Test Bank for Mosby’s Pharmacy Techni-

cian, 5th Edition, Karen Davis Anthony

Guerra
Ful download chapter at: https://testbankbell.com/product/test-bank-for-mosbys-
pharmacy-technician-5th-edition-karen-davis-anthony-guerra/

Chapter 01: History of Medicine and Pharmacy

Elsevier: Mosby’s Pharmacy Technician, 5th Edition

MULTIPLE CHOICE

1. Which organization(s) saw the need for standardized education for pharmacy technicians?
a. American Society of Health-System Pharmacists (ASHP)
b. American Pharmacists Association (APhA)
c. Michigan Pharmacists Association (MPA)
d. All of the above
ANS: D
An urgent need for standardized training arose in the 1960s as pharmacist organizations, such
as the American Society of Health-System Pharmacists (ASHP), the Michigan Pharmacists
Association (MPA), and the American Pharmacists Association (APhA), realized that
technicians would be able to better serve the patient with additional training.

DIF: Recall REF: Page 12 OBJ: ASHP objective: none

MSC: PTCE Domain: none NOT: EXCPT: none

2. Who is considered the “Father of Medicine”?

a. Plato
b. Hippocrates
c. Asclepius
d. Socrates
ANS: B
Hippocrates is considered the “Father of Medicine,” and the Hippocratic Oath is still in use
today.

DIF: Recall REF: Pages 3-4 OBJ: ASHP objective: none

MSC: PTCE Domain: none NOT: EXCPT: none

3. In which language were medicinal recipes (prescriptions) written until the 1900s?
a. French
b. Greek
c. Latin
d. Italian
 ANS: C
Medicinal recipes were written in Latin until the 1900s. Many Latin abbreviations are still in
use when writing prescriptions.

DIF: Recall REF: Page 7 OBJ: ASHP objective: none

MSC: PTCE Domain: none NOT: EXCPT: none

4. Which of the following old time remedies are still being used today?
a. Maggots
b. Trephining
c. Leeches
d. A and C
ANS: D
The U.S. Food and Drug Administration (FDA) approved the use of both leeches and maggots
in the medical setting in 1976. Trephining was the practice of cutting into the skull to give the
evil spirit a portal through which to leave and is no longer used.

DIF: Comprehension REF: Page 9

OBJ: ASHP objective: 11.2 (Understanding) Understanding the therapeutic effects of prescription
and non-prescription medications and alternative therapies used to treat diseases
MSC: PTCE Domain: none NOT: EXCPT: none

5. The effects associated with opioid receptors include all of the following except:
a. Analgesia
b. Respiratory depression
c. Increased gastrointestinal motility
d. Euphoria
ANS: C
The effects associated with the opioid receptors include analgesia, respiratory depression,
pupil constriction, reduced gastrointestinal motility, euphoria, dysphoria, sedation, and
physical dependence.

DIF: Comprehension REF: Page 9

OBJ: ASHP objective: 11.2 (Understanding) Understanding the therapeutic effects of prescription
and non-prescription medications and alternative therapies used to treat diseases
MSC: PTCE Domain: 1.6 Dosage and indication of legend, OTC medications, herbal and dietary
supplements
NOT: EXCPT: 2.A.4.c. Match common prescription/legend medications with their indications

6. Which of the following choices best describes sources of materials for remedies in ancient
times?
a. Chemicals, minerals, and vitamins
b. Minerals, animals, and plant parts
c. Bodies of water, plant parts, and dirt
d. Prayer, bones, and plant parts
ANS: B
Archaeologic discoveries have revealed civilizations that documented the use of minerals,
animals, and plant parts to heal the sick.
 DIF: Recall REF: Page 3 OBJ: ASHP objective: none
MSC: PTCE Domain: none NOT: EXCPT: none

7. Which medication(s) come(s) from plants?

a. Opium
b. Penicillin
c. Quinine
d. A and C
ANS: D
Opium comes from the poppy plant. Quinine comes from cinchona bark. Penicillin comes
from a mold (fungus).

DIF: Recall REF: Pages 7-8 OBJ: ASHP objective: none

MSC: PTCE Domain: none NOT: EXCPT: none

8. Which soft drink originally contained cocaine and caffeine?

a. Ginger Ale
b. Pepsi-Cola
c. Coca-Cola
d. Hires Root Beer
ANS: C
Coca-Cola was invented in 1886 by Doctor John Pemberton, a pharmacist, and was marketed
as a tonic containing extracts of cocaine and caffeine.

