Help
Options
Didn't know it?
click below
click below
Knew it?
click below
click below
Don't Know
Remaining cards (0)
Know
retry
shuffle
restart
0:00
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
NHA Test Review
Review questions for ExCPT test
| Question | Answer |
|---|---|
| DEA form 106 | report of theft or loss of controlled substances |
| DEA form 41 | request permission to destroy exp C-2 |
| DEA form 224 | Apply for a DEA registration number (to disp control) |
| DEA form 222 | Order form for CI and CII substances. Must be kept for 2 years. |
| Medicare part A | hospital insurance |
| Medicare part B | -physicians services -diabetic services -specialty meds -medical equipment |
| Medicare part C | provides supplemental coverage allow patients to participate in HMO/PPO for extra cost |
| Medicate part D | Prescription drug coverage (insulin, vaccines..) |
| DAW 0 | no product selection indicated, generic ok, pt ok |
| DAW 1 | substitution not allowed by prescriber, fill exactly as written |
| DAW 2 | substitution ok, but pt request that brand be disp'd |
| DAW 3 | substitution ok, but pharmacy fills brand even though generic is available |
| DAW 4 | Substitution allowed - generic drug not in stock |
| DAW 5 | substitution allowed but pharmacy uses the brand |
| DAW 6 | override |
| DAW 7 | substitution not ok, brand mandated by state |
| DAW 8 | substitution ok, brand disp'd because generic is not manufactured |
| DAW 9 | other |
| Drug Utilization Review (DUR) | (pharmacist's job) reviewing the patient's profile with medication to ensure safety |
| How many hours of CE are technicians required to complete? How often? | 20 hours every 2 years |
| Adjudication | submitting 3rd party insurance claim for payment |
| How are legend and controlled prescriptions filed? | legend are filed together, c-ii are filed separately, and c-iii to c-iv are filed together |
| ad | right ear |
| as | left ear |
| au | both ears |
| bu | buccal |
| im | intramuscular |
| it | intrathecal (into the spine) |
| od | right eye |
| os | left eye |
| ou | both eyes |
| po | by mouth |
| pr | rectal |
| pv | vaginally |
| sub q | subcutaneous |
| sl | sublingual (under the tongue) |
| ac | before meals |
| bid | twice daily |
| hs | at bedtime |
| pc | after meals |
| prn | as needed |
| qh | every hours |
| qid | four times daily |
| tid | three times daily |
| aaa | apply to affected area |
| gtts | drops |
| ha | headache |
| qs | quantity sufficient |
| ung | ointment |
| Patience Adherence | pt taking meds exactly as directed and going to all doctor appointments and labs |
| Why do hospital pharmacies only give a 24 hour supply? | reduces stealing, any qty after 24 hours would clutter the upper floor, its best to wait for pt's tests and results to come in |
| the basic layout of the pharmacy | intake area, processing area, processed rxs area, out window |
| first in first out | method for stocking medications, earlier exp date goes in the front |
| common refrigerator vaccines | hepatitis B vaccine (all age groups) influenza vaccine (6 months/older) DTAP vaccine, tetinus, pertussis (11-18 y/o) |
| common freezer vaccines | measles, mumps, rubella, varicella (MMRV) zoster |
| USP 800 | handling hazardous drugs |
| Who releases medication recalls? | the FDA |
| Class 1 medication recall | serious adverse effects or death, customer level |
| Class 2 medication recall | temporary adverse effect or a small chance of an adverse effect |
| Class 3 medication recall | problem not likely to cause adverse effects |
| Department of transportation (DOT) | regulates how medication waste should be shipped |
| P-listed | acutely hazardous waste (epinephrine, nicotine, warfarin) |
| D-listed | toxic, ignitable, corrosive (benzoyl alcohol, albuterol inhaler) |
| U-listed | toxic (chemotherapy) |
| What is on a patient profile | (basic demographic info) name, address, DOB, phone#, email |
| types of drug interactions | drug-drug drug-age drug-health condition |
| NKDA | no known drug allergies to all drugs |
| NKA | no known allergies to anything |
| Trissel's Handbook on Injectable Drugs | Provides information on the stability and compatibility of injectable drugs |
| post | after, behind |
| peri | around, surrounding |
| how to dispose of antibiotics | mixed with coffee grounds or soaked in water |
| how to dispose of warfarin | hazardous, so meant to be placed in a specific bin for professional disposal |
| how to dispose of chemotherapy | yellow sharps container |
