Pharmacy Operations
Exam Materials
Course Introduction
Pharmacy Operations covers the foundational principles and practical aspects of managing a pharmacy in various settings, including community, hospital, and specialty environments. The course explores workflow processes, inventory management, prescription processing, regulatory compliance, and quality assurance. Students will learn about pharmacy informatics, medication distribution systems, the financial aspects of pharmacy operations, and strategies for effective communication and teamwork within the healthcare system. Emphasis is placed on the use of technology and automation in pharmacy practice, as well as on ensuring patient safety and optimizing operational efficiency.
Recommended Textbook
Mosbys Pharmacy Technician Principles and Practice 4th Edition by Elsevier
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28 Chapters
895 Verified Questions
895 Flashcards
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Page 2
Chapter 1: History of Medicine and Pharmacy
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30 Verified Questions
30 Flashcards
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Sample Questions
Q1) In what language were medicinal recipes (prescriptions) written until the 1900s?
A)English
B)Greek
C)Latin
D)Italian
Answer: C
Q2) The ancient treatment process of cutting a hole in the skull to allow evil spirits that were thought to cause disease a way to exit the body was called:
A)Blood letting
B)Trephining
C)Leaching
D)Venesection
Answer: B
Q3) Which medication(s) come(s) from plants?
A)Opium
B)Penicillin
C)Quinine
D)A and C
Answer: D
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Page 3
Chapter 2: Pharmacy Law, Ethics, and Regulatory Agencies
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40 Verified Questions
40 Flashcards
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Sample Questions
Q1) The first set of numbers of a National Drug Code (NDC) number, which is assigned by the FDA, is the:
A)Labeler code
B)Product code
C)Package code
D)None of the above
Answer: A
Q2) In which of the following forms can prescriptions for schedules C-II through C-V drugs be accepted by the pharmacy?
A)Written
B)Orally
C)Facsimile
D)All of the above
Answer: D
Q3) Which schedule of medication is considered an exempt controlled substance?
A)C-II
B)C-III
C)C-IV
D)C-V Answer: D
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Chapter 3: Competencies, Associations, and Settings for Technicians
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30 Verified Questions
30 Flashcards
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Sample Questions
Q1) The measure of professionalism includes:
A)Attitude
B)Level of competence
C)Interpersonal skills
D)All of the above
Answer: D
Q2) Which organization is the leader in providing course curriculum for pharmacy technicians?
A)APhA
B)ASHP
C)NABP
D)PTCB
Answer: B
Q3) Which level of pharmacy technician does not indicate or guarantee the person's skills or knowledge?
A)Certified pharmacy technician
B)Licensed pharmacy technician
C)Registered pharmacy technician
D)All of these titles indicate a level of training
Answer: C
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Chapter 4: Communication and Role of the Technician
With the Customerpatient
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) When answering a telephone call, the technician should:
A)Identify his or her name and title.
B)Carefully listen to the caller.
C)Decide whether to forward the call to a pharmacist.
D)All of the above should be performed.
Q2) Articulation means:
A)Speaking slowly
B)Speaking clearly, and avoiding slang
C)Speaking loudly
D)Maintaining eye contact while communicating
Q3) Communication channels include:
A)Written messages
B)Spoken words
C)Body language
D)All of the above
Q4) Most people judge others within ________ of first meeting them.
A)30 seconds
B)3 minutes
C)10 minutes
D)30 minutes
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Chapter 5: Dosage Forms and Routes of Administration
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Sample Questions
Q1) What factors influence manufacturers' choices of dosage forms?
A)Desired speed of release and action
B)Target age of the patient
C)Metabolism of the drug
D)All of the above
Q2) The "Do Not Use List" provided by The Joint Commission (TJC) outlines:
A)Medications that physicians should use only as a last resort.
B)Medications that need prior approval before being prescribed.
C)Commonly misinterpreted medical abbreviations.
D)Medication abbreviations that physicians are not permitted to use.
Q3) Transdermal medication patches:
A)Are easily administered.
B)Should be folded in half with the sticky parts together before disposing.
C)Are void of medication once they are removed.
D)A and B
Q4) What is the primary site of drug metabolism in the human body?
