Hospital/community Pharmacy Assisting

(Level III)

Part 1. CHOOSE
Choose the best answer for the following questions
1. Rx:- Amoxicillin 250mg/5ml suspension tid for 7 days was prescribed for a patient.
On hand you will have 125mg/5ml suspension. How many ml you dispense?

A. 5ml, 200ml C. 10ml, 200ml

B. 5ml, 210ml D. 10ml, 210ml

2. Which one of the following is psychotropic controlled drug?

A. Pethidine C. Diazepam
B. Tramadol D. Morphine

3. Which one of the following is not controlled drug?

A. Pethidine C. Morphine
B. Amitryptiline D. Diazepam

4. Which one of the following is the same properties about traditional drug and modern
drug

A. More people choose this medication C. Cost saving medication

B. Approves scientifically D. Treats patients

5. Rx:- Co-trimoxazole 960mg Qod for 2 months. On hand tou will have 480mg Co-
trimoxazole. So, from many tablets you disponse for 2 months.
A. 120 tablets of 480mg Co-trimaxazole
B. 60 tablets of 480mg Co-trimaxazole
C. 90 tablets of 480mg Co-trimaxazole
D. 60 tablets of 960mg Co-trimaxazole
1
6. Rx:- Antacid suspension 10ml tid for 1 month. How many bottles you dispense for 1
month? On hand you will have antacid suspensions which contain 200ml.

A. 4 bottles C. 6 bottles
B. 5 bottles D. 7 bottles

7. A suppository which is inserted to the vaginal is known as

A. Rectal supposition C. Bolus

B. Pessaries D. Enemas

8. Vaginal agent solution preparation

A. Enemas C. Pessaries
B. Douchase D. None

9. False about o/w emulsion

A. External phase is water
B. Can conduct electric current
C. Internal phase is oil
D. Greasy by nature

10.True about pharmaceutical spirit except:

A. Sweetening agent
B. Contain Alcohol and Volatile oil
C. Aromatic water
D. Pharmaceutical aid solution

11.What is the role of drug and therapeutic committee in hospital

A. Selection of drug
B. Editing of hospital formulary
C. Disposing of expire drug
D. All
12.Which one of the following drug has disulfirum like action?
A. Metronidazole
B. Chloramphenicol
C. Amoxicillin
2
 D. Tetracycline
13.Which preparation has high concentration of sugar

A. Syrup C. Spirit
B. Elixir D. All

14.Identity the non-hormonal contraceptive methods

A. Combined oral contraceptive C. Levenorgestrol only

B. IUCD D. None

15.Which one study about dosage forms

A. Pharmaceutics C. physical pharmacy

B. Pharmacology D. None

16.The continuous process of drug receiving, storing and stock controlling

A. Distribution C. Selection
B. Procurement D. None

17.Which drug need to store in refrigerator

A. Insulin C. Amytriptylline
B. Diclofenac D. None

18.Which one is a homogenesis phase

A. Suspension C. Cream
B. Ointment D. None

19.One is not traditional medicine

A. Acunpacture C. Homopathy
B. Ayurveda D. None

20.Semi solid preparation which contain more powder

A. Ointment C. Jelly
B. Cream D. None

21.An intravenous 600 mg quinine in 600 mL 5% dextrose in saline is ordered to run for
drip drops
four hours. Calculate the rate of flow in minute (given 1 mL= 15 min )
3
 drops drops
A. 38 min A. 162.5 min
drops drops
B._900 min B._min

22.Suppose you receive a prescription with an order for drug “X” 500 mg tab po bid for
the first 3 days q.d. for the next 3 days and qod for the last 4 days. How many tabs of
the drug with the given strength should be dispensed for the patient?
A. 15 B. 25 C. 11 D. 10
23.Is potentially lifesaving pharmaceutical products
A. Vital products C. Non-essential products
B. Essential products D. None of the above

24.‘’three times aday ‘’ is equivalent meaning to:

A. q.i.d C._b.i.d
B. t.i.d D._ p.r.n
25.The amount of drug taken at one time
A. Dosage regimen C._Daily Dose
B. Total dose D._Single dose
26.The process of combining liquid with a solid form of medication, so that the
medication is used is called .