| how to dispose of fentanyl patches | flush down toilet |
| USP | United States Pharmacopeia: info about product, med quality standards, and info about legend + OTC |
| Pink book | provides info about vaccines and diseases |
| The Merck Index | lists chemical attributes of chemicals, meds, and biologicals |
| barbiturates | central nervous center depressant, used to treat seizures and anxiety |
| medicaid | health care coverage for low income children, adults, elderly, and people with disabilities |
| National Formulary (NF) | list of officially recognized names of drugs that have an established usefulness |
| how often is the national formulary updated | every 5 years |
| PDR (Physician's Desk Reference) | The most widely used refernces for drugs in current use. |
| What Act created the FDA | Pure Food and Drug Act of 1906 |
| Pure Food and Drug Act of 1906 | prevented the adulteration and mislabeling of foods and pharmaceuticals |
| The Joint Commission | Independent non-profit organization, sets healthcare quality standards and protects patients and visitors, conducts inspections of healthcare facilities. |
| tort | act that causes harm/injury to a person intentionally or negligently |
| Harrison Narcotic Act of 1914 | curb the recreational use of opium, established that opiums cannot be purchased without an rxs |
| Federal Food, Drug, and Cosmetic Act of 1938 | required all rx drugs to be labeled "caution: federal law prohibits dispensing without an prescription", created the distinction between legend and OTC |
| Kefauver-Harris Amendment of 1962 | ensured that drugs be proven safe and effective, gave FDA authority to approve manufacturers marketing |
| Controlled Substances Act of 1970 | enforced by the DEA, created the drug classes I-V |
| Poison Prevention Packaging Act of 1970 | Requires use of child-resistant containers for prescription and nonprescription drugs |
| what is required for non childproof lids | patient's written consent |
| Drug Listing Act of 1972 | implemented under the FDA, required that all drugs have an NDC code |
| NDC number | number that identifies manufacturer, product, and package size |
| Orphan Drug Act of 1983 | Provided incentives for the development of orphan drugs for treatment of rare diseases |
| Prescription Drug Marketing Act of 1987 | solidified legal supply channel of rx drugs from manufacturer to authorized distributors, prevent the selling of counterfeit drugs |
| Omnibus Budget Reconciliation Act (OBRA) | law passed by the federal government that includes minimum standards for nursing assistant training, staffing requirements, resident assessment instructions, and information on rights for residents |
| OBRA '87 | set requirements for facilities participating in medicare and medicaid |
| OBRA '90 | - placed regulations on how to interact with patients - record keeping mandates, prospective drug reviews - counseling obligations - must review medicaid participants enire drug profile before prescribing medications |
| HIPAA | Health Insurance Portability and Accountability Act |
| The Drug Addiction Treatment Act of 2000 | Established to permit physicians to prescribe pre-approved C-III, C-IV and C-V medications |
| Combat Methamphetamine Epidemic Act of 2005 | • Enacted to regulate the OTC sales of pseudoephedrine. • Identity and address of each purchaser to be kept for two years |
| daily limit of pseudoephedrine | 3.6 grams |
| 30 day limit of pseudoephedrine | 9 grams |
| physicians can write up to how many c-ii prescriptions for a patient | 3 ( allows the patient to get the drug filled over the course of 90 days) |
| how often does the DEA require inventory to be taken | every 2 years |
| how long do c-ii invoices have to be kept | 2 years |
| circumstances in which a c-ii rx can be given verbally | physician determines that it is an emergency and there are no alternative treatments -physician is away from the office |
| how many times can a ciii-v be transferred to a different pharmacy | only once |
| How many refills are allowed on CIII-V? | 5 times in 6 months |
| Safety Data Sheet (SDS) | info on all potentially dangerous chemicals used in the workplace, enforced by OSHA |
| required on a unit dose label | drug name strength dosage form lot # manufacturer exp date |
| Category A pregnancy risk | controlled studies in humans show no risk to the fetus |
| Category B pregnancy risk | No controlled studies have been conducted in humans; animal studies show no risk to the fetus |
