CORRECT TEXT What does DAW mean on a written prescription?
Correct Answer:
The brand name is to be dispensed as written.
Question 112
Aspacerwas prescribed to accompany ametered dose inhaler (MDI), but the patient never picked it up. The spacer should be returned to:
Correct Answer: D
* A spacer is a non-prescription medical devicethat enhances the delivery of medication from anMDI (metered dose inhaler). * Since the patient never picked it up and it isnot a controlled or perishable item, the pharmacy canreturn it to dispensing stock for resale. Why Other Options Are Incorrect: * A. Damaged stock?#Only if the spacer was opened, broken, or contaminated. * B. The manufacturer?#Not necessary unless it is defective. * C. The study sponsor?#Applies only to clinical trial supplies. #Reference:ISMP Safe Handling of Medical Devices, PTCE Study Guide.
Question 113
According to USP Chapter 800, tablet and capsule forms of antineoplastic hazardous drugs should not be placed in automated counting or packaging machines 1 because they:
Correct Answer: C
According toUSP Chapter <800>(Hazardous Drugs-Handling in Healthcare Settings), solid oral dosage forms ofantineoplastic hazardous drugs (e.g., chemotherapy medications like methotrexate or tamoxifen) shouldnotbe placed inautomated counting or packaging machinesbecause: * Risk of Contamination- Tablets and capsulesmay generate dust or powder residue, which can spread hazardous drug particles into the environment. * Exposure Risks- Pharmacy staff may beexposed to hazardous particleswhen refilling, cleaning, or maintaining the machine. This poses a risk ofinhalation, dermal exposure, or accidental ingestion. * Strict USP <800> Compliance- Hazardous drugs requirespecial handling precautions, includingdesignated counting trays, dedicated equipment, and proper personal protective equipment (PPE). Automated machinesdo not provide the necessary containmentfor hazardous drug particles. * USP Chapter <800>- Mandates specific safety measures for handling hazardous drugs in pharmacies, including avoiding automated dispensing systems for hazardous solids. * NIOSH (National Institute for Occupational Safety and Health) List of Hazardous Drugs- Identifies drugs requiring special handling to minimize occupational exposure. * OSHA (Occupational Safety and Health Administration) Hazardous Drug Guidelines- Reinforces the need to prevent aerosolization of hazardous drug particles. * PTCB PTCE Exam Content Outline- Covers hazardous drug handling, personal protective equipment (PPE), and compliance with USP <800>. Key References:#Why Not the Other Options? * A. Require a sterile environment## Tablets and capsules arenon-steriledosage forms, and USP <800> focuses on hazardous drug containment rather than sterility. * B. Are often involved in dispensing errors## While hazardous drugs must be dispensed carefully, dispensing errors are not the main reason for avoiding automated machines. * D. Expire sooner than other medications## Expiration dates are unrelated tohazardous drug contamination risks.
Question 114
How many grams of fluorouracil will 153 lb patient receive in 5 successive days at a dosage of 12mg/kg/ day?
Which of the following is anon-profit organizationthat focuses oneducating healthcare providers and consumerswith the goal ofpreventing medication errors?
