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Copyright 2014 by Fintax Consulting Pakistan (FCP)

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This Paper contains the latest questions that you will or most likely face in your License exam for
Pharmacy. Its important to understand that this is a reference source and its based on the
experience of those who took the exam previously, none the less we are human and we can make
mistakes, but we try our best to avoid it. . Any statements written within brackets ( ) are either
incomplete, missing or not accurate.

The FCP and The FCPP work in partnership with researchers from around the globe who conduct
valuable studies on critical issues affecting todays professional world. Much of the content presented in
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position or policies of The FCP & FCPP.
Test 1
If a drug has the identifying number of 42658735765, which numbers would indicate the drug product?

Explanation:
Correct answer:
7357

Each drug is assigned a specific 11-digit number to identify it. The first five numbers identify the
manufacturer, the next four numbers identify the drug product, and the final two numbers represent the
package size and packaging. In this number, 42658735765, the drug product is indicated by 7357.

The set amount of drugs or equipment that must be kept in stock at all times is which of the following?

PAR level

GMP level

PRN level

NKA level

Explanation:
Correct answer:
PAR level

PAR level stands for periodic automatic replenishment. They are levels that are set for the amount of
drugs or equipment that must be kept in stock at all times.

Multiply the following. What is the result?

3/4 x 2/7 = ?

5/28

6/7

3/14

1/28
Explanation:
Correct Answer
3/14

In multiplying fractions simply multiply the numerators (3 x 2 = 6) and then multiply the denominators (4 x
7 = 28). The result is 6/28 which can be reduced to 3/14.
The cranial nerve that is associated with functions such as swallowing, breathing and speaking is which
of the following?

Vagus X

Spinal accessory XI

Facial VII

Trigeminal - V

Explanation:
Correct answer:
Vagus X

The Vagus nerve (Cranial nerve X) extends from the brainstem through the neck and then through the
chest and abdominal cavity. It is involved in functions such as swallowing, breathing, speaking, heartbeat
and digestion.

If the entire amount of a C-II drug is not available at the time the prescription is filled, the remainder must
be dispensed within how long?

30 days

10 days

72 hours

24 hours
Explanation:
Correct answer:
72 hours

Prescriptions for C-II drugs are only valid for a short length of time (usually three days). If the entire
amount is not available at the time of presentation, the remainder must be dispensed within 72 hours. If
the drug is not dispensed within that time, the prescription has expired and the balance is voided.

A drug distribution system that combines unit-dose medications blister-packed onto a multiple-dose card
instead of being placed in a box is which of the following?

modified unit-dose system

double-dose system

blended unit-dose system

all of the above

Explanation:
Correct answer:
modified unit-dose system

The modified unit-dose system is a drug distribution system that combines unit-dose medications blister-
packed onto a multiple-dose card instead of being placed in a box. Other names for this system include:
punch cards, bingo cards, or blister cards.

Which of the following is a comprehensive compilation of information on compounding products and


ingredients and their safety as well as products used to treat specific medical conditions?

United States Pharmacopeia National Formulary (USP-NF)

United States Pharmacists Pharmacopeia

Ident-a Drug

Micromedex Healthcare Series


Explanation:
Correct answer:
United States Pharmacists Pharmacopeia

The United States Pharmacists Pharmacopeia is a comprehensive compilation of information on


compounding products and ingredients and their safety as well as products used to treat specific medical
conditions. Also included are the most recent sterile preparation guidelines for USP, the most common
non-formulary agents, and more.

Perform the following: 2.345 x 1.33. What is the result?

.31185

3.11885

31.1885

0.311885

Explanation:
Correct answer:
3.11885

Simply multiply the numbers as whole numbers and you get 311885. Then move the decimal place five
places to the left (since there are a total of 5 decimal places in the original numbers) and you get 3.11885.

The middle muscular layer of the heart is called the:

endocardium

epicardium

myocardium

vena cava
Explanation:
Correct answer:
myocardium

The myocardium is the middle muscular layer of the heart. It is the heart muscle that contracts.

Add the following: 0.456 + 1.078 + 32.005. What is the result?

33.009

33.549

33.539

33.529

Explanation:
Correct Answer:
33.539

Align the decimals under one another, then add as normal.

0.456
1.078
+ 32.005
33.539

The beyond-use dates assigned to repackaged goods are established according to guidelines issued by
which of the following?

manufacturer

United States Pharmacopeia

DEA

Joint Commission
Explanation:
Correct answer:
United States Pharmacopeia

The beyond-use dates assigned to repackaged products are established according to the United States
Pharmacopeia guidelines. Once a bulk bottle is opened and the medication repackaged, the
manufacturers expiration date is no longer valid.

Within a single health-system setting, there may be many types of medication distribution systems. The
distribution system in which medications are kept on each floor for distribution to patients is which of the
following?

patient prescription stock system

unit-dose system

floor stock distribution system

point-of-entry system

Explanation:
Correct answer:
floor stock distribution system

The floor stock distribution system entails keeping medications on each floor for distribution to patients.
This system, however, is prone to errors, diversion, and employee theft.

Pharmacies that send claims electronically to an insurance company before filling the prescription are
using which of the following types of billing?

POS

HMO

PPO

DUR
Explanation:
Correct answer:
POS

POS stands for point of sale billing. Pharmacies that send claims electronically to an insurance company
are using POS billing. Electronic billing is performed via a secure data and transactional network to
ensure patient confidentiality.

Of the following health care reimbursement systems, which does not allow the pharmacy to make a
profit?

ambulatory care parenteral therapy

cognitive services

community care

acute care

Explanation:
Correct answer:
acute care

Acute care does not allow the pharmacy to make a profit. Pharmacy-related expenses are incorporated
into the per diem hospital charge.

Which of the following is NOT a situation in which a drug is nonreturnable to the manufacturer?

a drug that is reconstituted or compounded within the pharmacy

damaged stock

partially used bottles of medication

any drug that has been repackaged by the pharmacy

Explanation:
Correct answer:
damaged stock

All of the choices are nonreturnable situations except this one. Damaged stock may be returned to the
manufacturer. However, it may be necessary to first contact the manufacturer and obtain an approval
code before the damaged good are returned.

In a hospital pharmacy, when a stat order is received, it usually must be filled:

periodically

as soon as possible

individually

as needed

Explanation:
Correct answer:
as soon as possible

A stat order should be filled as soon as possible, usually within 5 to 15 minutes. It should take
precedence over other orders. It may mean the difference between life and death.

Which of the following apothecary measuring equivalents is NOT correct?

12 ounces = 1 pound

20 grains = 1 scruple

8 drams = 1 ounce

3 scruple = 1 dram

Explanation:
Correct answer:
8 drams = 1 ounce

16 DRAMS is equal to 1 ounce. 12 ounces equals one pound in apothecary measurements.

The ability of a drug to produce the desired effect in the body for the intended use is called its:

efficacy

toxicity

potency

purity

Explanation:
Correct answer:
efficacy

Efficacy is the ability of a drug to produce the desired effect in the body for the intended use. Clinical trials
of a drug, which include the use of a placebo, are conducted to judge the effectiveness of the drug.

A child weighs 11 lb. His medication is prescribed to be taken as 5 mg/kg/day. What is the
appropriate daily dosage for this patient?

2.5 mg

25 mg

121 mg

12.1 mg

Explanation:
Correct answer:
25 mg
The patients weight must first be changed to kilograms. 11 lb divided by 2.2 kg per pound gives you a
result of 5 kg. This is multiplied by 5 mg to give you a daily dosage for this patient of 25 mg.

Of the following, which documents must be maintained for a minimum of 2 years according to federal
law?

DEA Form 41

all prescriptions for controlled substances

all exempt narcotic and poison sales records

all of the above

Explanation:
Correct answer:
all of the above

All of the first three choices are records that must be maintained for a minimum of 2 years according to
federal law. If a particular state requires retention of these records for longer than 2 years, a pharmacy
must adhere to which ever is the more stringent of the two regulations.

Which of the following Roman numerals equals 800?

CCM

DCCC

LCCC

DLLL

Explanation:
Correct answer:
DCCC

DCCC = 800. D = 500; three Cs = 300; so 500 + 300 = 800.


Which of the following ingredients in otic preparations is a steroid?

acetic acid

dexamethasone

benzocaine

sodium stannate

Explanation:
Correct answer:
dexamethasone

Dexamethasone is a steroidal ingredient as is hydrocortisone. They are both used in otic preparations.

There are several types of medication orders. The type of order that is used to give a patient medication
only as necessary is which of the following?

emergency medication order

standing order

STAT order

PRN order

Explanation:
Correct answer:
PRN order

The PRN order is used when a patient is to receive a medication only as necessary, as with pain
medication. An emergency medication order is a specific type of STAT order for a medication that is
required for a physician to be able to respond to a medical emergency. A standing order is used when a
patient is to receive a specific medication at specific intervals throughout the day. A STAT order is used
when a patient requires a medication immediately.

The directions for mixing a 250 mg/5 mL liquid states that when 40 mL of water are added
to the contents of the bottle, the resulting volume is 120 mL. What is the concentration of
drug in mg/5 mL if only 20 mL of water were added?

600 mg/5 mL

300 mg/5 mL

150 mg/5 mL

60 mg/5 mL

Explanation:
Correct answer:
300 mg/5 mL

First determine the total mg of drug in the bottle (it is a constant);


250 mg drug /5 mL FV x 120 mL FV = 6,000 mg drug

Next, determine the powder volume for the drug in the bottle:
FV = D + PV
120 mL = 40 mL + PV
120 mL 40 mL = PV = 80 mL

Now determine the volume of the new product (NP):


NP = D + PV
NP = 20 mL + 80 mL = 100 mL

So the new concentration is: Total mg drug in bottle / volume of new product
6000 mg/100 mL = 60 mg/mL = 300 mg/5 mL

The joint action of drugs in which their combined effect is more intense or longer in duration than the sum
of the effects of two drugs is called:

antagonism

potentiation

synergism

addition
Explanation:
Correct answer:
synergism

Synergism is the joint action of drugs in which their combined effect is more intense or longer in duration
than the sum of the effects of two drugs. Antagonism is when one drug works against the action of
another drug. Potentiation is when one drug increases or prolongs the effect of another drug. Addition is
when the effect of two drugs is equal to the sum of the effects of each drug taken alone.

A prescription is priced at $220.00. If the patient gets a 5% discount what will the patient
pay for the prescription?

$110.00

$210.00

$211.00

$209.00

Explanation:
Correct answer:
$209.00

The patients 5% discount on a $220.00 prescription is $11.00. Subtract this from the selling price of
$220.00 and you get $209.00.

The pharmacy technician must be familiar with medical terminology. If a person is prescribed a
medication to treat hyperlipidemia, the medication will treat which of the following?

high cholesterol

high blood pressure

high blood glucose

none of the above


Explanation:
Correct answer:
high cholesterol

Medication to treat hyperlipidemia is treating high cholesterol. High blood pressure is known as
hypertension; high blood glucose is known as hyperglycemia.

Solutions that contain only alcohol as the dissolving agent are called:

alcoholic solutions

hydro-alcoholic solutions

nonaqueous solutions

viscous aqueous solutions

Explanation:
Correct answer:
alcoholic solutions

Alcoholic solutions contain only alcohol as the dissolving agent and have no water. The most common
alcohols used in preparing alcoholic solutions are ethyl and ethanol alcohols.

Which of the following statements about the nephrons of the kidneys is least accurate?

The nephrons are responsible for the regulation of fluids, solutes and wastes.

Each nephron has a circular shape.

The nephrons are active 24 hours of the day.

The nephron is the filtering unit of the kidneys.


Explanation:
Correct answer:
Each nephron has a circular shape.

This statement is not accurate. Each nephron is shaped like an inverted pyramid. Each nephron has
many twists and turns of its tubules.

The directions for mixing a 100 mg/10 mL liquid states that when 100 mL of water are
added to the contents of the bottle, the resulting volume is 500 mL. What is the
concentration of drug in mg/10 mL if only 50 mL of water were added?

111 mg/10 mL

110 mg/10 mL

11 mg/10 mL

11.11 mg/10 mL

Explanation:
Correct answer:
111 mg/10 mL

First determine the total mg of drug in the bottle (it is a constant);


100 mg drug /10 mL FV x 500 mL FV = 5,000 mg drug

Next, determine the powder volume for the drug in the bottle:
FV = D + PV
500 mL = 100 mL + PV
500 mL 100 mL = PV = 400 mL

Now determine the volume of the new product (NP):


NP = D + PV
NP = 50 mL + 400 mL = 450 mL

So the new concentration is: Total mg drug in bottle / volume of new product
5000 mg/450 mL = 11.1 mg/mL = 111 mg/10 mL

Which of the following agencies sets guidelines for the disposal of hazardous waste?

DEA
EPA

FDA

ATF

Explanation:
Correct answer:
EPA

The Environmental Protection Agency (EPA) sets guidelines for the disposal of hazardous waste. This
includes disposal of controlled substances.

Methotrexate is an antineoplastic drug that is an inhibitor of folic acid utilization. It is also used, however,
in the treatment of which of the following conditions?

high blood pressure

heart failure

rheumatoid arthritis

all of the above

Explanation:
Correct answer:
rheumatoid arthritis

Methotrexate is also used in the treatment of rheumatoid arthritis. This is due to its immunosuppressant
properties.

Which of the following is a topical solid dosage form that contains pyroxylin and is dissolved in alcohol
and ether?

aromatic waters

collodion
elixir

liniment

Explanation:
Correct answer:
collodion

A collodion is a topical dosage form that contains pyroxylin and is dissolved in alcohol and ether.
Aromatic waters are solutions of water-containing oils that have a smell and are volatile. An elixir is a
clear, sweetened, flavored hydroalcoholic solution that may or may not be medicated. Liniment is either
an alcoholic or oleaginous solutions that is applied through rubbing.

When synthetic drugs are produced by means of recombinant DNA or monoclonal antibodies they are
termed:

natural drugs

genetically engineered drugs

generic drugs

semi-synthetic drugs

Explanation:
Correct answer:
genetically engineered drugs

Drugs are derived from a variety of sources that can be categorized into three classifications: natural,
synthetic and genetically engineered. Genetically engineered drugs are produced by means of
recombinant DNA or monoclonal antibodies. When manufacturers use recombinant DNA, they combine
two different DNA strands to produce a new strand of DNA. Monoclonal antibodies are hybrid cells
created in the laboratory from animals.

A slow progressive decrease in mental abilities marked by confusion and memory loss is known as which
of the following?
depression

psychosis

schizophrenia

dementia

Explanation:
Correct answer:
dementia

Dementia is a slow progressive decrease in mental abilities marked by confusion and memory loss. It is
beyond what is expected with the natural aging process.

Which of the following would NOT fall under the responsibilities of a community technician?

helping patients who are dropping off or picking up prescription orders

assisting the pharmacist with filling and labeling prescription

prepackaging bulk medications

filling medication cassettes

Explanation:
Correct answer:
filling medication cassettes

Filling medication cassettes is something that an institutional technician would do. It is not something that
a community technician is responsible for.

Which of the following is not a solid dosage form for medication?

chewable tablets

effervescent tablets
magmas

troches

Explanation:
Correct answer:
magmas

Magmas and milks are suspensions of undissolved medications in water. They are very thick, viscous
liquids. They are not solid dosage forms for medication.

If a child is receiving 2 teaspoons of a cough medication, he is receiving how many milliliters?

10 mL

5 mL

2 mL

none of the above

Explanation:
Correct answer:
10 mL

There are 5 mL in each teaspoon. Therefore, if the child receives 2 teaspoons of the medication he is
receiving 2 x 5 mL or 10 mL.

The directions for mixing a liquid antibiotic state when 300 mL of water are added to the
contents of the bottle, the resulting volume is 700 mL. What is the powder volume?

200 mL

300 mL

40 mL
400 mL

Explanation:
Correct answer:
400 mL

The formula to use is:

Final volume = volume of diluent + powder volume.


700 mL = 300 mL + powder volume
700 mL 300 mL = powder volume = 400 mL

Subtract the following Roman numerals. Which of the following is the correct result?

CIX LVI = ?

53

55

604

503

Explanation:
Correct answer:
53

CIX LVI = LIII. Or, 109 56 = 53.

A method of performance appraisal that uses a small number of performance categories is known as
which of the following?

ranking

forced distribution
paired comparison

critical incident diary

Explanation:
Correct answer:
forced distribution

Forced distribution is a method of performance appraisal that uses a small number of performance
categories, such as very good, good, adequate, and very poor. It forces a certain proportion of
people into each category.

Which of the following agencies sets the requirements for labeling of medications, no matter what
packaging is used?

FDA

The Joint Commission

The United States Pharmacopeia

ATF

Explanation:
Correct answer:
The United States Pharmacopeia

The United States Pharmacopeia sets requirements for labeling of medications. The medications can be
in a multi-dose vial or unit-dose container, an IV admixture, or a compound.

There are a number of liquid formulations for drugs. The type of liquid solution that is a clear, sweetened,
hydroalcoholic liquid intended for oral use that contains either alcohol soluble or water soluble drugs is
which of the following?

spirit
tincture

gel

elixir

Explanation:
Correct answer:
elixir

An elixir is a clear, sweetened, hydroalcoholic liquid intended for oral use that contains either alcohol
soluble or water soluble drugs. Elixirs are usually less sweet and less viscous than syrups, and are
generally less effective in masking taste. Their alcohol content ranges from 5% to 40% though a few
commercial elixirs contain no alcohol.

Multiply the following. 2.4 x 3.078. What is the result?

7.3872

73.872

738.72

73872

Explanation:
Correct Answer:
7.3872

First multiply as normal to get 73,872; then count how many decimals are in both numbers (4); and then
move the decimal place four places to the left and you have 7.3872.

The technique used in mixing two ingredients of unequal quantities is which of the following?

comminution

spatulation
geometric dilution

blending

Explanation:
Correct answer:
geometric dilution

Geometric dilution is the technique used in mixing two ingredients of unequal quantities. One begins with
the smallest quantity and adds an equal quantity of the ingredient having the larger amount. This
continues until all of the ingredients are used.

A company hired by a health insurer to handle claims is called a(n):

carrier

provider

processor

adjudicator

Explanation:
Correct answer:
processor

A processor is a company hired by a health insurer to process claims. A carrier/insurer/provider is the


insurance company itself. Adjudication is the process of transmitting a prescription electronically to the
proper insurance company.

A person should avoid grapefruit juice if he or she is taking which of the following medications?

ketoconazole

calcium channel blockers

warfarin
phenytoin

Explanation:
Correct answer:
calcium channel blockers

Grapefruit juice affects the following drugs metabolized by cytochrome P450: calcium channel blockers,
estrogens, cyclosporine, midazolam and triazolam. It must be avoided when taking these drugs.

Which of the following schedules of drugs must not be dispersed throughout the pharmacy?

Schedule IV

Schedule V

Schedule II

Schedule III

Explanation:
Correct answer:
Schedule II

Schedule II drugs must not be dispersed throughout the pharmacy. They must be stored in a locked safe
(either combination or key lock). Schedule III to V drugs may be dispersed throughout the pharmacy with
other medications.

Which of the following connects the forebrain and cerebrum to the spinal cord?

brainstem

sacrum

occipital lobe

temporal lobe
Explanation:
Correct answer:
brainstem

The brainstem consists of the medulla oblongata, pons, and midbrain. These three areas are linked to
many of the nerves within the brain. They connect the forebrain and cerebrum to the spinal cord.

A pharmacy technician who has been granted recognition by a nongovernmental agency or association is
which of the following?

retail technician

certified technician

licensed technician

institutional technician

Explanation:
Correct answer:
certified technician

A certified technician is one who has been granted recognition by a nongovernmental agency or
association. Certification indicates that the person has met predetermined qualifications specified by that
agency or association. CPhT is the only credential available to pharmacy technicians.

Which of the following is NOT an SSRI used for depression?

Tofranil

Sarafen

Luvox

Paxil
Explanation:
Correct answer:
Tofranil

All of the choices are SSRIs except Tofranil. This drug is a tricyclic antidepressant. It affects primarily
noradrenergic neurons.

Add the following fractions. What is the result?

3/4 + 2/3 = ?

6/12

1 5/12

1 1/12

5/7

Explanation:
Correct Answer
1 5/12

To add fractions with different denominators, you must first find equivalent fractions with common
denominators. First, find the smallest multiple for the denominator of both numbers. Then rewrite the
fractions as equivalent fractions with the least common denominator. In this case, the least common
denominator is 12. So 3/4 = 9/12; and 2/3 = 8/12. Add the two equivalent fractions and the result is 17/12
or 1 and 5/12.

In terms of the maintenance requirements for laminar flow hoods, which of the following would NOT be a
proper procedure?

The blower of the laminar airflow hood should be kept on at all times or if it is shut down, then
it must be in operation for at least 30 minutes before use.
The laminar flow hood should be wiped down with 70% isopropyl alcohol.

The bench of the laminar flow hood should be cleaned first.

The laminar flow hood should be cleaned at the beginning of ever shift and whenever a spill
occurs.
Explanation:
Correct answer:
The bench of the laminar flow hood should be cleaned first.

This would not be proper procedure. The bench of the laminar flow hood should be cleaned last. This is
done by beginning from the back of the bench and wiping from side to side and moving outward.

Convert 3.5 g to ounces. What is the result?

1.23 oz

12.3 oz

123 oz

0.123 oz

Explanation:
Correct answer:
0.123 oz

1 g is equivalent to 0.035 oz. Therefore, 3.5 g is equivalent to 0.123 oz (3.5 x 0035).

Any agent causing abnormal embryonic or fetal development is called a(n):

chloasma

abortifacient

inert ingredient

teratogen
Explanation:
Correct answer:
teratogen

Any agent causing abnormal embryonic or fetal development is called a teratogen. Teratogens may
cause a birth defect in the child or halt the pregnancy outright. The classes of teratogens include
radiation, maternal infections, chemicals, and drugs.

The functional units of the kidneys that are responsible for the regulation of fluids, solutes and wastes are
which of the following?

glomeruli

ureters

nephrons

none of the above

Explanation:
Correct answer:
nephrons

The functional units of the kidneys are the nephrons. Each kidney contains millions of microscopic
nephrons. They are active 24 hours a day.

If a medication is to be administered in 125 mL of juice, approximately how many ounces of


juice should be used?

42 oz

4.2 oz

0.422 oz

40.2 oz
Explanation:
Correct answer:
4.2 oz

One ounce is equivalent to about 30 mL. Divide 125 mL by 30 mL and you get 4.2 oz.

The individual in a retail pharmacy who is designated on the records of the state Board of Pharmacy as
the primary, onsite pharmacist is which of the following?

pharmacy manager

pharmacist in charge (PIC)

registered pharmacist

store manager

Explanation:
Correct answer:
pharmacist in charge (PIC)

The pharmacist in charge (PIC) is an individual designated on the records of the State Board of
Pharmacy as the primary, onsite pharmacist. The PIC is responsible for ensuring that the pharmacy
operates in accordance with state laws and regulations.

A prescription calls for 2 mg tablets to be taken twice a day for 7 days. The pharmacy only
has 4 mg scored tablets. How many 4 mg tablets are needed to fill this prescription?

14

28

56

Explanation:
Correct answer:
7

x (4 mg tablets) = (2 mg tablets x 2 times a day x 7 days) 4 mg tablets


x = 28 4
x=7

Which of the following would NOT be a good manufacturing practice (FDA) guideline?

All medications must be checked by a registered pharmacist.

All equipment must be in good condition and clean.

The packaging must be appropriate for the drug.

Prepare no more than three items at a time.

Explanation:
Correct answer:
Prepare no more than three items at a time

This would not be a good manufacturing practice. The FDA guidelines state that not more than one item
at a time should be prepared.

In terms of inventory management, which of the following statements best describes the 80/20 rule?

80% of a pharmacys drug costs are derived from 20% of the pharmacys receipts.

80% of a pharmacys drug costs are derived from 20% of the pharmaceuticals carried.

80% of the drugs in inventory are slow moving drugs; 20% are fast moving drugs.

none of the above

Explanation:
Correct answer:
80% of a pharmacys drug costs are derived from 20% of the pharmaceuticals carried.
This is the correct statement of the 80/20 rule. It focuses on inventory control of the top 20% of the items
carried.

Which of the following actions would NOT be an aseptic technique for technicians?

All vials and ports must be wiped down with alcohol.

Gloves can be worn but should be washed down with 70% isopropyl alcohol.

Hands, wrists and arms to the elbow should be washed with antimicrobial soap and hot water
for at least 10 seconds and no more than 30 seconds.
No jewelry should be worn in the hood.

Explanation:
Correct answer:
Hands, wrists and arms to the elbow should be washed with antimicrobial soap and hot water for
at least 10 seconds and no more than 30 seconds.

This is not a correct aseptic technique. Hands, wrists and arms to the elbow should be washed with
antimicrobial soap and hot water for at least 30 seconds and no more than 90 seconds.

An organized way of performing a task is known as which of the following?

workflow

organizational structure

procedure

policy

Explanation:
Correct answer:
workflow

The workflow is an organized way of performing a task. It is efficient in nature and it is a repeatable,
defined set of activities.
All of the following information should be recorded in the unit dose record log sheet EXCEPT:

date that the drug is made

dosage form

pharmacy beyond-use date

patients name and condition

Explanation:
Correct answer:
patients name and condition

The patients name and condition is not one of the pieces of information that should be recorded in the
unit dose record log sheet. All of the other choices are necessary along with: drug name, manufacturer,
manufacturers lot number, manufacturers expiration date, pharmacy lot number, technicians initials, and
pharmacists approval.

The number assigned to any health care provider that is used for the purpose of standardizing health data
transmissions is which of the following?

NPI

NDC

POS

TAR

Explanation:
Correct answer:
NPI

The NPI (National Provider Identifier) is the number assigned to any health care provider that is used for
the purpose of standardizing health data transmissions. Pharmacies must apply for an NPI from the
Centers for Medicare & Medicaid Services. All providers who bill electronically must use an NPI.
The pharmacy buys a case of bandages for $100. There are 25 packages of bandages in the case. The
bandages are marked up by 75%. Which of the following amounts would be the proper selling price of
each package of bandages?

$6.00

$3.00

$7.00

$4.75

Explanation:
Correct answer:
$7.00

The selling price would be $7.00. This is calculated as follows. The cost for each package of bandages is
the cost of the case divided by the number of packages of bandages in the case ($100 25 = $4 per
package). Then the markup is figured by multiplying the cost of each package by the markup percentage
($4 x 75% = $3). The markup is then added to the cost and the result is the selling price ($3 + $4 = $7).
The selling price is $7 per package of bandages.

Round the following number to two places: 3.0025

3.01

3.03

3.00

none of the above

Explanation:
Correct answer:
3.00

The directions were to round the number to two places. Since there are four places beyond the decimal
point, you take the last two places and if they are less than 50, as in this case, you would not round up
and the answer would be 3.00. (If the number were 50 or more than 50, you would round up to 3.01)

Round the following number to two places: 3.0025

3.01

3.03

3.00

none of the above

Explanation:
Correct answer:
3.00

The directions were to round the number to two places. Since there are four places beyond the decimal
point, you take the last two places and if they are less than 50, as in this case, you would not round up
and the answer would be 3.00. (If the number were 50 or more than 50, you would round up to 3.01)

You must prepare 120 mg of a medication using a pharmacy stock concentration of 20


mg/mL. How many mL of solution will you need?

6 mL

12 mL

20 mL

120 mL

Explanation:
Correct answer:
6 mL
120 mg is to 6 mL as 20 mg is to 1 mL. Solve by dividing 120 by 20 and the result is 6 mL for the dose.

Another name for the tear ducts in the eye is which of the following?

conjunctiva

lacrimal gland

lacrimal canalicula

lacrimal sac

Explanation:
Correct answer:
lacrimal canalicula

The lacrimal canalicula are the tear ducts of the eyes. Tears that wash the eyeball flow from the lacrimal
gland across the eye and drain into the lacrimal canalicula.

If there are 20 g of a substance in 100 mL of water, how many grams would there be in 750
mL of water?

150 g

15 g

37.5 g

375 g

Explanation:
Correct answer:
150 g
The proportion of substance must be the same. Therefore 20 g is to 100 mL as 150 g is to 750 mL. These
amounts are proportionate.

20g/100mL xg/750mL =
750*20/100 = x
x = 150 g

Which of the following chapters of USP/NF contains regulations pertaining to the sterile compounding of
formulations?

Chapter <797>

Chapter <795>

both Chapter <797> and Chapter <795>

neither Chapter <797> nor Chapter <795>

Explanation:
Correct answer:
Chapter <797>

The United States Pharmacopoeia (USP) has established standards for compounding nonsterile and
sterile products. Chapter <797>, Pharmaceutical Compounding Sterile Preparations, pertains to the
sterile compounding of formulations. Chapter <795> pertains to the nonsterile compounding of
formulations.

Which of the following is NOT an advantage of solid dosage forms?

easier to swallow

lacks smell or taste

pre-divided dosage form

easy to package, transport, store and dispense


Explanation:
Correct answer:
easier to swallow

This is not one of the advantages of a solid dosage form. It is an advantage of a liquid form. Some
patients find it hard to swallow solid doses of medication.

One drug may alter the action of another drug. When one drug increases or prolongs the effect of another
drug this is known as which of the following?

addition

antagonism

potentiation

synergism

Explanation:
Correct answer:
potentiation

Drug interactions include addition, antagonism, potentiation, and synergism. Potentiation involves one
drug increasing or prolonging the effect of another drug. The total effect is greater than the sum of the
effects of each drug alone.

Which of the following is a type of drug used to treat and reduce hypertension and disorders that affect
the blood supply to the heart?

intracardiac drug

ophthalmic drug

calcium channel blocker

histamine blocker
Explanation:
Correct answer:
calcium channel blocker

Calcium channel blockers are substances used to treat and reduce hypertension (high blood pressure)
and disorders that affect the blood supply to the heart. They are also used in the treatment of irregular
heartbeat.

The photoreceptors in the retina of the eye that respond to dim light are which of the following?

macula lutea

rods

cones

lens

Explanation:
Correct answer:
rods

The rods are photoreceptors in the retina of the eye that respond to dim light and are responsible for
black and white color perception (night vision). The cones are also photoreceptors in the retina of the eye;
they are responsible for color perception (daylight vision).

A drug product that, when administered in the same amount, will provide the same therapeutic effect and
pharmacokinetic characteristics as another drug with which it is compared is call a:

therapeutic maximum

therapeutic minimum

therapeutic equivalent

therapeutic substitution
Explanation:
Correct answer:
therapeutic equivalent

A drug product that, when administered in the same amount, will provide the same therapeutic effect and
pharmacokinetic characteristics as another drug with which it is compared is call a therapeutic equivalent.
The substitution of a new drug product with another that differs in composition but is considered to have
the same or very similar pharmacologic and therapeutic activity is a therapeutic substitution.

Vitamin B6 is also known as which of the following?

thiamine

riboflavin

pyridoxine

biotin

Explanation:
Correct answer:
pyridoxine

Vitamin B6 is known as pyridoxine. Vitamin B1 is known as thiamine. Vitamin B2 is known as riboflavin.


Vitamin B7 is known as biotin.

In terms of controlled substances, five refills in six months are allowed on prescriptions for some drugs,
but not for which of the following drugs?

Schedule V drugs

Schedule IV drugs

Schedule III drugs

Schedule II drugs
Explanation:
Correct answer:
Schedule II drugs

No refills may be dispensed on a prescription for Schedule II drugs. Five refills in six months are allowed
on prescriptions for drugs classified as Schedules III IV.

If the amount due of $2,500.00 on an invoice will be discounted 15% if paid within 5 days,
what will the pharmacy pay if the invoice is paid within the 5 days?

$2225.00

$2250.00

$2125.00

$2000.00

Explanation:
Correct answer:
$2125.00

The discount is 15% of $2500.00. This is 0.15 x $2500 or $375.00. Subtract this from the total invoice
price of $2500.00 and you get $2125.00. This is the amount to be paid within 5 days.

Otomycosis is best described as which of the following?

hearing loss resulting from medications

gradual loss of hearing that occurs as one ages

otitis externa caused by fungal infection


ringing or buzzing in one or both ears

Explanation:
Correct answer:
otitis externa caused by fungal infection

Otomycosis is otitis externa caused by fungal infection. Hearing loss resulting from medications is
ototoxicity. Gradual loss of hearing that occurs as one ages is presbycusis. Ringing or buzzing in the ears
is tinnitus.

If 50 tablets of a medication cost $100, what would 750 tablets cost?

$1037.50

$1067.50

$1500

$3000

Explanation:
Correct answer:
$1500

The problem can be stated as a proportion. 50 tablets is to $100 as 750 tablets is to X.

50/100 = 750/x
50x = 75,000
x = 75,000/50 = 1500

How many 260 mL bottles can be filled with 13 L of liquid cough medicine?

50

5
500

55

Explanation:
Correct answer:
50

13 L of liquid equal 13,000 mL. Divide 13,000 mL by 260 mL per bottle and the result is 50 bottles.

Which of the following statements about storage of drugs in the pharmacy is least accurate?

Storage rooms must have adequate ventilation.

Most drugs must be kept in a fairly constant temperature between 45 and 59 degrees
Fahrenheit.
Drug shelves should allow for proper air flow around the medications and room.

Most medications are received form the supplier in stock bottles.

Explanation:
Correct answer:
Most drugs must be kept in a fairly constant temperature between 45 and 59 degrees Fahrenheit.

This is the least accurate statement. Most drugs are kept in a fairly constant room temperature. This
temperature should be between 59 and 86 degrees Fahrenheit. The storage temperature should not be
below this range unless stated by the manufacturer to do so.

A solution contains 25 mg/mL. What is the percentage of drug in the solution?

1%

2.5%

10%

25%
Explanation:
Correct answer:
2.5%

The percentage of drug in a solution is expressed in g/100 mL.

25 g/mL = x/100 mL
x = 25 x 100 = 2500 mg

Convert 2500 mg to g (2.5 g) and therefore it is a 2.5% solution.

The pharmacy technician will have to serve patients who are terminally ill. There are five stages that a
terminally ill patient goes through. Usually the first one of these is:

denial

bargaining

anger

depression

Explanation:
Correct answer:
denial

Normally the first stage that a terminally ill patient goes through is denial. This is a defense mechanism in
which the situation does not seem real. The reality may be too harsh for the person to accept in the
beginning.

Your pharmacy gives a 15% discount on prescriptions to senior citizens who have no
prescription coverage from a third party payer. A prescription normally costs patients
$45.00. How much will a senior citizen, who qualifies for this discount, pay for the
prescription?
$38.25

$44.32

$30.00

$30.25

Explanation:
Correct answer:
$38.25

A prescription that normally is priced at $45.00 and has a 15% discount costs the senior citizen $38.25.
15% of $45.00 = $6.75 (the discount); and so $45.00 minus the discount of $6.75 means that the senior
citizen pays $38.25.

The prescriptions filled per pharmacist per hour is known as the pharmacys:

customer service

productivity

efficiency

none of the above

Explanation:
Correct answer:
productivity

Prescriptions filled per pharmacist per hour is productivity. Efficiency involves such things as the inventory
turnover rates, reduction in prescription errors and average waiting time per prescription.

In terms of controlled substance administration records, which of the following statements is least
accurate?

A controlled substance usage form monitors receipt, administration and disposal of individual
controlled substances.
Counts must be witnessed by the incoming nurse.

A separate form is used to account for the amount of controlled substances a patient is taking.

All of the above statements are accurate.

Explanation:
Correct answer:
All of the above statements are accurate.

All of the above statements are accurate. Controlled substance administration records assist in the
accountability of controlled substances in a nursing unit. These forms allow a nurse to verify counts of a
controlled substance at the change of a shift.

How many mL of liquid medication are needed for a prescription that calls for 1 teaspoon 3
times a day for 14 days?

210 mL

420 mL

2.1 L

1.4 L

Explanation:
Correct answer:
210 mL

1 teaspoon = 5 mL
x mL = 5 mL x 3 times a day x 14 days
x = 210 mL

A buccal route of administration for a medication is which of the following?

under the tongue


inside the cheek

in the nose

under the subcutaneous layer of the skin

Explanation:
Correct answer:
inside the cheek

The buccal route of administration is inside the cheek. The tablet is place inside the cheek and allowed to
dissolve slowly.
The Durham-Humphrey Act of 1951 was an amendment to FDCA 1938 that requires all
products to have adequate directions for use unless they contain the words Caution:
Federal law prohibits dispensing without a prescription. Which of the following statements
about the requirements of this act is incorrect?

It allows verbal prescriptions over the telephone.

It separated drugs into two categories: legend and non-legend.

Legend drugs are those that do not require a prescription.

It allows refills to be called in from a physicians office.

Explanation:
Correct answer:

Legend drugs are those that do not require a prescription.

This is incorrect. Legend drugs are those that require a prescription. Nonlegend drugs are over the
counter drugs that do not require a prescription.

Monographs would be considered which of the following types of literature?


primary

secondary

tertiary

none of the above

Explanation:
Correct answer:
tertiary

Tertiary literature sources contain condensed and compact information based on established knowledge
in primary literature. This type of literature includes textbooks, monographs, standard reference books
and review articles.

The sum of the net purchases and freight charges associated with a product is known as which of the
following?

cost of good available for sale

cost of goods sold

cost of goods purchased

net cost of sales

Explanation:
Correct answer;
cost of goods purchased

The cost of goods purchased is the sum of the net purchases and freight charges associated with a
product. This calculation can determine whether a company has spent more money acquiring goods and
materials than it has selling its goods and services.
The pharmacy technician should be familiar with measurement conversions. If a medication order is for 1
gram of a drug, how many milligrams is this?

10

100

1000

10,000

Explanation:
Correct answer:
1000

One gram equals 1000 milligrams. 1000 micrograms equal one milligram; and 1000 grams equal one
kilogram.

Using a BSA of 0.4 m2, calculate the dose for a child, if the adult does of the medication is
20 mg/m2.

4 mg per dose

8 mg per dose

8.65 mg per dose

4.7 mg per dose

Explanation:
Correct answer:
4.7 mg per dose

Multiply the BSA by the prescribed dose to obtain the adult dose; then divide the adult dose by the
2
conversion factor of 1.7 m .
2
0.4 m x 20 mg = 8
2
8 1.7 m = 4.7 mg per dose
Which of the following is NOT a method for preparing suppositories?

hand-rolling

punch method

compression

fusion-molding

Explanation:
Correct answer:
punch method

All of the choices are methods for preparing suppositories except this one. The punch method is the
manual filling of capsules with powdered medication that has been premeasured.

If the markup of a bottle of liquid cold reliever that cost the pharmacy $2.10 per bottle is
250%, what will the consumer pay for one bottle of this medication?

$5.25

$7.35

$3.15

$6.30

Explanation:
Correct answer:
$7.35
The markup is 250% times $2.10 (cost of the bottle of medication) or $5.25. Add this to the cost of the
bottle ($2.10) and you get a selling price of $7.35.

Another term for the over-the-counter section of a retail pharmacy is which of the following?

front end

back end

retail section

behind-the-counter

Explanation:
Correct answer:
front end

The over-the-counter (OTC) section of a retail pharmacy is referred to as the front end. It provides
customers with various medications, devices and aids that they do not need a prescription to purchase.

In which of the following reference books can the pharmacy technician find the average wholesale price
of a drug?

Complete Drug Reference

Drug Topics Red Book

Orange Book

Drug Facts and Comparisons

Explanation:
Correct answer:
Drug Topics Red Book

The average wholesale price (AWP) of a drug can be found in the Drug Topics Red Book. This book is
used to determine the price of a medication based on the listed price. It provides monthly updates to keep
the pharmacy current on price changes.

The study of the absorption, metabolism, distribution and excretion of drugs is called:

pharmacodynamics

bioavailability

bioequivalence

pharmacokinetics

Explanation:
Correct answer:
pharmacokinetics

Pharmacokinetics is an all-inclusive word that represents many different components concerning the
actions of the body on a drug. It is the study of the absorption, metabolism, distribution and excretion of
drugs. Pharmacodynamics describes the effects a drug has on the body.
Part 2
A common term to describe a medical prescription is which of the following?

sig

adjudication

script

all of the above

Correct Answer:
script

Explanation:
Correct answer:
script

Script is a common slang term describing a medical prescription. Sig is used to describe the
medication directions written on a prescription. Adjudication is computerized billing.

The action of sulfonamides is bacteriostatic. They are effective against:

only gram-negative organisms

only gram-positive organisms

both gram-positive and gram-negative organisms

neither gram-positive nor gram-negative organisms

Correct Answer:
both gram-positive and gram-negative organisms

Explanation:
Correct answer:
both gram-positive and gram-negative organisms

Sulfonamides are effective against both gram-positive and gram-negative organisms. Sulfonamides block
the formation of folic acid required by microbes.

Drugs typically kept in a separate area from the normal stock because of the high volume of use are
known as:

special orders

formulary drugs

fast movers

time of year drugs

Correct Answer:
fast movers

Explanation:
Correct answer:
fast movers

Fast movers are drugs that have a high volume of use. They are kept in a separate area because of this.
These drugs must be ordered in larger quantities, keeping the overstock in close proximity, or they must
be ordered more often.

Unwanted, involuntary rhythmic movements attributed as a potential side effect of taking dopamine
antagonists is known as which of the following?

bilary dyskinesia

acute dystonia

tardive dyskinesia

none of the above

Correct Answer:
tardive dyskinesia
Explanation:
Correct answer:
tardive dyskinesia

Tardive dyskinesia is a type of dyskinesia attributed as a potential side effect of taking dopamine
antagonists such as phenothiazines or other medications. The symptoms sometimes continue even after
discontinuation of the offending drug.

The role of the pharmacy technician includes all of the following EXCEPT:

accepting electronic prescription orders

communicating with third-party payors to ensure payment to the pharmacy

referring the patient to the pharmacist for consultation

clarifying prescription orders with the prescriber

Correct Answer:
accepting electronic prescription orders

Explanation:
Correct answer:

accepting electronic prescription orders

The role of the pharmacy technician includes all of the following except this one. The technician may not
accept verbal or electronic prescription orders (e.g., from another computer by modem, or by telephone).
Most medical terms consist of a root word, prefix, and/or suffix. Root words are words or parts of a word
that identify the major meaning of the term. The root rhin means which of the following?

kidney

nose

bladder

joint
Correct Answer:
nose

Explanation:
Correct answer:
nose

The root rhin means nose. An example of the use of this root is in the term rhinoplasty which means
surgical repair of the nose.

A patient weighs 220 lb and receives a drug with a recommended dose of 5 mg/kg. What is the dose for
this patient?

101 mg

50 mg

1010 mg

500 mg

Correct Answer:
500 mg

Explanation:
Correct answer:
500 mg

There are 2.2 kg in each pound.

220/2.2 x 5 = x
100 x 5 = x
500 = x

In terms of employee performance evaluation techniques, the technique that involves recording incidents
of unusual success or failure is which of the following?
graphic rating scales

ranking

critical incident diary

paired comparison

Correct Answer:
critical incident diary

Explanation:
Correct answer:
critical incident diary

The critical incident diary is a method of performance appraisal that records incidents of unusual success
or failure in a given performance aspect. The purpose of such a diary is to identify strengths and
weaknesses by gathering information from every day working experiences.

Which of the following is NOT true of the handling and maintenance of pharmaceutical weights?

They should never be touched by hands.

They should be stored in a clean state.

They should be made of stainless steel.

They should be calibrated once per year.

Correct Answer:
They should be made of stainless steel.

Explanation:
Correct answer:
They should be made of stainless steel.
This is not true. Pharmaceutical weights are brass weights. They are measured in both metric and
apothecary systems.

Insulin and heparin are drugs that are measured in which of the following measurement systems?

international units

metric system

apothecary system

avoirdupois system

Correct Answer:
international units

Explanation:
Correct answer:
international units

Insulin and heparin are examples of drugs measured in international units (IU or U). The international unit
system measures the amount of drug in units. The milligram amount of drug per unit varies with the drug.

Atoms are made up of smaller particles. Which of the following particles is negatively charged?

nucleus

proton

neutron

electron
Correct Answer:
electron

Explanation:
Correct answer:
electron

Atoms are made up of smaller particles. They are protons (positively charged), electrons, (negatively
charged) and neutrons (no charge). The center of the atom, the nucleus, contains the protons and
neutrons.

The portion of the cost of a service or product that a patient pays out of pocket each time it is provided is
known as which of the following?

deductible

adjudication amount

out-of network amount

co-pay

Correct Answer:
co-pay

Explanation:
Correct answer:
co-pay

The co-pay is a portion of the cost of a service or product that a patient pays out of pocket each time it is
provided. The deductible is a set amount that a person pays up front before insurance coverage applies.

The net profit on a prescription that has an acquisition cost of $10.00, a dispensing fee of $4.00, and a
selling price of $30.00 is which of the following?

$16.00

$26.00

$20.00
$22.00

Correct Answer:
$16.00

Explanation:
Correct answer:
$16.00

The net profit is the selling price minus the acquisition cost and the dispensing fee. Subtract $10.00 plus
$4.00 ($14.00) from the selling price and you have a net profit of $16.00.

Which of the following terms refers to the appearance of an organism including the shape, size and
structure?

morphology

microbiology

taxonomy

virology

Correct Answer:
morphology

Explanation:
Correct answer:
morphology

The morphology of an organism is its appearance. This includes the shape, size, structure and Gram
stain characteristics. It is also the study of the structure of organisms without studying the function of
organisms.
Manufacturers of drugs have specific abbreviation codes for the company name. Which of the following
companies is indicated by the abbreviation GG?

G & W Laboratories

Geigy Pharmaceuticals

Geneva Pharmacetuicals

GlaxoWellcome

Correct Answer:
Geneva Pharmacetuicals

Explanation:
Correct answer:
Geneva Pharmaceuticals

GG indicates Geneva Pharmaceuticals. G & W Laboratories is indicated by G&W. Geigy


Pharmaceuticals is indicated by GEI. GlaxoWellcome is indicated by GLX.

Which of the following statements about percentages is least accurate?

Percents can be converted to fractions by removing the % symbol and dividing by 100.

Fractions can be converted to decimals by dividing the fraction by 100%.

Percents can be converted to decimals by removing the % symbol and placing the decimal point
two positions to the left.
Fractions can be converted to decimals by multiplying the fraction by 100%.

Correct Answer:
Fractions can be converted to decimals by dividing the fraction by 100%.
Explanation:
Correct answer:
Fractions can be converted to decimals by dividing the fraction by 100%.

This is not true. Fractions cannot be converted to decimals by dividing the fraction by 100%. Fractions
can be converted to decimals by multiplying the fraction by 100%.

Which of the following Roman numerals is not matched with its correct interpretation?

D = 50

M = 1,000

C = 100

X = 10

Correct Answer:
D = 50

Explanation:
Correct answer:
D = 50

The Roman numeral for 50 is not D; it is L. L = 50, D = 500.

If the blower of the laminar airflow is shut off, how long should it be in operation before use?

5 minutes

10 minutes

20 minutes

30 minutes
Correct Answer:
30 minutes

Explanation:
Correct answer:
30 minutes

The blower of the laminar airflow hood should be kept on at all times. If it is shut down, then it must be in
operation for at least 30 minutes before use.

Multiply the following decimals: (0.45 x 0.75) x 1.25. What is the result?

0.0421875

4.21875

0.421875

none of the above

Correct Answer:
0.421875

Explanation:
Correct answer:
0.421875

Simply multiply the first two numbers (0.45 x 0.75). Be sure to have four decimal places in the answer
(0.3375); then multiply that number by 1.25 which equals 0.421875.

Containers in which radioactive materials are shipped must be labeled based on the activity of the
radioactive material. Which of the following indicates the highest level of radiation?

Radioactive White I

Radioactive Yellow II

Radioactive Yellow III


Both Radioactive White I and Radioactive Yellow III

Correct Answer:
Radioactive Yellow III

Explanation:
Correct answer;
Radioactive Yellow III

Radioactive Yellow III is the label that indicates the highest concentration of radiation. All containers of
radioactive material must have a Caution: Radioactive label with the name of the nucleotide, the
quantity, the date, and the time.

A drug is considered adulterated for all of the following reasons EXCEPT:

A drug contains poisonous material.

A substance has been added or mixed with the drug that has no purpose other than to increase
the volume of the drug.
A drug is inappropriately labeled.

A drug contains an unsafe color additive.

Correct Answer:
A drug is inappropriately labeled.

Explanation:
Correct answer:
A drug is inappropriately labeled.

Drugs must be offered for sale in a sanitary and unadulterated condition. If not they are considered
adulterated. Inappropriate labeling is not an adulterated condition.

If a procedure calls for 1.5 g of a medication per liter what is the percentage of the medication?
1.5%

15%

0.15%

0.015%

Correct Answer:
0.15%

Explanation:
Correct answer:
0.15%

There are 1000 mL in a liter. 1.5 g of medication per 1000 mL must be converted to grams per 100 mL to
get the percentage of the solution.

1.5 g/1000 mL = x g /100 mL


1000x = 150
x = 150/1000 = 0.15 g

The solution is therefore a 0.15% solution.

You have a solution of 2% medication. What is the concentration in mg/mL?

2 mg/mL

20 mg/mL

40 mg/mL

200 mg/mL
Correct Answer:
20 mg/mL

Explanation:
Correct answer:
20 mg/mL

2% = 2 g per 100 mL. Therefore, you must change the g to mg. This gives you a solution of 2000 mg/100
mL which in turn equals 20 mg/mL.

You receive a prescription for a medication that must be taken in 10 mg tablets twice a day for 10 days.
How many 10 mg tablets of medication will be required to fill the prescription?

400

10

20

40

Correct Answer:
20

Explanation:
Correct answer:
20

Y (capsules needed) = tablets per dose x doses per day x days needed
Y = 1 x 2 x 10
Y = 20

The pharmacy pays $600 for a stock bottle of medication, which contains 1500 tablets. The markup is
100%. What is the selling price for 200 tablets?

$1600.00

$800.00

$80.00
$160.00

Correct Answer:
$160.00

Explanation:
Correct answer:
$160.00

Each tablet costs $600 divided by 1500 tablets or $0.40. The markup is 100%, which is 1 x $0.40 or
$0.40. Add the markup ($0.40) to the base price ($0.40) to get $0.80. The selling prices for 200 tablets
would be 200 x $0.80 or $160.00.

Which of the following is a type of antibiotic that prevents bacteria from forming a cell wall?

sulfonamides

cephalosporins

aminoglycosides

quinolones

Correct Answer:
cephalosporins

Explanation:
Correct answer:
cephalosporins

Cephalosporins prevent bacteria from forming a cell wall. They are indicated for such things as dental
work, heart and pacemaker procedures, and sinus infections.

Neuromuscular blockers are used in the operating room to relax muscles and induce paralysis. Which of
the following neuromuscular blockers is the longest-acting?

Arduan

Tracrium

Nimbex

Mivacron

Correct Answer:
Arduan

Explanation:
Correct answer:
Arduan

Arduan is the longest acting neuromuscular blocker of the four drugs mentioned. It lasts about 75 100
minutes. Mivacron is a short-acting drug and Tracrium and Nimbex are intermediate acting drugs.

Which of the following would be considered room temperature?

37 C

30 C

25 C

10 C

Correct Answer:
25 C

Explanation:
Correct answer:
25 C

The temperature of 25 C is considered room temperature (on the pharmacy shelf). This is 77 F.

The best source of the drug for an oral liquid is which of the following?

injection

tablet

pure powdered form

capsule

Correct Answer:
pure powdered form

Explanation:
Correct answer:
pure powdered form

The best source of the drug for an oral liquid would be the drug in pure powdered form. If that is not
possible, then other sources can be used. An injection can be used as the drug source if the drug is given
orally as a tablet or capsule. Tablets and capsules can be used as drug sources to prepare an oral liquid
but rarely will a tablet or capsule be composed of pure drug.

Which of the following statements about hazardous materials and waste is least accurate?

Every institution handling hazardous chemicals must have a written hazard communication
program.
The Joint Commission requires that all employees be aware of the hazards of chemicals to which
they are exposed.
Every institution handling hazardous chemicals must receive an MSDS from the manufacturer,
importer, or distributor.
The Hazard Communication Standard is based on the belief that all employees have both a need
and a right to be informed of hazards to which they will be exposed.
Correct Answer:
The Joint Commission requires that all employees be aware of the hazards of chemicals to which
they are exposed.

Explanation:
Correct answer:
The Joint Commission requires that all employees be aware of the hazards of chemicals to which
they are exposed.

This is the least accurate. It is the Occupational Safety and Health Act that requires that all employees be
aware of the hazards of chemicals to which they will be exposed. The Hazard Communication Standard is
based on the belief that all employees have both a need and a right to be informed of hazards and
identities of the chemicals to which they will be exposed.

For emergency filling of Schedule II drugs an oral prescription can be issued to a pharmacy. All of the
following conditions must be met except:

The pharmacist must make a good-faith attempt to identify the physician.

The pharmacist must reduce the order to writing.

The prescription is limited to a quantity to treat the patient during this period.

The physician must write a prescription for this emergency quantity and the pharmacy must
receive it within 24 hours.

Correct Answer:
The physician must write a prescription for this emergency quantity and the pharmacy must
receive it within 24 hours.

Explanation:
Correct answer:
The physician must write a prescription for this emergency quantity and the pharmacy must
receive it within 24 hours.
This is incorrect. The physician must write a prescription for this emergency quantity and the pharmacy
must receive it within 7 days of the oral order. Normally, for Schedule II drugs, the prescription can be
either handwritten or computer generated but must be signed in ink by the physician with no allowable
refills.

Some drugs need to be refrigerated. The normal temperature of refrigeration is generally between:

42 50 F

32 40 F

40 42 F

none of the above

Correct Answer:
40 42 F

Explanation:
Correct answer:
40 42 F

Commercial refrigerators and freezers have gauges on the outside that indicate the internal temperature
and allow it to be monitored. The temperature of refrigeration should generally be 40 42 F.

If a syringe contains 10 mg of drug in a 2 mL solution, how many micrograms of drug would be


administered by an injection of 0.5 mL of the solution?

2500 mcg

250 mcg

25 mcg

2.5 mcg
Correct Answer:
2500 mcg

Explanation:
Correct answer:
2500 mcg

You would solve this using a proportion.

10 mg / 2 mL = X / 0.5 mL

2X = 5

X= 2.5 mg

Then multiply 2.5 mg x 1,000 to get the number of micrograms. The answer is 2,500 mcg.

The apothecary system is sometimes used in prescriptions, primarily with liquids. Which of the following
apothecary equivalents is incorrect?

1 gal = 4 qt

1 pt = 8 fl oz

1 fl oz = 8 fl dr

1 fl dr = 60 min

Correct Answer:
1 pt = 8 fl oz

Explanation:
Correct answer:
1 pt = 8 fl oz

This is incorrect. 1 pt = 16 fl oz.


Convert 3 3/4 to an improper fraction. What is the result?

4/15

15/4

9/4

12/9

Correct Answer:
15/4

Explanation:
Correct answer:
15/4

First convert 3 to a fraction with the denominator of 4. So, 3 x 4/4 = 12/4. Then add 12/4 to the fraction 3/4
to get 15/4.

66 lb is equivalent to how many kilograms?

22 kg

30 kg

145.2 kg

132 kg

Correct Answer:
30 kg
Explanation:
Correct answer:
30 kg

There are 2.2 kg in every lb. Therefore, 66 lb divided by 2.2 kg = 30 kg.

Which of the following types of drugs would be most likely to have the lowest carrying cost?

drugs that must be refrigerated

Schedule II drugs

drugs that must be frozen

drugs stored on the pharmacy shelf

Correct Answer:
drugs stored on the pharmacy shelf

Explanation:
Correct answer:
drugs stored on the pharmacy shelf

The carrying cost is how much it will cost the pharmacy to keep the drug stocked. For example, if a drug
is stored on the pharmacy shelf and others must be refrigerated, frozen, or need special treatment, the
drugs stored on the shelf will cost less to maintain.

Which of the following is an equivalent ratio?

8/5 = 5/8

2/5 = 3/10

2/5 = 8/20

8/4 = 2/4
Correct Answer:
2/5 = 8/20

Explanation:
Correct answer:
2/5 = 8/20

Two equal ratios form a proportion. 2/5 = 8/20 is an example of an equivalent ratio. 2 has the same ratio
to 5 as 8 has to 20.

Which of the following statements about human papillomavirus (HPV) is least accurate?

HPV affects only females.

It is estimated that approximately 50% of sexually active persons will contract HPV at some time.

The most vulnerable age category is females in their teens up to the early twenties.

Certain strains of this virus can cause genital warts.

Correct Answer:
HPV affects only females.

Explanation:
Correct answer:
HPV affects only females.

This is the least accurate statement. HPV is common around the world and affects both females and
males. There are 100 types of HPV.

A drugs blood concentration range between its MEC and MTC is called the:
onset of action

therapeutic window

toxic window

responsive window

Correct Answer:
therapeutic window

Explanation:
Correct answer:
therapeutic window

The therapeutic window is a drugs blood concentration range between its MEC and MTC. The MEC is
the minimum effective concentration, i.e., the blood concentration needed for a drug to produce a
response. The MTC is the minimum toxic concentration, i.e., the upper limit of the therapeutic window.

The independent nonprofit organization that accredits hospitals and other health care organizations in the
United States is which of the following?

Health Care Financing Administration

Department of Health and Human Services

The Joint Commission

FDA

Correct Answer:
The Joint Commission
Explanation:
Correct answer:
The Joint Commission

The Joint Commission (TJC) is the independent nonprofit organization that accredits hospitals and other
health care organizations in the United States. Accreditation is required in order to accept Medicare and
Medicaid payment. TJC inspects only hospital pharmacies, not community pharmacies, as well as the
entire hospital.

Which of the following dispersions consists of a two-phase system in which solid particles are dispersed
in a liquid vehicle?

paste

cream

emulsion

suspension

Correct Answer:
suspension

Explanation:
Correct answer:
suspension

A suspension is a two-phase system in which solid particles are dispersed in a liquid vehicle. A
suspension may be oral, topical or injectable. Suspended material should not settle rapidly and should
pour freely.

Which of the following is NOT a commutative operation in mathematics?

addition

multiplication

division
all of the above

Correct Answer:
division

Explanation:
Correct answer:
division

In mathematics an operation is commutative if changing the order of the operands does not change the
end result. Addition and multiplication are commutative; subtraction and division are not commutative.

The federal law that is an amendment to the Food, Drug and Cosmetic Act of 1938 (FDCA) and that
requires all products to have adequate directions for use unless they contain the federal legend Caution:
Federal law prohibits dispensing without a prescription is which of the following?

Kefauver-Harris Amendment of 1962

Durham-Humphrey Act of 1951

Comprehensive Drug Abuse Prevention and Control Act of 1970

Poison Prevention Packaging Act of 1970

Correct Answer:
Durham-Humphrey Act of 1951

Explanation:
Correct answer:
Durham-Humphrey Act of 1951

The Durham-Humphrey Act of 1951 is the amendment to the Food, Drug and Cosmetic Act of 1938
(FDCA) that requires all products to have adequate directions for use unless they contain the federal
legend Caution: Federal law prohibits dispensing without a prescription. The amendment also separated
drugs into legend and nonlegend drugs; allowed verbal prescriptions over the phone; and allowed refills
to be called in from a physicians office.

A medication that is to be taken every morning would have the sig code:

QD

QOD

QAM

QPM

Correct Answer:
QAM

Explanation:
Correct answer:
QAM

QAM means that the medication should be taken every morning. QD means that it should be taken every
day; QOD means that it should be taken every other day; and QPM means that it should be taken every
afternoon or evening.

Convert 2.75% to a decimal. What is the result?

27.5

2.75

0.275

0.0275
Correct Answer:
0.0275

Explanation:
Correct answer:
0.0275

To convert a percentage to a decimal move the decimal point 2 places to the left. This gives you a result
of 0.0275.

The system of measurement once used in the practice of pharmacy to measure both volume and weight
is which of the following?

avoirdupois system

apothecary system

metric system

household system

Correct Answer:
apothecary system

Explanation:
Correct answer:
apothecary system

The apothecary system is a system of measurement once used in the practice of pharmacy to measure
both volume and weight. It has been replaced by the metric system. The avoirdupois system is also a
system of measurement once used in pharmacies for the determination of weight in ounces and pounds.
This has also been replaced by the metric system.

Which of the following drugs is a selective serotonin and norepinephrine reuptake inhibitor?
Celexa

Lexapro

Cymbalta

Paxil

Correct Answer:
Cymbalta

Explanation:
Correct answer:
Cymbalta

Cymbalta is a selective serotonin and norepinephrine reuptake inhibitor (SSNRI). These antidepressants
work on two neurotransmitters at the same time serotonin and norepinephrine. They increase the levels
of both neurotransmitters by inhibiting their reabsorption into the brain cells.

In retail terminology, which part of the pharmacy is designated as the front end of the pharmacy?

the area that provides customers with various medications, devices and aids that do not need a
prescription
the area in which new prescriptions and refill requests are entered into the computer system

the area in which the prescribed mediation is prepared and labeled

the area where drugs are stored

Correct Answer:
the area that provides customers with various medications, devices and aids that do not need a
prescription
Explanation:
Correct answer:
the area that provides customers with various medications, devices and aids that do not need a
prescription

The front end of the pharmacy is the area that provides customers with various medications, devices
and aids that do not need a prescription. It is also called the OTC (over-the-counter) section. Products
commonly found in this area include analgesics, antihistamines, laxatives and pregnancy tests.

Which of the following types of cancer originates in the skin or in tissues lining the organs?

sarcoma

lymphoma

carcinoma

CNS cancer

Correct Answer:
carcinoma

Explanation:
Correct answer:
carcinoma

Carcinoma originates in the skin or in tissues lining the organs. Sarcoma is found in bone, fat, muscle,
cartilage, blood vessels and associated tissues. Lymphoma may occur anywhere in the lymph system or
in other organs that create immune cells. CNS cancer starts in the brain and/or spinal cord.

Which of the following DEA forms is used to order Schedule II medications?

DEA Form 222

DEA Form 61
DEA Form 41

any of the above

Correct Answer:
DEA Form 222

Explanation:
Correct answer:
DEA Form 222

Schedule II medications are ordered by properly completing a DEA Form 222 in triplicate. It must be
signed by the individual in whose name the DEA registration is listed.

The directions for mixing a 125 mg/5 mL liquid states that when 80 mL of water are added to the contents
of the bottle, the resulting volume is 150 mL. What is the concentration of drug in mg/5 mL if only 40 mL
of water were added?

54.55 mg/5 mL

110 mg/5 mL

170.45 mg/5 mL

160 mg/5 mL

Correct Answer:
170.45 mg/5 mL

Explanation:
Correct answer:
170.45 mg/5 mL

First determine the total mg of drug in the bottle (it is a constant);


125 mg drug /5 mL FV x 150 mL FV = 3,750 mg drug

Next, determine the powder volume for the drug in the bottle:
FV = D + PV
150 mL = 80 mL + PV
150 mL 80 mL = PV = 70 mL

Now determine the volume of the new product (NP):


NP = D + PV
NP = 40 mL + 70 mL = 110 mL

So the new concentration is: Total mg drug in bottle / volume of new product
3750 mg/110 mL = 34.09 mg/mL = 170.45 mg/5 mL

All of the following are indications of inflammatory acne EXCEPT:

pustules

cysts

whiteheads

papules

Correct Answer:
whiteheads

Explanation:
Correct answer:
whiteheads

Whiteheads occur when the trapped sebum and bacteria remain under the skin and manifest as small
white spots. They are a part of noninflammatory acne. The other choices are manifestations of
inflammatory acne along with nodules.

In terms of medical terminology, which of the following suffixes means to destroy?

mania
lytic

ia

lepsy

Correct Answer:
lytic

Explanation:
Correct answer:
lytic

The suffix lytic means to destroy. For instance, hemolytic anemia is anemia caused by excessive
destruction (as in chemical poisoning, infection, or sickle-cell anemia) of red blood cells.

In terms of biomaterials, which of the following statements is least accurate?

Biomaterials are polymers that combine with or encapsulate a drug.

Neither pH nor solubility can activate the drug.

The dosage form of drugs that use biomaterials can be capsules, tablets or implants.

These dosage forms help maintain a steady concentration of drug dosing.

Correct Answer:
Neither pH nor solubility can activate the drug.

Explanation:
Correct answer:
Neither pH nor solubility can activate the drug.
This is not accurate. The opposite is true. Both pH and solubility can activate the drug and release its
contents over a period of anywhere from 12 hours to several years. These drugs are able to treat
conditions without overdosing or underdosing the patient, and they also promote compliance.

A patient weight 110 lb and receives a drug with a recommended dose of 10 mg/kg. What is the dose for
this patient?

500 mg

50 mg

2420 mg

242 mg

Correct Answer:
500 mg

Explanation:
Correct answer:
500 mg

There are 2.2 kg in each pound.

110/2.2 x 10 = x
50 x 10 = x
500 = x

Using Youngs rule calculate the dosage for a 6-year-old child who is prescribed a drug which has a usual
adult dosage of 1 g. What is the appropriate dosage for this child?

333.3 mg

33.3 g

480 mg
4.8 mg

Correct Answer:
333.3 mg

Explanation:
Correct answer:
333.3 mg

Youngs rule uses a formula based on the age expressed in years. The pediatric dose is calculated by
dividing the childs age in years by the childs age in years plus 12 and multiplying the result by the adult
dosage. In this case the childs age is 6 years. Divide this by 6 + 12 (18) and multiply the result by 1000
mg. The result is 333.3 mg.
[6/(6+12)]*1000 =
6/18*1000 =
0.3333*1000 = 333.3

Which of the following is an instrument that locks in order to obstruct tubing while transferring
medications?

mini-spike

syringe cap

forceps

ampule breaker

Correct Answer:
forceps

Explanation:
Correct answer:
forceps

Forceps are the instruments that lock and are used to obstruct tubing while transferring medications. A
mini-spike is a large-bore spike that is pushed into a vial with a syringe attachment at the other end. A
syringe cap is a sterile cap used to prevent contamination of syringes during transportation out of the
pharmacy. An ampule breaker is a plastic device to help to prevent crushing glass or cutting oneself when
opening ampules.

The requirement that all pharmacists perform a drug utilization evaluation during the processing of
prescriptions is mandated by which of the following?

ADA

HIPAA

USP

OBRA 90

Correct Answer:
OBRA 90

Explanation:
Correct answer:
OBRA 90

The Omnibus Budget Reconciliation Act of 1990 (OBRA 90) requires that all pharmacists perform a drug
utilization evaluation (DUE) during the processing of prescriptions. The DUE will alert the pharmacist of
any potential drug interactions or contraindication a patient may experience while taking a prescribed
medication.

A child weighs 11 kg. His medication is prescribed at 5 mg/ kg twice a day. What is the daily dosage of
his medication?

55 mg

82.5 mg
110 mg

220 mg

Correct Answer:
110 mg

Explanation:
Correct answer:
110 mg

Each dose is 55 mg (11 kg x 5 mg). Taken twice a day, the daily dosage is 110 mg. (2 x 55 mg).

Which of the following statements about nasal preparations is least accurate?

Excipients are likely to be used in nasal preparations.

Nasal preparations are only used locally.

Ingredients for nasal preparations should be sterile.

It is usually necessary to include a preservative in nasal preparations.

Correct Answer:
Nasal preparations are only used locally.

Explanation:
Correct answer:
Nasal preparations are only used locally.

This is the least accurate statement. Nasal preparations may be used locally or systemically. This
depends on the nature of the drug and the vehicle it is in.
The set of standardized rules and guidelines within which a facility functions is which of the following?

protocols

procedures

standards

none of the above

Correct Answer:
protocols

Explanation:
Correct answer:
protocols

Protocols are standardized rules and guidelines within which a facility functions. They can encompass
behavior and tasks required, as well as how drugs will be dispensed and ordered.

In terms of controlled substances, which of the following statements is least accurate?

Schedule II medications must be kept in a locked safe in the pharmacy.

Schedule III to V medications may be dispersed throughout the pharmacy.

Refrigerated Schedule II substances must be kept in a locked refrigerator with other medications.

Controlled substances on a nursing floor must be in a locked cart.


Correct Answer:
Refrigerated Schedule II substances must be kept in a locked refrigerator with other medications.

Explanation:
Correct answer:
Refrigerated Schedule II substances must be kept in a locked refrigerator with other medications.

This is inaccurate. Refrigerated Schedule II substances must be kept in a locked refrigerator with no
other medications.

The mixture of two or more unblendable liquids in which one liquid is dispersed throughout the other is
which of the following?

syrup

elixir

emulsion

none of the above

Correct Answer:
emulsion

Explanation:
Correct answer:
emulsion

An emulsion is the mixture of two or more unblendable liquids in which one liquid is dispersed throughout
the other. Emulsions are fairly stable and are often added to improve stability and dispersion. Calamine
lotion is a classic topical emulsion purchased over-the-counter.

The abbreviation on a prescription form for the place of administration of a drug that would be
administered into the skin would be indicated by which of the following?

SC
ID

IT

SL

Correct Answer:
ID

Explanation:
Correct answer:
ID

The abbreviation ID means that a drug would be administered into the skin. SC means under the skin;
IT means intrathecal; and SL means sublingual.

One of the main purposes in purchasing drugs from the manufacturer is which of the following?

the availability of special services such as emergency delivery

negotiating prices for the pharmacy

allowing pharmacies to purchase in bulk resulting in a savings for the company


allowing pharmacies to purchase medications from all manufacturers

Correct Answer:
allowing pharmacies to purchase in bulk resulting in a savings for the company

Explanation:
Correct answer:
allowing pharmacies to purchase in bulk resulting in a savings for the company

Purchasing drugs from the manufacturer allows pharmacies to purchase in bulk, resulting in a savings for
the company. Wholesalers may not always stock specific medications because of storage conditions,
expense or low demand.

The inventory costing method where it is assumed that the costs of the latest units purchased are the first
to be allocated to cost of goods sold is which of the following?

lower of cost or market

first in, first out

last in, first out

none of the above

Correct Answer:
last in, first out

Explanation:
Correct answer:
last in, first out

The last in, first out method of costing inventory assumes that the costs of the latest units purchased are
the first to be allocated to cost of goods sold. The first in, first out method of costing inventory assumes
the cost at the earliest purchase of goods is the first to be recognized as the cost of the goods sold.

The measurement of the specific amount of a drug that will achieve 50% of the maximal response is
which of the following?

half-life

time-response

ED50
pharmacodynamic

Correct Answer:
ED50

Explanation:
Correct answer:
ED50

ED50 is a measurement of the specific amount of a drug that will achieve 50% of the maximal response.
It is used to measure the full potency of some drugs without having to achieve such a level.

Which of the following is NOT part of the anatomy of a needle?

barrel

bevel

shaft

lumen

Correct Answer:
barrel

Explanation:
Correct answer:
barrel

The barrel is part of a syringe; it is not part of the needle. The needle parts include: hub, hilt, shaft, bevel,
lumen and point.
All of the following persons may be prescribers of medication EXCEPT:

dentist

podiatrist

physician's assistant

registered nurse

Correct Answer:
registered nurse

Explanation:
Correct answer:
registered nurse

A registered nurse cannot be a prescriber. A nurse practitioner or a physicians assistant, however, may
be prescribers. Other valid prescribers include: medical doctors, osteopathic doctors, or veterinarians.

Which of the following Roman numerals is never repeated?

all of the above


Correct Answer:
all of the above

Explanation:
Correct answer:
all of the above

There are certain Roman numerals that are never repeated. They are V, L, and D. For instance, LL for
100 is incorrect.

The minimum and maximum stock levels which determine when a reorder is placed and for how much is
known as which of the following?

order entry point

reorder point

point of sale

turnover point

Correct Answer:
reorder point

Explanation:
Correct answer:
reorder point

The reorder points are the minimum and maximum stock levels which determine when a reorder is placed
and for how much. This maintains an adequate inventory for the needs of the pharmacy whether it is a
community pharmacy or an institutional pharmacy. Reorder points for any item can generally be set
according to the needs of the facility.

If 24 inches correspond to 60.72 centimeters, how many centimeters are there in thirty inches?

75.9
48.57

72

70.9

Correct Answer:
75.9

Explanation:
Correct answer:
75.9

This problem can be stated as follows: 24 inches is to 60.72 cm as 30 inches is to X cm.

24/60.72 = 30/x
24 x = 1821.6
x = 1821.6/24 = 75.9

Choosing the proper size of needle to attach to a syringe is very important. A large-bore needle is
normally used for all of the following EXCEPT:

drug rehydration

dilution

admixtures

subcutaneous injections

Correct Answer:
subcutaneous injections
Explanation:
Correct answer:
subcutaneous injections

A large-bore needle (16 18 G) will draw up and dispense liquid quickly, so it is used for drug
rehydration, dilution, and admixtures. A fine needle (25 30 G) is needed for subcutaneous and
intradermal injections to penetrate the more delicate tissues of the skin with a minimum of discomfort.

The manufacturer abbreviation code for A H Robins is which of the following?

AHR

ROB

ARO

ARB

Correct Answer:
ROB

Explanation:
Correct answer:
ROB

ROB is the manufacturer abbreviation code for A H Robins. The abbreviated manufacturer code is used
in many instances such as in the unit dose record log sheet.

Which of the following rules regarding the sale of exempt narcotics is least accurate?

Dispensing of exempt narcotics is made only by a pharmacist.

Limits for how many dosage units can be sold in any given 48-hour period are followed.

A bound record book containing required information about the purchaser and the drug must be
maintained.
There is no age requirement for purchase of exempt narcotics.
Correct Answer:
There is no age requirement for purchase of exempt narcotics.

Explanation:
Correct answer:
There is no age requirement for purchase of exempt narcotics.

This is inaccurate. Purchasers of exempt narcotics must be at least 18 years old. Purchasers not known
by the pharmacist must provide suitable identification.

Electrolytes used in the preparation of suspensions to form particles that can be easily redispersed is
which of the following?

thickening agent

mucilage

lipophilic emulsifier

flocculating agent

Correct Answer:
flocculating agent

Explanation:
Correct answer:
flocculating agent

The settling properties of a suspension are controlled by the addition of a flocculating agent and the
addition of thickening agents. The flocculating agents are electrolytes which carry an electrical charge.
They are used to form particles that can be easily redispersed.
Many doctors continue to use Roman numerals when writing quantities in a prescription or directions to
the pharmacist. Which of the following Roman numerals and its equivalent is incorrect?

M = 100

V=5

D = 500

L = 50

Correct Answer:
M = 100

Explanation:
Correct answer:
M = 100

M stands for one thousand (1000) not one hundred (100). The most commonly used Roman numerals
and there equivalent are:

Ss = X = 10 D = 500
I=1 L = 50 M = 1000
V=5 C = 100

Librium and Valium are considered which of the following types of controlled substances?

Schedule IV

Schedule V

Schedule II

Schedule I
Correct Answer:
Schedule IV

Explanation:
Correct answer:
Schedule IV

Schedule IV drugs have a low potential for abuse, have a currently accepted medical use in the United
States, or the abuse of these drugs may lead to limited dependence. Examples include Valium and
Librium. C-IV is the symbol for this class of drugs.

Which one of the numbers in the following set is the largest: (0.023, 0.23, 0.478, 0.2855)?

0.023

0.23

0.478

0.2855

Correct Answer:
0.478

Explanation:
Correct Answer:
0.478

A decimal represents a part of a whole; therefore, 0.478 is the largest in the set. You know this by the fact
that it is the largest number immediately to the right of the decimal point.

Which of the following is considered to be the most accurate method of calculating a pediatric dose?

BSA
Clarks rule

Youngs rule

Frieds rule

Correct Answer:
BSA

Explanation:
Correct answer:
BSA

BSA stands for body surface area. The BSA method of calculating a patients dose results in the most
accurate dose because it is based upon both the height and the weight of the patient.

Which of the following drugs is an ophthalmic agent used in the treatment of glaucoma?

dorzolamide

ofloxacin

cyclosporine

flurbiprofen

Correct Answer:
dorzolamide

Explanation:
Correct answer:
dorzolamide
Glaucoma is a chronic disorder characterized by abnormally high internal eye pressure that destroys the
optic nerve and may cause loss of vision. One of the drugs used to treat glaucoma is dorzolamide
(Truspot). The other choices are ophthalmic agents but are not specifically used for glaucoma.

Many food interactions occur with MAOIs that can lead to hypertension for the patient. Which of the
following is a food containing tyramine that can be extremely dangerous to a patient taking MAOIs?

cheese

yogurt

coffee

all of the above

Correct Answer:
all of the above

Explanation:
Correct answer:
all of the above

All of the first three choices are foods that contain tyramine. Other foods containing tyramine include: sour
cream, beer, wine, avocados, soy sauce, chocolate, and tea.

Perform the following: 3.45 + 3.5. What is the result?

6.50

6.90

12.075

6.95
Correct Answer:
6.95

Explanation:
Correct Answer:
6.95

First align the decimal point in the correct position under one another and add a place holder zero to
3.5.
3.45
+ 3.50
6.95

Add as normal and you will get 6.95 keeping the decimal place in the one-hundreds position.

Which of the following items may be returned to the manufacturer for credit?

any drug that is reconstituted within the pharmacy

any drug that is compounded within the pharmacy

damaged stock

partially used bottles of medication

Correct Answer:
damaged stock

Explanation:
Correct answer:
damaged stock

If a technician notices that some drugs were damaged en route to the pharmacy, they may be returned to
the manufacturer. It may be necessary to first contact the manufacturer and obtain an approval code
before the damaged goods are returned.
Divide LXVI by II. Which of the following is the correct answer?

XXXIII

CCLVIII

CCCIII

XXIXI

Correct Answer:
XXXIII

Explanation:
Correct answer;
XXXIII

LXVI divided by II is XXXIII. That is, 66 divided by 2 is 33. LX = 60; VI = 6; II = 2.

Intravenous injections are prepared in different ways. The one-time single dose injection is called a(n):

IV drip

bolus

stick

piggyback IV
Correct Answer:
bolus

Explanation:
Correct answer:
bolus

A bolus is a one-time single dose injection. The IV drip is a bag or bottle of liquid that allows the drug to
be infused over a long period of time. The piggyback IV is a smaller IV bag that is infused along with the
primary intravenous drip, usually through the same tubing.

A prescription containing the phrase, Cap. no. XXIX means which of the following?

31 capsules

29 capsules

26 capsules

36 capsules

Correct Answer:
29 capsules

Explanation:
Correct answer:
29 capsules

Cap. no. XXIX means 29 capsules. XX = 20 and IX = 9.

Which of the following is NOT an improper fraction?

345/340

3/2
4/3

2 2/3

Correct Answer:
2 2/3

Explanation:
Correct answer:
2 2/3

2 2/3 is a mixed number. An improper fraction is one in which the numerator is larger than the
denominator. Converted to a fraction, 2 2/3 would be an improper fraction.

The directions for mixing a liquid cough syrup state when 315 mL of water are added to the contents of
the bottle, the resulting volume is 350 mL. What is the powder volume?

75 mL

335 mL

350 mL

35 mL

Correct Answer:
35 mL

Explanation:
Correct answer:
35 mL
The formula to use is:

Final volume = volume of diluent + powder volume.


350 mL = 315 mL + powder volume
350 mL 315mL = powder volume = 35 mL

The area of the ear that is coiled and consists of three fluid-filled canals is which of the following?

cochlea

vestibule

semicircular canals

utricle

Correct Answer:
cochlea

Explanation:
Correct answer:
cochlea

The cochlea is the area of the ear that is coiled and consists of three fluid-filled canals. The small hair-like
structures that are found here are connected to the acoustic nerve that transmits impulses to the brain.

Which of the following would NOT be considered a solution?

lotion

collodion

syrup
tincture

Correct Answer:
lotion

Explanation:
Correct answer:
lotion

A lotion is considered a dispersion, i.e. a solute dispersed through a dispersing vehicle. A lotion is a liquid
for topical application that contains insoluble solids or liquids.

Which of the following documents is NOT required by federal law to be maintained for a minimum of 2
years?

profit and loss statements

DEA form 41

prescriptions for controlled substances

exempt narcotic and poison sale records

Correct Answer:
profit and loss statements

Explanation:
Correct answer:
profit and loss statements

Profit and loss statements are not documents that are required by federal law to be maintained for a
minimum of 2 years. The other three choices are. If a particular state requires retention of these records
for longer than 2 years, a pharmacy must adhere to whichever is the more stringent of the two
regulations.

Which of the following would NOT be a legally valid prescription?

a prescription written by a nurse practitioner

a prescription written by a veterinarian for a drug intended for human use

a prescription written by a medical student while on rotation in a hospital

all of the above are valid prescriptions

Correct Answer:
a prescription written by a veterinarian for a drug intended for human use

Explanation:
Correct answer:
a prescription written by a veterinarian for a drug intended for human use

A prescription written by a veterinarian for a drug intended for human use would not be a legally valid
prescription. A prescription is legally valid only if written by a licensed medical professional or
veterinarian. In addition, the prescription is only valid if written for a drug or drug product that is used
within the scope of the prescribers normal practice.

The pharmacy technician should know that when the PAR level is reached, a medication should be:

returned to the manufacturer

carefully discarded

reordered

removed from the shelves


Correct Answer:
reordered

Explanation:
Correct answer:
reordered

The inventory amount at which a drug is automatically reordered is called the PAR level. This stands for
periodic automatic replenishment.

In terms of the expiration date of repackaged drugs, federal law mandates which of the following?

The expiration date cannot exceed 6 months and cannot exceed 25% of the remaining time on the
manufacturers original expiration date on the bulk container.
The expiration date cannot exceed 12 months and cannot exceed 25% of the remaining time on
the manufacturers original expiration date on the bulk container.
The expiration date cannot exceed 6 months and cannot exceed 10% of the remaining time on the
manufacturers original expiration date on the bulk container.
The expiration date cannot exceed 9 months and cannot exceed 20% of the remaining time on the
manufacturers original expiration date on the bulk container.

Correct Answer:
The expiration date cannot exceed 6 months and cannot exceed 25% of the remaining time on the
manufacturers original expiration date on the bulk container.

Explanation:
Correct answer:
The expiration date cannot exceed 6 months and cannot exceed 25% of the remaining time on the
manufacturers original expiration date on the bulk container.

This is the correct statement of the mandates of federal law regarding repackaged drugs. Both the
manufacturers expiration date and the pharmacys expiration date must be entered in the record log
sheet for repackaging.
All of the following are traditional drugs used to make lozenges EXCEPT:

phenol

paraffin

benzocaine

sodium phenolate

Correct Answer:
paraffin

Explanation:
Correct answer:
paraffin

Paraffin is a wax and a lubricant. It is not a drug used in the making of lozenges.

The condition in which a person hears well with one ear but does not hear well with the other ear is
known as which of the following?

deafness

unilateral hearing loss

bilateral hearing loss

being hard of hearing

Correct Answer:
unilateral hearing loss
Explanation:
Correct answer:
unilateral hearing loss

Hearing-impaired individuals have a relative insensitivity to sound in the speech frequencies, meaning
that conventional speech, and language itself, become barriers to communication. A person who hears
normally in one ear, but has trouble hearing with the other ear has unilateral hearing loss.

Which of the following statements about HIPAA, the Health Insurance Portability and Accountability Act is
least accurate?

HIPAA requires the use of a National Provider Identifier for all health care providers.

HIPAA states that a pharmacy may never disclose protected health information without patient
approval.
All personnel who have access to protected health information must be formally trained regarding
HIPAA.
HIPAA mandates that all covered entities, such as pharmacies, must use their National Provider
Identifier for all standard transactions covered by HIPAA.

Correct Answer:
HIPAA states that a pharmacy may never disclose protected health information without patient
approval.

Explanation:
Correct answer:
HIPAA states that a pharmacy may never disclose protected health information without patient
approval.

This is the least accurate statement. HIPAA states that a pharmacy may disclose protected health
information without patient approval to business associates that perform services on behalf of the
patient. An example of such a business associate would be a physicians office.

Which of the following drugs would be used as a urinary analgesic?

Noroxin

Macrobid
Keflex

Pyridium

Correct Answer:
Pyridium

Explanation:
Correct answer:
Pyridium

Pyridium (phenazopyridine) is a urinary analgesic. It relieves pain, urgency, and discomfort caused by
UTIs. The normal adult dosage is 200 mg tid.
Test 3
If a patient takes 0.2 mg of a prescription twice a day for 7 days how many mg of medicine
does he take for the entire prescription?

1.4 mg
28 mg
14 mg
2.8 mg

Explanation:
Correct answer:
2.8 mg

A patient takes 0.2 mg twice a day = 0.4 per day; then multiply by 7 days and you have 2.8 mg.

The type of additive that is used to adjust the pH of a medication is which of the following?

filler

solvent

buffer

wax

Explanation:
Correct answer:
buffer

Various ingredients are used in the preparation of medications to make the appropriate dosage forms, to
alter drug absorption characteristics, and to make medications taste better. A buffer is an additive that is
used to adjust the pH of a medication.
How many mL are in 10 tbsp?

1.5 mL

15 mL

100 mL

150 mL

Explanation:
Correct answer:
150 mL

There are 150 mL in 10 tbsp. Each tbsp is 15 mL; so 10 tbsp x 15 mL = 150 mL.

Which of the following would be a sign that a prescription was not issued for a legitimate purpose?

The prescriber writes significantly fewer prescriptions or in smaller quantities compared with
other practitioners in the area.
The patient does not return often enough for refills.

People familiar to the community show up with prescriptions from the same physician.

The prescriber writes prescriptions for antagonistic drugs, such as stimulants and depressants
simultaneously.

Explanation:
Correct answer:
The prescriber writes prescriptions for antagonistic drugs, such as stimulants and depressants
simultaneously.

This is a sign that may indicate that a prescription was not issued for a legitimate purpose. Other signs
include: the prescriber writes significantly more prescriptions or in larger quantities compared with
other practitioners in the area; the patient appears to be returning too frequently for refills;
and strangers who are not regular residents of the community, show up with prescriptions from the
same physician.

Which of the following statements regarding cataracts is least accurate?

Cataracts are caused by the formation of protein deposits on the lens.

Cataracts will cause a persons vision to become blurred.

Cataracts are the second leading cause of blindness worldwide.

Symptoms of cataracts include nighttime vision difficulties.

Explanation:
Correct answer:
Cataracts are the second leading cause of blindness worldwide.

This statement is not accurate. Cataracts are the leading cause of blindness worldwide. Glaucoma is
the second leading cause.

To order a controlled substance such as morphine, which of the following is correct?

The pharmacy technician may order the drug and the pharmacist may approve the order.

The pharmacy technician may order the drug but must fill out a DEA Form 222.

The pharmacist must order the drug and no DEA form needs to be filled out.

The pharmacist must order the drug and fill out a DEA Form 222

Explanation:
Correct answer:
The pharmacist must order the drug and fill out a DEA Form 222.
The pharmacy technician may order regular drugs and devices for sale but may not order Schedule II
drugs such as morphine. This may only be done by the pharmacist and requires a special triplicate form
for ordering, called a DEA Form 222.

A computerized system that detects and monitors undesirable drug events is which of the following?

BPOE

POE

CPOE

CADM

Explanation:
Correct answer:
CADM

A computerized adverse drug event monitor (CADM) is a computerized system that detects and monitors
undesirable (adverse) drug events. Although pharmacies have used this type of system for years, it is
now being integrated into the CPOE and electronic health record to allow for a more comprehensive
health care practice.

The organization that evaluates and accredits nearly 15,000 healthcare organizations and programs in
the United States is which of the following?

OSHA

CMS

JCAHO

DEA
Explanation:
Correct answer:
JCAHO

JCAHO is the Joint Commission on Accreditation of Healthcare Organizations, more commonly referred
to as the Joint Commission. It evaluates and accredits healthcare organizations and programs in the
United States. It has established and enforced standards that focus on improving the quality and safety of
care.

Climate control for storage of a drug includes which of the following?

low levels of light

low levels of humidity

proper temperature

all of the above

Explanation:
Correct answer:
all of the above

Drugs and drug products that are stored in inventory must be stored in a way that maintains the drugs
integrity. They must be kept in a climate-controlled environment. Climate control for drugs in inventory
includes low levels of light and humidity as well as proper temperature.

If you have 5 g of drug dissolved in 100 mL of solution, how would this ratio be written?

50 : 100

5 : 1000

100 : 50

5 : 100
Explanation:
Correct answer:
5:100

Five grams of a drug in 100 mL of solution can be expressed in the ratio of 5: 100. This can be reduced to
1: 20.

Which of the following would be the best type of mortar and pestle to use for liquids?

Wedgwood

glass

porcelain

none of the above

Explanation:
Correct answer:
glass

A mortar and pestle is used for mixing powders and reducing particle size. The glass mortar and pestle is
used for liquids; the Wedgwood and porcelain mortars and pestles are used for powders.

Using Clarks rule calculate the dosage for a 10-month old infant weighing 18 lb who is
prescribed a drug which has a usual adult dosage of 325 mg. What is the appropriate
dosage for this child?

21.7 mg

3.9 mg

39 mg

217 mg
Explanation:
Correct answer:
39 mg

Clarks rule is based on the patients weight expressed in pounds. The childs weight is divided by 150
and the result is multiplied by the adult dose. In this case, the childs weight, 18 lb is divided by 150. The
result is 0.12. This is multiplied by the adult dose of 325 mg to give you a pediatric dosage of 39 mg.

Sildenafil, vardenafil and tadalafil should not be taken with which of the following types of drugs?

anti-inflammatory drugs

antibiotics

anti-hypertensives

nitrates

Explanation:
Correct answer:
nitrates

Patients taking nitrates cannot receive or use certain drug treatments for erectile dysfunction such as
sildenafil (Viagra), vardenafil (Levitra), or tadalafil (Cialis). Taking these drugs together may result in
serious, life-threatening low blood pressure.

The upper portion of the prescription form must include all but which of the following?

name of prescriber

number of refills

patients name

date prescription was written


Explanation:
Correct answer:
number of refills

The number of refills available for the prescription is in the body of the prescription. The upper portion of
the prescription form must include: the patients full name; the date of issue of the prescription; the name
and title of the prescriber; and the DEA number assigned to the prescriber.

The package insert for a drug that includes the official prescribing information is known as which of the
following?

monograph

legend

brand

BTC information

Explanation:
Correct answer:
monograph

A monograph is the package insert for a drug that includes the official prescribing information. It includes
comprehensive information on a medications actions within that class of drugs. It also lists generic and
trade names, ingredients, dosages, side effects, adverse effects, how the patient should take the
medication, and foods or other drugs to avoid while taking the medication.

Which of the following is NOT a water soluble vitamin?

vitamin D

vitamin C
vitamin B12

vitamin B1

Explanation:
Correct answer:
vitamin D

Vitamins are classified into two types: water soluble vitamins and fat soluble vitamins. Vitamin D is a fat
soluble vitamin, along with vitamins A, E, and K, not water soluble. The other three choices are water
soluble vitamins along with vitamins B2, B3, B5, B6, and B9.

Convert 185% to a decimal. What is the result?

0.185

1.85

18.5

0.0185

Explanation:
Correct answer:
1.85

To convert a percentage to a decimal move the decimal point 2 places to the left. This gives you a result
of 1.85.

Pharmacy balances need to be evaluated on a yearly basis by which of the following?

DEA
FDA

State Board of Pharmacy

Department of Taxation

Explanation:
Correct answer:
Department of Taxation

Pharmacy balances (scales) need to be evaluated on a yearly basis by the Department of Taxation. The
balances are evaluated for accuracy.

Which of the following drugs is a protease inhibitor?

Lotrimin

Zovirax

Rescriptor

Lexiva

Explanation:
Correct answer:
Lexiva

Lexiva (fosamprenavir) is a protease inhibitor. It prevents the cleavage of certain HIV protein precursors,
which are necessary for the replication of new viruses

The directions for mixing a liquid medication state when 400 mL of water are added to the
contents of the bottle, the resulting volume is 550 mL. What is the powder volume?
50 mL

60 mL

150 mL

15 mL

Explanation:
Correct answer:
150 mL

The formula to use is:

Final volume = volume of diluent + powder volume.


550 mL = 400 mL + powder volume
550 mL 400 mL = powder volume = 150 mL

An ingredient in a mixture that is not water-soluble is indicated by which of the following?

hydrophilic

hydrophobic

hydrated

hypo-hydrated

Explanation:
Correct answer:
hydrophobic

Hydrophobic ingredients are not water-soluble. Hydrophilic ingredients are water-soluble.


Multiply the following: 0.345 x 0.54 What is the result?

0.1863

0.18637

0.18629

0.17630

Explanation:
Correct Answer:
0.1863

In multiplying decimals, simply multiply the numbers as normal and then count the number of decimal
places in both numbers. There are five decimal places in total. This is the number of decimal places in the
answer.

345 x 54 = 18,630

Move the decimal point 5 places to the left. The answer is 0.1863.

Which of the following restrictions were placed on pharmacies by the FDA Modernization Act of 1997?

Compounded drugs may be made in limited quantities.

Compounded products must be made from approved ingredients that meet manufacturing
and safety standards.
The drug product must noT be identified bY the FDA as a product that presents demonstrable
difficulties for compounding in terms of safety or effectiveness.
all of the above

Explanation:
Correct answer:
all of the above

The repackaging and compounding of pharmaceutical products are subject to regulatory control. The
manner in which the medication is packaged affects both the product inside the package and the users
compliance with orders for taking the medication. All of the choices are restrictions placed on pharmacies
by the FDA Modernization Act of 1997 to advance quality control.

Which of the following is the best definition for a monograph?

an instrument that is recognized in either the National Formulary or the U.S. Pharmacopeia

list of information, ordered in specific ways

primary software program used to connect the various hardware components of a computer

a detailed document pertaining to a specific drug

Explanation:
Correct answer:
a detailed document pertaining to a specific drug

A monograph is a detailed document pertaining to a specific drug. It is commonly known as a package


insert. The monograph provides all the clinical information required by the FDA.

The listing of goods or items that a business, such as a pharmacy, will use in its normal operation is
correctly known as which of the following?

inventory

shelf stock

catalog

stock record

Explanation:
Correct answer:
inventory

An inventory is a listing of goods or items that a business, such as a pharmacy, will use in its normal
operation. Pharmacies generally develop an inventory of medications based upon what they expect to
need. Rarely used medications might not be kept in inventory but instead ordered as needed.

Bringing together persons from different functions to work on a common task is known as which of the
following?

multiskilling

scheduling

self-managing

cross-function

Explanation:
Correct answer:
cross-function

Cross-function or cross-training is bringing together persons from different functions to work on a common
task. It is designed to help improve lateral communication. Problems can be solved on total systems
thinking.

The ability of a solution to resist a change in pH is called:

compatibility

buffer capacity

tonicity

pH
Explanation:
Correct answer:
buffer capacity

The buffer capacity is the ability of a solution to resist a change in pH when either an acidic or an alkaline
substance is added to the solution. Many drugs contain buffers to increase their stability.

Solve the following equation: 4x -7 + 2x = y where x is a variable, and you solve for y.

2x -7

6x +7

6x - 7

2x +7

Explanation:
Correct answer:
6x -7

First, combine all like terms


(4x + 2x) 7 = y
6x 7 = y.

Which of the following compounding ingredients has the highest melting point?

cholesterol

glyceryl monostearate

cocoa butter

beeswax
Explanation:
Correct answer:
cholesterol

Cholesterol has the highest melting point of the ingredients in the four choices. Its melting point is 147
150 C.

If the dispensing fee for a prescription is $5.00 and the customer has a 15% discount on all
prescriptions, how much will the customer pay for a prescription with a retail price of $150?

$80.00

$127.50

$130.50

$132.50

Explanation:
Correct answer:
$132.50

The discount is $22.50 (15% of $150) so the prescription itself will cost $127.50. The dispensing fee is
$5.00. Therefore the prescription will cost the customer $132.50 ($127.50 + $5.00 dispensing fee).

Which of the following methods of purchasing involves placing separate orders with each pharmaceutical
company?

contracting with primary vendors

purchasing from a wholesaler

purchasing direct

none of the above


Explanation:
Correct answer:
purchasing direct

When purchasing direct, the pharmacy buyer places separate orders with each pharmaceutical company
and receives separate shipments. Purchasing direct requires more time and resources, but can reduce
expenses by eliminating markup percentages and fees charged by wholesalers and primary vendors.

If a patient requests an easy-open container, which of the following must take place?

The request must be reported to the patients physician.

The request must be approved by the pharmacist.

The request must be logged for reporting to Poison Prevention Control.

The patient must sign on the back of the prescription.

Explanation:
Correct answer:
The patient must sign on the back of the prescription.

Child-resistant caps are required on all prescriptions unless the patient or physician requests easy-open
containers. If the patient requests an easy-open container, the patient must sign on the back of the
prescription.

The individual designated on the records of the State Board of Pharmacy as the primary, onsite
pharmacist is which of the following?

registered pharmacist

pharmacy manager

store manager

pharmacist in charge
Explanation:
Correct answer:
pharmacist in charge

The pharmacist in charge (PIC) is an individual designated on the records of the State Board of
Pharmacy as the primary, onsite pharmacist. The PIC is responsible for ensuring that the pharmacy
operates in accordance with state laws and regulations.

Which of the following anti-inflammatory agents is a sedating antihistamine drug?

Claritin

Zyrtec

Percocet

Benadryl

Explanation:
Correct answer:
Benadryl

Benadryl is a sedating antihistamine drug. Claritin is a non-sedating antihistamine. Zyrtec is a low-


sedating antihistamine. Percocet is an analgesic medication, not an antihistamine.

Another term for biotransformation of a drug is which of the following?

metabolism

excretion

absorption

bioavailability
Explanation:
Correct answer:
metabolism

Metabolism is another term for biotransformation of a drug. It is the process of transforming drugs in the
body.

Which of the following drugs is NOT a gastrointestinal agent?

Colace

Dramamine

Evista

Protonix

Explanation:
Correct answer:
Evista

Evista is a sex hormone. All of the other drugs listed are GI agents. Colace (docusate sodium) is a
laxative. Dramamine is an antiemetic. Protonix is a PPI.

In terms of preparations for nasal administration, which of the following statements is least accurate?

Nasal preparations may be used locally or systemically depending on the nature of the drug.

A common vehicle for nasal solutions is sodium chloride 0.9 percent.

A common vehicle for nasal solutions is sodium chloride 9.9 percent.

Ingredients for nasal preparations do not have to be sterile, so it is not necessary to use
aseptic techniques.
Explanation:
Correct answer:
Ingredients for nasal preparations do not have to be sterile, so it is not necessary to use aseptic
techniques.

This is not an accurate statement. Ingredients for nasal preparations should be sterile and aseptic
technique should be used to make them. Sterility may be obtained by filtration or autoclaving.

Which of the following is the term for the dates assigned by the pharmacy when repackaging or
compounding medications?

expiration date

beyond-use date

ending date

beyond-expiration date

Explanation:
Correct answer:
beyond-use date

The beyond-use date is the date assigned by the pharmacy when repackaging or compounding
medications. The expiration date is the date set by the manufacturer. Once a bulk bottle is opened and
the medication repackaged, the manufacturers expiration date is no longer valid.

If a prescription calls for a patient to take 2 tablets twice a day for 30 days. How many
tablets will be needed to fill the prescription?

60

120
180

240

Explanation:
Correct answer:
120

The prescription requires 120 tablets. Two tablets twice a day is 4 tablets per day. Multiply this by the
number of days and you get 4 x 30 = 120.

A 10% discount will be given on a $2,500 invoice if the invoice is paid within 15 days. What
is the total amount of the discount that the pharmacy could take?

$50

$250

$150

$500

Explanation:
Correct answer:
$250

10% of $2500 is $250

10% = 0.1
0.1 x $2500 = $250

How often do pharmacy weights need to be calibrated?


once per year

semi-annually

bi-annually

every 6 months

Explanation:
Correct answer:
once per year

Pharmacy weights need to be calibrated once per year. Pharmacy balances (scales) need to be
evaluated for accuracy on a yearly basis by the Department of Taxation.

Which of the following viral vaccines is used for chickenpox?

Attenuvax

Havrix

Varivax

Engerix-B

Explanation:
Correct answer:
Varivax

Varivax is a vaccine for chickenpox. It is administered subcutaneously. Havrix is used for hepatitis A and
Energix-B for hepatitis B. Attenuvax is for measles.

Which of the following drugs is an antifungal drug?


Videx

Diflucan

Zovirax

Valtrex

Explanation:
Correct answer:
Diflucan

Diflucan is an antifungal drug. Antifungal drugs are used in the therapy of systemic or topical yeast
infections, and superficial fungal infections.

In terms of the nervous system, which of the following diseases/conditions is characterized by paralysis of
facial nerves, normally on one side of the face?

Bells palsy

myasthenia gravis

Tourettes syndrome

neuralgia

Explanation:
Correct answer:
Bells palsy

Bells palsy is characterized by paralysis of facial nerves, normally on one side. This disease is often
temporary. It is a result of trauma to cranial nerve VII. It is more prevalent in older adults than in younger
patients.
There are certain foods that react with MAOIs. Some can lead to hypertension. Which of the following is
NOT one of these foods?

sour cream

soy sauce

tea

lettuce

Explanation:
Correct answer:
lettuce

Food with tyramine is generally preserved or aged. For this reason leftovers that have been in the
refrigerator for more than 24-48 hours should not be eaten if taking an MAOI. The more aged foods
become, the worse the trigger may be. Lettuce is a fresh product and therefore is not one of the foods to
be avoided.

An abnormally slow heart rate is which of the following?

bradycardia

tachycardia

arrhythmia

TIA

Explanation:
Correct answer:
bradycardia

Bradycardia is an abnormally slow heart rate. Tachycardia is an abnormally rapid heartbeat. Arrhythmia is
irregular rhythm of the heart. A TIA is a transient ischemic attack which is a temporary reduction of
oxygen and blood in a portion of the brain.

Pharmacokinetics is a study of the movement of and changes in the drug within the body. The part of
pharmacokinetics that is characterized by how the drug gets into the plasma is which of the following?

distribution

absorption

elimination

metabolism

Explanation:
Correct answer:
absorption

Pharmacokinetics consists of four parts: absorption, distribution, metabolism and elimination. Absorption
is how the drug gets into the plasma.

Which of the following anti-inflammatory agents is a non-sedating antihistamine drug?

Cetirizine

Diphenhydramine

Fexofenadine

Bropheniramine

Explanation:
Correct answer:
Fexofenadine
Fexofenadine is a non-sedating antihistamine drug. Cetirizine is low-sedating OTC
drug. Diphenhydramine and Bropheniramine are sedating OTC drugs.

The recommended needle gauge for an intradermal injection is which of the following?

25 26

16 20

19 22

none of the above

Explanation:
Correct answer:
25 26

The recommended needle gauge for an intradermal injection is 25 26. The needle length recommended
is 3/8 inch.

Which of the following procedures would NOT help to reduce prescription errors?

Always question illegible handwriting.

At least two people should compare the label with the original prescription.

Always use a leading zero in a decimal value of less than one (1).

Always keep the prescription and the label separate during the filling process.

Explanation:
Correct answer:
Always keep the prescription and the label separate during the filling process.
This is not what should be done if you want to reduce prescription errors. During the filling process, the
label and the prescription should be kept together.

Children require different doses of medication than adults. To calculate the appropriate dose for children
one of several methods may be used. The method that uses both height and weight as the basis for
choosing a dose is which of the following?

BSA

mg/kg

Young's rule

Clarks rule

Explanation:
Correct answer:
BSA

The BSA method takes into account both height and weight. If one knows both of these variables, a
specialized graph is referenced. The dosage is calculated as follows:
2
BSA of child (in square meters)/1.73 m (average adult BSA) x adult dose = approximate dose for child.

Which of the following is NOT an agency that tracks medication errors?

Agency for Healthcare Research and Quality

AMA

FDA

HIPAA
Explanation:
Correct answer:
HIPAA

HIPAA is a piece of legislation. It is not a regulatory agency. It does not track medication errors.

Debrox is an ear preparation that would most likely be used for which of the following conditions?

pain within the ear

external ear infections

swimmers ear

removal of earwax

Explanation:
Correct answer:
removal of earwax

Debrox (carbamide peroxide, glycerin, propylene glycol, sodium stannate) is an over-the-counter


medication used for removal of earwax. Cerumenex (triethanolamine polypeptide oleate-condensate) is
also used to remove earwax

Which of the following statements about syringes and their use in the pharmacy is least accurate?

Most syringes are made of plastic and so must be discarded after each use.

Glass syringes can be sterilized and reused.

The Luer-Lok is a mechanism to ensure a safe seal for the withdrawal of medication.

As the size of the syringe decreases, the accuracy decreases.


Explanation:
Correct answer:
As the size of the syringe decreases, the accuracy decreases.

This is not accurate. As the size of the syringe decreases, the accuracy increases. This is because the
decrease in the size of the syringe allows the calibrations to become larger, allowing for a more accurate
dosage.

Pharmacy technicians should be familiar with various types of monitoring and screening equipment for
patients. The device used to generate very fine particles of liquid in a gas is which of the following?

steam vaporizer

peak flow meter

gravity infusion system

nebulizer

Explanation:
Correct answer:
nebulizer

A nebulizer generates very fine particles of liquid in a gas. It is used to provide inhalation therapy.

Which of the following foods would be a non-heme iron source?

beef

flounder

raw almonds

turkey
Explanation:
Correct answer:
raw almonds

Non-heme iron sources include: raw almonds, dried apricots, bagels, breads, broccoli, pastas, beans and
supplements. Heme iron sources include: beef, chicken, cod, flounder, pork, salmon, shrimp, tuna and
turkey.

Which of the following is NOT one of the labeling requirements for animal prescriptions?

dosage

animal breed

name of pet

duration of therapy

Explanation:
Correct answer:
animal breed

The breed of animal is not one of the labeling requirements for animal prescriptions. Besides the other
three choices, labeling requirements include: name and address of the veterinarian, the active
ingredient(s), the date dispensed and the expiration date, the directions for use, the frequency of dosage,
the route of administration, any warnings and side effects, the name and address of the dispenser, the
prescription number and the date filled.

If a procedure calls for 15 g of a medication per liter what is the percentage of the
medication?

1.5%

15%

0.015%

0.15%
Explanation:
Correct answer:
1.5%

There are 1000 mL in a liter. 15 g of medication per 1000 mL must be converted to grams per 100 mL to
get the percentage of the solution.

15 g/1000 mL = x g /100 mL
1000x = 1500
x = 1500/1000 = 1.5 g

The solution is therefore a 1.5% solution.

Of the following inventory costing methods which one assumes that the cost at the earliest purchase of
goods is the first to be recognized as the cost of the goods sold?

average cost method

lower of cost or market basis

LIFO

FIFO

Explanation:
Correct answer:
FIFO

FIFO means first in, first out. It is the inventory costing method which assumes that the cost at the earliest
purchase of goods is the first to be recognized as the cost of the goods sold. LIFO means last in, first out
and assumes that the costs of the latest units purchased are the first to be allocated to cost of goods sold.

Which of the following classifications of drugs would be used to treat edema?

statins
nitrates

bile acid sequestrants

diuretics

Explanation:
Correct answer:
diuretics

Diuretics would be used to treat edema. They reduce body fluids. Examples of diuretic drugs include:
hydrochlorothiazide, furosemide and spironolactone.

You are filling a prescription for one tablet of a medication to be taken 3 times a day for 30
days. How many tablets do you need to fill this prescription?

60

75

90

120

Explanation:
Correct answer:
90

If the patient needs 1 tablet three times a day this is a total of 3 tablets per day. Three tablets is to one
day as X tablets is to 30 days.

3/1 = x/30
x = 90
If the retail price of a prescription is $220 what will the patient pay after a 20% discount?

$215.60

$176.00

$180.00

$44.00

Explanation:
Correct answer:
$176.00

The patient will pay $176.00. The discount is $220 x 20% or $44. $220 minus the discount of $44 equals
$176.00.

The Roman numeral MDC equals which of the following?

1060

1600

160

500

Explanation:
Correct answer:
1600

MDC equals 1600. M = 1000; D = 500; and C = 100. All totaled this is 1600.

Which of the following is the correct flow for genetic material in the cell?
DNA to RNA to protein

protein to RNA to DNA

RNA to DNA to protein

DNA to protein to RNA

Explanation:
Correct answer:
DNA to RNA to protein

The central dogma of molecular biology dictates the flow of genetic material in the cell. The flow is DNA to
RNA to protein. Protein synthesis is a two-step process. Transcription converts DNA to mRNA and
translation converts mRNA to a protein.

Which of the following hormones has its source in the pituitary gland?

calcitonin

melatonin

oxytocin

aldosterone

Explanation:
Correct answer:
oxytocin

The pituitary gland is commonly called the master gland of the endocrine system. Two hormones,
oxytocin and antidiuretic hormone, are stored in the posterior portion of the pituitary gland. Oxytocin
stimulates uterine contractions and cervical dilation during birth and lactation.
Which of the following drugs is an antidote for anti-diabetic agents?

Glucagon

Glyset

Glucophage

Glucotrol

Explanation:
Correct answer:
Glucagon

Glucagon is the antidote for anti-diabetic agents. It is also used to treat severe hypoglycemia.

The unique identifying number assigned to each drug by the manufacturer is which of the following?

DEA number

FDA number

ATF number

NDC number

Explanation:
Correct answer:
NDC number

The NDC number is the National Drug Code number (unique identifying information about the drug that is
to be dispensed). If bar-coding is used, this number must be contained in the linear bar code as part of
the drug label.
Which of the following forms is used for the disposal of Schedule II drugs?

DEA form 222

DEA form 41

DEA form 61

DEA form 106

Explanation:
Correct answer:
DEA form 41

The ordering of Schedule II drugs requires completion of DEA form 222. Their disposal requires a request
for approval to the State Bureau of Controlled Substances and to the DEA, made on DEA form 41.

Using Clarks rule calculate the dosage for a 6-year-old child weighing 60 lb who is
prescribed a drug which has a usual adult dosage of 2.25 g. What is the appropriate dosage
for this child?

750 mg

75 mg

90 mg

900 mg

Explanation:
Correct answer:
900 mg

Clarks rule is based on the patients weight expressed in pounds. The childs weight is divided by 150
and the result is multiplied by the adult dose. In this case, the childs weight, 60 lb is divided by 150. The
result is 0.4. This is multiplied by the adult dose of 2250 mg (2.25 g) to give you a pediatric dosage of 900
mg.

Pruritis is the term for which of the following skin conditions?

hives

itching

shedding

acne

Explanation:
Correct answer:
itching

Pruritis is a term for itching. The term for hives is urticaria. The term for shedding is desquamation. The
full term for acne is acne vulgaris.

The directions for mixing a 60 mg/5 mL liquid states that when 100 mL of water are added
to the contents of the bottle, the resulting volume is 225 mL. What is the concentration of
drug in mg/5 mL if only 50 mL of water were added?

15.4 mg/5 mL

77 mg/5 mL

7.7 mg/5 mL

1.54 mg/5 mL

Explanation:
Correct answer:
77 mg/5 mL

First determine the total mg of drug in the bottle (it is a constant);


60 mg drug /5 mL FV x 225 mL FV = 2,700 mg drug

Next, determine the powder volume for the drug in the bottle:
FV = D + PV
225 mL = 100 mL + PV
225 mL 100 mL = PV = 125 mL

Now determine the volume of the new product (NP):


NP = D + PV
NP = 50 mL + 125 mL = 175 mL

So the new concentration is: Total mg drug in bottle / volume of new product
2700 mg/175 mL = 15.4 mg/mL = 77 mg/5 mL

In terms of equipment and supplies in a pharmacy, which of the following statements is least accurate?

