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PTCB Pharmacy Technician Certification Exam

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Today's 10 PTCE questions

Use this PTCE practice test to review PTCB Pharmacy Technician Certification Exam. Questions rotate daily and each answer links back to the source used to write it.

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Question 1 of 10
Objective 3.4 Adverse-event reporting, near misses, root-cause analysis, and CQI 3. Patient Safety and Quality Assurance

After a possible vaccine-related event, a patient says only manufacturers may submit to VAERS and that any accepted report proves the vaccine caused the event. Which response is accurate?

Concept tested:
Question 2 of 10
Objective 1.8 Proper storage of medications 1. Medications

An insulin product's exact name, concentration, and appearance are confirmed, but it was left in an uncontrolled-temperature area and its product-specific in-use date is unknown. Staff plan to copy dating from another insulin. What should occur?

Concept tested:
Question 3 of 10
Objective 1.6 Indications of medications 1. Medications

A patient requests another albuterol inhaler much earlier than expected and says it has replaced the scheduled inhaled corticosteroid. Which response best applies albuterol's indication?

Concept tested:
Question 4 of 10
Objective 4.4 Identifying and returning dispensable, non-dispensable, and expired medications 4. Order Entry and Processing

A wholesaler offers credit for unopened expired Schedule III stock. A supervisor wants to send it with an ordinary noncontrolled return and omit a transfer record because the pharmacy will no longer possess it. What should the technician do?

Concept tested:
Question 5 of 10
Objective 2.2 Controlled substance prescriptions, transfers, refills, and schedules 2. Federal Requirements

A controlled-substance prescription contains every required field, but the quantity appears overwritten and the prescriber's phone number differs from the verified office record. The patient pressures the technician to fill it before the office closes. What should the technician do?

Concept tested:
Question 6 of 10
Objective 3.2 Error-prevention strategies 3. Patient Safety and Quality Assurance

A selected package scans successfully against the prescription, but the technician notices that its dosage form differs from the order and the stock bottle expired last month. What should the technician do?

Concept tested:
Question 7 of 10
Objective 4.1 Formulas, calculations, conversions, Sig codes, and days supply 4. Order Entry and Processing

Five insulin pens contain 300 usable units each. The direction is 24 units once daily, and the pharmacy's claim policy uses whole days rounded down with no added priming allowance for this calculation. What days supply should the technician enter?

Concept tested:
Question 8 of 10
Objective 2.4 Pseudoephedrine and REMS restricted-program requirements 2. Federal Requirements

A pharmacy receives a prescription for a medication-specific REMS product but has not completed required certification or safe-use documentation. Staff propose printing a normal label and dispensing. What is correct?

Concept tested:
Question 9 of 10
Objective 1.3 Common or life-threatening drug interactions and contraindications 1. Medications

A patient picking up warfarin reports starting a new dietary supplement, making a major diet change, and having repeated nosebleeds. What should the technician do before dispensing?

Concept tested:
Question 10 of 10
Objective 3.1 High-alert and look-alike/sound-alike medications 3. Patient Safety and Quality Assurance

Two products with look-alike names are stored side by side. Before filling, the technician notices that the selected product's route and indication conflict with the prescription. Which response best reduces the risk?

Concept tested:
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Question 1 After a possible vaccine-related event, a patient says only manufacturers may submit to VAERS and that any accepted report proves the vaccine caused the event. Which response is accurate?

Answer choices

  1. A. Anyone can report to VAERS; it is an early-warning system, not proof of causation
  2. B. Only manufacturers can report, and submission establishes confirmed causation
  3. C. The event must be handled solely as an ordinary drug recall rather than a vaccine-safety report
  4. D. VAERS accepts reports only after a court determines the vaccine caused the event

Correct answer

Anyone can report to VAERS; it is an early-warning system, not proof of causation

VAERS is a national early-warning system for possible vaccine safety problems, and anyone can submit a report. Because reports capture suspected events for signal detection, an individual report does not prove that the vaccine caused the event.

Wrong-answer review

  • B. Only manufacturers can report, and submission establishes confirmed causation: Reporting is not limited to manufacturers, and acceptance does not confirm causation.
  • C. The event must be handled solely as an ordinary drug recall rather than a vaccine-safety report: A possible vaccine event belongs in the vaccine-safety reporting pathway rather than solely an ordinary recall workflow.
  • D. VAERS accepts reports only after a court determines the vaccine caused the event: No court finding is required before a suspected event may be reported to VAERS.

Extra learning features

Why candidates miss this

The choice ‘Only manufacturers can report, and submission establishes confirmed causation’ is tempting because it reflects a common understanding of reporting. The decisive clue is that VAERS is an early-warning system, not a mechanism for establishing causation. (35 words) Likely wrong answer: Only manufacturers can report, and submission establishes confirmed causation Review focus: Vaccine Adverse Event Reporting System

Objective/domain: 3. Patient Safety and Quality Assurance

Source: Vaccine Adverse Event Reporting System

Question 2 An insulin product's exact name, concentration, and appearance are confirmed, but it was left in an uncontrolled-temperature area and its product-specific in-use date is unknown. Staff plan to copy dating from another insulin. What should occur?

