2006 Info for Mpje

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1. As everyone says it was incredibly ambiguous and the wording was incredibly poor on some

questions making them nearly impossible to answer.

2. What would you do if a patient presented a script for Inderal 60mg #20 1qid on Jan. 20th,

2006. What Inderal you have in stock expires on Jan. 31st, 2006. How many tabs do you

dispense? All 20, they would only last 5 days at a dose of 4 tabs a day.

3. Adulterated and misbranded as always

4. Who can approve refills for a MD who is out of town?

A) an authorized agent of the MD

B) the physician’s nurse

C) another MD who is seeing patient – I go for C

5. Which Rx. requires the MD's original signature? A) Oxycontin B) Meperidine C) Vicodin K-type

A and B are both C-II drugs

6. What forms are required for the return of a C-II or C-III or C-V prescription? DEA 41 –

Registrants Inventory of Controlled Substance Drugs Surrendered – used to return drugs to the

DEA or other acceptable recipient.

7. What is required on the outside label of an emergency kit? Yes, the question was that vague.

Contents of the kit and expiration date are the answer.

8. What may be left off Rx. label if requested by MD? Name of the drug.

9. Who determines what may be in an emergency kit? A) Director of Pharmacy B) Medical staff C)

Director of Hospital K-type – go for A and B; but Medical Staff if only one choice

10. What type of drugs may be used in a multi-drug, single-dose container? Orals only

11. What prescribing rights does an opthamologist have? All, that is a physician

12. How many people may have power of attorney for use of the DEA 222 forms? I cannot find any

limit in the law.

13. What forms of medication must be prepared as a sterile product? A) Parenteral meds B)

Ophthalmic C) Inhalation K-type – all three

14. Who must you notify of change in Pharmacist in Charge? – Board of Pharmacy

15. Where can Rx be delivered? A) Patients hospital B) Patients physician's office C) Patients home

K-type – I just love these kind, but I think it would have to be all three

16. When may you apply for an intern license? After you have enrolled in school

17. Who fits the definition of pharmacy tech? Anyone working in the pharmacy department ans

assisting in the dispensing of RXs who is not a RPh, intern or extern

18. How often is a pharmacy inspected? Yearly

19. Can you take back a Rx after it has left you pharmacy, and if so under what conditions? NO,

assuming you mean retail. Hospital would be okay if unit-dose package.

20. Insulins that require Rx – all but Regular and NPH

21. Aerochamber require Rx? – YES

22. Questions upon whom to contact about petitioning to get license back. – Board of Pharmacy

23. Who must apply for a wholesaler license? – a wholesaler -AND- any retail pharmacy that sells

more than 5% of its inventory to other pharmacies, physicians, hospitals, etc

24. How long do you have to return your pharmacy license when the store closes? – I cannot find

this one anywhere but would guess no more than 10 days

25. Who has to comply with good manufacturing practice rules and regulations? – only

manufacturers

26. Questions very similar to #14, 16, 26, 31, 32, 37, 58, 61, 62, 67, 68, 79, 85, 88, 90, 99, 102,

106, 107, 189, 237, 243, 247, 269, 274, 285, 287, 291, 294, 296, 300, 373, and 402 in the

Additional Review Material packet

27. Two questions about how refill information can be documented(on the prescription and in the

computer)and accessed.

28. Out of state MD prescribes Tranxene 7.5 mg (no brand necessary label) - how would pharmacist

in GA dispense? (not a k-type) A. dispense the most cost-saving generic B. contact prescriber

to dispense generic C. ask patient if he/she wants generic D. dispense brand name product E.

Can't remember – (A) would be correct but I hate this because the patient has the right to refuse

a generic so I would put (C) for my answer.

29. A pharmacy must close because it does not have a licensed pharmacist to work. A licensed

pharmacist will be available in 28 days and the pharmacy will reopen. Options included posting

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a sign, reopening under existing license, reapplying for new license – I think you can reopen

under the existing license just by changing the pharmacist in charge.

30. What does a pharmacist need to do to get a license that has been inactive for 5 years

reactivated?

31. Which are covered under the PPPA (k-type) I. aspirin II. methyl alcohol? III. acetaminophen

32. What does a pharmacist need to have to administer influenza vaccinations? (k-type)

I. authorization from a prescriber II. proper documentation of training III. CPR certificate

33. Several HIPPA questions including if MD can access drug history from pharmacy for his patient

(I said yes)

34. Lots of questions on child-proof caps - can patient give a verbal blanket statement for all scripts

to have E-Z open caps.

35. Rx for simvastatin 20mg. Pharmacy only has 10's and 40's. Options include giving 10mg and

changing instructions; contacting prescriber for verbal authorization; give 40's and tell pt to cut

tablets in half

36. To expand on question # 274 - how much Dilantin can be prescribed for an epileptic dog? My

question asked how much Dilantin could a PHYSICIAN prescribe for an epileptic animal.

37. How many refills are allowed on dronabinol? ketamine? lorazepam?

38. Use what form to return percocet?

39. How do physicians acquire controlled substances for office use?

40. What medication could be dispensed in a non child resistant container? Isosorbide dinitrite

sublingual

41. What agency regulates OTC advertising? FTC

42. How many years must a pharmacist keep records of completed CE?

43. Pt brings rx to pharmacy for thalidomide with 3 refills. Which is incorrect? A)The pharmacy

must first register with the manufacter before ordering the drug B) the pharmacist cannot order

the drug yet because a thalidomide rx with refills is invalid

44. Rx for lasix #30 with 4 refills. How many tablets can the pharmacist dispense the day the

patient brings the RX in? 150 – the original and all four refills of 30

45. Ipecac: 1 ounce max? child resistant container?

46. Who assigns the middle NDC numbers? Manufacturer

47. What is the max number of workers a prison pharmacist can supervise?

48. What is required when selling a poison? A) a prescription B) a dose of at least 60 gm is fatal

49. Pt brings back an rx for a drug dispensed yesterday and demands a refund. What should you

do? A) give refund and then destroy drug B) refuse to take back the drug

50. No questions about partial C2 filling, clinical trials, history of laws/acts

51. Several questions about inspections, licencing: both RPh and pharmacy, moving locations,

expired license, PIC changing

52. Law about patient counseling

53. What requires sterile conditions to compound? (K type) parenteral drugs, sterile ophthalmic

drops, nasal spray

54. Least acceptable way to label an RX for lasix and drug given is furosemide? A) furosemide B)

furosemide (Lasix) C) furosemide substituted for Lasix D) furosemide generic for Lasix E)

furosemide substituted as Lasix – would be (B) because one could interpret that as simply

listing both generic and brand name drug for the Lasix that is being dispensed.

55. What should the drug inspector not inspect? Employment records, sales records, financial

records, dispensing records

56. Too much water added to an antibiotic - K type so the answer had to be misbranded and

adulterated because adulterated alone was not an option.

57. How many techs can a prison pharmacist have? I put the same as anywhere else 3 if one is a

CPhT or 2 regular ones. Not sure if there is some different law for prisons though

58. How to return an outdated C-II to a manufacturer (which form to use, supplied by whom?) DEA

222? (outdated part threw me a bit) – DEA Form 41 is correct.

59. Poison what needs to be on label

60. Who can authorize non child safety tops? – Patient and physician

61. 3-4 questions tops that I had to know what the drugs really were (either control status or OTC

vs RX).

62. Had the home health care NS for irrigation question

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63. which is an rx insulin

64. a couple what has to be done if your license is inactive both <4yrs and >4yrs

65. LTC questions

66. What can a consulting pharmacist do? this was tricky because not k type and 2 answers

seemed correct one said make therapeutic changes under a collaborative agreement and the

other was write therapy suggestions in chart for doctor to review

67. How to handle refills on controls, noncontrols

68. out of state prescriber question on C-III (the traxene 7.5mg question) word for word.

69. how to label a vet med

70. when to contact the board questions (time frame) - several

71. Marketing act question

72. when can you get an intern license

73. several misbrand/adulterated questions

74. repackaging question for multidose packets

75. I felt that the test wasn't that bad there were about 20 questions I really had to think on.

Besides that I felt that knowing the packet and the boards status on inactive licenses was good

enough. I might spend more time look at speciality situations ie. LTCF, Prisons, Consulting now

in retospect but I grazed over it and still feel that I didn't miss enough to make a difference.

76. 1.8 grams of codeine in 100mL is what schedule? C-III, but only if other active ingredients are

included and cherry syrup would not be an “active” ingredient.

77. Which requires a prescription? (k-type) Novolin-N – no; Humalog – yes; Lantus – yes

78. Have a prescription for thorazine…. (k-type)***have to know that thorazine is not controlled***

I. Fill the rx for the quantity prescribed

II. Cannot be refilled more than 5 times or after 6 months

III. Requires Federal Caution transfer label

79. A pharmacy intern has a request for Novolin 70/30 and syringes (answer was can sell them

both without a prescription, other choices were neither w/o rx, one or the other w/o rx)

80. What can the Board of Pharmacy promulgate…

A. A law B. An ordinance C. A regulation D. An injunction

One other choice I can’t remember (I put a regulation b/c the other choices I thought had to be

put through either the legislature or through a judge) – you are correct in that

81. A prescription for a dog for Dilantin 30mg 1 TID, what is the max that can be dispensed?

0, 15, 30, 90, 120 (I put this b/c it didn’t specify a quantity on the RX and I didn’t think

there was a limit)

82. Dr. Smith calls your pharmacy and informs you that he has discharged one of his patients from

the hospital back to the nursing home. He is faxing over three new prescription orders, you can

accept the fax as the original rx for: (k-type) YES to all 3 because the physician is doing the

faxing and a FAX can serve as the original on a C-II to a LTCF.

I. Some controlled substance a C-III or C-IV I can’t remember

II. Morphine for a PCA

III. Methylphenidate to counteract drowsiness from morphine

83. Question about Ipecac (k-type) and selling OTC…not more than 1 oz, requires child-proof

container, and requires a signature to buy ( I chose all 3)

84. Couple of questions about returning drugs

85. The manager of a facility that runs an independent living center, assisted living center, and a

skilled nursing bed facility calls the pharmacy and asks that starter kits be provided for

frequently prescribed drugs, the pharmacist can:

A. Can only provide for the skilled nursing bed facility (I put this but not sure)

B. Must call medical director and receive a prescription order for all controlled

substances in the starter kits

C. Must call medical director and receive a purchase order for all drugs including

controlled drugs

D. Can provide starter kits for all centers provided that kits contain only one dose of

each controlled substance

E. Can provide for the assisted living center and skilled nursing bed

86. Definition of a technician

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87. When required inventory of controlled substances is done, this includes (this question was

VERY vague and I wasn’t sure what the right answer was, I chose e). WRONG - correct answer

is D because you do not have any Schedule I drugs in a retail pharmacy permit.

A. Schedule III and IV only

B. Schedule III, IV, and V D. Schedule II through V

C. Schedule II only E. Schedule I through V

88. Receive a rx for valium that reads in the directions for detoxification and the choices were about

if a pharmacy could dispense it. I chose the choice that was pharmacy could dispense if the

pharmacy was part of a narcotic treatment program. The other choices were could dispense if

patient was part of narcotic treatment program, could dispense as written, refuse to dispense

89. Question about a retail pharmacy having to close b/c it no longer has a pharmacist, how long

to notify board (I chose 10 days but I wasn’t sure)

90. About 4 to 5 questions that included some element of knowing the regulations for repackaging

drugs

91. Pharmacy A wants to buy Inderal #300 from Pharmacy B that only has in stock Inderal #1000

in an unopened manufacturer sealed bottle, the question was pretty much can Pharmacy B sell

to Pharmacy A the #300 and repackage and what goes on the label

92. One question about what was OTC…the answer was loratidine 10mg

93. If a pharmacist for any reason voluntarily gives the Board his license, when can he apply for

reinstatement? I chose immediately, but the other choices were like 30 days, 60 days, 90 days,

120 days (not sure on this)

94. Couple of questions about an inactive license, like if a license is inactive if the CE is still

required

95. An agent from the Board of Pharmacy wants to inspect one of your patient’s records, do you let

him and does he need a search warrant (I put that he can w/o a warrant b/c I know that GDNA

don’t need one, but I didn’t know if he needs one or not) – an agent from the Board of Pharmacy

would be a GDNA agent

96. Couple of questions about counseling requirements, one was can’t charge for counseling –

actually there is a line in the law/rule that says “nothing prevents a pharmacist from being

reimbursed for counseling”.

