PTCE Exam Dumps - Pharmacy Technician Certification (CPhT) Exam

Carbon dioxide exposure can cause oxidation and degradation of certain medications, reducing theirstability and effectiveness.

📌Reference:USP Drug Storage and Stability Guidelines.

According toCDC Hand Hygiene Guidelines, pharmacy technicians should wash their hands withsoap and waterinstead of alcohol-based hand sanitizer when:

Hands are visibly dirty→ Alcohol-based sanitizers are ineffective against certain contaminants like dirt, grease, and some bacteria.

Before eating→ Prevents ingestion of harmful pathogens.

After using the restroom→ Soap and water are required to remove potential fecal contamination.

A. They have time, before eating, and after eating❌→Incorrect

Handwashing ismandatorywhen hands are dirty or after using the restroom, not just when there's time.

B. Their hands are visibly clean, after eating, and before each patient❌→Incorrect

Washing isnot required if hands appear clean—sanitizer is acceptable in most situations except when visibly soiled.

C. They have finished filling prescriptions, before eating, and after each patient❌→Incorrect

Hand hygiene is important, but hand sanitizer is typically used between patients unless hands are visibly dirty.

CDC Hand Hygiene in Healthcare Settings– Recommendssoap and waterfor visibly soiled hands and after restroom use.

USP <797> Guidelines for Aseptic Technique– Emphasizes proper handwashing for sterile compounding.

PTCB PTCE Exam Content Outline– Covers infection control and hand hygiene protocols.

Why Not the Other Options?Key References:

Nurtec ODT (Rimegepant)is anorally disintegrating tablet (ODT)used for theacute treatment of migraines. Since it is designed to dissolve quickly in the mouth,it is highly sensitive to moisture. Exposure to moisture can cause the tablets to degrade, dissolve prematurely, or lose potency.

Storage Requirement:

Must be kept in the original blister packaging until usetoprevent moisture exposure.

Should not be stored in pill organizers or opened ahead of time.

B. Light→ Incorrect; Nurtec ODT isnot highly photosensitive.

C. Heat→ Incorrect; while heat can degrade many medications,moisture is the primary concernfor ODT formulations.

D. Cold→ Incorrect; refrigeration isnot required, and cold storage does not affect the drug’s stability.

Other Answer Choices Explained:References:

FDA Drug Label for Nurtec ODT (Rimegepant) – Storage and Handling Instructions

USP <795> Nonsterile Compounding & Drug Stability Guidelines

PTCB PTCE Exam Content Outline (Medication Storage & Handling)

"NS" stands for Normal Saline (0.9% sodium chloride solution), which isisotonic with blood plasmaand used forIV hydration and medication dilution.

Why Other Options Are Incorrect:

A. 0.45% sodium chloride?❌"Half-normal saline"(used in fluid-restricted patients).

C. 23.4% sodium chloride?❌Hypertonic saline(used in severe hyponatremia).

D. Any sodium chloride solution?❌Not specific to "NS" (Normal Saline).

📌Reference:USP Intravenous Fluids Standardization.

In the providedcompounded prescription, the antifungal agent isnystatin.

Nystatin is a polyene antifungalthat works by binding toergosterolin fungal cell membranes, causing leakage of cellular contents and fungal cell death.

It iscommonly used for fungal infections, particularlycutaneous or mucosal Candida infections(e.g., diaper rash, oral thrush).

A. Cholestyramine.→ Incorrect. Cholestyramine is abile acid sequestrantused to lowercholesteroland treatdiarrhea(often in combination with other ingredients for skin irritation or wounds).

B. Hydrocortisone.→ Incorrect. Hydrocortisone is acorticosteroidused to reduceinflammation and itching, but it does not kill fungi.

C. Zinc oxide.→ Incorrect. Zinc oxide is askin protectantused fordiaper rash and minor burns, but it is not an antifungal.

Lexicomp Drug Database – Nystatin Mechanism of Action.

FDA Drug Label for Nystatin – Antifungal Properties.

PTCB PTCE Exam Content Outline – Compounded Preparations and Active Ingredients.

Mosby’s Pharmacy Technician: Principles and Practice – Dermatologic Compounding.

Why Is Nystatin an Antifungal?Why the Other Answer Choices Are Incorrect:Pharmacy Technician References:Conclusion:Pharmacy technicians must befamiliar with drug classificationsto correctly identify active ingredients incompounded prescriptions.Nystatin is the only antifungal agentin the provided formulation.

A spacer is a non-prescription medical devicethat enhances the delivery of medication from anMDI (metered dose inhaler).

Since the patient never picked it up and it isnot a controlled or perishable item, the pharmacy canreturn it to dispensing stock for resale.

Why Other Options Are Incorrect:

A. Damaged stock?❌Only if the spacer was opened, broken, or contaminated.

B. The manufacturer?❌Not necessary unless it is defective.

C. The study sponsor?❌Applies only to clinical trial supplies.

📌Reference:ISMP Safe Handling of Medical Devices, PTCE Study Guide.

Vaccines come in different strengths for adults and children, and mix-ups can lead to underdosing or overdosing.

Storing pediatric and adult vaccines separately within the refrigerator reduces the risk of errors.

Example:PediatricCOVID-19 vaccines (lower dose) and adult doses look similar but have different concentrations.

Why Other Options Are Incorrect:

A. Repackaging?❌Against CDC and USP <797> guidelines, which require vaccines to remain in their original packaging.

B. Ordering from different manufacturers?❌Not practical; most pharmacies use a single supplier for consistency.

D. Automated dispensing systems?❌Not always available for vaccines.

📌Reference:CDC Vaccine Storage & Handling Guidelines, ISMP Vaccine Safety Best Practices.

Comprehensive and Detailed Step-by-Step Explanation:

Pseudoephedrine(Sudafed) is asympathomimetic decongestantthat causesvasoconstrictionand canincrease blood pressure.

📌Explanation of Answer Choices:✅B. Hypertension→Correct.Pseudoephedrinecan cause arise in blood pressure, so it should be used cautiously in patients withhypertension.❌A. Asthma→ Incorrect.Pseudoephedrine does not directly worsen asthma, but it may cause mild bronchodilation.❌C. Hypokalemia→ Incorrect.Pseudoephedrine does not affect potassium levels.❌D. Eczema→ Incorrect. Eczema is unrelated topseudoephedrine use.

📌Reference:

Combat Methamphetamine Epidemic Act (CMEA) Regulations

American Heart Association (AHA) Guidelines on Hypertension