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KY MPJE practice questions

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Question 1Pharmacy Practice and Operations

How long must a pharmacy keep DEA-required records, such as controlled substance invoices and dispensing records, available for inspection?

  1. Five years
  2. Three years
  3. One year
  4. Two years Correct answer.

Explanation

Federal regulations require registrants to keep records and inventories of controlled substances for at least two years from the date the record is made. These records must be maintained at the registered location and be readily retrievable for DEA inspection.

Question 2Pharmacy Practice and Operations

A prescriber writes a Schedule II prescription and writes "refill twice PRN" on the face of the prescription. How should the pharmacist handle it?

  1. Fill it once, because a Schedule II prescription cannot be refilled Correct answer.
  2. Return it to the patient for a new prescription listing the refills
  3. Fill it once and allow one refill if the prescriber is reached by phone
  4. Fill it as written and refill it twice as authorized

Explanation

Schedule II prescriptions may not be refilled under federal law; the prescriber's authorization for refills has no effect. The pharmacy may dispense the quantity written one time, and any additional supply requires a new prescription.

Question 3Pharmacy Practice and Operations

What counting method does federal law require for the biennial controlled substance inventory?

  1. Exact counts of Schedule II and estimated counts of Schedules III through V Correct answer.
  2. An exact count of all controlled substances in every schedule
  3. An estimated count of Schedule II and an exact count of Schedules III through V
  4. No count is required if perpetual inventory records are kept

Explanation

The biennial inventory requires an exact count of all Schedule II substances and an estimated count of Schedule III through V substances, unless a container holds more than 1,000 units, in which case an exact count is taken. The inventory is dated and kept with the pharmacy's controlled substance records.

Question 4Pharmacy Practice and Operations

When dispensing a new prescription, what is the pharmacist's obligation regarding counseling?

  1. Personally offer to discuss the medication with the patient or caregiver Correct answer.
  2. Provide written information in place of any discussion with the patient
  3. Counsel only when the patient asks a question about the medication
  4. Counsel only if the prescription is for a controlled substance

Explanation

Pharmacists must personally offer to counsel each patient or caregiver receiving a new prescription, and may use written materials only to supplement that offer. The offer must be documented if the patient declines.

Question 5Pharmacy Practice and Operations

Under federal law, what is the maximum amount of pseudoephedrine base a customer may purchase in a single day?

  1. 1.5 grams
  2. 7.5 grams
  3. 3.6 grams Correct answer.
  4. 9 grams

Explanation

The Combat Methamphetamine Epidemic Act limits retail sales of pseudoephedrine base to 3.6 grams per customer per day and 9 grams per 30-day period. Sales must be logged with photo identification and the log kept for two years.

Question 6Pharmacy Practice and Operations

A patient's family member asks the pharmacist for naloxone as a precaution for a relative who uses opioids. How may the pharmacist legally provide it?

  1. Only after the prescriber writes an individual prescription for that family member
  2. Only to the person who personally uses opioids, never to a family member
  3. Only through a referral to an emergency department
  4. Without a prescription, under a physician-approved protocol or standing order Correct answer.

Explanation

Kentucky permits pharmacists to dispense naloxone without an individual prescription to persons at risk of opioid overdose and to family members or others who may respond to an overdose, under a physician-approved protocol or standing order. The pharmacist should also provide counseling on overdose recognition and rescue.

Question 7Pharmacy Practice and Operations

A community pharmacy's only pharmacist must leave for a family emergency and no relief pharmacist is available. What must happen to the prescription department?

  1. The prescription department must be closed and secured, and dispensing must stop Correct answer.
  2. A registered technician may supervise the department until closing
  3. The pharmacy may stay open if the pharmacist remains reachable by phone
  4. Technicians may fill refills already in the computer if a pharmacist verifies them later

Explanation

A pharmacy may not dispense or compound prescriptions without a pharmacist on duty. When no pharmacist is present, the prescription department must be closed, locked, and secured.

Question 8Pharmacy Practice and Operations

Which item must appear on a prescription label dispensed to a patient?

