Quiz: NAVMED P-117 Pharmacy Procedures & Compliance

1. A "near-miss" is defined as an event or situation that could have resulted in harm to a patient, if it had reached the patient.

True

False

NAVMED P-117, Article 21-3, Paragraph (3)

Explanation

NAVMED P-117, Article 21-3, Paragraph (3)

2. Telephone or oral prescriptions will not be accepted except for emergency situations or under extraordinary circumstances, directly from an authorized prescriber. Telephone and oral prescriptions shall be immediately reduced to writing and read back to the provider for verification.

True

False

NAVMED P-117, Article 21-5, Paragraph (4)

Explanation

NAVMED P-117, Article 21-5, Paragraph (4)

3. Products containing pseudoephedrine or other over-the-counter (OTC) medications with FDA restrictions shall not be dispensed as an OTC. MTFs will only dispense pseudoephedrine-containing products as a prescription item. \

True

False

NAVMED P-117, Article 21-5, Paragraph (16)

Explanation

NAVMED P-117, Article 21-5, Paragraph (16)

4. When a pharmacy receives a prescription refill request for a controlled medication listed in DEA Schedule II but there are no further refills authorized, the pharmacist may choose to fill the prescription with a 72 hour supply if the medicine is for __________ (one word) control.

NAVMED P-117, Article 21-5, Paragraph (19)

Explanation

NAVMED P-117, Article 21-5, Paragraph (19)

Submit

5. Deploying service members may receive up to a __________(word or numbers) day supply of DEA Schedule II medication.

NAVMED P-117, Article 21-5, Paragraph (20)

Explanation

NAVMED P-117, Article 21-5, Paragraph (20)

Submit

6. All new and refill prescriptions will be dispensed to include a printed Patient Education Monograph from CHCS along with any FDA-approved Medication Guide to distribute the effects statement. Pharmacies may also in addition to not in lieu of; distribute the side effects statement on a sticker attached to the unit package, vial, or container of the drug product or on a preprinted pharmacy vial cap.

True

False

NAVMED P-117, Article 21-5, Paragraph (29)

Explanation

NAVMED P-117, Article 21-5, Paragraph (29)

7. __________(one word) checks will be made by the pharmacy of all nursing care units or other areas where medications are dispensed, administered, or stored?

NAVMED P-117, Article 21-6, Paragraph (3)

Explanation

NAVMED P-117, Article 21-6, Paragraph (3)

Submit

8. Our quizzes all have hundreds of questions, but only 25 show up every time the quiz loads. The purpose for this is: (1) Allows for shorter quizzes (2) Allows for the same question to be phrased in multiple ways, ensuring that you fully retain and understand the information (3) Allows for many different quizzes on the same subject. Want another quiz on the same subject, but with different questions than the one you just took? Hit refresh on your browser!

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The purpose for only 25 questions showing up every time the quiz loads is to allow for shorter quizzes and to ensure that the same question can be phrased in multiple ways, helping the quiz taker fully retain and understand the information. Additionally, it allows for many different quizzes on the same subject, providing the option for a new quiz with different questions by simply refreshing the browser. The answer "Okay, got it!" indicates understanding of this explanation.

Explanation

The purpose for only 25 questions showing up every time the quiz loads is to allow for shorter quizzes and to ensure that the same question can be phrased in multiple ways, helping the quiz taker fully retain and understand the information. Additionally, it allows for many different quizzes on the same subject, providing the option for a new quiz with different questions by simply refreshing the browser. The answer "Okay, got it!" indicates understanding of this explanation.

9. Pharmaceutical inventory will be managed to ensure the stock levels of pharmaceuticals on-hand are not excessive (in general, not to exceed a 30-day supply). Annually, at a minimum, MTFs will establish drug inventory par or stock levels that reflect the level of care, prescription workload, and mission MTFs shall conduct an annual inventory of all drugs stocked in the pharmacy however, should resource constraints be an impediment, MTFs may choose to perform a monthly sampling and/or a risk based approach until a perpetual inventory system is implemented. Pharmacies will segregate duties for ordering, receiving, and inventorying medications to the maximum possible extent.

True

False

NAVMED P-117, Article 21-7, Paragraph (3)

Explanation

NAVMED P-117, Article 21-7, Paragraph (3)

10. When only a month and year of expiration are provided for a drug, the drug may be used until the __________ (one word) day of that month.

NAVMED P-117, Article 21-7, Paragraph (11)

Explanation

NAVMED P-117, Article 21-7, Paragraph (11)

Submit

11. No authorized provider shall prescribe or furnish a DEA controlled substance for themselves or members of their immediate family.

True

False

NAVMED P-117, Article 21-22, Paragraph (6)

Explanation

NAVMED P-117, Article 21-22, Paragraph (6)

12. Prescriptions from MTF and DoD authorized providers for formulary drugs will be honored. Authorized prescribers may include: - Medical Corps officers - Dental Corps officers - Optometrists - Physician Assistants - Pharmacists - Independent Duty Corpsmen - Physical Therapists - Veterinarians (when prescribing medications for military working animals)

True

False

NAVMED P-117, Article 21-4, Paragraph (1)

Explanation

NAVMED P-117, Article 21-4, Paragraph (1)

13. The primary means of inpatient drug distribution in fixed inpatient treatment facilities will be the unit-dose system or automated medication dispensing systems, which shall include the pharmacist interpreting the physician's orders and monitoring inpatient medication needs.

True

False

NAVMED P-117, Article 21-6, Paragraph (1)

Explanation

NAVMED P-117, Article 21-6, Paragraph (1)

14. The pharmacy is responsible for labeling medications. All medications issued in bulk containers to nursing care units or clinics, not dispensed in the original container, shall be labeled by the pharmacy with the date of issue, generic and trade name, strength, quantity, beyond use date, name of the manufacturer, and lot number or appropriate code to identify the drugs. A repackaging beyond use date will comply with current USP requirements not to exceed 1 year or the actual manufacturer's expiration date, whichever is less, will be added to drugs distributed in other than the original manufacturer package.

True

False

NAVMED P-117, Article 21-6, Paragraph (6)

Explanation

NAVMED P-117, Article 21-6, Paragraph (6)

15. A log or electronic record of all medications placed in storage counting cells (e.g. Baker Cells, Drug-o-Matic) will be maintained to include initials of the pharmacist or senior technician checking the filled cell, manufacturer. lot number, and expiration date.

True

False

NAVMED P-117, Article 21-7, Paragraph (14)

Explanation

NAVMED P-117, Article 21-7, Paragraph (14)

16. A prescription for a non-controlled medication shall be filled within 1 year of the date originally written. These prescriptions may be refilled, if authorized by the prescriber, up to 12 months from the date originally written.

True

False

NAVMED P-117, Article 21-5, Paragraph (20)

Explanation

NAVMED P-117, Article 21-5, Paragraph (20)

17. When CHCS is down, only prescriptions written by civilian and MTF providers for urgent medications (i.e., antibiotics and pain medications) may be filled unless an adequate downtime system is available that offers complete patient medication profile information. All pharmacy services may be ceased at the direction of the MTF CO until system is operational at the recommendation of the pharmacist as deemed necessary for safe and effective patient care.

True

False

NAVMED P-117, Article 21-5, Paragraph (34)

Explanation

NAVMED P-117, Article 21-5, Paragraph (34)

18. Prescriptions written by civilian practitioners other than those employed by the DoD may be filled for authorized beneficiaries provided that the item is on the MTF formulary and a pharmacist verfies the prescription per current regulations.

True

False

NAVMED P-117, Article 21-4, Paragraph (2)

Explanation

NAVMED P-117, Article 21-4, Paragraph (2)

19. Prescription medications for oral use by outpatients will normally be dispensed in child resistant containers unless the patient or prescribing practitioner requests conventional (non-child resistant closures). These requests for non-child proof containers shall be authorized by a notation in CHCS for the individual prescriptions or in the pharmacy comment section. If CHCS is not available, then these prescriptions shall be authorized by the patient's signature and such documentation shall remain on file within the MTF.

True

False

NAVMED P-117, Article 21-5, Paragraph (11)

Explanation

NAVMED P-117, Article 21-5, Paragraph (11)

20. Products containing pseudoephedrine or other over-the-counter (OTC) medications with FDA restrictions shall not be dispensed as an OTC. MTFs will only dispense pseudoephedrine-containing products as a prescription item.

True

False

NAVMED P-117, Article 21-5, Paragraph (16)

Explanation

NAVMED P-117, Article 21-5, Paragraph (16)

21. Multiple dose vials (MDVs) containing parenteral medications may be reused if the following procedures are followed to eliminate the risk of infection: (a) Use strict aseptic technique. (b) Upon reconstitution, date an MDV that requires addition of a diluent, label with a beyond-use date, store, and discard using the manufacturer's stability data, not to exceed the current reference standard as stated in USP 797. (c) Date any open or entered (e.g. needle punctured) MDV, which does not require addition of a diluent and discard according to the current standard as stated in USP 797. The beyond-use date for MDVs with an anti-microbial preservative is 28 days, unless otherwise specified by the manufacturer. Opened or needle punctured single dose containers shall be used within 1 hour and any remaining contents discarded. Date and time for single dose must be marked upon opening or puncture. (d) Discard contaminated vials immediately upon detection.

True

False

NAVMED P-117, Article 21-7, Paragraph (13)

Explanation

NAVMED P-117, Article 21-7, Paragraph (13)

22. Key elements of a unit-dose system are: a. Medications are contained in and administered from single-unit or unit-dose packages. b. Medications are dispensed in ready-to-administer form to the maximum extent possible. c. For most medications, not more than a 24-hour supply of doses is provided to or available at the patient care area at any time, unless an automated dispensing system is in place. d. A patient medication profile is concurrently maintained by the pharmacy for each patient. e. Minimize the use of floor stock medications.

True

False

NAVMED P-117, Article 21-3, Paragraph (2)

Explanation

NAVMED P-117, Article 21-3, Paragraph (2)

23. Acceptance of pharmaceutical samples from sales representatives for dispensing to patients is prohibited. Should a practitioner desire to evaluate a pharmaceutical, the practitioner's department head will request a review by the Pharmacy and Therapeutics (P&T) Committee. If approved by the P&T Committee: (a) Parameters will be established to allow evaluation (b) The product will be purchased via established protocols (c) After a reasonable evaluation period, the P&T Committee must determine if the product warrants formulary status

True

False

NAVMED P-117, Article 21-5, Paragraph (13)

Explanation

NAVMED P-117, Article 21-5, Paragraph (13)

24. If you like the website and would like to help keep it running, the easiest ways to contribute are: (a) Making a donation using the PayPal links located on every page. You can use a credit card if you don't have a PayPal account. (b) Paying attention to the advertisements. Clicking on the ones that genuinely interest you generate income for our site. (c) Using our links to Amazon to do your online shopping. The price is the same as those you would get by going directly to Amazon, except using our links gets us a small cut from Amazon's profits (d) Forwarding the site to your friends and coworkers

True

False

The given statement suggests that there are multiple ways to contribute to the website in order to help keep it running. These ways include making a donation using PayPal, paying attention to advertisements and clicking on the ones that interest you, using the website's links to Amazon for online shopping, and forwarding the site to friends and coworkers. The answer "True" indicates that the statement is correct and all of these actions can indeed contribute to supporting the website.

Explanation

The given statement suggests that there are multiple ways to contribute to the website in order to help keep it running. These ways include making a donation using PayPal, paying attention to advertisements and clicking on the ones that interest you, using the website's links to Amazon for online shopping, and forwarding the site to friends and coworkers. The answer "True" indicates that the statement is correct and all of these actions can indeed contribute to supporting the website.

