Pharmacy Regulations Quiz
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Questions and Answers

What is the maximum quantity of non-effervescent Aspirin or Paracetamol that can be sold in a single transaction?

  • 96
  • 100 (correct)
  • 16
  • 32

Which schedules of drugs cannot be repeated on a private repeat prescription?

  • 2 and 3 (correct)
  • 3 and 4
  • 1 and 2
  • 5 and 6

What must be done when a private prescription of a POM is dispensed?

  • Make a record the same day (correct)
  • No record is needed for private prescriptions
  • Send it to NHS prescription services
  • Record details on the next day

How long must the private prescription record (POR) be kept?

<p>2 years from the date of supply (B)</p> Signup and view all the answers

What additional detail is required to be recorded on a private prescription record of a POM?

<p>Date of supply (D)</p> Signup and view all the answers

What happens to NHS prescriptions after dispensing?

<p>They are sent to the NHSBSA (A)</p> Signup and view all the answers

What is the maximum pack size for non-effervescent Aspirin or Paracetamol tablets?

<p>16 (B)</p> Signup and view all the answers

How many times can liquid Paracetamol be repeated according to the guidelines?

<p>5 times (B)</p> Signup and view all the answers

What is the maximum number of days of treatment allowed for a valid FP10MDA prescription?

<p>14 days (C)</p> Signup and view all the answers

Within how many days must the first instalment be supplied for an FP10MDA prescription to remain valid?

<p>28 days (A)</p> Signup and view all the answers

Why must approved wordings be present on an FP10MDA prescription?

<p>To ensure legal protection for the pharmacy (B)</p> Signup and view all the answers

What type of letter must a patient provide if a representative is collecting their prescription?

<p>A letter authorizing the representative (D)</p> Signup and view all the answers

What must be recorded in the CD register when supplying a prescription to a representative?

<p>Details of the representative (A)</p> Signup and view all the answers

If 'supervised consumption' is indicated in the OST directions, who must be contacted?

<p>The prescriber (D)</p> Signup and view all the answers

What is the mechanism of action for naloxone?

<p>Completely/partially reverses CNS depression (B)</p> Signup and view all the answers

What does the HMR 2012 say about the administration of parenteral POMs?

<p>They may be administered to save a life in emergencies (C)</p> Signup and view all the answers

What is required for a Midwife Supply Order (MSO) to be valid?

<p>Authorization from a medical officer in writing (C)</p> Signup and view all the answers

Which of the following is true regarding the correction of errors in the controlled drug register?

<p>Dated notes must be made in the margin or footnote (B)</p> Signup and view all the answers

What is the retention period for a Midwife Supply Order (MSO)?

<p>2 years (C)</p> Signup and view all the answers

Which schedule of controlled drugs does NOT legally require a Patient Own Record (POR) entry for documentation?

<p>Schedule 2 (B)</p> Signup and view all the answers

What is the primary purpose of submitting controlled drugs (CDs) prescribed in the community?

<p>To monitor CD prescriptions and administrations (B)</p> Signup and view all the answers

What should be done if unaccounted stock discrepancies are found?

<p>Inform the pharmacy Superintendent or CD Lead (B)</p> Signup and view all the answers

How must controlled drugs in schedules 2, 3, and 4 (Part 1 Benz) be disposed of?

<p>Rendered unusable through denaturation (D)</p> Signup and view all the answers

Which of the following is NOT an exempt prescription type for NHS submissions?

<p>Private veterinary prescriptions (C)</p> Signup and view all the answers

Which schedule 2 drug is an exception to the safe custody rule?

<p>Quinalbarbitone (D)</p> Signup and view all the answers

Which of the following drugs are NOT exempt from the safe custody rule in schedule 3?

<p>Temazepam (C), Buprenorphine (D)</p> Signup and view all the answers

For any controlled drugs received, which of the following must be recorded?

<p>Quantity received (C)</p> Signup and view all the answers

What is the minimum record-keeping requirement for any controlled drugs supplied?

<p>Name and address of recipient, and prescriber details (C)</p> Signup and view all the answers

What characterizes cannabidiol (CBD)?

<p>It is marketed as a food supplement. (D)</p> Signup and view all the answers

What must be done if a mistake is made in the controlled drug register?

<p>Make a footnote correction (C)</p> Signup and view all the answers

How often should running balances, including regular stock checks, be undertaken?

<p>Every week (D)</p> Signup and view all the answers

How long must records of controlled drugs be kept after the last entry?

<p>2 years (D)</p> Signup and view all the answers

Which cannabis-based product is specifically used for treating seizures associated with Lennox-Gastaut Syndrome or Dravet's Syndrome?

<p>Epidyolex® (D)</p> Signup and view all the answers

What is a requirement for all schedules (2, 3, and 4) regarding prescription validity?

<p>Validity of 28 days (A)</p> Signup and view all the answers

Which record type is required for controlled drugs schedules?

