Module 3 Overview Practice

What behavior might indicate a substance use disorder in a patient?

Consistently requesting prescription refills 2 weeks early.

What behavior might indicate a pharmacist has substance use disorder?

Exhibiting severe mood swings.

Which medication is indicated for opioid dependence treatment?

Naltrexone (Vivitrol).

Which medication is used to reverse an opioid overdose?

Naloxone (Narcan).

What symptoms can indicate withdrawal from a controlled substance?

Aggressive behavior, profuse sweating, and dilated pupils.

What action should a pharmacy technician take if they suspect a patient has substance use disorder?

Inform the pharmacist of the suspicion.

What might cause a pharmacy technician to suspect a patient has developed tolerance to a controlled substance?

The patient takes more of the medication than prescribed.

What condition is a patient taking disulfiram (Antabuse) likely being treated for?

Alcohol dependence.

What might indicate a patient is attempting to illegitimately obtain Schedule II controlled medication?

Creating a distraction while the prescription is being processed.

What is a common withdrawal symptom associated with oxycodone ER (OxyContin)?

Muscle spasms.

Which controlled substance schedule has the lowest abuse potential?

Schedule V.

Which agency regulates controlled substances in the United States?

DEA (Drug Enforcement Administration).

Which controlled substance schedule has the highest potential for abuse?

Schedule II.

How many refills are permitted for Schedule III and IV medications within 6 months of the prescription date?

5 refills.

Which schedules allow for partial refills?

Schedule II, III, IV, V.

What must be included on a transferred controlled substance prescription?

The word VOID on the face of the invalidated prescription.

What information must be logged when selling a Schedule V medication without a prescription?

Dispensing date and time, purchaser’s name, pharmacist’s signature.

What is the maximum number of refills authorized for a Schedule II medication?

Zero.

What auxiliary label must be affixed to a controlled substance prescription?

Caution: Federal law prohibits the transfer of this medication.

What is the maximum amount of pseudoephedrine (Sudafed) a pharmacy technician can dispense to a patient in one day?

3.6 g.

What must a prescriber do within 7 days of calling in an emergency prescription for controlled medication?

Profile the pharmacy with a written prescription.

What letter should the first character of a physician's assistant's DEA number begin with?

M.

Which agency has the authority to impact a pharmacy's records?

State Board of Pharmacy.

What does the last four digits of a prescriber’s DEA number represent?

Internal code.

Which DEA form must be completed for the destruction of controlled substances?

DEA Form 41.

What should the pharmacy technician conclude if two DEA numbers are listed for a prescriber, one starting with 'X'?

The prescriber works in an opioid treatment clinic.

What indicates a prescription might be fraudulent?

Written for a quantity that exceeds typical medical use.

Which agency should be notified about the loss of a controlled substance?

DEA.

For how long should documentation related to a theft of controlled substance be kept on file?

2 years.

What does an 'A' as the first letter in a DEA number indicate?

The prescriber has a DEA number recognized prior to 1985.

Which DEA form should be used for the transaction of expired medications?

DEA Form 222.

What prescriber information is required on a Schedule IV medication prescription?

DEA number.

Why did the pharmacist stop the technician from disposing original and transferred prescriptions less than 1 year old?

They should be stored for at least 2 years from the date of the last refill.

What information should be included in a report of theft of a controlled substance?

Date the theft was discovered.

What security feature inhibits a prescription from being photocopied?

High-security watermark.

What organization requires a tamper-resistant prescription pad for controlled substances?

Medicaid.

What shows that a prescription may have been obtained illegally?

Contains an incorrect phone number for the prescriber.

What DEA form must be completed to report theft of controlled substances?

DEA Form 106.

What information should be included in a report about the theft of a controlled substance?

NDC number of the controlled substance.

What behavior indicates a pharmacy technician should suspect a prescription is fraudulent?

Written in two different colors of ink.

What is a recommended action to help prevent misuse of medications?

Document questions asked of the patient.

What might lead a technician to suspect a patient has substance use disorder when they wish to obtain a prescription?

Desire to obtain a specific looking tablet.

What is a sign of tolerance in a patient?

Complaining that their condition continues to get worse despite taking the medication.

What does physical dependence indicate?

Has dilated pupils and complains of nausea, vomiting, and diarrhea.

What describes chemical dependence?

Uses multiple providers and pharmacies to receive narcotics.

Which form should a pharmacy technician use to report the diversion of controlled substances?

DEA Form 106.

What should be included on the DEA Form 106 for a suspected theft?

Name and telephone number of the local police department notified.

What feature can be used on an electronic prescription to prevent tampering?

Using asterisks around numbers.

What are exceptions to Medicaid prescriptions being handwritten on tamper-resistant pads?

Electronic prescriptions and emergency prescriptions.

What fraudulent characteristics can be associated with a prescription written in different colored inks by an obstetrician?

No standard abbreviations used and dosages differing from usual medical usage.

Where should a pharmacy send expired medications?

Reverse distributor.

What substance classes are combined into one file in a pharmacy that maintains two files for controlled substance prescriptions?

Schedule III and IV dispensed.

What is a valid DEA number for a doctor?

AP7451420.

What type of DEA number would be assigned to a nurse practitioner?

MB6125341.

What does 'M' indicate on a DEA number?

Mid-level practitioner such as a physician's assistant.

What does 'X' on a DEA number signify?

Practitioner in a buprenorphine- and naloxone- prescribing program.

What formula can help verify a DEA number?

(1st + 3rd + 5th) + 2(2nd + 4th + 6th) = last digit is the last digit of the DEA number.