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NAPLEX 2021 > MPJE Indiana > Flashcards

MPJE Indiana Flashcards

1
Q

How many board members?

A

7

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2
Q

how many board members are pharmacists?

A

6

1 must be hospital

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3
Q

who appointments board members

A

governor

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4
Q

how long do board members serve?

A

4 years

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5
Q

how many times/year do board members convene

A

8 x

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6
Q

who can attend board meetings?

A

anyone

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7
Q

How many CE hours are needed for renewal

A

30 hours every 2 years (even numbers)

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8
Q

CE requirements

A

max 1/5th of hours in business, management, computers
4/5th must be practice realated
half of hours must be acpe approved

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9
Q

renewal period - pharm license and tech license

A

June 30th on even numbered years

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10
Q

required hours for pharmaicst license

A

1500

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11
Q

how much rxs be stored

A

for 2 years in one of the following:
3 files: Cii, Ciii-v, legend
2 files: noncontrolled and controlled (must have red C stamp)
2 file: CII, all others with red C on ciii-v

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12
Q

do hard copies have to be stored on site?

A

no, but must be accessible for BOP

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13
Q

time period to notify board of changes of ownership of pharmacy

A

10 days

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14
Q

time period to notify board of changes to PIC

A

immediately

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15
Q

time period to notify board of change of address

A

no timeline, must file with application

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16
Q

time period to notify board of change of hours

A

no times - must be submitted in writing

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17
Q

how long of closure requires board notification?

A

5 or more consecutive days

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18
Q

Required equipment

A

sink with hot and cold water, power sewage outlet, refrigeration

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19
Q

emergency access to pharmacy

A

supervisor licensed nurse once per shift may access pharmacy if drugs not available in dispensing cabinets. Must be documented and copy of order left

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20
Q

What is adulteration?

A

An issue is with the product itself

Must err on the side of caution and assume it’s adulterated if the product has been put in a compromising position

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21
Q

What is misbranding?

A

There is an issue with the words associated with the product

Ex: prescription label requirements are not met

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22
Q

What is cGMP

A

Current good manufacturing practices

Set minimum requirements for manufacturing of drugs

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23
Q

Do’s and Donts of Compounding

A

Must be: for an individual patient, with a prescription, but can compound it before receiving the Rx based on prescribing history

Can not be a commercially available product
Does not including reconstituting, mixing, or other instructions on approved labeling

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24
Q

What must be included on an Rx label for an outsourced compounded product?

A 
“This is a compounded drug”
Outsourcing facility info 
Batch number
Expiration date
Storage instructions 
List of active ingredients
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25
Q

A pharmacist forgets to dispense a med guide with sertraline. What is this considered?

A

Misbranding

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26
Q

What class medical device are contact lenses?

A

Class III - most complicated class as mistakes can cause vision loss

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27
Q

Which drug recall is the most severe?

A

One

This can cause death, things like wrong drug in bottle

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28
Q

Can the FDA force a recall?

A

No, they must be voluntary

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29
Q

What is the PPPA

A

Poison Prevention Packaging Act

Enacted to prevent accidental poisoning in children under 5

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30
Q

What are some CRC exempt products?

A

Nitro stat, Medrol dose pack, birth control

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31
Q

Reusing a plastic vial is totally okay according to the PPPA

A

No! Must replace any plastic parts, glass or metal are okay to reuse though

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32
Q

Which DEA form is used for ordering and transferring C-II?

A

222

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33
Q

What is required to be dispensed with estrogen and contraceptive products?

A

Patient package insert

34
Q

PPIs (patient package inserts) are only required outpatient

A

False! Required inpatient as well

35
Q

Medication guides are required outpatient only

A

True!

36
Q

What is needed with dispensing of promethazine suppositories in a community pharmacy? PPI or CRC, both, or neither

A

Neither

CRC only applies to oral medication

37
Q

What DEA form is used to report theft or loss?

A

Form 106

38
Q

How soon must theft/loss be reported?

A

Within 1 business day, in writing

Form 106 does need to be submitted now, it is submitted after circumstances are clear?

39
Q

What must be done if C-II theft or loss investigation is taking a long time?

A

DEA must receive updates every 30 days

40
Q

What is DEA 41 for?

A

Destruction of controlled substances

41
Q

What needs to be on a DEA form 41?

A

2 employee witnesses

Record of destruction

42
Q

What Practitioners have a DEA number that starts with M?

A

Mid level practitioner like PA or NP, sometimes pharmacists

43
Q

What is the PDMA?