<p>Separate page for each drug class, strength, form, and brand (A)</p> Signup and view all the answers

Which of the following statements about CBD oil products is true?

<p>They must be approved before being marketed. (C)</p> Signup and view all the answers

Is it a legal requirement to keep running balances of controlled drugs?

<p>No, but it is good practice (D)</p> Signup and view all the answers

How is the liquid balance checked?

<p>By visual inspection and periodic volume checks (A)</p> Signup and view all the answers

What is a common use for Sativex®?

<p>To alleviate moderate to severe spasticity in multiple sclerosis. (D)</p> Signup and view all the answers

What must be included when writing both words and figures for the total quantity on a prescription?

<p>The quantity prescribed in both words and figures (D)</p> Signup and view all the answers

Which psychoactive substances are exempted under the Psychoactive Substances Act?

<p>Alcohol, caffeine, nicotine (D)</p> Signup and view all the answers

What is a requirement for the prescription of Dronabinol?

<p>Only a specialist prescriber may initiate its use. (D)</p> Signup and view all the answers

Is it permissible to make spelling corrections on a controlled drug prescription?

<p>Yes, if the prescriber's intent is clear (C)</p> Signup and view all the answers

Which of the following correctly defines psychoactive substances?

<p>Substances that can produce a psychoactive effect on mental functioning. (D)</p> Signup and view all the answers

Can amendments for missing or incorrect information be made on a prescription?

<p>No, other than spelling corrections (C)</p> Signup and view all the answers

Which statement is true about Nabilone?

<p>It is an unlicensed product in the UK. (A)</p> Signup and view all the answers

What is the maximum duration for which schedule 2 and 3 controlled substances are typically prescribed?

<p>30 days (C)</p> Signup and view all the answers

What documentation is crucial when amending a schedule 2 prescription?

<p>The new prescription must be documented (A)</p> Signup and view all the answers

Flashcards

What's the max treatment duration on an FP10MDA prescription?

The maximum number of days allowed for treatment on an FP10MDA prescription.

When should the first instalment of an FP10MDA prescription be supplied?

The first instalment of an FP10MDA prescription must be supplied within 28 days of the appropriate date.

What must a patient provide for a representative to collect an FP10MDA prescription?

A letter authorising and naming a representative to collect an FP10MDA prescription, including when the patient is in police custody.

What details should be recorded when supplying an FP10MDA prescription to a representative?

This must be recorded in the CD register when supplying an FP10MDA prescription to a representative.

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Who must be contacted if OST directions state 'supervised consumption'?

This must be contacted when directions for OST state 'supervised consumption', unless in police custody.

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What is naloxone?

A medication that completely or partially reverses CNS depression caused by opioids.

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What is the licensed indication for naloxone?

The licensed indication for naloxone is the treatment of acute opioid overdose.

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What does the HMR 2012 permit staff to do?

This allows staff to administer certain parenteral POMs to save a life in an emergency, without the directions of a practitioner.

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Psychoactive substances

Substances that affect mental functioning, emotional state, or the central nervous system. They can either stimulate or suppress the central nervous system.

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Psychoactive Substances Act (PSA) 2016

A law that controls psychoactive substances, including those that are not classified under the Misuse of Drugs Act.

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Exempted psychoactive substances

Substances excluded from control under the Psychoactive Substances Act (PSA) 2016. These include alcohol, caffeine, and nicotine.

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Epidyolex®

A type of cannabis-derived product that contains high levels of cannabidiol (CBD) and is used to treat certain types of epilepsy. It is classified as a Schedule 5 Controlled Drug.

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Sativex®

A spray containing a combination of cannabis extracts, including CBD and THC. It is used to treat muscle spasticity caused by multiple sclerosis. It is classified as a Schedule 4 Controlled Drug.

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Nabilone

A synthetic cannabinoid that is used to treat nausea and vomiting caused by chemotherapy. It is classified as a Schedule 2 Controlled Drug.

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Dronabinol

A synthetic, THC-based medicine that is used to treat loss of appetite in people with AIDS and severe nausea and vomiting caused by chemotherapy. It is not licensed in the UK, but is available in the USA.

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New psychoactive substances (NPS)

Drugs that are not controlled under the Misuse of Drugs Act. They often have psychoactive properties.

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Max pack size of GSL paracetamol and aspirin

The maximum quantity of GSL (General Sales List) paracetamol and aspirin tablets that can be sold in a single pack.

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Maximum quantity limit of paracetamol

The maximum number of paracetamol tablets that can be legally sold in a single transaction, even if multiple packs are purchased.

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Prescription drugs that can't be repeated privately

Medicines that can only be dispensed by a pharmacist and cannot be repeated on a private repeat prescription.

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Repeat Dispensing Scheme

A system where patients can receive their regular medications without needing a new prescription each time.

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Recording private POM prescriptions

A record must be kept for every supply of a prescription-only medicine (POM) unless it falls under specific exceptions.

