From Jeanetta Re: More Questions

[Guest guest]

Dear Sammy,

Here are my answers. I also provided you with some links that may

help you to study further. There are few with photos that will help

you feel like you are in a pharmacy by seeing the product or device!

Let me know if you need anything else.

Dear Texperts, I need your help on problem markded EX2, 63 and 113

that Sammy gave us. I just want to besure I did not steer him

incorrectly so I need a confirmation that my answers on those are

correct or that I am wrong with your explanation.

Hope this helps you Sammy!

Respectfully,

Jeanetta Mastron CPhT BS Chemistry

Pharmacy Technician Educator

Founder/Owner of this site

10. If Domeboro tablets are received from the wholesaler, where

should they be stocked?

A: next to Dolobid 500mg tablets

B: where the Bacitracin ointment is stored

C: with Mycostatin vaginal suppositories

D: in the refrigerator with EES suspension

Jeanetta's Answer: B: where the Bacitracin ointment is stored

Domeboro tablets are antiinfectives and belong on the same shelf as

other such products. Domeboro is available as acetic acid in a OTIC

formulation and it is also available as ALUMINUM ACETATE for a

topical soak. I would place it with other topical antiinfectives .

FYI:

A: Dolobid 500mg tablet is a Narcotic

C: Mycostatin vaginal suppositories for yeast infection

D: EES suspension antibiotic

For a photo of the packaging and more information go to:

http://www.bayercare.com/domoboro/domo.html

11. Which of the following medications may not be crushed?

A: Ecotrin 325mg

B: Fiorinal

C: Inderal 10mg

D: Robaxin 500mg

Jeanetta's Answer:

Ecotrin gets its name from having an enteric coating and being an

aspirin. Because of the coating it will not `open up' or be digested

until it hits the intestines NOT the stomach. It therefore must not

be cut or crushed, because it would then have areas without the

coating and may then cause an `acid' or upset stomach or Gastric

ulcer.

32. What size filter is considered a sterilizing filter?

A: 0.22 micron

B: 0.3 micron

C: 0.45 micron

D: 5 micron

Jeanetta's Answer:

A. 0.22 micron

50. Which nongovernmental agency is responsible for the

accreditation of institutional settings?

A: AMA

B: ASHP

C: JCAHO

D: APhA

Jeanetta's Answer: C . JCAHO

More about Joint Commission on Accreditation of Healthcare

Organizations at http://www.jcaho.org/

EX2

11. How old must a person be to sign the exempt narcotic log?

A: 16 years old

B: 18 years old

C: 21 years old

D: 25 years old

Jeanetta's Answer: I have no clue – Some one TEACH me too!

20. How many units of NPH U-100 would be administered if the

patient's noon dose was 0. 25ml?

A: 15 units

B: 30 units

C: 25 units

D: 50 units

Jeanetta's Answer:

Regular insulin is available as 100 `units' per ml, in a 10 ml vial.

Therefore

0.25ml is equal to 25 units or C.

25. A homecare pharmacy compounds 50 TPN orders daily. Which device

would assist in the preparation of these orders?

A: Baxter ATM machine

B: Automix

C: Macromix

D: Automated System Mixer

Jeanetta's Answer: Automix by Baxa

For more on the Baxa or to see a photo go to:

http://www.baxter.com/products/medication_management/nutrition/automa

ted_nutrition_compounding/index.html

http://www.baxter.com/products/medication_management/nutrition/automa

ted_nutrition_compounding/automated_compounding_systems.html

16. Which of the following medications is an OTC analgesic?

A: FeSO4 tablets

B: diphenhydramine capsules

C: ketoprofen tablets

D: DSS capsules

Jeanetta's Answer : NONE OF THE ABOVE!!!!

C ketoprofen an NSAID,a type of analgesic, but Orudis or Oruvail is

NOT OTC.

For more about this drug go to :

http://www.rxlist.com/cgi/generic/ketoprof_ids.htm You will find at

the very bottom that it states " Caution: : Federal law prohibits

dispensing without prescription. " which is reserved for legend an d

scheduled drugs.

A is iron sulfate supplement for anemia

B is Benadryl antihistamine for allergies

D is docusate sodium succinate or Colace stool softener

59. The computer term " mneumonic " is defined as:

A: a shortened term used to facilitate data entry

B: a barcode used for reordering medications

C: a special font used for pharmacy symbols

D: a back-up hard drive to store prescription information

Jeanetta's Answer: A: a shortened term used to facilitate data entry

example " dig " for digoxin or " amox " for amoxicillin

61. A retail pharmacy receives an extra 1/2% discount on a $437.89

invoice from the wholesaler. This calculates to be a

savings of:

A: $218.95

B: $21.90

C: $2.19

D: $0.22

Jeanetta's Answer: C: $2.19 Recall 1% = 1/100 or 0.01 so ½ percent

is 0.5 / 100 or 0.005. Therefore 0.005 x 437.89 = 2.189 or $2.19

63. What information is required to be posted on each cell of an

automated counting device?

