PTCE Exam Dumps - Pharmacy Technician Certification (CPhT) Exam

Enbrel (etanercept) is a biologic that must be stored in the refrigerator (2°C–8°C or 36°F–46°F).

📌Reference:Manufacturer Storage Guidelines, USP Refrigeration Standards.

Comprehensive and Detailed Step-by-Step Explanation:

Lorazepam oral concentrate (Ativan)should be storedat controlled room temperature (20-25°C or 68-77°F)and protected fromlight. It should not be refrigerated or frozen.

📌Explanation of Answer Choices:✅B. Lanoxin oral solution→Correct.LikeLorazepam, Lanoxin (Digoxin)requires room temperature storage.❌A. Lamictal chewable tablets→ Incorrect.Stored at room temperature, but not a liquid formulation.❌C. Lyumjev KwikPen→ Incorrect.Insulin pens require refrigeration.❌D. Lunesta tablets→ Incorrect.A solid dosage form, not comparable to a liquid oral concentrate.

📌Reference:

USP <1079>: Storage and Handling of Pharmaceuticals

FDA Storage Recommendations for Lorazepam

Lot numbers are required for drug recalls and tracking purposes.

Prescription numbers are pharmacy-specific and not on manufacturer packaging.

📌Reference:FDA Drug Labeling Requirements, USP Manufacturing Guidelines.

Lamivudine (Epivir)is anantiretroviral agent used to treat HIV/AIDS and hepatitis B. Some antiretroviral drugs are classified ashigh-alert medications in certain healthcare settingsbecause:

Dosing errors can lead to treatment failure or resistance.

Severe side effects and toxicities may occur if misused.

TheInstitute for Safe Medication Practices (ISMP)includes some antiretrovirals in theirhigh-alert medication list, especially in hospitals.

A. Meperidine❌→Not an antiretroviral; it's a narcotic analgesic (opioid pain reliever).

B. Olopatadine❌→Not an antiretroviral; it's an antihistamine (used for allergies).

D. Tizanidine❌→Not an antiretroviral; it's a muscle relaxant.

ISMP High-Alert Medication List– Includes certainantiretroviral drugs as high-alert medications in some settings.

FDA Drug Labeling for Lamivudine (Epivir)– ListsHIV/AIDS and Hepatitis B as indications.

PTCB PTCE Exam Content Outline– Covers high-alert medications and their risks.

Why Not the Other Options?Key References:

The prescription forhydroxyzine (25 mg q6h) for hypertensionis likely alook-alike, sound-alike (LASA) medication error, ashydroxyzineis anantihistamineused foranxiety, nausea, and allergiesbutnot for hypertension.

A common LASA confusion is between:

Hydroxyzine (antihistamine, sedative effects, brand names: Vistaril, Atarax)

Hydralazine (antihypertensive, vasodilator, used for hypertension, brand: Apresoline)

Sincehydralazineis used forhypertension, the prescription likely contains anordering errorthat must be clarified with the prescriber.

A. Hydroxyzine requires special handling→ Incorrect; hydroxyzine does not require special handling.

B. The prescription exceeds the maximum recommended daily dose→ Incorrect; hydroxyzine's max daily dose is400 mg/day, and this prescription does not exceed it.

D. Hydroxyzine is subject to a REMS program→ Incorrect; hydroxyzineis not part of a Risk Evaluation and Mitigation Strategy (REMS) program.

Other Answer Choices Explained:References:

FDA & ISMP Look-Alike Sound-Alike (LASA) Drug List

PTCB PTCE Exam Content Outline (Medication Safety & Error Prevention)

Lexicomp Drug Monographs for Hydroxyzine & Hydralazine