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MD MPJE practice questions

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Question 1Maryland Pharmacy Practice Act: Board of Pharmacy structure, licensure, registration, and discipline

Under the Maryland Pharmacy Practice Act, how many members serve on the State Board of Pharmacy?

  1. Seven members Correct answer.
  2. Eleven members
  3. Five members
  4. Nine members

Explanation

The Maryland State Board of Pharmacy is composed of seven members appointed by the Governor, with a mix of pharmacist and consumer representation. This composition lets the Board regulate pharmacy practice while including public input.

Question 2Maryland Pharmacy Practice Act: Board of Pharmacy structure, licensure, registration, and discipline

Which individual is eligible to serve as a pharmacist member of the Maryland State Board of Pharmacy?

  1. A pharmacy technician with ten years of experience
  2. A physician who owns a chain of pharmacies
  3. A licensed pharmacist actively practicing in Maryland Correct answer.
  4. A pharmacy student in the final year of school

Explanation

Pharmacist members of the Board must hold a current Maryland pharmacist license and be actively engaged in pharmacy practice in the state. The Board's pharmacist seats are reserved for licensed practitioners, not technicians, students, or other professionals.

Question 3Maryland Pharmacy Practice Act: Board of Pharmacy structure, licensure, registration, and discipline

A pharmacist wants to renew her Maryland pharmacist license. Which entity issues and renews that license?

  1. The Drug Enforcement Administration
  2. The State Board of Pharmacy Correct answer.
  3. The local health department
  4. The Maryland Department of Health

Explanation

The State Board of Pharmacy is the licensing authority that issues and renews Maryland pharmacist licenses. The Department of Health and DEA have other roles such as facility oversight and controlled substance registration.

Question 4Maryland Pharmacy Practice Act: Board of Pharmacy structure, licensure, registration, and discipline

Which activity requires a Maryland pharmacy permit rather than only a pharmacist license?

  1. Attending a continuing education seminar
  2. Operating a location where prescriptions are dispensed to the public Correct answer.
  3. Administering a vaccine under a standing order
  4. Counseling a patient about a new prescription

Explanation

A pharmacy permit authorizes a physical location to operate as a pharmacy and dispense prescriptions. Individual professional activities like counseling, CE attendance, and vaccination are governed by the pharmacist license and related protocols.

Question 5Maryland Pharmacy Practice Act: Board of Pharmacy structure, licensure, registration, and discipline

A Maryland pharmacy technician registration is best described as which of the following?

  1. A federal certification issued by the DEA
  2. A substitute for pharmacist licensure
  3. A voluntary credential with no legal effect
  4. A mandatory Board-issued registration required to practice Correct answer.

Explanation

Maryland requires pharmacy technicians to register with the Board before performing technician duties. Registration is a legal prerequisite, though it does not confer pharmacist authority.

Question 6Maryland Pharmacy Practice Act: Board of Pharmacy structure, licensure, registration, and discipline

Which circumstance most likely disqualifies an applicant from obtaining a Maryland pharmacist license?

  1. Having a felony conviction that bears on fitness to practice Correct answer.
  2. Having attended a foreign pharmacy school
  3. Having worked in another state before moving to Maryland
  4. Having a prior misdemeanor traffic citation from years ago

Explanation

The Board evaluates criminal history and may deny licensure for convictions that bear on the applicant's fitness to practice pharmacy. A distant traffic citation, out-of-state work history, or foreign education alone does not automatically disqualify an applicant.

Question 7Maryland Pharmacy Practice Act: Board of Pharmacy structure, licensure, registration, and discipline

What is the primary role of the State Board of Pharmacy in disciplinary matters?

  1. To prosecute criminal drug cases in court
  2. To inspect restaurants for food safety
  3. To set reimbursement rates for Medicaid prescriptions
  4. To investigate complaints and impose sanctions on licensees Correct answer.

