MD MPJE case studies
MD MPJE · Put your knowledge to work in context.
The Maryland Multistate Pharmacy Jurisprudence Examination (MD MPJE) is the jurisprudence component candidates must pass to be licensed as a pharmacist in Maryland. It is delivered through NABP's MPJE platform, but the content is Maryland-specific: the questions test whether you can apply Maryland pharmacy law and Board of Pharmacy regulations, not federal law alone. The MD MPJE case studies are 5 cases and about 3,048 words.
1Early Oxycodone Refill, PDMP Red Flags, and a Partial Fill
On a Friday at 5:40 p.m., a 34-year-old man you have never seen presents a paper prescription for oxycodone 30 mg, #120, 1 tablet every 6 hours as needed, dated three days earlier. The prescriber is a pain clinic 70 miles away.
720 words, about 4 min2Technician Delegation, Warfarin CPA, and an INR of 5.2
At a community pharmacy with one pharmacist on duty, two registered pharmacy technicians, and one cashier, the queue has 14 prescriptions. The pharmacy has a written collaborative practice agreement with a local primary care group for warfarin management.
609 words, about 3 min3ICU ADC Override, Look-Alike Insulins, and a Sterile Compounding BUD
At a 180-bed Maryland hospital, the ICU automated dispensing cabinet (ADC) is stocked by pharmacy technicians. A nurse overrides and removes a vial labeled 'insulin aspart' from a bin that also contains 'insulin regular'; both are stored side by side because the cabinet's look-alike/sound-alike separation policy was not followed after a renovation.
565 words, about 3 min4Out-of-State Compounded Shipment and Missing Label Elements
A Maryland resident brings a shipped package to your community pharmacy. The package contains a compounded topical gel from an out-of-state pharmacy that is not registered with the Maryland Board of Pharmacy.
570 words, about 3 min5Methotrexate Wrong-Strength Error, Recall, and Social Media
At a busy community pharmacy, a 72-year-old woman with rheumatoid arthritis receives methotrexate 10 mg tablets instead of her usual 2.5 mg tablets because the technician selected the wrong strength from the shelf and the pharmacist verified the prescription against the label, not the original prescription. The label says 'take 4 tablets once weekly,' so she takes 40 mg weekly for three weeks.
584 words, about 3 min