Pharmacy Technician Certification Exam Tutoring Program




Pharmacy Technician Certification Exam Tutoring Program
Comprehensive PTCE review is developed exclusively for you to succeed. Led by a CPhT/RPh/MS Ph/Pharmacist Educator who has highly experienced in formal teaching, hospital, community, and clinical practice.



Contact information:
PTCE Tutoring Program
1516 S 27 ST, Nederland TX, 77627
Office hours: 9 am - 7 pm CST
Email add:jhoan_mccabe@yahoo.com
Telephone number: 409-9884601
www.pharmacytechreview.com
Method of Payment: PayPal, credit card, western union, money order checks, checks


Services:
2-3 weeks of Tutoring Program for Pharmacy Technician Certification Exam: $100
Pharmacy Technician Certification Exam One week Intensive review: $65
Pharmacy Technician Certification Exam Four week Intensive review: $100
Special Offer- Pharmacy Tech Calculation 4 hour Live chat tutoring on Skype: $100


One week Intensive review focuses on the following PTCE exam content:
2 days of review (66% of exam)- Assisting the Pharmacist in serving patients modules
 2 daysof  review (22% of exam)-Maintaining medication inventory control systems modules
4 days of review (12% of exam)- Introduction to pharmacy, pharmacology and pharmacy law
Pharmaceutical Calculations (IV admixtures, IV calculation, Pediatric conversion of liquid and solid dosage forms, percentage and ratios, compounding and commercial calculation)
Practice questions and answers in every topic
Drug categories, top 200 brand and generic name, drug therapeutic uses/functions, Pharmaceutical terms and medication abbreviations
Tips on how to memorize the important details, and terms
1 hour bonus One-on-one live chat tutoring on Skype.
Candidates/Participants/Test takers- Available for Pharmacy Tech graduates, Bachelor's degree, and other Allied healthcare professionals who want to be a National Certified Pharmacy Technician.


2 week Intensive review focuses on the following PTCE exam content:
4 days of review (66% of exam)- Assisting the Pharmacist in serving patients modules
4 days of review (22% of exam)-Maintaining medication inventory control systems modules
6 days of review (12% of exam)- Introduction to pharmacy, pharmacology and pharmacy law
Pharmaceutical Calculations (IV admixtures, IV calculation, Pediatric conversion of liquid and solid dosage forms, percentage and ratios, compounding and commercial calculation)
Practice questions and answers in every topic
Drug categories, top 200 brand and generic name, drug therapeutic uses/functions, Pharmaceutical terms and medication abbreviations
Tips on how to memorize the important details, and terms
1 hour bonus One-on-one live chat tutoring on Skype.

Candidates/Participants/Test takers- Available for High school diploma graduates, Pharmacy Tech graduates, Bachelor's degree, and other Allied healthcare professionals who want to be a National Certified Pharmacy Technician.





4 week Intensive review focuses on the following PTCE exam content:

First week-
Introduction to pharmacy modules:
Receiving the medication order
The written prescription order
Authentication and Clarification of the prescription order
Accepting refill request
Dispensing the correct medication
Preparation and utilization of the patient profile
Interpreting the prescription order
Proper storage and delivery  of drug products
Preparation of unit doses
Compounding of prescriptions
Medication Abbreviations
Dosage forms and conversions
Drug classifications and functions, top 200 brand name and generic name

Second week-
Pharmacy calculations (Well explained in step-by-step manner) modules:
Fractions, decimals and algebra review
System of measurement
Using percentages and ratios
Pediatric and parenteral dosages
IV calculations
IV admixtures
Compounding drugs by procedure
Reducing and Enlarging formulas

Third Week-
Pharmacy law, rules and regulations/participating in the administration and management of pharmacy practice

Fourth week-
500 practice questions and answers/self assessment/ exercises.
Bonus: One-on-one 2 hour Live chat tutoring via Skype
Candidates for 4 week intensive review: pharmacy tech students, CNA or nursing assistant employees, high school graduates, full time parents, waitress and other employees who want to become a certified national pharmacy technician




The PTCE Intensive review course / PTCE tutoring program is organized in the best possible presentation to maximize student learning and comprehension of the scope of the pharmacy technician profession. It is an affordable, practical, and effective tool of learning. Key to pass the PTCE in just one take! This Intensive review is ideal no matter how long it's been since you graduated. When you complete the review course, you will be confident in your ability to take the PTCE examination.  After finishing the review of PTCE, you can go to www.ptcb.org to register for the PTCE exam.

