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MULTISTATE PHARMACY JURISPRUDENCE EXAMINATION (MPJE) BUNDLE FOR 2022/2023 EXAMS- DIFFERENT STATES
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MPJE DEA 2022/2023 Study Guide QUESTIONS AND ANSWERS ALL CORRECT.
MPJE DEA Study Guide QUESTIONS AND ANSWERS ALL CORRECT Form ____ is to register as a new pharmacy. Correct Answer: 224 Form ___ is required to renew... [Show More] DEA registry for a given pharmacy. Correct Answer: 224a Form ___ is to renew DEA registry for a chain of pharmacies. Correct Answer: 224b Form ____ is for the transfer of C-II substances Correct Answer: 222 C ____ substances do not require a form upon transfer, however, they do require drug ____, dosage ___, ____, ____ and ____ of transfer Correct Answer: 3-5, name, form, strength, quantity, date Form ___ is required in order to obtain a DEA chemical distributor registration. Correct Answer: 510 Form ____ is submitted once drugs are destroyed (registrant inventory of drugs surrendered) by the ____ Correct Answer: 41, destroyer Form ____ is used to report theft or loss of controlled substances and must be submitted within ___ day(s) of significant loss Correct Answer: 106, 1 Controlled substances broken or spilled does/does not count as "lost" drug and therefore requires form ____ rather than form 106 to report the loss to the DEA. Correct Answer: does not, 41 If central pharmacy is taking CS to retail pharmacy, ____ pharmacy is responsible for submitting form ____ with in-transit loss. Correct Answer: central, 106 If retail pharmacy is getting CS from central pharmacy, ____ pharmacy is responsible for submitting form ___ with in-transit loss. Correct Answer: retail, 106 Registrant keeping records at central location may start doing so ____ days after DEA receives notification. Correct Answer: 14 Inventory requires physical count for schedule ___ and estimation for schedule _____ (unless container holds more than ____ CAP/TB in which case exact count is required). Correct Answer: 2, 3-5, 1000 Initial inventory requires physically counting ____ control substances and then every ____ years Correct Answer: all, 2 Copy 3 of form 222 is the _____ copy Correct Answer: purchaser's NDC stands for Correct Answer: national drug code Copy 2 of form 222 is the ____ copy Correct Answer: DEA (green) Copy 1 of form 222 is the ____ copy Correct Answer: Supplier (brown) Lost or stolen DEA 222 forms must be reported immediately along with the ____ number of each form Correct Answer: serial If the serial number for lost or stolen DEA 222 forms is not obtainable, pharmacist must reports approximate ___ of issuance Correct Answer: date When a RX for a CS is received electronically, it must be stored _______. Correct Answer: electronically DEA administrator is appointed by the ____. Correct Answer: president Codeine-containing cough syrups are schedule ____ federally, but ____ per the state. HCG is ___ schedule federally, but schedule ___ per the state. Pseudoephedrine is ____ federally, but scheudule ____ per the state. Correct Answer: 5, 3, not, 3, not, 5 Heroin, LSD, marijuana and synthetic cannabinoids are schedule ____. Correct Answer: 1 Schedule II drugs are mostly ____, ____ and ____. Correct Answer: barbiturates, opioids, stimulants Methadone can be prescribed for _____ purposes only. Cannot be dispensed for ____ unless ordered by a practitioner registered with a ___ ___ ___ (unless patient is admitted to ___ or a ____). Correct Answer: analgesic, tx, narcotic treatment center, hospital, neonate Schedule IV includes ____, ____ and ____ Correct Answer: benzos, phentermine, tramadol Schedule III includes anabolic ____, ____ (suboxone), combo products containing ___. Correct Answer: steroids, buprenorphine, codeine Schedule V includes ____, ____ precursors and ____ (and ___ containing antidiarrheal) Correct Answer: lacosamide, methamphetamine, pregabalin, opiate Pharmacies must register every ___ years with the DEA Correct Answer: 3 Partial fill of C-II is allowed if pharmacy cannot fill, however, must fill remaining within ___ hours. Correct Answer: 72 Can transfer controlled substances to a retail pharmacy without RX, however, not more than _____ mL opium or ____ unit does opium or ____ mL of any other controlled substance or ___ unit doses within a ___-hour window. Correct Answer: 240, 48, 120, 24, 48 All pharmacy DEA registrants must keep record of drugs ____, drugs ____ and the complete ___. Correct Answer: dispensed, received, inventory C___ - ___ records must be kept separate from all others. If C ___-___ are kept with noncontrolled records, they must be marked with a red ___. Correct Answer: 1, 2, 3, 5, c Per MN 6800, C-II substances must be reconciled every ____ and inventoried every ___ years. Correct Answer: month, 2 Pharmacy can only take back controlled substance if ____ in dispensing. Correct Answer: error Pharmacies may collect ___ drugs from ultimate user so long as they collect them as if ___ substances. Correct Answer: legend, controlled C-II prescriptions must be signed on the ___ of issuance. Correct Answer: date C-II prescriptions cannot be faxed except for: ____ facility, ____ patients, ____ patients, and those being ____ for immediate administration. Correct Answer: ltc, hospice, hospital, compounded Comrehensive Addiciton and Recovery Act of 2016 expand ___ fills of C-IIs. Allowable when requested by ___ or practitioner and fill of remaining does not exceed ___ days past initial issuance. Correct Answer: partial, patient, 30 Three types of records: drugs ____, drugs ____ and ____. These records must be kept for at least ____ years. Correct Answer: dispensed, received, inventory, 2 ____ is the electronic ordering system equivalent to form 222 Correct Answer: SCOS Practitioner may write more than one RX for C-II if: ____ RX blank used for each, total quantity does not exceed ____ day supply, patient has ____ medical purpose, prescriber writes instruction for ____ fill date on RX ___and ___, does not create undue risk of ____. Correct Answer: separate, 90, legitimate, earliest, 2, 3, diversion Minnesota Medical Cannabis Program is not administered by the ____ rather the ___ ___ of ___. Correct Answer: BOP, MN, dep, health MN Medical Cannabis Programs regulates ___ manufacturers and ___ dispensaries. Correct Answer: 2, 4 ____ cannabis cannot be sold by manufacturers in MN. Correct Answer: Smokable Online pharmacy must get a ___ DEA registration and will only dispense controlled substances to those with a ___ Rx, with a ___ medical purpose who has a ___ with the prescriber and has been ___ in person at least once. Correct Answer: modified, valid, legitimate, relationship, evaluated Each online pharmacy must submit a ____ report to the DEA reporting the total ____ of each controlled substance dispensed. Correct Answer: months, quantity When a retail pharmacy is transmitting a Rx for controlled substances to a central pharmacy, retail pharmacy must write ___ ___ on the face of the original rx along with the central fill pharmacy's ___, ___ and ___ number. Correct Answer: central fill, name, address, dea [Show Less]
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Multistate Pharmacy Jurisprudence Examination (MPJE) MPJE NY COMPREHENSIVE STUDY GUIDE 2022/2023
Multistate Pharmacy Jurisprudence Exam (MPJE) Review (FEDERAL LAW) Food and Drug Administration Correct Answer: a federal agency in the Department of H... [Show More] ealth and Human Services established to regulate the release of new foods and health-related products (P)FDA Correct Answer: Pure Food and Drug Act of 1906 Federal Food, Drug, and Cosmetic Act of 1938 (6/25/38) Correct Answer: FDCA Poison Prevention Packaging Act of 1970 Correct Answer: PPPA Controlled Substance of 1970 Correct Answer: CSA Controlled Substance Act of 1970 Correct Answer: What act established the FDA in 1970? DEA (created 1973) Correct Answer: Drug Enforcement Administration Prescription Drug Marketing Act of 1987 Correct Answer: PDMA Omnibus Budget Reconciliation Act of 1990 Correct Answer: OBRA 90 - what does it stand for Adulteration Misbranding Placing into interstate commerce unapproved new drugs Correct Answer: What 3 illegal acts did the Pure Food and Drug Act of 1906 establish Federal Food, Drug, and Cosmetic Act of 1938 Correct Answer: Mandated tests for drug toxicity and provided means for recall of drugs; established procedures for introducing new drugs; gave FDA the power of enforcement Intended Use Correct Answer: A drug is dependent on _____________ Provider, not the user Correct Answer: Intended use is determined by the___________, not the __________ 1. In USP, or NF, or Homeopathic P. 2. Articles INTENDED FOR use in the Diagnosis Cure Mitigation Treatment or Prevention of Disease in man or animal 3. Articles intended to affect the STRUCTURE or FUNCTION of the body (other than food) 4. Any component of the above Correct Answer: Drug Device Correct Answer: Instrument, apparatus, implement, machine, contrivance, implant, in vitro reagent A drug works through a chemical reaction and is dependent on metabolism. ; Devices are only recognized in the USP or NF (Not homeopathic) Correct Answer: What is the difference between how a drug works and a device works I. Reasonable assurance of safety and effectiveness (referred to as GENERAL CONTROLS device) II. Insufficient info for reasonable assurance safety and effectiveness III. Pre-market approval Correct Answer: What are the 3 classes of devices Class I Correct Answer: Device class - Reasonable assurance of safety and effectivenss Class III Correct Answer: Pre-market approval cosmetic Correct Answer: Something applied to the body for Cleansing, Beauty, Altering, Appearance. (NOT SOAP) True Correct Answer: True or False: A item can be both a drug AND cosmetic Label Correct Answer: Written, printed, or graphic on the container or accompanying it Label Correct Answer: What must always accompany the container because it conveys intended use True Correct Answer: True or False: A patient may be given a package insert FDA Correct Answer: Labelling must be ________ approved Contraindications Warnings Precautions Adverse Reactions Correct Answer: What is the order of importance of what is included in a package insert Essential scientific information; not false or promotional evidence of safe and effective clinical pharmacology Correct Answer: What is the required content of a package insert New Drug Correct Answer: Any drug after June 25, 1938 that was subject to the Food and Drug Act of 1906 NDA (New Drug Application Correct Answer: Required of all new drugs ANDA (Abbreviated New Drug Application) Correct Answer: Required of all generic drugs Same: Entity Strength Dosage Form And MUST BE BIOEQUIVALENT Correct Answer: What are the requirements of an ANDA False - just new drugs (prior to interstate commerce) Correct Answer: True or False: Both new drugs and generic drugs must be proven to be safe and effective Adulterated Correct Answer: What a drug is corrupt, debase or made impure by the addition of a foreign or inferior substance or element Misbranding Correct Answer: Label is false or misleading (no label or a false label) Rx only Correct Answer: Caution: Federal law prohibits dispensing without a prescription. (FEDERAL LEGEND) True Correct Answer: True or False: a filled prescription is exempt from misbranding if the drugs has "Federal Legend" and is properly filled Misbranding Correct Answer: Dispensing a prescription without prescription is considered_________ GRAE (generally recognized as effective) GRAS (generally recognized as safe) Correct Answer: New drugs must be Class I Correct Answer: Device class also referred to as General Controls The intentions of drugs or devices: Diagnosis Cure Mitigation Treatment or Prevention of disease in man or animal Correct Answer: What acronym is Doc My Toes are Purple for? 1. Lack of safety without supervision 2. Sponsor's request Correct Answer: What are two ways for an item to be classified as prescription 1. Call your doctor 2. Call FDA at 1-800-FDA-1088 3. Report online at www.fda.com/medwatch Correct Answer: How does the patient report adverse events FDA Adverse Event Reporting System (FAERS) Correct Answer: -database on adverse events and med error reports given to FDA -info used to ID possible safety concerns -manufacturers who receive adverse drug event report must submit info to FDA FDA Recall Class I Correct Answer: Threat to LIfe (what FDA Recall Class) FDA Recall Class II Correct Answer: Temporary or reversible adverse health consequences (what FDA Recall Class) [Show Less]
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Indiana MPJE; 363 Questions with 100- Correct Answers (2022/2023).
