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NHA study test Qs
Things to remember with NHA Qs
Question | Answer |
---|---|
Exempt from child safety packaging | Nitroglycerin |
Enteric coating means? | Dissolves in the intestines |
Paxil is a? | SSRI |
What is used for an acute asthma attack? | Albuterol (Proventil) |
Brand name alendronate | Fosamax |
Treats Hypercholesterolemia (treats high cholesterol) | Atorvastatin (Lipitor) |
Numeral Portion of prescribers DEA Number: | Add the first, third and fifth digits of the DEA number. Add the second, fourth and sixth digits, then multiply by 2. Add this number to the sum of the first, third, and fifth digits. The last digit should match the last digit of the DEA number. |
Sharps are disposed of in: | Red biohazard container |
Aux label for amoxicillin suspension? | Shake well |
Unit type for insulin? | International unit system |
what to do if patient shares first and last name? | Verify date of birth |
What is a black box warning label for? | Indicates med carries a risk of life-threatening adverse effects |
Verify what during filling stage of a prescription? | Match med label to the prescription |
What is a floor stock med? | Frequently prescribed medication |
How often should a CPT inspect floor stock? | Daily |
latanoprost (Xalatan) should be transported how? | Via refrigerated tote. |
Is minoxidil (Rogaine) OTC? | YES |
What is used to determine beyond use date? (BUD) | Stability of med |
Which Schedule includes anabolic steroids? | schedule 3 |
What is a grounds for insurance rejection? | claim rejection include invalid birth date, invalid person code, invalid sex, attempting to refill too soon, refills not covered, incorrect prescriber, incorrect day supply, patient not covered, and NDC not covered. |
celecoxib (celebrex) is what medication class? | COX-2 inhibitor |
What is the practice of identifying a potential service that can optimize therapeutic outcomes for a patient | medication therapy management |
How to minimize drug incompatibilities when compounding? | Limit number of drugs added. OR check FDA guidelines NOT DEA |
Dispensing machines can only stock... | Metformin (Glucophage) OR only solid oral meds. NOT penicillin or sulfur. |
Max dose for acetaminophen (Tylenol) | 4000 mg |
Max daily limit for sudafed (pseudo) | 3.6 GRAMS not mg. 9 grams per 30-day period |
1L of liquid calls for 0.25 grams of x. what amount of x is needed to make 1 pint of liquid. | Set up a ratio where 0.25 g/1,000 mL = X g/480 mL. (480 × 0.25/1,000 = 0.12 g; 0.12 g = 120 mg). It is also possible to convert the 0.25 g to mg first. This would result in the following formula of 250 mg/1,000 mL = X mL/480 mL. answer = 120 mg |
Imodium treats what? | Diarrhea |
Tbsp is equal to what | 15ml |
tsp is equal to what | 5ml |
always required on a prescription label? | expiry date |
CPT should be mindful of what when a patient is prescribed something new? | Drug on drug interactions |
MERP stand for what | medication error reporting program |
repackaged medication is good for how long after original expiry date? | 12 months |
cocaine is what schedule | 2 |
FDA requires what to prove that a generic is equivalent to brand names? | Bioavailability |
HIPAA requires what prior to patient acknowledgement signatures? | They must be maintained separate from patient consultation log |
Type of active listening involves asking the patient clarifying questions | Evaluating |
Basic element of a prescription | prescribers address |
product package insert contains what | manufacturers instructions for mixing or compounding a med |
what is a monograph | contains summary of a meds info for safe and effective use. |
what is a medication order | prescription written for a hospital or institutional setting |
what is an auxiliary label | it includes warnings and info for safe use |
what is PHI | protected health info |
how to clean laminar flow hood | usp 797 guideline: wipe hood in horizontal fashion from back to front |
how old to get a seasonal flu vaccine | 6 months |
Guy cant pay for insulin. what do? | notify pharmacist for a patient counseling session |
what should a bar code include? | dosage form |
PAR stands for what? | periodic automatic replenishment. ensures constant supply of meds are kept on hand |
CPT receives partially used discontinued meds. what do? | set aside medication in safe space for disposal |
mark meds how many months before listed date? | 6 months |
how to reduce particle size ? | pulverization |
Comprehensive Drug Abuse Prevention and Control Act of 1970 did what? | classified drugs that have potential for abuse and physical or psychological dependence as controlled substances. also known as the Controlled Substances Act |
i tab qd am HBP | The technician should identify that "i" is the abbreviation for one; "tab" is the abbreviation for tablet; "qd" is the abbreviation meaning every day; "am" is the abbreviation meaning morning; and "HBP" is the abbreviation meaning high blood pressure. |