Welcome to one of the fastest growing fields in medical care--the pharmacy technician. The rapid growth in the field of pharmaceutical therapeutics has created opportunities for a variety of well-trained technical personnel; physician assistants, medical assistants, nursing assistants, and pharmacy technicians.
The position of pharmacy technician has expanded from a simple assistant position to one of great responsibility in patient care. The pharmacy technician is now responsible for a variety of duties in the pharmacy--legal record-keeping, dispensing of prescriptions, proper inventory, storage, and maintenance of drugs. Additionally, the pharmacy technicians play a role in patient care by assisting the pharmacist in evaluating the various aspects of patient care. The growing demand for these trained personnel is due, in large part, to the rapidly expanding area of drug research and drug discovery. The pharmacist simply does not have enough time to keep up with recent advances in drug therapy and new dosage delivery systems, counseling patients and physicians, and other duties such as drug dispensing, ordering and the record-keeping that is required by law.

Pharmacy Technician Exam curriculum has 3 general areas:
1. Assisting the Pharmacist in Serving of patients
2. Pharmacy calculations
3.Pharmacy Law, Introduction to pharmacy and pharmacology

Pharmacy Calculations is divided into three main sections:
1. Basic Arithmetic
2. Calculations for community pharmacy
3. Calculations for institutional pharmacy



Overview:

About the CPhT requirements

1. Must pass the PTCB- 100 items (2 hrs.)
2. Three general areas of PTCB: (70%)
a. Assisting Pharmacist in Serving Patients (66%)
- Common Medications Abbreviations / Drugs Category
- Interpretation of Rx order
- Preparation & use of the patient profile
- Dispensing, labeling, storage, & delivery of medications
- Top 200 frequently prescribed drugs
- Pharmacy Calculations ( dosage conversion, IV medications, preparation of IV admix, commercial calculations)
b. Maintaining medications and inventory control system: 22%
- Procedures for ordering & inventory of drugs, drug products & devices,
- drug prepackaging & distributions, unit dose distribution, labeling and mandatory record-keeping

c. Pharmacy Practice Management and administration: 12%
- Pharmacy law
- Communications
- Cleanliness
- Infection control

3. Apply for a license- ( after obtaining PTCB passing scale score)

Pharmacy Technician duties:

Community Pharmacy

• To provide assistance to the pharmacist
• Help patients who are either dropping of or picking up prescriptions
• Enter prescription data into the computer
• Create patient profiles, update patient profiles
• Contact insurance companies regarding reimbursement for covered Rx
• When handling a Rx pick-up, the pharmacy tech should always verify the patient’s information (ex. Data of birth of the patient)
• Assisting pharmacist with filling and labeling Rx, prepare and stocks inventory
• Answers telephone and communicates with suppliers and physicians’ offices
• Other duties: placing orders, receiving orders and stocking supply shelves
• May also assist with compounding medications, as well as training and orienting new employees
• The pharmacy technician may also participates in community teaching and awareness activities

Institutional setting:

• Transporting medications and other equipment from the pharmacy to the hospital units or clinics
• Responsible for picking up orders from physicians and bringing them to the pharmacy
• Assists with preparing medication cassettes, w/c are generally located at the nursing station.
• Maintaining inventory and also answering the telephone

Managed Care setting:

• Frequently involved in handling telephone calls from the patients with questions regarding their managed care pharmacy benefit and communicates with managed care providers as well as physicians
• Responsible for handling claim rejections
• Responsible for maintaining a detailed record of all claims and questions handled over the phone
• Responsible for developing written reports regarding the pharmacy service


Online Pharmacy Tech Intensive review practice questions!

DEA number- the number all prescribers of controlled substances are assigned and which must be used on all controlled drug prescriptions. E.g. DEA number: AB1234563
Formula: AB1234563
A, B or F letters are assigned as the first letter if the prescribers are the following: dentist, physicians, medical doctors, podiatrist.
M letter is assigned as the first letter if the prescriber is a mid practitioner, e.g.: physician assistant or nurse practitioner.
The second letter of the DEA number is the first letter of the prescriber’s last name.
Get the sum of the first, third and fifth digits = 1+3+5 = 9
Get the sum of second, fourth, sixth digits and multiply the sum by 2 = 2+4+6 = 12 X 2 = 24
Get the total = 9 + 24 = 33
The total should be a number whose last digit is the same as the last digit of the DEA number on the prescription. So 33, the DEA number is consistent with the formula.

Did u get it? If u are confuse, contact the instructor!

Sample PTCE Practice questions calculations:

1. 17 mg—mcg
2. 5.8 g---mg
3. 10 gr---g
4. 5 tbsp---ml
5. 0.15 L----ml
6. 7 kg----mg
7. 5 floz---ml
8. 18 oz---gr
9. 15 ml--- tsp
10. 45 mcg----g


1. 45 degree Celsius to degree Fahrenheit
2. 110 F--- C



Infant Dose:

1. An antibiotic IV is prescribed for an infant. The dose is to be 15mg/kg twice a day. The baby weighs 18 lbs. How much drug is to be given for one dose?