A: name, strength and NDC code of drug

B: name, strength and DEA # of the drug

C: name, strength, lot# and expiration date of drug

D: name, strength and date cell was filled

Jeanetta's Answer: A: name, strength and NDC code of drug

Actually I say A and C. Any other retailers out there want to say

their piece?

75. Penicillin V is commercially available in which strength?

A: 1.2 million units

B: 400mg

C: 2.4 million units

D: 500mg

Jeanetta's Answer: D: 500mg

500 mg Pen V = 800,000 units for more information on this drug go

to http://www.rxlist.com/cgi/generic/penvk.htm

104. The purpose of complying with " Universal Precautions " is to:

A: prevent the spread of communicable diseases

B: prevent the transmission of blood-borne pathogens

C: prevent contamination of sterile equipment

D: All of the above

Jeanetta's Answer: D: All of the above

113. The " computer access code " for pharmacy software is used to:

A: access prescription files

B: exit the program when finished

C: transmit data off-line

D: maintain prescription computer files

Jeanetta's Answer: Well this I sconfusing because you as a

technician do maintain prescription computer files and access

prescription files in the computer. In either case you must access

the computer with a code. My best answer is D: maintain prescription

computer files because you can also access them. Any one on this?

118. The pharmacy technician is filling a prescription for Zithromax

and notices in the patient profile that the patient is

taking EES tablets. This is an example of:

A: a drug interaction

B: a contraindication

C: a therapeutic duplication

D: an adverse reaction

Jeanetta's Answer: C: a therapeutic duplication also known as

duplicate therapy. Both drugs are erythromycins.

124. Which of the following ophthalmic medications must be

refrigerated?

A: Tobrex

B: Gantrisin

C: Genoptic

D: Viroptic

Jeanetta's Answer: D: Viroptic

More on this drug at:

http://www.rxlist.com/cgi/generic2/trifluridine_ids.htm

EX3

3. What is the storage requirement for the drug Neupogen?

A: room temperature

B: cool temperature

C: refrigerate

D: freeze

Jeanetta's Answer: C: refrigerate

Neupogen or filgrastim is an immune system helper in laymans terms.

To learn more go to :

http://www.rxlist.com/cgi/generic/filgrastim_cp.htm

6. The purchasing of drugs directly from the manufacturer requires:

A: a minimum order set by the manufacturer

B: that you dispense only their brand named medications

C: that you do not purchase the drug from a wholesaler

D: none of the above

Jeanetta's Answer: A: a minimum order set by the manufacturer

Imagine buying a car directly from the manufacturer! While it can be

done, they would sell many cars cheaper by `fleets' to dealerships ,

where the savings would be passed on to you.

88. If a patient profile lists granisetron and ondansetron as being

administered concomitantly, this is an example of

A: therapeutic synergism

B: therapeutic duplication

C: therapeutic antagonism

D: proper therapeutics

Jeanetta's Answer: B: therapeutic duplication both drugs are used

for nausea and vomiting caused by emetogenic cancer therapy. More

at http://www.rxlist.com/cgi/generic/granisetron_ids.htm

EX4

4. The Policy and Procedures for Universal Precautions protects the

pharmacy technician from exposure to:

A: airborne microorganisms

B: contamination by touch

C: fungal organisms

D: blood-borne pathogens

Jeanetta's Answer: B: contamination by touch

What is Policy and Procedures?

Jeanetta's Answer

A policy and procedure manual must be available in every department

of a hospital including a pharmacy. It helps the pharmacy with job

descriptions, department flow, tardies, absences, vacations, aseptic

technique, how to solve a specific problem etc. etc.

Go to the following site for an example:

http://www.rx.uga.edu/main/home/policy_manual/policy_manual.pdf

http://www.admin.utah.edu/ppmanual/idx.html

Jacho will check that every thing that should be in this manual is

in there and that if you say you do something a specific way that it

is don't in that manner. See your question #50 above.

46. How should epoetin alfa be stored?

A: at room temperature

B: in the freezer

C: in the refrigerator

D: there are no specific storage requirements for this drug

Jeanetta's Answer: C: in the refrigerator

This is a generic name for EPOGEN®. EPOGEN® is a recombinant

version of a human protein that stimulates the production of red

blood cells and is used in the treatment of anemia associated with

chronic renal failure for patients on dialysis.

> Jeanettas:

> Thank you for some group members' help. After they gave me the

> explainations, I gain a lot of knowledge and benefits. Therefore,

I

> will post some more questioins for assistant.

>

> sammy

>

>