PRESCRIPTION WRITING (5Marks)
1.Write a prescription for Mrs.Raji, 45 years old female presents to the outpatient clinic with a 3-month history
of burning epigastric pain, especially 2-3 hours after meals. She also reports bloating and nausea, but no
vomiting or weight loss. On examination , mild tenderness is noted in the epigastric region. A urea breath test
and stool antigen test are both positive for Helicobacter pylori. Upper GI endoscopy reveals a duodenal ulcer.
Doctors Name: xxxxx Patient Name: Mrs Raji Date:
Registration no 12345 Age:45 years
Address: Sex:Female
Phone:9876543210 Address:
Diagnosis: H.pylori –positive duodenal peptic ulcer disease
Rx:
Tab.OMEPRAZOLE 20 mg, orally, twice daily, before meals x 14 days
Tab.AMOXYCILLIN 1 gm, orally, twice daily, after meals x 14 days
Tab.CLARITHROMYCIN 500 mg orally twice daily, after meals x 14 days
Advice:
Avoid spicy foods
Take plenty of fluids and fruits
Review after 14 days
Repeat H.pylori test after 4 weeks
Doctors Signature
PRESCRIPTION WRITING (5Marks)
2. Write a Prescription for this patient Mrs.Sunita, 48 years female who visit your clinic with
complains of chest pain and discomfort on exertion while climbing steps and relieved by taking rest.
She is diagnosed to have Angina pectoris.
Doctors Name: xxxxx Patient Name: Mrs Sunitha Date:
Registration no 12345 Age: 48 Years
Address: Sex:Female
Phone:9876543210 Address:
Diagnosis: Classical Angina
Rx:
1. Tab.ISOSORBIDE DI NITRATE 5 mg sublingually as and when required -10 tablets
2. Tab ISOSORBIDE MONONITRATE 50 mg SR 1 OD, orally x 15 days
3. Tab ATENOLOL 50 mg 1 OD, orally, x 15 days
4. Tab ASPIRIN 100 mg 1 OD, orally x 15 days
Advice:
Take tablets 2,3 and 4 in morning after breakfast
Do not take aspirin empty stomach
Review after 2 weeks or earlier in case of any distress or breathlessness , fainting or palpitations
Doctors Signature
PRESCRIPTION WRITING (5Marks)
3. Write a prescription for Mrs.Latha 25 years old patient, presents to the outpatient clinic with
complains of cough , difficulty in breathing , wheezing . On examination she was tachypneic with
mouth breathing . On examination bilateral coarse crepitations were present .She was diagnosed to
be a case of Acute Bronchial asthma.
Doctors name: xxxxx Patients Name: Date:
Registration No:12345 Mrs Latha
Address Age:25 years
Phone : 9876543210 Sex:Female
Address:
Diagnosis: Acute Bronchial Asthma
Rx:
INHALER SALBUTAMOL METERED DOSE INHALER (MDI) – 2 PUFFS
(100 ΜG/PUFF) SOS 1 INHALER
Advice:
Review after 5 days
Avoid allergens
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PRESCRIPTION WRITING (5Marks)
4. Write a suitable prescription for a 23 years old Mrs.Vimala visits your clinic with complaint of
Throbbing headache lasting for several hours, Pulsatile in nature limited to right side of the head.
Headache starts with visual disturbances, associated with nausea, vomiting, photophobia, intolerance
to sounds. H/O Such episodes had earlier few months ago. She is diagnosed to have Acute migraine.
Doctors Name: xxxxx Patient Name: Mrs.Vimala Date:
Registration no: 12345 Age:23 years
Address: Sex:Female
Phone:9876543210 Address:
Diagnosis: Acute Migraine
Rx:
Tab. IBUPROFEN 400 mg stat orally after food repeat after 6 hrs if needed- 4 tablets
Advice:
Avoid spicy foods
Take plenty of fluids and fruits
Avoid stress, Avoid flashes of light, reduce mobile/TV screening time
Maintain sleep cycle
Revisit after 5 days
Doctors Signature
PRESCRIPTION WRITING (5Marks)
5. Prescribe for this patient, Mr.Amit 25 years old male patient with complaint of painful blisters and
burning sensation on the left side of his face. He is diagnosed to have Herpes Zoster .
