MPJE: Multistate Pharmacy Jurisprudence Examination Quiz: Compounding Competency

What this quiz covers

This quiz focuses on Compounding Competency, giving you a quick way to practice the rules, question types, and explanations that matter most for MPJE: Multistate Pharmacy Jurisprudence Examination.

How to use this quiz

Try each quiz question before looking at the correct answer. Use the explanations to review missed ideas, then come back to similar questions until the pattern feels familiar.

Question 1

1. A résumé listing sterile compounding duties, kept on file without competency testing results
2. A log of controlled substance inventories signed monthly by a pharmacist
3. Completed media-fill and gloved fingertip sampling records linked to the individual and dates (correct answer)
4. A state license copy for the facility posted in the cleanroom anteroom

Question 2

1. General occupational safety training without cleanroom-specific procedures or observation
2. Telephone etiquette and de-escalation training for patient complaints at the pharmacy window
3. Inventory ordering and wholesaler account management training for procurement staff
4. Hand hygiene, garbing, disinfecting, and airflow awareness with documented practical evaluation (correct answer)

Question 3

1. Allow independent compounding after reading policies, with no direct observation of technique
2. Permit compounding if the technician completes HIPAA training and annual fire safety modules
3. Require simulated aseptic manipulations, followed by documented observation and testing before independent work (correct answer)
4. Delay all training until the technician has worked ninety days in the department

Question 4

1. A copy of the pharmacy's mission statement kept in the quality assurance binder
2. A single email stating the technician has prior compounding experience at another pharmacy
3. A verbal confirmation entered by the technician without supervisor review or dates
4. Signed training record showing instruction, observed technique, and assessment results for assigned tasks (correct answer)

Question 5

1. A written exam on aseptic technique and a media-fill test within the first 90 days of employment.
2. Three sets of gloved fingertip and thumb samples with zero colony-forming units (CFUs) following initial garbing competency evaluation. (correct answer)
3. One set of gloved fingertip and thumb samples with fewer than 3 CFUs and observation by the designated person for one week.
4. A didactic training program on sterile compounding and a certificate of completion from an accredited provider.

Question 6

1. Allow the technician to continue compounding but require them to wear double gloves for all future preparations.
2. Document the failure and have the technician perform three consecutive successful GFS tests at their next scheduled assessment.
3. Prohibit the technician from compounding sterile preparations and require retraining and reassessment of their garbing and aseptic technique. (correct answer)
4. Discard the result as a likely anomaly and have the technician perform another GFS test immediately without any additional training.

Question 7

1. Certification in oncology pharmacy practice from the Board of Pharmacy Specialties (BPS).
2. Completion of a media-fill test using a benign, colored solution to simulate an HD.
3. A review of the pharmacy's dispensing error rates for HDs over the past fiscal year.
4. Demonstrated competency in the use of personal protective equipment (PPE), containment systems, and spill management procedures. (correct answer)

Question 8

1. A single logbook signed annually by all employees, attesting that they have completed all required training modules online.
2. A personnel file for the employee containing the results of their didactic training, media-fill tests, and gloved fingertip sampling. (correct answer)
3. The Master Formulation Records for each compounded product, initialed by the employee to show they are familiar with the formulas.
4. A certificate of completion from a national compounding training seminar attended by the employee three years prior.

Question 9

1. The individual technician who made the compounding error.
2. The pharmacist who performed the final verification of the compounded batch.
3. The pharmacy's designated person(s). (correct answer)
4. The state board of pharmacy, through its inspection and oversight functions.

Question 10

1. A blood test to screen for any signs of hazardous drug exposure.
2. Demonstration of adherence to the proper handling procedures for hazardous drugs. (correct answer)
3. The ability to correctly identify at least 90% of the drugs on the current NIOSH list.
4. Successful completion of a written examination with a score of at least 95%.

Question 11

1. The manufacturer's training certificate for the equipment must be filed in the pharmacy's administrative records.
2. All compounding personnel must retake their initial comprehensive nonsterile compounding competency exam.
3. Personnel must be trained on the ointment mill's operation, cleaning, and maintenance, and their specific competency must be documented. (correct answer)
4. The pharmacist-in-charge must personally use the equipment to compound three test batches to validate its function.

Question 12

1. At least every twelve months, if no growth is detected.
2. At least every three months due to the higher risk of Category 2 preparations.
3. Only upon initial qualification and again if a media-fill test is failed.
4. At least every six months. (correct answer)

Question 13

1. verify the sterility of the growth medium provided by the manufacturer.
2. evaluate the technician's ability to aseptically perform steps that simulate the compounding process. (correct answer)
3. determine the correct incubation parameters required for the pharmacy's environmental monitoring program.
4. confirm that the technician is able to correctly label a compounded sterile preparation.

Question 14

1. Billing and reimbursement codes for common compounded sterile preparations.
2. Principles of aseptic technique and proper garbing procedures. (correct answer)
3. Advanced clinical pharmacokinetics for patient-specific dose adjustments.
4. State-specific regulations regarding the mail-order dispensing of compounded medications.

Question 15

1. No specific training is required as they are not involved in the compounding or administration of the HDs.
2. The technician must be trained on proper HD handling, use of PPE for unpacking, and spill response, with competency documented. (correct answer)
3. The technician must complete the same aseptic manipulation and media-fill testing as sterile compounding personnel.
4. The technician must sign a waiver acknowledging the risks of handling HDs, which fulfills the USP training requirement.

Question 16

1. Every 6 months.
2. Every 12 months. (correct answer)
3. Every 24 months.
4. Only when an error is identified or a new type of formulation is introduced.

Question 17

1. The records should be given to the departing pharmacist for their professional portfolio and removed from pharmacy files.
2. The records must be maintained by the pharmacy for a specified period (e.g., at least 2 years) after the person ceases compounding. (correct answer)
3. The records may be shredded immediately upon the employee's final day of work to protect their privacy.
4. The records must be sent to the state board of pharmacy to be archived with the pharmacist's license information.

Question 18

1. Reviewing the technician's employee attendance record for the past twelve months.
2. Having the technician verbally describe the process for compounding a complex suspension from memory.
3. Verifying that the technician has read and initialed all updated Standard Operating Procedures (SOPs).
4. Direct visual observation of the technician compounding at least one preparation from start to finish. (correct answer)

Question 19

1. A 40-hour shadowing period with an experienced technician, followed by a final exam.
2. Proof of passing the NAPLEX and MPJE licensure examinations within the past year.
3. Didactic instruction on compounding principles followed by hands-on skills demonstration and evaluation. (correct answer)
4. A review of the top 200 most commonly compounded preparations made by the pharmacy.

Question 20

1. Issue a formal written warning for the failure to follow SOPs but allow the technician to finish compounding.
2. Wait until the technician's next scheduled semi-annual competency assessment to address the issue comprehensively.
3. Intervene immediately, provide corrective retraining on the specific step, and document the event and retraining. (correct answer)
4. Discard the single preparation being made and have a different technician re-compound it from the beginning.