A)Kidneys
B)Liver
C)Pancreas
D)Blood
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Chapter 6: Conversions and Calculations
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36 Flashcards
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Sample Questions
Q1) How many grams of dextrose are needed to prepare 500 mL of 20% dextrose solution?
A)10
B)20
C)60
D)100
Q2) A total parenteral nutrition (TPN) order calls for 500 mL of 10% Travasol, 250 mL of 50% dextrose in 250 mL of sterile water. What is the final concentration of the Travasol?
A)0.5%
B)3%
C)5%
D)8%
Q3) How many milliliters of diluent is needed to dilute 500 mL of 70% dextrose to 50% dextrose?
A)200
B)500
C)700
D)1000
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8
Chapter 7: Drug Information References
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30 Flashcards
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Sample Questions
Q1) The United States Pharmacopoeia-National Formulary (USP-NF) provides access to the official standards of the:
A)Physicians' Desk Reference (PDR)
B)United States Pharmacists Pharmacopoeia
C)U.S.Food and Drug Administration (FDA)
D)American Society of Health-System Pharmacists (ASHP)
Q2) Which of the following trade names is related to the indication of the medication?
A)Lasix
B)Tylenol
C)Restoril
D)Benadryl
Q3) Technicians should be familiar with reference books, enabling them to find information and have it ready for the:
A)Pharmacist
B)Physician
C)Nurse
D)All of the above
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Page 9
Chapter 8: Community Pharmacy Practice
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34 Verified Questions
34 Flashcards
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Sample Questions
Q1) How many days would a 5-mL bottle of timolol 0.5% ophthalmic solution (Timoptic) last with the sig of 1 drop in both eyes twice a day?
A)12
B)15
C)25
D)30
Q2) What should the technician do if a regular customer brings in a new prescription for a blood pressure medication that was written a month earlier?
A)Ask if the customer has been using samples from the physician.
B)Alert the pharmacist about the time discrepancy.
C)Refuse to fill the prescription because the order is too old.
D)A and B
Q3) One 14.7 g Combivent inhaler contains 200 actuations. What is the days' supply for the following prescription: sig 2 inh qid?
A)12
B)25
C)30
D)45
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Chapter 9: Institutional Pharmacy Practice
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33 Verified Questions
33 Flashcards
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Sample Questions
Q1) A hospital pharmacy that is not open 24 hours a day has which of the following options for filling after-hours medication orders?
A)Allow limited access to medications by specific nursing personnel.
B)Have an on-call pharmacist.
C)Have an off-site pharmacy that can deliver medications.
D)All of the above.
Q2) Computerized physician order entry (CPOE) is being promoted because it:
A)Is no longer necessary to decipher illegible handwriting.
B)Is more expensive.
C)Checks for drug interactions and contraindications.
D)A and C
Q3) HEPA stands for:
A)High-efficiency pressurized air
B)High-efficiency particulate air
C)Highly effective particulate air
D)Highly effective pressurized air
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Chapter 10: Additional Pharmacy Practice Settings
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Sample Questions
Q1) A technician who does the purchasing for the department may be called the:
A)Pharmacy procurement specialist
B)Pharmacy purchasing agent
C)Pharmacy buyer
D)All of the above
Q2) The provision of pharmaceutical care through the use of telecommunications and information technologies to patients at a distance is called:
A)Wireless pharmacy
B)Telecomm pharmacy
C)Techno pharmacy
D)Telepharmacy
Q3) One of the reasons that nuclear pharmacy technicians usually make a higher salary than those in traditional settings is that:
A)Nuclear pharmacy technicians require an associate's degree.
B)Opportunities for jobs are limited in this field.
C)Risks are associated with this position.
D)Nuclear pharmacies are in remote areas.
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Page 12
Chapter 11: Bulk Repackaging and Non-Sterile
Compounding
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32 Verified Questions
32 Flashcards
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Sample Questions
Q1) GMP means:
A)Good mixing process
B)Good manufacturing process
C)Good manufacturing procedure
D)Good manufacturing practice
Q2) Which of the following compounding additives maintains the dispersion of finely divided liquid droplets in a liquid vehicle made from two or more immiscible liquids?
