First Exam

Question 1

A pharmacy is permitted to re-dispense a returned prescription drug product as long as it is in the original, unopened, tamper evident packaging.
A. True
B. False

Answer 1

A. True

Question 2

OBRA 90 mandates prospective drug use review and patient counseling on all new prescriptions in Texas.
A. True
B. False

Answer 2

A. True

Question 3

General requirements for inventories include:
I. Estimated count of all controlled substances in Schedules II, IV, V
II. Exact count of all Schedule II controlled substances
III. Schedule II controlled substances listed separately on inventory

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

Answer 3

C. II and III only

Question 4

A community pharmacy received a prescription from a medical resident of a local hospital. The hospital’s DEA registration number was on the prescription with the internal code number assigned to the resident. The prescription was signed by the resident but the resident’s name was nowhere else on the prescription. Which of the following would be correct:

A. A prescription from a resident using a hospital registration number is not valid outside the hospital pharmacy.
B. The prescription is not facially valid because the resident’s name must be stamped, typed or handprinted on the prescription.
C. The prescription is facially valid
D. Statements A & B are correct
E. Statements A & C are correct

Answer 4

B. The prescription is not facially valid because the resident’s name must be stamped, typed or handprinted on the prescription.

Question 5

HIPPA. True or False. A covered entity may not disclose protected health information to law enforcement officials without first providing the patient with an opportunity to object to the
disclosure.
A. True
B. False

Answer 5

B. False

Question 6

A designated agent is allowed to communicate a prescription to the pharmacist over the phone.
A. True
B. False

Answer 6

A. True

Question 7

A drug product’s label states that the drug is 0.25 mg. Tests show that the product is actually 0.5 mg. This product is:
A.  Adulterated
B.  Misbranded
C.  Neither adulterated or misbranded
D.  Both adulterated and misbranded

Answer 7

D. Both adulterated and misbranded

Question 8

A faxed prescription for any C-II drug from the prescriber to the pharmacy is acceptable in place of the original for which of the following:
A. In any situation
B. A resident of a skilled nursing facility
C. An emergency situation
D. For terminally ill patients

Answer 8

D. For terminally ill patients

Question 9

A pharmacist has a bottle of expired Demerol tablets that he sends to the reverse distributor for destruction. Which form is used to record this transaction?
A. DEA Form 222 
B. DEA Form 41
C.  DEA Form 225
D.  TX Official Prescription Form

Answer 9

A. DEA Form 222

Question 10

A pharmacist may dispense up to a 90-day supply of a drug pursuant to a valid prescription that specifies the dispensing of a lesser amount followed by periodic refills of that amount provided conditions are met.
A. True
B. False

Answer 10

A. True

Question 11

A pharmacist received a prescription from a prescriber for a very suspicious person from out of state. The pharmacist suspected that the person was a diverter and not really a patient but could not confirm it and dispensed the prescription anyway. Later the pharmacist was visited by the DEA and the BOP who told the pharmacist that the person had been duping physicians all over the area into writing controlled substance prescriptions and was selling the drugs on the street. Which of the following is the best answer:
A. The pharmacist has not violated the law since the prescription was facially valid from an authorized prescriber.
B. The pharmacist has violated the law since the prescriptions was not for a legitimate medical purpose.
C. The pharmacist has not violated the law unless it can be established that the pharmacist acted negligently
D. The pharmacist has not violated the law unless it can be established that he filled the prescription knowing it was not for a legitimate medical purpose

Answer 11

D. The pharmacist has not violated the law unless it can be established that he filled the prescription knowing it was not for a legitimate medical purpose. (Look for clues in law book when Rx is not a diverter)

Question 12

A pharmacist received a prescription for 500 oxycodone tablets with the directions such that the patient was to significantly taper down the dosage over the next 4 weeks. The pharmacist called the prescriber who informed the pharmacist that the patient is an addict and that the prescriber is trying to detoxify the patient. Which of the following would be correct:
A. This prescription is not for a legitimate medical purpose and should not be dispensed.
B. This prescription is for a legitimate medical purpose and should be dispensed
C. This prescription would be valid under DATA.
D. Statements A &C are correct

Answer 12

A. This prescription is not for a legitimate medical purpose and should not be dispensed.

Question 13

A pharmacist received a prescription for Zostat with the direction to take tid for migrane headaches. Zostat is indicated for anxiety and labeled for once a day use. Which of the following would be the best answer?
A. Under the FDCA the physician may legally prescribe and the pharmacist may legally dispense Zostat for this purpose and in this dose
B. The pharmacist should confirm the accuracy of this prescription with the prescriber and if confirmed exercise professional judgment regarding the reasonableness of the risk in deciding whether to dispense the prescription or not.
C. The pharmacist should confirm the accuracy of this prescription with the prescriber and if confirmed dispense the drug without further consideration
D. Statements A and C together constitute the best answer

Answer 13

B. The pharmacist should confirm the accuracy of this prescription with the prescriber and if confirmed exercise professional judgment regarding the reasonableness of the risk in deciding whether to dispense the prescription or not.

