Ohio Pharmacy Laws and Regulations, Exams of Health, psychology

Download Ohio Pharmacy Laws and Regulations and more Exams Health, psychology in PDF only on Docsity! Ohio MPJE Sullivan Exam with 444 Questions & Verified Answers. 1) 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 - Correct answer b (March 1, 2018 is past 6 months) 2) 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 - Correct answer c 3) Records for poisons must be kept 5 years a) True b) False - Correct answer a 4) 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 - Correct answer b 5) 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 6) The labels of both inpatient and outpatient IV (intravenous medications) must have an expiration on it. a) True b) False - Correct answer a 7) A prescription container (like a bottle Tympanic 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 8) A pharmacist comes to work one day early in the morning and notices that all of the Adderall XR has been stolen. The pharmacy must notify..... a) Board of Pharmacy b) Local Law Enforcement c) DEA P a g e 1 | 64 d) A and c only e) A, b, and c - Correct answer e 9) 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 - Correct answer b 10) 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 11) 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 - Correct answer b (in quantities of four grams or less) 12) 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 - Correct answer a 13) Under Ohio law, atorvastatin 20 mg is considered a drug of abuse. a) True b) False - Correct answer a (Any prescription drug is considered a drug of abuse) 14) 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 - Correct answer a 15) Insurance companies have access to only those patient prescription records for medications they paid for. a) True b) False - Correct answer a 16) Controlled substances can be mailed using the United States Postal Service. a) True b) False - Correct answer a P a g e 2 | 64 e) 60 days - Correct answer c 33) 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 34) 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 Deluded 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 - Correct answer b, c, and d 35) 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 child under 7) 36) Which of the following are schedule III drugs. Select all that apply. a) Promethazine with codeine cough syrup b) Zeppelin c) Perampanel d) Glutethimide e) Sodium oxalate (Xylem) - Correct answer c and e 37) 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 39) 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 P a g e 5 | 64 b) No - Correct answer a (Yes, they can have it refilled at the outpatient pharmacy but not the inpatient pharmacy) 40) Pharmaceutical sales representatives must do an inventory of their samples every two years pharmacies. a) True b) False - Correct answer b (It must be done annually) 41) A pharmacist can give travel vaccines. a) True b) False - Correct answer a 42) 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 - Correct answer b (Individuals must be 13 years and older) 43) 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 - Correct answer a 44) 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 - Correct answer 45) 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 - Correct answer b 46) 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 47) 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 P a g e 6 | 64 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) 48) 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 49) An "oral" DAW from a physician is legally considered the same as written "DAW" in Ohio. a) True b) False - Correct answer a 50) Can a dentist write a prescription for hypertension medication? a) Yes b) No - Correct answer b 51) 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 - Correct answer b 52) 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 - Correct answer a (Law changed as of March 2017) 53) The date for renewing a terminal distributor’s license is: a) January 1st b) July 1st c) September 15th d) April 1st e) None of the above - Correct answer d 54) Which of the following conditions can medical marijuana be used to treat? Select all that apply. a) AIDS b) Alzheimer's disease P a g e 7 | 64 68) 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 - Correct answer a 69) 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 70) 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 bottle missing the directions for use - Correct answer a, b, and e 71) If a Med Guide 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 72) Under Ohio law, a prescriber's professional credentials (MD, DO, etc.) must be on every prescription. a) True b) False - Correct answer a 73) 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 74) 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 75) 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 P a g e 10 | 64 c) 30 days d) 48 hours e) 72 hours - Correct answer b 76) 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 77) 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 - Correct answer c 78) 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) 79) Under Ohio law, a podiatrist can write a prescription for lisinopril 10mg 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) 80) 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 - Correct answer e 81) A pharmacist goes on medical leave for 2 weeks. She can still be the responsible pharmacist. a) True b) False - Correct answer a (She can still be the "responsible pharmacist" as long as she is comfortable with that situation.) P a g e 11 | 64 82) Can a physician write a prescription for the controlled substance Dexedrine (schedule II) for weight loss? a) Yes b) No - Correct answer b (Scheduled II controlled substances cannot be prescribed for weight loss) 83) A patient brings you a prescription for the controlled substance Adieux #30, one daily for weight loss. The prescription has 1 refill. Can you dispense the 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.) 84) 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 - Correct answer a 85) 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 86) 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 (A controlled substance inventory must be taken every year as of 1/1/15) 87) 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 88) 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 - Correct answer a 89) Physicians who dispense must keep records of purchasing and dispensing of all dangerous drugs. a) True P a g e 12 | 64 a) True b) False - Correct answer a 104) a prescription was written for Omnicom (an antibiotic) on January 3, 2018. The patient has until _____________ to have it filled for the first time. a) January 30, 2018 b) January 3, 2019 c) May 3, 2018 d) July 3, 2018 e) July 30, 2018 - Correct answer d 105) A drug product has an NDC number of 00025-2356-04. The "00025" indicates... a) Manufacturer b) Package size c) Drug product d) None of the above - Correct answer a 106) can a nurse who works for an assisted living facility call in prescriptions for residents of that facility? a) Yes b) No - Correct answer b (No, this is not a nursing home. The nurse is not an agent of the physicians of those patients.) 