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Drug Dispensing and Regulatory Questions Flashcards | StudBud
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Drug Dispensing and Regulatory Questions
Drug Dispensing and Regulatory Questions
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1
Which insurance covers individuals in the military?
HMO
Medicare
Medicaid
Tricare
2
Patient information packets can take place of a MedGuide as they inform the patient about the medication they are taking
True
False
3
Which act or amendment created 2 classes of medications: Prescription (legend) and nonprescription (OTC)?
The Pure Food and Drug Act of 1906
Dietary Supplement Health and Education Act of 1994
The Durham-Humphrey Amendment of 1951
Food Drug and Cosmetic Act of 1938
4
Having the documentation of a biological sex of a patient is crucial for patient care
True
False
5
It is ok to for a patient's friend to pick up their med as long the min necessary rule is followed, and patient approves
False
True
6
What are the three elements of communication?
Words
Body Language
Empathy
Tone of voice
7
Federal law requires manual controlled substance inventories to be completed in the pharmacies
Biennially
Biannually
8
What is must be the same to prove pharmaceutical equivalence? Select all that apply
Strength
Dosage Form
Active Ingredients
Route of Administration
9
Which medications should be stored in their original packaging? (select all that apply)
Oral contraceptives
Pradaxa
Sublingual Nitroglycerin
Fluconazole
10
What is the name of the group that acts as the middleman between the insurer and the Pharmacy?
PBM
Third party payer
Medicaid
Workman's Comp
11
Which section of the package insert notes cancer risk?
Clinical Pharmacology
Nonclinical Toxicology
Patient Counseling Information
Clinical Studies
12
Which Drug Information Resource has a tool to identify a medication and can do a side-by-side comparison of drugs?
Facts and Comparisons
Prescriber's Digital Reference
Handbook of Injectable Drugs
United States Pharmacopeia-National Formulary
13
Off label indications of a drug can be found in the "Indications and Usage" section of a package insert
False
True
14
What is the best way to ask a patient about their allergies?
Are you still allergic to penicillin?
Do you have any allergies?
What allergies do you have?
15
It is ok to use a family member to translate so the patient feels more comfortable
True
False
16
Vitamins are considered drugs
False
True
17
Which medication needs to be dispensed in a non-child resistant packaging? (Select all that apply)
OTCs that were once prescription-only meds
SL Nitroglycerin
Oral Contraceptives
ER Nitroglycerin
18
Obra '90 allowed technicians to counsel patients on prescriptions
True
False
19
The same drug in different dosage forms can be considered therapeutically equivalent and be substituted for one another
True
False
20
Which organization maintains the list of hazardous medications?
NIOSH
DEA
OSHA
FDA
21
Phase 4 testing is required for drug manufacturers, they must report serious or unexpected adverse reactions to FDA
True
False
22
What type of pharmacy is a nursing home
Mail Order
Community
Federal/State Prison
Long Term Care
23
Which book allows you to look up therapeutic equivalence ratings
Purple Book
Orange Book
Yellow Book
Pink Book
24
Estrogen containing therapies require a patient package insert at every dispense in the inpatient setting
False
True
25
Which regulatory body assists guidelines pertinent with infection control and immunization requirements?
DEA
FDA
CDC
ISMP
26
Which section of an SDS has the warning labels of the hazardous chemical element?
Identification
Hazardous Identification
Exposure controls/personal protection
Handling and Storage
27
What items will Medicare part D cover? (select all that apply)
Alcohol Swabs
Enteral nutrition
Glucometer supplies and accessories
Needles
28
Medicaid prescriptions must be written on tamper resistant paper if given a paper prescription
True
False
29
If you partially fill a CII, how long do you have before you must fill the remaining portion (federal law)
7 Days
3 Days
14 Days
9 Days
30
Which med(s) are handled w/ caution in women who are pregnant or w/ childbearing potential? (select all that apply)
Finasteride
Dutasteride
Tramadol
Bactroban
31
If a CII verbal is given in an emergency, the Pharmacy must receive a written signed RX within ___ days (federal)
14
7
9
3
32
Pharmacy Technician Tasks include Medication Prescription, Prescription Processing and Inventory Management
False
True
33
How often should institutions update their hazardous medication lists?
