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Pharmacyexam MPJE questions

Terms in this set (84)

Which of the following is/are TRUE regarding obtaining a pharmacist license by reciprocity?

I. A person should be licensed as a pharmacist in a jurisdiction that provides reciprocity to Arizona licensees.

II. A person has actively practiced as a pharmacist for 400 or more hours within the last calendar year or has an Arizona graduate intern license and has completed 400 hours of internship training in a Board-approved internship training site.

III. A person has engaged in the practice of pharmacy for at least two years.
I only;

A person is eligible for licensure by reciprocity who:

1. Is licensed as a pharmacist in a jurisdiction that provides reciprocity to Arizona licensees;

2. Has passed the NABPLEX or NAPLEX with a score of 75 or better or was licensed by examination in another jurisdiction having essentially the same standards for licensure as this state at the time the pharmacist was licensed;

3. Provides evidence to the Board of having completed the required secondary and professional education and training specified in R4-23-202(A);
T/F: A pharmacy permittee or pharmacist-in-charge shall provide written notice to the Board and the Drug Enforcement Administration at least 7 day before discontinuing operation of the pharmacy.
False;

A pharmacy permittee or pharmacist-in-charge shall provide written notice to the Board and the Drug Enforcement Administration (D.E.A.) at least 14 days before discontinuing operation of the pharmacy.
T/f: The State Pharmacy Board may suspend a pharmacist license if the pharmacist fails to repay a student loan.
true
To be a pharmacy intern preceptor, a pharmacist shall:

I. Hold a current unrestricted pharmacist license.

II. Have a minimum of one year of experience as an actively practicing pharmacist before acting as a pharmacy intern preceptor.

III. Hold a faculty position in the experiential training program of a Board-approved college or school of pharmacy.
I and II;

1. Hold a current unrestricted pharmacist license;

2. Have a minimum of one year of experience as an actively practicing pharmacist before acting as a pharmacy intern preceptor; and

3. If found guilty of violating any federal or state law relating to the practice of pharmacy, drug or device distribution, or recordkeeping or unprofessional conduct, enter into an agreement satisfactory to the Board that places restrictions on the pharmacist's license.
T/F: The pharmacist-in-charge of the discontinuing pharmacy business shall keep the original of the inventory with the discontinued pharmacy's records of narcotic or other controlled substance for a minimum of three years from the date the pharmacy is discontinued.
true;

During the three-year record retention period, the person responsible for the retention of record shall provide to the Board upon its request a discontinued pharmacy's records of the purchase and disbursement of narcotics or other controlled substances, prescription-only drugs or devices, nonprescription drugs, precursor chemicals, or regulated chemicals.

During the seven-year record retention period, the person responsible for the retention of record shall provide to the Board upon its request a discontinued pharmacy's records of prescription files and patient profiles.
Which of the following is/are TRUE about the prescription order?

I. For a written prescription order, the medical practitioner's signature is required on the prescription order.

II. For an electronically transmitted prescription order, the medical practitioner's digital or electronic signature is required on the prescription order.

III. For an oral prescription order, the medical practitioner's name and telephone number is required on the prescription order.
All
Who may accept an oral prescription order from a prescriber?

I. Registered pharmacist

II. Graduate intern

III. Pharmacy intern
all
According to Arizona State Pharmacy Law, the prescription record should be kept for how long?
Seven years from the date of dispensing
Which of the following is/are TRUE about continuing education requirements?

I. 3.0 CEU are required for each renewal period.

II. At least 3 hours of continuing education are required in pharmacy law.

III. All records pertaining to continuing education shall be kept for a minimum of three years
I only;

a. A licensee certified under R4-23-411 to administer immunizations, vaccines, and emergency medications has participated in at least two contact hours of continuing education activity related to administering immunizations, vaccines, and emergency medications.

b. A licensee authorized to dispense controlled substances has participated in at least three contact hours of opioid-related, substance use disorder-related, or addiction-related continuing education activity (Not in Pharmacy Law).
A pharmacist shall maintain continuing education records that verify the continuing education activities the pharmacist participated in during the preceding _____ years
5
When requested by the Board office, submit proof of continuing education participation within _____ days of the request
20
In Arizona, the inventory of controlled substances should be done every?
year, on may 1st or as directed by BOP
Which of the following shall be required on the prescription if the prescription is written for an animal?