Explanation

The Board investigates complaints against licensees and may impose discipline such as reprimand, suspension, or revocation. Criminal prosecution, reimbursement setting, and food safety fall to other entities.

Question 8Maryland Pharmacy Practice Act: Board of Pharmacy structure, licensure, registration, and discipline

A pharmacist is found to have dispensed a prescription without verifying it was valid. Which Board action is a possible disciplinary sanction?

  1. Conversion of the license to a technician registration
  2. Automatic criminal imprisonment
  3. Revocation of the pharmacist license Correct answer.
  4. Permanent closure of all Maryland pharmacies

Explanation

The Board may revoke, suspend, or reprimand a pharmacist license for violations of the Practice Act. It cannot imprison people or close unrelated pharmacies; those outcomes are outside its authority.

Question 9Maryland Pharmacy Practice Act: Board of Pharmacy structure, licensure, registration, and discipline

Which of the following best describes the Board's authority regarding continuing education requirements for license renewal?

  1. The Board sets and enforces CE requirements as a condition of renewal Correct answer.
  2. CE is administered by the local health department
  3. CE requirements are set solely by the DEA
  4. CE is optional and has no effect on licensure

Explanation

The Board establishes continuing education requirements and verifies compliance as part of the renewal process. Failure to meet CE obligations can affect license renewal.

Question 10Maryland Pharmacy Practice Act: Board of Pharmacy structure, licensure, registration, and discipline

A pharmacy changes ownership and the new owner intends to keep operating at the same location. What should the new owner do regarding the pharmacy permit?

  1. Notify only the DEA and not the Board
  2. Assume the permit transfers automatically with the sale
  3. Continue operating under the prior owner's permit indefinitely
  4. Apply to the Board for a permit reflecting the change Correct answer.

Explanation

A pharmacy permit is tied to the permit holder, so a change in ownership generally requires the new owner to obtain a permit reflecting that change. Operating under another party's permit is not permissible.

Question 11Maryland Pharmacy Practice Act: Board of Pharmacy structure, licensure, registration, and discipline

Which statement about the Board's rulemaking function is accurate?

  1. The Board may adopt regulations to carry out the Practice Act Correct answer.
  2. The Board may amend the statute without legislative action
  3. Only the DEA may issue pharmacy regulations in Maryland
  4. The Board has no authority to issue regulations

Explanation

The Board adopts regulations consistent with the Pharmacy Practice Act to implement and interpret its provisions. It cannot unilaterally amend the statute, and it is not the only regulator issuing pharmacy rules.

Question 12Maryland Pharmacy Practice Act: Board of Pharmacy structure, licensure, registration, and discipline

A pharmacist licensed in another state moves to Maryland and wishes to practice. What is generally required?

  1. Practicing immediately under the other state's license
  2. Obtaining a Maryland license from the Board before practicing Correct answer.
  3. Only registering with the DEA
  4. Passing a Maryland-specific pharmacy law exam only, with no other requirements

Explanation

A pharmacist must hold a Maryland license issued by the Board before practicing in the state. Out-of-state licensure alone does not authorize practice in Maryland.

Question 13Maryland Pharmacy Practice Act: Board of Pharmacy structure, licensure, registration, and discipline

What is the purpose of the Board's complaint process?

  1. To hire pharmacy staff for licensed facilities
  2. To provide a mechanism for investigating alleged violations and protecting the public Correct answer.
  3. To set the retail price of prescription drugs
  4. To resolve billing disputes between pharmacies and insurers

Explanation

The complaint process allows the Board to receive, investigate, and act on allegations of misconduct, with public protection as the goal. Billing, pricing, and staffing are not Board functions.

Question 14Maryland Pharmacy Practice Act: Board of Pharmacy structure, licensure, registration, and discipline

A licensee fails to respond to a Board inquiry during an investigation. What is the likely consequence?

