Deck 6: Process Dispense

Question 1

What should a pharmacy do with an investigational drug when it expires?

A)Send it to the Department of Public Health
B)Send it back to the sponsor of the clinical trial
C)Throw it away in the trash
D)Send it to Hazmat

Answer 1

Send it back to the sponsor of the clinical trial

Question 2

Which of the following is not a responsibility of an investigational drug service pharmacy technician?

A)Counting and packaging investigational drugs
B)Ordering investigational drugs
C)Returning expired investigational drugs
D)Verifying and dispensing prescriptions for investigational drugs

Answer 2

Verifying and dispensing prescriptions for investigational drugs

Question 3

Which of the following people do not need to be registered with the STEPS program in order to dispense, receive or prescribe thalidomide?

A)Pharmacists
B)Patients
C)Doctors
D)None of the above

Answer 3

None of the above

Question 4

Which of the following is not a requirement for a patient taking clozapine?

A)Regular white blood cell counts with acceptable results
B)Maximum of four weeks' worth of clozapine dispensed to the patient at a time
C)Maximum of two weeks' worth of clozapine dispensed to the patient at a time
D)Registration into the Clozapine National Registry

Question 5

What is the maximum amount of thalidomide that can be dispensed at one time?

A)14 day supply
B)7 day supply
C)30 day supply
D)28 day supply

Question 6

How often do female patients taking isotretinoin need to complete a phone survey?

A)Every 14 days
B)Every 30 days
C)Every 7 days
D)Every 60 days

Question 7

What is the maximum number of refills allowed on a prescription for thalidomide?

A)0
B)1
C)2
D)3

Question 8

When filling a prescription for Tikosyn, a pharmacy must do all of the following except:

A)Tell the patient that any refills are not valid, and they must get a new prescription each time Tikosyn is dispense
B)Verify that the prescriber is a confirmed participant in the Tikosyn T.I.P.S. database
C)Be enrolled in the TIPS program as a dispensing pharmacy
D)Stamp the back of the prescription with the T.I.P.S. stamp and write both the date and initials of the pharmacist

Question 9

A female patient wants to get a refill on her prescription for Accutane. What steps must she completed before a prescription can be filled?

A)Take a pregnancy test and produce a negative result
B)Complete a monthly survey
C)Obtain a new prescription from the doctor
D)All of the above

Question 10

Starting from the day a female patient tests negative for pregnancy, how many days does she have to pick up her prescription for Claravis?

A)14 days
B)30 days
C)7 days
D)60 days

Question 11

How many days after an office visit with a prescribing doctor does a male patient have to pick up his prescription for Accutane?

A)30 days
B)7 days
C)14 days
D)60 days

Question 12

A patient taking clozapine goes in for his regular white blood cell count, and his results come back extremely low. He would now like to pick up his prescription for clozapine. What can you do?

A)Tell the patient he cannot have his prescription until his white blood cell count comes back with acceptable results
B)Fill the prescription for him today
C)Tell the patient that due to this result, he cannot take clozapine ever again
D)Tell the patient that he is in danger of getting an infection but give him the prescription today

Question 13

A female patient comes into the pharmacy to try and pick up a continuation of her prescription for Accutane. You have received a prescription for Accutane from her doctor, but when you call the IPLEDGE system, it says that she is not qualified, since she did not complete her survey for this month. What can you do?

A)Sell her the prescription anyway
B)Tell her you cannot get authorization to fill her prescription until she completes her monthly survey
C)Tell her the doctor must write another prescription for Accutane as the one she has is no longer valid
D)Tell the patient that she must register as a patient with the IPLEDGE program

Question 14

What is the most important thing to tell a patient who is picking up a suspension?

A)Do not take with milk
B)Store it in the refrigerator.
C)Shake well before use
D)Do not shake the medication.

Question 15

Andy is supposed to receive a prescription for generic Atarax. What medication should he be receiving?

A)Hydralazine
B)Hydroxyzine
C)Hydrocodone
D)Hycamtin

Question 16

Deborah has three prescriptions ready for pick up: alprazolam, lovastatin, and lisinopril. She tells you she only wants her blood pressure medication at this time. Which of her medications do you dispense?

A)Alprazolam
B)Lovastatin
C)Lisinopril

Question 17

Marcos is picking up his prescription for simvastatin and you see that his wife's acyclovir is ready. What do you do?

A)Tell Marcos his wife's medication is ready.
B)Just dispense the medication to Marcos without saying anything.
C)Do not mention the acyclovir to Marcos.
D)Ask Marcos if he generally picks up his wife's medication.

Question 18

A man claiming to be the father of John, a regular patient, has come to pick up John's hydrocodone prescription. The man is unable to tell you John's date of birth, address, or phone number. What do you do?

