Free PA-MPJE Practice Questions

Question 1

A Pennsylvania pharmacist is managing warfarin under a valid noninstitutional collaborative practice agreement. The physician referred the patient in writing, and the agreement expressly authorizes dose adjustments. On Tuesday, the pharmacist changes the weekly dose within the agreement. Which additional action is required?

Accepted Answer

Communicate the intervention to the physician within 72 hours

Answer

Obtain a new patient-specific prescription before implementing the dose change

Answer

Document the change in the pharmacy record; no separate physician notice is required

Answer

Send a summary at the patient's next scheduled physician evaluation

Question 2

The sole pharmacist begins a 25-minute meal break but remains in the pharmacy's immediate building and is reachable for emergencies. Before the break, the pharmacist reviewed and verified a patient's refill. During the break, which staff action is permitted?

Accepted Answer

A trained technician releases the previously verified refill

Answer

A technician accepts and transcribes a telephone prescription

Answer

An intern performs final verification on a newly prepared prescription

Answer

A technician counsels the patient about a newly prescribed anticoagulant

Question 3

A refrigerated biologic was left at room temperature well beyond the manufacturer's validated excursion period. Its container and labeling remain intact, but stability cannot be established. For legal inventory control, the product is best classified as:

Accepted Answer

Potentially adulterated; quarantine pending an integrity determination

Answer

Misbranded, because the defect concerns the product's labeled storage conditions

Answer

Expired, because the excursion automatically supersedes the printed expiration date

Answer

Counterfeit, because the product can no longer be authenticated from its appearance

Question 4

A dispenser's investigation confirms credible evidence that serialized packages received from a wholesaler carry counterfeit serial numbers. The packages are segregated, and no units reached patients. What should occur next under the Drug Supply Chain Security Act?

Accepted Answer

Prevent distribution and notify FDA and immediate trading partners, generally within 24 hours

Answer

Keep the packages quarantined and notify only the wholesaler because no patient received them

Answer

Return the packages through ordinary recall channels without making an illegitimate-product notification

Answer

Wait for FDA to assign a recall class before treating the product as illegitimate

Question 5

A Category 2 compounded sterile preparation is aseptically prepared from only sterile starting components. No sterility testing supports an extension, and it will be refrigerated. The proposed beyond-use date is 12 days. Which disposition complies with USP <797>?

Accepted Answer

Cap the refrigerated beyond-use date at 10 days

Answer

Keep 12 days because all starting components were sterile

Answer

Extend to 28 days if the container remains unopened

Answer

Reclassify it as Category 3 solely because it is refrigerated

Question 6

An endocrinologist treating a shared patient asks the pharmacy for the patient's current medication profile to reconcile therapy. No state-law restriction or contrary patient instruction applies. Under HIPAA, the pharmacy should:

Accepted Answer

Disclose the treatment-related profile using reasonable safeguards

Answer

Refuse until the patient signs a new authorization

Answer

Provide only deidentified information because the request is external

Answer

Obtain a court order before releasing any prescription information

Question 7

An emergency oral prescription for oxycodone satisfies all three federal emergency criteria. Because only part of the quantity is in stock, the pharmacy dispenses a partial supply on Monday. The balance will arrive Friday, and the prescriber will deliver the required follow-up prescription on Saturday. Which assessment is correct?

Accepted Answer

The follow-up is timely, but the Friday balance requires a new prescription

Answer

Both plans are timely because each occurs within seven days

Answer

The balance is timely, but the prescriber follow-up was due within 72 hours

Answer

Neither is permitted because emergency oral Schedule II prescriptions cannot be partially filled

Question 8

After repeated unsuccessful attempts to reach the prescriber, a patient faces interruption of chronic insulin therapy. The only market package available cannot be divided and contains a 30-day supply. The prescription has no remaining refills. Under Pennsylvania's emergency-refill rule, the pharmacist may:

Accepted Answer

Dispense the 30-day package once, document it, and notify the prescriber within 72 hours

Answer

Decline because the statute never permits more than a 72-hour emergency quantity

Answer

Open the package and dispense exactly 72 hours, even if the product cannot be sold that way

Answer

Provide a customary 90-day supply after documenting the patient's verbal consent

Question 9

A new outpatient prescription is delivered to a patient's home. The package contains a written notice inviting the patient to call the pharmacy, lists the pharmacy telephone number, and states that a pharmacist is available for counseling. The patient does not call. Pennsylvania law treats this as:

Accepted Answer

A sufficient counseling offer; nonresponse may be treated as refusal

Answer

Invalid because only the pharmacist may personally make the initial offer

Answer

Invalid unless the delivery driver documents a spoken refusal

Answer

Automatic counseling by written material, eliminating pharmacist availability

Question 10

A new patient presents an electronic oxycodone prescription after orthopedic surgery and offers to pay cash despite active insurance. The pharmacist queries the PDMP, confirms that a recent short dental opioid course has ended, speaks with the surgeon, resolves the overlap, and documents the legitimate postoperative plan. What is the most defensible next step?

Accepted Answer

Dispense the prescription with appropriate counseling and documentation

Answer

Refuse because any cash payment proves controlled-substance diversion

Answer

Notify DEA that the patient used two prescribers within one month

Answer

Require the surgeon to cancel the prior dental prescription before dispensing

Free PA-MPJE Practice Questions

Domain 1: Licensure/Personnel 22% of exam

Question 1

Question 2

Question 3

Question 4

Question 5

Question 6

Domain 2: Pharmacist Practice 33% of exam

Question 7

Question 8

Question 9

Question 10

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