Pharmaceutical Compounding for Technicians
Review Questions
Course Introduction
Pharmaceutical Compounding for Technicians introduces students to the fundamental principles and skills required to prepare customized medications in various healthcare settings. This course covers essential topics such as weighing and measuring pharmaceutical ingredients, interpreting and converting compounding formulas, ensuring proper documentation, and adhering to safety and quality assurance practices. Students will gain hands-on experience in preparing non-sterile dosage forms including ointments, creams, solutions, and suspensions while learning about pharmacy law and regulations governing compounding. Emphasis is placed on precise technique, the use of specialized equipment, and best practices to ensure patient safety and therapeutic efficacy.
Recommended Textbook
Mosbys Pharmacy Technician Principles and Practice 4th Edition by Elsevier
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Chapter 1: History of Medicine and Pharmacy
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Sample Questions
Q1) During the Civil War, many soldiers died from ______________.
A)Common diseases
B)Battle wounds
C)Postsurgical infections
D)All of the above
Answer: D
Q2) Which of the following choices best describes sources of materials for remedies in ancient times?
A)Chemicals, minerals, and vitamins
B)Minerals, animals, and plant parts
C)Bodies of water, plant parts, and dirt
D)Prayer, bones, and plant parts
Answer: B
Q3) The benefits of certification for pharmacy technicians include:
A)Increased standard of education
B)Increased salary
C)Increased trust by pharmacists
D)All of the above
Answer: D
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Page 3
Chapter 2: Pharmacy Law, Ethics, and Regulatory Agencies
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Sample Questions
Q1) Who can sign Form 222 to order schedule C-II narcotics?
A)Pharmacist who signed Form 224 or the person who has been the legally designated Power of Attorney by that pharmacist
B)Pharmacist on duty
C)Store manager
D)Pharmacy technician
Answer: A
Q2) Form 222 consists of three copies. Which copy is ultimately sent to the DEA?
A)Top copy (1)
B)Middle copy (2)
C)Bottom copy (#)
D)B and C
Answer: B
Q3) Schedule C-II prescriptions cannot be:
A)Refilled
B)Partially filled
C)Transferred
D)A and C
Answer: D
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Page 4
Chapter 3: Competencies, Associations, and Settings for Technicians
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Q1) Which one of the following statements is not true of pharmacy technician CE hours?
A)Pharmacy technicians need 20 hours every 2 years.
B)By 2015, only pharmacy technician-specific CE hours will be accepted.
C)All valid CE credits must be approved by the ACPE.
D)Very few areas require CE hours for pharmacy technicians to maintain their license, certification, or registration.
Answer: D
Q2) Which of the following should be avoided when applying for a job and working as a pharmacy technician?
A)Visible tattoos
B)Nose ring
C)Pink hair
D)All of the above
Answer: D
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Chapter 4: Communication and Role of the Technician
With the Customerpatient
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Q1) The mental disposition or feeling a technician adopts when interacting with customers, patients, and co-workers or when performing duties at work is called:
A)Attitude
B)Ethics
C)Morals
D)Outlook
Q2) When serving patients, technicians should not:
A)Give the patient undivided attention.
B)Speak clearly.
C)Use technical medical terms.
D)Allow patients to ask questions.
Q3) Communication channels include:
A)Written messages
B)Spoken words
C)Body language
D)All of the above
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6
Chapter 5: Dosage Forms and Routes of Administration
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Q1) Interpreting medical terms involves learning the meanings of:
A)Prefixes
B)Suffixes
C)Root words
D)All of the above
Q2) An example of an evacuation enema is:
A)Diazepam gel (Diastat) for seizures
B)Antiinflammatory for ulcerative colitis
C)Fleet Enema for constipation
D)A and C
Q3) Caplet refers to a(n):
A)Little capsule
B)Different-shaped tablet
C)Easy-to-swallow form of tablet
D)B and C
Q4) MDI stands for:
A)Measured dose inhaler
B)Measured drug inhaler
C)Metered drug inhaler
D)Metered dose inhaler
7
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Chapter 6: Conversions and Calculations
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Sample Questions
Q1) The numerical value of any conversion factor is always:
A)One
B)Two
C)Five
D)Ten
Q2) A pharmacy buys $2300 worth of inventory in the month of September. If the invoice is paid before October 10th, a 7.5% discount is applied to the total. How many dollars would the pharmacy save after the discount is applied?