107) How many milligrams of codeine can a consumer purchase in a schedule V cough syrup over-the-counter per 48 hours? a) 125 mg b) 30 mg c) 250 mg d) 250 mg e) 30 g - Correct answer c 108) which of the following drugs must be ordered on a DEA 222 form. Select all that apply. a) Schedule II b) Schedule III c) Schedule IV d) Schedule V - Correct answer a 109) a pharmacist can only sell one schedule V codeine cough syrup (Robitussin AC) over-the-counter to the same patient every _______________ hours. a) 24 b) 48 c) 72 d) 96 - Correct answer b 110) For prescription drugs, the words "Federal law prohibits dispensing without a prescription" or "Rx only" must be on every stock bottle of medication from a manufacturer. a) True b) False - Correct answer a P a g e 15 | 64 111) A pharmacist has to compete ________________ hours of continuing education every three years. Of that amount, _____________ hours has to be in pharmacy law. a) 60, 3 b) 20, 3 c) 15, 3 d) 45, 3 e) 6.0, 0.3 - Correct answer a 112) the renewal date for a wholesaler's license is... a) January 1st b) July 1st c) September 15th d) December 1st e) None of the above - Correct answer b 113) there is no limit on the number of times a prescription for a controlled substance can be transferred between pharmacies that utilize a shared database. a) True b) False - Correct answer a 114) for multiple drugs packaged in the same container, if one drug is discontinued all of the medications in that pack is adulterated and none of it may be used. a) Yes b) No - Correct answer a 115) a patient brings you a prescription for Norco 5/325 on March 13, 2018 that was written on February 24, 2018. Can you fill this prescription? a) Yes b) No - Correct answer b 116) can a physician fax a fentanyl (schedule II) prescription to a pharmacy for a hospice patient? a) Yes b) No - Correct answer a 117) which of the following are included in the definition to dispense under Ohio law? Select all that apply. a) The final association of a drug with a particular patient pursuant to a prescription, drug order, or other lawful order of a prescriber. b) Responsibility for interpreting and labeling a specific drug c) Responsibility for preparing and compounding a specific drug d) Responsibility for packaging a specific drug - Correct answer a, b, c, and d 118) if a physician circles the preprinted words "dispense as written" on a prescription, does the pharmacist have to dispense the brand name if the patient wants the generic? a) Yes, the pharmacist has to dispense the brand name b) No, the pharmacist can dispense the generic - Correct answer b P a g e 16 | 64 119) a physician writes "refill for 6 months" on a prescription for Divan 80mg. Can the physician legally write refills in this manner? a) Yes b) No - Correct answer a 120) Prescriptions for non-controlled substances can be transferred a maximum of ___________ times. (Assume the pharmacies do not have a real time-shared data base.) a) 3 b) 2 c) 1 d) Unlimited number of times - Correct answer d (for controls they can only be transferred once) 121) Under Ohio Law, prescription records for the last ____________ months must be immediate re drivable from a computer system. a) 6 b) 12 c) 24 d) 36 e) 60 - Correct answer b 122) Bacteriostatic water for injection in a 30mL multi-dose vial is a dangerous drug. a) True b) False - Correct answer a (Any substance manufactured to be injected into a human is considered a dangerous drug) 123) a practitioner (MD) can issue a prescription for ibuprofen 800mg in which of the manners: I. in written form II. Phoned in by the doctor's nurse III. Faxed directly to the pharmacy IV. Transmitted from the doctor's computer to a pharmacy's computer if this system has been approved by the Board of Pharmacy a) I, II and III b) I and II c) I, II and IV d) I, II, III, and IV - Correct answer d 124) the definition of a drug includes which of the following regarding its use: I. diagnosis in man or animals II. To prevent disease in man or animals III. to cure or treat a disease in man or animals a) I and II only b) II and III only c) I and III only d) I, II, and III e) III only - Correct answer d P a g e 17 | 64 d) I, III, and IV e) I and IV only - Correct answer d 138) a pharmacist can dispense a prescription for methadone for pain. a) True b) False - Correct answer a 139) by law, pharmacists must counsel each patient even if the patient refuses counseling. a) True b) False - Correct answer b 140) Pharmacists do not have to make the offer counsel on refilled prescriptions. a) True b) False - Correct answer b 141) Pharmacy technician Jackson is working in the pharmacy. A patient picks up a prescription for paroxetine 20 mg. The patient asks the technician how the prescription should be taken. Can technician Jackson legally give the patient this information? a) Yes b) No - Correct answer b (This is considered patient counseling and technicians cannot legally provide this information) 142) when performing prospective DUR, the pharmacist must look for which of the following? I. therapeutic duplications II. abuse/misuse III. Incorrect duration of treatment IV. drug-drug interactions a) I, II, and III only b) I, II and IV only c) I, II, III, and IV d) II, III and IV only e) I, III, and IV only - Correct answer c 143) which of the following are true regarding generic substitution? a) Patients have the right to refuse generic b) If the brand is dispensed, the manufacturer must be on the label c) Physicians cannot make an electronic prescription "DAW". d) A and b are true e) A and c are true - Correct answer a 144) there are eight board members on the board of pharmacy. a) True b) False - Correct answer b (There are nine members, 8 pharmacists and one consumer at least 60 years old) 145) if a patient is taking a short-term controlled substance for weight reduction, there can be no more than a _____________ day break in therapy. P a g e 20 | 64 a) 1 b) 3 c) 7 d) 30 e) 180 - Correct answer c 146) A pharmacist may document their own administration of an immunization, or an immunization administered by a pharmacy intern they are supervising, on a prescription form, which may be assigned a number for record keeping purposes. This documentation is in addition to the record keeping requirements in rule 4729-5- 27. a) True b) False - Correct answer a 147) which of the following is false regarding the responsible pharmacist? a) 60 days to notify the Board of a change in responsible pharmacist b) The responsible pharmacist signs the terminal distributor’s license. c) When you change responsible pharmacists, you must do a controlled substance inventory within 30 days after the change d) A and c e) A and b - Correct answer d (Notify the Board of Pharmacy regarding a change in responsible pharmacist within 10 days. Also you do a controlled substance inventory on the day of the change in responsible pharmacist) 148) when taking a prescription transfer from an intern, the pharmacist must document both the intern's full name and the full name of the pharmacist supervising the intern. a) True b) False - Correct answer a 149) an optometrist can prescribe for Percocet as long as they have their own DEA number? a) True b) False - Correct answer b 150) A pharmacy with a Category II terminal distributor's license can dispense which of the following drugs? Select all that apply. a) Intravenous (IV) solutions b) Geodon, Nivea, Crestor c) Morphine 10 mg d) Symbicort, simvastatin, and Priested e) Alprazolam 1 mg - Correct answer a, b, and d 151) a pharmacist can give the consumer a detailed patient leaflet or drug information sheet as a substitute for the offer to counsel as long as it thoroughly covers the drug dispensed. a) True b) False - Correct answer b 152) which of the following are true? Select all that apply. P a g e 21 | 64 a) An MD writes "brand medically necessary" on the Rx, you have to dispense the brand-name product. b) An MD types "DAW" on the Rx, you have to dispense the brand-name product c) An MD has his nurse write "DAW" on the Rx, you have to dispense the brand- name product d) An MD writes "brand only" on the Rx, you have to dispense the brand-name product e) An MD writes "no generics" on the Rx, you