Download Minnesota MPJE Exam Questions and Answers: Pharmacy Practice in Long-Term Care Facilities and more Exams Pharmacy in PDF only on Docsity!
Minnesota MPJE With 956 Exam Questions
What must optometrist report to board within 10 working days? - ✔ ✔ Any adverse rxns that occur while administering drug What are examples of topical ocular drugs? - ✔ ✔ -proparacaine 0.5%, tetracaine 0.5%, benoxinate 0.4% -phenylephrine 2.5% or less, hydroxyamphetamine 1% or less -tropicamide 1% or less, cyclopentolate 1% or less What is the role of the pharmacist in the nursing home? - ✔ ✔ o Provides consultation on all aspects of provision of pharmacy services in the nursing home o Establishes system of records and receipt/disposition of all CS in sufficient detail to enable an accurate reconciliation o Determines that records are accurately maintained and that account of all CS is maintained How often must pharmacist currently licensed by MN BOP review every patients medication profiles at nursing home? - ✔ ✔ at least monthly When pharmacist reviews med profiles for nursing home pts, who should they report concerns to? When must reports be acted on by? - ✔ ✔ director of nursing services and attending physician must be acted on by next physician visit (acceptance/rejection and initialing on report by both)
If attending physician at nursing home does not concur with recommendations or does not provide adequate justification, who must the pharmacist refer it to? - ✔ ✔ medical director if pharmacist feels QoL is being affected. If attending physician is the medical director, report to QAA committee What must the med error rate be in nursing homes? - ✔ ✔ <5% must be free of significant error What is considered a med error in nursing homes? - ✔ ✔ 1. discrepancy bw what is prescribed and what is administered
- the administration of expired meds What has to be available at each nurses station in a nursing home? - ✔ ✔ List of staff authorized to administer meds Can a resident of a LTCF self-administer meds? - ✔ ✔ Yes, if the comprehensive resident assessment and comprehensive plan of care indicate this is safe and there is a written order from attending physician Who can administer injections in LTCF? - ✔ ✔ physician, PA, RN, NP, LPN or may be self-admin if allowed What must be documented when administering meds in LTCF? - ✔ ✔
- Name
- date
- time
- quantity
- completed standardized med admin training program for unlicensed personnel in nursing homes offered thru MN postsecondary educational institution that includes at a minimum instruction on the following: Complete procedure of checking the resident's medication record Preparation of the med for admin Admin of the med to the resident Assisting resident's w/ self-admin as necessary Documentation after admin of date, time, dosage, method of admin, reason for not admin all meds as ordered, sig Type of info regarding med admin reportable to a nurse What types of meds can unlicensed personnel administer if they are qualified to do so in LTCF? - ✔ ✔ Scheduled meds PRNs if authorized by nurse or reported to nurse within time period specified by nursing home policy Are pharmacy licenses transferrable? - ✔ ✔ no What is considered a transfer in pharmacy ownership, requiring reapplication for licensure? - ✔ ✔ o Sale of substantially all of the assets of the pharmacy o Addition or deletion of one or more partners in a partnership to which pharmacy license has been issued
o Change of ownership of 20% or more of the issued voting stock of a corporation pharmacy since the issuance of the license or the last renewal Does not apply to any corporation the voting stock which is actively traded on any securities exchange or in any OTC market o Change in ownership from one form to another- sole proprietor, partnership, or corporation How large must the counseling area be? - ✔ ✔ At least 7 feet tall and 24 inches deep cannot have any items for sale in it pharmacist must have access to pt profiles What should a pharmacist do if they do not include one aspect of counseling based on professional judgment on best serving the pt? - ✔ ✔ Document on rx, pt records, or specially developed log When is counseling not required? - ✔ ✔ 1. inpts of hospital or other institution where other licensed hcps are authorized to admin drugs
- pt or pts agent has expressed desire to not receive the consultation How can counseling be completed when doing mail order? - ✔ ✔ providing written info and the availability of the pharmacist to answer question thru provision of toll free phone # for long distance calls Can pharmacists charge a fee for counseling? - ✔ ✔ yes per state