Every 3 months
Every 24 months
Every 6 months
Every 12 months
34
Which medications need a patient package insert? (select all that apply)
Progesterone containing therapies
Nitroglycerin containing therapies
Estrogen containing therapies
Oral Contraceptives
35
Which drug class does Differin belong to?
Retinoids
Calcineurin inhibitors
Hair growth agents
Corticosteroids
36
_____ help facilitate care coordination and align payment incentives across healthcare stakeholders
PCMH's
AFA's
ACO's
PMFA's
37
When talking on the phone, it is best to avoid using the caller's name to avoid mispronunciation
True
False
38
Which of the following are hazardous drugs? (select all the apply)
Finasteride
Methotrexate
Spironolactone
Cyclophosphamide
39
It is ok to not follow pharmacy laws and regulations if you were not aware of the law
False
True
40
NDC's always have 10 digits total
False
True
41
What is an example of paraphrasing?
So what you're telling me is that you are upset
It sounds like you are upset
You are upset
You seem upset
42
Pharmacy Interns can work independently without the supervision of a Pharmacist
False
True
43
Which section of the package insert discusses the inactive ingredients of a drug?
Clinical Pharmacology
Dosage and Administration
How Supplied
Product Description
44
You receive a prescription for
Cortisporin Otic
solution. Which auxiliary label should be applied to the Rx?
For use in the eye
Topical use only
For use in the ear
Shake well
45
Which act or amendment required manufacturers to prove purity, strength and safety of a produce?
The Durham-Humphrey Amendment of 1951
Food Drug and Cosmetic Act of 1938
The Pure Food and Drug Act of 1906
Dietary Supplement Health and Education Act of 1994
46
Which drug is also known as Trissels and provides information about stability of parenteral meds?
United States Pharmacopeia-National Formulary
Handbook of Injectable Drugs
Prescriber's Digital Reference
Facts and Comparisons
47
Near misses are defined as errors that reached the patient
False
True
48
Written CII records and ordering forms must be kept separately from CIII-CV and noncontrolled medications (federal law)
True
False
49
Systems will that fail to prevent errors in several different places are defined as?
Swiss Cheese Model
Systems Failure Model
Sentinel Event
Near Misses
50
How much Pseudoephedrine can be sold to a person in 1 day?
9G
7.5G
3.6 G
51
What drugs must prescribers be part of the TIRF REMS Access program? (select all that apply)
Subsys
Actiq
Fentanyl
Buprenorphine
52
What is a DAW 4?
Brand dispensed, priced as generic
Patient requests brand
Substitution not allowed by law
Generic not in stock
53
What items are required on a DME verbal prescription (select all that apply)
Prescriber Name
Quantity to be dispensed, if applicable
Start date of order
Specific frequency
54
A Pharmacy inventory needs an estimated count of Schedule III, IV, and V meds if containers have >1000 dosage units
True
False
55
A recall in which a batch or lot of a drug is recalled, but was unlikely to cause adverse events is called?
Market Withdrawal
Class III
Class II
Class I
56
A specially trained group of Pharmacists and Technicians that maintain compliance with investigational standards are __?
IND
IDS
IDA
IRB
57
A common abbreviation for suspension is "suspen"
False
True
58
A ___involves primary care providers coordinating patient care within their practice
PCMH's
PMFA's
ACO's
AFA's
59
Sublingual tablets are moisture resistant
True
False
60
Where should you toss papers with PHI?
In the recycle bin
In the shred bin
In the trash bin
61
Bar Code technology is an effective method to reduce look alike sound alike errors
False
True
62
Which class of recall is the most severe?
Class III
Class II
Class I
Market Withdrawal
63
Some plans may require patients pay a ___ ,which is an annual out-of-pocket amount before insurance benefits can be used
Insurance Benefit
Co-insurance
Deductible
64
Which class of topical medications can treat psoriasis? (select all that apply
Vitamin D3 Analogues
Calcineurin Inhibitors
TNF Inhibitors
Corticosteroids
65
Which DAW code notes that a prescriber is ok with generic, but brand requested by patient?