A)Disintegrant
B)Lubricant
C)Plasticizer
D)Emulsifying agent
Q3) Which organization sets the standards for a nonsterile compounding area?
A)U.S.Food and Drug Administration (FDA)
B)American Society of Health-System Pharmacists (ASHP)
C)United States Pharmacopeia (USP)
D)Drug Enforcement Administration (DEA)
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13
Chapter 12: Aseptic Technique and Sterile Compounding
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38 Flashcards
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Sample Questions
Q1) Which one of the following products are considered hazardous?
A)Antibiotics
B)Anticoagulants
C)Radioactive compounds
D)Diuretics
Q2) What should a technician do if he or she touches the needle to anything unintended in the hood?
A)Alcohol it.
B)Discard it, and replace it with a new one.
C)Nothing; everything inside is sterile if properly cleaned.
D)Let the first air blow on it for 10 seconds.
Q3) Health care-associated infections are also called:
A)Hospital-induced infections
B)Hospital-spread infections
C)Health care-spread infections
D)Nosocomial infections
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Chapter 13: Pharmacy Billing and Inventory Management
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33 Verified Questions
33 Flashcards
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Sample Questions
Q1) Which of the following insurance plans requires a PCP?
A)HMO
B)PPO
C)Medicaid
D)All of the above
Q2) Which of the following is not a reason for the insurance company to reject a claim?
A)Refill is requested too early.
B)Policy has expired.
C)Patient's identification does not match the processor's information.
D)Claim is a formulary medication.
Q3) The information needed by insurance companies to process a claim from the pharmacy or to reimburse the patient is the same as the information required on a pharmacy label, plus:
A)Patient's date of birth
B)Insurance group number
C)Insurance identification number
D)All of the above
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Chapter 14: Medication Safety and Error Prevention
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30 Verified Questions
30 Flashcards
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Sample Questions
Q1) Drug errors can be reported to the U.S. Food and Drug Administration (FDA) through:
A)MedWatch
B)United States Pharmacopeia (USP)
C)The Joint Commission (TJC)
D)National Association of Boards of Pharmacy (NABP)
Q2) Which of the following is not one of the five safety standards outlined by TJC?
A)Leadership Process and Accountability
B)Competent and Capable Workforce
C)Safe Environment for Staff and Patients
D)Clinical Care of Staff
Q3) The most important aspect of dealing with errors is:
A)Automated systems
B)Reporting process
C)Punishment
D)Finding out who made them
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16
Chapter 15: Therapeutic Agents for the Nervous System
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33 Verified Questions
33 Flashcards
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Sample Questions
Q1) Which of the following is not a primary function of the nervous system?
A)Relaying impulses to and from the central nervous system (CNS)
B)Coordinating of the nervous system activities
C)Detecting sensory changes
D)Transporting nutrients
Q2) Which of the following is not a state in the transmission of a chemical message?
A)Repolarized
B)Depolarized
C)Prepolarized
D)Polarized
Q3) Which division of the autonomic nervous system (ANS) functions during restful situations?
A)Enteric
B)Sympathetic
C)Parasympathetic
D)None of the above
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Chapter 16: Therapeutic Agents for the Endocrine System
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Sample Questions
Q1) The symptoms of Cushing disease, excess secretion of adrenocorticotropic hormone (ACTH), are similar to overmedication side effects of what type of drug?
A)Thyroid hormones
B)Insulin
C)Corticosteroids
D)Vitamin D
Q2) All of the following are true of Graves disease except:
A)Graves disease is an autoimmune disorder.
B)Common symptoms of Graves disease are goiter and exophthalmos.
C)Although rare, Graves disease is more common in women than men.
D)Graves disease can be treated with thyroid hormone replacement therapy.
Q3) Which one of the following is primarily considered a mineralocorticoid?
A)Methylprednisolone
B)Hydrocortisone
C)Prednisone
D)Fludrocortisone acetate
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18
Chapter 17: Therapeutic Agents for the Musculoskeletal System
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32 Flashcards
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Sample Questions
Q1) All of the following statements are true about gout except:
A)Gout is a form of arthritis.
B)It can be exacerbated by the intake of alcohol.