Indiana MPJE 2022-2023 Questions AND ANSWERS 110 QUESTIONS GRADED A Indiana MPJE 2022-2023; Questions AND ANSWERS | (110 QUESTIONS) GRADED A If an... [Show More] institutional pharmacy is closed and unattended by a pharmacist, how can a nurse obtain a needed medication while the pharmacy is closed? (All that apply) A. Remove from emergency kit B. Remove from floor stock of floor mechanical devices C. Ask authorized supervisory nurse to remove from pharmacy following proper procedures D. Ask a pharmacist to come in and get the medication for them. E. There is no way to get a medication while a pharmacist is not on duty Correct Answer: A, B, C, D T/F the expiration of an emergency drug kit is the earliest date of expiration of any of the drugs included in the kit at any time Correct Answer: True Which of the following is true regarding the number of individuals a pharmacist may supervise in Indiana? (All that apply) A. A pharmacist may not supervise more than 4 interns or technicians B a pharmacist may not supervise more than 5 technicians or technicians-in-training C. A pharmacist can supervise no more than 3 techs in training at one time D. A pharmacist may not supervise more than 6 technicians or techs in training E. A pharmacist may not supervise more than 6 interns, technicians, or techs in training Correct Answer: C , E The number of CE hours required per renewal period in Indiana and the number that must be ACPE accredited: A. 60; at least 20 B. 30; at least 10 C. 15; at least 15 D. 30; at least 15 E. 60; at least 30 Correct Answer: D Which of the following describes non-Rx syringe sales in Indiana? (All that apply) A. Purchasers must be over the age of 18 B. Only a pharmacist or intern can sell syringes C. Sales must be maintained in a bound record book D. Purchasers no known to the pharmacist do not need to provide identification E. Purchasers must sho proof of use Correct Answer: B, C In order to reciprocate or transfer a pharmacist license to IN, which of the following is required of an applicant? A. Retake and pass the NAPLEX B. Complete 1500 hours of practice in IN C. Appear in front of the board for a personal hearing D. Take and pass the indiana MPJE E. Establish residency in indiana before applying Correct Answer: D Which of the following are true about reporting theft or loss? I all thefts must be reported regardless of the amount stolen II all losses must be reported regardless of the amount lost III only significant losses must be reported and you determine if the loss is significant IV thefts and losses should be reported on a DEA 41 V the local police must be notified of a theft or loss so the DEA can follow up with them Correct Answer: A- I and III Which of the following describes counseling requirements in IN? (All that apply) A. Interns may counsel patients as long as they make an offer for a pharmacist to counsel after B. Making an offer for a patient to ask questions satisfies the offer to counsel requirement in IN C. Pharmacists must document which patients receive counseling D. Patients have the right to waive counseling E. An offer to counsel must be make every time a prescription is dispensed Correct Answer: A, D, E T/F Prescribers are allowed to use commercially printed forms containing names of controlled substances Correct Answer: False Which of the following practitioners may legally supervise an appropriately certified pharmacy intern providing vaccines under protocol? I RN II pharmacist III APN IV PA V Podiatrist Correct Answer: D- i, ii, iii Which of the following prescribers can write an acetaminophen with codeine prescription for a human's eye issue in Indiana? I physician II optometrist III podiatrist IV veterinarian V APN working under a physician without a specialty Correct Answer: C- i and v T/F As identified by Indiana's Legend Drug Act and Pharmacy Practice Act, the term "sale" includes offering, dispensing, and administering Correct Answer: True Continuing professional education hour requirements vary depending on when and how the pharmacist is licensed in IN. Which of the following is the correct number for a pharmacist licensed for the first time on Aug 31, 2019? A. 0 hours B. 6 hours C. 7.25 hours D. 20 hours E. 21.25 hours Correct Answer: A T/F pharmacist cannot refuse to honor any prescription in Indiana Correct Answer: False A physician calls your pharmacy to provide a verbal prescription for alprazolam for a patient. The prescriber has never evaluated the patient, but knows the patient's son. The physician asked the patient's son why the patient uses the medication and confirmed they were out of refills. Based in this information, which response best fits why you can or cannot fill the prescription in this situation. A. Can fill, the RX was issued within the physician's scope of practice B. Can fill, the pharmacist has no legal responsibility to question a physician's prescribing C. Cannot fill, alprazolam prescriptions cannot be verbally issued D. Cannot fill, the prescription was not issued for a legitimate medical purpose E. Cannot fill, the prescription was not issued in the usual course of practice Correct Answer: E T/F A qualifying pharmacist is responsible to the board for the legal operation of the pharmacy under the permit Correct Answer: True Which of the following is true about the Indiana board of pharmacy? (All that apply) A. The board has 7 pharmacist members B. The board must adopt the rules establishing the standards for the competent practice of pharmacy C. A board member cannot be a full-time faculty member at a college of pharmacy D. One pharmacist member of the board must be a hospital pharmacist E. Board members are elected by members of the profession Correct Answer: B, D T/F - drugs returned to the pharmacy can never be reused or resold Correct Answer: False A quality-related event in a institution includes which of the following? I dispensing an incorrect drug II therapeutic duplications not identified and managed III dispensing a drug to the wrong patient IV drug-drug interactions not identified and managed V clinical abuse/misuse not identified and managed Correct Answer: E- all of the above Which of the following apply to generic substitution in IN? (All that apply) A. Pharmacists cannot generically substitute on prescriptions written written by a veterinarian B. Pharmacists are required to generically substitute for Medicaid patients unless the prescriber signs "DAW" and writes "Brand Medically Necessary" on the face of the prescription C. If a pharmacist generically substitutes for a brand name product the label must be labelled with both product names (ex Lisinopril generic for Zestril) D. Prescription blanks should have 2 signature lines labeled "DAW" on the left and "May substitute" on the right E. If a prescriber signs "DAW" for a non-Medicaid patient and the patient requests generic, the patient must call the prescriber in order to substitute generically Correct Answer: A, B, C, D, E T/F - in indiana, insulin products can be sold over the counter Correct Answer: False T/F - In indiana, only controlled substance prescriptions and drug orders must be issued in the usual course of practice and for a legitimate medical purpose Correct Answer: False Which of the following are duties of pharmacists in institutional settings? (All that apply) A. Perform drug evaluations and drug utilization reviews B. Interpretation of drug orders written by practitioners C. Counsel patients and patients' care givers D. Storage and distribution of drugs and devices E. Medical record documentation of recommendations made related to the patient's therapeutic response to medication Correct Answer: A, B, C, D, E Which of the following are required to be on the label of a sterile pharmaceutical product prepared in an institution for a patient in that institution? I date of preparation II patient name and bed III prescribing practitioner IV expiration date, including time, if applicable V generic name VI phone number of institutional pharmacy VII prescription number Correct Answer: C- i, ii, iv T/F- a pharmacist in an institutional setting must check all drug orders within 24 hours, including those written when the pharmacy is closed and orders filled from available institutional sources outside the pharmacy Correct Answer: True T/F - pharmacists in indiana must counsel patients on all new prescriptions Correct Answer: False Which of the following are activities that a pharmacy technician can perform? A. Providing advice to the patient about interpreting their prescription B. Completing the final check on a drug order C. Receiving refill approval over the phone from a prescriber D. Completing the final check on a prescription E. Consulting with the prescriber concerning a patient Correct Answer: B, C T/F - the qualifying pharmacist is responsible for deciding what, if any, additional fixtures, facilities, and equipment are necessary for the pharmacy to operate properly in compliance with the law regulating pharmacies in Indiana Correct Answer: True Which of the following is true regarding controlled substance prescriptions? I. Adderall prescriptions can be issued for a maximum of a 90 day supply at a time II. Lomotil prescriptions expire 1 year from the date written in indiana III. Suboxone prescriptions issued for addiction must contain the appropriate DATA-waived DEA number IV. Codeine prescriptions cannot be transferred to another pharmacy V. Robitussin AC prescriptions cannot be called into the pharmacy Correct Answer: C- i, iii, iv Which of the following are required on the label for a non-controlled prescription dispensed in indiana? I date filled II name of dispensing pharmacy III prescribing practitioner IV directions for use as contained on the prescription V name of the drug Correct Answer: E- all of the above are required which of the following describes a requirement for selling ephedrine or pseudoephedrine in Indiana? (all that apply) a. prescription sales of these products must be reported in the National Precursor Log Exchange (NPLEx) b. Individuals purchasing these products over the counter must be over the age of 18 c. individuals purchasing these products over the counter must produce a valid government issued photo ID showing date of birth before purchasing d. over the counter sales records of these products must be retained for 2 years e. a pharmacy must electronically submit required information to NPLEx before completing and over the counter sale of these products, unless there is a mechanical or electronic failure of the system Correct Answer: A, B, C, D, E Which of the following describes a correct requirement for the INSPECT program? a. dispensers must transmit information to INSPECT within 24 hours of dispensing an INSPECT reportable product, unless the dispenser is closed the day following dispensing b. the only acceptable identification numbers submitted to INSPECT are from a government issued photo ID c. all dispensations from a practitioner for ephedrine, pseudoephedrine, or a controlled substance must be reported to INSPECT d. pharmacists must check inspect before dispensing any schedule II drug on a prescription e. pharmacies must submit information on the days supply of a controlled substance prescription dispensed Correct Answer: A, C, E T/F - pharmacists can administer vaccinations according to a protocol approved by a physician, APN, or PA Correct Answer: False which of the following describes a correct requirement for vaccine protocols? (all that apply) a. vaccine protocols must list the amount of time a pharmacist or intern recommends and individual be observed for adverse events b. pharmacists must notify the protocol physician within 24 hours of administering an immunization c. protocol physician is a licensed physician in any state d. a copy of immunization protocols must be kept in the pharmacy and available for inspection by patients receiving immunizations e. protocols must be renewed every 2 years Correct Answer: A, D When transferring a prescription for atenolol from one pharmacy to another, which of the following must be transferred? i. number of refills remaining ii. drug name and strength iii. directions for use iv. patient insurance v. transferring pharmacist's name vi. prescriber information Correct Answer: D- i, ii, iii, v, vi Continuing professional education hour requirements vary depending on when and how the pharmacist is licensed in Indiana. Which of the following is the correct number for a pharmacist licenced for the first time in IN by license transfer on Aug 1, 2019. a. 0 hours b. 6.25 hours c. 17.25 hours d. 21.25 hours e. 30 hours Correct Answer: E In general, Indiana professional standards include (all that apply) a. professional incompetence by practicing above the level of training or education b. knowingly violating a federal regulation on misbranding c. failure to maintain competence level on current drug therapy d. intentional violation of a state statute governing pharmacy practice e. conviction of a crime that has a direct bearing on the ability to practice competently Correct Answer: A, B, C, D, E Which of the following describe the requirements to have a store open to the public while the pharmacist is one and the prescription department is closed? (all that apply) a. approval must be obtained by the board of pharmacy b. breaches of the secured area does not need to be reported to the board of pharmacy c. the situation is only allowed if the prescription area is the licensed area- not the entire store d. only a pharmacist has access to the secured (prescription department) area e. a sign stating "pharmacy department closed, no pharmacist on duty" must be displayed Correct Answer: A, D, E Which of the following will not cause and article to be adulterated? (all that apply) a. stored in unknown conditions b. it is in a container that leaches into the article c. it contains a color additive that isn't labeled in that manner d. it is mixed with a substance to reduce its quality e. it is not manufactured under cGMP Correct Answer: C A patient brings a prescription for Robitussin AC that they forged and was not actually issued by a prescriber. The pharmacist fills this prescription. This drug is: a. adulterated b. misbranded c. neither adulterated nor misbranded d. both adulterated and misbranded e. there is not enough information Correct Answer: B A patient brings a prescription for oxycodone for a knee injury. it was written on today's date by a hospital resident (MD) using an institutional DEA number with the appropriate suffix. The patient was not seeing in the hospital and the resident is currently on an orthopedic rotation. Can you legally fill this? a. yes, it was issued in the MDs scope of practice b. no, it was not issued in the scope of employment c. yes, it contains the institutional DEA and suffix d. no, it was not issued in the usual scope of practice e. yes, it is not up to the pharmacist to verify that the MD can prescribe drugs where the hospital is located Correct Answer: B What changes are pharmacists never allowed to make on a prescription for methylphenidate in IN? a. patient name, quantity prescribed, prescriber's name/signature b. patient name, controlled substance prescribed, prescriber's name/ signature c. controlled substance, quantity, directions for use d. controlled substance, quantity, directions for use e. patient name, date written, substance prescribed Correct Answer: B A pharmacist dispensed an isotretinoin product without going through the required REMS. This drug is: a. adulterated b. misbranded c. neither adulterated or misbranded d. both adulterated and misbranded e. there is not enough information Correct Answer: B Which of the following are required on a handwritten prescription for a C-II? i Date of issue ii DEA registration number of prescriber iii patient address iv drug name v prescriber address Correct Answer: E- all of the above select all elements that are required to be on a handwritten prescription for methadone a. date of issue b. patient name c. prescriber address d. prescriber DEA registration number or other identifier if exempt e. prescriber name Correct Answer: A, B, C, D, E When transferring a prescription for zolpidem from one pharmacy to the other which of the following information must be transferred? i number of refills remaining ii drug name and strength iii directions for use iv patient insurance v transferring pharmacist's name vi prescriber information Correct Answer: D- i , ii, iii, v, vi which of the following will NOT cause and article to be misbranded? (all that apply) a. if a pharmacist or intern throws away the package insert b. if it is a cream and not placed in child-resistant containers c. if it is advertised in a false or misleading manner d. if it does not carry the established name e. if it contains a coloring agent that is not listed in the ingredients on the label Correct Answer: B T/F - if a physician or other prescriber dies, the prescriptions that have refills remaining written by that prescriber remain valid if it is the judgement of the pharmacist that it is in the best interest to continue to fill those prescriptions, but not beyond the refills authorized in the prescriber's lifetime- meaning the office office personnel (non-practitioner) cannot authorize more refills Correct Answer: True Which of the following describes the closing of a pharmacy in Indiana? (all that apply) a. the board must be notified if a pharmacy will be closed for more than 5 consecutive days b. if a pharmacy is permanently closing, the board must be notified no more than 20 days after the transfer of controlled substances to another registrant if a pharmacy c. if a pharmacy is permanently closing, all legend drugs must be removed from the premises d. if a pharmacy is permanently closing, all symbols and signs related to pharmacy (drugs, drugstore, prescription, etc) must be removed e. if a pharmacy is permanently closing, submit the premises to an inspection by a representative of the board Correct Answer: A, C, D, E Which of the following describes an emergency refill? (all that apply) a. the patient indicates they need the medication b. the pharmacist has made every reasonable effort to contact the original prescriber or an individual "on-call" c. the original prescription was authorized for a refill d. the medication is an as-needed medication e. the pharmacist may complete more than one emergency refill on a single prescription Correct Answer: B, C T/F - the start and end of the licensing biennium and the start and end of the CPE biennium are the same Correct Answer: False Which of the following are true about pharmacy compounding? i compound prescriptions must be written for an individual patient ii compounds can be produced in bulk iii compounding includes reconstitution iv compounds should be different than commercial product v compounds are exempt from cGMP vi pharmacies making compounds that do not meet the requirements for pharmacy compounding would be considered outsourcing facilities Correct Answer: D- i, iv, v, vi T/F- the FDA cannot require a manufacturer to implement a REMS Correct Answer: False Considering the law of Indiana, select all that apply: a. patient counseling must be effectively communicated b. a pharmacist whose license is inactive cannot work as a pharmacist, does not have to pay licensing fees, but is required to earn CE credit c. a pharmacist is permitted to refuse to fill a prescription only if filling it would harm the patient d. pharmacy technicians are permitted to accept new prescriptions over the phone e. a pharmacist cannot release PHI without the patient's permission Correct Answer: A Which of the following describes things that the board members or board inspectors in Indiana may do? (all that apply) a. carry firearms in the performance of their duties b. make arrests without a warrant for controlled substance offenses c. serve subpoenas and execute search warrants d. seize property e. inspect pharmacies in Indiana Correct Answer: A, B, C, D, E You're working at a local Indiana retail pharmacy. A veterinarian licensed only in IN wrote "bubbles", a poodle, a prescription for a schedule III controlled substance. Regarding this medication, which of the following are true of the written prescription? i can be on a regular prescription blank ii must have 2 signature lines (DAW and May Substitute) iii must be on a security feature prescription blank iv prescriber's DEA number or institutional with suffix vi date of issue must be written Correct Answer: E- ii, iii, iv, v Which of the following are correct requirements of Indiana laws and rules? (all that apply) a. one pharmacist is not permitted to supervise more than 6 pharmacy interns, techs, or techs in training at one time b. pharmacy permits are valid for 3 years and a pharmacist's license for 2 years c. a pharmacy technician is permitted to give out medical advice gained by access to records in the pharmacy d. if a pharmacist does not renew their license by the date, the license automatically becomes inactive e. the only reason a pharmacist is permitted to refuse to fill a prescription is if filling it is against a patient's health or welfare Correct Answer: A revocation is called "permanent" but the pharmacist whose license is revoked is permitted to: a. obtain a temporary license pending the outcomes of the hearing b. apply for reinstatement of that license after a minimum of 7 years have passed c. transfer in a license that is active from another state d. apply for a new license after a minimum of 7 years e. both A and D are permitted for pharmacists impacted by this sanction Correct Answer: D Which of the following described requirements of a drug order? (all that apply) a. name of patient and bed number b. name and strength of the drug c. no quantity is required if the length of time of administration is specified or otherwise restricted by institutional policies or guidelines d. can only be reduced to writing by a pharmacy e. adequate directions for use when administered to the patient must be included Correct Answer: A, B, C, E Which of the following describes a prescribing practitioner recognized in indiana and therefore whose prescriptions can be honored? (all that apply) a. physician licensed in wisconsin and practicing in wisconsin b. dentist licensed in IN and Il, practicing in IN c. optometrist licensed only in Fl d. APN licensed only in Ohio and practicing at a VA outpatient clinic in IN e. PA licensed in IN and CA practicing in both states regularly Correct Answer: A, B, E Which of the following describes a situation in which the indiana board can discipline a pharmacist? (all that apply) a. indicating you have completed your CE when you in fact have not b. diversion of a non-controlled drug c. leaving a pharmacy intern in charge of the pharmacy d. discipline in another state that is based on an act that would be illegal in IN e. Not reporting an arrest on your renewal form except those for minor traffic violations or that have been expunged by a court Correct Answer: A,B,c,D,e T/F - if the established name is not on a manufacturer label, the article is misbranded Correct Answer: True Which of the following describes requirements of drug samples in IN? (all that apply) a. retail pharmacies cannot have samples in the pharmacy b. drug samples cannot be sold for money c. drug samples can be exchanged for services other than money d. practitioners interested in having samples must request them in writing from the manufacturer e. providers receiving samples must keep records of samples received and who they are provided to Correct Answer: A,B,D,E T/F - in an institution "unit-of-use" packages are deemed to be legally labeled if the package contains- at a minimum- patient identification, drug name, strength, and the expiration date and/or lot number Correct Answer: False which of the following describes the practice of pharmacy? (all that apply) a. compounding radioactive pharmaceuticals pursuant to a drug order b. proper and safe storage of drugs c. counseling a patient on the therapeutic uses of a drug d. providing medication therapy management e. administering immunizations to a patient Correct Answer: A,B,C,D,E T/F- if a patient in indiana medicaid wants you to dispense a brand name medication instead of its generic equivalent, you are able to dispense brand name based on only their request Correct Answer: F T/F- interns are not legally allowed to take down phone prescriptions Correct Answer: F T/F- a physician licensed in IN can prescribe an anabolic steroid for a patient when medically necessary Correct Answer: T T/F- If a veterinarian writes for a brand name medication, and Indiana pharmacist cannot automatically substitute for a generic, even if the veterinarian signed the "May Substitute" line Correct Answer: T T/F- Patients may self-administer drugs in an institutional setting if a patient's knowledge of self-administration has been evaluated and found to be sufficient of the patient has received training on self-adminisration Correct Answer: T T/F- under no circumstances is one pharmacist permitted to "qualify" for more than one individual pharmacy Correct Answer: F T/F- sterile pharmaceutical product means a dosage form free of all microbes Correct Answer: F- LIVING T/F- the board of pharmacy will not discipline a pharmacy intern who administers vaccines without training, if they administered the vaccine at the request of a licensed pharmacist. Instead they will only discipline the pharmacist Correct Answer: F T/F- CPE credit may be earned in the first 6 months of one biennium and be carried back to the previous biennium Correct Answer: T T/F- professional standards do not apply to interns Correct Answer: F T/F- Indiana requires that a faxed Rx have the name and address to which it is being faxed Correct Answer: T T/F- security feature prescriptions are required for all prescriptions for controlled substances written by licensed practitioners in all schedules and when photocopied must show the repeating word "void" on the face of the copy Correct Answer: T- WRITTEN T/F- a pharmacist can honor a prescription after the demise of the patient Correct Answer: F T/F- the board of pharmacy can temporarily revoke a patient's license Correct Answer: F- revoke is permanent T/F- If a pharmacist leaves the licensed area, goes to shop down the street, and places an intern in charge of the pharmacy while the pharmacist goes to eat lunch that would constitute "aiding or abetting the practice of pharmacy by an unqualified individual" Correct Answer: T T/F- pharmacists are required to administer vaccines to individuals as part of the practice of pharmacy Correct Answer: F T/F- "not in good faith" means the sale was intended to supply or divert a controlled substance or other legend drug in an unlawful manner Correct Answer: T T/F- a pharmacist must judge whether to dispense a valid refill on a prescription after the demise of the practitioner Correct Answer: T T/F- a pharmacist may accept an expired driver's license as a form of ID for a controlled substance prescription Correct Answer: F- must be valid T/F- the board of pharmacy may refuse to issue an initial license to an applicant for licensure Correct Answer: T T/F- the term "person" does not include corporations Correct Answer: F T/F- if a pharmacy must be closed for at least 5 consecutive days the board of pharmacy must be notified Correct Answer: T T/F- it is legal for a prescribing practitioner licensed in IN to have a prescription blank with a single signature line and a check box for "May Sub" and "DAW" Correct Answer: F T/F- A pharmacist or intern can provide the influenza vaccine via protocol Correct Answer: T T/F- regarding syringe sales, if the pharmacist or intern knows the purchaser, they do not need to record any information about the purchase of the syringes Correct Answer: F T/F- A pharmacist may surrender their license to the board of pharmacy instead of appearing for a hearing and the board cannot impose any sanctions with a surrender Correct Answer: F- they can impose any sanctions T/F- a "reversible condition" is a condition that requires intervention to resolve within a reasonable time and a "temporary condition" is a condition that resolves in a reasonable time without intervention Correct Answer: T T/F- only ACPE-accredited CPE is currently accepted in IN Correct Answer: F- 50% T/F- The start and end of the licensing biennium and the start and end of the CPE biennium are the same Correct Answer: F T/F- interns are permitted to counsel patients on new medications, but must still offer patient counseling by a pharmacist Correct Answer: T T/F- students do not have to graduate from an ACPE-accredited pharmacy program to obtain licensure in IN Correct Answer: T T/F- a pharmacist cannot dispense controlled substances for an animal because an animal does not have an appropriate form of ID Correct Answer: F T/F- offering to counsel patients is mandatory in IN Correct Answer: T The definition of sale includes: i manufacturing a drug ii offering a drug iii storing a drug iv delivering a drug v administering a drug Correct Answer: all of the above Which option shows three crimes associated with drug samples? a. buy sample, label for sale, and deliver in exchange for money or other property b. remove from original packaging, repackage, or label for sale c. remove from original packaging, repackage, and deliver in exchange for money or other property d. buy sample, repackage, label for sale e. repackage sample, label for sale, and counsel patients on its use Correct Answer: c- also, dispense after expiration If a pharmacist's license is placed on probation due to addiction to a controlled substance, the pharmacist may be required to: i perform unpaid hours of community service ii report regularly to the board iii work in an area without access to controlled substances iv complete additional hours of CE v attend weekly meetings for rehabilitation of an addiction Correct Answer: all of the above Which of the following is true of the Indiana BoP? a. one member may not be associated with pharmacy in any way other than as a consumer b. there a 8 members appointed by the governor c. fill time faculty members at colleges of pharmacy are preferred for membership d. an individual can serve a maximum of 4 years as a member of the board e. there are no restrictions on political party affiliation Correct Answer: A Regarding mechanical storage and dispensing devices for legend drugs, which of the following are true? a. no such devices are permitted in IN b. devices are permitted if only accessed by pharmacists c. they are allowed in licensed healthcare facilities, pharmacies, or locations under the jurisdiction of the board d. they can be allowed in LTC facilities if only accessed by RNs e. can be used in LTCFs if no controlled substances are contained inside Correct Answer: C which is TRUE regarding anabolic steroids in IN? a. all possessions not by physicians or pharmacists is prohibited b. use for the purpose of muscle mass is prohibited c. use for the purpose of enhancement in a sport or game is prohibited d. both B and C are true e. none of the above are true Correct Answer: C CAN be used for muscle mass if there is a medical need Considering the Indiana Generic Drug Act, which of the following is false? a. a pharmacist cannot substitute a generic medication if a veterinarian writes for a trade name medication b. therapeutic substitution can be determined by using the "orange book" c. a pharmacist can dispense a trade name medication for a Medicaid patient d. all prescriptions written in IN must have two signature lines that appear DAW on the left and May Substitute on the R e. If substituting a generic medication, the label should read "generic" substituted for "brand" Correct Answer: e, "generic" generic for "brand" Which of the following is FALSE regarding criteria for the reuse or re-dispensing of legend drugs that were originally dispensed to a patient residing in a county jail? a. drugs must be returned to the same pharmacy from which they were originally dispensed b. drugs may not be expired c. drugs must be in the manufacturer's original, unopened container with the tamper-evident seal in place d. drugs must be in the possession of a patient prior to administration e. drugs cannot be a controlled substance Correct Answer: C Which of the following is FALSE with regard to faxing a controlled substance prescription? a. the prescription being faxed must be complete in all aspects prior to faxing b. prescriptions for C-II and IV must be on security feature paper prior to faxing c. the statement "valid by facsimile only" must be on the prescription prior to faxing d. the name of the person faxing the prescription must be on the prescription e. the receiving fax machine must be in a non-public area Correct Answer: B To have a "store" open to the general public while the pharmacist is gone and the prescription department is closed, which of the following is true? a. if the whole store is the licensed area, the prescription must be locked and completely enclosed (floor to ceiling) b. electronic monitoring breaches must be signaled in the store only and not off site c. if only the prescription department is the licensed area, that area may be secured only by electronic means- full barriers are not required d. this situation is only allowed if the prescription department is the licensed area, not the entire store. e. only a pharmacist has access to the secured area. Correct Answer: E You're working in an Indiana retail pharmacy. A georgia resident brings in a prescription for a C-II written (prescribed) by a PA licensed in TN. Regarding this prescription, which of the following is TRUE: a. can dispense- this is a valid prescription in TN and can be filled based on Indiana laws/ rules b. cannot dispense- this prescription would not be written on an IN security feature blank since it was written in TN c. cannot dispense- this prescription was not written by a prescriber recognized in IN d. can dispense- must call to have the PA's supervising physician authorize the prescription under their name e. cannot dispense- the patient is not an IN resident Correct Answer: C For a sale to not be in "good faith", an individual must sell: i an unusually large amount ii within an unusually short period of time iii to one individual Correct Answer: all of the above [Show Less]
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Nebraska MPJE; 176 Questions with 100- Correct Answers 2022/2023
