Untitled Deck

Question 1

You receive the following prescription in your Marion, NY pharmacy: “Hydromorphone 2mg, by mouth, take 1 tablet 3 times daily, 180 tablets”. The prescriber has added Code D (chronic pain). The patient has requested a 180-day supply. Are you permitted to dispense this?

Answer 1

You are not permitted to dispense a 180-day supply

Question 2

A pharmacist receives a prescription for Schedule IV lorazepam, 90 (ninety) tablets, “take 1 tablet 3x daily” and the prescriber had authorized two (2) refills. The patient asked if she could have all 270 tablets at once. Which is the single best answer under New York law?

Answer 2

The pharmacist is prohibited from doing this, unless the prescriber authorizes the addition of the proper diagnosis code (for example, “Code A”) and the change in quantity from 90 to 270

Question 3

A controlled substance prescription for medical office-based treatment of Opioid Use Disorder(“OUD”): SATA

Answer 3

• Is valid for certain formulations of buprenorphine
• May be prescribed by a pharmacist when state law permits
• Must have an approved FDA-indication for treatment of opioid use disorder

Question 4

In connection with medical cannabis, which diagnosis does not support certification

Answer 4

Schizophrenia

Question 5

You receive a prescription for oxycodone from a patient who appears to be impaired (or “high”). You have no reason to believe it was not issued in the usual course of practice

Answer 5

You may dispense this if additional investigation proves it is legitimate and document your reasoning

Question 6

For the purposes of receiving telephone orders, an “emergency situation”:

Answer 6

i. Requires that immediate administration is necessary for proper treatment

ii. No other medication will be sufficient

iii. It is not possible to deliver a written or electronic prescription

Question 7

T/F: As professionals pharmacists are required to make themselves competent to do whatever professional service they are asked to provide.

Answer 7

True

Question 8

Who must register with the DEA as a “Distributor”

Answer 8

Wholesalers and some pharmacies that make non-prescription sales

Question 9

What does the corresponding responsibility of pharmacists require

Answer 9

• that prescriptions are issued in the usual course of professional practice
• pharmacists to confirm the existence of a legitimate medical purpose

Question 10

You receive and dispense a prescription for a controlled substance electronically from a prescriber in Rochester, NY. Concerning reporting to the prescription monitoring program registry:

Answer 10

The pharmacy enters 8 E’s into the space provided for the serial number

Question 11

The role of the pharmacist in medical cannabis dispensaries here in New York is to:

Answer 11

Supervise the dispensing activities

Question 12

You receive a paper prescription for pregabalin from a NY prescriber at your pharmacy in Pulteneyville, NY. In addition to all of the required information, it indicates that the original e-prescription transmission (intended for your pharmacy) failed.

Answer 12

You must investigate whether your pharmacy in fact received the e-prescription

Question 13

Fillomena T. Firefly (“Fill”), a pharmacist, is asked to fill a prescription for oxycodone 10mg, 100tabs, but only has 10 in stock. She calls her colleague, Haywood Jabuzzoff, in the pharmacy across the street, and Haywood tells her he can spare a bottle of 100 tablets. Fill says “great, please sell them to me.” To complete this sale:

Answer 13

Haywood must send a completed copy of form 222 to DEA indicating quantity sold and date

Question 14

In the context of controlled substances the “closed loop” system of regulation means:

Answer 14

Medication is tracked from the time it enters the system until the time it is dispensed

Question 15

Exceptions to an individual’s right of autonomy in health care decisions may include what

Answer 15

When the individual lacks the ability to understand or make decisions

Question 16

Which of the following are official records of receipt of controlled substances?

Answer 16

Copy of DEA form 222 for a CII

Question 17

Based on the corresponding responsibility of pharmacists and prescribers, pharmacists are prohibited from dispensing a controlled substance when

Answer 17

Red flag(s) cause you to conclude the prescription was not issued in the usual course of practice

Question 18

According to NYS law, “telephone” orders for CIII controlled substance prescriptions (do not include benzodiazepines)

Answer 18

Are limited to a 5-day supply

Question 19

The distinction between Class 3 and Class 3A facilities in New York is

Answer 19

Whether there is a pharmacy on the premises

Question 20

What class are codeine tablets

Answer 20

CII

Question 21

What class are oxycodone tablets

Answer 21

CII

Question 22

What class are Pentobarbital tablets

Answer 22

CII

Question 23

What class are Methylphenidate tablets

Answer 23

CII

Question 24

A terminally-ill cancer patient’s pain control needs escalate to the point that opioids are beginning to cause respiratory depression. If controlling pain and suffering is the primary reason for increasing the dose, what is this called

Answer 24

Double effect doctrine

Question 25

Your patient has returned to pick up the latest 30-day supply of methylphenidate for their narcolepsy. This marks the 18th consecutive month the patient has arrived on time for this medication. With some frustration they express "I wish I did not need to go back to the prescriber month after month". What can you offer to do?

