TEXAS MD JURISPRUDENCE EXAM (ACTUAL
2024-2025) QUESTIONS AND ANSWERS.
How many lawsuits triggers a review of your license?
3 lawsuits in 5 years.
What are the laws and medications in schedule I?
Schedule I - No accepted medical use and high potential for
abuse - Examples: Heroin, LSD, ecstasy, marijuana - Yes,
despite medical marijuana being a thing in multiple states and
even recreational legalization sweeping the nation, marijuana
is still a schedule I substance at the federal level.
What are the laws and medications in schedule II?
High abuse potential with potential severe psychological
and/or physical dependence.
- Examples: Cocaine, most opiates (including morphine,
dilaudid, fentanyl, hydrocodone), most stimulants (including
Adderall, Ritalin, and amphetamines (including meth!)).
- Note: hydrocodone (Vicodin, Norco, etc.) was moved to
Schedule II in 2015.
- Schedule II Rx cannot be refilled.
, TEXAS MD JURISPRUDENCE EXAM (ACTUAL
2024-2025) QUESTIONS AND ANSWERS.
Can now be prescribed electronically, but patients historically
had to physically come see you to get an Rx.
- Require official schedule II prescription forms (previously
"triplicate"). Can now be done online.
- Rx must be filled within 21 days or void
- Up to three 30-day Rx can be written per patient visit (for a
total 90-day supply), each Rx with its own fill-by date.
What laws and medications are in schedule III drugs?
Schedule III - Lower abuse potential than Schedule II with
moderate to low psychological and/or physical dependence
- Examples: Things with codeine (Tylenol #3), ketamine,
anabolic steroids, testosterone
- Prior to 2015, hydrocodone was Schedule III. Now that it's
Schedule II, codeine painkillers are making a comeback.
What laws and medications are in schedule IV drugs?
, TEXAS MD JURISPRUDENCE EXAM (ACTUAL
2024-2025) QUESTIONS AND ANSWERS.
Schedule IV - Low risk for abuse and dependence
- Examples: Muscle relaxers like Soma, "Z-drug" sleep meds
like Ambien, all benzodiazepines (Xanax, Ativan), Tramadol,
Modafinil
- Yes, per the DEA, forget Xanax, patients should really be
knockingdown your door for testosterone. - It really does
seem odd that many of the most notoriously abused and
addictive drugs are actually this low down the list.
What laws and medications are in schedule V drugs?
Schedule V
- Less than Schedule IV, mostly consist of low dose opiate
mixtures used as antitussives and antidiarrheals
- Examples: Robitussin AC, Lomotil, Lyrica (due to similarity
with BZDs)
What do you need to prescribe scheduled drugs? When do you
need to renew it?
You need a federal DEA number to prescribe controlled
substances legally in Texas.
, TEXAS MD JURISPRUDENCE EXAM (ACTUAL
2024-2025) QUESTIONS AND ANSWERS.
DEA numbers must be renewed every three years.
Texas used to have their own parallel system requiring a
"DPS" number, but this was eliminated on September 1, 2016.
Who can prescribe Schedule II?
Schedule II is by triplicate. Only physicians can prescribe
Schedule II drugs for typical outpatients. Midlevels can only
prescribe schedule II drugs in limited circumstances (hospital,
ER, hospice).
What an you do in an emergency if you need to prescribe
schedule II medications and cannot electronically prescribe
them?
A physician can only phone in a Schedule II Rx in an
emergency in an amount suitable to last only for the duration
of the emergency (and you must mail in the actual written Rx
within 7 days).
Again, Schedule II prescriptions must be filled within 21 days
and cannot have refills.
2024-2025) QUESTIONS AND ANSWERS.
How many lawsuits triggers a review of your license?
3 lawsuits in 5 years.
What are the laws and medications in schedule I?
Schedule I - No accepted medical use and high potential for
abuse - Examples: Heroin, LSD, ecstasy, marijuana - Yes,
despite medical marijuana being a thing in multiple states and
even recreational legalization sweeping the nation, marijuana
is still a schedule I substance at the federal level.
What are the laws and medications in schedule II?
High abuse potential with potential severe psychological
and/or physical dependence.
- Examples: Cocaine, most opiates (including morphine,
dilaudid, fentanyl, hydrocodone), most stimulants (including
Adderall, Ritalin, and amphetamines (including meth!)).
- Note: hydrocodone (Vicodin, Norco, etc.) was moved to
Schedule II in 2015.
- Schedule II Rx cannot be refilled.
, TEXAS MD JURISPRUDENCE EXAM (ACTUAL
2024-2025) QUESTIONS AND ANSWERS.
Can now be prescribed electronically, but patients historically
had to physically come see you to get an Rx.
- Require official schedule II prescription forms (previously
"triplicate"). Can now be done online.
- Rx must be filled within 21 days or void
- Up to three 30-day Rx can be written per patient visit (for a
total 90-day supply), each Rx with its own fill-by date.
What laws and medications are in schedule III drugs?
Schedule III - Lower abuse potential than Schedule II with
moderate to low psychological and/or physical dependence
- Examples: Things with codeine (Tylenol #3), ketamine,
anabolic steroids, testosterone
- Prior to 2015, hydrocodone was Schedule III. Now that it's
Schedule II, codeine painkillers are making a comeback.
What laws and medications are in schedule IV drugs?
, TEXAS MD JURISPRUDENCE EXAM (ACTUAL
2024-2025) QUESTIONS AND ANSWERS.
Schedule IV - Low risk for abuse and dependence
- Examples: Muscle relaxers like Soma, "Z-drug" sleep meds
like Ambien, all benzodiazepines (Xanax, Ativan), Tramadol,
Modafinil
- Yes, per the DEA, forget Xanax, patients should really be
knockingdown your door for testosterone. - It really does
seem odd that many of the most notoriously abused and
addictive drugs are actually this low down the list.
What laws and medications are in schedule V drugs?
Schedule V
- Less than Schedule IV, mostly consist of low dose opiate
mixtures used as antitussives and antidiarrheals
- Examples: Robitussin AC, Lomotil, Lyrica (due to similarity
with BZDs)
What do you need to prescribe scheduled drugs? When do you
need to renew it?
You need a federal DEA number to prescribe controlled
substances legally in Texas.
, TEXAS MD JURISPRUDENCE EXAM (ACTUAL
2024-2025) QUESTIONS AND ANSWERS.
DEA numbers must be renewed every three years.
Texas used to have their own parallel system requiring a
"DPS" number, but this was eliminated on September 1, 2016.
Who can prescribe Schedule II?
Schedule II is by triplicate. Only physicians can prescribe
Schedule II drugs for typical outpatients. Midlevels can only
prescribe schedule II drugs in limited circumstances (hospital,
ER, hospice).
What an you do in an emergency if you need to prescribe
schedule II medications and cannot electronically prescribe
them?
A physician can only phone in a Schedule II Rx in an
emergency in an amount suitable to last only for the duration
of the emergency (and you must mail in the actual written Rx
within 7 days).
Again, Schedule II prescriptions must be filled within 21 days
and cannot have refills.
