Question 1

What should a pharmacy do with an investigational drug when it expires?
A)Send it to the Department of Public Health
B)Send it back to the sponsor of the clinical trial
C)Throw it away in the trash
D)Send it to Hazmat

Accepted Answer

Investigational drugs should be sent back to the sponsor of the clinical trial when they are expired. Drugs should never be sent to the Department of Public Health or Hazmat. Throwing drugs in the trash is not an appropriate way for pharmacies to dispose of any medications.

Question 2

Which of the following is not a responsibility of an investigational drug service pharmacy technician?
A)Counting and packaging investigational drugs
B)Ordering investigational drugs
C)Returning expired investigational drugs
D)Verifying and dispensing prescriptions for investigational drugs

Accepted Answer

Investigational drug service pharmacy technicians are not responsible for verifying and dispensing prescriptions for investigational drugs. Investigational drug service pharmacy technicians have responsibilities very similar to pharmacy technicians in standard pharmacy settings. Regardless of the setting, pharmacy technicians are to leave the verification and dispensing of the medication to the pharmacist.

Question 3

Which of the following people do not need to be registered with the STEPS program in order to dispense, receive or prescribe thalidomide?
A)Pharmacists
B)Patients
C)Doctors
D)None of the above

Accepted Answer

None of the above people can avoid registration with the STEPS program. Doctors prescribing thalidomide need to be registered, and patients receiving the drug also need to be registered. Registration also applies to both pharmacists and pharmacies dispensing thalidomide. These controls are designed to help prevent the teratogenic side effects known to occur to the fetus when a pregnant woman is exposed to thalidomide.

Question 4

Which of the following is not a requirement for a patient taking clozapine?
A)Regular white blood cell counts with acceptable results
B)Maximum of four weeks' worth of clozapine dispensed to the patient at a time
C)Maximum of two weeks' worth of clozapine dispensed to the patient at a time
D)Registration into the Clozapine National Registry

Accepted Answer

A maximum of four weeks' worth of clozapine dispensed at a time is not a requirement for patients taking clozapine. The maximum amount of clozapine a patient can receive at one time is a two week supply. This quantity may be lower in patients who had a questionable white blood cell count at their last blood collection. This is because clozapine can cause severe decreases in white blood cell counts, lowering the patient's immunity to dangerous levels.

Question 5

What is the maximum amount of thalidomide that can be dispensed at one time?
A)14 day supply
B)7 day supply
C)30 day supply
D)28 day supply

Accepted Answer

The maximum amount of thalidomide that can be dispensed at one time is a 28 day supply. This is because thalidomide can cause severe birth defects if taken by pregnant women, and it is critical to closely control the availability of thalidomide in an effort to prevent accidental ingestion by pregnant women. Thalidomide also must be dispensed in the blister packs it is sent to the pharmacy in, so that the necessary warnings will be retained on the pill packaging.

Question 6

How often do female patients taking isotretinoin need to complete a phone survey?
A)Every 14 days
B)Every 30 days
C)Every 7 days
D)Every 60 days

Accepted Answer

A female patient taking isotretinoin must complete a phone survey every 30 days. This survey is to ensure that the patient is not pregnant and is taking the necessary precautions to prevent pregnancy. This is important to complete regularly to help reduce the risk of pregnancy in female patients taking isotretinoin due to its teratogenic potential.

Question 7

What is the maximum number of refills allowed on a prescription for thalidomide?
A)0
B)1
C)2
D)3

Accepted Answer

No refills are allowed on prescriptions for thalidomide. If a patient is continuing therapy with thalidomide, they must get a new prescription from the doctor every 28 days. This is to prevent excess medication from being dispensed, limiting the possibility of accidental ingestion of thalidomide by pregnant women. Pregnant women should never take thalidomide due to its teratogenic potential on the unborn fetus.