Question 14

A pharmacy has on hand several tablets and capsules of various controlled drugs. The wholesaler and manufacturer will not take them back and the pharmacy wants to destroy them. Which of the following would be correct:
A. The pharmacy must notify the DEA in advance and destroy the drugs in the presence of DEA agents
B. The pharmacy must notify the DEA in advance and destroy the drugs in the presence of a DEA agent or other authorized person
C. The pharmacy must notify the DEA and the state board of pharmacy and destroy the drugs in the presence of DEA agents or BOP agents.
D. The pharmacy must send the drugs to the DEA for destruction

Answer 14

B. The pharmacy must notify the DEA in advance and destroy the drugs in the presence of a DEA agent or other authorized person

Question 15

A pharmacy is never allowed to sell, purchase, trade, or possess prescription drug samples.
A. True
B .False

Answer 15

B. False

Question 16

A pharmacy may distribute what percentage of the total controlled substance units it distributes and dispenses in a year without having to register as a distributor?
A. 5
B. 1
C. 10
D. 20

Answer 16

A. 5

>5%/yr considered wholesaler

Question 17

A pharmacy receive a prescription for a C-III medication. The strength of the medication was not indicated on the prescription.
Which of the following would be the best answer:
A. The pharmacist may legally add it without contacting the prescriber
B. The pharmacist may legally add it after contacting the prescriber and documenting that the prescriber agreed to the strength
C. The prescription is not valid and cannot be dispensed
D. The prescription is not valid and cannot be dispensed, however, the pharmacist may contact the prescriber and execute a new oral order.

Answer 17

B. The pharmacist may legally add it after contacting the prescriber and documenting that the prescriber agreed to the strength

Question 18

A pharmacy received a prescription from Dr. Robert Jed. The DEA registration number on the prescription reads BJ2385121. Which one of the following is most correct:
A. The number is clearly valid
B. The number is clearly invalid
C. The number could be valid
D. There is no way to tell if the number could be valid or not

Answer 18

C. The number could be valid

Question 19

A physician calls a pharmacy from the golf course and says he is calling in a two week supply of a C-II Rx for a patient for hydrocodone. The pharmacist is familiar with the patient and the physician and knows the patient is terminally ill and has received hydrocodone Rxs before. The physician says the patient’s wife will be in to pick up the medication in about an hour.
Which of the following would be the best response from the pharmacist to the physician, combining federal and state law:
A. “We cannot dispense a two week supply, but only enough hydrocodone for the emergency period. We must receive an original written prescription with the notation “Authorization for Emergency Dispensing” within 7 days.”
B. “We cannot dispense a two week supply, but only enough hydrocodone for the emergency period.”
C. “We can dispense a two week supply. We must receive an original written prescription with the notation “Authorization for Emergency Dispensing” within 7 days.”
D. “This is most likely not an emergency situation and we cannot dispense the prescription.”

Answer 19

A. “We cannot dispense a two week supply, but only enough hydrocodone for the emergency period. We must receive an original written prescription with the notation “Authorization for Emergency Dispensing” within 7 days.”

Question 20

A prescriber calls a pharmacist seeking the pharmacist’s advice. The prescriber says that a particular patient, whom the pharmacist knows well as a regular patient of the pharmacy, will require maintenance therapy on a particular C-II drug for at least the next six months. The physician and the patient want to make obtaining the drug as easy as possible. Which of the following represent legal options for the patient and the prescriber assuming legitimacy is not an issue.
A. The prescriber could issue one C-II Rx for a six-month supply.
B. The prescriber could issue 3 prescriptions, each for a 60 day supply. Each Rx except the first specifying the earliest date upon which the prescription can be filled.
C. The prescriber could issue 3 prescriptions, each for a 30 day supply. Each Rx except the first specifying the earliest date upon which the prescription can be filled. The patient must get a new Rx or new set of Rxs for the remaining 90 day supply.
D. Statements A &C are legally permissible

Answer 20

D. Statements A and C are legally permissible

Question 21

A prescription that contains narcotics in an amount greater than the maximum allowed for Schedule V then becomes a Schedule II.
A. True
B. False

Answer 21

B. False

Question 22

A state decided to reschedule all opioid drug products scheduled as C-III under federal law to C-II pursuant to state law. Which of the following would be correct?
A. The federal CSA preempts states from scheduling drug products
B. The state law would not conflict with federal law and thus likely not be preempted
C. If the state law is valid, pharmacists should follow federal law and dispense the products as C-III

Answer 22

B. The state law would not conflict with federal law and thus likely not be preempted

Question 23

According to a recent law change, the Texas Controlled Substances Act allows pharmacists to dispense prescriptions for controlled substances under a written, oral, or telephonically prescription from an out-of-state physician assistant (PA).
A. True
B. False