  1. Nothing happens because responses are optional
  2. The Board may take disciplinary action for failure to cooperate Correct answer.
  3. The licensee's DEA registration is immediately revoked
  4. The Board must close the investigation automatically

Explanation

Licensees are expected to cooperate with Board investigations, and failure to respond can itself be grounds for discipline. The Board is not required to close a case because a licensee ignores inquiries.

Question 15Maryland Pharmacy Practice Act: Board of Pharmacy structure, licensure, registration, and discipline

Which of the following is a function of the Board related to pharmacy interns?

  1. Issuing intern licenses that authorize independent practice
  2. Assigning interns to specific employers
  3. Registering interns and overseeing their supervised training Correct answer.
  4. Paying intern salaries

Explanation

The Board registers pharmacy interns and oversees the supervised practice that counts toward licensure. Interns practice under supervision and do not practice independently, and the Board does not handle employment matters.

Question 16Maryland Pharmacy Practice Act: Board of Pharmacy structure, licensure, registration, and discipline

Which action would most likely constitute grounds for Board discipline against a pharmacist?

  1. Dispensing a prescription while impaired by alcohol Correct answer.
  2. Transferring a valid prescription in accordance with law
  3. Declining to stock a particular nonprescription product
  4. Attending a professional conference

Explanation

Practicing while impaired endangers patients and is a classic ground for discipline under the Practice Act. Attending a conference, making a business stocking decision, and lawful prescription transfers are not violations.

Question 17Maryland Pharmacy Practice Act: Board of Pharmacy structure, licensure, registration, and discipline

How are Board members typically selected in Maryland?

  1. Selected by the Maryland Hospital Association
  2. Chosen by the DEA Administrator
  3. Appointed by the Governor Correct answer.
  4. Elected by licensed pharmacists statewide

Explanation

Board members are appointed by the Governor, which is the standard mechanism for Maryland professional licensing boards. They are not elected by licensees or chosen by federal agencies or trade associations.

Question 18Maryland Pharmacy Practice Act: Board of Pharmacy structure, licensure, registration, and discipline

A pharmacy's license is suspended by the Board. What does this generally mean?

  1. The pharmacy may continue operating during the suspension
  2. The suspension automatically dissolves the corporation
  3. The pharmacy must stop operating until the suspension is lifted Correct answer.
  4. The suspension applies only to the pharmacist on duty

Explanation

A suspension halts the licensed activity, so the pharmacy must cease operating until the Board lifts or resolves the suspension. It does not automatically dissolve the business entity or apply only to one employee.

Question 19Maryland Pharmacy Practice Act: Board of Pharmacy structure, licensure, registration, and discipline

Which of the following is the best example of unprofessional conduct that could lead to Board action?

  1. Documenting a patient consultation
  2. Referring a patient to an emergency department
  3. Falsifying a prescription record Correct answer.
  4. Completing required continuing education

Explanation

Falsifying records is dishonest and undermines patient safety, making it a clear example of unprofessional conduct subject to discipline. Completing CE, making appropriate referrals, and documenting consultations are proper practices.

Question 20Maryland Pharmacy Practice Act: Board of Pharmacy structure, licensure, registration, and discipline

What must a pharmacist generally do to maintain active licensure status in Maryland?

  1. Renew the license and satisfy CE requirements on the Board's schedule Correct answer.
  2. Retake the full licensure examination annually
  3. Obtain a new DEA registration each month
  4. Reapply for initial licensure every year

Explanation

Maintaining active licensure involves timely renewal and meeting the Board's continuing education requirements. Annual re-examination or monthly DEA renewals are not part of the renewal process.

Question 21Maryland Pharmacy Practice Act: Board of Pharmacy structure, licensure, registration, and discipline

An unlicensed person is found dispensing prescriptions in a Maryland pharmacy. What is the Board's most likely response?

