Pharmacy Practice 7e CH2 Exam Questions
What act requires over-the-counter (OTC) and legend drugs to be packaged in child-resistant containers? a. Orphan Drug Act b. Poison Prevention Packaging Act c. Health Insurance Portability and Accountability Act d. Drug Listing Act
b Poison Prevention Packaging Act
The DEA has scheduled benzodiazepines as Schedule IV. However, you live in a state that has reclassified benzodiazepines as a Schedule II. How many refills will be allowed in your state? a. 6 b. 0 c. 5 d .1
b. 0
Drug control is serious issue for the United States because many people are illegally importing drugs from other countries, and this leads to a. adverse reactions. b. All of these choices are correct. c. poor quality. d. inappropriate use.
b. All of these choices are correct.
As you look at the packaging of controlled substances on the pharmacy shelf, which designation on the label indicates that the drug is of the highest legal abuse potential? a. CV b. CII c. CIII d. CI
b. CII
In the case brought against the New England Compounding Center (NECC) due to the contamination of a solution of methylprednisolone acetate with fungus, the approved $200 million settlement for damages to the victims would be considered a. Capital Punishment. b. Criminal Law. c. Civil Law. d. Homicide Law.
b. Civil Law.
What entity carries out a rigorous inspection during its accreditation process of hospitals? a. Drug Enforcement Administration (DEA) b. Joint Commission c. Hospital Accreditation Board d. Department of Health and Human Services (HHS)
b. Joint Commission
What law required that drugs be both safe and effective? a. All of these choices are correct. b. Kefauver-Harris Amendment c. Durham-Humphrey Amendment d. Pure Food and Drug Act
b. Kefauver-Harris Amendment
Mrs. Jones just became eligible for Medicare, and she asks you to assist her find help in paying for her prescriptions as she is on a fixed income and having trouble paying for both her medications and all her other bills. What is the government program designed to help patients like Mrs. Jones that was the result of the Medicare Prescription, Improvement and Modernization Act of 2003? a. Elder care drug insurance b. Medicare Part D c. HSA d. Medicare Part B
b. Medicare Part D
What act required that pharmacists review a patient's profile and offer to counsel the patient? a. Medicare Modernization Act b. Omnibus Budget Reconciliation Act c. Model State Pharmacy Practice Act d. Food and Drug Administration Modernization Act
b. Omnibus Budget Reconcilation Act
As a pharmacy technician working in a hospital in the sterile compounding area, which organization would you refer to for the latest professional practice standards in sterile compounding? a. Occupational Safety and Health Administration b. US Pharmacopeial Convention c. Joint Commission d. American Society of Health System Pharmacists
b. US Pharmacopeial Convention
What is a written rule or procedure that exists to carry out a law of the federal or state government? a. standard b. ethic c. accreditation d. regulation
d. regulation
Working at the community pharmacy, you notice a young woman comes in to purchase a Plan B, a morning-after birth control medication. The next day, you see her being nasty to your friend, so you tell your friend about the woman's purchase. What law have you just violated? a. DQSA b. Antibullying Act c. HIPAA d. Patient Protection and Affordable Care Act
c. HIPAA
Which of the following statements about Medicare Part D is true? a. Patients are eligible to start the program at age 62. b. Only prescriptions picked up at retail pharmacies are covered. c. It is an optional prescription drug insurance program. d. Only pharmacists can educate patients about the program.
c. It is an optional prescription drug insurance program.
Drug manufacturers were not required to prove drug efficacy until the a. Durham-Humphrey Amendment of 1951. b. Food, Drug and Cosmetic Act of 1938. c. Kefauver-Harris Amendment of 1962. d. Pure Food and Drug Act of 1906.
c. Kefauver-Harris Amendment of 1962.
A new pharmacy is opening in your town, and you are told you will have a job there once it is inspected. Who will inspect the new pharmacy? a. State Attorney General b. National Board of Pharmacy c. State Board of Pharmacy d. Occupation Safety and Health Administration
c. State Board of Pharmacy
The National Drug Code (NDC) is a. used for newly marketed drugs only. b. required by the Centers for Disease Control and Prevention. c. a unique and permanent signifier providing product information. d. made of 12 or more characters.
c. a unique and permanent signifier providing product information.
