ExCPT Exam with 100% Correct Answers 2023

ExCPT Exam with 100% Correct Answers 2023 Mr. Tucker weighs 65kg. What is his weight in pounds? - Correct Answer-143 lb If a bottle of Protonix has been manufacturer-assigned expiration date of 09/2015, what is the last day it can be used? - Correct Answer-September 30, 2015 What is the generic drug name for Keppra? - Correct Answer-Levetiracetam Which task must be completed by a licensed pharmacists? - Correct AnswerRecommending an OTC medication for a patient Which class of FDA recall would be issued for a product that is unlikely to cause any adverse health effects? - Correct Answer-Class III Which of the following tasks may be performed by a pharmacy technician? - Correct Answer-Type a prescription label What is he primary role of the pharmacy technician? - Correct Answer-Assist the pharmacist Needles and syringes that have been used to compound a cancer chemotherapy infusion should be placed in which of the following waste containers? - Correct AnswerYellow sharps container What is the purpose of rotating stock? - Correct Answer-To ensure that drugs closer to expiration are dispensed first Which of the following agencies is responsible for enforcing the federal Controlled Substance Act (CSA)? - Correct Answer-DEA Which controlled substance schedule fits the following description? Used medically; high potential for abuse and physical/psychological dependence. - Correct Answer-Schedule II What is the maximum amount of pseudoephedrine one person may purchase in one day? - Correct Answer-3.6 grams per 24 hours What is the name of the form used to order Schedule II controlled substances? - Correct Answer-DEA Form 222 What is the correct DAW code to use when billing the patient's insurance for a generic drug? - Correct Answer-DAW 0 How many refills can be issued for a C-IV controlled substance prescription? - Correct Answer-Up to 5 refills Which of the following medication is not a Schedule III controlled substance? - Correct Answer-Ambien (Zolpidem) Prescribers that issue buprenorphine (Suboxone & Subutex) prescriptions for the treatment of narcotic drug addiction outside of a narcotics treatment facility must have a unique DEA number that begins with the _________. - Correct Answer-Letter X Which prescriber identification number is required for submitting an insurance claim? - Correct Answer-NPI Number What is the purpose of the Health Insurance Probability & Accountability Act (HIPPA)? - Correct Answer-Tp protect the privacy privacy of patient health information Which of the following practitioners would have limited prescribing authority (as opposed to full prescribing authority)? - Correct Answer-Nurse Practitioner How did the Poison Prevention Act (PPPA) affect pharmacy practice? - Correct AnswerIt required that prescription drugs be dispensed with child-resistant bottle caps. Drugs must be dispensed in child-resistant packaging according to the PPPA, but certain drugs are exempt from this requirement. Which of the following is exempt? - Correct Answer-Nitrostat (Nitroglycerin) Where can you find the expiration date of prescription drug products? - Correct AnswerOn the manufacturer drug package label Which reference would be used to determine whether a generic drug product is therapeutically equivalent to brand name products? - Correct Answer-Orange book In the Orange book, a generic drug that is therapeutically equivalent to a brand name drug woulld have a TE rating beginning with which of the following letters? - Correct Answer-A Which information does not appear on an OTC package label? - Correct Answer-Offlabel uses Which of the following are not associated with HIPPA? - Correct Answer-Coordination of benefits NDC numbers contain three segments. Which does the first of an NDC number represent? - Correct Answer-The identity of the manufacturer A delayed-release tablet is most similar to which of the following? - Correct AnswerEnteric-coated tablet Which of the following is an indication for the OTC drug Azo (Phenazopyridine)? - Correct Answer-Urinary Pain What dosage form must be shaken well prior to administration? - Correct AnswerSuspension Which employee(S) is/are authorized to perform a drug utilization review (DUR)? - Correct Answer-Pharmacist Which of the following pieces of information is most useful in the event of a recall? - Correct Answer-Lot number A patient drops off a prescription for an 84-day supply of Trinessa (TRI-LINYAH), but her insurance company will only pay for a 28-day supply. This is an example ofa _____. - Correct Answer-Plan limitation Compared to brand name drugs, generic drugs often have which of the following characteristics? - Correct Answer-All of the above (equal quality, equal performance, equal safety, lower cost) Which of the following is an example of a brand name drug products? - Correct AnswerMotrin Which of the following is a sign of incompatibility in an IV admixyure? - Correct AnswerAll of the above (bubbles, precipitate formation, cloudiness, color change) Which pregnancy category indicates that a drug should never be used during pregnancy? - Correct Answer-Pregnancy category X Interpret the sig: Take i-ii PO Q4-6H