NPA review Flashcards by Chelsea Luedtke

The FDA has notified a pharmaceutical manufacturer that several lots of their OTC analgesics have been found to be contaminated with digoxin and present serious threat to patients’ safety. The FDA is likely to request that they announce which class of drug recall?

A. Class I recall
B. Class II recall
C. Class III recall
D. A and B
E. B and C

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A verbal offer to counsel is not required when: (select all that apply)

A. When selling OTC products for self-treatment
B. When the patient is in a facility with healthcare professionals administering medications
C. When a pharmacist determines (using professional judgement) that counseling may be detrimental to the patient’s care

A, B, C

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A patient’s brother arrives at the pharmacy to pick up a prescription for the patient’s post-surgery Norco. You do not know the brother and ask for identification, the brother presents the patient’s ID, but does not have his own with him. According to Nebraska law, what should you do?

A. Release the medication since the patient’s identification has been verified
B. Call the patient to verify his brother has authorization to pick up the medication
C. Refuse to release the medication because the person taking receipt of the medication does not have his ID
D. Make a note of the brother’s information on the patient’s profile and release the medication
E. Contact the prescriber for approval to release the medication to the patient’s brother

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When taking an inventory of controlled substances: (select all)

A. Controlled substances awaiting return or destruction must be included in the inventory
B. An exact count of all controlled substances listed in Schedule III, IV or V must be made only if the container holds greater than 1,000 tablets or capsules
C. An estimated count of all controlled substances listed in Schedules III, IV, or V may be made if the container holds fewer than 1,000 tablets or capsules
D. An estimate of all controlled substances listed in Schedule I or II must be made every year
E. An exact count of all controlled substances listed in Schedules I, II, III, IV or V must be made

A, E

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Checking for therapeutic duplication by pharmacists before dispensing is generally classified as:

A. Introspective DUR
B. Retrospective DUR
C. Triospective DUR
D. Prospective DUR
E. Concurrent DUR

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How often does the department require mail-order ophthalmic providers located outside of this state to provide the registration to dispense contact lenses to Nebraska residents?

A. Every 6 months
B. Every year
C. Every 2 years
D. Every 3 years
E. There is no registration requirement

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The marketed drug that produces temporary or reversible adverse effects to health falls into a

A. Class 0 recall
B. Class I recall
C. Class II recall
D. Class III recall
E. Class IV recall

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The computerized application shall have the capacity to retrieve records of all controlled substance prescriptions refilled. Which of the following information must be retrievable by prescription number for refills? (Select all that apply)

A. Quantity dispensed
B. Patient's address
C. Date of refill
D. Prescriber's name
E. The identification code or dispensing pharmacist's initials

A, B, C, D, E

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According to Nebraska Pharmacy Law, the Pharmacy Quality Assurance Report is due:

A. One year from the date of the initial on-site inspection and annually thereafter
B. Six months from the date of the initial on-site inspection and annually thereafter
C. Thirty days from the date of the initial on-site inspection and annually thereafter
D. One year from the date of the initial on-site inspection and biennially thereafter
E. B. Six months from the date of the initial on-site inspection and biennially thereafter

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Which of the following drug(s) is/are exempt from the PPPA? (select all that apply)

A. Effervescent aspirin tablets
B. Questran powder packet
C. Sublingual isosorbide dinitrate tablets
D. Oral contraceptives in manufacturers’ mnemonic (memory aid) packages
E. Sublingual nitroglycerin tablets

A, B, C, D, E

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Which of the following is (are) true about the mandatory reporting of the unprofessional conduct of a licensee?

I. All pharmacists, pharmacist interns and pharmacy technicians are required to report
II. Must report in writing within 30 days of occurrence
III. Spouses of the credential holders are exempted from reporting

A. I only
B. III only
C. I and II
D. II and III
E. I, II and III

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A pharmacist may select a drug product except when a prescriber indicates (select all that apply)

A. NTBS
B. NDPS
C. BMN
D. DAW
E. No generic substitution

B, C, D, E

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Which of the following drug(s) is/are exempt from the PPPA?

