Missed law TN questions

Question 1

Pharmacist receives a prescription for a controlled substance written by Dr. Frank Smith. The DEA number on the prescription is handwritten as: FS2398320. Is there any reason to doubt that this is a valid DEA number?

A ) No, the first two letters should be the prescriber’s first and last initials.
B ) Yes, the letter “F” is not an appropriate letter.
C ) Yes, the letter “S” is not an appropriate letter.
D ) No, the letter “F” is appropriate and the letter “S” is appropriate.

Answer 1

D ) No, the letter “F” is appropriate and the letter “S” is appropriate.

Historically, “A” has been used as the initial letter to designate Practitioner registrants. However, due to a large Type A registrant population, the initial alpha letter “A” has been exhausted. The DEA has begun using the new alpha letter “F” as the initial character for all new registrations for Type A (Practitioner).

Question 2

Which one of the following numbers is a valid DEA registration number for a pharmacy named The Prescription Shop?

A )  FP2398320 
B )  MT2398320 
C )  MP2398320 
D )  AP2398320 
E )  BT2398320

Answer 2

E ) BT2398320
The letter “B” is an appropriate initial letter for the number and the second letter is appropriately the first letter of the registrant’s name. In this case, the first letter in the name of The Prescription Shop is “T”.

Question 3

Which of the following most accurately describes a prescription from an emergency room that is written for refills?

A ) Invalid, an ER may not issue a prescription written for refills
B ) Legitimate, there is no law against an ER writing a prescription with refills
C ) Fraudulent on its face
D ) It falls into the BOLO category

Answer 3

D ) It falls into the BOLO category

According to Agent Black, a guest speaker to the fall 2009 Pharmacy law class, this is falls into the BOLO (Be On the Look Out) category.

Question 4

Under Tennessee law, who has the power to schedule dangerous drugs?

A ) The Tennessee State Board of Pharmacy
B ) The Commissioner of Mental Health and Substance Abuse Services upon agreement of the Commissioner of Health
C ) The Tennessee Secretary of State upon approval of the Tennessee General Assembly
D ) The head of the Tennessee Bureau of Investigation

Answer 4

B ) The Commissioner of Mental Health and Substance Abuse Services upon agreement of the Commissioner of Health

Question 5

Patient presents a prescription for lysergic acid diethylamide a few minutes before closing at 8:45 p.m. Patient tells Pharmacist that he needs the prescription filled immediately. What is Pharmacist’s preferred course of action?

A ) Refuse to dispense any amount of the drug until confirming with the prescriber that the prescription is for a legitimate medical purpose.
B ) Refuse to fill the prescription.
C ) Fill the prescription as written.
D ) Provide the amount needed for one dose, plus a second dose and confirm the prescription with the prescriber before dispensing the full amount.
E ) Give Patient a 72-hour supply and confirm the prescription with the prescriber before dispensing the full amount.

Answer 5

B ) Refuse to fill the prescription.

LSD is a Schedule I drug, and it is illegal.

Question 6

Under Tennessee law, controlled substances listed in Schedule VII, produce what effect on the body?

A )  Euphoria 
B )  Hallucinations 
C )  Muscle growth 
D )  Depression 
E )  Sedation

Answer 6

A ) Euphoria

Question 7

As of 2007, gamma hydroxybutyric acid is listed in which schedule under Tennessee law?

Answer 7

A ) Schedule I

This law was passed to make Tennessee law conform with federal law, which lists GHB as a Schedule I drug.

The FDA has recognized GHB for a limited medical use in the treatment of certain types of narcolepsy, and to the extent it it prescribed for the accepted medical use, it is a Schedule III drug under federal law, but its use is tightly controlled.

Question 8

Aunt is 42 years old and she is shopping with her 16 year old niece. During lunch, Niece mentions that she has a really bad headache, so Aunt gives her several Fiorinal tablets (which were lawfully prescribed for Aunt), one to take now and two for later. Under Tennessee law, Aunt may have committed which of the following?

