Situation, background, assessment, recommendation

Do you feel ready for your exam?

This is the right answer. I promise.

The owner of a pharmacy:

Responsible for administrative operations of the pharmacy

SCHOLAR-MAC is used for

evaluating and treating patients with self-care conditions

What does the following Sig mean: 4 tablets PO BID PRN

4 tablets by mouth twice daily as needed

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PHAR 7191 Final

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Answers

1
Which of the following is not required on a prescription drug order in the state of Texas for a legend drug?
Date of birth
Name of patient
Quantity prescribed
Practitioner's phone number
2
The first segment an NDC is:
Price
Product
Package size
Labeler
3
Tech-check-tech programs include technician trainees.
False
True
4
The form used for registering with the DEA is:
Form 224
Form 41
Form 106
Form 222
5
T/F: Intended use of the drug must be on the prescription no matter what.
True
False
6
What abnormal lab value has the symptoms of frequent urination, increased thirst, fruity breath, blurred vision?
Hypoglycemia
Hypercalcemia
Hyperglycemia
Hypokalemia
7
T/F: In a Class A pharmacy, a pharmacist may leave the pharmacy without closing under specific conditions.
False
True
8
T/F: CIII-CV prescriptions can be transferred after being dispensed at the original pharmacy once.
False
True
9
T/F: Preventative care like vaccines, yearly check-ups, should not be put in the plan.
True
False
10
Continuous on-site supervision of a pharmacist is needed in a Class C pharmacy with how many beds?
101
45
100
10
11
What Sig means: Inject 20 units under the skin every morning before meals.
Inj 20 U SQ QAM PC
Inh 20 U PO QPM PC
Inj 20 U IM QOD AU
Inj 20 U SQ QAM AC
12
What does SBAR mean?
Situation, background, assessment, recommendation
Situation, objective, assessment, plan
Subjective, objective, assessment, plan
Subjective, background, assessment, recommendation
13
What is the max ratio of pharmacists to technicians in a Class C pharmacy?
1:6
1:3
1:12
None
14
T/F: CII prescriptions can be refilled
False
True
15
What lab value is a measurement of waste product produced in the muscle and is used to judge kidney function?
Chloride
Creatinine
BUN
CO2/HCO3
16
Counseling does not:
Increase profit
Resolve barriers to medication understanding
Improve clinical outcomes
Increase patient adherence to medications
17
Medication reconciliation do NOT
Increase medication errors
Improve patient safety and outcomes
Compare medications to disease states
Evaulate a patients medication list
18
A rural hospital must have a population fewer than 50,000 and less than how many beds?
100
90
80
75
19
Schedule II prescriptions are valid for:
30 days
6 months
10 days
1 year
20
Do you feel ready for your exam?
This is the right answer. I promise.
A little bit
Yes
No
21
T/F: Assessments in SOAP contain the goals of therapy.
False
True
22
A pharmacist of a Class A pharmacy may leave for a short period and leave the pharmacy open EXCEPT when:
When only 1 technician remains
The security of the pharmacy is maintained
They leave the site
A note has been posted that the pharmacist is on break and will return
23
Hemoglobin A1c reflects average glucose levels over:
1-2 months
4-5 months
3-4 months
2-3 months
24
A home medication list belongs in what section of SOAP?
Subjective
Plan
Assessment
Objective
25
How many capsules will be needed for the following order: 2 cap PO TID PC x 5 days
30
40
8
6
26
A plan of the SOAP note does not include which of the following?
Monitoring parameters
Goals
Recommendations
Follow-up time
27
The owner of a pharmacy:
Can transfer prescriptions
Can make drug selections
Must be a pharmacist
Responsible for administrative operations of the pharmacy
28
SCHOLAR-MAC is used for
evaluating and treating patients within the hospital setting
evaluating a patient for COVID-19
evaluating a patient for a vaccine
evaluating and treating patients with self-care conditions
29
T/F: C-III through C-V prescriptions are valid up to 5 times or 6 months.
