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A prescription is written for atenolol 50 mg and dated August 15, 2017. The patient brings the prescription in to be filled on March 1, 2018. Can you legally fill this prescription? a) Yes b) No
b (March 1, 2018 is past 6 months)
Prescription records must be kept for ___________________ under federal law, and ____________________ under Ohio law. a) 3 years, 3 years b) 2 years, 2 years c) 2 years, 3 years d) 2 years, 5 years e) none of the above
c
Records for poisons must be kept 5 years a) True b) False
a
It is legal for a physician to write prescriptions for Crestor 10 mg and alprazolam 0.5 mg on the same prescription form. a) True b) False
b
A pharmacy with a category III terminal distributor's license may dispense controlled substances, dangerous drugs, and IV solutions a) True b) False
a
The labels of both inpatient and outpatient IV (intravenous medications) must have an expiration on it. a) True b) False
a
A prescription container (like a bottle Timpotic XE) too small to bear a complete label must have at least the following information on it. Select all that apply. a) Rx number b) patient name c) directions for use d) prescriber name e) refills
a and b
A pharmacist comes to work one day early in the morning and notices that all of the Adderall XR hsa been stolen. The pharmacy must notify..... a) Board of Pharmacy b) Local Law Enforcement c) DEA d) a and c only e) a, b, and c
e
Which of the following is false regarding multiple drugs in the same container? Select all that apply. a) Only a maximum of 31 days supply of medication can be dispensed b) The expiration date of the container cannot be for more than 31 days c) When one drug is discontinued, everything in the package is adulterated d) There must be regular outpatient labels for each drug in the container e) The number of drugs cannot exceed the capacity of the container
b
A doctor licensed in Florida writes a prescription in Florida for a patient on vacation. The patient brings that prescription back to Ohio. Can you fill it? a) Yes b) No
a
The definition of a poison is a chemical deleterious to an adult's life in quantities of six grams or less. a) True b) False
b (in quantities of four grams or less)
When a patient requests their medical records from a pharmacy, HIPPAA states that they have access to all patient notes and comments the pharmacist has entered into the computer as well. a) True b) False
a
Under Ohio law, atorvastatin 20 mg is considered a drug of abuse. a) True b) False
a (Any prescription drug is considered a drug of abuse)
Pharmacists have _____________ hours to verify and sign the daily printout of prescriptions for the day. a) Within a reasonable amount of time b) 48 hours c) 96 hours d) 1 week e) 24 hours
a
Insurance companies have access to only those patient prescription records for medications they paid for. a) True b) False
a
Controlled substances can be mailed using the United States Postal Service. a) True b) False
a
__________________ drugs are those drugs required to meet the therapeutic needs of patients when a pharmacist is unavailable. ___________________ drugs are those drugs required to meet immediate needs to save or sustain life. a) emergency; contingency b) crash cart; contingency c) contingency; emergency d) crash cart; floor stock e) emergency; floor stock
c
Pharmacists must have the phone number of the nearest poison control center available as part of the library requirement. a) True b) False
a
A lab technician and a doctor may legally enter the pharmacy to obtain medications when the pharmacy is closed. a) True b) False
a (2 people must enter, one must be a licensed health care professional authorized to administer drugs)
All of the following are considered hospital orders. Select all that apply. a) a faxed order from the physician b) an order written order c) an oral order from a physician, but the order must be verified by the physician
a, b, c
Refills for schedule III and IV controlled substances are good for ______________ from the date the prescription was written or a maximum of __________________ total refills. a) 1 year; 5 b) 6 months; 4 c) 1 year; 4 d) 6 months; 5 e) none of the above
d
Which of the following are a schedule IV drug? Select all that apply. a) chlordiazepoxide b) midazolam c) dihydrocodeine d) ketamine e) clorazepate
a, b, and e
Cancer drugs (anti-neoplastics) can be compounded in horizontal flow hood with annual certification. a) True b) False
b (Must be compounded in a vertical flow hood and certified every 6 months)
Invoices of C-II's, C-III's, C-IV's, and C-V's (all controlled substances purchased) must be kept together in one file. a) True b) False
b (Invoices for C-IIs must be in one file and C-III's, C-IV's, and C-V in another file)
