1.
Who is not included in the "closed system" of Controlled substances?
Correct Answer
C. Delivery Personnel
Explanation
Delivery personnel are not included in the "closed system" of controlled substances. The closed system refers to the strict regulations and monitoring of the manufacturing, distribution, prescription, and dispensing of controlled substances. While manufacturers, distributors, prescribers, and dispensers are all part of this closed system and have specific responsibilities and regulations to follow, delivery personnel are not directly involved in the handling or administration of controlled substances. Their role is primarily focused on transportation and delivery of medications rather than the actual control and monitoring of these substances.
2.
In governmental organization, under what organization/agency/branch/etc. does the DEA fall?
Correct Answer
D. A and C
Explanation
Executive branch → Justice department (attorney general) → FBI → DEA
3.
At the creation of the Controlled Substances Act, who were considered "prescribers"?
Correct Answer(s)
A. pHysicians
B. Podiatrists
C. Veterinarians
E. Dentist
Explanation
physicians, dentists, veterinarians, podiatrists
4.
Which of the following would not fall under "Schedule 2"
Correct Answer
B. Anabolic Steroids
Explanation
All anabolic steroids are under Schedule 3
5.
The DEA has direct control over all Scheduled meidcations (II-V).
Correct Answer
B. False
Explanation
Prescription requirements are determined through the FDA and/or State
6.
DEA has full control over who can be considered a prescriber.
Correct Answer
B. False
Explanation
"Original Four" described in Federal Control Substances Act- physicians, dentists, veterinarians, podiatrists. States can add mid-level practitioners (e.g. collaborative practice)
7.
Schedule 2 prescriptions can be communicated orally, but only in the case of "emergency".
Correct Answer
A. True
Explanation
Schedule 2 prescriptions can be communicated orally in emergency situations. This means that in urgent cases where immediate access to the medication is necessary, healthcare professionals can verbally communicate the prescription to the pharmacist, rather than providing a written prescription. This allows for quicker access to medication in emergency situations, ensuring that patients receive the necessary treatment promptly.
8.
Fax communications of Schedule II drugs are accepted only in three cirucmstances for patients who:
1)are in a nursing home
2)considered in their terminal stage of sickness (dying)
3)phyiscally inable to visit a physician
Correct Answer
B. False
Explanation
The three exceptions are:
1)are in a nursing
2)considered in their terminal stage of sickness (dying)
3)on home-bound injectable medications
9.
Prescriptions must be dated for:
Correct Answer
B. The date on which the prescription is written
Explanation
Presciptions must be dated for the date on which they are written, but can include the date on which the fill is allowed
10.
Due to a controversy with methyphenidate (Ritalin) in the early 1990's, the DEA has no limits on manufacturing drugs which are in Schedule I or II as long as all sales are properly documents
Correct Answer
B. False
Explanation
Manufacturers of of Schedule I and II must submit quota request to the DEA, which never rejects a quota request (due to methylphenidate issue)
11.
Automated dispensing systems must have it's own DEA permit.
Correct Answer
A. True
Explanation
As FYI, this refers mainly to those dispensing systems in nursing homes
12.
Which of the follow is FALSE about Central Fill Pharmacies
Correct Answer
D. Must have a DEA permit to dispense any medication
Explanation
I admit, this was not the best questions with arguble (and poorly taken notes by me) answers. I think it only needs a DEA permit if dispensing Controlled Substances
13.
A "commerical container" is what the customer recieves his/her medication in from the pharmacy.
Correct Answer
B. False
Explanation
A "commerical container" is what is received from the manufacturer
14.
Which category registration is requied for someone to be defined as a "compounder"?
Correct Answer
D. Category 7
Explanation
Compounder means any person engaging in maintenance or detoxification treatment who also mixes, prepares, packages or changes the dosage form of a narcotic drug listed in Schedules II, III, IV or V for use in maintenance or detoxification treatment by another narcotic treatment program.
Category 7 registration is for Narcotic Treatment Programs
15.
What is the length at which "detoxification" programs are considers long-term (any less is considered short-term)?
Correct Answer
D. 30 days - 6 months
Explanation
Detoxification programs are considered long-term if they last for a period of 30 days to 6 months. This means that any program that lasts less than 30 days is considered short-term.
16.
A maintenance treatment can include dispensing in excess of 21 days (meaning it overlaps with Detoxification).
