Under Utah's Controlled Substance Database Act, which of the following best
describes a pharmacist's mandatory query obligation when dispensing a
Schedule II opioid to a new patient?
A. Query required only if the patient appears opioid-naïve or requests a
refill.
B. Query required prior to dispensing any opioid or benzodiazepine, with
limited exceptions.
C. Query required only for cash-paying patients or those traveling from
out of state.
D. Query required only if the prescriber is located outside Utah.
Correct Answer: B - Query required prior to dispensing any
opioid or benzodiazepine, with limited exceptions.
RATIONALE
Utah law mandates PDMP review before dispensing opioids or
benzodiazepines, with few exceptions (e.g., hospice, inpatient).
Options A, C, and D are narrower than the statutory requirement and
misstate triggers.
Question 2
A Utah pharmacy technician prepares a compounded sterile preparation. Which
individual must perform the final verification of the compounded sterile
product before dispensing?
A. The supervising pharmacist, who must be physically present in the
pharmacy.
B. A certified pharmacy technician with advanced sterile compounding
training.
C. Any pharmacist licensed in Utah, even if not on-site, via telepharmacy.
D. The prescriber must verify the final preparation.
Correct Answer: A - The supervising pharmacist, who must be
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,physically present in the pharmacy.
RATIONALE
Utah rules require a pharmacist to perform final verification of sterile
compounds, and the pharmacist must be physically present in the
pharmacy for sterile compounding. Technicians and remote
pharmacists cannot perform this function.
Question 3
Which of the following scenarios would constitute unprofessional conduct
under Utah pharmacy law?
A. Dispensing a prescription without obtaining patient consent for generic
substitution.
B. Failing to counsel a patient on a new prescription when the patient
refuses counseling.
C. Dispensing a controlled substance based on a prescriber's oral order for
a Schedule II drug in an emergency.
D. Refusing to fill a prescription due to a conscientious objection and
without referral.
Correct Answer: D - Refusing to fill a prescription due to a
conscientious objection and without referral.
RATIONALE
Utah law requires pharmacists with conscientious objections to refer
patients to another pharmacy; failure to refer is unprofessional
conduct. Generic substitution consent is not required if the prescriber
writes 'dispense as written.' Emergency oral Schedule II orders are
permitted with follow-up written prescription.
Question 4
A Utah pharmacy seeks to operate a telepharmacy in a rural area. Which of the
following is a requirement for licensure of a telepharmacy?
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, A. The telepharmacy must have a pharmacist on-site at all times.
B. The telepharmacy must be under the continuous supervision of a
pharmacist at a parent pharmacy.
C. The telepharmacy may only dispense non-controlled substances.
D. The telepharmacy must be located at least 50 miles from the nearest
pharmacy.
Correct Answer: B - The telepharmacy must be under the
continuous supervision of a pharmacist at a parent pharmacy.
RATIONALE
Utah telepharmacy rules require supervision by a pharmacist at a
parent pharmacy, with remote verification and counseling. On-site
pharmacist is not required; controlled substances may be dispensed
with safeguards; distance is not the sole criterion.
Question 5
Under Utah law, which of the following is true regarding the prescribing of
controlled substances by a physician assistant (PA)?
A. PAs may prescribe Schedule II controlled substances without any
restrictions.
B. PAs may prescribe Schedule II-V controlled substances only under a
delegation agreement with a physician.
C. PAs may not prescribe any controlled substances.
D. PAs may prescribe Schedule III-V but not Schedule II.
Correct Answer: B - PAs may prescribe Schedule II-V controlled
substances only under a delegation agreement with a physician.
RATIONALE
Utah allows PAs to prescribe controlled substances under a delegation
agreement, including Schedule II with limitations. Options A, C, and
D misstate the scope or conditions.
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