Texas MPJE Practice Questions

Use our free Texas MPJE practice questions as you prepare for your pharmacy law exam. Passing the Multistate Pharmacy Jurisprudence Exam (MPJE) is a one of the requirements in obtaining your Texas pharmacy license. All of our free online test questions include detailed answer explanations. The Texas pharmacy law exam is challenging, so get started with your test prep and review right now!

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Question 1

Which of the following medications is required to be kept in locked storage at a community pharmacy located in Austin, TX?

A
Tramadol
B
Alprazolam
C
Hydromorphone
D
B and C only
E
None of the above
Question 1 Explanation: 
It is only required in Texas for Schedule II controlled substances in Class C (institutional) or Class F (Freestanding Emergency Medical Care Facilities) pharmacies to be kept in locked storage. For all other drugs and locations, controlled substances may be kept either in a secure cabinet that is locked or dispersed throughout the non-controlled stock.
Question 2

What is the minimum age requirement for purchasing an OTC product containing pseudoephedrine in Texas?

A
14 years
B
16 years
C
17 years
D
18 years
E
21 years
Question 2 Explanation: 
Texas law requires that the purchaser of a product containing ephedrine, pseudoephedrine, or phenylpropanolamine be at least 16 years old.
Question 3

A physician sends an electronic prescription for Wellbutrin to a community pharmacy with the statement “Brand Medically Necessary” noted under the drug name. Which of the following is true?

A
This prescription may only be filled with brand name medication
B
This prescription may be filled with generic medication because “brand medically necessary” is not valid on electronic prescriptions
C
This prescription may be filled with generic medication if it is cheaper than brand name medication
D
This prescription may be filled with generic medication only at the patient’s request
E
This prescription may be filled with generic or brand name medication at the pharmacist’s discretion
Question 3 Explanation: 
A pharmacist may dispense a generic equivalent if the product costs less than the brand name prescribed, the patient does not refuse the substitution, and the prescriber has not prohibited substitution with a dispensing directive. For electronic prescriptions, a prescriber may prohibit substitution by specifying “brand necessary” or “brand medically necessary.” On a written prescription, this text must be written on the prescription (no check boxes or signature line indicators permitted). A dispensing directive may also be given over the phone.
Question 4

To be considered a Schedule V controlled substance, a product containing opium may not exceed what concentration?

A
10 mg/100 mL
B
20 mg/100 mL
C
50 mg/100 mL
D
100 mg/100 mL
E
200 mg/100 mL
Question 4 Explanation: 
The Schedule V opium limit under Texas law is 50 mg/100 mL, which is half the concentration permitted under federal law (100 mg/100 mL). Any product containing more than 50 mg/100 mL is considered a Schedule III controlled substance.
Question 5

A patient brings a prescription for tramadol to a community pharmacy that is written for a quantity of 30 with five refills. On the day that she first drops off the prescription, she asks to pick up 7 tablets. She returns once a week for the next five weeks and requests 7 tablets each time, stating that this is the most the she can afford. When the patient returns the next week to pick up 7 more tablets, which of the following should be the pharmacist’s response?

A
The prescription has been refilled the maximum number of times and is no longer valid
B
The maximum number of partial fills has been exceeded and the prescriber will need to issue a new prescription
C
The prescription may be partially filled one more time, but then will be invalid
D
The prescription should not have been partially filled this way and no more partial fills will be dispensed
E
There is no problem with this method of partial filling, and 7 more tablets can be dispensed
Question 5 Explanation: 
Schedule III–V controlled substances may be partially filled with no maximum number of fills as long as the total amount dispensed does not exceed the total number of dosage units initially authorized, and all partial fills are dispensed within six months of the initial prescription. Partial fills should not be treated as refills, which are limited to five in a six month period.
Question 6

Which of the following would be considered a legal prescription?

