Kansas MPJE Practice Exam 1

Kansas MPJE Practice Exam 1 Who may appoint the members of the Kansas State Pharmacy Board? a. Director of the Pharmacy Board b. Governor c. Drug inspector of the state d. Healthcare administer of the state - ANSWER Answer: (b) Governor, [Kansas Pharmacy Practice Act Article 16 Chapter 74 Sec. 74-1603-to-74-1605]. 1. The governor shall appoint the members of the board and such members appointed on and after July 1, 2009, shall serve for terms of four years and until their successors are appointed and qualified. 2. No pharmacist shall be eligible for appointment as a member of the board unless such pharmacist has been a resident of the state and actively employed in or engaged in the practice of pharmacy in Kansas for at least five years immediately preceding the date of appointment. 3. There is hereby created a state board of pharmacy which shall consist of seven members, six of whom shall be licensed pharmacists, and one of whom shall be a representative of the general public. 4. Vacancies occurring on the board other than by expiration of term shall be filled for the unexpired term in the same manner as the original appointment was made. No person who has been appointed to and qualified for two terms as a member of the board of pharmacy shall be eligible to be appointed as a member of the board. A pharmacy is allowed to place certain drugs with a home health agency's authorized employees and with a hospice's authorized employees for the betterment of public health. Which of the following drugs is/are allowed under these agreements? I. heparin flush solution II. epinephrine injectable III. sterile water for injection a. I only b. I and II only c. II and III only d. All - ANSWER Answer: (d) All, [K.S.A. Article 16 Chapter 65 Sec. 65-1659]. A pharmacy will be allowed to place certain drugs with a home health agency's authorized employees and with a hospice's authorized employees for the betterment of public health. The pharmacy shall remain the legal owner of the drugs. A written agreement between the pharmacy and home health agency or hospice shall document the protocol for handling and storage of these drugs by authorized employees and shall be approved by the pharmacist in charge. The following legend drugs shall be allowed under these agreements: (1). Sterile water for injection or irrigation; (2). sterile saline solution for injection or irrigation; (3). heparin flush solution; (4). diphenhydramine injectable; and (5). epinephrine injectable. "Authorized employee" means any employee of a home health agency or hospice who, in the course of the employee's duties, is licensed by the employee's appropriate licensing agency to administer legend drugs. The partial filling of Morphine sulfate for terminally ill patients must be done within 72 hours from the initial filling. a. True b. False - ANSWER Answer: (b) False, [Kansas Pharmacy Practice Act Article 41 Sec. 68-20-19(c),(2),(C)]. Whenever written, prescriptions for schedule II controlled substances for patients in a long-term care facility (LTCF) or for a patient with a medical diagnosis documenting a terminal illness may be filled in partial quantities, including individual dosage units, as provided in this subsection. The pharmacist shall record on the prescription whether the patient is "terminally ill" or an "LTCF patient." Under normal circumstances, the partial filling of Schedule II controlled substances should be done within 72 hours from the initial filling. If the remaining portion cannot be filled within 72 hours, the pharmacist should notify the patient's prescriber. Patients who reside in an LTCF or for the terminally ill, this can be partially filled up to 60 days from the original date of the prescription issued provided that for each partial filling, the dispensing pharmacist shall record on the back of the prescription: 1. The date of the partially filled. 2. The quantity dispensed. 3. The remaining quantity authorized to be dispensed. 4. The identification of the dispensing pharmacist. AJ comes to a pharmacy and presents a prescription for Sonata. The prescription reads 1 capsule (10mg) by mouth taken immediately before bedtime x 30 days with a 3 refills. AJ has requested a pharmacist to fill the whole prescription supply. What is the dispensed quantity for Sonata? a. 30 capsules b. 90 capsules c. 120 capsules d. None of the above - ANSWER Answer: (a) 30 capsules, [K.S.A. Article 16 Chapter 65 Sec. 65-1637(g)(2)]. (a). All prescriptions shall be filled in strict conformity with any directions of the prescriber, EXCEPT: (1). That a pharmacist may provide up to three-month supply of a prescription drug that is not a controlled substance or psychotherapeutic drug when a practitioner has written a drug order to be filled with a smaller supply but included sufficient numbers of refills for a three-month supply; and (2). that a pharmacist who receives a