To be approved as a generic drug, the pharmaceutical manufacturer must prove a. safety. b. affordability. c. bioequivalence. d. efficacy.
c. bioquivalence.
You are looking to purchase child-resistant containers for your pharmacy: what is a minimum standard established for child-resistant containers? a. cannot be opened by 90% of adults b. can be opened by 80% of adults c. cannot be opened by 80% of children under the age of 5 d. can be opened by 80% of children under age of 5
c. cannot be opened by 80% of children under the age of 5
Adulterated drugs are those a. packaged in containers made from plastics. b. that are made to be of higher strength for adults. c. diluted or made with differing ingredients from the labeled brand or generic. d. with inadequate directions for use.
c. diluted or made with differing ingredients from he labeled brand or generic.
The Federal Trade Commission (FTC) has authority over a. drug pricing. b. the manufacture and sales release of drugs. c. direct-to-consumer drug advertising. d. the distribution of drugs.
c. direct-to-consumer drug advertising.
Following a code of high professional standards is an example of a. regulations. b. civil laws. c. ethics. d. criminal laws.
c. ethics
The Drug Enforcement Administration (DEA) classifies controlled prescription drugs for greater or lesser access. The DEA reclassified which of the following controlled substances from a Schedule III to a Schedule II drug for greater control? a. tramadol b. liquid codeine cough preparations c. hydrocodone-combination products d. anabolic steroids
c. hydrocodone-combination products
What type of case could be brought against a pharmacist who does not act like any other reasonably prudent pharmacist in the same situation? a. criminal b. libel c. negligence d. assault
c. negligence
Which of the following drugs is exempt from "child-resistant" containers? a. ibuprofen tablets b. hydrocodone tablets c. nitroglycerin sublingual tablets d. amoxicillin tablets
c. nitroglycerin sublingual tablets
What is another term for legend drugs? a. misbranded drugs b. patent drugs c. prescription drugs d. adulterated drugs
c. prescription drugs
In the state of Ohio, what does Emily's Act require of pharmacy technicians? a. All of the choices are correct b. be at least 18 years of age c. be certified and registered d. face disciplinary action for errors
a. All of the choices are correct
As a pharmacy technician, your role was enhanced to potentially include ______________ as a result of requirements of the Patient Protection and Affordable Care Act. a. All of the choices are correct. b. checking prescriptions again insurance formularies c. serving as medication assistance advocate d. helping assemble thorough patient medication histories
a. All of the choices are correct.
What prompted Congress to pass the Drug Quality and Security Act (DQSA), which requires ingredients used in compounding facilities that make small batches of prescription products be electronically tracked and encourages the facilities to register with the FDA (as they will be subject to Compounding Good Manufacturing Processes and FDA inspections whether they register or not)? a. Contaminated medications distributed by a Massachusetts facility harmed patients b. Controlled substances were being compounded but not regulated c. Products compounded in a Minnesota facility had incorrect ingredients leading to problematic drug therapies d. Manufactured prescription drugs had risen to be too high for low-income patients
a. Contaminated medications distributed by a Massachusetts facility harmed patients
What law was passed to combat and control drug abuse? a. Controlled Substances Act b. Drug Listing Act c. Durham-Humphrey Amendment d. Orphan Drug Act
a. Controlled Substances Act
Which agency works to enforce the "Combat Methamphetamine Epidemic Act of 2005"? a. DEA b. FDA c. USP d. CDC
a. DEA
In 1937, more than 100 individuals died as the result of poisoning from a sulfa drug product that contained diethylene glycol. This tragedy led to the passing of the a. Food, Drug and Cosmetic Act. b. Poison and Prevention Packaging Act c. Kefauver-Harris Amendment. d. Comprehensive Drug Abuse Prevention and Control Act..
a. Food, Drug and Cosmetic Act.
