1) A patient walks into your pharmacy and immediately starts complaining about an itch on her arm. She precedes to lift her sleeve up, and when she does you notice a rash. What is the best way to respond to the patient?
A If it’s just the itching that’s bothering you, Benadryl should do the trick.
Correct: B) I apologize, I won’t be able to help you. If you can give me a moment, I can grab my pharmacist for you.
C) I’m sorry, I am unable to help you. You might want to go see a doctor for that. D) How long have you had that rash?
2) A medication was recalled for being defective. Which classification would fall under? Correct: A Class I recall
B) Class II recall C) Class III recall D) No recall needed
3) A physician orders amoxicillin 400mg/5mL for a 5-year-old child. The prescription reads: ii tsp po daily x2wks. The stock bottle is 50cc. How many bottles need to be given to complete this order? A 2
Correct: B) 3 C) 4
D) 5
4) Which juice is most likely to have an interaction with some medications? A Apple juice
B) Prune juice C) Orange juice
Correct: D) Grapefruit juice
5) All of the following are common side effects of Augmentin except: Correct: A Constipation
B) Diarrhea C) Rash
D) Allergic reaction
6) Which of the following does HIPAA set standards to protect? Correct: A PHI
7) The first 4 or 5 digits of an NDC represents: A The bar code
B) The package code
Correct: C) The labeler code D) The product code
8) How often can you refill a scheduled III to V medication? A As many times as the prescription is written for
B) Never
Correct: C) Up to 5 times in a 6-month period D) Up to 6 times in a year
9) This DUR rejection often occurs when a medication dose is not adjusted correctly for an elderly patient with liver failure.
A Allergy detected B) Drug-drug interaction C) Duplicate therapy Correct: D) Contraindication
10) How many refills are allowed on a schedule II medication? A As many times as the prescription is written for
B) Up to 5 times in a 6-month period Correct: C) Zero
D) One
11) Which part of Medicare covers most medically necessary doctors’ services and medical equipment?
A Part A
Correct: B) Part B C) Part D
D) Part A and Part B
12) How many milligrams of hydrocortisone are in a 30g tube of 2% hydrocortisone cream? A 0.6 mg
B) 6 mg C) 60 mg
13) A patient is prescribed eye drops for an eye infection. The prescription reads: 0.15 mL ou day How many drops does the patient need to instill in each eye?
A 1 drop B) 2 drops
Correct: C) 3 drops D) 4 drops
14) Calculate the last digit of the following DEA number: AL264936 A 3
B) 51 Correct: C) 1 D) 5
15) What type of filter is used in a laminar flow hood? A HVAC
B) EPA
Correct: C) HEPA D) HAPA
16) Which standards must be followed while compounding? A FDA
B) DEA
Correct: C) GMP D) OSHA
17) What does FDA stand for? A Food and Drug Act
B) Food and Drug Abuse
Correct: C) Food and Drug Administration D) Food and Drug Association
18) What is the direction of the airflow in a horizontal laminar flow hood? Correct: A From the back of the hood to the front of the hood
B) From the top of the hood to the bottom of the hood C) From the front of the hood to the back
19) Which of these workplace habits might contribute to making a prescription error? A Working in a quiet environment
B) Filling one medication at a time Correct: C) Multitasking
D) Compounding medication in the order that they were received
20) A physician wrote a prescription for a generic medication. The patient wants the brand name medication. Which DAW code do you use when billing insurance?
A DAW 1
Correct: B) DAW 2 C) DAW 3
D) DAW 0
21) A pharmacy can receive a prescription by all the following methods except: A Faxed in from doctor’s office
B) Called in by the physician Correct: C) Called in by the patient
D) Called in by the physician’s designated staff
22) What does the acronym HIPAA stand for? A Health Insurance People Accountability Act
B) Health Information Protecting and Accountability Act Correct: C) Health Insurance Portability and Accountability Act D) Health Information Portability and Accountability Act
23) Which DEA form is used to dispense a controlled substance? A Form 106
B) Form 222
Correct: C) Form 224 D) Form 236
24) Which of the following deals specifically with practicing pharmacists and requires pharmacists to counsel all patients receiving new prescriptions?
