MPJE NY LATEST COMPREHENSIVE EXAM ALL
QUESTIONS AND ANSWERS SURE A+
✔✔Nuclear pharmacist - ✔✔-meet minimal stds of training by APHA, and certified
-complete 200 hrs of instruction
-500 hrs of clinical training
✔✔Nuclear pharmacy must be equipped with - ✔✔1) laminar flow hood
2) dose calibrator
3) exhaust hood and filter system
4) chromatography apparatus
5) pH apparatus
6) scintillation detection system
7) microscope
✔✔OBRA 90 (omnibus budget recon act) - ✔✔1) manu rebates to state medicaid
programs
2) mandatory DUR
3) gov sponsored demonstration projects
Requires active resolution of detected problems
--Screen RX's prior to dispense
--Pt counseling by RPH
--RPH documentation of relevant info
,✔✔Prospective DUR? - ✔✔-Duplication
-Contraindications
-Drug-dx interactions
-Drug-allergy interactions
-Incorrect dose or duration
-Clinical abuse, misuse
✔✔Retrospective DUR - ✔✔-Monitor for therapeutic appropriateness
-Overuse and underuse
-Appropriate selection of multi-source products
and
-Duplication
-Drug dx Contraindcation
-DDI
-Wrong dose or duration
-Clinical abuse, misuse
✔✔Pt counseling standards - ✔✔-Name and description of med
-Dose form, dose, route, duration
-Directions and precautions for preparation, administration, and use
-Common SE, interactions and CI and action required if they occur
-Techniques for self monitoring
-Storage
-Rx refill info
-Action to take if miss dose
✔✔Pt med profile must include - ✔✔-Name, addy, phone, age, gender
-Hx: Dx states, allergies and drug rxns,
-List of meds/devices
-Comments relevant to drug therapy, other info
✔✔Patient med profiles kept in retrievable form for - ✔✔5 years
✔✔Pt's refusal of consultation - ✔✔Must be documented
✔✔Emergency Kit have - ✔✔-24hr supply of a max of ten different CS
-Administered by registered personal (RN, etc)
-Maintain all records of CS furnished or transferred
-Besides CS, may also include: SL NTG and up to 5 noninjectables, prepacked meds,
NTE 24hr supply.
-Total number of noninjectables may not exceed 25 meds for the entire facility.
-VERBAL ORDERS must be COUNTERSIGNED within 48 hrs
, ✔✔Midwives license must say - ✔✔FXXXXXX. Number, name, office address, and
office telephone # must be on blank.For CS, must have DEA. MD's name doesnt have
to show.
✔✔Midwifety can be practiced if - ✔✔-Licensed MD board certified as obstretrician-
gynecologist.
-Licensed MD who practices obstretrics and has privileges as a hospita;
-Hospital that provides obstretrics through licensed physician having privilege
✔✔CNP - ✔✔-May write rx
-May give oral rx
-May write CS if has DEA
-No supervision - INDEPENDENT.
-Collab agreement with MD - written agreement, protocols, mechanism to settle
disputes, periodic review of records Q 12 months
-NO MORE THAN 4 CNPs if different location. NO LIMIT if within same structure.
✔✔CNP prescribing? - ✔✔On RX, need=
-Profession
-Name
-Address
-Phone No.
-MXXXXXX
CS - need DEA
CAN prescribe needles/syringes, oral rx, dispense. Just need to add SIG.
✔✔RPA (physician assistant) - ✔✔-May write rx
-May give oral rx
-may write RX for CS if DEA
-CS in hospital only if: INPATIENT, permitted by hospital laws, countersigned by
SUPERVISING MD within 24 hrs
-SUPERVISED by MD
-MD MAY NOT SUPERVISE
***NMT 2 RPAS in community
***NMT 6 RPAS in hospital
✔✔RPA's Written RX - ✔✔Required:
Supervising MD's
-Profession
-Name
-Address
-Phone no.
-Reg no.