A Schedule _____ drug cannot be prescribed by phone except in an emergency. a. II b. V c. III d .IV
a. II
Which of the following statements about adulterated drug products is correct? a. They differ in quality, purity, and standards from the original. b. They are labeled with false statements about ingredients. c. They are marketed for unapproved uses. d. They are always harmful to humans.
a. They differ in quality, purity, and standards from the original.
Which of the following statements about Schedule I (CI) drugs is correct? a. They have the highest abuse potential. b. They have the lowest abuse potential. c. They are used in toxicological studies. d. They are used in human studies.
a. They have the highest abuse potential.
National Drug Codes are unique to every drug. What do the 10 or 11 digits represent? a. manufacturer, formulation, packaging b. lot number, expiration, packaging c. control status, formulation, packaging d. manufacturer, strength, storage
a. manufacturer, formulation, packaging
Prior to the 20th century, many pharmaceuticals products contained ____________ as a miracle cure. a. opium and alcohol b. opium c. alcohol d. ibuprofen
a. opium and alcohol
A(n) _____ drug is intended for use in a few patients with a rare disease. a. orphan b. biological c. nonproprietary d. Schedule VI
a. orphan
In the United States, which of the following prescribers may sign a prescription for a Schedule II drugs? a. physicians and dentists b. podiatrists and physical therapists c. pharmacists and chiropractors d. veterinarians and pharmacy technicians
a. physicians and dentists
The Food and Drug Administration (FDA) regulates all of the following, except: a. practice of pharmacy in each state. b. approval of new drugs. c. content of advertising. d. food and drug packaging
a. practice of pharmacy in each state.
What was the purpose of the Prescription Drug Marketing Act of 1987? a. to allow reimportation of drugs into the U.S. by the manufacturer only b. to allow advertising of prescription drugs to consumers c. to encourage distribution of samples to pharmacists d. to encourage patients to purchase lower cost drugs from Canada.
a. to allow reimportation of drug into the U.S. by the manufacturer only
Why is the sale of products containing pseudoephedrine restricted? a. to avoid illegal manufacture of methamphetamine b. to decrease the illegal sale of anabolic steroids c. to discourage the illegal sale of all anabolic drugs d. to safeguard the confidentiality of patient medical records
a. to avoid illegal manufacture of methamphetamine
What is the function of the Occupational Safety and Health Administration (OSHA) in the pharmacy? a. to protect workers from unnecessary hazardous drug exposures b. to recall products deemed dangerous to the public c. to enforce compliance with state board regulations d. to enforce laws on new drug development and review
a. to protect workers from unnecessary hazardous drug exposures
What does bioequivalence mean in terms of generic drugs to brand name drugs? a. That manufacturers used the same drug recipes and standards as the brand b. That the drugs have the same strength of active ingredients, form, and outcomes as the originals c. That each generic drug is the same as the brand in all its ingredients d. That the generic drugs have been tested in exactly all the same ways as the brand name drugs, and the results were the same
b. That the drugs have the same strength of active ingredients, form, and outcomes as the originals
Which of the following statements regarding generic drugs is true? a. They are less than 50 percent of the prescriptions in all pharmacies. b. They are typically less expensive than the original brand drug versions. c. They can be marketed by the original manufacturer only. d. They usually do not have the same bioequivalance as brand name drugs.
b. They are typically less expensive than the original brand drug versions.
A prescription for the controlled substance, Vicodin, is presented to you, and you notice it is from an unknown prescriber from another state: what should you do first before filling the prescription? a. Verify the drug is in stock. b. Verify the prescriber DEA number. c. Check the prescriber's state license. d. Verify rationale for use.
b. Verify the prescriber DEA number.