I. Name of an animal

II. The species of animal

III. The full name and address of the owner of the animal
III only
T/F: A dispenser shall submit controlled substances dispensing report to a prescription monitoring database by the close of business on each Friday the required information for the previous week, Sunday through Saturday.
true; BUT conflict with AZPracAct

The board shall allow the reporter to transmit the required information by electronic data transfer if feasible or, if not feasible, on reporting forms as prescribed by the board. The reporter shall submit the required information ONCE EACH DAY
T/F: In Arizona, a pharmacy intern may perform a prospective DUR.
true
T/F: In Arizona, ONLY a Licensed Pharmacist can make a final accuracy check on the completed prescription medication.
false; grad intern or pharmacy intern can also
T/F: A medical practitioner who is the owner of a building cannot lease a space to a pharmacy since it is considered as an indirect compensation from a pharmacy to the medical practitioner.
false;

The board shall deny or revoke a pharmacy permit if a medical practitioner receives compensation, either directly or indirectly, from a pharmacy as a result of the practitioner's prescription orders. This does not include compensation to a medical practitioner who is the owner of a building where space is leased to a pharmacy at the prevailing rate, not resulting in a rebate to the medical practitioner
Who may counsel a patient?

I. Registered pharmacist

II. Graduate intern

III. Pharmacy intern
all;

The oral consultation is required whenever the following occurs:

1. The prescription medication has not been previously dispensed to the patient in the same strength or dosage form or with the same directions;

2. The pharmacist, through the exercise of professional judgment, determines that oral consultation is warranted; or

3. The patient or patient's care-giver requests oral consultation
The oral consultation is required whenever what occurs? (3)
1. The prescription medication has not been previously dispensed to the patient in the same strength or dosage form or with the same directions;

2. The pharmacist, through the exercise of professional judgment, determines that oral consultation is warranted; or

3. The patient or patient's care-giver requests oral consultation
In Arizona, pharmacy permits should be renewed on which of the following dates?
Nov 1st, biennially
T/F: If a pharmacy's computer system fields are automatically populated by an electronically transmitted prescription order, the automated record constitutes the original prescription and a hard-copy or electronic image is not required if the computer system is capable of maintaining, printing, and providing all the prescription information required within 72 hours of a request by the Board, the Board's compliance officers, other authorized regulatory board agents, or authorized officers of the law
true
T/F: A pharmacy intern or graduate intern shall notify the Board within 14 days of change of employment or mailing address.
False; 10 days
Which of the following information is/are TRUE ABOUT a pharmacy operating in connection with a hospital?

I. In hospitals with fifty beds or more, the pharmacy shall be under the continuous supervision of a pharmacist during the time it is open for pharmacy services.

II. In hospitals with less than fifty beds, with the written approval and recommendations of the board, the services of a pharmacist shall be required on a part-time basis according to the needs of the hospital.

III. In the pharmacist's absence from the hospital, the supervisory registered nurse may obtain from the pharmacy necessary doses of drugs that are ordered by a medical practitioner and that are needed by a patient in an emergency.
all
Which of the following drugs is classified as a Schedule III drug?

