Re: More questions from the exam review

[Guest guest]

Dear Sammy,

I gave this my best shot. I am usually pretty good with law. But I

must say there are a few Federal Law questions that I need my retail

Textperts and Della my resident pharmacist to check out. Some of the

Fed laws are less strict than CA so my state law may supercede them.

Where I would have said all the above your book indicates that there

is only one right answer. So lets hold out on the law until we hear

from , Dora, , Karin and Tracie and Della and perhaps a

few others.

Does your book provide answers?

Jeanetta:

How are you? I found some more questions during my review for the

exam. Would you please help me?

sammy

27. Which drug is used as a " RESCUE " from toxicity of methotrexate?

A: Ipecac

B: Taxol injection

C: leucovorin

D: acetylcysteine

Jeanetta's Answer: C: leucovorin an active form of Vitamin B complex

Folate. MTX depletes the patient of Folic Acid and leucovorin is the

antidote for that drug and any other drug that would adversely

affect the patient in the same way. There are other antidotal

qualities for leucovoring. To read more about what else it does try

this site:

http://www.aegis.com/factshts/network/access/drugs/leuc.html

A is for poisonings, to cause vomiting, but as of 2003 the new

guidelines suggest just say NO to Ipecac!! Because it can cause

prolonged vomiting and lethargy similar to drowsiness that might be

caused by an overdose of sedative pills, which if mistaken by

emergency personnel could complicate the therapy and undermine the

recovery. It also may not empty the stomach of poison completely and

it could linger inside the GI tract causing a child to vomit up

other antidotes or even to cause acid reflux and burning of the

esophaus.

B is a chemo drug for breast, testicular and ovarian cancers among

others.

D is Mucomyst for Tylenol Poisoning and breathing treatment

62. What is " Syrup of Ipecac " indicated for?

A: to suppress a dry cough

B: to induce vomiting

C: to relieve the itching from hives

D: as a sweetening agent in pharmaceutical products

Jeanetta's Answer: B: to induce vomiting (see above)

66. Suprax suspension requires which auxiliary label?

A: Shake Well

B: Shake Well and Refrigerate

C: Shake Well and Drug May Discolor Urine

D: Shake Well and Avoid Dairy Products

Jeanetta's Answer: A Shake Well Suprax is also known as cefixime, a

cephalosporin antibiotic, is available as a powder for oral

suspension, strawberry flavored, when mixed properly it provides

100mg/5ml (or l teaspoonful). After reconstitution the suspension

may be kept EITHER refrigerated or room temperature, up to 14 days.

EX3

16. Which of the following drugs is a proton pump inhibitor?

A: famotidine

B: misoprostol

C: lansoprazole

D: ranitidine

Jeanetta's Answer: C: lansoprazole, also known as Prevacid, the

second PPI to go on the market. MOA : binds to the enzyme that would

otherwise initiate the energy to turn on the pump inside the

parietal cell allowing acid to be secreted. By blocking

phosphorlyation the ATP can not be broken down to ADP to turn on the

H+/K+ ATPase Pump System. So basically the cell can make as much

acid as it wants, but it just cannot be secreted! Same family as

Nexium the purple pill.

A and D are H2 Antagonists and work by blocking the H2 from entering

the H2 receptor of the parietal cell of the GI tract. (examples:

Tagamet and Zantac)

B misoprostol, also known as Cytotec, is used to prevent acid caused

by NSAID's when taken properly. It also is a controversial component

of the drugs used for MTP (medical termination of pregnancy). As

such, misoprostol causes uterine contractions in order to expel the

embryo and placental tissue. It is sometimes paired with

mifepristone, which blocks the action of Progesterone, causing the

uterine lining to wear thin and detach from the wall of the uterus

OR with methotrexate, a common Chemo drug, that stops cell division.

