Oregon Pharmacy Law Exam

Which activities can a technician complete?

I. Accept a refill from a provider for Zanaflex
II. Enter allergies into a patient’s electronic chart
III. Bypass an electronic alert for duplicate therapy

I and II only
II and III only
I and III only
I, II, and III

A patient comes in and states she wants “everything refilled”. You overhear this and see the technician put through refills for all medications in the patient’s profile. You:

Verify all refilled medications
Verify all refilled medications except for her Ambien
Verify all refilled medications except for her Prilosec, whose directions state for patient to take as needed
Call patient and review each medication that needs refilled

A patient comes to pick up her EPT prescription as well as the EPT prescription written for her partner. You:

Explain that she can only pick up her EPT prescription, her partner will have to come in to pick up theirs.
Verbally counsel the patient on both prescriptions.
Verbally counsel the patient on both prescriptions and provide written patient information for both prescriptions.
Verbally counsel the patient on both prescriptions and provide written patient information for the partners prescription.

Which of the following is true for the storage and distribution of controlled substances in a hospital setting?

I. Suboxone may be used as floor stock as long as proper documentation is kept.
II. Halcion may be kept in a robotic distribution system.
III. Quantities of Roxanol kept in the pharmacy must be tracked using a perpetual inventory.

I and II only
II and III only
I and III only
I, II, and III

Your pharmacy has decided to host a take-back program and you have notified the BOP. You have a couple of interns available to help you during the take-back program. You may ask them to do the following:

I. Count the number of tablets of Schedule II substances that are collected during the program.
II. Help clean out the expired storage area in the pharmacy and put these medications into the take back receptacle
III. Interview patients as they are coming in on their perceived value of the take-back program.

II only
III only
I and II only
II and III only

Which of the following is correct regarding the Oregon Board of Pharmacy?

Members of the Oregon BOP serve 2-year terms after their initial appointment by the governor.
Members of the Oregon BOP serve 2-year terms after their initial appointment by the Oregon Health Authority.
Members of the Oregon BOP serve 4-year terms after their initial appointment by the governor.
Members of the Oregon BOP serve 4-year terms after their initial appointment by the Oregon Health Authority.

Which of the following activities may a clerk complete?

I. Accept refill request from a patient who has their prescription numbers.
II. Inform a patient of a change in manufacturer when a patient is picking up a medication refill.
III. Create a new patient profile and fill in the patient name, address, and insurance information.

I and II only
I and III only
II and III only
I, II, and III

A pharmacy must transmit information regarding controlled substance prescriptions to the Oregon PDMP within ____, but if a breach of security is suspected must notify the Oregon Health Authority within _____.

48 hours, 24 hours.
72 hours, 48 hours.
48 hours, 48 hours.
72 hours, 24 hours.

You receive an electronic prescription transmitted by a provider’s agent for a product containing dextromethorphan for a patient that is 16 years old. You:

Refuse to fill the prescription
Call the providers office to get a hard-copy prescription
Tell the patient you can only dispense this medication to a parent or guardian over 18 years old
Dispense the medication to the patient as written

It is 6PM on Friday night and your pharmacy receives a prescription for Tamiflu liquid. The pharmacy just ran out, but you have Tamiflu capsules in the same concentration and at the same strength as the prescription. The provider’s office is closed at this time, but the patient says they are ok with receiving the capsules instead of the liquid. You:

Notify the patient that since you cannot get in touch with the provider you cannot fill the prescription for capsules
Call an emergency room provider to obtain an emergency prescription for capsules.
Document that you have changed the prescription to capsules and fill the prescription with capsules instead.
Fill the prescription for capsules and fax the provider a prescription to sign off and return to the pharmacy within 7 days.

How do you complete a DUR on an EPT prescription?

You do not have to complete a DUR on an EPT prescription, as you have no information for the partner.
Inform the patient dropping off the prescription that you will need to contact the partner to obtain more information before filling the prescription.
Ask the patient that drops off the prescription if the partner has any allergies or concurrent medications.
The extent that you can complete a DUR is just to ensure that the prescription is written correctly and appropriately, as you have no other information.

A patient is being discharged from the hospital for a COPD exacerbation, and he is to continue using a new inhaler that was started in the hospital. You would like to send the patient home with the inhaler he has been using in the hospital, as there are still 23 doses left. You:

Notify your PIC, who informs you that unfortunately you cannot legally provide the inhaler to the patient.
Provide the inhaler to the patient with the hospital label but with written counseling instructions that contain the directions on how to use the medication.
Put an outpatient label on the medication, and counsel the patient on taking the medication.
Put an outpatient label on the medication and provide it to the patient. The patient does not need to be counseled as he has already been using the medication in the hospital.

How long are you required to keep physical copies of controlled and non-controlled hard copy prescription received by the pharmacy?

Both controlled and non-controlled prescriptions must be kept in hard copy form for 365 days.
Both controlled and non-controlled prescriptions must be kept in hard copy form for 120 days.
Non-controlled prescriptions must be kept in hard copy form for 365 days, and controlled prescriptions must be kept for at least 3 years.
Non-controlled prescriptions must be kept in hard copy form for 120 days and controlled prescriptions must be kept for at least 3 years.

Which of the following is correct regarding the composition of the Oregon Public Health and Formulary Advisory Committee?

7 total members, including 2 Physicians, 2 advanced practice nurses, and 3 pharmacists.
7 total members, including 2 pharmacists from a community setting and 1 pharmacist from a hospital setting.
9 total members, including 3 physicians, 3 advanced practice nurses, and 3 pharmacists.
9 total members, including 1 community-based pharmacist, 1 hospital-based pharmacist, and 1 consultant based pharmacist.

Which of the following constitute valid prescriptions?

