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1. A pharmacist is asked to dispense a prescription for a medication that is not
stocked by the pharmacy. Under California law, what is the pharmacist's
obligation?
A. The pharmacist must dispense an alternative medication without consulting the
prescriber.
B. The pharmacist must return the prescription to the patient and make a reasonable
effort to refer the patient to a pharmacy that stocks the medication.
C. The pharmacist must order the medication and have it available within 24 hours.
D. The pharmacist must refuse to assist the patient and send them to an emergency
room.
B
Rationale: Under California law, if a pharmacist does not stock a prescribed medication,
the pharmacist must return the prescription to the patient and make a reasonable effort to
refer the patient to a pharmacy that stocks the drug. This ensures continuity of care and
patient access.
2. A pharmacy technician prepares four IV piggyback doses of
sulfamethoxazole/trimethoprim for 24-hour dosing. Which of the following is the
MOST appropriate action by the supervising pharmacist?
,A. Allow the technician to administer the doses independently
B. Verify the technician's work and ensure proper compounding and labeling before
dispensing
C. Instruct the technician to discard the doses and start over
D. Administer the doses without verification since the technician is experienced
B
Rationale: The supervising pharmacist is responsible for verifying all compounded sterile
preparations and ensuring accuracy, sterility, and proper labeling before dispensing. While
technicians may prepare IV doses, the pharmacist must perform the final check.
3. A patient presents to a California pharmacy with a prescription for a Schedule II
controlled substance written on a non-compliant prescription form. What is the
pharmacist's legal obligation?
A. Dispense the prescription as written to avoid patient inconvenience
B. Refuse to dispense and contact the prescriber to obtain a compliant prescription
C. Dispense only a partial fill and refer the patient to another pharmacy
D. Report the prescriber to the DEA immediately
B
Rationale: California law requires Schedule II prescriptions to be written on a compliant
controlled substance prescription form meeting specific security requirements. A
pharmacist must refuse to dispense a non-compliant prescription and contact the
prescriber to obtain a compliant one.
4. A pharmacist is counseling a patient on a new prescription for levothyroxine.
Which of the following statements indicates the patient understands the
administration instructions?
A. "I will take this medication with my morning coffee."
B. "I will take this medication on an empty stomach, 30 to 60 minutes before breakfast."
C. "I will take this medication with my calcium supplement."
D. "I will take this medication at bedtime with a glass of milk."
,B
Rationale: Levothyroxine should be taken on an empty stomach, 30 to 60 minutes before
breakfast, to ensure optimal absorption. Taking it with coffee, calcium, or at bedtime with
milk can significantly reduce its absorption and efficacy.
5. A pharmacist receives a prescription for a compounded medication that is
essentially a copy of a commercially available drug product. Under California law,
what is the pharmacist's obligation?
A. Compound the medication as prescribed without question
B. Refuse to compound the medication unless the prescriber documents a clinical need
for the compounded version
C. Dispense the commercially available product instead without consulting the
prescriber
D. Report the prescriber to the Board of Pharmacy
B
Rationale: California law prohibits compounding a medication that is essentially a copy of
a commercially available drug product unless the prescriber documents a clinical need for
the compounded version (e.g., the patient is allergic to an excipient in the commercial
product).
6. A pharmacist in California is completing their first biennial license renewal cycle
after graduating from an ACPE-accredited school of pharmacy. How many hours
of continuing education (CE) must they submit to the Board of Pharmacy?
A. 30 hours, including 2 hours of law and ethics
B. 15 hours, focused entirely on clinical practice
C. 30 hours, with a minimum of 6 hours in compounding
D. 0 hours
D
, Rationale: Under California law, a pharmacist's first biennial renewal cycle directly
following graduation from pharmacy school is exempt from the standard continuing
education requirements. For all subsequent renewal cycles, the pharmacist must complete
30 hours of approved CE, which must include at least 2 hours of pharmacy law and ethics.
7. An investigator from the California Board of Pharmacy notes during an
inspection that an individual pharmacist is concurrently supervising three intern
pharmacists during a high-volume immunization clinic. What is the maximum
number of intern pharmacists a single pharmacist can legally supervise?
A. One
B. Two
C. Three
D. Four
B
Rationale: California Business and Professions Code establishes a strict supervisory ratio of
one pharmacist to a maximum of two intern pharmacists. This ratio ensures adequate
oversight, training, and public safety during clinical and dispensing activities.
8. A pharmacy technician changes their legal name and residential address
following marriage. Within how many days must this change be reported to the
California Board of Pharmacy?
A. 10 days
B. 14 days
C. 30 days
D. 60 days
C
Rationale: The California Board of Pharmacy requires all licensees (including pharmacists,
interns, technicians, and designated representatives) to report any change of name,
residence address, or place of employment within 30 days of the change.