Federal and Illinois Law for MPJE
UPDATED ACTUAL Exam Questions and
CORRECT Answers
Controlled Substances Act of 1970 - CORRECT ANSWER - 1. Gave FDA authority to
determine the scheduling of controlled substances
2. Created the DEA
3. Removed scheduling responsibility from the FDA
4. CSA allowed DEA to control: interpretation, implementation, enforcement, and development
of regulations of controlled substances.
Controlled Substances Closed System of Distribution - CORRECT ANSWER - Access to
controlled substances are restricted through REGISTRATION and SCHEDULING.
Registration of Controlled substances - CORRECT ANSWER - All who come in contact
with controlled substances must be registered (or employed by a registered entity) except the
PATIENT who has a LEGITIMATE medical needed for medication and accesses it through a
VALID RX.
Scheduling of Controlled Substances - CORRECT ANSWER - Substances that have the
potential for abuse or can cause addiction are scheduled into one of 5 schedules.
What happens if a patient no longer needs the controlled substance medication? Can they return
it to the pharmacy? - CORRECT ANSWER - NO! It has LEFT the closed distribution
network when it was dispensed to the patient.
What are the exceptions that allow a controlled substance to be returned to the pharmacy? -
CORRECT ANSWER - 1. When there has been a dispensing error
2. There has been a recall of the drug
3. The pharmacy is an authorized collector of CS and has amended its existing registration to
include this additional category.
,The pharmacy can take it BACK but cannot RE-DISPENSE the medication
Who is permitted to be an authorized collector of controlled substances? Who Isn't? - CORRECT
ANSWER - Is: Manufacturers, distributors, reverse distributors, narcotic treatment
programs, hospitals/clinics with and onsite pharmacy, and retailed pharmacies.
IS NOT: Physicians, other practitioners, hospitals without a pharmacy, clinics without a
pharmacy.
If they are only registered to handle controlled substance schedules III-V, are they allowed to be
an authorized collector of CS? - CORRECT ANSWER - NO a registrant but also be
registered to handle CII CS to qualify
How can an authorized collector take back CS? - CORRECT ANSWER - 1. Maintaining
collection receptacles
2. Administering mail-back programs.
** it also allows authorized hospitals, clinics, and retail pharmacies to voluntarily maintain
collection receptacles at long-term care facilities**
How can a patient or authorized collector destroy CS? - CORRECT ANSWER - The
regulations do not require a particular method of destruction. Only that the CS but be rendered
"non-retrievable". This allows for a variety of destruction methods as long as they are secure,
convenient, responsible, and consistent with preventing diversion.
What does "non-retreivable" mean? - CORRECT ANSWER - Permanently altered CS
physical or chemical condition or state through irreversible means and thereby renders the CS
unavailable or unusable for all practical purposes. Basically, when there is no way it can be
transformed back into the CS
Can law enforcement agencies take back CS? - CORRECT ANSWER - Yes. No DEA
registration is required for law enforcement agencies either.
,Is a patient required to bring back their CS to an authorized collector? - CORRECT
ANSWER - Nope. A patient is permitted to destroy the substance themselves.
Most important CS registration categories for the MPJE - CORRECT ANSWER - 1.
Manufacterer
2. Distributor
3. Dispenser (CII-CV)
4. Narcotic Treatment Program
5. Detox compounder
Dispenser registration for CS - CORRECT ANSWER - Applies to physicians or a mid-
level practitioners as there is no such thing as a "prescriber" registration.
Can IL and Federal registration be limited by schedule? Class? - CORRECT ANSWER -
Yes. A practitioner can have a DEA registration for only CIII-CV CS. It can also be limited to
drug class (narcotic vs non-narcotic)
Application for CS is divided into the following categories - CORRECT ANSWER - 1. II
Narcotic
2. II Non-narcotic
3. III Narcotic
4. III Non-narcotic
5. IV
6. V
A dispenser may voluntary limit their registration or a dea may limited if they believe continued
registration in all categories is inconsistent with public interest.
, Under Federal Law what is a Narcotic - CORRECT ANSWER - 1. Opium, opiates,
derivatives of opium/opiates. (does not include isoquinoline alkaloids of opium)
2. Poppy straw and concentrate of poppy straw.
3. Coca leaves, except for products when cocaine, ecgonine, their derivitives and salts have been
removed.
4. Cocaine
5. Ecgonine
6. Any compound or mixture which contains any quantities of the above substances
How does Illinois Law define a Narcotic? - CORRECT ANSWER - The exact same way
as federal Law.
"Owner", when applying for DEA CS registration, is defined as - CORRECT ANSWER -
1. The "sole proprietor"
2. Partnership - any partner is an owner and complete the form
3. Corporation - any officer or director can complete the form
The person who completes the form is referred to as the "registrant". The entity that receives the
registration is also called the "registrant".
"Power of Attorney" when applying for DEA CS registration, is defined as - CORRECT
ANSWER - 1. A registrant may authorize one or more individuals, whether located as the
registered location or not, to issue orders for *schedule I and II CS* on a DEA form 222,* on the
registrants behalf by executing a POA for such individual.
