5 - Controlled Substances
Prescriptions for which of the following controlled substances may be partially filled upon request of the patient: I. Empirin with codeine #4 II. Subutex III. Testosterone
I, II, & III
A pharmacist may fill prescriptions for and mail which of the following drugs through the US Postal Service? I. Schedule II non-narcotics II. Benzodiazepines III. Schedule II narcotics
I, II, and III
Schedule III, IV, and V controlled substance prescriptions may be issued to a community pharmacy pursuant to I. a fax of written, signed prescription transmitted by the prescriber to the pharmacy II. an oral prescription call in by a prescriber III. a written prescription signed by the prescriber
I, II, and III
Which of the following drug products must be purchased using a DEA Form 222? I. methadone II. amobarbital III. fentanyl
I, II, and III
Which of the following drugs are considered to be "Basic class" drugs under the Controlled Substances Act? I. dextroamphetamine II. codeine III. morphine
I, II, and III
Which of the following is true about DEA Form 222? I. It may be used by any pharmacy in the same chain. II. It may be partially filled by the supplier. III. A physician may use it to order Schedule II controlled substances.
II and III only. It may be partially filled by the supplier, and a physician may use it to order Schedule II controlled substances.
Which of the following drug products must be purchased by pharmacies using DEA Form 222? I. Strattera II. MS Contin III. Concerta
II and III only. MS Contin and Concerta
Schedule II prescriptions I. may only be refilled once II. may be partially filled under certain conditions III. written for a hospice patient may be faxed to a pharmacy
II and III only. May be partially filled under certain conditions and written for a hospice patient may be faxed to a pharmacy
Schedule III, IV, or V controlled substances may be refilled I. not more than 6 times II. not more than for a 6 month period III. only if authorized by the prescriber
II and III only. Not more that for a 6 month period and only if authorized by the prescriber
Which of the following categories of drugs require the legend "Rx only" to be on the manufacturer's package? I. Schedule V controlled drugs II. Schedule II controlled drugs III. Schedule III and IV controlled drugs
II and III only. Schedule II, III, and IV controlled drugs
When inspecting a chain pharmacy, a DEA inspector may audit which of the following records? I. financial records of prescription sales and profits II. invoices for controlled substances III. prescription files
II and III only. invoices for controlled substances and prescription files
A patient who is being treated with methadone in a narcotic treatment program is admitted to a hospital for the treatment of his pneumonia. How can the client receive his methadone while he is in the hospital? I. the pt can be given enough doses at the narcotic treatment program to carry him over his hospital stay II. authorized nurses can administer methadone to the patient in the hospital in order to maintain or detoxify the patient
II only
With the rapid process of legalized marijuana in the US, the pharmacist must be aware of the active chemical agents that are in marijuana. Which of the following are important components of marijuana? I. IOP II. CBD III. THC
II. CBD III. THC
Controlled substance inventories I. may be done at any time during the workday II. must be taken at least once each year III. must be made for each registered location
III only. Must be made for each registered location
Which of the following is true of Schedule V substances? I. They all contain codeine. II. When they are dispensed by the pharmacist, the federal transfer warning must be on the container labeling. III. Some states may permit sale of these products without a prescription.
III only. Some states may permit sale of these products without a prescription
A filled DEA Form 222 must be kept by the I. DEA for 10 years II. purchaser for 3 years III. supplier for 2 years
III only. Supplier for 2 years
A pharmacist who does not receive a registration renewal form from DEA within 45 days before the expiration of his/her registration must notify I. his/her state's board of pharmacy II. the regional FDA office III. the DEA in writing and request renewal forms
III only. The DEA in writing and request renewal forms.
