VIRGINIA MPJE EXAM 2024| ACTUAL EXAM WITH 100%
CORRECT ANSWERS| GRADED A+
Does Virginia or the Federal government decide who has prescribing authority in VA? - correct
answer✔✔ Virginia does. State law controls who can write valid prescriptions
What practitioners can write valid Rx for controlled substances in VA? - correct answer✔✔ Practitioners
of medicine (MD)
Practitioners of osteopathy (DO)
practitioners of dentistry (dentist, DDS, or DMD)
practitioners of podiatry (Podiatrist or DPM-"foot doctor)
Practitioners of Veterinary medicine (DVM or Veterinarian)
Virginia licensed nurse practitioners (NP or FNP)
Virginia licensed physician's assistant (PA)
Virginia TPA certified optometrists (O.D)
which prescribers have unrestricted prescribing authority and can write for CII-CVI prescriptions to treat
their patients without the need for an agreement with any other practitioneres - correct answer✔✔
Medical doctors
Osteopathic doctors
dentists
Podiatrists
Veterinarians
Can Virginia pharmacy fill Rx written by out of state practitioners? ** - correct answer✔✔ Yes, if the
practitioner is a medical doctor, osteopath, dentist, podiatrist, or veterinarian and the Rx mets all of the
other requirements for a valid VA issued Rx.
**Out of state Rx from NP, PA and optometrists are not valid unless the prescriber is licensed in Virginia
in addition to the other state
,Are there any restrictions on the prescribing of drugs by medical doctors, osteopathic doctors,
podiatrists, dentists, and veterinarians? - correct answer✔✔ Yes, MD, DO, podiatrists and dentists can
NOT write Rx for animals.
Veterinarians can ONLY write Rx for animals.
Dentists can ONLY write Rx for the treatment of mouth conditions and diseases. A Rx for oral
contraceptives would not be valid
Podiatrists can only write Rx for the treatment of conditions and diseases of the foot and ankle. A Rx for
an asthma medication would not be valid
What are the prescribing restrictions on NP and PA? - correct answer✔✔ A NP's prescribing authority is
dependent upon entry into a practice agreement with a patient care team physician that clearly states
the prescriptive practices of the NP.
A PA's prescribing authority is dependent upon entry into a written agreement with a licensed physician
or podiatrist that provides for the direction and supervision of the PA's prescriptive practices.
How will you know if a NP or PA"s is prescribing drug that is NOT allowed under his agreement with a
team care physician, physician or podiatrist? - correct answer✔✔ You may not able ot tell if the
prescription is for an approved drug. But, you should examine the practice the prescriber is in to make
sure that the prescription is for a drug that would normally be prescrbed in that practice setting. For
example, if you received a Rx for oral contraceptives from a NP at an OB/GYN practice, the Rx is most
probably within the NP's scope of practice. However, if that same NP wrote a Rx for treatment of gum
disease (chlorhexidine), you would want to call the doctor's office to verify the Rx.
Are nurse practitioners and PA allowed to write CII-CVI Rx? - correct answer✔✔ Yes
Are there any prescribing limitations on TPA-certified optometrists? - correct answer✔✔ Yes e
What medications are TPA certified optometrists allowed to prescribe and administer? - correct
answer✔✔ CIII-VI oral analgesics to relieve ocular (eye) pain.
other oral CVI controlled substances to treat diseases of the eye and its adnexa
Topically applied CVI drugs (for treatment of the eye/adnexa)
Intramuscular administration of EPI to treat emergency cases of anaphylactic shock
,What is the "adnexa" of the eye? - correct answer✔✔ The tissues immediately surronding the eye;
surrounding the eye; such as the eyelids and conjunctiva.
What certification does an optometrist (OD) need in order to prescribe? - correct answer✔✔ TPA-
certification.
TPA stands for Therapeutic Pharmaceutical Agents
Is TPA-certification a state or national certification? - correct answer✔✔ It is a Virginia certification that
ODs must obtain from the VA Board of Optometry
What conditions are TPA certified optometrists allowed to treat? - correct answer✔✔ Diseases and
abnormal conditions of the human eye and its adnexa (tissues adjoining the eye)
Are there any conditions that TPA-certified optometrists are specifically prohibited from treating? -
correct answer✔✔ Yes. Optometrists cannot treat infantile or congenial glaucoma and their treatment
of closed angle glaucoma is limited to initiation of immediate emergency care.