can dispense the generic - Correct answer a and d 153) which of the following are true about syringes: I. Pharmacists can sell syringes to a farmer immunizing his horses. II. Pharmacists can sell syringes to a machinist who wants to use them to inject oil into small machinery. III. Syringes can be advertised. IV. Records of patient name, address, quantity, and pharmacist who sold them must be kept. V. Syringes can be displayed outside the pharmacy department with the glucose test strips. a) I, II, III, and IV b) III and IV c) I, II, and III d) I and III e) I, III and IV - Correct answer c 154) All inpatient hospital orders must have which of the following: I. name of patient II. Date the order was written III. Name, strength, and dosage form of the drug IV. Patient address V. directions for use a) I, III, IV, and V b) I, III, and V c) I, II, III, and IV d) II, III, IV, and V e) I, II, III, IV, and V - Correct answer c 155) which of the following statements are false? I. When a pharmacy closes, they must notify the Board 30 days in advance. II. Pharmacists have to conduct prospective DUR on refilled prescriptions. III. You must be 18 to buy Plan B. IV. A wholesaler must obtain a copy of a pharmacy's terminal distributor’s license before they can sell them prescription drugs. a) I, III and IV b) I, II, and III c) II, III, and IV d) I and IV e) I and III - Correct answer P a g e 22 | 64 a) Over utilization b) drug-allergy interactions c) drug-disease state contraindications d) Under-utilization e) Payment option - Correct answer a, b, c, and d 169) which of the following needs to be included in a patient profile. Select all that apply. a) patient's smoking status b) patient's telephone number c) patient's post office box number d) History of active or chronic disease states e) patient's date of birth - Correct answer b, d, and e (Patient's residential address not a P.O. box number) 170) Prescriptions for Medicaid patients must be written on tamper-resistant paper. a) True b) False - Correct answer a 171) Interns can counsel patients on special directions for use as long as a pharmacist supervises. a) True b) False - Correct answer a 172) if a pharmacy delivers an Rx to a patient's house, they must provide a written or telephone offer to counsel and a toll-free number. a) True b) False - Correct answer a 173) Patient counseling is required for inpatients in a hospital before discharge. a) True b) False - Correct answer b 174) Pentobarbital is a schedule III drug. a) True b) False - Correct answer b 175) a reconciliation of all controlled substances in floor stock areas of hospitals must take place at every shift change. a) True b) False - Correct answer a 176) if a pharmacist notices a bottle of atorvastatin 10 mg has been stolen, he/she must notify the Board of Pharmacy by telephone immediately. a) True b) False - Correct answer a 177) Galactic Generics wants to market a generic for Augmentin 875mg. Which type of application(s) should this firm submit? Select all that apply. a) NDC P a g e 25 | 64 b) NDA c) ANDA d) IND - Correct answer c 178) a patient comes to your pharmacy with a new prescription for estrogen with 2 refills. You give her a patient package insert. When she comes back one month later for a refill, do you have to give her another patient package insert? a) Yes b) No - Correct answer a 179) the definition of a childproof container is a) One that is difficult for a child under 1 to open b) One that is difficult for a child under 2 to open c) One that is difficult for a child under 5 to open d) One that is difficult for a child under 6 to open e) One that is difficult for a child under 12 to open - Correct answer c 180) if information, such as cautions and warnings needed for the protection of the user, is missing from an OTC, it is adulterated and becomes a prescription drug. a) True b) False - Correct answer b (It is misbranded and becomes a prescription product) 181) Schedule I drugs (C-I) have no medicinal use and cannot be prescribed. a) True b) False - Correct answer a 182) a physician writes a letter to the pharmacist asking that all prescriptions filled for Mrs. Sprague contain non-childproof caps. Does this letter allow you to legally dispense all her prescriptions without childproof caps? a) Yes b) No - Correct answer b (Legally you must ask the patient each time they have a prescription filled) 183) In Ohio, interns are still required by law to report their hours to the Board of Pharmacy. a) True b) False - Correct answer b 184) the responsible pharmacist can sign DEA 222 forms ahead of time for when they are on vacation. a) True b) False - Correct answer b (A Power of Attorney Form must be completed so the other Raphe can order schedule II drugs) 185) which of the following forms of medical marijuana can be dispensed? Select all that apply. a) Oils b) Edibles c) Patches d) Smoking P a g e 26 | 64 e) Vaporization f) Combustion - Correct answer a, b, c, e 186) Pharmacies and interns can give flu immunizations to children 5 years and older. a) True b) False - Correct answer b (Pharmacists and interns can give flu immunizations to children 7 years and older) 187) Prescription refill information is a required component of patient counseling. a) True b) False - Correct answer a 188) All faxed prescriptions must contain a header that identifies the source of the fax. a) True b) False - Correct answer a 189) Pharmacies can fax prescription copies (transfers) directly between two pharmacists. a) True b) False - Correct answer a 190) is the following DEA number for Dr. Brody legal (correct) = AB2456726? a) Yes b) No - Correct answer b 191) an intern, who is a graduate of a foreign pharmacy school must complete _________ hours of internship before they can become licensed in Ohio. a) 500 b) 1000 c) 1500 d) 1740 e) 2000 - Correct answer d 192) how long may a pharmacist's identification card lapse before renewal requires further examination? (Assume the pharmacist has not been practicing in another state.) a) 30 days b) 1 year c) 2 years d) 3 years - Correct answer d 193) which of the following drugs must the pharmacist disclose price information to a customer calling on the phone with valid prescriptions? Select all that apply. A) amoxicillin 400mg/5mL b) Tramadol 50mg c) Adderall XR 20mg d) Meperidine 50mg P a g e 27 | 64 206) Psychologists can legally write prescriptions in New Mexico. You receive a prescription from a licensed psychologist in New Mexico in your pharmacy in Ohio. Can you fill it? a) Yes b) No - Correct answer a (If psychologists can legally write Rds. in New Mexico, you can fill it in Ohio). 