  1. The patient's diagnosis code and the insurance authorization number
  2. The wholesale acquisition cost of the drug and the payer's name
  3. The prescriber's DEA registration number on every prescription
  4. The pharmacy name and address and the directions for use Correct answer.

Explanation

Dispensing labels must include the pharmacy name and address, prescription number, date, patient name, prescriber name, drug name and strength, quantity, directions for use, and any cautionary statements. Cost data, diagnosis codes, and DEA numbers are not label requirements.

Question 9Pharmacy Practice and Operations

In a documented emergency, a pharmacist dispenses a Schedule II drug on a prescriber's oral order. What is required?

  1. The prescriber must deliver a written or electronic prescription within 7 days Correct answer.
  2. The oral order alone is sufficient documentation of the dispensing
  3. The prescriber must deliver a written prescription within 30 days
  4. The pharmacist must obtain DEA telephone approval before dispensing

Explanation

An oral Schedule II order is allowed only in a bona fide emergency, the quantity is limited to the emergency period, and the prescriber must furnish a written or electronic prescription within seven days. If it is not received, the pharmacist must notify DEA.

Question 10Pharmacy Practice and Operations

A patient asks the pharmacist to dispense only 10 of the 30 prescribed tablets of a Schedule II drug and to fill the rest later. Within what period must the remaining quantity be dispensed?

  1. 30 days from the date the prescription was written Correct answer.
  2. 6 months from the date the prescription was written
  3. 72 hours
  4. 60 days from the date the prescription was written

Explanation

When a patient or caregiver requests a partial fill of a Schedule II prescription, the remaining quantity may be dispensed within 30 days of the date the prescription was written. A 60-day window applies only when the partial fill is requested by the prescriber for a long-term care resident or a terminally ill patient.

Question 11Pharmacy Practice and Operations

A pharmacy discovers that a bottle of hydrocodone tablets is missing and suspects theft. Which action is required?

  1. Notify DEA in writing on Form 106 within one business day of discovery Correct answer.
  2. Report the loss only in the next biennial inventory
  3. File a police report and take no further action
  4. Complete DEA Form 41 and send it with the destroyed stock

Explanation

Theft or significant loss of controlled substances must be reported to the DEA field office in writing on Form 106 within one business day of discovery. The pharmacy should also notify local law enforcement and complete the form describing the circumstances.

Question 12Pharmacy Practice and Operations

A prescription is written for a brand-name drug and the prescriber has not indicated "dispense as written." What may the pharmacist do in Kentucky?

  1. Dispense only the brand-name product exactly as written on the prescription
  2. Substitute a less expensive therapeutically equivalent generic product Correct answer.
  3. Dispense any drug that belongs to the same therapeutic class
  4. Dispense the brand and charge the patient for the generic product

Explanation

Kentucky permits pharmacists to substitute a therapeutically equivalent generic product unless the prescriber directs otherwise. The substitution is recorded on the prescription record and the patient is informed.

Question 13Pharmacy Practice and Operations

A newly hired pharmacist will be ordering Schedule II drugs for the pharmacy. What is necessary for this pharmacist to sign DEA Form 222 orders?

  1. The pharmacist must obtain a separate DEA registration for the pharmacy
  2. The registrant must execute a power of attorney authorizing that person to sign Correct answer.
  3. The pharmacist must apply to DEA for a power-of-attorney license
  4. Nothing is needed; any pharmacist licensed in the state may sign

Explanation

A registrant may authorize one or more individuals to sign Schedule II order forms by executing a power of attorney for each person. The power of attorney is retained with the executed order forms and is cancelled in writing when the authority ends.

Question 14Pharmacy Practice and Operations

Which statement about the Controlled Substance Ordering System (CSOS) is correct?

  1. CSOS orders must be followed by a paper 222 within seven days
  2. CSOS requires a separate DEA registration for each person who places orders
  3. CSOS allows electronic orders for Schedule II drugs and replaces the paper 222 Correct answer.
  4. CSOS may be used to order Schedule III through V drugs but not Schedule II

Explanation

CSOS permits a registrant to place electronic orders for Schedule II (and Schedule I) controlled substances, satisfying the Form 222 requirement without a paper form. The electronic records must be retained and available for inspection for two years.