Correct: A OBRA B) FDC
25) Which of the following provides drug manufacturers guidelines for packaging? A USP
B) DEA
Correct: C) FDA D) FDC
26) Which classifications of medication may have side effects such as dry mouth, difficult urination, and constipation?
A Beta-Blockers
Correct: B) Anticholinergics C) Alpha-Blockers
D) Cholinergics
27) All of the following are NSAID except: A Mobic®
B) Ibuprofen C) Naproxen Correct: D) Soma
28) Medicare Part A is what type of insurance? A Health Insurance
B) Medication Insurance Correct: C) Hospital Insurance D) Medical Equipment Insurance
29) Decipher the order below and choose the best day supply to submit to insurance. Physician order: Motrin 600 mg i po q4-8h #24
Correct: A 4 B) 8
C) 12 D) 24
30) Which of the following is responsible for drug recalls? A DEA
31) A Medicare patient hands you a brand name prescription with “DAW 1” written on it. The patient requests generic. How is DAW 1 interpreted?
A Patient prefers generic B) Patient prefers brand C) Generic medically necessary
Correct: D) Brand name medically necessary
32) One of your regular patients come in with a broken leg. They let you know that they got hurt on the job. They hand you a prescription for Motrin 800 mg i po tid #21. How do you bill their
medication?
A Bill through Medicare Part D B) Bill through Commercial Insurance
Correct: C) Bill through Workers’ Compensation
D) Charge the patient cash price, and have them file for reimbursemen
33) When compounding a sterile medication, one should work ____ inches inside the hood. A 3
Correct: B) 6 C) 4
D) 12
34) AWP is the acronym for: A Average Warehouse Price Correct: B) Average Wholesale Price C) Average Wholesale Promotion D) Average Warehouse Promotion
35) Which of the following is the generic name for Fosamax? A Allopurinol
Correct: B) Alendronate C) Aspirin
D) Raloxifene
36) Which of the following insurance providers is a federally funded? A Blue Cross Blue Shield
37) Having which of the following makes you ineligible to use a manufacturer copay assistance card? A Express Scripts
Correct: B) Medicare Part D C) OptumRx
D) Aetna
38) What is the active ingredient in Zyprexa? A Olopatadine
Correct: B) Olanzapine C) Ofloxacin
D) Olmesartan
39) What kind of form must a prescriber write on to dispense C-II medications? A DEA Form 106
B) DEA Form 224
Correct: C) Triplicate form
D) Tamper resistant prescription pad
40) Your pharmacy regularly dispenses Norco 10/325 (generic name: Hydrocodone/Acetaminophen 10/325). So much that Norco has become a fast mover at your pharmacy. Where is the appropriate location to store the medication?
A Alphabetically in the “N” section for Norco
B) Alphabetically in the “H” section for Hydrocodone C) In the “fast movers”
Correct: D) In the pharmacy safe
41) What happens when a drug blocks the activity of metabolic enzymes in the liver? A Synergism
Correct: B) Inhibition C) Addictive effects D) Potentiation
42) How many continuing education hours does a technician need to complete in order to be eligible to re-certify?
A 22 hours
Correct: B) 20 hours C) 21 hours
43) Listed are 2 medications. What do they give an example for? hydrOXYzine, hydrALAZINE A Look alike, sound alike drugs
B) Brand and generic equivalence Correct: C) Tall man lettering D) Look twice drugs
44) Which of the following would a prescriber need to provide their DEA number for? A Zolpidem
B) Suboxone
Correct: C) Both Zolpidem and Suboxone D) Neither Zolpidem nor Suboxone
45) The insurance policy is always held by: A The patient
Correct: B) The subscriber C) The dependent
D) The prescriber
46) A physician asks you to prepare 15g of Benadryl 0.5% cream. Benadryl 1% cream is available over the counter. How many grams of Benadryl will be needed to complete this order?
A 50g B) 0.5g
Correct: C) 7.5g D) 750g
47) Which of the following uses weight to calculate dosing for children? A Young’s Rule
B) Fried’s Rule
C) Nomogram Method Correct: D) Clark’s Rule
48) The average adult dose of Amoxicillin is 1g daily. Using Young’s Rule, calculate the dose for a child that weighs 36 lbs. and is 48 months old.
