Free MPJE Assessment - RxPharmacist

1. When a physician calls in an emergency Schedule II prescription, the pharmacist must receive a written prescription within how many days?

72 hours

30 days

7 days

14 days

28 hours

2. A pharmacist receives a written prescription for methylphenidate with 5 refills authorized. Under federal law, how many times can it be refilled?

Until expiration of prescription

None

3. A retail pharmacy needs to dispose of expired Schedule II controlled substances that it lawfully possesses. Under federal law, which form must the pharmacy use to document the destruction of those controlled substances?

DEA Form 225

DEA Form 41

DEA Form 106

DEA Form 222

DEA Form 224

4. At minimum, how often should inventory of controlled substances be conducted under federal regulations?

Monthly

Weekly

Quarterly

Biennially

Annually

5. Under federal law, when may an online pharmacy dispense a controlled substance?

When a prescription is issued for a legitimate medical purpose by a practitioner who has conducted at least one in-person medical evaluation of the patient or by a covering practitioner

When the patient provides a valid prescription written by any licensed practitioner regardless of prior evaluation

When the prescription is verified by a pharmacist over the phone with the prescriber

When the online pharmacy is registered with the DEA and the prescription is electronically transmitted

When a patient completes a health questionnaire online and provides proof of identity

6. Which of the following agencies enforces the Controlled Substances Act (CSA)?

DEA

CMS

FDA

CDC

FTC

7. Which of the following is required on all prescription labels under federal law?

Manufacturer name

Prescriber DEA number

Patient’s date of birth

Prescription serial number

Pharmacist name

8. Which of the following drugs are considered Schedule IV under federal law? (Select ALL that apply).

Tramadol

Zolpidem

Diazepam

Methadone

Buprenorphine

9. Which of the following statements about Risk Evaluation and Mitigation Strategies (REMS) is true under federal law?

REMS always require the use of a restricted distribution system

Communication plans may not include patient or provider training materials

There are five levels of risk mitigation that may be required including a communication plan and elements to assure safe use (ETASU)

REMS only apply to Schedule II controlled substances

REMS are optional programs that manufacturers can choose to implement for any drug

10. Under federal law, how long must prescription records be kept for controlled substances?

3 years

7 years

1 year

2 years

5 years

11. Which of the following may be electronically prescribed under the federal Electronic Prescribing of Controlled Substances rule? (Select ALL that apply).

Schedule II

Schedule III

Schedule I

Schedule IV

Schedule V

12. Which of the following are exempt from child-resistant packaging under the Poison Prevention Packaging Act? (Select ALL that apply).

Cholestyramine powder

Sublingual nitroglycerin

Erythromycin ethylsuccinate granules

Aspirin tablets

Cyclical oral contraceptives

13. Which of the following are valid reasons for which a state board of pharmacy could discipline a pharmacist? (Select ALL that apply).

Practicing beyond one’s scope

Habitual tardiness

Violating the Pharmacy Practice Act (e.g. dispensing without prescription)

Conviction of a felony

Impairment by alcohol or drugs

14. The iPLEDGE program is a Risk Evaluation and Mitigation Strategy (REMS) intended to ensure the safe use and dispensing of which of the following medications?

Sildenafil

Methotrexate

Thalidomide

Warfarin

Isotretinoin

15. Which federal law requires pharmacists to offer counseling and perform a prospective drug utilization review (DUR) for Medicaid patients as a condition of state participation in the program?

Omnibus Budget Reconciliation Act of 1990

Health Insurance Portability and Accountability Act

Controlled Substances Act

Medicare Modernization Act of 2003

Federal Food, Drug, and Cosmetic Act

16. To be eligible to sit for the NAPLEX, an applicant must:

Obtain a DEA registration

Complete an ACPE-accredited PharmD program

Have at least 1 year of residency experience

Hold a bachelor’s degree in any field

Pass the MPJE first

17. How long must a pharmacy retain HIPAA privacy acknowledgment forms signed by patients?

1 year

2 years

6 years

4 years

10 years

18. Which DEA schedule includes drugs with accepted medical use but high abuse potential such as morphine?

Schedule III

Schedule II

Schedule I

Schedule IV

Schedule V

19. Which of the following can be determined from the National Drug Code (NDC) on a medication bottle?

Drug’s manufacturer, product, and package size

DEA schedule and strength

Lot number and expiration date

Therapeutic class and dosage form

Expiration date and manufacturer

20. Which of the following is a valid example of adulteration under the Food, Drug, & Cosmetic Act?

Misleading label

Contaminated drug product

Missing directions for use

Incorrect brand name

False advertising

21. Which act or amendment created the separation of drugs into prescription (legend) and nonprescription (over-the-counter) categories?

Food, Drug, and Cosmetic Act of 1938

Durham-Humphrey Amendment of 1951

Pure Food and Drug Act of 1906

Hatch-Waxman Act of 1984

Kefauver-Harris Amendment of 1962

22. In which phase of clinical trials is the primary focus on safety, dosage, and pharmacokinetics in healthy volunteers?

Phase III

Phase IV

Phase I

Phase II

B and C

23. After drug approval, which phase focuses on long-term safety, rare adverse events, and post-marketing surveillance?

Phase III

Phase II

Phase IV

Phase I

Phase V

24. A pharmacy participating in Medicare Part D must retain prescription records for how long under CMS rules?

7 years

10 years

6 years

2 years

3 years

25. A drug marketed for a rare disease affecting fewer than 200,000 people in the U.S. qualifies as a(n):

Biosimilar

Priority review drug

Breakthrough therapy

Orphan drug

Generic drug

26. How soon must a pharmacy report a significant theft or loss of controlled substances to the DEA?

Within 72 hours

Within 7 days

Within 8 hours

Within 12 hours

Within 1 business day

27. Under federal law, when a controlled substance prescription is transferred between pharmacies that share a real-time, online database, how many times may a Schedule III–V prescription be transferred?

Up to 3 times

Once

As many times as refills remain

Unlimited times within 6 months

Twice

28. Which of the following actions best reflects the principle of veracity?

Avoiding conflicts of interest

Respecting the patient’s decision

Preventing harm to others

Maintaining confidentiality

Telling a patient the truth about side effects

29. A pharmacist provides a placebo without the patient’s knowledge. Which ethical principle is violated?

Confidentiality

Autonomy

Fidelity

Nonmaleficence

Justice

30. If a pharmacist refuses to fill a prescription based on moral or ethical beliefs (conscience clause), the pharmacist must:

Confiscate the prescription

Report the patient to law enforcement

Inform the prescriber but not the patient

Keep the refusal confidential

Ensure the patient still has access to the medication

31. A pharmacist suspects a colleague is diverting controlled substances. The most ethical and legal course of action is to:

Report the suspicion to the state board or DEA

Confront the colleague privately

Notify patients

Reduce that pharmacist’s work hours

Ignore it unless proven

32. A pharmacist refuses to fill a valid prescription because the patient is uninsured. This violates which ethical principle?

Beneficence

Autonomy

Nonmaleficence

Justice

Fidelity

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