CT MPJE case studies
CT MPJE · Put your knowledge to work in context.
The Connecticut Multistate Pharmacy Jurisprudence Examination (CT MPJE) is the jurisprudence component of pharmacist licensure in Connecticut. NABP administers the computer-based exam, and the Connecticut Department of Consumer Protection (DCP), Drug Control Division, uses the result - alongside the NAPLEX and the state's other licensure requirements - when evaluating applicants for a Connecticut pharmacist license. The CT MPJE case studies are 5 cases and about 3,938 words.
1The Friday Night Oxycodone and the On-Call Prescriber
A 34-year-old man your Hartford pharmacy has never seen brings a paper prescription on Friday at 6:40 p.m. for oxycodone 30 mg, #120, "one tablet every 6 hours as needed," written by a physician at a pain clinic 52 miles away.
814 words, about 4 min2ISO Class 5 in a Segregated Compounding Area: The Overnight Vancomycin
Your hospital's IV room is a single ISO Class 5 primary engineering control located in an unclassified segregated compounding area; there is no ISO Class 7 buffer room. Monday at 06:00 a technician prepares twelve 250 mL bags of vancomycin 1.25 g in 0.9% sodium chloride from single-dose vials.
757 words, about 4 min3A Suspect Tote, a Broken Seal, and a Thursday Infusion
Your independent pharmacy in New Haven orders ten vials of a supportive-care oncology drug that wholesales for about $1,800 per vial from your primary wholesaler. The tote arrives Tuesday with a broken tamper seal on the outer case, and the lot numbers on six vials do not match the lot on the advance ship notice.
698 words, about 3 min4The Emergency Kit, the Balance, and the Deceased Resident
You are the consultant pharmacist for a 120-bed skilled nursing facility and the closed-door pharmacy that serves it. On your monthly visit you find: (a) the emergency drug kit seal is broken and four morphine 10 mg tablets are missing - the night nurse says she gave them at 02:00 for new severe pain and "the order got written the next morning"; (b) resident 214's oxycodone 5 mg prescription was written for #60 with instructions to dispense 30 and supply the balance later; the pharmacy sent 30 on June 1, and the resident was discharged to home on July 12; (c) 18 unit-dose lorazepam 0.5 mg tablets belonging to a resident who died on July 3 are still in the medication room.
866 words, about 4 min5The Drive-Through Warfarin Patient and Eleven Overrides
A 78-year-old woman with atrial fibrillation on warfarin 5 mg daily (INR 2.6 last week) comes through the drive-through to pick up a new prescription for sulfamethoxazole/trimethoprim DS twice daily for 7 days, written by an urgent care clinic that has no record of her medication list. Your system flags a major warfarin–TMP-SMX interaction (rising INR, bleeding risk), and because the store has cycled through three pharmacists this month, that alert has been overridden 11 times in the last 30 days.
803 words, about 4 min