Weekly Quizzes 1-9

Which of the following Drugs is considered misbranded? Select all that apply A) The manufacturer's container is labeled as containing 100 tablets, but the bottle only contains 80 B) An insulin vial is stored at room temperature for over 60 days and the contents appeared discolored C) The manufacturer's label on a container of metformin is missing the statement "Rx only" D) An insulin vial is stored at room temperature for over 60 days and the contents appeared clear and colorless

(A) and (C)

Question 16 How many times may a child - resistant prescription cap be reused ?

None , plastic caps cannot resused

Question 5 Park Pharmacy dispenses 20.000 dosage units of controlled substances each calendar year . Sometimes , neighboring pharmacies are out of stock of certain controlled substances and they will buy a small quantity from Park Pharmacy in order to fill prescription orders . What is the maximum number of dosage units of controlled substance Park Pharmacy can sell annually to nearby pharmacies without being registered with the DEA as a distributor ? ( Enter WHOLE numbers only ; no commas or decimals )

1,000

Assume that today is June 1. You are working at a community pharmacy and you are filling a prescription for escitalopram 20 mg. Upon review of the label on te manufacturers stock bottle, you discover the expiration date is November 30 of the current year What beyond use date should you use when generating the prescription label for the vial you will dispensing the medication in? enter your answer in MM/DD/YY formate.

11/30/2022

Question 17 For how many years must a supplier keep the original copy of a single-sheet DEA Form 222?

2

Question 7 Which clinical trial phase is the first to assess a drug's efficacy ?

2

Question 13 The biennial controlled substances inventory record must be kept by the pharmacy for what time period ?

2 years

Question 8 At a minimum , how long must a community pharmacy keep prescription records ?

2 years

Question 9 For how long does the DEA require a pseudoephedrine sales logbook be kept in a secure location ?

2 years

How many classes of FDA drug recalls are there?

3

How many phases of clinical testing must be conducted before a drug drug application can be submitted to the FDA?

3

Question 29 Your pharmacy receives a prescription for Duragesic transdermal for a new patient , and the prescriber is not known to you . You check the validity of the DEA number . What must the last number in the physician's DEA number be in order to be valid ( AG225587 ) ?

3

Question 5 How many phases of clinical testing must be conducted before a drug drug application can be submitted to the FDA ?

3

Question 24 Reimportation of prescription drugs from another country is illegal , generally speaking . However , under a compassionate use policy , the FDA permits personal importation of small amounts of drugs if they are not approved in the US and if they are used for the treatment of serious conditions for which there is no satisfactory treatment available in the US . Individuals transporting a non - controlled drug on their person into the US may do so as long as the quantity does not exceed a___day supply .

30

Question 30 Short - term narcotic detoxification is defined as treatment for a period of less than____

30 days? ***

How many schedules of controlled substances are there?

5

Question 19 A pharmacy can sell controlled substances to other pharmacy or prescribers without being registered as a distributor so long as both parties are registered with the DEA to dispense controlled substances . The total quantity sold cannot exceed what percent of the total quantity dispensed each year by the selling pharmacy ?

5

Question 7 Sonya is a pharmacy graduate who is eligible to take the NAPLEX and MPJE exams . According to NABP , a candidate may attempt the NAPLEX times in order to pass the exam ( note : state laws may differ and require special permission - this question is asking how many times will NABP allow a person to test before they say " no more " . . Insert the number ( 1 , 2 , 3 , 4 , etc )

5

Question 22 For patients who are terminally ill or are in a long - term care facility may receive a partial fill of a Schedule Il prescription for up to days from the original date of the written prescription . ( Enter the number only [ 1 , 2 , 3 , etc ] ) .

60 days

Question 21 What is the maximum amount of pseudoephedrine 60 mg tablets that can be sold in a 30 day period from a mail order pharmacy ? Enter the number of grams in this format ( X.X )

7.5

Question 10 What is the maximum number of grams of pseudoephedrine a patient may purchase over - the - counter in a 30 day period of time in the community pharmacy environment ?

9

Question 21 What is the maximum amount of Sudafed that can be purchased from a pharmacy by a patient within 30 days ?

9 grams

Question 4 If the single maximum recommended dose of a drug product contains an electrolyte amount equal to or greater than a specific threshold , the label must state the amount of the electrolyte per dosage unit . What is the threshold amount for Calcium ?

> 3.2 g

Incorrect Question 19 Who must be registered with the DEA in order for a hospital pharmacy to dispense controlled substances ?

????

Question 5 Substitution is permitted for drug products with which of the following codes ? Select all that apply .

A AB

Question 1 Which of the following facilities may be eligible to register as a 503B outsourcing facility with the Food and Drug Administration ?

A facility that only compounds sterile drugs for humans

Question 24 Which of the following facilities may be eligible to register as a 503B outsourcing facility with the Food and Drug Administration ?

A facility that only compounds sterile drugs for humans

Question 18 Which of the following statements is true related to pharmacist : pharmacy technician ratios in Georgia ? Select all that apply .

A pharmacist may supervise three pharmacy technicians . One technician must be certified . A pharmacist may supervise three pharmacy technicians . Two technicians must be certified . A pharmacist may supervise four pharmacy technicians . Two technicians must be certified .

Question 8 . Atlantic Pharmacy remotely operates automated dispensing cabinets at Pacific Long - Term Care . Many of the patients receive controlled drugs that are stored in removable pockets of the automated dispensing cabinets . When a nurse selects the drug , it is released from the pocket into a drawer , which then opens automatically . According to federal law , the use of the automated dispensing cabinet in this manner must abide by which of the following regulations ? Select all that apply . A pharmacist must review the medication order before the drug is removed from the automated dispensing cabinet The pharmacy must have a separate DEA registration for the automated dispensing cabinet Only drugs in Schedules III - V may be kept in an automated dispensing cabinet

A pharmacist must review the medication order before the drug is removed from the automated dispensing cabinet The pharmacy must have a separate DEA registration for the automated dispensing cabinet

Tamper Resistant security forms are designed to reduce fraudulent prescriptions. What are examples of tamper resistant features?

A repeitive void or other opaque writing or pattern that appears when the form is photocopied A list of the security features on the form printed directly on the form for the pharmacist to check-if present Microprint signature line Check of boxes to match the number of tablets or capsules prescribed.

Question 13 Which of the answer choices below best defines a pharmacy extern ?

A student pharmacist who is currently enrolled in an approved school / college of pharmacy who has been assigned by the school / college of pharmacy for the purposes of obtaining practical experience and complete a degree in pharmacy

Question 12 In Georgia , which of the following healthcare providers may write a prescription authorizing a patient to receive up to 24 months of an oral contraceptive ?

Advanced Practice Nurse

Prescription drug package inserts include all of the following types of information except

AWPs

Question 25 When the patent of a brand name drug is expiring , which of the following must a generic manufacturer submit to the FDA for approval before the generic form of the drug can go to market ? Generic drug application New drug application Supplemental new drug application Abbreviated new drug application

Abbreviated new drug application

Which of the following activities can be performed by a licensed pharmacy intern/extern? select all that apply

Accept a verbal prescription drug order Conduct patient counseling Perform prescription data entry

Question 9 DEA Form 222 must be used to order the following drugs : Select I that apply. Proigil Qsymia Actiq Seconal Sonata

Actiq Seconal

Partial Question 14 A pharmacist must include which of the following on the prescription label ? Select all that apply . Dispensing pharmacy's NPI number Address of the dispensing pharmacy Name of the dispensing pharmacist Name of the dispensing pharmacy

Address of the dispensing pharmacy Name of the dispensing pharmacist Name of the dispensing pharmacy ***

Question 26 Any physician is permitted to : Prescribe drugs to relieve acute narcotic withdrawal symptoms Administer drugs to provide narcotic drug - dependent patients with maintenance treatment Prescribe drugs to provide narcotic drug dependent patients with maintenance treatment Administer drugs to relieve acute narcotic withdrawal symptoms

Administer drugs to relieve acute narcotic withdrawal symptoms

Question 8 . Which of the following are exempt from tamper - evident packing requirements ? 2 - piece hard gelatin capsules 1 - piece hard gelatin capsules Aerosols Drugs in first - aid kits

Aerosols Drugs in first - aid kits

Question 16 You are working at a large drug company and you are in charge of the clinical trials of a new drug product . When would you submit your New Drug Application to the FDA ?

