VIRGINIA MPJE EXAM 2024 WITH 100% C
n n n n n n
ORRECT ANSWERS n
DoesnVirginianornthe nFederalngovernmentndecide nwhonhasnprescribeingnauthorityninnVA?n-
n correctn answer✔✔n Virginian does. n State n law n controls n whon cann write n validn prescriptions
Whatnpractitionersncannwrite nvalidnRx nforncontrollednsubstancesninnVA?n-
n correctn answer✔✔n Practitioners n of n medicine n (MD)
Practitionersnofnosteopathyn(DO) n
practitionersnofndentistryn(dentist,nDDS,nornDMD) n
practitionersnofnpodiatryn(PodiatristnornDPM-"footndoctor) n
PractitionersnofnVeterinarynmedicine n(DVMnornVeterinarian) n
Virginianlicensednnurse npractitionersn(NPnornFNP) n
Virginianlicensednphysician'snassistantn(PA) n
VirginianTPAncertifiednoptometristsn(O.D)
whichnprescribersnhave nunrestrictednprescribingnauthoritynandncannwrite nfornCII-
CVInprescriptionsntontreatntheirnpatientsnwithoutnthenneednfornannagreementnwithnanynothernpractitionere
sn-ncorrectnanswer✔✔nMedicalndoctorsn
Osteopathicndoctorsn
dentistsn
Podiatristsn
Veterinarians
CannVirginianpharmacynfillnRx nwrittennbynoutnof nstate npractitioners?n** n-
n correctn answer✔✔n Yes, nif n the npractitionernisn anmedicaln doctor, nosteopath, ndentist,n podiatrist, n orn veterina
riannandnthe nRx nmetsnallnof nthe nothernrequirementsnfornanvalidnVAnissuednRx.
,**Outnof nstatenRxnfromnNP,nPAnandnoptometristsnare nnotnvalidnunlessnthe nprescribernisnlicensedninnVirginia
n inn addition n ton the n othern state
Are nthere nanynrestrictionsnonnthe nprescribingnofndrugsnbynmedicalndoctors,nosteopathicndoctors,npodiatris
ts,ndentists,nandnveterinarians?n-
n correctn answer✔✔n Yes, n MD, n DO, n podiatrists n andn dentists n cann NOTn write n Rx n forn animals. n
VeterinariansncannONLYnwrite nRx nfornanimals.n
DentistsncannONLYnwrite nRx nfornthentreatmentnofnmouthnconditionsnandndiseases.nAnRxnfornoralncontracept
ivesnwouldnnotnbe nvalidn
PodiatristsncannonlynwritenRxnfornthentreatmentnofnconditionsnandndiseasesnofnthe nfootnandnankle.nAnRxnfor
n ann asthman medication n would n notn be n valid
Whatnare nthe nprescribingnrestrictionsnonnNPnandnPA?n-
n correctn answer✔✔n An NP'sn prescribingn authority n isn dependentnuponn entryn intonan practice n agreementn wit
hnanpatientncare nteamnphysiciannthatnclearlynstatesnthe nprescriptive npracticesnofnthe nNP.
AnPA'snprescribingnauthoritynisndependentnuponnentrynintonanwrittennagreementnwithnanlicensednphysician
n orn podiatristn thatn provides n forn the n direction n andn supervision n of n the n PA'sn prescriptive n practices.
HownwillnyounknownifnanNPnornPA"snisnprescribingndrugnthatnisnNOTnallowednundernhisnagreementnwithnante
amncare nphysician,nphysiciannornpodiatrist?n-
n correctn answer✔✔n Younmayn notn ablen otn telln if n the nprescription n isnforn annapprovedn drug. nBut, nyoun shouldn
examine nthenpractice nthenprescribernisninntonmake nsurenthatnthe nprescriptionnisnfornandrugnthatnwouldnnor
mallynbe nprescrbedninnthatnpractice nsetting.nFornexample,nifnyounreceivednanRxnfornoralncontraceptivesnfro
mnanNPnatnannOB/GYNnpractice,nthe nRx nisnmostnprobablynwithinnthe nNP'snscope nofnpractice.nHowever,nifnth
atnsame nNPnwrotenanRxnforntreatmentnofngumndisease n(chlorhexidine), nyounwouldnwantntoncallnthe ndoctor'
snoffice ntonverifynthe nRx.