97. No questions on any acts or DEA forms

98. Several questions about adulterated/misbranded

99. One was about an unopened bottle not being directly burned in a pharmacy fire if that was

adulterated/misbranded/contaminated

100. One about manufacturer being left off label of an OTC

101. A manufacturer license expires at midnight on what date?

102. What is the maximum tech to pharmacist ratio that can occur in a prison pharmacy (I put 3:1)

103. One question where you had to know the difference in definition of manufacturer, distributor,

wholesaler

104. Can only transfer a C-IV RX once

105. Who can request non-child proof caps

106. Question about RPh practicing w/ an expired license…answer was cease practice immediately,

contact the board, and may be subject to penalty

107. Question asking how much CE per year of an inactive license must be done (I chose 15 hours

per year)

108. Also question on how much CE necessary for each license renewal period (30 hrs)

109. Bulk transfer of pharmacy merchandise between two stores with common ownership, who if

anyone must be notified? Choices were no one, notify board 5 days after transfer, notify board

10 days after transfer, notify board prior to the transfer (this is what I chose).

110. A very tricky one that several people got - A PHYSICIAN wants to prescribe phenobarb for a dog.

How much can he prescribe? None - only vets can prescribe for animals

111. K type question about what must be on an Rx for an animal

112. Question about the FDC Act of 1906 - what it set forth

113. No questions about who can prescribe - MDs, PAs, NPs, etc

114. If a pharmacist voluntarily surrenders his license, when can he request reinstatement?

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115. A patient presents an order for Tylenol liquid #120 ml with directions take 1 tablespoon by GI

tube TID for stomach pain. How do you fill it?

A - Sell the patient the tylenol.

B - Prepare a label with directions and serial number

C. Dispense a prescription for Tylenol #3 elixir

D. Tell the patient to follow the instructions on the bottle

E. Refuse to fill the Rx.

I put to fill in like an Rx (B) since the OTC labels do not contain adequate directions for use with

a GI tube. There is a note in Flynn's material about this. ANS: Do B – since you received a RX

for the drug, you fill it like any other RX.

116. Question on who can have samples

117. Two separate questions on who regulates advertising - wanted to know if we knew that a legend

drug and a prescription drug were the same

118. K type question on when a board inspector may seize medications

I - with an administrative inspection warrant

II - if the drugs pose an imminent danger to public health

III - under order of state police.

FWW: I and II are definitely correct and I would likely say no about the state police but will have

to look for this one.

119. Question about what form to fill out for expired Percodan - DEA-41 and who fills it out

120. A-E type question of a patient requesting Novolin 70/30 and syringes to the intern and what

the intern could sell. None of the options mentioned under direct supervision...etc, etc. Answers

were like can sell syringes but not insulin, can't sell either, can sell insulin but not syringes,

insist on a Rx. I wasn't sure b/c the question specifically said the request was made to the

intern, but I assumed they were testing what could be sold without an Rx instead of what had

to be sold under RPh supervision. That could be wrong though. FWW: I would choose that can

sell both and not try to worry about the failure to see the direct supervision stuff.

121. A couple of questions about patients getting partial refills on controls, how many pills can they

get, etc. Easy math. Questions are worded very strangely so read carefully.

122. Questions about laminar flow hoods, a couple. Both had an answer relating to when/how often

these are inspected. I didn't know, but thought the information was irrelevant to the question.

It would be a good idea to know this, however.

123. A-E type question of if the PIC is going to change, how long do you have to notify the board.

124. Several questions on responsibilities of consulting pharmacists.

125. Do they have to notify the board where they are consulting? Are they responsible for syringe

disposal? Etc.

126. Question on when to inventory a drug if it becomes scheduled.

127. Couple of questions relating to how an MD should order drugs for office use.

128. One question about who a pharmacist should counsel – K type – I. caregiver, II. patient by

phone; III – patient by writing. I put I only b/c that will fulfill the counseling requirement and

the other two were optional but not required. A question of semantics really with a poorly

worded question. FW: I would go with I and II because the counseling is supposed to be oral

(in person or by phone would be oral).

129. K type question about where a medication may be delivered – patient's hospital, prescribing

MD's office, patient's home – all 3

130. Multiple questions about what to look for during a prospective DUR

131. I had more than enough time to take the test, so don't hurry and read each question carefully

as the wording is very vague. What helped me most was keeping in mind what is in the best

interest of the patient and for the patient's safety, as well as what answers make sense for the

situation. Several questions had answers that were technically correct but irrelevant to the

situation.

132. I finished the MPJE today and it was very random-most of my questions had nothing to do with

the actual practice of pharmacy and answers were so similar they could almost match.

133. I did not have any questions on practical law (refill limits, renewal dates, control classes,

transfers, emergency kits) so that made it very hard.

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134. To whom can a pharmacy NOT dispense sterile saline for irrigation to? I put A. since it is not

patient specific, but was not sure. A. nursing home B. hospital C. podiatrist D. cardiologist

E. pediatrician

135. Who asigns the middle NDC number? I put C. that was in your packet. A.FDA B.DEA

C.manufacturer D.state board

136. A manufacturer has until midnight of what date to renew license? A. Nov 30 B. June 30 (this

is the usual renewal date for all licenses except personal license as a pharmacist which is Dec

31 C. Sep 1 D. Dec 31 E. Jan 31 st

137. Who should a physician obtain DEA number from? I am guessing C. now but I put boad of

medicine A. board of pharmacy B. board of medicine C. federal government – this is correct

because the DEA is a federal entity

138. Two questions on physicians wanting to order Valium for office use – the only reasonable

answer was to sell it and form an invoice, the other answers involved filling it for "office use"

and I knew that was wrong

139. How long do you have to send DEA 222 copy to the DEA if you are issuing the C-II? End of the

present month

140. Can a pharmacy accept a patients drugs to dispose of if the patient has passed away? I am

assuming yes if proper disposal is done. Could not find this written in law-I tried to find the

answer before the exam because it has been on others. Because of the disposal, Flynn would

also say yes; but the devious minds who create this test could just be trying to make the point

that you should not take drugs back from patients.

141. If a pharmacy is closing on March 15th when must they contact board? I put A. 2 weeks prior

to but not sure? A. March 1 B. March 15 – you can wait until the day you close C.st th

february 15 D. February 1th st

142. How many pharmacists are required to be a member of the Georgia board? Six

143. Alabama Law seemed very similar to Georgia law for MPJE purposes. First of all, that test was

very hard and ambiguous! Terrible test...this is why I didn't go to law school!

144. Know what to do if MD dies and have an Rx from him/her

145. emergency kits

146. OTC labeling (No NDC required)

147. what can do if pharmacist leaves pharmacy with tech in charge (can only give out alrerady filled

and checked prescriptions) – this might be true for Alabama but it IS NOT true for Georgia and

most other states

148. No DEA forms other than 222 were asked about

149. lots on controls,

150. how can a vet order Tylenol #3 – write a prescription or do the same invoice thing as described

above for Valium

151. prospective drug review and when you DON"T have to do it? Mostly for those in some form of

institution (hospital, LTCF, etc)

152. what a tech can and cannot do,

153. OTC insulin--regular

154. What has to happen when the PIC leaves? (ex. Inventory controls, contact DEA, contact BOP)

155. What does not require RX? (1/8 grain codeine, 15mg/5mL codeine, 50 mg benadryl in a sleep

aid, soft lens contacts)

156. What do you do if a nurse wants to fax from her home office her personal RX for birth control?

(fill the order based on the fax but do not deliver the medication to her until she delivers the

actual RX--I would have chosen this one, except that it said do not “deliver” the medication, Iwas thinking that that did not mean “dispense”--, tell her that the fax cannot be consider as a validRX for dispensing the drug-I chose this one, however, it would have been valid if it had beenfaxed from her doctors office--, some others I can’t remember) – this sounds to me like

something that is not covered by GA law since this comes from AL

157. Multiple instances when pt brings in rx for OTC the rx should be honored as written because

either dose MD wrote was lower than OTC or had different directions

158. Pt bring in RX that looks to be subtherapeutic (call MD and tell him of his mistake-I wouldn’t

do that b/c what if pt had medical condition that required decreased dose--, call MD and

discuss pharmacotherapy of patients disease-I chose this one--, tell patient to tell MD to

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prescribe something stronger-Pharmacist is responsible for communicating with the physician

at this point--, and another choice.

159. How long should prescription drug information be kept on file? (2 years after last refill)

160. Someone (not specified as the pt’s agent) brings in an Rx for some HIV drug that I can’t

remember and this person asks you to give them information about the drug-I decided that

since the person wasn’t specified as patients agent and this was a sensitive drug-for HIV- that

I should not discuss with the person who brought in the Rx until getting permission from

patient

161. Pt’s agent brings in Rx for a penicillin antibiotic and pt’s agent does not know if pt has pen

allergy? (fill rx, tell agent you can’t fill, or call patient or patient’s physician to find out if patient

has pen allergy-I chose this one)

162. Home health care nurse wants to get saline irrigation (the irrigation says RX only) she should.

. . (get from central supply and send Rx to pharmacy, dispense from pharmacy upon receiving

a RX, and some others) (I was a little thrown off here b/c I only remember reading about HHC

nurses getting kits for injectables (NS, sterile water, and heparin) in the board rules)

163. Pt has RX with #100 +5RF, gets the original rx for #100, gets #100 on two different occasions,

then gets #50 on two different occasions, how many tablets are remaining that the patient can

get?

164. What should be done if a LTCF want the pharmacist to include meperidine in the emergency

kit?

165. Can the LTCF become owner of the emergency kit?

166. A few questions about transferring prescriptions that were not that difficult

167. Someone who has a severe injury that requires significant amounts of opiods, becomes addicted

to morphine. The pharmacist must remember (it is illegal to dispense morphine to a patient who

is addicted, the patient should be enrolled in a hospital methadone clinic, and some others)

168. which of the following can authorize a non-child safety cap? The question had 5 answers, one

was patient, one was physician, and 3 other bad ones. You could only choose one so i stuck

with patient.

169. i had several questions about dea forms. Also, know who fills out what forms.

170. What forms can you use to order schedule II drugs? I. Electronic equiv. of a DEA 222 form II.

Faxed 222 form III. Telephone order after registration

171. First time Lipitor prescription. The offer to counsel may be made by a licensed: I. Pharmacist

II. Pharmacy Intern III. Pharmacy Technician

172. MD who wants to obtain repackaged OTC drugs can obtain from permitted: I. Community

pharmacy II. Hospital III. OTC manufacturer

173. If a pharmacy closes permanently, what should be done with the used DEA-222 forms? store

with pharmacy records? Return to DEA is correct.

174. Which insulin requires Rx? Novolog mix 70/30

175. What is the maximum qty of dilantin (1 capsule QID) a PHYSICIAN can prescribe for an epileptic

dog? 0, 30, 60, 90, 120 – NONE, physicians cannot prescribe for animals.

176. I finished the MPJE exam with 52 mins. left, so be sure to take your time and read the

questions carefully.

177. You receive an rx from an optician for prednisolone opth. soln. with 2 refills. The patient has

been instructed to not wear her contacts for three weeks during therapy. You should: fill the

rx, but only for the duration of therapy; fill the rx, allowing both refills (YES); not fill the rx,

since it is not allowed; only fill the original rx, and allow no refills

178. Compounding pharmacies can use products: approved by USP; drugs from manufacturers

approved by the FDA; drugs on DEA list

179. Wholesaler licenses expire on midnight of June 30

180. Which product requires light protective packaging? (not K-type) Methyldopa; Lasix YES);

Erythromycin; some sort of Manganese compound; (another-not sure of answer)

181. Question on responsibilities of pharmacist providing kits to LTCF, some choices included:

regularly visit LTCF; provide consultant services to LTCF; others

182. You receive a request from the administrator of a place that provides assisted living and skilled

nursing svcs, requesting starter packs for commonly prescribed drugs. You may provide the

kits, only to patients of the skilled nursing facility; provide the kits once you receive an rx for

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all controlled drugs in the kits; provide the kits once you receive a purchase order for all the

drugs in the kit; cannot provide kits

183. A veterinarian presents an rx for lorazepam that says for office use, you can: dispense; sell

him the drugs once you receive a DEA 222; dispense when a patient name is provided;

dispense if the vet is named as the patient

184. You are out of stock of an item, and receive a fax from a company selling limited quantities of

the drug at a substantially marked up price. You must: verify the company is registered as a

wholesaler with the state and a manufacturer with the FDA; verify the company is registered

with the state as a wholesaler with the state and DEA; verify the company is registered as a

wholesaler with the state.