2. Infusion:

a. Infuse 1000 ml over 8 hours. What is the rate of infusion in ml/hr?
b. The rate of infusion is 100 ml/hr given and the volume of the infusion is 1000 ml, how long will this bag last?
c. The flow rate of an IV infusion ordered by a physician is 125 ml/hr. The IV set to be used for the infusion is calibrated at 15 drops/ml. Calculate the rate of flow in drops/min.
d. A physician orders 12,500 units of heparin in a 1000ml bag of 5% Dextrose injection for a patient. The rate of infusion is 500 units over one hour. What will be the rate of infusion in ml/hr?
e. A 1 liter bag of D5W is to be run at 100 ml/hr. The bag is started at 8:00 am. What time will the bag finish?

3. A physician orders a chemotherapy drug in a dose of 5mg/m2. If the patient has a BSA of
2.1 m2, what will be the dose in mg?

Pediatric Dose

1. A child weighs 30 lb and is 4 yr. old, the adult dose of Keflex is 250 mg. Calculate the child dose?
2. The child weighs 40 lb and the adult dose of Keflex is 250 mg. Calculate the child dose?

PTCE calculations

Reducing and Enlarging Formulas:

1. Enlarging Formulas: ( Fast rack antibiotic ointment)

A Procedure for making 500 g of antibiotic ointment is as follows:

Neomycin 2.5 g
Bacitracin 4.0 g
Polymixin B 320 mg
Liquid Petrolatum 150 g
White Petrolatum 343.18 g

Note: The pharmacy needs 1000 g of antibiotic ointment (Instead of 500 g)

Solution:

1st Step: Determine the Conversion Factor
CF = the amount needed /The amount specified in the procedure

2nd Step: Multiply the amounts of all of the given ingredients by the CF

2. Reducing Formulas:

Note: The Pharmacy thinks that the antibiotic ointment is slow moving, and want to make less than the procedure specifies. The amount needed is 200 g instead of 500 g.

Solutions:

CF = Amount desired / Amount specified

Multiply all of the original amounts by CF.

Do u want to check your answer? Contact the instructor!

1. A Rx calls for 50 mg of a drug that you have in a 125mg/2.5ml concentration. How many ml of the liquid do you need?
2. A Rx calls for 8 g of a drug that you have in a 50 mg/ml concentration. How many ml of the liquid do you need?
3. A Rx calls for 10 mg of a drug that you have in a 0.002 mcg/30 ml. How many ml of the liquid do you need?
4. KCl 10 meq and K acetate 15 mEq in D5W 1.5 L is ordered to be administered over 16 hours. What would the rate be in ml/min.?
5. A Rx calls for 0.24 mg of a drug that u have in a 50 mcg/ml concentration. How many ml of the liquid do you need?

B. Convert the following ratio to Percent:

1. 1:65
2. 22:56
3. 1:1000
4. 2:100
5. 7:25 ( in order to convert this ratio to percent, both numerator and denominator must be multiplied by 4, then do the formula)

C.

1. Express 2:1000 in mg/ml
2. An ophthalmic solution contains 1% drug solution. If a patient uses 0.2 ml of drug per eye, what is the dose of drug being placed in each eye?
3. A bottle contains 10 ml of 8% solution. The dose is 6 mg. How many doses are contained in the bottle?
4. You are making lactated ringer’s solution. The procedure calls for 28 g of lactic acid per liter. What is the percentage of lactic acid
5. 6.5 L of cream contains 15 g menthol. What is the percentage of menthol? ( Hint: convert 6.5 L to ml first)
6. How many mg of cortisone cream are in 10 g of 3% cortisone cream?
7. A solution of drug is 25 mg/ml. What is the percentage of a drug in the solution?
8. How many mg of drug are in 15 ml of 2:100 solution?
9. Express 56% in terms of ration
10. Your order is 2 mg of epinephrine, and the available stock is a 2:300 solution. Calculate the amount dispensed?

1. Convert the ff: fractions to percents:

a. 60/100
b. 80/100
c. 12/100

2. Convert the ff % to decimals:

a. 50%
b. 12.5%
c. 99%

3. Convert the ff: ratios to fractions and percents

a. 1:100
b. 25: 100
c. 60:100

4. You have a 70% dextrose solution. How many grams in 50 ml of solution can u prepare?
5. You have a 70 % dextrose solution. How many grams in 75 ml of solution can prepare?
6. You have a 70% dextrose solution. How many grams in 20 ml of solution can u prepare?


