PTCB PTCE Exam Questions

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81.

According to the Drug Enforcement Agency, who is required to obtain a DEA number?

  • Practitioners or entities that write for or handle controlled substances

  • All healthcare providers

  • Only healthcare providers who write prescriptions

  • Only entities that distribute prescription drugs

Correct answer: Practitioners or entities that write for or handle controlled substances

Practitioners or entities that write for or handle controlled substances are required to obtain a DEA number, according to the Drug Enforcement Agency (DEA). To obtain a DEA number, the practitioner or entity must register with the DEA using DEA form 224, which must be renewed every three years using DEA form 224a.

All healthcare providers is incorrect because a DEA number is only needed if the providers are writing for controlled substances. Only healthcare providers who write prescriptions is incorrect because a DEA number is only needed if the provider is writing for controlled substances; other entities (i.e., wholesalers and pharmacies) that handle controlled substances are also required to obtain a DEA number. Only entities that distribute prescription drugs is incorrect because healthcare providers also need a DEA number if they write for controlled substances.

82.

What is the angle degree the bevel of the needle should be when inserted into the rubber top of a vial?

  • 30-degree angle

  • 45-degree angle

  • 90-degree angle

  • 120-degree angle

Correct answer: 30-degree angle 

After removing the needle cap, insert the bevel of the needle at a 30-degree angle into the center of the rubber stopper of the vial. Upon entering the rubber stopper, adjust the needle such that it is entering at a 90-degree angle.

83.

Prior to preparing sterile compounds, you should thoroughly wash your hands with warm water and a cleansing agent. How long should the cleansing agent remain in contact with the skin before rinsing?

  • 30 seconds

  • 20 seconds

  • 10 seconds

  • 25 seconds

Correct answer: 30 seconds

The cleansing agent should remain in contact with the skin for 30 seconds before rinsing. This amount of time allows the cleansing agent to complete the bactericidal activity.

The other choices are incorrect because the cleansing agent should remain in contact with the skin for 30 seconds, not 10, 20, or 25 seconds.

84.

The prescriber’s information required to fill a patient’s controlled substance prescription order includes all except which of the following?

  • Prescriber’s tax ID

  • Prescriber’s phone number

  • Prescriber’s DEA number

  • Prescriber’s office address

Correct answer: Prescriber’s tax ID

A pharmacy does not need a prescriber’s tax ID number to fill a patient’s controlled substance prescription.

A pharmacy does need a prescriber's:

  • Name
  • Office address
  • Phone number
  • DEA number

85.

Which of the following dosage forms is not a type of inhalant?

  • Liniments

  • Aerosol

  • Spray

  • Nebulizer

Correct answer: Liniments

Liniments are an emulsion or alcoholic or oleaginous solution applied through rubbing. 

Types of inhalants include:

  • Aerosol
  • Spray
  • Nebulizer

86.

What is the brand name for ketoconazole? 

  • Nizoral

  • Diflucan

  • Monistat

  • Vfend

Correct answer: Nizoral

The brand name for ketoconazole is Nizoral. 

Diflucan is the brand name for fluconazole. Monistat is the brand name for miconazole. Vfend is the brand name of voriconazole. 

87.

When is it necessary to complete DEA Form 106?

  • When there is a significant loss or theft of Schedule II, III, IV, and V drugs

  • When there is a significant loss or theft of Schedule II drugs

  • When there is a significant loss or theft of Schedule II, III, and IV drugs

  • When there is a significant loss or theft of all drugs

Correct answer: When there is a significant loss or theft of Schedule II, III, IV, and V drugs

DEA Form 106 must be completed and reported to the DEA when the pharmacy experiences a significant loss or theft of controlled substances. This record must be maintained by the pharmacy for two years.

DEA Form 106 does not need to be completed for the theft or loss of non-controlled substances.

88.

Which of the following electrolytes aids with sugar metabolism?

  • Chromium

  • Copper

  • Zinc

  • Potassium

Correct answer: Chromium

Chromium aids in the metabolism of sugar. 

Copper is essential for proper blood formation. Zinc is needed for proper immune function. Potassium is needed for heart and nerve function.

89.

ALPRAZ-olam and LORazepam are examples of which of the following?

