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Medications — Pharmacy Tech practice questions

55 multiple-choice questions and 12 flashcards on Medications, about 34% of the Pharmacy Tech bank. Every one carries a written rationale.

Written and maintained by Nick Burton · last updated 2026-08-22 · how we write and review questions

What this chapter covers

Medications is one of 4 chapters in CoStudy's Pharmacy Tech (PTCB CPhT) bank, and it holds 55 of the bank's 162 multiple-choice questions — roughly 34% of the total. That proportion is not arbitrary: chapters follow the certifying body's published exam outline, and the number of questions in each is set by that domain's published weight, so the share of your practice time this chapter takes matches the share of the real exam it accounts for.

Studying by chapter is worth doing once you have a diagnostic score. A single overall percentage tells you whether you are close; it does not tell you which domain is dragging. Working a weak chapter in isolation, and re-testing it in isolation, is the fastest way to move a score that has stalled — and it is why the mock exams in CoStudy report by domain rather than as one number.

Free Medications practice questions

10 questions drawn from this chapter, with the full rationale shown — the controlling principle behind the right answer, and why each wrong option tempts and fails.

Atenolol and amlodipine are both used for hypertension. Which class does atenolol belong to?

  1. Calcium channel blocker
  2. Thiazide diuretic
  3. ACE inhibitor
  4. Beta blocker

Answer: D — Beta blocker

Atenolol is a cardioselective beta blocker ('-olol' suffix). Amlodipine ('-dipine') is the dihydropyridine CCB. The two are easily confused in technician shorthand. A/C/B) Wrong classes.

Generic name for Coumadin is:

  1. Heparin
  2. Warfarin
  3. Apixaban
  4. Rivaroxaban

Answer: B — Warfarin

B) Warfarin = Coumadin (vitamin K antagonist). A) Different anticoagulant. C) Eliquis. D) Xarelto.

Oxycodone is in which DEA schedule?

  1. Schedule II
  2. Schedule III
  3. Schedule IV
  4. Schedule V

Answer: A — Schedule II

Pure oxycodone and oxycodone-acetaminophen combos are both CII (changed from CIII in 2014). A) Correct. B/C/D) Lower control levels.

Generic name for Synthroid is:

  1. Liothyronine
  2. Methimazole
  3. Levothyroxine
  4. Propylthiouracil

Answer: C — Levothyroxine

C) Synthroid = levothyroxine (T4). A) Cytomel (T3). B/D) Antithyroid agents.

Methadone for opioid use disorder must be dispensed from:

  1. Any retail pharmacy
  2. Mail-order only
  3. Hospital ER only
  4. Federally certified Opioid Treatment Programs (OTPs)

Answer: D — Federally certified Opioid Treatment Programs (OTPs)

Methadone for OUD is restricted to SAMHSA-certified OTPs. Methadone for pain can be dispensed at retail with a CII Rx. A/C/B) Incorrect.

Omeprazole and ranitidine differ in mechanism. Omeprazole is a:

  1. H2 receptor blocker
  2. Prostaglandin analog
  3. Antacid
  4. Proton pump inhibitor

Answer: D — Proton pump inhibitor

Omeprazole irreversibly inhibits the H+/K+ ATPase ('proton pump'). A) Ranitidine, famotidine. C) Calcium carbonate. B) Misoprostol.

A patient is taking lisinopril 20 mg daily and develops a persistent dry cough. The pharmacist recommends switching to an ARB. Which is the most appropriate substitute?

  1. Atenolol
  2. Amlodipine
  3. Losartan
  4. Hydrochlorothiazide

Answer: C — Losartan

ARBs end in '-sartan' and act on the same RAAS pathway without bradykinin accumulation that causes ACE-I cough. A) Beta blocker. B) Calcium channel blocker. D) Thiazide diuretic.

Montelukast (Singulair) carries a boxed warning for:

  1. Hepatotoxicity
  2. Neuropsychiatric events including suicidal thinking
  3. QT prolongation
  4. Tendon rupture

Answer: B — Neuropsychiatric events including suicidal thinking

FDA added boxed warning in 2020 for mood/behavior changes. A/C/D) Not in the boxed warning.

Sildenafil should NOT be combined with:

  1. Aspirin
  2. Nitrates (nitroglycerin)
  3. Acetaminophen
  4. Ibuprofen

Answer: B — Nitrates (nitroglycerin)

Combined sildenafil + nitrates cause life-threatening hypotension. A/C/D) Not contraindicated.

Atorvastatin (Lipitor) is in which drug class?

  1. Fibrate
  2. Bile acid sequestrant
  3. HMG-CoA reductase inhibitor
  4. PCSK9 inhibitor

Answer: C — HMG-CoA reductase inhibitor

Statins inhibit HMG-CoA reductase, reducing hepatic cholesterol synthesis. A) Gemfibrozil/fenofibrate. B) Cholestyramine. D) Alirocumab/evolocumab (injectable monoclonals).

Medications flashcards

3 cards from the 12 in this chapter.

Insulin: Long-acting?

Glargine (Lantus), detemir, degludec. Onset 1-2 hr, no marked peak, 20-24+ hr.

Common suffix '-statin'?

HMG-CoA reductase inhibitors (atorvastatin, rosuvastatin). Lower cholesterol.

Brand vs Generic name?

Brand (trade): proprietary, e.g., Tylenol. Generic: nonproprietary, e.g., acetaminophen. Generic must show bioequivalence.

Practise the full chapter

These are a sample. The full Medications chapter runs 67 items with per-chapter progress tracking, on the web and in the iOS app.

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Other Pharmacy Tech chapters

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