A ) Civil violation only
B ) Misdemeanor
C ) No crime because the amount distributed is negligible.
D ) Felony

Answer 8

D ) Felony

Question 9

Patient presents a prescription for Clonitazene. Her doctor prescribed it for her back pain after a car accident. What is the preferred course of action for Pharmacist?

A ) Refuse to fill the prescription
B ) Fill the prescription as written.
C ) Substitute the generic drug
D ) Inform Patient that the drug is an OTC drug.
E ) Substitute the generic drug only after getting permission from Doctor.

Answer 9

A ) Refuse to fill the prescription

Clonitazene is a Schedule I drug.

Question 10

Patient asks for six packages of Claritin-D at the prescription counter. She tells Pharmacist that she wants to stock up for the winter because this drug is the only drug that gives her relief from head colds. What is Pharmacist’s preferred course of action for this particular sale on this particular day? Assume that Patient has not made any other purchases of scheduled listed chemicals within the past 30 days.

A ) Limit Patient to no more than 3.6 grams of pseudoephedrine in a calendar day.
B ) Sell Patient the requested number of packages.
C ) Limit Patient to 3 packages regardless of the amount of product.
D ) Refuse to make the sale and report Patient to the local DEA office.
E ) Limit Patient to 5.76 grams of pseudoephedrine per sale.

Answer 10

A ) Limit Patient to no more than 3.6 grams of pseudoephedrine in a calendar day.

1) A pharmacy shall not sell products containing ephedrine or pseudoephedrine base, or their salts, isomers or salts of isomers to the same person in an amount more than:

(A) Five and seventy-six hundredths (5.76) grams in any period of thirty (30) consecutive days; or

(B) Twenty-eight and eight tenths (28.8) grams in any one-year period.

(2) A person shall not purchase products containing ephedrine or pseudoephedrine base, or their salts, isomers or salts of isomers in an amount more than:

(A) Five and seventy-six hundredths (5.76) grams in any period of thirty (30) consecutive days; or

(B) Twenty-eight and eight tenths (28.8) grams in any one-year period.

Question 11

A patient has been buying the maximum amount of Claritin-D every month, and asking her friends and family to buy it for her. She is stockpiling pseudoephedrine because she wants it on hand when she gets a cold and when allergy season hits. Under Tennessee law, the patient is at risk for criminal prosecution:

A ) only if she takes affirmative steps to manufacture methamphetamine.
B ) if she possesses more than 15 grams of pseudoephedrine at one time.
C ) only if her individual purchases exceed the limits of the law.
D ) if she possesses 9 or more grams of pseudoephedrine at one time.

Answer 11

B ) if she possesses more than 15 grams of pseudoephedrine at one time.

Question 12

Which of the following entity or entities have regulatory oversight of controlled drugs in Tennessee?

A ) Tennessee Bureau of Investigation
B ) Drug Enforcement Administration
C ) Board of Pharmacy
D ) Occupational and professional licensing boards

Answer 12

C ) Board of Pharmacy

D ) Occupational and professional licensing boards

Question 13

Which of the following entity or entities regulates and enforces the registration requirement for a physician who plans to dispense controlled substances in Tennessee?

A ) Tennessee Board of Medical Examiners
B ) Food and Drug Administration
C ) Tennessee Board of Pharmacy
D ) Tennessee Department of Mental Health

Answer 13

A ) Tennessee Board of Medical Examiners

C ) Tennessee Board of Pharmacy

Question 14

Before revoking a registration to dispense controlled substances, the board of pharmacy and professional licensing board must first:

A ) Revoke the registrant’s license to practice his or her profession
B ) Obtain a restraining order against the registrant.
C ) Obtain an injunction against the registrant to cease operations
D ) Serve an order to show cause on the registrant
E ) File criminal charges against the registrant

Answer 14

D ) Serve an order to show cause on the registrant

Question 15

f the board of pharmacy and appropriate licensing board find that there is an imminent danger to public health or safety with respect to a registrant handling of controlled substances, they:

A ) may revoke a registration without an order to show cause.
B ) must suspend a registration only after an order to show cause and a hearing.
C ) may suspend a registration without an order to show cause.
D ) must obtain a cease and desist order from the court.