  • Look-alike/Sound-alike medications

  • Tall Man Lettering

  • High-Alert Medications

  • Error-Prone Abbreviation

Correct answer: Look-alike/sound-alike medications 

ALPRAZ-olam and LORazepam are both medications that sound and look similar, therefore classifying them as look-alike/sound-alike medications.

Tall Man Lettering is used for medications that look similar to each other. High-alert medications are a list of medicines that may cause significant harm to patients if used in error. Error-prone abbreviations are used pharmacy abbreviations that can be misinterpreted, thus causing significant harm to patients.

90.

Which of the following is the proper sequence in removing PPE?

  • Gloves, goggles, gowns, mask, hand hygiene

  • Gloves, gown, goggles, mask, hand hygiene

  • Gown, gloves, goggles, mask, hand hygiene

  • Gown, goggles, gloves, mask, hand hygiene

Correct answer: Gloves, goggles, gowns, mask, hand hygiene

The proper sequence in removing PPE is the following:

  • Gloves
  • Goggles/face shield
  • Gown
  • Mask/respirator
  • Hand hygiene

91.

Which of the following is not an example of a task that can be completed by a pharmacy technician? 

  • Verifying prescriptions 

  • Retieving drugs from stock

  • Ordering medications for dispensing

  • Transcribing prescriptions to be dispensed 

Correct answer: Verifying prescriptions 

Verifying prescriptions is the task of a pharmacist. 

Retrieving drugs from stock, ordering medications for dispensing, and transcribing prescriptions to be dispensed are all examples of tasks that can be done by pharmacy technicians. 

92.

If a prescriber wants a patient to "take 4 capsules by mouth immediately, then 1 capsule two times a day for 4 days thereafter", how would the prescriber most likely write the prescription?

  • 4 caps STAT, then 1 cap BID x 4 days

  • 4 caps tomorrow, then 2 caps TID x 4 days 

  • 4 caps QID today, then 1 cap QD x 4 days

  • 4 caps today, then 1 capsule PRN x 4 days

Correct answer: 4 caps STAT, then 1 cap BID x 4 days 

The pharmacy abbreviation for immediately is "STAT". The pharmacy abbreviation “BID” means two times a day. 

The pharmacy abbreviation “TID” means three times a day. “QID” means four times a day, "QD" means every day, and “PRN” means as needed. There are no abbreviations for today or tomorrow. 

93.

Which one of the following is considered a prescribing error?

  • Patient allergies

  • Oral medication given intravenously

  • Ear medication being placed in the eye

  • Transcribing OU to "both ears"

Correct answer: Patient allergies

Patient allergies are considered a prescribing error.

"Oral medication given intravenously" and "ear medication being placed in the eye" are examples of administration errors. Transcribing OU (both eyes) written on the prescription for "both ears" is an example of a dispensing error.

94.

Which of the following federally funded healthcare programs assists with prescription costs for Medicare beneficiaries?

  • Medicare Part D

  • Medicare Part A

  • Medicare Part B

  • Medicare Advantage

Correct answer: Medicare Part D

Medicare Part D is a federally funded healthcare program that provides a patient with coverage for select prescription medications, medical supplies, and vaccinations.

Medicare Part A is a federally funded healthcare program that pays for a patient’s inpatient hospital care, skilled nursing care, hospice care, and home healthcare. Medicare Part B is a federally funded healthcare program that provides a patient with coverage for physician visits, outpatient care, physical therapy, and occupational therapy. Medicare Advantage is a federally funded healthcare program that allows a patient to obtain additional HMO or PPO coverage at an increased cost.

95.

A patient brings in a prescription for Lantus 100 units/mL injection pens. Which of the following would transcribe to "Inject 5 units below the skin every morning"?

  • Inject 5 units SQ QAM

  • Inject 5 units SL QAM

  • Inject 5 units IM Qmo

  • Inject 5 units IM QAM

Correct answer: Inject 5 units SQ QAM

Lantus is an insulin medication used to treat diabetes. It is injected below the skin, therefore the sig needs to say either "subcutaneously" or "under the skin". The sig "Inject 5 units SQ QAM" means to inject 5 units subcutaneously every morning.