A dog breeder comes into your pharmacy and wants to buy some syringes to give his puppies immunizations. Can you sell him the syringes? a) Yes b) No
a
You must be __________ years old to buy a C-V as an OTC and at least ______________ years old to buy a poison. a) 18; 18 b) 16; 16 c) 18; 16 d) 16; 18 e) 18; 21
c
If pharmacies sell more than 5% of what they purchase at wholesale (example: selling injectable medications they buy to doctor's offices), they need a wholesale's license. a) True b) False
a
Technician can help a pharmacist compound as long as the pharmacist inspects and approves the final product and the technician makes no professional judgements. a) True b) False
a
Under Ohio law, outdated drugs are: a) misbranded b) adulterated c) both adulterated and misbranded
b
Mrs. Smith leaves the pharmacy building with her prescription. Two hours later she brings it back. She said she never opened the Rx vial. Can you redispense the medication in the bottle? a) Yes b) No
b (Once it leaves the pharmacy it cannot be re-dispensed)
If you dispense Paxil without a prescription, the bottle it is dispensed in is: a) adulterated b) misbranded and adulterated c) misbranded
c
A prescription is brought to your pharmacy for 100 Zohydro ER (scheduled II controlled substance). You only have 30 in stock. How long do you have to fill the remaining 70 capsules? a) 24 hours b) 48 hours c) 7 days e) 60 days
c
If you make a mistake on DEA Form 222 when ordering schedule II's, you can erase the mistake and correct it. a) True b) False
b
In which of the following cases can a doctor fax a schedule II (C-II) prescription for a patient? Select all that apply. a) a patient in an assisted living facility b) a prescription for Dilaudid 2 mg for a hospice patient c) a home IV prescription for morphine for a cancer patient d) a patient who resides in a nursing home e) a prescription for Adderall XR 20 mg for a child homebound in a wheelchair
b, c, and d
Which of the following are considered to be professional duties of an intern under Ohio Law? Assume the intern is being supervised by a pharmacist. Select all that apply. a) Patient counseling b) Transferring controlled substance prescriptions c) Selling schedule V cough syrups as an OTC d) Receive an oral prescription for a controlled substance e) Give a flu vaccine to a 6 year old child
a, c, and d (Interns cannot transfer controlled substances & cannot give flu shots to child under 7)
Which of the following are schedule III drugs. Select all that apply. a) promethazine with codeine cough syrup b) zalpelon c) perampanel d) glutethimide e) sodium oxybate (Xyrem)
c and e
If a prescription drug has an NDC number, then it must be FDA approved and can be sold. a) True b) False
b
A medical device that requires pre-marketing approval, and must demonstrate safety and effectiveness is a ________________ device. a) Class I b) Class II c) Class III
c
A patient is discharged from Surfside Plastic Surgery Hospital. She gets her prescriptions filled at the inpatient pharmacy before she's discharged. A month later she needs a refill. Can she have he prescription filled at the outpatient pharmacy across the street in Surfside Hospital Medical Building Pharmacy? a) Yes b) No
a (Yes, they can have it refilled at the outpatient pharmacy but not the inpatient pharmacy)
Pharmaceutical sales representatives must do an inventory of their samples every two years pharmacies. a) True b) False
b (It must be done annually)
A pharmacist can give travel vaccines. a) True b) False
a
Pharmacists and interns can give immunization recommended by the Advisory Committee on Immunization Practice (ACIP) of the Center for Diseases Control (CDC) and any immunization specified in the rules adopted by the Board to individuals 12 years and older without a prescription. a) True b) False
b (Individuals must be 13 years and older)
Pharmacists and interns can give immunization recommended by the Advisory Committee on Immunization Practice of the Centers for Disease Control and any immunization specified the rules adopted by the Board to individuals between the ages of 7 and 13 years of age with a prescription. a) True b) False
a
Which if the following are true regarding immunizations? a) Pharmacists and interns can give flu shots to patients 7 years of age and older b) You must receive & document consent from the parent or guardian of any patient under the age of 18. c) Pharmacists and interns can give an MMR immunization to a 10 year old child with a prescription from a physician d) a and b are true e) a, b, and c are true
An intern wants to give immunizations at a flu shot clinic. The intern is immunization certified. There are three licensed nurses at the flu shot clinic. Can the intern give flu shots at the clinic? a) Yes b) No
b
