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ITHD FINAL *MASTER* QUIZ Flashcards | StudBud
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ITHD FINAL *MASTER* QUIZ
ITHD FINAL *MASTER* QUIZ
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1
(SATA) An article can be a drug under the Food Drug and Cosmetic Act if:
articles which dont achieve any of its prin intend purposes by chem action
articles (other food) intended to affect the structure or function of body
Article is recognized in the USP, NF or HPUS
articles intended for use in dz, cure, mitigation, tx or prevention of dz
2
What makes a pharmacist a professional?
wearing professional dress and a white coat
completing a doctor of pharmacy degree &passing the licensure examination
completing a doctor of pharmacy degree
having specialized ed, qualifications &following standards of profession
3
Medicare _ pays for care in hospitals, skilled nursing facilities, hospices & home healthcare programs.
Part A
Part B
Part C
Part D
4
(SATA) Services performed under home health care may include skilled clinical care such as:
Nutritional therapy
Cleaning the home
IV therapy
Wound care
5
A limited amount of phenylpropanolamine can be sold OTC after recording the purchaser's identity in a logbook.
False
True
6
(SATA) Covered services under Medicare Part B include...
Outpatient hospital services (x-rays, labs, PT, OT, dialysis, etc.)
Routine physical and vision exams
Preventative services (e.g., vaccines, cancer and diabetes monitoring)
Physician services provided in most settings (e.g., hospital)
7
Which of the following would be the first letter of a DEA number for John Smith, NP?
M
F
A
B
8
Approved drugs can also be considered a new drug by the FDA
True
False
9
What is a duration of stay in a health care setting that is generally considered acute care?
less than 15 days
less than 60 days
less than 30 days
less than 2 days
10
(SATA) Which of the following statements are true regarding Medicare Part B?
Not required, but Medicare enrolls have Parts A & B
Covers all outpatient prescription medications
SS premiums are deducted from SS checks
Eligible for Part A and pay a premium
11
Which is a schedule II drug?
codeine
adderall
tramadol
heroin
12
Which of the following roles would fall under clinical pharmacist job responsibility in a hospital setting?
provider order entry medication ordering
Order Verification
manage control substance inventory
fill medication dispensing cabinets on hourly rounds
13
(SATA) Examples of instrumental activities of daily living include
Driving a car
Using the phone
Managing finances
Meal prep
14
Does this meet the 3-day inpatient hospital stay requirement?
False
True
15
Regarding prior authorization, the pharmacist must request prior approval from the PBM for the drugs to be covered
True
False
16
(SATA) The purpose of Drug Utilization Review is/are
Monitoring for current Tx
Retrospective
Past patterns of medication use
Prospective
17
Infant mortality rate was 560.4 infant deaths per 100,000 live births in 2022, an increase of 3.1% from the rate in 2021
False
True
18
Some (usually large) corporations self-insure rather than use an insurance company.
False
True
19
(SATA) Characteristics of a long-term care patient include:
Chronic dz (dementia, parkinsons's, ESRD)
Aging
Terminal illness
Rehabilitation Pt
20
Medicare ___ is also known as Medicare Advantage
Part B
Part B
Part A
Part C
21
Which of the hospital committees responsible for evaluating & selecting medications to be included on hospital formulary
Medication Safety Committee
Inventory Management Committee
Pharmacy and Therapeutics Committee
Pharmacy and Nursing Committee
22
(SATA) To be eligible for Medicare Part A, premium-free based on age
Have a specified number of quarters of coverage
Be age 65 or older
File an application for SS or Railroad Board benefits
Be eligible monthly SS or Railroad Retiremnt Board cash benefit
23
Which of the following is TRUE regarding Public Health
focuses on diseases of individuals.
evolved from hygiene, environmental, and health sciences.
focuses on rehabilitation and disease recovery.
has seen a shift from chronic to acute diseases.
24
Early detection and prompt treatment for a disease is Secondary prevention.
True
False
25
Under the Food Drug and Cosmetic Act, no new drug may be marketed unless it has been proved both safe and effective.
False
True
26
The objectives of managed health care are access, quality, and cost.
True
False
27
Which of the following is a factor influencing patient adherence?
type of medication packaging
Socioeconomic status
patient demographics
Frequency of clinic visits
28
Medicaid is a joint state-federal program, states have flexibility to determine criteria within federal guidelines
False
True
29
The abbreviation PBM stands for:
Processing Benefit Manager
Pharmacy Benefit Manager
Pharmacist Benefit Manager
Prescription Benefit Manager
30
Which of the following is acceptable following an error on form 222?
