DMC College Foundation, Inc.

Sta. Filomena, Dipolog City

2nd Semester 2023-2024
Allied Medical Sciences
BACHELOR OF SCIENCE IN PHARMACY

HIGHER EDUCATION DEPARTMENT ClinPharm - Lecture

Prelim Examination Kim Te Estimo, RPh

NAME: __________________________________ DATE: ___________________

COURSE & YEAR LEVEL: _____________________ SCORE: __________________

READ THE INSTRUCTION CAREFULLY

General Instruction: This is a multiple choice questions exam. Shade the answer sheet that corresponds to your
chosen answer. Make sure you use a pencil during the exam. Only use a black ballpen to write your critical details
above. Strictly do not write anything on the exam questionnaire.

1. Related to the distibution of resources to ensure that such division or allocation is governed by equity and fairness.

A. Beneficence

B. Non-maleficence

C. Autonomy

D. Justice and Veracity

2. Referred to both physical and psychological benefits of actions and also related to acts of both commission
and omission.

A. Beneficence

B. Non-maleficence

C. Autonomy

D. Justice and Veracity

3. Facilitate the dispensing and supply process so that the drug are accurately prepared, dispensed in ready-to-
administer form and delivered to the patient on a timely basis.

A. Select a drug

B. Select regimen

C. Provide drug

D. Need for a drug

4. The concept of not knowingly causing harm to the patient.

A. Beneficence

B. Non-maleficence

C. Autonomy

D. Justice and Veracity

5. Double effect

A. one good effect (intended); one harmful effect (intended)

B. one good effect (unintended); one harmful effect (intended)

C. one good effect (intended); one harmful effect (untended)

D. one good effect (unintended); one harmful effect (unintended)

6. Clinical Pharmacy comprises a set of functions that promote the safe, effective and economic use of medicines
for individual patients. Pharmaceutical care is co-operative, patient-centered system for achieveing specific and
positive patinet outcomesfrom the responsible provision of medicines.

A. Statement 1 is true whereas statement 2 is false

B. Statement 1 is false whereas statement 2 is true

C. Both statements are true

D. Both statements are false

7. Categories of MRP
 I. Treatment without indication

II. Improper drug selection

III. Too little drug

A. I

B. II

C. III,I

D. I,II,III

8. Advice on patient consent

A. Give the patient undestandable information about all significant possible adverse
outcomes.

B. Invites the patient to sign to say that he/she understands, and accepts the risks
explained.

C. 1 of the above

D. 2 of the above

9. It is used when the outcome of medicines is not optimal.

A. Medication Reconciliation

B. Therapeutic relationship

C. Medicines Use Review

D. Medication-Related Problems

10. Advice on patient consent

A. Give the patient understandable information about all significant possible adverse
outcomes.

B. Ensure the patient has the opportunity to ask questions/consider his/her options.

C. A,B

D. A only

11. The main goal is to establish a full medication history and highlight actual and potential drug-related
problems.

A. Evaluation

B. Care Plan

C. Assessment

D. 2 of the above

12. A person is assumed to have capacity unless it is established that he/she lack capacity. A person should
not be treated as unable to make a decision unless all practical steps to enable him/her to do this have been
taken without success.

A. Statement 1 is correct whereas statement 2 is incorrect

B. Statement 1 is incorrect whereas statement 2 is correct

C. Both statements are correct

D. Both statements are incorrect

13. A person cannot be treated as unable to make a decision because he/she makes an unwise decision. Acts or
decisions made for or on behalf of a person who lacks capacity must be in that person’s limited interests.

A. Statement 1 is correct whereas statement 2 is incorrect

B. Statement 1 is incorrect whereas statement 2 is correct

C. Both statements are correct

D. Both statements are incorrect

14. An approach used by community pharmacists to help patients use their medications more effectively.

A. Medication Reconciliation

B. Therapeutic relationship

C. Medicines Use Review

 D. Medication-Related Problems

15. Clinical guidance on medicines adherence emphasises the importance of patient involvement in decisions
about medicines (NICE, 2009). Health care professionals should:

I. Adapt their consultation style to the needs of individual patients

II. Consider any factors which may affect patients’ involvement in the consultation

III. Establish the most effective way of communicating with each patient

IV. Encourage patients to ask about their financial capability

V. Be aware that consultation skills can be improved to enhance patient involvement

A. I,II,III,IV

B. I,III,IV,V

C. I,II,III,V

D. II,III,IV,V

16. Fraser guidance: specific contraception ; Gillick competence: ______________

A. the principle used to assess the capacity of the children under 16

B. the principle used to assess the capacity of the children under 15

C. the principle used to assess the capacity of the children under 18

D. None of the above

17. Types of non-adherence

I. Intentional Non-adherence

II. Unintentional Non-adherence

III. Deliberate

A. I,II

B. I,III

C. I,II,III

D. None of the above

18. Given by 17, this non-adherence may be due to a number of factors

A. I

B. II

C. III

D. 2 of the above

19. Given by 17, this non-adherence is associated with physical or senosry barriers to taking
medicines.

A. I

B. II

C. III

D. 2 of the above

20. Consent is invalid when it is given under pressure and coercion.

A. Competency

B. Information

C. Confidentiality

D. Voluntariness

21. A fundamental right with respect to patient autonomy.

A. Competency

B. Information

C. Confidentiality

D. Voluntariness
22. Young people aged 16 and 17 are normally presumed to be able to consent to their own treatment.

A. Competency

B. Information

C. Confidentiality

D.None of the above

23. Questions used in the pharmacy consultation process

I. Who is it for?

II. What are the symptoms?

III. Action taken?

A. I,II

B. II,III

C. III, II, I

D. I

24. During pharmacy consultation process you evaluate the symptom, its onset, recurrence and duration. As
a pharmacist, when in doubt refer the consultation.

A. Statement 1 is correct whereas statement 2 is incorrect

B. Statement 1 is incorrect whereas statement 2 is correct

C. Both statement are correct

D. Both statements are incorrect

25. Permits action for breach of confidentiality and also for battery, should a patient be treated without consent

A. The law of Tort

B. The statutory professional body

C. The employer

D. None of the above

26. The legal responsibility for prescribing always lies with the individual who signed the prescription.

A. The law of Tort

B. The statutory professional body

C. The employer

D. None of the above

27. Consultation behaviours serves to integrate the agendas of both patient and physician. It is a
vehicle for agreeing on the issues to be addressed and the responsibilities accepted by each party in achieving the
desired outcomes.

A. Statement 1 is correct whereas statement 2 is incorrect

B. Statement 1 is incorrect whereas statement 2 is correct

C. Both statement are correct

D. Both statements are incorrect

28. Z- Provides information to guide action when patient experiences problems with management plan.

Y - Invites patient to discuss medication or health-related issue.

A. Introduction, Closure

B. Closure, Introduction

C. Actions and solutions, Introduction

D. Introduction, Actions and solutions

29. X- Discuss structure and purpose of consultation

O - Involves patient in designing management plan

A. Introduction, Closure

B. Closure, Introduction

C. Actions and solutions, Introduction

 D. Introduction, Actions and solutions

30. Pharmacist: able to prescribe any licensed medicine for any medical condition within their competence

Limit:

A. cannot prescribe Controlled Drugs

B. except Controlled Drugs and unlicensed medicines

C. No limit

31. Optometrists: prescribe for eye conditions and the surrounding tissue

Limit:

A. cannot prescribe Controlled Drugs

B. except Controlled Drugs and unlicensed medicines

C. No limit

32. Relevant patient details, except

I. Age

II. Gender

III. Ethnic or religious background

IV. Previous Medical History

V. Social history

VI. Presenting complaint

VII. Working diagnosis

VIII. Family problems

IX. Laboratory of physical findings

A. III,I

B. VIII,II

C. VI

D. VIII

E. None of the above

33. Given by 32, this may indicate their likely ability to metabolise and excrete medicines.

A. I

B. II

C. III

D. IV

E. 2 of the above

34. Given by 32, this may impact on ability to manage medicines and influence pharmaceutical
care needs.

A. IV

B. V

C. VI

D. VII

E. None of the above

35. Given by 33, pharmacists should consider whether these might be attributable to the adverse effects
of prescribed or purchased madicines.

A.IX

B. VIII

C. VII

D. VI

E. None of the above

36. Given by 32, this should enable the pharmacists to identify the classes of medicines that would be
anticipated on the prescription based on current evidence.