After conducting Phase 3 clinical trials and before starting Phase 4 clinical trials

Partial Question 2 Which of the following requires an exact count when conducting biennial inventory ? Select all that apply . All Schedule Il containers Open Schedule Ill containers holding less than 100 dosage units Sealed , unopened containers of all controlled substances Schedule V containers holding more than 1,000 dosage units

All Schedule Il containers Sealed , unopened containers of all controlled substances Schedule V containers holding more than 1,000 dosage units

Question 13 Ms. Reynolds has not picked up her prescriptions that were filled last week . Which of the following is / are legal actions for the pharmacist to take ? Select all that apply . Send a text message to the patient reminding her that she has prescriptions ready for pick up Call the patient at home and leave a message on her home phone answering machine reminding her that she has prescriptions ready for pickup Call the patient at home and leave a message with the son reminding Ms. Reynolds that she has prescriptions ready for pickup Send an email to the patient reminding her that she has prescriptions ready for pickup

All of the above

A pharmacist calls a patient's home to remind the patient of an upcoming refill. With which of the following individuals may the pharmacist leave a non-specific message? Patient's brother-in-law, patient's husband, patent's mother, patient's daughter

All of the above choices

Partial Question 11 Controlled substances prescriptions may be issued by prescribers for which of the following reasons ? Select all that apply . to obtain controlled substances for dispensing by physicians in a clinic to prescribe drugs for use by patients for the treatment of acute , post - operative pain to prescribe drugs for use by patients for the treatment of chronic pain to prescribe drugs for use by a patient for the purpose of narcotic detoxification

All of the above*** ??

Partial Question 16 Which of the following answer choices are examples of non - sterile compounding that must follow USP 795 regulations ? Select all that apply . Adding a flavor to a medication to make it more palatable Preparing a product to remove an excipient that a patient cannot tolerate ( eg . , red dyc ) . Preparing a 2.5 % ointment when only a 5 % ointment is available Changing a solid tablet to a liquid for a patient who cannot swallow

All of the the above***

A pharmacist has been filling prescriptions for 35 years. She developed arthritis in her fingers and began to appreciate that it could be difficult for some elderly patients to open safety caps on prescription containers. The pharmacist decided to put all chronic maintenance medications (e.g. hypertension, cholesterol, heart medicines) for seniors into containers that open easily and are not child resistant. Choose the correct statement/s concerning prescription packaging.

All prescription drugs with a few exceptions, must be dispensed in child resistant containers The pharmacist can dispense prescription in a container that is not child resistant if the patient signs a waiver.

Tamper Resistant security forms are designed to reduce fraudulent prescriptions. What is not an example of a tamper resistant feature?

Alternate color papers on the pad (such as yellow-white, yellow-white)

Question 3 Which of the following types of drug products are required to be dispensed in poison prevention packaging ? Select all that apply . A bronchodilator in a metered aerosol container An analgesic for a child An analgesic for an adult Estrogen tablets for a female over the age of 65

An analgesic for a child An analgesic for an adult Estrogen tablets for a female over the age of 65

Question 23 A patient who is being treated with methadone in a narcotic treatment program is admitted to the hospital for the treatment of community acquired pneumonia . How can the patient receive their methadone while they are hospitalized ?

An authorized nurse can administer methadone to the patient in the hospital in order to maintain or detoxify the patient

A police officer visits a pharmacy and informs the pharmacist that he has arrested an individual suspected of altering prescriptions . The officer requests the original prescriptions as evidence in the case . Which of the following would be an appropriate action for the pharmacist to take ? Select all that apply . As described , the prescriptions in question are not considered altered or forged The pharmacist is not obligated to give the officer any prescription hard copies without a warrant The pharmacist should give the officer any prescription hard copies as requested so long as the officer provides the pharmacist with a written receipt The pharmacist should contact the state board of pharmacy for further direction

As described , the prescriptions in question are not considered altered or forged The pharmacist is not obligated to give the officer any prescription hard copies without a warrant The pharmacist should contact the state board of pharmacy for further direction

Brent is a new patient at Sunshine Pharmacy. The pharmacy must provide the Notice of Privacy Practices which describes how medical information about the patient may be used and disclosed and how the patient can access this information. When does the pharmacy need to provide the Notice of Privacy Practices to Brent?

At the first time service is offered

Question 23 Caroline is a new patient at Green's Pharmacy . The pharmacy must provide the Notice of Privacy Practices which describes how medical information about the patients may be used and disclosed , and how the patient can access this information . When does the pharmacy need to provide the Notice of Privacy Practices to Caroline ? Select all that apply . Every time service is offered At the first time service is offered Biannually At the nequest of the patient When the privacy practice is updated

At the first time service is offered At the request of the patient

A pharmaceutical sales representative may distribute samples of a prescription drug upon which of the following ? At the request of the community pharmacist At the request of the physician At the request of the medical assistant working for the physician At the request of the patient At the request of the hospital pharmacist

At the request of the physician

Diana drops off a new prescription for Keppra at the pharmacy. When should the prospective drug utilization review be performed?

Before dispensing the prescription

Question 25 The Food and Drug Administration Modernization Act of 1997 defined manufacturing and compounding . This definition exempted compounded products from being considered a " new drug " so long as which of the following criteria were met ? Select all that apply . Prescriptions can compounded that are a copy of a commercially available product Bulk drugs used were obtained by a manufacturer registered with the FDA Compounded prescriptions were prepared by a licensed pharmacist for an individual patient Prescriptions compounds can be for drugs that are no longer considered safe and effective

Bulk drugs used were obtained by a manufacturer registered with the FDA Compounded prescriptions were prepared by a licensed pharmacist for an individual patient

Incorrect Question 23 Chris is a nurse at the local hospital . He administers 0.5 mL of a 1 ml vial of morphine to a patient . He is required to " waste " the unused portion of the vial . How does Chris document his actions of " wastage " ?

By mking a logbook entry or electronic record keeping entry

Question 7 Which of the following abbreviations would be an acceptable way to describe the category of prescription drugs that represents the highest risk for diversion and abuse ?

C - II

Question 27 When prescription records are transmitted to a central fill pharmacy , what must appear on the face of the hard copy prescription ?

CENTRAL FILL

Question 30 Who is responsible for overseeing state Medicaid programs ?

CMS

Question 7 Electrolyte levels must be listed on OTC labels . Which electrolyte is not required to appear on OTC labels ?

Chloride

Mercer Pharmacy is recalling human and veterinary sterile compounded products due to a lack of sterility assurance. The pharmacy has begun notifying the recipients of this recall by telephone, fax, electronic mail and/or regular mail. Patients should immediately discontinue use and return the recalled products. If there is contamination in sterile products, patients are at risk of serious infections, which can be life-threatening. What class of recall is this?

Class I

Which of the following may require a pharmacy to register as an outsourcing facility with the FDA?

Compounding sterile preparations in bulk (without patient-specific prescriptions) to distribute to other pharmacies

Question 1 Enforcement of the Poison Prevention Protection Packaging Act falls under the jurisdiction of ____

Consumer Product Safety Commision

Mary is a longstanding patient at your pharmacy and has been taking metformin 400 mg twice daily for the last seven years. Mary comes into the pharmacy on a Saturday morning and asks for a refill on her metformin. Upon review of her patient profile, you notice that mary does not have any refills remaining and her doctor's office is closed since it's Saturday morning. What can you do to assist mary in this situation?

Create a new, non-refillable prescription for 72 hours supply of metformin so long as the prescription is reduced in writing and it references the serial number of the original prescription.

Question 21 When controlled substances are lost in transit , the loss should be reported on what form ?

DEA Form 106

Question 19 To order Schedule Il drugs from suppliers , which of the following methods may be used ? DEA Form 222 single - sheet form Electronic Controlled Substances Ordering System DEA Form 222 triplicate form No special order

DEA Form 222 single - sheet form Electronic Controlled Substances Ordering System

Question 13 antibiotics , Vicodin , and other analgesics . In order to dispense controlled substances , the pharmacy will need to register with the DEA . Which DEA form does Dr. Smith Thomas Smith , PharmD , recently opened a new pharmacy . The pharmacy is located next to an oral surgeon's office , so he is expecting to dispense a large number of need to fill out to register with the DEA ?

DEA Form 224

Question 22 what form is used to document the destruction ? A reverse distributor is a company that disposes of controlled substances and is often used by pharmacies to return out of date products . When a reverse distributor destroys medications for a pharmacy .

DEA Form 41

Question 3 The breakage , damage , or spillage of controlled substances is not considered a " loss " of controlled substances . Any drug that i recoverable from breakage , damage , or spillage must be disposed of according to DEA requirements . What form must be submitted to the DEA to document such disposal ?