| Category C pregnancy risk | Risk in animals; little human data; most drugs are here |
| Category D pregnancy risk | Positive evidence of human fetal risk. Use only if no other choice |
| Category X pregnancy drugs | Bosentan (anti-endothelin, anti-pulmonary hypetensive) Statins Warfarin |
| Category X pregnancy risk | Risks involved in drug use clearly outweigh potential benefits, NEVER use by pregnant women |
| Medwatch | This is the FDA reporting service for adverse effects that occur from use of approved drugs. |
| who can report to medwatch | anyone |
| National Provider Identifier (NPI) | Unique 10-digit code for providers required by HIPAA. |
| Yellow book | CDC's standard resource on travel information |
| Red book | provides the latest pricing information, including nationally recognized AWP's and suggested retail prices for OTC products |
| black box warning | warning, required by FDA, to alert prescribers of serious adverse events that have occurred |
| USP 797 | Guidelines for sterile compounding |
| USP 795 | guidelines for non-sterile preparations |
| what drugs should be dispensed in original packaging | Nitrostat(nitroglycerin) Pradaxa, anticoagulant birth control |
| NIOSH (National Institute for Occupational Safety and Health) | created by OSHA to help develop work safety standard |
| DEA 225 | needed to manufacture or distribute controlled substances |
| dosage forms | solids, semisolids, solutions |
| sublingual | under the tongue |
| buccal | between the cheek and gum |
| what are sublingual tablets meant to do | dissolve fast, absorb directly into bloodstream w/out passing digestive tract |
| what are buccal tablets meant to do | dissolve slowly, absorb into bloodstream w/out passing digestive tract |
| what are controlled release meds do | med is released over extended amount of time to avoid concentrations in digestive tract/provides longer duration of action |
| LA | long action |
| SA | sustained action |
| SR | sustained release |
| CR | controlled release |
| ER | extended release |
| TR | time release |
| effervescent tab | dissolve into water, fizzy |
| enteric coated tab | protective out later so tab doesn't dissolve in stomach, dissolves in stomach |
| emulsions | liquid mixture of oil and water |
| pastes | stiff ointment that doesn't melt at body temp. |
| syrups | concentrated mix of sugar and water with active ingredients |
| elixers | water, alcohol, and flavoring |
| collodions | liquids that dry as flexible films on skin |
| routes of administration | enteral, parenteral, topical |
| enteral | gastrointestinal/digestive tract |
| parenteral | outside the digestive tract (injections) |
| intravenous | major veins |
| intramuscular | deltoid, vastus lateralis, ventrogluteal muscles |
| intradermal | into the skin |
| subcutaneous | under the skin of the abdomen |
| antiemetic | a medication that is administered to prevent or relieve nausea and vomiting |
| Contraindications | diseases, disorders, or conditions that make it unsafe for a pt to take a medication |
| intrathecal | administered to the space surrounding the spinal cord |
| bisphophonate | prevents bone loss in osteoporosis |
| otic | ear |
| Opthamalic | eyes |
| Tetracycline adverse effects | upset stomach |
| -olol | beta block |
| -pril | ACE inhibitor |
| -dipine | calcium channel blocker |
| anticonvulsant | med to prevent and control seizures |
| antitussive | prevent urge to cough (dextromethorphan, benzonatate) |
| when is a DEA number required | when a controlled substance is being prescribed |
| most insurance require rx to be ____ used before refill | 75% |
| BIN | processor bank identification # |
| PCN | processor control # |
| person code | Identifies which household member is receiving services |
| EN | each nostril |
| IVBP | intravenous piggyback |
| UD, UT | as directed |
| TOP | topically |
| AMP | ampule |
| EXPECT | expectorant (cough med used to help clear muccus) |
| PULV | powder |
| AB rating | rating from FDA stating there is adequate evidence supporting bioequivalence of brand and generic |
| what insurance is typically billed first? | Medicare |
| Medicare | for those who are: older than 65 disabled and unable to work have end-stage renal disease |
| end-stage renal disease | terminal disease |
| what two parts of medicare does the pharmacy focus on most | part B(DME) and D(drugs) |
| DME | durable medical equipment |
| COB | coordination of benefits |
| proper sequence of COB | medicare -> commercial insurance (BCBS, cigna etc) -> medicaid |