7. You have a 50% dextrose solution, how many ml will give u:

a. 25 g of dextrose
b. 35 g
c. 10 g


8. You have a liquid that contains 12mg/10 ml. What percent is this liquid?


IV Calculation of Dose per Time:

Concentration Formula:

Amount of drug added to the IV / Volume of fluid in the IV bag

Ex:
Aminophyllin 500 mg in NS 250 ml.

Solution:

500 mg Aminophyllin / 250 ml NS = 2 mg / ml

Flow Rate Formulas:

I. FR = Amount of fluid in the IV bag (or the vol. in ml/hr, ml/min) / the time
that it takes the bag to empty

II. FR = D/T divided by C

Ex:
A 1000 ml bag of NS runs in over 8 hours. What is the FR?

1000 mL / 8 hr = 125 ml/hr or 2.08 ml/min.

Do you want more explanation and clarification for better understanding?
Contact the instructor!

Ex: Practice Exercise # 1
You prepare a 500 ml bag of D5W containing 1,000 units of heparin. The solution is to be infused over 2 hours. Calculate the dose per time or the hourly dose of heparin administered to the patient?

Solution:

Practice Exercise # 2

A 1 L bag of ½ NS contains 1,000 mg of Ca gluconate. The FR is 25 gtt/min, & the drop factor is 15 gtt/ml. What is the hourly dose of Ca gluconate?



Liquid Metric Household

1 L = 10 dl = 1000 ml 1 tsp = 5 ml
1 dl = 0.1 L = 100 ml 1 tbsp = 3 tsp = 15 ml
1 ml = 0.001 L = 0.01 dl 1 cup = 8 fl oz

Solid Metric Temperature

1 kg = 1000 g Degree Celsius = (F-32) X (5/9)
1 g = 0.001 kg = 1000 mg Degree Fahrenheit = C X (9/5) + 32
1 mg = 0.001 g = 1,000 mcg
1 mcg = 0.001 mg

Avoirdupois Conversions between systems

1 lb = 16 oz 1 L = 33.8 fl oz
1 oz = 437.5 gr 1 pt = 473.167 ml
1 gr = 64.8 mg (0.064 g) 1 fl oz = 29.57 ml
1 kg = 2.2 lb
Apothecary 1 lb = 453.59 g
1 oz = 28.35 g
1 gal = 4 qt 1 g = 15.43 gr
1 qt = 2 pt 1 gr = 64.8 mg
1 pt = 16 fl oz
1 fl oz = 8 fl dr
1 fl dr = 60 m

Do you want to know the tips/techniques on how you can memorize the conversion factors easily and solve the problem solving easily? Contact the Instructor!





Sample Drug categories
 
Functions / Therapeutic uses / Classifications of Drugs

• Antihypertensive agents or Drugs that lower high blood Pressure ( Thiazide, BB’S-lol, CCB- pine, A2RB- tan, ACE I’s- pril, Diuretic- mide)
• Anti-inflammatory durgs/ Pain relievers – DEA Sch 3, Opiod Recovery DEA Sch 3
• Antidepressant drugs- Benzodiazepines- DEA sch. 4, SSRI, Sleep aid medicine
• Anticholesterol drugs- Statin
• Hormone replacement- Treatment for hypothyroidism
• Antibiotics- penicillin, quinolone, tetracycline, macrolide
• Antidiabetic
• PPI- prazole (Proton pump inhibitors- reduce gastric acid production)
• Platelet Aggregation Inhibitors
• Leukotriene Inhibitors( Treatment for asthma & seasonal allergies)
• Antipsychotic
• Beta agonist
• Corticosteroid
• Birth control
• Erectile dysfunction
• Anticonvulsant
• Inhaled Steroid
• Antiviral
• Antimicrobial
• Antihistamine
• Antinausea
• Smoking cessation
• Analgesic
• ADHD
• Antifungal
• Parkinsons
• Overactive Bladder
• Anti Spasmodic
• Muscle relaxant/relaxer
• Antigout
• Prostate / Enzyme Inhibitor
• Topical Antibacterial
• Cough Supressant
• Anxiolytic / hypnotic

Classifications of Drugs:

Anti-psychotic agents:

• Quetiapine
•Risperidone
• Aripiprazole
• Olanzapine

Anti-microbial agents:

• Clindamycin
• Metronidazole
• Nitrofurantoin

Anti-diabetic agents:

• Glipizide
• Glyburide
• Sitagliptin
• Metformin

Anti-viral:

• Valacyclovir
• Oseltamivir
• Acyclovir

Anti-convulsant:

• Levetiracetam
• Pregabalin
• Divalproex
• Lamotrigine
• Topiramate
• Phenytoin

Anti-alzheimer:

