2022 MPJE: Practice 90-Item Exam with Complete Solution

2022 MPJE: Practice 90-Item Exam with Complete Solution A pharmacy technician has finished compounding chemotherapy IV admixtures in the chemotherapy hood and begins compounding a batch of vancomycin IV admixtures in ...

2022 MPJE: Practice 90-Item Exam with Complete Solution A pharmacy technician has finished compounding chemotherapy IV admixtures in the chemotherapy hood and begins compounding a batch of vancomycin IV admixtures in the laminar air flow hood. In the middle of preparing the batch of vancomycin IV admixtures, he realizes that he forgot to remove his chemotherapy gloves. The vancomycin IV admixtures are now considered: A) Adulterated only B) Misbranded and adulterated C) Non-sterile D) Expired E) Misbranded only -Answer- Adulterated only During a routine inventory, the pharmacist-in-charge determined that several bottles of Nuvigil were missing. After reviewing the security camera footage, it was determined that one of the staff pharmacist was stealing Nuvigil bottles. The pharmacy should report the theft to which of the following federal organizations? A) Federal Trade Commission B) Drug Enforcement Administration C) Food and Drug Administration D) U.S. Consumer Product Safety Commission E) U.S. Department of Health and Human Services -Answer- Drug Enforcement Administration A patient brings in a prescription for felbamate and would like it processed through his Medicaid coverage. Which of the following features on this prescription would satisfy the security requirements for payment under the federal Medicaid program? *SELECT ALL* A) The word "VOID" appears when photocopied B) The prescribers DEA number pre-printed on the prescription C) Check boxes to indicate the quantity prescribed D) The quantity is written out alphabetically and numerically E) Pre-printed serial number -Answer- Pre-printed serial number The word "VOID" appears when photocopied Check boxes to indicate the quantity prescribed Which of the following practitioners can independently issue a prescription for Opana? A) Doctor of oriental medicine B) Podiatrist C) Dietician D) Emergency medical technician E) Psychologist -Answer- PodiatristA patient runs out of his Kadian while his doctor is out of town. The doctor calls in an emergency prescription to the pharmacy to prevent interruption of the patient's treatment. The pharmacist fills the verbal emergency prescription but does not receive the hard copy prescription within the time period allowed by law. It is MOST appropriate for the pharmacist to report this to the: A) Substance Abuse and Mental Health Services Administration B) Federal Emergency Management Agency C) Federal Trade Commission D) Drug Enforcement Administration E) Food and Drug Administration -Answer- Drug Enforcement Administration Using the table below, how many pseudoephedrine HCl 30 mg tablets can a customer purchase OTC in one day? 30 mg Pseudoephedrine HCl = 146 Tablets 60 mg Pseudoephedrine HCl = 73 Tablets 120 mg Pseudoephedrine HCl = 36 Tablets A) 146 tablets B) 77 tablets C) 300 tablets D) 120 tablets E) 155 tablets -Answer- 146 tablets A 41-year-old Medicare patient brings a new prescription for Cialis 5 mg daily to the pharmacy. Before dispensing the new prescription, the pharmacist reviews the patient's profile and notes that he is currently using Tylenol #3, Genvoya and Crestor. After determining that there is a drug interaction between Genvoya and Cialis, the pharmacist calls the prescriber to reduce the dose of Cialis to 2.5 mg. What type of review did the pharmacist perform? A) Biologics license application review B) New drug application review C) Prospective drug utilization review D) Retrospective drug utilization review E) Concurrent drug utilization review -Answer- Prospective drug utilization review Dr.Jenny Hernandez is authorized to prescriber narcotics for opioid treatment addiction. Which of the following is a valid DATA wavier unique identification number? A) AH6835752 B) MH6835752 C) BH6835752 D) HX6835752 E) XH6835752 -Answer- XH6835752A women comes to the pharmacy with three prescriptions written by a veterinarian. Thyro-Tabs are prescribed for the woman's dog and Celebrex and Voltaren gel are. prescribed for the woman. What should the pharmacist do? A) Dispense all three drugs B) Dispense the Thyro-Tabs only C) Dispense the Thyro-Tabs and Voltaren gel only D) Do not dispense any of the drugs E) Dispense the Celebrex and Voltaren gel only -Answer- Dispense