185. Question about a company’s warehouse flooding and they are offering all drugs at discounted

prices. You have bought some of these drugs. What must you do before dispensing them?

186. A sale of pseudoephedrine must be reported to the DEA if it is over: 17g 24g 30g 60g 90g

(I think these were the choices, not sure which is correct – 90 gm)

187. Question about which products do not require tamper evident packaging, choices included

APAP, ASA, contact soln, etc

188. Question about schedule of Fiorinal w Cod, Fiorinal Caps, Fioricet, APAP w cod #3.

189. When sending C-IIs back for credit, what must be filled out? pharmacy filled out DEA 222;

pharmacy filled out DEA 104; pharmacy filled out DEA 41; Wholesaler filled out DEA 222 (YES

on the assumption that to get credit you would be returning them to the DEA) Wholesaler filled

out DEA 104

190. Several questions about powers of the board, one concerning a pharmacist licensed in another

state, and what the board can do to them

191. Several questions about how long you have to notify board about different things, such as PIC

change.

192. Question about how many techs are allowed to assist pharmacist in a prison clinic

193. K-type about which products can be used in narc treatment – Subutex; Suboxone; Methadone

(all three)

194. Question about what the practice of pharmacy includes.

195. Question about what is part of DUR.

196. A couple of questions on the make up of the Board of Phcy.

197. Several questions about adulteration vs misbranding (ie. 10% too much water to antibiotic, one

about capsules fused together, one about a product compounded with the wrong ingredients)

198. Question about requirements to get license back after 25 years of practicing as a physician.

199. Requirements to sell Ipecac. (a choice included requiring the patient to sign the poison log)

200. A patient comes in demanding a refund for a prescription you filled for his daughter, because

it is for a medication she is already on. You should: Give the refund and restock the item (NO

restock); Give the refund and destroy the item (YES); Refuse to give the refund (YES, would

also be legal)

201. Question on CE requirements

202. A physician wants you to return concentrated KCl to you, and he did not buy it from you, what

can you do? I would not take it from him.

203. Is it LEGAL to let another rxacy "borrow" C-II inventory? NO, but you can sell it to them with

a DEA222 form from the other pharmacy. Borrowing means that you would not be able to

account for an inventory shortage if an inspector came in.

204. Do you have to have a purchase order if another rxacy is borrowning stock? NO, but you need

a written record and I would get a PO if controlled substances are involved. (and see above)

205. What percentage of stock can you sell to another rxacy without a wholesaler licence? 5%

206. Can a retail pharmacy provide for LTCF? GA requires that the pharmacy that provides meds to

a LTCF must have a retail pharmacy permit, so YES.

207. On my MPJE I had NO NUCLEAR, C-II partial fills

208. Several questions on Consultant RPh such as a Pharmacist has entered into a collaborative

agreement with a Physician, the RPh can...Change doses based on labs, order labs.

209. Which insulin requires RX? Listed insulins by generic names i.e. R = Isophane Zinc, Humalog

= Lispro,

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210. Rules on changing CII's : RPh must contact MD to make any change. After counsultation can

change address, drug qty, drug strength. MAY NOT CHG Pt name, medication name (except for

generic), or MD signature.

211. Dad wants you to chg RX from pills to susp for his kid.

212. Smoke and water damage = adulterated (I had several adulterated)

213. Dad returns RX his daughter picked up the day before and he already had the medication, you

tell him...You cannot accept the drug back, but can give a refund.

214. Dog with epilepsy and PHYSICIAN writes Dilantin, how much can you dispense. 0 30 60 90 120

I choose 0. Doctors can't write RX's for animals only people.

215. How long do you have to notify DEA of store closing?

216. Prospective DUR-I said idiosyncrasies

217. What do you do with DEA 222 when store closes. I said return to DEA. Another choice listed

said destroy.

218. Manufact. license expires midnight March 31 ?st

219. A pharmacist becomes a doctor and lets her RPh license expired. 25 years later she decides she

wants to practice pharmacy. What must she do? I said contact board regarding reinstatement.

Other options were retake all exams, she has enough med credits to allow for immediate

reinstatement, pay fines.

220. Under what circumstance can the BOP NOT take action: When a pharmacist is names as a

DEFENDENT. (NOT GUILTY until proven otherwise).

221. Ferrous Sulfate sold OTC should: Be in blister packaging

222. 1997 Modernization act - If you have compounded RX's you must meet USP/NF standards

223. The infamous your pharmacy can compound Rx's for...anticipation of RX's based on history of

prescriptions. Other answers were for another RX, for another pharmacy in your chain.

224. Pt has 'BINGO' card blister pack and is in Assisted Living Center. The metoprolol has been

discontinued and the card returned to you. What do you do? I said remove the metoprolol.

Another option listed was to destroy the card.

225. Dr uses a stamp to sign his RX's and you receive a Ritalin RX you....must have a authentically

signed RX

226. Internet RX transmitted for Temazepam via fax is missing the physician's header (Date, time,

MD name, practice, etc), what do you do? Fill as is, Call and Verify RX, dispense a 7 day supply

and call, fill a 72 hours supply and call.

227. LTCF wants to add meperidine to its Emergency Kit, needs... DEA 222 filled out by the director,

DEA 222 to send to wholesaler, place in kit for use and bill when used. I said the last.

228. Which is OTC? Loratadine

229. Pt recently in accident, has surgery, as a result becomes addicted to pain meds, the pt must get

morphine from...I think I said treatment center. There was not a choice stating only a 24 hour

supply could be given.

230. How much paregoric can you sell OTC? None

231. Xanax 0.5mg #90 1 TID w/5 RF. Pt gets #30 at first fill. What is the MAX the pt can get total.

540 (90 x 6)

232. compounding cytotoxic drugs - requirements

233. Pt caregiver picks up RX - counsel caregiver and that is all that is required

234. Pt can't make it in time to pick up RX, you....Leave at another RX, deliver to pt home. k-type

question

235. Doctor wants a C2 for office use, he must...Submit a DEA 222 to pharmacy.

236. Podiatrist writes RX for Amoxil and Percocet, you...Fill both, Fill the Amoxil and disregard the

Percocet, Don't fill either b/c podiatrists can't prescribe....The answer is fill both

237. From the additional review packet for MPJE : 5, 6, 16, 20, 24, 25, 35, 53, 58, 78, 88, 104, 105,

186, 270, 316, 370, 372, 389 and also, look at 370 "MUST" versus "MAY" Key words to look for

238. Physicians, Dentists, Veterinarians, and Podiatrists have full prescribing rights in GA

239. Optometrist (OD), nurse practitioners (NPs or APRNs) and PA(s) are mid-level providers and have

limited prescribing rights

240. PA(s) and NPs in GA can prescribe controls, but not CIIs in the state of GA. They need their own

DEA numbers to prescribe CIII – V

241. You cannot fill and out of state PA or NP prescription

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242. You may dispense a 72-hour supply of a prescribed, non-controlled medication if a prescriber

cannot be contacted for refill authorization.

243. If a physician dies all prescriptions are voided regardless of whether or not refilling

authorization have been granted; however, you may refill a prescription for up to six months

to give a patient time to find another physician.

244. Keep records for two years, Flynn’s “magic” number, but financial records are 3 years and there

are others on page 10 of his MPJE packet.

245. One pharmacist in charge of one pharmacy at a time.

246. If you have an area that can be locked up, then a pharmacist can be absent for periods no

longer than 1.5 hours and no more than a total of 3 hours in a day.

247. A pharmacy license (Building) must be renewed for two year periods and expire on June 30th

of each odd numbered year. IF not paid by September 1 of the odd year than the license willst

lapse and shall not be renewed, but have to apply for a new license for that business.

248. Only a pharmacist, extern or intern can take oral prescriptions or refills. Same goes for selling

a syringe

249. A pharmacist or pharmacy may receive eligible drugs for credit or reuse from long-term care

facilities provided that: The drugs were originally dispensed by the same entity; The pharmacist

has assurance that the drugs were properly stored; Package with expiration date and lot

number have been maintained; Drugs have not expired and have a minimum of 6 months

remaining before they do; and Judgment of the pharmacist as to the drugs being ok.

250. You can fill an out of state Rx, but not one from outside the US unless a doctor here signs off

on it

251. What must be on the prescription label: Name and address of the pharmacy, Telephone number

of the pharmacy, Expiration date of the drug, ID of dispensing pharmacist, Name of patient (if

pet then pets name), Serial number, Date it was filled, Name of the Doctor, Directions for use

252. You cannot sale or exchange more than 5% of your business with other pharmacies without

getting a distributors license.

253. GDNA does not need a warrant to inspect, but does to take records

254. You may counsel the patient, their caregiver, or agent.

255. Who should be contacted if there is an impaired pharmacist?

256. Any pharmacist having knowledge that a pharmacist or drug store owner allows or encourages

any unlicensed person to illegally fill prescriptions or practice pharmacy while impaired shall

report such action within ten (10) days to the Director of the Georgia Drugs and Narcotics

Agency (GDNA) and upon his failure to report such acts to the director, which shall be grounds

for sanctions on such licensed person's license.

257. Who can have an effect on your license? DEA and Board of Pharmacy

258. What is important to note when transferring a controlled substance? Number of refills

259. Gms of pseudoephedrine allowed to dispense without contacting the DEA? 24gm Warning from

Flynn – these rules change on Sept 30, 2006

260. Rx calls for 20mg of drug x and you give them 30mg of drug x, is this misbranded or

adulterated? Misbranded

261. You reconstitute an Antibiotic with to much water, is this misbranded or adulterated?

Misbranded

262. When submitting out dated or adulterated drugs to a reverse distributor, what is required? A

return form (not an order form), for controls, a DEA form 41 must be submitted to the DEA (the

reverse distributor does this).

263. Not matter what the circumstances, a drug cannot be taken back by the pharmacist, you can

refund the money, but you can’t take the medication back and send it to the manufacturer.

264. How many techs can a prison pharmacist manage? 3 at the most, if one is certified

265. What is required for the dispensing of Poisons? Does it require a prescription, can you dispense

amounts which could kill a human, I don’t know – See in Flynn’s Handout

266. How long to keep records for CE? 2 years

267. One question will ask if all OTC liquids are required to be in a light sensitive bottle? The answer

must be no, because my CVS benadryl is in a clear bottle and that stuff works good, chewable

ASA I believe can only be in 36 qty packages,

268. What can be left off the drug container label if requested by the MD? Drug name, formulation

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269. Can a Central Fill Pharmacy operate in Georgia and can they only dispense long term care

medications only? I don’t know – YES, they can

270. If the PCI leaves, How long do you have to notify the board? Every pharmacy shall be under the

direct charge of a registered pharmacist whose name shall appear on the license. In the event

such pharmacist whose name shall appear on said license shall no longer be in charge of a

pharmacy, the Board shall be notified immediately and shall be notified, at the same time, of

the successor registered pharmacist.

271. Once a pharmacy receives a patients prescription drug order, that pharmacy cannot forward

such prescription drug order to a second pharmacy in order for the second pharmacy to fill the

prescription drug order and return the filled drug container to the original pharmacy for

dispensing or delivery to the patient.