  1. Taking action against the unlicensed person and any licensee who enabled the conduct Correct answer.
  2. Issuing the person a temporary pharmacist license
  3. Referring the matter solely to the DEA
  4. Taking no action because only licensees fall under the Board

Explanation

The Board may act against unlicensed practice and against licensees who aid or permit it, since both threaten public safety. It does not simply defer to federal agencies or grant licenses as a remedy.

Question 22Maryland Pharmacy Practice Act: Board of Pharmacy structure, licensure, registration, and discipline

Which statement about the Board's inspection authority is most accurate?

  1. The Board may inspect pharmacies to verify compliance with the Practice Act Correct answer.
  2. The Board has no inspection authority over pharmacies
  3. The Board may inspect only when a patient files a lawsuit
  4. Inspections are performed exclusively by the DEA

Explanation

The Board has authority to inspect pharmacies to confirm compliance with licensure and practice requirements. Inspections are not contingent on litigation, and the DEA's role does not displace the Board's authority.

Question 23Maryland Pharmacy Practice Act: Board of Pharmacy structure, licensure, registration, and discipline

A pharmacist wishes to surrender her license while a disciplinary case is pending. What is the Board likely to require?

  1. That she wait until the case is closed before notifying anyone
  2. That she notify only her employer
  3. That the surrender be handled through the Board so the matter is resolved on the record Correct answer.
  4. That she simply stop paying renewal fees

Explanation

License surrender during a pending disciplinary matter must go through the Board so the resolution is documented and public protection is maintained. Informal steps like ceasing fee payments do not properly resolve a pending case.

Question 24Maryland Pharmacy Practice Act: Board of Pharmacy structure, licensure, registration, and discipline

Which of the following best describes the relationship between the Board and the Maryland pharmacy statutes?

  1. The Board administers and enforces the Pharmacy Practice Act Correct answer.
  2. The Board has no connection to the statutes
  3. The Board writes the criminal drug laws
  4. The Board only advises Congress on federal law

Explanation

The Board is the state agency charged with administering and enforcing the Pharmacy Practice Act through licensing, inspection, and discipline. It does not enact criminal statutes or function as a federal advisory body.

Question 25Maryland Pharmacy Practice Act: Board of Pharmacy structure, licensure, registration, and discipline

A pharmacy technician registered in Maryland performs a task outside the technician scope. What is the Board's likely concern?

  1. Whether the technician paid dues to a professional association
  2. Whether the pharmacy's landlord approved the task
  3. Whether the task required pharmacist judgment and whether supervision was adequate Correct answer.
  4. Whether the technician's commute exceeded an hour

Explanation

The Board focuses on whether delegated tasks stay within technician scope and whether pharmacist supervision was sufficient to protect patients. Association dues, landlord approval, and commuting are irrelevant to scope-of-practice compliance.

Question 26Maryland Pharmacy Practice Act: Board of Pharmacy structure, licensure, registration, and discipline

Under the Maryland Pharmacy Practice Act, the State Board of Pharmacy is placed within which department of State government for administrative purposes?

  1. The Department of Labor
  2. The Department of Agriculture
  3. The Office of the Attorney General
  4. The Department of Health Correct answer.

Explanation

The Board of Pharmacy is an occupational and professional licensing board that functions within the Maryland Department of Health, which provides administrative support while the Board retains its own regulatory authority over pharmacy practice.

Question 27Maryland Pharmacy Practice Act: Board of Pharmacy structure, licensure, registration, and discipline

Which credential does the Board issue to a pharmacy that will dispense prescription medications at a specific physical location in Maryland?

  1. A controlled dangerous substances registration
  2. A pharmacy permit Correct answer.
  3. A wholesaler license
  4. A device manufacturer certificate

Explanation

Maryland requires each pharmacy location to hold a pharmacy permit issued by the Board before dispensing prescriptions to the public; the permit is tied to the premises and the pharmacist-in-charge.

Question 28Maryland Pharmacy Practice Act: Board of Pharmacy structure, licensure, registration, and discipline

A Maryland pharmacist moves to a new address and does not notify the Board. Which consequence is most consistent with Board requirements?

