PA MPJE EXAM TESTBANK 2024/2025 Verified Exam Sets Actual Exam Questions Included, Exams of Pharmacy

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PA MPJE

________ ________ of cancer drug needs to be accounted for in record keeping for Cancer Drug Repository Program - CORRECT ANSWER every dose Online pharmacies have to report what to the DEA and how often? - CORRECT ANSWER monthly report of quantity of each CS dispensed and NDC if during the month in question the pharmacy has dispensed at least 100 prescriptions or at least 5000 dosage units 222 Order forms are requisitioned how? - CORRECT ANSWER use DEA 222a form and send to Registration Unit of DEA in Washington DC A _____________ ___________ must be establised by the medical staff to assure quality pharmaceuticals at reasonable costs - CORRECT ANSWER formulary system A computerized system for recording and maintaining information concerning prescriptions must be designed so that it is capable of what? - CORRECT ANSWER - providing immediate retrieval by mecorrect answer of monitor, hard copy printout, or trcorrect answer fer medium of patient information for all prescriptions filled within past 12 months

• retrieval within 3 working days of all prescriptions dispensed from 12- 24 months from the last activity date including information normally required to be on a prescription and identification of the pharmacist responsible for prescription information entered into the computer system A hard copy of a prescription that is trcorrect answer mitted electronically needs to be stored how long? - CORRECT ANSWER at least 2 years from date of most recent filling A nonresident pharmacy may not engage in what with the commonwealth unless what? - CORRECT ANSWER may not engage in business of

A prescription written for a CS for an animal would not list what? What would it list on the script? - CORRECT ANSWER won't list animal's name; will list species of animal and name and address of the owner ABC-MAP contains information on CS in what schedules? - CORRECT ANSWER CII-CV ABC-MAP is operated under who? - CORRECT ANSWER auspices of the PA Dept of Health Ability to refuse, revoke, or suspend pharmacist license if what? - CORRECT ANSWER - procured license through fraud, misrepresentation or deceit

• found guilty, pleaded, guilty, entered plea of nolo contendere or has received probation without verdict, disposition in lieu of trail or an ARD in disposition of felony charges to any offense in connection with the practice of pharmacy or any offense involving moral turpitude
• unfit to practice due to use of alcohol or drugs
• unit to practice due to physical or mental disease or disability
• has had license in any other state revoked or suspended
• violated or knowingly permitted the violation of any provision of this act or regulation of the board
• has knowingly allowed an unlicensed person to take charge of a pharmacy or engage in compounding or dispensing
• compounding drug in amounts not specified by prescriber or brand or trade name different than what prescriber stated
• has license to practice suspended, revoked, or refused, or received other disciplinary action by another state, territory, or county
• presents immediate and clear danger to public health or safety
• is guilty of incompetence, gross negligence, or other malpractice or failing to comply to acceptable practice, in which case don't need actual injury
• is guilty of grossly unprofessional conduct Abuses and losses of CS must be reported to who? - CORRECT ANSWER to the individual responsible for the pharmaceutical service and to the chief executive officer as appropriate, and to all parties in accordance with federal and state law

acceptable return to stock of undelivered medications refers to what? - CORRECT ANSWER those drugs that are still in possession of the pharmacy (i.e. in the pick up bin that were never picked up by a patient) Access to AMS for stocking and removal of medications should be limited to who? - CORRECT ANSWER licensed pharmacists or the pharmacist's designee acting under the supervision of the licensed pharmacist Access to records of medications and other medical information of patients maintained by pharmacy (subsequently used in AMS) is limited to who? - CORRECT ANSWER licensed practitioners or personnel approved to have access to the records Accounting of disclosures does not include what? - CORRECT ANSWER - disclosures made to carry out TPO