207) which information must be in the patient's drug therapy record in their patient profile? I. prescription number II. Prescriber III. Date dispensed IV. Quantity dispensed V. direction for use a) I, II, III and V only b) I, II, III, and IV c) I, II, III, IV and V d) I, II and IV only e) I and IV only - Correct answer c (Directions for use must be included in the drug therapy record) 208) a prescription is brought to your pharmacy written by a Canadian doctor. Can you fill it? a) Yes b) No - Correct answer b 209) a prescription is written for a patient for Lomita (schedule V) for 1 tab QD for diarrhea #30. The prescription could have __________________. a) 5 refills b) 6 months’ worth of refills c) 1 years’ worth of refills d) 11 refills e) A and b only f) A, b, and c only g) A, b, c, and d - Correct answer g 210) which of the following information must be on a label of a medication sample provided by a physician? Select all that apply. A) patient's name b) physician's name c) Directions for use d) Quantity e) Expiration date - Correct answer a, b, and c 211) Preprinted prescription forms for hospice patients can have multiple drug orders on one form, except for orders for schedule II drugs. a) True b) False - Correct answer a P a g e 30 | 64 212) which of the following functions must have positive identification of the pharmacist responsible? a) Prospective DUR b) Patient counseling c) A prescription taken from an answering machine left by a physician d) Dispensing e) A, c, and d only f) A and b only g) A, b, c, and d - Correct answer g 213) The originating and central fill pharmacy must have access to common electronic files as part of a real time, online database or have appropriate technology to allow secure access to sufficient information necessary or required to dispense or process prescriptions. a) True b) False - Correct answer a 214) whenever a change is made to a prescription after it is dispensed, which of the following information must be kept in a log book (minimum requirement)? a) Date and time of the change to the prescription b) Type of changes c) Pharmacist making the change d) A and b only e) A, b, and c - Correct answer e 215) An IV bag becomes contaminated during preparation. The bag is considered to be misbranded. a) True b) False - Correct answer b (It is adulterated.) 216) Pharmacists can give tetanus vaccinations to adults in the state of Ohio. a) True b) False - Correct answer a 217) an intern takes a prescription from a nurse for Dr. Smith for Lipitor 20 mg. Which of the following statements are true regarding this prescription? I. The pharmacist on duty is responsible for accuracy of the prescription. II. The intern must review the prescription with the pharmacist. III. Only the pharmacist must sign or initial the prescription. IV. The intern only needs to get the nurse's first name. a) I, II, and III only b) II, III and IV only c) I and II only d) II and III only e) II and IV only - Correct answer c 218) which of the following immunizations can pharmacists give in Ohio? I. Pneumococcal P a g e 31 | 64 II. Influenza III. Meningitis IV. Tetanus V. Pertussis VI. Hepatitis A and B a) II, IV, and VI only b) I, II and IV only c) I, II, III, IV and V only d) I, II, IV and VI only e) All of the above - Correct answer e 219) Butalbital with acetaminophen and caffeine (Fiercest) is a controlled substance - Correct answer b 220) Butalbital with acetaminophen and caffeine (Fiorina) is a controlled substance - Correct answer a 221) all anabolic steroids are ______________ controlled substances a) Schedule I b) Schedule II c) Schedule III d) Schedule IV e) Anabolic steroid are not controlled substances - Correct answer c 222) The DEA decided to make Skelaxin a schedule IV drug. The date it became a controlled substance was January 12, 2018. When did the pharmacist have to do an inventory of all the Skelaxin they had on hand for the first time? (Fictitious case) a) July 12, 2018 b) January 1, 2019 c) The next time they did a controlled substance inventory d) January 22, 2018 e) None of the above - Correct answer d (An inventory must be taken within 10 days of the effective date of the change)/ 223) Sand and Surf Pharmacy wants to advertise BD U-100 insulin syringes in a newspaper ad for $23.99 a box. Can the pharmacy legally do this? a) Yes b) No - Correct answer a 224) a patient took Adieux, a controlled substance, for weight reduction for 12 weeks. The last date the patient took this medication was February 1, 2018. The doctor wants the patient to take Attenuate for another 12 weeks for weight loss. The first date the patient can begin therapy with Attenuate is? a) February 2, 2018 b) March 2, 2018 c) August 2, 2018 d) February 2, 2019 - Correct answer c (There must be a 6-month period before Attenuate Do span can be started in this patient) P a g e 32 | 64 b) If a prescription is written for an animal, the label on the medication dispensed must include the full name of the owner and identification of the animal c) A physician can select more than one item from a preprinted prescription form with 30 drugs listed on it d) A and b are true e) B and c are true f) A, b, and c are true - Correct answer b 238) any nurse with an advance practice nurse (APN) license can write prescriptions a) True b) False - Correct answer b (They must have a special license called a "certificate to prescribe") 239) which of the following are true? a) An advance practice nurse (APN) who is licensed to write prescriptions must have a collaborating physician. b) When an APN writes a prescription, the collaborating physician's name must be on the prescription c) APN write prescriptions in the same formats as physicians (oral, written, fax, and board-approved electronic transmission.) d) A and c are true e) A and b are true f) A, b, and c are true - Correct answer d 240) which of the following are true? a) APNs may dispense samples b) APNs can e-prescribe c) APNs may use the collaborating physician's DEA when writing prescriptions for controlled substances d) B and c are true e) A and b are true f) A and c are true - Correct answer e 241) APNs can only write prescriptions for schedule IV controlled substances for no more than a 72 hour supply. a) True b) False - Correct answer b (There are no time or quantity limits unless specified on the formulary) 242) all tablets and capsules must have markings or imprints that identify the drug and the manufacturer or distributor. a) True b) False - Correct answer a 243) which of the following are classified as limited prescribers and are only authorized to prescribe within their scope of practice? I. Dentists II. Podiatrists III. Psychiatrists IV. Veterinarians P a g e 35 | 64 V. DOs a) I, II, III, and IV only b) I, II, and IV only c) I and IV only d) II, III and V only e) All of the above - Correct answer b 244) what is the maximum number of refills a prescription for Unveil can have? a) 1 refill b) No refills c) 5 refills or 6 months d) 1 year worth of refills e) None of the above - Correct answer c 245) Gabapentin is tracked in Ohio Drug Database (OARRS)? a) True b) False - Correct answer a (As of December 1, 2016) 246) Lyrical is a schedule ________________ controlled substance. a) I b) II c) III d) IV e) V - Correct answer e 247) In Ohio, a prescription with refill "prn" on it has no refills. a) True b) False - Correct answer a 248) if a prescription is refilled at a central fill location, the name and address of the pharmacy where the prescription was originally filled and name of central fill pharmacy must be on the label. a) True b) False - Correct answer a 249) A label of dispensed medical marijuana... Select all that apply. a) Date dispensed b) Name of the person dispensing c) Quantity and strength d) Kind or form of medical marijuana contained in the package - Correct answer a, c, and d 250) which of the following are true? a) Schedule II controlled substances can be prescribed for weight reduction. b) Anabolic steroids should not be prescribed to enhance athletic ability c) All written prescriptions issued by a prescribe must be manually signed d) B and c e) A, b, and c are true - Correct answer d P a g e 36 | 64 251) if an electronic transmission of a controlled substance prescription sent by a physician to a pharmacy fails, it must... a) Contain a notice that the transmission has failed, including which pharmacy, the date and time of the transmission b) If XYZ pharmacy receives a written prescription with the information "transmission failed" and XYZ pharmacy's name and address is on the prescription, the pharmacist must check the patient's profile and make sure it has not already been filled c) If a XYZ pharmacy receives a written prescription with the information "transmission failed" and ABC pharmacy's name and address is on the prescription, the pharmacist must call ABC pharmacy and make sure it has not already