44. Which of the following drugs is a quinolone antibiotic?

A: ciprofloxacin

B: tertacycline

C: penicillin

D: erythromycin

Jeanetta's Answer: A: ciprofloxacin, Also known as Cipro, quinolones

are synthetic antibiotics with less resistence associated with them,

but with higher GI associated with them, in general more expensive

than cephalopsorins. Cipro has been one of the drugs in the media

since 9-11 to fight the deadly Anthrax.

56. Which of the following drugs can be administered via aerosol?

A: pentamidine (IV antibiotic for pneumocystis carinii)

B: chloroquine (antimalarial Tx, PO tabs)

C: fluconazole (= Diflucan antifungal usually IV or PO)

D: miconazole

Jeanetta's Answer: D: miconazole, an antifungal that is found in

topicals, including aerosol, for jock itch and anthlete's foot.

74. Consider the following prescription:

Morphine SO4 10mg

Codeine PO4 10mg

Cherry Syrup 5ml

Ethyl Alcohol 5ml

qs water to make tbs

How many 20 mg morphine SO4 tabs would be required to make a pint of

this mixture?

A: 32

B: 16

C: 8

D: 4

Well now this is a nice compounding question:

1 tbls = 15 ml

1 pt can be determined to be two cups, one cup is 8 ounces.

1 ounce = 30 ml

2 Tbl = 30 ml

8oz x 30 ml/oz = 240 ml

2 cups x 240ml/cup = 480 ml

(other sources will say 473 or 500 ml, all three are correct and

commonly used)

Using ration proportion:

10 mg MS……….X mg MS

-------------- = ------------------

15 ml……………..480ml

Cross Multiply = 320 mg MS are needed.

Each tablet is 20 mg answer is 320 mg/ 20 mg tabs = 16 tabs

Jeanetta's Answer: B: 16

98. Under Food, Drug and Cosmetic Act, which of the following

information is not required on an outpatient dispensing label?

A: name and address of the pharmacy

B: date the prescription is filled or refilled

C: name of the prescriber

D: telephone number of the pharmacy

Jeanetta's Answer: This is interesting, because I teach that all

items are required on the dispensing label. But if I had to choose

one I would say the telephone number of the pharmacy. I would like

very much for my resident pharmacist Della from Texas to answer this

one. And if my answer is wrong explain why and where can I find this

info?

104. Packing slips or invoices are acceptable as records for the

transfer of which class of controlled

substances?

A: CI, CII, CIII, CIV, CV

B: CI and CII only

C: CII only

D: CIII, CIV, CV only

Jeanetta's Answer: D: CIII, CIV, CV only I say this because I

believe special forms DEA 222 are also required for CI and CII. But

again I would like Della to take this one.

EX4

5. The primary benefit of automated medication dispensing systems

is;

A: allow replenishment by nursing

B: track frequent adverse drug reactions

C: improved tracking and control of inventory

D: prevent diversion of controlled substances

Jeanetta's Answer: WOW! Originally it would have been C, but now I

believe many use it for D. So the `primary' benefit is different

from location to location. But I will go with C.

10. Which of the following drugs is a -2 Inhibitor?

A: Cevalin (aka Celin, an ascorbic acid supplement (Vit C) )

B: Celexa (SSRI antidepressant)

C: Celestone (betamethasone, a gluccocorticoid, a steroidal anti-

inflammatory)

D: Celebrex

Jeanetta's Answer: D: Celebrex

20. A prescription is written for an oral antibiotic to be taken as

one teaspoonful every six hours. How long will a 200ml bottle last?

A: 14 days

B: 10 days

C: 5 days

D: 7 days

1tsp x 5ml/tsp x 4 doses/day = 20 ml in one day

200ml divided by 20ml/1 day = 10 days

200ml………..20ml

---------- = -----------

X days……1 day

Jeanetta's Answer: B: 10 days

44. Which of the following drug regimens includes therapeutic

duplication?

A: Lanoxin, Normadyne and Vasotec

B: Adalat, Accupril and Aldactone

C: Lanoxin, Normodyne and Trandate

D: Lasix, Inderal and Lanoxin

Jeanetta's Answer: C: Lanoxin, Normodyne and Trandate ( Normodyne is

trandate both are labetolol, this is sometimes referedto as

a " generic trade " )

61. What should be the Pharmacy Technician's role in preventing

diversion of controlled substances?