I. A verbal prescription transmitted by a prescribers’ agent for Sudogest.
II. A hard copy prescription signed by the providers’ agent for Brintellix.
III. A faxed prescription signed by the provider for Androgel, brought into the pharmacy by a patient.

I and II only
I and III only
II and III only
I, II, and III

Which of the following is true regarding the labeling of intravenous medications in a hospital setting?

I. The label must contain a beyond-use date
II. As long as the label was electronically generated, it does not need to include the information of the verifying pharmacist
III. The label must include a rate of infusion

II only
III only
I and II only
I and III only

There is an authorized checking technician at your location. What of the following can they check?

I. Anaphylaxis kit
II. Suture kit
III. Restocks for the Family Care Unit automated dispensing cabinet

I and II only
II and III only
I and III only
I, II, and III

Which of the following is not an allowable substitution?

A levothyroxine product that is AB rated in the orange book.
A diltiazem product that has BC rating in the orange book
A levothyroxine product that costs more than the originally prescribed thyroid product.
A diltiazem product that costs less than the originally prescribed diltiazem product.

Which of the following is true regarding immunizations

I. A pharmacy that provides immunizations must have “Epidemiology and prevention of Vaccine –Preventable Diseases” on hand to reference.
II. Report of vaccinations given must be sent in to OHA Alert
III. A pharmacist may only immunize patients under the age of 7 when authorization is given by the Oregon Board of Pharmacy

I and II only
II and III only
I and III only
I, II, and III

A pharmacist in Montana works in a Central Fill pharmacy that processes prescriptions for Oregon patients. Which of the following is true?

I. Both the pharmacist processing prescriptions and the PIC of the Central Fill pharmacy must be licensed in Oregon.
II. Only the PIC of the Central Fill pharmacy needs to be licensed in Oregon
III. As long as the PIC of the Central Fill pharmacy is licensed in Oregon, the Central Fill Pharmacy itself does not need to be registered with the Oregon Board of Pharmacy.

I only
II only
II and III only
I, II, and III

Which of the following review items and timelines are matched incorrectly?

An outpatient pharmacy must complete an inventory of Schedule II substances quarterly.
A CDTM agreement must be reviewed annually.
The pharmacy policy on returned medications must be reviewed annually.
A PIC inspection must be completed annually by February 1st.

Which of the following is correct regarding the Oregon Public Health and Pharmacy Formulary Advisory Committee?

I. Members of the committee serve 2-year terms
II. The committee takes protocol recommendations from pharmacists not on the committee
III. Members of the committee are appointed by the Oregon Health Authority

I and II only
I and III only
II and III only
I, II, and III

A nursing home has single-dose blister-packed medications for a patient that no longer resides in the facility. The nurse is wondering what her options are for these medications. You explain that she may:

I. Return them to the pharmacy where they were obtained, provided that she can account for proper storage and handling of the medications and the medications remain in sealed blisters.
II. Keep the medications in the nursing home as floor stock.
III. Donate them to a charitable pharmacy as long as there are no controlled substances and the medications remain in sealed blisters.

I and II only
I and III only
II and III only
I, II, and III

An IV is sent back from the inpatient ward as the patient for whom the IV was originally intended was switched to oral medication. The beyond-use date listed on the IV is not until tomorrow. You:

Properly dispose of the medication for no further use.
Remove the medication label and store appropriately for potential use within the next day.
Remove any patient identifier on the label and store appropriately for potential use within the next day.
Re-label the medication with a beyond use date in 1 hour.

Which of the following is true in regard to counseling?

I. Only a pharmacist can accept a refusal for counseling
II. A pharmacist may document counseling with a log with a check box for either accept or refuse
III. A pharmacist must counsel on a refill for levothyroxine with a change in dose

I and II only
II and III only
I and III only
I, II and III

What is true about the substitution for biologic substances?

I. The provider must be notified within 3 business days after the initial fill and each refill.
II. The substituted biosimilar is listed as interchangeable with the prescribed biologic in the Purple Book.
III. DAW must be absent from the prescription.

I and II only
II and III only
I and III only
I, II, and III

A patient experiences an adverse reaction to a vaccine. You immediately report it to:

I. MedWatch
II. VAERS
III. The patient’s primary care provider

I and II only
II and III only
I and III only
I, II, and III

An Oregon pharmacy uses a Remote Processing Drug Outlet located in Idaho to handle its prescription processing. Which of the following is correct?

Only a pharmacist licensed in Oregon may provide counseling to Oregon patient’s on prescriptions processed by the RPDO.
If owned by different entities, there must be a shared pharmacy services agreement between the Oregon pharmacy and the RPDO.
The prescription label should contain the information of both the primary Oregon pharmacy and the RPDO.
The records kept at the primary pharmacy only need to show the functions of prescription filling or processing performed at the primary pharmacy.

Which of the following events and reporting deadlines are matched incorrectly?

A report of a natural disaster, which has destroyed part of your medication stock, must be provided to the BOP in 3 days.
The board has found some problems on their inspection, and the PIC is required to submit a correction within 30 days.
A felony charge on a pharmacist must be reported to the BOP within 15 days.
A change in PIC must be communicated to the BOP within 15 days.

Which of the following activities can a technician complete?

I. Reconcile the inventory of Schedule II controlled substances
II. Fax requests for prescription refills to a provider
III. Fill prescriptions that the pharmacist has already processed while the pharmacist has stepped away from the pharmacy for a brief meeting.

I and II only
I and III only
II and III only
I, II, and III

A patient’s agent comes in to your pharmacy to pick up a prescription for Azithromycin 500mg tablets, quantity of 4, take 4 tablets by mouth once. The prescription requires counseling. You:

Tell the patients’ agent that you need to talk to the patient regarding this prescription and dispense the medication along with a number the patient can reach you at.
Tell the patients’ agent that you need to talk to the patient regarding this prescription, and therefore must dispense it to the patient themselves.
Counsel the patients’ agent as you would the patient themselves and dispense the medication to the patients’ agent.
Dispense the medication to the patients’ agent without counseling, but with written information on the medication.

