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Practice Free PTCE Pharmacy Technician Certification (CPhT) Exam Exam Questions Answers With Explanation

We at Crack4sure are committed to giving students who are preparing for the PTCB PTCE Exam the most current and reliable questions . To help people study, we've made some of our Pharmacy Technician Certification (CPhT) Exam exam materials available for free to everyone. You can take the Free PTCE Practice Test as many times as you want. The answers to the practice questions are given, and each answer is explained.

Question # 6

Oxybutynin is indicated to treat symptoms associated with:

A.

Bronchitis

B.

Hyperlipidemia

C.

Overactive bladder

D.

Pancreatitis

Question # 7

A patient package insert (PPI) is required for which of the following medications?

A.

Androgens

B.

Oral contraceptives

C.

Corticosteroids

D.

Oral chemotherapy

Question # 8

Nurtec ODT must be stored in the original packaging until ready to use because it is sensitive to:

A.

moisture

B.

light

C.

heat

D.

cold

Question # 9

Mycophenolateis subject to aRisk Evaluation and Mitigation Strategy (REMS) programdue to the risk of causing:

A.

Heart attacks

B.

Increased bruising

C.

Asthma exacerbation

D.

Embryofetal toxicity

Question # 10

Retin-A should be stored with the:

A.

Liquid preparations.

B.

Chemotherapy drugs.

C.

Refrigerated drugs.

D.

Topical preparations.

Question # 11

Federal law restricts the OTC sale of:

A.

Loratadine

B.

Pseudoephedrine

C.

Acetaminophen

D.

Naproxen

Question # 12

According to theDrug Enforcement Administration (DEA), prescriptions forcontrolled substancesmust include the:

A.

Patient’s diagnosis

B.

Date of issue

C.

Refill date

D.

Medication’s Schedule

Question # 13

If a prescription for amoxicillin 150 mg PO q8h for 10 days is filled with a 250 mg/5 mL suspension, how many mL would the patient take per dose?

A.

3

B.

4

C.

5

D.

6

Question # 14

Which of the following is a method that can reduce the likelihood ofdispensing an expired medication?

A.

Verifying each lot number.

B.

Using the newest medications first.

C.

Rotating stock on a regular basis.

D.

Using the last in, first out method.

Question # 15

FDA guidelines for Class III drug recallsrequire pharmacies to:

A.

Post signs throughout the pharmacy announcing the recall

B.

Remove from stock all medication that meets the recall specifications

C.

Notify physicians and all affected personnel of the recall

D.

Contact all patients who have received medication that meets the recall specifications

Question # 16

Patients should be instructed todiscard an in-use Basaglar penafter a maximum of how many days?

A.

1

B.

7

C.

14

D.

28

Question # 17

Themanufacturer's packagingof an oral inhaler must include the:

A.

Average wholesale price

B.

Auxiliary labels

C.

Lot number

D.

Prescription number

Question # 18

Vistarilis a brand name for:

A.

Prochlorperazine

B.

Meclizine

C.

Ranolazine

D.

Hydroxyzine

Question # 19

A patient who received a kidney transplant should be closely monitored when taking which of the following medications?

A.

Acetaminophen

B.

Cyclosporine

C.

Prednisone

D.

Doxycycline

Question # 20

Which of the following suppositories should be shipped to the pharmacy in arefrigerated container?

A.

Promethazine

B.

Prochlorperazine

C.

Hydrocortisone

D.

Bisacodyl

Question # 21

It would be most appropriate to report which of the following toMedWatch?

A.

Medication reimbursement complaints.

B.

Damaged medications received from a wholesaler.

C.

Complaints about pharmacy staff.

D.

Medical device malfunctions.

Question # 22

Addyi is subject to a Risk Evaluation and Mitigation Strategy (REMS) program because it:

A.

can cause severe hypotension and syncope.

B.

is an emergency oral contraceptive.

C.

contains an opioid analgesic.

D.

is a monoclonal antibody.

Question # 23

The master formulation record is used to help:

A.

ensure quality control.

B.

prevent drug diversion.

C.

eliminate patient profiles.

D.

guarantee drug availability.

Question # 24

Of the following, the most appropriate long-term storage condition for varicella vaccine is:

A.

In the freezer, at -20°cto 10°c (-4°F to 14°F).