Are pharmacies allowed to supply TPA-certified optometrists with therapeutic pharmaceutical agents
listed on the TPA-Formulary? - correct answer✔✔ Yes
Are medical interns and residents who work in a hospital allowed to write Rx? - correct answer✔✔ Yes,
but only within their dueties as part of the residency program. (This may include writing Rx for ER
patients that will be filled at a retail pharmacy)
What is prescription under Virginia law? - correct answer✔✔ An order for drugs or medical supplies,
given to a pharmacist by a practitioner authorized to prescribe. The Rx may be written, oral, faxed or
transmitted electronically.
What prescriber information must every Virginia Rx contain? - correct answer✔✔ 1. Prescriber's name
2. Prescriber's address
3. Prescriber's phone number
4. Prescriber's signature (except for an oral prescriptions)
, 5. Precriber's DEA number (for Federal controlled substance Rx - CII-CV)
Are medical interns and residents allowed to write Rx in Virginia? - correct answer✔✔ Yes
Since interns and some residents do NOT have a DEA number, what do they use in place of their own
DEA number? - correct answer✔✔ They use the hospital where they are practicing's DEA number plus a
suffix assigned to the intern/resident by the institution
Do intern and resident's Rx need to comply with all of the regular requirements for valid Virginia Rx? -
correct answer✔✔ Yes
Are the interns/residents allowed to use their identification number to write for CII-CVI controlled
substance? - correct answer✔✔ Yes
When can a medical intern or resident working for a hospital prescribe controlled substnaces under the
hospital's DEA number? - correct answer✔✔ When it is in furtherance of the person's duties at the
hospital. The intern or resident cannot use the number if he/she is working somewhere else like an
urgent care center that is not affiliated with the hospital.
What if the patient was seen by the intern/resident at the hospitals emergency room? - correct
answer✔✔ The intern/resident can use the hospital identification number assigned to him to write a Rx
for the patient
What other information has to go on the Rx when patient was seen at ER by intern/resident? - correct
answer✔✔ -The intern/resident's signature and the legibly printed name, address and telephone
number of the resident/intern
-The address and phone number are usually pree-printed on the hospital's Rx blank but the
intern/resident's information is often not included and must be added by hand.
What else is exempt from the requirement to register with the DEA? - correct answer✔✔ -agents and
employees of registrants (e.g. employees of a pharmacy)
-Practitioners affiliated with registrants (e.g. doctors working at a hospital)
-Law Enforcement officials
CORRECT ANSWERS| GRADED A+
Does Virginia or the Federal government decide who has prescribing authority in VA? - correct
answer✔✔ Virginia does. State law controls who can write valid prescriptions
What practitioners can write valid Rx for controlled substances in VA? - correct answer✔✔ Practitioners
of medicine (MD)
Practitioners of osteopathy (DO)
practitioners of dentistry (dentist, DDS, or DMD)
practitioners of podiatry (Podiatrist or DPM-"foot doctor)
Practitioners of Veterinary medicine (DVM or Veterinarian)
Virginia licensed nurse practitioners (NP or FNP)
Virginia licensed physician's assistant (PA)
Virginia TPA certified optometrists (O.D)
which prescribers have unrestricted prescribing authority and can write for CII-CVI prescriptions to treat
their patients without the need for an agreement with any other practitioneres - correct answer✔✔
Medical doctors
Osteopathic doctors
dentists
Podiatrists
Veterinarians
Can Virginia pharmacy fill Rx written by out of state practitioners? ** - correct answer✔✔ Yes, if the
practitioner is a medical doctor, osteopath, dentist, podiatrist, or veterinarian and the Rx mets all of the
other requirements for a valid VA issued Rx.
**Out of state Rx from NP, PA and optometrists are not valid unless the prescriber is licensed in Virginia
in addition to the other state
,Are there any restrictions on the prescribing of drugs by medical doctors, osteopathic doctors,
podiatrists, dentists, and veterinarians? - correct answer✔✔ Yes, MD, DO, podiatrists and dentists can
NOT write Rx for animals.
Veterinarians can ONLY write Rx for animals.
Dentists can ONLY write Rx for the treatment of mouth conditions and diseases. A Rx for oral
contraceptives would not be valid
Podiatrists can only write Rx for the treatment of conditions and diseases of the foot and ankle. A Rx for
an asthma medication would not be valid
What are the prescribing restrictions on NP and PA? - correct answer✔✔ A NP's prescribing authority is
dependent upon entry into a practice agreement with a patient care team physician that clearly states
the prescriptive practices of the NP.
A PA's prescribing authority is dependent upon entry into a written agreement with a licensed physician
or podiatrist that provides for the direction and supervision of the PA's prescriptive practices.