Pharmacists must renew their license ______ on _______.

Annually, February 1st.
Annually, June 30th.
Biannually, February 1st.
Biannually, June 30th.

Which of the following personnel ratios are required?

Three technicians to every one pharmacist.
Two technicians to every one pharmacist.
Two SRIs to each one pharmacist.
Two TPIs to each one pharmacist.

Which of the following prescriptions requires a DUR?

I. A new prescription for Azithromycin for “Partner 1” with directions “For EPT, take as directed”, quantity of 4
II. A refill of Robaxin, take 1 tablet every 8 hours as needed, quantity of 30
III. A refill of Fiorinal, take 1 tablet as needed as directed, quantity of 10, that was transferred in to your pharmacy.

I and II only
II and III only
I and III only
I, II, and III

Which follows appropriate order for vaccination protocol?

Provide the patient with the vaccine information sheet, confirm the patient has no questions about the vaccine, immunize the patient, and notify the patients’ primary care provider.
Confirm the patient has no questions about the vaccine, immunize the patient, provide the patient with the vaccine information sheet, and notify OHA Alert.
Provide the patient with the vaccine information sheet, confirm the patient has no questions about the vaccine, immunize the patient, and notify OHA Alert.
Confirm the patient has no questions about the vaccine, immunize the patient, provide the patient with the vaccine information sheet, and notify the patients’ primary care provider

As a consultant pharmacist, you are responsible for the following:

I. Providing the facility with Policies and Procedures regarding the storage of medication.
II. Completing a DUR on each medication when it is prescribed within the facility.
III. Assisting the nurses in appropriate documentation of administered medications.

I and II only
I and III only
II and III only
I, II, and III

Which of the following items does not need to be kept in a patients record in outpatient pharmacy?

The fact that the patient is a diabetic.
The brand of test strips a patient receives from your pharmacy on a monthly basis.
The type of insulin the patient receives from a different mail order pharmacy, as mandated by his insurance.
The patient’s allergy to latex.

A patient brings in a prescription for Linzess and Lomotil. After reviewing the prescriptions, you note that the patient is the providers’ daughter. You tell the patient:

You cannot fill either prescription.
You can fill the prescription for Linzess but not for Lomotil.
You can fill both prescriptions by the end of the day.
You have to get verification from a second provider before filling either prescription.

A provider writes a prescription for Kadian, “Take 1 tablet by mouth every 6 hours as needed, #120. Please dispense a one week supply at a time.” A diagnosis of Stage 4 breast cancer is written on the prescription. You have verified with the provider previously that this is a terminal diagnosis. You:

Call the providers office and explain that you must provide the entire quantity at one time.
Dispense the entire quantity to the patients’ agent and explain they must only supply the patient with a one-week supply at a time.
Dispense #28, document on the prescription the number dispensed and the number remaining and tell the patient’s agent that they must refill the remaining quantity within 30 days.
Dispense #28, document on the prescription the number dispensed and the number remaining and tell the patient’s agent that they must refill the remaining quantity within 30 days.

What must be present in a vaccine emergency kit?

I. Resuscitation mask
II. Epinephrine auto injectors or vials
III. Diphenhydramine injection

II only
III only
I and II only
I, II, and III

The pharmacy is holding an immunization clinic and would like to have immunizing interns participate. How many immunizing interns may a pharmacist supervise?

One immunization certified TPI.
Two immunization certified TPIs, as long as only one is doing the immunizations.
Two immunization certified interns.
Three immunization certified SRIs.

Which of the following must not be dispensed to the patient?

A 35 year old patient requesting a 10 pack of syringes.
A 17 year old patient with a prescription for a product containing dextromethorphan.
A faxed prescription for Sudogest with a stamped signature from the provider.
An electronic prescription for Cheritussin AC sent by the provider for a patient that is 16 years old.

Under Oregon statewide protocol, a pharmacist may prescribe and dispense naloxone to:

I. A patient on opioid therapy
II. A person completing overdose training
III. A patient not on opioid therapy

I and II only
II and III only
I and III only
I, II, and III

Which of the following Beyond Use Dates (BUD) is appropriate, if no additional BUD testing is completed?

BUD of 14 days for a medium-risk compound kept in the refrigerator.
BUD of 18 hours for a high-risk compound kept at room temperature.
BUD of 1 hour for a low-risk compound designed for immediate use.
BUD of 30 days for a medium-risk compound kept in the freezer.

Which of the following items is matched incorrectly to the length of time it needs to be kept on file?

Invoice record for Schedule II prescriptions must be kept for 3 years.
Vaccine administration records must be kept for 3 years.
Hormonal Contraception Self-screening questionnaires must be kept for 3 years.
Records of birth control prescribed by the pharmacist must be kept for 3 years.

You receive a hard copy prescription from a patient that was just in the emergency room. The prescription contains three different medications; Norco, Ketorolac, and Septra DS, with directions and quantities for each. The prescription is hand signed by the provider. You:

Tell the patient you cannot fill this prescription.
Tell the patient you may fill the Ketorolac and Septra DS, but not the Nucynta ER.
Fill all three prescriptions and file the hardcopy prescription in your CII files only.
Fill all three prescriptions and file the hardcopy prescription in the CII files, but a copy of the prescription in your files for legend medications.

You a providing partial fills for a nursing home patient for Xtampza ER. The following are correct procedures when partial filling this medication:

I. You must document the date and the quantity dispensed for each fill.
II. You must document the remaining quantity after each fill.
III. You may continue to partial fill the medication for 30 days from the date the prescription was written.

