Hospital Pharmacy

Nadeem Irfan Bukhari

Chapter#01
MCQs

1. Inventory is too high means;

A. High turnover rate
B. Low turnover rate
C. No turnover rate
D. All of the above

2. In , 1st appointed a hospital pharmacist

after which the profession of hospital pharmacy gained recognition.
A. 1572, Pennsylvania hospital
B. 1940, American society of hospital pharmacists
C. Both A & B
D. None of above

3. In 1999, 1st step in uplift of pharmacy services in extend to

province under pharmaceutical project;
A. Sindh
B. Punjab
C. KPK
D. None of above

4. Pharmacies within governmental hospital purchase their drugs through;

A. Medical store depot
B. Wholesalers
C. Retailers
D. All of the above

5. The primary responsibility of hospital pharmacy is;

A. Manufacturing bulk & sterile products
B. Drug distribution
C. Inventory control
D. Distribution of ancillary supplies

6. Health accessories also known as;

A. Parapharmaceuticals
B. Medical accessories
C. Both A & B
D. None of above

7. For efficient working the pharmacy should be located where;

A. Facilitates all its functions
B. Effective transportation system
C. Easy service for patients
D. All of the above

8. The pharmaceutical research involves the investigation on;

A. Packaging & distribution
B. Manufacturing & storage
C. Stability & QC of medicines
D. All of the above

9. The record maintenance of all pharmacy operations as an administrative

and legal requirement is responsibility of;
A. Deputy director of pharmacy
B. Director of pharmacy
C. Manager of pharmacy
D. Workers of pharmacy

10.The responsibility of pharmacists;

A. Keep in check personal hygiene, environmental control, equipment
performance
B. Preparation of patient drug review, therapeutic monitoring, ADRs
monitoring
C. Competent to evaluate cost of labor and raw material
 D. All of the above

11. A pharmacist participate in clinical research as;

A. Principal investigator
B. Co-principal investigator
C. Both A & B
D. None of above

Chapter#02
MCQs

1. Military hospital is managed by;

A. Medical superintendent
B. Commanding officer
C. Governing body
D. Board of trustee

2. Medical record have parts.

A. 07
B. 14
C. 10
D. 05

3. Based on ownership, hospitals are classified into how many types;

A. 03
B. 05
C. 04
D. None of above

4. Pharmacy department is supervised by;

A. Director of pharmacy
B. Pharmacist-in-chief
C. Both A & B
D. None of above

5. is a focal person in a hospital.

A. Nurse
B. Patient
C. Physician
D. All of above

6. It is considered as subsection of pathology department;

A. Diagnostic services
B. Blood bank
C. Both A & B
D. None of above

7. Brachytherapy is a procedure, which involves;

A. A radioisotope insertion with incision in tumor cells
B. To treat certain types of carcinomas
C. Internal radiation therapy for cancer treatment
D. All of above

8. Central sterile room is under dual control of;

A. Physician & Pharmacist
B. Pharmacist & Nurse
C. Nurse & Physician
D. All of above

9. NMR provides 3-D image data providing precise anatomical displays

based on;
A. Electron density
B. Neutron density
C. Proton density
D. Both A & C

10. Primary source of revenue is derived from;

 A. Billing of patients
B. Dispensing to patients
C. Prescription by physicians
D. All of above

11. Purpose of medical record;

A. Provide means of communication b/w physicians & professionals
B. Furnish documentary evidence for course of patient’s illness
C. Assists in protecting legal interest of patient
D. All of the above

12. During hospitalization, if a patient dies, then it’s record in enter in;
A. Admission history
B. Autopsy sheet
C. Medical record sheet
D. Physical examination sheet

Chapter#03
MCQs

1. Health care system adopt new devices, techniques and modalities in

practice of;
A. Medicine & surgery
B. Drug manufacturing
C. Hospital operations
D. All of above

2. Pharmacy specialist is word used for;

A. Retail pharmacist
B. Clinical pharmacist
C. Community pharmacist
D. Nuclear pharmacist
3. Drug information specialists serves as;
A. Participates in ward rounds
B. Source of drug data for physicians
C. Provides drug information on both old & new drugs
D. All of above

4. PERT is;
A. A mathematical tool is scheduling pharmacist manpower
B. Flow process chart for each activity performed in a system
C. Both A & B
D. None of above

5. Locating prescription order, inventory supplies/restocking and billing to

patients/third party are functions that are performed by technicians;
A. Under supervision of pharmacist
B. Strictly prohibited
C. Independently
D. None of above

6. Maintain unit dose program & product development is under the;

A. Sterile product division
B. Manufacturing & packaging division
C. Ancillary supply service
D. Central supply service division

7. Functions that are strictly prohibited by pharmacy technicians under

supervision;
A. Taking of telephone orders for new prescription
B. Ordering & checking in pharmaceuticals
C. Assembling of prescription ingredient immediately prior to pharmacist
filling of order
D. Maintaining drugs & narcotics inventory records.

8. Maintains the list of antidotes is responsibility of;

 A. Drug information centre
B. Poison control centre
C. Central supply service division
D. None of above

9. Pharmaceutical services are coordinated & managed by head or manager

who report to;
A. Deputy chief pharmacist
B. P&TC
C. Chief pharmacist
D. Director

10. New employees probationary period in a hospital is;

A. 6 months
B. 26 weeks
C. 12 months
D. Both A & B

11. Queue is basically;

A. Time in
B. Time out
C. Time finish
D. Waiting time

Chapter#04
MCQs

1. Concept of sub-pharmacies can be implemented in a hospital where;

A. All inpatient clinical departments are in close vicinity of pharmacy
department
B. Outpatient department in close vicinity of pharmacy department
C. Both A & B
D. None of above
2. Master planning dictates;
A. Goals & objectives
B. Equipment planning
C. Physical space & equipment furnishing
D. All of above

3. Arrangement of work area in the development of functional program for

hospital is to;
A. Maximize the work load
B. Maximize the performance functions
C. Both A & b
D. None of above

4. Labeling and inspection room be adjacent to;

A. Cleanup area
B. Filling area
C. Storage area
D. All of above

5. A temperature of 8⁰C - 15⁰C is;

A. Cold temperature
B. Refrigerator
C. Cool temperature
D. Both A & B

6. Air conditioning of pharmacy is desirable for;

A. Maintenance of temperature
B. Ventilation
C. Removes strong chemicals odor
D. All of above

7. An electric motor-driven air cooled Freon compressor is installed with;

A. Thermostat
B. Expansion valve
C. Both A & B
D. None of above

8. Parameters for equipment planning include;

A. Options for services & internal choices of activities
B. Degree of automation
C. Volume of dispensing & peak dispensing hours
D. All of above

9. Equipment planning is prime responsibility of;

A. Physician
B. Nursing staff
C. Hospital administrator & Pharmacist
D. All of above

10. Modern technology made available some automated means of transporting

including;
A. Pneumatic tube system
B. Conveyor belt system
C. Carts & desks system
D. Both A & B

11.Worktops of work counters must be made up of such materials;