An intern wants to give immunizations at a flu shot clinic. The intern is immunization certified. The pharmacists supervising the intern is not immunization certified. Can the intern give flu shots at the clinic? a) Yes b) No
b
A pharmacist has been seeing a lot of prescriptions from Dr. Acne, a dermatologist from down the street, for a specific compound containing several ingredients. It takes the pharmacist about 30 minutes to make each one. Under federal law, how much can the pharmacist make up in advance and have ready for her patients? a) 7 days supply b) 10 days supply c) 30 days supply d) 60 days supply e) There is no limit
c (Federal law says you can have a 30 day supply on hand for anticipatory compounded products)
Under Ohio law, to practice pharmacy means. Select all that apply. a) give drug therapy advice b) counsel patients c) dispense and compound drugs d) enter prescription data into the computer e) review drug regiments
a, b, c, and e
An "oral" DAW from a physician is legally considered the same as written "DAW" in Ohio. a) True b) False
a
Can a dentist write a prescription for hypertension medication? a) Yes b) No
b
How many C.E.U.'s of continuing education does a pharmacist have to complete every three years? a) 45 b) 6.0 c) 0.1 d) 30 e) 60
b
Pharmacist Lauren Smith is getting married on September 10, 2018. Once she becomes married, she has 30 days to notify the Board of Pharmacy of her change of name. a) True b) False
a (Law changed as of March 2017)
The date for renewing a terminal distributors license is: a) January 1st b) July 1st c) September 15th d) April 1st e) None of the above
d
Which of the following conditions can medical marijuana be used to treat? Select all that apply. a) AIDS b) Alzheimer's disease c) Crohn's disease d) Epilepsy e) Parkinson's disease
a, b, c, d, and e
Which of the following cannot write prescriptions under Ohio law? Select all that apply. a) dentists b) MDs c) chiropractors d) psychologists e) podiatrists
c and d
Theft or loss of prescription blanks or documents must be reported to the Board of Pharmacy. a) True b) False
a
Fred Thomas, a physician, has decided that he is tired of practicing medicine. He decides he wants to be a pharmacist again and has taken a job with CVS Pharmacy. His license has lapsed for two years. Does he have to retake the pharmacy board exams? a) Yes, he has to retake the board exams b) No, he does not have to retake the board exams
b (If your license has lapsed for more than 3 years, you must retake the Boards.)
The maximum number of times a pharmacy graduate can take the NAPLEX in Ohio is.... a) 2 b) 3 c) 5 d) 7 e) An unlimited number of tim
c
Warren Buffet's investments have been performing poorly. Therefore, Mr. Buffett decides he's going to start buying pharmacies. Can Mr. Buffett have the keys to the prescription department? a) Yes b) No
b
Dr. Jack Johnson writes a prescription for a controlled substance. He gives you the following DEA number: BJ 7980457. Is this a valid DEA number? a) Yes b) No
a
John Perry is in the hospital for gall bladder surgery. John is mad at the nurses because they are slow to give him his medications. He wants the nurse to start leaving his unit-dose labeled medications for the entire day at his bedside so he can self medicate. Is this legal? a) Yes b) No
b (Patients who self-medicate in a hospital must have outpatient labels on their medications)
Phil Mickelson comes into your pharmacy with a prescription for Protonix 40mg. The doctor has typed on the prescription "DAW". Phil wants the generic no matter what his doctor says. Can you dispense the generic? a) Yes b) No
a (If the MD has hand-written DAW, brand necessary, no substitution or any other similar words, the pharmacist must dispense the generic) changed in spring 2017
The definition of generic drug is a drug that contains identical active and inactive ingredients of the brand name product. a) True b) False
b (Generic drugs only have identical "active" ingredients)
Regarding multiple drugs in the same container (nursing homes), the maximum amount of drug that can be dispensed is __________ supply and cannot have an expiration date of not more than __________. a) 60 days; 31 days b) 7 days; 45 days c) 31 days; 31 days d) 31 days; 60 days e) 45 days; 45 days
d
Which of the following are a schedule II drug? Select all that apply. a) ecstasy b) levorphanol c) secobarbital d) Remoxy e) methaprylon
b, c and d
Dr. Stephens writes a prescription for atorvastatin 10 mg for Mr. Mike Jones. The prescription is written on September 1st, 2017, but is not filled for the first time till October 30th, 2017. The prescription has one year's worth of refills. When do the refills expire? a) The refills never expire. b) The refills expire on October 30th, 2018. c) The refills expire on September 1st, 2018. d) The refills expire on March 1st, 2018. e) The refills expire on April 30th, 2018.