-Other equipment necessary to comply w/ requirements of USP, chapter 795 -Refrigerator used only for drug storage or separate compartment used only for drug storage w/I general use refrigerator, electromechanical/electronic temperature recording equipment/devices/logs -Sink w/ hot and cold running water -Toilet w/ hand washing lavatory and disposable towels in location that is reasonably accessible When/how can you request inactive status from the BOP? - ✔ ✔ At the time of renewal w/ sworn statement that not practicing pharmacy in MN Within what period of time/how many times can you retake NAPLEX? - ✔ ✔ Within 18 months Must petition to board to take again if have failed 3 times already When may you have to take the NAPLEX again? - ✔ ✔ If have been out of practice for previous 2 years before applying for licensure in MN When is CE due? - ✔ ✔ September 30 of each even numbered year CE deadline for technicians - ✔ ✔ July 31 of odd numbered years How much CE must technicians do? - ✔ ✔ 20 hours per 2 years How far in advance must provider submit CE for approval to board? - ✔ ✔ At least 45 days in advance board assigns credit hours to it
board will notify of decision within 60 days If pharmacist/PT want CE hours for a program not previously approved, how long do they have to submit the info to the board? What must they submit? - ✔ ✔ 90 days after completing the program
title site date type length program outline description of evaluation mechanism used What can CE programs publicize regarding board approval? - ✔ ✔ "This program is approved by the MN BOP for ___ hours of CE credit." Who is on the CE advisory task force? - ✔ ✔ 10 members 3 designated by MSHP 3 designated by MPhA 2 designated by BOP 2 designated by UMN COP
How many intern hours are required? - ✔ ✔ 1600 hours How many hours must be dispensing? - ✔ ✔ 800 hours When is counseling ok to do in a written format? - ✔ ✔ Mail order or delivery service
Must include any thing mentioned in normal counseling, availability of RPh to answer questions, instructions on what to do if delivery parcel is compromised Special availability requirements for mail order pharmacies? - ✔ ✔ Toll-free number 6 days/week 40 hours/week When do licenses expire for manufacturers and wholesalers? - ✔ ✔ June 1st Must file for renewal by May 1st How soon must the board be notified of any change in a wholesalers information? - ✔ ✔ 30 days How long must record keeping be kept for wholesalers? - ✔ ✔ 2 years How many hours of CE must a pharmacist have in a 2-year period? - ✔ ✔ 30 hours
When is CE reported? - ✔ ✔ By September 30th of each even- numbered year How many technician CE hours is required in a 2-year period? - ✔ ✔ 20 hours When is technician CE reported? - ✔ ✔ By July 31st of each odd- numbered year How long should a CE provider maintain records of hours given? - ✔ ✔ 3 years By what time frame should approval for CE presentation credit be submitted to the board? - ✔ ✔ 45 days How long does the board have to grant approval or denial of a CE course? - ✔ ✔ 60 days (so you better get it in before 45 days...) How much time do you have to submit hours after you attend a CE course? - ✔ ✔ 90 days after the date of the course How many members are in the CE Advisory Task Force? - ✔ ✔ No more than 10 members: a. 3 from MN State Pharmaceutical Assoc. b. 3 from MSHP c. 2 from U of M COP d. 2 from the board How often does the CE Advisory Task force meet? How often do they elect a chair/vice chair? - ✔ ✔ At least quarterly
- Drug strength
- Drug quantity
- Directions for use
- Issue date
- Add the DEA # What can't an RPh change on an Rx? - ✔ ✔ 1. Patient name
- Med prescribed
- Prescriber's signature Who appoints members of the Board of Pharmacy? - ✔ ✔ The Governor How long is a CII Rx valid for a patient in a LTCF or a Terminally Ill patient? - ✔ ✔ 60 days May be partially filled as many times as necessary, as long as the total dispensed quantity over time does not exceed the quantity it was written for What 2 items are required to fill an Rx for an animal? - ✔ ✔ 1. Species
- Full name of owner and their address When can the 2:1 ratio of techs to RPh's be overlooked? - ✔ ✔ If at least 1 of the techs is board certified Who can compound Rx's in Minnesota? - ✔ ✔ 1. Pharmacist
- Pharmacy intern Can a physician be granted the ability to dispense meds by the BOP? - ✔ ✔ Yes, if pharmaceutical care is not reasonably available ( miles or more away) How long, according to Minnesota, should an Rx be kept on file? - ✔ ✔ 2 years How often should a controlled substance inventory be performed? - ✔ ✔ Every 2 years Under Minnesota State Pharmacy Law, any adverse healthcare-related event shall be forwarded to whom? - ✔ ✔ Commissioner of Health, within 30 days Can a pharmacist substitute a written offer of counseling if he/she deemed it necessary? - ✔ ✔ Yes, as long as the counseling is offered Is an NDC required to be on OTC products? - ✔ ✔ No What is required on the label of an OTC product? (19) - ✔ ✔ 1. Drug Facts - title
