Part 2 CS Flashcards

1
Q

The ____ shall have the authority to promulgate all rules and regulations related to controlled substance monitoring

A. TN Board 
B. Local law enforcement 
C. Commissioner of health
D. DEA 
E. District attorney general
A

C. Commissioner of health

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2
Q

If an investigator has reason to believe that a prescriber or dispenser is in violation of a criminal law, the investigator is authorized to report the conduct to?

A. TN Board 
B. Local law enforcement 
C. Commissioner of health
D. DEA 
E. District attorney general
A

E. District attorney general

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3
Q

The __ should report ANNUALLY on the out comes of the controlled database?

A. TN Board 
B. Local law enforcement 
C. Commissioner of health
D. DEA 
E. District attorney general
A

C. Commissioner of health or commissioner’s designee

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4
Q

When do not have to submit information to the database?

A. A drug administered directly to a patient
B. Low potential for abuse in a certain specialty
C. does not exceed a 7 day treatment period
D. The quantity dispensed is limited to a maximum of forty eight hour supply
E. Any drug sample dispensed
F. administration as a narcotic treatment program

A

A. A drug administered directly to a patient
D. The quantity dispensed is limited to a maximum of forty eight hour supply
E. Any drug sample dispensed
F. administration as a narcotic treatment program

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5
Q

Any Law enforcement agency or judicial district drug task force that wants its officers or agents to authorization to the database shall first pre-approve each officer. The list of pre-approved applicants shall be sent to the ?

A. TN Board 
B. Local law enforcement 
C. Commissioner of health
D. DEA 
E. District attorney general
A

E. District attorney general

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6
Q

When MAY you release confidential information from the data base?

A. to department personnel engaged in an investigation
B. when ordered by a court to do so
C. to law enforcement personnel engaged in an investigation

A

A. to department personnel engaged in an investigation
C. to law enforcement personnel engaged in an investigation

you MUST (SHALL) release it when ordered by a court to do so

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7
Q

When SHALL you release confidential information from the data base?

A. to department personnel engaged in an investigation
B. when ordered by a court to do so
C. to law enforcement personnel engaged in an investigation

A

B. when ordered by a court to do so

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8
Q

When shall prescribers check the data base?

A. every time he gives a new prescription that medication
B. Beginning of a new episode of treatment
C. annually when that controlled substance remains part of treatment
D. Biennially when that controlled substance remains part of treatment
E. Biannually when that controlled substance remains part of treatment

A

B. Prior to the beginning of a new episode of treatment
AND
C. at least annually when that controlled substance remains part of treatment

Biannual means “twice a year,” as does semiannual, whereas biennial means “occurring every two years.”

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9
Q

A new episode of treatment means a prescription for a CS that has not been prescribed by THAT healthcare practitioner within the previous ?

A. 3 months
B. 6 months
C. 12 months
D. 18 months

A

C. 12 months

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10
Q

When are health care practitioners not required to check the controlled substance database before prescribing or dispensing?

A. A drug administered directly to a patient
B. Low potential for abuse in a certain specialty
C. does not exceed a 7 day treatment period
D. The quantity dispensed is limited to a maximum of forty eight hour supply
E. Any drug sample dispensed
F. administration as a narcotic treatment program
G. Patient receiving hospice care

A

B. Low potential for abuse in a certain specialty
C. does not exceed a 7 day treatment period
G. Patient receiving hospice care

Also if it is part of treatment for a surgical procedure

D is also technically correct

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11
Q

Prescriptions written for inpatients and outpatietns of a hospital do NOT have to be on tamper proof prescriptions when?

A

when the order is given directly to the hospital pharmacy and the patient never has the opportunity to handle the written order

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12
Q

Do prescriptions written by veterinarians need to on tamper resistant paper?

A

No

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13
Q

How often does every person who Manufactures, Distributes or Dispenses any controlled substance need to obtain registration issued by the board of pharmacy?

A. Annually
B. Biennially
C. Biannually

A

A. Annually

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14
Q

What is the ONLY way a prescriber can obtain Schedule II drugs from a pharmacy?

A

the ONLY way a prescriber can obtain Schedule II drugs from a pharmacy is to use a DEA C-222 order form (in which case the pharmacy acts as wholesaler)
Slide 127

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15
Q

What is the ONLY way a pharmacy can obtain Schedule II drugs from another pharmacy?

A

the ONLY way a pharmacy can obtain Schedule II drugs from another pharmacy is to use a DEA C-222 order form (in which case the transferring pharmacy acts as wholesaler)
Slide 127

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16
Q

How often can you refill a C-2 medication?

A. 90 day supply
B. shall not be filled or more than 6 months after the date of the written or oral prescription or be refilled more than 5 times
C. Not able to be refilled
D. refilled after a 30 day supply

A

C. Not able to be refilled

17
Q

How often can you refill CIII and IV prescriptions?

A. 90 day supply
B. shall not be filled or more than 6 months after the date of the written or oral prescription or be refilled more than 5 times
C. Not able to be refilled
D. refilled after a 30 day supply

A

B. shall not be filled or more than 6 months after the date of the written or oral prescription or be refilled more than 5 times

18
Q

Any health care provider should submit a report to the local law enforcement agency within what time frame a person who is attempting to obtain controlled substances.

A. 24 hours
B. 3 business days
C. 5 business days
D. 7 business days

A

C. 5 business days

19
Q

Prior to dispensing a prescription for any CII-IV opioid, benzo, zolpidem, barbiturate, or carisoprodol medication for a supply greater than __ the person shall present a valid governement issued identification or public or private insurance card

A

greater than a 7 day supply

20
Q

Any prescription for buprenorphine mono (buprenorphine without naloxone) for the treatment of substance use disorder shall only be permitted to patient who is?

A. In a Hospital 
B. Pregnant
C. A nursing Mother
D. Hospice Patient 
E.  Has a documented history of an adverse reaction or hypersensitivity to naloxone.
A

B. Pregnant
C. A nursing Mother
E. Has a documented history of an adverse reaction or hypersensitivity to naloxone.

21
Q

A prescriber who treat a patient with more than ___mg per day of buprenorphine for more than __ consecutive days shall clearly document why patient needs the higher dosage amount

A

more than 16mg for more than 30 consecutive days

22
Q

If the patient requires more than __mg for 30 consecutive days then the prescriber SHALL, either consult with an addiction specialist or refer the patient to the addiction specialist.

A

more than 20mg for 30 consecutive days