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LAW & ETHICS FINAL EXAM LATEST
VERSION REAL QUESTIONS AND
CORRECT ANSWERS ALREADY GRADED
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To obtain a license to engage in the practice of pharmacy, an applicant for licensure by examination shall: - CORRECT ANSWER 1. Submitted an application
- At least 18 years old
- Be of good moral character
- Graduated
- Completed an internship
- Successfully passed exams
- Paid the fees for the examination and the license What is required for a pharmacist to renew their license? - CORRECT ANSWER - Biennially by 12/31 on even numbered years
- Complete 30 CE hours
- Late renew by 1/31 - if not it's "Administratively Revoked" What is the amount of required CE hours for newly licensed pharmacists during the first 6 months of the biennium? The following 12 months? The last 6 months? - CORRECT ANSWER 30 hours 15 hours 0 hours
How many pharmacy internship hours do applicants need to complete before applying for licensure? - CORRECT ANSWER 1500 hours What is the minimum score required on the NAPLEX? What is the minimum score required on the MPJE? - CORRECT ANSWER Minimum score of 75 to pass How many attempts do you have to pass the NAPLEX? How many attempts do you have to pass the MPJE? - CORRECT ANSWER 5 attempts maximum *cannot take the NAPLEX more than 5 times, but can take the MPJE in another state (just not the one you failed 5 times in) What are situations in where a pharmacy intern license will expire? - CORRECT ANSWER - 5 years since issuance date
- Intern is expelled, suspended, dismissed, or withdraws
- Taken and failed the MPJE/NAPLEX for the 3rd time What are registration requirements for pharmacy technicians? - CORRECT ANSWER - At least 17 years old
- Currently enrolled in high school, has a diploma or GED
- Pay for a background check
- Submit the name and address of employer and place of employment What are requirements for a pharmacy technician to renew their license? - CORRECT ANSWER - Biennially by 6/30 on odd numbered years
- On and after 7/1/23, complete 20 CE hours
- Completed and passed the Georgia Peach Officers Standard and Training (POST) Basic Mandate Training Course within 1 year of being hired How many years do you have to be a GDNA Special Agent before you are eligible to be the GDNA Deputy Director? - CORRECT ANSWER At least 5 years of full-time paid employment What does the GDNA do during each annual legislative session?
- CORRECT ANSWER 1. Compile and submit to the General Assembly a list of known dangerous drugs
- Assist the State Board of Pharmacy by compiling and submitting a list of substances to add to or reschedule substances How many members are part of the Board? - CORRECT ANSWER 8 individuals: 7 pharmacists and 1 consumer member *appointed by the Governor What are the requirements of the pharmacist members of the Board? - CORRECT ANSWER - Be a resident of the state for not less than 6 months
- Be currently licensed and in good standing
- Be actively engaged in the practice of pharmacy in this state - Have 5 years of experience in the practice of pharmacy in this state
- Not be officially employed as a full-time faculty member by any school or college of pharmacy What are the requirements of the consumer member of the Board? - CORRECT ANSWER - Resident of Georgia
- Age of majority
- No connection with the pharmaceutical industry
What is known as "Betrayal of Confidence"? - CORRECT ANSWER A pharmacist shall not discuss with the patient or representative such matters that should be discussed only with the prescriber Ex: physician believes the patient is addicted to opioids, don't go and tell the patient or family member about this T/F: Uncertainty of a prescription that was sent by a physician can be approved from a NP - CORRECT ANSWER True; doesn't have to be from the physician, just make sure the prescription sounds legit and make a note of the interaction T/F: No pharmacist or employee of a pharmacy shall diagnose any disease or illness - CORRECT ANSWER True; however, this doesn't limit the pharmacist from making recommendations about OTC items, first aid measures, etc. Can pharmacists, pharmacy interns, or pharmacy externs make changes to prescriptions (in terms of ingredient or medication)? - CORRECT ANSWER Need prior approval from prescriber first, any changes should be recorded on the prescription stating:
- Date and time
- Method of getting the approval What is included in the context of impairment? - CORRECT ANSWER Whenever a pharmacist, intern or extern becomes unfit to practice pharmacy with reasonable skill and safety by reason of a mental or physical condition, including impairment due to use of alcohol, narcotics, stimulants, etc. Any pharmacist having knowledge that a pharmacist or employee
- Large number of patients per day
- Members of same household receiving the same meds
- Provider is not board certified or practices outside their specialty
- Certain med combinations (trinity = Oxy + Benzo + Soma) T/F: You can fill any prescription early, regardless of schedule - CORRECT ANSWER Both true and false;
- Technically, you can fill any prescription early unless the physician specified a day supply in the directions or the prescription contains a do not fill date
- It's always helpful to get approval from the physician first and take down a note
- So it is legal, but your job may not like you What are situations in where patient counseling is not required? - CORRECT ANSWER - In-patients of a hospital or institution
- Inmates of corrections institutions
- Patients receiving drugs from the Department of Public Health
- Patients/caregivers that refuse counseling What are eligible substitutions a pharmacist can make to a prescription? - CORRECT ANSWER - A drug with the same generic name in the same strength, quantity, dose, and dosage form as prescribed
- A biological product with an interchangeable biological product *substitution ≠ practice of medicine Where can a pharmacist look for an eligible substitution of a drug?
