I am a pharmacist. These slides describe mcqs clinical pharmacy. I hope students get more benefits about it.

1. UNIVERSITY OF VETERINARY & ANIMAL SCIENCES, LAHORE
INSTITUTE OF PHARMACEUTICAL SCIENCES
Tel. Off. 042-99213683 (042-99211449-50 Ext. 207)
CLINICAL PHARMACY
MCQS BANK
Multiple choice questions
1. Which of the following statements regarding pharmaceutical care is true?
a) Pharmaceutical care usually does not overlap into other areas of heath care
b) Pharmaceutical care and clinical pharmacy are synonymous.
c) Pharmaceutical care implies that the pharmacist is no longer responsible for dispensing
functions.
d) Pharmaceutical care is based on strategies to provide continuous patient care to
attain desired outcomes.
e) Both B & D
2. All of the following are medication related problems except
a) Untreated indications
b) Therapeutic failure
c) Improper drug selection
d) Sub-therapeutic dosage
e) Failure to receive medication
3. In the CORE pharmacotherapy plan, what does the E stand for?
a) Education of patient or caregiver
b) Efficacy issues
c) Elaboration of case
d) Evaluation parameters
e) None of these
4. The pharmacist's role in the selection of therapeutic alternatives requires which of the
following clinical skills?
a) Review and critique drug literature
b) Patient counselling
c) Perform drug use evaluations (DUEs)
d) Knowledge of community resources
e) Both B & D
5. Which of the following points would not be included in the ASSESSMENT portion of the
FARM note?
a) Recommendations made to the patient or caregiver
b) Severity, priority, or urgency of the problem
c) Short term and long- term goals of the Intervention
d) Additional information that is needed to best assess the problem
e) Both A & D
6. Rational medication fulfils following criteria except
a) Appropriate indication
b) Appropriate medicine
c) Appropriately informed patients
d) ADRs monitoring

2. e) Patient adherence
7. Which of the following is accurate about BPH and prostate related issue?
a. All men with BPH demonstrate lower urinary tract symptoms (LUTS), and all men
with LUTS have BPH
b. The risk for acute urinary retention (AUR) increases with age
c. Prostate volume typically decreases over time in men with BPH
d. Complications (e.g. bladder stones or recurrent UTIs) are frequent
8. Which of the following is accurate regarding treatment of BPH?
a. Watchful waiting is contraindicated in patients with moderate to severe symptoms,
even those who are not bothered by symptoms
b. Most patient with BPH present with obvious surgical indications
c. Anticholinergic agents are used as first line treatment
d. Receptor- specific alpha blockers are typically indicated as first line medical
therapy
9. A 39-year-old carpenter has taken two bottles of liquor from the local shop.
After about an hour, he develops confusion, vomiting and blurring of vision. He
has been brought to the emergency department. He should be given
a. Naloxone
b. Diazepam
c. Flumazenil
d. Ethyl alcohol
10. The goal of Pharmaceutical Care is to optimize the
a. patient's health-related quantity of life
b. achieve positive clinical outcomes
c. unrealistic economic expenditures
d. All of these
11. Consequences of Poor Adherence.
a. Treatment failure
b. Drug resistance
c. more uncertain prognosis
d. All of these
12. In accelerated approach the first dose of Alteplase is?
a. 0.75mg/kg over the duration of 15 minutes
b. 15mg IV bolus over 1-2 minutes
c. 0.95 mg/kg over the duration of 30 minutes
d. 1.5mg/ kg over the duration of 1 hours
13. Which one is not suitable for the management of lead toxicity?
a. Dimercaprol
b. Succimers
c. Defroxamine
d. ETDA

3. 14. Which one of the following medications are responsible for calcium oxalate
stones?
a. Topiramate and fluidic acid
b. Ciprofloxacin
c. Ethacrynic acid and furosemide
d. Sulpha drugs
15. Specific indicator in the diagnosis of iron deficient anemia in children?
a. Hypochromia
b. Presence of source of bleeding
c. Reduced serum iron level
d. Insufficiency of iron
16. A 76 years old man who is taking amiodarone needs to start the warfarin for DVT
prophylaxis following hop surgery. Suggest the appropriate initial dose of
warfarin?
a. 15mg
b. 7.5mg
c. 2.5mg
d. 5mg
17. Revised WHO criteria for patients with malignancy in anemia
a. Hg < 14 in men and Hg < 12 in women
b. Hg < 12 in men and Hg < 14 in women
c. Hg < 13 in men and Hg < 12 in women
d. Hg < 11 in men and Hg < 12 in women
18. Inflammation in Functional Iron Deficiency is due to:
a. Sequestration of iron within reticuloendothelial system (RES).
b. Increased total iron binding capacity.
c. Increased absolute amount iron available for erythropoiesis.
d. Both a & b
19. Heparin is contraindicated in:
a. Sepsis
b. Thrombocytopenia
c. Severe hypotension
d. Viral endocarditis
20. In pregnancy, doses of heparin in excess of 20,000 U per 24 hrs. for more than 5
months is questionable due to risk of
a. Abortion
b. Premature delivery
c. Osteoporosis
d. Arthritis
21. Common symptoms of thalassemia are:
a. bone deformities, especially in the face
b. dark urine and pale skin

4. c. delayed growth and fatigue
d. all of these
22. Half-life of Protein C is
a. 8 hours
b. 9 hours
c. 10 hours
d. 11 hours
23. Which of the following statements regarding pharmaceutical care is true?
a. Pharmaceutical care usually does not overlap into other areas of heath care
b. Pharmaceutical care and clinical pharmacy are synonymous.
c. Pharmaceutical care implies that the pharmacist is no longer responsible for
dispensing functions.
d. Pharmaceutical care is based on strategies to provide continuous patient care
to attain desire outcomes
24. Compression stockings are
a. An appropriate venous thromboembolism prevention strategy for the patient
at moderate risk
b. A relative expensive strategy
c. Not well tolerated by the majority of patients
d. Ineffective therapy
25. IgA induced nephropathy is caused by:
a. Cytomegalo virus
b. Influenza virus
c. Sinusitis
d. Cold sores
26. Wasif is 59 years old male suffering from stage 3 renal disease, it was revealed by
reports that K+ is too high. Which one of the following will provide immediate
effect to manage hyperkalemia?
a. Potassium gluconate
b. Calcium gluconate
c. Sodium bicarbonate
d. Ringer lactate
27. Maintenance dose of methadone is ____________
a) 60mg/day
b) Less than 60mg/day
c) More than 60mg/day
d) 80mg/day
e) Less than 80mg/day
28. Which of the following drug is used as an opiate substitution therapy instead of
methadone?
a) Flumazenil
b) Diazepam

5. c) Domeperidone
d) Buprenorphine
e) Amphetamine
29. An acquired reaction to a drug in which continued use of the same dose has
diminished effects is known as
a) Tolerance
b) Withdrawal
c) Physiological dependence
d) Dosing
e) Misuse
30. Which of the following is not an example of drug misuse?
a) Excessive use of and dependency on a drug
b) Taking medicine more often than is recommended
c) Not following the instructions when taking a medicine
d) Taking a friend's prescription medicine
e) Not following the prescribed regimen