A.VIII

B. VII

C. VI

D. V

E. None of the above

37. Given by 32, the result may convey a need for dosage adjustment or presence of an adverse reaction

A.VIII

B. V

C. I

D. II

E. None of the above

38. Legal requirements

K. Patient Details

I. Establishment’s Permit

M. Prescriber Information

Y. Disease and treatment

A. KIM

B. KYM

C. KM

D. KY

39. Given by 38, name of the patient to whom the plan relates

A. M

B. I

C. K

D. Y

40. Given by 38, when to seek advice from, or refer back to independent prescriber

A. K

B. I

C. M

D. Y

41. Given by 38, start date

A. Y

B. I

C. M

D. K

42. Given by 38, difficulties patients has with medicines

A. I

B. Y

C. K

D. M

43. In medication history you ensure the following are recorded

A. Generic name

B. Dose

C. Frequency
 D. 1 of the above

E. All of the above

44. May occur when a medicine has the potential to make a pre-existing condition worse.

A. Drug-patient interaction

B. Identify drug-disease interaction

C. Identify drug-drug interactions

D. None of the above

45. Allergy of previous Adverse Drug Reaction ADR

A. Drug-patient interaction

B. Identify drug-disease interaction

C. Identify drug-drug interactions

D. None of the above

46. __________ carry significantly more risks, including infection associated with vascular access.
______________preferred method of administration.

A. Parenteral route, Oral route

B. Oral route, Parenteral route

C. Parenteral route, Transdermal route

D. Oral route, Transdermal route

47. Include clinical and cost-effective selection of medicine in the context of individual patient care.

A. Patient advice and education

B. Evaluating effectiveness

C. Selecting the medicine

D. Monitoring therapy

48. To prescribe is to authorize by means of a written prescription the supply of a medicine. A rational
approach to prescribing uses evidence but has no outcome goals and evaluates alternatives in
partnership with the patient.

A. Statement 1 is correct whereas statement 2 is incorrect

B. Statement 1 is incorrect whereas statement 2 is correct

C. Both statements are correct

D. Both statements are incorrect

49. Supplementary prescribers

I. Nurses

II. Pharmacist’s Assistant

III. Radiographers

IV. Podiatrists

A. I,II,III

B. I,III,IV

C. I,III

D. II,IV

50. Independent prescribers

i. Dentist

ii. Physician

iii. Veterinarian

A. i

B. ii, iii

C. iii

D. ii,iii,I
51. Given by 49, a licensed health-care professional who practices independently or is supervised by a physician,
surgeon, or dentist and who is skilled in promoting and maintaining health

A. I

B. II

C. III

D. IV

52. Given by 50, a person qualified to treat the diseases and conditions that affect the teeth and gums, especially
the repair and extraction of teeth and the insertion of artificial ones.

A. i

B. ii, iii

C. iii

D. ii,iii,I

53. The prescriber should have the following aims

A. Maximize effectiveness

B. Minimize risks

C. Maximize costs

D. 2 of the above

E. None of the above

54. Given by 49, medical specialists who help with problems that affect your feet or lower legs.

A. I

B. II

C. III

D. IV

55. Prescribing can be described as irrational for many reasons

A. Prescribing the right dose of a medicine

B. Continuing to prescribe for a longer period than necessary

C. 1 of the above

D. None of the above

56. A previously healthy, 68-year old woman develops auditory hallucinations. She cannot provide many details
but believes her mother is speaking to her. She has difficulty cooperating during the interview and physical
examination which is unremarkable. The most likely diagnosis is:

A. Complex partial seizures

B. Alzheimer’s disease

C. Adverse medication effect

D. Hyperthyroidism

E. Peduncular Hallucinosis

57. Arguments against indiscriminate use of antibiotics as chemotherpeutic agents include the following, except:

A. Toxic effects of the antibiotics

B. Allergic reactions induced in patients

C. Development of durg resistance by an infectious agent

D. Secondary effects experienced due to creaetion of an imbalance in normal body

flora

E. The cost of medication

58. Most life-threatening adverse drug reactions affect the:

A. Central Nervous System

B. Liver and Kidney system

C. Bronchial smooth muscle

D. Cardiovascular and respiratory system

 E. Gastrointestinal tract

59. Which variable is measured in hypertension?

A. heart rhythm

B. heart murmur

C. arterial blood pressure

D. electrical discharge

E. venous blood pressure

60. Which is not a predisposing factor to primary hypertension?

A. Stress

B. Family history of essential hypertension

C. Obesity

D. Smoking

E. Active lifestyle