Nebraska MPJE | 176 Questions with 100% Correct Answers 2022/2023 What legistation was created for the provisions for the fast track review of some NDA ... [Show More] submissions to expedite approval of new drugs used to treat life-threatening conditions? Correct Answer: Food and Drug Administration (FDA) Modernization Act 1997 What legistation encouraged manufacturers to conduct research for new uses of drugs and to submit SNDAs for these uses? Correct Answer: FDA modernization act 1997 What act reduced the cose of orphan drugs? Correct Answer: Orphan drug act 1983 What act prohibited the adulteration or misbranding of food and drugs? Correct Answer: Pure Food and Drug Act 1906 What act required tha active ingredients be placed on the label of a drug's packaging and that drugs couldn't fall below purity levels established by the USP or National Formulary? Correct Answer: Pure food and drug act 1906 What amendment defined two categories - legend and OTC Correct Answer: Durham-humphrey 1951 What amendment mandated there must be "adequate directions for use" on the manufacturer's label for OTC's Correct Answer: Durham-Humphrey 1951 What amendment declared that all new drugs marketed in the U.S. had to be shown to be safe and effective Correct Answer: Kefauver-Harris 1962 What act was passed to correct the problem of diversion from the normal distribution channels. Prohibits drug from being re-imported into the U.S. Except by the manufacturer of said drugs. Correct Answer: Prescription Drug Marketing Act 1987 What act requires proper storage of drugs and maintenance of appropriate distribution records? Correct Answer: Prescription Drug Marketing Act 1987 What act prohibits sale, purchase, or trade of any drug which was purchased by a public or private hospital or other health care entity? Correct Answer: Prescription Drug Marketing Act 1987 What act prohibits the sale, purchase, or trade of any drug sample or drug coupon redeemable for a drug product? Correct Answer: Prescription Drug Marketing Act 1987 To be PIC what are the hourly requirements they must physically work in a pharmacy? Correct Answer: majority of the hours per week that the pharmacy is open averaged over a 12 - month period or 30 hours per week Who must submit the Pharmacy Quality Assurance Report and when? Correct Answer: PIC and Annually Who submits the Parkinson's Disease Registry Act to the Department semiannually? Correct Answer: PIC Who needs to be notified if there's a change in pharmacy ownersip, address, PIC, or pharmacy closes? Correct Answer: Department of Health and Human Services Within how many days should the department be notified that a pharmacy is closing? Correct Answer: 30 days prior Within how many days should the department be notified of the disposition/sale of inventory, prescription records, etc due to pharmacy closing? Correct Answer: 15 days When shold the department be notified of a change in PIC? Correct Answer: Immediately What information is reported under the Parkinson's disease registry Correct Answer: Report shall include the name, address, and socical security number of the person for whom the drugs were prescribed and the name and address of the prescribing physician How long must a pharmacy maintain inventory records Correct Answer: 5 years Within how many days should a copy of the initial CS inventory, annual inventory, and/or CS inventory take pursuant to change in PIC be forwarded to the Department? Correct Answer: Within 30 days after completion In the event of a pharmacy closing what documents must be returned to the Department Correct Answer: Pharmacy license, pharmacy's DEA registration, all unused DEA 222 Forms If CS inventory is transferred to another pharmacy, how long must those transfer records be maintained? Correct Answer: 2 years How often does a consult pharmacist have to physically be in the public health clinic? Correct Answer: 30 days May a pharmacy intern transfer CS? Correct Answer: Yes May a pharmacy intern conduct DUR? Correct Answer: Yes May a pharmacy intern oversee technicians? Correct Answer: No May a technician receive an oral medication order? Correct Answer: No May a technician Drug Product Select? Correct Answer: No May a technician counsel or provide any professional consultations? Correct Answer: No May a technician clarify a medical order? Correct Answer: No Can supervision and/or verification be fulfilled via real-time audiovisual cmmunication? Correct Answer: Yes, for verification only if patient is resident of a facility Requirements to be a pharmacy technician Correct Answer: Must be at least 18 years old, have met the educational requirements of a high school diploma, never been convicted of any nonalcohol, drug-related misdemeanor/felony, fulfill training requirements within the first 30 days of employment, apply for registration w/in 30 days of being hired Supervision Ratio Correct Answer: 2 technicians : 1 RPh 3 interns : 1 RPh 2 technicians and 1 intern : 1 RPh Are interns receiving their experiential training applied to the supervision ratios Correct Answer: No May retail pharmacies receive starter packs? Correct Answer: Yes, they are not considered samples and are intended for initiation of drug therpy for a patient. Also not labeled as a sample Possession of prescription drug samples by retail pharmacies would be considered ________ ___________ by the FDA. Correct Answer: Drug diversion When may institutional pharmacies receive prescription drug samples? Correct Answer: Licensed prescriber requested (disposition precisely recorded and stored separately from normal drug stock) If a licensed practitioner provides written requiests for prescription drug samples, for how long must the manufacturer keep the request and who is responsible for the annual inventory of the samples? Correct Answer: 3 years; sales representatives are responsible for prescription drug samples, including the annual inventory What is proper refrigeration temperatures Correct Answer: 36 to 46'F or 2 to 8'C What is the proper freezer temperatures Correct Answer: -4 to 14'F or -20 to -10'C What is the proper room temperature? Correct Answer: 46 to 59'F or 8 to 15'C A pharmacy must register as a wholesale drug distributor if it distributes more than: Correct Answer: 5% gross dollar value of the total prescription drug sales revenue in a 12month period Define long-term detox treatment Correct Answer: 30 to 180 days Define maintenance treatment Correct Answer: > 21 days Define short term detox treatment Correct Answer: < 30 days What act enables qualifying physicians to receive a waiver from the special [Show Less]
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Federal MPJE 2022/2023 Practice Questions AND ANSWERS 100 QUESTIONS
Federal MPJE Practice Questions AND ANSWERS| 100 QUESTIONS what law prohibits the distribution of food and drugs that are misbranded or adulterated? Cor... [Show More] rect Answer: Pure Food and Drug Act What is the system that can be used as an electronic substitute for DEA Form 222 when ordering Schedule II controlled substances? Correct Answer: Controlled Substance Ordering System (CSOS) What agency is responsible for the federal Controlled Substances Act (CSA)? Correct Answer: the DEA A pharmacist wants to know if generic warfarin tablets are bioequivalent to brand name Coumadin tablets. Where can this information be found? Correct Answer: The Orange Book When a pharmacy submits a DEA Form 222 (single sheet) to purchase Schedule II controlled substances, who keeps the original copy of the DEA Form 222? Correct Answer: the supplier Which DEA form must be completed and submitted to the DEA upon discovering a theft or significant loss of controlled substances? Correct Answer: DEA Form 106 What is the first application that must be submitted to the FDA before a drug can be administered to humans in order to start testing? Correct Answer: Investigational New Drug Application (IND) Which phase of a clinical trial is first used to determine the efficacy of a drug? Correct Answer: Phase II What Act regulates the sale and recordkeeping requirements for prescription drug samples? Correct Answer: Prescription Drug Marketing Act A manufacturer has a drug that is currently on the market, but they want to change the way the drug is produced. What type of application must be submitted to the FDA in order to request approval for this change? Correct Answer: Prior Approval Supplement (PAS) Which FDA expedited review program is intended for drugs that treat serious conditions and fill an unmet medical need? Correct Answer: Fast track Schedule II controlled substances CANNOT be transferred in which of the following scenarios? Correct Answer: A researcher would like to transfer excess Schedule II controlled substances to a pharmacy to be dispensed to patients A patient wants to refill a prescription but was not satisfied with the pharmacy that filled and dispensed the prescription the first time. The patient demands the prescription be returned so they can take it to a different pharmacy to obtain refills. The pharmacist should: Correct Answer: offer to give a copy of the prescription to the patient, keep the original copy at the pharmacy, and recommend the patient request the prescription be transferred to another pharmacy if legal An example of an adulterated drug is: Correct Answer: a medication that has an unapproved color additive What was the first law requiring drugs to be proven safe before being marketed? Correct Answer: Food, Drug, and Cosmetic Act What set of regulations specifies the required minimum manufacturing standards for pharmaceutical products in the US? Correct Answer: Good Manufacturing Practice (GMP) A drug has an NDC of 16103-0350-11. The 0350 represents: Correct Answer: the identity of the drug Which of the following is a Schedule II controlled substance? Correct Answer: pentobarbital A prescription for lorazepam can be refilled a maximum of how many times within a six-month period? Correct Answer: five Which of the following is NOT required on the manufacturer's drug container label for an oral drug product? Correct Answer: directions for administration A water-containing oral formulation that is compounded from commercially available drug products has a maximum beyond-use-date (BUD) of ___ when refrigerated. Correct Answer: 14 days Which of the following is a mid-level practitioner? Correct Answer: Optometrist Durable Medical Equipment (DME) must meet which standards? Correct Answer: It can withstand repeated use Appropriate for use in the home It is primarily for a medical purpose Federal investigations into thefts and robberies may take place per the Controlled Substances Registrant Protection Act (CSRPA) if the incident meets which of the following conditions? Correct Answer: It will cost $500 or more to replace controlled substances An employee suffers from significant injuries or death What Act set the requirement that patients must be offered counseling on dispensed medications? Correct Answer: OBRA 90 Under the iPledge Risk Evaluation and Mitigation Strategy (REMS) for isotretinoin, what is the maximum number of refills that may be authorized on a prescription? Correct Answer: 0 refills In which situation would it be illegal for a pharmacy to compound drugs? Correct Answer: Dosage forms are sold only to other pharmacies and not physician offices What DEA form is necessary to purchase or transfer Schedule II controlled substances? Correct Answer: DEA Form 222 What working at a retail pharmacy, a patient calls and says they just got home from the hospital after having broken their leg. The patient cannot make it to the pharmacy to pick up their prescription for a Schedule II controlled substance that is ready to pick up. The patient asks if the pharmacy can mail the prescription to the house (mail delivery). How should the pharmacist respond? Correct Answer: The prescription can be sent to the patient through mail Which of the following statements is/are true about narrow therapeutic index (NTI) drugs? Correct Answer: Small differences in the dose or blood concentration may lead to adverse reactions They require careful titration or patient monitoring for safe and effective use What Act set the requirements for child-resistant closures for prescription drugs, non-prescription drugs, and hazard household products? Correct Answer: Poison Prevention Packaging Act For which type of drug recall is there a possibility of temporary or medically reversible adverse effects, but the probability of serious adverse effects is remote? Correct Answer: Class II What types of patients are included in a Phase I clinical trial for drug development? Correct Answer: small group of healthy participants without the disease condition Re-importation of medications is only legal if performed by the: Correct Answer: original manufacturer What law requires drugs to be proven effective (as well as safe) before being marketed? Correct Answer: Kefauver-Harris Amendment Which DEA registration form is used for pharmacies to register with the DEA to possess and dispense controlled substances? Correct Answer: DEA Form 224 What information is required to be included in the transaction report transmitted from a manufacturer to a pharmacy when the pharmacy purchases bulk bottles of a medication? Correct Answer: transaction information transaction history transaction statement A pharmacist receives an urgent notification from a manufacturing company for a recall of a specific medication because it may cause serious adverse health issues or death. What type of drug recall is this? Correct Answer: Class I What Act requires health care facilities to report death or injuries caused by or suspected to have been caused by a medical device to the FDA or the manufacturer? Correct Answer: Safe Medical Device Act An example of a misbranded manufacturer's container of a drug would be: Correct Answer: there is no quantity of the contents listed on the container Which of the following is TRUE regarding the stocking and dispensing of methadone at retail pharmacies? Correct Answer: methadone may be stocked at a retail pharmacy, but may only be dispensed as an analgesic According to the FDA, a drug is considered to be an orphan drug if it is for rare diseases or conditions that impact fewer than how many people in the US? Correct Answer: 200,000 Which of the following ingredients has special labeling requirements if it is included in a product? Correct Answer: FD&C Yellow No. 5 In which case(s) is it appropriate to receive a faxed prescription for a Schedule II controlled substance? Correct Answer: Patient is a resident of a long-term care facility Patient is enrolled in hospice program Medication is intended for home infusion therapy What is the acronym of the voluntary reporting system for medication adverse events? Correct Answer: FAERS Within how many days must a prescriber deliver a written prescription for a Schedule II controlled substance that was called in orally to be dispensed in an emergency situation? Correct Answer: 7 days A pharmacy intern wants to know where to find information on therapeutic equivalence between biologics. Which book contains this information? Correct Answer: The Purple Book In which case(s) must an exact count be taken while performing a controlled substance inventory? Correct Answer: It is a Schedule II controlled substance The bottle holds more than 1000 tabs/caps Containers are sealed or unopened The scheduling of controlled substances at the federal level is performed by the: Correct Answer: US Attorney General A manufacturer of a prescription-only drug wants to reclassify the drug as an OTC drug. What is one of the forms that may be submitted to the FDA when requesting reclassification of a prescription-only drug to an OTC? Correct Answer: New Drug Application (NDA) You are a pharmacist that suspects a fake controlled substance prescription was called into your pharmacy. You use the numbers in the provided DEA to verify if it is a true DEA number. It is indeed not a true DEA number because the last number is incorrect. The DEA number is BS5927683. What would be the correct last digit of the DEA number if it was accurate? Correct Answer: The number should be 1. To check: 1) add together the first, third, and fifth numbers 2) add together the second, fourth, and sixth numbers. multiply this number by 2. 3) add the numbers together from steps 1 and 2. the last digit of the number you get from step 3 is the last number of the DEA number. It should be a 1 in this case. Which of the following prescriptions would likely be out of the scope of practice for a dentist? Correct Answer: Atorvastatin Who is authorized to sign a DEA 222 Form at a community pharmacy? Correct Answer: The pharmacist who signed the most recent application for renewal of the pharmacy's DEA registration or someone authorized under a power of attorney OTC drug advertising is regulated by the: Correct Answer: Federal Trade Commission (FTC) A pharmacy may keep which of the following records at a central location other than the location registered with the DEA? Correct Answer: Controlled substance shipping and financial records Acetaminophen with codeine (Tylenol #3) is classified under which controlled substance schedule? Correct Answer: Schedule III A patient is admitted to a hospital and does not remember the names of the medication that she takes at home. The hospital pharmacist calls the patient's outpatient pharmacy to obtain a list of medications. Which of the following statements is true? Correct Answer: This is not a HIPAA violation because the information is being given to the hospital for treatment purposes A warning stating "Caution: Federal law prohibits the transfer of this drug to any person other than the patient for whom it was prescribed" is required on the label on which of the following prescriptions? Correct Answer: Schedule II-IV Registering with the FDA as an outsourcing facility allows a pharmacy to: Correct Answer: compound sterile products without receiving patient-specific prescriptions Which of the following are appropriate ways to file paper prescription records at a pharmacy, based on federal law? Correct Answer: 3 buckets: Schedule II, Schedule III-IV, non-controlled 2 buckets: Schedule II-V and non-controlled 2 buckets: Schedule II filed separately, Schedule III-V and non-controlled filed together with a red "C" on controls Standards and requirements for preparing sterile compounded drugs to ensure patient benefit and reduce risks such as contamination, infection, or incorrect dosing are outlined in which of the following? Correct Answer: USP Chapter <797> Which of the following is/are required to register with the DEA? Correct Answer: a manufacturer that manufactures controlled substances a pharmacy that dispenses controlled substances a physician who prescribes controlled substances [Show Less]
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Texas MPJE 2022-2023 Question and Answers.
