prescriber. A pharmacy technician receives a telephone call from a worried patient who heard on the news that an inhaler is being recalled. The technician should tell the patient to: A.discard any of this medication on hand and request a refill. B.continue to use the medication on hand if it seems to be working. C.contact the prescriber to consider a therapy change. D.bring the medication to the pharmacy to check the lot number and manufacturer. ans: The key (D) is correct because items affected by a recall may be identified using the product's National Drug Code (NDC) number (which includes manufacturer information) and lot or batch number. Further action may then be taken if necessary. A pharmacy technician receives the following order: Synalar crm 0.01% 30 g Menthol 300 mg Salicylic acid 2% Sulfur 2% White petrolatum q.s. ad 120 g Sig: Apply to scalp ut dict How much white petrolatum, in g, should be used to compound this prescription? A.75 B.80 C.85 D.90 ans: The key (C) is correct and can be calculated as follows. The abbreviation "q.s. ad," from the Latin "quantum sufficit ad," means that enough white petrolatum should be added to the other ingredients to total 120 g of final product. Find how much of each other ingredient is required, then subtract that amount from 120 g to determine how much white petrolatum is necessary. 30 g Synalar + 0.3 g Menthol (300 mg ÷ 1000 mg/g = 0.3 g) + 2.4 g Salicylic acid (0.02 x 120 g = 2.4 g) + 2.4 g Sulfur (0.02 x 120 g = 2.4 g) 35.1 g (rounds to 35 g) 120 g - 35 g = 85 g white petrolatum. A pharmacy technician receives the following prescription: Hydrocortisone 2.5% cream and Aquaphor in 1:1 Quantity: 4 oz total What quantity of hydrocortisone 2.5% cream, in g, should be entered on the compounding record? A.30 B.60 C.90 D.120 ans: The key (B) is correct because a 1:1 compound contains an equal amount of both ingredients. First convert 4 oz to g and then divide the total in half. 1 oz = 30 g, so 4 oz = 120 g. 120 g divided by 2 = 60 g. A physician orders amoxicillin 50 mg/mL for a child at 1 mL PO q8h for 10 days. What is the total volume to be dispensed, in mL, if the amoxicillin stock is 125 [Show More]

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