DEA Form 41

Question 6 An accident occurred , causing part of the hospital building to catch fire . The fire affected the hospital's drug inventory stock , including most of the controlled substances located in the pharmacy's vault . Now , most of the drugs are considered adulterated and cannot be dispensed . What form should be used to report this event to the DEA ?

DEA Form 41

What requirement is missing from this written prescription? Earliest date the prescription can be filled Pateint's gender Date of Issuance Last four digits of the patient's social security number pharmacy name

Date of Issuance

Question 17 Which of the following are required components of a retail pharmacy prescription label ? Select all that apply . Date of issuance Date dispensed Patient's address Prescriber's address Pharmacy's address

Date of issuance Date dispensed Patient's address Pharmacy's address

Question 2 Which of the following elements must appear on the " Drug Facts " panel for an over - the - counter drug product ? Select all that apply . Directions Active Ingredient ( s ) Uses Inactive ingredients

Directions Active Ingredient ( s ) Uses Inactive ingredients

Question 6 Dan stops by the pharmacy and would like to purchase over - the - counter Plan B One - Step . What should the pharmacist do ? Dispense to Dan without proof of age or identification Do not dispense ; Plan B One - Step can only be sold to females Dispense if Dan shows proof that he is at least 21 years old . Do not dispense ; Plan B One - Step is only available by prescription Dispense to Dan if he shows proof that he is at least 17 years of age

Dispense to Dan without proof of age or identification

Question 4 In Georgia , when are dispensers required to check to the prescription drug monitoring program ( PDMP ) ?

Dispensers are not required to check the PDMP

Question 17 Katie's grandmother passed away last week and now Katie is left with a container of unused morphine sulfate IR 15 mg tablets . Katie calls the pharmacy and ask how she can properly dispose of the medication . Which of the following are acceptable disposal methods ? Select all that apply . Dispose of the morphine sulfate tablets at a pharmacy which is a DEA authorized collector Mix the morphine sulfate tablets with used coffee grounds and dispose of the mix in the household garbage Mail the morphine sulfate to the local DEA office in an un marked package Mail the morphine sulfate tablets to a DEA authorized collector through a mail back program Dispose of the morphine sulfate tablets at a DEA National Prescription Take Back Day

Dispose of the morphine sulfate tablets at a pharmacy which is a DEA authorized collector Mix the morphine sulfate tablets with used coffee grounds and dispose of the mix in the household garbage Mail the morphine sulfate tablets to a DEA authorized collector through a mail back program Dispose of the morphine sulfate tablets at a DEA National Prescription Take Back Day

Partial Question 15 Which of the following is / are guidelines for determining the expiration date for repackaging of a drug product dispensed by a pharmacy ? Select all that apply . Use one - half of the time remaining on the original package Do not exceed the expiration date on the original package Use one - third of the time remaining on the original pack Do not exceed one year from the date of repackaging

Do not exceed the expiration Do not exceed one year from the date of repackaging ***

Question 3 You are the pharmacist performing a controlled substance inventory . You notice that your MS Contin inventory is off by one tablet . What should you do ?

Do not report it to the DEA . A one tablet discrepancy is not significant

***Question 17 The Food and Drug Administration requires that Current Good Manufacturing Practices be followed to ensure drug quality and prevent adulteration . Which of the following entities must follow current good manufacturing practices ? Traditional compounding pharmacies Drug manufacturers Outsourcing facilities

Drug manufacturers Outsourcing facilities

Question 19 A medication may be granted nonprescription status if which of the following are true ? Select all that apply . Drug product has adequate directions for use by the manufacturer on the container Drug product is for a condition suitable for self - diagnosis Drug product has adequate directions for use placed on the container by the pharmacist Drug product is safe for use only with physician's supervision

Drug product has adequate directions for use by the manufacturer on the container Drug product is for a condition suitable for self - diagnosis

Pharmaceutical equivalence is defined as :

Drug products that contain the same active ingredient , dosage form , route of administration , and concentration

Question 28 Bioequivalent drug products are defined as :

Drug products that demonstrate comparable bioavailability under similar conditions

Question 8 Prescription refills were established with the passage of what piece of legislation ?

Durham - Humphrey Amendment

Which of the following laws was the first to require the statement: "Caution: Federal law prohibits dispensing without a prescription" on drug product packaging?

Durham-Humphrey Amendment 1951

What do FDA regulations require for "adequate directions for use?"

Durham-Humphrey amendment clarified Rx vs. OTC drugs. OTC mandate that directions must be written clearly so that a layperson can use the OTC drug safely for appropriate purposes.

Who is responsible for conducting the retrospective drug utilization review established by OBRA '90?

Each state

Question 21 To order Schedule Il drugs from suppliers , which of the following methods may be utilized ?

Electronic Controlled Substances Ordering System DEA Form 222 single - sheet form

Each of the following medications should have the patient package insert dispensed with the medication EXCEPT: LoSeasonique Premarin Enbrel Yasmin28 Lybrel

Enbrel

Question 29 Which of the following statements is / are true with respect to the National Drug Cave ( NDC ) ? Select all that apply . Every prescription drug product marketed in the US must have a NDC It is recommended but not required OTC oducts The NDC must be imprinted on tablets The NDC must be imprinted on capsules

Every prescription drug product marketed in the US must have a NDC It is recommended but not required for OTC products

Question 17 Beth is a 24 year - old female who is picking up her birth control pill prescription from her local pharmacy . She is currently taking the oral contraceptive Minastrin FE 24. How often does the pharmacy need to provide Beth with the patient package insert for Minastrin FE 24 ?

Every time Minastrin is dispensed

Question 18 Beth is a 24 year - old female who is picking up her birth control pill prescription from her local pharmacy . She is currently taking the oral contraceptive Minastrin FE 24 . How often does the pharmacy need to provide Beth with the patient package insert for Minastrin FE 24 ?

Every time Minastrin is dispensed

Question 14 It is permissible to share private health information with which of the following ? Select all that apply . Entities who need information for payment adjudication The patient Other healthcare providers who are not caring for the patient Other healthcare providers who are caring for the patient Law enforcement officers who request information about a victim o r suspected victim of a crime

Everything except this one "Other healthcare providers who are not caring for the patient"

Which drugs must be stored separately from the rest of the pharmacy drug stock?

Expired Drugs Investigational New Drugs Recalled Drugs

A unit dose label for Invokana does not have a beyond use date on it. The drug should be considered:

Expired and Misbranded

Question 4 Which drugs must be stored separately from the rest of the pharmacy drug stock ? Select all that apply . Expired drugs Investigational new drugs Over - the - counter drugs Recalled drugs Scheduled drugs

Expired drugs Investigational new drugs Recalled drugs

Question 23 In no situation should a pharmacist obstruct a patient's legal right to receive a lawful medication . In the case Noesen v . State ( WI ) , a pharmacist was found guilty of unprofessional conduct because the pharmacist failed to transfer a prescription from one pharmacy to another based on conscientious objection . The pharmacists's failure transfer the prescription was deemed a danger to the health and safety of the patient and substantially departed from the standard of care of a pharmacist . What should you do if you have a conscientious objection to dispensing a medication for a patient ? Explain your conscientious objection to the patient Transfer the prescription to another pharmacy that you've identified and transfer the prescription Provide your conscientious objection in writing to your employer in advance ( if possible ) If another pharmacist is on duty , ask the other pharmacist if they are willing to fill the prescription

Explain your conscientious objection to the patient Transfer the prescription to another pharmacy that you've identified and transfer the prescription Provide your conscientious objection in writing to your employer in advance ( if possible) If another pharmacist is on duty , ask the other pharmacist if they are willing to fill the prescription

Question 28 The FDA was given new authority to enhance drug safety and the Risk Evaluation and Mitigation Strategy program was created as a part of what piece of legislation ?

FDA Amendments Act of 2007

Question 6 The main responsibility for oversight of OTC drug advertisement rests with the

FTC

Good manufacturing practices (GMP) requires mandatory complianc from manufacturers, and they are primarily designed to increase a manufacturer's profits. T/F

False

Question 1 When conducting biennial inventory , Schedule Il records must be kept with all other controlled substance records . True False

False

Question 13 Poisoning by common household products and medicines is considered one of the leading causes of injury and death among children under the age of five . All legend drugs must be packaged in child - resistant containers . True False

False

Question 19 A pharmacist may compound a copy drug product that is commercially available . True False

False

Question 24 Pharmacies are allowed to promote and advertise the compounding of any drug , class of drug , or type of drug . True False

False

Question 25 Pharmacists are required to get permission from the prescriber before substituting a biological drug product with a biosimilar product . True False

False

Question 25 Pharmacists have corresponding responsibility to ensure that controlled substance prescriptions are valid prior to dispensing . If a pharmacist is unsure about the validity of a controlled substance prescription , that pharmacist is required to fill the prescription . True False

False

Question 26 Traditional compounding pharmacies are allowed to prepare compounded drug products in bulk to resell to third - parties . True or false?

