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KY MPJE exam questions with correct answers
How many ppl in the KY board of pharmacy - CORRECT ANSWERS ✔✔ 6 How to elect members of the KY board of Pharmacy? - CORRECT ANSWERS ✔✔appointed by the governer How many board members are pharmacists? - CORRECT ANSWERS ✔✔ 5 one of them is a citizen representing a consumer Can those pharmacists be from the same county - CORRECT ANSWERS ✔✔No two can be from the same county Board members term - CORRECT ANSWERS ✔✔4 years Re-elect board members? - CORRECT ANSWERS ✔✔Possible for 1 more term (like the president) Who elects the president of the board? - CORRECT ANSWERS ✔✔The Board How often do you elect a president for the board? - CORRECT ANSWERS ✔✔annually How many times can you be a president of the board? - CORRECT ANSWERS ✔✔2 years (2 times)
How many times should the board members meet? - CORRECT ANSWERS ✔✔4 times Four members constitute a ___ - CORRECT ANSWERS ✔✔Quorum The board is authorized to: - CORRECT ANSWERS ✔✔*approve approved college of pharmacy (No such thing as accredited) *employ an executive director. The executive director must be a pharmacist etc. How to file complaints to Board - CORRECT ANSWERS ✔✔Oral or written Steps of the board handling complain - CORRECT ANSWERS ✔✔1. Agreed order
- Administrative conference
- Settlement conference
- Hearing Pharmacist Recovery Network help with pharmacist who have these problems: - CORRECT ANSWERS ✔✔Drugs, alcohol, mental illness, physical incaptivity Report of impairment cannot be basis of disciplinary action if no other pending complaints How often do you renew your KY license? - CORRECT ANSWERS ✔✔Annually on 2/
Can you obtain all 1500 hours during the 4th year only? - CORRECT ANSWERS ✔✔Yes Up to how many hours of internship can be related to the work/research - CORRECT ANSWERS ✔✔ 400 Can graduate intern do the final verification? - CORRECT ANSWERS ✔✔No How long do you need to practice before becoming a preceptor? - CORRECT ANSWERS ✔✔1 year How many students can one preceptor supervise at the same time - CORRECT ANSWERS ✔✔only 1 student at a time, but he/she can precept any number of students. PIC and the pharmacy - CORRECT ANSWERS ✔✔PIC is in "full and actual charge" of the pharmacy. This should overrule the cooperate PIC and # of pharmacies - CORRECT ANSWERS ✔✔a PIC can only be the PIC of one pharmacy at a time. You can submit request to the board of pharmacy to be PIC of multiple sites, but you have to be at each pharmacies for 10 hours/week when to notify PIC change - CORRECT ANSWERS ✔✔within 14 calendar days Pharmacists duties of reporting - CORRECT ANSWERS ✔✔It is a duty to report the conviction of a felony.
It is a duty to self-report a felony conviction. You can be punished if not reporting. Why shouldn't you give opinion on a physician? - CORRECT ANSWERS ✔✔defamation medical records should be... - CORRECT ANSWERS ✔✔readily retrievable Are patient's record confidential? - CORRECT ANSWERS ✔✔Yes Are counseling confidential? - CORRECT ANSWERS ✔✔No Counseling shall include: - CORRECT ANSWERS ✔✔Common AND clinically significant ADR When do you need documentation for counseling? - CORRECT ANSWERS ✔✔Only if the patient refuses offer to counsel. How long do you keep counseling record? - CORRECT ANSWERS ✔✔1 year minimum age for immunization - CORRECT ANSWERS ✔✔9yo+ Supervision of pharm tech vs. cert. pharm tech - CORRECT ANSWERS ✔✔pharm tech: immediate supervision
Who should you notice if closing a pharmacy - CORRECT ANSWERS ✔✔ 15 days prior to Board, DEA, CHFS How long should you maintain the record if closing a pharmacy - CORRECT ANSWERS ✔✔2 years Involuntary closure - CORRECT ANSWERS ✔✔acute illness, death, natural disaster, bankruptcy, court or Board action written notice 5 days May maintain premises for up to 60 days Board may seize drugs if no sale made in 60 days Voluntary closure - CORRECT ANSWERS ✔✔Chronic illness Deviation from posted ours over 5 consecutive days If failure to resume normal operations within 60 days, KY board will close store and seize drugs. How long do you store the daily log? - CORRECT ANSWERS ✔✔5 years Charitable pharmacy regulation - CORRECT ANSWERS ✔✔Only legend drug No control substance May not charge ANY fee may accept prescription legend drugs for distribution in unbroken original package