A. Fioricet
B. Fiorinal
C. Codeine
D. Lorazepam
B. Fiorinal
A pharmacy intern who is employed as an intern outside the experiential training program of a Board-approved college or school of pharmacy or a graduate intern shall notify the Board within ____ days of starting or terminating training, or changing training site.
10 days
T/F: A pharmacist designated as the pharmacist-in-charge for a pharmacy shall notify the Board within 10 days the pharmacist's responsibility as a pharmacist-in-charge is terminated.
false; immediately
The transfer of original prescription order information for a non-controlled substance should be communicated between:

I. Two licensed pharmacists.

II. A licensed pharmacist and a licensed pharmacy intern.

III. Two licensed graduate interns.
all
The transfer of original prescription order information for a Schedule III, IV, or V controlled substance should be communicated between:

I. Two licensed pharmacists.

II. A licensed pharmacist and a licensed pharmacy or graduate intern.

III. Two licensed graduate interns.
all
Which of the following is/are classified as Schedule IV controlled drug(s)?

I. Oxazepam

II. Zaleplon

III. Butorphanol
all
Which of the following requires a DEA 222 form for purchase?

A. Marijuana
B. Pemoline
C. Modafinil
D. Clonazepam
A. marijuana
Which of the following is/are classified as Schedule II controlled drug(s)?

I. Heroin

II. Morphine

III. Pentobarbital
II and III
T/F: Under an Arizona State Pharmacy Law, the electronic transfer of original prescription order information for a non-controlled substance drug can be performed by a pharmacy technician for pharmacies owned by the same company using a common or shared database.
true
A pharmacist, pharmacy intern, pharmacy technician and pharmacy technician trainee are not required to disclose the following information when filing an application:

I. A single misdemeanor charge that was dismissed, expunged or set aside more than five years before the date of application.

II. A single misdemeanor conviction that occurred more than ten years before the date of application.

III. A single felony conviction that was reduced to a misdemeanor conviction or that was dismissed, expunged or set aside more than ten years before the date of application.
all
If a pharmacy permanently discontinues operation, the permittee shall immediately surrender the permit to the ___________.
executive director
Who may compound a prescription order under the Arizona State Pharmacy Law? [Select All That Apply].

A. Pharmacist
B. Pharmacy-intern
C. Pharmacy technician
D. Support personnel
A, B
The national association of drug diversion investigators shall forward state transaction records in the national precursor log exchange to the board of pharmacy __________.
weekly
T/F: Beginning January 1, 2020, a schedule II controlled substance that is an opioid may be dispensed ONLY with an electronic prescription order as prescribed by federal law or regulation.
true
T/F: Under the Arizona State Pharmacy Law, a pharmacy may sell and dispense a schedule II controlled substance prescribed by a medical practitioner who is located in another state.
true
A schedule II controlled substance that is an OPIOID may be dispensed ONLY with an electronic prescription order as prescribed by federal law or regulation. However, a medical practitioner may write a prescription for a schedule II controlled substance that is an opioid that will be dispensed for the patient from: [Select All That Apply].

A. a veterans administration facility
B. a health facility on a military base
C. an Indian health services hospital
D. tribal-owned clinic
A, B, C, D
A pharmacy technician trainee license is valid for _________ from the date issued.
36 months
T/F: If the drug dispensed is a schedule II controlled substance, the drug shall be placed in a container that has a red cap and a warning label stating "CAUTION: OPIOID, Risk of Overdose and Addiction" or other similarly clear language indicating the possibility of overdose and addiction.
false; only for CII opioids
A pharmacist shall ensure that the following information is recorded on the back of a prescription order when it is refilled:

I. Date refilled.

II. Name or approved abbreviation of the manufacturer or distributor if the prescription order is written generically or a substitution is made.

III. The signature of the dispensing pharmacist.
I and II;

A pharmacist shall ensure that the following information is recorded on the back of a prescription order when it is refilled:

1. Date refilled,

2. Quantity dispensed,

3. Name or approved abbreviation of the manufacturer or distributor if the prescription order is written generically or a substitution is made, and

4. The name or initials of the dispensing pharmacist (not the signature of the dispensing pharmacist
T/F: Under an Arizona State Pharmacy Law, a pharmacy permittee or pharmacist-in-charge shall ensure that the computer system is capable of providing a printout of requested prescription order information to an individual pharmacy within one week of the request if prescription order information is maintained in a centralized computer record system.
false;

