Quiz 2: Laws, Regulations, and Controlled Substances

1.  Which of the following organizations is responsible for enforcing rules about the quality standards of medications?

    A.  Department of Health and Human Services (HHS)
    B.  Food and Drug Administration (FDA)
    C.  Drug Enforcement Agency (DEA)
    D.  United States Pharmacopeial Convention (USP)

2.  When filling a prescription for which of the following types of medication is a pharmacy technician required to include Patient Product Information (PPI)?

    A.  Contraceptives
    B.  Benzodiazepines
    C.  Opiates
    D.  Insulin

3.  According to HIPAA (Health Insurance Portability and Accountability Act) guidelines, which of the following documents should a pharmacy technician have a new patient sign?

    A.  Prescription use agreement
    B.  Pharmacy records waiver form
    C.  Insurance company disclosure form
    D.  Acknowledgement of notice of privacy practices

4.  According to HIPAA guidelines, which of the following pieces of patient information is considered Protected Health Information (PHI)?

    A.  State of birth
    B.  Mother's maiden name
    C.  Employment record
    D.  E-mail address

5.  According to HIPAA guidelines, which of the following actions should a pharmacy technician take to protect a patient's Protected Health Information (PHI)?

    A.  Shred computer printouts that include PHI.
    B.  Only share PHI with the patient’s immediate family.
    C.  Decline the patient's request to change pharmacy records.
    D.  Keep records older than 2 years in general storage outside the pharmacy.

6.  A pharmacy technician receives a handwritten prescription from a patient. The technician should make sure the prescription contains which of the following information?

    A.  Quantity of medication
    B.  Brand name of the medication
    C.  Patient's insurance ID number
    D.  Patient's medical condition

7.  Which of the following United States Pharmacopeia (USP) chapters discusses safety requirements for receiving, storing, compounding, dispensing, and administering hazardous medications?

    A.  <USP 795>
    B.  <USP 797>
    C.  <USP 800>
    D.  <USP 1163>

8.  Which of the following sublingual (under the tongue) medications is an exception to the rule that prescription medication containers must have child-resistant caps?

    A.  Buprenorphine
    B.  Naloxone
    C.  Nitroglycerin
    D.  Fentanyl

9.  Which of the following laws requires medication manufacturers to place the warning label "Caution: Federal law prohibits dispensing without a prescription" on medication stock bottles?

    A.  Orphan Drug Act
    B.  Poison Prevention Packaging Act (PPPA)
    C.  Kefauver-Harris Amendment
    D.  Durham-Humphrey Amendment

10. What is the maximum amount of pseudoephedrine that can be sold to a patient in a calendar day?

    A.  9 g
    B.  3.6 g
    C.  7.5 g
    D.  5 g

11. Anabolic steroids are included in which of the following medication schedules?

    A.  Schedule III
    B.  Schedule II
    C.  Schedule IV
    D.  Schedule V

12. Which of the following organizations issues a pharmacy’s National Provider Identifier (NPI)?

    A.  Board of Pharmacy (BOP)
    B.  The Joint Commission (TJC)
    C.  Centers for Medicare and Medicaid Services (CMS)
    D.  Drug Enforcement Agency (DEA)

13. A pharmacy technician is storing prescriptions in compliance with document retention regulations. The technician should file the prescriptions sequentially according to which of the following?

    A.  Patient's last name
    B.  Prescription’s serial number
    C.  Alphabetically by medication name
    D.  Date the pharmacy filled the prescription

14. Fentanyl patches are included in which of the following medication schedules?

    A.  Schedule I
    B.  Schedule II
    C.  Schedule III
    D.  Schedule IV

15. A pharmacy technician is verifying a prescriber’s DEA number on a prescription. As part of the verification process, which of the following parts of the DEA number should the technician multiply by two?

    A.  Final check digit
    B.  Sum of the first, third, and fifth digits
    C.  Sum of the first two steps of the process
    D.  Sum of the second, fourth, and sixth digits

16. Which of the following information is mandatory for controlled substance prescriptions but not required for noncontrolled substance prescriptions?

    A.  Date the prescriber issued the prescription
    B.  Quantity of the medication
    C.  Prescriber's DEA number
    D.  Prescriber’s address and telephone number

17. A patient presents a pharmacy technician with a prescription for zolpidem (Ambien) that the prescriber wrote 6 weeks ago. Which of the following actions should the technician take?

    A.  Process the prescription for the pharmacy to fill.
    B.  Inform the patient that he must obtain a new handwritten prescription with a current date.
    C.  Call the prescriber to verify authorization for filling the prescription.
    D.  Inform the manager that the prescription is fraudulent.

18. A pharmacy technician is filing prescriptions for storage according to federal regulations. Which of the following should the technician identify as the minimum amount of time prescriptions for controlled substances should be retained on file?

    A.  1 year
    B.  2 years
    C.  5 years
    D.  10 years

19. Exempt narcotics are included in which of the following medication schedules?

    A.  Schedule III
    B.  Schedule II
    C.  Schedule V
    D.  Schedule IV

20. According to the DEA, how often should a pharmacy technician conduct an inventory check for controlled substances?

    A.  Every year
    B.  Every 2 years
    C.  Every 3 years
    D.  Every 4 years

Correct Answers are below:

1. B. Food and Drug Administration (FDA) 2. D. Insulin 3. D. Acknowledgement of notice of privacy practices 4. D. E-mail address 5. A. Shred computer printouts that include PHI. 6. A. Quantity of medication 7. C. <USP 800> 8. C. Nitroglycerin 9. D. Durham-Humphrey Amendment 10. B. 3.6 g 11. A. Schedule III 12. C. Centers for Medicare and Medicaid Services (CMS) 13. D. Date the pharmacy filled the prescription 14. B. Schedule II 15. B. Sum of the first, third, and fifth digits 16. C. Prescriber's DEA number 17. B. Inform the patient that he must obtain a new handwritten prescription with a current date. 18. B. 2 years 19. C. Schedule V 20. B. Every 2 years.