Answer 23

B. False

Question 24

According to Federal law, all of the following information is required on written or verbal Schedule II prescriptions EXCEPT:
A.  date dispensed
B.  drug name
C.  DEA number of practitioner
D.  age of the patient

Answer 24

A. date dispensed

Question 25

``` According to Federal law, Schedule II prescriptions for patients in a long-term care facility are valid for no longer than ______ days from the date of issuance. A. 30 B. 60 C. 45 D. 120 ```

Answer 25

B. 60

Question 26

According to Federal law, there is no time limit for filling a Schedule II prescription. A. True B. False

Answer 26

A. True

Question 27

``` According to the Official Prescription Form, which of the following information is allowed to be changed by the pharmacist with permission of the prescriber? A. Practitioner's name B. Dosage Form C. Name of drug D. Name of patient ```

Answer 27

B. Dosage Form

Question 28

``` According to the Official Prescription Program, partial filling is allowed for patients that do not reside in a long-term care facility as long as the balance is dispensed with ______ hours. A. 24 B. 48 C. 72 D. 96 ```

Answer 28

C. 72

Question 29

It is a violation of the Food, Drug, and Cosmetic Act to sell a drug that has been adulterated. A. True B. False

Answer 29

A. True

Question 30

``` All of the following are classified as registrants EXCEPT: A. pharmacists B. physicians C. researchers D. hospitals ```

Answer 30

A. pharmacists

Question 31

An intern may transfer a prescription to another intern. A. True B. False

Answer 31

B. False

Question 32

``` An oncologist contacts your pharmacy and informs you that he would like to use your pharmacy as a distributor of controlled substances. Your pharmacy has dispensed 30,000 units of controlled substances in the past year. Additionally, your pharmacy has already distributed 300 units of controlled substances to another physician. How many doses of controlled substances may you distribute to the oncologist without the need for a "distributor" registration from the DEA? A. 1,200 Units B. 2,700 Units C. 27,000 Units D. 1,500 Units ```

Answer 32

A. 1,200 Units

Question 33

APNs and PAs may not "carry out" or "sign" a prescription drug order for controlled substances for: A. a refill that has been authorized after consulting with the delegating physician B. more than a 90 day supply C. less than a 30 day supply D. a drug in schedule III, IV, or V

Answer 33

B. more than a 90 day supply

Question 34

``` Approved drugs that are considered therapeutically equivalent in the Orange Book would be rated A. AB B. BA C. BC D. TA ```

Answer 34

A. AB

Question 35

``` Which of the following is necessary for a pharmacist to order Schedule II controlled substances on behalf of a pharmacy? A. Power of the Purse B. Power of Attorney C. Power Arranger D. Power Ball ```

Answer 35

B. Power of Attorney

Question 36

Auto-Refill programs may be used for refills of dangerous drugs and Schedule III through V controlled substances. A. True B. False

Answer 36

B. False

Question 37

Bling Pharmacy called Zing Phamacy requesting a transfer of a C-III Rx to Bling for a patient. The prescription had 2 refills remaining. Which of the following would be correct (assume that Bling and Zing do not share common electronic files). A. The pharmacist at Zing could instruct the technician to orally transfer the required prescription information to Bling. B. If the patient wants the last refill at Zing, Bling could subsequently transfer the prescription back to Zing. C. Bling must record on the prescription it transcribes from Zing the word “transfer” together with several other points of information including Zing’s prescription number. D. B &C

Answer 37

C. Bling must record on the prescription it transcribes from Zing the word “transfer” together with several other points of information including Zing’s prescription number. (only one transfer unless shared among same database)

Question 38

Bulk containers shipped to manufacturers, wholesalers, pharmacies (not intended for household use) are exempt from the child-resistant containers requirement. A. True B. False

Answer 38

A. True

Question 39

Which of the following would be an appropriate method for storing C-IIs within a retail pharmacy? (SELECT ALL THAT APPLY) A. On one shelf mixed with other controlled substances from different schedules. B. On multiple shelves mixed in with regular stock and non-controlled substances. C. In a locked safe or cabinet. D. Over-the-counter with cough and cold products.

Answer 39

B. On multiple shelves mixed in with regular stock and non-controlled substances. C. In a locked safe or cabinet.

Question 40

``` Which of the following is/are a valid method used to convey a prescription for diazepam? I. Oral II. Written III. Facsimile A. I only B. III only C. I and II only D. II and III only E. I, II, and III ```

Answer 40

E. I, II, and III

Question 41

Dr. Jones is a new dentist in town. He asks the pharmacist at Friendly Pharmacy if he can obtain Ativan, a schedule IV anti-anxiety drug, to use on his patients in the office prior to procedures. Dr. Jones would like to write a prescription for office use. Is this allowable? A. Yes. Practitioners have no restrictions in writing controlled substance prescriptions for office use. B. Yes. Dr. Jones is an individual practitioner under the law and is permitted to obtain schedule III-V medications in this manner. C. No. Dr. Jones is a dentist and not a physician, and therefore is unable to obtain Ativan in this manner for office use. D. No. Pharmacies are restricted from filling controlled substance prescriptions written for office use.

