Medications I
Medications II
Federal Requirements
Patient Safety and Quality Assurance
Order Entry and Processing
100

This is the brand name of the ARB losartan, a common antihypertensive agent.

Cozaar

100

This vitamin may increase the effects of warfarin if taken at the same time.

Vitamin K

100

This federal law/regulation established legend (Rx) and non-legend (OTC) classifications.

Durham-Humphrey Amendment of 1951

100

The following scenarios require pharmacist intervention (SATA, all or none).

A. Performing a DUR on a new Rx.
B. Making a recommendation for an OTC medication.
C. Making the offer to counsel on an Rx.
D. Filling a CII Rx.

A. Performing a DUR on a new Rx.
C. Making the offer to counsel on an Rx.

100
The following dosage form MUST have the directions "Shake Well".


A. Solution
B. Suspension
C. Elixir
D. Capsule

B. Suspension

200

HMG-CoA reductase inhibitors, such as Zocor and Pravachol, are medications used for the treatment of this condition.

Hyperlipidemia OR high cholesterol

200

This medication should be counted on a separate counting tray designated for beta-lactam allergies.

A. Kephlex
B. Cyclosporine
C. Levaquin
D. Sulfamethoxazole/trimethoprim

A. Kephlex

200

This is the appropriate form to use when ordering schedule II controlled substances from a pharmacy supplier.

DEA 222 Form

200

This LA/SA drug pair combination contains a medication that has a narrow therapeutic index (NTI).

A. Hydroxyzine and hydralazine
B. Levothyroxine and liothyronine
C. Hydrocodone and hydromorphone
D. Klonopin and clonidine

B. Levothyroxine and liothyronine

200

Sandy Cheeks, CPhT is preparing a nifedipine ointment for a patient. All of the following need to be recorded on the compounding record when preparing a non-sterile compound (SATA, all or none).

A. Lot number
B. The pharmacy manager's initials
C. The pharmacy technician preparing the Rx
D. The BUD
E. The cost of the Rx
F. The amount of each drug/ingredient used

A. Lot number
C. The pharmacy technician preparing the Rx
D. The BUD
F. The amount of each drug/ingredient used

300

Unasyn, a beta-lactam, is used to treat bacterial infections. It is the brand name of this generic medication.

Ampicillin/sulbactam

Follow-up: name 2 other beta-lactams (+100 for each correct)

300

This is a possible side effect of atorvastatin:

A. Weight loss
B. Skin discoloration
C. Ear-ache
D. Muscle weakness or pain

D. Muscle weakness or pain

300

This is the maximum number of refills permitted on a Schedule III Rx.

5 refills.


Follow-up: how many refills are permitted for Schedule II, IV, V, and VI? (+100)

300

Sandy Cheeks, CPhT is working the bench today and has 50 Rxs to fill. Name 2 strategies to prevent the risk of medication errors while filling.

Examples:

Count 1 Rx at a time
Verify drug name/dose/form before, during, after
Avoid multitasking (e.g., not picking up calls)
Barcode scanning of meds/Rx labels/2D barcodes
Double-counting or using pill counters (e.g. Kirby, Eyecon)


300

Larry Lobster, CPhT receives the following Rx:

Amoxicillin 125 mg/5 mL susp. Give 4 mL BID x 10D

He calculates the quantity needed for the Rx to be this amount, in mg.

2,000 mg


Follow-up: Name 1 auxiliary label that would need to be affixed to this Rx. (+100+

400

Squidward Tentacles receives an Rx written for Paxil 10 mg tab; ii tab PO QD. Inform Squidward what the generic medication is and the sig.

Paroxetine 10 mg.

Sig: take 2 tablets by mouth daily.

400

This is the BUD for non-preserved aqueous (water-containing) non-sterile dosage forms in the absence of stability data.

14 days.


Follow-up: Which USP chapter does this fall under? (+100)

400

Dr. Patrick Star is sending an Rx for some Percs for Gary the Snail. Which of the following is a valid DEA number?

A. MS2467895

B. AP2467896

C. AS2467896

D. AS2467895

AS2467896

400

These are 3 examples of PPE used for sterile compounding.

Examples:

Gown
Mask
Shoe covers
Hair net/covers
Gloves

Follow-up: what order must these be put on? (+100)

400

70 units of U-100 insulin is to be drawn into a syringe. The plunger should be drawn to this marking on the syringe (in mL)

0.70 mL

500

Mr. Krabs was diagnosed with overactive bladder. He was prescribed this medication which acts as a urinary antispasmodic (generic name)

Oxybutynin

500

These medications are exempt from the Poison Prevention Packaging Act of 1970 (SATA; all or none):

A. Yaz (tablet)
B. Isosorbide dinitrate 20 mg (tablet)
C. Cholestyramine (powder)
D. Potassium supplement 20 mEq (tablet)
E. Aspirin 325 mg (tablet)

A. Yaz (tablet)
C. Cholestyramine (powder)
D. Potassium supplement 20 mEq (tablet)

Follow-up: why are B and E incorrect?

500

According to the Combat Methamphetamine Epidemic Act of 2005 (CMEA), this is the maximum amount of pseudoephedrine a customer can purchase in a 30-day period.

9 grams


Follow-up: what is the max amount a customer may purchase at one time? (+100)

500

This is a process to identify the fundamental reasons behind a problem, such as a medication error, to implement solutions that prevent recurrence, rather than just addressing the symptoms.

Root-cause analysis (RCA)

500

The volume, in milliliters, of a 40% solution and a 12% solution  needed to make 420 ml of 25% solution.

195 ml of 40% solution and 225 ml of 12% solution

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