PRN for pain - Correct Answer-Take one to two tablets by mouth every 4 to 6 hours as needed for pain Which piece of information is not commonly collected when creating a patient profile? - Correct Answer-Dental insurance information Which of the following abbreviations should be avoided due to the potential for misinterpretation? - Correct Answer-QD What is bupropion (Wellbutrin) used to treat? - Correct Answer-Depression What does the sig code AU stand for? - Correct Answer-Both ears When creating or updating a patient profile, how should you respond if the patient refuses to disclose the information requested? - Correct Answer-Document the refusal in the patient profile Federal law indicates that prescription records must be kept for 2 years, but the state law where you work indicates that prescription records must be kept for 3 years. The records should be kept for _____. - Correct Answer-3 years Hydralazine and Hydroxyzine are examples of __________. - Correct Answer-Lookalike/Sound-alike medications In which situation is it appropriate to indicate a DAW 7 code when dispensing the brand name of a drug? - Correct Answer-When the law mandates that the brand name product be dispensed What are the four numbers that are needed to submit a claim to a prescription drug insurance company? - Correct Answer-The BIN, PCN, Group Number, and ID Number What are auxiliary labels used for? - Correct Answer-To provide additional information for proper use and storage of medication When is it necessary to shake a drug suspension or emulsion? - Correct AnswerImmediately prior to measuring quantities for dispensing and immediately prior to administration What is the purpose of tall man lettering? - Correct Answer-To emphasize the spelling of difference between medications with similar names Which of the following would not help avoid errors? - Correct Answer-Using trailing zeros when writing numbers with values greater than one. Which of the following medications should be dispensed in the original packaging? - Correct Answer-Pradaxa (dabigatran) and Nitrostat (nitroglycerine) You are in the clean room and an order comes in for norepinephrine 10mg in 250ml of D5W. How many vials of norepinephrine will you need to open if it comes in a 4mg/4ml vials? 10mg * vial/4mg = 3 vials - Correct Answer-3 vials You receive an order for 90ml if lidocaine 4% nasal spray. You will use normal saline solution and 10% lidocaine solution to compound this prescription. How much 10% lidocaine solution will be needed? * 4 parts 10% lidocaine solution * 6 parts normal saline solution (normal saline solution contains zero percent lidocaine) 90ml/10 parts * 4 parts of 10% lidocaine/1 = 36 ml of 10% lidocaine See pg. 185-189 - Correct Answer-36ml You are using a class A prescription balance with a sensitivity requirement of 6mg. Using this balance, you can measure 300mg of a substance with ___% error. % Error= Sensitivity Reqyuirement/Measured Weight * 100% = 6mg/300mg * 100% = 2% - Correct Answer-2% error A patient presents a prescription for 450ml of allopurinol 40mg/ml oral suspension. Allopurinol is available from the manufacturer in an oral tablet form only. Using allopurinal 100mg tablets, how many tablets will you need to pulverize and triturate to compound this prescription? 450ml * 40mg/ml = 18,000mg *Since we know there are 100mg of allopurinol in each tablet, the next step is: 18,000mg * tablet/100mg = 180 tablets - Correct Answer-180 tablets The pharmacist wants the refrigerator temperature to be set at 6*C. What is the temperature in degrees Fahrenheit? - Correct Answer-43*F If a solution of Ampicillin is being infused at the rate of 60 drops per minute, how long will it take to infuse 100ml if the administration set delivers 20 drops per milliliter? 100ml * 20 drops/ml * minute/60 drops = 33 minutes - Correct Answer-33 minutes Tanya weighs 210 lbs and has a life-threatening fungal infection. Her physician prescribes a 0.3mg/kg dose of Amphotericin B. How many micrograms of Amphotericin B should Tanya receive? * Pay attention to the units! Asking for an answer in micrograms. 210 lbs * kg/2.2 lbs * 0.3mg/kg * 1,000mcg/mg = 28,636 mcg = 29,000mcg - Correct Answer-29,000mcg The dosage of experimental drug DH is 55mg/m^2 every 8 hours. How many milligrams of DH should be given over the course of 24 hours for a male patient that is exactly 6 feet tall and weighs 240 lbs? 1. Calculate the body surface area (BSA). Convert height to centimeters and weight to kilograms. 