Question 15Pharmacy Practice and Operations

A patient wants to move a prescription for a Schedule IV drug, with refills remaining, to another pharmacy. How many times may that prescription be transferred between pharmacies?

  1. Never; Schedule IV prescriptions cannot be transferred
  2. As many times as the patient requests within six months
  3. One time only Correct answer.
  4. Two times

Explanation

Under DEA rules a Schedule III through V prescription may be transferred between pharmacies only one time for refill purposes. Both pharmacies must record the transfer, including the transferring pharmacist's name and the date.

Question 16Pharmacy Practice and Operations

A pharmacist notices that a patient is paying cash for a large quantity of oxycodone and lives 150 miles from the pharmacy. What is the appropriate action?

  1. Resolve the red flags with the prescriber before deciding whether to dispense Correct answer.
  2. Fill it but note the concerns in the patient's profile without further action
  3. Fill the prescription because a valid prescription must always be honored
  4. Refuse to fill it and keep the prescription without explaining the reason

Explanation

Pharmacists share corresponding responsibility with prescribers for the legitimacy of controlled substance prescriptions. Apparent red flags must be resolved, typically by contacting the prescriber and checking the prescription monitoring program, before a decision to dispense.

Question 17Pharmacy Practice and Operations

Which requirement applies to a prescriber who issues electronic prescriptions for Schedule II drugs?

  1. The prescriber must mail a paper prescription within seven days
  2. The prescriber must complete identity proofing and use two-factor authentication Correct answer.
  3. Only hospital-based prescribers may issue electronic Schedule II prescriptions
  4. The pharmacy must confirm every electronic order by telephone

Explanation

Electronic prescribing of controlled substances requires the prescriber to complete identity proofing and credentialing and to use two-factor authentication for each signing. No paper follow-up is required for a valid electronic controlled substance prescription.

Question 18Pharmacy Practice and Operations

A pharmacist must prepare a hazardous drug for a patient. Which engineering control is required?

  1. A horizontal laminar airflow hood inside a positive-pressure cleanroom suite
  2. A biological safety cabinet in a negative-pressure, externally vented room Correct answer.
  3. An open bench with a face shield and double gloves
  4. An exhaust fan in the general dispensing area with the door closed

Explanation

Hazardous drugs must be prepared in a containment primary engineering control such as a Class II biological safety cabinet or containment ventilated enclosure located in a negative-pressure room that is externally vented. This prevents aerosolized drug from escaping into the pharmacy.

Question 19Pharmacy Practice and Operations

A pharmacy receives a shipment in which one sealed case appears to have been opened and resealed. What should be done with the product?

  1. Dispense it if the tablets appear normal on inspection
  2. Quarantine it, investigate, and do not dispense until it is cleared Correct answer.
  3. Return it to stock and dispense it after checking the expiration date
  4. Destroy it immediately without documentation

Explanation

A product with compromised packaging is a suspect product under the Drug Supply Chain Security Act. It must be quarantined, investigated, and not dispensed until its legitimacy is verified, with notification to trading partners and FDA as appropriate.

Question 20Pharmacy Practice and Operations

Which statement best describes KASPER?

  1. Kentucky's prescription monitoring program for controlled substances Correct answer.
  2. A program that exempts pharmacies using paper prescriptions
  3. A program that only physicians may query
  4. A federal database maintained by DEA that all states use

Explanation

KASPER is Kentucky's electronic monitoring system that collects dispensing data on controlled substances from pharmacies and other dispensers. Authorized prescribers, pharmacists, and specified others may query it to support clinical decisions and identify questionable patterns.

Question 21Pharmacy Practice and Operations

A prescriber writes a Schedule II prescription for 90 tablets with instructions to dispense 30 tablets now and 30 tablets every 30 days. How should the pharmacist proceed?

  1. Dispense all 90 tablets at once because the total is within the prescribed amount
  2. Dispense 30 now and place the other 60 on will-call immediately
  3. Dispense 30 now; the future-fill instructions cannot be honored Correct answer.
  4. Dispense 30 now and record the remaining 60 as refills to be filled later

Explanation

A Schedule II prescription cannot be refilled or filled in installments according to a prescriber-directed schedule. Partial filling is limited to a patient or caregiver request, with the balance dispensed within 30 days, or to prescriber-requested partial fills for long-term care and terminally ill patients.

