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PTCB PTCE Pharmacy Technician Certification (CPhT) Exam Exam Practice Test

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Total 313 questions

Pharmacy Technician Certification (CPhT) Exam Questions and Answers

Question 1

When entering prescription information into a computer, a pharmacy technician should include which of the following to help prevent a medication dosing error?

Options:

A.

Allergies

B.

Leading zeros

C.

Insurance information

D.

Contraindications

Question 2

St. John's Wort is primarily used as a(n):

Options:

A.

immune enhancer

B.

mild antidepressant

C.

antioxidant

D.

antihypertensive

Question 3

Therapeutic equivalence (TE) codesmay be found in:

Options:

A.

Remington: The Science and Practice of Pharmacy.

B.

The Orange Book.

C.

Safety Data Sheets (SDSs).

D.

The package insert.

Question 4

Bottles of hydralazine and hydroxyzine are located next to each other on the same shelf in the pharmacy. Before counting the medication, a helpful patient safety procedure would be to verify the:

Options:

A.

Dosage strength

B.

Color of the tablet

C.

NDC number

D.

Lot number

Question 5

Due to a drug-drug interaction, patients taking tetracycline should avoid simultaneous use of:

Options:

A.

antacids that contain calcium.

B.

decongestants that contain pseudoephedrine.

C.

antitussives that contain dextromethorphan.

D.

analgesics that contain acetaminophen.

Question 6

What is the first thing a pharmacy technician should do when a body area is exposed to a hazardous substance?

Options:

A.

Notify the pharmacy manager

B.

Thoroughly flush with water

C.

Call environmental services for help with cleanup

D.

Go to the emergency department

Question 7

Which of the following statements regardingspecific patient medication returns in the hospital settingis correct?

Options:

A.

Unlabeled medications may be dispensed by the nurse at discharge.

B.

Unopened units-of-use returned from outpatients may be redispensed.

C.

Unopened units-of-use returned from inpatients may be redispensed.

D.

Crediting of unused doses is not feasible.

Question 8

When used on a prescription, "PR" indicates a particular:

Options:

A.

Route of administration.

B.

Frequency of dosing.

C.

Medication strength.

D.

Dosage form.

Question 9

What volume, inmL, of morphine sulfate that comes in10 mL vials at a concentration of 5 mg/mLwill be needed to fill an order for25 mg?

Options:

A.

0.5

B.

2

C.

2.5

D.

5

Question 10

Which of the followingmedications should be pulled from inventorydue to incorrect storage?

Options:

A.

Boostrix that was stored in a refrigerator.

B.

Havrix that was stored in a refrigerator.

C.

Shingrix that was stored in a freezer.

D.

Varivax that was stored in a freezer.

Question 11

Which of the following should be used tohelp incorporate a solid (like powder) into an ointmentduringnonsterile compounding?

Options:

A.

Emulsifying agents

B.

Diluents

C.

Levigating agents

D.

Preservatives

Question 12

To which drug classification does Cytoxan belong?

Options:

A.

ACE inhibitor

B.

Chemotherapy agent

C.

Antibiotic

D.

Narcotic

Question 13

Which of the following is a controlled substance?

Options:

A.

Metoprolol

B.

Butorphanol

C.

Carvedilol

D.

Propranolol

Question 14

According toUSP, the breaking or separation of an oil phase that is not easily dispersed is indicative of a reaction in a(n):

Options:

A.

Tincture

B.

Solution

C.

Suspension

D.

Emulsion

Question 15

A patient fills a prescription for a 30-day supply of amlodipine 10 mg. Two days later, the patient brings in a prescription for diltiazem 30 mg from their primary careprovider. Which of the following rejection messages is the pharmacy technician most likely to receive?

Options:

A.

Prior authorization required

B.

Therapeutic duplication

C.

NDC not covered

D.

Refill too soon

Question 16

It would be most appropriate to dispose of which of the following medications as hazardous waste?

Options:

A.

Lisinopril

B.

Acetaminophen

C.

Methotrexate

D.

Prednisone

Question 17

A company that is able to receive and dispose of expired medications from a pharmacy is called a:

Options:

A.

Secondary wholesaler.

B.

Cancer drug repository.

C.

Reverse distributor.

D.

Prime vendor.

Question 18

Which of the followingmedications should be pulled from inventorydue to incorrect storage?

Options:

A.

Boostrix that was stored in a refrigerator.

B.

Havrix that was stored in a refrigerator.

C.