II only
III only
I and II only
II and III only

You receive a prescription from an optometrist office for Paracaine eye drops, with the name of the office under the patient name and directions listed “for Office Use”. You:

Fill the prescription as written.
Call the prescriber back and request specific patient names for the medication.
Fill out an invoice for the office for Paracaine.
Fill out a DEA 222 form for Paracaine drops.

There is a shortage of oxycodone 10mg tablets. You notify the provider, who asks you to change the medication to Percocet 10mg instead, but he can’t get you a hard copy script until tomorrow. You:

Document a verbal order from the provider for an emergency prescription.
Change the medication to Percocet.
Tell the patient they will have to wait until tomorrow when you receive a hardcopy prescription.
Tell the provider to fax an emergency prescription.

Which of the following is true regarding pharmacist prescribing of naloxone?

I. A pharmacist must complete a training course before they are allowed to prescribe naloxone.
II. A pharmacist must counsel on new naloxone prescriptions
III. A pharmacist may provide any supplies needed to use naloxone along with the medication.

I and II only
II and III only
I and III only
I, II, and III

Match the compounds to their appropriate beyond use date:

Sort elements

30 hours room temperature
3 days refrigerated
48 hours at room temperature
1 hour at room temperature

Single-volume transfer of a sterile hazardous substance
Single-volume transfer using preservative free gentamycin

Transfer of three sterile substances into one container prepared appropriately for use tomorrow on the inpatient ward

Transfer of three sterile substances into one container prepared in the emergency room for use within 15 minutes.

Which of the following cannot become PIC of a pharmacy, starting today?

A pharmacist that has 1 year of experience as a pharmacist but has not completed the PIC training course.
A pharmacist with two months of experience as a pharmacist and who is scheduled to complete the PIC training course 10 days after becoming PIC.
A pharmacist with two months of experience as a pharmacist and who is scheduled to complete the PIC training course in 60 days.
A pharmacist that has eight months of experience as a pharmacist and who completed the PIC training course 60 days ago.

A patient would like to fill her prescription for methotrexate through an online pharmacy and has come to ask you for advice. She tells you she has found two internet pharmacies she can send a prescription to, and the one located in Canada is offering her a much better price. You tell her:

I. Unfortunately there are no valid internet pharmacies.
II. There are no pharmacies in Canada that are validated to dispense medications to Oregon patients.
III. She should ensure that the online pharmacy is verified. If it is, it will have VIPPS accreditation on its website.

I and II only
I and III only
II and III only
I, II, and III

Which of the following statements regarding Oregon’s Prescription Drug Monitoring Program (PDMP) are true?

I. A pharmacy must transmit the necessary information to the PDMP within 48 hours after filling a controlled substance.
II. The PDMP only tracks the dispensing of medication in schedule II-IV.
III. The provider is required to register with the PDMP but is not required to check it when writing a prescription.

II only
III only
I and II only
II and III only

Which of the following providers are not allowed to prescribe CII’s in Oregon?

ND
RDH
OD
DVM

A pharmacist receives an electronic prescription on 2/12/19 for Duragesic. The prescription is dated 2/12/19, but states “Do not fill until 2/20/2019”. Janet, a nurse from the prescriber’s office calls and states the prescription was misprinted and asks if we can change the “Do not fill until” date to 2/12/2019. You:

Tell Janet that you need a new hardcopy prescription.
Tell Janet you will need to talk to the prescriber directly about this.
Tell Janet thank you for calling, you will document the change and fill the prescription right away.
Tell Janet to electronic submit a revised prescription.

A 17-year-old female patient would like you to prescribe oral contraceptives. She last saw her provider 18 months ago. She has previously been on Seasonique that you last filled at your pharmacy 3 months ago. The prescription is expired. You:

Tell her you cannot prescribe her birth control until she is over 18.
Tell her you cannot prescribe her birth control because she last saw the provider more than a year ago
Tell her you can only prescribe her Seasonique at this time, after she fills out the self-screening assessment questionnaire.
Tell her she must fill out the self-screening assessment questionnaire, and that you will be able to prescribe her appropriate birth control based on her responses and your assessment.

Which items are appropriately matched to their mandated cleaning schedule when in an ISO Class 7 environment?

Work surfaces- each shift
Floors- Weekly
Walls- Weekly
Ceilings- Monthly

A pharmacist takes a position as the PIC of the pharmacy on March 1st. Which of the following is true?

They must complete an inventory of all controlled substances within the next month, as well as a pharmacy inspection.
They must complete an inventory of all controlled substances within the next 15 days, as well as a pharmacy inspection.
They must complete an inventory of all controlled substances within the next 15 days, but do not need to repeat the pharmacy inspection as it was just completed on February 1st.
They do not need to complete an inventory of all controlled substances, as the retiring PIC completed it on February 1st, but they need to inspect the pharmacy.

You receive a hardcopy prescription from a providers’ office that has both Diflucan and Nucynta ER with complete directions and quantities. The prescription has been signed by the providers’ agent. You tell the patient:

You may not fill either the Diflucan or the Nucynta ER.
You may fill the Diflucan but not the Nucynta ER.
You may fill both the Diflucan and the Nucynta ER after verifying both medications with the provider.
You may fill both the Diflucan and Nucynta ER without any further verification.

A patient and a policeman present to your pharmacy, each asking for a copy of the patient’s PDMP record. You:

Provide both the patient and policeman with a copy of the patient’s record.
Explain to both that they need to request their record from the Oregon Health Authority.
Provide the patient their PDMP record but explain to the policeman that she must make a request to the Oregon Health Authority.
Provide the policeman with a copy of the patients PDMP record but explain to the patient he must make a request to the Oregon Health Authority.

Which of the following would be illegal to fill?