A. Easily peeled off
B. Easily sticked to them
C. Don’t distorted
D. None of above

12. Floor covering that are currently used;

A. Heavy duty linoleum
B. Vinyl tile
C. Asphalt tile
D. All of above

13. Floor space area is measured in;

A. ft2
B. m2
C. in2
D. Both A & B

14. Area for packaging of oral dosage form into containers, is known as

A. Non-sterile mixing area

B. Inspection area
C. Prepackaging area
D. Quarantine area

15. Built-in-equipments also named as

A. Moveable equipment
B. Fixed equipment
C. Rotatable equipment
D. None of above

16. Firstly purchased;

A. Low-value equipment
B. Medium-value equipment
C. High-value equipment
D. None of above

17. Cleanup area is in conjunction with;

A. Central sterile supply room
B. Quarantine room
C. Inspection room
D. Prepackaging room
Chapter#05
MCQs

1. P&TC is known as;

A. Formulary committee
B. Therapeutic committee
C. Pharmacy committee
D. All of above

2. American College of Surgeon adopted minimum standard for hospital

pharmacies in;
A. 1593
B. 1839
C. 1953
D. None of above

3. Composition of P&TC;
A. 3 pharmacists
B. 1 physician
C. Supportive staff
D. None of above

4. Pharmacist is appointed as & physician is appointed as

;
A. Secretary : Chairman
B. Chairman : Secretary
C. Deputy director : Chairman
D. None of above

5. Pharmacist is responsible for;

A. Developing agenda
B. Preparation of supplementary materials
C. Both A & B
D. None of above
6. Which of following statement is wrong.
A. Actions of P&TC should be routinely communicated to other healthcare
personnel.
B. Committee should meet regularly, at least 6 times per year.
C. Rules & regulations regarding use of drugs aren’t in accordance with Drug
Rules.
D. Committee can invite within or outside the hospital some specialists.

7. To achieve maximum rational drug therapy in an institution through

educational as well as advisory role ins prime objective of;
A. Pharmacist
B. Physician
C. Nursing staff
D. P&TC

8. Formulary drug is;

A. A registered drug recommended for use in specialized patient care
B. A registered drug approved for general use but under evaluation of P&TC
C. A registered drug recommended for good patient care with well-
established usage & is accepted for inclusion
D. A drug approved for specific use by its principal investigator

9. Conditionally approved drugs have evaluation period of;

A. 8 / 16 months
B. 12 weeks
C. 6 / 12 months
D. None of above

10. Agenda of P&TC have following categories;

A. Review of ADRs
B. Investigational use drugs
C. Review of formulary
D. All of above
11. According to formulary system, pharmacy department will dispense all
drugs on basis of;
A. Proprietary name
B. Non-proprietary name
C. Both A & B
D. None of above

12. TPN is also known as;

A. Hypoalimetation
B. Hyperalimentation
C. Ringer solution
D. None of above

13. Which of following statement is correct;

A. 48 hrs for controlled drugs
B. 20 days for all routine drugs
C. PRN & standing orders for all expired medicaments except control drugs
D. All of above

14. Discharge prescription for controlled drugs are restricted to;

A. 15 days
B. 25 days
C. 40 days
D. 30 days

15. DUE stands for;

A. Drug usage evaluation
B. Drug utilization evaluation
C. Both A & B
D. None of above

16. The major role of P&TC, which dominates over all tasks is;
A. Drug safety
B. Generic selection
C. Formulary development
 D. DUR

17. prescription is economical;

A. Generic
B. Brand
C. Both A & B
D. None of above

18. Previous experience with generic drug product included in;

A. Quantitative assessment
B. Qualitative assessment
C. Both A & B
D. None of above

19. Under ADR reporting program, P&TC advices;

A. Data bank for ADRs occurrence can be formulated for study
B. Postmarketing surveillance
C. Pharmacist involved in reporting potential ADR.
D. All of above

20. For oral or parenteral controlled drugs, all drug orders automatically
discontinued after;
A. 1 day
B. 4 days
C. 6 days
D. 2 days

Chapter#11
MCQs

1. Dispensing is a;
A. Pharmacy act
B. Nursing act
C. Physician act
D. None of above

2. Withdrawal of single dose from drug container & its administration to

patients on prescription order, is a prime responsibility of;
A. Paramedical staff
B. Nursing staff
C. Pharmacist
D. All of above

