
PTCB Guide to Top 50 Medical Prefixes.



Why should pharmacy technicians learn medical prefixes?
Even if you don’t immediately know the answer to a PTCB question, you can often work it out by understanding medical prefixes and suffixes. These word parts provide clues that help you interpret unfamiliar terms and make educated guesses. They can also help you eliminate any wrong answers.
In today’s PTCB guide, we focus on medical prefixes. Prefixes appear at the beginning of a word and modify its meaning.
Common examples include:
- Hypo- (low)
- Hyper- (high)
- Brady- (slow)
- An- (without)
- Neo- (new)
For example:
- Hypotension → low blood pressure
- Hypoglycemia → low blood sugar
- Hyperthyroidism → excessive thyroid hormone
- Anovulation → inability to ovulate
- Neoplasm → cancerous growth (‘new growth’)
Understanding that hypo- means “low” and hyper- means “high” allows you to quickly interpret the meaning of conditions and adverse effects.
Suffixes, on the other hand, appear at the end of words. A key example is:
- -itis → inflammation
No matter the root word, -itis indicates inflammation:
- Appendicitis → appendix inflammation
- Arthritis → joint inflammation
- Gastritis → stomach lining inflammation
Many medical terms combine both roots and suffixes. For instance, hepatitis = hepat- (liver) + -itis (inflammation).
By learning these patterns, pharmacy technicians can better understand disease states, anatomy, and terminology – even if you’ve never seen the exact term before.
This is extremely useful on the PTCB exam, where recognizing medical vocabulary can help you confidently answer questions about conditions and their treatments.
What prefixes should technicians learn?
Technicians should isolate their study to the most common prefixes.
Technicians will not be asked questions on rare diseases or complex terms. Instead, questions will focus on the most common diseases and adverse effects that affect the general population.
Technicians are not training to be medical doctors, so it’s important that you limit your study of prefixes to the most widely tested examples (see table below).
Are diseases and conditions tested on the PTCB exam?
Yes.
Diseases and conditions are tested indirectly on the PTCB exam. For instance, technicians may be asked questions about drugs used to treat hypertension. You may also be asked questions on drugs that cause the adverse effect of hyperkalemia or hyponatremia.
In other words, by knowing the meaning of the words used to describe diseases and adverse effects, pharmacy technicians can accurately work out what drugs are used to treat these conditions or cause adverse effects.
50 Key Medical Prefixes to Know for the PTCB Exam.
| Prefix | Meaning | Example(s) |
| A / An | Without | Anorexia (without appetite); anovulation (inability to ovulate) |
| Ab- | Away from / Not | Abnormal (not normal) |
| Ambi- | Both | Ambidextrous (being about to write with both hands) |
| Ante- | Before | Antenatal (also known as prenatal care, care before birth) |
| Anti- | Against | Antidote (against a substance) |
| Auto- | Self | Autoimmune disease (disease where the immune system attacks the self) |
| Bi- | Two | Bifocal (lens with 2 parts) |
| Cata- | Breakdown | Catabolism (metabolism that breaks complex molecules down); cataplexy (breakdown of muscle tone while awake) |
| Con- | With | Congenital (with genes, at birth) |
| De- | Without / Reversal | Decongestant (without congestion) |
| Diplo- | Double | Diplopia (double vision) |
| Dys- | Painful or difficult | Dyspnoea (difficulty breathing); dysmenorrhea (painful menstrual cramps) |
| Endo- | Within | Endoscopy (procedure to look inside the body) |
| Ecto- | Outside | Ectopic pregnancy (fertilised egg implants outside the womb) |
| Epi- | Above | Epigastric (above stomach) |
| Eu- | Normal | Euthyroid (normal thyroid levels) |
| Ex- | Outwards | Exophthalmos (outward protruding of eyes) |
| Hemi- | Half | Hemicrania (headache on one side of the head) |
| Hypo- | Lower than normal | Hypotension (low blood pressure) |
| Hyper- | Higher than normal | Hypertension (high blood pressure) |
| Inter- | Between | Intermittent (occurring between irregular intervals) |
| Intra- | Within | Intravenous (injection within the veins) |
| Juxta- | Near | Juxta-vesicular (near the bladder) |
| Macro- | Large | Macrophage (a large type of white blood cell) |
| Mal- | Bad | Malpractice (bad practice); malodorous (bad odor) |
| Mega- | Large/great | Megacolon (large colon) |
| Micro- | Small | Microbiota (small life forms) |
| Mono- | One | Monograph (detailed study of one specific subject) |
| Morph- | Shape | Morphology (shape of organisms) |
| Multi- | Many | Multiform (many different forms) |
| Neo- | New | Neoplasm (new growth) |
| Nulli- | None | Nulliparous (woman who has never given birth) |
| Oligo- | Little | Oligospermia (very few sperms) |
| Pan- | All | Panacea (solution to all problems) |
| Per- | Through | Percutenaous (through skin layer) |
| Peri- | Surrounding | Perianal (surrounding the anus) |
| Poly- | Many | Polycystic (many cysts); polycystic ovary syndrome |
| Post- | After | Postpartum (after giving birth) |
| Pre- | Before | Prescription (before writing) |
| Pseudo- | False / Resembling | Pseudocyst (resembling a true cyst) |
| Quadri- | Four | Quadriplegia (relating to all four limbs) |
| Re- | Repeat | Reinfection (a repeat infection) |
| Semi- | Half | Semisolid (half solid / half liquid) |
| Sub- | Under | Subcutaneous (under skin) |
| Supra- | Above | Supraspinal (above the spine) |
| Syn- | With | Syncope (fainting; with sudden loss) |
| Tachy– | Fast | Tachycardia (fast heart rate) |
| Tetra- | Four | Tetracycline (the structure has four cyclic rings) |
| Trans- | Through | Transdermal (through the dermis layer of the skin) |
| Un- | Not | Unconscious (not conscious) |
| Uni- | One | Uniparous (producing a single offspring at birth) |
PTCB Sample Exam Questions.
