NPA review Flashcards
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
A
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
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
C
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
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
D
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
B
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
C
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
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
A
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
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
D
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
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
E
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
B
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
B
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
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
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)
A
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
C
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
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
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
A
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
B
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
D
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
C
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
D
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
D
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
B
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
B
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
C
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
B
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
D
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
B
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
C
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
C
