Exam 2 - Quiz and In-class Questions Flashcards
Which of the following is DEA registration based on? (SELECT ALL THAT APPLY)
a. The amount of drugs handled.
b. The location of the facility.
c. The schedules of drugs handled.
d. The activities a person engages in.
e. The size of the facility.
c. The schedules of drugs handled.
d. The activities a person engages in.
Which option differentiates a schedule I product from all other schedules?
a. Schedule I products have no medical use in the US.
b. Schedule I products are the only products used illicitly.
c. Schedule I products have very high abuse potential.
d. Schedule I products can only be used for research purposes.
e. Schedule I products have a higher risk for dependence liability than products in other schedules.
a. Schedule I products have no medical use in the US.
A foreign-trained physician issued a prescription using an institutional DEA number and suffix. The physician is a hospitalist and discharged the patient from the hospital today. They prescribed Norco 5/325mg for 14 days to get the patient through until their follow-up appointment with their primary care provider. What is the most appropriate choice and reasoning when considering filling the prescription noted in this situation?
a. Can fill, this prescription was issued appropriately.
b. Cannot fill, the prescription was issued for a schedule that is not eligible to be prescribed on an institutional DEA number.
c. Can fill, it is not a pharmacist’s job to check the legitimacy of institutional DEA use.
d. Cannot fill, institutional DEA numbers only authorize providers to prescribe at most a seven-day supply of medication.
e. Cannot fill, foreign-trained physicians cannot use an institutional DEA number.
a. Can fill, this prescription was issued appropriately.
Which of the following products must be stored in a safe?
a. thiafentanil
b. lamotrigine
c. phenobarbital
d. methadone
e. oxycodone
a. thiafentanil
(look at lecture 10, slide 26)
Which of the following registrations is a valid registration for an institution called Happy Hospital?
a. BH1234563
b. MH1234563
c. HA1234560
d. HH1234564
e. FH1234567
a. BH1234563
A patient comes in and asks to purchase a controlled substance over the counter. Which of the following are true regarding sales limits?
a. No more than ten dosage units of a product containing a controlled substance without opium.
b. No more than 24 dosage units of any product containing opium.
c. No more than 120 milliliters of a product containing a schedule II drug.
d. No more than 240 milliliters of a product containing opium.
d. No more than 240 milliliters of a product containing opium.
What is the maximum amount of ephedrine an individual can purchase over-the-counter in a single transaction?
a. 3.6 grams
b. 1.2 grams
c. 0.72 grams
d. 5.4 grams
a. 3.6 grams
All of the medications below are classified as narcotics EXCEPT:
a. Robitussin A-C
b. heroin
c. cocaine
d. Duragesic
e. marijuana
e. marijuana
How frequently must the DEA registration that Pfizer holds be renewed?
a. Every 6 months
b. Every year
c. Every two years
d. Every three years
b. Every year
A pharmacy holding a dispensing registration with the DEA covering drug schedules 2, 2N, 3, 3N, 4, and 5 is permitted to perform all of the following coincident activities EXCEPT:
a. Conducting research on diabetic neuropathy relief scores for patients taking pregabalin
b. Instructing students on the appropriate method for disposal of expired phenobarbital
c. Operating as a central fill pharmacy for the distribution of methylphenidate 27mg, 36mg, and 54mg to partnering pharmacies
d. Manufacturing an alprazolam 0.25mg/5 mL suspension to be dispensed to a patient
d. Manufacturing an alprazolam 0.25mg/5 mL suspension to be dispensed to a patient
Select all of the following factual statements around completing a DEA 222. (SELECT ALL THAT APPLY)
a. The pre-printed information on the 222 must be correct, or the DEA must issue new forms.
b. Only schedule II products can be ordered on an electronic 222.
c. A supplier must report paper 222 purchases to ARCOS or forward a copy of the form to the DEA by the end of the month the order was filled.
d. When ordering on a paper 222, the purchaser must indicate the last line completed on the form.
e. Anyone in the pharmacy can sign a paper 222.
a, c, d
A pharmacy is due to complete its official inventory on April 15 of this year. A non-controlled substance will become a controlled substance on April 14, of this year. What is the most appropriate choice in this case?
a. Estimate the count on the day the product becomes controlled and exactly count the product the next day with the official inventory.
b. Count the newly controlled product on the day it becomes controlled, use that number in the official inventory the next day, and wait to count it again in the next official inventory.
c. Count the newly controlled product on the day it becomes controlled and again the next day in the official inventory.
d. Wait to count the newly controlled product with the official inventory since it is the day after it becomes controlled.
c. Count the newly controlled product on the day it becomes controlled and again the next day in the official inventory.