A
A prescription for Ritalin faxed by a prescriber on a Texas Official Prescription Form to a community pharmacy for a child with no other health issues
B
A prescription for Percocet faxed by a prescriber on the prescriber’s own prescription pad for a patient in hospice care
C
A prescription for a 90-day supply of Norco verbally called in by a prescriber for a patient with a femur fracture
D
A prescription for 3-day supply of Norco verbally called in by a prescriber for a surgical procedure planned for next week
E
An electronic prescription for a 180-day supply of Oxycontin transmitted from a prescriber’s computer to a pharmacy’s computer for a patient with chronic pain
Question 6 Explanation: 
Schedule II controlled substance prescriptions may be faxed in Texas if a practitioner is prescribing a narcotic for a patient undergoing home infusion/IV pain therapy, any controlled substance for a patient in a long-term care facility, or a narcotic for a patient in hospice care. If a Schedule II prescription is faxed in one of these cases, it must be a fax of the Texas Official Prescription Form. For other situations, faxed Schedule II prescriptions are generally not valid. A Schedule II controlled substance prescription may be given over the phone in emergency situations, however, the quantity prescribed and dispensed must be limited to the amount needed to treat during the emergency period. Electronic prescriptions for Schedule II medications are permitted if all DEA requirements are met and the prescription is transmitted directly from the prescriber’s computer to the pharmacy’s computer, and there is no quantity limit on a single controlled substance prescription.
Question 7

How many refills are permitted on a prescription for a Schedule V controlled substance in Texas?

A
5 refills permitted; must be filled within 6 months
B
5 refills permitted; must be filled within 12 months
C
11 refills permitted; must be filled within 12 months
D
No refills permitted on a Schedule V controlled substance
E
No limit on refills permitted or time frame to fill refills
Question 7 Explanation: 
While there is no federal law limiting refills on Schedule V controlled substances, the Texas Controlled Substances Act limits refills to 5 refills or 6 months, whichever comes first.
Question 8

A patient picks up a new prescription for metformin at a pharmacy in Austin, TX. She has never taken the medication before, but has been a patient of this pharmacy for five years. Which of the following is true regarding prescription counseling for this patient?

A
A pharmacy technician may ask the patient if she has any questions about the prescription to determine if counseling from the pharmacist is necessary
B
If the patient refuses counseling, the pharmacist should inform the patient that the prescription may not be dispensed
C
The pharmacist must counsel the patient on this prescription and all subsequent refills unless counseling is specifically refused
D
The patient may refuse counseling on this prescription from the pharmacist, but refusal must be documented
E
Counseling is not required because this patient is not a new patient to the pharmacy
Question 8 Explanation: 
Patients must be counseled by a pharmacist on all new prescriptions (Answer E is incorrect) unless counseling is refused, in which case the prescription may be dispensed without counseling (Answer B is incorrect). Technicians may not question or screen patients in an effort to limit interaction with the pharmacist (Answer A is incorrect). Counseling is required on new prescriptions (including dosage changes), but is not necessary if the patient is picking up a refill of a prescription they have filled at the pharmacy within the past year (Answer C is incorrect). If a patient refuses counseling on a new prescription, documentation of this must be made (Answer D is correct).
Question 9

In a Class A pharmacy in Texas, who is responsible for educating and training pharmacy technicians?

A
Pharmacy Technician Supervisor
B
Pharmacist Preceptor
C
Pharmacist-in-Charge
D
Pharmacy hiring manager
E
All pharmacists employed by the pharmacy
Question 9 Explanation: 
The pharmacist-in-charge is responsible for the education and training of pharmacy technicians.
Question 10

An official of the US Armed Services who is not a DEA registered practitioner writes a prescription for Adderall for a patient at a medical clinic located at Sheppard Air Force Base in Texas. Which of the following is true regarding this prescription?

