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Registration Assessment 2013 Practice questions: May

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. Question 4 is a calculation question.

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 to 4. Each of the questions or incomplete statements in this section is followed by five suggested answers. Select the best answer in each case. Questions 1 and 2 concern Mr L, who often visits your pharmacy. He is 27 years old, and regularly takes Asacol MR (mesalazine) tablets for Crohn’s disease. He also has eczema.

1. Mr L’s GP asks for your advice. He wants to prescribe a nutritional supplement for Mr L which is approved by the Advisory Committee on Borderline Substances (ACBS) for prescribing on an NHS prescription form for patients with Crohn’s disease. Which one of the following is suitable?

A Renamil powder

B MSUD Aid lll powder

C Renapro powder

D TYR express20 powder

E Alicalm powder

2. Two months later Mr L tells you that his Crohn’s disease has worsened, and he presents a

prescription for Budenofalk (budesonide) capsules, 3 mg three times daily for three months. You should contact Mr L’s GP because:

A Budenofalk capsules are not indicated for Crohn’s disease

B there is an interaction between Budenofalk capsules and Asacol tablets

C the dose of Budenofalk capsules is too high

D a course of Budenofalk capsules should not exceed 8 weeks

E Budenofalk capsules are contra-indicated in patients with eczema

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3. You receive a phone call from Dr G, a local GP, who is on a house call. The patient, an adult who is allergic to penicillin, has otitis externa with spreading cellulitis. Dr G asks for advice on choice of antibiotic. Which one of the following is the most appropriate recommendation?

A flucloxacillin

B rifampicin

C trimethoprim

D oxytetracycline

E clarithromycin

4(Calc). A 2-year-old child weighing 10 kg is prescribed glycopyrronium bromide to be used as

premedication at induction of anaesthesia. Given that she is prescribed the maximum recommended dose for her weight, which one of the following is the correct volume of glycopyrronium bromide injection 200 micrograms/mL that she should be given?

A 0.02 mL

B 0.04 mL

C 0.2 mL

D 0.4 mL

E 2 mL

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Directions for question 5. The following question consists 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

5. FIRST STATEMENT SECOND STATEMENT Ciprofloxacin is the treatment of choice in uncomplicated urinary-tract infection in children

Ciprofloxacin is less likely to cause arthropathy in children than trimethoprim

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Directions for questions 6 and 7. 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

6. You are working as the Responsible Pharmacist at a registered pharmacy and have

planned a 30 minute visit to the local GP surgery whilst the pharmacy is open. You have completed the necessary pharmacy records and you have informed staff of how you can be contacted in the event of an emergency. You are the sole pharmacist in the pharmacy. Which of the following activities can lawfully take place by suitably trained staff whilst you are absent from the pharmacy?

1 handing out of dispensed prescription only medicines that you have checked previously

2 sale of P medicines

3 sale of GSL medicines

7. Which of the following is/are correct concerning insulin?

1 licensed preparations of insulin in the UK contain 10 units per mL insulin

2 insulin requirements are usually decreased by infection

3 insulin lispro (Humalog) has a shorter duration of action than insulin detemir (Levemir)

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Directions for questions 8 to 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

Questions 8 to 10 concern the following scenario:

Mrs B has had a recent Dual-energy X-ray absorptiometry (DXA) scan which confirmed a diagnosis of osteoporosis. Following this scan she has been prescribed risedronate 35 mg tablets. Mrs B has been taking a calcium and vitamin D preparation for the last three years. 8. FIRST STATEMENT SECOND STATEMENT Risedronate can improve bone density

Bisphosphonates enhance bone resorption

9. FIRST STATEMENT SECOND STATEMENT Risedronate should be taken with breakfast

Risedronate is less likely to cause oesophageal reactions when taken with food

10. FIRST STATEMENT SECOND STATEMENT Mrs B should be advised that taking her calcium and vitamin D preparation is no longer necessary now that she is starting on risedronate

Risedronate enhances the absorption of calcium and vitamin D from the gastrointestinal tract