Records for all of the following products can be stored together EXCEPT:
a. testosterone
b. carisoprodol
c. pentobarbital
d. Compazine
e. gabapentin
c. pentobarbital
(this is the only C2 here)
A prescriber issued a written prescription for Valium for a patient. There was missing information and errors on the prescription. Which of the following items can a pharmacist add or change on this prescription based on the actions noted without a prescriber issuing a new prescription? (SELECT ALL THAT APPLY)
a. Add an address after discussion with the patient.
b. Change the dose to a lower available dose after discussion with the provider.
c. Add directions when none were listed previously after discussion with the provider.
d. Clarify that we may dispense diazepam for the patient after discussion with the provider.
e. Correct a missing DEA number after discussion with the provider.
all of the above
Select all of the following prescriptions that we can accept for Nuvigil according to federal law (SELECT ALL THAT APPLY)
a. Telephone prescription immediately reduced to writing by the pharmacist receiving the prescription.
b. Written prescription electronically signed by the provider.
c. Faxed prescription manually signed by the provider.
d. Electronic prescription electronically signed by the provider.
a, c, d
(Nuvigil is a CIV)
A pharmacist receives a prescription for a controlled substance and notes several concerning traits of the prescription. What is the most appropriate choice in this situation?
a. Notify the police that the patient has forged a prescription.
b. Refuse to dispense the medication and write notes on the prescription warning other pharmacists that it is fraudulent.
c. Tell the patient the medication is out of stock, so they take it to a different pharmacy.
d. Call the provider to attempt to resolve the concerns identified.
d. Call the provider to attempt to resolve the concerns identified.
Select all of the following prescriptions that can be sent to the pharmacy by fax and the fax used as the original. (SELECT ALL THAT APPLY)
a. lorazepam for a patient in a long-term care facility.
b. dexmethylphenidate for a patient in a long-term care facility.
c. lisdexamfetamine for a patient in hospice care.
d. tramadol for a patient in an outpatient setting.
e. Roxanol for a patient in hospice care.
a, b, d, e
(lorazepam = CIV;
b and c are CIIs;
tramadol = CIV;
Roxanol = CII)
In order for a controlled substance prescription to be considered “readily retrievable” in a computer system, it must be able to be searched by all of the following criteria EXCEPT
a. Date filled
b. Drug dispensed
c. DEA Schedule
d. Patient name
e. Prescriber name
c. DEA Schedule
According to the DEA, which of the following records CANNOT be stored centrally? (SELECT ALL THAT APPLY)
a. Power of Attorney
b. Biennial inventories
c. Executed DEA Form 41s
d. Executed DEA Form 222s
e. C-III, C-IV, and C-V prescriptions
a, b, d, e
(cannot store executed order forms, inventories, or prescriptions centrally; lec 11, slide 12)
Which of the following prescriptions would be acceptable for a pharmacist to fill utilizing a fax as the original prescription
a. A prescription for pentobarbital 150mg with a wet signature to be directly administered to the patient intramuscularly
b. A prescription for hydromorphone 8mg with a wet signature for a patient enrolled in a hospice care program
c. A prescription for lysergic acid diethylamide 0.2mg with an electronic signature for a resident of a long term care facility
d. A prescription for temazepam 15mg with an electronic signature for a patient coming to pick up the prescription from the pharmacy
b. A prescription for hydromorphone 8mg with a wet signature for a patient enrolled in a hospice care program
A physician calls a community pharmacy and wants to issue a prescription for oxycodone for a homebound patient. They need the medication immediately and have no viable alternative. The prescriber can only transmit the prescription via phone or fax machine due to tech issues. Assuming the pharmacist verifies the prescription is issued appropriately, which of the following is true regarding a prescription of this type?
a. This medication can always be issued via phone without any additional requirements according to federal law.
b. The prescription may be transmitted via fax because the patient’s condition meets the criteria for this medication to be sent in via fax.
c. The prescription can only be filled by an inpatient pharmacy since the patient is homebound.
d. A covering prescription must be issued and have “authorization for emergency dispensing” on the face of the prescription or noted on the electronic prescription.
d. A covering prescription must be issued and have “authorization for emergency dispensing” on the face of the prescription or noted on the electronic prescription.