Answer 15

C ) may suspend a registration without an order to show cause.

Question 16

May a Pharmacist, who is registered to dispense controlled substances in Tennessee, sell excess inventory of a Schedule II drug to another Pharmacist, who is also registered?

A ) No, one registrant cannot transfer a controlled substance to another registrant.
B ) Yes, as long as the seller gets a receipt for the drugs.
C ) Yes, as long as the seller is also registered as a distributor.
D ) Yes, as long as DEA Form 222 is used.
E ) Yes, as long as DEA Form 1224 is used.

Answer 16

D ) Yes, as long as DEA Form 222 is used.

Question 17

Patient brings in a prescription for a schedule II drug that indicates three refills. Pharmacist should:

A ) refuse to fill the prescription.
B ) dispense the prescription and refill it up to three times within the next three months.
C ) dispense the prescription and notify Physician that multiple prescriptions may be issued instead of refills.
D ) dispense the prescription, but confirm with Physician before any refills are dispensed.

Answer 17

C ) dispense the prescription and notify Physician that multiple prescriptions may be issued instead of refills.

No prescription for a Schedule II substance may be refilled.

Question 18

Patient presents a prescription at the pharmacy. Pharmacist notices that the prescription looks like it has been altered. There are erasure marks on the number of refills, and an order for a Schedule III drug that looks like it was squeezed in below the order for the first medication. Pharmacist refuses to fill the prescription, and Patient demands that Pharmacist return the prescription order. Under Tennessee law, what is the highest possible fine that could be assessed against Patient if successfully prosecuted?

A )  $10,000 
B )  $50,000 
C )  $100,000 
D )  $5,000 
E )  No fine may be assessed because no crime has been committed

Answer 18

B ) $50,000

For a violation involving a Schedule I or II controlled substance: $ 100,000

For a violation involving a Schedule III or IV controlled substance: $ 50,000

For a violation involving a Schedule V or VI controlled substance: $ 5,000

For a violation involving a Schedule VII controlled substance: $ 1,000

Question 19

Patient presents a prescription at the pharmacy. Pharmacist notices that the prescription looks like it has been altered. There are erasure marks on the number of refills, and an order for schedule III drug that looks like it was squeezed in below the order for the first medication. Pharmacist refuses to fill the prescription, and Patient demands that Pharmacist return the prescription order. Under Tennessee law, how much jail time, if any, may Patient serve if successfully prosecuted?

B ) Not less than 3 years
C ) Not less than 2 years

Answer 19

C ) Not less than 2 years

A Class D felony is punishable by not less than 2 years in prison and not more than 12 years in prison, with fines up to $100,000. (If the violation involves a Schedule III or IV substance, the maximum fine is $50,000. Section

Question 20

A Tennessee researcher wants to conduct an experiment to see if a certain legend drug (a non-controlled substance) has any efficacy in treating diabetes. This drug has not been approved by the FDA for this purpose. Researcher needs to:

A ) obtain a Tennessee license for the purpose of conducting research with a legend drug.
B ) proceed with the experiment because registration is not required for non-controlled substances.
C ) submit DEA Form 222 to obtain the drug.
D ) apply for a registration number from the DEA to conduct research.

Answer 20

A ) obtain a Tennessee license for the purpose of conducting research with a legend drug.

Question 21

How often must a researcher renew a license under the Tennessee Legend Drug and Controlled Substance Research Act of 1984?

A )  Every 2 years 
B )  Every year 
C )  Every 5 years 
D )  Every 3 years 
E )  No renewal is necessary for the length of the approved research protocol.

Answer 21

B ) Every year

Question 22

Patient requests 2 packages of a product containing ephedrine. Under Tennessee law, under what conditions may Pharmacist sell Patient the 2 packages?

A ) Only if Patient has purchased 1 or fewer packages in the past 30 days and the total amount of ephedrine in all three packages is no more than 9 grams.
B ) Only if Patient has not bought any packages in the past 30 days.
C ) Only if the two packages contain no more than 3.6 grams of ephedrine, and combined with Patient’s previous purchases over the past 30 days does not exceed 5.6 grams of ephedrine.
D ) Pharmacist may sell the 2 packages to Patient.
E ) Only if Patient has purchased 1 or fewer packages within the past 30 days.