DAW 0
DAW 1
DAW 3
DAW 2
66
For Controlled Prescriptions, the ADDITIONAL information is required (select all that apply)
Prescriber's DEA number
Patient's Full Address
Directions for use
Number of refills, if any
67
A percentage of the medication's cost that a patient must pay is called:
Coinsurance
Co-pay
68
Schedule V are allowed up to 5 refills within 6 months from date of issue
False
True
69
Which private MCO requires patients to choose a primary care physician?
Tricare
Medicaid
HMO
PPO
70
Nitroglycerin is available as a ___
Sublingual Tablet
Enteric coated tablet
Transdermal Patch
Buccal Tablet
71
In most states, how long is a non-controlled prescription valid?
2 Years
1 Year
6 Months
3 Months
72
Which is the abbreviation for left eye?
OS
AS
OD
AD
73
IND Applications are filed during which testing stage?
Preclinical Testing
FDA Approval
Clinical Testing
Creation and Study
74
What is "APAP 2 cc BID ac for HA"
Aspirin 2 drops twice daily in the evening for headache
Acetaminophen 2 milliliters twice daily before meals for headache
Aspirin 2 mg twice daily after meals for headache
Acetaminophen 2 tablespoons nightly after dinner for headache
75
What is the % total inventory a pharmacy can transfer of control meds to another without registering as a distributer?
5%
10%
15%
3%
76
You receive a drug with NDC of 5479-3454-01 but your computer system takes 11 digits NDC's, what should you do?
Add a zero in front of 5479
Ask your pharmacist
Add a zero in front of 01
Add a zero after 3454
77
MedMarx allows community pharmacies to evaluate their medication error prevention strategies
False
True
78
Which are considered high alert drugs? (select all that apply)
Chemotherapy Drugs
Opioids
Insulin
Anticoagulants
79
Suppositories should be kept in their original packaging and refrigerated before use
True
False
80
It is ok to store CII medication alphabetically on pharmacy medication shelves according to federal law
True
False
81
The phase where pharmaceuticals are given to animals is called ___?
Preclinical Testing
Creation and Study
FDA Approval
Clinical Testing
82
Which phase usually has <100 subjects in order to test safety?
Phase 2
Phase 1
Phase 4
Phase 3
83
All pharmacies are allowed to use a faxed CII to dispense to a patient according to federal law
True
False
84
Preferred brand name drugs usually fall in Tier ___ of an insurance formulary?
1
3
4
2
85
A MedGuide has to be given whenever a patient requests one, even if the drug is not in a REMS program
True
False
86
Verbal DME prescriptions are considered preliminary; a signed RX must be on filed before billing Medicare
False
True
87
Which representatives must be on an IRB? Select all the apply)
A social worker
At least one government official
A least one person not affiliated with the institution
The chief medical officer of the hospital
88
When looking in the orange book, which code would let you know that the products are therapeutically equivalent?
BA
AB
89
HCTZ often stands for
Hydrothiocompazine
Hematocrit
Hydrochlorothiazide
90
MgSO4 stands for
Morphine Sulfide
Magnesium sulfate
Morphine Sulfate
Magnesium Sulfide
91
When reconstituting a powdered medication bottle w/ water, only add ~ 1/2 to 2/3 of the total amount of water first
False
True
92
A household spoon is equal to 1 teaspoon (5mL)
True
False
93
Which drugs are considered hazardous? (Select all that apply)
Glyburide
Finasteride
Bulk Liquids used for compounding
First Aid Kits
94
Multidose vials can be used for multiple administrations
True
False
95
What are clues for fraudlulant prescriptions? (select all that apply)
Patient paying cash for controlled substances
Different handwriting used on the same prescription
Patient and prescribers who aren't local
Prescriptions using tamper resistant paper
96
What section of the NDC does this picture depict?
Package Code
Name of the drug
Manufacturer of the drug
Strength and Dosage form of the drug
97
It is rude in the deaf community to not have eye contact while speaking
False
True
98
Which disease state is associated with the pancreas?
Hypo/hyperthyroidism
Psoriasis
Diabetes
IBS
99
What is the Hatch- Waxman Act?