| Medicaid | for those with low income, or with mental or physical disabilities |
| automated dispensing machines | cabinets with various drawers for different medications |
| Risk Evaluation and Mitigation Strategies (REMS) | Program of the FDA, designed to monitor drugs that have a high risk compared to benefit ratio |
| what medications should be dispensed in its original container | nitrostat(nitroglycerin) sublingual tab -pradaxa(dabigatran) disp to protect from degration and moisture -suspensions -zpak, medrol, accutane |
| teratogenic | producing malformations (in the developing embryo) |
| insulin must be stored at (temp) | 36-46 degrees farenheit |
| APAP | Acetaminophen (Tylenol) |
| medication guide | consumer info on safe use of high risk meds |
| antieoplastic | chemotherapy (must use PPE to handle) |
| antiretroviral | used to manage HIV infections |
| what is the first prescription # for a legend drug | 6 |
| what is the first prescription # for an OTC drug | prescription # for an OTC drug 7 |
| 1lb = ____ oz | 16 oz |
| 1Tbsp = ___tsp | 3 tsp |
| 1tbsp=____ml | 15 ml |
| 1 fl oz = ___ mL | 30 ml |
| 20 gtt = ___ml | 1 ml |
| 1 cup = 8 oz = 1/2 pint = ___ml | 240 ml |
| 1 oz = ___g | 30 g |
| 2.2lbs = ____kg | 1kg |
| 1 in = ____cm | 2.54 cm |
| temperature conversion equation | 5F = 9C + 160 |
| standard precautions | created by the CDC to protect healthcare workers |
| Bloodborne Pathogen Standard | federal law requiring that healthcare facilities protect employees from bloodborne health hazards |
| Garbing order | shoe cover, hair cover, beard cover, mask, gown, gloves |
| how often should laminar hoods be cleaned | -at the beginning of each shift -before each batch preparation -every 30 minutes during continuous compounding of a single CSP |
| how often should the ceilings be cleaned in compounding areas | monthly |
| how often should counters and work surfaces be cleaned in compounding areas | daily |
| how often should the floors be cleaned in compounding areas | floors be cleaned in compounding areas daily |
| how often should storage bins be cleaned in compounding areas | monthly |
| how often should the walls be cleaned in compounding areas | monthly |
| media fill testing | a quality assurance tool that uses a soy broth growth medium to detect pathogens in a compounded sterile product |
| low risk compounding | mixing 3 or more sterile ingredients |
| medium risk compounding | mixing non sterile or mixing in nonsterile environment |
| two types of syringes | sliptip and luer-locking |
| as gauge increases, size of needle | decreases (more fine) |
| two types of needles | filter and vented |
| function of a filter needle | draw up liquid from ampule |
| function of vented needle | vent powders during reconstitution |
| two types of laminar flow hoods | vertical and horizontal |
| vertical laminar flow hood airflow | air goes from ceiling to DCA |
| horizontal laminar flow hood airflow | air flows from the back of HEPA to DCA |
| ampule | glass container storing sterile medications |
| beyond use date(BUD) | date after which a product is no longer effective and should not be used |
| BUD for low risk | Room temp: 48 hours Fridge: 14 days Freezer: 45 days |
| BUD for medium risk | Room: 30 hours Fridge: 9 days Freezer: 45 days |
| BUD for high risk | Room: 24 hours Fridge: 3 days Freezer: 45 days |
| Methotrexate | chemotherapy, compounded in a biological safety cabinet |
| International Organization for Standardization (ISO) | standards for compounded |
| ISO 5 | standard that requires sterile airflow during compounding process |
| ISO 7 | clean room |
| ISO 8 | anteroom |
| how often should HEPA filters be inspected and certified | every 6 months |
| HEPA filters | remove bacteria from the air |
| BUD date for nonsterile, semisolid prep with h2O | 30 days |
| critical site on a syringe during sterile compounding | syringe plunger |
| what is used to dilute hydrocortisone ointment | petroleum jelly |
| what must unit dose systems include | -product identification -environmental exposure -usability -handling |
| what could be the reason that patients run out of medications faster than expected? (rf too soon) | -prescriber has increased the dose but pt has not given the new prescription to the pharmacy -pt taking more than prescribed -pt misunderstands proper use of medicaiton -pt is diverting or abusing the med |