• disclosures made pursuant to an authorization
• certain law enforcement purposes
• few other limited exceptions Act 139 also provides what in terms of immunity? - CORRECT ANSWER pharmacists immunity from any criminal or civil liability or any professional disciplinary action for prescribing or dispensing naloxone or any outcomes resulting from the eventual administration of naloxone Act 95 also grants what kind of immunity? - CORRECT ANSWER immunity from civil liability for pharmacists or prescribers for dispensing interchangeable biological product unless it was incorrectly substituted Adequate directions for use mecorrect answer what? - CORRECT ANSWER directions under which the layman can use a drug safely and for the purposes for which it is intended Adulteration act also prohibits what? - CORRECT ANSWER interstate commerce of drugs and devices with impurities, poisons, and decomposed ingredients Advertising of filling/refilling prescriptions is only permissible if what? - CORRECT ANSWER - the person is licensed in PA

All floor stocks shall be controlled by who? and any area where drugs are stored shall be periodically checked by who? - CORRECT ANSWER pharmacist All normal labeling requirements for CS are waived in the institutional setting if what? - CORRECT ANSWER - if CII dispensed is NMT 7 day supply

• if CIII-CV is dispensed in a 34 day supply or 100 unit doses, whichever is less
• drug is not in possession of ultimate user prior to administration and other appropriate safeguards are instituted All patients on thalidomide must do what? - CORRECT ANSWER agree to complete a confidential survey about their compliance with contraception, testing, and drug therapy All permit applicants must be of good _______ and _______________ _________________ - CORRECT ANSWER moral and professional character All pharmacists renewing license after January 1, 2015 need to have what specific CE requirement under Act 31? - CORRECT ANSWER need 2 hours of board approved CE in child abuse recognition and reporting All professional staff in hospital setting must have access to what? - CORRECT ANSWER information related to drug interactions, drug therapy, side effects, toxicology, dosage, indications, and routes of administration All schedule III quantity limitations also come with what stipulation? - CORRECT ANSWER must also be with one or more active, non-narcotic ingredients in recognized therapeutic amounts All schedule V quantity limitations come with what stipulation? - CORRECT ANSWER have to be with one or more active non narcotic active medicinal ingredients in sufficient portion to confer upon the mixture or compound valuable medicinal qualities other than possessed by the narcotic alone AMS itself should be inspected how often? For what? - CORRECT ANSWER at least monthly for security and accountability

An approved provider who makes a disclosure on treatment of an impaired professional will or will not be subject to civil liability for disclosure? - CORRECT ANSWER will not Any amendments, additions, deletions, or other changes to policies and procedures of operation for AMS need to be retained how long? - CORRECT ANSWER 2 years after then change is made Any applicant that intends to take the NAPLEX and MPJE needs to complete what? Also needs to provide what as part of this? - CORRECT ANSWER need to complete application and provide proof of graduation with BS or advanced degree in pharmacy from ACPE accredited school or college and affidavits of internship (proper hours) Any hospital, healthcare facility, peer, or colleague has cause to report to board (mandatory reporting) if there is evidence that a professional....? - CORRECT ANSWER - has active addictive disease for which they are not receiving treatment

• is diverting a controlled substance
• is mentally or physically incompetent to carry out the duties of his or her license or certificate Any loss or disappearance of a SLCP must be reported to DEA how? - CORRECT ANSWER orally ASAP and then followed up with a written report within 15 days Any OTC drugs that were previously available by prescription must have what kind of packaging? - CORRECT ANSWER CRC Any patient communication that encourages the purchase or use of a product or service or any activity that involves the sale of PHI also requires what? - CORRECT ANSWER patient authorization (previously most written communications were considered treatment and didn't need authorization) Any person or facility who reports suspection of addiction or diversion by a professional shall be exempt from what? - CORRECT ANSWER any civil or criminal liability arising from such report