I. Aspirin tablets
II. A unit dose pack of acetaminophen containing 4 tablets; each containing 500 mg
III. Oral contraceptives in mnemonic packs
IV. Sublingual nitroglycerin tablets

A. I only
B. II only
C. IV only
D. II and IV
E. III and IV

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In Nebraska, the inventory of controlled substances must be done every

A. Six months
B. Year
C. Two years
D. Three years
E. Five years

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If a bottle of 250 mg of Cephalexin contains 500 mg Cephalexin tablets, the product is

A. Adulterated
B. Misbranded
C. Deteriorated
D. Adulterated and misbranded

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A registered pharmacy technician shall: (Select ALL that apply)

A. Be a high school graduate or be officially recognized by the State Department of Education as possessing the equivalent degree of education
B. Have never been convicted of any nonalcohol, drug-related misdemeanor or felony
C. Become certified within a period of six months
D. Submit to a mandatory preliminary urine drug screen

A, B

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Which of the following statements are TRUE according to Nebraska Pharmacy Law? (Select ALL that apply)

A. A pharmacist may supervise up to three pharmacy technicians at any time
B. A pharmacist may supervise up to three pharmacist interns at any time
C. A pharmacist may supervise any combination of pharmacy technicians nd pharmacist interns at any time up to a total of three people
D. Supervision ratios do not apply to pharmacist interns receiving experiential training
E. Ratios for pharmacist supervision of technicians and pharmacist interns are not explicitly defined

A, B, C, D

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Which prescriber is limited to writing for a 72 hour supply of CII medications?

A. Certified nurse midwife (APRN-CNM)
B. Certified Registered Nurse Anesthetist (APRN-CRNA)
C. Dentist (DDS/DMD)
D. Optometrist (OD)
E. Podiatrist (DPM)

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Which of the following are the intentions of HIPAA? (select all)

A. To assure health insurance coverage
B. To prevent or reduce healthcare related fraud and abuse
C. To ensure the safety and security of each patient’s health related information
D. To enforce the standard for health insurance
E. To allow individuals to purchase insurance on a government exchange

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Which of the following is/are TRUE about the verbal offer to counsel a patient? (Select ALL that apply)

A. A verbal offer to counsel shall be made to each patient or caregiver on each new or refill prescription
B. A mail order pharmacy shall make the verbal offer to counsel for the filled prescription
C. If the pharmacist, in the exercise of professional judgement in the interest of a patient, believes that an oral offer would be less effective than a written offer, the pharmacist may substitute a written offer
D. A pharmacist is not required to offer to counsel when the patient is in a facility where medications are administered by health professionals

A, B, D

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Which of the following is required on an OTC medication label: (select all)

A. Directions for use
B. Expiration date
C. Inactive ingredients
D. Statement of intended use
E. Telephone number to report adverse effects to Regional Poison Control Center

A, B, C, D

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A DEA 222 form is required to purchase which of the following?

A. MS Contin (morphine)
B. Fiorinal (butalbital, aspirin, caffeine)
C. Provigil (modafinil)
D. Klonopin (clonazepam)
E. Phenobarbital

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Every individual who wants to sign electronic orders for controlled substances must enroll with DEA to acquire his or her own personal ______.

A. POS Certificate
B. CSOS Certificate
C. DEA 222 Elite
D. SIADH
E. NPI

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While working in a community pharmacy, you receive a faxed prescription signed by Jane Smith, RN. Is this a valid prescription?

A. Yes, registered nurses are authorized to sign prescriptions on behalf of the prescriber
B. Yes, as long as it is within her scope of practice
C. No, registered nurses may not act on behalf of the provider
D. No, registered nurses are not recognized as prescribers in Nebraska
E. Yes, as long as it is a controlled medication

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In Nebraska, a pharmacist should not dispense any non-controlled drug or device if the prescription is presented: A. More than 180 days after the date of issuance B. More than 90 days after the date of issuance C. More than 365 days after the date of issuance D. More than 30 days after the date of issuance E. More than 60 days after the date of issuance

When refilling a prescription that was initially dispensed in a threaded child-resistant container, the pharmacist must always replace a; I. Glass container II. Threaded plastic container III> Plastic closure ``` A. I only B. III only C. II only D. II and III E. I and II ```