DIF: Recall REF: Page 11 OBJ: ASHP objective: none

MSC: PTCE Domain: none NOT: EXCPT: none

9. The first vaccine, developed in 1796, was for the prevention of which condition?
a. Mumps
b. Smallpox
c. Measles
d. Poliomyelitis (polio)
ANS: B
Vaccines were not developed until 1796 with the first immunization against smallpox in
England.

DIF: Recall REF: Page 8 OBJ: ASHP objective: none

MSC: PTCE Domain: none NOT: EXCPT: none

10. Laudanum, which is a combination of opium and alcohol that was used during the Civil War
for multiple conditions, was problematic for what reason?
a. Laudanum was difficult to make.
b. It was very expensive.
c. Opium could no longer be imported.
d. Laudanum was highly addictive and resulted in many deaths and miscarriages.
ANS: D
Individuals became addicted to laudanum at an alarming rate. Many mortalities and
miscarriages were attributed to this agent.
 DIF: Comprehension REF: Page 8
OBJ: ASHP objective: 11.2 (Understanding) Understanding adverse effects
MSC: PTCE Domain: none NOT: EXCPT: none

11. During the Civil War, many soldiers died from ______________.
a. common diseases
b. battle wounds
c. postsurgical infections
d. all of the above
ANS: D
Soldiers who did not die of their wounds succumbed to tuberculosis, typhoid fever, dysentery,
and a host of other diseases, including measles, mumps, and chickenpox. Many men died of
infections caused by amputations and gunshot wounds.

DIF: Recall REF: Page 8 OBJ: ASHP objective: none

MSC: PTCE Domain: none NOT: EXCPT: none

12. Who discovered penicillin?

a. Alexander Fleming
b. Louis Pasteur
c. Gerhard Domagk
d. James Watson
ANS: A
Alexander Fleming accidentally contaminated a plate of bacteria with penicillium mold while
working in his laboratory in 1928. The mold inhibited the growth of the bacteria, and he
named the mold penicillin. More than 10 years passed before penicillin was used as an
antibiotic.

DIF: Recall REF: Page 3 | Page 6 | Page 9 OBJ: ASHP objective: none
MSC: PTCE Domain: none NOT: EXCPT: none

13. Which of the following scientists made major contributions to the field of genetics?
a. Watson and Crick
b. Gregor Mendel
c. Louis Pasteur
d. A and B
ANS: D
As a result of his work with pea plants, Gregor Mendel became known as the “Father of
Genetics.” In April 1953, James Watson and Francis Crick published a scientific paper
presenting the structure of the deoxyribonucleic acid (DNA)–helix, the molecule that carries
genetic information from one generation to another. Louis Pasteur (France), best known for
the pasteurization process, was responsible for inventing vaccinations such as the anthrax
vaccine.

DIF: Recall REF: Pages 7-9 OBJ: ASHP objective: none

MSC: PTCE Domain: none NOT: EXCPT: none

14. What is the name of the first pharmacy school in the United States, which opened in 1821?
 a. College of Pharmacy and Sciences in Philadelphia
b. College of Pharmacy in Albany
c. Ohio State College of Pharmacy in Columbus
d. Massachusetts College of Pharmacy and Health Sciences in Boston
ANS: A
The first pharmacy school opened in 1821 at the College of Pharmacy and Sciences in
Philadelphia, which is now called the University of the Sciences in Philadelphia.

DIF: Recall REF: Pages 10-11 OBJ: ASHP objective: none

MSC: PTCE Domain: none NOT: EXCPT: none

15. The first pharmacy technicians:

a. Worked in hospitals
b. Worked in drug stores
c. Were enlisted military personnel
d. Were pharmacists’ wives
ANS: C
The first pharmacy technicians were those enlisted in the military because of the high demand
for medications to treat injuries and illness.

DIF: Recall REF: Page 11 OBJ: ASHP objective: none

MSC: PTCE Domain: none NOT: EXCPT: none

16. The benefits of certification for pharmacy technicians include:

a. Increased standard of education
b. Increased salary
c. Increased trust by pharmacists
d. All of the above
ANS: D
After the PTCB was established, not only were educational standards instituted, but salaries
were also increased for many certified technicians. The pharmacists’ trust in technicians also
increased.

