PTCE Controlled Substances 2 — Questions and Answers
Question 1: A Schedule II controlled substance prescription is called in by a physician to the pharmacy for a patient in a long-term care facility. Under federal law, what must the pharmacist obtain before dispensing?
- A written prescription within 7 days (Correct answer)
- A written prescription within 72 hours
- Nothing — verbal orders are acceptable for LTC facilities
- A written prescription within 30 days
Correct answer: A written prescription within 7 days
For Schedule II substances dispensed in emergency situations, federal law requires the prescriber to furnish a written prescription to the pharmacy within 7 days.
Question 2: Which DEA form is used to report the theft or significant loss of controlled substances?
- DEA Form 222
- DEA Form 41
- DEA Form 106 (Correct answer)
- DEA Form 224
Correct answer: DEA Form 106
DEA Form 106 (Report of Theft or Significant Loss of Controlled Substances) must be filed when a registrant discovers theft or significant loss.
Question 3: Tramadol (Ultram) is federally classified as which schedule of controlled substance?
- Schedule II
- Schedule III
- Schedule IV (Correct answer)
- Schedule V
Correct answer: Schedule IV
Tramadol was placed into Schedule IV federally by the DEA in 2014 due to its abuse potential.
Question 4: A pharmacy technician is processing a transfer of a Schedule III controlled substance prescription between two pharmacies. How many times total may a Schedule III prescription be transferred?
- Once only (Correct answer)
- Up to 3 times
- Unlimited times within 6 months
- Transfers are prohibited for CIIIs
Correct answer: Once only
Federal law allows Schedule III, IV, and V prescriptions to be transferred only once between pharmacies, unless both pharmacies share a real-time online database.
Question 5: Which of the following medications is classified as a Schedule V controlled substance?
- Hydrocodone/acetaminophen (Vicodin)
- Pregabalin (Lyrica)
- Promethazine with codeine cough syrup (Correct answer)
- Diazepam (Valium)
Correct answer: Promethazine with codeine cough syrup
Promethazine with codeine cough syrup contains a low dose of codeine and is classified as Schedule V.
Question 6: Under the Combat Methamphetamine Epidemic Act (CMEA), what is the daily sales limit for pseudoephedrine products per customer?
- 3.6 grams (Correct answer)
- 7.5 grams
- 9 grams
- 1.8 grams
Correct answer: 3.6 grams
CMEA limits pseudoephedrine sales to 3.6 grams per day per purchaser and 9 grams per 30-day period.
Question 7: A pharmacy must perform an inventory of all controlled substances at least once every how many years according to federal DEA regulations?
- 1 year
- 2 years (Correct answer)
- 3 years
- 5 years
Correct answer: 2 years
DEA regulations require pharmacies to conduct a complete controlled substance inventory at least once every two years (biennial inventory).
PTCE Controlled Substances 2
A Schedule II controlled substance prescription is called in by a physician to the pharmacy for a patient in a long-term care facility.
Under federal law, what must the pharmacist obtain before dispensing?