PTCE Exam Dumps - PTCB CPhT Questions and Answers

During pregnancy, medication safety is classified by theFDA Pregnancy Categories(prior to 2015) or thePregnancy and Lactation Labeling Rule (PLLR)(current system).

Acetaminophen (Tylenol) is considered the safest analgesic for pregnant women, especially for treating mild to moderate pain or fever.

It hasno known teratogenic effectswhen used at recommended doses.

A. Isotretinoin❌→Severe risk in pregnancy (Category X / Contraindicated)

Causes severe birth defects(craniofacial, cardiac, and central nervous system malformations).

Requires enrollment in theiPLEDGE programto prevent pregnancy exposure.

C. Lovastatin❌→Not safe in pregnancy (Category X / Contraindicated)

Cholesterol-lowering statins are teratogenic, as fetal development requires cholesterol.

D. Triazolam❌→Not safe in pregnancy (Category X / Contraindicated)

A benzodiazepine that can cause birth defects, neonatal withdrawal syndrome, and CNS depression in the fetus.

FDA Pregnancy and Lactation Labeling Rule (PLLR)– Discusses medication risks in pregnancy.

American College of Obstetricians and Gynecologists (ACOG) Guidelines– Listsacetaminophen as the preferred pain reliever during pregnancy.

PTCB PTCE Exam Content Outline– Covers drug safety in special populations, including pregnancy.

Why Not the Other Options?Key References:

Varenicline is a partial agonist at α4β2 nicotinic acetylcholine receptors indicated for smoking cessation to aid in quitting tobacco use. It is not indicated for ulcerative colitis, seasonal affective disorder, or sleepwalking.

References (Pharmacy Technician documents/Study Guides):

• FDA-approved indications for varenicline; pharmacology overview in technician certification guides.

• PTCB/ExCPT drug indications: smoking cessation therapies (varenicline, bupropion SR, NRTs).

• Standard pharmacy references on CNS agents used for tobacco cessation.

Comprehensive and Detailed Step-by-Step Explanation:

Pseudoephedrine(Sudafed) is asympathomimetic decongestantthat causesvasoconstrictionand canincrease blood pressure.

????Explanation of Answer Choices:✅B. Hypertension→Correct.Pseudoephedrinecan cause arise in blood pressure, so it should be used cautiously in patients withhypertension.❌A. Asthma→ Incorrect.Pseudoephedrine does not directly worsen asthma, but it may cause mild bronchodilation.❌C. Hypokalemia→ Incorrect.Pseudoephedrine does not affect potassium levels.❌D. Eczema→ Incorrect. Eczema is unrelated topseudoephedrine use.

????Reference:

Combat Methamphetamine Epidemic Act (CMEA) Regulations

American Heart Association (AHA) Guidelines on Hypertension

Naproxen (Aleve, Naprosyn) is a nonsteroidal anti-inflammatory drug (NSAID) used for pain and inflammation.

????Reference:FDA NSAID Safety Guidelines.

TheU.S. Food and Drug Administration (FDA)requires aMedication Guide (MedGuide)to be provided when dispensing certain medications that have significant safety concerns.Zyprexa (Olanzapine), anatypical antipsychotic, requires aMedication Guidedue to serious risks such as:

Increased mortality in elderly patients with dementia-related psychosis

Metabolic side effects(e.g., weight gain, hyperglycemia, and dyslipidemia)

Neuroleptic malignant syndrome (NMS)

A. Zafirlukast→ Incorrect; while used forasthma(leukotriene receptor antagonist), it doesnot require a Medication Guide.

B. Zestril (Lisinopril)→ Incorrect; anACE inhibitorfor hypertension, it doesnot require a Medication Guide.

C. Zinc→ Incorrect; adietary supplementthat does not require a Medication Guide.

Other Answer Choices Explained:References:

FDA Medication Guide Requirements for Olanzapine (Zyprexa)

PTCB PTCE Exam Content Outline (Medication Safety & Patient Counseling)

Comprehensive and Detailed Step-by-Step Explanation:

Alot number (or batch number)is aunique identifierassigned to a specific batch of medication by themanufacturer. It helps trackrecalls, expiration dates, and quality control.

????Explanation of Answer Choices:✅D. Manufacturer→Correct.Manufacturers assignlot numbersfor tracking and recall purposes.❌A. FDA→ Incorrect. TheFDA does not assign lot numbersbut regulatesdrug safety and labeling.❌B. DEA→ Incorrect. TheDEA controls controlled substancesbut does not issuelot numbers.❌C. Wholesaler→ Incorrect.Wholesalers distribute drugs but do not assign lot numbers.

????Reference:

FDA Drug Product Recall Guidelines

PTCB Inventory Management Section

Pharmacy technicians in certain states may initiate the transfer of non-controlled prescriptions under pharmacist supervision.

Controlled substance transfers MUST be done by pharmacists.

????Reference:State Board of Pharmacy Regulations.

Per the FDA-approved labeling for NuvaRing (etonogestrel/ethinyl estradiol vaginal ring), the product should be stored refrigerated at 2°C to 8°C (36°F to 46°F) prior to dispensing. After dispensing, NuvaRing may be stored at room temperature for a limited period per labeling (commonly referenced in technician materials as up to 4 months), but pharmacy stock should be kept refrigerated before it is dispensed. Freezing is not recommended.

References (Pharmacy Technician documents/Study Guides):

• NuvaRing Prescribing Information: Storage conditions (refrigeration prior to dispensing; room temperature allowance after dispensing).

• PTCB Top 200/Storage Requirements: Hormonal contraceptive ring storage.

• ASHP/Institutional storage guidelines for temperature-sensitive medications.

Drug interactions (like IV compatibility with heparin)must be evaluated bya pharmacisttoavoid adverse effects.

Pharmacy technicians can answer questions about generic names, drug schedules, and insurance issues but cannot provide clinical recommendations.

????Reference:ASHP Pharmacy Technician Scope of Practice, PTCE Guidelines.

AUstands for"auris utraque", meaning"both ears".✅

Sig codes (Signa codes)are abbreviations used in prescriptions to indicate how a medication should be taken or applied.

Why Other Options Are Incorrect:

q.s. (quantum satis):Means "a sufficient quantity," NOT"shake well."❌

IN:Refers tointranasal, NOTintramuscular (IM).❌

q.i.d. (quater in die):Means"four times a day,"NOT"three times a day".❌

????Reference:PTCB Official Sig Code List,Institute for Safe Medication Practices (ISMP) Approved Abbreviations.