Chapter 1 - Answers

Chapter 1: Multiple Choice Questions
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Question 1
What makes pharmacists unique in the health care team?
Your answer:
a) Pharmacists advise patients on how take their medicines.
Correct answer:
d) Pharmacists are experts on medicine formulation and use and can apply
this to patient care.
Feedback:
Pharmacists have to be able to do all of the things listed in the answers to
these questions. However, many other health professionals also advise on
medicine use, communicate with patients and have access to a vast amount
of knowledge on medicines and drug usage. The application of
pharmaceutical science to patient care is what makes pharmacists unique.
Page reference: 2
Question 2
All new prescription only medicines medicine must be issued with a
marketing authorisation from the MHRA before they can:
You did not answer the question.
Correct answer:
d) Be advertised to prescribers
Feedback:
All new medicines must be issued with a licence for clinical trials before they
can be tested in humans but this is not the same as marketing authorisation
(MA). Evidence on efficacy and safety from clinical trials and evidence on
quality of the pharmaceutical formulation are required to obtain marketing
authorisation which is required before any advertising can take place. POMs
cannot be advertised to patients in the UK.
Page reference: 6
Question 3
To compare the safety of one medicine with another medicine it would be
necessary to:

Correct answer:
c) Review the evidence from a post marking clinical trial.
Feedback:
Phase I and II clinical trials investigate the pharmacokinetics of a drug and
will also explore safety but they don't usually compare with other medicines.
The yellow card system collects information on the safety of medicines and
the number of reports and the seriousness of the reports received for
different drugs can be compared but there are many factors affecting yellow
card reporting rates including how often a medicine is prescribed. A medicine
with more reports could be prescribed more frequently than the medicine
with few reports. The best evidence on safety would be obtained from a
double blind clinical trial where medicines were used with similar dosages
Page reference: 6
Question 4
Modern day community pharmacies can trace their origins back to chemists
and druggists. What role did these chemists and druggists fulfil?
Correct answer:
c) Chemists and druggists sold poisons and medicines from a shop.
Feedback:
Chemists and druggists sold poisons and medicines from a shop but they did
not visit patients in their homes. Before the Pharmaceutical Society started
registering chemists and druggists in 1868 they were not regulated
Page reference: 8,9
Question 5
The separation of prescribing and dispensing into different roles was a key
stage in the evolution of healthcare. The separation came about with:
Correct answer:
c) The National Insurance Act in 1911
Feedback:
The National Insurance Act in 1911 divided the role of dispensing and
prescribing as the Government believed there as a conflict of interest with
medical profession making profit from prescribing and dispensing for a
patient.
Page reference: 10
Question 6
A profession can be distinguished from other occupations in terms of their
use of knowledge.
Correct answer:
c) Professions rely on a body of specialized knowledge which is not easily
understood by those outside the profession.
Feedback:
The body of specialized knowledge which professions rely may or may not be
available or accessible to those outside the profession but non-professionals
generally do not have the training to understand and apply this knowledge.
Page reference: 12
Question 7
The professions can be distinguished from other occupations in terms of their
work and source of income.
Correct answer:
a) Professions put the interests of their clients/patients first. They manage
their own work and do not need to have it reviewed and approved. Their
income comes from the professional fees they charge.
Feedback:
There are three aspects to this question. 1 - Professions work for the good of
their patients and not the good of the profession. 2 - They are in control of
their own work and do not need approval from another profession. 3 - Their
income comes from the professional fees they charge and not form profit
through sales.
Page reference: 12
Question 8
Which of the following scenarios would be unlikely to raise concerns over a
student's fitness to practise?
Correct answer:
a) A pharmacy student participates in an anti-vivisection demonstration.
Feedback:
Participating in peaceful a demonstration should not raise concerns. If the
demonstration was not peaceful or involved breaking the law then that would
be a different matter. Maintaining patient confidentiality is a priority and

every effort should be taken to prevent disclosure. Recording the patient's
initials and date of birth could lead to identification of the patient. Material
posted on social networking sites can be viewed by anyone. Posting images
that could be viewed as offensive could harm the reputation of the
profession. A change in health status that affects a student's ability to
practice should be notified. Most conditions which are well controlled should
not impact on a student's fitness to practise. However, if a student's ability to
work safely and effectively is compromised then there could be concerns over
their fitness to practise. It is the student's duty to consult with and cooperate
with advice from an appropriate health professional.
Page reference: 15
Question 9
Belonging to a profession brings a range of benefits but it also attracts a
range of obligations. Which of the following is not an obligation associated
with being a professional?
Correct answer:
d) To use specialized information and operate under a monopoly.
Feedback:
Members of professions are obliged to act in the best interests of patients, to
apply a high degree of skill and knowledge to their work, and to be objective
and non-judgmental. Professions may use specialized information and
frequently operate under a monopoly but these are not obligations.
Page reference: 13
Question 10
The role of the pharmacy regulator (the General Pharmaceutical Council) is:
Correct answer:
a) to protect, promote and maintain the health, safety and wellbeing of
members of the public in order to uphold standards and public trust in
pharmacy.
Feedback:
Raising the standard of the profession and protecting interests of the
members was the aim of the Pharmaceutical Society in 1841. Promoting
pharmacy and to advancing science, practice, and education in pharmacy is
the aim of the professional body, the Royal Pharmaceutical Society. Protecting
the interests and rights of members of the pharmacy profession would be the
aim of a union.
Page reference: 16

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Chapter 1: Multiple Choice Questions

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be a different matter. Maintaining patient confidentiality is a priority and

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