been filled d) A and c only e) A, b, and c - Correct answer e 252) Prescriptions for which of the following drugs can be transferred using a fax machine. a) Tylenol #4 b) Concerti 27mg c) Amlodipine 10mg d) A and c only e) A, b, and c - Correct answer d 253) a patient has a prescription filled for ranitidine 300mg on May 15, 2017; September 20, 2017; and March 12, 2018. The date on the original prescription from the physician was April 20, 2017. This prescription from the physician must be kept by the pharmacy until at least..... a) March 12, 2018 b) April 20, 2019 c) May 15, 2020 d) March 12, 2021 e) April 20, 2020 - Correct answer d (Records must be kept for 3 years from the last date of refill) 254) the words "positive identification" means... I. a magnetic card reader II. A bar code reader III. A manual signature on a hard-copy record IV. A computer password V. a thumbprint reader a) I, II, and IV only b) I, II, IV and V only c) II, III, and IV only d) I, II, III, and V only e) All of the above - Correct answer d 255) In Ohio, computer to fax prescriptions are illegal. a) True b) False - Correct answer a (Exceptions within a closed system or a temporary telecommunication outage) P a g e 37 | 64 268) the number of hours of college credit that must be completed before obtaining an intern's license is __________________ semester hours or _____________ quarter hours. a) 60; 60 b) 90; 60 c) 48; 72 d) 60; 90 e) None of the above - Correct answer d 269) Prescriptions written by a physician must contain the following... Select all that apply. a) Phone number where the prescriber can be contacted during normal business hours b) Professional title c) First 4 alphanumeric characters of the ICD-10 code for opioid prescriptions d) Days’ supply for opioid prescriptions - Correct answer a, b, c, and d (ICD-10 codes & days’ supply required for all controlled substances as of June 2018) 270) the physician's name must be printed, pre-printed, or type-written on every new prescription they issue. a) True b) False - Correct answer a 271) the renewal date for a terminal distributor's license is... a) January 1st b) March 1st c) April 1st d) July 1st E) September 15th - Correct answer c 272) Continuing pharmacy education must be reported to the Board of Pharmacy by ________ every three years. a) May 15th b) July 1st c) September 15th d) December 31st E) March 1st - Correct answer c 273) All electronically transmitted prescriptions must have signature. a) True b) False - Correct answer b 274) which of the following must be on an inpatient unit-dose label? I. lot number II. Expiration date III. Manufacturer or repacked IV. Drug name V. directions a) I, II and IV only b) I, II, III and IV only P a g e 40 | 64 c) II, III, IV, and V only d) III, IV and V only e) All of the above - Correct answer b 275) Pharmacies who compound prescriptions ahead of time in anticipation of a prescription drug orders based on routine, regularly observed prescribing patterns must contain a label with which of the following? I. name, strength, and quantity of each drug used in the compounded prescription II. Identification of the repackage by name or by the final six digits of its terminal distributor's license III. Pharmacy control number IV. pharmacy's expiration date or beyond use date a) I, II, and III b) I, III and IV c) I and IV only d) II, III, and IV e) I, II, III, and IV - Correct answer e 276) How many patients can a physician with an "X" DEA number treat with buprenorphine after the first year of registration at the same time? (Choose the best answer) a) 1 b) 30 c) 50 d) 100 e) Unlimited number - Correct answer d (This number may increase to 275 after one year of treating 100 patients with approval) 277) The DEA number of a physician's assistant must start with what letter? a) "A" b) "B" c) "M" d) An APN's DEA number may start within either "A" or "B" - Correct answer c 278) A patient comes into the pharmacy for a refill on their prescription for hydrochlorothiazide 12.5mg, once daily, #30. They have been taking it for six months. It has five refills left. The cost for 30 tablets is $4.99 and the cost for 90 tablets is $7.99. The patient wants to get 90 tablets filled. Does the pharmacist have to call the doctor and get the increased quantity approved? a) Yes b) No - Correct answer b (The patient can get 90 tablets if refills are available without calling the doctor) 279) which of the following prescriptions can be sent using an Electronic Prescription Transmission System (e-script) I. Xanax 0.25mg (Schedule IV) II. Tylenol #3 (Schedule III) III. Norco (Schedule II) a) None of the above b) II only P a g e 41 | 64 c) I and II d) I only e) I, II, and III - Correct answer e 280) you must be at least ___________ years old to buy pseudoephedrine. a) 16 b) 17 c) 18 d) 21 e) None of the above - Correct answer c 281) the maximum amount of pseudoephedrine that can be purchased daily is _________ grams and monthly is _______ grams. a) 3; 9 b) 3.6; 9 c) 3.6; no limit d) 3; no limit e) 3; 18 - Correct answer b 282) Gas stations can sell pseudoephedrine as long as it is kept behind the counter or locked up. a) True b) False - Correct answer a 283) a patient wants to buy something for a cold. Which of the following products are regulated under the federal pseudoephedrine laws? I. Aleve Cold and Sinus (naproxen and pseudoephedrine) II. Coldtussin-D Liquid (pseudoephedrine, doxylamine, APAP, etc.) III. Robitussin PE liquid (guaifenesin and phenyl ephedrine) IV. Claritin-D 12 hour (loratidine and pseudoephedrine) V. Sudafed (pseudoephedrine) a) V only b) II and V only c) I, III, IV and V only d) I, II, IV and V only e) I, II, III, IV and V - Correct answer d 284) if a pharmacist requests a profile on a patient from the Ohio Drug Database, the patient has a right to receive a copy of it from the pharmacist if they request it. a) True b) False - Correct answer b (Patients must request their own OARRS profile from the Board of Pharmacy) 285) which of the following prescriptions are included in the Ohio Drug Database (OARRS)? I. schedule II controlled substances II. Schedule V controlled substances III. Schedule IV controlled substances IV. Schedule III controlled substances a) I only P a g e 42 | 64 e) Three of the above - Correct answer e 298) Dr. Sullivan has a pharmacist license in Ohio and Florida. He completed 20 hours of continuing education (CE) for Ohio. Can he also count these same 20 hours for Florida as well? a) Yes b) No - Correct answer a 299) which of the following is considered positive identification? Select all that apply. A) index finger scan b) ID card with a magnetic strip that must be scanned by a card reader c) A system of randomly generated questions that only the pharmacist would know the answer d) Password and user ID e) A manual signature on a hardcopy printout - Correct answer a, b, c, and e 300) Jane Jackson comes into your store with a bottle of Tim optic XE 0.25% eye drops. She says when she got home, she noticed the bottle was a different color. The pharmacist looks at the bottle and discovers that he has dispensed the wrong strength. He fills the prescription with the correct strength. Two days later, he dispenses the same bottle of Tim optic XE 0.25% drops that Mrs. Jackson brought back to the pharmacy to Lisa Lake. The prescription dispensed to Mrs. Lake is... a) Misbranded b) Adulterated c) Both adulterated and misbranded d) Neither adulterated nor misbranded - Correct answer b 301) The mother of a 7 year old patient brings you a prescription for the schedule II drug Adderall XR 20mg, BID #100. The mother only has enough money for #60 capsules. Can she come back in 2 weeks and have the pharmacist dispense the remaining 40 capsules? a) Yes b) No - Correct answer a 302) a patient brings a prescription to the pharmacy for zolpidem 10mg (schedule IV) #60, one at bedtime as needed with no refills. The prescription is dated 12/01/17. The patient only wants to get 5 tablets at a time because of the cost. The pharmacist dispensed five tablets originally and has partially refilled five tablets on 5 other occasions. The patient comes back and now wants five more tablets on 03/01/18. Can you dispense these five tablets? a) Yes b) No - Correct answer a (The patient is entitled to the entire quantity as long as it is used within 6 month of date written.) 