Exam 2 - Quiz and In-class Questions Flashcards
(52 cards)
Which of the following is DEA registration based on? (SELECT ALL THAT APPLY)
a. The amount of drugs handled.
b. The location of the facility.
c. The schedules of drugs handled.
d. The activities a person engages in.
e. The size of the facility.
c. The schedules of drugs handled.
d. The activities a person engages in.
Which option differentiates a schedule I product from all other schedules?
a. Schedule I products have no medical use in the US.
b. Schedule I products are the only products used illicitly.
c. Schedule I products have very high abuse potential.
d. Schedule I products can only be used for research purposes.
e. Schedule I products have a higher risk for dependence liability than products in other schedules.
a. Schedule I products have no medical use in the US.
A foreign-trained physician issued a prescription using an institutional DEA number and suffix. The physician is a hospitalist and discharged the patient from the hospital today. They prescribed Norco 5/325mg for 14 days to get the patient through until their follow-up appointment with their primary care provider. What is the most appropriate choice and reasoning when considering filling the prescription noted in this situation?
a. Can fill, this prescription was issued appropriately.
b. Cannot fill, the prescription was issued for a schedule that is not eligible to be prescribed on an institutional DEA number.
c. Can fill, it is not a pharmacist’s job to check the legitimacy of institutional DEA use.
d. Cannot fill, institutional DEA numbers only authorize providers to prescribe at most a seven-day supply of medication.
e. Cannot fill, foreign-trained physicians cannot use an institutional DEA number.
a. Can fill, this prescription was issued appropriately.
Which of the following products must be stored in a safe?
a. thiafentanil
b. lamotrigine
c. phenobarbital
d. methadone
e. oxycodone
a. thiafentanil
(look at lecture 10, slide 26)
Which of the following registrations is a valid registration for an institution called Happy Hospital?
a. BH1234563
b. MH1234563
c. HA1234560
d. HH1234564
e. FH1234567
a. BH1234563
A patient comes in and asks to purchase a controlled substance over the counter. Which of the following are true regarding sales limits?
a. No more than ten dosage units of a product containing a controlled substance without opium.
b. No more than 24 dosage units of any product containing opium.
c. No more than 120 milliliters of a product containing a schedule II drug.
d. No more than 240 milliliters of a product containing opium.
d. No more than 240 milliliters of a product containing opium.
What is the maximum amount of ephedrine an individual can purchase over-the-counter in a single transaction?
a. 3.6 grams
b. 1.2 grams
c. 0.72 grams
d. 5.4 grams
a. 3.6 grams
All of the medications below are classified as narcotics EXCEPT:
a. Robitussin A-C
b. heroin
c. cocaine
d. Duragesic
e. marijuana
e. marijuana
How frequently must the DEA registration that Pfizer holds be renewed?
a. Every 6 months
b. Every year
c. Every two years
d. Every three years
b. Every year
A pharmacy holding a dispensing registration with the DEA covering drug schedules 2, 2N, 3, 3N, 4, and 5 is permitted to perform all of the following coincident activities EXCEPT:
a. Conducting research on diabetic neuropathy relief scores for patients taking pregabalin
b. Instructing students on the appropriate method for disposal of expired phenobarbital
c. Operating as a central fill pharmacy for the distribution of methylphenidate 27mg, 36mg, and 54mg to partnering pharmacies
d. Manufacturing an alprazolam 0.25mg/5 mL suspension to be dispensed to a patient
d. Manufacturing an alprazolam 0.25mg/5 mL suspension to be dispensed to a patient
Select all of the following factual statements around completing a DEA 222. (SELECT ALL THAT APPLY)
a. The pre-printed information on the 222 must be correct, or the DEA must issue new forms.
b. Only schedule II products can be ordered on an electronic 222.
c. A supplier must report paper 222 purchases to ARCOS or forward a copy of the form to the DEA by the end of the month the order was filled.
d. When ordering on a paper 222, the purchaser must indicate the last line completed on the form.
e. Anyone in the pharmacy can sign a paper 222.
a, c, d
A pharmacy is due to complete its official inventory on April 15 of this year. A non-controlled substance will become a controlled substance on April 14, of this year. What is the most appropriate choice in this case?
a. Estimate the count on the day the product becomes controlled and exactly count the product the next day with the official inventory.
b. Count the newly controlled product on the day it becomes controlled, use that number in the official inventory the next day, and wait to count it again in the next official inventory.
c. Count the newly controlled product on the day it becomes controlled and again the next day in the official inventory.
d. Wait to count the newly controlled product with the official inventory since it is the day after it becomes controlled.
c. Count the newly controlled product on the day it becomes controlled and again the next day in the official inventory.
Records for all of the following products can be stored together EXCEPT:
a. testosterone
b. carisoprodol
c. pentobarbital
d. Compazine
e. gabapentin
c. pentobarbital
(this is the only C2 here)
A prescriber issued a written prescription for Valium for a patient. There was missing information and errors on the prescription. Which of the following items can a pharmacist add or change on this prescription based on the actions noted without a prescriber issuing a new prescription? (SELECT ALL THAT APPLY)
a. Add an address after discussion with the patient.
b. Change the dose to a lower available dose after discussion with the provider.
c. Add directions when none were listed previously after discussion with the provider.
d. Clarify that we may dispense diazepam for the patient after discussion with the provider.
e. Correct a missing DEA number after discussion with the provider.
all of the above
Select all of the following prescriptions that we can accept for Nuvigil according to federal law (SELECT ALL THAT APPLY)
a. Telephone prescription immediately reduced to writing by the pharmacist receiving the prescription.
b. Written prescription electronically signed by the provider.
c. Faxed prescription manually signed by the provider.
d. Electronic prescription electronically signed by the provider.
a, c, d
(Nuvigil is a CIV)
A pharmacist receives a prescription for a controlled substance and notes several concerning traits of the prescription. What is the most appropriate choice in this situation?
a. Notify the police that the patient has forged a prescription.
b. Refuse to dispense the medication and write notes on the prescription warning other pharmacists that it is fraudulent.
c. Tell the patient the medication is out of stock, so they take it to a different pharmacy.
d. Call the provider to attempt to resolve the concerns identified.
d. Call the provider to attempt to resolve the concerns identified.
