It has been an exciting year for The pharmaceutical journal, with the launch of our new website and the publication of the special issue âMedicines for children and adolescentsâ in February. In this time of change, we have continued to explore new content formats, such as our Calculus video series. We have also increased our focus on the professional, or core, skills pharmacists need to do their jobs and continue to develop as essential members of the multidisciplinary team – something we will develop further in 2022.
Throughout 2021, we continued to publish high quality resources to support pharmacists in their learning and development. This end-of-year quiz is divided by clinical area, giving you the opportunity to improve your knowledge and identify areas that could benefit from targeted learning prior to revalidation. The answers to the quiz can be found at the end of this article.
1. What advice should be given to parents or caregivers caring for babies with acute diarrhea?
a. Aspirin dissolved in water can be given to manage a high temperature
b. Prepare infant formula at half the usual strength
vs. Small sips of soft drink can be given to replace lost electrolytes
D. Give babies who receive formula or solid foods small sips of water between feeds
e. Refer to a general practitioner if symptoms do not go away within 24 hours
From: “Case-based learning: acute diarrhea”
2. The Truelove and Witts Severity Index is a tool used to define the severity of ulcerative colitis in adults. Which of the following parameters is not used in the index?
a. Bowel movements
vs. Blood in stool
D. Sedimentation rate
e. C-reactive protein levels
From: “Inflammatory bowel disease: symptoms and diagnosis”
3. A parent comes to a pharmacy with their three year old child who has had fever and mild pain for the past 24 hours and asks what dose of paracetamol (120 mg / 5 ml) should be given. Which of the following statements is correct?
a. 5 ml four times a day
b. 7.5 ml four times a day
vs. 10 ml four times a day
D. 15 ml four times a day
e. 20 ml four times a day
From: “Use of paracetamol in infants and young children”
4. The transition of young patients from pediatric health care services to adult care services is defined as “the deliberate and planned process that meets the medical, psychosocial and educational / professional needs of adolescents and young adults with physical illnesses. and chronic health care as it unfolds centered on adult-centered health systems â. At what age should the transition planning process for young patients begin?
a. Between 7-8 years
b. As soon as the young person enters pediatric services
vs. Between 11-12 years old
D. At 18 years old
e. There is no optimal age to begin transition planning
From: “Transition from care to adult services”
5. A new mother feels severe pain after giving birth, she is breastfeeding her child. Which opioid option would be preferred?
From: “How to counsel women on the safe use of drugs while breastfeeding”
6. Which long-acting, reversible contraceptive can be inserted for use as emergency contraception?
a. Copper intrauterine device
b. Etonogestrel implant
vs. Injection of progestin-only contraceptive depot
D. 52 mg levonorgestrel-releasing intrauterine system
e. 19.5 mg levonorgestrel-releasing intrauterine system
From: ‘Long-acting reversible contraception‘
Alice S / BSIP / Scientific photo library
7. A patient presents to a drugstore with dark brown spots on the joints and describes inflammation, itching and redness a week earlier (see image). What would be the diagnosis?
Demnet New Zealand
a. Pigmentary lichen planus
e. Post-inflammatory hyperpigmentation
From: ‘Common dermatological disorders of colored skin ‘
8. Which of the following images shows a rash of maculopapular shingles?
Shutterstock.com / Dr P Marazzi / Choksawatdikorn / Scientific photo library
From: ‘Case-based learning: shingles‘
9. Feedback is an essential resource for promoting prescribing safety, and the possibilities for providing it should be increased. Which of the following statements is not the best practice for providing effective feedback to an individual on their prescription?
a. Learn about the prescriber’s experience and confidence in performing the calculations
b. Encourage discussion and reflection using open-ended questions
vs. Judge the prescriber’s performance or compare / rate him against other people
D. Provide specific individualized feedback verbally and in writing
e. Provide evidence of prescriber performance in the form of audits and sample prescriptions
From: “Prescribing errors in children: why they happen and how to avoid them”
10. What does the term âlong-COVIDâ refer to?
a. An unofficial term used to describe both ongoing symptomatic COVID-19 syndrome and post-COVID syndrome, where groups of symptoms overlap, fluctuate, and often change over time
b. Signs and symptoms that develop during or after an infection compatible with COVID-19, persist for more than 12 weeks, and are not explained by another diagnosis
vs. New or persistent symptoms of COVID-19 that occur 4 to 12 weeks after the initial onset and include symptoms such as shortness of breath, lethargy, and weakness
D. The first four weeks after the initial infection with SAR-CoV-2 which can affect several organ systems, especially the respiratory system
e. Clusters of COVID-19 symptoms that overlap, fluctuate and change over a period of 24-36 months from the time of initial infection
From: ‘Managing the long-term effects of COVID-19‘
Respiratory tract disorders
11. Which class of drugs should be used with caution when combined with inhaled steroids due to the risk of increased blood levels of steroids?
From: “Uncontrolled asthma: evaluation and management”
12. Leukotriene receptor antagonists are often ineffective in preventing wheezing in preschool children, however, they can be used in those whose parents are reluctant to use inhaled corticosteroids. What side effects should prompt the immediate discontinuation of treatment?
a. Headache and fatigue
b. Nausea and illness
vs. Pharyngitis and cough
D. Bruises and nosebleeds
e. Nightmares and behavior changes
From: “Diagnosis and Management of Wheezing in Preschool Children”
13. What type of work is considered the gold standard in clinical research studies and is missing from the pyramid of evidence?
a. Randomized clinical trials
b. Cohort studies
vs. Systematic reviews / meta-analyzes
D. Animal studies
e. Case series
From: ‘Critical appraisal: how to assess research for use in clinical practice â
14. Which of the following is NOT one of the nine attributes that make up the framework of professional attributes that forms the basis of situational judgment tests for trainee pharmacists?
a. Resilience and adaptability
b. Inclusion and diversity
vs. Professional integrity and ethics
D. Person-centered care
e. Quality management and organization
From: “Oriel Situational Judgment Test: What Pharmacy Students Need to Know”
15. In the evaluation of the General Pharmaceutical Council registration, if there are no rounding instructions at the end of a question, what action should be taken?
a. Round the answer to the nearest whole number
b. Do not round off the answer
vs. Round off the answer to one decimal place
D. The answer is a whole number, so no rounding is necessary.
e. Follow the rounding instructions from the previous question
From: “Borough guide for pharmacy students and interns”
|1) d||9) c|
|2) e||10) a|
|3) b||11) c|
|4) c||12) e|
|5) b||13) a|
|6) a||14) b|
|7) e||15) d|