Answer 41

D. No. Pharmacies are restricted from filling controlled substance prescriptions written for office use.

Question 42

Dr. New is out of town for a conference and receives a call from a cancer patient of his that needs a new prescription for Oxycontin (schedule II). Dr. New calls pharmacist Phil to see if he can call in a verbal order for Oxycontin since he will be at the conference for 5 days. Which of the following would be allowable for Phil to do? 1. Phil could take an emergency phone order from Dr. New for the Oxycontin under the given circumstances. 2. Phil should inform Dr. New that a written prescription will have to be delivered within 7 days. 3. Phil should inform Dr. New that only a three day supply of the drug can be called in. A. I B. I and II C. II and III D. I, II, and III

Answer 42

B. I and II

Question 43

``` Drug classes requiring Medication Guides include (Select all). A. Naprosyn B. Jantoven C. Relafen D. MsContin ```

Answer 43

A. Naprosyn B. Jantoven C. Relafen D. MsContin

Question 44

``` Which of the following Recall Classifications would indicate a reasonable possibility that use of the product will cause serious adverse effects on health, or even death? A. Class I B. Class II C. Class III D. None of the Above ```

Answer 44

A. Class I

Question 45

``` How long is a prescription for amphetamine salts 5 mg valid? A. 14 days B. 21 days C. 6 months D. 1 year ```

Answer 45

B. 21 days

Question 46

In an emergency situation, a pharmacist may fill an oral prescription from a prescriber for a Schedule II controlled substance, but it is limited to a 72 hour supply. A True B False

Answer 46

B False

Question 47

A pharmacist may refill a prescription for Tylenol with Codeine for a 72 hours supply without physician approval as long as which of the following criteria are met? A. Failure to refill may result in interruption of therapy or create patient suffering. B. Either a natural or man-made disaster has occurred; or, the pharmacist has been unable to contact the physician. C. The pharmacist informs the physician as well as the patient or their agent as soon as reasonably possible thereafter. D. All of the above. E. None of the above.

Answer 47

D. All of the above.

Question 48

A pharmacist may refill a prescription for Kadian 50mg for a 72-hours supply, without physician approval as long as which of the following criteria are met? A. Failure to refill may result in interruption of therapy or create patient suffering. B. Either a natural or man-made disaster has occurred; or, the pharmacist has been unableto contact the physician. C. The pharmacist informs the physician as well as the patient or their agent as soon as reasonably possible thereafter. D. All of the Above. E. None of the Above.

Answer 48

E. None of the above

Question 49

``` Which of the following forms should be used in the event of the theft of a controlled substance from the pharmacy? A. DEA Form-222 B. DEA Form-106 C. DEA Form-224 D. DEA Form-41 ```

Answer 49

B. DEA Form-106

Question 50

How often is a pharmacy required to perform a physical inventory of controlled substances? A. Every Year B. Every 2 Years C. Every 3 Years D. Physical inventories are not a requirement.

Answer 50

A. Every Year

Question 51

``` Which of the following generic equivalency ratings would indicate no known or suspected bioequivalence issues between two products? A. AB B. BA C. BO D. BT E. AN ```

Answer 51

E. AN

Question 52

Which of the following requirements must be met in order for a generic product to be substituted in place of a brand-name product? A. Prescriber does not write "brand medically necessary". B. Patient does not refuse generic substitution. C. The generic product costs more than the brand-name product. D. All of the above. E. A and B only

Answer 52

E. A and B only

Question 53

Which of the following statements are true? A. A pharmacy technician may select a generic alternative to substitute for a brand name product. B. A pharmacist may not select a generic alternative to substitute for an out-of-state prescription written under a brand-name. C. A pharmacist may select a generic alternative that is more expensive than the brand name counterpart. D. A pharmacy may charge a higher dispensing fee for dispensing generic alternatives. E. None of the above statements are true

Answer 53

B. A pharmacist may not select a generic alternative to substitute for an out-of-state prescription written under a brand-name.

Question 54

``` How long does a physician have to get a hard-copy prescription to the pharmacy or have it postmarked, after calling in an emergency prescription for a C-II? A. 3 days B. 7 days C. 14 days D. 21 days ```

Answer 54

B. 7 days

Question 55

Harry Smith lives in a long-term care facility. The prescriber faxed to pharmacist Phil a prescription for Oxycontin (schedule II) for 90 pills. Harry’s insurance will only pay for 30 pills at a time. Could Phil fill the prescription for 30 pills at a time until all 90 are dispensed? A. Yes, however, all the tablets must be filled within 60 days from the date of the issuance of the prescription B. Yes, however, Mr. Smith must also be diagnosed as a terminally ill patient. C. Yes, however, Phil must obtain a new written prescription for his records each time he fills another 30 pills. D. No, if Harry decides to get less than 90 tablets, he will be unable to obtain the remainder since schedule II drugs cannot have refills.