the Thyro-Tabs only A man's mother recently passed away and he would like to dispose of her unused drugs and medical supplies. Which of the following can he throw away in the pharmacy's DEAregistered collection receptacle? *SELECT ALL* A) Lortab B) Cymbalta C) Syringes D) Restoril E) Heroin -Answer- Restoril Lortab Cymbalta Rank The following from schedule I to schedule V: A) Lyrica B) Actiq C) Mescaline D) Xyrem E) Belsomra -Answer- Mescaline Actiq Xyrem Belsomra Lyrica The pharmacist placed a drug order with the wholesaler for Focalin, TussiCaps and Dolophine. According to the Drug Supply Chain Security Act, Which of the following must the wholesaler send to the pharmacy along with the drug order? A) Patient package inserts B) Copy 1 of DEA Form 222 C) Medication Guides D) Transaction information E) DEA Form 41 -Answer- Transaction information The pharmacist receives a prescription for Calan SR 120 mg. He would like to dispense the generic version since it will be less expensive. When determining the bioequivalence of the reference listed drug to the generic drug product, which rating means that the two drug products are interchangeable? A) A rating B) C ratingC) D rating D) B rating E) E rating -Answer- A rating When does a community pharmacy need to provide the Notice of Privacy Practices to each patient? *SELECT ALL* A) At the first time service is offered B) Biannually C) Every time service is offered D) At the request of the patient E) When the privacy practice is updated -Answer- At the first time service is offered When the privacy practice is updated At the request of the patient A Patient returns to the pharmacy and complains that her anti-anxiety medication is not working as well as it used to. The pharmacist inspects the bottle labeled for diazepam and discovers it was filled with diltiazem tablets. The diltiazem in the patient's prescription bottle is considered: A) Tampered B) Decomposed C) Adulterated only D) Adulterated and misbranded E) Misbranded only -AnswerWhich medication requires the following warning on the prescription label: "Caution: Federal law prohibits the transfer of this drug to any person other than the patient for whom it was prescribed"? A) Zaleplon B) Dextromethorphan C) Pregabalin D) Lomotil E) Vimpat -Answer- Zaleplon A water pipe of a medical building has bust, flooding the pharmacy located on the first floor. This has damaged many shelves of drugs, including most of the controlled substances. What form should be used to report this event to the DEA? A) DEA Form 41 B) DEA Form 106 C) DEA Form 363 D) DEA Form 222 E) DEA Form 224 -Answer- DEA Form 41 A pharmacist is receiving a prescription transfer for a new patient and has reduced the prescription to writing as shown below. What other information should the receiving pharmacist request from the transferring pharmacist?Patient name: Simon Jung DOB: 2/1/1982 Transfer date: 4/1/2020 Original Rx# 293857 Date of issue: 12/2/2019 Date first filled: 12/3/2019 Original refills: 5 Refills remaining: 2 Transferring Pharmacy: ABC Transferring RPh: Mena Receiving RPh: Sylvian RX: AndroGel 1.62% #1 box 40.5 mg (1 packet) applied QAM to the shoulder and upper arms Prescriber: Jane Prescriber's DEA: AB123456 A) The pharmacy's fax number B) The name of the pharmacist-in-charge C) The lot number of the drug that was most recently dispensed D) The pharmacy's DEA number E) The pharmacy's NPI number -Answer- The pharmacy's DEA number A technician is garbing up before preparing a cisplatin IV admixture in the hospital's cleanroom. The technicians must wear two layers of which of the following items before compounding? *SELECT ALL* A) Hair covers B) Fasce mask C) Shoe covers D) Gowns E) Gloves -Answer- Shoe covers Gloves Single-use nitroglycerin is currently in shortage. The hospital pharmacy decides to use a 250 mL bulk vial of nitroglycerin 200 mcg/mL to prepare multiple 5 mL vials of nitro glycerin 200 mcg/mL for use in the cath lab. Each 5 mL vial is labeled appropriately and packaged with a light protected zip lock bag. Which of the following is the MOST appropriate term to describe this process? A) Repackaging B) Compounding C) Alteration D) Batching E) Drug manipulation -Answer- Repackaging Which of the following Medicare programs will reimburse pharmacist for performing medication therapy management for eligible beneficiaries? A) Medicare Part AB) The patient assistance program C) Medicare Part B D) Medicare Part D E) Medicare Part C -AnswerA community pharmacy