NP without DATA Waiver prescribing Suboxone for treatment of pain control.
PA with DATA Waiver prescribing Suboxone for treatment of opioid abuse.
DO without DATA Waiver prescribing Suboxone for treatment of opioid abuse.
MD with DATA Waiver prescribing Subutex for treatment of pain control.

Your pharmacy receives a prescription for hydrocodone/acetaminophen solution. The pharmacy just ran out, but you have hydrocodone/acetaminophen tablets in the same concentration and at the same strength as the prescription. The patient is ok with receiving tablets. You:

Notify the provider’s agent to quickly send you a revised electronic prescription.
Notify the providers office, and when the providers nurse, Janet, says the provider has approved the change, change the prescription.
Notify the providers office and let Janet know you will need to talk to the provider directly before changing the prescription.
If you have not been able to reach the providers office, tell the patient you cannot fill the prescription.

Which of the following is true regarding pharmacist prescribing of birth control?

I. The patient may be asked to make an appointment with the pharmacist.
II. The pharmacist may not prescribe birth control to their immediate family.
III. The pharmacist may not provide birth control to a patient if the standard procedural algorithm states the patient must be referred to their provider.

I and II only
II and III only
I and III only
I, II, and III

Which of the following statements regarding the Pharmacist in Charge (PIC) are correct?

I. A person may be the PIC of two pharmacies at one time.
II. The PIC of a nuclear pharmacy must be a recognized nuclear pharmacist.
III. A person may be the PIC of two nuclear pharmacies at one time.

I and II only
I and III only
II and III only
I, II, and III

Which of the following are true regarding becoming a pharmacist preceptor?

I. There are no additional CE requirements for pharmacist preceptors.
II. A pharmacist must be licensed as a preceptor and may apply for a license after practicing as a pharmacist for one year.
III. A pharmacist preceptor is not required to supervise all of the hours an intern completes under them.

I and II only
I and III only
II and III only
I, II, and III

A prescribers’ agent calls in a prescription for Nembutal. She explains that this is an emergency situation. You tell her:

If this is truly an emergency you may take a verbal order from her for the Nembutal, as long as she sends a hard-copy prescription to your pharmacy postmarked within 7 business days with the providers signature.
If this is truly an emergency, you may take a verbal order from the prescriber for the Nembutal, as long as a hard-copy prescription is sent to your pharmacy, postmarked within 7 business days with the provider’s signature.
If this is truly an emergency, she must fax you a hardcopy prescription written and signed by the prescriber, and send the hard-copy to your pharmacy, postmarked within 7 business days.
Unfortunately, even if this is an emergency situation, you will need a hard copy prescription presented to the pharmacy before filling the medication.

Which of the following statements are true regarding compounding pharmacies?

I. A compounding pharmacy may compound a commercially available medication if they can make it cheaper than the commercially available medication.
II. Mixing two or more commercial, non-sterile products is not considered compounding.
III. Compounding pharmacies must adhere to the guidelines presented in USP 795 but not to those in USP 797.

II only
III only
I and II only
II and III only

In what situation would a provider’s office have to be registered as a DPDO?

A physician’s office wishes to dispense 3 tablets of Entresto samples to a patient.
A physician’s office wishes to dispense 2 tablets of Norco samples to a patient.
A podiatrist’s office wishes to dispense 1 tube of a Lotrimin sample to a patient.
A physician’s office wishes to dispense 4 tablets of Cozaar samples to a patient.

A patient brings in a hard copy prescription for Marinol but there is no patient name listed, just a date of birth. You:

Notify the patient the prescription is not valid and they will need to notify the provider to send a new prescription.
Call the provider and add the patient’s name after talking to the providers agent, Janet.
Call the providers office and notify Janet that you will have to get the patient’s name directly from the prescriber.
Document the correct name after speaking with the patient.

The record of a patient’s filled out Birth Control Self-Screening assessment questionnaire must be kept for __ years.

2
3
4
5

Which of the following patients may receive medications from a Charitable Pharmacy in Oregon?

An Oregon resident who does not have health insurance and has proof of previously receiving Cozaar for high-blood pressure.
An Idaho resident who is temporarily in Oregon who is enrolled in an Oregon public assistance program and has a prescription for Trajenta.
An Oregon resident who is enrolled in an Oregon public assistance program and has a prescription for clozapine.
An Oregon resident who does not have health insurance and has a prescription for Buspar.

How many CEs must a pharmacist complete in each renewal cycle?

30 total, 3 of which must be on pharmacy law.
30 total, 2 of which must be on pharmacy law.
20 total, 3 of which must be on pharmacy law.
15 total, 2 of which must be on pharmacy law.

Which items do you have to document on a prescription transferred into your pharmacy?

I. Prescription number at the transferring pharmacy
II. Dates of each time the prescription was filled at the transferring pharmacy.
III. The number of refills authorized on the original prescription.

II only
III only
I and II only
II and III only

Which of the following is true regarding prescription labeling in an outpatient setting?

I. If the medication is for an animal, it must include the animals’ species
II. If the medication is a generic, it must also include the manufacturer
III. The expiration date listed must be no greater than one year from the date of filling

II only
III only
I and II only
II and III only

Which of the following prescriptions may a pharmacy legally process?

Refills for a prescription written by a provider that passed away 6 months ago.
A new prescription from an internet provider.
A new prescription from a provider practicing within their scope in Montana.
A new prescription from a provider practicing within their scope in Canada.

A pharmacist licensed in Idaho has moved to Oregon and their Oregon pharmacist license application is pending. They have already taken and passed the MPJE. Which of the following activities can they participate in?

I. Pull medications from shelves for filling prescriptions
II. DUR checks under the supervision of an Oregon licensed pharmacist
III. Pull outdated medications from shelves

I only
II only
III only
I and III only

To which of the following people may a pharmacist prescribe epinephrine?