Fire extinguishers must be certified on a yearly basis.

Pharmacy balances require certification by the Department of Taxation on a yearly basis.

Laminar flow hoods need to be certified on a yearly basis.

Medications must be checked periodically to ensure that are in date.

Explanation:
Correct answer:
Laminar flow hoods need to be certified on a yearly basis.

This is the least accurate statement. Laminar flow hoods need to be certified every six months. If the
HEPA filter becomes damaged, the flow hood will require certification after repair, even if it is prior to the
six-month period.

The pharmacy has a bottle containing 100 tablets of medication. You receive an order for 30
tablets. What portion of the bottle will be used for this prescription?

1/3
3/10

3/5

1/5

Explanation:
Correct answer:
3/10

To find the fraction denoting what portion of the bottle will be used for the prescription divide 30 tablets by
100 tablets. This gives you 30/100 or reduced 3/10.

One of the functions of the nephrons of the kidneys is tubular reabsorption. Which of the following
statements about tubular reabsorption is least accurate?

In tubular reabsorption important molecules are separated from the filtrate into their individual
components.
Some filtrated molecules are excreted in the urine.

Tubular reabsorption helps to balance the acid-base content of the body.

Filtrated glucose, water, sodium, chloride and amino acids are excreted in the urine.

Explanation:
Correct answer:
Filtrated glucose, water, sodium, chloride and amino acids are excreted in the urine.

Some molecules that are separated from the filtrate into their individual components are excreted in the
urine. Others such as glucose, water, sodium, chloride and amino acids reenter the plasma.

The term for the transmission of a neuronal impulse from the body toward the central nervous system is
which of the following?
efferent

afferent

synapsis

none of the above

Explanation:
Correct answer:
afferent

The transmission of a neuronal impulse from the body toward the central nervous system is afferent. The
transmission of a neuronal impulse from the central nervous system toward the body is efferent.

The study of how the body handles drugs, how drugs are changed from their original form into something
that the body can use, and how drugs are eliminated from the body is which of the following?

ED50

potency

pharmacodynamics

pharmacokinetics

Explanation:
Correct answer:
pharmacokinetics

The study of how the body handles drugs, how drugs are changed from their original form into something
that the body can use, and how drugs are eliminated from the body is pharmacokinetics. In other words, it
is the study of the time course of a drug and its metabolites in the body following drug administration by
any route.
Which of the following reproductive system drugs is a progestin?

Provera

Prempro

Ortho-Est

Premarin

Explanation:
Correct answer:
Provera

Provera is a progestin. Progestin is the female hormone secreted from day 14 through day 28 of the
menstrual cycle. This hormone has many functions, including changing the secretions of the cervix,
reducing uterine contractility, and maintaining the corpus luteum.

Which of the following antiretrovirals prevents cleavage of certain HIV protein precursors, which are
necessary for the replication of new viruses?

nucleoside reverse transcriptase inhibitors (NRTIs)

nonnucleoside reverse transcriptase inhibitors (NNRTIs)

fusion inhibitor

protease inhibitors

Explanation:
Correct answer:
protease inhibitors

Protease inhibitor antiretrovirals prevent cleavage of certain HIV protein precursors, which are necessary
for the replication of new viruses. Adverse reactions to protease inhibitors include redistribution of body
fat, facial atrophy, breast enlargement, hyperglycemia and hyperlipidemia.

Once a technician is nationally certified, it is necessary to take how many units of pharmacy-related
continuing education every 2 years?

10

12

15

20

Explanation:
Correct answer:
20

Once a technician is nationally certified, it is necessary to take 20 units of pharmacy- related continuing
education (including pharmacy law 1 hour) every 2 years. Pharmacy technicians must also renew their
certification every 2 years.

Which of the following is NOT an automated dispensing system for a pharmacy?

KL20

Baker Cell system

E-MAR

SP 200

Explanation:
Correct answer:
E-MAR

E-MAR is not an automated dispensing system; it is an electronic medication administration record. The
other choices are all automated dispensing systems (ADS). ADS machines have been used in
pharmacies for many years. They are available in many different sizes to accommodate prescription load.

Pharmacy balances are evaluated on a yearly basis by which of the following?

State Board of Pharmacy

FDA

DEA

Department of Taxation

Explanation:
Correct answer:
Department of Taxation

The Department of Taxation evaluates pharmacy balances (scales) on a yearly basis. Pharmacy weights
need to be calibrated once per year.

Which of the following regulatory agencies ensures that all pharmaceutical products are pure, safe and
effective?

FDA

DEA

United States Pharmacopeia

Institutional Review Board


Explanation:
Correct answer:
FDA

The Food and Drug Administration (FDA) ensures that all pharmaceutical products are pure, safe and
effective. It can also issue a drug recall if the product is adulterated or misbranded.

Prescriptions for controlled substances expire quickly. Which of the following controlled substance
prescriptions expire in just a few days?

Schedule I

Schedule II

Schedule III

Schedule IV

Explanation:
Correct answer:
Schedule II

Schedule II substances expire in just a few days. Schedule III IV prescriptions may be valid for six
months. Schedule I drugs have no proven therapeutic benefit and are not commercially manufactured.

Which of the following Roman numeral represents the number 900?

XM

DM

LM

CM
Explanation:
Correct answer:
CM

CM represents the number 900. M = 1000; C = 100. Placed before the M, the C (100) is subtracted from
the M (1000) to give a result of 900.

Solve the following equation: 10 x + 4 = y; where x is a variable and you solve for y.

14 - x

x + 14

x - 14

14 + x

Explanation:
Correct answer:
14 - x

First combine like numbers,


10 x + 4 = y
(10 + 4) - x = y
14 x = y

If a child weighs 10 kg, what is his weight in pounds?

4.5 lb

45 lb

22 lb

44 lb
Explanation:
Correct answer:
22 lb

There are 2.2 kg in every pound. If a child weights 10 kg, this must be multiplied by 2.2 kg to give you a
weight of 22 lb.

Which of the following over-the-counter products is an antipruritic?

Tinactin

Calamine

Lotrimin

Compound W

Explanation:
Correct answer:
Calamine

Calamine is an OTC antipruritic. Antipruritics are anti-itching agents to treat mild pruritic conditions such
as sunburn, eczema, rashes, and poison ivy.

Which of the following results from CNS stimulation?

disorientation

dizziness

drowsiness

impaired respiration
Explanation:
Correct answer:
disorientation

CNS effects may result from CNS stimulation that would include disorientation along with agitation,
confusion, delirium or hallucinations. They may also result from CNS depression. These would include
dizziness, drowsiness, sedation, coma, and impaired respiration and circulation.

The pharmacy buys a case of medicine for $200. It marks up the price by 200%. What is
the selling price for the case?

$600

$300

$400

$800

Explanation:
Correct answer:
$600

Cost + markup = x (selling price)


$200 + (200% x $200) = x
$200 + $400 = $600

Which of the following persons is responsible for reordering and restocking the clean room of the
pharmacy for the next shift?

physician

pharmacist

nurse

intravenous technician
Explanation:
Correct answer:
intravenous technician

All of the items stored in the intravenous room of the pharmacy must be kept in stock and above their
minimum levels at all times. Before and after each shift, the intravenous technician is responsible for
reordering and restocking the clean room for the next shift.

The bone weakness and/or deformities in children known as rickets is caused by a deficiency of:

Vitamin C

Vitamin K

Vitamin D

Vitamin A

Explanation:
Correct answer:
Vitamin D

A deficiency of vitamin D in children can result in bone weakness and deformities, a condition known as
rickets. Vitamin D deficiency in adults can cause a similar weakened bone structure called osteomalacia.

Subtract the following. Which of the following Arabic numbers is the correct answer?

CCXIX XL = ?

979

199
179

999

Explanation:
Correct answer:
179

CCXIX = 219. XL = 40. Therefore, 219 40 = 179.

An area in which there are no more than 100,000 particles 0.5 micron or larger per cubic foot of air is
which of the following?

Class 100 area

ISO Class 5

ISO Class 7

ISO Class 9

Explanation:
Correct answer:
ISO Class 9

ISO Class 9 (formerly Class 100,000 area) is an area in which there are no more than 100,000 particles
0.5 micron or larger per cubic foot of air. A buffer room must be at least an ISO Class 9 room. A Class
100 area is one which does not allow more than 100 particles of 0.5 micron or larger per cubic foot of air.

Multiply the following. What is the result?

5/7 x 2/3 = ?

1/2
3/4

7/21

10/21

Explanation:
Correct Answer
10/21

In multiplying fractions simply multiply the numerators of both fractions (5 x 2 = 10) and multiply both
denominators of the fractions (7 x 3 = 21). The result is 10/21.

Which of the following inventory management strategies focuses efforts based on the products that will
have the greatest inventory turnover rate?

ABC analysis

80/20/rule

minimum/maximum ordering system

compliance system

Explanation:
Correct answer:
ABC analysis

ABC analysis is a method to identify and define inventory items based on their usage. Products are
ranked based on their purchase history and dollar amount of total annual costs. This analysis focuses
efforts based on the products that will have the greatest inventory turnover rate.

If a patient is to receive a 10 mg dose of a medication and this medication is only available in a 50 mg/mL
vial, how many milliliters should the patient receive?
2.0 mL

0.002 mL

0.02 mL

0.2 mL

Explanation:
Correct answer:
0.2 mL

Solve this problem by using a proportion.

50 mg / mL = 10 mg / X mL

50X = 10

X = 10/50 or 0.2 mL

The patient should receive 0.2 mL of the medication.

The normal oral temperature is 98.6 F. What is the temperature in Celsius?

37 C

82 C

30 C

44.8 C

Explanation:
Correct answer:
37 C
To convert from Fahrenheit temperature to Celsius, use the following formula:
C = (F 32) 1.8. In this case the result is 37 C.

Pharmacy technicians must be aware of the role of nondrug therapy by use of herbal medications. Which
of the following herbal medications is used to boost the immune system?

dandelion

echinacea

glucosamine

cayenne

Explanation:
Correct answer:
echinacea

Echinacea is used to boost the immune system. Dandelion is used to treat water retention associated
with PMS. Cayenne eliminates chills and discomfort from colds and promote the healing of ulcers.
Glucosamine is used for osteoarthritis and rheumatoid arthritis.

In terms of pregnancy, which of the following statements is least accurate?

Delayed gastric emptying and decreased gastrointestinal tract motility tend to reduce the rate
of absorption of a drug.
Drug plasma protein binding may be reduced for a number of drugs.

Drugs cannot be readily transported from the maternal to the fetal circulation.

Drug concentrations may be greater in the fetus than in the mother.

Explanation:
Correct answer:
Drugs cannot be readily transported from the maternal to the fetal circulation.

This statement is inaccurate. Drugs can be readily transported from the maternal to the fetal circulation.
Because the fetus has underdeveloped mechanisms to handle drug exposure, drug concentrations may
be greater in the fetus than in the mother.

Medicated or non-medicated preparations that adhere to the skin by a backing material are known as
which of the following?

pellets

pastes

liniments

plasters

Explanation:
Correct answer:
plasters

Plasters are medicated or non-medicated preparations that adhere to the skin by a backing material.
They are paste-like mixtures that are adhesive at body temperature. Varied uses include as a skin
protectant and counterirritant.
Test 4
If a supply bottle of medication contains 1000 tablets and cost the pharmacy $300.00, and if the
pharmacy sells 100 of these tablets at a 100% markup, what is the selling price for the 100 tablets?

$30.00

$45.00

$6.00

$60.00

Correct Answer:
$60.00

Explanation:
Correct answer:
$60.00

Each tablet in the bottle cost the pharmacy $300 1000 - $0.30. If the markup is 100% that is another
$0.30 per tablet for a total price of $0.60 per tablet. 100 tablets would cost 100 x $0.60 or $60.00.

Every drug has a unique number divided into segments. In the following drug number which number(s)
indicate the package code?

NDC 60691-558-05

05

558

606

60691
Correct Answer:
05

Explanation:
Correct answer:
05

The first five positions of the number (60691) indicate the labeler code. The second set of numbers (558)
indicates the product code. The third set of numbers (05) indicates the package code and identifies
package types and sizes.

A patient is taking Azulfidine for ulcerative colitis. If she asks you what the adverse reactions might be for
this drug, you would tell her all of the following except:

photosensitivity that may result in sunburn

anaphylaxis

nausea

vomiting

Correct Answer:
anaphylaxis

Explanation:
Correct answer:
anaphylaxis

Anaphylaxis is an acute multi-system severe type I hypersensitivity allergic reaction. It is not an adverse
reaction to Azulfidine which is a sulfonamide drug. Other adverse reactions to Azulfidine include:
jaundice, blood complications and kidney damage.

Using advanced telecommunications technology, pharmacists can now provide pharmaceutical care to
patients in rural and medically underserved areas at a distance. This is called:
telepharmacy

teleprescription

satellite communication

remote prescription refill

Correct Answer:
telepharmacy

Explanation:
Correct answer:
telepharmacy

The practice of using advanced telecommunications technology to provide pharmaceutical care to


patients in rural and medically underserved areas from a distance is telepharmacy. A licensed pharmacist
at a central pharmacy site can supervise a registered pharmacy technician at a remote telepharmacy site
via teleconferencing.

Convert 2,415 to Roman numerals.

MMCDVI

MMCDXV

MCMDXV

MCMXI

Correct Answer:
MMCDXV
Explanation:
Correct answer:
MMCDXV

MMCDXV = 2,415. MM = 2000; CD = 400; X = 10; and V = 5. The total of these numbers is 2,415.

Which of the following measurements is part of the apothecary system of measurements?

1000 mcg

2 pt

8 drams

12 mL

Correct Answer:
8 drams

Explanation:
Correct answer:
8 drams

8 drams is a measurement in the apothecary system of measurement. The practice of pharmacy uses the
metric system, the household system and the apothecary system. A pharmacy technician must be able
to calculate doses of medication in any of these systems and to convert them from one system to another
system.

The document listing necessary patient personal and health information is commonly known as which of
the following?

medication record

medication order
patient profile
medication profile

Correct Answer:
patient profile

Explanation:
Correct answer:
patient profile

The patient profile is a document listing necessary patient personal and health information. The document
includes comprehensive information on the medications that the patient is taking.

Several pharmaceutical products made from biologic products are expressed as units or International
Units. Which of the following statements about units is incorrect?

Insulin and heparin are both products that are expressed in units.

Units represent an amount of activity within a particular system.

Units represent a concentration and may be expressed as units/tablet or units/mL.

All pharmaceutical products are the same in determining the amount of activity of those products.

Correct Answer:
All pharmaceutical products are the same in determining the amount of activity of those products.

Explanation:
Correct answer:
All pharmaceutical products are the same in determining the amount of activity of those products.

This is an incorrect statement. Each pharmaceutical product is unique in determining the amount of
activity of that product.
Which of the following are the drugs of choice for depression?

monoamine oxidase inhibitors

tricyclic antidepressants

bupropion

serotonin reuptake inhibitors

Correct Answer:
serotonin reuptake inhibitors

Explanation:
Correct answer:
serotonin reuptake inhibitors

Serotonin reuptake inhibitors (SSRIs) are the drugs of choice for depression. They block the reuptake of
serotonin at the neuronal ending, resulting in increased levels of serotonin in the synapse and increased
receptor stimulation. These drugs are also very specific in their effects and have fewer adverse effects.

Which of the following statements about suppositories is incorrect?

Their mechanism of action is either through melting or dissolving.

Not all products are available as a suppository.

Suppositories only work locally.

A disadvantage of a suppository is that the absorption of medication into the body can be erratic.
Correct Answer:
Suppositories only work locally.

Explanation:
Correct answer:
Suppositories only work locally.

This is incorrect. Suppositories are solid dosage forms to be inserted in body orifices, such as the rectum,
vagina or urethra. Suppositories may work either locally or systemically.

What is the main advantage of a group purchasing system?

It makes purchases for an institution.

It negotiates prices for hospitals and institutions.

It allows pharmacies to purchase in bulk.

It can provide emergency delivery of a drug.

Correct Answer:
It negotiates prices for hospitals and institutions.

Explanation:
Correct answer:
It negotiates prices for hospitals and institutions.

The main advantage of a group purchasing organization is that it negotiates prices for hospitals and
institutions. It does not make the actual purchase for the institution.

Solve the following equation: 2x -7 + 6x = y where x is a variable, and you solve for y.

4x -7

8x +7
6x - 7

8x -7

Correct Answer:
8x -7

Explanation:
Correct answer:
8x -7

First, combine all of like terms (2x + 6x) 7 = y; 8x 7 = y.

The PAR value of a drug is which of the following?

a predetermined number that states the minimum amount of mediation to be kept on a shelf

a predetermined number that states the maximum amount of mediation to be kept on a shelf

the financial value of a drug when it is incoming to the pharmacy

the amount of drug that is automatically reordered

Correct Answer:
the amount of drug that is automatically reordered

Explanation:
Correct answer:
the amount of drug that is automatically reordered

The PAR value is the periodic automatic replacement value. It is the amount of drug that is automatically
reordered.
In terms of sanitation the laminar flow hood should provide which of the following classes of clean
environment?

ISO Class 9

ISO Class 7

ISO Class 6

ISO Class 5

Correct Answer:
ISO Class 5

Explanation:
Correct answer:
ISO Class 5

The laminar flow hood should provide an ISO Class 5 clean environment. An ISO Class 5 environment is
an area in which there are no more than 100 particles 0.5 micron or larger per cubic foot of air.

Which of the following is the approved system of measurement for pharmacies in the United States?

apothecary system

avoirdupois system

metric system

household system
Correct Answer:
metric system

Explanation:
Correct answer:
metric system

The metric system is based on multiples of 10. It is the approved system of measurement for pharmacies
in the United States. The basic units of measurement are the gram for weight, the liter for volume, and the
meter for length.

The directions for mixing a 60 mg/5 mL liquid states that when 200 mL of water are added to the contents
of the bottle, the resulting volume is 450 mL. What is the concentration of drug in mg/5 mL if only 75 mL
of water were added?

16.6 mg/5 mL

1.66 mg/5 mL

8.3 mg/5 mL

83 mg/5 mL

Correct Answer:
83 mg/5 mL

Explanation:
Correct answer:
83 mg/5 mL

First determine the total mg of drug in the bottle (it is a constant);


60 mg drug /5 mL FV x 450 mL FV = 5,400 mg drug

Next, determine the powder volume for the drug in the bottle:
FV = D + PV
450 mL = 200 mL + PV
450 mL 200 mL = PV = 250 mL

Now determine the volume of the new product (NP):


NP = D + PV
NP = 75 mL + 250 mL = 325 mL
So the new concentration is: Total mg drug in bottle / volume of new product
5400 mg/325 mL = 16.6 mg/mL = 83 mg/5 mL

Which of the following organizations regulates the shipment of hazardous materials?

FDA

DOT

ATF

DEA

Correct Answer:
DOT

Explanation:
Correct answer:
DOT

The United States Department of Transportation (DOT) regulates the shipment of hazardous materials
under the hazardous Materials Transportation Act of 1994. DOT has set regulations regarding packaging,
labeling, and transporting of radioactive materials, which are considered hazardous materials.

In terms of hospital pharmacies, which of the following abbreviations means nothing by mouth?

DNR

NPO

prn

qs
Correct Answer:
NPO

Explanation:
Correct answer:
NPO

NPO means that the patient is to have nothing by mouth. It comes from the Latin nil per os nothing by
mouth. It is a medical instruction to withhold oral intake of food and fluids from a patient.

Multiply the following: 2.34 x 1.37. What is the result?

3.71

3.1058

3.2028

3.2058

Correct Answer:
3.2058

Explanation:
Correct Answer:
3.2058

In multiplying fractions, simply multiply as normal and then count the decimal places in both numbers.

2.34 x 1.37 = 32058

Move the decimal point four places to the left and you will have 3.2058

When a physician requires that a prescription be filled exactly as written with no substitution permitted,
which of the following DAW codes should he use?
DAW code 0

DAW code 1

DAW code 2

DAW code 3

Correct Answer:
DAW code 1

Explanation:
Correct answer:
DAW code 1

A DAW (dispense as written) code 1 means that the physician requires that the prescription be filled
exactly as written no substitution permitted. DAW code 0 means that the physician authorized generic
substitution and the patient accepts the generic or a generic is not available. A DAW code 2 means that
the physician authorized generic substitution and a generic equivalent is available but the patient refuses
generic substitution. There is no DAW code 3.

Tablets are the most common dosage form. All of the following are reasons for this EXCEPT:

They can be taken as oral doses.

They can be taken sublingually.

They can be taken as a buccal dose.

They can be administered transdermally.

Correct Answer:
They can be administered transdermally.
Explanation:
Correct answer:
They can be administered transdermally.

A tablet is not a dosage form that can be administered transdermally. Tablets are the most common
dosage form because of their ease of administration. They can be taken orally, sublingually, or as a
buccal dose, or they can be prepared similar to troches and wafers.

When an item is deducted from inventory as it is dispensed and sometimes automatically reordered what
is this type of procedure called?

point of sale

just-in-time ordering

purchase order

point purchase

Correct Answer:
point of sale

Explanation:
Correct answer:
point of sale

Point of sale is the procedure that involves deducting the item from inventory as it is dispensed. In many
situations it automatically reorders it.

In terms of intravenous admixtures, which of the following is the filter used just before a solution enters a
patients body?

depth filter

filter straw
flexible filter

final filter

Correct Answer:
final filter

Explanation:
Correct answer:
final filter

The final filter is the filter used before a solution enters a patients body. A filter straw is used for pulling
medication from ampules. A depth filter is a filter that works by trapping particles as solution moves
through channels. There is no flexible filter.

If the pharmacy gets a 12% discount on an invoice if it is paid within 10 days and the invoice is in fact
th
paid on the 5 day, what should the pharmacy pay on an invoice of $375.00?

$337.50

$332.00

$335.00

$330.00

Correct Answer:
$330.00

Explanation:
Correct answer:
$330.00
The 12% discount on $375.00 is $45. Subtract this discount of $45 from the invoice total of $375.00 and
the result is $330.00 which is what the pharmacy should pay.

Which of the following is the mechanism of action of cephalosporins?

They interfere with para-amino-benzoic acid and folic acid formation to destroy bacteria.

They prevent bacteria from forming a cell wall.

They inhibit protein synthesis in bacteria by binding ribosomes.

They antagonize the enzyme responsible for collecting and replicating DNA causing DNA
breakage and finally death.

Correct Answer:
They prevent bacteria from forming a cell wall.

Explanation:
Correct answer:
They prevent bacteria from forming a cell wall.

Cephalosporins prevent bacteria from forming a cell wall. This is their mechanism of action (MOA).
Cephalosporins are used when dental work is going to be done or when there are heart and pacemaker
procedures that will take place. They are also used for orthopedic surgery, pneumonia, upper respiratory
infections and sinus infections.

Using Frieds rule calculate the dosage for a 36 month old child who needs a medication that is
administered to adults in a 3.6 g dose. What is the appropriate dosage for this child?

72 mg

720 mg

864 mg

86.4 mg
Correct Answer:
864 mg

Explanation:
Correct answer:
864 mg

Frieds rule is a formula used in calculating pediatric dosages based on the childs age in months. Divide
the childs age in months by 150 and multiply the result by the adult dosage. In this case the childs age is
36 months. Divide this by 150 and multiply by 3.6 gr (3600 mg) and the result is 864 mg.

Which of the following statements about percutaneous absorption is correct?

More drug is absorbed when the formulation is applied to a larger surface area.

Formulations or dressings that increase the hydration of the skin generally improve absorption.

The greater the amount of inunction of the formulation, the greater the absorption.

all of the above

Correct Answer:
all of the above

Explanation:
Correct answer:
all of the above

All of the statements are correct. Percutaneous absorption is the absorption of drugs through the skin,
often for a systemic effect. Some dermal formulations promote percutaneous absorption.
There are many common conversion factors used in the pharmacy. One teaspoon equals which of the
following?

1 mL

3 mL

15 mL

5 mL

Correct Answer:
5 mL

Explanation:
Correct answer:
5 mL

One teaspoon (1 t) equals 5 mL. One tablespoon (1T) equals 15 mL.

The directions for mixing a liquid medication state when 250 mL of water are added to the contents of the
bottle, the resulting volume is 315 mL. What is the powder volume?

65 mL

63 mL

60 mL

650 mL

Correct Answer:
65 mL
Explanation:
Correct answer:
65 mL

The formula to use is:

Final volume = volume of diluent + powder volume.


315 mL = 250 mL + powder volume
315 mL 250 mL = powder volume = 65 mL

Add the following Roman numerals. Which of the following is the result?

CLIII + CD + CCXXIV = ?

DCCDXXVII

LCCDSSVII

DCCLXXIIIX

DCCLXXVII

Correct Answer:
DCCLXXVII

Explanation:
Correct answer:
DCCLXXVII

CLIII + CD + CCXXIV = DCCLXXVII. In Arabic numerals this is: 153 + 400 + 224 = 777.

Which of the following entities sets standards within an institution for pharmacy operations?

Pharmacy and Therapeutics Committee

The Joint Commission


State Board of Pharmacy

FDA

Correct Answer:
Pharmacy and Therapeutics Committee

Explanation:
Correct answer:
Pharmacy and Therapeutics Committee

The Pharmacy and Therapeutics Committee sets standards within an institution for pharmacy operations.
The committee also chooses the drug formulary and mandates procedures.

A bottle contains 10 mL of a 2% solution. The dose of medication is 10 mg. How many doses are
contained in the bottle?

20 doses

2 doses

10 doses

15 doses

Correct Answer:
20 doses

Explanation:
Correct answer:
20 doses

The solution is 2%. This means that there are 2 g or 2000 mg per 100 mL of solution. If you have 10 mL
set up the following:

2000 mg/100 mL = x mg/ 10 mL


100 x = 20,000
x = 20,000/100 = 200 mg

If each dose is 10 mg then divide 200 by 10 to get 20 doses.

All of the following are signs of hyperthyroidism EXCEPT:

increased sensitivity to cold

insomnia

fast heart rate

weight loss

Correct Answer:
increased sensitivity to cold

Explanation:
Correct answer:
increased sensitivity to cold

Hyperthyroidism would cause intolerance to heat, not increased sensitivity to cold. This is a symptom/sign
of hypothyroidism.

The order to administer a specific drug at a specific time each day in a hospital is which of the following
types of orders?

STAT order

ASAP order

PRN order
Standing order

Correct Answer:
Standing order

Explanation:
Correct answer:
Standing order

A standing order is the order to administer a specific drug at a specific time each day in a hospital. A
STAT order is an order requiring a medication to be filled within 15 minutes in a hospital. A PRN order is
an order to administer medication on an as-needed basis in a hospital. An ASAP order is an order that is
not as urgent as a STAT order but should be given special preference in filling.

The pharmaceutical industry procedure for obtaining pharmaceuticals where the prices are negotiated for
hospitals and institutions but the actual purchase is not made is which of the following?

purchase from drug manufacturers

purchase from wholesalers

group purchasing organization

government

Correct Answer:
group purchasing organization

Explanation:
Correct answer:
group purchasing organization

A group purchasing organization negotiates prices for hospitals and institutions but does not make the
actual purchase. Purchase from drug manufacturers allows pharmacies to purchase in bulk. Purchase
from wholesalers allows pharmacies to purchase when they need a product, rather than far in advance,
since wholesalers stock medications from all manufacturers. The government requires pharmacies to use
DEA Form 222 to purchase Schedule II drugs.

An agent that stops nausea and vomiting is termed which of the following?

antihypertensive

antiemetic

placebo

prophylaxis

Correct Answer:
antiemetic

Explanation:
Correct answer:
antiemetic

An antiemetic is an agent that stops nausea and vomiting. An antihypertensive is an agent that decreases
blood pressure. A placebo is an inert compound believed by the patient to be an active agent. A
prophylaxis is something used to prevent disease.

A drug that causes shedding of the outer layer of the skin is which of the following?

antiseptic

analgesic

keratolytic

anti-inflammatory
Correct Answer:
keratolytic

Explanation:
Correct answer:
keratolytic

A keratolytic is a drug that causes shedding of the outer layer of the skin. A keratolytic agent is a peeling
agent.

All first-generation antihistamines should be given an auxiliary label that states:

Take in the evening.

Take this medication hour before a meal.

Avoid prolonged or excessive exposure to direct and/or artificial sunlight when taking this
medication.
May cause drowsiness.

Correct Answer:
May cause drowsiness.

Explanation:
Correct answer:
May cause drowsiness.

All first-generation antihistamines should be given an auxiliary label that states: May cause drowsiness.
Drowsiness and other side effects are lessened if a non-sedating or low-sedating agent is selected.

The standard form used by health care providers, such as physicians, to bill for services is which of the
following?
CMS-1200

CMS-1300

CMS-1400

CMS-1500

Correct Answer:
CMS-1500

Explanation:
Correct answer:

CMS-1500

The CMS-1500 (formerly HCFA 1500) form is the standard form used by health care providers, such as
physicians, to bill for services. It can be used to bill for disease state management services as well.

In terms of technology used in the preparation, delivery, and administration of medication, the CADD-Plus
is which of the following?

bar code scanner

peristaltic pump

mobile robot

gravity infusion system


Correct Answer:
peristaltic pump

Explanation:
Correct answer:
peristaltic pump

A mechanical peristaltic pump delivers a controlled amount of medication at a controlled rate, such as the
CADD line of products. The CADD-Plus pump is an ambulatory-specific therapy pump used to infuse
antibiotics.

You have a solution of a medication that contains 40 mg/mL. What percentage of drug is in this solution?

4%

2%

20%

5%

Correct Answer:
4%

Explanation:
Correct answer:
4%

Percentage is always in g per 100 (mL in this case). Convert the 40 mg to g by moving the decimal place
three places to the left. Therefore, 40 mg/mL = 0.04 g/mL or 4%

Using Youngs rule calculate the dosage for a 18-month-old child who is prescribed a drug which has a
usual adult dosage of 650 mg. What is the appropriate dosage for this child?

7.22 mg

72.2 mg
866.7mg

390 mg

Correct Answer:
72.2 mg

Explanation:
Correct answer:
72.2 mg

Youngs rule uses a formula based on the age expressed in years. The pediatric dose is calculated by
dividing the childs age in years by the childs age in years plus 12 and multiplying the result by the adult
dosage. In this case the childs age is 1.5 years. Divide 1.5 by 1.5 + 12. Multiply the result by 650 mg.
The result is 72.2 mg.

Which of the following statements about investigational drugs is least accurate?

The hospital pharmacist has the responsibility of writing reports to the drug sponsor.

The pharmacist is responsible for items such as patient education, staff-in-service training, and
monitoring and reporting of adverse drug reactions.
The physician initiates the process of prescribing investigational drugs.

The pharmacist must obtain approval for any study of investigational agents from the Institutional
Review Board.

Correct Answer:
The pharmacist must obtain approval for any study of investigational agents from the Institutional
Review Board.

Explanation:
Correct answer:

The pharmacist must obtain approval for any study of investigational agents from the Institutional
Review Board.

This is the least accurate statement. It is the physician who must obtain approval for any study of
investigational agents from the Institutional Review Board. Investigational medications need to be kept
separately in the pharmacy from other medications. After the study has been completed, the leftover
drugs are returned to the sponsor.

In terms of supply procurement procedures, which of the following is the term for an examination of
acquisition and storage costs and the costs associated with the time required to prepare or package a
drug?

procurement

cost analysis

source selection

cost-benefit analysis

Correct Answer:
cost analysis

Explanation:
Correct answer:
cost analysis

Cost analysis is an examination of acquisition and storage costs and the costs associated with the time
required to prepare or package a drug. A cost-benefit analysis examines the perceived benefit versus the
cost of the medication.

Which of the following compounding procedures is usually done by the pharmacist?

bulk compounding
bulk manufacturing

extemporaneous compounding

all of the above

Correct Answer:
extemporaneous compounding

Explanation:
Correct answer:
extemporaneous compounding

Extemporaneous compounding is the type of compounding usually done by the pharmacist. It is the
preparation of a dosage form for drug delivery that is customized for a particular patient. It requires a
degree of professional judgment, and therefore must be performed by the pharmacist.

Express 45.2% as a decimal. What is the correct answer?

4.52

0.00452

0.0452

0.452

Correct Answer:
0.452

Explanation:
Correct answer:
0.452
To convert the percentage to decimal form divide 45.2 by 100. The result is 0.452.

Which of the following herbal medications is used for wound and burn healing?

fennel

ginger

aloe vera

grapeseed

Correct Answer:
aloe vera

Explanation:
Correct answer:
aloe vera

Aloe vera is an herbal medication that is used for wound and burn healing. Scientific evidence for the
cosmetic and therapeutic effectiveness of aloe vera is limited and when present is frequently
contradictory; however, there is preliminary evidence that aloe vera extracts may be useful in the
treatment of wound and burn healing and minor skin infections (among other things).

How many mL of liquid medication are needed for a prescription that calls for 1 teaspoon 4 times a day
for 14 days?

140 mL

280 mL

2.8 L

1.4 L
Correct Answer:
280 mL

Explanation:
Correct answer:
280 mL

1 teaspoon = 5 mL
x mL = 5 mL x 4 times a day x 14 days
x = 280 mL

If you receive a physicians order for 50 g of a drug, what is the equivalent in kilograms?

0.05 kg

0.25 kg

0.005 kg

0.5 kg

Correct Answer:
0.05 kg

Explanation:
Correct answer:
0.05 kg

On kilogram equals 1000 grams. If the physician orders 50 grams, divide 50 by 1000 and the result is
0.05 g.

Symptoms such as tremors and dystonia that result from taking antipsychotic medications are called:
extrapyramidal symptoms

cognitive disorders

tardive dyskinesia

schizophrenia

Correct Answer:
extrapyramidal symptoms

Explanation:
Correct answer:
extrapyramidal symptoms

Extrapyramidal symptoms often result from taking antipsychotic medications. These symptoms include
Parkinsonism, dystonia (neurological movement disorder) and tremors.

Which of the following is the test that measures the nitrogen in the blood in the form of urea?

SGOT

serum glucose

BUN

A1c

Correct Answer:
BUN

Explanation:
Correct answer:
BUN

The test that measures the nitrogen in the blood in the form of urea is the blood urea nitrogen or BUN
test. It is a test for renal function. A high level of urea may be an indication of poor renal functions.

Root words are the foundation of medical science terminology. They can immediately identify what part of
the body a term relates to. Which of the following root words would refer to the breast?

mast

ot

ven

pector

Correct Answer:
mast

Explanation:
Correct answer:
mast

The root mast refers to the breast. For example, a mastectomy is the surgical removal of a breast.

There are 5 g of drug in a 50 mL solution. What is the percent of the solution?

5%

10%

25%

20%
Correct Answer:
10%

Explanation:
Correct answer:
10%

You will need to have 100 mL rather than 50 mL to find the percentage. Five grams is to 50 mL as 10
grams are to 100 mL. 10/100 = 0.1 or 10%

Which of the following medications used for the treatment of allergies is a behind the counter
decongestant?

Ridafed

Claritin

Benadryl Allergy

Sudafed PE-Quick-Dissolve Orally Disintegrating Strips

Correct Answer:
Ridafed

Explanation:
Correct answer:
Ridafed

Ridafed is a behind the counter decongestant. It is officially an OTC drug with no prescription needed
but it is subject to other restrictions on sale. They are sold only in stores employing a registered
pharmacist. The other choices are OTC drugs with no restrictions.

Which of the following is a normal value for potassium in a blood test?


145 147 mEq/l

95 105 mEq/dl

3.5 5 mEq/dl

3.5 5 mEq/l

Correct Answer:
3.5 5 mEq/l

Explanation:
Correct answer:
3.5 5 mEq/l

Electrolyte levels are often assessed in a hospital setting, to be sure that the serum levels of sodium,
potassium and calcium are within normal levels. The normal value for potassium in a blood test is 3.5 5
mEq/l.

Which of the following is NOT a proper guideline in selecting a liquid measuring device?

Always use the smallest device that will accommodate the desired volume of liquid.

Use a calibrated pipette, micropipette, or syringe to measure and or deliver volumes less than 1
mL.
Never use prescription bottles as measurement devices.

Hold the measuring device so the meniscus is at eye level and read the mark at the top of the
meniscus.
Correct Answer:
Hold the measuring device so the meniscus is at eye level and read the mark at the top of the
meniscus.

Explanation:
Correct answer:
Hold the measuring device so the meniscus is at eye level and read the mark at the top of the
meniscus.

This is not a proper guideline. You should hold the measuring device so the meniscus is at eye level and
read the mark at the bottom of the meniscus. Viewing the level from above will create the incorrect
impression that there is more volume in the measuring device.

Of the following psychotropic drugs, which one is an antipsychotic/bipolar agent?

Klonopin

Depakene

Tegretol

Risperdal

Correct Answer:
Risperdal

Explanation:
Correct answer:
Risperdal

Risperdal is an antipsychotic/bipolar agent. Its generic name is risperidon. All of the other choices are
antiseizure drugs.

Which of the following blood vessels carries oxygenated blood from the heart to the tissues of the body?

artery
vena cava

capillary

all of the above

Correct Answer:
artery

Explanation:
Correct answer:
artery

The arteries carry oxygenated blood from the heart to the tissues of the body. The venae cavae are large
veins that carry deoxygenated blood from the upper and lower parts of the body to the right atrium of the
heart.

Antidepressants are used in treatment of depression, obsessive-compulsive disorders, social anxiety


disorders, and major depressive disorders. Which of the following antidepressants is a tricyclic
compound?

Celexa

Prozac

Luvox

Tofranil

Correct Answer:
Tofranil

Explanation:
Correct answer:
Tofranil

Tofranil is a tricyclic compound that is used as an antidepressant. Tricyclic compounds prevent the
reuptake of serotonin or norepinephrine. The can be toxic, so the patient and drug regimen should be
monitored.

When communication follows the chain of command or hierarchy in an organization it is know as which of
the following?

channel richness

formal channels

informal channels

organizational communication

Correct Answer:
formal channels

Explanation:
Correct answer:
formal channels

Formal channels of communication follow the chain of command or hierarchy in an organization. Informal
channels of communication do not follow chain of command; they allow for the transfer of information
through networks and acquaintances.

An inventory costing method that assumes that the costs of the latest units purchased are the first to be
allocated to cost of goods sold is which of the following?

lower of cost or market basis

first in, first out (FIFO)

last in, first out (LIFO)


inventory turnover costing

Correct Answer:
last in, first out (LIFO)

Explanation:
Correct answer:
last in, first out (LIFO)

There are a number of ways of costing inventory. The one that assumes that the costs of the latest units
purchased are the first to be allocated to cost of goods sold is LIFO, or the last in, first out method.

Which of the following is a general rule of inventory management?

20% of the stock will account for 80% of orders or prescriptions.

80% of the stock will account for 20% of orders or prescriptions.

40% of the stock will account for 60% of orders or prescriptions.

60% of the stock will account for 40% of orders or prescriptions.

Correct Answer:
20% of the stock will account for 80% of orders or prescriptions.

Explanation:
Correct answer:
20% of the stock will account for 80% of orders or prescriptions.

This is the general rule of inventory management. It is referred to as the 80/20 rule. It allows the
pharmacy inventory control to focus on the top 20% of the items carried.
Solutions that resist pH changes when either acids or bases are added to the solution are called:

suspensions

buffers

syrups

solutes

Correct Answer:
buffers

Explanation:
Correct answer:
buffers

The pH of a drug affects its solubility. Buffers may be used to maintain the correct solubility
characteristics. Buffers are solutions that resist pH changes when either acids or bases are added to the
solution.

Which of the following would NOT occur as a result of taking drugs classified as beta blockers?

Heart rate and cardiac output are decreased.

Cardiac conduction rate is slowed.

The production of renin is decreased.

There is decreased tissue perfusion.


Correct Answer:
There is decreased tissue perfusion.

Explanation:
Correct answer:
There is decreased tissue perfusion.

This is inaccurate. Heart rate and cardiac output are decreased by beta blockers. This results in
decreased blood pressure and increased tissue perfusion.

The pharmacy pays $300 for a bottle of a medication which contains 1,000 tablets. The markup is 150%.
What is the selling price for 100 tablets?

$30

$45

$50

$75

Correct Answer:
$75

Explanation:
Correct answer:
$75

The cost for 100 tablets is $75. This amount is calculated as follows. The cost price per tablet is the cost
of the bottle of medication divided by the number of tablets in the bottle ($300 1,000 tablets = $.30 per
tablet). The markup is the cost of the tablet times 150% or 1.5 ($.30 x 1.5 = $.45). The price of each tablet
is the markup per tablet added to the cost per tablet ($.45 + $.30 = $.75). The price of 100 tablets is the
price of each tablet times 100 ($.75 x 100 = $75).

Which of the following is a long-acting bronchodilator/steroid inhaler combination?

Singulair
Accolate

Zyflo

Symbicort

Correct Answer:
Symbicort

Explanation:
Correct answer:
Symbicort

Symbicort is a long-acting bronchodilator/steroid inhaler combination. The generic name is


budesonide/formoterol. All of the other choices are leukotriene inhibitors.

Using Frieds rule calculate the dosage for a 4 and a third-year-old old child weighing 50 lb, who needs a
medication which is usually administered to an adult as 2 gm daily. What is the appropriate dosage for
this child?

60 mg

693.3 mg

7 mg

6.933 mg

Correct Answer:
693.3 mg

Explanation:
Correct answer:
693.3 mg

Frieds rule is a formula used in calculating pediatric dosages based on the childs age in months. Divide
the childs age in months by 150 and multiply the result by the adult dosage. In this case the childs age is
52 months. Divide this by 150 and multiply by 2 gr (2000 mg) and the result is 693.3 mg.

Which of the following conditions affecting the urinary system is characterized by excess urea in the
blood?

urethritis

urolithiasis

urinary tract infection

uremia

Correct Answer:
uremia

Explanation:
Correct answer:
uremia

Uremia is excess urea in the blood. Urethritis is inflammation of the urethra. Urolithiasis is kidney stones
made of calcium or salts. A urinary tract infection is infection of the urinary tract caused by
microorganisms.

The form of alternative medicine that uses the patients mental ability to alter his or her own vital signs
such as blood pressure, heart rate and even gastrointestinal activity is which of the following?

chiropractics

ayurveda

biofeedback
art therapy

Correct Answer:
biofeedback

Explanation:
Correct answer:
biofeedback

Biofeedback is an effective treatment for stress, hypertension and other conditions. It uses the patients
mental ability to alter his or her own vital signs such as blood pressure, heart rate and even
gastrointestinal activity. Biofeedback is usually taught by an instructor who uses electrical leads that
provide a readout of data.

Any substance added to a prescription to confer a suitable consistency or form to the drug is known as
which of the following?

excipient

compound

troche

emulsion

Correct Answer:
excipient

Explanation:
Correct answer:
excipient

An excipient is an inert substance added to a drug to form a suitable consistency or form for dosing.
These include flavorings to disguise taste or smell and coloring for better appearance of the product.

Which of the following drugs used for conditions of the eye is a prostaglandin agonist?

Lumigan

Acular

Ocufen

Voltaren

Correct Answer:
Lumigan

Explanation:
Correct answer:
Lumigan

Lumigan is a prostaglandin agonist along with Travatan and Xalatan. All of the other choices are anti-
inflammatories.

All of the following are substances that are weakened because of protection from the blood brain barrier
EXCEPT:

melatonin

glucose

oxytocin

antidiuretic hormone
Correct Answer:
glucose

Explanation:
Correct answer:
glucose

There are substances that can and cannot pass the blood brain barrier (BBB). Glucose is one of the
substances that can pass the BBB. All of the other choices are substances that are weakened because of
protection from the BBB.

The Health Insurance Portability and Accountability Act (HIPAA) of 1996 requires that health care
providers ensure that patient confidentiality be maintained. The information protected through HIPAA
includes all but which of the following?

any information related to past, present or future physical and mental health

past, present or future payments for health services received

specific care the patient received, is receiving or is willing to receive

It includes all of the above.

Correct Answer:
It includes all of the above.

Explanation:
Correct answer:
It includes all of the above.

The information protected through HIPAA includes all of the statements. It also includes any information
that can identify the patient as the individual receiving the care and any information that someone could
reasonably use to identify a patient as receiving care.

Solve the following problem and write the answer in Arabic numerals.
XX + XXVI = ?

26

86

46

44

Correct Answer:
46

Explanation:
Correct answer:
46

XX + XXVI = XLVI. In Arabic numerals this is 46.

XX (20) + XXVI (26) = XLVI (46)

Which of the following statements regarding the proper dress code for persons preparing sterile products
is least accurate?

Jewelry should not be worn during aseptic technique.

Clean, particulate-free clothing should be worn.

Makeup may be worn.

Hands should be scrubbed with an appropriate antibacterial agent.


Correct Answer:
Makeup may be worn.

Explanation:
Correct answer:
Makeup may be worn.

This is inaccurate. Makeup should not be worn. This is because of the particulate nature of makeup
substances.

Using the conversion of 65 mg/grain, how many grains are in 195 mg of a drug?

6 gr

5 gr

4 gr

3 gr

Correct Answer:
3 gr

Explanation:
Correct answer:
3 gr

To calculate how many grains are in 195 mg of a drug, divide 195 mg by 65 mg. The result is 3 gr.

The adrenal glands are located on top of which organ or organs?

pancreas

bladder

kidneys
ovaries

Correct Answer:
kidneys

Explanation:
Correct answer:
kidneys

The adrenal glands are located directly on top of each of the two kidneys. The adrenal glands secrete
steroids and catecholamines, such as epinephrine and dopamine.

A heat-sealed packet that holds one tablet or capsule that is used in the repackaging process is called
a(n):

strip pack

punch pack

bubble pack

calibration pack

Correct Answer:
strip pack

Explanation:
Correct answer:
strip pack

A strip pack is a strip of heat-sealed packets each holding one tablet or capsule used in the repackaging
process. It is a method of repackaging solid doses.
What decimal is the smallest in the following set: (0.234, 0.345, 0.0023, 0.0034)?

0.234

0.233

0.0023

0.0034

Correct Answer:
0.0023

Explanation:
Correct answer:
0.0023

Simply add zeros to the right of the first two numbers which will not change their value. You now have
0.2340, 0.3450, 0.0023, 0.0034 and it is easy to see that 0.0023 is the smallest number in the set, i.e., 23
ten thousandths.

The CADD-TPN pump can best be described as which of the following?

an infusion pump for total parenteral nutrition

a pump for patient-controlled analgesia

an infusion pump for antibiotics

none of the above


Correct Answer:
an infusion pump for total parenteral nutrition

Explanation:
Correct answer:
an infusion pump for total parenteral nutrition

The CADD-TPN pump is an infusion pump for total parenteral nutrition (TPN). A pump for patient-
controlled analgesia is the CADD Prizm PCS; and the infusion pump for antibiotics is the CADD-Plus
pump.

Which of the following statements about rheumatoid arthritis (RA) is incorrect?

It can be bone-deforming.

More women than men are afflicted with RA.

It is a genetic condition.

There is no known cure for RA.

Correct Answer:
It is a genetic condition.

Explanation:
Correct answer:
It is a genetic condition.

Although RA can be present in families, it is unknown whether this is a genetic condition. RA also affects
young adults between the ages of 20 and 30 years and is believed to have a possible viral origin.

How many mg of medicine does a patient take if he takes a 0.4 mg tablet four times a day for 14 days?

22.4

2.24
224

0.224

Correct Answer:
22.4

Explanation:
Correct answer:
22.4

First the patient takes a 0.4 mg tablet four times a day = 1.6 mg for 1 day; then multiply that by 14 which
is 1.6 x 14 = 22.4.

A court order preventing a specific action, such as the distribution of a potentially dangerous drug is which
of the following?

tort

injunction

recall

writ

Correct Answer:
injunction

Explanation:
Correct answer:
injunction

The FDA has several options if it determines that a marketed drug presents a risk of illness, injury, or
gross consumer deception. It may seek an injunction (a court order preventing a specific action); or it may
issue a recall of the drug or certain lots of the drug.

Certain drugs or drug classes may be by far the most effective in treating a particular condition and so
would be most frequently prescribed. These drugs are known as the:

generic equivalent

drug of choice

proprietary drug

therapeutic drug

Correct Answer:
drug of choice

Explanation:
Correct answer:
drug of choice

The drug or drug class which is most frequently prescribed for a condition is called the drug of choice.
Drugs that are very effective in treating a certain condition, and that have an acceptable adverse effect
profile are called first line drugs, because they are the first drugs to be prescribed.

Of the drugs used for psychotherapeutic conditions, which one of the following is used as an antimanic
drug?

Effexor

Strattera

Eskalith

Valium
Correct Answer:
Eskalith

Explanation:
Correct answer:
Eskalith

Eskalith (lithium) is a drug used as an antimanic. Effexor (venlafaxine) is used as an SSNRI. Strattera
(atomoxetine) is used for ADD/ADHD. Valium (diazepam) is used as an antianxiety agent.

If a patient is to take a dose of 2 tbsp of a medication from a pint bottle what fraction of the pint is he
taking with each dose?

1/6

1/32

1/8

1/16

Correct Answer:
1/16

Explanation:
Correct Answer
1/16

There are 32 tablespoons in a pint. If a patient takes 2 tbsp of medication then he is taking 2/32 of a
pint with each dose. Reducing to lowest terms becomes 1/16 pint.
Drug treatment for multiple sclerosis can involve three types of therapy. Which of the following is part of
the disease-modifying immunotherapy to slow and minimize progression of the disease?

agents that manage fatigue

agents, such as steroids to treat flare-ups

agents that manage spasticity

ABRC drugs

Correct Answer:
ABRC drugs

Explanation:
Correct answer:

ABRC drugs

ABRC drugs (Avonex, Betaseron, Rebif and Copaxone) are used as disease-modifying immunotherapy to
slow and minimize progression of multiple sclerosis. In the second line of treatment, additional agents,
such as steroids, are given to treat flareups. The third type of therapy involves treating the symptoms of
MS by using agents that manage fatigue, spasticity, tremors, pain and depression.

A repeatable, defined set of activities is identified by which of the following terms?

workflow

organizational structure

virtual structure

channel flow
Correct Answer:
workflow

Explanation:
Correct answer:
workflow

Workflow is an organized way of performing a task. It is efficient in nature and it is a repeatable, defined
set of activities.

Preparing custom-ordered medications such as IV medications or total parenteral nutrition in a health-


care facility is called:

stocking

repackaging

compounding

managing

Correct Answer:
compounding

Explanation:
Correct answer:
compounding

Compounding in health-system pharmacies refers to preparing custom-ordered medications, such as IVs,


total parenteral nutrition (TPN), and nonsterile compounds. Technicians preparing orders for IV
medications or TPN need specialized training.

You have a solution of 4% medication. What is the concentration in mg/mL?


2 mg/mL

20 mg/mL

400 mg/mL

40 mg/mL

Correct Answer:
40 mg/mL

Explanation:
Correct answer:
40 mg/mL

4% = 4 g per 100 mL. Therefore, you must change the g to mg. This gives you a solution of 4000 mg/100
mL which in turn equals 40 mg/mL.

Several routes are used for the injection of drugs. An injection in the spine is known as which of the
following?

subcutaneous

intravenous

intrathecal

intradermal

Correct Answer:
intrathecal
Explanation:
Correct answer:
intrathecal

The intrathecal injection is a parenteral injection in the spine. Subcutaneous is in the skin; intravenous is
in the vein; intradermal is in the dermis of the skin.

The prepackaging that combines a unit-dose system with a non-unit-dose system is which of the
following?

modified unit-dose system

blended unit-dose system

controlled unit-dose system

compounded unit-dose system

Correct Answer:
blended unit-dose system

Explanation:
Correct answer:
blended unit-dose system

A blended unit-dose system combines a unit-dose system with a non-unit-dose system. It may be a
multiple-medication package or a modular cassette.

Which of the following is NOT a common reason for repackaging a bulk drug into unit dose medications?

The cost of unit dosing certain medications may be less expensive.

Speed and efficiency are increased.

If not used, it can be returned to stock and used for another patient.

Patients prefer unit dose medications.


Correct Answer:
Patients prefer unit dose medications.

Explanation:
Correct answer:
Patients prefer unit dose medications.

This is not a common reason for repackaging a bulk drug into unit dose medications. All of the other
choices are reasons, along with the fact that certain drugs cannot be purchased from a manufacturer in
prepackaged unit dose strips and because with the label on each dose, the chance of errors is
decreased.

The gel-like substance that fills the posterior cavity of the eye between the lens and the retina is which of
the following?

macula lutea

aqueous humor

vitreous humor

conjunctiva

Correct Answer:
vitreous humor

Explanation:
Correct answer:
vitreous humor

Vitreous humor is the gel-like substance that fills the posterior cavity of the eye between the lens and the
retina. It helps to maintain the shape of the eye. Aqueous humor is the fluid found in the anterior cavity of
the eye, in front of the lens.
Which of the following is the reciprocal of 5/2?

2.5

2/5

Correct Answer:
2/5

Explanation:
Correct answer:
2/5

The reciprocal of a fraction is the number that, when multiplied by the fraction will equal 1. In this case 5/2
x 2/5 = 1; so 2/5 is the reciprocal of 5/2.

The disposal of controlled substances requires documentation for the DEA. This is done by the use of
which of the following forms?

Form 41

Form 222

Form 224

Form 63
Correct Answer:
Form 41

Explanation:
Correct answer:
Form 41

The disposal of controlled substances requires DEA Form 41. The disposal is done by the pharmacist.
There are also private companies now that will process and dispose of expired medications for retail
pharmacies and for institutions.

Which of the following agents to treat lice requires a prescription?

Kwell

Medi-Lice

Nix

Pronto

Correct Answer:
Kwell

Explanation:
Correct answer:
Kwell

Kwell (lindane) requires a prescription. It is reserved for resistant cases. Lindane may cause neurotoxicity
and seizures if improperly used. All of the other choices are OTC treatments for lice.

Absenteeism and tardiness reports would be considered part of which of the following work systems?

customer service

productivity
efficiency

workflow

Correct Answer:
productivity

Explanation:
Correct answer:
productivity

Productivity is measured in part by absenteeism and tardiness. It is also measured by the number of
prescriptions filled per pharmacist per hour.

In one bottle of medication there are 90 capsules. If every bottle contains the same number of capsules,
how many capsules are in 12 bottles?

1080

540

2160

960

Correct Answer:
1080

Explanation:
Correct answer:
1080

There are 90 capsules in one bottle and x capsules in 12 bottles.


90/1 = x /12
x = 90 x 12 = 1080

The generic name for the drug Zantac is which of the following?

famotidine

nizatidine

cimetidine

ranitidine

Correct Answer:
ranitidine

Explanation:
Correct answer:
ranitidine

Histamine (H2) receptor antagonists include all of the choices. Zantac is the brand name for ranitidine.
Famotidines brand name is Pepcid; nizatidines brand name is Axid; and cimetidines brand name is
Tagamet.
Test 5
Which of the following alternative treatments involves using the patients mental ability to alter his or her
own vital signs?

ayurveda

biofeedback

acupressure

chiropractic therapy

Correct Answer:
biofeedback

Explanation:
Correct answer:
biofeedback

Biofeedback has existed for approximately 50 years and has proved to be effective for treatment of
stress, hypertension, and other conditions. It involves using the patients mental ability to alter his or her
own vital signs such as blood pressure, heart rate, and even gastrointestinal activity.

Companies that specialize in returns of expired and discontinued drugs to the manufacturer are known as
which of the following?

reverse distributors

stock return shippers

turnover specialists

return wholesalers
Correct Answer:
reverse distributors

Explanation:
Correct answer:
reverse distributors

Reverse distributors specialize in returns of expired and discontinued drugs to the manufacturer. They
complete each manufacturers return form and package, mail and track the drugs.

Multiply the following decimal numbers: 4.008 x 0.0002. How many decimal places do we move the
decimal from right to left once the product is obtained?

Correct Answer:
7

Explanation:
Correct answer:
7

Simply look at each component that is to be multiplied and count the number of decimals in each
component. 4.008 has 3 and .0002 has 4, so 3+4 = 7 decimal places.

The blood concentration needed for a drug to produce a response is known as which of the following?

minimum effective concentration

therapeutic window
onset of action

minimum toxic concentration

Correct Answer:
minimum effective concentration

Explanation:
Correct answer:
minimum effective concentration

The blood concentration needed for a drug to produce a response is minimum effective concentration
(MEC). This is when there is enough drug at the site of action to produce a response. With most drugs,
when blood concentrations increase, so does the intensity of the effect, since blood concentrations reflect
the concentrations at the site of action that produce the response.

Which of the following is the smallest liquid measurement?

6 tsp

2 tbsp

0.5 fl oz

0.5 cup

Correct Answer:
0.5 fl oz

Explanation:
Correct answer:
0.5 fl oz
This is the smallest liquid measurement. All of the other choices are larger. 6 tsp and 2 tbsp equal 1 fl oz.
0.5 cup equals 4 fl oz.

A gigabyte is how many bytes?

one thousand

one hundred thousand

one million

one billion

Correct Answer:
one billion

Explanation:
Correct answer:
one billion

A gigabyte is one billion bytes. A kilobyte is one thousand bytes. A megabyte is one million bytes.

A bottle contains 10 mL of a 2% solution. The dose of medication is 5 mg. How many doses are
contained in the bottle?

20 doses

4 doses

40 doses

15 doses
Correct Answer:
40 doses

Explanation:
Correct answer:
40 doses

The solution is 2%. This means that there are 2 g or 2000 mg per 100 mL of solution. If you have 10 mL
set up the following:

2000 mg/100 mL = x mg/ 100 mL


100 x = 20,000
x = 20,000/100 = 200 mg

If each dose is 5 mg then divide 200 by 5 to get 40 doses.

The Controlled Substances Act of 1970 requires that a pharmacy perform an inventory of controlled
substances in the pharmacy how often?

monthly

annually

biennially

semi-annually

Correct Answer:
biennially

Explanation:
Correct answer:
biennially

The Controlled Substances Act of 1970 requires that a pharmacy perform an inventory of controlled
substances in the pharmacy biennially (every two years). An exact count must be performed on all
Schedule II drugs, and an approximate count on Schedule III to V drugs.
Which of the following is an order to administer a specific drug at a specific time each day in a hospital?

ASAP order

PRN order

STAT order

Standing order

Correct Answer:
Standing order

Explanation:
Correct answer:
Standing order

A standing order is an order to administer a specific drug at a specific time each day in a hospital. A
STAT order requires that a medication be filled within 15 minutes in a hospital. An ASAP order is not as
urgent as a STAT order but should be given special preference in filling in a hospital. A PRN order means
medication on an as-needed basis in a hospital.

In terms of intramuscular injections, the area in the muscle where the formulation is injected is which of
the following?

wheal

mucosa

colloid

depot
Correct Answer:
depot

Explanation:
Correct answer:
depot

Intramuscular injections are made into the muscle fibers that are under the subcutaneous layer of the
skin. The area in the muscle where the formulation is injected during an intramuscular injection is the
depot.

The primary organ of the urinary tract is the kidney. Which of the following is the term for the functional
unit of the kidney?

alveoli

adrenal gland

urethra

nephron

Correct Answer:
nephron

Explanation:
Correct answer:
nephron

The nephron is the functional unit of the kidney. There are several million nephrons in the kidneys.

Which decimal number is the largest in the following set (0.345, 0.246, 0.0376, 0.465)?

0.345
0.246

0.465

0.0376

Correct Answer:
0.465

Explanation:
Correct answer:
0.465

Reading all the numbers, you have 345 thousandths, 246 thousandths, 376 thousandths and 465
thousandths so, 465 thousandths is the largest (0.465).

The outermost cell layer of the epidermis is which of the following?

dermis

stratum corneum

subcutaneous tissue

none of the above

Correct Answer:
stratum corneum

Explanation:
Correct answer:
stratum corneum
The stratum corneum is the outermost cell layer of the epidermis. In normal skin, this layer is continually
replaced by new cells from underneath. The turnover time from celll development to shedding of the dead
cells is about 21 days.

Bacteria that require oxygen to survive are which of the following?

facultative anaerobic

anaerobic

aerobic

all of the above

Correct Answer:
aerobic

Explanation:
Correct answer:
aerobic

Bacteria that require oxygen to survive are called aerobic, whereas those that grow only in the absence of
oxygen are called anaerobic. Some bacteria, called facultative anaerobes, can survive without oxygen or
with only small amounts of oxygen.

Which of the following would be an appropriate quality improvement standard or guideline?

Encouraging pharmacies to report errors and find causes for the error without fear of punishment.

Improving lighting in a pharmacy.

Limiting the number of pharmacy technicians a pharmacist may supervise during a shift.

all of the above


Correct Answer:
all of the above

Explanation:
Correct answer:
all of the above

All of the choices are appropriate quality improvement standards or guidelines. Others would include:
establishing the maximum number of prescriptions a pharmacist may fill during a shift; improving workflow
in the pharmacy; and limiting the number of hours a pharmacist or technician may work in a given pay
period.

The antibiotics that prevent a cell from replicating and therefore take one bacterial generation to have an
effect are called:

bacteriostatic drugs

bacteriocidal drugs

anti-infective drugs

none of the above

Correct Answer:
bacteriostatic drugs

Explanation:
Correct answer:
bacteriostatic drugs

Antibiotics may either kill immediately, or may take a bacterial generation to have an effect. Those that
prevent a cell from replicating and therefore take one bacterial generation to have an effect are called
bacteriostatic drugs. Those that kill immediately are called bacteriocidal drugs.
Add the following mixed numbers. What is the result?

4 2/3 + 3 2/3 = ?

7 1/3

12 1/3

7 2/3

8 1/3

Correct Answer:
8 1/3

Explanation:
Correct Answer
8 1/3

To add the mixed numbers, first change the mixed numbers to fractions, and then find the common
denominator and add. In this case, 4 2/3 = 14/3; and 3 2/3 = 11/3. Since they already have a common
denominators of 3 we can now add the fractions (14/3 + 11/3 = 25/3). As a mixed number this is written
as 8 1/3.

The pharmaceutical industry procedure for obtaining pharmaceuticals where the prices are negotiated for
hospitals and institutions but the actual purchase is not made is which of the following?

purchase from drug manufacturers

purchase from wholesalers

group purchasing organization

government
Correct Answer:
group purchasing organization

Explanation:
Correct answer:
group purchasing organization

A group purchasing organization negotiates prices for hospitals and institutions but does not make the
actual purchase. Purchase from drug manufacturers allows pharmacies to purchase in bulk. Purchase
from wholesalers allows pharmacies to purchase when they need a product, rather than far in advance,
since wholesalers stock medications from all manufacturers. The government requires pharmacies to use
DEA Form 222 to purchase Schedule II drugs.

Which of the following common over-the-counter medications is an antifungal product?

Senokot

Anusol-HC

Monistat

Calamine

Correct Answer:
Monistat

Explanation:
Correct answer:
Monistat

Monistat is an antifungal over-the-counter medication. Senokot is an anticonstipation product. Anusol-HC


is an antihemorrhoidal product. Calamine is an antipruritic product.

All pharmacies must have a professional library. The reference resource that contains information from
package inserts for more than 4000 prescriptions drugs, as well as information on 250 drug
manufacturers is which of the following?
USP Dictionary of USAN and International Drug Names

Pharmaceutical Dosage Forms and Drug Delivery Systems

Physicians Desk Reference (PDR)

Drug Information Fulltext (DIF)

Correct Answer:
Physicians Desk Reference (PDR)

Explanation:
Correct answer:
Physicians Desk Reference (PDR)

The Physicians Desk Reference (PDR) is a standard reference work that contains information from
package inserts for more than 4000 prescription drugs, as well as information on 250 drug manufacturers.
It is available in hardbound and CD-ROM form, with two supplements published twice a year.

The chain of command in a business is known as the:

policy structure

procedure

scheduling tree

organizational structure

Correct Answer:
organizational structure
Explanation:
Correct answer:
organizational structure

The organizational structure shows the chain of command in a business. Examples of organizational
structure include matrix and product line.

The directions for mixing a liquid antibiotic state when 100 mL of water are added to the contents of the
bottle, the resulting volume is 150 mL. What is the powder volume?

250 mL

50 mL

150 mL

100 mL

Correct Answer:
50 mL

Explanation:
Correct answer:
50 mL

The formula to use is:

Final volume = volume of diluent + powder volume.


150 mL = 100 mL + powder volume
150 mL 100 mL = powder volume = 50 mL

Multiply the following 4.56 x 2.032. What is the result?

926.592

9265.92
92.6592

9.26592

Correct Answer:
9.26592

Explanation:
Correct Answer:
9.26592

4.56 x 2.032 = 926,592; 4.56 has 2 decimal places and 2.032 has three decimal places. Adding them
together you get 5 decimal places. Move the decimal place 5 places to the left in the resulting product and
you now have 9.26592.

60 is to 360 as 30 is to which of the following?

108

180

720

72

Correct Answer:
180

Explanation:
Correct answer:
180

This ratio can be solved as follows:


60/360 = 30/x
60 x = 10,800
x = 10,800/30 = 180

The Joint Commission (TJC) requires all of the following EXCEPT:

Internal and external products must be kept in separate locations in a pharmacy to prevent an
error from occurring.
Floor stock inventories are preferred over unit-dose systems in hospitals and long-term care
facilities.
The dispensing of professional samples to patients is discouraged.

IV admixtures must be prepared in a pharmacy using aseptic technique and a laminar flow hood.

Correct Answer:
Floor stock inventories are preferred over unit-dose systems in hospitals and long-term care
facilities.

Explanation:
Correct answer:
Floor stock inventories are preferred over unit-dose systems in hospitals and long-term care
facilities.

This is not required by TJC. Actually, TJC requires that unit-dose systems are preferred over floor stock
inventories in hospitals and long-term care facilities.

Which of the following classifications of diabetes drugs act by stimulating a particular intracellular receptor
thought to be involved in genetically decreasing insulin resistance?

biguanides

oral sufonylureas

thiazolidinediones
meglitinides

Correct Answer:
thiazolidinediones

Explanation:
Correct answer:
thiazolidinediones

Thiazolidinediones are insulin sensitizers. They stimulate a particular intracellular receptor thought to be
involved in genetically decreasing insulin resistance. They may be used in the therapy of type II diabetes.

Perform the following indicated operation. Which of the following is the result?

LXIX / III = ?

23

23.67

22.67

22

Correct Answer:
23

Explanation:
Correct answer:
23

LXIX = 69; III = 3.


69 / 3 = 23.

What is the gross profit to the pharmacy of a medication that has an acquisition cost of $50.00 and a
dispensing fee of $4.50, if the pharmacy sells the prescription for $105.00?

$50.50

$55.00

$101.50

$61.50

Correct Answer:
$55.00

Explanation:
Correct answer:
$55.00

The gross profit is the selling price minus the acquisition cost. The dispensing fee is not a part of this
calculation. Therefore the gross profit is $105.00 minus $50.00 or $55.00.

Which of the following drugs may be used for a patient with multiple sclerosis?

Aricept

Depakote

Avonex

Soma
Correct Answer:
Avonex

Explanation:
Correct answer:
Avonex

Avonex is a drug that may be used to treat a patient with multiple sclerosis. Its generic name is interferon
-1a. Aricept is used for Alzheimers disease; Depakote is used as an anticonvulsant; Soma is a skeletal
muscle relaxant.

What is the likely effect if kava kava is taken along with buspirone?

It may increase the risk of hypoglycemia.

It may increase the risk of bleeding.

It may increase sedation.

It may decrease the effects of the buspirone.

Correct Answer:
It may increase sedation.

Explanation:
Correct answer:
It may increase sedation.

There can be harmful interactions between herbal remedies and drugs. If kava kava is taken along with
buspirone, the effect may be increased sedation.

In terms of how emulsions should be stored, which of the following is true?

They must be frozen.


They should be refrigerated.

They should be stored in a warm room.

none of the above

Correct Answer:
none of the above

Explanation:
Correct answer:
none of the above

Care must be taken when storing emulsions. Freezing the emulsion or exposing it to excessive heat (for
instance, storing it in a warm room for a long time) will cause the cream to separate into oil and water.
Emulsions should also not be stored in the refrigerator.

If a child weighs 22 kg, what is his weight in pounds?

10 lb

4.84

44 lb

48.4 lb

Correct Answer:
48.4 lb

Explanation:
Correct answer:
48.4 lb
There are 2.2 kg in every pound. If a child weights 22 kg, this must be multiplied by 2.2 kg to give you a
weight of 48.4 lb.

The pharmacy budget allows $600 for the purchase of medication that costs $1.50 per bottle. How many
bottles of the medication will you be able to purchase with the $600?

20

40

200

400

Correct Answer:
400

Explanation:
Correct answer:
400

The problem can be restated as: 1.50 is to 1 bottle as 600 is to x number of bottles.

1.5/1 = 600/x
1.5x = 600
x = 600/1.5 = 400

In terms of nasal preparations, which of the following statements is least accurate?

Preparations for nasal administration may take the form of solutions, suspensions, gels or
ointments.
Nasal preparations may be used locally or systemically.

Ingredients for nasal preparations do not need to be sterile.

Excipients will most likely be needed for nasal preparations.


Correct Answer:
Ingredients for nasal preparations do not need to be sterile.

Explanation:
Correct answer:
Ingredients for nasal preparations do not need to be sterile.

This is not accurate. Ingredients for nasal preparations should be sterile. Aseptic technique should be
used to make them. Sterility may be obtained by filtration or autoclaving.

You have a 50 mL bottle of medication. The prescription is for one teaspoon twice a day. If one teaspoon
equals 5 mL, how many doses are in the bottle?

25

20

10

Correct Answer:
10

Explanation:
Correct answer:
10

5 mL/50 mL = 1 tsp/x
Cross multiply the equation:
50 = 5x
10 = x

There are 10 doses in the bottle or 5 days worth at 2 doses per day.
Storage of all medication is based on all but which of the following?

cost of drug

environmental considerations

security issues

safety requirements

Correct Answer:
cost of drug

Explanation:
Correct answer:
cost of drug

Storage of medication is not based on the cost of the drug. It is based on environmental considerations
such as proper temperature, humidity and ventilation as well as security issues and safety requirements.

If a retail prescription costs $15 what is the patient price after a 15% discount?

$12.75

$12.50

$13.12

$14.50
Correct Answer:
$12.75

Explanation:
Correct answer:
$12.75

The prescriptions original price is $15. 15% of this equals $2.25. Subtract this $2.25 discount from the
original price of $15 and you get $12.75.

When a solution has a greater osmolarity than that of blood it is known as which of the following?

isotonic

hypotonic

hypertonic

none of the above

Correct Answer:
hypertonic

Explanation:
Correct answer:
hypertonic

A hypertonic solution is one that has a greater osmolarity than that of blood. A hypotonic solution is one
that has a lesser osmolarity than that of blood. An isotonic solution is one that has an osmolarity
equivalent to that of blood.

Something attached to the container of medication with specific instructions or information pertaining to
the medication inside is known as which of the following?

Rx
auxiliary label

script

sig

Correct Answer:
auxiliary label

Explanation:
Correct answer:
auxiliary label

An auxiliary label (when required) is placed onto the prescription bottle so that the patient can read the
instructions easily. It consists of an adhesive label with specific instructions or information pertaining to
the medication inside.

A child weighs 66 lb. what is his weight in kilograms?

15 kg

30 kg

145.2 kg

1.45 kg

Correct Answer:
30 kg

Explanation:
Correct answer:
30 kg
There are 2.2 pounds in a kilogram. Therefore if a child weighs 66 lbs., to find his weight in kilograms you
must divide 66 lb by 2.2 kg which gives you a result of 30 kg.

The legislation which was enacted to encourage drug companies to develop drugs for rare diseases is
which of the following?

1987 Prescription Drug Marketing Act

1970 comprehensive Drug Abuse Prevention and Control Act

1962 Kefauver-Harris Amendments

1983 Orphan Drug Act

Correct Answer:
1983 Orphan Drug Act

Explanation:
Correct answer:
1983 Orphan Drug Act

The 1983 Orphan Drug Act encouraged drug companies to develop drugs for rare diseases by providing
research assistance, grants, and cost incentives to manufacturers. The act also encouraged
manufacturers to develop drugs for rare diseases by providing marketing exclusivity for orphan drugs for
a period of seven years after FDA approval.

The directions for mixing a liquid antibiotic state when 500 mL of water are added to the contents of the
bottle, the resulting volume is 750 mL. What is the powder volume?

250 mL

25 mL

125 mL

12.5 mL
Correct Answer:
250 mL

Explanation:
Correct answer:
250 mL

The formula to use is:

Final volume = volume of diluent + powder volume.


750 mL = 500 mL + powder volume
750 mL 500 mL = powder volume = 250 mL

Drug products that contain identical amounts of the same active ingredient in the same dosage form are
known by which of the following terms?

therapeutic equivalent

pharmaceutical alternative

pharmaceutical equivalent

complex equivalent

Correct Answer:
pharmaceutical equivalent

Explanation:
Correct answer:
pharmaceutical equivalent

Pharmaceutical equivalents are drug products that contain identical amounts of the same active
ingredient in the same dosage form. They do not have to contain the same inactive ingredients, or have
the same physical shape, release mechanisms, packaging, or expiration time.
Understanding the pharmacy profession means that you must learn the appropriate language.
Understanding prefixes of words is part of this. The prefix macro- refers to which of the following?

within

small

large

many

Correct Answer:
large

Explanation:
Correct answer:
large

The prefix macro- refers to being large. An example of this prefix is in the word macronutrients which
refers to nutrients that the body uses in relatively large amounts proteins, carbohydrates, and fats.

Expiration dates for drugs are assigned by which of the following?

the patients physician

the drug manufacturer

the pharmacist

none of the above


Correct Answer:
the drug manufacturer

Explanation:
Correct answer:
the drug manufacturer

Expiration dates are always assigned by the drug manufacturer. The pharmacist assigns beyond-use
dates when repackaging or compounding medications.

A list of drugs not normally stocked by the pharmacy is known by which of the following terms?

closed drugs

open drugs

controlled drugs

non-formulary drugs

Correct Answer:
non-formulary drugs

Explanation:
Correct answer:
non-formulary drugs

Non-formulary drugs are a list of drugs that are not normally stocked by the pharmacy. These drugs may
not be covered by an insurance company unless specific conditions are met.

Used syringes, needles, ampules and vials waiting for disposal should be placed in which of the
following?

specially marked biohazard containers


any contained waste receptacle

clip container

sharps container

Correct Answer:
sharps container

Explanation:
Correct answer:
sharps container

Sharps containers are used for the storage of used syringes, needles, ampules and vials waiting for
disposal. Needles should be clipped or snapped. Other refuse, such as gloves, gowns, masks and shoe
and head coverings, should be placed in specially marked biohazard containers.

Which of the following rules for Roman numerals is incorrect?

When subtracting, only use a numeral before the next to higher-value


numerals.
V, L, and D are never subtracted.

When a numeral is repeated its value is repeated.

V, L, and D, are never added.

Correct Answer:
V, L, and D, are never added.

Explanation:
Correct answer:
V, L, and D, are never added.

This is incorrect. V, L, and D, are never subtracted, but they may be added.

In measurement, the prefix milli- indicates which of the following?

one-hundredth

one thousand

one-millionth

one-thousandth

Correct Answer:
one-thousandth

Explanation:
Correct answer:
one-thousandth

Prefixes are added to units in the metric system when necessary to indicate larger or smaller units. The
prefix milli- indicates one-thousandth or 0.001.

Prescriptions (except for controlled substances) are valid for how long after being written?

30 days

6 months

one year

there is no expiration date


Correct Answer:
one year

Explanation:
Correct answer:
one year

Prescriptions are valid for only one year after being written. Exceptions are prescriptions for controlled
substances, which may be valid for as little as three days.

Which of the following performance evaluation techniques is described as joint goal setting between a
supervisor and a subordinate?

360 evaluations

activity measures

paired comparison

management by objective

Correct Answer:
management by objective

Explanation:
Correct answer:
management by objective

Management by objective is a process of joint goal setting between a supervisor and a subordinate. 360
evaluations are characterized by using self-ratings, customer ratings, and others outside the workforce.
Activity measures are based on an evaluators observation and rating. Paired comparison is a method
whereby each person is directly compared with every other person.

The type of government-managed insurance program that provides health care services to low-income
children, the elderly, blind, and those with disabilities is which of the following?
HMO

Medicare

Medigap

Medicaid

Correct Answer:
Medicaid

Explanation:
Correct answer:

Medicaid

Medicaid is a type of government-managed insurance program that provides health care services to low-
income children, the elderly, blind, and those with disabilities. It also supplements Medicare if the
individual meets specific requirements. Each state has its own Medicaid program.

A common barrier to good communication is the utilization of defense mechanisms. The person who
balks at the amount of time that it will take to fill his prescription by saying, All you have to do is get the
supply, count out my tablets and give them to me. That should take five minutes at the most! is using the
defense mechanism of:

denial

displacement

rationalization

intellectualization
Correct Answer:
intellectualization

Explanation:
Correct answer:
intellectualization

Intellectualization is the defense mechanism whereby an individual deals with conflict or stressors by
making generalizations to minimize disturbing feelings. This person is using intellectualization because he
is impatient and wants his prescription sooner rather than later.

Which of the following Roman numerals is correctly written?

XXXXII

CCCCCXIX

ssI

DIII

Correct Answer:
DIII

Explanation:
Correct answer:
DIII

DIII is 503. D = 500 and III = 3.

Of the following metric prefixes, which one means one-millionth of the basic unit?

nano

milli

hecto
micro

Correct Answer:
micro

Explanation:
Correct answer:
micro

The designation of micro means one-millionth of the basic unit. For example a microgram is one-
millionth of a gram.

The first pharmacy technician association to be formed was which of the following?

National Pharmacy Technician Association

American Pharmacists Technicians Association

American Association of Pharmacy Technicians

National Certified Pharmacy Technicians

Correct Answer:
American Association of Pharmacy Technicians

Explanation:
Correct answer:
American Association of Pharmacy Technicians

The American Association of Pharmacy Technicians was the first pharmacy technician association
formed. It was established in 1979. It has always been managed by volunteer pharmacy technicians and
serves to participate in the advancement of pharmacy technicians.
An inventory of a pharmacys entire drug stock is required to be conducted at regular intervals. A physical
inventory of prescription drugs must be conducted:

every year

bi-annually

semi-annually

every five years

Correct Answer:
every five years

Explanation:
Correct answer:
every five years

A physical inventory of prescription drugs must be conducted every five years. Documentation for
controlled substances is more stringent than that for other prescription drugs so a complete inventory of
controlled substances must be made every two years.

Which of the following would not be a common size for a large volume parenteral (LVP) solution?

50 mL

100 mL

1000 mL

500 mL
Correct Answer:
50 mL

Explanation:
Correct answer:
50 mL

LVP solutions are intravenous solutions packaged in containers holding 100 mL or more. The most
common sizes of LVP solutions are 100, 250, 500, and 1000 mL.

Intravenous injections are prepared in three ways. Which of these ways involves a one-time single-dose
injection?

IV drip

piggyback IV

bolus

none of the above

Correct Answer:
bolus

Explanation:
Correct answer:
bolus

A bolus is a one-time single-dose injection. An IV drip is a bag or bottle of liquid that allows drugs to be
infused over a long period of time. A piggyback IV is a solution contained in a smaller IV bag that is
infused along with the primary intravenous drip, usually through the same tubing.

The pharmacy technician must be alert to signs that indicate that a prescription was not issued for a
legitimate medical purpose. These signs include all of the following EXCEPT:
Directions are written in full with no abbreviations.

The prescriber writes significantly more prescriptions compared with other practitioners in the area.

The patient appears to be returning too frequently.

The prescriber writes prescriptions for antagonistic drugs such as stimulants and depressants
simultaneously.

Correct Answer:
Directions are written in full with no abbreviations.

Explanation:
Correct answer:
Directions are written in full with no abbreviations.

This is not a sign that a prescription was not issued for a legitimate medical purpose. It is a sign that it
may be a forged prescription. All of the other choices indicate that the prescription was not issued for a
legitimate medical purpose.

A network of health care providers contracted by the insurer that offers the most flexibility to the patient
and does not require that physicians within the network make referrals is which of the following?

health maintenance organization

point of sale

preferred provider organization

Medicaid

Correct Answer:
preferred provider organization
Explanation:
Correct answer:
preferred provider organization

A preferred provider organization (PPO) is a network of health care providers contracted by the insurer
that offers the most flexibility to the patient and does not require that physicians within the network make
referrals. A health maintenance organization (HMO) is composed of a network of providers who are
employed by the HMO or have signed contracts with the HMO to adhere to the conditions of the HMO.
Point of sale is a network of providers under contract by the insurer. Medicaid is a federally funded
program administered b the states.

An ingredient used in compounding that does not dissolve in water is which of the following?

oleaginous

troche

hydrophilic

solvent

Correct Answer:
oleaginous

Explanation:
Correct answer:
oleaginous

An oleaginous base is an ingredient used in compounding that does not dissolve in water. Other
properties of an oleaginous base include: good compatibility with many other medications and difficulty in
removing from clothing and skin.

The national drug code (NDC) number identifies all but which of the following?

expiration date

drug
specific dosage form

strength

Correct Answer:
expiration date

Explanation:
Correct answer:
expiration date

The expiration date is not a part of the NDC number. The NDC number identifies the drug, the specific
dosage form, the strength, and the manufacturer.

There are several types of syringe tips. The tip that has a collar with grooves that lock the needle in place
is which of the following?

Slip-Tip

eccentric tip

Luer-Lok

oral syringe tip

Correct Answer:
Luer-Lok

Explanation:
Correct answer:
Luer-Lok

Luer-Lok tips have a collar with grooves that lock the needle in place. Slip-Tip tips allow the needle to be
held on the syringe by friction. Eccentric tips, which are off-center, are used when the needle must be
parallel to the plane of injection. Oral syringes have tips larger that a Slip-Tip. Needles will not fit on oral
syringes.

Find the least common denominator of the following fractions. What is the result?

1/12 3/6 4/5

24

30

60

120

Correct Answer:
60

Explanation:
Correct answer:
60

The smallest multiple of the three denominators is the least common denominator. In this case that would
be 60. Each denominator is divisible into 60, which is the smallest multiple of the three denominators.

Which of the following is NOT one of the five rights of medication safety?

the right patient

the right price

the right dose

the right time


Correct Answer:
the right price

Explanation:
Correct answer:
the right price

The right price is not one of the five rights of medication safety. The rights are: the right patient; the right
drug; the right dose; the right route; and the right time.

Which of the following drugs commonly used for conditions of the eye is and anticholinergic drug?

Cyclogyl

Emadine

Acular

Tobrex

Correct Answer:
Cyclogyl

Explanation:
Correct answer:

Cyclogyl

Cyclogyl is an anticholinergic drug. Its generic name is cyclopentolate. Emadine is an antihistamine;


Acular is an anti-inflammatory; and Tobrex is an anti-infective.
Which of the following would not be a proper procedure for measuring liquids?

Choose the proper size graduate such that quantity to be measured is not less than 20% of the
total volume of graduate.
Measure the level of liquid at eye level and make observation at the top of the meniscus.

Pour the liquid down the center of the graduate slowly and watch the level of liquid rise to the
desired volume.
Allow time for all liquid to fall in the graduate before taking measurement.

Correct Answer:
Measure the level of liquid at eye level and make observation at the top of the meniscus.

Explanation:
Correct answer:
Measure the level of liquid at eye level and make observation at the top of the meniscus.

This is incorrect. You would measure the level of liquid at eye level and make observation at
the bottom of the meniscus. When pouring the measured liquid into a container, allow for the liquid to be
completely drained from the graduate.

The term days supply can best be described as which of the following?

the number of days a dispensed quantity of medication will last

the quantity of a dispensed medication that will last for one day

the number of days until expiration of the medication

the number of days that the medication has been in inventory


Correct Answer:
the number of days a dispensed quantity of medication will last

Explanation:
Correct answer:
the number of days a dispensed quantity of medication will last

A days supply is the number of days a dispensed quantity of medication will last.

2 2
Using a BSA of 0.3 m , calculate the dose for a child, if the adult dose of the medication is 50 mg/m .

15 mg

8.8 mg

0.88 mg

0.15 mg

Correct Answer:
8.8 mg

Explanation:
Correct answer:
8.8 mg

Multiply the BSA by the prescribed dose to obtain the adult dose; then divide the adult dose by the
2
conversion factor of 1.7 m .
2
0.3 m x 50 mg = 15
2
15 1.7 m = 8.8 mg per dose

100 mL of a cream contains 10 mg of medication. What is the percentage of medication in the cream?

1%
10%

0.1%

0.01%

Correct Answer:
0.01%

Explanation:
Correct answer:
0.01%

Percentage of a solution is expressed in grams per 100 mL. Convert 10 mg to grams and you bet
10/1000 or 0.01. Therefore the percentage of medication in the cream is 0.01%.

A dispersion consists of a solute dispersed through a dispersing vehicle. Which of the following
dispersions is a liquid for topical application that contains insoluble solids or liquids?

ointment

lotion

paste

gel

Correct Answer:
lotion

Explanation:
Correct answer:
lotion
A lotion is a liquid for topical application that contains insoluble solids or liquids. An ointment is a
semisolid dosage form for topical application. A paste is similar to an ointment but contains more solid
materials. A gel is a two-phase system that has a semisolid form.

An antipyretic agent is used to relieve which of the following?

fever

itching

pain

rashes

Correct Answer:
fever

Explanation:
Correct answer:
fever

Antipyretic agents help reduce fever. Antipruritics are used to relieve itching and rashes, and analgesics
are used to relieve pain.

For which of the following types of health insurance plans must a primary care physician make referrals to
specialists in advance?

Medicare

Medicaid

HMO

PPO
Correct Answer:
HMO

Explanation:
Correct answer:
HMO

Patients in an HMO must select a primary care physician (PCP) who has contracted with the HMO to be
their first or primary point of medical care. The PCP must make referrals to specialists in advance.

Which of the following cardiovascular agents is an ACE inhibitor?

Minipress

Aldomet

Lanoxin

Prinivil

Correct Answer:
Prinivil

Explanation:
Correct answer:
Prinivil

Prinivil is an angiotensin-converting enzyme inhibitor (ACE inhibitor or ACEI). ACE inhibitors are a group
of agents that help reduce blood pressure by causing a decrease of pressure in the arteries.
Which of the following would be the best definition for the cost of goods available for sale?

the total cost of merchandise sold during the period

the sum of the beginning merchandise inventory and the cost of goods purchased

the sum of the net purchases and freight charges

none of the above

Correct Answer:
the sum of the beginning merchandise inventory and the cost of goods purchased

Explanation:
Correct answer:

the sum of the beginning merchandise inventory and the cost of goods purchased

The cost of goods available for sale is the sum of the beginning merchandise inventory and the cost of
goods purchased. The total cost of merchandise sold during the period is cost of goods sold. The sum of
the net purchases and freight charges is the cost of good purchased.

When team members are trained in skills to perform more than one job it is called:

cross-functioning

self-management

multiskilling

virtual grouping
Correct Answer:
multiskilling

Explanation:
Correct answer:
multiskilling

When team members are trained in skills to perform more than one job it is called multiskilling. Cross-
functioning or cross-training is bringing together persons from different functions to work on a common
task. Self-management is when a team is empowered to make decisions. A virtual group is a group of
team members that are linked together electronically by computers.

Which of the following types of insurance is a program for individuals and families with low incomes or
disabilities?

Medicare

Medicaid

PPO

HMO

Correct Answer:
Medicaid

Explanation:
Correct answer:
Medicaid

Medicaid is the health insurance program for individuals and families with low incomes or disabilities. It is
managed by the state and funded jointly by the states and federal government.

A medication must be given at a dose of 2 mg/kg. If a person weighs 75 kg what is the dose of
medication?
375 mg

150 mg

37.5 g

150 g

Correct Answer:
150 mg

Explanation:
Correct answer:
150 mg

2 mg/1kg = x mg/75 kg
x = 2 x 75
x = 150 mg

Which of the following drugs is a leukotriene inhibitor?

Intal

Nasalcrom

Xolair

Zyflo

Correct Answer:
Zyflo

Explanation:
Correct answer:
Zyflo

Zyflo is a leukotriene inhibitor. Other leukotriene inhibitors are Singulair and Accolate. Intal is a respiratory
inhaler mast cell stabilizer. Nasalcrom is a nasal mast cell stabilizer. Xolair is an immunomodulator.

Creams, lotions, ointments, and suppositories are considered which of the following kinds of dosage
forms?

liquid

solid

semiliquid

semisolid

Correct Answer:
semisolid

Explanation:
Correct answer:
semisolid

The semisolid dosage forms include creams, lotions, ointment, and suppositories. Semisolid agents are
different in their composition from liquids or solids. Although they contain solids and liquids, the normally
are intended for topical application.

How can a pharmacy technician identify a drug that has been recalled?

by its generic name

by its trade name

by both generic and trade name

by NDC and lot number


Correct Answer:
by NDC and lot number

Explanation:
Correct answer:
by NDC and lot number

Recalled products are returned to their manufacturers directly from the pharmacy. Manufacturers prepare
and distribute precise details and instructions on how to respond to a recall. Recalled products are
identified by their NDC and lot numbers. Generic and/or trade name is not enough information to identify
the recalled product.

A 25% discount will be given on a $2,000 invoice if the invoice is paid within 15 days. What is the total
amount of the discount that the pharmacy could take?

$250

$50

$150

$500

Correct Answer:
$500

Explanation:
Correct answer:
$500

25% of $2000 is $500.

25% = 0.25
0.25 x $2000 = $500
Which of the following is the highest purity of chemical used in a compounded formulation?

spectroscopic grade

analytical reagent (AR)

primary standard

HPLC

Correct Answer:
primary standard

Explanation:
Correct answer:
primary standard

The primary standard grade of chemical is of the highest purity. It is used in standard solutions for
analytical purposes. The other three choices are classified as very high purity.

An inherited skin condition in which little or no melanin is made is which of the following?

alopecia

milaria

albinism

hirsutism
Correct Answer:
albinism

Explanation:
Correct answer:
albinism

The inherited skin condition in which little or no melanin is made is albinism. Albinism occurs when one of
several genetic defects makes the body unable to produce or distribute melanin, a natural substance that
gives color to the hair, skin, and iris of the eye.

The DAW code 2 means which of the following?

Physician authorized generic substitution and a generic equivalent is available but the patient
refuses the generic substitution.
Physician requires that the prescription be filled exactly as written no substitution permitted.

Physician authorized generic substitution and patient accepts the generic or a generic is not
available.
none of the above

Correct Answer:
Physician authorized generic substitution and a generic equivalent is available but the patient
refuses the generic substitution.

Explanation:
Correct answer:
Physician authorized generic substitution and a generic equivalent is available but the patient
refuses the generic substitution.

There are three DAW codes with different meanings. When the physician authorized generic substitution
and a generic equivalent is available but the patient refuses the generic substitution this is indicated by a
code 2.

Which of the following statements about transdermal products is least accurate?

They can be placed under the skin for absorption directly into the bloodstream.
They result in improved patient compliance.

They provide accurate drug dosage.

They provide regulation of drug concentration.

Correct Answer:
They can be placed under the skin for absorption directly into the bloodstream.

Explanation:
Correct answer:
They can be placed under the skin for absorption directly into the bloodstream.

This is not accurate. Transdermal products are placed on the skin to deliver a controlled dose of
medication through the skin. Implants or pellets are placed under the skin through injection.

Which of the following statements is not correct in terms of storage of vaccines?

Most vaccines should be kept at temperatures between 2 and 8 C.

One must never freeze a vaccine.

FluMist can be frozen if packed in a specially made freeze box issued by the manufacturer.

Varicella vaccine must be kept frozen until the time or its use.

Correct Answer:
One must never freeze a vaccine.

Explanation:
Correct answer:
One must never freeze a vaccine.
This is incorrect. Some vaccines may be frozen; others must be frozen. The Centers for Disease Control
and Prevention have guidelines on the storage of vaccines in order to preserve their effectiveness.

The size of a needle is known as its:

shaft

gradation

calibration

gauge

Correct Answer:
gauge

Explanation:
Correct answer:
gauge

Needles are made of aluminum or stainless steel. They are available in many different sizes called
gauges. Higher gauged needles are used by nurses to administer injections. In the pharmacy lower
gauge needles make drawing medications easier.

Antineoplastics are drugs that inhibit or prevent the growth of malignant cells. They are subdivided into
categories that include all of the following EXCEPT:

alkylating agents

aminoglycosides

antimetabolites

hormones
Correct Answer:
aminoglycosides

Explanation:
Correct answer:
aminoglycosides

Aminoglycosides are a category of anti-infective drugs. The categories of antineoplastics include:


alkylating agents, antimetabolites, hormones, antineoplastic antibiotics, mitotic inhibitors and biological
response modifiers.

A medication in tablet form that must be dissolved into a liquid before administration is which of the
following?

chewable tablet

sublingual tablet

buccal tablet

effervescent tablet

Correct Answer:
effervescent tablet

Explanation:
Correct answer:
effervescent tablet

An effervescent tablet is dissolved into a liquid before administration. These tablets contain special
ingredients that release the active chemical ingredient by reacting with the liquid. They allow for quicker
absorption in the body than a solid tablet.
Which of the following medications would NEVER be dispensed with a safety lid?

isosorbide SL

warfarin

nitroglycerin

contraceptives

Correct Answer:
nitroglycerin

Explanation:
Correct answer;
nitroglycerin

Nitroglycerin is used for emergency situations. It is never dispensed with a safety lid. Isosorbide
SL may be dispensed without a safety lid. For all other medications a safety lid is not necessary if it is
requested by the doctor on the prescription or requested by the patient and documented in the computer
or in hard copy.

The term for separating an ingredient from a suspension or solution is which of the following?

reconstitution

precipitation

hyperalimentation

compounding
Correct Answer:
precipitation

Explanation:
Correct answer:
precipitation

Precipitation is the term for separating an ingredient from a suspension or solution. Reconstitution is to
add a diluent such as saline or sterile water to a powder. Hyperalimentation is parenteral nutrition for
persons who are unable to eat solids or liquids. Compounding is the act of mixing, reconstituting and
packaging a drug.

A substance that interacts with tissues, producing some of the symptoms of an allergic reaction is which
of the following?

antipyretic

bradykinin

histamine1

antigen

Correct Answer:
histamine1

Explanation:
Correct answer:
histamine1

Histamine1 is a substance that interacts with tissues, producing some of the symptoms of an allergic
reaction. Histamine1-receptors are located in the lower respirator tract and skin.

The ability of a drug to produce the desired effect(s) in the body for the intended use is which of the
following?

efficacy
bioavailability

potency

purity

Correct Answer:
efficacy

Explanation:
Correct answer:
efficacy

Efficacy is the ability of a drug to produce the desired effect(s) in the body for the intended use. Clinical
trials of the drug, which include the use of a placebo, are conducted to judge the effectiveness.

How many milliliters of an IV fluid will a patient receive if he is infused at the rate of 120 mL/hr over 4
hours?

480 mL

48 mL

30 mL

3 mL

Correct Answer:
480 mL

Explanation:
Correct answer:
480 mL
The patient will receive 480 mL over 4 hours. This is calculated by multiplying the rate by the time.

120 mL/hr X 4 hr = 480 mL.

In terms of extemporaneous compounding equipment which of the following pieces of equipment is made
of glass, Wedgwood or porcelain?

digital balance

funnel

mortar and pestle

graduate

Correct Answer:
mortar and pestle

Explanation:
Correct answer:
mortar and pestle

A mortar and pestle is used to mix ingredients. Glass is used for mixing liquids and semisolid dosage
forms. Wedgwood is used in the trituration of crystals, granules and powders. Porcelain is similar to
Wedgwood and is more commonly used in the blending of powders.

Which of the following statements about dosage forms and drug stability is least accurate?

The form of a drug contributes to its stability.

The stability of a drug is greatly increased when it is in tablet form, as compared to other dosage
forms.
The manufacturers label on the stock bottle should be consulted to determine the proper storage
conditions for a drug.
A drug that is packaged with water added may retain its potency longer than a drug that is
packaged dry.
Correct Answer:
A drug that is packaged with water added may retain its potency longer than a drug that is
packaged dry.

Explanation:
Correct answer:
A drug that is packaged with water added may retain its potency longer than a drug that is
packaged dry.

This is the least accurate statement. A drug that is packaged dry on the shelf may retain its potency
longer than if water is added. The presence of water accelerates the breakdown of the drug and severely
shortens its shelf life.

Which of the following terms is used for medication directions written on a prescription that describe how
a medication should be taken or used?

Rx

script

auxiliary label

sig

Correct Answer:
sig

Explanation:
Correct answer:
sig

Sig is from the Latin signa which means to sign. It is the term for medication directions written on a
prescription that describe how a medication should be taken or used. Pharmacy technicians must be
familiar with the sig codes used in prescriptions.
You receive a prescription for a medication that must be taken in 20 mg capsules twice a day for 30 days.
How many capsules are needed to fill this prescription?

120

240

60

90

Correct Answer:
60

Explanation:
Correct answer:
60

Solve for the variable of capsules needed. This can be expressed as follows:
X (capsules needed) = capsules per dose x doses per day x days needed
X = 1 x 2 x 30 = 60

Therefore 60 capsules needed to fill the prescription.


Test 6
Formulary systems include all of the following EXCEPT:

open formulary

closed/restricted formulary

closed formulary

restricted formulary

Correct Answer:
closed/restricted formulary

Explanation:
Correct answer:
closed/restricted formulary

A formulary is a list of drugs that are approved for use in an institution such as a hospital or whose cost
will be reimbursed by a third-party carrier to a pharmacy. Formulary systems include: open formulary (all
pharmaceutical products carried); closed formulary (limited number of products of each drug classification
covered); and restricted formulary (a hybrid of both open and closed formularies).

Solid pieces of material that hold a specific amount of medication to be released into the skin and
absorbed into the bloodstream over time is called a(n):

implant

transdermal patch

elixir

aerosol
Correct Answer:
transdermal patch

Explanation:
Correct answer:
transdermal patch

A transdermal patch is a solid piece of material that holds a specific amount of medication to be released
into the skin and absorbed into the bloodstream over time. Patches are convenient dosage forms
because they are administered easily and eliminate possible upset stomach.

You have a medication that must be kept at 60 F. In Celsius, this would be approximately which of the
following?

10 C

15 C

20 C

72 C

Correct Answer:
15 C

Explanation:
Correct answer:
15 C

To convert from Fahrenheit temperature to Celsius, use the following formula:


C = (F 32) 1.8. Therefore, 60 32 = 28; and 28 1.8 = 15.5 or approximately 15 C.

The process of transmitting a prescription electronically to the proper insurance company or third-party
biller for approval is called:
adjudication

translation

profiling

review

Correct Answer:
adjudication

Explanation:
Correct answer:
adjudication

Adjudication is the process of transmitting a prescription electronically to the proper insurance company
or third-party biller for approval. It is part of determining the proper payment for an insurance claim. This
takes place at the time a prescription is dispensed.

How much of a 1000 tablet bottle is left after 200 tablets are removed?

4/5

1/5

3/5

2/5

Correct Answer:
4/5

Explanation:
Correct answer:
4/5

Removing 200 tablets from a 1000 tablet bottle leaves 800 tablets. This is 800/1000 of the bottle or 8/10
which equals 4/5.

The lesions of acne are classified into different categories. Which of the following categories is
characterized by small, red, inflamed follicular spots?

whiteheads

blackheads

pustules

papules

Correct Answer:
papules

Explanation:
Correct answer:
papules

Papules are small, red inflamed follicular spots. Whiteheads are small papules without inflammation.
Blackheads are open comedones that can have either single or multiple heads. Pustules are various
sizes of pus-filled sites that are inflamed.

If the cost of a bottle of medication is $30.00 and the markup is 100%, what will the bottle of medication
cost the customer?

$90.00

$75.00

$60.00
$45.00

Correct Answer:
$60.00

Explanation:
Correct answer:
$60.00

A markup of 100% on a bottle that cost $30 is $30. Add this markup of $30 to the cost of the bottle and
you get $60.00.

Which of the following sizes of syringes would be used to produce the most accuracy?

1 mL

0.5 mL

10 mL

60 mL

Correct Answer:
0.5 mL

Explanation:
Correct answer:
0.5 mL

As the size of the syringe increases, the accuracy decreases. Therefore, for the most accuracy, the
smallest size of syringe would be used. Of the choices given, the 0.5 mL syringe would result in the most
accuracy.
The pharmacy technician must be able to interpret Roman numerals. The Roman numeral MDCIX stands
for which of the following?

1,409

1,411

1,609

1,611

Correct Answer:
1,609

Explanation:
Correct answer:
1,609

The Roman numeral MDCIX stands for 1,609. M = 1000, D = 500, C = 100, and IX = 9.
1,000 + 500 + 100 + 9 = 1,609.

Which of the following entities is responsible for investigating complaints about privacy issues and
enforcing privacy regulations?

OSHA

FDA

CPSA

OCR
Correct Answer:
OCR

Explanation:
Correct answer:
OCR

The Office for Civil Rights (OCR) is responsible for investigating complaints about privacy issues and
enforcing privacy regulations. A patient may file a complaint against a healthcare provider regarding
privacy issues at any time.

The pharmacy technician is preparing a dose of 200 mg with tablets that are only available in 50 mg
strength. How many tablets will the pharmacist need to dispense if the patient is to take 200 mg bid for
two weeks?

112

56

110

50

Correct Answer:
112

Explanation:
Correct answer:
112

The technician should prepare 112 tablets of 50 mg strength for the patient. This is calculated by dividing
200 mg by 50 mg to find out how many 50 mg tablets are in one dose. The answer is 4. The patient is to
take the 200 mg twice a day, so 4 is multiplied by 2 to get 8 tablets needed per day. Multiplying 8 by 14
days gives a total of 112 tablets.

Pharmacies that are located inside facilities such as prisons or hospitals are called:
institutional pharmacies

closed door pharmacies

community pharmacies

open door pharmacies

Correct Answer:
institutional pharmacies

Explanation:
Correct answer:
institutional pharmacies

Institutional pharmacies are located in facilities such as hospitals, prisons and other institutions. Typically
medications are filled for 24 hours.

In which of the following conditions is the heart deprived of oxygen because of a reduced oxygen supply
causing heart muscle cells to die?

congestive heart failure

angina

hypertension

myocardial infarction

Correct Answer:
myocardial infarction

Explanation:
Correct answer:
myocardial infarction

A myocardial infarction (MI) is a condition in which the heart is deprived of oxygen because of a reduced
oxygen supply causing heart muscle cells to die. It is commonly called a heart attack. Myocardial
infarction may be caused by angina, excessive alcohol consumption, dyspnea on exertion, reduced
pulmonary vital capacity, cigarette smoking, or atherosclerosis.

Lanolin is considered which type of ointment base?

oleaginous

emulsion

water-soluble

absorption

Correct Answer:
emulsion

Explanation:
Correct answer:
emulsion

Emulsion bases have properties that include the following: insoluble in water, not washable unless mixed
with w/o base; subject to water loss; washable and nongreasy when in an o/w base; and more prone to
mold growth unless a preservative is added. Lanolin is considered an emulsion base.

Which of the following laws requires that a medication must obtain premarketing approval from the
government before use?

FDA

DEA

OSHA
Federal Food, Drug and Cosmetic Act

Correct Answer:
Federal Food, Drug and Cosmetic Act

Explanation:
Correct answer:
Federal Food, Drug and Cosmetic Act

The Federal Food, Drug and Cosmetic Act requires that a medication must obtain premarketing approval
from the government before use. A hospital pharmacy is responsible for the distribution and control of
investigational drugs. The pharmacy must provide clinical services such as patient education, staff in-
service training and reporting of adverse reactions.

A prescription medication has a usual and customary cost of $60.00. The acquisition cost of the
prescription medication is $8.00. What is the net profit if the dispensing fee is $4.00?

$48.00

$52.00

$50.00

$56.00

Correct Answer:
$48.00

Explanation:
Correct answer:
$48.00

The net profit is the usual and customary cost minus the acquisition cost and the dispensing fee. In this
case the net profit is $60.00 minus $12.00 ($8.00 + $4.00) or $48.00.

In terms of the compounding area for non-sterile compounding which of the following statements is least
accurate?

The compounding area should be away from areas where normal prescription processing is
located.
The compounding surface should be smooth.

There should be overhanging shelves or ledges for supplies.

There should be a sink located close to the compounding site.

Correct Answer:
There should be overhanging shelves or ledges for supplies.

Explanation:
Correct answer:
There should be overhanging shelves or ledges for supplies.

This is inaccurate. Overhanging shelves or ledges should not be located over the compounding
workspace. Dust can accumulate in these spaces and be transferred to the compounding area.

Which of the following applications has the most solids in them?

creams

ointments

pastes

lotions
Correct Answer:
pastes

Explanation:
Correct answer:
pastes

Ointments, pastes and creams each have different consistencies depending on the amount of solids
used. Pastes have more solids in them than ointments and creams.

Solve the following equation: 16x 30 24x + 60 = y where x is a variable, and you solve for y

-8x + 30

-8x - 90

-8x - 30

-8x + 90

Correct Answer:
-8x + 30

Explanation:
Correct answer:
-8x + 30

First combine like terms


16x - 24x -30 + 60 = y
(16x - 24x) + (-30 + 60) = y
-8x + 30 = y

The national Internet-accessible database that hospitals and health care systems use to track adverse
drug reactions and medication errors is which of the following?
MedWatch

MEDMARX

United States Pharmacopeia (USP)

National Coordinating Council for Medication Error Reporting and Prevention (NCC MERP)
Database

Correct Answer:
MEDMARX

Explanation:
Correct answer:
MEDMARX

MEDMARX is a national Internet-accessible database that hospitals and health care systems use to track
adverse drug reactions and medication errors. MedWatch is a program established by the FDA for
reporting drug and medical product safety alerts and label changes. The USP strives to ensure the
quality, safety and benefit of medicines and dietary supplements by setting standards and certification
processes. NCC MERP is an independent council of more than 25 organizations gathered to address
interdisciplinary causes of medication errors and strategies for prevention.

Of the following, which is the most common type of arteriosclerosis?

sclerosis of the arterioles

calcific sclerosis of the medial layer

atherosclerosis

none of the above


Correct Answer:
atherosclerosis

Explanation:
Correct answer:
atherosclerosis

Atherosclerosis is the most common type of arteriosclerosis (hardening and loss of elasticity of the arterial
vessels). It causes angina, transient ischemic attacks, stroke or even a myocardial infarction resulting
from the formation of a thrombus (clot).

Which of the following treatment for lice is by prescription only?

Nix

Ulesfia

Tegrin LF

Pronto

Correct Answer:
Ulesfia

Explanation:
Correct answer:
Ulesfia

Ulesfia is the newest prescription treatment for lice. Other prescription treatments include Ovide and
Kwell. The other three choices are OTC treatments.

Which of the following parts of the blood contain hemoglobin?

plasma

platelets
white blood cells

red blood cells

Correct Answer:
red blood cells

Explanation:
Correct answer:
red blood cells

Red blood cells contain hemoglobin to transport O2. White blood cells are involved with fighting infection;
platelets are involved with blood clotting; and plasma carries water, gases, nutrients, wastes, ions,
hormones and more.

Used syringes, needles, ampules and vials waiting for disposal should be placed in which of the
following?

biohazard container

lined waste receptacle

sharps container

any of the above

Correct Answer:
sharps container

Explanation:
Correct answer:
sharps container
Sharps containers are used for the storage of used syringes, needles, ampules and vials waiting for
disposal. The needles should be clipped or snapped.

Special efforts must be made to communicate with patients who have a hearing impairment. Hearing
impairment is categorized according to severity. A person who is hard of hearing:

has little or no residual hearing capability

is partially unable to hear

hears normally in one ear, but has trouble hearing with the other ear

none of the above

Correct Answer:
is partially unable to hear

Explanation:
Correct answer:
is partially unable to hear

Hearing-impaired individuals have a relative insensitivity to sound in the speech frequencies. Hearing
impairment is categorized according to severity as deafness (little or no residual hearing capability); hard
of hearing (partially unable to hear); and unilateral hearing loss (hearing normally in one ear, but having
trouble hearing with the other ear).

Special considerations must be given to some drugs ordered by the pharmacy. These drugs include all
but which of the following?

BTC drugs

cytotoxic drugs

hazardous substances

investigational drugs
Correct Answer:
BTC drugs

Explanation:
Correct answer:
BTC drugs

BTC drugs are behind-the-counter drugs like Sudafed. They are not drugs that need special consideration
(like special ordering inventory, storage, handling, and return documentation).

You have a prescription for 150 mL of liquid medication and you must convert this to fluid ounces. If there
are 29.57 mL in each fl oz, how many fluid ounces are in 150 mL?

5.7

5.07

4435.5

44.36

Correct Answer:
5.07

Explanation:
Correct answer:
5.07

x fl oz = total prescribed medication ml/fl oz


x = 150 29.57
x = 5.07
Using Clarks rule calculate the dosage for a 5-year-old child weighing 60 lb who is prescribed a drug
which has a usual adult dosage of 1.25 g. What is the appropriate dosage for this child?

500 mg

50 mg

34.09 mg

250 mg

Correct Answer:
500 mg

Explanation:
Correct answer:
500 mg

Clarks rule is based on the patients weight expressed in pounds. The childs weight is divided by 150
and the result is multiplied by the adult dose. In this case, the childs weight, 60 lb is divided by 150. The
result is 0.4. This is multiplied by the adult dose of 1250 mg (1.25 g) to give you a pediatric dosage of 500
mg.

The pharmacy will be given a 40% discount on a $12,000 invoice if paid within 10 days. If the pharmacy
pays the invoice within the 10 days, how much will it have to pay?

$4,800

$11,520

$7,200

$480
Correct Answer:
$7,200

Explanation:
Correct answer:
$7,200

The pharmacy will pay $7,200. The discount is 40% of $12,000 which is $4,800. When this discount
amount is deducted from the total invoice amount of $12,000, the result is $7,200.

The injection technique used for medications that stain the skin or irritate tissues is which of the
following?

Z-Tract injection

subcutaneous injection

intradermal injection

none of the above

Correct Answer:
Z-Tract injection

Explanation:
Correct answer:
Z-Tract injection

A Z-Tract injection is used for medications that stain the skin, such as iron dextran injections, or for
medications that irritate tissues, such as diazepam. The skin is pulled to one side prior to injection; then
the injection is performed. Once the needle is removed, the skin is released so that the injection points in
the skin and muscle are no longer aligned.

Which of the following records documents receipt of medication on a nursing floor from a pharmacy?
controlled substance administration record

medication administration record

prescription medication record

medication delivery record

Correct Answer:
medication delivery record

Explanation:
Correct answer:
medication delivery record

The medication delivery record documents the receipt of medication on a nursing floor from the
pharmacy. Records are checked against records in the pharmacy.

The type of drug that can decrease the coughing reflex of the central nervous system is which of the
following?

antiinflammatory

antipyretic

antiseptic

antitussive

Correct Answer:
antitussive

Explanation:
Correct answer:
antitussive

An antitussive is a drug that can decrease the coughing reflex of the central nervous system. For dry,
non-phlegm-producing coughs, an antitussive agent is commonly used to reduce the coughing.

The following are all proper regulations for shipping radioactive material EXCEPT:

The container must be specifically labeled based on the activity of the radioactive material.

