MARKING SCHEME FOR LAW AND ETHICS EXAMINATION FOR PHARMCISTS

PRE REGISTRATION EXAMINATION

SECTION A
1. C
2. B
3. D
4. B
5. C
6. D
7. B
8. A
9. C
10. D
SECTION B
11. F
12. T
13. F
14. T
15. F
16. F
17. F
18. F
19. T
20. F
SECTION C
21. Food and Cosmetics are regulated by TBS and Medicines and Medical Devices
are regulated by TMDA previously known as TFDA

22. Pharmacovigilance: is defined as the science and activities relating to the

detection, assessment, understanding and prevention of adverse effects or any
other drug-related problem.

Role of pharmacist in pharmacovigilance (Mention at least 4)

• Management and prevention of adverse reactions related to use of
medicine
• Reporting ADR
• Monitoring ongoing safety of medicines
• Evaluation of pharmacovigilance data
23. Importance of code of ethics
• Help professionals to handle ethical dilemma they face during practice
• Guide in day to day decision making
• encourages discussions of ethics and compliance
• Acts as a compass to professionals
• Help instil public trust for the profession
Eg: Integrity, Long life learning, Regard to human life, Client privacy…etc

24. Drug Control and Enforcement Agency: promote, coordinate and implement all
measures geared towards control of drugs, drug abuse and trafficking of drugs.
TMDA : Regulate quality and safety of medicines and medical devices
(including registering them)

25. Responsibility of superintend pharmacists according to The Pharmacy Practice

Regulations of 2012.

SECTION D:
1. Answer Sample: This is an ethical dilemma involving the patient’s autonomy
that contradicts with the law governing standard provision of health services to
terminal patients.
In this case a number of ethical principles are involved such as patient autonomy,
the right to determination, nomalficence, preventing harm and finally
beneficence, doing good to the patient.
The physician has given the highest allowable possible dose of the drug to
patient trying to do good to the patient so that the patient can be comfortable, but
also does not want to exceed this limit because he knows that he will cause harm
to the patient. Furthermore the physician and the pharmacist are both confronted
with the law that does not allow them to provide therapy so that to speed the
death of a terminally sick patient. They are also faced with the ethical principle
that their refusal to meet what the patient wants is also denying the patient the
right to decide on her fat, the patient autonomy.
The pharmacist advice to the physician would be to look for an additional anti
pain drug to support the prescribed medicine so that the patient can be
comfortable rather than increasing the dose above normal level. Such an action
would have a legal consequence if the patient dies and somehow someone
wants to follow up. The pharmacist and physician should also intensify
counselling to assure the patient comfortable.

2. Hospital Pharmacists vs Pharm Tech

 Pharmacists: Review the prescription, ward round, evaluation of drug use in the
hospital etc.
Pharm Tech: dispensing of reviewed prescription and any other work as
prescribed by hosp pharmacists.

3. Answer Sample: The pharmacist could dispense this POM after taking some basic
steps.
1. Checking is the patient is in the system so that to be sure if the presented medicine is
the correct form;
2. If not in the system confirm with relatives if they know that he uses the medicine and
he is diabetic
3. I will dispense the medicine for two basic reasons: (a) this is a life saving medicine
and the patient cannot survive without it ; (b) Insulin is one of the drugs in the
emergency supply list
(c) Insulin is not a drug with likely abuse and therefore there is no fear that it can be
abused in anyway.