Answer 22

C ) Only if the two packages contain no more than 3.6 grams of ephedrine, and combined with Patient’s previous purchases over the past 30 days does not exceed 5.6 grams of ephedrine.

Question 23

Patient buys a single package of medication that contains 60 milligrams of pseudoephedrine sulfate. Which of the following is the most appropriate course for Pharmacist?

A ) This transaction must be recorded in the logbook under both federal and state law.
B ) Record the purchase in the logbook because Tennessee law does not exempt this transaction from being recorded.
C ) This transaction is not required to be recorded under either federal or state law.
D ) Do not record the purchase in the logbook because federal law exempts this transaction from being recorded.

Answer 23

B ) Record the purchase in the logbook because Tennessee law does not exempt this transaction from being recorded.

Question 24

How long does Tennessee law require a pharmacy to maintain a written register that logs the sale of products that contain immediate methamphetamine precursors?

A )  1 Year 
B )  5 Years 
C )  3 Years 
D )  2 Years 
E )  Hard copy logs are no longer permitted under Tennessee law unless the pharmacy has obtained an exemption from the board of pharmacy.

Answer 24

E ) Hard copy logs are no longer permitted under Tennessee law unless the pharmacy has obtained an exemption from the board of pharmacy.

Question 25

Who is required to report to the Tennessee controlled substance monitoring database?

A ) Prescribers with DEA numbers who prescribe controlled substances for patients in Tennessee and dispensers who provide direct care to patients in Tennessee for more than 15 days per year.
B ) Healthcare practitioners, or their delegates, who dispense controlled substances contained in Schedules II, III, or IV.
C ) Prescribers who administer controlled substances directly to patients in their offices.
D ) Prescribers with DEA numbers who prescribe controlled substances for patients in Tennessee

Answer 25

B ) Healthcare practitioners, or their delegates, who dispense controlled substances contained in Schedules II, III, or IV.

Question 26

Under the Tennessee Prescription Safety Act of 2016, how often must reports be submitted to the Tennessee Controlled Substance Database?

A )  Every day 
B )  Twice a month 
C )  Monthly 
D )  Yearly 
E )  Every seven days

Answer 26

A ) Every day

Question 27

Under the Tennessee Prescription Safety Act of 2016, which of the following transactions must be reported to the Tennessee Controlled Substance Monitoring Database?

A ) A physician prescribes controlled substances
B ) A dentist dispenses an antibiotic for the patient to take home.
C ) A pharmacist dispenses a prescription for a schedule III drug pursuant to a lawful prescription order.
D ) A physician gives a free drug sample of a schedule III drug to the patient to take home for treatment up to 48 hours.
E ) A and C

Answer 27

C ) A pharmacist dispenses a prescription for a schedule III drug pursuant to a lawful prescription order.

Note: (Only dispensers are required to report under the law. The act of prescribing is not considered dispensing for purposes of this law.

Question 28

Spouse is concerned that Patient is abusing controlled substances by “doctor shopping.” Spouse is not positive and wants to make sure before making any accusations. Of the following, which represents Spouse’s best chance of accessing information in the database?

A ) Request Patient’s records from the Controlled Substance Monitoring Database (CSMD) using the Tennessee Freedom of Information Act because the records are public records.
B ) Spouse should discuss concerns with one of Patient’s former physicians and ask him or her to access Patient’s records in the database.
C ) Register with the CSMD and submit an electronic or faxed request for the information.
D ) Spouse may get the requested information from either a pharmacy or a prescriber who is currently treating or seeing Patient.
E ) Get Patient’s written permission to access the patient’s records in the database.

Answer 28

E ) Get Patient’s written permission to access the patient’s records in the database.

Question 29

Physician, who dispenses controlled substances from his office, does not submit the required report under the Tennessee Controlled Substance Monitoring Act. The controlled substance monitoring database advisory committee makes a written request to Physician to submit the required information in a timely fashion. Physician ignores the written request. What is Physician risking?