Under Arizona State Pharmacy Law, a pharmacy permittee or pharmacist-in-charge shall ensure that the computer system is capable of providing a printout of requested prescription order information to an individual pharmacy within 72 hours (not a week) of the request if prescription order information is maintained in a centralized computer record system
A hard-copy printout of each day's original and refill log shall:

I. include original and refill data for prescriptions dispensed by each pharmacist.

II. include the printed name of each dispensing pharmacist.

III. be signed and initialed by each dispensing pharmacist.
all

A pharmacy permittee or pharmacist-in-charge of a pharmacy that uses a pharmacy computer system shall ensure that documentation of the accuracy of original and refill information entered into a computer system is provided by each pharmacist using the computer system and kept on file in the pharmacy for seven years from the date of the last refill.
In a hospital where the pharmacy is open less than 24 hours a day for pharmacy services, a pharmacist shall verify a patient's medication order within ________ of the time the pharmacy opens for pharmacy services.
4 hrs
A pharmacist is adding 1000 mg of pure codeine powder to 100 cc of Tylenol with codeine Elixir (120 mg/12 mg/5 cc). The resultant mixture should be classified as:
schedule III;

The amount of Codeine present in the final mixture is 1.24 gms (1000 mg plus 240 mg);

It has been stated under CSA that if a mixture contains less than 1.8 gms of Codeine per 100 cc, it should be classified as a Schedule III controlled substance
It has been stated under CSA that if a mixture contains less than _____ of Codeine per 100 cc, it should be classified as a Schedule III controlled substance
< 100 grams
T/F: A prescription order for a Duragesic shall not be dispensed more than 30 days after the date on which the prescription order was issued.
False;

Under Arizona State Pharmacy Law, a prescription order for a Duragesic (schedule II controlled substance) shall not be dispensed more than 90 days after the date on which the prescription order was issued.
According to Arizona Pharmacy Law, which of the following drugs can be returned by a patient to a pharmacist once they have been dispensed?

I. Atrovent Inhaler (original sealed pack)

II. Xalatan Eye Drop (original sealed container)

III. Ciprofloxacin Tablets
I only
T/F: Prescription medications shall be accepted or dispensed under the prescription medication donation program only in their original sealed and tamper-evident unit dose packaging.
true;

Prescription medications shall be accepted or dispensed under the prescription medication donation program only in their original sealed and tamper-evident unit dose packaging.

Prescription medication that is packaged in single unit doses may be accepted and dispensed even if the outside packaging is opened if the single unit dose packaging is undisturbed. The program shall not accept a donation of a prescription medication that either:

1. Expires within six months after the donation.

2. Is deemed adulterated pursuant to section 32-1966.
Phenergan with Codeine syrup is classified as:
V

Codeine preparations - Not more than 200 mg per 100 ml or 100 gm (Robitussin AC, Phenergan with Codeine)
In which of the following instances shall a dispensing of a drug be classified as misbranded?

A. A tablet falls on a floor dispensed by a pharmacist.
B. A spider is found in an original manufacturer container.
C. A returned drug is mixed with the same drug containing a different lot number and expiration.
D. A drug is compounded without properly sanitizing the compounding area.
C
T/F: According to Arizona State Pharmacy Law, controlled substances listed in schedules II, III, IV or V can be dispensed if a pharmacist receives them electronically.
true
How long shall the original hard-copy prescription be maintained at a pharmacy if a pharmacy permittee utilizes an electronic imaging recordkeeping system?
n/a; no need to keep hard copy
Partial refills of schedules III and IV controlled substance prescriptions are permissible under federal regulations provided that each partial filling is dispensed and recorded in the same manner as a refilling (i.e., date refilled, amount dispensed, initials of dispensing pharmacist, etc.), the total quantity dispensed in all partial fillings does not exceed the total quantity prescribed, and no dispensing occurs after ______ months past the date of issue
6
Which of the following is/are TRUE about compounding practice under the Arizona Pharmacy Law?

