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Kentucky MPJE exam with correct solutions
what are the legislative ruling bodies of pharmacy (2) - CORRECT ANSWERS ✔✔US congress and kentucky legislature (make laws/statues) what are the administrative agencies ruling bodies of pharmacy (7) - CORRECT ANSWERS ✔✔FDA, CMS, DEA, CDC, BOP (board of pharmacy), CHFS (cabinet for health & family services), and OIG (drug control for controlled sustances) the KYBOP contains _____ members, appointed by _____________ - CORRECT ANSWERS ✔✔the KYBOP contains six members, appointed by the governor what is the makeup of the members of the KYBOP, and what are their requirements - CORRECT ANSWERS ✔✔five members are pharmacists, one is a citizen at large - all must be in good standing with the board, be KY residents, and no two pharmacists from the same county KYBOP members serve a term for ______ years and may be re-appointed _____ time(s) - CORRECT ANSWERS ✔✔KYBOP members serve a term for four years and may be re-appointed once how often does the KYBOP elect a president, and how long do they serve for - CORRECT ANSWERS ✔✔the board elects a president (and other officers are necessary) on an annual basis, and the officer may serve in that capacity for two years
the KYBOP is required to meet at least _____ times per year - CORRECT ANSWERS ✔✔the KYBOP is required to meet at least four times per year the KYBOP requires that _____ members be present to make a quorum - CORRECT ANSWERS ✔✔the KYBOP requires that four members be present to make a quorum the duties of the KYBOP (7) - CORRECT ANSWERS ✔✔1. set time and place for examinations (at least 2 yearly)
- approve approved colleges of pharmacy (NOT accredited COP)
- promulgate administrative regulations pertaining to pharmacists, interns, technicians, pharmacies, wholesaler distributors, and manufacturers
- schedule and conduct hearings
- issue and renew licenses
- investigate complaints
- employ an executive director who can be the executive director for the KYBOP - CORRECT ANSWERS ✔✔must be a pharmacist the purpose of the KYBOP is to _________ by ____________ - CORRECT ANSWERS ✔✔the purpose of the KYBOP is to protect the public by regulating the profession how does the KYBOP accept complaints - CORRECT ANSWERS ✔✔complaints may be oral, electronic, or written from any source (i.e. layman, customer, another pharmacist, law enforcement, etc.)
and inspector who did the investigation meet to discuss complaint and try to come to understanding what is a "settlement conference" of a complaint - CORRECT ANSWERS ✔✔if admin conference fails, the settlement conference may be requested between the pharmacist's attorney and the KYBOP attorney in an attempt to resolve the complaint what is the "hearings" of a complaint - CORRECT ANSWERS ✔✔a hearing officer (from the state and acts as the judge) presides and has authority to rule on all motions, control the procedure of the hearing, and include or exclude evidence what part does the KYBOP play during a hearing of a complaint - CORRECT ANSWERS ✔✔KYBOP, if taking part, deliberates (aka acts as jury) on all cases in closed session (and announces in open session) what disciplinary action may occur due to a complaint - CORRECT ANSWERS ✔✔may include suspension of license, revocation of license, fines, additional CE, and jail (up to 1 year) pharmacist who commit minor violations may request the KYBOP after ______ years to expunge their records - CORRECT ANSWERS ✔✔pharmacist who commit minor violations may request the KYBOP after three years to expunge their records what are examples of minor violations that the KYBOP might expunge from a pharmacist's record - CORRECT ANSWERS ✔✔failure to obtain required CE, failure to timely renew license
who may become a pharmacist inspector - CORRECT ANSWERS ✔✔each pharmacy inspector shall be a registered pharmacist what is the purpose of the pharmacist recovery network (PRN) - CORRECT ANSWERS ✔✔assists pharmacist, technicians, and interns impaired by drugs, alcohol, mental illness, or physical incapacity what occurs to a pharmacist who voluntary enters PRN versus those who receive a complaint and then has to go to PRN - CORRECT ANSWERS ✔✔voluntary self-report: surrender license to board and do PRN requirements, and then if no other pending complaints gets license back once finished PRN complaint: surrender license to board and have to do PRN requirements, and then once done with PRN you have to deal with the complaint and might not get your license back (AKA "report of impairment cannot be basis for disciplinary action if no other pending complaint") Example Test Question: pharmacist self-reports to PRN and the board that she has a drug issue. She has been stealing and taking benzos and gabapentin with no legitimate prescription. Her record at the KYBOP is clean and clear. Select all of the following that are correct: I. she must surrender her license while doing detox/rehab II. PRN will oversee her recovery III. the board must return her license if she does as PRN commands - CORRECT ANSWERS ✔✔I, II, III
