MPJE Pharmacist Practice Standards 4

Question 1

A pharmacist receives a fax of a Schedule II prescription. Under federal law, which statement is CORRECT?

Accepted Answer

Faxed Schedule II prescriptions may serve as the original only for specific exceptions such as compounded preparations for home infusion patients

Answer

Federal law generally requires original written or electronic Schedule II prescriptions, but faxes may serve as the original for limited exceptions including home infusion, hospice patients, and compounded Schedule II substances.

Question 2

Under USP <797>, which of the following cleanroom classifications is required for the preparation of Category 2 sterile compounded preparations?

Accepted Answer

ISO Class 5 primary engineering control within an ISO Class 7 buffer room and ISO Class 8 ante-area

Answer

USP <797> requires Category 2 CSPs to be prepared in an ISO 5 PEC within an ISO 7 buffer room with an ISO 8 ante-room to ensure sterility.

Question 3

A pharmacist receives a prescription for a drug that has a REMS (Risk Evaluation and Mitigation Strategy) with required elements to assure safe use (ETASU). What must the pharmacist do before dispensing?

Accepted Answer

Verify that all REMS requirements are met, including any required certification or patient enrollment

Answer

REMS programs with ETASU impose specific obligations on pharmacies and pharmacists, including certification, patient enrollment, and documentation, that must be met prior to dispensing.

Question 4

A pharmacist counsels a patient on a new antihypertensive medication but omits information about postural hypotension. The patient falls and is injured. Which element of negligence is MOST clearly demonstrated?

Accepted Answer

Breach of duty

Answer

By failing to warn about a foreseeable and significant side effect like postural hypotension, the pharmacist breached the standard of care owed to the patient.

Question 5

Under federal law, what is the maximum number of refills allowed for a Schedule IV controlled substance?

Accepted Answer

5 refills within 6 months

Answer

Schedule IV controlled substances may be refilled up to 5 times within 6 months of the original prescription date under federal law.

MPJE - Multistate Pharmacy Jurisprudence Examination Practice Test

MPJE - Multistate Pharmacy Jurisprudence Examination Practice Test

MPJE Pharmacist Practice Standards 4