Are nnurse npractitionersnandnPAnallowedntonwrite nCII-CVInRx?n-ncorrectnanswer✔✔nYes
Are nthere nanynprescribingnlimitationsnonnTPA-certifiednoptometrists?n-ncorrectnanswer✔✔nYesne
Whatnmedicationsnare nTPAncertifiednoptometristsnallowedntonprescribe nandnadminister?n-
n correctn answer✔✔n CIII-VI n oraln analgesics n ton relieve n ocularn (eye) n pain. n
,othernoralnCVIncontrollednsubstancesntontreatndiseasesnofnthe neye nandnitsnadnexan
TopicallynappliednCVIndrugsn(forntreatmentnof nthe neye/adnexa) n
Intramuscularnadministrationnof nEPIntontreatnemergencyncasesnofnanaphylacticnshock
Whatnisnthe n"adnexa"nofnthe neye?n-
n correctn answer✔✔n Then tissuesn immediately n surrondingn theneye;nsurroundingnthen eye;nsuchnasnthen eyelid
snandnconjunctiva.
Whatncertificationndoesnannoptometristn(OD) nneedninnorderntonprescribe?n-ncorrectnanswer✔✔nTPA-
certification.n
TPAnstandsnfornTherapeuticnPharmaceuticalnAgents
IsnTPA-certificationnanstate nornnationalncertification?n-
n correctn answer✔✔n Itnisn anVirginian certification n thatn ODsn mustn obtain n fromn the n VA n Boardn of n Optometry
Whatnconditionsnare nTPAncertifiednoptometristsnallowedntontreat?n-
n correctn answer✔✔n Diseases n andn abnormaln conditions nof nthenhumann eyen andn itsnadnexan (tissues nadjoinin
gnthe neye)
Are nthere nanynconditionsnthatnTPA-certifiednoptometristsnare nspecificallynprohibitednfromntreating?n-
n correctn answer✔✔n Yes. nOptometrists n cannotn treatninfantile norncongenialn glaucoman andntheirn treatmentn
ofnclosednangle nglaucomanisnlimitedntoninitiationnof nimmediate nemergencyncare.
Are npharmaciesnallowedntonsupplynTPA-
certifiednoptometristsnwithntherapeuticnpharmaceuticalnagentsnlistednonnthe nTPA-Formulary?n-
n correctn answer✔✔n Yes
Are nmedicalninternsnandnresidentsnwhonworkninnanhospitalnallowedntonwrite nRx?n-
n correctn answer✔✔n Yes, nbutnonly nwithinntheirn duetiesn asn partnofn thenresidencyn program. n (Thisnmay n includ
e nwritingnRx nfornERnpatientsnthatnwillnbe nfillednatnanretailnpharmacy)
, WhatnisnprescriptionnundernVirginianlaw?n-
n correctn answer✔✔n Ann ordernforn drugs n orn medicaln supplies, ngivennton anpharmacistn byn an practitionern auth
orizedntonprescribe.nThe nRx nmaynbe nwritten,noral,nfaxednorntransmittednelectronically.
WhatnprescriberninformationnmustneverynVirginianRx ncontain?n-ncorrectnanswer✔✔n1.nPrescriber'snname n
2.nPrescriber'snaddressn
3.nPrescriber'snphone nnumbern
4.nPrescriber'snsignature n(exceptnfornannoralnprescriptions) n
5.nPrecriber'snDEAnnumbern(fornFederalncontrollednsubstance nRx n-nCII-CV)
Are nmedicalninternsnandnresidentsnallowedntonwrite nRx ninnVirginia?n-ncorrectnanswer✔✔nYes
Since ninternsnandnsome nresidentsndonNOTnhavenanDEAnnumber,nwhatndontheynuseninnplace nof ntheirnownnD
EAnnumber?n-
n correctn answer✔✔n They nusen then hospitaln wherenthey n aren practicing's n DEA n numbernplusn ansuffix n assigned
n ton the n intern/resident n byn the n institution
Doninternnandnresident'snRx nneedntoncomplynwithnallnof nthe nregularnrequirementsnfornvalidnVirginianRx?n-
n correctn answer✔✔n Yes
Are nthe ninterns/residentsnallowedntonuse ntheirnidentificationnnumberntonwrite nfornCII-
CVIncontrollednsubstance?n-ncorrectnanswer✔✔nYes
Whenncannanmedicalninternnornresidentnworkingnfornanhospitalnprescribe ncontrollednsubstnacesnundernthen
hospital'snDEAnnumber?n-
n correctn answer✔✔n Whennitn isn innfurtherance nof nthenperson's ndutiesn atn thenhospital. n Then internn orn reside
ntncannotnuse nthennumbernifnhe/shenisnworkingnsomewherenelsenlike nannurgentncarencenternthatnisnnotnaffi
liatednwithnthe nhospital.