272. Act of 1906 (Wiley-Heyburn act) or (Pure Food and Drug Act)? Prohibited foods and drugs that

were distributed through interstate commerce to be adulterated or misbranded

273. Who can take pt information? Tech, certified tech, cashier, (since there is little diff. Between all

three, I think it is all three) I also think I’ve read somewhere that whoever a pharmacist

designates to take pt information, can take it

274. Prospective Drug Review? Make a reasonable effort to obtain any known allergies, drug

reactions, idiosyncrasies, and chronic conditions or disease states, otc use, rx use (I believe the

answer to this question is which one does not belong and its going to be food allergies). Note:

Pharmacist can counsel patients in person, over the phone, and may also supplement such with

written information, they are not required if the pt refuses, inmates, in-patients etc….

275. How must pharmacies who deliver counsel patients? I don’t know (either call on phone before

or after rx arrives, or 1-800 number, or package insert) one or all of these, I don’t know

276. Xanax question, 90 with 5 refills, they get partial of 30, should be able to get the full amount

540, or remainder 510

277. FDA regulates the advertisement of prescription drugs and the FTC regulates OTC

advertisement

278. Who can request a prescription to be dispensed in a unit-dose package? Prescriber, patient,

patient care giver, one or all, I don’t know

279. IMDUR does not require a safety cap?

280. Pt request a non-safety cap for CII? Fill with their request, but it would be wise to record

281. Who can request a safety cap? Patient, prescriber (but can not give blanket statement), patient

care giver

282. Who can enter a hospital pharmacy when pharmacist not there? Director of Nursing assigned

by the Director of Pharmacy

283. Who can have samples? MDs only, hospitals can store for MDs, but in general, hospital

pharmacies should not contain, community pharmacies should not either, nurses (I don’t know)

– Must be authorized to prescribe the drug that is the sample in order to have that drug as a

sample.

284. Within three (3) days following any damage by fire and/or water to a building or storage area

in which any of the above said items are stored or retained, written notice shall be forwarded

to the Director of the Georgia Drugs and Narcotics Agency (GDNA) at his office, by the person

or his agent with custody or control of the said items informing the Director of the GDNA of the

circumstances and requesting an immediate inspection of said items. Within three (3) days from

his receipt of such written notice the Director of the GDNA shall cause an inspection to be made

of said items for the purpose of determining their suitability for use as intended and within a

reasonable time after the completion of said inspection, the Director of the GDNA shall forward

to the person from whom he received such notice a report of the result of said inspection and

an authorization to release said items for retail sale if the facts so indicate.

285. The theft, loss, or unaccounted for controlled substances must, within three (3) days of its

discovery, must be reported to the Drug Enforcement Administration and the GDNA. A written

report must be made regarding any theft, loss or unaccounted for controlled substances by

completing a DEA Form 106. Within ten (10) days of receiving such DEA Form 106, the original

and one copy of the report must be sent to the Drug Enforcement Administration; and One copy

must be sent to the GDNA.

286. Which of these is NOT a C-II… answers included several kinds and names of opium, but one

was camphorated tincture of opium aka paregoric (C-III)

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287. antibiotic reconstitution question about misbranding/adulteration

288. question about central-fill pharmacies, (I assumed aka mail-order pharmacies) which are not

allowed in GA

289. which of the following can be sold OTC, Benadryl 50 mg, VIT A 50,000, drug containing codeine

15 mg/5mL, 1/8 grain codeine, soft lens contacts (I chose Benadryl)

290. who determines emergency kit contents, Director of Pharmacy and medical staff

291. where can Rx be delivered

292. about technicians, the answer I thought best was "can be high school student interested in

being a pharmacist, other answers were tech must not have been convicted of a crime, tech can

be an intern or extern

293. I wasn't sure what I should put for this one… a father brings in a filled prescription from the

day before that was filled for his daughter and demands a refund because she is already taking

this med and has some at home. The 2 answers I struggled between were, refuse to take the

drug back or give a refund and destroy the drug. I put refuse to take it back, because can't she

just use it later, so she doesn't have to come back in for a refill!

294. One was worded strangely… a pt comes in requesting hydrocodone 7.5 and APAP 500 mg, on

September 15. The prescription has 1 refill remaining. The original prescription was written for

#90 on July 1, and the patient has gotten 15 tablets every 15 days. What can the pharmacist

do? So on Sept 15, there are still 15 tabs (75 already given over the last 2 ½ months) remaining

on the first #90, and one of the answers was you can still fill 15, but then that is it because

there are no more refills. But what about how it said that there is one refill remaining? It was

not clear if the original prescription was written #90 with 1 RF, in which case the answer would

have been just give him the 15 tabs and he still has a full refill (this is the answer I chose).

295. Tranxene 7.5 mg question & out of state MD… word for word

296. A couple of questions where you needed to make a change on a controlled prescription, what

should you do… I chose contact the prescriber to authorize the change, other answers were just

make the change and let the prescriber know within 48 hours or 72 hours

297. Know that dronabinol and ketamine are C-III

298. If a drug is OTC, which requires tamper-resistant packaging, answers included Sucrets

lozenges, benadryl "sealed" capsules, ipecac

299. A physician calls you for a solution of cocaine, something, and something else… do you mix it

up, ask for a request for "office use only" (NO), ask for an invoice, ask for a patient-specific

prescription (that's what I chose)

300. A pharmacy can distribute normal saline to which of the following EXCEPT… hospital, nursing

home, I don't remember the other choices

301. A laminar flow hood must be… registered with the Board of Pharmacy, registered with the DEA,

certified (I chose certified)

302. Retail and hospital pharmacy license are renewed June 30 biannually.

303. How much of a controlled substance can you get OTC in 48 hours? 120 mL

304. Some of the questions were the same or very similar to the ones in the law question packet and

the sample test on the CD-ROM. I read all of the law packets and went through the sample

test. I feel that I was as prepared as I could have been for the exam. I just pray that I did well

enough to pass.

305. How long to you have to tell the board that the pharmacist-in-charge has changed?

Immediately—10 days—5 days—7days—etc

306. Who is responsible for telling the Board that the pharmacist-in-charge has resigned?

Pharmacist-in-charge—pharmacy owner—store manager—etc

307. Some thing about what is required for a collaborative practice agreement. I didn’t realize what

they were trying to ask until I spoke with others form our class. It did not say “collaborative

practice agreement” in the K-type question.

308. How many hours of CE are required?

309. When does a pharmacy license expire and a pharmacist license expire?

310. How often should a pharmacy be inspected?

311. A strangely worded question about the medical director over a skilled nursing facility, assisted

living, etc obtaining starter kits for the patients.

312. A question where I had to pick out the non-OTC medication?

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313. W h ich does not have to be in a Po ison R es is tan t Package?

Clomid—Prempro—premarin—estradiol

314. When do you need to record a poison purchase in a ledger? OTC sale vs. RX

315. What does the 1906 law state?

316. How can you change an Adderall XR 30mg RX to Adderall 20mg RX? Have the pt return to the

doctor’s office for a new RX—when the MD approves the change by phone and you make a note

of the change on the original RX—etc

317. A pharmacist knows that a wholesaler’s warehouse has been flooded, but orders drugs from

them anyway. How can a Pharmacist sell the medication? After stability testing—cannot sell

because of the Food and Drug Act—etc

318. Manufacturing practices should be followed when – a- Labeling or relabeling; b- Packaging or

repackaging; c- Production, preparation, propagation, or processing of drug (K style)

319. How many days does a pharmacist have to renew their license without being penalized with a

fine? (Answer is 30 days)

320. If you have an inactive licence do you need to still do CE? NO

321. PIC resigns. Who must notify the board? a- the PIC; b- the store manager; don't remember the

rest

322. Send metoprolol meds to LTCF for a patient in BINGO card pack. BINGO card is returned

unopened to your pharmacy. What do you do? a- Return pills to stock for reuse; b- Entire

BINGO card can be given to another LTCF patient; c- Must send to reverse distibutor

323. No pharmacist is available to work in the pharmacy for 28 days. What does owner do? a-

contact board via certified mail; b- close pharmacy and post a sign; c- request a variance; don't

remember the other options

324. Which doesn’t have to be in a child proof container? a- ortho novum 7/7/7; b- isordil

sublingual; c- questran (this was a k style)

325. Person wants to buy 2 robitussin AC for a month long trip they will be taking out of state. What

do you do? a- Have them sign 2 times and let them take both bottles; b- have them sign 1 time

and take both bottles; c- Sell them 1 bottle and tell them to come back in 24 hrs to get the other

one; d- have them sign 2 times and pre-date one of the signatures; e- Sell only 4 oz to them

326. Pt has a prescription for insulin, syringes, and meter and wants you to show them how to use

the insulin. Basically Can you do this or should you send them to a certified diabetes educator?

327. When does a manufacturers license expire?

328. All control records should be kept how long? 2 yrs

329. MPJE Questions from Alabama thru number 361

330. In usual course of practice, optometrist can prescribe: Isopto-Carbachol (yes), Erythromycin

tabs 250 mg (I put yes – NO for Georgia), Ovral (no)

331. Which can be given w/o Rx by intern? Syringes (yes?), Novolog (no)

332. Pharmacist must be licensed for 2 yrs before becoming preceptor. (not true for GA)

333. Which must be dispensed as brand? Phys wrote DAW? DAW box checked? Signed on DAW line?

334. Who controls OTC drug advertising? FTC

335. Which is controlled? Fioricet or Rynatuss

336. Which is not considered a technician? Intern (correct), Cashier (correct), Delivery person (I

think correct)

337. What should you do if you see another pharmacist put Xanax in pocket? Report to state board.

338. Which are you required to do if you see a pharmacist breaking a regulation? State Board (yes),

employer (no), State Pharmacy Association (no)

339. Student pharmacist taking drug to patient is practicing drug ? delivery? Dispensing?

340. Optometrists cannot execute DEA form 222. (B/c they cannot prescribe C-II’s!)

341. How can C-II’s be ordered? Electronic 222? Faxed 222? Telephone?

342. Does 222 order have to be signed by pharmacist? NO, by the DEA permit holder or a person

given power of attorney to do so.

343. Does emergency kit have to be in secure place? Does it have to have list of drugs on it? Does

it have to be locked away in a nurses station?

344. Can techs make chemo? Yes. Does chemo have to be done in a separate place from other IV

fluids?

345. Which have to be compounded to make sterile? Eye drops (yes), parenteral (yes), inhalation (?)

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346. How many hrs of nuclear CE/yr? 1

347. Pharmacist late on CE’s. What can happen? Fine? Reprimand? Probation?

348. Pt wants refill from Canadian physician and Rx for amiodarone. You need to tell pt to see their

family physician for a new Rx.

349. Requirements for Rx label.

350. Requirements on OTC label.

351. Dosage in grams of pseudoephedrine that has to be reported to DEA? 17? 24? 30? 45? 60?

352. In AL, all C-V’s require a Rx. 17-yr old wants to get cough med with codeine and

pseudoephedrine? Which can you give him?

353. Mother picks up Rx refill. Rx must offer to counsel.

354. Can products be compounded for future use?

355. PIC institutional Rx – something about if not a 24-hr pharmacy what does he have to do?

356. Several on misbranding/adulteration

357. Several on not taking prescription back after it leaves.

358. Several on office use.

359. What is required for you to obtain prior to dispensing oxandrolone? pregnancy test; lab results;

ID to pove patient is over 18; something else; no special requirements (YES). I had never heard

of this drug. I guessed and put e. It is a steroid and a C-3. I looked it up and could not find any

special requirements.

360. How many board members are pharmacists?

361. Where can you deliver an rx? (K-type) I. patient's home; II. caregiver's home where patient

resides; III. drop-off point – I just put I and II, b/c it didn't give me enough info. Where is the

drop-off point? If it's with another RPh, that's fine. If it's in a dark alley somewhere, that's not

fine.

362. Everything else was pretty much repeat questions or questions that were pretty straight

forward. Like everyone says, this is a very poorly written test. You will come out thinking you

failed, but you probably passed, so don't fret.

363. LOUISIANA MPJE through Number

364. Immodium or Loperamide is OTC at 2mg

365. Call for a refill on patients Xanax (no refills left) on Friday afternoon. Question specifically

stated that the MD is GONE FOR THE DAY. Nurse authorizes one refill: DO NOT REFILL….MD

out of town and she does not have the authority to do this even though it happens in real life.