25. Pharmaceutical inventory will be managed to ensure the stock levels of pharmaceuticals on-hand are not excessive (in general, not to exceed a 30 day supply), based on historic utilization patterns, potential urgency of medication use, administrative costs, in addition to considering the limits of the supply system.

True

False

NAVMED P-117, Article 21-7, Paragraph (3)

Explanation

NAVMED P-117, Article 21-7, Paragraph (3)

26. Prescription medications for oral use by outpatients will normally be dispensed in child resistant containers unless the patient or prescribing practitioner requests conventional (non-child resistant closures). These requests for non-child proof containers shall be authorized by a notation in CHCS for the individual prescriptions or in the pharmacy comment section. If CHCS is not available, then these prescriptions shall be authorized by the patient's signature and such documentation shall remain on file within the MTF.

True

False

NAVMED P-117, Article 21-5, Paragraph (11)

Explanation

NAVMED P-117, Article 21-5, Paragraph (11)

27. MTF pharmacies will not provide medications intended for the purpose of home intravenous infusion.

True

False

NAVMED P-117, Article 21-5, Paragraph (12)

Explanation

NAVMED P-117, Article 21-5, Paragraph (12)

28. All medications issued in bulk containers to nursing care units or clinics, not dispensed in the original container, shall be labeled by the pharmacy with which of the following pieces of information?

Date of issue

Generic and trade name

Strength and quantity

Beyond use date

All of the above

NAVMED P-117, Article 21-6, Paragraph (6)

Explanation

NAVMED P-117, Article 21-6, Paragraph (6)

29. Personal medications brought to a hospital by a patient that were kept by nursing staff shall be destroyed 15 days after discharge.

True

False

NAVMED P-117, Article 21-6, Paragraph (9)

Explanation

NAVMED P-117, Article 21-6, Paragraph (9)

30. Only items which have been licensed and approved by the Food and Drug Administration (FDA) for sale in the United States are authorized for use in CONUS MTFs. Executive order 13139 and 10 USC 1107 prohibits the use of non-FDA approved drugs on service members, whether CONUS or OCONUS, unless the member signs a consent form or the President waives the requirement for member consent.

True

False

NAVMED P-117, Article 21-7, Paragraph (3)

Explanation

NAVMED P-117, Article 21-7, Paragraph (3)

31. Each parent MTF, with an organic pharmacy department, shall establish a Pharmacy and Therapeutics (P&T) Committee to advise the CO on the selection and use of drugs in the facility. The P&T Committee is a function of the medical staff and will meet at least quarterly.

True

False

NAVMED P-117, Article 21-3, Paragraph (3)

Explanation

NAVMED P-117, Article 21-3, Paragraph (3)

32. Pharmacies will fill all valid non-controlled prescriptions that are presented, regardless of the geographic location of the beneficiary or prescriber, providing the medication is on the MTF formulary, and the prescription conforms to applicable laws and regulations.

True

False

NAVMED P-117, Article 21-4, Paragraph (3)

Explanation

NAVMED P-117, Article 21-4, Paragraph (3)

33. Non-FDA approved medications such as neutraceuticals, homeopathic, and therapeutic dietary supplements are not a TRICARE-covered benefit, therefore, not dispensed by the pharmacy department. These agents are not subject to FDA regulation regarding good manufacturing processes which presents legal risks to the MTF.

True

False

NAVMED P-117, Article 21-5, Paragraph (27)

Explanation

NAVMED P-117, Article 21-5, Paragraph (27)

34. Monthly checks will be made by the pharmacy of all nursing care units or other areas where medications are dispensed, administered, or stored, to verify that at the minimum: (a) Drugs for external use and disinfectants have been stored separately from internal and injectable medications (b) Drugs are not overstocked (c) Drugs are stored following current established standards (d) Once discovered, outdated or unusable drugs should be segregated and returned to the pharmacy immediately (e) There is an adequate and proper supply of P&T Committee-approved emergency drugs (f) All drugs in the area are properly labeled NAVMED P-117, Article 21-6, Paragraph (2)

True

False

NAVMED P-117, Article 21-6, Paragraph (3)

Explanation

NAVMED P-117, Article 21-6, Paragraph (3)

35. Substances listed on DEA Schedule II are considered to be drugs with an acceptable medical use and a very high abuse potential.

True

False

NAVMED P-117, Article 21-20, Paragraph (2)

Explanation

NAVMED P-117, Article 21-20, Paragraph (2)

36. Which chapter of the MANMED deals with Pharmacy?

Chapter 14

Chapter 19

Chapter 21

Chapter 23

NAVMED P-117, Article 21-1

Explanation

NAVMED P-117, Article 21-1

37. Patient's age or date of birth is required to be on every outpatient prescription. If the child is 12 years old or younger, the age must also be included. The pharmacy may record the child's age or weight on the prescription if it was omitted.

True

False

NAVMED P-117, Article 21-5, Paragraph (2)

Explanation

NAVMED P-117, Article 21-5, Paragraph (2)

38. Caustic substances such as acetic acid and concentrated hydrochloric acid shall be submitted and approved by the MTF CO prior to being issued to nursing care units, clinics, or outpatients. They shall be stored in separate lockers and contents shall be clearly marked.

True

False

NAVMED P-117, Article 21-7, Paragraph (8)

Explanation

NAVMED P-117, Article 21-7, Paragraph (8)

39. Using the links we have to Amazon.com to the right of this quiz is an excellent idea when purchasing your music for the following three reasons: 1 - It's cheaper than iTunes and the songs you purchase will always be DRM-Free (You can play them on any computer, any mp3 player, etc.) 2 - It's very simple to use and all the songs you purchase get automatically added to your iTunes or Windows Media Player file. 3 - You help support the site. Every song you purchase contributes 10 cents towards the monthly operating cost of battalionaidstation.com

True

False

The explanation for the correct answer, which is True, is that using the links to Amazon.com for purchasing music is beneficial for three reasons. Firstly, it is cheaper than iTunes and the purchased songs are DRM-Free, allowing them to be played on any device. Secondly, it is user-friendly as the purchased songs are automatically added to iTunes or Windows Media Player. Lastly, purchasing songs through the links helps support the website, with 10 cents from each purchase going towards the monthly operating cost of battalionaidstation.com.

Explanation

The explanation for the correct answer, which is True, is that using the links to Amazon.com for purchasing music is beneficial for three reasons. Firstly, it is cheaper than iTunes and the purchased songs are DRM-Free, allowing them to be played on any device. Secondly, it is user-friendly as the purchased songs are automatically added to iTunes or Windows Media Player. Lastly, purchasing songs through the links helps support the website, with 10 cents from each purchase going towards the monthly operating cost of battalionaidstation.com.

40. All prescriptions originally filled at one DoD MTF may be refilled at another as long as the pharmacy takes into account the type of medication and the method used for recording refills. MTFs with pharmacy data processing systems that do not access the same prescription records electronically will notify the original facility of transfer of remaining refills, thus voiding any remaining refills at the original MTF. An electronic record will be made of the the prescription such as "Transferred to (name of MTF)" with date of transfer.

True

False

NAVMED P-117, Article 21-5, Paragraph (22)

Explanation

NAVMED P-117, Article 21-5, Paragraph (22)

41. Prior to releasing sensitive patient information, all requests shall be approved through the command legal office or appropriate authority. A police officer, agent of the Naval Criminal Investigative Service (NCIS), agent of the CO, or any agent of higher authority may remove an original prescription from the pharmacy's files for the purpose of an investigation. Whenever this occurs, a photocopy of the original prescription and a receipt from the agent or police officer shall be kept in the pharmacy's files.

True

False

NAVMED P-117, Article 21-5, Paragraph (24)

Explanation

NAVMED P-117, Article 21-5, Paragraph (24)

42. Individuals receiving outpatient medications for beneficiaries other than themselves or their minor children should provide reasonable proof of patient consent such as an authorization letter and front and back photocopy of patient's ID for the release of medical information and prescriptions. Expired IDs will be confiscated via local MTF policy.

True

False

NAVMED P-117, Article 21-5, Paragraph (15)

Explanation

NAVMED P-117, Article 21-5, Paragraph (15)

43. DEA Schedule II medications must be refilled within 30 days of the prescription being written. They may not be refilled, except for a 72-hour supply of anti-seizure medication. Deploying service members on Schedule II medications may receive up to a 90-day supply.

True

False

NAVMED P-117, Article 21-5, Paragraph (20)

Explanation

NAVMED P-117, Article 21-5, Paragraph (20)

44. Alcoholic beverages shall not be stocked or dispensed from Navy MTFs.

True

False

NAVMED P-117, Article 21-20, Paragraph (4)

Explanation

NAVMED P-117, Article 21-20, Paragraph (4)

45. The patient's weight is required on the prescription when the patient is under 12 years of age.

True

False

NAVMED P-117, Article 21-5, Paragraph (2)

Explanation

NAVMED P-117, Article 21-5, Paragraph (2)

46. Facilities will minimize the potential for the dispensing of expired drugs through effective inventory management, identification of expired drugs, prompt removal of expired drugs, and tracking of expired drugs. (a) When only a month and year of expiration are provided for a drug, the drug may be used until the last day of that month. (b) Pharamaceutical inventory will be inspected at least monthly. (c) Pharmaceuticals that will expire first shall be placed in a position to be used first. (d) During the monthly inspections, pharmaceutical items that will expire within 30 days will be removed from inventory, isolated, and securely stored in an area away from in-date pharmaceuticals. Special consideration should be given to medications normally dispensed in 90-day supply or greater.

True

False

NAVMED P-117, Article 21-7, Paragraph (11)

Explanation

NAVMED P-117, Article 21-7, Paragraph (11)

47. When only a month and year of expiration are provided for a drug, the drug may be used until the last day of that month.

True

False

NAVMED P-117, Article 21-7, Paragraph (11)

Explanation

NAVMED P-117, Article 21-7, Paragraph (11)

48. Products containing pseudoephedrine or other over-the-counter (OTC) medications with FDA restrictions shall not be dispensed as an OTC. MTFs will only dispense pseudoephedrine-containing products as a prescription item.

True

False

NAVMED P-117, Article 21-5, Paragraph (16)

Explanation

NAVMED P-117, Article 21-5, Paragraph (16)

49. Nursing personnel shall collect all medications brought to the hospital by patients admitted to nursing care units. When possible, these drugs will be given to a member of the patient's family to return to the patient's home for safekeeping. Medications collected in this manner will not be retained by the patient, unless an order is written by the practitioner responsible for the patient that the patient may use his or her own medication following local MTF policy (e.g., "Keep personal medications at bedside"). If this is not possible, all medications will be identified, inventoried, and secured until the patient is discharged. Any medications remaining 15 days after date of discharge shall be destroyed.

True

False

NAVMED P-117, Article 21-6, Paragraph (9)

Explanation

NAVMED P-117, Article 21-6, Paragraph (9)

50. Substances listed on DEA Schedule I are considered to be drugs with no acceptable medical use and a very high abuse potential.

True

False

NAVMED P-117, Article 21-20, Paragraph (2)

Explanation

NAVMED P-117, Article 21-20, Paragraph (2)

51. The Pharmacy and Therapeutics (P&T) Committee is responsible for reviewing and approving formularies for providers with limited prescribing privileges such as Physicians Assistants, nurse practitioners, and Independent Duty Corpsmen.

