Download Texas MPJE Exam (Version 2) 2025: 120 Questions and Answers and more Exams Pharmacy in PDF only on Docsity!
TX MPJE EXAM (VERSION 2) 2025 /ACTUAL
120Qs&As|LATEST UPDATE SPRING 2025|ALREADY
GRADED A+
Who does not have to register for a DEA? ANSWER- An agent/employee of other registrant (ex: RPH)
- Carrier/warehouseman (ex: Mckesson driver)
- Patients
- Officials of U.S. Armed Services, Public Health Service, Bauer of Prisions What is the concentration limit for CV codeine? ANSWER 200 mg/100 mL (if anything more then 2mg/mL, then it becomes a CIII) What is the concentration limit for CIII codeine? ANSWER 1. g/100 mL and 90 mg/dosage unit(if anything more than these concentrations, it becomes a CII) What is the FEDERAL concentration limit for CV opium? ANSWER 100mg/100mL What is the TEXAS concentration limit for CV opium? ANSWE R50mg/100 mL (half of federal) What is the FEDERAL concentration limit for CIII opium? ANSWER 500mg/100 mL and
25mg/dosage unit Any straight narcotic is a Schedule regardless of strength? A NSWER II (so even if it has a flavor, cherry flavor syrup, it's still "pure"). If a narcotic is added to a nonnarcotic, then that's when the concentrations apply) What Class is required to store CII in a locked cabinet? ANSWER Class C Class C-S Class C- ASC Class F Which scheduled classes require the "caution" label? What would be an exemption to this? ANSWER 11 - IV exemption: blinded clinical study (NOT V) A perpetual inventory is only required in TX for which class? ANSWER-CII in a CLass C
- All controlled substances stored at a remote location under the remote pharmacy rules
- All controlled substance in Class C-ASC
- All controlled substance in Class F Which Class does a RPH not have to sign/initial when receiving a controlled substance? Who signs? ANSWER Class C-ASC Class F
NOT TSBP
Preceptors must complete hours of preceptor training (initially) every years through courses ANSWER 3 hours initially 2 years ACPE they must have at least 1 year of experience or 6 months of residency training What is the ratio for preceptors supervising pharmacist interns as a part of a TX college/school of pharmacy program? ANSWER NO ratio 1:1 ratio of preceptor:intern if not through TX college/school of pharmacy How long do you keep CE record for? ANSWER3 years When a practitioner wants a brand name drug, verbally or electronically, how long do they have to mail or fax the RX for a medicaid patient ANSWER 30 days T/F: Emergency refills are NOT allowed for CIII-V? ANSWER False; they are allowed per TSBP; DEA has no opinion on this T/F: Automatic refills can be done for CIII-V? ANSWER False, only for IV and V; not III When RPH administers an Epi-pen during an emergency, how long does the RPH have to contact the PCP about the situation? ANSWER within 72 hours
When should a pharmacy report change of a pharmacy location? ANSWER New licensed has to be filled 30 days prior to change
- has to have a new application When should pharmacy report significant loss/theft ANSWER Immediately upon discovery (per TSBP) When should a pharmacy report forged RX? ANSWERimmediately upon discovery When should a pharmacy report permanent closing of the pharmacy to TSBP? - answer within 10 days after closing When should a pharmacy report change of ownership or name of pharmacy? - answer Within 10 days and new licensed required for change of pharmacy New license filled 10 days prior to change of pharmacy name What age can a pharmacy give influenza vaccines to patients without an RX? ANSWER>7; so age 8 can give What age can a pharmacy give a vaccine (not influenza) to patient without an RX?