B ) Conviction of a felony
A ) Revocation or suspension of his license

Answer 29

A ) Revocation or suspension of his license

Question 30

Patient asks for six packages of Claritin-D at the prescription counter. She tells Pharmacist that she wants to stock up for the winter because this drug is the only drug that gives her relief from head colds. To comply with both Tennessee law and federal law, what is Pharmacist’s preferred course of action with respect to this individual sale? Assume that Patient has not previously purchased any products that contain a listed chemical product within the past 30 days.

Answer 30

B ) Sell Patient the requested number of packages as long as the 6 boxes do not contain more than 3.6 grams of pseudoephedrine.

Question 31

If a pharmacist substitutes a drug different from the one prescribed or deviates in any manner from the requirements of an order or prescription, he or she may be charged with which one of the following crimes, if any? (Assume that the substitution or deviation was without approval by the prescriber and does not conform to the requirements of the Tennessee Affordable Drug Act).

A ) No crime or ethical violation has been committed.
B ) There is an ethical violation, but no crime has been committed.
C ) Class E Felony
D ) Class C misdemeanor

Answer 31

D ) Class C misdemeanor

Question 32

A patient presents a prescription from her doctor for pseudoephedrine. The prescription calls for 7.2 grams of pseudoephedrine. The pharmacist must:

A ) dispense only half of the amount prescribed and ignore the amount that exceeds the legal limit.
B ) call the prescriber to request two separate prescriptions, one written for 3.6 grams and the other written for 2.16 grams to be dispensed no earlier than the next day.
C ) fill the prescription as written because it is not subject to the limits on retail sales.
D ) dispense 5.76 grams as a partial fill, and dispense the remainder within 72 hours.

Answer 32

C ) fill the prescription as written because it is not subject to the limits on retail sales.

Question 33

Under the Tennessee Prescription Safety Act of 2016, how often must dispensers report the required information?

A ) Twice a month.
B ) Once a month.
C ) Every 7 days.
D ) Every day.

Answer 33

D ) Every day.

Question 34

Who is not required to register with the Tennessee Controlled Substance Monitoring Database under the Tennessee Prescription Safety Act of 2016?

A ) A veterinarian who prescribes controlled substances to nonhuman patients for no more than 5 days.
C ) Out of state pharmacies that provide direct care to Tennessee patients for only 7 days of the year.

Answer 34

C ) Out of state pharmacies that provide direct care to Tennessee patients for only 7 days of the year.

“All prescribers with DEA numbers who prescribe controlled substances, and all dispensers in
practice who provide direct care to patients in Tennessee for more than fifteen (15) calendar
days per year, shall be registered in the database.”

“Licensed veterinarians
who never prescribe a controlled substance in an amount intended to treat a non-human
patient for more than forty-eight (48) hours shall not be required to register in the database.”

Question 35

Under the Tennessee Prescription Safety Act of 2016, how many unlicensed health care practitioner delegates may a dispenser designate to serve as the dispenser’s agent(s) in accessing the controlled substance database?

A )  2 
B )  4 
C )  1 
D )  3 
E )  None, all health care extenders must be licensed or registered health care professionals

Answer 35

A ) 2

Question 36

A pharmacist receives a prescription for a Schedule III drug for a dose much higher than normally prescribed. Believing that the prescriber made a mistake, the pharmacist changes the dose to the normally prescribed amount without calling the prescriber. Under Tennessee law, the pharmacist has committed:

A )  a class C misdemeanor. 
B )  neither a crime nor an ethical violation because Pharmacist is permitted to change the dose of a prescription. 
C )  an ethical violation, but not a crime. 
D )  a class E felony.

Answer 36

A ) a class C misdemeanor.

Question 37

A pharmacist receives a prescription for a Schedule III drug for a dose much higher than normally prescribed. Believing that the prescriber made a mistake, the pharmacist changes the dose to the normally prescribed amount without calling the prescriber. Under Tennessee law, the pharmacist has committed:

A )  a class E felony. 
B )  an ethical violation, but not a crime. 
C )  neither a crime nor an ethical violation because Pharmacist is permitted to change the dose of a prescription. 
D )  a class C misdemeanor.

