Prepare for the PTCB Pharmacy Technician Certification (CPhT) Exam exam with our extensive collection of questions and answers. These practice Q&A are updated according to the latest syllabus, providing you with the tools needed to review and test your knowledge.
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A prescription foracetaminophen with codeine oral solutionis written for a quantity ofIV oz. What volume, in mL, should be dispensed?
1 oz = 30 mL
4 oz 30 mL = 120 mL
Reference:PTCE Pharmacy Conversions Guide.
Which of the following medications is subject to aREMS programdue to the risk ofembryo-fetal toxicity?
Comprehensive and Detailed Step-by-Step Explanation:
Mycophenolateis animmunosuppressantused inorgan transplantsand isteratogenic (causes birth defects).It requiresRisk Evaluation and Mitigation Strategies (REMS).
Explanation of Answer Choices:B. MycophenolateCorrect.High risk ofbirth defects, requiring REMS.A. Miconazole Incorrect.An antifungal with no REMS requirement.C. Phentermine Incorrect.Used for weight loss, not teratogenic.D. Phenytoin Incorrect.Has risks but no REMS requirement.
Reference:
FDA REMS Program for Mycophenolate
PTCB Exam: Medication Safety & REMS
Which of the following products should bestored in a pharmacy refrigerator long-term?
Filgrastim (Neupogen) injection is a refrigerated biologicthat must be storedbetween 2C and 8C (36F--46F).
Other optionscan be stored at room temperature.
Reference:USP Refrigeration Guidelines, Manufacturer Storage Instructions.
Outdated products found in a pharmacy should be:
Outdated (expired) medicationsmust not be dispensedand should bequarantinedin a separate area to prevent accidental use.
Remove outdated products from active stock immediately.
Label and store them separatelyuntil proper disposal.
Follow DEA, FDA, and state board guidelines for disposal.
Some medications (e.g., controlled substances) require special disposal procedures.
(A) Shipped to the DEA for disposalIncorrect -- Only controlled substances require DEA disposal (viaReverse Distributor).
(B) Kept on the shelf to be dispensed firstIncorrect -- Expired medications should NEVER be dispensed.
(C) Isolated from active dispensing stockCorrect -- Medications must be separated from usable stock to prevent dispensing errors.
(D) Reported to the ISMP for trackingIncorrect -- ISMP (Institute for Safe Medication Practices) monitors medication errors, not expiration management.
FDA Drug Disposal Guidelines: https://www.fda.gov/drugs/disposal-unused-medicines
DEA Controlled Substance Disposal Regulations: https://www.deadiversion.usdoj.gov
PTCB Exam Content Outline -- Inventory Management & Drug Disposal
Pharmacy Technician Guidelines for Handling Expired Medications:Analysis of Answer Choices:Reference for Pharmacy Technicians:
A pharmacy must report the theft or significant loss of which of the following medications to the Drug Enforcement Administration (DEA)?
TheDrug Enforcement Administration (DEA)requires that theft or significant loss ofcontrolled substancesbe reported usingDEA Form 106.
(A) PregabalinSchedule V (Controlled Substance -- Must be Reported to DEA)
Pregabalin (brand name:Lyrica) is classified as aSchedule V controlled substanceunder theControlled Substances Act (CSA).
Pharmacies must report its theft or significant loss to the DEA using DEA Form 106.
(B) PiroxicamNot a Controlled Substance -- No Reporting Required
Piroxicam is anonsteroidal anti-inflammatory drug (NSAID).
It isnot a controlled substance, so DEA reporting isnot requiredfor theft or loss.
(C) ProchlorperazineNot a Controlled Substance -- No Reporting Required
Prochlorperazine is anantiemetic and antipsychotic.
It isnot a controlled substance, so DEA reporting isnot requiredfor theft or loss.
(D) PioglitazoneNot a Controlled Substance -- No Reporting Required
Pioglitazone (brand name:Actos) is anantidiabetic medication (thiazolidinedione).
It isnot a controlled substance, so DEA reporting isnot requiredfor theft or loss.
Thepharmacist-in-charge (PIC)must fileDEA Form 106in the event of a significant loss or theft of anySchedule II--V controlled substance.
The loss must be reportedwithin one business dayto theDEAand local law enforcement.
Minor losses due to inventory miscounts do not require DEA reporting but should be documented internally.
DEA Controlled Substances Act (CSA): https://www.deadiversion.usdoj.gov/21cfr/21usc/
DEA Form 106 -- Reporting Theft/Loss of Controlled Substances: https://www.deadiversion.usdoj.gov/21cfr_reports/theft/
PTCB Exam Content Outline -- Pharmacy Laws & Regulations
Controlled Substance Classification of Each Drug:DEA Reporting Requirements for Pharmacy Technicians:Reference for Pharmacy Technicians:
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