I. All substances for compounding that are received, stored, or used by the pharmacy permittee shall meet official compendium requirements.

II. A pharmacy permittee or pharmacist may compound a pharmaceutical product in excess of the quantity dispensed in anticipation of receiving valid prescriptions for the pharmaceutical product.

III. A pharmacy permittee or pharmacist may compound a pharmaceutical product to distribute to another pharmacy or medical practitioner.
I and II only
Which of the following information is/are TRUE when a hospital permits dispensing of drugs from emergency services department when the hospital pharmacy is unable to provide this service?

I. Drugs are dispensed only to patients who have been admitted to the emergency services department.

II. Drugs are dispensed only by an authorized medical practitioner, not a designee or agent.

III. Drugs are dispensed only in quantities not to exceed 72-hour supply of the drug.
I and II
A medical practitioner who is prescribing controlled substances in state of Arizona must have which of the following?

I. Current DEA registration number

II. CSPMP registration

III. Current FDA prescribing controlled number
I and II
Within how many working days of receiving a request, the proprietor, manager or pharmacist in charge shall provide the required documents relating to the acquisition or disposal of prescription-only and controlled substance medication if this information is requested by an authorized board agent in the usual course of his official duties?
4 days; the following documents

1. Invoices.
2. Stock transfer documents.
3. Merchandise return memos.
4. Other related documentation.
T/F: The Board Office (Arizona) shall finish an administrative completeness review of permit application (for pharmacy) within 60 days from the date of receipt of an application packet.
true
An emergency oral prescription for Schedule II controlled drugs must be mailed to dispensing pharmacy by an authorized prescriber within:
7 days
After dispensing an emergency Schedule II drug, the pharmacist shall contact which of the following upon not receiving a written prescription from the prescriber within 7 days?

I. The State Board of Pharmacy

II. The patient

III. The DEA Office
I only
According to Arizona State Pharmacy Law, without a prescription, an eligible minor patient (at least 3 years of age but under 13 years of age) may receive which of the following immunization(s) or vaccine(s) from a licensed pharmacist?

I. Influenza

II. MMR

III. Havrix
I only
T/F: No more than one hundred dosage units of any single active ingredient ephedrine preparation may be sold, offered for sale, bartered, or given away to any one person in any 48-hour period.
false; within 30 days
In which of the following instances is a new permit required?

I. to relocate an existing pharmacy.

II. when an ownership of pharmacy is changed.

II. to operate a new pharmacy.
all
No less than _____ days before the relocation or remodel of an existing pharmacy, the pharmacy permittee shall submit a completed application for remodel or relocation electronically or manually on a form furnished by the Board
30 days
A physician's office, pharmacy, hospital or health care institution that participates in the program shall dispense donated prescription medication:

I. Either directly or through participating governmental or nonprofit private entities.

II. Only pursuant to a prescription order.

III. Only to a recipient who is a resident of Arizona state.
all
Effective April 26, 2018, dispensing pharmacists will be required to review the PMP record of a patient receiving a Schedule II CS for the preceding _______ at the beginning of each new course of treatment.
12 months
T/F: Before any change of ownership occurs, a prospective owner shall submit the application packet described under the Arizona Pharmacy Law. However, this requirement shall not apply for changes of stock ownership of less than 50% of the voting stock of a corporation that is actively traded on any securities market.
false; 30%
The minimum area of a community pharmacy, the actual area primarily devoted to stocking drugs restricted to pharmacists, and to the compounding and dispensing of prescription medication, shall not be less than:
300 sq ft (3 people)

additionally 60 sq ft for each additional person
Before compounding a sterile pharmaceutical product, a pharmacy permittee shall provide a minimum sterile pharmaceutical product compounding area that is not less than _________ of contiguous floor area.
100 sq ft;