A)Dispense the medication anyway.
B)Call the police.
C)Tell the man you can't dispense the medication without the proper information.
D)Tell the man you can dispense the medication only after getting a copy of his identification.

Question 19

Jones has four prescriptions ready for pick up, and he says that he only needs his sleeping medication at this time. What medication should you dispense?

A)Melatonin
B)Temozolomide
C)Tamoxifen
D)Benazepril

Question 20

Jose is supposed to be receiving a prescription for generic Lotensin. What medication should he be receiving?

A)Benazepril
B)Lisinopril
C)Amiodarone
D)Prednisone

Question 21

A patient who injects 30 units of insulin twice daily is coming to pick up a 30-day supply of his insulin. How many vials should be dispensed to this patient?

A)1
B)2
C)3
D)4

Question 22

Why is it important to record identifying information of patients who purchase pseudoephedrine?

A)The drug is highly addictive.
B)The drug should not be possessed by minors.
C)The drug is a key component in the production of methamphetamine.
D)The drug is a key component in LSD.

Question 23

John is picking up a prescription for generic Tavist. Which medication should he receive?

A)Clemastine
B)Hydrocortisone
C)Prednisone
D)Spironolactone

Question 24

Which of the following drugs is a controlled substance?

A)Carisoprodol
B)Clonazepam
C)Hydroxyzine
D)Selenium sulfide

Question 25

What accessories are needed for a patient's glucometer?

A)Test strips
B)Lancets
C)Alcohol swabs
D)All of the above

Question 26

How much 85% ethanol should be diluted with water to make 500ml of 35% ethanol solution?

A)219
B)225
C)257
D)350

Question 27

What dosage form(s) is fluticasone propionate available in? I. Cream
II. Ointment
III. Nasal Spray
IV. Tincture

A)I and II
B)I, II, and III
C)I, II, and IV
D)II, III, and IV

Question 28

What two creams are commonly compounded to treat eczema?

A)Clotrimazole and Aquaphor
B)Triamcinolone and Eucerin
C)Acyclovir and Aquaphor
D)Permethrin and Eucerin

Question 29

How many milligrams of active ingredient will you need to make 480ml of a compound that contains 6mg/10ml of active ingredient?

A)480mg
B)526mg
C)288mg
D)148mg

Question 30

What drug(s) must be handled carefully to avoid cross contamination with other medications?

A)Pen VK 500mg Tablet
B)Hydrocodone 5/500mg Tablet
C)Doxycycline 500mg Tablet
D)Both A and C

Question 31

An IV has been set to drip at 5gtt/min, and the bag has 500mg of active ingredient in a total of 1200ml. If the set has been calibrated to deliver 25gtt/ml, how much active ingredient will the patient receive in two hours?

A)10mg
B)20mg
C)22mg
D)25mg

Question 32

What dosage form(s) is vardenafil available in? I. Tablet
II. Capsule
III. Cream
IV. Gel

A)I and II
B)III only
C)I only
D)III and IV

Question 33

How much active ingredient is present in a tablespoon of amoxicillin 250mg/5ml suspension?

A)500mg
B)250mg
C)750mg
D)1000mg

Question 34

If a 1,000ml IV bag has 500mg of active ingredient and the set is calibrated to deliver 20gtt/ml and 12gtt/min, how many milliliters will the patient receive in one hour?

A)34
B)36
C)40
D)45

Question 35

What is the most important thing to remember when pouring Carafate suspension into a pharmacy container for dispensing?

A)Do not shake the bottle before pouring.
B)Shake the bottle before pouring.
C)Remove the bottle from refrigeration for 10 minutes prior to pouring.
D)Put on a protective mask before opening the container.

Question 36

How many milligrams of active ingredient would be in 50ml of azithromycin 200mg/5ml?

A)1,000
B)1,500
C)2,000
D)2,500

Question 37

Formula X and formula Y are combined in a 2:1 ratio to make formula XY. How much of each ingredient must be used to make 120ml of formula XY?

A)40/80
B)80/40
C)100/20
D)20/100

Question 38

How many milligrams of active ingredient are in a 75ml bottle of Amoxicillin 100mg/5ml suspension?

A)1000mg
B)1500mg
C)2000mg
D)2500mg

Question 39

If an IV is set to drip at 30gtt/min and is calibrated to 25gtt/ml, and if it takes 7 hours for the full amount of medication to be dispensed, how many milliliters were originally in the bag?

