PT4 CERTIFICATION EXAM ANSWER KEY /133 2910 Mission Wycliffe Rd. Cranbrook BC V1C 7C8 jlord@swiftacademyol.com Phone: 250-427-1643 Fax: 250-427-1653 Module PT4 Certification Exam ANSWER KEY PT4 Certification Exam – ANSWER KEY Circle the best answer 1. Which attribute is characteristic of suppositories? A. They crystallize at room temperature B. Are meant to melt at body temperature Chapter 5, pg. 174 NAPRA 4, 5, 7, 9; CPTEA 5, 6, 7 C. Must be stored in the freezer D. Must be stored in a dry cupboard away from light 2. Which disorder is associated with multiple sclerosis? A. Loss or deficiency of dopamine B. Deterioration of the myelin sheath Chapter 16, pg. 537 NAPRA 7; CPTEA 6 C. Loss of neuronal synapses D. The body’s immune system attacks and destroys the receptors that normally receive neuronal impulses 3. Which auxiliary label is required on a prescription for an extended release medication? A. Take with food or milk B. Do not crush or chew Chapter 5, pg. 154 NAPRA 4, 5, 7; CPTEA 5, 6 C. May cause photosensitivity D. Do not drink alcohol 4. Which definition best describes antitussive medications? A. A chemical that loosens and thins sputum so that it can be removed from the respiratory tract B. A medication that prevents or relieves coughing Chapter 18, pg. 585, 597 NAPRA 2, 5, 7; CPTEA 3, 6 C. Drug that reduces swelling of the mucous membranes by constricting dilated blood vessels D. Agent that breaks the bonds between the proteins responsible for mucus build up 5. What is mydriasis? A. Nearsightedness B. Dilation of the pupil pg. 621 C. Contraction of the pupil D. Farsightedness May 8, 2009 NAPRA 7; CPTEA 6 Page 1 Module PT4 Certification Exam ANSWER KEY 6. What activates the lacrimal glands when we cry? A. Parasympathetic Nervous System pg. 626 B. Central Nervous System C. Peripheral Nervous System D. Somatic Nervous System NAPRA 7; CPTEA 6 7. Which salivary gland is located just in front of the ear? A. Sublingual B. Submandibular C. Parotid pg. 699 NAPRA 7; CPTEA 6 D. Carotid 8. Which component is the smallest unit of the nervous system? A. Neurilemma B. Neuron pg. 504 NAPRA 7; CPTEA 6 C. Myelin sheath D. Synaptic vessels 9. Which system manages voluntary actions of the skeletal system? A. Afferent B. Efferent C. Autonomic D. Somatic pg. 504 NAPRA 7; CPTEA 6 10. What is the brand name for the combination drug containing levodopa and carbidopa? A. Prolopa B. Requip C. Stalevo D. Sinemet pg. 500, 543 NAPRA 4, 5, 7; CPTEA 5, 6 11. To which drug classification does the drug in question #11 belong? Antiparkinson; Anticholinergic pg. 500, 543 NAPRA 4, 5, 7; CPTEA 5, 6 12. Why is benzoic acid added to a medication? A. To prevent fungal growth pg. 173 (Table 5-6) NAPRA 4, 5, 7, 9; CPTEA 5, 6, 7 B. To adjust pH C. To help the drug dissolve once it hits the GI system D. To improve visual appeal 13. What is a reasonable number of breaths per minute for a child? A. 80 B. 40 pg. 593 NAPRA 7; CPTEA 6 C. 10 D. 18 May 8, 2009 Page 2 Module PT4 Certification Exam ANSWER KEY 14. Which substance would be used as the base ingredient for an ointment? A. Gelatin B. Petrolatum pg. 161, 173 (Table 5-2) NAPRA 4, 5, 7, 9; CPTEA 5, 6, 7 C. Phenol D. Starch 15. Which medical term is used to describe bundles of cell bodies within the PNS? A. Axons B. Synapses C. Dendrites D. Ganglions pg. 504 NAPRA 7; CPTEA 6 16. Which part of the brain controls muscle function and balance? A. Medulla Oblongata B. Cerebellum pg. 509 NAPRA 7; CPTEA 6 C. Midbrain D. Thalamus 17. What separates the lungs