FedPharmLawControlled2

Question 1

Which form is used to record the destruction of controlled substances?

A. DEA Form 41
B. DEA Form 222
C. DEA Form 106
D. DEA Form 224
E. DEA Form 225

Answer 1

A. DEA Form 41

Question 2

Which of the following controlled substance records can be kept off-site?

A. Power of attorney authorization forms
B. Shipping records
C. DEA Forms 222
D. Initial and biennial inventories
E. DEA Forms 41

Answer 2

B. Shipping records

Question 3

Which DEA registration form is required for narcotic treatment centers?

A. 225
B. 363
C. 106
D. 41
E. 224

Answer 3

B. 363

Narcotic treatment programs use Form 363 to register with the DEA. These programs are also referred to as opioid treatment programs.

Question 4

Which of the following are acceptable methods of filing prescriptions? (Select ALL that apply.)

A. One file for schedule II drugs, a second file for schedule III-V drugs, a third file for non-controlled drugs. (3 files total)
B. One file for schedule II-V and non-controlled drugs. A red “C” must be stamped on schedule III-V prescriptions. (1 file total)
C. One file for schedule II drugs, a second file for schedule III-V drugs and non-controlled drugs. A red “C” must be stamped on schedule III-V prescriptions. (2 files total)
D. One file for schedule II, a second file for schedule III-V, a third file for non-controlled drugs. A red “C” must be stamped on schedule III prescriptions. (3 files total)
E. One file for schedule II-V drugs, a second file for non-controlled drugs (2 files total).

Answer 4

A. One file for schedule II drugs, a second file for schedule III-V drugs, a third file for non-controlled drugs. (3 files total)

C. One file for schedule II drugs, a second file for schedule III-V drugs and non-controlled drugs. A red “C” must be stamped on schedule III-V prescriptions. (2 files total)

Question 5

DEA registration is required for all of the following EXCEPT:

A. Chemical analysis of controlled substances
B. Distribution of controlled substances
C. USPS for delivering controlled substances
D. Prescribing of controlled substances
E. Manufacturing of controlled substances

Answer 5

C. USPS for delivering controlled substances

Question 6

A hospital building catches on fire and most of the hospital’s drug inventory, including controlled substances, is adulterated and cannot be dispensed. What form should be used to report this event to the DEA?

A. DEA Form 41
B. DEA Form 222
C. DEA Form 106
D. DEA Form 224
E. DEA Form 225

Answer 6

A. DEA Form 41

Question 7

Pharmacy A is out of Syndros and would like to purchase 30 mL from Pharmacy B. Which form should be used to document this transfer?

A. DEA Form 41
B. DEA Form 222
C. DEA Form 106
D. DEA Form 224
E. Invoice

Answer 7

B. DEA Form 222

Question 8

Which of the following can be inventoried with an estimated count?

A. Opened bottles of Concerta, < 100 tablets/bottle
B. Unopened bottles of Marinol, 60 capsules/bottle
C. Opened bottle of Provigil, < 30 tablets/bottle
D. Unopened bottle of Tylenol with Codeine #4, 500 tablets/bottle
E. Opened bottles of meperidine, < 500 tablets/bottle

Answer 8

C. Opened bottle of Provigil, < 30 tablets/bottle

“For sealed, unopened containers of all controlled substances, an exact count is needed. For opened containers of schedule I and II, an exact count is required. For opened containers of schedule III-V, an exact count is required only if the container holds > 1,000 dosage units.”

Question 9

When is a DEA Form 222 not required?

A. When a pharmacy is selling Demerol to a prescriber
B. When a pharmacy is purchasing Actiq from a wholesaler
C. When a pharmacy is selling Roxicodone to a nearby pharmacy that is out of stock
D. When a filled prescription for Dilaudid is being delivered from the central fill pharmacy to the retail pharmacy
E. When a pharmacy is returning Percocet to a reverse distributor for destruction

Answer 9

D. When a filled prescription for Dilaudid is being delivered from the central fill pharmacy to the retail pharmacy

Question 10

A pharmacy is going out of business and the owner wants to sell his entire drug stock to the pharmacy down the street. What forms will be used to document the sale of the drugs? (Select ALL that apply.)

A. DEA Form 106
B. DEA Form 222
C. DEA Form 224
D. DEA Form 225
E. Invoice

Answer 10

B. DEA Form 222
E. Invoice

Question 11

Which DEA form does a new pharmacy owner need to fill out in order to dispense controlled substances?

A. DEA Form 363
B. DEA Form 224
C. DEA Form 225
D. DEA Form 106
E. DEA Form 222

Answer 11

B. DEA Form 224

Question 12

Based on federal law, how long must a pharmacy keep the biennial controlled substances inventory record?