what is coinsurance? | set percentage of the cost of a prescription that must be paid by the patient |
what is maximum allowable cost | The maximum allowable cost is the maximum price per dispensing unit an insurer will pay. |
what is a deductible | A deductible is a set amount that must be paid by the patient before an insurance plan will cover the cost of the prescription. |
what is a dispensing fee | A dispensing fee is intended to reimburse pharmacies for the cost of dispensing a prescription. It is a component of the reimbursement formula. |
how should patient store nitroglycerin (Nitrostat) | in the original airtight container |
antitussives relieve what | coughing |
decongestants relieve what | symptoms of sinus congestion |
antihistamines reduces what | runny nose and sneezing |
benzodiazepine does what | reduces anxiety |
dilute 1gram of x to 100mg/ml. what amount is needed to compound a 500 mg dose | 5ml of solution |
what is on the ISMP list of error prone abvr... AC, PRN, QS, or QOD | qod |
Contact who if you suspect medications are counterfeit | the FDA |
how much is LX | 60. the X is after the L=50 |
what to do if a patient cannot hear you | reduce background noise |
left ear | AS remember WASD s is left of d. A for auditory |
right ear | AD remember WASD s is left of d. A for Auditory |
left eye | OS remember WASD s is left of d. O is shape of an eye |
right eye | OD remember WASD s is left of d. O is shape of an eye |
what is required on prescriptions for controlled substances | DEA number |
prescriber must issue a written signed prescription in how many days | 7 days |
prednisone and prednisolone are... | The technician should identify that prednisone and prednisolone are examples of look-alike, sound-alike medications. |
primary goal of the risk evaluation and mitigation strategy program? (REMS) | inform patients of risks with a med |
specifics of how much a schedule 3 to 5 med can be refilled | 5 times within 6 months of written prescription |
CPTs should identify that to meds that are therapeutic equivalents are both what | FDA A rated equivalents |
another name for vitamin b12 | cyanocobalamin |
another name for vitamin b6 | pyridoxine (shares letter x with six) |
another name for vitamin b2 | riboflavin |
another name for vitamin b5 | pantothenic acid (panto = penta = 5) |
teeth doctor | DDS (doctor of dental surgery) |
UD | as directed |
ML to provide 20 mg of X if the stock concentration is 12.5mg/5ml | find ratio. multiply 5 by ratio. answer = 8mL |
can a CPT legally fill a unit dose cart | yes |
can a CPT legally recommend OTC supplies | no |
what ink should prescriptions always be written in | Black ink |
'orange book use? | the Orange Book is used to determine the therapeutic equivalence of a brand and generic medication. |
red book use? | Red Book provides pricing information for pharmacy supplies and medications. |
merck index use? | The Merck Index provides information about chemicals, medications, and biologicals. |
physicians desk reference use? | the Physicians' Desk Reference provides information about medication usage, warnings, interactions, and also includes pictures of medications. |
required on labels prepared for compounded sterile products | BUD beyond use date |
pravastatin (Pravachol) is used to treat what | Hyperlipidemia |
best practice for quality assurance when compounding? | use bar code verification system |
tall man lettering is for what | prevention of medication errors for look-alike sound-alike medications |
compounding with non-sterile products falls under what category | high risk |
clean room | The clean room is the room where sterile compounding takes place. This room is not used to gown, gather materials, and label medications. |
anteroom | The technician should identify that the anteroom is where IV preparations such as gowning, gathering materials, and medication labeling occur. |
what ISO level is used for compounding sterile IV prep | ISO 5 |
DAW 0 | A DAW 0 code indicates there is no product selection indicated. |
DAW 1 | the prescription should be filled exactly as indicated by the prescriber. |
DAW 3 | substitution is allowed and the pharmacist can select the product to be dispensed. |
DAW 4 | A DAW 4 code indicates a substitution is allowed and the generic medication is not in stock. |
use to crush tablets | mortar + pestle |
what causes Precipitate on IV solution | cool temps, pH level, dilution, and wrong solutions |
temp range for refrigerated items | 36 to 46 degrees F or 2.2 to 7.8 C |
prescription does not state refills | enter no refills do not ask pharmacist |
security requirement for noncontrolled Medicaid prescriptions set by CMS (center for Medicare and Medicaid services) | prescription is required to be on a temper-resistant pad |
whats required on a crash cart (emergency cart) | epinephrine (adrenalin) |
medicare part D | coverage for prescription medications, biologicals, insulin, and vaccines. |