prescription order for a brand name drug product may exercise brand exchange with a view toward achieving a lesser cost to the purchaser unless: (A) The prescriber, in the case of a prescription signed by the prescriber and written on a blank form containing two signature lines, signs the signature line following the statement ''dispense as written,'' (B). the prescriber, in the case of a prescription signed by the prescriber, writes in the prescriber's own handwriting ''dispense as written'' on the prescription, (C). the prescriber, in the case of a prescription other than one in writing signed by the prescriber, expressly indicates the prescription is to be dispensed as communicated, or (D). the federal food and drug administration has determined that a drug product of the same generic name is not bioequivalent to the prescribed brand name prescription medication. Every pharmacist who changes residential address shall within 14 days thereof notify the secretary of such change on a form prescribed and furnished by the board. a. True b. False - ANSWER Every pharmacist who changes residential address or email address shall within 30 days thereof notify the secretary of such change on a form prescribed and furnished by the board, and upon receipt of the notice the secretary shall make the proper alterations in the record kept for that purpose. The prescriber may authorize an agent to transmit to the pharmacy a prescription order orally, by facsimile transmission or by electronic transmission provided that the first and last names of the transmitting agent are included in the order. a. True b. False - ANSWER Answer: (a) True, [Kansas Pharmacy Practice Act Article 16 Chapter 65 Sec. 65-1637(b)]. The prescriber may authorize an agent to transmit to the pharmacy a prescription order orally, by facsimile transmission or by electronic transmission provided that the first and last names of the transmitting agent are included in the order. Prescription orders shall be recorded in writing by the pharmacist and the record so made by the pharmacist shall constitute the original prescription to be dispensed by the pharmacist. This record, if telephoned by other than the prescriber, shall bear the full name of the person so telephoning. According to Kansas State Pharmacy Law, the prescription record should be kept on file for: a. Two years from the date of dispensing. b. Five years from the date of dispensing. c. Three years from the date of dispensing. d. A year from the date of dispensing. - ANSWER Answer: (b) According to Kansas State Pharmacy Law, the prescription record should be kept on file for five years from the date of dispensing, [Kansas Pharmacy Practice Act Article 16 Chapter 65 Sec. 65-1642(b)]. Which of the following is/are TRUE about sale of methamphetamine precursors under Kansas Pharmacy Law? I. Each pharmacy shall maintain an electronic methamphetamine precursor recording log documenting the sale of methamphetamine precursors. II. The sale can be completed by a licensed pharmacist, a registered pharmacy technician or a pharmacy intern or a clerk. III. The requirements of this section shall also apply to all prescriptions containing methamphetamine precursor. a. I only b. I and II only c. II and III only d. All - ANSWER Answer: (b) I and II are true, [K.S.A. Article 16 Chapter 65 Sec. 65-16, 102]. (a). The board shall establish and maintain a program for a statewide electronic logging system for sale of methamphetamine precursors. (b). Each pharmacy shall maintain an electronic methamphetamine precursor recording log documenting the sale of methamphetamine precursors. The board shall promulgate rules and regulations specifying a standardized format for the log and the information that each pharmacy shall submit to the board, which shall include, but not be limited to: (1). The name and address of the person purchasing, receiving or otherwise acquiring the methamphetamine precursor; (2). the name of the product and quantity purchased; (3). the date and time of the purchase; and (4). the name, or initials, of the licensed pharmacist, registered pharmacy technician or pharmacy intern or clerk supervised by a licensed pharmacist who sold the product. (c). Notwithstanding the requirements of this section, each pharmacy shall maintain the purchaser's signature in accordance with subsection (k) of K.S.A. 65-1643, and amendments thereto. (d). Each pharmacy that is capable shall submit the information from the log in real time in accordance with transmission methods specified in rules and regulations promulgated by the board. (e). The requirements of this section shall NOT apply where there is a lawful prescription present for the methamphetamine precursor sold. Which of the following statement(s) is/are TRUE about administering vaccines to patients according to Kansas State Pharmacy Law? I. A pharmacist or a pharmacy student or intern who is working under the