Hospital Pharmacy

A hospital pharmacist proposes switching IV paracetamol to oral formulations in stable patients. Which principle is best being applied here?

• Drug interaction prevention

• Clinical guideline enforcement

• Cost containment strategy

• Automatic stop order application

Which of the following would not fall under the direct responsibilities of the PTC?

• Training nursing staff in insulin administration

• Evaluating drug utilization trends

• Reviewing medication errors

• Developing antibiotic prescribing policies

A hospital pharmacy experiences frequent stock-outs of insulin during peak admission seasons. What budgeting method would best address this issue?

• Operating Budget

• Flexible Budget

• Incremental Budget

• Capital Budget

If a hospital pharmacy exceeds its allocated budget for oncology drugs due to unexpected patient admissions, how should this variance be addressed during an audit?

• Ignore the deviation if it benefited patients
  

• Reduce next month’s spending to compensate

• Shift the overspend to another department's budget

• Document and justify the overspend with clinical evidence

Which scenario best illustrates incremental budgeting?

• Planning an ICU-specific formulary based on patient feedback

• Increasing last year’s budget by 12% to cover expected price hikes

• Creating a new budget based on zero-based principles

• Adjusting monthly drug purchases according to seasonal diseases

Which of the following best describes the In-Patient Services Division in hospital pharmacy?

• Supplies medications to outpatients and issues counseling leaflets

• Manufactures and sterilizes ophthalmic and IV solutions

• Prepares and dispenses radiopharmaceuticals

• Dispenses medications to hospitalized patients and inspects treatment areas

A hospital pharmacist receives a complaint that a new batch of IV antibiotics causes severe phlebitis in multiple wards. Which action should be taken first?

• Replace the batch with another brand immediately

• File a formal complaint to the state FDA

• Inform the procurement officer to block further orders

• Report to PTC and initiate a defect investigation report

Which of the following sub-committees under PTC would most likely evaluate a new oral anticoagulant for safety and formulary inclusion?

• Anti-infectives

• CV drugs

• CNS drugs

• Endocrinology agents

The PTC discovers that an antibiotic is often prescribed for viral infections. What corrective measure should they prioritize?

• Conduct CME sessions on rational antibiotic use

• Suspend the use of the drug

• Remove the drug from the hospital formulary

• Replace it with another antibiotic

Which situation most strongly justifies an automatic stop order for a medication?

• Shortage of the drug in inventory

• High cost of the drug

• Increased patient complaints about side effects

• Misuse of hypnotics by staff