On April of this year, a patient requests you transfer all of their prescriptions to your pharmacy chain, YNWA Pharmacy. YNWA Pharmacy is a chain without a shared database. They have prescriptions across multiple pharmacies and pharmacy chains. Which prescription can you transfer into YNWA Pharmacy today?
a. phentermine, at City Pharmacy #4, a chain with a shared database, written December 5 last year, filled three times with one refill remaining, transferred previously from YNWA Pharmacy.
b. Ativan, at City Pharmacy #4, a chain with a shared database, written January 27 this year, filled once with no refills remaining, never transferred.
c. Lomotil, at a different YNWA Pharmacy, written September 29 last year, filled once with one refill remaining, transferred previously from City Pharmacy #4.
d. Lyrica, at City Pharmacy #4, a chain with a shared database, written February 18 this year, filled twice with three refills remaining, transferred previously from City Pharmacy #23.
e. codeine, at a different YNWA Pharmacy, written prescription issued on March 3 this year, never filled.
d. Lyrica, at City Pharmacy #4, a chain with a shared database, written February 18 this year, filled twice with three refills remaining, transferred previously from City Pharmacy #23.
On January 1 of this year, a provider issued a prescription for four triazolam tablets with one refill. The patient fills the prescription on January 8, and refills the prescription on March 7. On April 1, the patient requests additional refills from the prescriber. How many additional refills, if any, may the prescriber authorize for this prescription on April 1 of this year?
a. 0
b. 1
c. 3
d. 4
e. 5
d. 4
A pharmacy intern was recently caught stealing two tablets of Adderall 5mg from the pharmacy. All of the following are true regarding this situation EXCEPT:
a. The Board of Pharmacy must be notified of the situation within one day of discovery.
b. If completed, a DEA Form 106 should be sent to both the DEA and Board of Pharmacy.
c. The theft of two tablets is not a significant loss, so this instance would not need to be reported to the DEA.
d. If completed, a DEA Form 106 must be filed within 45 days of discovery.
c. The theft of two tablets is not a significant loss, so this instance would not need to be reported to the DEA.
You are working at Juniper Pharmacy when James Smith comes in with a prescription to fill. The prescription is for fentanyl 50mcg patches with directions apply every 72 hours from Dr. Jones. The prescription is complete as written. Assuming the information is correct as written, select all of the following pieces of information required on a prescription label. (SELECT ALL THAT APPLY)
a. Rx # 2330424
b. Mylan manufacturer
c. James Smith
d. Juniper Pharmacy 123 Main Street
e. Dr. Jones’s DEA number: FJ1234563
a, c, d
Select all of the following DEA forms that must be used when destroying testosterone and meperidine products with a reverse distributor. The forms may be used by the pharmacy or the reverse distributor. (SELECT ALL THAT APPLY)
a. 41
b. 224
c. 106
d. 82
e. 222
a. 41
e. 222
A central fill pharmacy filling a prescription for Ultram must maintain a record for all of the following EXCEPT:
a. A copy of the prescription
b. The refills remaining on the prescription
c. The date the prescription was delivered to the community pharmacy
d. The name of the pharmacist filling the prescription
b. The refills remaining on the prescription
Which of the following statements is correct regarding controlled substance prescription labels?
a. A Subutex prescription filled at a central fill pharmacy has the same prescription label requirements as a Subutex prescription filled at the dispensing pharmacy.
b. A prescription for Norco 5/325, #60, taking 1 to 2 tablets by mouth every 6 hours as needed, does not need to meet prescription label requirements if provided by an institution for direct administration
c. A prescription for Lyrica, #90, taking 1 tablet by mouth twice daily, does not need to meet prescription label requirements if provided by an institution for direct administration
d. None of the above statements is correct regarding controlled substance prescription labels
d. None of the above statements is correct regarding controlled substance prescription labels
A prescription for Tylenol #3 with codeine is sent to a pharmacy, which does not have the full amount in stock. A partial fill is initiated by the pharmacy for this prescription. When must the remainder of the prescription be ready for pick up?