Which of the following is (are) NOT required to be on a prescription for a controlled substance? I. DEA number of the practitioner II. The date on which the prescription was signed III. The date of birth of the patient
III only. The date of birth of the patient
A prescriber may authorize a maximum of how many refills on a prescription for Percodan tablets? A. 0 B. 1 C. 2 D. 5 E. 10
A. 0
All of the following acronyms are related to prescription drug pricing EXCEPT A. DME B. AWP C. AAC D. EAC E. MAC
A. DME
Under which one of the following circumstances may a pharmacist refuse to fill a prescription? A. The quantity of the uncontrolled drug has been changed. B. The pharmacist does not know the patient. C. The patient is an alcoholic. D. The prescription was written a week ago. E. The prescriber is from another city.
A. The quantity of the uncontrolled drug has been changed
Auto injectors are commercially available for the administration of A. naloxone B. HCTZ C. amlodipine D. sertraline E. gabapentin
A. naloxone
What percentage of the controlled substance doses dispensed each year may be transferred to another pharmacy without requiring registration as a wholesaler? A. 0 B. 5 C. 7 D. 10 E. 20
B. 5
Which of the following digits would make the following an authentic DEA number BC445987 ? A. 6 B. 7 C. 8 D. 9 E. 0
B. 7
Which one of the following acronyms represents a method acceptable by the DSA for ordering Schedule II substances? A. DSA-II B. CSOS C. SIIO D. NDC E. EOB
B. CSOS
Methylphenidate is an example of a drug in a controlled substance category A. I B. II C. III D. IV E. V
B. II
A product that contains 60 mg of codeine and 325 mg of acetaminophen is most likely to be classified as A. Schedule II B. Schedule III C. Schedule IV D. Schedule V E. Noncontrolled
B. Schedule III
A pharmacy chain with stores in several states must obtain A. a DEA number in each state that it owns a store B. a DEA number for each individual pharmacy location C. just one DEA number for the entire chain D. a DEA number for each of the chain's regional offices E. a DEA number for each Pharmacy Supervisor in the chain
B. a DEA number for each individual pharmacy location
A patient presents a Rx for 60 Tylenol w/codeine tabs No. 4 to his local pharmacy and indicates that he would like to get 30 of the tabs now and will return for the other 30 in a week. The pharmacist should... A. call the prescriber to get permission to dispense 30 B. dispense 30 tabs as requested C. advise the pt that the full 60 tabs must be supplied at one time D. fill the Rx as requested by the pt but advise the pt that the balance must be picked up w/in 72 hrs E. dispense 30 tabs of Tylenol w/ codeine No. 2
B. dispense 30 tabs as requested
Dronabinol is a Schedule III controlled substance that is related most closely to A. cocaine B. marijuana C. LSD D. morphine E. methylphenidate
B. marijuana
The original portion of the Form 222 is eventually kept on file by the A. DEA B. supplier C. FDA D. purchaser E. prescriber
B. supplier
A 35-year old customer wishes to know how many 30 mg Sudafed tablets he can purchase at one time. Which of the following is the correct answer? A. 12 B. 60 C. 120 D. 240 E. 300
C. 120
The component of marijuana that is believed to have the most activity to alleviate neuropathic pain, glaucoma and nausea is: A. LLB B. SLM C. CBD D. MLS E. THC
C. CBD
A product that contains not more than 1.8 g of codeine per 100 mL is considered to be in Schedule A. I B. II C. III D. IV E. V
C. III
A suppository dosage form of secobarbital is likely to be classified in which of the following controlled substance schedules? A. I B. II C. III D. IV E. V
C. III
A new drug product is given the name "felorazepam". It is likely to be classified as A. Schedule II B. Schedule III C. Schedule IV D. Schedule V E. Noncontrolled
C. Schedule IV
The pharmacist manager of a community pharmacy enters the pharmacy and finds that a variety of controlled products have been stolen over night. which of the following is required to do? A. Complete and send to the DEA the Form 204 B. lock the pharmacy area until a DEA agent has examined the site C. complete and send to the DEA the Form 106 D. Contact the BOP before the pharmacy is open E. complete and send to the DEA the Form 184a
C. complete and send to the DEA the Form 106
