Chapter 2 - Hospital Pharmacy

Which of the following best describes the role of the Pharmacy and Therapeutics (P&T) Committee in a hospital setting?

• Develops medical infrastructure and approves surgical protocols.
• Creates policies related to patient nutrition and hygiene.
• Oversees clinical trials and ethical approval for experimental drugs.
• Evaluates drug use patterns and formulates evidence-based medication policies.

A well-structured P&T Committee typically includes representatives from:

• Only the procurement department and pharmacy store.
• Pharmaceutical company representatives and administrative assistants.
• Physicians, pharmacists, and nursing staff contributing interdisciplinary expertise.
• External vendors and hospital financial auditors.

Which scenario most appropriately demonstrates the function of a hospital formulary?

• A hospital selects drugs based on cost alone, ignoring safety and effectiveness.
• The hospital lists all medications available in the open market.
• A curated list of approved drugs based on clinical need, safety, and institutional policy.
• A reference guide maintained by local pharmacies for public distribution.

The process of developing a hospital formulary primarily involves:

• Random selection of common medicines available in the region.
• Selection of drugs based on promotion by pharmaceutical companies.
• Inclusion of all drugs requested by consultants without assessment.
• Critical evaluation of efficacy, safety, and cost by a multidisciplinary committee.

One of the key functions of the Infection Control Committee (ICC) is to:

• Supervise food quality in the hospital canteen.
• Recommend construction of new pharmacy storage spaces.
• Monitor infection trends and recommend preventive strategies to limit healthcare-associated infections.
• Handle drug procurement from restricted suppliers.

What is the pharmacist’s specific role in preventing antimicrobial resistance (AMR)?

• Ensuring that antibiotics are stocked in sufficient quantities.
• Dispensing antibiotics based on patient requests.
• Promoting fixed-dose combinations for all infections.
• Monitoring antibiotic usage patterns and promoting adherence to hospital antibiotic policies.

How does the P&T Committee contribute to rational drug use?

• By promoting patient self-medication for minor ailments.
• By encouraging physicians to follow brand loyalty.
• By establishing guidelines for antibiotic use and formulary updates.
• By limiting access to low-cost medicines only.

Which of the following best defines the hospital formulary?

• A government-mandated price list of medicines.
• An inventory log maintained by pharmacy staff.
• A list of high-cost medications sold to private patients.
• An official list of medications approved for use in a specific hospital based on therapeutic standards.

Pharmacists support formulary compliance in a hospital by:

• Allowing physicians to prescribe non-formulary drugs freely.
• Encouraging use of any medication provided by pharmaceutical reps.
• Auditing prescriptions and providing feedback on adherence to formulary.
• Substituting prescriptions with similar-sounding medicines.

Automatic stop orders are implemented primarily to:

• Control stock movement in the pharmacy store.
• Reduce the cost of bulk drug purchases.
• Ensure medication courses are completed without clinical oversight.
• Prevent unnecessary prolongation of drug therapy, especially antibiotics.