Correct Answer
A. True
Explanation
A maintenance treatment can go on forever
17.
Pharmacists are generally not considered "Individual Practitioners"
Correct Answer
A. True
Explanation
Except in the 7 states with allow pharmacists to write for controlled substances (collaborative practice agreements)
18.
Labels and Labeling differ ONLY in that Labels also include the "package insert"
Correct Answer
B. False
Explanation
Label - display of written or printographic matter on the vial
Labeling - display of written or printographic matter on the vial + package insert
19.
Which of the following are NOT considered Long Term Care Facilities (LTCF)
Correct Answer
C. Assisted living facilities
Explanation
Assisted living facilities don't really provide medical care (as I understand). They are more like "hotels".
20.
An intern is considered a pharmacist.
Correct Answer
A. True
Explanation
(I don't think it may be a direct quote, but something to the order of) Pharmacist - “any pharmacist licensed by a State to dispense controlled substances, and shall include any other person authorized by a State to dispense controlled substances under the supervision of a pharmacist licensed by such State.”
21.
While recognized as a practice of medicine by different insurance companies, the DEA does not consider "Telemedicine" to be a practice of medicine.
Correct Answer
B. False
Explanation
The DEA does consider "telemedicine" to be a practice of medicine....I actually don't know if insurance companies do or not
22.
DEA registration is required for the pharmacy, not the pharmacist.
Correct Answer
A. True
Explanation
DEA registration is a requirement for the pharmacy, not the individual pharmacist. The Drug Enforcement Administration (DEA) registration is necessary for pharmacies to legally handle and dispense controlled substances. It ensures that the pharmacy follows all regulations and protocols related to controlled substances. While individual pharmacists may also have their own licenses and certifications, DEA registration is specifically tied to the pharmacy itself. Therefore, the statement that DEA registration is required for the pharmacy, not the pharmacist, is true.
23.
For how long is a DEA permit valid for pharmacies?
Correct Answer
C. 3 years
Explanation
A DEA permit is valid for pharmacies for a period of 3 years. This means that once a pharmacy obtains a DEA permit, they are authorized to handle and dispense controlled substances for a duration of 3 years. After this period, the pharmacy will need to renew their permit to continue operating legally and handling controlled substances.
24.
When can a DEA permit be renewed?
Correct Answer
B. Within 60 days of expiry
Explanation
A DEA permit can be renewed within 60 days of expiry. This means that individuals or entities holding a DEA permit have a 60-day window after their permit expires to apply for its renewal. It is important to renew the permit within this timeframe to ensure that there is no lapse in authorization to handle controlled substances.
25.
1301.22 Exemption of agents and employees
Which of the following is FALSE about hospital DEA permits?
Correct Answer
D. All of the above are true
Explanation
All of the statements mentioned about hospital DEA permits are true. Hospital DEA permits can cover Hospitalists (physicians) in the scope of their employment. The permits include a practitioner/internal code number as a suffix to the DEA number. Additionally, the hospital is required to have a list of codes available upon request by law enforcement agencies.
26.
1301.26 Exporting/Importing
Individuals may not enter/leave the U.S. with any more than 50 doses of each medication they are traveling with.
Correct Answer
B. False
Explanation
The maximum amount of units that can be brought in is 50 TOTAL. Meaning 50 unites of Med A, OR 25 units of MedA + 25 units of Med B
27.
1301.27 Automated dispensing at LTCF
No person other than a registered retail pharmacy may install and operate an automated dispensing system at a long term care facility.
Correct Answer
A. True
Explanation
This statement is true because according to the given information, only a registered retail pharmacy is allowed to install and operate an automated dispensing system at a long term care facility. This implies that no other person or entity is authorized to perform this task. Therefore, the correct answer is true.
28.
1301.28 Exemption from separate location registration for Detoxification Treatment (I think)
What is the requirements a practitioner must meet to presecribe buprenorphine?
Correct Answer
A. No more than 30 patients in the first year and no more than 100 patients total after the first year
Explanation
Must write DEA number and X number on all records and prescriptions.
Can prescribe while waiting for their number, but must write "pending" (or something?)
29.
1301.36
Which of the following is FALSE in reference to DEA permit suspension/revocation?
Correct Answer
B. Permit can be taken away without due process if conflicting with "public interest"
Explanation
Before the permit is suspended/taken away, it must be given due process
30.