A. Re-constitution C._Calibration
B. dilution D._Concentration
27.How many grams of drug are in 480 mL of docusate sodium syrup 60mg /15mL
A. 28.8g C. 0.192g
B. 1.92g D.__ 2.88g
28.Drugs that help to remove any thick tenacious mucus from the respiratory passages
A. Mucolytics C. Cough suppressant
B. Expectorants D. Antitussive

4
 29.Metabolism (biotransformation) of a drug can occur in:
A. Liver C. Kidney
B. GI tract D. All

30.The antidote of Pracetamol toxicity is

A._N-acetyl cysteine (NAC) C. Physostigmine

B.Naloxone D. Flumasenile

31.Which one of the following is not antiprotozoa drug

A. Tinidazol D. Chloroquine
B.Alebendazol E. Tetracycline
C.Diloxinate furoate
32.Nightmares or strange dreams the side effect of
A. Abacavir C. Tenofovi
B. Neverapine D. Efavrenz
33.How many antiretrovirals should be taken in order to prevent resistance and improve
the effectiveness of a regimen for a significant period of time?
A. At least 1 C. At least 3
B. At least 2 D. At least 4
34.Protease inhibitors of Antiretroviral Drugs
A. Lopinavir C. Tenofovir

B. Lamivudine D. Efavirenz

35. Which of the following is proton pump inhibitor used to treat peptic ulcer disease
A. Omeprazole C. Ranitidine
B. Cimetidine D. Famotidine
36. ...................is needed to combat peripheral neuritis associated with INH therapy.
A. Pyridoxine C. Folic acid
B. Vitamin B12 D. Niacin
5
37.How many 250mg capsules are needed to fill the following prescription? "Amoxicillin
500 mgA._20
tid for 10 day." C. 60
B.40 D. 80
38.---------------is a liquid in liquid dispersion system
A. Emulsion C. Solution
B.Suspension D. All are answe
39.Items is not need freezing or refrigeration
A. Insulin D. Hepatitis B vaccines
B. Ergometrine E. None of the above
C. Blood product

40.Frequently picked item should be stored on_______

A. Lower level shelves

B. Middle level shelves
C. a Higher level shelves
D. All are correct
41. A rectal suppository is used to treat a fever. This would represent what type of
drug delivery?

A. Parenteral and local C. Enteral and local

B. Parenteral and systemic D. Enteral and systemic

42. Most medicines are made up of the active pharmaceutical ingredient (API) and
various excipients. Which one of the following is NOT a possible justification for
formulating medicines in this way?

A. The excipients stabilise the API so that it does not degrade appreciably before
administration
B. The excipients reduce the possibility of the API irritating the body
C. The API and the excipients each exert a pharmacological effect
D. The API is too potent to use undiluted
6
 43. Which of the following provides the best definition of pharmaceutics?
A. It is the study of dosage form design, including associated manufacturing
techniques
B. It is the study of the effect that drugs have on the body
C. It is the study of the effect that the body has on drugs
D. It is the study of how drugs can be chemically synthesised

44. Which of the following formulations would not be applicable to ocular

administration?

A. Solution C. Suspension
B. Liniment D. Ointment
45._Drugs can be order by:

A. Prescription C. Orally
B. Telephone D. All are answers
46. Is not the correct designation in PTC committee is:
A. Chair person- medical director D. Secretary – head of pharmacist
B. Administrator-as member E. all are correct
C. Chair person – Sub – specialist

47.At time of counseling of patients communicating language should be in

A. Dispenser language D. Hospital pharmacist language

B. Prescriber language E. All are correct
C. Patient language
48.The process of preparing and giving out medicine to a named person on basis of prescription or
non- prescription is:

A. Drug distribution C. Hospital pharmacy

B. Drug dispensing D. Community pharmacy
7
 E. Clinical pharmacy
49. The drugs, which are helpful to increased passage of stool or softening it.

A. Antiacids C. Laxatives
B. Emetics D. None

50. One of the following drug is used In the treatment of amebiasis, giardiasis,
trichomoniasis a

anaerobic bacterial infections.