Which of the following prescriptions would be valid from a prescriber? (Select all that apply) A. Oral contraceptives from a dentist B. Weight loss medication from an optometrist C. Pain medication for a broken tooth from a dentist for his spouse in an emergency D. Antidepressant from an opthalmologist

C, D

According to Nebraska Pharmacy Law, a copy of annual controlled substances inventory, or a controlled substances inventory taken pursuant to a change in the pharmacist-in-charge must be forwarded to the Department within: ``` A. 72 hours of completion B. 24 hours of completion C. 15 days of completion D. 30 days of completion E. 60 days of completion ```

According to Nebraska Pharmacy Law, which of the following practitioners may prescribe a narcotic Schedule II controlled substance in the course of their professional practices? (Select ALL that apply) ``` A. Physician assistant B. Nurse practitioner (APRN-NP) C. Veterinarian D. Optometrist E. Physical therapist ```

A, B, C, D

A pharmacy must register as a wholesale drug distributer if it distributes more than: A. 2% of gross dollar value of the total prescription drug sales revenue in a 12 month period B. 5% of gross dollar value of the total prescription drug sales revenue in a 12 month period C. 3% of gross dollar value of the total prescription drug sales revenue in a 24 month period D. 4% of gross dollar value of the total prescription drug sales revenue in a 6 month period E. 5% of gross dollar value of the total prescription drug sales revenue in a 6 month period

Which DEA form is used when CIIs are lost or stolen? ``` A. Form 41 B. Form 106 C. Form 222 D. Form 222a E. Form 222d ```

Disaster Preparedness and Management plans and procedures must include how the pharmacy will: (select all) A. Secure the drugs, devices and biologicals from the public B. The pharmacy has no role in securing the drugs, devices and biologicals from the public C. Maintain patient records and inventory records D. Obtain drugs, devices and biologicals in the event of a natural disaster E. Provide the disposal of drugs, devices and biologicals that have been adversely affected

A, C, E

Which of the following can be filled from an out-of-state prescriber for a patient who is not the prescriber? A. Penicillin for a tooth abscess from a podiatrist B. Oral contraceptives from a medical doctor C. Pain medications for a tooth abscess from a dentist D. Oral contraceptives from a dentist

B, C

Mrs, Tudor owns three pharmacies in Nebraska. How many pharmacy licenses does she require? ``` A. One B. Two C. Three D. Four E. Five ```

An emergency oral prescription for Schedule II controlled drugs must be mailed to the pharmacy by an authorized prescriber within ``` A. 48 hours after an oral authorization B. 7 days after an oral authorization C. 10 days after an oral authorization D. 72 hours after an oral authorization E. 30 days after an oral authorization ```

In Nebraska, Phenergan with codeine (promethazine with codeine) syrup is classified as: ``` A. Schedule I B. Schedule III C. Schedule IV D. Schedule V E. Schedule VI ```

According to the Combat Methamphetamine Epidemic Act of 2005, a customer does not have to sign the logbook or show identification if they buy a single package containing not more than: A. 30 milligrams of pseudoephedrine B. 60 milligrams of pseudoephedrine C. 90 milligrams of pseudoephedrine D. 120 milligrams of pseudoephedrine

When should a pharmacist offer patient counseling? I. Upon a new prescription drug order II. Upon refill of a prescription drug order III. Once yearly on maintenance drugs IV. Only when prompted to do so by the patient/caregiver ``` A. I only B. IV only C. I and II D. II and III E. I, II and III ```

Under which of the following sections of the law is it the pharmacist's duty to offer to counsel Medicaid patients? ``` A. Kefauver-Harris B. Durham-Humphrey C. OBRA-90 D. Prescription Marketing Act E. Food, Drug and Cosmetic Act ```

Which of the following activities is (are) the responsibility of a pharmacist-in-charge? (Select ALL that apply) A. Must file a semi-annual report to the Parkinson's Disease Registry B. Supervision and performance of the pharmacy technicians C. Annually submit a report to DEA of all CII sales D. Annually submit a completed Pharmacy Quality Assurance Report