1301.51
New permits as a result of moves/name chages must be done before the change takes place.
Correct Answer
A. True
Explanation
When it comes to moves or name changes, new permits must be obtained before the change actually takes place. This implies that the necessary permits and paperwork should be completed prior to the move or name change occurring. Therefore, the statement "New permits as a result of moves/name changes must be done before the change takes place" is true.
31.
1301.52: Termination
Registration can be terminated for all of the following reasons EXCEPT:
Correct Answer
E. All of the above are valid reasons
Explanation
The correct answer is "All of the above are valid reasons." This means that all of the reasons listed (Medicare fraud, violation of controlled substances act, death, closure of a pharmacy) can lead to the termination of registration, except for the option "All of the above."
32.
1301.76: Other Security Controls for Practitioners
Which of the following forms must be filled out in the case of a significant loss, theft, or robbery?
Correct Answer
C. Form 106
Explanation
In the case of a significant loss, theft, or robbery, the form that must be filled out is Form 106. This form is likely a standardized document used to report such incidents and gather relevant information for further investigation or insurance purposes. The other options listed, Form 222, Incidence Reporting Form 3A, and TPS Report (with cover sheet), do not specifically pertain to reporting loss, theft, or robbery incidents.
33.
1301.90: Screening employees
A person with no felony convication, but a history of sucessful rehabilitation for chemical dependency, can be hired by a pharmacy.
Correct Answer
A. True
Explanation
A person with no felony conviction but a history of successful rehabilitation for chemical dependency can be hired by a pharmacy because they have demonstrated the ability to overcome their addiction and have not been involved in any serious criminal activity. This shows that they have taken the necessary steps to address their past issues and can be trusted to handle the responsibilities of working in a pharmacy.
34.
1301: 91/92: Illicit activities by employees/sources of information for employee checks (Snitch Provisions)
Any employee with a drug problem must be reported to the DEA
Correct Answer
B. False
Explanation
Such problems should be reported to "person of authority", not directly to the DEA
35.
1302: Labeling and Packaging of controlled substances
On the date when a medication is newly scheduled or moved to a new schedule, the manufacturer must have proper marking in place (i.e. the Symbol identifying C-II, C-III, C-IV) before any prescription for that medication can be filled.
Correct Answer
A. True
Explanation
When a medication is newly scheduled or moved to a new schedule, the manufacturer must have proper marking in place before any prescription for that medication can be filled. This ensures that the medication is properly labeled and packaged as a controlled substance, and helps to prevent any errors or confusion in dispensing the medication. Therefore, the statement "True" is correct.
36.
1304: Records and Reports of Registrants
Which of the following are records which must be kept at the pharmacy?
Correct Answer(s)
A. Form 222 (executive order forms)
B. Inventories
D. Paper prescription
Explanation
Form 222 (executive order forms), Manufacturer invoices, Paper prescription must be kept
37.
1304: Records and Reports of Registrants
Within what timeframe must central records be able to reach a pharmacy location?
Correct Answer
B. 2 days
Explanation
Central records must be able to reach a pharmacy location within 2 days. This ensures that the necessary records and reports of registrants are readily available for the pharmacy's operations and compliance purposes. A shorter timeframe would be too restrictive, while a longer timeframe could potentially hinder the pharmacy's ability to access important information in a timely manner.
38.
1304: Records and Reports of Registrants
Paper prescriptions for Schedule-II medications must be kept at the pharmacy
Correct Answer
A. True
Explanation
Paper prescriptions for Schedule-II medications must be kept at the pharmacy to ensure accurate record-keeping and accountability. This requirement helps in preventing prescription fraud and abuse. It also allows for easy access to prescription information in case of any legal or regulatory inquiries. By keeping paper prescriptions on file, pharmacies can maintain a comprehensive record of all Schedule-II medications dispensed, ensuring the safety and well-being of patients.
39.
1304: Records and Reports of Registrants
Which of the following is not an acceptable file choice:
Correct Answer
D. All are acceptable
Explanation
All of the file choices mentioned in the options are acceptable. There is no option that is not acceptable.
40.
1304.11: Inventory Requirements
Minimally, inventory must be taken at least bi-annually.
