Prescription and Record Keeping

Question 1

Heroin

Answer 1

no currently accepted medical use

Schedule I

Question 2

LSD

Answer 2

no currently accepted medical use

Schedule I

Question 3

Methaqualone (Quaalude, Sopor)

Answer 3

sedative than increases activity of GABA receptors in brain and spinal cord
no currently accepted medical use
Schedule I

Question 4

Experimental drugs

Answer 4

no currently accepted medical use

Schedule I

Question 5

Amobarbital (Amytal)

Answer 5

Barbiturate derivative; hypnotic, sedative

Schedule II

Question 6

Cocaine

Answer 6

stimulant and euphoriant; used in medical procedures to numb nose, mouth and throat
Schedule II

Question 7

Hydromorphone (Dilaudid)

Answer 7

Schedule II

Question 8

Meperidine (Demerol)

Answer 8

opioid agonist, mu receptors; pre and post-op

Schedule II

Question 9

Methylphenidate (Ritalin; Concerta)

Methylphenidate (Methylin)

Answer 9

Methylin (second line treatment for narcolepsy, code e)
Ritalin (ADHD)
blocks reuptake of presynaptic norepinephrine and dopamine
Schedule II

Question 10

Morphine (Roxanol)

Answer 10

Schedule II

Question 11

Opioid derivatives (tincture of opium)

Answer 11

Schedule II

Question 12

Oxycodone (Percodon, Percocet)

Answer 12

relative mu receptor selectivity, affinity with all opioid receptors
Schedule II

Question 13

Pentobarbital (Nembutal)

Answer 13

sedative-hypnotic; preanesthetic; seizures

Schedule II

Question 14

Phenmetrazine (Preludin)

Answer 14

Appetite suppressant

Schedule II

Question 15

Secobarbital (Seconal)

Answer 15

pre-op anxiety; insomnia for no more than a seven-day use

Schedule II

Question 16

Hydrocodone (Lortab, Lorcet, Tussionex, Hycodan)

Answer 16

chronic pain; cough suppressant (semisynthetic opioid antitussive)
Schedule II

Question 17

Acetaminophen with Codeine

Answer 17

Schedule III

Question 18

Aspirin with Butalbital and Codeine (Fiorinal with Codeine)

Answer 18

tension headaches

Schedule III

Question 19

Aspirin with Codeine

Answer 19

Schedule III

Question 20

Aspirin with Butalbital (Fiorinal)

Answer 20

Schedule III

Question 21

Barbituric acid derivatives

Answer 21

CNS depressant; sedative-hypnotics, anticonvulsants, anxiolytics, tranquilizers
largely replaced by benzodiazepines
Schedule III

Question 22

Butabarbital (Butisol)

Answer 22

fast onset short duration barbiturate; sleep aid, anxiety

Schedule III

Question 23

Pentobarbital suppository (Nembutal)

Answer 23

Schedule III

Question 24

Secobarbital suppository

Answer 24

Schedule III

Question 25

Butorphanol (Stadol)

Answer 25

full agonist at kappa receptor, partial agonist at mu receptor Schedule IV

Question 26

Carisoprodol (Soma)

Answer 26

skeletal muscle relaxant | Schedule IV

Question 27

Meprobamate

Answer 27

nonbenzodiazepine anxiolytics | Schedule IV

Question 28

Pentazocine-naloxone (Talwin NX)

Answer 28

opioid partial agonist | Schedule IV

Question 29

Phenobarbital

Answer 29

anticonvulsants; barbiturates | Schedule IV

Question 30

Tramadol

Answer 30

non opioid derived synthetic opioid, may at least partially bind to mu receptors Schedule IV

Question 31

Zolpidem (Ambien)

Answer 31

selective antagonism of GABA receptors; sedative-hypnotic, sleep aid Schedule IV

Question 32

Benzodiazepines

Answer 32

Schedule IV

Question 33

Codeine cough syrups (Robitussin with codeine, Actifed with Codeine)

Answer 33

Schedule V

Question 34

Diphenoxylate with atropine (Lomotil)

Answer 34

Diphenoxylate: decrease GI propulsion and motility (like morphine) Atropine: subtherapeutic dosage to discourage deliberate overdose Schedule V

Question 35

Must identify medical conditions as "Code A to F" when...

Answer 35

prescribing controlled substance Schedules II to IV for > 30 days

Question 36

Code A

Answer 36

Anxiety

Question 37

Code B

Answer 37

ADD

Question 38

Code C

Answer 38

chronic debilitating neurologic disorders (seizures, movement disorders)

Question 39

Code D

Answer 39

Pain relief (chronic and incurable)

Question 40

Code E

Answer 40

Narcolepsy

Question 41

Code F

Answer 41

hormone deficiency in males, gynecologic conditions and breast cancer in women, anemia and angioedema responsive to anabolic steroids or chorionic gonadotrophin

Question 42

A National Provider Identifier number is issued by

Answer 42

CMS | US Center for Medicaid and Medicare Services

Question 43

All non electronic prescriptions must be issued on...

Answer 43

ONYSRx forms

Question 44

Where can you (1) order ONYSRx (2) renew registration with DoH (3) attest to completion of mandatory prescriber education (4) access the Prescription Monitoring Program (PMP)

Answer 44

NYS DoH | Health Commerce System Account (HCSA)

Question 45

Mandatory prescriber education every...

Answer 45

3 yrs

Question 46

Register with the NYS DoH Health Bureau of Narcotic Enforcement every ____ for...

Answer 46

Two years Prescribe controlled substances Obtain ONYSRx forms

Question 47

In NY, every prescription for a controlled substance must include a _______ number

Answer 47

Drug Enforcement Administration (DEA)

Question 48

Computer software must be ...

Answer 48

Secure (encrypted and encoded) Certified by FDA or audited Registered with NYS DoH BNE

Question 49

In order to obtain medicaid benefits the NP must...

Answer 49

Obtain a Medicaid Provider number

Question 50

Before initially prescribing a controlled substance and many other drugs the prescriber is legally required to _____, except____

Answer 50

``` Examine patient Sexual partner(s) of patient with chlamydia ```

Question 51

When not using an electronic prescription, the prescriber must ___

Answer 51

Document reason in patient's record

Question 52

A pharmacist will not issue a refill for Schedule III-V drugs until ___

Answer 52

The patient has exhausted all but a seven day supply

Question 53

These drugs can only be prescribed via phone in an emergency

Answer 53

Benzodiazepines | Schedule II Drugs

Question 54

Opioids for acute pain can only be prescribed for...

Answer 54

7 days

Question 55

DAW

Answer 55

Dispense as written to distinguish generic vs Brand

Question 56

In general a prescription must include a pts

Answer 56

Name address dob/age

Question 57

A prescription for a schedule II controlled substance must include

Answer 57

The pts sex

Question 58

When issuing a prescription for a thirty day of Sched III, IV, and V (excluding benzos) the prescriber may authorize ___ refills

Answer 58

5

Question 59

When issuing a prescription for over a 3 month supply of schedule III, IV, and V (except benzos) ____ refill(s) may be authorized

Answer 59

One NY law requires the number of refills authorized be in numeric and word for. Refills are honored for up to 180 days

Question 60

A schedule III, IV or V drug may be personally called in by the prescriber for a maximum of ___, after which they have ___ to ___

Answer 60

5 day supply 72 hours Send in an ONYSRx form or electronic prescription

Question 61

When schedule II or benzodiazepines are called in, ___ refills are allowed

Answer 61

0