False

Question 28 A prescription for Androgel is issued on August 1 , 2022 but the patient doesn't bring it into the pharmacy until August 15 , 2022. What is the last day the prescription can be refilled ?

February 1 , 2023

A drug company is marketing an over-the-counter drug, ColdImmune Health Formula, as a product that will prevent colds. Which regulatory body is responsible for enforcing the accuracy of this claim?

Federal Trade Commission

Question 25 Dr. Larry Charles calls to ask if he can fax a prescription to the pharmacy for Dilaudid and Klonopin . It is written for patient Mr. Zed Leppin , who is a resident of Belle View Long Term Facility . What should the pharmacist do ? Fill the Klonopin and request a paper prescription for Dilaudid on a tamper - resistant form Fill the Dilaudid and Klonopin . The faxed prescription serves as the legal hard copy if certain conditions are met Fill the Dilaudid and call the prescriber to receive an oral prescription for Klonopin Fill the Klonopin and call the prescriber to receive an oral authorization for the Dilaudid Fill neither . A fax prescription cannot serve as a legal hard copy

Fill the Dilaudid and Klonopin . The faxed prescription serves as the legal hard copy if certain conditions are met

***Question 25 You receive a prescription for a drug indication that you recognize as not being a FDA - approved indication for the prescribed drug . The prescribed use was recently described in the local newspaper . Which of the following action is most appropriate for you to take ? Refuse to fill the prescription since it is illegal to fill Request that the prescriber indicate on the face of the prescription " off label use " Fill the prescription Fill the prescription but inform the patient that it is not for an appropriate use Call the prescriber and inform him / her that it is illegal to write such a prescription

Fill the prescription

Question 4 Which of the following drug products are controlled substances ? Select all that apply . Fiorinal Qsymia Xyrem Lyrica

Fiorinal Qsymia Xyrem Lyrica

Question 19 Flowers Community Pharmacy is interested in obtaining prescription drug samples . Under what condition may Flowers Community Pharmacy receive drug samples ?

Flowers Pharmacy cannot receive drug samples under any condition

Question 1 You are the pharmacist on duty . How should you counsel a patient on various options for disposing of a used Fentanyl patch ? Select all that apply . Mix the used patch with coffee grounds and throw it away in the household trash Flush the used patch down the toilet Throw away the used patch in a yellow chemotherapy trace waste container Store it safely and securely until it can be returned to a DEA - authorized collector or take back program Throw away the used patch in a red sharps container (Double check this other answer is wrong)

Flush the used patch down the toilet Store it safely and securely until it can be returned to a DEA - authorized collector or take back program

Each of the following are acceptable ways to provide the " side effects " written statement / s to the patient EXCEPT : Auxiliary sticker on the medication container MedGuide Consumer medication information ( CMI ) leaflet Patient package information ( PPI ) . Flyer posted on the wall of the pharmacy ( for teratogenic drugs only )

Flyer posted on the wall of the pharmacy ( for teratogenic drugs only )

Question 12 Each of the following are acceptable ways to provide the " side effects " written statement / s to the patient EXCEPT : Consumer medication information ( CMI ) leaflet Auxiliary sticker on the medication container Patient package information ( PPI ) Flyer posted on the wall of the pharmacy ( for teratogenic drugs only ) MedGuide

Flyer posted on the wall of the pharmacy ( for teratogenic drugs only )

Question 11 Which of the following was the first to require that pharmaceutical manufacturers prove the safety of prescription drugs before marketing ?

Food Drug and Cosmetic Act of 1938

Which of the following agencies regulates the advertising of prescription medications?

Food and Drug Administration

Under which of the following circumstances may Ipecac Syrup be sold without a prescription?

For future use during accidental poisoning Can only be sold in bottles of 30 mL or less

Question 11 A pharmaceutical manufacturer requests the names and addresses of patient receiving the company's antihypertensive medication from community pharmacies . The pharmaceutical manufacturer wants to provide discount cards to patients receiving its medication . Community pharmacies who provide the names of patients to the pharmaceutical manufacturer without consent from the patient are violating which of the following ? OBRA '90 HIPAA Sherman Antitrust Act FDA Modernization Act of 1997 DSHEA

HIPAA

A pharmaceutical manufacturer requests the names and addresses of patient receiving the company's antihypertensive medication from community pharmacies. The pharmaceutical manufacturer wants to provide discount cards to patients receiving it's medication. Community pharmacies who provide the names of patients to the pharmaceutical manufacturer without consent from the patient are violating which of the following?

HIPPA

Question 15 In order for a pharmacist to be eligible to enter into a vaccine protocol agreement , the pharmacist must have which of the following ? Select all that apply . Have completed a course of training in immunization administration approved by the GA State Board of Pharmacy Be declared a vaccinating pharmacist by the Georgia Department of Public Health Hold a current certification in Advanced Life Support Hold a current license to practice as a pharmacist in GA

Have completed course of training in immunization administration approved by the GA State Board of Pharmacy Hold a current certification in Advanced Life Support Hold a current license to practice as a pharmacist in GA

Question 7 How can Dr. Jayson Potter write for controlled substances without his own DEA number ?

He cannot write for controlled substance prescriptions under any circumstances without his own DEA number

Question 17 Which of the following OTC products must be in a tamper - evident packaging ? Select all that apply . Hair shampoo Topical moisturizer Ibuprofen Contact lens solution Vitamins

Ibuprofen Contact lens solution Vitamins

It is permissible to share protected health information (PHI) except for example when

If a husband suspects his wife is using contraception against his wishes (if legally married)

It is permissible to share protected health information (PHI) under each of the following situations:

If abuse is suspected If a board inspector or law enforcement requests the information (always make copies of any records released) To report adverse effects to the FDA In the event of a natural emergency where there is a public health crisis

Question 17 Labels on cosmetic packages must have ingredient listed : With the most active listed first In descending order of concentration In any random order Alphabetically

In descending order of concentration

Question 19 Which writing tools are permissible when filling out a DEA Form 222 ? Select all that apply . Indelible blue ink pen Erasable blue ink pen Typewriter Indelible black ink pen Pencil

Indelible blue ink pen Typewriter Indelible black ink pen

Question 16 Individuals and facilities need to register with the DEA in order to manufacture , distribute , dispense or prescribe controlled substances . Who needs to register with the DEA using Form 224 ? Select all that apply . Manufacturers Individuals who prescribe controlled substances Distributors Individual pharmacists who dispense controlled substances Pharmacies

Individuals who prescribe controlled substances Individual pharmacists who dispense controlled substances Pharmacies

When conducting a routine inspection of a community pharmacy, an inspector may audit which of the following records? Select all that apply? employee disciplinary records, inventory records of pharmaceuticals purchased, prescription files, income statements for profit earned, employee attendance records.

Inventory records of pharmaceuticals purchased Prescription files

Question 18 At a minimum , what type of record must be used to document the transfer Schedule III - V substances from one pharmacy to another ?

Invoice

Which of the following statements is true about the Comprehensive Drug Abuse Prevent Control Act of 1970? Select all that apply. It is also known as the controlled substance Act, it was passed due to growing drug misuse and abuse, it established explicit record-keeping and inventory requirements for pharmacies, it established 4 schedule of controlled substances.

It is known as the controlled substance act It was passed due to growing drug misuse and abuse It established explicit record-keeping and inventory requirements for pharmacies

Question 9 When can a medical resident utilize a hospital's DEA number for prescribing purposes ?

It is permitted when the resident physician is authorized by the state to prescribe controlled substances and is working at the hospital

Question 15 How often does a patient package insert ( PPI ) need to be given when administering estrogen containing hormone replacement therapy to a resident of a long - term care facility ?

It is required to be given to the patient with the first dose and every 30 days thereafter during continuous therapy .

