MA MPJE TIPS SET ANSWERS AND QUESTIONS SET
A+
✔✔Which of the following is/are QREs?
I. dispensing an incorrect drug
II. dispensing the drug to a wrong patient
III. providing inadequate or incorrect packaging
a. I only
b. I and II only
c. II and III only
d. All - ✔✔(d) All, [247 CMR 15.01(a),(b)].
Continuous Quality Improvement Program or CQI Program means a system of
standards and procedures to identify and evaluate quality-related events and improve
patient care.
Quality-Related Event or QRE means the incorrect dispensing of a prescribed
medication that is received by a patient, including:
(a). a variation from the prescriber's prescription order, including, but not limited to:
1. dispensing an incorrect drug;
2. dispensing an incorrect drug strength;
3. dispensing an incorrect dosage form;
4. dispensing the drug to the wrong patient; or
5. providing inadequate or incorrect packaging, labeling, or directions; or
(b). a failure to identify and manage:
,1. over-utilization;
2. therapeutic duplication;
3. drug-disease contraindications;
4. drug-drug interactions;
5. incorrect drug dosage or duration of drug treatment;
6. drug-allergy interactions; or
7. clinical abuse/misuse.
✔✔Which of the following is/are correct filing method(s) for controlled substances under
the Massachusetts Pharmacy Law?
I. One file for CII, second file for CIII, CIV and CV and a third file for CVI and non
controlled substances.
II. One file for CII and a second file for CIII, CIV, CV and non controlled substances.
III. One file for controlled and a second file for non controlled substances.
a. I only
b. I and II only
c. II and III only
d. All - ✔✔(a) I only, [247 CMR Chapter 9, Section 9.05(1),(2) and (3)].
Under the Massachusetts Pharmacy Law, the filing for controlled substances can be
done by the following:
(1). Prescriptions for controlled substances in Schedule II shall be segregated from all
other records and shall be maintained in a separate file identified as such.
(2). Prescriptions for controlled substances in Schedules III, IV, and V shall be
maintained in a separate file identified as such.
(3). Prescriptions for controlled substances in Schedule VI, prescriptions for non-
controlled substances, and prescriptions for syringes and instruments adaptable to
hypodermic administration, shall be segregated from all other records and shall be
maintained together in a separate file identified as such.
✔✔In Massachusetts, registration as a restricted pharmacy may function or operate as
a retail pharmacy.
,a. True
b. False - ✔✔(b) False, [247 CMR Chapter 12, Section 12.02].
The Board may register a restricted pharmacy for the limited transaction of a drug
business. A restricted pharmacy may furnish pharmacy services only to beneficiaries, a
trust, fund, pension plan, combination plan, or profit-sharing plan.
Registration as a restricted pharmacy shall not authorize such a restricted pharmacy to
function or operate as a retail pharmacy.
A restricted pharmacy may, after written notice to the Board, limit its operation to a
specific schedule of drugs.
✔✔For prescriptions issued for controlled substances listed in Schedules III, IV and V,
the transfer shall be communicated between:
I. two licensed pharmacist
II. two registered pharmacy-intern
III. a licensed pharmacist and registered pharmacy intern
a. I only
b. I and II only
c. II and III only
d. All - ✔✔(d) All, [247 CMR Chapter 9, Section 9.02 (2) and 247 CMR 2.00 Definitions:
Pharmacy-Intern].
For prescriptions issued for controlled substances listed in Schedules III, IV and V, the
transfer shall be communicated between two licensed pharmacists/pharmacy-interns.
For prescriptions issued for controlled substances listed in Schedules VI, the transfer
can be initiated and communicated by a licensing pharmacist, pharmacy-intern or
certified pharmacy technician.
Definition: A pharmacy intern may engage in the full range of activities conducted by a
registered pharmacist provided that at all time he or she is under the direct supervision
of a registered pharmacist preceptor.
✔✔A prescription for radiopharmaceutical drugs that does NOT contain the name and
address of a patient shall NOT be filled by a qualified nuclear pharmacist under any
circumstances.
a. True
b. False - ✔✔(b) False, [247 CMR Chapter 13, Section 13.05(6)(d)].
