Download Oregon MPJE Practice Test Questions and Answers 2025-2026 and more Exams Pharmacy in PDF only on Docsity!
OREGON MPJE PRACTICE TEST QUESTIONS AND 100%
CORRECT ANSWERS 2025 - 202 6!!
A provider with MD credentials electronically transmits three prescriptions for Tamiflu to your pharmacy. The prescriptions are for both family members and the Cuddles, the family cat. You:
A. Fill the prescriptions for the 2 humans only
B. After verifying that the prescriber has a patient-provider relationship with both humans and the cat, fill all the prescriptions
C. Fill all prescriptions as written
D. After checking with a local veterinarian that it is ok for a cat to take Tamiflu, fill all prescriptions as written - ANSWER>>Answer A
A Medical Doctor may not write prescriptions for animals. So no matter if the prescription is correctly written for a cat, or even if the provider knows the cat you may not fill the prescription for the cat
Which of the following is true in regards to medications dispensed from a DPDO?
A. A 60g tube of Eucrisa must be labeled but does not need to have cautionary statements on the label
B. Medications can be kept in the physician's desk drawer provided the drawer remains locked
C. A 60g tube of Eucrisa must be labeled but does not need to contain a physical description
D. A note in the patient's electronic chart that Eucrisa was dispensed, kept with the treatment notes is sufficient to meet the record keeping requirements for dispensing prescriptions - ANSWER>>Answer C
Although the review did not cover DPDO, it did provide some general guidance. No matter what outlet, medications must be stored and secured appropriately, they must be labeled, counseling is required, and everything must be documented. You may not,
without reading through the rule on DPDO's be able to answer this question confidently (which is why you should read the rules!), you should be able to reason it out
B is incorrect because it is not likely that the physician's desk drawer would meet appropriate criteria for the storage or security of medications.
C This is correct because we know that medications are required to be correctly labeled and any unit-of-use medications would not require a PIL, or physician's description of the product
A is incorrect because cautionary statements must always appear on a label.
D is incorrect because the dispensing record must be an unique and separate record from the patient medical record.
You may reason this out if you think of how the BOP would inspect this outlet
Which activities must be completed only by a pharmacist?
I. DUR check
II. Final verification
III. Administer immunizations
A. III only
B. II & III only
C. II only
D. I only - ANSWER>>Answer C: II only
Only a pharmacist may perform the final check of the prescription. Properly trained pharmacy intern may also complete DUR checks and administration of immunization
A provider writes a prescription for Kadian, "Take 1 tablet by mouth every 6 hours as needed, #120. Please dispense 1 week supply at a time." A diagnosis of Stage 4 breast CA is written on the prescription. You have verified with the provider previously that this is terminal diagnosis. You:
A. Call the providers office and explain that you must provide the entire quantiy at one
A. II only
B. III only
C. I & II only
D. I, II & III - ANSWER>>Answer D
A complete DUR for a prescription may include a review of patients' allergies, comorbidities, other medications, as listed at your pharmacy, the appropriateness of the prescription itself, medication abuse, and using too much or too little of a mediation. Therefore all of the options are appropriate component of DUR
- Which of the following emergency medication refills may you provide?
A. 96 hr emergency supply of Vimpat
B. 48 hr emergency supply of Viibryd
C. 30-day emergency supply of metazolone
D. 48 hr emergency supply of Vimpat - ANSWER>>Answer B
A 48-hour supply of Viibryd is the only one of the choices that is considered essential therapy and less than 72 hours supply and is not a controlled substance. Although Vimpat is considered essential therapy, since it is a controlled substance you cannot provide emergency supply to a patient
OAR 855.041.
- Which of the following medications can not be taken back from a patient for disposal?
A. A patient brings his filled bottle of Xanax back to the pharmacy because today's fill date was given on a prescription by an urgent care provider against his pain contract that he had forgotten until now.
B. The patient medication, irbesartan was involved in the recent recall of it and will come into the pharmacy with this current medication with which to replace.
