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Pharmacy Regulations and Practices in California, Exams of Nursing

Various regulations and practices related to pharmacy operations in the state of california. It discusses topics such as the role of the pharmacist-in-charge (pic), the dispensing of dangerous drugs and controlled substances, the use of automated drug delivery systems (adds) in healthcare facilities, the transfer of prescriptions between pharmacies, and the controlled substance utilization review and evaluation system (cures) database. Insights into the legal requirements, responsibilities, and best practices for pharmacists and pharmacies in california to ensure the safe, orderly, and lawful provision of pharmacy services.

Typology: Exams

2024/2025

Available from 10/08/2024

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CPJE Exam Questions and Answers
2025.
Any pharmacist license that is not renewed within ------------------------years
following its expiration may not be renewed, restored, or reinstated and
shall be cancelled Correct
Answer-------3 years
LANOXIN ---------- Correct Answer-- --Digoxin
Taken once daily. Available in tablet, capsule, liquid, and injectable
form. Best to take on empty stomach.
AVOID high-bran/high-fiber foods if taking medicine
with food. Typical dose: 125-250 mcg daily
Preprinted multiple check-off Rx blanks can be used to prescribe
Scheduled substances, except for Schedule II, T/F? ---------- Correct
Answer
----------------------------------------------------------------------------------------
False
No scheduled substance may be prescribed on a multiple check-off Rx blank
If a pharmacy is changing PICs, they must contact the board within
days of
the change.
If the pharmacy is unable, in the exercise of reasonable diligence, to
identify a permanent PIC above period, they can provide the name of a
pharmacist who is an employee, officer, or administrator of the
pharmacy/entity owning the pharmacy and is actively involved in the daily
management of said pharmacy to act as an interim PIC for a period not to
exceed days.
After the above period, if the newly proposed PIC is not accepted by the
board, the pharmacy must propose another replacement within days of
disapproval until a PIC is approved. ---------- Correct Answer 30 days to
let the board know PIC is
changed.
120 days of interim PIC while searching for new permanent PIC.
Have to propose a new permanent PIC every 15 days afterwards if one is not
accepted during the 120 day interim period.
All of the following are true regarding compounding, except:
a. For parenteral products, a commercially available product may be
compounded if there are multiple companies that provide the mixture
b. For parenteral products, a commercially available product may be
compounded if the premix IV admixture is commercially available as wella s
the premixed IV bags.
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CPJE Exam Questions and Answers 2025.

Any pharmacist license that is not renewed within------------------------years following its expiration may not be renewed, restored, or reinstated and shall be cancelled Correct Answer-------3 years LANOXIN ---------- Correct Answer----Digoxin Taken once daily. Available in tablet, capsule, liquid, and injectable form. Best to take on empty stomach. AVOID high-bran/high-fiber foods if taking medicine with food. Typical dose: 125-250 mcg daily Preprinted multiple check-off Rx blanks can be used to prescribe Scheduled substances, except for Schedule II, T/F? ---------- Correct Answer


False No scheduled substance may be prescribed on a multiple check-off Rx blank If a pharmacy is changing PICs, they must contact the board within days of the change. If the pharmacy is unable, in the exercise of reasonable diligence, to identify a permanent PIC above period, they can provide the name of a pharmacist who is an employee, officer, or administrator of the pharmacy/entity owning the pharmacy and is actively involved in the daily management of said pharmacy to act as an interim PIC for a period not to exceed days. After the above period, if the newly proposed PIC is not accepted by the board, the pharmacy must propose another replacement within days of disapproval until a PIC is approved. ---------- Correct Answer 30 days to let the board know PIC is changed. 120 days of interim PIC while searching for new permanent PIC. Have to propose a new permanent PIC every 15 days afterwards if one is not accepted during the 120 day interim period. All of the following are true regarding compounding, except: a. For parenteral products, a commercially available product may be compounded if there are multiple companies that provide the mixture b. For parenteral products, a commercially available product may be compounded if the premix IV admixture is commercially available as wella s the premixed IV bags.

c. Compounding a cream that is commercially available, if it is prescribed.

Correct Answer-----A and B only. According to California State Pharmacy Law, a pharmacy may repackage and furnish to a prescriber a reasonable quantity of dangerous drugs and dangerous devices for prescriber office use without obtaining a repackaging license. T/F?---------------------------------------------------------------------------Correct Answer-------True

What is Actiq, what is its indication? ---------- Correct Answer Oral transmucosal Fentanyl indicated ONLY for management of breakthrough cancer pain in patients 16 and older who are opioid tolerant. 200mcg/dose, up to 4 doses/day.

