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Kentucky MPJE exam questions with answers
Who are the federal ruling bodies of pharmacy? - CORRECT ANSWERS ✔✔FDA CMS DEA CDC Who are the Kentucky ruling bodies of pharmacy? - CORRECT ANSWERS ✔✔KBOP CHFS (cabinet for health and family services) OIG (office of the inspector general)-sub cabinet of CHFS How many members are on the KBOP? Who appoints them? - CORRECT ANSWERS ✔✔6 (5 pharmacists and 1 citizen at large) governor (KSHP, KPhA can make recommendations to the governors office) What are the requirements to be a member of the KBOP? - CORRECT ANSWERS ✔✔must be in good standing with the board must be KY residents no 2 RPhs from the same county How long is a term for a KBOP board member? Can they be reappointed? - CORRECT ANSWERS ✔✔4 years
can be reappointed once How often does the KBOP elect a president? - CORRECT ANSWERS ✔✔annually (elects other officers annually as they see fit) How long is a term for a KBOP elected officer? - CORRECT ANSWERS ✔✔ 2 years How often is the KBOP required to meet? - CORRECT ANSWERS ✔✔at least 4x/year How many present KBOP members does it take to constitute a quorum? - CORRECT ANSWERS ✔✔ 4 quorum-enough members to conduct business What are the duties of the KBOP? - CORRECT ANSWERS ✔✔-set time and place for examinations -approve APPROVED colleges of pharmacy -promulgate administrative regulations pertaining to pharmacists, interns, technicians, pharmacies, wholesale distributors, and manufacturers -schedule and conduct hearings -issue and renew licenses -investigate complaints -employ an executive director
What are the steps after the KBOP issues a reprimand or formal complaint to a staff member? - CORRECT ANSWERS ✔✔Step 1-agreed order: written statement the pharmacist and BOP can sign and the matter is done with. Both the violation and punishment are ID'd in the document. Notice must be provided and the pharmacist must be offered an opportunity to seek legal counsel step 2-administrative conference: pharmacist (attorney if desired), executive director, inspector who did investigation all meet to talk it out step 3-settlement conference between the pharmacist's attorney and BOP attorney may be requested and held in an attempt to resolve the complaint step 4-hearings: a hearing officer presides and has authority to rule on all motions, control the procedure of the hearing, and include/exclude evidence -If the board is taking part, they will deliberate on all cases in a closed session What disciplinary actions can the KBOP take on a pharmacist? - CORRECT ANSWERS ✔✔suspension of license revocation of license fines (usually really high) additional CE (usually 6-12 h) jail for up to 1 year Can pharmacists have violations expunged from their record? - CORRECT ANSWERS ✔✔Yes, for minor violations. May request the board after 3 years to expunge record
What are examples of minor violations that can be expunged from your record? - CORRECT ANSWERS ✔✔failure to obtain required CE failure to timely renew license True or false: a pharmacy inspector must be a licensed pharmacist? - CORRECT ANSWERS ✔✔TRUE What is the PRN? - CORRECT ANSWERS ✔✔Pharmacists recovery network- assists pharmacists, techs, and interns impaired by drugs, alcohol, mental illness, or physical incapacity With regards to the PRN, the report of ___ cannot be a basis for disciplinary action if ____? - CORRECT ANSWERS ✔✔impairment no other pending complaints The PRN typically allows a ___ day timeline to recover from impairment? - CORRECT ANSWERS ✔✔ 90 What is the process for going through the PRN if you self report your impairment? What if you do not self report and your impairment is discovered through a mistake on the job? - CORRECT ANSWERS ✔✔If self report: give up license, go to rehab, get license when you are finished with recovery If impairment discovered by mistake: not as straight forward, may not get license back immediately
How much CE must a pharmacist get per year? - CORRECT ANSWERS ✔✔ 15 hours or 1.5 CEUs 1.5 CEUs=___ hours of CE? - CORRECT ANSWERS ✔✔ 15 True or false: you can get 20 hours of CE in one year and roll over 5 hours into the next year? - CORRECT ANSWERS ✔✔FALSE-CE does not carryover from one year to the next What is the time period for obtaining CE? - CORRECT ANSWERS ✔✔January 1-December 31 CE records must be kept for how long? - CORRECT ANSWERS ✔✔3 years What are the requirements for pharmacy internship in KY? - CORRECT ANSWERS ✔✔-must be in an APPROVED COP -shall register with the KBOP -minimum period of internship is 1500 hours (can obtain all hours in final year of rotations) -maximum of 400 hours of internship may be obtained for "work and research related to the practice of pharmacy"-manufacturers, wholesalers, BOP, law, etc -must have intern ID on self at all times during internship How long is a pharmacy intern license good for in KY? - CORRECT ANSWERS ✔✔6 years
