A prescription is written for atenolol 50 mg and dated August 15, 2020. The patient brings the prescription in to be filled on March 1, 2021. Can you
... [Show More] legally fill the prescription?
a) Yes
b) No - correct answer b (> 6 months)
Prescription record 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 - correct answer c
Records for poisons must be kept 5 years.
a) True
b) False - correct answer a
It is legal for a physician to write prescriptions for rosuvastatin 10 mg and alprazolam 0.5 mg on the prescription form.
a) True
b) False - correct answer b
A pharmacy with a category III terminal distributor's license may dispense controlled substances, dangerous drugs, and IV solutions.
a) True
b) False - correct answer a
The labels of both inpatient and outpatient IV (intravenous medications) must have an expiration date on it.
a) True
b) False - correct answer a
A prescription container (like a bottle Timoptic 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 - correct answer a and b
A pharmacist comes to work one day early in the morning and notices that all of the Adderall XR has been stolen. The pharmacist must notify...
a) Board of Pharmacy
b) Local Law Enforcement
c) DEA
d) a and c only
e) a, b, and c - correct answer e
Which of the following are 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 - correct answer 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 - correct answer a
Which of the following are true regarding elder abuse. Select all that apply.
a) Ohio Law requires pharmacists to report elder abuse to the County Department of Job and Family Service or Ohio Adult Protective Services.
b) An "elder adult" is defined as someone 65 years or older and handicapped by age-related conditions or mental impairments which prevents the individual from providing her own care and lives independently.
c) The law says a pharmacist must have a reasonable cause to believe an el - correct answer a and c (Elder is defined as 60 and older)
When a patient requests their medical records from a pharmacy, HIPAA states that they will have access to all patient notes and comments the pharmacist has entered into the computer as well.
a) True
b) False - correct answer a
Under Ohio law, atorvastatin 20mg is considered a drug of abuse.
a) True
b) False - correct answer a (Any prescription drug is considered a drug of abuse)
Pharmacists have _____ hours to verify all prescriptions filled for a specific day.
a) WIthin a reasonable amount of time
b) 48 hours
c) 96 hours
d) 1 week
e) 24 hours - correct answer a
Insurance companies have access to only those patient prescription records for medications they paid for.
a) True
b) False - correct answer a
The number of controlled substance prescriptions per written prescription form is 2.
a) True
b) False - correct answer b
______ 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 - correct answer c
All hard-copy prescriptions for non-controlled substances may be electronically filed and destroyed after _____ from the date of creation or receipt.
a) 30 days
b) 90 days
c) 180 days
d) 1 year - correct answer c
A lab technician and a doctor may legally enter the pharmacy to obtain medications when the pharmacy is closed.
a) True
b) False - correct answer 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 original written order
c) an oral order from a physician, but the order must be verified by the physician - correct answer a, b, and 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 - correct answer d
Which of the following is/are a schedule IV drug(s)? Select all that apply.
a) chlordiazepoxide
b) midazolam
c) dihydrocodeine
d) ketamine
e) clorazepate - correct answer a, b, and e
Cancer drugs (anti-neoplastics) can be copmounded in horizontal flow hood with annual certification.
a) True
b) False - correct answer 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 - correct answer b (Invoices for C-IIs must be in one file and C-IIIs, C-IVs 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 - correct answer 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 - correct answer c
If pharmacies sell more than 5% of what they purchase at wholesale (example: selling injectable medications to a doctor's office), they need a wholesaler's license.
a) True
b) False - correct answer a
Which if the following are true regarding naltrexone dispensing when the patient is out of refills of their long-acting, injectable naltrexone? Select all that apply.
a) The pharmacist must be able to verify the record of a prescription for injectable, long acting naltrexone for the patient that does not have any remaining refills.
b) It can only be done if it was filled at your pharmacy
c) If naltrexone is dispensed without a prescription, you must notify the prescriber within 7 days
d) There i - correct answer a and d
Under Ohio law, outdated drugs are:
a) misbranded
b) adulterated
c) both adulterated and misbranded - correct answer b
Which of the following can be used to mail/deliver controlled substance prescriptions? Select all that apply.
a) United States Postal Service
b) UPS
c) FedEx
d) Delivery driver employed by the pharmacy - correct answer a, b, c, and d
If you dispense fluoxetine without a prescription, the bottle it is dispensed in is:
a) adulterated
b) misbranded and adulterated
c) misbranded - correct answer c
A prescription is brought to your pharmacy for 100 Zohydro ER (schedule 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) 72 hours
d) 7 days
e) 60 days - correct answer 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 - correct answer 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 2mg 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 20mg for a child homebound in a wheelchair - correct answer b, c, and d (Nursing home patients, but not patients in an assisted living facility)
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 - correct answer a, c, and d (Interns cannot transfer controlled substances & cannot give flu shots to a child under 7)
Which of the following are schedule III drugs. Select all that apply.
a) promethazine with codeine cough syrup
b) zaleplon
c) perampanel
d) glutethimide
e) sodium oxybate (Xyrem) - correct answer 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 - correct answer b
38) 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 - correct answer 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 the prescription filled at the outpatient pharmacy across the street in Surfside Hospital Medical Building Pharmacy?
a) Yes
b) No - correct answer 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 in pharmacies.
a) True
b) False - correct answer b (It must be done annually.)
