MD MPJE EXAM 2024 WITH 100%
CORRECT ANSWERS
Hazardous materials(sterile. non-sterile compounding) - correct answer✔✔ - externally vented through
HEPA filter
- physically separated
- negative pressure
Hazardous drug examples - correct answer✔✔ - carcinogenic
- teratogenic
- reproductive toxicity
- genotoxicity
- drugs that mimic existing hazardous drugs in structure or toxicity
Theft(DEA form, procedure) - correct answer✔✔ - DEA form 106(document amount stolen)
- original and one copy sent to DEA, pharmacy keeps one copy
- Notify DEA regional office and division of drug control(and police)
Where to store controlled substances - correct answer✔✔ - Either in locked cabinet or dispersed
throughout pharmacy
Destruction of CS(DEA form) - correct answer✔✔ DEA form 41
- list all drugs to be destroyed
- witnesses(physician, pharmacist, midlevel practicioner, nurse or law enforcement)
- 2 signed copies for DEA form 41
- keep perpetual inventory of controls awaiting destruction
,Initial and biennial inventory
- how long are records kept? - correct answer✔✔ Inventory must be taken any time drug
reclassified(non-CS to CS)
- Records kept for 2 yrs
- CII exact count(accept manufacturer's seal)
- CIII-CV, approximate(exact count if >1000 pills)
DEA form to sell or buy CI or CII? - correct answer✔✔ DEA form 222
How long should order forms be maintained? - correct answer✔✔ 2 years
Substituting quantities? - correct answer✔✔ Yes if it's the same quantity (1x500 or 500x1)
Rules with regards to CI? - correct answer✔✔ Can only be ordered by researchers
Rules with regards to selling CII? - correct answer✔✔ Cannot sell more than 5% of annual purchases
without registering as a distributor
Rx for office use? - correct answer✔✔ Never, cannot accept Rx for office use or medical bag
DEA number letters - profession - correct answer✔✔ FAB - prescribers
M - Midlevel practitioners
DEA number algorithm - correct answer✔✔ + Add digits 1, 3, 5
+ Add digits 2, 4, 6 and double the sum
+ last digit of sums should match 7th digit
Is a DEA number required in any location where there are controlled substances - correct answer✔✔
Yes
- eg each location of a retail chain pharmacy
,eg manufac., distrib., wholesaler, dispenser, researcher, exporter
Do employees need a DEA number if the hospital has one? - correct answer✔✔ No
DEA number if pharmacy closes - correct answer✔✔ Must notify DEA
DEA registration renewal
Pharmacies?
MDs? Manufacturers? - correct answer✔✔ Pharmacy - 3 years
MDs - 3 years
Manufacturers & distributers - 1 year
Schedule II physical or psychological dependence
+ examples - correct answer✔✔ High-High
Endocet, Desoxyn(methamphetamine), Actiq(Fentanyl), Cocaine, Aptensio(methylphenydate)
Schedule III
Physical and psychological + examples - correct answer✔✔ Moderate, Low - High
Dronabinol(Marinol, syndros)
Drug Recall Class I
Return? - correct answer✔✔ - Drug causes serious adverse events including death
- notify patients
- mandatory return of inventory
Drug Recall Class II - correct answer✔✔ -temporary or reversible adverse effects
- inventory should be returned
- patients do not need to return drugs
, Drug Recall Class III - correct answer✔✔ - No adverse effects
- manufacturer only
Veterinary drugs
Rx or OTC? - correct answer✔✔ Can be both
Can a veterinarian prescribe human drugs for animals? - correct answer✔✔ Yes
OBRA 90 - correct answer✔✔ Guidelines that states need to follow to be reimbursed by federal
government for medicaid services
Counseling requirements
OBRA 90 - correct answer✔✔ MUST offer to counsel in a way that encourages patient
must document refusal
OTC GERD meds
H2 blockers - correct answer✔✔ Famotidine(Pepcid) max 20mg (Acid is nizatidine btw)
Cimetidine(Tagamet) > 200mg
Ranitidine(Zantac) > 150mg
OTC GERD meds
Antacids - correct answer✔✔ ALka-seltzer, gelusil, maalox, mylanta, pepto-bismol, rolaids, tums
OTC GERD meds
PPI - correct answer✔✔ omeprazole(Prilosec) > 20mg
Lansoprazole (Prevacid) > 15mg
Compound drugs requirements - correct answer✔✔ - Do not compound drugs withdrawn from market
- Must show comparable REMS control if REMS drug