A)$17.25
B)$172.50
C)$2127.50
D)$2282.75
Q3) A fraction that is used to convert one unit to another without changing the value of the number is called:
A)Converter
B)Conversion factor
C)Unit converter
D)None of the above
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8
Chapter 7: Drug Information References
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Q1) For information on drugs in clinical use worldwide, as well as contrast media and diagnostic agents, medicinal gases, toxic substances, disinfectants, and pesticides, a good reference choice would be:
A)PDR
B)Facts and Comparisons
C)Martindale's The Complete Drug Reference
D)Ident-A-Drug Reference
Q2) The benefit(s) of online resources is(are):
A)Easy access
B)Faster updating of information
C)Lower cost
D)All of the above
Q3) Drugs that are not normally stocked by the pharmacy or covered by insurance are called:
A)Formulary
B)Nonformulary
C)Legend
D)Extra
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9
Chapter 8: Community Pharmacy Practice
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Q1) The practice of pharmacy in a state is regulated by the:
A)U.S.Food and Drug Administration (FDA)
B)National Association of Boards of Pharmacy (NABP)
C)BOP
D)ASHP
Q2) The name, dosage form, strength, and quantity of a medication on a prescription is called the:
A)Insignia
B)Inscription
C)Subscription
D)Superscription
Q3) Regardless of the state, every pharmacy is required to have a current copy of the:
A)Federal Controlled Substance Act
B)United States Pharmacopoeia-National Formulary (USP-NF)
C)Physicians' Desk Reference (PDR)
D)A and B
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Chapter 9: Institutional Pharmacy Practice
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Q1) Which of the following criteria is(are) used to distinguish between types of hospitals?
A)Size
B)Profit or nonprofit
C)Types of services provided
D)All of the above
Q2) CCU stands for:
A)Critical care unit
B)Coronary care unit
C)Cardiac care unit
D)Clinical cardiac unit
Q3) Satellite pharmacies:
A)Are used in all hospitals.
B)Are staffed by only technicians.
C)Expedite order preparation and delivery.
D)All of the above describe satellite pharmacies.
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11
Chapter 10: Additional Pharmacy Practice Settings
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Q1) The specific class of drugs used in a nuclear pharmacy is known as:
A)Nuclear medicines
B)Radiopharmaceuticals
C)Radiotherapies
D)Radioactive medicines
Q2) In what type of pharmacy setting are the pharmacist and technician not in direct contact with one another?
A)Nuclear pharmacy
B)Inpatient pharmacy
C)Telepharmacy
D)Retail pharmacy
Q3) Which of the following is(are) required for a pharmacy technician to teach at an accredited college?
A)National certification
B)Retail and hospital pharmacy experience
C)An associate or bachelor's degree
D)All of the above
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Chapter 11: Bulk Repackaging and Non-Sterile Compounding
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Q1) Which one of the following is not a reason for a pharmacy to repackage a bulk medication?
A)Repackaging helps the technicians learn the drug names and strengths.
B)Purchasing a bulk medication is less expensive than purchasing a unit-dosed medication.
C)Certain medications are not available in unit doses.
D)Repackaging may decrease the wait time for the patient to receive the medication.
Q2) Which of the following methods is not used to prepare suppositories?
A)Hand-rolling
B)Punch
C)Compression
D)Fusion-molding
Q3) All of the following are GMPs for repackaging bulk medication except:
A)Equipment is in good, clean condition.
B)Appropriate packaging is used.
C)Correct beyond-use date (BUD) is assigned.
D)Medication is checked by a technician.
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Page 13
Chapter 12: Aseptic Technique and Sterile Compounding
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Sample Questions
Q1) What is the maximum volume (in millimeters) of a tension-type syringe?
A)0.5
B)1
C)3
D)5
Q2) According to USP <797>, how often must media-fill tests be performed?
A)At the time of hire
B)Annually for low- and medium-risk compounding levels
C)Twice a year for high-risk compounding levels
D)All of the above
Q3) Which of the following statements is(are) true regarding the ADD-Vantage system?
A)Once attached to the solution, the IV medication cannot be returned to the pharmacy or reused.
B)The pharmacy technician is responsible for mixing the powdered drug with the solution.
C)It reduces the amount of wasted medication.
D)It is inexpensive.
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14
Chapter 13: Pharmacy Billing and Inventory Management
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Q1) Both Medicare and Medicaid were implemented in:
A)1965
B)1975
C)1985
D)1995
Q2) PPO means:
A)Preferred provider option
B)Preferred provider organization
C)Preferred physician option
D)Preferred physician organization
Q3) The name a company assigns to a commercial drug product for marketing and identification purposes is called the _____________ name.
A)Trade
B)Brand
C)Proprietary
D)All of the above
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Page 15
Chapter 14: Medication Safety and Error Prevention
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Q1) Individuals older than 80 years of age will be in the fastest growing segment of the population for the next 40 years, which is due to:
A)Increased activity
B)Better diet
C)Improved health care
D)All of the above
Q2) Which of the following systems contribute to decreased errors?
A)Computerized physician order entry (CPOE)
B)ADS machines, coupled with bar coding
C)Medication error-reporting programs
D)All of the above
Q3) How often is it recommended for a technician to check a medication during the filling process?
