MPJE Dispensing and Labeling 4

Question 1

A prescription label reads 'Take 1 tablet twice daily.' The patient asks the pharmacist what 'b.i.d.' means. Which abbreviation matches this direction?

Accepted Answer

b.i.d.

Answer

B.i.d. (bis in die) means twice daily, corresponding to the directions on this label.

Question 2

Under the Durham-Humphrey Amendment, which category of drugs requires a prescription from a licensed practitioner before dispensing?

Accepted Answer

Drugs that are habit-forming, not safe for self-medication, or require professional supervision

Answer

The Durham-Humphrey Amendment defines legend drugs as those habit-forming, unsafe for self-diagnosis/treatment, or requiring practitioner supervision.

Question 3

A pharmacist is about to dispense a 30-day supply of warfarin. The patient's profile shows a new prescription for fluconazole from a different prescriber. What is the pharmacist's legal and professional obligation?

Accepted Answer

Conduct a drug utilization review (DUR) and counsel the patient on the significant interaction.

Answer

OBRA '90 requires pharmacists to perform prospective DUR and offer counseling, especially for significant drug interactions like warfarin-fluconazole.

Question 4

Which federal law requires pharmacies that dispense Medicaid prescriptions to offer patient counseling?

Accepted Answer

OBRA '90 (Omnibus Budget Reconciliation Act of 1990)

Answer

OBRA '90 mandated that pharmacies participating in Medicaid offer patient counseling and conduct prospective drug utilization review.

Question 5

A patient presents a prescription for amoxicillin 500 mg #30. The pharmacist has only 250 mg capsules in stock. Which action is most appropriate?

Accepted Answer

Dispense 60 capsules of 250 mg with directions to take 2 capsules per dose and notify the prescriber.

Answer

A pharmacist may make a therapeutic equivalent substitution in strength by adjusting quantity and directions after notifying the prescriber, as it constitutes the same drug.

MPJE - Multistate Pharmacy Jurisprudence Examination Practice Test

MPJE - Multistate Pharmacy Jurisprudence Examination Practice Test

MPJE Dispensing and Labeling 4