Nevada MPJE Questions With Complete Solutions.
True or false: "take as directed" does not fulfill the directions for use requirements for controlled substances.
true. Controlled Rx must clearly specify dosage, frequency, and manner in which the drug is to be taken.
How often must practitioners...
Nevada MPJE Questions With Complete Solutions.
True or false: "take as directed" does not fulfill the directions for use
requirements for controlled substances.
true. Controlled Rx must clearly specify dosage, frequency, and manner in which the
drug is to be taken.
How often must practitioners or other people who dispense controlled
substances obtain registration from the DEA?
every 2 years
True or false: an agent or employee of a registered dispenser is not required to
register with the DEA.
True, so long as they are acting in the usual course of their business/employment.
True or false: a common or contract carrier or warehouseman does not need
registration with the DEA.
True.
Which of the following activities requires separate registration with the DEA? (1)
manufacturing. (2) distributing. (3) dispensing, prescribing, conducting research.
(4) conducting chemical analysis.
they all do. A separate registration for each of these activities is required.
True or false: a person who engages in more than one group of independent
activities must obtain a separate registration for each group of activities.
TRUE.
True or false: a separate registration is required for each place of business or
professional practice where controlled substances are manufactured, distributed,
used in research or scientific investigation, prescribed or dispensed.
TRUE
True or false: a warehouse that stores controlled substances requires a separate
registration.
FALSE.
True or false: a practitioner's office where controlled substances are prescribed
but not stored or dispensed still requires a separate registration.
FALSE. If they are only prescribed, and not stored/dispensed/administered, the location
does not require registration.
True or false: a practitioner's office where controlled substances are stored does
not require a separate registration.
FALSE - if controlled substances are being stored, they require separate registration.
What items are required on the certificate of registration?
(1) name of registrant. (2) address of registrant. (3) registration number (DEA#) of
registrant). (4) activity authorized (is it dispensing, research, etc). (5) the schedules of
the controlled substances which the registrant is authorized to handle.
For a practitioner who dispenses controlled substances for use by his patients
outside of his presence, what record-keeping is required?
(1) name of the patient. (2) address, unless readily available (then indicated). (3) date of
dispensing. (4) name of the prescribing practitioner and classification of license. (5)
DEA #. (6) initials of the dispensing practitioner if the dispensing is different from the
prescribing. (7) directions for use. (8) signature of the prescribing practitioner.
,True or false: a practitioner may dispense controlled drugs to a patient only after
he has issues a written RX that allows the patient to have it filled at another
location of the patient's choosing.
TRUE
True or false: an individual practitioner may dispense a controlled substance (2-4)
for his own personal use.
FALSE - they may not. Exception: medical emergency.
Can pharmacists use oral authorization to dispense CII medications?
YES, but only in emergency situations. The quantity prescribed/dispensed must be
limited to the amount adequate to treat the patient during the emergency period. Any
quantity beyond this requires a written prescription.
What are the requirements for dispending a CII in an emergency situation?
Reduce the oral authorization to writing immediately. RX must contain all information
required of controlled medications, except the signature of the prescriber. Write on the
face of the RX "authorization for emergency dispensing" and date or oral order. Make
reasonable effort to confirm validity of registered practitioner if they are personally
unknown to the pharmacist. A written prescription must be received, either by person or
by mail, within 72 hours (if by mail, then post-marked by 72 hours). Attach this written rx
to the oral authorization. If the written RX is not received, the pharmacist must notify the
board of the prescribers' failure to deliver.
True or false: an individual practitioner may issue a prescription order in order to
obtain controlled substances for the purpose of general dispensing to patients.
FALSE - they should be filling out an order form - prescribers cannot write an RX to a
pharmacy with "for office use," for example.
Can a prescription for a narcotic be given to a patient who is dependent with the
sole purpose of extending their dependence on the medication?
ONLY if they are in an authorized investigation in the development of a program for
rehabilitating narcotic addicts.
True or false: the prescribing of narcotic's to a person dependent on a narcotic
for the purpose of continuining his dependence is persmissible as long as that
patient is in a authorized clinical investigation in the development of a program
for rehabilitating narcotic addicts.
FALSE - narcotics may be administered or dispensed directly - but they cannot be
prescribed! (this is unsafe for the patient, who should be supervised while taking
medication they are dependent upon)
What schedules of controlled medications can be accepted through fax?
C3-5. C2s can be accepted via fax in only 3 circumstances: (1) compounded for direct
administration, (2) for a patient in a LTCF, or (3) for a patient in hospice-care (or is
"terminally ill")
What items must be included in an written prescription? (nor oral or electronic)
for the prescriber: (1) name, (2) address - unless readily available, (3) signature, (4)
type of license, (5) DEA#. For the patient: (1) name of the patient, (2) address, unless
readily available, (3) name, strength, quantity of drug, (4) directions for use, (5) date
issued
What items can be changed on a CII prescription?
, strength of drug, quantity of drug, directions for use, and the date the RX was issued. All
changes require prescribing practitioner approval. Note the date and time of change,
and the reason for the change.
Which items can NOT be changed on a CII prescription?
name of the patient, name of the drug, signature of the prescribing practitioner.
Can a prescription blank contain more than one CII medication?
YES. If it's being filled immediately, the prescription can contain multiple CIIs, other
controlled medications, or non-controlled medications. They just have to be filed
appropriately. (make copies, reference the original rx/C2 on the copies)
Can a pharmacist return a written C2 prescription?
yes, only if the medication has not already been dispensed. If the medication has been
dispensed, the pharmacist shall not return the rx to the patient.
Can multiple drugs be on a single prescription blank if the medication is issued
for future use?
NO. any C2 with "do not fill before" or some version thereof must be alone on that
prescription blank.
When must a C2 prescription for future use be tendered?
within 14 days of the future date indicated (on or before the 14th day).
True or false: the date indicated on a C2 for future use must not be later than 4
months after the date on which the prescription is written.
FALSE - no later than THREE months.
True or false: for C2s with future fill date; "no combination of prescriptions for the
same medication may exceed a 90-day supply based on the date indicated."
TRUE.
Are pharmacists allowed to dispense a partial fill on C2 medications?
YES. If the pharmacist is unable to supply the full quantity, you can fill a partial quantity
- note the quantity dispensed on the RX. The remaining quantity must be filled within 72
hours. If the remainder cannot be filled within 72 hours, the pharmacist must notify the
prescriber. No further quantity may be supplied beyond the 72-hour period without a
new prescription.
How long is a C2 prescription valid for after a partial fill?
if it's a regular patient, the remainder must be filled within 72 hours. For patients in
LTCF or hospice/terminally-ill, the prescription is valid for 60 days after its written date
unless the rx is terminated earlier by d/c of the medication.
Can C-3 to 5 be partially filled by the pharmacist? What counts as a full refill?
YES, schedule 3 to 5 can be partially filled. A patient will not receive a full refill until the
entire quantity of the first prescription has been dispensed. Example: patient has RX for
Xanax 2 mg, # 60. Patient can pick up #20. It will not count as a "full" fill until the patient
picks up a total of 60.
Up to how long can C3-5 rxs be partially filled or refilled?
no more than 6 months after the date it was originally written.
If a pharmacist is hired as a new pharmacy manager, when must they conduct a
controlled inventory by?
within 48 hours, with the preceding pharmacist. Both must sign the inventory.
How often must an inventory of controlled substances be conducted?
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