in order to obtain a pharmacist's license, an applicant must meet what requirements (8) - CORRECT ANSWERS ✔✔1. be at least 18 years old
- good mental health, moral character
- graduate of a board approved college of pharmacy (NOT necessarily accredited, but approved)
- have completed the requirements of internship
- must have achieved at least 75 on MPJE and NAPLEX
- background check
- must register with KASPER (drug monitoring program)
- register with CPE monitor in order to renew a pharmacist's license, they must have completed _______ hours (____ CEU) of continuing education each year - CORRECT ANSWERS ✔✔in order to renew a pharmacist's license, they must have completed 15 hours (1. CEU) of continuing education each year 1 hour of CE = _____ CEU - CORRECT ANSWERS ✔✔1 hour of CE = 0.1 CEU records of CEU must be kept for _____ years - CORRECT ANSWERS ✔✔records of CEU must be kept for three years time period for obtaining CE is ______ to _______ - CORRECT ANSWERS ✔✔time period for obtaining CE is January 1 to December 31 KYBOP internship requirements: must be in an ____________ college of pharmacy and shall register with _________________ - CORRECT ANSWERS ✔✔must be in an
approved (not necessarily accredited) college of pharmacy and shall register with KYBOP KYBOP internship requirements: the minimum period of internship is _________ hours and student can/cannot obtain all their internship hours in the 4th year of rotations - CORRECT ANSWERS ✔✔the minimum period of internship is 1500 hours and student can obtain all their internship hours in the 4th year of rotations KYBOP internship requirements: maximum of ________ hours may be obtained for "work or research related to the practice of pharmacy" - CORRECT ANSWERS ✔✔maximum of 400 hours may be obtained for "work or research related to the practice of pharmacy" KYBOP internship requirements: intern shall have _____________ on his person during all times of internship - CORRECT ANSWERS ✔✔intern shall have registered ID card on his person during all times of internship KYBOP internship requirements: certificate ID card is good for _______ years if student meets what other requirements - CORRECT ANSWERS ✔✔certificate ID card is good for 6 years if student is actively enrolled in approved school of pharmacy, on planned (usual) break from school, due to circumstances beyond the control of the student, while awaiting licensure examination, or awaiting licensure examination results how does the intern dispensing responsibilities change based on what year of school they are in - CORRECT ANSWERS ✔✔1st year: basically just a tech after 1st year: supervision of professional acts (can do pharmacist delegable duties)
the PIC must be physically present at the pharmacy at least ________ hours per week - CORRECT ANSWERS ✔✔the PIC must be physically present at the pharmacy at least ten hours per week the PIC is responsible for (6) - CORRECT ANSWERS ✔✔1. quality assurance
- procurement, storage, safety, security, and disposition of the drugs and providing pharmacy services
- ensuring all pharmacists/interns/techs are currently licensed
- making and filing reports required by law
- notifying the board of any changes in PIC, changes with other pharmacists, or change in pharmacy hours
- responding to the board identified violations/deficiencies the PIC is responsible for notifying the board within ______ days of any changes in PIC, changes with other pharmacists, or change in pharmacy hours - CORRECT ANSWERS ✔✔the PIC is responsible for notifying the board within 14 days of any changes in PIC, changes with other pharmacists, or change in pharmacy hours a PIC of a drug manufacturer must do _____________ inspections - CORRECT ANSWERS ✔✔a PIC of a drug manufacturer must do quarterly inspections pharmacists have a duty to report what violations - CORRECT ANSWERS ✔✔conviction of a felony, pharmacist incompetence, fraud/deceit in obtaining a license, or any information that a pharmacist, intern, or tech has diverted or illegally distributed drugs, physical or mental disability (whether or not caused by drugs or alcohol), or violation of a board order