A, B, D

Who can be a witness for destruction of controlled substances in a long-term care facility? (Select ALL that apply) ``` A. A licensed physician B. A licensed pharmacist C. A licensed nurse practitioner D. A licensed massage therapist E. Any two people credentialed under the UCA and designated by the facility ```

A, B, C, D, E

Antineoplastic HDs and APIs must be removed from shipping containers in what type of area? (select all) A. Negative pressure B. Neutral pressure C. Positive pressure

A, B

In accordance with Nebraska Pharmacy Law a pharmacist may accept return of the dispensed drug or device when: I. A device is defective or malfunctioning II. The patient changes their mind and wants a refund III. It is collected for the purpose of disposal by the pharmacy IV. In response to a recall by the manufacturer, packager or distributor ``` A. I only B. I and II C. I, II, and III D. I, III and IV E. I, II, III and IV ```

A pharmacist conducting a prospective drug utilization review shall ensure that a reasonable effort is made to record and maintain which of the following information about a patient: (Select ALL that apply) ``` A. Patient occupation B. Patient telephone number C. Patient disease history D. Comments of the pharmacist relevant to patient's drug history E. Patient medication allergies ```

B, C, D, E

When a pharmacy permanently closes, any unused DEA 222 forms must be A. Destroyed in the presence of as licensed medical person B. Destroyed by a paper shredder C. Kept on file for 5 years D. Marked void and properly disposed of E. Returned to the Department of Health and Human Services

Under the Cancer Drug Repository Program a cancer drug can be accepted if: (Select ALL that apply) A. It is an injectable drug that does not have temperature requirements other than controlled room temperature B. The drug bears an expiration date prior to the date of donation C. The drug is adulterated or misbranded D. The drug is not in tamper-evident packaging E. The drug is in unopened single-unit-dose packaging

A, E

According to Nebraska Pharmacy Law, no customer shall be allowed to purchase, receive, or otherwise acquire more than: A. 3.6 grams of pseduoephedrine base during a 24 hour period and a total of 9 grams in 30 days B. 3.6 grams of pseduoephedrine base during a 48 hour period and a total of 9 grams in 7 days C. 5.2 grams of pseduoephedrine base during a 24 hour period and a total of 30 grams in 30 days D. 5.2 grams of pseduoephedrine base during a 24 hour period and a total of 30 grams in 7 days

In Nebraska, pharmacy licenses expire on which of the following dates each year? ``` A. November 30 B. January 31 C. July 1 D. December 31 E. January 1 ```

Which of the following cannot be refilled under any circumstances? ``` A. valium (diazepam) B. Tylenol No 3 (acetaminophen with codeine) C. Actiq (fentanyl) D. Lomotil (diphenoxylate and atropine) E. Ambien (zolpidem) ```

When a pharmacist transfers any remaining authorized refills of a controlled substance prescription to another pharmacy, what things must the "transferor pharmacist or intern" do to the original prescription record? I. Indicates "void" on the prescription record II. Records name, address, DEA number of receiving pharmacy III. Records name of transferring and receiving pharmacist or intern ``` A. I only B. II only C. I and II D. II and III E. I, II and III ```

A delegated dispensing agreement shall include which of the following? (Select ALL that apply) A. The address of the site where the dispensing will occur B. The name and license number of each delegating pharmacist C. The name and signature of any individual who will be dispensing under the agreement D. The manner in which inspections will be conducted and documented by the delegating pharmacist E. A listing of any controlled substances on formulary

A, B, C, D

According to Nebraska Pharmacy Law, the prescription record should be kept on file for A. Two years from the date of dispensing B. Five years from the date of dispensing C. Three years from the date of dispensing D. A year from the date of dispensing E. Seven years from the date of dispensing

Samples of prescription drugs received by a physician from medical representatives can be: (Select ALL that apply) ``` A. Given to patients B. Sold to a chain pharmacy store C. Sold to another physician D. Sold to a hospital pharmacy E. Sold at a discount to public health clinics ```

Pharmacies not using a real-time, on-line database may transfer authorized refills for a prescription for Schedule III, IV and V substances: ``` A. One time B. Two times C. Three times D. Four times E. Five times ```