• Memantine

Anti-nausea:

• Ondasetron

Anti-spasmodic:

• Dicyclomine

Muscle Relaxer:

• Baclofen
• Methocarbamol

Anti-fungal:

• Ketoconazole

Cough suppressant:

• Benzonatate

Antivertigo:

• Meclizine

Headache reliever:

• Butalbital / APAP/ Caff

Erectile Dysfunction:

• Vardenafil
• Tadalafil
• Sildenafil

Inhaled Steroid:

• Triamcinolone

Antidepressant:

• Trazodone
• Duloxetine
• Venlafaxine
• Amitriptyline
• Citalopram
• Bupropion
• Mirtazapine

The instructor has a lot of tips on how u can memorize the fast rack drugs easily!

Practice Exercises:

1. A child weighs 60 lb and is 7 yrs. Old. The adult dose of Cephalexin is 250 mg. Calculate the Young’s rule and Clark’s rule.
2. Using a BSA of 0.8 m, calculate the dose for a child, if the adult dose of kanamycin is prescribed is 40 mg/m.
3. The dose of amoxicillin prescribed for a 66 lb child is 250 mg tid. The label gives a safe dose range of 25-65 mg/kg/day. Is the dose safe?
4. 5 C = ____ F
5. 86 F = _____C
6. A patient receives 250 ml of normal saline in 2 hours. What is the hourly flow rate?
7. A patient is to receive 1 L of heparinized saline in a one-hour infusion. What is the flow rate in ml/minute?
8. 1.5 L of NS is infused at 150 ml/hr. How long will the infusion go?
9. You have an order for aminophylline 250 mg in 250 ml NS to run for 6 hours. The infusion set is labeled 40 gtt/ml. What is the flow rate in drops per minute?
10. You have a bag of saline with an infusion apparatus that is labeled 7.5 gtt/ml. The flow rate is 30 gtt/min. What is the hourly rate of infusion?
11. 2 L of saline is infusing at a rate of 200ml/hr. How much saline does the patient get in 60 minutes?
12. How many mg are in 15 ml of a 5 % solution?
13. How many mg of drug are in 5 ml of a 1:100 solution?
14. A solution of drug 50 mg/ml. What is the percentage of drug in the solution?
15. 500 ml of cream contains 5 g menthol. What is the percentage of menthol?
16. What is the concentration in mg/ml of a 7% solution?
17. Express 1:1000 in mg/ml?
18. You need 80 ml of a 2% solution of boric acid. You have a 1% solution and a 5% solution in stock. How much of each solution do you need?
19. An adult dose of Phenobarbital is 100 mg. Calculate the dose for a child weighing 22 lb.
20. Your order is for 1 mg of epinephrine, and the available stock is a 1:100 solution. What is the volume dispensed?
21. 200 ml is added to 350 ml of 35% solution. What is the final percent concentration?
22. You are to prepare as much 40% dextrose solution as you can from 200 ml of 70% dextrose solution. How many ml of water do you need to add to the 70% dextrose solution?
23. If 500 ml of a 30% solution is diluted to 750 ml, what will be the percent strength of the resulting solution?



Practice Problems- Flow rate:

1 L of saline is administered over 10 hours. Find the flow rate in (a) ml per hour and (b) ml/min?












2. The infusion set used with the IV bag in question # 1 states that the drop factor is 15 gtt/ml. Calculate the flow rate in gtt/min.















3.You have an order for aminophylline 250 mg in 250 ml NS to run for 8 hours. The infusion set is labeled 60 gtt/ml. What is the flow rate in drops per minute?












4.The order is 150 ml of NS infused over 3 hours. The infusion set is labeled 60 gtt/ml. Calculate the flow rate in gtt/min.










5. 600 ml of Ringer’s lactate runs for 10 hours. The flow rate is 60 gtt/min. Calculate the drop factor.










6. You have a bag of saline with an infusion apparatus that is labeled 15 gtt/ml. The flow rate is 60 gtt/min. What is the hourly rate of infusion?










7. 1 L of saline is infusing at a rate of 100 ml/hr. How much saline does the patient get in 40 minutes?











8. 300 ml of D5W ½ NS is delivered in 90 minutes. Your drop factor is 10 gtt/ml. Calculate the flow rate in gtt/min.















9. 120 ml of NS is to be administered in 30 minutes using an infusion set labeled 15 gtt/ml. What is the flow rate in gtt?min?




















10. 1 L of NS is infused at 100 ml/hr. How long will the infusion go?



