Oklahoma MPJE Practice Questions

Here’s a selection of our Oklahoma MPJE practice questions. To become a licensed pharmacist in Oklahoma you will need to pass the Multistate Pharmacy Jurisprudence Examination (MPJE). This online practice test includes questions, answers, and detailed explanations.

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Question 1

Mr. D is a regular customer of your pharmacy. He is asking for his prescription medication Alprazolam to be refilled. Upon checking his profile, it shows that there are no more refills. You tried calling the provider’s office, but it was closed due to a disaster that affected the area, and it has been announced by the governor of Oklahoma as a state of emergency. What would be the best course of action to address the needs of your patient?

A
Wait for a call back from the provider’s office.
B
Dispense a one-time emergency supply up to a 30-day supply of such medication.
C
Dispense a one-time emergency supply up to a 20-day supply of such medication.
D
Check with the federal Drug Enforcement Agency (DEA) and Oklahoma Bureau of Narcotics (OBN) to see if they have approved an emergency dispensing of CDS.
E
If, in the pharmacist’s professional judgment, the dispensing of the medication is essential to the patient’s health and safety, then refer to the Emergency Department.
Question 1 Explanation: 
If a patient from the area affected by the emergency/disaster requests refills of controlled dangerous substances (CDS), the pharmacist should make an attempt to contact the original prescriber for authorization to dispense refills.

If the pharmacist is unable to contact the prescriber regarding a CDS prescription, then they must check with the federal Drug Enforcement Agency (DEA) and Oklahoma Bureau of Narcotics (OBN) to see if they have approved an emergency dispensing of CDS for patients affected by such disaster.

If the federal DEA and OBN approve dispensing CDS in an emergency or disaster situation; and, if in the pharmacist’s professional judgment the dispensing of the medication is essential to the patient’s health and safety, the pharmacist may dispense up to the allowed limit set by DEA and OBN not to exceed a ten (10) day supply of CDS medication.
Question 2

You decided to change your pharmacy name due to a conflict with another business in town. How many days do you have before conducting an inventory for all controlled dangerous substances?

A
Inventory should take place by the end of your first day operating under the new name.
B
Inventory should take place within the first week of operating under the new name.
C
No need of conducting an inventory since there is no change of ownership.
D
Inventory should take place within the first two weeks of operating under the new name.
E
Inventory should take place within the first three weeks of operating under the new name.
Question 2 Explanation: 
Whenever a pharmacy decides to change ownership, name, or location, an Oklahoma State Board of Pharmacy application for pharmacy license should be completed and sent to the Board office at least three weeks prior to the effective date.

The pharmacy should notify the Oklahoma Bureau of Narcotics and Dangerous Drugs (OBNDD) and the Federal Drug Enforcement Agency (DEA) in writing at least fourteen (14) days in advance.

In the case of a change of ownership, dangerous drugs, controlled dangerous substances and prescription files may be transferred to the new owner. An inventory of all controlled dangerous substances (CDS) must be taken on the date of the transfer and a copy sent to the Board of Pharmacy. The pharmacy inventory copy shall serve as the final inventory of the previous owner and the initial inventory of the new owner and must be maintained in the pharmacy.

No inventory is required when location or name changes, without an ownership change.
Question 3

What is the expiration date for a Schedule II prescription for patients in an LTCF or patients with a medical diagnosis documenting a terminal illness?

A
30 days from the issuance date.
B
60 days from the issuance date.
C
45 days from the issuance date.
D
90 days from the issuance date.
E
15 days from the issuance date.
Question 3 Explanation: 
Schedule II prescriptions for patients in an LTCF or patients with a medical diagnosis documenting a terminal illness shall be valid for a period not to exceed 60 days from the issue date unless sooner terminated by the discontinuance of medication.
Question 4

Which of the following is not a task that pharmacy technicians may perform:

A
Count and pour medications.
B
Affix the prescription label to the final container.
C
Assist the pharmacist in the management of the controlled dangerous substance (CDS) inventory.
D
Prepackage and label multi-dose and unit-dose packages of medication.
E
Verify prescriptions before being dispensed to patients.
Question 4 Explanation: 
Pharmacy technicians may perform the following tasks in a licensed pharmacy:

(1) any tasks auxiliary supportive personnel are allowed to perform;

(2) count and/or pour medications;

(3) affix the prescription label to the final container;

(4) affix auxiliary labels to the container as directed by the pharmacist;

(5) assist the pharmacist in the management of the controlled dangerous substance (CDS) inventory, though the pharmacist remains responsible for completeness and accuracy;

(6) fill “Modified unit dose distribution systems”, “Automated dispensing systems” and/or “Unit dose distributions systems”;

(7) prepackage and label multi-dose and unit-dose packages of medication as directed by pharmacist established procedures.
Question 5

Which of the following represents values that pharmacists, or other authorized persons who sell Schedule V pseudoephedrine products, shall exercise reasonable care in assuring that the purchaser has not exceeded?