- Active ingredient(s)-including amount in each dosage unit
- Purpose - pharmacologic class
- Use(s) - indications
- Warnings
- Do not use - absolute contraindications, when the product should not be used under any circumstances
How long should a contract pharmacy maintain records? - ✔ ✔ 2 years For each drug repackaged by a contract pharmacy under this section, the contract pharmacy shall maintain a record of what information? (10) - ✔ ✔ (1). the name, manufacturer, manufacturer's lot number, manufacturer's expiration date, and quantity of the drug prescribed; (2). the name and address of the resident for whom the drug was repackaged; (3). the name and address or other identifier of the prescriber; (4). the date the prescription was issued and the date the drug was repackaged; (5). the date the repackaged drug was delivered to the long-term care facility; (6). the directions for use; (7). a copy of the label that was affixed to the repackaged drug; (8). the initials of the packager; (9). the initials of the supervising pharmacist; and (10). the name and business address of the original dispensing pharmacy What are distressed drugs? - ✔ ✔ Drugs or medicines that have been subjected to accident, fire, flood, adverse temperatures, or other physical influences which could affect the potency, quality, purity, or
efficacy of such drug or medicine, or could otherwise cause the drug or medicine to be adulterated or misbranded What form is required to purchase or transfer CI's and CII's? - ✔ ✔ DEA 222 How long is a DEA 222 form valid? - ✔ ✔ 60 days What copy is kept by the pharmacy ordering the meds (the purchaser)?
- ✔ ✔ Copy 3 (Copy 1 and Copy 2 go to the supplier) What amount of codeine would be necessary to create a CIII medication? - ✔ ✔ 1.8 grams in 100 mLs How soon should an RPh or intern notify the board of a change in address or place of employment? - ✔ ✔ IMMEDIATELY What schedule is Fioricet? - ✔ ✔ Non-scheduled 325 mg of acetaminophen (APAP), 50 mg of butalbital, and 40 mg of caffeine What schedule is Fiorinal? - ✔ ✔ C-III 325 mg of aspirin (ASA), 50 mg of butalbital, and 40 mg of caffeine What is the ratio of APAP:butalbital that is required to be exempt from CS scheduling? - ✔ ✔ 70 mg : 15 mg What is the ratio of ASA:Butalbital that is required to be exempt from CS scheduling? - ✔ ✔ 188 mg : 15 mg How long should Cancer Drug Repository donor and recipient forms be maintained for? - ✔ ✔ 5 years
Who decides what is in an emergency kit? - ✔ ✔ Quality Assurance and Assessment Committee What is a PDR? - ✔ ✔ Prospective Drug Review What does not require a PDR? - ✔ ✔ (1). An order for a drug for an inpatient of an institution (2). A drug dispensed in an emergency room (3). A drug dispensed by a medical practitioner (4). A drug dispensed by a pharmacist to a medical practitioner who will administer it to a patient What does require a PDR? - ✔ ✔ (1). A patient visits a physician in the physician's office and receives a prescription. The patient has the prescription filled in a retail pharmacy. (2). A pharmacist fills a prescription for a patient who lives in a personal care home (3). A pharmacist in a hospital pharmacy fills an outpatient prescription for a hospital employee (4). A patient is treated on a non-emergency basis in an outpatient clinic of a hospital and is given a prescription (5). The patient has the prescription filled either in the hospital pharmacy or in a retail pharmacy What are APNP authorized to do? (4) - ✔ ✔ prescribe (after 2, hrs under collaborative) admin
procure dispense -within scope and admin What can APNP dispense? (4) - ✔ ✔ OTC legend C's samples Do APNP need own DEA number? - ✔ ✔ yes Can clinical nurse specialist/ nurse midwife prescribe? - ✔ ✔ yes, but not plain midwife Licensed optometrists, who are not board certified, need what to admin topical eye drugs? - ✔ ✔ Valid topical ocular drug certificate Does the board of optometry need to notify the board of pharmacy who has the certificate? - ✔ ✔ yes Which drugs can the optometrist use: (3) - ✔ ✔ Commercially prepared: -topical anesthetics: proparacaine 0.5%, tetracaine 0.5%, benoxinate 0.4% -mydriatics: phenylephrine <2.5%, hydroxyamphetamine < 1% -cycloplegics: tropicamide < 1%, cyclopentolate < 1% What can an optometrist NOT prescribe/admin? - ✔ ✔ -IV/IM drugs except to tx anaphylaxis