False
True
30
Having a patient demonstrate who they will take their medication after counseling them is known as:
Teach-back method
Read-back method
Motivational interviewing
Explain-back method
31
T/F: Texas requires counseling on all new prescriptions.
True
False
32
T/F: A NEW prescription means it has NOT been dispensed to the patient at the samedosage and strength within a year.
True
False
33
Which is not required on a prescription label?
Beyond use date
Instructions
Patient date of birth
Pharmacy phone number
34
Which root means brain?
Crani(o)
Nephr(o)
Hepat(o)
Encephal(o)
35
Oral prescriptions and transfers have all in common except:
Number of refills
Drug strength
Prescription number
Name of patient
36
In a Class A pharmacy, a pharmacist can be the PIC of up to 2 pharmacies.
True
False
37
Prescription records should be maintained for:
6 months
1 year
3 years
2 years
38
The S in SCHOLAR-MAC stands for:
Subjective
Suggestion
Self-care
Symptoms
39
T/F: A technician can offer counseling to a patient for their new medication.
True
False
40
What word means urinating blood?
Hemangioma
Hematuria
Hematoma
Hematemesis
41
How many days after issuing an emergency prescription is an electronic prescription needed?
30 days
14 days
1 day
7 days
42
If state and federal laws conflict, the more stringent is to be followed.
False
True
43
What does the following Sig mean: 4 tablets PO BID PRN
4 tablets after meals twice daily as needed
4 tablets by mouth twice daily as needed
4 tablets by mouth three times daily with food
4 tablets rectally twice daily with food
44
What does the following Sig mean: AU
Both ears
Both eyes
Left eye
Left ear
45
The teach-back method can be used to confirm a patients understanding.
True
False
46
What is the only type of signature acceptable for a controlled substance written order?
Sticker
Electronic
Wet
Stamp
47
T/F: In Texas, a pharmacist must inform patients that less expensive generics are available if brand is prescribed.
False
True
48
Physical exam findings belong in which section of SOAP?
Objective
Plan
Assessment
Subjective
49
What abnormal lab value can be caused by acute infection, burns, trauma, lupus, HIV, and lymphoma?
Increased BUN
Hypoglycemia
Erythrocytosis
Lymphopenia
50
T/F: Medication history includes prescriptions, OTC, herbal products, and supplements.
False
True
51
In a Class C pharmacy, how often is C-II inventory done?
Every 3 months
Every year
Perpetually
Every 2 years
52
OBRA '90 requires which of the following:
Prospective drug utilization review
Patient counseling
Retrospective drug utilization review
Maintaining patient records
53
SOAP is a written communication tool.
True
False
54
T/F: Long-term care facility and terminally ill patients have 60 days to complete partial fills for C-II prescriptions.
True
False
55
The normal range for triiodothyroxine (T3) is 80-200 ng/dL.
True
False
56
What is an example of a pharmacist centered communication barrier?
Lack of privacy
Lack of staffing
Lack of confidence in counseling abilities
Inefficient pharmacy workflow
57
Professional communication ONLY includes written communication.
False
True
58
Which of the following is NOT a red flag when dispensing a controlled substance?
Patient paying cash for controlled substances
Patient dropping off a forged prescription
Patient's pain medication tapering up in strength over time
Patient using street slang for pain medication
59
T/F: Medication history and medication reconciliation are the same.
True
False
60
T/F: The assessment of a SOAP note can contain material from the subjective and objective sections verbatim.
True
False
61
Pharmacy interns can sign documents requiring a pharmacist's signature.
True
False
62
Non-controlled prescriptions are valid for
28 days
6 months
12 months
30 days
63
Schedule III-V prescriptions are valid for:
6 months
30 days
10 days
1 year
64
An increase in BUN is known as:
Basophilia
Azotemia
Hypercalcemia
Monocytosis
65
T/F: Schedule II and all other prescription (CIII-V & legend drugs) orders can be filed together.