Texas MPJE 2022-2023 Question and Answers Pharmacists are required to complete sterile compounding training through a recognized course in an accredit... [Show More] ed COP or a course sponsored by an ACPE accredited provider. a) True b) False - ANSWER a) True If a patient is admitted to an ER and requires a Schedule II CS upon release, what is the maximum amount that can be sent home with the patient? a) 24 hour supply b) 48 hour supply c) 72 hour supply d) 7 day supply - ANSWER d) 7 day supply A class G pharmacy may have a ratio of on-site pharmacists to pharmacy techs and trainees of what? a) 1:4 b) 1:6 c) 1:8 d) Unlimited - ANSWER c) 1:8 7 need to be technicians, only 1 can be a trainee Compounding a sterile preparation using less than 3 different sterile products not located in an ISO class 5 or better area is considered what level of risk? a) Low risk b) Low risk with a 12 hour beyond use date c) Medium risk d) High risk - ANSWER b) Low risk with a 12 hour beyond use date Because not located in ISO class 5 or better otherwise it would just be low risk What form is used to notify the DEA of theft or significant loss? a) DEA 41 b) DEA 106 c) DEA 222 d) DEA 224 - ANSWER b) DEA 106 - theft or significant loss DEA 41 - request for destruction DEA 222 - ordering product DEA 224 - negotiation of pharmacy If a pharmacy is unable to complete the partial filling of a schedule II prescription within the required interval... a) Prescription is now void b) Call prescriber to notify them and get a new prescription over the phone c) Call prescriber to notify them and have a new prescription written d) A and B e) A and C - ANSWER e) A and C A Class 2 (II) recall means? a) Not likely to cause adverse health effects b) Reasonable probability that exposure will cause serious adverse health effects or death c) May cause temporary or medically reversible adverse health effects d) None of the above - ANSWER c) May cause temporary or medically reversible adverse health effects A Class E-S pharmacy may not renew a pharmacy license unless the pharmacy has been inspected by the board or its designee within the last two years. a) True b) False - ANSWER a) True Class E = non-resident What are the requirements to become a registered pharmacy technician? a) Have/working towards a high school diploma or GED b) Passed board-approved pharmacy technician certification exam c) Granted an exemption form taking the pharmacy technician certification exam d) Both A and B e) A, B, and C - ANSWER e) A, B, and C Multiple dose vials may be stored for how long unless otherwise indicated by the manufacturer? Look in BUD? a) 4 days b) 10 days c) 28 days d) 30 days - ANSWER c) 28 days A pharmacy that does limited prescription deliver is considered which class of pharmacy? a) Class A b) Class C c) Class G d) Class H - ANSWER d) Class H How often must total particulate counts be performed in the sterile compounding areas? a) Weekly b) Monthly c) Every 3 months d) Every 6 months e) Every 12 months - ANSWER d) Every 6 months A class H pharmacy with multiple locations only needs to have one pharmacy license issued by the board instead of a license for each location a) True b) False - ANSWER b) False How often can a retail pharmacy make a request to destroy controlled substances on their premises? a) 6 months b) 12 months c) 24 months d) No request necessary - ANSWER b) 12 months An opened or needle punctured single-dose containers such as bags, bottles, syringes, and vials of sterile products shall be used within what time period if opened in worse than ISO Class 5 air quality? a) 30 minutes b) 60 minutes c) 90 minutes d) 120 minutes - ANSWER b) 60 minutes Class E pharmacies that fill controlled substance prescriptions for residents in Texas must submit electronically the prescription within...? a) 5 days b) 7 days c) 10 days d) 14 days - ANSWER b) 7 days [Show Less]
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Texas MPJE, Ultimate Texas MPJE 2022/2023
Texas MPJE, Ultimate Texas MPJE 2022 Texas pharmacist can administer all vaccines - ANSWER True What age can pharmacist administer influenza - AN... [Show More] SWER 7 What is the min age for all other vaccines - ANSWER 14 How many hours for nuclear training - ANSWER 700 hours State board is made up of how many members - ANSWER 11 How many pharmacists are on the state board - ANSWER 7 How many techs are on the state board - ANSWER 1 How many public members are on the state board? - ANSWER 3 What are pharmacists requirements to be on the board? - ANSWER resident of texas, actively practicing pharmacy, been licensed for 5 years prior to appointment How long do board members serve - ANSWER 6 years Special CE requirements - ANSWER Texas pharmacy laws or rules 1 hr Pain management 1 hr Prescribing and monitoring controlled substances 2 hrs Mental health awareness 1 hr Preceptor CE if certified preceptor When does license renew - ANSWER every 2 years from birth month Food Drug and Cosmetic Act - ANSWER Established FDA and required new drugs to be proven safe prior to marketing Durham-Humphrey Act of 1951 - ANSWER Established Rx and OTC drug class; authorized verbal prescriptions and prescription refills Kefauver-Harris Amendment - ANSWER Required new drugs to be proven safe and effective, established GMPs, FDA jurisdiction over prescription drug advertising Prescription drug market act - ANSWER Bans reimportation of prescription drugs and insulin products produced in the US except by manufacturer. Bans sale, trade or purchase of samples Drug Quality and Security Act - ANSWER Allows facilities that are compounding sterile that are not patient specific to register as outsourcing facility Outsourcing facilities - ANSWER have a licensed pharmacist, report to secretary of HHS every 6 months, be inspected by FDA, report serious ADR within 15 days , label as compounded drug Drug Supply Chain Security Act - ANSWER Requirements for tracing prescription drug products through pharmaceutical supply distribution chain. Transaction data Adulteration - ANSWER contains filthy, putrid, or decomposed substance, prepared or held in unsanitary conditions, manufacturing methods dont conform to GMP, container is composed of poisonous substance, has unsafe color additive, different strength, mixed or packed with substance that reduces strength and quality Misbranding - ANSWER Labeling of a product that is false or misleading; label information must include directions for use; safe and/or unsafe dosages; manufacturer, packer, or distributor; quantity; and weight, Rx only, route of admin, special storage instructions, Lot number, expiration, package insert Only pharmacies allowed to work with drug samples - ANSWER Pharmacy owned by charitable organization or government serving indigent population; Class D Three constituents of data required to be provided by manufacturer for each product sold - ANSWER Transaction information, history, and statement Transaction Information constituents - ANSWER Drug name strength dose and NDC, container size and count, transaction date, name and address of seller and buyer Transaction history - ANSWER Prior transaction information for each prior transaction Transaction Statement - ANSWER States seller is authorized for transaction, information and history were provided and are correct, and product is legitimate and has processes to comply with verification requirements, previous seller was legitimate and provided true information Exceptions to distributing without a license - ANSWER Distributing between common ownership, patient specific basis, emergency medical reasons, or minimal quantities to a practitioner for office use Adulteration - ANSWER Actual contents of product is below standard or is unsafe. Misbranding - ANSWER Labeling that is misleading or missing required information, non-compliant with PPA Requirements for manufacturer's label of prescription drugs - ANSWER Manufacturer name and address, drug name, dose quantity, route for non-PO, lot, and expiration, package insert, storage instructions, Rx only legend Requirements for OTC drug labels - ANSWER Principal display panel, including statement of identity of product Manufacturer name and address Net qty of contents Cautions and Warnings Adequate *directions* for use "Drug Facts" panel: active ingredients, purpose, indication, warning, directions, other info, inactive ingredients, questions followed by phone # Special warning requirement ingredients - ANSWER Yellow #5/6, aspartame, sulfites, mineral oil, wintergreen oil, sodium phosphates (90 mL max), isopreterenol, potassium salts, ipecac syrup, phenacetine, salicylates (max 36 tabs of 81mg), alcohol for analgesics/antipyretics, APAP, NSAIDs FDA Class I Recall - ANSWER Serious ADE or death possible FDA Class II Recall - ANSWER Temporary/reversible ADE or serious ADE remote FDA Class III Recall - ANSWER Not likely to cause ADE When are package inserts required for institutionalized/hospitalized patients? - ANSWER Prior to first administration and every 30 days for OC, estrogen, and progesterone products. Misbranded without insert. Patient package inserts are required for which drugs? - ANSWER oral contraceptives; estrogen-containing products Misbranded without insert iPLEDGE requirements - ANSWER Doctor, pharmacy, and patient are registered, negative pregnancy test, contraceptive use and pregnancy testing, dispensed as blister packs of no more than 30 day supply, no refills Requirements to be considered compounding vs manufacturing - ANSWER Patient specific, done by pharmacist or physician, USP compliance, manufacturer of drug is registered and has certificate of analysis, excipients comply with USP/NF monograph, not a replica of an existing product, drug not withdrawn from market due to safety, no statement from FDA stating difficulty for compounding demonstrating an ADE, 5% rule FDA Orange book - ANSWER Generic equivalency book official name: Approved Drug Products with Therapeutic Equivalence Evaluations A# are drug products the FDA considers to be _______ equivalent and _______ equivalent - ANSWER pharmaceutical and therapeutically B# are drug products the FDA considers to ____ be _______ equivalent and _______ equivalent - ANSWER NOT, pharmaceutical, therapeutically FDA Purple book - ANSWER Biologic interchangablity book official name: Lists of Licensed Biological Products with Reference Product Exclusivity and Biosimilarity or Interchangeability Evaluations In Texas, which products may be substituted? - ANSWER generically equivalent or interchangeable products Poison Prevention Packaging Act - ANSWER Regulated by Consumer Product Safety Commission. Requires child-resistant containers for all prescriptions and certain OTC drugs PPPA exemption request from patient/prescriber - ANSWER Only patient can provide blanket request for all future prescriptions. Provider can only request for single prescription PPPA exemptions - ANSWER Bulk containers, drugs distribution to institutionalized patients, OC/estrogens/northindrone in manufacturers package, medroxyprogesterone tablets, nitroglycerin SL, isosorbide chewable up to 10mg, ASA/APAP effervescents, Unit dose potassium supplements, sodium fluoride up to 264mg, anhydrous chloestyramine/colestipol packets, erythromycin granules for PO suspension, erythromycin suspension up to 8g, erythromycin tablets up to 16g, prednisone tabs up to 105mg, methylprednisolone tabs up to 84mg, mebendazole tabs up to 600mg, betamethasone tabs up to 12.6mg, inhalants, pancrelipase, sucrose in glycerol and water Federal Hazardous Communications Standard, who enforces this standard? - ANSWER Requires pharmacies to have a plan including list of hazardous chemicals with SDSs, and to train workers, OSHA Federal Hazardous Substances Act - ANSWER OSHA administers and enforces. Requires labeling of hazardous materials including manufacturer, type of danger, "Keep out of reach of children", handling and storage instructions, written hazard communication plan, [Show Less]
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Multistate Pharmacy Jurisprudence Exam (MPJE) Review (FEDERAL LAW) (2022/2023)