Shingrix that was stored in a freezer.

D.

Varivax that was stored in a freezer.

Question 19

Which of the following medications is subject to a Risk Evaluation and Mitigation Strategy (REMS) program because current patients should avoid becoming pregnant?

Options:

A.

Creon

B.

CellCept

C.

Celexa

D.

Cialis

Question 20

Eliquis is considered ahigh-alert medicationbecause it can cause potentially fatal:

Options:

A.

Respiratory depression

B.

Bleeding

C.

Hyperglycemia

D.

Hypoxia

Question 21

Clopidogrel is indicated to reduce the rate of:

Options:

A.

Myocardial infarction

B.

Gastroesophageal reflux

C.

Chronic migraines

D.

Type 2 diabetes

Question 22

Which of the following medications is commercially available as an oral suspension that remains stable for a maximum of 10 days after reconstitution?

Options:

A.

Methylphenidate

B.

Famotidine

C.

Azithromycin

D.

Vancomycin

Question 23

Which of the following products is acorticosteroid?

Options:

A.

Progesterone

B.

Fluocinolone

C.

Methyltestosterone

D.

Spironolactone

Question 24

An order for furosemide 120 mg IV STAT will be dispensed using furosemide 40 mg/2 ml. What volume, in ml of the stock injection will be required to deliver the requested dose?

Options:

A.

1

B.

3

C.

6

D.

12

Question 25

Colchicineis indicated for the treatment of:

Options:

A.

Hyperlipidemia.

B.

Gout flares.

C.

Hypothyroidism.

D.

Peripheral neuropathy.

Question 26

Which of the following is anantipsychotic?

Options:

A.

Aripiprazole

B.

Rifampin

C.

Ketoconazole

D.

Zolpidem

Question 27

The oral liquid formulation of which of the following medications must be stored in the refrigerator?

Options:

A.

Gabapentin

B.

Sertraline

C.

Aripiprazole

D.

Risperidone

Question 28

Which of the following is theadverse event reporting programmaintained by theFDA?

Options:

A.

CSOS

B.

MethCheck

C.

MedWatch

D.

NPLEx

Question 29

According to the Institute for Safe Medication Practices (ISMP), which of the following is an approved abbreviation?

Options:

A.

U for units

B.

AD for right ear

C.

AU for both ears

D.

gtt for drop

Question 30

ReconstitutedArexvymust be discarded if it is not used within a maximum of:

Options:

A.

30 minutes

B.

4 hours

C.

24 hours

D.

1 week

Question 31

Where permitted by state regulation, a pharmacy technician may be responsible for:

Options:

A.

Counseling patients on new prescriptions.

B.

Completing a clinical review of new prescriptions.

C.

Initiating the transfer of non-controlled substance prescriptions.

D.

Approving the validity of controlled substance prescriptions.

Question 32

Desvenlafaxineis indicated to treat:

Options:

A.

Hypertension

B.

Major depressive disorder

C.

Benign prostatic hypertrophy

D.

Atrial fibrillation

Question 33

An outsourcing facility mislabeled enoxaparin syringes asphytonadione syringesand sent them out to multiple facilities. Which type of recall would be most appropriate to issue?

Options:

A.

Class I

B.

Class II

C.

Class III

D.

Misbranding

Question 34

To decrease the risk of incorrectly filling a prescription for a drug that has a look-alike/sound-alike name, the pharmacy could:

Options:

A.

use both the brand name and the generic name on the prescription label.

B.

place the drug next to another look-alike/sound-alike drug on the shelf if they are alphabetical.

C.

review the first five digits of the NDC to confirm the correct product.

D.

take hazardous drug precautions.

Question 35

Of the following, the most appropriate long-term storage condition for varicella vaccine is:

Options:

A.

In the freezer, at -20°cto 10°c (-4°F to 14°F).

B.

In the refrigerator, at 2°c to 8°c (36°F to 46 °F).

C.

At room temperature, at 15°C to 30°C (59°F to 86°F).

D.

In a warner, at 30°C to 40°C (86°F to to 104°F).

Question 36

A pharmacy computer system is likely to display atherapeutic duplication alertif a prescription forBriviactis processed for a patient already taking:

Options:

A.

Ancef

B.

Ambien

C.

Vimpat

D.

Vyvanse

Question 37

Which of the following auxiliary labels would be most appropriate to affix to a bottle ofcephalexin oral suspensionafter reconstitution?

Options:

A.

Protect from light; Discard after 7 days

B.