The container must have a Caution: Radioactive label on it.

The shipping container must be durable, heavy plastic.

Shipping papers must be inside the shipping container.

Correct Answer:
The shipping container must be durable, heavy plastic.

Explanation:
Correct answer:
The shipping container must be durable, heavy plastic.

This is not a proper regulation. The shipping containers for radioactive materials must be metal.

Thiazides are a class of diuretics. At what time of day should a patient normally take a thiazide?

at bedtime

in the morning

with meals

mid day
Correct Answer:
in the morning

Explanation:
Correct answer:
in the morning

Common side effects for all thiazides include frequent urination. For this reason they normally are to be
taken early in the day to avoid nocturia.

Most sizes of syringes hold their needles in place by a mechanism that ensures a safe seal for the
withdrawal of medication. These are known as which of the following?

tension-type syringe

Tubex

Luer-Lok

Carpuject

Correct Answer:
Luer-Lok

Explanation:
Correct answer:
Luer-Lok

Most sizes of syringes hold their needles in place by a lock mechanism, commonly referred to as a Luer-
Lok. This ensures a safe seal for the withdrawal of medication. A tension-type syringe has a needle
attached by friction only. Tubex or Carpuject syringes involve screwing the bottom of the cartridge into the
systems syringe holder.
Convert 0.3567 to a percentage. What is the result?

0.03567%

0.3567%

.567%

35.67%

Correct Answer:
35.67%

Explanation:
Correct answer:
35.67%

To convert a decimal to a percentage move the decimal point 2 places to the right. This gives you
35.67%.

Which of the following divisions of the peripheral nervous system transmits impulses from the bodys
organs to the central nervous system?

somatic

autonomic

efferent

afferent
Correct Answer:
afferent

Explanation:
Correct answer:
afferent

The afferent division of the peripheral nervous system transmits impulses from the bodys organs to the
central nervous system. The efferent division then relays the interpreted impulses to the appropriate
organ and triggers an effect. The efferent division is further divided into the somatic and autonomic
divisions.

If a substance is occlusive it means which of the following?

It contains no water.

It keeps air from reaching a wound.

It is a liquid mixture of water and oil.

It contains no oil.

Correct Answer:
It keeps air from reaching a wound.

Explanation:
Correct answer:
It keeps air from reaching a wound.

Occlusive means closing or blocking. For example, water-in-oil emulsions are heavy, greasy, emollient
and occlusive. They close or cover a wound and keep the air from reaching the wound.

In terms of requirements for the laminar flow hood in a pharmacy, which of the following statements is
incorrect?

The laminar flow hood should provide an ISO Class 5 clean environment.
The work surface should be cleaned after each use with soap and water.

The prefilter and the HEPA filter need to be maintained such that particles greater than 3 microns
cannot enter the sterile area.
The laminar flow hood needs to be certified every 6 months or whenever the HEPA filter becomes
wet.

Correct Answer:
The work surface should be cleaned after each use with soap and water.

Explanation:
Correct answer:
The work surface should be cleaned after each use with soap and water.

This is incorrect. The work surface should be cleaned with 70% isopropyl alcohol. The hood is wiped
down with 70% isopropyl alcohol as well.

The bulging transparent cover of the eye that allows light into the eye for visual acuity is called the:

conjunctiva

cornea

orbit

iris

Correct Answer:
cornea

Explanation:
Correct answer:
cornea
The cornea is the bulging transparent cover of the eye that allows light into the eye for visual acuity. It is
composed of connective tissue and is covered in a thin coating of epithelium. The cornea does not
contain blood vessels.

Which of the following automated systems is NOT an automated storage and retrieval system?

PharmacyCentral

MedCarousel

Omnicell

MedSide

Correct Answer:
Omnicell

Explanation:
Correct answer:
Omnicell

Omnicell is an automated delivery system, not a storage and retrieval system. All of the other choices are
automated storage and retrieval systems.

Which of the following is the term for stating the purpose and goals of an organization?

policy

mission statement

procedure

organizational structure
Correct Answer:
mission statement

Explanation:
Correct answer:
mission statement

The mission statement states the purpose and goals of an organization. This should not be confused with
policy which sets a definite course or method of action to attain goals and objectives.

Which of the following forms is needed to notify the DEA before expired controlled substances are
destroyed?

DEA form 222

DEA form 224

DEA form 106

DEA form 41

Correct Answer:
DEA form 41

Explanation:
Correct answer:
DEA form 41

DEA form 41 is used to notify the DEA before destruction of controlled substances may occur. A copy of
this form must be maintained at the pharmacy site for a minimum of 2 years after the destruction of
controlled substances.

The type of drug that produces a certain, predicted action when it binds to the correct receptor is which of
the following?

target drug

controller

antagonist

agonist

Correct Answer:
agonist

Explanation:
Correct answer:
agonist

An agonist is a type of drug that activates the receptor to produce a predicted action. An antagonist is a
type of drug that prevents receptor activation.

Which of the following drugs is a first generation oral antihistamine?

Chlor-Trimeton

Zyrtec

Clarinex

Allegra

Correct Answer:
Chlor-Trimeton
Explanation:
Correct answer:
Chlor-Trimeton

Chlor-Trimeton allergy relief is a first generation (nonselective) oral antihistamine. The other choices are
second generation oral antihistamines (peripherally selective).

The directions for mixing a liquid medication state when 400 mL of water are added to the contents of the
bottle, the resulting volume is 900 mL. What is the powder volume?

1300 mL

450 mL

500 mL

550 mL

Correct Answer:
500 mL

Explanation:
Correct answer:
500 mL

The formula to use is:

Final volume = volume of diluent + powder volume.


900 mL = 400 mL + powder volume
900 mL 400 mL = powder volume = 500 mL

Automated dispensing systems have been used for years in hospitals and institutions as well as
community pharmacies. The type of robotic system that consists of large wall units that use cassettes,
each filled with preloaded medications is which of the following?

SP 200 System
Baker Cell System

Pyxis

KL20

Correct Answer:
Baker Cell System

Explanation:
Correct answer:
Baker Cell System

The Baker Cell System is used by pharmacies to process a high volume of prescriptions. When a drug is
ordered, the device can quickly count the appropriate amount of capsules or tablets into a prescription
vial.

If a product is on sale for 30% off the retail price and the retail price is $4.50, what will the product sell
for?

$1.35

$3.45

$3.15

$3.51

Correct Answer:
$3.15

Explanation:
Correct answer:
$3.15

The discount for the sale is 30% or 0.30. Multiply the normal retail price of $4.50 by 0.30 and the result is
$1.35 discount. Subtract this from $4.50 and you get a discounted price of $3.15.

Which type of mortar and pestle is preferable for mixing liquids and semisolid dosage forms?

glass

Wedgwood

porcelain

none of the above

Correct Answer:
glass

Explanation:
Correct answer:
glass

Glass mortars and pestles are preferable for mixing liquids and semisolid dosage forms. Wedgwood and
porcelain mortars are earthenware, relatively coarse in texture, and are used to grind crystals and large
particles into fine powders.

The only type of compounding that may be done away from the compounding area is which of the
following?

reconstitution of premade oral suspensions

blending of creams

making suppositories

filling a capsule
Correct Answer:
reconstitution of premade oral suspensions

Explanation:
Correct answer:
reconstitution of premade oral suspensions

The only type of compounding that may be done away from the compounding area is reconstitution of
premade oral suspensions. Reconstituting involves mixing a diluent (liquid) into a powder to form a
solution or suspension. These products are simple to prepare and do not need to be logged or labeled in
the same manner as compounded products.

The study of naming and classifying organisms is called:

virology

biology

taxonomy

morphology

Correct Answer:
taxonomy

Explanation:
Correct answer:
taxonomy

Taxonomy is the science of classification. With respect to biology, taxonomy is a hierarchical structure for
the nomenclature (naming) and classification of organisms.
The group that develops a formulary for a hospital is the:

State Board of Pharmacy

Pharmacy and Therapeutics Committee

Hospital administration

DEA

Correct Answer:
Pharmacy and Therapeutics Committee

Explanation:
Correct answer:
Pharmacy and Therapeutics Committee

The Pharmacy and Therapeutics Committee is composed of pharmacists, physicians, nurses, pharmacy
buyers, and accountants who develop a formulary for a hospital. The most effective therapeutic agents
are chosen for an institution.

Which of the following Roman numerals represents 500?

M
Correct Answer:
D

Explanation:
Correct answer:
D

500 is represented by the Roman numeral D. L = 50; C = 100; and M = 1000.

The ingredient that is dissolved into a solution is which of the following?

solvent

solute

elixir

emulsion

Correct Answer:
solute

Explanation:
Correct answer:
solute

A solution is a water base in which the ingredients dissolve completely. The solute is the ingredient that is
dissolved into the solution. The solvent is the greater part of a solution that dissolves a solute.

Which of the following statements in regard to diluents is incorrect?

A diluent is a solvent.

A diluent is an inert substance.

A diluent has a concentration of 0%.


The diluent does not add volume or mass to the preparation.

Correct Answer:
The diluent does not add volume or mass to the preparation.

Explanation:
Correct answer:
The diluent does not add volume or mass to the preparation.

This is the incorrect statement. The diluent does add volume or mass to the preparation. When the
pharmacy receives a prescription for a liquid or solid medication that is not available commercially in the
strength prescribed, only in a stronger strength, a diluent must be added to lower the strength.

Using Frieds rule calculate the dosage for an 18 month old child who needs a medication that is
administered to adults in a 0.5 g dose. What is the appropriate dosage for this child?

60 mg

6 mg

0.06 mg

0.6 mg

Correct Answer:
60 mg

Explanation:
Correct answer:
60 mg

Frieds rule is a formula used in calculating pediatric dosages based on the childs age in months. Divide
the childs age in months by 150 and multiply the result by the adult dosage. In this case the childs age is
18 months. Divide this by 150 and multiply by 500 mg. The result is 60 mg.

An obstruction of the bile duct that causes hepatic waste products and bile to accumulate in the liver is
which of the following?

cirrhosis

acute viral hepatitis

nephrotoxicity

obstructive jaundice

Correct Answer:
obstructive jaundice

Explanation:
Correct answer:
obstructive jaundice

There are a variety of liver diseases that affect hepatic function differently. Obstructive jaundice is an
obstruction of the bile duct that causes hepatic waste products and bile to accumulate in the liver.
Cirrhosis and obstructive jaundice appear to decrease hepatic metabolism and thereby diminish drug
elimination.

DEA records must be maintained in the pharmacy. Defective forms must be kept for a minimum of 2
years and be readily retrievable. A form is considered defective for all of the following reasons EXCEPT:

it is incomplete

it is illegible

it shows signs of normal wear and tear

it shows signs of alteration


Correct Answer:
it shows signs of normal wear and tear

Explanation:
Correct answer:
it shows signs of normal wear and tear

This is not one of the factors of a defective form. A form is considered defective if it is incomplete or
illegible or shows signs of alteration, erasure or change.

A solution of 2 g of a substance in 100 mL of water is equivalent to how many g of the same substance in
1000 mL of water?

10

200

20

100

Correct Answer:
20

Explanation:
Correct answer:
20

There are 2 g in 100 mL and x g in 1000 mL.

2/100 = x/1000
100 x = 2,000
x = 2,000/100 = 20
Androgens that are produced synthetically are called:

antimicrobials

anabolic steroids

progestins

luteinizing hormone

Correct Answer:
anabolic steroids

Explanation:
Correct answer:
anabolic steroids

Androgens that are produced synthetically are called anabolic steroids. Because of the misuse and abuse
of anabolic steroids, the DEA has placed all anabolic steroids, including the various testosterone
products, on the schedule III list of controlled medications.

Which of the following drugs is not currently a behind the counter medication?

Colace

Sudafed

Plan B

Various brands of cold medicines


Correct Answer:
Colace

Explanation:
Correct answer:
Colace

Colace is a stool softener. It is not a behind the counter medication. Behind the counter medications
are those products having over-the-counter status from the FDA while at the same time being subject to
other restrictions on sale.

Convert the following Roman numerals to Arabic numbers.

CDXLIV

444

644

564

554

Correct Answer:
444

Explanation:
Correct answer:
444

CDXLIV equals 444. CD = 400; XL = 40; and IV = 4.

In terms of performance appraisal methods, which of the following evaluations records incidents of
unusual success or failure in a given performance aspect?

paired comparison
forced distribution

graphic rating scale

critical incident diary

Correct Answer:
critical incident diary

Explanation:
Correct answer:
critical incident diary

A critical incident diary is a method of performance appraisal. It records incidents of unusual success or
failure in a given performance aspect.

How many mg are in 20 mL of a 2% solution?

40 mg

200 mg

400 mg

10 mg

Correct Answer:
400 mg

Explanation:
Correct answer:
400 mg
A 2% solution equals 2 g/100 mL. Convert 2 g to 2000 mg, which gives you 2000 mg/100 mL. You want
to know how many mg are in 20 mL of solution. Set up the proportion as follows

2000 mg/100 mL = x/20 mL


100 x = 40,000
x = 400 mg

Of the following conditions of the male reproductive system, which one is related to the testicles?

orchitis

balanitis

BPH

phimosis

Correct Answer:
orchitis

Explanation:
Correct answer:
orchitis

Orchitis is inflammation of one or both testicles. Balanitis and phimosis are conditions related to the penis
and BPH is related to the prostate gland.

A suffix is a modifying component of a term located at the end of the term. Which of the following suffixes
indicates swallowing?

-phasia

-plasia

-phagia

-philia
Correct Answer:
-phagia

Explanation:
Correct answer:
-phagia

The suffix -phagia indicates swallowing. For example, dysphagia means difficulty in swallowing.

Warfarin interacts with foods high in which of the following vitamins?

vitamin C

Vitamin D

Vitamin E

Vitamin K

Correct Answer:
Vitamin K

Explanation:
Correct answer:
Vitamin K

Warfarin is an anticoagulant and so it has an interaction with foods high in vitamin K like Romaine lettuce
and spinach. Vitamin K promotes blood coagulation.

A medication that should be taken at bedtime (before sleep) would have which of the following
abbreviations on the prescription form?
atc

hs

prn

Correct Answer:
hs

Explanation:
Correct answer:
hs

The abbreviation hs indicates that a medication should be taken at bedtime. The abbreviation atc
means around the clock. The abbreviation w stands for with. The abbreviation prn means as
needed.

If a child is receiving 1 teaspoons of a cough medication, he is receiving how many milliliters?

5 mL

10 mL

2 mL

none of the above

Correct Answer:
5 mL
Explanation:
Correct answer:
5 mL

There are 5 mL in each teaspoon. Therefore, if the child receives 1 teaspoons of the medication he is
receiving 1 x 5 mL or 5 mL.

If a hazardous substance comes in contact with the eyes, they should be rinsed for how long?

1 minute

5 minutes

10 minutes

15 minutes

Correct Answer:
15 minutes

Explanation:
Correct answer:
15 minutes

If a hazardous substance comes in contact with the eyes, they should be rinsed for 15 minutes. This can
be done at the eyewash station. If a hazardous substance comes in contact with the skin, it must be
washed immediately with soap and water for at least 5 minutes.

Subtract the following fractions. What is the result?

2/3 1/2 = ?

1/6

3/6

1/2
1

Correct Answer:
1/6

Explanation:
Correct answer:
1/6

To subtract fractions with different denominators, you must first find equivalent fractions with common
denominators. The least common denominator of 3 and 2 is 6. Convert 2/3 to 4/6 and convert 1/2 to 3/6.
Subtract 3/6 from 4/6 and the result is 1/6.

In terms of needle recapping, which of the following guidelines is least appropriate?

Do not remove used needles from disposable syringes by hand.

Do not bend needles by hand.

Do not break needles by hand.

Always recap used needles using both hands.

Correct Answer:
Always recap used needles using both hands.

Explanation:
Correct answer:
Always recap used needles using both hands.

This is not an appropriate guideline. Never recap used needles using both hands or perform any other
technique that involves directing the point of the needle toward the body. Use a one-handed scoop
technique or a mechanical device designed for holding the needle sheath.
Find the unknown value in the proportion: 10: x = 5 : 30. What is the result?

1.667

30

60

Correct Answer:
60

Explanation:
Correct answer:
60

Convert the proportion to fractional form and solve:

10/x = 5/30
5x = 300
x = 300/5 = 60

Which type of drug is most often used for treatment of patients with myasthenia gravis?

corticosteroid

antiplatelet drug

anticonvulsant

anticholinesterase inhibitor
Correct Answer:
anticholinesterase inhibitor

Explanation:
Correct answer:
anticholinesterase inhibitor

Certain drugs that block the destruction of acetylcholine, called anticholinesterase inhibitors, most often
are used for treatment of myasthenia gravis. Other drugs suppress the production of abnormal antibodies.

Solve the following equation for x. What is the result?

x/24 = 6/48

12

Correct Answer:
3

Explanation:
Correct answer:
3

3 is to 24 as 6 is to 48. They are of equal proportions.

Tax-free alcohol is sometimes used in hospitals and clinics. The agency that regulates these purchases is
which of the following?
FDA

ATF

DEA

EPA

Correct Answer:
ATF

Explanation:
Correct answer:
ATF

The Bureau of Alcohol, Tobacco and Firearms (ATF) sets regulations regarding the purchase of tax-free
alcohol. Tax-free alcohol may be used in hospitals and clinics.

Which of the following temperatures would be interpreted to mean a warm room?

10 C

20 C

30 C

40 C

Correct Answer:
30 C

Explanation:
Correct answer:
30 C

A temperature of 30 C indicates a warm room. This temperature is about 86 F. Drugs will lose potency
when exposed to heat.

The compendium of monographs setting official national standards for drug substances and dosage
forms and standards for pharmaceutical ingredients is which of the following?

United States Pharmacopeia - NF


Drug Facts and Comparisons

Physicians Desk Reference

Basic Concepts in Pharmacology

Correct Answer:
United States Pharmacopeia - NF

Explanation:
Correct answer:
United States Pharmacopeia-NF

The United States Pharmacopeia-NF is a compendium of monographs setting official national standards
for drug substances and dosage forms. The National Formulary (NF) part sets standards for
pharmaceutical ingredients.

Aspirin should generally not be given to children for which of the following reasons?

It causes lethargy.

It is a risk factor for Reyes syndrome.

It is a risk factor for pneumonia.

It causes vomiting.
Correct Answer:
It is a risk factor for Reyes syndrome.

Explanation:
Correct answer:
It is a risk factor for Reyes syndrome.

Although aspirin has proven to be an effective agent to treat fever, pain and inflammation, it should
generally not be given to children, especially those with flulike symptoms. This is because taking aspirin is
a risk factor for Reyes syndrome.

Subtract the following numbers: 3.237 - 0.0076. What is the result?

3.348

3.2306

3.161

3.2294

Correct Answer:
3.2294

Explanation:
Correct Answer:
3.2294

First, line up the decimal places, add a place holder zero to the top number, then subtract as normal.

3.2370
- 0.0076
3.2294
The directions for mixing a 6 mg/5 mL liquid states that when 60 mL of water are added to the contents of
the bottle, the resulting volume is 180 mL. What is the concentration of drug in mg/5 mL if only 50 mL of
water were added?

1.27 mg/5 mL

12.7mg/5 mL

5 mg/5 mL

6.35 mg/5 mL

Correct Answer:
6.35 mg/5 mL

Explanation:
Correct answer:
6.35 mg/5 mL

First determine the total mg of drug in the bottle (it is a constant);


6 mg drug /5 mL FV x 180 mL FV = 216 mg drug

Next, determine the powder volume for the drug in the bottle:
FV = D + PV
180 mL = 60 mL + PV
180 mL 60 mL = PV = 120 mL

Now determine the volume of the new product (NP):


NP = D + PV
NP = 50 mL + 120 mL = 170 mL

So the new concentration is: Total mg drug in bottle / volume of new product
216 mg/170 mL = 1.27 mg/mL = 6.35 mg/5 mL

Which of the following is the largest capsule size?

5
3

000

Correct Answer:
000

Explanation:
Correct answer:
000

A capsule size of 000 contains approximately 1000 mg. The smallest capsule of the choices given is 5,
which contains approximately 100 mg.

Convert the following decimal to a fraction: 0.375. What is the result?

1/4

1/5

3/8

1/3

Correct Answer:
3/8

Explanation:
Correct answer:
3/8
0.375 is 375 thousandths or 375/1000. Reduce this fraction and the result is 3/8.

A stationary infusion system requiring the use of a special syringe is which of the following?

mechanical piston pump

syringe infusion system

mechanical peristaltic pump

balloon system

Correct Answer:
syringe infusion system

Explanation:
Correct answer:
syringe infusion system

A syringe infusion system is a stationary infusion system requiring the use of a special syringe. A
mechanical piston pump is controlled by a piston that is electromagnetically operated by a battery. A
mechanical peristaltic pump delivers a controlled amount of medication at a controlled rate. A balloon
system is a stationary infusion system controlled by the use of a special tube.

The FDA regulates five major areas concerning the safety of OTC drugs. All of the following are major
areas EXCEPT:

purity

bioequivalence

bioavailabilitiy

potency
Correct Answer:
bioequivalence

Explanation:
Correct answer:
bioequivalence

Bioequivalence is not one of the areas that the FDA regulates for OTC drugs. The five major areas
concerning the safety of OTC drugs that are regulated by the FDA are: purity, potency, bioavailability,
efficacy, and safety and toxicity.

Postprandial hypotension is which of the following?

a sudden drop in blood pressure after eating

a drop in blood pressure after standing for a long time

a drop in blood pressure caused by standing up too quickly from a sitting or lying position

a rare disorder causing damage to the nervous system

Correct Answer:
a sudden drop in blood pressure after eating

Explanation:
Correct answer:
a sudden drop in blood pressure after eating

Hypotension is low blood pressure. Postprandial hypotension is a sudden drop in blood pressure after
eating. Neurally mediated hypotension is a drop in blood pressure after standing for a long time.
Orthostatic hypotension is a drop in blood pressure caused by standing up too quickly from a sitting or
lying position. Multiple system atrophy with orthostatic hypotension is a rare disorder causing damage to
the nervous system.
In terms of abbreviations for routes of administration of medication, if a medication is to be used for the
left eye, it would be indicated by which of the following?

OU

OD

OS

SL

Correct Answer:
OS

Explanation:
Correct answer
OS

The left eye is indicated by the abbreviation OS. The abbreviation OU means both eyes; OD means
right eye; and SL has nothing to do with the eyes; it stands for sublingual.

The maximum beyond-use dates for sterile compounded drug products that are not tested for sterility are
set out in USP/NF Chapter <797>. For a low risk level, a drug of this type stored at room temperature will
expire in:

24 hours

48 hours

3 days

9 days
Correct Answer:
48 hours

Explanation:
Correct answer:
48 hours

The maximum beyond-use date for a low risk level is 48 hours at room temperature. It would be 14 days
for refrigeration and 45 days for freezer storage.

A child weighs 27.5 lb. His medication is prescribed to be taken as 25 mg/kg/day. What is the appropriate
daily dosage for this patient?

31.25 mg

3.125 mg

312.5 mg

3.125 g

Correct Answer:
312.5 mg

Explanation:
Correct answer:
312.5 mg

The childs weight must first be changed to kilograms. 27.5 lb divided by 2.2 kg per pound gives you a
result of 12.5 kg. This is multiplied by 25 mg to give you a daily dosage for this patient of 312.5 mg.

Convert 459 to Roman numerals.

CCCCLIX
CCCCDIX

CDXXXXXIX

CDLIX

Correct Answer:
CDLIX

Explanation:
Correct answer:
CDLIX

459 converts to CDLIX in Roman numerals. 400 = CD; 50 = L; 9 = IX.

The equilibrium pertaining to the balance of the body with respect to fluid levels, pH level, osmotic
pressures and concentrations of various substances is known as which of the following?

homeostasis

homeopathy

homogeneosity

all of the above

Correct Answer:
homeostasis

Explanation:
Correct answer:
homeostasis
Homeostasis is the equilibrium pertaining to the balance of the body with respect to fluid levels, pH level,
osmotic pressures and concentrations of various substances. For instance, homeostasis is disrupted if
glands secrete too many or too few hormones.

When warfarin and vitamin K are taken simultaneously, what type of interaction takes place?

drug drug

drug nutrient

drug food

drug disease

Correct Answer:
drug nutrient

Explanation:
Correct answer:
drug nutrient

Poor nutrition may affect the metabolism of various drugs. An example of a drug-nutrient interaction
occurs when warfarin and vitamin K are taken simultaneously. Warfarin is an anticoagulant and vitamin K
promotes drug coagulation.

Perform the following: 0.5 x 0.0035. What is the result?

1.75

0.0175

175

0.00175
Correct Answer:
0.00175

Explanation:
Correct answer:
0.00175

Simply multiply the numbers as whole numbers and the result is 175. Then add the decimal places in the
original numbers (5) and now move the decimal point 5 places to the left. The result is 0.00175.

The process of allocating to expense the cost of a plant asset over its useful life in a rational and
systematic manner is which of the following?

lower of cost or market basis

specific identification method

depreciation

average cost method

Correct Answer:
depreciation

Explanation:
Correct answer:
depreciation

Depreciation is the process of allocating to expense the cost of a plant asset over its useful life in a
rational and systematic manner. It is not a process of asset valuation. Depreciation can be computed by
either the straight-line, declining-balance, or units-of-activity method.

Of the following urinary system drugs, which is a loop diuretic?


hydrochlorothiazide

Midamor

Avodart

Lasix

Correct Answer:
Lasix

Explanation:
Correct answer:
Lasix

Lasix is a loop diuretic. Loop diuretics inhibit reabsorption of sodium and chloride in the ascending loop of
Henle and distal renal tubules, resulting in urinary excretion of water. Hydrochlorothiazide is a thiazide
diuretic. Midamor is a potassium-sparing diuretic. Avodart is an alpha blocker.

Which of the following would NOT be a characteristic of forged prescriptions?

prescription appearing to be photocopied

directions written with abbreviations

prescriptions written in different colored inks or different pens

prescription that looks too good or handwriting is too legible

Correct Answer:
directions written with abbreviations
Explanation:
Correct answer:
directions written with abbreviations

All of the choices contain characteristics of forged prescriptions except this one. Directions written in full
with no abbreviations would be a sign of a forged prescription.

A substance that slows or stops the growth of microorganisms on surfaces such as the skin is which of
the following?

antiseptic

antiinflammatory

antipyretic

antibody

Correct Answer:
antiseptic

Explanation:
Correct answer:
antiseptic

An antiseptic is a substance that slows or stops the growth of microorganisms on surfaces such as the
skin. Hydrogen peroxide and iodine are typical antiseptics.

Which of the following best describes the condition of the eye called monochromatism?

nearsightedness

impaired vision at night

farsightedness

color blindness
Correct Answer:
color blindness

Explanation:
Correct answer:
color blindness

Monochromatism is color blindness. It is a defect of eyesight in which the retina cannot perceive color.

All pharmacies must have a professional library. Which of the following resources contains monographs
about individual drugs (both prescription and OTC) and groups of related drugs, with product listings in
table format?

Drug Facts and Comparisons

Drug Interaction Facts

Index Nominum

Goodman and Gilmans the Pharmacological Basis of Therapeutics

Correct Answer:
Drug Facts and Comparisons

Explanation:
Correct answer:
Drug Facts and Comparisons

Drug Facts and Comparisons is a comprehensive source of information about 16,000 prescription and
6000 OTC drugs. It contains monographs about individual drugs and groups of related drugs, with
product listings in table format providing information on dosage forms and strength, distributor names,
costs, package sizes, product identification codes, and much more.
Mixing a liquid and a powder to form a suspension or solution is called:

reconstitution

repackaging

emulsification

calibration

Correct Answer:
reconstitution

Explanation:
Correct answer:
reconstitution

The mixing of a liquid and a powder to form a suspension or solution is reconstitution. Repackaging is the
act of reducing the amount of medication taken from a bulk bottle. Emulsification is making something into
an emulsion. Calibration is a marking on a measuring device.
Test 7
Broccoli and other green vegetables or foods high in vitamin K would decrease the effect of which of the
following drugs?

ciprofloxacin

digoxin

theophylline

warfarin

Correct Answer:
warfarin

Explanation:
Correct answer:
warfarin

Warfarin is an anticoagulant. Vitamin K promotes coagulation of blood. Therefore broccoli and other
green vegetables or foods high in vitamin K can decrease the effect of warfarin.

The document which provides detailed information on the hazards associated with a particular substance
is which of the following?

velocity report

medication delivery report

controlled substance administration report

MSDS
Correct Answer:
MSDS

Explanation:
Correct
MSDS

The MSDS is the Material Safety Data Sheet. It provides detailed information on the hazards associated
with a particular substance. A hazardous chemical is one that poses a threat to health or safety.

The fluid-filled membrane that surrounds the heart is which of the following?

endocardium

pericardium

epicardium

myocardium

Correct Answer:
pericardium

Explanation:
Correct answer:
pericardium

The pericardium is the fluid-filled membrane that surrounds the heart. It is also called the pericardial sac.
The endocardium is the thin membrane that lines the interior of the heart. The epicardium is the outer
layer of the heart wall and the inner layer of the pericardium. The myocardium is the middle muscular
layer of the heart wall.

Which of the following reference books would be used for determining the therapeutic equivalence of a
brand and generic drug?

American Drug Index


Physicians Desk Reference

Red Book

Orange Book

Correct Answer:
Orange Book

Explanation:
Correct answer:
Orange Book

Orange Book is the common name for the FDAs Approved Drug Products with Therapeutic Equivalence
Evaluations. It is used to determine the therapeutic equivalence of a brand and generic drug. Drugs with
Code A are considered equivalent while drugs with Code B are documented as nonequivalent.

Perform the following: 0.345 0.345. What is the result?

0.69

0.119025

Correct Answer:
0

Explanation:
Correct answer:
0
Subtracting 0.345 by the same number results in an answer of zero.

If a newborn baby weighs 3200 g, his weight in kilograms would be which of the following?

32 kg

320 kg

0.32 kg

3.2 kg

Correct Answer:
3.2 kg

Explanation:
Correct answer:
3.2 kg

To change g to kg, move the decimal point 3 places to the left. Therefore, 3200 g equals 3.2 kg.

One of the common barriers to communication with consumers is the utilization of defense mechanisms.
A customer who is prejudiced against Asians complains that the Asian-American pharmacist treats her
dismissively. This customer is using which of the following defense mechanisms?

projection

rationalization

reaction formation

displacement
Correct Answer:
projection

Explanation:
Correct answer:
projection

Projection occurs when an individual attributes his own thoughts or impulses to another person. The
customer in this example is using projection, projecting her bias against Asians to the Asian-American
pharmacist.

If you change 2500 micrograms to milligrams, the result would be which of the following?

2.5 mg

25 mg

250 mg

0.25 mg

Correct Answer:
2.5 mg

Explanation:
Correct answer:
2.5 mg

To change micrograms to milligrams, move the decimal point 3 places to the left. Therefore, 2500 mcg
equals 2.5 mg.

Which of the following is the correct term for a wet, slimy liquid formed as an initial step in the wet gum
method?
thickening agent

emulsifier

mucilage

flocculating agent

Correct Answer:
mucilage

Explanation:
Correct answer:
mucilage

Mucilage is the wet, slimy liquid formed as an initial step in the wet gum method. In the wet gum method,
the primary emulsion is formed by triturating one part gum and two parts water for form mucilage. Then
four parts oil are slowly added and it is triturated slowly. Then additional ingredients are added.

Divide the following. What is the result?

3/4 2 1/2 = ?

3/4

3/8

1/4

3/10

Correct Answer:
3/10
Explanation:
Correct Answer
3/10

First, change 2/1/2 to a fraction which becomes 5/2. Then invert the fraction to 2/5. Now we have 3/4 x
2/5 = 6/20 = 3/10.

When patients begin a new drug regimen they are often prescribed a rather large dose at the beginning of
the regimen. This is called a(n):

volume of distribution

loading dose

elimination dose

unit dose

Correct Answer:
loading dose

Explanation:
Correct answer:
loading dose

A loading dose is the rather large dose given to a patient at the beginning of a new drug regimen. This is
done in order to more quickly reach therapeutic levels in the blood.

Drugs must be offered for sale in a sanitary and unadulterated condition. Any drug is considered
adulterated if:

it contains poisonous or hazardous materials

a substance has been added or mixed with the drug that has no purpose except to increase the
volume of the drug thus reducing its strength
the drug has been stored in an inappropriate manner
all of the above

Correct Answer:
all of the above

Explanation:
Correct answer:
all of the above

All of the choices involve adulterated drugs. Other conditions include: omitting or substituting for any
substance crucial to the drugs action; disguising damage to the drug or inferior quality; having an unsafe
color additive; containing in excess of 0.5% alcohol; and containing a non-nutritive substance such as
plastic.

Which of the following regulatory agencies enforces compliance with the Controlled Substances Act?

Drug Enforcement Agency (DEA)

Environmental Protection Agency (EPA)

Food and Drug Administration (FDA)

State Boards of Pharmacy

Correct Answer:
Drug Enforcement Agency (DEA)

Explanation:
Correct answer:
Drug Enforcement Agency (DEA)

The Drug Enforcement Agency (DEA) enforces compliance with the Controlled Substances Act. The EPA
sets guidelines for the disposal of hazardous waste. The FDA ensures that all pharmaceutical products
are pure, safe and effective; and State Boards of Pharmacy are regulatory state agencies that oversee
the practice of pharmacy in a given state.

In terms of compounding equipment, which of the following pieces of equipment is used to stir for long
periods of time?

spatula

glass stirring rods

magnetic stirrers

magnetic stir plate

Correct Answer:
magnetic stir plate

Explanation:
Correct answer:
magnetic stir plate

A magnetic stir plate automatically stirs for long periods of time. A magnetic stirrer is used in a beaker to
stir the contents. A spatula is used for moving and mixing ingredients. A glass stirring rod is used for
stirring and mixing liquids.

Which type of laminar flow hood recirculates a portion of the air within the hood and exhausts a portion of
this air back into the parenteral room?

Type A hood

Type B1 hood

Type B2 hood

Type B3 hood
Correct Answer:
Type A hood

Explanation:
Correct answer:
Type A hood

A type A hood recirculates a portion of the air (after it first passes through a HEPA filter) within the hood,
and exhausts a portion of this air back into the parenteral room. In all of the other types listed in the other
choices the air is exhausted to the outside atmosphere.

A prescription has a selling price of $150.00 and a dispensing fee of $5.00. The prescription has an
acquisition cost of $60.00. What is the net profit for the pharmacy on this prescription?

$145.00

$90.00

$85.00

$80.00

Correct Answer:
$85.00

Explanation:
Correct answer:
$85.00

The net profit is the selling price minus the acquisition price and the dispensing fee ($150.00 - $60.00 -
$5.00 = $85.00). Therefore $85.00 is the net profit.

Which of the following foods would NOT cause a decreased effect or an altered effect of the drug
warfarin?
foods high in vitamin K

grapefruit

soybean oil

cranberry juice

Correct Answer:
grapefruit

Explanation:
Correct answer:
grapefruit

Grapefruit is not one of the foods to avoid when taking warfarin. Foods to avoid include those that are
high in vitamin K (such as broccoli and other green vegetables), soybean and canola oils and cranberry
juice.

Which of the following statements about SSRIs is least accurate?

SSRIs are highly plasma protein bound.

SSRIs should not be used in combination with MAO inhibitors.

SSRIs should always be used in bipolar or manic patients.

SSRIs are administered orally.

Correct Answer:
SSRIs should always be used in bipolar or manic patients.
Explanation:
Correct answer:
SSRIs should be always be used in bipolar or manic patients.

This statement is not accurate. SSRIs can cause a manic episode or exacerbate existing mania. They
should therefore be used with caution, or not at all, in bipolar or manic patients.

When a pharmacy orders Schedule II drugs, which of the following forms must be submitted?

DEA Form 224

DEA Form 222

DEA Form 41

DEA Form 106

Correct Answer:
DEA Form 222

Explanation:
Correct answer:
DEA Form 222

DEA Form 222 is used to order Schedule II drugs. The form must be signed by the individual in whose
name the DEA registration is listed. A DEA Form 222 is valid for only 60 days.

If a patient needs to have medication at 1700 hr. the medication must be administered at:

5:00 p.m.

7:00 p.m.

5:00 a.m.

7:00 a.m.
Correct Answer:
5:00 p.m.

Explanation:
Correct answer:
5:00 p.m.

In a hospital or institutional setting international time is used exclusively. It is based on 100. 1700 hr. is 5
p.m. This is determined by subtracting 1200 from 1700 to get 500 which means 5:00 p.m. By using this
system, one never has any question as to when an order was written or which order supersedes another.

Antibiotics that kill immediately are called:

hypersensitive antibiotics

hyposensitive antibiotics

bacteriostatic drugs

bacteriocidal drugs

Correct Answer:
bacteriocidal drugs

Explanation:
Correct answer:
bacteriocidal drugs

Bacteriocidal drugs kill bacteria immediately. Drugs that simply prevent the cell from replicating, and
therefore take one bacterial generation to have an effect, are called bacteriostatic drugs.
Add the following numbers: 3.1415 + 1.234 + 1.034. What is the result?

5.4005

5.309

5.4095

5.409

Correct Answer:
5.4095

Explanation:
Correct Answer:
5.4095

First line up the decimal places and then add as normal. You may use a place holder zero after the latter
two numbers.

3.1415
1.2340
+ 1.0340
5.4095

The foil/plastic package type is most commonly used for which of the following types of unit dose
medications?

suppository

powder

injections

ointment/cream
Correct Answer:
suppository

Explanation:
Correct answer:
suppository

The foil/plastic package type is used for suppository medications. Powders are packaged in packets;
injections are packaged in ampules; and ointments and creams are packaged in tubes.

Using Frieds rule calculate the dosage for a 2 and a half-year-old old child weighing 30 lbs, who needs a
medication which is usually administered to an adult as 1 gm in a daily IM injection. What is the
appropriate dosage for this child?

200 mg

2g

20 mg

2 mg

Correct Answer:
200 mg

Explanation:
Correct answer:
200 mg

Frieds rule is a formula used in calculating pediatric dosages based on the childs age in months. Divide
the childs age in months by 150 and multiply the result by the adult dosage. In this case the childs age is
30 months. Divide this by 150 and multiply by 1 gr (1000 mg) and the result is 200 mg.

The health-care facility has a variety of staff members. The staff member who is licensed to provide basic
care, such as administering medication, under the supervision of a registered nurse is which of the
following?
physician assistant

licensed practical nurse

nurse practitioner

certified nursing assistant

Correct Answer:
licensed practical nurse

Explanation:
Correct answer:
licensed practical nurse

The licensed practical nurse is the staff member who is licensed to provide basic care, such as
administering medication, under the supervision of a registered nurse. The physician assistant is a
licensed individual who is trained to coordinate patient care under the supervision of a medical or
osteopathic doctor. The nurse practitioner is an individual who is licensed to work closely with a physician
in providing patient care, and typically may prescribe medications under the supervision of a physician.
The certified nursing assistant is an individual who is certified to assist RNs and LPNs in providing
patient care, but is not permitted to administer medication.

The measurement system commonly used by Americans for general measuring and cooking is which of
the following?

metric system

avoirdupois system

apothecary system

household system
Correct Answer:
household system

Explanation:
Correct answer:
household system

The household system is the measurement system commonly used by Americans for general measuring
and cooking. The metric system is the most used system in the pharmacy.

Which of the following is the best definition for a tincture?

an aqueous solution containing sucrose

an alcoholic solution applied through rubbing

a clear, sweetened, flavored hydroalcoholic solution that may or may not be medicated

an alcoholic or hydroalcoholic solution of pure chemicals or extracts

Correct Answer:
an alcoholic or hydroalcoholic solution of pure chemicals or extracts

Explanation:
Correct answer:
an alcoholic or hydroalcoholic solution of pure chemicals or extracts

A tincture is an alcoholic or hydroalcoholic solution of pure chemicals or extracts. A syrup is an aqueous


solution containing sucrose; a liniment is an alcoholic (or oleaginous) solution applied through rubbing; an
elixir is a clear, sweetened, flavored hydroalcoholic solution that may or may not be medicated.

The documentation that provides detailed information on the hazards of a particular substance is which of
the following?

DEA Form 106


monograph

label

MSDS

Correct Answer:
MSDS

Explanation:
Correct answer:
MSDS

The MSDS (material safety data sheet) provides detailed information on the hazards of a particular
substance. These hazards may be either physical or health related. The manufacturer is responsible for
providing the MSDS to the purchaser.

Which class of controlled substance includes drugs that have no medical use in the United States and
have a very high abuse potential?

C-V

C-IV

C-II

C-I

Correct Answer:
C-I

Explanation:
Correct answer:
C-I

C-I drugs such as LSD, cocaine and mescaline are controlled substances that have no medical use in the
United States and have a very high abuse potential. At the opposite end of the scale are C-V drugs that
have a low potential for abuse in relation to C-IV drugs and abuse may lead to limited physical or
psychological dependence.

A child weighs 44 lb. Her medication is prescribed to be taken as 20 mg/kg/day. What is the appropriate
daily dosage for this patient?

800 mg

440 mg

400 mg

880 mg

Correct Answer:
400 mg

Explanation:
Correct answer:
400 mg

The patients weight must first be changed to kilograms. 44 lb divided by 2.2 kg per pound gives you a
result of 20 kg. This is multiplied by 20 mg to give you a daily dosage for this patient of 400 mg.

When amoxicillin and clavulanic acid are taken together there is an increased duration of amoxicillins
antibiotic effect. This is known as which of the following?

synergism

potentiation

additive effect

idiosyncrasy
Correct Answer:
potentiation

Explanation:
Correct answer:
potentiation

Potentiation occurs when one drug with no inherent activity of its own increases the activity of another
drug that produces an effect. Clavulanic acid inhibits the enzyme that degrades amoxicillin, and thereby
allows amoxicillin to be more potent than if used alone.

Convert the fraction 3/5 to a percentage. What is the result?

6%

15%

30%

60%

Correct Answer:
60%

Explanation:
Correct answer:
60%

To convert a fraction to a percentage, divide the numerator by the denominator. 3 divided by 5 = 0.6 or
60%.
The directions for mixing a 12 mg/5 mL liquid states that when 120 mL of water are added to the contents
of the bottle, the resulting volume is 360 mL. What is the concentration of drug in mg/5 mL if only 100 mL
of water were added?

2.5 mg/5 mL

10 mg/5 mL

12.5 mg/5 mL

1.25 mg/5 mL

Correct Answer:
12.5 mg/5 mL

Explanation:
Correct answer:
12.5 mg/5 mL

First determine the total mg of drug in the bottle (it is a constant);


12 mg drug /5 mL FV x 360 mL FV = 864 mg drug

Next, determine the powder volume for the drug in the bottle:
FV = D + PV
360 mL = 120 mL + PV
360 mL 120 mL = PV = 240 mL

Now determine the volume of the new product (NP):


NP = D + PV
NP = 100 mL + 240 mL = 340 mL

So the new concentration is: Total mg drug in bottle / volume of new product
864 mg/340 mL = 2.5 mg/mL = 12.5 mg/5 mL

The capacity of a communication device to convey information effectively is called:

efficiency

productivity

channel richness
organizational communication

Correct Answer:
channel richness

Explanation:
Correct answer:
channel richness

The capacity of a communication channel to convey information effectively is called channel richness.
Face-to-face communication is the most effective.

A gene that when mutated or expressed at high levels can help transform a normal cell into a cancerous
one is which of the following?

carcinogen

oncogene

bolus

none of the above

Correct Answer:
oncogene

Explanation:
Correct answer:
oncogene

A gene that when mutated or expressed at high levels can help transform a normal cell into a cancerous
one is an oncogene. Oncogenes are small pieces of genes that are normally present in cells and that are
not dangerous unless they are not inactivated through normal reactions.
Which of the following would NOT be an appropriate guideline for quality improvement in the pharmacy?

Allow a chief pharmacy technician to supervise pharmacy technicians so as to free the pharmacist
for other duties.
Limit the number of hours a pharmacist or pharmacy technician may work in an given pay period.

Establish the maximum number of prescriptions a pharmacist may fill during a shift.

Improve workflow in the pharmacy.

Correct Answer:
Allow a chief pharmacy technician to supervise pharmacy technicians so as to free the
pharmacist for other duties.

Explanation:
Correct answer:
Allow a chief pharmacy technician to supervise pharmacy technicians so as to free the
pharmacist for other duties.

This would not be an appropriate guideline. Pharmacy technicians must be supervised by a pharmacist. A
better guideline is to limit the number of pharmacy technicians a pharmacist may supervise during a shift.

An order for medication used in a facility that participates in research programs would be which of the
following?

STAT order

investigational medication order

emergency medication order

none of the above


Correct Answer:
investigational medication order

Explanation:
Correct answer:
investigational medication order

An investigational medication order is an order for medication used in facilities that participate in research
programs. Investigational drugs are ordered, prepared and administered according to stringent protocols
specific to the research program.

Which of the following body systems is responsible for collecting plasma water that leaves the blood
vessels, filtering it for impurities, and returning it back to the general circulation?

circulatory system

lymphatic system

muscular system

gastrointestinal system

Correct Answer:
lymphatic system

Explanation:
Correct answer:
lymphatic system

The lymphatic system is responsible for collecting plasma water that leaves the blood vessels, filtering it
for impurities, and returning it back to the general circulation. The lymphatic system is the center of the
bodys immune system.

If the pharmacy buys a case of medication for $800.00 and the case contains 500 bottles of medication,
how much does each bottle of medication cost the pharmacy?
$16.00

$1.60

$0.16

$160.00

Correct Answer:
$1.60

Explanation:
Correct answer:
$1.60

To calculate the cost of each bottle of medication, you would divide the cost of the case of medication by
the number of bottles in the case. The cost of the case is $800. Divided by 500 bottles this gives you a
cost of $1.60 per bottle.

Convert the Arabic number 2025 into Roman numerals. Which of the following is the correct answer?

MCMXV

MMXV

MMXXV

MMXIXIV

Correct Answer:
MMXXV
Explanation:
Correct answer:
MMXXV

2025 is equivalent to MMXXV. MM = 2000; XX = 20; and V = 5.

The abbreviation that would indicate that a medication is continuous/controlled-release would be which of
the following?

TR

CD

CRT

CR

Correct Answer:
CR

Explanation:
Correct answer:
CR

The abbreviation CR indicates continuous/controlled-release. TR is time-release; CD is controlled-


diffusion; and CRT is controlled-release.

Which of the following types of gastrointestinal system agents inhibits the secretion of gastric acid?

sodium bicarbonate-based drugs

aluminum-containing drugs

magnesium carbonate-based drugs

histamine antagonists
Correct Answer:
histamine antagonists

Explanation:
Correct answer:
histamine antagonists

Drugs which inhibit the secretion of gastric acid include histamine antagonists and muscarinic
antagonists. The other three choices are drugs which neutralize gastric acid.

Which of the following dosage forms may be prepared by either compressing or molding?

plaster

pellet

capsule

tablet

Correct Answer:
tablet

Explanation:
Correct answer:
tablet

A tablet can be prepared either by compressing or by molding. This form of dosage is accurate, compact,
portable, and easy to administer. Tablets may come in various shapes and may be scored.

There are a number of drug distribution systems. The system of distribution in which storage of
medication is on the patient care unit of a hospital is which of the following?

centralized dispensing

decentralized dispensing

floor stock system

individual prescription system

Correct Answer:
floor stock system

Explanation:
Correct answer:
floor stock system

The floor stock system involves the storage of medication on the patient care unit of a hospital. The
nursing staff is responsible for all aspects of preparation and administration of medications.

All of the following are solid dosage forms with flavoring that dissolve in the mouth EXCEPT:

lozenge

capsule

troche

pastille

Correct Answer:
capsule
Explanation:
Correct answer:
capsule

A capsule is a drug contained in a shell of gelatin that dissolves in 10 to 20 minutes. It may be in a solid
or a liquid form. Lozenges, troches and pastilles are solid dosage forms with flavoring that dissolve in the
mouth.

The directions for mixing a liquid medication state when 125 mL of water are added to the contents of the
bottle, the resulting volume is 325 mL. What is the powder volume?

200 mL

125 mL

325 mL

300 mL

Correct Answer:
200 mL

Explanation:
Correct answer:
200 mL

The formula to use is:

Final volume = volume of diluent + powder volume.


325 mL = 125 mL + powder volume
325 mL 125mL = powder volume = 200 mL

Perform the following: 3.45 x .009. The result is which of the following?

0.03105

3.105
0.3105

3105

Correct Answer:
0.03105

Explanation:
Correct answer:
0.03105

In multiplying decimals multiply the two numbers as whole numbers and you get 3105. Move the decimal
point 5 places to the left since there are a total of 5 decimal places in the numbers multiplied, and you get
0.03105.

Which of the following types of chemical reactions produces an insoluble compound?

precipitation

neutralization

oxidation-reduction reaction

none of the above

Correct Answer:
precipitation

Explanation:
Correct answer:
precipitation

A chemical reaction is a chemical change in which a set of chemical substances called reactants are
transformed into a new set of chemical substances called products. A precipitation reaction produces an
insoluble compound. This insoluble compound is called a precipitate.

Most medications are received from the supplier in bulk stock bottles that carry FDA required information
on the label. This information includes all of the following EXCEPT:

recommendations for use

dosage form

NDC number

lot number

Correct Answer:
recommendations for use

Explanation:
Correct answer:
recommendations for use

The information on bulk stock bottles does not contain recommendations for use. The information
includes: brand name, generic name, prescription legend, storage requirements, dosage form, quantity,
controlled substance mark, manufacturers drug name, lot number, expiration date, and NDC (National
Drug Code) number.

Which of the following pieces of equipment is used to measure volumes less than 1.5 mL?

graduate

beaker

pipette

spatula
Correct Answer:
pipette

Explanation:
Correct answer:
pipette

A pipette is used to measure volumes less than 1.5 mL. A graduate is used to measure liquids in a larger
amount. Beakers are used to estimate and mix solutions. A spatula is used in compounding ingredients.

Documentation that provides detailed information on the hazards of a particular substance is which of the
following?

material safety data sheet

DEA form 106

DEA form 222

none of the above

Correct Answer:
material safety data sheet

Explanation:
Correct answer:
material safety data sheet

Documentation that provides detailed information on the hazards of a particular substance is the material
safety data sheet (MSDS). The hazards may be either physical or health related. Examples of substances
with physical hazards are chemicals that are combustible, flammable, explosive or corrosive. A heath
hazard may cause either acute or chronic effects in an individual who has been exposed.

A nuclear pharmacy has designated rooms to perform specific functions. Which of the following is NOT
one of these rooms?

breakdown room

compounding area

packaging area

patient treatment room

Correct Answer:
patient treatment room

Explanation:
Correct answer:
patient treatment room

There is no patient treatment room in a nuclear pharmacy. The rooms include the: breakdown room,
order entry area, quality-control area, compounding area, packaging area, and the storage and disposal
area.

Which of the following statements about the purpose of inventory management is least accurate?

It reduces unexpected stock-outs and temporary shortages.

It minimizes costs associated with placing orders to the wholesaler.

It reduces purchasing dollars spent by selecting products with the best price.

It maximizes capital charge on average inventory.

Correct Answer:
It maximizes capital charge on average inventory.
Explanation:
Correct answer:
It maximizes capital charge on average inventory.

This is inaccurate. One of the purposes of inventory management is to minimize capital charge on
average inventory. Besides the other three choices, some other purposes of inventory management are
to: provide an adequate stock of pharmaceuticals and supplies; reduce carrying cost in drug products;
minimize time spent on purchasing functions; and minimize shrinkage, breakage, and obsolescence of
inventory.

What is the only type of compounding that may be done away from the compounding area?

reconstituting

preparing suspensions

mixing ointments

handling dry chemicals

Correct Answer:
reconstituting

Explanation:
Correct answer:
reconstituting

The only type of compounding that may be done away from the compounding area is the reconstitution of
premade oral suspensions. Reconstituting involves mixing a liquid into a powder to form a solution.

One liter of medication equals which of the following?

10 dL

10 mL
100 mL

100 dL

Correct Answer:
10 dL

Explanation:
Correct answer:
10 dL

One liter is equivalent to 10 deciliters (dL). It is also equivalent to 1000 mL.

If a drug cannot be measured in a laboratory by analytical methods, then it is tested on research animals,
and the strength of the drug is measured in units based on biological activity. This is known as the drugs:

potency

efficacy

safety

bioavailability

Correct Answer:
potency

Explanation:
Correct answer:
potency

The potency of a medication refers to the strength of a drug. This measurement is done by chemical
analysis. If the drug cannot be measured in a laboratory by analytical methods, then it is tested on
research animals, and the strength of the drug is measured in units based on biological activity. An
example of this type of drug is heparin.

Which of the following temperatures would be appropriate for a drug that should be stored in a cool
temperature?

16 C

13 C

25 C

30 C

Correct Answer:
13 C

Explanation:
Correct answer:
13 C

All medications have specific storage conditions determined by the manufacturer including the proper
temperature at which a drug should be stored. A drug that should be stored at cool temperatures should
be stored at any temperature between 8 C and 15 C.

If you have 7 g of drug dissolved in 150 mL of solution, how would this ratio be written?

70 : 150

7 : 1500

150 : 70

7 : 150
Correct Answer:
7 : 150

Explanation:
Correct answer:
7 : 150

Seven grams of a drug in 150 mL of solution can be expressed in the ratio of 7 : 150. This is 7 grams to
150 mL.

A person with pernicious anemia is most likely deficient in which of the following vitamins?

Vitamin B12

Vitamin B6

Vitamin C

Vitamin D

Correct Answer:
Vitamin B12

Explanation:
Correct answer:
Vitamin B12

Vitamin B12 (cyanocobalamin) is the vitamin involved in blood cell formation and is also essential for
formation of myelin. A deficiency in Vitamin B12 can result in pernicious anemia. Vitamin B12 can be found
in liver, eggs, dairy, beef, pork, and fish.

A patient must take two teaspoons of liquid medicine twice a day for 7 days. How many milliliters of this
medication are needed to fill this prescription?
70 mL

35 mL

350 mL

140 mL

Correct Answer:
140 mL

Explanation:
Correct answer:
140 mL

The pharmacy technician should prepare 140 mL of the medicine. Two teaspoons equals 10 mL. Taken
twice a day, the patient will need 20 mL per day. For 7 days the patient needs 7 x 20 mL or 140 mL.

The Durham-Humphrey Act of 1951 did all of the following EXCEPT:

separated drugs into legend and nonlegend

allowed verbal prescriptions over the telephone

placed controlled substances in one of five schedules

allowed refills to be called in from a physicians office

Correct Answer:
placed controlled substances in one of five schedules

Explanation:
Correct answer:
placed controlled substances in one of five schedules

The Durham-Humphrey Act of 1951 did not place controlled substances in one of five schedules. This
was accomplished in the Comprehensive Drug Abuse Prevention and Control Act of 1970. The Durham-
Humphrey Act also requires all products to have adequate directions for use unless they contain the
federal legend Caution: Federal law prohibits dispensing without a prescription.

Which of the following is the lowest unit of volume?

gtt

mL

Mcg

Correct Answer:
gtt

Explanation:
Correct answer:
gtt

The gtt (drip) is the lowest unit of volume listed in the choices. The Mcg (microgram) is not a unit of
volume; it is a unit of weight.

Which of the following is the only type of compounding that may be done away from the compounding
area?

making molded tablets

compounding capsules

reconstitution of premade oral suspensions

making ointments
Correct Answer:
reconstitution of premade oral suspensions

Explanation:
Correct answer:
reconstitution of premade oral suspensions

The only type of compounding that may be done away from the compounding area is the reconstitution of
premade oral suspensions. Reconstituting involves mixing a liquid into a powder to form a solution or
suspension. These products are simple to prepare and do not need to be logged or labeled in the same
manner as other compounded products.

Which of the following is an equivalent proportion?

5 : 60 as 20 : 120

10 : 30 as 25 : 1000

12 : 60 as 11 : 55

60 : 150 as 1 : 50

Correct Answer:
12 : 60 as 11 : 55

Explanation:
Correct answer:
12 : 60 as 11 : 55

These ratios are equivalent in proportion. They can both be reduced to the same ratio: 1 : 5 or 1/5.
Which of the following is the manufacturer abbreviation code for Bausch & Lomb?

BAL

BLC

B&L

B-L

Correct Answer:
B-L

Explanation:
Correct answer:
B-L

A pharmacy technician should know the drug manufacturers abbreviation code that is used in filling
prescriptions. Bausch & Lombs code is B-L.

Convert 3.15% to a decimal. What is the result?

31.5

0.0315

0.315

0.00315

Correct Answer:
0.0315
Explanation:
Correct answer:
0.0315

To convert a percentage to a decimal move the decimal point 2 places to the left. This gives you a result
of 0.0315.

Which of the following pieces of information would be found in an institutional patient profile but not in an
outpatient profile?

patient name

patient date of birth

record of medications dispensed

laboratory tests

Correct Answer:
laboratory tests

Explanation:
Correct answer:
laboratory tests

Additional information is required in an institutional patient profile such as laboratory tests. Other
additional information included in the institutional patient profile includes: diagnosis, therapies, height,
weight, and results of lab tests.

The integumentary system involves the covering of the body. It is the bodys first line of defense. Which of
the following terms relating to the integumentary system indicates through the skin?

subcutaneous

epidermal

atopic
transdermal

Correct Answer:
transdermal

Explanation:
Correct answer:
transdermal

Transdermal means through the skin. For example, transdermal patches deliver a timed-release dose of
medication through the skin into the bloodstream.

Solve the following equation for x: 22x 12x = 84 2x

10

Correct Answer:
7

Explanation:
Correct answer:
7

First, combine like terms (22x - 12x) = 84 2x


10x = 84 2x
Add 2x to both sides of the equation 2x + 10x = 84 + (- 2x +2x)
Now combine like terms 12x = 84
x = 84/12
x =7

Which of the following pieces of equipment would be most appropriate for smoothing the tops of troches
and suppositories?

hotplate

heat gun

homogenizer

spatula

Correct Answer:
heat gun

Explanation:
Correct answer:
heat gun

A heat gun would be the most appropriate of the choices for smoothing the tops of troches and
suppositories. Although a hotplate can be used to melt bases, it would not be right for smoothing the tops
of any medication.

Which of the following words or terms is NOT matched with its correct abbreviation?

gram gr.

drop Gtt

units U

cubic centimeter cc
Correct Answer:
gram gr.

Explanation:
Correct answer:
gram gr.

This matchup is not correct. Gram is abbreviated g or gm. The abbreviation gr. stands for grain.

The general term used to describe the division of the nervous system that is outside the brain and spinal
cord is which of the following?

parasympathetic nervous system

central nervous system

peripheral nervous system

autonomic nervous system

Correct Answer:
peripheral nervous system

Explanation:
Correct answer:
peripheral nervous system

The peripheral nervous system is the division of the nervous system that is outside the brain and spinal
cord. The central nervous system consists of the brain and the spinal cord. The autonomic system is part
of the peripheral nervous system and the parasympathetic system is part of the autonomic system.

Which of the following would NOT be required as a legal and/or regulatory requirement for a pharmacy
facility?
an alarm system to be activated when the pharmacy is not open

separate refrigerators for refrigerated medications and controlled substances

a sink with hot and cold water

a safe for Schedule III to V medications

Correct Answer:
a safe for Schedule III to V medications

Explanation:
Correct answer:
a safe for Schedule III to V medications

This would not be required. Schedule III to V medications may be dispersed throughout the pharmacy
with the other medications. What is required is a safe for Schedule II medications.

Using Frieds rule calculate the dosage for a 9 month old child who needs a medication that is
administered to adults in a 325 mg dose. What is the appropriate dosage for this child?

195 mg

1.63 mg

163 g

19.5 mg

Correct Answer:
19.5 mg
Explanation:
Correct answer:
19.5 mg

Frieds rule is a formula used in calculating pediatric dosages based on the childs age in months. Divide
the childs age in months by 150 and multiply the result by the adult dosage. In this case the childs age is
9 months. Divide this by 150 and multiply by 325 mg and the result is 19.5 mg.

Which of the following drugs is NOT a common urinary tract agent?

Vesicare

Kristalose

Avodart

Detrol LA

Correct Answer:
Kristalose

Explanation:
Correct answer:
Kristalose

Kristalose is a laxative. Its generic name is lactulose. All of the other choices are common urinary tract
agents. These types of drugs are used to treat conditions affecting the flow of urine.

Influenza vaccinations are recommended by the Advisory Committee on Immunization Practices (ACIP)
for all of the following persons EXCEPT:

all persons 6 to 18 years of age

persons older than 50 years of age

persons who have hypertension


persons who have chronic pulmonary disorders

Correct Answer:
persons who have hypertension

Explanation:
Correct answer:
persons who have hypertension

Persons who have hypertension are not included in the ACIP recommendations for groups that should
receive influenza vaccinations, although persons with cardiovascular disorders are included in the
recommendations. The ACIP also recommends the vaccine for health care personnel, women who will be
pregnant during the influenza season, persons who have immunosuppression, household caregivers of
persons who are at high risk of contracting influenza and persons who have chronic pulmonary,
cardiovascular, renal, hepatic, cognitive, neurological, neuromuscular, hematological or metabolic
disorders.

An aspect of working with patients is the ability to understand medical terminology. Of the following body
system word segments, which refers to the liver?

cholecyst(o)

hepat(o)

proct(o)

hem(o)

Correct Answer:
hepat(o)

Explanation:
Correct answer
hepat(o)

The word segment hepat(o) refers to the liver. Cholecyst(o) refers to the gallbladder. Proct(o) refers
to the anus or rectum. Hem(o) refers to the blood.

What is the markup percentage on a product that was purchased at a cost of $3.00 and is sold for $6.00?

100%

50%

200%

75%

Correct Answer:
100%

Explanation:
Correct answer:
100%

x (Markup percentage) = markup / cost x 100


x = 3 / 3 x 100
x = 100%

Pharmacy technicians should be familiar with various types of monitoring and screening equipment.
Which of the following types of equipment is used to measure and manage asthma in an individual?

peak flow meter

nebulizer

steam vaporizer

air purifier
Correct Answer:
peak flow meter

Explanation:
Correct answer:
peak flow meter

A peak flow meter is used to measure and manage asthma in an individual. A nebulizer generates very
fine particles of liquid in a gas and is used in providing inhalation therapy. A steam vaporizer provides
relief for upper respiratory illness. An air purifier removes dust, pollen, spores, secondhand smoke and
other irritants from room air.

Which of the following substances cannot pass the blood-brain barrier (BBB)?

high-lipid molecules

lipid-soluble molecules in drugs

water-soluble molecules

glucose

Correct Answer:
water-soluble molecules

Explanation:
Correct answer:
water-soluble molecules

Water-soluble molecules cannot pass the BBB. Other substances that cannot pass the BBB include: large
molecules; low-lipid molecules; and bacteria or viruses >500 Daltons. Substances that can pass the BBB
include the other three choices along with oxygen.
In terms of abbreviations used on prescription forms, which of the following abbreviations is used to
indicate as directed?

ut dict

qd

ID

od

Correct Answer:
ut dict

Explanation:
Correct answer:
ut dict

The abbreviation ut dict means that the medication should be taken as directed. The abbreviation qd
means once a day or every day. The abbreviation ID means that the medication should be administered
under the skin. The abbreviation od means that the medication should be administered in the right eye.

Which of the following is NOT a supply procurement procedure?

packaging

drug selection

source selection

cost analysis
Correct Answer:
packaging

Explanation:
Correct answer:
packaging

Packaging is not a supply procurement procedure. Procurement includes: drug selection, source
selection, cost analysis, group purchasing, prime vendor relationships, purchasing procedures, record
keeping and receiving control.

Roman numerals are often used in pharmacology. Which of the following Roman numerals equals 59?

LIX

DIX

LXI

DXI

Correct Answer:
LIX

Explanation:
Correct anwer:
LIX

L = 50 and IX (one from ten) = 9. The number 59 would therefore be written as LIX in Roman numerals.

The minimum blood pressure when the heart relaxes is known as which of the following?

diastolic pressure

systolic pressure
cardiac pressure

myocardial pressure

Correct Answer:
diastolic pressure

Explanation:
Correct answer:
diastolic pressure

The minimum blood pressure when the heart relaxes is the diastolic pressure. It is the second number in
a blood pressure reading. The systolic pressure is the maximum blood pressure when the heart contracts
and it is the first number in a blood pressure reading.

If a Roman numeral is placed before a larger Roman numeral this means which of the following?

It is subtracted from the larger Roman numeral.

It is added to the larger Roman numeral.

It is multiplied by the larger Roman numeral.

It means nothing mathematically.

Correct Answer:
It is subtracted from the larger Roman numeral.

Explanation:
Correct answer:
It is subtracted from the larger Roman numeral.

When a smaller Roman numeral is placed before a larger Roman numeral, it is subtracted from the larger
numeral.

Example: IV = 5 -1 = 4

The Roman numeral Iss is equal to which of the following?

21

1 and

1 and

Correct Answer:
1 and

Explanation:
Correct answer:
1 and

Iss is equal to 1 and . I = 1 and ss = .

Which of the following is most likely to have the lowest supplier cost for drugs?

warehouse repackaging plant

wholesaler

vendor repackaging plant

manufacturer
Correct Answer:
warehouse repackaging plant

Explanation:
Correct answer:
warehouse repackaging plant

The warehouse repackaging plant is most likely to have the lowest supplier cost for drugs. This plant will
also be able to stock large supplies when ordering and provide special delivery services.

In order to prevent prescription errors which of the following would NOT be an appropriate guideline?

Question ambiguous orders.

Keep dangerous or high-alert medications in a separate storage area of the pharmacy.

Always keep the prescription and the label together during the fill process.

The label should always be compared with the original prescription by at least one person.

Correct Answer:
The label should always be compared with the original prescription by at least one person.

Explanation:
Correct answer:
The label should always be compared with the original prescription by at least one person.

This is not an appropriate guideline. To prevent prescription errors, the label should always be compared
with the original prescription by at least two people. If an error occurs at this stage, the refills may be filled
incorrectly as well.

Convert the ration 15 : 75 to a percentage. What is the result?

15.75%
1.575%

2%

20%

Correct Answer:
20%

Explanation:
Correct answer:
20%

The ratio 15 : 75 can be written as a fraction of 15/75. Divide the numerator by the denominator and the
result is 0.2 or 20%.

The form of immunity in which the body produces its own antibodies against disease-causing antigens is
which of the following?

acquired immunity

active immunity

passive immunity

none of the above

Correct Answer:
active immunity

Explanation:
Correct answer:
active immunity
Acquired immunity is immunity acquired by active infection, by vaccination, or by the transfer of products
from a donor. Active immunity is a form of acquired immunity in which the body produces its own
antibodies against disease-causing agents (as in the case of vaccination). Passive immunity is resistance
to a disease that has been acquired through a transfer of antibodies from another person.

Reduce the following fraction: 12/16 to the lowest terms. What is the result?

6/8

2/3

5/8

3/4

Correct Answer:
3/4

Explanation:
Correct Answer
3/4

To reduce the fraction to the simplest terms divide both the numerator and the denominator of the fraction
12/16 by 4 . The result is 3/4.

Which of the following glands of the endocrine system is responsible for the production of melatonin?

pineal

hypothalamus

pituitary

thyroid
Correct Answer:
pineal

Explanation:
Correct answer:
pineal

The pineal gland is responsible for the production and secretion of melatonin, a chemical substance that
helps to regulate the sleep-wake cycle. The target tissue of melatonin is the hypothalamus.

The law that is meant to improve portability and continuity of health coverage in the group and individual
markets is which of the following?

FDA Modernization Act

Freedom of Choice Law

HIPAA

ADA

Correct Answer:
HIPAA

Explanation:
Correct answer:
HIPAA

HIPAA, the Health Insurance Portability and Accountability Act of 1996, was enacted to improve
portability and continuity of health coverage in the group and individual markets. It also combats waste,
fraud and abuse in health insurance and health care delivery, promotes the use of medical savings
accounts, improves access to long-term care services and coverage, and simplifies the administration of
health insurance.
Which of the following medications is NOT used specifically for treating ADD/ADHD?

Adderall

Bromfed

Strattera

Methylin

Correct Answer:
Bromfed

Explanation:
Correct answer:
Bromfed

Bromfed is an antihistamine/decongestant combination. It is used for respiratory conditions; it is not used


to treat ADD/ADHD.

Stocking more than one brand of the same drug is known as which of the following?

drug duplication

PAR duplication

purchase order duplication

automated duplication

Correct Answer:
drug duplication
Explanation:
Correct answer:
drug duplication

Only one brand name and one generic per drug are normally stocked in a pharmacy. Stocking more than
one brand of the same drug is called drug duplication. Drug duplication takes up valuable shelf space and
resources.

Sales minus the cost of goods minus expenses is which of the following?

gross profit

net profit

gross margin

net sales

Correct Answer:
net profit

Explanation:
Correct answer:
net profit

The net profit is defined as the sales minus the cost of goods minus expenses. Gross profit (or gross
margin) is the excess of net sales over the cost of goods sold. Net sales is sales less sales returns and
allowances and sales discounts.

Of the following procedures to compound nonsterile products which one involves rubbing, grinding or
pulverizing a powder to create fine particles?

tumbling

spatulation

trituration
geometric dilution

Correct Answer:
trituration

Explanation:
Correct answer:
trituration

Trituration is the process of rubbing, grinding or pulverizing a powder to create fine particles. Tumbling is
combining powders in a bag and shaking it. Spatulation is mixing powders using a spatula. Geometric
dilution is a technique used in mixing two ingredients of unequal quantities.

The innermost layer of the eye is which of the following?

cone

iris

orbit

retina

Correct Answer:
retina

Explanation:
Correct answer:
retina

The retina is the innermost layer of the eye. It is a complex structure that is considered part of the central
nervous system. The retina contains photoreceptors (rods and cones) that transmit impulses to the optic
nerve, as well as the macula lutea (a yellow spot in the center of the retina.
In terms of transdermal products, which of the following statements is least accurate?

Transdermal products provide systemic therapy.

A transdermal product delivers a controlled dose of medication.

A transdermal product is not absorbed directly into the bloodstream.

Transdermal products can result in improved patient compliance.

Correct Answer:
A transdermal product is not absorbed directly into the bloodstream.

Explanation:
Correct answer:
A transdermal product is not absorbed directly into the bloodstream.

This is not accurate. A transdermal product delivers a controlled dose of mediation through the skin. It is
absorbed directly into the bloodstream.

The most commonly used method of ordering in modern pharmacies is which of the following?

automated

manual

combination of automated and manual

review system
Correct Answer:
combination of automated and manual

Explanation:
Correct answer:
combination of automated and manual

The method of ordering most commonly used in modern pharmacies is a combination of the automated
and manual methods. The computer system will generate an automated order, which is considered the
primary order; then additional items are added manually by the buyer. This method responds easily to
changes and so is the most efficient.
Test 8
A system that provides a medication in its final form of use is which of the following?

modified unit-dose system

unit-dose system

blended unit-dose system

none of the above

Correct Answer:
unit-dose system

Explanation:
Correct answer:
unit-dose system

The unit-dose system is a system that provides a medication in its final unit of use. Unit-dose packaging
machines may be manual, semiautomatic or automatic.

All pharmacies must have a professional library. Which of the following reference materials is also known
as the Orange Book because of the color of its cover?

Approved Drug Products with Therapeutic Equivalence Evaluations

Drug Facts and Comparisons

Pharmaceutical Dosage Forms and Drug Delivery Systems

Index Nominum

Correct Answer:
Approved Drug Products with Therapeutic Equivalence Evaluations
Explanation:
Correct answer:
Approved Drug Products with Therapeutic Equivalence Evaluations

The FDA puts out the Approved Drug Products with Therapeutic Equivalence Evaluations book. It is
revised annually, with monthly updates. It is also known as the Orange Book.

When a pharmacy buyer established contracts directly with each pharmaceutical manufacturer this is
called:

independent purchasing

group purchasing

wholesale purchasing

primary purchasing

Correct Answer:
independent purchasing

Explanation:
Correct answer:
independent purchasing

In an independent purchasing system, the pharmacy, most often the pharmacy director or buyer, is
responsible for establishing contracts with each pharmaceutical manufacturer. Individual contracts set
pricing and delivery terms, return policy and dollar-volume equivalents.

An adult patient weighs 90 kg. The adult dose of the drug is 5 mg/kg. What is the dose for this patient?

18 mg

40.9 mg

45 mg
450 mg

Correct Answer:
450 mg

Explanation:
Correct answer:
450 mg

x = 90 kg x 5 mg/kg
x = 450 mg

In a hospital setting medication orders that are entered into the computer system by a pharmacy
employee must include all of the following information EXCEPT:

patient hospital ID number

route of administration

ordering physician

medical condition of the patient

Correct Answer:
medical condition of the patient

Explanation:
Correct answer:
medical conditions of the patient

The medical condition of the patient is not one of the pieces of information that must be included in the
computer entry for a medication order. The other choices must all be included along with: patient name;
room number/bed number/location; drug name; drug strength; drug quantity (if a STAT order); frequency
of administration; and the date and time of the order.

You have a prescription for a medication to be taken one 5 mg capsule four times a day for 21 days. How
many capsules are needed for this prescription?

84

105

210

42

Correct Answer:
84

Explanation:
Correct answer:
84

x (capsules needed) = 1 x 4 x 21
x = 84

You have 2 g of a drug in 50 mL of solution. What is the percent of the solution?

2%

4%

6%

8%
Correct Answer:
4%

Explanation:
Correct answer:
4%

The ratio is 2 g to 50 mL. This must be converted into g /100 mL. Set up a ratio of 2 g is to 50 mL as how
many g are to 100 mL.

2/50 = x/100
50 x = 200
x=4g

Expressed as a percentage, 4g/100 mL = 4% solution.

The type of ointment that is stiff or very viscous is which of the following?

cream

gel

paste

none of the above

Correct Answer:
paste

Explanation:
Correct answer:
paste

A paste is a stiff, or very viscous, ointment that does not melt or soften at body temperature. A paste is
intended to be used as protective covering over areas where it is applied. An example of a paste is a
diaper rash preparation.
Another term for an antagonist drug is which of the following?

neurotransmitter

anti-pyretic

mimetic

blocker

Correct Answer:
blocker

Explanation:
Correct answer:
blocker

Blocker is another term for an antagonist drug. An antagonist blocks the action of neurotransmitters.
Mimetic is another term for an agonist, because agonists imitate or mimic the action of the
neurotransmitter.

Perform the following: 2.34 + 17.07 + 0.0234. What is the result?

19.4334

19.433

19.333

21.234
Correct Answer:
19.4334

Explanation:
Correct answer:
19.4334

To add numbers with decimals, first place all the numbers in alignment and simply add zeros to the right
of the first and second numbers as place holders which does not change their value and add the
numbers.

2.3400
17.0700
+ 0 .0234
19.4334

Which of the following pieces of information would NOT typically be included in the outpatient profile?

a record of medications dispensed to the patient

medical history

height and weight

drug allergies

Correct Answer:
height and weight

Explanation:
Correct answer:
height and weight

Height and weight are items typically in the institutional patient profile but not in the outpatient profile. Also
in the institutional patient profile is information about diagnosis, therapies, laboratory tests, and results.

Which of the following is the correct formula for powder volume?


Powder volume = final volume + diluent volume

Powder volume = diluent volume final volume

Powder volume = initial volume + final volume

Powder volume = final volume diluent volume

Correct Answer:
Powder volume = final volume diluent volume

Explanation:
Correct answer:
Powder volume = final volume diluent volume

This is the correct formula for powder volume. The equation is used in calculations for reconstituting a
solution.

Exempt narcotics include select cough and antidiarrheal prescription items that can be purchased by an
individual, if permitted by state law. All of the following statements in regard to this are true EXCEPT:

The quantity dispensed must be in the original manufacturers container.

The purchaser must be at least 18 years of age.

The purchaser must complete an entry into the Exempt Narcotic Book.

There is a limit of one container in any 24 hour period.

Correct Answer:
There is a limit of one container in any 24 hour period.
Explanation:
Correct answer:
There is a limit of one container in any 24 hour period.

This is not true. There is a limit of one container in a 48-hour period. The medicine must be in the original
manufacturers container and must not exceed the quantity established by law.

If a product is on sale for 15% off the retail price and the retail price is $7.00, what will the product sell
for?

$5.95

$1.05

$5.65

$6.00

Correct Answer:
$5.95

Explanation:
Correct answer:
$5.95

The discount for the sale is 15% or 0.15. Multiply the normal retail price of $7.00 by 0.15 and the result is
$1.05 discount. Subtract this from $7.00 and you get a discounted price of $5.95.

How often do laminar flow hoods need to be certified?

every year

every month

every 6 months

none of the above


Correct Answer:
every 6 months

Explanation:
Correct answer:
every 6 months

Laminar flow hoods need to be certified every 6 months. If the HEPA filter becomes damaged, before the
six month period, it will require certification.

The ability of a substance to cause abnormal fetal development when given to pregnant women is which
of the following?

teratogenicity

nephrotoxicity

carcinogenicity

hematological effects

Correct Answer:
teratogenicity

Explanation:
Correct answer:
teratogenicity

Teratogenicity is the ability of a substance to cause abnormal fetal development when given to pregnant
women. Drugs are rated as Class A, B, C, D, and X with A being no risk and X being the worst risk.
If a child weighs 10 kg, how many pounds is this?

4.5 lb

45 lb

20 lb

22 lb

Correct Answer:
22 lb

Explanation:
Correct answer:
22 lb

There are 2.2 lb. in one kilogram. Therefore, this child weighs 22 lb (10 X 2.2).

The first five digits of the 11-digit National Drug Code number represent which of the following?

the manufacturer

the manufacturer and the drug product

the package size and packaging

the drug product

Correct Answer:
the manufacturer

Explanation:
Correct answer:
the manufacturer

The first five digits of the 11- digit National Drug Code number identify the manufacturer and the next four
digits identify the drug product. The final two digits represent the package size and packaging.

The distribution system for drugs in which each medication order is filled in the pharmacy in a way that
provides each dose in a package ready to administer to the patient is which of the following?

patient prescription stock system

floor stock system

unit-dose

none of the above

Correct Answer:
unit-dose

Explanation:
Correct answer:
unit-dose

Unit-dose is a distribution system for drugs in which each medication order is filled in the pharmacy in a
way that provides each dose in a package ready to administer to the patient. Usually, not more than a 24-
hour supply is dispensed at one time.

The number that is assigned to any health care provider that is used for the purpose of standardizing
health data transmission is which of the following?

adjudication number

P&T number

National Provider Identifier


National Drug Code

Correct Answer:
National Provider Identifier

Explanation:
Correct answer:
National Provider Identifier

The National Provider Identifier (NPI) is the number that is assigned to any health care provider that is
used for the purpose of standardizing health data transmission. Pharmacies must apply for this number
from the Centers for Medicare & Medicaid Services.

The process by which a drug is absorbed, distributed, metabolized and eliminated by the body is known
as which of the following?

pharmacokinetics

pharmacodynamics

pharmacology

metabolism

Correct Answer:
pharmacokinetics

Explanation:
Correct answer:
pharmacokinetics

Pharmacokinetics is the process by which a drug is absorbed, distributed, metabolized and eliminated by
the body. Components of pharmacokinetics include: absorption, distribution, metabolism, excretion,
bioavailability, half-life and bioequivalence. Pharmacodynamics describes the effects the drug has on the
body.

The pharmacy sells a tube of medication for $9.00. It has a 200% markup. How much gross profit does
the pharmacy make on the tube of medication?

$4.50

$3.00

$6.00

$7.00

Correct Answer:
$6.00

Explanation:
Correct answer:
$6.00

To find the cost of each tube use the formula:

2x (the markup) + x (the cost) = $9.00


3x = $9.00
x = $9.00 3
x = $3.00

If the tube sells for $9.00 the gross profit is $9.00 - $3.00 (the cost) = $6.00.

When the combined effect of two drugs is greater than the sum of both drugs effects, this is known as:

synthesizing

sympathoplegic effect

sympatholytic effect
synergistic effect

Correct Answer:
synergistic effect

Explanation:
Correct answer:
synergistic effect

The synergistic effect takes place when two drugs have the same physiological effect but different
mechanisms. One potentiates the effects of the other so that the combined effect is greater than the sum
of both drugs effects.

The heart condition characterized by severe, often constricting pain affecting the pectoral region caused
by lack of oxygen to heart cells is which of the following?

arrhythmia

arteriosclerosis

atherosclerosis

angina

Correct Answer:
angina

Explanation:
Correct answer:
angina

Angina is a heart condition characterized by severe, often constricting pain affecting the pectoral region
caused by lack of oxygen to heart cells. Decreased blood flow can be caused by factors such as
atherosclerosis, hypertension and diabetes.

Which of the following metric equivalents is not correct?

1 kg = 1000 g

1 g = 1000 mg

1 mg = 1000 mcg

1 g = 0.01 kg

Correct Answer:
1 g = 0.01 kg

Explanation:
Correct answer:
1 g = 0.01 kg

This is incorrect. 1 g = 0.001 kg. A gram is one-thousandth of a kilogram.

A treatment given before an event to prevent the occurrence of a condition or symptom is which of the
following?

placebo

curative

prophylaxis

none of the above


Correct Answer:
prophylaxis

Explanation:
Correct answer:
prophylaxis

A prophylaxis is a treatment given before an event to prevent the occurrence of a condition or symptom.
For instance, with asthma sufferers, using prophylaxis medications can help avoid most asthma attacks.

Which of the following types of pharmacies fills and delivers medications prescribed by institutions such
as long-term-care facilities and may also provide mail-order prescriptions?

community pharmacy

institutional pharmacy

closed door pharmacy

E-prescribing pharmacy

Correct Answer:
closed door pharmacy

Explanation:
Correct answer:
closed door pharmacy

A closed door pharmacy is one that fills and delivers medications prescribed by institutions such as long-
term-care facilities and may also provide mail-order prescriptions. Closed door pharmacies are not open
to the public for filling prescriptions.

All drugs that are available by prescription only are known as which of the following?

Schedule I drugs
BTC drugs

legend drugs

generic drugs

Correct Answer:
legend drugs

Explanation:
Correct answer:
legend drugs

Legend drugs are those available by prescription only. They are often denoted as Rx.

If a drug is water-soluble which of the following can be used in preparation of the drug?

suspension

elixir

emulsion

syrup

Correct Answer:
syrup

Explanation:
Correct answer:
syrup

If a drug is water-soluble a syrup or solution can be prepared. If it is insoluble then an elixir, a suspension
or possibly an emulsion can be made.

Zinc is an important mineral for normal growth. Which of the following statements about zinc is least
accurate?

Zinc ensures the sense of smell and taste.

It is not possible for a person to have an excess of zinc.

Zinc helps to heal wounds.

A deficiency of zinc will be noted by impairment of taste.

Correct Answer:
It is not possible for a person to have an excess of zinc.

Explanation:
Correct answer:
It is not possible for a person to have an excess of zinc.

This is inaccurate. If zinc is taken in excess, side effects can range from nausea, vomiting and diarrhea to
pulmonary edema, hypotension and tachycardia.

The pharmacy buys a case of 20 bottles of prescription tablets each bottle containing 500 tablets. The
cost for the case is $300. What is the cost to the pharmacy of each tablet?

$0.03

$0.30

$1.20

$0.12
Correct Answer:
$0.03

Explanation:
Correct answer:
$0.03

Each case contains 20 bottles of 500 tablets. This is a total of 10,000 tablets. If the case cost the
pharmacy $300, each tablet costs $300 10,000 tablets = $0.03 per tablet.

A proper faction written correctly is expressed as:

4/5

7/2

2 2/3

4/3

Correct Answer:
4/5

Explanation:
Correct Answer:
4/5

The proper way to write a fraction is to have the numerator smaller than the denominator. The other
choices are improper fractions and mixed numbers.

Of the following means of communication, which one would have the LEAST channel richness?

telephone
posted notices

E-mail

written memos

Correct Answer:
posted notices

Explanation:
Correct answer:
posted notices

Posted notices would have the least channel richness. Channel richness is the capacity of a means of
communication or channel to convey information effectively. Face-to-face communication is the best.

Which of the following is NOT an infusion control device?

Dial-a-Flow

ReadyMed

Homepump Eclipse

Lifecare OminiFlow 4000

Correct Answer:
Lifecare OminiFlow 4000

Explanation:
Correct answer:
Lifecare OminiFlow 4000
The Lifecare OminiFlow 4000 is a mechanical piston pump that is controlled by a piston that is
electromagnetically operated by a battery. It is not an infusion control device.

The prefix nano- means which of the following?

one-millionth of a unit

one-billionth of a unit

one-thousandth of a unit

1000 times the unit

Correct Answer:
one-billionth of a unit

Explanation:
Correct answer:
one-billionth of a unit

The prefix nano- means one-billionth of a unit. One-millionth of a unit is indicated by the prefix micro-.
One-thousandth of a unit is indicated by the prefix milli-. 1000 times the unit is indicated by the prefix
kilo-.

Which of the following pieces of equipment is used to pull medication from ampules?

filter straws

filter needles

depth filters

membrane filters
Correct Answer:
filter straws

Explanation:
Correct answer:
filter straws

Filter straws are used for pulling medication from ampules. Ampules are elongated glass containers in
which the neck is broken off for use.

Which of the following drugs is NOT a central nervous system agent?

Neurontin

Cardura

Dilantin 125

Tegretol

Correct Answer:
Cardura

Explanation:
Correct answer:
Cardura

Cardura is not a central nervous system agent; it is a cardiovascular agent. Cardiovascular agents are
probably the most frequently prescribed group of drugs. They modify heart rate, blood pressure, and
cardiac conduction, as well as work to increase perfusion to organs by increasing blood flow.

Solve the following equation for x. What is the result?

3/5 = 15/x
3

25

75

Correct Answer:
25

Explanation:
Correct answer:
25

3 is to 5 as 15 is to 25. They are of equal proportions.

In terms of record-keeping requirements for controlled substances, which of the following statements is
least accurate?

Controlled substance invoices must be maintained in the pharmacy

The pharmacist must be present for any transaction involving exempt narcotics.

A semi-annual inventory of narcotics must be maintained in the pharmacy.

A facility must receive an MSDS sheet every time a hazardous chemical is provided to it.

Correct Answer:
A semi-annual inventory of narcotics must be maintained in the pharmacy.

Explanation:
Correct answer:
A semi-annual inventory of narcotics must be maintained in the pharmacy.
This statement is not accurate. A biennial (every two years) inventory of narcotics must be maintained in
the pharmacy. Semi-annual refers to twice a year.

Which of the following organizations requires that a material safety data sheet be maintained with
information on all potentially dangerous chemicals used in the workplace?

The Joint Commission

OSHA

FDA

EPA

Correct Answer:
OSHA

Explanation:
Correct answer:
OSHA

The Occupational Safety and Health Administration (OSHA) requires that a material safety data sheet be
maintained with information on all potentially dangerous chemicals used in the workplace. The purpose of
OSHA is to make the workplace safe for employees.

Which of the following reports summarizes all items that were not purchased on bid?

compliance report

ABC analysis

80/20 report

none of the above


Correct Answer:
compliance report

Explanation:
Correct answer:
compliance report

The compliance report is a report that summarizes all items that were not purchased on bid. The ABC
analysis is a method to identify and define inventory items based on their usage. The 80/20 report is a
detailed summary of purchasing history based on the 80/20 rule.

Schedule II medications are ordered by completing which of the following forms?

DEA Form 41

DEA Form 222

DEA Form 106

none of the above

Correct Answer:
DEA Form 222

Explanation:
Correct answer:
DEA Form 222

Schedule II medications are ordered by properly completing a DEA Form 222. It must be signed by the
individual in whose name the DEA registration is listed. It is valid for only 60 days. DEA Form 41 is used
for destruction of controlled substances. DEA Form 106 is used for theft of controlled substances.

If the terms of a $2,000 invoice for a drug are 2% net 30 and the pharmacy pays within 30 days, what
amount will the pharmacy have to pay?
$1,960

$2,040

$1,860

$1,940

Correct Answer:
$1,960

Explanation:
Correct answer:
$1,960

The pharmacy will get a 2% discount if the invoice is paid within 30 days. 2% of $2,000 is $40. Subtract
$40 from $2,000 and the result is $1,960.

The health insurance program for individuals and families with low incomes or disabilities is which of the
following?

Workers Compensation

Medicare

Medicaid

Preferred Provider Organization

Correct Answer:
Medicaid
Explanation:
Correct answer:
Medicaid

Medicaid is the health insurance program for individuals and families with low incomes or disabilities.
Medicaid eligibility requirements are determined and vary by each state.

All of the following information needs to be specified when ordering drugs or devices for the pharmacy
EXCEPT:

the strength and dosage form of the drug

the efficacy of the drug ordered

the quantity of drug dosage forms per package

the type of packaging

Correct Answer:
the efficacy of the drug ordered

Explanation:
Correct answer:
the efficacy of the drug ordered

The efficacy of the drug ordered is not information that needs to be specified when ordering drugs or
devices for the pharmacy. Information needed (in addition to the other three choices) includes: for a drug
product, the generic or grand name; the number of bottles, packages, or devices being ordered; and the
drug or device name and manufacturer.

Many prefixes are used in measurements in the pharmacy. Which of the following prefixes means ten
times the basic unit?

hecto

deci
deka

nano

Correct Answer:
deka

Explanation:
Correct answer:
deka

The prefix deka means ten times the basic unit. The prefix deci means one tenth of the basic unit.

In a retail pharmacy the person who is appointed to supervise all aspects of the daily store operations,
including the pharmacy department is which of the following?

pharmacy manager

pharmacist in charge

pharmacy clerk

store manager

Correct Answer:
store manager

Explanation:
Correct answer:
store manager

The store manager is the person who is appointed to supervise all aspects of the daily store operations,
including the pharmacy department. A pharmacy manager is appointed to supervise all aspects of the
daily pharmacy operations, not store operations.

The majority of pharmacy calculations are performed by establishing a proportion and then solving for the
unknown. Solve for X in the following problem.

3:15 :: X:75

The answer is:

30

15

7.5

none of the above

Correct Answer:
15

Explanation:
Correct answer:
15

The answer is 15.


3:15 :: 15:75

To solve this proportion problem, first set up the proportion as a fraction.


3/15 = X/75

Then cross multiply.


15X = 15 x 75

Then solve for X.


X = 15 X 75 15
X = 225 15
X = 15

Which of the following would NOT be considered a third-party payer of health costs?
self-payer

insurance company

Medicare

Medicaid

Correct Answer:
self-payer

Explanation:
Correct answer:
self-payer

A person who self-pays is not considered a third-party payer. Third-party payers may include: traditional
insurance companies, such as those that are part of an employee benefit package; government plans
such as Medicare and Medicaid; and private insurance companies.

Emulsions contain two immiscible liquids, in which one liquid is dispersed throughout another liquid.
Which method of forming a primary emulsion is done by triturating one part gum and two parts water to
form a mucilage, then slowly adding four parts oil and triturating slowly, then adding additional
ingredients?

continental method

wet gum method

beaker method

none of the above


Correct Answer:
wet gum method

Explanation:
Correct answer:
wet gum method

The wet gum method involves a procedure in which the primary emulsion is done by triturating one part
gum and two parts water to form a mucilage, then slowly adding four parts oil and triturating slowly, then
adding additional ingredients. Emulsion may either be oil in water or water in oil.

Of the following errors that involve allergies to drugs, which one is the most prevalent?

Physician did not believe the allergy was real.

Physician was not aware of the allergy.

Physician was aware of the allergy but felt the benefit outweighed the risk.

Physician was not aware that the agent was in the same class of drugs.

Correct Answer:
Physician was not aware of the allergy.

Explanation:
Correct answer:
Physician was not aware of the allergy.

By far, the most prevalent reason for errors involving allergies is that the physician was not aware of the
allergy. Many people can have an allergic reaction as a result of the physician not documenting or
reviewing the patients allergies before prescribing mediations.

Convert 235% to a decimal. What is the result?

2.35

23.5
0.235

0.0235

Correct Answer:
2.35

Explanation:
Correct answer:
2.35

To convert a percentage to a decimal move the decimal point 2 places to the left. This gives you a result
of 2.35.

Issuing permits for pharmacies is a responsibility of which of the following?

USP

DEA

The Joint Commission

State Boards of Pharmacy

Correct Answer:
State Boards of Pharmacy

Explanation:
Correct answer:
State Boards of Pharmacy

The State Boards of Pharmacy issues permits for pharmacies. They also ensure that specific standards
are met for the licensing of pharmacists, and that requirements are met regarding pharmacy technicians.
All of the following are parts of the aseptic techniques for technicians EXCEPT:

No jewelry should be worn in the hood.

The hood must run for 10 minutes before the medications are placed inside.

Work at least 6 inches into the horizontal hood.

The airflow in the hood should not be blocked at any time.

Correct Answer:
The hood must run for 10 minutes before the medications are placed inside.

Explanation:
Correct answer:
The hood must run for 10 minutes before the medications are placed inside.

This is not correct. The hood must run for 30 minutes before the medications are placed inside. Also, the
surface of the hood should be washed down with 70% isopropyl alcohol using the proper method for this.

The five rights of medication safety include all of the following EXCEPT:

the right patient

the right drug

the right route

the right to refuse drugs


Correct Answer:
the right to refuse drugs

Explanation:
Correct answer:
the right to refuse drugs

This is not one of the five rights of medication safety. These five rights are: the right patient, the right
drug, the right dose, the right route and the right time.

If a patient receives medication for Graves disease, the patient suffers from which of the following?

hyperthyroidism

hypothyroidism

hyperlipidemia

epilepsy

Correct Answer:
hyperthyroidism

Explanation:
Correct answer:
hyperthyroidism

A person with Graves disease suffers from hyperthyroidism. The disease is characterized by an
excessive secretion of thyroid hormone with decreased menses, diarrhea, exophthalmos, flushing of the
skin, heat intolerance, nervousness, perspiration, tachycardia and possible weight loss.

Using Youngs rule calculate the dosage for a 1-year-old child who is prescribed a drug which has a usual
adult dosage of 20 mg. What is the appropriate dosage for this child?

10 mg
1.5 mg

15 mg

1.75 mg

Correct Answer:
1.5 mg

Explanation:
Correct answer:
1.5 mg

Youngs rule uses a formula based on the age expressed in years. The pediatric dose is calculated by
dividing the childs age in years by the childs age in years plus 12 and multiplying the result by the adult
dosage. In this case the childs age is 1 year. Divide this by 1 + 12 (13) and multiply the result by 20 mg.
The result is 1.5 mg.

Which of the following statements about capsules is least accurate?

Capsules have a drug contained in a shell of gelatin that dissolves in 10 to 20 minutes.

The shape of capsule dosages may be spheric or ovoid.

Drugs in the capsule are always in liquid form.

The capacity of capsules may vary up to 1 gram.

Correct Answer:
Drugs in the capsule are always in liquid form.

Explanation:
Correct answer:
Drugs in the capsule are always in liquid form.

All of the statements about capsules are correct except this one. Drugs in the capsule may be in solid or
liquid form. Capsules can be produced manually by using the punch method.

Which of the following types of medical equipment is used to measure cardiac rates and rhythms?

echocardiogram

electrocardiogram

pneumogram

blood pressure monitor

Correct Answer:
electrocardiogram

Explanation:
Correct answer:
electrocardiogram

An electrocardiogram is used to measure cardiac rates and rhythms. An echocardiogram is used to


measure the functionality of the heart valves. A pneumogram is a two-channel recording of heart rate and
respiration in the monitoring of apnea. A blood pressure monitor is used to determine blood pressure of
an individual.

An area in which there are no more than 100,000 particles 0.5 microns or larger per cubic foot of air is
which of the following?

ISO Class 5

ISO Class 6

ISO Class 7

ISO Class 9
Correct Answer:
ISO Class 9

Explanation:
Correct answer:
ISO Class 9

ISO Class 9 (formerly known as Class 100,000 Area) is an area in which there are no more than 100,000
particles 0.5 microns or larger per cubic foot of air. ISO Class 5 is an area in which there are no more
than 100 particles 0.5 microns or larger per cubic foot of air. ISO Class 7 is an area in which there are no
more than 10,000 particles 0.5 microns or larger per cubic foot of air. There is no ISO Class 6.

If a patient was administered medication at 4:15 p.m. how would this be written on the patients chart in
international time?

0415 hr

1615 hr

1516 hr

1504 hr

Correct Answer:
1615 hr

Explanation:
Correct answer:
1615 hr

The medication was administered at 1615 hr. For afternoon hours 1200 is added to the time. 1200 + 415
= 1615 hr.
In terms of the preparation, delivery and administration of medication, which of the following is a
stationary infusion system using a minibag that is regulated by the patient?

implantable pump

gravity infusion system

infusion control device

mechanical peristaltic pump

Correct Answer:
gravity infusion system

Explanation:
Correct answer:
gravity infusion system

The technology involved in the preparation, delivery and administration of medication has advanced
through the years. There are a number of systems available. A gravity infusion system is a stationary
infusion system using a minibag that is regulated by the patient.

Which of the following drugs is used to treat hyperthyroidism?

Synthroid

Levothroid

Eltroxin

Tapazole
Correct Answer:
Tapazole

Explanation:
Correct answer:
Tapazole

Tapazole is used to treat hyperthyroidism. All of the other choices are drugs used to
treat hypothyroidism.

A child weighs 20 kg. His medication is prescribed at 25 mg/ kg per day. What is the daily dosage of his
medication?

227.3 mg

22.73 mg

500 mg

50 mg

Correct Answer:
500 mg

Explanation:
Correct answer:
500 mg

The child weighs 20 kg. At 25 mg/kg this means that you multiply 20 by 25. The result is 500 mg.

Convert XXXIX to Arabic numbers. Which of the following is the correct answer?

41

29
34

39

Correct Answer:
39

Explanation:
Correct answer:
39

XXXIX is equivalent to 39 in Arabic numbers. XXX = 30; and IX = 9.

Perform the following: 0.345 x 0.023. What is the result?

7935

7.935

0.007935

0.07935

Correct Answer:
0.007935

Explanation:
Correct answer:
0.007935

In multiplying decimals multiply the two numbers as whole numbers to get 7935 and then count the
number of decimals in both original numbers and you get 6; so move the decimal place 6 digits to the left
and you now have a result of 0.007935.
A MERP error category that indicates that there is an error but no harm is which of the following?

Category B

Category E

Category F

Category H

Correct Answer:
Category B

Explanation:
Correct answer:
Category B

A Category B error indicates that error occurred but did not reach the patient and caused no harm. Other
error but no harm categories are: C and D. All of the other choices (E, F and H) are categories that
indicate error and harm.

The directions for mixing a liquid antibiotic state when 75 mL of water are added to the contents of the
bottle, the resulting volume is 125 mL. What is the powder volume

25 mL

200 mL

5 mL

50 mL
Correct Answer:
50 mL

Explanation:
Correct answer:
50 mL

The formula to use is:

Final volume = volume of diluent + powder volume.


125 mL = 75 mL + powder volume
125 mL 75 mL = powder volume = 50 mL

The directions for mixing a 15 mg/10 mL liquid states that when 50 mL of water are added to the contents
of the bottle, the resulting volume is 150 mL. What is the concentration of drug in mg/10 mL if only 10 mL
of water were added?

205 mg/10 mL

2.05 mg/10 mL

20.5 mg/10 mL

200 mg/10 mL

Correct Answer:
20.5 mg/10 mL

Explanation:
Correct answer:
20.5 mg/10 mL

First determine the total mg of drug in the bottle (it is a constant);


15 mg drug /10 mL FV x 150 mL FV = 225 mg drug

Next, determine the powder volume for the drug in the bottle:
FV = D + PV
150 mL = 50 mL + PV
150 mL 50 mL = PV = 100 mL
Now determine the volume of the new product (NP):
NP = D + PV
NP = 10 mL + 100 mL = 110 mL

So the new concentration is: Total mg drug in bottle / volume of new product
225 mg/110 mL = 2.05 mg/mL = 20.5 mg/10 mL

JCAHO has issued a list of dangerous abbreviations, acronyms and symbols that are not to be used,
known as the Do Not Use list, since they may have more than one meaning or may be misinterpreted.
Which of the following is NOT on the minimum Do Not Use list?

IU

MS

TCN

Correct Answer:
TCN

Explanation:
Correct answer:
TCN

TCN is the general medical abbreviation for tetracycline. It is not on any Do Not Use list.

Which of the following performance evaluation techniques is one that records occurrences of unusual
success or failure in a given performance aspect?

critical incident diary

paired comparison

ranking
activity measures

Correct Answer:
critical incident diary

Explanation:
Correct answer:
critical incident diary

A critical incident diary is a method of performance appraisal that records incidents of unusual success or
failure in a given performance aspect. Paired comparison is a method by which each person is directly
compared with every other person. Ranking is a comparative technique of performance appraisal that
involves rank ordering of each individual from best to worst on each performance dimension. Activity
measures are based on an evaluators observation and rating.

Convert 42 g to mg. What is the result?

0.0042 mg

4.2 mg

42,000 mg

4200 mg

Correct Answer:
42,000 mg

Explanation:
Correct answer:
42,000 mg

1 g = 1000 mg. Multiply 42 g by 1000 mg to get 42,000 mg.


A pharmacy that fills and delivers medications prescribed by institutions such as long-term care facilities
and may also provide mail-order prescriptions is which of the following?

E-pharmacy

institutional pharmacy

closed door pharmacy

retail pharmacy

Correct Answer:
closed door pharmacy

Explanation:
Correct answer:
closed door pharmacy

Closed door pharmacies provide medications to institutions and long-term care facilities and/or to patients
at home via mail service. They typically process a prescription similar to a retail pharmacy although they
may package prescriptions differently for each type of setting.

Biotechnology drugs are produced using living organisms such as yeast, bacteria or mammalian cells.
Which of the following statements about biotechnology is false?

The majority of biotechnology drugs now under development are being tested for use in the
treatment of heart disease.
Some of the drugs produced by biotechnology were once made by different means.

The majority of biotechnology drugs are manufactured through a process called recombinant DNA
technology.
The majority of biotechnology drugs are manufactured through a process in which a human gene
that is capable of triggering the production of a specific protein is inserted into a living organism
that is then cultured in a laboratory.
Correct Answer:
The majority of biotechnology drugs now under development are being tested for use in the
treatment of heart disease.

Explanation:
Correct answer:
The majority of biotechnology drugs now under development are being tested for use in the
treatment of heart disease.

This statement is false. The majority of biotechnology drugs now under development are being tested for
use in the treatment of cancer or cancer-related conditions, which will have a major impact on the future
health care of cancer patients.

The act of taking in food, liquid or other substances like medications is called:

ingestion

digestion

absorption

peristalsis

Correct Answer:
ingestion

Explanation:
Correct answer:
ingestion

Ingestion is the act of taking in food, liquid or other substances like medications. Digestion is the
mechanical, chemical and enzymatic action of breaking food into molecules that can be used in
metabolism. Absorption is the movement of nutrients, fluids and medications from the gastrointestinal
tract into the bloodstream. Peristalsis is the contraction and relaxation of the tubular muscles of the
esophagus, stomach and intestines that moves substances from the mouth to the anus.
Convert MCMXIV to an Arabic number.

1914

1114

914

1906

Correct Answer:
1914

Explanation:
Correct answer:
1914

MCMXIV = 1914. M = 1000; CM = 900; X = 10; and IV = 4. The total of these numbers is 1914.
Punch cards, bingo cards, or blister cards are all types of which of the following packaging systems?

unit-dose system

modified unit-dose system

blended unit-dose system

none of the above

Correct Answer:
modified unit-dose system

Explanation:
Correct answer:
modified unit-dose system

A modified unit-dose system is a drug distribution system that combines unit-dose medications, which are
blister-packaged onto a multiple-dose card instead of being placed in a box. Punch cards, bingo cards, or
blister cards are all synonymous with the modified unit-dose system.

Which of the following drugs used for skin conditions is an antibacterial?

Famvir

Neomycin

Zovirax

Valtrex
Correct Answer:
Neomycin

Explanation:
Correct answer:
Neomycin

Neomycin is an antibacterial. All of the other choices are antivirals used for skin conditions.

In terms of pH, which of the following statements is least accurate?

pH describes the degree of acidity of a solution.

pH values range from 0 to 14.

Plasma in the body has a pH of about 7.4.

A pH value below 7 represents greater alkalinity of a solution.

Correct Answer:
A pH value below 7 represents greater alkalinity of a solution.

Explanation:
Correct answer:
A pH value below 7 represents greater alkalinity of a solution.

This statement is not correct. A pH value below 7 represents greater acidity of a solution. A value above
7 represents less acidity or greater alkalinity. A solution having a pH of 7 is neither acidic or alkaline; it is
considered neutral.

In terms of sanitation requirements in the pharmacy, which of the following statements is correct?

The laminar flow hood should provide an ISO Class 5 clean environment.

Counting trays should be cleaned with alcohol at least once a day.

Work surface of the laminar flow hood should be cleaned with sterile water.
The HEPA filter of the laminar flow hood needs to be maintained such that particles greater than
10 microns cannot enter the sterile area.

Correct Answer:
The laminar flow hood should provide an ISO Class 5 clean environment.

Explanation:
Correct answer:
The laminar flow hood should provide an ISO Class 5 clean environment.

This is the only correct statement. Counting trays should be cleaned with alcohol after every use to
prevent cross-contamination from occurring. Work surface of the laminar flow hood should be cleaned
with 70% isopropyl alcohol. The HEPA filter of the laminar flow hood needs to be maintained such that
particles greater than 3 microns cannot enter the sterile area.

The set of standardized rules and guidelines within which a facility functions is which of the following?

morals

ethics

professional standards

protocols

Correct Answer:
protocols

Explanation:
Correct answer:
protocols

Protocols are a set of standardized rules and guidelines within which a facility functions. They can
encompass behavior and tasks required, as well as how drugs will be dispensed and ordered.
The process of appraising and reconsidering the usage of drugs to determine the effectiveness of drug
treatment is known as which of the following?

therapeutic duplication

mandatory counseling

drug utilization review

therapeutic efficacy review

Correct Answer:
drug utilization review

Explanation:
Correct answer:
drug utilization review

A drug utilization review is the process of appraising and reconsidering the usage of drugs to determine
the effectiveness of drug treatment. It ensures that records are kept of all medications dispensed to or
regularly taken by the patient. The patient profile is a part of this review process.

Using Clarks rule calculate the dosage for a 3 -year-old child weighing 32 lb who is prescribed a drug
which has a usual adult dosage of 500 mg. What is the appropriate dosage for this child?

106.7 mg

1.067 g

363.6 mg

140 mg
Correct Answer:
106.7 mg

Explanation:
Correct answer:
106.7 mg

Clarks rule is based on the patients weight expressed in pounds. The childs weight is divided by 150
and the result is multiplied by the adult dose. In this case, the childs weight, 32 lb is divided by 150. The
result is 0.21. This is multiplied by the adult dose of 500 mg to give you a pediatric dosage of 106.7 mg.

What is the decimal equivalent of 1/25?

0.25

0.025

0.4

0.04

Correct Answer:
0.04

Explanation:
Correct answer:
0.04

You can find the decimal equivalent of any fraction by dividing the numerator of the fraction by the
denominator. Therefore, 1 25 = 0.04.

Which of the following formulas is used to calculate a pediatric dosage by using the patients age in
months?
Youngs Rule

Frieds Rule

Clarks Rule

none of the above

Correct Answer:
Frieds Rule

Explanation:
Correct answer:
Frieds Rule

Frieds Rule is the formula for solving pediatric dosage calculations based on the patients age in months.
Youngs rule is based on the patients age in years, and Clarks Rule is based on the patients weight in
pounds.

The pharmacy sells a tube of zinc oxide for $3.45. This price reflects a 200 % markup. What was the cost
of the zinc oxide to the pharmacy?

$1.15

$2.30

$1.77

$2.77

Correct Answer:
$1.15
Explanation:
Correct answer:

$1.15

If the markup was 200% this means that the price is three times the cost to the pharmacy. Therefore, you
would divide the price ($3.45) by 3. The cost to the pharmacy was $1.15.

Divide the following: 2.5 1.5. What is the result?

1.667

3.75

1.06

1.75

Correct Answer:
1.667

Explanation:
Correct Answer:
1.667

In dividing fractions, multiply the decimals by a multiple of 10 to eliminate the decimal points. In this case,
that gives us 25 15. Divide normally and the answer is 1.667 (rounded up).

Which of the following brand/trade names is not properly matched with its generic name?

Accutane isotretinoin

Benadryl dicyclomine HCl

Compazine prochlorperazine
Lasix furosemide

Correct Answer:
Benadryl dicyclomine HCl

Explanation:
Correct answer:
Benadryl dicyclomine HCl

This is not correct. The generic for Benadryl is diphenhydramine HCl. Dicyclomine HCl is the generic for
Bemote, Bentyl, and Antispas.

Sometimes food interacts with a drug to change the effect of the drug. Decreased absorption occurs if all
of the following drugs are taken with food EXCEPT:

tetracycline

ciprofloxacin

calcium channel blockers

phenytoin

Correct Answer:
calcium channel blockers

Explanation:
Correct answer:
calcium channel blockers

Calcium channel blockers are not one of the drugs whose absorption decreases if taken with food.
However, their absorption is affected by drinking grapefruit juice.
If 24 inches correspond to 60.72 centimeters, how many centimeters are there in 6 inches?

15.18

364.32

151.8

7.59

Correct Answer:
15.18

Explanation:
Correct answer:
15.18

This problem can be stated as follows: 24 inches is to 60.72 cm as 6 inches is to X cm.

24/60.72 = 6/x
24 x = 364.32
x = 364.32/24 = 15.18

An inventory system that maintains a continuous record of every item in inventory is known as which of
the following?

FIFO

LIFO

perpetual inventory

reorder point system


Correct Answer:
perpetual inventory

Explanation:
Correct answer:
perpetual inventory

Perpetual inventory is a system that maintains a continuous record of every item in inventory so that it
always shows the current amount of stock on hand. To maintain a perpetual inventory the point of sale
system is often used. This is a system in which the item is deducted from inventory as it is sold or
dispensed.

Allegra, Benadryl, Claritin, and Zyrtec are which of the following types of drugs?

antitussive

antihistamine

anticholinergic

mast cell stabilizer

Correct Answer:
antihistamine

Explanation:
Correct answer:
antihistamine

All of the drugs are antihistamines. An antihistamine decreases inflammation and irritation from
allergens. Antihistamines are most effective when taken before an allergic reaction because they can
block histamine from interacting with histamine receptors.

The portion of the price of medication that the patient is required to pay is called the:
dual co-pay

co-insurance

MAC

co-pay

Correct Answer:
co-pay

Explanation:
Correct answer:
co-pay

The co-pay is the portion of the price of medication that the patient is required to pay. The insurance
company is billed for the remainder of the price.

Subtract the following Roman numerals and give the answer in Arabic numerals?

mcdvii cmxxvi = ?

131

881

481

681

Correct Answer:
481
Explanation:
Correct answer:
481

mcdvii = 1407. cmxxvi = 926. 1407 926 = 481.

Which of the following is NOT a solid dosage form?

effervescent salts

capsules

tinctures

powders

Correct Answer:
tinctures

Explanation:
Correct answer:
tinctures

Tinctures are considered solutions. They are alcoholic or hydroalcoholic solutions of pure chemicals or
extracts.