Multistate Pharmacy Jurisprudence Exam (MPJE) Review (FEDERAL LAW) Food and Drug Administration Correct Answer: a federal agency in the Department of H... [Show More] ealth and Human Services established to regulate the release of new foods and health-related products (P)FDA Correct Answer: Pure Food and Drug Act of 1906 Federal Food, Drug, and Cosmetic Act of 1938 (6/25/38) Correct Answer: FDCA Poison Prevention Packaging Act of 1970 Correct Answer: PPPA Controlled Substance of 1970 Correct Answer: CSA Controlled Substance Act of 1970 Correct Answer: What act established the FDA in 1970? DEA (created 1973) Correct Answer: Drug Enforcement Administration Prescription Drug Marketing Act of 1987 Correct Answer: PDMA Omnibus Budget Reconciliation Act of 1990 Correct Answer: OBRA 90 - what does it stand for Adulteration Misbranding Placing into interstate commerce unapproved new drugs Correct Answer: What 3 illegal acts did the Pure Food and Drug Act of 1906 establish Federal Food, Drug, and Cosmetic Act of 1938 Correct Answer: Mandated tests for drug toxicity and provided means for recall of drugs; established procedures for introducing new drugs; gave FDA the power of enforcement Intended Use Correct Answer: A drug is dependent on _____________ Provider, not the user Correct Answer: Intended use is determined by the___________, not the __________ 1. In USP, or NF, or Homeopathic P. 2. Articles INTENDED FOR use in the Diagnosis Cure Mitigation Treatment or Prevention of Disease in man or animal 3. Articles intended to affect the STRUCTURE or FUNCTION of the body (other than food) 4. Any component of the above Correct Answer: Drug Device Correct Answer: Instrument, apparatus, implement, machine, contrivance, implant, in vitro reagent A drug works through a chemical reaction and is dependent on metabolism. ; Devices are only recognized in the USP or NF (Not homeopathic) Correct Answer: What is the difference between how a drug works and a device works I. Reasonable assurance of safety and effectiveness (referred to as GENERAL CONTROLS device) II. Insufficient info for reasonable assurance safety and effectiveness III. Pre-market approval Correct Answer: What are the 3 classes of devices Class I Correct Answer: Device class - Reasonable assurance of safety and effectivenss Class III Correct Answer: Pre-market approval cosmetic Correct Answer: Something applied to the body for Cleansing, Beauty, Altering, Appearance. (NOT SOAP) True Correct Answer: True or False: A item can be both a drug AND cosmetic Label Correct Answer: Written, printed, or graphic on the container or accompanying it Label Correct Answer: What must always accompany the container because it conveys intended use True Correct Answer: True or False: A patient may be given a package insert FDA Correct Answer: Labelling must be ________ approved Contraindications Warnings Precautions Adverse Reactions Correct Answer: What is the order of importance of what is included in a package insert Essential scientific information; not false or promotional evidence of safe and effective clinical pharmacology Correct Answer: What is the required content of a package insert New Drug Correct Answer: Any drug after June 25, 1938 that was subject to the Food and Drug Act of 1906 NDA (New Drug Application Correct Answer: Required of all new drugs ANDA (Abbreviated New Drug Application) Correct Answer: Required of all generic drugs Same: Entity Strength Dosage Form And MUST BE BIOEQUIVALENT Correct Answer: What are the requirements of an ANDA False - just new drugs (prior to interstate commerce) Correct Answer: True or False: Both new drugs and generic drugs must be proven to be safe and effective Adulterated Correct Answer: What a drug is corrupt, debase or made impure by the addition of a foreign or inferior substance or element Misbranding Correct Answer: Label is false or misleading (no label or a false label) Rx only Correct Answer: Caution: Federal law prohibits dispensing without a prescription. (FEDERAL LEGEND) True Correct Answer: True or False: a filled prescription is exempt from misbranding if the drugs has "Federal Legend" and is properly filled Misbranding Correct Answer: Dispensing a prescription without prescription is considered_________ GRAE (generally recognized as effective) GRAS (generally recognized as safe) Correct Answer: New drugs must be Class I Correct Answer: Device class also referred to as General Controls The intentions of drugs or devices: Diagnosis Cure Mitigation Treatment or Prevention of disease in man or animal Correct Answer: What acronym is Doc My Toes are Purple for? 1. Lack of safety without supervision 2. Sponsor's request Correct Answer: What are two ways for an item to be classified as prescription 1. Call your doctor 2. Call FDA at 1-800-FDA-1088 3. Report online at www.fda.com/medwatch Correct Answer: How does the patient report adverse events FDA Adverse Event Reporting System (FAERS) Correct Answer: -database on adverse events and med error reports given to FDA -info used to ID possible safety concerns -manufacturers who receive adverse drug event report must submit info to FDA FDA Recall Class I Correct Answer: Threat to LIfe (what FDA Recall Class) FDA Recall Class II Correct Answer: Temporary or reversible adverse health consequences (what FDA Recall Class) [Show Less]
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Ohio MPJE 2022/2023; 931 QUESTIONS AND ANSWERS 100- CORRECT
Ohio MPJE 2022 | 931 QUESTIONS AND ANSWERS 100% CORRECT What does "guidance" mean in law? Correct Answer: best practice; not a law What does "shall"... [Show More] mean in law? Correct Answer: it's required What does "should" mean in law? Correct Answer: strongly recommended What is an abandoned application? Correct Answer: occurs when an applicant for any license with the BOP fails to complete all components of the application within 30 days after notice from the board How long does a terminal distributor have to demonstrate compliance after a license application is submitted? Correct Answer: 90 days What is included in "access to drug stock"? Correct Answer: physical access and influence over the drugs (includes purchasing, inventory, etc.) What is an act of moral turpitude? Correct Answer: something that gravely violates moral sentiment/standards What is "pharmacist responsibility"? Correct Answer: the pharmacist is ultimately responsible for every prescription dispensed by a pharmacy and must do the final check What is a pharmacy? Correct Answer: any place where prescriptions are filled or where drugs are compounded, sold, offered or dispensed What is a drug? Correct Answer: something that is used to diagnose, cure, treat or prevent a disease in man or animals or intended to affect the structure/function of the body (not food); must be recognized by USP What is dispensing? Correct Answer: final association of a drug with a patient pursuant to a prescription/order; includes labeling, compounding and packaging a specific drug What is a dangerous drug? Correct Answer: a prescription drug; must have a label saying something like "Rx only" or have a statement about not dispensing without a prescription What is a drug of abuse? Correct Answer: any dangerous drug What forms can a prescription come in? Correct Answer: written, oral, faxed or electronic How are records for electronically received prescriptions stored by a pharmacy? Correct Answer: records must be kept for 3 years and there must be record of dispensing the original prescription with positive identification; if the above are met then you do not have to print out the prescriptions and save hard copies What is a prescriber? Correct Answer: anyone allowed to prescribe dangerous drugs under the Ohio Revised Code OR a pharmacist operating under a consult agreement that allows it Who can remove prescription drugs from a terminal distributor? Correct Answer: a licensed healthcare professional authorized to prescribe OR a person authorized to dispense naloxone in the cause of removing naloxone only What drugs can be removed from a terminal distributor? Correct Answer: non-controlled substance drugs, immunizations or naloxone When must drugs taken from a terminal distributor be returned? Correct Answer: 24 hours Do prescribers have to manually sign faxed prescriptions? Correct Answer: yes Do prescribers have to manually sign faxed refill authorizations? Correct Answer: yes Can an agent of the prescriber transmit a faxed prescription? Correct Answer: yes but their full name must be included in the fax What must be on a faxed prescription to be valid? Correct Answer: signature of provider, location transmitted and the date it was faxed Does the prescriber have to keep an original of a faxed prescription? Correct Answer: yes, must be kept in the patient's chart Can prescriptions be sent from a physician's computer to a pharmacy fax machine? Correct Answer: in general, no, but there are a few exceptions When are prescriptions allowed to be sent from a physician's computer to a pharmacy fax machine? Correct Answer: only if the prescription computer and fax machine are on a closed system OR there is a temporary outage of telecommunication AND the prescription is for a non-controlled substance Can an electronic drug record keeping system be used for the original order for an inpatient drug order? Correct Answer: yes, but the system must be restricted to healthcare professionals and use positive ID for ordering AND the pharmacy must have written polices about who in the pharmacy can access these orders What is the requirement for price information from a pharmacy? Correct Answer: a pharmacy must disclose pricing information for all drugs except C2 What is required when a pharmacy advertises a drug? Correct Answer: brand name generic name strength dosage form price for a specific quantity What does "readily retrievable" mean? Correct Answer: records must be produced within 3 business days What does it mean when the BOP refuses to grant or renew a license? Correct Answer: it means they denied an original or continued license for at least 24 months What is a terminal distributor? Correct Answer: a pharmacy that dispenses/sells drugs retail; includes labs What is a virtual wholesale distributor? Correct Answer: anyone who does wholesale distribution of dangerous drugs in or into Ohio; virtual indicates that the person has title of the drugs but never takes physical possession of the drugs What are the requirements to be a virtual wholesale distributor? Correct Answer: must be licensed as a wholesale distributor with a virtual classification must be registered as a business entity with local/state must operate from a zone that is for commercial use and cannot operate out of a residence/personal place What is a third party logistics provider? Correct Answer: they contract with a manufacturer or wholesaler for warehousing or distribution but they do NOT hold the title of Rx drugs and DO not have responsibility for their sale What are the requirements of a third party logistics provider? Correct Answer: must be licensed as a wholesale distributor with a third party logistics classification must be a business entity with local/state must operate from a zone that is for commercial use and cannot operate out of a residence/personal place What is wholesale sale? Correct Answer: this is a sale where the purpose is to resell whatever was purchased What is the 5% rule? Correct Answer: if a pharmacy sells more than 5% of their total cost on drugs/medical supplies to anyone besides patients they must have a wholesaler license this includes selling to providers because they are not patients What is occasional sale? Correct Answer: this means the wholesale of drugs to another pharmacy or a provider's office; limited by the 5% rule When does the 5% rule not apply? Correct Answer: sales where the pharmacies are under the same owner/control sales where the hospitals or health care entities are under the same control What does common control mean? Correct Answer: this means that one entity has power over management and policies of an organization Does dispensing have to involve a sale? Correct Answer: no, it can include giving away, disposing of, exchanging or delivering What does personal/direct supervision entail? Correct Answer: means that a pharmacist must be physically in the pharmacy to review and approve things; must be readily available to answer questions, make in-process and end-process verifications and be fully responsible for interns/techs What does federal law say are the conditions for a drug to be a prescription drug? Correct Answer: the drug is habit forming and/or unsafe to use except under the supervision of a practitioner What is a federal legend? Correct Answer: it must be on all rx drugs and state "Federal Law Prohibits Dispensing Without a Prescription" or "Rx Only" on the stock bottle What is a serial number? Correct Answer: this is the same thing as a prescription number What is meant by a business day? Correct Answer: any day other than Sat, Sun or a holiday recognized in Ohio Can a terminal distributor or wholesaler employ someone with felony convictions? Correct Answer: if they are registered with the DEA the pharmacy or wholesaler cannot employ anyone who was convicted of a felony related to controlled substances in a position with access to controlled substances; they also cannot be in these positions if they have had a DEA registration denied, revoked or surrendered for cause at any point in the past When something is done "for cause" what does that mean? Correct Answer: it means surrendering something in lieu of or as a consequence of any federal or state admin, civil or criminal action related to investigation of a person's handling of controlled substances What are the minimum requirements of a pharmacy? Correct Answer: library equipment (based on the type of pharmacy it is) drugs Rx containers physical space and fixtures POSTED pharmacy hours personnel/staff there is a catch all that states anything else necessary for specialized pharmacy practice What is the practice of pharmacy? Correct Answer: this is providing pharmacist care, which includes knowledge of biological, chemical, social, clinical and pharmaceutical sciences and the ability to make judgement and use these skills What is involves in pharmacist care? Correct Answer: interpreting prescriptions [Show Less]
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Indiana MPJE 2022-2023; Questions AND ANSWERS (110 QUESTIONS) GRADED A.
