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Which of the following is the least correct regarding medication errors? A. The pharmacy is required to prepare a medication error report within 48 hrs or 2 business days once the error is discovered B. A medication error can be attributed to a patient receiving the correct drug but not getting it in a reasonable time period. C. The medication error report can read "the wrong drug was dispensed to Ms Jones by a pharmacy technician that belonged to another Ms. Jones" D. The pharmacy must forward to the CA BOP a copy of the written-up medication error report within 30 days of the error occurring or being first noticed E. The pharmacy must keep the medication error report on file at the pharmacy for at least one year after the error has occurred. - Answer D; the medication error report should be kept at the pharmacy for at least one year Which of the following is incorrect about maintaining pharmacy-related records? A. Clinic pharmacy records must be kept for 3 years from date of last entry B. Community pharmacy Rx records must be kept for 3 years from date of last entry C. The CS inventory record must be kept for 2 years after it is completed D. A filled out DEA form 222 Record must be kept for 3 years
E. A QA Medication error report must be kept for 1 year - Answer C; CS inventory record must be maintained for at least 3 years per CA law. 2 years is required per federal law Which one of the following ratios is correct for a community pharmacy setting? A. 1 pharmacist: 2 technicians B. 1 pharmacist: 2 interns C. 1 pharmacist: 1 intern D. 1 pharmacist: 2 clerks - Answer B T/F: A pharmacist who sells a patient the Plan B emergency oral contraceptive is required by law to counsel the patient. - False; no consultation is required for plan B Which one of the following operations is not licensed by the CA BOP? A. Surgical clinic with Rx drugs in its stock B. A drug operation that fills and dispenses Rxs exclusively via internet C. A grocery store that carries OTC drugs D. A drug wholesaler operation E. A veterinary drug/food operation - Answer C; A pharmacy license is not required to sell non-prescription drugs How long can a temporary PIC be in place? A. 30 days B. 60 days C. 90 days D. 120 days - Answer D
Which of the following statements is incorrect regarding the transferring of Rxs between pharmacies? A. A pharmacy clerk can transfer information regarding a Rx to be filled at another pharmacy, but only the pharmacist at the receiving pharmacy may record the information being transmitted from the sending pharmacy by the clerk B. The receiving pharmacy must take all the remaining refills left on the Rx being transferred, while the sending pharmacy must cancel the Rx from being refilled once transferred C. Nonscheduled drug Rxs may be transferred to different pharmacies as many time as there are refills D. CIII-V CS with refills may be transferred to another pharmacy only one time E. The receiving pharmacy for a transferred Rx with refills must record, among other things, the date the Rx was originally written, and the date of the last refill - Answer A Which one of the following statements is incorrect regarding a physician's order for a CS? A. A physician cannot write a CS Rx for him or herself B. A physician cannot post-date a Rx for a CS C. A physician cannot write a CS Rx for a member of his or her immediate family D. A physician cannot ante-date a Rx for a CS E. A physician cannot write a Rx order for a CS to treat for addiction only, unless the party addicted is registered with a government or other authorized agency licensed to treat narcotic addicts and physician is authorized to participate in such a treatment program - Answer C Which one of the following statements is most correct in the provision of Plan B OTC? A. several forms of OCs having different estrogenic and/or progestational components may be used under Plan B B. Can only be sold at pharmacies C. There is no age restriction D. The pharmacy may charge a $10 administrative fee
E. The consumer may only purchase one package of Plan B at a time - Answer B; Plan B Oral EC is only sold in pharmacies and behind the counter to those 17 years of age and older. Plan B One-Step Oral EC can be sold at retail operations other than pharmacies without any age restrictions. No administrative fee is charged for either EC Which statement is correct regarding the sale of pseudoephedrine OTC? A. The consumer can only purchase 3 packages or up to 0 grams of pseudoephedrine at each purchase transaction B. The law of entering information on a logbook does not apply to single purchases of one 60 mg pseudoephedrine unit dose package or two 30 mg unit dose packages of pseudephedrine C. Pseudoephedrine in the liquid form including pediatric liquids may be sold in any amounts since they are not subject to the ruling that only applies to tablet or capsule formulations D. Pseudoephedrine products can still be displayed on pharmacy shelve and do not have to be kept in locked cabinet or behind the pharmacy counter E. The customer does not have to sign a special log book upon purchasing a pseudopephdrine product - Answer B Which one of the following does not require by law an auxiliary warning label, but requires a warning label based upon the manufacturer's requirement? A. A drug that has a CNS suppressing effect and may cause drowsiness B. A drug that may cause blurring of the vision C. A drug that may cause a severe reaction as a result of its interaction with alcohol D. A "must refrigerate" label for a drug like insulin D. A drug that is a CS that requires a auxiliary label that requires that the patient not share the drug - Answer D A patient from TX wants to get her digoxin refilled in CA. The doctor cannot be reached. Giving a 72 hr ES for a patient who ran out of digoxin 0.25 would be??? A. A violation of the law, but in the best interest of the patient
