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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.
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-registrationtraining/trainees/registration-assessment/assessment
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.
2.
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
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
terbinafine tablets
fluconazole capsules
posaconazole suspension
ketoconazole tablets
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 only is correct
if 3 only is correct
Directions Summarised
A
1, 2, 3
3.
4.
B
1, 2
only
C
2, 3
only
D
1
only
E
3
only
Which of the following laboratory test results would not be expected in a healthy adult?
1
an eGFR of 21 mL/minute/1.73m2
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 woman asking to buy Spasmonal capsules (alverine) for her 10-year-old daughter
who is suffering from stomach cramps
Directions Summarised
A
1, 2, 3
5.
B
1, 2
only
C
2, 3
only
D
1
only
E
3
only
foster carers
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.
7.
Which one of the following statements is correct with regard to patient counselling?
a patient using fentanyl patches should be advised to avoid exposing the application
site to external heat such as a hot bath
a patient using lidocaine 5% patches should be advised about the signs and
symptoms of opioid overdose
a patient taking a one week course of oral prednisolone should be advised that the
dose should be reduced gradually when stopping
hypomagnesaemia
hypertension
blurred vision
taste disturbance
haemorrhage
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
Directions for questions 9 and 10. The following questions consist of a first statement in the lefthand 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
B
C
D
E
if both statements are true and the second statement is a correct explanation of the
first statement
if both statements are true but the second statement is NOT a correct explanation
of the first statement
First
Statement
True
True
True
False
False
Second
Statement
True
True
False
True
False
Directions Summarised
2nd statement is a correct explanation of the first
2nd statement is NOT a correct explanation of the first
A
B
C
D
E
First
Statement
True
True
True
False
False
Second
Statement
True
True
False
True
False
Directions Summarised
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:
Furosemide tablets 40 mg bd
Mitte 56
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
10.
FIRST STATEMENT
SECOND STATEMENT