Question 8

When filling a prescription for Tikosyn, a pharmacy must do all of the following except:
A)Tell the patient that any refills are not valid, and they must get a new prescription each time Tikosyn is dispense
B)Verify that the prescriber is a confirmed participant in the Tikosyn T.I.P.S. database
C)Be enrolled in the TIPS program as a dispensing pharmacy
D)Stamp the back of the prescription with the T.I.P.S. stamp and write both the date and initials of the pharmacist

Accepted Answer

A pharmacy should not tell the patient that refills are not valid; Tikosyn prescriptions are eligible to be refilled. Due to the risk of inducing arrhythmias, prescribers must be enrolled in the Tikosyn T.I.P.S. database as eligible prescribers by completing a training session on the proper use of this medication. Pharmacies must also be enrolled, and follow proper procedures when filling this medication, to include, stamping the back of the prescription with the T.I.P.S. stamp.

Question 9

A female patient wants to get a refill on her prescription for Accutane. What steps must she completed before a prescription can be filled?
A)Take a pregnancy test and produce a negative result
B)Complete a monthly survey
C)Obtain a new prescription from the doctor
D)All of the above

Accepted Answer

A female patient must take all of the above steps in order for a prescription for Accutane to be refilled. Accutane can cause severe birth defects if taken by pregnant women, so women must produce a negative pregnancy test before Accutane can be refilled. They must also get a new prescription from the prescribing doctor each month, and complete a monthly survey through the IPLEDGE program.

Question 10

Starting from the day a female patient tests negative for pregnancy, how many days does she have to pick up her prescription for Claravis?
A)14 days
B)30 days
C)7 days
D)60 days

Accepted Answer

A female patient has 7 days to pick up her prescription for Claravis after testing negative for pregnancy. Claravis, a trade name for isotretinoin, can cause birth defects when taken by pregnant women, and women must be carefully monitored to ensure that they do not become pregnant while taking this medication. This is done through required monthly pregnancy tests, phone surveys, and confirmed usage of two types of birth control.

Question 11

How many days after an office visit with a prescribing doctor does a male patient have to pick up his prescription for Accutane?
A)30 days
B)7 days
C)14 days
D)60 days

Accepted Answer

A male patient has 30 days to pick up his prescription for Accutane, with the office visit counting as day one. Since males cannot get pregnant, they have a longer window of time to pick up their prescription for Accutane. This is because they are not at a risk for endangering a fetus while taking this medication. They are, however, still monitored closely, and can only pick up a 30 day supply of medication at one time, in order to minimize the risk of having extra medication around that a pregnant woman could accidentally ingest.

Question 12

A patient taking clozapine goes in for his regular white blood cell count, and his results come back extremely low. He would now like to pick up his prescription for clozapine. What can you do?
A)Tell the patient he cannot have his prescription until his white blood cell count comes back with acceptable results
B)Fill the prescription for him today
C)Tell the patient that due to this result, he cannot take clozapine ever again
D)Tell the patient that he is in danger of getting an infection but give him the prescription today

Accepted Answer

If a white blood cell count comes back with results that are too low, the patient cannot have his prescription until his white blood cell count returns to an acceptable level. Due to his low white blood cell count, he is at a severe risk of getting a dangerous infection. As a result, he cannot take clozapine until his white blood cell count returns to normal. This is required by the clozapine safety program.

Question 13

A female patient comes into the pharmacy to try and pick up a continuation of her prescription for Accutane. You have received a prescription for Accutane from her doctor, but when you call the IPLEDGE system, it says that she is not qualified, since she did not complete her survey for this month. What can you do?
A)Sell her the prescription anyway
B)Tell her you cannot get authorization to fill her prescription until she completes her monthly survey
C)Tell her the doctor must write another prescription for Accutane as the one she has is no longer valid
D)Tell the patient that she must register as a patient with the IPLEDGE program

Accepted Answer

You should tell her that you cannot get authorization to fill her prescription until she completes her monthly survey. A requirement of the IPLEDGE system is that a female patient must complete surveys monthly to verify that she is not pregnant, and has been counseled on the potential effects of this medication on a fetus. If a woman has not completed her monthly survey, the medication cannot be sold to her until she completes it.

Question 14

What is the most important thing to tell a patient who is picking up a suspension?
A)Do not take with milk
B)Store it in the refrigerator.
C)Shake well before use
D)Do not shake the medication.

Accepted Answer

Over time, the heavier contents of a suspension will sink to the bottom of a bottle. It is important to shake the suspension well before use to ensure a consistent dosage.