Identify the Classification/Function/Therapeutic Use of the ff: drugs:

A. Antihypertensive agents
B. Lowering cholesterol level
C. Antidiabetic agents
D. DEA Sch 4- Antidepressant
E. Antidepressant agent not DEA Sch 4
F. Platelet Aggregation Inhibitor
G. Antibiotic- Penicilin
H. Antiasthma- Leukotiene Inhibitor
I. Inhaled Steroid
J. PPI- reduce gastric acid
K. Muscle relaxant

1. Metoprolol
2. Simvastatin
3. Lisinopril
4. Metformin
5. Norvasc
6. Flonase
7. HCTZ
8. Singulair
9. Nexium
10. Xanax
11. Zoloft
12. Tenormin
13. Amoxil
14. Flexeril
15. Pavix


Identify the Generic name of the ff: drugs. Multiple Choice:

1. Allegra a. Alendronate b. Fexofenadine c. Amitriptyline

2. Fosamax a. Osendronate b. Alendronate c. Disendronate

3. Valium a. Diazepam b. Lorazepam c. Temazepam

4. Diovan a. Candesartan b. Valsartan c. Losartan

5. Mobic a. Meloxicam b. Duloxetine c. Naprozen

6. Elavil a. Nortriptyline b. Imipramine c. Amitriptyline

7. Prevacid a. Omeprazole b. Lansoprazole c. Esomeprazole

8. Actos a. Rosiglitazone b. Pioglitazone c. Thiazolidone

9. Medrol a. Methylprednisolone b. Prednisolone c. Meprobamate

10. Diflucan a. Fluconazole b. Ketoconazole c. Omeprazole

11. Coreg a. Metoprolol b. Carvedilol c. Atenolol

12. Advair a. Fluticasone + Salmeterol b. Fluticasone + Albuterol c. Fluticasone

13. Catapres a. Nifedipine b. Clonidine c. Cardepine

14. Levaquin a. Levofloxacin b. Levox c. Ciprofloxacin

15. Viagra a. Sildenafil b. Enalapril c. Glimepiride

16. Amaryl a. Glucoride b. Glimepiride c. Glipizide

17. Celebrex a. Celecob b. Celexa c. Celecoxib

18. Tricor a. Fenofibrate b. Fentanyl c. Gemfibrozyl

19. Vasotec a. Captopril b. Enalapril c. Lisinopril

20. Nasonex a. Mometasone b. bethametasone c. Dexamethasone





II. Matching Type: Identify the Classification/function/therapeutic use:

A. Steroid Anti-inflammatory
B. NSAID ( non steroidal anti-inflam drug) COX-2 Inhibitor
C. Insulin
D. Corticosteroid
E. Antipsychotic
F. Anti-Depressant
G. PPI (proton pump inhibitor)
H. Pain relief (DEA Sch 4)
I. Histamine Blocker
J. Muscle Relaxant
K. Pain relief DEA sch. 2
L. Statin ( lowering cholesterol drug)
M. Bone resorption inhibitor
N. DEA sch 4- Benzodiazepine
O. DEA sch 3

1. Tylenol
2. Valium
3. Crestor
4. Celebrex
5. Lantus
6. Seroquel
7. Medrol
8. Nasonex
9. Ranitidine-zantac
10. Soma
11. Fosamax
12. Lansoprazole- Prevacid
13. Oxycodone
14. Darvocet
15. Deseryl

Practice Test:

Multiple Choices:

Identify the Brand name of the ff: drugs:

1. Amlodipine a. Norvasc b. Xanax c. Lasix
2. Lisinopril a. Zocor b. Prinivil c. Lipitor
3. Sertraline a. Ambien b. Prilosec c. Zoloft
4. Pravastatin a. Pravachol b. Klonopoin c. Ativan
5. Cyclobenzaprine a. Flexeril b. Keflex c. Prozac
6. Escitalopram a. Celexa b. Lexapro c. Ultram
7. Fluticasone a. Flonase b. Proair c. Percocet
8. Clopidogrel a. Plavix b. Aspirin c. Coumadin
9. Triamterene a. Maxide b. Dyrenium c. Lasix
10. Gabapentin a. Ambien b. Nerontin c. Synthroid
11. HCTZ a. Lasix b. Microzide c. Vicodin
12. Metformin a. Glucophage b. Tenormin c. Lopressor
13. Esomeprazole a. Nexium b. Losec c. Prilosec
14. Cephalexin a. Amoxil b. Keflex c. Septra
15. Fluoxetine a. Prozac b. Plavix c. Singulair
16. Albuterol a. Proair b. Flonase c. Ventolin
17. Citalopram a. Celexa b. Celebrex c. Keflex
18. APAP + hydrocodone a. Vicodin b. Ultram c. Xanax
19. Oxycodone + APAP a. oxycodone b. Pecodan c. Percocet
20. Azithromycin a. Zithromax b. Cipro c. Amoxil


Identify the direction, quantity, and days of supply of the following written medication order
1.


