Fed Pharm Ops Flashcards
Which of the following is an acceptable incidental disclosure of protected health information?
A. A hospital visitor overhears two physicians discussing a patient case by the workstation.
B. A nurse finds printed patient notes on the ground outside the cafeteria.
C. The prescriptions in a retail pharmacy are kept in clear bags, and a patient sees the drug name and name of the next patient.
D. Pharmacists discussing a specific patient case are overheard in the elevator.
E. A nurse sits down at a computer that has another nurse’s patient chart open.
A. A hospital visitor overhears two physicians discussing a patient case by the workstation.
How should the pharmacist counsel a patient on various options for disposing of a used fentanyl patch? (Select ALL that apply.)
A. Flush the used patch down the toilet.
B. Throw away the used patch in a yellow chemotherapy trace waste container.
C. Mix the used patch with coffee grounds and throw it away in the household trash.
D. Store it safely and securely until it can be returned to a DEA-authorized collector or take-back program.
E. Throw away the used patch in a red sharps container.
A. Flush the used patch down the toilet.
D. Store it safely and securely until it can be returned to a DEA-authorized collector or take-back program.
What program implemented by the DEA includes over 3,000 collection sites nationwide that participate in a national program to collect unneeded prescription drugs?
A. Take-control
B. Alert
C. Take-back
D. Take-away
E. ReUse-and-ReCycle
C. Take-back
When does the pharmacy need to provide the Notice of Privacy Practices to a patient? (Select ALL that apply.)
A. At the first time service is offered
B. Every time service is offered
C. When the privacy practice is updated
D. Annually
E. At the request of the patient
A. At the first time service is offered
C. When the privacy practice is updated
E. At the request of the patient
All of the following are correct regarding medication guides (MedGuides) EXCEPT:
A. They are required for products that pose a serious and significant concern.
B. The MedGuide must be approved by the FDA.
C. The physician is required to provide it when a new prescription is provided for a drug with a MedGuide.
D. They may be part of a REMS program.
E. They are required for all prescription NSAIDs and antidepressants.
C. The physician is required to provide it when a new prescription is provided for a drug with a MedGuide.
A 28-year-old female who is currently taking the oral contraceptive Yaz is admitted to the hospital. How often does the patient package insert for Yaz need to be provided while she is in the hospital? (Select ALL that apply.)
A. When the first dose is administered
B. Every time a dose is administered
C. Every 15 days
D. Every 30 days
E. Every 60 days
A. When the first dose is administered
D. Every 30 days
A pharmacist receives a call from another pharmacy asking if they can borrow Claravis to fill a prescription for a female patient. Which of the following is the most appropriate response?
A. Claravis cannot be lent or sold to another pharmacy.
B. A DEA Form 222 will need to be sent to purchase Claravis.
C. Can you confirm that the patient has two negative pregnancy tests?
D. This drug was removed from the market for safety reasons.
E. Is your pharmacy enrolled in iPLEDGE REMS?
A. Claravis cannot be lent or sold to another pharmacy.
generic is isotretinoin
Which of the following drugs is exempt from child-resistant packaging?
A. Loperamide 2 mg capsules
B. Topical minoxidil
C. Acetaminophen 500 mg powder packet
D. Aspirin 325 mg tablets
E. Clarithromycin 500 mg tablets
C. Acetaminophen 500 mg powder packet
The purpose of the prospective drug utilization is to look for all of the following EXCEPT:
A. Therapeutic duplication
B. Incorrect dose
C. Incorrect treatment duration
D. Lower-cost drug therapy options
E. Drug-drug interactions
D. Lower-cost drug therapy options
A 75-year-old patient had been using clopidogrel, aspirin, lisinopril, carvedilol, furosemide, and potassium. The patient recently expired and the family is asking the pharmacist what to do with his medications. Which of the following is the best disposal method for these drugs?
A. A community “take-back” program for unwanted drugs.
B. Removing identifying information and disposing of it in the trash.
C. Flushing pills down the toilet and throwing empty containers in the trash.
D. Donating to a charitable organization.
E. Sending back to the manufacturers.
A. A community “take-back” program for unwanted drugs.
Based on the REMS program, what threshold must the ANC be at or above to initiate Versacloz treatment?
