Kansas MPJE Practice Exam 1

Who may appoint the members of the Kansas State Pharmacy Board?

a. Director of the Pharmacy Board

b. Governor

c. Drug inspector of the state

d. Healthcare administer of the state - ANSWER Answer: (b) Governor, [Kansas

Pharmacy Practice Act Article 16 Chapter 74 Sec. 74-1603-to-74-1605].

1. The governor shall appoint the members of the board and such members
appointed on and after July 1, 2009, shall serve for terms of four years and until
their successors are appointed and qualified.

2. No pharmacist shall be eligible for appointment as a member of the board

unless such pharmacist has been a resident of the state and actively employed in
or engaged in the practice of pharmacy in Kansas for at least five years
immediately preceding the date of appointment.

3. There is hereby created a state board of pharmacy which shall consist of seven
members, six of whom shall be licensed pharmacists, and one of whom shall be a
representative of the general public.

4. Vacancies occurring on the board other than by expiration of term shall be filled
for the unexpired term in the same manner as the original appointment was made.

No person who has been appointed to and qualified for two terms as a member of
the board of pharmacy shall be eligible to be appointed as a member of the board.

A pharmacy is allowed to place certain drugs with a home health agency's

authorized employees and with a hospice's authorized employees for the
betterment of public health. Which of the following drugs is/are allowed under
these agreements?

I. heparin flush solution

II. epinephrine injectable

III. sterile water for injection

a. I only

b. I and II only

c. II and III only

d. All - ANSWER Answer: (d) All, [K.S.A. Article 16 Chapter 65 Sec. 65-1659].

A pharmacy will be allowed to place certain drugs with a home health agency's
authorized employees and with a hospice's authorized employees for the
betterment of public health. The pharmacy shall remain the legal owner of the
drugs.

A written agreement between the pharmacy and home health agency or hospice
shall document the protocol for handling and storage of these drugs by authorized
employees and shall be approved by the pharmacist in charge.

The following legend drugs shall be allowed under these agreements:

(1). Sterile water for injection or irrigation;

(2). sterile saline solution for injection or irrigation;

(3). heparin flush solution;

(4). diphenhydramine injectable; and

(5). epinephrine injectable.

"Authorized employee" means any employee of a home health agency or hospice

who, in the course of the employee's duties, is licensed by the employee's
appropriate licensing agency to administer legend drugs.

The partial filling of Morphine sulfate for terminally ill patients must be done
within 72 hours from the initial filling.

a. True

b. False - ANSWER Answer: (b) False, [Kansas Pharmacy Practice Act Article 41
Sec. 68-20-19(c),(2),(C)].

Whenever written, prescriptions for schedule II controlled substances for patients

in a long-term care facility (LTCF) or for a patient with a medical diagnosis
documenting a terminal illness may be filled in partial quantities, including
individual dosage units, as provided in this subsection. The pharmacist shall
record on the prescription whether the patient is "terminally ill" or an "LTCF
patient."

Under normal circumstances, the partial filling of Schedule II controlled

substances should be done within 72 hours from the initial filling.

If the remaining portion cannot be filled within 72 hours, the pharmacist should
notify the patient's prescriber.

Patients who reside in an LTCF or for the terminally ill, this can be partially filled
up to 60 days from the original date of the prescription issued provided that for
each partial filling, the dispensing pharmacist shall record on the back of the
prescription:

1. The date of the partially filled.

2. The quantity dispensed.

3. The remaining quantity authorized to be dispensed.

4. The identification of the dispensing pharmacist.

AJ comes to a pharmacy and presents a prescription for Sonata. The prescription

reads 1 capsule (10mg) by mouth taken immediately before bedtime x 30 days with
a 3 refills. AJ has requested a pharmacist to fill the whole prescription supply.
What is the dispensed quantity for Sonata?

a. 30 capsules

b. 90 capsules

c. 120 capsules

d. None of the above - ANSWER Answer: (a) 30 capsules, [K.S.A. Article 16 Chapter
65 Sec. 65-1637(g)(2)].