Doctors Name: xxxxx Patient Name: Mr Amit Date:
Registration no: 12345 Age:25 years
Address: Sex:Male
Phone:9876543210 Address:
Diagnosis: Herpes zoster
Rx:
1. Tab.ACYCLOVIR 800 mg 5 times a day orally after meals x 7 days - 35 tablets
2. Tab IBUPROFEN 400 mg TDS orally after meals till symptoms subside 10
tablets
Advice:
Avoid scratching
Keep the rash clean and dry
Eat healthy foods
Complete the course of drugs
Revisit after 7 days
Doctors Signature
PRESCRIPTION WRITING (5Marks)
6. Write a prescription for a 45 years old Mr.Sharma, visits you clinic with complains of abdominal
pain in the right upper part of the abdomen. The pain is intense, continuous stabbing in nature,
associated with fever, chills, malaise. On examination the patient is having fever, tenderness right
upper quadrant of abdomen. Patient was diagnosed to have Amoebic hepatic abscess.
Doctors Name: xxxxx Patient Name: Mr Sharma Date:
Registration no:12345 Age:45 years
Address: Sex:Male
Phone:9876543210 Address:
Diagnosis: Amoebic liver abscess
Rx:
1. Tab. METRONIDAZOLE 400mg tablet two tablet, orally, after meals three times a day, after
meals x 10 days
2. Tab CHLOROQUINE PHOSPHATE 250 mg two tablets, orally, after meals 3 times a day for 2
days
3. Tab.PARACETAMOL 500 mg TDS orally, after meals till fever subsides
Advice:
Avoid oily, spicy foods
Avoid alcohol
Take plenty of fluids and fruits
Revisit after 7 days
Amoebic abscess if present should be aspirated
Doctors Signature
PRESCRIPTION WRITING (5Marks)
7. Prescribe for a patient Mr. Selvam, 25 years old male visits your clinic with complaints of
intermittent high grade fever associated with rigor and chills for the past three days. Thick blood
smear is positive for Pl.vivax.
Doctors Name: xxxxx Patient Name: Mr Selvam Date:
Registration no:12345 Age:25 years
Address: Sex:Male
Phone:9876543210 Address:
Diagnosis: Plasmodium Vivax Malaria
Rx:
Day-1: Tablet CHLOROQUINE PHOSPHATE 250 mg tablet, 10 nos;
4 tab stat, followed by 2 tablets after 6 hour.
Day-2: Tablet CHLOROQUINE PHOSPHATE 250 mg tablet -2 tablets
Day-3: Tablet CHLOROQUINE PHOSPHAT 250 mg tablet- 2 tablet.
Tablet PRIMAQUINE PHOSPHATE 15 mg one tablet once a day for 14 days
started on the third day
Tablet PARACETAMOL 500mg TDS till fever subsides
Advice:
Take all the tablets per oral route after meals, complete the course of drugs
Tepid sponging
Avoid oily, spicy foods
Take plenty of fluids
Revisit after 5 days
Doctors Signature
PRESCRIPTION WRITING (5Marks)
8. Prescribe for this patient Mrs. Selvi, 35 years old female was suffering with fever with rigors, severe
headache. Clinical investigation and examination revealed the diagnosis of Chloroquine resistant
Plasmodium falciparum malaria.
Doctors Name: xxxxx Patient Name: Mrs Selvi Date:
Registration no:12345 Age:35 years
Address: Sex:Female
Phone:9876543210 Address:
Diagnosis: Chloroquine resistant falciparum malaria
Rx:
1. Tablet ARTESUNATE 100 mg 1 tab, orally, after meals twice daily for 3 days
2. Tablet SULFADOXINE 1500 mg &
3. Tablet PYRIMETHAMINE 45 mg as a single dose, per oral route after meals
4. Tablet PARACETAMOL 500 mg TDS orally after meals till fever subsides
Advice:
Tepid sponging
Avoid oily, spicy foods
Take plenty of fluids
Revisit after 5 days
Doctors Signature
PRESCRIPTION WRITING (5Marks)
9. Write a suitable prescription for MrDas, 40 years old complaints of evening rise of temperature,
sudden loss of weight, loss of appetite, cough with expectoration, slightly blood tinged sputum for
the past 2 weeks. Weight 45 Kg. No h/o previous treatment for TB. On clinical examination and
investigations, he was diagnosed as a case of Drug Sensitive Pulmonary Tuberculosis.
