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Kentucky MPJE 2024 Edition. Real Exam
Questions & Answers.
Accutane and generics special requirement - ANS1. Patient and prescribers must be enrolled in iPledge program
- Pharmacy must get on-line with patient's iPledge number for clearance to fill Rx
- Females must have pregnancy test
- up to 30 days supply, no refill Addiction doctor can write for these meds - ANSsuboxone, subutex (buprenorphine) methadone must be admin on-site, no Rx. However, can dispense 72h supply for a hospitalized addict. addiction treatment physicians have special DEA - ANSstart with "X" Again DEA 222 copies keeper, in 1, 2, 3 - ANSCopy 1 by supplier Copy 2 by DEA Copy 3 by pharmacy Any law governing clinical pharmacists? - ANSNo APAP 500mg take 1 to 2 tabs PO Q3-4H PRN - ANSMisbranded. Health issue
max at 16 x 500mg table a day = >3000mg guideline = liver toxicity APRN - ANSNurse practitioner APRN and CS - ANSlorazepam, alprazolam, clonazepam, diazepam, hydrocodone-containing products, carisoprodol--> 30 days supply with no refill -CII = 72hours -CIII = 30days no refill APRN and psychostimulant - ANSthe only CII they can prescribe with 30 days supply, ADHD meds. But have to associate with psychiatrist. APRN meds that can be prescribed with 30 days no refill - ANSLorezepam, Clonazepam, Diazepam, Alprazolam, Carisoprodol (Soma), Hydrocodone containing product APRN prescribe thru this rule - ANSCollaborative care agreement with MD/DO Are counseling confidential? - ANSNo Are patient's record confidential? - ANSYes As RPh, what can you add to the C-II prescription? - ANSDate Quantity
Abuse may lead to moderate or low physical or high psychological dependence C-III to C-V validility - ANS180 days (6 months) C-IV Criteria - ANSLow potential for abuse relative to C-III Accepted medical use Abuse may lead to limited physical or psychological abuse relative to C-III C-V Criteria - ANSAccepted medical use Low potential for abuse relative to C-IV Abuse may lead to limited physical/psychological dependence relative to C- IV Can a physician's agent prepare a Rx? - ANSyes, except the signature Can FDA issue a recall? - ANSNO, they can only request it. Can graduate intern do the final verification? - ANSNo Can providers share KASPER? - ANSYes, under HB Can those pharmacists be from the same county - ANSNo two can be from the same county Can you carry over the CE? - ANSNo
Can you compound OTC? - ANSNo Can you do emergency refill for CS? - ANSNo Can you fill out of state prescriber's med? - ANSYes, you can fill out of state prescribers only if the same type can write those Rx in KY. Can you obtain all 1500 hours during the 4th year only? - ANSYes Can you store manufacturer drug sample in the hospital? - ANSYes (b/c hospital bill is big, while retail is small) Can you take C-II Rx over the phone? - ANSNo (by federal law may do emergency fill) Can you transfer C-II - ANSNo Can you transfer C-III to C-V - ANSYes, but one time only. Or unless pharmacies share a "real-time, online database", then may transfer up to the max# of refills permitted Can you use animal products on human? - ANSNo can you use human product in animal? - ANSYes
Containers for CS - ANSmust contain the label of C-II, C-III, C-IV, C-V Continuing education requirements in KY - ANS15 hours (1.5 CEU) per year Controlled substance for animals, requirement - ANSMust list owner's name, the species of the animal Counseling shall include: - ANSCommon AND clinically significant ADR CS prescriptions paper requirement - ANS1. A latent void pattern in
- Pantone green narcotic safety prescription blank with
- Opaque Rx in upper right hand corner and
- a water mark "Kentucky Security Prescription") on the back
- Quantitiy must be check-marked in a box
- Only one prescription per blank is allowed
- Statement - void if more than 1 prescription per balnk DEA form 106 - ANSreports theft of CS Under HB1 theft or loss must now also be reported to Board DEA form 41 - ANSform for outdated (expired) drugs DEA registered pharmacy employment limitation - ANScannot hire anyone has been convicted of a felony related to CS unless the DEA issues a waiver.
Waivers are specific to each employer and each employee. Definition of a misbranded drug - ANSA drug that its labeling is false or misleading. A drug that is dangerous to the health when used as prescribed on the label DMD, DDS - ANSDentist DO - ANSphysicians Do you need a telephone system if you have a real time computer thingy? - ANSNo Do you report CS in hospital to KASPER? - ANSNo Does using a common data base constitute a transfer? - ANSNo DPM - ANSPodiatrist Drug samples - ANScannot be dispensed for profits DVM - ANSVeterinarian Emergency 72h refills - ANSNo refill on Rx Prescirbers not readily available to authorize refills.