Below you can find three sample PTCB exam questions on the topic of medical prefixes.
These three questions reflect the type of questions that get tested about medical prefixes on the exam – both the style and difficulty. As always, have a go at the questions yourself before comparing your answers with the explanations (in the section below).
Question 1.
A pharmacy technician receives a prescription from a patient with a history of hyperglycemia. Based on their patient profile, they are currently taking:
- Lisinopril
- Aspirin
- Metformin
- Metoprolol
Which of the patient’s drugs is used to manage their hyperglycemia?
a. Metoprolol
b. Aspirin
c. Lisinopril
d. Metformin
Question 2.
Which of these medicines is used in the management of gastritis?
a. Pantoprazole
b. Ibuprofen
c. Haloperidol
d. Levothyroxine
Question 3.
Identify the antineoplastic medicine from the following list of drugs:
a. Cyclosporine
b. Cyclophosphamide
c. Lamotrigine
d. Metoclopramide
Answer Explanations.
Answer to Question 1 – d. Metformin
Hyperglycemia refers to elevated blood sugar levels – hyper being the prefix for elevated. Given the patient’s medicines, metformin is a drug used to control blood glucose levels in patients with type 2 diabetes.
Note that PTCB questions will not test prefixes directly. Instead, understanding prefixes is an indirect way of testing your knowledge.
Answer to Question 2 – a. Pantoprazole
Gastritis can be broken down into two parts – ‘gastr’, referring to gastro- or stomach; and -itis, which is the medicine suffix for inflammation. Gastritis is therefore inflammation of the stomach.
Pantoprazole is a proton-pump inhibitor used to reduce stomach acid levels, helping to alleviate symptoms and manage the condition over time. NSAIDs such as ibuprofen should be avoided as they can worsen gastritis.
Answer to Question 3 – b. Cyclophosphamide
“Antineoplastic” is a combination of Latin and Greek roots that refers to “against new growths” (anti = against; neo = new; plastic = growths). Antineoplastic drug is another term for an anticancer drug.
Cyclophosphamide is the only anticancer drug listed. Cyclosporine is an immunosuppressant drug; lamotrigine is an anticonvulsant drug; and metoclopramide is used to treat GI disorders such as delayed gastric emptying and nausea.
PTCB Cheat Sheet to Medical Prefixes.
- Break unfamiliar terms into parts (beginning, middle, end) to identify structure and meaning.
- Focus on identifying whether a condition is high, low, fast, slow, or absent.
- Use context clues from the patient profile (conditions, medicines, diagnosis).
- Match the condition to the most likely drug class or indication.
- Watch for opposites (e.g. high vs low) to eliminate wrong answers.
- If unsure, eliminate answers that clearly don’t fit the condition.
- Look for keywords that indicate location (e.g. blood, heart, stomach).
- Use process of elimination to narrow down to the most reasonable answer.
- Cross-check whether the medicine makes sense for the condition described.
- Be alert to common exam traps (similar-looking terms / prefixes with opposite meanings).
- Don’t overthink: many terms follow consistent, predictable patterns. PTCB questions will not try to trick you.
- Use your existing knowledge (e.g. common diseases) to guide interpretation.
- Prioritize safety: choose answers that align with appropriate treatment.
- When stuck, choose the answer that best fits the overall clinical picture.
- Use medical prefixes as part of a wider strategy when answering PTCB exam questions.
Hope you found this week’s PTCB guide to medical prefixes useful!
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