C. A patient discovers that the expiration date on the box of Imitrex. She received from the pharmacy today expired last month, and brings it back in
D. A patient brings his bottle of Xanax, dispensed today, back to the pharmacy because
he noticed there are 2 different type of medication inside. You confirm that there are both Xanax tablets as well as another medication mixed in his bottle - ANSWER>>Answer A
Any medication, including controlled substances, which have been dispensed from the pharmacy in error, such as a medication that is damaged, deteriorated, misbranded, or adulterated may be return to the pharmacy for disposal. In this question, this includes option B, C and D. B is likely adulterated based on a recall, C is adulterated because it is expired and D is misbranded and dispensed in error as there are 2 different mediations in his bottle, which should just be Xanax. There is one additional caveat; that if the medication dispend could actually cause patient harm, you may accept it back.
Option A: The drug is not considered adulterated, misbranded, nor can it cause patient harm, and therefore cannot take the medication back.
- An Oregon pharmacy utilizes an Idaho-located Remote Processing Drug Outlet for its processing of prescription orders. Which of the following is true?
A. The records maintained at the central pharmacy need only reflect the functions of prescription filling or processing that were performed at the central pharmacy
B. The prescription label must identify both the central Oregon Pharmacy and the RPDO
C. If owned by different parties there must be a shared pharmacy services agreement between the Oregon Pharmacy and the RPDO
D. Only an Oregon licensed pharmacist can counsel the Oregon patient's on prescription processed by the RPDO - ANSWER>>Answer C
Pharmacists in RPDO may counsel Oregon Patients provided they are not licensed in Oregon so long as the facility is registered with the Oregon Board of Pharmacy, the PIC is licensed in Oregon and the pharmacist is licensed in the state of RPDO is located in. The primary pharmacy and the RPDO shall share a common ownership or a common pharmacy services agreement that clearly describes the activities and responsibilities of each. The prescription label shall bear only the information of the primary pharmacy. Records at both the central pharmacy and the RPDO must identify who performed each activity in the processing and filling of a prescription, including activities that occur at the central pharmacy or RPDO
- License renewal for pharmacists must occur ____ on ____
faxed prescription requires a handwritten signature of the provider. Syringes are not a medication and do not require a prescription. While you may not sell dextromethorphan to a patient under 18 years of age, it is ok to dispense dextromethorphan to any age if they have prescription. An electronic prescription for a controlled substance is allowed as long as it is transmitted by the provider. ORS 475. 525, ORS 475.380 and 390, OAR 855.019.
- There is a wildfire in Northern California that displaces many residents and is declared a natural disaster. A patient comes into your pharmacy in Oregon and states he is a resident of that area. He regularly takes Keppra and needs an emergency refill as he has run out of it this morning. He has brought in his bottle of medication labeled from his pharmacy in California. You:
A. Inform the patient that you can only give him a 72-hour emergency refill of this medication
B. Inform the patient that you cannot give emergency refill because your pharmacy is not in the natural disaster area
C. Inform the pharmacy that you may give him a 30 days emergency refill of this medication but will need a provider to authorization additional refills
D. Let the patient know that you can only fill this mediation if he obtains a new prescription, which he can do by going to the local emergency room and speaking with a provider there - ANSWER>>Answer C
There are 2 types of Emergency prescriptions. In this case, the emergency prescription is being generated due to natural disaster. Oregon rule state that a patient affected by the area of the natural disaster may be provided with an emergency refill, even if your pharmacy is not in the natural disaster area. In these situations you may provide up to a 30 days emergency refill a prescription but need to tell the patient that a provider will need to authorize additional refills. While the client can obtain a new prescription from an emergency room provider this is not required for this scenario. If the client wished to obtain an emergency refill of a controlled substance, he/she would need to have a valid prescription. See the emergency prescription section below for additional information. OAR 855.007.