B. CA BOP within 72 hours of transmitting the order C. CA Regional DEA Office within 72 hrs of transmitting the order D. CA Regional DEA office within 30 days of transmitting the order E. State's AG office within 24 hours of transmitting the order - Answer E If a licensed pharmacist violated a pharmacy related law whereupon he or she is cited by the BOP and gives up his or her pharmacy license, promising never to practice pharmacy again: A. The Board can still take action against the pharmacist even after the pharmacist ha given up his or her license B. Once the pharmacist gives up his or her license, the BOP cannot take action against the once- licensed pharmacist on a pending citation C. The BOP can only take action on a pending citation after the pharmacist resigns his or her license if the action involves CS D. The board can only take action on a pending citation after the pharmacist retires his license if the citation is for action of fraud - Answer A Which statement is correct regarding how a multispecialty clinic difference from a surgical clinic in the carrying of Rx drugs? A. A multispecialty clinic that orders Rx drugs must be licensed by the BOP while a surgical clinic that orders Rx drugs does not require being licensed by the BOP B. A multispecialty clinic may dispense whatever amount a Rx drug is ordered, while a surgical clinic may only provide up to a 72 hr supply of a prescriber-ordered drugs C. While a multispecialty clinic that is licensed by the BOP cannot order CII, a surgical clinic can order CII D. A multispecialty clinic licensed by the BOP must have a consultant pharmacist while a surgical clinic does not require a consultant pharmacist - Answer B Medications that require refrigeration (not at freezing temperature) shall be maintained at? A. 1.0-5.5 C
B. 2.2-7.7 C
C. 5.3 - 10.4 C
D. 8.4-15.6 C - Answer B A patient recently got his tooth extracted and his complaining of pain and sleep difficulty. He asks for one Tylenol with Codeine 1 gr tablet and one Dalmane 30 mg capsule and to call his dentist in the morning for an extended prescription for these medications. The patient has never had a prescription for these medications. Providing the patient with one tablet and one capsule of each would be... A. A violation of the law, but in the best interest of the patient B. A violation of the law and not in the best interest of the patient C. Not a violation of the law and in the best interest of the patient D. Not a violation of the law and not in the best interest of the patient - Answer B Which situation does not require establishing a policy and procedure per CA law? A. Receiving of Rx drugs from the wholesaler after hrs at a community pharmacy B. Reporting a licensed pharmacy technician stealing Rx drugs C. Conducting a patient consultation at a community pharmacy for the dispensing of a new Rx D. Activities and job responsibilities of a pharmacy technician E. Reporting of drug errors - Answer C When a CII is transferred between pharmacies, which one is required? A. Special FDA transfer form B. Special DEA transfer form C. Special Dept of Consumer Affairs form D. Special BOP form - Answer B; DEA 222 form is required
B. A for-profit pharmacy is never allowed to acquire a Rx drug product from a non-profit pharmacy C. A for-profit pharmacy may borrow a qty of a Rx drug from a non-profit pharmacy and may charge the customary and usual price for dispensing this drug to the patient even though the non-profit pharmacy's cost for the Rx drug was substantially less than what the for-profit pharmacy would purchase it for D. If a for-profit pharmacy borrows a qty of a Rx drug from a non-profit pharmacy, it must charge the patient what the non-profit pharmacy would have charged the patient, which would be considerably less than w - Answer C Under no circumstances may a prescriber order a drug falsely misleading the patient and have you fill the Rx with false information regarding the Rx on the label - False; Circumstances in which false info may be placed on the Rx label include clinical trials. A pharmacy clerk may not do which of the following activities A. Answer phone calls coming in from the patients B. Take requests for prescription drug refill information from patients C. Directly sell to patients refillable Rx drugs that d not require an oral consultation D. Take Rx drugs off the pharmacy shelves to give to the pharmacist directly for the filling of a Rx E. Put prescription drugs back on the pharmacy shelves after a Rx has been filled with a Rx drug
- Answer D If you were to dispense on a refill for Valium, which of the following labels or information would be required by law to provide to the patient? I: A patient medication guide II. A verbal consultation III. An auxiliary label stating "This medication may cause drowsiness--Careful when operating a vehicle"