Correct: A 250mg B) 2.5g
49) Which of the following serves as a guide to the specifications required for pharmaceutical manufacturing and quality control?
Correct: A USP-NF B) Orange Book C) PDR
D) Red Book
50) What does the acronym ASHP stand for?
Correct: A American Society of Health-Systems Pharmacist B) American Society of Heath Practices
C) American Society of Health-Systems and Practices D) American Society of Hospital Pharmacies
51) Among the following, which is not considered and antiviral medication? A Didanosine
B) Acyclovir
Correct: C) Clotrimazole D) Zidovudine
52) Which medication is limited to being prescribed for a 30-day supply and no refills? A Ativan
B) Amoxicillin C) Viagra
Correct: D) Isotretinoin
53) What is Medicare Part C for?
A Covers all costs related to health (health insurance, hospital insurance, medication insurance) Correct: B) Allows private health insurance companies to provide Medicare benefits
C) Combines Medicare Part A and Part B D) There is no Medicare Part C
54) What drug do the following medications have in common? Dyazide, Hyzaar, and Zestoretic. Correct: A Hydrochlorothiazide
55) What is a common suffix for drugs that are calcium channel blockers? A -pril
B) -olone
Correct: C) -dipine D) -mycin
56) What is the IFU for Zofran? A Diarrhea
Correct: B) Nausea and Vomiting C) Dizziness
D) Motion sickness
57) Which of the following is used to counteract a heparin overdose? A Coumadin
B) Enoxaparin C) Normal Saline
Correct: D) Protamine Sulfate
58) Which reference should be used to look up manufacturers’ prescribing information on prescription drugs?
A Orange Book B) FDA
Correct: C) PDR D) USP
59) Which of the following techniques reduces a medication into fine particles using a mortar and pestle?
A Dilution
Correct: B) Trituration C) Spatulation D) Crushing
60) Which of the following is the abbreviation for aspirin? A Asp
61) Which form documents the destruction of controlled substances? A DEA Form 224
Correct: B) DEA Form 41 C) No form needed D) DEA Form 106
62) Which of the following conditions can cause heart cells to die from interrupted blood flow to a part of the heart?
A Stroke
B) Cardiomyopathy
C) Congestive Heart Failure Correct: D) Myocardial Infarction
63) You receive an order for 800mL of 10% dextrose solution. You check your inventory and you have 50% and 5% dextrose solution available. How many milliliters of each will you need to fill the
prescription? (round to the nearest whole number) A 5mL of 50% and 40mL of 5%
B) 5mL of 5% and 40mL of 50%
Correct: C) 89mL of 50% and 711mL of 5% D) 89mL of 5% and 711mL of 50%
64) Which of the following laws clearly defines misbranding and adulteration? A Poison Control Act of 1970
Correct: B) Food, Drug, and Cosmetic Act of 1938 C) Pure Drug Act of 1906
D) Durham-Humphrey Amendment
65) Which of the following is the generic name for Lopressor? A Lovastatin
B) Lisinopril C) Metformin
Correct: D) Metoprolol tartrate
66) What drug class do the medications with the suffix -sartan fall under? Correct: A Angiotensin Receptor Blocker
B) Angiotensin Converting Enzyme Inhibitor C) Beta-Blocker
67) Which of the following is not provided in the Handbook of Nonprescription Drugs? A Nutritional supplements
B) Medical foods
C) Complementary and alternative therapies
Correct: D) Equivalent prescription medications and preventative measures for selftreatable disorders
68) What does the abbreviation “od” stand for? A Left eye
Correct: B) Right eye C) Both eyes
D) Other day
69) Which of the following mandated that all habit-forming or potentially harmful prescription drugs be labeled with “Caution: Federal Law prohibits dispensing without prescription”.
