Review of Law and Ethics Quiz #1

Question 1

In 2018 the DEA announced a measure to increase the availability of treatment for opioid use disorder in underserved areas. Part of the measure included expanding prescribing and dispensing buprenorphine from a subset of licensee’s practice sites. Expansion of prescriptive authority was granted to which set of practitioners/prescribers?

Answer 1

• Nurse Practitioners (NP)

- Physician Assistant (PA)

Question 2

The DEA does not allow the forwarding of an unfilled controlled substance prescription from one DEA registrant to another for the purposes of filling. One exception to this rule allows forwarding an unfilled controlled substance (including Class II drugs) to be forwarded and filled when:

Answer 2

-The prescription was received by the first registrant as an electronic prescription

Question 3

Adverse Drug Events (ADEs) must be reported to the New Mexico Board of pharmacy within 15 days of discovery by the pharmacy. The report must also include as applicable:

Answer 3

-A root cause analysis and recommendation for improvement

Question 4

“DisposeRx” has partnered with a pharmacy chain to aid in the disposal of unused, unwanted or expired medications. The program is free to participants and the “Dispose Rx” free product can be found at which participating pharmacy:

Answer 4

-Walmart

Question 5

The legalization of verbal transmission of prescription orders to pharmacists, and the legal right for pharmacists to recognize refill authorizations on the original prescriptions, were the results of the enactment of which amendment?

Answer 5

-Durham Humphrey Amendment of 1951

Question 6

_______________ are promulgated by the appropriate administrative agency, in New Mexico, the board of pharmacy. The purpose is to enforce the laws that are enacted by the legislature and congress.

Answer 6

-Regulations

Question 7

____________ establishes NM BOP to regulate the pharmacy profession and distribution of drugs in New Mexico

Answer 7

-NM Pharmacy Act

Question 8

The orange book, a reference and guide to ensure therapeutic equivalence when dispensing brand and generic alternatives is a part of

Answer 8

-NM Drug Product Selection Act

Question 9

___________ specifies limitations on sale, prescribing of medications and also specifies label requirements on prescriptions and record keeping requirements

Answer 9

-NM Drug, Device and Cosmetic Act

Question 10

With the passing of _________________, a distinction was made between prescription and OTC medications.

Answer 10

-Durham Humphrey Amendment of 1951

Question 11

_____________ are signed by the governor after being passed by the state legislature. Similarly, signed by the president after being passed by congress.

Answer 11

-Laws

Question 12

This act gives pharmacists through collaborative practice agreements, the ability prescribe prescriptions with oversight of a supervising physician.

Answer 12

-Pharmacist Prescriptive Authority Act

Question 13

Assume that a state passed a law specifying that only a pharmacist may sell pseudoephedrine from a licensed pharmacy. Assume that federal law allows pseudoephedrine to be sold through any retail outlet. A consumer sued the state to have the state law invalidated because it conflicts with federal law. The consumer will:

Answer 13

-Likely lose because state law is more strict than federal law

Question 14

The main function of the FDA is

Answer 14

-To protect the public against adulterated and misbranded drug products

Question 15

With the Utilitarian theory of ethics, the “best” ethical choice is the one that leads to the greatest amount of good for the greatest number of people?

Answer 15

-True

Question 16

Under the Deontological ethical theory, the actions/duties to others include

Answer 16

• Truthfulness
• Promise keeping
• Individual autonomy
• Do no harm

Question 17

The ethical principle that allows for patients to be independent decision makers and have their own unique views:

Answer 17

-Autonomy

Question 18

Three principles that are not part the Utilitarian decision making framework:

Answer 18

• Veracity
• Promise keeping
• Confidentiality

Question 19

Contrasts between the utilitarian/consequentialist versus idealist/deontological viewpoints include:

Answer 19

-For a utilitarian, veracity is not important if society benefits in the end versus, for an idealist, veracity should be maintained while achieving maximum benefit for the patient.

Question 20

Which example best exemplifies an ethical decision based upon the principle of justice?

Answer 20

-A law providing all persons, no matter what their economic situation, access to affordable health care

Question 21

The most important consideration required to determine whether the patient’s autonomy should be considered in an ethical decision is:

Answer 21

-Determining whether the patient is sufficiently competent to make their own decisions

Question 22

When alternative choices of an ethical decision are considered, predict the outcome, and select the alternative that produces the best for society (which may or may not be the most beneficial to the patient). This step is consistent with which ethical decision making framework?

Answer 22

-Utilitarian (Consequentialist) reasoning

Question 23

The best example of a situation where it may be ethical to violate the principle of veracity is:

Answer 23

-The patient’s family asks you not to tell the patient about a very rare but serious side effect because he may be afraid to take it.