Where can a pharmacist look for an eligible substitution of a biological product? - CORRECT ANSWER Orange book AB rating Purple book How must a practitioner clarify brand necessary on a hard copy prescription? - CORRECT ANSWER Must be in the practitioner's own handwriting The pharmacist can dispense up to a 90 day supply of maintenance medication for treatment of chronic illnesses if written for 30 days with refills UNLESS: - CORRECT ANSWER
- Prescriber has specified on the prescription that it is not allowed - Initial filling of the prescription for a new maintenance medication or new dose for the patient
- A CII-V drug T/F: A prescription drug order for a dangerous drug is not required to bear the DEA permit number of the prescribing practitioner - CORRECT ANSWER True; dangerous drug is not a controlled scheduled II-V drug When an oral prescription drug order is received from someone other than the practitioner, what must be collected from the person sending? - CORRECT ANSWER - Name of the individual
- Transmission date, time, and location When an oral prescription drug order is received in an institutional setting, what must be collected from the person sending? - CORRECT ANSWER - Transmission date, time, and location *name of the individual is NOT required
T/F: In a state of emergency, the pharmacist can dispense a 30 day supply of Xanax - CORRECT ANSWER True; as long as it isn't a CII its fine *must notify prescriber within 48 hours after dispensing In an emergency fill, the pharmacist may dispense up to a __________ supply of a prescribed medication provided that: - CORRECT ANSWER 72 hour
- Not a CII-V medication
- Interruption is bad
- Dispensing pharmacist notifies the practitioner within 7 working days
- Pharmacist records as a separate nonrefillable prescription - Pharmacist puts why you dispensed on patient's record and on the new document
- Pharmacist doesn't do this regularly for the same patient on the same medication After the pharmacist has completed an emergency fill, how soon do they have to notify the practitioner of the fill? - CORRECT ANSWER Within 7 working days *emergency fill = 72 hours supply What is required on the sticker label of a dangerous drug prescription? - CORRECT ANSWER - Name of the patient
- Name of the practitioner
- Expiration date (if any)
- Name and address of the pharmacy that dispensed
- Date of the prescription
*NOT name of drug, quantity, instructions, Rx number T/F: Possession and control of controlled substances or dangerous drugs shall be legal only if they are in the original container dispensed from the pharmacy - CORRECT ANSWER True; more so in regards to traveling/driving with a pill container, but still is illegal and can be charged with possession of illegal prescriptions Reliable backup copies of the information for record keeping should be readily retrievable within ________ following each work day - CORRECT ANSWER 48 hours How can end-of-day reports be managed? - CORRECT ANSWER 1. Print hard-copy printouts at least once weekly, separated into each 24 hour period, pharmacists verify that the data indicated is correct and then sign this document OR
- Be maintained electronically, and immediately retrievable as hard-copies or viewing on a computer, sorted by prescriber name, patient name, drug dispensed, and date filled, with a bound log book signed each day stating that the pharmacist has verified the data is correct When utilizing an electronic end-of-day report system, what must each pharmacy have to ensure the pharmacist verified the data and information is correct? - CORRECT ANSWER A bound log book in which each individual pharmacist involved in such dispensing shall sign a statement each day, attesting to the fact that the information entered that day has been reviewed and is correct
- Refills are purchased through retail and/or mail order A vaccine protocol agreement can be made between physicians and pharmacies provided that: - CORRECT ANSWER - Physician resides in Georgia
- Physician registered with GRITS
- Pharmacist holds current BLS certification *expire every 2 years What are the requirements for pharmacists to properly immunize?