Answer 37

D ) a class C misdemeanor.

Question 38

A pharmacist has purchased and received a shipment of Schedule II drugs from the manufacturer. For at least two years, the pharmacist must store his copy of DEA Form 222:

A ) separately from all other records at the place of registration.
B ) with prescription records at the place of registration.
C ) separately from all other records at a central storage location.
D ) with the inventory records at a central storage location.

Answer 38

A ) separately from all other records at the place of registration.

Question 39

On November 7, 2016, a patient wants to buy Claritin-D from her retail pharmacist. The pharmacist checks the electronic logbook and finds that the patient has purchased by mail order one box of Claritin-D, 10 tablets each containing 240 mg of pseudoephedrine sulfate on the following dates: October 31, October 15, and October 4. Under Tennessee law, what is the maximum number of Claritin-D tablets containing 240 mg of pseudoephedrine sulfate the pharmacist can sell Patient today?

Answer 39

A ) 4

Tennessee law limits sales to 5.76 grams per 30 consecutive day period and 28.8 grams in any one-year period, and Tennessee does not exclude the amount of sulfate to determine the limits, as does federal law. The answer would be 4 tablets under Tennessee law.

5.76 grams = 24 tablets of 240 mg

She has already purchased 20 tablets within the past 30 days, so she can only purchase 4 more tablets today.

Question 40

A pharmacist in Tennessee who receives a prescription for zolpidem from a patient who is new to the pharmacy must:

A ) dispense no more than a 30-day supply.
B ) check the controlled substance monitoring database prior to dispensing.
C ) check the patient’s identification if the prescription is issued for more than a 7-day supply.
D ) dispense no more than 24 dosage units to the same purchaser in any given 48-hour period.

Answer 40

C ) check the patient’s identification if the prescription is issued for more than a 7-day supply.

Prior to an authorized dispenser dispensing a prescription for any Schedule II-IV opioid, benzodiazepine, zolpidem, barbiturate, or Carisoprodol medication for greater than a seven-day supply, a pharmacist, pharmacy technician, pharmacy intern, or any other person authorized to dispense controlled substances shall require the person taking possession of the dispensed prescription to present a valid government issued identification or public or private insurance card

Question 41

A patient presents a prescription from her doctor for pseudoephedrine. The prescription calls for 7.2 grams of pseudoephedrine. Under federal law, the pharmacist must:

A ) fill the prescription as written because it is not subject to the limits on retail sales.
B ) dispense half of the prescription as a partial fill, and dispense the remainder within 72 hours.
C ) dispense only half of the amount prescribed and ignore the amount that exceeds the legal limit.
D ) call the prescriber to request two separate prescriptions, each written for 3.6 grams of pseudoephedrine.

Answer 41

A ) fill the prescription as written because it is not subject to the limits on retail sales.

Question 42

Patient, 16 year-old male, asks the Pharmacist for 1 package of Claritin-D. Pharmacist checks NPLEx and sees that Patient has not purchased any scheduled listed chemical product in the past year. In Tennessee, Pharmacist:

B ) must refuse to sell the product to Patient because he is under age 18 and does not have a prescription.
C ) may sell the product as long as it does not contain more than 3.6 grams of pseudoephedrine base.

Answer 42

B ) must refuse to sell the product to Patient because he is under age 18 and does not have a prescription.

Question 43

Patient presents a prescription for a codeine based cough medicine, a schedule V medication that is a nonprescription drug. The prescription calls for the extra large bottle that contains a 45-day supply. Pharmacist may dispense a:

A ) 45-day supply because it is prescribed.
B ) 45-day supply because it is a nonprescription drug.
C ) 30-day supply today and ask the patient to return tomorrow for the remainder.
D ) 30-day supply.

Answer 43

D ) 30-day supply.

