Controlled Inventory - Pharmacy Technician Certification Exam Ptce

1. What quantity detail is required when taking inventory of Schedule II controlled substances?

   Exact count for each container. DEA inventory rules require precise counting for Schedule II drugs due to their high abuse potential, ensuring accurate accountability.

2. What is the required inventory frequency under federal law for controlled substances?

   At least every 2 years (biennial inventory). The Controlled Substances Act mandates this frequency to ensure ongoing accuracy in tracking and to detect discrepancies or diversion.

3. What DEA form is used to report theft or significant loss of controlled substances?

   DEA Form 106. This form is required by DEA to officially document and report incidents of theft or loss for investigation and regulatory compliance.

4. Which DEA schedule category has accepted medical use but the highest abuse potential among medical drugs?

   Schedule II. This category encompasses drugs with accepted medical use but high potential for abuse and severe psychological or physical dependence, like opioids and stimulants.

5. What is the required action when a Schedule II shipment is received with a DEA Form 222 order?

   Record receipt on Form 222 (or CSOS record) with date/qty. DEA regulations require annotating the order form with receipt details to maintain accurate records and facilitate audits for Schedule II substances.

6. Which schedules may be stored with noncontrolled stock if access is restricted and diversion is deterred?

   Schedules III–V. Federal guidelines permit this storage method for lower-risk schedules provided overall security deters theft and unauthorized access.

7. Which two controlled substance schedules require a perpetual inventory in many pharmacy policies and exams?

   Schedules II and III (commonly tracked perpetually). Many pharmacy policies and certification exams emphasize perpetual inventory for these schedules due to their higher abuse potential requiring continuous tracking.

8. Which inventory method is allowed for Schedule III–V controlled substances in large containers?

   Estimated count unless container holds more than 1,000 units. Federal regulations allow estimation for Schedules III–V in containers with 1,000 or fewer units to streamline inventory processes for lower-risk drugs.

9. Which record must document receipt of Schedule III–V controlled substances from a wholesaler?

   Invoice/packing slip showing date, drug, strength, and quantity. Federal law mandates retaining these documents to verify receipt and support inventory records for Schedules III–V controlled substances.

10. What DEA form is used to register a pharmacy to handle controlled substances?

    DEA Form 224. This form is designated by DEA for new registrations or renewals, allowing pharmacies to legally handle and dispense controlled substances.

11. Which schedule must be stored in a securely locked, substantially constructed cabinet or dispersed to deter theft?

    Schedule II. DEA storage requirements for this schedule mandate enhanced security measures due to its high abuse potential and risk of diversion.

12. Identify the correct inventory method for a Schedule IV bottle containing 500 tablets.

    Estimated count permitted. For Schedule IV containers with 1,000 or fewer units, federal guidelines permit estimation if opened, balancing efficiency with accuracy.

13. Which schedule requires an initial inventory on the date the pharmacy first engages in controlled substances?

    All controlled substances (Schedules II–V) on start date. Federal law requires an initial inventory of all controlled substances to establish a baseline for tracking and accountability from the start of operations.

14. What electronic system may be used instead of a paper DEA Form 222 to order Schedule II drugs?

    CSOS (Controlled Substances Ordering System). This DEA-approved electronic alternative provides a secure method for ordering Schedule II drugs, reducing paperwork while maintaining accountability.

15. What is the minimum federal retention period for controlled substance procurement and dispensing records?

    At least 2 years. Federal regulations under the Controlled Substances Act stipulate this period to allow for audits, investigations, and compliance verification.

16. What is the required immediate action if a controlled substance theft or significant loss is discovered?

    Notify DEA (and local police as required) promptly. DEA regulations require immediate notification to enable investigation and prevent further diversion of controlled substances.

17. Which document must be retained to support Schedule II purchases when using CSOS?

    The electronic CSOS order record and supplier's invoice/receipt record. DEA requires retaining both the digital order and supplier documents to verify transactions and support audits for Schedule II purchases.

18. What DEA form is used to order Schedule II controlled substances from a supplier?

    DEA Form 222. Federal regulations mandate this triplicate form for ordering Schedule II substances to ensure secure tracking and prevent diversion.

19. Find the compliance issue: a technician signs and dates DEA Form 222 as the purchaser.

    Only an authorized registrant/agent may sign; technician alone is not permitted. DEA regulations stipulate that only registrants or authorized agents can sign Form 222 to ensure accountability and prevent unauthorized orders.

20. Identify the correct inventory method for a Schedule III bottle containing 1,200 tablets.

    Exact count required (more than 1,000 units). DEA rules mandate an exact count for Schedule III containers exceeding 1,000 units to maintain precision in inventory records.

21. Which controlled substance schedules may be ordered without DEA Form 222 (using standard invoice ordering)?

    Schedules III–V. DEA rules allow standard commercial invoices for these schedules due to their lower abuse potential compared to Schedule II.

22. What is the required separation rule for controlled substance records from other pharmacy records?

    Maintain controlled substance records separately or readily retrievable. DEA rules require this to enable quick identification and retrieval during inspections, ensuring compliance and preventing diversion.

23. Which option is required when a controlled substance delivery arrives: accept it or secure it immediately?

    Secure it immediately in controlled substance storage. DEA security protocols require immediate securing of controlled substances upon arrival to prevent theft, loss, or diversion.

24. Which DEA schedule category has the highest abuse potential and no accepted medical use?

    Schedule I. Under the Controlled Substances Act, this category includes drugs with no accepted medical use and the highest potential for abuse, such as heroin and LSD.

25. Identify the key requirement for a pharmacy to use CSOS for Schedule II ordering.

    A valid CSOS digital certificate for the purchaser. DEA requires this certificate to authenticate electronic orders and ensure only authorized personnel can place Schedule II purchases via CSOS.

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