Transcript PTCB Review 3

PTCB Review 3
Calculations
Federal Law
1.
How many 30-mg tablets of codeine
sulfate should be used in preparing the
following Rx?
Rx: Codeine sulfate
Roitussin ad
a.
 b.
 c.
 d.

4
8
12
16
15 mg/tsp
120 ml
c. 12 tabs
Rx: Codeine sulfate
15 mg/tsp
Roitussin ad
120 ml
1 tsp= 5ml, 120ml/5= 24 tsp
15mg x mg
------ = -------- =360 mg
1tsp
24 tsp
360mg / 30 mg tab= 12 tablets
2.
If the dose of a drug is 150 mcg, how many
doses can be prepared from 0.120 g?
a.
 b.
 c.
 d.

8
80
800
8000
c. 800 capsules
KHDUDCMMN
 1 gram=1,000,000 mcg
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
150 mcg = 0.000150g

0.120/0.000150=800 capsules
3.
What should a pharmacy technician do if he or she
observes a patient attempting to purchase Bayer aspirin while
he or she is waiting for a prescription for warfarin to be filled
by the pharmacy?
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

a. Inform the patient of the interaction
between aspirin and warfarin.
b. Inform the pharmacist to counsel the
patient.
c. Point out to the patient that the “house
brand” of aspirin is just as effective as
Bayer aspirin
d. Refuse to sell the aspirin to the patient
b. Inform the pharmacist to counsel the patient.

Pharmacy Techs perform technical
jobs. This is an example of a
judgmental activity performed by a
pharmacist
4. If a patient is experiencing nausea and vomiting,
which of the following dosage forms would be more
effective?
a.
b.
c.
d.
Capsule
Oral Solution
Suppository
Tablet
c. Suppository

Patient cannot eat, nauseated
6.
What do the middle four numbers represent
in an NDC number?
a.
 b.
 c.
 d.

Drug manufacturer
Drug product
Drug packaging
None of the above
b. Drug Product
The first 5 numbers identify the
drug manufacturer
 The middle 4 numbers identify the
drug product
 The last 2 numbers identify the
packaging

7.
The pharmacist fails to place a prescription
label on the medication container. Which law is
being broken?

a.

b.
c.
 d.

Pure Food and Drug Act of
1906
Food, Drug, and Cosmetic Act
of 1938
Durham-Humphrey Act of 1950
Kefauver-Harris Act of 1962
B- food drug and cosmetic
act




The Food drug and cosmetic act of 1938
defined adulteration and misbranding.
Misbranding involves labeling
Pure Food and drug act- prohibit the
interstate transportation or sale of adulterated
and misbranded food or drugs
Durham-Humphrey- Required all products to
have adequate directions, separated between
OTC and legend, allows verbal Rx over the
phone, allows refills to be called in from MD
office
Kefauver- Harris- Requires all medications to
be safe, pure, and effective
7. A patient requests that the pharmacist place his
medication in an easy-open container. Which law allows the
pharmacist to dispense the prescription in this manner?
a.
 b.
Kefauver-Harris Act
Controlled Substances Act of
1970
 c.
Occupational Safety and Health
Act of 1970
d. Poison Prevention Act of 1970

D. Poison Prevention Act
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
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Kefauver- all medication to be safe, pure
and effective
Controlled- substance Act- The DEA was
created and created 5 schedules based on
harm and potential for abuse
OSHA- ensures a safe and healthful work
environment
Poison Prevention Act- prevent accidental
poisoning, child-resistant containers with
some exceptions (like oral contraceptives)
8. Which law allows a pharmacist to accept a
telephoned prescription from a physician’s office?

a.

b.

c.
d.
Pure Food and Drug Act of
1906
Food, Drug, and Cosmetic Act
of 1938
Durham-Humphrey Act of 1950
Kefauver-Harris Act of 1962
c.
Durham-Humphrey Act of 1950
9. Which law resulted in clearly distinguishing an
OTC medication from a legend medication?
Pure Food and Drug Act of
1906
 b.
Food, Drug, and Cosmetic Act
of 1938
 c.
Durham-Humphrey Act of 1950
d. Kefauver-Harris Act of 1962

a.
d. Durham Humphrey
10.Which law requires that a manufacturer provide Material
Safety Data Sheets (MSDS) to a pharmacy for products that
are combustible, are flammable, or can cause injury to an
individual if he or she comes in contact with the substance?
a.
Kefauver-Harris Act of 1962
b.
Controlled Substances Act of
1970
c.
Occupational Safety and Health
Act of 1970
d.
Poison Prevention Act of 1970

C. OSHA
11. A pharmacist receives a prescription for 40 Percocet
tablets, but the Pharmacy has only 15 tablets in stock. The
patient accepts the 15 tablets. How much time does the
pharmacist have to provide the remaining 25 tablets?
a.
b.
c.
d.
24 hours
72 hours
96 hours
6 months

B Carina, here is your 72 hours that
you remembered.

In an emergency filling which the
MD calls in, however, he or she has
7 days to give you the written Rx.
12. You are working for a chain pharmacy, and
another member of the chain has run out of DEA
Form 222s. They ask to borrow one of your DEA
from 222s. What would you do?




a.
Because you are members of the same
pharmacy chain, you are allowed to let them
use yours because you have the same DEA
number
b.
Give them one of your DEA form 222s with
the agreement that they will replace it after
they receive their new ones
c.
DEA Form 222s are for a specific pharmacy
and can be used only by the pharmacy to
which they were issued
d.
Tell them to place an emergency order with
the wholesaler and that you will provide
them with a properly completed DEA Form
222 in 72 hours
c.
DEA Form 222s are for a specific pharmacy and can be
used only by the pharmacy to
which they were issued

There are several different DEA
forms
DEA 222- Schedule II medications are ordered by
completing a DEA Form 222

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Triplicate
Signed by the person the DEA
registration is listed
Good for only 60 days
Typewriter, pen, or indelible
pencil
Only one item per line
Unused forms must be kept in a
secure location
On receipt of meds, the number
of packages must be recorded
on copy of form 222, signed by
pharmacist
Must retain for a minimum of 2
years
DEA Form 41



Used for destruction of outdated or
damaged controlled substances
Must have the name, strength, and
quantities of controlled substances, the
date of destruction, the method of
destruction, and the witness present for
destruction
A retail pharmacy may submit one DEA
41 form/ year. Hospitals may have a
blanket authorization.
DEA Form 106- Theft or
Loss
Must notify the nearest DEA
diversion office, local police, and
complete form 106
 Send the original copy of the DEA
form to the DEA and retain one copy
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