TEXAS MPJE Practice Questions and Answers Solved 100% Correct

Who does not have to register for a DEA? - ANSWER--An agent/employee of other registrant (ex: RPH) -Carrier/warehouseman (ex: Mckesson driver) -Patients -Officials of U.S. Armed Services, Public Health Service, Bauer of Prisions What is the concentration limit for CV codeine? - ANSWER-200 mg/100 mL (if anything more then 2mg/mL, then it becomes a CIII) What is the concentration limit for CIII codeine? - ANSWER-1.8 g/100 mL and 90 mg/dosage unit (if anything more than these concentrations, it becomes a CII) What is the FEDERAL concentration limit for CV opium? - ANSWER-100mg/100mL What is the TEXAS concentration limit for CV opium? - ANSWER-50mg/100 mL (half of federal) What is the FEDERAL concentration limit for CIII opium? - ANSWER-500mg/100 mL and 25mg/dosage unit Any straight narcotic is a Schedule ___ regardless of strength? - ANSWER-II (so even if it has a flavor, cherry flavor syrup, it's still "pure"). If a narcotic is added to a nonnarcotic, then that's when the concentrations apply) What Class is required to store CII in a locked cabinet? - ANSWER-Class C Class C-S Class C-ASC Class F Which scheduled classes require the "caution" label? What would be an exemption to this? - ANSWER-11-IV exemption: blinded clinical study (NOT V) A *perpetual* inventory is only required in TX for which class? - ANSWER--CII in a CLass C -All controlled substances stored at a remote location under the remote pharmacy rules -All controlled substance in Class C-ASC -All controlled substance in Class F Which Class does a RPH not have to sign/initial when receiving a controlled substance? Who signs? - ANSWER-Class C-ASC Class F -person receiving can sign for this What records can NOT be kept at a central location? - ANSWER--Executed DEA order forms (Copy 3 of 222) -Prescriptions -Inventories *these must be kept at pharmacy at all times* What is the retail sales limit on pseudoephedrine? - ANSWER-3.6 g/day 9 g/30 days What is the mail service and mobile retail vendors limitation on pseudoephedrine? - ANSWER-7.5 g /30 days Automatic refills per TSBP is allowed for which controlled substances - ANSWER-IV and V NOT III and II Who can prescribe CIII-CV, but the total qty (including refills) can NOT exceed a 90 day supply? - ANSWER-APRN PA (limits on CII) Drug wholesalers are regulated by who? - ANSWER-TX Department of State Health Services *NOT TSBP* Preceptors must complete ___ hours of preceptor training (initially) every ___ years through ___ courses - ANSWER-3 hours initially 2 years ACPE *they must have at least 1 year of experience or 6 months of residency training* What is the ratio for preceptors supervising pharmacist interns as a part of a TX college/school of pharmacy program? - ANSWER-NO ratio 1:1 ratio of preceptor:intern if not through TX college/school of pharmacy How long do you keep CE record for? - ANSWER-3 years When a practitioner wants a brand name drug, verbally or electronically, how long do they have to *mail or fax* the RX for a *medicaid* patient - ANSWER-30 days T/F: Emergency refills are NOT allowed for CIII-V? - ANSWER-False; they are allowed per TSBP; DEA has no opinion on this T/F: Automatic refills can be done for CIII-V? - ANSWER-False, only for IV and V; not III When RPH administers an Epi-pen during an emergency, how long does the RPH have to contact the PCP about the situation? - ANSWER-within 72 hours When should a pharmacy report change of a pharmacy location? - ANSWER-New licensed has to be filled 30 days *prior* to change -has to have a new application When should pharmacy report significant loss/theft - ANSWER-Immediately upon discovery (per TSBP) When should a pharmacy report forged RX? - ANSWER-immediately upon discovery When should a pharmacy report permanent closing of the pharmacy to TSBP? - ANSWER-within 10 days *after* closing When should a pharmacy report change of ownership or name of pharmacy? - ANSWER-Within 10 days and new licensed required for change of pharmacy New license filled 10 days *prior* to change of pharmacy name What age can a pharmacy give influenza vaccines to patients without an RX? - ANSWER-7; so age 8 can give What age can a pharmacy give a vaccine (not influenza) to patient without an RX? - ANSWER-14, so age 15 can give Pharmacist must notify physician who issued the vaccine protocol within ___ hours of vaccine administration and the PCP of the patient must be notified within ___ days of administration of a vaccine? - ANSWER-24 hours- standing order physican 14 days-- PCP RPH certification to give vaccines includes what? How many hours of CDC training? How many hours of CE? - ANSWER-BLS certification 20 hours of CDC training 3 hours of CE every 2 years relating to disease state, drugs, and administration of vaccine When should a pharmacy notify *DEA* when closing a pharmacy? - ANSWER-At least 14 days *prior* to closing pharmacy should notify TSBP within 10 days after closing pharmacy as well!! (don't get confused, DEA first, then TSBP) What is the content and format of OTC labeling? - ANSWER-1. Active ingredients 2. Purpose 3. Use-indication 4. Warnings 5. Directions 6. Other information 7. Inactive ingredient (alphatellical order) 8. Questions? -- followed by a phone number APUWDOIQ Nurses of Home and Community Support Agencies ay purchase, store, or transport the following drugs (in a portable sealed container) without being in violation of the Texas Dangerous Drug Act? - ANSWER-1. Sterile water for injection and irrigation 2. Sterile saline for injection and irrigation 3. Hep B vaccines 4. Influenza vaccines 5. Tuberculin purified protein deviate for TB testing No more than *5 dosage units* of: a: Heparin sodium lock flush-10 units/mL or 100 units/mL b. Epinephrine 1:1000