direct supervision and control of a pharmacist may administer vaccines to a person 18 years of age or older pursuant to a vaccination protocol. II. A pharmacist or a pharmacy student or intern has taken a course in cardiopulmonary resuscitation (CPR) and has a current CPR certificate when administering vaccines. III. A pharmacist or a pharmacy student or intern has successfully completed a course of study and training, approved by the Accreditation Council for Pharmacy or the Board, in vaccination storage, protocols, injection technique, emergency procedures and recordkeeping. a. I only b. I and II only c. II and III only d. All - ANSWER Answer: (c) II and III are true, [Kansas Pharmacy Practice Act Article 16 Chapter 65 Sec. 65-1635a,(a)]. A pharmacist or a pharmacy student or intern who is working under the direct supervision and control of a pharmacist may administer influenza vaccine to a person six years of age or older and may administer vaccine, other than influenza vaccine, to a person 12 years of age (not 18 years of age or older) or older pursuant to a vaccination protocol if the pharmacist, pharmacy student or intern has: 1. successfully completed a course of study and training, approved by the Accreditation Council for Pharmacy or the Board, in vaccination storage, protocols, injection technique, emergency procedures and recordkeeping and 2. has taken a course in cardiopulmonary resuscitation (CPR) and has a current CPR certificate when administering vaccines. A pharmacist or pharmacy student or intern who successfully completes such a course of study and training shall maintain proof of completion and, upon request, provide a copy of such proof to the Board. All vaccinees will be given a written immunization record for their personal files. The administering pharmacist or pharmacist supervising an administering pharmacy student or intern shall promptly report a record of the immunization to the vaccine's primary care provider by mail, electronic facsimile, e-mail or other electronic means. If the vaccinee does not have a primary care provider, then the administering pharmacist or pharmacist supervising an administering pharmacy student or intern shall promptly report a record of the immunization to the person licensed to practice medicine and surgery by the state board of healing arts who has entered into the vaccination protocol with the pharmacist. The immunization will also be reported to appropriate county or state immunization registries, except that if the person vaccinated or, if the person is a minor, the parent or guardian of the minor, objects to the report, the report shall not be made. Please note the intern's supervising pharmacist must also be certified to administer immunizations in order to properly supervise the intern. In an emergency condition a pharmacist may dispense a drug without the prescriber's authorization in an amount judged by the pharmacist to be sufficient to maintain the patient until the prescriber can be contacted, but in no event shall a refill be more than a: a. 7-day supply of the drug. b. 72-hour supply of the drug. c. 24-hour supply of the drug. d. 10-day supply of the drug. - ANSWER Answer: (a) 7-day supply of the drug, [Kansas Pharmacy Practice Act Article 16 Chapter 65 Sec. 65-1637(c)(2)]. 1. A pharmacist may refill any prescription drug except a drug listed on Schedule II of the Uniform Controlled Substances Act or a narcotic drug listed on any schedule of the Uniform Controlled Substances Act without the prescriber's authorization when all reasonable efforts to contact the prescriber have failed and when, in the pharmacist's professional judgment, continuation of the medication is necessary for the patient's health, safety and welfare. 2. Such prescription refill shall only be in an amount judged by the pharmacist to be sufficient to maintain the patient until the prescriber can be contacted, but in no event shall a refill be more than a seven-day supply or one package of the drug. 3. However, if the prescriber states on a prescription that there shall be no emergency refilling of that prescription, then the pharmacist shall not dispense any emergency medication pursuant to that prescription. 