Prepare for your Massachusetts MPJE with our free online practice test. Passing the MPJE is a required step in getting licensed as a pharmacist in Massachusetts. Our practice questions feature instant scoring and detailed explanations. The pharmacy law exam is challenging, so be sure to do plenty of studying!
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Question 1 |
Five patients walk into the pharmacy hoping to receive a vaccination today since they are all due and feel the pharmacy can provide the service much faster than the doctor’s office. Which of the following patients must the pharmacist turn away?
A 7-year-old boy who would like a flu shot | |
A 66-year-old woman who would like the shingles vaccine | |
A 13-year-old girl who would like the HPV Vaccine | |
A 9-year-old girl who would like the TDAP vaccine | |
A 65-year-old man who would like the Prevnar 13 vaccine |
Question 1 Explanation:
Qualified pharmacists and interns may administer certain vaccines to individuals 9 years of age and older. The vaccines that may be given are in the recommended immunization schedules approved by the CDC.
Question 2 |
Of the following prescriptions, which one would be the first to expire based on Massachusetts state law? Assume all are written on today’s date.
A prescription written by a Massachusetts doctor for Dextroamphetamine for a long-term care resident | |
A prescription for written by a doctor from New Jersey for Vyvanse for an outpatient | |
A prescription written by a doctor from New York for Alprazolam for an outpatient | |
A prescription written by a nurse practitioner from Massachusetts for Oxycodone for a long-term care resident | |
A prescription written by a physician assistant from Massachusetts for Oxycodone for an outpatient |
Question 2 Explanation:
Barring the exceptions to the rule, in the state of Massachusetts, a Schedule VI or OTC prescription is usually valid for 12 months, a Schedule III through V prescription is valid for 6 months, and Schedule II prescription expirations vary greatly.
Out-of-state prescriptions are different. Out-of-state Schedule III through V medications must be filled within 30 days of being issued, but may be refilled up to 5 times if the refills are requested in writing by the prescriber on the prescription. Out-of-state Schedule II medications must be filled within 5 days of the date of issuance, and if not filled by day 6, the prescription is considered null and void.
Of the given examples above, a prescription for Vyvanse from a non-contiguous state will have the shortest time limit, being valid only for 5 days.
Out-of-state prescriptions are different. Out-of-state Schedule III through V medications must be filled within 30 days of being issued, but may be refilled up to 5 times if the refills are requested in writing by the prescriber on the prescription. Out-of-state Schedule II medications must be filled within 5 days of the date of issuance, and if not filled by day 6, the prescription is considered null and void.
Of the given examples above, a prescription for Vyvanse from a non-contiguous state will have the shortest time limit, being valid only for 5 days.
Question 3 |
When transferring a prescription, it is important to consider the schedule of the medication being transferred because the laws differ based on the schedule. Which of the following are true?
I. A prescription for Lyrica with refills may be transferred between pharmacies on a one-time only basis
II. A prescription for atorvastatin may be transferred between pharmacies within 1 year of the date of issuance
III. Both the original and transferred prescriptions must be maintained for a period of two years from the date of issuance
I only | |
I and II only | |
II and III only | |
III only | |
I, II, and III |
Question 3 Explanation:
All prescription records must be kept on file for a period of two years from the date of last refill, not from the date of issuance. Any prescription that falls within Schedule III through V, including Lyrica, may be transferred between pharmacies on a one-time only basis. Schedule VI medications may be transferred for all the remaining refills left on the prescription if it is within 1 year of the date of issuance.
Question 4 |
The allowed quantity and refill amount on a prescription varies based on the controlled schedule of the medication that is being prescribed. Which of the following is not written in accordance with Massachusetts state law?
A prescription for Buprenorphine 8mg, 1 tab PO QD #90 with 3 refills | |
A prescription for Lyrica 100mg, 1 cap PO BID #60 with 5 refills | |
A prescription for Oxycontin 10mg, 1 Tab PO BID #60 with no refills | |
A prescription for Tramadol 50mg, 2 tablets PO BID #120 with 4 refills | |
A prescription for Testosterone Injection 100mg/mL in a 2mL vial, 1mL IM 2x/month with 3 refills |
Question 4 Explanation:
Buprenorphine is a Schedule III medication. Schedule III medications may be written for up to a 30-day supply at a time with up to 5 refills, thus the prescription is valid for 180 days from the date of issuance. Under no circumstance may the pharmacist dispense more than a 30-day supply at a time of any Schedule III medication.