Question 22Pharmacy Practice and Operations

A prescriber's office faxes a new Schedule II prescription for a resident of a long-term care facility. How should the pharmacist respond?

  1. Dispense it only after DEA approves the fax in writing
  2. Dispense it; fax is permitted for a long-term care facility resident Correct answer.
  3. Reject it, because Schedule II prescriptions may never be faxed
  4. Require the original paper prescription to arrive before dispensing

Explanation

A faxed Schedule II prescription may serve as the original when it is transmitted for a patient in a long-term care facility, for a hospice patient, or for a compounded infusion for home infusion. The faxed copy is retained as the prescription record.

Question 23Pharmacy Practice and Operations

A pharmacy wants to return unopened, expired bottles of oxycodone to its reverse distributor. What documentation is required?

  1. No documentation; expired stock may be discarded in the trash
  2. A DEA Form 222 to transfer the Schedule II drugs to the reverse distributor Correct answer.
  3. A physician's prescription authorizing the transfer
  4. A DEA Form 106 report to the local DEA office

Explanation

Schedule II drugs transferred to another registrant, including a reverse distributor, must be documented on a DEA Form 222 or by an electronic CSOS order. The records must be kept for two years.

Question 24Pharmacy Practice and Operations

A prescriber asks the pharmacy to compound a copy of a commercially available FDA-approved injectable because of a reported backorder. What is the correct approach?

  1. Compound it, because patient-specific prescriptions are always exempt from the copying restriction
  2. Compound it and label it with the manufacturer's name to simplify billing
  3. Verify the drug is on the FDA shortage list, which permits compounding the copy Correct answer.
  4. Refuse, because copies of commercially available drugs may never be compounded

Explanation

A 503A pharmacy generally may not compound a copy of a commercially available drug, but an exception exists when the drug appears on the FDA drug shortage list. The pharmacist should confirm the shortage status before compounding.

Question 25Pharmacy Practice and Operations

A patient has an unfilled electronic prescription for a Schedule II drug at Pharmacy A and asks Pharmacy B to fill it. What does federal law allow?

  1. A Schedule II prescription may not be transferred, even if electronic
  2. Pharmacy A may transfer the electronic prescription once for initial filling Correct answer.
  3. Pharmacy B may transfer the prescription back to Pharmacy A after filling
  4. Pharmacy A may transfer it repeatedly if both pharmacies keep records

Explanation

DEA rules permit a pharmacy to transfer an electronic Schedule II prescription to another pharmacy for initial dispensing, but only one time. Both pharmacies must maintain the required transfer documentation.

Question 26Pharmacy Practice and Operations

A pharmacy sells over-the-counter pseudoephedrine to an adult. Which record-keeping step is required by federal law?

  1. The pharmacist must enter the sale in the dispensing system.
  2. The purchaser must provide a prescription from a physician.
  3. The pharmacy must report the sale to the DEA within 24 hours.
  4. The purchaser must show photo ID and sign the log. Correct answer.

Explanation

The Combat Methamphetamine Epidemic Act requires that pseudoephedrine products be kept behind the counter and that purchasers show photo identification and sign a written or electronic log. The sale is subject to daily and monthly quantity limits. A prescription is not required for lawful OTC sales.

Question 27Pharmacy Practice and Operations

A prescription for a Schedule III controlled substance authorizes refills. What is the maximum refill authority?

  1. No refills are permitted.
  2. Unlimited refills until the prescription expires.
  3. Five refills within six months. Correct answer.
  4. Three refills within one year.

Explanation

Federal law permits a prescription for a Schedule III or IV controlled substance to be refilled up to five times within six months of the date the prescription was issued. The prescription may not be refilled after that six-month period.

Question 28Pharmacy Practice and Operations

A pharmacy technician finds several bottles of a non-controlled prescription drug past their expiration date in active stock. What is the appropriate action?