from each other? A. Mediastinum pg. 591 NAPRA 7; CPTEA 6 B. Pleura C. Diaphragm D. Heart 18. Which structure in the ear contains the vestibule, cochlea and semicircular canals? A. Auditory canal B. Bony labyrinth pg. 621, 647 NAPRA 7; CPTEA 6 C. Auricle D. Auditory ossicles 19. Which medication must be kept in the refrigerator? A. timolol B. dorzolamide C. brinzolamide D. trifluridine pg. 635 NAPRA 6; CPTEA 6 May 8, 2009 Page 3 Module PT4 Certification Exam ANSWER KEY 20. Which part of the small intestine is connected to the liver and the pancreas? A. Cecum B. Jejunum C. Duodenum pg. 701, 702 NAPRA 7; CPTEA 6 D. Colon 21. What is the most common cause of conditions affecting the mouth? A. Lack of good oral hygiene pg. 704 NAPRA 7; CPTEA 6 B. GERD C. H. Pylori D. E. Coli 22. Which medication might be used to treat the symptoms of multiple sclerosis? A. donepezil B. gabapentin C. baclofen pg. 519 NAPRA 2, 4, 5, 7; CPTEA 3, 5, 6 D. primidone 23. Which medication is an example of a succinimide anticonvulsant? A. Zarontin pg. 533 NAPRA 2, 7; CPTEA 5, 6 B. phenobarbital C. Cerebyx D. neostigmine 24. Which condition is described as a seizure disorder where some of the brain’s nerve cells are hyperexcitable? A. Myasthenia gravis B. Epilepsy pg. 529 NAPRA 7; CPTEA 6 C. Amyotrophic lateral sclerosis D. Parkinson’s disease 25. What qualities do antidiarrheal agents possess? A. Anti-inflammatory, analgesic B. Laxative, moistening C. Stimulant, osmotic D. Adsorbent, protectant pg. 712 NAPRA 2, 7; CPTEA 3, 6 26. Which type of medication is meant to be dissolved in the mouth? A. Troches pg. 156 NAPRA 4, 7; CPTEA 5, 6 B. Emulsions C. Elixirs D. Caplets May 8, 2009 Page 4 Module PT4 Certification Exam ANSWER KEY 27. Why are some medications available in Act-o-vials? A. Allows the medication to be used more than once B. Easiest way to manufacture single dose vials C. Allows the medication to have a longer shelf life NAPRA 6; CPTEA 6 C. Ensures sterility of the drug pg. 163 28. Where in the pharmacy should latanoprost be stored? A. At room temperature B. In the refrigerator pg. 174 (Table 5-8) NAPRA 6; CPTEA 6 C. In the freezer D. On a drug shelf 29. Which aspect is a component of the communication process? A. Body language B. Listening C. Writing D. All of the above pg. 86-89 NAPRA 7; CPTEA 2 30. Which statement provides an accurate description of a dendrite? A. Part of a neuron that branches out to bring impulses to the cell body pg. 499 NAPRA 7; CPTEA 6 B. Motor neurons that control voluntary actions of the skeletal muscles C. Part of the nerve cell that conducts impulses away from a cell body D. A barrier formed due to special characteristics of capillaries which prevent certain chemicals from moving to the brain 31. Which part of the brain is responsible for functions such as thirst, hunger and heart rate? A. Pons B. Medulla Oblongata C. Hypothalamus pg. 509 NAPRA 7; CPTEA 6 D. Cerebellum 32. Which definition would best describe an expectorant? A. Agent that loosens and thins sputum so that it can be removed from the respiratory tract pg. 585 NAPRA 5, 7; CPTEA 5, 6 B. Medication that prevents or relieves coughing C. Drug that reduces swelling of the mucous membranes by constricting dilated blood vessels D. Agent that breaks the bonds between the proteins responsible for mucus build up May 8, 2009 Page 5 Module PT4 Certification Exam ANSWER KEY 33. Which condition is a type of COPD? A. Asthma B. Pneumonia C. Tuberculosis D. Chronic Bronchitis pg. 610 NAPRA 7; CPTEA 6 34. Which