A physician who is a resident in a hospital and does not have a DEA registration number A. may not prescribe controlled substances B. may only prescribe controlled substances for outpatients C. may prescribe controlled substances using the hospital DEA number plus an assigned suffix D. may prescribe controlled substances only in Schedule III-V E. may prescribe only for inpatients
C. may prescribe controlled substances using the hospital DEA number plus an assigned suffix
To be admitted to a comprehensive maintenance program, narcotic-dependent individuals must have been physiologically dependent on narcotics for at least A. 30 days B. 90 days C. 180 days D. 12 months E. 18 months
D. 12 months
The authority for determining the schedule for a potentially new controlled substance belongs to the: A. Director of the FDA B. President of the US C. Director of the DEA D. Attorney General of the US E. Director of HHS
D. Attorney General of the US
A DEA form 222a is used A. to order Schedule II controlled substances B. to order all controlled substances C. to return unused controlled substances D. as a requisition form for Form 222 E. to register a practitioner with DEA
D. as a requisition form for Form 222
Zolpidem is regulated by federal law in the same way as A. oxycodone B. buprenorphine C. phenobarbital D. lorzepam E. diphenoxylate/atropine combination
D. lorzepam
A "Listed Chemical" is defined by the Controlled Substances Act as any chemical that is A. a controlled substance B. listed in the USP/NF C. listed in the USP DI D. used in manufacturing a controlled substance E. listed in the Electronic Orange Book
D. used in manufacturing a controlled substance
Blood and/or urine tests are frequently performed on participants in comprehensive narcotic maintenance treatment programs in order to detect I. continued abuse of drugs II. hepatotoxicity III. drug toxicity
I only. continued abuse of drugs
After dispensing prescriptions for several months for a Schedule II analgesic, the pharmacist realizes that the patient with severe pain from bone cancer is addicted to the drug. Which one of the following actions is the most appropriate for the pharmacist? A. Report the situation to the state board of pharmacy. B. Report the situation to the state medical board. C. Report the situation to the DEA. D. Refuse to fill any further prescriptions. E. Continue to fill the prescriptions.
E. Continue to fill the prescriptions.
When using a DEA Form 222, the center portion of the 3-part form ultimately ends up with the A. purchaser B. state board of pharmacy C. supplier D. regional poison control center E. DEA
E. DEA
DEA registration numbers that are assigned to mid-level practitioners generally begin with which of the following letters? A. A B. B C. X D. F E. M
E. M
Phenobarbital is a drug that is classified as a(n) A. Schedule III drug B. OTC drug C. Schedule V drug D. Non-controlled drug E. Schedule IV drug
E. Schedule IV drug
A product that contains not more than 200 mg of codeine per 100 mL of product is classified in controlled substance category: A. noncontrolled B. Schedule II C. Schedule III D. Schedule IV E. Schedule V
E. Schedule V
Which of the following reference sources include selected laws and regulations for controlled substances? A. Facts and Comparisons B. Physician's Desk Reference C. USP DI Volume I D. USP DI Volume II E. USP DI Volume III
E. USP DI Volume III
Percogesic is an example of a product that is A. in Schedule II B. in Schedule IIII C. in Schedule IV D. in Schedule V E. not a controlled substance
E. not a controlled substance
Which of the following barbiturates are classified as Schedule II controlled substances? I. amobarbital II. pentobarbital III. butabarbital
I and II only. Amobarbital and pentobarbital.
A pharmacist may partially fill a Schedule II prescription I. and the remaining portion of the prescription may be filled within 72 hr of the partial fill II. if the pharmacist does not have enough medication in stock to completely fill the prescription III. if the patient only wants some of the medication prescribed
I and II only. And the remaining portion of the prescription may be filled within 72 hr of the partial fill and if the pharmacist does not have enough medication in stock to completely fill the prescription.
