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PTCE Best Study Material - PTCE Exam Pattern
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Medical Tests Pharmacy Technician Certification Exam Sample Questions (Q270-Q275):NEW QUESTION # 270
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:
- A. medication strength.
- B. route of administration.
- C. directions for use.
- D. number of refills.
Answer: C
Explanation:
Before dispensing a prescription, pharmacy technicians and pharmacists must ensure that it iscomplete, clear, and unambiguousto avoid medication errors.
* Medication isinopril
* Strength:20 mg (Clear)
* Route O (by mouth) (Clear)
* Directions:Take 1 tab PO q8h (every 8 hours)#(Needs Clarification)
* Quantity:30 tablets (Clear)
* Refills:12 (Needs verification but is not the main issue)
* Lisinopril is an ACE inhibitorused for hypertension and heart failure.
* Standard dosing is once daily (q24h), not every 8 hours (q8h).
* A frequency of q8h (three times daily) is unusual and could be a prescribing error.
* Pharmacists must verify with the prescriber before dispensing.
* (A) Directions for use#Correct - "q8h" is incorrect for lisinopril and needs clarification.
* (B) Medication strength#Incorrect - "20 mg" is a standard strength for lisinopril.
* (C) Route of administration#Incorrect - " O" (by mouth) is correct.
* (D) Number of refills#Incorrect - While 12 refills is uncommon for chronic medications, it is not the primary issue.
* Lisinopril Prescribing Information (FDA): https://www.accessdata.fda.gov
* Institute for Safe Medication Practices (ISMP) - High-Alert Medications:https://www.ismp.org
* PTCB Exam Content Outline - Prescription Processing & Clarification
Analysis of the Prescription:Why the Directions Need Clarification:Analysis of Answer Choices:References for Pharmacy Technicians:
NEW QUESTION # 271
A prescription for 1 pint of rifampin 1% suspension. 2 tbsp daily, will be compounded using how many 300 mg capsules of the drug?
Answer: A
Explanation:
1 pint =473 mL(since 1 pint = 16 fluid ounces, and 1 fluid ounce = 29.5735 mL).A1% suspensionmeans1 g (1000 mg) of rifampin per 100 mLof suspension.
* Total dose required:2 tbsp daily =30 mL per day(1 tbsp = 15 mL).
* Total volume of the suspension:473 mL
* Total rifampin required 473 mL × 1000 mg) ÷ 100 mL =4730 mg
Each rifampin capsule contains300 mg.So,4730 mg ÷ 300 mg/capsule = 15.77 capsules, which rounds up to16 capsules.
Thus, the correct answer isC. 32 capsules(since the full pint must be compounded).
#Reference harmacy compounding principles; PTCE study materials on dosage calculations.
NEW QUESTION # 272
Therapeutic equivalence (TE) codesmay be found in:
- A. The Orange Book.
- B. The package insert.
- C. Remington: The Science and Practice of Pharmacy.
- D. Safety Data Sheets (SDSs).
Answer: A
Explanation:
Comprehensive and Detailed Step-by-Step Explanation:
The FDA Orange BookprovidesTherapeutic Equivalence (TE) codesto indicate whether a generic drug is equivalentto a brand-name drug.
#Explanation of Answer Choices:#B. The Orange Book#Correct.Liststherapeutic equivalence (TE) codesfor FDA-approved generics.#A. Remington# Incorrect.Pharmacy reference book, not used for TE codes.#C. SDSs# Incorrect.Used for chemical safety, not drug equivalence.#D. Package insert# Incorrect.
Does not contain TE codes.
#Reference:
* FDA Orange Book
* PTCB Exam: Therapeutic Equivalence
NEW QUESTION # 273
Colchicineis indicated for the treatment of:
- A. Hypothyroidism.
- B. Gout flares.
- C. Peripheral neuropathy.
- D. Hyperlipidemia.
Answer: B
Explanation:
Comprehensive and Detailed Step-by-Step Explanation:
Colchicine (Colcrys, Mitigare)is used to treatacute gout flaresbyreducing inflammation caused by uric acid crystalsin the joints.
#Explanation of Answer Choices:#B. Gout flares#Correct.Colchicine is ananti-inflammatory drug specific to gout.#A. Hyperlipidemia# Incorrect.Statins are used for hyperlipidemia.#C. Hypothyroidism# Incorrect.
Levothyroxine is used for hypothyroidism.#D. Peripheral neuropathy# Incorrect.Gabapentin or pregabalin are used for nerve pain.
#Reference:
* American College of Rheumatology (ACR) Gout Treatment Guidelines
* PTCB Exam: Pharmacology for Technicians
NEW QUESTION # 274
The use of amoxicillin/clavulanate is contraindicated in patients who:
- A. Have high blood pressure.
- B. Have a hypersensitivity to beta-lactams.
- C. Are pregnant or breastfeeding.
- D. Are hypersensitive to quinolones.
Answer: B
Explanation:
Amoxicillin/clavulanate is a penicillin-class (#-lactam) antibiotic. Its labeling includes a contraindication in patients with a history of hypersensitivity to #-lactams (e.g., penicillins; often caution with cephalosporins due to cross-reactivity). Allergy to quinolones (B) is unrelated pharmacologically. Pregnancy or breastfeeding (C) is not an absolute contraindication (risk/benefit assessment is used). Hypertension (D) is not relevant.
Therefore, beta-lactam hypersensitivity is the clear contraindication.
References (Pharmacy Technician documents/Study Guides):
* Anti-infectives section of technician study guides: #-lactam structure, class allergies, and contraindications.
* Drug labeling standards: contraindication for penicillin hypersensitivity in amoxicillin-containing products.
* ISMP safety guidance: allergy screening for #-lactam antibiotics.
NEW QUESTION # 275
......
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