A. 500/mm³
B. 1,000/mm³
C. 1,500/mm³
D. 3,000/mm³
E. 4,500/mm³
C. 1,500/mm³
Agranulocytosis (loss of granulocytes, which are required to fight infection) limits the use of clozapine (Clozaril, Versacloz), along with a risk of seizures. Do not initiate clozapine if the ANC is below 1,500/mm³. Therapy must be interrupted if the ANC drops to < 1,000/mm³ during treatment.
The provisions of the Poison Prevention Packaging Act apply to which of the following populations?
A. Hospital inpatients
B. Nursing home residents
C. Residents of senior citizen apartment complexes
D. Long-Term Care Facility residents
E. Animals seen in a veterinarian’s office
C. Residents of senior citizen apartment complexes
The Poison Prevention Packaging Act (PPPA) act is intended to apply to products that can poison children, who can be exposed in many settings, including at their grandparents’ residence and in their own homes. The PPPA does not apply to settings where healthcare professionals, such as nurses, administer drugs.
A patient has many empty plastic prescription containers around the house. He asks the pharmacy if he can reuse them to fill his following month’s prescriptions. How many times can a plastic container and child-resistant cap be reused?
A. Once
B. Twice
C. No limit
D. Zero
E. Determined by pharmacist’s professional judgment
D. Zero
A patient has the following medications at home which she needs to dispose of: pregabalin, Strattera, Oxycontin, diltiazem, and sertraline. According to the FDA, which of the following medications is permissible to flush down the toilet?
A. Strattera
B. Oxycontin
C. Pregabalin
D. Diltiazem
E. Sertraline
B. Oxycontin
The FDA’s Flush List for Certain Medicines is a list of medications that can be flushed down the toilet if a drug take-back program is not readily available. The list includes many single-ingredient opioids like Oxycontin.
Which of the following is a covered entity under the Health Portability and Accountability Act (HIPAA)?
A. Food and Drug Administration
B. Insurance company
C. Law enforcement
D. Board of Pharmacy
E. Drug Enforcement Administration
B. Insurance company
Which of the following references should the pharmacist consult with when determining the therapeutic equivalence of levothyroxine products?
A. The Purple Book
B. The Red Book
C. The Orange Book
D. Facts and Comparisons
E. The Pink Book
C. The Orange Book
Who must perform the prospective drug utilization review before a prescription is dispensed to a patient?
A. Pharmacist
B. State Board of Pharmacy
C. DEA
D. FDA
E. Pharmacy and Therapeutics Committee
A. Pharmacist
Child-resistant containers are designed to protect children from accidentally ingesting drugs. Who can grant a blanket waiver for use of child-resistant containers?
A. Pharmacist
B. Prescriber
C. Patient
D. Prescriber and patient
E. None of the answer choices are correct
C. Patient
All of the following are prescription tamper-resistant security features EXCEPT:
A. A repetitive void pattern appears when the form is photocopied.
B. Checkboxes with the number of tablets or capsules prescribed.
C. Pre-printed serial numbers.
D. Microprint signature line.
E. Alternate color papers on the pad (e.g., yellow-white, yellow-white).
E. Alternate color papers on the pad (e.g., yellow-white, yellow-white).
OBRA requires the offer to counsel be made to which patient population?
A. Patients with Medicaid
B. Patients over the age of 65 years
C. Patients receiving schedules II or III medications
D. Patients under the age of 18 years
E. None of the answers are correct
A. Patients with Medicaid
When administering estrogen to a long-term care facility resident, how often does a patient package insert (PPI) need to be given?
A. With each dose.
B. With the first dose and every 30 days thereafter during continuous therapy.
C. With the first dose and every 60 days thereafter during continuous therapy.
D. With the first dose and every 90 days thereafter during continuous therapy.
E. It does not need to be given to the patients in a long-term care facility.
B. With the first dose and every 30 days thereafter during continuous therapy.
Which of the following drugs require child-resistant packaging?
A. Nitrostat sublingual tablets
B. Fiorinal tablets
C. Pancrelipase capsules
D. Yaz tablets
E. Medroxyprogesterone tablets
B. Fiorinal tablets
The FDA reviews and approves which of the following written information for patients? (Select ALL that apply.)
A. Consumer medication information (CMI)
B. Mailers for OTC medications
C. Patient package inserts (PPI)
D. MedGuides
E. TV commercials for OTC medications
C. Patient package inserts (PPI)
D. MedGuides