B.

In the refrigerator, at 2°c to 8°c (36°F to 46 °F).

C.

At room temperature, at 15°C to 30°C (59°F to 86°F).

D.

In a warner, at 30°C to 40°C (86°F to to 104°F).

Question # 25

Conducting a root-cause analysis (RCA) helps pharmacy staff to:

A.

determine which medication should be dispensed.

B.

decipher prescriber handwriting during order entry.

C.

increase pharmacy revenue and inventory turnover.

D.

identify the factors that contributed to a problem or event.

Question # 26

A patient presents the following prescription:

Amoxicillin 250 mg/5 mL

1 tsp tid x 10 days

How much of the medication, in mL, will be used during the first 5 days of therapy?

A.

25

B.

50

C.

75

D.

150

Question # 27

A local provider has written the following compounded prescription for a patient:

Zinc oxide ointment 20% 60 g

Nystatin ointment 100,000 units/g 60 g

Hydrocortisone ointment 1% 60 g

Cholestyramine powder 10 g

Mineral oil USP 10 mL

Total Weight 200 g

Which of the agents listed is an antifungal agent?

A.

Cholestyramine

B.

Hydrocortisone

C.

Zinc oxide

D.

Nystatin

Question # 28

Themanufacturer's packagingof an oral inhaler must include the:

A.

Average wholesale price

B.

Auxiliary labels

C.

Lot number

D.

Prescription number

Question # 29

Therapeutic duplication would be a concern for a patient prescribed both atorvastatin and:

A.

Cardizem.

B.

Lopressor.

C.

Zocor.

D.

Norvasc.

Question # 30

A patient picking up a prescription for lisinopril should be directed to the pharmacist if they:

A.

complain of a dry, hacking cough.

B.

purchase fexofenadine for seasonal allergies.

C.

mention that they have lowered their cholesterol.

D.

report that their blood pressure has been normal lately.

Question # 31

The correct direction for a prescription label for the Sig:"2 gtt OU q4-6h p.r.n."is to place two drops in:

A.

Both ears every 4 to 6 hours as needed.

B.

The right ear every 4 to 6 hours as needed.

C.

The right eye every 4 to 6 hours as needed.

D.

Both eyes every 4 to 6 hours as needed.

Question # 32

Carvedilolmay be a suitable therapeutic substitution for:

A.

Albuterol

B.

Labetalol

C.

Tramadol

D.

Estradiol

Question # 33

Incompatibility of a nonsterile compound may be indicated by:

A.

a clear solution

B.

the use of a pH buffer system

C.

an unexpected change in odor

D.

suspension particles settling to the bottom of a container

Question # 34

A hospital pharmacy implemented a voluntary medication error reporting system to improve patient safety. Two months later, the medication error rate had increased by 33%. Which of the following is most likely to be the reason for this increase?

A.

Culture change resulted in increased error reporting

B.

Culture change resulted in a punitive environment

C.

Focus on errors led to decreased focus on dispensing

D.

Focus on compliance with culture stimulated false reporting

Question # 35

Lorazepam oral concentrate should be stored in a pharmacy under the sametemperature conditions as:

A.

Lamictal chewable tablets.

B.

Lanoxin oral solution.

C.

Lyumjev KwikPen.

D.

Lunesta tablets.

Question # 36

A company that is able to receive and dispose of expired medications from a pharmacy is called a:

A.

Secondary wholesaler.

B.

Cancer drug repository.

C.

Reverse distributor.

D.

Prime vendor.

Question # 37

Where permitted by state regulation, a pharmacy technician may be responsible for:

A.

Counseling patients on new prescriptions

B.

Completing a clinical review of new prescriptions

C.

Initiating the transfer of non-controlled substance prescriptions

D.

Approving the validity of controlled substance prescriptions

Question # 38

Which of the following medications is subject to a Risk Evaluation and Mitigation Strategy (REMS) program because current patients should avoid becoming pregnant?

A.

Sertraline

B.

Ondansetron

C.

Montelukast

D.

Mycophenolate

Question # 39

If 120 g of cream contains 3 g of drug, how many g of drug are in 2 oz of cream?

A.

1.5

B.

6

C.

15

D.

60

Question # 40

Federal law restricts the OTC sale of:

A.

Loratadine

B.