A. Thiabendazol C. Albendazol
B. Metrindazol D. All of the above

51. Which one of the following hormones should by injected during delayed
labour is:

A. Ergometrine C. Insulin
B. Oxytocin D. Prostaglandin

52. Which one of the following statement does not require special storage condition ?

A. Vaccines C.Combustibles
B.Poisons D. None
53.. .Which one of the following is emergency contraceptive?

A. IUCD B. Diethylstilbostero

C. Norplant D. all

54.. .Constipation is the side effect of

A. Al (OH) 3, C. NaHCO3.,
B. Mg (OH) 2, D. all

55. Successful eradication of H. pylori (80-90%) is possible with

A. Omeprazol, Clarithromycin ,Cimitidine ,Bismuth

B. Rantidin, Amoxicillin, Metrindazol, ,Bismuth
8
 C. Omeprazol ,Clarithromycin ,,Metrindazole, ,Bismuth
D. Clarithromycin ,Cimitidine ,Omeprazole, ,Bismuth

Matching :Part I

A B

____1.Trituration A. Right eye

____ 2. Amber glass B. Prevent microorganism growth
____ 3. Batch number C. Left eye
____ 4. Flocculated suspension D. Sweetening agent
____ 5. Drug therapeutic committee E. Prevent sunlight
____ 6. Douches F. Traditional medicine
____ 7. O/W emulsion G. Alcohol and Aromatic water
____ 8. Spirit H. Emulsion that conduct electricity
____ 9. Acupuncture I. Vaginal agent preparation
J. Highly sedimented preparation
____ 10. Preservative K. Rename and known the product
____ 11. O.L (0.S)(O’culus lae’vus) L. To protect the product from light
____ 12. Disinfectant M. To make compounding
____ 13. Vaginal suppository N. Dispersed material system
____ 14. OD (Oculus dexter) O. Remov microbes from the object
____ 15. Sucrose/Sackherine P. After meal
____ 16. Rectal suppository Q. Annusol
____ 17. Enema R. Pessary
____ 18. Suspension S. Transmitted generally by fecal route
____ 19. PC T. Caused by entamebahistoletica
____ 20. Giardiasis U. Blood thinner or not given to pregnant
____ 21. Ameobiasis V. Antiprotzoal drug
9
 ____ 22. Warfarin W. Formation of blood clot inside blood vessel
____23. Metronidazole X. Uncontrolled bleeding
____ 24. Blood disorder Y. Cleansing for rectal
____ 25. Thrombosis Z. Cotrimoxazole
____ 26. Pneumonia

