Test Prep Book Review

Question 1

DEA 41

Answer 1

Form used to destroy controlled substances

Question 2

DEA 222

Answer 2

Triplicate form - receive, order or return C2’s

Complete or incomplete must be kept for 2 years - hold for 2 years

Question 3

DEA 106

Answer 3

Used to report lost or stolen controlled substances.

Must also notify DEA diversion office and HPD

Question 4

DAW 1

Answer 4

Substitution not allowed
DISPENSE AS WRITTEN
BRAND ONLY

Question 5

DAW2

Answer 5

Substitute allowed, pt requests brand

Question 6

DAW3

Answer 6

Substitute allowed, RPh selected brand

Question 7

DAW4

Answer 7

Substitute allowed, generic not in stock

Question 8

Product may cause temporary but reversible adverse effects and there is little likelihood of serious adverse effects

Answer 8

Drug Recall Class II

Question 9

There is a strong likelihood that the product will cause serious adverse effects or death

Answer 9

Drug Recall Class I

Question 10

Product is not likely to cause adverse effects

Answer 10

Drug Recall Class III

Question 11

Act that requires RPh to provide patient counseling when dispensing a prescription

Answer 11

OBRA - Omnibus Budget Reconciliation Act

Question 12

Which schedule controls must be counted exactly?

Answer 12

CII AND any containers that hold more than 1,000.

Question 13

The number of days it takes to use the complete stock or an item

Answer 13

Turn over rate

Question 14

CIII and CIV allowable refills?

Answer 14

Up to 5 times within 6 months of issue date

Question 15

NDC number breakdown

Answer 15

XXXXX-YYYY-ZZ

X: manufacturer
Y: strength
Z: bottle size

Question 16

Any error in the dispensing or administration of a drug

Answer 16

QRE - quality related event

Question 17

Medications that you need to pay special attention to because they can cause significant harm when calculation or other errors are made.

Answer 17

High Alert medications.

Question 18

Examples of high alert medications

Answer 18

Narcotics
Parenternal nutrition preparations
Sterile water for injection

Epinephrine, Oxytocin, Vasopressin, Insulin I-500

Question 19

Which have prescription processing requirements and are part of the restricted drug program?

Answer 19

Isotretinoin
Thalidomide
Clozapine

Question 20

Are suffixes standardized, or can different suffixes be used for an identical formulation and vice versa?

Answer 20

NOT standardized

Question 21

What should you avoid while taking Warfarin?

Answer 21

Vitamin K (potassium)
- leafy greens vegetables or any others high in vitamin K

Aspirin

Antibiotics

Question 22

beat-blockers can worse asthma

Pseudoephedrine can increase the blood pressure of those with hypertension

Answer 22

Drug-Disease interaction

Question 23

What should you avoid while taking statins and why?

Answer 23

Grapefruit juice

Because GFJ decreases metabolism is statins causing muscle or liver damage (due to build up of statins in the body)

Question 24

carcinogenicity

Answer 24

the ability to cause cancer

Question 25

teratogenicity

Answer 25

the ability to harm fetal development

Question 26

hepatotoxicity

Answer 26

the ability to harm the liver

Question 27

nephrotoxicity

Answer 27

the ability to harm the renal system

Question 28

hematological effects

Answer 28

blood clot bleeding etc

Question 29

gastrointestinal effects

Answer 29

ulcers nausea diarrhea

Question 30

CNS effects

Answer 30

drug dependence tolerance resistance

Question 31

DEA 222 copy 1 (top)

Answer 31

Supplier

Question 32

DEA 222 copy 2

Answer 32

sent to DEA

Question 33

DEA 222 copy 3

Answer 33

retained by the purchaser (pharmacy)

Question 34

what control class can be refilled as many times are specified by the prescriber?

Answer 34

CV

Question 35

how many times can a CIII and CIV be refilled?

Answer 35

up to 5 times in 6 months

Question 36

iPledge program drug, use and requirements

Answer 36

isotretinoin (Claravis) - severe acne iPledge - MD and patient both fill out their part consent form Redo every 30 days Blood test before and 30 days after Pregnancy tests and 2 forms of birth control Filled and picked up within 7 days (date of pregnancy test is day 1)

Question 37

STEPS drug, use and requirements

Answer 37

thalidomide (Thalomid) - leprosy/skin cancer used to be used for morning sickness, caused birth defects in thousands similar steps to iPledge

Question 38

restricted drug program that monitors white blood cells

Answer 38

clozapine antipsychotic

Question 39

PSE sales restrictions - daily limit

Answer 39

3.6g

Question 40

PSE sales restrictions - monthly limit

Answer 40

9g

Question 41

Provides standards compounding NON-sterile drugs

Answer 41

USP-795

Question 42

Provides standards compounding STERILE drugs

Answer 42

USP-797

Question 43

contains information on chemicals, identifying characteristics, flammability, volatility, and what to do in case of a spill or emergency. Required in EVERY pharmacy.

Answer 43

MSDS - Material Safety Data Sheets

Question 44

blood pressure reading as your heart pumps blood through the body

Answer 44

systolic reading

Question 45

blood pressure reading as your heart relaxes and fills back up with blood

Answer 45

diastolic reading

Question 46

140/90

Answer 46

“Normal” blood pressure

Question 47

“bad” cholesterol that builds up on arterial walls should be below ___

Answer 47

LDL: low-density lipoproteins below 100mg/dL

Question 48

“good” cholesterol that pick up cholesterol in the body and deliver it to the liver good range?

Answer 48

HDL: high-density lipoproteins 40-50 mg/dL Men 50-60 mg/dL Women

Question 49

range for total cholesterol

Answer 49

below 200 mg/dL