  1. The license becomes invalid until the record is corrected and a fee may apply Correct answer.
  2. The pharmacist must retake the jurisprudence examination
  3. The license automatically converts to inactive status
  4. The pharmacist must obtain a new license number

Explanation

Licensees must keep the Board informed of a current address of record, because official notices and renewal documents are sent there. Failing to report a change can result in the license being treated as not in good standing until the record is updated.

Question 29Maryland Pharmacy Practice Act: Board of Pharmacy structure, licensure, registration, and discipline

Which body ultimately adopts the regulations that interpret and implement the Maryland Pharmacy Practice Act?

  1. The State Board of Pharmacy Correct answer.
  2. The federal Drug Enforcement Administration
  3. The Maryland General Assembly
  4. The local health department of the jurisdiction

Explanation

The General Assembly enacts the statute, and the Board then adopts regulations in the Maryland Register to carry out that statute. The Board, not the legislature, writes the implementing rules.

Question 30Maryland Pharmacy Practice Act: Board of Pharmacy structure, licensure, registration, and discipline

An applicant for a Maryland pharmacist license has a prior felony conviction for drug distribution. How does the Board generally treat this history?

  1. It is irrelevant because convictions are sealed from the Board
  2. It may be considered as a character and fitness factor that can support denial Correct answer.
  3. It is an automatic permanent bar to licensure with no hearing
  4. It matters only if the conviction occurred in Maryland

Explanation

The Board evaluates moral character and fitness, and a conviction related to the practice of pharmacy is a relevant consideration that may support denial after an opportunity for a hearing. The Board weighs the nature, recency, and relationship of the offense to pharmacy practice rather than applying an absolute bar.

Question 31Maryland Pharmacy Practice Act: Board of Pharmacy structure, licensure, registration, and discipline

A pharmacist licensed in Maryland wishes to practice at a second pharmacy across town. What does the Board require regarding that additional location?

  1. The pharmacist must obtain a second personal license
  2. The pharmacist may practice there only as a volunteer
  3. The second pharmacy must hold its own permit and designate a pharmacist-in-charge Correct answer.
  4. The pharmacist must notify the Board but no permit is needed

Explanation

Permits attach to pharmacy premises, so every dispensing site must be separately permitted and must have a designated pharmacist-in-charge. The individual pharmacist's license permits practice at any properly permitted pharmacy.

Question 32Maryland Pharmacy Practice Act: Board of Pharmacy structure, licensure, registration, and discipline

During a Board inspection, an inspector requests records related to prescription dispensing. How should the pharmacist-in-charge respond?

  1. Provide the requested records, since the Board has inspection authority over permitted pharmacies Correct answer.
  2. Refuse until a search warrant is presented in every case
  3. Refer the inspector to the corporate legal department and withhold records
  4. Provide only records for controlled substances

Explanation

The Board's inspectors are authorized to examine pharmacy records and premises as part of routine and complaint-driven oversight. Refusing a lawful inspection request can itself become a ground for discipline.

Question 33Maryland Pharmacy Practice Act: Board of Pharmacy structure, licensure, registration, and discipline

A Maryland pharmacy technician registration applicant has never completed a Board-approved training program. What is the most likely outcome?

  1. The application is denied or held until the training requirement is satisfied Correct answer.
  2. The applicant may practice as a pharmacist
  3. The applicant is registered provisionally for life
  4. The applicant may dispense without any supervision

Explanation

Technician registration in Maryland requires completion of Board-approved training and other qualifications. An applicant lacking that training cannot be registered until the deficiency is corrected.

Question 34Maryland Pharmacy Practice Act: Board of Pharmacy structure, licensure, registration, and discipline

A pharmacist is convicted of a misdemeanor involving theft from an employer. Which statement best reflects the Board's disciplinary framework?

