MEP

Question 1

What is a ‘PO’ medicine?

Answer 1

GSL medicine where the manufacturer wishes to restrict sales through pharmacy only

Question 2

Can GSL medicines be sold from a pharmacy without a responsible pharmacist?

Answer 2

No

Question 3

What is a ‘P’ medicine?

Answer 3

Medicinal product that may only be sold from a registered pharmacy premises by the RP or somebody acting under their supervision.
Self selection should be prohibited - should not be accessible to the public

Question 4

Why is the sale of psudoephedrine/ephedrine prohibited?

Answer 4

Can be misused in illict production of crystal meth

Question 5

What is the maximum amounts of pseudoephedrine and ephedrine that can be supplied at one time without a prescription?

Answer 5

720mg pseudoephedrine or 180mg ephedrine

Question 6

‘It is unlawful to supply a pseudoephedrine product at the same time as an ephedrine product without a prescription’
True or false?

Answer 6

True

Question 7

Where can you report suspicions about somebody attempting to purchase ephedrine?

Answer 7

Local GPHC inspector

Question 8

Which pharmacy medicines can be supplied for emergency hormonal contraception?

Answer 8

Levornogestrel 1500mcg or Ulipristal 30mg

Question 9

When can levornogestrel be supplied?

Answer 9

Licensed for women over 16 within 72 hours of unprotected sex

Question 10

How long following unprotected sex can EHC be supplied?

Answer 10

Levornogestrel - 72 hours / 3 days

Ulipristal - 120 hours / 5 days

Question 11

What is the maximum amount of paracetamol tablets or capsules that can be sold to a person at one time?

Answer 11

100 tablets/caps

Question 12

What is the maximum amount of calpol that can be sold to a person at one time?

Answer 12

No limit on paracetamol liquids

Should use professional judgement for an appropriate quantity to supply

Question 13

How many aspirin tablets can be sold to a person at one time?

Answer 13

100 non-effervescent tablets

Question 14

Which medicines are AVM-GSL?

Answer 14

Authorised veterinary medicines available on general sale

Question 15

What is an ‘unauthorised veterinary medicine’?

Answer 15

Unlicensed medicine with no marketing authorisation or exemption for small pet animals. Can only be prescribed by a vet under the Cascade. Includes human medicine used for animals

Question 16

‘All veterinary presciptions must include the presciber’s registration number from the Royal College of Veterinary surgeons’
True or False?

Answer 16

False
The RCVS reg number is only required on CD 2 + 3 prescriptions
All vet prescriptions must include the name, address, phone number, qualification and signature of the prescriber

Question 17

Are veterinary prescriptions valid if they do not include the species of animal that they are intended for?

Answer 17

No, must include the species of the animal

Question 18

How long are veterinary prescriptions valid for?

Answer 18

6 months
All repeat supplies should also be made in 6 months
CD 2,3+4 are valid for 28 days

Question 19

May a vet prescribe treatment for a dog with the instructions ‘as directed’ on the prescription?

Answer 19

No

Prescription must include administration instructions and ‘as directed’ is not acceptable

Question 20

In veterinary prescriptions what is the ‘withdrawal period’?

Answer 20

The time between when an animal recieves the medicine and when it can safely be used for food (should be inclduded on presciption if relevant)

Question 21

Which declaration should CD2+3 veterinary prescriptions include to be deemed valid?

Answer 21

Statement highlighting ‘the item has been prescribed for the treatment of an animal under my care’ etc

Question 22

Can veterinary prescriptions be repeated?

Answer 22

Yes - all supplied should be made within 6 months

Question 23

Do veterinary CDs have to be prescribed on a standardised form?

Answer 23

No

Question 24

If a vet was prescribing diazepam for a parrot, would the script need to read ‘ prescribed for the treatment of an animal under my care’?

Answer 24

No - because diazepam is a CD 4

Only applies to CD 2+3

Question 25

How long would a veterinary prescription for oxycodone need to be retained for?

Answer 25

5 years

Question 26

'It is illegal to supply a human medicine against a veterinary prescription unless it states 'for administration under the cascade' ' True or false?

Answer 26

True

Question 27

If a veterinary medicine exists but is licensed for a different species can this be supplied against a veterinary script?

Answer 27

Only if the script states 'for use under the cascade' or words to this effect

Question 28

Can GSL medicines be sold for an animal?

Answer 28

No, can only be supplied under the Veterinary cascade

Question 29

Which of does NOT need to appear on the label for a veterinary medicine? - Name and address of animal owner - Identification + species of animal - Name of prescribing vet - 'for animal treatment only' - 'for use under the veterinary cascade'

Answer 29

'for use under the veterinary cascade' This is required on prescriptions The label must states 'for animal treatment only'

Question 30

Is record keeping of POM-V products required?