Which of the following statements about the effects of temperature on liquid measurement is least
accurate?

Solutions should be measured at room temperature.

The temperature of the solution or work area will affect the accuracy of drug measurement.

A warm liquid will contract and less volume will be measured.

A patient whose drug was measured in a warm room will get less of the drug.
Correct Answer:
A warm liquid will contract and less volume will be measured.

Explanation:
Correct answer:
A warm liquid will contract and less volume will be measured.

This is the least accurate statement. The correct statement is that a warm liquid will expand and take up
more volume. Therefore, if the drug is measured in a warm room, the patient will actually get less drug, as
the volume that is measured was deceptively expanded.

You receive an order for 120 mL of a drug to be prepared in a 1:15 solution. How much drug will be
required to fill this order?

120 g

12 g

8g

4g

Correct Answer:
8g

Explanation:
Correct answer:
8g

The amount of drug needed will be 8 g. This is calculated as follows:

1/15 = x/120 = 8 g of drug

Measure 8 g of the drug powder and qs to 120 mL.


In terms of excretion of a drug, which of the following statements is least accurate?

Most drugs and their metabolites are excreted in the urine by the kidneys.

Glomerular filtration is the blood filtering process of the nephron.

The rate of fecal excretion is much faster than that of urinary excretion.

Some drugs can be reabsorbed back into the blood during a process called urinary reabsorption.

Correct Answer:
The rate of fecal excretion is much faster than that of urinary excretion.

Explanation:
Correct answer:
The rate of fecal excretion is much faster than that of urinary excretion.

This is not accurate. The rate of urinary excretion is mush faster than that of fecal excretion. Drugs that
will be excreted through the feces generally take a day or two to be excreted, whereas drugs may be
excreted through the urine within hours of administration.

The technique used to reduce the particle size of a powder drug by triturating it with a solvent in which the
drug is insoluble is which of the following?

spatulation

levigation

geometric dilution

none of the above


Correct Answer:
levigation

Explanation:
Correct answer:
levigation

Levigation is the technique used to reduce the particle size of a powder drug by triturating it with a solvent
in which the drug is insoluble. This is generally done before the drug is incorporated into a formulation
such as a suspension, ointment, or suppository base.

The pharmacy has an order for one teaspoon of cough syrup BID. The pharmacy has a 50 mL bottle on
hand. How many doses are in this bottle?

20

50

10

Correct Answer:
10

Explanation:
Correct answer:

10

There are 5 mL in one teaspoon. If the bottle contains 50 mL of cough syrup, it contains 10 doses (50 mL
5 mL). This is 5 days worth of a medication that must be taken twice a day.
Test 9
All of the following are required by the Isotretinoin Safety and Risk Management Act of 2004 EXCEPT:

mandatory registry of all patients, practitioners and pharmacists

90-day prescription allotments

monthly pregnancy testing for female patients

education of all practitioners and pharmacists regarding the risks of the drug

Correct Answer:
90-day prescription allotments

Explanation:
Correct answer:
90-day prescription allotments

The Isotretinoin Safety and Risk Management Act requires that prescriptions be in 30-day allotments; not
90-day allotments. This is because isotretinoin (Accutane) is very powerful and has been found to cause
severe birth defects, induce spontaneous abortions and produce adverse psychiatric effect.

A drug that mimics the actions of an endogenous substance is called a(n):

synergistic drug
additive drug

antagonist

agonist

Correct Answer:
agonist
Explanation:
Correct answer:
agonist

Many drugs are designed to mimic or interfere with the actions of a substance in the body (an
endogenous substance). A drug that mimics the actions of an endogenous substance is called an
agonist.

To order Schedule II medications which of the following DEA forms must be completed?

DEA Form 222

DEA Form 41

DEA Form 106

DEA Form 224

Correct Answer:
DEA Form 222

Explanation:
Correct answer:
DEA Form 222

Schedule II medications are ordered by properly completing a DEA Form 222 (a triplicate order form). It
must be signed by the individual in whose name the DEA registration is listed.

An ingredient used in compounding that does not dissolve in water is which of the following?

oleaginous base

absorption base

water-soluble base
hydrophilic base

Correct Answer:
oleaginous base

Explanation:
Correct answer:
oleaginous base

Oleaginous base doses not dissolve in water. Its properties include: good compatibility with a variety of
medications; difficult to remove from clothing and skin; difficult to determine the amount of medication
released upon application.

Multiply the following. What is the result?

3/8 x 2/9 = ?

5/72

1/12

6/17

5/9

Correct Answer:
1/12

Explanation:
Correct Answer
1/12

In multiplying fractions, simply multiply the numerators (3 x 2 = 6) and multiply the denominators (8 x 9 =
72). The result is 6/72 which can be reduced to 1/12.

Using Frieds rule calculate the dosage for a 24 month old child who needs a medication that is
administered to adults in a 1.3 g dose. What is the appropriate dosage for this child?

20.8 mg

208 mg

28 mg

280 mg

Correct Answer:
208 mg

Explanation:
Correct answer:
208 mg

Frieds rule is a formula used in calculating pediatric dosages based on the childs age in months. Divide
the childs age in months by 150 and multiply the result by the adult dosage. In this case the childs age is
24 months. Divide this by 150 and multiply by 1.3 g (1300 mg) and the result is 208 mg.

A drugs molecular weight divided by its valence is known as which of the following?

molarity

equivalent weight

percentage weight per volume

international unit
Correct Answer:
equivalent weight

Explanation:
Correct answer:

equivalent weight

Equivalent weight is a drugs molecular weight divided by its valence. It is a common measure of
electrolyte concentration.

If the pharmacy buys a case of medication for $420.00 and the case contains 200 bottles of liquid cold
reliever, how much does each bottle of medication cost the pharmacy?

$2.10

$21.00

$4.20

$42.00

Correct Answer:
$2.10

Explanation:
Correct answer:
$2.10

To calculate the cost of each bottle of liquid cold reliever, you would divide the cost of the case of
medication by the number of bottles in the case. The cost of the case is $420. Divided by 200 bottles this
gives you a cost of $2.10 per bottle.
The laws that prohibit a prescription drug plan from requiring mail order prescription drug coverage
without also providing non-mail order coverage is which of the following?

Prescription Drug Equity Laws

Freedom of Choice Laws

Any Willing Provider Laws

HIPAA

Correct Answer:
Prescription Drug Equity Laws

Explanation:
Correct answer:
Prescription Drug Equity Laws

The Prescription Drug Equity Laws are the laws that prohibit a prescription drug plan from requiring mail
order prescription drug coverage without also providing non-mail order coverage. These laws were
prompted by the fact that mail order pharmacy companies have been expanding rapidly and capturing an
ever larger share of prescription drug sales.

Which of the following is classified as non-durable medical equipment?

bedpans

wheel chairs

syringes

crutches
Correct Answer:
syringes

Explanation:
Correct answer:
syringes

Durable medical equipment includes such items as walkers, wheel chairs, crutches, and bedpans. Non-
durable medical supplies and equipment include items such as syringes, needles, ostomy supplies,
povidine iodine, antiseptics, and other disposable medical devices.

Several body sites are used to administer drugs intravenously. The cephalic vein is located in the:

arm

leg

neck

foot

Correct Answer:
arm

Explanation:
Correct answer:
arm

The cephalic vein is located in the arm. It is often visible through the skin. Permanent pacemaker leads
are often placed in the cephalic vein in the deltopectoral groove. The vein may be used for intravenous
access since a large bore cannula may be easily placed.

A decubitus ulcer is one that occurs in which part of the body?

stomach
mouth

skin

intestines

Correct Answer:
skin

Explanation:
Correct answer:
skin

A decubitus ulcer, also known as a pressure ulcer, or bed sore, is an ulceration of the skin due to
pressure. These ulcers can be caused by prolonged friction or exposure to cold. They range from mild to
severe. Sixty-seven percent of all pressure sores occur on the hip and buttock regions.

Which of the following tasks would be considered a discretionary duty of a pharmacy technician?

preparing reports

ordering supplies

compounding medications

repackaging medications

Correct Answer:
compounding medications

Explanation:
Correct answer:
compounding medications

Pharmacy technicians can and do perform many types of nondiscretionary duties in the pharmacy. This
means that they can perform tasks that do not require any advanced pharmacy knowledge. Compounding
medications requires special knowledge and is a discretionary duty.

Which of the following indicates that a prescription is to be dispensed as needed, as in pain medication?

STAT

PRN

standing order

none of the above

Correct Answer:
PRN

Explanation:
Correct answer:
PRN

A PRN order indicates that a prescription is to be dispensed as needed, as in pain medication. STAT
means a medication is needed immediately. A standing order is used when a patient is to receive a
specific medication at specific intervals throughout the day.

Interpret the following prescription:

Caps. no. xiv

14 capsules
16 capsules

40 capsules

6 capsules

Correct Answer:
14 capsules

Explanation:
Correct answer:
14 capsules

Roman numerals can be written in upper case or lower case letters. xiv stands for 14. Therefore, the
prescription calls for 14 capsules.

If you change 2400 kilograms to grams, the result would be which of the following?

240 g

2,400,000 g

24,000 g

240,000 g

Correct Answer:
2,400,000 g

Explanation:
Correct answer:
2,400,000 g
To change kilograms to grams, move the decimal point 3 places to the right. Therefore, 2400 kilograms
equals 2,400,000 grams.

A dose of medicine that is scheduled for 1100 hours must be given at:

11:00 PM

11:00 AM

1:10 PM

1:10 AM

Correct Answer:
11:00 AM

Explanation:
Correct answer:
11:00 AM

1100 hours is equivalent to 11:00 AM. In institutional settings international (or military) time is used.
th
Orders are written in this system. 1100 hours indicates the 11 hour of the day 11:00 AM. If the order
were for 11:00 PM it would be written by adding 1200 to the time. This would make 11:00 PM = 2300
hours.

Which of the following is a trace mineral known to be essential in human beings?

Chromium

Calcium

Potassium

Sulfur
Correct Answer:
Chromium

Explanation:
Correct answer:
Chromium

There are currently ten trace mineral elements known to be essential in human beings. Chromium is one
of them. Trace elements are elements required for the completion of various enzymatic reactions;
however, they are needed only in extremely small amounts. The other choices are major minerals
essential in human beings.

A child weighs 88 lb. Her medication is prescribed to be taken as 20 mg/kg/day. What is the appropriate
daily dosage for this patient?

800 mg

400 mg

880 mg

440 mg

Correct Answer:
800 mg

Explanation:
Correct answer:
800 mg

The patients weight must first be changed to kilograms. 88 lb divided by 2.2 kg per pound gives you a
result of 40 kg. This is multiplied by 20 mg to give you a daily dosage for this patient of 800 mg.

If there is 25% of a medication in a 1000 ml IV bag, how many grams of this medication are in the bag?
2500 g

2.5 g

25 g

250 g

Correct Answer:
250 g

Explanation:
Correct answer:
250 g

A 25% solution contains 25 g per 100 mL. To find out how many grams are in 1000 mL you must set up a
proportion equation.

25 g/100 mL = x g/1000 mL
100 x = 25,000
x = 250 g

When mixing active ingredients with excipients, the technician should start with the ingredient of the
smallest amount and double the portion by adding the other ingredients, in order of quantity, until fully
mixed. This technique is known as which of the following?

geometric dilution

algebraic dilution

comminution

emulsifying
Correct Answer:
geometric dilution

Explanation:
Correct answer:
geometric dilution

Geometric dilution is the technique that starts with the ingredient of the smallest amount and doubles the
portion by adding the other ingredients, in order of quantity, until fully mixed. This process ensures even
distribution of the active ingredient throughout the final product.

Which of the following equations have the same proportions?

1/5 = 6/20

5/3 = 3/5

4/5 = 8/24

3/7 = 12/28

Correct Answer:
3/7 = 12/28

Explanation:
Correct answer:
3/7 = 12/28

Two equivalent ratios form a proportion. 3/7 = 12/28 is an example of an equivalent ration. 3 has the
same ratio to 7 as 12 has to 28.

Which of the following solid dosage forms releases carbon dioxide when dissolved in water?

lozenges
pastilles

effervescent salts

troches

Correct Answer:
effervescent salts

Explanation:
Correct answer:
effervescent salts

Effervescent salts are granules or powders. When they are dissolved in water, they effervesce and
release carbon dioxide.

An injection of a medication into the veins located on the outer part of the body, instead of a central vein
or artery is known as which of the following?

peripheral parenteral

total parenteral

hyperalimentation

none of the above

Correct Answer:
peripheral parenteral

Explanation:
Correct answer:
peripheral parenteral
A peripheral parenteral is injection of a medication into the veins located on the outer part (periphery) of
the body, instead of a central vein or artery. Parenteral medication is medication that bypasses the
digestive system but is intended for systemic action. The term parenteral most commonly describes
medications given by injection, such as intravenously or intramuscularly.

The directions for mixing a 25 mg/10 mL liquid states that when 200 mL of water are added to the
contents of the bottle, the resulting volume is 450 mL. What is the concentration of drug in mg/10 mL if
only 100 mL of water were added?

0.032 mg/10 mL

3.2 mg/10 mL

320 mg/10 mL

32 mg/10 mL

Correct Answer:
32 mg/10 mL

Explanation:
Correct answer:
32 mg/10 mL

First determine the total mg of drug in the bottle (it is a constant);


25 mg drug /10 mL FV x 450 mL FV = 1,125 mg drug

Next, determine the powder volume for the drug in the bottle:
FV = D + PV
450 mL = 200 mL + PV
450 mL 200 mL = PV = 250 mL

Now determine the volume of the new product (NP):


NP = D + PV
NP = 100 mL + 250 mL = 350 mL

So the new concentration is: Total mg drug in bottle / volume of new product
1125 mg/350 mL = 3.2 mg/mL = 32 mg/10 mL
The nerves located at the bottom of the spinal cord are called which of the following?

cervical nerves

thoracic nerves

lumbar nerves

sacral nerves

Correct Answer:
sacral nerves

Explanation:
Correct answer:
sacral nerves

The 31 bones of the vertebrae are compartmentalized between 8 cervical, 12 thoracic, 5 lumbar, 5 sacral
and 1 coccygeal segment. The sacral nerves are at the end of the spinal cord.

The type of medication order that must be filled as soon as possible, usually within 5 to 15 minutes is
which of the following?

crash order

PRN

ASAP order

stat order

Correct Answer:
stat order
Explanation:
Correct answer:
stat order

A stat order is one in which a medication must be filled as soon as possible, usually within 5 to 15
minutes. When a pharmacy receives a stat order, it should take precedence over all other orders.

Which of the following statements applies to adulterated drugs?

They are subject to deterioration and the label does not bear corresponding precautionary
statements.
They are subject to the Poison Prevention Packaging Act of 1970 and are not packaged
accordingly.
They are manufactured in a way that does not conform to established GMPs.

They contain a color additive and are not labeled accordingly.

Correct Answer:
They are manufactured in a way that does not conform to established GMPs.

Explanation:
Correct answer:
They are manufactured in a way that does not conform to established GMPs.

This is the only statement that applies to adulterated drugs. The other choices contain statements that
apply to misbranded drugs. Adulteration focuses on the physical condition of the drug or device.
Misbranding focuses on the representations made by the manufacturer.

If the pharmacy gives a customer a 15% discount on a prescription and the prescription sells for $200.00,
what will the customer pay?

$197.00

$175.00
$190.00

$170.00

Correct Answer:
$170.00

Explanation:
Correct answer:
$170.00

The 15% discount on a $200.00 prescription is $30.00. Subtract this from the selling price and the result
is $170.00 which is what the customer will pay.

Matrix and product line are two types of which of the following?

workflow

financial management

purchasing method

organizational structure

Correct Answer:
organizational structure

Explanation:
Correct answer:
organizational structure

The organizational structure shows the chain of command in an organization. Examples of organizational
structure include matrix and product line.
Which of the following statements about Class A prescription balances is least accurate?

The Class A balance is a 2 pan torsion type balance.

Class A balances have a sensitivity requirement of up to 6 mg. Class A balances have a minimum
weighable quantity of 120 mg of material with a 5% error.
Weights must be handled with forceps.

Most Class A balances have a maximum weighable quantity of 90 grams, though some will weigh
up to 360 grams.

Correct Answer:
Most Class A balances have a maximum weighable quantity of 90 grams, though some will weigh
up to 360 grams.

Explanation:
Correct answer:
Most Class A balances have a maximum weighable quantity of 90 grams, though some will weigh
up to 360 grams.

This is the least accurate statement. Most Class A balances have a maximum weighable quantity of 60
grams, though some will weigh up to 120 grams. The minimum weighable quantity is 120 mg with a 5%
error. A 5% error is generally considered an acceptable error in most pharmaceutical processes.

Which of the following diabetes drugs is most useful for a diabetic crisis situation such as a diabetic
coma?

Glucotrol

Novolog

Metformin

Micronase
Correct Answer:
Novolog

Explanation:
Correct answer:
Novolog

Novolog is a rapid-acting insulin that is administered by injection. It is useful when a diabetic crisis
situation arises, such as a diabetic coma. Complexed insulin is not useful in a crisis situation as the onset
is delayed.

Which of the following statements about flavoring of pediatric medication is correct?

Infants and children tend to prefer bitter flavors.

A child who is required to take a medication for a long period of time may require a stronger flavor.

Children have more taste buds than adults, and are therefore, more sensitive to taste.

The newborn will require a stronger flavor than an older child.

Correct Answer:
Children have more taste buds than adults, and are therefore, more sensitive to taste.

Explanation:
Correct answer:
Children have more taste buds than adults, and are therefore, more sensitive to taste.

This is the correct statement. Children have more taste buds than adults, and are therefore, more
sensitive to taste. Infants and children tend to prefer sweet tastes; they do not respond well to bitter
flavors. A child who is required to take a medication for a long period of time may require a milder flavor to
avoid flavor fatigue. The newborn typically has not been exposed to a wide variety of tastes; therefore,
this patient will not require as strong a flavor as an older patient.

Which layer of the skin stores fat cells which insulate the body?
subcutaneous layer

dermis

epidermis

none of the above

Correct Answer:
subcutaneous layer

Explanation:
Correct answer:
subcutaneous layer

The subcutaneous layer lies below the dermis. It is the deepest layer and contains fat cells that store fat,
which in turn insulates the body. Fat in the skin helps cushion the body against injury and serves as a
food reserve in case of emergency.

A filter can be attached to the end of a syringe, to the end of an administration set, or it can be part of the
needle. A filter that filters solution as the solution is expelled from the syringe is which of the following?

depth filter

membrane filter

final filter

none of the above

Correct Answer:
membrane filter
Explanation:
Correct answer:
membrane filter

A membrane filter is one that filters solution as the solution is expelled from the syringe. It consists of
many small pores of a uniform size that retain particles larger than the pores.

Which of the following is a liquid form for drug administration?

elixir

extract

tincture

all of the above

Correct Answer:
all of the above

Explanation:
Correct answer:
all of the above

All of the choices are liquid forms of medication. An elixir is similar to a syrup, but contains a relatively
high percentage of alcohol. An extract is the oil or active portion of a plant or herb that is usually removed,
or extracted, with alcohol. A tincture is used topically and is an alcohol-based drug form, not to be taken
internally.

A drug that has a false or misleading label is known as which of the following?

adulterated drug

investigative drug
misbranded drug

all of the above

Correct Answer:
misbranded drug

Explanation:
Correct answer:
misbranded drug

A misbranded drug has a false or misleading label. There are many other conditions in which a drug can
be misbranded. Some of these include when drugs are in packages that are misleading, are not
packaged properly when subject to the Poison Prevention Packaging Act of 1970, and have labels with
required information that is not prominently placed on them.

How many phases of testing are there for testing a new drug in humans?

one

two

three

four

Correct Answer:
three

Explanation:
Correct answer:
three
There are three phases of testing a new drug in humans. Testing begins with a small number of
participants for a short time and gradually increases to a large number of participants over long periods of
time.

Which of the following types of compounding mixing equipment would be used for blending powders and
pulverizing soft aggregates or crystals?

glass mortar and pestle

porcelain mortar and pestle

plastic spatula

metal spatula

Correct Answer:
porcelain mortar and pestle

Explanation:
Correct answer:
porcelain mortar and pestle

A porcelain mortar and pestle is used for blending powders and pulverizing soft aggregates or crystals. a
glass mortar and pestle is used for preparing liquids such as solutions and suspensions and for mixing oil
or staining materials. A plastic spatula is used on mixtures that may react with metal. A metal spatula is
used for mixing ointments or creams and handling dry chemicals.

Which of the following is NOT an institutional pharmacy?

hospice pharmacy

franchise pharmacy

correctional facilities pharmacy

LTC facility pharmacy


Correct Answer:
franchise pharmacy

Explanation:
Correct answer:
franchise pharmacy

A franchise pharmacy is a form of retail or community pharmacy. All of the other choices are institutional
pharmacy settings.

Perform the following: 0.45 x 0.95. What is the result?

42.75

4.275

0.04275

0.4275

Correct Answer:
0.4275

Explanation:
Correct answer:
0.4275

Simply multiply the two numbers as whole numbers and you get 4275. Then count the total number of
decimals in the original numbers (4). Move the decimal place four places to the left for 0.4275.

Which of the following suffixes used in medical and pharmaceutical terminology is NOT matched correctly
with its meaning?

phobia fear

megaly softening

algia pain

plegia paralysis

Correct Answer:
megaly softening

Explanation:
Correct answer:
megaly softening

The suffix megaly is not used to indicate softening. It means enlargement. The suffix malacia is
used to indicate softening.

Which of the following would be considered volumetric glassware?

Erlenmeyer flask

graduated cylinder

beaker

prescription bottle

Correct Answer:
graduated cylinder
Explanation:
Correct answer:
graduated cylinder

The graduated cylinder is the only choice that is considered volumetric glassware. Erlenmeyer flasks,
beakers, and prescription bottles, regardless of markings, are not volumetric glassware, but are simply
containers for storing and mixing liquids.

The DAW code for a prescription in which the physician does not permit generic substitution is which of
the following?

Correct Answer:
1

Explanation:
Correct answer:
1

A DAW code of 1 means that the physician requires that the prescription be filled exactly as written. He
allows no substitution.

You are required to fill a prescription for 80 oz of a medication. This is equivalent to which of the
following?

5 pt

8 pt

1 qt
5 qt

Correct Answer:
5 pt

Explanation:
Correct answer:
5 pt

There are 16 oz in a pint. Divide 80 oz by 16 oz and the result is 5 pt.

In terms of hazardous substances in the pharmacy, which of the following statements is incorrect?

Chemotherapeutic agents and cytotoxic materials must be prepared in a biologic safety cabinet or
vertical flow hood.
Used needles and syringes should be placed in an enclosed container.

The U.S. Department of Transportation regulates the shipment of hazardous materials under the
Hazardous Materials Transportation Act of 1994.
A nuclear pharmacy must have designated rooms to perform certain functions.

Correct Answer:
Used needles and syringes should be placed in an enclosed container.

Explanation:
Correct answer:
Used needles and syringes should be placed in an enclosed container.

This is the incorrect statement. Used needles and syringes should be placed in a red plastic sharps
container. They are then autoclaved and disposed of.
Setting a definite course or method of action for the business and a step-by-step method to achieve a
goal is which of the following?

policies and procedures

organizational structure

matrix plan

mission statement

Correct Answer:
policies and procedures

Explanation:
Correct answer:
policies and procedures

Policies and procedures are found in all types of pharmacy practice. They are required by professional
and regulatory agencies. The policy sets a definite course or method of action establishing goals and
objectives. The procedure is the process of accomplishing a task to ensure efficiency and consistency; a
step-by-step method to accomplish a policy.

The term that indicates the percentage and rate of a drug that is absorbed and transported to the site of
action is which of the following?

potency

efficacy

toxicity

bioavailability
Correct Answer:
bioavailability

Explanation:
Correct answer:
bioavailability

Bioavailability is the percentage and rate of a drug that is absorbed and transported to the site of action.
Because of variances in absorption, the amount of drug that is able to enter the bloodstream can differ.
The total bioavailability is measured by the concentration of the drug in the blood or tissue at a specific
time of administration.

Any repackaging of injectable drugs must be done in plastic containers (as appropriate) that are pyrogen-
free. Pyrogens are which of the following?

pain-causing agents

infection-causing agents

fever-causing agents

none of the above

Correct Answer:
fever-causing agents

Explanation:
Correct answer:
fever-causing agents

Pyrogens are fever-causing agents. They can range from certain chemicals to organisms such as
bacteria and viruses.

The directions for mixing a liquid antibiotic state when 160 mL of water are added to the contents of the
bottle, the resulting volume is 300 mL. What is the powder volume?
140 mL

70 mL

14 mL

105 mL

Correct Answer:
140 mL

Explanation:
Correct answer:
140 mL

The formula to use is:

Final volume = volume of diluent + powder volume.


300 mL = 160 mL + powder volume
300 mL 160 mL = powder volume = 140 mL

Which of the following statements about pharmaceutical weights is correct?

They are measured in both metric and apothecary systems.

They should never be touched by the hand.

They should be calibrated once a year.

all of the above

Correct Answer:
all of the above
Explanation:
Correct answer:
all of the above

All of the statements are correct in reference to pharmaceutical weights. In addition, the weights should
be stored in a clean state.

Polymers that combine with or encapsulate a drug to release it in a predetermined predictable way are
called:

suspensions

emulsions

biomaterials

chemomaterials

Correct Answer:
biomaterials

Explanation:
Correct answer:
biomaterials

Biomaterials are polymers (long chains of hydrocarbons) that combine with or encapsulate a drug to
release it in a predetermined predictable way. The dosage form of these drugs can be capsules, tablets,
or implants.

How many mg of drug are in 15 mL of a 1% solution?

1000 mg

100 mg

1500 mg
150 mg

Correct Answer:
150 mg

Explanation:
Correct answer:
150 mg

A 1% solution contains 1 g/ 100 mL or 1000 mg/100 mL. To determine how many mg are in 15 mL of the
solution set up a proportion as follows:

1000 mg/100 mL = x/15 mL


100x = 15,000
x = 15,000/100 = 150 mg

There are three main types of chemical bonding. Which of the following is NOT one of them?

ionic

covalent

metallic

valent

Correct Answer:
valent

Explanation:
Correct answer:
valent
There is no such thing as valent bonding. The three main types of chemical bonding are: ionic
bonding that occurs when electrons are transferred between atoms; covalent bonding that occurs when
atoms share electrons between bonded atoms; and metallic bonding in which fixed metal cations are
surrounded by freely moving electrons.

The formula for reimbursement that is the most commonly used and encourages a pharmacy to dispense
generic medications is which of the following?

variable copayments

third-party plans

average wholesale price applications

fixed copayments

Correct Answer:
average wholesale price applications

Explanation:
Correct answer:
average wholesale price applications

The formula for reimbursement that is the most commonly used and encourages a pharmacy to dispense
generic medications is the average wholesale price application. This form of reimbursement follows the
formula:

AWP percentage + dispensing fee

Retail pharmacies are primarily regulated by the State Board of Pharmacy and what other entity?

DEA

Centers for Medicare and Medicaid Services

The Joint Commission


ATF

Correct Answer:
Centers for Medicare and Medicaid Services

Explanation:
Correct answer:
Centers for Medicare and Medicaid Services

Retail pharmacies are primarily regulated by the State Board of Pharmacy and the Centers for Medicare
and Medicaid Services. The Centers for Medicare and Medicaid Services is the federal agency that
regulates the administration of Medicare, Medicaid, the State Childrens Health Insurance Program,
HIPAA, the Clinical Laboratory Improvement Amendments and several other health-related programs.

Which of the following is NOT a step in receiving a pharmaceutical stock order?

accepting delivery

verifying the order

adjusting the inventory

preparing the order for a patient

Correct Answer:
preparing the order for a patient

Explanation:
Correct answer:
preparing the order for a patient

This has nothing to do with receiving an order for stocking inventory. The process usually involves
accepting delivery, verifying the order, adjusting the inventory, stocking the order and filing the paperwork
pertaining to the order.

Which of the following organizations is responsible for ensuring that medications are pure, safe and
effective?

FDA

DEA

State Boards of Pharmacy

The Joint Commission

Correct Answer:
FDA

Explanation:
Correct answer:
FDA

The FDA is accountable for ensuring that medications are pure, safe and effective. The DEA is
responsible for enforcing the Controlled Substances Act. The State Boards of Pharmacy ensure that
specific standards are met for the licensing of pharmacists. The Joint Commission requires unit-dose
dispensing and pharmacy-based IV additive programs.

Which of the following questions posed by a retail pharmacy customer is the pharmacy technician
permitted to answer?

What are the side effects of this medication?

What is the best medicine for sore throats?

Should I take this medicine with food or on an empty stomach?

Where can I find the Robitussin DM?


Correct Answer:
Where can I find the Robitussin DM?

Explanation:
Correct answer:
Where can I find the Robitussin DM?

This is the only question of the choices given that the pharmacy technician should answer. For all of the
other questions, the technician should get the pharmacist. Legally, pharmacy technicians are not
permitted to provide advice, or counsel, to patients regarding any medication, whether prescription or
OTC.

Which type of balance used in a pharmacy can weigh 650 mg to 120 g?

Class A balance

Class B balance

Class C balance

none of the above

Correct Answer:
Class B balance

Explanation:
Correct answer:

Class B balance

A Class B balance can weigh 650 mg to 120 g. A class A balance can accurately weigh 120 mg to 15 g.
There is no Class C balance.
Items such as syringes, ostomy supplies and needles would be considered which of the following?

BTC supplies

durable medical equipment

non-durable medical supplies and equipment

controlled substances

Correct Answer:
non-durable medical supplies and equipment

Explanation:
Correct answer:
non-durable medical supplies and equipment

Non-durable medical supplies and equipment include items such as syringes, needles, ostomy supplies,
povidine iodine, antiseptics, and other disposable medical devices. Durable medical equipment includes
equipment that is not disposable such as walkers and crutches.

The tube that carries urine from the kidneys to the bladder is which of the following?

ureter

urethra

urea

none of the above


Correct Answer:
ureter

Explanation:
Correct answer:
ureter

The ureter is the tube that carries urine from the kidneys to the bladder. Each kidney has one ureter. The
urethra is the tube that carries urine from the bladder to the urethral sphincter for elimination from the
body. Urea is the main nitrogenous constituent of urine and the final product of protein metabolism.

When drug activity is at the site of administration it is termed as which of the following?

systemic effect

local effect

administration effect

dosage effect

Correct Answer:
local effect

Explanation:
Correct answer:
local effect

A local effect occurs when the drug activity is at the site of administration, (e.g., eyes, ears, nose, and
skin). A systemic effect occurs when the drug is introduced into the circulatory system from the route of
administration and carried by the blood to the site of activity.

Standards for storage of drugs can be found in which of the following?

United States Pharmacopeia


National Formulary

both the United States Pharmacopeia and the National Formulary

none of the above

Correct Answer:
both the United States Pharmacopeia and the National Formulary

Explanation:
Correct answer:
both the United States Pharmacopeia and the National Formulary

Environmental considerations for storage of drugs involve proper temperature, ventilation, humidity, light,
and sanitation. Standards for storage are found in both the United States Pharmacopeia and the National
Formulary.

Which of the following conversions is incorrect?

25% = 0.25

1.25 = 125%

90/100 = 0.9

75.5% = 0.0755

Correct Answer:
75.5% = 0.0755

Explanation:
Correct answer:
75.5% = 0.0755

This is not correct. 75.5% = 0.755. To convert percentages to decimals, drop the percentage sign and
divide the number by 100. The result is the correct decimal. 75.5 100 = 0.755.

Which of the following statements about formularies is least accurate?

An open formulary is one that allows purchase of any medication that is prescribed.

A closed formulary is a list of medications that may not be purchased.

Formulary medications must be routinely reviewed.

In some hospitals a drug on the formulary that is therapeutically equivalent may be substituted for
a drug not on the formulary.

Correct Answer:
A closed formulary is a list of medications that may not be purchased.

Explanation:
Correct answer:
A closed formulary is a list of medications that may not be purchased.

This is the least accurate statement. A closed formulary is a limited list of approved medications. A
physician must receive permission to use a medication that is not on the list.

There are 10 g of drug in a 50 mL solution. What is the percent of the solution?

5%

10%

25%

20%
Correct Answer:
20%

Explanation:
Correct answer:
20%

You will need to have 100 mL rather than 50 mL to find the percentage. Ten grams is to 50 mL as 20
grams are to 100 mL. 20/100 = 0.2 or 20%.

Environmental considerations for storage of medications includes all but which of the following?

security

proper temperature

ventilation

light

Correct Answer:
security

Explanation:
Correct answer:
security

Security is another category that does not fall into environmental considerations. Humidity and sanitation
are also environmental considerations.

Procurement for supplying the pharmacy with medications and equipment involves many aspects. Which
of the following is an examination of acquisition and storage costs and costs associated with the time
required to prepare or package a drug?

cost analysis

source selection

receiving control

purchasing procedure

Correct Answer:
cost analysis

Explanation:
Correct answer:
cost analysis

Cost analysis is an examination of acquisition and storage costs and costs associated with the time
required to prepare or package a drug. Related to this is cost-benefit analysis which examines the
perceived benefit versus the cost of the medication or equipment.

You have 10 g of a drug in 500 mL of solution. What is the percent of the solution?

10%

5%

2%

20%

Correct Answer:
2%
Explanation:
Correct answer:
2%

Percent solutions are determined by how many grams are in 100 mL of the solution. In this case we have
500 mL and 10 g of drug.

10 g/500 mL = x/100 mL
500 x = 1000
x = 1000/500 = 2 g

This means that it is a 2% solution (2 g/100 mL).

Add the following numbers: 1/2 + 0.75 + 3/4 + 3.45. What is the result?

3.675

5.65

6.25

5.45

Correct Answer:
5.45

Explanation:
Correct answer:
5.45

First convert all numbers to decimals and you have 0.5 + 0.75 + 0.75 +03.45. Now add the decimals and
you get 5.45.

Any substance that does not mix or dissolve in water is:


hydrophilic

hydrophobic

homogeneous

none of the above

Correct Answer:
hydrophobic

Explanation:
Correct answer:
hydrophobic

Hydrophobic means water hating. Hydrophobic substances are substances that do not mix or dissolve
in water. Hydrophilic substances are water loving and can easily mix in water.

Which of the following vitamins is NOT stored in the liver and body fat?

vitamin B12

vitamin A

vitamin K

vitamin E

Correct Answer:
vitamin B12

Explanation:
Correct answer:
vitamin B12

Vitamin B12 is a water-soluble vitamin. It is not stored in the liver or body fat as are vitamins A, D, E, and
K. It is excreted through the urine.

A physician may write in a prescription for 60 capsules which of the following?

Cap. no. LX

Cap. no. DX

Cap. no. DC

Cap. no. CD

Correct Answer:
Cap. no. LX

Explanation:
Correct answer:
Cap. no. LX

The prescription written with Cap. no. LX means 60 capsules. L = 50 and X = 10. Added together this is
60 (LX).

Which of the following medications is used specifically for ADD/ADHD?

Halcion

Wellbutrin

Vyvanse

Elavil
Correct Answer:
Vyvanse

Explanation:
Correct answer:
Vyvanse

Vyvanse (lisdexamfetamine) is a stimulant used for ADD/ADHD. The dosage is in capsules which may be
opened and the entire contents dissolved in a glass of water.

Solve the following equation for x: 1/4 x = 4 + 12. What is the result?

46

16

64

128

Correct Answer:
64

Explanation:
Correct answer:
64

1/4 x = 4 + 12
1/4 x = 16
x = 4 x 16
x = 64

A chronic and potentially fatal liver disease causing loss of function and increased resistance to blood
flow through the liver is which of the following?
obstructive jaundice

cirrhosis

acute viral hepatitis

none of the above

Correct Answer:
cirrhosis

Explanation:
Correct answer:
cirrhosis

Cirrhosis is a chronic and potentially fatal liver disease causing loss of function and increased resistance
to blood flow through the liver. This causes the bioavailability of drugs that would otherwise be degraded
by first-pass metabolism to rise substantially.

Which of the following factors affects drug stability?

dosage form

material of the container

order and method of preparation

all of the above

Correct Answer:
all of the above
Explanation:
Correct answer:
all of the above

All of the first three choices are factors that affect drug stability. Other factors include: humidity,
ingredients used in a compound, light, and temperature.

Add the following fractions. What is the result?

3/5 + 1/4 = ?

4/9

17/20

4/20

7/9

Correct Answer:
17/20

Explanation:
Correct Answer
17/20

To add fractions with different denominators, you must first find equivalent fractions with common
denominators. First, find the smallest multiple for the denominator of both numbers. Then rewrite the
fractions as equivalent fractions with the least common denominator. In this case, the least common
denominator is 20. So 3/5 = 12/20; and 1/4 = 5/20. Add the two equivalent fractions and the result is
17/20.

You have a medication bottle with 480 mL of medication in it. This is equivalent to which of the following?

1 gallon

1 cup
1 pt

1 qt

Correct Answer:
1 pt

Explanation:
Correct answer:
1 pt

480 mL is equivalent to 1 pint. It is also equivalent to 96 tsp or 32 tbsp or 16 fl oz or 2 cups.

When setting up a compounding area there are certain criteria that should be met per which of the
following?

USP <797>

USP NF

USP <795>

none of the above

Correct Answer:
USP <795>

Explanation:
Correct answer:
USP <795>

When setting up a compounding area there are certain criteria that should be met per USP <795>
(Compounding Standards). Most community pharmacies do not have the facilities or staff so this task is
left to compounding pharmacies that specialize in this area.

In comparing medication orders in retail and institutional settings, which of the following statements is
least accurate?

There is a difference in the amount of detail presented.

There is more detailed identifying information on the retail prescription.

DEA numbers of individual prescribers are not required on the hospital medication order.

Special documentation for controlled substance prescription is not required on the hospital
medication order.

Correct Answer:
There is more detailed identifying information on the retail prescription.

Explanation:
Correct answer:
There is more detailed identifying information on the retail prescription.

This is not accurate. There is more detailed identifying information on the hospital medication order. This
helps ensure the administration of drugs to the proper patient.

If you need to fill an order for a medication that is to be taken 10 mg twice daily for one week and you only
have 2.5 mg strength tablets, how many tablets would you need for this order?

56

14

28

250
Correct Answer:
56

Explanation:
Correct answer:
56

10 mg would equal four 2.5 mg tablets for each dose. If the medication is to be taken twice daily for a
week it would be taken 14 times. Four tablets for each dose taken 14 times means you would need 56
tablets of the 2.5 mg strength for the order.

The practice of extemporaneously preparing medications to meet the unique need of an individual patient
according to the specific order of a prescriber is known as which of the following?

compounding

comminuting

triturating

emulsifying

Correct Answer:
compounding

Explanation:
Correct answer:
compounding

Compounding is the practice of extemporaneously preparing medications to meet the unique need of an
individual patient according to the specific order of a prescriber. The other choices are methods that may
be used in compounding.

Which of the following is a centralized robotic unit-dose dispensing device?


Accusource monitoring system

Baker cells

Homerus

Pyxis

Correct Answer:
Homerus

Explanation:
Correct answer:
Homerus

Homerus from Cardinal Health in Dublin Ohio is a centralized robotic unit-dose dispensing device. It has
the ability to individually package medications from bulk and deliver bar-coded medications to 14-hour
patient-specific bins and return medication to bins on discharge of patient.

Using Frieds rule, calculate the dosage for a 3 month old child who needs a medication that is
administered to adults in a 650 mg dose. What is the appropriate dosage for this child?

1.3 mg

130 mg

1.3 g

13 mg

Correct Answer:
13 mg
Explanation:
Correct answer:
13 mg

Frieds rule is a formula used in calculating pediatric dosages based on the childs age in months. Divide
the childs age in months by 150 and multiply the result by the adult dosage. In this case the childs age is
3 months. Divide this by 150 and multiply by 650 mg and the result is 13 mg.

In terms of health care reimbursement systems, which of the following systems does not allow a
pharmacy to make a profit?

ambulatory care parenteral therapy

cognitive services

community care

acute care

Correct Answer:
acute care

Explanation:
Correct answer:
acute care

The acute care system does not allow a pharmacy to make a profit. Pharmacy-related expenses are
incorporated into the per diem hospital charge.

You have a prescription for 100 mL of liquid medication and you must convert this to fluid ounces. If there
are 29.57 mL in each fl oz, how many fluid ounces are in 100 mL?

3.58

3.38

8.33
2

Correct Answer:
3.38

Explanation:
Correct answer:
3.38

x fl oz = total prescribed medication ml/fl oz


x = 100 29.57
x = 3.38

Monographs are an example of which of the following levels of pharmacy literature for pharmacy
professionals?

primary

secondary

tertiary

none of the above

Correct Answer:
tertiary

Explanation:
Correct answer:
tertiary

Tertiary literature sources contain condensed and compact information based on established knowledge
in primary literature. This type of literature reference includes monographs, standard reference books,
and review articles.

What are orphan drugs?

drugs that have been developed only for the use of those under 12 years of age

drugs for treatment of diseases or conditions of which there are fewer than 200,000 cases in the
world
nonlegend drugs or OTC drugs

those drugs that require a child-resistant cap

Correct Answer:
drugs for treatment of diseases or conditions of which there are fewer than 200,000 cases in the
world

Explanation:
Correct answer:
drugs for treatment of diseases or conditions of which there are fewer than 200,000 cases in the
world

Orphan drugs are drugs for treatment of diseases or conditions of which there are fewer than 200,000
cases in the world. The Orphan Drug Act of 1983 provides tax incentives and exclusive licensing of
products for manufacturers to develop and market orphan medications.

Which of the following classifications of product recalls is designated for the most dangerous products
that can cause serious adverse health conditions or death?

Class I

Class II

Class III

none of the above


Correct Answer:
Class I

Explanation:
Correct answer:
Class I

Class I recalls are the most dangerous and are designated for products that are defective and could
cause serious adverse health conditions or death. Class II recalls are for products that could cause
temporary or moderate adverse health conditions. Class III recalls are for products that would not cause
harm, but have been mislabeled or are otherwise not in compliance with FDA regulations

All of the following are accurate postulates of the kinetic molecular theory EXCEPT:

Particles of a gas are in constant and random motion.

The particles exert repulsive and attractive forces on one another.

The average kinetic energy of gas particles is directly proportional to the absolute temperature in
Kelvin.
When the particles of a gas collide with other particles or the sides of the container, no energy is
lost.

Correct Answer:
The particles exert repulsive and attractive forces on one another.

Explanation:
Correct answer:
The particles exert repulsive and attractive forces on one another.

This is not correct. The behavior of gases is explained on the molecular level by the kinetic molecular
theory. One of the postulates is that the particles exert neither repulsive nor attractive forces on one
another.
Devices that are inserted into veins for direct access to the vascular system are which of the following?

ampules

filter needles

piggybacks

catheters

Correct Answer:
catheters

Explanation:
Correct answer:
catheters

Catheters are devices that are inserted into veins for direct access to the vascular system. They may be
either peripheral venous catheters or central venous catheters.

Which of the following is NOT an advantage of a solid dosage form?

easy to package

effective more quickly than liquid dosage form

easy to store

suited for delayed-release medications


Correct Answer:
effective more quickly than liquid dosage form

Explanation:
Correct answer:
effective more quickly than liquid dosage form

This is not an advantage of a solid dosage form. A liquid form is effective more quickly than a solid
dosage form because the drug is already dissolved in a liquid.

An inventory system that maintains a continuous record of every item in inventory is known as which of
the following?

FIFO

LIFO

perpetual inventory

reorder point system

Correct Answer:
perpetual inventory

Explanation:
Correct answer:
perpetual inventory

Perpetual inventory is a system that maintains a continuous record of every item in inventory so that it
always shows the current amount of stock on hand. To maintain a perpetual inventory the point of sale
system is often used. This is a system in which the item is deducted from inventory as it is sold or
dispensed.

Which of the following is NOT a part of the respiratory system?

sclera
diaphragm

larynx

nasal cavity

Correct Answer:
sclera

Explanation:
Correct answer:
sclera

The sclera is not a part of the respiratory system. The main parts of the respiratory system include the:
nasal cavity, pharynx, larynx, trachea, bronchi, bronchioles and diaphragm.

The medication administration record can best be described by which of the following?

It documents receipt of medication on the nursing floor.

It is a check of delivery of medication against records in the pharmacy.

It monitors receipt, administration and disposal of individual controlled substances.

It documents medication dispensed to a patient.

Correct Answer:
It documents medication dispensed to a patient.

Explanation:
Correct answer:
It documents medication dispensed to a patient.
The medication administration record (MAR) documents medication dispensed to a patient. It is the report
that serves as a legal record of the drugs administered to a patient at a facility by a health care
professional. The MAR is a part of a patient's permanent record in their medical chart.

The metric systems primary unit of weight is which of the following?

meter

ounce

gram

grain

Correct Answer:
gram

Explanation:
Correct answer:
gram

The gram is the metric systems primary unit of weight. The meter is the metric systems primary unit of
length. The liter is the metric systems primary unit of volume. Prefixes are added to these units to
indicate larger or smaller amounts.

The Poison Prevention Packaging Act of 1970 requires that most OTC and legend drugs be packaged in
child-resistant containers. However, there are exceptions for child-resistant containers. All of the following
are medications not requiring child-resistant containers EXCEPT:

prednisone tablets with more than 105 mg per package

inhalation aerosols

sublingual nitroglycerin tablets

powdered anhydrous cholestyramine


Correct Answer:
prednisone tablets with more than 105 mg per package

Explanation:
Correct answer:
prednisone tablets with more than 105 mg per package

This is incorrect. Prednisone tablets with no more than 105 mg per package are an exception to the
child-resistant containers. The purpose of the Poison Prevention Packaging Act of 1970 was to reduce
accidental poisoning in children.

Multiply the following: 1.234 x 12.34. What is the result?

152.2756

15227.56

1522.756

15.22756

Correct Answer:
15.22756

Explanation:
Correct Answer:
15.22756

Simply multiply the two numbers to get 1,522,756. Count the decimal places in both numbers and add
them together (5), then move the decimal in the answer five places to the left. The answer is 15.22756
Test 10
Which of the following actions would be most appropriate when faced with a patient whose insurance
coverage is no longer in effect and whose prescription claim has been rejected?

Tell the patient he must contact the insurance company to resolve the issue.

Call the patients insurance company to inquire as to the facts.

Charge the patient the same amount he would have paid if the insurance was in effect and wait for
the insurance company response.
all of the above

Correct Answer:
Tell the patient he must contact the insurance company to resolve the issue.

Explanation:
Correct answer:
Tell the patient he must contact the insurance company to resolve the issue.

This is the appropriate action. Pharmacy personnel are not permitted to call the patients insurance carrier
regarding these types of inquiries. Patient confidentiality would be breached, and legal action could result.

A prefix is a modifying component of a term located at the beginning of the term. Which of the following
prefixes indicates many?

pseudo-

poly-

purpur-

peri-
Correct Answer:
poly-

Explanation:
Correct answer:
poly-

The prefix poly- indicates many. For example, the term polycystic means having or containing many
cysts.

Solve the following equation: 6x 10 4x + 20 = y where x is a variable, and you solve for y.

2x - 10

2x + 10

10x - 10

10x + 10

Correct Answer:
2x + 10

Explanation:
Correct answer:
2x + 10

First combine like terms


6x - 4x - 10 + 20 = y
(6x - 4x) + (-10 + 20) = y
2x + 10 = y

In terms of chemotherapeutic agents, which of the following statements is least accurate?

Chemotherapeutic agents must be prepared in a biologic safety cabinet or vertical flow hood.

The preparer should wear a gown, goggles, and two pairs of gloves to protect him or her from
possible contamination.
The technician should refer to DOT guidelines regarding the storage and handling of
chemotherapeutic agents.
A 4 x 4 inch piece of gauze should be kept inside the hood in case of a spill.

Correct Answer:
The technician should refer to DOT guidelines regarding the storage and handling of
chemotherapeutic agents.

Explanation:
Correct answer:
The technician should refer to DOT guidelines regarding the storage and handling of
chemotherapeutic agents.

This is the least accurate statement. The technician should refer to Occupational Safety and Health
Administration (OSHA) guidelines regarding the storage and handling of chemotherapeutic agents. The
Department of Transportation (DOT) regulates the shipment of hazardous materials.

An IV medication is prescribed for an infant. The does is 20 mg/kg twice a day. The infant weighs 16.5 lb.
How much drug is to be given for one dose?

50 mg

150 mg

300 mg

30 mg

Correct Answer:
150 mg

Explanation:
Correct answer;
150 mg
First, you must calculate the infants weight in kg. There are 2.2 kg to a pound. Divide 16.5 lb by 2.2 kg
and the result is 7.5. Multiply 7.5 times the 20 mg required for each kg and the result is 150 mg. Given
twice a day the total daily dosage is 300 g.

The pharmacy receives an order for medication for a 9 lb infant. The order calls for 10 mg/kg/dose. Which
of the following is the correct dosage for this infant?

49 mg/dose

40.9 mg/dose

4.9 mg/dose

none of the above

Correct Answer:
40.9 mg/dose

Explanation:
Correct answer:
40.9 mg/dose

To calculate the dosage, change the infants weight into kilograms. There are 2.2 lb per kg. The infants
weight is 9 2.2 or 4.09 kg. If the dose is 10 mg/kg then 4.09 kg should be multiplied by 10 resulting in
40.9 mg/kg/dose.

Add the following decimals: 2.13 + 0.056. What is the result?

2.69

2.186

2.069

2.0069
Correct Answer:
2.186

Explanation:
Correct Answer:
2.186

You first must line up the decimal points and simply add. You may add a place holder zero after the 2.13.

2.130
+ 0.056
2.186

Perform the indicated operation. Which Arabic number is the correct answer?

DCXLIV IV = ?

111

107

161

74

Correct Answer:
161

Explanation:
Correct answer:
161

DCXLIV = 644; IV = 4. So, 644 4 = 161.


If a customer pays $10 for a prescription the cost the pharmacy $5, what is the markup on this
prescription?

200%

100%

150%

300%

Correct Answer:
100%

Explanation:
Correct answer:
100%

(10 5)/5 (cost) x 100 = x (markup %)


5/5 x 100 = 100
Markup is 100%

A child weighs 42 lb. What is his weight in kilograms?

92.4 kg

21 kg

19.09 kg

84 kg
Correct Answer:
19.09 kg

Explanation:
Correct answer:
19.09 kg

To convert pounds to kilograms, divide the pounds by 2.2. There are 2.2 kg in every lb. Weight in kg will
always be less than weight in lb. 42 lb divided by 2.2 kg = 19.09 kg.

In terms of licensure, which of the following statements is least accurate?

Pharmacists must be licensed by the State Board of Pharmacy for the state in which they practice.

Pharmacists must maintain their licensure by meeting specific requirements established by the
Board of Pharmacy.
There are no states which require a pharmacy technician to be licensed by the State Board of
Pharmacy.
Pharmacy technicians must follow state regulations set by the State Board of Pharmacy.

Correct Answer:
There are no states which require a pharmacy technician to be licensed by the State Board of
Pharmacy.

Explanation:
Correct answer:
There are no states which require a pharmacy technician to be licensed by the State Board of
Pharmacy.

This is the least accurate statement. Some states require that a pharmacy technician be licensed by the
Board of Pharmacy. Currently just over half of the states require pharmacy technicians to be registered or
licensed.

A prescription calls for the patient to take 10 drams. How many ounces is that?

2.50 oz

80 oz
8.0 oz

1.25 oz

Correct Answer:
1.25 oz

Explanation:
Correct answer:
1.25 oz

An ounce equals 8 drams. Divide 10 drams by 8 drams to get 1.25 oz.

Proper hand-washing techniques include all of the following EXCEPT:

washing the hands and arms with hot water and Betadine

scrubbing both the top and the bottom of the hands

scrubbing between the fingers up to the shoulder

rinsing arms and hands thoroughly

Correct Answer:
scrubbing between the fingers up to the shoulder

Explanation:
Correct answer:
scrubbing between the fingers up to the shoulder

This is not done in proper hand-washing techniques. The person should scrub between the fingers up to
the elbow.
The trademark of a drug held by the originating manufacturing company is known as which of the
following?

generic name

chemical name

brand name

all of the above

Correct Answer:
brand name

Explanation:
Correct answer:
brand name

A brand name (also known as a trade name) is the trademark of a drug or device held by the originating
manufacturing company. The company also assigns the chemical name (derived from the chemical
structure) and the generic name.

In terms of compounding equipment, which of the following devices is used for removing hot contents?

foil wraps

filters

spatulas

tongs
Correct Answer:
tongs

Explanation:
Correct answer:
tongs

Tongs are used for removing hot contents. In addition, rubber grippers are used for removing glass from
hot plates.

Determine the percentage of drug in a 12 : 100 solution. What is the result?

1.2%

12%

20%

10%

Correct Answer:
12%

Explanation:
Correct answer:
12%

A 12 : 100 solution is 12 g per 100 mL. 12/100 = 12%.

The pharmacy receives a case of medication for $30. It marks the price up by 50%. The selling price of
the case of medication would be which of the following?

$15

$45
$35

$50

Correct Answer:
$45

Explanation:
Correct answer:
$45

The selling price would be $45. A markup of 50% of the $30 cost price would be $15. This is added to the
cost ($30 + $15). The result is $45.

The repackaging log contains documentation required for repackaging medication. Which of the following
is NOT part of the information needed for this log?

dosage form

pharmacy lot number

quality of the drug repackaged

expiration date assigned by the pharmacy

Correct Answer:
quality of the drug repackaged

Explanation:
Correct answer:
quality of the drug repackaged

The quality of the drug repackaged is not part of the documentation required for repackaging medication.
The quantity of the drug is required.

Convert 2 1/3 to a decimal form. What is the result?

2.333

2.25

0.333

Correct Answer:
2.333

Explanation:
Correct Answer
2.333

Simply divide the numerator of the fraction 1/3 by the denominator and the result is .333. Added to the
whole number 2 the result is 2.333

Which of the following medications NEVER has a safety lid?

isosorbide SL

sulfa antibiotics

warfarin

nitroglycerin
Correct Answer:
nitroglycerin

Explanation:
Correct answer:
nitroglycerin

Nitroglycerin never has a safety lid. The reason for this is that it is an emergency medication. Isosorbide
SL may be dispensed without a safety lid for emergency reasons. All other medications may be
dispensed without safety lids on a doctors request documented on the prescription or a patients request
documented in the computer or in hard copy.

Using Clarks rule calculate the dosage for a 10-month old infant weighing 18 lb who is prescribed a drug
which has a usual adult dosage of 500 mg. What is the appropriate dosage for this child?

6 mg

600 mg

0.6 mg

60 mg

Correct Answer:
60 mg

Explanation:
Correct answer:
60 mg

Clarks rule is based on the patients weight expressed in pounds. The childs weight is divided by 150
and the result is multiplied by the adult dose. In this case, the childs weight, 18 lb is divided by 150. The
result is 0.12. This is multiplied by the adult dose of 500 mg to give you a pediatric dosage of 60 mg.

65 F equals which of the following?


29.5 C

18.3 C

185 C

2.95 C

Correct Answer:
18.3 C

Explanation:
Correct answer:
18.3 C

To convert from Fahrenheit temperature to Celsius, use the following formula:


C = (F 32) 1.8.

Which of the following cardiovascular agents is an antiplatelet agent?

Cardene

Cardizem

Plavix

Procardia

Correct Answer:
Plavix

Explanation:
Correct answer:
Plavix

Plavix is an antiplatelet agent. Other antiplatelet agents include: aspirin, Pletal, and Ticlid. The other three
choices are all Calcium Channel Blockers (CCBs).

Viruses are classified by all but which of the following criteria?

size

virulence

host it infects

as enveloped or naked

Correct Answer:
virulence

Explanation:
Correct answer:
virulence

Virulence is not a classification criterion for viruses. Viruses are classified by the following criteria: nucleic
acid makeup (single or double stranded DNA or RNA); size; the host it infects; and whether it is
enveloped or naked.

Which of the following are currently the drugs of choice for depression?

tricyclic antidepressants

SSRIs

monoamine oxidase inhibitors

heterocyclic antidepressants
Correct Answer:
SSRIs

Explanation:
Correct answer:
SSRIs

Drugs of choice for depression are now the serotonin reuptake inhibitors (SSRIs). These drugs block the
reuptake of serotonin at the neuronal ending, resulting in increased levels of serotonin in the synapse and
increased receptor stimulation.

Which of the following is a substance that CANNOT pass the blood-brain barrier?

high-lipid molecules

glucose

oxygen

water-soluble molecules

Correct Answer:
water-soluble molecules

Explanation:
Correct answer:
water-soluble molecules

Water-soluble molecules cannot pass the blood-brain barrier. Other substances that cannot pass the
blood-brain barrier include: large molecules, low-lipid molecules, and bacteria or viruses >500 Daltons.

In terms of abbreviations for routes of administration the notation p.r. would indicate which of the
following?
into the rectum

into the vagina

by nebulizer

none of the above

Correct Answer:
into the rectum

Explanation:
Correct answer:
into the rectum

The abbreviation p.r. means that the route of administration is into the rectum. The abbreviation p.v.
means that the route of administration is into the vagina. The abbreviation per neb means by nebulizer.

What is the gross profit to the pharmacy of a medication that has an acquisition cost of $40.00 and a
dispensing fee of $4.00, if the pharmacy sells the prescription for $90.00?

$54.00

$46.00

$48.50

$50.00

Correct Answer:
$50.00
Explanation:
Correct answer:
$50.00

The gross profit is the selling price minus the acquisition cost. The dispensing fee is not a part of this
calculation. Therefore the gross profit is $90.00 minus $40.00 or $50.00.

Which of the following is NOT a section of the small intestine?

duodenum

jejunum

rectum

ileum

Correct Answer:
rectum

Explanation:
Correct answer:
rectum

The rectum is not a part of the small intestine. The three sections of the small intestine are: the
duodenum, the jejunum and the ileum. Each has a specific function and contribution to the breakdown
and absorption of food.

The drug warning that is placed in the prescribing information or package insert of the product to indicate
a significant risk of potentially dangerous side effects is called the:

overdose warning

boxed warning
drug abuse potential

patient counseling information

Correct Answer:
boxed warning

Explanation:
Correct answer:
boxed warning

A boxed warning is encased in a bold border within the manufacturers insert. Health care professionals
often refer to the boxed warning as a black box warning. This type of warning is required on medications
and other products that carry a high risk potential to the consumer.

The document used when ordering drugs or devices for inventory is known as which of the following?

invoice

purchase order

accounts receivable form

want list

Correct Answer:
purchase order

Explanation:
Correct answer:
purchase order

The purchase order may be used when ordering drugs or devices. This form contains the information
necessary to identify the drug as well as the vendors name, the price, shipping information, and date of
order. The purchase order usually assigned a number for tracking the shipment.

Pharmacy technicians should be familiar with various types of monitoring and screening equipment. Of
the following, which equipment is used to measure the functionality of the heart valves?

peak flow meter

pneumograms

electrocardiogram

echocardiogram

Correct Answer:
echocardiogram

Explanation:
Correct answer:
echocardiogram

The echocardiogram measures the functionality of the heart valves. The electrocardiogram is used to
measure cardiac rates and rhythms. Pneumograms are two-channel recordings of heart rate and
respiration in the monitoring of apnea. A peak flow meter is used to measure and manage asthma in an
individual.

Lectures, videos, and simulations are all which of the following staff training techniques?

off-the-job training

on-the-job training

internship

apprenticeship
Correct Answer:
off-the-job training

Explanation:
Correct answer:
off-the-job training

Off-the-job training consists of things that take place outside of the actual job such as lectures, videos,
and simulations. On-the-job training is a set of activities that provides the opportunity to acquire and
improve job-related skills.

A drug dosage that is contained in a shell of gelatin that dissolves in 10 to 20 minutes is which of the
following?

tablet

suppository

capsule

pellet

Correct Answer:
capsule

Explanation:
Correct answer:
capsule

A capsule contains a drug in a shell of gelatin that dissolves in 10 to 20 minutes. Pellets are small
cylinders that are implanted subcutaneously for continuous absorption. Tablets are compressed or
molded medications. A suppository is a solid dosage form to be inserted in a body orifice.

A ratio is an expression that compares two quantities or measurements. If you need 50 tablets from a
bottle of 500 tablets, what percentage of the 500 tablets do you need?

5%

10%

15%

1.5%

Correct Answer:
10%

Explanation:
Correct answer:
10%

A percentage can be determined from the ratio of one thing to another. 50 tablets is to 500 tablets can be
expressed as a fraction of 50/500 which gives you a percentage of (10/100) 10%.

The abbreviation ung refers to which of the following?

ointment

lotion

liquid

gas

Correct Answer:
ointment
Explanation:
Correct answer:
ointment

There are many terms and abbreviations that the pharmacy technician must know. The abbreviation ung
refers to an ointment. The abbreviation oint also refers to ointments.

Which of the following is NOT a universal precaution?

Latex gloves must be worn when there is a possibility the individual may come in contact with
blood, other body fluids or body substances.
Specially trained individuals must be notified for cleanup or removal of contaminated waste.

A first-aid kit must be maintained and adequately stocked for use if an individual does come in
contact with contaminated waste or body fluids.
Contaminated materials such as syringes, needles, swabs and catheters must be placed in a
wastebasket lined with a plastic bag.

Correct Answer:
Contaminated materials such as syringes, needles, swabs and catheters must be placed in a
wastebasket lined with a plastic bag.

Explanation:
Correct answer:
Contaminated materials such as syringes, needles, swabs and catheters must be placed in a
wastebasket lined with a plastic bag.

This is not a correct universal precaution. Contaminated materials such as syringes, needles, swabs and
catheters must be placed in red plastic containers marked for disposal of biohazardous materials.

The pharmacy receives a PRN order. The pharmacy technician knows that this means which of the
following?

nothing by mouth

administration of the drug at a specific time each day in a hospital


filling of the medication as soon as possible

administration of medication on an as-needed basis in a hospital

Correct Answer:
administration of medication on an as-needed basis in a hospital

Explanation:
Correct answer:
administration of medication on an as-needed basis in a hospital

A PRN order means that medication is on an as-needed basis. Usually pain medications, antidiarrheals,
nausea medications, and cough medications are given on as needed basis.

Which of the following tasks is not part of receiving a pharmacy order?

accepting delivery of the order

paying for the order

adjusting inventory

stocking the order

Correct Answer:
paying for the order

Explanation:
Correct answer:
paying for the order

Paying for the order is not part of receiving the order. This is done at a later date according to the terms of
the invoice. The steps to receiving an order include: accepting delivery, verifying the order, adjusting the
inventory, stocking the order and filing the paperwork pertaining to the order.

What is the fraction that is represented by the decimal 0.25?

1/4

25/10

2/5

25/1000

Correct Answer:
1/4

Explanation:
Correct answer:
1/4

The decimal 0.25 (twenty-five hundredths) is converted to a fraction by dividing 25 by 100. The result is
1/4.

There are a number of different ways to treat constipation. One of them is with laxatives. Which of the
following types of laxative is Cephulac?

stimulant

stool softener

rectal laxative

osmotic laxative
Correct Answer:
osmotic laxative

Explanation:
Correct answer:
osmotic laxative

Cephulac is a prescription osmotic laxative. The normal adult dose is 15 30 mL once daily. It is taken
orally.

The most common bacterial disease affecting the pulmonary system worldwide is which of the following?

tuberculosis

pneumonia

H1N1

none of the above

Correct Answer:
tuberculosis

Explanation:
Correct answer:
tuberculosis

Worldwide, tuberculosis is the most common bacterial disease affecting the pulmonary system. H1N1 is a
virus. Pneumonia can be bacterial, viral, fungal, chemical or parasitic.

A listing of preapproved drugs for a specific purpose is which of the following?

want list
formulary

non-formulary

GPO

Correct Answer:
formulary

Explanation:
Correct answer:
formulary

A formulary is, in essence, a listing of drugs approved for a specific purpose. It can be used as a
reference manual, as recommendations for prescribing, or even as strict parameters for the medications
that are stocked and approved for reimbursement.

All of the following are steps in the compounding procedure for molded tablets EXCEPT:

moistening the mix until it has the proper consistency

placing the cavity plate on either an ointment tile or a glass plate

pressing the mixture into the cavity plate

immediately putting tablets into containers after being pushed out of the mold

Correct Answer:
immediately putting tablets into containers after being pushed out of the mold

Explanation:
Correct answer:
immediately putting tablets into containers after being pushed out of the mold
This is not part of the correct procedure for molded tablets. The tablets must be left to dry before putting
them into any type of container.

All of the following are characteristics of a eukaryotic cell EXCEPT:

lysosomes found

Golgi complex found

no nuclear membrane

multiple linear chromosomes

Correct Answer:
no nuclear membrane

Explanation:
Correct answer:
no nuclear membrane

There are two major cell types: prokaryotic and eukaryotic. Eukaryotic cells have a true nucleus;
prokaryotic cells have no nucleus.

Mrs. Smith qualifies as a low-income parent of 5 children. Because of this she will most likely qualify for
which of the following?

Workers Compensation

Medicare

Medicaid

Third-party insurance
Correct Answer:
Medicaid

Explanation:
Correct answer:
Medicaid

Medicaid is a health insurance program for individuals and families with low incomes or disabilities.
Among the patients on Medicaid are eligible low-income parents, children, seniors and persons with
disabilities. The eligibility requirements vary by each state.

The type of pharmacy that provides medications to institutions and long-term care facilities and/or to
patients at home via mail service is which of the following?

community pharmacy

retail pharmacy

institutional pharmacy

closed door pharmacy

Correct Answer:
closed door pharmacy

Explanation:
Correct answer:
closed door pharmacy

A closed door pharmacy is one that provides medications to institutions and long-term care facilities
and/or to patients at home via mail service. A closed door pharmacy typically processes a prescription
similar to a retail pharmacy although it may package prescriptions differently for each type of setting.

Convert the ratio 45 : 90 to a percentage. What is the result?


25%

50%

45%

5%

Correct Answer:
50%

Explanation:
Correct answer:
50%

The ratio 45 : 90 can be written as a fraction of 45/90. Divide the numerator by the denominator and the
result is 0.5 or 50%.

If the pharmacy gets a 10% discount on an invoice if it is paid within 10 days and the invoice is in fact
th
paid on the 5 day. What should the pharmacy pay on an invoice of $1375.00?

$1237.50

$1375.00

$1335.00

$1330.00

Correct Answer:
$1237.50

Explanation:
Correct answer:
$1237.50

The 10% discount on $1375.00 is $137.50. Subtract this discount of $137.50 from the invoice total of
$1375.00 and the result is $1237.50 which is what the pharmacy should pay.

A company hired by the insurer to handle claims is which of the following?

provider

carrier

processor

all of the above

Correct Answer:
processor

Explanation:
Correct answer:
processor

A processor is a company hired by the insurer to handle claims. A provider, a carrier and an insurer are
all interchangeable terms for the insurance company.

Which of the following drugs is an example of a macrolide?

cinoxacin

amikacin

azithromycin

tetracycline
Correct Answer:
azithromycin

Explanation:
Correct answer:
azithromycin

Azithromycin is a macrolide. It inhibits protein synthesis by combining with ribosomes. Other macrolides
include: clarithromycin, dirithromycin and erythromycin base.

Of the following drugs which one is NOT an antiparkinsonian agent?

Sinemet

Eldepryl

Symmetrel

Zoloft

Correct Answer:
Zoloft

Explanation:
Correct answer:
Zoloft

Zoloft is an SSRI. All of the other choices are antiparkinsonian agents.

Which of the following is an equivalent proportion?

20 : 30 as 40 : 120
15 : 30 as 45 : 95

23 : 46 as 44 : 88

25 : 50 as 5 : 25

Correct Answer:
23 : 46 as 44 : 88

Explanation:
Correct answer:
23 : 46 as 44 : 88

These ratios are equivalent in proportion. They can both be reduced to the same ratio: 1 : 2 or 1/2.

Which of the following would NOT be the responsibility of a community pharmacy technician?

Prepare pharmacy inventory.

Help patients who are dropping off or picking up prescription orders.

Communicate with insurance carriers to obtain payment for prescription claims.

Transport medications, drug-delivery devices, and other pharmacy equipment from the pharmacy
to nursing units and clinics.

Correct Answer:
Transport medications, drug-delivery devices, and other pharmacy equipment from the pharmacy
to nursing units and clinics.

Explanation:
Correct answer:
Transport medications, drug-delivery devices, and other pharmacy equipment from the pharmacy
to nursing units and clinics.
This is not a responsibility of a community pharmacy technician. It is one of the responsibilities of an
institutional technician.

Calculate the expiration date to be used when repackaging a drug if todays date is October 2011 and the
manufacturers expiration date is February 2014.

May 2012

May 2013

April 2012

February 2014

Correct Answer:
April 2012

Explanation:
Correct answer:
April 2012

The life of a repackaged drug is 6 months or one fourth of the manufacturers expiration date, whichever
is less. In this case one fourth of the expiration date is 7 months:

Oct 2011 to Feb 2014 = 28 months


28 months divided by 4 = 7 months

Therefore, the expiration date is 6 months (the lesser of one fourth of the manufacturers expiration date
and 6 months).

The mathematical method of solving problems that involves the mixing of solutions or mixtures of solids
possessing different percentage weights is which of the following?

dilution

distribution
alligation

none of the above

Correct Answer:
alligation

Explanation:
Correct answer:
alligation

Alligation is the method by which we may calculate the number of parts of two or more ingredients of a
given strength when they are mixed to prepare a mixture of a desired strength that is not in stock. A final
proportion allows you to calculate the relative parts of each strength.

Which of the following is classified as a loop diuretic?

hydrochlorothiazide

amiloride

triamterene

furosemide

Correct Answer:
furosemide

Explanation:
Correct answer:
furosemide
Furosemide (Lasix) is an example of a loop diuretic. The diuretics inhibit reabsorption of sodium and
chloride in the ascending loop of Henle and distal renal tubules, resulting in urinary excretion of water.

Federal and state laws regulate the practice of pharmacy. The pharmacy technician should be familiar
with the different types of law. The type of law that involves personal injuries, business, disputes, and libel
and slander is which of the following?

constitutional law

administrative law

criminal law

civil law

Correct Answer:
civil law

Explanation:
Correct answer:
civil law

Civil law is law involving personal injuries, business disputes, libel and slander, land deals, and various
other commercial interests and noncriminal matters. Malpractice is a civil law action.

In terms of identifying and returning expired and unsaleable products which of the following statements is
least accurate?

Controlled substances can be returned only by institutions having a DEA number.

Cytotoxic medications are destroyed with biohazardous waste goods.

Reconstituted or compounded drugs may be returned to the manufacturer.

Unused unit-dose medications may be redispensed after the medication has been checked for
integrity.
Correct Answer:
Reconstituted or compounded drugs may be returned to the manufacturer.

Explanation:
Correct answer:
Reconstituted or compounded drugs may be returned to the manufacturer.

This statement is not accurate. Reconstituted or compounded drugs may not be returned to the
manufacturer. Another example of a nonreturnable item is a partially used bottle of medication.

A common barrier to communication with patients is the defense mechanism, an unconscious behavior or
reaction that is generally prompted by anxiety. The defense mechanism being used when a person
immediately changes the subject when asked how he is doing after the death of his spouse is which of
the following?

denial

regression

repression

sublimation

Correct Answer:
repression

Explanation:
Correct answer:
repression

Repression involves an involuntary exclusion of a painful thought, impulse, or memory from awareness.
The patient who changes the subject when asked about the death of his spouse is using repression as a
defense mechanism.
Which MERP error category would be considered an error with no harm done?

Correct Answer:
B

Explanation:
Correct answer:
B

A category B error is one which occurred but did not reach the patient. There was error but no harm was
done to the patient. All of the other choices are errors that cause harm or death.

Which of the following types of spatulas would be used for mixtures that may react with metal?

plastic

porcelain

glass

metal
Correct Answer:
plastic

Explanation:
Correct answer:
plastic

Spatulas are made of either plastic or metal. Plastic spatulas are used on mixtures that may react with
metal. Metal spatulas are used for mixing ointments or creams and for handling dry chemicals.

Which of the following entities negotiates prices for hospitals and institutions but does not make the actual
purchase?

group purchasing organizations

manufacturers purchasing organizations

wholesale purchasing organizations

government purchasing organizations

Correct Answer:
group purchasing organizations

Explanation:
Correct answer:
group purchasing organizations

Group purchasing organizations negotiate prices for hospitals and institutions. They do not make the
actual purchase. Purchases are made by the institutions directly from drug manufacturers or from
wholesalers.

A common barrier to communication is the use of defense mechanisms. The defense mechanism used to
protect oneself from the emotional stress associated with confronting problems or fears is which of the
following?
displacement

intellectualization

denial

sublimation

Correct Answer:
intellectualization

Explanation:
Correct answer:
intellectualization

Intellectualization is the defense mechanism whereby an individual deals with conflict or stressors by
making generalizations to minimize disturbing feelings. It is characterized by excessive reasoning.

Which of the following statements about procedures to prepare radiopharmaceuticals is least accurate?

The individual must wear a meter indicating the radioactive levels to which the individual is
exposed.
Radiopharmaceuticals are to be prepared in a horizontal flow hood.

Safety principles of time, distance and shielding are observed.

Special training must be completed to work in a nuclear pharmacy.

Correct Answer:
Radiopharmaceuticals are to be prepared in a horizontal flow hood.

Explanation:
Correct answer:
Radiopharmaceuticals are to be prepared in a horizontal flow hood.

This is not accurate. Radiopharmaceuticals are to be prepared in a vertical flow hood.


Radiopharmaceuticals may be diagnostic or therapeutic; they may be oral, IV or inhaled.

The Poison Prevention packaging Act of 1970 was enacted to reduce accidental poisoning in children. It
requires that most OTC and legend drugs be packaged in child-resistant containers. There are exceptions
for child-resistant containers. Which of the following is NOT one of these exceptions?

single-time dispensing of a product in noncompliant container as ordered by the prescriber

one noncompliant size of the OTC product for elderly or handicapped patients no warning
necessary
drugs dispensed to institutionalized patients, provided that these drugs are to be administered by
an employee of an institution
single-time or blanket dispensing of a product in noncompliant container as requested by patient or
customer in a signed statement

Correct Answer:
one noncompliant size of the OTC product for elderly or handicapped patients no warning
necessary

Explanation:
Correct answer:
one noncompliant size of the OTC product for elderly or handicapped patients no warning
necessary

A warning is necessary. One noncompliant size of the OTC product for elderly or handicapped patients is
allowed provided that the package contains the warning, This Package for Households without
Young Children or Package Not Child Resistant. There are also certain medications not requiring
child-resistant containers such as oral contraceptives taken cyclically in the manufacturers dispensing
package.

When selecting medication to fill a prescription order, the pharmacy technician must look closely at the
manufacturers label. All of the following must match exactly EXCEPT:
form of drug

dosage strength

name of drug

manufacturer of the drug

Correct Answer:
dosage strength

Explanation:
Correct answer:

dosage strength

All information on the manufacturers label must match that of the prescription order, with the exception of
the dosage strength. This may be converted to match the order, using a dosage conversion calculation.

Which of the following is NOT an information requirement for a medication order?

initials of the licensed pharmacist

name and location of the patient

strength of the drug

quantity of the drug

Correct Answer:
initials of the licensed pharmacist

Explanation:
Correct answer:
initials of the licensed pharmacist

The initials of the licensed pharmacist are not necessary on a medication order for a patient. This
information would be necessary for the required information on a prescription label.

Subtract the following: 23.02 - 0.0044. What is the result?

23.0156

22.06

22.062

22.088

Correct Answer:
23.0156

Explanation:
Correct Answer:
23.0156

In subtraction, align the decimal places on the two numbers, adding place holder zeros to 23.02. Subtract
as normal.

23.0200
- 0.0044
23.0156

Several moral principles concern pharmacy professionals. The moral principle that places the pharmacy
technician in a position to help others is which of the following?

beneficence

fidelity

veracity
justice

Correct Answer:
beneficence

Explanation:
Correct answer:
beneficence

The five moral principles that should govern the pharmacy professional are: beneficence, fidelity, veracity,
justice, and autonomy. Beneficence means bringing about good. It puts the pharmacy technician in a
position to benefit others.

An antiflatulent is a substance that does which of the following?

decreases gastrointestinal activity that produces diarrhea

reduces stomach muscle spasms

relieves nausea and vomiting

relieves the pressure of excess intestinal gas

Correct Answer:
relieves the pressure of excess intestinal gas

Explanation:
Correct answer:
relieves the pressure of excess intestinal gas

An antiflatulent is a substance that relieves the pressure of excess intestinal gas. An antidiarrheal relieves
and decreases gastrointestinal activity that produces diarrhea. An antispasmodic would relieve stomach
muscle spasms. An antiemetic would relieve nausea and vomiting.
Five basic flavoring techniques are used in preparing a product. Which of the following is NOT one of
these techniques?

blending

psychological methods

physiological methods

physical methods

Correct Answer:
psychological methods

Explanation:
Correct answer:
psychological methods

The five basic flavoring techniques are: blending; overshadowing or overpowering; physical methods;
chemical methods; and physiological methods. In addition, flavor enhancers may be added to ensure
intensity of flavor.

A liquid contains 200 mg/10 mL. What percent is this liquid?

2%

10%

0.5%

0.1%
Correct Answer:
2%

Explanation:
Correct answer:
2%

First, change 200 mg to g (0.2 g). Then set up a proportion.

0.2 g/10 mL = x g/100 mL


10 x = 20
x=2

A 2 g/100 mL solution is a 2% solution.

Which of the following is a test for liver function?

SGOT

BUN

A1C

Po2

Correct Answer:
SGOT

Explanation:
Correct answer:
SGOT

The SGOT is a serum glutamic oxaloacetic transaminase test. It is one of the tests for liver function, In
general, the lower the levels of liver enzymes, the better.

A medication in spray form would be classified as which of the following?


solid

semi-solid

liquid

none of the above

Correct Answer:
liquid

Explanation:
Correct answer:
liquid

A medication in spray form is classified as a liquid. Sprays are composed of various bases, such as
alcohol or water, in a pump-type dispenser. They are used in products such as nasal decongestants and
topical sunscreens.

Which of the following drugs is least likely to be available in lozenge form?

morphine sulfate

nystatin

topotecan

haloperidol

Correct Answer:
topotecan
Explanation:
Correct answer:
topotecan

This is the drug that would NOT be available in lozenge form. It is a chemotherapy drug administered by
IV. A lozenge is a hard tablet or molded shape containing drug in a sweetened, flavored base. The
lozenge is designed to be held in the mouth while it slowly releases drug for oral absorption.

The directions for mixing a liquid antibiotic state when 25 mL of water are added to the contents of the
bottle, the resulting volume is 325 mL. What is the powder volume?

35 mL

33 mL

30 mL

300 mL

Correct Answer:
300 mL

Explanation:
Correct answer:
300 mL

The formula to use is:

Final volume = volume of diluent + powder volume.


325 mL = 25 mL + powder volume
325 mL 25mL = powder volume = 300 mL

The sales in a pharmacy minus the cost of goods sold minus expenses is which of the following?

net profit
gross profit

net sales

gross sales

Correct Answer:
net profit

Explanation:
Correct answer:
net profit

The net profit is the sales in a pharmacy minus the cost of goods sold minus expenses. The gross profit is
the excess of net sales over the cost of goods sold.

Which of the following metric prefixes is used to indicate one-millionth of the basic unit?

nano-

micro-

milli-

hecto-

Correct Answer:
micro-

Explanation:
Correct answer:
micro-
The prefix micro- is used to indicate one-millionth of the basic unit. Nano- means one-billionth of the
basic unit; milli- means one-thousandth of the basic unit; and hecto- means 100 times the basic unit.

In a female, which of the following hormones is a precursor to estrogens?

testosterone

luteinizing hormone

progesterone

androgens

Correct Answer:
androgens

Explanation:
Correct answer:
androgens

Androgens are a precursor to estrogens in women. In men androgens stimulate and control development
and maintenance of male characteristics.

When measuring liquids, water molecules cling to the sides of the container. This is called:

capillary action

solubility

graduation

compression
Correct Answer:
capillary action

Explanation:
Correct answer:
capillary action

Capillary action is when the water molecules cling to the sides of a container. The amount of liquid
appears to be more than the actual amount. When reading the calibrations, therefore, you must read
them at the bottom of the liquid line, also known as the meniscus.

Which of the following is NOT an exception to the Poison Prevention Packaging Act of 1970 (PPPA)?

sublingual nitroglycerin

anabolic steroids

drugs dispensed to inpatients in hospitals

upon request of the prescriber or patient

Correct Answer:
anabolic steroids

Explanation:
Correct answer:
anabolic steroids

All of the choices are exceptions to PPPA except this one. Other exceptions include sublingual isosorbide
dinitrate (10 mg or less); erythromycin granules for oral suspension; and cholestyramine in powder form,
among others.

The membranous tissue that surrounds and supports the kidneys is which of the following?
renal artery

renal vein

nephron

renal fascia

Correct Answer:
renal fascia

Explanation:
Correct answer:
renal fascia

The renal fascia is the membranous tissue that surrounds and supports the kidneys. The renal artery is
one of a pair of arteries that branch from the abdominal aorta. The renal vein is the vein in which filtered
blood from the kidneys is sent back into the bodys circulatory system. The nephron is the filtering unit of
the kidneys.

Of the following commonly used intravenous room supplies, which one is a large-bore spike that is
pushed into a vial with a syringe attachment at the other end?

transfer needle

filter needle

mini-spike

maxi-spike

Correct Answer:
mini-spike
Explanation:
Correct answer:
mini-spike

A mini-spike is a large-bore spike that is pushed into a vial with a syringe attachment at the other end. A
transfer needle is one that has a needle on both ends to transfer a vial to a bottle. A filter needle has a
filter that eliminates glass from entering a final solution.

In terms of the characteristics and structure of an animal cell, which of the following cell components is a
messenger for coding proteins?

ribosome

DNA

RNA

Golgi complex

Correct Answer:
RNA

Explanation:
Correct answer:
RNA

RNA is the cell component that is a messenger for coding protein. It is structured as a chain. DNA is the
genetic code responsible for many characteristics.

Which of the following methods for determining the appropriate dose of medication for children uses
weight alone as the determining factor?

BSA

Youngs rule

Clarks rule
all of the above

Correct Answer:
Clarks rule

Explanation:
Correct answer:
Clarks rule

Clarks rule uses weight as the determining factor for the appropriate dose of medication for children. The
formula for Clarks rule is:

(weight of child in pounds) 150 x adult dose

For which of the following medications is the pharmacist NOT specifically required to provide patient
package inserts?

Accutane

meter-dosed inhalers

antibiotics

oral contraceptives

Correct Answer:
antibiotics

Explanation:
Correct answer:
antibiotics

Pharmacists are specifically required to provide patient package inserts for Accutane, metered-dose
inhalers, oral contraceptives, estrogen and progesterone. It is not a requirement for antibiotics.

Convert the following decimal 0.75 to a fraction. What is the result?

1/2

3/4

3/5

4/5

Correct Answer:
3/4

Explanation:
Correct Answer
3/4

0.75 = seventy-five one hundredths or 75/100. Reduce this fraction to get the result of 3/4.

Which of the following Roman numerals is never subtracted from other Roman numerals?

M
Correct Answer:
V

Explanation:
Correct answer:
V

V, L, and D are never subtracted from another Roman numeral. For instance, VL is incorrect.

The law that requires compensation for patients who have been accidentally injured on the job is which of
the following?

OBRA

Freedom of Choice Law

Workers Compensation

OSHA

Correct Answer:
Workers Compensation

Explanation:
Correct answer:
Workers Compensation

Workers Compensation laws require compensation for patients who have been accidentally injured on
the job. This is required by federal and state laws. Prescriptions for the medications used to treat the
injury are billed either to the state bureau of workers compensation or to the employer.

All of the following are considered to be exact equivalents when doing calculations. Which of them is
equal to 64.8 mg?

one apothecary ounce of weight

one gram
one avoirdupois pound

one grain

Correct Answer:
one grain

Explanation:
Correct answer:
one grain

One grain is equal to 64.8 mg. One apothecary ounce of weight is equal to 31.1g. One gram is equal to
15.4 grains. One avoirdupois pound is equal to 453.6 grams.

Alternative medicine has been around for thousands of years. The alternative treatment that is based on
the belief that the realignment of the body can remedy certain conditions is which of the following?

homeopathy

phage therapy

acupressure

chiropractic

Correct Answer:
chiropractic

Explanation:
Correct answer:
chiropractic

Chiropractic treatment is based on the belief that the realignment of the body, specifically the spine, can
remedy certain conditions. Periodic adjustments usually are required to align the spine and various joints
throughout the body. In this way, pressure or pain is relieved.

The directions for mixing a liquid cough syrup state when 225 mL of water are added to the contents of
the bottle, the resulting volume is 350 mL. What is the powder volume?

125 mL

75 mL

150 mL

100 mL

Correct Answer:
125 mL

Explanation:
Correct answer:
125 mL

The formula to use is:

Final volume = volume of diluent + powder volume.


350 mL = 225 mL + powder volume
350 mL 225mL = powder volume = 125 mL

Which of the following resources is a source of information concerning prices of drugs?

USP Drug Information Vol. I

Physicians Desk Reference

Drug Topics Red Book

American Hospital Formulary Service Drug Information


Correct Answer:
Drug Topics Red Book

Explanation:
Correct answer:
Drug Topics Red Book

The Drug Topics Red Book is a source of information concerning prices of drugs. It contains pricing
information necessary for third-party reimbursement.

Of the following information sources used to obtain data in a quality improvement system, which one
provides accountability for medication distribution between the pharmacy and hospital or long-term care
facility?

medication administration record

medication delivery record

patient profile

physician order sheet

Correct Answer:
medication delivery record

Explanation:
Correct answer:
medication delivery record

The medication delivery record provides accountability for medication distribution between the pharmacy
and hospital or long-term care facility. It lists the medication found in a particular delivery.
The directions for mixing a 65 mg/5 mL liquid states that when 250 mL of water are added to the contents
of the bottle, the resulting volume is 400 mL. What is the concentration of drug in mg/5 mL if only 10 mL
of water were added?

162.5 mg/5 mL

16.25 mg/5 mL

32.5 mg/5 mL

5200 mg/5 mL

Correct Answer:
162.5 mg/5 mL

Explanation:
Correct answer:
162.5 mg/5 mL

First determine the total mg of drug in the bottle (it is a constant);


65 mg drug /5 mL FV x 400 mL FV = 5,200 mg drug

Next, determine the powder volume for the drug in the bottle:
FV = D + PV
400 mL = 250 mL + PV
400 mL 250 mL = PV = 150 mL

Now determine the volume of the new product (NP):


NP = D + PV
NP = 10 mL + 150 mL = 160 mL

So the new concentration is: Total mg drug in bottle / volume of new product
5200 mg/160 mL = 32.5 mg/mL = 162.5 mg/5 mL

Which of the following is the brand name equivalent of fluoxetine HCl?

Romazicon

Norvasc
Prozac

Valium

Correct Answer:
Prozac

Explanation:
Correct answer:
Prozac

The brand name equivalent of fluoxetine HCl is Prozac. Prozac is a selective serotonin reuptake inhibitor
(SSRI).

When a drug has been added to a parenteral solution the resulting solution is called a(n):

admixture

additive

diluent

solvent

Correct Answer:
admixture

Explanation:
Correct answer:
admixture

An admixture is the resulting solution when a drug is added to a parenteral solution. An additive is the
actual drug that is added to a parenteral solution to make the admixture.
Which of the following is sterile water with antimicrobial agents that can be used for injection?

water for injection USP

purified water USP

bacteriostatic water for injection USP

sterile water for irrigation USP

Correct Answer:
bacteriostatic water for injection USP

Explanation:
Correct answer:
bacteriostatic water for injection USP

Bacteriostatic water for injection USP is sterile water with antimicrobial agents that can be used for
injection. Water for injection USP is not sterile and has no antimicrobial agents.

An invoice for $500 is due in 30 days but a discount of 12.5% is given if the invoice is paid within 10 days.
How much should the pharmacy pay if it pays the invoice on day 15?

$62.50

$437.50

$500.00

$562.50
Correct Answer:
$500.00

Explanation:
Correct answer:
$500.00

The invoice is for $500.00. It was not paid within the discount period but it was paid within the 30 day
period. Therefore the full amount of $500 must be paid.
Test 11
Which of the following is NOT considered a type of solution?

troche

aqueous

alcoholic

hydroalcoholic

Correct Answer:
troche

Explanation:
Correct answer:
troche

A troche is a flavored solid dosage form that dissolves in the mouth. It is not a solution as are the other
three choices.

The condition of enteritis is which of the following?

inflammation of the stomach lining

inflammation of the small intestine

inflammation of diverticulum located in the colon

inflammation of the appendix

Correct Answer:
inflammation of the small intestine
Explanation:
Correct answer:
inflammation of the small intestine

Enteritis is inflammation of the small intestine. Gastritis is inflammation of the stomach lining. Diverticulitis
is inflammation of diverticula located in the colon. Appendicitis is inflammation of the appendix.

What is the maximum number of times a Roman numeral may be repeated?

Correct Answer:
3

Explanation:
Correct answer:
3

A Roman numeral may not be repeated more than three times.

Example: XL = 40; not XXXX

Perform the following operation. Which of the following Roman numerals is the result?

mii di = ?

iii
iv

ii

Correct Answer:
ii

Explanation:
Correct answer:
ii

mii di = ii. That is to say, 1002 501 = 2

Patient medication profiling allows all of the following EXCEPT:

access to medications that have been ordered for a particular patient

access to medications from the entire drug inventory in the cabinet

decrease in the likelihood of errors

access to details of the medication order and how much of each drug to give a patient

Correct Answer:
access to medications from the entire drug inventory in the cabinet

Explanation:
Correct answer:
access to medications from the entire drug inventory in the cabinet

Because of regulation changes by accrediting bodies, most hospitals using automated systems are using
patient medication profiling. This allows a nurse or other user to access only those medications that
have been ordered for a particular patient. It also reduces errors and allows access to details of the
medication order and how much of each drug to give a patient.

Certain drugs have the potential to cause fetal defects. The FDA has established five pregnancy
categories that indicate the potential of a drug to cause fetal defects. Which of these categories is for
drugs in which animal reproduction studies have failed to demonstrate a risk to the fetus and there are no
adequate and well-controlled studies in pregnant women?

Category B

Category C

Category D

Category X

Correct Answer:
Category B

Explanation:
Correct answer:
Category B

The categories established by the FDA are based on the ratio of risks versus benefits. The categories run
from A (least risk) to X (risk outweighs potential benefits). Category B drugs are drugs in which animal
reproduction studies have failed to demonstrate a risk to the fetus and there are no adequate and well-
controlled studies in pregnant women.

A prescription calls for 2 mg tablets to be taken twice a day for 28 days. The pharmacy only has 4 mg
scored tablets. How many 4 mg tablets are needed to fill this prescription?

14

56

28
7

Correct Answer:
28

Explanation:
Correct answer:
28

x (4 mg tablets) = (2 mg tablets x 2 times a day x 28 days) 4 mg tablets


x = 112 4
x = 28

Which of the following statements about the cardiovascular system is least accurate?

The right side of the heart is associated with the systemic circuit (pumping to the body).

The cardiovascular system of humans contains a four-chambered heart.

The atria pump blood to the ventricles and the ventricles pump blood out of the heart.

The contractions of the heart are initiated by the SA node (pacemaker).

Correct Answer:
The right side of the heart is associated with the systemic circuit (pumping to the body).

Explanation:
Correct answer:
The right side of the heart is associated with the systemic circuit (pumping to the body).

This is incorrect. The right side of the heart is associated with the pulmonary circuit (pumping to the
lungs). The left side of the heart is associated with the systemic circuit (pumping to the body).
The word combination used to indicate the eyelid is which of the following?

Blephar/o

Kerat/o

Irid/o

Ocul/o

Correct Answer:
Blephar/o

Explanation:
Correct answer:
Blephar/o

Blephar/o is a word combination that indicates the eyelid. Kerat/o indicates the cornea (it also means
hard). Irid/o indicates the iris. Ocul/o indicates the eye.

Which of the following statements about formularies is least accurate?

Formularies are a listing of drugs approved for a specific purpose.

Formularies can be used as a recommendation for prescribing.

Formularies are commonly used in health systems.

Health system formularies are established by the facilitys Pharmacy Purchasing Committee.
Correct Answer:
Health system formularies are established by the facilitys Pharmacy Purchasing Committee.

Explanation:
Correct answer:
Health system formularies are established by the facilitys Pharmacy Purchasing Committee.

This is not accurate. Health system formularies are established by the facilitys Pharmacy and
Therapeutics (P&T) Committee. This committee is composed of physicians, pharmacists, nurses,
administrators, and quality-assurance coordinators.

Which of the following menstrual disorders is characterized by frequent menstruation?

hypomenorrhea

menorrhagia

polymenorrhea

premature menopause

Correct Answer:
polymenorrhea

Explanation:
Correct answer:
polymenorrhea

Polymenorrhea is characterized by frequent menstruation. Hypomenorrhea is low menstrual flow with a


short menstrual period. Menorrhagia is heavy menstrual flow over a long menstrual period. Premature
menopause is characterized by the ovaries losing function before the age of 40.

The pharmacy sells a bottle of cough medicine for $6.00. It has a 200% markup. What was the cost of
this bottle of cough medicine to the pharmacy?

$4.00

$2.00
$3.00

$1.00

Correct Answer:
$2.00

Explanation:
Correct answer:
$2.00

The formula for finding the original cost of the bottle to the pharmacy is:

2x (the markup) + x (the cost) = $6.00


3x = $6.00
x = $6.00 3
x = $2.00

In terms of the vaccines for human papillomavirus (HPV), which of the following statements is false?

The vaccines are used in females between the ages of 1 and 21 years of age.

The best time to receive the vaccine is before any sexual activity is initiated.

Gardisil and Cervarix are types of HPV vaccines.

The HPV vaccine is not safe in pregnant women.

Correct Answer:
The vaccines are used in females between the ages of 1 and 21 years of age.

Explanation:
Correct answer:
The vaccines are used in females between the ages of 1 and 21 years of age.

This is incorrect. The vaccines are used in females between the ages of 9 and 26 years of age. Research
on a vaccine for older women is being explored at this time.

Of the following calcium channel blockers, which one does NOT belong to the class of dihydropyridines?

verapamil

nifedipine

nicardipine

amlodipine

Correct Answer:
verapamil

Explanation:
Correct answer:
verapamil

The vast majority of calcium channel blockers belong to a new class of drugs called the dihydropyridines.
An exception to this is the drug verapamil. Also an exception is the drug diltiazem.

Which of the following is NOT an input device for computers?

light pen

monitor

optical scanner

keyboard
Correct Answer:
monitor

Explanation:
Correct answer:
monitor

A monitor is an output device. This means that information from the computer goes out to the device to be
displayed for the user. The other choices are all input devices that carry information to the computer.

Which of the following would not be an advantage of a liquid dose?

It acts more quickly than a solid dosage.

It is easier to swallow.

There is accuracy in dosage amount.

Portability.

Correct Answer:
There is accuracy in dosage amount.

Explanation:
Correct answer:

There is accuracy in dosage amount.

This is an incorrect statement. Using a dosage in liquid form tends to be less accurate. Other
disadvantages of liquid dosage include: deterioration and loss of potency may occur more quickly; it may
require special flavoring to be palatable; and it may require preservatives.
All of the following are terms used to refer to the name of a drug product that was first patented and
marketed by the owner or manufacturer EXCEPT:

trade name

brand name

proprietary name

generic name

Correct Answer:
generic name

Explanation:
Correct answer:
generic name

The generic name of a drug is the chemical name. It also refers to the chemical makeup of a drug. It is a
drug marketed under its chemical name without advertising. The terms trade, brand and proprietary are
used interchangeably to refer to the name of a drug product that was first patented and marketed by the
owner or manufacturer.

Pharmacy technicians should adhere to a code of ethics. Which of the following is least likely to be found
in the pharmacy technicians code of ethics?

In order to maintain the integrity of the profession, a pharmacy technician never associates with or
engages in the support of any professional organizations.
A pharmacy technician respects and values the abilities of pharmacists, colleagues and other
health care professionals.
A pharmacy technician does not engage in any activity that will discredit the profession.

A pharmacy technician maintains competency in his or her practice.


Correct Answer:
In order to maintain the integrity of the profession, a pharmacy technician never associates with
or engages in the support of any professional organizations.

Explanation:
Correct answer:
In order to maintain the integrity of the profession, a pharmacy technician never associates with
or engages in the support of any professional organizations.

This is not correct. A pharmacy technician should associate with and engage in the support of
organizations that promote the profession of pharmacy through the use and enhancement of pharmacy
technicians.

If the amount due of $4,500.00 on an invoice will be discounted 15% if paid within 5 days, what will the
pharmacy pay if the invoice is paid within the 5 days?

$3825.00

$675.00

$3750.00

$4432.50

Correct Answer:
$3825.00

Explanation:
Correct answer:
$3825.00

The discount is 15% of $4500.00. This is 0.15 x $4500 or $675.00. Subtract this from the total invoice
price and you get $3825.00. This is the amount to be paid within 5 days.

The technique used in mixing two ingredients of unequal quantities, where one begins with the smallest
quantity and adds an equal quantity of the ingredient having the larger amount is which of the following?
comminution

levigation

trituration

geometric dilution

Correct Answer:
geometric dilution

Explanation:
Correct answer:
geometric dilution

Geometric dilution is the technique used in mixing two ingredients of unequal quantities, where one
begins with the smallest quantity and adds an equal quantity of the ingredient having the larger amount.
The process continues until all of the ingredients are used.

Of the following hormones, which one is a pituitary hormone?

oxytocin

progesterone

glucagon

cortisol

Correct Answer:
oxytocin

Explanation:
Correct answer:
oxytocin

Oxytocin is a hormone whose source is the pituitary gland. It stimulates both uterine contractions and milk
production during pregnancy.

The drug recall classification in which there is a strong likelihood that the product will cause serious
adverse effects or death is which of the following?

Class I

Class II

Class III

all of the above

Correct Answer:
Class I

Explanation:
Correct answer:
Class I

There are three classes of drug recalls. Class I recalls involve a product that will cause serious adverse
effects or death. Class II recalls involve products that may cause temporary but reversible adverse
effects, or in which there is little likelihood of serious adverse effects. Class III recalls involve products that
are not likely to cause adverse effects.

Digital balances are used to replace Class A balances. The digital balances are sensitive to:

a tenth of a milligram

a tenth of a microgram

a tenth of a gram
none of the above

Correct Answer:
a tenth of a milligram

Explanation:
Correct answer:
a tenth of a milligram

Digital balances are sensitive to a tenth of a milligram. They are used to replace Class A balances. Class
A balances have a sensitivity requirement of 6 milligrams.

A prescription medication has a usual and customary cost of $50.00. The acquisition cost of the
prescription medication is $7.50. What is the net profit if the dispensing fee is $4.50?

$3.80

$37.00

$3.70

$38.00

Correct Answer:
$38.00

Explanation:
Correct answer:
$38.00

The net profit is the usual and customary cost minus the acquisition cost and the dispensing fee. In this
case the net profit is $50.00 minus $12.00 ($7.50 + $4.50) or $38.00
Perform the following: 0.567 x 2.39 = Y. Which of the following is correct?

Y<0

Y< 0.2

Y>1

Y=0

Correct Answer:
Y>1

Explanation:
Correct Answer:
Y>1

Multiplying the numbers we get 135513; and move the decimal point five places to the left to get 1.35513;
therefore Y > 1.

The number that is assigned to a health care provider that is used for the purpose of standardizing health
data transmission is which of the following?

National Drug Code

Drug Utilization Code

National Provider Identifier

HIPAA code
Correct Answer:
National Provider Identifier

Explanation:
Correct answer:
National Provider Identifier

The National Provider Identifier (NPI) is the number that is assigned to a health care provider that is used
for the purpose of standardizing health data transmission. A pharmacy must apply for an NPI from the
Centers for Medicare & Medicaid Services. All providers who bill electronically must use the NPI.

All of the following are Schedule I drugs with no accepted medical use in the United States EXCEPT:

rohypnol

mescaline

morphine sulfate

psilocybin

Correct Answer:
morphine sulfate

Explanation:
Correct answer:
morphine sulfate

Morphine sulfate is not a Schedule I drug; it is a Schedule II drug. Schedule I drugs have no accepted
medical use in the United States and possess an extremely high potential for abuse. Schedule II drugs
have accepted medical use but high abuse potential with severe psychological or physical dependency.

Which of the following organizations sets the requirements for labeling of medications?

State Boards of Pharmacy

The United States Pharmacopeia


The Joint Commission

The DEA

Correct Answer:
The United States Pharmacopeia

Explanation:
Correct answer:
The United States Pharmacopeia

The United States Pharmacopeia sets requirements for labeling of medications. This is whether they are
in multidose vial or unit-dose containers, an IV admixture, or a compound.

A cubic centimeter is a measurement of which of the following?

length

volume

weight

none of the above

Correct Answer:
volume

Explanation:
Correct answer:
volume

A cubic centimeter (cc) is a measurement of volume. 1 cc = 1 mL = 0.001 L.


What is the decimal equivalent of 3/15?

0.2

0.05

Correct Answer:
0.2

Explanation:
Correct answer:
0.2

You can find the decimal equivalent of any fraction by dividing the numerator of the fraction by the
denominator. Therefore, 3 15 = 0.2

If a container is impermeable to air under normal handling, shipment, storage and distribution it is which
of the following types of container?

hermetic

tight

tamper-resistant

single-dose
Correct Answer:
hermetic

Explanation:
Correct answer:
hermetic

A container that is impermeable to air under normal handling, shipment, storage and distribution is a
hermetic container. A tight container protects contents from contamination by liquids, solids, or vapors. A
tamper-resistant container is sealed in a manner that would alert an individual that the package had been
opened. A single-dose container is a single-unit container intended for parenteral administration only.

If you need to fill an order for a medication that is to be taken 5 mg twice daily for one week and you only
have 2.5 mg strength tablets, how many tablets would you need for this order?

12.5

14

28

35

Correct Answer:
28

Explanation:
Correct answer:
28

5 mg would equal two 2.5 mg tablets for each dose. If the medication is to be taken twice daily for a week
it would be taken 14 times. Two tablets taken 14 times means you would need 28 tablets of the 2.5 mg
strength for the order.

The directions for mixing an 80 mg/5 mL liquid states that when 200 mL of water are added to the
contents of the bottle, the resulting volume is 300 mL. What is the concentration of drug in mg/5 mL if only
20 mL of water were added?

1000 mg/5 mL

200 mg/5 mL
120 mg/5 mL

20 mg/5 mL

Correct Answer:
200 mg/5 mL

Explanation:
Correct answer:
200 mg/5 mL

First determine the total mg of drug in the bottle (it is a constant);


80 mg drug /5 mL FV x 300 mL FV = 4,800 mg drug

Next, determine the powder volume for the drug in the bottle:
FV = D + PV
300 mL = 200 mL + PV
300 mL 200 mL = PV = 100 mL

Now determine the volume of the new product (NP):


NP = D + PV
NP = 20 mL + 100 mL = 120 mL

So the new concentration is: Total mg drug in bottle / volume of new product
4,800 mg/120 mL = 40 mg/mL = 200 mg/5 mL

If a supply bottle of medication contains 500 tablets and cost the pharmacy $100.00, and if the pharmacy
sells 100 of these tablets at a 100% markup, what is the selling price for the 100 tablets?

$40.00

$20.00

$60.00

$6.00
Correct Answer:
$40.00

Explanation:
Correct answer:
$40.00

Each tablet in the bottle cost the pharmacy $100 500 - $0.20. If the markup is 100% that is another
$0.20 per tablet for a total price of $0.40 per tablet. 100 tablets would cost 100 x $0.40 or $40.00.

The pharmacy technician is verifying a drug enforcement agency number for a prescriber. The prescriber
is Dr. Lena Scalzitti. What should be the seventh digit in Dr. Scalzittis DEA number if the beginning of the
number is BS248653?

Correct Answer:
1

Explanation:
Correct answer:
1

The last number in the DEA number should be one (1). The first letter of the DEA number is always an A,
B, F or M. The second letter is the first letter of the physicians last name when he or she applied for a
DEA number. To find the final digit, add the numbers in the first, third and fifth position (2+8+5 = 15).
Then add the numbers in the second, fourth and sixth positions together and multiply this sum by two
(4+6+3 = 13 and 13 x 2 = 26). Add these totals together (15+26= 41). The final digit of the total (41) is
one (1). This is the seventh digit in Dr. Scalzittis DEA number. Her DEA number should be BS2486531.
A child who weighs 66 pounds is prescribed an antibiotic that should be administered 20 mg/kg/day. What
dosage will this child receive each day?

1320 mg

660 mg

600 mg

1200 mg

Correct Answer:
600 mg

Explanation:
Correct answer:
600 mg

First, you would calculate the childs weight in kg. Since one kilogram equals 2.2 lb, you would divide the
childs weight (66 lb) by 2.2. The result is 30 kg. If the daily dose of the medication is 20 mg/kg then you
would multiply the childs weight in kg by 20 (30 x 20 = 600). The child should receive 600 mg per day.

Which of the following agencies is responsible for enforcing the Controlled Substances Act?

FDA

United States Pharmacopeia


DEA

State Board of Pharmacy


Correct Answer:
DEA

Explanation:
Correct answer:
DEA

The DEA is responsible for enforcing the Controlled Substances Act. The USP sets requirements for
labeling of medications. The FDA is accountable for ensuring that medications and food are pure, safe
and effective. The State Board of Pharmacy ensures that specific standards are met for the licensing of
pharmacists, etc.

Which of the following allows one to measure the amount of liquid needed by considering the residual
amount of liquid that is left inside the graduate once the liquid is poured out?

TD

TC

funnel

mobile robot

Correct Answer:
TD

Explanation:
Correct answer:
TD

TD (to deliver) allows one to measure the amount of liquid needed by considering the residual amount of
liquid that is left inside the graduate once the liquid is poured out. With TC (to contain) the volume
measured on the scale is equal to the volume of liquid inside the graduate.

The OTC section of the retail pharmacy which provides customers with various medications, devices, and
aids that they do not need a prescription to purchase is known as which of the following?
front end

behind-the-counter

pharmacy workstation

pharmacy counter

Correct Answer:
front end

Explanation:
Correct answer:
front end

The front end of the retail pharmacy provides customers with various medications, devices, and aids that
they do not need a prescription to purchase. Products commonly found in the front end section are
analgesics, decongestants, laxatives, vitamins, and much more.

The proportion of the drug that is delivered to its destination and is accessible to the site of action for
which it was intended is called its:

bioequivalence

bioavailability

half-life

metabolism

Correct Answer:
bioavailability
Explanation:
Correct answer:
bioavailability

Bioavailability is the proportion of the drug that is delivered to its destination and is accessible to the site
of action for which it was intended. Different drugs clear in different ways and at different times. This is an
important consideration when prescribing drugs and determining drug dosing intervals.

When preparing solutions the pharmacy technician must understand the major parts of the liquid. The
correct term for the larger part of the overall solution is:

suspension

elixir

solute

solvent

Correct Answer:
solvent

Explanation:
Correct answer:
solvent

The solvent is the larger part of the overall solution. The solute is the ingredient or agent used within the
solvent, and the solution is the final dosage form that results from the solute and the solvent being
combined.

Subtract the following. What is the result?

3/4 2/7 = ?

13/28

6/28
1/7

1/28

Correct Answer:
13/28

Explanation:
Correct Answer
13/28

To subtract fractions with different denominators, you must first find equivalent fractions with common
denominators. First, find the smallest multiple for the denominator of both numbers. Then rewrite the
fractions as equivalent fractions with the least common denominator. In this case, the least common
denominator is 28. So 3/4 = 21/28; and 2/7 = 8/28. Subtract the two equivalent fractions and the result is
13/28.

The periodic replacement of stock levels to a certain number of allowed units is which of the following?

POS

NDC

PAR

NPI

Correct Answer:
PAR

Explanation:
Correct answer:
PAR
PAR is the periodic replacement level. It is the established level of medication stock kept on hand at any
given time. This is the minimum amount of medication that should be maintained in the pharmacy at any
given time.

Understanding the pharmacy profession means that you must learn the appropriate language.
Understanding suffixes of words is part of this. The suffix -rrhea refers to which of the following?

hardening

bursting of blood

tumor

flowing discharge

Correct Answer:
flowing discharge

Explanation:
Correct answer:
flowing discharge

The suffix -rrhea refers to a flowing discharge. An example of the use of this suffix is in the word
diarrhea.

If a patient needs to take 12 drams of a medication how many ounces is that?

1.5 oz

0.75 oz

96 oz

15 oz
Correct Answer:
0.75 oz

Explanation:
Correct answer:

0.75 oz

The patient would be taking 1.5 oz of the medication. There are 16 drams in an ounce. If the patient must
take 12 drams this would be calculated by dividing 12 by 16 to get 0.75 oz.

In terms of investigational drugs, which of the following statements is least accurate?

An investigational drug is an agent not yet approved by the FDA for use.

After a drug has finished human testing, the next phase involves treating a patient.

The drug company must apply for permission to treat patients with an investigational drug.

If the drug is approved, patients can apply to participate in a clinical trial.

Correct Answer:
After a drug has finished human testing, the next phase involves treating a patient.

Explanation:
Correct answer:
After a drug has finished human testing, the next phase involves treating a patient.

This statement is not accurate. After a drug has finished pre-human testing, the next phase involves
treating a patient.
Multiply the following decimals: 2.129 x .0065. What is the result?

1.38385

0.0138385

0.138385

0.108385

Correct Answer:
0.0138385

Explanation:
Correct answer:
0.0138385

Simply multiply the two numbers and the result is 138385. Now move the decimal point 7 places to the
left (this is the total of the number of decimal places in the two numbers) and the result is 0.0138385.

In terms of aseptic technique, a room in which air flows out of or toward adjacent rooms is which of the
following?

positive pressure room

negative pressure room

clean room

closed room

Correct Answer:
positive pressure room
Explanation:
Correct answer:
positive pressure room

A positive pressure room is a room in which air flows out of or toward adjacent rooms, which results in a
lower pressure in the room. A negative pressure room is a room in which air flows into the room and away
from adjacent rooms, which results in positive pressure in the room.

A substance that slows or stops the growth of microorganisms on surfaces such as the skin is which of
the following?

analgesic

antiseptic

antitussive

anti-inflammatory

Correct Answer:
antiseptic

Explanation:
Correct answer:
antiseptic

An antiseptic is a substance that slows or stops the growth of microorganisms on surfaces such as the
skin. It reduces the possibility of infection, sepsis, or putrefaction.

A child weighs 25 kg. His medication is prescribed at 250 mg/ kg per day. What is the daily dosage of his
medication?

2.85 g

6.25 mg
6.25 g

625 mg

Correct Answer:
6.25 g

Explanation:
Correct answer:
6.25 g

The child weighs 25 kg. At 250 mg/kg this means that you multiply 25 by 250. The result is 6250 mg or
6.25 g.

Which class of FDA recall would it be when use of the product will probably not cause an adverse health
event?

Class I

Class II

Class III

Class IV

Correct Answer:
Class III

Explanation:
Correct answer:
Class III
A Class III recall is done when use of the product will probably not cause an adverse health event. In a
Class I recall there is a reasonable probability that use of the product will cause or lead to serious
adverse health events or death. In a Class II recall the probability exists that use of the product will cause
adverse health events that are temporary or medically reversible. There is no Class IV recall.