What class of drugs in the 1990s was being illegally manufactured, imported, and sold on the black market as performance enhancers and led Congress to pass an act making them a Schedule III class of drugs? a. weight loss supplements b. anabolic steroids c. methamphetamine d. amphetamines
b. anabolic steroids
What role did the FDA adopt after the occurrence of birth defects due to thalidomide and the passing of the Kefauver-Harris Amendment of 1962? a. reimbursing the manufacturer for clinical trials b. monitoring animal drug studies data of the Investigational New Drug Application (INDA) for safety c. establishing patient education guidelines for new drug products d. overriding the patent protection to the drug manufacturer
b. monitoring animal drug studies data of the Investigational New Drug Application (INDA) for safety
When filling a prescription, for which of the following drugs should the pharmacy technician always pick a non-child-resistant container for more ease in medication administer by the patient? a. ibuprofen b. nitroglycerin c. iron tablets d. penicillin
b. nitroglycerin
In a criminal case in the US, the party filing the case is the _______. a. defendant b. plaintiff c. barrister d. offender
b. plaintiff
Under the Affordable Care Act, all states must provide a ______________ for their ACA patients. This makes it easier for the pharmacist providing medication therapy counseling to save money and improve outcomes. a. preferred hospital list b. preferred drug list c. preferred drug distributor list d. preferred healthy eating and exercise plan
b. preferred drug list
Which of the following would be a violation of the Drug Enforcement Administration's rule regarding filling a prescription? a. not refilling a Schedule II drug b. refilling a Schedule II drug c.checking for a prescriber's DEA number d.f ollowing a more restrictive state law
b. refilling a schedule II drug
The National Association of Boards of Pharmacy has oversight of a. the National Pharmacy Technicians Association. b. the Verified Internet Pharmacy Practice Sites program. c. each individual states' Board of Pharmacy. d .National Provider Identification Numbers.
b. the Verified Internet Pharmacy Practice Sites Program.
Who may legally make a blanket request that a medicine be in a container that is not child resistant? a. the patient's mother b. the patient c. the physician d. no one can request this
b. the patient
The oversight of pharmacist licenses and registration of pharmacy technicians is done by a. the Drug Enforcement Administration (DEA). b. the state Board of Pharmacy c. a federal board of pharmacy. d. the National Association of Boards of Pharmacy (NABP).
b. the state Board of Pharmacy
Disciplinary action by a State Board of Pharmacy may include _______ of the defendant's license. a. revocation b. probation c. All of the choices are correct. d. suspension
c. All of the choices are correct.
The FDA is made up of several agencies. The Center for Drug Evaluation and Research (CDER) primarily is responsible for a. reviews of OTC drugs. b. new drug development and review. c. All of the choices are correct. d. generic drug evaluations.
c. All of the choices are correct.
The Controlled Substance Act of 1970 established the _______, which is the agency responsible for determining the schedule in which a controlled substance will be placed. a. CMS b. EPA c. DEA d. FDA
c. DEA
Working in a community pharmacy, you are asked to compound an ointment that is not available commercially. What legislation allows for compounding a nonsterile product for an individual without going through the FDA drug approval process? a. Prescription Drug Marketing Act b. Medicare Modernization Act c. Food and Drug Modernization Act d. Affordable Care Act
c. Food and Drug Modernization Act
The main purpose of the Food and Drug Administration (FDA) Orange Book in the pharmacy is to a. track adverse drug reactions and false claims about all drug products that have received an Orange Alert. b. disclose the side effects and adverse reactions for Over-the-Counter products. c. provide information about which generic drugs can be safely substituted for brand name drugs. d. describe the best brand drugs from each manufacturer.
c. provide information about which generic drugs can be safely substituted for brand name drugs.
What term applies to the pharmacy technician's acting as an agent of the pharmacist? a. respondeat inferior b. tort c. standard of care d. respondeat superior
c. respondeat superior
A benchmark or desired normal level of quality for a product or professional performance is called a(n) a. statutory law. b. Regulation. c. standard. d. ethical dilemma.
