TX MPJE PRACTICE QUESTIONS|UPDATED&VERRIFIED|GUARANTEED SUCCESS

Who does not have to register for a DEA? -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? 200 mg/100 mL (if anything more then 2mg/mL, then it becomes a CIII) What is the concentration limit for CIII codeine? 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? 100mg/100mL What is the TEXAS concentration limit for CV opium? 50mg/100 mL (half of federal) What is the FEDERAL concentration limit for CIII opium? 500mg/100 mL and 25mg/dosage unit Any straight narcotic is a Schedule ___ regardless of strength? 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? Class C Class C-S Class C-ASC Class F Which scheduled classes require the "caution" label? What would be an exemption to this? 11-IV exemption: blinded clinical study (NOT V) A perpetual inventory is only required in TX for which class? -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? Class C-ASC Class F -person receiving can sign for this What records can NOT be kept at a central location? -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? 3.6 g/day 9 g/30 days What is the mail service and mobile retail vendors limitation on pseudoephedrine? 7.5 g /30 days Automatic refills per TSBP is allowed for which controlled substances 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? APRN PA (limits on CII) Drug wholesalers are regulated by who? TX Department of State Health Services NOT TSBP Preceptors must complete ___ hours of preceptor training (initially) every ___ years through ___ courses 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? NO ratio 1:1 ratio of preceptor:intern if not through TX college/school of pharmacy How long do you keep CE record for? 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 30 days T/F: Emergency refills are NOT allowed for CIII-V? False; they are allowed per TSBP; DEA has no opinion on this T/F: Automatic refills can be done for CIII-V? 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? within 72 hours When should a pharmacy report change of a pharmacy location? New licensed has to be filled 30 days prior to change -has to have a new application When should pharmacy report significant loss/theft Immediately upon discovery (per TSBP) When should a pharmacy report forged RX? immediately upon discovery When should a pharmacy report permanent closing of the pharmacy to TSBP? within 10 days after closing When should a pharmacy report change of ownership or name of pharmacy? 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? >7; so age 8 can give What age can a pharmacy give a vaccine (not influenza) to patient without an RX? >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? 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? 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? 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? 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? 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 c: Diphenhydramine 50 mg/mL d. Methylprednisolone 125 mg/2 mL e: Naloxone 1 mg/mL in a 2 mL vial f: Promethazine 25 mg/mL g: Glucagon injection 1 mg/mL h: Furosemide 10 mg/mL I: Lidocaine 2.5% and prilocaine 2.5% in a 5gm tube j: Lidocaine solution 1% in a 2 mL vial