Answer 55

A. Yes, however, all the tablets must be filled within 60 days from the date of the issuance of the prescription

Question 56

How can a prescriber prohibit generic substitution on a written prescription in Texas? A. By checking a box that says “Do not substitute” B. By signing the prescription over the “Dispense as Written” signature line C. By writing the words “medically necessary” or “brand medically necessary” in their own handwriting on the prescription D. All of the above

Answer 56

C. By writing the words “medically necessary” or “brand medically necessary” in their own handwriting on the prescription

Question 57

``` How many refills are allowed for a Schedule III drug? A. 0 B. 1 C. 3 D. 5 ```

Answer 57

D. 5

Question 58

``` If a distributor partially distributes an order for a Schedule II controlled substance, how long does the distributor have to complete the balance of the order? A. 3 days B. 7 days C. 60 days D. May not partially fill ```

Answer 58

C. 60 days

Question 59

``` If manufactured under conditions that are not GMP, product is a A. Adulterated B. Misbranded C. Contaminated D. Unsanitary ```

Answer 59

A. Adulterated

Question 60

If the pharmacist discovers the significant loss of hydrocodone tablets from the pharmacy, the pharmacist shall: I. Notify the Board of Pharmacy immediately on discovery of the loss II. Notify DEA and DPS immediately upon discovery of the loss III. Submit a copy of DEA form 106 to the Board A. I only B. I and II only C. II and III only D. I, II and III

Answer 60

B. I and II only

Question 61

If the practitioner has prohibited substitution through a dispensing directive, a pharmacist can only substitute a generically equivalent drug product by obtaining written authorization from the practitioner. A. True B. False

Answer 61

A. True

Question 62

In the event of a natural disaster a pharmacist may refill a prescription filled at another pharmacy even if the patient does not have a prescription container. A. True B. False

Answer 62

A. True

Question 63

``` Individual practitioners (IPs) employed by a hospital may utilize the hospital’s DEA number to prescribe, dispense or administer controlled substances provided that among other requirements: A. The IP has his/her own DEA number B. The hospital has assigned the IP a specific internal code in the form of a prefix to the hospital’s DEA number. C. The hospital has assigned the IP a specific internal code in the form of a suffix to the hospital’s DEA number. ```

Answer 63

C. The hospital has assigned the IP a specific internal code in the form of a suffix to the hospital’s DEA number.

Question 64

If a pharmacist partial fills a prescription for a Schedule II controlled substance, how long does the pharmacist have to fill the balance of the prescription? A. 3 days B. 7 days C. 60 days D. A prescription for a C-II may not be partially filled.

Answer 64

A. 3 days

Question 65

A patient has the right to refuse a generic substitution when the prescription doesn't specify. A. True B. False

Answer 65

A. True

Question 66

``` Patient package inserts are required for: 1. Oral contraceptives 2. Opioids 3. Antibiotics A. I only B. I &II C. II &III D. I, II and III ```

Answer 66

A. I only

Question 67

``` Patient package inserts or medication guides are required for all of the following except A. Accutane B. Relafen C. Estrogens D. Amoxicillin ```

Answer 67

D. Amoxicillin

Question 68

``` Which of the following changes may a pharmacist make to a prescription for Percocet after consulting with the physician? (Select All that Apply) A. Patient name B. Drug name C. Drug strength D. Directions ```

Answer 68

C. Drug strength | D. Directions

Question 69

Pharmacies dispensing controlled substances in Texas must report that information to DPS: A. Within 15 days of the last day of the month in which the prescription was completely filled B. Within 15 days of the date the prescription was completely filled C. Within 7 days of the last day of the month in which the prescription was completely filled D. Within 7 days of the date the prescription is completely filled

Answer 69

D. Within 7 days of the date the prescription is completely filled

Question 70

Pharmacies must dispense medications in a child resistant container unless: A. The patient requests otherwise B. The physician requests otherwise C. The pharmacist believes it would not be prudent D. Statements a and b are correct

Answer 70

D. Statements a and b are correct

Question 71

Pharmacist may obtain blanket authorizations from a patient to waive the requirements of the Poison Prevention Packaging Act. A. True B. False

Answer 71

A. True

Question 72

Pharmacist Phil calls Dr. Smith’s office to inform the office that Mrs. Jones is out of refills on her Ativan (Sch. IV) prescription, and that she is requesting additional refills for it. Nurse Nancy tells Phil that Dr. Smith is on vacation but that he authorized her to use her judgment on any refill authorizations and thus told Phil to refill the prescription. Can Phil legally fill the Ativan prescription for Mrs. Jones one more time? A. Yes. Phil contacted the office and verified that Mrs. Jones is allowed to receive one additional refill. B. Yes. Dr. Smith properly delegated authority to Nancy to add refills. C. No. Nurse Nancy would have to verify with Dr. Smith first prior to allowing the refill. D. No. Refill requests and authorizations for controlled drugs can not be made over the phone.

Answer 72

C. No. Nurse Nancy would have to verify with Dr. Smith first prior to allowing the refill.

Question 73