  1. Return them to the shelf if the tablets look normal.
  2. Continue dispensing until the stock is exhausted.
  3. Quarantine them for return or destruction. Correct answer.
  4. Repackage them with a new expiration date.

Explanation

Expired drug stock must be removed from active inventory so it cannot be dispensed. It should be quarantined and then returned, destroyed, or otherwise handled according to the pharmacy's policy and applicable law. Appearance alone does not establish that an expired product remains safe or effective.

Question 29Pharmacy Practice and Operations

Under Kentucky pharmacy practice standards, when must a pharmacist offer counseling to a patient?

  1. Only for new prescriptions filled for the first time.
  2. Only when the patient asks a question.
  3. For each new prescription, unless declined. Correct answer.
  4. Only for controlled substances.

Explanation

Pharmacists are expected to offer counseling to patients receiving a new prescription, and the offer may be declined by the patient. Counseling should cover the drug, directions, and important precautions. A pharmacist remains available to answer questions on refills as well.

Question 30Pharmacy Practice and Operations

How often must a DEA-registered pharmacy take a complete inventory of its controlled substances?

  1. Every year.
  2. Every two years. Correct answer.
  3. Every six months.
  4. Every three years.

Explanation

A DEA registrant must take a complete and accurate inventory of all controlled substances every two years. The inventory must be dated and kept with the required controlled substance records. A newly registered pharmacy must take an initial inventory on the date it begins business.

Question 31Pharmacy Practice and Operations

A community pharmacy's DEA registration is subject to renewal. How often must the registration be renewed?

  1. Every year.
  2. Every three years. Correct answer.
  3. Every five years.
  4. Every two years.

Explanation

DEA registrations for pharmacies are generally valid for three years and must be renewed before expiration to maintain authority to handle controlled substances. A separate registration is required for each principal place of business.

Question 32Pharmacy Practice and Operations

A patient presents a valid Schedule II prescription written by a physician licensed in a neighboring state. May the Kentucky pharmacy fill it?

  1. No, because Schedule II prescriptions must be written by Kentucky prescribers.
  2. Yes, if it is valid in the state of issuance. Correct answer.
  3. No, because Schedule II prescriptions cannot cross state lines.
  4. Yes, but only after the prescriber mails a written copy.

Explanation

DEA permits a pharmacist to fill a Schedule II prescription written by an out-of-state prescriber if the prescription is valid in the state where it was issued and the pharmacist verifies its authenticity. The prescriber must hold a valid DEA registration. A mailed follow-up copy is not required for a valid out-of-state Schedule II prescription.

Question 33Pharmacy Practice and Operations

A pharmacist suspects that a prescription for a controlled substance has been altered. What is the most appropriate action?

  1. Refuse to fill and report the matter as required. Correct answer.
  2. Fill it but document the suspicion.
  3. Fill half the quantity and call the prescriber.
  4. Call the patient's insurance company for approval.

Explanation

A pharmacist must resolve concerns about the validity of a controlled substance prescription before dispensing. If alteration or forgery is suspected, the pharmacist should not fill it and should report the matter according to pharmacy policy and applicable law. Documentation alone does not justify dispensing a questionable prescription.

Question 34Pharmacy Practice and Operations

Under federal DEA regulations, how long must a pharmacy keep records of controlled substance dispensing?

  1. One year.
  2. Two years. Correct answer.
  3. Ten years.
  4. Five years.

Explanation

DEA regulations require controlled substance records, including dispensing records, to be maintained for two years. These records must be available for inspection by authorized agents. State law may impose a longer retention period, so the pharmacy should follow the stricter requirement.

Question 35Pharmacy Practice and Operations

Refrigerated vaccines should generally be stored at which temperature range?

  1. -20°C to -10°C.
  2. 15°C to 25°C.
  3. 10°C to 15°C.
  4. 2°C to 8°C. Correct answer.

Explanation

Most refrigerated vaccines are stored at 2°C to 8°C (36°F to 46°F). Storage outside that range can reduce potency and may require the vaccine to be quarantined and evaluated. Freezing temperatures are appropriate only for products specifically labeled for frozen storage.

Question 36Pharmacy Practice and Operations

A pharmacy receives a Class I recall notice for a stocked drug. What should be done first?