DIF: Comprehension REF: Page 12

OBJ: ASHP objective: 10.1 (Understanding) Defining technician certification (versus licensure and
registration), its benefits, and the process for attaining MSC: PTCE Domain: none
NOT: EXCPT: none

17. To become a pharmacist today an individual must __________.

a. pass the National Association of Boards of Pharmacy (NABP) examination and an
examination covering the individual pharmacist’s state pharmacy law
b. earn a PharmD degree
c. take the PTCB examination
d. A and B
ANS: D
Pharmacist licensure requires examination through the NABP and an examination according
to the individual pharmacist’s state pharmacy laws. The current degree required for new
pharmacists is a PharmD or Doctor of Pharmacy.
 DIF: Recall REF: Page 12 OBJ: ASHP objective: none
MSC: PTCE Domain: none NOT: EXCPT: none

18. Why are the roles of pharmacy technicians expanding to include duties that used to be limited
only to pharmacists?
a. Pharmacists are moving into more clinical roles by counseling patients and
working with medical staff.
b. There is a shortage of pharmacists in the workforce.
c. Technicians are better trained in computer order entry.
d. Technicians are replacing pharmacists in the workplace.
ANS: A
The pharmacist is moving into a more highly clinical role, not only counseling patients but
also working with medical staff.

DIF: Comprehension REF: Page 15

OBJ: ASHP objective: 14.1 (Understanding) Identify and describe major trends, issues, goals, and
initiatives taking place in the pharmacy profession MSC: PTCE Domain: none
NOT: EXCPT: none

19. __________ was known as a proponent of diet, exercise, rest, and lifestyle changes to
improve health.
a. Hippocrates
b. Bacon
c. Asclepius
d. Salk
ANS: A
Hippocrates practiced what he preached with respect to exercise, rest, diet, and overall
moderation in one’s lifestyle.

DIF: Recall REF: Page 5 OBJ: ASHP objective: none

MSC: PTCE Domain: none NOT: EXCPT: none

20. Which early physician and alchemist realized the benefit of treating a disorder with one
medication at a time to determine the effectiveness and dose of each medication, rather than
the customary multiple dosing?
a. Aristotle
b. Paracelsus
c. Galen
d. Bacon
ANS: B
At the end of the Middle Ages, administering multiple remedies or large quantities of agents
that had not been previously tested was a common practice. Through the use of
experimentation and documentation of the effectiveness and dosage of each individual agent,
Paracelsus was able to produce many medications.

DIF: Recall REF: Page 5 OBJ: ASHP objective: none

MSC: PTCE Domain: none NOT: EXCPT: none
21. The ancient treatment process of cutting a hole in the skull to allow evil spirits that were
thought to cause disease a way to exit the body was called:
a. Bloodletting
b. Trephining
c. Leaching
d. Venesection
ANS: B
To rid oneself of an evil spirit, a cut was made into the skull to give the spirit a portal through
which to leave. This type of treatment was called trephining and was often performed by a
tribal shaman.

DIF: Recall REF: Page 3 OBJ: ASHP objective: none

MSC: PTCE Domain: none NOT: EXCPT: none

22. In the 1700s in early North America, who prepared remedies to cure the new immigrant
patients?
a. Apothecary
b. Medicine man
c. Physician
d. Pharmacist
ANS: C
In early North America as new immigrants brought their families from Europe and other parts
of the world, disease followed. At that time, physicians were responsible for not only
diagnosing conditions but also for preparing the necessary remedies to cure patients.

DIF: Recall REF: Page 7 OBJ: ASHP objective: none

MSC: PTCE Domain: none NOT: EXCPT: none

23. In early American history, many people died of mercury poisoning, since mercury was used to
treat:
a. Diphtheria
b. Dysentery
c. Malaria
d. Syphilis
ANS: D
Remedies used in early American history included cinchona bark (quinine) for the treatment
of malaria. More unconventional and dangerous treatments were also used, such as using
mercury to treat syphilis. Many persons died of mercury poisoning because of its toxicity.

DIF: Recall REF: Page 7 OBJ: ASHP objective: none

MSC: PTCE Domain: none NOT: EXCPT: none

24. The first pharmacy operated by a registered pharmacist opened in which city in 1823?
a. New Orleans
b. New York
c. Washington
d. Philadelphia
ANS: A
 The first pharmacy managed by a registered pharmacist opened in New Orleans in 1823.

