Navmed P-117 Ch 21: Pharmacy

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

• A.

  True

• B.

  False

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

• A.

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

• B.

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

• C.

  Hitting the "refresh" button on your browser when the quiz is complete to load up a new set of questions (many of which you haven't yet seen) in a random order

• D.

  All of the above

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?

• A.

  Forwarding the site to your friends and coworkers

• B.

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

• C.

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

• D.

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

• E.

  All of the above

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?

• A.

  You use the site regularly and would like to contribute

• B.

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

• C.

  To show your appreciation for the site

• D.

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

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

• A.

  It's the same price as going to Amazon.com directly. The only difference is that a part of the profits goes to battalionaidstation.com

• B.

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

• C.

  Purchasing the items through these links give the same low price, rapid delivery, and great customer service as going to Amazon.com directly

• D.

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

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

• A.

  HM-8425

• B.

  HM-8482

• C.

  HM-0817

• D.

  HM-8432

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

• A.

  HM-0113

• B.

  HM-8425

• C.

  HM-8482

• D.

  HM-1228

• E.

  None of the above

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

• A.

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

• B.

  Not more than a 7 day supply of doses is provided to or available at the patient care area at any time, unless an automated dispensing system is in place

• C.

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

• D.

  Minimizing the use of floor stock medications

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.

• A.

  True

• B.

  False

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 72-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.

• A.

  True

• B.

  False

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.

• A.

  True

• B.

  False

Which chapter of the MANMED deals with Pharmacy?

• A.

  Chapter 14

• B.

  Chapter 19

• C.

  Chapter 21

• D.

  Chapter 23

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.

• A.

  True

• B.

  False

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

• A.

  Weekly

• B.

  Monthly

• C.

  Quarterly

• D.

  Annually

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

• A.

  Weekly

• B.

  Every two weeks

• C.

  Monthly

• D.

  Quarterly

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. 

• A.

  True

• B.

  False

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. 

• A.

  True

• B.

  False

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

• A.

  Optometrists

• B.

  Independent Duty Corpsmen

• C.

  Dental Corps Officers

• D.

  Nurse Midwives

• E.

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

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

• A.

  Veterinarians

• B.

  Pharmacists

• C.

  Pediatric Nurse Practitioners

• D.

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

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

• A.

  Independent Duty Corpsmen

• B.

  Veterinarians

• C.

  Women's Health Nurse Practitioners

• D.

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

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)

• A.

  True

• B.

  False

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.

• A.

  True

• B.

  False

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?

• A.

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

• B.

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

• C.

  Process the prescription as normal

• D.

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

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?

• A.

  Process the prescription as normal

• B.

  Have the Colonel be seen for sick call

• C.

  Obtain a set of vital signs and then process the prescription

• D.

  Instruct the Colonel to fill the prescription as soon as he returns to Camp Lejeune. Advise him to limit his activities to prevent hypertension until his return to Camp Lejeune

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.

• A.

  True

• B.

  False

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

• A.

  True

• B.

  False

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.

• A.

  True

• B.

  False

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.

• A.

  True

• B.

  False

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). 

Which of the following is not an authorized prescriber?

• A.

  Independent Duty Corpsman

• B.

  Nurse Midwife

• C.

  Physicians Assistants

• D.

  Veterinarians

• E.

  All of the above are authorized prescribers

Which of the following is NOT an authorized prescriber?

• A.

  Nurse Practitioners

• B.

  Pharmacist

• C.

  Dental Corps Officers

• D.

  Civilian physicians employed by the DoD

• E.

  All of the above are authorized providers

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.

• A.

  True

• B.

  False

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).

• A.

  True

• B.

  False

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

• A.

  True

• B.

  False

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

• A.

  SECNAV 6400.1

• B.

  OPNAV 6400.1

• C.

  BUMED 6400.1

• D.

  COMNAVMED 6400.1

• E.

  None of the above

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

• A.

  OPNAV 6400.1

• B.

  OPNAV 6421.1

• C.

  OPNAV 6308.17

• D.

  OPNAV 6122.8

• E.

  None of the above

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

• A.

  True

• B.

  False

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

• A.

  OPNAV 6000.1

• B.

  SECNAV 5403.3

• C.

  BUMED 6000.1

• D.

  NAVPERS 6000.1

• E.

  None of the above

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

• A.

  Date prescription was written

• B.

  Patient's full name

• C.

  Clear directions use for the patient.

• D.

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

• E.

  All of the above are required to be on outpatient prescriptions

Which of the following is the DoD Prescription Form?

• A.

  SF 1289

• B.

  DD 1289

• C.

  NAVMED 1289

• D.

  BUMED 1289

Which of the following is the DoD Prescription Form?

• A.

  DD 1829

• B.

  DD 1828

• C.

  DD 1289

• D.

  DD 1988

• E.

  None of the above

Which of the following is the DoD Prescription Form?

• A.

  SF 1289

• B.

  SF 1498

• C.

  SF 1288

• D.

  SF 1989

• E.

  None of the above

The DD 1289 is the DoD Prescription. 

• A.

  True

• B.

  False

The SF 1289 is the DoD Prescription. 

• A.

  True

• B.

  False

The DD 1829 is the DoD Prescription. 

• A.

  True

• B.

  False

What is the NAVMED 6710/6? 

• A.

  Prescription Form

• B.

  Poly-Prescription Form

• C.

  Controlled Substances Tracking Log

• D.

  Controlled Substances Destruction Log

• E.

  None of the above

What is the NAVMED 6710/6? 

• A.

  Guaranteed Returns Submission Form

• B.

  Shelf Life Extension Program Inventory Sheet

• C.

  Poly-Prescription

• D.

  Controlled Substances Inventory Sheet

• E.

  None of the above

What is the NAVMED 6710/6? 

• A.

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

• B.

  Controlled Substances Inventory Sheet

• C.

  Controlled Substances Destruction Sheet

• D.

  Controlled Substances Transfer Sheet

• E.

  None of the above

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

• A.

  True

• B.

  False

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

• A.

  Date prescription was written

• B.

  Patient's age or date of birth

• C.

  Additional patient specific data / parameters when appropriate or required

• D.

  Generic name

• E.

  All of the above are requirements