a pharmacist has a duty to self-report a felony conviction within __________ days of that conviction - CORRECT ANSWERS ✔✔a pharmacist has a duty to self- report a felony conviction (no merely limited to drugs) within 30 days of that conviction a pharmacist is allowed to give his/her professional opinion to a patient about what - CORRECT ANSWERS ✔✔a pharmacist is allowed to give his or her professional opinion to a patient regarding the capabilities, effectiveness, and acceptability of any drug a pharmacist or designee shall obtain pertinent patient information which shall be _______________ - CORRECT ANSWERS ✔✔a pharmacist or designee shall obtain pertinent patient information which shall be readily retrievable (in this sense it means immediate) a pharmacist or designee shall be required to perform a __________________ with a newly dispensed drug - CORRECT ANSWERS ✔✔a pharmacist or designee shall be required to perform a prospective DUR with a newly dispensed drug information in the patient record shall include what (7) - CORRECT ANSWERS ✔✔1. patient's full name
- address and telephone number
- age or date of birth
- gender
- list of all RXs obtained in previous 12 months
- known disease states
- drug allergies
how does counseling work for delivery of medications - CORRECT ANSWERS ✔✔the offer is made by the delivery person (who acts as the pharmacist- designee) and a signature is obtained on signature log. if counseling is required, it is done over the phone when is counseling required for inpatients - CORRECT ANSWERS ✔✔counseling is only for discharge medications, not inpatient medications what are the documentation requirements for patient counseling; what does no documentation mean - CORRECT ANSWERS ✔✔documentation is only required if a patient refuses, no documentation is a presumption that the offer to counsel was made, accepted, and counseling took place record of refusal of patient counseling must be kept for how long - CORRECT ANSWERS ✔✔1 year pharmacists must report to the local health department when they see a patient with ______________ - CORRECT ANSWERS ✔✔pharmacists must report to the local health department when they see a patient with tuberculosis, measles, cholera, E. coli, rabies, rubella, and diphtheria a pharmacist has the ability to administer which immunizations - CORRECT ANSWERS ✔✔a pharmacist has authority to administer all CDC recommended vaccinations begging at age nine can you fill a prescription for a vaccine for a patient under age 9 - CORRECT ANSWERS ✔✔yes, you can fill the prescription (so they can bring it to the doctors office for admin) but just not administer it to the child since they are < years old
a pharmacist tech must be under ______________ supervision of a pharmacist - CORRECT ANSWERS ✔✔a pharmacist tech must be under immediate supervision of a pharmacist (i.e. physical and visual supervision) a certified pharmacy tech requires _____________ supervision - CORRECT ANSWERS ✔✔a certified pharmacy tech requires general supervision (i.e. the pharmacist must be on the premises) what additional duties can a certified tech perform - CORRECT ANSWERS ✔✔certify med cards, initiate or receive refill authorizations, and receive diagnostic orders in nuclear pharmacy can a certified tech take new prescriptions - CORRECT ANSWERS ✔✔NO, they can only initiate or receive refill authorizations (no changes can be made on the refill authorization) how many techs can a pharmacist supervise at one time in KY - CORRECT ANSWERS ✔✔the law does not indicate the number of techs a pharmacist may supervise at one time all technicians must register with the ________ - CORRECT ANSWERS ✔✔all technicians must register with the KYBOP technician registration must be renewed __________ on which date - CORRECT ANSWERS ✔✔technician registration must be renewed annually on march 31 (same principle as pharmacist license where you don't know when the new one starts, just when old license expires and you should have your new one)
a. the pharmacist must offer to counsel b. documentation of the offer must be acknowledged by a signature c. no counseling is required as the patient has been on the medication previously d. documentation of a refusal of counseling is required - CORRECT ANSWERS ✔✔d. documentation of a refusal of counseling is required in order to operate a pharmacy a ________ must be obtained - CORRECT ANSWERS ✔✔in order to operate a pharmacy a permit must be obtained the permit for a pharmacy must be renewed _________, and the permit expires on _______ of each year - CORRECT ANSWERS ✔✔the permit for a pharmacy must be renewed annually, and the permit expires on June 30th of each year T/F: each separate pharmacy location requires it's own individual permit - CORRECT ANSWERS ✔✔true, each separate location must have an individual permit out-of-state pharmacies which do business within KY must: (5) - CORRECT ANSWERS ✔✔1. have a KY permit to operate
