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PTCB PTCE Exam Questions
- Topic 1: Medications: This section measures the skills of Pharmacy Technicians and covers knowledge of generic and brand names, classifications, therapeutic equivalence, drug interactions, contraindications, strengths, dosage forms, administration routes, side effects, indications, drug stability, narrow therapeutic index medications, incompatibilities, and proper storage1246. It requires a comprehensive understanding of medication properties and handling.
- Topic 2: Federal Requirements: This section assesses the competencies of Pharmacy Managers in federal laws and regulations related to handling and disposal of substances, controlled substance prescriptions, restricted drug programs, and FDA recall requirements12. It emphasizes compliance and regulatory expertise.
- Topic 3: Patient Safety and Quality Assurance: This section measures the skills of Pharmacy Technicians and covers high-alert medications, error prevention strategies, issues requiring pharmacist intervention, event reporting, prescription error types, and hygiene standards12. It focuses on safe pharmacy practices and error handling.
- Topic 4: Order Entry and Processing: This section measures the skills of Pharmacy Technicians and assesses procedures for compounding non-sterile products, calculations, ratios, proportions, conversions, Sig codes, abbreviations, medical terminology, administration equipment, lot numbers, expiration dates, NDC numbers, and procedures for handling medications and supplies12. It emphasizes accuracy and efficiency in prescription processing.
Free PTCB PTCE Exam Actual Questions
Note: Premium Questions for PTCE were last updated On Apr. 26, 2025 (see below)
According tofederal law, a prescription for which of the following medicationsmay be transferredto another pharmacy to be refilled?
Comprehensive and Detailed Step-by-Step Explanation:
Underfederal law (21 CFR 1306.25),Schedule III-V controlled substances (e.g., Alprazolam)can be transferred ONCEfor refill purposes between licensed pharmacieswith a shared database.Schedule II drugs (e.g., Methylphenidate, Fentanyl, Hydromorphone) CANNOT be transferred.
Explanation of Answer Choices:A. Alprazolam (C-IV)Correct.Schedule III-V drugs can be transferred ONCEfor refill purposes.B. Methylphenidate (C-II) Incorrect.Schedule II drugs cannot be transferred.C. Fentanyl (C-II) Incorrect.C-II drugs are non-transferablebetween pharmacies.D. Hydromorphone (C-II) Incorrect.C-II drugs cannot be transferred.
Reference:
DEA Controlled Substance Act (CSA)
21 CFR 1306.25 -- Prescription Transfers
Whichvitaminshould be takenbefore and during pregnancyto help avoidneural tube defects?
Folic acid (Vitamin B9) is crucial for fetal development, reducing the risk of neural tube defects like spina bifida.
Recommended dose: At least 400 mcg daily before pregnancy and during the first trimester.
Reference:CDC Folic Acid Pregnancy Guidelines, PTCE Vitamin & Supplement Guide.
Thegeneric name for Concertais:
Concerta = Methylphenidate (extended-release) used for ADHD.
Other ADHD drugs:
Dexmethylphenidate = Focalin
Dextroamphetamine = Adderall
Lisdexamfetamine = Vyvanse
Reference:FDA ADHD Drug Classifications, PTCB Medication Guide.
While unpacking today's shipment, a pharmacy technician notices that a vial of Apidra arrived frozen. The technician's best course of action is to prepare the item to be:
Apidra (insulin glulisine)is arapid-acting insulinthat must bestored between 36F and 46F (2C to 8C)in the refrigerator. If frozen,it is no longer usableand shouldnever be thawed or dispensed. The best course of action is toreturn it to the distributorto ensure medication integrity and patient safety.
A . Thawed and stored in a refrigerator Incorrect;frozen insulin loses its potencyand shouldnot be used.
B . Sent to the prescriber Incorrect; the prescriber does not handle medication storage or replacements.
C . Dispensed to a patient Incorrect;frozen insulin is ineffectiveand could harm the patient.
Other Answer Choices Explained:Reference:
FDA Insulin Storage and Handling Guidelines
USP <797> Sterile Preparations -- Storage Conditions
Manufacturer Storage Requirements for Apidra (Sanofi-Aventis)
Which of the following medications is available only with a prescription?
Pantoprazole (Protonix)is aproton pump inhibitor (PPI)that isonly available by prescriptionfor treatingGERD, Zollinger-Ellison syndrome, and peptic ulcers.
Omeprazole (Prilosec), Lansoprazole (Prevacid), and Esomeprazole (Nexium)are availableOTC and by prescriptionin different strengths.
Prescription PPIsare typically higher strength than OTC versions.
Reference:FDA Drug Approvals for OTC and Prescription PPIs.
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