1. Which of the following best describes one who abuses or diverts prescription drugs:
A. They have body piercing and tattoos
B. They are unkempt and unclean
C. They are nervous and distracted
D. They look like everyone else
2. What is the first goal of the VIGIL system?
A. To eliminate substance abuse
B. To reduce substance abuse
C. To maximize the provision of needed pain medications
D. To remove all barriers to the acquisition of pain medications
3. According to the Drug Enforcement Agency (DEA), pharmacists have extensive training in pharmacotherapy and should replace physicians in which one of the following:
A. As drug experts
B. As compounders
C. As diagnosticians
D. As patient counselors
4. What are the potential costs to a pharmacy from noncompliance with standards established by the DEA?
A. Revocation of registration, but not the payment of millions of dollars
B. Payment of millions of dollars, but not revocation of registration
C. Both revocation of registration and payment of millions of dollars
D. Neither revocation of registration nor payment of millions of dollars
5. Between the years 2002-2003 and 2009-2010, what was the trend in prescription drug abuse, according to data from the National Survey on Drug Use and Health?
A. A significant increase
B. A slight increase
C. A leveling, with neither an increase nor a decrease
D. A slight decrease
6. What is the projection for the incidence of substance abuse among those in the United States (U.S.) aged 50 years and older during the time span between 2002-2006 and 2020?
A. Projected to decrease
B. Projected to stay level
C. Projected to double
D. Projected to triple
7. According to the Institute of Medicine (IOM), approximately how many adults in the U.S. experience chronic pain?
A. 10 million
B. 50 million
C. 100 million
D. 150 million
8. What group supported the adoption of Pain as the 5th Vital Sign Tookit?
A. American Pain Society
B. Veterans Administration
C. Joint Commission on Accreditation of Healthcare Organizations
D. American Medical Association
9. An emphasis on stronger regulations to reduce prescription drug abuse can result in what effect on access to needed medications by patients with legitimate pain?
A. Substantially increased access
B. Slightly increased access
C. Decreased access
D. There is no correlation between the 2
10. The VIGIL program attempts to create a new tradition based on what principle?
A. Collaboration
B. Risk taking
C. Distrust
D. A cop mentality
11. According to the DEA, in ensuring the validity of a prescription, the pharmacist has an important secondary responsibility to the prescriber. This additional responsibility is referred to as which of the following:
A. Collaborative responsibility
B. Corresponding responsibility
C. Collegial responsibility
D. Creative responsibility
12. Within the DEA regulation that describes the “purpose of issue” of a prescription, which of the following words is the most important:
A. Legitimate
B. Knowingly
C. Authorized
D. Professional
13. How effective a tool is a prescription drug monitoring program (PDMP) for the pharmacy?
A. Of no value at all
B. A perfect solution
C. A valuable tool, but not foolproof
D. A PDMP is for use by police and not by pharmacists
14. Of the steps within the VIGIL (verification, identification, generalization, interpretation, and legalization) system, which of the following steps is primarily the pharmacy technician's responsibility:
A. Receiving the prescription
B. Evaluating the prescription
C. Refusing the prescription
D. Medication delivery to the patient
15. Which 2 activities occur during Step 1 of the VIGIL process?
A. Verification and identification
B. Identification and generalization
C. Generalization and interpretation
D. Interpretation and legalization
16. According to DEA regulations, a prescription for a controlled substance must have what type of date posted to the labeling?
A. The first day the pharmacy is authorized to dispense the medication
B. The last day the pharmacy is authorized to dispense the medication
C. The patient's birth date
D. The date the prescription is issued
17. Which of the following is a “red flag” according to the VIGIL system:
A. Patient is unkempt
B. Immediate family member also uses opioids
C. Prescription is from an internist
D. Patient is covered by worker's compensation
18. Which of the following is a “green flag” according to the VIGIL system:
A. Patient is polite and complimentary toward the pharmacist
B. Patient is well-dressed
C. Patients uses insurance and never pays cash
D. Prescription is from emergency department
19. Within the VIGIL system, a patient who is classified as medium risk for diversion and abuse will be provided with what level of care by the pharmacy?
A. Standard
B. Special
C. Extra
D. None
20. Within the VIGIL system, what elements should be included in a discussion with the person to whom medication is delivered?
A. Take only as directed
B. Do not share this medication with anyone
C. Store this medication in a safe place
D. All of the above
Evaluation Questions
21. To what extent did the program meet objective #1?
A. Excellent
B. Very Good
C. Good
D. Fair
E. Poor
22. To what extent did the program meet objective #2?
A. Excellent
B. Very Good
C. Good
D. Fair
E. Poor
23. To what extent did the program meet objective #3?
A. Excellent
B. Very Good
C. Good
D. Fair
E. Poor
24. To what extent did the program meet objective #4?
A. Excellent
B. Very Good
C. Good
D. Fair
E. Poor
25. To what extent did the program meet objective #5?
A. Excellent
B. Very Good
C. Good
D. Fair
E. Poor
26. To what extent did the program meet objective #6?
A. Excellent
B. Very Good
C. Good
D. Fair
E. Poor
27. To what extent did the program meet objective #7?
A. Excellent
B. Very Good
C. Good
D. Fair
E. Poor
28. To what extent did the program meet objective #8?
A. Excellent
B. Very Good
C. Good
D. Fair
E. Poor
29. To what extent did the program meet objective #9?
A. Excellent
B. Very Good
C. Good
D. Fair
E. Poor
30. To what extent did the program meet objective #10?
A. Excellent
B. Very Good
C. Good
D. Fair
E. Poor
31. Rate the effectiveness of how well the program related to your educational needs:
A. Excellent
B. Very Good
C. Good
D. Fair
E. Poor
32. Rate how well the active learning strategies (questions, cases, discussions) were appropriate and effective learning tools:
A. Excellent
B. Very Good
C. Good
D. Fair
E. Poor
33. Rate the quality of the faculty:
A. Excellent
B. Very Good
C. Good
D. Fair
E. Poor
34. Rate the effectiveness and the overall usefulness of the material presented:
A. Excellent
B. Very Good
C. Good
D. Fair
E. Poor
35. Rate the appropriateness of the examination for this activity:
A. Excellent
B. Very Good
C. Good
D. Fair
E. Poor
36. Rate the effectiveness of how well the activity related to your practice needs:
A. Excellent
B. Very Good
C. Good
D. Fair
E. Poor
37. Rate the effectiveness of how well the activity will help you improve patient care:
A. Excellent
B. Very Good
C. Good
D. Fair
E. Poor
38. Will the information presented cause you to change your practice?
A. Yes
B. No
39. Are you committed to making these changes?
A. Yes
B. No
40. As a result of this activity, did you learn something new?
A. Yes
B. No
41. What is your practice setting or area of practice?
A. Community Pharmacy/Independent
B. Community Pharmacy/Chain
C. Hospital/Health Systems
D. Long-term Care
E. Managed Care/PBM
F. Oncology/Specialty Pharmacy
G. Research
H. Regulatory/Government
I. Industry/Manufacturing
42. How many years have you been in practice?
A. <5
B. 5 – 10
C. 11 – 20
D. >20