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PTCB Pharmacy Technician Certification Board

A PTCB Certification board exam is the professional exam validating the skills and knowledge candidates need to work as pharmacy technicians. It tests their knowledge in English, Math, Science (Chemistry) and professional aspects of their job.

Who is a pharmacy technician? Sometimes known as a pharmaceutical technician, pharmacy technician is a health care provider who performs pharmacy-related functions, generally working under the direct supervision of a licensed pharmacist. Job duties include dispensing prescription drugs and other medical devices to patients and instructing on their use. They may also perform administrative duties in pharmaceutical practice, such as reviewing prescription requests with doctor’s offices and insurance companies to ensure correct medications are provided and payment is received.

Q109. Cyanocobalamin is indicated to treat:

pernicious anemia

alcohol withdrawal

hypothyroidism

narrow-angle glaucoma

Cyanocobalamin (Vitamin B12)is used to treatpernicious anemia, a condition caused byVitamin B12 deficiencydue to the body’s inability to absorb it properly.
* Pernicious anemiais an autoimmune disorder where the stomach does not produceintrinsic factor, a protein needed for Vitamin B12 absorption.
* Symptoms includefatigue, weakness, neurological issues (numbness, tingling), and megaloblastic anemia.
* Cyanocobalamin is given viaIM injection or high-dose oral supplementation.
* (A) Pernicious anemia#Correct – Cyanocobalamin is the primary treatment.
* (B) Alcohol withdrawal#Incorrect – Thiamine (Vitamin B1) is used for alcohol withdrawal, not cyanocobalamin.
* (C) Hypothyroidism#Incorrect – Treated withlevothyroxine (Synthroid), not Vitamin B12.
* (D) Narrow-angle glaucoma#Incorrect – Treated withtimolol, acetazolamide, or surgery, not cyanocobalamin.
* Cyanocobalamin Prescribing Information (NIH): https://medlineplus.gov/druginfo/meds/a607038.html
* PTCB Exam Content Outline – Disease States & Medications
Key Facts About Cyanocobalamin & Pernicious Anemia:Analysis of Answer Choices:References for Pharmacy Technicians:

Q110. A medication’s proper storage conditions may best be determined by:

consulting with the prescriber.

adhering to a prime vendor agreement.

complying with pharmacy regulations.

referring to the manufacturer’s recommendations.

According to USP <1079> Good Storage and Distribution Practices, the most accurate source for determining proper storage conditions of a medication is the manufacturer’s label or package insert, which contains specific temperature and humidity requirements (e.g., refrigeration, protection from light). This information is required by FDA labeling regulations and is essential for maintaining drug stability and potency.
Additionally, the Mosby’s Pharmacy Technician Review Guide states:
“Storage requirements should always be verified using the product’s official labeling or manufacturer’s monograph, as these contain validated stability data.” Reference:
USP <1079> Good Storage and Distribution Practices
FDA Drug Labeling Requirements
Mosby’s Pharmacy Technician: Principles and Practice (4th Ed.)

Q111. CORRECT TEXT
Which of the following DEA numbers is correct for Dr. Paul J. Hanson?

AH 1234575

Q112. An error that has the potential to cause harm but is caught and corrected before it reaches the patient should be reported as a(n):

Adverse drug event (ADE)

Recall

Near miss

Root-cause analysis (RCA)

* Anear miss(orclose call) is anerror that is identified and corrected before it causes harm to a patient.
* Example:A technician picks uphydroxyzine (an antihistamine) instead of hydralazine (a blood pressure medication),but the pharmacist catches the mistake before dispensing.
Why Other Options Are Incorrect:
* A. Adverse Drug Event (ADE)?#Occurs when a patient is actually harmed by medication.
* B. Recall?#Issued by manufacturers or the FDA when a drug is defective or unsafe.
* D. Root-Cause Analysis (RCA)?#A method toanalyze errors AFTER they occurto prevent future mistakes.
#Reference:ISMP Medication Safety Guidelines, PTCE Exam Study Guide on Error Prevention.

Q113. CORRECT TEXT
Potassium sparing diuretics have the primary effect on the ……

Distal Convoluted Tubule

Q114. CORRECT TEXT
To prepare 500 ml of a 5% dextrose solution, you must use your available stock of 2% and 10% dextrose.
How much of each will you need to prepare the order?

3 12.5 ml of 2%; 187.5 ml of 10% (Chapter 4)

Q115. What must be found on all controlled substance prescriptions?

Pharmacy DEA number

Physician’s business license number

Physician’s DEA number

Physician’s license number.

Physician’s DEA number

Q116. A drug patent gives its inventor the exclusive rights to manufacture and market a drug. The patent lasts __
years and that period begins ________.

10 years, upon FDA approval.

10 years, upon original filing.

20 years, upon FDA approval.

20 years, upon original filing.

Q117. SIMULATION
Alprozolam is a/an:

narcotic

barbiturate

benzodiazepine

stimulant

Q118. SIMULATION
Which of the drugs listed is an SSRI?

Celexa

Q119. SIMULATION
Which of the following medications is available as an inhaler for asthma?

Albuterol

Q120. CORRECT TEXT
What does DAW mean on a written prescription?

The brand name is to be dispensed as written.

Q121. Which phase of the FDA new drug application involves double-blind, placebo controlled trials to
demonstrate that it actually works and involves hundreds or thousands of patients.

Phase I

Phase II

Phase III

Phase IV

Q122. CORRECT TEXT
Which auxiliary label would be used for a prescription for tetracycline 250 mg capsules?

Avoid Dairy Products and Antacids.

Q123. SIMULATION
Which of the books listed is related most closely to the information contained in patient package inserts?

PDR

Q124. During medication order entry, a pharmacy technician should consult a pharmacist:

to obtain the patient’s medication history.

if the patient is allergic to the prescribed medication.

to clarify the date and time of the order.

if a patient has never taken the prescribed medication before.

Pharmacy technicians must notify the pharmacistimmediatelyif a patient has an allergy to a prescribed medication.Dispensing an allergenic drug could cause severe reactions, including anaphylaxis.
* Check for allergies and drug interactionsin the patient’s profile.
* Alert the pharmacistif an allergy is detected.
* Ensure proper labelingfor allergy warnings.
* (A) To obtain the patient’s medication history#Incorrect – Technicians can review medication history, but pharmacists must intervene forallergies or significant concerns.
* (B) If the patient is allergic to the prescribed medication#Correct – An allergy could be life- threatening and requires pharmacist intervention.
* (C) To clarify the date and time of the order#Incorrect – Technicians can check the order date, but this is not a critical pharmacist intervention.
* (D) If a patient has never taken the prescribed medication before#Incorrect – Whilefirst-time medication use requires counseling, it does not always require pharmacist intervention unless there are drug interactions, high-risk medications, or allergies.
* Institute for Safe Medication Practices (ISMP) – Allergy Checking Protocols:https://www.ismp.org
* PTCB Exam Content Outline – Medication Order Processing & Pharmacist Consultation Key Responsibilities of a Pharmacy Technician in Medication Order Entry:Analysis of Answer Choices:
References for Pharmacy Technicians:

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PTCB Pharmacy Technician Certification Board

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PTCB Pharmacy Technician Certification Board