A: ensure that all controlled substances are locked in a safe

cabinet

B: confront a patient thought to be abusing narcotics

C: monitor a perpetual inventory of controlled substances

D: conduct an inventory of all controlled substances monthly

Jeanetta's Answer: Wow ! I want to say B, C, D!!! but there can only

be one answer according to the author of your book. I suppose D. But

again Della??

70. The label of a unit dose medication must include:

A: NDC code

B: manufacturing date

C: date of prepackaging

D: expiration date

Jeanetta's Answer: I believe both C and D, but definitely D. C can

be placed in the pre-pack log book. Della confirm please?

74. If the computer flags a drug interaction, the pharmacy

technician should:

A: tell the patient that there is a drug interaction

B: notify the physician of the interaction

C: bring the drug interaction to the attention of the pharmacist

D: override the computer and fill the prescription

Jeanetta's Answer: C

81. Prior to dispensing an investigational drugs to a nursing unit,

the protocol must be approved by:

A: P+T Committee

B: Medical Board Committee

C: Multidisplinary Institutional Review Board

D: JACHO

Jeanetta's Answer: C: Multidisplinary Institutional Review Board It

seems to me we had this question one or two exam tutoring sessions

ago. I believe this is the answer that gave us.

98. Prescriptions for controlled substances must contain the

following information except

A: the physician's DEA number

B: the patient's name and address

C: the patient's age

D: the physician's signature

Jeanetta's Answer: C: the patient's age

101. If a medication is noted to be expired, the pharmacy

technician should:

A: discard the medication

B: notify the DEA if it's a controlled substance

C: adhere to the pharmacy's return procedure

D: all the above are correct methods

Jeanetta's Answer: C: adhere to the pharmacy's return procedure mY

best choice.

> Jeanetta:

> How are you? I found some more questions during my review for the

> exam. Would you please help me?

>

> sammy

>

> 27. Which drug is used as a " RESCUE " from toxicity of methotrexate?

> A: Ipecac

> B: Taxol injection

> C: leucovorin

> D: acetylcysteine

>

>

> 62. What is " Syrup of Ipecac " indicated for?

> A: to suppress a dry cough

> B: to induce vomiting

> C: to relieve the itching from hives

> D: as a sweetening agent in pharmaceutical products

>

>

> 66. Suprax suspension requires which auxiliary label?

> A: Shake Well

> B: Shake Well and Refrigerate

> C: Shake Well and Drug May Discolor Urine

> D: Shake Well and Avoid Dairy Products

>

> EX3

> 16. Which of the following drugs is a proton pump inhibitor?

> A: famotidine

> B: misoprostol

> C: lansoprazole

> D: ranitidine

>

>

> 44. Which of the following drugs is a quinolone antibiotic?

> A: ciprofloxacin

> B: tertacycline

> C: penicillin

> D: erythromycin

>

>

> 56. Which of the following drugs can be administered via aerosol?

> A: pentamidine

> B: chloroquine

> C: fluconazole

> D: miconazole

>

>

> 74. Consider the following prescription:

>

> Morphine SO4 10mg

> Codeine PO4 10mg

> Cherry Syrup 5ml

> Ethyl Alcohol 5ml

> qs water to make tbs

>

> How many 20 mg morphine SO4 tabs would be required to make a pint

of

> this mixture?

> A: 32

> B: 16

> C: 8

> D: 4

>

>

> 98. Under Food, Drug and Cosmetic Act, which of the following

> information is not required on an outpatient

>

> dispensing label?

> A: name and address of the pharmacy

> B: date the prescription is filled or refilled

> C: name of the prescriber

> D: telephone number of the pharmacy

>

>

> 104. Packing slips or invoices are acceptable as records for the

> transfer of which class of controlled

>

> substances?