4. A pharmacist who refills a prescription order shall contact the prescriber of the prescription order on the next business day subsequent to the refill or as soon thereafter as possible. In Kansas, inventory records must be maintained for a period of at least: a. 1 year b. 2 years c. 3 years d. 5 years - ANSWER Answer: (d) 5 years, [Kansas Controlled Substance Act Article 20 Sec. 68-20-16(a)]. (a). Each registrant shall keep records and maintain inventories in conformance with the recordkeeping and inventory requirements of 21 CFR. The registrant shall keep the records on file for a period of at least five years. (b). After the initial inventory is taken, the registrant shall take a subsequent inventory of all controlled substances on hand at least every year. The annual inventory shall be taken at least eight months after the previous inventory. (c). Each required inventory of schedule II controlled substances and all products containing hydrocodone shall be taken by exact count. (d). All registrants handling Schedule V preparations shall be subjected to the same inventory and recordkeeping requirements specified in subsections (a) and (b). In addition, an inventory of Schedule V items shall be taken in conjunction with the required inventory requirements relating to Schedules II, III, and IV. Which of the following information is/are TRUE under the Kansas State Pharmacy Law? I. A new written or electronically prepared and transmitted prescription order shall be manually or electronically signed by the prescriber. II. If the prescription is for a controlled substance and is written or printed from an electronic prescription application, the prescription shall be manually signed by the prescriber prior to delivery of the prescription to the patient. III. An electronically prepared prescription shall not be electronically transmitted to the pharmacy if the prescription has been printed prior to electronic transmission. a. I only b. I and II only c. II and III only d. All - ANSWER Answer: (d) All, [Kansas Pharmacy Practice Act Article 16 Chapter 65 Sec. 65-1637(c)]. (c). (1). A new written or electronically prepared and transmitted prescription order shall be manually or electronically signed by the prescriber. If transmitted by the prescriber's agent, the first and last names of the transmitting agent shall be included in the order. (2). If the prescription is for a controlled substance and is written or printed from an electronic prescription application, the prescription shall be manually signed by the prescriber prior to delivery of the prescription to the patient or prior to facsimile transmission of the prescription to the pharmacy. (3) An electronically prepared prescription shall not be electronically transmitted to the pharmacy if the prescription has been printed prior to electronic transmission. An electronically prepared and transmitted prescription which is printed following electronic transmission shall be clearly labeled as a copy, not valid for dispensing. An authorization to refill a prescription order or to renew or continue an existing drug therapy may be transmitted to a pharmacist through oral communication, in writing, by facsimile transmission or by electronic transmission initiated by or directed by the prescriber. If the transmission is completed by the prescriber's agent, and the first and last names of the transmitting agent are included in the order, the prescriber's signature is NOT required on the fax or alternate electronic transmission. a. True b. False - ANSWER Answer: (a) True, [Kansas Pharmacy Practice Act Article 16 Chapter 65 Sec. 65-1637(d)]. (d). An authorization to refill a prescription order or to renew or continue an existing drug therapy may be transmitted to a pharmacist through oral communication, in writing, by facsimile transmission or by electronic transmission initiated by or directed by the prescriber. (1). If the transmission is completed by the prescriber's agent, and the first and last names of the transmitting agent are included in the order, the prescriber's signature is not required on the fax or alternate electronic transmission. (2). If the refill order or renewal order differs in any manner from the original order, such as a change of the drug strength, dosage form or directions for use, the prescriber shall sign the order. According to Kansas State Pharmacy Law, a medication profile record shall be maintained for a period of not less than five years from the date of the last entry in the record. a. True b. False - ANSWER Answer: (a) True, [Kansas Pharmacy Practice Act Article 16 Chapter 65 Sec. 65-1642(c)(3)]. According to Kansas State Pharmacy Law, a medication profile record shall be maintained for a period of not less than five years from the date of the last entry in the record. A medication profile record system shall be maintained in all pharmacies for persons for whom prescriptions are dispensed. The following information shall be recorded: (A). The name and address of the patient for whom the medication is intended; (B). the prescriber's name, the original date the prescription is dispensed and the number or designation identifying the prescription; (C). the name, strength and quantity of the drug dispensed and the name of the dispensing pharmacist; and (D). drug allergies and sensitivities. Upon receipt of a prescription order, the pharmacist shall examine the patient's medication profile record before dispensing the medication to determine the possibility of a harmful drug interaction or reaction to medication. Upon recognizing a potential harmful drug interaction or reaction to the