- shall comply with all statutorily authorized requests for information
- maintain readily retrievable records (here readily retrievable means within 48 hours)
- provide a toll-free phone number during business hours
- shall have a PIC
do all out-of-state pharmacies who bring business into KY require a KY permit to operate - CORRECT ANSWERS ✔✔yes, but they may seek a waiver to licensure if the number of RXs sent into KY is minimal pharmacies must have the following required reference material (4) - CORRECT ANSWERS ✔✔category I: pharmacology category II: drug interactions category III: drug product composition category IV: laws and regulations do computer references count as required reference material for a pharmacy - CORRECT ANSWERS ✔✔yes, computer references are allowed if they do not interrupt the RX filling process BUT the reference cannot be accessed through the internet (ex: you can have an online pdf of laws and regulations but you cannot get the laws from going to the KYBOP website) what equipment is required for a pharmacy (9) - CORRECT ANSWERS ✔✔1. prescription class A balance
- weight set
- graduates 1 mL to 250 mL
- mortars and pestles in glass, porcelain, or wedgewood
- spatulas (steel and nonmetallic)
- refrigerator
- ointment slab or papers
- heating unit
- filtration funnel with filter papers
when a pharmacy permanently closes, what notice must be sent to the KYBOP, DEA, and CHFS and when - CORRECT ANSWERS ✔✔15-day written notice to KYBOP, DEA, and CHFS when a pharmacy permanently closes, what must happen to all the pharmacy signs - CORRECT ANSWERS ✔✔all signs pertaining to the pharmacy must be removed (i.e. Alissia's Pharmacy must be changed to Alissia's) after a pharmacy permanently closes, how long must that pharmacy maintain their records - CORRECT ANSWERS ✔✔maintain records for 2 years define involuntary closure of a pharmacy, manufacturer, or distributor - CORRECT ANSWERS ✔✔interruption of formal business activity due to acute illness, death, natural disaster, bankruptcy, or court/board action (i.e. no desire to close) when a pharmacy involuntary closes, what notice must be sent to KYBOP - CORRECT ANSWERS ✔✔written notice must be sent to KYBOP within 5 days when a pharmacy involuntary closes, they may maintain the premises for up to _________ days - CORRECT ANSWERS ✔✔when a pharmacy involuntary closes, they may maintain the premises for up to 60 days (i.e. after a natural disaster can involuntary close but maintain pharmacy and drugs for up to 60 days while rebuilding/fixing pharmacy to reopen) when a pharmacy involuntary closes, what happens to the drugs - CORRECT ANSWERS ✔✔the pharmacy may maintain their drugs for up to 60 days, but if no sale was made in 60 days the board may (not shall) seize the drugs
define voluntary closure of pharmacy, manufactuer, or distributor - CORRECT ANSWERS ✔✔closing or abandonment of business from any reason that is not permanent or involuntary (i.e. chronic illness) that causes deviation from posted hours over 5 consecutive days when a pharmacy voluntary closes, what happens to the drugs - CORRECT ANSWERS ✔✔failure to resume normal operations within 60 days means the KYBOP shall (not may) close store and seize drugs upon closing the pharmacy, the ________ must be returned to the KYBOP - CORRECT ANSWERS ✔✔upon closing the pharmacy, the permit must be returned to the KYBOP define temporary closure of pharmacy - CORRECT ANSWERS ✔✔pharmacy must be closed if no pharmacist present (not permanent, more like an emergency where the pharmacist is not present so pharmacy cannot open) T/F: employees can still work in the pharmacy if the pharmacist is not there - CORRECT ANSWERS ✔✔false, employees may not enter the pharmacy nor conduct ANY pharmacy business, not even sell already completed prescriptions during a temporary pharmacy closure, all files, drugs, and prescriptions must be __________ - CORRECT ANSWERS ✔✔during a temporary pharmacy closure, all files, drugs, and prescriptions must be secured, however prescriptions may be deposited into the pharmacy and filled when reopened if the pharmacy is closed and the rest of the store is open, what security measures are required - CORRECT ANSWERS ✔✔if the pharmacy is closed and
