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Section 1: Medications & Prescription Dispensing (Questions 1-50)
Question 1
A prescription is written for "Lipitor 20 mg, take one tablet daily." Which generic name
corresponds to this medication?
A. Rosuvastatin
B. Atorvastatin
C. Simvastatin
D. Pravastatin
Correct Answer: B
Rationale: Lipitor is the brand name for atorvastatin, a high-intensity statin used for
dyslipidemia and cardiovascular risk reduction. Option A is incorrect because
rosuvastatin is Crestor. Option C is incorrect because simvastatin is Zocor. Option D is
,incorrect because pravastatin is Pravachol. PTCB competency: Brand/generic
recognition is fundamental to prescription accuracy. Clinical safety principle: Confusing
statins can lead to incorrect dosing and adverse effects. Test-taking strategy: Memorize
top 200 brand/generic pairs; Lipitor and Crestor are commonly confused.
Question 2
Which medication is classified as a GLP-1 receptor agonist indicated for type 2 diabetes
and weight management?
A. Empagliflozin
B. Semaglutide
C. Metformin
D. Sitagliptin
Correct Answer: B
Rationale: Semaglutide (Ozempic, Wegovy) is a GLP-1 receptor agonist that stimulates
insulin secretion, suppresses glucagon, and promotes satiety. Option A is incorrect
because empagliflozin is an SGLT2 inhibitor. Option C is incorrect because metformin is
a biguanide. Option D is incorrect because sitagliptin is a DPP-4 inhibitor. PTCB
competency: Drug classification knowledge ensures correct dispensing and patient
counseling. Clinical safety principle: GLP-1 agonists carry warnings for thyroid C-cell
tumors and pancreatitis.
,Question 3
A patient presents a prescription for "Xarelto 20 mg, once daily with dinner." What is the
generic name of this medication?
A. Apixaban
B. Rivaroxaban
C. Dabigatran
D. Warfarin
Correct Answer: B
Rationale: Xarelto is the brand name for rivaroxaban, a direct oral anticoagulant (DOAC)
that inhibits Factor Xa. Option A is incorrect because apixaban is Eliquis. Option C is
incorrect because dabigatran is Pradaxa. Option D is incorrect because warfarin is
Coumadin/Jantoven. PTCB competency: DOAC brand/generic recognition is critical due
to frequent dispensing. Clinical safety principle: No routine INR monitoring with DOACs,
but renal function assessment is required for dosing.
Question 4
Which of the following is a contraindication for the use of empagliflozin (Jardiance)?
A. Type 1 diabetes mellitus
B. Hypertension
C. Hyperlipidemia
D. Osteoarthritis
, Correct Answer: A
Rationale: SGLT2 inhibitors like empagliflozin are contraindicated in type 1 diabetes due
to the increased risk of euglycemic diabetic ketoacidosis (DKA). Option B is incorrect
because empagliflozin has cardiovascular benefits and can be used with hypertension.
Option C is incorrect because hyperlipidemia is not a contraindication. Option D is
incorrect because osteoarthritis does not affect empagliflozin use. PTCB competency:
Contraindication knowledge prevents dispensing errors and patient harm. Clinical safety
principle: SGLT2 inhibitors also increase risk of genital mycotic infections and Fournier's
gangrene.
Question 5
A prescription reads: "Amoxicillin 500 mg, dispense 21 capsules, sig: i cap tid x 7 days."
How many capsules should the patient take per day?
A. 1
B. 2
C. 3
D. 4
Correct Answer: C
Rationale: "Tid" means three times daily (ter in die); the patient takes 1 capsule three
times daily = 3 capsules per day. Option A is incorrect because "i cap" means one
capsule, but tid indicates frequency. Option B is incorrect because bid would be twice
daily. Option D is incorrect because qid would be four times daily. PTCB competency: