Hawaii MPJE Exam Prep FREE Sample Exam — Fixed Set

What must a wholesale distributor do with incoming and outgoing shipments?

Inspect only shipments that look damaged

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Open every incoming container and recount every unit by hand

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Inspect outgoing shipments only once a month

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Visually examine each incoming outside shipping container on receipt and carefully inspect each outgoing shipment

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A licensee’s renewal check is dishonored on first deposit, though the paperwork arrived on time. What happens to the license under the general act?

It stays active while the licensee sends a replacement check within a year

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It is automatically forfeited

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Nothing; payment problems never affect a timely filing

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It converts to inactive status until payment clears

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A patient with no prior contraceptive prescription and no regular prescriber asks a pharmacist to prescribe contraceptive supplies. May the pharmacist proceed if otherwise qualified?

Yes, the pharmacist may prescribe and dispense contraceptive supplies whether or not the patient shows evidence of a previous prescription from a physician, advanced practice nurse, or other primary care provider

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No, a previous prescription from a physician is always required first

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No, the patient must first obtain a referral from a primary care provider

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Yes, but only if the patient is already a patient of this pharmacy

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A pharmacy staff member drafts a MedWatch Form 3500 for a serious event that occurred shortly after a vaccine was administered at the pharmacy and asks pharmacist Samuel Price to submit it as drafted. What should Samuel do?

Submit the form as drafted, because the seriousness of the event determines the form

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Discard the report entirely, because vaccine events are never reported federally

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Redirect the report to the vaccine adverse-event reporting system, VAERS, which is the channel for vaccine events

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Hold the report until the pharmacy can prove the vaccine caused the event

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A prescription says nothing about how many times it may be refilled, and the patient asks for a refill. What must the pharmacist do?

Not refill it unless the practitioner subsequently authorizes the refill

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Refill it once as a courtesy fill

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Refill it up to five times under a default rule

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Refill it if the patient has taken the drug for years

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A prescription directs a dose well above the usual range and a duration far longer than appropriate for the stated therapy. Which prospective review screens are triggered?

Only allergy and therapeutic duplication

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Incorrect dosage and incorrect duration

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Only age and gender contraindications

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Only abuse and misuse

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Which item must the floor plan in a pharmacy permit application show for drug storage security?

A locked cabinet among the counters, shelves, and storage cabinets diagrammed for the prescription area

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An unlocked open bin for all prescription stock

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A locked cabinet only in the front retail aisle

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No storage detail, because security is inspected later

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Pharmacist Carla Jensen is reviewing over-the-counter analgesics and finds one product, properly manufactured and in date, whose labeling gives no usable directions telling a layperson how much to take, how often, or for how long. How is that product classified?

Adulterated, because weak directions lower the product's quality

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Acceptable, because store staff can explain dosing verbally at the register

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Recalled, because inadequate directions automatically trigger a recall

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Misbranded, because over-the-counter labeling that lacks adequate directions for use is misbranded

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A compounding pharmacy prepares an oil-based oral liquid for patient Andre Boateng. The formulation contains no water and the pharmacy has no stability data for it. A technician proposes dating it 180 days because the batch is large. What is the correct default beyond-use date?

90 days, the default limit for a non-aqueous liquid without stability data

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14 days refrigerated, the default for any compounded oral liquid

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35 days, the default for any liquid that contains a preservative

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180 days, because batch size determines the dating of liquids

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A registration holder discovers reason to believe controlled substances in inventory were diverted by fraud. What reporting sequence is required?

Immediately report verbally to the administrator, then submit a written report as soon as practicable

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File a written report within 30 days, with no verbal step

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Report verbally within a week, then in writing at renewal

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Wait until the annual inventory confirms the loss

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A licensee is disciplined by another jurisdiction in March and notifies the Hawaii authority the following January, explaining that they reported it at renewal time. What is wrong with that timing?

Nothing, because reporting is due only at the next biennial renewal

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The report was due within 10 days, so January is late for a different reason

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Reports of out-of-state discipline are optional courtesies between boards

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The general act requires written reporting of another jurisdiction's disciplinary decision within 30 days, and late reporting is itself a disciplinary ground

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Pharmacist Elias Roth can supply only 12 of the 30 tablets on an outpatient’s Schedule II prescription and dispenses 12 as a partial fill. A technician prepares a record showing only the full quantity of 30 tablets ‘as written.’ What documentation does the partial fill require?

No special record, because the original prescription already shows the quantity

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A record in the patient's general correspondence file noting that the fill 'went fine'

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A record showing the quantity actually dispensed as the partial fill and the remaining balance, so the record reflects what was supplied and what remains subject to the short remainder window

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A second prescription from the prescriber documenting the 12 tablets before any record is made

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Hawaii MPJE Exam Prep FREE Sample Exam — Fixed Set

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