(a). All prescriptions shall be filled in strict conformity with any directions of the
prescriber, EXCEPT:

(1). That a pharmacist may provide up to three-month supply of a prescription

drug that is not a controlled substance or psychotherapeutic drug when a
practitioner has written a drug order to be filled with a smaller supply but
included sufficient numbers of refills for a three-month supply; and

(2). that a pharmacist who receives a prescription order for a brand name drug
product may exercise brand exchange with a view toward achieving a lesser cost to
the purchaser unless:

(A) The prescriber, in the case of a prescription signed by the prescriber and
written on a blank form containing two signature lines, signs the signature line
following the statement ''dispense as written,''

(B). the prescriber, in the case of a prescription signed by the prescriber, writes in
the prescriber's own handwriting ''dispense as written'' on the prescription,

(C). the prescriber, in the case of a prescription other than one in writing signed by
the prescriber, expressly indicates the prescription is to be dispensed as
communicated, or

(D). the federal food and drug administration has determined that a drug product
of the same generic name is not bioequivalent to the prescribed brand name
prescription medication.

Every pharmacist who changes residential address shall within 14 days thereof
notify the secretary of such change on a form prescribed and furnished by the
board.

a. True

b. False - ANSWER Every pharmacist who changes residential address or email

address shall within 30 days thereof notify the secretary of such change on a form
prescribed and furnished by the board, and upon receipt of the notice the
secretary shall make the proper alterations in the record kept for that purpose.

The prescriber may authorize an agent to transmit to the pharmacy a prescription

order orally, by facsimile transmission or by electronic transmission provided that
the first and last names of the transmitting agent are included in the order.

a. True

b. False - ANSWER Answer: (a) True, [Kansas Pharmacy Practice Act Article 16
Chapter 65 Sec. 65-1637(b)].

The prescriber may authorize an agent to transmit to the pharmacy a prescription

order orally, by facsimile transmission or by electronic transmission provided that
the first and last names of the transmitting agent are included in the order.

Prescription orders shall be recorded in writing by the pharmacist and the record
so made by the pharmacist shall constitute the original prescription to be
dispensed by the pharmacist. This record, if telephoned by other than the
prescriber, shall bear the full name of the person so telephoning.

According to Kansas State Pharmacy Law, the prescription record should be kept
on file for:

a. Two years from the date of dispensing.

b. Five years from the date of dispensing.

c. Three years from the date of dispensing.

d. A year from the date of dispensing. - ANSWER Answer: (b) According to Kansas
State Pharmacy Law, the prescription record should be kept on file for five years
from the date of dispensing, [Kansas Pharmacy Practice Act Article 16 Chapter 65
Sec. 65-1642(b)].

Which of the following is/are TRUE about sale of methamphetamine precursors

under Kansas Pharmacy Law?

I. Each pharmacy shall maintain an electronic methamphetamine precursor

recording log documenting the sale of methamphetamine precursors.

II. The sale can be completed by a licensed pharmacist, a registered pharmacy

technician or a pharmacy intern or a clerk.

III. The requirements of this section shall also apply to all prescriptions
containing methamphetamine precursor.

a. I only

b. I and II only

c. II and III only

d. All - ANSWER Answer: (b) I and II are true, [K.S.A. Article 16 Chapter 65 Sec.
65-16, 102].

(a). The board shall establish and maintain a program for a statewide electronic
logging system for sale of methamphetamine precursors.

(b). Each pharmacy shall maintain an electronic methamphetamine precursor

recording log documenting the sale of methamphetamine precursors.
The board shall promulgate rules and regulations specifying a standardized
format for the log and the information that each pharmacy shall submit to the
board, which shall include, but not be limited to:

(1). The name and address of the person purchasing, receiving or otherwise
acquiring the methamphetamine precursor;

(2). the name of the product and quantity purchased;

(3). the date and time of the purchase; and

(4). the name, or initials, of the licensed pharmacist, registered pharmacy

technician or pharmacy intern or clerk supervised by a licensed pharmacist who
sold the product.

(c). Notwithstanding the requirements of this section, each pharmacy shall

maintain the purchaser's signature in accordance with subsection (k) of K.S.A.
65-1643, and amendments thereto.

(d). Each pharmacy that is capable shall submit the information from the log in
real time in accordance with transmission methods specified in rules and
regulations promulgated by the board.

(e). The requirements of this section shall NOT apply where there is a lawful
prescription present for the methamphetamine precursor sold.

Which of the following statement(s) is/are TRUE about administering vaccines to

patients according to Kansas State Pharmacy Law?

I. A pharmacist or a pharmacy student or intern who is working under the direct

supervision and control of a pharmacist may administer vaccines to a person 18
years of age or older pursuant to a vaccination protocol.

II. A pharmacist or a pharmacy student or intern has taken a course in

cardiopulmonary resuscitation (CPR) and has a current CPR certificate when
administering vaccines.