Question 9 Which of the following statements is true about the Drug Price Competition and Patent Term Restoration Act of 1984 ? Select all that apply . It required generic manufacturers to produce a drug product that looked identical to the innovator product It required generic manufacturers to provide bioequivalence to the innovator product before going to market It shortened the patent terms for innovator products It is known as the Waxman - Hatch Amendment

It required generic manufacturers to provide bioequivalence to the innovator product before going to market It is known as the Waxman - Hatch Amendment

Question 14 Which the following statements applies to the Omnibus Reconciliation Act of 1990 ? Select all that apply . It required pharmacists to provide counseling to Medicaid patients It required pharmacists to conduct prospective drug utilization reviews It required pharmacists to provide counseling to Medicare Part D patients It intended to save the federal government money by improving therapeutic outcomes

It required pharmacists to provide counseling to Medicaid patients It required pharmacists to conduct prospective drug utilization reviews It intended to save the federal government money by improving therapeutic outcomes

Question 14 Patricia ran out of MS Contin and cannot be without her medication for the weekend . Her doctor , Dr. Gregory House , is away on vacation but is available to give an oral authorization to the pharmacy over the phone on today's date . By what day must the prescriber send the pharmacist a written prescription for the emergency oral authorization ?

July 17 , 2022 (7 days)

Question 18 The purpose of the prospective drug utilization is to look for all of the following EXCEPT : Drug - drug interactions Therapeutic duplication Incorrect treatment duration Incorrect dose Lower - cost drug therapy options

Lower - cost drug therapy options

Question 28 According to the Controlled Substance Act of 1970 , which of the following drugs is NOT required to have the following warning on the container when dispensed : " Caution : Federal law prohibits the transfer of this drug to any person other than the person for whom it was prescribed " ? Ultram Duragesic Lyrica Belviq Florinal

Lyrica

Question 22 Which of the following is a valid DEA number for nurse practitioner , Ava Grace ? BG5623740 MG5623740 AG5623740 XG5623740 PG5623740

MG5623740

Question 29 Which of the following is a valid DEA number for Noel Okumura , NP ? PO5623740 XO5623740 MO5623740 BO5623740 A05623740

MO5623740

A technician is packaging a prescription for 30 tablet of Prinizide on May 15, 2022. The prescription was issued on May 13, 2022. The manufactuer's container says the drug expires on December 31, 2024. According to USP guidelines, what expiration date should be written on the prescription label that will be dispensed to the patient?

May 15th, 2023

Question 25 Which of the following Medicare programs will reimburse pharmacists for performing medication therapy management services for eligible beneficiaries ?

Medicare Part D

Question 5 What is the term used for written direction for direct administration to patients in facilities such as clinics or hospitals ?

Medication order

LG enters your pharmacy and reports that he experienced a severe headache after starting a new medication over a week ago. Upon further questioning, you learn the headache sbsided only after LJG discontinued the medication for 2 days. You determine that this headache is an adverse event associated with the new medicaiton. What program should you use to report this adverse event?

Medwatch

Question 29 Which of the following products is / are approved for the treatment of narcotic dependence ? Select all that apply . Ativan Percocet Methadone Subutex

Methadone Subutex

Which of the following drugs must be packaged in a child - resistant container ( unless a waiver exists ) ? Creon Nitrostat Provera Micardis Xopenex

Micardis

Question 3 If any required information is missing from the " Drug Facts " panel of an over - the - counter product , then that product is considered ?

Misbranded

A pharmacist dispenses a refill for a prescription that was originally written for nifedipine as Adalat CC 60 mg, but today, the pharmacist labels the refill as Procardia XL 60mg. The pharmacist's action are considered?

Misbranding

Question 4 Which of the following is not required on the label of a nonprescription drug ? NDC number Warnings Adequate directions for use Pharmacological category of the drug Established name of the drug

NDC number

Question 26 SL was discharged from the oncology floor . He was sent home on Duragesic and oral morphine for pain management . A week later , the patient's wife notices that her husband's breathing labored , and he does not respond quickly to her questions . The oncologist is struggling to balance adequate analgesia with the drug's toxicity . He will write a prescription for a drug that the patient's wife can administer to her husband for suspected drug overdose . Which of the following drugs can the pharmacist recommend to the oncologist to prescribe ? Select all that apply . Narcan nasal spray Adrenaclick Copaxone Evzio Otrosup

Narcan nasal spray Evzio

Question 10 Katie granted power of attorney to Anna so she can order controlled substances in her place . A few months later , Anna quit her job and moved across the country to pursue other professional opportunities . What form must Katie fill out so that she can revoke Anna's power of attorney ?

Notice of Revocation

Question 20 Which of the following drug products may purchased over - the - counter ? Select that apply . Lantus Novolin 70/30 NPH Insulin Humalog Regular Insulin

Novolin 70/30 NPH Insulin Regular Insulin

Question 11 Which of the following healthcare providers are mid - level practitioners as defined by the DEA ? Select all that apply . Physician Podiatrist Nurse Practitioner Physician Assistant Nurse Anesthetist

Nurse Practitioner Physician Assistant Nurse Anesthetist

Question 8 Which of the following are mid - level practitioners ? Select all that apply . Dermatologists Nurse Practitioners Physician's Assistant Dentists

Nurse Practitioners Physician's Assistant

Question 9 Who may be granted access to the pharmacy in the absence of a pharmacist in an institutional facility ?

Nurse Supervisor

The use of an FDA approved drug for something that is not approved for is best described as being:

Off-label

Question 10 . A non - schedule drug , Mericaps , became re - classified as a controlled substance on January 30 , 2022. When did pharmacies need to take inventory of their Mericaps stock for the first time ?

On January 30 , 2022

Question 6 Which of the following are acceptable methods for filing prescriptions ? Select all that apply .

One file for Schedule Il drugs ; a second file for Schedule III - V drugs ; and , a third file for non - controlled drugs . ( 3 files total ) One file for schedule Il drugs ; and , a second file for Schedule III - V drugs and non - controlled drugs . A red " C " must be stamped on Schedule III - V prescriptions . ( 2 files )

Question 7 Who can submit an adverse event report to MedWatch ? Select all that apply Physicians Nurses Patients Pharmacists

Physicians Nurses Patients Pharmacists

Question 5 For whom is the labeling on nonprescription drugs written for ?

Patients with no medical background

Question 12 A community pharmacy is required to have which of the following designated personnel ?

Pharmacist - In - Charge

Evaluation of drug safety occurs in which phase of clinical trials?

Phase 1

Question 27 Which phase of a clinical trial evaluates the efficacy of a drug in treating a specific disease in the general population ? Phase 1 Phase 3 Phase 4 Phase 2

Phase 2

Question 26 Clinical trials occur in four phases . Each phase has a distinct purpose . Which phase ( s ) is / are conducted in patients with the disease the investigational drug is intended to treat Select all that apply . Phase 1 Phase 3 Phase 4 Phase 2

Phase 3 Phase 2

Question 3 Which clinical trial phase is the first to be conducted on human subjects ?

Phase I

Which clinical trial phase is conducted after the drug is on the market?

Phase IV

Question 15 Which of the following barbiturates is classified as Schedule IV ? Nembutal Butisol Amytal Phenobarbital

Phenobarbital

Question 12 Labels of OTC products that are for systematic use must include a warning specifically intended to protect which patient population ? Select all that apply Pregnant women Nursing women Geriatric patients Pediatric patients

Pregnant women Nursing women

Question 9 Labels of OTC products that are for systemic use must include a warning specifically intended to protect whom ? Select all that apply . Geriatric women Pregnant women Geriatric men Nursing women

Pregnant women Nursing women

*Question 12 Which of the following may a nurse in a doctor's office perform , with the prescriber's permission , to a Schedule III prescription ? Select all that apply . Prepare the prescription by writing the drug name , strength and quantity Prepare the prescription by writing the drug name , strength , quantity and the nurse may sign the prescriber's name if given explicit permission to do so Prepare the prescription tablet by writing the patient's name and date of birth only so the prescriber can write the drug name , strength , and quantity Prepare the prescription by writing the drug name and strength Only the prescriber is legally allowed to write the quantity

Prepare the prescription by writing the drug name , strength and quantity Prepare the prescription tablet by writing the patient's name and date of birth only so the prescriber can write the drug name , strength , and quantity

***Question 28 A compounding pharmacist developed and prepared batches of 3,000 sustained release capsules similar to a commercially available product but at a much lower price . The pharmacy may be cited for this activity based upon Select all that apply . Preparing 3,000 capsules may be considered manufacturing FDA Modernization Act of 1997 The formula may be considered a new drug Failure to follow GMP

Preparing 3,000 capsules may be considered manufacturing FDA Modernization Act of 1997 Failure to follow GMP

Question 28 Which of the following is a true statement ? Select all that apply . Prescribers must keep records of all controlled substances that they dispense directly to the patient . Prescribers must keep records of all controlled substances administered in the course of narcotic detoxification treatment Prescribers must keep records of all controlled substances they receive as samples

Prescribers must keep records of all controlled substances that they dispense directly to the patient . Prescribers must keep records of all controlled substances administered in the course of narcotic detoxification treatment Prescribers must keep records of all controlled substances they receive as samples

Which act prohibits the selling of drug samples in pharmacies?