What are the signs/symptoms of severe hepatitis? ---------- Correct Answer

Unexplained anorexia, nausea, vomiting, dark urine, icterus, rash, persistent paresthesias of the hands/feet, persistent fatigue, weakness, fever for more than 3 days, and abdominal tendernerss (esp upper right quadrant) What is Flomax and what is it indicated for? ---------- Correct Answer -------------------------------------------------------------------------------------------Tamsulosin, alpha-1a blocker, for BPH. NOT for HTN. Specific for 1a receptors in prostate*** only Latanoprost Prostaglandin analogue for Open-angle glaucoma. 1 drop in affected eye ONCE daily in the evening. Protect from light, refrigerate unopened bottles, may keep opened bottle at room temperature for 6 weeks. May cause pigmentation changes in iris, eyelid and eyelashes, as well as growth of eyelashes. ---------- Correct Answer XALATAN Which of the following is indicated for the treatment of oropharyngeal candidiasis? a. Clotrimazole b. Itraconazole c. Amphoterecin d. Flucytosine ---------- Correct Answer- -Clotrimazole troche (MYCELEX) 5x a day for 2 weeks. What is Cytotec? What are its indications? What is the major side effect?


Correct Answer-----Cytotec is Misoprostol, a synthetic prostaglandin E analog. It's used to reduce risk of NSAID-induced ulcers, as an abortafacient, and to induce labor. It is contraindicated in women with child-bearing potential unless the patient has high risk of gastric ulcers from NSAIDs. Diarrhea is a common SE with the drug. What is Orencia? How is it administered? What class of drugs should NOT

Anticonvulsant for partial onset SZs and neuropathic pain. Schedule V ---------- Correct Answer------------------------------------------VIMPAT Ezogabine (AKA Retigabine) Anticonvulsant for partial onset SZs. Schedule V ---------- Correct Answer---POTIGA Diphenoxylate/Atropine Anti-diarrheal Absolute CI: Jaundice, Pseudomembranous colitis diarrhea, Enterotoxin diarrhea, Antibiotic associated diarrhea ---------- Correct Answer --------------------------------------------------------------------------LOMOTIL A patient may be furnished dangerous drugs or devices in an office or place of practice of the prescriber only if the prescriber dispenses them to his/her own patient and has offered a written Rx to obtain said drugs from a pharmacy, and that the drugs/devices are necessary for the treatment of the patient. T/F? ---------- Correct Answer


True ONLY a prescriber can furnish dangerous drugs/devices to the patients. What is Amitiza? What are the indications for it? What are some of the common SEs? -- -------- Correct Answer-----Lubiprostone, a locally acting Cl-channel activator which enhances intestinal fluid secretion without altering NA/K concentrations in the serum. It's indicated for chronic idiopathic constipation in adults and IBS with constipation in women 18+ y/o Common SEs include Nausea and Diarrhea, and it should be taken in the AM and PM with food and water to reduce potential nausea symptoms. DO NOT BREAK OR CHEW Starting in January 01, 2016, the physical description of dispensed medication, including color/shape/ID code on the tablets/capsules must be on the container. T/F? --- ------- Correct Answer-----True VALTURNA ---------- Correct Answer----Aliskiren/Valsartan CILOXAN ---------- Correct Answer----Ciprofloxacin 0.3% ophthalmic solution

Instill 1-2 drops into conjunctival sac(s) of affected eye every 2 hours while awake for the first 2 days, then 1-2 drops every 4 hours while awake for the next 5 days. MESNEX UROMITEXAN ---------- Correct Answer----Mesna Adjuvant with cyclophosphamide or ifosfamide as prophylaxis for hemorrhagic cystitis.

Nandrolone 1 (Deca-Durabolin, Durabolin, Durabolin-50) Norethandrolone(Nilevar, Solevar) Opium combination product (Paregoric) Pentobarbital and noncontrolled active ingredients Pentobarbital suppository dosage form Phendimetrazine (Bontril) Secobarbital and noncontrolled active ingredients Secobarbital suppository dosage form Sodium oxybate (Xyrem) Testosterone (Android-T, Androlan, Depotest, Delatestryl) Thiopental (Pentothal) ---------- Correct Answer-A pharmacist, or a pharmacist's employee, shall give the current retail price for any drug sold at the pharmacy upon request from a consumer however that request is communicated to the pharmacist or employee. If a requester requests price information on more than FIVE prescription drugs and does not have valid prescriptions for all of the drugs for which price information is requested, a pharmacist may require the requester to meet any or all of the following requirements: (1).The request shall be in writing. (2).The pharmacist shall respond to the written request within a reasonable period of time. A reasonable period of time is deemed to be 10 days, or the time period stated in the written request, whichever is later. (3).A pharmacy may charge a reasonable fee for each price quotation as long as the requester is informed that there will be a fee charged. (4).No pharmacy shall be required to respond to more than three requests as described in this subdivision from any one person or entity in a six-month period. According to California State Pharmacy Law, no pharmacy shall be required to do any of the following:

1 (1).Provide the price of any controlled substance in response to a telephone request.

1 least quarterly.