True

False

NAVMED P-117, Article 21-3, Paragraph (3)

Explanation

NAVMED P-117, Article 21-3, Paragraph (3)

52. Prior to releasing sensitive patient information, all requests shall be approved through the command legal office or appropriate authority. A police officer, agent of the Naval Criminal Investigative Service (NCIS), agent of the CO, or any agent of higher authority may remove an original prescription from the pharmacy's files for the purpose of an investigation. Whenever this occurs, a photocopy of the original prescription and a receipt from the agent or police officer shall be kept in the pharmacy's files.

True

False

NAVMED P-117, Article 21-5, Paragraph (24)

Explanation

NAVMED P-117, Article 21-5, Paragraph (24)

53. DEA Schedule I and II controlled substances require vault or safe storage and inventory by the Controlled Substances Inventory Board (CSIB). The combination shall be changed every 6 months or upon change in custodian or any suspected compromise of the situation. Schedule III, IV, and V controlled substances require locked cabinet security for storage of bulk drugs. The appointed pharmacy custodian will conduct a biennial inventory, on or about 1 May of odd-numbered years, of all controlled substances following DEA law, and if needed, a quarterly audit, or more frequently, of high abuse potential Schedule III, IV, and V controlled medications.

True

False

NAVMED P-117, Article 21-21, Paragraph (1) and Paragraph (2)

Explanation

NAVMED P-117, Article 21-21, Paragraph (1) and Paragraph (2)

54. Inside of the continental United States (CONUS), MTFs may only accept civilian prescriptions from CONUS providers.

True

False

NAVMED P-117, Article 21-4, Paragraph (4)

Explanation

NAVMED P-117, Article 21-4, Paragraph (4)

55. Prescriptions for animals, other than those owned by the Government, will not be filled.

True

False

NAVMED P-117, Article 21-5, Paragraph (6)

Explanation

NAVMED P-117, Article 21-5, Paragraph (6)

56. Prior to dispensing outpatient medications, positive identification shall be used using two identifiers: the patient's name on the DoD military identification (ID) card and the birth date or Social Security Number.

True

False

NAVMED P-117, Article 21-5, Paragraph (15)

Explanation

NAVMED P-117, Article 21-5, Paragraph (15)

57. DEA Schedule II medications are normally prescribed for a 30 day period.

True

False

NAVMED P-117, Article 21-5, Paragraph (20)

Explanation

NAVMED P-117, Article 21-5, Paragraph (20)

58. Deploying service members may receive up to a 90-day supply of DEA Schedule II medication.

True

False

NAVMED P-117, Article 21-5, Paragraph (20)

Explanation

NAVMED P-117, Article 21-5, Paragraph (20)

59. Which of the following is NOT required on an outpatient prescription container?

The MTF dispensing the prescription, including the pharmacy telephone number

Identifying prescription number

Date the prescription is originally filled and date refilled, if applicable

Clear, concise directions to the patient

All of the above are required

NAVMED P-117, Article 21-5, Paragraph (3)

Explanation

NAVMED P-117, Article 21-5, Paragraph (3)

60. Substances listed on DEA Schedule V are considered to be drugs with an acceptable medical use and a very high abuse potential.

True

False

NAVMED P-117, Article 21-20, Paragraph (2)

Explanation

NAVMED P-117, Article 21-20, Paragraph (2)

61. Which of the following statements is FALSE regarding the advertisements found on our website?

We only do accept ads from major businesses that are safe to use and virus free

Revenue generated from our visitors clicking on ads goes towards maintaining the site

All of the above are true

The given correct answer is "All of the above are true". This means that all three statements mentioned in the question are true. The website only accepts ads from major businesses that are safe to use and virus-free, the revenue generated from visitors clicking on ads is used to maintain the site, and using their links to Amazon for online shopping is the best way to support BattalionAidStation and keep them afloat.

Explanation

The given correct answer is "All of the above are true". This means that all three statements mentioned in the question are true. The website only accepts ads from major businesses that are safe to use and virus-free, the revenue generated from visitors clicking on ads is used to maintain the site, and using their links to Amazon for online shopping is the best way to support BattalionAidStation and keep them afloat.

62. Key elements of a unit-dose system are: a. Medications are contained in and administered from single-unit or unit-dose packages. b. Medications are dispensed in ready-to-administer form to the maximum extent possible. c. For most medications, not more than a 24-hour supply of doses is provided to or available at the patient care area at any time, unless an automated dispensing system is in place. d. A patient medication profile is concurrently maintained by the pharmacy for each patient. e. Minimize the use of floor stock medications.

True

False

NAVMED P-117, Article 21-3, Paragraph (2)

Explanation

NAVMED P-117, Article 21-3, Paragraph (2)

63. The DD 1289 is the DoD Prescription.

True

False

NAVMED P-117, Article 21-5, Paragraph (1)

Explanation

NAVMED P-117, Article 21-5, Paragraph (1)

64. A prescription for a controlled substance classified as a DEA Schedule II shall be filled within 30 days of the date originally written. NAVMED P-117, Article 21-5, Paragraph (20)

True

False

NAVMED P-117, Article 21-5, Paragraph (20)

Explanation

NAVMED P-117, Article 21-5, Paragraph (20)

65. Once a DEA Schedule III-V prescription has been transferred from an MTF to a civilian pharmacy, the same prescription cannot be transferred back into the MTF. When a prescription originally filled at a retail pharmacyis transferred to an MTF (taking into account the type of medication), the MTF will make a notification in the electronic record such as "Transferred from (name and contact info of retail pharmacy) on (date of transfer)."

True

False

NAVMED P-117, Article 21-5, Paragraph (23)

Explanation

NAVMED P-117, Article 21-5, Paragraph (23)

66. Which of the following is the DoD Prescription Form?

SF 1289

DD 1289

NAVMED 1289

BUMED 1289

NAVMED P-117, Article 21-5, Paragraph (1)

Explanation

NAVMED P-117, Article 21-5, Paragraph (1)

67. Which of the following is NOT required on an outpatient prescription container?

MTF dispensing the prescription

Phone number of the MTF pharmacy

Identifying prescription number

Filler's and checker's initials (when not supported through automation)

All of the above are required

NAVMED P-117, Article 21-5, Paragraph (3)

Explanation

NAVMED P-117, Article 21-5, Paragraph (3)

68. Custodial responsibility for controlled substances and those drugs designated as locally-controlled drugs by the CO, shall be vested in a commissioned pharmacy officer, a civil service pharmacist, or a commissioned officer who is appointed in writing. At remote branch clinics that do not have a commissioned officer or civilian pharmacist, the CO shall designate, in writing, a member of the branch clinic as the custodian.

True

False

NAVMED P-117, Article 21-23, Paragraph (1)

Explanation

NAVMED P-117, Article 21-23, Paragraph (1)

69. Inside of the continental United States (CONUS), MTFs may only accept civilian prescriptions from CONUS providers.

True

False

NAVMED P-117, Article 21-4, Paragraph (4)

Explanation

NAVMED P-117, Article 21-4, Paragraph (4)

70. When CHCS is down and no adequate downtime system is available, only prescriptions written by civilian and MTF providers for what classes of urgent medications may be filled?

Anti-psychotics and maintenance blood pressure medications

Post-surgical pain control and all over-the-counter medications

Antibiotics and pain medications

Anti-psychotics and antibiotics

None of the above

NAVMED P-117, Article 21-5, Paragraph (34)

Explanation

NAVMED P-117, Article 21-5, Paragraph (34)

71. Which one do you like?

Option 1

Option 2

Option 3

Option 4

not-available-via-ai

Explanation

not-available-via-ai

72. You're enjoying this quiz and its probably doing a good job of helping you study and getting you advanced to the next rank. Which of the following is a good way to support this project and keep the site running?

Forwarding the site to your friends and coworkers

Donating $1, $5, $10, or $25 using the PayPal link above (you can use a credit card)

Using the links we have to Amazon.com to purchase DVD movies, electronics, computer software and hardware, and more

Using the links we have to Amazon.com to purchase your MP3 music and movies

All of the above

The correct answer is "All of the above" because forwarding the site to friends and coworkers will help increase its visibility and attract more users, which can contribute to its success and sustainability. Donating money through the PayPal link will provide financial support to keep the site running and improving. Using the links to Amazon.com for purchasing various items such as DVD movies, electronics, software, and hardware, as well as MP3 music and movies, can generate affiliate commissions that can be used to maintain the site's operations. By doing all of these actions, users can actively support the project and ensure its continuation.

Explanation

The correct answer is "All of the above" because forwarding the site to friends and coworkers will help increase its visibility and attract more users, which can contribute to its success and sustainability. Donating money through the PayPal link will provide financial support to keep the site running and improving. Using the links to Amazon.com for purchasing various items such as DVD movies, electronics, software, and hardware, as well as MP3 music and movies, can generate affiliate commissions that can be used to maintain the site's operations. By doing all of these actions, users can actively support the project and ensure its continuation.

73. The parent MTF CO may authorize a limited number of over-the-counter (OTC) drugs to be dispensed from the outpatient pharmacy in conjunction with a health care screener. Under no circumstances will a patient be authorized to select their own medications. A non-physician health care screener, identified by the MTF shall assess a patient's symptoms then either enters a prescription into CHCS for recommended OTC drugs, selects the appropriate item(s) on the approved list, and sends it with the patient to the pharmacy, or refers the patient for more definitive care. Guidelines for an OTC health care screener program include: (a) Quantities dispensed are limited to one treatment regiment or a few days supply for relief of a current condition. (b) OTC items are limited to treatment of minor problems such as headaches, common cold indigestion, or mild dermatitis. (c) OTC items shall be labeled per Federal regulations and provide adequate directions to the layman for safe and effective use and also provide warnings and cautions against misuse. OTC items shall be dispensed in the manufacturer's original container. (d) OTCs dispensed in these programs shall be recorded into the patient's pharmacy profile. (e) Products containing pseudoephedrine or other OTC medications with FDA restrictions shall not be dispensed as an OTC. MTFs will only dispense pseudoephedrine-containing products as a prescription item.

True

False

NAVMED P-117, Article 21-5, Paragraph (16)

Explanation

NAVMED P-117, Article 21-5, Paragraph (16)

74. Refills for outpatient maintenance medications may be requested when 75% or more of the prior prescription has been used. A pharmacy officer may authorize an early refill under special circumstances (e.g., patient on travel out of the area).

True

False

NAVMED P-117, Article 21-5, Paragraph (29)

Explanation

NAVMED P-117, Article 21-5, Paragraph (29)

75. Time and quantitiy limitations for filling and refilling prescriptions: (a) DEA Schedule II - Must be filled within 30 days of the date originally written - Not refillable, except for seizure control medications, which can get a 72-hour supply - Deploying members may receive up to a 90-day supply of Schedule II medications (b) DEA Schedules III-V - Must be filled within 6 months of the date originally written - May be refilled up to 5 times within a 6 month period - Deploying members may receive up to a 180-day supply of Schedules III-V medications (c) Non-controlled medications - Must be filled within 12 months of the date originally written - May be refilled up to 12 months from the date originally written - Prescription quantities will be filled as written up to a 100-day supply for maintenance medications - Active duty beneficiaries may be dispensed larger quantities to meet readiness requirements

True

False

NAVMED P-117, Article 21-5, Paragraph (20)

Explanation

NAVMED P-117, Article 21-5, Paragraph (20)

76. This quiz has over a hundred questions, however, we programmed it so that only 25 show up each time it loads. We also add questions to all of our quizzes every few days. Keeping this in mind, which of the following is the best way to practice and use all of our questions to help you study this subject

Emailing this page to yourself so that you can easily find it from home or work

Bookmarking this page so that you can do this quiz again later

All of the above

The best way to practice and use all of the questions to help you study this subject is to do all of the above options. By emailing the page to yourself, you can easily access it from home or work. By bookmarking the page, you can do the quiz again later. And by hitting the "refresh" button on your browser when the quiz is complete, you can load up a new set of questions in a random order, many of which you haven't yet seen. Doing all of these options ensures that you can access and practice all of the questions available.