- answer
14, so age 15 can give Pharmacist must notify physician who issued the vaccine protocol within hours of vaccine administration and the PCP of the patient must be notified within days of administration of a vaccine? ANSWER24 hours-> standing order physican 14 days--> PCP
- Hep B vaccines
- Influenza vaccines
- Tuberculin purified protein deviate for TB testing No more than 5 dosage units of: a: Heparin sodium lock flush- 10 units/mL or 100 units/mL b. Epinephrine 1: c: Diphenhydramine 50 mg/mL d. Methylprednisolone 125 mg/2 mL e: Naloxone 1 mg/mL in a 2 mL vial f: Promethazine 25 mg/mL g: Glucagon injection 1 mg/mL h: Furosemide 10 mg/mL I: Lidocaine 2.5% and prilocaine 2.5% in a 5gm tube j: Lidocaine solution 1% in a 2 mL vial What specific prescriptions and nonprescriptions drugs are exempt from the Poison Prevention Packaging Act? ANSWER1. OC , conjugated estrogens, and northdrone acetate in manufactures dispenser package
- Medroxyprogesterone acetate tablets
- SL NG and SL/chewable isosorbide dinitrate of 10mg or less
- ASA and APAP in effervescent tablets or granulates
- K supplements in unit dose packaging
- Sodium fluoride containing no more than 264 mg of sodium fluoride per package
- Anhydrous cholestyramine and colestipol packets
- Erythromycin ethylsuccinate granuales for oral suspension and oral suspension in packages containing not more than 8 gm of erythromycin or tablets counting no more than 16gm
- Prednisone no more than 105 mg/package
- Methyprednsisolone no more than 84 mg/package (Medrol dose pack is ex)
- Mebendazone no more than 600 mg/package
- Betamethasone tabs no more than 12.6 mg/package
- aerosol containers for inhalation (proair ex)
- Pancrelipase prepraptions
- Sucrose preparations
- Hormone replacement therapy PPI are required for? ANSWEROC Estrogen products
TX allows APRN and PA to prescribe CIII-CV for how many days max? ANSWER90 days (includes refills: ex 30 day supply plus 2 refills) What can't be changed on a CII ANSWERName of Patient Name of Prescriber Drug name Date written A partial refills may be given for a CII as long as the remaining quantity is dispensed within hours (may be up to for LTCF and terminally ill patients) ANSWER72 hours 60 days for LTCF and terminally ill PMP is administered by and requires data be transmitted to TSBP no later than? ANSWERTSBP next business day of Rx completely filled How many CE hours does a certified pharmacy technician need to renew license? - answer 20 hours at least 1 hour needs to be law All inventories must be signed by PIC and dated with date of inventory was taken EXCEPT? ANSWERInitial inventory Change of PIC inventory
Perpetual inventories of ALL controlled substance are required for? ANSWERClass C-ASC Class F Remote pharmacy sites Perpetual inventories for CII required for what class? ANSWERClass C Which class can provide services at a satellite pharmacy ANSWERClass A and C Which Board Order can NOT be appealed? ABO or AB? ANSWERABO How long does a licensee/registrant must wait before seeking to remove a restriction on a license or have it reinstated? ANSWER12 months What records would a RPH be able to locate in a Class A pharmacy for the previous 2 years? ANSWER1. Annual inventories
- DEA 222
- CS invoinces
- Theft/loss reports
- Drug destruction reports
- All Rx
- DEA registration certification, if not posted
- Daily dispensing printouts/logs
- Prepackaging records, if applicable
- Tech training manual and documentation of training If compounding for a practitioner office, what should the label say ANSWER"For institutional or office use only-Not for resale" for veterinarian office: "Compounded Preparation"
Medium risk drugs may be stored for at RT, if cold, or if frozen ANSWER30 hours at RT 7 days if cold 45 days if frozen
- multiple manipulations
- ex TPN High risk drugs may be stored for at RT, if cold, or if frozen ANSWER24 hours at RT 3 days if cold 45 days if frozen
- non-sterile ingredients are used or if air quality is inferior to iso 5, or non sterile preparations are exposed more than 6 hours before sterilized- What functions may be supervised by electronic supervision in Class C if 100 beds or less? ANSWER1. preparing, packaging, labeling prescriptions med orders
- distributing routine stock supplies to patient care areas
- entering med orders and drug distribution information into computer system
- accessing automated med supply system
- compounding non sterile preparations pursuant to med orders
- compounding low risk sterile preparations pursuant to med orders
Tech-check-tech with an ongoing clinical pharmacy includes what? ANSWER1. filling med carts
- distributing stock supples to patient care areas