Protect from light; Discard after 14 days

C.

Keep refrigerated; Discard after 7 days

D.

Keep refrigerated; Discard after 14 days

Question 38

Whichvitaminshould be takenbefore and during pregnancyto help avoidneural tube defects?

Options:

A.

Pyridoxine

B.

Ascorbic acid

C.

Thiamine

D.

Folic acid

Question 39

Which of the following is considered a high-alert medication in some settings because it is an antiretroviral agent?"

And provides these options:

Options:

A.

Meperidine

B.

Olopatadine

C.

Lamivudine

D.

Tizanidine

Question 40

A patient package insert (PPI) is required for which of the following medications?

Options:

A.

Androgens

B.

Oral contraceptives

C.

Corticosteroids

D.

Oral chemotherapy

Question 41

A patient presents the following prescription:

Lisinopril 20 mg tablets

Take 1 tab PO q8h

#30 with 12 refills

In order to fill this prescription, the pharmacy must clarify the:

Options:

A.

directions for use.

B.

medication strength.

C.

route of administration.

D.

number of refills.

Question 42

Pristiq has the same mechanism of action as:

Options:

A.

valacyclovir

B.

varenicline

C.

venlafaxine

D.

verapamil

Question 43

Which of the following medications is indicated to treatdiabetes?

Options:

A.

Galantamine

B.

Gemfibrozil

C.

Glimepiride

D.

Granisetron

Question 44

Which of the following is considered a high-alert medication in some settings because it is an antiretroviral agent?"

And provides these options:

Options:

A.

Meperidine

B.

Olopatadine

C.

Lamivudine

D.

Tizanidine

Question 45

Which of the following medications should be dispensed with a calibrated oral syringe?

Options:

A.

Enoxaparin sodium

B.

Albuterol/ipratropium

C.

Lorazepam concentrate

D.

Polyethylene glycol 3350

Question 46

Incompatibility of a nonsterile compound may be indicated by:

Options:

A.

a clear solution

B.

the use of a pH buffer system

C.

an unexpected change in odor

D.

suspension particles settling to the bottom of a container

Question 47

Which of the following statements regardingspecific patient medication returns in the hospital settingis correct?

Options:

A.

Unlabeled medications may be dispensed by the nurse at discharge.

B.

Unopened units-of-use returned from outpatients may be redispensed.

C.

Unopened units-of-use returned from inpatients may be redispensed.

D.

Crediting of unused doses is not feasible.

Question 48

A patient who received a kidney transplant should be closely monitored when taking which of the following medications?

Options:

A.

Acetaminophen

B.

Cyclosporine

C.

Prednisone

D.

Doxycycline

Question 49

When assisting a pharmacist in monitoring patient laboratory data, it would be appropriate for a pharmacy technician to:

Options:

A.

Determine medication dosages.

B.

Report out-of-range values.

C.

Identify potential drug interactions.

D.

Recommend diagnostic tests.

Question 50

What is the generic name for Lipitor?

Options:

A.

Provastatin

B.

Fluvastatin

C.

Simvastatin

D.

Atorvastatin

Question 51

Themanufacturer's packagingof an oral inhaler must include the:

Options:

A.

Average wholesale price

B.

Auxiliary labels

C.

Lot number

D.

Prescription number

Question 52

A prescription for 1 pint of rifampin 1% suspension. 2 tbsp daily, will be compounded using how many 300 mg capsules of the drug?

Options:

A.

8

B.

16

C.

32

D.

160

Question 53

The generic forNasonexis:

Options:

A.

Mometasone furoate

B.

Loteprednol etabonate

C.

Desloratadine

D.

Fluticasone

Question 54

Which of the following suppositories should be shipped to the pharmacy in arefrigerated container?

Options:

A.

Promethazine

B.

Prochlorperazine

C.

Hydrocortisone

D.

Bisacodyl

Question 55

Carvedilolmay be a suitable therapeutic substitution for:

Options:

A.

Albuterol

B.

Labetalol

C.

Tramadol

D.

Estradiol

Question 56

Medications’lot numbersare assigned by the:

Options:

A.

Food and Drug Administration (FDA).

B.

Drug Enforcement Administration (DEA).

C.

Wholesaler.

D.

Manufacturer.

Question 57

Which of the following is a method that can reduce the likelihood ofdispensing an expired medication?

Options:

A.

Verifying each lot number.

B.

Using the newest medications first.

C.

Rotating stock on a regular basis.

D.