Prohibited misbranding and adulteration of pharmaceutical products
Created Abbreviated New Drug Applications (ANDA) for generic meds
Created 2 clases of medications - Legend and nonlegend
Requires manufacturers to prove a drugs purity, strength and safety
100
DEA and federal law inventory records for controlled substances must be kept for at least how many years?
3
1
4
2
101
What is considered PHI? (Select all that apply)
De-identified health data
Insurance information
Patient's Address
Date of Birth
102
Which drug requires a risk management authorization number via the iPledge program? (select all that apply)
Amnesteem
Ambrosetan
Claravis
Isoretinoin
103
In most states, Pharmacy Technicians can counsel patients
True
False
104
According to federal law, how long are CIII and CIV allowed to be filled from the date of issue
Up to 12 months
Up to 3 months
Up to 6 months
Up to 30 days
105
What are the two types of empathetic reflecting? (select all that apply)
Verbal Assurance
Mirroring
Paraphrasing
Priming
106
Azaribine was removed from the US due to its risk of thromboembolism, this is an example of?
Class I Recall
Market Withdrawal
Class IIII Recall
Class II Recall
107
What is a sign of low health literacy? (select all that apply)
It might take a long time for a patient to fill out a form
Patient states they will read the information when they get home
Patient states they forgot their glasses
Patient is quiet and does not ask any questions
108
Which section of the package insert lists safety concerns when using the drug during pregnancy?
Indications and Usage
Use in Special Populations
Dosage and Administration
Contraindications
109
First aid of a specific hazardous chemical can be found in
ISMP database
Safety Data Sheet
Hazardous Policy
110
When a patient picks up a prescription, what identifiers should you confirm? (select all that apply)
Patient's date of birth
Providers address
Patient's address
Provider's phone number
111
What must be included in Medicare durable medical equipment delivered through courier services?
Date of service of the claim
Pharmacy Fill Date
112
Dietary Supplements must prove efficacy with the same rigor as drugs before they are allowed to go on the market
False
True
113
What is the sig for " 2 drops in the left eye three times a day"
2 gtts ad TID
2 gtts ou TID
2 gtts os TID
2 gtts as TID
114
What is required on controlled substance prescription? (Select all that apply)
Patient's full name and address
Pharmacy Name
Number of refills (if any)
Date of Issue
115
An ongoing amount paid by an individual to maintain insurance coverage is called?
Premium
Plan Formulary
Co-insurance
Co-pay
116
This is a valid DEA number for a prescriber: AS8524616
False
True
117
What auxiliary label should be included on all suspension prescriptions?
Shake Well
Protect from light
Refrigerate
118
Which part of Medicare covers durable medical equipment?
Part D
Part B
Part A
Part C
119
NuvaRing has to be stored in the fridge after it is dispensed to the patient
True
False
120
Which prescribers can write controlled substances in most states? (select all that apply)
Podiatrists
Optometrists
Veterinarians
Physicians
121
A secondary identifier that helps route pharmacy claims to an insurance company is called?
BIN
Dependent code
PCN
Group Number
122
___are the most serious safety alerts for a drug that the FDA can require
Contraindications
Warnings and Precautions
Black Boxed Warning
123
Lexapro was accidentally contaminated with an unknown ingredient. This is called adulteration
True
False
124
Modifications in drug therapy for certain chronic conditions can via a contract with local community pharmacies through_
ACO's
CPA's
PCMH's
125
Which DEA form is used to order CII's? (Federal Law)
DEA form 41
DEA form 106
DEA form 222
DEA form 224
126
What auxiliary label should be included on nebulizer solutions?
Shake Well
Protect from light
For Use in the Ear
Do not swallow
127
Which DAW code notes the following scenario: Brand is dispensed as a generic
DAW 7
DAW 4
DAW 5
DAW 6
128
According to federal law, how often can you transfer CIII-CV meds from one unique pharmacy to another (ie not a chain)?
None
1
3
2
129
An OTC medication was accidentally shipped to stores with the incorrect dosing instructions. This is an example of:
Adulteration
Mislabeling
Misbranding
Poor manufacturing processes
130
Which are considered error prone abbreviations? (select all that apply)
SQ
HD
QD
HS
131
What information should you confirm for a returning patient at prescription drop off? (select all that apply)
Allergies
Patient's Favorite Color
Current medications
Insurance Information