  1. The Board must wait for the criminal appeal to conclude in all cases
  2. The Board may act because a conviction relating to the practice of pharmacy can be a disciplinary ground Correct answer.
  3. The Board may act only if the employer files a complaint
  4. The Board cannot act because the offense is only a misdemeanor

Explanation

Grounds for discipline include convictions relating to pharmacy practice or reflecting on fitness, and the Board may act on its own initiative once it learns of the conviction. The Board's authority is independent of the employer's willingness to complain.

Question 35Maryland Pharmacy Practice Act: Board of Pharmacy structure, licensure, registration, and discipline

A pharmacist wants to serve as the pharmacist-in-charge of a newly permitted pharmacy. What is the Board's expectation of that role?

  1. The PIC is responsible for the pharmacy's compliance with law and Board regulations Correct answer.
  2. The PIC's duties are limited to payroll
  3. The PIC need only be present one day per month
  4. The PIC must be a pharmacy owner

Explanation

The pharmacist-in-charge is the pharmacist accountable for the lawful operation of the pharmacy, including recordkeeping, supervision, and compliance with Board rules. The role is a compliance responsibility, not a nominal title.

Question 36Maryland Pharmacy Practice Act: Board of Pharmacy structure, licensure, registration, and discipline

A Maryland pharmacist allows her license to lapse by failing to renew on time and continues to dispense prescriptions. What is the Board's most likely characterization?

  1. Practicing on an expired license, which is a violation subject to discipline Correct answer.
  2. A harmless administrative oversight with no consequence
  3. Permissible as long as the pharmacy permit is current
  4. Acceptable if the pharmacist intends to renew later

Explanation

Practicing pharmacy without a current license violates the Pharmacy Practice Act even if renewal is later completed. The Board may impose discipline for the period of unlicensed practice.

Question 37Maryland Pharmacy Practice Act: Board of Pharmacy structure, licensure, registration, and discipline

Which situation best illustrates a conflict of interest concern for a member of the Board of Pharmacy?

  1. A Board member votes on a disciplinary matter involving a pharmacy in which the member has a financial interest Correct answer.
  2. A Board member holds an active pharmacist license
  3. A Board member subscribes to a pharmacy journal
  4. A Board member attends a national pharmacy conference

Explanation

Board members must avoid participating in matters where they have a personal or financial stake, and should recuse themselves from such decisions. Routine professional activities and holding a license are expected of Board members.

Question 38Maryland Pharmacy Practice Act: Board of Pharmacy structure, licensure, registration, and discipline

A pharmacy's permit has been revoked. What is the effect on the pharmacy's ability to dispense prescriptions?

  1. It may continue at reduced hours
  2. It must cease dispensing, and continued operation would be unpermitted practice Correct answer.
  3. It may continue if a pharmacist volunteers to supervise
  4. It may continue until the appeal period expires in all cases

Explanation

Revocation terminates the authority to operate the pharmacy, and dispensing afterward is unpermitted activity subject to further enforcement. A pending appeal does not automatically restore operating authority unless a stay is granted.

Question 39Maryland Pharmacy Practice Act: Board of Pharmacy structure, licensure, registration, and discipline

A Maryland pharmacist is asked to supervise an intern who has not yet been registered with the Board. What is the correct approach?

  1. Confirm the intern is registered before allowing supervised practice activities Correct answer.
  2. Allow practice because interns are exempt from registration
  3. Allow practice if the intern is a student at any school
  4. Allow practice for up to one year without registration

Explanation

Interns must be registered with the Board before accruing supervised practice hours, and the supervising pharmacist shares responsibility for verifying that status. Unregistered practice does not count toward licensure and can expose both parties to discipline.

Question 40Maryland Pharmacy Practice Act: Board of Pharmacy structure, licensure, registration, and discipline

A licensee receives a Board subpoena for patient records during an investigation and ignores it. Which outcome is most consistent with Maryland practice?

