Exam 3 Practice Questions (some are outdated) Flashcards
(65 cards)
Select all of the following practitioners whose prescriptions can be accepted and filled in Indiana. (SELECT ALL THAT APPLY)
a. Podiatrist licensed in Arizona.
b. Veterinarian licensed in Vermont.
c. Physician assistant licensed in Egypt.
d. Pharmacist licensed in North Carolina.
e. Dentist licensed in Washington, DC.
a. Podiatrist licensed in Arizona.
b. Veterinarian licensed in Vermont.
e. Dentist licensed in Washington, DC.
Select all of the following items that may lead to a pharmacist being disciplined by the board. (SELECT ALL THAT APPLY)
a. Allowing a pharmacy intern to check prescriptions on their name when not supervised.
b. Dispensing a prescription medication without a prescription.
c. Failing to meet continuing education requirements.
d. Diverting a substance from a pharmacy.
e. Failing to disclose a crime that has a bearing on practice.
all of the above
An Arizona physician calls to ask about issuing a prescription for carisoprodol. The physician would like to fax the prescription to your pharmacy for their cousin and asks if this is appropriate. What answer would be most appropriate to provide this physician?
a. No, the prescription cannot be faxed. This medication is in a schedule that cannot be faxed.
b. No, the prescription cannot be faxed. All controlled substance prescriptions must be electronically prescribed, and the prescriber does not have a board-issued waiver.
c. Yes, the prescription can be faxed. It is up to the pharmacist’s discretion whether to accept faxed prescriptions.
d. Yes, the prescription can be faxed. Electronic prescribing of controlled substances only applies to prescriptions written in Indiana.
d. Yes, the prescription can be faxed. Electronic prescribing of controlled substances only applies to prescriptions written in Indiana.
Identify which of the following products pharmacists may independently prescribe in Indiana (SELECT ALL THAT APPLY)
a. Estrace
b. Loestrin
c. Freestyle Test Strips
d. Normal Saline for Wound Irrigation
e. EpiPen
a. Estrace
b. Loestrin
c. Freestyle Test Strips
d. Normal Saline for Wound Irrigation
(EpiPen is under standing order)
Which of the following actions does NOT constitute a “sale” as defined in IC 25-26-13-2?
a. Transporting Cogentin from one licensed pharmacy to another
b. Administering Subutex to a patient in an ambulatory care setting
c. Storing Humira in a fridge prior to dispensing
d. Leaving Valtrex on a shelf readily available to the public
e. All of the above constitute a sale as defined in IC 25-26-13-2
e. All of the above constitute a sale as defined in IC 25-26-13-2
Which of the following prescriptions may be filled for more than a 7-day supply? (SELECT ALL THAT APPLY)
a. A prescription for buprenorphine being prescribed for a patient with substance use disorder by a new physician
b. A prescription for phenobarbital for a canine patient who is suffering from storm-induced anxiety written by a veterinarian
c. A prescription for morphine sulfate IR 5mg tablets being prescribed for a patient with osteosarcoma being seen by their oncologist for the first time
d. A prescription for Norco 5/325mg tablets being prescribed for a 16 year old who is having their wisdom teeth removed by their regular dentist.
e. A prescription for Robitussin AC for a patient with bronchitis seen at urgent care by a physician for the first time
a, b, c
The board has an administrative hearing related to a pharmacy’s actions. Select all of the following sanctions that the board could use when disciplining a pharmacy. (SELECT ALL THAT APPLY)
a. delay
b. closure
c. condition
d. censure
e. letter of reprimand
d. censure
e. letter of reprimand
All of the following items are required on a prescription for colchicine EXCEPT:
a. Date of birth.
b. Adequate directions for use.
c. Quantity.
d. Patient name.
a. Date of birth.