Answer 25

Phone the prescriber for approval to add the appropriate diagnosis code and increase the quantity

Question 26

In connection with patient return of unwanted/unused controlled substances

Answer 26

These may be returned to a DEA-registered pharmacy which is also registered as "collector"

Question 27

When completing an inventory of controlled substances, you may estimate partial (open) packages of CIII when:

Answer 27

the initial package quantity is 1000 units or less

Question 28

Patient presents a prescription (in your NY pharmacy) for 60 methadone 5mg tablets for non-terminal chronic pain with directions to take "1 tab, oral twice daily". You have a sufficient quantity for 30 days. The patient would a 10-days supply to see if it works. Without adding facts, please select the single best answer

Answer 28

You can give her the 15-day supply, but may not supply the remainder

Question 29

What schedule is Tramadol

Answer 29

IV

Question 30

What schedule is Alprazolam

Answer 30

IV

Question 31

What schedule is Diazepam

Answer 31

IV

Question 32

What schedule is Phenobarbitol

Answer 32

IV

Question 33

What schedule is Acetaminophen with codeine 60mg tabs

Answer 33

C3

Question 34

What schedule is Amobarbital suppository

Answer 34

C3

Question 35

What class is Butalbital with aspirin

Answer 35

C3

Question 36

At what time or times does New York law require an inventory of controlled substances to be made?

Answer 36

- May 1st of odd-numbered years - Any time within 2 years the previous inventory

Question 37

A community pharmacy would be required to obtain a registration with the NYS Bureau of Narcotic Enforcement for the purpose of:

Answer 37

Operating an automated dispensing cabinet in a nursing home

Question 38

In the context of controlled substances "cradle to grave" regulation means:

Answer 38

Medication is tracked from the time of manufacture until the time it is dispensed

Question 39

What schedule is buprenorphine injection

Answer 39

C3

Question 40

What schedule is acetaminophen with codeine 60mg tablets

Answer 40

C3

Question 41

What schedule is Dronabinol

Answer 41

C3

Question 42

What schedule is Butalbital with aspirin

Answer 42

C3

Question 43

What schedule is cocaine ophthalmic

Answer 43

C2

Question 44

What schedule is hydrocodone/chlorpheniramine liquid

Answer 44

C2

Question 45

What schedule are codeine 15 mg tablets

Answer 45

C2

Question 46

The "corresponding responsibility" of pharmacists:

Answer 46

- Requires pharmacists to confirm the existence of a legitimate medical purpose - Prohibits pharmacists from filling prescriptions issued for the purpose of purchasing inventory for the prescriber's office

Question 47

With regard to inaccurate or incomplete controlled substance prescriptions, the pharmacist:

Answer 47

- May add the maximum daily dose with permission of the prescriber - May change the quantity with the permission of the prescriber - May change the age without the permission of the prescriber

Question 48

You receive a request for sale of 100 acetaminophen 325mg/codeine 30mg tablets from a competitor pharmacy. This will give you a total number of 500,000 dosage units of all controlled substances sold during the calendar year; 21,050 total with this sale in transactions like this(sale to another registrant - non-prescription sales)

Answer 48

You may sell this and must generate an invoice for documentation

Question 49

What schedule is Codeine 10mg/promethazine 6.25mg/5ml

Answer 49

CV

Question 50

What schedule is Ezogabine

Answer 50

CV

Question 51

What schedule is Lomotil-TM

Answer 51

CV

Question 52

Which ethical principle includes the notion fairness in the distribution of scarce resources

Answer 52

Justice

Question 53

Which of the following ethical principles includes the notion of patient centricity

Answer 53

Fideltiy and autonomy

Question 54

Fillomena T. Firefly ("Fill"), a pharmacist, is asked to fill a prescription for oxycodone 10mg, 100 tabs, but only has 10 in stock. She calls her colleague, Haywood Jabuzzoff, in the pharmacy across the street and Haywood tells her he can spare a bottle of 100 tablets. Fill says "great, please sell them to me". To complete this sale:

Answer 54

- Fill must complete a DEA 222 order form, keep a copy, and send the original to Haywood's pharmacy - Fill must document the quantity received, the date, and file the document with other C-II purchase records - Haywood must indicate the quantity and the date sold on the original and send a copy to DEA

Question 55

The controlled substance regulatory process is called an accounting system because

Answer 55

- Controlled substance precursors and finished products must be accounted for throughout the supply chain - Records of distribution subtracted from records of receipt should equal the actual physical inventory

Question 56

You receive a paper prescription for oxycodone 5mg tablets from a NY prescriber at your pharmacy in Pultneyville, NY. In addition to all of the required information, it indicates that the original e-prescription transmission (intended for your pharmacy) failed

Answer 56

- You must investigate whether your pharmacy in fact received the e-prescription - You are permitted to fill this, as long as the electronic transmission has not been filled

Question 57

You need to order a schedule II controlled substance from your distributor (a local wholesaler).

Answer 57

- You may use a paper order form or the controlled substance order system ("CSOS") - You may complete a DEA 222 form, keep a copy, and send the original to the wholesaler - You must keep your record of receipt for at least 5 years under New York law