Explanation

The best way to practice and use all of the questions to help you study this subject is to do all of the above options. By emailing the page to yourself, you can easily access it from home or work. By bookmarking the page, you can do the quiz again later. And by hitting the "refresh" button on your browser when the quiz is complete, you can load up a new set of questions in a random order, many of which you haven't yet seen. Doing all of these options ensures that you can access and practice all of the questions available.

77. Each parent MTF, with an organic pharmacy department, shall establish a Pharmacy and Therapeutics (P&T) Committee to advise the CO on the selection and use of drugs in the facility. The P&T Committee is a function of the medical staff and will meet at least ___________ (one word).

NAVMED P-117, Article 21-3, Paragraph (3)

Explanation

NAVMED P-117, Article 21-3, Paragraph (3)

Submit

78. Authorized prescribers, when prescribing drugs in an official capacity within the scope of the Controlled Substances Act, are exempt from registration under provision of 21 CFR 1301.25, of the Controlled Substances Act. A prescriber exempted from registration under 21 CFR 1301.25 shall include on all prescriptions the prescriber's branch of service or agency (e.g. "United States Navy" or "Public Health Service") and must include the practitioner's service identification number or Social Security Number as required by 21 CFR 1306.05(h). Other practitioner's identifiers (National Provider Identification) may not be substituted for the DEA number.

True

False

NAVMED P-117, Article 21-22, Paragraph (2)

Explanation

NAVMED P-117, Article 21-22, Paragraph (2)

79. When a pharmacy receives a prescription refill request for a controlled medication listed in DEA Schedule II but there are no further refills authorized, the pharmacist may choose to fill the prescription with a 72 hour supply if the medicine is for seizure control, such as Clonazepam or Phenobarbital.

True

False

NAVMED P-117, Article 21-5, Paragraph (19)

Explanation

NAVMED P-117, Article 21-5, Paragraph (19)

80. Prescriptions must be written in ink, indelible pencil, typewritten, or a printed form generated from a computerized program and shall show the following: (a) Patient's full name (b) Date prescription was written (c) Patient's age or date of birth and weight (if 12 years or younger). (d) Name of drug, form of drug, dosage size or strength written in metric system, and quantity to be dispensed. (e) Clear directions use for the patient. (f) Additional patient specific data / parameters (e.g., pregnancy/lactation status, weight, appropriate laboratory values) as required by regulation when appropriate (g) Valid legible signature of the prescriber

True

False

NAVMED P-117, Article 21-5, Paragraph (2)

Explanation

NAVMED P-117, Article 21-5, Paragraph (2)

81. Which of the following is NOT required on an outpatient prescription?

Clear directions use for the patient

Patient's full name

Per unit cost of the medication

Valid, legible signature of the prescriber

All of the above are required

NAVMED P-117, Article 21-5, Paragraph (2)

Explanation

NAVMED P-117, Article 21-5, Paragraph (2)

82. At what age should a sponsor obtain a military ID card for the child?

At birth

Age 5

Age 10

Age 16

NAVMED P-117, Article 21-5, Paragraph (15)

Explanation

NAVMED P-117, Article 21-5, Paragraph (15)

83. Deploying service members may receive up to a 120-day supply of DEA Schedule II medication.

True

False

NAVMED P-117, Article 21-5, Paragraph (20)

Explanation

NAVMED P-117, Article 21-5, Paragraph (20)

84. When only a month and year of expiration are provided for a drug, the drug may be used until when?

The last day of the month preceding

The first day of that month

The 15th day of that month

The last day of that month

NAVMED P-117, Article 21-7, Paragraph (11)

Explanation

NAVMED P-117, Article 21-7, Paragraph (11)

85. Which of the following DEA Schedules refers to a drug with no acceptable medical use and a very high abuse potential?

DEA Schedule 0

DEA Schedule I

DEA Schedule II

DEA Schedules III, IV, and V

NAVMED P-117, Article 21-20, Paragraph (2)

Explanation

NAVMED P-117, Article 21-20, Paragraph (2)

86. Prescriptions written by civilian practitioners, other than those employed by the DoD, may be filled for authorized beneficiaries, providing the prescribed medication is on the MTF formulary and a pharmacist verifies the prescription per current regulations.

True

False

lNAVMED P-117, Article 21-4, Paragraph (2)

Explanation

lNAVMED P-117, Article 21-4, Paragraph (2)

87. Which of the following is FALSE regarding the regulations of an MTF's outpatient pharmacy over-the-counter (OTC) medication program?

Patients are authorized to choose their own medications

OTCs dispensed in these programs shall be recorded into the patient's pharmacy profile

OTC items are limited to treatment of minor problems such as headaches, common colds, indigestion, or mild dermatitis

Quantities dispensed are limited to one treatment regimen or a few days supply

All of the above are true

NAVMED P-117, Article 21-5, Paragraph (16)

Explanation

NAVMED P-117, Article 21-5, Paragraph (16)

88. Which of the following references will be observed when preparing or compounding sterile products (e.g. chemotherapeutics, large and small volume intravenous admixtures, and irrigations)?

USP 795 and USP 797

LAZ 795 and 797

POE 795 and 797

TDH 795 and 797

None of the above

NAVMED P-117, Article 21-6, Paragraph (2)

Explanation

NAVMED P-117, Article 21-6, Paragraph (2)

89. Which of the following DEA Schedules refers to a drug with an acceptable medical use but a very high abuse potential?

DEA Schedule 0

DEA Schedule I

DEA Schedule II

DEA Schedule V

NAVMED P-117, Article 21-20, Paragraph (2)

Explanation

NAVMED P-117, Article 21-20, Paragraph (2)

90. How shall Schedule III, IV, and V bulk medications be stored?

Safe

Vault

Locked cabinet

No special storage required

NAVMED P-117, Article 21-21, Paragraph (2)

Explanation

NAVMED P-117, Article 21-21, Paragraph (2)

91. If a multiple prescription (civilian) is presented for filling at an MTF and the pharmacy does not stock all the medications ordered, the pharmacy will do which of the following?

Fill the prescriptions available. The pharmacist will then issue a new prescription for the non-available medications

None of the above Civilian poly-prescription forms are not authorized to be filled at MTFs

NAVMED P-117, Article 21-5, Paragraph (26)

Explanation

NAVMED P-117, Article 21-5, Paragraph (26)

92. What is the NAVMED 6710/6?

Guaranteed Returns Submission Form

Shelf Life Extension Program Inventory Sheet

Poly-Prescription

Controlled Substances Inventory Sheet

None of the above

NAVMED P-117, Article 21-5, Paragraph (1)

Explanation

NAVMED P-117, Article 21-5, Paragraph (1)

93. A prescription for a non-controlled medication shall be filled within six months of the date originally written. These prescriptions may be refilled, if authorized by the prescriber, up to six months from the date originally written.

True

False

NAVMED P-117, Article 21-5, Paragraph (20)

Explanation

NAVMED P-117, Article 21-5, Paragraph (20)

94. How often will checks will be made by the pharmacy of all nursing care units or other areas where medications are dispensed, administered, or stored?

Monthly

Quarterly

Semi-annually

Annually

NAVMED P-117, Article 21-6, Paragraph (3)

Explanation

NAVMED P-117, Article 21-6, Paragraph (3)

95. Providers shall prescribe controlled substances only for patients under their direct care. Only under extraordinary circumstances will controlled substances be prescribed for a patient that was not personally evaluated by the prescriber at the time a controlled substance was prescribed.

True

False

NAVMED P-117, Article 21-22, Paragraph (7)

Explanation

NAVMED P-117, Article 21-22, Paragraph (7)

96. When a commissioned officer (pharmacist) is not assigned to an MTF, a civilian pharmacist or Corpsman with what NEC will be assigned responsibilities?

HM-0113

HM-8425

HM-8482

HM-1228

None of the above

NAVMED P-117, Article 21-3, Paragraph (1)

Explanation

NAVMED P-117, Article 21-3, Paragraph (1)

97. Which of the following is NOT an authorized prescriber?

Nurse Practitioners

Pharmacist

Dental Corps Officers

Civilian physicians employed by the DoD

All of the above are authorized providers

NAVMED P-117, Article 21-4, Paragraph (1)

Explanation

NAVMED P-117, Article 21-4, Paragraph (1)

98. Pharmaceutical inventory will be managed to ensure the stock levels of pharmaceuticals on-hand are not excessive. In general, they are not exceed a supply of how many days? NAVMED P-117, Article 21-7, Paragraph (3)

7 days

30 days

90 days

120 days

NAVMED P-117, Article 21-7, Paragraph (3)

Explanation

NAVMED P-117, Article 21-7, Paragraph (3)

99. Substances listed on DEA Schedule I are considered to be drugs with an acceptable medical use and a very high abuse potential.

True

False

NAVMED P-117, Article 21-20, Paragraph (2)

Explanation

NAVMED P-117, Article 21-20, Paragraph (2)

100. Which of the following is FALSE regarding the regulations of an MTF's outpatient pharmacy over-the-counter (OTC) medication program?

OTCs dispensed in these programs shall be recorded into the patient's pharmacy profile

Products containing psuedoephedrine or other OTC medications with FDA restrictions shall NOT be dispensed as an OTC

Quantities are limited to one treatment regiments

OTC items shall be dispensed in the manufacturer's original packaging

All of the above are true

NAVMED P-117, Article 21-5, Paragraph (16)

Explanation

NAVMED P-117, Article 21-5, Paragraph (16)

101. The P&T Committee shall meet at what minimum interval?

Weekly

Every two weeks

Monthly

Quarterly

NAVMED P-117, Article 21-3, Paragraph (3)

Explanation

NAVMED P-117, Article 21-3, Paragraph (3)

102. Which of the following is NOT required on an outpatient prescription?

Date prescription was written

Patient's age or date of birth

Additional patient specific data / parameters when appropriate or required

Generic name

All of the above are requirements

NAVMED P-117, Article 21-5, Paragraph (2)

Explanation

NAVMED P-117, Article 21-5, Paragraph (2)

103. Unapproved non-MTF formulary prescriptions may be filled using mail-order benefits or a retail pharmacy if covered by the patient's TRICARE benefit.

True

False

NAVMED P-117, Article 21-5, Paragraph (9)

Explanation

NAVMED P-117, Article 21-5, Paragraph (9)

104. How many refills are authorized on DEA Schedule II medications?

None

One

Five refills (six months total)

Eleven refills (twelve months total)

NAVMED P-117, Article 21-5, Paragraph (20)

Explanation

NAVMED P-117, Article 21-5, Paragraph (20)

105. We keep our site running mainly from donations and advertising revenue. Paying attention to our ads and clicking on the ones that interest you is our main source of income. You don't have to buy a product, just clicking on the ads, even if you close the window right away generates income. Donations are always welcome though. Which of the following is the best reason to donate?

You use the site regularly and would like to contribute

You find the site useful and would like to help it stay afloat for other Corpsmen to use

To show your appreciation for the site

All of the above are good reasons and you're not a "One Way"

All of the above are good reasons to donate because by using the site regularly and finding it useful, you are benefiting from it and contributing to its success. Donating also shows your appreciation for the site and helps it stay afloat for other users. Additionally, being a "One Way" implies that you only take from the site without giving back, so by donating, you are demonstrating that you are not just a passive user.

Explanation

All of the above are good reasons to donate because by using the site regularly and finding it useful, you are benefiting from it and contributing to its success. Donating also shows your appreciation for the site and helps it stay afloat for other users. Additionally, being a "One Way" implies that you only take from the site without giving back, so by donating, you are demonstrating that you are not just a passive user.

106. Which of the following is the DoD Prescription Form?

DD 1829

DD 1828

DD 1289

DD 1988

None of the above

NAVMED P-117, Article 21-5, Paragraph (1)

Explanation

NAVMED P-117, Article 21-5, Paragraph (1)

107. When must dispensed outpatient prescriptions be issued with a printed Patient Education Monograph from CHCS?

Only on first dispensing

Optional. Labels may direct patients to a website containing monograph information

On all new and refill prescriptions

NAVMED P-117, Article 21-5, Paragraph (29)

Explanation

NAVMED P-117, Article 21-5, Paragraph (29)

108. Inpatient self-care and discharge medications should be labeled as outpatient prescriptions.

True

False

NAVMED P-117, Article 21-6, Paragraph (8)

Explanation

NAVMED P-117, Article 21-6, Paragraph (8)

109. When only a month and year of expiration are provided for a drug, the drug may be used until the first day of that month.

True

False

NAVMED P-117, Article 21-7, Paragraph (11)

Explanation

NAVMED P-117, Article 21-7, Paragraph (11)

110. Which of the following is NOT required on an outpatient prescription container?

Number of refills remaining

Cautionary labels

Date prescription is originally filled and date refilled, if applicable

Full name of drug, strength, and quantity dispensed

All of the above are required

NAVMED P-117, Article 21-5, Paragraph (3)

Explanation

NAVMED P-117, Article 21-5, Paragraph (3)

111. What is the primary means of inpatient drug distribution in inpatient treatment facilities?

Unit-dose system

As-needed / As-required

Multi-dose system

Daily dose system

None of the above

NAVMED P-117, Article 21-6, Paragraph (1)

Explanation

NAVMED P-117, Article 21-6, Paragraph (1)

112. When a patient transfers to a different level of inpatient care, all orders shall be automatically canceled and rewritten (i.e. ward transfers, ward to surgery, etc).

True

False

NAVMED P-117, Article 21-6, Paragraph (5)

Explanation

NAVMED P-117, Article 21-6, Paragraph (5)

113. Which of the following is not an authorized prescriber?

Independent Duty Corpsman

Nurse Midwife

Physicians Assistants

Veterinarians

All of the above are authorized prescribers

NAVMED P-117, Article 21-4, Paragraph (1)

Explanation

NAVMED P-117, Article 21-4, Paragraph (1)

114. When is a patient's age required to be written on an outpatient written prescription?

Required for all antibiotics

Required for all patients

When patient is under 12 years of age

When patient is underweight or overweight

None of the above

NAVMED P-117, Article 21-5, Paragraph (2)

Explanation

NAVMED P-117, Article 21-5, Paragraph (2)

115. Prior to dispensing outpatient medications, positive identification shall be made using which identifiers?

Patient's name on the DoD military identification (ID) card and the birth date or Social Security Number.

Patient's name on the DoD military identification (ID) card and a state issued ID card such as driver's license

Patient's name on the DoD or state issued identification (ID) card and the birth date or Social Security Number

NAVMED P-117, Article 21-5, Paragraph (15)

Explanation

NAVMED P-117, Article 21-5, Paragraph (15)

116. A prescription for a controlled substance classified as a DEA Schedule II shall be filled within how many days of the date originally written?

7 days

14 days

21 days

30 days

None of the above

NAVMED P-117, Article 21-5, Paragraph (20)

Explanation

NAVMED P-117, Article 21-5, Paragraph (20)

117. How should inpatient self-care and discharge medications be labeled?

Inpatient self-care medications are not authorized

As inpatient medications

As outpatient prescriptions

None of the above

NAVMED P-117, Article 21-6, Paragraph (8)

Explanation

NAVMED P-117, Article 21-6, Paragraph (8)

118. Pharmaceutical inventory will be managed to ensure the stock levels of pharmaceuticals on-hand are not excessive. In general, they are not exceed a supply of how many days?

7 days

14 days

30 days

45 days

NAVMED P-117, Article 21-7, Paragraph (3)

Explanation

NAVMED P-117, Article 21-7, Paragraph (3)

119. The P&T Committee shall meet at what minimum interval?

Weekly

Monthly

Quarterly

Annually

NAVMED P-117, Article 21-3, Paragraph (3)

Explanation

NAVMED P-117, Article 21-3, Paragraph (3)

120. Personal medications brought to a hospital by a patient that were kept by nursing staff shall be destroyed 7 days after discharge.

True

False

NAVMED P-117, Article 21-6, Paragraph (9)

Explanation

NAVMED P-117, Article 21-6, Paragraph (9)

121. The DD 1829 is the DoD Prescription.

True

False

NAVMED P-117, Article 21-5, Paragraph (1)

Explanation

NAVMED P-117, Article 21-5, Paragraph (1)

122. When a pharmacy receives a prescription refill request for a controlled medication listed in DEA Schedule II but there are no further refills authorized, the pharmacist may choose to fill the prescription with a 72 hour supply if the medicine is for what purpose?

Anti-depressant

Seizure control

Post-operative pain within 7 days of surgery

Cancer-related pain control

None of the above

NAVMED P-117, Article 21-5, Paragraph (19)

Explanation

NAVMED P-117, Article 21-5, Paragraph (19)

123. Prescriptions from which of the following ARE not authorized to be filled at MTF pharmacies?

Optometrists

Independent Duty Corpsmen

Dental Corps Officers

Nurse Midwives

All of the above are authorized to be filled at MTF pharmacies

NAVMED P-117, Article 21-4, Paragraph (1)

Explanation

NAVMED P-117, Article 21-4, Paragraph (1)

124. How often will checks will be made by the pharmacy of all nursing care units or other areas where medications are dispensed, administered, or stored?

Daily

Weekly

Monthly

Quarterly

NAVMED P-117, Article 21-6, Paragraph (3)

Explanation

NAVMED P-117, Article 21-6, Paragraph (3)

125. Which of the following is NOT required on an outpatient prescription?

Date prescription was written

Patient's full name

Clear directions use for the patient.

Additional patient specific data / parameters (e.g., pregnancy/lactation status, weight, appropriate laboratory values) as required by regulation when appropriate

All of the above are required to be on outpatient prescriptions

NAVMED P-117, Article 21-5, Paragraph (2)

Explanation

NAVMED P-117, Article 21-5, Paragraph (2)

126. Prescriptions from which of the following ARE not authorized to be filled at MTF pharmacies?

Independent Duty Corpsmen

Veterinarians

Women's Health Nurse Practitioners

All of the above are authorized to be filled at MTF pharmacies

NAVMED P-117, Article 21-4, Paragraph (1)

Explanation

NAVMED P-117, Article 21-4, Paragraph (1)

127. The pharmacy is responsible for labeling medications. All medications issued in bulk containers to nursing care units or clinics, not dispensed in the original container, shall be labeled by the pharmacy with the date of issue, generic and trade name, strength, quantity, beyond use date, name of the manufacturer, and lot number or appropriate code to identify the drugs. The repackaging beyond use date will comply with current USP requirements and will not exceed the actual manufacturer's expiration date or a period of what time?

One month

Six months

One year

Two years

NAVMED P-117, Article 21-6, Paragraph (6)

Explanation

NAVMED P-117, Article 21-6, Paragraph (6)

128. Personal medications brought to a hospital by a patient that were kept by nursing staff shall be destroyed 45 days after discharge.

True

False

NAVMED P-117, Article 21-6, Paragraph (9)

Explanation

NAVMED P-117, Article 21-6, Paragraph (9)

129. When is a patient's age required to be written on an outpatient written prescription?

When medication is for weight gaining diagnosis, such as "Failure to Thrive"

When medication is for weight loss diagnosis, such as "Morbidly Obese"

Both options above

None of the above

NAVMED P-117, Article 21-5, Paragraph (2)

Explanation

NAVMED P-117, Article 21-5, Paragraph (2)

130. Which of the following statements is FALSE regarding the use of multi-dose vials (MDVs) containing parenteral medications?

The beyond-use date for MDVs with an anti-microbial preservative is 28 days, unless otherwise specified by the manufacturer.

Opened or needle punctured single dose containers shall be used within 1 hour and any remaining contents discarded.

Contaminated vials must be discarded immediately upon detection.

All of the above statements are true

NAVMED P-117, Article 21-7, Paragraph (13)

Explanation

NAVMED P-117, Article 21-7, Paragraph (13)

131. Prescriptions written by civilian practitioners not employed by the DoD may not be filled in MTF pharmacies. The pharmacy staff will provide a list of local pharmacies who accept TRICARE coverage, or refer the patient to the TRICARE Mail-Order Pharmacy (T-MOP).

True

False

NAVMED P-117, Article 21-4, Paragraph (2)

Explanation

NAVMED P-117, Article 21-4, Paragraph (2)

132. When is a patient's age required to be written on an outpatient written prescription?

When patient is 8 years old or younger

When patient is 12 years old or younger

Whenever medication is for intravenous medications

Whenever medication is for intravenous medications and the patient is under 18

None of the above

NAVMED P-117, Article 21-5, Paragraph (2)

Explanation

NAVMED P-117, Article 21-5, Paragraph (2)

133. Most over-the-counter medication and non-Food and Drug Administration (FDA) approved products are not covered under the TRICARE benefit

True

False

NAVMED P-117, Article 21-5, Paragraph (8)

Explanation

NAVMED P-117, Article 21-5, Paragraph (8)

134. Deploying service members may receive a prescription filled for up to a how many day supply of a Schedule II medication?

30 days

45 days

60 days

90 days

NAVMED P-117, Article 21-5, Paragraph (20)

Explanation

NAVMED P-117, Article 21-5, Paragraph (20)

135. A prescription for a non-controlled medication shall be filled within what time of the date originally written?

One month

Six months

One year

Eighteen months

None of the above

NAVMED P-117, Article 21-5, Paragraph (20)

Explanation

NAVMED P-117, Article 21-5, Paragraph (20)

136. Which instruction (series) provides guidance for training, certifying, and supervising Independent Duty Corpsmen?

OPNAV 6400.1

OPNAV 6421.1

OPNAV 6308.17

OPNAV 6122.8

None of the above

NAVMED P-117, Article 21-4, Paragraph (5)

Explanation

NAVMED P-117, Article 21-4, Paragraph (5)

137. A prescription for a controlled substance classified as a DEA Schedule II shall be filled within how many days of the date originally written?

14 days

30 days

45 days

60 days

None of the above

NAVMED P-117, Article 21-5, Paragraph (20)

Explanation

NAVMED P-117, Article 21-5, Paragraph (20)

138. At what age should a sponsor obtain a military ID card for the child?

Age 8

Age 10

Age 13

Age 16

NAVMED P-117, Article 21-5, Paragraph (15)

Explanation

NAVMED P-117, Article 21-5, Paragraph (15)

139. When a pharmacy receives a prescription refill request but no further refills are authorized and the patient is unable to readily obtain a new prescription, the pharmacist may use professional judgement to dispense a one-time limited fill of a maintenance medication. The amount should be reasonable to maintain the patient until the patient can contact the prescriber, but not greater than a supply of how many days?

10 days

14 days

21 days

30 days

None of the above

NAVMED P-117, Article 21-5, Paragraph (19)

Explanation

NAVMED P-117, Article 21-5, Paragraph (19)

140. How often shall the pharmaceutical inventory be inspected for expiring medications?

Daily

Weekly

Monthly

Quarterly

None of the above

NAVMED P-117, Article 21-7, Paragraph (11)

Explanation

NAVMED P-117, Article 21-7, Paragraph (11)

141. Government registration and authority to order, purchase or procure controlled substances from commercial substances lasts for how long?

