MCQs in Pharmacy Practice MCQs in Pharmacy Practice Second edition Edited by Lilian M Azzopardi BPharm (Hons), MPhil, PhD, MRPharmS Associate Professor and Head of Department Department of Pharmacy University of Malta Msida, Malta London●Chicago Published by the Pharmaceutical Press An imprint of RPS Publishing 1 Lambeth High Street, London SE1 7JN, UK 100 South Atkinson Road, Suite 200, Grayslake, IL 60030–7820, USA © Pharmaceutical Press 2004, 2009 is a trade mark of RPS Publishing RPS Publications is the publishing organisation of the Royal Pharmaceutical Society of Great Britain First published 2004 Second edition 2009 Typeset by J&LComposition, Scarborough, North Yorkshire Printed in Great Britain by TJ International, Padstow, Cornwall ISBN 978 0 85369 839 5 All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, without the prior written permission of the copyright holder. The publisher makes no representation, express or implied, with regard to the accuracy of the information contained in this book and cannot accept any legal responsibility or liability for any errors or omis- sions that may be made. The right of Lilian M Azzopardi to be identified as the author of this work has been asserted by her in accordance with the Copyright, Designs and Patents Act, 1988. A catalogue record for this book is available from the British Library. Contents Foreword to the second edition by C Anderson vii Foreword to the first edition by HR Manasse Jr ix Preface to the second edition xiii Preface to the first edition xv Introduction xvii Acknowledgements xxi About the editor xxiii Contributors xxv How to use this book xxvii Section 1 Open-book Questions 1 Test 1 Questions 3 Answers 27 Test 2 Questions 45 Answers 67 Test 3 Questions 89 Answers 111 Test 4 Questions 133 Answers 151 Section 2 Closed-book Questions 173 Test 5 Questions 175 Answers 201 Test 6 Questions 219 Answers 243 vi Contents Test 7 Questions 261 Answers 287 Test 8 Questions 305 Answers 325 Bibliography 343 Appendix A Proprietary (trade) names and equivalent generic names 345 Appendix B Definitions of conditions 353 Appendix C Abbreviations and acronyms 359 Appendix D Performance statistics 361 Proprietary names index 385 Generic names index 389 Conditions index 397 Subject index 407 Foreword to the second edition The International Pharmaceutical Federation (FIP) has stated: ‘Maintaining competence throughout a career during which new and challenging professional responsibilities will be encountered is a fundamental ethical requirement for all health professionals. Patients have a right to be confident that professionals providing health care remain competent through- out their working lives.’ (Statement of Professional Standards on Continuing Professional Development. The Hague: FIP, 2002.) To become competent and effective pharmacists, there is a need for preregistration trainees and practising pharmacists to have a strong background knowledge as well as the ability to retrieve, to evaluate critically and to apply that knowledge in decision making. It is also important that, as part of the con- tinuing professional development (CPD) process, pharmacists keep informed and continuously revise and assess their knowl- edge. Furthermore, during their career many pharmacists move from one sector of the profession to another or change their role within a particular sector. Pharmacists will need to update their knowledge in order to become competent and skilled practitioners in new areas. Multiple choice questions are increasingly used to test knowledge and understanding objectively at an undergraduate level and in licensing exams. They can be formative as self- assessment exercises with feedback and are particularly useful for revision purposes and as a means of identifying an area for further study. viii Foreword to the second edition This book provides the reader with a variety of practice MCQs, which can be used to assess essential pharmacy practice knowledge in a number of areas, including drug action, uses, clinical pharmacology, adverse effects, pharmaceutical care, counselling points, product selection and pharmaceutical calculations. It will be a very useful text both for pharmacy preregistration examination candidates and for practising pharmacists. Professor Claire Anderson School of Pharmacy, Faculty of Science, University of Nottingham, United Kingdom April 2009 Foreword to the first edition To practise pharmacy effectively and accountably, it is critical for practitioners to have a sound, contemporary and compre- hensive database. In addition to the many good references in textbooks and the periodical literature, there is a certain amount of knowledge that we have to keep current in our mem- ory and daily dialogue. An appropriate balance must be struck by our reliance on memory and our capacity to find, analyse and apply useful knowledge to effective clinical decision mak- ing. Much discussion is currently ongoing around the world of the ideas captured in the phrase ‘continuing professional devel- opment’ (CPD). Simply put, CPD reflects the fact that, for pharmacy professionals to practise with responsibility and accountability, each one must structure a plan and implement mechanisms by which they can maintain their individual com- petence. It also indicates a willingness of the individual practi- tioner to build a portfolio of formal and informal educational processes in which they are continuously engaged to ensure competence. They are also willing to have this portfolio reviewed by their peers and perhaps, regulatory bodies, to establish a formal recognition of competence by external par- ties. Our profession will be examining these precepts over the coming years as a necessary evolution of our thinking around continuing education, public accountability and personal pro- fessional development. Engaging in review of important developments in the field of pharmacy and the disciplines that support its knowledge
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