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Real exam-style questions taken word for word from the Texas MPJE study guide. Three are below, with the full answer explanation. Enter your email and the full 12-question PDF is yours.

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Three questions to try right now

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Question 1. A facility does data entry, drug utilization review, and refill authorization for several retail pharmacies under a shared database, but never hands a drug to a patient. Which Texas license fits, and what is its defining limit?

  • A. Class A, and it may dispense to the public like any retail pharmacy.
  • B. Class G, and it performs central processing but does not dispense to the public.
  • C. Class E, because it serves out-of-state patients.
  • D. Class D, because it uses a limited drug list.
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Answer: B. A Class G pharmacy performs centralized prescription and medication-order processing on behalf of other pharmacies and does not dispense to the public. A is wrong because the facility described never dispenses, which is the opposite of a Class A retail operation. C misapplies Class E, which is about an out-of-state pharmacy shipping into Texas, a fact not present here. D invents a limited-drug-list clinic function that does not describe central processing.

Question 2. A sales rep from a licensed distributor offers to drop off a bottle of a Schedule II product at your pharmacy "as a favor," with no invoice and no order record, to tide you over a shortage. Under federal law, what is the problem?

  • A. Nothing; both parties are registered, so the transfer is lawful.
  • B. The transfer would occur outside the documented, closed system the CSA requires; every transfer must run through registered parties and be recorded.
  • C. It is lawful only if the quantity is under a 72-hour supply.
  • D. It is lawful only if you notify the state board within 7 days.
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Answer: B. The CSA builds a closed system in which every transfer of a controlled substance must move through registered parties and be documented. An undocumented handoff breaks that traceability even between two registrants. A is wrong because registration status alone does not authorize an off-the-books transfer; the documentation is the point. C invents a quantity threshold that does not exist for this rule. D invents a notification cure that does not make an undocumented transfer lawful.

Question 3. A hospital pharmacist finds that a lot of injectable drug was held in a warehouse with a leaking roof and may have been contaminated by standing water. The printed labeling on each vial is complete and accurate. Under the FDCA, this drug is best described as:

  • A. Misbranded, because holding conditions are a labeling matter.
  • B. Adulterated, because it was held under insanitary conditions where it may have been contaminated.
  • C. Both adulterated and misbranded, because any violation triggers both.
  • D. Neither, because the label is accurate and complete.
Show the answer

Answer: B. Adulteration goes to the physical condition of the product; a drug held under insanitary conditions whereby it may have been contaminated is adulterated [21 USC 351(a)–(c)]. A is wrong because holding conditions affect the product, not the labeling; that is adulteration, not misbranding. C is wrong because a defect does not automatically create both violations; the facts describe a product defect only, and the labeling is accurate. D is wrong because an accurate label does not cure a contaminated product; the drug is still adulterated.

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