III. A pharmacist or a pharmacy student or intern has successfully completed a

course of study and training, approved by the Accreditation Council for Pharmacy
or the Board, in vaccination storage, protocols, injection technique, emergency
procedures and recordkeeping.

a. I only

b. I and II only

c. II and III only

d. All - ANSWER Answer: (c) II and III are true, [Kansas Pharmacy Practice Act
Article 16 Chapter 65 Sec. 65-1635a,(a)].

A pharmacist or a pharmacy student or intern who is working under the direct

supervision and control of a pharmacist may administer influenza vaccine to a
person six years of age or older and may administer vaccine, other than influenza
vaccine, to a person 12 years of age (not 18 years of age or older) or older pursuant
to a vaccination protocol if the pharmacist, pharmacy student or intern has:

1. successfully completed a course of study and training, approved by the

Accreditation Council for Pharmacy or the Board, in vaccination storage,
protocols, injection technique, emergency procedures and recordkeeping and

2. has taken a course in cardiopulmonary resuscitation (CPR) and has a current

CPR certificate when administering vaccines.

A pharmacist or pharmacy student or intern who successfully completes such a

course of study and training shall maintain proof of completion and, upon
request, provide a copy of such proof to the Board.

All vaccinees will be given a written immunization record for their personal files.
The administering pharmacist or pharmacist supervising an administering
pharmacy student or intern shall promptly report a record of the immunization to
the vaccine's primary care provider by mail, electronic facsimile, e-mail or other
electronic means.

If the vaccinee does not have a primary care provider, then the administering
pharmacist or pharmacist supervising an administering pharmacy student or
intern shall promptly report a record of the immunization to the person licensed
to practice medicine and surgery by the state board of healing arts who has
entered into the vaccination protocol with the pharmacist.

The immunization will also be reported to appropriate county or state

immunization registries, except that if the person vaccinated or, if the person is a
minor, the parent or guardian of the minor, objects to the report, the report shall
not be made.

Please note the intern's supervising pharmacist must also be certified to

administer immunizations in order to properly supervise the intern.

In an emergency condition a pharmacist may dispense a drug without the

prescriber's authorization in an amount judged by the pharmacist to be sufficient
to maintain the patient until the prescriber can be contacted, but in no event shall
a refill be more than a:

a. 7-day supply of the drug.

b. 72-hour supply of the drug.

c. 24-hour supply of the drug.

d. 10-day supply of the drug. - ANSWER Answer: (a) 7-day supply of the drug,
[Kansas Pharmacy Practice Act Article 16 Chapter 65 Sec. 65-1637(c)(2)].

1. A pharmacist may refill any prescription drug except a drug listed on Schedule II
of the Uniform Controlled Substances Act or a narcotic drug listed on any schedule
of the Uniform Controlled Substances Act without the prescriber's authorization
when all reasonable efforts to contact the prescriber have failed and when, in the
pharmacist's professional judgment, continuation of the medication is necessary
for the patient's health, safety and welfare.

2. Such prescription refill shall only be in an amount judged by the pharmacist to

be sufficient to maintain the patient until the prescriber can be contacted, but in
no event shall a refill be more than a seven-day supply or one package of the drug.

3. However, if the prescriber states on a prescription that there shall be no

emergency refilling of that prescription, then the pharmacist shall not dispense
any emergency medication pursuant to that prescription.

4. A pharmacist who refills a prescription order shall contact the prescriber of the
prescription order on the next business day subsequent to the refill or as soon
thereafter as possible.

In Kansas, inventory records must be maintained for a period of at least:

a. 1 year

b. 2 years

c. 3 years

d. 5 years - ANSWER Answer: (d) 5 years, [Kansas Controlled Substance Act

Article 20 Sec. 68-20-16(a)].

(a). Each registrant shall keep records and maintain inventories in conformance
with the recordkeeping and inventory requirements of 21 CFR. The registrant shall
keep the records on file for a period of at least five years.
(b). After the initial inventory is taken, the registrant shall take a subsequent
inventory of all controlled substances on hand at least every year. The annual
inventory shall be taken at least eight months after the previous inventory.

(c). Each required inventory of schedule II controlled substances and all products
containing hydrocodone shall be taken by exact count.

(d). All registrants handling Schedule V preparations shall be subjected to the

same inventory and recordkeeping requirements specified in subsections (a) and
(b). In addition, an inventory of Schedule V items shall be taken in conjunction
with the required inventory requirements relating to Schedules II, III, and IV.

Which of the following information is/are TRUE under the Kansas State Pharmacy
Law?

