Drug Topics - December 12, 2008 - (Page 48)

Continuing Education TE ST QU E S TIO NS Write your answers on the form appearing on page 49 (photocopies of the answer form are acceptable) or on a separate sheet of paper. Mark the most appropriate answer. 1. Which ingredient led to the Sulfanilamide Tragedy of 1937? a. Thalidomide b. Propylene glycol c. Diethylene glycol d. Sulfasalazine 2. OBRA ’90 is also known as the: a. Omnibus Bene t Reconciliation Act b. Omnibus Bene t Restoration Act c. Omnibus Budget Reconciliation Act d. Omnibus Budget Restoration Act 3. All of the following are included in the Pharmacist’s Code of Ethics except: a. A pharmacist maintains con dentiality b. A pharmacist should charge a reasonable price, provided the patient is not harmed c. A pharmacist seeks justice in the distribution of health resources d. A pharmacist respects the values and abilities of nurses 4. All of the following are used by the courts in examining what constitutes a pharmacist’s duty except: a. Federal law b. Pharmacist Code of Ethics c. Executive branch rulings d. State Board of Pharmacy regulations 5. Pharmacists have always had the responsibility to do which of the following? a. Counsel patients b. Provide printed information c. Detect drug-drug interactions d. Dispense the correct medication 6. During which decade did the pharmacist’s shield from liability begin to decline as the courts started recognizing a greater responsibility for pharmacists? a. 1970s b. 1980s c. 1990s d. 2000s 7. The standard of care for professionals (pharmacists) includes all the following except: a. Tradition b. Expert opinions c. Federal regulatory agencies d. Court rulings 8. Who enacted OBRA ’90? a. State boards of pharmacy b. State legislatures c. The judicial system d. Congress 9. Regarding patient counseling, what is the primary factor that determines whether matters are deemed “signi cant” in the pharmacist’s opinion? a. Federal law b. State law c. Pharmacist Code of Ethics d. Professional judgment 10. All of the following represent matters that could be deemed signi cant in the pharmacist’s opinion except: a. All probable side effects b. Storage c. Dosage form d. Techniques for self-monitoring drug therapy 11. OBRA ’90 was originally enacted to cover: a. Only Medicare patients b. Only Medicaid patients c. Only Medicare and Medicaid patients d. OBRA ’90 covered all patients 12. Medication therapy management services are covered under Medicare a. Part A b. Part B c. Part C d. Part D 13. Which of the following statements regarding medication therapy management services is false? a. Individualized services may be provided by a pharmacist b. Pharmacists may receive payment for providing services c. Patients with a single disease state are eligible d. Services may be provided by other healthcare providers 14. The following theories are relied upon by courts to support the view that pharmacists do not have a general duty to warn except: a. Contradiction of public policy b. Learned intermediary doctrine c. Interference with the pharmacist-patient relationship d. Drug manufacturers are in the best position to warn the physician of the dangers of prescription drugs 15. In nding that a pharmacist has a duty to warn, all of the following are limited exceptions a court may use, except for: a. The prescription contains a clear error b. The pharmacist has special knowledge of the patient c. The physician delegates the duty to warn to the pharmacist d. The pharmacist voluntarily assumes the duty 16. Which of the following states has held that a duty to warn can exist when there are excessive doses or obvious inadequacies on a prescription? a. Louisiana b. Georgia c. Alabama d. Michigan 17. In Saukas, which 2 medications caused the lawsuit against the pharmacist? a. Depakote and Lamisil b. Depakote and Lamictal c. Theophylline and Cipro oxacin d. Theophylline and Erythromycin 18. The main element courts examine is when determining whether a pharmacist is negligent. a. Board of pharmacy regulation b. Federal law c. Precedent d. Foreseeability 19. All of the following statements are true except: a. All pharmacists will eventually have the duty to warn b. A majority of courts currently holds that a pharmacist has a duty to warn c. There lacks consistency among the states as to what constitutes a pharmacist’s duty to warn d. Providing patients with written information does not shield pharmacists from potential liability 20. Which of the following statements is false? a. Pharmacists should not rely on the “count, pour, lick, and stick” standard b. Pharmacists who advertise that they check for drug interactions will not be held to that standard if they reside in a no-duty-to-warn state c. Counseling patients is a service all pharmacists should provide d. Pharmacists should be aware of the circumstances in which they could be held to have a duty to warn 48 DRUG TOPICS D E C . 15, 2008 W W W.D R U GTO P I C S .C O M http://WWW.DRUGTOPICS.COM

Table of Contents Feed for the Digital Edition of Drug Topics - December 12, 2008

Drug Topics - December 12, 2008 Contents Up Front Up Front In Depth Letters Health-System Edition Cover Story: Controlled Substance Disposal a Growing Problem for Hospitals Pharmacists Hope for Speedy Approvals Deaths from C. Difficile Increasing PharmMD Teams with HealthSpring RX Care Commentary Ohio Hospital Automates Pharmacy The Business Outlook for 2009 OTC The Pharmacist's Duty to Warn: Implications for Pharmacy Practice New Products Viewpoint

Drug Topics - December 12, 2008

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