303) The Ohio Drug Database (OARRS) contains ___________ worth of outpatient prescription records for required drugs A) 1 year b) 2 years c) 3 years d) 5 years P a g e 45 | 64 e) Indefinitely - Correct answer b 304) if a police officer wants to obtain an Ohio Drug Database (OARRS) report for a person they are investigating for drug abuse and using multiple doctors to obtain controlled substances, they must have an active case number assigned from the investigating agency and approval of a supervisor a) True b) False - Correct answer a 305) which of the following are true? a) The daily limit for pseudoephedrine as an OTC is 9 grams per person b) In the log of sales of pseudoephedrine, you must record the time of purchase c) The combination product Actifed (chlorpheniramine and pseudoephedrine) is regulated under the federal pseudoephedrine laws d) Two of the above are correct e) Three of the above are correct - Correct answer d 306) After chemical testing, XYZ Generic Company finds that lot number 09UTF of simvastatin 20 mg bottles has lost 20% of its potency by March 1, 2018. The expiration date on the bottle is 12/18. XYZ Generics is likely to issue a a) Class I b) Class II c) Class III d) Class IV e) No recall is necessary - Correct answer b (This is based on the definition of a Class II recall. Potency issues are usually Class II recalls) 307) when the pharmacy receives a faxed prescription for a schedule II controlled substance for a patient in a nursing home, the physician must send the original prescription to the pharmacy for its records a) True b) False - Correct answer b 308) which of the following are true? Select all that apply. a) Pharmacists can sell syringes to a laboratory scientist using them for research. b) Syringes can be stocked in self-service areas of the pharmacy. c) You must keep records (name, address, etc.) each time you sell syringes d) You must be 21 to buy syringes e) You can sell syringes without a prescription to a patient self-injecting fertility drugs - Correct answer a and e 309) A caregiver of a hospice patient brings you a prescription for 100 Deluded 2 mg, one tablet QID, and prn. The caregiver thinks the patient may only live three more days, so they only want 12 tablets. Three days later the caregiver tells the pharmacist that the patient is doing a little better and now wants 28 tablets. Can you dispense the 28 tablets? a) Yes b) No - Correct answer a P a g e 46 | 64 310) a physician writes a prescription for Adieux-P (schedule IV controlled substance) with the directions, take one tablet TID for narcolepsy, #90 with 5 refills. The pharmacist sees a note in the patient's profile documenting the patient does indeed have narcolepsy. Can you fill this prescription as it is written? a) Yes b) No - Correct answer a (Yes, because the diet drug regulations only apply when the drug is used for weight loss) 311) Pharmacists do not have to notify local board of health or patient's physician for influenza immunizations. a) True b) False - Correct answer a 312) What if I accidentally drop one diazepam 10 mg tablet in the trash? Do I have to complete DEA Form 41? a) Yes b) No - Correct answer b (This is considered spillage. A notation must be made in the inventory) 313) What if the pharmacist completing a DEA 222 form misspells a drug name? Can the supplier fill the order? a) Yes b) No - Correct answer a 314) if the pharmacist forgets to complete the "Last Line Completed" area of the DEA 222 form or enters an incorrect number. Can the supplier fill the order? a) Yes b) No - Correct answer b 315) the pharmacist receiving the prescription copy must: a) Determine the prescription being transferred to them is a valid prescription b) Reduce the prescription to writing and write the word "transfer" on the front of the prescription c) Record the date of transfer on the face of the prescription d) Two of the above e) Three of the above - Correct answer e 316) the pharmacist transferring the prescription must include in the database the following information: I. date of transfer II. Name of the pharmacist making the transfer III. Name and address of the pharmacy receiving the transfer IV. DEA of the receiving pharmacy if a controlled substance a) I, III, and IV only b) I, II, and IV only c) II, III, and IV only d) I, II, III, and IV - Correct answer d P a g e 47 | 64 344) which of the following are true regarding compounding for drug shortage? a) The drug must be on the FDA drug shortage list and not commercially available. b) The Board has to grant an exemption for a pharmacy to do this. c) The Board cannot place restrictions on the quantity the pharmacy compounds. d) A and b only e) A, b, and c - Correct answer d (The Board may place restrictions on the quantity and/or time for this shortage compounding) 345) which of the following is legal in making the offer to counsel a patient? a) A cashier in the pharmacy asks the patient, "Would you like the pharmacist to counsel you on this prescription?" b) A technician in the pharmacy asks the patient, "Do you have any questions of the pharmacist regarding this prescription?" c) A pharmacy intern asks the patient, "Would you like to speak to the pharmacist about this medication?" d) Two of the above e) Three of the above - Correct answer e 346) which of the following are true regarding controlled substances for weight loss? a) Adieux-P (schedule IV controlled substance for weight loss) can be used for 1 year b) After taking Adieux-P for 12 weeks, the patient must be off short-term controlled substances (like phentermine) for weight reduction for a minimum of 6 months c) The 12 week limit for controlled substances and weight loss also applies to Syria prescriptions d) Two of the above are true e) Three of the above are true - Correct answer 347) a physician calls your pharmacy and asks the pharmacist if they have been filling prescriptions for Patient X for methadone (schedule II). The doctor suspects the patient is going to multiple doctors and pharmacies for the same drug. The pharmacist gets an OARRS report from the Ohio Drug Database. Which of the following are true? a) The pharmacist can discuss the report with physician over the phone. b) The pharmacist can show the report to the physician. c) The pharmacist can make a copy of the report for the physician's records. d) Two of the above are true e) Three of the above are true - Correct answer d (c is false) 348) a bottle of atorvastatin 10 mg #100 had an expiration date of 11/17. The drug expired on ______________ and when it expired _________ of the potency of the drug is gone. a) October 31, 2017; 50% b) November 30, 2017; 10% c) November 1, 2017; 10% d) November 1, 2017; 50% e) November 30, 2017; 50% - Correct answer b P a g e 50 | 64 349) A Verified Pharmacy Program is a program operated by the National Association of Boards of Pharmacy (NABP) that conducts inspections of pharmacies. a) True b) False - Correct answer a 350) if a pharmacist substitutes an interchangeable biological product, they must notify the physician within a) 24 hours b) 72 hours c) 5 days d) 7 days e) They do not have to notify the physician - Correct answer c 351) Nurses