action takes place when a person sneezes? A. Ciliary action B. Cough reflex C. Peristaltic motion of the bronchioles D. All of the above pg. 593 NAPRA 7; CPTEA 6 35. Which system responds to stressful situations such as “fight or flight”? A. Afferent system B. Somatic system C. Sympathetic system pg. 514 NAPRA 7; CPTEA 6 D. Parasympathetic system 36. What is the generic name for Lioresal? A. chlorzoxazone B. cyclobenzaprine C. baclofen pg. 519 NAPRA 4, 5, 7; CPTEA 5, 6 D. orphenadrine 37. Which medication is not administered by inhalation? A. montelukast pg. 609 NAPRA 4, 5, 7; CPTEA 5, 6 B. Serevent C. ipratropium D. Ventolin 38. What is the most common type of glaucoma? A. Angle Closure B. Progressive C. Open Angle pg. 638 (Box 19-3) D. Acute Congestive NAPRA 7; CPTEA 6 39. What is the brand name for trifluridine? A. Herplex B. Viroptic pg. 635 NAPRA 4, 5, 7; CPTEA 5, 6 C. Acular D. Betoptic May 8, 2009 Page 6 Module PT4 Certification Exam ANSWER KEY 40. Which condition is an infection of the middle ear? A. Otitis media pg. 650 NAPRA 7; CPTEA 6 B. Conjunctivitis C. Ototoxicity D. Cycolplegia 41. What is the meaning of the term emesis? A. Inflammation of the appendix B. Vomiting pg. 721 C. Hyperacidity D. Frequent, watery, loose stools NAPRA 7; CPTEA 6 42. What is the best definition of the term “communication”? A. Capability or proficiency to perform a function B. Ability to express oneself in a way that can be readily understood pg. 85 NAPRA 2, 5, 7; CPTEA 2, 3 C. Values and morals that are used within a profession D. Conforming to the right principles of conduct 43. What is meant by ‘parenteral administration”? A. Medication delivered by injection pg. 167 NAPRA 7; CPTEA 6 B. Medication placed between the gums and cheek C. Medication absorbed through the sweat glands, hair follicles and pores of the skin D. Inhaled medication 44. What is contained in a spansule? A. Liquid B. Dry powder C. Small pellets or beads D. Gel pg. 173 (Table 5-7) NAPRA 5, 7; CPTEA 5, 6 45. What is the generic name for Norflex? A. chlorzoxazone B. cyclobenzaprine C. methocarbamol D. orphenadrine pg. 520 NAPRA 4, 5, 7; CPTEA 5, 6 46. Which chemical substances include sugars, glycogen, starches and cellulose with only carbon, hydrogen and oxygen molecules? A. Lipids B. Carbohydrates pg. 695 NAPRA 7; CPTEA 6 C. Amino acids D. Proteins May 8, 2009 Page 7 Module PT4 Certification Exam ANSWER KEY 47. What is the generic name for Prevacid? A. esomeprazole B. rabeprazole C. lansoprazole pg. 708 NAPRA 4, 5, 7; CPTEA 5, 6 D. omeprazole 48. What is the medical term for the muscle at the base of the chest cavity? A. Diaphragm pg. 591 NAPRA 7; CPTEA 6 B. Pleura C. Epiglottis D. Cilia 49. When dealing with suspensions it is important to do which of the following? A. Shake well pg. 160 NAPRA 5, 7; CPTEA 5, 6 B. Keep refrigerated C. Float the container in water D. Store at room temperature 50. What is the meaning of the term tachypnea? A. Laboured or difficult breathing B. Slow breathing C. Rapid breathing pg. 593 (Table 18-1) D. Shallow, inadequate breathing NAPRA 7; CPTEA 6 51. What can happen if a severe asthma attack is left untreated? A. Choking B. Cyanosis C. Suffocation pg. 606 NAPRA 2, 5, 7; CPTEA 3, 6 D. Apnea 52. What is the generic name for Rifadin? A. pyrazinamide B. ethambutol C. isoniazid D. rifampin pg. 614, 615 NAPRA 4, 5, 7; CPTEA 3, 6 53. Which product could be taken for a bout of traveller’s diarrhea caused by foreign bacteria? A. Colace B. Dulcolax C. Pepto-Bismol pg. 713 NAPRA 4, 5, 