A physician wishes to prescribe a Schedule II controlled substance for a patient residing in hospice. How may the prescription be conveyed to a pharmacy? I. as a written prescription II. by fax III. by email
I and II only. As a written prescription and by fax
Partial filling of a Schedule IV controlled substance prescription is permissible, provided that I. each partial filling is recorded II. the total quantity dispensed in all partial fillings does not exceed the total quantity prescribed III. the total price charged for the partial fillings does not exceed the total price the patient would have paid with a complete filling of the prescription
I and II only. Each partial filling is recorded, and the total quantity dispensed in all partial fillings does not exceed the total quantity prescribed.
Which of the following is/are true regarding the sale of codeine-containing Schedule V cough medicine without a prescription? I. Only a pharmacist may dispense the product to the consumer. II. A non-pharmacist may "ring-up" the sale and collect payment for the product. III. Not more than 120 mL or 24 dosage units of this product may be sold to the same purchaser in any 7-day period.
I and II only. Only a pharmacist may dispense the product to the consumer and a non-pharmacist may "ring-up" the sale and collect payment for the product.
Nonprescription products containing which of the following drugs must not be directly accessible to the consumer? I. phenylpropanolamine II. pseudoephedrine III. dextromethorphan
I and II only. Phenylpropanolamine and pseudoephedrine.
DEA Form 222 must be used when which of the following classes of controlled substances are purchased? I. Schedule I II. Schedule II III. Schedule III
I and II only. Schedule I and II
Oral authorization for additional refills on a Schedule III prescription are acceptable as long as I. the total quantity authorized does not exceed five refills within a six-month period from the date of issue of the original prescription II. the quantity of each additional refill authorized is not greater than the quantity authorized for the initial filling of the prescription III. the pharmacist gets a "cover" prescription from the prescriber within 7 days of the oral authorization
I and II only. The total quantity authorized does not exceed five refills within a six-month period from the date of issue of the original prescription, and the quantity of each additional refill authorized is not greater than the quantity authorized for the initial filling of the prescription
Labels of commercial drug products that are intended for electrolyte replacement must contain the concentration expressed in terms of: I. weight or concentration II. milliequivalents III. millimoles
I and II only. Weight or concentration and millliequivalents
Which of the following are Schedule II controlled substances? I. morphine tablets II. fentanyl injection III. tramadol
I and II.
Which of the following forms are used to apply for a new DEA registration for a community pharmacy? I. Form 224 II. Form 222a III. Form 222
I only. Form 224
How may a physician obtain cocaine HCl powder for use as a local anesthetic in his office? I. He may order it directly from a supplier using DEA Form 222. II. He may write an order for the drug in an institutional setting and label it "for office use". III. He may write a prescription for the drug and write "for office use" on its face.
I only. He may order it directly from a supplier using DEA Form 222.
Which of the following is true of controlled substance inventories? I. Inventories for schedule II controlled substances must be kept separately from all other records of the pharmacy. II. Controlled substance inventories must be performed annually. III. The registrant must keep inventory records for at least 5 years from the date performed.
I only. Inventories for schedule II controlled substances must be kept separately from all other records of the pharmacy.
A physician telephones a pharmacy and prescribes 40 Percodan tablets, 1 TID. Which of the following is (are) true? I. it may only be dispensed in an emergency II. a written "cover" prescription must be received before the pharmacist may dispense the medication III. not more than a 7-day supply may be prescribed orally
I only. It may only be dispensed in an emergency.
A pharmacist who fills an oral morphine sulfate prescription in an emergency does not receive a "cover" prescription from the prescriber. The pharmacist must I. notify the regional DEA office II. notify the state board of medicine III. call the patient and request that he/she obtain a written prescription to cover the oral order
I only. Notify the regional DEA office
Which of the following actions are appropriate when mailing a narcotic drug filled using a valid prescription? I. Package the drug container in a plain paper outer wrapping II. Place the warning "Narcotic, do not open while in transit" on the outer wrapping III. Place a fictitious return address on the outer wrapping
I only. Package the drug container in a plain paper outer wrapping
Which of the following barbiturates is classified in controlled substance category IV? I. Phenobarbital II. Pentobarbital III. Amobarbital
I only. Phenobarbital
Pharmacists are required to periodically inventory supplies of which of the following drug products? I. Sonata capsules II. Entex liquid III. Sudafed plus liquid
I only. Sonata capsules
Which of the following is (are) true of practitioners who prescribe controlled substances electronically? I. They must provide appropriate two-factor authentication credentialing. II. They may issue prescriptions for up to 3 patients simultaneously with a single signature. III. They may only prescribe Schedule III, IV, and V drugs electronically.