Pseudoephedrine

C.

Acetaminophen

D.

Naproxen

Question # 41

Ahazardous drug spill kitfor pharmacy use should include:

A.

Permeable, disposable protective garments.

B.

Sufficient supplies to absorb a spill of about 10,000 mL.

C.

Reusable absorbent sponges or toweling.

D.

A disposable scoop for glass fragments.

Question # 42

An order for furosemide 120 mg IV STAT will be dispensed using furosemide 40 mg/2 ml. What volume, in ml of the stock injection will be required to deliver the requested dose?

A.

1

B.

3

C.

6

D.

12

Question # 43

Which of the following medications is subject to a Risk Evaluation and Mitigation Strategy (REMS) program?

A.

Xarelto

B.

Suboxone

C.

Warfarin

D.

Haloperidol

Question # 44

Outdated products found in a pharmacy should be:

A.

shipped to the DEA for disposal.

B.

kept on the shelf to be dispensed first.

C.

isolated from active dispensing stock.

D.

reported to the ISMP for tracking.

Question # 45

Which of the following is a controlled substance?

A.

Metoprolol

B.

Butorphanol

C.

Carvedilol

D.

Propranolol

Question # 46

Aspacerwas prescribed to accompany ametered dose inhaler (MDI), but the patient never picked it up. The spacer should be returned to:

A.

Damaged stock

B.

The manufacturer

C.

The study sponsor

D.

Dispensing stock

Question # 47

According to United States Pharmacopeia (USP) standards, a drug with an expiration date of 3/2025 should only be used by the patient through:

A.

February 28, 2025

B.

March 1, 2025

C.

March 31, 2025

D.

March 1, 2026

Question # 48

A pharmacy technician receives a prescription forZyrtec 10 mg once a dayfor schizophrenia. The technician should alert the pharmacist because:

A.

Zyrtec requires special handling.

B.

The prescription exceeds the maximum recommended daily dose.

C.

The prescription appears to contain a look-alike sound-alike (LASA) error.

D.

Zyrtec is subject to a REMS program.

Question # 49

A patient who has been receiving cimetidine 400 mg one tablet b.i.d. is switched to the liquid, which is available as 300 mg/5 mL. The volume of solution, in mL, required for each dose is:

A.

1.3

B.

6.7

C.

7.6

D.

13.3

Question # 50

According to the Institute for Safe Medication Practices (ISMP), which of the following is an example of a look-alike/sound-alike medication pair?

A.

Desipramine and desmopressin

B.

Chlordiazepoxide and chlorpromazine

C.

Fluoxetine and fluticasone

D.

Humalog and Humira

Question # 51

If atoxic materialcomes in contact with theskin or eyes, the immediate response should be to:

A.

Write an incident report and notify the supervisor

B.

Call 911 and place an ice bag on the affected area

C.

Wash the affected area thoroughly with soapy water

D.

Flush the affected area with large volumes of water

Question # 52

If M-M-R II antigen were inadvertently reconstituted with a stock vial of normal saline, pharmacy staff should:

A.

administer the vaccine as the diluents are equivalent.

B.

report the incident to the Drug Enforcement Administration (DEA).

C.

contact the Environmental Protection Agency (EPA) for guidance.

D.

discard the vaccine as its efficacy could be altered.

Question # 53

What is the generic name for Lipitor?

A.

Provastatin

B.

Fluvastatin

C.

Simvastatin

D.

Atorvastatin

Question # 54

The use of Tall Man lettering:

A.

highlights the similarities in drug names.

B.

ensures all trade names will be capitalized.

C.

draws attention to the differences in drug names.

D.

keeps the pharmacy inventory in alphabetic order.

Question # 55

Pharmacy staff should always visually inspect nonsterile compounds for which of the following signs of incompatibility?

A.

Photolysis

B.

Hydrolysis

C.

Precipitation

D.

Oxidation-reduction

Question # 56

Which two medications are considered look-alike/sound-alike when written as their brand names?

A.

Lisinopril and metoprolol

B.

Citalopram and celecoxib

C.

Acebutolol and acetazolamide

D.

Naproxen and misoprostol

Question # 57

Which of the following medications is subject to a Risk Evaluation and Mitigation Strategy (REMS) program?

A.

Xarelto

B.