Using the last in, first out method.

Question 58

Which of the following questions from a nurse must be referred to a pharmacist?

Options:

A.

"What is the generic name for the antibiotic the prescriber wrote?"

B.

"What is the schedule for my patient's IV antibiotic?"

C.

"Can I piggyback my patient’s IV antibiotic with her heparin drip?"

D.

"Does the IV antibiotic require prior authorization from my patient's insurance?"

Question 59

A physician prescribes5 mg/kgof a drugtwice dailyfor a patient weighing110 lbs. How many0.5 g tabletsof the drug are required for a10-day duration?

Options:

A.

5

B.

10

C.

20

D.

40

Question 60

According to the FDA, a Medication Guide must be given to the patient when dispensing:

Options:

A.

zafirlukast.

B.

Zestril.

C.

zinc.

D.

Zyprexa.

Question 61

Which of the following medications is available only with a prescription?

Options:

A.

Pantoprazole

B.

Omeprazole

C.

Lansoprazole

D.

Esomeprazole

Question 62

According to theInstitute for Safe Medication Practices (ISMP), IVpropranololis considered ahigh-alert medicationinacute care settingsbecause it is a(n):

Options:

A.

Adrenergic antagonist.

B.

Chemotherapeutic agent.

C.

Opioid.

D.

Anticoagulant.

Question 63

According to federal law, pharmacies must use controlled substance ordering to receive stock bottles of which of the following medications?

Options:

A.

Buspirone

B.

Nortriptyline

C.

Methadone

D.

Sildenafil

Question 64

Due to an increased risk of hepatotoxicity, patients on acetaminophen should use caution when consuming:

Options:

A.

Citrus fruits

B.

Leafy greens

C.

Dairy products

D.

Alcoholic beverages

Question 65

Medications considered to have anarrow therapeutic index (NTI)generally exhibita(n):

Options:

A.

Shorter window of guaranteed stability.

B.

Incompatibility with therapeutic monitoring.

C.

Synergistic effect on other medications.

D.

Higher risk of causing serious toxicity.

Question 66

A pediatric patient weighing 17 kg requires gentamicin at 2.5 mg/kg. What volume, in mL, of solution containing 20 mg/mL should be administered?

Options:

A.

0.48

B.

1.5

C.

30

D.

4.8

Question 67

Water in a graduated cylinder can most accurately be measured by:

Options:

A.

Holding the cylinder above eye level and reading the measurement at the top of the meniscus.

B.

Placing the cylinder at eye level and reading the measurement at the top of the meniscus.

C.

Holding the cylinder above eye level and reading the measurement at the bottom of the meniscus.

D.

Placing the cylinder at eye level and reading the measurement at the bottom of the meniscus.

Question 68

Asyndrome that can be produced by abrupt cessation or rapid dose reduction of a medicationis:

Options:

A.

Tolerance

B.

Addiction

C.

Withdrawal

D.

Dependency

Question 69

How much of a drug prescribed at5 mg/kgshould be administered to a patient weighing132 lbs?

Options:

A.

33 mg

B.

300 mg

C.

660 mg

D.

3 g

Question 70

Which type of injection administers a medication into theskin?

Options:

A.

Intraperitoneal

B.

Intravenous

C.

Intramuscular

D.

Intradermal

Question 71

Which of the following isleast likelyto causesignificant patient harmif used in error?

Options:

A.

Topical creams

B.

Injectable insulins

C.

Antineoplastic agents

D.

Oral anticoagulants

Question 72

A patient fills a prescription for a 30-day supply of amlodipine 10 mg. Two days later, the patient brings in a prescription for diltiazem 30 mg from their primary careprovider. Which of the following rejection messages is the pharmacy technician most likely to receive?

Options:

A.

Prior authorization required

B.

Therapeutic duplication

C.

NDC not covered

D.

Refill too soon

Question 73

Adsorptionis most likely to cause a medication to:

Options:

A.

Lose potency.

B.

Become contaminated.

C.

Require refrigeration.

D.

Trigger anaphylaxis.

Question 74

Which of the following is a common side effect of amlodipine?

Options:

A.

Dizziness

B.

Photosensitivity

C.

Agitation

D.

Insomnia

Question 75

DEA Form 41 would be most appropriate to complete when destroying expired:

Options:

A.

Nonsteroidal anti-inflammatories.

B.

Opioid analgesics.

C.

Penicillin antibiotics.

D.

Monoclonal antibodies.