``` How many pharmacist interns can a non-academic pharmacy preceptor supervise at any given time? A. 1 B. 2 C. 3 D. 5 ```

Answer 73

A. 1

Question 74

Pharmacists are required to dispense FDA approved Medication Guides for: A. All prescription drugs B. Prescription drugs as determined by the FDA that pose a serious and significant concern to public health C. Prescription drugs as determined by the pharmacist that pose a serious and significant concern to public health D. Oral contraceptives

Answer 74

B. Prescription drugs as determined by the FDA that pose a serious and significant concern to public health

Question 75

The pharmacist-in-charge (PIC) is responsible for ensuring that the pharmacy is operated within legal limits. A. True B. False

Answer 75

A. True

Question 76

``` Which of the following are required to be present on a prescription label? (SELECT ALL THAT APPLY) A. Prescription number B. Quantity dispensed C. Pharmacy phone number D. Name of dispensing pharmacist ```

Answer 76

A. Prescription number B. Quantity dispensed C. Pharmacy phone number

Question 77

``` Which of the following are required to be present on a prescription label? A. Patient name B. Practitioner name C. Beyond use date D. All of the above E. A and B Only ```

Answer 77

D. All of the above

Question 78

``` Which of the following individuals does not have any prescriptive authority? A. Tom Brady, M.D. B. Matt Cassel, D.P.M. C. Joe Flacco, A.P.N. D. Eli Manning, D.C. E. Carson Palmer, D.D.S. ```

Answer 78

D. Eli Manning, D.C.

Question 79

Which of the following transactions exceeds the maximum daily amount of Pseudoephedrine allowed per person? A. Two 90-count boxes of Sudafed Regular Strength (30mg/tablet) B. Two 15-count boxes of Sudafed 12-hour (120mg/tablet) C. Two 5-count boxes of Claritin-D 24 hour (240mg/tablet) D. All of the Above E. A and B Only

Answer 79

A. Two 90-count boxes of Sudafed Regular Strength (30mg/tablet)

Question 80

A pharmacy is permitted to re-dispense a returned prescription drug product as long as it is in the original, unopened, tamper-evident packaging. A. True B. False

Answer 80

A. True

Question 81

Regarding the Omnibus Budget Reconciliation Act of 1990 (OBRA-90), which of the following is false? A. The law established a threshold legal standard for patient counseling. B. Compliance with the law is voluntary for participation in the state-managed Medicaid program. C. The patient counseling provisions of the law require that a pharmacist make an offer to discuss medications with each patient. D. The patient, or the patient's agent, may waive the right to be counseled.

Answer 81

B. Compliance with the law is voluntary for participation in the state-managed Medicaid program.

Question 82

Reusing a prescription vial when refilling a prescription is allowed. A. True B. False

Answer 82

B. False

Question 83

``` When a pharmacy returns outdated C-IIs to a reverse distributor, who is responsible for filling out the appropriate DEA form? A. Pharmacy B. Reverse Distributor C. Distributor D. DEA ```

Answer 83

A. Pharmacy

Question 84

What is the maximum number of technician trainees that a single pharmacist may supervise at any given time in a community pharmacy? a. 1 b. 2 c. 3 d. 5

Answer 84

c. 3

Question 85

Technician trainees must pass their certification exam and become a registered technician within 2 years of starting employment with a pharmacy. A. True B. False

Answer 85

B. False

Question 86

In an emergency situation, the State Board of Pharmacy may allow pharmacists registered in other states to act as pharmacists within Texas. A. True B. False

Answer 86

A. True

Question 87

Texas law does not prohibit physicians from prescribing a dangerous drug for himself/herself or for family members. A. True B. False

