Year 1 Pharmacy Practice Past Questions and Specific Answers

Under UK law, only "appropriate practitioners" can prescribe medicine in the UK. A prescriber is a healthcare professional who can write a prescription. This applies to both NHS prescriptions and private prescriptions. Sometimes a prescriber may write a prescription for themselves.

Which statements about this practice is TRUE?

The pharmacist should consider the abuse potential of the drug before making a supply

Match the substance to if it is an enzyme inhibitor or inducer?

Cimetidine

Carbamazepine

Alcohol

Smoking

Sodium valproate

Amiodarone

Cimetidine → Inhibitor,

Carbamazepine → Inducer,

Alcohol → Inducer,

Smoking → Inducer,

Sodium valproate → Inhibitor,

Amiodarone → Inhibitor

What CANNOT be considered as a Changing Behaviour with regards to patients health beliefs?

Use of malaria prophylaxis

It is the month of May and a 16 year old male patient, who is in the middle of his GCSEs, presents in your pharmacy with the following symptoms:

Itchy, sore eyes, runny nose and bouts of sneezing which are as a result of the seasonal change in the weather.

Which drug is the most appropriate treatment for his condition?

Loratadine

Concerning pharmacokinetic drug interactions, which statements DO NOT apply to the content?

Affects all patients that take that medication

Podiatry or podiatric medicine is a branch of medicine devoted to the study, diagnosis, and medical and surgical treatment of disorders of the foot, ankle and lower extremity.

What statement about the supply and administration of medicines by this profession in the course of their professional practice is TRUE?

They must hold a certificate of competence in the use of analgesics in order to administer certain parenteral Prescription Only Medicines

To be legally valid, NHS prescriptions for POMs (for humans) must in all cases:

Be dated not more than 6 months before the date of presentation for dispensing.

The dispensing label is the label that the pharmacist attaches to a prescribed medicine to provide administration instructions and important warnings. These remain with the consumer after the initial consultation when some of the confusion and worry frequently associated with illness has started to recede. Incorrect information on a label can have disastrous consequences.

Which statement is correct?

The date of dispensing should appear on every dispensed label

Which statements about the legal requirements for a prescription for a POM is TRUE?

The prescriber's signature must be present

Patients will respond to healthcare threats in a variety of ways. The two extremes of this, can be those that delay seeking help and those that seek a larger proportion of help in relation to their condition.

Patients will often delay seeking healthcare help when they are not feeling well. The three distinct stages of delaying seeking help include:

1. Appraisal Delay.

2. Illness Delay.

3. Utilisation Delay.

Chelation is an example of which form of pharmacokinetic drug interaction?

Absorption

If a medicinal product is repackaged into a small container to be stored within the pharmacy and cannot show all the normally required packaging information.

Which information MUST appear?

The batch number

Which ONE of the following is NOT liver enzyme inhibitors?

Tobacco.

Liver enzyme inhibitors are; Allopurinol, Amiodarone, Sodium valproate, Cimetidine.

You are an off duty Pharmacist, socialising with friends one evening. As the evening progresses one of your oldest and dearest friends offers you some "pills". He doesn't know what they contain but they will give you a "real buzz". You firmly refuse to take and explain to your friend that they should not be taking any either.

Which Standards for pharmacy professional best describes this?

Professional behaviour

A young woman on holiday from Greece enters your pharmacy and looks unwell. You soon discover that the woman does not speak English and she has no one with her to translate. You decide to use a reliable translating app on your smartphone to consult the woman and you find out after careful and direct questioning she has nausea from something she ate yesterday evening. You recommend a suitable product and the woman appears thankful for your help.

Which Standards for pharmacy professional best describes this?

Person-centred care

Effective communication

You are a newly qualified pharmacist working in a busy community pharmacy one morning. The senior pharmacist who you work alongside has called in sick today and a replacement relief pharmacist will be coming in, in several hours. As the morning progresses a counter assistant comes rushing towards you shouting "someone is having an anaphylaxis outside - do something, help them!" You know what to do in this situation but you have never had to deal with it on your own before.

Which Standards for pharmacy professional best describes this?

Person-centred care

Professional knowledge & skills

Leadership

Which statements about General Sales List (GSL) and Pharmacy (P) medicines is TRUE?