Doctors Name: xxxxx Patient Name: Mr Das Date:
Registration no 12345 Age:40 years
Address: Sex:Male
Phone:9876543210 Address:
Diagnosis: Pulmonary Tuberculosis
Rx:
Intensive Phase
Fixed dose combination containing 4 Medications
1. TABLET ISONIAZID 75 mg ,OD, orally
2. TABLET RIFAMPICIN 150 mg OD, orally 3 Pills
3. TABLET PYRAZINAMIDE 400 mg OD orally FIRST 2 MONTHS
4. TABLET ETHAMBUTOL 275 mg OD orally
Continuation Phase
Fixed dose combination containing3 Medications
1. TABLET ISONIAZID 75 mg OD, orally
2. TABLET RIFAMPICIN 150 mg, OD, orally 3 Pills NEXT 4 MONTHS
3. TABLET ETHAMBUTOL 275 mg, OD, orally
TAB. PYRIDOXINE 10 mg, OD, orally Total X 6 MONTHS
Advice: Take all the drugs after meals
Avoid oily, spicy foods
Take plenty of Proteins, fluids and fruits
Monthly sputum examination for AFB
Monthly complete haemogram and liver function tests
Contact screening
Doctors Signature
PRESCRIPTION WRITING (5Marks)
10. Prescribe for Baby. Ananya, 3 years old female child, was brought to the hospital with fever and
convulsions . She was diagnosed to have Febrile Fits .
Doctors Name: xxxxx Patient Name:Baby Date:
Registration no 12345 Ananya
Address: Age:3 years
Phone:9876543210 Sex:Female
Address:
Diagnosis: Febrile Convulsions
Rx:
1. INTRANASAL MIDAZOLAM 0.2 mg/Kg immediately
2. Tepid sponging
3. SYP. PARACETAMOL 125MG 15 mg/Kg /dose every 4thhrly, per oral route
Advice:
Treat fever early
Keep the child cool with tepid sponging
Hydrate with plenty of fluids
At the onset of febrile illness, intermittent oral CLONAZEPAM –for recurrent febrile seizures (0.1mg/kg
every 8-12 hrs)
Lay the child on their side to prevent choking during seizure episode
If seizure happens seek medical emergency help.
Doctors Signature
PRESCRIPTION WRITING (5Marks)
11. Write a suitable prescription for Mr. Guru, 58 years old male, was brought to the emergency unit
with complaints of severe chest pain with mild dyspnoea and sweating. H/o retrosternal pain
radiating to left arm. He was diagnosed to have Myocardial Infarction-STEMI.
Doctors Name: xxxxx Patient Name: Mr Guru Date:
Registration no: 12345 Age:58 years
Address: Sex:Male
Phone:9876543210 Address:
Diagnosis: Acute Myocardial Infarction
Rx:
• Oxygen 4 L / Hour via nasal cannula
• Tablet ISORBIDE DINITRATE 5 mg sublingual route stat
• Injection MORPHINE SULPHATE 10 mg in 10ml dilution ?? to be given as slow iv
• Tablet ASPIRIN 300 mg orally stat
• Tablet CLOPIDOGREL 300 mg orally stat
• Tablet ATORVASTATIN 80 mg stat
• Injection HEPARIN 5000 UNIT intravenous route bolus stat
• Injection STREPTOKINASE 15,00,000 UNIT of STREPTOKINASE
To be infused 100 ml of normal saline IV over 45 minutes
• Tablet METOPROLOL 5 mg OD per oral
• Tablet ALPRAZOLAM 0.5 mg at bed time per oral
• Tablet BISACODYL 5 mg at bed time per oral
Followed by
Tablet ASPIRIN 75 mg OD per oral
Tablet CLOPIDOGREL 75 mg OD per oral
Tablet ATORVASTATIN 20 mg OD at bed time per oral
Tablet ENALAPRIL 2.5 mg OD per oral
Advice:
Close monitoring of vitals
Take medicines regularly
Eat low fat, low salt diet
Doctors Signature
PRESCRIPTION WRITING (5Marks)
12. Write a prescription for Mrs.Radha 32 years old female visits your clinic with history of headaches > 15 days
/ month for the past 6 months , with atleast 8 days/month. She also describes about headache which was
unilateral, throbbing associated with photophobia and nausea. She was diagnosed to have Chronic Migraine.
Doctors Name: xxxxx Patient Name: Mrs.Radha Date:
Registration no 12345 Age:32 years
Address: Sex:Female
Phone:9876543210 Address:
Diagnosis: Chronic Migraine
Rx:
1. Tablet PROPRANOLOL 20 mg twice daily orally x 7 days
Advice:
Avoid spicy foods
Take plenty of fluids and fruits
Avoid stress, Avoid flashes of light, reduce mobile/TV screening time
Maintain sleep cycle
Revisit after 5 days
Doctors Signature
