Rhode Island Multistate Pharmacy Jurisprudence (MPJE) Practice Exam

In what situation must a doctor document rationale for prescribing high MMEs to a minor?

1. When prescribing more than 20 MME

2. When exceeding 30 MME per day

3. When prescribing any medication

4. Only for controlled substances

The correct answer is: When exceeding 30 MME per day

The requirement for a doctor to document the rationale for prescribing high morphine milligram equivalents (MMEs) to a minor is specifically tied to the threshold of exceeding 30 MME per day. This regulation is designed to promote careful consideration of opioid prescribing practices for vulnerable populations, particularly minors, who may be at a higher risk for adverse effects and addiction. Prescribing more than this established limit entails a significant need for justification, ensuring that the healthcare provider carefully evaluates the necessity and appropriateness of the treatment. This accountability aims to enhance patient safety and minimize the risks associated with opioid use. While other options may include scenarios related to prescribing or controlled substances, the requirement specifically emphasizes the need for documentation in cases where the opioid dosage crosses the 30 MME threshold, illuminating the importance of diligence in prescribing practices in a sensitive demographic, like children.