Answer 87

A. True

Question 88

The owner of a pharmacy must be a TX licensed pharmacist. A. True B. False

Answer 88

B. False

Question 89

``` The State Controlled Substance Agency in Texas is: A. Dept of Controlled Substances B. Dept of Public Services C. Dept of Public Safety D. The Board of Pharmacy ```

Answer 89

C. Dept of Public Safety

Question 90

Therapeutic Optometrists may administer or prescribe drugs to treat glaucoma and other diseases of the eye. A. True B. False

Answer 90

B. False

Question 91

Under federal law, methadone may be legally dispensed from a community pharmacy as prescribed by a physician within the regular course of medical practice for which of the following purpose(s)? A. As an analgesic B. As an analgesic and antitussive C. As an analgesic, antitussive and for the maintenance and detoxification of addicts. D. Methadone may be legally prescribed and dispensed for any purpose since approved drugs may be prescribed and dispensed for off-label uses.

Answer 91

A. As an analgesic

Question 92

Under HIPAA, a pharmacist may disclose protected health information about an individual whom the pharmacist reasonably believes to be a victim of abuse, neglect, or domestic violence to a government authority without the patient’s authorization. A. True B. False

Answer 92

A. True

Question 93

Under Texas law, a pharmacist may dispense a dosage form of a drug product different from that prescribed, such as tablets instead of capsules or liquid instead of tablets, provided: (Select All) A. the patient consents to the dosage form substitution B. the pharmacist notifies the practitioner of the dosage form substitution C. the dosage form contains the identical amount of the active ingredients as the dosage prescribed for the patient, is not an enteric-coated or time release product, and does not alter desired clinical outcome

Answer 93

A. the patient consents to the dosage form substitution C. the dosage form contains the identical amount of the active ingredients as the dosage prescribed for the patient, is not an enteric-coated or time release product, and does not alter desired clinical outcome

Question 94

Under Texas law, a pharmacist may not dispense a prescription drug if the pharmacist knows or should know that the prescription was issued on the basis of an Internet-based or telephonic consultation without a valid practitioner-patient relationship, except in an emergency. A. True B. False

Answer 94

A. True

Question 95

``` Under Texas law, how many refills are allowed for a Schedule II drug? A. 0 B. 1 C. 2 D. 5 ```

Answer 95

A. 0

Question 96

Under Texas law, patient counseling and provision of drug information – I. Must be provided for any prescription drug order dispensed by the pharmacy on the request of the patient. II. Should be communicated orally in person if the patient or patient’s agent is in the pharmacy.III. Does not require reinforcement with written information A. I only B. I and II only C. II and III only D. All

Answer 96

B. I and II only

Question 97

Under Texas law, the time limit for filling Schedule II prescriptions is 10 days. A. True B. False

Answer 97

B. False

Question 98

``` Under Texas law, unless a state of disaster has been declared, the quantity dispensed in an emergency refill of a prescription drug must not exceed a _________supply. A. 36 hour B. 72 hour C. 10 day D. 30 day ```

Answer 98

B. 72 hour

Question 99

USP guidelines stipulate that a pharmacist should label the beyond-use date for multiple-unit containers as: A. The expiration date on the manufacturer’s container B. One year from the date the drug was dispensed C. Either the expiration date on the manufacturer’s container or one year from the date the drug was dispensed D. Either the expiration date on the manufacturer’s container or one year from the date the drug was dispensed, whichever is earlier

Answer 99

D. Either the expiration date on the manufacturer’s container or one year from the date the drug was dispensed, whichever is earlier

Question 100

Which of the following statements are TRUE? (SELECT ALL THAT APPLY) A. All pharmacy technicians must be registered with the Board of Pharmacy. B. A pharmacy technician trainee’s registration is valid for four years from the date of initial registration. C. A pharmacy technician must complete 20 hours of approved continuing education per renewal period in order to renew his or her registration. D. A pharmacy technician must notify the Board of Pharmacy within 10 days of a change of address.

Answer 100

A. All pharmacy technicians must be registered with the Board of Pharmacy. C. A pharmacy technician must complete 20 hours of approved continuing education per renewal period in order to renew his or her registration. D. A pharmacy technician must notify the Board of Pharmacy within 10 days of a change of address.

Question 101

Which of the following accurate describe(s) the law related to dispensing controlled substance prescriptions in the ordinary course of practice: A. Treating an addict for the addiction is a legitimate medical purpose B. Responsibility for the legitimacy of a prescription rests only with the prescriber C. Responsibility for the legitimacy of a prescription rests with the prescriber and the pharmacist D. Statements A &C are correct

Answer 101

C. Responsibility for the legitimacy of a prescription rests with the prescriber and the pharmacist

Question 102

Which of the following forms should be completed when a drug is lost or stolen? a. 224 b. 106 c. 41 d. 222

Answer 102

b. 106

Question 103

Which of the following forms should be completed when applying for DEA registration? a. 224 b. 41 c. 222 d. 106

Answer 103

a. 224

Question 104

Which of the following is an appropriate method of storing Schedule II controlled substances within a Class C pharmacy? A. In a secured cabinet that is locked. B. Dispersed throughout the non-controlled stock to deter theft. C. On a non-secured shelf within 10 feet of the pharmacist’s verification station. D. A and B only

Answer 104

A. In a secured cabinet that is locked.

Question 105

Which of the following is NOT an act of misbranding under the FDCA? A. Contains an unsafe color additive B. False or misleading labeling C. Does not bear the generic name of the active ingredient D. Packaging or labeling is in violation of Poison Prevention Packaging Act

Answer 105

A. Contains an unsafe color additive

Question 106

``` Which of the following medications may Optometric Glaucoma Specialists prescribe and administer? I. 3 day supply of C-II II. 10 day supply of antibiotics III. 72 hour supply of oral antihistamines a. III b. I and II c. II and III d. I, II, and III ```

Answer 106

c. II and III

Question 107

Which of the following would be a legal prescription in Texas? A. A written prescription for Valium from a medical doctor in Mexico. B. A telephone prescription for amoxicillin from a physician’s assistant in Florida. C. A written prescription for a 30 day supply of Xanax from an advanced nurse practitioner located in OK. D. A written prescription for oxycodone from a therapeutic optometrist in TX.

