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1. Which of the following medications is used as a thyroid hormone? A. Metformin B. Levoxyl C. Lisinopril D. Omeprazole ✅ Correct Answer: B. Levoxyl Rationale: Levoxyl is a brand of levothyroxine, a synthetic thyroid hormone used to treat hypothyroidism. 2. Which of the following is on the ISMP list of high-alert medications? A. Ibuprofen B. Methotrexate C. Acetaminophen D. Diphenhydramine ✅ Correct Answer: B. Methotrexate Rationale: Methotrexate is high-alert due to its narrow therapeutic range and potential for severe toxicity if misused. 3. Which of these OTC class-V medications is stored with pseudoephedrine and ephedrine? A. Diphenhydramine B. Phenylephrine-Afrin C. Acetaminophen D. Cetirizine ✅ Correct Answer: B. Phenylephrine-Afrin Rationale: Phenylephrine is regulated due to its potential use in making methamphetamine.
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1. Which of the following medications is used as a thyroid hormone? A. Metformin B. Levoxyl C. Lisinopril D. Omeprazole ✅ Correct Answer: B. Levoxyl Rationale: Levoxyl is a brand of levothyroxine, a synthetic thyroid hormone used to treat hypothyroidism. 2. Which of the following is on the ISMP list of high-alert medications? A. Ibuprofen B. Methotrexate C. Acetaminophen D. Diphenhydramine ✅ Correct Answer: B. Methotrexate Rationale: Methotrexate is high-alert due to its narrow therapeutic range and potential for severe toxicity if misused. 3. Which of these OTC class-V medications is stored with pseudoephedrine and ephedrine? A. Diphenhydramine B. Phenylephrine-Afrin C. Acetaminophen D. Cetirizine ✅ Correct Answer: B. Phenylephrine-Afrin Rationale: Phenylephrine is regulated due to its potential use in making methamphetamine.
4. Which medication should not be used by pregnant women? A. Penicillin B. Tetracycline C. Acetaminophen D. Diphenhydramine ✅ Correct Answer: B. Tetracycline Rationale: Tetracycline can cause discoloration of teeth and bone deformities in the fetus. 5. After handling which medication should the tray be cleaned? A. Ibuprofen B. Sulfamethoxazole C. Acetaminophen D. Loratadine ✅ Correct Answer: B. Sulfamethoxazole Rationale: To prevent allergic reactions and cross-contamination, sulfa drugs require special handling. 6. Which medication must be dispensed in its original packaging? A. Amoxicillin B. Nitroglycerin C. Metformin D. Ibuprofen ✅ Correct Answer: B. Nitroglycerin Rationale: Nitroglycerin is sensitive to light and air; original packaging preserves stability. 7. Which of the following medications is used to treat constipation? A. Lomotil B. Colace C. Zyrtec D. Lasix ✅ Correct Answer: B. Colace Rationale: Colace is a stool softener used to relieve constipation. 8. What medication is exempt from child-resistant caps under the Poison Prevention Act? A. Ibuprofen B. Acetaminophen
✅ Correct Answer: C. VAERS Rationale: VAERS is the system for reporting vaccine-related adverse events.
13. Under HIPAA, who can receive patient condition info without consent? A. Employer B. Partner C. Neighbor D. Friend ✅ Correct Answer: B. Partner Rationale: Partners/spouses involved in care can receive information under HIPAA exceptions. 14. Which act established the classification of legend drugs? A. FDCA B. CSA C. Durham-Humphrey D. OBRA ✅ Correct Answer: C. Durham-Humphrey Rationale: This act defined prescription (legend) and OTC drugs. 15. Which act requires Safety Data Sheets for hazards? A. FDCA B. HIPAA C. OSHA D. DEA ✅ Correct Answer: C. OSHA Rationale: OSHA mandates SDS to inform workers of chemical hazards. 16. A drug was repackaged on 3/30/16 and expires 5/30/17. What is its pharmacy expiration date? A. 5/30/ B. 3/30/ C. 3/30/ D. 12/30/ ✅ Correct Answer: C. 3/30/ Rationale: The pharmacy expiration date is 6 months after repackaging unless earlier than manufacturer date.
17. What is the last digit of DEA number BS245687? A. 7 B. 8 C. 9 D. 6 ✅ Correct Answer: C. 9 Rationale: DEA numbers use a checksum formula; in this case, the last digit is 9. 18. What does "ac" mean in medical terminology? A. After meals B. Before meals C. At bedtime D. As needed ✅ Correct Answer: B. Before meals Rationale: "ac" is the Latin abbreviation for ante cibum meaning before meals. 19. After compounding, how long should a technician wash their hands? A. 10 seconds B. 30 seconds C. 1 minute D. 15 seconds ✅ Correct Answer: B. 30 seconds Rationale: Proper hand hygiene reduces contamination risk. 20. At what temperature are suppositories stored? A. Room temp B. 10–15°C C. 2–8°C D. - 10°C ✅ Correct Answer: C. 2–8°C Rationale: Many suppositories require refrigeration to maintain shape and effectiveness. 21. Which of the following is on The Joint Commission’s "Do Not Use" list? A. 0.5 mg B. 1.0 mg C. 5 mg
✅ Correct Answer: D. Color Rationale: Color is not a compatibility factor; sterile products must be clear and particle-free.
