2. PTCB Review 3 Calculations Federal Law

3. 1. How many 30-mg tablets of codeine sulfate should be used in preparing the following Rx? Rx: Codeine sulfate15 mg/tsp Roitussin ad 120 ml a. 4 b. 8 c. 12 d. 16

4. c. 12 tabs Rx: Codeine sulfate15 mg/tsp Roitussin ad 120 ml 1 tsp= 5ml, 120ml/5= 24 tsp 15mg x mg ------ = -------- =360 mg 1tsp 24 tsp 360mg / 30 mg tab= 12 tablets

5. 2. If the dose of a drug is 150 mcg, how many doses can be prepared from 0.120 g? a. 8 b. 80 c. 800 d. 8000

6. c. 800 capsules K H D U D C M M N 1 gram=1,000,000 mcg 150 mcg = 0.000150g 0.120/0.000150=800 capsules

7. 3. What should a pharmacy technician do if he or she observes a patient attempting to purchase Bayer aspirin while he or she is waiting for a prescription for warfarin to be filled by the pharmacy? a. Inform the patient of the interaction between aspirin and warfarin. b. Inform the pharmacist to counsel the patient. c. Point out to the patient that the “house brand” of aspirin is just as effective as Bayer aspirin d. Refuse to sell the aspirin to the patient

8. b. Inform the pharmacist to counsel the patient. Pharmacy Techs perform technical jobs. This is an example of a judgmental activity performed by a pharmacist

9. 4. If a patient is experiencing nausea and vomiting, which of the following dosage forms would be more effective? a. Capsule b. Oral Solution c. Suppository d. Tablet

10. c. Suppository Patient cannot eat, nauseated

11. 6. What do the middle four numbers represent in an NDC number? a. Drug manufacturer b. Drug product c. Drug packaging d. None of the above

12. b. Drug Product The first 5 numbers identify the drug manufacturer The middle 4 numbers identify the drug product The last 2 numbers identify the packaging

13. 7. The pharmacist fails to place a prescription label on the medication container. Which law is being broken? a. Pure Food and Drug Act of 1906 b. Food, Drug, and Cosmetic Act of 1938 c. Durham-Humphrey Act of 1950 d. Kefauver-Harris Act of 1962

14. B- food drug and cosmetic act The Food drug and cosmetic act of 1938 defined adulteration and misbranding. Misbranding involves labeling Pure Food and drug act- prohibit the interstate transportation or sale of adulterated and misbranded food or drugs Durham-Humphrey- Required all products to have adequate directions, separated between OTC and legend, allows verbal Rx over the phone, allows refills to be called in from MD office Kefauver- Harris- Requires all medications to be safe, pure, and effective

15. 7. A patient requests that the pharmacist place his medication in an easy-open container. Which law allows the pharmacist to dispense the prescription in this manner? a. Kefauver-Harris Act b. Controlled Substances Act of 1970 c. Occupational Safety and Health Act of 1970 d. Poison Prevention Act of 1970

16. D. Poison Prevention Act Kefauver- all medication to be safe, pure and effective Controlled- substance Act- The DEA was created and created 5 schedules based on harm and potential for abuse OSHA- ensures a safe and healthful work environment Poison Prevention Act- prevent accidental poisoning, child-resistant containers with some exceptions (like oral contraceptives)

17. 8. Which law allows a pharmacist to accept a telephoned prescription from a physician’s office? a. Pure Food and Drug Act of 1906 b. Food, Drug, and Cosmetic Act of 1938 c. Durham-Humphrey Act of 1950 d. Kefauver-Harris Act of 1962

18. c. Durham-Humphrey Act of 1950

19. 9. Which law resulted in clearly distinguishing an OTC medication from a legend medication? a. Pure Food and Drug Act of 1906 b. Food, Drug, and Cosmetic Act of 1938 c. Durham-Humphrey Act of 1950 d. Kefauver-Harris Act of 1962

20. d. Durham Humphrey

21. 10.Which law requires that a manufacturer provide Material Safety Data Sheets (MSDS) to a pharmacy for products that are combustible, are flammable, or can cause injury to an individual if he or she comes in contact with the substance? a. Kefauver-Harris Act of 1962 b. Controlled Substances Act of 1970 c. Occupational Safety and Health Act of 1970 d. Poison Prevention Act of 1970

22. C. OSHA

23. 11. A pharmacist receives a prescription for 40 Percocet tablets, but the Pharmacy has only 15 tablets in stock. The patient accepts the 15 tablets. How much time does the pharmacist have to provide the remaining 25 tablets? a. 24 hours b. 72 hours c. 96 hours d. 6 months

24. B Carina, here is your 72 hours that you remembered. In an emergency filling which the MD calls in, however, he or she has 7 days to give you the written Rx.

25. 12. You are working for a chain pharmacy, and another member of the chain has run out of DEA Form 222s. They ask to borrow one of your DEA from 222s. What would you do? a. Because you are members of the same pharmacy chain, you are allowed to let them use yours because you have the same DEA number b. Give them one of your DEA form 222s with the agreement that they will replace it after they receive their new ones c. DEA Form 222s are for a specific pharmacy and can be used only by the pharmacy to which they were issued d. Tell them to place an emergency order with the wholesaler and that you will provide them with a properly completed DEA Form 222 in 72 hours

26. c. DEA Form 222s are for a specific pharmacy and can be used only by the pharmacy to which they were issued There are several different DEA forms

27. DEA 222- Schedule II medications are ordered by completing a DEA Form 222 Triplicate Signed by the person the DEA registration is listed Good for only 60 days Typewriter, pen, or indelible pencil Only one item per line Unused forms must be kept in a secure location On receipt of meds, the number of packages must be recorded on copy of form 222, signed by pharmacist Must retain for a minimum of 2 years

28. DEA Form 41 Used for destruction of outdated or damaged controlled substances Must have the name, strength, and quantities of controlled substances, the date of destruction, the method of destruction, and the witness present for destruction A retail pharmacy may submit one DEA 41 form/ year. Hospitals may have a blanket authorization.

29. DEA Form 106- Theft or Loss Must notify the nearest DEA diversion office, local police, and complete form 106 Send the original copy of the DEA form to the DEA and retain one copy