- You are prescribed Provigil, "take 1 daily, #365". With this prescription you may:
I. Dispense #
II. Dispense #
III. Dispense #
A. II & III only
B. I & II only
C. I & III only
D. I, II & III - ANSWER>>Answer D
Although this is a CIV medication, and the prescription expires after 6 months, the provider may legally write the above prescription. It is up to your professional judgment to determine if you will dispense the entire quantity or lesser quantity
- Which of the following is true concerning prescriptions for controlled substances?
I. The prescription does not have to have the DEA of the prescriber written on it as long as you can look up the prescribers DEA
II. Prescriptions for Schedule II controlled substances do not expire
You may not fill prescriptions for Schedule II controlled substances from out of sate providers, even if they are practicing within their scope
A. II & III only
B. II only
C. I & II only
D. III only - ANSWER>>Answer A
Prescriptions for controlled substances MUST have the providers' DEA number written on them. If the providers DEA is not on the prescription you may write it on the prescription yourself without verifying the DEA with the provider. Prescription for Schedule II controlled substances do not expire. You may fill any prescriptions from out of state providers that are practicing within their scope, even if the prescription is for Schedule II controlled substances.
Which of the following activities can a clerk perform?
A. Counsel the patients' agent as you would the patient themselves and dispense the medication to the patients' agent
B. Tell the patients' agent that you have to talk to the patient about this prescription, therefore you need to give the medication directly to the patient
C. Give the medication to the patients' agent without counseling, but give written information about the medication
D. Give the medication to the patients' agent without counseling, but give written information about the medication - ANSWER>>Answer A
You should counsel the patients' agent as you would counsel the patient themselves. You may also provide information to the patient in the form of written material, or a number at which the patient may reach you should they have questions when they receive the prescription, however, this is not necessary and doesn't preclude the necessity for counseling.
A new patient to your pharmacy presents the following prescriptions all with 11 refills: Zoloft 10 mg 1 daily #30 days Abilify 20 mg 1daily #30days Prilosec 20 mg daily #30 days The patient wants you to give the entire quantity of each of the prescription today. You: ANS A Fill only # 30 of Zoloft Abilify, and Prilosec Fill the entire quantity of Prilosec only, but only # 30 of the Abilify and Zoloft
C. Fill the #360 of Zoloft, Abilify and Prilosec
D. Fil #360 of Zoloft and Prilosec, but only #30 of Abilify - ANSWER>>Answer B
You can fill the full amount of Prilosec (combine refills) though you must inform the provider that you have done so. You cannot combine refills into 1 ill for psychotherapeutic substances or controlled substance prescriptions. So you can only give the patient #30 either Zoloft or Abilify. OAR 855.041.
Which one of the following events and reporting deadlines are mismatched?
A. The BOP should be notified within 3 days by submitting a report on a natural disaster that destroyed part of your stock medications;
B. A felony charge on a pharmacist must be reported to the BOP within 15 days
C. Some problems were noted on their inspection by the board and the PIC required to submit a correction within 30 days
D. A change in PIC must be reported to the BOP within 15 days - ANSWER>>Answer B
Report felony charges within 10 days
What, if any, of the following personnel ratios must one have?
A. Two technicians to every one pharmacist
B. Three technicians to every one pharmacist
C. Two SRI to each one pharmacist
D. Two TPIs to each one pharmacist - ANSWER>>Answer C
There is no pharmacist to technician ratio. A pharmacist may supervise only one TPI at a time but may supervise two SRIs at a time. OAR 855.031.
Practitioners that dispense the which of the following medications are exempt from registering as a Dispensing Practitioner Drug Outlet
I. Homeopathic medications
II. Natural thyroid supplements
III. Medications obtained from a medication Assistance Program
A. I & III only
B. I & II only
C. II & III only
D. I, II, and III - ANSWER>>Answer D
Those practitioners who only dispense the homeopathic medications, natural thyroid supplements, or medication assistance program medications are exempt from registration as a Dispensing Practitioner Drug Outlet. OAR 855.043.
Which is in correct order for vaccine protocol?
