PTCB Exam Review Guide, Answered/Rationales 2022
According to the Institute for Safe Medication Practices (ISMP), abbreviations used during prescription writing:
A. are no longer acceptable. B. improve entry time. C. are prone to errors. D. facilitate the prescriber. ans: The key (C) is corr...
According to the Institute for Safe Medication Practices (ISMP), abbreviations used during prescription
writing:
A. are no longer acceptable. B. improve entry time. C. are prone to errors. D. facilitate the prescriber.
ans: The key (C) is correct because the Institute for Safe Medication Practices has a list of error-prone
abbreviations that should never be used when communicating medical information because they are
frequently misinterpreted and involved in harmful medication errors. Distractor (A) is incorrect as ISMP
does not state that all abbreviations are error prone. Distractors (B) and (D) are not correct as ISMP's
mission relates to medication safety not reduction in prescription processing times.
The best reference for obtaining storage requirements for a particular drug is the: A. Physicians' Desk
Reference. B. Merck Index. C. Drug Facts and Comparisons. ans: D. USP-NF
The key (D) is correct because the USP-NF contains drug monographs that include storage requirements.
Distractor (A) provides drug dosage, side effects, and interactions. Distractor (B) is incorrect because the
Merck Manual is a medical textbook. Distractor (C) provides clinical drug information.
A pharmacy technician must administer 1000 mL of TPN solution at 75 mL/hr. If the set delivers 20
gtt/mL, the flow rate, in gtt/min, will be:
A. 20 B. 25 C.30 D. 35 ans: The key (B) is correct because if you multiply 75 mL/hr x 20 gtts/mL x 1
hour/60 min you get 25 gtt/min.
Which of the following brand/generic pairs is correct?
A. Decadron/prednisone B. Aleve/ketoprofen C. Premarin/estradiol D. Ativan/lorazepam ans: The key
(D) is correct because the generic name for Ativan is lorazepam. Distractor (A) is incorrect because the
generic name for Decadron is dexamethasone. Distractor (B) is incorrect because the generic name for
Aleve is naproxen sodium. Distractor (C) is incorrect because the generic name for Premarin is
conjugated estrogen.
The form used to report theft or significant loss of controlled substances is:
A. DEA 106 B. DEA 222 C. FDA 356 D.FDA 766 ans: The key (A) is correct as it is the DEA form used to
report theft or loss. The distractors are incorrect because Distractor (B) is a DEA official order form for
narcotics. Distractor (C) is an FDA application form for new drug. Distractor (D) is an FDA application
form for relabeling.
Before using a laminar flow hood, the interior surfaces should be cleaned with:
A. methyl alcohol.
B. chlorhexidine gluconate.
C. 70% isopropyl alcohol.
D. 70% ethyl alcohol. ans: The key (C) is correct because 70% isopropyl alcohol does not have a negative
effect on the acrylic surfaces of the laminar flow hood. Distractors (A), (B), and (D) would compromise
the acrylic surfaces.
The auxiliary label for amoxicillin oral suspension should contain which of the following instructions?
A. Take with food
, B. May cause urine discoloration
C. Shake well
D. May cause drowsiness ans: The key (C) is correct because medication that is a suspension must be
shaken to distribute the particles throughout the liquid for an accurate dose of medication. Distractors
(A), (B), and (D) do not apply to an amoxicillin suspension.
An essential component of pharmacy quality assurance programs is to:
A. maintain standards set by the DEA.
B. focus on the individual employee's work performance.
C. get the right drug to the right patient at the right time.
D. provide adequate emergency stock levels ans: The key (C) is correct because pharmacy quality
assurance programs are put in place to guarantee the "rights" of pharmacy practice. Although
Distractors (A) and (D) may be included in the program, they are not essential components. Distractor
(B) is incorrect because quality assurance programs are intended to apply to performance of the
department rather than individuals.
Which of the following, when combined with acetaminophen 325 mg, would be a generic substitute for
Tylenol No. 4?
A. Codeine 15 mg
B. Codeine 60 mg
C. Oxycodone 7.5 mg
D. Oxycodone 10 mg ans: The key (B) is correct. Distractor (A) does not come in a combination product.
Distractors (C) and (D) are generic Percocet in two different strengths.
