DEA Drug Diversion Investigations & Enforcement 3

Question 1

A pain management clinic prescribes the same high-dose opioid regimen to nearly all patients regardless of diagnosis or medical history. This pattern is known as:

Accepted Answer

'Cookie-cutter' prescribing

Answer

'Cookie-cutter' prescribing, where a practitioner issues identical prescriptions to all patients without individualized assessment, is a major red flag for a pill mill operation.

Question 2

A DEA registrant pharmacy discovers that a stock bottle of hydrocodone is missing. Under 21 CFR 1304.11, the registrant must conduct a biennial inventory. For this incident, however, the registrant must also:

Accepted Answer

File DEA Form 106 within one business day of discovering the loss

Answer

Theft or significant loss of controlled substances requires filing DEA Form 106 within one business day of discovery, separate from biennial inventory requirements.

Question 3

In diversion investigations, 'pill mills' are most accurately defined as:

Accepted Answer

Medical practices that prescribe large quantities of opioids with little or no medical justification

Answer

Pill mills are medical practices — often operated by licensed physicians — that prescribe opioids or other controlled substances with minimal or no legitimate medical evaluation.

Question 4

When executing an administrative inspection warrant at a DEA-registered pharmacy, investigators must:

Accepted Answer

Inspect during business hours and identify themselves as DEA officials

Answer

Administrative inspections must be conducted during business hours, and agents must identify themselves; they allow inspection of premises, equipment, and records of DEA registrants.

Question 5

Which of the following best describes the legal standard for issuing a DEA Order to Show Cause to revoke a practitioner's DEA registration?

Accepted Answer

Probable cause that the practitioner's continued registration is inconsistent with public interest

Answer

DEA may issue an Order to Show Cause to revoke or suspend a registration when there is probable cause that continuation of the registration is inconsistent with the public interest under 21 U.S.C. § 824.

(DEA) Certified Drug Enforcement Administration Specialist Practice Test

(DEA) Certified Drug Enforcement Administration Specialist Practice Test

DEA Drug Diversion Investigations & Enforcement 3