- CORRECT ANSWER - Get history of patient and GRITS
- Provide VIS and info about importance of having a PCP
- Document administration, patient remains in area > 15 minutes
- Notify PCP within 72 hours
- Given in a private area (not apply to mass immunizations)
- Have liability insurance not less than $250,
- Have a valid vaccine protocol agreement What dose of Codeine makes it a Schedule III drug? - CORRECT ANSWER < 1.8 g per 100 mL or < 90 mg per dose *going over this makes it a CII What is the penalty for possession of a CI and CII? What is the penalty for possession of a CIII-V? What is the penalty for possession of a dangerous drug? - CORRECT ANSWER - Felony, 5-30 years
- Felony, 1-5 years
- Misdemeanor, ≤ 1 year What is expected on a prescription drug order for a schedule II-V controlled substance? - CORRECT ANSWER - Name and
address of patient
- Drug name, strength, dosage, quantity, directions
- Indications for refills (not for CII)
- Name, address, phone #, DEA # of practitioner
- Signed and dated by practitioner T/F: CII prescriptions can be transmitted via facsimile - CORRECT ANSWER True; but the original written, signed prescription drug order must be presented to the pharmacist prior to actual dispensing *different situation for Hospice, LTCF, and terminally ill A schedule III-V prescription shall not be filled or refilled more than ___________ after the date on which such prescription was issued - CORRECT ANSWER 6 months *with no more than 5 refills for quantity written What is required on the sticker label for a controlled substance? - CORRECT ANSWER - Name, address, and phone # of pharmacy - Rx number
- Date filled/refilled
- Name of patient
- Name of practitioner
- Directions for use
- Expiration date of drug (if needed)
- Cautionary statement as required (Fed Caution) *NOT drug name or quantity What is required on a controlled substance sticker label that is not required on a dangerous drug sticker label? - CORRECT ANSWER - Phone # of pharmacy
- Rx #
What classifies as an emergency situation when dispensing an emergency CII? - CORRECT ANSWER Practitioner determines that:
- Immediate administration of CII is necessary
- No appropriate alternative treatment
- Not reasonably possible for the practitioner to provide a written prescription *Pharmacist cannot dispense emergency CII without oral authorization from practitioner What are the requirements to a pharmacist dispensing an emergency CII? - CORRECT ANSWER - Practitioner determines an emergency
- Quantity dispensed is limited to treat
- Rx reduced to writing and contains everything minus signature
- Practitioner provides Rx within 7 days of quantity dispensed
- Attaches Rx given to the emergency Rx written *If no Rx provided within 7 days, notify GDNA When a Hospice or LTCF send a CII via facsimile, what are the appropriate steps to take? - CORRECT ANSWER All on the face of the prescription:
- Put a note stating "LTCF" or "HOSPICE"
- Practitioners telephone
- Name of agent sending
- Receiving pharmacists name and license *the facsimile serves as the original, written drug order What are some changes that a pharmacist can make to a CII prescription, given approval from the practitioner? - CORRECT ANSWER - Quantity of drug is omitted
- Strength of drug is omitted
- Strength of the prescribed drug is not immediately available *if strength of drug is WRONG and not omitted, we need a new prescription After getting approval from the practitioner for changes to a CII prescription, what must the pharmacist do next? - CORRECT ANSWER - On the face: write missing info and pharmacist initials
- On the back: write date and time of the conversation, with a brief explanation of the situation and how it was resolved Can you partial fill a CII prescription? - CORRECT ANSWER Yes; when unable to supply the full quantity, then:
- Make note on face of prescription the quantity supplied
- Can fill remaining portion within 72 hours, if not it's void *use the same Rx # when filling remaining portion What must a pharmacist do if they partial filled a CII prescription for Hospice or LTCF? - CORRECT ANSWER - On the face: "LTCF" or "HOSPICE"
- On the back: date of partial filling, quantity, remaining quantity, identification of the pharmacist *Can partial fill up to 60 days from dispensing date T/F: A person picking up a CII prescription has to present a Drivers License in order for us to release - CORRECT ANSWER False; can be more than just a drivers license, they have to present a government issued photo identification *cannot be expired, doesn't need to be photocopied or take down DL/ID number, doesn't have to be the patient picking up their own meds How many times can you transfer CIII-V prescriptions? -
- Stamped in red ink in the lower right corner with the letter "C" no less than 1 inch high Each pharmacist dispenser shall submit the prescription information for CII-V controlled substances to PDMP at least every ____________ - CORRECT ANSWER 24 hours *physicians are required to check PDMP, pharmacists are not What would happen if an authorized individual used PDMP to obtain or disclose information outside of healthcare reasons? - CORRECT ANSWER - Guilty of a felony
- Imprisonment for 1-5 years
- Fine not to exceed $50, Theft, loss, or unaccounted for controlled substances must be reported to the GDNA and DEA within _________ of its discovery
- CORRECT ANSWER 3 days; using DEA Form 106
- GDNA for dangerous drugs and CII-V
- DEA for CII-V *24 hours to Board for dangerous drugs and CII-V What is the maximum amount of ephedrine or pseudoephedrine a patient can purchase in a day? What is the maximum in a 30 day period? - CORRECT ANSWER 3.6 grams 9 grams *max on possession at any one time is 300 pills or 9 grams The seller of pseudoephedrine products must self-certify and post
certificate how frequently? - CORRECT ANSWER Annually What cannot be present on the bottle of an exempt non-PSE CV being sold? - CORRECT ANSWER - Federal Caution
Warning
- Rx Only *otherwise, we need a prescription to dispense How much Codeine is permitted to purchase as an exempt non- PSE CV? - CORRECT ANSWER Not more than 200 mg of codeine per 100 mL or per 100 grams How much Opium is permitted to purchase as an exempt nonPSE CV? - CORRECT ANSWER Not more than 100 mg of opium per 100 mL or per 100 grams How much Codeine is a non-exempt CIII? - CORRECT ANSWER Not more than 1.8 grams of codeine per 100 mL Not more than 90 mg per dosage unit How much Opium is a non-exempt CIII? - CORRECT ANSWER Not more than 500 mg of opium per 100 mL or per 100 grams Not more than 25 mg of opium per dosage unit What are circumstances that require immediate (24 hours) notification to the Board? - CORRECT ANSWER - Permanent closing of pharmacy
- Change of ownership, management, location
- Change of PIC
- Any theft or loss of drugs (any control)
- Conviction of an employee
