I finally passed the Nevada MPJE. I'm sharing my experience to help future RPh out.

My background: I'm a foreign grad. Most of the clinical material is fresh in my mind since I graduated a few years ago. I passed the NAPLEX on one try. This set me up to think that MPJE was a straight forward exam and that I could pass it easily. Boy, I was wrong.

I studied all the laws provided by the BOP website. I also bought the RxPrep videos and book for the Federal Law. I studied casually for a month and took the exam and I was overwhelmed. The exam questions had tricky wording. I felt like many questions were "easy" if you study how to dispense controls, and pay attention to how long to keep documents, etc, but other questions were super left field.

I got a 73 and was devastated.

This time I was determined to pass. Here was how I did it.

• Read all the NV Statues & Regulations (http://bop.nv.gov/board/ALL/Regulations/). If you have notes from school, it helps (someone from Roseman provided me notes) but it's better if you make your own notes.
  
  • Pay attention to numbers, like when to renew licenses, etc.
    
  • Also pay attention to who can prescribe, who can get medications from the pharmacy
    
  • Responsibilities of a tech vs. clerk vs. intern vs. pharmacist.
    
  • Know all the different parts of prescriptions, labels, etc
    
  • Know everything there is to know about Controlled substances, procedures for hospices and LTC facilities
    
  • adulterated vs. misbranded
    
  • CEs
    
  • Procedures for Remote Sites
    
• Read the DEA Manual and understand how the Nevada PMP works. There were several questions on this! I was so surprised.
  
• Read through the Sterile Compounding References (http://bop.nv.gov/resources/ALL/Sterile_Compounding_Reference_Guide/) Some people suggest to read through the RxPrep Course book chapter on Sterile Compounding, I think that could be helpful but you're in a pinch the resources on the NV BOP website are enough.
  
• Take some time to click through the NV BOP website and read about canadian pharmacies, all of the FAQ and resources. I can't remember exactly what came out from the exam but I know that reading through the website helps.
  
• Federal law (ie. RxPrep MPJE Reviewer & Reiss & Hall's Guide to Federal Law) is a helpful starting point but ultimately, the NV laws were the majority of the exam.
  
• Take the Pre-MPJE!!! It's a great practice test. You didn't hear it from me but I heard you could screenshot questions and study/analyze them on your own.
  
• Memorizing is not enough. If you understand the laws as they are, no matter what situation the board gives you, you can find the right answer.
  
• Making your own study guides is what helped me pass IMO. Esp when it came to studying the NV Laws.
  
  Timeframe: Realistically, you can study through all of this material within a month. You could cram all of this material with even less time. This all depends on your study habits. If you spend 2 hours+ on this every day, you can pass.
  
  ​
  
  My Resources
  
  
• Rx Prep Testbank, Videos & Book
  
  • https://www.rxprep.com/
    
• Reiss & Hall's Guide to Federal Law
  
  • https://www.amazon.com/Guide-Federal-Pharmacy-Law-9th/dp/0967633281/ref=sr_1_8?keywords=mpje&qid=1573161337&sr=8-8
    
• Rx Exam NV MPJE Questions
  
  • https://www.pharmacyexam.com/index.cfm/product/72/nevada-pharmacy-law-test-downloadable.cfm
    
• NV BOP
  
  • http://bop.nv.gov/board/ALL/Regulations/
    
  • http://bop.nv.gov/resources/ALL/Sterile_Compounding_Reference_Guide/
    
  • http://bop.nv.gov/links/PMP/
    
  • http://bop.nv.gov/resources/Resources/
    
  • http://bop.nv.gov/resources/ALL/FAQ/
    
• Other Links
  
  • https://www.deadiversion.usdoj.gov/drugreg/practioners/mlp_by_state.pdf
    
  • https://www.deadiversion.usdoj.gov/pubs/manuals/pharm2/pharm_manual.pdf
    
    ​
    
    I got an 82!
    
    You guys got this!!! Good luck!

If I am you, I honestly would seriously consider surgery option given that it has been a while & the leg showing some neural deficit.

Though I think the important step is to find a competent & responsible surgeon. A disc surgery make a huge profit, and not many will treat patient with care instead of just an income source.

There is the handy list of about surgery & questions to ask spinal surgeon:
http://safespinesurgery.com/5thingsbeforesurgery/

http://safespinesurgery.com/questions/

If you can afford it, I would also recommend checking out Dr Nathaniel L. Tindel, MD. He authored this book about surgery and seems to be an honest & competent doc: https://www.amazon.com/Ive-Got-Your-Back-Straight-ebook/dp/B007BKQQD2/



*Whether or not you decide to go ahead with surgery, I would still suggest you have a 2-4 hours movement assessment section with a McGill method provider. They can assess your movement pattern & give you advices about the mechanical flaw that either stop your disc from healing, or may cause you future trouble.