Original 222 form is sent to the DEA
the error can be fixed through fax
error must be clearly striked and the order may continue on the next line
purchaser retains the original form 222 and statement of rejection
31
There are two types of risk: Pure and Speculative
True
False
32
HMO's generally do not provide coverage for medical care received out of network and place providers at risk
True
False
33
HMO's generally do not provide coverage for medical care received out of network and place providers at risk
True
False
34
Drug Utilization Review (DUR) ensures drugs are used appropriately
True
False
35
(SATA) PBMs use electronic claim submission to check for:
Copayment requirements
Information for DUR
Quantity or refill limits
Formulary status of drug
36
Which of the following orgs sets standards for hospital care & conducts unannounced site visits as part of accreditation
Department of Public Health
Joint Commission
HIPAA
Veterans Affairs
37
Medicare Part A: Skilled nursing facility care is limited to 100 days of skilled nursing facility care / benefit period
False
True
38
(SATA) Which of the following is true related to the concept of senior care?
Identification of medication-related problems in the older population
Recognition of medical conditions in the older population
Advocates healthy living
Decreasing access to inpatient facilities
39
Life expectancy for the U.S. population in 2022 was 77.5 years, an increase of 1.1 years from 2021.
False
True
40
Services such as urology and orthopedics are generally provided by ____ clinics at teaching hospitals.
surgical
medical
specialty
none of the above
41
(SATA) Official Compendia in the US include:
Orange Book
US Pharmacopeia
Purple Book
Homeopathic Pharmacopeia
42
A goal of MTM is to reduce duplicative or conflicting recommendations, reduce cost, and improve clinical outcomes
True
False
43
The objectives of managed health care are access, quality, and cost.
False
True
44
(SATA) What schedule drugs have a prescription expiration of 6 months?
C2
C5
C3
C4
45
(SATA) Guidance on the re-packaging (unit dose packs) of medications is provided by which of the following agencies?
Food and Drug Administration (FDA)
American Society of Consultant Pharmacist (ASCP)
Centers for Medicare and Medicaid Services (CMS)
Center for Disease Control (CDC)
46
The Combat Methamphetamine Epidemic Act mandates that purchasers of pseudoephedrine must be over the age of 18.
True
False
47
Anticipated risk such as asset depreciation are insurable
True
False
48
In a closed formulary all drugs are covered
.
False
True
49
Which hospital management system will you expect to see in a for profit hospital?
Board of Directors
Board of Leadership
Board of Trustees
Board of Medicine
50
Drawbacks of indemnity insurance included patients need to save receipts, fill out forms, and expensive processing costs
True
False
51
A ___ is a prepaid, health plan in which enrollees pay fixed fees(often with a copayment) for designated health services
HMO
Health Maintenance Organization
Preferred Provider Organization
PPO
52
Statistical analysis of the population served and the income required to meet estimated expenses is performed by a(n):
Actuary
Enroller
Adjudicator
Underwriter
53
What is the name of this cat?
Namiko
none of the above
Nam
Nami
54
Public health is defined as promoting and protecting the health of people and the communities where live, learn and play
False
True
55
(SATA) Which are schedule IV drugs?
methylphenidate
ultram
robitussin
benzodiazepines
56
Which question can be used to assess a patient's health literacy?
"What is your favorite medication?"
"How confident are you in filling out medical forms?"
"Have you had any surgeries recently?"
"Do you like your physician?""
57
(SATA) Major offenses under the Food Drug and Cosmetic Act include:
compounding
misbranding
adulteration
importation of drug for personal use
58
Compliance and adherence differ in that adherence implies:
strict following of provider’s instructions without patient input
following a treatment plan without questioning
a collaborative approach between the patient and healthcare provider
the use of alternative treatments
59
Elements of a participating pharmacy agreement are based on ___ factors:
4
5
3
2
60
Preferred Provider Organizations are affiliations of providers that seek contracts with insurance plans
False
True
61
Reducing complications of established disease is an example of which level of prevention strategy?
none of the above
tertiary
primary
secondary
62
Which of the following would NOT be considered as a responsibility of hospital pharmacy?