Your pharmacy is asked to transfer 30 tablets of oxycodone 10 mg to another pharmacy. The correct way to complete this transfer is (select ALL that apply) A. Your pharmacy fills out the form B. The receiving pharmacy fills out the form C. The receiving pharmacy fills out an invoice D. The DEA 222 order form needs to be filled out E. A DEA 41 form needs to be filled out

B, D

A pharmacy technician may perform all of the following duties except: A. Entering prescription data into a data processing system B. Taking a new oral medical order from a prescriber C. Receiving refill authorization requests D. Reconstituting medications E. Compounding sterile preparations of medications

In Nebraska, a prescription for morphine sulfate shall NOT be filled after how many months after issuance? ``` A. 1 month B. 2 months C. 6 months D. 12 months E. 3 months ```

Which of the following are characteristics of Hazardous Drugs as listed by NIOSH? (select all) A. Carcinogenicity B. Genotoxicity C. Teratogenicity D. Structure and toxicity profiles of new drugs that mimic existing drugs determined hazardous

A, B, C, D

Who may counsel a patient, according to Nebraska Pharmacy Law? (Select ALL that apply) ``` A. Pharmacists B. Certified pharmacy technicians C. Pharmacist interns D. Registered pharmacy technicians E. Cashiers employed by a pharmacy ```

A, C

Which of the following is/are TRUE about a pharmacy license? I. A license is issued only for the persons named in the application and is not transferable or assignable II. Change of ownership terminates the license III. If there is a change of ownership and the pharmacy remains on the same premises, the inspection is not required IV. If the of the pharmacy changes, a new license is required as well as an inspection ``` A. I only B. I and II C. II and III D. I, II, III E. I, II and IV ```

Which of the following is/are classified as Schedule II controlled drugs? (Select ALL that apply) ``` A. Heroin B. Morphine C. Methylphenidate D. Cocaine E. Modafinil ```

B, C, D

What federal law was created after the thalidomide incident that required manufacturers to show effectiveness and safety of a drug before marketing? ``` A. Food Drug and Cosmetic Act (FDCA) 1938 B. Kefauver-Harris Amendment 1962 C. Orphan Drug Act 1983 D. FDA Modernization Act 1997 E. Durham Humphrey Amendment 1951 ```

After verbally consulting with a practitioner, according to the Nebraska Board of Pharmacy, what changes may a pharmacist make to a prescription written for as Schedule II drug? (Select all that apply) ``` A. Dosage form B. Directions for use C. The quantity prescribed D. The name of the controlled substance E. The issue date ```

A, B, C, E

In Nebraska, revocation of one's pharmacist license is for all time, except that any time after ____ years the licensee may reapply to the Board of Pharmacy for reinstatement. ``` A. One B. Two C. Three D. Four E. Five ```

According to Nebraska Pharmacy Law, which of the following is classified as Schedule IV controlled substances? (Select all that apply) ``` A. Ephedrine B. Bronkaid C. Primatene D. Soma E. Lyrica ```

A, D

A licensed veterinarian, in the course of his professional practice, may prescribe a drug for (select all that apply) ``` A. Lucy the dog B. Contraception for a horse C. A human in an emergency D. The owner of a pet E. A cat for weight loss ```

A, B, E

Which of the following is/are correct method(s) for maintaining controlled substance prescriptions according to Nebraska Pharmacy Law? I. One file for CII, a second file for CIII, CIV and CV and a third file for non-controlled substances II. One file for CII and a second file for CIII, CIV, CV and non-controlled substances III. Readily retrievable ``` A. I only B. II only C. I and II D. II and III E. I, II and III ```

According to Nebraska Pharmacy Law, a pharmacist may enter into a practice agreement with an independent licensed medical practitioner to provide pharmaceutical care according to written protocols. These practice agreements and written protocols must be signed and reviewed by the pharmacist and the independent medical practitioner ever ``` A. 30 days B. 6 months C. 12 months D. 2 years E. 3 years ```

A patient who is not terminally ill or a resident of a LTC facility comes to a pharmacy with a prescription for OxyContin written that day. After processing the claim, the pharmacist finds out that he does not have enough quantity to dispense the full supply. Under this circumstance, the pharmacist must fill the remaining quantity within: ``` A. 24 hours B. 72 hours C. 30 days D. 7 days E. 14 days ```

