UMPJE Exam Prep FREE Sample Exam — Fixed Set

A pharmacist sends a patient’s prescription history to the patient’s other treating clinician so that clinician can adjust therapy, and a staff member worries that a signed patient authorization and a minimum-necessary review are both legally required first. Which statement is correct?

Both a signed authorization and a minimum-necessary limit always apply to every disclosure

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Treatment disclosures need a signed authorization, but payment disclosures do not

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Disclosures for treatment may be made without patient authorization, and the minimum necessary standard does not apply to treatment uses and disclosures

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No information may ever be shared with another clinician without a court order

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During a genuine emergency, a prescriber gives a pharmacist oral authorization for a Schedule II medicine but asks the pharmacist to dispense a full month’s supply so the patient will not need to return. The emergency itself is expected to last only a few days, and no alternative treatment will work. How much may the pharmacist dispense on the oral authorization?

The full month's supply, because the prescriber authorized that amount by phone

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The full month's supply, if the patient signs a statement accepting the emergency dispensing

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Only the amount needed for the emergency period, with the prescriber required to deliver the covering written or electronic prescription within 7 days

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Nothing, because a Schedule II medicine can never be dispensed on an oral authorization even in an emergency

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A pharmacist compounds a preparation for a named patient with a valid prescription. At pickup, that patient’s spouse asks for a supply of the same preparation for himself, saying he has the same condition, but the pharmacy has no prescription for the spouse. What should the pharmacist do?

Give him part of the batch, because the formulation has already been made for the household

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Relabel a container with the spouse's name written over the first patient's name

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Sell it to him without a prescription, since a compounded preparation for one spouse may be shared with the other

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Decline to dispense it to the spouse until a patient-specific prescription for the spouse is received

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On a holiday weekend, an established patient runs out of a daily non-controlled maintenance medicine, has no refills left, and will miss doses because the prescriber cannot be reached. Under the prevailing emergency-refill principle, the pharmacist dispenses a limited 72-hour emergency supply. Which steps complete the pharmacist’s obligations for that dispensing?

Document the circumstances of the emergency dispensing in the patient's record and notify the prescriber of the emergency supply

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Record the supply as an ordinary authorized refill so the patient's refill count stays accurate

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Add a new refill authorization to the prescription so the patient is covered next month as well

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No documentation or prescriber notice is needed when the supply is this small

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A prescriber writes a Schedule III prescription with the words ‘refills for one year.’ Four months later the patient has used two refills and asks how much refill authority actually remains under federal limits. Which statement is correct?

Up to three more refills remain, and only until six months from the original prescription date, because the prescriber's wording cannot extend the five-refills-in-six-months limits

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Refills are unlimited for the full year, exactly as the prescriber wrote

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Ten more refills remain, because a one-year period allows two successive six-month refill cycles on the same prescription

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No refills remain, because writing 'for one year' voided the refill authorization entirely

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A pharmacy relocated to a new street address last month. A technician filling a prescription reaches for the remaining stock of pre-printed container labels bearing the pharmacy’s former address. At final verification, the pharmacist should:

Hold the fill and relabel it with the pharmacy's current name and address before dispensing.

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Dispense it, because the pharmacy's address on a label matters only for insurance billing.

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Dispense the old label stock until it runs out, because the labels were accurate when they were printed.

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Dispense it, because a dispensed container label is required to show only the prescription number and the patient's name.

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A discount supplier offers the pharmacy a case of an over-the-counter cough product whose cartons are printed only in a foreign language and omit required label information for buyers in this country, including adequate directions in a form buyers can use. The supplier suggests the pharmacist can explain everything verbally at the counter. How should the pharmacy treat the product?

Stock it, because a pharmacist's verbal explanation cures any gap in over-the-counter labeling

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Stock it if a technician adds a handwritten English directions sticker to each carton

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Treat it as misbranded and do not sell it in that condition, because its labeling is missing required information and lacks adequate directions for use

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Treat it as adulterated, because missing label information changes the product's strength and quality

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A Schedule IV prescription authorized five refills. The patient took two refills at her current pharmacy and now transfers the prescription to your pharmacy. How many refills may your pharmacy dispense under the transferred prescription?

The three refills that remain from the prescriber's original authorization

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Five fresh refills, because the transfer restarts the authorization

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Six refills, counting the transfer itself as one authorization

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Two refills, matching the number already taken at the other pharmacy

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A board receives a complaint that a pharmacist filed several required records late over one quarter. The pharmacist is cooperating, there is no allegation of impairment, diversion, or dispensing errors, and no evidence that patients face an immediate risk. Which board approach best fits these facts?

Summarily suspend the license today, because summary suspension is the required first step for every board complaint

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Take no action of any kind, because late records can never be a board concern

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Ask the federal drug enforcement authority to impose the state discipline, because a board cannot investigate its own licensees

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Investigate the complaint and pursue any discipline through the board's ordinary process, reserving summary suspension for situations involving imminent danger

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A pharmacist dispenses the correct drug at the correct strength after a screening that shows no problem, but provides no counseling at all. The patient misses a dose, does not know what to do about a missed dose, doubles the next dose to catch up, and is harmed. The pharmacist argues there can be no liability because the fill itself was perfect. Which statement is correct?

A counseling failure can support liability, because the pharmacist's duty extends beyond accurate filling to counseling, including what to do if a dose is missed

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There can be no liability whenever the drug and strength dispensed were correct

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Only the prescriber can be liable, because the prescriber chose the therapy and its schedule

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Liability requires proof that the pharmacist intended the patient to be harmed

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A buyer signed electronic controlled-substance orders for a pharmacy during March. In April, managers prepare the power-of-attorney document authorizing those signatures and date it back to March 1 so the file matches the orders. What is the compliance problem?

Power of attorney must be executed before it is relied on and retained as executed; backdating the document does not retroactively authorize the March signatures

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There is no problem, because a power of attorney may be dated to match any earlier orders it is meant to cover

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The only problem is that the document was prepared in April rather than on a business day

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The problem is cured if the buyer also signs the April document a second time

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A board-authorized remote dispensing site in a small town is staffed on site by a pharmacy technician, with a pharmacist at the main pharmacy reviewing and verifying each prescription through a secure electronic link before anything is handed out. One afternoon the link fails, and the site manager proposes that the technician hand out prescriptions that are already packaged and labeled while the link is down, since the labels ‘look right.’ What must happen?

The technician may hand out the labeled prescriptions, because packaging and labeling are the only steps that matter

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The technician may hand out noncontrolled prescriptions only, without any pharmacist verification

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The site may keep dispensing as long as the pharmacist reviews everything the next morning

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No prescription may be released until pharmacist verification through the authorized arrangement is restored; dispensing waits for the pharmacist's review

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UMPJE Exam Prep FREE Sample Exam — Fixed Set

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