Part II

A B
____ 27. B-blocker A. Ceftriaxone

____ 28. NSAID B. Captopril

____ 29. Antihistamine C. Atropa belladonna

____ 30. ACEIS D. Hard paraffin

____ 31. First generation cephalosporin E. Frusemide

____ 32. Antifungal drug F. Propranolol

____ 33. Antifungal drug safe for children G. Ketamine

____ 34. Osmotic diuretics H. Griseofulvin

____ 35. Loop diuretics I. Metronidazole

____ 36. Viscosity enhancer J. Mebindazole

____ 37. Anthelmentic K. Ketoconazole

____ 38. Anesthetic drug L. Mannitol

____ 39. Ointment base M. Piroxicam

____ 40. A leaf which dilate pupil N. Chlorpheniramine

____ 41. Malaria O. Cephalexin

____ 42. Codeine P. Methylcellulose

10
____ 43. USP Q. Cincona bark

____ 44. Activated charcoal R. Opoid drug

____ 45. Paracetamol S. United state of pharmacopeia

T. Antiflatulant

U. Antipyretic analgesics

V. ORS

W. Hydralazine

Part III

A B

____ 68. Phase inversion A. Formaldehyde

____ 69. Chlorpromazine B. Quality control assurance

____ 70. Blister/strip packaging C. Flammable

____ 71. Type II diabetes mellitus D. Leak test

____ 72. Not traditional medicine E. Rapid onset faction

____ 73. Sweetening agent F. body language

____ 74. Paste G. Lead time

____ 75. Phenytoin H. Pyrogen free

____ 76. Pharmacist I. Body effect by the drug

____ 77. Irrigation fluid J. An ointment have high powder content

____ 78. Clonazepam K. Drug dispensing

____ 79. Non-verbal communication L. Emulsion

____ 80. Time from order to receive M. For schizophrenia

____ 81. To check leak of ampoule N. For tablet

11
____ 82. Parentral preparation O. Pyrogene free

____ 83. Principle of good manufacturing practice P. Sucrose/ Saccharin

____ 84. Label for dangerous product Q. Implantation

____ 85. Used to sterilize 500 m R. Metformin

____ 86. Use a to sterilize heat sensitive product T. Lead lime

and material U. Filtration sterilization
V. Phenytoin

W. Treat epilepsy

Part IV

____ 87. Anaphylactic shock A. Amoxacillin + clavulanic acid

____ 88. Over the counter B. Antidote for paracetamol

____ 89. Opportunistic infection C. Analgesics antipyretics

____ 90. Augmentin D. Drop

____ 91. Paracetamol E. Room temperature

____ 92. Atropine F. To treat Parkinsonism disease

____ 93. Metronidazole G. Dextrometorhan

____ 94. QD H. Disulfiram like reaction

____ 95. Gtt I. Aerosol

____ 96. Levedipot carbidipa J. Herpes zoster

____ 97. 15oc – 25oc K. Every day

____ 98. N-acetylcysteine L. Adrenaline

____ 99. Tablespoonful M. Antidote for malathion

____ 100. Gown N. 15ml

____ 101. Vaginal suppository O. Liver inflammation

12
____ 102. Thalidomide P. At once

____ 103. Stat Q. Pessary

____ 104. Hepatitis R. Personal protection

____ 105. Affect bioavailability S. Teratogenic

____ 106. NSAID T. First pass effect

____ 107. Pressurized U. Indomethacin

____ 108. Methyldopa V. Safe for pregnancy

____ 109. Codeine W. Opioid drug

X. Cool temperature

Part V

____ 110. Chelating agent A. Diazepam, clonazepam

____ 111. NNRT B. – 15oc to 0oc

____ 112. Deep freeze C. Tablet

____ 113. Binder D. Nevirapine, efavirenz

____ 114. Anticonvulsant drug E. EDTA

13
 Prescription

Part 1 Prescription Processing simulation

Arada Health Centre

Patient name: Bekele Yohanes

Age: 25yrs Sex: F Card No. 00112233

Address: K/ketema _________ Kebele_________H.No.______

Diagnosis (ICD code No.): Pneumonia, Giardiasis, Thrombosis

Treatment given (Drug name, strength, Dosage form, Dose and Duration)

Rx.

Warfarin 2 mg tablet qd fo 30 days

Metronidazole 500mg capsules po T.i.d for 7 days

# 21 capsules

Fortified procaine penicillin 800,000 IU IM qo for 7 days

# 2 vials

Prescriber’s Date Dispenser’s

Full name:- Dr. Belay Lema 17/01/06e.c _______________

Qualification:- MD _______________

Signature _______________

14
Part II. Prescription processing simulation

Arada Health Center

Patient name: Tsehanesh Yohanes REdu

Age: 25yrs Sex: F Card No. 00112233

Address: K/ketema ______ Kebele________H.No________________

Diagnosis (ICD code No.): Gonorrhea, Tapeworm

Treatment given (Drug name, strength, dosage form, dose and duration)

Rx.

Doxycycline capsules 100mg po B.i.d for 7 days:

Ciprofloxacin tablets 500mg po stat.

Niclosamide tablet 2 grams po stat.

Presciber’s Date Dispenser’s

Full name:- Dr. Belay Lema 17/01/06e.c ________________

Qualification:- MD ________________

Signature ________________

15
Extemporaneous Preparation

Project 1 Peppermint spirit BP

Project instruction I: Prepare the given Extemporaneous Preparation by following the

right procedure.

Peppermint spirit BP

Master formula Reduced formula

Perppermint oil----------------------------- 100ml

Ethanol----------------------------------------1000ml

Send 20ml

Reduced formula = Desired quantity = 20ml .

