PTCB practice test

Take Achievable's free PTCB practice test with 80 questions and detailed explanations.

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Free PTCB practice test

Question 1

Which of the following is used as thyroid replacement therapy?

Synthroid

Methimazole

Prednisone

Somatropin

Question 2

Which of the following anti-inflammatory medication is used in the treatment of asthma?

Prednisolone

Theophylline

Albuterol

Ipratropium

Question 3

Vyvanse is classified under which DEA schedule?

Schedule I

Schedule III

Schedule IV

Schedule II

Question 4

Protonix is the brand name for which of the following medications?

Mometasone

Acetaminophen

Pantoprazole

Ranitidine

Question 5

Which of the following is a common brand name for apixaban?

Eliquis

Xarelto

Coumadin

Activase

Question 6

Which of the following is unsafe to use?

Frozen insulin injection

Medication post expiry date

Nitroglycerine post shelf life

Lyophilized Varicella vaccine

Question 7

Which of the following should not be taken with doxycycline?

Vitamin D3 supplement

Milk of magnesia

Ceftriaxone

Oatmeal

Question 8

Which of the following is seen after long term use of corticosteroids?

Decrease in blood pressure

Osteoporosis

Arthritis

Vitamin B12 deficiency

Question 9

Which of the following is a loop diuretic?

Amiloride

Spironolactone

Hydrochlorothiazide

Furosemide

Question 10

Which of the following medications does not need to be refrigerated?

Ritonavir

Sandostatin

Reconstituted amoxicillin suspension

Tobramycin dry powder

Question 11

What effect is seen if phenytoin and lorazepam are taken together?

Increased precipitate formation in intravenous tubing

Extreme sedation

Insufficient seizure control

Raised liver enzymes

Question 12

Which of the following factors affect the physical stability of a drug?

Humidity

Oxidation reactions

Microbial contamination

Shelf life

Question 13

Which of the following is an SSRI drug?

Pristiq

Effexor

Wellbutrin

Prozac

Question 14

Vision disturbances are associated with which of the following antiepileptics?

Vigabatrin

Phenytoin

Carbamazepine

Valproic acid

Question 15

A prescription is written for Zocor 40 mg daily. Which concern should the technician flag for the pharmacist?

Risk of hypoglycemia

Reduced absorption with food

Risk of rhabdomyolysis at high doses

Risk of rebound hypertension

Question 16

Which of the following is an active ingredient in Trijardy XR?

Humalog insulin

Empagliflozin

Glyburide

Canagliflozin

Question 17

Which of the following serious adverse effects needs to be monitored during clozapine therapy?

Weight gain

Dyslipidemias

Agranulocytosis

Glaucoma

Question 18

What is the active ingredient of Topamax?

Tiagabine

Trileptal

Topiramate

Fosphenytoin

Question 19

Sertraline is included under which of the following drug classes?

SNRI

MAOI

SSRI

Benzodiazepines

Question 20

Cytotec is indicated in which of the following conditions?

Neutralize gastric acidity

As an antiemetic

To control bleeding during childbirth

To decrease gastric acid production

Question 21

What is the action of albuterol?

Beta agonist

Beta blocker

Alpha agonist

Combined beta plus alpha blocker

Question 22

What additional precaution should be taken for a patient taking ACE inhibitors and spironolactone?

Take routine EKG

Regular endoscopy to detect bleeding

Renal function testing

Monitor serum electrolytes

Question 23

Which one of the following is a proton pump inhibitor?

Pantoprazole

Ranitidine

Aluminum hydroxide

Lomotil

Question 24

What is the mechanism of action of Glynase?

Activation of the transcription factor PPAR gamma to enhance glucose metabolism

Driving glucose into the cells

Blocking ATP sensitive K+ channels on beta cells of the pancreas

Increasing insulin sensitivity

Question 25

Acetaminophen with aspirin provide better control of pain when given together. This is an example of which type of effect?

Additive effect

Antagonism

Synergism

Pharmacokinetic effect

Question 26

Which of the following is a bulk laxative?

Dulcolax

MiraLAX

Metamucil

Colace

Question 27

Urinary retention is an adverse effect of which of the following medications?

Cogentin

Istradefylline

Comtan

Sinemet

Question 28

Levothyroxine is used for which of the following conditions?

Hyperthyroidism

Hypothyroidism

Hyperlipidemia

Diabetes

Question 29

Which of the following is not on a prescription label?

Pharmacy name and address

Directions for use

Patient's name

Prescriber's DEA number

Question 30

The pharmacist notes that a patient's new medication interacts with their current medication. What should he do next?