EXCEPTION; any pharmacy permit issued, or pharmacy remodeled before November 1, 2006, may continue to use a sterile pharmaceutical product compounding area that is not less than 60 square feet of contiguous floor area, until a pharmacy ownership change occurs that requires issuance of a new permit, or the pharmacy is remodeled.
When a state of emergency is declared, and the state of emergency results in individuals being unable to refill existing prescriptions, a pharmacist may work in the affected county, city, or town and may dispense a one-time emergency refill prescription of up to:
30 DS

if state of emergency last at least 21 days then can do another 30 DS
A certificate authorizing a pharmacist to administer immunizations or vaccines and, in an emergency medication to an eligible adult patient or eligible minor patient shall be renewed every:
2 years;

A pharmacist remains in good standing to administer immunizations, vaccines, and emergency medications if, at the time of license renewal under R4-23-202 (every 2 years), the pharmacist attests the following to the Board:

1. Current certification in basic cardiopulmonary resuscitation, and

2. Completion of a minimum of two contact hours (0.2 CEU) of continuing education related to immunizations during the biennial license renewal period.
Which of the following is/are TRUE regarding administration of vaccines to patients by pharmacists?

I. A pharmacist or an intern in the presence of and under the immediate personal supervision of a pharmacist, may administer, without a prescription, immunizations, vaccines, and emergency medications to an eligible adult patient or eligible minor patient.

II. The pharmacist or intern must successfully complete a training program specified by the Board.

III. The pharmacist must have a current certificate in basic cardiopulmonary resuscitation.
all
For a prescription order for a non-controlled substance, a pharmacist, using professional judgment, may make which of the following adaptations to a prescription order without consulting a patient's prescriber?

I. Change the prescribed quantity if the prescribed quantity is not a package size commercially available from the manufacturer.

II. Change the prescribed dosage form or directions for use if the change achieves the intent of the prescribing medical practitioner.

III. Complete missing information on the prescription order if there is sufficient evidence to support the change.
all
A medical practitioner's agent may fax refill authorizations to a pharmacy if the faxed authorization includes: [Select ALL THAT APPLY].

A. the medical practitioner's telephone and fax numbers.
B. the medical practitioner's signature.
C. the medical practitioner's agent's name.
D. the date of authorization.
A, B, C, D
T/F: A medical practitioner's agent CAN'T electronically transfer a Schedule II, III, IV, or V controlled substance prescription order.
false
A medical practitioner who is authorized to prescribe a controlled substance may furnish a written prescription order rather than an electronically transmitted prescription order if the prescription order is written:

I. In this state to be filled in a jurisdiction outside this state.

II. For a medication that requires compounding two or more ingredients.

III. For an individual who is detained by federal law enforcement agency.
all
A non-resident pharmacy permittee shall submit notification of any change required using the permittee's online profile or as a written notice by mail, fax, or e-mail to the Board office within ________of the change.
10 days
A health professional who is authorized under this title to prescribe controlled substances may not issue a new prescription to be filled or dispensed for a patient outside of a health care institution for a schedule II controlled substance that is an opioid that exceeds _______ morphine milligram equivalents per day.
90
A health professional who is authorized under this title to prescribe controlled substances may not issue a new prescription to be filled or dispensed for a patient outside of a health care institution for a schedule II controlled substance that is an opioid that exceeds 90 morphine milligram equivalents per day.

The limit prescribed in an above paragraph does not apply to:

I. A continuation of a prior prescription that was issued within the previous 60 days.

II. An opioid with a maximum approved total daily dose in the labeling as approved by the FDA.

III. A prescription that is issued following a surgical procedure and that is limited to not more than a 30-day supply.
I and II
If a patient is prescribed more than ____ morphine milligram equivalents per day, the prescribing health professional shall also prescribe for the patient naloxone hydrochloride
90 MME
T/F: Before a health care provider delivers health care through telehealth, the treating health care provider shall obtain verbal or written informed consent, including by electronic means, from the patient or the patient's health care decision maker.
true
T/F: A health care provider may use telehealth to provide an abortion
false
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