An EMS trainee who presents with an Authorization to Obtain Epinephrine certificate, issued one year ago and showing one previous dispensing of epinephrine, and an Epinephrine approval form.
An EMS trainee who presents with an Authorization to Obtain Epinephrine certificate, issued two years ago, showing one previous dispensing of epinephrine, and a Statement of Completion.
An EMS trainee who presents with an Authorization to Obtain Epinephrine certificate, issued four years ago, showing one previous dispensing of epinephrine, and an Epinephrine approval form.
An EMS trainee who presents with an Authorization to Obtain Epinephrine certificate, issued four years ago, showing four previous dispensing’s of epinephrine, and an Epinephrine approval form.

Which of the following is true regarding emergency kits located in Long-Term Care Facilities (LTCF)?

I. An emergency kit becomes the property and responsibility of the LTCF when they sign that they have received the kit.
II. Only a designated nurse may remove medications from an emergency kit.
III. An emergency kit may contain medication that may be used in an emergency as well as medications routinely prescribed for a new admission.

I only
II only
I and II only
II and III only

Which of the following equipment is mandatory to operate a pharmacy?

Oregon Revised Statues, Refrigeration, Sink with cold water, and an updated pharmaceutical reference.
Oregon Administrative Rules Chapter 855, Refrigeration, sink with hot and cold water, and an updated pharmaceutical reference.
Oregon Revised Statues chapters 689 and 475, Oregon Administrative Rules Chapter 855, Refrigeration, sink with cold water, and an updated pharmaceutical reference.
Oregon Revised Statues chapters 689 and 475, Oregon Administrative Rules Chapter 855, Refrigeration, sink with hot and cold water, and an updated pharmaceutical reference.

A provider with MD credentials electronically sends three prescriptions for Tamiflu to your pharmacy. The prescriptions are for both family members and the Cuddles, the family cat. You:

Fill all prescriptions as written.
Fill the prescriptions for the two humans only.
After verifying with a local veterinarian that a can may take Tamiflu, fill all prescriptions as written.
After verifying that the prescriber has a patient-provider relationship with both humans and the cat, fill all the prescriptions.

Which of the following statements regarding health care providers is true?

An expanded-practice dental hygienist may prescribe Keflex for a patient.
A midwife may prescribe ondansetron for a patient.
An optometrist may prescribe Percocet for a patient.
A chiropractor may prescribe ibuprofen 800mg for a patient.

Order the following prescriptions by expiration date, starting with the soonest expiration to the latest expiration.

Azithromycin with directions “For EPT, take as directed”, quantity of 4
Dilaudid, take 1 tablet every 4 hours as needed, quantity of 12
Zanaflex, take 1 tablet three times daily as needed, quantity 30
Xanax, take 1 tablet twice daily as needed, quantity 60

View Answers:

A provider has written a prescription for Percocet, and in the directions has included “Must return Norco in order to obtain Percocet”. You:

Accept the remaining Norco back upon dispensing the Percocet.
Tell the patient to return the Norco to his provider before dispensing the Percocet.
Ask the patient to destroy and throw away the medications in front of you, but not in the pharmacy.
Have the patient destroy the medication in front of you and accept the destroyed medication to put in your expired/destroy bin.

Which of the following is true regarding a Chief Pharmacy Officer and a Pharmacist in Charge in a hospital pharmacy setting?

The Chief Pharmacy Officer may also be the Pharmacist in Charge when the institution has only one pharmacy.
The Chief Pharmacy Officer must be a different person than the Pharmacist in Charge, even when the institution has only one pharmacy.
The Chief Pharmacy Officer may also be the Pharmacist in Charge of all pharmacies, even if the institution has two or more pharmacies.
The Chief Pharmacy Officer must be a different person than the Pharmacist in Charge when the institution has two or more pharmacies, but the Pharmacist in Charge may supervise the pharmacy operations of all of the institution’s pharmacies.

Which of the following is true regarding medications dispensed from a Dispensing Practitioner Drug Outlet (DPDO)?

Medications may be kept in a physicians’ desk drawer, as long as the drawer remains locked.
A 60g tube of Eucrisa must be labeled, but the label does not need to contain a physical description.
A 60g tube of Eucrisa must be labeled, but the label does not need to include cautionary statements.
A record of dispensing Eucrisa that is kept in the patients’ electronic chart alongside treatment notes is adequate to fulfill the record requirements for dispensing prescriptions.

What are the refrigerator requirements for a pharmacy that has refrigerated vaccines?

I. The temperature must be on an automated monitoring system.
II. If the temperature is manually recorded twice daily, it does not have to be automated.
III. The temperature log must be downloaded weekly.

I and II only
I and III only
II and III only
I, II, and III

You receive a faxed prescription for Enbrel. The prescription has the signature of the providers’ agent and was faxed by the prescribers’ agent. The prescription states “Brand Only”. You:

Call the providers office and explain the prescription must be signed by the provider themselves in order for you to fill the prescription.
Call the providers office and explain that “Brand Only” is not a valid DAW notation, but you can mark the prescription DAW after speaking with the provider directly.
Call the providers office and explain that “Brand Only” is not a valid DAW notation, but you can mark the prescription DAW after speaking with the providers’ agent.
Fill the prescription as written.

Which of the following is true regarding counseling when a new medication is being delivered to a patient?

The pharmacist must make a reasonable effort to reach the patient to offer counseling, and document this.
New medications may not be delivered to patients because the patient must be counseled.
The pharmacist must provide written counseling information to the patient when new medication is delivered.
The pharmacist must provide written counseling information to the patient as well as a contact number to reach the pharmacist if the patient has any questions when a new medication is being delivered.

A patient comes in to your CVS pharmacy and requests her prescriptions for Tenormin and Klonopin be transferred from a CVS pharmacy in California. You review the prescription logs and note that two months ago you transferred the prescriptions to the CVS pharmacy in California. What do you tell the patient?

