A patient picks up a new prescription for amoxicillin 500 mg three times daily. The patient profile lists a documented allergy to penicillin with rash. What is the most appropriate first step for the pharmacy technician?
Clinical Care
Question · Easy
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While processing a prescription, the technician notices the patient is already taking warfarin and the new prescription is for ciprofloxacin. What is the appropriate technician action?
Question · Medium
Introduction: PEBC Technician Qualifying Exam Part I Overview
0.1 Exam Facts, 2026 Blueprint & Test-Taking Strategy
Study guide
A patient brings in a prescription for metformin 500 mg twice daily. The technician notices the patient is also taking another prescription for metformin XR 1000 mg once daily that was filled last week. What is the most appropriate action?
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A 4-year-old child is prescribed amoxicillin suspension 250 mg/5 mL, dose 200 mg three times daily. What dose volume should the technician verify on the prescription label?
A patient asks the technician what they can take for a mild headache. The patient takes ramipril and ASA 81 mg daily. What is the appropriate technician action?
A prescription reads 'levothyroxine 100 mcg po daily' for a patient. The technician sees the prescriber wrote '0.1 mg' on the original script. Are these doses equivalent?
Chapter 1: Prescription Intake, Adjudication & Processing
1.1 Prescription Legal Validity, Essential Elements & Order Intake
A prescription is presented for sildenafil 50 mg as needed. The patient profile shows the patient is taking nitroglycerin spray for angina. What should the technician do?
A pediatric patient weighing 18 kg is prescribed acetaminophen 15 mg/kg per dose. The available product is 80 mg/mL infant drops. What volume should the label indicate per dose?
A patient with chronic kidney disease (eGFR 25 mL/min) brings in a new prescription for ibuprofen 400 mg three times daily. What is the appropriate technician action?
A prescription reads 'metoprolol tartrate 50 mg po BID'. The patient profile shows a separate active prescription for metoprolol succinate 100 mg po daily. What is the most appropriate action?
Question · Hard
1.2 Patient Profile Setup, Drug Insurance & Third-Party Adjudication
A patient asks the technician about taking their new metformin with food. What is the most appropriate action?
A prescription for warfarin 5 mg daily is dropped off. The patient mentions they just started taking St. John's Wort for low mood. The technician should:
A prescription is presented for prednisone 10 mg daily for a patient who is also taking insulin glargine. What clinical issue should the technician flag for the pharmacist?
A patient is prescribed clarithromycin and is also taking simvastatin 40 mg. What should the technician do?
1.3 Order Clarification, Refill Authorizations & Prescription Transfers
A patient brings a prescription for codeine 30 mg/acetaminophen 300 mg. The patient profile lists CYP2D6 ultrarapid metabolizer status (per a pharmacogenomic note). The technician should:
When reviewing a prescription, which of the following is a 'red flag' that always requires immediate pharmacist clinical review?
An elderly patient (age 82) presents a new prescription for diphenhydramine 50 mg at bedtime for sleep. What should the technician do?
Which of the following classes of drugs is regulated under Canada's Controlled Drugs and Substances Act (CDSA) as a Schedule I narcotic?
Distribution
Chapter 2: Pharmaceutical Calculations for Pharmacy Practice
2.1 Metric Conversions, Ratio Strengths & Percentage Concentrations
Under the federal Narcotic Control Regulations (Canada), a written prescription for a narcotic such as hydromorphone:
When performing a daily narcotic count, the technician finds a discrepancy of 4 tablets of oxycodone short. What is the most appropriate first step?
The pharmacist asks the technician to dispense methadone for opioid use disorder. Which of the following is true under Canadian regulations?
A prescription reads 'Tylenol #3, 1-2 tabs po q4-6h prn pain, dispense 30 tablets'. Tylenol #3 contains acetaminophen 300 mg + codeine 30 mg + caffeine 15 mg. Under Canadian narcotic regulations, this product is classified as:
2.2 Dosing Regimens, Days Supply & Pediatric/Geriatric Calculations
Which of the following is classified as a Targeted Substance under the Benzodiazepines and Other Targeted Substances Regulations?
A prescription for lorazepam 1 mg twice daily, dispense 60 tablets, with 3 refills, is presented. Which statement is correct?
A prescription is faxed for amoxicillin 500 mg three times daily for 10 days. The fax is unclear and the dose looks like '50 mg' or '500 mg'. What is the most appropriate technician action?
When transferring a prescription for a non-controlled drug to another pharmacy in Canada, who is permitted to perform the transfer?
2.3 Alligation Alternate & Concentration Adjustments
A patient requests a refill for ramipril 10 mg with no remaining authorized refills. The prescription expired 2 weeks ago. What is the appropriate technician action?
A prescription reads 'amoxicillin 500 mg po TID x 10 days'. How many capsules should be dispensed?
A 30-day supply of metformin is dispensed at 1000 mg twice daily. How many tablets of 500 mg metformin should be dispensed?
An IV order reads: 'Cefazolin 1 g in 100 mL NS over 30 minutes'. What is the correct infusion rate in mL/hr?
2.4 IV Flow Rates, Infusion Times & Electrolyte Solutions
A heparin infusion is ordered at 1000 units/hour. The bag contains 25,000 units in 250 mL D5W. What is the infusion rate in mL/hr?
A 1:1000 epinephrine ampoule contains how many mg of epinephrine per mL?
An order calls for 0.9% NaCl 1 L. How many grams of sodium chloride are present?
A compound requires diluting a 50 mg/mL stock solution to 10 mg/mL in a final volume of 100 mL. How much stock and diluent are needed?
Chapter 3: Non-Sterile Compounding & NAPRA Standards
3.1 NAPRA Non-Sterile Standards, Facilities & Equipment Requirements
Beyond-use date (BUD) for a non-sterile aqueous oral compound (no preservation, refrigerated) according to current NAPRA Model Standards is typically:
When compounding a hazardous drug (e.g., methotrexate tablets being crushed for a suspension), what PPE is required per NAPRA Model Standards for Compounding Hazardous Sterile and Non-Sterile Preparations?
An ointment formula calls for 1% hydrocortisone in 60 g total. How much hydrocortisone powder is needed?
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