WorksheetsMD MPJE Licensure/Personnel
Total questions: 80
Worksheet time: 27mins
Name
Class
Date
1.
When a new community pharmacy is applying for its permit, which of the following must be available at the opening inspection?
a)
A television in the waiting area and a private counseling room
b)
An on-call pharmacist reachable by phone but not physically present
c)
A home-kitchen refrigerator and a kitchen sink that staff also use for dishes
d)
A refrigerator dedicated to medications, hot and cold running water, and a current edition of the state's pharmacy laws
e)
A microwave oven and at least two cash registers
2.
After the Board issues a pharmacy permit, how long does the permit holder have to make the pharmacy operational before the permit may be rescinded?
a)
180 days from issuance, after which a warning is issued but the permit remains active
b)
There is no timeframe; the permit remains valid indefinitely
c)
One year from issuance, provided an extension request is filed
d)
Ten business days from issuance, unless the Board waives the requirement
e)
Within 60 days of permit issuance, or the Board may rescind the permit
3.
Which statement about the location of a pharmacy in Maryland is correct?
a)
A retail pharmacy may be in a residence if it posts hours and complies with DEA requirements
b)
A pharmacy may be located in any building as long as it has a business license
c)
A pharmacy may not be located in a residence
d)
A pharmacy may operate in a residential basement if prescriptions are locked
e)
The Board allows home-based pharmacies for sterile compounding only
4.
A pharmacy is planning to close permanently. Which actions must the permit holder take at least 14 days before the anticipated closing date?
a)
Notify only the Board and rely on the Board to notify other agencies
b)
Notify the Board and the Office of Controlled Substances Administration in writing and post a notice inside the pharmacy and on the pharmacy’s website
c)
Transfer all controlled substances to another pharmacy without notifying regulators
d)
Wait until the day of closing and then notify the Board by telephone
e)
Send a letter to patients within 7 days after closing explaining where records were sent
5.
When posting notice of an upcoming pharmacy closure, what information must be provided to the public?
a)
A list of all controlled substances that will be transferred
b)
The new owner’s name and the Board president’s contact information
c)
The closing date and a statement that all prescriptions will be destroyed
d)
Only the pharmacy’s closing date; the transfer location is confidential
e)
The anticipated closing date and the name and location of the pharmacy receiving the prescriptions
6.
Which of the following is a responsibility of a pharmacy permit holder regarding unlicensed personnel?
a)
Ensuring unlicensed personnel receive training on confidentiality and maintain proper sanitation, hygiene, and infection control
b)
Delegating final verification of prescriptions to unlicensed personnel
c)
Authorizing unlicensed personnel to prepare and label prescriptions without oversight
d)
Allowing unlicensed personnel to counsel patients on medication therapy
e)
Permitting unlicensed personnel to access controlled substance ordering systems
7.
What must a pharmacy do to ensure consumers know when they are interacting with unlicensed personnel?
a)
Inform consumers only if they ask whether the person is a pharmacist
b)
Ensure unlicensed personnel state their credentials only when selling controlled substances
c)
Use identical attire for pharmacists and unlicensed personnel to promote team unity
d)
Post the unlicensed personnel’s names on a wall in the prescription area
e)
Ensure that unlicensed personnel are clearly identified to the consumer
8.
An individual who is nationally certified as a pharmacy technician seeks to register in Maryland. Which of the following is required for registration?
a)
Submit a Board application, provide evidence of current national certification, pay the required fee, and request a State Criminal History Records check
b)
Work for 160 hours in a Maryland pharmacy before applying
c)
Submit proof of 3 years of pharmacy experience and pass a state skills exam only
d)
Register with the DEA and FDA in addition to the Board of Pharmacy
e)
Provide only proof of high school graduation and pay a fee; no application is needed
9.
A 17‑year‑old high school graduate wants to become a registered pharmacy technician in Maryland but is not nationally certified. What must this individual do?
a)
Complete a Board‑approved training program including 160 hours of work experience, pass an approved exam, pay the fee, and request a criminal history check
b)
Submit proof of graduation and apply for a waiver of training
c)
Take any online course and start working; the Board will test skills later
d)
Work 1,000 hours in a pharmacy and then apply directly for a waiver
e)
Complete a 2‑year associates degree in pharmacy and pass the NAPLEX only
10.
Which statement describes an alternative pathway for an applicant who has worked continuously in a pharmacy since before January 1, 2006?
a)
They may apply for registration only after completing a national certification course
b)
They may provide verification of continuous employment and competent performance from the permit holder and supervising pharmacist to qualify for registration
c)
They must retake high school courses and then complete a 6‑month training program
d)
They are exempt from all registration requirements and may work without oversight
e)
They must complete a pharmacy residency program before registering
11.
Which areas must be covered in a Board‑approved pharmacy technician training program?
a)
Federal and State laws governing pharmacy practice
b)
Pharmaceutical calculations and the dispensing process
c)
Roles and responsibilities of pharmacy technicians
d)
Courses on advanced pathophysiology without medication focus
e)
Instruction on veterinary surgery
12.
What are the minimum training and work experience requirements for a Maryland pharmacy technician training program?
a)
Programs may be any length as long as the trainee passes a final exam
b)
Training may not exceed 6 months and must include at least 160 hours of work experience completed within those 6 months
c)
The program must include 320 hours of work experience over 12 months
d)
Training must last at least one year and include 1,000 hours of work experience
e)
Training is limited to online modules with no requirement for work experience
13.
Who may offer a Board‑approved pharmacy technician training program under Maryland regulations?
a)
Any retail company regardless of pharmacy involvement
b)
Nationally recognized pharmacy technician programs or accredited educational institutions
c)
Pharmacy employers that provide didactic and practical training
d)
A patient advocacy group without pharmacy expertise
e)
Training programs offered by the U.S. Armed Forces
14.
How many continuing education hours must a registered pharmacy technician earn during each two‑year renewal period?
a)
20 hours of approved continuing education, including 2 hours on vaccination if the technician administers vaccines
b)
No continuing education is required for renewal
c)
5 hours of continuing education, unless the technician renews early
d)
30 hours of continuing education with at least 10 live hours
e)
10 hours of continuing education, regardless of duties
15.
Which statement about documenting continuing education (CE) for pharmacy technicians is correct?
a)
Technicians may carry over unused CE credits to the next renewal period
b)
Technicians must attest to completion of CE on the Board‑approved form and retain proof for 4 years
c)
Technicians only need to document CE if audited by the DEA
d)
Technicians must send original CE certificates to the Board with every renewal
e)
The Board prohibits electronic CE certificates; only paper documents are valid
16.
For the first renewal period during which continuing education is mandatory, what is the CE requirement for pharmacy technicians?
a)
30 hours of CE, similar to pharmacists
b)
20 hours plus an additional 4 hours on law and ethics
c)
5 hours of CE and at least 2 hours live
d)
Only 10 hours of approved continuing education
e)
No CE hours are required for the first renewal
17.
Which vaccines may a registered pharmacy technician administer as a delegated act if the technician meets the Board’s training and CPR requirements and receives written confirmation?
a)
Travel vaccines like yellow fever to any traveler
b)
Respiratory syncytial virus (RSV) and shingles vaccines to individuals 50 years or older
c)
All pediatric vaccines to any age without a prescription
d)
COVID‑19, influenza, and pneumococcal pneumonia vaccines to adults
e)
Any vaccine listed on the childhood immunization schedule regardless of age
18.
Before a registered pharmacy technician may administer an influenza vaccine to an adult under delegation, what must occur?
a)
The technician must complete ACPE‑approved hands‑on training, hold current CPR certification, submit notification to the Board, and wait for written confirmation
b)
The technician may vaccinate after paying a fee to the Board with no training requirement
c)
The technician must complete 1 year of pharmacy school and pass a pharmacist exam
d)
Only the supervising pharmacist needs to be trained; the technician does not
e)
The technician may begin vaccinating immediately after watching an online video
19.
Which individual is prohibited from administering a vaccine under the technician delegation rules?
a)
A registered technician who has received written confirmation from the Board
b)
A pharmacy technician trainee
c)
A pharmacist who has completed vaccination training
d)
A physician acting as the supervising prescriber
e)
A registered technician who has completed an ACPE‑approved training program and holds CPR certification
20.
When working in a pharmacy, how must a registered pharmacy technician be identified?
a)
By wearing a white lab coat identical to the pharmacist’s without any identification
b)
By clearly identifying themselves as a pharmacy technician to the public
c)
By giving identification only when handling narcotics
d)
By posting their registration certificate at the cash register
e)
By wearing a badge that reads “healthcare professional” without specifying their role
21.
Which tasks are pharmacy technicians prohibited from performing?
a)
Labeling a prescription after the pharmacist has verified the order
b)
Accepting transferred prescriptions or new prescriptions
c)
Entering prescription data under direct supervision
d)
Dispensing prescription medications when the pharmacist is not present
e)
Making decisions that require a pharmacist’s professional judgment
22.
Under what circumstances may a pharmacist delegate final product verification to a validated pharmacy technician?
a)
Whenever the pharmacist deems the technician trustworthy, regardless of training
b)
Only when the technician personally prepared the medication and uses personal judgment
c)
For all prescriptions, provided the pharmacy keeps records for 1 year
d)
When bar code scanning technology is used and the technician has at least 1 year of experience and a product verification certificate, and the product is unit‑dose or unit‑of‑use
e)
For any compounded medication if the technician is nationally certified
23.
Which statement describes a limitation placed on validated pharmacy technicians performing final product verification?
a)
They may not verify prescriptions that they personally prepared
b)
They may verify prescriptions at multiple pharmacies simultaneously
c)
They may supervise other technicians performing verification
d)
They may perform verification without bar code scanning if they double‑check manually
e)
They may verify any compounded sterile preparation
24.
What records must a pharmacy permit holder maintain when utilizing validated pharmacy technicians?
a)
Copies of each technician’s personal financial statements
b)
Patient satisfaction surveys completed by the technicians
c)
A job description for each validated pharmacy technician
d)
Policies and standard operating procedures for validated technicians
e)
A current list of all validated pharmacy technicians employed
25.
What are the continuing education requirements for a pharmacist renewing a Maryland license?
a)
Earn 40 hours of CE every year
b)
Earn 15 hours of CE plus 5 hours of community service
c)
No CE is required if the pharmacist graduated within the last 5 years
d)
Earn 20 hours of CE with no topic restrictions
e)
Earn 30 hours of approved continuing education within the 2‑year period, including 1 hour on preventing medication errors and 2 live hours
26.
If a pharmacist is certified to administer vaccinations, what additional continuing education requirement applies?
a)
Only complete a CPR refresher course every two years
b)
Complete an additional 15 hours of CE beyond the 30‑hour requirement
c)
No vaccination‑specific CE is required once certified
d)
Complete 2 extra hours on medication errors and opioid dispensing
e)
Complete 4 hours of continuing education related to vaccinations as part of the 30‑hour requirement
27.
A pharmacist’s Maryland license expires on which date?
a)
June 30 of odd‑numbered years
b)
The anniversary of initial licensure
c)
December 31 of each year
d)
The last day of the pharmacist’s birth month every other year
e)
The pharmacist’s birthday each year
28.
Under the code of conduct, what must a pharmacist do if they suspect a prescription contains an error?
a)
Consult the patient and let them decide whether to proceed
b)
Ignore minor errors unless the prescriber contacts the pharmacy
c)
Dispense the prescription as written but document the concern in the patient’s record
d)
Return the prescription unfilled and refuse further service
e)
Verify the accuracy of the prescription before dispensing the drug or device
29.
When may a pharmacist perform a therapeutic interchange without the authorized prescriber’s prior approval?
a)
When providing services to hospital or comprehensive care facility patients and the facility has established procedures for therapeutic interchange
b)
When the patient asks for a cheaper alternative and the pharmacist documents the request
c)
Never; therapeutic interchange always requires prescriber approval
d)
Only when substituting an over‑the‑counter drug for a prescription drug
e)
In any retail pharmacy when the pharmacist believes a different drug is more effective
30.
Which is an example of conduct that is prohibited under the code of conduct for pharmacists?
a)
Taking regular breaks during a shift with another pharmacist present
b)
Refusing to fill a controlled substance prescription that appears invalid
c)
Calling a prescriber to clarify an ambiguous prescription
d)
Practicing pharmacy under circumstances that prevent the proper exercise of professional judgment
e)
Refusing to compound a medication due to insufficient training
31.
What does Maryland’s pharmacist code of conduct say about compensation?
a)
Accepting manufacturer coupons constitutes fraudulent compensation
b)
Only pharmacists are prohibited from receiving compensation; interns and technicians may accept tips
c)
Discounting a prescription without the prescriber’s approval is fraudulent
d)
Pharmacists, interns, or technicians may not fraudulently seek or accept compensation for a product or service not provided
e)
Charging a dispensing fee is prohibited under any circumstance
32.
Under Maryland regulations, when may a pharmacy technician disclose identifiable information from a patient’s medical record?
a)
Any time the patient’s insurance requires the information
b)
To the patient’s family members upon request
c)
Only with the patient’s consent, a court order, or as otherwise authorized by law
d)
Only with the supervising pharmacist’s verbal approval
e)
Whenever a prescriber requests it by telephone
33.
Which best describes the competence requirement for pharmacists, interns, and technicians?
a)
They may perform any task assigned by the permit holder regardless of training
b)
Competence requirements apply only to pharmacists, not interns or technicians
c)
They only need to know federal law; state law is optional
d)
They must complete a clinical residency before performing any pharmacy services
e)
They must maintain knowledge of current pharmacy and drug laws and provide services only within their training and education
34.
If a pharmacist observes another pharmacist diverting prescription drugs for personal use, what is the proper course of action?
a)
Discuss the matter with pharmacy staff and decide collectively whether to report
b)
Report it to the pharmacist rehabilitation committee only
c)
Confront the colleague privately and do nothing further
d)
Report the conduct to the Board because it violates pharmacy laws
e)
Report the behavior only to local law enforcement and not the Board
35.
A pharmacy technician discovers that a colleague is frequently impaired due to alcohol use while on duty. What action is required under Maryland regulations?
a)
Ignore the situation because it is not related to dispensing errors
b)
Only report to the supervising pharmacist and take no further action
c)
Report the colleague’s conduct to the pharmacist rehabilitation committee
d)
Disclose the information publicly to warn customers
e)
Report directly to the police without involving the Board
36.
Under what conditions may a pharmacist accept the return of a prescription drug?
a)
When the technician accepts the return and documents it in the log
b)
When the patient signs a waiver stating they will not sue the pharmacy
c)
When the drug is in a properly labeled and sealed manufacturer or unit‑dose package and the pharmacist determines its strength and quality have been preserved
d)
When the bottle is opened but the patient states the medication has not been used
e)
When any prescription is returned within 30 days of sale
37.
Which practice is prohibited under Maryland rules governing the return of prescription drugs?
a)
Returning a previously dispensed drug to stock and offering it for sale
b)
Donating sealed medications to a charitable clinic under a drug donation program
c)
Refusing to accept the return of an opened bottle of antibiotics
d)
Accepting a sealed manufacturer’s package if strength and quality are preserved
e)
Sending unused but sealed medications to a reverse distributor for destruction
38.
Who may accept the return of prescription drugs or devices from a patient?
a)
A pharmacy technician may accept returns under direct supervision
b)
A pharmacy intern may accept returns if the supervising pharmacist is on site
c)
Any trained staff member may accept returns of over‑the‑counter products
d)
Only the Board inspector may accept returned prescription medications
e)
Only a pharmacist
39.
Under Maryland law, what must a pharmacist do if they have reason to believe a controlled substance prescription was not issued for a legitimate medical purpose?
a)
Call the DEA immediately and report the prescriber without verification
b)
Consult with the prescriber and verify the medical legitimacy before dispensing
c)
Ignore concerns if the prescription is on tamper‑resistant paper
d)
Dispense the medication but file a suspicious activity report afterwards
e)
Dispense a partial fill and wait for the patient to provide proof of legitimacy
40.
A pharmacist verifies with the prescriber that a controlled substance prescription lacks a legitimate medical purpose. What must the pharmacist do next?
a)
Dispense the prescription but report the patient to law enforcement
b)
Destroy the prescription and document nothing
c)
Notify the DEA and fill the prescription once the DEA approves
d)
Refuse to dispense the drug and report the incident to the prescriber’s regulatory board
e)
Dispense the medication and bill the prescriber for it
41.
During pharmacy business hours, what is required regarding pharmacist availability?
a)
The pharmacist may leave if a registered intern is present
b)
A pharmacy technician may supervise during meal breaks
c)
A pharmacist must be reachable by phone within 10 minutes of a patient’s request
d)
A pharmacist must be immediately available on the premises whenever the pharmacy is operating
e)
A pharmacist must be in the building only when controlled substances are dispensed
42.
If the prescription area’s hours differ from the establishment’s general hours, what must the permit holder do?
a)
Notify only the Board of the different hours
b)
Post a sign with the pharmacist’s cell phone number for after‑hours access
c)
Transfer all prescriptions to another pharmacy during off hours
d)
Prominently display signs indicating the business hours of the prescription area
e)
Lock the doors to the entire establishment during prescription area closure
43.
Which statement accurately reflects the requirements for maintaining computerized patient records?
a)
Records may be reconstructed within 30 days if there is a natural disaster
b)
Only paper records are required to be retained; electronic records are optional
c)
Records must be secured, access limited to authorized personnel, and be reconstructible within 48 hours
d)
Any employee may access and edit computerized patient records without authorization
e)
Records must be stored onsite and cannot be stored offsite
44.
Who must be notified when there is a significant loss of controlled substances from a Maryland pharmacy?
a)
The Board of Pharmacy
b)
Only the pharmacy’s insurance provider
c)
The local police and the Office of Controlled Substances Administration
d)
The U.S. Drug Enforcement Administration
e)
Only the pharmacy’s wholesaler
45.
When determining whether a loss of controlled substances is significant and requires notification, which factors should be considered?
a)
The wholesale price paid for the lost drugs
b)
The actual quantity lost and the specific substances involved
c)
Patterns of losses and diversion potential based on local trends
d)
Whether losses can be associated with specific individuals or unique activities
e)
The number of pharmacists on duty at the time
46.
Which actions are prohibited for a registered pharmacy intern?
a)
Entering prescription data under direct supervision
b)
Wearing identification that states they are an intern
c)
Being present in the pharmacy when the pharmacist is not physically available
d)
Delegating a pharmacy act or performing final verification of a prescription
e)
Acting within a therapy management contract without pharmacist authorization
47.
Which of the following are requirements for registered pharmacy interns while practicing?
a)
Wear identification that conspicuously identifies them as a pharmacy intern
b)
Maintain proper sanitation, hygiene, and infection control while working
c)
Dispense medications when the pharmacist is away on a meal break
d)
Supervise pharmacy technicians during their shift
e)
Display their registration in the pharmacy or carry it on their person
48.
What is the maximum number of registered pharmacy interns a licensed pharmacist may directly supervise at one time?
a)
There is no limit as long as interns are registered
b)
Three
c)
One
d)
Two
e)
Four
49.
A graduate of a foreign school of pharmacy wants to register as a pharmacy intern in Maryland. What conditions apply?
a)
They must complete a two‑year residency before registering
b)
They must establish educational equivalency as approved by the Board and pass a Board‑approved oral English examination
c)
They are automatically eligible as long as they have a pharmacy degree
d)
They may register only after completing an internship in another state
e)
They only need to complete one year of pharmacy school in the U.S.
50.
How long is a pharmacy intern registration valid and what is required for renewal?
a)
It expires every year on December 31 and does not require an application
b)
It expires on the last day of the intern’s birth month following 1 year after initial registration, and interns may renew once if still enrolled and they submit a renewal application and fee
c)
It never expires as long as the individual is enrolled in a pharmacy program
d)
It expires after 6 months with no option for renewal
e)
It is valid for 2 years and automatically renews with the pharmacist’s license
51.
What must a registered pharmacy intern do if their enrollment in pharmacy school is suspended or terminated?
a)
Notify the supervising pharmacist only
b)
No action is required because the intern registration remains valid
c)
Immediately notify the Board of Pharmacy
d)
Continue to work until graduation requirements are reinstated
e)
Apply for a technician registration instead
52.
In a comprehensive care facility pharmacy, what are the responsibilities of the director of pharmacy or designee?
a)
Serve as director for multiple comprehensive care pharmacies simultaneously
b)
Delegate preparation of parenteral medications to untrained support staff without supervision
c)
Ensure monthly inspection of drug storage areas and maintain antidote inventories and emergency information
d)
Be responsible for the safe and efficient dispensing, control, security, and accountability of drugs
e)
Participate in developing the facility’s formulary and quality assurance programs
53.
Which statement about the director of pharmacy in a comprehensive care facility is correct?
a)
The director may manage up to three comprehensive care facility pharmacies
b)
The director can be a registered technician with two years of experience
c)
The director may be a pharmacist licensed in another state and not licensed in Maryland
d)
The director may work remotely as long as technicians are on site
e)
The director must be on site full time and be responsible for only one comprehensive care pharmacy
54.
For a comprehensive care facility pharmacy, what must the permit holder provide regarding staff?
a)
Policies and procedures specifying duties that may be performed by registered pharmacy technicians under pharmacist supervision and those that may be performed only by a pharmacist
b)
A written guarantee that all tasks may be delegated to technicians
c)
A plan to phase out pharmacists and replace them with technicians
d)
An annual schedule of technician vacation days
e)
Only verbal instructions regarding staff duties without written documentation
55.
What are pharmacists required to maintain when performing tasks in the prescription process?
a)
Only handwashing before compounding sterile preparations
b)
Personal protective equipment only when handling hazardous drugs
c)
Proper sanitation, hygiene, biohazard precautions, and infection control
d)
Sanitation is optional because most drugs are pre‑packaged
e)
Sanitation protocols apply only to pharmacy technicians
56.
All of the following are examples of unprofessional conduct EXCEPT which one?
a)
Practicing pharmacy under conditions that prevent the proper exercise of professional judgment
b)
Documenting an error and notifying the prescriber and patient
c)
Engaging in conduct that deceives or harms the public
d)
Departing from the standard of care ordinarily exercised by a pharmacist
e)
Delegating final prescription verification to untrained staff
57.
Which of the following does NOT need to be reported to the Board of Pharmacy?
a)
Misrepresentation of credentialing by an intern
b)
A pharmacist properly refusing to dispense a controlled substance because the prescription appears invalid
c)
Dispensing errors that violate pharmacy statutes
d)
Unlawful diversion of prescription drugs by a pharmacy technician
e)
Fraudulent billing for prescription services not provided
58.
All of the following are required for maintaining patient records EXCEPT:
a)
Securing records and preventing unauthorized disclosure
b)
Designating personnel with authorized access to computerized records
c)
Keeping records only in paper format and discarding electronic backups
d)
Maintaining records in a manner that allows reconstruction within 48 hours
e)
Storing records away from the prescription area in a secure manner
59.
Which of the following is NOT considered when determining whether a loss of controlled substances is significant?
a)
The quantity lost and specific drugs involved
b)
Whether losses are associated with specific individuals or activities
c)
The wholesale cost of the drug compared with its retail price
d)
Whether the lost substances are likely candidates for diversion
e)
Patterns of loss and local diversion trends
60.
All of the following statements about pharmacy technician continuing education are true EXCEPT:
a)
Approved providers include the Accreditation Council for Pharmacy Education and accredited schools of pharmacy
b)
Falsifying CE records is grounds for disciplinary action
c)
Technicians must retain supporting documents for 4 years
d)
Credits may be carried over from one period to the next
e)
The Board may grant an exception if failure to complete CE was due to circumstances beyond the technician’s control
61.
Which of the following is PERMITTED for a pharmacy technician?
a)
Accepting or giving a transferred prescription
b)
Providing information and recommendations about drug use to patients
c)
Making clinical decisions regarding drug therapy
d)
Final verification of compounded prescriptions
e)
Entering prescription data under the direct supervision of a pharmacist
62.
Which of the following is ALLOWED for a registered pharmacy intern?
a)
Delegating pharmacy acts to other staff
b)
Dispensing medications when the pharmacist is not present
c)
Entering prescription information under the direct supervision of a pharmacist
d)
Performing final verification of a prescription drug or device
e)
Accepting the return of a prescription drug directly from a patient
63.
Which situation does NOT permit a pharmacist to perform a therapeutic interchange without prescriber approval?
a)
A retail pharmacy switching a patient’s maintenance medication to another drug based on cost alone
b)
A hospital formulary substitution authorized by the governing body
c)
A hospital with established therapeutic interchange procedures
d)
A comprehensive care facility with an approved interchange policy
e)
None of the above
64.
A pharmacy discovers a significant loss of non‑controlled prescription drugs. What reporting requirement applies?
a)
Report only to the DEA
b)
Report to the Office of Controlled Substances Administration and DEA
c)
No reporting is required for non‑controlled drugs
d)
Report to the local health department instead of the Board
e)
Report the theft to the Board of Pharmacy
65.
Which of the following is NOT a responsibility of the director of pharmacy in an institutional facility?
a)
Maintaining an inventory of antidotes and emergency drugs and associated information
b)
Establishing patient diagnoses and prescribing medications
c)
Developing policies for checking the accuracy and placement of medication labels
d)
Participating in formulating the facility’s formulary and quality assurance programs
e)
Recommending storage and disposal procedures for drugs and biologicals
66.
Which of the following statements about pharmacy intern registration is FALSE?
a)
An applicant must be currently enrolled in or have completed a year of professional pharmacy education or be a graduate
b)
Intern registration expires on the last day of the intern’s birth month following 1 year after initial registration
c)
An applicant must submit a Board application, pay a fee, and undergo a criminal history check
d)
A pharmacy intern registration automatically renews every year without any action by the intern
e)
An intern who is still enrolled may renew the registration one time
67.
All of the following are steps a pharmacist must take if a controlled substance prescription appears suspicious EXCEPT:
a)
Verify the prescription was issued for a legitimate medical purpose
b)
Consult with the prescriber to verify legitimacy
c)
Refuse to dispense if the prescription is not legitimate after consultation
d)
Report the incident to the prescriber’s regulatory board when appropriate
e)
Dispense the drug and note the concern in the patient’s file
68.
Which situation does NOT require reporting to the pharmacist rehabilitation committee?
a)
A pharmacist dispensing medication while under the influence of benzodiazepines
b)
A technician who admits to diverting controlled substances due to opioid dependence
c)
A technician impaired by illicit drug use during work
d)
A pharmacist reports a colleague’s billing fraud unrelated to substance abuse
e)
A pharmacy intern smelling of alcohol while compounding medications
69.
Which of the following topics is NOT required in a pharmacy technician training program?
a)
Confidentiality and interacting with patients
b)
Advanced veterinary surgical procedures
c)
Special dosing considerations for pediatric and geriatric populations
d)
Extemporaneous compounding and pharmaceutical calculations
e)
Knowledge of State and federal pharmacy laws
70.
Which is NOT a responsibility of the pharmacy permit holder regarding unlicensed personnel?
a)
Ensuring they understand confidentiality requirements
b)
Determining which support tasks may be assigned to unlicensed personnel
c)
Ensuring unlicensed personnel receive appropriate training
d)
Allowing unlicensed personnel to enter the pharmacy area without any pharmacist on duty
e)
Ensuring unlicensed personnel maintain proper hygiene and infection control
71.
All of the following are required before a pharmacy technician can administer vaccines EXCEPT:
a)
Possessing an active in‑person CPR certification
b)
Receiving written confirmation from the Board before administering vaccines
c)
Completing a practical training program approved by the ACPE
d)
Completing a one‑year internship at a hospital
e)
Submitting a notification form to the Board attesting to completion of training and CPR
72.
Which of the following is NOT required as part of a pharmacist’s continuing education for license renewal?
a)
Including at least 1 hour on preventing medication errors
b)
Earning 30 hours of approved CE within the 2‑year renewal period
c)
Completing 4 hours on vaccinations if certified to vaccinate
d)
Completing 5 hours of community service at a free clinic
e)
Completing at least 2 hours of live instruction
73.
Which scenario is NOT compliant with Maryland’s requirement that a pharmacist be immediately available when the pharmacy is open?
a)
The pharmacist leaves the premises for lunch, leaving a technician to supervise
b)
The pharmacist takes a short break while another pharmacist remains on duty
c)
The pharmacist steps into the adjacent office but remains onsite and available
d)
The pharmacy closes the prescription area and posts hours when the pharmacist is unavailable
e)
The pharmacist remains in the building and is reachable during business hours
74.
All of the following statements about patient privacy in the pharmacy are true EXCEPT:
a)
Disclosure may be authorized by other laws such as those governing public health reporting
b)
Disclosure of identifiable information requires patient consent or a court order
c)
Pharmacy staff may disclose patient information to family members upon request without consent
d)
Technicians, interns, pharmacists, and permit holders are all responsible for maintaining confidentiality
e)
Confidentiality must be ensured when creating, storing, accessing, and transferring patient records
75.
Which of the following scenarios would NOT violate the compensation rules?
a)
Billing insurance for medications that were not dispensed
b)
Charging for medication therapy management services that were never provided
c)
Accepting payment from a manufacturer for a patient never enrolled in a trial
d)
Charging a dispensing fee when the prescription is not filled
e)
Billing a patient for a flu vaccine that was administered as documented
76.
All of the following statements about pharmacy intern supervision are correct EXCEPT:
a)
A pharmacist may supervise no more than two interns at once
b)
Interns must wear identification identifying them as interns
c)
Interns may not be present in the pharmacy when the pharmacist is off site
d)
A pharmacist may supervise any number of interns as long as they are registered
e)
Interns must practice under the direct supervision of a pharmacist
77.
Which provider would NOT automatically qualify as an approved source of continuing education for pharmacy technicians?
a)
A private corporation offering courses without prior Board approval
b)
A program that receives Board approval for individual courses
c)
A school of pharmacy accredited by the AACP
d)
The Accreditation Council for Pharmacy Education (ACPE)
e)
An out‑of‑state provider approved by another state board of pharmacy
78.
Which of the following would disqualify a validated pharmacy technician from performing final verification?
a)
Using bar code scanning during verification
b)
Having more than one year of experience and a verification certificate
c)
Verifying a unit‑dose product that someone else prepared
d)
Working under policies and procedures approved by the permit holder
e)
Performing final verification on a compounded medication
79.
Which of the following is NOT required at the time of a new pharmacy’s opening inspection?
a)
Hot and cold running water
b)
A library of current reference sources including Maryland pharmacy laws
c)
A microwave oven for staff use
d)
A prescription balance with appropriate sensitivity
e)
A refrigerator solely for storing medications
80.
All of the following are duties of the director of pharmacy in a comprehensive care facility EXCEPT:
a)
Establishing policies for handling investigational drugs
b)
Participating in quality assurance and formulary development
c)
Supervising preparation of parenteral medications
d)
Maintaining records and inspecting storage areas
e)
Developing treatment plans and prescribing medications for residents
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