2. Once you have the BSA, multiply it by 55mg/m^2 to calculate the dose. 3. Finally, multiply the dose by 3 since the patient will receive 1 dose every 8 hours in a 24 hour time period. See pg. 201 - Correct Answer-390mg Which of the following statements is correct regarding scored tablets? - Correct AnswerScored tablets are designed to be easily split into fractions. Which of the following is a type of insurance plan? - Correct Answer-PPO If the normal adult dose of Clindamycin is 300mg, then what is the dose of a 4-year-old patient that weighs 60 lbs? (calculate the dose using Clark's Rule). Child Dose = 60 lbs/150 lbs * 300mg = 120mg *For pediatric dosing see pg. 202-204 - Correct Answer-120mg A prescription is written for Prednisone 10mg tablets with instructions to take 4TQD X2d, then 3TQD X2D, then 2TQD X2D, then 1TQD X1D, then 0.5TQD X2d. How many tablets will you need to dispense? - Correct Answer-21 tablets A prescription is written for 60 tablets of Wellbutrin (Buproprion) XL 150mg with instructions for the patient to take 1TQD X8D, and then 2TQD thereafter. What is the day's supply? - Correct Answer-34 day's supply According to the manufacturer, Travatan Z eye drops should be stored between 2-25*C. Which of the following environments would be acceptable? - Correct Answer-A cold environment, cool environment, or a room temperature environment Which of the following could be an example of an NDC number? - Correct Answer When handling needles (EX: when compounding sterile products for infusion), it is important to.... - Correct Answer-Never recap the needle after it has been used, and place the used needle in a red sharps container When selecting a filter for Total Nutrient Admixtures (TNAs), which contain emulsified fat droplets, what is the optimal pore size? - Correct Answer-1.2 microns (which is large enough to allow fat droplets to pass through without clogging) In what order should the clean room garb be donned? - Correct Answer-1. shoe covers 2. hair cover 3. face mask 4. gown 5. gloves A 1,000 tablet bottle of Metformin 500mg is repackaged into unit dose packages. Assuming the expiration date printed on the stock bottle label is at least two (2) years from today, what is the maximum beyond-use date for the repackaged doses if no stability tests are conducted? - Correct Answer-6 months Your pharmacy purchases 30-tablet bottles of Celexa (Citalopram) 20mg from a distributor at the price of $7.45 per bottle. What is the retail cost of each bottle if the pharmacy has a 29% markup and a $9 dispensing fee? Retail Cost = (AWP * (1 + Markup*)) + Dispensing Fee ****Markup expressed as a decimal Retail Cost = ($7.45 * (1 /0.29)) + $9 = $18.61 - Correct Answer-$18.61 Which of the following parenteral administration routes requires the use of sterile, preservative-free (PF) ingredients? - Correct Answer-Epidural Jane walks into your pharmacy to purchase pen needles for her insulin pens. Jane says that she wants the thinnest 1/2 inch-long needle you have. If the following needle sizes represent what you have in stock, which size should you give her? - Correct Answer-31 gage, 12.7 millimeters If C-III, C-IV, and C-V controlled substance prescription records are stored in the same file with non-controlled substance prescription records, what mark must must appear on the lower right corner of the controlled substance prescription? - Correct Answer-In red ink, the letter "C" at least 1 inch high Which drug combination could result in dangerous drug-drug interaction? - Correct Answer-Viagra and Nitrostat Based on the definition of each word part, what does the term "arthritis" mean? - Correct Answer-Joint inflammation What are the four parts of a prescription sig? - Correct Answer-Action word, quantity with units, route of administration, and dosing frequency. Typically, how long does it take for an insurance company to process a prior authorization (P.A.)? - Correct Answer-A few days Which of the following statements is true regarding the practice of compounding? - Correct Answer-A drug product can only be compounded after receiving an individual, patient-specific prescription order, or in anticipation of receiving a patient-specific prescription order based on an established prescribing pattern. Which of the following should not be worn in a clean room/buffer area? - Correct Answer-Artificial nails The quantity for a prescription for diphenhydramine 12.5 mg/5 ml elixir is written by the prescriber as "CXX milliliters." How many ounces of the elixir should you dispense? (Calculate your answer based on a conversion factor of 30ml per ounce.) - Correct Answer-4 ounces Oxycodone is a _______ controlled substance. - Correct Answer-Schedule II What agency or organization is responsible for the administration of Medicare? - Correct Answer-CMS Sandra has prescription drug insurance, but she has never used it. Which of the following payments has Sandra probably made to her insurance company? - Correct Answer-Premium. ***** Deductibles and co-payments are only paid when the insurance is used. Premiums are paid to maintain active coverage, regardless of whether the patient is using the insurance. What are "analgesics?" - Correct Answer-Drugs used for pain. Which of the following insulin formulations is available over-the-counter (OTC)? - Correct Answer-Novolin 70/30 Which of the following products reverses the effect of Warfarin? - Correct AnswerVitamin K How long is a vial of insulin stable at room temperature? - Correct Answer-28 days What is an anticonvulsant? - Correct Answer-A substance or medication that prevents and/or treats seizures What is an antiemetic? - Correct Answer-A substance or drug that prevents and/or treats nausea and vomiting What is an anti antiplatelet? - Correct Answer-A substance or drug that prevents and/or treats psychosis (ex. bipolar disorder, schizophrenia)