ILLINOIS MPJE EXAM 2025 QUESTIONS
AND ANSWERS
Length of record keeping for purchase records/invoices (controls and non-controls)- IL -
ANS 5 years in total, at least one year on site
DEA 222 Forms- IL how long to keep - ANS IL sees them as invoices, so 5 years
DEA form 106- IL how long to keep - ANS two years
IL annual inventory of controlled substances: record keeping - ANS 5 years in total, at least 1
year onsite
Record keeping of disposal of controlled substances-IL - ANS two years, retain form 41 DEA
Record keeping under federal Law - ANS 2 years
What changes can a pharmacist NEVER permitted to change on Rx - ANS 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? - ANS yes, as long
as system complies with federal DEA regulations, and Rx is valid under federal law
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,How does one report theft/loss of CS - ANS 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 - ANS 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 - ANS 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. - ANS Biological safety
cabinet is not needed.
what should a licensed pharmacy preparing sterile parenteral product have - ANS 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 - ANS yearly
who can counsel patients - ANS pharmacist or student pharmacist under the direct
supervision of the pharmacist.
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,who can make offer to counsel - ANS RPH, Student RPH, r pharmacy technician.
can cashiers and other unlicensed personnel working in the pharmacy make the offer to
counsel - ANS NO
Can a doctor write prescriptions (controlled) for himself - ANS NO. Self prescribing or self
dispensing of CS is NO LONGER permitted
can a doctor write prescriptions (Controlled) for family member - ANS 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 - ANS 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 - ANS 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 - ANS condition of the product-
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, 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 - ANS 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 - ANS Misbranded and adulterated
when does controlled substance dispensing need to be reported to the PDMP - ANS 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 - ANS Pentazocine: C2
when combined with ASA, APAP, or naloxone it is a C3
Pentazocine reasons to be C3 - ANS <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
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AND ANSWERS
Length of record keeping for purchase records/invoices (controls and non-controls)- IL -
ANS 5 years in total, at least one year on site
DEA 222 Forms- IL how long to keep - ANS IL sees them as invoices, so 5 years
DEA form 106- IL how long to keep - ANS two years
IL annual inventory of controlled substances: record keeping - ANS 5 years in total, at least 1
year onsite
Record keeping of disposal of controlled substances-IL - ANS two years, retain form 41 DEA
Record keeping under federal Law - ANS 2 years
What changes can a pharmacist NEVER permitted to change on Rx - ANS 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? - ANS yes, as long
as system complies with federal DEA regulations, and Rx is valid under federal law
1 Copyright ©2025 SIRJOEL ALL RIGHTS RESERVED
,How does one report theft/loss of CS - ANS 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 - ANS 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 - ANS 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. - ANS Biological safety
cabinet is not needed.
what should a licensed pharmacy preparing sterile parenteral product have - ANS 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 - ANS yearly
who can counsel patients - ANS pharmacist or student pharmacist under the direct
supervision of the pharmacist.
2 Copyright ©2025 SIRJOEL ALL RIGHTS RESERVED
,who can make offer to counsel - ANS RPH, Student RPH, r pharmacy technician.
can cashiers and other unlicensed personnel working in the pharmacy make the offer to
counsel - ANS NO
Can a doctor write prescriptions (controlled) for himself - ANS NO. Self prescribing or self
dispensing of CS is NO LONGER permitted
can a doctor write prescriptions (Controlled) for family member - ANS 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 - ANS 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 - ANS 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 - ANS condition of the product-
3 Copyright ©2025 SIRJOEL ALL RIGHTS RESERVED
, 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 - ANS 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 - ANS Misbranded and adulterated
when does controlled substance dispensing need to be reported to the PDMP - ANS 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 - ANS Pentazocine: C2
when combined with ASA, APAP, or naloxone it is a C3
Pentazocine reasons to be C3 - ANS <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
4 Copyright ©2025 SIRJOEL ALL RIGHTS RESERVED
