Use these free practice questions to get started on your Alabama MPJE test prep. Passing the Multistate Pharmacy Jurisprudence Examination (MPJE) is an important step in becoming a licensed pharmacist in Alabama. Our online test includes pharmacy law practice questions with detailed explanations.
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Question 1 |
A patient comes to your pharmacy on a Saturday morning and states he has run out of refills on his lisinopril that he takes daily for his hypertension. He mentions he has tried to get in touch with his physician, but the office is closed. What is the best action a pharmacist could take to help this patient?
The pharmacist can write a prescription for the medication without contacting the prescriber | |
The pharmacist cannot dispense any lisinopril to the patient since he has no refills remaining | |
The pharmacist can dispense a 72-hour supply of the lisinopril | |
The pharmacist can dispense a 7-day supply of the lisinopril | |
The pharmacist can tell the patient to find a new prescriber |
Question 1 Explanation:
Section 680-X-2.26 of the Administrative Code defines the actions a pharmacist can take regarding emergency refills. A pharmacist can dispense a 72-hour supply of this medication since it is NOT a Schedule II or III prescription and it is required for a chronic condition.
Question 2 |
Which of the following is/are required in order for a prescriber to write prescriptions for Suboxone and Subutex?
I. Board certification in addiction psychiatry from the American Board of Medical Specialties or American Osteopathic Association
II. Addiction certification from the American Society of Addiction Medicine
III. At least 8 hours of authorized training on the treatment or management of opioid-dependent patients
IV. An agreement to treat no more than 100 patients at any one time in their individual or group practice
I, II, IV | |
I, II, III | |
I, III, IV | |
II, III | |
IV only |
Question 2 Explanation:
The prescriber must hold Board certification in addiction psychiatry from the American Board of Medical Specialties or American Osteopathic Association as well as addiction certification from the American Society of Addiction Medicine. Also, they must complete at least 8 hours of authorized training on the treatment or management of opioid-dependent patients and agree only to treat 30 patients at a time.
Question 3 |
Every Pharmacy shall be under direct supervision and control of a registered pharmacist who shall be designated the supervising pharmacist (pharmacist-in-charge or PIC). Which of the following is true regarding PICs in Alabama?
A pharmacist can be the PIC of multiple pharmacies | |
The Board of Pharmacy must be notified within 30 days of a change in PIC | |
A pharmacist can only be the PIC of one pharmacy | |
Record keeping is solely the responsibility of the PIC | |
If a temporary absence of the PIC exceeds 90 days, an interim PIC must be selected and the Board of Pharmacy must be notified |
Question 3 Explanation:
The responsibilities and requirements of the PIC are essential facts to know for the MPJE. In Alabama, a pharmacist can only serve as PIC of one pharmacy. If there is a change in PIC, the Board of Pharmacy must be notified within 10 days in writing. If the PIC will be temporarily absent for more than 30 days, a temporary supervising pharmacist should be designated. Although a PIC may oversee the functions of a pharmacy and the required record keeping, appropriate record keeping is part of the professional practice of all pharmacists. (Administrative Code 680-X-2-.12)
Question 4 |
Which of the following statements is true regarding members of the Alabama Board of Pharmacy?
Members of the Board of Pharmacy must be licensed in any state for five years before serving | |
Members of the Board of Pharmacy must be licensed in the state of Alabama for five years before serving | |
2 members are appointed by the Governor of Alabama | |
Two consecutive terms can be served by a member of the Alabama Board of Pharmacy | |
There are a total of four members on the Board |
Question 4 Explanation:
In order to be a member of the Board of Pharmacy, the pharmacist must be licensed in Alabama for at least five years before serving on the Board. The Governor is responsible for appointing three members. No member of the Board can serve two consecutive terms. The Alabama Board of Pharmacy is composed of five members.
Question 5 |
A provider faxes a prescription to the community pharmacy you are working at. The prescription is for oxycodone 5 mg tablet with instructions that read “take 1 tablet twice daily by mouth as needed for severe pain.” This is not a hospice or long-term care patient. Which of the following statements is true regarding this prescription in this jurisdiction?
It is for a medication that is classified as DEA Schedule III | |
This fax can be used as the only prescription that is needed | |
The pharmacist can begin filling the prescription, but it cannot be dispensed until the pharmacist has the signed hard copy from the provider | |
The pharmacist can sign the fax for the prescriber | |
The pharmacist cannot begin filling the prescription, and cannot dispense the prescription without having the signed hard copy |
Question 5 Explanation:
First, you need to know that Oxycodone is a Schedule II medication in this jurisdiction and federally. In Alabama, a Schedule II prescription can be sent via fax; however, the signed hard copy must be given to the pharmacist before dispensing. Therefore, a pharmacist can begin to label, count, and prepare the medication before the hard copy
is presented.
Question 6 |
What are the additional continuing education requirements for all nuclear pharmacists registered with the Alabama Board of Pharmacy?
There are no additional C.E. requirements other than what is required for pharmacist licensure | |
Two hours of nuclear pharmacy-related C.E. every renewal cycle | |
Two hours of nuclear pharmacy-related C.E. every year | |
Four hours of nuclear pharmacy-related C.E. every renewal cycle | |
Eight hours of nuclear pharmacy-related C.E. every renewal cycle |
Question 6 Explanation:
Pharmacists who are engaged in the practice of nuclear pharmacy should obtain at least 2 hours of C.E. related to nuclear pharmacy per year.