A nuclear pharmacy shall not prepare, compound, or dispense radiopharmaceutical
drugs except upon a valid prescription from an authorized practitioner. In order to be
, valid, a prescription for radiopharmaceutical drugs shall contain the following
information:
(a). the name, address, registration number and, in the case of a written prescription,
the signature of the practitioner;
(b). the date of the prescription;
(c). the name, dosage unit, and strength per dosage unit of the radiopharmaceutical
drug;
(d). the name and address of the patient; if the name of the patient is unknown at the
time the prescription is received, the nuclear pharmacy shall obtain the name and
address of the patient within 72 hours after dispensing the radiopharmaceutical drug;
the address of the facility where the patient is being treated will be sufficient if his or her
residential address is unavailable; and
(e). any specific instructions required.
✔✔Prescriptions authorizing refills for Schedule VI controlled substances may be
transferred between pharmacies or pharmacy departments on a one-time only basis.
a. True
b. False - ✔✔(b) False, [247 CMR Chapter 9, Section 9.02(4)].
Prescriptions authorizing refills for Schedule VI controlled substances may be
transferred between pharmacies or pharmacy departments within one year of the date
of issuance.
Prescriptions authorizing refills for Schedule III through V controlled substances may be
transferred between pharmacies or pharmacy departments on a one-time only basis
except as otherwise permitted by law.
✔✔Which of the following requires a tamper-evident packaging?
a. Cold EZ lozenges
b. Tolnaftate cream
c. Prilosec capsules
d. Sensodyne fluoride tooth paste - ✔✔(c) Each manufacturer and packer who
packages an OTC drug product (except a dermatological, dentifrice, insulin, or lozenge
product) for retail sale shall package the product in a tamper-evident package, if this
product is accessible to the public while held for sale.
A tamper-evident package is one having one or more indicators or barriers to entry
which, if breached or missing, can reasonably be expected to provide visible evidence
to consumers that tampering has occurred. To reduce the likelihood of successful
A+
✔✔Which of the following is/are QREs?
I. dispensing an incorrect drug
II. dispensing the drug to a wrong patient
III. providing inadequate or incorrect packaging
a. I only
b. I and II only
c. II and III only
d. All - ✔✔(d) All, [247 CMR 15.01(a),(b)].
Continuous Quality Improvement Program or CQI Program means a system of
standards and procedures to identify and evaluate quality-related events and improve
patient care.
Quality-Related Event or QRE means the incorrect dispensing of a prescribed
medication that is received by a patient, including:
(a). a variation from the prescriber's prescription order, including, but not limited to:
1. dispensing an incorrect drug;
2. dispensing an incorrect drug strength;
3. dispensing an incorrect dosage form;
4. dispensing the drug to the wrong patient; or
5. providing inadequate or incorrect packaging, labeling, or directions; or
(b). a failure to identify and manage:
,1. over-utilization;
2. therapeutic duplication;
3. drug-disease contraindications;
4. drug-drug interactions;
5. incorrect drug dosage or duration of drug treatment;
6. drug-allergy interactions; or
7. clinical abuse/misuse.
✔✔Which of the following is/are correct filing method(s) for controlled substances under
the Massachusetts Pharmacy Law?
I. One file for CII, second file for CIII, CIV and CV and a third file for CVI and non
controlled substances.
II. One file for CII and a second file for CIII, CIV, CV and non controlled substances.
III. One file for controlled and a second file for non controlled substances.
a. I only
b. I and II only
c. II and III only
d. All - ✔✔(a) I only, [247 CMR Chapter 9, Section 9.05(1),(2) and (3)].
Under the Massachusetts Pharmacy Law, the filing for controlled substances can be
done by the following:
(1). Prescriptions for controlled substances in Schedule II shall be segregated from all
other records and shall be maintained in a separate file identified as such.
(2). Prescriptions for controlled substances in Schedules III, IV, and V shall be
maintained in a separate file identified as such.
