Indiana MPJE Practice Questions

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Question 1

A patient reporting with a cold has purchased a total of 7.2 grams of pseudoephedrine over the past two weeks. They returned today to purchase another package of 3.6 grams of pseudoephedrine as they “still don’t feel well.” Which is the appropriate response?

A
Advise the patient they can only purchase 1.8 g today, but can return in two weeks for the remainder
B
Sell the patient the full amount requested
C
Explain to the patient that you cannot legally sell them any more at this time
D
Sell the patient the full amount requested once they have signed a waiver to be faxed to their primary care physician
E
Advise the patient the pharmacy is out of stock to deter their willingness to purchase
Question 1 Explanation: 
A person cannot purchase drugs with >3.6 grams of ephedrine or pseudoephedrine, or both, on one day or more than 7.2 grams of ephedrine or pseudoephedrine in a thirty-day period.
Question 2

One pharmacist should not have more than ____ pharmacy technicians, with no more than ____ of those able to be pharmacy technicians in training, under their immediate and personal supervision.

A
6; 2
B
5; 3
C
5; 2
D
6; 3
E
4; 1
Question 2 Explanation: 
One pharmacist will not have more than six pharmacy technicians, with a maximum of three of those being technicians in training, under their immediate and personal supervision at any time, this supervision being defined as within reasonable visual and vocal distance of the licensed person.
Question 3

Which of the following is/are correct regarding medication take back programs?

I.    Medications collected by a take back program can be returned to sale if completed within 24 hours of receiving the product.

II.   Records of medications taken back must be kept for two years from the date of destruction or the date of delivery/shipment to the site of destruction.

III.  Medications that are taken back must be destroyed annually.

A
II only
B
II and III only
C
I and II only
D
I only
E
I, II, and III
Question 3 Explanation: 
Relevant records must be maintained for a period of 2 years from the date of destruction or delivery/shipment to the party responsible for destruction. Any medication collected shall not be returned to saleable inventory nor made available to relabeling/redispensing unless otherwise permitted by law, and those collected must be destroyed on at least a quarterly basis. Additionally, note that all pharmacies (not only retail locations) and healthcare facilities may participate provided they are active and in good standing.
Question 4

A pharmacist experiences a family emergency and needs to leave the store for an hour. Which of the following is most correct for the pharmacy to proceed?

A
The technicians may sell prescriptions until the pharmacist returns, at which point filling may resume.
B
Technicians may fill prescriptions that have been entered by the pharmacist and sell those that have already been checked by said pharmacist.
C
The pharmacist must have all legend drugs secured away with a sign visibly displayed advising the lack of pharmacist on duty.
D
The pharmacy may continue operating as normal provided that a CPhT has been designated as a senior tech to delegate responsibilities.
E
The pharmacy may remain open for technicians to provide OTC recommendations until the pharmacist returns.
Question 4 Explanation: 
Type I (retail) or Type VI (home health, LTCF) pharmacies may be open to the general public without a pharmacist on duty only if the Board has already approved an application from the site allowing it to operate without a pharmacist during specified hours, all legend drugs are secured away, a sign 20” × 30” is prominently displayed stating “Prescription Department Closed, No Pharmacist on Duty,” and only a pharmacist has access to the secured area.

If the pharmacy wishes to operate without a pharmacist during hours other than those initially specified in the application, they must notify the Board in writing.
Question 5

Which of the following is NOT a requirement during patient counseling?

A
Medicine name and description
B
Prescription refill information
C
Options for OTC substitutions
D
Action to be taken in the event of a missed dose
E
Common adverse effects or interactions
Question 5 Explanation: 
When counseling a patient, the counseling should include but isn’t limited to:

• Name and description of medication

• Route of administration, dosage and dosage form, and duration of drug therapy

• Special directions and precautions

• Common adverse effects or interactions and therapeutic contraindications (including their avoidance and action to be taken if they occur)

• Proper storage

• Techniques for self-monitoring drug therapy

• Prescription refill information

• Action to be taken in the event of a missed dose.
Question 6

Which of the following is correct regarding pharmacy closures?

A
The Board must be notified of any closure for more than 10 consecutive days
B
A Board inspector must come inspect the premises of any pharmacy before a permanent closure
C
If a pharmacy is permanently closing, the Board must be notified at least 7 days before transferring any controls
D
Permits must be returned to the Board within 30 days of closure and removal of drugs/devices
E
If a pharmacy is permanently closing, any remaining legend drugs may be destroyed on the premises if done via incineration
Question 6 Explanation: 
If a pharmacy will be closed for five consecutive days or more, the permit holder must notify the Board and secure the drugs as appropriate. If it is going to be permanently closed, the Board must be notified at least 20 days before the transfer of any controlled substances and have a copy of the inventory form required by the DEA along with the name, address, and DEA number of who the recipient will be submitted to them.

