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1. Among controlled substances, those with highest potential for abuse and misuse are classified as:

A. Schedule I or II B. Schedule III C. Schedule IV D. Schedule V

2. While reviewing pharmacy records in preparation for an MTM session, you notice that the patient has received prescriptions for barbiturate sleep aids, including pentobarbital, from more than one prescriber. The patient also has multiple prescriptions for alprazolam (Xanax) and lorazepam (Ativan). This is:

A. probably not a concern, because these are Schedule IV substances that are not highly subject to abuse and dependence B. a private issue between the patient and his physicians C. a clear case of drug abuse or diversion D. a case suggestive of possible misuse or abuse of controlled substances that should be called to the pharmacist's attention

3. Ms. Johnson was prescribed an opioid pain reliever (hydrocodone) following a surgical procedure. She brings it to her medication therapy management (MTM) session along with her other medicines, but says she does not want it in the house because she's afraid her teenage son might find it. The best advice for her is:

A. Throw the medication in the garbage on her way out of the pharmacy B. Leave the medication there and the pharmacy will handle disposing of it properly C. Take the medication with her and follow procedures in the educational materials (provide by the pharmacy) for safe disposal D. Keep the medication in case she needs it again for a future pain condition

4. Risk Evaluation and Mitigation Strategies (REMS) programs are developed by:

A. the drug manufacturer, in collaboration with the Food and Drug Administration B. national pharmacy organizations, as a way of ensuring that patients take a drug safely C. the individual physician authorized to prescribe the medication D. the U.S. Food and Drug Administration

5. Which of the following elements is most often present in REMS?

A. Elements to Assure Safe Use (ETASU) B. Medication Guide C. Communication Plan D. Implementation System

6. When preparing an MTM session for John R, you notice that one of the medications he is taking requires a REMS. Which of the following is NOT an appropriate step?

A. Obtain the current REMS requirements from the manufacturer's website B. Review patient records to see if the required monitoring steps have been followed C. Suggest to the physician that the patient be put on a medication that is less complicated to take D. Make sure that a Medication Guide is available for the pharmacist to review with the patient during MTM

Evaluation Questions

7. To what extent did the program meet objective #1?

A. Excellent B. Very Good C. Good D. Fair E. Poor

8. To what extent did the program meet objective #2?

A. Excellent B. Very Good C. Good D. Fair E. Poor

9. To what extent did the program meet objective #3?

A. Excellent B. Very Good C. Good D. Fair E. Poor

10. Rate the effectiveness of how well the program related to your educational needs:

A. Excellent B. Very Good C. Good D. Fair E. Poor

11. 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

12. Rate the quality of the faculty:

A. Excellent B. Very Good C. Good D. Fair E. Poor

13. Rate the effectiveness and the overall usefulness of the material presented:

A. Excellent B. Very Good C. Good D. Fair E. Poor

14. Rate the appropriateness of the examination for this activity:

A. Excellent B. Very Good C. Good D. Fair E. Poor

15. Rate the effectiveness of how well the activity related to your practice needs:

A. Excellent B. Very Good C. Good D. Fair E. Poor

16. 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

17. Will the information presented cause you to change your practice?

A. Yes B. No

18. Are you committed to making these changes?

A. Yes B. No

19. As a result of this activity, did you learn something new?

A. Yes B. No

20. What is your practice setting or area of practice?

A. Community Pharmacy/Independent B. Community Pharmacy/Chain C. Hospital/Health Systems D. Administrative/Pharmacy Director E. Critical Care Pharmacy F. Long-term Care G. Managed Care/PBM H. Oncology I. Specialty Pharmacy J. Industry/Manufacturing

21. How many years have you been in practice?

A. <5 B. 5 – 10 C. 11 – 20 D. >20

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