A. 30 days
B. 90 days
C. 1 year
D. 2 years
E. 6 years

Answer 12

D. 2 years

Question 13

What is the purpose of the DEA’s Controlled Substance Ordering System (CSOS)?

A. To prosecute prescribers who write for too many controlled drugs.
B. To order controlled substances electronically.
C. To return unused controlled drugs to the DEA.
D. To register pharmacists and prescribers who use controlled drugs illicitly.
E. To enable prescribers to use methadone to treat patients with drug addiction.

Answer 13

B. To order controlled substances electronically.

Question 14

When does the DEA require pharmacies to perform full drug inventories of controlled substances?

A. Before opening as a new pharmacy
B. Every 3 years
C. Quarterly
D. When a new staff pharmacist is hired
E. Daily

Answer 14

A. Before opening as a new pharmacy

Question 15

Two burglars rob a pharmacy and take all of the cash and controlled substances. When it is safe to do so, what form should be used to report this event to the DEA?

A. DEA Form 41
B. DEA Form 222
C. DEA Form 106
D. DEA Form 224
E. DEA Form 225

Answer 15

C. DEA Form 106

Question 16

What form must be filled out to revoke the power of attorney?

A. Notice of Reversal
B. Notice of Withdrawal
C. Notice of Annulment
D. Notice of Revocation
E. Notice of Cancellation

Answer 16

D. Notice of Revocation

The Notice of Revocation must be filled out to take away the power of attorney from someone previously authorized.

Question 17

CSOS can be used to order which of the following drugs? (Select ALL that apply.)

A. Dexedrine (dextroamphetamine)
B. Xyrem (sodium oxybate)
C. Adipex-P (phentermine)
D. Nuvigil (armodafinil)
E. Nucynta (tapentadol)

Answer 17

A. Dexedrine (dextroamphetamine)
B. Xyrem (sodium oxybate)
C. Adipex-P (phentermine)
D. Nuvigil (armodafinil)
E. Nucynta (tapentadol)

Question 18

Which writing tool is not permissible when filling out the DEA Form 222?

A. Typewriter
B. Black ink pen
C. Blue ink pen
D. Erasable pencil
E. Indelible pencil

Answer 18

D. Erasable pencil

Question 19

A pharmacy filed a DEA Form 106 documenting a theft. According to federal law, how long must the pharmacy keep a copy of this report?

A. 30 days
B. 90 days
C. 1 year
D. 2 years
E. 6 years

Answer 19

D. 2 years

Question 20

The DEA Form 222 must be used to order which of the following drugs? (Select ALL that apply.)

A. Butrans (buprenorphine)
B. Sonata (zaleplon)
C. Qsymia (phentermine/topiramate)
D. Provigil (modafinil)
E. Actiq (fentanyl)

Answer 20

E. Actiq (fentanyl)

Question 21

Pharmacy ABC dispenses 20,000 dosage units of controlled substances each calendar year. Sometimes, neighboring pharmacies need to buy a small quantity from Pharmacy ABC in order to fill prescriptions. What is the maximum number of dosage units of controlled substances that Pharmacy ABC can sell to nearby pharmacies without being registered with the DEA as a distributor?

A. 100
B. 500
C. 1,000
D. 5,000
E. 10,000

Answer 21

C. 1,000

A pharmacy can sell controlled substances to other pharmacies or prescribers (without being registered as a distributor) as long as the total number of dosage units does not exceed 5% of the total number of controlled substance dosage units dispensed per calendar year.

Question 22

When using a DEA Form 222, which of the following drugs cannot be ordered? (Select ALL that apply.)
A. Marinol (Dronabinol)
B. Ritalin (Methylphenidate)
C. Ultram (Tramadol)
D. Dexedrine (Dextroamphetamine)
E. AndroGel (Testosterone)

Answer 22

A. Marinol (Dronabinol)
C. Ultram (Tramadol)
E. AndroGel (Testosterone)

Question 23

Place in the correct order:

A. The supplier reports the order information to the DEA.
B. The purchaser enrolls with the DEA to receive a digital certificate.
C. The purchaser digitally signs the CSOS order.
D. The supplier sends the controlled substances to the purchaser.
E. The supplier verifies the purchaser’s digital certificate.

Answer 23

B. The purchaser enrolls with the DEA to receive a digital certificate.
C. The purchaser digitally signs the CSOS order.
E. The supplier verifies the purchaser’s digital certificate.
D. The supplier sends the controlled substances to the purchaser.
A. The supplier reports the order information to the DEA.

