Government Pharmacist Exam Master Series

Hospital & Clinical Pharmacy Mock Test

70 MCQs | Level: Hard → Medium

HOSPITAL PHARMACY BASICS (Q1–15)

Q1. Hospital pharmacy primarily deals with:

A. Agriculture
B. Procurement, storage and dispensing of medicines
C. Industrial production only
D. Veterinary medicine only

Answer: B


Q2. Centralized drug distribution system means:

A. Drugs issued from one central pharmacy
B. Drugs manufactured in hospital
C. Drugs sold outside hospital
D. Drugs stored in wards only

Answer: A


Q3. Unit dose dispensing system improves:

A. Medication safety
B. Drug cost only
C. Tablet hardness
D. Taste masking

Answer: A


Q4. Pharmacy and Therapeutics Committee mainly:

A. Manufactures medicines
B. Selects and evaluates drugs in hospital
C. Conducts surgery
D. Performs laboratory diagnosis

Answer: B


Q5. Formulary is:

A. Medical dictionary
B. Approved list of drugs in hospital
C. Drug bill register
D. Prescription pad

Answer: B


Q6. Narcotic drugs should be stored in:

A. Open shelf
B. Locked cupboard
C. Refrigerator only
D. Ward table

Answer: B


Q7. Pharmacy inventory control aims to:

A. Increase wastage
B. Ensure adequate stock with minimum cost
C. Delay supply
D. Avoid record keeping

Answer: B


Q8. FIFO means:

A. First in, first out
B. Final in, final out
C. Fast in, fast out
D. First issue, final order

Answer: A


Q9. FEFO means:

A. First expiry, first out
B. Fast expiry, fast out
C. First entry, final order
D. Final expiry, first out

Answer: A


Q10. Emergency drugs are commonly stored in:

A. Poison cupboard
B. Crash cart
C. Refrigerator
D. Laboratory

Answer: B


Q11. Sterile products are prepared in:

A. General ward
B. Aseptic area
C. OPD
D. Waiting hall

Answer: B


Q12. Hospital-acquired infection is also called:

A. Viral infection
B. Nosocomial infection
C. Zoonotic infection
D. Opportunistic infection

Answer: B


Q13. Bio-medical waste segregation uses:

A. Color coding
B. Weight variation
C. Tablet coating
D. Titration

Answer: A


Q14. Schedule H drugs require:

A. Free sale
B. Prescription
C. No labeling
D. Veterinary approval only

Answer: B


Q15. Look-alike sound-alike drugs increase risk of:

A. Drug stability
B. Medication errors
C. Drug efficacy
D. Bioavailability

Answer: B


CLINICAL PHARMACY & PATIENT CARE (Q16–30)


Q16. Clinical pharmacy focuses on:

A. Manufacturing
B. Patient-oriented pharmaceutical care
C. Agriculture
D. Drug advertising

Answer: B


Q17. Pharmaceutical care aims to:

A. Improve therapeutic outcomes
B. Increase drug prices
C. Promote irrational therapy
D. Reduce counseling

Answer: A


Q18. Medication history includes:

A. Current and past medicines
B. Diet only
C. Exercise only
D. Family income only

Answer: A


Q19. Patient counseling helps improve:

A. Non-compliance
B. Adherence to therapy
C. Drug toxicity
D. Prescription errors

Answer: B


Q20. Therapeutic drug monitoring is important for drugs with:

A. Wide therapeutic index
B. Narrow therapeutic index
C. Pleasant taste
D. Low potency only

Answer: B


Q21. Digoxin requires monitoring because of:

A. Narrow therapeutic index
B. Poor taste
C. Low cost
D. Color instability

Answer: A


Q22. Warfarin therapy is monitored using:

A. Blood sugar
B. INR
C. ECG
D. Temperature

Answer: B

Government Pharmacist Exam Master Series

Q23. Pharmacist intervention helps in:

A. Preventing drug-related problems
B. Increasing ADRs
C. Increasing hospital stay
D. Reducing efficacy

Answer: A


Q24. Medication adherence means:

A. Correct use of medicines as prescribed
B. Drug addiction
C. OTC drug use only
D. Drug storage only

Answer: A


Q25. Non-compliance may lead to:

A. Treatment failure
B. Better outcomes
C. Lower toxicity always
D. Sterility

Answer: A


Q26. Drug utilization review evaluates:

A. Rational use of medicines
B. Color of tablets
C. Drug packaging only
D. Hospital construction

Answer: A


Q27. Clinical pharmacist participates in:

A. Ward rounds
B. Surgery only
C. Manufacturing only
D. Agriculture

Answer: A


Q28. SOAP notes include:

A. Subjective, Objective, Assessment, Plan
B. Salt, Oil, Acid, Powder
C. Storage, Order, Analysis, Price
D. Supply, Output, Audit, Packaging

Answer: A


Q29. Pediatric dosing commonly depends on:

A. Eye color
B. Weight/body surface area
C. Occupation
D. Religion

Answer: B


Q30. Geriatric patients are more prone to:

A. Drug interactions and ADRs
B. Faster metabolism always
C. No toxicity
D. Increased immunity only

Answer: A

Government Pharmacist Exam Master Series

ADRs & DRUG INTERACTIONS (Q31–45)


Q31. ADR stands for:

A. Adverse Drug Reaction
B. Additional Drug Record
C. Advanced Drug Research
D. Adverse Diagnostic Report

Answer: A


Q32. Type A ADRs are generally:

A. Predictable
B. Unpredictable
C. Allergic only
D. Genetic only

Answer: A


Q33. Type B ADRs are usually:

A. Dose dependent
B. Predictable
C. Bizarre/unpredictable
D. Mild only

Answer: C


Q34. Pharmacovigilance deals with:

