Mizan - Tepi University
College of Health Sciences
Department of Pharmacy
Community pharmacy attachment final exam for 1st round 5th year Pharmacy students
Mark load: 30%
Time allowed: 40 min
October 28, 2016
Name _______________________________ ID__________________
General directions
Make sure that the exam contains MCQ and short answer items in 3 pages
excluding the cover page.
Write your ID in all pages
Strictly follow the instructions stated under each item
Attempt all questions and wisely use your time
Any form of misbehaving and cheating is forbidden and will be subjected to
disciplinary measure
Good Luck!!!
1
I. Choose the best answer from the given alternatives and encircle your letter
of choice (1 point each)
1. Which of the following medication can promoted in mass media as per Ethiopian current
law?
A. Paracetamol D. Vitamins
B. Oral contraceptives E. Medicated cosmetics
C. OTC anthelmintics
2. While you are working in community pharmacy, you can respond symptoms of your clients
in any medication available.
A. True B. False
3. The prescription for psychotropic medications can be dispensed with in maximum of
A. 15 days after issued
B. 30 days after issued
C. 2 years after issued
D. 5 years after issued
E. At any time it presented to pharmacy
4. For which of the following drug (s), medication counselling with respect to timing of
administration in relation to food is particularly very important?
A. Metronidazole D. Propylthiouracil
B. Glibenclamide E. All of the above
C. Omeprazole
5. Which of the following drug can be administered both orally ad parenterally?
A. Crystalline penicillin D. Metformin
B. Ceftriaxone E. All of the above
C. Cloxacillin
6. All of the following treatment regimens most likely are subjected to therapeutic failure as a
result of clinically significant drug interaction except?
A. Carbamazepine + Atorvastatin
B. Omeprazole + Ferrous sulphate
C. Amoxicillin + Omeprazole
D. Tetracycline + Sucralfate
2
E. None of the above
7. Which of the following characteristics is the most important for assessing the bioequivale nce
of two brands of a pharmaceutical dosage form?
A. Excipients D. Pharmacokinetic properties
B. Physical appearance E. All of the above
C. Manufacturing cost
8. Which of the following penicillin is an antistaphylococcal?
A. Penicillin G D. Ampicillin
B. Cloxacillin E. Piperacillin
C. Amoxicillin
1. Answer the following questions accordingly, your answer should be brief
and to the point
2. Compare and contrast the dispensing process of prescription medication and OTC drug (2pt).
3. Answer the question below based on the following prescription
PRESCRIPTION PAPER
Institution Name: MTUTH Tel. No… ……………
Patient’s full Name: STM
Sex: __F__ Age: _24 year__ Weight: ______ Card No. __04652/09__
Region: ___SNNP___ Town ___Aman____ Woreda _________Kebele ______
House No. ______ Tel. No: _____________ Inpatient Outpatient
Diagnosis: __UTI + acne vulgaris +epilepsy____________
Drug Name, Strength, Dosage Form, Dose, Frequency, Price
(dispensers
Duration, Quantity, How to use & other information
use only)
Phenobarbital tab 100mg po tid/1month
Cotrimoxazole 960mg bid for 3 days
Isotretinoin 30mg, one capsule po bid, #60 caps
♯60 Total Price
Prescriber’s Dispenser’s
Full EM Full
name
Qualification Internist___________ ____________________ name
Signature ___signed____________ ____________________
3
Date ____14/02/09_____________ ___________________
3.1. How do you check the legality of the above prescription? Is the above prescription legal?
(1pt)
3.2. Is any formation missed from the above prescription that hinders you from further
processing the prescription (0.5pt)
3.3. Suppose you found that the above prescription is eligible for dispensing, what kind of
information you would ask from the patient side before dispensing the medication? (1pt)
3.4. What are the therapeutic indications of the above medications? (1.5pt)
3.5. What will be your final decision, to dispense or refute? If you are not dispensing it why?
(2pt)
3.6. Suppose you have decided to dispense the prescribed medications, what counselling tips
you will provide to your client? (1pt)
4. A 67 year male patient presented to refill the following prescription: aspirin 81mg/day,
clopidogrel 75mg/day, atorvastatin 80mg/day, enalapril 10mg bid, atenolol 50mg bid and
omeprazole 20mg bid all for one month for his MI. while you are asking him, he is also a
known diabetic patient taking insulin and asthmatic patient on salbutamol puff prn.
4.1. What common side effects the patient may complain after initiating his current medicatio ns?
(3pt)
[Link] there any drug-drug or drug-disease interactions with above the above medications that
significantly affect treatment? Describe any possible interactions along with your
intervention to minimize negative consequences of these interactions (4pt)
4.3. What counselling should you provide for this patient? (2pt)
5. Compare and contrast immediate and controlled released preparations. (2pt)
6. What are the different factors contributing to a shortage of a pharmaceutical products (stock
outs) from a certain community pharmacy? (2pt)