Whatnifnthe npatientnwasnseennbynthe nintern/residentnatnthe nhospitalsnemergencynroom?n-
n correctn answer✔✔n Then intern/residentncann usen the nhospitaln identification n numbern assignedn ton himntonw
rite nanRx nfornthe npatient
n n n n n n
ORRECT ANSWERS n
DoesnVirginianornthe nFederalngovernmentndecide nwhonhasnprescribeingnauthorityninnVA?n-
n correctn answer✔✔n Virginian does. n State n law n controls n whon cann write n validn prescriptions
Whatnpractitionersncannwrite nvalidnRx nforncontrollednsubstancesninnVA?n-
n correctn answer✔✔n Practitioners n of n medicine n (MD)
Practitionersnofnosteopathyn(DO) n
practitionersnofndentistryn(dentist,nDDS,nornDMD) n
practitionersnofnpodiatryn(PodiatristnornDPM-"footndoctor) n
PractitionersnofnVeterinarynmedicine n(DVMnornVeterinarian) n
Virginianlicensednnurse npractitionersn(NPnornFNP) n
Virginianlicensednphysician'snassistantn(PA) n
VirginianTPAncertifiednoptometristsn(O.D)
whichnprescribersnhave nunrestrictednprescribingnauthoritynandncannwrite nfornCII-
CVInprescriptionsntontreatntheirnpatientsnwithoutnthenneednfornannagreementnwithnanynothernpractitionere
sn-ncorrectnanswer✔✔nMedicalndoctorsn
Osteopathicndoctorsn
dentistsn
Podiatristsn
Veterinarians
CannVirginianpharmacynfillnRx nwrittennbynoutnof nstate npractitioners?n** n-
n correctn answer✔✔n Yes, nif n the npractitionernisn anmedicaln doctor, nosteopath, ndentist,n podiatrist, n orn veterina
riannandnthe nRx nmetsnallnof nthe nothernrequirementsnfornanvalidnVAnissuednRx.
,**Outnof nstatenRxnfromnNP,nPAnandnoptometristsnare nnotnvalidnunlessnthe nprescribernisnlicensedninnVirginia
n inn addition n ton the n othern state
Are nthere nanynrestrictionsnonnthe nprescribingnofndrugsnbynmedicalndoctors,nosteopathicndoctors,npodiatris
ts,ndentists,nandnveterinarians?n-
n correctn answer✔✔n Yes, n MD, n DO, n podiatrists n andn dentists n cann NOTn write n Rx n forn animals. n
VeterinariansncannONLYnwrite nRx nfornanimals.n
DentistsncannONLYnwrite nRx nfornthentreatmentnofnmouthnconditionsnandndiseases.nAnRxnfornoralncontracept
ivesnwouldnnotnbe nvalidn
PodiatristsncannonlynwritenRxnfornthentreatmentnofnconditionsnandndiseasesnofnthe nfootnandnankle.nAnRxnfor
n ann asthman medication n would n notn be n valid
Whatnare nthe nprescribingnrestrictionsnonnNPnandnPA?n-
n correctn answer✔✔n An NP'sn prescribingn authority n isn dependentnuponn entryn intonan practice n agreementn wit
hnanpatientncare nteamnphysiciannthatnclearlynstatesnthe nprescriptive npracticesnofnthe nNP.
AnPA'snprescribingnauthoritynisndependentnuponnentrynintonanwrittennagreementnwithnanlicensednphysician
n orn podiatristn thatn provides n forn the n direction n andn supervision n of n the n PA'sn prescriptive n practices.
HownwillnyounknownifnanNPnornPA"snisnprescribingndrugnthatnisnNOTnallowednundernhisnagreementnwithnante
amncare nphysician,nphysiciannornpodiatrist?n-
n correctn answer✔✔n Younmayn notn ablen otn telln if n the nprescription n isnforn annapprovedn drug. nBut, nyoun shouldn
examine nthenpractice nthenprescribernisninntonmake nsurenthatnthe nprescriptionnisnfornandrugnthatnwouldnnor
mallynbe nprescrbedninnthatnpractice nsetting.nFornexample,nifnyounreceivednanRxnfornoralncontraceptivesnfro
mnanNPnatnannOB/GYNnpractice,nthe nRx nisnmostnprobablynwithinnthe nNP'snscope nofnpractice.nHowever,nifnth
atnsame nNPnwrotenanRxnforntreatmentnofngumndisease n(chlorhexidine), nyounwouldnwantntoncallnthe ndoctor'
snoffice ntonverifynthe nRx.