26. What does "buccal" mean? A. Under the tongue B. Inside the nose C. Between cheek and gum D. On the skin ✅ Correct Answer: C. Between cheek and gum Rationale: Buccal administration delivers medication through the cheek lining for absorption. 27. Why are medications stored in amber vials? A. To prevent heat B. To maintain smell C. To maintain potency D. To preserve taste ✅ Correct Answer: C. To maintain potency Rationale: Amber vials protect from light which can degrade medication. 28. What does Medicare Part D cover? A. Hospital stays B. Durable medical equipment C. Diabetes-monitoring and insulin D. Emergency care ✅ Correct Answer: C. Diabetes-monitoring and insulin Rationale: Part D covers outpatient prescription drugs, including diabetic supplies. 29. What is the purpose of Vitamin D? A. Boost immune system B. Increase appetite C. Aid in calcium absorption D. Improve sleep ✅ Correct Answer: C. Aid in calcium absorption Rationale: Vitamin D helps the body absorb calcium, essential for bone health.
30. According to the Drug Listing Act of 1972, every drug is assigned what number? A. DEA B. NDC C. CPT D. USP ✅ Correct Answer: B. NDC Rationale: The NDC (National Drug Code) is a unique identifier for every medication. 31. Which reference lists medications and their bioequivalence? A. Blue Book B. Purple Book C. Orange Book D. Red Book ✅ Correct Answer: C. Orange Book Rationale: The FDA's Orange Book identifies therapeutically equivalent drugs. 32. What is the administration route for insulin? A. Intramuscular B. Oral C. Subcutaneous D. Intravenous ✅ Correct Answer: C. Subcutaneous Rationale: Insulin is injected under the skin for optimal absorption. 33. What did the Durham-Humphrey Amendment of 1951 establish? A. Drug approval process B. Controlled substance schedules C. OTC and legend drug classifications D. Labeling rules ✅ Correct Answer: C. OTC and legend drug classifications Rationale: Created the prescription-only ("legend") and OTC categories. 34. What do the first five digits of the NDC number represent? A. Drug name B. Drug dosage C. Manufacturer
39. Why might insurance reject a prescription? A. Prescriber’s license expired B. Pharmacy is closed C. Patient’s name is misspelled D. Medication is over-the-counter ✅ Correct Answer: C. Patient’s name is misspelled Rationale: Insurance verification fails if patient data is incorrect. 40. After compounding, what factor does the pharmacist observe? A. Expiration date B. Manufacturer C. Clarity D. Volume ✅ Correct Answer: C. Clarity Rationale: Clarity ensures no contamination or particulate matter. 41. How long should pharmacies retain pseudoephedrine records? A. 1 year B. 6 months C. 2 years D. 5 years ✅ Correct Answer: C. 2 years Rationale: Federal law requires pseudoephedrine logs to be kept for 2 years. 42. What should a tech do to prevent cross-contamination in the tray? A. Use gloves B. Sanitize floor C. Clean tray after each order D. Wear mask ✅ Correct Answer: C. Clean tray after each order Rationale: Prevents residue from mixing with next medication. 43. Why might a tech decline insurance for a patient? A. No ID
B. Over-the-counter drug C. Incorrect patient name D. Missing prescription ✅ Correct Answer: C. Incorrect patient name Rationale: Insurance systems match names; mismatches cause rejections.
44. Convert 101°F to Celsius A. 37.5°C B. 38.3°C C. 39.5°C D. 36.6°C ✅ Correct Answer: B. 38.3°C Rationale: (101−32)×5/9=38.3∘C(101 - 32) \times 5/9 = 38.3^\circ C( 101 − 32 )×5/9=38.3∘C 45. The suffix "-olol" indicates what class of drugs? A. Antibiotics B. Antifungals C. Beta blockers D. ACE inhibitors ✅ Correct Answer: C. Beta blockers Rationale: "-olol" is used in beta blocker medications for hypertension. 46. What disease are "-olol" medications used for? A. Diabetes B. Asthma C. Hypertension D. Seizures ✅ Correct Answer: C. Hypertension Rationale: Beta blockers reduce blood pressure and heart rate. 47. Without patient consent, who can receive condition info under HIPAA? A. Friend B. Parent C. Partner D. Co-worker
52. What does “Brand name necessary” mean? A. Can substitute generics B. Must use brand; no substitution C. No refill D. Use OTC ✅ Correct Answer: B. Must use brand; no substitution Rationale: Substitution not allowed when brand is medically necessary. 53. If a tech finds an error with patient weight-based dose, what should they do? A. Change dose B. Ignore C. Verify weight and notify pharmacist D. Call insurance ✅ Correct Answer: C. Verify weight and notify pharmacist Rationale: Ensures accurate dosing, especially critical in pediatrics. 54. If controlled substances are stolen, which agency must be notified? A. CDC B. FDA C. DEA D. OSHA ✅ Correct Answer: C. DEA Rationale: DEA regulates controlled substances and handles theft reports. 55. Which organization enforces medication quality standards? A. CDC B. OSHA C. FDA D. DEA ✅ Correct Answer: C. FDA Rationale: FDA ensures drug safety, efficacy, and quality control. What is required for a poison prevention? - ANSWER Child Resistant Cap
What is an example of REMS (Risk Evaluation and Mitigation Strategies) drugs?