Indiana MPJE 2022-2023 Questions AND ANSWERS 110 QUESTIONS GRADED A Indiana MPJE 2022-2023; Questions AND ANSWERS | (110 QUESTIONS) GRADED A If an... [Show More] institutional pharmacy is closed and unattended by a pharmacist, how can a nurse obtain a needed medication while the pharmacy is closed? (All that apply) A. Remove from emergency kit B. Remove from floor stock of floor mechanical devices C. Ask authorized supervisory nurse to remove from pharmacy following proper procedures D. Ask a pharmacist to come in and get the medication for them. E. There is no way to get a medication while a pharmacist is not on duty Correct Answer: A, B, C, D T/F the expiration of an emergency drug kit is the earliest date of expiration of any of the drugs included in the kit at any time Correct Answer: True Which of the following is true regarding the number of individuals a pharmacist may supervise in Indiana? (All that apply) A. A pharmacist may not supervise more than 4 interns or technicians B a pharmacist may not supervise more than 5 technicians or technicians-in-training C. A pharmacist can supervise no more than 3 techs in training at one time D. A pharmacist may not supervise more than 6 technicians or techs in training E. A pharmacist may not supervise more than 6 interns, technicians, or techs in training Correct Answer: C , E The number of CE hours required per renewal period in Indiana and the number that must be ACPE accredited: A. 60; at least 20 B. 30; at least 10 C. 15; at least 15 D. 30; at least 15 E. 60; at least 30 Correct Answer: D Which of the following describes non-Rx syringe sales in Indiana? (All that apply) A. Purchasers must be over the age of 18 B. Only a pharmacist or intern can sell syringes C. Sales must be maintained in a bound record book D. Purchasers no known to the pharmacist do not need to provide identification E. Purchasers must sho proof of use Correct Answer: B, C In order to reciprocate or transfer a pharmacist license to IN, which of the following is required of an applicant? A. Retake and pass the NAPLEX B. Complete 1500 hours of practice in IN C. Appear in front of the board for a personal hearing D. Take and pass the indiana MPJE E. Establish residency in indiana before applying Correct Answer: D Which of the following are true about reporting theft or loss? I all thefts must be reported regardless of the amount stolen II all losses must be reported regardless of the amount lost III only significant losses must be reported and you determine if the loss is significant IV thefts and losses should be reported on a DEA 41 V the local police must be notified of a theft or loss so the DEA can follow up with them Correct Answer: A- I and III Which of the following describes counseling requirements in IN? (All that apply) A. Interns may counsel patients as long as they make an offer for a pharmacist to counsel after B. Making an offer for a patient to ask questions satisfies the offer to counsel requirement in IN C. Pharmacists must document which patients receive counseling D. Patients have the right to waive counseling E. An offer to counsel must be make every time a prescription is dispensed Correct Answer: A, D, E T/F Prescribers are allowed to use commercially printed forms containing names of controlled substances Correct Answer: False Which of the following practitioners may legally supervise an appropriately certified pharmacy intern providing vaccines under protocol? I RN II pharmacist III APN IV PA V Podiatrist Correct Answer: D- i, ii, iii Which of the following prescribers can write an acetaminophen with codeine prescription for a human's eye issue in Indiana? I physician II optometrist III podiatrist IV veterinarian V APN working under a physician without a specialty Correct Answer: C- i and v T/F As identified by Indiana's Legend Drug Act and Pharmacy Practice Act, the term "sale" includes offering, dispensing, and administering Correct Answer: True Continuing professional education hour requirements vary depending on when and how the pharmacist is licensed in IN. Which of the following is the correct number for a pharmacist licensed for the first time on Aug 31, 2019? A. 0 hours B. 6 hours C. 7.25 hours D. 20 hours E. 21.25 hours Correct Answer: A T/F pharmacist cannot refuse to honor any prescription in Indiana Correct Answer: False A physician calls your pharmacy to provide a verbal prescription for alprazolam for a patient. The prescriber has never evaluated the patient, but knows the patient's son. The physician asked the patient's son why the patient uses the medication and confirmed they were out of refills. Based in this information, which response best fits why you can or cannot fill the prescription in this situation. A. Can fill, the RX was issued within the physician's scope of practice B. Can fill, the pharmacist has no legal responsibility to question a physician's prescribing C. Cannot fill, alprazolam prescriptions cannot be verbally issued D. Cannot fill, the prescription was not issued for a legitimate medical purpose E. Cannot fill, the prescription was not issued in the usual course of practice Correct Answer: E T/F A qualifying pharmacist is responsible to the board for the legal operation of the pharmacy under the permit Correct Answer: True Which of the following is true about the Indiana board of pharmacy? (All that apply) A. The board has 7 pharmacist members B. The board must adopt the rules establishing the standards for the competent practice of pharmacy C. A board member cannot be a full-time faculty member at a college of pharmacy D. One pharmacist member of the board must be a hospital pharmacist E. Board members are elected by members of the profession Correct Answer: B, D T/F - drugs returned to the pharmacy can never be reused or resold Correct Answer: False A quality-related event in a institution includes which of the following? I dispensing an incorrect drug II therapeutic duplications not identified and managed III dispensing a drug to the wrong patient IV drug-drug interactions not identified and managed V clinical abuse/misuse not identified and managed Correct Answer: E- all of the above Which of the following apply to generic substitution in IN? (All that apply) A. Pharmacists cannot generically substitute on prescriptions written written by a veterinarian B. Pharmacists are required to generically substitute for Medicaid patients unless the prescriber signs "DAW" and writes "Brand Medically Necessary" on the face of the prescription C. If a pharmacist generically substitutes for a brand name product the label must be labelled with both product names (ex Lisinopril generic for Zestril) D. Prescription blanks should have 2 signature lines labeled "DAW" on the left and "May substitute" on the right E. If a prescriber signs "DAW" for a non-Medicaid patient and the patient requests generic, the patient must call the prescriber in order to substitute generically Correct Answer: A, B, C, D, E T/F - in indiana, insulin products can be sold over the counter Correct Answer: False T/F - In indiana, only controlled substance prescriptions and drug orders must be issued in the usual course of practice and for a legitimate medical purpose Correct Answer: False Which of the following are duties of pharmacists in institutional settings? (All that apply) A. Perform drug evaluations and drug utilization reviews B. Interpretation of drug orders written by practitioners C. Counsel patients and patients' care givers D. Storage and distribution of drugs and devices E. Medical record documentation of recommendations made related to the patient's therapeutic response to medication Correct Answer: A, B, C, D, E Which of the following are required to be on the label of a sterile pharmaceutical product prepared in an institution for a patient in that institution? I date of preparation II patient name and bed III prescribing practitioner IV expiration date, including time, if applicable V generic name VI phone number of institutional pharmacy VII prescription number Correct Answer: C- i, ii, iv T/F- a pharmacist in an institutional setting must check all drug orders within 24 hours, including those written when the pharmacy is closed and orders filled from available institutional sources outside the pharmacy Correct Answer: True T/F - pharmacists in indiana must counsel patients on all new prescriptions Correct Answer: False Which of the following are activities that a pharmacy technician can perform? A. Providing advice to the patient about interpreting their prescription B. Completing the final check on a drug order C. Receiving refill approval over the phone from a prescriber D. Completing the final check on a prescription E. Consulting with the prescriber concerning a patient Correct Answer: B, C T/F - the qualifying pharmacist is responsible for deciding what, if any, additional fixtures, facilities, and equipment are necessary for the pharmacy to operate properly in compliance with the law regulating pharmacies in Indiana Correct Answer: True Which of the following is true regarding controlled substance prescriptions? I. Adderall prescriptions can be issued for a maximum of a 90 day supply at a time II. Lomotil prescriptions expire 1 year from the date written in indiana III. Suboxone prescriptions issued for addiction must contain the appropriate DATA-waived DEA number IV. Codeine prescriptions cannot be transferred to another pharmacy V. Robitussin AC prescriptions cannot be called into the pharmacy Correct Answer: C- i, iii, iv Which of the following are required on the label for a non-controlled prescription dispensed in indiana? I date filled II name of dispensing pharmacy III prescribing practitioner IV directions for use as contained on the prescription V name of the drug Correct Answer: E- all of the above are required which of the following describes a requirement for selling ephedrine or pseudoephedrine in Indiana? (all that apply) a. prescription sales of these products must be reported in the National Precursor Log Exchange (NPLEx) b. Individuals purchasing these products over the counter must be over the age of 18 c. individuals purchasing these products over the counter must produce a valid government issued photo ID showing date of birth before purchasing d. over the counter sales records of these products must be retained for 2 years e. a pharmacy must electronically submit required information to NPLEx before completing and over the counter sale of these products, unless there is a mechanical or electronic failure of the system Correct Answer: A, B, C, D, E Which of the following describes a correct requirement for the INSPECT program? a. dispensers must transmit information to INSPECT within 24 hours of dispensing an INSPECT reportable product, unless the dispenser is closed the day following dispensing b. the only acceptable identification numbers submitted to INSPECT are from a government issued photo ID c. all dispensations from a practitioner for ephedrine, pseudoephedrine, or a controlled substance must be reported to INSPECT d. pharmacists must check inspect before dispensing any schedule II drug on a prescription e. pharmacies must submit information on the days supply of a controlled substance prescription dispensed Correct Answer: A, C, E T/F - pharmacists can administer vaccinations according to a protocol approved by a physician, APN, or PA Correct Answer: False which of the following describes a correct requirement for vaccine protocols? (all that apply) a. vaccine protocols must list the amount of time a pharmacist or intern recommends and individual be observed for adverse events b. pharmacists must notify the protocol physician within 24 hours of administering an immunization c. protocol physician is a licensed physician in any state d. a copy of immunization protocols must be kept in the pharmacy and available for inspection by patients receiving immunizations e. protocols must be renewed every 2 years Correct Answer: A, D When transferring a prescription for atenolol from one pharmacy to another, which of the following must be transferred? i. number of refills remaining ii. drug name and strength iii. directions for use iv. patient insurance v. transferring pharmacist's name vi. prescriber information Correct Answer: D- i, ii, iii, v, vi Continuing professional education hour requirements vary depending on when and how the pharmacist is licensed in Indiana. Which of the following is the correct number for a pharmacist licenced for the first time in IN by license transfer on Aug 1, 2019. a. 0 hours b. 6.25 hours c. 17.25 hours d. 21.25 hours e. 30 hours Correct Answer: E In general, Indiana professional standards include (all that apply) a. professional incompetence by practicing above the level of training or education b. knowingly violating a federal regulation on misbranding c. failure to maintain competence level on current drug therapy d. intentional violation of a state statute governing pharmacy practice e. conviction of a crime that has a direct bearing on the ability to practice competently Correct Answer: A, B, C, D, E Which of the following describe the requirements to have a store open to the public while the pharmacist is one and the prescription department is closed? (all that apply) a. approval must be obtained by the board of pharmacy b. breaches of the secured area does not need to be reported to the board of pharmacy c. the situation is only allowed if the prescription area is the licensed area- not the entire store d. only a pharmacist has access to the secured (prescription department) area e. a sign stating "pharmacy department closed, no pharmacist on duty" must be displayed Correct Answer: A, D, E Which of the following will not cause and article to be adulterated? (all that apply) a. stored in unknown conditions b. it is in a container that leaches into the article c. it contains a color additive that isn't labeled in that manner d. it is mixed with a substance to reduce its quality e. it is not manufactured under cGMP Correct Answer: C A patient brings a prescription for Robitussin AC that they forged and was not actually issued by a prescriber. The pharmacist fills this prescription. This drug is: a. adulterated b. misbranded c. neither adulterated nor misbranded d. both adulterated and misbranded e. there is not enough information Correct Answer: B A patient brings a prescription for oxycodone for a knee injury. it was written on today's date by a hospital resident (MD) using an institutional DEA number with the appropriate suffix. The patient was not seeing in the hospital and the resident is currently on an orthopedic rotation. Can you legally fill this? a. yes, it was issued in the MDs scope of practice b. no, it was not issued in the scope of employment c. yes, it contains the institutional DEA and suffix d. no, it was not issued in the usual scope of practice e. yes, it is not up to the pharmacist to verify that the MD can prescribe drugs where the hospital is located Correct Answer: B What changes are pharmacists never allowed to make on a prescription for methylphenidate in IN? a. patient name, quantity prescribed, prescriber's name/signature b. patient name, controlled substance prescribed, prescriber's name/ signature c. controlled substance, quantity, directions for use d. controlled substance, quantity, directions for use e. patient name, date written, substance prescribed Correct Answer: B A pharmacist dispensed an isotretinoin product without going through the required REMS. This drug is: a. adulterated b. misbranded c. neither adulterated or misbranded d. both adulterated and misbranded e. there is not enough information Correct Answer: B Which of the following are required on a handwritten prescription for a C-II? i Date of issue ii DEA registration number of prescriber iii patient address iv drug name v prescriber address Correct Answer: E- all of the above select all elements that are required to be on a handwritten prescription for methadone a. date of issue b. patient name c. prescriber address d. prescriber DEA registration number or other identifier if exempt e. prescriber name Correct Answer: A, B, C, D, E When transferring a prescription for zolpidem from one pharmacy to the other which of the following information must be transferred? i number of refills remaining ii drug name and strength iii directions for use iv patient insurance v transferring pharmacist's name vi prescriber information Correct Answer: D- i , ii, iii, v, vi which of the following will NOT cause and article to be misbranded? (all that apply) a. if a pharmacist or intern throws away the package insert b. if it is a cream and not placed in child-resistant containers c. if it is advertised in a false or misleading manner d. if it does not carry the established name e. if it contains a coloring agent that is not listed in the ingredients on the label Correct Answer: B T/F - if a physician or other prescriber dies, the prescriptions that have refills remaining written by that prescriber remain valid if it is the judgement of the pharmacist that it is in the best interest to continue to fill those prescriptions, but not beyond the refills authorized in the prescriber's lifetime- meaning the office office personnel (non-practitioner) cannot authorize more refills Correct Answer: True Which of the following describes the closing of a pharmacy in Indiana? (all that apply) a. the board must be notified if a pharmacy will be closed for more than 5 consecutive days b. if a pharmacy is permanently closing, the board must be notified no more than 20 days after the transfer of controlled substances to another registrant if a pharmacy c. if a pharmacy is permanently closing, all legend drugs must be removed from the premises d. if a pharmacy is permanently closing, all symbols and signs related to pharmacy (drugs, drugstore, prescription, etc) must be removed e. if a pharmacy is permanently closing, submit the premises to an inspection by a representative of the board Correct Answer: A, C, D, E Which of the following describes an emergency refill? (all that apply) a. the patient indicates they need the medication b. the pharmacist has made every reasonable effort to contact the original prescriber or an individual "on-call" c. the original prescription was authorized for a refill d. the medication is an as-needed medication e. the pharmacist may complete more than one emergency refill on a single prescription Correct Answer: B, C T/F - the start and end of the licensing biennium and the start and end of the CPE biennium are the same Correct Answer: False Which of the following are true about pharmacy compounding? i compound prescriptions must be written for an individual patient ii compounds can be produced in bulk iii compounding includes reconstitution iv compounds should be different than commercial product v compounds are exempt from cGMP vi pharmacies making compounds that do not meet the requirements for pharmacy compounding would be considered outsourcing facilities Correct Answer: D- i, iv, v, vi T/F- the FDA cannot require a manufacturer to implement a REMS Correct Answer: False Considering the law of Indiana, select all that apply: a. patient counseling must be effectively communicated b. a pharmacist whose license is inactive cannot work as a pharmacist, does not have to pay licensing fees, but is required to earn CE credit c. a pharmacist is permitted to refuse to fill a prescription only if filling it would harm the patient d. pharmacy technicians are permitted to accept new prescriptions over the phone e. a pharmacist cannot release PHI without the patient's permission Correct Answer: A Which of the following describes things that the board members or board inspectors in Indiana may do? (all that apply) a. carry firearms in the performance of their duties b. make arrests without a warrant for controlled substance offenses c. serve subpoenas and execute search warrants d. seize property e. inspect pharmacies in Indiana Correct Answer: A, B, C, D, E You're working at a local Indiana retail pharmacy. A veterinarian licensed only in IN wrote "bubbles", a poodle, a prescription for a schedule III controlled substance. Regarding this medication, which of the following are true of the written prescription? i can be on a regular prescription blank ii must have 2 signature lines (DAW and May Substitute) iii must be on a security feature prescription blank iv prescriber's DEA number or institutional with suffix vi date of issue must be written Correct Answer: E- ii, iii, iv, v Which of the following are correct requirements of Indiana laws and rules? (all that apply) a. one pharmacist is not permitted to supervise more than 6 pharmacy interns, techs, or techs in training at one time b. pharmacy permits are valid for 3 years and a pharmacist's license for 2 years c. a pharmacy technician is permitted to give out medical advice gained by access to records in the pharmacy d. if a pharmacist does not renew their license by the date, the license automatically becomes inactive e. the only reason a pharmacist is permitted to refuse to fill a prescription is if filling it is against a patient's health or welfare Correct Answer: A revocation is called "permanent" but the pharmacist whose license is revoked is permitted to: a. obtain a temporary license pending the outcomes of the hearing b. apply for reinstatement of that license after a minimum of 7 years have passed c. transfer in a license that is active from another state d. apply for a new license after a minimum of 7 years e. both A and D are permitted for pharmacists impacted by this sanction Correct Answer: D Which of the following described requirements of a drug order? (all that apply) a. name of patient and bed number b. name and strength of the drug c. no quantity is required if the length of time of administration is specified or otherwise restricted by institutional policies or guidelines d. can only be reduced to writing by a pharmacy e. adequate directions for use when administered to the patient must be included Correct Answer: A, B, C, E Which of the following describes a prescribing practitioner recognized in indiana and therefore whose prescriptions can be honored? (all that apply) a. physician licensed in wisconsin and practicing in wisconsin b. dentist licensed in IN and Il, practicing in IN c. optometrist licensed only in Fl d. APN licensed only in Ohio and practicing at a VA outpatient clinic in IN e. PA licensed in IN and CA practicing in both states regularly Correct Answer: A, B, E Which of the following describes a situation in which the indiana board can discipline a pharmacist? (all that apply) a. indicating you have completed your CE when you in fact have not b. diversion of a non-controlled drug c. leaving a pharmacy intern in charge of the pharmacy d. discipline in another state that is based on an act that would be illegal in IN e. Not reporting an arrest on your renewal form except those for minor traffic violations or that have been expunged by a court Correct Answer: A,B,c,D,e T/F - if the established name is not on a manufacturer label, the article is misbranded Correct Answer: True Which of the following describes requirements of drug samples in IN? (all that apply) a. retail pharmacies cannot have samples in the pharmacy b. drug samples cannot be sold for money c. drug samples can be exchanged for services other than money d. practitioners interested in having samples must request them in writing from the manufacturer e. providers receiving samples must keep records of samples received and who they are provided to Correct Answer: A,B,D,E T/F - in an institution "unit-of-use" packages are deemed to be legally labeled if the package contains- at a minimum- patient identification, drug name, strength, and the expiration date and/or lot number Correct Answer: False which of the following describes the practice of pharmacy? (all that apply) a. compounding radioactive pharmaceuticals pursuant to a drug order b. proper and safe storage of drugs c. counseling a patient on the therapeutic uses of a drug d. providing medication therapy management e. administering immunizations to a patient Correct Answer: A,B,C,D,E T/F- if a patient in indiana medicaid wants you to dispense a brand name medication instead of its generic equivalent, you are able to dispense brand name based on only their request Correct Answer: F T/F- interns are not legally allowed to take down phone prescriptions Correct Answer: F T/F- a physician licensed in IN can prescribe an anabolic steroid for a patient when medically necessary Correct Answer: T T/F- If a veterinarian writes for a brand name medication, and Indiana pharmacist cannot automatically substitute for a generic, even if the veterinarian signed the "May Substitute" line Correct Answer: T T/F- Patients may self-administer drugs in an institutional setting if a patient's knowledge of self-administration has been evaluated and found to be sufficient of the patient has received training on self-adminisration Correct Answer: T T/F- under no circumstances is one pharmacist permitted to "qualify" for more than one individual pharmacy Correct Answer: F T/F- sterile pharmaceutical product means a dosage form free of all microbes Correct Answer: F- LIVING T/F- the board of pharmacy will not discipline a pharmacy intern who administers vaccines without training, if they administered the vaccine at the request of a licensed pharmacist. Instead they will only discipline the pharmacist Correct Answer: F T/F- CPE credit may be earned in the first 6 months of one biennium and be carried back to the previous biennium Correct Answer: T T/F- professional standards do not apply to interns Correct Answer: F T/F- Indiana requires that a faxed Rx have the name and address to which it is being faxed Correct Answer: T T/F- security feature prescriptions are required for all prescriptions for controlled substances written by licensed practitioners in all schedules and when photocopied must show the repeating word "void" on the face of the copy Correct Answer: T- WRITTEN T/F- a pharmacist can honor a prescription after the demise of the patient Correct Answer: F T/F- the board of pharmacy can temporarily revoke a patient's license Correct Answer: F- revoke is permanent T/F- If a pharmacist leaves the licensed area, goes to shop down the street, and places an intern in charge of the pharmacy while the pharmacist goes to eat lunch that would constitute "aiding or abetting the practice of pharmacy by an unqualified individual" Correct Answer: T T/F- pharmacists are required to administer vaccines to individuals as part of the practice of pharmacy Correct Answer: F T/F- "not in good faith" means the sale was intended to supply or divert a controlled substance or other legend drug in an unlawful manner Correct Answer: T T/F- a pharmacist must judge whether to dispense a valid refill on a prescription after the demise of the practitioner Correct Answer: T T/F- a pharmacist may accept an expired driver's license as a form of ID for a controlled substance prescription Correct Answer: F- must be valid T/F- the board of pharmacy may refuse to issue an initial license to an applicant for licensure Correct Answer: T T/F- the term "person" does not include corporations Correct Answer: F T/F- if a pharmacy must be closed for at least 5 consecutive days the board of pharmacy must be notified Correct Answer: T T/F- it is legal for a prescribing practitioner licensed in IN to have a prescription blank with a single signature line and a check box for "May Sub" and "DAW" Correct Answer: F T/F- A pharmacist or intern can provide the influenza vaccine via protocol Correct Answer: T T/F- regarding syringe sales, if the pharmacist or intern knows the purchaser, they do not need to record any information about the purchase of the syringes Correct Answer: F T/F- A pharmacist may surrender their license to the board of pharmacy instead of appearing for a hearing and the board cannot impose any sanctions with a surrender Correct Answer: F- they can impose any sanctions T/F- a "reversible condition" is a condition that requires intervention to resolve within a reasonable time and a "temporary condition" is a condition that resolves in a reasonable time without intervention Correct Answer: T T/F- only ACPE-accredited CPE is currently accepted in IN Correct Answer: F- 50% T/F- The start and end of the licensing biennium and the start and end of the CPE biennium are the same Correct Answer: F T/F- interns are permitted to counsel patients on new medications, but must still offer patient counseling by a pharmacist Correct Answer: T T/F- students do not have to graduate from an ACPE-accredited pharmacy program to obtain licensure in IN Correct Answer: T T/F- a pharmacist cannot dispense controlled substances for an animal because an animal does not have an appropriate form of ID Correct Answer: F T/F- offering to counsel patients is mandatory in IN Correct Answer: T The definition of sale includes: i manufacturing a drug ii offering a drug iii storing a drug iv delivering a drug v administering a drug Correct Answer: all of the above Which option shows three crimes associated with drug samples? a. buy sample, label for sale, and deliver in exchange for money or other property b. remove from original packaging, repackage, or label for sale c. remove from original packaging, repackage, and deliver in exchange for money or other property d. buy sample, repackage, label for sale e. repackage sample, label for sale, and counsel patients on its use Correct Answer: c- also, dispense after expiration If a pharmacist's license is placed on probation due to addiction to a controlled substance, the pharmacist may be required to: i perform unpaid hours of community service ii report regularly to the board iii work in an area without access to controlled substances iv complete additional hours of CE v attend weekly meetings for rehabilitation of an addiction Correct Answer: all of the above Which of the following is true of the Indiana BoP? a. one member may not be associated with pharmacy in any way other than as a consumer b. there a 8 members appointed by the governor c. fill time faculty members at colleges of pharmacy are preferred for membership d. an individual can serve a maximum of 4 years as a member of the board e. there are no restrictions on political party affiliation Correct Answer: A Regarding mechanical storage and dispensing devices for legend drugs, which of the following are true? a. no such devices are permitted in IN b. devices are permitted if only accessed by pharmacists c. they are allowed in licensed healthcare facilities, pharmacies, or locations under the jurisdiction of the board d. they can be allowed in LTC facilities if only accessed by RNs e. can be used in LTCFs if no controlled substances are contained inside Correct Answer: C which is TRUE regarding anabolic steroids in IN? a. all possessions not by physicians or pharmacists is prohibited b. use for the purpose of muscle mass is prohibited c. use for the purpose of enhancement in a sport or game is prohibited d. both B and C are true e. none of the above are true Correct Answer: C CAN be used for muscle mass if there is a medical need Considering the Indiana Generic Drug Act, which of the following is false? a. a pharmacist cannot substitute a generic medication if a veterinarian writes for a trade name medication b. therapeutic substitution can be determined by using the "orange book" c. a pharmacist can dispense a trade name medication for a Medicaid patient d. all prescriptions written in IN must have two signature lines that appear DAW on the left and May Substitute on the R e. If substituting a generic medication, the label should read "generic" substituted for "brand" Correct Answer: e, "generic" generic for "brand" Which of the following is FALSE regarding criteria for the reuse or re-dispensing of legend drugs that were originally dispensed to a patient residing in a county jail? a. drugs must be returned to the same pharmacy from which they were originally dispensed b. drugs may not be expired c. drugs must be in the manufacturer's original, unopened container with the tamper-evident seal in place d. drugs must be in the possession of a patient prior to administration e. drugs cannot be a controlled substance Correct Answer: C Which of the following is FALSE with regard to faxing a controlled substance prescription? a. the prescription being faxed must be complete in all aspects prior to faxing b. prescriptions for C-II and IV must be on security feature paper prior to faxing c. the statement "valid by facsimile only" must be on the prescription prior to faxing d. the name of the person faxing the prescription must be on the prescription e. the receiving fax machine must be in a non-public area Correct Answer: B To have a "store" open to the general public while the pharmacist is gone and the prescription department is closed, which of the following is true? a. if the whole store is the licensed area, the prescription must be locked and completely enclosed (floor to ceiling) b. electronic monitoring breaches must be signaled in the store only and not off site c. if only the prescription department is the licensed area, that area may be secured only by electronic means- full barriers are not required d. this situation is only allowed if the prescription department is the licensed area, not the entire store. e. only a pharmacist has access to the secured area. Correct Answer: E You're working in an Indiana retail pharmacy. A georgia resident brings in a prescription for a C-II written (prescribed) by a PA licensed in TN. Regarding this prescription, which of the following is TRUE: a. can dispense- this is a valid prescription in TN and can be filled based on Indiana laws/ rules b. cannot dispense- this prescription would not be written on an IN security feature blank since it was written in TN c. cannot dispense- this prescription was not written by a prescriber recognized in IN d. can dispense- must call to have the PA's supervising physician authorize the prescription under their name e. cannot dispense- the patient is not an IN resident Correct Answer: C For a sale to not be in "good faith", an individual must sell: i an unusually large amount ii within an unusually short period of time iii to one individual Correct Answer: all of the above [Show Less]
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