A prescriber calls to issue a prescription for Wellbutrin XL 150mg for a patient on the state’s Medicaid program. The pharmacist dispenses Wellbutrin XL 150mg, utilizing Medicaid for billing. All of the following are potentially valid reasons the prescription was dispensed for this product EXCEPT:
a. The prescriber noted that Wellbutrin XL was brand medically necessary and sent a covering prescription that stated “Brand Medically Necessary.”
b. The patient requested Wellbutrin XL be dispensed.
c. The Wellbutrin XL provided a lower cost than the therapeutic equivalent.
d. The therapeutically equivalent product is not available.
b. The patient requested Wellbutrin XL be dispensed.
A prescription is written for a dog for Norco 5/325 by a veterinarian. A pharmacist reviews and fills the prescription. Which of the following must be included on the prescription label? (SELECT ALL THAT APPLY)
a. the name of the dog’s owner
b. the prescription number
c. a statement that the drug is an opioid
d. the phone number of the prescriber
e. the name of the drug
a. the name of the dog’s owner
b. the prescription number
c. a statement that the drug is an opioid
e. the name of the drug
A pharmacist wants to substitute adalimumab-afzb for Humira for a prescription. The two products are interchangeable according to the Purple Book. The pharmacist must do all of the following EXCEPT:
a. Provide the prescriber with the name and manufacturer of the biologic product dispensed
b. Attempt to contact the prescriber to confirm the substitution prior to dispensing
c. Confirm that the prescriber indicated “may substitute” on the prescription
d. Inform the patient of the substitution
b. Attempt to contact the prescriber to confirm the substitution prior to dispensing
A Drug Regimen Review conducted in Indiana satisfies which of the following requirements of OBRA ‘90?
a. patient records
b. offer to counsel
c. prospective drug utilization review
d. retrospective drug utilization review
c. prospective drug utilization review
A pharmacy owner is applying for a pharmacy permit. They are opening a pharmacy that serves assisted living facilities and will not be open to the public. Which class of permit is this pharmacy most likely to receive?
a. category I
b. category II
c. category III
d. remote dispensing facility
c. category III
Select all of the following duties a technician can complete under the supervision of a pharmacist. (SELECT ALL THAT APPLY)
a. Count and fill a prescription for methadone.
b. Check another pharmacy technician’s completion of a drug order with a manufacturer packaged product.
c. Type a new prescription into the system for review by the pharmacist.
d. Provide the patient a recommendation for an OTC product.
e. Lookup a patient’s profile and input a refill when requested by the patient
a, b, c, e
Which of the following prescriptions are you legally authorized to fill in the state of Indiana?
a. An alprazolam prescription written by an optometrist from Indiana who maintains an Indiana Controlled Substance Registration number
b. A cephalexin prescription written by a physician assistant from Nevada with a collaborative practice agreement on file with a physician
c. An atorvastatin prescription written by a nurse practitioner from Vermont with a collaborative practice agreement on file with a dentist
d. A metformin prescription written by a registered dietician from Michigan
b. A cephalexin prescription written by a physician assistant from Nevada with a collaborative practice agreement on file with a physician
A physician assistant from Arkansas calls in a prescription for AndroGel to be filled at the Purdue University Pharmacy. Which of the following most accurately describes this prescription?
a. The prescription is a valid, noncontrolled substance prescription
b. The prescription is invalid because it was not issued electronically
c. The prescription is invalid because a physician assistant-issued prescription from Arkansas is not valid in Indiana
d. The prescription is a valid, controlled substance prescription
d. The prescription is a valid, controlled substance prescription
Which of the following prescribers may issue a telehealth prescription for Motrin 800mg?
a. A veterinarian for arthritis in a porcine patient
b. An optometrist for eye pain in a human patient
c. Both of the above prescribers may issue a telehealth prescription for Motrin 800mg
d. Neither of the above prescribers may issue a telehealth prescription for Motrin 800mg
c. Both of the above prescribers may issue a telehealth prescription for Motrin 800mg
In which of the following scenarios would generic substitution be appropriate?