The list is in www.backfitpro.com/backpain/provider/. If you can go to Canada, I think Edward Cambridge is the best option. He was McGill's graduate student & has won some award in spine research. Just to be warn that he has a long list of patients & appointment with him can take as long as 3 months.

Part 2:

Anatomy and Physiology

• Gray's Anatomy. My friend suggests getting both a modern version and if you can, one of the classical editions. She does not like the Barnes and Noble or some of the other "collector editions" because she thinks the illustrations are too small to read, despite the elegant binding they come in.
  
  
• The Anatomy Coloring Book My friend greatly recommends the entirety of this series of books.
  
  
• Human Anatomy and Physiology by John W. Hole. My friend owns the 2nd edition (1981) version of this book. She can't speak for the newer, modern version but she says this is an excellent college-level text on human anatomy and physiology.
  
  
• Human Anatomy & Physiology (Marieb, Human Anatomy & Physiology). This is a more modern text that my friend has and suggests.
  
  

  Other Medical Texts (Pathology, organic chemistry, biology, nutritional science, etc)
  

  
  

• Clinical Pathophysiology Made Ridiculously Simple by Aaron Berkowitz
  
  
• Robbin's Basic Pathology
  
  
• Food and Western Disease: Health and Nutrition From An Evolutionary Perspective
  
  
• Advanced Nutrition and Human Metabolism
  
  
• Whole: Rethinking the Science of Nutrition
  
  
• Real Food For Pregnancy by Lily Nichols
  
  
• Nutritional Grail: Ancestral Wisdom, Breakthrough Science, and the Dawning Nutritional Renaissance
  
  
  
• Dr. Klein's Organic Chemistry (textbook)
  
  
• Campbell's Biology (textbook) - Any newer edition will do. She also suggests the biology coloring book as an additional exercise book.
  
  

  Formularies, Pharmacy
  

  
  

• Herbal Formularies for Health Professionals, Volume I, Volume II, and Volume III by Dr. Jill Stansbury
  
  
• Fenner's Formulary: Containing Formulae for the Preparation of All the Elixirs, Emulsions, Essences, Flavoring Extracts, Glycerites, Solutions, ... Preparations, Now in Use by Byron Fenner. A classical formulary, it is also available in PDF form from forgottenbooks and the SWSBM.
  
  
• Remington: The Practice and Science of Pharmacy
  
  
  

  Classical Herbals
  

  
  
  

• Culpeper's Herbal
  
  
• King's American Dispensatory
  
  
• The classical herbals listed on Henriette's Herbal Page
  
  

For a super concentrated review of code situations I'd suggest Pharmacy Joe's book
It is a real 101 for emergencies. The other thing I'd suggest is getting the AHA CPR app and practice with it a bit. It makes keeping track of codes SO much easier if you end up recording.

Otherwise just try to free up nurse hands. Mix drips, grab meds, hand syringes/flushes. Whatever you do speak it when you do it. If doc says I need X if no one speaks up say "I'm grabbing X!" If you prepare an epi syringe hand it to the nurse and say "epinephrine ready" It makes recorder's job much easier and identifies who is doing what rather than a doc having to watch what every person in the room is doing.

I graduated in May 2015, so also fairly recently. Lexicomp and Uptodate are definitely my most used resources; you can find almost everything you need in those two places, and I open them immediately every night when I'm preparing for my shift.

I also LOVE the Sanford Guide to Antimicrobial Therapy; its pretty cheap, easy to use, and super handy as a quick resource. You can get a copy on Amazon here: https://www.amazon.com/Sanford-Guide-Antimicrobial-Therapy/dp/1930808917/ref=sr_1_1?ie=UTF8&qid=1473957928&sr=8-1&keywords=antimicrobial+therapy

There will be questions about drug classifications, but there probably won't be any questions asking you for disease symptoms. O.K., to help you out, here is a flash card app you can use to learn drug classifications, brand names, and generic names:
https://www.amazon.com/Top-200-Drugs-Flash-Cards-ebook/dp/B01LZ6TEND/ref=sr_1_2?s=digital-text&ie=UTF8&sr=1-2&keywords=top+200+drugs+flash+cards

This drug name flash card app is normally $3 but I've made it free for you for 2 days (9/7/17 to 9/8/17).

Also, here is another app that will help you memorize the metric system, english system, and roman numerals:
https://www.amazon.com/Pharmaceutical-Calculations-Pharmacy-Technician-Dosage-ebook/dp/B01LXW33XO/ref=sr_1_1?s=digital-text&ie=UTF8&sr=1-1&keywords=pharmacy+technician+math+flash+cards

This app also costs $3, but I've made it a free download for the next 2 days (9/5/17 to 9/6/17).