Question 5 |
A pharmacy that is authorized to limit their services to a particular segment of the general public and may furnish services only to the beneficiaries of a trust or pension plan describes which type of pharmacy setting?
Nuclear Pharmacy | |
Restricted Pharmacy | |
Long-term Care Pharmacy | |
Retail Pharmacy | |
Specialty Pharmacy |
Question 5 Explanation:
A restricted pharmacy may furnish pharmacy services only to beneficiaries of a trust, fund, pension plan, combination plan or profit-sharing plan within the state of Massachusetts.
A retail pharmacy may not lawfully limit services to any person of the public because that would not be in the best interest of the health of the public.
A nuclear pharmacy is a facility run under the supervision of a Board-registered pharmacist that is authorized to dispense radiopharmaceutical drug products.
A specialty pharmacy generally deals with a limited supply of medications that are high cost.
Long-term care pharmacies (LTC) may not allow walk-in traffic and only serve contracted nursing homes and assisted living facilities.
A retail pharmacy may not lawfully limit services to any person of the public because that would not be in the best interest of the health of the public.
A nuclear pharmacy is a facility run under the supervision of a Board-registered pharmacist that is authorized to dispense radiopharmaceutical drug products.
A specialty pharmacy generally deals with a limited supply of medications that are high cost.
Long-term care pharmacies (LTC) may not allow walk-in traffic and only serve contracted nursing homes and assisted living facilities.
Question 6 |
A pharmacist is filling a prescription for Oxycodone 5mg/5mL liquid. When pouring, the pharmacist misses the bottle and spills 15mL on the floor. The pharmacist attempts to retrieve the lost medication, but now it has been adulterated and should not be dispensed to any patient. What action should the pharmacist take?
Fill out a DEA 106 form and report the loss to the DEA, Board of Pharmacy, and local and state police within 14 business days | |
Fill out a DEA 106 form and report the loss to the DEA, Board of Pharmacy, and local and state police within 7 business days | |
Fill out a DEA 41 form and report the loss to the DEA within 7 business days | |
Document the loss of medication in the perpetual inventory and do not report the loss of medication to any authority | |
Document the loss of medication in the perpetual inventory, have this loss signed by 2 witnesses, and do not report the loss of medication to any authority |
Question 6 Explanation:
When a non-recoverable spill or loss happens, the quantity of lost medication must be documented in the perpetual inventory and the loss must be signed by 2 witnesses. This loss is not needed to be reported to any authority because, in the eyes of the law, this would not be deemed a significant loss or theft of a controlled substance.
Question 7 |
Sebastian is a pharmacist who shows up before the Board to receive a disciplinary action against his license. The Board decides not to stop Sebastian from having the ability to practice but does decide the case will be attached to his license on the Massachusetts website, so employers are informed of the incident prior to hiring Sebastian. What is this disciplinary action defined as?
A reprimand or censure | |
A dismissal | |
A suspension or revocation | |
A consent agreement | |
Probation |
Question 7 Explanation:
A reprimand constitutes a formal disciplinary action. A censure is a severe reprimand. Both include an expression of disapproval that is an official record that the license has been disciplined but does not interfere with the registrant’s ability to practice. The Board may choose such an action in a case where they feel the professional made a mistake that should be known by the public, but was not done with malice or was not severe enough that the pharmacist should have to discontinue work at that time.
Question 8 |
A pharmacist must conduct a prospective drug utilization review before each new prescription is dispensed or delivered to a patient. This may include a review of the patient record for the purpose of promoting therapeutic appropriateness by making a reasonable effort to identify all the following EXCEPT:
Therapeutic duplication | |
Drug-food interaction | |
Drug-allergy interaction | |
Drug-disease interaction | |
Drug-drug interaction |
Question 8 Explanation:
The pharmacist must make a reasonable effort to identify the following to meet the requirement of PDUR: Over-utilization or under-utilization of medication, therapeutic duplication, drug-disease contraindication, drug-drug interaction, drug-allergy interactions, incorrect drug dosage or duration of treatment, clinical abuse or misuse, and any significant change in the drug, dose or directions. Drug-food interaction is not necessary to evaluate.