Which of the following agents decreases the thickness of mucus by decreasing the viscosity of the liquid?

antitussive

decongestant

expectorant

antihistamines

Correct Answer:
expectorant

Explanation:
Correct answer:
expectorant

Expectorants work by decreasing the thickness of mucus by decreasing the viscosity of the liquid. They
are used to remove mucus from both lungs and airway passages during coughing.

Which of the following drugs has the highest potential for abuse?

Ativan

Lomotil

Vicodin

Valium
Correct Answer:
Vicodin

Explanation:
Correct answer:
Vicodin

Vicodin is a Schedule III controlled substance. This means that abuse may lead to moderate or low
physical dependence or high psychological dependence. Lomotil is a Schedule V controlled substance
and has a low potential for abuse; and both Ativan and Valium are Schedule IV controlled substances
where abuse may lead to limited physical or psychological dependence.

Which of the following indicates that volume measured on the scale is equal to the volume of liquid inside
the graduate?

CT

TD

TC

DT

Correct Answer:
TC

Explanation:
Correct answer:
TC

TC stands for to contain. it means the volume measured on the scale is equal to the volume of liquid
inside the graduate. TD stands for to deliver. It considers the residual amount of liquid that is left inside
the graduate once the liquid is poured out.
Nosocomial infections are those acquired in which of the following ways?

from contaminated water

from bird species

while in the hospital or other health care facility

from mosquitoes

Correct Answer:
while in the hospital or other health care facility

Explanation:
Correct answer:
while in the hospital or other health care facility

Infections that are acquired within hospitals, nursing homes or other health care facilities or institutions
are known as nosocomial infections. These infections can be deadly.

To grind or crush powder into fine particles is to:

emulsify

triturate

reconstitute

all of the above

Correct Answer:
triturate
Explanation:
Correct answer:
triturate

To grind or crush powder into fine particles is to triturate. Molded tablets can be prepared using a tablet
triturate mold.

There are a number of ethical theories that direct the behavior of all people. The theory that certain
actions, in and of themselves, are wrong, is which of the following?

rights-based ethics

principle-based ethics

nonconsequentialism

consequentialism

Correct Answer:
nonconsequentialism

Explanation:
Correct answer:
nonconsequentialism

Nonconsequentialism is the theory that certain actions, in and of themselves, are wrong. It is a study of
actions themselves without regard to outcome.

The method involved in obtaining pharmaceuticals that negotiates prices for hospitals and institutions but
does not make the actual purchase is which of the following?

group purchasing organization

purchase from drug manufacturers

purchase from wholesalers


just-in-time ordering

Correct Answer:
group purchasing organization

Explanation:
Correct answer:
group purchasing organization

A group purchasing organization negotiates prices for hospitals and institutions but does not make the
actual purchase. The other choices are procedures that allow pharmacies to actually purchase a product
rather than simply negotiate a price.

Which of the following drugs will have improved absorption if taken with a fatty meal?

ketoconazole

thyroxine

didanosine

tetracycline

Correct Answer:
ketoconazole

Explanation:
Correct answer:
ketoconazole

Ketoconazole will have improved absorption if it is taken with a fatty meal. Other drugs that should be
taken with a fatty meal include nitrofurantoin and griseofulvin. All of the other choices are drugs that have
decreased absorption if taken with food.
5 grams is equivalent to how many milligrams?

500

50

0.005

5000

Correct Answer:
5000

Explanation:
Correct answer:
5000

One gram equals 1000 milligrams. Therefore, 5 g = 5000 mg.

Using Youngs rule calculate the dosage for a 4-year-old child who is prescribed a drug which has a usual
adult dosage of 500 mg. What is the appropriate dosage for this child?

125 mg

125 g

12.5 mg

1.25 mg
Correct Answer:
125 mg

Explanation:
Correct answer:
125 mg

Youngs rule uses a formula based on the age expressed in years. The pediatric dose is calculated by
dividing the childs age in years by the childs age in years plus 12 and multiplying the result by the adult
dosage. In this case the childs age is 4 years. Divide this by 4 + 12 (16) and multiply the result by 500
mg. The result is 125 mg.

Which of the following is NOT a medication that is used to treat Alzheimers disease?

Aricept

Cognex

Exelon

Dantrium

Correct Answer:
Dantrium

Explanation:
Correct answer:
Dantrium

Dantrium is a drug that is a skeletal muscle relaxant. It is not a medication used to treat Alzheimers
disease. Other medications used to treat Alzheimers disease include: Namenda and Razadyne.

. If there is 15% of a medication in a 1000 mL IV bag, how many grams of this medication are in the bag?

1500 g

1.5 g
15 g

150 g

Correct Answer:
150 g

Explanation:
Correct answer:
150 g

A 15% solution contains 15 g per 100 mL. To find out how many grams are in 1000 mL you must set up a
proportion equation.

15 g/100 mL = x g/1000 mL
100 x = 15,000
x = 150 g

Sugars, glycogen, starches and cellulose are all considered which of the following?

proteins

carbohydrates

amino acids

chyme

Correct Answer:
carbohydrates

Explanation:
Correct answer:
carbohydrates

Carbohydrates are chemical compounds that contain carbon, hydrogen and oxygen. Examples include
sugars, glycogen, starches and cellulose.

The outpatient profile would include all of the following EXCEPT:

diagnosis of condition

drug allergies and adverse reactions

concurrent medications

history of drug abuse

Correct Answer:
diagnosis of condition

Explanation:
Correct answer:
diagnosis of condition

Diagnosis of a patients condition is something that would be included in the institutional patient profile,
but not in the outpatient profile. Other things contained in the outpatient profile include: medical history; a
history of mental problems; special considerations such as physical or mental handicaps; insurance
information; and current prescriptions and refill information.

Which of the following best describes milaria?

overproduction of sebum

ingrown nail

fungal infection of the nails

heat rash
Correct Answer:
heat rash

Explanation:
Correct answer:
heat rash

Milaria is a heat rash. Seborrhea is the overproduction of sebum. An ingrown nail is known as
onychocryptosis. A fungal infection of the nails is onychomycosis.

Which of the following is a condition cause by the herpes simplex type 1?

Chrohns disease

cold sores

stomatitis

hemorrhoids

Correct Answer:
cold sores

Explanation:
Correct answer:
cold sores

Cold sores are mouth ulcers or blisters that are contagious and are caused by the herpes simplex type 1
virus. Treatment for cold sores includes: antivirals, OTC agents for relief of symptoms, and ibuprofen or
acetaminophen for pain.
The Joint Commission (TJC) requires certain professional standards for pharmacies. These standards
include all of the following EXCEPT:

Unit-dose systems are preferred over floor stock inventories in hospitals and long-term care
facilities.
Internal and external products must be kept in the same location in a pharmacy.

The dispensing of professional samples to patients is discouraged.

IV admixtures are prepared in a pharmacy using aseptic technique and a laminar flow hood.

Correct Answer:
Internal and external products must be kept in the same location in a pharmacy.

Explanation:
Correct answer:
Internal and external products must be kept in the same location in a pharmacy.

This is incorrect. Internal and external products must be kept in separate locations in a pharmacy. This
helps to prevent errors from occurring.

The directions for mixing a liquid medication state when 90 mL of water are added to the contents of the
bottle, the resulting volume is 150 mL. What is the powder volume?

40 mL

60 mL

30 mL

105 mL
Correct Answer:
60 mL

Explanation:
Correct answer:
60 mL

The formula to use is:

Final volume = volume of diluent + powder volume.


150 mL = 90 mL + powder volume
150 mL 90mL = powder volume = 60 mL

The level at which liquids are measured and recorded is which of the following?

meniscus

calibration

maximum level

solubility level

Correct Answer:
meniscus

Explanation:
Correct answer:
meniscus

Liquids are measured and recorded at the meniscus. The meniscus is the concave surface of a liquid
resulting from surface tension. The bottom of the meniscus is used to measure the volume of a liquid in
apparatus such as a graduated cylinder.

You have a solution of a medication that contains 20 mg/mL. What percentage of drug is in this solution?

2%
1%

20%

5%

Correct Answer:
2%

Explanation:
Correct answer:
2%

Percentage is always in g per 100 (mL in this case). Convert the 20 mg to g by moving the decimal place
three places to the left. Therefore, 20 mg/mL = 0.02 g/mL or 2%

Which of the following metric measurements is written correctly?

mg .2

.2 mg

0.2 mg

all of the above

Correct Answer:
0.2 mg

Explanation:
Correct answer:
0.2 mg
When the decimal is less than 1, place a zero to the left of the decimal. Therefore, the correctly written
measurement is 0.2 mg.

The system that sends a medication order electronically to the hospital pharmacy is which of the
following?

Pyxis

ADS

CPOE

unit dose

Correct Answer:
CPOE

Explanation:
Correct answer:
CPOE

Computerized physician order entry (CPOE) is a new technology being implemented that sends the
medication order electronically to the pharmacy. Once these orders are received in the pharmacy, they
need to be processed in the same way that a regular prescription is processed.

The drug-drug interaction in which one drug increases or prolongs the effect of another drug is which of
the following?

antagonism

potentiation

addition

synergism
Correct Answer:
potentiation

Explanation:
Correct answer:
potentiation

Drug-drug interactions take place when one drug alters the action of another drug. When one drug
increases or prolongs the effect of another drug it is called potentiation. The total effect is greater than the
sum of the effects of each drug alone.

One drug can alter the action of another drug. Interactions include all of the following EXCEPT:

addition

antagonism

potentiation

absorption

Correct Answer:
absorption

Explanation:
Correct answer:
absorption

Drug interactions include: addition, antagonism, potentiation and synergism. There is no absorption drug
interaction.

Which of the following chemotherapy drugs is administered orally?


Cytarabine

Capecitabine

Vinblastine

Vincristine

Correct Answer:
Capecitabine

Explanation:
Correct answer:
Capecitabine

Capecitabine is administered orally. Capecitabine is in a class of medications called antimetabolites. It


works by stopping or slowing the growth of cancer cells.

The drug distribution system in which all functions occur on or near the nursing unit is which of the
following?

centralized dispensing system

decentralized dispensing system

robotics system

individual prescription system

Correct Answer:
decentralized dispensing system
Explanation:
Correct answer:
decentralized dispensing system

A decentralized dispensing system is a system of distribution in which all functions (processing,


preparation, and distribution) occur on or near the nursing unit. A decentralized pharmacy may service
multiple nursing units. This system allows for closer pharmacist-physician-nurse-patient relationships and
services tend to be faster. A centralized dispensing system has all activities in the preparation and
distribution of medications take place in a main pharmacy area. This type allows for somewhat greater
management efficiency and control.

A bottle of medication contains 60 capsules. If every bottle contains the same number of capsules, how
many capsules are in 50 bottles?

300

600

6000

3000

Correct Answer:
3000

Explanation:
Correct answer:
3000

If there are 60 capsules in one bottle; there are 50 x 60 capsules in 50 bottles. This could be expressed
as: 60 capsules is to one bottle as 3000 capsules is to 50 bottles.

Root words are words or parts of a word that identify the major meaning of the term. Which of the
following roots refers to a blood clot?

hemo
vas

arter

thromb

Correct Answer:
thromb

Explanation:
Correct answer:
thromb

The root word thromb refers to a blood clot. For instance, a thrombosis is the formation of a blood clot
inside a blood vessel, obstructing the flow of blood through the circulatory system.

Convert the decimal 0.45 to a percentage. What is the result?

45%

0.45%

4.5%

0.045%

Correct Answer:
45%

Explanation:
Correct answer:
45%
0.45 is 45 hundredths. Since percentages are expressed in hundredths, the correct answer is 45%.

Understanding the pharmacy profession means that you must learn the appropriate language.
Understanding roots of words is part of this. The root rhin refers to which of the following?

kidney

nose

ear

eye

Correct Answer:
nose

Explanation:
Correct answer:
nose

The root rhin refers to the nose. An example of this is rhinoplasty which means a plastic surgery
procedure for correcting and reconstructing the form, restoring the functions, and aesthetically enhancing
the nose.

What is the total volume that will be delivered if a patient receives normal saline solution of 25 mL/hr for 2
days?

600 mL

1200 mL

50 mL

400 mL
Correct Answer:
1200 mL

Explanation:
Correct answer:
1200 mL

Two days equals 48 hours. At the rate of 25 mL/hr the patient would receive 1200 mL in 2 days.

25mL X 48 hours = 1200 mL

The procedure used to decrease the risk of a patient receiving the wrong treatment is which of the
following?

adjudication

DAW

prior authorization

drug utilization evaluation

Correct Answer:
drug utilization evaluation

Explanation:
Correct answer:
drug utilization evaluation

The drug utilization evaluation (DUE) is an important process in ensuring the correct drug is prescribed for
a condition. Pharmacists screen the medication order for potential problems such as drug-drug
interactions. This decreases the risk of a patient receiving the wrong treatment.

Syringes used in the pharmacy are available in eight basic sizes. Which of the following is NOT one of
these sizes?
0.1 mL

0.5 mL

30 mL

60 mL

Correct Answer:
0.1 mL

Explanation:
Correct answer:
0.1 mL

Syringes used in the pharmacy are available in eight basic sizes. They are: 0.5, 1, 3, 5, 10, 20, 30, and 60
mL. As the size of the syringe increases the accuracy decreases.

The part of the computer that contains the computers memory, components used in data storage,
communication, and sound generation is which of the following?

software

memory

buffer

CPU

Correct Answer:
CPU
Explanation:
Correct answer:
CPU

The CPU is the central processing unit of a computer. It is a compact unite that contains the computers
memory, components used in data storage, communication, and sound generation. The CPU processes
data before displaying it on the monitor screen or printer.

The severe mental illness characterized by persistent, bizarre disturbances in thought processes for at
least six months is which of the following?

schizophrenia

bipolar disorder

clinical depression

Alzheimers disease

Correct Answer:
schizophrenia

Explanation:
Correct answer:
schizophrenia

Schizophrenia is a severe mental illness characterized by persistent, bizarre disturbances in thought


processes for at least six months. These disturbances affect communication, perceptions, emotions, and
behaviors and so schizophrenia is considered a psychosis because patients often become detached from
reality.

An infection or disease caused by a fungus is known as which of the following?

fungicidal

virion
mycosis

species

Correct Answer:
mycosis

Explanation:
Correct answer:
mycosis

An infection or disease caused by a fungus is known as a mycosis. Most conditions caused by fungi tend
to affect the outside of the body and are not life-threatening.

Which of the following blood test values is in the normal range?

BUN: 25 50 mg/dL

Sodium: 100 125 mEq/L

Serum glucose: 70 110 mg/dL (fasting)

Chloride: 5 20 mEq/dL

Correct Answer:
Serum glucose: 70 110 mg/dL (fasting)

Explanation:
Correct answer:
Serum glucose: 70 110 mg/dL (fasting)

The only choice with test values in the normal range is the serum glucose test. BUN should be 5 20
mg/dL; sodium should be 145 -147 mEq/L; and chloride should be 95 105 mEq/dL
In one bottle of medication there are 60 capsules. If every bottle contains the same number of capsules,
how many capsules are in 12 bottles?

500

600

620

720

Correct Answer:
720

Explanation:
Correct answer:
720

There are 60 capsules in one bottle and x capsules in 12 bottles.

60/1 = x /12
x = 60 x 12 = 720

Any repackaging of injectable drugs must be done in plastic containers (as appropriate) that are pyrogen-
free. Pyrogens can be described as which of the following?

fever-causing agents

nausea-causing agents

gastrointestinal distress agents

none of the above


Correct Answer:
fever-causing agents

Explanation:
Correct answer:
fever-causing agents

Pyrogens are fever-causing agents. They can range from certain chemicals to organisms such as
bacteria and viruses.

The directions for mixing a liquid antibiotic state when 45 mL of water are added to the contents of the
bottle, the resulting volume is 90 mL. What is the powder volume?

74.5 mL

450 mL

40 mL

45 mL

Correct Answer:
45 mL

Explanation:
Correct answer:
45 mL

The formula to use is:

Final volume = volume of diluent + powder volume.


90 mL = 45 mL + powder volume
90 mL 45 mL = powder volume = 45 mL
Which of the following is an archaic system that is seldom used in the United States?

metric system

avoirdupois system

household system

apothecary system

Correct Answer:
apothecary system

Explanation:
Correct answer:
apothecary system

The apothecary system is seldom used in the United States. A few drugs are still prescribed using
apothecary weights and volumes, however.

Which of the following statements about automatic stop orders is least accurate?

Prescriptions are active for only a limited period.

Automatic stop orders are used for all classifications of medications.

The medication involved in the automatic stop order will be automatically stopped after a given
period unless otherwise specified by a physician.

Automatic stop orders are used for specific classifications of medications.


Correct Answer:
Automatic stop orders are used for all classifications of medications.

Explanation:
Correct answer:
Automatic stop orders are used for all classifications of medications.

This statement is not accurate. Automatic stop orders are used for specific classifications of medications.
Prescriptions are active for only a limited period, after which a new medication order is required if the
medication is to be continued.

The average price at which a drug is sold is known as which of the following?

average retail price

average wholesale price

wholesale distribution price

adjudication price

Correct Answer:
average wholesale price

Explanation:
Correct answer:
average wholesale price

The average wholesale price (AWP) is the average price at which a drug is sold. The data are compiled
from information provided from manufacturers, distributors, and pharmacies. The AWP is often used in
calculations related to medication reimbursement.

All pharmacies must maintain a professional library. The required resources for this library include all of
the following EXCEPT:

Federal Controlled Substances Act


United States Pharmacopeia

National Formulary

Pharmaceutical Dosage Forms and Drug Delivery Systems

Correct Answer:
Pharmaceutical Dosage Forms and Drug Delivery Systems

Explanation:
Correct answer:
Pharmaceutical Dosage Forms and Drug Delivery Systems

The Pharmaceutical Dosage Forms and Drug Delivery Systems is not a required resource for a pharmacy
library. It is a recommended resource.

Add the following fraction. What is the result?

2/7 + 1/3 = ?

2/21

3/21

13/21

9/21

Correct Answer:
13/21

Explanation:
Correct Answer
13/21

To add fractions with different denominators, you must first find equivalent fractions with common
denominators. First, find the smallest multiple for the denominator of both numbers. Then rewrite the
fractions as equivalent fractions with the least common denominator. In this case, the least common
denominator is 21. So 2/7 = 6/21; and 1/3 = 7/21. Add the two equivalent fractions and the result is 13/21.

There are simple procedures that will help to avoid prescription errors. Which of the following is NOT one
of these?

Always question illegible handwriting.

Keep dangerous or high-alert medications close at hand on an open shelf or cabinet.

Always keep the prescription and the label together during the fill process.

Keep only what is needed for immediate use in the work area.

Correct Answer:
Keep dangerous or high-alert medications close at hand on an open shelf or cabinet.

Explanation:
Correct answer:
Keep dangerous or high-alert medications close at hand on an open shelf or cabinet.

This is not good procedure. You should keep dangerous or high-alert medications in a separate storage
area of the pharmacy. Security and safety are of utmost importance.

In terms of supply procurement procedures, the examination of acquisition and storage costs would fall
under which of the following?

procurement

source selection

cost analysis
drug selection

Correct Answer:
cost analysis

Explanation:
Correct answer:
cost analysis

Cost analysis is an examination of acquisition and storage costs. It also examines the costs associated
with the time required to prepare or package a drug.

When preparing liquid medications, the pharmacy technician must understand the major parts of the
liquid. The solute can best be defined as which of the following?

the larger part of the overall solution

the final dosage form

the ingredient or agent used within the solvent

none of the above

Correct Answer:
the ingredient or agent used within the solvent

Explanation:
Correct answer:
the ingredient or agent used within the solvent

The solvent is the larger part of the overall solution; the solute is the ingredient or agent used within
the solvent. The solution is the final dosage form that results from the solute and solvent being
combined.
Which of the following would NOT be a task that pharmacy technicians may perform?

refer patients to the pharmacist for consultation

offer advice to patients regarding drug products

communicate with third-party payors to ensure payment to the pharmacy

communicate with prescribers regarding routine requests

Correct Answer:
offer advice to patients regarding drug products

Explanation:
Correct answer:

offer advice to patients regarding drug products

The pharmacy technician may not offer any advice to the patient regarding drug products. They also may
not counsel the patient in any way, answer questions about drug interactions or physical interactions with
a drug product, or recommend procedures of any kind.
Test 12
Hans Christian Gram developed the Gram stain procedure. Which of the following statements about the
Gram stain procedure is least accurate?

It determines the morphology of bacteria.

The procedure is still in use today.

Gram-positive bacteria have a thick outer membrane.

Gram-negative organisms are easier to kill than Gram-positive bacteria.

Correct Answer:
Gram-negative organisms are easier to kill than Gram-positive bacteria.

Explanation:
Correct answer:
Gram-negative organisms are easier to kill than Gram-positive bacteria.

This statement is not accurate. Gram-positive bacteria have a thick outer membrane made of
peptidoglycan links. Gram-negative organisms have a different type of cell wall and are therefore harder
to kill.

An order is made for 20 mg of a drug. 40 mg scored tablets are available. How much of the scored table
is needed for this order?

1/20

1/10

1/4

1/2
Correct Answer:
1/2

Explanation:
Correct answer:
1/2

You need 20 mg of a 40 mg tablet. This is 20/40 or 2/4 or 1/2.

A purchasing system in which the pharmacy establishes contracts directly with each pharmaceutical
manufacturer is which of the following?

independent purchasing system

group purchasing system

wholesale purchasing system

primary vendor system

Correct Answer:
independent purchasing system

Explanation:
Correct answer:
independent purchasing system

An independent purchasing system is one where the pharmacy director or buyer, is responsible for
establishing contracts, or written agreements, directly with each pharmaceutical manufacturer. Individual
contracts set pricing and delivery terms, return policy, and dollar-volume requirements.

Which of the following equivalents is incorrect?

1 L = 33.8 fl oz

1 kg = 2.4 lb
1 oz = 28.35 g

1 tbsp = 15 mL

Correct Answer:
1 kg = 2.4 lb

Explanation:
Correct answer:
1 kg = 2.4 lb

1 kg = 2.4 lb is incorrect. 1 kg = 2.2 lb.

The name a company assigns for marketing and identification purposes to a commercial drug product is
which of the following?

trade name

brand name

proprietary name

all of the above

Correct Answer:
all of the above

Explanation:
Correct answer:
all of the above

The name a company assigns for marketing and identification purposes to a commercial drug product is
called either a trade name, a brand name, or a proprietary name. These terms are interchangeable.
Which of the following units is NOT a unit of measurement in the apothecary system?

gram

grain

scruple

dram

Correct Answer:
gram

Explanation:
Correct answer:
gram

A gram is not a unit of measurement in the apothecary system. All of the other units are part of the
apothecary system.

Of the following inventory management strategies, which one is a method to identify and define inventory
items based on their usage, ranking products on their purchase history and dollar amount of total annual
costs?

ABC analysis

80/20 rule

minimum/maximum

inventory turnover rate


Correct Answer:
ABC analysis

Explanation:
Correct answer:
ABC analysis

ABC analysis is a method to identify and define inventory items based on their usage. Products are
ranked based on their purchase history and dollar amount of total annual costs. This analysis focuses
efforts based on the products that will have the greatest inventory turnover rate.

Which type of mortar and pestle is used in the trituration of crystals?

glass

porcelain

Wedgwood

none of the above

Correct Answer:
Wedgwood

Explanation:
Correct answer:
Wedgwood

Wedgwood mortars and pestles are used for trituration of crystals. They are also used for trituration of
granules and powders. Porcelain is similar to Wedgwood and is more commonly used in the blending of
powders.

Which of the following drugs might be taken by a migraine sufferer as prophylaxis?


Imitrex

Fioricet

Lopressor

Cafergot

Correct Answer:
Cafergot

Explanation:
Correct answer:
Cafergot

Cafergot treats and prevents migraines and cluster headaches. Imitrex treats migraines but does not
help prevent them. Floricet treats tension headaches. Lopressor is used to treat hypertension.

The Roman numeral XCIX represents which of the following numbers?

109

99

910

909

Correct Answer:
99

Explanation:
Correct answer:
99

The Roman numeral XCIX represents 99. XC = 90; and IX = 9.

In terms of the commercial aspects of a pharmacy, which of the following terms represents the sales
minus all costs related to the sales?

net profit

profit

gross profit

discounted profit

Correct Answer:
gross profit

Explanation:
Correct answer:
gross profit

Gross profit is the sales minus all costs related to the sales. Net profit is the total revenue minus the total
expenses; and profit is a term used to indicate a positive gain from business operation. There is no such
thing as discounted profit.

In terms of antidotes for a drug, which of the following would be an antidote for Coumadin?

phytoadione

ethanol

Naloxone

insulin
Correct Answer:
phytoadione

Explanation:
Correct answer:
phytoadione

Coumadin (warfarin) is used to prevent blood clots from forming or growing larger in blood and blood
vessels. It is prescribed for people with certain types of irregular heartbeat, people with prosthetic
(replacement or mechanical) heart valves, and people who have suffered a heart attack. An antidote for
Coumadin would be phytoadione (vitamin K).

A prescription calls for 20 mg tablets to be taken twice a day for 14 days. The pharmacy only has 10 mg
tablets. How many 10 mg tablets are needed to fill this prescription?

56

28

14

70

Correct Answer:
56

Explanation:
Correct answer:
56

x (10 mg tablets) = (20 mg tablets x 2 times a day x 14) 10 mg tablets


x = 560 10
x = 56

Any bacterium that is resistant to one or more classifications of drug is considered a(n):
MRDO

DRMO

RMDO

MDRO

Correct Answer:
MDRO

Explanation:
Correct answer:
MDRO

An MDRO is a multidrug-resistant organism. This means that it is resistant to one or more classifications
of drug. Multidrug-resistant organisms are increasing as more persons are living longer.

Which of the following persons can make the final check on a prescription before it is dispensed to the
customer/patient?

pharmacy technician

store manager

pharmacist or pharmacy technician

pharmacist

Correct Answer:
pharmacist
Explanation:
Correct answer:
pharmacist

The final chick is the sole domain of the pharmacist. No medications may be dispensed without the
pharmacists final approval. Once the pharmacist approves it, the medication may be given to the
customer/patient.

A CADD Prizm PCS is which of the following?

a special syringe pump for infusion of medication

a syringe used for irrigating with water, salt solution, soapsuds or special medications

a pump for patient-controlled analgesia

an infusion pump for total parenteral nutrition

Correct Answer:
a pump for patient-controlled analgesia

Explanation:
Correct answer:
a pump for patient-controlled analgesia

A CADD Prizm PCS is a pump for patient-controlled analgesia (PCA). A syringe infusion system is a
special syringe pump for infusion of medication. An enema syringe is a syringe used for irrigating with
water, salt solution, soapsuds or special medications. A CADD-TPN is an infusion pump for total
parenteral nutrition (TPN).

Forceps are used to pick up prescription weights. The reason for this is which of the following?

to reduce wear on the weights

to ensure that oil is not deposited on the weight


to keep the weight sanitary

none of the above

Correct Answer:
to ensure that oil is not deposited on the weight

Explanation:
Correct answer:
to ensure that oil is not deposited on the weight

Forceps are used to pick up prescription weights. The reason for this is to ensure that oil is not deposited
on the weight. This would affect its accuracy.

A prescription calls for 20 mg tablets to be taken three times a day for 14 days. The pharmacy only has
10 mg tablets. How many 10 mg tablets are needed to fill this prescription?

56

21

42

84

Correct Answer:
84

Explanation:
Correct answer:
84

x (10 mg tablets) = (20 mg tablets x 3 times a day x 14) 10 mg tablets


x = 840 10
x = 84

The pharmacy has an order for 5 mg of a drug. The pharmacy has 20 mg scored tablets available. How
many of the available tablets would be needed for one dose?

4 tablets

tablet

2 tablets

tablet

Correct Answer:
tablet

Explanation:
Correct answer:
tablet

The correct amount of available tablets (20 mg) for one dose is tablet. The dose is for 5 mg. This is
one-fourth of the amount in each 20 mg tablet ( x 20 = 5).

In pharmacy practice, patients are guaranteed five specific rights known as the Five Patient Rights. These
rights include all of the following EXCEPT:

right patient

right medication

right strength

right price
Correct Answer:
right price

Explanation:
Correct answer:
right price

The right price is not one of the Five Patient Rights. These rights are: the right patient; the right
medication; the right strength; the right route; and the right time.

The report that summarizes all items that were not purchased on bid is which of the following?

want list

minimum/maximum report

compliance report

bid report

Correct Answer:
compliance report

Explanation:
Correct answer;

compliance report

The compliance report is a report summarizing all items that were not purchased on bid. It is one of the
responsibilities of inventory management.

The National Drug Code (NDC) that specifies the drug manufacturer, the drug product, and the package
size contains how many digits?
10

11

12

Correct Answer:

11

Explanation:
Correct answer:
11

The National Drug Code was a 10-digit number that indicates the specifics of a prescription drug or an
insulin product. The NDC specifies the drug manufacturer, the drug product (strength, dosage form, and
formulation) and the package size.
All NDCs are generecized into an 11-digit, 3-segment number with a 5-4-2 configuration. To genericize an
NDC from 10 digits to 11 digits, simply add a zero (0) at the beginning of the necessary segment to
match the 5-4-2 pattern.

The directions for mixing a liquid medication state when 50 mL of water are added to the contents of the
bottle, the resulting volume is 250 mL. What is the powder volume?

20 mL

30 mL

300 mL

200 mL
Correct Answer:
200 mL

Explanation:
Correct answer:
200 mL

The formula to use is:

Final volume = volume of diluent + powder volume.


250 mL = 50 mL + powder volume
250 mL 50 mL = powder volume = 200 mL

Which of the following types of insulin is rapid-acting?

Novolin 70/30

Humulin 70/30

Novolog

Humulin L

Correct Answer:
Novolog

Explanation:
Correct answer:
Novolog

Novolog is rapid-acting insulin. The onset of action is 5 to 15 minutes. The duration of action is 3 to 4
hours.
In order for a provider to be reimbursed for disease state management services, which of the following
forms may be used?

DEA Form 222

Health Care Financing Administration 106 form

Health Care Financing Administration 1500 form

none of the above

Correct Answer:
Health Care Financing Administration 1500 form

Explanation:
Correct answer:
Health Care Financing Administration 1500 form

Health Care Financing Administration 1500 form may be used for billing of disease state management
services. This type of service focuses on a specific disease, providing patients with the tools and
knowledge they need to assume some responsibility for their own care. Multiple health professionals can
participate in the management of one patient to achieve his or her health care goals.

Which of the following medications is used to remove earwax?

Debrox

Domeboro

Americaine

none of the above


Correct Answer:
Debrox

Explanation:
Correct answer:
Debrox

Debrox is used to remove earwax. Another medication for this purpose is Cerumenex. Both of these are
OTC drugs.

A pharmacy has had a theft of controlled substances. Which of the following forms must be filed by the
pharmacy?

DEA Form 222

DEA Form 41

DEA Form 106

DEA Form 224

Correct Answer:
DEA Form 106

Explanation:
Correct answer:
DEA Form 106

The pharmacy must complete a DEA Form 106 and send the original copy to the DEA, retaining one copy
for its records. The pharmacy must also notify the nearest DEA diversion office and notify local police.

For a person with light skin who burns moderately and tans gradually, which of the following SPF
coverage would be recommended?

20 50 SPF
12 50 SPF

15 30 SPF

2 4 SPF

Correct Answer:
15 30 SPF

Explanation:
Correct answer:
15 30 SPF

For a person with light skin who burns moderately and tans gradually, a 15 30 SPF would be
recommended. Although this person might go as low as 8 SPF and still be all right, below 15 SPF is
considered too low (by the American melanoma Foundation and the Skin Cancer Foundation).

Which of the following conditions is least likely to lead to hypotension?

obesity

dehydration

severe infection

anaphylaxis

Correct Answer:
obesity

Explanation:
Correct answer:
obesity
Obesity is more likely to lead to hypertension, not hypotension. Some other causes of hypotension
include: blood loss, deficiency in certain nutrients and heart problems.

Which of the following is NOT a common electrolyte?

chyme

sodium

potassium

chloride

Correct Answer:
chyme

Explanation:
Correct answer:
chyme

Chyme is not a common electrolyte. Electrolytes are water soluble substances that are contained in our
body fluids as salt. The four common electrolytes are: sodium, potassium, chloride and bicarbonate.
Chyme is the semi-liquid form of food as it enters the duodenum.

The metric system is based on three primary units. Which of the following measures volume?

meter

liter

gram

fluid ounce
Correct Answer:
liter

Explanation:
Correct answer:
liter

A liter measures volume. A meter measures length. A gram measures weight. A fluid ounce is not a
metric measurement.

Which of the following statements about storage of equipment and supplies is least accurate?

Fire extinguishers must be certified on a yearly basis.

Pharmacy balances require certification by the Department of Taxation semi-annually.

Laminar flow hoods need to be certified every 6 months.

Recalled medications must be separated from all usable medications.

Correct Answer:
Pharmacy balances require certification by the Department of Taxation semi-annually.

Explanation:
Correct answer:
Pharmacy balances require certification by the Department of Taxation semi-annually

This is not accurate. Pharmacy balances require certification by the Department of Taxation on a yearly
basis.

The directions for mixing a liquid medication state when 80 mL of water are added to the contents of the
bottle, the resulting volume is 230 mL. What is the powder volume?
150 mL

15 mL

125 mL

12.5 mL

Correct Answer:
150 mL

Explanation:
Correct answer:
150 mL

The formula to use is:

Final volume = volume of diluent + powder volume.


230 mL = 80 mL + powder volume
230 mL 80 mL = powder volume = 150 mL

The label in a drug manufacturers insert that indicates the necessary proper use of a drug to avoid or
decrease the possibility of serious or even life threatening side effects is called the:

patient counseling information

clinical pharmacology

drug interactions

boxed warning

Correct Answer:
boxed warning
Explanation:
Correct answer:
boxed warning

A boxed warning is encased in a bold border within the drug manufacturers insert. It is often referred to
as a Black Box Warning even though this is not the official term for the warning. This type of warning is
required on medications and other products that carry a high risk potential to the consumer. It indicates
the necessary proper use of a drug to avoid or decrease the possibility of serious or even life threatening
side effects.

Granules or powders that release carbon dioxide when dissolved in water are known as which of the
following?

aromatic waters

plasters

effervescent salts

sprays

Correct Answer:
effervescent salts

Explanation:
Correct answer:
effervescent salts

Effervescent salts are granules or powders. When dissolved in water, they effervesce and release carbon
dioxide.

The pharmacy sells a bottle of childrens acetaminophen for $3.00. It has a 200% markup. What was the
cost of this bottle of medicine to the pharmacy?
$3.00

$2.00

$1.00

$.50

Correct Answer:
$1.00

Explanation:
Correct answer:
$1.00

The formula for finding the original cost of the bottle to the pharmacy is:

2x (the markup) + x (the cost) = $3.00


3x = $3.00
x = $3.00 3
x = $1.00

Add the following mixed numbers. What is the result?

3 3/5 + 3 1/5 = ?

6 4/5

6 1/5

2 1/5
Correct Answer:
6 4/5

Explanation:
Correct Answer
6 4/5

To add the mixed numbers, first change the mixed numbers to fractions, and then find the common
denominator and add. In this case, 3 3/5 = 18/5; and 3 1/5 = 16/5. Since they already have a common
denominators of 5 we can now add the fractions (18/5 + 16/5 = 34/5). As a mixed number this is written
as 6 4/5.

Which of the following ointment bases is water-miscible?

polyethylene glycol

white petrolatum

aquaphor

hydrous lanolin

Correct Answer:
polyethylene glycol

Explanation:
Correct answer:
polyethylene glycol

An example of a water-miscible base is polyethylene glycol. It is nongreasy, has no occlusiveness,


spreads in a moderate to easy fashion, is washable and is hydrous.

A bottle of medication contains 150 capsules. If every bottle contains the same number of capsules, how
many capsules are in 50 bottles?
30

750

6000

7500

Correct Answer:
7500

Explanation:
Correct answer:
7500

If there are 150 capsules in one bottle; there are 50 x 150 capsules in 50 bottles. This could be expressed
as: 150 capsules is to one bottle as 7500 capsules is to 50 bottles.

What is the term for the capacity of a method to convey information effectively?

channel richness

communication for organization

formal channel capability

informal channel capability

Correct Answer:
channel richness

Explanation:
Correct answer:
channel richness

The capacity of a method or channel to convey information effectively is channel richness. Some
channels for communication include: telephone, e-mail and posted notices.

Which is the largest number in the following set (1/2, 0.666, 3/4, 0.875)?

0.875

0.666

3/4

1/2

Correct Answer:
0.875

Explanation:
Correct answer
0.875

Converting all numbers to decimals you have 1/2 = 0.500, and 3/4 = 0.750; and looking at all four
numbers we now can see that 0.875 is the largest of all the numbers in decimals.

Which of the following alternative herbal remedies is used primarily for hot flashes associated with
menopause?

chamomile

black cohosh

goldenseal

ginseng
Correct Answer:
black cohosh

Explanation:
Correct answer:
black cohosh

Black cohosh, from the family Ranunculaceae, is used primarily for hot flashes associated with
menopause. Other indications are rheumatism and cough. Black cohosh can also be used as an insect
repellent.

A copy of DEA Form 41 (for expired controlled substances that are destroyed) must be kept for a
minimum of how many years?

5 years

1 year

10 years

2 years

Correct Answer:
2 years

Explanation:
Correct answer:
2 years

The DEA must be notified through the issue of Form 41 for expired controlled substances before
destruction may occur. A copy of Form 41 must be maintained for a minimum of 2 years after the
destruction of controlled substances at the pharmacy site.

Convert 7.5 kg to grams. What is the result?


7500 g

750 g

75 g

0.0075 g

Correct Answer:
7500 g

Explanation:
Correct answer:
7500 g

1 kg = 1000 g. Multiply 7.5 by 1000 to get 7500 g.

Emulsions contain two immiscible liquids in which one liquid is dispersed throughout another liquid and is
aided by a stabilizing agent. The method of mixing emulsions in which water-soluble and oil-solute
ingredients are mixed in separate containers is which of the following?

continental method

dry gum method

beaker method

wet gum method

Correct Answer:
beaker method
Explanation:
Correct answer:
beaker method

In the beaker method, water-soluble and oil-solute ingredients are mixed in separate containers. Both
phases are heated to 70 degrees centigrade and are removed from heat. The internal phase is added to
the external phase and the final product is cooled to room temperature while being continually stirred.

The average velocity of air from a HEPA filter in a laminar flow hood should be which of the following?

90 linear feet per minute + 20%

80 linear feet per minute + 10%

90 linear feet per minute + 10%

80 linear feet per minute + 20%

Correct Answer:
90 linear feet per minute + 20%

Explanation:
Correct answer:
90 linear feet per minute + 20%

The average velocity of air from a HEPA filter in a laminar flow hood should be 90 linear feet per
minute + 20%. Laminar flow hoods must be turned on for a minimum of 30 minutes before being used.

The computer memory in which data is temporarily stored is which of the following?

RAM

REM

ROM

none of the above


Correct Answer:
RAM

Explanation:
Correct answer:
RAM

RAM stands for random-access memory. It is found in the computer or printer buffer, where data is
temporarily stored. The information contained in it must be permanently stored or it will be lost when the
power supply is interrupted or turned off, or when the program is terminated.

The record that documents medication administered to a patient is which of the following?

medication delivery record

medication administration record

patient profile

physician order sheet

Correct Answer:
medication administration record

Explanation:
Correct answer:
medication administration record

The medication administration record (MAR) documents medication administered to a patient. It includes
the drug, dose, route of administration, frequency of administration, and administration times. The MAR
lists the patients allergies and diagnoses. It is used every time a medication is administered.
Which of the following drugs is used as a chemotherapy agent?

Auralgan

Oncovin

Vibramycin

Cyclocort

Correct Answer:
Oncovin

Explanation:
Correct answer:
Oncovin

Oncovin is a chemotherapy agent. It is given intravenously and is classified as a plant alkaloid.

Which of the following is a required resource for all pharmacies?

United States Pharmacopeia


Federal Controlled Substances Act

National Formulary

all of the above

Correct Answer:
all of the above
Explanation:
Correct answer:
all of the above

All of the resources listed in the first three choices are required resources. Other texts or statutes may be
required by the State Board of Pharmacy for each state.

A drug that causes shedding of the outer layer of the skin is called a(n):

antifungal

keratolytic

biologic

corticosteroid

Correct Answer:
keratolytic

Explanation:
Correct answer:
keratolytic

A drug that causes shedding of the outer layer of the skin is called a keratolytic. Keratolytics are agents
that dissolve or break down the outer layer of skin (keratins).

Add the following fraction. What is the result?

3/7 + 1/8 = ?

4/15

3/56

4/56
31/56

Correct Answer:
31/56

Explanation:
Correct Answer
31/56

To add fractions with different denominators, you must first find equivalent fractions with common
denominators. First, find the smallest multiple for the denominator of both numbers. Then rewrite the
fractions as equivalent fractions with the least common denominator. In this case, the least common
denominator is 56. So 3/7 = 24/56; and 1/8 = 7/56. Add the two equivalent fractions and the result is
31/56.

The bulging transparent cover that allows light into the eye for visual acuity is which of the following?

sclera

cornea

pupil

lens

Correct Answer:
cornea

Explanation:
Correct answer:
cornea

The cornea is the bulging transparent cover that allows light into the eye for visual acuity. The cornea is
composed of connective tissue and is covered in a thin coating of epithelium.

When a patient has an unexpected reaction to a drug the first time it is given it is called:

teratogenicity

carcinogenicity

idiosyncrasy

nephrotoxicity

Correct Answer:
idiosyncrasy

Explanation:
Correct answer:
idiosyncrasy

Idiosyncrasy is an unexpected reaction the first time a drug is taken. It is generally due to genetic causes
that alter the patients drug metabolizing enzymes.

A solution of 2 g of a substance in 250 mL of water is equivalent to how many grams of the same
substance in 1000 mL of water?

8g

5g

2.5 g

25 g
Correct Answer:
8g

Explanation:
Correct answer:
8g

The problem can be stated as: 2 g is to 250 mL as X g is to 1000 mL.

2/250 = x/1000
250x = 2000
x = 2000/250 = 8

A system that maintains a continuous record of every item stocked is known as which of the following?

permanent inventory

permanent formulary

perpetual inventory

perpetual formulary

Correct Answer:
perpetual inventory

Explanation:
Correct answer:
perpetual inventory

A perpetual inventory is a system that maintains a continuous record of every item in inventory. In this
way it always shows the current amount of stock on hand.

A child weighs 5.5 kg. His medication is prescribed at 5 mg/ kg twice a day. What is the daily dosage of
his medication?
27.5 mg

12.5 mg

275 mg

55 mg

Correct Answer:
55 mg

Explanation:
Correct answer:
55 mg

Each dose is 27.5 mg (5.5 kg x 5 mg). Taken twice a day, the daily dosage is 55 mg. (2 x 27.5 mg).

The pharmacy sells a tube of medication for $6.00. It has a 100% markup. How much gross profit does
the pharmacy make on the tube of medication?

$2.00

$4.50

$1.50

$3.00

Correct Answer:
$3.00

Explanation:
Correct answer:
$3.00

To find the cost of each tube use the formula:

1x (the markup) + x (the cost) = $6.00


2x = $6.00
x = $6.00 2
x = $3.00

If the tube sells for $9.00 the gross profit is $9.00 - $3.00 (the cost) = $6.00.

Which of the following drugs is NOT a respiratory agent?

aminophylline

prednisone

cimetidine

fluticasone-salmeterol

Correct Answer:
cimetidine

Explanation:
Correct answer:
cimetidine

Cimetidine (Tagamet) is not a respiratory agent. It is a gastrointestinal agent. It is an H 2 antagonist.

A system that allows a pharmacy to use any prescribed medication is which of the following?

open formulary

closed formulary

general formulary
none of the above

Correct Answer:
open formulary

Explanation:
Correct answer:
open formulary

A formulary is a list of medications approved for use. An open formulary is a system that allows a
pharmacy to use any prescribed medication. A closed formulary is a limited list of approved medications.

The directions for mixing a liquid antibiotic state when 600 mL of water are added to the contents of the
bottle, the resulting volume is 900 mL. What is the powder volume?

200 mL

150 mL

1500 mL

300 mL

Correct Answer:
300 mL

Explanation:
Correct answer:
300 mL

The formula to use is:

Final volume = volume of diluent + powder volume.


900 mL = 600 mL + powder volume
900 mL 600 mL = powder volume = 300 mL

Diabetes mellitus is a disorder of which of the following body systems?

nervous system

integumentary system

endocrine system

gastrointestinal system

Correct Answer:
endocrine system

Explanation:
Correct answer:
endocrine system

Diabetes mellitus is a disorder of the endocrine system. It is a complex disorder of carbohydrate, fat, and
protein metabolism that is primarily a result of a deficiency or complete lack of insulin secretion from cells
within the pancreas.

There are many types of conditions that can be treated with OTC medications. Which of the following
types of OTC medications would be used for patients who exhibit allergic symptoms?

decongestants

antipyretics

antihistamines

antiinflammatories
Correct Answer:
antihistamines

Explanation:
Correct answer:
antihistamines

Antihistamines are used when a patient exhibits allergic symptoms, including pruritis, hives, sneezing,
and runny eyes. Their action is to block histamine receptors, which cause allergic reactions. An example
of this type of medication is Benadryl.

Find the unknown value in the proportion: 5: x = 6 : 30. What is the result?

15

30

25

Correct Answer:
25

Explanation:
Correct answer:
25

Convert the proportion to fractional form and solve:

5/x = 6/30
6x = 150
x = 150/6 = 25

When a smaller Roman numeral is placed after a larger Roman numeral, which of the following takes
place?

The smaller numeral is added to the larger numeral.

The smaller numeral is subtracted from the larger numeral.

The larger numeral is multiplied by the smaller numeral.

none of the above

Correct Answer:
The smaller numeral is added to the larger numeral.

Explanation:
Correct answer:
The smaller numeral is added to the larger numeral.

When a smaller Roman numeral is placed after a larger Roman numeral, the smaller numeral is added to
the larger numeral.

Example: CL = 100 + 50 = 150

A solution contains 50 mg/mL. What is the percentage of drug in the solution?

1%

50%

10%

5%

Correct Answer:
5%
Explanation:
Correct answer:
5%

The percentage of drug in a solution is expressed in g/100 mL.

50 g/mL = x/100 mL
x = 50 x 100 = 5000 mg

Convert 5000 mg to g (5 g) and therefore it is a 5% solution.

When a pharmacy orders almost exclusively from a certain wholesaler, this wholesaler is known as which
of the following?

alternate vendor

prime vendor

middleman

principal supplier

Correct Answer:
prime vendor

Explanation:
Correct answer:
prime vendor

Drugs ordered for stocking in the pharmacy may be obtained from different sources, such as the
manufacturer or a distributor. When the pharmacy orders almost exclusively from one wholesaler, it then
becomes the pharmacys prime vendor.

Climate control for drugs includes all of the following EXCEPT:

storage in clear glass containers


low levels of humidity

low levels of light

proper temperature

Correct Answer:
storage in clear glass containers

Explanation:
Correct answer:
storage in clear glass containers

This is not a requirement for climate-controlled storage of drugs. Drug stock is normally stored in opaque
or amber plastic containers on the pharmacy shelf in order to protect the drugs from the effects of light,
which may degrade the drug.

Azulfidine is commonly used for all of the following conditions/diseases EXCEPT:

rheumatoid arthritis

asthma

ulcerative colitis

Crohns disease

Correct Answer:
asthma

Explanation:
Correct answer:
asthma
Azulfidine (sulfazalazine) is used for Crohns disease, ulcerative colitis and rheumatoid arthritis. It is
metabolized to 5-aminosalicylclic acid. It is not used for asthma.

Which of the following MERP categories has a resulting error that causes harm?

Category E

Category D

Category C

Category A

Correct Answer:
Category E

Explanation:
Correct answer:
Category E

The MERP categories range from A (no error) to I (error causing death). Of the choices given, the one
that has error that causes harm is Category E. In this category, error occurred that may have contributed
to or resulted in temporary harm to the patient and the patient required intervention.

Which of the following is a natural source drug?

aspirin

amoxicillin

barbiturates

OxyContin
Correct Answer:
aspirin

Explanation:
Correct answer:

aspirin

Aspirin (acetylsalicylic acid) is an analgesic derived from white willow bark. It is a natural source drug. All
of the other choices are synthetic drugs produced in a laboratory and not naturally occurring.

The pharmacy pays $300 for a stock bottle of medication, which contains 1200 tablets. The markup is
200%. What is the selling price for 150 tablets?

$75.00

$37.50

$112.50

$125.00

Correct Answer:
$112.50

Explanation:
Correct answer:
$112.50

Each tablet costs $300 divided by 1200 tablets or $0.25. The markup is 200%, which is 2 x $0.25 or
$0.50. Add the markup ($0.50) to the base price ($0.25) to get $0.75. The selling prices for 150 tablets
would be 150 x $0.75 or $112.50.
Which of the following conditions or diseases of the nervous system is a progressive neurological disease
that results in degeneration of motor neurons resulting in death?

meningitis

hydrocephalus

amyotrophic lateral sclerosis

multiple sclerosis

Correct Answer:
amyotrophic lateral sclerosis

Explanation:
Correct answer:
amyotrophic lateral sclerosis

Amyotrophic lateral sclerosis (ALS) is a progressive neurological disease that results in degeneration of
motor neurons resulting in death. It results from degeneration and hardening of motor neurons in the
spinal cord. It is commonly known in the United States as Lou Gehrigs disease. Only the drug riluzole
has been developed specifically for treating ALS and it only slows the progression of the disease by
months.

Which of the following forms is used to notify the DEA before expired controlled substances can be
destroyed?

DEA form 222

DEA form 106

DEA form 224

DEA form 41
Correct Answer:
DEA form 41

Explanation:
Correct answer:
DEA form 41

The DEA must be notified through the issue of Form 41 for expired controlled substances before
destruction may occur. A copy of form 41 must be maintained for a minimum of 2 years after the
destruction of controlled substances at the pharmacy site.

Which of the following types of balances is required in all pharmacies?

counter balance (bulk balance)

Class B balance

Class A (III) balance

digital balance

Correct Answer:
Class A (III) balance

Explanation:
Correct answer:
Class A (III) balance

A Class A (III) balance is required in all pharmacies. It is used to weigh small quantities of weight. It has a
sensitivity requirement of 6 mg.

Of the following medical and surgical appliances and/or devices, which is a nonsterile irrigation method
for the nose, ear, wounds or vagina?
catheter

enema syringe

bulb syringe

syringe infusion system

Correct Answer:
bulb syringe

Explanation:
Correct answer:
bulb syringe

A bulb syringe is a nonsterile irrigation method for the nose, ear, wounds or vagina. A catheter is used to
collect urine from a patient unable to urinate naturally. An enema syringe is used for irrigating with water,
salt solution, soapsuds, or special medications. A syringe infusion system is a system where medication
is infused by a special syringe pump.

Which of the following is the usual temperature for refrigeration of drugs?

30 32 F

32 35 F

35 40 F

36 46 F

Correct Answer:
36 46 F
Explanation:
Correct answer:
36 46 F

Some drugs must be stored at a constant temperature in a controlled commercial refrigerator designed
for medications. The temperature of refrigeration should generally be 36 46 F.

The legislation that provided new rules for improving portability (continuity) of insurance coverage and
simplified standards for electronic transactions is which of the following?

Medicare Modernization Act

Drug Listing Act

HIPAA

Food and Drug Administration Modernization Act

Correct Answer:
HIPAA

Explanation:
Correct answer:
HIPAA

The Health Insurance Portability and Accountability Act (HIPAA) is legislation that provided new rules for
improving portability (continuity) of insurance coverage and simplified standards for electronic
transactions. It also revised privacy rules that are meant to protect certain health information.

Using Frieds rule calculate the dosage for a 30 month old child who needs a medication that is
administered to adults in a 0.75 g dose. What is the appropriate dosage for this child?

150 mg

15 mg

129.3 mg
12.93 mg

Correct Answer:
150 mg

Explanation:
Correct answer:
150 mg

Frieds rule is a formula used in calculating pediatric dosages based on the childs age in months. Divide
the childs age in months by 150 and multiply the result by the adult dosage. In this case the childs age is
30 months. Divide this by 150 and multiply by 750 mg. The result is 150 mg.

Which of the following forms should be used to report the theft of controlled substances?

DEA Form 222

DEA Form 224

DEA Form 41

DEA form 106

Correct Answer:
DEA form 106

Explanation:
Correct answer:
DEA form 106

There are many documentation requirements for controlled substances. DEA forms must be filed as
needed or required. DEA form 106 is used to report the theft of controlled substances.
Which of the following is NOT an adrenal hormone?

cortisol

aldosterone

adrenaline

calcitonin

Correct Answer:
calcitonin

Explanation:
Correct answer:

calcitonin

Calcitonin is not an adrenal hormone; it is a thyroid hormone. Some adrenal hormones are stored in the
adrenal medulla until activated by the sympathetic nervous system.

A Class A balance can accurately weigh which of the following?

650 mg to 120 g

120 mg to 15 g

120 mg to 120 g

120 mg to 650 g
Correct Answer:
120 mg to 15 g

Explanation:
Correct answer:
120 mg to 15 g

A Class A balance can accurately weight 120 mg to 15 g. A Class B balance can weight 650 mg to 120 g.

Express 25% in terms of a ratio. Which of the following are correct?

1:5

1 : 25

25 : 100

25 : 1000

Correct Answer:
25 : 100

Explanation:
Correct answer:
25 : 100

25% is 0.25 or 25/100. This can be expressed as a ratio of 25 : 100.

The biochemical modification or degradation of drugs in the body is known as which of the following?

absorption

distribution
metabolism

excretion

Correct Answer:
metabolism

Explanation:
Correct answer:
metabolism

Drug metabolism is the biochemical modification or degradation of drugs in the body. As the drug is being
distributed throughout the body, some of the drug reenters the blood stream and ultimately is transferred
to the liver, where most drug metabolism takes place.

How many mL does a bottle of medication contain if the bottle contains 90 drams?

333 mL

36 mL

0.36 mL

3.6 mL

Correct Answer:
333 mL

Explanation:
Correct answer:
333 mL

There are 3.7 mL in each dram. Therefore 90 drams is equivalent to 3.7mL x 90 drams or 333 mL.
Which of the following prefixes used in medical and pharmaceutical terminology is NOT matched correctly
with its meaning?

meso beyond

peri around

iso equal

endo within

Correct Answer:
meso beyond

Explanation:
Correct answer:
meso beyond

The prefix meso is not used to indicate beyond. It means middle. The prefix meta is used to indicate
beyond.

When a persons blood pressure drops after standing up quickly from a sitting or lying position it is called:

neurally mediated hypotension

orthostatic hypotension

postprandial hypotension

multiple system atrophy with orthostatic hypotension


Correct Answer:
orthostatic hypotension

Explanation:
Correct answer:
orthostatic hypotension

When a persons blood pressure drops after standing up quickly from a sitting or lying position it is called
orthostatic hypotension. The onset can be due to prolonged bed rest, pregnancy, dehydration, diabetes or
heart problems.

The abbreviation used to indicate that a medication should be taken after food or after meals is which of
the following?

p.c.

a.c.

qod

prn

Correct Answer:
p.c.

Explanation:
Correct answer:
p.c.

The abbreviation used to indicate after food or after meals is p.c. The abbreviation a.c. means before
food or before meals.

Which of the following phases of the clinical trial of a drug documents its safety in animals?

Phase I
Phase II

Phase III

all of the above

Correct Answer:
Phase II

Explanation:
Correct answer:
Phase II

Clinical trials of drugs normally proceed in stages, called phases. Phase I is the initial trial that documents
the drugs possible efficacy. Phase II documents its safety and efficacy in animals. Phase III uses human
subjects to document efficacy and potency of the drug versus a placebo (a dosage form with no drug).

A drug that can decrease the coughing reflex of the central nervous system is which of the following?

antitussive

antiseptic

analgesic

anti-inflammatory

Correct Answer:
antitussive

Explanation:
Correct answer:
antitussive
An antitussive is a drug that can decrease the coughing reflex of the central nervous system. An
antiseptic is a substance that slows or stops the growth of microorganisms on surfaces such as the skin.
An analgesic is a drug that relieves pain. An anti-inflammatory is a drug that reduces swelling, redness
and pain and that promotes healing.

The blood-brain barrier (BBB) has the protective function of preventing molecules from entering and
possibly damaging the brain via chemical reaction. Which of the following substances can pass the BBB?

glucose

water-soluble molecules

low-lipid molecules

large molecules

Correct Answer:
glucose

Explanation:
Correct answer:
glucose

Glucose can pass the BBB. It nourishes the brain and is associated with brain function. The other choices
are substances that cannot pass the BBB.

How many tablets must be given to a patient if he is to have 2 mg daily and each table contains 0.5 mg?

10
Correct Answer:
4

Explanation:
Correct answer:
4

Simply divide 2 by 0.5 and you have 4, the correct number of tablets given to the patient daily.

An example of a third generation cephalosporin agent is:

Keflex

Ceclor

Cefizox

Mefoxin

Correct Answer:
Cefizox

Explanation:
Correct answer:
Cefizox

Cefizox (ceftizoxime) is a third generation cephalosporin agent. Keflex is a first generation cephalosporin
agent. Ceclor and Mefoxin are both second generation cephalosporin agents.

The report that is generated to summarize all items that were not purchased on bid is which of the
following?
cost analysis

ABC analysis

velocity report

compliance report

Correct Answer:
compliance report

Explanation:
Correct answer:
compliance report

The compliance report is a report summarizing all items that were not purchased on bid. The cost
analysis is an examination of all costs associated with the purchase of a product. The ABC analysis is a
method to identify and define inventory items based on their usage. The velocity report (or 80/20 report) is
a detailed summary of purchasing history based on the 80/20 rule.

To ensure making a smooth ointment, the particle size of a powder being incorporated into the base
should be reduced to an impalpable form by which of the following methods?

emulsification

suspension

comminuting

all of the above

Correct Answer:
comminuting
Explanation:
Correct answer:
comminuting

Comminuting (also called titration) is the process of reducing the particle size of a substance by grinding.
It is necessary, for example, when making a smooth ointment.

When IV solutions are infused in micropulses produced by a massaging action of the IV tubing this type of
pump is known as which of the following?

cassette

elastomeric reservoirs

peristaltic pumps

syringe pumps

Correct Answer:
peristaltic pumps

Explanation:
Correct answer:
peristaltic pumps

Peristaltic pumps infuse solutions in micropulses produced by a massaging action on the IV tubing.
Special infusions sets are used because the tubing has been reinforced with a silastic insert at the point
of contact with the peristaltic mechanism.

Which of the following prescribers is assigned the letter M as the first letter of the DEA number?

nurse practitioner

dentist

doctor of osteopathy
MD

Correct Answer:
nurse practitioner

Explanation:
Correct answer:
nurse practitioner

Mid-level practitioners such as physicians assistants and nurse practitioners are assigned the letter M
as the first letter of the DEA number. Top-level prescribers such as MDs, DOs and DDSs are assigned
either a capital A or B as the first letter of the DEA number.

Which of the following pieces of legislation mandates safety measures to prevent accidental poisoning?

Federal Food, Drug, and Cosmetic Act

Controlled Substances Act

Federal Hazardous Substances Act

Omnibus Budget Reconciliation Act

Correct Answer:
Federal Hazardous Substances Act

Explanation:
Correct answer:
Federal Hazardous Substances Act

The Federal Hazardous Substances Act mandates safety measure to prevent accidental poisoning. This
provides for the Poison Prevention Packaging Act, which establishes mandates for childproof packaging.
The type of physician who specializes in the treatment of cancer is which of the following?

neurologist

primary care physician

pathologist

oncologist

Correct Answer:
oncologist

Explanation:
Correct answer:
oncologist

An oncologist is a physician who specializes in the treatment of cancer. Oncologists are usually expert in
radiation therapy, chemotherapy, and other cancer treatments.

All of the following are advantages of administering medication in a solution EXCEPT:

completely homogenous doses

immediately available for absorption

easier to handle, transport, and store

easily adjusted doses


Correct Answer:
easier to handle, transport, and store

Explanation:
Correct answer:
easier to handle, transport, and store

This is not an advantage of a solution. In actuality, solutions are more difficult to handle, transport, and
store because of their bulk and weight.
Test 13
Find the least common denominator of the following fractions. What is the result?

1/2 3/4 5/6

12

24

48

Correct Answer:
12

Explanation:
Correct answer:
12

The smallest multiple of the three denominators is the least common denominator. In this case that would
be 12. Each denominator is divisible into 12, which is the smallest multiple of the three denominators.

The Joint Commission (TJC) has an official do not use list. Which of the following abbreviations is on
this list?

cc

D/C

hs
Correct Answer:
U

Explanation:
Correct answer:

The Joint Commissions official do not use list includes the abbreviation U for unit. The actual word
must be spelled out. The potential problem is that it can be mistaken for a zero, or the number four, or
cc.

Which of the following drugs is a beta receptor antagonist?

Procardia

Inderal

Cardura

Levophed

Correct Answer:
Inderal

Explanation:
Correct answer:
Inderal

Beta receptor antagonists (beta blockers) are drugs to block the 1 receptor, which functions to increase
heart rate and force contraction of the heart muscle. By blocking the receptor, heart rate and cardiac
output are decreased; cardiac conduction rate is slowed; and the production of renin is decreased.

In terms of receiving prescriptions by electronic means, which of the following statements is least
accurate?

Prescriptions received electronically must be transcribed onto a prescription form for purposes of
documentation.
Prescriptions received electronically may be legally taken by a licensed pharmacy intern.

Prescriptions received electronically may be legally taken by a pharmacy technician.

All of the above are inaccurate.

Correct Answer:
Prescriptions received electronically may be legally taken by a pharmacy technician.

Explanation:
Correct answer:

Prescriptions received electronically may be legally taken by a pharmacy technician.

Prescriptions received electronically may not be taken by a pharmacy technician. This may only be
done by a licensed practitioner such as the pharmacist or licensed pharmacy intern.

Which of the following rooms in a nuclear pharmacy is the area where empty or used
radiopharmaceuticals are returned and dismantled for reuse?

packaging area

breakdown room

storage and disposal area

quality-control area

Correct Answer:
breakdown room
Explanation:
Correct answer:
breakdown room

A nuclear pharmacy has designated rooms to perform different functions. The breakdown room is the
area where empty or used radiopharmaceuticals are returned and dismantled for reuse

When a Roman numeral is repeated it means which of the following?

Its value is null.

It must be subtracted from the following Roman numeral.

Its value is repeated.

It must be added to the following Roman numeral.

Correct Answer:
Its value is repeated.

Explanation:
Correct answer:
Its value is repeated.

When a Roman numeral is repeated, its value is repeated.

Example: III = 1+1+1 = 3

The insurance for employees who are injured while at work is which of the following?

Medicaid

Medicare

Workers Compensation

private insurance
Correct Answer:
Workers Compensation

Explanation:
Correct answer:
Workers Compensation

Workers Compensation is a form of insurance for employees who are injured while at work. Patients are
not responsible for any payments, as all costs are covered by the employer.

Which of the following pieces of equipment is NOT used in extemporaneous compounding?

MedFlo II

filter paper

graduates

master formula sheet

Correct Answer:
MedFlo II

Explanation:
Correct answer:
MedFlo II

MedFlo II is a type of infusion control device. It would not be used in extemporaneous compounding like
the other three choices would.

Monographs would be considered a part of which of the following drug information sources?
primary literature

secondary literature

tertiary literature

none of the above

Correct Answer:
tertiary literature

Explanation:
Correct answer:
tertiary literature

Tertiary literature consists of condensed works based on primary literature. Tertiary literature includes
monographs and textbooks.

Which of the following metric weights is the highest on the weight scale?

milligram

microgram

kilogram

gram

Correct Answer:
kilogram

Explanation:
Correct answer:
kilogram

A kilogram is the highest measure of metric weight of the four choices. The microgram is the smallest.

Which of the following is NOT a solid dosage form for a drug?

capsule

lozenge

elixir

drug powder

Correct Answer:
elixir

Explanation:
Correct answer:
elixir

An elixir is a liquid dosage form. All of the other choices are solid dosage forms. Other solid dosage forms
include: troches, implant capsules, and patches.

A physician orders 500 mg of a drug. What is the equivalent in grams?

5g

0.5 g

50 g

0.05 g
Correct Answer:
0.5 g

Explanation:
Correct answer:
0.5 g

There are 1000 mg in a gram. Therefore, divide 500 mg by 1000 mg and you get 0.5 g .

You pay $25 per liter for one liter of a medication. How much will 2.5 liters cost?

$75

$62.50

$55

$72.50

Correct Answer:
$62.50

Explanation:
Correct answer:
$62.50

One liter is to $25 as 2.5 liters is to X.

1/25 = 2.5/x
x = 62.50

Which of the following statements about rheumatoid arthritis is least accurate?


Rheumatoid arthritis is a chronic and often progressive inflammatory condition linked to the
dysfunction of the circulatory system.

Inflammation is caused by the release of histamine and prostaglandins.


There is no known cure or method of prevention for rheumatoid arthritis.

NSAIDs are the first line drug of choice for rheumatoid arthritis.

Correct Answer:
Rheumatoid arthritis is a chronic and often progressive inflammatory condition linked to the
dysfunction of the circulatory system.

Explanation:
Correct answer:
Rheumatoid arthritis is a chronic and often progressive inflammatory condition linked to the
dysfunction of the circulatory system.

This statement is inaccurate. Rheumatoid arthritis is a chronic and often progressive inflammatory
condition linked to the dysfunction of the immune system. As the disease progresses, a decrease in
range of motion and an increase in bony fusion and muscle deformity may occur.

The directions for mixing a liquid antibiotic state when 500 mL of water are added to the contents of the
bottle, the resulting volume is 750 mL. What is the powder volume

750 mL

250 mL

25 mL

75 mL
Correct Answer:
250 mL

Explanation:
Correct answer:
250 mL

The formula to use is:

Final volume = volume of diluent + powder volume.


750 mL = 500 mL + powder volume
750 mL 500 mL = powder volume = 250 mL

Which of the following statements about total parenteral nutrition (TPN) solutions is incorrect?

Aseptic technique is required because TPN is infused into the right atrium of the heart.

TPN normally contains 50% dextrose, 10% amino acids and 20% fat.

TPN normally contains 25% dextrose, 10% amino acids and 10% fat.

Micro compounding pumps are used for the electrolytes and other additives.

Correct Answer:
TPN normally contains 25% dextrose, 10% amino acids and 10% fat.

Explanation:
Correct answer:
TPN normally contains 25% dextrose, 10% amino acids and 10% fat.

This is incorrect. TPN normally contains 50% dextrose, 10% amino acids and 20% fat. Peripheral
parenteral nutrition (PPN) normally contains 25% dextrose, 10% amino acids and 10% fat.

The pharmacy receives an order for a baby boy who weighs 9 lbs. The order calls for 10 mg//kg/dose.
What is the correct dosage for this child?

40.9 mg/dose
4.9 mg/dose

490 mg/dose

4900 mg/dose

Correct Answer:
40.9 mg/dose

Explanation:
Correct answer:
40.9 mg/dose

The correct dosage for this baby boy is 40.9 mg/dose. First, the babys weight must be converted to
kilograms. There are 2.2 kg in a pound. Therefore, divide 9 lbs by 2.2 and the result is 4.09 kg. Multiply
this by the recommended dosage (10 mg) and the result is 40.9 mg/dose.

A proper fraction written correctly is expressed as which of the following?

8/9

8/2

1 2/3

6/5

Correct Answer:
8/9

Explanation:
Correct Answer:
8/9
The proper way to write a fraction is to have the numerator smaller than the denominator as in 8/9. The
other choices are improper fractions and mixed numbers.

Determine the percentage of drug in a 10 : 100 solution. What is the result?

1%

5%

20%

10%

Correct Answer:
10%

Explanation:
Correct answer:
10%

A 10 : 100 solution is 10 g per 100 mL. 10/100 = 10%.

Which of the following is NOT a part of the upper respiratory system?

pharynx

lungs

nose

larynx
Correct Answer:
lungs

Explanation:
Correct answer:
lungs

The lungs are part of the lower respiratory system along with the trachea, and bronchial tree. The nose
and nasal cavities, the pharynx and the larynx are parts of the upper respiratory system.

A prescription has a selling price of $15.00 and a dispensing fee of $1.00. The prescription has an
acquisition cost of $2.00. What is the gross profit for the pharmacy on this prescription?

$14.00

$13.00

$12.00

$14.50

Correct Answer:
$13.00

Explanation:
Correct answer:
$13.00

The gross profit is the selling price minus the acquisition price ($15.00 - $2.00 = $13.00). The dispensing
fee does not come into play in calculating gross profit.

DEA Form 41 must be completed for the destruction of controlled substances how long before the
scheduled destruction?
at least 5 days

at least 1 week

at least 10 days

at least 2 weeks

Correct Answer:
at least 2 weeks

Explanation:
Correct answer:
at least 2 weeks

A DEA Form 41 is a triplicate form that needs to be completed at least 2 weeks before the scheduled
destruction of controlled substances. The destruction must be done in the presence of another individual.
The required copies of the form are submitted to the DEA.

A therapeutic agent that is authorized for a specific doctor or group of doctors by a committee is known as
which of the following?

stop order drug

restricted drug

investigational drug

none of the above

Correct Answer:
restricted drug
Explanation:
Correct answer:
restricted drug

A restricted drug is a therapeutic agent admitted to a formulary that is authorized for a specific doctor or
group of doctors by a committee. Guidelines for use include that a drug in this category will be dispensed
only if prescribed by a full-time faculty member of the designated group of physicians.

An ophthalmic medication would be introduced into the body through which of the following routes?

nose

cheek

eye

muscle

Correct Answer:
eye

Explanation:
Correct answer:
eye

Medications that are administered through the eye use the ophthalmic route. Ophthalmic medications are
used to directly treat conditions of the eye.

Which of the following statements about Roman numerals is correct?

Ones (I) may only be subtracted from fives (V) and tens (X).

Tens (X) may only be subtracted from fifties (L) and hundreds (C).

Hundreds (C) may only be subtracted from five hundreds (D) and thousands (1000).

all of the above


Correct Answer:
all of the above

Explanation:
Correct answer:
all of the above

All of the statements are correct. The symbols and their positions are critical to understanding and
deciphering Roman numerals.

Pharmacy technicians may be required to be familiar with basic laboratory tests. Of the following
commonly used blood tests which one would include checking BUN and creatinine levels?

renal function

liver function

blood glucose levels

serum blood gasses

Correct Answer:
renal function

Explanation:
Correct answer:
renal function

Tests for renal function include the blood urea nitrogen (BUN) and creatinine levels. The rate at which the
kidneys clear creatinine is an indicator of kidney function. A high level of urea (BUN) may also be an
indicator of poor renal function.
Which of the following is NOT a responsibility of a managed care technician?

troubleshoot third-party prescription claims questions

help patients who are dropping off or picking up prescriptions

develop and maintain an electronic service log of all telephone calls with a follow-up history

provide as-needed telephone and administrative support for the department

Correct Answer:
help patients who are dropping off or picking up prescriptions

Explanation:
Correct answer:
help patients who are dropping off or picking up prescriptions

This is not a responsibility of a managed care technician. It is one of the responsibilities of a community
technician.

The directions for mixing a 5 mg/5 mL liquid states that when 50 mL of water are added to the contents of
the bottle, the resulting volume is 300 mL. What is the concentration of drug in mg/5 mL if only 5 mL of
water were added?

60 mg/5 mL

6 mg/5 mL

3 mg/5 mL

30 mg/5 mL

Correct Answer:
6 mg/5 mL
Explanation:
Correct answer:
6 mg/5 mL

First determine the total mg of drug in the bottle (it is a constant);


5 mg drug /5 mL FV x 300 mL FV = 300 mg drug

Next, determine the powder volume for the drug in the bottle:
FV = D + PV
300 mL = 50 mL + PV
300 mL 50 mL = PV = 250 mL

Now determine the volume of the new product (NP):


NP = D + PV
NP = 5 mL + 250 mL = 255 mL

So the new concentration is: Total mg drug in bottle / volume of new product
300 mg/255 mL = 1.2 mg/mL = 6 mg/5 mL

Which of the following vaccines is an attenuated viral vaccine?

hepatitis B

human papillomavirus

yellow fever

smallpox

Correct Answer:
smallpox

Explanation:
Correct answer:
smallpox

An attenuated vaccine is an altered or weakened live vaccine made from the disease organism against
which the vaccine protects. Smallpox vaccine is a live (attenuated) viral vaccine along with intranasal
influenza, measles-mumps-rubella (MMR), oral poliovirus, oral rotavirus, varicella (chickenpox) and
herpes zoster (varicella zoster).
The national internet-accessible database that hospitals and health care systems use to track adverse
drug reactions and medication errors is which of the following?

MedWatch

ASHP

MEDMARX

PTEC

Correct Answer:
MEDMARX

Explanation:
Correct answer:
MEDMARX

MEDMARX is a national internet-accessible database that hospitals and health care systems use to track
adverse drug reactions and medication errors. MedWatch is a program established by the FDA for
reporting drug and medical product safety alerts and label changes.

Some forms required for pharmacy operation must be readily retrievable. This means that they must be
able to be produced in what amount of time?

within one week

within 24 hours

immediately

within 72 hours
Correct Answer:
within 72 hours

Explanation:
Correct answer:
within 72 hours

Prescriptions, biennial inventories, invoices, and forms 222 and 41 must be readily retrievable. This
means that they must be able to be produced within 72 hours of the request.

Using Clarks Rule calculate the dosage of medication for a child who weighs 50 lb if the adult dose is 100
mg?

3 mg

3.3 mg

300 mg

33.3 mg

Correct Answer:
33.3 mg

Explanation:
Correct answer:
33.3 mg

Clarks Rule is:

weight of child in lb / 150 X adult dose

In this case the correct dosage would be:

50 lb / 150 X 100 mg or

1/3 X 100 = 33.3 mg.


Solve the following equation for x: 1/8 x = 8 + 24. What is the result?

246

256

264

228

Correct Answer:
256

Explanation:
Correct answer:
256

1/8 x = 8 + 24
1/8 x = 32
x = 8 x 32
x = 256

Which of the following laminar flow hoods recirculates a portion of the air within the hood, and exhausts a
portion of this air back into the parenteral room?

Type A hood

Type B1 hood

Type B2 hood

Type B3 hood
Correct Answer:
Type A hood

Explanation:
Correct answer:
Type A hood

A Type A hood recirculates a portion of the air within the hood, and exhausts a portion of this air back into
the parenteral room. This happens after the air is first passed through a HEPA filter.

Mydriatics are drugs that have which of the following actions?

anti-inflammatory

dilation of the pupils

lubrication

treatment of allergies

Correct Answer:
dilation of the pupils

Explanation:
Correct answer:
dilation of the pupils

Mydriatics are drugs that dilate the pupil. They are commonly indicated prior to eye exams. When the
pupil is dilated, more light is allowed in and visualization into the eye is enhanced.

The small cylinders that are implanted subcutaneously for continuous absorption of a drug are which of
the following?

pellets

suppositories
plasters

capsules

Correct Answer:
pellets

Explanation:
Correct answer:
pellets

Pellets are small cylinders that are implanted subcutaneously for continuous absorption of a drug. An
example of a drug in pellet form is the testosterone pellet. Testosterone pellets have been approved by
the U.S. Food and Drug Administration for the treatment of congenital or acquired androgen deficiency as
a result of primary or secondary hypogonadism.

All of the following medication orders will be automatically stopped in 30 days unless otherwise specified
by a physician EXCEPT:

antibiotics

antianemia drugs

analgesics

antineoplastics

Correct Answer:
antibiotics

Explanation:
Correct answer:
antibiotics
Automatic stop orders are used for specific classifications of medications. All of the choices have an
automatic stop of 30 days except for antibiotics. The automatic stop for these drugs is 7 days.

Which of the following conditions of the gastrointestinal system is described as a defect in the diaphragm
that allows a portion of stomach to pass through the diaphragm opening into the chest cavity?

hiatal hernia

hematemesis

pyrosis

enteritis

Correct Answer:
hiatal hernia

Explanation:
Correct answer:
hiatal hernia

A hiatal hernia is a defect in the diaphragm that allows a portion of stomach to pass through the
diaphragm opening into the chest cavity. Hematemesis is blood present in vomit. Pyrosis is heartburn.
Enteritis is inflammation of the small intestine.

Perform the following operation: 0.343 x 0.0004. What is the result?

0.001372

0.01372

0.00001372

0.0001372
Correct Answer:
0.0001372

Explanation:
Correct answer
0.0001372

Multiply 343 by 4 to get 1372. Move the decimal point 7 places to the left because there are a total of 7
decimal places in the two numbers to be multiplied. This gives you 0.0001372.

Childrens doses of medication are affected by the individuals age and other factors. As to age, which of
the following ages would be considered early childhood?

birth to one month

6 12 years

one month to one year

1 5 years

Correct Answer:
1 5 years

Explanation:
Correct answer:
1 5 years

Early childhood is classified as 1 to 5 years of age. Neonates are birth to 1 month of age; infants are 1
month to 1 year of age; late childhood is 6 to 12 years of age; and adolescence is 13 to 17 years of age.

The DEA has three main registration forms used in the regulation of controlled substances. Which of the
following forms is needed to dispense controlled substances?
Form 41

Form 222

Form 363

Form 224

Correct Answer:
Form 224

Explanation:
Correct answer:
Form 224

Form 224 is needed by the pharmacy to dispense controlled substances. It must be renewed every 3
years using a Form 224a.

A drug ingredient that has little or no effect on body functions is called:

palliative

teratogenic

inert

abortifacient

Correct Answer:
inert

Explanation:
Correct answer:
inert

An inert ingredient has little or no effect on body functions. Palliative means that which brings relief but
does not cure. Teratogenic means to cause abnormal embryonic or fetal development. An abortifacient is
any treatment that causes abortion of a fetus.

Additives used in the preparation of medications to achieve the required consistency, effectiveness and
functional properties are called:

excipients

suspensions

hydrophobes

compounds

Correct Answer:
excipients

Explanation:
Correct answer:
excipients

Excipients are inert substances added to a drug to form a suitable consistency for dosing. They are also
used to achieve effectiveness and functionality for the medication.

Which of the following is an example of automated counting/filling device that is sometimes used by
pharmacies to process a high volume of prescriptions?

MSDS

carousel

Baker Cells
mobile robots

Correct Answer:
Baker Cells

Explanation:
Correct answer:
Baker Cells

Baker Cells is an example of an automated counting/filling device that is sometimes used by pharmacies
to process a high volume of prescriptions. These devices have cells, each of which is filled with a
particular drug.

Convert 5 tablespoons to mL. The result is which of the following?

7.5 mL

25 mL

2.5 mL

75 mL

Correct Answer:
75 mL

Explanation:
Correct answer:
75 mL

There are 15 mL in each tablespoon. Therefore there are 75 mL in 5 tbsp. (15 mL x 5 tbsp.).
Which of the following herbals is used for a sleep aid?

purple coneflower

valerian

ginseng

ginkgo

Correct Answer:
valerian

Explanation:
Correct answer:
valerian

Valerian is used as a sleep aid. It is safe if it is used in small quantities. Purple coneflower is used for liver
health; ginseng, for stress relief; and ginkgo, to increase circulation.

The government agency that was formed to assure the safety of the worker in the workplace is which of
the following?

OSHA

OBRA

HIPAA

PPPA
Correct Answer:
OSHA

Explanation:
Correct answer:
OSHA

The Occupational Safety and Health Act was passed to assure the safety of the worker in the workplace.
Under this act, the Occupational Safety and Health Administration (OSHA) was formed. It protects
employees in the work place and has standards of safety and sanitation that must be met.

Tablets are a solid dosage form that can be administered in all but which of the following ways?

sublingually

vaginally

orally

topically

Correct Answer:
topically

Explanation:
Correct answer:
topically

Tablets cannot be administered topically. Ways of administering tablets include: orally, sublingually,
vaginally, or as an implant under the skin.

Pharmacies that serve patients in their communities are called:

satellite pharmacies

inpatient pharmacies
outpatient pharmacies

closed door pharmacies

Correct Answer:
outpatient pharmacies

Explanation:
Correct answer:
outpatient pharmacies

Pharmacies that serve patients in their communities rather than in an inpatient facility are outpatient
pharmacies. Working in outpatient pharmacies is one of the most difficult tasks in pharmacy because of
the close interaction with patients.

Perform the following: 0.567 + 0.0234 + 1.243. What is the result?

1.8234

2.34795

1.7334

1.8334

Correct Answer:
1.8334

Explanation:
Correct answer:
1.8334

First align the decimal places of each component and then add place holder zeros.
0.5670
0 .0234
+ 1.2430
1.8334

Which of the following is the term for a drug that requires a prescription for dispensing?

OTC

BTC

legend

none of the above

Correct Answer:
legend

Explanation:
Correct answer:
legend

A legend drug is one that requires a prescription for dispensing. This type of drug is often denoted as
Rx.

The skin condition that is characterized by partial or complete loss of hair is which of the following?

albinism

folliculitis

alopecia

urticaria
Correct Answer:
alopecia

Explanation:
Correct answer:
alopecia

Alopecia is a skin condition that is characterized by partial or complete loss of hair from the head or body.
It may result in baldness. The skin appears white.

Intrathecal injection is a specialized form of injection. An intrathecal injection is placed in which of the
following sites?

directly into the heart

into the space between the spinal cord and spinal meninges

directly into an artery

into the skin

Correct Answer:
into the space between the spinal cord and spinal meninges

Explanation:
Correct answer:
into the space between the spinal cord and spinal meninges

An intrathecal injection is placed into the space between the spinal cord and spinal meninges. An
example of this type of injection is an epidural anesthetic during childbirth.

The U.S. agency that was founded to protect the consumer by ensuring the purity, potency, efficay,and
safety of drug and food products is which of the following?
FDA

EPA

CPSC

TJC

Correct Answer:
FDA

Explanation:
Correct answer:
FDA

The U.S. Food and Drug Administration (FDA) regulates the drug products on the market in the United
States. It was founded to protect the consumer by ensuring the purity, potency, efficacy, and safety of
drug and food products.

Pharmacies in which the consumer can walk in and purchase a prescription or OTC drug is which of the
following?

community pharmacy

closed door pharmacy

institutional pharmacy

auxiliary pharmacy

Correct Answer:
community pharmacy
Explanation:
Correct answer:
community pharmacy

A community pharmacy, also known as an outpatient or retail pharmacy is a pharmacy that serves
patients in their communities. Consumers can walk in and purchase a prescription or OTC drug.

In a hospital setting, which of the following is NOT a normal medication order method?

hard-copy medication order form

POE

CPOE

oral

Correct Answer:
oral

Explanation:
Correct answer:
oral

Hospitals can use physical, hard-copy medication order forms, a physician order entry system (POE), or a
computerized physician order entry system (CPOE). Oral medication orders are not acceptable.

Which of the following is something that a pharmacy technician may NOT do?

offer advice to patients regarding drug products

accept verbal prescription orders

take prescriptions by telephone

all of the above


Correct Answer:
all of the above

Explanation:
Correct answer:
all of the above

The pharmacy technician may not do any of the activities in the first three choices. The technician also
may not counsel the patient in any way; answer questions about drug interactions or physical interactions
with a drug product; or recommend procedures of any kind.

Solve the following equation for x: 30x + 120 = 42x 140. What is the result?

16.333

33.333

21.666

44.333

Correct Answer:
21.666

Explanation:
Correct answer:
21.666

First, subtract 120 from both sides of the equations 30x + (120 120) = 42x + (-140 - 120)
Combine like terms 30x = 42x - 260
Subtract 42x from both sides of the equation -42x + 30x = (42x 42x) -260
Combine like terms -12x = - 260
Multiply both sides by -1, 12x = 260
Divide both sides by 12 x = 260/12
Solve for x x = 21.666

The process of identifying the most up-to-date list of all the medications that a patient is currently taking is
called:

medication update

medication reconciliation

drug interaction check

drug effect chart

Correct Answer:
medication reconciliation

Explanation:
Correct answer:
medication reconciliation

The Institute for Healthcare Improvement (IHI) has defined medcation reconciliation as the process of
identifying the most up-to-date list of all the medications that a patient is currently taking. The IHI reports
that more than 50% of all errors in hospitals are due to poor communication of medication orders.

Which of the following is considered proper procedure for the handling of needles?

recapping needles using both hands

removing used needles from disposable syringes by hand

using a one-handed scoop technique

breaking the needles by hand


Correct Answer:
using a one-handed scoop technique

Explanation:
Correct answer:
using a one-handed scoop technique

The only proper procedure listed among the choices is using a one-handed scoop technique (never use
both hands). You might also use a mechanical device designed for holding the needle sheath.

Convert the fraction 3/12 to a percentage. What is the result?

3%

25%

30%

2.5%

Correct Answer:
25%

Explanation:
Correct answer:
25%

To convert a fraction to a percentage, divide the numerator by the denominator. 3 divided by 12 = 0.25 or
25%.

The reimbursement system in which a pharmacy receives a fixed payment each month per patient is
which of the following?
capitation

MAC

AAC

per diem

Correct Answer:
capitation

Explanation:
Correct answer:
capitation

Capitation is a reimbursement system in which a pharmacy receives a fixed payment each month per
patient, regardless of the number of prescriptions filled or the cost of the prescriptions filled. This is a
practice commonly used by health maintenance organizations (HMOs).

The term coring can be best described by which of the following statements?

drawing into the syringe a volume of air equal to the volume of solution to be withdrawn from a vial

putting downward pressure on a needle while gradually bringing the needle up as it is inserted into
a vial
damaging the rubber closure of a parenteral container causing fragments of the closure to fall into
the container
positioning the needle on the shoulder area of the ampule

Correct Answer:
damaging the rubber closure of a parenteral container causing fragments of the closure to fall into
the container
Explanation:
Correct answer:
damaging the rubber closure of a parenteral container causing fragments of the closure to fall into
the container

There is the potential of coring when pushing a needle through the rubber stopper of a vial or medication
port. Coring occurs when a needle damages the rubber closure and causes fragments of the closure to
fall into the container and contaminate its contents.

When a drug is recalled, it is identified by which of the following?

NDC

lot number

both NDC and lot number

generic name

Correct Answer:
both NDC and lot number

Explanation:
Correct answer:
both NDC and lot number

Prescription drugs and OTC medications can be recalled directly by the manufacturer or by the FDA.
Recalled products are identified by their NDC (National Drug Code) and lot numbers.

Which of the following is a correctly expressed proportion?

4 : 10 as 5 : 20

6 : 42 as 7 : 84

4 : 24 as 20 : 120
10 : 350 as 3.5 : 100

Correct Answer:
4 : 24 as 20 : 120

Explanation:
Correct answer:
4 : 24 as 20 : 120

This proportion can be written as fractions. Both sides can be reduced to 1/6 making them a correctly
expressed proportion.

4/24 = 20/120
1/6 = 1/6

Which of the following statements about capsule dosage is least accurate?

The capsule offers flexibility in dosing to the prescriber as well as to the patient with specific
needs.
Capsules cannot be prepared by hand.

Capsules can be prepared by using a capsule machine.

Capsules come in many sizes.

Correct Answer:
Capsules cannot be prepared by hand.

Explanation:
Correct answer:
Capsules cannot be prepared by hand.

This is not an accurate statement. Capsules can be prepared by hand or by using a capsule machine.
The method used will depend on the quantity needed and the physical characteristics of the powders
included in the formula.

Which of the following forms is used to register a pharmacy with the DEA to be able to stock controlled
substances?

DEA Form 222

DEA Form 41

DEA Form 106

DEA Form 224

Correct Answer:
DEA Form 224

Explanation:
Correct answer:

DEA Form 224

DEA Form 224 is used to register a pharmacy with the DEA to be able to stock controlled substances.
DEA Form 222 is used to order Schedule II drugs. DEA Form 41 is used when destroying outdated or
unused controlled substances. DEA Form 106 is used to report theft of controlled substances.

A prescription has a selling price of $50.00 and a dispensing fee of $5.00. The prescription has an
acquisition cost of $15.00. What is the net profit for the pharmacy on this prescription?

$30.00

$45.00

$40.00
35.00

Correct Answer:
$40.00

Explanation:
Correct answer:
$40.00

The net profit is the selling price plus the dispensing fee minus the acquisition price ($50.00 + $5.00 -
$15.00 = $40.00). Therefore $40.00 is the net profit.

The medication delivery system that delivers a controlled dose of medication through the skin is which of
the following?

transdermal

aerosol

spray

suspension

Correct Answer:
transdermal

Explanation:
Correct answer:
transdermal

Transdermal products provide systemic therapy for acute or chronic conditions that do not involve the
skin. A transdermal product delivers a controlled dose of medication through the skin and is absorbed
directly into the bloodstream.
Which of the following drugs is NOT a synthetic drug?

barbiturates

codeine

OxyContin

Adrenalin

Correct Answer:
codeine

Explanation:
Correct answer:
codeine

Codeine is a drug from natural sources. It is derived from the opium poppy plant. All of the other choices
are synthetic drugs. They are produced in the laboratory and are not naturally occurring.

If you must store a medication at below freezing temperature, in Celsius the temperature should be below
which of the following?

32 C

0 C

-32 C

36.6 C
Correct Answer:
0 C

Explanation:
Correct answer:
0 C

Freezing occurs at 0 C. It occurs at 32 F.

Which of the following statements about viral infections is incorrect?

Symptoms are less severe than in bacterial infections.

They are diseases caused by agents smaller than bacteria.

They are normally spread by direct contact, ingestion of contaminated food and water or inhalation
of airborne particles.
They may be acute, chronic or slow in nature and the infection may be local or generalized.

Correct Answer:
Symptoms are less severe than in bacterial infections.

Explanation:
Correct answer:
Symptoms are less severe than in bacterial infections.

This is the incorrect statement. Symptoms are more severe than in bacterial infections. These symptoms
include malaise, myalgia, headaches, chills and fever.

Schizophrenia is a severe mental illness characterized by persistent, bizarre disturbances in thought


processes for at least 6 months. The type of schizophrenia in which the primary symptoms include
delusions or auditory hallucinations is which of the following?

paranoid schizophrenia
catatonic schizophrenia

undifferentiated schizophrenia

disorganized schizophrenia

Correct Answer:
paranoid schizophrenia

Explanation:
Correct answer:
paranoid schizophrenia

Paranoid schizophrenia is the type of schizophrenia in which the primary symptoms include delusions or
auditory hallucinations. Not all symptoms may be present at one time. Some patients may be able to
function normally at work and engage in relationships and not appear odd or unusual.

A network which allows pharmacists in a retail setting to communicate with other pharmacies of the same
chain is which of the following?

LAN

WAN

MAN

SAN

Correct Answer:
LAN

Explanation:
Correct answer:

LAN

A LAN is a local area network. The LAN allows pharmacists in a retail setting to communicate with other
pharmacies of the same chain. The LAN is also useful within an institutional setting for communication
between the pharmacy and physicians or nurses.

In terms of pharmacy personnel requirements, which of the following statements is least accurate?

Pharmacists must be licensed by the State Board of Pharmacy for the state in which they practice.

Pharmacists must meet specific requirements of licensure to maintain their licenses.

All states require the licensing of pharmacy technicians.

Pharmacy technicians must follow state regulations set by the State Board of Pharmacy.

Correct Answer:
All states require the licensing of pharmacy technicians.

Explanation:
Correct answer:
All states require the licensing of pharmacy technicians.

This is not accurate. Some states (not all) require that a pharmacy technician be licensed by the State
Board of Pharmacy. Pharmacy technicians must follow state regulations set by the Board, which may
include registering with the Board of Pharmacy, becoming certified either by the Pharmacy Technician
Certification Board or the state, and maintaining their certification, which may include continuing
education.

In which stage of prostate cancer has the cancer spread to local areas surrounding the prostate?

Stage 4
Stage 3

Stage 2

Stage 1

Correct Answer:
Stage 3

Explanation:
Correct answer:
Stage 3

In stage 1 of prostate cancer the cancer is present only in the prostate. In stage 2, it is more advanced
but still located within the prostate. In stage 3 the cancer has spread to local areas surrounding the
prostate; and in stage 4 the cancer has spread to the lymph nodes and possibly to other areas including
the liver, lungs, bladder or even the bones.

Which of the following is NOT a characteristic of a transdermal product?

It delivers a controlled dose of medication through the skin.

It results in regulation of drug concentration.

It results in improved patient compliance.

It reaches the bloodstream through the digestive system.

Correct Answer:
It reaches the bloodstream through the digestive system.

Explanation:
Correct answer:
It reaches the bloodstream through the digestive system.

This is not a characteristic of a transdermal product. The transdermal product delivers the medication
through the skin and directly into the bloodstream.

An agent that destroys fungus in known as which of the following?

fungistatic agent

fungicidal agent

facultative anaerobic

none of the above

Correct Answer:
fungicidal agent

Explanation:
Correct answer:
fungicidal agent

A fungicidal agent destroys fungus. A fungistatic agent inhibits fungal growth without destroying the
fungus.

Which of the following tasks is NOT the job responsibility of a pharmacy technician?

dispensing advice

ordering drugs

maintaining inventory records

verifying drug deliveries


Correct Answer:
dispensing advice

Explanation:
Correct answer:
dispensing advice

The job responsibilities of a pharmacy technician include: verifying drug deliveries, storing drugs, rotating
stock, ordering drugs, and maintaining inventory record along with many other tasks. However, pharmacy
technicians cannot counsel or give medical information or advice to patients. This is the job of the
pharmacist.

The National Coordinating Council for Medication Error Reporting and Prevention (NCC MERP) has
categorized specific types of errors and described the consequences of such errors. Which of the
following categories is used for errors that may have contributed to or resulted in the patients death?

category A

category F

category H

category I

Correct Answer:
category I

Explanation:
Correct answer:
category I

The MERP categories range from A to I, with category A being circumstances that have potential for
causing errors. Category I is used for errors that may have contributed to or resulted in the patients
death.
Of the following pieces of legislation, which one is the one that changed reimbursement limits and
mandated drug utilization evaluation, pharmacy patient consultation, and educational outreach programs?

Health Insurance Portability and Accountability Act of 1996

Omnibus Budget Reconciliation Act of 1990

Drug Addiction Treatment Act of 2000

Drug Abuse Control Amendments of 1965

Correct Answer:
Omnibus Budget Reconciliation Act of 1990

Explanation:
Correct answer:
Omnibus Budget Reconciliation Act of 1990

The Omnibus Budget Reconciliation Act of 1990 (OBRA 90) changed reimbursement limits and
mandated drug utilization evaluation, pharmacy patient consultation, and educational outreach programs.
OBRA 1990 gave states permission to create Drug Utilization Review (DUR) boards to manage state
specific drug purchasing and formulary decisions for state purchased health care such as Medicaid
programs, injured workers programs, and state employee benefits.

Using Frieds rule calculate the dosage for a 3 and a half-year-old old child weighing 35 lbs, who needs a
medication which is usually administered to an adult as 2 g. What is the appropriate dosage for this child?

0.56 mg

5.6 mg

56 mg

560 mg
Correct Answer:
560 mg

Explanation:
Correct answer:
560 mg

Frieds rule is a formula used in calculating pediatric dosages based on the childs age in months. Divide
the childs age in months by 150 and multiply the result by the adult dosage. In this case the childs age is
42 months. Divide this by 150 and multiply by 2 g (2000 mg) and the result is 560 mg.

Add the following fractions. What is the result?

3/4 + 2/3 = ?

5/12

5/4

5/3

1 5/12

Correct Answer:
1 5/12

Explanation:
Correct answer:
1 5/12

To add fractions with different denominators, you must first find equivalent fractions with common
denominators. The least common denominator of 4 and 3 is 12. Convert 3/4 to 9/12 and convert 2/3 to
8/12. Add 9 and 8 to get 17 and the answer is 17/12 or 1 5/12.

Which of the following health care reimbursement systems does not allow the pharmacy to make a profit?
acute care

ambulatory care parenteral therapy

cognitive services

community care

Correct Answer:
acute care

Explanation:
Correct answer:
acute care

The acute care system does not allow a pharmacy to make a profit. Pharmacy-related expenses are
incorporated into the per diem hospital charge.

The type of balance that has a capacity of only 60 g and sensitivity to 2 mg is which of the following?

Digital balance/class II

Class A balance

Class III balance

none of the above

Correct Answer:
Class III balance

Explanation:
Correct answer:
Class III balance

A Class III balance is a torsion balance. This type of scale uses a counter-balance to determine the
weight of the substance being measured, and is referred to as a mechanical scale.

Which of the following is an equivalent proportion?

10 : 60 as 40 : 120

15 : 30 as 50 : 1000

22 : 44 as 11 : 22

50 : 150 as 5 : 50

Correct Answer:
22 : 44 as 11 : 22

Explanation:
Correct answer:
22 : 44 as 11 : 22

These ratios are equivalent in proportion. They can both be reduced to the same ratio: 1 : 2 or 1/2.

A child weighs 15.5 lb. His medication is prescribed to be taken as 15 mg/kg/day. What is the appropriate
daily dosage for this patient?

105.7 mg

511.5 mg

205.75 mg

5.115 g
Correct Answer:
105.7 mg

Explanation:
Correct answer:
105.7 mg

The childs weight must first be changed to kilograms. 15.5 lb divided by 2.2 kg per pound gives you a
result of 7.05 kg. This is multiplied by 15 mg to give you a daily dosage for this patient of 105.7 mg.

Each drug is assigned a specific 11-digit number to identify it. The first five numbers identify which of the
following?

drug product

manufacturer

package size

type of packaging

Correct Answer:
manufacturer

Explanation:
Correct answer:
manufacturer

The first five numbers of the drugs 11-digit number identify the manufacturer. The next four numbers
identify the drug product and the final two numbers represent the package size and packaging.

The directions for mixing a 75 mg/5 mL liquid states that when 100 mL of water are added to the contents
of the bottle, the resulting volume is 350 mL. What is the concentration of drug in mg/5 mL if only 50 mL
of water were added?
5,250 mg/5 mL

110 mg/5 mL

300 mg/5 mL

87.5 mg/5 mL

Correct Answer:
87.5 mg/5 mL

Explanation:
Correct answer:
87.5 mg/5 mL

First determine the total mg of drug in the bottle (it is a constant);


75 mg drug /5 mL FV x 350 mL FV = 5,250 mg drug

Next, determine the powder volume for the drug in the bottle:
FV = D + PV
350 mL = 100 mL + PV
350 mL 100 mL = PV = 250 mL

Now determine the volume of the new product (NP):


NP = D + PV
NP = 50 mL + 250 mL = 300 mL

So the new concentration is: Total mg drug in bottle / volume of new product
5250 mg/300 mL = 17.5 mg/mL = 87.5 mg/5 mL

Several factors affect the stability of a drug. Which of the following is one of these factors?

light

air

temperature

all of the above


Correct Answer:
all of the above

Explanation:
Correct answer:
all of the above

Several factors affect the stability of a drug. Among them are light, air, temperature and pH. They affect
the longevity of a drug. Legally, the date given to a pharmacy-prepared product cannot be longer than
any of the ingredients in the product.

Knowledge of Roman numerals is necessary for the pharmacy technician. Convert the number MMDLIV
to an Arabic number. The answer is which of the following?

264

2,554

254

2,064

Correct Answer:
2,554

Explanation:
Correct answer:
2,554

MMDLIV is equivalent to 2,554. In Roman nurmerals, M = 1000, D = 500, L = 50, IV = 4.


Pain or discomfort when digesting food is called:

cholera

dysphagia

dyspepsia

diverticulitis

Correct Answer:
dyspepsia

Explanation:
Correct answer:
dyspepsia

Dyspepsia is pain or discomfort while digesting food. Dysphagia is difficulty in swallowing. Cholera is a
bacterial infection. Diverticulitis is inflammation of the diverticulum located in the colon.

Which of the following types of drugs would be considered a second line drug in the therapy of
depression?

tricyclic antidepressants

serotonin reuptake inhibitors

heterocyclic antidepressants

bupropion

Correct Answer:
tricyclic antidepressants
Explanation:
Correct answer:
tricyclic antidepressants

Tricyclic antidepressants inhibit the reuptake of norepinephrine, dopamine, and serotonin into the
neuronal ending, resulting in increased synaptic concentrations. They are considered second line drugs in
the therapy of depression.

The pharmacy has bought a case of medication for $50. There are 100 tubes of medication in the case.
The medication is marked up by 200%. What is the selling price of each tube of medication?

$1.50

$1.00

$2.50

$0.75

Correct Answer:
$1.50

Explanation:
Correct answer:
$1.50

Each tube costs the pharmacy $0.50 ($50 divided by 100 tubes). The markup is 200% which would be 2 x
$0.50 or $1.00. Add this to the cost of each tube ($0.50) and you get the selling price of each tube ($1.50)

In terms of removing and/or destroying medications, which of the following statements is least accurate?

A DEA Form 41 must be completed at least 2 weeks before the scheduled destruction of controlled
substances.
The destruction of controlled substances must be done in the presence of another individual.
Controlled substances can be returned by any type of institution.

Medication should never be dispensed to a patient if it will expire before the patient is able to
complete the current course of therapy.

Correct Answer:
Controlled substances can be returned by any type of institution.

Explanation:
Correct answer:
Controlled substances can be returned by any type of institution.

This statement is inaccurate. Controlled substances can only be returned by an institution that has a DEA
number. For instance, long-term care facilities cannot return controlled substances.

Which of the following types of insulin has a delayed onset and a long duration?

regular insulin

insulin + zinc

insulin + protamine and zinc

insulin + protamine

Correct Answer:
insulin + protamine and zinc

Explanation:
Correct answer:
insulin + protamine and zinc

Insulin + protamine and zinc has a delayed onset and a long duration. This is termed ultralente insulin.
The pharmacy technician will encounter numerous abbreviations, acronyms, and codes in the pharmacy
setting. The abbreviation aq refers to which of the following?

adverse effect

water

average quantity

acquisition cost

Correct Answer:
water

Explanation:
Correct answer;
water

The abbreviation aq refers to water. The term aqua also refers to water.

Thin glass tubes recommended for the delivery of all volumes less than 5 mL and required for delivering
volumes less than 1 mL in the absence of an appropriate syringe is which of the following?

pipettes

graduated cylinders

volumetric flasks

beakers
Correct Answer:
pipettes

Explanation:
Correct answer:
pipettes

Pipettes are thin glass tubes recommended for the delivery of all volumes less than 5 mL and required for
delivering volumes less than 1 mL in the absence of an appropriate syringe. A rubber pipette bulb is used
to draw liquid into the pipette.

A deficiency of which of the following minerals is most likely to cause decreased vitamin D absorption?

zinc

manganese

selenium

phosphorus

Correct Answer:
zinc

Explanation:
Correct answer:
zinc

Zinc is needed for proper growth and reproduction as well as to help heal wounds. A deficiency in zinc
may cause decreased vitamin D absorption, nausea, hair loss, birth defects, decreased immune response
or decreased sperm count. An overdose of zinc may cause blurred vision, decreased consciousness and
tachycardia.

In addition to taste which of the following is a factor to be considered when choosing an appropriate
flavoring agent?
pH

solubility

stability

all of the above

Correct Answer:
all of the above

Explanation:
Correct answer:
all of the above

Other factors to be considered when choosing an appropriate flavoring agent include stability, solubility,
pH, and the physical properties of the flavors available. Some flavors can negatively affect the
compounded prescription.
Test 14
Which of the following persons/organizations is notified when the manufacturer recalls a medication?

pharmacy

patient

physician of patient

all of the above

Correct Answer:
all of the above

Explanation:
Correct answer:
all of the above

The pharmacy is notified by the manufacturer or wholesaler by mail or fax when a drug is recalled by the
manufacturer. The pharmacy contacts patients who may have received medication. The physician is
notified of recalled medication so that he or she may change the medication order or prescription.

The American Hospital Association (AHA) categorizes hospitals as all but which of the following
categories?

community-based

federal government

doctor-owned

psychiatric
Correct Answer:
doctor-owned

Explanation:
Correct answer:
doctor-owned

The American Hospital Association (AHA) categorizes hospitals as: community-based, federal
government, psychiatric, long-term care, or institutional hospital units. Doctor-owned hospitals are not one
of the categories.

Which of the following statements about refilling prescriptions is true?

Controlled drugs are limited in most states to a maximum of 12 refills within the year.

Standard prescriptions can usually be refilled as many times as the prescriber order within one
year from the date the prescription was written.
C II medications require a new, handwritten prescription after 3 refills.

none of the above

Correct Answer:
Standard prescriptions can usually be refilled as many times as the prescriber order within one
year from the date the prescription was written.

Explanation:
Correct answer:
Standard prescriptions can usually be refilled as many times as the prescriber order within one
year from the date the prescription was written.

This is the true statement. Controlled drugs are limited in most states to a maximum of 5 refills. C II
medications require a new, handwritten prescription for each fill.

Using Frieds rule calculate the dosage for a 3 and a half-year-old old child weighing 35 lbs, who needs a
medication which is usually administered to an adult as 2 gm. What is the appropriate dosage for this
child?
0.56 mg

5.6 mg

56 mg

560 mg

Correct Answer:
560 mg

Explanation:
Correct answer:
560 mg

Frieds rule is a formula used in calculating pediatric dosages based on the childs age in months. Divide
the childs age in months by 150 and multiply the result by the adult dosage. In this case the childs age is
42 months. Divide this by 150 and multiply by 2 gr (2000 mg) and the result is 560 mg.

A drug that is teratogenic is one that can cause which of the following?

elevated blood pressure in pregnant women

congenital malformations

seizures in pregnant women

none of the above

Correct Answer:
congenital malformations

Explanation:
Correct answer:
congenital malformations

The term teratogenic means: causing congenital malformations (birth defects). Teratogenic drugs are
able to disturb the growth and development of an embryo or a fetus.

Which of the following Roman numerals represents the number 2,544?

MDXLIV

MMLXLIV

MMDXLIV

MDDXLIV

Correct Answer:
MMDXLIV

Explanation:
Correct answer:
MMDXLIV

M = 1000; D = 500; XL = 40; and IV = 4. Therefore, MMDXLIV = 2,544.

The price of cough medicine is marked up 50%. If the medicine cost the pharmacy $4.50 per bottle, what
will one bottle be sold for?

$6.75

$9.00

$9.50

$6.95
Correct Answer:
$6.75

Explanation:
Correct answer:
$6.75

A 50% markup is calculated by multiplying the original cost by 50% or 0.5.

$4.50 x 0.5 = $2.25

Add this to the original cost ($2.25 + $4.50) and the result is $6.75.

The provider network in which costs are covered inside but not outside of the network is which of the
following?

POS

PPO

HMO

PBM

Correct Answer:
HMO

Explanation:
Correct answer:
HMO

The HMO is a network of providers who are either employed by the HMO or have signed contracts to
abide by the policies of the HMO. HMOs usually will not cover expenses incurred outside their
participating network.
Which of the following glands of the endocrine system regulates metabolism and energy?

thyroid

thymus

parathyroid

adrenal glands

Correct Answer:
adrenal glands

Explanation:
Correct answer:
adrenal glands

The adrenal glands regulate metabolism and energy. They are chiefly responsible for releasing hormones
in response to stress through the synthesis of corticosteroids such as cortisol and catecholamines such
as epinephrine.

Community-based pharmacies that include chain retail drugstores and grocery store pharmacies are
known as:

institutional pharmacies

ambulatory pharmacies

retail pharmacies

non-institutional pharmacies
Correct Answer:
ambulatory pharmacies

Explanation:
Correct answer:
ambulatory pharmacies

Ambulatory pharmacies are community-based pharmacies that include chain retail drugstores, grocery
store pharmacies, home health care, mail-order facilities and other pharmacies from which patients can
obtain medications without living onsite.

Which of the following is used to measure the functionality of the heart valves?

phototherapy

electrocardiogram

echocardiogram

sphygmomanometer

Correct Answer:
echocardiogram

Explanation:
Correct answer:
echocardiogram

An echocardiogram is used to measure the functionality of the heart valves. An electrocardiogram is used
to measure cardiac rates and rhythms.

The official public standards setting authority for all prescription and OTC medicines and other health care
products manufactured or sold in the United States is which of the following?

Food and Drug Administration

State Board of Pharmacy


The Joint Commission

The United States Pharmacopeia

Correct Answer:
The United States Pharmacopeia

Explanation:
Correct answer:
The United States Pharmacopeia

The United States Pharmacopeia is the official public standards setting authority for all prescription and
OTC medicines and other health care products manufactured or sold in the United States. USP also sets
widely recognized standards for food ingredients and dietary supplements.

State Boards of Pharmacy typically require all of the following EXCEPT:

a minimum amount of counter space

an alarm system to be activated when the pharmacy is not open

a safe for Schedule II medications

a minimum number of personnel

Correct Answer:
a minimum number of personnel

Explanation:
Correct answer:
a minimum number of personnel

This is not a typical requirement of State Boards of Pharmacy. In addition to the other three choices State
Boards of Pharmacy typically require separate refrigerators for refrigerated medications and controlled
substances (must be locked) and a sink with hot and cold water. A pharmacy must be kept clean and
uncluttered.

The rate at which inventory is used, generally expressed in number of days, is which of the following?

reorder point

perpetual inventory

POS system

turnover

Correct Answer:
turnover

Explanation:
Correct answer:
turnover

The turnover rate is the number of days it takes to use the complete stock of an item. Knowing the
turnover rate helps with quality and spoilage issues as well as financial considerations.

You have a 4% solution of a medication. What is the concentration in mg/mL?

4 mg/mL

0.04 mg/mL

40 mg/mL

400 mg/mL
Correct Answer:
40 mg/mL

Explanation:
Correct answer:
40 mg/mL

A 4% solution is 4 g/100 mL. You must convert 4 g to mg (4000 mg) then divide this by 100 mL. This
gives you 40 mg/mL.

A deficiency of which of the following minerals is most likely to cause muscle weakness, lethargy, poor
growth and cardiac disturbance?

iron

zinc

copper

potassium

Correct Answer:
potassium

Explanation:
Correct answer:
potassium

A deficiency of potassium may cause muscle weakness, lethargy, poor growth and cardiac disturbance. It
functions as a cellular transport and supports normal muscle, heart, kidney and nervous system functions.
An overdose of potassium can cause cardiac arrhythmias or cardiac arrest.

The directions for mixing a liquid antibiotic state when 400 mL of water are added to the contents of the
bottle, the resulting volume is 650 mL. What is the powder volume?
105 mL

25 mL

250 mL

15 mL

Correct Answer:
250 mL

Explanation:
Correct answer:
250 mL

The formula to use is:

Final volume = volume of diluent + powder volume.


650 mL = 400 mL + powder volume
650 mL 400 mL = powder volume = 250 mL

Solve the following equation: 4x -12 + 2x = y where x is a variable, and you solve for y. What is y?

4x - 6

4x + 6

6x 12

6x - 8

Correct Answer:
6x 12
Explanation:
Correct answer:
6x - 12

First, combine all of like terms (4x + 2x) 12 = y; 6x 12 = y.