It is pretty normal. Your serotonin levels and uptakes will be all out of whack for a few days. Some people take melanin to balance it out, but i would not. This is a very good book about ecstasy and it's role in society. Nicholas Saunders is a protege of Shulgin the modern father of MDMA. Check it out if you want to learn about what you are doing to your brain.

By far the best resource you can have. Never a time when PANCE Prep Pearls isn't relevant. All of my classmates have it too as a supplement, and my professor just said it is "worth its weight in gold" at the end of lecture today. I also will second UpToDate as a great online and app resource.

I also have Sanford's Guide to Antimicrobial Therapy and [Tarascon Pocket Pharmacopoeia 2017 Classic Shirt-Pocket Edition] (https://www.amazon.com/Tarascon-Pocket-Pharmacopoeia-Classic-Shirt-Pocket/dp/1284118991/ref=sr_1_1?ie=UTF8&qid=1510030082&sr=8-1&keywords=pharmacopeia+2017+pocket) as a prescription resource I can keep in my white coat.

Let's see:

For a wealth of data but a perspective of addiction which actually disagrees with what I say (though they are selective in their interpretation) there's this:

http://www.hup.harvard.edu/catalog.php?isbn=9780674057272

The standard primer on neurobiology of addiction is this:

https://www.amazon.com/Neurobiology-Addiction-George-F-Koob/dp/0124192394/ref=sr_1_2?ie=UTF8&qid=1498869508&sr=8-2&keywords=drugs+koob

For a biopsychosocial perspective, there's this:

https://www.amazon.com/Drugs-Society-Human-Behavior-Carl/dp/0073529745/ref=sr_1_4?ie=UTF8&qid=1498869548&sr=8-4&keywords=drugs+and+society

By the same author but for a popular audience is this:

https://www.amazon.com/High-Price-Neuroscientists-Self-Discovery-Challenges/dp/0062015893/ref=sr_1_1?ie=UTF8&qid=1498869576&sr=8-1&keywords=carl+hart

Another popular, critical book:

https://www.amazon.com/Realm-Hungry-Ghosts-Encounters-Addiction/dp/155643880X/ref=sr_1_1?ie=UTF8&qid=1498869570&sr=8-1&keywords=in+the+realm+of+hungry+ghosts

Another popular take:
https://www.amazon.com/Chasing-Scream-First-Last-Drugs/dp/1620408902


For the history of junkies in the us:

https://www.amazon.com/Creating-American-Junkie-Addiction-Research/dp/0801883830/ref=sr_1_1?ie=UTF8&qid=1498869591&sr=8-1&keywords=creating+the+american+junkie

A global one:

https://www.amazon.com/Pursuit-Oblivion-Global-History-Narcotics/dp/0393051897/ref=sr_1_1?ie=UTF8&qid=1498869828&sr=8-1&keywords=in+pursuit+of+oblivion

Primer on Harm Reduction:

https://www.amazon.com/Harm-Reduction-Second-Pragmatic-Strategies/dp/1462502563/ref=sr_1_2?ie=UTF8&qid=1498869612&sr=8-2&keywords=harm+reduction

Primer on drugs and drug policy, quite neutral:

https://www.amazon.com/Drugs-Drug-Policy-Everyone-Needs-ebook/dp/B0054ID9UG/ref=sr_1_1?ie=UTF8&qid=1498869623&sr=8-1&keywords=drugs+kleiman

A book on the legalization of drugs:

https://www.amazon.com/gp/product/0765701510/ref=oh_aui_search_detailpage?ie=UTF8&psc=1

Another, economic take, on legalization:

https://www.amazon.com/Drug-War-Crimes-Consequences-Prohibition/dp/0945999909

Sociology of drugs in the US:

https://www.amazon.com/gp/product/0199935904/ref=oh_aui_search_detailpage?ie=UTF8&psc=1

Psychopharmacology primer intro:

https://www.amazon.com/gp/product/0878935347/ref=oh_aui_search_detailpage?ie=UTF8&psc=1

A criticism of the concept of addiction:

https://www.amazon.com/gp/product/0814747647/ref=oh_aui_search_detailpage?ie=UTF8&psc=1

Some more esoteric but interesting stuff on epigenetics, neuroscience etc:

https://www.amazon.com/gp/product/0849373913/ref=oh_aui_search_detailpage?ie=UTF8&psc=1


A great book on the anthropology of drugs (this author also writes a lot of smaller papers too):

http://www.goodreads.com/book/show/6614135-righteous-dopefiend

If anyone needs a good NY MPJE study guide there’s a good one here NY MPJE STUDY GUIDE

It’s also available on amazon NY MPJE STUDY GUIDE but more expensive.

It has lots of practice questions with answers and it covered both federal and state laws. I heard this exam is pretty hard but this helped a lot.

The first website includes MPJE study guides for other states too with practice questions and answers. FYI

Yes I bought both they were pretty helpful to get an idea of the test.