I. A new written or electronically prepared and transmitted prescription order

shall be manually or electronically signed by the prescriber.

II. If the prescription is for a controlled substance and is written or printed from
an electronic prescription application, the prescription shall be manually signed
by the prescriber prior to delivery of the prescription to the patient.

III. An electronically prepared prescription shall not be electronically transmitted

to the pharmacy if the prescription has been printed prior to electronic
transmission.

a. I only

b. I and II only

c. II and III only

d. All - ANSWER Answer: (d) All, [Kansas Pharmacy Practice Act Article 16
Chapter 65 Sec. 65-1637(c)].

(c). (1). A new written or electronically prepared and transmitted prescription

order shall be manually or electronically signed by the prescriber. If transmitted
by the prescriber's agent, the first and last names of the transmitting agent shall
be included in the order.

(2). If the prescription is for a controlled substance and is written or printed from
an electronic prescription application, the prescription shall be manually signed
by the prescriber prior to delivery of the prescription to the patient or prior to
facsimile transmission of the prescription to the pharmacy.

(3) An electronically prepared prescription shall not be electronically transmitted

to the pharmacy if the prescription has been printed prior to electronic
transmission. An electronically prepared and transmitted prescription which is
printed following electronic transmission shall be clearly labeled as a copy, not
valid for dispensing.

An authorization to refill a prescription order or to renew or continue an existing

drug therapy may be transmitted to a pharmacist through oral communication, in
writing, by facsimile transmission or by electronic transmission initiated by or
directed by the prescriber. If the transmission is completed by the prescriber's
agent, and the first and last names of the transmitting agent are included in the
order, the prescriber's signature is NOT required on the fax or alternate electronic
transmission.

a. True

b. False - ANSWER Answer: (a) True, [Kansas Pharmacy Practice Act Article 16
Chapter 65 Sec. 65-1637(d)].
(d). An authorization to refill a prescription order or to renew or continue an
existing drug therapy may be transmitted to a pharmacist through oral
communication, in writing, by facsimile transmission or by electronic
transmission initiated by or directed by the prescriber.

(1). If the transmission is completed by the prescriber's agent, and the first and last
names of the transmitting agent are included in the order, the prescriber's
signature is not required on the fax or alternate electronic transmission.

(2). If the refill order or renewal order differs in any manner from the original
order, such as a change of the drug strength, dosage form or directions for use, the
prescriber shall sign the order.

According to Kansas State Pharmacy Law, a medication profile record shall be

maintained for a period of not less than five years from the date of the last entry in
the record.

a. True

b. False - ANSWER Answer: (a) True, [Kansas Pharmacy Practice Act Article 16
Chapter 65 Sec. 65-1642(c)(3)].

According to Kansas State Pharmacy Law, a medication profile record shall be

maintained for a period of not less than five years from the date of the last entry in
the record.

A medication profile record system shall be maintained in all pharmacies for

persons for whom prescriptions are dispensed. The following information shall be
recorded:

(A). The name and address of the patient for whom the medication is intended;
(B). the prescriber's name, the original date the prescription is dispensed and the
number or designation identifying the prescription;

(C). the name, strength and quantity of the drug dispensed and the name of the
dispensing pharmacist; and

(D). drug allergies and sensitivities.

Upon receipt of a prescription order, the pharmacist shall examine the patient's
medication profile record before dispensing the medication to determine the
possibility of a harmful drug interaction or reaction to medication. Upon
recognizing a potential harmful drug interaction or reaction to the medication,
the pharmacist shall take appropriate action to avoid or minimize the problem
that shall, if necessary, include consultation with the prescriber with
documentation of actions taken on the prescription record.

According to Kansas State Pharmacy Law, the emergency medication kit for an
adult home care may include controlled substances.

a. True

b. False - ANSWER Answer: (a) True, [Kansas Pharmacy Practice Act Article 16
Chapter 65 Sec. 65-1648(c)(2)].

Every adult care home which maintains an emergency medication kit shall comply
with the following requirements:

(1). Drugs in an emergency medication kit shall be maintained under the control
of the pharmacist in charge of the pharmacy from which the kit came until
administered to the patient upon the proper order of a practitioner.
(2). Drugs contained within the emergency medication kit may include controlled
substances, but in such case a pharmaceutical services committee shall be
responsible for specifically limiting the type and quantity of controlled substance
to be placed in each emergency kit.

(3). Administration of controlled substances contained within the emergency

medication kit shall be in compliance with the provisions of the uniform
controlled substances act.

