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Flashcards in 5/9 Writing Prescriptions Deck (16)
1

In a typical outpatient appointment for a patient in a primary care adult practice (e.g. GIM or FM), approximately what percentage of patient visits end up with a new or renewed outpatient prescription for the patient?

A. 15%

 

B. 30%

C. 45%

D. 60%

E. 75%

 

In a typical outpatient appointment for a patient in a primary care adult practice (e.g. GIM or FM), approximately what percentage of patient visits end up with a new or renewed outpatient prescription for the patient?

A. 15%

B. 30%

C. 45%

D. 60%

E. 75%

 

2

Why should we write on the prescription either the patient’s age (up to 16 yo), or “adult” (if 17 yo or greater), or (best of all) the actual patient’s date or birth?



 

It is a legal requirement

 

So that the pharmacist can check certain prescriptions with the school principal

So that the pharmacist can double-check the dose ordered to see if it is appropriate for a patient of that age.

Because some drugs are not approved by the FDA for patient’s less than 18 yo.

Why should we write on the prescription either the patient’s age (up to 16 yo), or “adult” (if 17 yo or greater), or (best of all) the actual patient’s date or birth?



 

It is a legal requirement

So that the pharmacist can check certain prescriptions with the school principal

So that the pharmacist can double-check the dose ordered to see if it is appropriate for a patient of that age.

Because some drugs are not approved by the FDA for patient’s less than 18 yo.

3

What is the purpose of writing out “Rx” (the Recipe)?



 

It is a legal requirement

 

It helps the pharmacist locate the precise product that you want to be dispensed

It is useful to always have at least something in Latin on the prescription. To demonstrate to the patient how learned the physician is

So that the insurance company will pay for the prescription 

What is the purpose of writing out “Rx” (the Recipe)?



 

It is a legal requirement

It helps the pharmacist locate the precise product that you want to be dispensed

It is useful to always have at least something in Latin on the prescription. To demonstrate to the patient how learned the physician is

So that the insurance company will pay for the prescription 

 

4

Why do you need to write out the phone number of the prescriber on the prescription?



 

It is a legal requirement

 

It is how they track the prescriber for insurance purposes

Sometimes the pharmacist will want to call that number to check if the doctor is really there

So that the pharmacist can easily reach the physician if he or she has any questions or concerns about the prescription

Why do you need to write out the phone number of the prescriber on the prescription?



 

It is a legal requirement

It is how they track the prescriber for insurance purposes

Sometimes the pharmacist will want to call that number to check if the doctor is really there

So that the pharmacist can easily reach the physician if he or she has any questions or concerns about the prescription

 

5

When should the physician write his or her DEA number on the prescription form?   



 

On every prescription as a legal requirement

 

On every prescription for tracking purposes

On every prescription for billing purposes

Only on prescriptions for any DEA-regulated controlled substances

Only on prescriptions for DEA Schedule II controlled substances

When should the physician write his or her DEA number on the prescription form?   



 

On every prescription as a legal requirement

On every prescription for tracking purposes

On every prescription for billing purposes

Only on prescriptions for any DEA-regulated controlled substances

Only on prescriptions for DEA Schedule II controlled substances

 

6

If you are permitted to fill out a written outpatient prescription form for one of your patients on your FM clerkship, the pharmacist can legally fill it only if:



 

You sign it as a medical student

 

Your resident signs it

Your attending signs it

Any licensed physician you are working with in the clinic signs it

A licensed physician whom you are working with, who has also seen the patient, signs it

If you are permitted to fill out a written outpatient prescription form for one of your patients on your FM clerkship, the pharmacist can legally fill it only if:



 

You sign it as a medical student

Your resident signs it

Your attending signs it

Any licensed physician you are working with in the clinic signs it

A licensed physician whom you are working with, who has also seen the patient, signs it

 

7

If a licensed physician in the State of NH obtains his or her own regular DEA number, then that physician can legally prescribe which of the following drugs?



 

Buprenorphine for narcotic maintenance treatment

 

Methadone for narcotic maintenance treatment

Heroin for analgesia

OxyContin™ for analgesia

Marijuana for its antiemetic effect in cancer chemotherapy patients

 

If a licensed physician in the State of NH obtains his or her own regular DEA number, then that physician can legally prescribe which of the following drugs?



 

Buprenorphine for narcotic maintenance treatment

Methadone for narcotic maintenance treatment

Heroin for analgesia

OxyContin™ for analgesia

Marijuana for its antiemetic effect in cancer chemotherapy patients

8

What Schedule includes codeine 30 mg when combined with acetaminophen in the same tablet?



 

Schedule I

 

Schedule II

Schedule III

Schedule IV

Schedule V

 

What Schedule includes codeine 30 mg when combined with acetaminophen in the same tablet?



 

Schedule I

Schedule II

Schedule III

Schedule IV

Schedule V

9

What Schedule includes oxycodone in any strength, with or without acetaminophen?



 

Schedule I

 

Schedule II

Schedule III

Schedule IV

What Schedule includes oxycodone in any strength, with or without acetaminophen?



 

Schedule I

Schedule II

Schedule III

Schedule IV

 

10

Next year, when you are working as a third year medical student at any Dartmouth-Hitchcock affiliated facility, what is the web-based program that we purchase a site license for every year to help all students, residents, attendings, pharmacists, and nurses find accurate information easily about drugs and medications?



 

PDR (Physician’s Desk Reference)

 

Micro-Medex

Epocrates Online

Clinical Pharmacology Online

United States Pharmacopoiea

 

Next year, when you are working as a third year medical student at any Dartmouth-Hitchcock affiliated facility, what is the web-based program that we purchase a site license for every year to help all students, residents, attendings, pharmacists, and nurses find accurate information easily about drugs and medications?



 

PDR (Physician’s Desk Reference)

Micro-Medex

Epocrates Online

Clinical Pharmacology Online

United States Pharmacopoiea

11

A regular DEA license allows you to prescribe what?

A Special DEA license is needed for what?

Regular license: can prescribe all drugs: Schedules 2-5 (Schedule 1 = no one can prescribe. only LSD and Heroin)

Special Licenses needed for Suboxone, Methadone, or research using Schedule I drugs.

12

What drugs are in Schedule I?

LSD, Heroin.

Never prescribed for care in the US

13

Schedule 2: what drugs?

-Strong opioids (e.g. morphine, methadone, hydromorphone, meperidine, oxycodone, hydrocodone, codeine)

-stimulants (cocaine, amphetamines - for ADHD)

-short-acting barbiturates

14

Schedule 3: what drugs?

codeine plus acetaminophen

other barbiturates (that are not in Sched 2)

15

Schedule 4: what drugs?

benzodiazepines (e.g. lorazepam, diazepam)

16

Schedule 5: what drugs?

weak opioids (antidiarrheal or cough suppressant medications)