C)Gout is not related to diet.
D)It can be treated with colchicine.
Q2) Osteoarthritis is considered to be a(an):
A)Autoimmune disease
B)Degenerative joint disease
C)Musculoskeletal disease
D)A and B
Q3) Bones serve as storage areas for which mineral(s)?
A)Calcium
B)Sodium
C)Phosphorus
D)A and C
Q4) Why would acetaminophen be chosen over aspirin for a patient taking warfarin?
A)Acetaminophen is a more effective antiinflammatory agent.
B)Acetaminophen does not inhibit platelet action.
C)Acetaminophen is a risk-free medication.
D)None of the above statements apply.
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Chapter 18: Therapeutic Agents for the Cardiovascular System
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Sample Questions
Q1) Which instruction is not necessary to explain to patients concerning their NTG SL tablets?
A)Take with food.
B)Take every 5 minutes as needed for chest pain up to a maximum of three doses.If no relief is achieved, then call 9-1-1.
C)Keep the medication out of the sunlight.
D)Keep the medication in its original container.
Q2) Low-molecular-weight heparins (LMWHs) are:
A)Used as bridge therapy until therapeutic warfarin levels are reached.
B)Subcutaneously administered.
C)Used only in hospitals.
D)A and B are characteristics of LMWHs.
Q3) Nitrates:
A)Dilate the arteries to permit an increase of blood flow to the heart muscle.
B)Reduce the workload of the heart.
C)Are used to treat angina.
D)All of the above are true statements.
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Page 20
Chapter 19: Therapeutic Agents for the Respiratory System
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31 Verified Questions
31 Flashcards
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Sample Questions
Q1) Albuterol is classified as a(an):
A)Inhaled corticosteroid
B)Inhaled anticholinergic
C)Short-acting beta-agonist
D)Long-acting beta-agonist
Q2) The exchange of oxygen and carbon dioxide within the respiratory system takes place in the:
A)Trachea
B)Alveoli
C)Bronchioles
D)Pharynx
Q3) Influenza can be fatal to:
A)Older adults
B)Infants
C)Those with weakened immune systems
D)All of the above
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21
Chapter 20: Therapeutic Agents for the Gastrointestinal System
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Sample Questions
Q1) Which of the following is an antidiarrheal medication?
A)Cephulac
B)Lomotil
C)Antivert
D)Colace
Q2) Conditions of the GI that can be attributed to or exacerbated by hyperacidity include all of the following except:
A)Peptic ulcers
B)Duodenal ulcers
C)GI reflux disease (GERD)
D)Constipation
Q3) Which type of laxative can lead to physical dependence?
A)Stool softeners
B)Bulk forming
C)Hyperosmotic
D)Stimulant
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Chapter 21: Therapeutic Agents for the Renal System
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Sample Questions
Q1) Cations include ______________, and anions include ______________.
A)Positively charged ions; negatively charged ions
B)Negatively charged ions; positively charged ions
C)Sodium (Na+) and potassium (K+); and chloride (Cl-) and bicarbonate (HCO3-)
D)A and C
Q2) What is the generic name for Aldactone?
A)spironolactone
B)triamterene
C)metolazone
D)chlorthalidone
Q3) Nocturia is a(an):
A)Form of insomnia
B)Inability to completely evacuate the bladder
C)Nighttime urination
D)A and C
Q4) What is an unusual side effect of phenazopyridine (Pyridium)?
A)Relief of urinary pain
B)Orange or reddish urine
C)Drowsiness
D)Thirst
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Chapter 22: Therapeutic Agents for the Reproductive System
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Sample Questions
Q1) Which of the following statements is not true of HRT in postmenopausal women?
A)HRT is very safe and effective.
B)Recommendations are that the smallest dose be given for the shortest length of time.
C)Symptoms such as hot flashes, mood swings, and night sweats are effectively treated with HRT.
D)HRT increases the risk of developing breast cancer, stroke, blood clots, and heart disease.
Q2) Clomid is used for:
A)Contraception
B)Infertility
C)ED
D)BPH
Q3) Estrogens are available as:
A)Oral medications
B)Patches
C)Vaginal inserts
D)All of the above
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Page 24
Chapter 23: Therapeutic Agents for the Immune System
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Sample Questions
Q1) The most common cause of hypothyroidism in the United States is which one of the following autoimmune diseases?