(4). The consultant pharmacist of the adult care home shall be responsible for
developing procedures, proper control and accountability for the emergency
medication kit and shall maintain complete and accurate records of the controlled
substances, if any, placed in the emergency kit. Periodic physical inventory of the
kit shall be required.

In Kansas, pharmacy permits expire on ________ each year.

a. November 30

b. January 31

c. June 30

d. December 31 - ANSWER Answer: (c) June 30 of each year, [Kansas Pharmacy

Practice Act Article 16 Chapter 65 Sec. 65-1645(e) and FAQ Section on Kansas
Pharmacy Board website].

All registrations and permits except retail dealer permits shall expire on June 30
following the date of issuance. Retail dealers' permits shall expire on the last day
of February. All registrations and permits shall be renewed annually.

Application blanks for renewal of registrations and permits shall be mailed by the
board to each registrant or permittee at least 30 days prior to expiration of the
registration or permit.

If application for renewal is not made before 30 days after such expiration, the
existing registration or permit shall lapse and become null and void on the date of
its expiration, and no new registration or permit shall be granted except upon
payment of the required renewal fee plus a penalty equal to the renewal fee.

Failure of any registrant or permittee to receive such application blank shall not
relieve the registrant or permittee from the penalty hereby imposed if the renewal
is not made as prescribed.

Regardless of the means of transmission to a pharmacy, only a pharmacist, a

registered pharmacy technician or a pharmacist intern shall be authorized to
receive a new prescription order from a prescriber or transmitting agent.

a. True

b. False - ANSWER Answer: (b) False, [Kansas Pharmacy Practice Act Article 16
Chapter 65 Sec. 65-1637(e)].

Regardless of the means of transmission to a pharmacy, only a pharmacist or a

pharmacist intern shall be authorized to receive a NEW prescription order from a
prescriber or transmitting agent.

A pharmacist, a pharmacist intern or a registered pharmacy technician may

receive a REFILL or RENEWAL order from a prescriber or transmitting agent if
such registered pharmacy technician's supervising pharmacist has authorized that
function.

In Kansas, a pharmacist should not dispense any non-controlled drug or device if

the prescription is presented:

a. More than 180 days after the date of issuance.

b. More than 90 days after the date of issuance.

c. More than 365 days after the date of issuance.

d. More than 30 days after the date of issuance. - ANSWER Answer: (c) In Kansas,
a pharmacist should not dispense any non-controlled drug or device if the
prescription is presented more than 365 days after the date of issuance, [Kansas
Pharmacy Practice Act Article 16 Chapter 65 Sec. 65-1637(i) and Kansas Pharmacy
Practice Act 68-2-20 (b)(2)].

In any medical care facility pharmacy setting, a designated registered nurse or

nurses or a licensed physician assistant approved by the pharmacist in charge and
under the supervision of the pharmacist in charge shall be in charge of the
distribution and control of drugs of a medical care facility pharmacy when a
pharmacist is not on the premises.

a. True

b. False - ANSWER Answer: (a) True, [Kansas Pharmacy Practice Act Article 16
Chapter 65 Sec. 65-1648(a)].

Any medical care facility pharmacy registered by the board may keep drugs in such
facility and may supply drugs to its inpatients and outpatients. Distribution and
control of prescription medications in a medical care facility pharmacy shall be
under the supervision of a pharmacist in charge.

A designated registered nurse or nurses or a licensed physician assistant approved

by the pharmacist in charge and under the supervision of the pharmacist in charge
shall be in charge of the distribution and control of drugs of a medical care facility
pharmacy when a pharmacist is not on the premises.
Drugs supplied to outpatients when a pharmacist is not on the premises shall be
limited to the quantity necessary until a prescription can be filled.

According to Kansas State Pharmacy Law, a pharmacist may fill a valid out-of-state
prescription (excluding C-II).

a. True

b. False - ANSWER According to Kansas State Pharmacy Law, a pharmacist may

fill a valid out-of-state prescription (excluding C-II).

a. True

b. False

Answer: (a) True, [Kansas Pharmacy Practice Act Article 16 Chapter 65 Sec.
65-1656(a) and 65-1656(a),(4)].

1. Nothing contained in the pharmacy act of the state of Kansas shall prohibit a
pharmacist licensed in this state from FILLING or REFILLING a valid prescription
for prescription drugs not listed in schedule II of the uniform controlled
substances act, which is on file in a pharmacy licensed in any state and has been
transferred from one pharmacy to another by any means, including by way of
electronic data processing equipment.