There are some types of products that are never to be classified as GSL.

The dispensing label is the label that the pharmacist attaches to a prescribed medicine to provide administration instructions and important warnings.

These remain with the consumer after the initial consultation when some of the confusion and worry frequently associated with illness has started to recede. Incorrect information on a label can have disastrous consequences

What is NOT a legal requirement to appear on this type of label?

Quantity of the medication

HOSPITAL PHARMACY QUIZ

Treatment in a hospital is known as

Secondary care

Treatment in a GP practice is known as

Primary care

Treatment in a National specialist tropical medicine centre is known as

Tertiary care

Preventative care and advice to patients is normally delivered in

Primary care

A patient is admitted to a hospital to undergo a planned operation to remove a cancerous section of their bowel.

Elective Admission

A patient is admitted to a hospital following being involved in a car accident.

Emergency Admission

A patient that is treated in hospital but does not stay the night is known as an

Outpatient

The minimal level of a qualified pharmacist in hospital is ?

Band 6

The process of creating a patients medication history through talking to the patient and looking at medication they brought into hospital and any documentation they may have to create a drug chart is known as?

Medicines reconciliation

Is conducted by the Local NHS Authority to ensure that Community Pharmacies are delivering high standards of service as set out by the Community Pharmacy Contractual Framework (CPCF)?

Community Pharmacy Quality Assurance Framework

Governs the standards for the consultation room?

GPhC Standards for Registered Pharmacies

Is part of the Community Pharmacy Contractual Framework (CPCF) that is compulsory and must be provided by all Community Pharmacies?

Essential Services

Is applicable to both registered Pharmacists and Pharmacist Technicians?

GPhC Standards for Registered Pharmacy Professionals

One of the examples of this service is the National Flu Vaccination Service?

Advanced Services

One of the examples of this service is the provision of self care advice?

Essential Services

Commissioning of this service takes into account the local population needs?

Locally Commissioned Services

One of the examples of this service is the disposal of unwanted medication?

Essential Services

Is a voluntary scheme to recognise and reward quality within the Community Pharmacy Contractual Framework (CPCF)?

Quality Payment

A framework is aimed at achieving the consistent provision of a broad range of health promotion interventions through community pharmacies to meet local need, improving the health and wellbeing of the local population and helping to reduce health inequalities?

Healthy Living Pharmacy

Is part of the Community Pharmacy Contractual Framework (CPCF) that is optional and pharmacist usually have to complete additional training to provide the service?

Advanced Services

One of the examples of this service is the New Medicine Service (NMS)?

Advanced Services

Which of the following areas do infection control policies and procedures refer to?

1) Hospitals

2) Pharmacy departments.

3) Nursing/residential homes.

4) GP surgeries

5) Healthcare facilities

Healthcare Associated Infections are estimated to cost the NHS how much money each year?

1 Billion pounds each year.

The most common type of healthcare associated infection occurs in which body system?

Gastrointestinal system

How many stages are there to the hand washing technique?

7 stages

Which of the follows areas are frequently missed during hand washing?

Thumbs & Between the fingers

The pharmacist has taken over the role of Responsible pharmacist but has gone to the coffee shop next door to pick up some lunch.

What tasks will occur during this period at the pharmacy?

1) Sale of 16 paracetamol 500mg tablets (GSL medicine)

2) Date checking of the medical stock fridge.

3) Answers a telephone query about treatment of a headache

4) Accepting a delivery from the wholesaler of medicines.

5) Disposing of a patient returned packet of metformin 500mg tablets.

6) Accuracy checking a prescription that has been previously clinically checked

7) Receiving a patient returned packet of metformin 500mg tablets.

8) Checking if a prescription has been received into the pharmacy by access of computer.

9) Applying labels to packets of medicines

10) Creating a dispensary label

11) Phoning the wholesaler to place an order.

12) Delivery driver handling prescription to patient at their home.

13) Filling the shelves with stock received the previous day.

The pharmacist has taken over the role of Responsible pharmacist but is working out the back of the dispensary performing the clinical check on a pile of prescription.

What tasks will occur during this period at the pharmacy?

1) Delivery driver handling prescription to patient at their home.

2) Filling the shelves with stock received the previous day.

