PTCE Exam Dumps - Pharmacy Technician Certification (CPhT) Exam

Pseudoephedrineis regulated under theCombat Methamphetamine Epidemic Act (CMEA)of 2005 due to its potential use in methamphetamine production.

It is availableover-the-counter (OTC) but behind the pharmacy counter, and its sale requires:

Proof of ID

Purchase limits (3.6 g per day, 9 g per month)

A log of purchases maintained by the pharmacy

Loratadine, acetaminophen, and naproxendo not have federal restrictions like pseudoephedrine.

📌Reference:U.S.Combat Methamphetamine Epidemic Act (CMEA)of 2005.

Risk Evaluation and Mitigation Strategies (REMS)areFDA-required programsto ensure that thebenefits of certain medications outweigh their risks. REMS programsrestrict prescribing, dispensing, and monitoringdue to the potential for serious side effects or misuse.

Suboxoneis used foropioid dependenceand containsbuprenorphine, apartial opioid agonist, which can causeaddiction, misuse, and respiratory depressionif used improperly.

REMS Requirements for Suboxone:

Prescriber Certification:Only specially certified providers can prescribe Suboxone.

Patient Education:Patients must be informed about the risks of misuse, overdose, and dependence.

Limited Dispensing:Pharmacists must ensure prescriptions meet REMS criteria before dispensing.

A. Xarelto (Rivaroxaban).→ Incorrect. While Xarelto is an anticoagulant, it isnot under REMS.

C. Warfarin.→ Incorrect. Warfarin requires monitoring butdoes not have a REMS program.

D. Haloperidol.→ Incorrect. Haloperidol is an antipsychotic, but itdoes not have a REMS program.

FDA REMS Program List (www.accessdata.fda.gov).

Suboxone REMS Guidelines (www.suboxonerems.com).

PTCB PTCE Exam Content Outline – REMS and Medication Safety.

Mosby’s Pharmacy Technician: Principles and Practice – REMS Regulations.

Why Is Suboxone (Buprenorphine/Naloxone) Under REMS?Why the Other Answer Choices Are Incorrect:Pharmacy Technician References:

Eliquis (apixaban) is a direct oral anticoagulant (DOAC) that increases the risk of serious bleeding.

High-alert medications have anarrow therapeutic indexand requirespecial monitoring.

📌Reference:ISMP High-Alert Medication List, FDA Eliquis Safety Warnings.

Sig Code Breakdown:

2 gtt = 2 drops

OU (oculus uterque) = both eyes

q4-6h = every 4 to 6 hours

p.r.n. = as needed

Why Other Options Are Incorrect:

A. Both ears?❌"AU" (auris uterque) means both ears, NOT both eyes.

B. Right ear?❌"AD" (auris dextra) means right ear.

C. Right eye?❌"OD" (oculus dexter) means right eye.

📌Reference:PTCB Approved Sig Code List, ISMP Safe Prescription Writing Guidelines.

Comprehensive and Detailed Step-by-Step Explanation:

Cyclophosphamideis ahazardous drugclassified byNIOSH (National Institute for Occupational Safety and Health).USP Chapter 800mandates thatall surfaces exposed to hazardous drugs (HDs), including counting trays, must be decontaminated after each useto prevent cross-contamination.

📌Explanation of Answer Choices:✅C. Decontaminated after each use→Correct.Hazardous drug residues must be removed after each use to prevent contamination.❌A. Activated before each use→ Incorrect. There is no"activation"process for hazardous drug counting trays.❌B. Disposed of after each use→ Incorrect.Counting trays are reusable but must be properly cleaned.❌D. Sterilized before each use→ Incorrect.Sterilization applies to sterile compounding, not hazardous drug handling.

📌Reference:

USP <800>: Handling Hazardous Drugs in Healthcare Settings

NIOSH List of Hazardous Drugs (Cyclophosphamide)

ISMP MERP (Institute for Safe Medication Practices – Medication Error Reporting Program)allows healthcare professionals toreport medication errorsto improve patient safety.

Common errors reported:

Incorrect medication dispensing

Wrong dosages

Look-alike, sound-alike drug errors

📌Reference:ISMP Official Medication Error Guidelines.

Comprehensive and Detailed Step-by-Step Explanation:

The FDA Orange BookprovidesTherapeutic Equivalence (TE) codesto indicate whether a generic drug isequivalentto a brand-name drug.

📌Explanation of Answer Choices:✅B. The Orange Book→Correct.Liststherapeutic equivalence (TE) codesfor FDA-approved generics.❌A. Remington→ Incorrect.Pharmacy reference book, not used for TE codes.❌C. SDSs→ Incorrect.Used for chemical safety, not drug equivalence.❌D. Package insert→ Incorrect.Does not contain TE codes.

📌Reference:

FDA Orange Book

PTCB Exam: Therapeutic Equivalence

Comprehensive and Detailed Step-by-Step Explanation:

Desvenlafaxine (Pristiq)is anSNRI (Serotonin-Norepinephrine Reuptake Inhibitor)used to treatmajor depressive disorder (MDD).

📌Explanation of Answer Choices:✅B. Major depressive disorder→Correct.Desvenlafaxine is FDA-approved fordepression.❌A. Hypertension→ Incorrect.Not an antihypertensive.❌C. Benign prostatic hypertrophy→ Incorrect.Alpha-blockers like Tamsulosin treat BPH.❌D. Atrial fibrillation→ Incorrect.Beta-blockers, not SNRIs, manage atrial fibrillation.

📌Reference:

FDA Drug Database: Desvenlafaxine

PTCB Exam: Pharmacology for Technicians