Medication Administration
Sterile Compounding
Medication Order Verification
formulary management
63
Health Literacy degree which individual can obtain,process&understand basic health info&services and make appr decisions
False
True
64
A valid prescription for a scheduled substance must contain which of the following:
a date indicating the earliest the prescription may be filled
phone or fax number of the prescriber
Name and DEA number of the prescriber
patient's date of birth
65
Under ____ providers are paid a predicted cost of care for a given population for a specified period of time
Risk pools
Capitation
Gatekeeper
Deductible
66
Immunizations are an example of primary prevention
False
True
67
Prior authorization programs ask physicians to request a PA from a PBM for coverage, usually for the non-preferred tier
True
False
68
(SATA) Required services that are covered under Medicaid include...
Outpatient prescription drugs
Outpatient hospital services
Inpatient hospital services
Labs and x-rays
69
(SATA) What are some examples of durable medical equipment patients may need during home care?
Diapers
Crutches
Wheelchairs
Infusion pumps
70
Insurance plans which allow providers to submit claims and then directly pay providers are called ___ benefit insurance
Service
Risk
Pure
Idemnity
71
(SATA) Which are examples of home infusion therapy?
Regular chemotherapy infusion
Temporary antibiotic infusions
Home infusion therapy is not possible
Hemodialysis
72
A prospective DUR is an educational tool to inform providers of how to improve drug therapy.
False
True
73
Ways to measure compliance/adherence:
ask the patient about their medications
predict the time when a refill should be needed
drug level in the body
pill-count
74
How often must a complete inventory of all scheduled substances be completed?
initial opening, biennially or when manager of record is changed
every 10 days
monthly
initial opening, annually or when manager of record is changed
75
Misbranding occurs when you don't correct the NDC from the pharmacy label to match the drug selected
False
True
76
(SATA) Which criteria are necessary for consideration for effective home care?
Size of the home
Type of therapy required
Pt mental state or condition
Patients medical Hx
77
This term best describes a fixed amount paid for every prescription dispensed
Dispensing fee
Pt cost sharing
Ingredients
Deductible
78
WHO’s definition of health is state of complete physical, mental, and social well-being, and not merely the abs of dz
True
False
79
Which is an example of transitions of care?
Pt visting urgent care
Pt arrives at ER, is admitted to ICU, then discharged home
Pt visiting PCP for a regular checkup
Pt visiting PCP for an x-ray
80
A Phase I clinical trial involves research on healthy human volunteers
False
True
81
Which of the following is a valid prescription?
Fax prescription signed by provider for 30 days of Xanax with 5 refills
Written prescription for a 90 days of Vyvanse
Fax prescription for 30 days of Oxycontin with 2 refills
Oral prescription for 30 days of Duragesic
82
Retrospective DUR is done at the time of dispensing to determine if the prescription is appropriate.
False
True
83
(SATA) Which of the following are barriers for home healthcare?
Reimbursement issues
Legal/Regulatory Standards
Advances in technology
High demand for home healthcare
84
Motivational Interviewing is primarily used to:
diagnose chronic diseases
educate patients about side effects
Encourage behavior change
improve drug adherence
85
Who do pharmacists routinely interact with a hospital setting?
Board of Directors
nurses
Chief Medical Officer
phlebotomists
86
How often does DEA 224 have to be renewed?
every 3 year
every 1 year
every 4 year
every 2 year
87
What type of patient care does not require overnight hospitalization?
Inpatient care
long-term care
Intensive care unit (ICU) care
Ambulatory care
88
Elements of a participating pharmacy agreement are based on ___ factors:
2
3
5
4
89
Which aspect of historical pharmacy education is still an important part of your current PharmD curriculum
family tradition
apprenticeship training
folklore and magic
laboratory training
90
Which hospital management system will you expect to see in a non-for profit hospital?
Board of Medicine
Board of Leadership
Board of Directors
Board of Trustees
91
The leading cause of death in the US in 2022 was
heart disease
Kidney Disease
cancer
diabetes
92
(SATA) Which of the following is/are true regarding the FDA and LTC
FDA guidance and USP standards related to re-packaging
FDA guidance focuses on practices of compounding and repackaging
Med-pass is a designated time when medications are administers by nurses
Medications are re-packaged based on the needs of the individual
93
(SATA) When can a partial dispensing for CII occur?
if unable to supply full quantity of a written prescription
if unable to supply full quantity through telephone
has "LTCF patient" written on the prescription
if unable to supply full quantity of an emergency oral via telephone
94
How many CE contact hours are required for Massachusetts pharmacists each calendar year?