Suboxone

C.

Warfarin

D.

Haloperidol

Question # 58

Nurtec ODT must be stored in the original packaging until ready to use because it is sensitive to:

A.

moisture

B.

light

C.

heat

D.

cold

Question # 59

A pharmacy computer system is likely to display atherapeutic duplication alertif a prescription forBriviactis processed for a patient already taking:

A.

Ancef

B.

Ambien

C.

Vimpat

D.

Vyvanse

Question # 60

A prescription calls foramoxicillin 500 mg PO t.i.d.Which of the following must be provided by the prescriber in order for the prescription to be filled?

A.

Therapy duration

B.

Contraindications

C.

Auxiliary warnings

D.

Brand name

Question # 61

When dispensing cefdinir, the pharmacist should ascertain whether the patient is allergic to penicillin because:

A.

A penicillin allergy is a specific contraindication for this drug.

B.

Patients allergic to penicillin may also be allergic to fluoroquinolones.

C.

Patients allergic to penicillin may also be allergic to cephalosporins.

D.

A penicillin allergy indicates a high sensitivity to antibiotics.

Question # 62

Abeyond-use date (BUD)indicates the period of time that a:

A.

Compounded preparation is expected to retain its purity and potency.

B.

Manufactured preparation is expected to retain its purity and potency.

C.

Manufactured preparation is expected to stay on the shelf.

D.

Compounded preparation is expected to take to prepare.

Question # 63

When entering prescription information into a computer, a pharmacy technician should include which of the following to help prevent a medication dosing error?

A.

Allergies

B.

Leading zeros

C.

Insurance information

D.

Contraindications

Question # 64

Asyndrome that can be produced by abrupt cessation or rapid dose reduction of a medicationis:

A.

Tolerance

B.

Addiction

C.

Withdrawal

D.

Dependency

Question # 65

According to the Institute for Safe Medication Practices (ISMP), which of the following is a high-alert medication in an acute care setting?

A.

Normal saline solution

B.

Transdermal lidocaine

C.

Dextrose 5% solution

D.

Insulin U-500

Question # 66

Eliquis is considered ahigh-alert medicationbecause it can cause potentially fatal:

A.

Respiratory depression

B.

Bleeding

C.

Hyperglycemia

D.

Hypoxia

Question # 67

According to the Centers for Disease Control and Prevention (CDC), handwashing helps prevent illness because:

A.

pathogens are often transferred through touch.

B.

viruses accumulate on hands in lesser concentrations.

C.

microorganisms on hands weaken the immune system.

D.

antibiotic-resistant bacteria can only be removed by hand sanitizer.

Question # 68

A pharmacy must report the theft or significant loss of which of the following medications to the Drug Enforcement Administration (DEA)?

A.

Pregabalin

B.

Piroxicam

C.

Prochlorperazine

D.

Pioglitazone

Question # 69

Which of the following is considered a high-alert medication in some settings because it is an antiretroviral agent?"

And provides these options:

A.

Meperidine

B.

Olopatadine

C.

Lamivudine

D.

Tizanidine

Question # 70

According to the Institute for Safe Medication Practices (ISMP), which of the following is a high-alert medication in an acute care setting?

A.

Normal saline solution

B.

Transdermal lidocaine

C.

Dextrose 5% solution

D.

Insulin U-500

Question # 71

According toUSP Chapter 800, a reusable counting tray used to count outcyclophosphamidecapsules must be:

A.

Activated before each use.

B.

Disposed of after each use.

C.

Decontaminated after each use.

D.

Sterilized before each use.

Question # 72

A prescription specifiesalbuterol (containing 200 MDI) at 2 puffs q6h PRN.The medication will last a minimum of:

A.

10 days

B.

14 days

C.

25 days

D.

30 days

Question # 73

Which of the following auxiliary labels would be most appropriate to affix to a bottle ofcephalexin oral suspensionafter reconstitution?

A.

Protect from light; Discard after 7 days

B.

Protect from light; Discard after 14 days

C.

Keep refrigerated; Discard after 7 days

D.