An intern license is only good when? - CORRECT ANSWERS ✔✔-when actively enrolled in an approved COP -on a planned (usual) break from school -due to circumstances beyond control of the student -while awaiting licensure examination/results Interns are eligible to perform most pharmacist duties after? - CORRECT ANSWERS ✔✔1st year of pharmacy school A pharmacy intern may do all delegable pharmacist duties except what? - CORRECT ANSWERS ✔✔the final verification How long must a pharmacist be licensed by the board before registering to be a preceptor? - CORRECT ANSWERS ✔✔1 year A preceptor may supervise ___ intern(s) at a time? - CORRECT ANSWERS ✔✔ 1 unless supervising more than one as a community based faculty member If a preceptor is precepting 3 pharmacy interns, how many can claim the hours for internship? - CORRECT ANSWERS ✔✔only 1 for exam purposes, others can do "tech duties" in real life this happens due to preceptor shortage The PIC is in ___ of the pharmacy? - CORRECT ANSWERS ✔✔full and actual charge
Pharmacists have a duty to report what? - CORRECT ANSWERS ✔✔the conviction of a felony. pharmacist incompetence, fraud/deceit in obtaining license, or any information that a pharmacist/tech/intern has diverted or illegally distributed drugs, physical or mental disability whether or not caused by drugs or alcohol, or violation of a board order Pharmacists have a duty to self report what? Within how many days? - CORRECT ANSWERS ✔✔a felony conviction (not merely limited to drugs) within 30 days of that conviction If a pharmacist license is suspended for > ___ years, the pharmacist must retake the NAPLEX/MPJE to get license back? - CORRECT ANSWERS ✔✔ 5 sometimes the BOP will suspend for 5 years and 1 day because of this True or false: A pharmacist is allowed to give his/her professional opinion to a patient regarding the capabilities, effectiveness, and acceptability of a drug? - CORRECT ANSWERS ✔✔TRUE-but answer must be scientific OBRA 90 detailed regulations regarding what? - CORRECT ANSWERS ✔✔patient records and patient counseling What are the OBRA 90 requirements for patient records? - CORRECT ANSWERS ✔✔A pharmacist or designee must obtain pertinent patient information which shall be readily retrievable (immediately) and show the pharmacist previously dispensed drugs and known disease states, shall also require the pharmacist to perform a prospective DUR with the newly dispensed drug.
Information in the record shall include: -patient's full name, address, and phone number -age or DOB -gender -list of all RXs in last 12 months -known disease states/drug allergies True or false: counseling a patient is covered by HIPAA? - CORRECT ANSWERS ✔✔false-counseling in KY is public What are the OBRA 90 requirements for patient counseling? - CORRECT ANSWERS ✔✔-pharmacist (or designee) must OFFER to counsel on new prescriptions and refills when professional discretion dictates -counseling is done by pharmacist/intern -counseling may be done face to face or over the phone -counseling shall include: --drug name, dosage form, route, storage, common AND clinically significant ADEs, interactions, or CIs -Documentation is ONLY required when the patient refuses offer to counsel --record of refusal must be kept for 1 year How does drug counseling for delivered medications work? - CORRECT ANSWERS ✔✔the offer to counsel is made by the delivery person (pharmacist- designee) and a signature is obtained on a sig-log. Counseling is then done over the phone by the pharmacist
general (but pharmacist must be on premises) A certified pharmacy tech can perform what duties? - CORRECT ANSWERS ✔✔-certify med carts -initiate or receive refill authorizations -receive diagnostic orders in a nuclear pharmacy -no NEW prescriptions All pharmacy technicians can perform ___ duties? - CORRECT ANSWERS ✔✔non-judgemental includes counting, labeling, etc Can a tech take a verbal Rx renewing a prescription with 3 additional refills? - CORRECT ANSWERS ✔✔yes Can a tech take a verbal Rx for additional refills of a medication with directions for a 90 day supply instead of the original 30 DS? - CORRECT ANSWERS ✔✔No-technically a new Rx True or false: Kentucky has a pharmacist to tech ratio requirement? - CORRECT ANSWERS ✔✔FALSE True or false: only certified techs have to register with the BOP? - CORRECT ANSWERS ✔✔FALSE-all do How often must pharmacy techs renew their license? On what date do technician licenses expire? - CORRECT ANSWERS ✔✔annually
March 31st of each year Are there CE requirements for technicians? - CORRECT ANSWERS ✔✔no Can pharmacy techs transfer prescriptions? - CORRECT ANSWERS ✔✔no Can pharmacy interns transfer prescriptions? - CORRECT ANSWERS ✔✔Yes, all except for CS What board authorized protocols are currently available in KY? - CORRECT ANSWERS ✔✔-Influenza antiviral therapy + chemoprophylaxis (separate) -OUD -allergic rhinitis -diabetes testing supplies -Group A streptococcal pharyngitis -Tuberculin skin testing -anaphylaxis for epinephrine autoinjectors -travel health therapies -tuberculin skin testing one step -tobacco cessation In order to operate a pharmacy, a ___ must be obtained? - CORRECT ANSWERS ✔✔permit
Category IV-Laws and regulations True or false: required reference materials in the pharmacy can be electronic as long as they are saved and can be used without disrupting the Rx filling process?