Question 76

When handling hazardous drugs, exposure control must begin when the drug:

Options:

A.

is dispensed.

B.

enters the facility.

C.

is compounded.

D.

is placed on the pharmacy shelf.

Question 77

While unpacking today's shipment, a pharmacy technician notices that a vial of Apidra arrived frozen. The technician's best course of action is to prepare the item to be:

Options:

A.

thawed and stored in a refrigerator

B.

sent to the prescriber

C.

dispensed to a patient

D.

returned to the distributor

Question 78

If a prescription for amoxicillin 150 mg PO q8h for 10 days is filled with a 250 mg/5 mL suspension, how many mL would the patient take per dose?

Options:

A.

3

B.

4

C.

5

D.

6

Question 79

Behind-the-counter decongestant products containingpseudoephedrinemust be used with caution in patients with:

Options:

A.

Asthma

B.

Hypertension

C.

Hypokalemia

D.

Eczema

Question 80

Which of the following medication pairs is an example of aLook-Alike, Sound-Alike (LASA) errorin which an antifungal drug is dispensed instead of an anesthetic drug?

Options:

A.

Diflucan and Diprivan

B.

Clonidine and Klonopin

C.

Metronidazole and Metformin

D.

Amiloride and Amlodipine

Question 81

Which of the following products is acorticosteroid?

Options:

A.

Progesterone

B.

Fluocinolone

C.

Methyltestosterone

D.

Spironolactone

Question 82

According to the manufacturer, which of the following medications must be dispensed in its original container?

Options:

A.

Furosemide

B.

Linaclotide

C.

Valsartan

D.

Sertraline

Question 83

Lorazepam oral concentrate should be stored in a pharmacy under the sametemperature conditions as:

Options:

A.

Lamictal chewable tablets.

B.

Lanoxin oral solution.

C.

Lyumjev KwikPen.

D.

Lunesta tablets.

Question 84

Lorazepam oral concentrate should be stored in a pharmacy under the sametemperature conditions as:

Options:

A.

Lamictal chewable tablets.

B.

Lanoxin oral solution.

C.

Lyumjev KwikPen.

D.

Lunesta tablets.

Question 85

Which of the following injections should be stored in a refrigerator prior to dispensing?

Options:

A.

Testosterone

B.

Lovenox

C.

Heparin

D.

Enbrel

Question 86

If M-M-R II antigen were inadvertently reconstituted with a stock vial of normal saline, pharmacy staff should:

Options:

A.

administer the vaccine as the diluents are equivalent.

B.

report the incident to the Drug Enforcement Administration (DEA).

C.

contact the Environmental Protection Agency (EPA) for guidance.

D.

discard the vaccine as its efficacy could be altered.

Question 87

Aspacerwas prescribed to accompany ametered dose inhaler (MDI), but the patient never picked it up. The spacer should be returned to:

Options:

A.

Damaged stock

B.

The manufacturer

C.

The study sponsor

D.

Dispensing stock

Question 88

Pharmacy staff should always visually inspect nonsterile compounds for which of the following signs of incompatibility?

Options:

A.

Photolysis

B.

Hydrolysis

C.

Precipitation

D.

Oxidation-reduction

Question 89

According to United States Pharmacopeia (USP) standards, a drug with an expiration date of 3/2025 should only be used by the patient through:

Options:

A.

February 28, 2025

B.

March 1, 2025

C.

March 31, 2025

D.

March 1, 2026

Question 90

If a medication's expiration date lists only the month and year, the intended expiration date is the:

Options:

A.

First day of the month

B.

Tenth day of the month

C.

Fifteenth day of the month

D.

Last day of the month

Question 91

Which of the following situations represents a vaccine administration error that should be voluntarily reported?

Options:

A.

Fluzone was administered subcutaneously.

B.

Boostrix was administered intramuscularly.

C.

Varivax was administered subcutaneously.

D.

Shingrix was administered intramuscularly.

Question 92

A prescription reads:

Famotidine 40 mg/5 mL

Quantity: 50 mL

Sig: 0.4 mL PO t.i.d.

What amount of medication, in mg, is given each day?

Options:

A.

1.2 mg

B.

3.2 mg

C.

6.4 mg

D.

9.6 mg

Question 93

The use of Tall Man lettering:

Options:

A.

highlights the similarities in drug names.

B.

ensures all trade names will be capitalized.

C.

draws attention to the differences in drug names.

D.

keeps the pharmacy inventory in alphabetic order.

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Total 313 questions