A
This prescription is not valid because it must be written by a DEA registered practitioner
B
This prescription is not valid because controlled substances may not be prescribed by officials of the US Armed Services
C
This prescription may be filled on base, but is not valid if taken to a pharmacy off base
D
This prescription may only be filled off base if it is written on a Texas official prescription form
E
This prescription may be filled at any pharmacy in the state of Texas
Question 10 Explanation: 
Federal practitioners such as officials of the US Armed Forces, Public Health Service, or Bureau of Prisons are not required to register with the DEA. However, Schedule II prescriptions written by these practitioners may only be filled on the military base or at the facility where the prescriber practices. To fill a Schedule II prescription outside of these facilities, it must be written on a Texas official prescription form, and TSBP only issues these forms to DEA registered practitioners. A Schedule III–V prescription written by a federal practitioner who is not registered with the DEA may be filled off base or outside of the practice location.
Question 11

A pharmacist who owns an independent pharmacy in Texas is notified that the manufacturer of bumetanide tablets has issued a recall citing possible mislabeling of tablet strength. Within what time period must the product be removed from the pharmacy inventory?

A
12 hours
B
24 hours
C
48 hours
D
72 hours
E
None of the above
Question 11 Explanation: 
The pharmacist-in-charge is required to have policies and procedures in place for handling prescription drug recalls. Recalled drugs must be removed from inventory within 24 hours of the recall notification.
Question 12

The Texas State Board of Pharmacy would classify which of the following as a Class G pharmacy?

A
A facility established for the primary purpose of processing medication orders for another pharmacy
B
A nuclear pharmacy preparing sterile radiopharmaceuticals
C
A mail order pharmacy located outside of Texas that dispenses medications to patients in Texas
D
A mail order pharmacy located in Texas that dispenses medications to patients in Texas
E
A freestanding facility that is licensed to provide emergency care to patients
Question 12 Explanation: 
Class G pharmacies are facilities established for the primary purpose of processing prescriptions and medication orders on behalf of another pharmacy, healthcare provider, or payor. They do not possess, store, or dispense medications. A freestanding facility providing emergency care to patients (Freestanding Emergency Medical Care Facility) requires a Class F pharmacy license.
Question 13

All of the following are methods of obtaining continuing education (CE) credit EXCEPT:

A
Completion of an Advanced Cardiac Life Support course
B
Attending a Texas State Board of Pharmacy meeting
C
Participation in a Texas State Board of Pharmacy appointed Task Force
D
Presentation of a research poster at the Midyear Clinical Meeting and Exhibition
E
Completion of a cardiopulmonary resuscitation (CPR) course
Question 13 Explanation: 
There are many opportunities for obtaining CE credit that are offered in addition to ACPE-accredited courses. A complete list may be found in TSBP Rule 295.8.
Question 14

A pharmacist had their license revoked for various reasons. How long after the license is revoked can it potentially be reinstated?

A
3 months
B
6 months
C
9 months
D
12 months
E
24 months
Question 14 Explanation: 
A license can be reinstated upon successful completion of requirements set by the TSBP after 12 months.
Question 15

At which of the following types of pharmacies in Texas does the invoice for Schedule III–V controlled substances ordered from a manufacturer not have to be initialed by a pharmacist?

A
Community pharmacy
B
Nuclear pharmacy
C
Institutional (hospital) pharmacy
D
Freestanding emergency medical facility pharmacy
E
Mail order pharmacy
Question 15 Explanation: 
TSBP requires that all invoices for controlled substances be initialed by the receiving pharmacist except in Class C-ASC (Ambulatory Surgical Centers) and Class F (Freestanding Emergency Medical Facility) pharmacies. At these locations, the person receiving, who does not have to be a pharmacist, must sign the invoice.
Question 16

Any pharmacy personnel preparing sterile preparations must take an initial written and media-fill test, followed by testing every _____________ for high-risk level compounding.

A
3 months
B
6 months
C
9 months
D
12 months
E
24 months
Question 16 Explanation: 
Pharmacy personnel preparing sterile preparations must pass an initial written and media-fill test of aseptic technique. After the initial test, personnel must be tested every 12 months for low- and medium-risk level compounding, and every 6 months for high-risk level compounding.
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