And this is the [book] (https://www.amazon.com/dp/1635303796/ref=cm_sw_r_cp_apa_i_crH0CbD558D4D) but be careful cause that book is only 4 practice tests and answers I thought there was gonna be like reviews and whatnot.

You're way better off getting something like this:

https://www.amazon.co.uk/Jung-Key-Ideas-Teach-Yourself/dp/1444103296/ref=sr_1_1?ie=UTF8&qid=1527626108&sr=8-1&keywords=jung+the+key+ideas

And then a general overall pharmacological textbook, maybe something like this:

https://www.amazon.co.uk/Introduction-Pharmacology-Mary-Asperheim-Favaro/dp/1437717063

or

https://www.amazon.co.uk/Principles-Pharmacology-Pathophysiologic-Basis-Therapy/dp/1608312704

This was my lifesaver during rotations and it's easier to tote around vs. the actual Dipiro.

In addition to what others have mentioned, also look into diagnosis criteria for depression, bipolar, schizophrenia, anxiety.

On the safety side, since you'll be in the wards. Always be aware of your surrounding. Make sure no patient is behind you. And when you enter a room, make sure you're between the door and the patient. (i.e. patient is not blocking your exit).

Not sure how much you're looking to spend, but [here's an example](
http://www.amazon.com/Siglers-Prescription-Top-Drug-Cards/dp/188057974X/ref=sr_1_1?ie=UTF8&qid=1425188832&sr=8-1&keywords=sigler+drug+cards) of what our school recommended for us for studying Top 200/300. I'm sure there are cheaper alternatives around, but just to give you an idea of what we're talking about!

You guys all probably know this already but Sanford Guide is a lifesaver http://www.amazon.com/Sanford-Guide-Antimicrobial-Therapy-2013/dp/1930808747 It's what I (pharmacy student) use on my rotations.

I'm in pharmacy school right now and we're using Koda-Kimble and Young's Applied Therapeutics which seems pretty good. Couldn't tell you how it compares to DiPero though.

Hi there, I had struggles myself with pharmacology and my mindset held me back. I decided it was too difficult and then was on a road to failure. Have a positive attitude - you know more than you think you do! When I got overwhelmed with the different classes of drugs I found this book really helpful: https://www.amazon.co.uk/Medical-Pharmacology-Glance-Michael-Neal/dp/0470657898
Good luck, you can do it.

Pharmaceutical companies spend twice as much on R&D as the NIH but they do less basic research and more clinical studies (which are crazy expensive).

Pfizer spent $800 million on additional studies since the drug was released in 1997. This doesn't include the cost of R&D prior to approval which is probably in excess of $1 billion.

Source: Drug Truths: Dispelling the Myths about Pharma R&D

If your program doesn't require a pharm textbook, you could buy your own. It'll definitely help you learn mechanism of actions across drug classes and is good for other tidbits of info. I used this book in one of my grad school pharm classes: http://www.amazon.com/Basic-Clinical-Pharmacology-13-E/dp/0071825053/ref=sr_1_1?ie=UTF8&qid=1464611598&sr=8-1&keywords=basic+and+clinical+pharmacology


I had the 11th edition but I just referenced it and it had a whole table listing the suggested anti inflammatory doses for NSAIDs and actually said 600mg QID for ibuprofen, so either that doc was making stuff up, or was basing his info off of some newer journal articles.
Either way, a textbook is a good place to start

All of these are great. The last one is lacking but the most simple of the bunch.

https://www.amazon.com/Dales-Pharmacology-Ritter-FBPharmacolS-FMedSci/dp/0702053627

https://www.amazon.com/gp/product/0071825053/ref=s9_acsd_top_hd_bw_b16ROL_c_x_1_w?pf_rd_m=ATVPDKIKX0DER&pf_rd_s=merchandised-search-4&pf_rd_r=3KHXP2J42P9B4DBYAXTK&pf_rd_t=101&pf_rd_p=8ea58ca0-356f-5f0b-8649-07198ac2a0af&pf_rd_i=16311601

https://www.amazon.com/gp/product/1935660004/ref=s9_acsd_top_hd_bw_b16ROL_c_x_2_w?pf_rd_m=ATVPDKIKX0DER&pf_rd_s=merchandised-search-4&pf_rd_r=3KHXP2J42P9B4DBYAXTK&pf_rd_t=101&pf_rd_p=8ea58ca0-356f-5f0b-8649-07198ac2a0af&pf_rd_i=16311601

Depending on your rotations, preceptors let you use your smartphone.. I've used epocrates for awhile and its good enough for basic drug info. If anything i'd get THIS

Here is the mobile version of your link

Basic and Clinical Pharmacology 13edition by Bertram Katzung.
This book helped me pass my pharm class!

https://www.amazon.ca/Basic-Clinical-Pharmacology-Bertram-Katzung/dp/0071825053