Permission to dispense a prescription in a non-child-resistant container may be requested by the: I. Patient II. Prescriber III. Pharmacist IV. Patient's family member ``` A. I only B. I and II C. I and III D. I and IV E. I, II and IV ```

After dispensing an emergency Schedule II drug, the pharmacist must contact which of the following upon not receiving a written prescription from the prescriber within the designated number of days? (select ALL that apply) ``` A. The prescriber B. The DEA C. The Department of Regulation and Licensure D. The State Board of Pharmacy E. The State Board of Medicine ```

According to Nebraska Pharmacy Law, all emergency boxes shall be inspected: (Select ALL that apply) ``` A. By a pharmacist designated by the supplying pharmacy B. Within 48 hours after opening C. At least once every 30 days D. At least once every 90 days E. By a pharmacy technician ```

A, C

What is the maximum number of refills that can be supplied on a prescription for Ambien (zolpidem)? ``` A. none B. Two C. Four D. Five E. No limit ```

Drugs, devices and biologicals requiring refrigeration must be stored between: ``` A. -4 and 14 degrees Fahrenheit B. 46 and 59 degrees Fahrenheit C. 36 and 46 degrees Fahrenheit D. 32 and 55 degrees Fahrenheit E. 26 and 36 degrees Fahrenheit ```

A pharmacist receives a fax for a compounded narcotic CII prescription for direct parenteral administration to a patient for the purpose of home infusion therapy. The pharmacist should: A. Compound the prescription as ordered B. Not compound the prescription C. Ask for the original prescription prior to compounding D. Hold the prescription for a physician's authorization E. Call and verbally verify the prescription

A prescriber can write multiple prescriptions for the same CII on the same day to be filled on different dates, as long as the total quantity does not exceed a ____ day supply. ``` A. 15 B. 30 C. 6 D. 90 E. 120 ```

Which of the following should be part of a patient's counseling? (select all that apply) A. The name and description of the drug B. The manufacturer of the drug C. Techniques for self-monitoring of therapy D. Action to be taken in the event of a missed dose E. The mechanism by which the drug exerts its effect

A, C, D

Which of the following is/are classified as Schedule I controlled substances? (Select ALL that apply) ``` A. Peyote B. Morphine C. Marijuana D. Codeine E. Amphetamine ```

A, C

Schedule I controlled drugs are classified as: (Select ALL that apply) A. Having a high potential for abuse B. Having a low potential for abuse C. Having no accepted medical use in the US D. Having an accepted medical use in the US

A, C

If a pharmacy technician accidentally mixes two bottles of Tylenol syrup with the same strength but different lot numbers and expiration dates, the resultant mixture in the pharmacy's inventory is ``` A. Adulterated B. Misbranded C. Deteriorated D. Contaiminated E. Adulterated and misbranded ```

Which of the following may be considered by the FDA, a violation of its compounding requirements? I. Compounding of drugs in anticipation of receiving prescriptions II. Compounding a product pursuant to an order III. Compounding drug products that are commercially available in the marketplace, unless that product is unavailable due to shortages IV. Compounding in a hospital for in hospital use ``` A. I and III B. I and IV C. II and IV D. III E. III and IV ```

A chart order in a hospital must contain all of the following: (Select ALL that apply) ``` A. Patient's name B. Date of the order C. Prescriber's signature D. Directions for administration E. Prescriber's name ```

A, B, D, E

How can a pharmacist verify that a prescriber is allowed to prescribe buprenorphine for treatment of opioid addiction? (Select all that apply) A. Confirm that the prescriber has been granted a waiver via SAMHSA B. Check the prescriber's regular DEA registration number: It ends with "X" C. The pharmacist must contact the prescriber to verify prescriber eligibility D. Check the prescriber's special Drug Enforcement Administration (DEA) number; physicans granted a waiver under DATA 2000 are issued a special DEA number that always begins with "X" E. The pharmacist must contact the State medical board to verify prescriber eligibility