medication, the pharmacist shall take appropriate action to avoid or minimize the problem that shall, if necessary, include consultation with the prescriber with documentation of actions taken on the prescription record. According to Kansas State Pharmacy Law, the emergency medication kit for an adult home care may include controlled substances. a. True b. False - ANSWER Answer: (a) True, [Kansas Pharmacy Practice Act Article 16 Chapter 65 Sec. 65-1648(c)(2)]. Every adult care home which maintains an emergency medication kit shall comply with the following requirements: (1). Drugs in an emergency medication kit shall be maintained under the control of the pharmacist in charge of the pharmacy from which the kit came until administered to the patient upon the proper order of a practitioner. (2). Drugs contained within the emergency medication kit may include controlled substances, but in such case a pharmaceutical services committee shall be responsible for specifically limiting the type and quantity of controlled substance to be placed in each emergency kit. (3). Administration of controlled substances contained within the emergency medication kit shall be in compliance with the provisions of the uniform controlled substances act. (4). The consultant pharmacist of the adult care home shall be responsible for developing procedures, proper control and accountability for the emergency medication kit and shall maintain complete and accurate records of the controlled substances, if any, placed in the emergency kit. Periodic physical inventory of the kit shall be required. In Kansas, pharmacy permits expire on ________ each year. a. November 30 b. January 31 c. June 30 d. December 31 - ANSWER Answer: (c) June 30 of each year, [Kansas Pharmacy Practice Act Article 16 Chapter 65 Sec. 65-1645(e) and FAQ Section on Kansas Pharmacy Board website]. All registrations and permits except retail dealer permits shall expire on June 30 following the date of issuance. Retail dealers' permits shall expire on the last day of February. All registrations and permits shall be renewed annually. Application blanks for renewal of registrations and permits shall be mailed by the board to each registrant or permittee at least 30 days prior to expiration of the registration or permit. If application for renewal is not made before 30 days after such expiration, the existing registration or permit shall lapse and become null and void on the date of its expiration, and no new registration or permit shall be granted except upon payment of the required renewal fee plus a penalty equal to the renewal fee. Failure of any registrant or permittee to receive such application blank shall not relieve the registrant or permittee from the penalty hereby imposed if the renewal is not made as prescribed. Regardless of the means of transmission to a pharmacy, only a pharmacist, a registered pharmacy technician or a pharmacist intern shall be authorized to receive a new prescription order from a prescriber or transmitting agent. a. True b. False - ANSWER Answer: (b) False, [Kansas Pharmacy Practice Act Article 16 Chapter 65 Sec. 65-1637(e)]. Regardless of the means of transmission to a pharmacy, only a pharmacist or a pharmacist intern shall be authorized to receive a NEW prescription order from a prescriber or transmitting agent. A pharmacist, a pharmacist intern or a registered pharmacy technician may receive a REFILL or RENEWAL order from a prescriber or transmitting agent if such registered pharmacy technician's supervising pharmacist has authorized that function. In Kansas, a pharmacist should not dispense any non-controlled drug or device if the prescription is presented: a. More than 180 days after the date of issuance. b. More than 90 days after the date of issuance. c. More than 365 days after the date of issuance. d. More than 30 days after the date of issuance. - ANSWER Answer: (c) In Kansas, a pharmacist should not dispense any non-controlled drug or device if the prescription is presented more than 365 days after the date of issuance, [Kansas Pharmacy Practice Act Article 16 Chapter 65 Sec. 65-1637(i) and Kansas Pharmacy Practice Act 68-2-20 (b)(2)]. In any medical care facility pharmacy setting, a designated registered nurse or nurses or a licensed physician assistant approved by the pharmacist in charge and under the supervision of the pharmacist in charge shall be in charge of the distribution and control of drugs of a medical care facility pharmacy when a pharmacist is not on the premises. a. True b. False - ANSWER Answer: (a) True, [Kansas Pharmacy Practice Act Article 16 Chapter 65 Sec. 65-1648(a)]. Any medical care facility pharmacy registered by the board may keep drugs in such facility and may supply drugs to its inpatients and outpatients. Distribution and control of prescription medications in a medical care facility pharmacy shall be under the supervision of a pharmacist in charge.