Are drugs/devices that are prone to degradation from heat, cold fermentation, or prolonged agitation allowed to be mailed? - CORRECT ANSWER Yes if shipped in a manner which would preserve the integrity of the drug Are electronic orders on the DEA CSOS mandatory? - CORRECT ANSWER No; optional, registrants may continue to use paper DEA form 222 Are electronic prescriptions allowed to be written for CIIs? - CORRECT ANSWER YES Are faxed CIII-CV scripts (and non-controls) allowed to serve as original prescriptions? - CORRECT ANSWER YES Are interns currently allowed to administer injectables under supervision of a pharmacist? - CORRECT ANSWER not currently, but regulations are being developed Are LTCF residents allowed to purchase medications from pharmacy of choice? - CORRECT ANSWER Yes; resident must be notified at admission and through stay of right to use pharmacy of choice and of responsibility to comply with facility's policies and state and federal law regarding packaging and labeling Are optometrists allowed to prescribe CIIs? - CORRECT ANSWER NO Are pharmacists required to register individually for controlled substance activity? - CORRECT ANSWER NO Are pharmacy owners required to submit plcorrect answer for changing location of a pharmacy to the Board? - CORRECT ANSWER NO, but either way the new pharmacy will require inspection and approval by the board prior to opening for business Are refill reminders considered marketing? - CORRECT ANSWER no if financial renumeration received is reasonably related to costs of making a refill reminder

Are requests for e-z open containers required to be in writing? - CORRECT ANSWER NO; but strongly encouraged by CPSC Are there age requirements for purchasing SLCP products? - CORRECT ANSWER Not federally; some states impose an age requirement Are there requirements for counter length if multiple technicicorrect answer or interns present? - CORRECT ANSWER NO Are there specific timelines required to notify board if change in name or email (personal)?? - CORRECT ANSWER no but should be reported promptly Are USP recommendations on unit dose packaging supported by FDA in law?

• CORRECT ANSWER FDA issued policy guide to reflect USP stance on unit dose packaging, but never finalized Are veterinaricorrect answer allowed to prescribe CS to animals? - CORRECT ANSWER YES as long as in good faith in the course of his/her professional practice and not for use by human being Audit report on pharmacy application for electronic prescribing of Controlled substances will indicate what? - CORRECT ANSWER if the application is capable of importing, displaying, and storing DEA required prescription information accurately and consistently Authorization for disclosure of PHI must also include what statements? - CORRECT ANSWER - that it is the individual's right to revoke the authorization in writing
• that the pharmacy is unable to condition filling the individuals prescriptions on the basis of whether they sign the authorization
• that there is a potential for the information that is subject of the authorization to be re-disclosed if the receiving party is not subject to HIPAA requirements Authorization for disclosure of PHI must be separately signed and dated and contain what other information? - CORRECT ANSWER - specific and meaningful description of the PHI to be used or disclosed

Before trcorrect answer mission of any original or new prescription or medication order to AMS can be made, what must happen? - CORRECT ANSWER pharmacist must approve it Besides criminal penalties, board may also (by majority vote) levy what penalty? For what? This can only be levied when? - CORRECT ANSWER civil penalty of up to $1000 on any licensee who violates any provision of pharmacy act who practices without being properly licensed to do so; can only be levied after opportunity for a hearing Besides distinguishing prescription from OTC, Durham Humphrey amendment also did what? - CORRECT ANSWER - authorized refills on scripts

• authorized oral (telephoned) prescriptions
• deemed prescription label to meet adequate directions for use requirement Besides maintenance in response to failure, pharmacy that uses AMS also needs program for __________________ ________________ - CORRECT ANSWER preventative maintenance (of the system) Besides registration, what are the other components of the No blood, no drug program? - CORRECT ANSWER - weekly testing
• patient database
• ongoing compliance monitoring and feedback Besides request for help in destruction of CS, what else does form 41 cover? - CORRECT ANSWER record destruction of all controlled substance inventories as well as destruction of controlled substances that are collected from ultimate users Betamethasone tablets are exempt from PPPA in what amount? - CORRECT ANSWER NMT 12.6 mg of the drug per package Beyond use dating of 1 year for unit dose pharmaceutical items is based on what storage per USP? - CORRECT ANSWER mean temperature of 25 degrees and using material other than PVC