Rx

Levox 500 mg #?

Tk 1 tab po q12h for 10 days.



2.


Rx

NTG 0.1 mg SL STAT

3.


Rx

Auralgan Otic drops 15 ml

1 gtt ad bid

4.


Rx

Patanol Solution (ophthalmic)

1gtt os qd

5.


Rx

Otic solution 30 ml

2 gtts au tid

6.

Rx

Otic drops 15 ml


1 gtt as qid

7.

Rx

Patanol eye drops

1 gtt od qod

 8.

Rx

Patanol eye drops 30 ml

1 gtt ou bid

9.

Rx

Patanol eye drops 30 ml

2 gtts ou q8h

10.

Rx

Tussionex 60 ml

Tk 1 tsp po prn for cough

11.

Rx

Phenergan 60 ml

Tk 1 tbsp po qd hs TAT

12.

Rx

Phenergan 60 ml

Tk 1 tbsp po prn

13.

Rx

Naprosyn 500 mg

Tk 1 po tid for 3 days

Quantity?

14.

Rx

Naprosyn 500 mg

Tk 1 t po bid for 2 days

Quantity?

15.

Rx

Amox susp

SW, 1 tsp po q8h for 14 days

Quantity?

16.


Rx

Valium 5 mg # 30

Tk 1 t po hs qd

17.


Rx

Moxil 850 mg cap

Tk 1 cap po bid c meals for 10 days

Quantity?

18.


Rx

Cipro 500 mg

Tk 1 t po q12h ATC

19.

Rx

Metoclopramide 500 mg # 20

Tk 1 t po bid for N/V

20.

Rx

Loperamide 8 mg # 12


Tk 2 cap po bid for BM

21.

Rx

Naproxen 500 mg # 20

Tk 1 cap po qd pc

 22.

Rx

Premarin 0.25 mg # 30

Tk 1 t po UD

23.

Rx

Z-Pack # 1

Tk UD

24.

Rx

Losec 80 mg # 8

Tk 1 t po s food or ac once a day qd

25.


Rx

Hydrocodone/APAP

Tk 1 t po prn pain

26.


Rx

Ultram 500 mg # 30

Tk 1 po q8h c food


Summary of "Drug Classifications / Therapeutic uses":

Antacid- relieves gastritis, ulcer pain, indigestion and heart burn

Antianginal- relieves heart/cardiac related chest pain

Anticoagulant- dissolves or prevents blood clots

Anticonvulsant- prevents seizures

Antidepressant- prevents depression

Antidiarrheal- stops diarrhea

Antiemetic- prevents nausea and vomiting

Antihistamine- blocks the effect of histamine

Antihyperlipidemic- lowers high cholesterol levels

Antihypertensive- reduces high blood pressure

Antiarrhythmics- drugs used to treat irregular heart rhythms

Anti-inflammatory- reduces inflammation

Antipruritic- prevents or relieves itching

Antispasmodic- relieves intestinal cramping

Antitussive- relieves coughing by inhibiting cough reflex

Antipyretic- reduces fever

Antibiotic/anti-infective- drug that destroys microorganisms / infectious disease

Antiviral- drug that attacks a virus

Antifungal- drug that destroys fungi or inhibit growth of fungi

Antimycobacterial- drug that attacks the organisms that cause tuberculosis and leprosy

Antialzheimer- drug used to treat alzheimer’s disease

Antiprotozoal- drug that destroys protozoa

Antirheumatoid arthritis- drug used to treat rheumatoid arthritis

Antiosteoarthritis- drug used to treat osteoarthritis

Anthelminthic- drug that destroys worms

Antineoplastic- drug that inhibits new growth of cancer cells

Antiparkinsonism- drug used to treat parkinson’s disease

Antiepileptics/anticonvulsants- drugs used to treat epilepsy/seizures

Antipsychotics- drugs used to treat psychological disorder

Antidiabetics- drugs used to treat diabetes

Antidepressant- drug used to treat depression/low mood

Antimanic- drug used to treat bipolar disorder

Antiasthmatic- drug used to treat asthma

Antiemphysema/bronchodilator- drug used to treat emphysema

Antihyperthyroidism- drug that treats over production of thyroid hormone

Anticholinergic- a substance that blocks the neurotransmitter acetylcholine in the central and peripheral nervous system

Anti- ADHD (Attention Deficit Hyperactivity disorder)-drug used to treat the neurobehavioral disorder (most common in childhood)

Antivertigo- drug used to treat vertigo

Anti-overactive bladder- used to treat over active bladder (Overactive bladder increased urinary urgency with or without urge urinary incontinence, usually with frequency and nocturia. Urinary incontinence refers to the unwanted urine leakage (referred to as wetting accidents) that happens shortly after urgency. Nocturia is defined as a frequent need to get up and go to the bathroom to urinate at night.