| what could be the reason why patients may be taking less medication than they should? | -they cannot afford it -they experience side effects they do not like -the prescriber has reduced the dose but the new prescription has not been given to the pharmacy -pt may be forgetting to take their medications |
| why do SSRIs need to be dispensed with a medguide | increased risk of suicidal thoughts in adolescents |
| why do NSAIDs need to be disp w/ medguide | risk of GI bleeding |
| why does isotretinoin need to be disp w/ medguide | risk of birth defects |
| why do fluoroquinolones need to be disp w/ medguide | risk of tendinitis |
| why does eszopiclone need to be disp w/ medguide | risk of sleep related activities you may not remember |
| why does metoclopramide need to be disp w/ medguide | risk of tardive dyskinesia (face/body making irregular movements that you cannot control) |
| why does rosiglitazone need to be disp w/ medguide | risk of heart failure |
| layout of hospital pharmacy | pu window, data entry area, disp area, nonsterile compounding area, sterile compounding area |
| taking too much acetaminophen can result in | liver toxicity, especially with alcohol intake |
| how stable are multidose vials for after they're opened | 28 days |
| where to report adverse affects to vaccines | Vaccine Adverse Event Reporting System (VAERS) |
| what do all antidepressants require | a black box warning |
| laminar flow air hoods should run for ____mins before compounding | 30 minutes |
| what program sponsored by the FDA regulates the disp of isotretinoin(accutane) for severe adverse effects | iPledge |
| colace treats | constipation |
| immodium treats | diarrhea |
| mucinex treats | congestion |
| which insurance allows a pt to see a specialist without a referral | PPO |
| Examples of SSRIs | fluoxetine (Prozac) sertraline (Zoloft) paroxetine (Paxil) fluvoxamine (Luvox) |
| V | 5 |
| X | 10 |
| C | 100 |
| L | 50 |
| D | 500 |
| M | 1000 |
| recommended age group for diphteria, tetanus, pertussis vaccine | 6 weeks - 7 years |
| recommended age group for haemophilus influenza type B vaccine | 6 weeks - 19 years |
| recommended age group for hepatitis A vaccine | 12 months and older |
| recommended age group for hepatitis B vaccine | all ages |
| recommended age group for zoster(shingles) vaccine | all ages |
| recommended age group for zoster(shingles) vaccine | 59 years and older |
| recommended age group for HPV(human papilloma virus) vaccine | 9 - 27 years |
| recommended age group for influenza vaccine | 6 months and older |
| recommended age group for measles, mumps, and rubella vaccine | 12 months - 60 years |
| recommended age group for meningococcal vaccine | 6 weeks and older |
| recommended age group for pneumococcal vaccine | older than 6 weeks |
| recommended age group for pneumococcal polysaccharide vaccine | 2 years and older |
| recommended age group for rotavirus vaccine | older than 1 month |
| recommended age group for varicella(chicken pox) vaccine | 10 years and older |
| tincture | A solution where a solute is dissolved into alcohol |
| API | Active Pharmaceutical Ingredient |
| oleaginous base | An ingredient used in compounding that does not dissolve in water |
| Trituration | The process of grinding powders to reduce particle size |
| troches | Flat, disk like tablets that dissolve between the gum and cheek |
| excipients | inert ingredient added to compounds to achieve specific consistency |
| inert | not medicinally active (ingredient) |
| difference between BUD date and expiration date | BUD date is assigned by pharmacy while repackaging, expiration date is assigned by manufacturer |
| what is the BUD date of a solid repackaged drug | either 1 year after it has been repackaged or the expiration date given by the manufacturer (whichever one comes first) |
| Class A balance sensitivity | 6 g |
| common pet dosage forms | beads/pellets, miniature tablets, transdermal sticks, treats |
| What are the indications for incompatibility in IVs? | cloudy appearance, precipitation, discoloration |
| Is Tylenol an NSAID? | no |
| Is Aspirin an NSAID? | yes |
| OBRA 87 | The federal law that was set to improve the life and care of those living in long term care by eliminating/making sure the patients are not taking any unnecessary medications |
| MDI | metered dose inhaler |
| How long does a pharmacy have to fill the remaining amount on a partially filled C2? | 72 hours |
| How long does a pharmacy have to fill the remaining amount of a partially filled C3-5? | until the prescription expires (usually 6 months) |
| For how long is a DEA form 222 valid? | 60 days |
Created by:
paulaee