The patient will have to contact her provider to obtain new prescriptions.
If there are refills available you can dispense the Tenormin today but not the Klonopin.
If there are refills available you can dispense both the Tenormin and Klonopin.
If there are refills available you can dispense the Klonopin but not the Tenormin.

Which items can be changed on a hard copy prescription for Avinza?

I. A name written as A Smith, birthday 2/22/1948
II. The date of issue, which was originally post-dated.
III. Addition of a prescribers DEA

I and II only
II and III only
I and III only
I, II, and III only

Which of the following is true for pharmacy practice in a hospital setting?

Areas in the hospital that are used to store medications must be inspected monthly.
Any trained nurse may be allowed to access the pharmacy after hours.
Areas in the hospital that are used to store medications must be inspected every two months.
No one may access a hospital pharmacy without a pharmacist present.

Practitioners that dispense the which of the following medications are exempt from registering as a Dispensing Practitioner Drug Outlet

I. Homeopathic medications
II. Natural thyroid supplements
III. Medications obtained from a Medication Assistance Program

I and II only
I and III only
II and III only
I, II, and III

What items must be present in a pharmacy?

I. Licenses of the pharmacists only must be clearly displayed
II. All personnel must wear name badges that have their name and position
III. A sign that states the pharmacy may be able to substitute a less expensive medication that is therapeutically equivalent, unless the pharmacy is not open to the public.

II only
III only
I and II only
II and III only

Which of the following is true regarding prescriptions for controlled substances?

I. The prescription does not need to have the DEA of the prescriber written, as long as you can look up the prescribers DEA.
II. Prescriptions for Schedule II Controlled substances do not expire.
III. You may not fill prescriptions for Schedule II Controlled substances from out of state providers, even if they are practicing within their scope.

II only
III only
I and II only
II and III only

A complete drug utilization review (DUR) for a prescription may include:

I. Review of contraindications between the medication and the patients’ disease states
II. Review of contraindications between the medication and the patient’s other medications listed in the pharmacy profile.
III. Review for drug abuse

II only
III only
I and II only
I, II, and III

Match the activities to the time period.

Sort elements

10 days
3 days
15 days
30 days

Report misconduct of nurse practitioner
Obtain off-site records for BOP inspection
Change in pharmacy name
Provide BOP with Plan of Correction after inspection

A patient requests a refill that was originally written on 12/20/2018 for Amaryl Take 1 po daily, #30, PRN refills. On 6/10/2019 you see the prescription was filled on 12/21/2018 #30, 1/18/2019 #30, 2/15/19 # 30, 3/25/19 # 30, 4/23/19 #30, and 5/17/19 #30. The patient requests the remaining quantity of the prescription today. You:

Tell the patient to contact the provider for a new prescription.
Dispense #30 to the patient.
Dispense #150 to the patient.
Dispense #184 to the patient.

You receive a prescription for Provigil, written as “Take 1 daily, #365”. With this prescription you may:

I. Dispense #365
II. Dispense #180
III. Dispense #30

I and II only
II and III only
I and III only
I, II, and III

Emergency kits in a hospital setting must have the following components:

I. Tamper-evident seals
II. A list of medication kept inside the drawer with the medication.
III. A label indicating the kit is for emergency use and containing the expiration date.

I and II only
II and III only
I and III only
I, II, and III

Which of the following is true regarding the reporting of lost medications?

I. A pharmacist must report a significant loss to the Board of Pharmacy within 1 business day.
II. If medication is lost in transit from the supplier to the pharmacy, the pharmacy is still responsible for reporting it.
III. If medication is lost in transit from a central fill pharmacy to a patient, the central fill pharmacy is responsible for reporting it

I and II only
I and III only
II and III only
I, II, and III

Which of the following entities must be registered with the Oregon Board of Pharmacy?

I. A Central-fill pharmacy located in Idaho that processes prescriptions for Oregon patients.
II. A pharmaceutical distributor located in Oregon.
III. A common carrier that a central-fill pharmacy uses to deliver dispensed medications to Oregon patients.

II only
III only
I and II only
II and III only

A retired pharmacist would like to go back to practicing pharmacy part time. Their license was last active 4 years ago. In order to reinstate their license, the retired pharmacist must:

Complete 30 CE’s and pay the licensing fee for the year they are reinstating their license.
Complete 60 CE’s and pay the licensing fee for the year they are reinstating their license.
Complete 30 CE’s pay the licensing fee for the year they are reinstating their license and pass the MPJE again.
Complete 60 CE’s, pay the licensing fee for the year they are reinstating their license, and pass the MPJE again.

Which of the following may be completed by a trained pharmacy intern?

I. An intern may accept a refusal to be counseled.
II. An intern may immunize patients.
III. An intern may accept a verbal prescription for a Schedule III substance.

II only
III only
I and II only
I, II, and III

Which of the following activities can a clerk complete?

I. Stock medication on shelves
II. Pull medication off shelves for filling
III. Pull outdated medication off shelves

I and II only
II and III only
I and III only
I, II, and III

A patient that is new to your pharmacy brings in the following prescriptions, all with 11 refills:
Zoloft 10mg 1 daily #30 days
Abilify 20mg 1 daily #30 days
Prilosec 20mg daily #30 days

The patient requests that you provide the entire quantity of each of the prescriptions today. You:

Fill the entire quantity of Prilosec only, but only #30 of the Abilify and Zoloft.
Fill the #360 of Zoloft, Abilify, and Prilosec.
Fill only #30 of Zoloft, Abilify, and Prilosec.
Fill #360 of Zoloft and Prilosec, but only #30 of Abilify.