(R.F) Total amount 1000ml = 0.02

* Stock solvent Ethanol = 97%

Dilution formula

C1 V1 = C2 V2

C1 = 97%

V1 = ?

C2 = 90%

V2 = 20ml

N.B= measure and take 18.5 ml of 97% alcohol and add 1.5ml of distited water.

Procedure

16
 1. Ready the material – p.oil, water, Ethanol
Equipment – cylinder, Beaker, Amber, glass (bottle), dropper
2. Tare the bottle
3. Prepare 90% alcohol from 97% alcohol
4. Measure 2ml p.oil and transfer to amber bottle
5. Add 18ml of 90% ethanol in to amber bottle & shake
6. Labeling

Procedure

 Take measured quantity of people and pour to the prescription bottle and rinse
the rest of peppermint oil with amount of ethanol 90% in and mix peppermint
oil and ethanol 90% in bottle
 Add sufficient amount of alcohol 90 make up the volume

Labeling

Peppermint spirit 10% V/V of 20ml, BP

Peppermint oil ------------------------------------------------------------- 2ml

Ethanol (90%) Ad---------------------------------------------------------- 20ml

Action and use:- carminative/flavouring agent

Dose and administration:- as directed by physician

Preparation date:-

Beyond use date:- discard after 3 weeks

Prepared at:- Ayertena Health Sciences College

Prepared by:

Patient name:-

Store in a well – closed container and in cool places

For internal use only

17
Sprits are alcohol or hydro alcoholic solution of volatiles substances and contain 90% of
Alcohol. The high alcoholic contents maintain water – insoluble oils in solutions. If
water is added to a sprit the oil acts separated. Some used as, flavoring agents and
medicinal agents.

Sprit should be kept in well closed container of glass or other suitable materials and
should be stored at temperature not exceeding 25 degree centigrade to reduce loss of
evaporation.

Level 3 Project -2(Two)

Preparation of compound Bonzoic Acid ointment; BP

(White field Ointment)

Ingredients Master formula

Benzoic Acid; in fine powder-------------------------------------- 60 gram

Salicylic Acid, in fine powder-------------------------------------- 30 gram

Emulsifying ointment----------------------------------------------- 910 gram

Mitte: 25 gram

Procedure

Sift the medicaments through separate (180) u sieves. Note that Salicylic Acid is very
irritant to the respiratory tract and precaution should be taken to avoid inhalation. Weigh
the powders after sifting and mix them. Then, place them on an ointment tile and
levigate with two or three times their weight of the base until homogenous. Gradually
incorporate the remaining base.

Project 2

Preparation of Emulslying Ointment, BP

18
Emulsifying Wax------------------------------------------------ 300 gram

White soft paraffin --------------------------------------------- 500 gram

Liquid paraffin ------------------------------------------------- 200 gram

Prepare 25 gram

Procedure

Place ingredients of the base in an evaporating Dish on a water bath and allow melting.
It is most convenient to weigh the liquid paraffin directly in to the Dish and to add the
other ingredients, stir gently to aid melting and mix the ingredients when homogenous
remove from the heat and continue to stir gently until cool.

Project instruction 4: Fill and complete the BINCARD(S) using the information given
below.

NOTE: the bin card is being used XY Hospital

1. On Meskerem 1, 2005 the balance from the previous BIN card show 200
examination Gloves with number of GO 2524 and expire date of July 2015.
2. On Meskerem 3, 2005 20 examination Gloves was issued to Laboratory
department.
3. On Meskerem 5, 2005 30 examination Gloves was issued to minor OR.
4. On Meskerem 7, 2005 100 examination Gloves were supplied from KLM with
number GO21478 and expire date of 05, 2015
5. On Meskerem 10, 2005 60 examination Gloves was issued to AZ hospital
6. On Meskerem 15, 2005 20 examination Gloves issued to Delivery room
7. On Meskerem 16, 2005 200 examination Gloves were supplied from PFSA with
batch number GO21400 and expire date of 09,2015
8. On Meskerem 18, 2005 120 examination Gloves was issued to Cardiac centre.
9. On Meskerem 18, 2005 so examination Gloves were stolen from pharmacy store
with batch number GO21400 and expire date of 09, 2015
10.On Meskerem 25, 2005 20 examination Gloves was issued to Delivery
department
19
 11.On Meskerem 28,2005 physical inventory shows that 160 examination Gloves
GO21400 and expire date of 09,2015