7; CPTEA 5, 6 D. None of the above May 8, 2009 Page 8 Module PT4 Certification Exam ANSWER KEY 54. Which medication is a corticosteroid agent? A. Accolate B. Atrovent C. Ventolin D. FloVent pg. 586, 609 NAPRA 4, 5, 7; CPTEA 5, 6 55. Which structure in the eye contains the rods and the cones? A. Lens B. Cornea C. Sclera D. Retina pg. 626 NAPRA 7; CPTEA 6 56. What is the function of the bronchioles? A. Provide a pathway for oxygen to reach the alveoli pg. 590 NAPRA 7; CPTEA 6 B. Move airborne particles upward where they can be swallowed C. Close off the trachea automatically when swallowing D. Reduce friction between the lungs and the chest wall 57. What is the brand name for the ophthalmic preparation containing diclofenac? A. Acular B. Voltaren pg. 622, 630 NAPRA 4, 5, 7; CPTEA 5, 6 C. Maxidex D. Betoptic S 58. Which auxiliary label should accompany a prescription of Lioresal? A. Urine may change color B. Avoid alcohol C. May cause dizziness or drowsiness pg. 619 NAPRA 4, 5, 7; CPTEA 3, 5, 6 D. Do not crush or chew 59. Which inherited condition results from impaired cone cell functions? A. Blindness B. Glaucoma C. Color blindness pg. 643 NAPRA 7; CPTEA 6 D. Conjunctivitis 60. What medical term is used to describe ringing or buzzing within the ears? A. Otitis media B. Swimmer’s ear C. Keratitis D. Tinnitus pg. 653 NAPRA 7; CPTEA 6 May 8, 2009 Page 9 Module PT4 Certification Exam ANSWER KEY 61. Which medication has a limit of 3-weeks maximum use? A. baclofen B. orphenadrine C. cyclobenzaprine pg. 520 NAPRA 5, 7; CPTEA 5, 6 D. methocarbamol 62. Which neurotransmitter is found only in the CNS? A. acetylcholine B. epinephrine C. norepinephrine D. dopamine pg. 504 (Table 16-1) NAPRA 7; CPTEA 6 63. Which drug class has antiinflammatory properties thus lessening constriction of the bronchial tubes? A. Xanthine Bronchodilators B. Leukotriene Receptor Antagonists C. Sympathomimetics D. Corticosteroids pg. 607 NAPRA 5, 7; CPTEA 6, 3 64. Which drug can be used for both ophthalmic and otic conditions? A. Cortisporin otic B. Azopt C. Cerumenex D. Tobrex pg. 634, 653 NAPRA 4, 5, 7; CPTEA 5, 6 Match the following ophthalmic trade names on the left with the generic names on the right and indicate your answer using an alphabetical letter. NAPRA 4, 5, 7; CPTEA 3, 5, 6 Brand Generic G 65. Aricept pg. 501, 536 A. rocuronium C 66. Mirapex pg. 500, 544 B. phenytoin I 67. Robaxin pg. 500, 520 C. pramipexole B 68. Dilantin pg. 500, 531 D. pyridostigmine A 69. Zemuron pg. 500, 549 E. ethosuximide D 70. Mestinon pg. 501, 523 F. galantamine J 71. Cerebyx pg. 500 G. donepezil E 72. Zarontin pg. 500, 533 H. neostigmine F 73. Reminyl pg. 501, 536 I. methocarbamol H 74. Prostigmin pg. 501, 523 J. fosphenytoin May 8, 2009 Page 10 Module PT4 Certification Exam ANSWER KEY 75. What is the name of the enzyme found in saliva that initiates the chemical break down of food? A. peptidase B. amylase pg. 699 NAPRA 7; CPTEA 6 C. lipase D. maltase 76. What is the shortest section of the intestinal tract? A. Rectum pg. 702 NAPRA 7; CPTEA 6 B. Colon C. Cecum D. Ileum 77. What is the brand name for the drug combination, diphenoxylate and atropine? A. Lomotil pg. 713 NAPRA 4, 5, 7; CPTEA 5, 6 B. Colace C. Ovol D. Dulcolax 78. What is the advantage of using medicated powders in some situations? A. Can be sprayed similar to liquid dosage form B. Keep the area as dry as possible C. Can be spread over a wide area if necessary D. All of the above pg. 162 NAPRA 2, 5, 7, 9; CPTEA 3, 5, 6 79. Which statement provides an