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1. According to House Bill 21, a prescription for a Schedule II opioid for the treatment of acute pain may not exceed how many days?

A. 1 B. 3 C. 10 D. 15

2. How many hours of continuing education on controlled substances is required for a practitioner prescribing opioids prior to each biennial license renewal?

A. 2 B. 4 C. 6 D. No requirement

3. What entity oversees the integrity of E-FORCSE?

A. U.S. Food and Drug Administration B. Florida Department of Health C. Florida Board of Pharmacy D. U.S. Drug Enforcement Administration

4. Which of the following is TRUE about the requirements related to utilizing E-FORCSE as stipulated by House Bill 21?

A. Prescribers are not required to check E-FORCSE prior to issuing a refill prescription B. Pharmacies that don't dispense any controlled substances are not required to report C. Pharmacies must report dispensing a controlled substance within 15 days D. None of the above

5. Which of the following prescribers is exempt from reporting to E-FORCSE?

A. A prescriber working in an emergency room B. A prescriber dispensing a controlled substance 22-year-old patient C. A prescriber dispensing a 7-day opioid prescription for “Acute Pain Exception” D. None of the above

6. Which of the following must be reported in E-FORCSE?

A. Pharmacy telephone number B. Patient gender C. Method of payment D. B and C

7. Which of the following situations may suggest a fraudulent prescription?

A. A new patient presents with opioid prescriptions for 4 different friends B. A prescription for a controlled substance is written on paper with a pink background C. Two different color inks were used on the prescription D. All the above

8. Which of the following is a valid DEA number?

A. CS3456781 B. CA1234562 C. CB1388567 D. AH2235915

9. Which of the following is TRUE about naloxone administration in an overdose situation?

A. Naloxone acts as an opioid agonist to reduce opioid overdose B. Naloxone will still have an effect even if the person is not taking opioids C. The naloxone dose should not be repeated if there is no response D. If there is no response after 10 mg, other symptom causes should be considered

10. Which of the following is step 1 in the SAMHSA 5 Essential Steps for First Responders?

A. Call 911 B. Induce vomiting C. Call the person's name D. Administer naloxone

Evaluation Questions

11. To what extent did the program meet objective #1?

A. Excellent B. Very Good C. Good D. Fair E. Poor

12. To what extent did the program meet objective #2?

A. Excellent B. Very Good C. Good D. Fair E. Poor

13. To what extent did the program meet objective #3?

A. Excellent B. Very Good C. Good D. Fair E. Poor

14. To what extent did the program meet objective #4?

A. Excellent B. Very Good C. Good D. Fair E. Poor

15. Rate the effectiveness of how well the program related to your educational needs:

A. Excellent B. Very Good C. Good D. Fair E. Poor

16. Rate how well the active learning strategies (questions, cases, discussions) were appropriate and effective learning tools:

A. Excellent B. Very Good C. Good D. Fair E. Poor

17. Rate the quality of the faculty:

A. Excellent B. Very Good C. Good D. Fair E. Poor

18. Rate the effectiveness and the overall usefulness of the material presented:

A. Excellent B. Very Good C. Good D. Fair E. Poor

19. Rate the appropriateness of the examination for this activity:

A. Excellent B. Very Good C. Good D. Fair E. Poor

20. Rate the effectiveness of how well the activity related to your practice needs:

A. Excellent B. Very Good C. Good D. Fair E. Poor

21. Rate the effectiveness of how well the activity will help you improve patient care:

A. Excellent B. Very Good C. Good D. Fair E. Poor

22. Will the information presented cause you to change your practice?

A. Yes B. No

23. Are you committed to making these changes?

A. Yes B. No

24. As a result of this activity, did you learn something new?

A. Yes B. No

25. What is your practice setting or area of practice?

A. Community Pharmacy/Independent B. Community Pharmacy/Chain C. Hospital/Health Systems D. Administrative/Pharmacy Director E. Critical Care Pharmacy F. Long-term Care G. Managed Care/PBM H. Oncology I. Specialty Pharmacy J. Industry/Manufacturing

26. How many years have you been in practice?

A. <5 B. 5 – 10 C. 11 – 20 D. >20

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