PTCB PTCE Exam Dumps

Citalopram (Celexa) is an SSRI (Selective Serotonin Reuptake Inhibitor) used for depression and anxiety.

Other drugs listed are for schizophrenia (clozapine, haloperidol) or anxiety (lorazepam).

Reference:FDA Approved Antidepressants, PTCE Medication Classification Guide.

Aricept (Donepezil) is a cholinesterase inhibitorused for treatingmild, moderate, or severe Alzheimer's disease dementia.

Itworks by increasing acetylcholine levels in the brain, improving memory and cognitive function.

FDA-approved for all stages of Alzheimer's disease.

B . AzilectUsed for Parkinson's disease, not Alzheimer's.

Azilect (Rasagiline) is a monoamine oxidase-B (MAO-B) inhibitorthat helps manage Parkinson's symptoms but is not indicated for dementia.

C . AmbienUsed for insomnia, not Alzheimer's dementia.

Ambien (Zolpidem) is a sedative-hypnotic for sleep disordersand does not treat cognitive decline.

D . AtacandUsed for hypertension, not dementia.

Atacand (Candesartan) is an angiotensin receptor blocker (ARB) used to treat high blood pressure and heart failure.

FDA Approved Uses for Donepezil (Aricept)-- Confirms its indication for all stages of Alzheimer's disease.

Alzheimer's Association Treatment Guidelines-- Listscholinesterase inhibitors as first-line therapy for dementia.

PTCB PTCE Exam Content Outline-- Covers pharmacologic treatments for cognitive disorders.

Why Not the Other Options?Key Reference:

Look-alike/sound-alike (LASA) medications pose asignificant risk of medication errors. To reduce this risk, pharmacies should:

Use both brand and generic nameson labels to clarify drug identity.

Example:'Celexa (Citalopram)' vs. 'Celebrex (Celecoxib).'

B . Place the drug next to another look-alike/sound-alike drug on the shelf if they are alphabetical.Incorrect

LASA drugs shouldnotbe stored next to each other.

Example:Hydroxyzine and Hydralazine should be stored separatelyto avoid mix-ups.

C . Review the first five digits of the NDC to confirm the correct product.Incorrect

The first five digits (manufacturer code) only identify the manufacturer, not the specific drug.

Instead, checking theentire NDC (all 10-11 digits) is necessary.

D . Take hazardous drug precautions.Incorrect

LASA errors are a labeling issue, not a hazardous drug issue.

Institute for Safe Medication Practices (ISMP) LASA Guidelines-- Recommends usingboth brand and generic names on labels.

FDA & Joint Commission LASA Drug Safety Recommendations-- Emphasizes labeling improvements for LASA drugs.

PTCB PTCE Exam Content Outline-- Covers medication safety and error prevention strategies.

Why Not the Other Options?Key Reference:

Comprehensive and Detailed Step-by-Step Explanation:

Hand hygiene is the single most effective way to prevent infection.Washing hands withsoap and water for at least 30 secondsremoves bacteria, viruses, and contaminants.

Explanation of Answer Choices:D. Wash hands for 30 secondsCorrect.Best method toreduce the spread of infection.A. Wear powdered latex gloves Incorrect.Powdered gloves can increase contamination risk.B. Clean counting trays after use Incorrect.Important, but handwashing is more effective.C. Put on shoe covers Incorrect.Useful in sterile environments, but not as effective as handwashing.

Reference:

CDC Hand Hygiene Guidelines

USP <797>: Infection Control in Pharmacies

Before dispensing a prescription, pharmacy technicians and pharmacists must ensure that it iscomplete, clear, and unambiguousto avoid medication errors.

Medication:Lisinopril

Strength:20 mg (Clear)

Route:PO (by mouth) (Clear)

Directions:Take 1 tab PO q8h (every 8 hours)(Needs Clarification)

Quantity:30 tablets (Clear)

Refills:12 (Needs verification but is not the main issue)

Lisinopril is an ACE inhibitorused for hypertension and heart failure.

Standard dosing is once daily (q24h), not every 8 hours (q8h).

A frequency of q8h (three times daily) is unusual and could be a prescribing error.

Pharmacists must verify with the prescriber before dispensing.

(A) Directions for useCorrect -- 'q8h' is incorrect for lisinopril and needs clarification.

(B) Medication strengthIncorrect -- '20 mg' is a standard strength for lisinopril.

(C) Route of administrationIncorrect -- 'PO' (by mouth) is correct.

(D) Number of refillsIncorrect -- While 12 refills is uncommon for chronic medications, it is not the primary issue.

Lisinopril Prescribing Information (FDA): https://www.accessdata.fda.gov

Institute for Safe Medication Practices (ISMP) -- High-Alert Medications:https://www.ismp.org

PTCB Exam Content Outline -- Prescription Processing & Clarification

Analysis of the Prescription:Why the Directions Need Clarification:Analysis of Answer Choices:Reference for Pharmacy Technicians: