4. Ordered-response question, where the choices are ranked by dragging an option to the appropriate rank position, for example:

        Rank the following β-blockers from shortest to longest half-life. (ALL options must be used.)

  5. Hot-spot question where the response is marked on a location of a diagram using the cursor to mark the spot following the directions for doing so, for example:

        Using the diagram below, identify the site of action of furosemide in the nephron.

  6. Scenario-based questions are typically associated with a patient profile or medical record. The scenario will be in a separate window on the same screen for one or more questions. The questions refer to the scenario or are stand-alone questions related to the scenario. Because the entire scenario may not be fully displayed in the window, the image can be moved within the window with the cursor to review the complete scenario. Use the scrap paper provided to write down significant points from the scenario, such as allergies, age, preexisting diseases, pregnancy, nursing, and age for the likelihood of pregnancy. Review the scenario first to also look for the potential of a drug allergy, duplicate therapy, contraindication, or adverse drug effect. Medications may appear with trade or generic names.

The MPJE is a 2-hour, computer-adaptive exam composed of 90 multiple-choice questions. Three exam formats are used in the MPJE, as follows.

  1. Multiple-choice question with a single answer typically out of 4 possible responses, for example:

        How many times may a Schedule III controlled substance be refilled if authorized?

          A. No refills allowed

          B. Five refills within six months from the date the prescription was issued

          C. Five refills within six months from the date the prescription was originally filled

          D. Five refills within one year from the date the prescription was issued

  2. Multiple-response question, which is followed by a phrase similar to “Select ALL that apply,” for example:

        Who must be notified if your pharmacy had a robbery of controlled substances? (Select ALL that apply.)

          A. State board of pharmacy

          B. Drug Enforcement Administration (DEA)

          C. County health department

          D. Local law enforcement

  3. Ordered-response question where the choices are ranked by dragging an option to the appropriate rank position, for example:

        Rank the penalties for unlawful sale of the following drugs from the most severe to the least severe as in length of jail time and amount of fine. (ALL options must be used. Left-click the mouse to highlight, drag, and order the answer options.)

The Play Book

The NAPLEX tests for three general domains of competency, referred to as The NAPLEX Blueprint, which is included in the NAPLEX/MPJE Candidate Registration Bulletin (www.nabp.net/programs/examination/naplex). The 2014 Candidate Registration Bulletin describes the competency domains as follows:

       ■ Area 1: Assess pharmacotherapy to assure safe and effective therapeutic outcomes (approximately 56% of test)

       ■ Area 2: Assess safe and accurate preparation and dispensing of medications (approximately 33% of test)

       ■ Area 3: Assess, recommend, and provide health care information that promotes public health (approximately 11% of test)

The MPJE is based on competencies related to the following domains as described in the 2014 NAPLEX/MPJE Candidate Registration Bulletin:

       ■ Legal aspects of pharmacy practice, including responsibilities with regard to the distribution and dispensing of pharmaceuticals and for the care of patients

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