PTCB Practice Test: Video 2 Answers (25 Questions) — Questions and Answers

Question 1: Insulin glargine is classified as which type of insulin?

Rapid-acting
Short-acting (regular)
Intermediate-acting (NPH)
Long-acting (basal) (Correct answer)

Correct answer: Long-acting (basal)

Insulin glargine (Lantus, Basaglar) is a long-acting basal insulin with a duration of approximately 24 hours.

Question 2: Which class of drugs is commonly associated with causing a dry cough as a side effect?

ACE inhibitors (Correct answer)
ARBs
Beta-blockers
Calcium channel blockers

Correct answer: ACE inhibitors

ACE inhibitors cause accumulation of bradykinin in the lungs, leading to a persistent dry cough in up to 15–20% of patients.

Question 3: Which drug interaction occurs between warfarin and vitamin K?

Synergistic — increases anticoagulation
Additive — equal effects
Antagonistic — vitamin K reduces warfarin's effectiveness (Correct answer)
Potentiation — vitamin K increases INR

Correct answer: Antagonistic — vitamin K reduces warfarin's effectiveness

Vitamin K antagonizes warfarin by providing the substrate warfarin works to deplete, reducing anticoagulant effect and lowering INR.

Question 4: What is the antidote for opioid overdose?

Physostigmine
Protamine sulfate
Naloxone (Correct answer)
Flumazenil

Correct answer: Naloxone

Naloxone (Narcan) is an opioid receptor antagonist that rapidly reverses opioid-induced respiratory depression.

Question 5: Which drug is used to reverse the effects of benzodiazepine overdose?

Naloxone
N-acetylcysteine
Flumazenil (Correct answer)
Physostigmine

Correct answer: Flumazenil

Flumazenil is a benzodiazepine receptor antagonist used to reverse benzodiazepine-induced sedation or overdose.

Question 6: What strategy does 'Tall Man Lettering' help prevent?

Allergy-related errors
Wrong route errors
Look-alike/sound-alike (LASA) drug mix-ups (Correct answer)
Calculation errors

Correct answer: Look-alike/sound-alike (LASA) drug mix-ups

Tall Man Lettering uses mixed case (e.g., hydrALAZINE vs. hydrOXYzine) to visually differentiate LASA drug names.

Question 7: Which error type occurs when a patient receives a drug intended for a different patient?

Wrong patient error (Correct answer)
Wrong dose error
Wrong route error
Omission error

Correct answer: Wrong patient error

A wrong patient error is a medication error in which the correct drug is dispensed but to the wrong individual.

Question 8: What does the abbreviation 'ISMP' stand for?

Institute for Standard Medical Protocols
Integrated Safety Monitoring Program
International Society of Medical Pharmacists
Institute for Safe Medication Practices (Correct answer)

Correct answer: Institute for Safe Medication Practices

ISMP (Institute for Safe Medication Practices) is a nonprofit organization dedicated to preventing medication errors.

Question 9: Which USP chapter governs sterile compounding standards?

USP
USP
USP (Correct answer)
USP

Correct answer: USP

USP provides standards for sterile compounding including beyond-use dating, environmental monitoring, and cleanroom requirements.

Question 10: Which storage condition is required for most vaccines?

Cool and dark (59–68°F)
Frozen (−4°F)
Refrigerated (36–46°F) (Correct answer)
Room temperature (68–77°F)

Correct answer: Refrigerated (36–46°F)

Most vaccines must be stored at 36–46°F (2–8°C) in a refrigerator to maintain potency and efficacy.

Question 11: How many schedules exist in the federal controlled substance classification system?

6
5 (Correct answer)
4
3

Correct answer: 5

The Controlled Substances Act establishes five schedules (I–V) based on abuse potential, accepted medical use, and safety.

Question 12: Under HIPAA, a minimum necessary standard requires that disclosure of PHI be limited to:

Only what is needed for the purpose (Correct answer)
What the prescriber requests
All patient records
Information older than 10 years

Correct answer: Only what is needed for the purpose

The HIPAA minimum necessary standard requires limiting PHI disclosure to the least amount needed to accomplish the intended purpose.