A)417ml
B)504ml
C)617ml
D)628ml

Question 40

What form(s) is hydrocortisone available in?
I. Tablet
II. Cream
III. Ointment
IV. Capsule

A)I, II, and III
B)II and III
C)I and IV
D)I, II, and IV

Question 41

In a 3:1 compound of hydrocortisone and Eucerin, how much of each ingredient should be added to make 270mg of the compound?

A)90:30
B)30:90
C)70:200
D)200:70

Question 42

If the pharmacist asks you to fill a prescription for Prograf using its generic equivalent, which drug would you dispense?

A)Triamcinolone
B)Tetracycline
C)Triamterene
D)Tacrolimus

Question 43

Which of the following medications is available in a transdermal patch?

A)Clonidine
B)Clonazepam
C)Sucralfate
D)Fluconazole

Question 44

How many grains are in one gram?

A)10
B)15
C)20
D)25

Question 45

How many milliliters are in one cup?

A)160
B)240
C)275
D)330

Question 46

You have 2.4 liters of 25% hydrochloric acid solution. You are asked by the pharmacist to make as much 15% hydrochloric acid solution as possible. How much water do you use?

A)1400ml
B)1600ml
C)1800ml
D)2000ml

Question 47

Which of the following medications is injected intramuscularly? (Select all that apply)

A)Epinephrine
B)Insulin
C)Testosterone
D)Vitamin D

Question 48

What package sizes are One Touch Ultra test strips available in? I. 25
II. 30
III. 50
IV. 100

A)I and III
B)I and II
C)I, III and IV
D)I, II, and IV

Question 49

Which of the following medications is available as an ointment?

A)Lactulose
B)Fludrocortisone
C)Fluocinolone
D)Fluconazole

Question 50

How many milliliters are in one liter?

A)100
B)1,000
C)10,000
D)100,000

Question 51

Which of the following medications has the highest incidence of severe allergic reactions?

A)Penicillin
B)Hydrocodone
C)Temozolomide
D)Prednisone

Question 52

What do you use to measure the water to reconstitute powdered medication?

A)Graduated Cylinder
B)Beaker
C)Tablespoon
D)Measuring Cup

Question 53

What size container would you put 4oz of liquid medication in?

A)100ml
B)120ml
C)200ml
D)240ml

Question 54

How much active ingredient is present in 150ml of 25mg/5ml solution?

A)500mg
B)650mg
C)750mg
D)800mg

Question 55

How many grains are in one scruple?

A)10
B)15
C)20
D)25

Question 56

Why is it important to verify a patient's address, phone number, or date of birth instead of just their name?

A)To ensure proper record keeping
B)To ensure you are dispensing medication to the correct patient
C)To make sure you have the right information on file for the patient
D)None of the above

Question 57

If a patient is receiving a prescription for generic Zestril, which drug should be dispensed to them?

A)Enalapril
B)Lisinopril
C)Simvastatin
D)Amlodipine

Question 58

Which of the following is an antitubercular medication?

A)Aripiprazole
B)Haloperidol
C)Moricizine perhaps use a more commonly known medication here.. ex. lisinopril
D)Isoniazid

Question 59

Which of the following drugs are hypoglycemics and used to treat diabetes?
Acarbose
Tolazamide uncommon medication - perhaps use something more common like glipizide (answer would still be the same)
Glyburide
Mirtazapine

A)All of the above
B)None of the above
C)I, II and III only
D)I and II only

Question 60

A patient asks you to explain how to take her medication. The prescription is for esomeprazole (Nexium) 20 mg PO qi 1hr ac. The label reads: Take two capsules once a day 1 hour before mealtime by mouth. What is the error on the label?

A)Only one 20mg capsule should be taken by mouth every day 1 hour before mealtime.
B)Esomeprazole doesn't come in a 20 mg dose.
C)2 capsules of esomeprazole should be taken twice daily for a total of 4 capsules-qi means 4, as in "quad."
D)Esomeprazole is only available in sublingual form.

Question 61

If a state law and federal law are different, which law do you adhere to?

A)Always the state
B)Always federal
C)The stronger of the two laws
D)The weaker of the two laws

Question 62

A patient with prescription coverage and a diagnosis of a duodenal ulcer has a prescription for lansoprazole. After determining that the patient's condition will require eight weeks of therapy and the prescription was written for only one month, what is your correct action?

A)Call the prescribing physician and request a change to the pharmacist's preferred proton pump inhibitor.
B)Tell the patient that according to your information, she will be reimbursed for one month of therapy.
C)Tell the patient she will have to pay out-of-pocket because lansoprazole is not the appropriate drug for duodenal ulcer.
D)Contact the insurance company and ask that the coverage be extended for four extra weeks.

Question 63

The pharmacist is taking a break when a patient comes to your pharmacy counter complaining of chest pain and pain that is radiating down their arm. What is the most appropriate thing to do?