c. standard
Under the Dietary Supplement Health and Education Act (DSHEA), which of the following statements may be made on a dietary supplement label? a. supplement will improve cardiac function b. supplement lowers cholesterol c. supplement to support eye health d. supplement for treating BPH
c. supplement to support eye health
What was the purpose of the Food, Drug, and Cosmetic (FDC) Act of 1938? a. to prevent the interstate transport of controlled drugs and food substances b. to require that drugs be effective for their intended use c. to create the FDA to oversee the safety of drugs d. to prohibit the testing of drugs on animals
c. to create the FDA to oversee the safety of drugs
Since the 1900s, many laws, regulatory agencies, and professional organizations have been developed to protect United States citizens from dangerous drugs and other public health issues. Which of these is a government agency rather than a professional organization? a. The Joint Commission b. National Association of Boards of Pharmacy c. American Society of Health-System Pharmacists (ASHP) d. Centers for Disease Control and Prevention
d. Centers for Disease Control and Prevention
A dentist writes a prescription for injectable testosterone for a patient. Under what law is this illegal? a. Anabolic Steroid Act of 1990 b. Combat Methamphetamine Epidemic Act of 2005 c. Dietary Supplement Health and Education Act of 1994 d. Controlled Substance Act of 1970
d. Controlled Substance Act of 1970
What modification did the Durham-Humphrey Amendment make to the Food Drug and Cosmetic Act? a. Established abuse potential ranking for controlled substances b. Defined misbranded and adulterated drugs c. Required efficacy and safety data on all new drugs d. Defined a difference between legend (Rx) drugs and OTC drugs
d. Defined a difference between legend (Rx) drugs and OTC drugs
Which law allows pharmacists to compound a unique, nonsterile extemporaneous product for an individual without meeting the intensive FDA requirements for newly manufactured drugs? a. Prescription Drug Marketing Act b. Affordable Care Act c. Omnibus Budget Reconciliation Act d. Food and Drug Modernization Act
d. Food and Drug Modernization Act
Which of the following is NOT true regarding the National Association of Boards of Pharmacy (NABP)? a. The NABP coordinates the reciprocation of pharmacists. b. The NABP represents all 50 state boards of pharmacy. c. The NABP develops a national pharmacist examination for licensure. d. The NABP has regulatory authority over the 50 boards to coordinate their efforts.
d. The NABP has regulatory authority over the 50 boards to coordinate their efforts.
For what reason might the DEA inspect a community pharmacy? a. an increase in non-scheduled drug use b. an increase in scheduled and non-scheduled drug use c. All of the choices are correct d. an increase in scheduled drug use
d. an increase in scheduled drug use
A patient asks you to help him locate a cold product that contains pseudoephedrine. Where is this product stocked? a. no longer available for sale b. in the cold and flu aisle c. only available by prescription d. behind the counter
d. behind the counter
The Food and Drug Administration was created by the Food, Drug and Cosmetic Act in 1938 to a. monitor drugs for efficacy. b. establish prescribing criteria for controlled substances. c. establish the differences between prescription and OTC drugs. d. evaluate safety data to show that drug products are safe in humans.
d. evaluate safety data to show that drug products are safe in humans.
Legislated rules and procedures that exist to maintain minimum public safety standards is the definition of a. ethics. b. criminal laws. c. professional policies. d. regulations.
d. regulations
The United States Pharmacopeial Convention (USP) is responsible for setting all of the following, except a. standards of practice for pharmacists and technicians. b. procedures for drug preparation. c. official quality standards for drugs. d. statutory laws.
d. statutory laws.
What entity determines the ratio of pharmacists to technicians and the allowable tasks of the pharmacy technician? a. Association of Pharmacy Technicians b. National Association of Boards ofPharmacy c. director of pharmacy d. the state Board of Pharmacy
d. the state Board of Pharmacy
What is one of the main purposes of the Health Insurance Portability and Accountability Act (HIPAA)? a. to offer Medicare patients a prescription drug plan b. to enforce pharmacist-to-technician staffing ratios c. to offer health insurance to all employed US citizens d. to safeguard the confidentiality of patient medical records
d. to safeguard the confidentiality of patient medical records
When should a pharmacy technician not choose a less expensive generic when filling a prescription? a. when sales representative offers incentives for brand use b. when savings is minimal c. when Orange Books lists generic as bioequivalent d. when prescriber writes" brand only"
d. when prescriber writes "brand only"