PEBC Pharmacy Practice Management Flashcards
7 cards from real PEBC practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 PEBC Pharmacy Practice Management flashcards as text
A pharmacist receives a fax prescription for a Schedule I controlled substance. Under CDSA regulations, the pharmacist should:
Answer: Accept the fax for documentation and dispense only after receiving the original signed prescription
For Schedule I narcotics, the CDSA requires an original signed prescription; a fax may be used to begin preparation, but the original must be received before dispensing or shortly after in an emergency.
Which of the following best describes a pharmacy's duty under 'duty to warn' in the context of drug interactions?
Answer: Pharmacists must proactively counsel patients about clinically significant drug interactions identified during dispensing
Pharmacists have a professional and legal duty to counsel patients about clinically significant interactions discovered during the medication review process, regardless of whether the patient asks.
A pharmacy is closing permanently. Regarding Schedule I narcotic inventory, the pharmacist must:
Answer: Return all narcotics to the wholesaler or transfer to another licensed dealer with proper documentation
Upon closure, narcotic inventory must be transferred to another licensed dealer or returned to the wholesaler, with all transfers fully documented per CDSA requirements.
When calculating the break-even point for a pharmacy's compounding service, which formula is correct?
Answer: Break-even units = Fixed Costs ÷ (Selling Price per Unit − Variable Cost per Unit)
The break-even formula divides total fixed costs by the contribution margin (selling price minus variable cost per unit).
A new pharmacy employee refuses to dispense emergency contraception on moral grounds. How should the designated manager handle this situation in most Canadian provinces?
Answer: Ensure a seamless referral process so the patient receives timely care without burden
Most provincial regulatory colleges permit conscientious objection but require that the pharmacist or pharmacy ensure patients are referred promptly so access to care is not compromised.
Under provincial pharmacy legislation, which situation would MOST likely require a pharmacist to initiate an adapted prescription?
Answer: A prescription for metformin 500 mg is received but the pharmacy only stocks 1000 mg tablets
When the prescribed strength is unavailable and a therapeutically equivalent strength exists, the pharmacist may adapt the prescription (e.g., adjust quantity and directions) under provincial adaptation authorities.
A pharmacy's dispensing software flags a potential QTc-prolonging interaction between two medications a patient is already stabilized on under specialist supervision. The MOST appropriate action is to:
Answer: Document the clinical rationale for proceeding, counsel the patient, and consider notifying the prescriber
When a patient is stable under specialist oversight, the pharmacist should document the decision rationale, ensure patient awareness of monitoring signs, and communicate with the prescriber as appropriate rather than unilaterally refusing or substituting.