A

Prescription drug marketing act

  • bans selling or trading prescriptions purchased by healthcare facilities
  • bans offer to sell coupons or samples
44
Q

How soon do you have to complete a partial fill of a C-II?

A

Within 72 hours

45
Q

What is used for generic approvals?

A

ANDA

46
Q

What can the DEA not look at during an inspection without a warrant

A

Sales or financial information

47
Q

An OTC drug is not packaged in tamper resistant packaging. What is it?

A

Both adulterated and misbranded

48
Q

What practitioners haveDEA numbers that start with ABF or G?

A

Physician
Vet
Podiatrist
Dentist

49
Q

Can optometrist prescribe controlled substances?

A

Only tramadol if DEA registered

50
Q

Legal THC percentage for CBD

A

0.3%

51
Q

How many times can a C-III-V be refilled?

A

5

52
Q

Who can prescribe methadone?

A

Only physicians

53
Q

Formula for DEA license:

A
  1. Add together numbers 1,3, and 5
  2. Add together numbers 2,4,6 and multiply result by 2
  3. Add products from step 1 and 2
  4. Last digit of this result should be equal to number 7 in the license.
54
Q

Maximum limit for opium containing OTC products

A

8 oz or 48 dosage units

55
Q

Max behind the counter sale quanitity of codeine

A

4 oz or 24 dosage units

56
Q

How long do sudofed sale records need to be retained?

A

2 years

57
Q

365 dispensing limit for pseudophed

A

61.2g

58
Q

30 day dispensing limit for pseudophed

A

3.6g

59
Q

LTC: when can prn medications be given?

A

only after authorization by licensed nurse or physicain

60
Q

Can a patient self-admin drugs in LTC?

A

only if authorized by physician and patient has received training by pharmacist or self-admin knowledge has been evaluated

61
Q

what must be on the label of a unit dose package in an LTC?

A

drug name
strength
control number
expiration date

62
Q

Which can a tech not complete according to state law?

  • admin flu vaccine
  • receive verbal refill approval from a provider
  • obtain a tech license without high school diploma
  • dispense rx drug info to a patient
A

dispense rx drug info to a patient

63
Q

how long until. a person can reapply after a revocation of their license?

A

after 7 years and this is for a brand new license rather than reinstatement

64
Q

What is a censure?

A

sanction that consists of a verbal expression of disapproval

65
Q

what is the min and max a license can be suspended for?

A

no min or max!

66
Q

What can a practioner do if a sanction is imposed on their license

A

appeal! and they can have legal representation at their hearing.

67
Q

what happens if a practioner surrenders their license?

A

they can avoid a hearing, but the board must agree to the surrender and may impose conditions to the surrender

68
Q

whats a category I pharmacy permit

A

a retail permit that allows dispensing of drugs and devices (community pharmacies)

69
Q

what’s a category II pharmacy permit?

A

institutional permit for inpatient dispensing under drug order or to an outpatient of the institution via prescription

70
Q

whats a category III pharmacy permit

A

closed door central fill, mail order, or processing operation not open to general public

71
Q

Who may be dispensed to under a category II permit?

A

employee, student or volunteer of hospital system
retiree of system
independent contractor with relationship with system
member of the system’s governing board
a member of the systems medical staff
*or dependents of these individuals in addition to inpatients

72
Q

what pharmacy category is a LTCF?

A

category 2 - “Inpatient”

73
Q

Can you substitute a generic for a brand name called in by a veterinarian?

A

NO! must have verbal approval

74
Q

When can a brand be dispensed to a medicaid patient if generic is avaliable?

A

if BRAND MEDICALLY NECESSARY is hand written on the script or sent in electronically

75
Q

can we substitute equivalent biosimilar products?

A

yes, but practitioner must be notified no later than 10 days after dispensing *refills do NOT require this

76
Q

what insulins can be sold without a prescription?

A

regular
nph
combo of these

77
Q

What is the expiration rule for glucagon and epinephrine

A

can not dispesne these products if expiration date is less than 12 from date of dispense unless patient consents

78
Q

Can we substitute epinephrine products that aren’t AB rated?

A

Yes, but they must be a therapeutic alternate

79
Q

what must the pharmacist document before initiating a rph refill aka emergency fill

A

information required for any refill dispensed
dates and time prescriber contacts were attempted
the fact this was dispensed without prescriber authorization

80
Q

what is important about 30 - 90 day conversions?

A

can not be done unless a patient has completed an initial 30 day supply of drug therapy unless its written for 90 days initially

NAPLEX 2021 (28 decks)

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