Other classes:

Decongestant- reduces nasal congestion

Analgesic- kills pain

Hypoglycemic- reduces blood sugar levels

Hypolipidemic- reduces blood lipid (cholesterol) levels

Keratolytic- destroys hard skin layers such as warts

Contraceptive- prevents pregnancy

Psychotropic- changes mental states

Spermicide- destroys sperm

Thrombolytics- drugs used to dissolve blood clots

Beta blockers- drugs that reduce the oxygen demands of the heart muscle

Calcium channel blockers- drugs that relax the heart by reducing heart conduction

Diuretics- drugs that decrease blood pressure by decreasing blood volume

Dermatological- a product that is used to treat a skin condition

ACE inhibitors- the ”pril” drugs that relax the blood vessel

Vasodilators- drugs that relax and expand the blood vessel

Enzymes- substances in the body that help the body to break down molecules

Ophthalmic agents- drugs used to treat conditions of the eye

Hypnotics- drugs that are intended to induce sleep

Sedatives- drugs that are intended to relax and calm

Bronchodilators- drugs that are used to relieve bronchospasm (Bronchospasm- is the chief characteristic of asthma and bronchitis; Asthma is a condition characterized by chronic airway inflammation)

Bone Resorption inhibitor- used to treat osteoporosis

Mydriatics- drugs that dilate the pupil
Hypothyroidism drugs- drug used to treat underproduction of thyroid hormone

Hemostatic drugs- drugs that prevent excessive bleeding

Hematological agents- drugs that affect the blood

Laxatives- drugs that promote defecation

Stool softeners- Drugs that promote mixing of fatty and watery internal substances to soften the stool’s contents an ease the evacuation of feces

Proton pump inhibitors (PPIs)-a group of drugs whose main action is a pronounced and long lasting reduction of gastric acid production

PDE-5 inhibitors (Phosphodiesterase type 5 inhibitors)-drugs used to treat erectile dysfunction. (ED or erectile dysfunction is defined as sexual

Xanthine oxidase inhibitor- drug used to treat and prevent gout attacks. (Xanthine oxidase is the metabolic pathway for uric acid formation)

Muscle relaxers/relaxants- drugs used to treat muscle spasm; low back pain; stiffness
Smoking Cessation medicines- drugs used to quit or stop smoking


Sample PTCE questions:

1.The best way to determine he storage conditions for a particular drug is to:
a. ask the pharmacist
b. refer to the USP
c. try different ways of storage
d. refer to the manufacturer’s label

2. The stability of a drug refers to:
a. how it reacts with plastic
b. how it is stored on the pharmacy shelf
c. how long it remains potent
d. how it should be dispensed

3. A reconstituted drug in suspension:
a. is more stable than dry powder
b. is normally stored on the pharmacy shelf
c. will generally remain potent longer if it is refrigerated
d. should not be taken

4.You have a bottle of drug in solution. The label does not state the concentration of the drug in the solution, but the amount of drug and the volume of liquid in the container both appear on the label.To dispense 30 mg of this drug you can:
a. obtain further information from the USP
b. estimate the amount of drug to be dispensed by the volume needed for injection
c. calculate the concentration from the information given on the label.
d. The order cannot be filled

5.Contamination of dispensed drugs may occur from:
a. dust clinging to the bottle and cap falling into the medication
b. residual drug clinging to a measuring device that has not been properly cleaned
c. unfiltered room air
d. not using a laminar flow hood when dispensing the medication

6.Drugs in nursing floor inventories that are “slow movers” should be:
a. ordered less frequently
b. removed from inventory
c. reduced in price
d. put in a special area

7.You receive an order for “cefaclor 250 mg ii bid.” The drug is available in 250 mg capsules. A daily dose for this patient would be:
a. two capsules
b. three capsules
c. four capsules
d. This drug should not be dispensed as a unit dose

8.Which of the following would not be dispensed as a commercially available unit dose package?
a. cimetidine tablets
b. verapamil tablets
c. phenergan syrup
d. compazine suppositories

9. A drug label says to store between 15-25 degrees C. The drug should be stored:
a. in a warm room
b. on the pharmacy shelf
c. in the refrigerator
d. in a cool room

10. The care of drugs stored on the nursing floors, or anywhere
In the hospital, are the responsibility of:
a. nurses aides
b. pharmacy
c. physicians
d.patients



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