A patient comes in with a prescription for Quillichew, #30. You have 10 tablets in stock and the patient would like as many as you can supply her now, and to pick up the rest later. You:

Tell the patient you cannot partial this medication, she must come back when you can provide her the full quantity.
Provide her 10 tablets now and the remaining supply in 10 days.
Provide her 10 tablets now and the remaining supply within 3 days.
Call the provider to change the prescription to Ritalin, which you can supply 30 tablets of today.

Which of the following is true regarding medication orders in a hospital setting?

Verbal orders may be used routinely, provided the pharmacist receiving the order immediately reduces the order to writing and confirms the order through a read-back.
Written orders must include the name, strength, and quantity of the medication ordered
DUR checks are not required before the use of medication in the treatment of emergency needs
A provider must sign written orders, but does not need to sign off on verbal orders

Your pharmacy stores applicable records off site to save space in the pharmacy. The BOP comes in for an inspection, and requests to see the records you keep on-site. You show him:

The records for the last 365 days that are kept onsite and notify him that the remaining two years of records can be retrieved within 3 business days.
The records for the last 120 days are kept onsite and notify him the remaining 2.5 years of records can be retrieved within 3 business days.
The records for the last 365 days are kept onsite and notify him the remaining two years of records can be retrieved in 5 business days.
The records for the last 120 days are kept onsite and notify him the remaining 2.5 years of records can be retrieved in 5 business days.

Which of the following is true regarding the Health Professionals Service Program?

This is a program for pharmacists only, and a pharmacist must be referred by the Oregon BOP in order to participate
A pharmacist that refers themselves to the program may participate for only one year.
Any pharmacist participating in the program must participate for a minimum of two years.
The Health Professionals Service Program is only for pharmacists that have been diagnosed with Substance Abuse disorders.

There is a wildfire in Northern California that displaces many residents and is declared a natural disaster. A patient comes into your pharmacy in Oregon and states he is a resident of that area. He regularly takes Keppra and needs an emergency refill as he has run out this morning. He has brought in his bottle of medication labeled from his pharmacy in California. You:

Tell the patient that you cannot provide him an emergency refill as your pharmacy is not in the natural disaster area.
Tell the patient you can only provide him with a 72hour emergency refill of this medication.
Tell the patient you may provide him with a 30-day emergency refill of this medication but will need a provider to authorize additional refills.
Tell the patient you can only fill this medication if he obtains a new prescription, which he can do by going to the local emergency room and speaking with a provider there.

Which of the following must be on the label of a unit-dose medication designed for inpatient use?

I. The medication name and manufacturer
II. An expiration date
III. The manufacturer’s lot number

II only
III only
I and II only
I, II, and III

Which activities must be completed only by a pharmacist?

I. DUR check
II. Final Verification
III. Administer Immunizations

I only
II only
III only
II and III only

A patient has signed up all applicable prescriptions to be auto-refilled. In March she picked up her Glucophage her refills of Basaglar or Lyrica. She comes in in April and asks why the Lyrica and Basaglar weren’t automatically refilled. You explain:

Lyrica and Basaglar are not eligible for the auto-refill program; she must request refills every month.
As Basaglar and Lyrica were not picked up in March they were automatically removed from the refill program and cannot be added back to the program.
Lyrica is not eligible for the auto-refill program and refills must be requested individually every month.
As Basaglar and Lyrica were not picked up in March they were automatically removed from the refill program but can be added back to the auto-refill program if she requests it.

Which of the following emergency medication refills may you provide?

A 30 day emergency supply of metazolone.
A 48 hour emergency supply of Viibryd.
A 48 hour emergency supply of Vimpat.
A 96 hour emergency supply of Vimpat.

A hospitalized patient with cancer would like to use a supplement he takes at home that was recommended by his oncologist. You explain:

Patients may not take medication brought in from home.
If the patient can show you a labeled bottle of medication, he may keep it by his bedside and take it as he would like.
The patient should talk to the attending provider, as the attending must write an order stating the patient may take the medication.
As long as the attending writes an order for the patient’s supplement, the patient may bring in and take the supplement without any further inspection of the medication by the attending provider or pharmacist.

Which of the following medications may not be accepted back from a patient for disposal?

A patient has been affected by a recall of his irbesartan, and has brought his bottle of medication back to the pharmacy to return.
A patient discovers that the expiration date on the box of Imitrex she received from the pharmacy today expired last month, and brings it back in.
A patient brings his bottle of Xanax, dispensed today, back into the pharmacy because he noticed there are two different types of medication inside. You confirm that there are both Xanax tablets as well as another medication mixed in his bottle.
A patient brings his bottle of Xanax, dispensed today, back to the pharmacy because the prescription was written by an urgent care provider and violates his pain contract, and the patient didn’t realize until he got home.

Which of the following is the correct regarding the make-up of the Oregon Board of Pharmacy?

7 total members, including 3 pharmacists, 2 technicians, and 2 members of the public
7 total members, including 3 pharmacists and 2 technicians that must have at least 5 years practicing in Oregon.
9 total members, including 5 pharmacists, 2 technicians, and 2 members of the public
9 total members, including 5 pharmacists and 2 technicians that must have at least 5 years practicing in Oregon.

Which of the following is true regarding the dispensing of controlled substances?

I. A faxed prescription for a controlled substance is only valid if it contains the hand signature of the provider.
II. A patient that is 12 years old may pick up a controlled substance for his mother.
III. You may not require a patient to present an ID in order to dispense a controlled substance.

I and II only
I and III only
II and III only
I, II, and III

Which of the following is true regarding pharmacist practice?

A pharmacist practicing medication therapy management may change a dose of insulin under the prescriber’s name.
A pharmacist practicing under a collaborative practice agreement may change a dose of insulin under the prescriber’s name.
A pharmacist practicing medication therapy management may change a dose of insulin under their own name.
A pharmacist practicing under a collaborative practice agreement may change a dose of insulin under their own name.