MPJE EXAM 2025 QUESTIONS AND
ANSWERS
Controlled Substances Act of 1970 - ANS 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 - ANS Access to controlled substances
are restricted through REGISTRATION and SCHEDULING.
Registration of Controlled substances - ANS 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 - ANS 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? - ANS NO! It has LEFT the closed distribution network when it was
dispensed to the patient.
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,What are the exceptions that allow a controlled substance to be returned to the pharmacy? -
ANS 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? - ANS 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? - ANS NO a registrant but also be registered to handle CII CS to
qualify
How can an authorized collector take back CS? - ANS 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? - ANS 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? - ANS Permanently altered CS physical or chemical
condition or state through irreversible means and thereby renders the CS unavailable or
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,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? - ANS Yes. No DEA registration is required for
law enforcement agencies either.
Is a patient required to bring back their CS to an authorized collector? - ANS Nope. A patient
is permitted to destroy the substance themselves.
Most important CS registration categories for the MPJE - ANS 1. Manufacterer
2. Distributor
3. Dispenser (CII-CV)
4. Narcotic Treatment Program
5. Detox compounder
Dispenser registration for CS - ANS 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? - ANS 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 - ANS 1. II Narcotic
2. II Non-narcotic
3. III Narcotic
4. III Non-narcotic
5. IV
6. V
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, 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 - ANS 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? - ANS The exact same way as federal Law.
"Owner", when applying for DEA CS registration, is defined as - ANS 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 - ANS 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? - ANS 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
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