An inert compound believed by the patient to be an active agent is which of the following?

prophylaxis

placebo

panacea

none of the above

Correct Answer:
placebo

Explanation:
Correct answer:
placebo

A placebo is an inert compound believed by the patient to be an active agent. Sometimes patients given a
placebo treatment will have a perceived or actual improvement in a medical condition, a phenomenon
commonly called the placebo effect.

Which of the following gastrointestinal agents is an H2 antagonist?

Prevacid

Nexium

Axid

Prilosec
Correct Answer:
Axid

Explanation:
Correct answer:
Axid

Axid is an H2 antagonist. These types of drugs are indicated for ulcers, gastroesophageal reflux disease
(GERD), upper GI bleeding, and erosive esophagitis. H2 antagonists work by blocking histamine at the
H2 receptors in the stomach.

The highly contagious respiratory disease caused by bacterium Bordetella pertussis is which of the
following?

tuberculosis

whooping cough

influenza

croup

Correct Answer:
whooping cough

Explanation:
Correct answer:
whooping cough

Whooping cough, also known as pertussis, is a highly contagious respiratory disease caused by
bacterium Bordetella pertussis. It results in episodes of coughing ending in inspiration with a loud
whooping sound.
Which of the following levels of controlled substances is used for medicinal purposes and has a high
potential for abuse that leads to severe physical or psychological dependence?

C-I

C-II

C-IV

C-V

Correct Answer:
C-II

Explanation:
Correct answer:
C-II

C-II drugs have a high potential for abuse. They are used for medicinal purposes but abuse may lead to
severe psychological or physical dependence. Examples of this type of drug include: Percocet, Percodan,
Ritalin and Demerol.

Investigational drugs are dispensed for a controlled study only. In terms of investigational drugs, which of
the following statements is least accurate?

Drug manufacturers initiate the process of prescribing investigational drugs by completing the
Investigational Drug Data Form.
The hospital pharmacy must write reports to the drug sponsor.

In controlled studies the investigational drugs are received from the sponsoring company.

Investigational drugs must be kept separately in the pharmacy from other medications.
Correct Answer:
Drug manufacturers initiate the process of prescribing investigational drugs by completing the
Investigational Drug Data Form.

Explanation:
Correct answer:
Drug manufacturers initiate the process of prescribing investigational drugs by completing the
Investigational Drug Data Form.

This statement is not accurate. Physicians initiate the process of prescribing investigational drugs. One
of the parts of this process is completing the Investigational Drug Data Form and returning it to the
pharmacy.

Which of the following is the correct term for the statement of the purposes and goals of an organization?

policy

procedure

organizational plan

mission statement

Correct Answer:
mission statement

Explanation:
Correct answer:
mission statement

A mission statement states the purpose and goals of an organization. It is essentially stating the reasons
for the organizations existence. The mission statement should guide the actions of the organization, spell
out its overall goal, provide a path, and guide decision-making.

Which of the following is NOT a health system pharmacy?


franchise pharmacy

hospital pharmacy

nursing home pharmacy

long-term care facility pharmacy

Correct Answer:
franchise pharmacy

Explanation:
Correct answer:
franchise pharmacy

A franchise pharmacy is not a health system pharmacy. A health system pharmacy is one in a setting in
which patients reside onsite at the facility where the pharmacy is located (such as hospitals, nursing
homes and long-term care facilities).

Add the following numbers: 0.345 +0.345 + 0.31. What is the result?

0.69

1.34

0.990

Correct Answer:
1
Explanation:
Correct Answer:
1

Align all decimals under one another, add a zero to 0.31 and add.

0.345
0.345
0.310
1.000

The result is 1.000 or simply 1.

Convert 7/8 to a decimal. What is the result?

0.125

0.75

0.875

0.125

Correct Answer:
0.875

Explanation:
Correct Answer
0.875

To convert 7/8 to a decimal, divide the numerator by the denominator. 7 divided by 8 = 0.875.

The unexpected reaction to a drug the first time it is given to a patient is known as which of the following?

idiosyncrasy
teratogenicity

carcinogenicity

hepatoxicity

Correct Answer:
idiosyncrasy

Explanation:
Correct answer:
idiosyncrasy

Idiosyncrasy is the unexpected reaction to a drug the first time it is given to a patient. Such reactions are
thought to be caused by genetic characteristics that alter the patients drug metabolizing enzymes.

The gland that secretes melatonin to regulate the sleep-wake cycle is which of the following?

hypothalamus

pineal gland

pituitary gland

thyroid gland

Correct Answer:
pineal gland

Explanation:
Correct answer:
pineal gland
The pineal gland is responsible for the production and secretion of melatonin, a chemical substance that
helps to regulate the sleep-wake cycle. The target tissue of melatonin is the hypothalamus.

Which of the following agents used in the treatment of neoplastic diseases is a mitotic inhibitor?

Cytarabine

Bleomycin

Chlorambucil

Etoposide

Correct Answer:
Etoposide

Explanation:
Correct answer:
Etoposide

Mitosis is the process of cell division that all cells must perform. Etoposide is a mitotic inhibitor that
prevents mitosis at the metaphase stage. The agents used to prevent cellular reproduction are a group of
alkaloids derived from plants.

You have a 100 mL bottle of medication. The prescription is for one teaspoon twice a day. If one
teaspoon equals 5 mL, how many doses are in the bottle?

20

25

10
Correct Answer:
20

Explanation:
Correct answer:
20

5 mL/100 mL = 1 tsp/x
Cross multiply the equation:
100 = 5x
20 = x

If the pharmacy receives an invoice for $200 in which payment is indicated as 2/10 net 30 what will the
pharmacy pay if the invoice is paid within 5 days of receipt?

$180.00

$140.00

$160.00

$196.00

Correct Answer:
$196.00

Explanation:
Correct answer:
$196.00

The term 2/10 net 30 means that if the invoice is paid within 10 days a 2% discount will be given.
Otherwise, the full amount will be due in 30 days. 2% of $200 is $4.00. This means that if the invoice is
paid in 5 days, $196.00 is due.

The pharmacy has an order for a medication that is to be taken 5 mg three times a day for 30 days. The
pharmacy has 2.5 mg tablets. How many of these tablets will be needed to fill this prescription?

150

300

180

90

Correct Answer:
180

Explanation:
Correct answer:
180

180 tablets will be needed. The patient will need two 2.5 mg tablets for each dose 3 times a day. This
means that 6 tablets will be needed each day for 30 days. This amounts to 180 tablets total.

In terms of institutional pharmacies, a pharmacy system that is operated out of one primary location is
called a(n):

satellite pharmacy

outpatient pharmacy

decentralized pharmacy

centralized pharmacy

Correct Answer:
centralized pharmacy
Explanation:
Correct answer:
centralized pharmacy

A centralized pharmacy is operated out of one primary location. All pharmacy-related activities are
performed at this one location and medications are delivered to various patient care units throughout the
facility

Package inserts for drugs that are a necessary component of a drugs labeling is known as which of the
following?

drug schedules

poison control packaging

legal rights notification

monographs

Correct Answer:
monographs

Explanation:
Correct answer:
monographs

Drug monographs, commonly known as package inserts, are a necessary component of a drugs labeling.
The monograph provides all the clinical information required by the FDA. It also lists generic and trade
names, ingredients, dosages, side effects, adverse effects, how the patient should take the medication,
and foods or other drugs to avoid while taking the medication.

Convert the improper fraction 45/20 to a decimal. The correct conversion would be which of the following?

2.50

2.25
2.45

4.25

Correct Answer:
2.25

Explanation:
Correct answer:
2.25

The answer is 2.25. To convert an improper fraction to a decimal, divide the numerator (45) by the
denominator (20). 45 divided by 20 is 2.25.

The term for medications that are used for treatment of diseases or conditions of which there are fewer
than 200,000 cases in the world is which of the following?

sole use drugs

orphan drugs

minimal use drugs

limited therapeutic use drugs

Correct Answer:
orphan drugs

Explanation:
Correct answer:
orphan drugs

Orphan drugs are medications that are used for treatment of diseases or conditions of which there are
fewer than 200,000 cases in the world. The Orphan Drug Act of 1983 provides tax incentives and
exclusive licensing of products for manufacturers to develop and market orphan medications.

Which of the following diseases that causes blindness is characterized by degeneration of the retina and
choroid and is an inherited progressive condition?

cataracts

glaucoma

diabetic retinopathy

retinitis pigmentosa

Correct Answer:
retinitis pigmentosa

Explanation:
Correct answer:

retinitis pigmentosa

Retinitis pigmentosa is a cause of blindness. It is characterized by degeneration of the retina and choroid
and is an inherited progressive condition. Cataracts are cloudiness of the eye lens. Glaucoma is an
increase of intraocular pressure and diabetic retinopathy is a condition in which the blood vessels that
supply the retina grow abnormally and rupture.

Which of the following statements about risk management in the pharmacy is least accurate?

Persons involved in the preparation of sterile products should scrub their hands with an
appropriate antibacterial agent for a predetermined time.
Clean, particulate-free clothing should be worn.

The pharmacy technician should be familiar with USP <823> - Pharmaceutical Compounding -
Sterile Preparations.
Jewelry should not be worn during aseptic technique.

Correct Answer:
The pharmacy technician should be familiar with USP <823> - Pharmaceutical Compounding -
Sterile Preparations.

Explanation:
Correct answer:
The pharmacy technician should be familiar with USP <823> - Pharmaceutical Compounding -
Sterile Preparations.

This is not accurate. The Pharmaceutical Compounding - Sterile Preparations guide is USP <797>. It sets
practice standards to help ensure that compounded sterile preparations are of high quality. USP <823> is
the Radiopharmaceuticals for Positron Emission Tomography-Compounding guide.

Which of the following respiratory agents works by inhibiting inflammatory cells?

mast cell stabilizers

leukotriene inhibitors

bronchodilators

mucolytic agents

Correct Answer:
mast cell stabilizers

Explanation:
Correct answer:
mast cell stabilizers

The method of action of mast cell stabilizers is to inhibit inflammatory cells. Mast cell stabilizers have no
use in an acute respiratory attack. They are used as a prophylaxis.

Which of the following laboratory tests is a test for liver function?

BUN

glucose tolerance test

SGOT

blood gases

Correct Answer:
SGOT

Explanation:
Correct answer:
SGOT

Liver function is measured by means of the activity and levels of serum enzymes. In general, the lower
the levels of liver enzymes, the better. One of the tests for liver function is the serum glutamic oxaloacetic
transaminase (SGOT).

Using Clarks rule calculate the dosage for a 2-year-old child weighing 30 lb who is prescribed a drug
which has a usual adult dosage of 1.25 g. What is the appropriate dosage for this child?

200 mg

20 mg

25 mg

250 mg
Correct Answer:
250 mg

Explanation:
Correct answer:
250 mg

Clarks rule is based on the patients weight expressed in pounds. The childs weight is divided by 150
and the result is multiplied by the adult dose. In this case, the childs weight, 30 lb is divided by 150. The
result is 0.2. This is multiplied by the adult dose of 1250 mg (1.25 g) to give you a pediatric dosage of 250
mg.

The degree to which a drug or other substance becomes available to the target tissue after administration
is which of the following?

half-life

absorption

bioavailabilitiy

bioequivalence

Correct Answer:
bioavailabilitiy

Explanation:
Correct answer:
bioavailability

A drugs bioavailability is the degree to which a drug or other substance becomes available to the target
tissue after administration. This is an important consideration when prescribing drugs and determining
drug dosing intervals.

The directions for mixing a liquid antibiotic state when 200 mL of water are added to the contents of the
bottle, the resulting volume is 300 mL. What is the powder volume?

250 mL

50 mL

100 mL

150 mL

Correct Answer:
100 mL

Explanation:
Correct answer:
100 mL

The formula to use is:

Final volume = volume of diluent + powder volume.


300 mL = 200 mL + powder volume
300 mL 200 mL = powder volume = 100 mL

Diuretics act on the nephron to increase retention of sodium in the urine, decrease the concentrating
ability of the renal medulla, or increase the excretion or water and salts. Which of the following types of
diuretics act at the distal end of the nephron and impair the ability of the kidney to reabsorb chloride into
the body?

loop diuretics

potassium-sparing diuretics

thiazide diuretics

carbonic anhydrase inhibitors


Correct Answer:
thiazide diuretics

Explanation:
Correct answer:
thiazide diuretics

Thiazide diuretics act at the distal end of the nephron and impair the ability of the kidney to reabsorb
chloride (and thus sodium) into the body. As sodium attracts water, this means that water is also retained
in the urine, along with the sodium.

The ratio that measures the number of times on average the inventory sold during the period is which of
the following?

weighted average unit cost

average cost method

days in inventory

inventory turnover rate

Correct Answer:
inventory turnover rate

Explanation:
Correct answer:
inventory turnover rate

The inventory turnover rate is a ratio that measures the number of times on average the inventory sold
during the period. It is computed by dividing the cost of goods sold by the average inventory during the
period.

If the markup of a bottle medication that cost the pharmacy $1.60 per bottle is 250%, what will the
consumer pay for one bottle of this medication?
$2.00

$2.40

$5.60

$10.00

Correct Answer:
$5.60

Explanation:
Correct answer:
$5.60

The markup is 250% times $1.60 (cost of the bottle of medication) or $4.00. Add this to the cost of the
bottle ($1.60) and you get a selling price of $5.60.

How many fluid ounces are in a quart of medication?

16 oz

48 oz

64 oz

32 oz

Correct Answer:
32 oz

Explanation:
Correct answer:
32 oz

There are 32 oz in a quart. This is equivalent to 2 pints or 8 cups.

Multiply 3.5 x 6.7. The result is which of the following?

234.5

2.345

23.45

2345

Correct Answer:
23.45

Explanation:
Correct answer:
23.45

Multiply the numbers as normal (35 x 67 = 2345). After counting the number of decimal places in both
numbers (2), move the decimal point 2 places to the left. The answer is 23.45.

A DAW code of 2 means which of the following?

The physician requires that the prescription be filled exactly as written with no substitution
permitted.
The physician authorized generic substitution and a generic equivalent is available but the patient
refuses the generic substitution.
The physician authorized generic substitution and either the patient accepts the generic or a
generic is not available.
none of the above
Correct Answer:
The physician authorized generic substitution and a generic equivalent is available but the patient
refuses the generic substitution.

Explanation:
Correct answer:
The physician authorized generic substitution and a generic equivalent is available but the patient
refuses the generic substitution.

There are three DAW Code classifications 0, 1 and 2.. A classification of 2 means that the physician
authorized generic substitution and a generic equivalent is available but the patient refuses the generic
substitution.

Which of the following drugs is NOT correctly matched with its mechanism of action (MOA)?

Singulair blocks the effects of leukotrienes

Atrovent inhibits inflammatory cells

Advair stimulates adenylate cyclase and inhibits inflammatory cells

Mucomyst breaks apart glycoprotein

Correct Answer:
Atrovent inhibits inflammatory cells

Explanation:
Correct answer:
Atrovent inhibits inflammatory cells

Atrovent is a bronchodilator. It causes the 2 receptors to relax the smooth muscles, resulting in a
decrease of bronchospasms.

Which of the following drugs is a protease inhibitor?


Celexa

Codeine

Agenerase

Asendin

Correct Answer:
Agenerase

Explanation:
Correct answer:
Agenerase

Agenerase is a protease inhibitor. This type of drug acts by preventing the cleavage of certain HIV protein
precursors, which are necessary for the replication of new viruses.

Convert 12 fluid ounces to mL. The result is which of the following?

3.6 mL

36 mL

360 mL

3600 mL

Correct Answer:
360 mL

Explanation:
Correct answer:
360 mL

There are 30 mL in each fluid ounce. Therefore, there are 360 mL (12 oz. x 30 mL) in 12 oz.

Procardia (nifedipine) is an example of which type of cardiovascular agent?

ACE inhibitor

beta blocker

calcium channel blocker

vasodilator

Correct Answer:
calcium channel blocker

Explanation:
Correct answer:
calcium channel blocker

Procardia (nifedipine) is a calcium channel blocker. Calcium channel blockers are drugs that relax the
heart by reducing heart conduction. Other calcium channel blockers include: Calan (verapamil), Cardizem
(diltiazem), and Norvasc (amlodipine).

A physician requires 10 feet of tubing. Your tubing is measured in meters. How many meters of tubing are
needed?

34.8 m

3.48 m

3.048 m

3.84 m
Correct Answer:
3.048 m

Explanation:
Correct answer:
3.048 m

There are 3.28 feet in a meter. Therefore, to change 10 feet to meters you must divide by 3.28. The result
is 3.048 m.

In terms of sanitation requirements for handling hazardous substances, which of the following would NOT
be proper procedure?

Counting trays should be cleaned with alcohol after every use.

The laminar flow hood should provide an ISO Class 9 clean environment.

Proper hand-washing techniques include washing the hands and arms with hot water and
Betadine.
A separate counting tray should be used for chemotherapeutic agents only.

Correct Answer:
The laminar flow hood should provide an ISO Class 9 clean environment.

Explanation:
Correct answer:
The laminar flow hood should provide an ISO Class 9 clean environment.

This is not required for proper procedure. The laminar flow hood should provide an ISO Class 5 clean
environment. This means that there are no more than 100 particles 0.5 micron or larger per cubic foot of
air.
35% of a $7,500 invoice will be given as a discount if paid within 30 days. What is the amount of the
discount to the pharmacy if paid within that time?

$2625

$262.50

$350

$3500

Correct Answer:
$2625

Explanation:
Correct answer:
$2625

The 35% discount will amount to $2625. The pharmacy will therefore pay only $4875 ($7500 - $2625) to
settle the bill within 30 days.

Which of the following is a disadvantage to using a primary vendor method of purchasing medications?

It requires a dollar-volume commitment from the pharmacy.

It requires more time and resources.

Prices are almost always higher.

The pharmacy cannot expect next-day delivery.


Correct Answer:
It requires a dollar-volume commitment from the pharmacy.

Explanation:
Correct answer:
It requires a dollar-volume commitment from the pharmacy.

Contracting with a primary vendor, such as McKesson has all of the benefits of using a wholesaler, as
well as better pricing and service terms. Primary vendors, however, require a dollar-volume commitment
from the pharmacy and often contractually restrict the pharmacys ability to enter into additional
purchasing agreements.

Which of the following statements regarding counseling for the patient is true?

The pharmacy technician may counsel the patient.

The pharmacy technician may counsel the patient only if the pharmacist in charge allows it.

The pharmacy technician may never provide counseling for a patient.

The pharmacy technician may counsel the patient only if the pharmacist is not available.

Correct Answer:
The pharmacy technician may never provide counseling for a patient.

Explanation:
Correct answer:
The pharmacy technician may never provide counseling for a patient.

Patients should be counseled on all new prescriptions, and at any other time they have a question.
Counseling is beyond the authorized scope of practice for pharmacy technicians. It is reserved only for
pharmacists, without exception.

A recently discovered taste experience which tastes glutamates is which of the following?

umami
bitter

salty

sour

Correct Answer:
umami

Explanation:
Correct answer:
umami

There are now five basic taste experiences: sour, sweet, bitter, salty, and umami. Umami tastes
glutamates and cannot be duplicated by the combination of any of the other four tastes. The human
tongue has receptors for L-glutamate, which is the source of umami flavor. As such, scientists consider
umami to be distinct from saltiness.

Ordering a product shortly before running out of it is known as which of the following?

wholesale purchasing

PAR purchasing
just-in-time ordering

none of the above

Correct Answer:
just-in-time ordering

Explanation:
Correct answer:
just-in-time ordering

Just-in-time ordering is ordering a product shortly before running out of it. The product is shipped to the
pharmacy immediately. The pharmacy will normally receive it the same day or the next business day. This
is a method to keep an inventory low and maximize profit.

If 500 tablets of a medication cost $100, what would 150 tablets cost?

$10.37

$10.67

$30

$15

Correct Answer:
$30

Explanation:
Correct answer:
$30

The problem can be stated as a proportion. 500 tablets is to $100 as 150 tablets is to X.

500/100 = 150/x
500x = 15,000
x = 15,000/500 = 30

The directions for mixing a liquid antibiotic state when 115 mL of water are added to the contents of the
bottle, the resulting volume is 125 mL. What is the powder volume?

10 mL

100 mL

5 mL
35 mL

Correct Answer:
10 mL

Explanation:
Correct answer:
10 mL

The formula to use is:

Final volume = volume of diluent + powder volume.


125 mL = 115 mL + powder volume
125 mL 115 mL = powder volume = 10 mL

Which of the following word parts refers to the urinary bladder?

cyst/o

glomerul/o

nephr/o

ren/o

Correct Answer:
cyst/o

Explanation:
Correct answer:
cyst/o
Cyst/o refers to the urinary bladder. Glomerul/o refers to the glomeruli. Nephr/o and ren/o refer to the
kidneys.

The term for the number of days it takes to use the complete stock of an item is which of the following?

availability rate

turnover rate

spoilage rate

reorder point

Correct Answer:
turnover rate

Explanation:
Correct answer:
turnover rate

The turnover rate is the number of days it takes to use the complete stock of an item. Besides quality and
spoilage issues, there is also a financial consideration. If a suppliers payment terms are thirty days net"
and stock turnover averages less than thirty days, the stock will be sold before the supplier must be paid,
which lowers the cost of the stock.

Which of the following is a cause of atopic dermatitis, an irritation of the skin leading to long-term
inflammation?

poison ivy

exposure to water

adhesives

cosmetics and fragrances


Correct Answer:
exposure to water

Explanation:
Correct answer:
exposure to water

Atopic dermatitis tends to occur in families. It is an irritation of the skin leading to long-term inflammation.
Exposure to water, exposure to environmental irritants, stress, dry skin and temperature can cause atopic
dermatitis. Contact dermatitis is an inflammation of the skin caused by direct contact with an irritant.
Poison ivy, adhesives and cosmetics and fragrances can cause contact dermatitis.

The four critical pieces of data used to do dosage calculations include all but which of the following?

the desired dose as prescribed in a measure of weight

the strength of the drug on hand in a measure of weight

the quantity of the drug on hand as a volume measure

the unknown as a weight

Correct Answer:
the unknown as a weight

Explanation:
Correct answer:
the unknown as a weight

There are four critical pieces of data used to do dosage calculations. They include the first three choices
and the unknown which refers to an unknown volume that should be given to administer the desired
dose; not the weight.

A method of performance appraisal that uses a small number of performance categories, such as very
good, good, adequate and poor and puts a certain proportion of people into each category is which
of the following?

graphic rating scale

paired comparison

ranking

forced distribution

Correct Answer:
forced distribution

Explanation:
Correct answer:
forced distribution

Forced distribution is a method of performance appraisal that uses a small number of performance
categories, such as very good, good, adequate and poor and puts (forces) a certain proportion of
people into each category. It is one of the employee performance evaluation techniques available to
employers.

The class of drug recall concerned with the probability that the use of a product will cause adverse health
events that are temporary or medically reversible is which of the following?

Class I

Class II

Class III

None of the above


Correct Answer:
Class II

Explanation:
Correct answer:

Class II

A Class II drug recall means that the probability exists that the use of a product will cause adverse health
events that are temporary or medically reversible. A Class I recall means that there is a reasonable
probability that use of the product will cause or lead to serious adverse health events or death. A Class III
recall means that use of the product will probably not cause an adverse health event.

Which MERP error category means that there is a potential for causing errors but no errors have been
made?

category A

category B

category H

category I

Correct Answer:
category A

Explanation:
Correct answer:
category A

Category A is used for circumstances that have potential for causing errors but there is no resulting error.
The MERP error categories range form A to I, the final category meaning that error occurred that may
have contributed to or resulted in the patients death.
A set of standards that lowers the possibility of contamination and risk of transmission of infectious
disease is which of the following?

standard operating procedure

ethical standards

standard precautions

moral standards

Correct Answer:
standard precautions

Explanation:
Correct answer:
standard precautions

Standard precautions are practices employed to prevent the transmission of infection and contamination.
They are based on the principle that all blood, body fluids, secretions, excretions (except sweat),
nonintact skin and mucous membranes may contain infectious agents.

If a prescription has the notation gtts. iv this means which of the following?

4 tablets

6 drops

4 drops

9 drops
Correct Answer:
4 drops

Explanation:
Correct answer:
4 drops

Gtts means drops. Gtts. iv = 4 drops.

Divide the following fraction. What is the result?

1/3 6 = ?

1/18

18

1/2

12

Correct Answer:
1/18

Explanation:
Correct answer:
1/18

To divide a fraction by a number, multiply the fraction by the reciprocal of the number. In this case that
would be:1/3 x 1/6 which equals 1/18.

An invoice for $1500 is due in 30 days but a discount of 12.5% is given if the invoice is paid within 10
days. How much should the pharmacy pay if it pays the invoice on day 12?

$1312.50

$1350.00
$1450.00

$1500.00

Correct Answer:
$1500.00

Explanation:
Correct answer:
$1500.00

The invoice is for $1500.00. It was not paid within the discount period but it was paid within the 30 day
period. Therefore the full amount of $1500 must be paid.

Which of the following cephalosporins have mainly a gram positive action, with limited spectrum?

first generation cephalosporins

second generation cephalosporins

third generation cephalosporins

fourth generation cephalosporins

Correct Answer:
first generation cephalosporins

Explanation:
Correct answer:
first generation cephalosporins

First generation cephalosporins have mainly a gram positive action, with limited spectrum. Many are
bacteriostatic. First generation cephalosporins include cephalexin and cephalocin.
Very viscous ointments that do not melt or soften at body temperature are known as which of the
following?

creams

otic preparations

gels

pastes

Correct Answer:
pastes

Explanation:
Correct answer:
pastes

Pastes are stiff, or very viscous, ointments that do not melt or soften at body temperature. They are
intended to be used as protective coverings over the areas where they are applied, such as diaper rash
preparations.

The condition of partial or complete loss of hair from head or body is known as which of the following?

alopecia

folliculitis

milaria

onychomycosis
Correct Answer:
alopecia

Explanation:
Correct answer:
alopecia

Alopecia is a partial or complete loss of hair from head or body. It may result in baldness and the skin
appears white.

Which of the following drugs is a non-narcotic analgesic?

Demerol

Indocin

Codeine

Talwin

Correct Answer:
Indocin

Explanation:
Correct answer:
Indocin

Indocin (indomethacin) is an NSAID. It is non-narcotic. Other NSAIDs include: Motrin, Advil, Nuprin (all
ibuprofen), Toradol (ketorolac), and Dolobid (diflunisal).

All of the following are one of the main sections of a neuron EXCEPT:

cell body
dehydrator

axon

nerve terminal

Correct Answer:
dehydrator

Explanation:
Correct answer:
dehydrator

This is not one of the main parts of a neuron. The four main parts are: the cell body, dendrites, axon and
the nerve terminal. Neurons are the smallest unit of the nervous system.

Exempt narcotics are part of which Schedule of drugs?

Schedule V

Schedule III

Schedule IV

Schedule I

Correct Answer:
Schedule V

Explanation:
Correct answer:
Schedule V

Schedule V drugs have less abuse potential than schedule IV drugs. This Schedule includes exempt
narcotics.

You have an order for a medication to be taken 2 mg once a day for 30 days. You have 1 mg tablets on
hand. How many of these tablets do you need?

15

30

60

90

Correct Answer:
60

Explanation:
Correct answer:
60

You will need 2 of the 1 mg tablets for 30 days. This is 60 tablets. This can be expressed as a proportion
of 2 mg is to 30 tablets as 1 mg is to 60 tablets.

Which of the following is an automated point-of-use storage system for making floor stock items available
to nursing staff?

mobile robot

Pyxis

Baker cell
Homerus

Correct Answer:
Pyxis

Explanation:
Correct answer:
Pyxis

Pyxis (from Cardinal Health) is an automated point-of-use storage system for making floor stock items
available to nursing staff. Servers are connected to a Pyxis server and link hospital billing and information
systems together.

The Medication Administration Record (MAR) is generated from which of the following?

medication order

prescription form

patient profile

none of the above

Correct Answer:
medication order

Explanation:
Correct answer:
medication order

The inpatient medication order is found only in a hospital or institutional pharmacy and serves as the drug
order. It is very detailed, much more so than a retail prescription. From the medication order, the
Medication Administration Record (MAR) is generated.
Which of the following situations would require you to contact the state board of pharmacy or the local
DEA office?

discovering a pattern of prescription abuses

discovering an altered or counterfeited prescription

patient has no photo identification

none of the above

Correct Answer:
discovering a pattern of prescription abuses

Explanation:
Correct answer:
discovering a pattern of prescription abuses

If you discover a pattern of prescription abuses, you should contact the state board of pharmacy or the
local DEA office. If you discover an altered or counterfeited prescription you should contact the local
police.

According to storage temperature definitions, which of the following would be considered a refrigerator
temperature?

any temperature not exceeding 8 C

between 8 C and 15 C

above 0 C

between 2 C and 8 C
Correct Answer:
between 2 C and 8 C

Explanation:
Correct answer:
between 2 C and 8 C

The proper storage temperature for drugs is essential. Refrigerator temperature is considered to be
between 2 C and 8 C.

Of the following terms used concerning parenteral medications, which one means to add enough diluent
or medication to attain the correct amount needed?

qs

NPO

prn

IT

Correct Answer:
qs

Explanation:
Correct answer:
qs

The abbreviation qs means quantity sufficient. It means that a quantity sufficient to attain the correct
amount needed must be used.

Items that are not returnable to the drug manufacturer include all but which of the following?

reconstituted drugs
unexpired drugs that are unlikely to be used

compounded drugs

partially used bottles of medication

Correct Answer:
unexpired drugs that are unlikely to be used

Explanation:
Correct answer:
unexpired drugs that are unlikely to be used

Unexpired drugs that are unlikely to be used may be returned to the manufacturer for a refund. Drugs that
are recalled and damaged stock may also be returned.

Which of the following is NOT an advantage of a liquid form of medication?

It is extremely stable.

It is effective quickly.

It is easier to swallow.

A drug may be available only in liquid form.

Correct Answer:
It is extremely stable.

Explanation:
Correct answer:
It is extremely stable.
A solid dosage form is extremely stable. Some products are not stable in liquid form. This is therefore a
disadvantage to liquid dosage.

Your pharmacy gives a 5% discount on prescriptions to senior citizens who have no prescription
coverage from a third party payer. A prescription normally costs patients $35.00. How much will a senior
citizen, who qualifies for this discount, pay for the prescription?

$17.50

$19.25

$30.00

$33.25

Correct Answer:
$33.25

Explanation:
Correct answer:
$33.25

A prescription that normally is priced at $35.00 and has a 5% discount costs the senior citizen $33.25. 5%
of $35.00 = $1.75 (the discount); and so $35.00 minus the discount of $1.75 means that the senior citizen
pays $33.25.

The law that requires that all medical equipment be tracked and records be maintained is which of the
following?

OBRA

FDA Safe Medical Devices Act of 1990

FDA Modernization Act

none of the above


Correct Answer:
FDA Safe Medical Devices Act of 1990

Explanation:
Correct answer:
FDA Safe Medical Devices Act of 1990

The FDA Safe Medical Devices Act of 1990 requires that all medical devices be tracked. Records must be
maintained for durable medical equipment, such as infusion pumps.

Laws that govern pharmacies and pharmaceuticals are designed to protect the general public, as well as
the individual patient. Which of the following laws guarantees a safe, effective, and unadulterated drug
product that is appropriately labeled and is enforced and governed by the FDA?

Controlled Substances Act

Food, Drug, and Cosmetic Act

Omnibus Budget Reconciliation Act

Federal Hazardous Substances Act

Correct Answer:
Food, Drug, and Cosmetic Act

Explanation:
Correct answer:
Food, Drug, and Cosmetic Act

The Food, Drug, and Cosmetic Act is enforced and governed by the FDA. It guarantees a safe, effective,
and unadulterated drug product that is appropriately labeled. Manufacturers of drugs and drug products
must comply with the regulations and manufacturing standards set by the FDA.
How many mg of drug are in 10 mL of a 1% solution?

1000 mg

100 mg

10,000 mg

5,000 mg

Correct Answer:
100 mg

Explanation:
Correct answer:
100 mg

A 1% solution contains 1 g/ 100 mL or 1000 mg/100 mL. To determine how many mg are in 10 mL of the
solution set up a proportion as follows:

1000 mg/100 mL = x/10 mL


100x = 10,000
x = 10,000/100 = 100 mg

Which of the following statements about security in a pharmacy is not true?

Closed-circuit televisions and hold-up alarm buttons are required.

Motion detectors must be installed and be in working condition.

All pharmacies are required to have a workable alarm service when the pharmacy is closed.

Only licensed pharmacists may dispense a prescription and supervise a pharmacy technician.
Correct Answer:
Closed-circuit televisions and hold-up alarm buttons are required.

Explanation:
Correct answer:
Closed-circuit televisions and hold-up alarm buttons are required.

Closed-circuit televisions and hold-up alarm buttons may be installed. This installation, however, is at the
discretion of the institution.

In the NDC number written as 0046-5461-75 which numbers represent the manufacturer of the drug?

54

61

75

0046

Correct Answer:
0046

Explanation:
Correct answer:
0046

The entire first segment of the NDC identifies the manufacturer or repackager of the drug. In this case the
0046 identifies the manufacturer. All manufacturers and repackaging agencies are required to register
with the FDA and receive a unique identifier number, which must be present on the labels of their
products.

A moveable piece of equipment containing trays of medication and other materials that are used in life-
threatening situations is known as which of the following?
satellite pharmacy

crash cart

stat cart

none of the above

Correct Answer:
crash cart

Explanation:
Correct answer:
crash cart

A moveable cart containing trays of medication, administration sets, oxygen, and other materials that are
used in life-threatening situations is called a crash cart. Another name for this type of cart is a code cart.

Parenteral administration of a drug is which of the following?

oral administration

injection or intravenous administration

sublingual administration

rectal administration

Correct Answer:
injection or intravenous administration

Explanation:
Correct answer:
injection or intravenous administration

Parenteral refers to administering a dosage for systemic effect outside of the enteral routes (orally,
sublingually, rectally). Most commonly the term refers to those medications given by injection or
intravenously, but it can also include intraperitoneal drugs.

Which of the following pharmacy personnel is responsible for performing the drug utilization evaluation?

pharmacy technician

pharmacist

pharmacist intern

pharmacy clerk

Correct Answer:
pharmacist

Explanation:
Correct answer;
pharmacist

The drug utilization evaluation (DUE) is the process by which pharmacists ensure proper medication
utilization. It is an important process in ensuring the correct drug is prescribed for a condition.
Pharmacists must perform this function.

Progestin is the female hormone secreted from day 15 through day 28 of the menstrual cycle. It has many
functions including all but which of the following?

changing the secretions of the cervix

causing lactation

reducing uterine contractility

maintaining the corpus luteum


Correct Answer:
causing lactation

Explanation:
Correct answer:
causing lactation

Progestin does not cause lactation. It stimulates the development of ducts and glands of the breasts
in preparation for lactation.

Which of the following is an improper fraction?

5/2

2/5

2 2/5

5/12

Correct Answer:
5/2

Explanation:
Correct answer:
5/2

The fraction 5/2 is an improper fraction. An improper fraction is one in which the numerator is larger than
the denominator.

In terms of gastrointestinal agents which of the following medications is a coating agent?


Nexium

Prevacid

Gaviscon

Prilosec

Correct Answer:
Gaviscon

Explanation:
Correct answer:
Gaviscon

Gaviscon is a coating agent. It forms a protective coat over an ulcer against gastric acid, pepsin and bile
salts. The other choices are proton pump inhibitors which inhibit the parietal cell adenosine triphosphate
pump.
Test 15
The pharmacy buys a case of cough medicine for $200. There are 25 bottles in the case. What is the cost
of one bottle?

$8

$5

$2

$4

Correct Answer:
$8

Explanation:
Correct answer:
$8

Set up the following equation where x equals the cost of one bottle.

x = cost of case number of bottles in case


x = $200 25
x = $8

Several moral principles concern pharmacy professionals. They are the basis for ethical practice. Which
of these principles involves bringing about good?

beneficence

justice

fidelity

autonomy
Correct Answer:
beneficence

Explanation:
Correct answer:
beneficence

Beneficence is bringing about good. A pharmacy technician is in the position to benefit others that he or
she serves.

The metacarpal veins are located in which of the following?

arm

hand

foot

none of the above

Correct Answer:
hand

Explanation:
Correct answer:
hand

The metacarpal veins are located in the hands. The cephalic vein and the median antebrachial vein are
located in the arm. The dorsalis pedis veins are located in the foot.

Perform the following: 1.23 x 2.33. What is the correct answer?

3.56

2.88
2.8659

2.7659

Correct Answer:
2.8659

Explanation:
Correct Answer:
2.8659

Multiply the numbers as normal 123 x 233 = 28659 and then move the decimal 4 places to the left since
there are a total of four decimal places in the numbers used. The answer is 2.8659.

Add the following fractions. What is the result?

5/12 + 1/12 = ?

1/4

6/24

1/2

17/12

Correct Answer:
1/2

Explanation:
Correct answer:
1/2
To add fractions, if the denominators are the same, as in this case, just add the numerators. The result is
6/12 or 1/2.

Which of the following is most likely to be considered a drawback of purchasing drugs from primary
vendors?

It is much like using a wholesaler.

The service terms are better.

The pricing is better.

It requires a dollar-volume commitment.

Correct Answer:
It requires a dollar-volume commitment.

Explanation:
Correct answer:
It requires a dollar-volume commitment.

Contracting with a prime vendor has all of the benefits of using a wholesaler, as well as better pricing and
service terms. However, prime vendors require a dollar-volume commitment from the pharmacy and often
contractually restrict the pharmacys ability to enter into additional purchasing agreements.

When adding new inventory it is important to place the newest product toward the back of the storage
area so that the older drugs, which are closer to expiration, will be dispensed first. This is called:

LIFO

perpetual inventory

point of sale system

rotation of stock
Correct Answer:
rotation of stock

Explanation:
Correct answer:
rotation of stock

When adding new inventory it is important to place the newest product toward the back of the storage
area so that the older drugs, which are closer to expiration, will be dispensed first. This is called rotation
of stock. It helps to keep drugs from getting too close to their expiration dates before they are dispensed.

A detailed document pertaining to a specific drug that provides all of the clinical information required by
the FDA is which of the following?

MSDS

monograph

manufacturers label

prescription label

Correct Answer:
monograph

Explanation:
Correct answer:
monograph

A monograph, also called a package insert, is a necessary component of a drugs labeling. The
monograph provides all the clinical information required by the FDA. Most monographs are similar in
layout and style.

The pharmacy buys a case of 40 bottles of prescription tablets, each bottle containing 100 tablets. The
cost for the case is $400. What is the cost to the pharmacy of each tablet?

$0.01

$0.10

$1.00

$1.10

Correct Answer:
$0.10

Explanation:
Correct answer:
$0.10

Each case contains 40 bottles of 100 tablets. This is a total of 4,000 tablets. If the case cost the pharmacy
$400, each tablet costs $400 4,000 tablets = $0.10 per tablet.

Calculate the expiration date to be used when repackaging a drug if todays date is December 2011 and
the manufacturers expiration date is April 2013.

April 2012

April 2013

June 2012

June 2013

Correct Answer:
April 2012
Explanation:
Correct answer:
April 2012

The life of a repackaged drug is 6 months or one fourth of the manufacturers expiration date, whichever
is less. In this case one fourth of the expiration date is 4 months:

Dec 2011 to April 2013 = 16 months


16 months divided by 4 = 4 months

Therefore, the expiration date is 4 months from Dec 2011 (the lesser of one fourth of the manufacturers
expiration date and 6 months) making the expiration date April 2012.

A dispersion consists of a solute dispersed through a dispersing vehicle. The dispersion system that is a
two-phase system in which solid particles are dispersed in a liquid vehicle is which of the following?

suspension

emulsion

lotion

gel

Correct Answer:
suspension

Explanation:
Correct answer:
suspension

A suspension is a dispersion system that is a two-phase system in which solid particles are dispersed in a
liquid vehicle. A suspension may be oral, topical or injectable. Suspended material should not settle
rapidly and should pour freely.

The net profit on a prescription that has an acquisition cost of $20.00, a dispensing fee of $4.00, and a
selling price of $50.00 is which of the following?
$36.00

$26.00

$30.00

$16.00

Correct Answer:
$26.00

Explanation:
Correct answer:
$26.00

The net profit is the selling price minus the acquisition cost and the dispensing fee. Subtract $20.00 plus
$4.00 ($24.00) from the selling price of $50.00 and you have a net profit of $26.00.

Which of the following would NOT be a piece of information necessary on a compounding log sheet?

names of ingredients

technicians initials

pharmacists initials

Sig: directions

Correct Answer:
Sig: directions

Explanation:
Correct answer:
Sig: directions

This is not a piece of information that is normally found on a compounding log sheet. It would be
information needed on the medication label, however. The log sheet information is kept on the pharmacy
premises for no less than 3 years from the time the medication was prepared.

A child weighs 16.5 lb. What is his weight in kilograms?

75 kg

0.75 kg

7.5 kg

15 kg

Correct Answer:
7.5 kg

Explanation:
Correct answer:
7.5 kg

There are 2.2 kg in every pound. Therefore if a child weights 16.5 lb, to find his weight in kilograms you
must divide 16.5 lb by 2.2 kg which gives you a result of 7.5 kg.

HIPAA mandates that ever retail pharmacy have an area designated for patient counseling. This area is
designed only for:

patient and pharmacy technician

patient, pharmacy technician and pharmacist

patient and pharmacist

all of the above


Correct Answer:
patient and pharmacist

Explanation:
Correct answer:
patient and pharmacist

The counseling area is only for the pharmacist and patient. Pharmacy technicians are not permitted to
counsel patients. The area should be discrete and offer greater privacy than the general windows.

Which of the following statements is least accurate?

Beakers are used to estimate and mix solutions.

Beakers are used to accurately measure solutions.

Beakers may be glass.

Beakers may be plastic.

Correct Answer:
Beakers are used to accurately measure solutions.

Explanation:
Correct answer:
Beakers are used to accurately measure solutions.

This is the least accurate statement. Beakers are not used to measure solutions. They are used to
estimate and mix solutions.

A portion of the cost of a service or product that a patient pays out of pocket each time it is provided is
called the:

deductible

claim

co-pay

none of the above

Correct Answer:
co-pay

Explanation:
Correct answer:
co-pay

The co-pay is the cost of a service or product that a patient pays out of pocket each time it is provided.
The deductible is a set amount a client pays up front before insurance coverage applies. A claim is simply
a request for reimbursement.

The division of the autonomic nervous system that functions during restful situations is which of the
following?

sympathetic

parasympathetic

somatic

none of the above


Correct Answer:
parasympathetic

Explanation:
Correct answer:
parasympathetic

The parasympathetic nervous system is the division of the autonomic nervous system that functions
during restful situations. The sympathetic nervous system functions during stressful situations.

Which of the following physicians ordering entry systems is an automated bar code medication
packaging system?

Saf-T-Pak

Robot-Rx

Medstation Rx

OmniLink Rx

Correct Answer:
Saf-T-Pak

Explanation:
Correct answer:
Saf-T-Pak

Saf-T-Pak is an automated bar code medication packaging system. It can be used for unit-dose and
multi-dose oral solid medications. It automates the replenishment of decentralized cabinets and the filling
of individual patient medication bins.

In terms of reference books used in a pharmacy, the reference book that is a comprehensive listing of
approved drug products with therapeutic equivalence evaluations provided by the U.S. Food and Drug
Administration is which of the following?

Drug Topics Red Book


Orange Book

Drug Facts and Comparisons

Physicians Desk Reference

Correct Answer:
Orange Book

Explanation:
Correct answer:
Orange Book

The Orange Book is a comprehensive listing of approved drug products with therapeutic equivalence
evaluations provided by the U.S. Food and Drug Administration. This is the book to use for determination
of whether a generic drug is the same as a brand drug. This book is updated annually.

Which of the following labels on prescriptions provides additional information, such as special instructions
or warnings, to the patient?

prescription label

medication order label

auxiliary label

none of the above

Correct Answer:
auxiliary label

Explanation:
Correct answer:
auxiliary label

The auxiliary label provides additional information to the patient. This information includes: special
instructions, warnings, or storage conditions. The auxiliary label may also provide information on the
administration of the drug.

When cleaning a laminar flow hood, which of the following should be cleaned last?

bench

bar

area closest to the filter

top edge of the side to the bottom

Correct Answer:
bench

Explanation:
Correct answer:
bench

The laminar flow hood is wiped down with 70% isopropyl alcohol beginning with the bar, followed by the
sides, and continuing from the area closest to the filter, working outward and wiping from the top edge of
the side to the bottom. The bench is cleaned last by beginning from the back of the bench and wiping
from side to side and moving outward.

Which of the following is NOT a factor that affects drug stability?

dosage form

cost of drug

light

material of the container


Correct Answer:
cost of drug

Explanation:
Correct answer:
cost of drug

The cost of the drug is not a factor that affects drug stability. In addition to the other three choices, the
factors that affect drug stability include: humidity, ingredients used in a compound, temperature, and the
order and method of preparation.

Which of the following is a vertical laminar flow hood used to provide protection for the worker, the work
environment and the drug?

HEPA filter

console hood

bench model

biological safety cabinet

Correct Answer:
biological safety cabinet

Explanation:
Correct answer:
biological safety cabinet

Rather than a horizontal laminar flow hood, a biological safety cabinet is recommended to provide
protection for the worker, the work environment and the drug. Air enters at the top, where it passes
through a pre-filter to remove large contaminants, It then passes through a HEPA filter and is directed
down toward the work surface.
The part of the blood that is involved with blood clotting is which of the following?

red blood cells

white blood cells

plasma

platelets

Correct Answer:
platelets

Explanation:
Correct answer:
platelets

Blood is a mixture of liquid plasma and formed elements. The blood contains red blood cells, white blood
cells, platelets, and plasma. The platelets are involved with blood clotting. Red blood cells contain
hemoglobin to transport O2; white blood cells are involved with fighting infection through the immune
system; and plasma carries water, gases, nutrients, wastes, ions, hormones, and more.

Which is the largest number in this set of numbers (2.30, 2.03, 2.303, 2.039)?

2.30

2.03

2.303

2.039
Correct Answer:
2.303

Explanation:
Correct Answer:
2.303

Reading the numbers we have 2 as a whole number in all the numbers. Looking at the decimals, the
largest number is 303. Therefore, 2.303 is the largest number in the set.

How well a drug passes through natural body barriers such as the skin or stomach is known as the
drugs:

distribution

metabolism

bioavailability

absorption

Correct Answer:
absorption

Explanation:
Correct answer:
absorption

A drugs absorption is how well it passes through natural body barriers such as the skin, stomach,
intestines, blood-brain barrier and other membranous tissues. Some considerations include whether the
barrier is a lipid base or not.

Which of the following statements about Dalton's Atomic Theory is least accurate?
Atoms of a given element are identical in all properties.

Compounds are atoms combined together in a fixed ratio of individual atoms.

Chemical reactions are the rearrangements of atoms to form different compounds in new fixed ratios of
atoms.
All matter is composed of tiny divisible particles called atoms.

Correct Answer:
All matter is composed of tiny divisible particles called atoms.

Explanation:
Correct answer:

All matter is composed of tiny divisible particles called atoms.

This is the least accurate statement. All matter is composed of tiny indivisible particles called atoms.

The pharmacy has bought a case of medication for $250. There are 100 tubes of medication in the case.
The medication is marked up by 200%. What is the selling price of each tube of medication?

$3.75

$7.50

$5.00

$5.75

Correct Answer:
$7.50

Explanation:
Correct answer:
$7.50

Each tube costs the pharmacy $2.50 ($250 divided by 100 tubes). The markup is 200% which would be 2
x $2.50 or $5.00. Add this to the cost of each tube ($2.50) and you get the selling price of each tube
($7.50).

The integumentary system of the body includes all of the following EXCEPT:

epidermis

dermis

muscle tissue

hair

Correct Answer:
muscle tissue

Explanation:
Correct answer:
muscle tissue

Muscle tissue is not a part of the integumentary system. The integumentary system includes the skin,
hair, and nails. This system is the bodys first line of defense, acting as a barrier against disease and
physical hazards.

Intrinsic factor is a substance secreted by the mucous membranes of the stomach and it is essential for
the absorption of which of the following vitamins?

vitamin D

vitamin C

vitamin B12
vitamin K

Correct Answer:
vitamin B12

Explanation:
Correct answer:
vitamin B12

Intrinsic factor is essential for the absorption of vitamin B12. The lack of intrinsic factor leads to deficiency
of vitamin B12. This is less common in people younger than age 30.

The Food and Drug Administration regulates five major areas concerning the safety of over-the-counter
(OTC) medications. Which of the following is NOT one of these areas?

purity

demographics

potency

bioavailability

Correct Answer:
demographics

Explanation:
Correct answer:
demographics

The Food and Drug Administration regulates five major areas concerning the safety of over-the-counter
(OTC) medications. They are: purity, potency, bioavailability, efficacy and safety/toxicity. Demographics is
not one of these five areas.
In terms of transferring prescriptions, which of the following statements is least accurate?

Federal law stipulates that controlled substances may be transferred only two times.

Most state boards of pharmacy prefer to allow transfers of a prescription to occur only one time.

Notation needs to be made both in the patient profile and on the original prescription that the
prescription has been transferred.
A pharmacy technician may fax a prescription to another pharmacy under the supervision of the
pharmacist.

Correct Answer:
Federal law stipulates that controlled substances may be transferred only two times.

Explanation:
Correct answer:
Federal law stipulates that controlled substances may be transferred only two times.

This statement is inaccurate. Federal law stipulates that controlled substances may be transferred only
once. All of the other choices are accurate statements.

In terms of monitoring and screening equipment, which of the following generates very fine particles of
liquid in a gas and is used for inhalation therapy?

nebulizer

peak flow meter

air purifier

steam vaporizer
Correct Answer:
nebulizer

Explanation:
Correct answer:
nebulizer

A nebulizer is a piece of equipment that generates very fine particles of liquid in a gas and is used for
inhalation therapy. A peak flow meter is used to measure and manage asthma. An air purifier removes
dust, pollen, etc. from the room air. A steam vaporizer provides relief for upper respiratory illness.

Which of the following types of pharmacies is least likely to be considered a retail pharmacy?

independently owned neighborhood pharmacy

health-system pharmacy

chain pharmacy

franchise pharmacy

Correct Answer:
health-system pharmacy

Explanation:
Correct answer:
health-system pharmacy

A health-system pharmacy is a classification of pharmacy setting in which patients reside onsite at the
facility where the pharmacy is located, such as in a hospital or long-term care facility. All of the other
choices are retail pharmacies.

If a patients prescription claim is rejected by the insurance company, what should the pharmacy
technician do?

Call the insurance company to find out the reason for the rejection.
Explain to the person whose claim was rejected that he or she must contact the insurance
company to find out the reason for the rejection.
Charge the patient the price he or she would pay with insurance.

none of the above

Correct Answer:
Explain to the person whose claim was rejected that he or she must contact the insurance
company to find out the reason for the rejection.

Explanation:
Correct answer:
Explain to the person whose claim was rejected that he or she must contact the insurance
company to find out the reason for the rejection.

When an insurance claim for a prescription is rejected the patient must contact the insurance company to
resolve the issue. Pharmacy personnel are not permitted to call the patients insurance carrier regarding
these types of inquiries.

You are filling a prescription for one tablet of a medication to be taken 3 times a day for 14 days. How
many tablets do you need to fill this prescription?

14

28

42

56

Correct Answer:
42
Explanation:
Correct answer:
42

If the patient needs 1 tablet three times a day this is a total of 3 tablets per day. Three tablets is to one
day as X tablets is to 14 days.

3/1 = x/14
x = 3 x 14
x = 42

Which of the following is NOT an advantage of a liquid dose?

It is a more accurate dosage form than a solid dose.

The form is uniform and flexible.

It is easier to swallow.

It is effective more quickly than a solid dose.

Correct Answer:
It is a more accurate dosage form than a solid dose.

Explanation:
Correct answer:
It is a more accurate dosage form than a solid dose.

This is incorrect. Inaccurate measuring of a liquid dose may occur more often than with a solid dosage
form.

When cleaning a flow hood or safety cabinet, which of the following actions is least appropriate?

First clean the metal pole used to hang the containers with a suitable disinfectant.

Clean the sides of the hood using up and down motions moving from the back of the hood toward
the front.
Clean the bottom of the hood using side-to-side motions moving from the back of the hood toward
the front.
Use a spray bottle to dispense disinfectant on the HEPA filter.

Correct Answer:
Use a spray bottle to dispense disinfectant on the HEPA filter.

Explanation:
Correct answer:
Use a spray bottle to dispense disinfectant on the HEPA filter.

This is the least appropriate action. If using a spray bottle to dispense the disinfectant, be sure NOT to
spray the HEPA filter.

A ratio is an expression that compares two quantities or measurements. If you need 25 tablets from a
bottle of 500 tablets, what percentage of the 500 tablets do you need?

2.5%

5%

25%

1.25%

Correct Answer:
5%

Explanation:
Correct answer:
5%

A percentage can be determined from the ratio of one thing to another. 25 tablets is to 500 tablets can be
expressed as a fraction of 25/500 which gives you a percentage of (5/100) 5%.

The number system commonly used in the United States is the Arabic system. This system is not always
used by physicians when ordering medications. Instead they may use Roman numerals. Which Roman
numerals would be used to indicate 24?

LLIV

XXIIII

XXIV

XXVI

Correct Answer:
XXIV

Explanation:
Correct answer:
XXIV

XXIV is used to indicate 24. Each X is 10. IV means one (I) less than 5 (V) or 4.

The directions for mixing a liquid medication state when 60 mL of water are added to the contents of the
bottle, the resulting volume is 300 mL. What is the powder volume?

140 mL

240 mL

14 mL

24 mL
Correct Answer:
240 mL

Explanation:
Correct answer:
240 mL

The formula to use is:

Final volume = volume of diluent + powder volume.


300 mL = 60 mL + powder volume
300 mL 60 mL = powder volume = 240 mL

Which of the following is an automated floor dispensing system used in hospital settings?

CADM

BPOE

CPOE

Pyxis

Correct Answer:
Pyxis

Explanation:
Correct answer:
Pyxis

Pyxis is one of the automated floor dispensing systems used in hospital settings. Another floor dispensing
system is SureMed. Both of these are machines that are preloaded with a variety of commonly used
medications located on the nursing floor.

The specific directions for the patient to follow, such as dosage and frequency of dosage is known as
which of the following?

patient profile

SIG code

Rx

none of the above

Correct Answer:
SIG code

Explanation:
Correct answer:
SIG code

The SIG code (or SIG) consists of specific directions provided on the prescription for the patient to follow.
These include dosages, schedule and frequency of administration, and additional instructions.

Which of the following antibiotics is a tetracycline drug?

Monodox

Keflex

Invanz

Dynapen

Correct Answer:
Monodox
Explanation:
Correct answer:
Monodox

There are a number of different antibiotics. They include: sulfonamides; penicillins; cephalosporins;
carbapenems, carbacephems, and monobactams, tetracyclines, macrolides, ketolides; quinolones,
streptogramins, aminoglycosides; cyclic lipopeptides; and other miscellaneous antibiotics. Monodox is a
tetracycline.

Hospital-acquired infections are known as which of the following?

idiosyncratic infections

synergistic infections

nosocomial infections

none of the above

Correct Answer:
nosocomial infections

Explanation:
Correct answer:
nosocomial infections

Nosocomial infections are hospital-acquired infections. All hospitals and other institutions have infection
control specialists who are responsible for the training of staff and patients as well as the investigation of
all cases of hospital-acquired infections.

The type of tablet that is placed between the gums and the cheek for absorption into the bloodstream is
which of the following?

oral

intravenous
sublingual

buccal

Correct Answer:
buccal

Explanation:
Correct answer:
buccal

Buccal tablets are placed between the gums and cheek, where the medication penetrates the mouth
lining and then enters the bloodstream. Buccal agents are an uncommon dosage form.

The nasal cavity has a very large surface area for absorption, and a very rich blood supply. The adult
nasal cavity has a capacity of about:

1 mL

100 mL

50 mL

20 mL

Correct Answer:
20 mL

Explanation:
Correct answer:
20 mL

The adult nasal cavity has a capacity of about 20 mL. The nasal cavity is the cavity behind the nose and
above the roof of the mouth that filters air and moves mucous and inhaled contaminants outward and
away from the lungs.

The area in the muscle where the formulation is injected during an intramuscular injection is called the:

wheal

mucosa

cavity

depot

Correct Answer:
depot

Explanation:
Correct answer:
depot

The depot is the area in the muscle where the formulation is injected during an intramuscular injection.
Absorption from this depot is dependent on many factors such as muscle exercise, particle size of the
drug, and the salt form of the drug used in the formulation.

You must prepare 240 mg of a medication using a pharmacy stock concentration of 20 mg/mL. How
many mL of solution will you need?

12 mL

6 mL

60 mL

120 mL
Correct Answer:
12 mL

Explanation:
Correct answer:
12 mL

20 mg is to 1/ mL as 240 mg is to x. Solve by dividing 240 by 20 and the result is 12 mL for the dose.

In terms of parenteral incompatibilities, which of the following statements is least accurate?

Combining two drugs that require two different pH values for the final solution can cause one or
both drugs to either degrade or precipitate.
Some drugs will start to break down and lose their therapeutic effect if exposed to light.

Many drugs start to degrade shortly after being added to an IV solution

Some drugs are incompatible with plastics in containers or certain administration sets with the
exception of polyvinyl chloride (PVC) plastics.

Correct Answer:
Some drugs are incompatible with plastics in containers or certain administration sets with the
exception of polyvinyl chloride (PVC) plastics.

Explanation:
Correct answer:
Some drugs are incompatible with plastics in containers or certain administration sets with the
exception of polyvinyl chloride (PVC) plastics.

This is inaccurate. Some drugs are incompatible with plastics in containers or certain administration
sets. This is especially true of polyvinyl chloride (PVC) plastics.

Which of the following is the reciprocal of 12?


1/2

1/12

12/1

1/24

Correct Answer:
1/12

Explanation:
Correct answer:
1/12

The reciprocal of a fraction is the number that, when multiplied by the fraction will equal 1. In this case 12
x 1/12 = 1; so 1/12 is the reciprocal of 12.

Under the FDA Modernization Act of 1997, all of the following were made restrictions for pharmacies in
relation to compounding drugs EXCEPT:

Compounded drugs must be prepared in a pharmacy dedicated to compounding and nothing else.

Compounded drugs may be made in limited quantities.

Compounded products must be made from approved ingredients.

The drug product must not be identified by the FDA as a product that presents demonstrable
difficulties for compounding in terms of safety and effectiveness.

Correct Answer:
Compounded drugs must be prepared in a pharmacy dedicated to compounding and nothing else.

Explanation:
Correct answer:
Compounded drugs must be prepared in a pharmacy dedicated to compounding and nothing else.

This is not one of the restrictions of the FDA Modernization Act of 1997. In order to maintain quality
control the repackaging and compounding of pharmaceutical products are subject to regulatory control.
The manner in which the medication is packaged affects both the product inside the package and the
users compliance with following the physicians orders for taking the medication.

The DEA must be notified through the issue of Form 41 for expired controlled substances before
destruction may occur. A copy of this form must be maintained for how long after the destruction of the
controlled substances at the pharmacy site?

a minimum of 1 year

a minimum of 2 years

5 years

10 years

Correct Answer:
a minimum of 2 years

Explanation:
Correct answer:
a minimum of 2 years

A copy of Form 41 must be maintained for a minimum of 2 years after the destruction of controlled
substances at the pharmacy site. The destruction of medications must follow all local, state, and federal
guidelines involving environmental issues, such as burning, flushing, or rinsing.

There is some information that can be obtained from the patient by the pharmacy technician when
accepting a prescription and it can be written on the prescription. An exception to this rule (no information
is allowed to be added) would be a prescription for which of the following drugs?

Demerol

Amoxicillin
Lomotil

Darvocet

Correct Answer:
Demerol

Explanation:
Correct answer:
Demerol

Demerol is a Schedule II drug. For these drugs the prescription must be complete at the time of
acceptance. No information may be added.

A list of drugs that are not normally stocked by the pharmacy is which of the following?

formulary

non-formulary

community formulary

SIG formulary

Correct Answer:
non-formulary

Explanation:
Correct answer:
non-formulary

The non-formulary is the list of drugs that are not normally stocked by the pharmacy. These drugs may
not be covered by an insurance company unless specific conditions are met.
If itraconazole (Sporanox) is prescribed for a patient, which of the following would be a special
consideration?

Avoid any form of alcohol one day before, during and two days after therapy.

Fatty meals should be taken with it.

The oral suspension expires in 14 days.

A cola should be consumed before taking it.

Correct Answer:
A cola should be consumed before taking it.

Explanation:
Correct answer:
A cola should be consumed before taking it.

One of the special considerations for taking the antifungal itraconazole (Sporanox) is that a cola should
be consumed before taking it. Fatty meals should be taken with griseofulvin. Fluconazole suspension
should be refrigerated and expires in 14 days. Avoiding alcohol one day before, during and two days after
therapy is a special consideration for therapy with metronidazole.

Which of the following statements about retention of drug enforcement agency records is correct?

DEA records are maintained for a minimum of 2 years.

DEA records are kept separately from other invoices.

DEA records must be kept readily retrievable.

all of the above


Correct Answer:
all of the above

Explanation:
Correct answer:
all of the above

All of the statements are correct. Readily retrievable means separated from normal business records or
easily identifiable by an asterisk, a red line, or other visual identifier. A red C must be stamped on
Schedule III to V records if they are filed with other invoices. They must be provided to a DEA
representative within 72 hours after request.

An elongated glass container in which the neck is broken off is a(n):

filter needle

heparin lock

needle adapter

ampule

Correct Answer:
ampule

Explanation:
Correct answer:
ampule

An ampule is an elongated glass container in which the neck is broken off. An ampule breaker is the
device used to break the neck of an ampule.

The directions for mixing a liquid antibiotic state when 500 mL of water are added to the contents of the
bottle, the resulting volume is 1250 mL. What is the powder volume?
750 mL

70 mL

1750 mL

1L

Correct Answer:
750 mL

Explanation:
Correct answer:
750 mL

The formula to use is:

Final volume = volume of diluent + powder volume.


1250 mL = 500 mL + powder volume
1250 mL 500 mL = powder volume = 750 mL

A container, usually made of plastic, which holds a single-dose tablet or capsule, is known as which of the
following?

bubble pack

strip pack

daily dose pack

blister pack

Correct Answer:
blister pack
Explanation:
Correct answer:
blister pack

A blister pack is a container, usually made of plastic, which holds a single-dose tablet or capsule. Tablets
and capsules are usually placed in blister packs or strip packs, a strip of heat-sealed packets each
holding one tablet or capsule used in the repackaging process.

Which of the following drugs is a narcotic analgesic?

clonidine

propoxyphene

Esgic

Fiorinal

Correct Answer:
propoxyphene

Explanation:
Correct answer:
propoxyphene

Propoxyphene is the generic name for Darvon which is a narcotic analgesic. Narcotic analgesics are
morphine-like drugs that relieve pain and cause central nervous system depression.

Which of the following treatments is no longer routinely recommended as a treatment for poisoning?

lavage

activated charcoal

antidotes
syrup of ipecac

Correct Answer:
syrup of ipecac

Explanation:
Correct answer:
syrup of ipecac

Syrup of ipecac is no longer routinely recommended by poison experts. Vomiting certain chemicals can
cause burns or seizures.

The maximum amount of payment for a given prescription, determined by the insurer to be a reasonable
price is which of the following?

U&C

MAC

tier cost

none of the above

Correct Answer:
U&C

Explanation:
Correct answer:
U&C

U&C stands for usual and customary cost. This reflects the usual and customary prices for a
prescription within a given geographic area. It helps to determine the maximum allowable cost (MAC) that
an insurer will pay for a given product.
Which of the following drugs is an anti-platelet agent?

Coumadin

Lasix

Plavix

Cardizem

Correct Answer:
Plavix

Explanation:
Correct answer:
Plavix

Plavix is an anti-platelet agent, along with Aggrenox, aspirin, Pletal and Ticlid. Coumadin is an
anticoagulant. Lasix is a diuretic. Cardizem is a calcium channel blocker.

Which of the following is NOT one of the reasons for compounding medications?

The medication is no longer manufactured by the drug company.

The patient requests a compounded drug.

The patient is allergic to a preservative, dye or other additive in the normal drug.

Combining several medications will increase patient compliance.


Correct Answer:
The patient requests a compounded drug.

Explanation:
Correct answer:
The patient requests a compounded drug.

This is not a reason for compounding medications. Besides the other three choices, medications are
compounded because: the medication requires flavorings or additives to make it more palatable; the
patient cannot ingest the normal dosage form; and, a specialized dosage or strength is needed.

Which of the following vitamins is NOT a fat-soluble vitamin?

vitamin B

vitamin K

vitamin D

vitamin E

Correct Answer:
vitamin B

Explanation:
Correct answer:
vitamin B

The B vitamins and vitamin C are water-soluble vitamins. They are not stored in the liver and body fat;
they are excreted through the urine, which is why they need to be replaced daily. Vitamins A, D, E and K
are fat-soluble vitamins which are stored in the liver and fat.

Which of the following is the term for solutions of water-containing oils that have a smell and are volatile?

tinctures
liniments

aromatic waters

elixirs

Correct Answer:
aromatic waters

Explanation:
Correct answer:
aromatic waters

Aromatic waters are solutions of water-containing oils that have a smell and are volatile. They are clear
and free from solid impurities. They possess an odor similar to the plant or volatile substance from which
they are made.

Which of the following over-the-counter (OTC) medications is a proton pump inhibitor?

Prilosec OTC

milk of magnesia

Tums

Pepcid AC

Correct Answer:
Prilosec OTC

Explanation:
Correct answer:
Prilosec OTC
Prilosec OTC is a proton pump inhibitor. Proton pump inhibitors are used primarily in the treatment of
GERD and peptic ulcers.

Red welts that arise on the surface of the skin that are often attributable to an allergic reaction are which
of the following?

antigens

bradykinins

urticaria

contact dermatitis

Correct Answer:
urticaria

Explanation:
Correct answer:
urticaria

Urticaria are red welts that arise on the surface of the skin that are often attributable to an allergic
reaction. They are also known as hives. Urticaria may have nonallergic causes.

If an invoice has credit terms of 2/10 this means which of the following?

2% discount if paid within 10 days of the invoice date

10% discount if paid within 2 weeks of the invoice date

2 weeks to pay or a 10% fee is added to the invoice amount

10 days to pay or a 2% fee is added to the invoice amount


Correct Answer:
2% discount if paid within 10 days of the invoice date

Explanation:
Correct answer:
2% discount if paid within 10 days of the invoice date

Credit terms are terms that specify the amount of cash discount and the time period during which it is
offered. The terms indicate the length of time in which the purchaser is expected to pay the full invoice
price. Credit terms of 2/10 mean a 2% discount if paid within 10 days of the invoice date.

Which of the following reference books is a comprehensive listing of approved drug products with
therapeutic equivalence evaluations that is provided by the FDA?

Drug Topics Red Book

the Orange Book

United States Pharmacopeia-National Formulary


Ident-A-Drug

Correct Answer:
the Orange Book

Explanation:
Correct answer:
the Orange Book

The Orange Book is a comprehensive listing of approved drug products with therapeutic equivalence
evaluations that is provided by the FDA. This is the book to use for determination of whether a generic
drug is the same as a brand drug. Other information includes discontinued drug products, orphan product
designations, and approval lists.
An antipyretic drug is one that reduces which of the following?

coughing reflex

fever

swelling

pain

Correct Answer:
fever

Explanation:
Correct answer:
fever

An antipyretic drug is one that reduces fever. An anti-inflammatory reduces swelling, redness and pain
and promotes healing. An antitussive decreases the coughing reflex of the central nervous system.

Convert the fraction 245/490 to a percentage. What is the result?

50%

0.05%

0.5%

5%

Correct Answer:
50%
Explanation:
Correct answer:
50%

To convert a fraction to a percentage, first divide the numerator by the denominator.

245/490 = 0.5
0.5 x 100 = 50%

Which of the following is the generic name for Accutane?

urokinase

coricotropin

novobiocin

isotretinoin

Correct Answer:
isotretinoin

Explanation:
Correct answer:
isotretinoin

The generic name for Accutane is isotretinoin. Isotretinoin is used to treat severe recalcitrant nodular
acne (a certain type of severe acne) that has not been helped by other treatments, such as antibiotics.
Isotretinoin is in a class of medications called retinoids.

Multiply the following. What is the result?

2 1/2 x 3 1/4 = ?

8 1/8

5 3/4
6 1/4

6 1/8

Correct Answer:
8 1/8

Explanation:
Correct Answer
8 1/8

First convert the mixed numbers into fractions and then simply multiply numerators and then multiply
denominators to obtain the answer. First convert mixed numbers to fractions. 2 1/2 = 5/2 and 3 1/4 =
13/4. Multiply the numerators 5 x 13 = 65 and multiplying denominators 2 x 4 = 8 The result is 65/8
which as a mixed number is 8 1/8.

Advair, Proventil and Ventolin are all examples of medications administered by which of the following
routes?

nasal

intradermal

inhalation

parenteral

Correct Answer:
inhalation

Explanation:
Correct answer:
inhalation
Inhalation is the route of administration for Advair, Proventil, and Ventolin. When the inhalation route of
administration is used, the medication is inhaled though the mouth and directly absorbed into the lungs.
This is effective for lung conditions when immediate relief is needed.

The term for the procedure of deducting drugs or equipment from inventory as it is dispensed is which of
the following?

low inventory method

point of sale method

price optimization method

government ordered method

Correct Answer:
point of sale method

Explanation:
Correct answer:
point of sale method

The point of sale method is one in which the item is deducted from inventory as it is dispensed. In many
situations the item is automatically reordered.

Which of the following routes of administration of a drug is NOT a parenteral route?

buccal

vaginal

sublingual

oral
Correct Answer:
oral

Explanation:
Correct answer:

oral

The oral route of administration is considered an enteral route. The other three choices are all parenteral
routes along with the rectal route. Other parenteral routes include: intraocular, intranasal, dermal,
inhalation, intravenous, intradermal, subcutaneous and intramuscular.

Another name for the subcutaneous layer of the skin is which of the following?

dermis

epidermis

hyperdermis

hypodermis

Correct Answer:
hypodermis

Explanation:
Correct answer:
hypodermis

The subcutaneous layer of skin lies below the dermis. It is also known as the hypodermis.
Which of the following is the correct term for when a carrier protein permits specific molecules, such as
glucose, to pass through certain parts of the cells?

distribution

passive diffusion

facilitated diffusion

active transport

Correct Answer:
facilitated diffusion

Explanation:
Correct answer:
facilitated diffusion

All cells in the human body have specialized transport mechanisms by which all materials, including
pharmaceuticals, are moved into and out of the cells. In facilitated diffusion, a carrier protein permits
specific molecules, such as glucose, to pass through certain parts of the cells.

If a customer pays $20 for a prescription the cost the pharmacy $5, what is the markup on this
prescription?

100%

200%

150%

300%
Correct Answer:
300%

Explanation:
Correct answer:
300%

(20 5)/5 (cost) x 100 = x (markup %)


15/5 x 100 = 300
Markup is 300%

Convert 10 tsp. to milliliters. The result is which of the following?

5 mL

50 mL

0.5 mL

500 mL

Correct Answer:
50 mL

Explanation:
Correct answer:
50 mL

One teaspoon equals 5 mL. Therefore 10 tsp. equals 10 x 5 or 50 mL.

In terms of the information required to be present on the prescription at the time of acceptance, which of
the following would NOT be one of these requirements?

address and telephone number of the patient

date of issue of the prescription


instructions for dosage

authorization to dispense a substitution, when applicable

Correct Answer:
address and telephone number of the patient

Explanation:
Correct answer:
address and telephone number of the patient

The address and telephone number of the patient is not required information to be present on the
prescription at the time of acceptance. It is information to be added to the prescription form when it is
accepted. This is used to identify the patient and assist in medication recalls.

Which of the following drugs is used for treatment of depression?

terbinafine

miconazole

nystatin

sertraline

Correct Answer:
sertraline

Explanation:
Correct answer:
sertraline

Sertraline (Zoloft) is an SSRI that is used to treat depression. It blocks the reuptake of serotonin. The
other choices are all antifungal agents.

The minimum set amount of stock that needs to be kept on hand is known as which of the following?

periodic automatic replacement

inventory

minimum inventory

replacement inventory

Correct Answer:
periodic automatic replacement

Explanation:
Correct answer:
periodic automatic replacement

Periodic automatic replacement (PAR) is the minimum set amount of stock that needs to be kept on hand.
All departments have PAR levels. Stock is normally ordered on preprinted sheets that list the PAR level
and have a space for entering the amount of medication needed to generate the PAR level.

The process of eliminating extra hydrogen ions through the urine is called:

tubular secretion

tubular absorption

acidification

osmosis
Correct Answer:
acidification

Explanation:
Correct answer:
acidification

Acidification is the process of eliminating extra hydrogen ions through the urine. This is why urine has an
acid content between a pH of 4 and 5.

An inert compound believed by the patient to be an active agent is which of the following?

synthetic medicine

prophylactic

placebo

homeopathic medicine

Correct Answer:
placebo

Explanation:
Correct answer:
placebo

An inert compound believed by the patient to be an active agent is a placebo. A placebos ability to help a
patient recover from illness or to decrease pain is based on the power of the patients belief that the
medication was effective (the placebo effect).

In terms of counseling on new prescriptions or at any other time, which of the following statements is least
accurate?
Pharmacy technicians may do counseling under special circumstances.

Counseling is professional, clinical advice given to patients.

Pharmacy technicians may alert the pharmacist to the need to counsel on new medications.

Counseling can pertain to OTC medications as well as to prescriptions medications.

Correct Answer:
Pharmacy technicians may do counseling under special circumstances.

Explanation:
Correct answer:
Pharmacy technicians may do counseling under special circumstances.

This statement is inaccurate. Counseling is beyond the authorized scope of practice for pharmacy
technicians. It is reserved for pharmacists only without exception.

Express 25.5% as a decimal. What is the correct answer?

2.55

0.255

0.0255

0.00255

Correct Answer:
0.255

Explanation:
Correct answer:
0.255

To convert the percentage to decimal form divide 25.5 by 100. The result is 0.255.

The directions for mixing a liquid medication state when 25 mL of water are added to the contents of the
bottle, the resulting volume is 100 mL. What is the powder volume?

75 mL

125 mL

50 mL

25 mL

Correct Answer:
75 mL

Explanation:
Correct answer:
75 mL

The formula to use is:

Final volume = volume of diluent + powder volume.


100 mL = 25 mL + powder volume
100 mL 25mL = powder volume = 75 mL

A hospital pharmacy is responsible for the distribution and control of investigational drugs. This includes
all of the following tasks EXCEPT:

procurement

administering to patient

storage

packaging
Correct Answer:
administering to patient

Explanation:
Correct answer:
administering to patient

The hospital pharmacy is not responsible for the administration of the medication to patients in the study.
It is responsible for procurement, storage, inventory management, packaging, labeling, distribution, and
disposition of unused drugs.

Which of the following is the largest liquid measurement?

32 fl oz

32 tbsp

64 tsp

1 pt

Correct Answer:
32 fl oz

Explanation:
Correct answer:
32 fl oz

32 fl oz is the largest liquid measurement of the choices. It is equivalent to 192 tsp or 64 tbsp or 4 cups or
2 pt or 1 qt.
A child weighs 55 lb. what is his weight in kilograms?

22.5 kg

25 kg

2.5 kg

22.2 kg

Correct Answer:
25 kg

Explanation:
Correct answer:
25 kg

There are 2.2 kg in every pound. Therefore if a child weighs 55 lb, to find his weight in kilograms you
must divide 55 lb by 2.2 kg which gives you a result of 25 kg.

If a prescription has the notation Tabs. no. XXXI this means which of the following?

31 tablets

301 tablets

29 tablets

1,001 tablets

Correct Answer:
31 tablets
Explanation:
Correct answer:
31 tablets

Tabs. no. XXXI means 31 tablets. Tabs. stands for tablets; and XXXI is 31.

A mixture of two or more unblendable liquids is called a(n):

elixir

emulsion

syrup

suspension

Correct Answer:
emulsion

Explanation:
Correct answer:
emulsion

An emulsion is a mixture of two or more unblendable liquids. In an emulsion one liquid is dispersed
throughout the other. They are fairly unstable so emulsifiers are often added to improve stability and
dispersion.

An area of the pharmacy in which there are no more than 100 particles 0.5 micron or larger per cubic foot
of air is which of the following?

ISO Class 5

ISO Class 3

ISO Class 7

ISO Class 9
Correct Answer:
ISO Class 5

Explanation:
Correct answer:

ISO Class 5

The ISO Class 5 area is one in which there are no more than 100 particles 0.5 micron or larger per cubic
foot of air. This area was formerly known as a Class 100 Area.

A large-volume parenteral (LVP) has a volume of:

greater than 50 mL

greater than 100 mL

50 100 mL

less than 100 mL

Correct Answer:
greater than 100 mL

Explanation:
Correct answer:
greater than 100 mL

A large-volume parenteral (LVP) has a volume of greater than 100 mL. A small-volume parenteral
contains a volume of 100 mL or less. A minibag contains volumes between 50 and 100 mL.
There are some physicians who use cubic centimeter (cc) as a volume. 3 cc is equivalent to how many
mL?

3 mL

3000 mL

0.003 mL

300 mL

Correct Answer:
3 mL

Explanation:
Correct answer:
3 mL

One cubic centimeter is equal to one milliliter. Therefore, 3 cc is equal to 3 mL.

Which of the following represents 296 in Roman numerals?

xxcvi

XXCVI

ccxcvi

CCDXXXXVI

Correct Answer:
ccxcvi
Explanation:
Correct answer:
ccxcvi

This correctly represents 296 in Roman numerals. The numerals may be in lower case letters. cc= 200;
xc= 90; and vi=6.
Test 15
The pharmacy buys a case of cough medicine for $200. There are 25 bottles in the case. What is the cost
of one bottle?

$8

$5

$2

$4

Correct Answer:
$8

Explanation:
Correct answer:
$8

Set up the following equation where x equals the cost of one bottle.

x = cost of case number of bottles in case


x = $200 25
x = $8

Several moral principles concern pharmacy professionals. They are the basis for ethical practice. Which
of these principles involves bringing about good?

beneficence

justice

fidelity

autonomy
Correct Answer:
beneficence

Explanation:
Correct answer:
beneficence

Beneficence is bringing about good. A pharmacy technician is in the position to benefit others that he or
she serves.

The metacarpal veins are located in which of the following?

arm

hand

foot

none of the above

Correct Answer:
hand

Explanation:
Correct answer:
hand

The metacarpal veins are located in the hands. The cephalic vein and the median antebrachial vein are
located in the arm. The dorsalis pedis veins are located in the foot.

Perform the following: 1.23 x 2.33. What is the correct answer?

3.56

2.88
2.8659

2.7659

Correct Answer:
2.8659

Explanation:
Correct Answer:
2.8659

Multiply the numbers as normal 123 x 233 = 28659 and then move the decimal 4 places to the left since
there are a total of four decimal places in the numbers used. The answer is 2.8659.

Add the following fractions. What is the result?

5/12 + 1/12 = ?

1/4

6/24

1/2

17/12

Correct Answer:
1/2

Explanation:
Correct answer:
1/2
To add fractions, if the denominators are the same, as in this case, just add the numerators. The result is
6/12 or 1/2.

Which of the following is most likely to be considered a drawback of purchasing drugs from primary
vendors?

It is much like using a wholesaler.

The service terms are better.

The pricing is better.

It requires a dollar-volume commitment.

Correct Answer:
It requires a dollar-volume commitment.

Explanation:
Correct answer:
It requires a dollar-volume commitment.

Contracting with a prime vendor has all of the benefits of using a wholesaler, as well as better pricing and
service terms. However, prime vendors require a dollar-volume commitment from the pharmacy and often
contractually restrict the pharmacys ability to enter into additional purchasing agreements.

When adding new inventory it is important to place the newest product toward the back of the storage
area so that the older drugs, which are closer to expiration, will be dispensed first. This is called:

LIFO

perpetual inventory

point of sale system

rotation of stock
Correct Answer:
rotation of stock

Explanation:
Correct answer:
rotation of stock

When adding new inventory it is important to place the newest product toward the back of the storage
area so that the older drugs, which are closer to expiration, will be dispensed first. This is called rotation
of stock. It helps to keep drugs from getting too close to their expiration dates before they are dispensed.

A detailed document pertaining to a specific drug that provides all of the clinical information required by
the FDA is which of the following?

MSDS

monograph

manufacturers label

prescription label

Correct Answer:
monograph

Explanation:
Correct answer:
monograph

A monograph, also called a package insert, is a necessary component of a drugs labeling. The
monograph provides all the clinical information required by the FDA. Most monographs are similar in
layout and style.

The pharmacy buys a case of 40 bottles of prescription tablets, each bottle containing 100 tablets. The
cost for the case is $400. What is the cost to the pharmacy of each tablet?

$0.01

$0.10

$1.00

$1.10

Correct Answer:
$0.10

Explanation:
Correct answer:
$0.10

Each case contains 40 bottles of 100 tablets. This is a total of 4,000 tablets. If the case cost the pharmacy
$400, each tablet costs $400 4,000 tablets = $0.10 per tablet.

Calculate the expiration date to be used when repackaging a drug if todays date is December 2011 and
the manufacturers expiration date is April 2013.

April 2012

April 2013

June 2012

June 2013

Correct Answer:
April 2012
Explanation:
Correct answer:
April 2012

The life of a repackaged drug is 6 months or one fourth of the manufacturers expiration date, whichever
is less. In this case one fourth of the expiration date is 4 months:

Dec 2011 to April 2013 = 16 months


16 months divided by 4 = 4 months

Therefore, the expiration date is 4 months from Dec 2011 (the lesser of one fourth of the manufacturers
expiration date and 6 months) making the expiration date April 2012.

A dispersion consists of a solute dispersed through a dispersing vehicle. The dispersion system that is a
two-phase system in which solid particles are dispersed in a liquid vehicle is which of the following?

suspension

emulsion

lotion

gel

Correct Answer:
suspension

Explanation:
Correct answer:
suspension

A suspension is a dispersion system that is a two-phase system in which solid particles are dispersed in a
liquid vehicle. A suspension may be oral, topical or injectable. Suspended material should not settle
rapidly and should pour freely.

The net profit on a prescription that has an acquisition cost of $20.00, a dispensing fee of $4.00, and a
selling price of $50.00 is which of the following?
$36.00

$26.00

$30.00

$16.00

Correct Answer:
$26.00

Explanation:
Correct answer:
$26.00

The net profit is the selling price minus the acquisition cost and the dispensing fee. Subtract $20.00 plus
$4.00 ($24.00) from the selling price of $50.00 and you have a net profit of $26.00.

Which of the following would NOT be a piece of information necessary on a compounding log sheet?

names of ingredients

technicians initials

pharmacists initials

Sig: directions

Correct Answer:
Sig: directions

Explanation:
Correct answer:
Sig: directions

This is not a piece of information that is normally found on a compounding log sheet. It would be
information needed on the medication label, however. The log sheet information is kept on the pharmacy
premises for no less than 3 years from the time the medication was prepared.

A child weighs 16.5 lb. What is his weight in kilograms?

75 kg

0.75 kg

7.5 kg

15 kg

Correct Answer:
7.5 kg

Explanation:
Correct answer:
7.5 kg

There are 2.2 kg in every pound. Therefore if a child weights 16.5 lb, to find his weight in kilograms you
must divide 16.5 lb by 2.2 kg which gives you a result of 7.5 kg.

HIPAA mandates that ever retail pharmacy have an area designated for patient counseling. This area is
designed only for:

patient and pharmacy technician

patient, pharmacy technician and pharmacist

patient and pharmacist

all of the above


Correct Answer:
patient and pharmacist

Explanation:
Correct answer:
patient and pharmacist

The counseling area is only for the pharmacist and patient. Pharmacy technicians are not permitted to
counsel patients. The area should be discrete and offer greater privacy than the general windows.

Which of the following statements is least accurate?

Beakers are used to estimate and mix solutions.

Beakers are used to accurately measure solutions.

Beakers may be glass.

Beakers may be plastic.

Correct Answer:
Beakers are used to accurately measure solutions.

Explanation:
Correct answer:
Beakers are used to accurately measure solutions.

This is the least accurate statement. Beakers are not used to measure solutions. They are used to
estimate and mix solutions.

A portion of the cost of a service or product that a patient pays out of pocket each time it is provided is
called the:

deductible

claim

co-pay

none of the above

Correct Answer:
co-pay

Explanation:
Correct answer:
co-pay

The co-pay is the cost of a service or product that a patient pays out of pocket each time it is provided.
The deductible is a set amount a client pays up front before insurance coverage applies. A claim is simply
a request for reimbursement.

The division of the autonomic nervous system that functions during restful situations is which of the
following?

sympathetic

parasympathetic

somatic

none of the above


Correct Answer:
parasympathetic

Explanation:
Correct answer:
parasympathetic

The parasympathetic nervous system is the division of the autonomic nervous system that functions
during restful situations. The sympathetic nervous system functions during stressful situations.

Which of the following physicians ordering entry systems is an automated bar code medication
packaging system?

Saf-T-Pak

Robot-Rx

Medstation Rx

OmniLink Rx

Correct Answer:
Saf-T-Pak

Explanation:
Correct answer:
Saf-T-Pak

Saf-T-Pak is an automated bar code medication packaging system. It can be used for unit-dose and
multi-dose oral solid medications. It automates the replenishment of decentralized cabinets and the filling
of individual patient medication bins.

In terms of reference books used in a pharmacy, the reference book that is a comprehensive listing of
approved drug products with therapeutic equivalence evaluations provided by the U.S. Food and Drug
Administration is which of the following?

Drug Topics Red Book


Orange Book

Drug Facts and Comparisons

Physicians Desk Reference

Correct Answer:
Orange Book

Explanation:
Correct answer:
Orange Book

The Orange Book is a comprehensive listing of approved drug products with therapeutic equivalence
evaluations provided by the U.S. Food and Drug Administration. This is the book to use for determination
of whether a generic drug is the same as a brand drug. This book is updated annually.

Which of the following labels on prescriptions provides additional information, such as special instructions
or warnings, to the patient?

prescription label

medication order label

auxiliary label

none of the above

Correct Answer:
auxiliary label

Explanation:
Correct answer:
auxiliary label

The auxiliary label provides additional information to the patient. This information includes: special
instructions, warnings, or storage conditions. The auxiliary label may also provide information on the
administration of the drug.

When cleaning a laminar flow hood, which of the following should be cleaned last?

bench

bar

area closest to the filter

top edge of the side to the bottom

Correct Answer:
bench

Explanation:
Correct answer:
bench

The laminar flow hood is wiped down with 70% isopropyl alcohol beginning with the bar, followed by the
sides, and continuing from the area closest to the filter, working outward and wiping from the top edge of
the side to the bottom. The bench is cleaned last by beginning from the back of the bench and wiping
from side to side and moving outward.

Which of the following is NOT a factor that affects drug stability?

dosage form

cost of drug

light

material of the container


Correct Answer:
cost of drug

Explanation:
Correct answer:
cost of drug

The cost of the drug is not a factor that affects drug stability. In addition to the other three choices, the
factors that affect drug stability include: humidity, ingredients used in a compound, temperature, and the
order and method of preparation.

Which of the following is a vertical laminar flow hood used to provide protection for the worker, the work
environment and the drug?

HEPA filter

console hood

bench model

biological safety cabinet

Correct Answer:
biological safety cabinet

Explanation:
Correct answer:
biological safety cabinet

Rather than a horizontal laminar flow hood, a biological safety cabinet is recommended to provide
protection for the worker, the work environment and the drug. Air enters at the top, where it passes
through a pre-filter to remove large contaminants, It then passes through a HEPA filter and is directed
down toward the work surface.
The part of the blood that is involved with blood clotting is which of the following?

red blood cells

white blood cells

plasma

platelets

Correct Answer:
platelets

Explanation:
Correct answer:
platelets

Blood is a mixture of liquid plasma and formed elements. The blood contains red blood cells, white blood
cells, platelets, and plasma. The platelets are involved with blood clotting. Red blood cells contain
hemoglobin to transport O2; white blood cells are involved with fighting infection through the immune
system; and plasma carries water, gases, nutrients, wastes, ions, hormones, and more.

Which is the largest number in this set of numbers (2.30, 2.03, 2.303, 2.039)?

2.30

2.03

2.303

2.039
Correct Answer:
2.303

Explanation:
Correct Answer:
2.303

Reading the numbers we have 2 as a whole number in all the numbers. Looking at the decimals, the
largest number is 303. Therefore, 2.303 is the largest number in the set.

How well a drug passes through natural body barriers such as the skin or stomach is known as the
drugs:

distribution

metabolism

bioavailability

absorption

Correct Answer:
absorption

Explanation:
Correct answer:
absorption

A drugs absorption is how well it passes through natural body barriers such as the skin, stomach,
intestines, blood-brain barrier and other membranous tissues. Some considerations include whether the
barrier is a lipid base or not.

Which of the following statements about Dalton's Atomic Theory is least accurate?
Atoms of a given element are identical in all properties.

Compounds are atoms combined together in a fixed ratio of individual atoms.

Chemical reactions are the rearrangements of atoms to form different compounds in new fixed ratios of
atoms.
All matter is composed of tiny divisible particles called atoms.

Correct Answer:
All matter is composed of tiny divisible particles called atoms.

Explanation:
Correct answer:

All matter is composed of tiny divisible particles called atoms.

This is the least accurate statement. All matter is composed of tiny indivisible particles called atoms.

The pharmacy has bought a case of medication for $250. There are 100 tubes of medication in the case.
The medication is marked up by 200%. What is the selling price of each tube of medication?

$3.75

$7.50

$5.00

$5.75

Correct Answer:
$7.50

Explanation:
Correct answer:
$7.50

Each tube costs the pharmacy $2.50 ($250 divided by 100 tubes). The markup is 200% which would be 2
x $2.50 or $5.00. Add this to the cost of each tube ($2.50) and you get the selling price of each tube
($7.50).

The integumentary system of the body includes all of the following EXCEPT:

epidermis

dermis

muscle tissue

hair

Correct Answer:
muscle tissue

Explanation:
Correct answer:
muscle tissue

Muscle tissue is not a part of the integumentary system. The integumentary system includes the skin,
hair, and nails. This system is the bodys first line of defense, acting as a barrier against disease and
physical hazards.

Intrinsic factor is a substance secreted by the mucous membranes of the stomach and it is essential for
the absorption of which of the following vitamins?

vitamin D

vitamin C

vitamin B12
vitamin K

Correct Answer:
vitamin B12

Explanation:
Correct answer:
vitamin B12

Intrinsic factor is essential for the absorption of vitamin B12. The lack of intrinsic factor leads to deficiency
of vitamin B12. This is less common in people younger than age 30.

The Food and Drug Administration regulates five major areas concerning the safety of over-the-counter
(OTC) medications. Which of the following is NOT one of these areas?

purity

demographics

potency

bioavailability

Correct Answer:
demographics

Explanation:
Correct answer:
demographics

The Food and Drug Administration regulates five major areas concerning the safety of over-the-counter
(OTC) medications. They are: purity, potency, bioavailability, efficacy and safety/toxicity. Demographics is
not one of these five areas.
In terms of transferring prescriptions, which of the following statements is least accurate?

Federal law stipulates that controlled substances may be transferred only two times.

Most state boards of pharmacy prefer to allow transfers of a prescription to occur only one time.

Notation needs to be made both in the patient profile and on the original prescription that the
prescription has been transferred.
A pharmacy technician may fax a prescription to another pharmacy under the supervision of the
pharmacist.

Correct Answer:
Federal law stipulates that controlled substances may be transferred only two times.

Explanation:
Correct answer:
Federal law stipulates that controlled substances may be transferred only two times.

This statement is inaccurate. Federal law stipulates that controlled substances may be transferred only
once. All of the other choices are accurate statements.

In terms of monitoring and screening equipment, which of the following generates very fine particles of
liquid in a gas and is used for inhalation therapy?

nebulizer

peak flow meter

air purifier

steam vaporizer
Correct Answer:
nebulizer

Explanation:
Correct answer:
nebulizer

A nebulizer is a piece of equipment that generates very fine particles of liquid in a gas and is used for
inhalation therapy. A peak flow meter is used to measure and manage asthma. An air purifier removes
dust, pollen, etc. from the room air. A steam vaporizer provides relief for upper respiratory illness.

Which of the following types of pharmacies is least likely to be considered a retail pharmacy?

independently owned neighborhood pharmacy

health-system pharmacy

chain pharmacy

franchise pharmacy

Correct Answer:
health-system pharmacy

Explanation:
Correct answer:
health-system pharmacy

A health-system pharmacy is a classification of pharmacy setting in which patients reside onsite at the
facility where the pharmacy is located, such as in a hospital or long-term care facility. All of the other
choices are retail pharmacies.

If a patients prescription claim is rejected by the insurance company, what should the pharmacy
technician do?

Call the insurance company to find out the reason for the rejection.
Explain to the person whose claim was rejected that he or she must contact the insurance
company to find out the reason for the rejection.
Charge the patient the price he or she would pay with insurance.

none of the above

Correct Answer:
Explain to the person whose claim was rejected that he or she must contact the insurance
company to find out the reason for the rejection.

Explanation:
Correct answer:
Explain to the person whose claim was rejected that he or she must contact the insurance
company to find out the reason for the rejection.

When an insurance claim for a prescription is rejected the patient must contact the insurance company to
resolve the issue. Pharmacy personnel are not permitted to call the patients insurance carrier regarding
these types of inquiries.

You are filling a prescription for one tablet of a medication to be taken 3 times a day for 14 days. How
many tablets do you need to fill this prescription?

14

28

42

56

Correct Answer:
42
Explanation:
Correct answer:
42

If the patient needs 1 tablet three times a day this is a total of 3 tablets per day. Three tablets is to one
day as X tablets is to 14 days.

3/1 = x/14
x = 3 x 14
x = 42

Which of the following is NOT an advantage of a liquid dose?

It is a more accurate dosage form than a solid dose.

The form is uniform and flexible.

It is easier to swallow.

It is effective more quickly than a solid dose.

Correct Answer:
It is a more accurate dosage form than a solid dose.

Explanation:
Correct answer:
It is a more accurate dosage form than a solid dose.

This is incorrect. Inaccurate measuring of a liquid dose may occur more often than with a solid dosage
form.

When cleaning a flow hood or safety cabinet, which of the following actions is least appropriate?

First clean the metal pole used to hang the containers with a suitable disinfectant.

Clean the sides of the hood using up and down motions moving from the back of the hood toward
the front.
Clean the bottom of the hood using side-to-side motions moving from the back of the hood toward
the front.
Use a spray bottle to dispense disinfectant on the HEPA filter.

Correct Answer:
Use a spray bottle to dispense disinfectant on the HEPA filter.

Explanation:
Correct answer:
Use a spray bottle to dispense disinfectant on the HEPA filter.

This is the least appropriate action. If using a spray bottle to dispense the disinfectant, be sure NOT to
spray the HEPA filter.

A ratio is an expression that compares two quantities or measurements. If you need 25 tablets from a
bottle of 500 tablets, what percentage of the 500 tablets do you need?

2.5%

5%

25%

1.25%

Correct Answer:
5%

Explanation:
Correct answer:
5%

A percentage can be determined from the ratio of one thing to another. 25 tablets is to 500 tablets can be
expressed as a fraction of 25/500 which gives you a percentage of (5/100) 5%.

The number system commonly used in the United States is the Arabic system. This system is not always
used by physicians when ordering medications. Instead they may use Roman numerals. Which Roman
numerals would be used to indicate 24?

LLIV

XXIIII

XXIV

XXVI

Correct Answer:
XXIV

Explanation:
Correct answer:
XXIV

XXIV is used to indicate 24. Each X is 10. IV means one (I) less than 5 (V) or 4.

The directions for mixing a liquid medication state when 60 mL of water are added to the contents of the
bottle, the resulting volume is 300 mL. What is the powder volume?

140 mL

240 mL

14 mL

24 mL
Correct Answer:
240 mL

Explanation:
Correct answer:
240 mL

The formula to use is:

Final volume = volume of diluent + powder volume.


300 mL = 60 mL + powder volume
300 mL 60 mL = powder volume = 240 mL

Which of the following is an automated floor dispensing system used in hospital settings?

CADM

BPOE

CPOE

Pyxis

Correct Answer:
Pyxis

Explanation:
Correct answer:
Pyxis

Pyxis is one of the automated floor dispensing systems used in hospital settings. Another floor dispensing
system is SureMed. Both of these are machines that are preloaded with a variety of commonly used
medications located on the nursing floor.

The specific directions for the patient to follow, such as dosage and frequency of dosage is known as
which of the following?

patient profile

SIG code

Rx

none of the above

Correct Answer:
SIG code

Explanation:
Correct answer:
SIG code

The SIG code (or SIG) consists of specific directions provided on the prescription for the patient to follow.
These include dosages, schedule and frequency of administration, and additional instructions.

Which of the following antibiotics is a tetracycline drug?

Monodox

Keflex

Invanz

Dynapen

Correct Answer:
Monodox
Explanation:
Correct answer:
Monodox

There are a number of different antibiotics. They include: sulfonamides; penicillins; cephalosporins;
carbapenems, carbacephems, and monobactams, tetracyclines, macrolides, ketolides; quinolones,
streptogramins, aminoglycosides; cyclic lipopeptides; and other miscellaneous antibiotics. Monodox is a
tetracycline.

Hospital-acquired infections are known as which of the following?

idiosyncratic infections

synergistic infections

nosocomial infections

none of the above

Correct Answer:
nosocomial infections

Explanation:
Correct answer:
nosocomial infections

Nosocomial infections are hospital-acquired infections. All hospitals and other institutions have infection
control specialists who are responsible for the training of staff and patients as well as the investigation of
all cases of hospital-acquired infections.

The type of tablet that is placed between the gums and the cheek for absorption into the bloodstream is
which of the following?

oral

intravenous
sublingual

buccal

Correct Answer:
buccal

Explanation:
Correct answer:
buccal

Buccal tablets are placed between the gums and cheek, where the medication penetrates the mouth
lining and then enters the bloodstream. Buccal agents are an uncommon dosage form.

The nasal cavity has a very large surface area for absorption, and a very rich blood supply. The adult
nasal cavity has a capacity of about:

1 mL

100 mL

50 mL

20 mL

Correct Answer:
20 mL

Explanation:
Correct answer:
20 mL

The adult nasal cavity has a capacity of about 20 mL. The nasal cavity is the cavity behind the nose and
above the roof of the mouth that filters air and moves mucous and inhaled contaminants outward and
away from the lungs.

The area in the muscle where the formulation is injected during an intramuscular injection is called the:

wheal

mucosa

cavity

depot

Correct Answer:
depot

Explanation:
Correct answer:
depot

The depot is the area in the muscle where the formulation is injected during an intramuscular injection.
Absorption from this depot is dependent on many factors such as muscle exercise, particle size of the
drug, and the salt form of the drug used in the formulation.

You must prepare 240 mg of a medication using a pharmacy stock concentration of 20 mg/mL. How
many mL of solution will you need?

12 mL

6 mL

60 mL

120 mL
Correct Answer:
12 mL

Explanation:
Correct answer:
12 mL

20 mg is to 1/ mL as 240 mg is to x. Solve by dividing 240 by 20 and the result is 12 mL for the dose.

In terms of parenteral incompatibilities, which of the following statements is least accurate?

Combining two drugs that require two different pH values for the final solution can cause one or
both drugs to either degrade or precipitate.
Some drugs will start to break down and lose their therapeutic effect if exposed to light.

Many drugs start to degrade shortly after being added to an IV solution

Some drugs are incompatible with plastics in containers or certain administration sets with the
exception of polyvinyl chloride (PVC) plastics.

Correct Answer:
Some drugs are incompatible with plastics in containers or certain administration sets with the
exception of polyvinyl chloride (PVC) plastics.

Explanation:
Correct answer:
Some drugs are incompatible with plastics in containers or certain administration sets with the
exception of polyvinyl chloride (PVC) plastics.

This is inaccurate. Some drugs are incompatible with plastics in containers or certain administration
sets. This is especially true of polyvinyl chloride (PVC) plastics.

Which of the following is the reciprocal of 12?


1/2

1/12

12/1

1/24

Correct Answer:
1/12

Explanation:
Correct answer:
1/12

The reciprocal of a fraction is the number that, when multiplied by the fraction will equal 1. In this case 12
x 1/12 = 1; so 1/12 is the reciprocal of 12.

Under the FDA Modernization Act of 1997, all of the following were made restrictions for pharmacies in
relation to compounding drugs EXCEPT:

Compounded drugs must be prepared in a pharmacy dedicated to compounding and nothing else.

Compounded drugs may be made in limited quantities.

Compounded products must be made from approved ingredients.

The drug product must not be identified by the FDA as a product that presents demonstrable
difficulties for compounding in terms of safety and effectiveness.

Correct Answer:
Compounded drugs must be prepared in a pharmacy dedicated to compounding and nothing else.

Explanation:
Correct answer:
Compounded drugs must be prepared in a pharmacy dedicated to compounding and nothing else.

This is not one of the restrictions of the FDA Modernization Act of 1997. In order to maintain quality
control the repackaging and compounding of pharmaceutical products are subject to regulatory control.
The manner in which the medication is packaged affects both the product inside the package and the
users compliance with following the physicians orders for taking the medication.

The DEA must be notified through the issue of Form 41 for expired controlled substances before
destruction may occur. A copy of this form must be maintained for how long after the destruction of the
controlled substances at the pharmacy site?

a minimum of 1 year

a minimum of 2 years

5 years

10 years

Correct Answer:
a minimum of 2 years

Explanation:
Correct answer:
a minimum of 2 years

A copy of Form 41 must be maintained for a minimum of 2 years after the destruction of controlled
substances at the pharmacy site. The destruction of medications must follow all local, state, and federal
guidelines involving environmental issues, such as burning, flushing, or rinsing.

There is some information that can be obtained from the patient by the pharmacy technician when
accepting a prescription and it can be written on the prescription. An exception to this rule (no information
is allowed to be added) would be a prescription for which of the following drugs?

Demerol

Amoxicillin
Lomotil

Darvocet

Correct Answer:
Demerol

Explanation:
Correct answer:
Demerol

Demerol is a Schedule II drug. For these drugs the prescription must be complete at the time of
acceptance. No information may be added.

A list of drugs that are not normally stocked by the pharmacy is which of the following?

formulary

non-formulary

community formulary

SIG formulary

Correct Answer:
non-formulary

Explanation:
Correct answer:
non-formulary

The non-formulary is the list of drugs that are not normally stocked by the pharmacy. These drugs may
not be covered by an insurance company unless specific conditions are met.
If itraconazole (Sporanox) is prescribed for a patient, which of the following would be a special
consideration?

Avoid any form of alcohol one day before, during and two days after therapy.

Fatty meals should be taken with it.

The oral suspension expires in 14 days.

A cola should be consumed before taking it.

Correct Answer:
A cola should be consumed before taking it.

Explanation:
Correct answer:
A cola should be consumed before taking it.

One of the special considerations for taking the antifungal itraconazole (Sporanox) is that a cola should
be consumed before taking it. Fatty meals should be taken with griseofulvin. Fluconazole suspension
should be refrigerated and expires in 14 days. Avoiding alcohol one day before, during and two days after
therapy is a special consideration for therapy with metronidazole.

Which of the following statements about retention of drug enforcement agency records is correct?

DEA records are maintained for a minimum of 2 years.

DEA records are kept separately from other invoices.

DEA records must be kept readily retrievable.

all of the above


Correct Answer:
all of the above

Explanation:
Correct answer:
all of the above

All of the statements are correct. Readily retrievable means separated from normal business records or
easily identifiable by an asterisk, a red line, or other visual identifier. A red C must be stamped on
Schedule III to V records if they are filed with other invoices. They must be provided to a DEA
representative within 72 hours after request.

An elongated glass container in which the neck is broken off is a(n):

filter needle

heparin lock

needle adapter

ampule

Correct Answer:
ampule

Explanation:
Correct answer:
ampule

An ampule is an elongated glass container in which the neck is broken off. An ampule breaker is the
device used to break the neck of an ampule.

The directions for mixing a liquid antibiotic state when 500 mL of water are added to the contents of the
bottle, the resulting volume is 1250 mL. What is the powder volume?
750 mL

70 mL

1750 mL

1L

Correct Answer:
750 mL

Explanation:
Correct answer:
750 mL

The formula to use is:

Final volume = volume of diluent + powder volume.


1250 mL = 500 mL + powder volume
1250 mL 500 mL = powder volume = 750 mL

A container, usually made of plastic, which holds a single-dose tablet or capsule, is known as which of the
following?

bubble pack

strip pack

daily dose pack

blister pack

Correct Answer:
blister pack
Explanation:
Correct answer:
blister pack

A blister pack is a container, usually made of plastic, which holds a single-dose tablet or capsule. Tablets
and capsules are usually placed in blister packs or strip packs, a strip of heat-sealed packets each
holding one tablet or capsule used in the repackaging process.

Which of the following drugs is a narcotic analgesic?

clonidine

propoxyphene

Esgic

Fiorinal

Correct Answer:
propoxyphene

Explanation:
Correct answer:
propoxyphene

Propoxyphene is the generic name for Darvon which is a narcotic analgesic. Narcotic analgesics are
morphine-like drugs that relieve pain and cause central nervous system depression.

Which of the following treatments is no longer routinely recommended as a treatment for poisoning?

lavage

activated charcoal

antidotes
syrup of ipecac

Correct Answer:
syrup of ipecac

Explanation:
Correct answer:
syrup of ipecac

Syrup of ipecac is no longer routinely recommended by poison experts. Vomiting certain chemicals can
cause burns or seizures.

The maximum amount of payment for a given prescription, determined by the insurer to be a reasonable
price is which of the following?

U&C

MAC

tier cost

none of the above

Correct Answer:
U&C

Explanation:
Correct answer:
U&C

U&C stands for usual and customary cost. This reflects the usual and customary prices for a
prescription within a given geographic area. It helps to determine the maximum allowable cost (MAC) that
an insurer will pay for a given product.
Which of the following drugs is an anti-platelet agent?

Coumadin

Lasix

Plavix

Cardizem

Correct Answer:
Plavix

Explanation:
Correct answer:
Plavix

Plavix is an anti-platelet agent, along with Aggrenox, aspirin, Pletal and Ticlid. Coumadin is an
anticoagulant. Lasix is a diuretic. Cardizem is a calcium channel blocker.

Which of the following is NOT one of the reasons for compounding medications?

The medication is no longer manufactured by the drug company.

The patient requests a compounded drug.

The patient is allergic to a preservative, dye or other additive in the normal drug.

Combining several medications will increase patient compliance.


Correct Answer:
The patient requests a compounded drug.

Explanation:
Correct answer:
The patient requests a compounded drug.

This is not a reason for compounding medications. Besides the other three choices, medications are
compounded because: the medication requires flavorings or additives to make it more palatable; the
patient cannot ingest the normal dosage form; and, a specialized dosage or strength is needed.

Which of the following vitamins is NOT a fat-soluble vitamin?

vitamin B

vitamin K

vitamin D

vitamin E

Correct Answer:
vitamin B

Explanation:
Correct answer:
vitamin B

The B vitamins and vitamin C are water-soluble vitamins. They are not stored in the liver and body fat;
they are excreted through the urine, which is why they need to be replaced daily. Vitamins A, D, E and K
are fat-soluble vitamins which are stored in the liver and fat.

Which of the following is the term for solutions of water-containing oils that have a smell and are volatile?

tinctures
liniments

aromatic waters

elixirs

Correct Answer:
aromatic waters

Explanation:
Correct answer:
aromatic waters

Aromatic waters are solutions of water-containing oils that have a smell and are volatile. They are clear
and free from solid impurities. They possess an odor similar to the plant or volatile substance from which
they are made.

Which of the following over-the-counter (OTC) medications is a proton pump inhibitor?

Prilosec OTC

milk of magnesia

Tums

Pepcid AC

Correct Answer:
Prilosec OTC

Explanation:
Correct answer:
Prilosec OTC
Prilosec OTC is a proton pump inhibitor. Proton pump inhibitors are used primarily in the treatment of
GERD and peptic ulcers.

Red welts that arise on the surface of the skin that are often attributable to an allergic reaction are which
of the following?

antigens

bradykinins

urticaria

contact dermatitis

Correct Answer:
urticaria

Explanation:
Correct answer:
urticaria

Urticaria are red welts that arise on the surface of the skin that are often attributable to an allergic
reaction. They are also known as hives. Urticaria may have nonallergic causes.

If an invoice has credit terms of 2/10 this means which of the following?

2% discount if paid within 10 days of the invoice date

10% discount if paid within 2 weeks of the invoice date

2 weeks to pay or a 10% fee is added to the invoice amount

10 days to pay or a 2% fee is added to the invoice amount


Correct Answer:
2% discount if paid within 10 days of the invoice date

Explanation:
Correct answer:
2% discount if paid within 10 days of the invoice date

Credit terms are terms that specify the amount of cash discount and the time period during which it is
offered. The terms indicate the length of time in which the purchaser is expected to pay the full invoice
price. Credit terms of 2/10 mean a 2% discount if paid within 10 days of the invoice date.

Which of the following reference books is a comprehensive listing of approved drug products with
therapeutic equivalence evaluations that is provided by the FDA?

Drug Topics Red Book

the Orange Book

United States Pharmacopeia-National Formulary


Ident-A-Drug

Correct Answer:
the Orange Book

Explanation:
Correct answer:
the Orange Book

The Orange Book is a comprehensive listing of approved drug products with therapeutic equivalence
evaluations that is provided by the FDA. This is the book to use for determination of whether a generic
drug is the same as a brand drug. Other information includes discontinued drug products, orphan product
designations, and approval lists.
An antipyretic drug is one that reduces which of the following?

coughing reflex

fever

swelling

pain

Correct Answer:
fever

Explanation:
Correct answer:
fever

An antipyretic drug is one that reduces fever. An anti-inflammatory reduces swelling, redness and pain
and promotes healing. An antitussive decreases the coughing reflex of the central nervous system.

Convert the fraction 245/490 to a percentage. What is the result?

50%

0.05%

0.5%

5%

Correct Answer:
50%
Explanation:
Correct answer:
50%

To convert a fraction to a percentage, first divide the numerator by the denominator.

245/490 = 0.5
0.5 x 100 = 50%

Which of the following is the generic name for Accutane?

urokinase

coricotropin

novobiocin

isotretinoin

Correct Answer:
isotretinoin

Explanation:
Correct answer:
isotretinoin

The generic name for Accutane is isotretinoin. Isotretinoin is used to treat severe recalcitrant nodular
acne (a certain type of severe acne) that has not been helped by other treatments, such as antibiotics.
Isotretinoin is in a class of medications called retinoids.

Multiply the following. What is the result?

2 1/2 x 3 1/4 = ?

8 1/8

5 3/4
6 1/4

6 1/8

Correct Answer:
8 1/8

Explanation:
Correct Answer
8 1/8

First convert the mixed numbers into fractions and then simply multiply numerators and then multiply
denominators to obtain the answer. First convert mixed numbers to fractions. 2 1/2 = 5/2 and 3 1/4 =
13/4. Multiply the numerators 5 x 13 = 65 and multiplying denominators 2 x 4 = 8 The result is 65/8
which as a mixed number is 8 1/8.