How will you know if a NP or PA"s is prescribing drug that is NOT allowed under his agreement with a
team care physician, physician or podiatrist? - correct answer✔✔ You may not able ot tell if the
prescription is for an approved drug. But, you should examine the practice the prescriber is in to make
sure that the prescription is for a drug that would normally be prescrbed in that practice setting. For
example, if you received a Rx for oral contraceptives from a NP at an OB/GYN practice, the Rx is most
probably within the NP's scope of practice. However, if that same NP wrote a Rx for treatment of gum
disease (chlorhexidine), you would want to call the doctor's office to verify the Rx.
Are nurse practitioners and PA allowed to write CII-CVI Rx? - correct answer✔✔ Yes
Are there any prescribing limitations on TPA-certified optometrists? - correct answer✔✔ Yes e
What medications are TPA certified optometrists allowed to prescribe and administer? - correct
answer✔✔ CIII-VI oral analgesics to relieve ocular (eye) pain.
other oral CVI controlled substances to treat diseases of the eye and its adnexa
Topically applied CVI drugs (for treatment of the eye/adnexa)
Intramuscular administration of EPI to treat emergency cases of anaphylactic shock
,What is the "adnexa" of the eye? - correct answer✔✔ The tissues immediately surronding the eye;
surrounding the eye; such as the eyelids and conjunctiva.
What certification does an optometrist (OD) need in order to prescribe? - correct answer✔✔ TPA-
certification.
TPA stands for Therapeutic Pharmaceutical Agents
Is TPA-certification a state or national certification? - correct answer✔✔ It is a Virginia certification that
ODs must obtain from the VA Board of Optometry
What conditions are TPA certified optometrists allowed to treat? - correct answer✔✔ Diseases and
abnormal conditions of the human eye and its adnexa (tissues adjoining the eye)
Are there any conditions that TPA-certified optometrists are specifically prohibited from treating? -
correct answer✔✔ Yes. Optometrists cannot treat infantile or congenial glaucoma and their treatment
of closed angle glaucoma is limited to initiation of immediate emergency care.
Are pharmacies allowed to supply TPA-certified optometrists with therapeutic pharmaceutical agents
listed on the TPA-Formulary? - correct answer✔✔ Yes
Are medical interns and residents who work in a hospital allowed to write Rx? - correct answer✔✔ Yes,
but only within their dueties as part of the residency program. (This may include writing Rx for ER
patients that will be filled at a retail pharmacy)
What is prescription under Virginia law? - correct answer✔✔ An order for drugs or medical supplies,
given to a pharmacist by a practitioner authorized to prescribe. The Rx may be written, oral, faxed or
transmitted electronically.
What prescriber information must every Virginia Rx contain? - correct answer✔✔ 1. Prescriber's name
2. Prescriber's address
3. Prescriber's phone number
4. Prescriber's signature (except for an oral prescriptions)
, 5. Precriber's DEA number (for Federal controlled substance Rx - CII-CV)
Are medical interns and residents allowed to write Rx in Virginia? - correct answer✔✔ Yes
Since interns and some residents do NOT have a DEA number, what do they use in place of their own
DEA number? - correct answer✔✔ They use the hospital where they are practicing's DEA number plus a
suffix assigned to the intern/resident by the institution
Do intern and resident's Rx need to comply with all of the regular requirements for valid Virginia Rx? -
correct answer✔✔ Yes
Are the interns/residents allowed to use their identification number to write for CII-CVI controlled
substance? - correct answer✔✔ Yes
When can a medical intern or resident working for a hospital prescribe controlled substnaces under the
hospital's DEA number? - correct answer✔✔ When it is in furtherance of the person's duties at the
hospital. The intern or resident cannot use the number if he/she is working somewhere else like an
urgent care center that is not affiliated with the hospital.
What if the patient was seen by the intern/resident at the hospitals emergency room? - correct
answer✔✔ The intern/resident can use the hospital identification number assigned to him to write a Rx
for the patient
What other information has to go on the Rx when patient was seen at ER by intern/resident? - correct
answer✔✔ -The intern/resident's signature and the legibly printed name, address and telephone
number of the resident/intern
-The address and phone number are usually pree-printed on the hospital's Rx blank but the
intern/resident's information is often not included and must be added by hand.
What else is exempt from the requirement to register with the DEA? - correct answer✔✔ -agents and
employees of registrants (e.g. employees of a pharmacy)
-Practitioners affiliated with registrants (e.g. doctors working at a hospital)
-Law Enforcement officials