3) Receiving a patient returned packet of metformin 500mg tablets.

4) Sale of 16 paracetamol 500mg tablets (GSL medicine)

5) Filling prescription awaiting collection

6) Phoning the wholesaler to place an order.

7) Date checking of the medical stock fridge.

8) Answers a telephone query about treatment of a headache.

9) Disposing of a patient returned packet of metformin 500mg tablets.

10) Checking if a prescription has been received into the pharmacy by access of computer.

11) Accepting a delivery from the wholesaler of medicines.

The pharmacist is stuck in a traffic and not arrived at work, thus responsible pharmacist is not yet enforced. The staff are suitably trained and open the pharmacy

What tasks will occur during this period at the pharmacy?

1) Accepting a delivery from the wholesaler of medicines.

2) Answers a telephone query about treatment of a headache.

3) Filling the shelves with stock received the previous day.

4) Receiving a patient returned packet of metformin 500mg tablets.

5) Filling prescription awaiting collection.

6) Phoning the wholesaler to place an order.

7) Date checking of the medical stock fridge.

8) Delivery driver handling prescription to patient at their home.

9) Checking if a prescription has been received into the pharmacy by access of computer.

Which pieces of information is NOT required on the Responsible Pharmacist notice?

RPSGB registration number.

*Required information

1) Name of pharmacist

2) GPhC registration number

3) That they are in charge of the pharmacy at that time

How many responsible pharmacists can a pharmacy have at one time?

One ( 1 ) pharmacist

The responsible pharmacist log can be.....?

Electronic or Paper based

Details that MUST be recorded in the Pharmacy record?

1) The date and time at which the pharmacist became the responsible pharmacist.

2) The responsible pharmacist's name.

3) The time which the responsible pharmacist left the pharmacy premises for an absence

Concerning the responsible pharmacist record the following are TRUE?

1) Should be made contemporaneously personally by the responsible pharmacist. An entry may be made remotely as long as the record complies with all the relevant and professional requirements.

2) Any alterations or amendments made for both paper-based and electronic pharmacy records need to identify when and by whom the alteration/amendment was made.

3) For electronic records appropriate measures should be made to back up the record and be kept on the pharmacy premises, available for GPhC inspection if required.

A hospital pharmacy that does NOT dispense FP10 prescriptions but DOES sell a small selection of P medicines requires a Responsible Pharmacist to be logged in?

True

LATIN

Write the meaning of the Latin abbreviation "p.r.n."

when required

Write the Latin abbreviation for "when required"

p.r.n.

Write the Latin abbreviation for "under the tongue"

s/l

Write the meaning of the Latin abbreviation "b.d"

twice daily

Write the meaning of the Latin abbreviation "q.q.h"

every four hours

Write the meaning of the Latin abbreviation "stat"

Immediately

Write the meaning of the Latin abbreviation "p.o."

by mouth

Write the Latin abbreviation for "to be taken four times daily"

q.d.s.

Write the meaning for the Latin abbreviation "aq"

water

Write the Latin abbreviation for "after food"

p.c

Which medicinal products cannot be classified as GSL?

1) Anthelmintic

2) Eye drops

3) Enemas

Which statements about prescribers writing prescriptions naming them as a patient is/are TRUE?

1) Self prescribing is technically legal.

2) The pharmacist should consider the abuse potential of the drug before making a supply.

3) Self prescribing is generally considered poor practice.

Which statements about Independent Physiotherapist prescribers is/are TRUE ?

1) They can prescribe all POMs.

2) They can only prescribe a limited range of controlled drugs.

* DO NOT

1) Prescribe a limited range of POMs.

Which statement about Independent Podiatrist prescribers is TRUE?

They can prescribe all POMs.

* DO NOT

1) Prescribe all controlled drugs.

2) Prescribe a limited range of POMs.

Which statement about GSL/P medicines are TRUE ?

There are some types of products that are never to be classified as GSL

*NOT TRUE

1) GSL medicines can be sold from a community pharmacy when there is no pharmacist in personal control.

2) There is a definitive list of P medicines.

Which Aspirin products would be GSL ?

1) A packet of 28 aspirin 75mg enteric coated tablets.

2) A packet of 25 aspirin 300mg effervescent tablets.

