Intro To Pharm - 2009 Exam

Front 1

What is the purpose of the health insurance portability and accountability act?

Back 1

• The primary purpose: to improve health insurance accessibility to person changing employers or leaving the workforce
• Establish accountability, security, privacy, improve quality of health care and effectiveness
• To also improve continuity health insurance by people leaving or changing workforce

Front 2

Identify five entities covered by the privacy rule

Back 2

• Health plans, health care providers, health care clearing houses, hybrid entities, business associates.
• Health plans- insurers, dental, vision, drugs
• Healthcare providers – doctors physicians, pharmacist
• Hybrid entities- walmart, pharmacy+ supermarket
• Business associates- legal firm, accounting firm
o BA are only included if these functions or services involve the use or disclosure of Protected Health Information.

Front 3

Identify the basic HIPPA Privacy rules for pharmacist

Back 3

• Given written notice of their privacy policy and receive patient acknowledgment
• Can disclose protected PHI to provide treatment receive payment conduct health care operation
• Sales and marketing require separate signed customer authorization
• Business Associates contracts must include adequate safeguard for PHI
• Must have a privacy officer and must train staff and keep record
• Patients can request amendments or records

Front 4

In order to be successful, directors of pharmacies in healthcare systems must have a solid foundation in the clinical principles of pharmacy. What Additional personal skills and qualities must todays directors posses?

Back 4

• Project professional attitude and appearance
• Well rounded and see big picture
• Self confident but humble
• Assertive but not aggressive
• Able to articulate a clear message vision that defines quality and the necessary changes to deliver it

Front 5

Indentify the two individuals who in 1990 introduces the concept of Pharmaceutical Care?

Back 5

• Charles D. Hepler and Linda Strand

Front 6

What three things are required of a pharmacist in the patient care environment to gain clinical credibility as a legitimate member of the care team?

Back 6

• Truly care about patient – be committed
• Are unquestionably competent – be competent
• Absolutely committed to fulfilling professional responsibility – care about patient and prove through actions

Front 7

Identify four hospital pharmacy megatrends.

Back 7

• Insatiable demand for health care including drug therapy- aging population
• Technological innovation
• Change in practice
• Required skill and thinking

Front 8

Describe at least three reasons why pharmacist will be in greater demand in the future.

Back 8

• Increasing older population
• New procedures, technologies, and drugs
• More health conditions occur that in turn require more health care

Front 9

Identify your generation by name and approximate date as recognized by demographers.

Back 9

• Me -Millenial Generational (1981-2001)
• Resident- GI Generation (1901-1924)

Front 10

Provide several words which are used to characterize your generation.

Back 10

• Millenium-me-most techno-savvy, creative, sociable, collaborative, confident, open-minded, civic-minded & achievement oriented
• Resident- Loyalty, hard work, patriotism, respect for authority, self-reliance, and a strong sense of civil obligation.
o Inventive, determined, trail & error produces great results, work for the group – not in a group

Front 11

Why was the PharmD/Ph.d program developed at the UT College Of Pharmacy?

Back 11

• Primary Driving Force: Faculty of Pharmacy-trained candidates for basic pharmaceutical science pharmacy faculty positions.
• Provide challenge to academically talented pharmacy students to fill the shortage of PharmD/ Ph.D. faculty

Front 12

Identify the acronym of the state agency primarily responsible for regulating the practice of pharmacy in Texas.

Back 12

• TSBP-Texas State Board of Pharmacy

Front 13

Identify the acronym for the national association of state boards of pharmacy.

Back 13

• NABP- national association of state boards of pharmacy
• Excerpt from the Pfizer Pharmacists book “At the NABP, we have no legal authority per se but, in our capacity as a national advisory group, we have a significant influence in helping states develop regulations, thereby insuring a standard of consistency across all 50 states. The NABP has issued recommended regulations, for example, that all patients should be counseled and that Internet pharmacies should receive certification. In general, our recommendations are typically accepted and adopted by the state boards.

Front 14

Identify the national organization responsible for developing the national licensing exam for individuals applying to practice pharmacy in Texas.

Back 14

• The NABP (National Association of Boards of Pharmacy) also develops and administers the national licensing exam for pharmacy students used by all states except California.
o NAPLEX- North American Pharmacists Licensure Exam
o MPJE- Multistate Pharmacy Jurisprudence Examination
Verified on their website http://www.nabp.net/index.html?target=/competency/intro.asp&

Front 15

Describe the major mission of the state board of pharmacy.

Back 15

• To promote, preserve, and protect the public health, safety, and welfare by fostering the provision of quality pharmaceutical care to the citizens of Texas, through the regulation of the practice of pharmacy; the operation of pharmacies, and the distribution of prescription drugs in the public interest.

Front 16

Describe at least four services provided by the Texas State Board of Pharmacy.

Back 16

• Licensing services
• Enforcement services
• Adjudication/Legal Support Services
• Information Services

Front 17

Determine the source of authority of the Texas State Board of Pharmacy.

Back 17

• Texas Pharmacy Act of 1907 creates the TSBP-The Board of Pharmacy is the state agency established by law to regulate the practice of pharmacy and has the power, responsibility and the authority necessary to enforce the Pharmacy act.

Front 18

Describe the responsibilities of the board members as opposed to the responsibilities of that staff of the Texas state board of pharmacy.