Tennessee law limits ANY prescribed opioid or benzodiazepine from being dispensed in quantities greater than a 30-day supply.

Question 44

A Tennessee resident, has purchased from her retail pharmacy on two occasions Claritin-D in a box of 10 tablets each containing 240 mg of pseudoephedrine sulfate. The first box was purchased on September 25 and the second box was purchased on October 5. On October 20, she decides to purchase more Claritin-D from a mail order pharmacy. How many tablets of Claritin-D, 240 mg of pseudoephedrine sulfate, can she legally purchase from the mail order pharmacy on October 20?

A ) 4
B ) 19
C ) 20
D ) 11

Answer 44

A ) 4
Tennessee law permits only 5.76 grams of this product to be purchased within a 30 day period. Because the 2015 amendment in Tennessee requires the calculation be based on the weight of the pseudoephedrine base, its salts, isomers, and salts of isomers, you do not use the DEA table which calculates the number of tablets using only the base drug.

5760/240 = 24.

She can legally purchase 24 tablets in 30 days. She has already purchased 20 tablets at retail, so her purchase by mail order is limited to 4 tablets.

Question 45

Effective January 1, 2016, reports to the Controlled Substance Monitoring Database must be made:

A ) every 7 days.
B ) every 3 business days.
C ) bi-monthly.
D ) once every business day.

Answer 45

D ) once every business day.

Question 46

Which one of the following transactions must be reported to the database?

A ) Pharmacist dispensing a prescription for Fiorinal.
B ) ER dispensing hydrocodone in an amount adequate to treat patient for 48 hours.
C ) Physician prescribing oxycodone.
D ) Nurse administering oxycodone to a hospital patient.

Answer 46

A ) Pharmacist dispensing a prescription for Fiorinal.

Question 47

Which one of the following transactions must be reported to the database?

A ) A complimentary sample of a non-narcotic schedule V drug dispensed by physician working in a pain clinic that will treat the patient for 14 days.
B ) A controlled substance dispensed by a veterinarian adequate to treat a non-human patient for 5 days.
C ) A complimentary sample package of hydrocodone dispensed by a physician from his office adequate to treat the patient for 72 hours.
D ) A dose of methadone dispensed to an addict at a narcotic treatment program for purposes of detoxification.

Answer 47

C ) A complimentary sample package of hydrocodone dispensed by a physician from his office adequate to treat the patient for 72 hours.

Edit the answer should be

B ) A controlled substance dispensed by a veterinarian adequate to treat a non-human patient for 5 days.
>48hrs

Question 48

Physician dispenses to his patients a cough syrup for which he charges a nominal fee. The cough syrup contains codeine and is a schedule V nonprescription drug. Physician dispenses an amount adequate to treat his patients for a maximum of 48 hours. Is physician required to report the dispensing of this cough syrup to the database?

C ) Yes, because it contains an opioid and does not fall within an exception to the reporting requirements.
D ) No, because he only dispenses an amount adequate to treat the patient for a maximum of 48 hours.

Answer 48

C ) Yes, because it contains an opioid and does not fall within an exception to the reporting requirements.

This dispensing violates the prohibition of a prescriber dispensing opioids or benzodiazepines because he is charging for the drug (a free sample would be an exception to the rule against prescribers dispensing these drugs). However, just because it is an illegal transaction, does not relieve the prescriber from reporting it to the database. The question did not ask whether it was legal for the prescriber to dispense this medication under these circumstances – the question asked whether he had to report it.

Question 49

Patient presents a new prescription for oxycodone to Pharmacist. The prescription is for a single, 7-day supply with no refills. Under Tennessee law, Pharmacist is required to:

A ) check the database before dispensing.
B ) call the prescriber to confirm the prescription’s validity.
C ) do nothing except dispense the medication because it is exempt from the reporting and checking requirements.
D ) report the dispensing to the database.

Answer 49

D ) report the dispensing to the database.

Healthcare practitioners are not required to check the controlled substance database before prescribing or dispensing – The quantity of the controlled substance which is prescribed or dispensed does not exceed an amount which is adequate for a single, seven-day treatment period and does not allow a refill