A)Tell them they have to wait for the pharmacist to return from break
B)Tell them to call their doctor
C)Offer to call 911 for them
D)Tell them to go home and lay down for a bit to see if the pain goes away

Question 64

Which of the following is not a symptom of a stroke?

A)Sudden confusion
B)Sudden loss of movement, especially on one side of the body
C)Sudden severe headache
D)Chest pain for several days

Question 65

An elderly female patient with asthma collapses and loses consciousness on the floor at your pharmacy. What is the first thing you should do?

A)Refill her inhaler
B)Try to get her to sit in a chair
C)Call 911
D)Call her doctor

Question 66

Which of the following is not a symptom of a heart attack?

A)Chest pain
B)Rapid or irregular pulse
C)Radiating pain or discomfort in the jaw, shoulders, neck or arms
D)Severe headache

Question 67

The pharmacist is on break when a woman comes running into your pharmacy asking for an EpiPen for her son, who is having a severe allergic reaction. What is the most appropriate response you can make to this situation?

A)Call 911
B)Go find the pharmacist to find out what to do
C)Give her an EpiPen without asking the pharmacist
D)Tell her to go to the emergency room

Question 68

A patient comes to your pharmacy counter and explains that her husband is suffering from sudden confusion, a sudden severe headache and says that one side of his face looks like it is drooping. What medical emergency would he most likely be suffering from?

A)Heart attack
B)Stroke
C)Anaphylaxis
D)Asthma attack

Question 69

A patient comes to your pharmacy counter complaining of severe sudden chest pain, and that he also has pain in his shoulder. He seems a bit disoriented. What medical emergency is this patient most likely suffering from?

A)Heart attack
B)Stroke
C)Anaphylaxis
D)Asthma attack

Question 70

A patient comes to your pharmacy counter having trouble breathing, and his throat and lips are swollen. What medical emergency is this patient most likely experiencing?

A)Heart attack
B)Stroke
C)Anaphylaxis
D)Asthma attack

Question 71

The pharmacist is on break when a woman comes running into your pharmacy carrying her son and asks for an albuterol inhaler for her son, who is having a severe asthma attack. What is the most appropriate response you can make in this situation?

A)Call 911
B)Go find the pharmacist to find out what to do
C)Give her an albuterol inhaler without asking the pharmacist
D)Tell her to go to the emergency room

Question 72

Which of the following is a symptom of an anaphylactic allergic reaction?

A)Sudden drooping of one side of the face
B)Sudden severe chest pain
C)Sudden severe headache
D)Sudden throat swelling resulting in difficulty breathing

Question 73

The pharmacist is on break when a woman comes running to your pharmacy counter and says she found a man lying in the parking lot unconscious. You recognize the patient as one of your regular customers with severe diabetes. What is the most appropriate response you can make to this situation?

A)Call 911
B)Try to get him to drink a sugary drink, such as orange juice
C)Give him a glucagon shot from the pharmacy shelf, even though he does not have a prescription for one
D)Tell her to take him to the emergency room

Question 74

At what temperature range should vaccines be stored when they are in a refrigerator?

A)10-20° Celsius
B)2-8° Celsius
C)0-10° Celsius
D)8-14° Celsius

Question 75

Which of the following medications is available in a suspension?

A)Klor-con
B)Losartan
C)Phenytoin sodium
D)All of the above

Question 76

At what temperature should a pharmacy's freezer be kept to ensure proper storage of medications that must be frozen?

A)-102 to -50° Celsius
B)-78 to -24° Celsius
C)-50 to -15° Celsius
D)-35 to -10° Celsius

Question 77

Which of the following drugs can be purchased without a prescription?

A)Loratadine
B)Pseudoephedrine
C)Cetirizine
D)All of the above

Question 78

Morphine 100 mg, in 100 mL of D5W, is being administered through an IV set that is delivering 60 drops/mL. What flow rate is required to deliver morphine at a rate of 5 mg/hr?

A)30 drops per hour
B)300 drops per hour
C)100 drops per hour
D)3 drops per hour

Question 79

The pharmacist is on break when a patient asks to receive a flu shot. What should you do?

A)Administer the flu shot to the patient
B)Tell the patient that they have to wait until the pharmacist returns
C)Counsel the patient on the benefits of a flu shot until the pharmacist returns
D)Convince the patient they do not need a flu shot

Question 80

A doctor orders IV Levaquin, 750 mg in 500 mL of D5W, for a patient with an infection. The IV set delivers 20 drops/mL and 75 mL/hr. How many milligrams of Levaquin will the patient receive in two hours?

A)45 mg
B)75 mg
C)122 mg
D)225 mg