A)Twice
B)Three times
C)Only if he or she thinks something is wrong
D)As many times as he or she can
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Chapter 15: Therapeutic Agents for the Nervous System
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Q1) Which of the following is not a primary function of the nervous system?
A)Relaying impulses to and from the central nervous system (CNS)
B)Coordinating of the nervous system activities
C)Detecting sensory changes
D)Transporting nutrients
Q2) Which of the following combinations reflect the specificity of beta-receptors?
A)Beta-1 receptor for the heart and beta-2 receptor for the respiratory system
B)Beta-1 receptor for the respiratory system and beta-2 receptor for the heart
C)Beta-1 receptor for skeletal muscle and beta-2 receptor for the heart
D)Beta-1 receptor for the heart and beta-2 receptor for the gastrointestinal system
Q3) All benzodiazepine medications are:
A)C-II
B)C-III
C)C-IV
D)Not scheduled
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Chapter 16: Therapeutic Agents for the Endocrine System
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Q1) Vasopressin is another term for which of the following hormones?
A)ADH
B)Calcitonin
C)Follicle-stimulating hormone
D)GH
Q2) What is the largest gland of the endocrine system?
A)Pituitary
B)Adrenal
C)Thyroid
D)Pancreas
Q3) Glucocorticoids, such as cortisol, have all of the following effects except:
A)Increases glucose levels.
B)Increases inflammation.
C)Increases the capacity to cope with stress.
D)All of the above are effects of glucocorticoids.
Q4) Which of the following types of diabetes is the least common?
A)T DM
B)T DM
C)Diabetes insipidus
D)All occur equally in the population
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Chapter 17: Therapeutic Agents for the Musculoskeletal System
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Q1) Which of the following risk factors contribute(s) to the development of osteoarthritis?
A)Advanced age
B)Obesity
C)Overuse and trauma of the joints
D)All of the above
Q2) The only COX-2 inhibitor available in the United States is:
A)Celebrex
B)Vioxx
C)Mobic
D)Motrin
Q3) Fosamax, Actonel, and Evista are all used for:
A)Osteoporosis
B)Osteoarthritis
C)Gout
D)Skeletal muscle pain
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Page 19
Chapter 18: Therapeutic Agents for the Cardiovascular System
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Q1) The difference between ACE inhibitors and ARBs is:
A)Only ACE inhibitors are used for hypertension.
B)ACE inhibitors stop the production of angiotensin II, and ARBs inhibit the effects of angiotensin II.
C)Only ARBS are used for hypertension.
D)None of the above answers apply.
Q2) The most prescribed antianginal agent is:
A)Nitroglycerin (NTG)
B)Digoxin
C)Furosemide
D)Diltiazem
Q3) Which medication binds to bile acids in the GI tract, preventing their reabsorption to lower cholesterol levels?
A)Questran
B)Niacin
C)Mevacor
D)Lopid
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Page 20
Chapter 19: Therapeutic Agents for the Respiratory System
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Q1) When should an antiviral medication for the treatment of influenza be started?
A)Within 48 hours of the first symptoms
B)One week after exposure to someone with influenza
C)After getting the vaccine
D)None of the above
Q2) Average respiratory rates are:
A)12 to 18 breaths per minute for an adult
B)8 to 12 breaths per minute for a 6- to 12-year-old child
C)30 to 60 breaths per minute for an infant from birth to 1 year of age
D)A and C
Q3) The exchange of oxygen and carbon dioxide within the respiratory system takes place in the:
A)Trachea
B)Alveoli
C)Bronchioles
D)Pharynx
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21
Chapter 20: Therapeutic Agents for the Gastrointestinal System
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Q1) The generic name for Pepcid is:
A)Cimetidine
B)Famotidine
C)Nizatidine
D)Ranitidine
Q2) One difference between Crohn disease and ulcerative colitis is:
A)Crohn disease involves inflammation.
B)Crohn disease can affect the entire GI system.
C)Symptoms of Crohn disease include cramping and diarrhea.
D)Crohn disease may require dietary changes.
Q3) All of the following are functions of the GI system except:
A)Absorption
B)Digestion
C)Distribution
D)Excretion
Q4) Risk factors for GERD include:
A)Obesity
B)Smoking
C)Pregnancy
D)All of the above
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Chapter 21: Therapeutic Agents for the Renal System
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Q1) Which of the following is not a proper treatment for UTIs?
A)Septra for bacterial infections
B)Fluconazole for fungal infections
C)Tetracycline for Chlamydia infections
D)Zyloprim for gonorrheal infections
Q2) The functional unit of the kidney is the:
A)Nephron
B)Loop of Henle
C)Collecting duct
D)Bowman capsule
Q3) Which of the following is not a cause of kidney stones?