CORRECT ANSWERS
Hazardous materials(sterile. non-sterile compounding) - correct answer✔✔ - externally vented through
HEPA filter
- physically separated
- negative pressure
Hazardous drug examples - correct answer✔✔ - carcinogenic
- teratogenic
- reproductive toxicity
- genotoxicity
- drugs that mimic existing hazardous drugs in structure or toxicity
Theft(DEA form, procedure) - correct answer✔✔ - DEA form 106(document amount stolen)
- original and one copy sent to DEA, pharmacy keeps one copy
- Notify DEA regional office and division of drug control(and police)
Where to store controlled substances - correct answer✔✔ - Either in locked cabinet or dispersed
throughout pharmacy
Destruction of CS(DEA form) - correct answer✔✔ DEA form 41
- list all drugs to be destroyed
- witnesses(physician, pharmacist, midlevel practicioner, nurse or law enforcement)
- 2 signed copies for DEA form 41
- keep perpetual inventory of controls awaiting destruction
,Initial and biennial inventory
- how long are records kept? - correct answer✔✔ Inventory must be taken any time drug
reclassified(non-CS to CS)
- Records kept for 2 yrs
- CII exact count(accept manufacturer's seal)
- CIII-CV, approximate(exact count if >1000 pills)
DEA form to sell or buy CI or CII? - correct answer✔✔ DEA form 222
How long should order forms be maintained? - correct answer✔✔ 2 years
Substituting quantities? - correct answer✔✔ Yes if it's the same quantity (1x500 or 500x1)
Rules with regards to CI? - correct answer✔✔ Can only be ordered by researchers
Rules with regards to selling CII? - correct answer✔✔ Cannot sell more than 5% of annual purchases
without registering as a distributor
Rx for office use? - correct answer✔✔ Never, cannot accept Rx for office use or medical bag
DEA number letters - profession - correct answer✔✔ FAB - prescribers
M - Midlevel practitioners
DEA number algorithm - correct answer✔✔ + Add digits 1, 3, 5
+ Add digits 2, 4, 6 and double the sum
+ last digit of sums should match 7th digit
Is a DEA number required in any location where there are controlled substances - correct answer✔✔
Yes
- eg each location of a retail chain pharmacy
,eg manufac., distrib., wholesaler, dispenser, researcher, exporter
Do employees need a DEA number if the hospital has one? - correct answer✔✔ No
DEA number if pharmacy closes - correct answer✔✔ Must notify DEA
DEA registration renewal
Pharmacies?
MDs? Manufacturers? - correct answer✔✔ Pharmacy - 3 years
MDs - 3 years
Manufacturers & distributers - 1 year
Schedule II physical or psychological dependence
+ examples - correct answer✔✔ High-High
Endocet, Desoxyn(methamphetamine), Actiq(Fentanyl), Cocaine, Aptensio(methylphenydate)
Schedule III
Physical and psychological + examples - correct answer✔✔ Moderate, Low - High
Dronabinol(Marinol, syndros)
Drug Recall Class I
Return? - correct answer✔✔ - Drug causes serious adverse events including death
- notify patients
- mandatory return of inventory
Drug Recall Class II - correct answer✔✔ -temporary or reversible adverse effects
- inventory should be returned
- patients do not need to return drugs
, Drug Recall Class III - correct answer✔✔ - No adverse effects
- manufacturer only
Veterinary drugs
Rx or OTC? - correct answer✔✔ Can be both
Can a veterinarian prescribe human drugs for animals? - correct answer✔✔ Yes
OBRA 90 - correct answer✔✔ Guidelines that states need to follow to be reimbursed by federal
government for medicaid services
Counseling requirements
OBRA 90 - correct answer✔✔ MUST offer to counsel in a way that encourages patient
must document refusal
OTC GERD meds
H2 blockers - correct answer✔✔ Famotidine(Pepcid) max 20mg (Acid is nizatidine btw)
Cimetidine(Tagamet) > 200mg
Ranitidine(Zantac) > 150mg
OTC GERD meds
Antacids - correct answer✔✔ ALka-seltzer, gelusil, maalox, mylanta, pepto-bismol, rolaids, tums
OTC GERD meds
PPI - correct answer✔✔ omeprazole(Prilosec) > 20mg
Lansoprazole (Prevacid) > 15mg
Compound drugs requirements - correct answer✔✔ - Do not compound drugs withdrawn from market
- Must show comparable REMS control if REMS drug
