PSI Dispensing Practice 4

Question 1

When dispensing eye drops, which key counselling point is most commonly omitted?

Accepted Answer

Nasolacrimal occlusion (pressing inner corner of eye for 1 minute) to reduce systemic absorption

Answer

Nasolacrimal occlusion reduces drainage of eye drops into the nasolacrimal duct, preventing systemic absorption via nasal mucosa. This is especially important for beta-blocker or anti-glaucoma eye drops.

Question 2

For patients on multiple medicines, a Medicines Use Review (MUR) aims to:

Accepted Answer

Identify adherence issues, side effects and interactions to optimise therapy

Answer

MURs are structured, pharmacist-led consultations for patients on multiple long-term medicines, identifying problems with understanding, adherence, side effects and interactions to improve outcomes.

Question 3

Medicines reconciliation at hospital discharge involves:

Accepted Answer

Comparing the patient's pre-admission medicines with discharge medicines to identify unintended discrepancies

Answer

Medicines reconciliation compares the complete pre-admission medication list with newly prescribed medicines at each care transition, identifying omissions, duplications and changes requiring communication.

Question 4

A Monitored Dosage System (MDS) such as a Dosette box is most appropriate for:

Accepted Answer

Patients with poor adherence or cognitive impairment taking multiple medicines

Answer

MDS organises medicines by time of day and day of week. They are indicated for patients struggling with complex regimens due to cognitive impairment, polypharmacy or disability.

Question 5

Which term describes the practice of using a medicine outside its licensed indication?

Accepted Answer

Off-label prescribing

Answer

Off-label use means prescribing a licensed medicine outside its approved indication, patient group, dose or route. It is legal but requires additional clinical justification and patient counselling.

PSI Pharmacy Practice Test

PSI Pharmacy Practice Test

PSI Dispensing Practice 4