Reading 8

Question 1

What is the Controlled Substances Act (CSA) more formally known as?

Answer 1

Comprehensive Drug Abuse Control and Prevention Act of 1970

Question 2

Why was the Controlled Substances Act enacted?

Answer 2

It was meant to create more control around drugs that had the potential for abuse

Question 3

What act was used to control the sale and distribution of narcotics prior to the creation of the CSA?

Answer 3

Harrison Anti-Narcotic Act of 1914

Question 4

How did the Harrison Anti-Narcotic Act of 1914 control the sale and distribution of narcotics?

Answer 4

through taxation

Question 5

How is the CSA used to control the distribution of controlled substances?

Answer 5

through registration and a closed system

Question 6

Define “controlled substance”.

Answer 6

a drug with dependence liability or abuse potential

Question 7

List the 8 factors that are used to determine whether a drug/substance should be added to or removed from one of the five controlled substance schedules.

Answer 7

1. its actual/relative potential for abuse
2. scientific evidence of its pharmacologic effect (if known)
3. the state of current knowledge regarding the drug or other substance
4. its history and current pattern of abuse
5. the scope, duration, and significance of abuse
6. what (if any) risk there is to public health
7. its psychic or physiological dependence liability
8. whether the substance is an immediate precursor of a substance already controlled

Question 8

Which controlled substance schedules can be used medically?

Answer 8

II-V

Question 9

What controlled substance schedules are considered to have “high” abuse potential?

Answer 9

I and II

Question 10

True or false: the psychological and physical dependencies of C-I drugs are not defined.

Answer 10

true

Question 11

Which schedule(s) of controlled substances have limited psychological and physical dependency?

Answer 11

IV and V

Question 12

Which controlled substance schedules can be dispensed from a pharmacy for patient use?

Answer 12

II-V

“schedule I drugs cannot be manufactured, prescribed, or dispensed, except as approved by the DEA for investigation purposes”

Question 13

The federal government determines the __________ schedule for a substance, and states may place them in a ____________ schedule.

Answer 13

minimum; higher

Question 14

What is the one exception in which states are not necessarily placing a drug in a higher schedule?

Answer 14

marijuana

Question 15

Where must the controlled substance symbol be located on a drug’s packaging?

Answer 15

on the label of the commercial container

Question 16

How large must the controlled substance symbol on a commercial container be?

Answer 16

large enough to easily identify the product’s schedule while on a pharmacy or warehouse shelf

Question 17

The Controlled Substances Act created a _______ system of distribution for certain substances.

Answer 17

closed

Question 18

There are _____ schedules of controlled substances, and ______ factors are considered when placing substances in schedules.

Answer 18

five; eight

Question 19

The federal government determines the ________ schedule of a product.

Answer 19

minimum

Question 20

The ______ administers all areas of the CSA.

Answer 20

DEA

Question 21

What must occur in order for a controlled substance (II-V) to be dispensed without a prescription?

Answer 21

• dispensed only by a pharmacist
• not more than 8 ounces of any such controlled substance containing opium, nor more than 4 ounces of any other such controlled substance nor more than 48 dosage units of any such controlled substance containing opium, nor more than 24 dosage units of any other such controlled substance may be dispensed at retail to the same purchaser in any given 48-hour period
• purchaser is 18+
• pharmacist requires every purchaser not known to him to furnish suitable identification
• bound record book for dispensing, maintained by the pharmacist, with the name and address of the purchaser, name and quantity of the substance, date of each purchase, and name/initials of the dispensing pharmacist
• presc