a. A written prescription for Synthroid when the prescriber signed on the left signature line of the prescription
b. An electronic prescription written for atorvastatin where the prescriber marked may substitute
c. A fax order for a Medicaid patient written for Lexapro which the prescriber indicated to dispense as written
d. An electronic prescription for a CHIP patient written for Cleocin which the prescriber indicated to dispense as written which states “Brand Medically Necessary”
c. A fax order for a Medicaid patient written for Lexapro which the prescriber indicated to dispense as written
(b. is not a generic sub bc it was already written for the generic)
A pharmacist wants to set up a practice in an Indiana community pharmacy to administer Long-Acting Injectable (LAI) antipsychotic medications. Which of the following statements is most accurate regarding this practice?
a. The pharmacist may conduct this because it is included in “the practice of pharmacy”
b. The pharmacist may NOT conduct this because it is not included in “the practice of pharmacy”
c. The pharmacist may NOT conduct this because it is not included in “pharmacy”
d. The pharmacist may only conduct this through a collaborative practice agreement with a physician
a. The pharmacist may conduct this because it is included in “the practice of pharmacy”
Which of the following is FALSE regarding the licensure of Indiana pharmacy personnel?
a. Pharmacy tech-in-training licenses expire 12 months after the date of issuance and may not be renewed
b. Pharmacy technician licenses expire biennially, on December 31st of even numbered years
c. Pharmacy intern licenses expire annually, on September 30th of every year
d. Pharmacist licenses expire biennially, on June 30th of even numbered years
b. Pharmacy technician licenses expire biennially, on December 31st of even numbered years
Which of the following statements is TRUE regarding pharmacy permits in Indiana?
a. A Category I pharmacy may not dispense a prescription for an inpatient
b. A Category II pharmacy may not dispense a prescription for an outpatient
c. A Category III may provide traditional and/or nontraditional pharmacy functions that are open to the public.
d. To be eligible for a pharmacy permit, the pharmacy must demonstrate that they have hot and cold running water and refrigeration in the pharmacy
d. To be eligible for a pharmacy permit, the pharmacy must demonstrate that they have hot and cold running water and refrigeration in the pharmacy
All of the following statements are true regarding pharmacy law in Indiana EXCEPT:
a. Pharmacy technicians may conduct a verbal transfer for a gabapentin prescription
b. If a pharmacy changes ownership, the board must be notified within 10 days of the change.
c. If a pharmacy is to be closed for 5 or more days, the board must be notified and drugs secured as directed by the board.
d. If a pharmacist is engaged in immediate and personal supervision of an intern, they have eyes on the individual and are actively communicating
d. If a pharmacist is engaged in immediate and personal supervision of an intern, they have eyes on the individual and are actively communicating
Which of the following is an example of legally acceptable prescription adaptation conducted by a pharmacist independently?
a. Calling a physician to confirm the quantity for a Xarelto prescription
b. Changing the quantity of Ativan to align with a patient’s medication synchronization program
c. Filling a 30-day prescription with 11 refills for a 90-day supply after an initial 30-day fill
d. Adding directions to a prescription written for “Z-pak”
d. Adding directions to a prescription written for “Z-pak”
A set of pharmacists are preparing to renew their licenses by June 30th, 2026. Which of the following would NOT meet the minimum criteria for CE for this licensure period?
a. Initial licensure August 1, 2025, no CE completed
b. Initial licensure June 1, 2021, 30 hours CE completed between January 1, 2024 – December 31, 2025
c. Initial licensure May 1, 2013, 15 hours CE completed between January 1, 2024 – December 31, 2025 and 15 hours CE completed between January 1, 2026 – June 30, 2026
d. Initial licensure March 1, 2025, 8 hours CE completed between April 1, 2025 and December 31, 2025
d. Initial licensure March 1, 2025, 8 hours CE completed between April 1, 2025 and December 31, 2025
(also a. ??)