is planning to expand it services and start operating an internet pharmacy, which will include dispensing controlled substances. The pharmacy has already modified its DEA registration for this purpose. How many days in advance must the internet pharmacy notify the DEA and the state board of pharmacy before dispensing controlled substance? A) 90 days B) 60 days C) 7 days D) 1 day E) 30 days -Answer- 30 days A cough syrup contains guaifenesin 200 mg and codeine phosphate 8 mg per 5 mL. What schedule is this drug? A) Schedule II B) Non-controlled C) Schedule IV D) Schedule V E) Schedule III -Answer- Schedule V Patient acknowledgement of HIPAA records must be kept by the pharmacy for this time period: A) 2 years B) 6 years C) 1 year D) 3 years E) 90 days -Answer- 6 years A patient is experiencing allergies with nasal congestion so his prescriber sends a prescription to his mail-order pharmacy for a 30-day supply of Claritin-D tablets. What is the maximum quantity for pseudoephedrine that the mail-order pharmacy can dispense to a patient in a 30-day period? A) There is no limit B) 60 grams C) 7.5 grams D) 3.6 grams E) 9 grams -Answer- There is no limit A patient brings in the following prescriptions written by an ophthalmologist: Vigamox, Pred Forte, Systane and Vicodin. What is the MOST appropriate action for the pharmacist to take? A) Dispense Vigamox, Pred Forte, Systance and VicodinB) Dispense Vigamox, Pred Forte and Systane only C) Dispense Systane only D) Do not dispense any of the drugs E) Dispense Vigamox and Systane only -Answer- Dispense Vigamox, Pred Forte, Systance and Vicodin A pharmaceutical representative went to the local anticoagulation clinic to inform the practitioners about the manufacturer's novel oral anticoagulant. One of the practitioners would like to obtain samples of the new drug so she can switch some of her patients from warfarin. Which of the following is the most appropriate process for the practitioner to obtain these samples? A) Ask the community pharmacy to donate any bottles that will expire within 6 months B) Write a prescription for the drug and have the community pharmacy fill it with samples C) Request samples from the manufacturer in writing D) Request samples from the nearby community pharmacy E) Verbally request the samples from the visiting pharmaceutical representative - Answer- Request samples from the manufacturer in writing The pharmacy uses a prescription record-keeping system in which schedule II prescriptions are in one file and all other prescriptions are in another file. Which of the following prescriptions must be stamped with the letter "C" before being filed? *SELECT ALL* A) Focalin B) Testim C) Flurazepam D) Neurontin E) Pregabalin -Answer- Pregabalin Flurazepam Testim A patient presents to the pharmacy on April 1, 2020 with the following prescriptions: Ritalin 10 mg PO BID #60, issue date 2/16/2020 Ritalin 10 mg PO BID #60, issue date 2/16/2020 Ritalin 10 mg PO BID #60, issue date 2/16/2020 What is the MOST appropriate action for the pharmacist to take? A) Do not dispense since the prescriptions have expired B) Do not dispense since the total quantity of all three prescriptions cannot exceed 90 tablets C) Do not dispense since the prescriber did not indicated the earliest fill date D) Dispense all thee prescriptions today E) Dispense 90 tablets today since that is the maximum quantity that can be dispensed -Answer- Do not dispense since the prescriber did not indicated the earliest fill date A patient dropped off a prescription for Syndros, which the pharmacy does not have in stock. What form must the pharmacist use to order Syndros?A) DEA Form 224 B) DEA Form 106 C) DEA Form 41 D) DEA Form 222 E) DEA Form 363 -Answer- DEA Form 222 A 24-year-old female wishes to purchase Plan B One-Step because she had unprotected intercourse approximately 60 hour ago. The pharmacy does not have Plan B One-Step in stock. Which of the following are appropriate OTC alternatives for this patient? *SELECT ALL* A) Next Choice One-Dose B) Ella C) My Way D) Paragard E) Take Acting -Answer- Take Action Next Choice One-Dose My Way Which of the following medications must be stocked either behind the pharmacy counter or in a locked cabinet in the aisles? *SELECT ALL* A) Primatene B) Sudafed PE C) Claritin D) Mucinex-D E) Oxytrol For Women -Answer- Mucinex-D Primatene A Patient was recently started on Syndros. He said that ever since he started the drug two weeks ago, he has been having frequent nightmares about