Matching :Part I

A B

____1.Trituration A. Right eye

____ 2. Amber glass B. Prevent microorganism growth
20
____ 3. Batch number C. Left eye
____ 4. Flocculated suspension D. Sweetening agent
____ 5. Drug therapeutic committee E. Prevent sunlight
____ 6. Douches F. Traditional medicine
____ 7. O/W emulsion G. Alcohol and Aromatic water
____ 8. Spirit H. Emulsion that conduct electricity
____ 9. Acupuncture I. Vaginal agent preparation
J. Highly sedimented preparation
____ 10. Preservative K. Rename and known the product
____ 11. O.L (0.S)(O’culus lae’vus) L. To protect the product from light
____ 12. Disinfectant M. To make compounding
____ 13. Vaginal suppository N. Dispersed material system
____ 14. OD (Oculus dexter) O. Remov microbes from the object
____ 15. Sucrose/Sackherine P. After meal
____ 16. Rectal suppository Q. Annusol
____ 17. Enema R. Pessary
____ 18. Suspension S. Transmitted generally by fecal route
____ 19. PC T. Caused by entamebahistoletica
____ 20. Giardiasis U. Blood thinner or not given to pregnant
____ 21. Ameobiasis V. Antiprotzoal drug
____ 22. Warfarin W. Formation of blood clot inside blood vessel
____23. Metronidazole X. Uncontrolled bleeding
____ 24. Blood disorder Y. Cleansing for rectal
____ 25. Thrombosis Z. Cotrimoxazole
____ 26. Pneumonia