appropriate definition of “working ethically within the pharmacy”? A. Doing what is right for the patient pg. 84 NAPRA 1; CPTEA 1 B. Doing what is right for you C. Judging the patient D. Refusing to perform tasks that would go against your particular beliefs 80. Which definition best describes a nerve terminal? A. End portion of the neuron where nerve impulses cause chemicals to be released pg. 499 NAPRA 7; CPTEA 6 B. Part of the nerve cell that conducts impulses away from a cell body C. Part of a neuron that branches out to bring impulses to the cell body D. Main part of a neuron from which axons and dendrites extend May 8, 2009 Page 11 Module PT4 Certification Exam ANSWER KEY 81. What is the difference between pastes and other topical medications? A. Have an alcohol base B. Are less viscous than creams C. Have an ability to absorb skin secretions pg. 161 NAPRA 4, 5, 7; CPTEA 5, 6 D. Are faster acting than lotions and ointments 82. What are the main components of the CNS? A. Somatic and Autonomic Nervous System B. Thalamus and Hypothalamus C. Brain and Spinal Cord pg. 507 D. Efferent and Afferent Systems NAPRA 7, CPTEA 6 83. Which action is stimulated by acetylcholine? A. Inhibits pain perception B. Excites skeletal & GI muscles pg. 504 (Table 16-1) NAPRA 7; CPTEA 6 C. Helps to inhibit involuntary movement D. Increases heart rate 84. Which condition involves symptoms where a person is unable to defecate and their stools are hard and dry? A. Diarrhea B. Constipation pg. 713 NAPRA 7; CPTEA 6 C. Hemorrhoids D. Emesis 85. Which class of medication most often requires a prescription because of their effect on the chemoreceptor trigger zone? A. Antiemetics pg. 722 NAPRA 4, 5, 7; CPTEA 3, 6 B. Antiflatulents C. Bulk Forming Laxatives D. Antidiarrheals 86. Which abbreviation does not indicate that the medication is released over a long period of time? A. CD B. CRT C. XL D. AS pg. 154 NAPRA 2, 5, 7; CPTEA 3, 6 May 8, 2009 Page 12 Module PT4 Certification Exam ANSWER KEY 87. Which of the following is a characteristic of Mannitol? A. Melts at body temperature B. Must be stored in the fridge C. Is stored in the freezer and thawed before use D. Crystallizes at room temperature pg. 174 (Table 5-8) NAPRA 6, 7; CPTEA 6, 7 88. Which part of the brain controls respiration, cardiac rate, the force of the heart’s contractions and dilation of the blood vessels? A. Cerebrum B. Hypothalamus C. Medulla Oblongata pg. 509 NAPRA 7; CPTEA 6 D. Thalamus 89. What is the purpose of adding parabens to a particular product? A. Improves taste B. Increases shelf life pg. 173 (Table 5-6) NAPRA 2, 5, 7; CPTEA 5, 6 C. Adjust the pH D. Prevents fungal growth 90. What is the term given to drugs that mimic the sympathetic system? A. Adrenergics pg. 516 NAPRA 5, 7; CPTEA 6 B. Cholinergics C. Direct Acting Agents D. Beta-Blockers 91. What might a hard gelatin capsule contain? A. Another capsule or tablet pg. 173 NAPRA 4, 5, 7; CPTEA 6 B. Gel C. Liquid D. Paste 92. Which medication would be used specifically to treat multiple sclerosis and not the symptoms associated with the disease? A. Zarontin B. Neurontin C. Aricept D. Betaseron pg. 538-539 NAPRA 4, 5, 7; CPTEA 5, 6 93. How is the drug absorbed when taking a sublingual or buccal tablet? A. Chewed and quickly and absorbed within the stomach B. Through the oral mucosa pg. 165 NAPRA 5, 7; CPTEA 5, 6 C. Bypasses the stomach and is absorbed in the small intestine D. Released slowly through the GI tract May 8, 2009 Page 13 Module PT4 Certification Exam ANSWER