A)Hashimoto thyroiditis
B)SLE
C)RA
D)Type I diabetes
Q2) Methotrexate (Rheumatrex) for RA can be orally administered:
A)Once weekly as a single dose
B)Every 12 hours for three doses once weekly
C)Daily
D)A or B
Q3) Propylthiouracil is used:
A)To decrease thyroid production in Graves disease
B)As a thyroid supplement
C)To treat hypothyroidism
D)A and C
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Chapter 24: Therapeutic Agents for the Eyes, Ears, Nose, and Throat
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Sample Questions
Q1) The ear is responsible for:
A)Hearing
B)Balance
C)Maintaining equilibrium
D)All of the above
Q2) What is the abbreviation for ointment?
A)O
B)Ung
C)Ungu
D)Oin
Q3) Which of the following abbreviations means right ear?
A)Au
B)Od
C)As
D)Ad
Q4) General considerations regarding ophthalmic antibiotics include:
A)Maintaining sterility
B)Not using them with contacts in the eyes
C)Shaking them well
D)A and B
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Chapter 25: Therapeutic Agents for the Dermatologic System
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Sample Questions
Q1) Which one of the following statements is not true regarding permethrin (Nix)?
A)Permethrin (Nix) is available by prescription only.
B)It paralyzes and kills lice.
C)Permethrin (Nix) is available as a topical cream rinse.
D)A second treatment may be required in 7 to 10 days.
Q2) If a customer complains of head lice, then he or she can be advised to:
A)Visit a physician to be given a prescription.
B)Wash his or her hair in really hot water with a regular shampoo.
C)Talk to a pharmacist about one of the OTC treatments.
D)Use diphenhydramine for the itching.
Q3) Which one of the following statements is not true concerning shingles?
A)Shingles is caused by the same virus that causes chickenpox.
B)Shingles is not painful.
C)A vaccine is available.
D)Antiviral medications may be used to reduce pain and to promote healing.
Q4) Pruritis is the medical term for:
A)Skin inflammation
B)Acne
C)Itching
D)Rash
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Chapter 26: Therapeutic Agents for the Hematologic System
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Sample Questions
Q1) Idiopathic thrombocytopenia is caused by:
A)Pregnancy
B)Drugs
C)Bleeding
D)Unknown factors
Q2) Which of the following is(are) functions of the blood?
A)Carrying waste from tissues and organs
B)Delivering oxygen and nutrients to tissues and organs
C)Transporting immune cells to sites of infection and injury
D)All of the above
Q3) Side effects of iron therapy may include:
A)Nausea and vomiting
B)Constipation
C)Dark stools
D)All of the above
Q4) What element is necessary for the production of hemoglobin?
A)Sodium
B)Potassium
C)Iron
D)Zinc
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Chapter 27: Over-The Counter OTC Medications
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Sample Questions
Q1) OTC medications that are also available as prescription formulations often have:
A)Lower strengths
B)Different indications for use
C)Different active ingredients
D)A and B
Q2) Which of the following is(are) at a greater risk of medication errors with OTC products?
A)Young children
B)Older adults
C)Infants
D)All of the above
Q3) Which of the following OTC ingredients is associated with next-day drowsiness and confusion and an increased risk of falls, particularly in older adults?
A)Acetaminophen
B)Aspirin
C)Diphenhydramine
D)Guaifenesin
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Chapter 28: Complementary and Alternative Medicine
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Sample Questions
Q1) Which of the following is not considered a form of CAM?
A)Yoga
B)Meditation
C)Weight lifting
D)Acupuncture and acupressure
Q2) Which of the following is commonly used orally for treating and preventing the common cold and other upper respiratory conditions?
A)Echinacea
B)Saw palmetto
C)Ginko biloba
D)Soy
Q3) Goals of the National Center for Complementary and Alternative Medicine (NCCAM) include:
A)Researching alternative medicine
B)Training people in CAM techniques
C)Providing consumer information about CAM therapy
D)All of the above
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Page 30