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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
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:
A patient comes to pick up her EPT prescription as well as the EPT prescription written for her partner. You:
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.
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.
Which of the following is correct regarding the Oregon Board of Pharmacy?
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.
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 _____.
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:
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:
How do you complete a DUR on an EPT prescription?
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:
How long are you required to keep physical copies of controlled and non-controlled hard copy prescription received by the pharmacy?
Which of the following is correct regarding the composition of the Oregon Public Health and Formulary Advisory Committee?
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.
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
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
Which of the following is not an allowable substitution?
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
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.
Which of the following review items and timelines are matched incorrectly?
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
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.
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:
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
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.
A patient experiences an adverse reaction to a vaccine. You immediately report it to:
III. The patient’s primary care provider
An Oregon pharmacy uses a Remote Processing Drug Outlet located in Idaho to handle its prescription processing. Which of the following is correct?
Which of the following events and reporting deadlines are matched incorrectly?
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.
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:
Pharmacists must renew their license ______ on _______.
Which of the following personnel ratios are required?
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.
Which follows appropriate order for vaccination protocol?
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.
Which of the following items does not need to be kept in a patients record in outpatient pharmacy?
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:
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:
What must be present in a vaccine emergency kit?
I. Resuscitation mask
II. Epinephrine auto injectors or vials
III. Diphenhydramine injection
The pharmacy is holding an immunization clinic and would like to have immunizing interns participate. How many immunizing interns may a pharmacist supervise?
Which of the following must not be dispensed to the patient?
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
Which of the following Beyond Use Dates (BUD) is appropriate, if no additional BUD testing is completed?
Which of the following items is matched incorrectly to the length of time it needs to be kept on file?
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:
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.
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:
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:
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.
Match the compounds to their appropriate beyond use date:
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 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.
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.
Which of the following providers are not allowed to prescribe CII’s in Oregon?
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:
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:
Which items are appropriately matched to their mandated cleaning schedule when in an ISO Class 7 environment?
A pharmacist takes a position as the PIC of the pharmacy on March 1st. Which of the following is true?
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:
A patient and a policeman present to your pharmacy, each asking for a copy of the patient’s PDMP record. You:
Which of the following would be illegal to fill?
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:
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.
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.
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.
A prescribers’ agent calls in a prescription for Nembutal. She explains that this is an emergency situation. You tell her:
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.
In what situation would a provider’s office have to be registered as a DPDO?
A patient brings in a hard copy prescription for Marinol but there is no patient name listed, just a date of birth. You:
The record of a patient’s filled out Birth Control Self-Screening assessment questionnaire must be kept for __ years.
Which of the following patients may receive medications from a Charitable Pharmacy in Oregon?
How many CEs must a pharmacist complete in each renewal cycle?
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.
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
Which of the following prescriptions may a pharmacy legally process?
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
To which of the following people may a pharmacist prescribe epinephrine?
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.
Which of the following equipment is mandatory to operate a pharmacy?
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:
Which of the following statements regarding health care providers is true?
Order the following prescriptions by expiration date, starting with the soonest expiration to the latest expiration.
A provider has written a prescription for Percocet, and in the directions has included “Must return Norco in order to obtain Percocet”. You:
Which of the following is true regarding a Chief Pharmacy Officer and a Pharmacist in Charge in a hospital pharmacy setting?
Which of the following is true regarding medications dispensed from a Dispensing Practitioner Drug Outlet (DPDO)?
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.
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:
Which of the following is true regarding counseling when a new medication is being delivered to a patient?
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?
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
Which of the following is true for pharmacy practice in a hospital setting?
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
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.
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.
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
Match the activities to the time period.
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:
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
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.
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
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.
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:
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.
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
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:
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:
Which of the following is true regarding medication orders in a hospital setting?
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:
Which of the following is true regarding the Health Professionals Service Program?
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:
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
Which activities must be completed only by a pharmacist?
I. DUR check
II. Final Verification
III. Administer Immunizations
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:
Which of the following emergency medication refills may you provide?
A hospitalized patient with cancer would like to use a supplement he takes at home that was recommended by his oncologist. You explain:
Which of the following medications may not be accepted back from a patient for disposal?
Which of the following is the correct regarding the make-up of the Oregon Board of Pharmacy?
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.
Which of the following is true regarding pharmacist practice?