Illinois MPJE UPDATED Exam Questions
and CORRECT Answers
Length of record keeping for purchase records/invoices (controls and non-controls)- IL -
CORRECT ANSWER - 5 years in total, at least one year on site
DEA 222 Forms- IL how long to keep - CORRECT ANSWER - IL sees them as invoices,
so 5 years
DEA form 106- IL how long to keep - CORRECT ANSWER - two years
IL annual inventory of controlled substances: record keeping - CORRECT ANSWER -5
years in total, at least 1 year onsite
Record keeping of disposal of controlled substances-IL - CORRECT ANSWER - two
years, retain form 41 DEA
Record keeping under federal Law - CORRECT ANSWER - 2 years
What changes can a pharmacist NEVER permitted to change on Rx - CORRECT
ANSWER - 1. Patients identity
2. drug prescribed (other than generic substitution)
3. the date on the prescription or add a date (IL specific, federal is silent on this)
4. identity of the prescriber or the prescribers signature
Can controlled substances be electronically prescribed by a practitioner? - CORRECT
ANSWER - yes, as long as system complies with federal DEA regulations, and Rx is valid
under federal law
,How does one report theft/loss of CS - CORRECT ANSWER - notify DEA within one
business day, and do a thorough investigation/Federal law requires you to fill out a 106 form
submit to DEA, IL gets a copy to submit to DPR. no deadline for completing investigation
Can a pharmacist refill a Rx after prescriber dies, retires, or relocates - CORRECT
ANSWER - inform patient to get a new practitioner ASAP, the pharmacist may provide a
sufficient amount of maintenance medications until the patient can get a new practitioner (using
professional judgment)
What to do in professional judgment questions on MPJE - CORRECT ANSWER - look
for answer that allows you to provide adequate patient care, while being mindful of the need for
th patient to follow up with physician ASAP, answers that set arbitrary deadlines (fill for no
more than 30 days) are not correct.
Good: refill the first time, and counsel the patient it is important to find a new physician
which of the following is not needed in a pharmacy that makes a parenteral product. good
lighting, biological safety cabinet, laminar bench, running water. - CORRECT ANSWER -
Biological safety cabinet is not needed.
what should a licensed pharmacy preparing sterile parenteral product have - CORRECT
ANSWER - 1. laminar air flaw
2. sink with hot/cold water
3. refrigerator with a thermometer or freezer
4. temperature controlled container for off site deivereies
5. environmental protection agency approved disposal containers for used needles, syringes,
cytotoxic waste for chemo
how often must a laminar air flow hood be certified - CORRECT ANSWER - yearly
who can counsel patients - CORRECT ANSWER - pharmacist or student pharmacist
under the direct supervision of the pharmacist.
,who can make offer to counsel - CORRECT ANSWER - RPH, Student RPH, r pharmacy
technician.
can cashiers and other unlicensed personnel working in the pharmacy make the offer to counsel -
CORRECT ANSWER - NO
Can a doctor write prescriptions (controlled) for himself - CORRECT ANSWER - NO.
Self prescribing or self dispensing of CS is NO LONGER permitted
can a doctor write prescriptions (Controlled) for family member - CORRECT ANSWER -
NO. not to an immediate family member unless there is a bona fide practitioner-patient
relationship and appropriate records are maintained
Which is not a CS (hydrocodone, empirin, fiorinal, or empirin with codeine - CORRECT
ANSWER - Empirin
Pt brings in a prozac Rx for qty #30, and 3 refills. patient has a history of suicidal behaviors
wants a qty of 90 and the insurance will pay for it.
1. fill for 90
2. fill for 30
3. call insurance company
4. call MD and ask if its ok before dispensing 90 - CORRECT ANSWER - Call MD and
ask-
legally can fill for 90, but d/t suicidal tendencies
same goes with CS, legally can combine refills, but contacting MD would be best response if
thats an option.
NOT required to get MD approval, but use professional judgment and act in best interest of
patient.
Alduteration - CORRECT ANSWER - condition of the product-
, if it consists in whole or in part of any filthy, putrid, or decomposed substance, or if it has been
prepared, packed, or held under unsanitary conditions.