A. Assure the patient has no questions about the vaccine, immunize the patient, provide
D. If there are refill available, you can dispense the Tenormin today but not the Klonopin
As long as there are refills on the prescription, non-controlled can be transferred, while CIII-V can only once. If pharmacies share a real time database, CIII-V can be transferred more than once. Let's say, there are two CVS pharmacies sharing a real time database. Thus, in this case, both of them can transfer both prescriptions again even though these are in different states. OAR 855.041.
A patient wishes to fill her prescription of methotrexate via an online pharmacy and has come to seek your advice. She informs you she has located two internet pharmacies she can send a prescription to, and the one located in Canada is offering her a much better price. You tell her:
I. Unfortunately, there are no valid internet pharmacies
II. There are no pharmacies in Canada that are validated to dispense medication to Oregon patient
III. She should make sure the online pharmacy is verified. If it is, it will have VIPPS accreditation on its website
A. I & II only
B. I, II, III
C. II & III only
D. I & III only - ANSWER>>Answer C
There are legitimate legal online pharmacies that process prescriptions. However, there are no pharmacies in Canada that are registered with the Oregon BOP, and so there are no Canadian based pharmacies that may legally process prescriptions for Oregon residents. Verifiable online pharmacies will have the VIPPS symbol displayed on their website
Which of the following cannot become PIC of a pharmacy, starting today?
A. A pharmacist who has 2 months of experience as a pharmacist and is scheduled to complete the PIC training course in 60 days
B. A pharmacist who has 2 months of experience as pharmacist and is scheduled to complete the PIC training course 10 days after becoming PIC
C. A pharmacist who has 1 year of experience as a pharmacist but has not completed the PIC training course
D. A pharmacist who has eight months of experience as a pharmacist and who completed the PIC training course 60 days ago. - ANSWER>>Answer A
To be PIC, you have either 1 year of experience as a licensed pharmacist or you must have completed BOP approved PIC training course before or within 30 days after becoming the PIC. The only pharmacist that does not fulfill these is in option A. OAR 855.019.
Emergency kits in hospital setting should have the following components:
I. Tamper-evident seals
II. A list of medication kept inside the drawer with the medication
III. A label indicating the kit is for emergency use and containing the expiration date
A. II & III only
B. I & III only
C. I, II, & III
D. I & II only - ANSWER>>Answer B
Emergency kits shall be sealed in a tamper-evident manner and labeled. The label shall indicate that the kit is for emergency use, the expiration date of the kit, and the name, strength, and quantity of the medication contained in the kit. The label shall be on the outside of the kit.
Which one of the following is NOT qualified to be the PIC of a pharmacy and may take effect immediately?
A. A pharmacist who has experienced 2 months as a pharmacist and is projected to complete the PIC training course in 50 days.
B. A Pharmacist who had 2 months of experience as a pharmacist will complete the PIC training course in 10 days after becoming the PIC
C. A Pharmacist with experience of 1 year as a pharmacist but who has not undergone the PIC training course
A. III only
B. II & III only
C. II only
D. I & II only - ANSWER>>Answer B
A pharmacy must report required information within 72 hours of dispensing a controlled substance. Oregon PDMP does not monitor Schedule V drugs. Providers must register with the PDMP but are not mandated to query it.
The pharmacy is offering an immunization clinic and wishes to utilize immunizing interns to help. How many immunizing interns may a pharmacist supervise?
A. Three immunization certified SRIs
B. Two immunization certified TPIs, as long as only one is doing the immunizations
C. Two immunization certified interns
D. One immunization certified TPI - ANSWER>>Answer C
A pharmacist may supervise two immunization certified interns at a time during immunization clinics, regardless if the intern is a TPI or SRI
Which of the following is true in regard to counseling?
I. Only a pharmacist can accept a refusal for counseling
II. A log with a check box for either accept or refuse may be documented by a pharmacist for counseling.
III. On a refill, a pharmacist shall counsel when the dose of levothyroxine is changed
A. II & III only
B. I & II only
C. I & III only
D. I, II and III - ANSWER>>Answer C: I & III only
Only a pharmacist may accept a refusal to be counseled, and counseling must be
completed on a new prescription, any refills that contain changes such as dosing changes. Counseling must be documented with more than just "accept" and therefore II is incorrect. OAR 855.019.