Answer choices

  1. A. Dispense because confirmed identity makes temperature history and dating irrelevant; involve the pharmacist before completing that step
  2. B. Use the longest in-use date found on any insulin product
  3. C. Treat current room temperature as proof that no earlier excursion occurred
  4. D. Quarantine it for pharmacist review of the uncertain temperature exposure and verify the exact product's labeled in-use dating

Correct answer

Quarantine it for pharmacist review of the uncertain temperature exposure and verify the exact product's labeled in-use dating

Objective/domain: 1. Medications

Source: Insulin Glargine Injection — Official Label

Question 3 A patient requests another albuterol inhaler much earlier than expected and says it has replaced the scheduled inhaled corticosteroid. Which response best applies albuterol's indication?

Answer choices

  1. A. Classify albuterol as the maintenance corticosteroid and approve unlimited early refills; involve the pharmacist before completing that step
  2. B. Recognize albuterol as a rescue beta2 agonist for bronchospasm; refer the frequent-use and maintenance-therapy report to the pharmacist
  3. C. Tell the patient to use albuterol only for bacterial respiratory infections
  4. D. Remove the inhaled corticosteroid from the profile because rescue therapy always replaces maintenance treatment

Correct answer

Recognize albuterol as a rescue beta2 agonist for bronchospasm; refer the frequent-use and maintenance-therapy report to the pharmacist

Objective/domain: 1. Medications

Source: Albuterol Sulfate Inhalation Aerosol — Official Label

Question 4 A wholesaler offers credit for unopened expired Schedule III stock. A supervisor wants to send it with an ordinary noncontrolled return and omit a transfer record because the pharmacy will no longer possess it. What should the technician do?

Answer choices

  1. A. Use the ordinary return because manufacturer credit removes controlled status
  2. B. Place it in routine trash after the credit is posted
  3. C. Use authorized controlled-substance return or destruction and retain required records
  4. D. Erase it from inventory before arranging disposition so the counts remain balanced

Correct answer

Use authorized controlled-substance return or destruction and retain required records

Objective/domain: 4. Order Entry and Processing

Source: Pharmacist’s Manual: An Informational Outline of the Controlled Substances Act

Question 5 A controlled-substance prescription contains every required field, but the quantity appears overwritten and the prescriber's phone number differs from the verified office record. The patient pressures the technician to fill it before the office closes. What should the technician do?

Answer choices

  1. A. Process it because a complete prescription shifts all responsibility to the prescriber; involve the pharmacist before completing that step
  2. B. Hold it; give the altered and inconsistent information to the pharmacist
  3. C. Replace the phone number in the record and accept the overwritten quantity without review
  4. D. Ask the patient which quantity was intended and use that answer to complete the fill

Correct answer

Hold it; give the altered and inconsistent information to the pharmacist

Objective/domain: 2. Federal Requirements

Source: Prescriptions Q&A

Question 6 A selected package scans successfully against the prescription, but the technician notices that its dosage form differs from the order and the stock bottle expired last month. What should the technician do?

Answer choices

  1. A. Dispense it because a successful barcode scan verifies every required element
  2. B. Replace the expiration label and use the package because the drug name matched
  3. C. Investigate dosage-form and expiration mismatches; do not rely on the scan
  4. D. Override the visual checks because manually questioning a scan increases workflow variation

Correct answer

Investigate dosage-form and expiration mismatches; do not rely on the scan

Objective/domain: 3. Patient Safety and Quality Assurance

Source: Medication Errors Related to CDER-Regulated Products

Question 7 Five insulin pens contain 300 usable units each. The direction is 24 units once daily, and the pharmacy's claim policy uses whole days rounded down with no added priming allowance for this calculation. What days supply should the technician enter?

Answer choices

  1. A. 12 days
  2. B. 24 days
  3. C. 63 days
  4. D. 62 days

Correct answer

62 days

Objective/domain: 4. Order Entry and Processing

Source: Insulin Glargine Injection — Official Label

Question 8 A pharmacy receives a prescription for a medication-specific REMS product but has not completed required certification or safe-use documentation. Staff propose printing a normal label and dispensing. What is correct?

Answer choices

  1. A. A normal label automatically creates REMS authorization for every product
  2. B. Requirements from any unrelated REMS program can be reused without verification
  3. C. Complete medication-specific REMS authorization and safe-use documentation
  4. D. Skip certification because REMS requirements apply only to manufacturers

Correct answer

Complete medication-specific REMS authorization and safe-use documentation

Objective/domain: 2. Federal Requirements

Source: Roles of Different Participants in REMS

Question 9 A patient picking up warfarin reports starting a new dietary supplement, making a major diet change, and having repeated nosebleeds. What should the technician do before dispensing?

Answer choices

  1. A. Stop pickup; give the medication, diet, supplement, and bleeding information to the pharmacist
  2. B. Dispense it because diet and supplements cannot affect INR response; involve the pharmacist before completing that step
  3. C. Tell the patient to double the next warfarin dose to replace blood lost from the nosebleeds
  4. D. Remove the bleeding report because minor symptoms do not belong in a medication profile

Correct answer

Stop pickup; give the medication, diet, supplement, and bleeding information to the pharmacist

Objective/domain: 1. Medications

Source: Warfarin Sodium Tablets — Official Label

Question 10 Two products with look-alike names are stored side by side. Before filling, the technician notices that the selected product's route and indication conflict with the prescription. Which response best reduces the risk?

Answer choices

  1. A. Separate products, use Tall Man lettering, and verify the full label
  2. B. Rely only on the first three letters of each drug name
  3. C. Ignore the route and indication because matching the shelf location is sufficient
  4. D. Remove strength and dosage form from the comparison so the names are easier to read

Correct answer

Separate products, use Tall Man lettering, and verify the full label

Objective/domain: 3. Patient Safety and Quality Assurance

Source: FDA Name Differentiation Project

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