  1. The Board may pursue discipline for failure to cooperate, in addition to the underlying matter Correct answer.
  2. The Board must obtain a criminal indictment first
  3. The matter is automatically closed in the licensee's favor
  4. The licensee may comply only after a final Board order

Explanation

Licensees are expected to respond to Board subpoenas and inquiries, and noncompliance is itself a disciplinary ground. Ignoring the subpoena does not shield the licensee from the underlying investigation.

Question 41Licensure and registration of pharmacies, pharmacists, pharmacy technicians, and nonresident pharmacies

Under Maryland pharmacy law, which entity issues the license that a community pharmacy must hold before it may dispense prescription drugs to patients in the state?

  1. The Maryland Board of Pharmacy Correct answer.
  2. The U.S. Drug Enforcement Administration
  3. The county health department where the pharmacy is located
  4. The Maryland Department of Health

Explanation

The Maryland Board of Pharmacy is the state agency that licenses pharmacies, pharmacists, and pharmacy technicians. A DEA registration is also required for controlled substances, but it is federal and does not substitute for the state pharmacy license. Local health departments have no role in issuing pharmacy practice licenses.

Question 42Licensure and registration of pharmacies, pharmacists, pharmacy technicians, and nonresident pharmacies

A pharmacist who was originally licensed in Maryland moves to another state and wishes to keep her Maryland license active while practicing elsewhere. Which statement best describes her obligation to the Maryland Board of Pharmacy?

  1. She must renew the license on the Board's schedule and meet continuing education requirements to keep it active Correct answer.
  2. She automatically converts to inactive status upon establishing out-of-state residence
  3. She may let the license lapse because she no longer resides in Maryland
  4. She must surrender the license because Maryland licenses are residency-based

Explanation

Maryland licenses are renewed on a defined cycle, and renewal requires satisfying the Board's continuing education and fee requirements. Moving out of state does not itself void or suspend the license. A pharmacist who wants to maintain an active Maryland credential must keep it in good standing through timely renewal.

Question 43Licensure and registration of pharmacies, pharmacists, pharmacy technicians, and nonresident pharmacies

Which individual is eligible to be registered as a pharmacy technician in Maryland?

  1. A person whose only credential is a national certification card, without Board registration
  2. Any adult employed by a pharmacy, because technician registration is optional
  3. A person who has completed the Board-required training and any certification requirement and is registered with the Board Correct answer.
  4. A high school student working part-time without any Board registration

Explanation

Maryland requires pharmacy technicians to be registered with the Board of Pharmacy, which entails meeting training and certification requirements set by regulation. Employment alone does not confer technician status. A national certification without Board registration does not authorize practice as a technician in Maryland.

Question 44Licensure and registration of pharmacies, pharmacists, pharmacy technicians, and nonresident pharmacies

A nonresident pharmacy located in Delaware dispenses prescription drugs to patients in Maryland. Which requirement applies to that pharmacy under Maryland law?

  1. It is exempt because it is licensed in Delaware
  2. It must obtain a Maryland pharmacist license for each pharmacist who touches a Maryland prescription
  3. It only needs a DEA registration to ship into Maryland
  4. It must register with the Maryland Board of Pharmacy and comply with Maryland labeling and dispensing standards Correct answer.

Explanation

Maryland requires nonresident pharmacies that ship or mail prescriptions to Maryland patients to register with the Board and to follow applicable Maryland requirements, including labeling and patient counseling standards. A home-state license alone does not authorize service to Maryland patients. DEA registration addresses controlled substances only and does not satisfy the state registration requirement.

Question 45Licensure and registration of pharmacies, pharmacists, pharmacy technicians, and nonresident pharmacies

Which of the following is the best example of unprofessional conduct that could subject a Maryland pharmacist to Board discipline?

