MPJE Maryland Exam (Latest 2023/ 2024 Update) Questions and Verified Answers | 100% Correct| Grade A
MPJE Maryland Exam (Latest 2023/ 2024
Update) Questions and Verified Answers |
100% Correct| Grade A
Q: How long to retain CE credit records?
Answer:
4 years
Q: What actions can board take against registration?
Answer:
Suspend, deny, or revoke
Q: What tasks can a technician perform?
Answer:
Fill script from stock bottle; reconstitute medication;initiate and receive refill authorization
requests; prepare/package bulk prescriptions;load automated dispensing systems pending rx
approval;affix labels; enter prescription data
Q: When does rx PERMIT expire?
Answer:
May 31 unless renewed for 2 year term
Q: Types of pharmacy permits
Answer:
Manufacturer, virtual manufacturer, distributor, resident pharmacy, non-resident pharmacy,
waiver pharmacy, prescription drug repository, decentralized pharmacy
Q: When does pharmacy register as distributor?
Answer:
When wholesale distribution makes up at least 5% of business
Q: What is VAWD?
Answer:
Verified Accredited Wholesale Distributors
Q: Legend drugs?
Answer:
FDA approved drugs that require prescription
Q: Oxygen classification?
Answer:
legend drug
Q: Restrictions for psuedoephedrine
Answer:
3.6g per day, 9g per 30 days; logbook
Q: Syringes restrictions
Answer:
Sold by pharmacy; does not require prescription
Q: CV over the counter?
Answer:
Yes- authorized provider with label that has dispenser, pts name registry # and date dispensed
Q: How long to keep pharmacy records?
Answer:
5 years from date of dispensing
Q: Prescription pad requirements?
Answer:
Wet signature; CDS on tamper-proof pads
Q: Pre-printed scripts
Answer:
Allowed for non-CDS; not for CDS
Q: Faxing prescriptions
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What is the review committee?
Advisory committee consisting of pharmacists that help aid the board in licensing and in disciplinary matters
Time limit on notifying the State board regarding name, address, and employment
30 days
How long are MPJE results valid?
1 year
NAPLEX transferable?
Yes; 1 year
Minimum age of pharmacist?
18 years
Hours for foreign pharmacists?
1560
Transferring other license to MD?
Application, fee, 520 hours of experience after graduation, and pass MPJE
How often renew license?
Biennial (every 2 years)
CE requirements?
30 hours, 1 on med errors, 2 live hours, 4 hours for vaccines, board meetings earn 2 hours and can be done twice per 2 years
How long to mainain CE credit records?
3 years
How long does pharmacy intern registration last?
2 years
How many internship hours?
1560
Preceptor requirements
Licensed in MD for a year and complete preceptor cert course
Requirements for techs
Moral character; 17 y/o; high school grad/GED; pass board-approved by board; 160 hours of experience; OR work in same pharmacy since 2006
How often does a tech need to renew thier registration?
Last day of birth month after 1 year of initial regitration, and then every 2 years after that
How many tech CE credits?
20 hours every 2 years;(10 hours for first renewal);
How long to retain CE credit records?
4 years
What actions can board take against registration?
Suspend, deny, or revoke
What tasks can a technician perform?
Fill script from stock bottle; reconstitute medication;initiate and receive refill authorization requests; prepare/package bulk prescriptions;load automated dispensing systems pending rx approval;affix labels; enter prescription data
When does rx PERMIT expire?
May 31 unless renewed for 2 year term
Types of pharmacy permits
Manufacturer, virtual manufacturer, distributor, resident pharmacy, non-resident pharmacy, waiver pharmacy, prescription drug repository, decentralized pharmacy
When does pharmacy register as distributor?
When wholesale distribution makes up at least 5% of business
What is VAWD?
Verified Accredited Wholesale Distributors
Legend drugs?
FDA approved drugs that require prescription
Oxygen classification?
legend drug
Restrictions for psuedoephedrine
3.6g per day, 9g per 30 days; logbook
Syringes restrictions
Sold by pharmacy; does not require prescription
CV over the counter?
Yes- authorized provider with label that has dispenser, pts name registry # and date dispensed
How long to keep pharmacy records?
5 years from date of dispensing
Prescription pad requirements?
Wet signature; CDS on tamper-proof pads
Pre-printed scripts
Allowed for non-CDS; not for CDS
Faxing prescriptions
Allowed for non-CDS and for prescription transfer
Faxing CIIs
Orignal script in LTCF or nursing home; hopsice; direct admin to pt through non-oral route; can fill faxed C-II script if original written script presented at pickup
Time limit for filling new scripts
120 days after date written
Time limit for refills
No legal limit, but generally accepted as 1 year
Limits to refills for CDS?
II- no refills; III/IV- not refilled for more than 6 months after date written or 5 refills; V- refills approved by licensed rx
Unauthorized fills?
1 refill for 14 days- notify prescriber in 72 hours; Emergency- 30 day supply and notify prescriber within 7 days
Patient counseling required?
Yes, especially medicaid for initial dispensing
Elements of pt counseling
Name; if substitution made; what medicine does; when med taken and how long; what to do when dose missed; how to store medicine;refills
Immunizations
Infuenza starting at 9; 11-17 with prescription; all adult vaccines
Requirements to administer immunizations
Certification by board; CPR; register with board;4 hours of vaccine CE; vaccine protocol signed by physician
Authorized prescribers
dr; dentist; podiatrist; vetrinarian; nurse pracitioner; nurse midwife;
Contiuous quality improvement program
Required for repomote systems
Reuse of drugs?
Sealed in manufactrurer’s package
Disposal of drugs
Through disposal program
Form to destroy drugs
Form 41
Telephone for CIIs
No; Emergency- oral authorization, amoutn necesasry for emergency, pharmacist write script, receive written prescription in 7 days or notify DHMH
Time limit for emergency oral CII script to be received
7 days
Partial fill of CII
Must be completed within 72 hours or forfieted
Partial fill of CII in LTCF
60 days from when written
How long to keep 222s
2 years
How long ot maintain inventory records
At least 2 years from date of inventory record
Estimate inventory?
CII- exact count; CIII-V- estimate unless over 1000
How often to do inventory?
2 years
Refuse to fill script
Notify prescriber within 72 hours
Who can inspect pharmacy permit
Board Secretary, Board, or ange fo the board
Generic substution
Yes, unless written for generic drug, says dispense as written, or reimbursed by third party
Requirements in institutional settings
No labelling- less than 34 day supply or lestt than 100 doses
Narcotics for treatment
3 days for an emergency- no prescribing. Must be registered
Max amount of codeine in CV
200mg/100 ml
Pnergan with codiene
CIII
Partial DEA 222-
60 days
Transferring CIIs
DEA 222
Who can a pharmacist release a confidential report to?
Pt or pt agent; practitioner or other pharmacist; board; law enforcement;insurance carrier
DEA 222
Purchase/transfer of CIIs
DEA 224
New registration
DEA 225
New registration
DEA 363
New registration
DEA 106
Lost or stolen controlled substances
DEA 41
Disposal or destruction of controlled substances
FDA 2635
Consent to treat of approved narcotic
Expiration date
12 months of date of repackaging or expiration date of bulk product
Closing a pharmacy
Notify board 14 days before, DDC inspection 14 days before closing, remove pharmacy signs without 30 days
Required docs at closing date
Exact date of end of operation; coping of inventory for DEA;pharmacy permit and CDS permit
Reurn of non-CDS at closing
return to distributor/manufacturer; transferring to another licensed pharmacy;authorized prescriber
Disposing of controlled substances
Submit form 41; dispose of as follows- transer, delivery to DEA, destroy in presence of other; forward to district DEA office
Destroying controlled substances in facility
Two members of professional staff; keep up-to-date record of disposals; record of distruction within 10 day of destruction
Signicant loss
Notify DEA wiht form 106;
Durg regimen review at long term care institution?
Monthly
When is medication review required after long-term care admission
14 days
Facility CII requirements
CIIs with 2 locks; record pt, date, time, kind , dose, method fo admin; name of physician that prescribes
PPI (Patient package insert) required
Isotrenioin; estrogen; oral contraceptices; isopreternol; intrauterine device
Office stock
No controls, frowned upon in general
Transfer of CIII-v
Can be transferred 1X
Filing Method for CDS
1) 3 separate files- CII, CIII-V, non controlled; 2) 2 files- CII, III-V AND non-controlled; 3) 2 files- controlled and non-controlled
Requirements for OTC label
Active ingredients and strengths; Inactive ingredients;warning;direction fo ruse; lot number; expiration date; name and address of manufacturer; NDC NOT REQUIRED
Requirements for emergency kits
Institutional setting- Tamper resistant seal;labeling- names and strenghts of drugs,conetns with expiration, quantity; drugs listed with name, strenght, exp, not number; other required info
Portable drug kits
Home health and hospice; Tarper resistent, sterile/not; :return within 5 days”, storage requiremetns; temperature monitor;
Which insulin products can be purchased without a prescription?
Huminin R/N/70/30; Novolin R/N/70/30
When does a unit dose expire?
6 months or 25% of the time remaining between package datea and date of expiration, whichever is shorter
What are VIPPS
Verified Internaiteo Pharmacy Practice sites- association that verifies safety of internet pharmacies- provide seal to online pharmacies
Form to order 95% ethanol
ARF-11
What did the pure food and drug act of 1906 regulate?
prohitied hte aduteration or misbranding of food and drugs
FDA forms for narcotic treatment program
FDA 2632- application, FDA 2633- medical responsibility statement
Who should not receive LAMM
preg woman and under age 18
Type S drug
drug that is similar ot other drugs on the market
Durahm Humphrey of 1951
Created legend vs OTC drugs; requires “requires prescription” language;
When is it appropriate to compound?
Not versions of FDA approved drugs; meet official standards; does nto advertise compunded drug; reasonable quantity; not wholesale; not compounding withdrawn drugs
FDCA (Food, Drug, and Cosmetic Act) 1938
Created FDA
Kefauver-Harris Amendment 1962
Safe and effective
Preg catagory D-
Risk to fetus, only if absolutely necesary
Phase 1 trial
Asess safety
Phase 2
Efficacy and side effects
Phase 3
Efficacy, safety, and side effects
DEA Registration Renew
Manufacturers- Annually; Distrbuters- Annually; Dispensers- 3 years; Prescribers- 3 years
Prescription Drug Marketing Act 1987
No reimportation; registration in states;
Medicare Modernization Act
Fast track reviews; clarification on compounding;supplemental NDAs
Expiration dates
Solid- 25% of time remaining or 6 months; aqueous ora-14 days; 30 for everything else
Does a pharmacist need to name change of location if working for same company?
No
How to maintain prescriptions
5 years
Oxygen records
6 years
Emergency refills
30 day supply;72 hours
Centralized automated medication system”
means an automated medication system located in a pharmacy from which medication is distributed or prepared for final dispensing by a licensed pharmacist for a specific patient
Decentralized automated medication system
means an automated medication system that is located outside of the pharmacy in a health care facility or a medical facility owned and operated by a group model health maintenance organization with an on-site pharmacy and in which medication is stored in a manner that may be, but need not be, patient specific.
Remote automated medication system
” means an automated medication system that is located in a health care facility, or a medical facility owned and operated by a group model health maintenance organization that does not have an on-site pharmacy and in which medication is stored in a manner that may be, but need not be, patient specific.
When does the rph not have to inform patient of generic?
If dr wrote for DAW, if it is written for a generic, if in an institutional setting, of cost of prescription is reimbursed by a third party payer (including medical assistance)
Requirement for dispensing of biological products?
Within 5 days, communicate the specific biological product dispense including name and manufacturer to the prescribed. Must be done through medical record, e prescribing, PBM system, or pharmacy record. Also can be done by phone, fax, or electronic transmission.
When do reporting requirements for biological products not apply?
When there is no approved interchangeable biological product or a refill is not changed from previous product
Where is pharmacist required to document unauthorized refill?
On the back of the prescription or another record (such as a medication record)
Should record date and quantity dispensed
For an unauthorized refill during a state of emergency, what is pharmacist allowed to dispense? When do they need to notify prescriber by?
30 days supply. Must notify prescriber within 7 days
Is compounding for a vet considered distribution?
No
Acts prohibited of pharmacy intern
Delegating Pharmacy acts, performing final verification, performing other prohibited duties
Pharmacy intern renewal
Can renew once. Cannot renew if license was obtained as a graduate or foreign graduate
What violations of HG are subject to a $1,000 fine?
- Display of licenses
- Pharmacy permits
- Pharmaceutical info (giving prices to the public)
- Labeling requirements
- General power to inspect
What violations of HG are subject to a $1,000 fine plus 1 year imprisonment? (Subject to a misdemeanor)
- Practicing pharmacy without a license
- License obtained by false representation
- Operating a pharmacy without a permit
- Misrepresentations
- Working as an unregistered pharmacy tech or intern
What information about the medication should be on the container it is repackaged into?
Name (generic and brand), strength, lot number of the distributer or manufacturer, expiration date, BUD
In what settings can pharmacist perform therapeutic interchange?
Hospital, extended care, comprehensive care as long as there are procedures allowing it
Where are portable drug kits used?
Home healthcare, hospice, home infusion (these are licensed as residential services agencies)
Requirements for a prescription protocol for a portable drug kit
- Name, strength, quantity of drugs to be included
- Conditions for use
- Directions for use
- Contraindications for use
- Signature, printed name, phone number of authorizing physician
- Name of receiving agency or agent
What should the pharmacist document when dispensing a portable drug kit?
- Date of distribution
- Name of person or agency that it was delivered to
- Date of delivery for each kit
- Administration record should be filed when it is returned
Does a pharmacy need to notify the board to dispense portable drug kits?
Yes
How soon does the portable drug kit need to be returned to pharmacy after seal is broken?
5 days
Can controlled substances go in a portable drug kit?
No
What needs to be on the portable drug kit administration record?
- Name of patient
- Name of prescriber
- Name of person utilizing kit
- Drug, form, and dose administered
- Date of administration
- Reason for administration
What should be on the certificate of completion for a CE course?
- Name of participant
- Name of provider
- Name of course
- Program identification number or provider number
- Number of CE credits earned
- Date of completion
Can medications be returned to an automated medication system? If so, under what circumstances?
Yes. If unit dose packages, must return to a one-way returns bin, and a pharmacist must decide if it is unadulterated and can return it if they decide it has not been.
Medications not in single drug unit dose packaging must be put in one way returns bin and returned to permit holder for proper disoposal
In what case can unused medications not be returned to an automated medication system?
If it is a centralized automatic medication system stocked with bulk medications
sources;
https://www.gcu.edu/
https://yaveni.com/
https://www.rasmussen.edu/
https://www.chamberlain.edu/
https://smartu.smartsheet.com/page/smartsheet-certified
https://www.healthstream.com/HLCHelp/Administrator/Reports/Education_Reports/Test_Question_Analysis_Report.htm
https://trailhead.salesforce.com/en/credentials/administrator
https://education.gainsight.com/page/gainsight-certification-programs
https://a.iaabo.org/rules-quizzes/