:QUESTIONS AND ANSWERS WITH
RATIONALS/GRADED A+ UPDATE
100% CORRECT
SECTION A: CALIFORNIA PHARMACY LAW (B&P & Title
16)
Q1. According to California law, what is the maximum number of hours a
pharmacist intern may work without a preceptor physically present on the
premises?
A) 8 hours
B) 12 hours
C) 24 hours
D) 0 hours (Must be under direct supervision unless specified for final year
externship)
Rationale: California is strict. An intern must be under direct supervision of a
preceptor pharmacist physically present in the pharmacy unless the intern is in an
approved off-site rotation (e.g., hospital patient care areas) with a preceptor
designated but not necessarily standing next to them. For general retail settings,
direct supervision means the preceptor must be on site.
Q2. A pharmacist receives a prescription for a Schedule II controlled substance
written by an out-of-state prescriber. Under CA law, this prescription is:
A) Invalid because CA does not recognize out-of-state prescribers.
B) Valid if the prescriber is registered with the DEA and licensed in their home
state.
C) Valid only for a 30-day supply.
D) Only valid if the patient is a tourist.
Rationale: CA B&P Code 4000 allows out-of-state prescribers to write prescriptions
for CA patients provided they are legally authorized to prescribe in their jurisdiction
and hold a valid DEA registration.
,Q3. Which of the following patients is legally allowed to receive a 90-day
supply of a Schedule II medication on a single prescription in California?
A) A patient with acute post-operative pain.
B) A patient with ADHD on Methylphenidate.
C) A patient with a terminal illness (defined as life expectancy of 12 months or
less) or a nursing home patient.
D) Any patient with a prior authorization on file.
Rationale: CA H&S Code 11200 allows a 90-day supply for Schedule II only
for terminally ill patients or Skilled Nursing Facility (SNF) residents. Standard
patients are limited to 30 days.
Q4. A technician accidentally gives a patient the wrong strength of Lisinopril.
The pharmacist catches it before the patient leaves the store. What is the
reporting requirement?
A) Report to the CA Board of Pharmacy within 30 days.
B) Report to the CA Board of Pharmacy within 3 days (via ADR reporting
system).
C) No report needed because patient did not ingest it.
D) Report to the DEA within 24 hours.
Rationale: California requires reporting of any dispensing error that reaches the
patient (even if caught before exit or not ingested) to the Board of Pharmacy via the
online ADR system within 3 business days (Title 16 CCR 1716.5).
Q5. Regarding Pharmacist Prescribing (SB 493/1591), a pharmacist with an
Advanced Practice Pharmacist (APh) license may initiate and administer which
of the following without a collaborative practice agreement?
A) Amoxicillin for strep throat.
B) Naloxone and hormonal contraceptives (self-administered).
C) Warfarin for DVT.
D) Testosterone gel for hypogonadism.
Rationale: Pursuant to B&P 4052, APhs may independently furnish Naloxone
hydrochloride and self-administered hormonal contraceptives (pills, patch, ring)
using a standardized protocol. Antibiotics require a CPA.
Q6. A patient presents a prescription for medical cannabis. Which statement is
true regarding CA pharmacy law?
A) Pharmacists may dispense cannabis flower directly.
B) A pharmacist may provide a "Medical Cannabis Identification Card"
verification but cannot dispense the cannabis itself.
C) Cannabis is a Schedule II controlled substance under CA law.
D) Insurance must cover medical cannabis.
, Rationale: Pharmacies are federally prohibited from dispensing cannabis. CA allows
pharmacists to verify the patient's ID card for the medicinal use program, but they do
not stock or sell the product.
Q7. How many continuing education (CE) units specific to California Pharmacy
Law are required for license renewal every two years?
A) 0 (General law only)
B) 1 hour (Mandatory Law CE)
C) 3 hours
D) 5 hours
Rationale: CA requires 30 total CE hours every 2 years. Of these, 1 hour must be
specifically in California Pharmacy Law.
Q8. A pharmacist refuses to fill a prescription for misoprostol (Cytotec) due to
religious beliefs regarding abortion. What is the CA law requirement?
A) The pharmacist may refuse without any further action.
B) The pharmacist must provide a reasonable referral to another nearby
pharmacy or pharmacist who will fill it without delay.
C) The pharmacist must call the police.
D) The pharmacist can shred the prescription.
Rationale: The "Conscience Clause" (CCR 1707.1) allows refusal but requires the
pharmacist to ensure the patient is not obstructed from obtaining the medication
(i.e., immediate referral back to prescriber or another pharmacy).
Q9. In a hospital setting, what is the maximum time allowed for a pharmacist to
review and verify an order for a non-emergency patient after it is written?
A) 2 hours
B) 24 hours
C) 48 hours
D) 72 hours
Rationale: Title 16 CCR 1715.1 states that in institutional settings, a pharmacist must
review the patient's medication order within 24 hours of the order being written for
routine orders.
Q10. A technician is caught stealing Codeine tablets on camera. The pharmacist
witnesses it. How soon must the Pharmacy report this theft to the CA Board of
Pharmacy?
A) 24 hours
B) 3 days
C) 7 days
D) 30 days