medicare part A | A covers inpatient hospital care, skilled nursing facilities, hospice, and home health care. |
Medicare part C | allows participants in Medicare Part A and B to obtain coverage through an HMO or PPO to provide additional services at a higher cost. |
Medicare part B | Medicare Part B covers supplies, including blood glucose test strips, and medical services not covered by Medicare Part A for patients who are 65 years old or older. |
DAW 2 | patient declines generic selected by prescriber |
adverse effect of methylphenidate (ADHD med Ritalin) | weight loss |
middle 4 numbers of NDC | meds active ingredient and dosage form |
first 4 numbers of NDC | manufacturer or distributer of med |
last 4 numbers of NDC | package size and type |
40g of ointment contains 125 mg of x. what is concentration | (0.125 / 40) x 100 = 0.3125 % |
OBRA provides counseling to what group of patients | Medicaid covered patients |
a 1L bag contains 0.9g sodium chloride per 100mL. how much sodium clhoride is in the bag | Set up a ratio. If 0.9 g/100 mL = X g/1,000 mL, then 1,000 x 0.9 /100 = 9 g. |
Aspirin(acetylsalicylic acid) shares letters with NSA | NSAID |
which is correct and least error prone... 2.0mg or 2 mg | 2mg |
what ppe goes on first when using aseptic technique ... shoe covers, gown, bonnet, mask | shoe covers |
ibuprophen(Motrin) increases chance of what bleeding | GI bleeding |
USP 797 states negative gloved fingertip sampling must be demonstrated how many times prior to preping sterile products | 3 times |
dispense how many tablets?: 500mg tabs 1.5g qid x 10 days | 120 tablets |
no refill information is provided on a noncontrolled substance prescription | no refills can be provided unless they are authorized by the prescriber |
CPT cant do what with regards to vaccines | explain adverse effects of immunization |
describe Schedule II | Schedule III medications can lead to low or moderate physical dependence or high psychological dependence and have less potential for abuse and addiction than Schedule II medications. |
describe Schedule III | Schedule III medications can lead to low or moderate physical dependence or high psychological dependence and have less potential for abuse and addiction than Schedule II medications. |
describe Schedule IV | Schedule IV medications have a currently accepted medical use and less potential for abuse and dependence than Schedule II or III medications |
describe Schedule V | Schedule V medications contain limited quantities of certain narcotics and have a low potential for abuse. |
what does medwatch do | MedWatch is a program that allows anyone to voluntarily report a serious adverse event associated with the use of any medication, biological device, or dietary supplement. |
service or group of services that optimizes therapeutic outcomes for a patient | med therapy management |
weight based pediatric dosing formula? | clarks rule |
age based in years pediatric dosing formula | youngs rule |
age based in months pediatric dosing formula | frieds rule |
mouthwash contains water should have an expiry date when? | 14 days after mixing |
non controlled substance has PRN refill label. what does this mean? | prescription can be refilled for a max of 1 year after written |
1 fl oz is equal to | 30 mL |
what is required by federal law to be included on a prescription label | prescriptions expiry date |
DEA form 222 | The receiving pharmacy is required by federal law to complete and retain DEA Form 222 when receiving Schedule II medications from another pharmacy. |
DEA form 41 | The pharmacy should complete DEA Form 41 when destroying or disposing of a controlled substance. |
DEA form 106 | The pharmacy should complete DEA Form 106 when reporting the loss or theft of a controlled substance. |
DEA form 225 | The parties who manufacture or distribute controlled substances should complete DEA Form 225. |
what coverage plan allows patients to see a specialist without a referral | PPO (preferred provider organization) coverage plans |
pulverization | reduce the particle size of a solid with the aid of a solvent. |
trituration | Trituration is used to create fine particles from a solid, usually a tablet, using a mortar and pestle. |
handles disposal of hazardous waste from health facilities | EPA (environmental protection agency) |
how many pints in a Liter | 2 |
how many Pints in a gallon | 8 |
what should CPT do to avoid contamination in a pharmacy setting | disinfect countertops with isopropyl alcohol |
durham humphrey amendment of 1951 required what on prescriptions | prescription meds bear the legend "Rx Only" |
contraindication with atorvastatin(lipitor)? | pregnancy |
drospirenone (Yasmin) requires what to be included when dispensing to a patient | PPI (patient package insert) |
define coinsurance | The percentage of costs of a covered health care service you pay (20%, for example) after you've paid your deductible |