Question 15

Andy is supposed to receive a prescription for generic Atarax. What medication should he be receiving?
A)Hydralazine
B)Hydroxyzine
C)Hydrocodone
D)Hycamtin

Accepted Answer

Andy should be receiving hydroxyzine, the generic drug for Atarax. This medication is commonly used to treat itching.

Question 16

Deborah has three prescriptions ready for pick up: alprazolam, lovastatin, and lisinopril. She tells you she only wants her blood pressure medication at this time. Which of her medications do you dispense?
A)Alprazolam
B)Lovastatin
C)Lisinopril

Accepted Answer

If a patient has prescriptions ready for alprazolam, lovastatin, and lisinopril, and asks for his/her blood pressure medication, you should dispense only the lisinopril. Alprazolam is used to treat anxiety disorders and panic disorder. Lovastatin is used in conjunction with lifestyle changes to facilitate lowering cholesterol.

Question 17

Marcos is picking up his prescription for simvastatin and you see that his wife's acyclovir is ready. What do you do?
A)Tell Marcos his wife's medication is ready.
B)Just dispense the medication to Marcos without saying anything.
C)Do not mention the acyclovir to Marcos.
D)Ask Marcos if he generally picks up his wife's medication.

Accepted Answer

The fact that Marcos's wife has a prescription at the pharmacy is protected health information. If he asks for the medication by name, it is OK to dispense it, but otherwise say nothing.

Question 18

A man claiming to be the father of John, a regular patient, has come to pick up John's hydrocodone prescription. The man is unable to tell you John's date of birth, address, or phone number. What do you do?
A)Dispense the medication anyway.
B)Call the police.
C)Tell the man you can't dispense the medication without the proper information.
D)Tell the man you can dispense the medication only after getting a copy of his identification.

Accepted Answer

If someone is trying to pick up your patient's medication and does not know any of the patient's personal information, do not dispense the medication. This is especially important in the case of a controlled substance.

Question 19

Jones has four prescriptions ready for pick up, and he says that he only needs his sleeping medication at this time. What medication should you dispense?
A)Melatonin
B)Temozolomide
C)Tamoxifen
D)Benazepril

Accepted Answer

You should dispense Mr. Jones's melatonin. Melatonin is an over-the-counter medication that is used to treat insomnia

Question 20

Jose is supposed to be receiving a prescription for generic Lotensin. What medication should he be receiving?
A)Benazepril
B)Lisinopril
C)Amiodarone
D)Prednisone

Accepted Answer

If Jose's prescription is for generic Lotensin, he should be receiving benazepril.

Quiz 6: Process Dispense

What should a pharmacy do with an investigational drug when it expires?

Which of the following is not a responsibility of an investigational drug service pharmacy technician?

Which of the following people do not need to be registered with the STEPS program in order to dispense, receive or prescribe thalidomide?

Which of the following is not a requirement for a patient taking clozapine?

What is the maximum amount of thalidomide that can be dispensed at one time?

How often do female patients taking isotretinoin need to complete a phone survey?

What is the maximum number of refills allowed on a prescription for thalidomide?

When filling a prescription for Tikosyn, a pharmacy must do all of the following except:

A female patient wants to get a refill on her prescription for Accutane. What steps must she completed before a prescription can be filled?

Starting from the day a female patient tests negative for pregnancy, how many days does she have to pick up her prescription for Claravis?

How many days after an office visit with a prescribing doctor does a male patient have to pick up his prescription for Accutane?

A patient taking clozapine goes in for his regular white blood cell count, and his results come back extremely low. He would now like to pick up his prescription for clozapine. What can you do?

What is the most important thing to tell a patient who is picking up a suspension?

Andy is supposed to receive a prescription for generic Atarax. What medication should he be receiving?

Deborah has three prescriptions ready for pick up: alprazolam, lovastatin, and lisinopril. She tells you she only wants her blood pressure medication at this time. Which of her medications do you dispense?

Marcos is picking up his prescription for simvastatin and you see that his wife's acyclovir is ready. What do you do?

A man claiming to be the father of John, a regular patient, has come to pick up John's hydrocodone prescription. The man is unable to tell you John's date of birth, address, or phone number. What do you do?

Jones has four prescriptions ready for pick up, and he says that he only needs his sleeping medication at this time. What medication should you dispense?

Jose is supposed to be receiving a prescription for generic Lotensin. What medication should he be receiving?