Prescription Drug Marketing Act

Question 27 The federal act that limits the re - importation of drug products that were previously exported by a pharmaceutical manufacturer is the :

Prescription Drug Marketing Act of 1987

The federal act that specifically limits the re-importation of drugs products that were previously exported by a pharmaceutical manufacturer is the:

Prescription Drug Marketing Act of 1987

Question 24 When a pharmacist conducts a controlled substance inventory which of the following must be included in the inventory record ? Select all that apply . All controlled substances dispensed over the past 30 days All controlled substances on order from the wholesaler but not yet received by the pharmacy Prescriptions ready for a patient but not yet picked up or paid for Drugs stored in a warehouse for the registrant at a different location

Prescriptions ready for a patient but not yet picked up or paid for Drugs stored in a warehouse for the registrant at a different location

Patient counseling is not required for what type of patient? Select all that apply?

Prisoners Hospitalized Patients

What is the middle digits of and NDC and who assigns them?

Produce code ad the manufacturer assigns them

Which of the following may be considered a breach of privacy based on the federal Health Insurance Portability and Accountability Act ( HIPAA ) ? Select all that apply . Providing a husband with a list of drug products and their therapeutic uses , received by his wife in the last year Sending a non - specific text message to a patient reminding a patient them they have medications that are refillable Allowing a pharmaceutical sale representative to examine your prescription files to ascertain if a certain physician is prescribing the company's new product that they are promoting. Sending a postcard in the mail to a patient reminding them that it is time to fill their fluoxetine prescription.

Providing a husband with a list of drug products and their therapeutic uses , received by his wife in the last year Allowing a pharmaceutical sale representative to examine your prescription files to ascertain if a certain physician is prescribing the company's new product that they are promoting Sending a postcard in the mail to a patient reminding them that it is time to fill their fluoxetine prescription

Question 15 A pharmacy clerk can perform all of the following functions EXCEPT : Answer the phone Ring up patients at the point of sale ( cash register ) Accept prescriptions from the drop - off window Pull drugs from the shelf to provide to the pharmacist to fill a prescription Retrieve the patient's filled prescription from the will - call area

Pull drugs from the shelf to provide to the pharmacist to fill a prescription

Question 2 Which of the following is not included on the Drugs Facts panel of a nonprescription drug ? Quantity of dosage units within the container Contact information Warnings Uses Active ingredient

Quantity of dosage units within the container

Question 23 What must be documented when partial filling a Schedule II written prescription for a patient who is terminally ill ?

Quantity remaining The dispensing pharmacist Date of dispensing Reason for the partial dispensing Quantity dispensed

Question 22 Which portion of the federal counseling regulations must be performed by a committee appointed within each individual state ?

Retrospective drug review

Question 20 *You are the pharmacy director of Mercer Health Hospital . You ordered more olmesartan 20 mg than the hospital can dispense before the product's expiration date . What can you consider doing ?

Return the excess drug supply to the wholesaler before the product's expiration date Return the excess drug supply to the manufacturer using a reverse distributor after the product's expiration date

Question 24 A patient dropped off a prescription to the pharmacy and returns a few hours later to pick up his medications . The pharmacist dispenses Vicodin , as authorized by the prescription , but the patient insists the doctor intended to issue a prescription for Zohydro ER . What should the pharmacist do ?

Return the prescription to the patient and have the prescriber issue a new prescription

****Question 24 You find a dose of flu vaccine that required cold storage sitting on the counter in your pharmacy . You ask around to see who took the flu vaccine out of the fridge . No one owns up to taking the flu vaccine out of the fridge . What do you do ?

Return to the vaccine to the fridge and place a " do not use / expired " note on it

Question 6 Which of the following components must be the same between a branded drug and a generic version of the drug ? Select all that apply . Route of administration Dosage form Strength Active ingredient Inactive ingredients

Route of administration Dosage form Strength Active ingredient

Question 26 Which one of the following designations for prescription drug products replaces the designation " Caution : Federal law prohibits dispensing without a prescription " ?

Rx Only

Which of the following designations has replaced the "Caution: Federal law prohibits dispensing without a prescription" labeling requirement?

Rx only

Question 30 Therapeutic equivalence is defined as :

Safe and effective drugs that are pharmaceutically equivalent . bioequivalent , adequately labeled , and manufactured according to GMP

Question 2 Annie works as a per diem pharmacist at her aunt's pharmacy where the prescription labels are typed on an old electric typewriter . Annie notices that her aunt has been selling rather large quantities of controlled drugs to the upstairs dermatologist's office . Annie takes a quick look and estimates that the controlled substance sales to dermatologist is equal to approximately 25 % of her aunt's monthly prescription drug volume . Is this permission under federal law ?

Sales of controlled substances to other pharmacies or prescribers is acceptable if it is kept under 5 % of the total of the controlled substance sales per year

Question 30 What schedule is codeine 15 mg tablets ?*

Schedule II

Question 13 A tablet contains guaifenesin 400 mg and codeine phosphate 20 mg . What schedule is this drug ?

Schedule III

Question 3 Which category of controlled substances have some drugs available without a prescription ? All scheduled drugs are by prescription only Schedule Il Schedule IV Schedule Ill Schedule V

Schedule V

Partial Question 18 Which of the following schedules of controlled substances may be dispersed throughout the prescription drug stock of a community pharmacy ? Select all that apply . Schedule V Schedule Ill Schedule IV Schedule II

Schedule V Schedule Ill Schedule IV Schedule II ***

Question 21 Who is authorized to designate the official name for new drug ?

Secretary of HHS

Question 14 was reorganized . What are considered acceptable ways to store controlled substances ? Select all that apply . Libby has been appointed the pharmacist - in - charge for Sunrise Neighborhood Pharmacy . She thinks the pharmacy's workflow would be more efficient if the drug stock .

Some of the controlled substances stored in a securely locked cabinet and the rest dispersed throughout the pharmacy stock on the shelves Controlled substances dispersed throughout drug stock with non - controlled substances on the shelves All controlled substances stored in a securely locked cabinet

Question 30 Who is responsible for the day - to - day governance of pharmacy practice ?

State Boards of Pharmacy

Question 27 Which of the answer choices below applies to the Dietary Supplement and Health Education Act ? Required prospective DUR by pharmacists Stated that supplements must be safe and cannot claim to prevent , treat , or cure a disease Aimed at increasing to care and nutritional upplements Stated that supplements must be safe and may claim to prevent , treat , or cure a disease

Stated that supplements must be safe and cannot claim to prevent , treat , or cure a disease

Question 1 According to federal law , which of the following are scheduled drugs that can be sold without a prescription ? Ezogabine Sudafed PE Ephedrine Robitussin AC lyricq

Sudafed PE

Question 21 Hospitals may purchase tax - free alcohol for medicinal , mechanical , and scientific purposes and for use in the treatment of patients Which of the statements below is true regarding tax - free alcohol ?

Tax - free alcohol must labeled and be stored in a securely locked area

Incorrect Question 20 Which of the following references should the pharmacist consult with when determining therapeutic equivalence of drug products ?

The Orange Book

A patient decides to switch from ABC pharmacy to Fair Oaks PHarmacy because ABC Pharmacy is no longer in his insurance's preferred network. The pharmacist from Fair Oaks Pharmacy calls ABC Pharmacy for the transfer and speaks with the staff pharmacist on duty. The pharmacist from Fair Oaks Pharmacy prepares the prescription below. What other information should the pharmacist form Fair Oaks Pharmacy request?

The Pharmacy's DEA Number

Question 5 Dr. Denozzo would like to issue multiple prescriptions for Adderall . Identify what is wrong with the following prescriptions and select the correct answer . First prescription : Adderall 10 mg tablets , 1 T qDAY # 90 ; issue date 6/16/2022 Second prescription : Adderall 10 mg tablets , 1 T qDAY # 90 ; issue date 6/16/2022 , do not fill until 9/16/2022 Third prescription : Adderall 10 mg tablets , 1 T qDAY # 90 , issue date 6/16/2022 , do not fill until 12/16/2022

The days ' supply exceeds the legal limit

Question 28 Who is responsible for patient counseling when a prescription is filled at a central fill pharmacy ?