A pharmacist can give travel vaccines.
a) True
b) False - correct answer a
Pharmacists and interns can give immunizations recommended by the Advisory Committee on Immunization Practice of the Centers for Disease Control and any immunization specified in the rules adopted by the Board to individuals 12 years and older without a prescription.
a) True
b) False - correct answer b (Individuals must be 13 years and older)
Pharmacists and interns can give immunizations recommended by the Advisory Committee on Immunization Practice of the Centers for Disease Control and any immunization specified in 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 - correct answer a
Which of 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 - correct answer e
Pharmacists can enter into a consult agreement with which of the following? Select all that apply.
a) physician assistants
b) dentists
c) nurse practitioners
d) certified nurse midwives - correct answer a, c, and d (This law changed in fall 2020)
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 - correct answer 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 - correct answer 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 - correct answer a, b, c and e
An "oral" DAW from a physician is legally considered the same as a written "DAW" in Ohio.
a) True
b) False - correct answer a
Can a dentist write a prescription for a hypertension medication?
a) Yes
b) No - correct answer b
How many C.E.U.s of continuing education does a pharmacist have to complete every two years?
a) 45
b) 4.0
c) 0.4
d) 40
e) 60 - correct answer b
Pharmacist Lauren Smith is getting married on September 10, 2021. Once she becomes married, she has 30 days to notify the Board of Pharmacy of her change of name.
a) True
b) False - correct answer a
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 - correct answer 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 - correct answer 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 - correct answer c and d
Theft or loss of prescription blanks or documents must be reported to the Board of Pharmacy.
a) True
b) False - correct answer 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 - correct answer 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 unlimted number of times - correct answer c
Warren Buffett'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 - correct answer 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 - correct answer 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 - correct answer 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 - correct answer a (If the MD has hand-written DAW, brand necessary, no substitution or any other similar words, the pharmacist must dispense the brand)
A generic drug must contain identical active and inactive ingredients of the brand name product.
a) True
b) False - correct answer b (Generic drugs must 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 - correct answer d
Which of the following is/are a schedule II drug? Select all that apply.
a) ecstasy
b) levorphanol
c) secobarbital
d) Remoxy
e) methaprylon - correct answer b, c, and d
Dr. Stephens writes a prescription for atorvastatin 10 mg for Mr. Mike Jones. The prescription is written on September 1st, 2020, but is not filled for the first time till October 30th, 2020. 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, 2021.
c) The refills expire on September 1st, 2021.
d) The refills expire on March 1st, 2021.
e) The refills expire on April 30th, 2021. - correct answer 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 - correct answer b ( A physician can only select one drug per form on a pre-printed Rx form with several drugs on it)
Pharmacists can enter into a consult agreement with which of the following? Select all that apply.
a) podiatrist
b) certified registered nurse anesthetist
c) DO
d) psychologist - correct answer c
Pharmacist Jack Frost is closing the prescription department (pharmacy) early so he can make it 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 - correct answer 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 contents gets wet during a fire (sprinklers get it wet)
e) A prescription bottle missing the directions for use - correct answer 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 - correct answer a
Under Ohio law, a prescriber's professional credentials (MD, DO, etc) must be on every prescription.
a) True
b) False - correct answer 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 - correct answer 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 - correct answer 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 - correct answer 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 - correct answer d
Pharmacies 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 yearsd - correct answer c
Can Dr. Tommy Timmons (a psychiatrist) legally write a prescription for birth control for a patient?
a) Yes
b) No - correct answer 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 10 mg for blood pressure.
a) True
b) False - correct answer b (A podiatrist is considered a limited prescriber 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 meperidine (schedule II)
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 - correct answer e
A pharmacist goes on medical leave for 2 weeks. She can still be the responsible pharmacist.
a) True
b) False - correct answer a
Can a physician write a prescription for the controlled substance Dexedrine (schedule II) for weight loss?
a) Yes
b) No - correct answer b (Schedule II controlled substances cannot be prescribed for weight loss)
A patient brings you a prescription for the controlled substance phentermine 37.5 mg #30, one daily for weight loss. The prescription has 1 refill. Can you dispense that refill?
a) Yes
b) No - correct answer 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 intern to pharmacist ratio upon documentation and special approval.
a) True
b) False - correct answer 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 - correct answer c
A controlled substances inventory must be taken every two years within the calendar year the inventory is due.
a) True
b) False - correct answer b (Under Ohio law, a controlled substance inventory must be taken every 13 months as of 2019.)
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 - correct answer d
The definition to practice pharmacy in Ohio includes reviewing drug regiments with patients and reviewing drug utilization with health care professionals authorized to prescribe.
a) True
b) False - correct answer a
Physicians who dispense must keep records of purchasing and dispensing of all dangerous drugs.
a) True
b) False - correct answer 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 - correct answer a
A prescription is brought to you for Tenormin 50 mg. 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 - correct answer a, b, and c
You receive a prescription for Allerton Syrup 1 mg/mL for allergies. The directions are 2 teaspoonfuls (10 mg) QD. Allerton Syrup does not come in a generic, but the Allerton 10 mg tablets do. Can you dispense the generic Allerton 10 mg tablets with the directions take one tablet daily?
a) Yes
b) No - correct answer a
Can a physician legally write on a prescription for an elderly patient "no childproof caps"?
a) Yes
b) No - correct answer 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 - correct answer 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 - correct answer 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 - correct answer c
Steve Scribe, DO is an employee at Lakeside Hospital in the emergency department. Can he use [Show Less]