A, D

At a minimum, how often must competencies for handling HDs be re-evaluated? A. Every month B. Every 12 months C. Every other year D. Every 5 years

Which of the following is not required when a prescription refill is transferred? A. Date of issuance of the original prescription B. Pharmacy license number of the transferring pharmacy C. Number of valid refills remaining D. Date of last refill

If ciprofloxacin tablets accidentally fall on the pharmacy floor, and are unknowingly dispensed by the pharmacist to the patient, the dispensed drug is ``` A. Adulterated B. Misbranded C. Deteriorated D. Mislabeled E. Adulterated and Misbranded ```

Who is required to assure that the Pharmacy Quality Assurance Report (PQAR) is submitted within 30 days of the due date of the report? ``` A. Any pharmacist B. The Attorney General C. The Licensee D. The Pharmacist-In-charge E. The Pharmac ymanager ```

The labeling requirements do not apply when a Schedule II, III, IV, or V drug is prescribed for administration to an institutionalized patient provided that: (Select ALL that apply) A. Not more than 7 day supply for a schedule II drug is dispensed at one time B. Not more than a 34 day supply or 100 dosage units, whichever is less, is dispensed at one time for a schedule III, IV and V C. The medication is not in the possession of the ultimate user prior to administration D. The medication is stored in a locked cabinet if in the possession of the ultimate user prior to administration E. The institution maintains appropriate safeguards and records regarding the proper administration control, dispensing and storage of the drug

A, B, C, E

A 30 year old customer wishes to know how many 30 mg Sudafed tablets he can purchase at one time. Which of the following is the correct answer? ``` A. 12 B. 60 C. 120 D. 240 E. 360 ```

Which of the following oral liquids is/are usually classified as a Schedule V controlled drug? I. Guaifenesin with codeine II. Hydrocodone with acetaminophen III. Acetaminophen with codeine ``` A. I only B. I and II C. I and III D. II and III E. I, II, and III ```

USP <800> requires what precaution when dispensing hazardous drugs (HDs)? A. HDs must be transferred to unit-dose packaging before dispensing B. Patients must verify their understanding of safe handling of HDs C. If no manipulation of the HD is required, it can be dispensed without any further requirements D. HDs must be sealed in impervious plastic before dispensing to the patient

Which of the following requires a Patient Package Insert when dispensed? A. Corticosteroids B. Ophthalmic drops C. Estrogen containing products D. Oral hypoglycemic

When receiving a medication delivery, you notice one tote is labeled as containing hazardous drugs. According to USP <800>, what must be done while handling the contents of the tote? A. Move the tote to a sterile compounding area before proceeding B. Wear appropriate powder-free chemotherapy gloves C. Open as non-hazardous materials unless it is found to be damaged D. Only the designated chemotherapeutics pharmacist may open this tote E. Open the tote only in a positive pressure space

Faxing a written, signed paper prescription for Schedule II controlled drugs may serve as the original prescription in which of the following situations: A. For a patient undergoing home infusion of a narcotic that has been compounded for direct parenteral administration B. For administration to a patient living in a LTCF C. For a patient in hospice care receiving a narcotic, bearing the words "hospice patient" D. For a patient picking up medication at a community pharmacy E. none of the above

A, B, C

The partial filling of morphine sulfate for terminally ill patients must be done within what time frame from the initial filling? ``` A. 72 hours B. 7 days C. 30 days D. 60 days E. 6 months ```

According to Nebraska Pharmacy Law, a Schedule II controlled substance can be (Select ALL that apply) A. Unlocked in a movable cabinet B. Distributed throughout the inventory of non-controlled substances C. Stored on a separate shelf within the inventory of non-controlled substances D. Stored in a cabinet that is locked when the pharmacy is closed E. Stored in a locked cabinent

B, E

Tamper-resistant packaging provides protection against A. Accidental poisoning B. Intentional contamination of OTC drugs C. Damage to the reputation of the brand name product D. Accidental breakage of containers

Which of the following shall be required on the prescription if the controlled substance prescription is written for an animal? I. Name of an animal II. The species of animal III. The name of the owner of the animal ``` A. I only B. I and II C. I and III D. II and III E. I, II and III ```

NPA review Flashcards

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