Dispense the new medication

Conduct a DUR

Replace the new medication

Tell the technician to counsel the patient

Question 31

What is the maximum number of refills allowed for a Schedule III or lV controlled medication?

5 times within 1 year

5 times within 6 months

Unlimited within 6 months

None

Question 32

Which of the following laws creates a distinction between OTC and prescription drugs?

Kefauver-Harris Amendment

Federal Food, Drug, and Cosmetic Act

Poison Prevention Packaging Act

Durham-Humphrey Amendment

Question 33

Which of the following precautions should be taken while handling hazardous waste?

Do not dispose radioactive waste in black bins

Do not flush down the toilet

Do not limit access to hazardous drugs storage area

Do not store corrosive chemicals separately

Question 34

Which of the following is not a component of a patient profile?

Social media profiles

Contact numbers

Allergy information

Drug profile

Question 35

Which of the following laws is used to regulate controlled substances?

OSHA

HIPAA

RCRA

CSA

Question 36

How long should records for controlled medications be maintained?

6 months

10 years

5 years

Two years

Question 37

Which one of the following drug recalls are the most serious?

Class lll

Class II

Class I

Class IV

Question 38

Which of the following patients can get an exemption to child resistant packaging?

52 year old woman with rheumatoid arthritis

65 year old man with hypertension

22 year old with asthma

42 year old with medication allergies

Question 39

Which schedule includes drugs with high abuse potential and no accepted medical use?

Schedule I

Schedule II

Schedule III

Schedule V

Question 40

Which DEA form is used to order Schedule II controlled substances?

DEA form 41

DEA form 222

DEA form 224

DEA form 106

Question 41

Which of the following laws mandates the maintenance of a patient profile?

ETASU

Controlled substances act (CSA)

HIPAA

Omnibus budget reconciliation act (OBRA)

Question 42

Which of the following is a Schedule II medication?

Testosterone

Methadone

Zolpidem

Diclofenac

Question 43

Which of the following DEA forms is used to transfer Schedule II drugs?

Form 223

Form 106

Form 222

Form 41

Question 44

Which of the following is incorrect regarding LASA errors?

LASA errors may happen in hospital or retail pharmacy setting

LASA errors are not fatal

LASA errors may be avoided by color coding drugs

Tall man lettering is used to prevent LASA errors

Question 45

What should a pharmacy technician do if a patient complains that they have received the wrong medication?

Record the incident only if the patient experiences an adverse effect

Consult the prescriber immediately

Apologize and replace the medication without reporting

Report the incident to the pharmacist immediately

Question 46

Which of the following strategies helps reduce medication errors?

Regularly using medication abbreviations

Verbally ordering prescriptions

Conducting a final accuracy check

Using patient name as the sole identifier

Question 47

A pharmacist dispenses methotrexate daily instead of weekly. What type of dispensing error is that?

Labeling error

Documentation error

Dosing error

Prescribing error

Question 48

A patient reports that they suffered an adverse reaction to a drug. What is the most appropriate action in this case?

Make a report in FAERS

Ignore if not a serious reaction

Tell them to continue the drug in lower doses

Offer them a therapeutic substitution

Question 49

Which of the following medications must be counted on a separate tray?

Acetaminophen

Metformin

Cyclophosphamide

Lisinopril

Question 50

A nurse accidentally administers hydralazine instead of hydroxyzine due to a LASA error? What may occur as a result of this error?

The patient may experience drowsiness

The patient's blood pressure may drop

The patient may have an allergic reaction

The patient may develop high blood pressure

Question 51

Which of the following is a "high-alert" medication?

Warfarin

Cetirizine

Amoxicillin

Acetaminophen

Question 52

Adding a "0" to convert a ten digit NDC number to an eleven digit number assists which of the following processes?

Inventory management

To make it easily scannable

Medicaid billing

To identify drug batch

Question 53

The pharmacist notes that a patient has been newly prescribed a narcotic analgesic while they are already on another potent analgesic. He contacts the prescriber to suggest altering the therapy. This is an example of what type of intervention?

Concurrent DUR

FAERS reporting

Prospective DUR

Root cause analysis

Question 54

Which of the following is true regarding OTC medications?

They need a prescription

They are not associated with drug abuse

They are less expensive than prescription medications

They may cause serious adverse effects

Question 55

Which of the following is the role of the pharmacy technician?

Therapeutic substitution

Final accuracy check on prescription filling

Dispensing Schedule II drugs

Vaccine administration

Question 56

Why are some medications classified as LASA medications?

They are more expensive

They are low on inventory

They have high abuse potential

They may cause dispensing errors

Question 57

What is the purpose of tall man lettering?

