MA MPJE Exam Questions With Correct Answers

If a person registered to distribute CS discovers reportable theft or loss, who must be notified in what time frame - Answer -DEA in writing within one business day upon discovery and keep a copy of that notice for its records -State Police -MA BOP with the board special form within 7 days If a person registered to dispense CS discovers theft or loss, with who must a DEA 106 form be filed - Answer -DEA in writing within one business day upon discovery and keep a copy of that notice for its records -State Police -Police department in the city or town were the theft occurred -MA BOP with the board special form within 7 days What is included on a DEA 106 form - Answer 1. Name and address of the firm (pharmacy), 2. DEA registration number, 3. Date of theft or loss (or when discovered if not known), 4. Name and telephone number of local police department (if notified), 5. Type of theft (e.g., night break-in, armed robbery), 6. List of identifying marks, symbols, or price codes (if any) used by the pharmacy on the labels of the containers, and 7. A listing of controlled substances missing, including the strength, dosage form, and size of container (in milliliters if liquid form) or corresponding National Drug Code numbers. How often must a pharmacist dispensing opioid antagonist (naloxone) report the quantity of dispensing they have done - Answer annually The pharmacy or pharmacy department shall report a theft or loss of significant amount of controlled substance by submitting the board special form - Answer within 7 days of such theft When must losses related to employee pilferage or diversion be reported to the board - Answer always (significant or otherwise) When must losses related to C II - VI substances be reported - Answer Significant loss only When a loss is due to a confirmed dispensing error, does this have to be reported? - Answer No Who is responsible for reporting theft or loss to the DEA via DEA 106 form for in-transit losses? - Answer Whoever has custody of the product (aka supplier, would be the purchaser if they have signed for or taken custody) Who is responsible to report in-transit loss when a retail pharmacy contracts with private, common, or contract carriers to retrieve filled prescriptions from a central fill pharmacy - Answer the retail pharmacy is responsible for reporting in-transit losses upon discovery using a DEA Form 106. Does the witnessed breakage or spillage of a controlled substance constitute a loss? - Answer does not constitute a loss of controlled substances because the registrant can account for the controlled substances, the DEA does not have to be notified How must non-recoverable CII product breakage or spillage be handled? - Answer Recorded on a DEA Form 41 and signed by two individuals who can testify that a breakage or spillage occurred. For significant breakage or spillage, who is responsible for filing DEA form 41 - Answer The reverse distributor What is the procedure for sending CII substances to a reverse distributor - Answer the reverse distributor must issue an official order form (DEA Form 222) or the electronic equivalent to the pharmacy, they are responsible for filing the DEA 41 form upon destruction What is the procedure for sending CIII-V substances to a reverse distributor - Answer the pharmacy must maintain a record of distribution that lists the drug name, dosage form, drug strength, quantity, and date transferred. How can a LTCF dispose of CS for an ultimate user who resides, or has resided, at such LTCF? - Answer transfer those controlled substances into an authorized collection receptacle located at that LTCF within 3 days of drug discontinuation Who may install, manage, and maintain collection receptacles at LTCFs - Answer authorized retail pharmacies and authorized hospitals/clinics with an on-site pharmacy How much personel (pharm tech, certified pharm tech, intern) can a pharmacist directly supervise? - Answer A single pharmacist can supervise up to 2 goons and 2 champs at once When can a pharmacist supervise up to 4 interns - Answer If they are not all in the pharmacy and directly impacting dispensing (OK if they are immunizing) When does pharm tech registration expire - Answer every 2 years on their birthday How often must an RPh's perpetual inventory of C II be reconciled - Answer every 10 days What is involved in an RPh's perpetual CII inventory - Answer CIIs which RPh has received, dispensed or disposed of in accordance with law Under what circumstances can a CIII - V prescription be transferred - Answer -Pharmacist and interns only may transfer -Can only transfer these Rx once, must be filled once first before transferring What must be recorded when a CIII-V prescription is transferred - Answer -Transferring RPh write VOID on face of invalidated Rx -Reverse side Rx: name, address, DEA registration number of pharmacy being transferred to and name of RPh who is receiving -On written transfer log/computer entry: Rx number, date of transfer, name of pharmacist transferring info, name of pharmacy which Rx being transferred to -Receiving RPh write TRANSFER on face of Rx -Date of issuance of original Rx, original number of refills authorized, date of original dispensing, number of valid refills left, date of last refills, pharmacist's name/address/DEA number and original rx