* Would NOT be:

1) A packet of 36 aspirin non-effervescent tablets 300mg

Which Aspirin products would be POM ?

1) A packet of 50 aspirin 500mg capsules

* Would NOT be;

1) A packet of 5 aspirin 650mg powders.

2) A packet of 25 aspirin 300mg effervescent tablets.

Which Paracetamol products would be POM ?

1) A packet of 50 paracetamol 500mg non-effervescent tablets.

* Would NOT be:

1) A packet of 5 paracetamol 200mg powders.

2) A packet of 25 paracetamol 500mg effervescent tablets.

Which Paracetamol products for adult use would be GSL ?

1) A packet of 8 paracetamol 750mg powders.

2) A packet of 30 paracetamol 500mg effervescent tablets.

3) A packet of 15 paracetamol 120mg capsules.

Which statements about the sales of pharmacy medicines within a Community pharmacy are TRUE?

1) The Human Medicines Regulations require the sale to be supervised by a pharmacist.

2) Pharmacy assistants must have undertaken (or be undertaking) an accredited qualification.

3) All pharmacies should have a written protocol for such sales.

To be legally valid, prescriptions for POMs (for humans) must in all cases:

1) Be dated not more than 6 months before the date of presentation for dispensing.

* Must NOT :

1) State the age or date of birth of the patient.

2) State the dosage instructions for the use of the medicine.

General Sales List (GSL) medicines for human use may NOT be sold from:

A market stall.

* Can be sold from;

1) A pharmacy if the pharmacist has gone out for half-an-hours lunch.

2) A convenience grocery store.

Which statements about a prescription for a POM are TRUE?

It is necessary to check that the doctor's signature is genuine and that they are registered as a general medical practitioner in UK, EEA or Switzerland..

*NOT true

1) Prescriptions for POMs cannot, under any circumstance, be repeated at a later date.

2) Dosage instructions must appear on the prescription.

Which of the following statements about the legal requirements for a prescription for a POM are TRUE ?

1) The prescription does not have to be totally handwritten by the prescriber.

NOT true:

1) The number of dosage units (e.g. tablets) to be supplied must be stated on the prescription.

2) Dosage instructions must be included on the prescription form

Which statements about Faxed prescriptions for POMs are TRUE?

1) The pharmacist must be sure that the system used for sending and receiving faxed prescriptions is secure.

2) Controlled drugs CANNOT be dispensed against a fax.

3) A fax is NOT a legally valid prescription.

Which statements about records in the POM Register are TRUE?

1) Records of supplies made by way of wholesale dealing do not need to be made if the invoice is retained for two years.

2) Records do NOT legally have to be made in the POM register if an entry is made in the CD Register.

3) Entries must be made within 24 hours.

4) Records must be retained for 2 years.

* NOT true;

1) All supplies of POMs against prescriptions must be entered in the register.

2) Electronic records are not allowed.

Which statements about Clinical Management Plans are TRUE ?

1) They must include warnings about any products which may be prescribed or administered under the plan.

2) They must include the name of the patient.

3) They must state the condition(s) which may be treated by the supplementary prescriber.

Which statements about private prescriptions are TRUE?

1) Normally entries must be made in the POM register for supplies of POMs in response to a private prescription.

2) Patients pay the full cost of medicines prescribed on private prescriptions.

NOT true:

1) There is a standard form for writing private prescriptions.

Which statements about Independent Prescribers is/are TRUE ?

1) Independent prescribers can prescribe Schedule 2,3,4 and 5 CDs.

2) Independent prescribers can prescribe unlicensed medicines.

*NOT true:

1) Independent prescribing requires the development of a clinical management plan.

It has been proposed that P medicines may be available for self-selection in pharmacies.

Which statements about this potential change in legislation is/are TRUE ?

1) Regulatory Rules must be put in place before the self-selection of P medicines will be allowed.

2) There will be a requirement for pharmacies to inform the GPhC if they will be allowing self-selection of P medicines.

*NOT true:

There will be no requirement for pharmacies inform the GPhC if they will be allowing self-selection of P medicines.

A patient comes into your pharmacy and says she cannot sleep because her mother has just died. She asks if you could give her an emergency supply of sleeping tablets.

Can you give such a supply?