2. When filling or refilling a valid prescription on file in another state, the

dispensing pharmacist shall be required to follow all the requirements of Kansas
law that apply to the dispensing of prescription drugs. If anything in Kansas law
prevents the filling or refilling of the original prescription it shall be unlawful to
dispense pursuant to this section.
3. (1). Prior to dispensing pursuant to any such prescription, the dispensing
pharmacist shall:

(A). Advise the patient that the prescription file at such other pharmacy must be
canceled before the dispensing pharmacist will be able to fill the prescription;

(B). determine that the prescription is valid and on file at such other pharmacy
and that such prescription may be filled or refilled, as requested, in accordance
with the prescriber's intent expressed on such prescription;

(C). notify the pharmacy where the prescription is on file that the prescription
must be canceled;

(D). record the prescription order, the name of the pharmacy at which the
prescription was on file, the prescription number, the name of the drug and the
original amount dispensed, the date of original dispensing and the number of
remaining authorized refills; and

(E). obtain the consent of the prescriber to the refilling of the prescription when
the prescription, in the professional judgment of the dispensing pharmacist, so
requires.

Any interference with the professional judgment of the dispensing pharmacist by

any other licensed pharmacist, agents of the licensed pharmacist or employees
shall be grounds for revocation or suspension of the registration issued to the
pharmacy.

Which of the following information is/are TRUE about "Utilization of Unused

Medications Act" under the Kansas State Pharmacy Law?
I. The board of pharmacy shall establish and implement a program consistent with
public health and safety through which unused drugs may be transferred from
donating entities that elect to participate in the program for the purpose of
distributing the unused medications to Kansas residents who are medically
indigent.

II. Only medications in their original or pharmacist sealed unit dose packaging or
in tamper evident packaging, unit of use or sealed, unused injectables, including
samples of medications or injectables, shall be accepted and dispensed.

III. Except schedule II controlled substances, all other controlled substances may
be accepted.

a. I only

b. I and II only

c. II and III only

d. All - ANSWER Answer: (b) I and II are true, [Kansas Pharmacy Practice Act
Article 16 Chapter 65 Sec. 65-1671].

The board of pharmacy shall establish and implement a program consistent with
public health and safety through which unused drugs may be transferred from
donating entities that elect to participate in the program for the purpose of
distributing the unused medications to Kansas residents who are medically
indigent.

The following criteria shall be used in accepting unused medications for use under
the utilization of unused medications act:

(a). The medications shall have come from a controlled storage unit of a donating
entity;
(b). only medications in their original or pharmacist sealed unit dose packaging or
in tamper evident packaging, unit of use or sealed, unused injectables, including
samples of medications or injectables, shall be accepted and dispensed pursuant
to the utilization of unused medications act;

(c). expired medications shall not be accepted;

(d). a medication shall not be accepted or dispensed if the person accepting or

dispensing the medication has reason to believe that the medication is
adulterated;

(e). NO CONTROLLED substances shall be accepted, unless the state board of

pharmacy designates certain controlled substances as accepted medications in the
adoption of rules and regulations pursuant to K.S.A. 65-1674.

Which of the following is/are TRUE about refilling a prescription drug or device
when the pharmacist fails to obtain authorization from the prescriber?

I. A pharmacist can fill the prescription drug or device if he thinks that the drug or
device is required for continuation of therapy for chronic conditions.

II. A pharmacist can fill the prescription drug or device if he thinks that the
interruption of the therapy may produce serious health consequences.

III. A pharmacist can fill the prescription drug if the refill of the prescription is not
for a controlled substance.

a. I only
b. I and II only

c. II and III only

d. All - ANSWER Answer: (d) All, [Kansas Pharmacy Practice Act Article 16
Chapter 65 Sec. 65-1637(k)(2)].

The pharmacist may fill the prescription drug or device when he fails to obtain
authorization from the prescriber if he thinks that:

I. The drug or device is essential for continuation of therapy for chronic

conditions.

II. The interruption of the therapy may produce serious health consequences.

III. The refill of the prescription is not for a controlled substance.

IV. Such prescription refill shall only be in an amount judged by the pharmacist to
be sufficient to maintain the patient until the prescriber can be contacted, but in
no event shall a refill under this paragraph be more than a seven day supply or one
package of the drug.

In the case of unauthorized refills, the dispensed quantity of the refilled drug
should be limited to a:

a. One-day supply

b. Seven-day supply

c. Three-day supply

d. Thirty-day supply - ANSWER Answer: (b) In case of unauthorized refills, the

dispensed quantity of refilled drug should be limited to a seven-day supply,
[Kansas Pharmacy Practice Act Article 16 Chapter 65 Sec. 65-1637(k)(2)].