366. Which can a prescriber do: Write for Tylenol #3 with 5 refills, norvasc 5mg with 11 refills,

marinol with 3 refills: ALL ARE OKAY

367. The Board of Pharmacy (in virtually every state) can only promulgate a REGULATION; not an

injunction, law, ordinance

368. Insulin glargine(lantus) lispro and aspart(Humalog and Novolog) are all RX

369. Do you have to notify the LABP before you enter in an Authority to Administer?

370. Pharmacy applies for relocation on April 5 , 3 days later the PIC immediately resigns, whenth

does the board need to be notified by (April 18 ; 10 days)th

371. When is pt. counseling for a ventolin inhaler NOT required? I put for an inpatient in a hospital.

372. If someone owns 3 pharmacies can they do their inventory of controls on different days for each

pharmacy? YES Do they all need to be maintained together (ie. Not in one big file at ONE

pharmacy) Yes they all need to be separate

373. MD writes an order and indicates “no drug product selection” I was confused as to whether this

meant he said you COULD NOT substitute or if it meant that he did not indicate a DAW? Just

watch out for confusing wording – means you cannot substitute

374. 1 CE Unit = 10 hours of CE

375. How many collaborative practice agreements can a pharmacist be in? 1,2,3,4, as many as he

can manage? I put as many as he can manage

376. What is an optician? You get an RX from him for prednisolone eye drops and pt is instructed

not to wear contacts for 3 weeks? I put opticians can’t prescribe b/c nothing else seemed correct

(answers included put no refills, put 11 refills, put refills for 3 months) FLYNN NOTE: Opticians

make the lenses for glasses; they cannot prescribe meds.

377. Do you need to notify the LABP before you start sterile compounding in your pharmacy? I think

you do

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378. Can you transfer out of state controls? Yes you can?

379. Pharmacies sharing a real time database can transfer controls back and forth UP TO THE MAX

# of refills permitted.

380. One incorrect answer to an similar but unrelated question included: control refills transferred

are only good for ONE refill? This would be incorrect…they are only allowed to be transferred

ONE time between pharmacies not sharing a real time database

381. A prescription transfer must be between two pharmacists. Duh

382. The label you put on the back of a Walgreens Rx after it is filled? Does it need to include the

prescriber’s ADDRESS? Does it need to include “the initials of the technician who assisted in

preparing?” I don’t think it needs the MD’s address, not sure though FLYNN – physician’s

address must be on the RX somewhere

383. Board inspector comes in and wants to see an individual patient record….do you let him see it

or not? I put no he can’t and that it would be a violation of HIPPA; other answer included calling

the patient to get consent) – in most states the state drug inspector can see such a record.

384. Quantity is NOT required on the prescription label you put on the bottle

385. Rx for adderall XR 20mg #180 one bid, for a kid going away to school…what is the max # of

days supply that you can fill this rx for? 90 days, that is what it is written for, there is no max

on a C2 quantity in LA.

386. Failing to give patient package insert with birth control is MISBRANDING.

387. Any time a drug is packaged whereby its strength/quality/purity is reduced is ADULTERATION

388. Can the LABP oversee enforcement of other agencies regulating drug law? Had no idea but I put

no.

389. A “non licensed pharmacy personnel” delivers an rx to a patients home…does he need to be A.

Bonded B. a certified technician C. Not included in the ratio of pharmacists to non-licensed

personnal? I put he needs to be bonded…nothing else made sense, I think bonded means

insured by the pharmacy in case he gets hurt or something?

390. Do you need to include NDC#’s on drugs that were stolen and reported on the DEA 106? I don’t

think you need the NDC but you do need strength, name, and other stuff like that

391. Pharmacist MUST OFFER to counsel all patients on any new rx, Medicaid or not. I think you

may not have to counsel when the patient is an inpatient in a hospital where a nurse is

administering meds.

392. When an inspector comes in, the PIC or permit holder does NOT need to be present to do the

inspection, just keep working, he will place a “notice/evaluation of inspection in a conspicuous

place” after he is done

393. You can NEVER accept drugs back to be put BACK IN STOCK even if they are topical drugs and

sealed, pills in a bottle or whatever

394. Expired drugs need to be taken off the shelf when they expire…not within 30 days….not turning

the label around on the shelf so it can’t be seen….not marking EXPIRED on the bottle and

leaving on the shelf….they need to be REMOVED from the shelf and then placed in quarantine

away from the non-expired drugs.

395. On an rx from a vet. What needs to be on the Rx? Vets name, owners name, cats name….i put

all three.

396. If you substitute atenolol for tenormin…how can it look on the label…atenolol Barr (yes) atenolol

substituted for Tenormin (yes)….atenolol (tenormin) NO, this could be mistaken for the brand

name product.

397. Who can give a BLANKET authorization for non-safety caps? Only the patient; also the

prescribing MD can do so

398. Can an MD who specializes in arthritis request that all of his patients Rx’s be in non-child proof

containers….NO he cannot…but he can per prescription (and associated refills)

399. Lomotil is a Schedule V drug that may is sold over the counter – It is a C-V, but my books

indicate still a RX-only drug

400. Poison log register??? No idea – required in most states for OTC sale of poisons.

401. A person delivering an rx to a nursing home is engaging in dispensing, delivery…some

others….answer is dispensing b/c the definition of dispensing includes the “actual transfer of

the medication”

402. Customer comes in with 5 packs of 60mg PSE #60, states that it is for an extended family

vacation…..sell it? No…I put refuse sale and notify DEA

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403. Nothing on narcotic Tx programs or how much codeine/hydrocodone is in schedule 3/5

404. Rx prescription files must be kept on file for 2 years from the DATE OF LAST

DISPENSING/REFILL….watch out for wording

405. Before you return a C2 or controls to a Reverse Distributor, you need to make sure that they

are registered/allowed/permitted by the DEA to do this….i’m pretty sure they do not have to

register with the LABP or anyone else, just the DEA

406. If you move your pharmacy to a new location in a reasonable distance, you do not need to get

a NEW permit, you can reopen under the same one after letting the board know of the relocation

so they can re-issue you the SAME permit with the new address/location

407. Xanax #100…5 refills….patient gets original 100, 2 refills of 100 each, 2 more refills of 50

each…..how many are left? 200, simple math

408. When can you change Adderall XR 20mg to 30mg? If the patients records indicate that he has

been on XR 30mg? (NO), answer is “only with authorization from the MD”

409. Andrew Johnson, DPM = Doctor of Podiatric Medicine….he can prescribe whatever he wants in

the scope of his practice (ie not birth control)

410. If you get an rx for an OTC med that is lower than the so called “usual dose” Fill it, you don’t

know what the MD is trying to treat…do not send the pt back to the md for a new script or just

change it to the “usual strength” without MD approval

411. If you get an rx for OTC medicine, like Tylenol liquid and the instructions say “place 5ml in GI

tube TID” DO NOT send the pt to the otc counter and just tell him the directions….you treat

this as a regular prescription, and label and fill as such,

412. If doctor gives pt a “plain piece of paper” that is not signed with OTC Ibuprofen 200mg with

directions of tk 2 now and 1 tid for ankle swelling what do you do? In this case, send the pt out

to OTC counter b/c that is OTC strength and the pt does not have a legitimate prescription b/c

the question stated “not signed” and on a plain piece of paper…like a note

413. Iron tablets OTC need to be in blister packaging….pretty sure

414. PDMA – prescription drug marketing act….regulates samples….state licensing of

wholesalers….know what else this amendment does….it seems to be popular

415. Only an MD can REQUEST samples…must be a WRITTEN request and if they are stored in a

hospital, they must be separate from other inventory

416. A community pharmacy CANNOT ever under any circumstance have Rx drug samples, so if a

salesman in a question comes offering them, you do not accept them

417. The definition of samples does NOT include “vouchers and starter packs,” read up on this b/c

I think community pharmacies are allowed to fill the vouchers for free meds(we do this all the

time) and I’m pretty sure that I read somewhere that they can have these starter pack things

b/c they are NOT considered samples

418. If a drug purports to be a drug in the official compendia and the strength/quality/purity falls

below the standard set forth in the compendia or if it is packaged therewith to reduce its

quality, strength, or “diluted” – it is adulterated…..if I were you I would know the definition of

Adultered and Misbranding very well…..they weren’t difficult…..i just kept in mind that

anything that has to do with the drugs strength/quality/purity is adulterated and anything to

do with what the manufacturer represents on the label is misbranding….imitation drugs are

misbranding

419. MAKE SURE YOU KNOW THE DEFINiTION OF MISBRANDING AND

ADULTERATION….definitely be familiar with how it is worded…..diluted drugs(ie diluted abx

with too much water are adulterated…b/c you decreased its strength by adding to much water)

420. Misbranding if you do not give the patient package insert with estrogens and the like….you done

misbranded the drug

421. JCAHO, AHFS, college of accredited pharmacies

422. Prilosec 40mg OTC?? Or just 20mg?

423. Know otc doses of axid, cimetidine, loperamide, prilosec

424. Know when a fax can serve as the original rx….the wording is straight out of the law book or

other pharmacy law references….i promise…it was the EXACT wording out of the book

425. Samples cannot be traded, purchased or sold…..they can only be given free of charge to a

patient by an MD who is authorized to dispense those types of drugs…

426. I think lomotil can be sold OTC in LA…I don’t know if anyone does it…but it is legal I think….so

this would classify lomotil as an “Schedule V drug that can be sold over the counter”

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427. You CANNOT change DATE, DRUG, PATIENT NAME or SIGNATURE on a controlled drug

prescption….or any prescription…but the question was only about a C-II.

428. If you get notice of a recall for duragesic patches….can you take the patches back from the

patient and “replace” them with new ones? I don’t remember the answer, but I don’t think you

can just replace them? I didn’t put this answer b/c another answer seemed better, but sorry

I can’t remember what the answer was

429. If MD dies, can a patient still get any “REFILLS” left on that rx at your pharmacy? I put that you

could refill the Dyazide that time but that a new RX would be necessary to fill any more…I read

somewhere that you can fill up to 60 days worth to allow the pt to get a new doctor….seems fair,

doesn’t it? In GA, you can fill for up to 6 months

430. Please watch out for wording when you use a DEA 222 form from Pharmacy A to pharmacy

B….if pharmacy A is supplier then Pharmacy B sends them the DEA 222 order form to fill. Just

watch for wording and then the question is easy

431. How many people can have a power of attorney?? No where in the law is there a limit on

this….think about it…Walgreens and CVS have thousands of pharmacies…with thousands of

PIC’s and pharmacists….there can’t be a limit….everything I read from other people said that

they cannot find a limit, so: UNLIMITED

432. When can MULITPLE drugs be put in a single container? At the request of patient, caregiver,

or physician? I put the first two….b/c it is their medicine – but all three is the really correct

answer

433. Does an emergency drug kit need to ONLY be closed with paper or tape to allow for easy opening

in case of emergency? I know they have to be in tamper-evident packaging, but I don’t know if

they can ONLY be with paper or tape? I put yes

434. Where do unused DEA 222 forms go when you permanently close your pharmacy? You return

them to the DEA….please do not miss this…and please do not send them to the LABP or any

body else…they go to the DEA

435. Something like: In the absence of a computer printout for the days controls/prescriptions, who

MUST sign the paper confirming that all info has been entered correct? One of the dispensing

pharmacists, Each dispensing pharmacist?(YES, there were three dispensing RPh’s)

436. Patients must be INFORMED of and CONSENT to a generic products….so make sure you ask

them first and they are okay with it…don’t just go giving them generics (as far as the MJPE

goes…do whatever you want at your pharmacy after you get licensed)

437. If an MD wants to get a drug from your pharmacy for office use, he CANNOT just write a

prescription for it and you fill it….this is NOT legal….he needs to submit an order form/invoice

type document and you can sell it too him.

438. I’m pretty sure you CANNOT take 300 tabs from an unopened bottle of 1000 tabs, repackage

them and sell them to an MD. This is the definition of manufacturing – packing or repacking,

labeling or relabeling, and preparing, producing, etc. I’m pretty sure that you must sell that

doctor all 1000 tablets (according the MJPE type law), I know Walgreens interstores stuff and

doesn’t follow this rule, but if one independent wants to get a drug from another independent,

they must be sold in unopened bottles (ie not repackaged) with record of purchase like an

invoice/order form. FLYNN – I cannot find a requirement that only unopened bottles can be

sold.