Answer 107

B. A telephone prescription for amoxicillin from a physician’s assistant in Florida.

Question 108

Which of the following would be correct regarding patient package inserts: A. They are required for all prescription drugs B. They are also called medication guides C. They are required for hospital and community pharmacies D. Statements A &C are correct

Answer 108

C. They are required for hospital and community pharmacies

Question 109

Which of the following would be correct regarding records of controlled substances: A. They must be kept for at least 2 years B. Any record may be kept centrally rather than at the registered location C. Records of C-II drugs must be maintained separately from non-controlled substance records, but not separate from other controlled substance records. D. A & C

Answer 109

A. They must be kept for at least 2 years

Question 110

Which of the following would be correct regarding the authority of physicians to dispense medications: A. Physicians are not permitted to dispense medications under federal law B. The Durham-Humphrey Amendment dispensing standards may not apply to physicians C. Regulation of physician dispensing is determined by state law D. Statements b & c are correct

Answer 110

C. Regulation of physician dispensing is determined by state

Question 111

Which of the following would be correct regarding the storage requirements of controlled substances? A. Pharmacies may disperse Schedule III, IV, or V drugs throughout their inventory. B. Pharmacies must store all Schedule II drugs in a securely locked cabinet, but may disperse Schedule III, IV, and V controlled substances. C. Individual practitioners must store Schedule II drugs in a securely locked cabinet, but not Schedule III, IV, and V substances. D. A & C

Answer 111

A. Pharmacies may disperse Schedule III, IV, or V drugs throughout their inventory.

Question 112

Which of the following would be correct regarding whether the DEA considers nurses in long term care facilities as agents of a prescriber? A. Nurses are considered agents B. Nurses are not considered agents C. Nurses are considered agents only if a formal, written agency agreement is established

Answer 112

C. Nurses are considered agents only if a formal, written agency agreement is established

Question 113

Which of the following would be correct regarding who is allowed to prescribe controlled substances? A. Mid-level practitioners may prescribe controlled substances if authorized by state law B. An agent or employee may communicate the prescription to a pharmacist C. An agent or employee may prepare the prescription for the individual practitioner’s signature D. All of the above

Answer 113

D. All of the above

Question 114

Which of the following would be exempt from registering under the CSA? A. Pharmacists dispensing controlled substance Rxs in a DEA registered pharmacy B. Physicians who prescribe, but do not administer or dispense controlled substances C. Hospitals who dispense and administer controlled substances only to inpatients D. A & C

Answer 114

A. Pharmacists dispensing controlled substance Rxs in a DEA registered pharmacy

Question 115

Which of the following would be the best answer regarding the dissemination of off-label use information by manufacturers to health care professionals? A. The FDA strictly prohibits any such dissemination B. The FDA allows the dissemination of any off-label use information provided it is accompanied with a notice that the use is off-label C. The FDA allows the dissemination of off-label use information provided the FDA has approved the information prior to dissemination D. The FDA allows the dissemination of off-label use information provided the information is in the form of peer-reviewed publications and accompanied by approved labeling.

Answer 115

D. The FDA allows the dissemination of off-label use information provided the information is in the form of peer-reviewed publications and accompanied by approved labeling.

Question 116

Which of the following would be the best answer regarding the partial filling of a C-II drug? A. It is not permitted B. It is permitted provided the pharmacist is unable to supply the full quantity. C. It is permitted, and if the balance is dispensed it must be within 72 hours D. It is permitted provided the pharmacist is unable to supply the full quantity, and if the balance is dispensed it must be within 72 hours

Answer 116

D. It is permitted provided the pharmacist is unable to supply the full quantity, and if the balance is dispensed it must be within 72 hours

Question 117

Which of the following would be the best answer regarding the refilling of controlled substance prescriptions assuming prescriber authorization. A. C-III and C-IV prescriptions may only be refilled five times or within six months, whichever comes first. B. C-III, C-IV and C-V prescriptions may only be refilled five times or within six months, whichever comes first. C. C-III and C-IV prescriptions may be refilled, but only if the pharmacy contacts the prescriber each time for specific authorization D. C-III, C-IV and C-V prescriptions may be refilled without restrictions

Answer 117

B. C-III, C-IV and C-V prescriptions may only be refilled five times or within six months, whichever comes first.

Question 118

Who may order C-II drugs under the law? A. The person listed on the DEA registration form (registrant). B. Any pharmacist employed at the pharmacy. C. Any person named on a power of attorney form executed between the DEA registrant and the named person. D. Statements A and C are correct

Answer 118

D. Statements A and C are correct