Answer 30

Yes | Records should be kept for 5 years

Question 31

What schedule is ketamine?

Answer 31

CD 2

Question 32

What schedule is quinalbarbitone?

Answer 32

CD 2

Question 33

Can emergency supply of CD2s be made?

Answer 33

No

Question 34

Can emergency supply of CD3s be made?

Answer 34

No, except phenobarbital for epilepsy

Question 35

What schedule is temazepam?

Answer 35

CD 3

Question 36

What schedule is tramadol?

Answer 36

CD 3

Question 37

What schedule is buprenorphine?

Answer 37

CD 3

Question 38

What schedule is midazolam?

Answer 38

CD 3

Question 39

What schedule is Sativex (cannabis extract)?

Answer 39

CD 4 (1)

Question 40

Could oxycodone be prescribed by a doctor registered in the republic of Ireland?

Answer 40

No, CD2 so the address of prescriber must be in the UK

Question 41

What schedule is diazepam?

Answer 41

CD 4 (1)

Question 42

What schedule is clobazam?

Answer 42

CD 4 (1)

Question 43

What schedule is zopiclone?

Answer 43

CD 4 (1)

Question 44

What schedule is chlordiazepoxide?

Answer 44

CD 4 (1)

Question 45

What schedule are Lorazepam 4mg/ml injections?

Answer 45

CD 4 (1)

Question 46

What CD schedule are anabolic steroids?

Answer 46

CD 4 (2)

Question 47

Could zopiclone be given as an emergency supply?

Answer 47

Yes - CD 4

Question 48

What schedule is dihydrocodeine?

Answer 48

CD 5

Question 49

What schedule is morphine oral solution?

Answer 49

CD 5

Question 50

What schedule is kaolin + morphine?

Answer 50

CD 5

Question 51

What schedule is pholcodeine?

Answer 51

CD 5

Question 52

How long are CD 5 scripts valid for?

Answer 52

6 months

Question 53

Is a script for chlordiazepoxide repeatable?

Answer 53

Yes- CD 4 (1)

Question 54

Does a presciption for co-codamol have to state the amounts in words + figures?

Answer 54

No - CD 5 do not need prescription requirements

Question 55

You are presented with a prescription for gabapentin oral solution with the quantity listed as 'OP', why can this not be supplied?

Answer 55

CD 3 Needs total quantity in words and figures Liquids should be specified in mL

Question 56

In which 2 circumstances may a pharmacist be in possession of schedule 1 CDs?

Answer 56

1. for purpose of destruction | 2. to hand to police

Question 57

Can pharmacist independent prescribers prescribe controlled drugs?

Answer 57

Yes

Question 58

Are there any restictions on travelling with CD5s?

Answer 58

No

Question 59

A patient taking regular morphine asks for advice on travelling with their medicines, what do you tell them?

Answer 59

- A personal licence is not required if you are travelling with less than 3 months of supply - Ask for a covering letter from the prescriber stating their name, travel plans, name + quantity + dose of medicine - Check with the countries embassy to ensure the regulations of the country are complied with

Question 60

What type of prescription can private CDs be written on?

Answer 60

FP10PCD (pink script)

Question 61

Which CDs may midwives order a supply of?

Answer 61

Diamorphine, morphine and pethidine

Question 62

Which of these is NOT a legal requirement of a schedule 2 or 3 controlled drug prescription? - Total quantity in words and figures - Prescribers address that must be in the UK - Dosage form - Name of medicine written in full - Patient's address

Answer 62

Name of medicine This is necessary to identify the medicine requested but NOT a legal requirement

Question 63

A dental prescription for schedule 2+3 CDs must include which statement?

Answer 63

'for dental treatment only'

Question 64

Would a CD prescription stating the form as 'caps' meet legal requirements?

Answer 64

Yes - the formulation must be stated | 'caps' and 'tabs' are acceptable

Question 65

Is listing the strength on a CD prescription always a legal requirement?

Answer 65

No, only needs to be stated if more than one strength is available

Question 66

Which of these doses would be legally aceptable on a schedule 2 or 3 CD script? - As directed - Two PRN - Weekly - As per chart

Answer 66

Two PRN The dose should be clearly defined

Question 67

'A schedule 2+3 CD presciption should be marked with the date and time that the supply is made' True or False?

Answer 67

True

Question 68

When should sugar-free controlled drugs be supplied?

Answer 68

Only if specified as they have a greater potential for abuse

Question 69

Which prescriptions should be used for instalment directions?

Answer 69

FP10MDA

Question 70

What is the maximum treatment allowed on an FP10MDA script?

Answer 70

Instalment dispensing - max 14 days

Question 71

Which drugs are allowed to be prescribed on an FP10MDA (instalment script)?