I only. They must provide appropriate two-factor authentication credentialing.
Which of the following is TRUE of Schedule II controlled substances? I. They may be dispensed by a community pharmacist only pursuant to a written prescription signed by the practitioner. II. They may be administered or dispensed by a physician without a prescription to a patient with chronic pain. III. They may be administered by an institutional pharmacist pursuant to an order for immediate administration to the ultimate user.
I, II, and III
Controlled substance prescriptions I. may be written by typewriter (except for the prescriber's signature) II. must have the name of the physician printed, stamped, typed, or hand-printed on it III. may be prepared by an agent of the prescriber for the prescriber's signature
I, II, and III.
When conducting a controlled substance inventory, the registrant I. must make an exact count of open containers of Schedule II substances II. may estimate the count of a Schedule IV substance in an opened container that originally held 500 tablets III. must make an exact count of all controlled substances in sealed, unopened containers
I, II, and III.
Which of the following are examples of Schedule I substances? I. Lysergic acid diethylamide II. Mescaline III. Peyote
I, II, and III. Lysergic acid diethylamide, mescaline, and peyote.
Which of the following hospital employees may be permitted to prescribe controlled substances even though they do not have a DEA registration number? I. Medical interns II. Medical residents III. Mid-level practitioners
I, II, and III. Medical interns, medical residents, and mid-level practitioners.
Which of the following products are approved for the treatment of narcotic dependence? I. methadone II. buprenorphine III. subutex
I, II, and III. Methadone, buprenorphine, and subutex
Which of the following controlled drugs may a pharmacist mail through the US Postal Service? I. Schedule II's II. Schedule III's III. Schedule IV's
I, II, and III. Schedule II's, III's, and IV's.
The statement "Caution: Federal law prohibits the transfer of this drug to any person other than the person for whom it was prescribed" is required on prescription containers for which of the following categories of drugs? I. Schedule II II. Schedule III III. Schedule IV
I, II, and III. Schedule II, III, and IV.
Which of the following drug products must be ordered using DEA Form 222? I. Fentanyl II. Vicodin III. Pentobarbital
I. Fentanyl II. Vicodin III. Pentobarbital
Pharmacists may transfer prescription information on a one-time basis for the purpose of dispensing a refill for which of the following drug products? I. Lomotil tablets II. Dalmane capsules III. OxyContin
I. Lomotil tablets II. Dalmane capsules
Which of the following is true of DEA Form 222? I. May be used to transfer Schedule II drugs from one pharmacy to another. II. May be used to return Schedule II drugs to the supplier. III. Photocopies of these forms can be used to purchase C II drugs
I. May be used to transfer Schedule II drugs from one pharmacy to another. II. May be used to return Schedule II drugs to the supplier.
Which of the following drug products may be purchased by a pharmacy with the use of a DEA Form 222? I. OxyContin II. Dilaudid III. Marinol Capsules
I. OxyContin II. Dilaudid
Which of the following drug products must be ordered from a wholesaler using DEA Form 222? I. Percocet II. ketamine 50mg/mL III. diazepam tabs 10mg
I. Percocet
Which of the following are permissible when taking a controlled substance inventory? I. assistance of a technician to count tabs II. use of a recording device III. maintaining inventory records on a recording device
I. assistance of a technician to count tabs II. use of a recording device
Which of the following is required on the prescription label when the pharmacist fills a controlled substance prescription? I. date of initial filling II. Federal "Caution" warning III. number of dosage units dispensed
I. date of initial filling II. Federal "Caution" warning
Which of the following are Schedule IV controlled substances? I. zaleplon II. buprenorphine III. methylphenidate
I. zaleplon
Which of the following are exempt from registration under the Controlled Substance Act? I. A foreign-trained physician II. A US Public Health Service physician III. US Army physician
II and III only. A US Army physician and a US Public Health Service physician.