1

No clinic dispensing drugs pursuant to this article shall be eligible for any professional dispensing fee that may be authorized under the Medi-Cal program. No Schedule II controlled substance (Schedule III, IV or V are allowed) shall be dispensed by the clinic. This limitation shall not be construed to prohibit a physician dispensing a Schedule II drug to the extent permitted by law. Pursuant to Business and Professions Code Section 4074, a pharmacist shall inform the patient or his or her representative of the harmful effects of certain drugs dispensed by prescription. The list for these certain drugs may include which of the following?

  1. Chlorpropamide
  2. Paroxetine
  3. Thioridazine
  4. Amoxicillin ---------- Correct Answer- -The following classes of drugs may impair a person's ability to drive a motor vehicle or operate machinery when taken alone or in combination with alcohol: (1).Muscle relaxants. (2).Analgesics with central nervous system depressant effects. (3).Antipsychotic drugs including phenothiazines. (4).Antidepressants. (5).Antihistamines, motion sickness agents, antipruritics, antinauseants, anticonvulsants and antihypertensive agents with central nervous system depressant effects. (6).All Schedule II, III, IV and V depressant or narcotic controlled substances as set forth in Health and Safety Code at Section 11055 et seq. prescribed in doses which could have an adverse effect on a person's ability to operate a motor vehicle. (7).Anticholinergic agents and other drugs which may impair vision. (b).The following are examples of drugs which may have harmful effects when taken in combination with alcohol. These may or may not affect a person's ability to operate a motor vehicle. (1).Disulfiram and other drugs (e.g. chlorpropamide, metronidazole) which may cause a disulfiram-like reaction.

1

Which of the following statements are true about dispensing epinephrine auto-injectors under the California State Pharmacy Law?

  1. The epinephrine auto-injectors are furnished exclusively for use at a school district site or county office of education.
  2. A physician and surgeon provide a written order that specifies the quantity of epinephrine auto-injectors to be furnished.
  3. Records regarding the acquisition and disposition of epinephrine auto- injectors shall be maintained by both the school district or county office of education for a period of three years from the date the records were created. ---------- Correct Answer--------------------------------------------------------1. The epinephrine auto-injectors are furnished exclusively for use at a school district site or county office of education.
  4. A physician and surgeon provide a written order that specifies the quantity of epinephrine auto-injectors to be furnished.
  5. Records regarding the acquisition and disposition of epinephrine auto- injectors shall be maintained by both the school district or county office of education for a period of three years from the date the records were created.
  6. The school district or county office of education shall be responsible for monitoring the supply of auto-injectors and assuring the destruction of expired auto-injectors. A centralized hospital packaging pharmacy may prepare unit dose packages for single administration to inpatients from bulk containers under the pharmacy license requirement. T/F? ---------- Correct Answer False In addition to the pharmacy license requirement, a centralized hospital packaging pharmacy shall obtain a specialty license from the board prior to engaging in the following functions. A centralized hospital packaging pharmacy may prepare medications, by performing the following specialized functions, for administration only to inpatients within its own general acute care hospital and one or more general acute care hospitals if the hospitals are under common ownership and located within a 75-mile radius of each other: (1).Preparing unit dose packages for single administration to inpatients from bulk containers, if each unit dose package is barcoded to contain at least the information required by Section 4128.4. (2).Preparing compounded unit dose drugs for parenteral therapy for

1 administration to inpatients, if each compounded unit dose drug is barcoded to contain at least the information required by Section 4128.4.

He/she should forward DEA 222 copy 1 and copy 2 to the supplier. The supplier should keep copy 1 for his/her own records and forward copy 2 to the nearest DEA office located within area. In which of the following situations is a PDR not required?

  1. When a patient visits a physician in the physician's office and receives a prescription. The patient has the prescription filled in a retail pharmacy.
  2. When a pharmacist in a hospital pharmacy fills an outpatient prescription for a hospital employee.
  3. When a pharmacist fills a prescription for a patient who lives in a personal care home.
  4. When a pharmacist fills a prescription for a patient in a nursing home Correct Answer ------- Which type of insulin (if any) is expected to be cloudy? ---------- Correct Answer ------- NPH ONLY In which of the following situations is a PDR not required?
  5. When a patient visits a physician in the physician's office and receives a prescription. The patient has the prescription filled in a retail pharmacy.
  6. When a pharmacist in a hospital pharmacy fills an outpatient prescription for a hospital employee.
  7. When a pharmacist fills a prescription for a patient who lives in a personal care home.
  8. When a pharmacist fills a prescription for a patient in a nursing home Correct Answer-------4. The Prospective Drug Review (PDR) is required for retail or outpatient prescriptions, The PDR does not extend to the following: (1).An order for a drug for an inpatient of an institution. (2).A drug dispensed in an emergency room. (3).A drug dispensed by a medical practitioner. (4).A drug dispensed by a pharmacist to a medical practitioner who will

administer it to a patient. The following are examples of situations in which a PDR is required: