Dr. C's PA MPJE Review Practice
Questions & Answers46
Manuel is the pharmacist at a local chain pharmacy. Manuel and his pharmacy intern, Selena,
are both authorized to provide immunizations. Which of the following vaccines would Selena be
able to administer under the supervision of Manuel? Select all that apply.
A. HepA to a 24-month-old after receiving an order from a pediatrician
B. Influenza to a 10-year-old under a protocol
C. Varicella to a 19-year-old after receiving an order from a physician
D. Shingrix to a 50-year-old under a protocol - ANSWERS-B. Influenza to a 10-year-old under a
protocol
C. Varicella to a 19-year-old after receiving an order from a physician
D. Shingrix to a 50-year-old under a protocol
PA allows authorized pharmacists and interns (under the supervision of an authorized
pharmacist) to administer any CDC-recommended vaccine but only to patients older than 18
years of age, except for influenza immunizations, which can be administered to patients 9 years
of age and older. Administration may occur under an order or written protocol.
Manuel is a pharmacist that used to be authorized to administer immunizations. He allowed his
authorization to lapse in 2022. Which of the following requirement(s) must Manuel meet to
reactivate his authorization?
A. Complete the appropriate form provided by the PBOP
B. Complete the required 2 hours of related CE
C. A and B only
D. A, B, and C - ANSWERS-D. A, B, and C
,The PBOP requires a pharmacist who has had a lapsed authority for under 2 years and wants to
reactivate it to complete a form provided by the PBOP and the required 2 hours of related CE.
Authorization that has lapsed for 2 years or longer also requires the pharmacist to retake the
required education
Which of the following drugs may be donated by a qualified donor to a pharmacy that is
approved under the Cancer Drug Repository Program?
A. Arimidex (blister package)
B. Tramadol (unopened bottle)
C. VePesid (blister package)
D. Xanax (unit-dose package) - ANSWERS-A. Arimidex (blister package)
The Pennsylvania Cancer Drug Repository Program allows approved pharmacies to accept
eligible donated cancer drugs from approved donors. Eligible drugs include those in original
unopened, sealed, and tamper-evident unit-dose packaging. Ineligible drugs include controlled
substances and drugs that require refrigeration. Tramadol and Xanax are controlled (and not
classified as a cancer drug), and VePesid is required to be stored under refrigeration
Which activities could be delegated to a pharmacy intern under the immediate supervision of a
pharmacist? Select all that apply.
A. Take a verbal order from a prescriber's office
B. Counsel a patient on a medication
C. Compound medications
D. Final verification of product to be dispensed - ANSWERS-A. Take a verbal order from a
prescriber's office
C. Compound medications
Interns can take verbal orders and compound medications under the direct supervision of a
pharmacist. Interns are not permitted to counsel patients or perform the final verification of a
prescription
,Which of the following OTC products is not required to be packaged in tamper-resistant
packaging?
A. Cepacol throat lozenges
B. NyQuil liquid
C. Zaditor eye drops
D. Imodium caplets - ANSWERS-A. Cepacol throat lozenges
Most OTC drugs are required to be packaged in tamper evident packaging. Exceptions exist for
dermatologicals, dentifrices, insulin products, and lozenges
A community pharmacist receives a prescription for Lantus. Neither the prescriber nor the
patient requests the brand to be dispensed. The pharmacy does stock Semglee. How should the
pharmacist proceed with product substitution when dispensing this prescription?
A. The pharmacist is required to dispense Lantus
B. The pharmacist is required to dispense Semglee
C. The pharmacist may dispense Semglee, but notification to the prescriber would need to occur
shortly after
D. The pharmacist would need to obtain a new prescription written for Semglee prior to
dispensing it - ANSWERS-C. The pharmacist may dispense Semglee, but notification to the
prescriber would need to occur shortly after
When a pharmacist receives a prescription for a brand name biological product, they may
substitute an interchangeable biologic unless requested otherwise by the purchaser or indicated
by the prescriber. The pharmacist is to communicate to the prescriber within 72 hours the
dispensing of an interchangeable product
Which of the following accurately describes the requirements for pharmacies to conduct an
inventory of controlled substances?
, A. Pharmacies are required to maintain a perpetual inventory of all controlled substances and
must reconcile the perpetual inventory at least annually
B. Pharmacies are required to maintain a perpetual inventory of all Schedule II controlled
substances and must reconcile the perpetual inventory at least annually and conduct a physical
inventory for all Schedule III-V controlled substances biennially
C. Pharmacies may maintain a perpetual inventory of controlled substances but must take a
physical inventory biennially
D. Pharmacies may maintain a perpetual inventory but must take a physical inventory of all
Schedule II controlled substances biennially - ANSWERS-C. Pharmacies may maintain a
perpetual inventory of controlled substances but must take a physical inventory biennially
While many pharmacies maintain a perpetual inventory of controlled substances, there is no
legal requirement to do so. State and federal laws only require a biennial inventory of all
controlled substances
Which of the following are acceptable methods for storage of controlled substances in a
pharmacy? Select all that apply.
A. Placing all controlled substances in a safe under lock and key
B. Placing all controlled substances in a secure cabinet that is locked
C. Placing Schedule II controlled substances in a safe and dispersing the Schedule III-V controlled
substances on the pharmacy shelves throughout the non-controlled drugs
D. Dispersing all controlled substances on the pharmacy shelves throughout the non-controlled
drugs - ANSWERS-A. Placing all controlled substances in a safe under lock and key
B. Placing all controlled substances in a secure cabinet that is locked
C. Placing Schedule II controlled substances in a safe and dispersing the Schedule III-V controlled
substances on the pharmacy shelves throughout the non-controlled drugs
D. Dispersing all controlled substances on the pharmacy shelves throughout the non-controlled
drugs
All of these methods are considered acceptable security for controlled substances in a
pharmacy under DEA rules
Questions & Answers46
Manuel is the pharmacist at a local chain pharmacy. Manuel and his pharmacy intern, Selena,
are both authorized to provide immunizations. Which of the following vaccines would Selena be
able to administer under the supervision of Manuel? Select all that apply.
A. HepA to a 24-month-old after receiving an order from a pediatrician
B. Influenza to a 10-year-old under a protocol
C. Varicella to a 19-year-old after receiving an order from a physician
D. Shingrix to a 50-year-old under a protocol - ANSWERS-B. Influenza to a 10-year-old under a
protocol
C. Varicella to a 19-year-old after receiving an order from a physician
D. Shingrix to a 50-year-old under a protocol
PA allows authorized pharmacists and interns (under the supervision of an authorized
pharmacist) to administer any CDC-recommended vaccine but only to patients older than 18
years of age, except for influenza immunizations, which can be administered to patients 9 years
of age and older. Administration may occur under an order or written protocol.
Manuel is a pharmacist that used to be authorized to administer immunizations. He allowed his
authorization to lapse in 2022. Which of the following requirement(s) must Manuel meet to
reactivate his authorization?
A. Complete the appropriate form provided by the PBOP
B. Complete the required 2 hours of related CE
C. A and B only
D. A, B, and C - ANSWERS-D. A, B, and C
,The PBOP requires a pharmacist who has had a lapsed authority for under 2 years and wants to
reactivate it to complete a form provided by the PBOP and the required 2 hours of related CE.
Authorization that has lapsed for 2 years or longer also requires the pharmacist to retake the
required education
Which of the following drugs may be donated by a qualified donor to a pharmacy that is
approved under the Cancer Drug Repository Program?
A. Arimidex (blister package)
B. Tramadol (unopened bottle)
C. VePesid (blister package)
D. Xanax (unit-dose package) - ANSWERS-A. Arimidex (blister package)
The Pennsylvania Cancer Drug Repository Program allows approved pharmacies to accept
eligible donated cancer drugs from approved donors. Eligible drugs include those in original
unopened, sealed, and tamper-evident unit-dose packaging. Ineligible drugs include controlled
substances and drugs that require refrigeration. Tramadol and Xanax are controlled (and not
classified as a cancer drug), and VePesid is required to be stored under refrigeration
Which activities could be delegated to a pharmacy intern under the immediate supervision of a
pharmacist? Select all that apply.
A. Take a verbal order from a prescriber's office
B. Counsel a patient on a medication
C. Compound medications
D. Final verification of product to be dispensed - ANSWERS-A. Take a verbal order from a
prescriber's office
C. Compound medications
Interns can take verbal orders and compound medications under the direct supervision of a
pharmacist. Interns are not permitted to counsel patients or perform the final verification of a
prescription
,Which of the following OTC products is not required to be packaged in tamper-resistant
packaging?
A. Cepacol throat lozenges
B. NyQuil liquid
C. Zaditor eye drops
D. Imodium caplets - ANSWERS-A. Cepacol throat lozenges
Most OTC drugs are required to be packaged in tamper evident packaging. Exceptions exist for
dermatologicals, dentifrices, insulin products, and lozenges
A community pharmacist receives a prescription for Lantus. Neither the prescriber nor the
patient requests the brand to be dispensed. The pharmacy does stock Semglee. How should the
pharmacist proceed with product substitution when dispensing this prescription?
A. The pharmacist is required to dispense Lantus
B. The pharmacist is required to dispense Semglee
C. The pharmacist may dispense Semglee, but notification to the prescriber would need to occur
shortly after
D. The pharmacist would need to obtain a new prescription written for Semglee prior to
dispensing it - ANSWERS-C. The pharmacist may dispense Semglee, but notification to the
prescriber would need to occur shortly after
When a pharmacist receives a prescription for a brand name biological product, they may
substitute an interchangeable biologic unless requested otherwise by the purchaser or indicated
by the prescriber. The pharmacist is to communicate to the prescriber within 72 hours the
dispensing of an interchangeable product
Which of the following accurately describes the requirements for pharmacies to conduct an
inventory of controlled substances?
, A. Pharmacies are required to maintain a perpetual inventory of all controlled substances and
must reconcile the perpetual inventory at least annually
B. Pharmacies are required to maintain a perpetual inventory of all Schedule II controlled
substances and must reconcile the perpetual inventory at least annually and conduct a physical
inventory for all Schedule III-V controlled substances biennially
C. Pharmacies may maintain a perpetual inventory of controlled substances but must take a
physical inventory biennially
D. Pharmacies may maintain a perpetual inventory but must take a physical inventory of all
Schedule II controlled substances biennially - ANSWERS-C. Pharmacies may maintain a
perpetual inventory of controlled substances but must take a physical inventory biennially
While many pharmacies maintain a perpetual inventory of controlled substances, there is no
legal requirement to do so. State and federal laws only require a biennial inventory of all
controlled substances
Which of the following are acceptable methods for storage of controlled substances in a
pharmacy? Select all that apply.
A. Placing all controlled substances in a safe under lock and key
B. Placing all controlled substances in a secure cabinet that is locked
C. Placing Schedule II controlled substances in a safe and dispersing the Schedule III-V controlled
substances on the pharmacy shelves throughout the non-controlled drugs
D. Dispersing all controlled substances on the pharmacy shelves throughout the non-controlled
drugs - ANSWERS-A. Placing all controlled substances in a safe under lock and key
B. Placing all controlled substances in a secure cabinet that is locked
C. Placing Schedule II controlled substances in a safe and dispersing the Schedule III-V controlled
substances on the pharmacy shelves throughout the non-controlled drugs
D. Dispersing all controlled substances on the pharmacy shelves throughout the non-controlled
drugs
All of these methods are considered acceptable security for controlled substances in a
pharmacy under DEA rules