IV. An auxiliary label stating "This prescription is not to be transferred to another person other than the person it was prescribed for" - I, III, and IV only T/F: You do not need to fulfill a patient's request for a Medication Guide if the prescriber requests that you not do so. - False The pharmacy self assessment must be performed every two years during the odd-numbered year prior to July 1 may be performed and filled out by which of the following pharmacy personnel? I. PIC II. Any staff pharmacist III. Pharmacy intern IV. Pharmacy technician - I only T/F: Out of state prescriptions for nonscheduled and CS may not be validly filled in CA, even if the out of state prescriber has authorized additional refills on the original Rx. - False; Out of state written Prescriptions for CS must also be printed on security prescription forms from an approved CA printer in order to be filled in CA Under a recent law, a pharmacist will be able to provide a patient with an extended amount of a prescribed drug where there are refills, and the condition is chronic. Which statement is incorrect regarding this new law? A. The patient will be able to receive up to a 90 DS on indicated refills, if they originally received a 30 DS as was written on the Rx B. The pharmacist will not have to have the approval of the prescriber to provide the increased amount of the drug on a refill for the patient C. The increased provision will not apply to Rxs for CS that have refills indicated D. The increased provision of the drug on a refill will be allowed for the refills of psychotropic Rx drugs - Answer D
Hospital pharmacies are exempt from the state's quality assurance program requirements. - False Based upon the CA and federal law, a pharmacist in CA may fill a legitimate non0scheduled drug prescription written by a physician from which of the following jurisdictions? I. Guam II. Canada III. Virgin Islands - I and III only The CA BOP defines at a minimum that a pharmacy is no longer operational and is considered to be closed if it is not engaged in ordinary activity for at least: A. 2 days a week during any 180 day period B. 3 days a week during a 60 day period C. one day week during a 120 day period D. one day a week during a 30 day period E. one-half day a week during a 90 day period - Answer C Records for a CA RPh taking pharmacy CE must be kept on record for what period of time after taking them during a two-year licensure period? A. 2 years B. 3 years C. 4 years D. 5 years E. 10 years - Answer C According to CA law, a prescription for a CII Rx that is to be partially filled for a terminally ill patient must be filled within how many days or months after it is written?
A. Must be filled within 7 days after written B. Must be filled within 14 days after written C. Must be filled within 30 days after written D. Must be filled within 60 days after written E. Must be filled within 6 months after written - Answer D Which statement is most correct regarding the compounding of sterile products by a pharmacy? A. Only a community pharmacy in CA must have a separate license for establishing a sterile compounding operation whereby the license is renewable on a yearly basis subject to an annual inspection by the BOP. Hospital pharmacies do not require separate licensing B. Both a community pharmacy and a hospital pharmacy require separate licenses requiring a sterile compounding operation C. Even if a pharmacy does sterile oral solutions (e.g reconstitution of oral powder), it must have a separate license for sterile compounding D. The separate license for the BOP for doing sterile compounding only applies to a pharmacy that is compounding special parenteral solutions for patients E. If the pharmacy only compounds sterile ophthalmologic and no other sterile type solutions, that pharmacy will not require a special sterile compounding l - Answer B; licenses for sterile compounding last one year and are subject to annual board inspections as a condition of licensure. Both community and hospital pharmacies must have licenses for sterile compounding. You may place CS Rx records in the off-site facility after... A. one year from the date they are written B. two years from the date they are written C. 3 years from the date they are written D. 5 years from the date of last filling E. Cannot be moved to an off-site facility at any time - Answer B
D. 4
E. 5 - Answer C (6 + 3 + 8) +2(3 + 5 + 7)= 47 Which is not a legal requirement for a community pharmacy having a pharmacy technician? A. Pharmacy tech must wear an ID badge "pharmacy technician" B. pharmacy tech must pass an exam adm by the state BOP to gain certification C. Must have written policy, procedures, and job description for pharmacy technicians D. Pharmacy technicians may mix pharmaceuticals E. community pharmacy may have only one pharmacy tech for the first pharmacist on duty and may increase by 2 pharmacy technicians for each additional pharmacist - Answer B T/F:When a PA writes a Rx for a drug, the name of the authorizing physician does not need to appear on the label affixed to the prescription vial. - True Which statement is most correct when selling hypodermic syringes and needles? A. May be sold OTC to anyone who shows proof of using insulin and signs a hypodermic syringe/needle log or registry book B. Only up to 10 syringes and needles may be sold OTC if the physician is diabetic and fills in the information and signs the hypodermic syringe/needle log or registry book C. If used for veterinary purposes, a Rx for the needed syringes and needles must be issued by the licensed veterinarian, and the purchaser must fill in the information and sign the hypodermic syringe/needle log or registry book D. Up to 10 syringes and needles can be sold OTC to a customer even if that customer is unknown to the pharmacist. No explanation needs to be given E. The customer who is known to the pharmacist and who has Rx filled for needles and syringes in the past for a legitimate medical need may receive syringes and needles OTC during a - Answer E; there is no limit on the amount of needles and syringes that can be sold as long as the purchaser is at least 18 years of age.