- accessing and restocking automated med supply systems In facilities with a part time or consultant RPH when pharmacy is closed, a drug regimen review should be performed in if average daily census is >10 and within if a average daily census is 10 or less? When does RPH review withdrawal of drugs? ANSWER96 hours > daily census 7 days if 10 or less daily census withdrawal: after a reasonable interval but no later than 7 days How often should a floor stock records be reviewed in Class C? ANSWER30 days In the ER, when RPH not on duty, the prepackaged label that is completed by Practioner or Nurse must include what? ANSWER1. Name/address/ph # of facility
- date supplied
- name of practioner
- name of pt
- direction for use
- unique ID # (rx #)
- brand/generic name and strength
- qty supplied How often should a RPH verify contents of ER records? ANSWERonce every 7 days In a Class C-ASC, a RPH must conduct an audit by randomly comparing the distribution records with the med orders every ANSWER30 days
- "Caution/Danger: radioactive material:"
- Name of radiopharmaceutical or its abberviations
- Amount in milicuries/microcuries and time that applies to activity if different
- initial/code of person packing and RPH
- If liquid, volume in mL
- requested calibration time
- exp date and time A class D pharmacy can't include what on the formulary ANSWER1. Nalbuphine (Nabuin)
- ED drugs
- Controlled substances If a class D pharmacy has a expanded formulary, how often should a retrospective drug regimen review be done? ANSWERquarterly How often does a RPH/PIC in a Class D must visit the pharmacy ANSWERat least monthly T/F: There is no limit to the number of Class D pharmacies a PIC can supervise? - answer True What is the exemption for drug samples ANSWERpharmacies that are owned by charitable organization or by a city, state, or county government and that are part of a healthcare entity providing care to indigent or low income patients at no or reduced cost. Such samples may only be provided at no charge to patients. How often should a retrospective drug regimen review be conducted in a Class F? - answer at least every 31 days What is a class G pharmacy? ANSWERCentral Prescription Drug Order or
Medication Order Processing A Class G pharmacy can NOT do what? ANSWERstore or dispense drugs What is the RPH:Tech ration in a Class G? ANSWER1:8 (only 1 can be a trainee); this is different compared to the other classes What is a Class H pharmacy? ANSWERLimited Prescription Delivery Pharmacy Who owns a Class H pharmacy and where is it located? ANSWERowned by a hospital director Located in a county without another pharmacy A Class H pharmacy provides limited prescriptions services to a class pharmacy ANSWERClass A pharmacy A Class H pharmacy shall NOT do what? ANSWERstore bulk drugs dispense prescription drug orders can't deliver controlled substances A class H pharmacy can do what? ANSWERdeliver filled prescriptions for dangerous drugs for a Class A pharmacy. What doesn't need tamper evident packaging? ANSWER1. Dermatoligcal products
- Dentifrice
- Insulin
- Lozenge products How long should a log of employee initial/code be kept? ANSWER7 years
online - answer 106 What DEA Form is used for onsite destruction of CS ANSWER drugs, method of destruction, 2 witness required fill out 2 weeks before destruction date not done often How often do dispenser (pharmacies/practitioners) register with DEA? ANSWERevery 3 years If there is a breach of >500, you have to notify individuals within how many days ANSWER60 calendar days How long does the new buyer of a pharmacy have to get their new DEA # (during a buy out) ANSWER45 days Theft or significant loss of controlled substance needs to be reported to DEA within and to TSBP within ANSWERDEA: within 1 business day in writing TSBP immediately upon discovery When a pharmacy wants to send their records to a central location, the pharmacy has to notify DEA. If DEA does not respond, then the pharmacy can begin maintaining central records days after notifying DEA ANSWER14 days If prescriber dies, RPH can provide aday supply of med and need to tell pt to find a new MD ANSWER30 day
RPH licenses needs to be renewed every? How many CE hours? ANSWERbiennially (every 2 years) need 30 contact hours (3 CEU, 0.1 CEU has to be law and opioid abuse) expires on last day of birth month If RPH license expired <90 days ago, what is the renewal fee? ANSWER1.5X renewal fee and CE If RPH license expired <180 and >90 days ago, what is the renewal fee? ANSWER2X renewal fee and CE If RPH license expired >1 year, what is the renewal fee? ANSWERcan NOT renew, retake exam Daily hardcopy printouts shall be produced within hours of the date the precription was dispensed? ANSWER72 hours How long does a computer system must maintain information? ANSWER2 years Computer systems must be backed up at least? ANSWERmonthly Transfers of Rx from one pharmacy to another has to be completed in how many hours after request? ANSWER4 hours Optometric Glaucoma specialist can write how many days of certain prescriptions?
- answer 10 days of oral Abx 72 hours of oral antihistamines 7 days of oral NSAID