A Kefauver-Harris Amendments B) Prescription Drug Marketing Act
Correct: C) Durham-Humphrey Amendment D) Food and Drug Administration (FDA)
70) Given the adult dose is 0.5g daily and the child is 26 months old and weighs 8.86Kg. Use Clark’s Rule to calculate the child’s dose for Keflex. (round to the nearest tenths place)
A 65mg of Ciprofloxacin B) 76mg of Cephalexin
Correct: C) 65mg of Cephalexin D) 76mg of Ciprofloxacin
71) When creating a prescription label, which of the following permits you to use abbreviations? A When the prescription directions are too long
B) When the medication is going to an inpatient facility C) When you counsel the patient about the change Correct: D) Never use abbreviations on prescription labels
72) You receive a medication order for Restoril 15mg to be taken i po qhs #28. What do you place on the label? (choose the best option)
Correct: A Take 1 tablet by mouth every night at bedtime B) Take 1 tablet by mouth every night
73) A pharmacy pays $52.92 for per box of ProAir HFA and sells it at $58.32. What is the gross margin percentage?
A $5.40 B) $10.20 C) 5.4%
Correct: D) 10.20%
74) The first two characters of a DEA number will always be letters. Which of the following DEA numbers is correct for Dr. Patricia Nguyen?
A DP3642584 B) PN3642583 C) PN3242584
Correct: D) BN3642584
75) Which of the following does not need to be on a prescription label? A Name of patient
B) Name of prescriber
Correct: C) Prescriber DEA number D) Phone number of the pharmacy
76) Which of the following skills is imperative for pharmacy technicians? Correct: A Communication
B) Computer Programming C) Leadership
D) Reliability
77) What information does the Orange Book give?
Correct: A List of approved drugs and therapeutic/biological equivalences B) Nonprescription therapeutic equivalences for self-treatable disorders C) Wholesale pricing for all medications
D) Drugs facts or all drugs
78) Of the following, which mandates childproof packaging for prescriptions? A Occupational Safety and Health Administration
Correct: B) The Poison Prevention Packaging Act C) Drug Enforcement Agency
79) Which of the following is not a type of capsule? A Hard capsules
B) Soft-gelatin capsules Correct: C) Granules D) Spansule
80) A physician orders 1.5 L of D5NS to be administered at 30 gtts/min. What would be the infusion time given that drop factor of 20 gtts/mL?
A Infuse over 30,000 minutes
Correct: B) Infuse over 1,000 minutes C) Infuse over 15,000 minutes
D) Infuse over 50 minutes
81) A physician prescribes Dilantin 100mg to be taken iii po bid qod x 4 wks. What is the quantity needed to complete this order?
A #42
Correct: B) #84 C) #24
D) #168
82) What does PHI stand for? A Personal Health Information B) People Health Information
Correct: C) Protected Health Information D) Personal Health Insurance
83) Which of the following is classified as a tetracycline antibiotic? A Cipro
B) Levaquin
Correct: C) Vibramycin D) Cleocin
84) A prescription is written on October 15th, 2016 for Ultram 50mg. Directions read: i po qhs #30. The first fill of the medication was October 17th, 2016. When would this prescription expire? A October 15th, 2017
B) March 17th, 2017
Correct: C) March 15th, 2017
85) What is the abbreviation for left ear? Correct: A AS
B) OS C) OD D) AD
86) Which of these is not considered a part of a medication order? A Patient name
B) Date written by prescriber C) Medication route
Correct: D) Date filled by pharmacy
87) A National Drug Code is divided into 3 segments. What is the correct order of those segments? A Labeler code, package code, product code
B) Package code, labeler code, product code
Correct: C) Labeler code, product code, package code D) Drug Manufacturer, drug package, drug product
88) A physician prescribes for a patient to take Lantus Solostar 35u SQ bid x 28 days. Calculate how many pens are needed to complete the order given the following: i. 1 box = 5 pens ii. There is 100u/ mL iii. 1 pen = 3mL iv. You can break open a box but you cannot break open a pen.
A 1,960 Correct: B) 7 C) 6
D) 19.6
89) Drugs with the suffix -olol have all of the following except? A Blood pressure medications
B) Used to treat hypertension
Correct: C) Part of the endocrine system D) Beta-blockers
90) What is the brand name for metformin? A Glucotrol
B) Glyburide