Which statement is true regarding the dispensing of Suboxone by a pharmacy pursuant to a prescription written by a physician for the treatment of a narcotic addiction? A. The drug may be dispensed by a pharmacy for treating addiction that is the result of any CS within any of the Schedules B. The drug may be used to treat patients who have an addiction to a CIII only C. The drug may only be used to treat addictions attributed to CIII-V and has recently been used to treat addictions involving CII D. The drug may only be prescribed by physicians who are registered with the state of CA and have taken 30 hrs of CE r/t pain management E. No physician may prescribe this drug for treating addiction under any circumstance - Answer C; According to SAMSHA 2004, Suboxone should only be used to treat addictions d/t CiII-CV, not CIIs. Prescribers of Suboxone must be certified. The maximum expiration date that may be used on an extemporaneous unit dose blister package for tablets that you have prepared in the pharmacy for a skilled nursing facility cannot exceed A. 3 months B. 6 months C. 9 months D. 1 year E. 2 years - Answer D T/F:If there are 3 pharmacists on duty at the same time in a community pharmacist operation, there may be up to 5 pharmacy technicians working at a time. - True T/F: A representative in charge of a veterinarian drug-food operation must be a registered pharmacist. - False
D. Clerks can take in new Rx from patients and can be filled by the intern and pharmacy technician but cannot be dispensed to the patient until the pharmacist returns and authorizes the Rx to be dispensed - Answer D Can you fill a Rx for Tylenol 3 for the treatment of a scratched cornea that was written by a licensed optometrist with a DEA registration number? A. The pharmacist may not fill this Rx because it is outside the optometrist's scope of practice B. The pharmacist may not fill this Rx unless the optometrist is working under the supervision of a physician who has developed a protocol authorizing the optometrist to write for this med C. The pharmacist may only fill this Rx if the amount of the codeine in combination with APAP does not exceed a 3 day supply and does not require that his med be only written for under the supervision of a physician's directed protocol D. the pharmacist may fill a 21 DS. The medication does not need to be written under the supervision of a physician directed protocol E. The optometrist may write for any amount of this drug without restriction since the condition is within the scope of practic - Answer C; an optometrist with a DEA license may prescribe codeine mixed with a nonscheduled drug as long as the DS is limited to 3 days and includes a referral to an ophthalmologist if the pain persists After a pharmacy license has been voided or the pharmacy notifies the BOP of the intent to remain closed, when should all drugs be arranged to be transferred to another licensee and BOP informed of this in writing? A. Immediately B. Within 10 days C. Within 30 days D. Within 60 days E. Within 90 Days - Answer B If a pharmaceutical manufacturer does not place an expiration date on its Rx drug product: A. The drug is considered to be expired and cannot be dispensed
B. Assign an expiration date from a comparable product from another manufacturer C. Use a 60 date expiration date from the date of dispensing D. Use a 6 month expriration date from the date of dispensing E. Use a one year expiration date from the date of dispensing - Answer A Which is required to serve as BOP inspector? A. Must be a CA licensed pharmacist who has worked in either a community or hospital pharmacy for at least 10 years B. Must be a CA licensed pharmacist who has worked in a gov position for at least 3 years C. Must be a person who has worked in law enforcement for at least 5 years D. Must be licensed pharmacist and has worked as pharmacist in a community or hospital pharmacy for at least 5 years E. Can either be a registered pharmacist in good standing or a non-pharmacist capable of learning, understanding, and applying the laws applicable to the practice of pharmacy in CA - Answer E T/F: In accordance with the CURES program, a pharmacy may check on a physician's CS prescribing practices, or on another pharmacy's dispensing of CS, as well as any patient's possible abuse of CS filled at any pharmacy or prescribed by any prescriber. - False Which statement is correct about servicing the compounding needs of four hospitals owned by single corporation? A. A CA centralized hospital pharmacy may do the compounding and preparation of extemporaneous unit dose packaging for all four hospitals even if the other hospitals are in the eastern part of the US B. A centralized hospital pharmacy in LA may do the compounding and preparation of extemporaneous unit dose packing for any of the other owned hospital pharmacies if located in other areas of CA C. A centralized hospital pharmacy in CA may do the compounding and preparation of any extemporaneous unit dose packaging for any of the other owned hospital pharmacies if located