at a nursing home can call in oral prescriptions for nursing home patients for schedule III and IV controlled substances for a physician. a) True b) False - Correct answer 352) which of the following is the FDA guide on interchangeable biological products (biosimilars)? a) Pink Book b) Orange Book c) Purple Book d) Black Book e) None of the above - Correct answer c 353) Physicians cannot write prescriptions for controlled substances for family members except in emergency situations. Which of the following are considered "family members"? Select all that apply. a) Spouse b) Parent c) Child d) Sibling e) Grandparent - Correct answer a, b, c, d 354) The words "authorization for emergency dispensing" must be written on the hardcopy (written) prescription sent from a prescriber for an oral schedule II prescription called-in to a pharmacy in an emergency situation. a) True b) False - Correct answer a 355) which of the following are true? a) Cocaine hydrochloride can only be used as a topical anesthetic where medically appropriate b) Schedule II stimulants may be used when medically appropriate to treat closed head injuries c) Anabolic steroids and human growth hormone should not be used to enhance athletic performance d) Two of the above are true e) Three of the above are true - Correct answer e P a g e 51 | 64 356) before storing any prescription records, invoices, or other documents related to the practice of pharmacy at a location other than the pharmacy, you must send written notification to the Board and receive the Board's approval. a) True b) False - Correct answer a (This is true if the records are being stored at a location other than the pharmacy) 357) in an emergency, a pharmacist may disclose patient information when it is in the best interest of the patient. Written documentation of this disclosure must include..... a) Patient name b) Date and time of the disclosure c) Nature of the emergency d) Name of the individual to whom the information disclosed to e) Name of the pharmacist who disclosed the information f) A, b, and c only g) A, b, c, and d only h) A, b, c, d, and e - Correct answer cue 358) which of the following may cause the Board of Pharmacy to deny licensure? a) Person has been convicted of a felony b) Person has been convicted of violating a state or federal drug/pharmacy law c) Has been disciplined by any professional licensing board d) A and b e) A, b, and c - Correct answer e 359) Tylenol with codeine liquid is a schedule _________ drug? a) III b) III c) IV d) V - Correct answer d (Tylenol with codeine liquid is a schedule V drug. Tylenol #3 & #4 are schedule III drugs.) 360) a physician writes a prescription for lisinopril 10 mg with the directions, "Take as directed". Is this legal? a) Yes b) No - Correct answer b (According to Ohio law, physicians must write "explicit" directions for use on all prescriptions.) 361) each employee of an outpatient pharmacy that has contact with consumers must have a nametag that includes the employee's title. a) True b) False - Correct answer a 362) Pharmacists can administer epinephrine and/or diphenhydramine to an individual in an emergency resulting from an adverse reaction to drug administration. a) Yes b) No - Correct answer a P a g e 52 | 64 a) Yes b) No - Correct answer a 380) Pharmacy A is compounding progesterone suppositories and selling them to Pharmacy B. Pharmacy B keeps them in their refrigerator until they receive a prescription and then dispenses them. Is this legal? a) Yes b) No - Correct answer b (This is considered to be manufacturing, not compounding) 381) which of the following is true? a) The beyond use date for a compounded liquid is 14 days. b) The beyond us date for aqueous-based topical is 30 days. c) The beyond use date for gel-based topical is 6 months. d) B and c e) A, b and c - Correct answer 382) All Ohio pharmacies must comply with USP chapters 797 and 795. a) True b) False - Correct answer a 383) under what circumstances can a pharmacist compound a product that is commercially available? a) In a drug shortage situation b) If the patient has an allergy and needs a medication made without a certain inert ingredient. c) If a patient needs a dosage form different from what is commercially available. d) A and b e) A, b, and c - Correct answer e 384) if a pharmacist's license has expired for more than 3 years, they must have a criminal records background check. a) True b) False - Correct answer a 385) Before dispensing an outpatient prescription for a controlled substance, the pharmacist must review the patient's OARRS report covering at least a one year time period in which of the following circumstances: a) A patient adds a different or new controlled substance to their therapy that was not previously prescribed b) An OARRS report for the patient has not been reviewed within the previous 6 months c) The prescriber is located outside the usual geographical area of the pharmacy d) A and c only e) A, b, and c - Correct answer 386) when requesting an OARRS report, the request must also include border state prescription monitoring reports if the pharmacy is located in a county bordering another state. a) True b) False - Correct answer a P a g e 55 | 64 387) if an OARRS report is not available due to technical difficulties, a pharmacist cannot dispense a prescription for a controlled substance until one is obtained. a) True b) False - Correct answer b 388) if you sell or transfer controlled substances to another pharmacy, physician, or terminal distributor, you must register as a wholesale distributor with OARRS and report this transaction through OARRS. a) True b) False - Correct answer a 389) the definition of compounding in Ohio includes which of the following: a) Mixing and/or measuring one or more drugs b) Preparation and assembly c) Packaging and labeling d) A and b only e) A, b, and c - Correct answer e 390) which of the following are minimum standards for pharmacies that compound? I. Inspect and approved the compounding process II. Perform the final check on the finished product III. be responsible for all records of the compounded products IV. be responsible for proper maintenance, cleanliness, and use of all equipment V. Personnel will wear appropriate clean and protective clothing to protect themselves from chemical exposure and drug products from contamination. a) I, II, and III only b) II, III, IV and V only c) I, II, III, and IV only d) I, III, IV and V only e) All of the above - Correct answer e 391) a licensed wholesaler or terminal distributor of dangerous drugs cannot sell compounded drugs or drugs used for the purpose of compounding to a business unless that business is a licensed terminal distributor. a) True b) False - Correct answer a 392) if the exemption is granted by the Board, an in-state pharmacy may compound shortage drugs if a request is made by a medical director of an in-state health care facility for the purpose of direct administration to its own patients. a) True b) False - Correct answer a 393) a dentist wants to prescribe a schedule V codeine containing cough syrup for one of her patients. She tells the pharmacist, the patient is coughing and she cannot work on his teeth. Is this a legal prescription? a) Yes b) No - Correct answer b P a g e 56 | 64 394) which of the following is true? a) Any USP Chapter under 900 is federally enforceable b) Physicians can send electronic prescriptions to a pharmacy's fax machine c) A pharmacist or pharmacy intern acting under the direct supervision of a pharmacist, may fit and measure individuals for therapeutic diabetic shoes and inserts and may dispense those shoes and inserts d) A and b are true e) A, b, and c - Correct answer c (Any USP Chapter under 1000 is federally enforceable) 