The sig "Inject 5 units SL QAM" means to inject 5 units sublingually every morning. The sig "Inject 5 units IM Qmo" means to inject 5 units intramuscularly every month. The sig "Inject 5 units IM QAM" means to inject 5 units intramuscularly  every morning.

96.

You receive an ordered dose of 2 mg/kg/dose and the patient weighs 175 pounds. How many milligrams are needed per dose?

  • 159 mg/dose

  • 80 mg/dose

  • 87.5 mg/dose

  • 250 mg/dose

Correct answer: 159 mg/dose

This question can be solved by setting it up as a ratio and proportion. You must know that 1 kilogram is equal to 2.2 pounds.

mg/dose = (2 mg / kg/dose) x (1 kg / 2.2 lb) x (175 lb / 1) = 159 mg/dose

97.

Which pharmacy reference book is available electronically and in a mobile application to provide specific information on generic and trade names; orphan, investigational, and temporary listings; drug descriptions; images of drugs; dosage calculations; and manufacturers?

  • Drug Facts and Comparisons

  • Martindale’s The Complete Drug Reference

  • Trissel’s Handbook on Injectable Drugs

  • Drug Topics Red Book

Correct answer: Drug Facts and Comparisons

Drug Facts and Comparisons is a pharmacy reference book that is available electronically and in a mobile application to provide specific information on generic and trade names; orphan, investigational, and temporary listings; drug descriptions; images of drugs; dosage calculations; and manufacturers.

Martindale’s The Complete Drug Reference is a pharmacy reference book that is available in an electronic format to provide information on selected investigational and veterinary drugs, herbal and complementary medicines, pharmaceutical excipients, vitamins and nutritional agents, vaccines, radiopharmaceuticals, contrast media and diagnostic agents, medicinal gases, drugs of abuse and recreational drugs, toxic substances, disinfectants, and pesticides. 

Trissel’s Handbook on Injectable Drugs is a pharmacy reference book that is available in electronic, mobile application, and online formats to provide information on parenteral agents, such as products, administration, stability, and compatibility with infusion solutions. 

Drug Topics Red Book is the pharmacy reference book that is available in electronic format to provide information on emergency contacts, clinical references, practice management and professional development, pharmacy and healthcare organizations, drug reimbursement information, manufacturer and wholesaler information, product identification, prescription product listings, over-the-counter and nondrug product listings, and complementary and herbal product references.

98.

When taking a statin medication, patients should avoid drinking which of the following?

  • Grapefruit juice

  • Coffee

  • Soda

  • Milk

Correct answer: Grapefruit juice

When taking a statin medication, patients should avoid drinking grapefruit juice. Grapefruit juice will cause the statin medication to metabolize too quickly. Statin medications are HMG-CoA reductase inhibitors used to treat hypercholesterolemia and include simvastatin, atorvastatin, pravastatin, and lovastatin.

Coffee, soda, and milk are all acceptable beverages to consume when taking a statin medication.

99.

Which of the following is not a determining factor for medication guides to be issued with certain medications?

  • AWP of the medication

  • Certain information is necessary to prevent serious adverse effects

  • Patient decision-making should be fully informed about the medication's serious side effects

  • Medication guide must be provided if patient adherence to the medication regimen is essential for its effectiveness

Correct answer: AWP of the medication

"AWP" stands for average wholesale price. AWP of a drug is not a determining factor for providing a medication guide.

The FDA requires that medication guides be issued with certain prescribed drugs and biological products when the agency determines that certain information is necessary to prevent serious adverse effects or that patient decision-making should be fully informed about the medication's serious side effects. Lastly, a medication guide must be provided if patient adherence to the medication regimen is essential for its effectiveness. 

100.

Which of the following organizations is responsible for the "DO NOT CRUSH" list?

  • ISMP

  • TJC

  • OSHA

  • BOP

Correct answer: ISMP (Institute of Safe Medication Practice)

ISMP is a non-profit organization that provides medication safety information. 

TJC (The Joint Commission) is a non-profit organization responsible for accreditation of healthcare institutions such as hospitals and long-term care facilities. 

OSHA (Occupational Safety and Health Administration) ensures safe and healthful working conditions by providing training, outreach, education, and assistance. 

BOP (Board of Pharmacy) is a state agency that oversees the practice of pharmacy in a given state.