  1. Reporting a colleague's diversion to the Board in good faith
  2. Dispensing a prescription while impaired by alcohol Correct answer.
  3. Refusing to fill a prescription for a legally prescribed controlled substance after documenting a clinical concern
  4. Declining to counsel a patient who explicitly refuses counseling

Explanation

Practicing while impaired endangers patients and is a recognized ground for Board discipline. A documented clinical refusal and a patient's informed refusal of counseling are not themselves violations. Good-faith reporting of diversion is expected professional conduct, not misconduct.

Question 46Licensure and registration of pharmacies, pharmacists, pharmacy technicians, and nonresident pharmacies

A pharmacist's Maryland license is placed on probation with restrictions. Which statement is accurate regarding the pharmacist's practice during probation?

  1. The pharmacist may practice only within the terms the Board imposed in its order Correct answer.
  2. The pharmacist may practice without restriction until the order becomes final after appeal
  3. The pharmacist must close the pharmacy where she works
  4. The pharmacist's technician registrations are automatically revoked

Explanation

A Board disciplinary order defines the scope of permitted practice, and the licensee must comply with those terms while the order is in effect. Probation does not automatically suspend all practice rights beyond what the order states. Consequences for other credentials require their own action and are not automatic.

Question 47Licensure and registration of pharmacies, pharmacists, pharmacy technicians, and nonresident pharmacies

Which statement correctly describes the relationship between pharmacist licensure and technician registration in Maryland?

  1. Technicians practice under the supervision of a licensed pharmacist, and both hold credentials issued by the Board Correct answer.
  2. Technicians may practice independently once registered
  3. Pharmacists are registered while technicians are licensed
  4. Technicians are licensed by the same statute that licenses pharmacists, with identical scope

Explanation

Maryland distinguishes the pharmacist license from the technician registration, and technicians perform their duties under pharmacist supervision. The credentials are not interchangeable and do not carry identical scope. Neither credential authorizes independent practice by a technician.

Question 48Licensure and registration of pharmacies, pharmacists, pharmacy technicians, and nonresident pharmacies

An applicant for Maryland pharmacist licensure has passed the NAPLEX and the MPJE. What additional step is typically required before the license is issued?

  1. Obtaining a separate federal pharmacy license
  2. Completing a second internship after passing both examinations
  3. Passing a Maryland-specific oral examination
  4. Submitting the Board's licensure application with required fees and documentation Correct answer.

Explanation

Examination passage is only one component of licensure; the candidate must also file the Board's application, pay fees, and provide required documentation such as internship verification. Maryland does not impose a second internship after examinations or a separate oral examination. There is no federal pharmacy license.

Question 49Licensure and registration of pharmacies, pharmacists, pharmacy technicians, and nonresident pharmacies

A Maryland pharmacy changes its physical address within the state. What is the pharmacy's obligation regarding its Board license?

  1. Continue operating under the old license indefinitely because the license follows the owner
  2. Notify the Board and obtain approval or an amended license reflecting the new location before operating there Correct answer.
  3. Surrender the license and have all pharmacists reapply individually
  4. Take no action, because address changes are reported only at renewal

Explanation

A pharmacy license is tied to a specific location, so relocating requires Board notification and an amended or new license before dispensing at the new site. A license does not float with the owner to any address. Individual pharmacist licenses are unaffected by the pharmacy's move.

Question 50Licensure and registration of pharmacies, pharmacists, pharmacy technicians, and nonresident pharmacies

Which situation most clearly requires the pharmacy to notify the Maryland Board of Pharmacy?

  1. The pharmacy's pharmacist-in-charge resigns and a replacement must be designated Correct answer.
  2. A patient transfers a prescription to another pharmacy
  3. A wholesaler raises the price of a generic drug
  4. The pharmacy changes its usual hours for a single holiday

Explanation

Maryland requires a pharmacy to have a designated pharmacist-in-charge, and a change in that role must be reported to the Board. Routine prescription transfers, temporary holiday hours, and drug pricing are ordinary business events that do not trigger Board notification.