DIF: Recall REF: Page 11 OBJ: ASHP objective: none

MSC: PTCE Domain: none NOT: EXCPT: none

25. The Pharmacy Technician Certification Board (PTCB) was formed in _________.
a. 1955
b. 1975
c. 1990
d. 1995
ANS: D
In 1995, the PTCB was formed and is responsible for creating a national examination for
technicians.

DIF: Comprehension REF: Page 12

OBJ: ASHP objective: 10.1 (Understanding) Defining technician certification (versus licensure and
registration), its benefits, and the process for attaining MSC: PTCE Domain: none
NOT: EXCPT: none

26. Who is known as the “father of genetics”?

a. Alexander Fleming
b. Claudius Galen
c. Gregor Mendel
d. Gerhard Domagk
ANS: C
Gregor Mendel is known as the “father of genetics.”

DIF: Recall REF: Page 3 | Page 7 OBJ: ASHP objective: none

MSC: PTCE Domain: none NOT: EXCPT: none

27. Federal patient consultation laws mandated by the Omnibus Budget Reconciliation Act of
1990 (OBRA 90) are directed at:
a. All insured patients
b. All patients
c. Medicaid patients
d. Medicare patients
ANS: C
The OBRA 90 addressed several issues concerning patient education and the monitoring of
medications. Although consultation is federally mandated to be offered only to patients
receiving Medicaid benefits, most states have developed statutes that require pharmacists to
provide written and/or oral consultation to all patients who are prescribed new or changed
medications.

DIF: Recall REF: Page 14

OBJ: ASHP objective: 19.1 (Remembering) Describing the legal obligations for patient counseling,
including documentation, as specified in OBRA 90 and in state laws and regulations
MSC: PTCE Domain: 2.9 Requirement for consultation (e.g., OBRA’90)
NOT: EXCPT: B.1.e. Comply with federal laws and regulations applicable to pharmacy practice
28. Apothecary can mean a(n):
a. Pharmacist
b. Pharmacy technician
c. Drug store
d. A and C
ANS: D
Apothecary is a Latin term for pharmacist and also can mean a place where drugs are sold.

DIF: Recall REF: Page 2

OBJ: ASHP objective: 11.1 (Remembering) Stating definitions of commonly used medical terms
MSC: PTCE Domain: none NOT: EXCPT: none

29. What is the purpose of using maggots in medicine?

a. To reduce blood volume
b. To clean wounds by removing dead tissue
c. No longer have any purpose to the practice of medicine
d. To reduce pain and swelling
ANS: B
Maggots are fly larvae that feed on dead tissue and are used in medicine to clean wounds that
are not responding to routine antibiotics.

DIF: Comprehension REF: Page 2 | Page 9

OBJ: ASHP objective: 11.2 (Understanding) Understanding the therapeutic effects of prescription
and non-prescription medications and alternative therapies used to treat diseases
MSC: PTCE Domain: none NOT: EXCPT: none

30. What was the first synthetic antibiotic discovered?

a. Penicillin
b. Sulfonamide
c. Tetracycline
d. Cephalosporin
ANS: B
The first synthetic antibiotic, sulfonamide, was discovered by Gerhard Domagk in 1938 and
was derived from a chemical dye found to inhibit bacterial growth. This sulfonamide was
extensively used during World War II to treat infections that were a result of battle wounds.

DIF: Recall REF: Page 9 OBJ: ASHP objective: none

MSC: PTCE Domain: none NOT: EXCPT: none

31. Which organization offers specialized training in sterile products and hazardous drug
compounding?
a. Critical Point
b. National Association of Chain Drug Stores
c. PCAT
d. PTEC
ANS: A
Critical Point offers specialized training in sterile products and hazardous drug compounding.
 DIF: Application REF: Page 14
OBJ: ASHP objective: 10.1 (Applying) Demonstrating a commitment to excellence in the pharmacy
profession and to continuing education and training MSC: PTCE Domain: none
NOT: EXCPT: none

32. What test must potential pharmacy students obtain a passing grade before being admitted to a
school of pharmacy?
a. MCAT
b. PCAT
c. PTCE
d. PTEC
ANS: B
College students can start a 4-year pharmacy program after successfully completing 2 to 4
years of undergraduate coursework and earning a passing score on the Pharmacy College
Admissions Test (PCAT).