439. a DEA 222 must accompany any C2 transfer.

440. Look up something on patient med packs? Not sure what this question was asking for…MD

wanted you to prepare medpacks for patients…(A-E type question)do they require additional

labeling, adherence to the strictest labeling and packaging requirements? Confusing I know.

441. The LABP can seize products if the pose imminent danger to the public, investigate allegations,

but they CANNOT arrest you….or at least I’m pretty sure they can’t…I put they can’t arrest you

b/c I’ve never heard of that happening ever before….i think you can only be arrested by the

police

442. You need to inventory all controls (but not legends too…look this up) when a PIC leaves and

keep with inventory records.

443. If a patient is prescribed morphine or a narcotic and they become ADDICTED as a result of this

therapy, they are NOT considered to be an ADDICT…you CAN still fill controls and narcotics for

them as long as the patient has pain….now if the patient is in your waiting area doing jumping

jacks while waiting for his rx for back pain….then you MUST call the MD and make sure it is

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not for treating/maintaining addiction…but if they become addicted as the result of therapy

that is just a consequence/side affect and they are not an addict…so fill as long as pain is

present

444. Wholesalers/distributors register with the state; manufacturers with FDA

445. An optician is NOT an optometrist….so don’t fill prescription medications from them (see

prednisolone question above)

446. Know the exact wording of the schedules…ie C3 causes moderate to low physical

dependency….was on my test

447. Drugs in an emergency drug kit can only be used pursuant to an ORDER from a doctor…some

answers included that they could be administered w/o an order, if the MD is notified in 72

hours or 48 hours….these are all wrong

448. Dispensing includes “transfer of possession” to the ultimate user (so if you deliver the medicine

to Ms. May’s home you are dispensing it)

449. Which of the following is needed to monitor or modify a patient's drug therapy? a. specific

patient; b. specific pharmacist; c. independant healthcare practitioner (I put all of the above)

450. Owner of a pharmacy retires and closes the pharmacy. There are extra 222 forms remaining.

What do you do with the DEA 222 forms? send to the FDA – NO, they are DEA forms; send to

the DEA – YES; send to the FDC – NO; throw the forms in the garbage

451. I studied the 49 page packet on LAW and the student questions...The test was so ambiguous,

thought I failed, but made a 90. Go with your first choice, do not overthink the answers.

452. Many questions on physicians ordering drugs from retail pharmacy...if it is a C-II must use DEA

222 form and if it is an non-control or C-III-C-V must treat like a sale and create an invoice.

Retail pharmacy never does this anyways.

453. How many Pharmacists must make up the State Board of Pharmacy – seven

454. The SC law portion was much more difficult and I passed with an 83. I don’t remember much

from that b/c I guessed on most of my answers.

455. I did have a few questions on the old pseudoephedrine laws

456. Know Lomotil control schedule C-V but still is RX only

457. Know C-IIs cannot be refilled

458. Dept. of Agriculutre does pesticides.

459. Dexedrine is C2

460. Stadol class is C-IV for all dosage forms in Georgia

461. They try to trick you with forms (example..ordering C4 with 222 form..wrong)

462. know the names of the ACTs!

463. max amount of ipecac syrup in one bottle (30ml)

464. No questions about Acts/Amendments

465. Lot of nursing home, repackaging, sale, adulterating

466. Which statement is right about a technician? intern/extern, high school student who wants to

be a pharmacist, need to be licensed, who has not been a criminal (I chose high school student

– and that is correct from that list)

467. Which of the following is/are adulterated? Drop tablet on floor, patient bring back to pharmacy,

coloring which is not safe

468. Which insulin need prescription? Humulin N, Novolin R, Novorin R penfill, humulin 70/30

469. Which insulin need prescription(k-type) humalog, humulin N, lantus

470. prospective review means

471. non-prescription drug is regulated under which organization- FTC

472. prescription drug is regulated under which organization-FDA

473. pharmacist filled Rx with norvasc10mg but Rx was written for norvasc 5mg. then did not offer

pt a counseling. what is this action? Adulterated, misbranded, negligent, careless, did not do

a board requirement as a pharmacist?

474. if failed to finish CE (k-type) fine, revoke

475. Georgia Board of Pharmacy must include; 1 hospital pharmacist + 2 chain pharmacists, 7

pharmacists (correct answer), 8 pharmacists, 1 HP + 2CP + 2 independent pharmacists, 2 HP+2

CP+2 IP

476. controlled substance between pharmacies which use same database on line – can transfer more

than 1 time? (2 similar questions)

477. how long after flood pharmacy notify the board? immediately, within 10 days, 15, 20 ,30

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478. emergency verbal C-II order, maximum dose- 2 doses, 24 hours, 48 hours, 72 hours, enough

dose depends on meds

479. which case do NOT required counseling(2 questions)

480. which case you do NOT need to contact MD for missing info – strength, direction for use, patient

name, refill, date

481. only one question about NP

482. collaborative with MD what can pharmacist do? Adjust dosage, d/c, writing recommendation

to MD, change meds etc

483. 2 questions about returning of C-II – DEA form 222

484. when you filled DEA form222 5 C-II items, then you realized you don’t need one of them. What

do you do? Erase 1 item from form with initial, void the form and discard, void then keep it with

C-II ordering files, void then keep 1 copy in the pharmacy then send 2 copies to DEA

485. which info you have to put the back of the original Rx when transfer? Phone no the pharmacy

you transferred , name of transferring pharmacist etc

486. Robitussin PE – Rph must sell, need right labeling etc

487. can repeat use of a glass container? YES

488. a few questions about who or where can deliver Rx.

489. NO question about opioid treatment

490. CE question about how many hours per licensing period- 30 hours

491. CE question about how many years you have to keep a record of CE (I put 2years)

492. patient with Rx, you don’t have meds but same chain pharmacy who use a common database

has the med. What do you do? Put order to the computer then call second pharmacy to fill, fax

Rx to second pharmacy then file the original, call second pharmacy to transfer, put order to the

computer then write ‘info only’ give it to back pt.

493. what is appropriate to fill cytotoxic meds- laminar hood, vertical flow cabinet, do not fill etc

494. vaccine question right statement(k-type) pharmacist can administer vaccine; with a protocol

order from MD, need appropriate training, CRP certified ( I had NO idea)

495. amphetamine or amphetamine like substance- which case is NOT allowed to prescribe? obesity,

ADD, depression, narcolepsy, hyperkinesia child

496. Which is not C-II? Marinol was a choice

497. pharmacy license & manufacturing license when renew or expire? June 30 annually or

biannually (2 questions)

498. the other pharmacy want to buy propranolol 120mg #300 but container comes in #1000 – you

can sell repackage with FDA approval labeling, you can sell if not exceeding FDA approval

amount, you cannot sell ( sell #1000 wasn’t a choice)

499. emergency kit in nursing home – belong to the NH, belong to the pharmacy, use for heart attach

patient(I thought this was too specific) 2 more choices

500. C-II nursing home –partially fill within 60 days

501. requirements of a LTC pharmacist

502. 2 questions about calculate # Rx what to tell or do

503. about DUR – only for Medicare pt, only for Medicaid pt, done upon receipt of prescription

504. Not DUR- drug-age, drug-drug, drug-food, contraindication

505. expand pharmacy(k-type) need notify the board prior to moving, get approval, inventory

controlled substances

506. how to deal with OTC C-V purchase- need keep record? With the other controlled substances

record? Just with easy to review file?

507. MD prescribed Adderall 240mg but supposed to be Adderall XR 360 mg. which case is right...(pt

to go back to get the right rx was not a choice) with MD’s authorization-correct on a hard copy,

call MD to adjust – this is the correct choice – Flynn, ok if pt history shows

508. original rx with 2 refills on 7/1/05, filled on 7/10, 8/10, 9/10/05 – you file RX till when?

9/10/07 (no 7/1/07, 7/10/07)

509. NO thalidomide & accutane

510. pt’s father got Rx but pt already taking the meds. Father brought meds back and demand

refund! What can you do? Refund back then put meds to shelf, refund and send meds to

wholesaler, refuse to accept return, refund but discard meds

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511. return policy- when you can accept return- unopen meds, pt was allergic to meds, MD changed

meds, under no circumstances (a lot of question don’t say what kind of pharmacy it is. It would

be different if this is a LTC, I thought)

512. a few question about computer system –need to notify the board? What a requirement to do-

print out everyday?

513. you can take off drug name from label when MD asked

514. filled generic coumadin 5mg what label could be?(k-type) warfarin(coumadin)5mg,

coumadin5mg, warfarin5mg

515. a agent of GDNA(I think) inspects a patient’s Rx. What do you do? As requested(I chose this),

after asked pt, etc

516. one sterile compounding- which is NOT right statement- laminar hood, USP 797, fill for another

pharmacy, etc

517. Rx for non-controlled substances is valid for 1 year- how many refills? 5, 6, 10, 12,

unlimited(yes)

518. hospital pt get premarin- give PPI with the first dose, give PPI when discharged, don’t need to

give if pt sign a waver agreement (every 30days wasn’t a choice)

519. vet asked compound #2000 of something(I don’t remember) choose right statement; compound

only #1000, fill for the vet’s prescription, you need to get patients list, etc

520. inactive license- do not need CE, do discounted number of CE, need to take the board again,

etc

521. several substitution questions

522. Rx for tablet but pt want liquid in hospital - what a pharmacist should do? All choices are

tricky!

523. right statement about a board- a board set formulary for optometrist to prescribe? – a board

check right usage?- issue intern/extern license

524. pharmacy has a license – try to add 3 satellites and outpatient pharmacy – how many licenses

need add? one for the outpatient pharmacy only, if the satellites are in the pharmacy

525. no trial questions

526. need to keep purchase (invoice?) form for ; only C-II, C-II+III, C-III-V, C-II-V, legend drug and

controlled substances(I chose C-II-V but I am not sure) Need to keep ALL invoices for drug

purchases regardless of drug class

527. violation of state pharmacy law; tech or clerk fill Rx- who is responsible this action (pharmacist-

in-charge was not a choice) I choose all of them

528. pt travels internationally and need meds for sleep for business trip tomorrow. Dr called

pharmacy to fill halcion 0.12mg(I’m not sure about strength) – I did not know med’s class to

answer

529. Which of the following medications do not require a child resistant container under the Poision

Prevention Act? Clomid Tablets, Prempro Tablets, Ovral tablets, Estrace Tablets, Premarin

Tablets – ANS: Birth control pills, and other “carded” tablets/capsules are considered to be child

resistant and do no require special packaging.

530. How many Dilantin 30 mg capsules can you dispense if a physician writes a prescription for a

dog with epilepsy with the directions take 1 TID? NONE, because a physician cannot prescribe

for a dog; that is limited to a veterinarian

531. Which of the following recalls require getting the medication back from the patient? (k-type)

Class I, Class II, Class III ANS: I cannot find a clear law stating that this is ever required

but the Class I and II would be the only ones such a recall can include.

532. A pharmacy supplies a nursing home with medications. The nursing home is requesting an

initial stock of meperidine vials. What must the pharmacist do? Obtain a 222 form the NH

(not likely unless the NH has a DEA permit); Send a 222 form to the wholesaler and have the

wholesaler supply the meperidine (no, wholesalers cannot send drugs to LTCFs, only to a

pharmacy; if the LTCF included a pharmacy, then the drugs could go to the pharmacy at the

LTCF); Have the medical director write out a prescription then supply the meperidine (the RX

would have to be for a specific patient); fill out a written record and supply the meperidine (this

would be a proof-of-use form that is used to record administration of controlled substances and

would seem to be the best answer); supply the meperidine and get a prescription once it is

administered (you need the RX when you dispense because it might be that the meperidine

would never be administered).

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533. Which of the following do not require a prescription? Prevacid, Flomax, Diasorb (does

not, OTC antidiarrheal), Humalog, Trilisate

534. A known heroin addict comes into your pharmacy with a prescription for methadone 10 mg one

tab q 3-4h #100 with no refills. What must the pharmacist do before filling this prescription?