Question 24

Based on federal law, how long must a pharmacy keep a DEA Form 222?

A. 30 days
B. 90 days
C. 1 year
D. 2 years
E. 6 years

Answer 24

D. 2 years

Question 25

A pharmacy wants to return 3 unopened containers of Nucynta to the wholesaler for credit. Who keeps the original DEA Form 222? A. Pharmacy B. Wholesaler C. DEA D. FDA E. State board of pharmacy

Answer 25

A. Pharmacy The pharmacy keeps the original DEA Form 222 when they send unused schedule II drugs back to a supplier.

Question 26

The local zoo ran out of ketamine and would like to purchase some from a veterinary pharmacy. Which form should be used to document this purchase? A. DEA Form 41 B. DEA Form 222 C. DEA Form 106 D. DEA Form 224 E. Purchase order

Answer 26

E. Purchase order Ketamine Schedule III

Question 27

Who must use DEA Form 224 for initial registration with the DEA? (Select ALL that apply.) A. Physician B. Drug Supplier C. Hospital D. Nurse Practitioner E. Methadone Clinic

Answer 27

A. Physician C. Hospital D. Nurse Practitioner

Question 28

Which of the following providers do not need to register with the DEA to prescribe controlled substances? (Select ALL that apply.) A. Medical residents at a hospital registered with the DEA B. Physicians at a Navy hospital C. All providers must register with the DEA to prescribe controlled substances D. Physicians at a methadone clinic E. Nurse practitioners at the Federal Bureau of Prisons

Answer 28

A. Medical residents at a hospital registered with the DEA B. Physicians at a Navy hospital E. Nurse practitioners at the Federal Bureau of Prisons A controlled drug may be prescribed by employees (e.g., medical residents) working under the DEA registration of a healthcare facility. Individuals that are exempt from registering for a personal DEA number include healthcare workers in the military, Public Health Service, or Federal Bureau of Prisons.

Question 29

Which statement is true about using CSOS to order controlled substances? A. Transactions must be reported to the DEA within 2 days B. CSOS can only be used to order schedule I and II drugs C. Only 20 items can be ordered at one time D. A handwritten signature is used to sign CSOS E. CSOS orders can be endorsed to another supplier

Answer 29

A. Transactions must be reported to the DEA within 2 days The supplier must report all CSOS transactions to the DEA within 2 business days from the date the supplier filled it.

Question 30

What percent of the total controlled substances sold per year can a pharmacy sell to other pharmacies or prescribers, without registering as a distributor? A. <25% B. <20% C. <5% D. <15% E. 0%

Answer 30

C. <5% A pharmacy can sell controlled substances to other pharmacies or prescribers (without being registered as a distributor) as long as the total number of dosage units does not exceed 5% of the total number of controlled substance sales per year.

Question 31

Which of the following drugs must be ordered with a DEA Form 222? (Select ALL that apply.) A. Cocaine B. Xanax (alprazolam) C. Hysingla ER (hydrocodone bitartrate) D. Tapentadol (Nucynta, Palexia) E. Butrans (buprenorphine)

Answer 31

A. Cocaine C. Hysingla ER (hydrocodone bitartrate) D. Tapentadol (Nucynta, Palexia)

Question 32

What is the allowed timeframe for a supplier to send a copy of DEA Form 222 to the DEA after filling an order? A. By the end of the business day in which the order was filled B. Within 2 business days of filling the order C. Within 7 business days of filling the order D. By the end of the month in which the order was filled E. By the end of the calendar year in which the order was filled

Answer 32

D. By the end of the month in which the order was filled

Question 33

Who can sign the DEA Form 222 and CSOS? (Select ALL that apply.) A. All pharmacists B. People with power of attorney C. The DEA Form 106 applicant D. The DEA Form 224 applicant E. The DEA Form 41 applicant

Answer 33

B. People with power of attorney D. The DEA Form 224 applicant

Question 34

A bottle of MS Contin is missing one tablet during a controlled substances inventory. What is the most appropriate action for the pharmacist to take? A. Report to DEA with Form 41 B. Report to DEA with Form 222 C. Report to DEA with Form 224 D. Report to DEA with Form 106 E. Do not report to DEA

Answer 34

E. Do not report to DEA

Question 35

Which of the following entities need to register using the DEA Form 224? (Select ALL that apply.) A. Staff pharmacists who dispense controlled substances B. Manufacturers C. Pharmacies D. Distributors E. Individual prescribers who write for controlled substances

Answer 35

C. Pharmacies E. Individual prescribers who write for controlled substances