Answer 71

All CD2s Buprenorphine/suboxone Diazepam

Question 72

Which wording is approved for instalment prescribing that allows supply if the pharmacy is closed eg, on bank holidays?

Answer 72

'Please dispense instalments due on pharmacy closed days on a prior suitable day'

Question 73

When should the prescriber be notified if a patient has missed collection of instalment scripts?

Answer 73

If over 3 consecutive days are missed as there is a chance that the patient will lose tolerance to the drug If a collection day is missed then any remaining days of that instalment may be given

Question 74

Which technical errors are pharmacists permitted to change on CD 2 + 3 prescriptions?

Answer 74

- Minor spelling mistakes - Minor typographical error - Total quantity if missing words or figures (but not both)

Question 75

Is it a legal requirement for the person collecting a schedule 2 or 3 CD to sign the back of the presciption?

Answer 75

No, not a legal requirement but good practice | If they do not agree to sign then it is the pharmacists discretion whether to supply or not

Question 76

How should collection of a controlled drug by a representive for a drug misuser be handled?

Answer 76

- Should obtain a letter from the patient that names and authorises representative - Should have a separate letter for each collection and the representative should bring ID - Should see the patient once a week if possible - Record details of representative in the CD register

Question 77

Is supervised consumption a legal requirement?

Answer 77

No - but important Should confirm that is is ok with prescriber if supervision is not possible eg, patients drug is collected by representative

Question 78

Which schedule 3 CDs require safe custody?

Answer 78

Buprenorphine | Temezepam

Question 79

Does safe custody apply to patient returns?

Answer 79

Yes - should be in safe custody until they can be destroyed

Question 80

Which schedule 3 CDs have exemption from safe custody?

Answer 80

Tramadol, phenobarbital, midazolam, gabapentin, pregabalin

Question 81

Which controlled drugs should be denatured before disposal?

Answer 81

CD 2 , 3 + 4 (1) | As advised by the home office

Question 82

Does controlled drug destruction of CDs need to be witnessed by an authorised person?

Answer 82

No - good practice to be witnessed by another member of staff Should be recorded in a separate register to CD register

Question 83

Does denaturing of expired controlled drugs require an authorised witness?

Answer 83

- Yes if schedule 2 | - For schedule 3 it is good practice to have destruction witnessed by another staff member

Question 84

What schedule is pethidine?

Answer 84

Schedule 2

Question 85

What drugs need be be recorded in the CD register?

Answer 85

Any schedule 1 or 2 CDs | Also Sativex

Question 86

Which is the only CD 4 (1) that needs to be recorded in the CD register?

Answer 86

Sativex (cannabis extract)

Question 87

Is it a legal requirement to show ID when collecting a controlled drug?

Answer 87

No, pharmacists discretion whether to supply or not | Should be recorded in CD register

Question 88

How long should CD registers be kept?

Answer 88

2 years from last entry

Question 89

Where should CD registers be kept?

Answer 89

On the premises to which they apply

Question 90

'In the CD register, legislation requires that the class, strength and form of the drug is specified at the head of each page and that a separate page is used for different strengths or formulations' True or false?

Answer 90

True

Question 91

Which of the following is not a requirement of an electronic CD register? - Author of each entry must be identifiable - Should be auditable - Available on request to GPHC inspectors - Entries cannot be changed at a later date - Should also have a bound-book CD register

Answer 91

Should also have a bound-book CD register This is an alternative to a bound-book CD register

Question 92

How often should stock-checks of CDs usually be performed?

Answer 92

Once a week

Question 93

'The pharmacist has overall responsibilty for maintaining running balances and dealing with discrepancies in the CD register' True of false?

Answer 93

True

Question 94

Do Pregabalin and Gabapentin need to be denatured before disposal and does this require an authorised witness?

Answer 94

Yes they must be denatured before disposal An authorised witness is not required but good practice to have another member of staff witnessing

Question 95

Do Pregabalin and Gabapentin require safe custody?

Answer 95

No

Question 96

Can a presciber based in France prescribe Pregabalin and Gabapentin?

Answer 96

No- address of the prescriber must be within the UK

Question 97

Can Pregabalin and Gabapentin be given as an emergency supply?

Answer 97

No

Question 98

Can Pregabalin and Gabapentin be repeated?

Answer 98

No

Question 99

Do Pregabalin and Gabapentin need to be recorded in the CD register?

Answer 99

No

Question 100

On what date were Pregabalin and Gabapentin rescheduled?

Answer 100

1st April 2019 - now CD schedule 3 (CD NO REG POM)

Question 101

Do schedule 3 CDs need to be entered in the CD register?

Answer 101

No, only schedule 1+2