MPJE Federal 2 — Questions and Answers
Question 1: Under the Controlled Substances Act, which DEA form is used to report the theft or significant loss of controlled substances?
- DEA Form 41
- DEA Form 106 (Correct answer)
- DEA Form 222
- DEA Form 363
Correct answer: DEA Form 106
DEA Form 106 must be filed when a registrant discovers theft or significant loss of controlled substances.
Question 2: A pharmacy receives a Schedule II controlled substance order but the quantity delivered exceeds what was ordered. What is the correct action?
- Accept the overage and adjust records accordingly
- Return the overage using DEA Form 222
- Refuse the entire shipment and notify the DEA (Correct answer)
- Accept delivery and destroy the excess on-site
Correct answer: Refuse the entire shipment and notify the DEA
The pharmacist must refuse the entire shipment because the quantity on the DEA Form 222 does not match the delivery, as discrepancies on Schedule II orders are not permitted.
Question 3: Under 21 CFR Part 1306, how long must a pharmacy retain completed DEA Form 222s?
- 1 year
- 2 years (Correct answer)
- 3 years
- 5 years
Correct answer: 2 years
Pharmacies must retain all DEA Form 222s for a minimum of 2 years.
Question 4: Which of the following practitioners is NOT eligible to obtain a DEA registration to prescribe controlled substances?
- Physician assistant with appropriate state authority
- Veterinarian
- Pharmacist practicing in a long-term care facility (Correct answer)
- Nurse practitioner with prescriptive authority
Correct answer: Pharmacist practicing in a long-term care facility
Pharmacists are not practitioners eligible for a DEA prescriber registration; they may obtain a dispensing registration but cannot prescribe.
Question 5: A Schedule III controlled substance prescription may be refilled up to how many times within 6 months of the date issued?
- 2 times
- 3 times
- 5 times (Correct answer)
- 6 times
Correct answer: 5 times
Schedule III and IV controlled substance prescriptions may be refilled up to 5 times within 6 months of the date issued.
Question 6: Under the DEA regulations, a mid-level practitioner (MLP) may be authorized to prescribe controlled substances only if:
- The MLP holds a valid DEA registration and has prescriptive authority under state law (Correct answer)
- A supervising physician co-signs all MLP prescriptions within 72 hours
- The MLP is employed by a DEA-registered hospital
- The MLP prescribes only Schedule IV and V controlled substances
Correct answer: The MLP holds a valid DEA registration and has prescriptive authority under state law
A mid-level practitioner must hold a DEA registration and must be authorized to prescribe controlled substances under the laws of the state in which they practice.
Question 7: Which of the following is TRUE regarding DEA Schedule V controlled substances dispensed without a prescription (OTC)?
- Any employee of the pharmacy may sell them
- They may only be sold to patients with a valid prescription on file
- The purchaser must be at least 18 years old and the sale must be recorded in a bound log (Correct answer)
- They may be purchased in unlimited quantities per transaction
Correct answer: The purchaser must be at least 18 years old and the sale must be recorded in a bound log
Federal law requires that OTC Schedule V purchases be made by individuals 18 or older and that the pharmacist or designee record the sale in a bound logbook.
MPJE Federal 2
Under the Controlled Substances Act, which DEA form is used to report the theft or significant loss of controlled substances?