DIF: Comprehension REF: Page 12

OBJ: ASHP objective: 14.1 (Understanding) Identify and describe major trends, issues, goals, and
initiatives taking place in the pharmacy profession MSC: PTCE Domain: none
NOT: EXCPT: none

33. Which website may a pharmacy technician access to obtain information on their state laws
regarding pharmacy technicians?
a. www.nabp.net
b. www.nabp.org
c. www. ptcb.org
d. www.ptec.org
ANS: A
A pharmacy technician may obtain information on their state pharmacy laws affecting
pharmacy technicians at www.nabp.net.

DIF: Application REF: Page 14 OBJ: ASHP objective: none

MSC: PTCE Domain: none NOT: EXCPT: none

34. Which of the following topics must an entry level technician have a basic understanding?
a. Anticoagulation services
b. Medication reconciliation
c. Pharmacokinetic services
d. Pharmacology
ANS: D
Entry level pharmacy technicians must possess skills in pharmacology, laws and regulations,
compounding, medication safety, inventory and billing, and technology.

DIF: Comprehension REF: Page 14

OBJ: ASHP objective: 11.2 (Understanding) Explain the use and side effects of prescription and non-
prescription medications, and alternative therapies (e.g., herbal products, dietary supplements,
homeopathy, lifestyle modification) used to treat common disease states
MSC: PTCE Domain: none NOT: EXCPT: none
35. Who established the germ theory of disease?
a. Edward Mellanby
b. Felix Hoffman
c. Louis Pasteur
d. Selman A. Waksman
ANS: C
Louis Pasteur was responsible for discovering vaccines, such as the anthrax vaccine.

DIF: Recall REF: Page 6 OBJ: ASHP objective: none

MSC: PTCE Domain: none NOT: EXCPT: none

36. What is the formal symbol of medicine?

a. Caduceus
b. Hermes’ sandals
c. Rx symbol
d. Staff of Asclepius
ANS: D
The staff of Asclepius is the formal symbol of medicine and is associated with Asclepius, the
Greek god associated with healing.

DIF: Recall REF: Page 4 OBJ: ASHP objective: none

MSC: PTCE Domain: none NOT: EXCPT: none

37. Which term refers to both synthetic and semisynthetic medications of opium?
a. Hypnotic
b. Narcotic
c. Opiate
d. Opioid
ANS: D
Opioid refers to both synthetic and semisynthetic medications of opium.

DIF: Recall REF: Pages 8-9

OBJ: ASHP objective: 11.1 (Remembering) State the definitions of medical terms commonly used in
the range of patient care settings MSC: PTCE Domain: none
NOT: EXCPT: none

38. A red show globe indicated:

a. A town had a pharmacy
b. A town did not have a pharmacy
c. A town was healthy
d. A town had illness or was under a quarantine
ANS: D
Red meant there was illness or that the town was in quarantine because of disease, whereas
green meant the town was healthy and thus it was safe to come into the town.

DIF: Recall REF: Page 11 OBJ: ASHP objective: none

MSC: PTCE Domain: none NOT: EXCPT: none
39. In 2012, the FDA approved _____ _____ wound dressings to treat over-the-counter abrasions,
lacerations, and minor cuts.
a. chamomile tea
b. manuka honey
c. peppermint oil
d. Red onion
ANS: B
In 2012, the FDA approved manuka honey wound dressings to treat over-the-counter
abrasions, lacerations, and minor cuts.

DIF: Comprehension REF: Page 9

OBJ: ASHP objective: 11.3 (Understanding) Explain the role of the FDA in regulating herbal
products and dietary supplements
MSC: PTCE Domain: 1.6 Dosage and indication of legend, OTC medications, herbal and dietary
supplements
NOT: EXCPT: 2.A.5. Match common over-the-counter (OTC) products with their indications

40. The first 7-Up drink contained __________.

a. caffeine
b. cocaine
c. lithium
d. opium
ANS: C
The first 7-Up drink was made with lithium and was sold from soda fountains for conditions
such as gout, uremia, and rheumatism.

DIF: Recall REF: Page 11 OBJ: ASHP objective: none

MSC: PTCE Domain: none NOT: EXCPT: none