KEY 94. Which drug has been developed specifically to treat amyotrophic lateral sclerosis? A. Avonex B. Rilutek pg. 545 NAPRA 4, 5, 7; CPTEA 5, 6 C. Aricept D. Dantrium 95. Once penicillin has been reconstituted how should it be stored? A. At room temperature B. In a cool, dark cupboard C. In the refrigerator pg. 174 (Table 5-8) NAPRA 4, 5, 6, 7, 9; CPTEA 5, 6 D. In an amber container 97. Why would an injectable form of epinephrine be used? A. To stop premature labour B. To treat acute muscle pain and bedtime leg cramps C. To treat low blood pressure, heart attacks and shock pg. 517 NAPRA 2, 5, 7; CPTEA 3, 5, 6 D. To treat status epilepticus Match the following OTC GI drug trade names on the left with the generic names on the right and indicate your answer using an alphabetical letter. Identify drug classification in the middle. NAPRA 5, 7; CPTEA 5, 6 Brand F 98. E Generic pg. 695, 707 99. H2 Receptor Antagonist A. Mg hydroxide 100. Imodium AD pg. 695 713 101. Antidiarrheal B. psyllium A 102. Milk of Magnesia pg. 695, 706, 715 103. Antacid or Laxative C. dimenhydrinate C 104. Gravol pg. 723, drug cards 105. Anticholinergic or Antiemetic D. famotidine B 106. Metamucil pg. 695, 715 107. Laxative; Anticonstipation E. loperamide D 108. Pepcid AC pg. 695, 708 109. H2 Receptor Antagonist F. ranitidine May 8, 2009 Zantac 75 Drug Classification Page 14 Module PT4 Certification Exam ANSWER KEY 110. Which substance secreted by the mucous membranes of the stomach is essential for the absorption of vitamin B12? A. B. C. D. Lipase Intrinsic factor Pepsin Peptidase pg. 699 NAPRA 7; CPTEA 6 111. Which medication will be found in the refrigerator but may also be kept at room temperature for up to one month? A. penicillin B. vaccines C. insulin pg. 174 (Table 5-8) NAPRA 6; CPTEA 6 D. metronidazole IV 112. Which of the following is an OTC medication used to treat allergic rhinitis? A. Nasonex B. Afrin C. Rhinocort pg. 604, drug cards NAPRA 4, 5, 7; CPTEA 5, 6 D. Flonase Match the following ophthalmic trade names on the left with the generic names on the right and indicate your answer using an alphabetical letter. NAPRA 4, 5, 7; CPTEA 3, 5, 6 Brand Generic E 113. Garamycin pg. 622, 632 A. ketoprofen D 114. Xalatan pg. 622, 642 B. travoprost A 115. Acular pg. 622, 630 C. betaxolol F 116. Trusopt pg. 622, 640 D. latanoprost B 117. Travatan pg. 622 E. gentamicin C 118. Betoptic pg. 622, 639 F. dorzolamide Match the following body system word parts to the correct definition. 119. 120. 121. 122. 123. D E C B A May 8, 2009 ___ cyan/o ___ -pnea ___ oophor/o ___ -plasty ___ poly- A. B. C. D. E. many repair ovaries blue breathing Page 15 Module PT4 Certification Exam ANSWER KEY Chapter 5, pg. 174-179 Expand the following abbreviations. 124. 125. 126. NICU EKG HTN _____________________________ _____________________________ _____________________________ Chapter 5, pg. 175 Look at the following list of abbreviations. If the appear on the ISMP Error-Prone Abbreviation List rewrite them correctly on the space provided. If they are correct write correct on the space provided. 127. 128. 129. zidovudine units correct AZT U/u t.i.d. 130. every other day q.o.d. 131. correct 100,000 units 132. at bedtime q.h.s. 133. right eye OD NAPRA 7.3; CPTEA 4, 5 ______________________________ ______________________________ ______________________________ ______________________________ ______________________________ ______________________________ ______________________________ Chapter 5, pg. 147-150 May 8, 2009 Page 16