A
Three and six‐tenths (3.6) gram limit per day, the seven and two-tenths gram limit for a thirty (30) day period or the ninety (90) gram limit for a twelve (12) month period.
B
Three and six‐tenths (3.6) gram limit per day, the seven and two-tenths (7.2) gram limit for a thirty (30) day period or the sixty (60) gram limit for a twelve (12) month period.
C
Three and nine‐tenths (3.9) gram limit per day, the seven and two-tenths (7.2) gram limit for a thirty (30) day period or the sixty (60) gram limit for a twelve (12) month period.
D
Three and nine‐tenths (3.9) gram limit per day, the seven and six-tenths (7.6) gram limit for a thirty (30) day period or the sixty (60) gram limit for a twelve (12) month period.
E
Three and six‐tenths (3.6) gram limit per day, the seven and six-tenths (7.6) gram limit for a thirty (30) day period or the ninety (90) gram limit for a twelve (12) month period.
Question 5 Explanation: 
Pharmacists or other authorized persons who sell Schedule V pseudoephedrine products shall exercise reasonable care in assuring that the purchaser has not exceeded the three and six‐tenths (3.6) gram limit per day, the seven and two‐tenths (7.2) gram limit for a thirty (30) day period or the sixty (60) gram limit for a twelve (12) month period.
Question 6

Schedule V pseudoephedrine substances may be sold only in licensed pharmacies. Which of these would NOT be an appropriate place to keep such substances?

A
Behind the pharmacy counter.
B
Locked in a cabinet within the view of the pharmacy.
C
Locked safe within the view of the pharmacy.
D
Locked in a shelving unit within the view of the pharmacy.
E
In the seasonal allergy products aisle with the other medications.
Question 6 Explanation: 
Schedule V pseudoephedrine substances may be sold only in licensed pharmacies that are registered with the Oklahoma Bureau of Narcotics and Dangerous Drugs Control. These substances, as a special class of Schedule V controlled substances, shall be kept in a locked environment (shelving unit, safe, cabinet, etc.) that is within view of the pharmacy, or behind the pharmacy counter.
Question 7

Mr. J is a regular patient of your pharmacy. He has a compounded Promethazine topical prescription that he frequently fills in addition to all of his other medications. While visiting his son, who lives 8 hours away, he ran out of his Promethazine topical and called you for advice. The patient has available refills on his file. What should suggest to Mr. J to help him?

A
Offer to fill it for him and he can pick it up whenever he comes back.
B
Offer to refer him to a provider who lives nearby who can prescribe it for him.
C
Offer to transfer it to another pharmacy of Mr. J’s choice.
D
Offer to contact the provider to have them call the prescription to another pharmacy of Mr. J’s choice.
E
Convert it to an oral promethazine and then transfer it.
Question 7 Explanation: 
If a patient requests a transfer of their prescription, a copy of the original prescription shall be transmitted upon the request of the receiving pharmacist.

The information included in the transfer of the prescription shall include:

(1) Active ingredient(s),

(2) Concentration,

(3) Dosage Form, e.g. capsule, cream, suspension, injectable, etc.

(4) Route of delivery, e.g. oral, injectable, topical, vaginal, etc.

(5) Delivery mechanism, e.g. topical, transdermal, immediate release, sublingual, etc.

(6) Dosing duration, e.g. Q12H, Q24H, Q72H, etc.

(7) Details about the compounding procedure must be reasonably available from the transferring pharmacy.
Question 8

Which of the following forms of information may be used to supplement patient counseling when appropriate?

I.    Written information leaflets

II.   Pictogram labels

III.  Referring to podcasts

IV.  Video programs

A
I, II, and III
B
I, II, and IV
C
I, III, and IV
D
II, III, and IV
E
I, II, III, and IV
Question 8 Explanation: 
Alternative forms of information may be used to supplement patient counseling when appropriate. Examples include written information leaflets, pictogram labels, and video programs. Referring to podcasts defeats the purpose of counseling since, as a professional, you don’t have a control over how valid information is provided in a given podcast, and it might be too complex to be understood by public.
Question 9

One of the providers who passed away recently in your community, Dr. K, had a lot of patients who are customers at your pharmacy. One of these patients approached your counter asking for a refill of a medication that was prescribed by Dr. K. Would you be able to accept such request, knowing that the provider passed away?