395) The Board may place restrictions on the exemption related to compounding drugs in shortage situations including: a) A limit on the quantity to be compounded b) A limit on the time the exemption is in effect c) A and b d) Neither a or b - Correct answer c 396) A pharmacist or intern under the direct supervision of a pharmacist may dispense naloxone without a prescription to the following in accordance with an approved protocol. a) An individual who there is a reason to believe is experience or at risk of experiencing an opioid-related overdose b) A family member, friend, or other person in a position to assist an individual who there is reason to believe is at risk of experiencing an opioid related overdose c) A peace officer d) A and c only e) A, b, and c - Correct answer e 397) which of the following are true regarding dispensing of naloxone without a prescription? a) The pharmacy's responsible person shall ensure that all pharmacists, interns, and pharmacist's designees that dispensed naloxone are properly trained to provide the in-person training requirement b) The pharmacist may document the dispensing of naloxone on a prescription form with a number assigned for recordkeeping purposes c) Any pharmacy that dispenses naloxone must notify the Board of Pharmacy with 60 days of establishing an approved protocol. If a pharmacy is no longer dispensing naloxone, they must notify the Board within 60 days of discontinuation d) A and b only e) A, b, and c - Correct answer d 398) Ohio pharmacists must do ______ hours of medication errors/patient safety continuing education every 3 years. a) 1 b) 2 c) 3 d) 4 e) There is no requirement for medication errors/patient safety continuing education in Ohio - Correct answer b P a g e 57 | 64 a) Had been convicted of a felony b) Convicted of a misdemeanor related to the practice of pharmacy c) An act of moral turpitude d) A crime of moral turpitude e) Denied a license by DEA or any state - Correct answer a, b, c, d, and e 414) A pharmacist must conduct a review of appropriate clinical resources to familiarize themselves with which of the following prior to the administration of the immunization if it was not covered in the pharmacist's immunization certification? Select all that apply. a) Appropriate routes of administration and injection sites b) Appropriate monitoring and treatment of the patient for adverse reactions c) Appropriate administration schedules d) How the immunization is to be ordered e) Precautions & contraindications - Correct answer a, b, c, and e 415) which of the following are duties a technician trainee can perform? Select all that apply. a) Accept new verbal prescriptions for non-controlled substances b) Participate in non-sterile compounding c) Stock automated drug dispensing cabinets D) request refill authorizations as long as there are no changes e) Send or receive prescription transfers for non-controlled substances - Correct answer b 416) which of the following are duties a registered technician can perform? Select all that apply. a) Accept new verbal prescriptions for non-controlled substances b) Participate in non-sterile compounding c) Stock automated drug dispensing cabinets d) Request refill authorizations as there are no changes e) Send or receive prescription transfers for non-controlled substances - Correct answer b and d 417) which of the following are duties a certified technician can perform? Select all that apply. a) Accept new verbal prescriptions for non-controlled substances b) Participate in non-sterile compounding c) Stock automated drug dispensing cabinets d) Request refill authorizations as there are no changes e) Send or receive prescription transfers for non-controlled substances - Correct answer a, b, c, d, and e 418) which of the following injections can a pharmacist administer? Select all that apply. a) A long-acting or extended-release opioid antagonist used for the treatment of drug addiction b) A long-acting or extended-release antipsychotic drug c) Leuprolide acetate d) Medroxyprogresterone acetate for non-pregnant women P a g e 60 | 64 e) Coalman, cyanocobalamin, hydroxycobalamin or any other FDA approved B12 injection - Correct answer a, b, d, and e 419) the days’ supply limit on acute pain opioid prescriptions for adults is.... a) 3 b) 7 c) 5 d) 10 e) 30 - Correct answer b (7 days for adults; 5 days for minors) 420) the drug supply chain and security act requires pharmacists to keep records of transaction history of purchases for ______ years. a) 2 b) 3 c) 5 d) 6 e) 10 - Correct answer d What does the 1906 Pure Food and Drug Act prohibit? - Correct answer it prohibited the interstate commerce of adulterated (not pure) food and drugs How many days’ notice for change of name? - Correct answer 30 days How many days’ notice for change of address? - Correct answer 30 days How many days’ notice for change of employment? - Correct answer 30 days How many days’ notice for change in responsible pharmacist? - Correct answer 10 days How many days prior to discontinuing business? - Correct answer 14 days What date is the terminal distributor's license due for renewal? - Correct answer April 1st What date is the wholesaler license due for renewal? - Correct answer July 1st What date is the pharmacist license due for renewal? - Correct answer September 15th What date is the intern license due for renewal? - Correct answer September 15th What date is the laboratory terminal distributor's license due for renewal? - Correct answer April 1st 1906 Pure Food and Drug Act - Correct answer prohibited the interstate commerce of adulterated (not pure) food and drugs 1911 Shirley Amendments - Correct answer they prohibit false and misleading claims for drug products P a g e 61 | 64 1938 Federal Food, Drug, and Cosmetic Act - Correct answer scientific proof of safety before a drug could be marketed. (Sulfanilamide disaster) 1962 Harris-Kefauver Amendments - Correct answer scientific proof of efficacy (effectiveness) 1984 Drug Price Competition and Patent Restoration Act - Correct answer Created the ANDA for generic drugs (prove bioequivalence) and restored some of patent life for the time a drug sat at the FDA waiting approval a) Orange Book - book of bioequivalence for generics; AB and AA are equivalent; anything that starts with a "B" is not equivalent 1983 Orphan Drug Act - Correct answer Economic and tax incentives for pharmaceutical manufacturers to develop drugs for rare disease a) Diseases with <200,000 patients in the US b) Diseases with >200,000 patients in which the cost of development will never be recouped Prescription Drug Marketing Act of 1984 - Correct answer a) regulated samples b) Cannot re-import drugs from other countries c) Regulates who hospitals can sell to 1994 Dietary Supplement Health and Education Act - Correct answer made herbals officially dietary supplements. Disclaimer: "This statement has not been evaluated by the FDA. This product is not intended to diagnose, treat, cure, or prevent any disease." When do registered pharmacy technicians registrations expire? - Correct answer March 31st on even numbered years What is the scope of practice of technicians for accepting new verbal Rds. for non- controlled drugs? - Correct answer Trainee - no Registered - no Certified - yes What is the scope of practice of technicians for non-sterile compounding? - Correct answer Trainee - yes Registered - yes Certified - yes What is the scope of practice of technicians for sterile compounding? - Correct answer Trainee - yes Registered - no Certified - yes What is the scope of practice of technicians for stocking automated drug dispensing cabinets, crash carts, or floor stock (institutional facility only)? - Correct answer Trainee - no Registered - no P a g e 62 | 64