DISPENSING | PAST PAPERS | PHARMACY PST LEVEL 4

DISPENSING | PAST PAPERS | PHARMACY PST LEVEL 4

  1. Which of the following activities can be carried out in pharmacy?                                                                                  (1 )
  1. Injection of a patient
  2. Diagnosis
  3. Abortion
  4. Compounding
  5. Prescribing

 

  1. Which of the following instruction should be given to the patient when dispensing a prescription Erythromycin tabs 500mg qid 5/7               (1 )
  1.  Take 500mg tabs every 12 hours
  2.  Take 500mg tabs every 24 hours
  3. Take 500mg tabs every 6 hours
  4. Take 500mg tabs every 4 hours
  5. Take 500mg tabs every 8 hours  

 

  1. Dispensing practices resulted from errors occurring during the dispensing process in the pharmacy is called                                                            (1 )

A.    Irrational dispensing

  1. Irrational use of medicine
  2. Irrational prescribing
  3. Irrational use injections
  4. Irrational use of tablets

 

  1. When picking error does occur?                                                            (1 )

A.    When giving wrong information about medication

B.     Selecting the very best drug to use from those available

C.     Mistaken delivery of medicine

D.    Mistaken packing and labeling of medicine

E.     Picking wrong medicines

 

  1. The patient adherence may be due to:-                                                   (1 )
  1. Inadequate examination of patient
  2. Inadequate verbal instructions
  3. Lack of documented medical history
  4. Inadequate medical resources
  5. Incorrect interpretation of medical prescription

  

 

 

  1. The following is example of irrational prescription                               (1 )
  1. Use of Quinine injections for severe malaria
  2. Use of antibiotics for treating bacterial disease
  3. Antibiotic misuse for surgical prophylaxis
  4. The use of generic name drugs while prescribing
  5.   Prescription with appropriate dose and indication

 

  1. In respect to packaging, what factor contributes to irrational dispensing                                   (1 )
  1. Retrieval of wrong ingredient
  2. In adequate labeling
  3. Unsanitary procedures
  4. Inadequate verbal instruction
  5. Attributes of cleanness

 

  1. Which of the following is the example of OTC drug?                           (1 )
  1. Cough syrup
  2. Amoxicillin capsules
  3. Gentamycin injection  
  4. Acyclovir tablets
  5. Ampiclox capsules  

 

  1. Dispensing unit shall involve one of the following EXCEPT             (1 )
  1. The premise
  2. Dispensing equipment
  3. The supply of medicine or medical supplies
  4. Must have electronic recording system to be licensed  
  5. Quality assurance procedures 

 

  1. Concerning labels of dispensed medicine                                               (1 )
  1. Should use abbreviations when writing
  2. Should be clear, accurate and concise
  3. Should be written as manufactures labels
  4. Should contain much information
  5. Should use graphic symbols

 

 

SECTION B: MULTIPLE TRUE/FALSE QUESTIONS – 20

 

  • This section consists of 8 questions each with 5 multiple True/False statement
  • Each question carries 2.5 , (i.e. each multiple True/False carries 0.5 )
  • Write TRUE for true statement and FALSE for false statement in capital letters in answer booklet provided

 

 

 

  1. Regarding prescription paper                                                                  (2.5 )
  1. ……. Patient information are written at the end of prescription
  2. ……. patient information may include Rx, age, name and address
  3. …….prescriber information is written at the end of prescription paper
  4. …….Superscription is a part of prescription paper, and include Rx
  5. …….inscription may include dose, dosage form, drug name, strength.

 

  1. Medical practitioners are                                                                         (2.5 )
  1. ……. Medical Doctors only
  2. ……. Specialists only
  3. …….Authorised prescribers in  Tanzania
  4. ……. Are dispensers
  5. ……. part of multidisciplinary team

 

  1. Regarding 1/7 duration of drug, in prescription                                      (2.5 )
  1. ……. Duration is one week
  2. ……. Duration is 1 hour
  3. ……. Duration is one day
  4. ……..Duration is one month
  5. ……. Duration is seven days

 

  1. tsp means                                                                                                 (2.5 )
  1. ……. Teaspoonful
  2. ……. Tablespoonful
  3. ……..equivalent to 15mls
  4. ……. equivalent to 5mls
  5. ……. Equivalent to 10mls

 

 

  1. P.R.N means                                                                                            (2.5 )
  1. ……. Per rectum
  2. ……. Dispense as written
  3. ……. Take when required
  4. ……. Per vaginal
  5. …… same as stat

 

  1. Classification of medication error    (2.5 )
  1. …… classified into dose miscalculations and dispensing wrong medicatios
  2. ........ classified into mistakes and slip
  3. .........classified into mistakes, slips or lapses
  4. ……. Can also classified to where it occurs e.g.prescribing, dispensing or administration
  5. ……. Classified into failure to counsel patient and to screen for drug interactions and contraindications

 

 

