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Registration Assessment 2013 Practice questions: April

This set contains 10 practice questions.

Questions 1-5 are examples of Open Book questions. The references that may be used are British National Formulary 64th edition (September 2012) and BNF for Children 2012-2013.

Questions 6-10 are examples of Closed Book questions.

A sample paper that is half the size of the actual Registration Assessment and is matched to the actual assessment in terms of difficulty, syllabus coverage and question types can be accessed at http://www.pharmacyregulation.org/education/pharmacist-pre-registration-training/trainees/registration-assessment/assessment

Copyright © General Pharmaceutical Council 2013. The content of this document is the property of the General Pharmaceutical Council and may not be reproduced.

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Directions for questions 1 and 2. Each of the questions or incomplete statements in this section is followed by five suggested answers. Select the best answer in each case.

1. A 3-year-old boy, who suffers from asthma, has intermittent wheezing despite using Clenil Modulite aerosol inhalation 200 micrograms twice daily via a spacer device. His parents are administering salbutamol aerosol inhaler to him at least once a day. The child weighs 15 kg and is otherwise well. In accordance with the recommendations of the British Thoracic Society, what is the most appropriate next step in treatment?

A increase the dose of Clenil Modulite aerosol inhalation to 300 micrograms twice daily

B add montelukast 4 mg once daily in the evening

C add nedocromil aerosol inhalation 4 mg 4 times daily

D add Slo-Phyllin 60 mg twice daily

E add prednisolone 15 mg daily for 3 days

2. You are asked by a local GP to recommend treatment for Mrs Z who has oropharyngeal

candidiasis that has not responded to nystatin suspension. Given that she is otherwise well, not allergic to any medicines and is breast-feeding her 5-month-old baby, which one of the following would it be most appropriate for you to recommend to the GP?

A itraconazole oral liquid

B terbinafine tablets

C fluconazole capsules

D posaconazole suspension

E ketoconazole tablets

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Directions for questions 3 to 5. Each of the questions or incomplete statements in this section is followed by three responses. For each question ONE or MORE of the responses is/are correct. Decide which of the responses is/are correct. Then choose: A if 1, 2 and 3 are correct B if 1 and 2 only are correct C if 2 and 3 only are correct D if 1 only is correct E if 3 only is correct

Directions Summarised

A 1, 2, 3

B 1, 2 only

C 2, 3 only

D 1

only

E 3

only

3. Which of the following laboratory test results would not be expected in a healthy adult?

1 a plasma potassium level of 6.9 mmol/litre

2 an eGFR of 21 mL/minute/1.73m2

3 a plasma glucose level of 32 mmol/litre

4. The following customers ask to buy a non-prescription medicine. Given there are no other

contraindications, it would be appropriate for you to make the sale to which of them?

1 a 17-year-old woman who wants to give up smoking asking to buy Nicorette chewing gum

2 a man asking to buy Phenergan elixir (promethazine hydrochloride) for his 18-month-old son who is having trouble sleeping

3 a woman asking to buy Spasmonal capsules (alverine) for her 10-year-old daughter who is suffering from stomach cramps

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Directions Summarised

A 1, 2, 3

B 1, 2 only

C 2, 3 only

D 1

only

E 3

only

5. Hepatitis B vaccination is recommended for individuals at high risk of contracting the disease. In the UK, which of the following groups fall into this category?

1 individuals with rheumatoid arthritis

2 individuals with chronic liver disease

3 foster carers

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Directions for questions 6 to 8. Each of the questions or incomplete statements in this section is followed by five suggested answers. Select the best answer in each case.

6. Which one of the following statements is correct with regard to patient counselling?

A a patient taking flucloxacillin capsules should be advised to take each dose immediately after food

B a patient using fentanyl patches should be advised to avoid exposing the application site to external heat such as a hot bath

C a patient using lidocaine 5% patches should be advised about the signs and symptoms of opioid overdose

D a patient taking a one week course of oral prednisolone should be advised that the dose should be reduced gradually when stopping

E a patient taking orlistat capsules and a multivitamin preparation should be advised to take the multivitamin immediately before breakfast

7. Which one of the following is a side-effect of dabigatran etexilate?

A hypomagnesaemia

B hypertension

C blurred vision

D taste disturbance

E haemorrhage

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8. You receive a prescription for a 6-year-old boy who is in the continuation phase of treatment for tuberculosis. He is taking rifampicin, isoniazid and pyridoxine. The most likely reason for including pyridoxine is to:

A correct vitamin B6 deficiency caused by tuberculosis

B prevent drug-induced peripheral neuropathy

C prevent drug-induced megaloblastic anaemia

D improve the efficacy of isoniazid

E improve the patient’s appetite

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Directions for questions 9 and 10. The following questions consist of a first statement in the left-hand column followed by a second statement in the right-hand column. Decide whether the first statement is true or false. Decide whether the second statement is true or false. Then choose:

A if both statements are true and the second statement is a correct explanation of the first statement

B if both statements are true but the second statement is NOT a correct explanation

of the first statement C if the first statement is true but the second statement is false D if the first statement is false but the second statement is true E if both statements are false

First Statement

Second Statement

Directions Summarised

A B C D E

True True True False False

True True False True False

2nd statement is a correct explanation of the first 2nd statement is NOT a correct explanation of the first

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First Statement

Second Statement

Directions Summarised

A B C D E

True True True False False

True True False True False

2nd statement is a correct explanation of the first 2nd statement is NOT a correct explanation of the first

Question 9 concerns Mrs D who presents at your pharmacy with a prescription for the following:

She tells you that her dose of furosemide has just been increased from 40 mg in the morning and wonders what time of day she should take the second dose. 9. FIRST STATEMENT SECOND STATEMENT You should advise Mrs D to take her furosemide in the morning and at lunchtime

Furosemide can cause nightmares if taken in the evening

10. FIRST STATEMENT SECOND STATEMENT All suspected adverse drug reactions in children should be reported to the Medicines and Healthcare products Regulatory Agency (MHRA) even if the black triangle symbol (▼) has been removed

The black triangle symbol indicates medicines that are monitored intensively by the MHRA

Furosemide tablets 40 mg bd Mitte 56