Texas MPJE 2022 Question and Answers

Pharmacists are required to complete sterile compounding training through a recognized course in an accredited 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 Low risk compounded sterile preparations may be stored for how long in a solid frozen state? a) 3 days b) 9 days c) 14 days d) 45 days - ANSWER d) 45 days Non-pharmacist personnel may not ask questions of a patient or patient's agent which are intended to screen or limit interaction with the pharmacist. a) True b) False - ANSWER a) True no screening, now have to counsel on every new prescription in system and patient has to interrupt counseling (just start talking about medication) How many times may a candidate retake the MPJE? a) Once (1) b) Twice (3) c) Four times (4) d) Unlimited - ANSWER c) Four times (4) 4x for RETAKES, 5 times in total All DEA registrants are required to register every...? a) 1 year b) 2 years c) 3 years d) 6 months - ANSWER c) 3 years Previously wrong in the version sent out before 7/5/17 High risk compounded sterile preparations may be stored for how long at room temperature? a) 12 hours b) 24 hours c) 30 hours d) 48 hours - ANSWER b) 24 hours What class or classes of pharmacy is required to have a perpetual inventory of CII CS? a) Class A b) Class C c) Class D d) A and B - ANSWER b) Class C - Hospital, yes but does not need perpertual for CIII-V like we have at HMH with the CII safe, that is just additional precautions for prevention of diversion Class A - Retail/community no need Class D - Class D not allowed to dispense CS (clinic) If good manufacturing principles are not followed, these drugs are considered? a) Adultered b) Misbranded c) Both A and B - ANSWER a) Adultered - lack of GMP followed How many hours of vaccine-related CE must a pharmacist complete to maintain their vaccine administration certification? a) 3 hours every 2 years b) 3 hours every year c) 6 hours every year d) 6 hours every year - ANSWER a) 3 hours every 2 years - 3 CE Q2 years since licensed renewed Q2 years Which of the following is true regarding DEA 222 forms? I. Name and address of the supplier must be filled out II. Number of lines completed must be filled in at the bottom III. More than one item can be listed per line IV. Must be completed in ink, indelible pencil, or typewritten a) I only b) I and II c) I, II, and IV d) I, II, III, and IV - ANSWER c) I, II, and IV Which of the following are required on the prescription label? I. Beyond-use date II. Prescriber name III. Prescriber telephone number IV. Quantity dispensed a) I, III, and IV b) I, II, and IV c) II, III, and IV d) I, II, III, and IV - ANSWER b) I, II, and IV How often must clinic pharmacies with expanded formularies perform retrospective drug regimen review (DRR) a) Monthly b) Bi-monthly c) Quarterly d) Annually - ANSWER c) Quarterly - Q3 months (4 times per year) Faxed CII Rx are allowed for... I. Narcotic for a long-term care facility patient II. Non-narcotic for a long-term care facility patient III. Non-narcotic for a hospice or terminally ill patient IV. Narcotic for a hospice or terminally ill patient a) II and III b) I and IV c) I, II, and IV d) I, II, III, and IV - ANSWER c) I, II, and IV A pharmacist may dispense an electronic prescription for a schedule II, III, IV, or V CS in compliance with the federal and state laws. a) True b) False - ANSWER a) True Prepackaged drugs for outpatient use by a Class F pharmacy may only be dispensed for how many days? a) 24 hours b) 48 hours c) 72 hours d) 96 hours - ANSWER c) 72 hours A licensed facility member may access an emergency medication kit during an emergency without a prescription drug order from a practitioner. a) True b) False - ANSWER b) False If a supplier cannot fill the CII order, how long do they have to supply the balance? a) 14 days b) 30 days c) 60 days d) 90 days - ANSWER c) 60 days When does a pharmacist notify a patient's primary care provider after administration of a vaccine? a) 24 hours b) 5 days c) 7 days d) 10 days e) 14 days - ANSWER e) 14 days How long may a Class H pharmacy keep prescriptions ready for a patient? a) 7 days b) 10 days c) 15 days d) 30 days - ANSWER c) 15 days - STRANGE NUMBER, different from most time frames Medial fill testing is required to be done how often for high risk sterile compounding? a) Every 6 months b) Every 12 months c) Every 24 months d) Not required - ANSWER a) Every 6 months Pharmacists may now receive credit for completing Continuing Medical Education approved by the American Medical Association. a) True b) False - ANSWER a) True What is the limit of the number of dosage units that may be prescribed at one time for multiple CII prescriptions? a) No limit b) 30 dosage units c) 60 dosage units d) 90 dosage units - ANSWER a) No limit What form is used to register with the DEA? a) DEA 41 b) DEA 106 c) DEA 222 d) DEA 224 - ANSWER d) DEA 224 Air sampling in the sterile compounding areas shall be performed at least? a) Daily b) Weekly c) Monthly d) Every 3 months e) Every 6 months f) Every 12 months - ANSWER e) Every 6 months Is DEA registration number BS valid? a) Yes b) No - ANSWER a) Yes What class(es) of pharmacy can outsource to a Class G pharmacy? a) Class A b) Class C c) Class E d) Class G e) A, B, and C f) A and C g) A and D - ANSWER e) A, B, and C Pharmacy technicians are allowed to transfer controlled substance prescriptions orally between pharmacies a) True b) False - ANSWER a) False only interns and pharmacists are allowed to transfer CS, can technicians orally transfer dangerous drugs or can they electronically, not orally? (within the same computer system e.g. Walgreen, they were able to transfer, but this is not oral) Low risk compounded sterile preparations may be stored for how long at cold/refrigerated temperature?