21
Part II

A B

____ 27. B-blocker A. Ceftriaxone

____ 28. NSAID B. Captopril

____ 29. Antihistamine C. Atropa belladonna

____ 30. ACEIS D. Hard paraffin

____ 31. First generation cephalosporin E. Frusemide

____ 32. Antifungal drug F. Propranolol

____ 33. Antifungal drug safe for children G. Ketamine

____ 34. Osmotic diuretics H. Griseofulvin

____ 35. Loop diuretics I. Metronidazole

____ 36. Viscosity enhancer J. Mebindazole

____ 37. Anthelmentic K. Ketoconazole

____ 38. Anesthetic drug L. Mannitol

____ 39. Ointment base M. Piroxicam

____ 40. A leaf which dilate pupil N. Chlorpheniramine

____ 41. Malaria O. Cephalexin

____ 42. Codeine P. Methylcellulose

____ 43. USP Q. Cincona bark

____ 44. Activated charcoal R. Opoid drug

____ 45. Paracetamol S. United state of pharmacopeia

T. Antiflatulant

U. Antipyretic analgesics

V. ORS
22
 W. Hydralazine

Part III

A B

____ 68. Phase inversion A. Formaldehyde

____ 69. Chlorpromazine B. Quality control assurance

____ 70. Blister/strip packaging C. Flammable

____ 71. Type II diabetes mellitus D. Leak test

____ 72. Not traditional medicine E. Rapid onset faction

____ 73. Sweetening agent F. body language

____ 74. Paste G. Lead time

____ 75. Phenytoin H. Pyrogen free

____ 76. Pharmacist I. Body effect by the drug

____ 77. Irrigation fluid J. An ointment have high powder content

____ 78. Clonazepam K. Drug dispensing

____ 79. Non-verbal communication L. Emulsion

____ 80. Time from order to receive M. For schizophrenia

____ 81. To check leak of ampoule N. For tablet

____ 82. Parentral preparation O. Pyrogene free

____ 83. Principle of good manufacturing practice P. Sucrose/ Saccharin

____ 84. Label for dangerous product Q. Implantation

____ 85. Used to sterilize 500 m R. Metformin

____ 86. Use a to sterilize heat sensitive product T. Lead lime

and material U. Filtration sterilization
V. Phenytoin
23
 W. Treat epilepsy

Part IV

____ 87. Anaphylactic shock A. Amoxacillin + clavulanic acid

____ 88. Over the counter B. Antidote for paracetamol

____ 89. Opportunistic infection C. Analgesics antipyretics

____ 90. Augmentin D. Drop

____ 91. Paracetamol E. Room temperature

____ 92. Atropine F. To treat Parkinsonism disease

____ 93. Metronidazole G. Dextrometorhan

____ 94. QD H. Disulfiram like reaction

____ 95. Gtt I. Aerosol

____ 96. Levedipot carbidipa J. Herpes zoster

____ 97. 15oc – 25oc K. Every day

____ 98. N-acetylcysteine L. Adrenaline

____ 99. Tablespoonful M. Antidote for malathion

____ 100. Gown N. 15ml

____ 101. Vaginal suppository O. Liver inflammation

____ 102. Thalidomide P. At once

____ 103. Stat Q. Pessary

____ 104. Hepatitis R. Personal protection

____ 105. Affect bioavailability S. Teratogenic

____ 106. NSAID T. First pass effect

____ 107. Pressurized U. Indomethacin

24
____ 108. Methyldopa V. Safe for pregnancy

____ 109. Codeine W. Opioid drug

X. Cool temperature

Part V

____ 110. Chelating agent A. Diazepam, clonazepam

____ 111. NNRT B. – 15oc to 0oc

____ 112. Deep freeze C. Tablet

____ 113. Binder D. Nevirapine, efavirenz

____ 114. Anticonvulsant drug E. EDTA

25
 Prescription

Part 1 Prescription Processing simulation

Arada Health Centre

Patient name: Bekele Yohanes

Age: 25yrs Sex: F Card No. 00112233

Address: K/ketema _________ Kebele_________H.No.______

Diagnosis (ICD code No.): Pneumonia, Giardiasis, Thrombosis

Treatment given (Drug name, strength, Dosage form, Dose and Duration)

Rx.

Warfarin 2 mg tablet qd fo 30 days

Metronidazole 500mg capsules po T.i.d for 7 days

# 21 capsules

Fortified procaine penicillin 800,000 IU IM qo for 7 days

# 2 vials

Prescriber’s Date Dispenser’s

Full name:- Dr. Belay Lema 17/01/06e.c _______________

Qualification:- MD _______________

Signature _______________

26
Part II. Prescription processing simulation

Arada Health Center

Patient name: Tsehanesh Yohanes REdu

Age: 25yrs Sex: F Card No. 00112233

Address: K/ketema ______ Kebele________H.No________________

Diagnosis (ICD code No.): Gonorrhea, Tapeworm

Treatment given (Drug name, strength, dosage form, dose and duration)

Rx.

Doxycycline capsules 100mg po B.i.d for 7 days:

Ciprofloxacin tablets 500mg po stat.

Niclosamide tablet 2 grams po stat.

Presciber’s Date Dispenser’s

Full name:- Dr. Belay Lema 17/01/06e.c ________________

Qualification:- MD ________________

Signature ________________

27
Extemporaneous Preparation

Project 1 Peppermint spirit BP

Project instruction I: Prepare the given Extemporaneous Preparation by following the

right procedure.

Peppermint spirit BP

Master formula Reduced formula

Perppermint oil----------------------------- 100ml

Ethanol----------------------------------------1000ml

Send 20ml

Reduced formula = Desired quantity = 20ml .

(R.F) Total amount 1000ml = 0.02

* Stock solvent Ethanol = 97%

Dilution formula

C1 V1 = C2 V2

C1 = 97%

V1 = ?

C2 = 90%

V2 = 20ml

N.B= measure and take 18.5 ml of 97% alcohol and add 1.5ml of distited water.

