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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