5
10
15
20
95
(SATA) What are the emergency situations for a CII can be dispensed?
immediate administration of drug is necessary for proper treatment
patient wants the medication now
no appropriate alternative treatment is available
not reasonably possible for prescribing practitioner to provide written rx
96
A rare Disease is defined under the Orphan Drug Act as affecting less than 2,000,000 persons in the US
True
False
97
Which of the following best defines health literacy?
the frequency of healthcare provider visits
the capability to read medical journals
the degree an individual can make informed decisions
the ability to speak about health issues
98
Direct-to-consumer advertising of medications has led to:
patients taking fewer medications
Reduction in healthcare costs
increased reliance on physician guidance
patients becoming more informed consumers
99
The Mills Report of 1975 was the first document that called for
All pharmacists in Massachusetts be required to complete a pharmacy degree
a 6 year doctor of pharmacy as the entry level degree to the profession
A structured 4 year Bachelor of Science (BS) in Pharmacy
pharmacists to obey physicians &resulted in the loss of pharmacy counseling
100
Examples of institutional long term care include skilled nursing facilities, psychiatric care, and correctional settings
True
False
101
Medicare ___ provides coverage for physicians’ services and outpatient hospital care.
Part D
Part A
Part C
Part B
102
Means those virtues of a person which are generally recognized as beneficial to the public health, safety, & welfare
Good Beneficial Character
Direct Supervision
Good Moral Character
Good Standing
103
The abbreviation “FDA” stands for ____.
Federal Drug Administration
Food and Drug Agency
Federal Drug Agency
Food and Drug Administration
104
When do Massachusetts Pharmacist licenses expire?
December 31st even numbered year
December 1st of each year
December 31st odd numbered year
Never, pharmacists licenses do not need to be renewed in Massachusetts
105
Regarding prior authorization, the pharmacist must request prior approval from the PBM for the drugs to be covered
False
True
106
When do you have to notify the DEA for transfer of business?
a week
as soon as possible
a month
at most 14 days
107
To qualify for licensure, the applicant must achieve a NAPLEX score of not less than _ & MPJE score of not less than _
75/80
75/75
70/70
65/65
108
(SATA) Characteristics of a Profession include:
community sanction & social utility
ethical codes, professional culture & organizations
Systemic theory & body of knowledge
professional authority & special privileges
109
How often can someone transfer a schedule IV medication?
unlimited
twice
never
once
110
Medicare Part A: Inpatient hospital care is based on a benefit period, ending 60 days after leaving inpatient treatment
False
True
111
Which of the following is a benefit of the pharmacist's role in long term care practice?
Increase in liability insurance premiums
Increases in acute-care hospital admissions
Increases in medication-related adverse events
Maintains compliance with state regulations
112
(SATA) PBMs use electronic claim submission to check for:
copayment requirements
formulary status of drug
quantity or refill limits
information for DUR
113
Under ____ providers are paid a predicted cost of care for a given population for a specified period of time
Gatekeeper
Capitation
Risk pools
Deductible
114
(SATA) The purpose of Drug Utilization Evaluations is/are
Focused on outcomes
Prospective
Ongoing, criteria based review
Retrospective
115
(SATA) Examples of a Mid-Level practitioner include
Licensed Practical Nurse (LPN)
nurse practitioner
Physician Assistant
midwife
116
What is the fastest-growing segment of the U.S. population?
people aged 25-40
people under 18
people aged 45-60
people over 85
117
True or False Contact hours of CE can be carried over from one calendar year to the next in Massachusetts?
False
True
118
(SATA) A drug may be Adulterated under the FDCA even if is pure, because a drug is deemed adulterated if it is:
manufactured under conditions that do not conform to cGMP
the label does not provide the established names of the drug(s)
prepared packed or held in coditions where it may have been contaimated
exposed to a container that may have been contaiminated
119
The abbreviation PBM stands for:
Pharmacy Benefit Manager
Processing Benefit Manager
Prescription Benefit Manager
Pharmacist Benefit Manager
120
In Mass, if RPh not working w/a pharm intern or CPT the supervisory ratio must not exceed 1 RPh to 2 support personnel
False
True
121
There are two types of risk: pure and speculative
True
False
122
Retrospective DUR is done at the time of dispensing to determine if the prescription is appropriate.
True
False
123
This term best describes a fixed amount paid for every prescription dispensed
Dispensing fee
Ingredients
Pt cost sharing
Deductible
124
The purchaser keeps the original DEA 222 form.
True
False
125
Epidemiology: Scientific study of distrib&determinants health related states &events (not just dz) in specified popu
.
True
False
126
Shriner’s Hospitals for Children is an example of a specialty nongovernmental not-for-profit hospital.
