Saudi Prometric Pharmacist Hospital Pharmacy Operations

Question 1

A hospital pharmacy receives a prescription for a pediatric patient that requires dose calculation.
The child weighs 22 kg and is prescribed amoxicillin 40 mg/kg/day in 3 divided doses.
The available suspension is 250 mg/5 mL.
What volume is given per dose?

Accepted Answer

14.7 mL per dose (approximately 15 mL)

Answer

29.3 mL per dose

Answer

5.9 mL per dose

Answer

44 mL per dose

Question 2

A hospital pharmacy is implementing a unit-dose dispensing system. What is the primary benefit of this system over bulk dispensing?

Accepted Answer

Reduced medication errors — each dose is individually packaged, labeled, and verified at the patient-specific level

Answer

Lower pharmacy workload — fewer items to prepare daily

Answer

Reduced drug costs — unit doses are less expensive per unit

Answer

Eliminates the need for medication reconciliation

Question 3

A clinical pharmacist is performing ward rounds and identifies that a patient's renal function has deteriorated (GFR now 25 mL/min). Which medication requires immediate dose adjustment?

Accepted Answer

Enoxaparin — risk of accumulation and bleeding due to reduced renal clearance

Answer

Atorvastatin — primarily hepatically metabolized, no renal dose adjustment

Answer

Amlodipine — hepatically metabolized, no renal dose adjustment

Answer

Omeprazole — no renal dose adjustment needed

Question 4

A hospital implements automated dispensing cabinets (ADCs) on clinical wards. Which safety measure is most important?

Accepted Answer

Profile-based dispensing — nurse must select from a patient-specific medication profile before overrides are used; regular reconciliation with pharmacy

Answer

ADCs eliminate the need for pharmacist order review

Answer

Override capability should be disabled for all medications

Answer

ADCs should stock all medications to reduce pharmacy workload

Question 5

A pharmacist is preparing chemotherapy in the oncology pharmacy. Which safety equipment is mandatory for preparation of cytotoxic agents?

Accepted Answer

Biological safety cabinet (BSC) class II type B2 or isolator — full PPE including chemotherapy gloves, gown, mask, eye protection

Answer

Standard laminar airflow workbench (LAF) — same as for standard IV admixtures

Answer

Standard clean room without specific containment — gloves only

Answer

Any hood with HEPA filtration is acceptable for cytotoxic preparation

Question 6

The hospital pharmacy director is reviewing medication error data. Which error type has the highest preventability and represents the most pharmacy interventions?

Accepted Answer

Prescribing errors — wrong dose, drug, route, frequency, or contraindicated drug — intercepted by clinical pharmacist review

Answer

Transcription errors — from paper to electronic system

Answer

Administration errors — by nursing staff

Answer

Dispensing errors — wrong drug picked from shelf