2. Registrant may REVOKE any POA at any time.
Who must execute a Power of Attorney? - CORRECT ANSWER - Must be executed by
the person who signed the most recent application for DEA registration (or re-registration), the
person to whom the POA is being granted to, and TWO WITNESSES
UPDATED ACTUAL Exam Questions and
CORRECT Answers
Controlled Substances Act of 1970 - CORRECT ANSWER - 1. Gave FDA authority to
determine the scheduling of controlled substances
2. Created the DEA
3. Removed scheduling responsibility from the FDA
4. CSA allowed DEA to control: interpretation, implementation, enforcement, and development
of regulations of controlled substances.
Controlled Substances Closed System of Distribution - CORRECT ANSWER - Access to
controlled substances are restricted through REGISTRATION and SCHEDULING.
Registration of Controlled substances - CORRECT ANSWER - All who come in contact
with controlled substances must be registered (or employed by a registered entity) except the
PATIENT who has a LEGITIMATE medical needed for medication and accesses it through a
VALID RX.
Scheduling of Controlled Substances - CORRECT ANSWER - Substances that have the
potential for abuse or can cause addiction are scheduled into one of 5 schedules.
What happens if a patient no longer needs the controlled substance medication? Can they return
it to the pharmacy? - CORRECT ANSWER - NO! It has LEFT the closed distribution
network when it was dispensed to the patient.
What are the exceptions that allow a controlled substance to be returned to the pharmacy? -
CORRECT ANSWER - 1. When there has been a dispensing error
2. There has been a recall of the drug
3. The pharmacy is an authorized collector of CS and has amended its existing registration to
include this additional category.
,The pharmacy can take it BACK but cannot RE-DISPENSE the medication
Who is permitted to be an authorized collector of controlled substances? Who Isn't? - CORRECT
ANSWER - Is: Manufacturers, distributors, reverse distributors, narcotic treatment
programs, hospitals/clinics with and onsite pharmacy, and retailed pharmacies.
IS NOT: Physicians, other practitioners, hospitals without a pharmacy, clinics without a
pharmacy.
If they are only registered to handle controlled substance schedules III-V, are they allowed to be
an authorized collector of CS? - CORRECT ANSWER - NO a registrant but also be
registered to handle CII CS to qualify
How can an authorized collector take back CS? - CORRECT ANSWER - 1. Maintaining
collection receptacles
2. Administering mail-back programs.
** it also allows authorized hospitals, clinics, and retail pharmacies to voluntarily maintain
collection receptacles at long-term care facilities**
How can a patient or authorized collector destroy CS? - CORRECT ANSWER - The
regulations do not require a particular method of destruction. Only that the CS but be rendered
"non-retrievable". This allows for a variety of destruction methods as long as they are secure,
convenient, responsible, and consistent with preventing diversion.
What does "non-retreivable" mean? - CORRECT ANSWER - Permanently altered CS
physical or chemical condition or state through irreversible means and thereby renders the CS
unavailable or unusable for all practical purposes. Basically, when there is no way it can be
transformed back into the CS
Can law enforcement agencies take back CS? - CORRECT ANSWER - Yes. No DEA
registration is required for law enforcement agencies either.
,Is a patient required to bring back their CS to an authorized collector? - CORRECT
ANSWER - Nope. A patient is permitted to destroy the substance themselves.
Most important CS registration categories for the MPJE - CORRECT ANSWER - 1.
Manufacterer
2. Distributor
3. Dispenser (CII-CV)
4. Narcotic Treatment Program
5. Detox compounder
Dispenser registration for CS - CORRECT ANSWER - Applies to physicians or a mid-
level practitioners as there is no such thing as a "prescriber" registration.
Can IL and Federal registration be limited by schedule? Class? - CORRECT ANSWER -
Yes. A practitioner can have a DEA registration for only CIII-CV CS. It can also be limited to
drug class (narcotic vs non-narcotic)
Application for CS is divided into the following categories - CORRECT ANSWER - 1. II
Narcotic
2. II Non-narcotic
3. III Narcotic
4. III Non-narcotic
5. IV
6. V
A dispenser may voluntary limit their registration or a dea may limited if they believe continued
registration in all categories is inconsistent with public interest.
, Under Federal Law what is a Narcotic - CORRECT ANSWER - 1. Opium, opiates,
derivatives of opium/opiates. (does not include isoquinoline alkaloids of opium)
2. Poppy straw and concentrate of poppy straw.
3. Coca leaves, except for products when cocaine, ecgonine, their derivitives and salts have been
removed.
4. Cocaine
5. Ecgonine
6. Any compound or mixture which contains any quantities of the above substances
How does Illinois Law define a Narcotic? - CORRECT ANSWER - The exact same way
as federal Law.
"Owner", when applying for DEA CS registration, is defined as - CORRECT ANSWER -
1. The "sole proprietor"
2. Partnership - any partner is an owner and complete the form
3. Corporation - any officer or director can complete the form
The person who completes the form is referred to as the "registrant". The entity that receives the
registration is also called the "registrant".
"Power of Attorney" when applying for DEA CS registration, is defined as - CORRECT
ANSWER - 1. A registrant may authorize one or more individuals, whether located as the
registered location or not, to issue orders for *schedule I and II CS* on a DEA form 222,* on the
registrants behalf by executing a POA for such individual.
2. Registrant may REVOKE any POA at any time.
Who must execute a Power of Attorney? - CORRECT ANSWER - Must be executed by
the person who signed the most recent application for DEA registration (or re-registration), the
person to whom the POA is being granted to, and TWO WITNESSES