Board has ability to refuse, revoke, or suspend pharmacy permit if what? - CORRECT ANSWER - permit procured through fraud, misrepresentation or deceit

• holder or partner or officer has violated any of the provisions of pharmacy act or regulations of board applicable to CSDDCA or CSA or has ordered pharmacist to engage in aspect of pharmacy in contravention of any of the aforesaid acts
• holder sold, dispensed, or caused or allowed to be sold any CS or non proprietary drug except by licensed pharmacist
• holder fails to comply with all requirements after permit issued
• upon suspension or revocation of a license of an employed pharmacist it is shown that the illegal acts of the pharmacist were within knowledge or should have been within knowledge of the permit holder, partner, or officer
• pharmacist or pharmacy policy holder entered into agreement with medical practitioner who is licensed to diver patients to or from specific pharmacy
• pharmacy's license, permit or registration to conduct a pharmacy or non- resident pharmacy issued by another licensing authority has been revoked or suspended or pharmacy was otherwise disciplined Board may defer or dismiss any type of corrective action against an impaired professional so long as what? - CORRECT ANSWER the professional is progressing satisfactorily in an approved treatment program Board of pharmacy has _____ ____________ to impose penalties on either pharmacist or permit holder. What does this mean? - CORRECT ANSWER wide latitude; mecorrect answer no automatic link between specific infarction and specific penalty Board will only grant internship to pharmacy college internship program if what? - CORRECT ANSWER - if the internship program is full-time
• if there is no concurrent academic caseload
• if the individual achieves a passing grade in the program Bulk prescription container labels must contain what? - CORRECT ANSWER
• name and address of the manufacturer, packer, or distributor
• established name of the drug product
• ingredient information, including the quantity and proportion of each active ingredient

Can cancer drugs donated under the Cancer Drug Repository program be resold? - CORRECT ANSWER NO Can CII scripts be faxed? - CORRECT ANSWER YES Can CII scripts be partially filled? - CORRECT ANSWER YES Can CIIs be refilled? - CORRECT ANSWER No Can drugs that were picked up be returned to stock? - CORRECT ANSWER NO; grossly unprofessional conduct Can FDA order drug recalls? - CORRECT ANSWER NO Can FDA require drug device recalls? - CORRECT ANSWER YES; can require manufacturer to recall Can narcotic controlled substances be mailed? - CORRECT ANSWER yes; law previously stated only non-narcotics, but has since been amended Can pharmacist delegate the administration of injectables to another person? - CORRECT ANSWER NO; pharmacist is the only one who can administer Can pharmacist manager serve as manager for more than one pharmacy? - CORRECT ANSWER not usually, but can make a request in writing that the Board waive the rule Can pharmacist refuse inspection or withdraw consent during an inspection if only a Notice of Inspection is served? - CORRECT ANSWER Yes; only search warrant or AIW can't be refused Can pharmacy dispense CS before they are registered with DEA? - CORRECT ANSWER NO; no person may engage in activity for which registration is required until application for registration is granted and certificate of registration is issued

Can prescription vials be re-used? Why? - CORRECT ANSWER as a general rule no because the wear on a plastic vial could compromise the effectiveness specifications Can refill information for CS be stored centrally? - CORRECT ANSWER YES Can supplier choose not to accept DEA CSOS order? What are the requirements with this? - CORRECT ANSWER yes; need to make statement that the order is not accepted and link the statement of nonacceptance to the original order and it must be retained 2 years Can the DEA show up unannounced to inspect central records? - CORRECT ANSWER yes; without warrant of any kind Can you throw away DEA 222 forms completed in error? - CORRECT ANSWER NO; need to store Cancer drug repository informed consent form must contain what information? - CORRECT ANSWER - drug being dispensed has been donated and may have been previously dispensed