- CORRECT ANSWERS ✔✔TRUE the internet does not count and is not acceptable, they must be saved electronically or physical What required equipment must a pharmacy have on site? - CORRECT ANSWERS ✔✔-a prescription class A balance -weight set -graduates 1 mL-250mL -mortars and pestle-glass, porcelain, or wedgewood -spatulas-steel and nonmetallic -refrigerator -ointment slab or papers -heating unit -filtration funnel with funnel papers -sink with hot/cold running water What is a common database? - CORRECT ANSWERS ✔✔information shared between pharmacies for the purpose of dispensing prescriptions or patient care What are the legal requirements if pharmacies use a common database? - CORRECT ANSWERS ✔✔-pharmacies must have common ownership -database must info re: all pharmacists and techs involved in filling an Rx-live records
-must have written policy and procedure manual True or false: the use of a common database does not constitute a transfer? - CORRECT ANSWERS ✔✔true What are the types of pharmacy, manufacturer, and wholesaler closures? - CORRECT ANSWERS ✔✔Permanent involuntary voluntary temporary What must a pharmacy do if they are permanently closing? - CORRECT ANSWERS ✔✔-must provide a 30 day notice (typically a sign) prior to closure and left in place until 30 days after closure The sign must say where prescription records have been transferred-exception for transfer of records less than 5 miles -15 day written notice to the BOP, DEA, and CHFS -all signs pertaining to pharmacy removed -must maintain records for 2 years (most often sent to other pharmacy) What would be considered an involuntary pharmacy closure? - CORRECT ANSWERS ✔✔a closure due to acute illness, death, natural disaster, bankruptcy, court or board action no desire to close What must a pharmacy do if an involuntary closure occurs? - CORRECT ANSWERS ✔✔-must provide written notice to BOP within 5 days
-all files, drugs, and prescriptions must be secured. However, prescriptions may be deposited in the pharmacy if they can be secured. Example-drop box -if the pharmacy is closed and the rest of the store is open, there must be a floor to ceiling partition that is locked and closed If a pharmacy is temporarily closed, can staff dispense drugs that have already been checked and verified by the pharmacist? - CORRECT ANSWERS ✔✔No- that is conducting pharmacy business What must a pharmacist do at the end of every work day in the pharmacy? - CORRECT ANSWERS ✔✔they must sign a daily printout or daily log containing all the information about the prescription filling activities for that day. The signature is an acknowledgement that it has been reviewed and is considered to be correct. True or false: a pharmacist can start signing an electronic daily log at the end of each day without notifying the board? - CORRECT ANSWERS ✔✔FALSE-the board must give permission to do this How long must the daily log records be retained? - CORRECT ANSWERS ✔✔ 5 years What is a central refill pharmacy? - CORRECT ANSWERS ✔✔a pharmacy located in KY that provides packaging, labeling, and delivery of a refill to another KY pharmacy If a central refill pharmacy is used, what are the requirements? - CORRECT ANSWERS ✔✔-both pharmacy addresses and names have to be on the label
-original pharmacy must have patient contact info -written contract or common ownership ____ pharmacies shall comply with all pharmacy requirements but may petition the board in writing to be exempt from any requirement not pertaining to the operation of that pharmacy? - CORRECT ANSWERS ✔✔charitable What are the restrictions for a charitable pharmacy? - CORRECT ANSWERS ✔✔-only legend drugs -no CS -May not charge ANY fee, not even dispensing fees -may accept Rx legend drugs for distribution in unbroken original packaging (safety seal in tact) What are the legal requirements for a hospital pharmacy? - CORRECT ANSWERS ✔✔-there must be a pharmacist designated as the "director of pharmacy"-can be the same person as PIC -there shall be additional pharmacists and non-pharmacist personnel required to operate safely-there must be written job descriptions -there shall be a pharmacist with immediate supervision over every decentralized section of the hospital pharmacy (satellite pharmacies) -the services of a pharmacist must be available at all times. An on-call pharmacist must be available if pharmacy not in operation 24/ -floor stocks of drugs are allowed but the amounts must be minimal-must be essential to proper treatment of emergencies -a pharmacist must be a member of the hospital's P&T committee -may stock manufacturer drug samples