This [cannot] be considered an emergency and [so the patient should be referred to the doctor].

Mrs Corbett, a lady in her late 50's is on holiday in Portsmouth. She comes into your pharmacy late on a Saturday afternoon of a bank holiday weekend and requests to see the pharmacist. She has forgotten her Adalat Retard 10mg tablets and would like an emergency supply. She has a treatment card which shows that she takes 10mg twice daily. All the surgeries close at lunchtime on Saturdays.

Should you supply her with Adalat Retard or not?

[Yes]– there [is] an immediate need as the medication must be taken continuously (could be hypertension or angina prophylaxis). She [cannot] see her own doctor as she is on holiday there [isn't] a doctor’s surgery available for her to register as a temporary patient at this time

She [has] clearly been prescribed this medication before and has a treatment card to show this. The dosage [is] an appropriate one.

The maximum permitted supply is [30] days but she will only really need sufficient to the end of her holiday.

A regular customer comes into your pharmacy late on a Saturday night and asks to speak to the pharmacist. He asks to 'borrow' some of his tablets as he has run out.

Your Patient Medication Record confirms that he takes Atenolol 50mg tablets, one each morning.

Are you able to give an emergency supply in this situation?

[Yes- there is an immediate need, supply him with five tablets.].

A doctor's receptionist phones you up to ask you to make an emergency supply of an antibiotic to a patient.

Can you make this emergency supply?

[No ‑ the pharmacist must be satisfied that the sale or supply has been requested by the doctor. Therefore, you need to speak to the doctor.]

A local doctor contacts you and asks if you be prepared to accept all his prescriptions over the telephone.

Would such a procedure be acceptable?

[No ‑ the facility is for use 'by reason of an emergency.]

Types of Law

Civil law: A judge demands that payment is made from a member of the public that refuses to pay for building work due to a dispute.

Criminal Law: A police officer

Administrative law: A contract inspector for NHS England

Professional law: A board of GPhC officials performing a fitness to practice review

Criminal Law: GPhC inspector

What are purposes of criminal law?

1) Punish individuals for carrying out criminal activity.

2) Deter others from carrying out criminal activity.

*NOT a purpose:

Provide compensation to an individual whose rights have been infringed.

What are purposes of civil law?

1) To protect individual rights.

2) Provide compensation to an individual whose rights have been infringed.

3) To regulate human relationships.

4) The state provides judges and courts for civil action.

*NOT a purpose:

1) To decide if a business has breached GDPR.

2) To decide if a professional has broken the law.

3) A claimant must prove their case 'beyond reasonable doubt.

Which statements about the states involvement in criminal law are TRUE?

1) It provides the methods by which convicted individuals are punished.

2) It prosecutes offenders.

NOT true:

It requires that a court must be convinced that on the balance of probabilities the defendant is guilty.

An example of primary legislation?

The Medicines Act 1968.

NOT an example;

1) The Medicines for Human Use (Marketing Authorisations) Regulations 1994.

2) Misuse of Drugs Regulations 1990.

Which are classed as the 'higher' courts?

1) The Court of Appeal

2) The Supreme Court

3) The High Courts of Justice

Which institutions are involved in the Production of European Union (EU) legislation?

1) The Council of Ministers.

2) The European Parliament.

3) The European Commission.

The types of secondary EU legislation:

Directives: They require member states to enact legislation to meet their requirements.

Regulation: These are laws issued by the EU which have effect throughout the EU.

Decisions: They may be addressed to states, individuals or companies

Primary legislation is also known as?

Acts of Parliament

Which paper comes first?

Green paper

* Which paper comes second?

White paper

A 24 year old male patient presents in your pharmacy with the following symptoms:

Sticky, gritty and sore eyes which are stuck together each morning on waking. The condition started in his right eye and has now spread to his left eye.

What is the most appropriate treatment for his condition?

Chloramphenicol 1% eye drops

Pharmacists are legally required to complete a record of when they are acting as the Responsible Pharmacist (RP) within a pharmacy.

What is NOT legally required to be included in the record?

Reason for their absence as RP

* MUST be legally included;

1) Date on which the pharmacist was the RP

2) Name of the pharmacist acting as the RP

3) Time the RP leaves and returns to the pharmacy

4) Time the RP responsibility commenced