10 exam-style questions with answers and explanations, straight from our 1,030-question bank. Tap an answer to check yourself. When you're ready, take the scored version in the free practice test.
On Monday morning, an Indiana pharmacist dispenses morphine after accepting an emergency oral Schedule II authorization that satisfies all federal emergency conditions. Ten days later, no compliant follow-up prescription has been received and no timely postmarked mailing can be documented. What must the pharmacist do?
Correct answer: B - Notify DEA of the prescriber's failure and document the event
INSPECT shows two opioid prescribers, two pharmacies, and an early fill. Before deciding, the pharmacist verifies that one prescriber is an oncologist, the other is a palliative-care physician, both follow the same documented treatment plan, and the early fill reflects an authorized dose increase. What is the best conclusion?
Correct answer: D - Complete the DUR and dispense if no unresolved concern remains
A Category I pharmacy plans an unstaffed remote dispensing site. Assuming compliant real-time computer, video, and audio links, which technician is eligible to work there without a pharmacist physically present?
Correct answer: A - An Indiana-licensed, nationally certified technician in good standing with 2,000 qualifying supervised hours
NPLEx shows that an adult purchaser obtained 6.6 g of pseudoephedrine base during the preceding 30 days. Today the purchaser presents valid photo identification and requests a package containing 1.0 g. No outage or exempt pathway applies. What should the pharmacy do?
Correct answer: C - Deny or reduce it because the rolling total would be 7.6 g
A 10-year-old arrives at an Indiana pharmacy with a patient-specific influenza-vaccine prescription from an authorized practitioner. A parent consents, the product labeling permits use, and the pharmacist meets all training and emergency-readiness requirements. Which conclusion is most accurate?
Correct answer: A - Administration may proceed under the patient-specific prescription
On Friday morning, an Indiana pharmacy discovers a pattern of unexplained oxycodone shortages that the pharmacist determines is a significant loss. Management wants to finish its internal investigation before contacting DEA. Which timeline is correct?
Correct answer: C - Notify DEA in writing within 1 business day; file Form 106 within 45 days
A 22-year-old has received two consecutive 6-month hormonal-contraceptive prescriptions from an Indiana pharmacist. She requests another supply but has not been seen by a physician, APRN, or physician assistant during the preceding 12 months. Screening reveals no contraindication. What may the pharmacist do under this prescribing pathway?
Correct answer: D - Do not issue more until a qualifying clinician visit is documented
A private-pay Indiana prescription names a reference biologic and does not prohibit substitution. The payer prefers a lower-cost product that FDA lists as biosimilar but not interchangeable. What may the pharmacist do without contacting the prescriber?
Correct answer: B - Do not substitute; biosimilar status alone is insufficient
At refill pickup, a pharmacy technician tells the patient, 'The pharmacist is available now to discuss how to use this medication and answer your questions.' The patient declines. What has the pharmacy accomplished?
Correct answer: C - A valid bona fide offer was made; document the decline for this visit
An Indiana pharmacist submits one of the following continuing-education portfolios for a biennium. Which portfolio satisfies all category requirements?
Correct answer: B - 32 total hours: 27 pharmacy-related, 5 business, and 17 ACPE-accredited
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