Keep refrigerated; Discard after 14 days

Question # 74

During final verification, a pharmacist identifies that a prescription written for ampicillin was entered as amoxicillin. The pharmacist corrects the error and the patient receives the prescribed ampicillin. This situation may be reported as a(n):

A.

near miss

B.

dispensing error

C.

adverse event

D.

unauthorized drug

Question # 75

According to the Code of Federal Regulations, which of the following medications is a Schedule II controlled substance?

A.

Metoprolol

B.

Methadone

C.

Metformin

D.

Methotrexate

Question # 76

The label of a stock bottle provides the following information:

(01)55555444422

(1)051526

(10)ABC123

(21)11262026

What is the lot number for this medication?

A.

ABC123

B.

55555444422

C.

051526

D.

11262026

Question # 77

Which of the following medications should be dispensed with a calibrated oral syringe?

A.

Enoxaparin sodium

B.

Albuterol/ipratropium

C.

Lorazepam concentrate

D.

Polyethylene glycol 3350

Question # 78

Due to an increased risk of hepatotoxicity, patients on acetaminophen should use caution when consuming:

A.

Citrus fruits

B.

Leafy greens

C.

Dairy products

D.

Alcoholic beverages

Question # 79

If a prescription for amoxicillin 150 mg PO q8h for 10 days is filled with a 250 mg/5 mL suspension, how many mL would the patient take per dose?

A.

3

B.

4

C.

5

D.

6

Question # 80

A prescription for 1 pint of rifampin 1% suspension. 2 tbsp daily, will be compounded using how many 300 mg capsules of the drug?

A.

8

B.

16

C.

32

D.

160

Question # 81

The generic forNasonexis:

A.

Mometasone furoate

B.

Loteprednol etabonate

C.

Desloratadine

D.

Fluticasone

Question # 82

Which of the followingmedications should be pulled from inventorydue to incorrect storage?

A.

Boostrix that was stored in a refrigerator.

B.

Havrix that was stored in a refrigerator.

C.

Shingrix that was stored in a freezer.

D.

Varivax that was stored in a freezer.

Question # 83

Which of the following statements regardingspecific patient medication returns in the hospital settingis correct?

A.

Unlabeled medications may be dispensed by the nurse at discharge.

B.

Unopened units-of-use returned from outpatients may be redispensed.

C.

Unopened units-of-use returned from inpatients may be redispensed.

D.

Crediting of unused doses is not feasible.

Question # 84

Which of the following is anantidepressant?

A.

Clozapine

B.

Lorazepam

C.

Haloperidol

D.

Citalopram

Question # 85

Naproxenis indicated to treat:

A.

Inflammation and pain

B.

Diabetes

C.

Heart arrhythmias

D.

High blood pressure

Question # 86

A prescriber orders1000 mgof a medication. If the stock bottle label stateseach tablet contains 0.1 g, how many tablets should the patient receive?

A.

1

B.

10

C.

100

D.

1000

Question # 87

According to the manufacturer, Risperdal Consta remains stable at room temperature for a maximum of:

A.

12 hours

B.

7 days

C.

14 days

D.

21 days

Question # 88

What is the w/w percentage strength of a zinc oxide ointment compounded by mixing 4.5 g of zinc oxide powder with enough ointment to obtain 30 g of final product?

A.

0.25%

B.

10%

C.

15%

D.

17.5%

Question # 89

Which of the following should be used tohelp incorporate a solid (like powder) into an ointmentduringnonsterile compounding?

A.

Emulsifying agents

B.

Diluents

C.

Levigating agents

D.

Preservatives

Question # 90

Which of the following medications is an anticonvulsant used in the prophylaxis and control of various types of seizures?

A.

Clonidine

B.

Atomoxetine

C.

Guanfacine

D.

Phenytoin

Question # 91

Which of the following is a method that can reduce the likelihood ofdispensing an expired medication?

A.

Verifying each lot number.

B.

Using the newest medications first.

C.

Rotating stock on a regular basis.

D.

Using the last in, first out method.

Question # 92

FDA guidelines for Class III drug recallsrequire pharmacies to:

A.

Post signs throughout the pharmacy announcing the recall

B.

Remove from stock all medication that meets the recall specifications

C.

Notify physicians and all affected personnel of the recall

D.

Contact all patients who have received medication that meets the recall specifications

Question # 93

Which of the following products is acorticosteroid?

A.

Progesterone

B.

Fluocinolone

C.

Methyltestosterone

D.

Spironolactone

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