One year

Three years

Five years

Six years

NAVMED P-117, Article 21-22, Paragraph (3)

Explanation

NAVMED P-117, Article 21-22, Paragraph (3)

142. A prescription for a non-controlled medication shall be filled within what time of the date originally written?

14 days

30 days

6 months

12 months

None of the above

NAVMED P-117, Article 21-5, Paragraph (20)

Explanation

NAVMED P-117, Article 21-5, Paragraph (20)

143. When CHCS is down and no adequate downtime system is available, only prescriptions written by civilian and MTF providers for what classes of urgent medications may be filled?

Antibiotics and pain medications

Antibiotics and anti-seizure medications

Blood pressure maintenance and anti-seizure medications

Antibiotics and anti-psychotics

None of the above

NAVMED P-117, Article 21-5, Paragraph (34)

Explanation

NAVMED P-117, Article 21-5, Paragraph (34)

144. Which of the following is NOT a key element of a unit-dose system?

Medications are dispensed in ready-to-administer form to the maximum extent possible

A patient medication profile is concurrently maintained by the pharmacy for each patient

Minimizing the use of floor stock medications

NAVMED P-117, Article 21-3, Paragraph (2)

Explanation

NAVMED P-117, Article 21-3, Paragraph (2)

145. Retired military physicians, possessing a current license, may use the DD Form 1289 to write prescriptions for personal use, except for controlled substances.

True

False

NAVMED P-117, Article 21-5, Paragraph (1)

Explanation

NAVMED P-117, Article 21-5, Paragraph (1)

146. When a pharmacy receives a prescription refill request but no further refills are authorized and the patient is unable to readily obtain a new prescription, the pharmacist may use professional judgement to dispense a one-time limited fill of a maintenance medication. The amount should be reasonable to maintain the patient until the patient can contact the prescriber, but not greater than a supply of how many days?

7 days

10 days

14 days

21 days

None of the above

NAVMED P-117, Article 21-5, Paragraph (19)

Explanation

NAVMED P-117, Article 21-5, Paragraph (19)

147. Which of the following statements is FALSE regarding the time and quantitiy limitations for filling and refilling prescriptions?

Non-controlled medications must be filled within 12 months of the date originally written

DEA Schedule II medications may not be refilled

Deploying service members may receive up to a 90-day supply of DEA Schedule II medications

DEA Schedule III-V medications must be filled within 6 months of the date originally written

All of the above are true

NAVMED P-117, Article 21-5, Paragraph (20)

Explanation

NAVMED P-117, Article 21-5, Paragraph (20)

148. Personal medications brought to a hospital by a patient that were kept by nursing staff shall be destroyed how many days after discharge?

1 day

3 days

7 days

15 days

None of the above

NAVMED P-117, Article 21-6, Paragraph (9)

Explanation

NAVMED P-117, Article 21-6, Paragraph (9)

149. What is the NAVMED 6710/6?

Authorization For Independent Duty Corpsmen to Prescribe Schedule II-V Controlled Substances Form

Controlled Substances Inventory Sheet

Controlled Substances Destruction Sheet

Controlled Substances Transfer Sheet

None of the above

NAVMED P-117, Article 21-5, Paragraph (1)

Explanation

NAVMED P-117, Article 21-5, Paragraph (1)

150. DEA Schedule III, IV, and V medications shall be filled within what period of time of the date originally written?

One month

Two months

Six months

One year

None of the above

NAVMED P-117, Article 21-5, Paragraph (20)

Explanation

NAVMED P-117, Article 21-5, Paragraph (20)

151. When CHCS is down and no adequate downtime system is available, only prescriptions written by civilian and MTF providers for what classes of urgent medications may be filled?

Anti-psychotics and seizure control medications

Antibiotics and anti-psychotics

Antibiotics, anti-psychotics, and seizure control medications

Antibiotics, anti-psychotics, seizure control, and depression medications

None of the above

NAVMED P-117, Article 21-5, Paragraph (34)

Explanation

NAVMED P-117, Article 21-5, Paragraph (34)

152. Which of the following statements is FALSE regarding the use of multi-dose vials (MDVs) containing parenteral medications?

Contaminated vials must be discarded immediately upon detection

Aseptic technique is recommended, but not mandatory

Opened or needle punctured single dose containers shall be used within 1 hour and any remaining contents discarded.

The beyond-use date for MDVs with an anti-microbial preservative is 28 days, unless otherwise specified by the manufacturer.

All of the above statements are true

NAVMED P-117, Article 21-7, Paragraph (13)

Explanation

NAVMED P-117, Article 21-7, Paragraph (13)

153. What is the NAVMED 6710/6?

Prescription Form

Poly-Prescription Form

Controlled Substances Tracking Log

Controlled Substances Destruction Log

None of the above

NAVMED P-117, Article 21-5, Paragraph (1)

Explanation

NAVMED P-117, Article 21-5, Paragraph (1)

154. Prescription medications for oral use by outpatients will normally be dispensed in child resistant containers unless the patient or prescribing practitioner requests conventional (non-child resistant closures). These requests for non-child proof containers shall be authorized by a notation in CHCS for the individual prescriptions or in the pharmacy comment section. However, what is the process If CHCS is not available?

Authorized by the patient's signature and such documentation shall remain on file within the MTF.

A paper prescription must be reissued by the practitioner stating that non-child resistant closures shall be used

An addendum may be made by the pharmacist and counter-signed by the patient onto each prescription

The medication shall be issued in child-resistant containers

NAVMED P-117, Article 21-5, Paragraph (11)

Explanation

NAVMED P-117, Article 21-5, Paragraph (11)

155. Weekly checks will be made by the pharmacy of all nursing care units or other areas where medications are dispensed, administered, or stored?

True

False

NAVMED P-117, Article 21-6, Paragraph (3)

Explanation

NAVMED P-117, Article 21-6, Paragraph (3)

156. Which DEA Schedule controlled substances are required to be kept in a vault or safe and inventoried by the Controlled Substances Inventory Board (CSIB)?

All controlled substances

DEA Schedule I

DEA Schedule II

DEA Schedule I and II

NAVMED P-117, Article 21-21, Paragraph (1)

Explanation

NAVMED P-117, Article 21-21, Paragraph (1)

157. Which instruction (series) provides guidance for training, certifying, and supervising Independent Duty Corpsmen?

OPNAV 6000.1

SECNAV 5403.3

BUMED 6000.1

NAVPERS 6000.1

None of the above

NAVMED P-117, Article 21-4, Paragraph (5)

Explanation

NAVMED P-117, Article 21-4, Paragraph (5)

158. Which of the following references will be observed when preparing or compounding sterile products (e.g. chemotherapeutics, large and small volume intravenous admixtures, and irrigations)?

USP 792 and USP 773

USP 795 and USP 796

USP 791 and USP 791-b

USP 795 and USP 797

None of the above

NAVMED P-117, Article 21-6, Paragraph (2)

Explanation

NAVMED P-117, Article 21-6, Paragraph (2)

159. Requests for non-childproof medication containers shall be authorized by what?

Confirming verbally with the counter clerk

Request made in writing from prescribing provider or from on-duty pharmacist. Request must be made for each visit

Notation in CHCS or in the pharmacy comment section

In writing in the patient's outpatient medical record and verified verbally at each pharmacy encounter with the clerk

None of the above

NAVMED P-117, Article 21-5, Paragraph (11)

Explanation

NAVMED P-117, Article 21-5, Paragraph (11)

160. Which of the following statements is TRUE regarding inpatient transfers to different levels of care (i.e., ward transfers, ward to surgery, etc.)?

All orders are automatically cancelled and rewritten

All orders except pain medications are automatically cancelled and rewritten

All orders are granted a 12 hour extension to allow for review and reconciliation

All orders are granted a 24 hour extension to allow for review and reconciliation

NAVMED P-117, Article 21-6, Paragraph (5)

Explanation

NAVMED P-117, Article 21-6, Paragraph (5)

161. When a pharmacy receives a prescription refill request for a controlled medication listed in DEA Schedule II but there are no further refills authorized, the pharmacist may choose to fill the prescription with a 72 hour supply if the medicine is for what purpose?

Major Depression

Dysthymic disorders

Antipsychotics

Seizure control

None of the above

NAVMED P-117, Article 21-5, Paragraph (19)

Explanation

NAVMED P-117, Article 21-5, Paragraph (19)

162. Who approves the over-the-counter medication items dispensed through an MTF's OTC program?

Medical Services Department Head

Commanding Officer

Pharmacy and Therapeutics (P&T) Committee

Pharmacy Department Head

NAVMED P-117, Article 21-5, Paragraph (16)

Explanation

NAVMED P-117, Article 21-5, Paragraph (16)

163. Time and quantitiy limitations for filling and refilling prescriptions: (a) DEA Schedule II - Must be filled within 7 days of the date originally written - One refill authorized per prescription - Deploying members may receive up to a 120-day supply of Schedule II medications (b) DEA Schedules III-V - Must be filled within 1 month of the date originally written - May be refilled up to 2 times within a 3 month period - Deploying members may receive up to a 365-day supply of Schedules III-V medications (c) Non-controlled medications - Must be filled within 6 months of the date originally written - May be refilled up to 12 months from the date originally written - Prescription quantities will be filled as written up to a 365-day supply for maintenance medications - Active duty beneficiaries may be dispensed larger quantities to meet readiness requirements

True

False

NAVMED P-117, Article 21-5, Paragraph (20)

Explanation

NAVMED P-117, Article 21-5, Paragraph (20)

164. What is the primary means of inpatient drug distribution in inpatient treatment facilities?

Daily Delivery System (DDS)

Unit-dose

Multi-dose

Medication Administration Record (MAR)

None of the above

NAVMED P-117, Article 21-6, Paragraph (1)

Explanation

NAVMED P-117, Article 21-6, Paragraph (1)

165. At what age should a sponsor obtain a military ID card for the child?

Age 5

Age 10

Age 12

Age 18

NAVMED P-117, Article 21-5, Paragraph (15)

Explanation

NAVMED P-117, Article 21-5, Paragraph (15)

166. Medications on which of the following DEA Schedules are not to be refilled?

Schedule I

Schedule II

Schedule IV

Schedule V

NAVMED P-117, Article 21-5, Paragraph (20)

Explanation

NAVMED P-117, Article 21-5, Paragraph (20)

167. According to the NAVMED P-117, MTF pharmacies will not provide medications intended for the purpose of home intravenous infusion. What should be done with these patients?

Referred to TRICARE Mail Order Pharmacy (TMOP)

Referred back to their practitioner to reconsider oral, intramuscular, or rectal medications

Referred to case management staff / health benefits advisory staff

Referred to civilian pharmacy

NAVMED P-117, Article 21-5, Paragraph (12)

Explanation

NAVMED P-117, Article 21-5, Paragraph (12)

168. Which of the following statements is FALSE regarding the time and quantitiy limitations for filling and refilling prescriptions?

DEA Schedule II medications must be filled within 90 days of the date originally written

DEA Schedule II medicaitons are not refillable

Deploying members may receive up to a 180-day supply of medications listed in DEA Schedules III-V

Prescriptions for non-controlled medications must be filled within 12 months of the date originally written

All of the above are true

NAVMED P-117, Article 21-5, Paragraph (20)

Explanation

NAVMED P-117, Article 21-5, Paragraph (20)

169. Which of the following should be done when a police officer, agent of the Naval Criminal Investigative Service (NCIS), agent of the CO, or any agent of higher authority may remove an original prescription from the pharmacy's files for the purpose of an investigation?