A pharmacist who refills a prescription order shall contact the prescriber of the
prescription order on the next business day subsequent to the refill or as soon
thereafter as possible

What are requirements to become a licensed pharmacist in Kansas?

I. An applicant for licensure as a pharmacist shall be at least 18 years of age.

II. An applicant shall be a graduate of a school or college of pharmacy or

department of a university recognized and approved by the Board.

III. An applicant shall file proof satisfactory to the board of a minimum of one year
of pharmaceutical experience.

a. I only

b. I and II only

c. II and III only

d. All - ANSWER Answer: (d) All, [Kansas Pharmacy Practice Act Article 16
Chapter 65 Sec. 65-1631].

(a). It shall be unlawful for any person to practice as a pharmacist in this state
unless such person is licensed by the board as a pharmacist.

Every applicant for licensure as a pharmacist shall be at least 18 years of age, shall
be a graduate of a school or college of pharmacy or department of a university
recognized and approved by the board, shall file proof satisfactory to the board,
substantiated by proper affidavits, of a minimum of one year of pharmaceutical
experience, acceptable to the board, under the supervision of a preceptor and
shall pass an examination approved by the board.
Pharmaceutical experience as required in this section shall be under the
supervision of a preceptor and shall be predominantly related to the dispensing of
prescription medication, compounding prescriptions, preparing pharmaceutical
preparations and keeping records and making reports required under state and
federal statutes.

A school or college of pharmacy or department of a university recognized and

approved by the board under this section shall have a standard of education not
below that of the university of Kansas school of pharmacy.

The board shall adopt rules and regulations establishing the criteria which a
school or college of pharmacy or department of a university shall satisfy in
meeting the standard of education established under this subsection.

Which of the following is/are classified as Schedule IV controlled drug(s)?

I. Tramadol

II. Zaleplon

III. Carisoprodol

a. I only

b. I and II only

c. II and III only

d. All - ANSWER Answer: (d) All, [Kansas Pharmacy Practice Act Article 16
Chapter 65 Sec. 65-4111].

Tramadol (Ultram)
Carisoprodol (Soma)

Alprazolam (Xanax)

Barbital (Barbitone)

Butorphanol (Stadol, Stadol NS, Torbugesic, Torbutrol)

Chloral hydrate (Noctec)

Chlordiazepoxide (Librium, Libritabs, Limbitrol, SK-Lygen)

Clonazepam (Klonopin, Clonopin)

Clorazepate (Tranxene)

Dexfenfluramine (Redux)

Diazepam (Valium, Valrelease)

Dichloralphenazone (Midrin)

Difenoxin 1 mg/ Atropine 25 mcg (Motofen)

Estazolam (ProSom, Domnamid, Eurodin, Nuctalon)

Ethchlorvynol (Placidyl)

Fenfluramine (Pondimin, Ponderal)

Flurazepam (Dalmane)

Fospropofol (Lusedra)

Lorazepam (Ativan)

Mazindol (Sanorex, Mazanor)

Meprobamate (Miltown, Equanil, Deprol, Equagesic, Meprospan)

Midazolam (Versed)

Modafinil (Provigil)

Oxazepam (Serax, Serenid-D)

Pemoline (Cylert)

Pentazocine (Talwin, Talwin NX, Talacen, Talwin Compound)

Phenobarbital (Luminal, Donnatal, Bellergal-S)

Phentermine (Ionamin, Fastin, Adipex-P, Obe-Nix, Zantryl)

Prazepam (Centrax)

Propofol (Diprivan)

Propoxyphene dosage forms with other ingredients

Quazepam (Doral, Dormalin)

Sibutramine (Meridia)

Temazepam (Restoril)

Triazolam (Halcion)

Zaleplon (Sonata)

Zolpidem (Ambien)

Zopiclone (Imovane)
Eszopiclone (Lunesta)

Within how many days following the dispensing of a biological product shall the
dispensing pharmacist make an entry of the specific product into an
inter-operable electronic medical records system?

a. 30 days

b. 7 days

c. 1 day

d. 5 days - ANSWER Answer: (d) 5 days, [Kansas Pharmacy Practice Act Article 16
Chapter 65 Sec. 65-1637(o)].

Within five business days following the dispensing of a biological product, the
dispensing pharmacist or the pharmacist's designee shall make an entry of the
specific product provided to the patient, including the name of the product and
the manufacturer.