The RPh can fill as is; the doctor needs to register as a narcotic addiction treatment clinic

physician; the pharmacy needs to register as a narcotic addiction treatment clinic pharmacy;

the RPh must believe the Rx is for pain (most logical choice since days would be needed for

either MD or pharmacy to register); the RPh can only fill for 30 tablets

535. These are the questions that I remember completely. Everything else was exactly from Flynn’s

review handouts – questions about emergency kits, OTC insulins, license renewal, etc. I was not

surprised by a single question topic, it was the answer selections that confused me. Best advice

is to answer the question before you even look at the answer selections.

536. Within how many days should a pharmacist notify the board of Pharmacy of an address change?

I chose 10 days. That is correct – FWW

537. What is the Pharmacist to Tech. ratio in a prison pharmacy? a. 1: 1 b. 1: 2

c. 1: 3 (This is what i chose, don`t know if it`s right) d. 1: 4 e. 1: 5

Tech ratios do not change based on site or type of practice.

538. Know that anabolic steroids are C-IIIs. E.g nandrolone

539. Know what constitutes the practice of pharmacy.

I. Patient counseling II. Dispensing of medications III. Distribution of drugs

I chose I and II only

540. Know the requirements of an emergency kit (Contents and labeling).

541. Know that the board of pharmacy consists of 7 pharmacists (regardless of setting) and 1

consumer.

542. Who receive call-in prescriptions? (I and II only)

I. Pharmacists II. Intern III. Pharmacy technicians

543. Know the difference between misbranding and adulteration. I had several questions on that.

544. If the pharmacist-in-charge decides to quit who notifies the board of pharmacy?

a. Pharmacy technician b. Store manager c. Pharmacy supervisor d. Pharmacist

e. don`t remember I chose C (I`m not sure) Should be pharmacist in charge – FWW

545. Know the laws/rules of dispensing C-IIs (I have several questions on that) such as – Partial

refills can be done for LTCF,Hospice and terminally ill (must be completed in 60 days)

546. Refilling C-IIs is prohibited

547. If a pharmacy doesn’t have a complete amt of a C-II, It can be partially filled, but must be

completed within 3 days (72hrs)

548. Know requirements for C-IIs that are called in for emergency reasons

549. Which of the following are controlled substances?

I. Robitussin AC. II. Lomotil III. Clomid I chose I and II only (correct - FWW)

550. Know the requirements for transferring prescriptions between pharmacies.

551. If someone is picking up a rx for Enfuvirtide (HIV med) for his friend and requests info on that

medication. what should you do? I chose contact the pt for authorization.

552. Know which medications are OTCs and does that aren`t. (This info is on the disk that Flynn

gave to us. I don`t remember under what heading though)

553. There`s also some info about which class each controls substance belong to on the disk under

"Georgia control substance act".

554. How many CE credits are required of a pharmacist in 2 yrs? 30

555. When does a pharmacist license expire? December 31st of even numbered years

556. When does a Pharmacy license expire? June 30 of odd numbered years

557. Alright,this all i can remember. I hope this is helpful. I studied the packet that Flynn gave to

us at the review. I also studied the 174 pages and 120 questions on the disc. The questions

that our classmates sent out were also helpful. I passed. I wish all of you the very best. I more

thing, read the question carefully. Some questions ask about Pharmacy and others

pharmacists. Don`t get them mixed up.

558. What is not part of a DUR.. answ. drug-food allergies

559. Something about what the R.Ph should do if the MD says DO NOT Label...in that case you do

not put the name and strength of the drug on the label. You can cut it off or mark over it.

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560. How soon after a pharmacy closes permanently should the license be turned in to the board?

561. Know everything about " unprofessional conduct"

562. Know about " authority to administer" what it is and who fills it

563. How can controls be returned>.. US mail would be an acceptable answer

564. If repackaging OTC and making a label in the pharmacy.... no need to list the inactive ingredients

on the label.

565. Know about Ipecac.. what's on the label, how how it's packaged..

566. few things listed about OTC Fe, which one is true? keep out of reach of children. Fe does not

have to dispensed in blister packs anymore...

567. If a new R.Ph in charge is appointed in the pharmacy what should be done? must notify board,

need to do controlled subst. inventory, notify DEA? You do not need to notify the DEA unless

that pharmacist is the name of the DEA permit.

568. If a pharmacist uses another pharmacist initials is that illigal, or unprofessional or something

else..

569. What are duties of the R.Ph in charge?

570. If a drug changes schedule and becomes controlled substance, how fast should the inventory

be done? immediately, within 7 days, 30 days, on the effective date? Effective date is most

correct. If you do it before the effective date, then you must treat that drug as a controlled

substance once you have done the inventory.

571. How long before a stat order does doctor have to give a written order to the pharmacist?

48hours, 24hours, 72hours etc? (I put 48 hours, but I think it is 72hours; please check!)

572. If refill authorization called in for Metformin 500 mg for patient on message line, and you check

the patient profile to find that he has been taking Metformin ER 500 mg (RX expired), what

would you do? a. do not fill RX and call doctor b. Give 72 hour supply of Metformin ER

500mg and wait for doctor to verify order c. Fill for Metformin 500mg d. other choices that

made no sense (I put give 72hr supply and wait for doctor)

573. Suspect fellow pharmacist stealing and using for personal use, what MUST you do (K-type) a.

report to BOP b. report to local police c. suggest pharmacist get rehab (I picked a. only

since the question stated what MUST you do and you only suspect the act)

574. If a hospital has onc central and 2 pharmacy satellites, how do you handle inventory? a. do

inventory for all pharmacies on same day and as ONE inventory b. do inventory on separate

days as ONE inventory c. do inventory on same day and as SEPARATE inventories d. do

inventory on separate says as SEPARATE inventories (I picked a. since I know that you do not

have to get separate licenses for satellite pharmacies, I assume inventory could be combines,

however, thinking about it, d would make more sense)?

575. Max pseudophed? 24g

576. max supply of codeine for OTC sales? (i.e. CV)

577. Which is not a Type B poison? (can’t remember the choices but I put tartar since I don’t

remember it being an A or B poison)

578. At what institution can you give samples to patient? a. hospice b. nursing homes c.

different variations of retail pharmacies (I know that you cannot dispense samples unless you

can prescribe so NO retail pharmacies can give samples, therefore I chose a. I assumed that

hospice have terminally ill patients, and therefore ALWAYS have doctors on staff since there is

common use of narcotics (but when does patients in hospice need samples?). However, one

could argue that nursing homes would have doctors on staff too? Not sure but still feel

HOSPICE would be more logical).

579. Had question about naproxen 250mg being RX and 220mg being OTC?

580. How soon does the pharmacy have to send DEA 222 form to DEA if they were acting as the

manufacturer? a. by end of month b. by the 15 of next month c. 30 days d. 60 daysth

(I chose a. since I remember reading this, however, what if it occurred on last day of month?

581. RX for patient who needs adderall for 90 days, but know ins will only cover 30 days at one time,

how should you suggest that doctor write RX for patient? a. 3 RXs with same date; have

patient bring back new one every month b. 3 rxs with dates of month when due c. 1 rx with

2 refills (I chose a. Remember, pre or post dating RXs is against the law; doctor may write that

the Rx is not due until a certain date on the RX but the date cannot from the date it was

written)

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582. PHYSICIAN writes for Phenobarbital for dog: 1 tab TID. What is the max quantity he can write

for? a. 0 b. 90 c. 30 d. 120 (I chose 120 since no max on the quantity of a

prescription and no mention of insurance, however, if the key word here is physician. Is this

physician or a veterinarian? And aren’t vets physicians? If only human doc, then outside scope

of his practice and therefore answer is 0. If vet then, 120 (no max). Tricky!)? From FWW,

veterinarians are designated as veterinary physicians. Physician means an MD or DO unless

there is an adjective in front to clarify.

583. Check the process of verifying controlled substances in retail setting (i.e. verify and sign by

pharmacist of the refills and fills of CS every week; print out the CS usage everyday and log in

a binder; etc)? Can’t remember the exact wording but question was K-type.

584. What does retail pharmacy have to do if want to repackage OTCs for resale? a. get license

b. may be done if between pharmacy with same ownership c. etc. but nothing about 5% rule

(I chose a. seemed most obvious but not sure. Know 5% rule)

585. what happens if you get RX that says for personal use from a vet? a. send meds to vet along

with invoice b. do not fill c. fill as a RX if call and get the vet to put the RX in her name

d. fill as is for personal use (I chose a. send meds along with invoice to vet)

586. A consultant pharmacists can practice at a nursing home and… (Ktype) a. monitor drug

utilization on ALL residents at facility b. participate in nursing home activities (or something

silly like that) c. be a licensed pharmacist (I chose c. only since ALL seemed like such a

strong word; ideally though, the pharmacist would check everyone)?

587. To be a director of pharmacy? a. practice in retail setting for 5 years b. have clinical

residency c. be a licensed pharmacist d. have experience as consultant (I chose c. most

logical)

588. Who cannot inspect a nuclear pharmacy? Cannot remember choices but I chose BOP

(BOPharmacy can inspect any and all pharmacies – FWW) since it seemed the most logical since

there are radioactive materials since all other choices seem appropriate (however, would have

to see the other choices for you to comment).

589. How soon can you apply for license if inactive due to voluntary surrender? a. immediately

b. 30 days c. other variations of time frame (I chose immediately since it was voluntary)

590. Pharmacist has a suspended license in another state, what can GA do? a. may chose to do

the same b. automatically revoke the license in GA c. others that did not make sense (I

chose a. since the suspension may be due to non-renewal; however, could be b. but not

automatically?)

591. What has to be on script from vet for a cat? (KType) a. owner’s name b. vet name c. cat

name (I chose all of the above, however, do not believe that owners name need to be on RX

though we do this in practice normally?)

592. Which DEA from doctor indicates he can write for subutex? a. AB0000000 b. AB0000000

c. BB0000000 d. MB0000000 c. XB0000000 (I initially chose c. because I know that

doctors have to register for narcotic treatment programs to dispense such meds; however, after,

I have never seen a DEA with X in it so I checked to see what of the AB or BB DEAs were valid,

only one so that was my choice. Definitely not the MB)

593. What do you do if RX for thalidomide x 2 refills? a. Fill rx with 2 refills b. do not fill rx

because RX not valid due to having refills c. pharmacy must be registered with manufacturer

to fill d. patient must prove negative pregnancy to pharmacist before RX filled (I chose c.

since I know the pharmacy must be registered and no other option made sense except the do

NOT fill because RX invalid? Technically not invalid, just don’t put refills)

594. Who can obtain patient information? (KType) a. certified pharmacy technician b. pharmacy

technician c. pharmacy cashier (I chose a and b only but not sure?)

595. What must be done on a DUR? a. therapeutic appropriateness b. DDI c. Medication

overusage d. medication underusage e. contradictions? (I chose a. since all others made

sense. We should check for appropriateness, however, more doctor’s responsibility I think since

we are not diagnosing and there are NON-FDA approved uses; however, now that I am thinking

about it, under usage may be more appropriate since would not know if patient is actually using

it before it has been dispensed!)? Over usage would be checked with DUR for appropriate dosing

I assume.

596. How does a doctor get meds for office use? a. invoice b. DEA 222 c. write RX for “office

use” d. others that did not make sense (I chose a since it did not specify CIIs)

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597. Spillage of CIIs would be reported on what form? a. DEA 222 b. DEA 41 c. DEA 106

d. DEA 224 (I chose b. since spillage is NOT considered a theft/stolen)

598. How many days to report theft to DEA? 7 days I believe was the correct answer; if not

immediately

599. How soon to update Computer Prescription System with manual information after hurricane?

a. within 30 days b. within 60 days c. other longer time frames (I chose a since it was

the shortest time frame (ideally would update info immediately)

600. When to provide information to DEA if when requested no printer available? Ans: 48 hours

601. question about collaborative practice and flu vaccine

602. lots on LTCF/repackaging

603. Who can restock emergency kits (K-type: nurses, pharmacist, pharmacist technician)

604. Laminar hood requirements in compounding pharmacy: (A) in clean room (B) CERTIFIED

(C) Others that did not make sense (I chose b since specifications said you may have a clean

room OR a laminar hood)

605. How often does a laminar hood need to be certified? yearly; every 2 years; others that did

not make sense to me; (I chose 2 years? Not sure) Should be every year – Flynn

606. What makes up the board? Ans: 7 members pharmacist (one reserved for hospital, one for

retail) and 1 consumer member who cannot vote on certain matters

607. Know time line in Flynn’s review notes

608. Where can parenterals be made? (A) in room separate from rest of pharmacy with aseptic

technique (B) in same area as pharmacy stock (C) with vertical hood (D) others that did

not make sense to me (I chose a. self explanatory?)