False
True
127
Statistical analysis of the population served and the income required to meet estimated expenses is performed by a(n):
Enroller
Adjudicator
Underwriter
Actuary
128
In Mass there are 3 levels of pharmacy techs. They are Pharmacy Technician Trainees, Pharmacy Technician and a CPht
False
True
129
(SATA) Risk factors associated with a long-term care patient include:
Health & Family Hx
Marital Status
Age & Gender
Non-pharm profile (e.g., diet, exercise)
130
Which form is completed following the theft of ephedrine?
form 224
form 107
form 222
form 106
131
(SATA) An agent with power of attorney for properly registered practitioner may
sign prescriptions for the practitioner
prepare prescriptions for the practitioner
Give oral emergency prescriptions for Schedule II substances
give oral prescriptions for non-scheduled prescriptions
132
(SATA) A pharmacist’s role in public health might include:
developing asthma management programs.
providing immunizations
providing diabetes counseling.
poison prevention counseling.
133
Improved public health measures, technology and longer life expectancies has led to?
greater use of technology for acute illnesses
Increased focus on emergency care
decreased patient-provider communication
emphasis on chronic disease management
134
Some (usually large) corporations self-insure rather than use an insurance company.
True
False
135
Which may be considered a provider of scheduled substances?
Agent of a physician
Pharmacist
RN
Veterinarian
136
The social model of assisted living emphasizes hospitality whereas under the medical model emphasizes medical/pharmacy
False
True
137
Who submits the DEA form 224b for chain pharmacies?
anyone
pharmacy manager
coporation
pharmacist-in-charge
138
What is the primary goal of the Pharmacist Patient Care Process (PPCP)?
To ensure medication adherence
to reduce the cost of medications
to improve patient outcomes through a patient-centered approach
to identify side effects of medications
139
Why is learning about the history of pharmacy important?
all the functions of today’s pharmacist originated in ancient times
the medications we use today all came from ancient times
MCPHS is the oldest college of pharmacy in USA, so we need to know history
we cannot know where we're going if we don't know where we've come from
140
Anticipated risk such as asset depreciation are insurable
True
False
141
An affiliation of three or more providers, usually physicians, who share resources and income, is what type of practice?
Solo Practice
Group Practice
Partnership Practice
Managed Practice
142
Ambulatory Care is service that can be delivered on an outpatient basis and does not require overnight hospitalization.
False
True
143
According to the patient-centered model, what should be at the forefront of care?
Accurate diagnosis
the patient's perspective and experience
disease treatment
practitioner’s expertise
144
Medicare ___ is also known as the Prescription Drug Benefit
Part C
Part B
Part D
Part A
145
Insurance plans which allow providers to submit claims and then directly pay providers are called ___ benefit insurance
Pure
Risk
Indemnity
Service
146
A prospective DUR is an educational tool to inform providers of how to improve drug therapy.
False
True
147
Prior authorization programs ask physicians to request a PA from a PBM for coverage, usually for the non-preferred tier
True
False
148
PCMH is a team-based model of healthcare delivery where the team is led by a case manager employed by the medical home
False
True
149
(SATA) Which of the following may contribute to adverse effects in the older patient?
Use of multiple medications
Slower gastric emptying
Impaired renal function
Impaired hepatic function
150
What does the term "patient-centered care" emphasize?
minimizing patient involvement in treatment decisions
prioritizing cost-effective treatments over patient needs
standardizing treatments for all patients
tailoring healthcare to individual patient preferences and needs
151
What does the consumer model of care emphasize?
the financial relationship between patients and providers
physician’s control over all treatment decisions
patient autonomy and decision-making
a focus on acute care setting
152
How is patient adherence typically measured?
by the number of clinic visits scheduled
through patient self-report or prescription data
by checking the patient’s heart rate and blood pressure
by observing patient-provider interactions
153
Approximately ____% of the US GDP is spent on health care in the US.
53
83
5
17
154
Which model emphasizes a collaborative relationship between patients and healthcare providers?
biopsychosocial model
patient-centered model
activity-passivity model
consumer model
155
Examples of community based long term care include assisted living, adult day care, home healthcare, and palliative care
True
False
156
(SATA) What are some health services that a patient may need during Home Care therapy?
Social Services
Hospice Services
Nursing Servies
OT/PT/Speech Therapy
157
In a closed formulary all drugs are covered.
True
False
158
Preferred Provider Organizations are affiliations of providers that seek contracts with insurance plans
False
True
159
Drawbacks of indemnity insurance included patients need to save receipts, fill out forms, and expensive processing costs
False
True
160
Drug Utilization Review(DUR) ensures drugs are used appropriately
True
False