A reverse distributor for pharmaceuticals:
A. distributes pharmaceuticals to hospitals
B. removes and disposes of pharmaceutical waste.
C. transports medications from the manufacturer to the wholesaler.
D. transports medications in an emergency. ans: he key (B) is correct as a reverse distributor picks up
expired and damaged drugs for disposal as pharmaceutical waste and does not distribute nor transport
drugs for use.
According to ASHP guidelines, a quality improvement program for home care should monitor the
patient's:
A. satisfaction and outcome.
B. physical examinations and laboratory values.
C. financial history
D. personal history. ans: The key (A) is correct because patient satisfaction and outcomes would include
Distractor (B), physical examination and laboratory values, and determine the success of home care.
Distractors (C) and (D) do not relate to improved quality of home care at the present time.
Tylenol with codeine liquid is prescribed as "Give 2 teaspoonsful four times daily dispense 120 mL." The
patient is a 2-year-old male. What is a possible reason to alert the pharmacist?
A. Age B. Gender C. Quantity of medication
D.Amount of Tylenol ans: The key (A) AGE is correct because the daily dose of acetaminophen and
codeine are above the recommended guidelines. Distractors (B) and (C) have no impact to the patient,
and Distractor (D) would be included by choosing
, Which of the following is a valid DEA number for Dr. Thomas Jones?
A. AT1234560
B. AJ1234563
C. AJ2345615
D. AT2683517 ans: The key (B) is correct because the second letter of a valid DEA number is always the
initial of the prescriber's last name. If a DEA number is valid, the sum of the first, third, and fifth digits
added to twice the sum of the second, fourth, and sixth digits yields a number with the same last digit as
the seventh digit of the DEA number. For the key (B), you add (1+3+5) to 2x(2+4+6 ) and the sum is
9+24=33; 3 is the seventh digit. Performing the same operation with Distractor (C) gives the sum (2+4+6)
+ 2x(3+5+1) = 12+18=30, but 0 is not the seventh digit of the DEA number listed.
Which of the following sedative hypnotics is a benzodiazepine?
A. Zolpidem B. Alprazolam C. Zalepon D. Eszopicione ans: The key (B) is correct; alprazolam (Xanax) is a
benzodiazepine. Distractors (A), (C), and (D) are Ambien, Sonata, and Lunesta, respectively, and are not
benzodiazepines.
When an albuterol inhaler is dispensed, the patient package insert (PPI) must be included:
A. only when the original prescription is dispensed.
B. every time the prescription is dispensed.
C. only when the patient requests it.
D. when refills are requested. ans: The key (B) is correct because per federal law, patients must receive
a patient package insert/instructions with each prescription, including refills.
Which of the following medication pairs makes safe use of tall man letters?
A. alpraZOLAM, lorazepam
B. ALPRAZolam, LORazepam
C. ALprazoLAM, LORazePAM
D. alprazolAM, lorazepam ans: The key (B) is the only correct usage of tall man lettering based on the
Institute of Safe Medication Practices.
B. ALPRAZolam, LORazepam
Which is the smallest volume, in milliliters, that can be accurately measured using a 1.0 mL tuberculin
syringe?
A. 0.05 B. 0.1 C.0.2 D. 0.5 ans: The key (A) is correct because tuberculin syringes are 1 mL with markings
dividing the 1 mL into tenths and then into hundredths, and the key (A) is 5 hundredths. Distractors (B),
(C), and (D) are 10 hundredths, 20 hundredths, and 50 hundredths, respectively.
A patient who is allergic to penicillin has a chance of cross sensitivity to which of the following
medications?
A. Cephalexin
B. Moxifloxacin
C. Doxycycline
D. Azithromycin ans: The key (A) is correct as it is a cephalosporin and known to have a history of
possible cross sensitivity with patients who have had a reaction to penicillin. Distractors (B), (C), and (D)
are incorrect because moxifloxacin is in the fluoroquinolone group, doxycycline is in the tetracycline
group, and azithromycin is in the macrolide antibiotic group. None of these has a history of cross
sensitivity with penicillin.
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