A. Drug pricing
B. Detection and prevention of ADRs
C. Drug manufacturing
D. Drug promotion

Answer: B


Q35. Yellow Card Scheme is related to:

A. Drug advertising
B. ADR reporting
C. Drug storage
D. Inventory control

Answer: B


Q36. Penicillin hypersensitivity is an example of:

A. Type A ADR
B. Type B ADR
C. Drug interaction
D. Side effect only

Answer: B


Q37. Drug interaction may occur at:

A. Pharmacokinetic level
B. Pharmacodynamic level
C. Pharmaceutical level
D. All of these

Answer: D


Q38. Antacids reduce absorption of:

A. Tetracycline
B. Paracetamol
C. Insulin
D. Digoxin only

Answer: A


Q39. Warfarin with aspirin increases risk of:

A. Hypertension
B. Bleeding
C. Asthma
D. Constipation

Answer: B


Q40. Rifampicin is a potent:

A. Enzyme inhibitor
B. Enzyme inducer
C. Antacid
D. Chelating agent

Answer: B


Q41. Grapefruit juice may inhibit:

A. CYP450 enzymes
B. Protein synthesis
C. Kidney function
D. Drug dissolution

Answer: A


Q42. Drug-food interaction can affect:

A. Drug absorption
B. Drug metabolism
C. Drug action
D. All of these

Answer: D


Q43. Nephrotoxicity means toxicity to:

A. Liver
B. Kidney
C. Heart
D. Brain

Answer: B


Q44. Hepatotoxicity affects:

A. Liver
B. Kidney
C. Heart
D. Lungs

Answer: A


Q45. Aminoglycosides commonly cause:

A. Ototoxicity
B. Cataract
C. Hyperglycemia
D. Peptic ulcer

Answer: A


MEDICATION ERRORS & SAFETY (Q46–60)


Q46. Medication error may occur during:

A. Prescribing
B. Dispensing
C. Administration
D. All of these

Answer: D


Q47. Prescription errors are reduced by:

A. Illegible handwriting
B. Clear communication
C. Verbal orders only
D. Polypharmacy

Answer: B


Q48. Polypharmacy increases risk of:

A. Drug interactions
B. ADRs
C. Non-compliance
D. All of these

Answer: D


Q49. Medication reconciliation helps prevent:

A. Drug duplication
B. Omission errors
C. Interaction errors
D. All of these

Answer: D


Q50. High-alert medications require:

A. Special precautions
B. Open storage
C. No labeling
D. Self-medication only

Answer: A


Q51. Insulin dosing errors may cause:

A. Hypoglycemia
B. Hypertension
C. Asthma
D. Cataract

Answer: A


Q52. LASA drugs stands for:

A. Low absorption safe agents
B. Look-alike sound-alike drugs
C. Long acting sterile agents
D. Liquid analytical sterile agents

Answer: B


Q53. Medication chart review helps identify:

A. Drug interactions
B. Duplication
C. Wrong dose
D. All of these

Answer: D


Q54. Root cause analysis is used for:

A. Manufacturing
B. Investigating medication errors
C. Drug promotion
D. Tablet coating

Answer: B


Q55. Rational drug use means:

A. Appropriate medicine in correct dose and duration
B. Multiple antibiotics always
C. Self-medication only
D. Irrational combinations

Answer: A


Q56. Antibiotic stewardship aims to:

A. Increase irrational antibiotic use
B. Promote appropriate antibiotic use
C. Avoid infection control
D. Reduce patient counseling

Answer: B


Q57. Needle-stick injury may transmit:

A. HBV
B. HIV
C. HCV
D. All of these

Answer: D


Q58. Biomedical waste sharps are disposed in:

A. Black bag
B. White puncture-proof container
C. Green bag
D. Blue bag

Answer: B


Q59. Hand hygiene is essential to prevent:

A. Nosocomial infections
B. Tablet defects
C. Drug instability
D. Counterfeiting

Answer: A


Q60. Medication incident reporting improves:

A. Patient safety
B. Error repetition
C. Confusion
D. Drug wastage

Answer: A


PHARMACY CALCULATIONS & MISCELLANEOUS (Q61–70)


Q61. 1 g equals:

A. 100 mg
B. 1000 mg
C. 10 mg
D. 10 µg

Answer: B


Q62. Percentage strength 5% w/v means:

A. 5 g in 100 mL
B. 5 mg in 1 mL
C. 50 g in 1 mL
D. 100 g in 5 mL

Answer: A


Q63. Isotonic solutions have osmotic pressure equal to:

A. Pure water
B. Body fluids
C. Alcohol
D. Acids

Answer: B


Q64. Normal saline contains:

A. 0.45% NaCl
B. 0.9% NaCl
C. 5% NaCl
D. 10% NaCl

Answer: B


Q65. IV infusion rate is commonly measured in:

A. mg/min only
B. Drops/min
C. Liters/hour only
D. ppm

Answer: B


Q66. Drug half-life influences:

A. Dosing interval
B. Tablet color
C. Bottle size
D. Drug price only

Answer: A


Q67. Creatinine clearance estimates:

A. Liver function
B. Kidney function
C. Heart rate
D. Blood pressure

Answer: B


Q68. Bioavailability is highest with:

A. Oral route
B. IV route
C. Topical route
D. Rectal route

Answer: B


Q69. Therapeutic index indicates:

A. Drug safety margin
B. Drug color
C. Drug packaging
D. Drug odor

Answer: A


Q70. Evidence-based medicine combines:

A. Research evidence + clinical expertise
B. Advertising only
C. Traditional myths only
D. Cost only

Answer: A

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