True
False
66
T/F: A formulary is required for Class C pharmacies.
False
True
67
T/F: FS8524616 is a valid DEA number.
False
True
68
CI substances have
The lowest abuse potential
Limited physical dependence
Moderate abuse potential
No accepted medical use
69
The selection of a drug to be dispensed is the professional responsibility of the...
Pharmacy owner
Doctor
Pharmacist
Technician
70
What is the max ratio of pharmacists to technicians in a Class A pharmacy?
No ratio
1:12
1:6
1:3
71
Commissioner of the Texas Department of State Health Services may NOT do what to the schedule of controlled substances?
Reschedule control substances
Override acts made by legislature
Add control substances
Delete control substances
72
Only a pharmacist/intern can:
Transfer in/out a prescription
Initiate and receive refill requests
Provide counseling on medications or medical devices
Receive an oral prescription order
73
How hold must someone be in order to purchase Sudafed?
25
21
16
18
74
Rural hospital pharmacists must verify and perform a drug regimen review no later than how many days?
3 days
10 days
7 days
5 days
75
Only a pharmacist can load an automated dispensing system that contains controlled substances.
True
False
76
T/F: A technician can receive an oral prescription drug order for a legend drug.
True
False
77
Non-controlled prescriptions are valid for:
30 days
10 days
6 months
12 months
78
What is the max ratio of pharmacists to technician trainees in a Class A pharmacy?
1:6
1:3
None
1:12
79
The FCSA, Federal Controlled Substance Act, is administered by:
FBI
DEA
DPS
TSBP
80
Which of the following is NOT a Class C pharmacy?
Pharmacy in a Target
Pharmacy in a hospice inpatient facility
Pharmacy in an ambulatory surgical center
Pharmacy in an inpatient facility
81
If a product is substituted, there must be a label stating so.
True
False
82
A patient tells you their cold started two days ago is an example of what part of SCHOLAR-MAC?
L
C
O
H
83
Effective communication includes:
Health literacy awareness and sensitivity
All of the above
Cultural awareness and sensitivity
Identifying communication barriers
84
T/F: OBRA 1990 gave pharmacists the option to counsel patients regarding their prescriptions.
False
True
85
Which term is defined as a decrease in platelets?
Erthytocytopenia
Thrombocytopenia
Thrombocytosis
Thrombocythemia
86
T/F: The Sig AC means before meals.
True
False
87
Which question is a leading question?
This medication is for your heart, right?
What time do you take this?
What have you tried before?
How often do you take this?
88
Which organization/act requires control substance inventories every year?
FCSA
TSBP
NCIS
TCSA
89
Typically, how soon must a partial of a C-II prescription be filled?
60 days
72 hours
48 hours
24 hours
90
In a Class C pharmacy at a facility with over 101 beds, the PIC can:
Be a PIC for a Class B pharmacy as well
Be a PIC for a Class A pharmacy as well
Only be the PIC for that facility
Be part-time for that facility
91
T/F: Leading questions are used for the best possible medication history.
False
True
92
T/F: All controlled substances are narcotics.
False
True
93
The suffix troph(o) means nourishment.
True
False
94
Which medication/class is not mandatory on Texas Prescription Monitoring Program
Adderall
Carisoprodol
Opioids
Benzodiazepines
95
What is not a part of the "Three Prime Questions" used in the Indian Health Service Model?
What did your prescriber tell you to expect?
How did your prescriber tell you to store this medication?
How did your prescriber tell you to take the medication?
What did your prescriber tell you this medication was for?
96
What route does the Sig PR represent?
After dinner
Vaginally
Orally
Rectally
97
The normal range of sodium is:
22-30 mEq/L
3.5-5 mEq/L
95-106 mEq/L
135-145 mEq/L
98
"Using an ice pack makes my arm feel better," is an example of what part of SCHOLAR-MAC?
H
C
R
S
99
What suffix means pain?
-megaly
-itis
-angia
-emia
100
Warfarin monitoring can be PT and INR.
False
True

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