a. 72 hours from the date filled
b. 7 days from the date written
c. 30 days from the date filled
d. 60 days from the date written
e. 6 months from the date written
e. 6 months from the date written
A refill for Lunesta is completed for a patient in a community pharmacy setting. Which of the following items must be documented by the pharmacy if the pharmacy documents for refills on the back of the original prescription? (SELECT ALL THAT APPLY)
a. The prescriber’s name
b. The quantity dispensed
c. The date refilled
d. The dispensing pharmacist’s initials
e. The dosage dispensed
b, c, d
All the following agencies were at one time tasked with enforcing controlled substance laws EXCEPT:
a. Bureau of Really, Really, Really Narcotic Materials
b. The Bureau of Narcotics and Dangerous Drugs
c. The Federal Bureau of Narcotics
d. The Narcotic Division of the Internal Revenue Bureau
a. Bureau of Really, Really, Really Narcotic Materials
Which of the following is NOT a factor for consideration when determining whether a drug is a controlled substance?
a. Scientific evidence of its pharmacologic effect
b. Packaging of the product
c. Potential risk to public health
d. History and pattern of abuse
b. Packaging of the product
All of the following are matched appropriately EXCEPT:
a. CV: Limited physical dependency compared to CIV
b. CII: High potential for abuse
c. CI: No medical use
d. CIII: Limited psychological dependency compared to CIV
d. CIII: Limited psychological dependency compared to CIV
Parepectolin® is a CV opium containing preparation available OTC for the treatment of diarrhea. Which of the following is accurate in relation to sale limitations for Parepectolin®?
a. 120 mL (4 fl.oz) or 24 dosage units in a 24-hour period
b. 120 mL (4 fl.oz) or 24 dosage units in a 48-hour period
c. 240 mL (8 fl.oz.) or 48 dosage units in a 24-hour period
d. 240 mL (8 fl.oz.) or 48 dosage units in a 48-hour period
d. 240 mL (8 fl.oz.) or 48 dosage units in a 48-hour period
Which of the drugs listed below is appropriately matched to its DEA Registration Schedule?
a. Oxycodone: 2N
b. Cocaine: 2
c. Codeine preparations 200mg/(100 mL or 100 gm): 3N
d. Alprazolam: 3
b. Cocaine: 2
Which of the following DEA registrants are allowed to perform some type of coincident activities (SELECT ALL THAT APPLY)
a. Exporting
b. Chemical Analysis
c. Distributing
d. Importing
b, c, d
Which of the following is a valid 7th digit for this DEA number:
AM359342_
a. 6
b. 2
c. 4
d. 8
a. 6
All of the following individuals are exempted from registering with the DEA EXCEPT:
a. A United States Postal Service worker delivering methylphenidate from a mail order pharmacy to a patient
b. A podiatrist issuing a prescription for hydrocodone/acetaminophen at an ambulatory care clinic
c. A pharmacist preparing morphine IV in an inpatient pharmacy for administration in the ICU
d. dog owner picking up lorazepam for the dog’s anxiety
b. A podiatrist issuing a prescription for hydrocodone/acetaminophen at an ambulatory care clinic
A DEA registrant pharmacy has employed an individual for five years who was just arrested for possession of a Schedule I narcotic drug, a felony charge. Which of the following is the most accurate statement related to this situation?
a. The registrant may continue to employ the individual because the drug was not obtained from the pharmacy
b. There is not enough information to determine whether the individual may continue to be employed
c. The registrant may not employ the individual according to the Controlled Substances Act
d. The registrant may continue to employ the individual because they have not been convicted of a felony
d. The registrant may continue to employ the individual because they have not been convicted of a felony
All the following are examples of appropriate records and reports storage according to the CSA EXCEPT:
a. An Ativan prescription placed in a file with non-controlled substance prescriptions in a readily retrievable manner
b. An executed DEA Form 222 stored in a central recordkeeping location as indicated by the registrant in a letter to the DEA
c. A DEA Form 106 stored in a central recordkeeping location as indicated by the registrant in a letter to the DEA
d. A Jornay PM prescription placed in a file with C-II controlled substance prescriptions
b. An executed DEA Form 222 stored in a central recordkeeping location as indicated by the registrant in a letter to the DEA
Which of the following products may be estimated when conducting an official inventory?
a. Oxycodone IR 5mg tablet, open 100 count bottle
b. Phentermine 37.5mg tablet, open 500 count bottle
c. Codeine 30mg tablet, open 1,500 count bottle
d. Alprazolam 0.25mg tablet, open 5,000 count bottle
b. Phentermine 37.5mg tablet, open 500 count bottle
Which of the following best describes how executed DEA Form 222s must be stored by purchasers?
