PTCB EXAM LATEST 2022
A logical and systematic process used to help identify what, how, and why something happened in order to prevent recurrence is referred to as:
A.root cause analysis.
B.selection error assessment.
C.determination of cause analysis.
D.risk of error assessment. ans: ...
A logical and systematic process used to help identify what, how, and why something happened in order
to prevent recurrence is referred to as:
A.root cause analysis.
B.selection error assessment.
C.determination of cause analysis.
D.risk of error assessment. ans: The key (A) is correct because a root cause analysis (RCA) is a process
that examines the contributing factors regarding why and how an error (or near miss) occurred.
Information gathered is then used to make changes to reduce the possibility of future errors.
A major role of the Pharmacy and Therapeutics (P&T) Committee is developing:
A.the formulary status of drugs.
B.operational budgets.
C.dispensing policies and procedures.
D.pharmacy technician training. ans: The key (A) is correct because a Pharmacy and Therapeutics (P&T)
Committee is a multidisciplinary committee required to meet on a routine basis to make decisions about
the care of patients with a focus on the safe and effective use of medications; overseeing and making
decisions for an institution's formulary is an example of the P&T Committee's responsibilities.
A particular manufacturer packages metoprolol succinate 100 mg tablets with an NDC of 49884-0827-
01. If a pharmacy technician wants to receive rosuvastatin 10 mg tablets from the same manufacturer,
which of the following NDCs should they order?
A.00378-2203-77
B.60687-0245-01
C.50090-0827-00
D.49884-0261-09 ans: The key (D) is correct because the first segment of an NDC is the labeler
(manufacturer or distributor) code. The second segment of an NDC is the product code, while the third
segment is the package code. The first segment in the key is the only option that matches the first
segment in the stem.
A patient decides to transfer their diazepam prescription from a chain pharmacy to a mail order
pharmacy that does not share a real-time, online database. According to federal law, a schedule IV
prescription:
A.can be transferred no more than one time between these pharmacies.
B.can be transferred no more than two times between
,C.can be transferred no more than five times between these pharmacies.
D.may not be transferred between these pharmacies. ans: The key (A) is correct because, according to
Title 21 Code of Federal Regulations (Part 1306), Schedule IV prescription information may be
transferred only one time between pharmacies that do not share a real-time, online database.
Pharmacies that do share a real-time, online database may transfer prescription information up to the
maximum refills permitted by law and the prescriber's authorization.
A patient diagnosed with type 2 diabetes requests a refill of a prescription for extended-release
glipizide. The patient is approximately 15 days late in refilling the prescription. The patient, when asked
if the medication is being taken as directed, says, "Yes, I always take it at breakfast, but many days I
simply don't have time to eat before I leave for work." How should the pharmacy technician respond?
A.Tell the patient that the medication is being taken incorrectly and advise that the medication should
be taken every morning
B.Ask the patient to speak with the pharmacist to clarify the prescription directions
C.Ask the patient to call the prescriber immediately to have blood sugar testing ordered at once
D.Tell the patient that the medication is being taken incorrectly and the prescriber should be seen at
once ans: The key (B) is correct because the patient appears to have been taking the medication
incorrectly and needs to be counseled, which can only be done by a pharmacist.
A patient picking up a prescription order for naproxen inquires if the pharmacy has ibuprofen in a
nonprescription strength. In response to this request, the pharmacy technician should:
A.inquire if the ibuprofen is for the same patient as the naproxen; if so, notify the pharmacist of a
potential therapeutic duplication.
B.explain that medications must be taken with food or meals to avoid stomach upset.
C.inform the patient that nonprescription ibuprofen is available and direct the patient to the
nonprescription pain reliever section.
D.inquire if the ibuprofen is for the same patient as the naproxen; if so, notify the patient of a potential
therapeutic duplication. ans: The key (A) is correct because ibuprofen and naproxen are both non-
steroidal anti-inflammatory drugs (NSAIDs) and therapeutic duplication could enhance the medications'
adverse/toxic effects. The pharmacist must be notified because professional judgment is needed to
determine appropriate next steps, such as counseling the patient to avoid taking two NSAIDs at the
same time.
A patient presents a new prescription order for labetalol. The patient's computer profile shows the
following medications: glyburide, albuterol, furosemide, atenolol, and amlodipine. The labetalol
prescription order is a therapeutic duplication of:
, A.amlodipine.
B.atenolol.
C.furosemide.
D.albuterol. ans: The key (B) is correct because both labetolol and atenolol are beta blockers. Distractor
(A) is a calcium channel blocker, distractor (C) is a diuretic, and distractor (D) is a beta2 agonist.
A patient rushes to the pharmacy with an order written for digoxin 0.25 mg PO STAT, but the pharmacist
has stepped out of the pharmacy to recommend an OTC medication. In this situation, the pharmacy
technician should:
A.ask the patient if it would be acceptable to substitute a nonprescription equivalent.
B.dispense digoxin to the patient and ask the pharmacist to check later.
C.page the pharmacist to come back to dispense the digoxin.
D.ask the patient to wait for the pharmacist to come back. ans: The key (C) is correct because the
prescription is urgently needed and a pharmacist must be present to dispense the medication.
A patient would like a printout of their medication profile for the past 12 months as well as one for their
child. In order to further assist the patient, the pharmacy technician should ask about the:
A.child's age.
B.reason for the request.
C.insurance information.
D.patient's allergy history. ans: The key (A) is correct because HIPAA (the Health Insurance Portability
and Accountability Act of 1996) states that, in most cases, parents are the personal representatives for
their minor children and can therefore exercise individual rights, such as access to medical records, on
behalf of their minor children. However, an adult child would generally need to retrieve their own
record.
A pharmacy fills an average of 11,518 prescriptions on a third-party plan in a one month period. Of
these, 42% are from new prescriptions, 18% are transfers (electronic or telephone), and 40% are refills.
What is the average number of prescriptions refilled each month?
A.2,073
B.4,607
C.6,680
D.11,518 ans: The key (B) is correct and can be calculated as follows.
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