PTCB IMMUNIZATION CERTIFICATE
COMPREHENSIVE EXAM 2026 QUESTIONS
WITH SOLUTIONS GRADED A+
◉ CI Drug. Answer: no medical purpose, high potential for abuse
Example: heroin
◉ CII Drug. Answer: accepted medical uses (restrictions), high abuse
potential that can lead to dependence
Example: oxycodone or methylphenidate
◉ CIII Drug. Answer: Accepted medical use, Abuse potential exists, but
lower than CI or CII, dependence is possible
Example: hydrocodone or codeine
◉ CIV Drug. Answer: abuse potential exists but lower than CIII
substances, accepted medical use, not much dependence is possible,
Example: Diazepam or zolpidem
◉ CV Drug. Answer: low abuse potential, accepted medical use, limited
dependence
,Examples: Pregabalin and small amounts of codeine when used in cough
suppresants
◉ DEA Numbers need:. Answer: two letters followed by 6 numbers and
a "check" digit
1st letter identifies practioner (b-hospital or clinic, c- practitioner, e-
manufacturer)
1st+3rd+5th= sum A
(2nd+4th+6th)*2= sum B
last digit should be the same as the check digit
◉ A valid and legal prescription for controlled substances requires all of
the following:. Answer: Patients full name/ address
Date written
Prescribers name, address, & DEA number
Drug name, dosage form, and strength
Prescribed quantity
directions for use
Refills authorized
,Handwritten or e-signature of prescriber
◉ What do you do if the a prescription does not meet the requirements?
Answer: Pharmacists contact prescriber, may give approval over phone
unless it is a controlled substance then a signature is needed.
◉ CII may be faxed or ordered verbally when:. Answer: A resident is in
a long-term care facility
A resident is in community based care
Enrolled as a patient in hospice program
The recipient of a compounded home infusion or IV pain therapy
◉ True or false: A fax for a CII drug must contain a signature of the
provider? Answer: True
◉ True or False: Verbal orders for CII prescriptions are only accepted in
emergency situations. Answer: True, but a written prescription must be
written within 7 days of the emergency
◉ True or false: CII are not eligible for refills. Answer: True, CIII to CV
drugs are allowed up to 5 refills, but expire 6 wks.
◉ PRN. Answer: Unlimited
, ◉ Forged precriptions contain:. Answer: Contradicting info
Prescribed from a doctor who would not normally prescribe
Errors made with abbreviations
errors with dosing
erasing of material
two types of ink
refills of CII drugs
quantity numbers (30 to 80 ** very easy to change)
◉ Common prescription errors:. Answer: forgetting patients name or
wrong name
date errors (wrong date, no date)
Mispelled medications
Directions that dont match medication
refills of CII drugs
Forgetting to sign prescription
sloppy handwritting
forgetting quantity number
writing a dose that doesnt exist
Writing "take as directed" ** needs clarification/ more specific
information
COMPREHENSIVE EXAM 2026 QUESTIONS
WITH SOLUTIONS GRADED A+
◉ CI Drug. Answer: no medical purpose, high potential for abuse
Example: heroin
◉ CII Drug. Answer: accepted medical uses (restrictions), high abuse
potential that can lead to dependence
Example: oxycodone or methylphenidate
◉ CIII Drug. Answer: Accepted medical use, Abuse potential exists, but
lower than CI or CII, dependence is possible
Example: hydrocodone or codeine
◉ CIV Drug. Answer: abuse potential exists but lower than CIII
substances, accepted medical use, not much dependence is possible,
Example: Diazepam or zolpidem
◉ CV Drug. Answer: low abuse potential, accepted medical use, limited
dependence
,Examples: Pregabalin and small amounts of codeine when used in cough
suppresants
◉ DEA Numbers need:. Answer: two letters followed by 6 numbers and
a "check" digit
1st letter identifies practioner (b-hospital or clinic, c- practitioner, e-
manufacturer)
1st+3rd+5th= sum A
(2nd+4th+6th)*2= sum B
last digit should be the same as the check digit
◉ A valid and legal prescription for controlled substances requires all of
the following:. Answer: Patients full name/ address
Date written
Prescribers name, address, & DEA number
Drug name, dosage form, and strength
Prescribed quantity
directions for use
Refills authorized
,Handwritten or e-signature of prescriber
◉ What do you do if the a prescription does not meet the requirements?
Answer: Pharmacists contact prescriber, may give approval over phone
unless it is a controlled substance then a signature is needed.
◉ CII may be faxed or ordered verbally when:. Answer: A resident is in
a long-term care facility
A resident is in community based care
Enrolled as a patient in hospice program
The recipient of a compounded home infusion or IV pain therapy
◉ True or false: A fax for a CII drug must contain a signature of the
provider? Answer: True
◉ True or False: Verbal orders for CII prescriptions are only accepted in
emergency situations. Answer: True, but a written prescription must be
written within 7 days of the emergency
◉ True or false: CII are not eligible for refills. Answer: True, CIII to CV
drugs are allowed up to 5 refills, but expire 6 wks.
◉ PRN. Answer: Unlimited
, ◉ Forged precriptions contain:. Answer: Contradicting info
Prescribed from a doctor who would not normally prescribe
Errors made with abbreviations
errors with dosing
erasing of material
two types of ink
refills of CII drugs
quantity numbers (30 to 80 ** very easy to change)
◉ Common prescription errors:. Answer: forgetting patients name or
wrong name
date errors (wrong date, no date)
Mispelled medications
Directions that dont match medication
refills of CII drugs
Forgetting to sign prescription
sloppy handwritting
forgetting quantity number
writing a dose that doesnt exist
Writing "take as directed" ** needs clarification/ more specific
information