Advair, Proventil and Ventolin are all examples of medications administered by which of the following
routes?

nasal

intradermal

inhalation

parenteral

Correct Answer:
inhalation

Explanation:
Correct answer:
inhalation
Inhalation is the route of administration for Advair, Proventil, and Ventolin. When the inhalation route of
administration is used, the medication is inhaled though the mouth and directly absorbed into the lungs.
This is effective for lung conditions when immediate relief is needed.

The term for the procedure of deducting drugs or equipment from inventory as it is dispensed is which of
the following?

low inventory method

point of sale method

price optimization method

government ordered method

Correct Answer:
point of sale method

Explanation:
Correct answer:
point of sale method

The point of sale method is one in which the item is deducted from inventory as it is dispensed. In many
situations the item is automatically reordered.

Which of the following routes of administration of a drug is NOT a parenteral route?

buccal

vaginal

sublingual

oral
Correct Answer:
oral

Explanation:
Correct answer:

oral

The oral route of administration is considered an enteral route. The other three choices are all parenteral
routes along with the rectal route. Other parenteral routes include: intraocular, intranasal, dermal,
inhalation, intravenous, intradermal, subcutaneous and intramuscular.

Another name for the subcutaneous layer of the skin is which of the following?

dermis

epidermis

hyperdermis

hypodermis

Correct Answer:
hypodermis

Explanation:
Correct answer:
hypodermis

The subcutaneous layer of skin lies below the dermis. It is also known as the hypodermis.
Which of the following is the correct term for when a carrier protein permits specific molecules, such as
glucose, to pass through certain parts of the cells?

distribution

passive diffusion

facilitated diffusion

active transport

Correct Answer:
facilitated diffusion

Explanation:
Correct answer:
facilitated diffusion

All cells in the human body have specialized transport mechanisms by which all materials, including
pharmaceuticals, are moved into and out of the cells. In facilitated diffusion, a carrier protein permits
specific molecules, such as glucose, to pass through certain parts of the cells.

If a customer pays $20 for a prescription the cost the pharmacy $5, what is the markup on this
prescription?

100%

200%

150%

300%
Correct Answer:
300%

Explanation:
Correct answer:
300%

(20 5)/5 (cost) x 100 = x (markup %)


15/5 x 100 = 300
Markup is 300%

Convert 10 tsp. to milliliters. The result is which of the following?

5 mL

50 mL

0.5 mL

500 mL

Correct Answer:
50 mL

Explanation:
Correct answer:
50 mL

One teaspoon equals 5 mL. Therefore 10 tsp. equals 10 x 5 or 50 mL.

In terms of the information required to be present on the prescription at the time of acceptance, which of
the following would NOT be one of these requirements?

address and telephone number of the patient

date of issue of the prescription


instructions for dosage

authorization to dispense a substitution, when applicable

Correct Answer:
address and telephone number of the patient

Explanation:
Correct answer:
address and telephone number of the patient

The address and telephone number of the patient is not required information to be present on the
prescription at the time of acceptance. It is information to be added to the prescription form when it is
accepted. This is used to identify the patient and assist in medication recalls.

Which of the following drugs is used for treatment of depression?

terbinafine

miconazole

nystatin

sertraline

Correct Answer:
sertraline

Explanation:
Correct answer:
sertraline

Sertraline (Zoloft) is an SSRI that is used to treat depression. It blocks the reuptake of serotonin. The
other choices are all antifungal agents.

The minimum set amount of stock that needs to be kept on hand is known as which of the following?

periodic automatic replacement

inventory

minimum inventory

replacement inventory

Correct Answer:
periodic automatic replacement

Explanation:
Correct answer:
periodic automatic replacement

Periodic automatic replacement (PAR) is the minimum set amount of stock that needs to be kept on hand.
All departments have PAR levels. Stock is normally ordered on preprinted sheets that list the PAR level
and have a space for entering the amount of medication needed to generate the PAR level.

The process of eliminating extra hydrogen ions through the urine is called:

tubular secretion

tubular absorption

acidification

osmosis
Correct Answer:
acidification

Explanation:
Correct answer:
acidification

Acidification is the process of eliminating extra hydrogen ions through the urine. This is why urine has an
acid content between a pH of 4 and 5.

An inert compound believed by the patient to be an active agent is which of the following?

synthetic medicine

prophylactic

placebo

homeopathic medicine

Correct Answer:
placebo

Explanation:
Correct answer:
placebo

An inert compound believed by the patient to be an active agent is a placebo. A placebos ability to help a
patient recover from illness or to decrease pain is based on the power of the patients belief that the
medication was effective (the placebo effect).

In terms of counseling on new prescriptions or at any other time, which of the following statements is least
accurate?
Pharmacy technicians may do counseling under special circumstances.

Counseling is professional, clinical advice given to patients.

Pharmacy technicians may alert the pharmacist to the need to counsel on new medications.

Counseling can pertain to OTC medications as well as to prescriptions medications.

Correct Answer:
Pharmacy technicians may do counseling under special circumstances.

Explanation:
Correct answer:
Pharmacy technicians may do counseling under special circumstances.

This statement is inaccurate. Counseling is beyond the authorized scope of practice for pharmacy
technicians. It is reserved for pharmacists only without exception.

Express 25.5% as a decimal. What is the correct answer?

2.55

0.255

0.0255

0.00255

Correct Answer:
0.255

Explanation:
Correct answer:
0.255

To convert the percentage to decimal form divide 25.5 by 100. The result is 0.255.

The directions for mixing a liquid medication state when 25 mL of water are added to the contents of the
bottle, the resulting volume is 100 mL. What is the powder volume?

75 mL

125 mL

50 mL

25 mL

Correct Answer:
75 mL

Explanation:
Correct answer:
75 mL

The formula to use is:

Final volume = volume of diluent + powder volume.


100 mL = 25 mL + powder volume
100 mL 25mL = powder volume = 75 mL

A hospital pharmacy is responsible for the distribution and control of investigational drugs. This includes
all of the following tasks EXCEPT:

procurement

administering to patient

storage

packaging
Correct Answer:
administering to patient

Explanation:
Correct answer:
administering to patient

The hospital pharmacy is not responsible for the administration of the medication to patients in the study.
It is responsible for procurement, storage, inventory management, packaging, labeling, distribution, and
disposition of unused drugs.

Which of the following is the largest liquid measurement?

32 fl oz

32 tbsp

64 tsp

1 pt

Correct Answer:
32 fl oz

Explanation:
Correct answer:
32 fl oz

32 fl oz is the largest liquid measurement of the choices. It is equivalent to 192 tsp or 64 tbsp or 4 cups or
2 pt or 1 qt.
A child weighs 55 lb. what is his weight in kilograms?

22.5 kg

25 kg

2.5 kg

22.2 kg

Correct Answer:
25 kg

Explanation:
Correct answer:
25 kg

There are 2.2 kg in every pound. Therefore if a child weighs 55 lb, to find his weight in kilograms you
must divide 55 lb by 2.2 kg which gives you a result of 25 kg.

If a prescription has the notation Tabs. no. XXXI this means which of the following?

31 tablets

301 tablets

29 tablets

1,001 tablets

Correct Answer:
31 tablets
Explanation:
Correct answer:
31 tablets

Tabs. no. XXXI means 31 tablets. Tabs. stands for tablets; and XXXI is 31.

A mixture of two or more unblendable liquids is called a(n):

elixir

emulsion

syrup

suspension

Correct Answer:
emulsion

Explanation:
Correct answer:
emulsion

An emulsion is a mixture of two or more unblendable liquids. In an emulsion one liquid is dispersed
throughout the other. They are fairly unstable so emulsifiers are often added to improve stability and
dispersion.

An area of the pharmacy in which there are no more than 100 particles 0.5 micron or larger per cubic foot
of air is which of the following?

ISO Class 5

ISO Class 3

ISO Class 7

ISO Class 9
Correct Answer:
ISO Class 5

Explanation:
Correct answer:

ISO Class 5

The ISO Class 5 area is one in which there are no more than 100 particles 0.5 micron or larger per cubic
foot of air. This area was formerly known as a Class 100 Area.

A large-volume parenteral (LVP) has a volume of:

greater than 50 mL

greater than 100 mL

50 100 mL

less than 100 mL

Correct Answer:
greater than 100 mL

Explanation:
Correct answer:
greater than 100 mL

A large-volume parenteral (LVP) has a volume of greater than 100 mL. A small-volume parenteral
contains a volume of 100 mL or less. A minibag contains volumes between 50 and 100 mL.
There are some physicians who use cubic centimeter (cc) as a volume. 3 cc is equivalent to how many
mL?

3 mL

3000 mL

0.003 mL

300 mL

Correct Answer:
3 mL

Explanation:
Correct answer:
3 mL

One cubic centimeter is equal to one milliliter. Therefore, 3 cc is equal to 3 mL.

Which of the following represents 296 in Roman numerals?

xxcvi

XXCVI

ccxcvi

CCDXXXXVI

Correct Answer:
ccxcvi
Explanation:
Correct answer:
ccxcvi

This correctly represents 296 in Roman numerals. The numerals may be in lower case letters. cc= 200;
xc= 90; and vi=6.
Test 16
Which of the following drugs is NOT a bone disease agent?

Miacalcin

Fosamax

Evista

Actos

Correct Answer:
Actos

Explanation:
Correct answer:
Actos

Actos is not a bone disease agent as are all of the other choices. It is a glitazone that improves cellular
response to glucose.

When the supply of a drug or device falls to the reorder point, it is entered into which of the following for
reorder?

Red Book

want book

POS book

Orange Book

Correct Answer:
want book
Explanation:
Correct answer:
want book

When the supply of a drug or device falls to the reorder point, it is entered into the want book. The want
list is now computerized.

Of the following common additives to medications, which one is added to a tablet or capsule blend to help
break up compacted mass when put into a fluid environment?

suspending agent

plasticizer

disintegrant

gums

Correct Answer:
disintegrant

Explanation:
Correct answer:
disintegrant

A disintegrant is added to a tablet or capsule blend to help break up compacted mass when put into a
fluid environment. It is an especially important additive for rapid-release agents.

Which of the following statements about Workers Compensation is incorrect?

It is a form of insurance for employees who are injured on the job.

It requires providers to complete extensive paperwork to receive payment.

Patients are not responsible for any payments, since all costs are covered by the employer.
none of the above

Correct Answer:
none of the above

Explanation:
Correct answer:
none of the above

All of the other choices are correct statements about Workers Compensation. Workers' Compensation is
administered on a state-by-state basis, with a state governing board overseeing varying public/private
combinations of workers compensation systems.

Using Youngs rule calculate the dosage for an 8-year-old child who is prescribed a drug which has a
usual adult dosage of 1000 mg. What is the appropriate dosage for this child?

4 mg

40 mg

400 mg

4g

Correct Answer:
400 mg

Explanation:
Correct answer:
400 mg

Youngs rule uses a formula based on the age expressed in years. The pediatric dose is calculated by
dividing the childs age in years by the childs age in years plus 12 and multiplying the result by the adult
dosage. In this case the childs age is 8 years. Divide this by 8 + 12 (20) and multiply the result by 1000
mg. The result is 400 mg.

There are several transport mechanisms by which pharmaceuticals are moved into and out of the cells. In
which of the following transport mechanisms does a carrier protein permit specific molecules to pass
through certain parts of the cells?

passive diffusion

facilitated diffusion

active transport

pinocytosis

Correct Answer:
facilitated diffusion

Explanation:
Correct answer:
facilitated diffusion

In facilitated diffusion, a carrier protein permits specific molecules to pass through certain parts of the
cells. It does not require the expenditure of energy. There must be enough of the carrier or facilitator
protein to allow this process to occur.

Which of the following statements about certain cardiovascular agents is least accurate?

Many antianginal drugs can cause headaches.

Many antihypertensive drugs can cause orthostatic hypotension.

Nitroglycerin products should be kept in the container they came in.

Nitroglycerin tablets that are more than 3 months old should not be used.
Correct Answer:
Nitroglycerin tablets that are more than 3 months old should not be used.

Explanation:
Correct answer:
Nitroglycerin tablets that are more than 3 months old should not be used.

This is the least accurate statement. Nitroglycerin tablets are antianginals used to treat cardiac related
chest pain (angina) resulting from ischemic heart disease. Nitroglycerin tablets that are more than 12
months old should not be used.

Which of the following is an improper fraction?

12/5

4/12

12/24

Correct Answer:
12/5

Explanation:
Correct answer:
12/5

This is an improper fraction. The top number is larger than the bottom number and the value is more than
one. If this fraction (12/5) were written as a whole number and a fraction (2 2/5) it would be a mixed
fraction.

Which of the following conditions/diseases is not correctly paired with the gland involved in the condition
or disease?

acromegaly adrenal gland

Graves disease thyroid gland

Cushings syndrome thyroid gland

diabetes insipidus pituitary gland

Correct Answer:
Cushings syndrome thyroid gland

Explanation:
Correct answer:
Cushings syndrome thyroid gland

The adrenal gland, not the thyroid gland is involved in Cushings syndrome. This disease involves an
excessive level of cortisol. Possible treatments include surgery or medication.

If there are 10 g of a substance in 500 mL of water, how many grams would there be in 750 mL of water?

15 g

150 g

75 g

750 g

Correct Answer:
15 g
Explanation:
Correct answer:
15 g

The proportion of substance must be the same. Therefore 10 g is to 500 mL as 15 g is to 750 mL. These
amounts are proportionate.

The system that uses a human body characteristic, such as fingerprints, for authentication purposes is
which of the following?

bioavailability

biologics

biotechnology

biometrics

Correct Answer:
biometrics

Explanation:
Correct answer:
biometrics

Biometrics is the technology that measures and analyzes human body characteristics, such as
fingerprints, for authentication purposes. It is a security measure that is being used more often to, for
instance, track every individual who gains access to any particular medication or supply item.

The unintended side effect of a medication that is negative or in some way injurious to a patients health
is known as which of the following?

hypersensitivity

adverse drug reaction

idiosyncrasy
carcinogenicity

Correct Answer:
adverse drug reaction

Explanation:
Correct answer:
adverse drug reaction

An adverse drug reaction is an unintended side effect of a medication that is negative or in some way
injurious to a patients health. An adverse drug reaction can be any undesired symptom and can involve
an organ. Some adverse drug reactions occur with usual doses of drugs and others are more likely to
occur only at higher than normal dosages.

The program established by the FDA for reporting drug and medical product safety alerts and label
changes is which of the following?

MEDMARX

MedWatch

NCC MERP

USP

Correct Answer:
MedWatch

Explanation:
Correct answer:
MedWatch

MedWatch is a program established by the FDA for reporting drug and medical product safety alerts and
label changes. The program also provides a voluntary adverse event reporting system for medications,
medical products, and devices.

Using Youngs rule calculate the dosage for a 2-year-old child who is prescribed a drug which has a usual
adult dosage of 500 mg. What is the appropriate dosage for this child?

71.4 g

6.67 mg

66.7 mg

71.4 mg

Correct Answer:
71.4 mg

Explanation:
Correct answer:
71.4 mg

Youngs rule uses a formula based on the age expressed in years. The pediatric dose is calculated by
dividing the childs age in years by the childs age in years plus 12 and multiplying the result by the adult
dosage. In this case the childs age is 2 years. Divide this by 2 + 12 (14) and multiply the result by 500
mg. The result is 71.4 mg.

Gout is an inflammatory condition in which there is an accumulation in the joints of which of the following?

boric acid

uric acid

amino acid

none of the above


Correct Answer:
uric acid

Explanation:
Correct answer:
uric acid

Gout is an inflammatory condition in which an excess of uric acid and urate crystals accumulate in the
synovial fluids of the joints. This leads to joint swelling, redness, warmth, and pain. Uricosuric drugs such
as probenecid increase elimination of uric acid and xanthine oxidase inhibitors such as allopurinol
interfere with uric acid synthesis.

Round 34.4563 to the nearest thousandth. Which of the following is correct?

34.456

34.457

34.46

34.5

Correct Answer:
34.456

Explanation:
Correct answer:
34.456

Rounding to the nearest thousandth, first note that the digit 6 denotes the thousandths place; so we now
look at the digit to the right which is a 3 and do not round up. 34.456 is the correct answer.

The hormone produced in the pancreas that causes the automatic release of glucose is which of the
following?
insulin

glucagon

glycogen

progestin

Correct Answer:
glucagon

Explanation:
Correct answer:
glucagon

Glucagon is a hormone produced in the pancreas that causes the automatic release of glucose, a sugar
found in the bloodstream which is the primary energy source for bodily functions. Insulin is a hormone
secreted by the pancreas that helps the body to digest sugars and starches. Manufactured insulin is used
when the patients pancreas does not produce enough on its own.

Multiply the following fractions. What is the result?

3/5 x 2/5 = ?

6/5

6/25

1/5
Correct Answer:
6/25

Explanation:
Correct answer:
6/25

To multiply fractions, first multiply the numerators of the fractions to get the new numerator. In this case
multiply 3 x 2 to get 6. Then multiply the denominators of the fractions to get the new denominator. In this
case multiply 5 x 5 to get 25. The answer is 6/25.

Which of the following statements about drug discount cards is least accurate?

Drug discount cards offer insurance benefits.

They allow the patient to obtain medications at the contracted provider rate.

Drug manufacturers sometimes provide drug coupon cards to patients as an incentive to take the
drug.
Patients can obtain drug discount cards from a variety of sources.

Correct Answer:
Drug discount cards offer insurance benefits.

Explanation:
Correct answer:
Drug discount cards offer insurance benefits.

This is not accurate. Drug discount cards do not offer insurance benefits, but instead allow the patient to
obtain medications at the contracted provider rate. These cards are billed as third-party claims in order for
the pharmacy to receive reimbursement and the patient to receive his or her discount.

Which of the following represents in Roman numerals?

cc

ss
dd

aa

Correct Answer:
ss

Explanation:
Correct answer:
ss

The letters ss represent in Roman numerals. For example if a prescription called for 10 and ml. it
could be written as Xss.

The correct term for the name of a drug product that was first patented and marketed by the owner or
manufacturer is which of the following?

proprietary

trade

brand

all of the above

Correct Answer:
all of the above

Explanation:
Correct answer:
all of the above
The terms trade, brand and proprietary are used interchangeably to refer to the name of a drug product
that was first patented and marketed by the owner or manufacturer. Another name is innovator product.

The condition in which the thyroid gland is enlarged because of a lack of iodine is which of the following?

goiter

Cushings disease

Addisons disease

Graves disease

Correct Answer:
goiter

Explanation:
Correct answer:
goiter

A goiter is a condition in which the thyroid gland is enlarged because of a lack of iodine. The goiter can be
either a simple goiter or a toxic goiter (resulting from a tumor). Graves disease is also a condition of the
thyroid in which there is hypersecretion of thyroid hormones.

Which of the following balances is the most sensitive?

Class A balance

Class III balance

counter balance

digital balance
Correct Answer:
digital balance

Explanation:
Correct answer:
digital balance

A digital balance is sensitive to a tenth of a milligram. These balances are used to replace Class A (III)
balances which have a sensitivity requirement of 6 mg.

Which of the following is NOT an advantage of using a conical cylinder for liquid measurement?

It is more stable because it has a wider platform.

It is easier to read the meniscus.

It is easier to mix solutions.

Its stability makes is better for measuring viscous liquids.

Correct Answer:
It is easier to read the meniscus.

Explanation:
Correct answer:
It is easier to read the meniscus.

This is not true. With a conical graduated cylinder it is more difficult to read the meniscus. This is because
the sides flare outwards.

Repackaging medications, ordering stock and billing insurance plans are which of the following types of
duties?
nondiscretionary

discretionary

clinical

none of the above

Correct Answer:
nondiscretionary

Explanation:
Correct answer:
nondiscretionary

Nondiscretionary duties are the repetitive tasks that do not require any advanced pharmacy knowledge
like repackaging medications, ordering stock and billing insurance plans. Nondiscretionary skills include:
typing, computer use, reports, documentation and ordering supplies.

Another term for the eardrum is which of the following?

tympanic membrane

labyrinth

Eustachian tube

cerumen

Correct Answer:
tympanic membrane
Explanation:
Correct answer:
tympanic membrane

The external ear consists of a funnel-shaped structure which captures sound waves and channels them
through an opening to the tympanic membrane (eardrum). The opening also contains glands that make
earwax (cerumen) that protects the external ear.

The primary site of drug metabolism in the body is which of the following?

heart

liver

spleen

stomach

Correct Answer:
liver

Explanation:
Correct answer:
liver

The primary site of drug metabolism in the body is the liver. In response to the chronic administration of
certain drugs, the liver will increase its enzyme activity. The liver may secrete drugs or their metabolites
into bile that is stored in the gallbladder.

You need to fill a prescription for 10 mg tablets to be taken once a day for 10 days. You only have 5 mg
tablets on hand. How many 5 mg tablets will it take to fill the prescription?

20

10
15

Correct Answer:
20

Explanation:
Correct answer:
20

1 10 mg tablet/10 days = x 5 mg tablets/10 days


Cross multiply the equation:
50x = 100
x = 20

Deciding whether a brand name or a generic drug is to be purchased is known as which of the following?

group purchasing

procurement

cost per treatment

source selection

Correct Answer:
source selection

Explanation:
Correct answer;
source selection

Source selection is a function of procurement. Source selection is deciding whether a generic or brand-
name drug is to be purchased. It examines the therapeutic equivalency of the products.
In terms of glycerinated gelatins, which of the following statements is least accurate?

Their properties include an ability to disperse quickly in mucous secretions.

They must be kept in a cool place.

Preservatives may be added.

They are often used for vaginal suppositories.

Correct Answer:
Their properties include an ability to disperse quickly in mucous secretions.

Explanation:
Correct answer:
Their properties include an ability to disperse quickly in mucous secretions.

This is inaccurate. Their properties include an ability to disperse slowly in mucous secretions. This is why
they are often used for vaginal suppositories.

Which of the following pertains to a parenteral medication?

It is administered by lotion or ointment.

It is administered orally.

It is administered transdermally.

It is administered intravenously or intramuscularly.


Correct Answer:
It is administered intravenously or intramuscularly.

Explanation:
Correct answer:
It is administered intravenously or intramuscularly.

Parenteral medication is medication that bypasses the digestive system but is intended for systemic
action. The term parenteral most commonly describes medications given by injection, such as
intravenously or intramuscularly.

Which of the following routes of administration for medication involves administration into the space
between the spinal cord and the spinal meninges?

intracardiac injections

subcutaneous injections

intradermal injections

intrathecal injections

Correct Answer:
intrathecal injections

Explanation:
Correct answer:
intrathecal injections

Intrathecal injections are placed into the space between the spinal cord and spinal meninges. An example
of an intrathecal injection is an epidural anesthetic during childbirth. This type of injection allows fast
action of a drug by placing the drug at the site of the organ itself.

Which of the following medical devices can be described as a nonsterile irrigation method for the nose,
ear, wounds or vagina?

syringe infusion system


bulb syringe

enema syringe

elastometric balloon system

Correct Answer:
bulb syringe

Explanation:
Correct answer:
bulb syringe

A bulb syringe is a nonsterile irrigation method for the nose, ear, wounds or vagina. An enema syringe is
used for irrigating with water, salt solution, soapsuds, or special medications. A syringe infusion system is
medication infused by a special pump. An elastometric balloon system involves a pressurized balloon that
results in infusion when the device is deflated.

Which of the following is the only type of compounding that may be done away from the compounding
area?

compounding capsules

molding lozenges

molding suppositories

reconstituting premade oral suspensions

Correct Answer:
reconstituting premade oral suspensions

Explanation:
Correct answer:
reconstituting premade oral suspensions

The only type of compounding that may be done away from the compounding area is the reconstitution of
premade oral suspensions. Reconstituting involves mixing a diluent into a powder to form a solution or
suspension. These products are simple to prepare and do not need to be logged or labeled in the same
manner as compounded products.

A nuclear pharmacy has designated rooms for different functions. The area where empty or used
radiopharmaceuticals are returned and dismantled for reuse is which of the following?

storage and disposal area

quality-control area

breakdown room

order entry area

Correct Answer:
breakdown room

Explanation:
Correct answer:
breakdown room

The breakdown room is the area where empty or used radiopharmaceuticals are returned and dismantled
for reuse. The storage and disposal area is the storage area for radioactive waste. The quality-control
area is where quality assurance tests are performed. The order entry area is the area in which
prescription orders for radiopharmaceuticals are entered.

Because of variances in absorption, the amount of a drug that is able to enter the bloodstream can differ.
The percentage and rate of a drug that is absorbed and transported to the site of action is known as
which of the following?

purity

efficacy
potency

bioavailability

Correct Answer:
bioavailability

Explanation:
Correct answer:
bioavailability

Bioavailability is the percentage and rate of a drug that is absorbed and transported to the site of action.
The variance in bioavailability is important in order to provide proper treatment. The total bioavailability is
measured by the concentration of the drug in the blood or tissue at a specific time of administration.

Information on the prescription order must include which of the following?

name and title of the prescriber

DEA number

SIG

all of the above

Correct Answer:
all of the above

Explanation:
Correct answer:
all of the above

All of the first three choices are items that must be included on a prescription. Other items that must be on
the prescription order include: the patients full name; the date of issue of the prescription; the name of
the drug prescribed; the strength and dosage form of the drug prescribed; the quantity of the drug to be
dispensed; instructions for labeling; signature of the prescriber, in ink, authorization to dispense a generic
substitution; refill information; and instructions for preparation, if needed.

Which of the following is the only drug that has been developed specifically for treating ALS?

ropinirole

riluzole

pramipexole

benztropine

Correct Answer:
riluzole

Explanation:
Correct answer:
riluzole

Riluzole is the only drug treatment that has been developed specifically for treating ALS and it only slows
the progression of the disease by months. There are several agents being tested in clinical trials but at
this time there are no other medications used to treat ALS.

Which of the following precautions related to the preparation and storage of chemotherapeutic agents is
incorrect?

Gloves worn to prepare chemotherapeutic agents should not be worn more than 30 minutes.

Hands must always be washed before and after removal of gloves.

Gloves should be worn when handling chemotherapeutic agents.

Gloves do not need to be worn while performing inventory of chemotherapeutic agents.


Correct Answer:
Gloves do not need to be worn while performing inventory of chemotherapeutic agents.

Explanation:
Correct answer:
Gloves do not need to be worn while performing inventory of chemotherapeutic agents.

This is incorrect. Gloves should be worn while performing inventory of chemotherapeutic agents.

If the cost of a bottle of medication is $30.00 and the markup is 50%, what will the bottle of medication
cost the customer?

$150.00

$15.00

$45.00

$60.00

Correct Answer:
$45.00

Explanation:
Correct answer:
$45.00

A markup of 50% on a bottle that cost $30 is $15. Add this markup of $15 to the cost of the bottle and you
get $45.00.

The type of product additive that is used to adjust the pH of a medication is which of the following?
filler

wax

buffer

solvent

Correct Answer:
buffer

Explanation:
Correct answer:
buffer

Various ingredients are used in the preparation of medications to make the appropriate dosage forms, to
alter drug absorption characteristics, and to make medications taste better. A buffer is used to adjust the
pH of a medication.

The information to be included in a repackaging log includes all of the following EXCEPT:

dosage form

drug manufacturer

patients name

licensed pharmacists initials

Correct Answer:
patients name
Explanation:
Correct answer:
patients name

The patients name is not part of the repackaging log. When a product is repackaged, it is not necessarily
done for only one patient. Therefore, no patients name is required.

In terms of employee performance evaluation techniques, which of the following is a comparative


technique of performance appraisal whereby each person is directly compared with every other person?

ranking

paired comparison

graphic rating scale

performance appraisal

Correct Answer:
paired comparison

Explanation:
Correct answer:
paired comparison

Paired comparison is a comparative technique of performance appraisal whereby each person is directly
compared with every other person. Ranking is the other comparative technique of performance appraisal
that involves rank ordering of each individual from best to worst on each performance dimension.

Storage of medications is based on all of the following EXCEPT:

security issues

environmental considerations

convenience
safety requirements

Correct Answer:
convenience

Explanation:
Correct answer:
convenience

Convenience is not one of the factors in the storage of medications. Environmental considerations involve
such things as ventilation and proper temperature. Safety and security are always top factors in storage
considerations.

How many milliliters are in of a cup?

240 mL

480 mL

120 mL

60 mL

Correct Answer:
120 mL

Explanation:
Correct answer:
120 mL

There are 8 oz in a cup. of a cup therefore is 4 oz. There are 30 mL per ounce. Therefore, 4 oz x 30
mL = 120 mL.
In terms of the technology used in the preparation, delivery, and administration of medication, the
automated TPN compounder with total nutrient admixture is which of the following?

Accusource monitoring system

Baker cells

Homerus

Pyxis

Correct Answer:
Accusource monitoring system

Explanation:
Correct answer:
Accusource monitoring system

The Accusource monitoring system is an automated total parenteral nutrition (TPN) compounder with total
nutrient admixture. These systems generally involve a multi-channel pump. A computer helps with
calculations and drives the pump.

Radiopharmaceuticals are used as diagnostic tools and for treatments for cancer patients. Which of the
following radiopharmaceuticals is used for prostate cancer imaging?

Chromium-51 sodium chromate

Indium-111 capromab

Iodin-131 sodium iodide

Strontium-89
Correct Answer:
Indium-111 capromab

Explanation:
Correct answer:
Indium-111 capromab

Indium-111 capromab is the radiopharmaceutical used for prostate cancer imaging. Chromium-51 sodium
chromate is used for labeling red blood cells for examination. Iodin-131 sodium iodide is used for thyroid
imaging. Strontium-89 is used for treatment of pain from bone cancer.

Which of the following is a correctly expressed proportion?

3 : 10 as 4 : 20

5 : 40 as 10 : 100

2 : 12 as 10 : 60

10 : 35 as 3.5 : 10

Correct Answer:
2 : 12 as 10 : 60

Explanation:
Correct answer:
2 : 12 as 10 : 60

This proportion can be written as fractions. Both sides can be reduced to 1/6 making them a correctly
expressed proportion.

2/12 = 10/60
1/6 = 1/6

The directions for mixing a 10 mg/10 mL liquid states that when 400 mL of water are added to the
contents of the bottle, the resulting volume is 450 mL. What is the concentration of drug in mg/10 mL if
only 50 mL of water were added?

150 mg/10 mL

45 mg/10 mL

1.5 mg/10 mL

300 mg/10 mL

Correct Answer:
45 mg/10 mL

Explanation:
Correct answer:
45 mg/10 mL

First determine the total mg of drug in the bottle (it is a constant);


10 mg drug /10 mL FV x 450 mL FV = 450 mg drug

Next, determine the powder volume for the drug in the bottle:
FV = D + PV
450 mL = 400 mL + PV
450 mL 400 mL = PV = 50 mL

Now determine the volume of the new product (NP):


NP = D + PV
NP = 50 mL +50mL = 100 mL

So the new concentration is: Total mg drug in bottle / volume of new product
450 mg/100 mL = 4.5 mg/mL = 45 mg/10 mL

A customer buys cold medicine for $7.50 and antacid for $12.50. If the pharmacy gives the customer a
discount of 10%, what will the cost be to the customer for these products?

$19.17

$18.00

$17.75
$18.50

Correct Answer:
$18.00

Explanation:
Correct answer:
$18.00

The total price of the products is $20.00 ($7.50 + $12.50). The discount is 10% or 0.10 x $20.00. This
comes to $2.00. Subtract this from the original retail price or $20.00 and the result is $18.00.

Which of the following is a proper fraction?

23/12

3 1/2

3/2

2/3

Correct Answer:
2/3

Explanation:
Correct answer:
2/3

A proper fraction is a fraction in which the numerator is smaller than the denominator. In this case since 2
is smaller than 3, the fraction 2/3 is a proper fraction
Which of the following drugs is an anti-infective drug?

Valtrex

Arthrotec

Tylenol

Darvon

Correct Answer:
Valtrex

Explanation:
Correct answer:
Valtrex

Valtrex is an anti-infective drug. It is an anti-viral. Its generic name is valacyclovir. The other choices are
analgesic drugs.

Which of the following grade of chemicals is considered the highest purity?

primary standard

spectroscopic grade

HPLC

AR

Correct Answer:
primary standard
Explanation:
Correct answer:
primary standard

Primary standard is considered the highest purity. It is used in standard solutions for analytical purposes.

If a doctor orders 0.07 mg of a particular medication, how many micrograms are in this dose?

7 mcg

70 mcg

700 mcg

7000 mcg

Correct Answer:
70 mcg

Explanation:
Correct answer:
70 mcg

0.07 mg equals 70 mcg. To convert the mg to mcg, multiply by 1000.

0.07 x 1000 = 70

A physical inventory of all prescription drugs must be conducted:

every two years

every five years

every year

every 6 months
Correct Answer:
every five years

Explanation:
Correct answer:
every five years

An actual physical inventory of all prescription drugs must be conducted every five years. Documentation
for controlled substances is more stringent and so a complete inventory of controlled substances must be
made every two years.

The tubular structure in the middle ear that connects with the nasopharynx is which of the following?

auditory canal

labyrinth

Eustachian tube

tympanic membrane

Correct Answer:
Eustachian tube

Explanation:
Correct answer:
Eustachian tube

The Eustachian tube is the tubular structure in the middle ear that connects with the nasopharynx. It
functions to equalize pressure between the outside air and middle ear and to drain mucus.
A supplier gives the pharmacy a 1.5% discount if an invoice is paid within 10 days. If the full invoice price
is $1250.00, what should the pharmacy pay if it pays the invoice within the 10 day discount period?

$1250.00

$1218.75

$1062.50

$1231.25

Correct Answer:
$1231.25

Explanation:
Correct answer:
$1231.25

The invoice was paid during the discount period so the pharmacy will pay $1250 minus the 1.5%
discount. The discount is $1250 x 0.015 = $18.75. Subtract this discount from $1250 and the result is
$1231.25. This is what should be paid.

If a person has a temperature of 102 F, what is the temperature in Celsius?

39.8 C

42 C

38.9 C

36.9 C

Correct Answer:
38.9 C
Explanation:
Correct answer:
38.9 C

To convert from Fahrenheit temperature to Celsius, use the following formula:


C = (F 32) 1.8. Therefore, 102 32 = 70; and 70 1.8 = 38.9.

Which of the following statements about prescription of controlled substances is least accurate?

In an institutional setting, the prescription of controlled substances does not require a special form.

Prescribers in an institutional setting may use the DEA number assigned to the hospital.

In a retail setting, a prescription for a controlled substance requires a triplicate form.

In a retail setting, the prescriptions for controlled substances may be filed with other prescription
forms.

Correct Answer:
In a retail setting, the prescriptions for controlled substances may be filed with other prescription
forms.

Explanation:
Correct answer:
In a retail setting, the prescriptions for controlled substances may be filed with other prescription
forms.

This statement is not accurate. In a retail setting, the prescriptions for controlled substances must be filed
separately from other prescription forms. Also, copies must be sent to the prescriber and the DEA.

Convert 2/5 to a decimal. What is the result?

0.4

0.04
2.25

2/50

Correct Answer:
0.4

Explanation:
Correct answer:
0.4

To convert a fraction to a decimal, divide the numerator by the denominator. 2 divided by 5 = 0.4.

Which of the following properly indicates the flow of genetic material in the cell?

RNA DNA protein

DNA RNA protein

protein DNA RNA

protein RNA DNA

Correct Answer:
DNA RNA protein

Explanation:
Correct answer:
DNA RNA protein

The proper flow of genetic material in the cell is DNA RNA protein. Transcription converts DNA to
mRNA and translation converts mRNA to a protein.
A physician is required to have a DEA number if he or she wishes to write prescriptions for controlled
substances. What should be the last (seventh) digit in the correct DEA number for Dr. Smith if it begins
with BS248931____?

Correct Answer:
1

Explanation:
Correct answer:
1

To verify a DEA number there is a specific formula. The first letter is an A, B, F or M. The second letter is
the first letter of the physicians last name when he or she applied for a DEA number. Add the numbers in
the first, third and fifth positions together (in this case, 2+8+3 = 13). Then add the numbers in the second,
fourth and sixth positions together (in this case 4+9+1 = 14), and multiply by two (in this case, 14 x 2 =
28). Add both sums of numbers together (in this case, 13+28 = 41). The number in the last column
farthest to the right (in this case, 1) should be the same as the seventh digit of the DEA number. The
correct DEA number for Dr. Smith is BS2489311.

Which of the following indicates the average price at which a drug is sold?

NDC

AWP

ACIP

AAPT
Correct Answer:
AWP

Explanation:
Correct answer:
AWP

AWP stands for average wholesale price. It is the average price at which a drug is sold. The data are
compiled from information provided from manufacturers, distributors, and pharmacies. The AWP is often
used in calculations related to medication reimbursement.

The reimbursement policy for a pharmacy in which the pharmacy receives a fixed payment each month
per patient, regardless of the number of prescriptions filled or the cost of the prescriptions filled is which of
the following?

MAC

AAC

capitation fee
per diem

Correct Answer:
capitation fee

Explanation:
Correct answer:
capitation fee

A capitation fee is a reimbursement system in which the pharmacy receives a fixed payment each month
per patient, regardless of the number of prescriptions filled or the cost of the prescriptions filled. This is a
practice that is commonly used by health maintenance organizations (HMOs).
The examination of the expenditures associated with the purchase of a product is known as which of the
following?

80/20 report

cost analysis

ABC analysis

compliance analysis

Correct Answer:
cost analysis

Explanation:
Correct answer:
cost analysis

Cost analysis is the process of examining all costs associated with the purchase of a product for the
pharmacy. This may include acquisition costs, storage costs, costs associated with preparing and
packaging a product, and costs involved in getting the final product to the patient.

The directions for mixing a liquid medication state when 100 mL of water are added to the contents of the
bottle, the resulting volume is 550 mL. What is the powder volume?

50 mL

450 mL

650 mL

6.5 L
Correct Answer:
450 mL

Explanation:
Correct answer:
450 mL

The formula to use is:

Final volume = volume of diluent + powder volume.


550 mL = 100 mL + powder volume
550 mL 100 mL = powder volume = 450 mL

Medication in the form of tablets that are placed between the gum and the cheek are called which of the
following?

sublingual

lozenge

buccal

oral

Correct Answer:
buccal

Explanation:
Correct answer:
buccal

Buccal agents are a type of not-so-common dosage. Buccal tablets are placed between the gums and the
cheek, where the medication penetrates the mouth lining and then enters the bloodstream.

If the retail prescription price is $33.30 and the patient discount is 10%, how much will the patient pay?
$33.00

$29.97

$30.00

$32.97

Correct Answer:
$29.97

Explanation:
Correct answer:
$29.97

The patient will get a discount of 10% x $33.30 or $3.33. Subtract this from the selling price of the
prescription and you get $29.97.

You have 20 g of a drug in 200 mL of solution. What is the percent of the solution?

20%

5%

2%

10%

Correct Answer:
10%

Explanation:
Correct answer:
10%

Percent solutions are determined by how many grams are in 100 mL of the solution. In this case we have
200 mL and 20 g of drug.

20 g/200 mL = x/100 mL
200 x = 2000
x = 2000/200 = 10 g

This means that it is a 10% solution (10 g/100 mL).

You have a prescription for a medication to be taken one 25 mg capsule three times a day for 21 days.
How many capsules are needed for this prescription?

21

28

63

126

Correct Answer:
63

Explanation:
Correct answer:
63

x (capsules needed) = 1 x 3 x 21
x = 63

Which of the following is currently a behind-the-counter medication?

Sudafed

Zantac
Anaprox

Benadryl

Correct Answer:
Sudafed

Explanation:
Correct answer:

Sudafed

Behind-the-counter (BTC) drugs are medications that do not require a prescription but are kept under
control. The use and/or amount of the medication is monitored by the pharmacy. Currently Sudafed is a
BTC medication.

Which of the following regulatory agencies sets requirements for labeling of medications?

FDA

United States Pharmacopeia

The Joint Commission

State Boards of Pharmacy

Correct Answer:
United States Pharmacopeia

Explanation:
Correct answer:
United States Pharmacopeia
The United States Pharmacopeia sets requirements for labeling of medications. They do this whether the
medications are in a multidose vial or unit-dose container, an IV, a mixture or a compound.

Which of the following statements about security in the pharmacy is true?

Pharmacies may install an alarm service at its discretion for when the pharmacy is closed.

Pharmacy technicians are supervised by the store manager.

Volatile substances must be stored in an area that is properly ventilated to prevent explosion.

Closed-circuit televisions and hold-up alarm buttons must be installed in all pharmacies.

Correct Answer:
Volatile substances must be stored in an area that is properly ventilated to prevent explosion.

Explanation:
Correct answer:
Volatile substances must be stored in an area that is properly ventilated to prevent explosion.

This is the true statement. The others are false. All pharmacies are required to have a workable alarm
service for when the pharmacy is closed. Only licensed pharmacists may supervise a pharmacy
technician. Closed-circuit televisions and hold-up alarm buttons may be installed in pharmacies, but such
installation is at the discretion of the institution.

Which of the following would NOT be a proper procedure for preparing materials for disposal into a
sharps container?

Needles should always be removed from syringes.

Needles should not be clipped.

Used needles should never be recapped.

Excess solutions should be returned to their original vial, an empty vial, or some other closed
container before disposal.
Correct Answer:
Needles should always be removed from syringes.

Explanation:
Correct answer:
Needles should always be removed from syringes.

This is incorrect. Needles must be left on syringes to prevent possible injuries. Sharps containers should
be disposed of when three-quarters full or at least daily.

The term half-life could be defined as all of the following EXCEPT:

the amount of time it takes a chemical to be decreased by one half

the amount of time required for a chemical to be half absorbed by a body system

the time required for half the amount of a substance, such as a drug in a living system, to be
eliminated or disintegrated by natural processes
the time required for the concentration of a substance in a body fluid to decrease by half

Correct Answer:
the amount of time required for a chemical to be half absorbed by a body system

Explanation:
Correct answer:
the amount of time required for a chemical to be half absorbed by a body system

Half-life can be defined by all of the choices except this one. The half-life of a drug helps to determine
the proper dosage of the drug.
The directions for mixing a 20 mg/10 mL liquid states that when 200 mL of water are added to the
contents of the bottle, the resulting volume is 450 mL. What is the concentration of drug in mg/10 mL if
only 50 mL of water were added?

30 mg/10 mL

360 mg/10 mL

3.6 mg/10 mL

180 mg/10 mL

Correct Answer:
30 mg/10 mL

Explanation:
Correct answer:
30 mg/10 mL

First determine the total mg of drug in the bottle (it is a constant);


20 mg drug /10 mL FV x 450 mL FV = 900 mg drug

Next, determine the powder volume for the drug in the bottle:
FV = D + PV
450 mL = 400 mL + PV
450 mL 200 mL = PV = 250 mL

Now determine the volume of the new product (NP):


NP = D + PV
NP = 50 mL + 250 mL = 300 mL

So the new concentration is: Total mg drug in bottle / volume of new product
900 mg/300 mL = 3 mg/mL = 30 mg/10 mL

Candidiasis is caused by which of the following types of organisms

fungi

protozoa

bacteria
viruses

Correct Answer:
fungi

Explanation:
Correct answer:
fungi

Candidiasis is caused by Candida albicans, a fungus. Fungi also cause skin, hair and nail infections.

Aminoglycosides are bactericidal to many varieties of gram-negative microorganisms. Which of the


following statements about aminoglycosides is least accurate?

Parenterally administered aminoglycosides stop protein synthesis, which ultimately causes the
death of the organism.
Aminoglycosides are often administered with other antibiotics to further microbial coverage.

A serious side effect of high doses of aminoglycosides is possible toxicity.

Patients with renal disease and older adults are more susceptible to toxic levels of
aminoglycosides because of increased renal excretion.

Correct Answer:
Patients with renal disease and older adults are more susceptible to toxic levels of
aminoglycosides because of increased renal excretion.

Explanation:
Correct answer:
Patients with renal disease and older adults are more susceptible to toxic levels of
aminoglycosides because of increased renal excretion.

This is inaccurate. Patients with renal disease and older adults are more susceptible to toxic levels of
aminoglycosides because of decreased renal excretion. The patients clearance of the aminoglycoside
drugs must be closely monitored.

Which of the following drug therapies is characterized by a somewhat decreased efficacy and/or with a
less acceptable adverse effect profile?

second line drug

first line drug

drug of choice

third line drug

Correct Answer:
second line drug

Explanation:
Correct answer:
second line drug

The second line drugs have a somewhat decreased efficacy, especially as compared to first line drugs,
and/or with a less acceptable adverse effect profile. The drug of choice is the most efficacious drug for
the condition. The first line drugs have maximum efficacy with the most acceptable adverse effect profile.
Third and fourth line drugs are efficacious but have an unfavorable adverse effect profile.

A prescription reads, take 2 tablets 3 times a day for 14 days. How many tablets will the patient require?

28

42

84
Correct Answer:
84

Explanation:
Correct answer:
84

This prescription requires 84 tablets. This is calculated by figuring out the number of tablets per day (2
tablets x 3 = 6 tablets); and the multiplying this by the number of days (6 tablets x 14 days). The result is
84 tablets.

If a person who takes warfarin also takes aspirin there is increased anticoagulation. This is an example of
which of the following?

synergism

potentiation

additive effects

antagonistic

Correct Answer:
synergism

Explanation:
Correct answer:
synergism

Taking aspirin while taking warfarin results in decreased coagulation. That is, both drugs have similar
pharmacological actions, and therefore produce greater effects that the sum of the individual effects.
The pharmacy receives a doctors order for 500 mg of a drug. What is the equivalent in grams?

15 g

10 g

0.5 g

0.75 g

Correct Answer:
0.5 g

Explanation:
Correct answer:
0.5 g

There are 1000 mg in a gram. If the order is for 500 mg, divide 500 by 1000 and the result is 0.5 g.; i.e.,
500 mg = 0.5 g.

The federal law that was created to ensure a safe and healthful workplace for all employees is which of
the following?

OBRA

OSHA

ADA

FDA Modernization Act


Correct Answer:
OSHA

Explanation:
Correct answer:
OSHA

The Occupational Safety and Health Act (OSHA) of 1970 was created to ensure a safe and healthful
workplace for all employees. Its impact on a pharmacy is to address air contaminants, flammable and
combustible liquids, eye and skin protection and hazard communication standards.

Which of the following is the best definition of the term procedure?

a statement of the purpose and goals of an organization

a plan to establish goals and objectives

training in skills to perform more than one job

process of accomplishing a task to ensure efficiency and consistency

Correct Answer:
process of accomplishing a task to ensure efficiency and consistency

Explanation:
Correct answer:
process of accomplishing a task to ensure efficiency and consistency

A procedure is best described as a process of accomplishing a task to ensure efficiency and consistency.
It is a step-by-step method to accomplish a policy.

The pharmacy technician will encounter many abbreviations, acronyms and codes in the pharmacy
setting. Which of the following is indicated by the abbreviation DUR?

drug under review

drug utilization review


dispense upon request

none of the above

Correct Answer:
drug utilization review

Explanation:
Correct answer:
drug utilization review

The abbreviation DUR means drug utilization review. In terms of health insurance, it means a study of
drug prescriptions to evaluate appropriateness and cost-effectiveness of drug therapy.

A medication that has a medical use but has a high abuse potential with severe psychological or physical
dependency is which of the following?

a schedule I drug

a schedule III drug

a schedule V drug

a schedule II drug

Correct Answer:
a schedule II drug

Explanation:
Correct answer:
a schedule II drug

A schedule II drug has a medical use but has a high abuse potential with severe psychological or physical
dependency. Some examples of schedule II medications are: Adderall, Demerol, Percocet, and Seconal.

There are a number of special considerations and precautions that must be taken with parenteral dosage
forms. All of the following would be appropriate guidelines EXCEPT:

Solutions must be sterile.

Solutions must be pyrogen-free.

Generally, the pH of an intravenous solution should vary considerably from the physiological pH of
about 7.4.
Intravenous solutions should be formulated to have an osmotic pressure similar to that of blood.

Correct Answer:
Generally, the pH of an intravenous solution should vary considerably from the physiological pH
of about 7.4.

Explanation:
Correct answer:
Generally, the pH of an intravenous solution should vary considerably from the physiological pH
of about 7.4.

This is not an appropriate guideline. Generally, the pH of an intravenous solution should not vary
significantly from the physiological pH of about 7.4. However, sometimes other factors may be more
important, such as when acidic or alkaline solutions are needed to increase drug solubility.

In terms of thyroid function, which of the following statement is true?

Renal blood flow is increased in hypothyroidism.

Renal blood flow is decreased in hyperthyroidism.

The activity of metabolizing enzymes in the liver is increased in hypothyroidism.

The metabolism of theophylline, propranolol, propylthiouracil, and methimazole is increased by


hyperthyroidism.
Correct Answer:
The metabolism of theophylline, propranolol, propylthiouracil, and methimazole is increased by
hyperthyroidism.

Explanation:
Correct answer:
The metabolism of theophylline, propranolol, propylthiouracil, and methimazole is increased by
hyperthyroidism.

This is the only true statement. The other statements are inaccurate. Renal blood flow is decreased in
hypothyroidism and increased in hyperthyroidism. And the activity of metabolizing enzymes in the liver
is reduced in hypothyroidism and increased in hyperthyroidism.

If a patient is to receive a 120 mg dose of a medication that is available in a 40 mg/mL vial, how many
milliliters should the patient receive?

4 mL

30 mL

40 mL

3 mL

Correct Answer:
3 mL

Explanation:
Correct answer:
3 mL

The patient should receive 3 ML of the medication. This is done by proportion:

40 mg / 1 mL = 120 mg / X mL
120 mg = 40 mg / X mL

120 mg / 40 mg = X mL

X = 3 mL

When team members are trained in skills to perform more than one job it is called:

self-management

cross functioning

multiskilling

none of the above

Correct Answer:
multiskilling

Explanation:
Correct answer:
multiskilling

Multiskilling takes place when team members are trained in skills to perform more than one job. Cross-
functioning is bringing together persons from different functions to work on a common task. Self-
management is when teams are empowered to make decisions.

Which of the following classes of drug recalls involves the most dangerous conditions?

Class III

Class II

Class I

none of the above


Correct Answer:
Class I

Explanation:
Correct answer:
Class I

Class I recalls are the most dangerous. They are designated for products that are defective and could
cause serious adverse health conditions or death.

In terms of the storage and handling of hazardous substances, which of the following statements is least
accurate?

Chemotherapeutic agents and cytotoxic materials must be prepared in a biologic safety cabinet or
vertical flow hood.
The technician should refer to ATF guidelines regarding the storage and handling of
chemotherapeutic agents.
A 4 x 4 inch piece of gauze should be kept inside the hood in case of a spill.

The preparer should wear a gown, goggles, and two pairs of gloves.

Correct Answer:
The technician should refer to ATF guidelines regarding the storage and handling of
chemotherapeutic agents.

Explanation:
Correct answer:
The technician should refer to ATF guidelines regarding the storage and handling of
chemotherapeutic agents.

This is the least accurate statement. The technician should refer to OSHA guidelines regarding the
storage and handling of chemotherapeutic agents. OSHA is the Occupational Safety and Health
Administration.
Which of the following is a nonnarcotic analgesic?

oxycodone-aspirin

naproxen

acetaminophen with codeine

propoxyphene HCl

Correct Answer:
naproxen

Explanation:
Correct answer:
naproxen

Naproxen (Anaprox, Naprosyn) is an NSAID, a non-narcotic analgesic. These drugs inhibit prostaglandin
synthesis, preventing the sensitization of the pain receptors. The other choices are narcotic drugs.

Perform the following: 0.5 x 0.2. The answer will be:

greater than one

less than one

less than zero

equal to 1
Correct Answer:
less than one

Explanation:
Correct Answer:
less than one

Two tenths of a number less than one will give you an answer of less than one. The answer here is 0.1.

Which of the following Roman numerals equals 1025?

CXXV

MVXXX

MVXX

MXXV

Correct Answer:
MXXV

Explanation:
Correct answer:
MXXV

M = 1000; XX = 20; V = 5.

What is the effect of using aspirin with valproic acid which is used to treat seizures?

Blood glucose level may be lowered.

Aspirin toxicity may occur.

Bleeding may be prolonged or increased.

Aspirin may increase the potency of the valproic acid.


Correct Answer:
Aspirin may increase the potency of the valproic acid.

Explanation:
Correct answer:
Aspirin may increase the potency of the valproic acid.

A common interaction between aspirin and valproic acid is that the aspirin displaces the valproic acid
from binding sites in the blood. This increases the potency of the valproic acid.

Of the following medical and surgical appliances and devices which one is an infusion pump for
antibiotics?

CADD Prizm PCS

CADD-Plus

CADD-TPN

none of the above

Correct Answer:
CADD-Plus

Explanation:
Correct answer:
CADD-Plus

A CADD-plus pump is an infusion pump for antibiotics. A CADD Prizm PCS is a pump for patient-
controlled analgesia. A CADD-TPN is an infusion pump for total parenteral nutrition.
You pay $2.50 per liter for one liter of a medication. How much will 25 liters cost?

$75

$62.50

$55

$72.50

Correct Answer:
$62.50

Explanation:
Correct answer:
$62.50

One liter is to $2.50 as 25 liters is to X.

1/2.5 = 25/x
x.= 25 x 2.5
x = 62.50

The process of accomplishing a task to ensure efficiency and consistency is which of the following?

policy

mission statement

procedure

organizational structure
Correct Answer:
procedure

Explanation:
Correct answer:
procedure

Procedure is the process of accomplishing a task to ensure efficiency and consistency. It is a step-by-
step method to accomplish a policy.

The drug Paxil would be considered which of the following?

behind-the counter drug

legend drug

over-the-counter drug

all of the above

Correct Answer:
legend drug

Explanation:
Correct answer:
legend drug

A legend drug is a drug that requires a prescription from a prescriber before it can be used. They are
often denoted as Rx. Paxil is a legend drug.
Test 17
Solve the following equation: 16 x + 14 = y; where x is a variable and you solve for y.

30 + x

x + 30

x - 30

30 -x

Correct Answer:
30 -x

Explanation:
Correct answer:
30 - x

First combine like numbers,


16 x +14 = y
(16+14) - x = y
30 x = y

Two main agents used to treat chemotherapy side effects are erythropoietin and filgrastim. Which of the
following statement about these two agents is incorrect?

Filgrastim binds to bone marrow cells to inhibit growth of neutrophils.

Erythropoietin is used primarily to treat anemia in patients with malignant neoplasms.

Erythropoietin stimulates red blood cell production.

Both erythropoietin and filgrastim must be stored between 2 and 8 C.


Correct Answer:
Filgrastim binds to bone marrow cells to inhibit growth of neutrophils.

Explanation:
Correct answer:
Filgrastim binds to bone marrow cells to inhibit growth of neutrophils.

This statement is incorrect. Filgrastim binds to bone marrow cells and stimulates growth of neutrophils.
Neutrophils are key components of the immune system. They are part of the WBC defense mechanisms
and often are destroyed by chemotherapy treatment.

A supplier gives the pharmacy a 1.5% discount if an invoice is paid within 10 days. If the full invoice price
is $5000.00, what should the pharmacy pay if it pays the invoice within the 10 day discount period?

$4,925.00

$4250.00

$4500.00

$4900.25

Correct Answer:
$4,925.00

Explanation:
Correct answer:
$4925.00

The invoice was paid during the discount period so the pharmacy will pay $5000 minus the 1.5%
discount. The discount is $5000 x 0.015 = $75.00. Subtract this discount from $5000 and the result is
$4925.00. This is what should be paid.

The directions for mixing a liquid antibiotic state when 30 mL of water are added to the contents of the
bottle, the resulting volume is 70 mL. What is the powder volume?

70 mL
310 mL

40 mL

35 mL

Correct Answer:
40 mL

Explanation:
Correct answer:
40 mL

The formula to use is:

Final volume = volume of diluent + powder volume.


70 mL = 30 mL + powder volume
70 mL 30mL = powder volume = 40 mL

In terms of common hospital IV medications, which of the following is an intravenous anti-infective?

Dopamine

Phenytoin

Propofol

Acyclovir

Correct Answer:
Acyclovir

Explanation:
Correct answer:
Acyclovir

Acyclovir (Zovirax) is an intravenous anti-infective. The other choices are all considered critical care
medications.

Which of the following is an equivalent ratio?

4/5 = 8/5

2/5 = 5/2

4/10 = 2/5

10/4 = 2/5

Correct Answer:
4/10 = 2/5

Explanation:
Correct answer:
4/10 = 2/5

Two equal ratios form a proportion. 4/10 = 2/5 is an example of an equivalent ratio. 4 has the same ratio
to 10 as 2 has to 5.

The sum of the beginning merchandise inventory and the cost of goods purchased is which of the
following?

cost of goods sold

cost of goods purchased

cost of goods available for sale

none of the above


Correct Answer:
cost of goods available for sale

Explanation:
Correct answer:
cost of goods available for sale

The cost of good available for sale is the sum of the beginning merchandise inventory and the cost of
goods purchased. The cost of good sold is the total cost of merchandise sold during the period,
determined by subtracting ending inventory from the cost of goods available for sale. The cost of good
purchased is the sum of the net purchases and freight charges associated with a product.

Graves disease is an autoimmune disorder that affects more women than men. Which of the following
drugs might be used to treat this disease?

vasopressin

methimazole and propylthiouracil

octreotide

levothyroxine

Correct Answer:
methimazole and propylthiouracil

Explanation:
Correct answer:
methimazole and propylthiouracil

These two drugs are antithyroid agents. They interfere with the thyroid glands ability to make hormones.
The thyroid hormone that helps regulate blood concentrations of calcium and phosphate is which of the
following?

catecholalmines

thyroxine

calcitonin

glucose

Correct Answer:
calcitonin

Explanation:
Correct answer:
calcitonin

Calcitonin is a thyroid hormone that helps regulate blood concentrations of calcium and phosphate. It
promotes the formation of bone. Thyroxine is also a thyroid hormone. It is derived from tyrosine (amino
acid) and influences metabolic rate.

The last phase of a drugs life in the body is known as which of the following?

excretion

metabolism

absorption

distribution
Correct Answer:
excretion

Explanation:
Correct answer;
excretion

The four stages of a drug's life in the body are absorption, distribution, metabolism, and excretion.
Excretion is the last phase of a drugs life in the body. Although excretion usually is associated with
urination, there are many ways that a drug can be excreted from the body, such as through feces,
exhalation and sweat glands.

In terms of the rules and regulations for the removal and disposal of products, which of the following
statements is least accurate?

Controlled substances can be returned by any institution.

Medication should never be dispensed to a patient if it will expire before the patient is able to
complete the current course of therapy.
A DEA Form 41 needs to be completed at least 2 weeks before the scheduled destruction of
controlled substances.
The destruction of controlled substances must be done in the presence of another individual.

Correct Answer:
Controlled substances can be returned by any institution.

Explanation:
Correct answer:
Controlled substances can be returned by any institution.

This is the least accurate statement. Controlled substances can be returned only by institutions having a
DEA number. For instance, a long-term facility does not have a DEA number and therefore cannot return
controlled substances.

Subtract the following. What is the result?

12 1/2 - 3 1/4 = ?
9 1/4

15 1/4

9 1/8

9 3/4

Correct Answer:
9 1/4

Explanation:
Correct Answer
9 1/4

To subtract fractions with different denominators, you must first find equivalent fractions with common
denominators. First, find the smallest multiple for the denominator of both numbers. Then rewrite the
fractions as equivalent fractions with the least common denominator. In this case, change the mixed
numbers to fractions; 12 1/2 = 25/2; and 3 1/4 = 13/4. The least common denominator is 4, so change
25/2 to 50/4; then subtract 13/4 from 50/4 and you get 37/4 or 9 1/4.

The directions for mixing a 35 mg/5 mL liquid states that when 150 mL of water are added to the contents
of the bottle, the resulting volume is 600 mL. What is the concentration of drug in mg/5 mL if only 15 mL
of water were added?

9.03 mg/5 mL

18.06 mg/5 mL

45.15 mg/5 mL

30 mg/5 mL
Correct Answer:
45.15 mg/5 mL

Explanation:
Correct answer:
45.15 mg/5 mL

First determine the total mg of drug in the bottle (it is a constant);


35 mg drug /5 mL FV x 600 mL FV = 4200 mg drug

Next, determine the powder volume for the drug in the bottle:
FV = D + PV
600 mL = 150 mL + PV
600 mL 150 mL = PV = 450 mL

Now determine the volume of the new product (NP):


NP = D + PV
NP = 15 mL + 450 mL = 465 mL

So the new concentration is: Total mg drug in bottle / volume of new product
4200 mg/465 mL 9.03 mg/mL = 45.15 mg/5 mL

Which of the following is a drug that causes shedding of the outer layer of the skin?

analgesic

anti-inflammatory

keratolytic

antifungal

Correct Answer:
keratolytic

Explanation:
Correct answer:
keratolytic

A keratolytic drug is one which causes shedding of the outer layer of the skin. Keratolytic therapy thins
the skin on and around the lesion. It causes the outer layer of the skin to loosen and shed.
Which of the following alternative medicines would be used to treat menopausal symptoms?

chamomile

ginseng

black cohosh

milk thistle

Correct Answer:
black cohosh

Explanation:
Correct answer:
black cohosh

Black cohosh is used to treat menopause, and premenstrual syndrome. Black cohosh should not be used
if pregnant. It may also cause liver toxicity.

Which of the following metric equivalents is not correct?

1 L = 10 dL

1 L = 1000 mL

1 mL = 0.01 L

1 dL =0.1 L
Correct Answer:
1 mL = 0.01 L

Explanation:
Correct answer:
1 mL = 0.01 L

This is incorrect. 1 mL = 0.001 L. A milliliter is one-thousandth of a liter.

Of the following inventory costing methods, which one is a method that assumes the cost at the earliest
purchase of goods is the first to be recognized as the cost of the goods sold?

last in, first out

first in, first out

lower of cost or market basis

current replacement cost

Correct Answer:
first in, first out

Explanation:
Correct answer:
first in, first out

The first in, first out inventory costing method is the one that assumes the cost at the earliest purchase of
goods is the first to be recognized as the cost of the goods sold. Last in, first out assumes that the costs
of the latest units purchased are the first to be allocated to cost of good sold.

Which of the following items is NOT required for the pharmacys poison log?

name and address of purchaser

name of product and date sold


intended use

date of expiration of product

Correct Answer:
date of expiration of product

Explanation:
Correct answer:
date of expiration of product

The poison log requires the name and address of the purchaser, who must be at least 18 years of age,
the name of the product and the date sold, the intended use, the sellers signature, and the price of the
product. The date of expiration of the product is not a required item.

Replacing a new drug product with another that differs in composition but is considered to have the same
or very similar pharmacologic and therapeutic activity is known as which of the following?

therapeutic equivalent

therapeutic substitution

bioavailability

repackaging

Correct Answer:
therapeutic substitution

Explanation:
Correct answer;
therapeutic substitution
Therapeutic substitution is the substitution of a new drug product with another that differs in composition
but is considered to have the same or very similar pharmacologic and therapeutic activity. A therapeutic
equivalent is a drug product that, when administered in the same amount, will provide the same
therapeutic effect and pharmacokinetic characteristics as another drug with which it is compared.

If a patient is to take a dose of 2 tbsp of a medication, how many doses would be contained in a pint
bottle?

32

16

64

20

Correct Answer:
16

Explanation:
Correct answer:
16

There are 32 tablespoons in a pint. If the patient must take 2 tbsp per dose, the patient has 16 doses in
the bottle (32 tbsp/2 tbsp = 16 doses).

In pharmacy calculations some numbers must be rounded to the nearest tenth, hundredth, or thousandth.
Round 354.0964 to the nearest thousandth.

354.096

354.097

354.090

354.001
Correct Answer:
354.096

Explanation:
Correct answer:
354.096

To round the number 354.0964, look at the number directly to the right of the decimal place being
rounded to. If the number is 0, 1, 2, 3, or 4, the number should be rounded down by simply removing the
additional decimal place. In this case the number to the right of the thousandth place is a 4. This means
that the 4 is removed and the rounded number is 354.096.

In terms of cardiovascular system agents, there are a number of drugs that interfere with the ANS. Which
of the following drugs is a calcium channel blocker?

Adrenalin

Isuprel

Procardia

Catapres

Correct Answer:
Procardia

Explanation:
Correct answer:
Procardia

Procardia is a calcium channel blocker. Calcium channel blockers block type L membrane channels for
calcium, resulting in decreased calcium entry into the cells, in a dose-dependent manner.
You have an order for a medication to be taken 2 mg twice a day for 14 days. You have 1 mg tablets on
hand. How many of these tablets do you need?

28

14

56

70

Correct Answer:
56

Explanation:
Correct answer:
56

You will need 4 of the 1 mg tablets for 14 days. This is 56 tablets (4 x 14).

Subtract the following numbers. What is the result?

2 2/5 4/5 = ?

1 2/5

16/5

7/5

1 3/5
Correct Answer:
1 3/5

Explanation:
Correct answer:
1 3/5

First, change 2 2/5 to an improper fraction (12/5). Then subtract the numerators 12 4 = 8. The answer is
8/5 or 1 3/5.

Which of the following drugs is a NOT a tetracycline?

doxycycline

cephalexin

doxycycline monohydrate

minocycline

Correct Answer:
cephalexin

Explanation:
Correct answer:
cephalexin

Cephalexin (Brand name: Keflex, Keftab) is an example of a cephalosporin. The other drugs are
examples of tetracyclines.

Which of the following drugs is classified as a calcium channel blocker?

verapamil

benazepril

perindopril
enalapril

Correct Answer:
verapamil

Explanation:
Correct answer:
verapamil

Verapamil is a calcium channel blocker. It prevents movement of calcium ions through slow channels,
resulting in a reduction through the atrioventricular node, reduction in sinoatrial node action, and
relaxation of coronary artery smooth muscle. The other choices are ace inhibitors.

Given this set of numbers (1.12, 0.67, 0.345, 0.023) which is the smallest number in the set?

0.023

0.67

0.345

1.12

Correct Answer:
0.023

Explanation:
Correct Answer:
0.023

The decimal 0.023 is read twenty-three thousandths. This is the smallest number in the set.
If the retail price of a prescription is $250 what will the patient pay after a 5% discount?

$125.00

$175.00

$237.50

$122.50

Correct Answer:
$237.50

Explanation:
Correct answer:
$237.50

The patient will pay $237.50. The discount is $250 x 5% or $12.50. $250 minus the discount of $12.50
equals $237.50.

Drug products that contain the same active ingredient, but not necessarily in the same salt form amount,
or dosage form are known as which of the following?

beneficial equivalent

therapeutic equivalent

pharmaceutical equivalent

pharmaceutical alternative
Correct Answer:
pharmaceutical alternative

Explanation:
Correct answer:
pharmaceutical alternative

Bioequivalent drug products are pharmaceutical equivalents or alternatives which have essentially the
same rate and extent of absorption when administered in the same dose of the active ingredient under
similar conditions. They may be pharmaceutical equivalents, therapeutic equivalents, or pharmaceutical
alternatives. A pharmaceutical alternative is a drug product that contains the same active ingredient, but
not necessarily in the same salt form, amount, or dosage form.

Which type of laminar flow hood uses recycled air within the hood?

Type A

Type B1

Type B2

Type B3

Correct Answer:
Type B3

Explanation:
Correct answer:
Type B3

A type B3 hood uses recycled air within the hood. All exhaust air is discharged to the outside atmosphere.
A Type A hood may be converted to a Type B3 hood.

The reference book listing NDC numbers, manufacturers, and average wholesale pricing of drug products
is which of the following?

The Physicians Desk Reference


The Orange Book

Drug Topics Red Book

none of the above

Correct Answer:
Drug Topics Red Book

Explanation:
Correct answer:
Drug Topics Red Book

The Drug Topics Red Book is a source of information pertaining to average and wholesale drug costs and
prices. Pharmacies often include this type of product and pricing information on their online database
systems.

The directions for mixing a 12 mg/5 mL liquid states that when 60 mL of water are added to the contents
of the bottle, the resulting volume is 120 mL. What is the concentration of drug in mg/5 mL if only 10 mL
of water were added?

70 mg/5 mL

288 mg/5 mL

205 mg/5 mL

20.5 mg/5 mL

Correct Answer:
20.5 mg/5 mL

Explanation:
Correct answer:
20.5 mg/5 mL
First determine the total mg of drug in the bottle (it is a constant);
12 mg drug /5 mL FV x 120 mL FV = 288 mg drug

Next, determine the powder volume for the drug in the bottle:
FV = D + PV
120 mL = 60 mL + PV
120 mL 60 mL = PV = 60 mL

Now determine the volume of the new product (NP):


NP = D + PV
NP = 10 mL + 60 mL = 70 mL

So the new concentration is: Total mg drug in bottle / volume of new product
288 mg/70 mL = 4.1 mg/mL = 20.5 mg/5 mL

If the route of administration of a medication is in the spine it is which of the following?

intrathecal

intramuscular

subcutaneous

intravenous

Correct Answer:
intrathecal

Explanation:
Correct answer:
intrathecal

If a medication is administered intrathecally it is administered in the spine. Injectable routes of


administration of a medication are intravenous (in the vein), intramuscular (in the muscle), subcutaneous
(in the skin), intradermal (in the dermis of the skin) and intrathecal (in the spine).

If the pharmacy gives a customer a 5% discount on a prescription and the prescription sells for $245.00,
what will the customer pay?
$243.78

$220.50

$232.75

$232.50

Correct Answer:
$232.75

Explanation:
Correct answer:
$232.75

The 5% discount on a $245.00 prescription is $12.25. Subtract this from the selling price and the result is
$232.75 which is what the customer will pay.

Which of the following would NOT be one of the professional standards for pharmacies set by The Joint
Commission (TJC) ?

Internal and external products must be kept in separate locations.

Floor stock inventories in hospitals and long-term care facilities are preferred over unit-dose
systems.
IV admixtures are prepared in a pharmacy setting using aseptic technique and a laminar flow
hood.
The pharmacy must receive the physicians prescription or a copy of the original prescription when
filling medication orders.

Correct Answer:
Floor stock inventories in hospitals and long-term care facilities are preferred over unit-dose
systems.
Explanation:
Correct answer:
Floor stock inventories in hospitals and long-term care facilities are preferred over unit-dose
systems.

This statement is not correct. Unit-dose systems are preferred over floor stock inventories in hospitals and
long-term care facilities.

The job responsibilities of a retail pharmacy technician include all of the following EXCEPT:

verifying drug deliveries

ordering drugs

giving medical information to patients

maintaining inventory records

Correct Answer:
giving medical information to patients

Explanation:
Correct answer:
giving medical information to patients

The job responsibilities of a retail pharmacy technician include all of the choices except this one.
Pharmacy technicians cannot counsel or give medical information or advice to patients. Also it is the
responsibility of the pharmacist to perform the final check before a prescription is dispensed to a patient.

The price of cough medicine is marked up 100%. If the medicine cost the pharmacy $5.50 per bottle,
what will one bottle be sold for?

$6.60

$6.06
$11.00

$8.00

Correct Answer:
$11.00

Explanation:
Correct answer:
$11.00

A 100% markup is calculated by multiplying the original cost by 100%.

$5.50 x 1 = $5.50

Add this to the original cost ($5.50 + $5.50) and the result is $11.00.

The procedure used to eliminate the possibility of a drug becoming contaminated with microbes or
particles is which of the following?

clean technique

antiseptic technique

nosocomial technique

aseptic technique

Correct Answer:
aseptic technique

Explanation:
Correct answer:
aseptic technique

Aseptic technique is a procedure used to eliminate the possibility of a drug becoming contaminated with
microbes or particles. It is directly associated with Universal Precautions. When preparing compounded
sterile products, aseptic techniques must be used.

Which of the following common prefixes means slow?

tachy

para

brady

hypo

Correct Answer:
brady

Explanation:
Correct answer:
brady

The prefix brady means slow. For instance, bradycardia means a slow heart rate.

Under normal conditions the volume of urine normally contained in the bladder at any one time is:

1000 mL

250 300 mL

500 750 mL

100 mL
Correct Answer:
250 300 mL

Explanation:
Correct answer:
250 300 mL

The usual volume of urine contained in the bladder at any one time is about 250 - 300 mL under normal
conditions. The bladder has walls that can expand to hold approximately 1000 mL of urine if necessary.
The adult human body excretes about 960 mL of urine per day.

Removal of a drug from the plasma is known as which of the following?

elimination

clearance

half-life

rate of absorption

Correct Answer:
clearance

Explanation:
Correct answer:
clearance

Clearance of a drug is removal of the drug from the plasma. Drug clearance is normally accomplished by
the kidney or liver. Elimination of a drug is the removal of the drug from the body.

Using Youngs rule calculate the dosage for a 3-year-old child who is prescribed a drug which has a usual
adult dosage of 1.5 g. What is the appropriate dosage for this child?
1.125 g

300 mg

1.125 mg

0.3 mg

Correct Answer:
300 mg

Explanation:
Correct answer:
300 mg

Youngs rule uses a formula based on the age expressed in years. The pediatric dose is calculated by
dividing the childs age in years by the childs age in years plus 12 and multiplying the result by the adult
dosage. In this case the childs age is 3 years. Divide this by 3 + 12 (15) and multiply the result by 1500
mg. The result is 300 mg.

If a patient is to receive 40 units of a particular medication and the label reads 80 units per 2 mL, how
many milliliters will be needed?

10

20

Correct Answer:
1
Explanation:
Correct answer:
1

The correct dosage is 1 mL. If there are 80 units in 2 mL, divide 80 by 2 to find out how many units are in
1 mL. This gives the result of 40 units. Since this is the dose that the patient requires the answer is one
milliliter.

Which of the following is a water soluble vitamin?

Vitamin K

Vitamin D

Vitamin A

Vitamin C

Correct Answer:
Vitamin C

Explanation:
Correct answer
Vitamin C

Water-soluble vitamins are those that are not stored in the body. Fat-soluble vitamins are stored in the
body and thus have more potential for toxicity. Vitamin C is a water-soluble vitamin. The other three
choices are fat-soluble vitamins.

According to the United States Pharmacopeia all of the following statements about compounding are
accurate except:

Compounding does not include the preparation of drugs in anticipation of prescription drug orders.

Compounding is the preparation, mixing, assembling, packaging or labeling of a drug or device.

Compounding includes preparation, mixing, assembling, packaging or labeling of a drug or device


for the purpose of research, teaching, or chemical analysis.
All of the above statements are accurate.

Correct Answer:
Compounding does not include the preparation of drugs in anticipation of prescription drug
orders.

Explanation:
Correct answer:
Compounding does not include the preparation of drugs in anticipation of prescription drug
orders.

This statement is not accurate. Compounding does include the preparation of drugs in anticipation of
prescription drug orders. This is based on routine, regularly observed prescribing patterns.

The inventory management strategy that is a method used to identify and define inventory items based on
their usage is which of the following?

minimum/maximum

inventory turnover rate

ABC analysis

cost analysis

Correct Answer:
ABC analysis

Explanation:
Correct answer:
ABC analysis

The ABC analysis is a method to identify and define inventory items based on their usage. Products are
ranked based on their purchase history and dollar amount of total annual costs.

Drugs can be acids or bases. Which of the following drugs is a base?

diphenhydramine HCl

ibuprofen

glyburide

furosemide

Correct Answer:
diphenhydramine HCl

Explanation:
Correct answer:
diphenhydramine HCl

Drugs are bases when the generic name has two or more words, and neither word is a cation or the word
acid. Diphenhydramine HCl is therefore a base.

An adult patient weighs 100 kg. The adult dose of the drug is 10 mg/kg. What is the dose for this patient?

10 mg

100 mg

1000 mg

10 g
Correct Answer:
1000 mg

Explanation:
Correct answer:
1000 mg

x = 100 kg x 10 mg/kg
x = 1000 mg (1 g)

The U.S. Post Office will not allow the mailing of controlled substances with the exception of which of the
following organizations?

Veterans Administration

community hospitals

doctors offices

rural hospitals

Correct Answer:
Veterans Administration

Explanation:
Correct answer:
Veterans Administration

The U.S. Post Office will not allow the mailing of controlled substances with the exception of the Veterans
Administration. Other postal services such as FedEx or UPS are not governed by these regulations, but
the outside label of the package is to be unmarked so the contents cannot be identified.

Divide the following. What is the result?

4/5 2/3 = ?
1 7/15

2 1/5

1 1/5

1 3/10

Correct Answer:
1 1/5

Explanation:
Correct Answer
1 1/5

Dividing fractions is similar to multiplying fractions except you invert the second fraction and then proceed
as in multiplication. Inverting the second fraction, the problem becomes 4/5 x 3/2. Now simply multiply the
fractions and you have 12/10 = 1 and 2/10 and then reduce to lowest terms and you have 1 1/5.

Item such as walkers, wheel chairs, crutches, and bedpans stocked in a retail pharmacy are known as
which of the following?

floor stock

durable medical equipment

over-the-counter equipment

non-durable medical supplies

Correct Answer:
durable medical equipment
Explanation:
Correct answer:
durable medical equipment

Durable medical equipment, also known as DME, is often stocked in retail pharmacies. This includes
items such as walkers, wheel chairs, crutches, and bedpans. These products are often large and take up
space and so sometimes are ordered on a next-day basis from wholesalers.

The date that the hospital was built is registered on the building as MCMXI. The building was built in
which of the following years?

1909

1911

1811

1809

Correct Answer:
1911

Explanation:
Correct answer:
1911

The hospital was built in 1911. MCM = 1900; XI = 11.

In terms of investigational drugs, which of the following statements is least accurate?

The nursing unit in a hospital is responsible for the distribution and control of investigational drugs.

The hospital pharmacy must provide clinical services for investigational drugs such as patient
education and training of staff.
The hospital pharmacy is involved with research activities such as assisting in data collection and
analysis.
The hospital pharmacy may undertake clinical study management by providing reports to the
sponsor.

Correct Answer:
The nursing unit in a hospital is responsible for the distribution and control of investigational
drugs.

Explanation:
Correct answer:
The nursing unit in a hospital is responsible for the distribution and control of investigational
drugs.

This is inaccurate. The hospital pharmacy is responsible for the distribution and control of investigational
drugs. This includes procurement, storage, inventory management, packaging, labeling, distribution and
the disposition of unused drugs.

The removal of a drug from the body is known as which of the following?

metabolism

absorption

elimination

clearance

Correct Answer:
elimination

Explanation:
Correct answer:
elimination

Elimination of a drug is the removal of the drug from the body. The clearance of a drug is removal of the
drug from the bloodstream.

Which of the following would be least likely to be considered an advantage of a solid dosage form?

easy to package

more quickly effective

lacks smell or taste

suited for sustained-release medications

Correct Answer:
more quickly effective

Explanation:
Correct answer:
more quickly effective

This is the least likely of the choices to be considered an advantage of a solid dosage form. Liquids are
effective more quickly than a solid dosage form because the drug is already dissolved in a liquid.

The sharp, pointed, diagonally cut end of a needle is known as which of the following?

barrel

lumen

tubex

bevel
Correct Answer:
bevel

Explanation:
Correct answer:
bevel

The sharp, pointed, diagonally cut end of a needle is known as the bevel. The hollow space inside the
needle is called the lumen.

The absorption of drugs through the skin is known as which of the following?

percutaneous absorption

complexation

metabolism

distributive absorption

Correct Answer:
percutaneous absorption

Explanation:
Correct answer:
percutaneous absorption

Percutaneous absorption is the absorption of drugs through the skin, often for a systemic effect. Some
dermal formulations promote percutaneous absorption.

In terms of corticosteroids, which of the following statements is least accurate?

The drug action of corticosteroids includes acting as an anti-inflammatory.


Corticosteroids produce smooth muscle relaxation.

Corticosteroids are toxic even at low doses.

Corticosteroids are recommended as the first line of treatment for long-term prophylaxis of asthma.

Correct Answer:
Corticosteroids are toxic even at low doses.

Explanation:
Correct answer:
Corticosteroids are toxic even at low doses.

This statement is not accurate. Corticosteroids are relatively non-toxic especially at low to moderate
doses.

Lozenges, troches, implant capsules and patches fall into which classification of dosage form?

liquid

solid

semi-solid

semi-liquid

Correct Answer:
solid

Explanation:
Correct answer:
solid
Dosage forms can be solid, liquid or semi-solid. Lozenges, troches, implant capsules and patches fall into
the solid category along with tablets, chewable tablets, enteric-coated tablets, extended-release agents,
capsules and caplets.

Which of the following organizations is responsible for providing guidelines for all manufacturers that
package medications?

FDA

DEA

United States Pharmacopeia

ATF

Correct Answer:
FDA

Explanation:
Correct answer:
FDA

The FDA is responsible for providing guidelines for all manufacturers that package medications. The
beyond-use dates are established according to the United States Pharmacopeia.

Which of the following types of analgesics is used to relieve mild to moderate pain, is anti-inflammatory,
and is also an anti-pyretic?

salicylates

acetaminophen

NSAIDs

opiate-type
Correct Answer:
salicylates

Explanation:
Correct answer:
salicylates

Salicylates, such as Bayer aspirin, are used to relieve mild to moderate pain, are anti-inflammatory, and
are also an anti-pyretic. Acetaminophen is also used for mid to moderate pain and is an anti-pyretic but
not an anti-inflammatory.

If the pharmacy receives an order for medication for an infant who weighs 22 lb and the order calls for 20
mg/kg/dose, how many mg of medication should this infant receive in one dose?

20 mg

200 mg

240 mg

2.4 mg

Correct Answer:
200 mg

Explanation:
Correct answer:
200 mg

The dosage for this infant would be calculated by changing the weight to kg (22 lb / 2.2 kg = 10), then
multiplying 20 mg by 10 kg to get 200 mg per dose.

All of the following documents are required by federal law to be maintained for a minimum of 2 years and
be readily retrievable EXCEPT:
DEA From 41

all prescriptions

all controlled-substance invoices

all exempt narcotic and poison sales records

Correct Answer:
all prescriptions

Explanation:
Correct answer:
all prescriptions

This is not one of the document categories required to be maintained for a minimum of 2 years and be
readily retrievable. Federal law requires that all prescriptions for controlled substances meet this
requirement; not all prescriptions.

If a patient takes 10 mg of a medication three times a week and 5 mg of the same medication the other
four days of the week, how many mg does the patient take each week?

15 mg

20 mg

50 mg

55 mg

Correct Answer:
50 mg
Explanation:
Correct answer:
50 mg

The patient takes 50 mg in a week. The patient takes 10 mg on three days (10 X 3 = 30) and 5 mg on four
days (5 X 4 = 20). That makes a total of 50 mg (30 + 20 = 50).

Sales minus the cost of goods minus expenses is known as which of the following?

net sales

net profit

gross profit

gross profit rate

Correct Answer:
net profit

Explanation:
Correct answer:
net profit

Net profit is sales minus cost of goods sold minus expenses. Gross profit is the excess of net sales over
the cost of goods sold. It does not take into account expenses.

In terms of the integumentary system, what is the term for a plug of keratin and sebum within a hair follicle
that is blackened on the surface?

comedone

acne vulgaris

urticaria

alopecia
Correct Answer:
comedone

Explanation:
Correct answer:
comedone

A comedone is commonly known as a blackhead. It is a plug of keratin and sebum within a hair follicle
that is blackened on the surface.

Drug additives that include coloring and flavoring are called:

receptors

distributors

excipients

none of the above

Correct Answer:
excipients

Explanation:
Correct answer:
excipients

Excipients are additives for drugs. They are used for many different reasons. They include coloring and
flavoring. They also include fillers to increase the size of medication, bases, buffers and preservatives.

What do the letters NF after a drug name indicate?


non-formulary

nation-wide formulary

national formulary

none of the above

Correct Answer:
national formulary

Explanation:
Correct answer:
national formulary

The national formulary is a listing of all drugs marketed in the United States. The letters NF after a drug
name indicate that the drug is included in the national formulary.

Which of the following channels of communication is the LEAST effective?

letters

bulletins

posted messages

written memos

Correct Answer:
bulletins

Explanation:
Correct answer:
bulletins

Bulletins are the least effective channel of communication of the choices listed. Face-to-face
communication is the most effective way to communicate.

The pharmacy buys a case of medicine for $150. It marks up the price by 200%. What is the selling price
for the case?

$300

$350

$400

$450

Correct Answer:
$450

Explanation:
Correct answer:
$450

Cost + markup = x (selling price)


$150 + (200% x $150) = x
$150 + $300 = $450

Using Clarks rule calculate the dosage for a 7 -year-old child weighing 60 lb who is prescribed a drug
which has a usual adult dosage of 1000 mg. What is the appropriate dosage for this child?

400 mg

40 mg

384.6 mg

500 mg
Correct Answer:
400 mg

Explanation:
Correct answer:
400 mg

Clarks rule is based on the patients weight expressed in pounds. The childs weight is divided by 150
and the result is multiplied by the adult dose. In this case, the childs weight, 60 lb is divided by 150. The
result is 0.4. This is multiplied by the adult dose of 1000 mg to give you a pediatric dosage of 400 mg.

Which of the following drugs would be considered a Schedule IV controlled substance?

anabolic steroids

compounds containing codeine

methadone

Phenobarbital

Correct Answer:
Phenobarbital

Explanation:
Correct answer:
Phenobarbital

Phenobarbital is a Schedule IV drug. These drugs have a low potential for abuse relative to Schedule III
drugs. They may lead to limited physical dependence or psychological dependence.
An environmental quality and infection control plan includes all of the following recommended standard
operating procedures for cleaning sterile compounding facilities EXCEPT:

Clean and sanitize the direct and contiguous compounding area at the beginning of each shift.

Clean and sanitize the work surfaces in the anteroom daily.

Empty storage shelving in the anteroom of all supplies and clean and sanitize at least semi-
annually.
Clean and sanitize the walls and ceilings in the work space at least monthly.

Correct Answer:
Empty storage shelving in the anteroom of all supplies and clean and sanitize at least semi-
annually.

Explanation:
Correct answer:
Empty storage shelving in the anteroom of all supplies and clean and sanitize at least semi-
annually.

This would not be a recommended standard operating procedure for cleaning sterile compounding
facilities. Storage shelving in the anteroom should be emptied of all supplies and then cleaned and
sanitized at least weekly.

Which of the following statements about procedures to compound sterile noninjectable products is
incorrect?

Sterilization can be accomplished by autoclave, filtration, gas or radiation.

Product must be free from foreign particles which can be accomplished through filtration.

An isotonic solution should have tonicity equal to that of sodium chloride 0.9%.

The product should be formulated at a pH of 3.2, but this rarely occurs.


Correct Answer:
The product should be formulated at a pH of 3.2, but this rarely occurs.

Explanation:
Correct answer:
The product should be formulated at a pH of 3.2, but this rarely occurs.

This statement is incorrect. The product should be formulated at a pH of 7.4, but this rarely occurs. The
pH chosen should be optimum for stability.

The inscription of a prescription includes all of the following EXCEPT:

name of medication

instructions to the pharmacist

strength of medication if applicable

quantity of medication to be dispensed

Correct Answer:
instructions to the pharmacist

Explanation:
Correct answer:
instructions to the pharmacist

The instructions to the pharmacist are the subscription. The inscription contains the information in the
other three choices.

Which of the following Roman numerals is equal to the Arabic numeral 3,012?

XIIMMM
MMMXII

MMMVVII

MMMXIX

Correct Answer:
MMMXII

Explanation:
Correct answer:
MMMXII

MMMXII is equivalent to 3,012 in Arabic numbers. MMM = 3000; XII = 12.

A physician wants his patient to take a certain medication 3 times daily. How will this be written on the
prescription?

tid

bid

qid

q3h

Correct Answer:
tid

Explanation:
Correct answer:
tid
Three times daily is written as tid. Twice daily is written as bid. Four times daily is written as qid.
q3h would mean every three hours.

Therapeutic interchange is the substitution of one medication for another medication that is not
generically equivalent but would provide the same therapeutic effect. There are therapeutic equivalence
codes that address this issue. Which of the following codes means that a topical drug product is
considered to be therapeutically equivalent to another pharmaceutically equivalent product?

AB

AT

AP

Correct Answer:
AT

Explanation:
Correct answer:
AT

The AT code is used for topical products that are considered therapeutically equivalent to other
pharmaceutically equivalent products. According to the Orange Book, two drugs are therapeutically
equivalent if they contain the same active ingredients and have the same strength or concentration, the
same dosage form and the same route of administration as well as the came clinical effect and safety
profile.

Which of the following is a nongreasy ointment base?

oleaginous base

oil-water emulsion base

water-oil emulsion base


absorption base

Correct Answer:
oil-water emulsion base

Explanation:
Correct answer:
water emulsion base

All of the choices are greasy emulsion bases except this one. Also nongreasy is the water-miscible base.

A tube that is 1.5 feet in length is how many centimeters in length?

4.572 cm

457.2 cm

45.72 cm

47.52 cm

Correct Answer:
45.72 cm

Explanation:
Correct answer:
45.72 cm

There are 30.48 cm in a foot. Multiply 30.48 cm by 1.5 feet and the result is 45.72 cm.
An antipruritic medication would be used to treat which of the following?

high cholesterol levels

diarrhea

blood clots

itching

Correct Answer:
itching

Explanation:
Correct answer:
itching

An antipruritic medication would be used to relieve or prevent itching. Antihyperlipidemic drugs lower high
cholesterol levels. Antidiarrheal drugs stop diarrhea. Anticoagulants dissolve or prevent blood clots.

To manage a controlled substances treatment program or compound controlled substances, which of the
following DEA forms should be used?

Form 225

Form 224

Form 363

Form 41
Correct Answer:
Form 363

Explanation:
Correct answer:
Form 363

To manage a controlled substances treatment program or compound controlled substances, Form 363 is
used. To manufacture or distribute controlled substances, Form 225 is used. To dispense controlled
substances, Form 224 is used. Authorization to destroy damaged, outdated, or unwanted controlled
substances requires Form 41.

Which of the following abbreviations is NOT one that is used to indicate extended-release formulations?

LA

SA

SR

SC

Correct Answer:
SC

Explanation:
Correct answer:
SC

This is not an abbreviation that indicates an extended-release formulation. It is used to indicate that a
drug is to be administered under the skin. Extended-release formulations include: LA long acting; SA
sustained acting; SR sustained release; TR timed release; and ER extended release.

The medical condition in which the heart is unable to meet the metabolic needs of the tissues is which of
the following?

congestive heart failure


myocardial infarction

hypertension

hypotension

Correct Answer:
congestive heart failure

Explanation:
Correct answer:

congestive heart failure

The medical condition in which the heart is unable to meet the metabolic needs of the tissues is
congestive heart failure. Congestive heart failure results in the heart pumping less blood than it receives.

Express 22% in terms of a ratio. Which of the following are correct?

22 : 100

1 : 22

22 : 1

22 : 1000

Correct Answer:
22 : 100

Explanation:
Correct answer:
22 : 100

22% is 0.22 or 22/100. This can be expressed as a ratio of 22 : 100.

If a pharmacy is giving a discount of 20% on a bottle of aspirin that normally sells for $6.50 how much will
the customer who buys one bottle of this aspirin save?

$5.20

$ .52

$1.30

$ .13

Correct Answer:
$1.30

Explanation:
Correct answer:
$1.30

The savings on one bottle of this aspirin will be $1.30. This is calculated as follows:

6.50 x 20% (or .20) = 1.30

The notation by a prescriber to use the exact drug written in filling a prescription is indicated by which of
the following?

DAG

DAB

DAW

DEW
Correct Answer:
DAW

Explanation:
Correct answer:
DAW

DAW means that the prescription must be dispensed as written. This is usually done when a brand
name is preferred over a generic drug.

Which of the following statements about the regulation of pharmacy technicians is false?

All states require that a pharmacy technician be licensed by the Board of Pharmacy.

Pharmacy technicians must follow state regulations set by the Board of Pharmacy.

Pharmacy technicians may have to register with the Board of Pharmacy.

Pharmacy technicians may have to become certified either by the Pharmacy Technician
Certification Board or the state.

Correct Answer:
All states require that a pharmacy technician be licensed by the Board of Pharmacy.

Explanation:
Correct answer:
All states require that a pharmacy technician be licensed by the Board of Pharmacy.

This statement is false. Some states require that a pharmacy technician be licensed by the Board of
Pharmacy. This is not true of all states.

75 kg is equivalent to how many pounds?


165 lb

150 lb

34 lb

34.1 lb

Correct Answer:
165 lb

Explanation:
Correct answer:
165 lb

There are 2.2 lb in every kilogram. Therefore, 75 kg x 2.2 lb = 165 lb.

An agreement for cost sharing between the insurer and the insured is known as which of the following?

dual co-pay

co-pay

deductible agreement

co-insurance

Correct Answer:
co-insurance

Explanation:
Correct answer:
co-insurance

Co-insurance is the agreement for cost-sharing between the insurer and the insured. One aspect of this is
the requirement for the patient to co-pay for the filled prescription.

If a drug is recalled because of inappropriate labeling, it is most likely that it is which of the following
classes of recall?

Class I

Class II

Class III

Class IV

Correct Answer:
Class III

Explanation:
Correct answer:
Class III

A Class III recall is one in which the drugs are not likely to have caused adverse health consequences. It
is more likely that the drug was recalled due to inappropriate labeling or other publicized misinformation.

In terms of hazardous waste materials and waste, which of the following statements is incorrect?

The Hazard Communication Standard is based on the belief that all employees have both a need
and a right to be informed of the hazards and identities of the chemicals to which they will be
exposed.
Every institution handling hazardous chemicals must have a written hazard communication
program.
The Drug Reimportation Reform requires that all employees be aware of the hazards of chemicals
to which they are exposed.
Every institution handling hazardous chemicals must receive an MSDS from the manufacturer,
importer or distributor for each hazardous chemical in the workplace.
Correct Answer:
The Drug Reimportation Reform requires that all employees be aware of the hazards of chemicals
to which they are exposed.

Explanation:
Correct answer:
The Drug Reimportation Reform requires that all employees be aware of the hazards of chemicals
to which they are exposed.

This is incorrect. The Occupational Safety and Health Act requires that all employees be aware of the
hazards of chemicals to which they are exposed.

A male with impaired insulin secretion and who is taking no medications would have which of the
following conditions?

gestational diabetes

secondary diabetes

Type I diabetes

Type II diabetes

Correct Answer:
Type II diabetes

Explanation:
Correct answer:
Type II diabetes

Type II diabetes is characterized by impaired insulin secretion. Type I diabetes is where the body is
unable to produce insulin and the person is insulin-dependent. Gestational diabetes results from
pregnancy and secondary diabetes is caused by other medications.
Which of the following agencies can issue a drug recall?

United States Pharmacopeia


DEA

FDA

ATF

Correct Answer:
FDA

Explanation:
Correct answer:
FDA

The Food and Drug Administration can issue drug recalls. There are three types of recalls: Class I, Class
II and Class III.

Of conditions that affect the urinary system which of them is characterized by excess urea in the blood?

urolithiasis

urinary tract infection

urethritis

uremia
Correct Answer:
uremia

Explanation:
Correct answer:
uremia

Uremia is a condition of the urinary system that is characterized by excess urea in the blood. In kidney
failure, urea and other waste products, which are normally excreted into the urine, are retained in the
blood.

To better understand the hospital pharmacy technicians roles and responsibilities, it is important to
become familiar with the details of a hospital. Which of the following hospital unit abbreviations is NOT
matched with its correct interpretation?

PACU Post-Anesthesia Care Unit

SICU Surgical Intensive Care Unit

ED Emergency Department
PEDS Pediatric Intensive Care Unit

Correct Answer:
PEDS Pediatric Intensive Care Unit

Explanation:
Correct answer:
PEDS Pediatric Intensive Care Unit

This is incorrect. PEDS means the Pediatric Unit. PICU is the Pediatric Intensive Care Unit.

Dilation of the pupil of the eye is known as which of the following?

aqueous humor
vitreous humor

miosis

mydriasis

Correct Answer:
mydriasis

Explanation:
Correct answer:
mydriasis

Mydriasis is dilation of the pupil of the eye. Miosis is contraction of the pupil of the eye.

The document listing the necessary personal and health information for a person is which of the
following?

patient profile

HIPAA file

PAR

POS

Correct Answer:
patient profile

Explanation:
Correct answer:
patient profile
The patient profile is a document listing the necessary patient personal and health information. It should
include comprehensive information on the medications they are taking.

Perform the following: 2.14 + 1.7 . What is the result?

3.638

3.84

1.2588235

0.44

Correct Answer:
3.84

Explanation:
Correct answer:
3.84

To perform addition, simply align the decimal places then add the two numbers. You may use a place
holder 0 to even the digits.

2.14
+ 1.70
3.84

Which of the following pieces of compounding equipment is used for sealing tubes and glass bottles?

crimper

glass tile

tongs

foil wrap
Correct Answer:
crimper

Explanation:
Correct answer:
crimper

A crimper is a piece of compounding equipment which is used for sealing tubes and glass bottles. Glass
tiles are for mixing ingredients; tongs are for removing hot contents; and foil wraps are used for wrapping
suppositories.
Test 18
Pharmacy computer systems and technology applications must be configured to meet privacy guidelines
set by which of the following?

HIPAA

OSHA

FDA

DEA

Correct Answer:
HIPAA

Explanation:
Correct answer:
HIPAA

The Health Insurance Portability and Accountability Act of 1996 (HIPAA) contains patient confidentiality
regulations that must be met by pharmacy computer systems. They must be configured to meet HIPAA
privacy guidelines.

A customer buys an analgesic for $6.50 and a foot powder for $13.50. If the pharmacy gives the customer
a discount of 10%, what will the cost be to the customer for these products?

$19.17

$18.50

$17.75

$18.00
Correct Answer:
$18.00

Explanation:
Correct answer:
$18.00

The total price of the products is $20.00 ($6.50 + $13.50). The discount is 10% or 0.10 x $20.00. This
comes to $2.00. Subtract this from the original retail price or $20.00 and the result is $18.00.

In terms of the commercial aspects of pharmaceuticals, which of the following terms is defined as the
selling price minus the purchase price?

net profit

gross profit

profit

none of the above

Correct Answer:
gross profit

Explanation:
Correct answer:
gross profit

The selling price minus the purchase price is the gross profit. The net profit is: overall cost X the desired
percent profit. The profit is the selling price minus the overall cost.

A child weighs 10 kg. His medication is prescribed at 2.75 mg/ kg per day. What is the daily dosage of his
medication?

27.5 mg

2.75 mg
12.5 mg

60.5 mg

Correct Answer:
27.5 mg

Explanation:
Correct answer:
27.5 mg

The child weighs 10 kg. At 2.75 mg/kg this means that you multiply 10 by 2.75. The result is 27.5 mg.

Which of the following would be considered a topical dosage form?

jellies

suspensions

troches

suppositories

Correct Answer:
jellies

Explanation:
Correct answer:
jellies

Jellies or gels are considered topical dosage forms. Other topical dosage forms include: creams,
ointments, pastes, and sticks.
Which of the following is NOT one of the tasks of the U.S. Food and Drug Administration (FDA)?

regulates the admission of new drugs into the U.S. market

mandates the inclusion of package inserts

regulates proper product labeling

administers the Poison Prevention Packaging Act

Correct Answer:
administers the Poison Prevention Packaging Act

Explanation:
Correct answer:
administers the Poison Prevention Packaging Act

This is not a task of the FDA. The U.S. Consumer Product Safety Commission (CPSC) administers the
Poison Prevention Packaging Act.

Which of the following DEA numbers would be a valid number for Dr. Nelson?

BN4265832

BN4265838

NB4265832

BN4265837

Correct Answer:
BN4265838
Explanation:
Correct answer:

BN4265838

This would be a valid number for Dr. Nelson. The B is a randomly assigned letter for top-level
practitioners. The second letter should the first letter of the doctors last name (N). The odd-numbered
digits (4, 6, 8) and the even numbered digits (2, 5, 3) are added together and then multiplied by 2 (in this
case totaling 28) and the last digit of this total should be the last number of the DEA number. Therefore,
BN4265838 would be a valid DEA number for Dr. Nelson.

Solve the following equation for x. What is the result?

x/12 = 4/48

48

Correct Answer:
1

Explanation:
Correct answer:
1

1 is to 12 as 4 is to 48. They are of equal proportions.

Which of the numbers in the following set is the largest (0.023, 0.564, 0.129, 0.098)?
0.023

0.564

0.129

0.098

Correct Answer:
0.564

Explanation:
Correct Answer:
0.564

A decimal represents a part of a whole; therefore, 0.564 is the largest in the set. You know this by the fact
that it is the largest number immediately to the right of the decimal point.

In terms of record-keeping requirements for medication dispensing, which of the following records does
not necessarily have to be kept in the pharmacy?

Biennial inventory of narcotics

Repackaged medications log

Change of pharmacist-in-charge inventory

Controlled substance invoices

Correct Answer:
Repackaged medications log

Explanation:
Correct answer:
Repackaged medications log

The repackaged medications log must be readily retrievable, but does not necessarily have to be kept in
the pharmacy. The other three choices contain records that must be kept in the pharmacy.

Which of the following types of water has been sterilized but has no antimicrobial agents?

water for injection USP

sterile water for injection USP

bacteriostatic water for injection USP

purified water USP

Correct Answer:
sterile water for injection USP

Explanation:
Correct answer:
sterile water for injection USP

Sterile water for injection USP has been sterilized but has no antimicrobial agents. It can be used in
parenteral solutions.

Which of the following is NOT considered volumetric glassware?

pipettes

graduated cylinders

Erlenmeyer flasks

syringes
Correct Answer:
Erlenmeyer flasks

Explanation:
Correct answer:
Erlenmeyer flasks

Erlenmeyer flasks, beakers, and prescription bottles, regardless of markings, are not volumetric
glassware. They are simply containers for storing and mixing liquids. The designated volume is only the
approximate capacity of the vessel.

Which of the following types of formularies is one in which a limited number of products of each drug
classification is carried?

closed formulary

open formulary

restricted formulary

hybrid formulary

Correct Answer:
closed formulary

Explanation:
Correct answer:
closed formulary

A closed formulary is one in which a limited number of products of each drug classification is carried. An
open formulary carries all pharmaceutical products. A restricted formulary is a hybrid of both open and
closed formularies.
The adult human body excretes approximately how much urine per day?

550 mL

675 mL

900 mL

1200 mL

Correct Answer:
1200 mL

Explanation:
Correct answer:
1200 mL

The bladder has walls that can expand to hold approximately 800 mL of urine if necessary; however, the
usual volume of urine contained in the bladder at any one time is about 400 - 600 mL under normal
conditions. The adult human body excretes about 1000 to 2000 mL of urine per day.

Which of the following drugs is a non-benzodiazepine hypnotic drug?

Sonata

Dalmane

Halcion

Restoril
Correct Answer:
Sonata

Explanation:
Correct answer:
Sonata

Sonata is the only non-benzodiazepine hypnotic drug of the choices. Other non-benzodiazepine hypnotic
drugs include: Ambien, Lunesta and Rozerem.

Which of the following pieces of equipment is needed for preparing compounds that require an aseptic
environment?

tongs

crimpers

autoclave

vertical flow hood

Correct Answer:
vertical flow hood

Explanation:
Correct answer:
vertical flow hood

A vertical flow hood ensures that the complete environment for compounding is aseptic. Tongs are used
for removing hot contents. Crimpers are used for sealing tubes and glass bottles. An autoclave is used for
sterilization.

Which of the following laxatives is an emollient laxative?

Citrucel

Fleet Babylax
Dulcolax

Colace

Correct Answer:
Colace

Explanation:
Correct answer:
Colace

Colace is an emollient laxative or stool softener. It improves the ability of water within the colon to
penetrate and mix with stool. The increased water content then softens the stool.

Which of the following diseases is caused by a bacterium?

malaria

roundworm

rabies

Lyme disease

Correct Answer:
Lyme disease

Explanation:
Correct answer:
Lyme disease

Lyme disease is caused by the bacterium Borrelia burgdorferi. Malaria is caused by protozoa.
Roundworm is caused by helminths. Rabies is caused by a virus.
Which color of container is most often used for medication so as to avoid degradation of the medication?

green

gray

amber

black

Correct Answer:
amber

Explanation:
Correct answer:
amber

It is common practice to use only amber-colored containers to avoid possible degradation of medication.
Clear unit dose packs, however, are also available.

Which of the following drugs is NOT a long-acting contraceptive?

Ortho-Cyclen

Depo-Provera

Lunelle

Mirena IUD
Correct Answer:
Ortho-Cyclen

Explanation:
Correct answer:
Ortho-Cyclen

Ortho-Cyclen is an oral contraceptive. Other oral contraceptives include: Alesse, Desogen, Demulen and
LoOvral. All of the other choices are classified as long-acting contraceptives.

In speaking of water-soluble vitamins, which of the following statements is incorrect?

All of the B complex vitamins are water-soluble.

Water-soluble vitamins are stored in the liver and body fat.

Water-soluble vitamins are excreted through the urine.

Water-soluble vitamins need to be replaced daily.

Correct Answer:
Water-soluble vitamins are stored in the liver and body fat.

Explanation:
Correct answer:
Water-soluble vitamins are stored in the liver and body fat.

This is an incorrect statement. Fat-soluble vitamins are stored in the liver and body fat. Water-soluble
vitamins are excreted through the urine and need to be replaced daily. Their levels are also reduced to
some extent by the cooking process, unlike the fat-soluble vitamins.

The prefix deka- indicates which of the following?

1000 times the basic unit

100 times the basic unit


10 times the basic unit

one-tenth of the basic unit

Correct Answer:
10 times the basic unit

Explanation:
Correct answer:
10 times the basic unit

The prefix deka- indicates 10 times the basic unit. The prefix deci- indicates one-tenth of the basic unit.

Antimetabolites are often used to treat leukemia. All of the following are antimetabolites EXCEPT:

Cytarabine

Floxuridine

Mercaptopurine

Etoposide

Correct Answer:
Etoposide

Explanation:
Correct answer:
Etoposide

Etoposide is a mitotic inhibitor. This type of agent prevents mitosis (cell division) at the metaphase stage.
All of the other choices are antimetabolites.
Which of the following is NOT a solid dosage form?

powder

collodion

implant

plaster

Correct Answer:
collodion

Explanation:
Correct answer:
collodion

A collodion is a topical dosage form that contains pyroxylin and is dissolved in alcohol and ether. It is a
solution, and therefore, not a solid dosage form.

Which of the following statements best describes tituration?

an act of reducing a substance to small, fine particles

a process of rubbing, grinding or pulverizing a powder to create fine particles

a technique to either blend or combine powders

an act of combining two substances


Correct Answer:
a process of rubbing, grinding or pulverizing a powder to create fine particles

Explanation:
Correct answer:
a process of rubbing, grinding or pulverizing a powder to create fine particles

Tituration is a process of rubbing, grinding or pulverizing a powder to create fine particles. The act of
reducing a substance to small, fine particles is comminution. A technique to either blend or combine
powders is sifting. The act of combining two substances is blending.

The cellular material located at the site of action that interacts with a drug is known as which of the
following?

agonist

antagonist

receptor

ionizer

Correct Answer:
receptor

Explanation:
Correct answer:
receptor

A receptor is the cellular material located at the site of action that interacts with the drug. Receptors are
located on the surfaces of cell membranes and inside cells. Most receptors can be found throughout the
body, though some occur in only a few places.

An IV push route of administration for parenteral agents means which of the following?

directly into the muscle


injection into the upper layers of the skin

into the vein directly from a syringe

into the spine

Correct Answer:
into the vein directly from a syringe

Explanation:
Correct answer:
into the vein directly from a syringe

IV means intravenous or into the vein. An IV push is into the vein directly from a syringe.

The pharmacy buys a case of cough medicine for $100. There are 50 bottles in the case. What is the cost
of one bottle?

$5

$2

$4

$2.50

Correct Answer:
$2

Explanation:
Correct answer:
$2
Set up the following equation where x equals the cost of one bottle.

x = cost of case number of bottles in case


x = $100 50
x = $2

In terms of handling chemotherapeutic agents, all of the following statements are true EXCEPT:

The DEA guidelines regarding the storage and handling of chemotherapeutic agents should be
followed.
They must be prepared in a biologic safety cabinet or vertical flow hood.

They must be place in bags identifying them as chemotherapeutic agents.

A 4 x 4 inch piece of gauze should be kept inside the hood in case of a spill.

Correct Answer:
The DEA guidelines regarding the storage and handling of chemotherapeutic agents should be
followed.

Explanation:
Correct answer:
The DEA guidelines regarding the storage and handling of chemotherapeutic agents should be
followed.

This is inaccurate. The Occupational Safety and Health Administration (OSHA) guidelines regarding
the storage and handling of chemotherapeutic agents should be followed.

Which of the following types of information is NOT required on a repackaging log?

dosage form

strength

physicians name

pharmacy lot number


Correct Answer:
physicians name

Explanation:
Correct answer:
physicians name

There is no physicians name in the repackaging log. Information required includes: date, drug, dosage
form, manufacturer, manufacturers lot number, manufacturers expirations date, pharmacy lot number,
pharmacy expiration date, technicians initials and pharmacists check.

Inventory turnover rates and reduction in prescription errors per shift are part of which of the following
aspects of a business?

communication

customer service

productivity

efficiency

Correct Answer:
productivity

Explanation:
Correct answer:
productivity

There are many aspects to running a business including running a pharmacy. Productivity is concerned
with such things as inventory turnover rates, reduction in prescription errors per shift, compliance reports
from vendors and average waiting time per prescription.
Which of the following is NOT an automated storage and retrieval system?

Pharmacy Central

Pyxis Carousel System

MedSide

OmniRx Color Touch

Correct Answer:
OmniRx Color Touch

Explanation:
Correct answer:
OmniRx Color Touch

An automated storage and retrieval system is used to store and retrieve inventories of medication kept in
the pharmacy. All of the choices are automated storage and retrieval systems except the OmniRx Color
Touch. It is an automated medication delivery system.

100 mL of a cream contains 15 mg of medication. What is the percentage of medication in the cream?

15%

10%

1.5%

0.15%
Correct Answer:
1.5%

Explanation:
Correct answer:
1.5%

Percentage of a solution is expressed in grams per 100 mL. Convert 15 mg to grams and you get
15/1000 or 0.015. Therefore the percentage of medication in the cream is 1.5%.

Infections that are acquired within hospitals, nursing homes or other health care facilities or institutions
are known as which of the following?

nosocomial infections

fungal infections

microbial infections

none of the above

Correct Answer:
nosocomial infections

Explanation:
Correct answer:
nosocomial infections

Infections that are acquired within hospitals, nursing homes or other health care facilities or institutions
are known as nosocomial infections. They can be deadly. Hand sanitization and hand washing are the
major steps for the prevention of nosocomial infections.

Which of the following drugs is most likely to be used for eczema?

Elidel

Raptiva
Remicade

Amevive

Correct Answer:
Elidel

Explanation:
Correct answer:
Elidel

Elidel is an FDA-approved immunomodulator cream used for mild to moderate atopic eczema. The other
choices are drugs used for treating psoriasis.

Which of the following can be used to treat an overdose of aspirin?

syrup of ipecac

salt

bread

activated charcoal

Correct Answer:
activated charcoal

Explanation:
Correct answer:
activated charcoal

Activated charcoal can be used to treat an overdose of aspirin or acetaminophen. It decreases the
absorption of these drugs when given quickly after overdose.
Which of the following entities regulates the shipment of hazardous materials?