A)Genetic predisposition
B)Gout
C)Excessive dietary intake of calcium
D)Hyperparathyroidism
Q4) Which of the following is not a loop diuretic?
A)bumetanide (Bumex)
B)torsemide (Demadex)
C)furosemide (Lasix)
D)spironolactone (Aldactone)
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Chapter 22: Therapeutic Agents for the Reproductive System
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Q1) Which of the following statements is(are) not true of testosterone?
A)Testosterone is responsible for sperm maturation.
B)It is responsible for a boy's voice changing.
C)Testosterone increases muscle development.
D)The testes are responsible for the production of testosterone.
Q2) The ED medication available as an intracavernous injection and a urethral suppository is:
A)Sildenafil
B)Vardenafil
C)Tadalafil
D)Alprostadil
Q3) Because anabolic steroids that are used for infertility and hypogonadism have the potential for abuse, they are schedule _______ controlled substances.
A)C-II
B)C-III
C)C-IV
D)C-V
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Page 24
Chapter 23: Therapeutic Agents for the Immune System
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Q1) Which of the following is(are) autoimmune disorders?
A)Systemic lupus erythematosus (SLE)
B)Psoriasis
C)Rheumatoid arthritis (RA)
D)All of the above
Q2) Many diseases that were previously responsible for illnesses and deaths are now rare because:
A)Immunizations have widespread use.
B)Humans have naturally developed antibodies.
C)Better sanitation practices exist worldwide today.
D)More people visit physicians.
Q3) Side effects for azathioprine (Imuran) include:
A)Bone marrow suppression
B)Nausea and vomiting
C)Increased risk of infection
D)All of the above
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25
Chapter 24: Therapeutic Agents for the Eyes, Ears, Nose, and Throat
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Q1) Where in the pharmacy would latanoprost (Xalatan) be found?
A)On the shelf with the ophthalmic products
B)On the shelf with the optic products
C)In the refrigerator
D)In the narcotics drawer
Q2) The ear is responsible for:
A)Hearing
B)Balance
C)Maintaining equilibrium
D)All of the above
Q3) Which of the following products is a prescription indicated for the treatment of severe dry eyes?
A)Artificial tears
B)cyclosporine (Restasis)
C)bimatoprost (Lumigan)
D)timolol (Timoptic)
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26
Chapter 25: Therapeutic Agents for the Dermatologic System
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Q1) A lack of hair growth is called:
A)Alopecia
B)Hirsutism
C)Keratinitis
D)Sebaceousness
Q2) If a customer complains of head lice, then he or she can be advised to:
A)Visit a physician to be given a prescription.
B)Wash his or her hair in really hot water with a regular shampoo.
C)Talk to a pharmacist about one of the OTC treatments.
D)Use diphenhydramine for the itching.
Q3) The first-line therapy for psoriasis is usually:
A)Topical
B)Oral
C)Ultraviolet (UV) light
D)Administration of an intravenous medication
Q4) Pruritis is the medical term for:
A)Skin inflammation
B)Acne
C)Itching
D)Rash
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Chapter 26: Therapeutic Agents for the Hematologic System
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Q1) Side effects of iron therapy may include:
A)Nausea and vomiting
B)Constipation
C)Dark stools
D)All of the above
Q2) Which one of the following generics is not an antibiotic used in chemotherapy?
A)Bleomycin
B)Cyclophosphamide
C)Mitomycin
D)Daunorubicin
Q3) Which of the following medications are not associated with drug-induced thrombocytopenia (low platelet count)?
A)Heparin
B)Vancomycin
C)Phenytoin
D)All of the above
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Page 28
Chapter 27: Over-The Counter OTC Medications
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Q1) Which of the following second-generation antihistamines are available in OTC strengths?
A)Claritin
B)Allegra
C)Zyrtec
D)All of the above
Q2) To what does the "D" in Claritin D refer?
A)Decongestant
B)Pseudoephedrine
C)Dextromethorphan
D)A and B
Q3) Which of the following products need to be kept behind the counter attributable to restriction of sales?
A)Plan B
B)Sudafed
C)Claritin D
D)All of the above
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Chapter 28: Complementary and Alternative Medicine
Cam
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Q1) Many of the CAMs are used for prophylaxis, which means to:
A)Treat specific conditions
B)Prevent disease
C)Monitor a disease
D)None of the above
Q2) Which of the following statements is(are) not true of herbs and herbal supplements?
A)Herbs and herbal supplements are considered dietary supplements.
B)They are subjected to different U.S.Food and Drug Administration (FDA) regulations than drugs.
C)They are natural and therefore not harmful.
D)All of the above statements are true.
Q3) Which of the following statements is(are) true about acupuncture?
A)Acupuncture is based on the Chinese belief that the body is made of energy channels.
B)It involves the use of hand pressure at various points of the body.
C)Acupuncture is a cure for addictions.
D)Both answers A and B are true.
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