(3). Prescriptions for controlled substances in Schedule VI, prescriptions for non-
controlled substances, and prescriptions for syringes and instruments adaptable to
hypodermic administration, shall be segregated from all other records and shall be
maintained together in a separate file identified as such.
✔✔In Massachusetts, registration as a restricted pharmacy may function or operate as
a retail pharmacy.
,a. True
b. False - ✔✔(b) False, [247 CMR Chapter 12, Section 12.02].
The Board may register a restricted pharmacy for the limited transaction of a drug
business. A restricted pharmacy may furnish pharmacy services only to beneficiaries, a
trust, fund, pension plan, combination plan, or profit-sharing plan.
Registration as a restricted pharmacy shall not authorize such a restricted pharmacy to
function or operate as a retail pharmacy.
A restricted pharmacy may, after written notice to the Board, limit its operation to a
specific schedule of drugs.
✔✔For prescriptions issued for controlled substances listed in Schedules III, IV and V,
the transfer shall be communicated between:
I. two licensed pharmacist
II. two registered pharmacy-intern
III. a licensed pharmacist and registered pharmacy intern
a. I only
b. I and II only
c. II and III only
d. All - ✔✔(d) All, [247 CMR Chapter 9, Section 9.02 (2) and 247 CMR 2.00 Definitions:
Pharmacy-Intern].
For prescriptions issued for controlled substances listed in Schedules III, IV and V, the
transfer shall be communicated between two licensed pharmacists/pharmacy-interns.
For prescriptions issued for controlled substances listed in Schedules VI, the transfer
can be initiated and communicated by a licensing pharmacist, pharmacy-intern or
certified pharmacy technician.
Definition: A pharmacy intern may engage in the full range of activities conducted by a
registered pharmacist provided that at all time he or she is under the direct supervision
of a registered pharmacist preceptor.
✔✔A prescription for radiopharmaceutical drugs that does NOT contain the name and
address of a patient shall NOT be filled by a qualified nuclear pharmacist under any
circumstances.
a. True
b. False - ✔✔(b) False, [247 CMR Chapter 13, Section 13.05(6)(d)].
A nuclear pharmacy shall not prepare, compound, or dispense radiopharmaceutical
drugs except upon a valid prescription from an authorized practitioner. In order to be
, valid, a prescription for radiopharmaceutical drugs shall contain the following
information:
(a). the name, address, registration number and, in the case of a written prescription,
the signature of the practitioner;
(b). the date of the prescription;
(c). the name, dosage unit, and strength per dosage unit of the radiopharmaceutical
drug;
(d). the name and address of the patient; if the name of the patient is unknown at the
time the prescription is received, the nuclear pharmacy shall obtain the name and
address of the patient within 72 hours after dispensing the radiopharmaceutical drug;
the address of the facility where the patient is being treated will be sufficient if his or her
residential address is unavailable; and
(e). any specific instructions required.
✔✔Prescriptions authorizing refills for Schedule VI controlled substances may be
transferred between pharmacies or pharmacy departments on a one-time only basis.
a. True
b. False - ✔✔(b) False, [247 CMR Chapter 9, Section 9.02(4)].
Prescriptions authorizing refills for Schedule VI controlled substances may be
transferred between pharmacies or pharmacy departments within one year of the date
of issuance.
Prescriptions authorizing refills for Schedule III through V controlled substances may be
transferred between pharmacies or pharmacy departments on a one-time only basis
except as otherwise permitted by law.
✔✔Which of the following requires a tamper-evident packaging?
a. Cold EZ lozenges
b. Tolnaftate cream
c. Prilosec capsules
d. Sensodyne fluoride tooth paste - ✔✔(c) Each manufacturer and packer who
packages an OTC drug product (except a dermatological, dentifrice, insulin, or lozenge
product) for retail sale shall package the product in a tamper-evident package, if this
product is accessible to the public while held for sale.
A tamper-evident package is one having one or more indicators or barriers to entry
which, if breached or missing, can reasonably be expected to provide visible evidence
to consumers that tampering has occurred. To reduce the likelihood of successful