Exception: drug is labeled as if recognized in an official compendium (collection of things), but
strength differs from, or quality or purity falls below compendium standards
Misbranding - CORRECT ANSWER - labeling of a product
labeling is false or misleading,
or if a Rx medication is dispensed without a valid Rx or authorized refill
Wrong drug in bottle is an example of - CORRECT ANSWER - Misbranded and
adulterated
when does controlled substance dispensing need to be reported to the PDMP - CORRECT
ANSWER - All CS dispensed by a Rx by a pharmacy, including CS scheduled under IL
law, dispensing info must be turned into DHHS by the end of the next business day
Schedule of pentazocine
Schedule of pentazocine + APAP - CORRECT ANSWER - Pentazocine: C2
when combined with ASA, APAP, or naloxone it is a C3
Pentazocine reasons to be C3 - CORRECT ANSWER - <12.5 mg of pentazocine per 325
mg of ASA
< 12.5 of pent per 325 mg of APAP
<50 of pent plus naloxone 0.5 mg per dosage unit
and CORRECT Answers
Length of record keeping for purchase records/invoices (controls and non-controls)- IL -
CORRECT ANSWER - 5 years in total, at least one year on site
DEA 222 Forms- IL how long to keep - CORRECT ANSWER - IL sees them as invoices,
so 5 years
DEA form 106- IL how long to keep - CORRECT ANSWER - two years
IL annual inventory of controlled substances: record keeping - CORRECT ANSWER -5
years in total, at least 1 year onsite
Record keeping of disposal of controlled substances-IL - CORRECT ANSWER - two
years, retain form 41 DEA
Record keeping under federal Law - CORRECT ANSWER - 2 years
What changes can a pharmacist NEVER permitted to change on Rx - CORRECT
ANSWER - 1. Patients identity
2. drug prescribed (other than generic substitution)
3. the date on the prescription or add a date (IL specific, federal is silent on this)
4. identity of the prescriber or the prescribers signature
Can controlled substances be electronically prescribed by a practitioner? - CORRECT
ANSWER - yes, as long as system complies with federal DEA regulations, and Rx is valid
under federal law
,How does one report theft/loss of CS - CORRECT ANSWER - notify DEA within one
business day, and do a thorough investigation/Federal law requires you to fill out a 106 form
submit to DEA, IL gets a copy to submit to DPR. no deadline for completing investigation
Can a pharmacist refill a Rx after prescriber dies, retires, or relocates - CORRECT
ANSWER - inform patient to get a new practitioner ASAP, the pharmacist may provide a
sufficient amount of maintenance medications until the patient can get a new practitioner (using
professional judgment)
What to do in professional judgment questions on MPJE - CORRECT ANSWER - look
for answer that allows you to provide adequate patient care, while being mindful of the need for
th patient to follow up with physician ASAP, answers that set arbitrary deadlines (fill for no
more than 30 days) are not correct.
Good: refill the first time, and counsel the patient it is important to find a new physician
which of the following is not needed in a pharmacy that makes a parenteral product. good
lighting, biological safety cabinet, laminar bench, running water. - CORRECT ANSWER -
Biological safety cabinet is not needed.
what should a licensed pharmacy preparing sterile parenteral product have - CORRECT
ANSWER - 1. laminar air flaw
2. sink with hot/cold water
3. refrigerator with a thermometer or freezer
4. temperature controlled container for off site deivereies
5. environmental protection agency approved disposal containers for used needles, syringes,
cytotoxic waste for chemo
how often must a laminar air flow hood be certified - CORRECT ANSWER - yearly
who can counsel patients - CORRECT ANSWER - pharmacist or student pharmacist
under the direct supervision of the pharmacist.
,who can make offer to counsel - CORRECT ANSWER - RPH, Student RPH, r pharmacy
technician.
can cashiers and other unlicensed personnel working in the pharmacy make the offer to counsel -
CORRECT ANSWER - NO
Can a doctor write prescriptions (controlled) for himself - CORRECT ANSWER - NO.
Self prescribing or self dispensing of CS is NO LONGER permitted
can a doctor write prescriptions (Controlled) for family member - CORRECT ANSWER -
NO. not to an immediate family member unless there is a bona fide practitioner-patient
relationship and appropriate records are maintained
Which is not a CS (hydrocodone, empirin, fiorinal, or empirin with codeine - CORRECT
ANSWER - Empirin
Pt brings in a prozac Rx for qty #30, and 3 refills. patient has a history of suicidal behaviors
wants a qty of 90 and the insurance will pay for it.
1. fill for 90
2. fill for 30
3. call insurance company
4. call MD and ask if its ok before dispensing 90 - CORRECT ANSWER - Call MD and
ask-
legally can fill for 90, but d/t suicidal tendencies
same goes with CS, legally can combine refills, but contacting MD would be best response if
thats an option.
NOT required to get MD approval, but use professional judgment and act in best interest of
patient.
Alduteration - CORRECT ANSWER - condition of the product-
, if it consists in whole or in part of any filthy, putrid, or decomposed substance, or if it has been
prepared, packed, or held under unsanitary conditions.
Exception: drug is labeled as if recognized in an official compendium (collection of things), but
strength differs from, or quality or purity falls below compendium standards
Misbranding - CORRECT ANSWER - labeling of a product
labeling is false or misleading,
or if a Rx medication is dispensed without a valid Rx or authorized refill
Wrong drug in bottle is an example of - CORRECT ANSWER - Misbranded and
adulterated
when does controlled substance dispensing need to be reported to the PDMP - CORRECT
ANSWER - All CS dispensed by a Rx by a pharmacy, including CS scheduled under IL
law, dispensing info must be turned into DHHS by the end of the next business day
Schedule of pentazocine
Schedule of pentazocine + APAP - CORRECT ANSWER - Pentazocine: C2
when combined with ASA, APAP, or naloxone it is a C3
Pentazocine reasons to be C3 - CORRECT ANSWER - <12.5 mg of pentazocine per 325
mg of ASA
< 12.5 of pent per 325 mg of APAP
<50 of pent plus naloxone 0.5 mg per dosage unit