All legend drugs must be removed by either returning them to the wholesaler or manufacturer, transferring them to another pharmacy, or destroying them in the presence of a representative appointed by the Board. A Board representative will then also need to inspect the premises to certify all legend and controlled drugs have been removed. The pharmacy permit must be returned to the Board for cancellation within 10 days of all drugs and devices having been removed.
Question 7

Which of the following descriptions of pharmacy permits is/are correct?

I.    Category I is for institutional pharmacies providing care to the public.

II.   Category III includes closed-door pharmacies and other pharmacies that are nontraditional in function.

III.  Category II includes facilities that dispense to inpatients.

A
I only
B
II and III
C
I, II, and III
D
III only
E
I and III
Question 7 Explanation: 
Category I permits are for retail pharmacies providing care to the general public.

Category II permits are institutional permits for hospitals, clinics, healthcare facilities, etc. that offer pharmaceutical care by dispensing a drug product to an inpatient via drug order or to an outpatient via prescription.

Category III permits are for closed-door, central fill, mail order, etc. pharmacies that are not open to the general public but may include either traditional or nontraditional pharmacy functions, such as infusion, nuclear, or sterile compounding.
Question 8

Which of the following is/are correct regarding intern licenses?

I.    If the college of pharmacy is accredited, there is not a numerical requirement for intern hours.

II.   If the college of pharmacy is not accredited, the intern must complete 2200 hours of practical experience.

III.  A student actively enrolled in an ACPE-accredited school can apply for an intern license.

A
I only
B
II and III
C
I, II, and III
D
III only
E
I and III
Question 8 Explanation: 
An applicant for pharmacy intern registration must be either actively enrolled in an ACPE-accredited school of pharmacy, a recipient of the Foreign Pharmacy Graduate Examination Committee Certificate, or a qualified applicant awaiting pharmacist licensure examination. Practical experience requirements are satisfied upon graduating from schools accredited by ACPE, CCPA, or another Board-approved practical experience program. If the program is nonaccredited or their school did not have practical experience as part of their curriculum, the intern/extern must complete a minimum of 1500 hours of practical experience under pharmacist supervision.

Once the intern/extern applies to the Board, they must also provide a written description of the objectives and duties of the experience.
Question 9

Which of the following controlled substances may be prescribed by optometrists licensed in Indiana?

A
Hydrocodone
B
Morphine
C
Tramadol
D
Alprazolam
E
Buprenorphine
Question 9 Explanation: 
Licensed optometrists who are able to prescribe legend drugs and hold a controlled substance registration may prescribe tramadol (Ultram), but no other controlled substances. Optometrists are considered independent mid-level practitioners, and thus have a formulary that limits their prescribing. Additionally, prescriptions may not be filled whatsoever if the optometrist does not hold an IN license, regardless of if they are an out-of-state optometrist.
Question 10

All personnel conducting compounding of sterile preparations must successfully complete initial glove fingertip sampling no less than ______ time(s), and then complete sampling every ______ after initial testing.

A
1; 6 months
B
2; 6 months
C
3; 6 months
D
2; 12 months
E
3; 12 months
Question 10 Explanation: 
Indiana requires the qualifying pharmacist to ensure their pharmacy adheres to all USP standards, including in sterile compounding with USP <797>, which mandates that any personnel performing sterile compounding should successfully complete gloved fingertip and thumb sampling on both hands, no fewer than three separate times, and then successfully complete sampling again at least every 12 months after this.
Question 11

A drug order written for an inpatient at an institutional facility must include all of the following EXCEPT:

A
Name and bed number of patient
B
Name and strength of drug
C
Auxiliary labels
D
Adequate directions for proper use when administered
E
Practitioner name
Question 11 Explanation: 
A drug order, the prescription written for an inpatient at an institutional facility, must include:

• Name and bed number (or specified location) of patient

• Name and strength of drug

• Amount to be dispensed unless specified by institutional policy or guidelines

• Adequate directions for proper use of drug when administered to patients

• Name of practitioner

• Prescriber signature (if written order).
Question 12

If a pharmacist appropriately substitutes an equivalent biosimilar product for a patient, they must notify the prescribing practitioner of the substitution within:

A
24 hours
B
72 hours
C
3 days
D
7 days
E
10 days
Question 12 Explanation: 
IC 16-42-25 further elaborates on products that pharmacies may dispense that do not fall under the definition of a drug and are not defined in the Orange Book (e.g., vaccines). If a pharmacist substitutes and dispenses an equivalent biosimilar product, the pharmacist must notify the prescriber within 10 days of the dispensation. However, any subsequent refills do not require notification.
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