Part 2 Mosby's Federal Laws

Multiple Choice

Which of the following agencies is responsible for regulating controlled-substance prescriptions in the United States?

• Food and Drug Administration (FDA)

• Drug Enforcement Agency (DEA)

• Centers for Disease Control and Prevention (CDC)

• National Institutes of Health (NIH)

Open Ended

Why is it important for pharmacy professionals to understand federal requirements for handling nonhazardous, hazardous, and pharmaceutical substances?

Multiple Choice

Which act requires the safe disposal of medications in pharmacies?

• Safe Water Drinking Act

• Clean Air Act

• Food and Drug Act

• Hazardous Waste Act

Multiple Select

Which of the following are classifications of hazardous drugs?

• Nonantineoplastic drugs

• Antineoplastic drugs

• Drugs with reproductive risks for men or women

• Over-the-counter painkillers

Multiple Choice

How often must competency training occur for pharmacy personnel handling hazardous drugs?

• Every 6 months

• Every 12 months

• Every 24 months

• Every 36 months

Open Ended

Explain the difference between containment primary engineering controls (C-PEC) and containment secondary engineering controls (CSECs) in minimizing exposure to hazardous drugs.

Multiple Choice

Where should refrigerated antineoplastic hazardous drugs be stored according to federal requirements?

• In a regular refrigerator with other drugs

• In a dedicated refrigerator

• In a freezer

• On open shelves

Multiple Choice

Which of the following is NOT a recommendation by the OSHA Technical Manual for the disposal of hazardous drugs?

• Labeling needle containers and breakable items

• Using thin, regular plastic bags for hazardous waste

• Using properly labeled, sealed, and covered disposal containers

• Disposing of hazardous drug-related wastes according to EPA, state, and local regulations

Multiple Choice

Which items must be disposed of using a sharps container?

• Nonhazardous materials

• Glass and used needles

• Solid waste

• Hazardous drug spill kits

Open Ended

List and briefly describe the four main characteristics of hazardous waste.

Multiple Select

Which of the following are types of hazardous waste according to the slide?

• F-list

• K-list

• P-list

• U-list

Multiple Choice

Which of the following is a requirement for bags used to dispose of hazardous drug-related waste in hospitals?

• They must be transparent and thin.

• They must be thick, leak-proof, and colored differently from other hospital trash bags.

• They must be made of paper.

• They must be reused for cost-saving.

Multiple Choice

Which DEA schedule(s) include drugs with accepted medical use but with varying potential for abuse?

• Schedule I only

• Schedule II and III

• Schedule IV and V only

• All schedules

Open Ended

Explain why it is important for the Drug Enforcement Agency (DEA) to classify controlled substances into different schedules.

Multiple Select

Which of the following are required elements on a controlled substance prescription?

• Patient's name and address

• Drug name and strength

• Directions for use and number of refills

• All of the above

Multiple Choice

What is the correct sequence of steps to verify a DEA number?

• Add numbers in first, third, and fifth positions; add numbers in second, fourth, and sixth positions and multiply by 2; add both sums together.

• Add numbers in second, fourth, and sixth positions; add numbers in first, third, and fifth positions and multiply by 2; add both sums together.

• Add all numbers together; multiply by 2; subtract from 10.

• Add numbers in first, second, and third positions; multiply by 2; add both sums together.

Multiple Choice

What is the maximum number of refills a patient may receive for Schedule III-V medications within 6 months if authorized?

• Three

• Four

• Five

• Six

Multiple Choice

Which schedule of controlled substances does NOT permit refills and requires a new prescription for each fill?

• Schedule I

• Schedule II

• Schedule III

• Schedule IV

Open Ended

Explain the process and requirements for transferring controlled substance prescriptions between pharmacies according to the Controlled Substance Act.

Multiple Select

Which of the following statements about DEA form 222 is/are correct?

• It is used for ordering Schedule II medications.

• It must be signed by the individual listed on the DEA registration or someone with power of attorney.

• It is valid for 60 days.

• It can be used for Schedule III-V medications.

Multiple Choice

Which of the following topics did you find most challenging to understand in Lesson 2.2: Pharmacy Regulations?

• Federal requirements for pharmaceutical substances

• Handling of pharmaceutical substances

• DEA schedules and controlled-substance prescriptions

• FDA recalls and regulatory agencies

Open Ended

Reflecting on today's lesson about pharmacy regulations, what is one area you would like to learn more about or still have questions on?