Question 9 |
Renewal of a controlled substance registration shall be made prior to the following dates:
I. December 31st of each odd-numbered year for a pharmacy
II. December 31st of each odd-numbered year for an outsourcing facility
III. December 31st of each odd-numbered year for a wholesale druggist
I only | |
I and II only | |
II and III only | |
III only | |
I, II, and III |
Question 9 Explanation:
Every pharmacy and outsourcing facility must renew their controlled substance registration by December 31st on each odd numbered year. This differs from the employees such as pharmacists, who renew on each even-numbered year. Unlike the two facilities above, a wholesaler or wholesale druggist is required to renew EVERY year on or before November 30th.
Question 10 |
For which of the following medications may a retail pharmacist not fill or dispense any prescription without a new Letter of Medical Necessity accompanying the prescription every time?
Dextroamphetamine ER | |
Lisdexamfetamine ER | |
Zohydro ER | |
Cocaine | |
Medical Marijuana |
Question 10 Explanation:
A Letter of Medical Necessity is required for each prescription fill of a hydrocodone-only extended release that is not in abuse-deterrent form. This medication goes by the trade names of Zohydro ER and Hysingla ER. Medical marijuana cannot be dispensed in Massachusetts at this time. The other medications listed are Schedule II medications that require a prescription, but not a Letter of Medical Necessity.
Question 11 |
The state Board of Pharmacy is responsible for inspecting all pharmacies. Which of the following is true regarding pharmacy inspections?
The Board must give the pharmacy written or verbal notice prior to an inspection | |
The Board must cite every violation observed and send a copy of the report to the pharmacy | |
Each pharmacy is required to be inspected every two years | |
A plan of correction must be completed by the pharmacy manager of record for any violations and submitted to the Board within 7 business days | |
A plan of correction must have a specific timeline with a date the problem will be fixed |
Question 11 Explanation:
Although inspections are done about every two years and state Board inspectors often give notice ahead of time, neither of these are requirements. Any violations that are noted during the inspection must be documented with a copy of the document sent to the pharmacy manager. Violations that need corrected require the pharmacy manager to come up with a plan of correction and send a copy of said plan to the Board within 15 working days.
The plan of correction does not need to have a specific end date when the deficiency will be corrected; it must only explain how the issue will be addressed and corrected in the most expeditious way possible.
The plan of correction does not need to have a specific end date when the deficiency will be corrected; it must only explain how the issue will be addressed and corrected in the most expeditious way possible.
Question 12 |
Every licensed pharmacy/pharmacist shall report to the Board which of the following within 7 business days?
Any adverse change in status of accreditation of any professional license | |
Improper drug dispensing that led to serious injury of a patient | |
Termination of employment as the manager of record at a pharmacy | |
A change in board of directors of a pharmacy | |
An adverse reaction to an immunization by a patient |
Question 12 Explanation:
Any adverse change in status of accreditation, including discontinuance, termination, revocation, suspension, probation or warning pertaining to a pharmacist’s license must be reported to the Board within 7 business days.
Question 13 |
You are a Massachusetts pharmacist who works in a facility that partakes in non-sterile compounding but not sterile compounding. Which of the following is true regarding your requirement for your yearly continuing education credits (CEUs)?
You must do an additional 3 CEUs that focus strictly on non-sterile compounding (USP 795) | |
You must do 3 of your 20 CEUs for the year strictly focusing on non-sterile compounding (USP 795) | |
You must do an additional 5 CEUs that focus strictly on non-sterile compounding (USP 795) | |
You must do 5 of your 20 CEUs for the year strictly focusing on non-sterile compounding (USP 795) | |
There is no specific requirement for non-sterile compounding CEUs in the state of Massachusetts |
Question 13 Explanation:
Massachusetts requires that a pharmacist completes 20 CEUs per calendar year (40 CEUs per license renewal). If you oversee non-sterile compounding, then 3 of those 20 CEU hours must focus strictly on USP 795 nonsterile compounding.
Question 14 |
Which of the following is a duty that is NOT appropriate for a Certified Pharmacy Technician (CPT) to perform?
Provide the patient an offer for the pharmacist to counsel | |
Take a refill request for an MD for lisinopril over the phone | |
Take a prescription transfer request for atorvastatin over the phone | |
Contact a doctor’s office to obtain refills on a patient’s glipizide | |
Call a prescriber to clarify the directions for a patient’s metformin prescription |
Question 14 Explanation:
A technician, certified or registered, may not under any circumstance contact prescribers concerning drug order clarification.
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