What is true about the substitution for biologic substances
I. The provider must be notified within 3 business days after the initial fill and each refill
II. The substituted biosimilar is listed an interchangeable with the prescribed biologic the purple book
III. DAW must be absent from the prescription
A. I & III only
B. II & III only
C. I & II only
D. I, II and III - ANSWER>>Answer B: II and III only
This needs to be notified to the provider within 3 business days following the INITIAL fill only, NOT on subsequent refills. For substitution of biologic product -product must be listed as interchangeable in the purple book and DAW must not be present on the prescription, patient must also be notified regarding the substitution-ORS 689.522, OAR 855.014.
- A retired pharmacist desires to return to active practice of pharmacy on a part-time basis. The retired pharmacist's license was last active 4 years ago. In order to reinstate the license, the retired pharmacist would have to:
A. Complete 30 CE's and pay the licensing fee for the year they are reinstating their license
B. Complete 60 CE's and pay the licensing fee for the year they are reinstating their license
C. Complete 30 CE's and pay licensing fee for year they are reinstating license and pass MPJE again
D. Complete 60 CE's and pay licensing fee for year they are reinstating license, and pass MPJE again - ANSWER>>Answer D
A retired pharmacist may reinstate their license after they pass the MPJE again, certify that they have completed ALL CE's required since they retired, and pay the licensing
A. I & III only
B. I & II only
C. I, II and III
D. II & III only - ANSWER>>Answer B: I & II only
A technician may reconcile an inventory of Schedule II controlled substances but may not resolve any discrepancies found during the reconciliation. A technician may also initiate refill requests made to a provider. A pharmacist must always be present while a pharmacy is in operation and a pharmacist must supervise all activities completed by non-pharmacist personnel, not only would a technician not be able to be present in the pharmacy while a pharmacist is away but the act of filling prescription must be supervised
Which of the following entities are required to register with the Oregon BOP?
I. A central-fill pharmacy located in Idaho that processes prescription for Oregon patients
II. A pharmaceutical distributor located in Oregon
III. A common carrier that a central-fill pharmacy uses to deliver dispensed medication to Oregon patients.
A. II only
B. I & II only
C. III only
D. II & III only - ANSWER>>Answer B: I and II only
Any out-of-state pharmacy that handles Rxs, whether filling or processing, and which are designated for OR patients must be registered with the OR BOP. Common carriers who handle medications after they have been dispensed are exempt from registration with the OR BOP.
Which of the following is required to be on the label of a unit-dose medication intended for inpatient use?
I. The medication name and manufacture
II. An expiration date
III. The manufacture's lot number
A. I &II only
B. III only
C. II only
D. I, II and III - ANSWER>>Answer D
The label of a unit dose medication must have the medication name, manufacture, and strength. It must have an expiration date. It must have a lot number, but it does not have to be the manufacture's lot number. It may be a pharmacy designated lot number if the pharmacy created the unit-dose package
The facility has single-dose blister-packed medications for a patient that no longer resides in the facility. The nurse is curious what options she has regarding these medications. You tell her she may:
I. Return them to the pharmacy where they were obtained, provided she can account for proper storage and handling of the medications and the medications remain in sealed blisters
I I. Keep the medications in the nursing home as floor stock
III. Donate them to a charitable pharmacy as long as there are no controlled substances and the medications remain in sealed blisters
A. I & III only
B. II and III only
C. I, II and III
D. I & II only - ANSWER>>Answer A
Medications packaged for use in a nursing home are acceptable for return to the pharmacy if they were handled by trained personnel who kept them properly stored and they are in tamper evident packaging. They may also be donated to a charitable pharmacy if the the medication has been packaged in single-dose blister packs. Nursing homes may NOT keep these medications as floor stock
- List the above prescriptions in order of expiration with the one expiring the SOONEST first.
A. Azithromycin FOR EPT TAKE AS DIRECTED total of 4