Question 13: What is the purpose of a DEA Form 106?

Order Schedule II drugs
Report theft or significant loss of controlled substances (Correct answer)
Register a new pharmacy
Transfer a Schedule II prescription

Correct answer: Report theft or significant loss of controlled substances

DEA Form 106 is used to report theft or significant loss of controlled substances to the DEA.

Question 14: What does HIPAA primarily protect?

Drug manufacturing standards
Drug pricing
Patient health information (Correct answer)
Pharmacy licensing

Correct answer: Patient health information

HIPAA (Health Insurance Portability and Accountability Act) establishes national standards for protecting patients' private health information.

Question 15: Which organization is responsible for scheduling controlled substances at the federal level?

DEA (Correct answer)
CMS
CDC
FDA

Correct answer: DEA

The DEA (Drug Enforcement Administration) is responsible for enforcing the Controlled Substances Act and scheduling drugs.

Question 16: What does 'NKA' mean in a patient's allergy history?

No Known Allergies (Correct answer)
No Known Antibiotics
Not Known to Allergy team
No Known Adverse reactions

Correct answer: No Known Allergies

NKA stands for 'No Known Allergies,' indicating the patient has no documented drug or environmental allergies.

Question 17: What does 'DAW 0' indicate on a prescription claim?

Substitution not allowed by law
No product selection indicated — generic may be dispensed (Correct answer)
Patient requests brand
Brand only, no substitution

Correct answer: No product selection indicated — generic may be dispensed

DAW 0 means no product selection is indicated, allowing the pharmacist to substitute a generic equivalent.

Question 18: What does 'prior authorization' (PA) mean in pharmacy processing?

Pharmacist verification of a prescription
Patient consent for medication therapy
Insurer approval required before a drug will be covered (Correct answer)
A prescriber's DEA registration

Correct answer: Insurer approval required before a drug will be covered

Prior authorization requires the prescriber to obtain approval from the insurance plan before the drug will be covered for that patient.

Question 19: A patient brings in a prescription for 30 tablets with 3 refills. What is the total quantity authorized?

90 tablets
120 tablets (Correct answer)
30 tablets
60 tablets

Correct answer: 120 tablets

The original fill (30 tablets) plus 3 refills (3 × 30 = 90) equals 120 tablets total authorized.

Question 20: What does the Latin abbreviation 'QID' mean?

Every other day
Four times a day (Correct answer)
Three times a day
Every 12 hours

Correct answer: Four times a day

QID (quater in die) means four times a day, typically every 6 hours.

Question 21: Atorvastatin belongs to which drug class?

HMG-CoA reductase inhibitor (Correct answer)
Fibrate
Niacin derivative
Bile acid sequestrant

Correct answer: HMG-CoA reductase inhibitor

Atorvastatin is an HMG-CoA reductase inhibitor (statin) used to lower LDL cholesterol.

Question 22: Which drug class does sertraline belong to?

MAOI
SNRI
TCA
SSRI (Correct answer)

Correct answer: SSRI

Sertraline (Zoloft) is a selective serotonin reuptake inhibitor used for depression and anxiety.

Question 23: Which of the following is a Schedule IV controlled substance?

Morphine
Hydrocodone
Alprazolam (Correct answer)
Codeine

Correct answer: Alprazolam

Alprazolam (Xanax) is a benzodiazepine classified as Schedule IV with lower abuse potential than Schedule III.

Question 24: What is the generic name for Synthroid?

Levothyroxine (Correct answer)
Methimazole
Propylthiouracil
Liothyronine

Correct answer: Levothyroxine

Synthroid's generic name is levothyroxine, used to treat hypothyroidism by replacing T4.

Question 25: Which drug is a Schedule II controlled substance?

Tramadol
Alprazolam
Oxycodone (Correct answer)
Carisoprodol

Correct answer: Oxycodone

Oxycodone is a Schedule II opioid with high abuse potential and accepted medical use.

PTCB Practice Test: Video 2 Answers (25 Questions)

Insulin glargine is classified as which type of insulin?

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