609. Suggestion: Read every question at least 2 times; look for key words in the question (may,

must). Also, read the question and take the question for face value. For example, if you narrow

the question down to two choices and it was you thinking “but what If” that made you chose

one choice one of the two choices, this is probably NOT the right answer.

610. Only answer the question with the statement the exam gives and do not try to add anything to

it (natural for us to want to relate situations to what happens in practice). Look for words that

seem redundant. For example, the Metformin question above: if did not say REFILL, I would

not have chose to give a 72 hour supply of Metformin ER. And the question on the

pharnobarbital without saying specifically that it was a vet (said physician), the answer can be

either 120 or 0 based on how you interpret it.

611. When you get a question and narrow the answer down to two choices, read the question

CAREFULLY dissecting every word. You will usually find a word or statement that will make

one choice the definite answer….but with all this said, I probably failed!! =( Hope this helps!

Good luck to you all. (Watch your time; I had only 4 mins remaining)

612. Emergency fill RX, how long do u have to get script? 1 week I believe, but the answers were all

given in hours. So 168 hours.

613. Patient get a script for 25 Tylenol No. 3, next day come back and Dr authorized for more. What

do you do?

614. Several questions on repacking OTC stuff make sure you know the ins and outs.

615. I got the epileptic dog question, that Thao submitted earlier. Physician write for Phenobarbital

1 TID what is the max quanity he can write for? 0, 90, 30, 120?

616. Know the 1987 Prescription Drug Marketing Act. Several questions about that. There was no

clear cut choice on mine.

617. A nursing home director requests emergency kits for there patients, the have 3 types of nursing

home: 1) independent, 2) assisted, 3) can't remember the wording for the 3rd type.

618. When a pharmacy closes how long do they have to send the board their license? As soon as

possible, so I would pick the shortest time offered if that is not a choice.

619. A pharmacy gets inspected? is it yearly - YES

620. When the Rx computer crashes how long do you have to get the information back into the

system? 48 hours after the system comes back up

621. Who does a pharmacy initial control drug count? The person whose name is on the DEA permit

and the pharmacist in charge. If that would be the same person, then a 2nd pharmacist does

the count.

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622. If an RPh has not worked for 25 years they have to: do so many intern hours, so uch CE and

reapply for licensure with the baord and take the exams again. Is this correct - YES, and you

can find the policy on this by going to the Board website and looking under Policies.

623. On Thalidomide dispensing:: there IS NO refills and it must be dispensed within 7 days ofthe

written RX . IS there anything else? Limit of a 28 day supply

624. What has to happen when a PIC leaves and who is required to notify the board? The PIC notifies

and someone else has to become the PIC.

625. If a pharmacist voluntarily gives the board his license when can he apply for reinstatement?

That has a whole lot of catches, but see the Board Policies referred to earlier.

626. Who can a pharmacy NOT dispense normal saline for irrigation to? nursing home, hospital,

podiatrist, cardiologist, pediatrician - hospitals would buy their own. Nursing Homes also

usually buy their own.

627. What forms can you use to order c-II's? electronic version of dea 222, faxed 222 form, telephone

order (NO). There is a provision for an electronic DEA 222 or a paper original; no other methods

are approved.

628. Also where on the law cd is the best place to read about consultant pharmacist. Section on Long

Term Care Pharmacies in the file on RULES.

629. Pregnancy Ratings described:

Category A: Studies have shown no increased risk of fetal abnormalities

Category B: Studies have not been able to prove an increased risk of fetal abnormalities

Category C: Studies in animals have shown an adverse effect but no studies have been done on

pregnant women or no animal studies have been done and there are no adequate studies

in pregnant women.

Category D: Studies have shown that there is a risk to the fetus

Category X: Studies clearly show a risk of abnormalities to the fetus

630. Which of the following is/are adulterated? (k-type)

I. Patient brings drug back to the pharmacy

II. Drug dropped on the floor

III. unapproved color additive (I put all of the above)

631. Which of the following can request a non-safety cap?

A. Patient B. Physician C. Patient's spouse D. Patient's caregiver

(More than one answer is correct, but I could only choose one, so I picked A-patient)

632. Know what important event in pharmacy law occurred in 1987. Passed bill relating to marketing

of drug products – Prescription Drug Marketing Act of 1987 – was based on cases made in GA.

633. Know when a pharmacy license expires (June 30 odd years)

634. Know when a pharmacist's license expire (Dec 31 even years)

635. Which of the following is not part of a DUR?

A. drug/drug interactions B. chronic diseases C. idiosyncracies D. food allergies

636. I also had a lot of questions on long term care facilities (most of the questions came from your

review material)

637. Physicians, Dentists, Veterinarians, and Podiatrists have full prescribing rights in GA

638. Optometrist (OD), Nurse Practitioners and PA(s) are mid-level providers and have limited

prescribing rights

639. Optometrist (OD), Nurse Practitioners and PA(s) cannot prescribe a CII.

640. PA(s) in GA can prescribe controls, but not CIIs in the state of GA. They need their own DEA

numbers to prescribe CIII – V; same for Nurse Practitioners and Optometrists.

641. In Georgia, you cannot fill and out of state PA prescription; same for nurse practitioners.

642. You may dispense a 72-hour supply of a prescribed, non-controlled medication if a prescriber

cannot be contacted for refill authorization.

643. If a physician dies all prescriptions are voided regardless of whether or not refilling

authorization have been granted; however, you may refill a prescription for up to six months

to give a patient time to find another physician.

644. Keep records for two years, Flynn’s “magic” number, but financial records are 3 years and there

are others on page 10 of his MPJE packet.

645. One pharmacist in charge of one pharmacy at a time.

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646. If you have an area that can be locked up, then a pharmacist can be absent for no more than

a total of 3 hours in a day for periods no longer than 1.5 hours.

647. A pharmacy license (Building) must be renewed for two year periods and expire on June 30th

of each odd numbered year. If not paid by September 1 of the odd year than the license willst

lapse and shall not be renewed, but have to apply for a new license for that business.

648. Only a pharmacist, extern or intern can take oral prescriptions or refills. Same goes for selling

a syringe.

649. A pharmacist or pharmacy may receive eligible drugs for credit or reuse from long-term care

facilities provided that:

A. The drugs were originally dispensed by the same entity

B. The pharmacist has assurance that the drugs were properly stored

C. Package with expiration date and lot number have been maintained

D. Drugs have not expired and have a minimum of 6 months remaining before they do

E. Judgment of the pharmacist as to the drugs being ok

652. You can fill an out of state Rx, but not one from outside the US unless a doctor here signs it

653. What must be on the prescription label:

A. Name and address of the pharmacy

B. Telephone number of the pharmacy

C. Expiration date

D. ID of dispensing pharmacist

E. Name of patient, if pet then pets name

F. Serial number

G. Date it was dispensed

H. Name of the Doctor

I. Directions for use

654. You cannot sale or exchange more than 5% of your business with other pharmacies without

getting a distributors license.

655. GDNA does not need a warrant to inspect, but does to take records.

656. You may counsel the patient, their caregiver, or agent.

657. How long must you keep CE records? 2 years

658. What is it called when you put a brand name on the label, but a generic product in the bottle

that is given to the patient? Misbranded

659. If a patient has a Rx for 90 Xanax with 5 refills and only gets 30 tablets originally, how many

tablets total can the patient receive? 540 tablets; the trick here is that 90 tabs, no matter how

many times they come in to get them, only counts for one filling or refilling.

660. Some question about controls, it had Tylox, Percocet, and Vicodin as answers so I think that

it had something to do with a CII vs. a CIII.

661. How long does a pharmacy have to notify the board of a bulk transfer? Don’t have to,

immediately, 5 days, or 10 days

662. What is not part of a prospective DUR? We have it down to Food Allergies or Inappropriate use,

but I think that the consensus is Inappropriate use

663. How can the DPH affect pharmacist? A better question is what is the DPH? It is the

Department of Public Health – YES, and they have controls over things like methadone clinics.

664. What is the CSA? Controlled Substances Act

665. There was a, “who do you contact” question? DEA, GDNA, and Board

666. How long does a pharmacy have to report a fire or flood to the board? 3 days

667. Patient request two bottles for a Ritalin Rx; one for school and one for home. We have all seen

this, but what are you suppose to do? You can do this. Depending on the specific choices given,

you could print a second label, or copy the original label, and place it on the second bottle and

split the meds as requested. There is another answer that says obey the patient’s request, but

that seems a bit vague and the explanation above covers that answer.

668. Note that Halcion (triazolam) is a C-III benzodiazepine – not Federal or Georgia; this must come

from some other state with that rule.

669. What insulins require a Rx?

Glargine (Lantus), Lispro (Humalog), and Aspart (Novolog) were given as choices

“Logs” and Lantus also do

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670. Humulin 70/30 does not require a Rx.

671. A non-pharmacist who owns a drug store would get in trouble for what?

Down to two choices; selling syringes or having keys to the pharmacy. The consensus is

that the syringes, which also said something about selling to a Heroin addict is wrong and

I am not sure that if I owned a pharmacy and was not a pharmacist that it would make

sense that I could not have keys to my own property. FWW: only a pharmacist, intern or

extern can sell syringes. Only a pharmacist can have access to the prescription

department, but a non-pharmacist could have the keys to the front door. So watch the

specific wording.

672. There was a question that asked about drugs that does not require a Rx, but could not

remember choice.

673. What is required of Ipecac?

a. 1 oz container only (OTC), requires safety cap

b. Sign off book is a choice, but this is not necessary

674. Pharmacy or Pharmacist license has expired for some time, what must be done to get it

reinstated? All the above was chosen, examples of these choices are; pay fines, CE, application

fees, and maybe something else.

675. Who can summit an e-prescription? People are choosing practitioner only but an agent who

was so identified can do so.

676. What must be done for fax numbers or something along this line? Call back and verify validly,

take it as valid, or look up fax number log in your computer system. I believe that it would be

the first and the last parts as this is written.

677. Where can collaborative practices exist? Hospitals, Nursing Home, and Outpatient clinics: the

answer is all the above.

678. Computer Printout question

679. What “must” a pharmacist do in terms of counseling a caregiver? The clue here is must, and

must is counsel the caregiver. The other options are give written literature and provide a 1-800

number. All are good things to do, but the first is the only must according to our interpretation

of the law.

680. Can a control substance be transferred from an out of state pharmacy? Yes

681. Some question that asked what must you do with a control transfer. The answer chosen was

send all the refills with it.

682. Watch out for must and may in the questions!!!

683. Med Packs? 90 days was chosen

684. What does not have to be on an accountability sheet? Probably referring to record of controlled

substance administration in a hospital and the pharmacist name is not required.

685. What must be on a crash cart?

Drug Name, quantity, strength, and exp date on the outside then the law says whatever

else the facility deems appropriate on the meds inside the cabinet. All the above was

chosen with included; drug name, quantity, and strength on the outside and expiration

dates on the meds inside the cart.

686. Know 1906 law, it must be on every test every time.

687. There is a question about mandatory items for OTC medications. There is an obvious correct

choice, but we cannot think of what it was; however it was not alone, but instead with a choice

that we are not certain about; that OTCs must be in USP approved packaging. Based on the

way the answer could be chosen, this must be true.

688. There are compounding questions

a. Not a manufacturer if less than 5% of you total business (including compounds are sold

to other entities, rather than patients)? This is really a question, does this make sense

and or is it true?

b. Does a pharmacy that compounds have to abide by GMPs? NO, those are for

manufacturers only.

689. You can prepare large quantities of compounds only if it is based on your expectation of future

business needs.

690. What does the board not have to audit? Would have to see a list, but financial records would

be a good guess.

691.

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