Delaware MPJE (General) Exam Questions and Answers 100% Pass

Delaware MPJE (General) Exam Questions and Answers 100% Pass Components of patient counseling - Correct Answer ️️ -**Does not include pricing information ** Do not have to encourage/explain generic use **RPh is not required to provide counseling if the patient refuses it. Simply document refusal When don't you have to counsel? - Correct Answer ️️ -Dispensing of drugs for inpatient use in a hospital or institution where the drug is to be administered by a healthcare provider Components of a prospective DUR - Correct Answer ️️ -Screening for problems due to therapeutic duplication, interactions, OTC interactions, drug-disease CI, incorrect dosage or duration, drug-allergy interactions, clinical abuse or misuse Generic substitution - Correct Answer ️️ -1. Practitioner writes substitution permitted on Rx, verbally states substitution permitted. Prescribers may issue blanket authorizations in an institutional setting. 2. Pharmacist informs patient/representative of substitution 3. Pharmacist indicates on the prescription and the label the manufacturer/distributor of generic. 4. Prescriber must write "brand neccessary" if they require brand name drug State laws/regs on medication disposal - Correct Answer ️️ -Follow federal -Do not flush unless specifically directed, take advantage of community takeback programs - Household: mix with undesirable solid, place in a sealable bag or can. De-identify bottles. What is the procedure to close a pharmacy? - Correct Answer ️️ -Notify the executive secretary of DE BOP in writing at least 14 days before closing. If owner/PIC is deceased, notify immediately. If fire/water/damage, notify immediately. Public notification: local newspaper for 7 days including the name of the pharmacy to which the Rxs will be transferred. A sign must be placed in the window 14 days before closing and 14 days after closing. All signage must be removed within 30 days of closing. Temporary closing: notify board ASAP, notify the public in a highly visible place x5 days Emergency filling of non-controlled substances - Correct Answer ️️ -Professional judgement. Minimum necessary for emergency period Prescription originally dispensed from this pharmacy If dispensed: As an emergency supply only one time. Refill date, quantity, and pharmacist's initials must be documented in patient profile. Prescriber must be notified in writing or verbally. Prescription may be refilled Label requirements for inpatient use - Correct Answer ️️ -Name, strength Prepacked: source, lot number, expiration date Emergency medications in a LTCF - Correct Answer ️️ -Emergency use medications: injectables to meet the immediate therapeutic needs of patients. Interim use medications: noninjectables to meet the immediate therapeutic needs of patients Stock supply for interim use meds: may not supply 60 drugs without prior approval of the board. Lists must be attached to medication supply. After using meds, must contact supplying pharmacy for restock Records msut be kept 2 years at pharmacy and facility Controlled substance act: CS must only be administered by authorized personnel Inspections by the BOP - Correct Answer ️️ -During business hours Agent: may inspect and copy records; within reasonable limits and in a reasonble manner May make an inventory of stock drugs Central fill Rx - Correct Answer ️️ -Must notify patients using signage that parts of their prescriptions may be processed in a different location. Both facilities must share a common electronic file. Labels must identify where they were filled. What are intern hour regulations? - Correct Answer ️️ -Complete 1500 hours. Minimum 1000 hours shall be optained in community or hospital. 500 hours in othere rrecognized fields. Quantity limits for CSA - Correct Answer ️️ -31 day supply or 100 dosage units