number from which rx info was transferred and name of transferor RPh Under what circumstances can a CVI prescription be transferred - Answer -Pharmacist or certified tech -Can transfer within 1 year of date of issuance What must be recorded when a CVI prescription is transferred - Answer -On written transfer log/computer entry: Rx number, date of transfer, name / identification of RPh transferring info, name of pharmacy being transferred to -Receiving RPH write TRANSFER on face of Rx -Date of issuance or original Rx, original number of refills authorized, date of original dispensing, number of valid refills remaining, date of last refill, pharmacy name/address/ DEA number and original rx number from which rx info was transferred and name of transferor RPh What are the required contents of a prescription - Answer - Physician signature - Place to write "no substitution" - Provider, hospital, or clinic name/address - Registration number for the physician -Date of issue -Drug name, dose, strength per unit, quantitiy -Patient name/address - Directions (cautions if applicable) - Number of refills How many members are there on the MA BOP? - Answer 13 members How many registered RPHs are there on the MA BOP and how many years of consecutive pharmacy practice experience do they need? - Answer 8 members with 7 years experiences each How many independent pharmacists need to be on MA BOP - Answer 2 How many chain pharmacists need to be on MA BOP - Answer 2 How many hospital, LTC, academic, and sterile compounding RPHs on MA BOP? - Answer 1 each What non pharmacists make up MA BOP? (5 positions) - Answer nurse, physician, public member, pharm tech, expert in safety How long can someones term be on MA BOP? - Answer 3 years ( no more than 2 consecutive terms) When does a pharmacists registration expire? - Answer December 31st of even numbered years If the BOP audits you and makes a request to provide documentation and evidence of the completion of the contact hours, how long do you have to complete? - Answer 7 days Limitations of collaborating pharmacist in a retail drug business - Answer -Patients 18 years of age or older -An extension by 30 days of current drug therapy prescribed by the supervising physician -Administration of vaccines or the modification of dosages of medications prescribed for asthma, COPD, diabetes, HTN, HLD, CHF, HIV or AIDS, osteoporosis -Cannot permit the prescribing of C II -V , may issue CVI -Retail drug business not required to register as Health Facility When does a pharmacy registration expire? - Answer December 31st of ODD numbered years How many CE contact hours are needed each calendar year? - Answer 20 contact hours (if applicable 5 in sterile compounding, 3 in non-sterile compounding) How does being in a CDTM agreement effect CE contact hour requirements? - Answer Need additional 5 hours per calendar year (25 total) in area of speciality Under what rationale can a pharmacy compound an otherwise commercially available product? - Answer -patient specific prescription or in anticipation of a patient specific prescription based on routine, regularly observed prescribing patterns -Meet the unique medical need of an individual patient by producing a significant difference between the compounded drug preparation and a comparable commercially available drug -documented medical need as determined by the prescribing practitioner for the compounded preparation (removal of dye or delivery mechanism) PRICE IS NOT A VALID REASON How can script for expedited partner therapy (treating Chlamydia for sex partners or patient) be given? - Answer A. A prescription is issued for named sex partner(s) of the infected patient; or B. A prescription is issued using "Expedited Partner Therapy," "E.P.T." or "EPT" in place of the patient's name and address. To fill A. Create a patient profile and prescription label using "Expedited Partner Therapy," "E.P.T." or "EPT" in place of the patient's name and address. B. If a pharmacist is unable or unwilling to fill an EPT prescription, the pharmacist must refer the patient to an alternate pharmacy. Can an RPH continue drug therapy upon Discontinuation of a Prescriber's Practice - Answer In order to do so, the following conditions must be met: 1. The prescription must have been issued pursuant to a proper prescriberpatient relationship while the prescriber was still in practice. 2. The prescription is within its expiry period based on its date of issuance (e.g. Schedule III written within 6 months, etc.). 3. The previously filled Schedule III - VI prescription has remaining authorized refills. 4. If multiple Schedule II prescriptions had been issued in accordance with 21 CFR §1306.12, they may be honored. 5. In the event that a Schedule VI prescription has expired or has no remaining refills and the prescriber is no longer in practice, the pharmacist may dispense a quantity not to exceed 14 days or the smallest available unit of use packaging. 6. The pharmacist uses his / her professional judgment to ensure that the dispensing of the medication remains appropriate. How many times can a CIII-IV be refilled - Answer 5 times or within 6 months after DATE ISSUED (whichever is first) Correct order of garbing/gowning - Answer shoe covers, hair cover, face mask, proper hand washing technique, donning of gown, and finally the donning of sterile gloves