Which of the following is/are classified as Schedule II controlled drug(s)?

I. Heroin

II. Morphine

III. Pentobarbital

a. I only

b. I and II only

c. II and III only

d. All - ANSWER Answer: (c) Morphine sulfate and Pentobarbital are classified as
Schedule II controlled drugs, [Kansas Pharmacy Practice Act Article 16 Chapter 65
Sec. 65-4107]. Heroin is classified as a Schedule I controlled drug, [Kansas
Pharmacy Practice Act Article 16 Chapter 65 Sec. 65-4105].

List of Schedule II controlled drugs:

_____________________________

Alfentanil (Alfenta)

Amobarbital (Amytal, Tuinal)

Amphetamine (Dexedrine, Biphetamine)

Lisdexamfetamine (Vyvanse)

Coca Leaves

Cocaine

Codeine

Dextropropoxyphene, bulk (non-dosage forms)

Dihydrocodeine (Didrate, Parzone)

Diphenoxylate

Diprenorphine

Ecgonine (Cocaine precursor, in Coca leaves)

Ethylmorphine (Dionin)

Fentanyl (Innovar, Sublimaze, Duragesic)

Glutethimide (Doriden, Dorimide)

Hydrocodone (dihydrocodeinone)

Hydrocodone and isoquinoline alkaloid

Hydrocodone combination product (Tussionex, Tussend, Lortab, Vicodin,

Hycodan, Anexsia)

Hydromorphone (Dilaudid, dihydromorphinone)

Levo-alphacetylmethadol (LAAM, long acting methadone, levomethadyl acetate)

Meperidine (Demerol, Mepergan, pethidine)

Methadone (Dolophine, Methadose, Amidone)

Methamphetamine (Desoxyn, D-desoxyephedrine, ICE, Crank, Speed)

Methylphenidate (Ritalin)

Morphine (MS Contin, Roxanol, Duramorph, RMS, MSIR)

Opium poppy

Opium tincture

Opium, granulated

Opium, powdered

Opium, raw

Oxycodone (OxyContin, Percocet, Tylox, Roxicodone, Roxicet)

Oxymorphone (Numorphan)

Pentobarbital (Nembutal)

Poppy Straw Concentrate

Remifentanil (Ultiva)

Secobarbital (Seconal, Tuinal)

Sufentanil (Sufenta)

Tapentadol (Nucynta)

Each prescription drug order communicated by the way of electronic transmission

shall meet which of the following requirement(s)?

I. Be transmitted to a pharmacist in a licensed pharmacy of the patient's choice.

II. Identify the transmitter's phone number for verbal confirmation, the time and
date of transmission, and the identity of the pharmacy intended to receive the
transmission.

III. Be transmitted by an authorized prescriber or the prescriber's designated

agent.

a. I only

b. I and II only

c. II and III only

d. All - ANSWER Answer: (d) All, [Kansas Pharmacy Act Article 2 Sec. 68-2-22].
(a). Each prescription drug order transmitted electronically shall be issued for a
legitimate medical purpose by a prescriber acting within the course of legitimate
professional practice.

(b). Each prescription drug order communicated by way of electronic transmission

shall meet these requirements:

(1). Be transmitted to a pharmacist in a licensed pharmacy of the patient's choice,

exactly as transmitted by the prescriber;

(2). identify the transmitter's phone number for verbal confirmation, the time and
date of transmission, and the identity of the pharmacy intended to receive the
transmission, as well as any other information required by federal and state laws
and regulations;

(3). be transmitted by an authorized prescriber or the prescriber's designated

agent; and

(4). be deemed the original prescription drug order, if the order meets the
requirements of this regulation.

(c). Any prescriber may authorize an agent to communicate a prescription drug

order orally or electronically to a pharmacist in a licensed pharmacy, if the
identity of the transmitting agent is included in the order.

(d). If communicated by electronic transmission, the prescription drug order shall

be maintained in hard copy or as an electronic document for the time required by
existing federal or state laws and regulations, whichever is longer.

(e). Any prescription drug order, including that for any controlled substance listed
in Schedules III, IV, and V and, in certain situations, that for any controlled
substance listed in Schedule II, may be communicated by way of electronic
transmission, if all requirements of K.A.R. 68-20-10a are met.

(f). After the pharmacist views the prescription drug order, this order shall be
immediately reduced to a hard copy or an electronic document and shall contain
all information required by federal and state laws and regulations.