Rhode Island Multistate Pharmacy Jurisprudence (MPJE) Practice Exam

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When is an exact count required on controlled substances?

For all controlled substances
For CIIs and any bottles with 1,000 tablets or more
For CIII only
For CIII, CIV, and CV

The correct answer is: For CIIs and any bottles with 1,000 tablets or more

An exact count is required for controlled substances specifically for Schedule II drugs (CII) and for bottles containing 1,000 tablets or more of any controlled substance, which makes this choice the correct answer. The rationale behind this requirement is tied to the heightened risk of abuse and diversion associated with CIIs. These substances are strictly regulated, and maintaining accurate inventory records is critical to prevent misuse and ensure compliance with legal requirements. In addition to CIIs, the regulation on maintaining an exact count for bottles containing 1,000 tablets or more reflects the concern for larger quantities of any controlled substance, which could pose a significant risk if lost or misappropriated. This practice helps to establish accountability and traceability within pharmacies handling large amounts of controlled substances. The other choices narrow down the scope incorrectly. While it is important to carefully manage all controlled substances, only certain situations require an exact count, as indicated in this correct choice. Therefore, understanding the specific requirements regarding the inventory of CIIs and larger quantities is crucial for pharmacy operations and compliance with state and federal regulations.