3. How many methods of drug distribution according to hospital size,

availability of professionals & budgets?
A. 5
B. 3
C. 4
D. 2

4. Selection of floor-stocked medicaments is responsibility of;

A. P&TC
B. Pharmacist
C. Physician
D. Nursing staff

5. Dispensing of non-charge floor stoked drugs is done with which method?

A. Mobile dispensing unit method
B. Envelop Method
C. Drug basket method
D. Both A & C

6. In which drug distribution method, the nursing station carries both charge
& non-charge drugs?
A. Individual drug order system
B. Floor stock system
C. Complete floor stock system
D. Unit dose distribution system
7. The most commonly used system of drug dispensing in hospitals today is;
A. Unit dose distribution system
B. Individual drug order system
C. Combined individual drug order-Floor stock system
D. Floor stock system

8. Unit dose distribution system is adopted because;

A. To reduce medication errors
B. Greater adaptability of computerized & automated procedures
C. Greater pharmacists control
D. All of above

9. In which unit dose dispensing system, drugs are dispensed through

messenger system?
A. Decentralized unit dose distribution system
B. Centralized unit dose distribution system
C. Combined centralized unit dose distribution system- Decentralized unit
dose distribution system
D. None of above
10. Automated dispensing systems have which of the following benefits;
A. Reduces chances of medication error
B. Time consuming
C. Advance information regarding the drug’s expiry is given
D. All of above

11. Nurse makes choice of medicaments without involvement of pharmacist

in;
A. Individual drug order system
B. Unit dose distribution system
C. Floor stock system
D. Combined individual drug order-Floor stock system

12. Which of following statement is wrong.

A. Floor stocking gives better supervision of pharmacist.
 B. Individual drug order system don’t gives possibility to directly review
medications by pharmacist.
C. Pharmacy labor costs are higher in unit dose distribution system.
D. None of above

Chapter#12
MCQs

1. Patients, not bedridden in a hospital, known as;

A. Ambulatory patients
B. Outpatients
C. Both A & B
D. None of above

2. provided to patients as an entry point into a

comprehensive healthcare system.
A. Emergency care
B. Primary care
C. Referral care
D. Secondary care

3. Developing & evaluation of pharmaceutical services in a hospital is

responsibility of;
A. Director of pharmacy
B. Nursing staff
C. Physicians
D. All of above

4. Types of prescription received in an outpatient pharmacy depends on;

A. Location of outpatient pharmacy
B. Rules of institution
C. Size of hospital
D. All of above

5. In outpatient pharmacy, a large number of prescriptions is received are;

A. Discharged patients
B. Clinic patients
C. Patients enlisted for research
D. Private patients

6. Call check system is implemented, when there is period.

A. Waiting period
B. Emergency period
C. Both A & B
D. None of above

7. The use of cabinet, having medication bags with selecting dosing in a

single-unit containers, is done for dispensing medicaments to
patients;
A. Emergency patients
B. Clinic patients
C. Researchers
D. Employees

8. Components of safe & effective use of drugs are;

A. Patient counseling
B. DUR
C. ADRs & drug interactions
D. All of above

9. Active counseling also known as;

A. Verbal communication
B. Non-verbal communication
C. Audiovisual communication
D. None of above

10. Patient non-compliance may occurs due to;

A. Passive counseling
B. Active counseling
C. Both active & passive counseling
D. None of above

11. must insure that a patient understand the detail of

using a medicine.
A. Physician
B. Nurse
C. Pharmacist
D. All of above

12. When taken with food, if bioavailability of a drug is in doubt, then it is

recommended that the drug is taken;
A. With meal
B. 1 hr before meal
C. 2 hrs after meal
D. Both B & C

13. A medication calendar;

A. Satisfy patient’s individual needs
B. Reinforce accurate time to take medication
C. Prevents problems of forgetfulness
D. All of above

14. requires maintenance of adequate blood levels of drug

to control disease process.
A. Acute diseases
B. Infectious diseases
C. Chronic diseases
D. Hereditary diseases

15. Abrupt discontinuation may lead to;

A. Withdrawal syndromes
B. Relapse infection
C. Both A & B
D. None of above

16. Pharmacist must educate a patient not to take;

A. Tetracycline with milk
B. Warfarin with Vitamin-K
C. Theophylline with caffeine
D. All of above