Back 18

• The board members set policies
• Staff advice the board on the policy considerations and Implement policies

Front 19

How many pharmacist serve on the Texas State Board of Pharmacy?

Back 19

• The board consist of 6 pharmacist members

Front 20

How many individuals represent the general public on the Texas State Board of Pharmacy?

Back 20

• The board consist of 3 consumer members

Front 21

Know who is licensed by the Texas State Board of Pharmacy?

Back 21

• Pharmacist
• Pharmacy Interns
• Pharmacy intern trainees
• All types of Pharmacy
• Preceptors
**Certified & Registered , not licensed
**Pharmacy technicians
**Pharmacy technician trainees

Front 22

Identify the entity that has responsibility for regulating pharmacy internship program in Texas.

Back 22

• The Texas State Board of Pharmacy is in charge of licensing services for interns and intern trainees

Front 23

Which national pharmacy association represents business entities rather than individual pharmacists?

Back 23

• NACDS- National Association of Chain Drug stores

Front 24

Describe at least 3 services offered by most professional associations to pharmacists members.

Back 24

• Networking, Continuing education, and helping push law through

Front 25

Identify the associations which comprise the Texas Pharmacy Congress.

Back 25

--Texas Pharmacy Congress – This group is composed of representatives of the six colleges of pharmacy in Texas, the three major professional associations in Texas, and TSBP. The Congress meets quarterly to discuss issues of mutual concern. Each entity reports on activities and programs, and together the group addresses problems and recommends solutions.

Front 26

Describe the mission of the Texas Pharmacy Congress.

Back 26

• In short, Congress – [TPA, TSHP, TFDS, Colleges, and TSBP] form a united front in front of legislature

• To facilitate discussion on professional, technological, legislative, and regulatory issues through exchange of views, interpretation, and analysis of matters of common interest to Texas pharmacists, Texas pharmacy organizations, and the constituencies they serve

Front 27

Identify the associations which comprise the Texas Pharmacy Practice Coalition.

Back 27

• Coalition – [TPA, TSHP, TFDS] lobbying legislation

Front 28

Describe the mission of the Texas Pharmacy Practice Coalition.

Back 28

• To do the lobbying that the Texas pharmacy congress cannot do

Front 29

What is an ALF?

Back 29

• (ALFs) provide supervision or assistance with activities of daily living (ADLs); coordination of services by outside health care providers; and monitoring of resident activities to help to ensure their health, safety, and well-being. ADL's include things like bathing, eating, dressing/undressing

Front 30

What is the average age of an ALF resident?

Back 30

86.9

Front 31

What are the pros and cons to an ALF?

Back 31

• Pro’s – Medication management, emergency staff nearby.
• Con’s – High cost, less freedom

Front 32

What are 6 commonly used med’s used in the elderly?

Back 32

Remember: Ari Ate Lip, No Fos Celebrate!

• Aricept (Donepezil – Alzheimer’s, dementia)
• Atenolol(tenormin- hypertetnsion),
• Lipitor(-atorvastatin calcium-lower cholesterol)
• Novasc(Amlodipine Besylate-hypertension)
• Fosamax(Alendronate Sodium-osteoporosis in postmenopausal women)
• Celebrex(Celecoxib-arthritis).

Front 33

What does SOAP stand for?

Back 33

• SOAP is the process health professionals use when writing notes in the medical records of patients
• SOAP: Subjective, Objective, Assessment and Plan
• Subjective: Info provided by or elicited from the patient
• Objective: Findings on physical exam and pertinent labs.
• Assessment: A judgment of each drug related problem as supported by subjective and objective information, as well as any new problems that may be identified
• Plan: A detailed plan of action or "care plan" for each active problem. The plan should include general treatment measures, drug therapy, therapeutic alternatives, monitoring parameters and timing of follow ups

Front 34

Ativan (Lorazepam)

Back 34

Anxiety

Front 35

Coumadin (Warfarin)

Back 35

Anticoagulant

Front 36

Haldol

Back 36

Antipsychotic

Front 37

Lanoxin

Back 37

Congestive heart failure, arrhythmia

Front 38

Lasix

Back 38

Diuretic, edema, HTN

Front 39

Premarin

Back 39

Postmenopausal osteoporosis

Front 40

Prozac

Back 40

Serotonin reuptake inhibitors, antidepressant

Front 41

Risperdal

Back 41

Antipsychotic

Front 42

Surfak

Back 42

Laxative, constipation

Front 43

Synthroid (Levothyroxine)

Back 43

Hypothyroidism

Front 44

Zantac

Back 44

Histamine H2 Antagonist, GERD, ulcers, heartburn

Front 45

Zoloft

Back 45

Selective Serotonin reuptake inhibitors, antidepressant

Front 46

Prilosec (omeprazole)

Back 46

duodenal ulcer

Front 47

What are the Alzheimer's drugs? (4)

Back 47

Aricept, Exelon, Namenda, Razadyne

Front 48

Zocor (simvastatin)

Back 48

cholesterol

Front 49

Lipitor (atorvastin calcium)

Back 49

cholesterol

Front 50

Lisinopril

Back 50

ACE Inhibitor, HTN

Front 51

Boneva

Back 51

Osteoporosis

Front 52

Fosamax (alendronate sodium)

Back 52

osteoporosis

Front 53

Actonel

Back 53

osteoporosis