Controlled substances may be stored in a pharmacy I. on a controlled substance shelf in the pharmacy department II. dispersed through the pharmacy department with noncontrolled drug products III. in a securely locked cabinet
II and III only. Dispersed through the pharmacy department with noncontrolled drug products and in a securely locked cabinet.
Which of the following products are Schedule III controlled substances? I. Percodan tablets II. Fiorinal capsules III. Tylenol with Codeine #4
II and III only. Fiorinal capsules and Tylenol with Codeine #4.
Which of the following is true about DEA Form 222? I. If it contains incorrect information the supplier may correct it and initial the correction. II. If an order cannot be filled by a supplier the form must be returned to the purchaser. III. If any forms are lost, the loss must be reported to DEA.
II and III only. If an order cannot be filled by a supplier the form must be returned to the purchaser, and if any forms are lost, the loss must be reported to DEA.
A faxed Schedule II prescription from the prescriber to a pharmacy is permitted I. at any time as long as it is followed by a written "cover" prescription II. if the patient is a resident of a LTCF III. if the patient is a hospice patient
II and III only. If the patient is a resident of a LTCF and if the patient is a hospice patient
Which dosage forms of secobarbital must be ordered using a DEA Form 222? I. Suppository II. Injectable III. Capsule
II and III only. Injectable and capsule.
A partial filling of a Schedule II prescription is permissible under which of the following circumstances? I. The patient is over 65 and only wants half the number of doses prescribed by the physician because he cannot afford the full amount. II. The prescriber indicates that she would like the patient to get half the prescription today and the rest in a week if the medication agrees with him. III. The pharmacist is out of stock and will provide the balance of the prescription to the patient in two days.
III only. The pharmacist is out of stoke and will provide the balance of the prescription to the patient in two days.
While presenting a talk on drug abuse, a pharmacist is asked for information concerning the "date-rape drug". Her response may include which of the following? I. The drug is a Schedule II substance II. The generic name for the drug is gamma-hydroxybutryric acid III. The therapeutic classification of the drug is as a behavioral depressant and hypnotic
III only. The therapeutic classification of the drug is as a behavioral depressant and hypnotic.
A pharmacist may issue a Power of Attorney to an individual in order to permit the individual to I. fill controlled substance prescriptions II. conduct a narcotic treatment facility III. complete DEA Form 222 orders
III only. complete DEA Form 222 orders
Patients treated in an ambulatory care comprehensive narcotic treatment program may receive methadone doses by which of the following routes? I. IV II. IM III. oral
III only. oral
Controlled substances prescriptions may be issued by prescribers I. to obtain controlled substances for dispensing in their office II. to prescribe drugs to be used by a patient for narcotic detoxification III. to prescribe controlled substances for a patient with chronic pain
III only. to prescribe controlled substances for a patient with chronic pain
When filling a controlled substance prescription written for an outpatient by a hospital resident, it is essential that the... I. prescribed drug is in either C III or IV II. resident must have a DEA number III. hospital must have a DEA number
III. hospital must have a DEA number
Which of the following are controlled substances? I. ergotamine tartrate II. papaverine III. levorphanol
III. levorphanol
Which of the following may a nurse in a doctor's office perform, with the prescriber's permission, with regard to a Schedule II prescription? I. write the prescription and sign the prescriber's name II. write the prescription except for the drug name, strength, quantity and prescriber's name III. write the entire prescription except for signing the prescriber's name
III. write the entire prescription except for signing the prescriber's name