Make a photocopy of the original prescription and obtain a receipt from the agent to keep in the pharmacy's files

The patient must be contacted immediately by the Pharmacy Department Head

Command or base legal must be contacted immediately

NAVMED P-117, Article 21-5, Paragraph (24)

Explanation

NAVMED P-117, Article 21-5, Paragraph (24)

170. When a pharmacy receives a prescription refill request for a controlled medication listed in DEA Schedule II but there are no further refills authorized, the pharmacist may choose to fill the prescription with a 72 hour supply if the medicine is for what purpose?

Depression / Major Depression

Anxiety Disorder with or without Depression or Major Depression

Post-Operative Pain

ADD / ADHD

None of the above

NAVMED P-117, Article 21-5, Paragraph (19)

Explanation

NAVMED P-117, Article 21-5, Paragraph (19)

171. You are on duty at the Naval Hospital Camp Pendleton pharmacy. A retired Colonel comes to your window to fill a prescription for blood pressure medicine that you normally carry. The prescription was written by his civilian DoD physician back home near Camp Lejeune but forgot to fill it. The Colonel states that he will be returning to Camp Lejeune in about a week and doesn't think that it is a big deal if he misses a few doses of his medication. What should you do?

Process the prescription as normal

Have the Colonel be seen for sick call

Obtain a set of vital signs and then process the prescription

NAVMED P-117, Article 21-4, Paragraph (3)

Explanation

NAVMED P-117, Article 21-4, Paragraph (3)

172. Refills for outpatient maintenance medications may be requested when 50% or more of the prior prescription has been used. A pharmacy officer may authorize an early refill under special circumstances (e.g., patient on travel out of the area).

True

False

NAVMED P-117, Article 21-5, Paragraph (29)

Explanation

NAVMED P-117, Article 21-5, Paragraph (29)

173. You are on duty at the Naval Hospital Bremerton pharmacy. An Active Duty E4 Marine presents to your window with a prescription for a maintenance cholesterol medication written by her Medical Officer. It is a drug that you normally carry. She received the prescription two weeks ago while in Singapore but was unable to fill it. due to operational commitments. The Marine states that she will be returning to Singapore in fourteen days and that it isn't a big deal if she misses a few doses of her medication. What should you do?

Have the Marine be seen by a provider at your MTF for sick call

Ask a provider to counter-sign the prescription without seeing the patient

Process the prescription as normal

Have the patient keep the prescription and fill it when she returns to her duty station in Singapore

NAVMED P-117, Article 21-4, Paragraph (3)

Explanation

NAVMED P-117, Article 21-4, Paragraph (3)

174. Which of the following is FALSE regarding the regulations of an MTF's outpatient pharmacy over-the-counter (OTC) medication program?

OTCs dispensed in these programs shall be recorded in the patient's pharmacy profile

Quantities are dispensed in 90-day supplies to allow for treatment of semi-chronic conditions such as persistent skin conditions

Products containing pseudoephedrine or other OTC medications with FDA restrictions shall not be dispensed as an OTC.

All of the above are true

NAVMED P-117, Article 21-5, Paragraph (16)

Explanation

NAVMED P-117, Article 21-5, Paragraph (16)

175. When a pharmacy receives a prescription refill request but no further refills are authorized and the patient is unable to readily obtain a new prescription, the pharmacist may use professional judgement to dispense a one-time limited fill of a maintenance medication. The amount should be reasonable to maintain the patient until the patient can contact the prescriber, but not greater than a supply of how many days?

7 days

14 days

30 days

45 days

None of the above

NAVMED P-117, Article 21-5, Paragraph (19)

Explanation

NAVMED P-117, Article 21-5, Paragraph (19)

176. Personal medications brought to a hospital by a patient that were kept by nursing staff shall be destroyed how many days after discharge?

3 days

7 days

15 days

30 days

None of the above

NAVMED P-117, Article 21-6, Paragraph (9)

Explanation

NAVMED P-117, Article 21-6, Paragraph (9)

177. Each parent MTF, with an organic pharmacy department, shall establish a Pharmacy and Therapeutics (P&T) Committee to advise the CO on the selection and use of drugs in the facility. The P&T Committee is a function of the medical staff and will meet at least monthly.

True

False

NAVMED P-117, Article 21-3, Paragraph (3)

Explanation

NAVMED P-117, Article 21-3, Paragraph (3)

178. How often shall the combination be changed on safes or vaults containing DEA controlled substances?

Weekly, or upon change in custodian, or suspected compromise of the combination

Monthly, or upon change in custodian, or suspected compromise of the combination

Quarterly, or upon change in custodian, or suspected compromise of the combination

Semi-annually, or upon change in custodian, or suspected compromise of the combination

NAVMED P-117, Article 21-21, Paragraph (1)

Explanation

NAVMED P-117, Article 21-21, Paragraph (1)

179. When CHCS is down and no adequate downtime system is available, only prescriptions written by civilian and MTF providers for what classes of urgent medications may be filled? (Select all that apply)

Antibiotics

Pain control

Birth control

Anti-psychotic

Seizure control

Depression

Blood pressure

NAVMED P-117, Article 21-5, Paragraph (34)

Explanation

NAVMED P-117, Article 21-5, Paragraph (34)

Submit

180. Which instruction (series) provides guidance for training, certifying, and supervising Independent Duty Corpsmen?

SECNAV 6400.1

OPNAV 6400.1

BUMED 6400.1

COMNAVMED 6400.1

None of the above

NAVMED P-117, Article 21-4, Paragraph (5)

Explanation

NAVMED P-117, Article 21-4, Paragraph (5)

181. The SF 1289 is the DoD Prescription.

True

False

NAVMED P-117, Article 21-5, Paragraph (1)

Explanation

NAVMED P-117, Article 21-5, Paragraph (1)

182. Which of the following is FALSE regarding the regulations of an MTF's outpatient pharmacy over-the-counter (OTC) medication program?

Quantities dispensed are limited to one treatment regimen or a few days supply

Products containing pseudoephedrine will only be dispensed in 3 day quantities

OTCs dispensed in these programs shall be recorded into a patient's pharmacy profile

OTC items are limited to treatment of minor problems such as common colds, headaches, indigestion, or minor dermatitis

All of the above are true

NAVMED P-117, Article 21-5, Paragraph (16)

Explanation

NAVMED P-117, Article 21-5, Paragraph (16)

183. A prescription for a controlled substance classified as a DEA Schedule II shall be filled within how many days of the date originally written?

7 days

10 days

14 days

15 days

None of the above

NAVMED P-117, Article 21-5, Paragraph (20)

Explanation

NAVMED P-117, Article 21-5, Paragraph (20)

184. Daily checks will be made by the pharmacy of all nursing care units or other areas where medications are dispensed, administered, or stored?

True

False

NAVMED P-117, Article 21-6, Paragraph (3)

Explanation

NAVMED P-117, Article 21-6, Paragraph (3)

185. Pharmaceutical inventory will be managed to ensure the stock levels of pharmaceuticals on-hand are not excessive (in general, not to exceed a 45 day supply), based on historic utilization patterns, potential urgency of medication use, administrative costs, in addition to considering the limits of the supply system.

True

False

NAVMED P-117, Article 21-7, Paragraph (3)

Explanation

NAVMED P-117, Article 21-7, Paragraph (3)

186. Merchandise credits obtained from returning expired pharmaceuticals will be monitored to ensure utilization within how many days after posting at the Prime Vendor?

7 days

14 days

30 days

90 days

None of the above

NAVMED P-117, Article 21-7, Paragraph (11)

Explanation

NAVMED P-117, Article 21-7, Paragraph (11)

187. Where shall use of controlled medications be noted when electronic medical records are not utilized?

Pharmacy log book

Electronic medical record

Member's health or dental record at the time prescribed

CSIB dispensing log book

NAVMED P-117, Article 21-22, Paragraph (9)

Explanation

NAVMED P-117, Article 21-22, Paragraph (9)

188. Which of the following is NOT required on an outpatient prescription container?

Prescriber's name

Unit / dosage cost of the medication

Filler's and checker's initials (when not supported through automation)

Beyond-use date, if applicable

All of the above are required

NAVMED P-117, Article 21-5, Paragraph (3)

Explanation

NAVMED P-117, Article 21-5, Paragraph (3)

189. Once a DEA Schedule III to V prescription has been transferred to a civilian pharmacy for refills, what must be done to transfer the same prescription back to the MTF?

The same prescription cannot be transferred back

The hard copy prescription needs to be initialed in the top left corner by the releasing pharmacist

The hard copy prescription needs to be initialed in the top left corner by the gaining pharmacist

The hard copy prescription needs to be initialed in the top left corner by both the releasing and gaining pharmacists

NAVMED P-117, Article 21-5, Paragraph (23)

Explanation

NAVMED P-117, Article 21-5, Paragraph (23)

190. Which of the following is NOT a benefit of liking us on Facebook?

More traffic to the site

Less traffic to the site

Stay informed of major site changes or sales on our discs and flash drives

All of the above

Liking a page on Facebook typically increases the visibility and reach of the page, leading to more traffic to the site. However, the given answer states that "Less traffic to the site" is not a benefit of liking the page. This implies that liking the page does not result in a decrease in site traffic, which contradicts the usual understanding of how Facebook likes can drive traffic to a website.

Explanation

Liking a page on Facebook typically increases the visibility and reach of the page, leading to more traffic to the site. However, the given answer states that "Less traffic to the site" is not a benefit of liking the page. This implies that liking the page does not result in a decrease in site traffic, which contradicts the usual understanding of how Facebook likes can drive traffic to a website.

191. The Medical Services Department Head responsible for reviewing and approving formularies for providers with limited prescribing privileges such as Physicians Assistants, nurse practitioners, and Independent Duty Corpsmen.

True

False

NAVMED P-117, Article 21-3, Paragraph (3)

Explanation

NAVMED P-117, Article 21-3, Paragraph (3)

192. Patient's age or date of birth is required to be on every outpatient prescription. If the child is 18 years old or younger, the age must also be included. The pharmacy may record the child's age or weight on the prescription if it was omitted.

True

False

NAVMED P-117, Article 21-5, Paragraph (2)

Explanation

NAVMED P-117, Article 21-5, Paragraph (2)

193. Prescriptions from which of the following ARE not authorized to be filled at MTF pharmacies?

Veterinarians

Pharmacists

Pediatric Nurse Practitioners

All of the above are authorized to be filled at MTF pharmacies

NAVMED P-117, Article 21-4, Paragraph (1)

Explanation

NAVMED P-117, Article 21-4, Paragraph (1)

194. When a commissioned officer (pharmacist) is not assigned to an MTF, a civilian pharmacist or Corpsman with what NEC will be assigned responsibilities?

HM-8425

HM-8482

HM-0817

HM-8432

NAVMED P-117, Article 21-3, Paragraph (1)

Explanation

NAVMED P-117, Article 21-3, Paragraph (1)

195. At a minimum, how often shall inventory of DEA Schedule III, IV, and V controlled substances be conducted?

Every six months

Annually

Biennial, on even numbered years

Biennial, on odd numbered years

NAVMED P-117, Article 21-21, Paragraph (2)

Explanation

NAVMED P-117, Article 21-21, Paragraph (2)

196. What is the proper procedure for filling out telephone or oral prescriptions?

None. Telephone and oral prescriptions are not authorized and shall not be filled.

Telephone and oral prescriptions can only be accepted by Pharmacists or other physicians

Immediately reduce the the telephone or oral prescription to writing and read it back to the provider for verfication.