Are nnurse npractitionersnandnPAnallowedntonwrite nCII-CVInRx?n-ncorrectnanswer✔✔nYes
Are nthere nanynprescribingnlimitationsnonnTPA-certifiednoptometrists?n-ncorrectnanswer✔✔nYesne
Whatnmedicationsnare nTPAncertifiednoptometristsnallowedntonprescribe nandnadminister?n-
n correctn answer✔✔n CIII-VI n oraln analgesics n ton relieve n ocularn (eye) n pain. n
,othernoralnCVIncontrollednsubstancesntontreatndiseasesnofnthe neye nandnitsnadnexan
TopicallynappliednCVIndrugsn(forntreatmentnof nthe neye/adnexa) n
Intramuscularnadministrationnof nEPIntontreatnemergencyncasesnofnanaphylacticnshock
Whatnisnthe n"adnexa"nofnthe neye?n-
n correctn answer✔✔n Then tissuesn immediately n surrondingn theneye;nsurroundingnthen eye;nsuchnasnthen eyelid
snandnconjunctiva.
Whatncertificationndoesnannoptometristn(OD) nneedninnorderntonprescribe?n-ncorrectnanswer✔✔nTPA-
certification.n
TPAnstandsnfornTherapeuticnPharmaceuticalnAgents
IsnTPA-certificationnanstate nornnationalncertification?n-
n correctn answer✔✔n Itnisn anVirginian certification n thatn ODsn mustn obtain n fromn the n VA n Boardn of n Optometry
Whatnconditionsnare nTPAncertifiednoptometristsnallowedntontreat?n-
n correctn answer✔✔n Diseases n andn abnormaln conditions nof nthenhumann eyen andn itsnadnexan (tissues nadjoinin
gnthe neye)
Are nthere nanynconditionsnthatnTPA-certifiednoptometristsnare nspecificallynprohibitednfromntreating?n-
n correctn answer✔✔n Yes. nOptometrists n cannotn treatninfantile norncongenialn glaucoman andntheirn treatmentn
ofnclosednangle nglaucomanisnlimitedntoninitiationnof nimmediate nemergencyncare.
Are npharmaciesnallowedntonsupplynTPA-
certifiednoptometristsnwithntherapeuticnpharmaceuticalnagentsnlistednonnthe nTPA-Formulary?n-
n correctn answer✔✔n Yes
Are nmedicalninternsnandnresidentsnwhonworkninnanhospitalnallowedntonwrite nRx?n-
n correctn answer✔✔n Yes, nbutnonly nwithinntheirn duetiesn asn partnofn thenresidencyn program. n (Thisnmay n includ
e nwritingnRx nfornERnpatientsnthatnwillnbe nfillednatnanretailnpharmacy)
, WhatnisnprescriptionnundernVirginianlaw?n-
n correctn answer✔✔n Ann ordernforn drugs n orn medicaln supplies, ngivennton anpharmacistn byn an practitionern auth
orizedntonprescribe.nThe nRx nmaynbe nwritten,noral,nfaxednorntransmittednelectronically.
WhatnprescriberninformationnmustneverynVirginianRx ncontain?n-ncorrectnanswer✔✔n1.nPrescriber'snname n
2.nPrescriber'snaddressn
3.nPrescriber'snphone nnumbern
4.nPrescriber'snsignature n(exceptnfornannoralnprescriptions) n
5.nPrecriber'snDEAnnumbern(fornFederalncontrollednsubstance nRx n-nCII-CV)
Are nmedicalninternsnandnresidentsnallowedntonwrite nRx ninnVirginia?n-ncorrectnanswer✔✔nYes
Since ninternsnandnsome nresidentsndonNOTnhavenanDEAnnumber,nwhatndontheynuseninnplace nof ntheirnownnD
EAnnumber?n-
n correctn answer✔✔n They nusen then hospitaln wherenthey n aren practicing's n DEA n numbernplusn ansuffix n assigned
n ton the n intern/resident n byn the n institution
Doninternnandnresident'snRx nneedntoncomplynwithnallnof nthe nregularnrequirementsnfornvalidnVirginianRx?n-
n correctn answer✔✔n Yes
Are nthe ninterns/residentsnallowedntonuse ntheirnidentificationnnumberntonwrite nfornCII-
CVIncontrollednsubstance?n-ncorrectnanswer✔✔nYes
Whenncannanmedicalninternnornresidentnworkingnfornanhospitalnprescribe ncontrollednsubstnacesnundernthen
hospital'snDEAnnumber?n-
n correctn answer✔✔n Whennitn isn innfurtherance nof nthenperson's ndutiesn atn thenhospital. n Then internn orn reside
ntncannotnuse nthennumbernifnhe/shenisnworkingnsomewherenelsenlike nannurgentncarencenternthatnisnnotnaffi
liatednwithnthe nhospital.
Whatnifnthe npatientnwasnseennbynthe nintern/residentnatnthe nhospitalsnemergencynroom?n-
n correctn answer✔✔n Then intern/residentncann usen the nhospitaln identification n numbern assignedn ton himntonw
rite nanRx nfornthe npatient