Avoid LASA errors

Compliance with controlled substance regulations

Inventory management

Disposal of pharmacy waste

Question 58

A patient receives the wrong medication due to a labeling error. An error occurred at which of the following steps in medication processing?

Prescribing

Pickup

Inventory management

Dispensing

Question 59

How frequently should pharmacy countertops be cleaned?

Only when dirty

Once daily

Every weekend

At the beginning of the day's shift

Question 60

Which of the following practices can be used by a pharmacy to prevent medication errors?

All of the above

Patient education

Regular training of staff

Detailed prescription information

Question 61

FAERS is primarily used for which of the following?

Reporting adverse drug effects

Tracking insurance claims

Maintaining pharmacy inventory

Approving new drugs

Question 62

What is the primary role of MedWatch?

To track controlled substances

To gather medication and vaccine adverse effects

To approve new medications

To issue pharmacy technician licenses

Question 63

A prescription requires $1$ g of drug to be evenly mixed with $9$ g of diluent to prepare a powder. What is the correct method to achieve that?

Add all of the diluent at once

Add equal amounts of the diluent to the drug in steps

Mix all ingredients in one step

Triturate the diluent first

Question 64

Which of the following information will be present in a safety data sheet or SDS?

Doses of medication

Hazard training

Patient records

Management of chemical spills

Question 65

In which of the following situations would a pharmacy technician employ aliquot method while compounding medications?

To measure larger quantities of ingredients than the MMQ of equipment

To dilute a stock solution of higher concentration

To mix two different concentrations to get a desired concentration

To measure smaller quantities of ingredients than the MMQ of equipment

Question 66

One tablespoon is equal to which of the following measures?

500 g

15 ml

5 ml

30 ml

Question 67

An oral antibiotic is prescribed at $4.5$ mg/kg/day, given in three divided doses, for $5$ days. The patient weighs $18$ kg. The pharmacy stocks the medication as an $8$ fluid ounce bottle labeled $150$ mg/ $5$ mL. How many milliliters of medication will remain in the bottle after dispensing the full $5$ day course?

213.5

231.0

240.5

226.5

Question 68

Which base is used for compounding a water-soluble ointment?

Lanolin

Mineral oil

Polyethylene glycol (PEG)

Vegetable oil

Question 69

Spatulation may be used to compound which of the following formulations?

Dexamethasone tablet

Normal saline

Triamcinolone cream

Gaseous mixtures

Question 70

What does a POC code indicate?

Method of receiving a prescription

Prescriber's registration number

Code for choosing generic versus brand drug

Details of medication

Question 71

What is the percent strength of a solution containing 120 grams of a drug in 500 ml of a solution?

24% v/v

24% w/w

24% w/v

12% w/v

Question 72

Which of the following is the correct order of prescription processing?

Insurance billing, update patient profile, receive prescription, dispense drug

Dispense drug, insurance billing, update patient profile, receive prescription

Receive prescription, insurance billing, update patient profile, dispense drug

Receive prescription, update patient profile, insurance billing, dispense drug

Question 73

A prescription is ordered for Amoxicillin $400$ mg/ $5$ mL, to be taken $500$ mg every $12$ hours. How much volume (in mL), should the patient take per dose?

6.25

8

5

4

Question 74

A patient requests a verbal refill for Percocet. What should the pharmacy technician do next?

Ask the patient to bring a written prescription

Make a one time refill

Request a refill from the prescriber's office

Confirm prescription details with the patient

Question 75

Clark's and Young's rules are used to calculate which of the following?

Therapeutic index

Pediatric dosing

Minimum inhibitory antibiotic concentration

Body surface area

Question 76

Which of the following is a legend medication?

Low-dose Aspirin

Colace capsules

Vitamin D supplement

Metformin

Question 77

How many grams each of a 10% and a 1% steroid cream should be mixed to make 100 g of a 4% cream?

33.3 g of 10% and 66.7 g of 1%

40 g of 10% and 60 g of 1%

10 g of 10% and 90 g of 1%

50 g each

Question 78

A patient is prescribed $40$ units of insulin. Available insulin is U $100$ . How much insulin should be administered?

0.2

0.5

0.4

0.1

Question 79

Which of the following type of vaccines is administered annually?

Pneumococcal

Pertussis

Influenza

Hepatitis A

Question 80

Calculate the flow rate of an intravenous infusion of 1000 ml Normal Saline to be administered over 8 hours. The IV set delivers 20 gtts/ml.

41.7 drops per hour

41.7 drops per day

41.7 drops per minute

125 drops per minute

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