Hospital pharmacy has to assigned a position called - CORRECT ANSWERS ✔✔Director of Pharmacy Service of pharmacist in a hospital - CORRECT ANSWERS ✔✔Should be ALL TIME. If pharmacy is not 24/7, there must be someone on call. Hospital pharmacy and P&T committee - CORRECT ANSWERS ✔✔A pharmacist must be a member of the P&T Can you store manufacturer drug sample in the hospital? - CORRECT ANSWERS ✔✔Yes (b/c hospital bill is big, while retail is small) Reference needed in hospital pharmacy - CORRECT ANSWERS ✔✔Drug identification Toxicology Drug interactions Parenteral drug compatibility Microbiology Parenteral Compounding pharmacy room requirement - CORRECT ANSWERS ✔✔Laminar airflow hood or class 100 room To be a pharmacist in a compounding pharmacy - CORRECT ANSWERS ✔✔Must be license in KY, and be knowledgeable in parenteral product (Not certified, just knowledgeable)
Emergency box in LTC facilities - CORRECT ANSWERS ✔✔Limited to 6 CS with written policy and procedurs Physician must order. Pharmacy should be notified 24h after box open. Physical Inventory at least monthly. DEA registered pharmacy employment limitation - CORRECT ANSWERS ✔✔cannot hire anyone has been convicted of a felony related to CS unless the DEA issues a waiver. Waivers are specific to each employer and each employee. What kind of licenses do you need as drug manufacturers and wholesalers? - CORRECT ANSWERS ✔✔A CHFS-drug control license & DEA license- if handling CS Each location should have its own license. Manufacturers/wholesalers return limitaions - CORRECT ANSWERS ✔✔returns of damage, unsalable, recalls, can only be distributed to original manuf., 3rd party return processor, or reverse distributor Can a physician's agent prepare a Rx? - CORRECT ANSWERS ✔✔yes, except the signature Formulary compliance dispensing? - CORRECT ANSWERS ✔✔1st...what the hack is this? prescriber notes "formular compliance approval", may be stamped on Rx blank
Name of drug on the prescription bottle, not to label it, how - CORRECT ANSWERS ✔✔If practitioner indicates "Do Not Label" What should be on the prescribers Rx pads? - CORRECT ANSWERS ✔✔name, address, tel# of the prescribing physician DEA as well for CS Emergency 72h refills - CORRECT ANSWERS ✔✔No refill on Rx Prescirbers not readily available to authorize refills. A 72 hours supply can be dispensed. Has to be maintenance meds, with your judgment that such interruption will be detrimental to the patient How many times can you do emergency refill - CORRECT ANSWERS ✔✔ 1 time Can you do emergency refill for CS? - CORRECT ANSWERS ✔✔No If a disaster in KY, emergency fill - CORRECT ANSWERS ✔✔up to 30days, but not including CS who can authorize refills - CORRECT ANSWERS ✔✔prescriber What do PRN or "ad lib" mean on refills? - CORRECT ANSWERS ✔✔Up to 1 year of refill, except CS
When do you need to use the Medicaid tamper resistant prescription blanks? - CORRECT ANSWERS ✔✔For all Medicaid (Not medicare) prescriptions. The 3 special functions of the Medicaid tamper resistant blanks - CORRECT ANSWERS ✔✔1. Prevent unauthorized copying of a blank
- prevent erasure or modification
- prevent the use of counterfeit blanks but requirements are not required for telephone, oral, faxed, or electronic Rx Pharmacists' right to retain prescriptions - CORRECT ANSWERS ✔✔Pharmacist has the right to seize & retain a prescription reasonably suspected to be forged, altered, or unlawfully possessed. One must ascertain whether or not valid within a reasonable time. What is a prescription is unlawful, what do you need to do - CORRECT ANSWERS ✔✔report to authorities What if a drug does not have "RX ONLY" on a prescription drug bottle? - CORRECT ANSWERS ✔✔The drug is misbranded. What is a adulterated drug? - CORRECT ANSWERS ✔✔It is filthy, putrid, decomposed, contaminated (drug or container), poisonous, wrong strength. Definition of a misbranded drug - CORRECT ANSWERS ✔✔A drug that its labeling is false or misleading.