Question 7 |
The next of kin of any deceased licensed pharmacist owner of a pharmacy shall have a period of _____ days to comply with the processes set forth by the Board of Pharmacy for surrender of licensure.
7 | |
10 | |
90 | |
20 | |
30 |
Question 7 Explanation:
According to section 680-X-3-.06 of the Administrative Code, the next of kin of any deceased licensed pharmacist owner of a pharmacy shall have a period of 30 days within which to comply with the provisions of this rule (Surrender Of License And Permits At Termination Of Operation, Inventory And Disposition Of Controlled Substances Drugs).
Question 8 |
You are working as a pharmacist at an independent community pharmacy. As you are performing the annual controlled substance inventory, you come across an opened bottle of chlordiazepoxide 10 mg capsules. The container originally contained a quantity of 500 capsules. Which of the following is true regarding taking inventory of this bottle?
Chlordiazepoxide is a C-II, so an exact count must be performed | |
Chlordiazepoxide is a C-IV, so an exact count must be performed | |
Chlordiazepoxide is a C-IV in a container that does not hold more than 1,000 capsules, so the count can be estimated | |
A pharmacy technician can perform a controlled substance inventory | |
Chlordiazepoxide is not a controlled substance and should not be included in the controlled substance inventory |
Question 8 Explanation:
Chlordiazepoxide is a C-IV. The pharmacy must determine the number of units of each finished form of a controlled substance in a commercial container that has been opened, using the following rules from Administrative Code 680-X-3.08:
• If the substance is listed in Schedule II, an exact count or measure of the contents shall be made.
• If the substance is listed in Schedule III, IV or V, an estimated count or measure may be made of the contents unless the container holds more than 1000 tablets or capsules, in which case an exact count of the contents must be made.
• If the substance is listed in Schedule II, an exact count or measure of the contents shall be made.
• If the substance is listed in Schedule III, IV or V, an estimated count or measure may be made of the contents unless the container holds more than 1000 tablets or capsules, in which case an exact count of the contents must be made.
Question 9 |
Which of the following choices does NOT accurately list the drug and its controlled substance schedule in this jurisdiction?
Oxycodone: Schedule II | |
Pregabalin: Schedule V | |
Chlordiazepoxide: Schedule IV | |
Hydrocodone and acetaminophen: Schedule II | |
Gabapentin: not a controlled substance |
Question 9 Explanation:
On May 15, 2019, the Alabama State Committee of Public Health voted to change gabapentin to a Schedule V medication, effective Nov. 18, 2019. Scheduling of gabapentin varies by state.
Question 10 |
What is the maximum ratio of pharmacy interns to pharmacists in this jurisdiction that can be present at a pharmacy practice site?
1:1 | |
3:1 | |
2:1 | |
Interns are exempt from ratios in this jurisdiction | |
5:1 |
Question 10 Explanation:
Alabama law currently states that there is a maximum of 3 interns to 1 pharmacist.
Question 11 |
In this jurisdiction, who is responsible for the distribution of Limited Purpose Schedule II Permit numbers (LPSP)?
Alabama Board of Pharmacy | |
Drug Enforcement Agency | |
National Institute of Health | |
The Alabama Board of Medical Examiners | |
The Alabama Board of Nursing |
Question 11 Explanation:
The Alabama Board of Medical Examiners is responsible for distributing a Limited Purpose Schedule II Permit number (LPSP).
Question 12 |
You are working at a local chain pharmacy and a patient drops off a prescription for lisdexamfetamine (Vyvanse) 30 mg capsules #30 with the instructions to take 1 capsule daily. The pharmacy does not have enough capsules to fill this prescription. The patient asks if you can fill what you have in stock now, which is ten capsules. How long do you have to dispense the remaining twenty capsules?
60 days | |
30 days | |
Schedule II prescriptions do not expire | |
72 hours | |
14 days |
Question 12 Explanation:
Alabama follows federal regulations regarding partial fills of medications classified in Schedule II. This is addressed in Title 21 Code of Federal Regulations Section 1306.13.
The partial filling of a prescription for a controlled substance listed in Schedule II is permissible if the pharmacist is unable to supply the full quantity called for in a written or emergency oral prescription and he makes a notation of the quantity supplied on the face of the written prescription, written record of the emergency oral prescription, or in the electronic prescription record.
The remaining portion of the prescription may be filled within 72 hours of the first partial filling; however, if the remaining portion is not or cannot be filled within the 72-hour period, the pharmacist shall notify the prescribing individual practitioner. No further quantity may be supplied beyond 72 hours without a new prescription.
The partial filling of a prescription for a controlled substance listed in Schedule II is permissible if the pharmacist is unable to supply the full quantity called for in a written or emergency oral prescription and he makes a notation of the quantity supplied on the face of the written prescription, written record of the emergency oral prescription, or in the electronic prescription record.
The remaining portion of the prescription may be filled within 72 hours of the first partial filling; however, if the remaining portion is not or cannot be filled within the 72-hour period, the pharmacist shall notify the prescribing individual practitioner. No further quantity may be supplied beyond 72 hours without a new prescription.
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