10 exam-style questions with answers and explanations, straight from our 1,030-question bank. Tap an answer to check yourself. When you're ready, take the scored version in the free practice test.
The CPhT-Adv exam has 70 questions and runs 1 hours 20 minutes.
These 10 free CPhT-Adv questions are organized by exam domain, so you can see how each part of the Advanced Certified Pharmacy Technician blueprint is tested. Reveal the answer and explanation under each question.
A refill rejects as "refill too soon" after the prescriber increases the patient's dose. The pharmacist confirms the new regimen. The technician verifies that the submitted 30-day supply is accurate and that the previous prescription was actually dispensed. The payer permits a documented dose-change override for this situation. How should the rejection be resolved?
Correct answer: B - Submit the permitted dose-change override with the verified days' supply.
A valid written oxycodone prescription cannot be filled in full because the pharmacy is short of stock. Neither the patient nor the prescriber requested staged dispensing. The patient lives at home, is not terminally ill, and no stricter state rule applies. Under the federal stock-shortage provision, what deadline governs supplying the remainder without a new prescription?
Correct answer: C - Within 72 hours of the first partial filling.
A pharmacist has completed the clinical review of an order for morphine sulfate 5 mg IV. During a delegated product check, a technician finds a syringe labeled "Morphine sulfate 5 mg in 0.5 mL." The preparation record and source vial show that 0.5 mL was withdrawn from a 10 mg/2 mL vial, with no additional drug or diluent added. Which dose assessment determines whether this syringe can be released?
Correct answer: C - The syringe contains 2.5 mg; withhold it because the dose is half the amount ordered.
An adherence review covers days 1 through 90. A patient taking an unchanged once-daily statin regimen receives a 30-day supply on day 1, another on day 21, and another on day 76. There is no supply before day 1, no hospitalization, and no other fill. Early refill tablets are carried forward after the preceding supply is exhausted. The program schedules adherence outreach when proportion of days covered (PDC) is below 80%. Which entry correctly summarizes this review?
Correct answer: A - PDC 83.3%; this result does not trigger the specified outreach rule.
Four minutes after vaccination, an adult develops hoarseness, wheezing, and marked dizziness. Blood pressure is 82/48 mm Hg. There are no hives. The pharmacist is beside the patient, and the technician is assisting under the vaccination emergency protocol. Which response fits this presentation?
Correct answer: D - Activate emergency medical services and assist with prompt intramuscular epinephrine.
A pharmacy proposes preparing sterile cyclophosphamide doses in an ISO Class 5 horizontal laminar airflow workbench located in a positive-pressure cleanroom. Staff would use closed-system drug-transfer devices and two pairs of chemotherapy gloves. Which design change is necessary to address hazardous-drug containment?
Correct answer: B - Use an externally vented Class II biological safety cabinet in a compliant negative-pressure hazardous-drug room.
During an admission medication interview, a 76-year-old patient brings a furosemide 80 mg bottle labeled "one tablet every morning." His daughter manages the pill organizer and confirms that he takes half a tablet each morning. A clinic note from two weeks earlier documents a reduction to 40 mg every morning, with no subsequent change. The dispensing history still lists 80 mg tablets. What belongs in the medication history before hospital-order reconciliation?
Correct answer: D - Furosemide 40 mg every morning using half an 80 mg tablet, citing the caregiver and clinic note.
A 10-year-old with fever and a sore throat has a negative rapid antigen test for group A Streptococcus. The test controls pass, specimen collection was appropriate, and the child is breathing comfortably and drinking fluids. The pharmacist notes tonsillar exudate and no cough. Within the authorized testing service, which follow-up should the technician arrange?
Correct answer: A - A backup throat culture with documented family follow-up.
A pharmacist-approved oral liquid formula produces an appropriately preserved aqueous preparation with water activity of 0.92 and specifies controlled room-temperature storage. No applicable preparation-specific monograph or stability study is available. One component expires 26 days after compounding; all other components remain in date longer, and no shorter stability or quality limit applies. Under USP <795>, what is the longest permissible beyond-use period?
Correct answer: A - 26 days at controlled room temperature.
A hospital pharmacist requests an admitted patient's prescription history for medication reconciliation. The community pharmacy verifies the caller and treatment purpose through its established callback procedure. These are ordinary prescription records, and no additional confidentiality restriction applies. The patient has not signed a separate release. Which response is permitted under the HIPAA Privacy Rule?
Correct answer: D - Send the relevant medication history through the pharmacy's secure treatment-disclosure process.
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