A drug that is dangerous to the health when used as prescribed on the label APAP 500mg take 1 to 2 tabs PO Q3-4H PRN - CORRECT ANSWERS ✔✔Misbranded. Health issue max at 16 x 500mg table a day = >3000mg guideline = liver toxicity What do you do with misbranded or adulterated drug? - CORRECT ANSWERS ✔✔Must be quarantined, affixed with a tag indicating notice that the drug is adulterated or misbranded -- such drugs ar eto be destroyed at the expense of the claimant (manufacturer) Expiration date of repackaged drug - CORRECT ANSWERS ✔✔Except if the expiration date on the original packaging is less than 1 year Unit dose expiration date - CORRECT ANSWERS ✔✔Beyond Use date is either 6 months or 25% of the time remaining (which ever is shorter) The only drug that does not need safety cap - CORRECT ANSWERS ✔✔Nitroglycerin Who can or cannot request non-safety cap? - CORRECT ANSWERS ✔✔Patients only, not physicians. But physician can request non safety cap on a single prescription. Pharmacy can only get return of unused-unopened-sealed bottles for re-sale, but what are the limitations? - CORRECT ANSWERS ✔✔Must be within 14 days, and also does not require refrigeration.
If you receive a prescription that shows the brand name of a drug, you should - CORRECT ANSWERS ✔✔1. sub to a *lower priced therapeutic equivalent drug which is *in stock Pamphlet for generic med - CORRECT ANSWERS ✔✔You have to have the CHFS generic drug pamphlet available to patients, but not required to give it to them. What is a negative formulary state? - CORRECT ANSWERS ✔✔The Board is authorized to prepare a nonequivalent drug formulary of drugs for which there are no equivalent drug products and which should not be interchanged. HB1 requirement - CORRECT ANSWERS ✔✔Patients have to be seen by prescriber for CS presciptions. C-I drug criteria - CORRECT ANSWERS ✔✔High potential for abuse No accepted medical use C-II criteria - CORRECT ANSWERS ✔✔High potential for abuse Accepted medical use Abuse may lead to severe dependence C-III criteria - CORRECT ANSWERS ✔✔Potential for abuse less then C-I or C- II Accepted medical use Abuse may lead to moderate or low physical or high psychological dependence
C-IV Criteria - CORRECT ANSWERS ✔✔Low potential for abuse relative to C- III Accepted medical use Abuse may lead to limited physical or psychological abuse relative to C-III C-V Criteria - CORRECT ANSWERS ✔✔Accepted medical use Low potential for abuse relative to C-IV Abuse may lead to limited physical/psychological dependence relative to C-IV Containers for CS - CORRECT ANSWERS ✔✔must contain the label of C-II, C-III, C-IV, C-V Can you take C-II Rx over the phone? - CORRECT ANSWERS ✔✔No (by federal law may do emergency fill) C-II prescription req. - CORRECT ANSWERS ✔✔Cannot be refilled valid only for 60 days from day written prescription blank must be kept separate from other prescriptions As RPh, what can you add to the C-II prescription? - CORRECT ANSWERS ✔✔Date Quantity Sig. NOT drug name, patient name, nor signature
27 if has co-morbidities IS BMI required on the prescription for those weight loss drugs? - CORRECT ANSWERS ✔✔No CS prescriptions paper requirement - CORRECT ANSWERS ✔✔1. A latent void pattern in
- Pantone green narcotic safety prescription blank with
- Opaque Rx in upper right hand corner and
- a water mark "Kentucky Security Prescription") on the back
- Quantitiy must be check-marked in a box
- Only one prescription per blank is allowed
- Statement - void if more than 1 prescription per balnk What if a physician write 2 meds on a CS Rx? - CORRECT ANSWERS ✔✔Don't fill the control, fill the non-control From 222 copies... - CORRECT ANSWERS ✔✔Brown (supplier - card boxes!) Green copy (DEA - statue of liberty) Blue copy (retained at pharmacy - AOC home team color) If a DEA 222 is voided or defective - CORRECT ANSWERS ✔✔must be retained If a DEA 222 is lost or stolen - CORRECT ANSWERS ✔✔must be reported to DEA and Board of Pharmacy
DEA form 106 - CORRECT ANSWERS ✔✔reports theft of CS Under HB1 theft or loss must now also be reported to Board DEA form 41 - CORRECT ANSWERS ✔✔form for outdated (expired) drugs Under federal law, records of all records should be retained for - CORRECT ANSWERS ✔✔2 years In KY, how long should you retain CS records? - CORRECT ANSWERS ✔✔C- II: 5 years C-III to C-V: 2 yeras Controlled substance for animals, requirement - CORRECT ANSWERS ✔✔Must list owner's name, the species of the animal You should retain the purchase record of control substance, what to keep - CORRECT ANSWERS ✔✔C-II: Invoice and DEA 222 blue copy. On these, there must be listed the seller and buyers names, addresses, and DEA numbers, the date of actual receipt of the drugs , quantity, drug name, strength, form. C-III to C-V: Everything except DEA 222 Again DEA 222 copies keeper, in 1, 2, 3 - CORRECT ANSWERS ✔✔Copy 1 by supplier Copy 2 by DEA Copy 3 by pharmacy