c
Dr. Stone likes to use prescription blanks with 25 pre-printed drugs on them. He chooses two drugs on one pre-printed blank he wishes to prescribe for Ken Karson. Neither of these drugs are controlled substances. Is this a legal prescription? a) Yes b) No
b (A physician can only select one drug per form on a pre-printed Rx form with several drugs on it)
If a pharmacy has a Category II terminal distributor's license, it can sell (dispense) drugs in categories I and II. a) True b) False
a
Pharmacist Jack Frost is closing the prescription department (pharmacy) early so he can makeit to the ball park on time. Even though the prescription department is closed, the rest of the store is open. Can he leave a patient's prescription with the cashier up front for her to pick up after the prescription department is closed? a) Yes b) No
b
Which of the following are misbranded? Select all that apply. a) An OTC without proper labeling b) A stock bottle of lisinopril 20mg whose label gets destroyed c) A stock bottle of lisinopril 20mg whose contents have smoke damage from a fire d) A stock bottle of lisinopril 20mg whose content gets wet during a fire (sprinklers get it wet) e) A prescription botle missing the directions for use
a, b, and e
If a MedGuide is required to be given with a prescription, it must be given with both new and refilled prescriptions. a) Yes b) No
a
Under Ohio law, a prescriber's professional redentials (MD, DO, etc.) must be on every prescription. a) True b) False
a
If a physician calls in an emergency oral prescription for hydromorphone (schedule II), he has ________________ to get the written original prescription to the pharmacy. a) 24 hours b) 72 hours c) 7 days d) 30 days e) 60 days
c
Jim Carey has taken up a new hobby, sculpture. He is building a 10-foot sculpture out of pop cans. He wants to buy some syringes from the pharmacist to inject rubber cement between the cans as an adhesive. Can a pharmacist legally sell him syringes for this purpose? a) Yes b) No
a
If a wholesaler does not have enough of a schedule II drug (Adderall XR 10mg) in stock, they have _____________ to fill the remainder of the prescription. a) 7 days b) 60 days c) 30 days d) 48 hours e) 72 hours
b
Pharmacists order schedule II medications on which form? a) DEA 221 form b) DEA 223 form c) DEA 41 form d) DEA 222 form e) Pharmacists don't need a special form to order schedule II controlled substances
d
Pharmacists have ________________ to dispose of outdated drugs and wholesalers have __________________. a) 1 year; 1 year b) 2 years; 2 years c) 1 year; 2 years d) 2 years; 1 year e) 1 year; 3 years
c
Can Dr. Tommy Timmons (a psychiatrist) legally write a prescription for birth control for a patient? a) Yes b) No
a (In some cases, this is appropriate because all MDs went to medical school, just different specialties)
Under Ohio law, a podiatrist can write a prescription for lisinopril 10mg for blood pressure. a) True b) False
b (A podiatrist is considered a limited presriber and can only prescribe within scope of practice)
Which of the following controlled substances does the pharmacist have to do an exact count: I. an opened 100 tablet bottle of mepiridine (schedule II. an opened 1000 tablet bottle of zolpidem (schedule IV) III. an opened 2000 tablet bottle of diazepam (schedule IV) IV. an opened 500 tablet bottle of Tylenol 4 (schedule III)
a) I, II, III b) I, II, III, and IV c) II and III d) II, III and IV e) I and III
e
A pharmacist goes on medical leave for 2 weeks. She can still be the responsible pharmacist. a) True b) False
a (She can still be the "responsible pharmacist" as long as she is comfortable with that situation.)