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Details for private POM records

The date, reference number, and price charged must be recorded for every private prescription supply of a POM.

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Duration of private POM records

Private POM record (POR) must be kept for 2 years from the date of supply or the date of the last supply for repeatable prescriptions.

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Where NHS prescriptions go after dispensing

After dispensing, NHS prescriptions are sent to NHS Prescription Services for payment processing.

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Midwife Supply Order (MSO)

A specific type of prescription form used exclusively for ordering controlled drugs for use in a registered midwife's practice.

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Who needs to authorize a Midwife Supply Order?

An authorized medical practitioner (doctor) must sign the MSO to verify the order and ensure its legitimacy.

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Controlled Drug Register

A designated register where information about all controlled drugs received, supplied, and destroyed must be accurately recorded.

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Destruction of Controlled Drugs

A strict procedure that involves denaturing the controlled drug to make it unusable before discarding it.

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Investigating Running Balance Discrepancies

A formal process for investigating discrepancies or inconsistencies in the controlled drug register, ensuring accountability and accurate records.

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Private CD Prescription Form

The form used to make private prescriptions for controlled drugs, categorized by specific drug schedules.

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Controlled Drug Submissions

Accurate records of all controlled drug prescriptions and requisitions, both private and for the NHS, must be submitted to the NHS Business Services Authority (NHSBSA).

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Correcting CD Register Errors

When a mistake occurs in the controlled drug register, corrections must be made carefully and documented with details of the correction, including the date, the person making the correction, and their identification, ensuring accountability and transparency.

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Safe Custody of Schedule 2 Drugs

Schedule 2 drugs must be stored securely in a locked safe or room when not in use.

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Quinalbarbitone Exception

Quinalbarbitone is a Schedule 2 drug that is an exception to the safe custody rule, meaning it does not need to be stored in a safe or locked room.

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Schedule 3 Safe Custody Exceptions

Temazepam and Buprenorphine are two commonly dispensed Schedule 3 drugs that are NOT exempt from the safe custody rule, unlike most Schedule 3 drugs.

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Record Keeping of Controlled Drugs

Records must always be kept for Schedule 1 and 2 drugs.

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Controlled Drug Record Format

Record keeping for controlled drugs can be done using handwritten records, electronic records, or both.

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Controlled Drug Record Organization

Each drug class, strength, form, and brand must have a separate page in the controlled drug register.

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Recording CD Deliveries

The date the controlled drug (CD) was received, the supplier's name and address, and the quantity received must be recorded for all CD deliveries.

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Recording CD Supplies

When supplying controlled drugs, you must record the date, recipient's name and address, authority to possess (prescriber details), quantity supplied, details of the person collecting the CD, whether proof of identity was requested and provided, and the reason for supply.

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What is a running balance in stock management?

Running balances are a crucial part of stock management and involve regular stock checks to ensure accuracy. Healthcare professionals should conduct these checks weekly, investigate any discrepancies, and document their findings.

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How are liquid balances checked?

Visual inspections with periodic volume checks are required for liquid balances. Additionally, confirm the balance after each bottle is used to prevent errors.

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Prescription requirements for Schedule 2 and 3 Controlled Drugs

Schedule 2 and 3 Controlled Drugs (CDs) require specific prescription requirements for both legal and professional reasons.

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What elements are required for a prescription for Schedule 2/3 Controlled Drugs?

A prescription for a Schedule 2/3 drug must include the prescriber's signature and it must be familiar or satisfied genuine, an appropriate date ensuring validity for 28 days, the prescriber's address (UK only), the name of the Controlled Drug, the form, the strength, the dose, and the total quantity in both words and figures.

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What's the maximum quantity for a Schedule 2 or 3 Controlled Drug?

The maximum quantity prescribed for a Schedule 2 or 3 drug is usually 30 days but can be more depending on the circumstances. If you have any concerns, it's crucial to contact the prescriber.

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What special requirement do dental prescriptions have?

Dental prescriptions must include the statement 'for dental treatment only' to ensure that the medication is used appropriately.

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Can you make corrections on a Schedule 2/3 CD prescription?

Amendments to Schedule 2/3 CD prescriptions are not allowed unless the prescriber's intentions are clear and understood. Spelling mistakes can be corrected, but other information like the date or dosage cannot. All corrections must be made by the pharmacist, with their signature, GPHC registration number and the date.

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What's the requirement for collecting a Schedule 2 drug prescription?

For a Schedule 2 drug, a representative can only collect the prescription if they have a letter of authorisation from the patient that includes the name of the representative and the date. The collection needs to be recorded in the CD register.

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Description

Test your knowledge on pharmacy regulations related to prescriptions and over-the-counter medications. This quiz covers important guidelines for dispensing non-effervescent Aspirin and Paracetamol, as well as private and NHS prescription protocols. Perfect for pharmacy students and professionals alike.

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