Procedure

28
 7. Ready the material – p.oil, water, Ethanol
Equipment – cylinder, Beaker, Amber, glass (bottle), dropper
8. Tare the bottle
9. Prepare 90% alcohol from 97% alcohol
10.Measure 2ml p.oil and transfer to amber bottle
11.Add 18ml of 90% ethanol in to amber bottle & shake
12.Labeling

Procedure

 Take measured quantity of people and pour to the prescription bottle and rinse
the rest of peppermint oil with amount of ethanol 90% in and mix peppermint
oil and ethanol 90% in bottle
 Add sufficient amount of alcohol 90 make up the volume

Labeling

Peppermint spirit 10% V/V of 20ml, BP

Peppermint oil ------------------------------------------------------------- 2ml

Ethanol (90%) Ad---------------------------------------------------------- 20ml

Action and use:- carminative/flavouring agent

Dose and administration:- as directed by physician

Preparation date:-

Beyond use date:- discard after 3 weeks

Prepared at:- Ayertena Health Sciences College

Prepared by:

Patient name:-

Store in a well – closed container and in cool places

For internal use only

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Sprits are alcohol or hydro alcoholic solution of volatiles substances and contain 90% of
Alcohol. The high alcoholic contents maintain water – insoluble oils in solutions. If
water is added to a sprit the oil acts separated. Some used as, flavoring agents and
medicinal agents.

Sprit should be kept in well closed container of glass or other suitable materials and
should be stored at temperature not exceeding 25 degree centigrade to reduce loss of
evaporation.

Level 3 Project -2(Two)

Preparation of compound Bonzoic Acid ointment; BP

(White field Ointment)

Ingredients Master formula

Benzoic Acid; in fine powder-------------------------------------- 60 gram

Salicylic Acid, in fine powder-------------------------------------- 30 gram

Emulsifying ointment----------------------------------------------- 910 gram

Mitte: 25 gram

Procedure

Sift the medicaments through separate (180) u sieves. Note that Salicylic Acid is very
irritant to the respiratory tract and precaution should be taken to avoid inhalation. Weigh
the powders after sifting and mix them. Then, place them on an ointment tile and
levigate with two or three times their weight of the base until homogenous. Gradually
incorporate the remaining base.

Project 2

Preparation of Emulslying Ointment, BP

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Emulsifying Wax------------------------------------------------ 300 gram

White soft paraffin --------------------------------------------- 500 gram

Liquid paraffin ------------------------------------------------- 200 gram

Prepare 25 gram

Procedure

Place ingredients of the base in an evaporating Dish on a water bath and allow melting.
It is most convenient to weigh the liquid paraffin directly in to the Dish and to add the
other ingredients, stir gently to aid melting and mix the ingredients when homogenous
remove from the heat and continue to stir gently until cool.

Project instruction 4: Fill and complete the BINCARD(S) using the information given
below.

NOTE: the bin card is being used XY Hospital

12.On Meskerem 1, 2005 the balance from the previous BIN card show 200
examination Gloves with number of GO 2524 and expire date of July 2015.
13.On Meskerem 3, 2005 20 examination Gloves was issued to Laboratory
department.
14.On Meskerem 5, 2005 30 examination Gloves was issued to minor OR.
15.On Meskerem 7, 2005 100 examination Gloves were supplied from KLM with
number GO21478 and expire date of 05, 2015
16.On Meskerem 10, 2005 60 examination Gloves was issued to AZ hospital
17.On Meskerem 15, 2005 20 examination Gloves issued to Delivery room
18.On Meskerem 16, 2005 200 examination Gloves were supplied from PFSA with
batch number GO21400 and expire date of 09,2015
19.On Meskerem 18, 2005 120 examination Gloves was issued to Cardiac centre.
20.On Meskerem 18, 2005 so examination Gloves were stolen from pharmacy store
with batch number GO21400 and expire date of 09, 2015
21.On Meskerem 25, 2005 20 examination Gloves was issued to Delivery
department
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 22.On Meskerem 28,2005 physical inventory shows that 160 examination Gloves
GO21400 and expire date of 09,2015

Answer Key

1. D 11. D 21. M 31. C 41. T

2. C 12. A 22. L 32. O 42. X
3. B 13. A 23. K 33. R 43. V
4. D 14. B 24. J 34. A 44.
5. B 15. A 25. 35. D 45. W
6. B 16. A 26. I 36. Q 46. Z
7. B 17. A 27. H 37. Y 47. F
8. B 18. D 28. F 38. N 48. M
9. D 19. D 29. Q 39. P
10.A 20. D 30. O 40. S

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