Which of the following patient condition is a contraindication for the use of pseudoephedrine? - ANSWER untreated seizure AB-Rated and brand name products which of following common? - ANSWER strength Which of the following manifestations should a pharmacist consider an adverse reaction and recommend discontinuing the medicine? - ANSWER HIVS 1L NS is to be administered over 24 Hours What is the rate of infusion in ml/hr.? - ANSWER 42ml /hr. ( 1L=1000ml 1000/24 ) Which vitamin will increase the blood coagulation of a patient taking coumadin? - ANSWER Vitamin K If Pharmacy tec. do compounding for medication for which of the following we can say that medication have incompatibility precipitation? - ANSWER IV Medication Solution Which of the following amounts of diluent should a pharmacy tec. combine with a 1 ml vial containing 125mcg of digoxin to achieve 50 mcg? - ANSWER 1.5 ml Information's & Procedures that are required of manufacturer by FDA for drugs in REMS? - ANSWER Known risk Which agency for temper resistant? - ANSWER DMS Needle is inserted into vial thro a rubber stopper at which angel in the beginning? - ANSWER 45 os angel 100 ml graduated cylinder cannot accurately measure volume less than? - ANSWER 15 ml
Which reference book would you use for infusion? - ANSWER Handbook of Injectable drugs A pharmacy Tec. should recognize that how much sodium chloride is found in a 1 L bag of 0.9% sodium chloride? - ANSWER 9 mg A Pharmacy Tec. should recognize that which of the following abbreviationsmeans "left eye"? - ANSWER OS What is the abbreviation for the 1/2? (one/half )? - ANSWER SS Which of the following vaccine can pediatric doctor use? - ANSWER Varicella (Measles} Which of the following abbreviation is declared as error prone? - ANSWER qod OR qhs Patient comes in pharmacy with prescription for reffilling Lorazepam how many refills is allowed for him? - ANSWER Up to 5 refills in 6 months after prescription written how much time dose Pharmacist must complete the partial filling of a Schedule 11 - ANSWER Prescription= 72hrs/7days When Pharmacy Tec. packing medication for the patient and on the system one alert message will display suddenly for the effect of the medication which will be effect for that medicine? - ANSWER Vitamin K Which part of needle to be attached to the syringe for the use in hospital? - ANSWER Hub if child takes Amoxicillin What advice as a Pharmacy tec can give to the child's patient? - ANSWER stomach upset and
If pharmacy tech want to do non sterile compounding and he/she need some formula that defines how to do that non sterile compounding than which reference he/she used for that? - ANSWER USP (795) Terminology {for sterile compounding USP (797) Pharmacokinetics involves the Metabolism. what is the definition for that? - ANSWER chemical process that occur within a living organism What is the abbreviation for the "BID" - ANSWER Twice daily What is the abbreviation for the" QID" - ANSWER Four times daily what is the abbreviation for the "PRN " - ANSWER as needed what is the abbreviation for the " pc " - ANSWER after meal what is the abbreviation for the " PO" - ANSWER by mouth What is the abbreviation for the "AU "? - ANSWER both ears What is the abbreviation for the "AD"? - ANSWER right ear What is the abbreviation for the "OU"? - ANSWER both eyes What is the abbreviation for the " OD "? - ANSWER right eye Which of the following is the maximum amount of pseudoephedrine that can be sold to a patient in a calendar day - ANSWER 3.6g
Anabolic steroids are included in which of the following medication schedules? - ANSWER schedule III Fentanyl patches are included in which of the following medication schedules? - ANSWER schedule II Exempt narcotics are included in which of the following medication schedules? - ANSWER schedule V In the prescription patients dose Written to take that medication orally but Pharmacy Technician dispense IV medication. What type of error occurred by the technician? - ANSWER Dispensing error Pharmacist would check what about asterile IV in order to tell if it is sterile? - ANSWER Check for presence of micro-organism TPN are administrated how? - ANSWER Intravenous What is the best way to clean a horizonal flow hood? - ANSWER Avoid to contact with HIPPA filter Who estabished the use and the disclosure of PHI? - ANSWER HIPPA Which act strictly controls on OTC drugs like pseudoephedrine? - ANSWER CMEA (combat Methamphetamine Epidemic Act) Which is example of PHI? - ANSWER Date of Birth