A
No, since the provider has passed away.
B
No, a prescription is considered invalid after the prescriber passes away.
C
Yes, a limited quantity may be allowed for the patient's health and safety.
D
Yes, full quantity can be filled “up to 90 days supply” since the prescription is still valid.
E
Yes, if the prescription is not expired then their request can be accepted.
Question 9 Explanation: 
Even though knowingly dispensing prescription drug refills after the death of a prescriber is considered an unprofessional conduct, a limited quantity may be allowed for the patient's health and safety depending on the pharmacist’s professional judgment.
Question 10

A Pharmacist in charge was dealing with workload issues at work, so he asked his certified technician to help with counseling patients so the pharmacist can focus on verifying prescriptions. How would the Oklahoma State pharmacy law categorize such conduct?

A
Professional, since the pharmacist made sure he limits distractions to be more accurate at performing his duties.
B
Professional, since the pharmacist utilized the help of experienced team members to provide faster services to patients asking for advice.
C
Professional, since the pharmacist identified weakness in the workflow and resolved it.
D
Unprofessional, since the pharmacist has to be the one providing advice to patients while the certified technician verifies prescriptions.
E
Unprofessional, since the pharmacist allowed a non-pharmacist to perform a duty reserved to a pharmacist or a pharmacy intern.
Question 10 Explanation: 
Violations of the rules of professional conduct, which may also be called unprofessional conduct, include allowing a non-pharmacist to perform any of the duties reserved to a pharmacist. Patient counseling is one of these duties.
Question 11

What’s the default Beyond-use Date (BUD) for a low risk sterile compound if kept refrigerated?

A
48 hours.
B
14 days.
C
24 hours.
D
7 days.
E
45 days.
Question 11 Explanation: 
The default Beyond-use Date (BUD) for low risk sterile compounds at room temperature is 48 hours. If refrigerated, use within 14 days, or if in a freezer, use within 45 days. If USP Risk Level is ‘Low Risk with 12 hour or less’ BUD, and if kept:
(a) at room temperature use within 12 hours or less
(b) refrigerated, use within 12 hours or less
Question 12

You received a prescription for a patient that triggered flags on its legitimacy. After calling the provider’s office, someone called your pharmacy back claiming that they are a representative of the same provider and by law you have to fill what the provider prescribed. Which of the following demonstrates a proper course of action?

A
Fill the prescription since it’s required that you don’t refuse a prescription based on discrimination.
B
Fill the prescription since the provider is liable for the clinical decision they make and not the pharmacist.
C
Don’t fill the prescription, as the law does not require a pharmacist to dispense a prescription if the pharmacist believes that the prescription may not have been issued for a legitimate medical purpose.
D
Don’t fill the prescription and ask patient to obtain a different prescription from a different provider.
E
Fill the prescription, but document that you tried to exercise sound judgement but didn’t receive an answer yet.
Question 12 Explanation: 
A pharmacist is required to exercise sound professional judgement with respect to the legitimacy of a prescription. The law does not require a pharmacist to dispense a prescription if the pharmacist doubts its origin or if he believes that the prescription may not have been issued for a legitimate medical purpose.
Question 13

What would be an acceptable range of capsule weight variation according to Oklahoma State Pharmacy Board?

A
Not less than 90% and not more than 110% of the theoretically calculated weight for each unit.
B
Not less than 95% and not more than 110% of the theoretically calculated weight for each unit.
C
Not less than 90% and not more than 105% of the theoretically calculated weight for each unit.
D
Not less than 95% and not more than 105% of the theoretically calculated weight for each unit.
E
Not less than 97% and not more than 103% of the theoretically calculated weight for each unit.
Question 13 Explanation: 
A product is considered adulterated if its strength or quality differs from what it represents (this is not the only criteria for adulteration, but one example). A product is misbranded if the labeling is false or misleading. If a product’s strength is less than what is represented on the label, the product is considered both adulterated and misbranded.
Question 14

Your hospital pharmacy is going to be unattended by a registered pharmacist due to budget cuts. Arrangements shall be made in advance by the Director of Pharmacy for provision of drugs to the medical staff and other authorized personnel of the hospital facility. Which of the following is considered an acceptable arrangement?

A
Fill all emergency medications needed in a nearby pharmacy.
B
Provide each personnel with medications that can keep in case of emergency.
C
Implement the use of night cabinets.
D
A pharmacy technician can dispense a medication inpatient if the prescriber is administering it.
E
A hospital pharmacy can never be unattended by a registered pharmacist.
Question 14 Explanation: 
During such times as a hospital pharmacy may be unattended by a registered pharmacist, arrangements shall be made in advance by the Director of Pharmacy for provision of drugs to the medical staff and other authorized personnel of the hospital facility by use of night cabinets, and in emergency circumstances, by access to the pharmacy. A pharmacist must be “on call” during all absences. Written policies and procedures shall be established to implement the requirements of this section and shall be available for Board review.
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