> A: CI, CII, CIII, CIV, CV

> B: CI and CII only

> C: CII only

> D: CIII, CIV, CV only

>

>

> EX4

> 5. The primary benefit of automated medication dispensing systems

> is;

> A: allow replenishment by nursing

> B: track frequent adverse drug reactions

> C: improved tracking and control of inventory

> D: prevent diversion of controlled substances

>

> 10. Which of the following drugs is a -2 Inhibitor?

> A: Cevalin

> B: Celexa

> C: Celestone

> D: Celebrex

>

> 20. A prescription is written for an oral antibiotic to be taken

as

> one teaspoonful every six hours. How

>

> long will a 200ml bottle last?

> A: 14 days

> B: 10 days

> C: 5 days

> D: 7 days

>

>

> 44. Which of the following drug regimens includes therapeutic

> duplication?

> A: Lanoxin, Normadyne and Vasotec

> B: Adalat, Accupril and Aldactone

> C: Lanoxin, Normodyne and Trandate

> D: Lasix, Inderal and Lanoxin

>

>

> 61. What should be the Pharmacy Technician's role in preventing

> diversion of controlled substances?

> A: ensure that all controlled substances are locked in a safe

> cabinet

> B: confront a patient thought to be abusing narcotics

> C: monitor a perpetual inventory of controlled substances

> D: conduct an inventory of all controlled substances monthly

>

>

> 70. The label of a unit dose medication must include:

> A: NDC code

> B: manufacturing date

> C: date of prepackaging

> D: expiration date

>

>

> 74. If the computer flags a drug interaction, the pharmacy

> technician should:

> A: tell the patient that there is a drug interaction

> B: notify the physician of the interaction

> C: bring the drug interaction to the attention of the pharmacist

> D: override the computer and fill the prescription

>

>

> 81. Prior to dispensing an investigational drugs to a nursing

unit,

> the protocol must be approved by:

> A: P+T Committee

> B: Medical Board Committee

> C: Multidisplinary Institutional Review Board

> D: JACHO

>

>

> 98. Prescriptions for controlled substances must contain the

> following information except

> A: the physician's DEA number

> B: the patient's name and address

> C: the patient's age

> D: the physician's signature

>

>

> 101. If a medication is noted to be expired, the pharamacy

> technician should:

> A: discard the medication

> B: notify the DEA if it's a controlled substance

> C: adhere to the pharmacy's return procedure

> D: all the above are correct methods

[Guest guest]

Hi Sammy,

I found answering all the questions in one post to be confusing.

101. If a medication is noted to be expired, the pharamacy

technician should:

A: discard the medication

B: notify the DEA if it's a controlled substance

C: adhere to the pharmacy's return procedure

D: all the above are correct methods

C: Adhere to the pharmacy's return procedure

All pharmacies should have a policies and procedures manual available for

reference (except maybe the smaller independents.)

[Guest guest]

98. Prescriptions for controlled substances must contain the

following information except

A: the physician's DEA number

B: the patient's name and address

C: the patient's age

D: the physician's signature

C: The patient's age. The patient's age is relevant only to the drug/dose

which the pharmacist will verify later.

[Guest guest]

Hi Jeanetta-

We used to pentamidine via neb for our PC AIDS patients. We'd

reconstitute a 300mg vial with 6cc swfi via neb over 30-45min. The

patients would come in every 4 weeks for treatment.

There's a commercially available product called Nebupent.

Dora

Jeanetta said:

>

> 56. Which of the following drugs can be administered via aerosol?

> A: pentamidine (IV antibiotic for pneumocystis carinii)

> B: chloroquine (antimalarial Tx, PO tabs)

> C: fluconazole (= Diflucan antifungal usually IV or PO)

> D: miconazole

> Jeanetta's Answer: D: miconazole, an antifungal that is found in

> topicals, including aerosol, for jock itch and anthlete's foot.

>

[Guest guest]

Hi,

I saw your website on the PTCB site. Do you know the book that I am

studying? I typed it in the email. It is green (forgot the name now)