Drug Enforcement Agency

Food and Drug Administration

Department of Transportation

Occupational Safety and Health Administration

Correct Answer:
Department of Transportation

Explanation:
Correct answer:
Department of Transportation

The U.S. Department of Transportation (DOT) regulates the shipment of hazardous materials under the
Hazardous Materials Transportation Act of 1994. The Occupational Safety and Health Administration
(OSHA) sets guidelines regarding the storage and handling of hazardous substances.

You need to fill a prescription for 20 mg tablets to be taken once a day for 10 days. You only have 10 mg
tablets on hand. How many 10 mg tablets will it take to fill the prescription?

20

10

15
Correct Answer:
20

Explanation:
Correct answer:
20

1 20 mg tablet/10 days = x 10 mg tablets/10 days


Cross multiply the equation:
10x = 200
x = 20

When a calculation produces a number that is very long, it is necessary to round off the number. Round
the number 12.0056 to the nearest hundredth. The correct answer is which of the following?

12.05

12.50

12.001

12.01

Correct Answer:
12.01

Explanation:
Correct answer:
12.01

Rounding a number to the hundredth is rounding to two places. Since the number following the hundredth
place is over 50 the decimal is rounded up and the correct answer is 12.01.

A patient must drink 2 cups of water every fours hours each day. How many L of water per day is this?
1.42 L

5.68 L

4.24 L

2.84 L

Correct Answer:
2.84 L

Explanation:
Correct answer:
2.84 L

This patient must drink 2 cups of water 6 times a day. This is 12 cups of water. There are 0.236588 L per
cup. Multiply 12 cups by 0.236588 L and you get 2.84 L.

Which of the following stands for medication as needed?

stat

ASAP

NKA

prn

Correct Answer:
prn

Explanation:
Correct answer:
prn

When medication is to be administered as needed, the Latin term pro re nata (prn), which means as
needed, is used.

The prefix deka in terms of measurements mean which of the following?

100 times the basic unit

10 times the basic unit

one tenth of the basic unit

one hundredth of the basic unit

Correct Answer:
10 times the basic unit

Explanation:
Correct answer:
10 times the basic unit

Dekameans 10 times the basic unit. Decimeans one tenth of the basic unit.

The cassette system is most closely related to which of the following automation systems in the
pharmacy?

counting machines

bar-coding equipment

prescription filling robots

inventory control systems


Correct Answer:
prescription filling robots

Explanation:
Correct answer:
prescription filling robots

The most common form of prescription filling robot is the cassette system. The cassettes are drug
containers that can hold hundreds of tablets. The cassette containing the correct drug is selected by the
pharmacy technician and affixed to a counting machine where the correct amount of medication is
dropped into a vial.

If a retail prescription costs $150 what is the patient price after a 15% discount?

$120.75

$127.50

$130.12

$140.50

Correct Answer:
$127.50

Explanation:
Correct answer:
$127.50

The prescriptions original price is $150. 15% of this equals $22.50. Subtract this $22.50 discount from
the original price of $150 and you get $127.50.

The directions for mixing a liquid medication state when 150 mL of water are added to the contents of the
bottle, the resulting volume is 550 mL. What is the powder volume?
450 mL

300 mL

400 mL

350 mL

Correct Answer:
400 mL

Explanation:
Correct answer:
400 mL

The formula to use is:

Final volume = volume of diluent + powder volume.


550 mL = 150 mL + powder volume
550 mL 150 mL = powder volume = 400 mL

The strength of a medication is best described by which of the following terms?

purity

bioavailability

efficacy

potency

Correct Answer:
potency
Explanation:
Correct answer:
potency

The potency of a medication refers to the strength of the drug. This measurement is done by chemical
analysis and is measured in grams, milligrams, micrograms or milliequivalents, for instance.

You receive a prescription for a medication that must be taken in 20 mg capsules twice a day for 14 days.
How many capsules are needed to fill this prescription?

14

56

60

28

Correct Answer:
28

Explanation:
Correct answer:
28

Solve for the variable of capsules needed. This can be expressed as follows:
X (capsules needed) = capsules per dose x doses per day x days needed
X = 1 x 2 x 14 = 28

Therefore 28 capsules needed to fill the prescription.

Which of the following is least likely to be a subcutaneous injection site?

front of lower arm

lower abdomen
upper back

front of thigh

Correct Answer:
front of lower arm

Explanation:
Correct answer:
front of lower arm

The most common subcutaneous injection sites are: lower abdomen; front of thigh; upper back; and back
of upper arm. Many different solution and suspension formulations are given subcutaneously, but insulin
is the most common drug routinely administered by this route.

There are common stems or syllables that are used to identify different classes of drugs. The stem -
thiazide would indicate which of the following drug classes?

coronary vasodilators

calcium channel blockers

diuretics

antipsychotics

Correct Answer:
diuretics

Explanation:
Correct answer:
diuretics
The stem -thiazide would indicate that the drug class is a diuretic. Coronary vasodilators are indicated
by the stem -pamil. Calcium channel blockers are indicated by the stem -tiazem. Antipsychotics are
indicated by the stem -peridol.

A list of drugs that reflects what the pharmacy routinely stocks is called a(n):

formulary

inventory

floor stock

PAR

Correct Answer:
formulary

Explanation:
Correct answer:
formulary

A formulary is the list of drugs that reflects what the pharmacy routinely stocks. The pharmacy must
choose which drugs to stock based on cost, efficacy, and demand.

Which of the following is NOT a step in using a torsion balance for weight measurement?

If the balance has a level bubble, make sure the bubble is just outside the bulls-eye.

Leave the balance in a draft-free area.

Place weighing boat or single piece of paper on the pan.

When the balance has determined the final weight, press the tare bar to compensate for the
weighing boat.
Correct Answer:
If the balance has a level bubble, make sure the bubble is just outside the bulls-eye.

Explanation:
Correct answer:
If the balance has a level bubble, make sure the bubble is just outside the bulls-eye.

All of the steps in the choices are correct except this one. If the balance has a level bubble, make sure
the bubble is inside the bulls-eye. Make adjustments using the leveling feet.

A child-resistant container is one that:

Cannot be opened by 95% of children younger than 5 years but can be opened by 90% of adults.

Cannot be opened by 90% of children younger than 5 years but can be opened by 80% of adults.

Cannot be opened by 80% of children younger than 5 years but can be opened by 90% of adults.

Cannot be opened by 85% of children younger than 5 years but can be opened by 95% of adults.

Correct Answer:
Cannot be opened by 80% of children younger than 5 years but can be opened by 90% of adults.

Explanation:
Correct answer:
Cannot be opened by 80% of children younger than 5 years but can be opened by 90% of adults.

The Poison Prevention Packaging Act of 1970 was enacted to reduce accidental poisoning in children.
The act requires that most OTC and legend drugs be packaged in child-resistant containers. A child-
resistant container is one that cannot be opened by 80% of children younger than 5 years but can be
opened by 90% of adults.

Which of the following statements about monoamine oxidase inhibitors (MAOIs) is least accurate?
Abrupt discontinuation of MAOIs may cause withdrawal symptoms.

MAOIs should be used with caution in patients with hyperthyroidism

Following discontinuation of any MAOI, dietary restrictions are no longer necessary.

MAOIs taken in conjunction with tryptophan may cause an overproduction of serotonin.

Correct Answer:
Following discontinuation of any MAOI, dietary restrictions are no longer necessary.

Explanation:
Correct answer:
Following discontinuation of any MAOI, dietary restrictions are no longer necessary.

MAOIs have food interactions that may cause a huge release of norepinephrine and therefore a serious
hypertensive crisis. Following discontinuation of any MAOI, dietary restrictions should continue for at least
two weeks.

In regard to terms and conditions of the eye, the prefix presby means:

eyelid

iris

spot

old age

Correct Answer:
old age
Explanation:
Correct answer:
old age

Presby means old age. As an example presbyopia means a vision condition arising from old age.

Perform the indicated operation. Which Arabic number is the correct answer?

LX x XIV = ?

840

560

7000

5600

Correct Answer:
840

Explanation:
Correct answer:
840

LX = 60; and XIV = 14. Therefore, 60 x 14 = 840.

Zolpidem, zaleplon and eszopiclone are all drugs to treat which of the following?

psychosis

insomnia

seizure disorder

Parkinson's disease
Correct Answer:
insomnia

Explanation:
Correct answer:
insomnia

Insomnia is difficulty in falling and remaining asleep. Zolpidem (Ambien), zaleplon (Sonata), and
eszopiclone (Lunesta) are all drugs to treat insomnia.

Occasionally, a drug is dispensed for investigational use. When the investigational study is completed
which of the following should occur?

The drugs are destroyed.

The drugs are kept on the pharmacy shelf for future use.

The drugs are inventoried and returned to the sponsor of the study.

The drugs are sent to the FDA.

Correct Answer:
The drugs are inventoried and returned to the sponsor of the study.

Explanation:
Correct answer:
The drugs are inventoried and returned to the sponsor of the study.

When an investigational study is completed or terminated, any remaining drugs are inventoried and
returned to the sponsor of the study. They are not to be kept in the pharmacy or used for any other
purpose.
Which of the following drugs is a cholesterol absorption inhibitor?

Questran

Colestid

Zetia

Nimotop

Correct Answer:
Zetia

Explanation:
Correct answer:
Zetia

Zetia is a cholesterol absorption inhibitor. It is an oral medication. The common adult dosage is 10 mg
once daily.

Which of the following is NOT considered computer hardware?

circuitry

storage unit

disk operating system

printer
Correct Answer:
disk operating system

Explanation:
Correct answer:
disk operating system

The disk operating system is a set of instructions for the computer that tells it what to do. It is not
considered hardware.

A repeatable organized way of performing a task would be known as which of the following?

organizational structure

workflow

policy

none of the above

Correct Answer:
workflow

Explanation:
Correct answer:
workflow

Workflow can be defined as an organized way of performing a task. It is efficient in nature. It is a


repeatable, defined set of activities.

If an infant who weighs 8.8 lb must take medication at the rate of 2 mg/kg/day, how much medication
should the infant get each day?

8 mg

. 2.2 mg
17.6 mg

8.8 mg

Correct Answer:
8 mg

Explanation:
Correct answer:
8 mg

First, you must change the childs weight to kg. There are 2.2 kg in a lb. Divide 8.8 lb by 2.2 kg and you
get 4 kg. Multiply this by the number of mg/kg (2) and the result is 8 mg per day.

Pharmacists, technicians, and patients recognize certain expectations of each other and act accordingly.
These expectations are called:

social contract

ethics

moral principles

none of the above

Correct Answer:
social contract

Explanation:
Correct answer:
social contract

A social contract is an understood agreement between individual members of a society. The pharmacist,
technician and patient are acting according to a social contract whereby they recognize certain
expectations and attempt to live up to these expectations.

The directions for mixing a 70 mg/10 mL liquid states that when 200 mL of water are added to the
contents of the bottle, the resulting volume is 500 mL. What is the concentration of drug in mg/10 mL if
only 50 mL of water were added?

10 mg/10 mL

100 mg/10 mL

110 mg/10 mL

200 mg/10 mL

Correct Answer:
100 mg/10 mL

Explanation:
Correct answer:
100 mg/10 mL

First determine the total mg of drug in the bottle (it is a constant);


70 mg drug /10 mL FV x 500 mL FV = 3500 mg drug

Next, determine the powder volume for the drug in the bottle:
FV = D + PV
500 mL = 200 mL + PV
500 mL 200 mL = PV = 300 mL

Now determine the volume of the new product (NP):


NP = D + PV
NP = 50 mL + 300 mL = 350 mL

So the new concentration is: Total mg drug in bottle / volume of new product
3500 mg/350 mL = 10 mg/mL = 100 mg/10 mL

Which of the following is the correct Fahrenheit temperature conversion for 25 Celsius?

34.7 F
77 F

38.9 F

none of the above

Correct Answer:
77 F

Explanation:
Correct answer:
77 F

25 C = 77 F

The conversion is done by multiplying the Celsius temperature by 9/5 and adding 32.

25 x 9/5 = 45
45 + 32 = 77

If a recipe calls for 200 mL of 4 g of a medication gel, how much of the medication powder is required to
prepare 480 mL of gel?

2.4 g

1.4 g

4.8 g

9.6 g

Correct Answer:
9.6 g
Explanation:
Correct answer:
9.6 g

The pharmacy technician must be familiar with techniques for calculating to reduce or enlarge formulas,
determining partial dosage units, changing stock solutions, and mixing products of different strengths. To
enlarge the formula in this case, the following calculations are necessary:

If 4 g are needed for 200 mL, then x g are needed for 480 mL.

4/200 = x/480 = 9.6 g of powder

Which of the following ointment bases is nongreasy, not occlusive and moderately to easily spread?

oleaginous base

absorption base

water-miscible base

water-oil emulsion base

Correct Answer:
water-miscible base

Explanation:
Correct answer:
water-miscible base

A water-miscible base is nongreasy, not occlusive and moderately to easily spread. It is also washable
and hydrous. An example of a water-miscible ointment base is polyethylene glycol.

Which hospital delivery system for distributing medications is a system in which all functions processing,
preparation and distribution occur in the main area?

decentralized dispensing
centralized dispensing

floor stock system

individual prescription system

Correct Answer:
centralized dispensing

Explanation:
Correct answer:
centralized dispensing

Centralized dispensing is a system of distribution in which all functions processing, preparation and
distribution occur in the main area. Medications are transported to the floors on a daily basis at
predetermined times. Centralized dispensing has greater management control.

A child weighs 33 lb. What is his weight in kilograms?

72.6 kg

7.26 kg

15 kg

150 kg

Correct Answer:
15 kg

Explanation:
Correct answer:
15 kg
There are 2.2 kg in every pound. Therefore if a child weights 33 lb, to find his weight in kilograms you
must divide 33 lb by 2.2 kg which gives you a result of 15 kg.

If the dispensing fee for a prescription is $5.00 and the customer has a 5% discount on all prescriptions,
how much will the customer pay for a prescription with a retail price of $100?

$105

$95

$100

$90

Correct Answer:
$100

Explanation:
Correct answer:
$100

The discount is $5.00 (5% of $100) but the dispensing fee is also $5.00. Therefore the prescription will
still cost the customer $100 ($95 + $5.00 dispensing fee).

Which of the following is a valid DEA number for Dr. Martin?

JM2945824

AM2945824

AM2945826

MA2945826
Correct Answer:
AM2945826

Explanation:
Correct answer:
AM2945826

The first letter of a DEA number will be an A, B, F, or M. The second letter is the first letter of the
physicians last name. In this case the letters would be AM. To check the validity of the number, you add
the numbers in the first, third, and fifth places together. Then add the numbers in the second, fourth, and
sixth places together and multiply this result by 2. Add the first sum to the second sum. The number in the
last column of the result that is farthest from the right should be the same as the seventh digit of the DEA
number.
2 + 4 + 8 = 14

9 + 5 + 2 = 16 and 16 x 2 = 32

32 + 14 = 46

Therefore the last number of the physicians DEA number would have to be 6.

An ingredient used in the preparation of a suspension to increase the viscosity of the liquid is known as
a(n):

thickening agent

viscosity enhancer

suspending agent

all of the above

Correct Answer:
all of the above

Explanation:
Correct answer:
all of the above
All of the first three choices mean the same thing. They are all terms for an ingredient used in the
preparation of a suspension to increase the viscosity of the liquid.

The established level of medication stock kept on hand at any given time is referred to as which of the
following?

PAR

ADS

POS

MSDS

Correct Answer:
PAR

Explanation:
Correct answer:
PAR

The PAR level is the periodic automatic replacement level. It is the minimum amount of medication that
should be maintained in the pharmacy at any given time.

The Comprehensive Drug Abuse Prevention and Control Act of 1970 determined five schedules for
controlled substances based on a potential for abuse and accepted medical use in the United States.
Which of the following is NOT an example of a Schedule I narcotic?

lysergic acid diethylamide

crystal methamphetamine

heroin

oxycodone
Correct Answer:
oxycodone

Explanation:
Correct answer:
oxycodone

Oxycodone is a schedule II medication. Schedule II medications have a medical use but a high abuse
potential with severe psychological or physical dependency. Schedule I narcotics have no accepted
medical use in the United States and possess an extremely high potential for abuse.

Which of the following is NOT a characteristic of a water-oil emulsion base?

It is non-greasy.

It is moderately to easily spread.

It is non-washable or poorly washable.

It is hydrous.

Correct Answer:
It is non-greasy.

Explanation:
Correct answer:
It is non-greasy.

This is not a characteristic of a water-oil emulsion base. A water-oil emulsion base is greasy. Two
examples of this type of base are: hydrous lanolin and Eucerin.
Which of the following unit-dose systems is also known as a blister care or punch card?

modified unit-dose system

blended unit-dose system

automatic unit-dose system

single-drop unit-dose system

Correct Answer:
modified unit-dose system

Explanation:
Correct answer:
modified unit-dose system

A modified unit-dose system is a drug distribution system that combines unit-dose medications, which are
blister-packaged onto a multiple-dose card instead of being placed in a box. This type of unit-dose system
is also called a punch card, blister card or bingo card.

The pharmacy has a solution of a drug that contains 20 mg/mL. What is the percentage of the drug in the
solution?

1%

2%

10%

20%
Correct Answer:
2%

Explanation:
Correct answer:
2%

To determine the percentage, you must first convert the 20 milligrams to grams. Since there are 1000
milligrams in a gram you can do this by moving the decimal point three places to the left. The drug to
solution fraction would then be written as 0.02 g/mL. Since the w/v percentage is always in grams per 100
mL, you would then multiply both the numerator and the denominator by 100 to give you 2g/100 mL. This
is a 2% solution (2/100).

A prescription has a selling price of $10.00 and a dispensing fee of $1.00. The prescription has an
acquisition cost of $3.00. What is the gross profit for the pharmacy on this prescription?

$6.00

$7.00

$8.00

$9.00

Correct Answer:
$7.00

Explanation:
Correct answer:
$7.00

The gross profit is the selling price minus the acquisition price ($10.00 - $3.00). The dispensing fee does
not come into play in calculating gross profit.

In terms of hospital pharmacy areas, a branch of the pharmacy responsible for preparing, dispensing, and
monitoring medication for specific patient areas is which of the following?
in-patient pharmacy

pharmacy satellite

central pharmacy

outpatient pharmacy

Correct Answer:
pharmacy satellite

Explanation:
Correct answer:
pharmacy satellite

The pharmacy satellite is a branch of the in-patient pharmacy responsible for preparing, dispensing, and
monitoring medication for specific patient areas. Some pharmacy satellites are pediatric satellites,
operating room satellites, or oncology satellites.

A substance that interacts with tissues, producing some of the symptoms of an allergic reaction, is which
of the following?

histamine

steroid

antigen

analgesic

Correct Answer:
histamine
Explanation:
Correct answer:
histamine

Histamines are substances that interact with tissues, producing some of the symptoms of an allergic
reaction. Histamine1 receptors are located in the lower respiratory tract and skin, whereas
histamine2 receptors are located in the gastrointestinal tract.

Interpret the following prescription:

Tabs. no. XXXVI

34 tablets

36 tablets

104 tablets

106 tablets

Correct Answer:
36 tablets

Explanation:
Correct answer:
36 tablets

The prescription calls for 36 tablets. X=10 so XXX = 30; and VI = 6; so the total number of tablets is 36.

In a hospital or institutional setting, international (military) time is used. How would 9:20 p.m. be
expressed in international time?

0920 hr

2120 hr

2009 hr
2021 hr

Correct Answer:
2120 hr

Explanation:
Correct answer:
2120 hr

Afternoon and evening hours are expressed in international time by adding 1200 hours to the traditional
time. In this case, add 1200 to 920 and the result is 2120 hr. The time of 9:20 a.m. would be written as
0920 hr.

Teams that are empowered to make decisions about planning, doing, and evaluating their daily work are
known as which of the following?

cross-training groups

multi-skill teams

virtual groups

self-managing teams

Correct Answer:
self-managing teams

Explanation:
Correct answer:
self-managing teams

A self-managing team is empowered to make decisions about planning, doing, and evaluating. Cross-
training brings together persons from different functions to work on a common task. Multiskilling is when
team members are trained in skills to perform more than one job. A virtual group convenes and operates
with members linked together electronically by computers.

The U.S. Post Office will not allow the mailing of controlled substances. Which of the following is an
exception to this rule?

hospitals

pharmacies

the Veterans Administration

nursing centers

Correct Answer:
the Veterans Administration

Explanation:
Correct answer:
the Veterans Administration

The U.S. Post Office will not allow the mailing of controlled substances with the exception of the Veterans
Administration. Other postal services such as FedEx or UPS are not governed by these regulations.

The mechanisms that cause a person to sneeze include all of the following EXCEPT:

ciliary action

crying

peristaltic motion of the bronchioles

cough reflex
Correct Answer:
crying

Explanation:
Correct answer:
crying

Crying is not a mechanism that causes a person to sneeze. When foreign particles encounter the sensory
receptors of the ciliary hairs, they trigger the reflex of deep inspiration, which is followed by closure of the
vocal cords. The vocal cords remain closed until the actual sneeze.

The pharmacy technician must be familiar with the abbreviations that appear on prescription forms. A
medication that must be taken every hour would be indicated by which of the following?

qd

qh

atc

qod

Correct Answer:
qh

Explanation:
Correct answer:
qh

The abbreviation qh indicates every hour. The other choices indicate: qd once a day, or every day;
atc around the clock; and qod every other day.

Which of the following statements about intrinsic factor is least accurate?

Intrinsic factor is a substance secreted by the mucous membranes of the stomach.


Intrinsic factor is essential for the absorption of vitamin D.

A common cause of lack of intrinsic factor is autoimmune disease.

Congenital forms of this lack of intrinsic factor are very rare.

Correct Answer:
Intrinsic factor is essential for the absorption of vitamin D.

Explanation:
Correct answer:
Intrinsic factor is essential for the absorption of vitamin D.

This statement is inaccurate. Intrinsic factor is essential for the absorption of vitamin B 12. The lack of
intrinsic factor leads to deficiency of vitamin B12. This can result in pernicious anemia.

Multiply the following fractions. What is the result?

2/5 x 1/4 = ?

2/10

1/10

3/9

3/20

Correct Answer:
1/10

Explanation:
Correct answer:
1/10

To multiply fractions, first multiply the numerators of the fractions to get the new numerator. In this case
multiply 2 x 1 to get 2. Then multiply the denominators of the fractions to get the new denominator. In this
case multiply 5 x 4 to get 20. The answer is 2/20 or 1/10.

A solution of 4 g of a substance in 500 mL of water is equivalent to how many grams of the same
substance in 1000 mL of water?

8g

5g

2.5 g

25 g

Correct Answer:
8g

Explanation:
Correct answer:
8g

The problem can be stated as: 4 g is to 500 mL as X g is to 1000 mL.

4/500 = x/1000
500x = 4000
x = 4000/500 = 8

The directions for mixing a liquid antibiotic state when 100 mL of water are added to the contents of the
bottle, the resulting volume is 250 mL. What is the powder volume?

75 mL

70 mL

15 mL
150 mL

Correct Answer:
150 mL

Explanation:
Correct answer:
150 mL

The formula to use is:

Final volume = volume of diluent + powder volume.


250 mL = 100 mL + powder volume
250 mL 100 mL = powder volume = 150 mL

Which of the following is a proper fraction?

8/9

2 9/8

9/8

3/2

Correct Answer:
8/9

Explanation:
Correct Answer
8/9

A proper fraction written correctly has a numerator that is smaller than the denominator. The proper
fraction is 8/9.

Perform this function: 2.34 x 3.85. What is the result?

90.09

9.0009

9.099

9.009

Correct Answer:
9.009

Explanation:
Correct Answer:
9.009

In multiplying two decimals, multiply as normal and then move the decimal point the correct number of
places to the left. In this case the two numbers have a total of 4 decimal places. So move the decimal
point four places to the left and the result is 9.0090 or 9.009.

Divide the following fractions. What is the result?

28 1/7 = ?

19 3/5

19.6

196
Correct Answer:
196

Explanation:
Correct answer:
196

To divide a number by a fraction multiply the number by the reciprocal of the fraction. In this case that
would be: 28 x 7 which equals 196.

An antipruritic agent would most likely be used in treating which of the following body systems?

respiratory

skin

nervous

endocrine

Correct Answer:
skin

Explanation:
Correct answer:
skin

An antipruritic agent would be used to treat the skin. It is used to prevent or relieve itching. Topical
anesthetics, corticosteroids, and antihistamines are used as antipruritic agents.

Of the following methods of communication which would be the least effective?

posted notices
telephone

e-mail

memos

Correct Answer:
posted notices

Explanation:
Correct answer:
posted notices

Posted notices are the least effective means of communication of all of the choices. The most effective of
the choices given would be telephone. Even more effective is face-to-face communication.

Which of the following would NOT be considered a non-discretionary duty of the pharmacy technician?

compounding

repackaging medications

ordering stock

billing insurance plans

Correct Answer:
compounding

Explanation:
Correct answer:
compounding
Compounding would not be considered a non-discretionary duty of the pharmacy technician. Non-
discretionary duties are repetitive tasks that do not require any advanced pharmacy knowledge. All of
these tasks are clearly defined and should be easy to follow.

Which of the following is another term for chemotherapy drugs?

oncology

radiation

antineoplastics

parenterals

Correct Answer:
antineoplastics

Explanation:
Correct answer:
antineoplastics

Chemotherapy drugs are also called antineoplastics. Concern has developed over the potential hazards
associated with the handling of antineoplastic drugs.

Which of the following drugs is a macrolide antibiotic?

cefaclor

erythromycin

tetracycline

gentamicin
Correct Answer:
erythromycin

Explanation:
Correct answer:
erythromycin

Erythromycin is a macrolide antibiotic. It is marketed in several forms, according to its use and method of
administration.

Which of the following vaccines contains a live (attenuated) virus?

diphtheria

tetanus

poliovirus oral

varicella-zoster

Correct Answer:
poliovirus oral

Explanation:
Correct answer:

poliovirus oral

The oral poliovirus vaccine contains the live (attenuated) virus. Other live viral vaccines are MMR
(measles, mumps, rubella) and intranasal influenza vaccine.

Which of the following would NOT be an appropriate guideline to avoid errors in the pharmacy?
Never keep the prescription and the label together during the fill process.

Clear stock bottles no longer needed away from the work area in a timely fashion.

Know the common look-alike and sound-alike drugs.

Use the metric system.

Correct Answer:
Never keep the prescription and the label together during the fill process.

Explanation:
Correct answer:
Never keep the prescription and the label together during the fill process.

This is not an appropriate guideline. The opposite is true. Always keep the prescription and the label
together during the fill process.

Which of the following agencies requires unit-dose dispensing and pharmacy-based IV additive
programs?

FDA

The Joint Commission

The United States Pharmacopeia

DEA

Correct Answer:
The Joint Commission
Explanation:
Correct answer:
The Joint Commission

The Joint Commission requires unit-dose dispensing and pharmacy-based IV additive programs. Bulk
packaging and floor stock have been eliminated because of safety and contamination issues.
Test 19
The receptor site is the location where the drug binds to the cell. Which of the following indicates a type of
drug that prevents receptor activation?

antagonist

agonist

target

metabolite

Correct Answer:
antagonist

Explanation:
Correct answer:
antagonist

An antagonist is a drug that does not produce any noticeable effect when it binds to a specific receptor on
the cell. Its function is to block the action of that receptor, often by physically blocking other chemicals
from attaching to the receptor. The agonist is the opposite type of drug. It activates the receptor to
produce a predicted action.

If a unit dose medication that has been sent to the nursing unit of a hospital and is not used and is not
opened, which of the following should happen?

The unit dose may be placed back in inventory.

The unit dose is kept on the nursing floor and used for another patient when necessary.

The unit dose is returned to the manufacturer for refund.

The unit dose is destroyed.


Correct Answer:
The unit dose may be placed back in inventory.

Explanation:
Correct answer:
The unit dose may be placed back in inventory.

Often, unit doses of medication are placed in medication carts and not administered to the patient. In this
case, if the packaging has not been opened, the drug can be returned to inventory and the charges for
the drugs refunded to the patients account.

In terms of procedures for the treatment of exposure to hazardous substances, which of the following
statements is least accurate?

Chemotherapy spill kits should be used for the cleanup of accidental spills of antineoplastic agents.
The technician should know the location of the MSDS and should follow the directions on it for
cleanup.
An incident report should be filed with a supervisor.

If a hazardous substance comes in contact with the skin, it must be washed immediately with soap
and water for at least 1 minute.

Correct Answer:
If a hazardous substance comes in contact with the skin, it must be washed immediately with
soap and water for at least 1 minute.

Explanation:
Correct answer:
If a hazardous substance comes in contact with the skin, it must be washed immediately with
soap and water for at least 1 minute.

This is the least accurate statement. If a hazardous substance comes in contact with the skin, it must be
washed immediately with soap and water for at least 5 minutes. If a substance comes in contact with the
eyes, they should be rinsed for 15 minutes.

When a patient drops off a prescription, the insurance company is billed before the medication is filled.
This process is known as which of the following?

adjudication

e-prescribing

the SIG

none of the above

Correct Answer:
adjudication

Explanation:
Correct answer:
adjudication

In short, adjudication is computerized billing. When a patient drops off a prescription, the insurance
company is billed before the medication is filled. This process is known as adjudication. If there are any
problems with the billing process, the pharmacy will contact the patient.

The directions for mixing a liquid medication state when 50 mL of water are added to the contents of the
bottle, the resulting volume is 350 mL. What is the powder volume?

400 mL

300 mL

450 mL

150 mL

Correct Answer:
300 mL
Explanation:
Correct answer:
300 mL

The formula to use is:

Final volume = volume of diluent + powder volume.


350 mL = 50 mL + powder volume
350 mL 50 mL = powder volume = 300 mL

The type of dosage form that has a special absorption enhancer that pushes the medication through the
layers of the skin is which of the following?

transdermal gel

plaster

paste

cream

Correct Answer:
transdermal gel

Explanation:
Correct answer:
transdermal gel

Gels are semisolid systems consisting of suspensions made up of small inorganic particles or of large
organic molecules interpenetrated by a liquid. A transdermal gel is a unique form that has a special
absorption enhancer that pushes the medication through the layers of the skin so that the medication
can be absorbed into the bloodstream. The transdermal gel is a desirable alternative for pediatric
patients.

1600 g is equal to how many lb?


727 lb

7.27 lb

0.352 lb

3.52 lb

Correct Answer:
3.52 lb

Explanation:
Correct answer:
3.52 lb

There are 454 g to the pound. Divide 1600 g by 454 g to get 3.52 lb.

Of the several moral principles that concern pharmacy professionals which of the following concerns
acting with self-reliance?

beneficence

veracity

justice

autonomy

Correct Answer:
autonomy

Explanation:
Correct answer:
autonomy

Autonomy is the quality of being independent or self-reliant. Pharmacy technicians demonstrate


autonomy by working interdependently within the pharmacy, working with the pharmacist but showing
appropriate initiative.

The principle that requires the decision-maker to more clearly focus on such basic moral skills as
kindness, sensitivity, attentiveness, tact, patience and reliability is which of the following?

ethics of care

social contract

consequentialism

nonconsequentialism

Correct Answer:
ethics of care

Explanation:
Correct answer:
ethics of care

The ethics of care is the principle that requires the decision-maker to more clearly focus on such basic
moral skills as kindness, sensitivity, attentiveness, tact, patience and reliability. A social contract is an
understood agreement between individual members of a society. Consequentialism is the theory that the
value of an action derives solely from the value of its consequences. Nonconsequentialism is the theory
that certain actions, in and of themselves, are wrong.

Which of the following conditions is a mental illness characterized by loss of contact with reality?

anxiety

bi-polar disorder

psychosis

insomnia
Correct Answer:
psychosis

Explanation:
Correct answer:
psychosis

Psychosis is a mental illness characterized by loss of contact with reality. A psychosis may be a true
mental illness, or it may be caused by an underlying medical condition such as dementia. It can also be
induced by substances such as medications, recreational drugs or poisons.

All medications have specific storage conditions. If a cool temperature is necessary for storage of a drug
this means that the temperature should be:

between 8 C (46 F) and 15 C (59 F)

under 8 C (46 F)

between 15 C (59 F) and 30 C (86 F)

none of the above

Correct Answer:
between 8 C (46 F) and 15 C (59 F)

Explanation:
Correct answer:
between 8 C (46 F) and 15 C (59 F)

Cool temperature is between 8 C (46 F) and 15 C (59 F). Under 8 C (46 F) is cold temperature.
Between 15 C (59 F) and 30 C (86 F) is room temperature.
Which of the following tasks is NOT generally a part of the technicians job of receiving a drug order?

verification of the order

adjustment of the inventory

stocking the order

paying for the order

Correct Answer:
paying for the order

Explanation:
Correct answer:
paying for the order

Paying for a drug order is not a part of the technicians job of receiving the order. Receipt of a drug order
involves: acceptance of the order, verification of the order, adjustment of inventory, stocking the order,
and filing the paperwork pertaining to the order.

Solve the following equation for x. What is the result?

6/12 = 15/x

30

90

7.5
Correct Answer:
30

Explanation:
Correct answer:
30

6 is to12 as 15 is to 30. They are of equal proportions. Both can be reduced to 1/2.

The insurance paid by employers to entirely cover injuries suffered by employees while on the job is
which of the following?

PPO

Workers Compensation

Medicaid

HMO

Correct Answer:
Workers Compensation

Explanation:
Correct answer:
Workers Compensation

Workers Compensation is a type of insurance paid by employers to entirely cover injuries suffered by
employees while on the job. Federal law requires employers with a certain number of employees to offer
workers compensation.

In terms of medication sticks, which of the following statements is least accurate?

Various waxes are used to make either hard or soft sticks.

Medication sticks cannot be applied to epidermal sites for a systemic effect.

Ingredients such as resins and oils determine the texture and appearance of the finished stick.
When combining two or more ingredients that have different ranges of melting points, it should be
done sequentially from the highest to the lowest melting point.

Correct Answer:
Medication sticks cannot be applied to epidermal sites for a systemic effect.

Explanation:
Correct answer:
Medication sticks cannot be applied to epidermal sites for a systemic effect.

This statement is not accurate. Medication sticks can be applied to epidermal sites for a systemic effect
(affecting the whole body). Agents such as antibiotics, local anesthetics, sunscreens, antivirals and
oncological drugs can be manufactured as medication sticks.

Which of the following hormones stimulates both uterine contractions and milk production during
pregnancy?

luteinizing hormones

antidiuretic hormones

growth hormones

oxytocin

Correct Answer:
oxytocin

Explanation:
Correct answer:
oxytocin

Oxytocin is related to the pituitary gland. It stimulates both uterine contractions and milk production during
pregnancy.
When a patient first drops off a prescription, the insurance company is billed before the medication is
filled. This process is called:

automated dispensing

refilling

adjudication

zero refill

Correct Answer:
adjudication

Explanation:
Correct answer:
adjudication

When the patient first drops off a prescription, the insurance company is billed before the medication is
filled. This is called adjudication. The patients insurance card should be thoroughly checked. If there are
problems with the billing process, the pharmacy should contact the patient.

0 C is equivalent to how many degrees Fahrenheit?

0 F

20 F

32 F

36 F
Correct Answer:
32 F

Explanation:
Correct answer:
32 F

0 C is equivalent to 32 F. To convert Celsius to Fahrenheit use the formula:


5/9 F degrees 32.

Which of the following is NOT a Schedule II controlled substance?

Adderall

Percocet

Tylenol with codeine

Tylox

Correct Answer:
Tylenol with codeine

Explanation:
Correct answer:
Tylenol with codeine

Although Codeine itself is a Schedule II medication, Tylenol with codeine is a Schedule III medication, not
Schedule II. All of the other choices are Schedule II medications.

SyncroMed and Infusaid are examples of which of the following?

implantable pump
mechanical piston pump

gravity infusion system

TPN compounder

Correct Answer:
implantable pump

Explanation:
Correct answer:
implantable pump

SyncroMed and Infusaid are examples of an implantable pump. An implantable pump is implanted under
the skin with a catheter entering a vein.

The rigid, sharpened plastic piece that is inserted into the IV bag is which of the following?

syringe

roll clamp

spike

heparin lock

Correct Answer:
spike

Explanation:
Correct answer:
spike
A spike is the rigid, sharpened plastic piece that is inserted into the IV bag. It is the attachment of an
intravenous infusion set to the bag containing the solution.

A filter that can filter solutions being drawn into or expelled from a syringe, but not both ways in the same
procedure is which of the following?

depth filter

membrane filter

final filter

air filter

Correct Answer:
depth filter

Explanation:
Correct answer:
depth filter

Depth filters are constructed of randomly oriented fibers or particles that have been pressed, wound, or
otherwise bonded together to form a tortuous pathway for solution flow. The depth filter is rigid enough so
the solution may be filtered either as it is pulled into or expelled from the syringe, but not both ways in the
same procedure.

The location of a medication throughout blood, organs and tissues after administration is which of the
following?

absorption

excretion

metabolism

distribution
Correct Answer:
distribution

Explanation:
Correct answer:
distribution

The location of a medication throughout blood, organs and tissues after administration is distribution.
Absorption is the taking in of nutrients and drugs from food and liquids. Excretion is the final elimination of
a drug or other substance from the body. Metabolism is the processes by which the body breaks down or
converts medications to active or inactive substances.

Which of the following statements is NOT true in regard to aerosol inhalants?

They are sprays in a pressurized container.

The propellant in an aerosol container is meant to carry the active ingredient to its location of
application
The particles in an aerosol inhalant must be liquid.

They are used for administration into body cavities.

Correct Answer:
The particles in an aerosol inhalant must be liquid.

Explanation:

Correct answer:
The particles in an aerosol inhalant must be liquid.

This statement is not correct. The particles in an aerosol inhalant may be liquid or a fine solid. Aerosol
inhalants are convenient and easy to apply.
Which of the following ethical theories states that the purpose of all actions should be to bring about the
greatest good to the greatest number?

right-based ethics

principle-based ethics

nonconsequentialism

consequentialism

Correct Answer:
consequentialism

Explanation:
Correct answer:
consequentialism

Consequentialism is the theory that the value of an action derives solely from the value of its
consequences. Therefore, the purpose of all actions should be to bring about the greatest good to the
greatest number.

Convert the following Arabic number to Roman numerals.

2,579

MMLDXXIX

MMCCCCCLXXIX

CCDLXXIX

MMDLXXIX
Correct Answer:
MMDLXXIX

Explanation:
Correct answer:
MMDLXXIX

2,579 = MMDLXXIX. MM = 2000; D = 500; LXX = 70; and IX = 9.

Multiply the following fractions. What is the result?

2/3 x 8/3

1 7/9

5 1/3

3 1/3

Correct Answer:
1 7/9

Explanation:
Correct Answer
1 7/9

Multiply both numerators (2 x 8 = 16) and then multiply both denominators (3 x 3 = 9). Numerator divided
by denominator gives you 16/9 which reduced to lowest terms is 1 7/9.

Controlled drugs are classified into five classes called schedules. Which of the following classifications
can be refilled for up to one year according to the prescribers direction?
Schedule I

Schedule III

Schedule IV

Schedule V

Correct Answer:
Schedule V

Explanation:
Correct answer:
Schedule V

Schedule V drugs have a low potential for abuse, have a currently accepted medical use in the United
States, or the abuse of these drugs may lead to limited dependence in relation to all other controlled
substances. There are no additional requirements on refills of Schedule V drugs and a prescription can
be refilled for up to one year according to the prescribers directions.

Place these numbers from highest to lowest (0.345, 0.287, 0.769, 0.002)?

0.769, 0.345, 0.287, 0.002

0.002, 0.287, 0.345, 0.769

0.769, 0.345, 0.002, 0.287

0.002, 0.345, 0.287, 0.769

Correct Answer:
0.769, 0.345, 0.287, 0.002
Explanation:
Correct Answer:
0.769, 0.345, 0.287, 0.002

The numbers should be converted to thousandths and then compared.769 thousandths is the largest; 345
thousandths is next; 287 thousandths, next; and 2 thousandths last.

An IV medication is prescribed for an infant. The dose is 10 mg/kg twice a day. The infant weighs 11 lb.
How much drug is to be given for one dose?

5 mg

50 mg

242. mg

24.2 mg

Correct Answer:
50 mg

Explanation:
Correct answer;
50 mg

First, you must calculate the infants weight in kg. There are 2.2 kg to a pound. Divide 11 lb by 2.2 kg and
the result is 5. Multiply 5 times the 10 mg required for each kg and the result is 50 mg.

Which of the following medications is NOT a decongestant?

Sudafed

Privine

Benadryl

Neo-Synephrine
Correct Answer:
Benadryl

Explanation:
Correct answer:
Benadryl

Benadryl is an antihistamine. An antihistamine is any substance capable of reducing the physiologic and
pharmacologic effects of histamine, including a wide variety of drugs that block histamine receptors. Many
such drugs, such as Benadryl, are readily available as over-the-counter medicines for the management of
allergies.

A medication must be given at a dose of 5 mg/kg. If a person weighs 75 kg what is the dose of
medication?

3750 mg

37.5 g

375 mg

375 g

Correct Answer:
375 mg

Explanation:
Correct answer:
375 mg

5 mg/1kg = x mg/75 kg
x = 5 x 75
x = 375 mg
Which of the following is a small-volume solution added to a large-volume parenteral (LVP)?

minibag

piggyback

spike

flexible bag

Correct Answer:
piggyback

Explanation:
Correct answer:
piggyback

A piggyback is a small-volume solution added to an LVP. A minibag is a bag that contains volumes
between 50 and 100 mL. A spike is a rigid, sharpened plastic piece that is inserted into the IV bag. A
flexible bag is a plastic container that may hold volumes ranging from 50 to 3000 mL.

A child weighs 33 lb. His medication is prescribed to be taken as 5 mg/kg/day. What is the appropriate
daily dosage for this patient?

363 mg

3.63 mg

750 mg

75 mg
Correct Answer:
75 mg

Explanation:
Correct answer:
75 mg

The patients weight must first be changed to kilograms. 33 lb divided by 2.2 kg per pound gives you a
result of 15 kg. This is multiplied by 5 mg to give you a daily dosage for this patient of 75 mg.

All of the following are typical reasons for return of an item or items of inventory EXCEPT:

expired drugs

manufacturer recalls

overstocked products

insurance limits

Correct Answer:
insurance limits

Explanation:
Correct answer:
insurance limits

Insurance limits have nothing to do with why a product would typically be returned. The typical reasons
for product return include all of the other choices along with incorrect product sent, incorrectly ordered
item or undesired product.

Which of the following equations have the same proportions?

4/5 = 8/20

3/4 = 4/3
5/6 = 6/12

2/7 = 4/14

Correct Answer:
2/7 = 4/14

Explanation:
Correct answer:
2/7 = 4/14

Two equivalent ratios form a proportion. 2/7 = 4/14 is an example of an equivalent ration. 2 has the same
ratio to 7 as 4 has to 14.

Subtract the following: 3.019 0.035. What is the result?

3.0454

2.984

3.054

0.0105665

Correct Answer:
2.984

Explanation:
Correct answer:
2.984

Simply align the two numbers by decimal place, then subtract as normal
3.019
- .035
2.984

Which of the following generalized seizures is characterized by brief, involuntary muscular jerks of the
body or extremities?

absence

tonic-clonic

myoclonic

akinetic

Correct Answer:
myoclonic

Explanation:
Correct answer:
myoclonic

Myoclonic seizures are characterized by brief, involuntary muscular jerks of the body or extremities.
Absence or petit mal seizures are characterized by a brief change in the level of consciousness and lasts
no more than 10 seconds. Tonic-clonic or grand mal seizures are characterized by the person falling to
the ground, losing consciousness and alternating between spasms and relaxation phases. Akinetic
seizures or drop attacks are a general loss of postural tone and temporary loss of consciousness.

If a physician orders 0.075 mg of a medication, how many micrograms is this?

750 mcg

7500 mcg

75 mcg

7.5 mcg
Correct Answer:
75 mcg

Explanation:
Correct answer:
75 mcg

To convert 0.075 mg to micrograms multiply 0.075 mg by 1000 mcg. The result is 75 mg.

Which of the following drugs is a thyroid hormone?

insulin lispro

sitagliptin

pioglitazon

liothyronine

Correct Answer:
liothyronine

Explanation:
Correct answer:
Liothyronine

Liothyronine is a thyroid hormone. The other choices are drugs that are used for diabetes.

If it takes a person 30 minute to get a sunburn without protection, and this person puts on an SPF 10 sun
block, how long will he or she be protected from sunburn?
5 hours

3 hours

120 minutes

60 minutes

Correct Answer:
5 hours

Explanation:
Correct answer:
5 hours

To judge how much protection a sunscreen or sun block will provide, multiply the amount of time it takes
to sunburn with no protection by the SPF number. In this case it would be 30 x 10 or 300 minutes which is
5 hours.

If a medication must be stored at 8 C, what is the Fahrenheit temperature at which it must be stored?

40 F

- 40 F

36.4 F

46.4 F

Correct Answer:
46.4 F
Explanation:
Correct answer:
46.4 F

The temperature of 8 C is equal to 46.4 F. This conversion is done by the following formula:

Fahrenheit temperature = 9/5 Centigrade temperature + 32

An irrigating or bathing solution is known as which of the following?

collodion

aromatic waters

spirits

douche

Correct Answer:
douche

Explanation:
Correct answer:
douche

A douche is an irrigating or bathing solution. Douche usually refers to vaginal irrigation, the rinsing of the
vagina, but it can also refer to the rinsing of any body cavity.

A buccal medication is placed in the mouth in what area?

between the gums and cheek

on the tongue

under the tongue

none of the above


Correct Answer:
between the gums and cheek

Explanation:
Correct answer:
between the gums and cheek

A buccal medication is placed between the gums and cheek. The medication penetrates the mouth lining
and then enters the bloodstream.

Which of the following drugs is a Schedule I drug?

oxycodone

morphine

psilocybin

codeine

Correct Answer:
psilocybin

Explanation:
Correct answer:
psilocybin
Psilocybin is a Schedule I drug, meaning that it has no accepted medical use in the United States and
possesses an extremely high potential for abuse. All of the other choices are Schedule II medications that
have a medical use but have a high abuse potential with severe psychological or physical dependency.
Which of the following shipping container labels indicates the highest concentration of radiation in
radioactive material?

Radioactive White I

Radioactive Yellow III

Radioactive Yellow II

Radioactive Yellow I

Correct Answer:
Radioactive Yellow III

Explanation:
Correct answer:
Radioactive Yellow III

Radioactive Yellow III contains the highest concentration of radiation. Radioactive materials containers
must also have a Caution: Radioactive label with the name of the nucleotide, the quantity, the date, and
the time on them.

Which of the following items of information would NOT be required on the records maintained for sales of
medications containing ephedrine, pseudoephedrine, or phenylpropanolamine?

product name

proof of identification

age of the purchaser

signature of the purchaser


Correct Answer:
age of the purchaser

Explanation:
Correct answer:
age of the purchaser

The age of the purchaser is not an item of information required on the records of sales for these BTC
drugs. The pharmacy or store must maintain written or electronic records for a period of two years that
contain the following elements: product name; quantity sold; name and address of purchaser; date and
time of the sale; proof of identification; and signature of the purchaser.

Multiple sclerosis (MS) is an autoimmune disease in which the myelin sheaths around nerves degenerate.
Which of the following drugs would NOT be used to treat MS?

Zanaflex

Aricept

Copaxone

Avonex

Correct Answer:
Aricept

Explanation:
Correct answer:
Aricept

Aricept would not be used in the treatment of MS. Aricept is an agent used to treat Alzheimers disease.

Which of the following drugs is a selective serotonin reuptake inhibitor (SSRI)?

Effexor

Elavil
Tegretol

Xanax

Correct Answer:
Effexor

Explanation:
Correct answer:
Effexor

Effexor is an SSRI. SSRIs block the reuptake of norepinephrine or serotonin. SSRIs are used for
depression as well as for nocturia in children.

The simple organisms that consist of a strand of DNA or RNA, inside of a protein shell, are which of the
following?

bacteria

viruses

fungi

all of the above

Correct Answer:
viruses

Explanation:
Correct answer:
viruses

Viruses are different from bacteria. They are very simple organisms that have no means of generating
energy or of self-replication. They must use a cellular host in order to replicate. Basically, the virus comes
in contact with a suitable host cell, attaches to it, and injects its DNA or RNA into the cell. It then uses the
organelles of the host cell to make new protein coats and DNA or RNA strands.

How many mg are in 40 mL of a 2% solution?

800 mg

200 mg

400 mg

100 mg

Correct Answer:
800 mg

Explanation:
Correct answer:
800 mg

A 2% solution equals 2 g/100 mL. Convert 2 g to 2000 mg, which gives you 2000 mg/100 mL. You want
to know how many mg are in 20 mL of solution. Set up the proportion as follows

2000 mg/100 mL = x/40 mL


100 x = 80,000
x = 800 mg

The process by which the body breaks down or converts medications to active or inactive substances is
which of the following?

absorption

metabolism

bioavailability

distribution
Correct Answer:
metabolism

Explanation:
Correct answer:
metabolism

Metabolism is the process by which the body breaks down or converts medications to active or inactive
substances. The primary site of drug metabolism in humans is the liver; however, select drugs are
metabolized through other processes.

What is the approximate amount of medication contained in a size 000 capsule?

1000 mg

800 mg

300 mg

100 mg

Correct Answer:
1000 mg

Explanation:
Correct answer:
1000 mg

A size 000 capsule is the largest size capsule. It contains approximately 1000 mg of medication.

The pharmacy has bought a case of medication for $50. There are 100 tubes of medication in the case.
What is the cost for each tube of medication?

$2.00

$1.50

$0.25

$0.50

Correct Answer:
$0.50

Explanation:
Correct answer:
$0.50

The case costs $50. Divide this cost by the number of tubes in the case (100) to get the cast of each
tube. 50 divided by 100 = 0.5. Therefore, each tube has a cost of $0.50.

The patients price on a prescription that costs $241.00 if the patient gets a 5% discount is which of the
following?

$216.90

$230.00

$228.95

$231.00

Correct Answer:
$228.95
Explanation:
Correct answer:
$228.95

The patients 5% discount on a $241.00 prescription is $12.05. Subtract this from the selling price of
$241.00 and you get $228.95.

The drug concentration needed for a drug to produce a response is which of the following?

biopharmaceutical window

therapeutic window

minimum effective concentration

minimum toxic concentration

Correct Answer:
minimum effective concentration

Explanation:
Correct answer:
minimum effective concentration

The minimum effective concentration (MEC) is the blood concentration needed for a drug to produce a
response. The time that this occurs is called the onset of action.

In terms of equipment and supplies used by a pharmacy, which of the following statements is false?

Fire extinguishers must be certified on a biannual basis.

Pharmacy balances require certification on a yearly basis.

Medications should be checked periodically to see that they are in date.

Recalled medications must be separated from all usable medications.


Correct Answer:
Fire extinguishers must be certified on a biannual basis.

Explanation:
Correct answer:
Fire extinguishers must be certified on a biannual basis.

This is a false, incorrect statement. Fire extinguishers must be certified on an annual basis. In addition to
the requirements listed in the other choices, laminar flow hoods must be certified every 6 months unless
the HEPA filter becomes damaged, which will require certification. Also first-aid kits need to be
periodically checked and employees should be able to use a defibrillator and know its location in the
pharmacy.

Alkalyting chemotherapy agents bind irreversible cross-links in DNA, resulting in cells unable to
reproduce. Which of the following drugs is NOT classified as an alkalyting chemotherapy agent?

cisplatin

busulfan

ofloxacin

cyclophosphamide

Correct Answer:
ofloxacin

Explanation:
Correct answer:
ofloxacin

Ofloxacin is not an alkalyting chemotherapy agent; it is an ophthalmic agent. All of the other choices are
alkalyting chemotherapy agents.
Lectures, videos and simulations would be considered which of the following?

internship

on-the-job training

off-the-job training

apprenticeship

Correct Answer:
off-the-job training

Explanation:
Correct answer:
off-the-job training

Lectures, videos and simulations would be considered off-the-job training. On-the-job training involves job
instruction while performing the job in the actual workplace.

An abnormal growth of bone, most often in the stapes, in the middle ear that causes hearing loss is which
of the following?

otosclerosis

ototoxicity

autoimmune inner ear disease

auditory neuropathy
Correct Answer:
otosclerosis

Explanation:
Correct answer:
otosclerosis

Otosclerosis is an abnormal growth of bone, most often in the stapes, in the middle ear that causes
hearing loss. Symptoms include a gradual loss of hearing, starting with low-pitched sounds. The
treatment for this is surgery.

Which of the following is NOT a rule for calculating pediatric dosage?

Frieds rule

Clarks rule

Youngs rule

Naegeles rule

Correct Answer:
Naegeles rule

Explanation:
Correct answer:
Naegeles rule

Naegeles rule is not a rule for calculating pediatric dosage. It is a rule for calculating a pregnant womans
due date.

Convert the following Arabic numerals to Roman numerals: 2567

CCDLXVII
MMDLXIIIX

MMDLXVII

CCDLXIIIX

Correct Answer:
MMDLXVII

Explanation:
Correct answer:
MMDLXVII

The Arabic numerals 2567 equal Roman numerals MMDLXVII. MM = 2000; D = 500; LX = 60; and VII =
7.

The MSDS provides which of the following?

detailed information on controlled substances

detailed information on the hazards associated with a particular substance

documentation on receipt of medication on a nursing floor

detailed information on the benefits and risks of medication

Correct Answer:
detailed information on the hazards associated with a particular substance

Explanation:
Correct answer:
detailed information on the hazards associated with a particular substance
The MSDS is the Materials Safety Data Sheet. It provides detailed information on the hazards associated
with a particular substance. A hazardous chemical is one that poses a threat to health or safety.

Which of the following is an improper fraction?

2/3

3/2

7/8

4/5

Correct Answer:
3/2

Explanation:
Correct Answer
3/2

An improper fraction is a fraction in which the numerator is greater than the denominator. The only
improper fraction of the choices is 3/2.

30 mL is equivalent to all of the following measurements EXCEPT:

6 tsp

2 tbsp

1 fluid oz

3 gr
Correct Answer:
3 gr

Explanation:
Correct answer:
3 gr

A grain is not a liquid measure; it is a measure of dry weight. All of the other choices are equivalent to 30
mL.

Interpret the following quantity taken from a phrase in a prescription. Which of the following is the correct
interpretation?

Gtts. vii

6 drops

7 drops

9 drops

11 drops

Correct Answer:
7 drops

Explanation:
Correct answer:
7 drops

Gtts is drops. vii = 7. Therefore, it is 7 drops.

Of the following stages of general anesthesia which one has four sub-levels?
analgesia

excitement

surgical anesthesia

medullary paralysis

Correct Answer:
surgical anesthesia

Explanation:
Correct answer:
surgical anesthesia

Surgical anesthesia is the stage in which surgery can safely be conducted. There are four levels of
surgical anesthesia, with the higher numbered levels producing deeper anesthesia and more serious
systemic effects.

An inflammation of the eyelids is correctly termed:

conjunctivitis

endophthalmitis

blepharitis

retinitis

Correct Answer:
blepharitis

Explanation:
Correct answer:
blepharitis

Blepharitis is an inflammation of the eyelids. The eyelids protect the eye and assist in its lubrication.

The angled surface at the tip of a needle is called the:

hub

shaft

lumen

bevel

Correct Answer:
bevel

Explanation:
Correct answer:
bevel

The bevel is the angled surface at the tip of a needle. The shaft is the long, slender stem of the needle
that is angled at one end to form a point called the bevel.

Which of the following types of cardiovascular agents has a mechanism of action (MOA) that slows the
movement of ions into the cardiac cells, resulting in a reduction of the action potential?

membrane-stabilizing agents

calcium channel blockers

antiarrhythmics

angiotensin-converting enzyme inhibitors


Correct Answer:
membrane-stabilizing agents

Explanation:
Correct answer:
membrane-stabilizing agents

Membrane-stabilizing agents have an MOA that slows the movement of ions into the cardiac cells,
resulting in a reduction of the action potential. Some examples of membrane-stabilizing agents are:
Norpace, Xylocaine, Mexitil and Tonocard.

The process of identifying the most up-to-date list of all the medications a patient is currently taking is
called which of the following?

medication reconciliation

medication determination

patient-specific ordering

drug topic report

Correct Answer:
medication reconciliation

Explanation:
Correct answer:
medication reconciliation

The Institute for Healthcare Improvement (IHI) has defined medication reconciliation as the process of
identifying the most up-to-date list of all the medications a patient is currently taking. The necessary
information required to clearly analyze a patients needs includes the following: name of drug, dosage,
frequency, and route of administration.
Which of the following is the inventory ordering system that identifies a predetermined order of quantity
and the maximum order point of medications?

80/20 rule

minimum/maximum

ABC analysis

inventory turnover rate

Correct Answer:
minimum/maximum

Explanation:
Correct answer:
minimum/maximum

The minimum/maximum ordering system identifies a predetermined order of quantity (PAR value) and
maximum order point of medications. The min/max system ensures that a firm maintains an adequate
quantity on its shelves without incurring additional costs from purchasing from a wholesaler or outside
vendor.

Which of the following common analgesic drugs is NOT an opiate?

propoxyphene

naproxen

morphine

meperidine
Correct Answer:
naproxen

Explanation:
Correct answer:
naproxen

Naproxen is not an opiate analgesic; it is an NSAID (non-steroidal anti-inflammatory drug). All of the other
choices are opiate analgesics. They are used for severe pain and have a high abuse potential.

Which of the following abbreviations would be used to indicate that the drug form is an ointment?

el

tinct

ung

pul

Correct Answer:
ung

Explanation:
Correct answer:
ung

The abbreviation ung means that the drug form is an ointment. The abbreviation el means that the
drug form is an elixir. The abbreviation tinct means that the drug form is a tincture. The abbreviation
pul means that the drug form is a pulvule.

Grinding or crushing a powder into fine paricles is which of the following?

compounding

repackaging
emulsifying

triturating

Correct Answer:
triturating

Explanation:
Correct answer:
triturating

Trituration is grinding or crushing powder such as a tablet into fine particles. It is the reduction to powder
by friction or grinding as in using a mortar and pestle.

The semi fluid consistency of food after mixing with stomach acids and digestive enzymes as it passes
into the duodenum is called:

jejunum

chyme

pyrosis

maltase

Correct Answer:
chyme

Explanation:
Correct answer:
chyme

When the churning and chemicals have converted stomach contents from solid substances into small
pieces, the acidic, semi fluid mixture that remains is referred to as chime. The chime leaves the stomach
and passes through the pyloric sphincter into the small intestine.

The directions for mixing a 50 mg/10 mL liquid states that when 100 mL of water are added to the
contents of the bottle, the resulting volume is 225 mL. What is the concentration of drug in mg/10 mL if
only 50 mL of water were added

0.064 mg/10 mL

6.4 mg/10 mL

640 mg/10 mL

64 mg/10 mL

Correct Answer:
64 mg/10 mL

Explanation:
Correct answer:
64 mg/10 mL

First determine the total mg of drug in the bottle (it is a constant);


50 mg drug /10 mL FV x 225 mL FV = 1125 mg drug

Next, determine the powder volume for the drug in the bottle:
FV = D + PV
225 mL = 100 mL + PV
225 mL 100 mL = PV = 125 mL

Now determine the volume of the new product (NP):


NP = D + PV
NP = 50 mL + 125 mL = 175 mL

So the new concentration is: Total mg drug in bottle / volume of new product
1125 mg/175 mL = 6.4 mg/mL = 64 mg/10 mL

The type of parenteral administration route that is the most utilized and consists of injecting into the tissue
immediately under the skin is which of the following?
intradermal

subcutaneous

intravenous

intramuscular

Correct Answer:
subcutaneous

Explanation:
Correct answer:
subcutaneous

The subcutaneous (SC) route of administration is one of the most utilized of parenteral routes. The
medication is injected into the tissue immediately under the skin and is then absorbed in the blood stream
and distributed to the body as needed.

Which of the following common suffixes means hardening?

ectomy

sclerosis

stasis

cyte

Correct Answer:
sclerosis
Explanation:
Correct answer:
sclerosis

The suffix sclerosis means hardening. Hardening of the arteries, for instance, is arteriosclerosis.

Which of the following is the correct terminology for the condition of a person who is insulin-dependent?

gestational diabetes

secondary diabetes

Type 1 diabetes

Type 2 diabetes

Correct Answer:
Type 1 diabetes

Explanation:
Correct answer:
Type 1 diabetes

In Type 1 diabetes an individuals body is unable to produce insulin and therefore he or she becomes
insulin-dependent. In Type 2 diabetes individuals have an impaired insulin secretion and are often insulin-
resistant. Secondary diabetes is caused by taking various medications, such as beta-blockers and
diuretics. Gestational diabetes occurs during the second and third trimester of pregnancy.

A drug that is in a condition contrary to the intentions of the manufacturer is considered which of the
following?

investigational

misbranded

adulterated
all of the above

Correct Answer:
adulterated

Explanation:
Correct answer:
adulterated

According to the FDA, an adulterated drug is a drug that is in a condition contrary to the intentions of the
manufacturer. Adulteration focuses on the physical condition of the drug or device. In contrast,
misbranding focuses on the representations made by the manufacturer.

What is the markup percentage on a product that was purchased at a cost of $4.00 and is sold for $8.00?

100%

50%

200%

75%

Correct Answer:
100%

Explanation:
Correct answer:
100%

x (Markup percentage) = markup / cost x 100


x = 4 / 4 x 100
x = 1 x 100 = 100%
Hospital pharmacy technicians may be responsible for preparing chemotherapeutic medications.
All of the following are safe practices for preparing these medications EXCEPT:

Gloves used to prepare chemotherapeutic agents should not be worn more than 30 minutes.

Hands must always be washed before and after removal of gloves.

A horizontal flow hood is used for preparing chemotherapeutic agents.

Gloves should be worn when handling or performing inventory of chemotherapeutic agents.

Correct Answer:
A horizontal flow hood is used for preparing chemotherapeutic agents.

Explanation:
Correct answer:
A horizontal flow hood is used for preparing chemotherapeutic agents.

This is not correct. Class II vertical flow hoods (partially open-front) are used to prepare chemotherapeutic
agents. The air is pulled down toward the tabletop filter from the ceiling of the hood that contains the first
HEPA filter. The chemotherapy hood does not allow the air to leave the container compartment.

The pharmacy budget allows $500 for the purchase of medication that costs $2.50 per bottle. How many
bottles of the medication will you be able to purchase with the $500?

20

50

250

200
Correct Answer:
200

Explanation:
Correct answer:
200

The problem can be restated as: $2.50 is to 1 bottle as $500 is to x number of bottles.

2.5/1 = 500/x
2.5x = 500
x = 500/2.5 = 200

Which of the following methods of purchasing requires a dollar-volume commitment from the pharmacy
and often restricts the pharmacys ability to enter into additional purchasing agreements?

direct purchasing

prime vendors

wholesalers

none of the above

Correct Answer:
prime vendors

Explanation:
Correct answer:
prime vendors

Prime vendors require a dollar-volume commitment from the pharmacy and often contractually restrict the
pharmacys ability to enter into additional purchasing agreements. However, contracting with a prime
vendor has all of the benefits of using a wholesaler, as well as better pricing and service terms.
You receive a prescription for a medication that must be taken in 10 mg tablets twice a day for 60 days.
How many 10 mg tablets of medication will be required to fill the prescription?

60

120

90

180

Correct Answer:
120

Explanation:
Correct answer:
120

Y (capsules needed) = tablets per dose x doses per day x days needed
Y = 1 x 2 x 60
Y = 120

The dosage form that is accurate, compact, portable, and easy to administer and can be prepared either
by compressing or by molding is which of the following?

capsule

plaster

tablet

implant
Correct Answer:
tablet

Explanation:
Correct answer;
tablet

A tablet can be prepared either by compressing or by molding. It is accurate, compact, portable, and easy
to administer. Tablets may come in various shapes, and may be scored.

Which of the following anti-infectives would NOT be used for the eyes?

gentamicin

ciprofloxacin

tobramycin

neomycin

Correct Answer:
ciprofloxacin

Explanation:
Correct answer:
ciprofloxacin

Ciprofloxacin (Cetraxal) is an agent used for external ear infections. It is used as a solution. The other
three choices are used for the eyes.

Convert the fraction 20/800 to a percentage. What is the result?

250%

0.025%

2.5%
0.25%

Correct Answer:
2.5%

Explanation:
Correct answer:
2.5%

To convert a fraction to a percentage, first divide the numerator by the denominator.

20/800 = 0.025
0.025 x 100 = 2.5%

The percentage figure that is obtained by dividing the gross profit by net sales is which of the following?

gross profit rate

depreciation rate

purchase discount

net profit rate

Correct Answer:
gross profit rate

Explanation:
Correct answer:

gross profit rate


The gross profit is the excess of net sales over the cost of goods sold. The net sales are the sales less
sales returns and allowances and sales discounts. The gross profit rate is expressed as a percentage by
dividing the gross profit by net sales.
Convert 12 to a decimal. The correct result is which of the following?

12.41

12.25

12.14

12.15

Correct Answer:
12.25

Explanation:
Correct answer:
12.25

To convert this mixed fraction to a decimal, place the whole number to the left and calculate the decimal
from the fraction by dividing 1 by 4 (1 4 = 0.25). The correct conversion is therefore 12.25.

Automatic stop orders mean prescriptions are active for only a limited period, after which a new
medication order is required if the medication is to be continued. Which of the following types of drugs
has a 7 day stop order?

analgesics

antianemia drugs

antibiotics

anticoagulants
Correct Answer:
antibiotics

Explanation:
Correct answer:
antibiotics

Antibiotics have an automatic 7 day stop order. The other choices are drugs that have an automatic
30 day stop order.

Which of the following drugs is an anticonvulsant?

Anectine

Depakene

Copaxone

Migranal

Correct Answer:
Depakene

Explanation:
Correct answer:
Depakene

Depakene (valproic acid) is an anticonvulsant. Anectine is a neuromuscular blocking agent. Copaxone is


a multiple sclerosis agent. Migranal is a migraine agent.

The purpose and goals of an organization are known as which of the following?

mission statement

organizational structure
scheduling

regulatory procedure

Correct Answer:
mission statement

Explanation:
Correct answer:
mission statement

The mission statement of an organization states the purpose and goals of the organization. This mission
is carried out by establishing an organizational structure and enacting policies and procedures to follow.

Which of the following vaccines contains a live attenuated virus?

yellow fever vaccine

hepatitis A vaccine

avian influenza vaccine

influenza intranasal vaccine

Correct Answer:
influenza intranasal vaccine

Explanation:
Correct answer:
influenza intranasal vaccine

Influenza intranasal vaccine contains a live attenuated virus. The advantage of live vaccine administration
is the durable and complete immunity produced. However, if a person is immunocompromised, live
vaccines could carry a risk of disease and other problems, so they are to be avoided.

Which of the following metric to household conversion measurements is incorrect?

5 mL = 1 teaspoon

15 mL = 1 tablespoon

240 mL = 8 fl oz

960 mL = 1 pint

Correct Answer:
960 mL = 1 pint

Explanation:
Correct answer:
960 mL = 1 pint

This is not a correct conversion. 480 mL equals one pint. 960 mL equals one quart.

The gastrointestinal condition that is caused by long-term exposure to acid/bile that causes changes in
the lower esophagus is which of the following?

dyspepsia

gastritis

Barretts esophagus

Crohns disease
Correct Answer:
Barretts esophagus

Explanation:
Correct answer:
Barretts esophagus

Barretts esophagus is a disease caused by long-term exposure to acid/bile that causes changes in the
lower esophagus. It increases the risk for dysplasia/cancer. Symptoms include heartburn and difficulty
swallowing.

Which of the following body systems includes the skin, hair and nails?

skeletal system

integumentary system

immune system

muscular system

Correct Answer:
integumentary system

Explanation:
Correct answer:
integumentary system

The integumentary system includes the skin, hair and nails. The term integumentary means covering.

The process of identifying the most up-to-date list of all the medications that a patient is currently taking is
which of the following?

patient profile
medication order

drug utilization review

medication reconciliation

Correct Answer:
medication reconciliation

Explanation:
Correct answer:
medication reconciliation

The medication reconciliation is the process of identifying the most up-to-date list of all the medications
that a patient is currently taking. Reconciliation needs to be performed in all pharmacy settings. The three
steps involved in medication reconciliation are: verification, clarification, and reconciliation.

Which of the following devices is a stationary infusion system which uses a minibag that is regulated by
the patient?

enteral pump

mechanical peristaltic pump

mechanical piston pump

gravity infusion system

Correct Answer:
gravity infusion system

Explanation:
Correct answer:
gravity infusion system

A gravity infusion system is a stationary infusion system which uses a minibag that is regulated by the
patient. Drip rate regulators rely solely on gravity to regulate the rate of flow.
Test 20
In terms of procedures for measuring liquids, which of the following statements is least accurate?

The quantity to be measured should not be less than 20% of the total volume of the graduate.

Liquid should be poured slowly down the center of the graduate.

Allow time for all liquid to fall before taking any measurement.

Measure the level of liquid at eye level and make the observation at the top of the meniscus.

Correct Answer:
Measure the level of liquid at eye level and make the observation at the top of the meniscus.

Explanation:
Correct answer:
Measure the level of liquid at eye level and make the observation at the top of the meniscus.

This is not accurate. You should measure the level of liquid at eye level and make the observation at
the bottom of the meniscus.

Federal law mandates that the expiration date of repackaged drugs cannot exceed how many months or
25% of the remaining time on the manufacturers original expiration date whichever is shorter?

12 months

8 months

18 months

6 months

Correct Answer:
6 months
Explanation:
Correct answer

6 months

Federal law mandates that the expiration date of repackaged drugs cannot exceed 6 months or 25% of
the remaining time on the manufacturers original expiration date whichever is shorter. For example if
25% of the remaining time on the manufacturers original expiration date is 8 months, the expiration date
of the repackaged drug would have to be 6 months because this is the shorter time period.

Using Youngs rule calculate the dosage for a 3-year-old child who is prescribed a drug which has a usual
adult dosage of 1.5 g. What is the appropriate dosage for this child?

1.125 g

300 mg

1.125 mg

0.3 mg

Correct Answer:
300 mg

Explanation:
Correct answer:
300 mg

Youngs rule uses a formula based on the age expressed in years. The pediatric dose is calculated by
dividing the childs age in years by the childs age in years plus 12 and multiplying the result by the adult
dosage. In this case the childs age is 3 years. Divide this by 3 + 12 (15) and multiply the result by 1500
mg. The result is 300 mg.

Platinum-containing compounds used as chemotherapeutic agents for cancer are DNA crosslinking
agents that halt cellular replication. Which of the following is NOT a class of these agents?
cisplatin

carboplatin

thiotepa

oxaliplatin

Correct Answer:
thiotepa

Explanation:
Correct answer:
thiotepa

Thiotepa is not a platinum-containing chemotherapeutic agent. In fact, it is rarely used as a cancer


chemotherapeutic agent at the present time.

If a suppository is 2 cm long, what is the approximate measurement in inches?

1.79 in.

0.079 in

0.78 in

none of the above

Correct Answer:
0.78 in

Explanation:
Correct answer:
0.78 in

One centimeter equals about 0.39 inches. There fore 2 cm x 0.39 in. = 0.78 in.

Which of the following is an example of a medication that should be kept in the freezer at temperatures of
-10 C to -20 C?

Alteplase

Epoetin alfa

Fosphenytoin

Varicella vaccine

Correct Answer:
Varicella vaccine

Explanation:
Correct answer:
Varicella vaccine

Most vaccines can be kept at refrigerator temperatures of 2 c to 8 C. However, Varicella vaccine should
be kept in the freezer. Other vaccines for the freezer are: Measles, Mumps, Rubella and Varicella
combination vaccine and Zoster (shingles) vaccine.

The amount of a drug that is automatically reordered is which of the following?

PAR value

DEA value

minimum value

maximum value
Correct Answer:
PAR value

Explanation:
Correct answer:
PAR value

The PAR value is the amount of drug that is automatically reordered. In automatic reordering systems,
when a drug falls below a predetermined quantity, it is automatically reordered.

A child weighs 44 lb and is to receive 3 mg/kg/day of a medication. How much medication should the
child receive each day?

20 mg

22 mg

60 mg

66 mg

Correct Answer:
60 mg

Explanation:
Correct answer:
60 mg

First, you must change the childs weight to kg. There are 2.2 kg in a lb. Divide 44 lb by 2.2 kg and you
get 20 kg. Multiply this by the number of mg/kg (3) and the result is 60 mg per day.
When a drug that is bound to a plasma protein is removed by another drug of greater binding potential,
this is called:

complexation

absorption

enzyme induction

displacement

Correct Answer:
displacement

Explanation:
Correct answer:
displacement

Displacement happens when a drug that is bound to a plasma protein is removed when another drug of
greater binding potential binds to the same protein. The biggest consequence of displacement
interactions is the change in pharmacological effect.

Which of the following drug recalls is the most serious?

Class I

Class II

Class III

Class IV
Correct Answer:
Class I

Explanation:
Correct answer:
Class I

Class I recalls are the most serious. They are designated for products that are defective and could cause
serious adverse health conditions or death. There is no Class IV recall.

A solution of 15 g of a substance in 100 mL of water is equivalent to how many g of the same substance
in 1000 mL of water?

10

50

75

150

Correct Answer:
150

Explanation:
Correct answer:
150

There are 15 g in 100 mL and x g in 1000 mL.

15/100 = x/1000
100 x = 15,000
x = 15,000/100 = 150

Perform the following operation. The result is which of the following?

D x VIII = ?
400

4000

408

4008

Correct Answer:
4000

Explanation:
Correct answer:
4000

The result in Arabic numerals is 4000 (MMMM in Roman numerals). D = 500; and VIII = 8. 500 x 8 =
4000.

Which of the following Roman numerals is written incorrectly?

VIII

MLX

IIV

IX

Correct Answer:
IIV

Explanation:
Correct answer:
IIV

This is written incorrectly. Never subtract more than one numeral. IIV is incorrect; III is correct for the
number 3.

Using Clarks rule calculate the dosage for a 5-month old infant weighing 15 lb who is prescribed a drug
which has a usual adult dosage of 650 mg. What is the appropriate dosage for this child?

6.5 mg

21.7 mg

65 mg

217 mg

Correct Answer:
65 mg

Explanation:
Correct answer:
65 mg

Clarks rule is based on the patients weight expressed in pounds. The childs weight is divided by 150
and the result is multiplied by the adult dose. In this case, the childs weight, 15 lb is divided by 150. The
result is 0.1. This is multiplied by the adult dose of 650 mg to give you a pediatric dosage of 65 mg.

If a patient has a temperature of 104 F, what is the temperature on the Celsius scale

75.5 C

40 C

38.5 C

35 C
Correct Answer:
40 C

Explanation:
Correct answer:
40 C

The Celsius temperature would be 40 C. The calculation is done by deducting 32 from the Fahrenheit
temperature (104 32 = 72), then multiplying this by 5 (72 x 5 = 360) and dividing by 9 (360 9 = 40).

One of the factors to be considered in preparing ophthalmic products is ensuring that the product is free
from foreign particles. This is known as the products:

stability

sterilization

tonicity

clarity

Correct Answer:
clarity

Explanation:
Correct answer:
clarity

Clarity means that the product is free from foreign particles. This can be accomplished through filtration.

Perform the following: 3.45 x 3.5. What is the result?


12.075

6.95

12.75

12.0075

Correct Answer:
12.075

Explanation:
Correct Answer:
12.075

Simply multiply as normal, count the total number of decimal places in each number (3) and move the
decimal place three places to the left. 12075 becomes 12.075. This is the correct answer.

In terms of USP standards for areas in the pharmacy, in which area would you most likely find ISO 5
conditions?

nonhazardous room

IV hood

clean room

anteroom

Correct Answer:
IV hood
Explanation:
Correct answer:
IV hood

An IV hood must meet certain requirements according to USP <797>. One of these is having an ISO 5 air
standard. This must be checked every 6 months.

Groups that are empowered to make decisions about planning, doing, and evaluating their daily work are
which of the following?

multiskilling teams

cross-training teams

self-managing teams

scheduling teams

Correct Answer:
self-managing teams

Explanation:
Correct answer:
self-managing teams

Self-managing teams are teams that are empowered to make decisions about planning, doing, and
evaluating their daily work. They are self-organized, semiautonomous small groups of employees whose
members determine, plan, and manage their day-to-day activities and duties under reduced or no
supervision. They are also called self directed team or self-managed natural work teams.

If the retail prescription price is $50.00 and the patient discount is 10%, how much will the patient pay?

$49.50

$40.00

$45.00
$45.50

Correct Answer:
$45.00

Explanation:
Correct answer:
$45.00

The patient will get a discount of 10% x $50.00 or $5.00. Subtract this from the selling price of the
prescription and you get $45.00.

Which of the following items would NOT be considered personal protective equipment?

syringes

masks

head coverings

shoe coverings

Correct Answer:
syringes

Explanation:
Correct answer:
syringes

Personal protective equipment is used to place a barrier between the employee and specific substances.
Syringes are not personal protective equipment. Personal protective equipment includes: latex gloves,
masks, goggles, face shields, gowns, laboratory coats, shoe coverings, and head coverings.
Which of the following drugs is classified as a proton pump inhibitor?

Prilosec

Zantac

Tagamet

Pepcid AC

Correct Answer:
Prilosec

Explanation:
Correct answer:
Prilosec

Prilosec is a proton pump inhibitor. Proton pump inhibitors inhibit the cellular pump that is responsible for
making gastric acid. These drugs are unique in that they require activation by an acid environment before
they will have an effect. The other three choices are histamine (H2) antagonists.

In terms of storage temperature definitions, excessive heat would be indicated which of the following?

any temperature above 30 C

any temperature above 40 C

any temperature above 86 F

none of the above


Correct Answer:
any temperature above 40 C

Explanation:
Correct answer:
any temperature above 40 C

Excessive heat is defined as any temperature above 40 C. In terms of Fahrenheit temperatures this
would be 104 degrees.

Phase 2 drug testing in humans typically has how many patients involved?

20 - 100

several thousand

several hundred to several thousand

up to several hundred

Correct Answer:
up to several hundred

Explanation:
Correct answer:
up to several hundred

Phase 2 has up to several hundred patients. The time period for phase 2 can range from several months
to two years. The purpose is short-term safety but mainly it is effectiveness.

You have 30 g of a drug in 500 mL of solution. What is the percent of the solution?

6%

3%
18%

60%

Correct Answer:
6%

Explanation:
Correct answer:
6%

Percent solutions are determined by how many grams are in 100 mL of the solution. In this case we have
500 mL and 30 g of drug.

30 g/500 mL = x/100 mL
500 x = 3000
x = 3000/500 = 6 g

This means that it is a 6% solution (6 g/100 mL).

Convert the decimal 0.375 to a percentage. What is the result?

375%

25%

37.5%

0.375%

Correct Answer:
37.5%

Explanation:
Correct answer:
37.5%

0.375 is 375 thousandths. Since percentages are expressed in hundredths, the correct answer is 37.5%.
Move the decimal point two places to the right.

Which of the following pieces of required equipment for a pharmacy must be used for preparing IV
preparations and chemotherapy agents?

Class A balance

pharmacy weights

laminar airflow hood

equipment for reconstitution

Correct Answer:
laminar airflow hood

Explanation:
Correct answer:

laminar airflow hood

Required equipment in all pharmacies includes a Class A balance, pharmacy weights, equipment for
reconstitution such as graduated cylinders, various mortars and pestles for mixing, spatulas and stirring
rods. Laminar airflow hoods are required for preparing IV preparations and chemotherapy agents.

To find a persons body surface area (BSA) which of the following is used?

monograph

Youngs scale
nomogram

Clarks scale

Correct Answer:
nomogram

Explanation:
Correct answer:
nomogram

To find a persons body surface area (BSA), a nomogram is used. This is a chart that relates the height
and weight of a person to his or her body surface area.

Add the following: 0.452 + 1.27. What is the result?

1.70

1.722

1.72

1.79

Correct Answer:
1.722

Explanation:
Correct Answer:
1.722

In adding two decimals, first align the decimals, add a place holder zero to 1.27 and then add.
0.452
+ 1.270
1.722

The substitution of a new drug product with another that differs in composition but is considered to have
the same or very similar pharmacologic and therapeutic activity is known as which of the following?

bioavailability

therapeutic equivalent

therapeutic substitution

all of the above

Correct Answer:
therapeutic substitution

Explanation:
Correct answer:
therapeutic substitution

Therapeutic substitution is the substitution of a new drug product with another that differs in composition
but is considered to have the same or very similar pharmacologic and therapeutic activity. A therapeutic
equivalent is a drug product that, when administered in the same amount, will provide the same
therapeutic effect and pharmacokinetic characteristics as another drug with which it is compared.

In terms of the structure of the brain, which of the following areas is concerned mostly with learned
behavior, thought, memory, sensation and voluntary motion?

pons

cerebellum

cerebrum

thalamus
Correct Answer:
cerebrum

Explanation:
Correct answer:
cerebrum

The cerebrum is concerned mostly with learned behavior, thought, memory, sensation and voluntary
motion. it is divided into lobes: frontal, occipital, parietal and temporal.

If a drug is to be stored at 15 on the Celsius scale, which of the following would be the correct
temperature for storage on the Fahrenheit scale?

59 F

33.7 F

-9.4 F

9.4 F

Correct Answer:
59 F

Explanation:
Correct answer:
59 F

The temperature of 15 C is equal to 59 F. The formula for converting Celsius (Centigrade) to Fahrenheit
is as follows: 9/5 x C + 32 In this case, 9/5 x 15 + 32 = 59

Human variability in biopharmaceutics and disposition can significantly alter blood concentration-time
profiles and drug efficacy. Which of the following statements about these differences is least accurate?
Neonates and infants are better able to eliminate drugs than adults.

Children metabolize certain drugs more rapidly than adults.

The elderly typically consume more drugs than any other age group.

Older infants reach approximately adult levels of protein binding and kidney function but liver
function and the blood-brain barrier are still immature.

Correct Answer:
Neonates and infants are better able to eliminate drugs than adults.

Explanation:
Correct answer:
Neonates and infants are better able to eliminate drugs than adults.

Drug distribution, metabolism, and excretion are quite different in the neonate and infant than in adults
because their organ systems are not fully developed. They are not able to eliminate drugs as efficiently
as adults.

The list of preferred drugs to be stocked by a pharmacy is which of the following?

formulary

non-formulary

legend

non-legend

Correct Answer:
formulary
Explanation:
Correct answer:
formulary

A formulary is the list of preferred drugs to be stocked by a pharmacy. It is also a list of drugs covered by
an insurance company. Non-formulary drugs are not normally stocked by a pharmacy and may not be
covered by an insurance company.

If a drug is to be administered rectally it may be indicated on the prescription as which of the following?

PR

OR

PO

RP

Correct Answer:
PR

Explanation:
Correct answer:
PR

If a drug is to be administered rectally it may be indicated on the prescription as PR. It may also be
indicated by RE.

The nerves outside of the brain and spinal cord are part of which of the following?

muscular system

central nervous system

peripheral nervous system

medial nervous system


Correct Answer:
peripheral nervous system

Explanation:
Correct answer:
peripheral nervous system

The central nervous system consists of the brain and spinal cord. The peripheral nervous system consists
of nerves outside of the brain and spinal cord.

The labeling of a repackaged drug must contain all of the following except:

generic name of the drug

strength

manufacturers name and lot number

expiration date before repackaging

Correct Answer:
expiration date before repackaging

Explanation:
Correct answer:
expiration date before repackaging

The expiration date before repackaging would not be on the label of a repackaged drug. The expiration
date after repackaging must be included.
The drugs that treat various forms of anemias by stimulating or helping to stimulate blood cell growth are
called:

topical hemostatic drugs

hemostatic drugs

hematopoietics

none of the above

Correct Answer:
hematopoietics

Explanation:
Correct answer:
hematopoietics

Hematopoietics are drugs that treat various forms of anemias by stimulating or helping to stimulate blood
cell growth. Anemias are generally characterized by a decrease in hemoglobin or red blood cells which
leads to a series of other disorders manifested by oxygen deficiency.

Pregnancy categories of drugs are determined on the basis of the potential harm to the unborn child.
Which of the five pregnancy categories of drugs has the lowest risk?

A
Correct Answer:
A

Explanation:
Correct answer:
A

Category A drugs have the lowest risk to the unborn child. Adequate and well-controlled human studies
have failed to demonstrate a risk to the fetus. Category X drugs have the highest risk. Studies of category
X drugs show significant risk to the woman and the unborn child.

Add the following fractions. What is the result?

3/5 + 1/5 = ?

8/5

4/5

5/3

Correct Answer:
4/5

Explanation:
Correct answer:
4/5

To add fractions, if the denominators are the same, just add the numerators. In this case, the
denominator is 5 in both fractions so add the numerators 3 + 1 = 4 and the answer is 4/5.

In a hospital setting, which of the following persons is an individual who is licensed to provide basic care,
such as administering medication, under the supervision of a registered nurse?

nurse practitioner
licensed nursing assistant

licensed practical nurse

physician assistant

Correct Answer:
licensed practical nurse

Explanation:
Correct answer:
licensed practical nurse

A licensed practical nurse is an individual who is licensed to provide basic care, such as administering
medication, under the supervision of a registered nurse. A licensed nursing assistant assists RNs and
LPNs in providing patient care, but is not permitted to administer medication.

In a health care system all of the following are job responsibilities of a pharmacy technician EXCEPT:

performing a final check of a medication before it goes to the patient

data collection and reporting

assisting in the maintenance of devices such as fax machines, automated dispensing systems,
etc.
inventory management

Correct Answer:
performing a final check of a medication before it goes to the patient

Explanation:
Correct answer:
performing a final check of a medication before it goes to the patient
This is not the job responsibility of a pharmacy technician; it is the job of the pharmacist to perform a final
check of a medication before it goes to the patient. All tasks performed by the pharmacy technician are
under the supervision of the pharmacist.

The national internet-accessible database that hospitals and health care systems use to track adverse
drug reactions and medication errors is which of the following?

MedWatch

ISMP

Institute of Medicine
MEDMARX

Correct Answer:
MEDMARX

Explanation:
Correct answer:
MEDMARX

The national internet-accessible database that hospitals and health care systems use to track adverse
drug reactions and medication errors is MEDMARX. The MEDMARX data report is released by the United
States Pharmacopeia.

Which of the following statements about the disposal of needles is least accurate?

Never recap used needles using both hands.

Use a one-handed scoop technique for recapping needles.

Do not remove used needles from disposable syringes by hand.

Never use a mechanical device for holding the needle sheath.


Correct Answer:
Never use a mechanical device for holding the needle sheath.

Explanation:
Correct answer:
Never use a mechanical device for holding the needle sheath.

This statement is inaccurate. For recapping needles use a one-handed scoop technique or a
mechanical device designed for holding the needle sheath.

The registered or trademarked name that is used for a drug is which of the following?

chemical name

generic name

trade name

none of the above

Correct Answer:
trade name

Explanation:
Correct answer:
trade name

The trade name (or brand name) of a drug is registered or trademarked by a specific producer or
manufacturer to identify its particular drug. The chemical name of a drug product reflects the chemical
structure of the compound. The generic name of a drug is a convenient and concise name used by the
public to identify the active ingredient in the drug.
Of the following less-common vaccines, which one consists of small pieces of the genetic code that
originate from the disease microbe?

antiidiotypic vaccines

acellular vaccines

subunit vaccines

conjugated vaccines

Correct Answer:
subunit vaccines

Explanation:
Correct answer:
subunit vaccines

Subunit vaccines are small pieces of the genetic code that originate from the disease microbe. These
pieces are injected into a bacterium or yeast and then grown. They are then harvested and used as a
vaccine to stimulate the body to produce an immune response.

Electrolytes used in the preparation of suspensions are known as which of the following?

flocculating agent

thickening agent

blending agent

none of the above


Correct Answer:
flocculating agent

Explanation:
Correct answer:
flocculating agent

A flocculating agent consists of electrolytes used in the preparation of suspensions. A thickening agent is
an ingredient used in the preparation of a suspension to increase the viscosity of the suspension.
Blending is the act of combining two substances.

DEA numbers for prescribers should be verified. If the prescribers name is Jones, which of the following
DEA numbers would be authentic?

AJ3284065

JA3284065

JJ3284065

3284065AJ

Correct Answer:
AJ3284065

Explanation:
Correct answer:
AJ3284065

Currently, top-level prescribers are assigned either a capital letter A, B or F as the first letter of the DEA
number. The second letter of the DEA number is the first letter of the prescribers last name (in this case,
J for Jones). This is followed by a seven digit number.

Communication is an important part of pharmacy practice. In terms of communication which of the


following is the term for a gesture, action, sound, written or spoken word, or visual image used in
transmitting information?
channel

message

context

feedback

Correct Answer:
channel

Explanation:
Correct answer:
channel

The term channel refers to the mode by which the sender transmits the message. Communication occurs
through written channels, verbal channels and nonverbal channels.

What is the total volume that will be delivered if a patient receives normal saline solution of 10 mL/hr for 3
days?

240 mL

300 mL

72 mL

720 mL

Correct Answer:
720 mL

Explanation:
Correct answer:
720 mL

Three days equals 72 hours. At the rate of 10 mL/hr the patient would receive 720 mL in 3 days.

10mL X 72 hours = 720 mL

A pharmacy technician in a health-care facility may perform all of the following tasks EXCEPT:

performing a final check of a medication before it goes to the patient

collecting data and reporting

maintaining equipment and devices such as automated dispensing systems

assisting in maintaining the medical library

Correct Answer:
performing a final check of a medication before it goes to the patient

Explanation:
Correct answer:
performing a final check of a medication before it goes to the patient

The pharmacy technician may not perform a final check of a medication before it goes to the patient. This
is the responsibility of the pharmacist.

A sudden drop in blood pressure after standing for long periods of time is called:

orthostatic hypotension

neurally mediated hypotension

postprandial hypotension

multiple system atrophy with orthostatic hypotension


Correct Answer:
neurally mediated hypotension

Explanation:
Correct answer:
neurally mediated hypotension

Neurally mediated hypotension is a drop in blood pressure after standing for long periods of time. It
affects mostly young people. The left ventricle signals the brain that the BP is too high. The heart rate is
lowered, causing low blood pressure.

Drugs that require a prescription from a prescriber before they can be used are which of the following?

OTC drugs

legend drugs

BTC drugs

none of the above

Correct Answer:
legend drugs

Explanation:
Correct answer:
legend drugs

There are currently three classifications of drugs that describe their availability to consumers. Legend
drugs are those that require a prescription from a prescriber before they can be used. OTC (over-the-
counter) drugs are commonly used and may be purchased without a prescription. BTC (behind-the-
counter) drugs are those that do not require a prescription but are kept in the pharmacy; their sales are
limited by quantity or may require pharmacist approval.
You have 3 g of a drug in 50 mL of solution. What is the percent of the solution?

6%

4%

8%

2%

Correct Answer:
6%

Explanation:
Correct answer:
6%

The ratio is 3 g to 50 mL. This must be converted into g /100 mL. Set up a ratio of 3 g is to 50 mL as how
many g are to 100 mL.

3/50 = x/100
50 x = 300
x=6g

Expressed as a percentage, 46 g/100 mL = 6% solution.

In terms of pharmacy facilities, which of the following statements is least accurate?

State Boards of Pharmacy require a minimum amount of counter space in a pharmacy.

The pharmacy must have a safe for Schedule II medications.

The pharmacy must have an alarm system that is activated 24 hours a day and 7 days a week.

The pharmacy must have a sink with hot and cold water.
Correct Answer:
The pharmacy must have an alarm system that is activated 24 hours a day and 7 days a week.

Explanation:
Correct answer:
The pharmacy must have an alarm system that is activated 24 hours a day and 7 days a week.

This is the least accurate statement. The State Boards of Pharmacy require that a pharmacy have an
alarm system that is activated when the pharmacy is not open. Pharmacies are also required to be kept
clean and uncluttered.

Add the following Roman numerals and choose the correct Arabic result.

CC + XX + II + IV = ?

2026

2024

224

226

Correct Answer:
226

Explanation:
Correct answer:
226

The answer is 226. CC = 200; XX = 20; II = 2; and IV = 4. This gives you 200 + 20 + 2 + 4 = 226.
The process by which a drug is moved from the site of administration into the bloodstream is known as
which of the following?

absorption

metabolism

excretion

distribution

Correct Answer:
absorption

Explanation:
Correct answer:
absorption

Absorption is the process by which a drug is moved from the site of administration into the bloodstream.
Absorption of the drug does not always occur by way of the stomach and bloodstream. Inhaled
medications, for example, enter through the mouth and go to the lungs. The mucous membranes of the
alveoli absorb the medication and send it into the capillaries and then to the bloodstream.

You have a 2% solution of a medication. What is the concentration in mg/mL?

2 mg/mL

0.02 mg/mL

20 mg/mL

200 mg/mL
Correct Answer:
20 mg/mL

Explanation:
Correct answer:
20 mg/mL

A 2% solution is 2 g/100 mL. You must convert 2 g to mg (2000 mg) then divide this by 100 mL. This
gives you 20 mg/mL.

A solution having the same tone, or osmolarity, of another substance is which of the following?

douche

elixir

collodion

isotonic solution

Correct Answer:
isotonic solution

Explanation:
Correct answer:
isotonic solution

An isotonic solution is a solution having the same tone, or osmolarity, of another substance. There is no
loss or gain of water by the cell. Dilution of an isotonic solution may affect the composition of the solution.

The beyond-use date is assigned by which of the following?

pharmacy

manufacturer
FDA

DEA

Correct Answer:
pharmacy

Explanation:
Correct answer:
pharmacy

The beyond-use date is assigned by the pharmacy when repackaging or compounding medications.
Expiration dates are assigned by the manufacturer.

The first thing that a pharmacy technician should do when compounding a drug is which of the following?

Obtain the recipe or formula.

Collect all equipment necessary.

Weigh all ingredients.

Write up a compounding worksheet.

Correct Answer:
Obtain the recipe or formula.

Explanation:
Correct answer:
Obtain the recipe or formula.

There are numerous steps to compound a drug correctly and precisely. The first thing necessary is to
obtain the recipe or formula for the compound. Without this the compounding process cannot take place.
The rest of the steps then follow.

Of the following inventory management strategies, which one is an inventory ordering system that
identifies a PAR value and a highest order point of medications?

inventory turnover system

minimum/maximum system

ABC analysis

80/20 rule

Correct Answer:
minimum/maximum system

Explanation:
Correct answer:
minimum/maximum system

The minimum/maximum system is an inventory ordering system that identifies a PAR value (minimum)
and a highest order point (maximum) of medications. This system ensures that a pharmacy maintains an
adequate quantity on its shelves without incurring additional costs from purchasing from a wholesaler or
outside vendor.

Which of the following is used to adjust the pH of a medication?

fillers

waxes

solvents

buffers
Correct Answer:
buffers

Explanation:
Correct answer:
buffers

Buffers are used to adjust the pH of a medication. Fillers are used to enable manufacturers to make
tablets or capsules large enough to ingest. Waxes are used to mold various medications, such as
suppositories. Solvents are mixtures used along with chemical agents as a dissolvent.

Which of the following would be the proper way to write two tenths of a milligram?

.2 mg

0.20 mg

0.2 mg

00.2 mg

Correct Answer:
0.2 mg

Explanation:
Correct answer
0.2 mg

The correct way to write two tenths of a milligram would be 0.2 mg. Always place a zero to the left of the
decimal when the decimal is less than 1. Avoid unnecessary zeros.

Which of the following pieces of compounding mixing equipment is used for preparing liquids such as
solutions and suspensions and for mixing oily or staining materials?
plastic spatula

metal spatula

porcelain mortar and pestle

glass mortar and pestle

Correct Answer:
glass mortar and pestle

Explanation:
Correct answer:
glass mortar and pestle

A glass mortar and pestle is used for preparing liquids such as solutions and suspensions and for mixing
oily or staining materials. A porcelain mortar and pestle is used for blending powders and pulverizing soft
aggregates or crystals.

Which of the following dietary factors is most likely to have no effect on metabolism?

increased protein

increased fat

increased carbohydrate

decreased calories

Correct Answer:
increased fat
Explanation:
Correct answer:
increased fat

Increased fat has no effect on metabolism. Increased protein increases metabolism. Increased
carbohydrate and decreased calories both decrease metabolism.

The pharmacy has bought a case of medication for $150. There are 50 tubes of medication in the case.
What is the cost for each tube of medication?

$3.00

$1.50

$30.00

$15.00

Correct Answer:
$3.00

Explanation:
Correct answer:
$3.00

The case costs $150. Divide this cost by the number of tubes in the case (50) to get the cost of each
tube. 150 divided by 50 = 3. Therefore, each tube has a cost of $3.00.

Which of the following statements regarding drug recalls is least accurate?

Once a product is recalled it is destroyed.

Class 3 recalls are the lowest level of recalls.

The FDA must order all recalls.


The manufacturer of a recalled drug must notify via e-mail, phone, or fax all entities that may have
dispensed the product.

Correct Answer:
The FDA must order all recalls.

Explanation:
Correct answer:
The FDA must order all recalls.

This is not accurate. The FDA does not typically order recalls but instead may request a recall from the
manufacturer. Only if the manufacturer refuses and there is clear evidence that there is a risk to human
health may the FDA enforce such a request.

The most common cause for glaucoma is which of the following?

structural defect in the eye

infection

inflammation

none of the above

Correct Answer:
structural defect in the eye

Explanation:
Correct answer:
structural defect in the eye

Although infection and inflammation can increase intraocular pressure temporarily, the common cause of
glaucoma is a structural defect in the eye. The disease is characterized by abnormally high pressure
within the eye that leads to optic nerve damage and loss of vision.

Which of the following drugs for treatment of migraine headaches is a narcotic drug?

Anaprox

Fioricet

Cafergot

Compazine

Correct Answer:
Fioricet

Explanation:
Correct answer:
Fioricet

Fioricet is the narcotic drug containing acetaminophen, caffeine and butalbital. The acetaminophen
reduces pain, caffeine increases this effect and butalbital decreases anxiety and causes relaxation.

30 is to 360 as 60 is to which of the following?

180

720

360

72
Correct Answer:
720

Explanation:
Correct answer:
720

This ratio can be solved as follows:

30/360 = 60/x
30 x = 21,600
x = 21,600/ 30 = 720

Which of the following is NOT one of the postulates of the kinetic molecular theory?

Particles of gases are separated from one another by large distances when compared to the size
of the particles.
The particles of a gas exert repulsive and attractive forces on one another.

Particles of a gas are in constant and random motion.

The average kinetic energy of gas particles is directly proportional to the absolute temperature in
Kelvin.

Correct Answer:
The particles of a gas exert repulsive and attractive forces on one another.

Explanation:
Correct answer:
The particles of a gas exert repulsive and attractive forces on one another.

This is not one of the postulates of the kinetic molecular theory. Stated properly the postulate says that
the particles of a gas exert neither repulsive nor attractive forces on one another.

The hospital staff person who is most likely to be referred to by the initials, R.T. is which of the
following?
respiratory therapist

rehabilitation therapist

registered psychotherapy therapist

registered nurse therapist

Correct Answer:
respiratory therapist

Explanation:
Correct answer:
respiratory therapist

The respiratory therapist (R.T.) assists in the evaluation, treatment, and care of patients with breathing
problems or illnesses. They may also administer respiratory drug treatments to patients.

The type of intravenous device that is a balloon-like reservoir filled with medication that is forced out of
the reservoir through a flow restrictor is which of the following?

infusion pump

elastomeric pump

syringe

infusion injection

Correct Answer:
elastomeric pump

Explanation:
Correct answer:
elastomeric pump

An elastomeric pump is useful for intermittent or very slow, continuous infusions. It is a balloon-like
reservoir filled with medication that is forced out of the reservoir through a flow restrictor.

In one bottle of medication there are 120 capsules. If every bottle contains the same number of capsules,
how many capsules are in 24 bottles?

1440

2160

1240

2880

Correct Answer:
2880

Explanation:
Correct answer:
2880

There are 120 capsules in one bottle and x capsules in 24 bottles.

120/1 = x /24
x = 24 x 120 = 2880

Which of the following lung diseases is characterized by abnormally elevated pulmonary arterial
pressure?

pulmonary fibrosis

pulmonary edema

pulmonary embolus
pulmonary hypertension

Correct Answer:
pulmonary hypertension

Explanation:
Correct answer:
pulmonary hypertension

Pulmonary hypertension is characterized by abnormally elevated pulmonary arterial pressure. Pulmonary


fibrosis is scarring that occurs throughout the lungs. Pulmonary edema is swelling from vessels to
surrounding tissue caused by fluid. Pulmonary embolus is a blood clot that enters into the lungs or
airways, obstructing the vessel.

You must prepare a liquid medication for a patient who is prescribed 4 teaspoons per day, one every 6
hours. Your supply is measured in mL. How many mL of the drug will be needed for this patient each
day?

10

20

30

40

Correct Answer:
20

Explanation:
Correct answer:
20
The conversion for mL to teaspoons is 5 to 1; five mL equals one teaspoon. Therefore 4 teaspoons
equals 20 mL (5mL x 4tsp).

Multiply the following. What is the result?

3/4 x 2/3 = ?

5/12

1/2

1 1/8

Correct Answer:
1/2

Explanation:
Correct Answer
1/2

To multiply fractions simply multiply the numerators (3 x 2 = 6) and then multiply the denominators (4 x 3
= 12). The result is 6/12 or 1/2.

The directions for mixing a liquid antibiotic state when 30 mL of water are added to the contents of the
bottle, the resulting volume is 120 mL. What is the powder volume?

90 mL

9 mL

9.9 mL

10 mL
Correct Answer:
90 mL

Explanation:
Correct answer:
90 mL

The formula to use is:

Final volume = volume of diluent + powder volume.


120 mL = 30 mL + powder volume
120 mL 30mL = powder volume = 90 mL

The technique used to reduce the particle size of a powder drug by triturating it with a solvent in which the
drug is insoluble is known as which of the following?

geometric dilution

spatulation

levigation

none of the above

Correct Answer:
levigation

Explanation:
Correct answer:
levigation

Levigation is triturating a powder drug with a solvent in which it is insoluble to reduce its particle size.
Levigation is generally done before the drug is incorporated into a formulation such as a suspension,
ointment, or suppository base.
When a vaccine is disassembled to isolate specific antigens from entire cells, it is referred to as which of
the following?

acellular

subunit

antidiotypic

attenuated

Correct Answer:
acellular

Explanation:
Correct answer:
acellular

When a vaccine is disassembled (or fragmented) to isolate specific antigens from entire cells, it is referred
to as an acellular vaccine. Pertussis is one type of vaccine made in this manner.

Solve the following equation: 8x -12 + 4x = y where x is a variable, and you solve for y. What is y?

4x -12

4x + 12

12x 12

12x - 8

Correct Answer:
12x 12
Explanation:
Correct answer:
12x - 12

First, combine all of like terms


(8x + 4x) 12 = y
12x 12 = y.

Which of the following body systems are most closely connected to anesthetics, analgesics and
anticonvulsants?

nervous system

gastrointestinal system

respiratory system

endocrine system

Correct Answer:
nervous system

Explanation:
Correct answer:
nervous system

Classifications of medication serve to place drugs into groups. It is important to know the body system a
medication is intended to affect. The brain and nervous system are closely connected to drugs classified
as anesthetics, analgesics and anticonvulsants, as well as antidepressants, antiparkinsonian drugs,
antipsychotics and stimulants.

Medication that is in the form of a tablet that is intended to dissolve in the mouth is called a(n):

capsule

implant
troche

elixir

Correct Answer:
troche

Explanation:
Correct answer:
troche

A troche is another form of tablet that is not intended to be swallowed. It is intended to dissolve in the
mouth, which releases the medication more slowly. These medications are often aimed at local action in
the mouth or throat.

In terms of professional standards required by The Joint Commission (TJC), which of the following
statements is least accurate?

Floor stock inventories in hospitals and long-term care facilities are preferred over unit-dose
systems.
Internal and external products must be kept in separate locations in a pharmacy.

The dispensing of professional samples to patients is discouraged.

IV admixtures are prepared in a pharmacy using aseptic technique and a laminar flow hood.

Correct Answer:
Floor stock inventories in hospitals and long-term care facilities are preferred over unit-dose
systems.

Explanation:
Correct answer:
Floor stock inventories in hospitals and long-term care facilities are preferred over unit-dose
systems.

This is inaccurate. The opposite is true. Unit-dose systems in hospitals and long-term care facilities are
preferred over floor stock inventories.

All of the following are categories of hospitals set out by the American Hospital Association (AHA)
EXCEPT:

community based

rehabilitation

institutional

psychiatric

Correct Answer:
rehabilitation

Explanation:
Correct answer:
rehabilitation

This is not one of the categories of hospitals set out by the AHA. The AHA categorizes hospitals as:
community-based, federal government, psychiatric, long-term care or institutional.

Which of the following solutions may consist of water in oil (w/o) or oil in water (o/w)?

suspension

lotion

ointment

emulsion
Correct Answer:
emulsion

Explanation:
Correct answer:
emulsion

An emulsion is a solution in which one liquid is dispersed in another liquid. It may be water in oil or oil in
water. Emulsions are stabilized though the use of an emulsifying agent.

The directions for mixing an 80 mg/5 mL liquid states that when 400 mL of water are added to the
contents of the bottle, the resulting volume is 600 mL. What is the concentration of drug in mg/5 mL if only
20 mL of water were added?

1000 mg/5 mL

218 mg/5 mL

120 mg/5 mL

20 mg/5 mL

Correct Answer:
218 mg/5 mL

Explanation:
Correct answer:
218 mg/5 mL

First determine the total mg of drug in the bottle (it is a constant);


80 mg drug /5 mL FV x 600 mL FV = 9,600 mg drug

Next, determine the powder volume for the drug in the bottle:
FV = D + PV
600 mL = 400 mL + PV
600 mL 400 mL = PV = 200 mL

Now determine the volume of the new product (NP):


NP = D + PV
NP = 20 mL + 200 mL = 220 mL

So the new concentration is: Total mg drug in bottle / volume of new product
9600 mg/220 mL = 43.6 mg/mL = 218.18 mg/5 mL

Those additives that are used in the preparation of medications to achieve the required consistency,
effectiveness, and functional properties are known as which of the following?

elixirs

syrups

plasticizers

excipients

Correct Answer:
excipients

Explanation:
Correct answer:
excipients

Excipients are inert substances that are added to a drug to form a suitable consistency for dosing. There
are a wide range of excipients that can be used in the preparation of medications. There are used in a
variety of dosage forms such as liquids, suspensions, tablets and capsules, and coatings.

Which of the following means of communication would have the least channel richness?

telephone

bulletins

email

letters
Correct Answer:
bulletins

Explanation:
Correct answer:

bulletins

Channel richness is the capacity of a channel to convey information effectively. The least effective
channel richness is found in bulletins. The most effective channel richness is in face-to-face
communication.

Which of the following is a MERP error category in which there is an error but no harm?

Category G

Category E

Category B

Category I

Correct Answer:
Category B

Explanation:
Correct answer:

Category B

Category B errors mean that an error occurred but did not reach the patient. Categories C and D are also
categories where there is an error but no harm is done. In Category C an error reached the patient but did
not cause harm. In Category D an error reached the patient, did not cause harm, but needed monitoring
or intervention to prove no harm resulted.

Which of the following would NOT be a quality improvement standard/guideline for pharmacies?

establishing the maximum number of prescriptions a pharmacist may fill during a shift

increasing the number of pharmacy technicians a pharmacist supervises

improving workflow in a pharmacy

improving lighting in a pharmacy

Correct Answer:
increasing the number of pharmacy technicians a pharmacist supervises

Explanation:
Correct answer:
increasing the number of pharmacy technicians a pharmacist supervises

This would not be a proper standard for improving quality in a pharmacy. The opposite is
true. Limiting the number of pharmacy technicians a pharmacist supervises would increase the quality of
service, not increasing the number.

The best definition for a covalent bond is which of the following?

the sharing of electrons between two atoms

the transfer of electrons between two atoms

a biological catalyst

the physical and chemical change that takes place within and organism
Correct Answer:
the sharing of electrons between two atoms

Explanation:
Correct answer:
the sharing of electrons between two atoms

Two common types of bonding between atoms are ionic bonds and covalent bonds. A covalent bond is
the sharing of electrons between two atoms. An ionic bond is the transfer of electrons between two
atoms.

A medication that is to be administered in both ears would be indicated by which of the following?

ad

od

au

as

Correct Answer:
au

Explanation:
Correct answer:
au

A medication that is to be administered in both ears is indicated by the abbreviation au. The other
choices indicate: ad right ear; od right eye; and as left ear.

Which of the following drugs is NOT a synthetic drug?


OxyContin

amoxicillin

barbiturates

ferrous sulfate

Correct Answer:
ferrous sulfate

Explanation:
Correct answer:
ferrous sulfate

Ferrous sulfate (iron) is a natural drug that is naturally occurring. Synthetic drugs are produced in the
laboratory and are not naturally occurring. All of the other choices are synthetic drugs.

What is the largest decimal in this set (.0345, 0323, .0099, .0356)?

0.0345

0.0356

0.0099

0.0323

Correct Answer:
0.0356

Explanation:
Correct Answer:
0.0356

Knowing that we can easily compare decimals with all numbers sharing a common base, we first find that
common base and it is ten thousandths. 356 ten thousandths is the largest number.

Which of the following statements about the controlled substance administration record is least accurate?

It assists in the accountability of controlled substances in a nursing unit.

It allows nurses to verify counts of a controlled substance at the change of a shift.

It is used to account for the amount of controlled substances a patient is taking.

Counts must be witnessed by the incoming nurse.

Correct Answer:
It is used to account for the amount of controlled substances a patient is taking.

Explanation:
Correct answer:

It is used to account for the amount of controlled substances a patient is taking.

This is not accurate. A separate form is used to account for the amount of controlled substances a patient
is taking. A controlled substance usage form monitors receipt, administration, and disposal of individual
controlled substances.

What is the term for a fungal infection of the nails?

onychocryptosis

onychomycosis
onychophagia

miliaria

Correct Answer:
onychomycosis

Explanation:
Correct answer:
onychomycosis

Onychomycosis is the term for a fungal infection of the nails. Onychocryptosis is the term for an ingrown
nail; onychophagia is biting of the nails; and miliaria is a heat rash.

In terms of sharps disposal, which of the following would be the least appropriate action or procedure?

Needles should be left on syringes to prevent possible injuries.

Needles should no be clipped.

Sharps containers should be disposed of when three-quarters full or at least daily.

Used needles should always be recapped.

Correct Answer:
Used needles should always be recapped.

Explanation:
Correct answer:
Used needles should always be recapped.

This is the least appropriate action. Used needles should never be recapped. They should be discarded
as an intact unit, along with IV catheters or other sharp objects.
The price that a pharmacy pays for a medication after receiving any discounts from either the
manufacturer or the wholesaler is which of the following?

maximum allowable cost

actual acquisition cost

capitation cost

variable cost

Correct Answer:
actual acquisition cost

Explanation:
Correct answer:
actual acquisition cost

The actual acquisition cost (AAC) is the price that a pharmacy pays for a medication after receiving any
discounts from either the manufacturer or the wholesaler. This cost may be used instead of the average
wholesale price (AWP).

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