The dispensing pharmacist ( at the originating pharmacy )

Question 18 Anthony goes to his primary care provider and is ready to face his drug abuse problems and enroll in a narcotic treatment program . His doctor is not a DATA - waived prescriber ; is there anything the prescriber can do until proper arrangements can be made for Anthony to enroll in a narcotic treatment program

The doctor can administer a single dose of a buprenorphine product per day for a maximugo 3 days

Question 8 Select the correct statements concerning the Drug Addition Treatment Act ( DATA ) :

The drug permitted under this act presently includes formulations of buprenorphine If the physician has been trained under DATA , then their DEA number begins with " X "

Which of the following conditions must be met in order for the inspection of a pharmacy to take place by an authorized inspector?

The inspection must take place during normal business hours

Question 23 Pharmacists have the right to refuse to fill a prescription . Which of the following is most valid reason why a pharmacist may refuse to fill a prescription ? The pharmacist is scheduled to go to lunch in 15 minutes The prescriber is from another city located 10 miles to the west The number of refills of a controlled drug has been changed The prescription was written three days ago

The number of refills of a controlled drug has been changed

Partial Question 30 Which of the following is a United States Postal Service requirement for mailing controlled substances ? Select all that apply . The package must be plain The following warning must be visible on the outer wrapper : " CAUTION : Federal law prohibits the transfer of this drug to any person other than the patient for whom it is prescribed . " The dispenser must be registered with the DEA The prescription vial must have the name of the dispenser The prescription vial must have the directions as prescribed

The package must be plain The following warning must be visible on the outer wrapper : " CAUTION : Federal law prohibits the transfer of this drug to any person other than the patient for whom it is prescribed . " The dispenser must be registered with the DEA The prescription vial must have the directions as prescribed

The national drug code (NDC) for Ioncardic is 28374-2983-01. Which of the folowing statements is/are true regarding Ioncardic's NDC? Seect all that apply.

The package size 01 and is assigned by the manufacturer The labeler's code is 28374 and is assigned by the FDA

Madelyn is a new patient at your pharmacy. She presents a new prescription for the first time today and is uncooperative with pharmacy staff when they attempt to get her demographic information in order to build a patient profile. What constitutes appropriate action for you, the pharmacist, to take when an uncooperative patient refuses to provide information for their patient profile? Select all that apply.

The pharmacist may fill the prescription without a medication history if the pharmacist feels it is appropriate

Question The DEA allows retail pharmacies to install automated dispensing systems in long - term care facilities in order for remote dispensing of non - controlled and controlled substances . Drugs stored in or stocked in the automated dispensing system below to whom ?

The pharmacy

Sylvia Nguyen, PharmD, recently opened a new pharmacy. The pharmacy is located next to a dental surgeon's office, so she is expecting to dispense a large amount of antibiotics, Vicodin, and other analgesics. In order to dispense the medications listed, with whom does the pharmacy need to be registered?

The pharmacy must be registered with the Board of Pharmacy The pharmacy must be registered with the DEA

Question 16 What are the counseling requirements for mail order pharmacies ? Select all that apply . The pharmacist must call the patient to make the offer to counsel The pharmacy's phone number must be included in written information The technician who packaged the prescription must be included The dispensing pharmacist's name must be included The written offer to counsel must be included with the mailed prescription

The pharmacy's phone number must be included in written information The written offer to counsel must be included with the mailed prescription

Permission to omit the use of Child-resistant closures when dispensing a prescription may be provided by whom?

The physician The patient

Question 4 A pharmacist can amend errors and omissions on a prescription written for Tussionex , except for the following : Select all that apply . The prescriber's signature is missing The prescription is written for Carrie , but the patient says her name is Karen The prescriber has not checked the quantity box to match the written quantity on the prescription The prescriber failed to include the quantity of Tussionex to be dispensed

The prescriber's signature is missing The prescription is written for Carrie , but the patient says her name is Karen The prescriber failed to include the quantity of Tussionex to be dispensed

Question 26 A prescription for Percodan is issued on April 23 , 2022. How long is the prescription valid for according to federal law ?

The prescription does not expire

Question 27 Bioavailability is defined as :

The rate and extent to which an active ingredient is absorbed from a drug and becomes available at the site of action

Question 14 OBRA '90 requires who to perform the retrospective drug utilization review in order to receive reimbursement for the Medicaid program ?

The state

Question 20 When controlled substances are lost in transit ( from the distributor to the pharmacy ) , who is responsible for reporting the loss to the DEA ?

The supplier

Orphan drugs are used to treat rare diseases. What criteria does the drug need to meet in order to be considered an orphan drug?

The targeted disease must affect less than 200, 000 people in the US A drug in which there is no reasonable expectation that sales will make up the development cost

Each of the following statements concerning the NDC number is correct

The third segment identifies the package size of the drug The first segment identifies the company that prepared the drug or packaged it. NDC stands for National Drug Code The second segment identifies the strength, dosage and formulation of the drug NDCs identify drugs and OTC drugs

Question 12 Dr. Davis recently got married and went on his honeymoon . While out of the office , Dr. Davis was paged by a young patient's mother who has lost the prescription for her son's Ritalin . Dr. Davis felt the patient would suffer greatly if he ran out of Ritalin so Dr. Davis called in a prescription to the pharmacy where you are working . Choose the correct statement :

The written prescription must be provided to the pharmacy by the 7th day following the oral order

Question 29 Which of the following are true statements about patients purchasing drugs in other countries and bringing them into the US ? Select all that apply . There is no effective treatment available in the US The quantity purchased is for a 90 day supply or less The medical condition experienced by the patient is considered mild and self - limiting The drug being imported poses a risk to the patient

There is no effective treatment available in the US The quantity purchased is for a 90 day supply or less

Question 15 Which of the following is a true statement about medications the " will - call " area of a community pharmacy ?

They can be returned to pharmacy stock if not picked up by the patient

***Question 20 Which of the following is true of a Schedule Il controlled substance ? Select all that apply They may be administered by a physician without a prescription to a patient with chronic pain No answer provided is correct They may be administered by an institutional pharmacist pursuant to an order for immediate administration to the ultimate user They may only be dispensed by a community pharmacist pursuant to a written prescription signed by a licensed practitioner

They may only be dispensed by a community pharmacist pursuant to a written prescription signed by a licensed practitioner

Question 2 Allison , an ICU nurse , is overwhelmed with her responsibility for six patients . She provides an injection and proceeds to the red sharps container to dispose of the syringe . The sharps container is filled to the surface . She finds a large hardback book and carefully uses it to press down the contents of the container in order to make more room for her syringe . She removes the needle , since the sharps container is now nearly filled and she is concerned about the needle being close to the top of the container . Choose the correct statement : This is not an acceptable practice This is an acceptable practice since she compressed the contents of the sharps container This is an acceptable practice since she removed the need tip , which can transmit infection This is an acceptable practice , but she should have used gloved hands to compress the contents of the sharps container This is an acceptable practice , but she should have asked the pharmacist to compress the contents of the container

This is not an acceptable practice

Question 1 You are the pharmacist on duty . How should you counsel a patient on various options for disposing of a used Fentanyl patch ? Select all that apply . Throw away the used patch in a red sharps container Store it safely and securely until it can be returned to a DEA - authorized collector or take back program Mix the used patch with coffee grounds and throw it away in the household trash Throw away the used patch in a yellow chemotherapy trace waste container Flush the used patch down the toilet .

Throw away the used patch in a red sharps container Store it safely and securely until it can be returned to a DEA - authorized collector or take back program Mix the used patch with coffee grounds and throw it away in the household trash Flush the used patch down the toilet .

Question 11 You are the pharmacist on duty at Bear Pharmacy . A patient asks you to call Tiger Pharmacy to get their blood pressure medication transferred . What information must you collect from the Tiger Pharmacy pharmacist when you transfer the prescription Select all that apply . Tiger Pharmacy's pharmacist's name . Bear Pharmacy's NPI number Tiger Pharmacy's DEA number Bear Pharmacy's phone number Tiger Pharmacy's address

Tiger Pharmacy's pharmacist's name .