a. Original kept at the registered location for a minimum of 2 years
b. Copy kept at the registered location for a minimum of 60 days
c. Original kept at the registered location or central recordkeeping for a minimum of 60 days
d. Copy kept at the registered location for a minimum of 2 years
d. Copy kept at the registered location for a minimum of 2 years
Which of the following is an example of a legally acceptable controlled substance prescription?
a. An electronic order sent for Oxy IR administered by the nurse directly upon receipt of the medication
b. An electronic order sent for Metadate CD for a telemedicine patient by a physician who had not seen the patient previously
c. A phone order by a medical assistant for Vicodin ES for an emergency as authorized by a physician for an established patient
d. A written order by a physician for Adderall XR for a patient to stay awake for a 24-hour car trip
b. An electronic order sent for Metadate CD for a telemedicine patient by a physician who had not seen the patient previously
All of the following meet the federal standards for legally acceptable prescriptions EXCEPT:
a. A phone in prescription for alprazolam tablets for an ambulatory patient
b. A faxed prescription with a wet signature for pregabalin for a patient enrolled in hospice
c. A faxed prescription with a wet signature for fentanyl patches for direct administration to a patient
d. An electronic prescription with an electronic signature for lisdexamfetamine capsules for an ambulatory patient
c. A faxed prescription with a wet signature for fentanyl patches for direct administration to a patient
A pharmacist may correct all the following information on a prescription for morphine 30mg tablets EXCEPT:
a. Authorization for generic substitution
b. The address of the patient
c. The drug prescribed
d. The quantity prescribed
c. The drug prescribed
All of the following prescriptions are written in compliance with federal law and may be initially filled today EXCEPT:
a. A prescription for methylphenidate with zero refills written 5/8/2024
b. The first of three separate prescriptions written for hydromorphone for one patient on 2/27/2025, which does not have a “fill on or after” date
c. A prescription for carisoprodol with three refills written 12/13/2024
d. A prescription for clonazepam with zero refills written 7/24/2024
d. A prescription for clonazepam with zero refills written 7/24/2024
Which of the following is NOT in compliance with federal law in relation to partial filling of a controlled substance?
a. A partial fill of Vyvanse requested by a patient, with the remainder filled 15 days later
b. A partial fill of Marinol requested by a patient, with the remainder filled 45 days later
c. A partial fill of Ativan due to the product being out of stock, with the remainder filled 10 days later
d. A partial fill of MS Contin due to the product being out of stock, with the remainder filled 7 days later
d. A partial fill of MS Contin due to the product being out of stock, with the remainder filled 7 days later
When filling a controlled substance at a central fill pharmacy, all the following documentation must be maintained by the community pharmacy EXCEPT:
a. The pharmacist filling the prescription
b. The pharmacist transmitting the prescription to the central fill pharmacy
c. The address of the central fill pharmacy
d. The original prescription
a. The pharmacist filling the prescription
Which of the following statements is true according to federal law?
a. A pharmacist receiving a transfer for testosterone must record the DEA number of the receiving pharmacy on the prescription
b. A pharmacist giving a transfer for a written tramadol prescription must write ‘TRANSFERRED’ on the face of the original prescription
c. A written prescription for methadone may be transferred one time if not previously filled
d. A phoned in prescription for Lomotil must be filled at least one time before being transferred
d. A phoned in prescription for Lomotil must be filled at least one time before being transferred
All the following treatments for Substance Use Disorder are acceptable according to federal laws and regulations EXCEPT:
a. A physician registered as an NTP dispensing methadone tablets regularly over the course of 14 days as maintenance treatment
b. A physician directly administering Suboxone maintenance therapy to a patient pursuant to a prescription delivered to the physician’s office
c. A physician continuing Suboxone maintenance therapy for a hospitalized patient who suffered a heart attack
d. A physician not registered as an NTP dispensing methadone tablets one time for a 3-day course as detoxification treatment
b. A physician directly administering Suboxone maintenance therapy to a patient pursuant to a prescription delivered to the physician’s office
What type of DEA Registration is primarily utilized by pharmacies?
a. Narcotic treatment program
b. Reverse distributing
c. Dispensing or instructing
d. Distributing
c. Dispensing or instructing
Which of the following DEA Forms is NOT correctly paired with its action?
a. DEA Form 106: Reporting of Theft or Significant Loss
b. DEA Form 222: Controlled Substance Ordering
c. DEA Form 224: Application for Dispensing or Instructing Registration
d. DEA Form 41: Application for Reverse Distributor Registration
d. DEA Form 41: Application for Reverse Distributor Registration