  1. Patient diagnosed with syndromic pain:-                                                (2.5 )
  1. ……. Prescribed medicine shall be antibiotic e.g. amoxycillin
  2. ……. Prescribed medicine shall be antiviral e.g. acyclovir
  3. ……. Prescribed medicine shall be antipain e.g. aspirin, paracetamol
  4. ……. Prescribed medicine shall be antifungal e.g. Fluconazole
  5. ……. Prescribed medicine shall be antimalarial e.g. ALU, quinine

 

  1. In dispensing tablets or capsules                                     (2.5 )
  1. …….. Do not use fingers to count tablets as this can lead to contamination

of medicines

  1. …….. Use a spoon to put tablets and capsules onto a counting tray

 

  1. …….. Count and put them in a labeled medicine container or pack

 

  1. ……. Do not close stock containers tightly after dispensing

 

  1. ……Use separate plastic boxes for different patient's requirements of medicines. 

 

 

SECTION C: MATCHING ITEMS QUESTIONS – 10

 

  • This section consists of 2 sets of questions each with 5 matching items
  • Each question carries 5 , (i.e. each matching item carries 1 )
  • Match corresponding capital letter from item B to that of item A in answer booklet provided

 

  1. Match the following item A concerning a label with that explanations provided in item B

 

ITEM A

 

I.                    Generic name

II.                 Frequency of medicine

III.              How to take medicine

IV.              Expiry date

V.                Storage condition

 

ITEM B

  1. +2°C - +8°C
  2. tid
  3. Exp: July 2018
  4. Metronidazole
  5. Take by mouth, with plenty of water
  6. Brand name drug
  7. Flagyl
  8. 200mg

 

  1. Match the following item A concerning a prescription with that informations provided in item B

 

ITEM A

 

I.                    Tabs Erythromycin 500mg tds 7/7  

II.                 Amoxicillin syp 125mg/5ml tid 5/7

III.              Apply Clotrimazole Ointment b.d 6/7

IV.              1 gtt Predinisolone 0.5% qid BE 2/52

V.                1 gtt Ephedrine 0.5% ad.aur tds 4/7

 

ITEM B

  1. One drop, every 6 hours for 14 days
  2. Given duration for seven days
  3. One drop, every 4 hours for 14 days
  4. Syrup medication  
  5. Injectable medication
  6. One drop, in the left ear
  7. One drop, in the right ear
  8. Topical medication  

 

SECTION D: SHORT ANSWER QUESTIONS – 40

 

  • This section consists of 8 short answer questions
  • Each question carries 5 , (i.e. as indicated)
  • Briefly write the correct correspondence in the answer booklet provided
  • Each question shall be responded in separate page of answer booklet

 

  1. A Nurse has a file of patient Called Aisha Mputi with a prescription written as follows;- Inj. Gentamycin 40mg x tdsx5/7 (NB: You have ampule Gentamycin 20mg/2ml)                                                                                                  

i.                    Interpret the information given in a prescription                             (1 )

ii.                  What unit will you dispense to ensure correct dispensing               (1 )

iii.                Calculate one dose for a given patient                                             (1 )

iv.                What total amount of Gentamycin injection should be dispensed (2 )

 

  1. Mention five (5) measures to alleviate irrational dispensing                   (5 )

 

  1. Frank Chacha, went to a medicine shop and made verbal request for ampicillin and cough syrup for her 8 years old daughter with complaints of cough and poor appetite. As she did not have enough amount of money, she wanted to purchase only ten capsules of ampicillin and one bottle of cough syrup suspension. The dispenser fulfilled her request. Comment.                                                  (5 )   

 

 

  1. What does the following abbreviation stands for  

i. Sig                                                                                                             (1 )

ii. FEFO                                                                                                        (1 )

iii. FIFO                                                                                                        (1 )

iv. Rx                                                                                                            (1 )

v. TNF                                                                                                          (1 )

 

5.       What are the five (5) sections of hospital pharmacy?                                (5 )

 

  1. List five (5) activities that are carried out and services that are offered in hospital pharmacy department                                                                                 (5 )

 

  1. What are five (5) components of the Dispensing register       (5 )

 

8.      Enumerate five (5) components of Rational Use of  Medicines?               (5 )

 

 

 

 

SECTION E: GUIDED ESSAY ANSWER QUESTIONS – 20

 

  • This section consists of 2 guided answer questions
  • Each question carries 10
  • Write an essay in narrative way by corresponding correctly in the answer booklet provided
  • Each question shall be responded in separate page of answer booklet

 

 

1.      Describe  various types of irrational prescribing under the following headings (10 )

-          Define irrational prescribing

-          Extravagant Prescribing:

-          Over prescribing

-          Incorrect prescribing

-          Multiple prescribing:

 

2.      Explain  the Requirements for a Functional Dispensing Unit based on the following areas                                                                                       (10 )

-          The premises

-          Dispensing and compounding equipments:

-          The personnel

Post a Comment

0 Comments