Loss Theft Reporting - Pharmacy Technician Certification Exam Ptce

1. What is the correct immediate step if tampering is suspected in a controlled substance inventory count?

   Secure stock and notify the pharmacist-in-charge for investigation. Immediate security measures and notification allow for proper investigation by the pharmacist, preventing further loss and ensuring compliance with chain-of-command protocols.

2. Which DEA reporting requirement applies when controlled substances are stolen during a burglary?

   Submit DEA Form 106 within 1 business day of discovery. Burglary constitutes theft, triggering the DEA's one-business-day reporting rule to enable swift federal response and coordination with law enforcement.

3. Which authority is typically notified in addition to the DEA after a controlled substance theft is discovered?

   Local law enforcement. Theft of controlled substances constitutes a crime, necessitating involvement of local police for criminal investigation alongside DEA regulatory oversight.

4. What is the appropriate action if a controlled substance breakage occurs and results in a significant loss?

   Document and report to the DEA using Form 106 if significant. Breakage resulting in irrecoverable loss must be treated as a potential significant loss, requiring documentation and DEA reporting to maintain inventory accountability.

5. Which action is required when a controlled substance loss is discovered but later found to be a recording error?

   Correct records and document; DEA Form 106 is not required if no loss occurred. If no actual loss occurred, only internal corrections are needed to maintain accurate records, avoiding unnecessary DEA involvement per regulatory guidelines.

6. Identify the correct reporting action when a pharmacy employee is suspected of diverting controlled substances.

   Notify PIC; report to DEA (Form 106) and law enforcement as appropriate. Suspected diversion by staff requires internal notification and external reporting to address potential criminal activity and protect public safety under DEA guidelines.

7. Which option best describes the technician's role in loss, theft, or destruction reporting?

   Detect, document, and promptly notify the pharmacist; do not self-report to DEA. Technicians support compliance by identifying issues and escalating to the pharmacist, who handles official DEA reporting as the registrant.

8. What is the correct reporting focus when controlled substances are missing but theft is not proven?

   Assess significance; report significant loss to DEA on Form 106. Focus on significance determination ensures only material unexplained losses are reported to DEA, aligning with rules distinguishing from minor or explainable discrepancies.

9. What information is typically required on DEA Form 106 for a theft or significant loss report?

   Drug, strength, NDC, quantity, date, and circumstances of loss/theft. Form 106 requires detailed information to enable the DEA to assess the incident, track patterns of diversion, and initiate appropriate regulatory actions.

10. What is the required DEA reporting time frame after discovery of a theft or significant loss?

    Within 1 business day of discovery. DEA regulations mandate prompt reporting to facilitate timely investigation and prevent diversion, with the one-business-day requirement balancing urgency and administrative feasibility.

11. Which recordkeeping concept is most important to support loss/theft reporting and audits?

    Accurate, timely documentation of receipt, dispensing, counts, and adjustments. Precise recordkeeping enables discrepancy detection, supports accurate reporting, and facilitates DEA audits to prevent and investigate diversion.

12. Which option best describes "significant loss" determination under DEA rules?

    Registrant judgment based on factors; no single fixed numeric threshold. DEA rules emphasize contextual factors like business type, drug type, and patterns, allowing registrants flexibility rather than imposing a uniform quantity-based rule.

13. Which option best describes proper handling of controlled substances awaiting destruction?

    Store securely and maintain documented chain of custody. Secure storage with documented custody prevents diversion and ensures traceability, complying with DEA requirements for substances pending authorized destruction.

14. Which record type helps detect and substantiate controlled substance loss for reporting purposes?

    Perpetual inventory and receiving/dispensing records. These records provide auditable trails of controlled substance movements, enabling detection of discrepancies and supporting evidence for required DEA reports.

15. What is the first internal action a technician should take after discovering missing controlled substances?

    Notify the pharmacist-in-charge immediately. Internal protocols require immediate notification to the supervising pharmacist to initiate investigation, secure the area, and ensure proper reporting procedures are followed.

16. What is the required action if a controlled substance shipment is lost in transit before receipt by the pharmacy?

    Notify supplier/carrier; report to DEA if significant loss is confirmed. Protocol requires contacting the supplier first for resolution, escalating to DEA only if the loss is confirmed as significant to prevent unnecessary reports.

17. Which DEA form is used to document transfer of controlled substances for disposal or destruction?

    DEA Form 222 (Schedule II transfer for destruction). Form 222 is required for transferring Schedule I and II controlled substances to a reverse distributor for proper disposal, ensuring tracked and authorized destruction.

18. Which DEA form is used to report controlled substances that were destroyed by a registrant?

    DEA Form 41. Registrants use this form to report the destruction of controlled substances, providing an inventory and details to maintain accountability and comply with DEA disposal rules.

19. What is the correct action if a controlled substance is accidentally destroyed (for example, spilled) and not retrievable?

    Document the incident; report to DEA using Form 106 if significant loss. Accidental destruction must be recorded internally, with DEA reporting required only if the loss meets significance criteria to ensure regulatory oversight.

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

    DEA Form 106. This form is specifically designated by the DEA for pharmacies to officially report incidents of theft or substantial unexplained losses of controlled substances to ensure regulatory compliance and investigation.

21. What is the standard documentation expectation for controlled substance destruction events?

    Witnessed destruction with date, drug details, quantities, and signatures. DEA requires detailed, witnessed records to verify proper destruction, prevent diversion, and provide auditable proof of compliance during inspections.

22. Which event most clearly requires DEA Form 106 rather than routine internal documentation only?

    Confirmed theft of any controlled substance. DEA mandates Form 106 for all confirmed thefts to ensure federal tracking and investigation, distinguishing from minor internal issues not requiring external reporting.

23. Identify the key distinction between a controlled substance "theft" and "significant loss."

    Theft is intentional taking; significant loss is material unexplained loss. DEA distinguishes these to guide reporting: theft involves criminal intent, while significant loss covers substantial discrepancies without clear evidence of theft.

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