• drug was unused even though it was previously dispensed
• drug was donated to the approved, participating pharmacy in the drug's original unopened, sealed, and tamer evident packaging to be redistributed
• visual inspection has been conducted by the pharmacist in a manner as to be able to reasonably determine that the drug has not expired, has not been adulterated or misbranded
• CANNOT guarantee the safety of the drug being dispensed or administered, but the pharmacist as determined that the drug appears to be safe to dispense or administer based on accuracy of the donor form and the visual inspection required Cancer drugs shall only be dispensed by who? Pursuant to what? - CORRECT ANSWER by licensed pharmacist pursuant to prescription issued by prescribing practitioner

Class II medical device definition? Examples? - CORRECT ANSWER those for which general controls are insufficient to ensure safety and effectiveness, must meet specific performance standards established by the FDA; Ex: insulin syringes, thermometers, diagnostic reagents, soft or hard contact lenses for daily use, electric heating pads Class III medical device definition? Examples? - CORRECT ANSWER those devices requiring pre-market approval because they are life supporting, life sustaining, or they present a potential unreasonable risk of illness or injury; Ex: pacemaker, heart valves, or soft or hard contact lenses for extended use Clinical considerations section in pregnancy/lactation provides what? - CORRECT ANSWER addresses situations in which a woman was inadvertently exposed to the drug, any effects of the medication will have in labor and delivery, and decisions that clinicicorrect answer may have to make while prescribing these meds to pregnant women including dosing adjustments, adverse reactions, interventions required Clinicicorrect answer who wish to prescribe thalidomide have to register with what? - CORRECT ANSWER STEPS Prescriber Registry Clozapine poses high risk of what? - CORRECT ANSWER agranulocytosis Colestipol powder form is exempt from PPPA in what amount? - CORRECT ANSWER up to 5 grams in a packet Collaborative agreement should remain in effect for how long? - CORRECT ANSWER period not to exceed 2 years upon conclusion of which or sooner the parties shall review the agreement and make determination as to renewal, necessary modifications or termination Combat Methamphetamine Act includes products containing what? What are these collectively referred to as? - CORRECT ANSWER ephedrine, pseudoephedrine, phenylpropanolamine (which has been withdrawn from the market) (collectively referred to as Scheduled Listed Chemical Products) Compounded drug can only be prepared pursuant to what? - CORRECT ANSWER - for an individual patient based on a valid prescription

• or for a limited quantity if prepared in anticipation of a prescription based on a past compounding history Compounders cannot ask for exemptions from what if they are an outsourcing facility? - CORRECT ANSWER CGMPs Compounding needs to be done in compliance with what? - CORRECT ANSWER USP chapters on compounding, using substances that comply with monograph standards Compounding provisions were included in what act? When did it take effect?
• CORRECT ANSWER Food & Drug Administration Modernization Act (FDAMA); 1998 Compounding Quality Act does what? - CORRECT ANSWER reinstated the compounding provisions included in FDAMA and removed unconstitutional provisions related to compound advertising Compounds cannot be compounded with what kinds of substances? - CORRECT ANSWER drugs that the FDA has withdrawn from the market for safety or efficacy reasons Compunder cannot distribute more than how much of total prescriptions dispensed or distributed by the pharmacy? If they do, what is needed? - CORRECT ANSWER 5%; need memorandum of understanding between the pharmacy's state and the FDA Conjugated estrogen tablets when dispensed in mnemonic dispenser packages are exempt from PPPA in what amount? - CORRECT ANSWER NMT 32 mg of the drug Controlled Substance Registration Protection Act mandates what? - CORRECT ANSWER Federal investigation must occur if
• replacement cost of CS taken is $500 or greater
• registrant or other person is killed or suffers significant injury
• Interstate or foreign commerce is involved in the planning or execution of the crime