Question 21 A pharmacy has been compounding a psoriasis cream in 15 gram jars based upon prescriptions written by a local dermatologist who specializes in psoriasis treatment . Under which circumstances could the pharmacy also dispense the same medication ? To patients of other prescribers based upon written prescriptions To other pharmacies provided they provide a written purchase order To the original dermatology clinic for dispensing to patients by the dermatologists Under no circumstances can the medication be dispensed to anyone

To patients of other prescribers based upon written prescriptions

The drug quality and security Act of 2013 differentiated between these two areas:

Traditional compounding pharmacies versus outsourcing facilities

Question 26 Pharmacies that utilize central fill pharmacy locations must have a contractual relationship allowing central fill activities or they must share a common owner . True False

True

Question 29 When a prescription is presented to a pharmacy that may utilize central fill , it is the duty of the pharmacy to notify the patient that prescription filling may be outsourced to another pharmacy . True False

True

Question 8 . Pseudoephedrine sold in a single - dose package that contains a maximum of 60 mg ( two 30 mg tablets ) is exempt from PSE recording keeping requirements . True False

True

Question 15 DEA registration is required for all of the following EXCEPT :

United States Postal Service ( USPS ) when delivering controlled substances

Question 3 Which of the following can be inventoried with an estimated count ? Select all that apply . Unopened bottle of Tylenol with Codeine # 4 ;: 500 tablets / bottle Opened bottles of meperidine : < 500 ml bottle Opened bottle of Provigil ; < 30 tablets / bottle Opened bottles of Concerta ; 100 tablets / bottle Opened bottles of Marinol ; < 60 capsules / bottle

Unopened bottle of Tylenol with Codeine # 4 ;: 500 tablets / bottle Opened bottles of meperidine : < 500 ml bottle Opened bottle of Provigil ; < 30 tablets / bottle Opened bottles of Marinol ; < 60 capsules / bottle

Question 11 Which answer choice below best defines a Class II drug recall ?

Use of or exposure to the drug can cause temporary or reversible adverse health consequences , or the probability of harm is remote

When should a child-resistant closure be on a prescription vial (aka required)?

When a hospital pharmacist dispenses a prescription for a patient who ois being discharged home When a ocmmunity pharmacist dispenses more than ten talbets of a drug

When is a patient authorization required for the release of private health information (PHI)?

When the pharmacy sells a list of patients with diabetes to a drug company so the drug company can advertise a new oral anti-diabetic drug to the patients.

Question 12 If an electronic system is used to document prescription refills of controlled substances , all pharmacists involved with dispensing for the shift must confirm that the refill data entered into the system is accurate by signing a daily , hard copy printout of the refill data . When does the printout need to be provided to the pharmacists for their signature ?

Within 72 hours of the date when the refills were dispensed

Question 5 Over - the - counter emergency contraception intended for use by females may be purchased by whom ?

Women and men

Question 24 A physician authorized to prescribe narcotics for opioid addiction treatment will have a DEA number with what character as the first letter ?

X

Question 2 Dr. Patricia Jones is authorized to prescribe narcotics for opioid treatment addiction . Which of the following is a valid DATA waiver unique identification number " ? AJ6835752 BJ6835752 MJ6835752 JX6835752 XJ6835752

XJ6835752

Question 11 Michael calls Waves Pharmacy and asks the pharmacist to transfer his Sonata prescription to another Waves Pharmacy location closer to his home . The pharmacist looks at Michael's profile and sees that this prescription has already been transferred once . Can the pharmacist transfer Michael's Sonata prescription again ?

Yes , if the two pharmacies share a real - time , online electronic database system

Question 23 Michael calls Waves Pharmacy and asks the pharmacist to transfer his Sonata prescription to another Waves Pharmacy location closer to his home . The pharmacist looks at Michael's profile and sees that this prescription has already been transferred once . Can the pharmacist transfer Michael's Sonata prescription again ?

Yes , if the two pharmacies share a real - time , online electronic database system

Question 13 Mr. Johnson is on many chronic medications and has many empty prescription containers around the house . Instead of throwing them away , he asks the pharmacy if he can re - use them to fill his following month's prescriptions . How many times may a child - resistant container and cap be re - used ? Once Zero , caps may not be reused Determined by the pharmacist's professional judgment No limits Twice

Zero , caps may not be reused

Question 22 All legend drugs and controlled substances must be packaged in child - resistant containers . Which of the following are considered " exceptions to the rule " ? Select all that apply . anhydrous cholestyramine sodium fluoride products containing less than 264 mg of NaFl per package sublingual isosorbide dinitrate in strengths > 10 mg chewable amoxicillin sublingual nitroglycerin

anhydrous cholestyramine sodium fluoride products containing less than 264 mg of NaFl per package sublingual nitroglycerin

Question 24 Under the Poison Prevention Packaging Act , the use of closures that are " reversible " , meaning they are child - resistant in one direction but not in the opposite position are______ Permitted only for use in hospice patients Discouraged , but not prohibited Permitted only for use in nursing homes permitted only for use in prescriptions intended for geriatric patients illegal

discouraged , but not prohibited

Question 26 The prescription drug monitoring program is operated by

each state

Question 23 Samples of prescription drug products received from pharmaceutical companies may be : traded to another pharmacy for other drugs given to patient by a prescriber sold through community pharmacies dispensed from a hospital pharmacy for inpatient use dispensed from a hospital for outpatient use

given to patient by a prescriber

Question 6 An orphan drug_____ has been removed from the market because of toxicity has been discontinued by the manufacturer due to poor sales has special economic incentives for the manufacturer has a high therapeutic index has been developed and imported from a foreign country

has special economic incentives for the manufacturer

Question 27 Oral prescriptions for Schedule Il drugs may be accepted and dispensed by a pharmacist

in an emergency situation

Question 7 Where is the appropriate placement of pseudoephedrine products in the community pharmacy ?

in the prescription department

Partial Question 10 Which of the following items are considered " drug paraphernalia " and should not be sold in pharmacies ? Select all that apply . insulin syringes pipes and bongs rolling papers freebasing kits

insulin syringes pipes and bongs rolling papers freebasing kits***

Question 16 A drug product consisting of tablets may be declared adulterated for all of the following reasons except : inactive ingredient has undergone partial decomposition label does not indicate the number of tablets present manufactured in a plant that fails to meet GMP contains an unapproved color additive active ingredient has undergone partial decomposition

label does not indicate the number of tablets present

Question 10 Which of the following pieces of information is encoded into a drug product's NDC ? Select all that apply . product's expiration date manufacturer package size drug name strength

manufacturer package size drug name strength

Question 29 In 2002 , the FDA ruled that nonprescription drug products containing cascara sagrada belong in Category II . This means that cascara sagrada containing products are no longer considered safe and effective and / or they do not have an acceptable medical use . Therefore , the FDA would consider any nonprescription drug product found to contain cascara sagrada adulterated misbranded toxic safe and effective

misbranded

Question 4 The major objective of the Orange Book is to compare drug products that are_____

multi - source and may be substituted

Question 9 Certain drug products may be exempt from the requirements of therapeutic equivalence because : of its high therapeutic index of its use in chemotherapy of the grandfather clause of its low therapeutic index of its use in pediatrics

of the grandfather clause

Question 18 The statement that an OTC product has a tamper - evident feature may be placed in all of the following locations except ?

on the tamper - evident device

Question 20 It has been 5 days since Mercer Pharmacy placed a CSOS order for 5 containers of MS Contin and 2 containers of Focalin . The pharmacist follows up with the supplier and the supplier said that the order should have arrived at the pharmacy 3 days ago . Who is responsible for reporting the loss or theft of this order and which DEA Form should be used ?

pharmacy , DEA Form 106

Question 10 The primary objective for individual state boards of pharmacy is the _______

protection of the general public

Question Under what conditions can emergency contraceptives may be processed through a third - party insurance payer ? Select all that apply . pursuant to a valid prescription for male or female patients for female patients only for male patients only

pursuant to a valid prescription for female patients only

Question 20 " Tall Man Lettering " is used to :

reduce medication errors

Question 1 The " Drug Facts " panel labeling requirement for over - the - counter products is best defined as _____

the FDA - approved label used to educate patients

Question 22 A pharmacist may refuse to accept or fill a prescription under all of the following circumstances except when : the pharmacist believes the drug product may be harmful to the patient the drug or drug product is not in stock the prescription is suspected to be either forged or altered the patient is known to be HIV positive the pharmacist believes that they will be violating the law by filling the prescription

the patient is known to be HIV positive

Question 2 When refilling a prescription that requires a poison prevention container component , the pharmacist must always replace Select all that apply . the plastic container / vials the plastic lid closure the glass container

the plastic container / vials the plastic lid closure

Incorrect Question 25 Therapeutic substitution is allowed only if an institution is :

using a formulary system ***