  1. Return the drug to the shelf after checking the lot number.
  2. Discard the drug in the regular trash.
  3. Continue dispensing until the wholesaler picks it up.
  4. Quarantine affected stock and notify patients as directed. Correct answer.

Explanation

A recall requires the pharmacy to stop using affected stock, segregate it, and follow the recall instructions for return or destruction. For a Class I recall, the pharmacy should also notify patients who received the affected product when directed. Continuing to dispense recalled stock is not appropriate.

Question 37Pharmacy Practice and Operations

Kentucky requires pharmacies to maintain a continuous quality improvement program. Which element is central to that program?

  1. A policy that prohibits technicians from handling prescriptions.
  2. A requirement that all errors be reported to the DEA.
  3. A monthly inspection by the Board of Pharmacy.
  4. A written process for reviewing medication errors. Correct answer.

Explanation

A continuous quality improvement program is intended to identify, document, analyze, and prevent medication errors and related adverse events. The pharmacy should use the findings to improve systems and reduce recurrence. Board inspections and DEA reporting are separate regulatory functions.

Question 38Pharmacy Practice and Operations

Under Kentucky's prescription monitoring program, what is required of a pharmacy that dispenses a controlled substance?

  1. Report the dispensing to KASPER by the next business day. Correct answer.
  2. Report only if the pharmacist suspects misuse.
  3. Report only Schedule II dispensing within thirty days of the sale.
  4. Report only when the patient pays cash.

Explanation

Kentucky dispensers must submit controlled substance dispensing data to KASPER within the required reporting period, generally by the next business day. Reporting is not limited to Schedule II drugs or to cash-paying patients. The data supports clinical review and regulatory oversight.

Question 39Pharmacy Practice and Operations

A pharmacist compounds an oral suspension from a bulk drug substance. Which requirement applies?

  1. The bulk substance must be USP or NF grade with a certificate of analysis. Correct answer.
  2. The compounded preparation may be sold to another pharmacy without a prescription.
  3. The preparation must be assigned a new expiration date of one year.
  4. The bulk substance may be any chemical grade if the final compounded product is tested.

Explanation

When a pharmacist compounds from a bulk drug substance, the substance should be USP or NF grade and accompanied by a certificate of analysis. This helps establish identity, purity, and quality. The compounded preparation also requires an appropriate beyond-use date based on the formulation and storage conditions.

Question 40Pharmacy Practice and Operations

A prescriber gives a verbal prescription for a Schedule IV controlled substance. What is required?

  1. The pharmacist may accept it and reduce it to writing. Correct answer.
  2. The pharmacy must report it to DEA within 24 hours.
  3. The prescription cannot be accepted orally.
  4. The prescriber must send a written follow-up within 7 days.

Explanation

Federal law permits oral prescriptions for Schedule III, IV, and V controlled substances. The pharmacist may accept the oral order but must promptly reduce it to writing and retain it as required. A seven-day written follow-up is the rule for emergency oral Schedule II prescriptions, not Schedule IV prescriptions.

Question 41Licensure, Registration, and Certification

Which entity issues a license to practice as a pharmacist in Kentucky?

  1. The National Association of Boards of Pharmacy
  2. The Kentucky Board of Pharmacy Correct answer.
  3. The Kentucky Cabinet for Health and Family Services
  4. The Drug Enforcement Administration

Explanation

The Kentucky pharmacy practice act delegates licensure authority to the Board of Pharmacy, which issues, renews, and disciplines pharmacist licenses. Other state agencies administer health programs but do not license pharmacists. National associations and federal agencies play no role in granting a state practice license.

Question 42Licensure, Registration, and Certification

A Kentucky pharmacy license is issued to which of the following?

  1. The owner's national parent corporation
  2. The specific physical location where pharmacy services are provided Correct answer.
  3. The supervising pharmacy technician
  4. The individual pharmacist who manages the pharmacy

Explanation

A pharmacy license authorizes operation of a pharmacy at one identified address, so a separate license is needed for each location. The license does not follow the owner, the manager, or the corporation to another site. Licensed individuals hold separate personal credentials.