falling from a skyscraper. What FDA program should the pharmacist use to report the possible side effects from Syndros? A) VAERS B) MedAware C) ISMP D) MedWatch E) AWARxE -Answer- MedWatch A technician is compounding a topical cold cream, which contains the following: Cetyl esters wax White wax Mineral oil Sodium borate Purified water Today's date is March 1, 2020. What is an appropriate beyond use date for this preparation? A) March 15, 2020B) March 31, 2020 C) September 30, 2020 D) March 1, 2021 E) September 1, 2020 -Answer- March 31, 2020 Which of the following is an example of adulteration? A) Minastrin 24 Fe is dispensed without a patient package insert B) The dessicant is removed from the original drug container C) A drug dispensed to a patient without an expiration date D) A prescription bottle labeled as glipizide but actually contains glyburide E) A prescription label that is missing the NDC number -Answer- The dessicant is removed from the original drug container Which of the following actions is a violation of HIPAA? A) A pharmacist dispense prescriptions to a patient's friend B) A pharmacy clerk publicly announces in the waiting area of the pharmacy: "Mr. Clark, your medication is ready" C) A pharmacy intern leave a voicemail for a patient on a home number: "Mrs. Banh, your refill is ready for pick up at XYZ pharmacy" D) A pharmacy technician, uninvolved in patient care, looks at the medical records of a celebrity after he was discharged from the hospital E) A nurse faxes a resident's medication administration records to the hospital so the pharmacist can perform medication reconciliation for a patient -Answer- A pharmacy technician, uninvolved in patient care, looks at the medical records of a celebrity after he was discharged from the hospital A man wants to purchase pseudoephedrine oral tablets. In order to sell this product, the staff must verify the customer's identification. Which of the following is NOT an acceptable form of identification: A) Department of Defense identification card B) U.S. passport C) State issued identification card D) State issued driver's license E) Social security card -Answer- Social security card A pharmacy technician is preparing a prescription for 30 tablets of levothyroxine on April 10, 2020. The manufacturer's container has an expiration date of 12/2020. What expiration date should be provided on the prescription label? A) December 31, 2020 B) April 10, 2021 C) October 10, 2020 D) April 30, 2021 E) December 10, 2020 -Answer- December 31, 2020 A women comes into the pharmacy and would like to purchase an OTC product to relieve her stuffy nose. She forgot to bring her driver's license and has no other form ofphoto identification. Which of the following OTC products can the pharmacy sell to the customer without verifying her identification? *SELECT ALL* A) SudoGest Sinus & Allergy B) Sudafed PE C) Afrin D) Zyrtec-D E) Sudafed -Answer- Afrin Sudafed PE A doctor writes a prescription for OxyContin on April 10, 2020 for 60 tablets for a longterm care resident. The patient's nurse would like to pick up 14 tablets from the pharmacy today. (April 10, 2020). Which of the following is the MOST appropriate action for the pharmacist to take? A) Fill the 14 tablets and inform the nurse that additional partial fills can be picked up through June 9, 2020 B) Fill the 14 tablets and inform the nurse that the remaining amount is forfeited C) Dispense the entire amount since partial filling is not allowed D) Contact the prescriber prior to dispensing the partial fill E) Fill the 14 tablets and inform the nurse that the remaining amount must be picked up by April 13, 2020 -Answer- Fill the 14 tablets and inform the nurse that additional partial fills can be picked up through June 9, 2020 Who can sign DEA Form 222 and/or the CSOS *SELECT ALL* A) The person who signed DEA Form 224 B) The person who signed DEA Form 363 C) The person who signed DEA Form 106 D) All full-time pharmacists E) The person/s granted power of attorney -Answer- The person/s granted power of attorney The person who signed DEA Form 224 The purpose of a prospective drug utilization review is to check for all of the following EXCEPT: A) Drug-drug interactions B) Incorrect dose C) Lower-cost drug therapy options D) Therapeutic duplication E) Incorrect treatment duration -Answer- Lower-cost drug therapy options A masked man with a gun comes into a pharmacy and orders the pharmacy staff to give him all of the HIV medications and opioids. The ph