Food Drug and Cosmetic Act - ANS FDA to ensure safety of food and drug. Creation of DEA For all Rx transfer out, what do you need to write down? - ANSName of the pharmacist date, name, address of the other pharmacy receiving, DEA# Formulary compliance dispensing? - ANS1st...what the hack is this? prescriber notes "formular compliance approval", may be stamped on Rx blank Four members constitute a ___ - ANSQuorum From 222 copies... - ANSBrown (supplier - card boxes!) Green copy (DEA - statue of liberty) Blue copy (retained at pharmacy - AOC home team color) HB1 requirement - ANSPatients have to be seen by prescriber for CS presciptions. Hospice drug limitations - ANSSWFI Heparin flush Flu, pneumonia vaccine diphenhydramine Inj.
epinephrine inj. glucagon Hospice or home health pharmacy record keeping, how long? - ANS years Hospital pharmacy and P&T committee - ANSA pharmacist must be a member of the P&T Hospital pharmacy has to assigned a position called - ANSDirector of Pharmacy How long do you keep counseling record? - ANS1 year How long do you keep record for C-II? - ANS5 years How long do you keep record for C-III, IV, V? - ANS2 years How long do you keep record of needle sale? - ANS2 years How long do you keep the collorative care agreements? - ANS5 years How long do you keep transfer record? - ANS5 years How long do you need to practice before becoming a preceptor? - ANS year
How many techs can a pharmacist supervise at a time. - ANSlaw does not say so How many times can you be a president of the board? - ANS2 years ( times) How many times can you do emergency refill - ANS1 time How many times should the board members meet? - ANS4 times How often do you elect a president for the board? - ANSannually How often do you renew your KY license? - ANSAnnually on 2/ How often do you send in info to KASPER? - ANSdaily How to display your pharmacist license? - ANSConspicuously displayed How to elect members of the KY board of Pharmacy? - ANSappointed by the governer How to file complaints to Board - ANSOral or written How to store C-II prescriptions? - ANSSeparate from other Humphrey-Hurham Amendment - ANS
classified drugs as "prescription only" and OTC If a DEA 222 is lost or stolen - ANSmust be reported to DEA and Board of Pharmacy If a DEA 222 is voided or defective - ANSmust be retained If a disaster in KY, emergency fill - ANSup to 30days, but not including CS If you receive a prescription that shows the brand name of a drug, you should - ANS1. sub to a *lower priced therapeutic equivalent drug which is *in stock If your prescriber is dead or retired, what happen to the prescriptions? - ANSALL CS void, but legend drugs can be filled for a reasonable period until patients can find a new practitioner In KY, how long should you retain CS records? - ANSC-II: 5 years C-III to C-V: 2 yeras Intern ID card is good for - ANS6 years Involuntary closure - ANSacute illness, death, natural disaster, bankruptcy, court or Board action written notice 5 days May maintain premises for up to 60 days
Medical gas pharmacy, which 2 gases - ANSoxygen and nitrous oxide medical records should be... - ANSreadily retrievable minimum age for immunization - ANS9yo+ minimum BMI requirement for anorexiants for a C-IV anorectic - ANS27 if no comorbidities 25 if co-morbidities Name of drug on the prescription bottle, not to label it, how - ANSIf practitioner indicates "Do Not Label" Name of the background check - ANSHB Nuclear pharmacy special regulation - ANSexempt from general space requirements Radiopharmaceutical must be kept separate from other medications OD - ANSOptometrist Optometrist dispensing , limitation - ANS72hour supply no refill, no C-II. Meds are diagnostic agents only May give epinephrine or diphenhydramine for anaphylactic reaction PA and limitation - ANSNotice of Privacy Practice
No NPP accepted, still give service There must be a privacy officier PA-C - ANSPhysician's assistant Pamphlet for generic med - ANSYou have to have the CHFS generic drug pamphlet available to patients, but not required to give it to them. Parenteral Compounding pharmacy room requirement - ANSLaminar airflow hood or class 100 room Partial fill C-II and Terminally ill patient - ANSRx must note LTCF patient or terminally ill on face of blank. Balance must be dispensed within 60 days The patient then can receive multiple partial fills Partial fill of C-II - ANSMust dispense remainder in 72 hours Pharmacist Recovery Network help with pharmacist who have these problems: - ANSDrugs, alcohol, mental illness, physical incaptivity Report of impairment cannot be basis of disciplinary action if no other pending complaints Pharmacists duties of reporting - ANSIt is a duty to report the conviction of a felony. It is a duty to self-report a felony conviction.
PIC and the pharmacy - ANSPIC is in "full and actual charge" of the pharmacy. This should overrule the cooperate Plan B age requirement for female - ANScan be sold as OTC to female 17yo+ under that age needs a prescription Plan B age requirement for male - ANS18+ or older with Photo ID Preceptor's license - ANSThe license will be marked "Preceptor" Pseudoephedrine purchase limit - ANS3.6g/purchase 7.2g/30days Annual limit 24g Pure Food and Drug Act - ANS Led to creation of FDA Certain drugs had to be accurately labeled with dose and contents Re-elect board members? - ANSPossible for 1 more term (like the president) Reference needed in hospital pharmacy - ANSDrug identification Toxicology Drug interactions Parenteral drug compatibility
Microbiology Sale of syringes or needles - ANSYou need to know the planned use. An ID is required but not recorded. Service of pharmacist in a hospital - ANSShould be ALL TIME. If pharmacy is not 24/7, there must be someone on call. Steps of the board handling complain - ANS1. Agreed order
- Administrative conference
- Settlement conference
- Hearing Storage of C-III to C-V prescriptions - ANSCan be together or separate from regular prescription. IF together, must be readily retrievable. Supervision of pharm tech vs. cert. pharm tech - ANSpharm tech: immediate supervision Cert. pharm tech: general supervision Thalidomide requirement - ANS1. Prescriber has to be certified thru prescriber enrollment form
- Patient must be enrolled in program
- Prescriber must counsel on risk vs. benefits
- Rx limited to 28 days supply