Question 43Licensure, Registration, and Certification

Which credential is required before a person may lawfully engage in the practice of pharmacy in Kentucky?

  1. Membership in a state pharmacy association
  2. National technician certification
  3. A pharmacist license issued by the Kentucky Board of Pharmacy Correct answer.
  4. A DEA registration

Explanation

Engaging in the practice of pharmacy without a current Kentucky pharmacist license is unlawful. Association membership, private certifications, and federal registrations do not substitute for the state license. The Board alone grants practice authority.

Question 44Licensure, Registration, and Certification

Who is responsible for ensuring that a licensed Kentucky pharmacy complies with the pharmacy practice act?

  1. The Board of Pharmacy inspector assigned to the region
  2. The pharmacist-in-charge Correct answer.
  3. The owner of the building where the pharmacy is located
  4. The most recently hired staff pharmacist

Explanation

Every licensed pharmacy must designate a pharmacist-in-charge, who is accountable for the pharmacy's day-to-day compliance with statutes and Board regulations. Inspectors enforce the law but do not run the pharmacy. Building owners and staff pharmacists have no designated compliance role.

Question 45Licensure, Registration, and Certification

Pharmacy technicians in Kentucky must:

  1. be licensed as pharmacists in another state
  2. be registered with the Board of Pharmacy Correct answer.
  3. hold a doctor of pharmacy degree
  4. pass the NAPLEX examination

Explanation

Kentucky requires pharmacy technicians to be registered with the Board before performing technician duties. Registration is a distinct credential from pharmacist licensure. Degree and examination requirements apply to pharmacists, not technicians.

Question 46Licensure, Registration, and Certification

A Kentucky pharmacy license must be:

  1. displayed conspicuously at the licensed location Correct answer.
  2. mailed to the Board each year
  3. carried by the pharmacist-in-charge at all times
  4. kept in the pharmacy's safe

Explanation

The license must be posted in a conspicuous place so that patients and inspectors can see that the location is licensed. It is not a personal document to be carried or locked away. Licenses remain with the licensed premises.

Question 47Licensure, Registration, and Certification

Which of the following must a pharmacist complete to renew a Kentucky pharmacist license?

  1. A national board certification examination
  2. Board-approved continuing education Correct answer.
  3. A new background investigation each year
  4. A refresher internship

Explanation

License renewal requires completion of the continuing education that the Board requires for the renewal period. Renewal is an administrative process, not a re-examination or re-entry process. Repeated background investigations are not an annual renewal condition.

Question 48Licensure, Registration, and Certification

Before beginning an internship in a Kentucky pharmacy, a pharmacy student must:

  1. pass the NAPLEX examination
  2. obtain a DEA registration
  3. join a professional pharmacy association
  4. be registered with the Board as a pharmacy intern Correct answer.

Explanation

Students must hold a Board-issued intern registration before accruing internship hours in a pharmacy. The registration documents the student's enrollment and supervised training status. Association membership, federal registration, and licensure examinations are unrelated to intern status.

Question 49Licensure, Registration, and Certification

A licensed Kentucky pharmacy is purchased by a new corporation. Before the new owner begins operating the pharmacy, it must:

  1. do nothing if the pharmacist-in-charge remains the same
  2. obtain a new pharmacy license for that location Correct answer.
  3. notify the Board within 30 days after opening
  4. continue under the seller's license until the next renewal cycle

Explanation

A pharmacy license is not transferable between owners, so a change of ownership requires a new license before operations continue. Operating on the seller's license would be unlicensed operation. Retaining the same pharmacist-in-charge does not cure the ownership change.

Question 50Licensure, Registration, and Certification

A Kentucky pharmacy plans to move to a different building in the same city. The pharmacy may begin dispensing at the new address only after:

  1. obtaining Board approval and a license for the new location Correct answer.
  2. waiting for the annual license renewal
  3. notifying the local wholesale distributor
  4. posting a sign at the old location

Explanation

Because the license identifies a specific location, relocation requires Board approval and licensure of the new address before dispensing begins. The license does not travel with the business. Notifying suppliers or posting signs does not satisfy the licensure requirement.