-DEA #
Can do needles/syringes, orals, dispense.
QUESTIONS AND ANSWERS SURE A+
✔✔Nuclear pharmacist - ✔✔-meet minimal stds of training by APHA, and certified
-complete 200 hrs of instruction
-500 hrs of clinical training
✔✔Nuclear pharmacy must be equipped with - ✔✔1) laminar flow hood
2) dose calibrator
3) exhaust hood and filter system
4) chromatography apparatus
5) pH apparatus
6) scintillation detection system
7) microscope
✔✔OBRA 90 (omnibus budget recon act) - ✔✔1) manu rebates to state medicaid
programs
2) mandatory DUR
3) gov sponsored demonstration projects
Requires active resolution of detected problems
--Screen RX's prior to dispense
--Pt counseling by RPH
--RPH documentation of relevant info
,✔✔Prospective DUR? - ✔✔-Duplication
-Contraindications
-Drug-dx interactions
-Drug-allergy interactions
-Incorrect dose or duration
-Clinical abuse, misuse
✔✔Retrospective DUR - ✔✔-Monitor for therapeutic appropriateness
-Overuse and underuse
-Appropriate selection of multi-source products
and
-Duplication
-Drug dx Contraindcation
-DDI
-Wrong dose or duration
-Clinical abuse, misuse
✔✔Pt counseling standards - ✔✔-Name and description of med
-Dose form, dose, route, duration
-Directions and precautions for preparation, administration, and use
-Common SE, interactions and CI and action required if they occur
-Techniques for self monitoring
-Storage
-Rx refill info
-Action to take if miss dose
✔✔Pt med profile must include - ✔✔-Name, addy, phone, age, gender
-Hx: Dx states, allergies and drug rxns,
-List of meds/devices
-Comments relevant to drug therapy, other info
✔✔Patient med profiles kept in retrievable form for - ✔✔5 years
✔✔Pt's refusal of consultation - ✔✔Must be documented
✔✔Emergency Kit have - ✔✔-24hr supply of a max of ten different CS
-Administered by registered personal (RN, etc)
-Maintain all records of CS furnished or transferred
-Besides CS, may also include: SL NTG and up to 5 noninjectables, prepacked meds,
NTE 24hr supply.
-Total number of noninjectables may not exceed 25 meds for the entire facility.
-VERBAL ORDERS must be COUNTERSIGNED within 48 hrs
, ✔✔Midwives license must say - ✔✔FXXXXXX. Number, name, office address, and
office telephone # must be on blank.For CS, must have DEA. MD's name doesnt have
to show.
✔✔Midwifety can be practiced if - ✔✔-Licensed MD board certified as obstretrician-
gynecologist.
-Licensed MD who practices obstretrics and has privileges as a hospita;
-Hospital that provides obstretrics through licensed physician having privilege
✔✔CNP - ✔✔-May write rx
-May give oral rx
-May write CS if has DEA
-No supervision - INDEPENDENT.
-Collab agreement with MD - written agreement, protocols, mechanism to settle
disputes, periodic review of records Q 12 months
-NO MORE THAN 4 CNPs if different location. NO LIMIT if within same structure.
✔✔CNP prescribing? - ✔✔On RX, need=
-Profession
-Name
-Address
-Phone No.
-MXXXXXX
CS - need DEA
CAN prescribe needles/syringes, oral rx, dispense. Just need to add SIG.
✔✔RPA (physician assistant) - ✔✔-May write rx
-May give oral rx
-may write RX for CS if DEA
-CS in hospital only if: INPATIENT, permitted by hospital laws, countersigned by
SUPERVISING MD within 24 hrs
-SUPERVISED by MD
-MD MAY NOT SUPERVISE
***NMT 2 RPAS in community
***NMT 6 RPAS in hospital
✔✔RPA's Written RX - ✔✔Required:
Supervising MD's
-Profession
-Name
-Address
-Phone no.
-Reg no.
-DEA #
Can do needles/syringes, orals, dispense.