NAVMED P-117, Article 21-5, Paragraph (4)

Explanation

NAVMED P-117, Article 21-5, Paragraph (4)

197. How often shall MTFs conduct an inventory of all drugs stocked in the pharmacy?

Weekly

Monthly

Quarterly

Annually

None of the above

NAVMED P-117, Article 21-7, Paragraph (3)

Explanation

NAVMED P-117, Article 21-7, Paragraph (3)

198. Why should you use our links to Amazon.com to make all your online purchases?

You're probably going to purchase the items anyways, why not use the links here and help out my fellow Corpsmen

You get something for yourself, and all of your fellow Corpsmen by keeping the site funded and operational

The correct answer suggests that using the provided links to make online purchases on Amazon.com will not cost any extra compared to going to Amazon.com directly. The only difference is that a portion of the profits will go to battalionaidstation.com, which helps out fellow Corpsmen. Additionally, using these links still provides the same benefits of low prices, rapid delivery, and great customer service as going to Amazon.com directly. By keeping the site funded and operational, users also get something for themselves and support their fellow Corpsmen.

Explanation

The correct answer suggests that using the provided links to make online purchases on Amazon.com will not cost any extra compared to going to Amazon.com directly. The only difference is that a portion of the profits will go to battalionaidstation.com, which helps out fellow Corpsmen. Additionally, using these links still provides the same benefits of low prices, rapid delivery, and great customer service as going to Amazon.com directly. By keeping the site funded and operational, users also get something for themselves and support their fellow Corpsmen.

Submit

199. Prescriptions for animals will only be filled for pets registered to authorized dependents and only if the medication is carried at the MTF.

True

False

NAVMED P-117, Article 21-5, Paragraph (6)

Explanation

NAVMED P-117, Article 21-5, Paragraph (6)

200. When a patient transfers to a different level of inpatient care (i.e. ward to ICU, or post-partum to medical-surgical ward), all orders are granted a 48-hour advance for the practitioners to review the patient's medication and medical history.

True

False

NAVMED P-117, Article 21-6, Paragraph (5)

Explanation

NAVMED P-117, Article 21-6, Paragraph (5)

Navmed P-117 Pharmacy Quiz – Military Medical Protocols

1. A "near-miss" is defined as an event or situation that could have resulted in harm to a patient, if it had reached the patient.

2.

What first name or nickname would you like us to use?

2. Telephone or oral prescriptions will not be accepted except for emergency situations or under extraordinary circumstances, directly from an authorized prescriber. Telephone and oral prescriptions shall be immediately reduced to writing and read back to the provider for verification.

3. Products containing pseudoephedrine or other over-the-counter (OTC) medications with FDA restrictions shall not be dispensed as an OTC. MTFs will only dispense pseudoephedrine-containing products as a prescription item. \

4. When a pharmacy receives a prescription refill request for a controlled medication listed in DEA Schedule II but there are no further refills authorized, the pharmacist may choose to fill the prescription with a 72 hour supply if the medicine is for __________ (one word) control.

5. Deploying service members may receive up to a __________(word or numbers) day supply of DEA Schedule II medication.

7. __________(one word) checks will be made by the pharmacy of all nursing care units or other areas where medications are dispensed, administered, or stored?

10. When only a month and year of expiration are provided for a drug, the drug may be used until the __________ (one word) day of that month.

11. No authorized provider shall prescribe or furnish a DEA controlled substance for themselves or members of their immediate family.

13. The primary means of inpatient drug distribution in fixed inpatient treatment facilities will be the unit-dose system or automated medication dispensing systems, which shall include the pharmacist interpreting the physician's orders and monitoring inpatient medication needs.

15. A log or electronic record of all medications placed in storage counting cells (e.g. Baker Cells, Drug-o-Matic) will be maintained to include initials of the pharmacist or senior technician checking the filled cell, manufacturer. lot number, and expiration date.

16. A prescription for a non-controlled medication shall be filled within 1 year of the date originally written. These prescriptions may be refilled, if authorized by the prescriber, up to 12 months from the date originally written.

18. Prescriptions written by civilian practitioners other than those employed by the DoD may be filled for authorized beneficiaries provided that the item is on the MTF formulary and a pharmacist verfies the prescription per current regulations.

20. Products containing pseudoephedrine or other over-the-counter (OTC) medications with FDA restrictions shall not be dispensed as an OTC. MTFs will only dispense pseudoephedrine-containing products as a prescription item.

27. MTF pharmacies will not provide medications intended for the purpose of home intravenous infusion.

28. All medications issued in bulk containers to nursing care units or clinics, not dispensed in the original container, shall be labeled by the pharmacy with which of the following pieces of information?

29. Personal medications brought to a hospital by a patient that were kept by nursing staff shall be destroyed 15 days after discharge.

31. Each parent MTF, with an organic pharmacy department, shall establish a Pharmacy and Therapeutics (P&T) Committee to advise the CO on the selection and use of drugs in the facility. The P&T Committee is a function of the medical staff and will meet at least quarterly.

32. Pharmacies will fill all valid non-controlled prescriptions that are presented, regardless of the geographic location of the beneficiary or prescriber, providing the medication is on the MTF formulary, and the prescription conforms to applicable laws and regulations.

35. Substances listed on DEA Schedule II are considered to be drugs with an acceptable medical use and a very high abuse potential.

36. Which chapter of the MANMED deals with Pharmacy?

37. Patient's age or date of birth is required to be on every outpatient prescription. If the child is 12 years old or younger, the age must also be included. The pharmacy may record the child's age or weight on the prescription if it was omitted.

38. Caustic substances such as acetic acid and concentrated hydrochloric acid shall be submitted and approved by the MTF CO prior to being issued to nursing care units, clinics, or outpatients. They shall be stored in separate lockers and contents shall be clearly marked.

43. DEA Schedule II medications must be refilled within 30 days of the prescription being written. They may not be refilled, except for a 72-hour supply of anti-seizure medication. Deploying service members on Schedule II medications may receive up to a 90-day supply.

44. Alcoholic beverages shall not be stocked or dispensed from Navy MTFs.

45. The patient's weight is required on the prescription when the patient is under 12 years of age.

47. When only a month and year of expiration are provided for a drug, the drug may be used until the last day of that month.

48. Products containing pseudoephedrine or other over-the-counter (OTC) medications with FDA restrictions shall not be dispensed as an OTC. MTFs will only dispense pseudoephedrine-containing products as a prescription item.

50. Substances listed on DEA Schedule I are considered to be drugs with no acceptable medical use and a very high abuse potential.

51. The Pharmacy and Therapeutics (P&T) Committee is responsible for reviewing and approving formularies for providers with limited prescribing privileges such as Physicians Assistants, nurse practitioners, and Independent Duty Corpsmen.

54. Inside of the continental United States (CONUS), MTFs may only accept civilian prescriptions from CONUS providers.

55. Prescriptions for animals, other than those owned by the Government, will not be filled.

56. Prior to dispensing outpatient medications, positive identification shall be used using two identifiers: the patient's name on the DoD military identification (ID) card and the birth date or Social Security Number.

57. DEA Schedule II medications are normally prescribed for a 30 day period.

58. Deploying service members may receive up to a 90-day supply of DEA Schedule II medication.

59. Which of the following is NOT required on an outpatient prescription container?

60. Substances listed on DEA Schedule V are considered to be drugs with an acceptable medical use and a very high abuse potential.

61. Which of the following statements is FALSE regarding the advertisements found on our website?

63. The DD 1289 is the DoD Prescription.

64. A prescription for a controlled substance classified as a DEA Schedule II shall be filled within 30 days of the date originally written. NAVMED P-117, Article 21-5, Paragraph (20)

66. Which of the following is the DoD Prescription Form?

67. Which of the following is NOT required on an outpatient prescription container?

69. Inside of the continental United States (CONUS), MTFs may only accept civilian prescriptions from CONUS providers.

70. When CHCS is down and no adequate downtime system is available, only prescriptions written by civilian and MTF providers for what classes of urgent medications may be filled?

71. Which one do you like?

72. You're enjoying this quiz and its probably doing a good job of helping you study and getting you advanced to the next rank. Which of the following is a good way to support this project and keep the site running?

74. Refills for outpatient maintenance medications may be requested when 75% or more of the prior prescription has been used. A pharmacy officer may authorize an early refill under special circumstances (e.g., patient on travel out of the area).

77. Each parent MTF, with an organic pharmacy department, shall establish a Pharmacy and Therapeutics (P&T) Committee to advise the CO on the selection and use of drugs in the facility. The P&T Committee is a function of the medical staff and will meet at least ___________ (one word).

81. Which of the following is NOT required on an outpatient prescription?

82. At what age should a sponsor obtain a military ID card for the child?

83. Deploying service members may receive up to a 120-day supply of DEA Schedule II medication.

84. When only a month and year of expiration are provided for a drug, the drug may be used until when?

85. Which of the following DEA Schedules refers to a drug with no acceptable medical use and a very high abuse potential?

86. Prescriptions written by civilian practitioners, other than those employed by the DoD, may be filled for authorized beneficiaries, providing the prescribed medication is on the MTF formulary and a pharmacist verifies the prescription per current regulations.

87. Which of the following is FALSE regarding the regulations of an MTF's outpatient pharmacy over-the-counter (OTC) medication program?

88. Which of the following references will be observed when preparing or compounding sterile products (e.g. chemotherapeutics, large and small volume intravenous admixtures, and irrigations)?

89. Which of the following DEA Schedules refers to a drug with an acceptable medical use but a very high abuse potential?

90. How shall Schedule III, IV, and V bulk medications be stored?

91. If a multiple prescription (civilian) is presented for filling at an MTF and the pharmacy does not stock all the medications ordered, the pharmacy will do which of the following?

92. What is the NAVMED 6710/6?

93. A prescription for a non-controlled medication shall be filled within six months of the date originally written. These prescriptions may be refilled, if authorized by the prescriber, up to six months from the date originally written.

94. How often will checks will be made by the pharmacy of all nursing care units or other areas where medications are dispensed, administered, or stored?

95. Providers shall prescribe controlled substances only for patients under their direct care. Only under extraordinary circumstances will controlled substances be prescribed for a patient that was not personally evaluated by the prescriber at the time a controlled substance was prescribed.

96. When a commissioned officer (pharmacist) is not assigned to an MTF, a civilian pharmacist or Corpsman with what NEC will be assigned responsibilities?

97. Which of the following is NOT an authorized prescriber?

98. Pharmaceutical inventory will be managed to ensure the stock levels of pharmaceuticals on-hand are not excessive. In general, they are not exceed a supply of how many days? NAVMED P-117, Article 21-7, Paragraph (3)

99. Substances listed on DEA Schedule I are considered to be drugs with an acceptable medical use and a very high abuse potential.

100. Which of the following is FALSE regarding the regulations of an MTF's outpatient pharmacy over-the-counter (OTC) medication program?

101. The P&T Committee shall meet at what minimum interval?

102. Which of the following is NOT required on an outpatient prescription?

103. Unapproved non-MTF formulary prescriptions may be filled using mail-order benefits or a retail pharmacy if covered by the patient's TRICARE benefit.

104. How many refills are authorized on DEA Schedule II medications?

106. Which of the following is the DoD Prescription Form?

107. When must dispensed outpatient prescriptions be issued with a printed Patient Education Monograph from CHCS?

108. Inpatient self-care and discharge medications should be labeled as outpatient prescriptions.

109. When only a month and year of expiration are provided for a drug, the drug may be used until the first day of that month.

110. Which of the following is NOT required on an outpatient prescription container?

111. What is the primary means of inpatient drug distribution in inpatient treatment facilities?