Select all of the following prescriptions that can be sent to the pharmacy by fax and the fax used as the original. (SELECT ALL THAT APPLY)
a. lorazepam for a patient in a long-term care facility.
b. dexmethylphenidate for a patient in a long-term care facility.
c. lisdexamfetamine for a patient in hospice care.
d. tramadol for a patient in an outpatient setting.
e. Roxanol for a patient in hospice care.
a, b, d, e
(lorazepam = CIV;
b and c are CIIs;
tramadol = CIV;
Roxanol = CII)
In order for a controlled substance prescription to be considered “readily retrievable” in a computer system, it must be able to be searched by all of the following criteria EXCEPT
a. Date filled
b. Drug dispensed
c. DEA Schedule
d. Patient name
e. Prescriber name
c. DEA Schedule
According to the DEA, which of the following records CANNOT be stored centrally? (SELECT ALL THAT APPLY)
a. Power of Attorney
b. Biennial inventories
c. Executed DEA Form 41s
d. Executed DEA Form 222s
e. C-III, C-IV, and C-V prescriptions
a, b, d, e
(cannot store executed order forms, inventories, or prescriptions centrally; lec 11, slide 12)
Which of the following prescriptions would be acceptable for a pharmacist to fill utilizing a fax as the original prescription
a. A prescription for pentobarbital 150mg with a wet signature to be directly administered to the patient intramuscularly
b. A prescription for hydromorphone 8mg with a wet signature for a patient enrolled in a hospice care program
c. A prescription for lysergic acid diethylamide 0.2mg with an electronic signature for a resident of a long term care facility
d. A prescription for temazepam 15mg with an electronic signature for a patient coming to pick up the prescription from the pharmacy
b. A prescription for hydromorphone 8mg with a wet signature for a patient enrolled in a hospice care program
A physician calls a community pharmacy and wants to issue a prescription for oxycodone for a homebound patient. They need the medication immediately and have no viable alternative. The prescriber can only transmit the prescription via phone or fax machine due to tech issues. Assuming the pharmacist verifies the prescription is issued appropriately, which of the following is true regarding a prescription of this type?
a. This medication can always be issued via phone without any additional requirements according to federal law.
b. The prescription may be transmitted via fax because the patient’s condition meets the criteria for this medication to be sent in via fax.
c. The prescription can only be filled by an inpatient pharmacy since the patient is homebound.
d. A covering prescription must be issued and have “authorization for emergency dispensing” on the face of the prescription or noted on the electronic prescription.
d. A covering prescription must be issued and have “authorization for emergency dispensing” on the face of the prescription or noted on the electronic prescription.
On April of this year, a patient requests you transfer all of their prescriptions to your pharmacy chain, YNWA Pharmacy. YNWA Pharmacy is a chain without a shared database. They have prescriptions across multiple pharmacies and pharmacy chains. Which prescription can you transfer into YNWA Pharmacy today?
a. phentermine, at City Pharmacy #4, a chain with a shared database, written December 5 last year, filled three times with one refill remaining, transferred previously from YNWA Pharmacy.
b. Ativan, at City Pharmacy #4, a chain with a shared database, written January 27 this year, filled once with no refills remaining, never transferred.
c. Lomotil, at a different YNWA Pharmacy, written September 29 last year, filled once with one refill remaining, transferred previously from City Pharmacy #4.
d. Lyrica, at City Pharmacy #4, a chain with a shared database, written February 18 this year, filled twice with three refills remaining, transferred previously from City Pharmacy #23.
e. codeine, at a different YNWA Pharmacy, written prescription issued on March 3 this year, never filled.
d. Lyrica, at City Pharmacy #4, a chain with a shared database, written February 18 this year, filled twice with three refills remaining, transferred previously from City Pharmacy #23.
On January 1 of this year, a provider issued a prescription for four triazolam tablets with one refill. The patient fills the prescription on January 8, and refills the prescription on March 7. On April 1, the patient requests additional refills from the prescriber. How many additional refills, if any, may the prescriber authorize for this prescription on April 1 of this year?
a. 0
b. 1
c. 3
d. 4
e. 5
d. 4
A pharmacy intern was recently caught stealing two tablets of Adderall 5mg from the pharmacy. All of the following are true regarding this situation EXCEPT:
a. The Board of Pharmacy must be notified of the situation within one day of discovery.
b. If completed, a DEA Form 106 should be sent to both the DEA and Board of Pharmacy.
c. The theft of two tablets is not a significant loss, so this instance would not need to be reported to the DEA.
d. If completed, a DEA Form 106 must be filed within 45 days of discovery.
c. The theft of two tablets is not a significant loss, so this instance would not need to be reported to the DEA.
