PRACTICE SETTINGS
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.
CORRECT
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.
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.
Q2 APPLY UTAH PHARMACY PRACTICE ACT AND ADMINISTRATIVE RULES TO DIVERSE
PRACTICE SETTINGS
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. CORRECT
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.
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.
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,Q3 APPLY UTAH PHARMACY PRACTICE ACT AND ADMINISTRATIVE RULES TO DIVERSE
PRACTICE SETTINGS
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
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.
Q4 APPLY UTAH PHARMACY PRACTICE ACT AND ADMINISTRATIVE RULES TO DIVERSE
PRACTICE SETTINGS
A Utah pharmacy seeks to operate a telepharmacy in a rural area. Which of the
following is a requirement for licensure of a telepharmacy?
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. CORRECT
C. The telepharmacy may only dispense non-controlled substances.
D. The telepharmacy must be located at least 50 miles from the nearest 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.
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, Q5 APPLY UTAH PHARMACY PRACTICE ACT AND ADMINISTRATIVE RULES TO DIVERSE
PRACTICE SETTINGS
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. CORRECT
C. PAs may not prescribe any controlled substances.
D. PAs may prescribe Schedule III-V but not Schedule II.
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.
Q6 APPLY UTAH PHARMACY PRACTICE ACT AND ADMINISTRATIVE RULES TO DIVERSE
PRACTICE SETTINGS
Which of the following best describes the Utah requirement for pharmacy intern
registration and supervision?
A. Interns must be enrolled in an ACPE-accredited program and supervised by a pharmacist at
all times. CORRECT
B. Interns may practice independently after completing 500 hours.
C. Interns may only perform clerical tasks and cannot counsel patients.
D. Interns must be supervised by a pharmacist with a Doctor of Pharmacy degree.
RATIONALE: Utah requires interns to be in an accredited program and supervised by a
pharmacist. They cannot practice independently, but may counsel under supervision. Supervision
is not limited to PharmD holders.
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