Can a physician write a prescription for the controlled substance Dexedrine (schedule II) for weight loss? a) Yes b) No
b (Scheduled II controlled substances cannot be prescribed for weight loss)
A patient brings you a prescription for the controlled substance Adipex #30, one daily for weight loss. The prescription has 1 refill. Can you dispense the refill? a) Yes b) No
a (Yes, but you must call the MD and verify they were seen by the MD before dispensing the refill.)
Ohio law authorizes the Board to waive the 2:1 pharmacist to intern ratio for the operation of immunization clinics or other special circumstances? a) True b) False
a
For terminally ill patients, prescriptions for schedule II's can be split (partially dispensed) for up to ________________ as long as the tablets dispensed don't exceed the total written on the prescription. a) 15 days b) 30 days c) 60 days d) 90 days e) none of the above, schedule II's cannot be partially dispensed under any circumstances
c
A controlled substances inventory must be taken every two years within the calendar year the inventory is due. a) True b) False
b (A controlled substance inventory must be taken every year as of 1/1/15)
The definition of a prescription drug under federal law is a) any drug that is habit forming b) any drug unsafe for use except under the supervision of a practitioner c) any narcotic drug d) a and b e) b and c
d
The definition to practice pharmacy in Ohio includes reviewing drug regimens with patients and reviewing drug utilization with health care professionals authorized to prescribe. a) True b) False
a
Physicians who dispense must keep records of purchasing and dispensing of all dangerous drugs. a) True b) False
a
Tim Ward, a pharmacist employee for Beachside Drugs, has been discounting copays, who would the Board of Pharmacy bring up on charges? a) Beachside Drugs b) Pharmacist Ward c) the manager for that particular Beachside Drugs location d) a and b e) all of the above
a
A prescription is brought to you for Tenormin 50mg. You dispense the generic atenolol. Under Ohio law, which of the following are true regarding this generic substitution? Select all that apply. a) A generic substitution sticker must be attached to Rx bottle dispensed or printed on the label. b) The name of the generic manufacturer must be included on the prescription label. c) The name of the generic manufacturer must be included on the prescription by the pharmacist d) You must verbally tell the patient about the generic substitution
a, b, and c
You receive a prescription for Allerton Syrup 1mg/mL for allergies. The directions are 2 teaspoonfuls (10mg) QD. Allerton Syrup does not come in a generic, but the Allerton 10mg tablets do. Can you dispense the generic 10mg tablets with the directions take one tablet daily? a) Yes b) No
a
Can a physician legally write on a prescription for an elderly patient "no childproof caps"? a) Yes b) No
a
In Ohio, the trigger point or "push pause point" for the morphine equivalent dose (MED) is.... a) 60 b) 70 c) 80 d) 100
c
Which of the following conditions can medical marijuana be used to treat? Select all that apply. a) Sickle Cell Anemia b) Cancer c) Traumatic Brain Injury d) Congestive Heart Failure e) COPD
a, b, and c
Which DEA form must be used to report lost or stolen controlled substances? a) Form 222 b) Form 41 c) Form 106 d) Form 224
c
Steve Scribe, DO is an employee at Lakeside Hospital in the emergency department. Can he use the hospital's DEA number with a suffix number attached identifying him to write prescriptions for controlled substances in he ER? a) Yes b) No
a (Physicians employed by the hospital can use the hospital's DEA number with a suffix)
You mail a prescription profile to Jane Smith. Her husband, Tim Smith, opens her mail and reads her profile. You have just committed a HIPAA violation because you should have given it to Jane Smith in person. a) True b) False
b (The United States mail is considered a secure way to communicate with a patient)
A Board of Pharmacy inspector comes into your pharmacy and asks for all the prescriptions that you have filled written by a Dr. Thompson for the last two years. How long do you have to produce these records? a) 24 hours b) 48 hours c) 72 hours d) 7 days
c
Which of the following must be on an outpatient prescription label? a) full name of the prescriber b) prescription number c) pharmacist's initials d) pharmacy's DEA number if a controlled substance e) federal caution if a controlled substance
a, b, and e