Correct Answer
A. True
Explanation
The statement is true because the phrase "at least bi-annually" means that inventory must be taken at least twice a year. This ensures that the inventory is regularly checked and updated, allowing the company to have an accurate record of its stock levels. By conducting inventory at least bi-annually, the company can identify any discrepancies, such as missing or excess items, and take appropriate actions to maintain an efficient inventory management system.
41.
1304.11: Inventory Requirements
Inventory must be taken when a medication is rescheduled from Schedule III to Schedule II, but NOT when a Schedule II drug is moved to Schedule III
Correct Answer
B. False
Explanation
Only when a medication is added to the list of Controlled Substances is an inventory mandated, not when moving between schedules
42.
1304.11: Inventory Requirements Inventory
While Schedule-II medications must have an exact count; while Schedule-III - V can be estimated (unless quantity >1,000)
Correct Answer
A. True
Explanation
Though in my notes, the 1,000 quantity thing wasn't very clear
43.
1305.07 Special Procedure for filling certain orders
Which of the following is FALSE regarding Form 222?
Correct Answer
D. Mistakes require single strike through NOT "blacking out" of information
Explanation
Form 222 is a special procedure for filling certain orders. The statement that is FALSE regarding Form 222 is that mistakes require single strike through NOT "blacking out" of information. This means that if a mistake is made on Form 222, it should be corrected by using a single strike through, rather than blacking out the incorrect information. This ensures that the original information is still visible and the correction is clear.
44.
1305.17 - Preservation
Form 222's are the exception to the "2 year" rule-of-thumb and must be kept for 3 years
Correct Answer
B. False
Explanation
Form 222's must be kept at pharmacy (retail locations) for 2 years
45.
1306 Prescriptions
The following DEA number is valid: 1-2-3-4-5-6-4
Correct Answer
B. False
Explanation
Add 1st + 3rd + 5th digits = TOTAL (9)
Add 2nd+ 4th + 6th digits and multiply (*) by 2 = TOTAL (24)
Add two totals → last digit of sum should be 7th digit of DEA number (33; 7th digit should = 3)
46.
1306.04 Purpose of Issuing Prescription
Which of the following regarding prescriptions is FALSE?
Correct Answer
C. pHarmacists are allowed to make make change or correct anything on a Schedule II-V except for pHysician signature
Explanation
Pharmacists are allowed to make make change or correct anything on a Schedule II except for physician signature; in Schedule III-V, pharmacists can make it an oral script and sign physician's name (I acknowledge this to be a semi-trick question/answer)
47.
1306.11 Prescriptions for Schedule II Drugs
When providing Schedule II medications in an "Emergency Situation" which of the following is false?
Correct Answer
A. pHarmacist must fill out prescription and Form 106
Explanation
In an emergency situation, the pharmacist is not required to fill out a prescription and Form 106.
48.
1306.12 Refilling Schedule 2 Prescriptions
Which of the following regarding refilling of Schedule II prescriptions is FALSE:
Correct Answer
C. Doctors may not provide multiple prescriptions for Schedule II medications
Explanation
The statement "Doctors may not provide multiple prescriptions for Schedule II medications" is false. According to the Controlled Substances Act, doctors are allowed to provide multiple prescriptions for Schedule II medications under certain circumstances, such as when the patient requires a long-term treatment plan or when the medication is needed for a terminally ill patient. This allows for partial fills over a period of time, as long as it is clearly documented on the prescription.
49.
1306.14 Labeling and Filling
A Schedule II prescription can be transmitted electronically between a retail pharmacy and a central as long as it says "Central Fill" on the prescription.
Correct Answer
A. True
Explanation
A Schedule II prescription can be transmitted electronically between a retail pharmacy and a central as long as it says "Central Fill" on the prescription. This means that if a prescription for a Schedule II drug includes the designation "Central Fill," it can be sent electronically from a retail pharmacy to a central location for filling. This allows for more efficient and streamlined processing of prescriptions, ensuring that patients receive their medications in a timely manner.
50.
1306.35 Transfers for 3, 4, 5 (for refills)
Which of the following regarding transfers is FALSE?
Correct Answer
A. A prescription can be transferred no more times than refills allotted (i.e. 3 refills = 3 refills MAX)
Explanation
A prescription can be transferred no more times than refills allotted (i.e. 3 refills = 3 refills MAX). This statement is false because a prescription can only be transferred once, regardless of the number of refills allotted. Once a prescription is transferred, it becomes void at the original pharmacy and can no longer be refilled or transferred again.