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Copyright Buttercups Training Ltd April 2012
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Level 3 Pharmaceutical Science
Module 2 Assignment 2
1. Ramipril 5mg is available in a calendar pack of 28 tablets
within which there are two sub-packs
of 14 tablets. You receive a prescription for 60 tablets. If an
NHS prescription was not endorsed
what quantity would the pricing agency assume had been
supplied?
a) 56 tablets b) 60 tablets c) 70 tablets d) They would return
it for clarification, they would not assume.
Name.
Module 2 Assignment 2 is composed of 54 questions.
This contributes towards the achievement of the knowledge
criteria for Unit 18: Pharmacy Law,
Ethics and Practice in your course syllabus. These are listed
below:
To achieve the knowledge criteria please refer to the marking
grid provided with the cover sheet for
the Module 2 Assignments. The marking grids outline how many
questions you must answer
correctly in each section to achieve the knowledge criteria
specified.
P2 Explain the uses of The Drug Tariff
P6 Describe the key principles and requirements of current
legislation relating to the use of
controlled drugs
P7 Describe the additional requirements for the use of
controlled drugs in hospitals
P9 Summarise the key principles of legislation within the
pharmacy context (non-pharmaceutical
legislation)
P11 Describe the structure and function of the NHS and other NHS
bodies and organisations
connected with pharmacy
Section 1 (P2)
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Level 3 Pharmaceutical Science
Module 2 Assignment 2
2. In which one of the following circumstances would you NOT
refer to the Drug Tariff if you were unsure on how to? a) Check
endoresements required on a private prescription from a doctor b)
Check on an exemption category for a NHS prescription from a nurse
c) Check if a drug can be prescribed by an NHS dentist d) Check
endorsements required on a NHS prescription from a stoma nurse 3.
According to The Drug Tariff, which of the following is a correct
statement with regard to NHS prescriptions? a) Broken bulk will
only be paid once within 12 months on an item b) If the
prescription calls for 30g of a cream which is listed as a 20g or
50g pack size, you will get paid for supplying the 50g pack c)
Antibiotics are subject to special container rules the nearest pack
size must be dispensed. d) Additional fees of measured and fitted
can be claimed on hoisery
THE ASSIGNMENT CONTINUES ON THE NEXT PAGE
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Level 3 Pharmaceutical Science
Module 2 Assignment 2
4. Match the description to the topics of the Drug Tariff by
filling in the boxes at the bottom of the page
a)
b) c) d) e) f)
a) Borderline
Substances
b) Black List
c) Selected List
Scheme
d) Nurse Prescribers
Formulary
e) Notes on Charges/ Prescription charges
f) Out of Pocket Expenses
Topics
iii. this is a list of food, drink and toiletries only available
on NHS
prescriptions for specific medical conditions.
vi. items on this list must be endorsed ACBS by the prescriber
otherwise you will not be paid for the item by the NHS.
viii. a list of products which may only be prescribed
privately
vii. a list of products that can never be prescribed
privately
xi. these drugs must be endorsed SLS (S11 in Northern Ireland)
by the prescriber if they are prescribed on the NHS
ii. the drugs in this scheme can be found in the section of The
Drug Tariff called Drugs, Medicines and Other Substances that may
be ordered in elderly patients
iv. this is the limited list of items that can be prescribed by
community practitioners/district nurses/health visitors on the
NHS
x. this is the limited list of items that can be prescribed by
Nurse Independent Prescribers on the NHS
ix. this section of The Drug Tariff will indicate the reasons a
patient may be exempt from NHS prescription charges in England
i. this section of The Drug Tariff will indicate the price you
should charge a patient for a private prescription
v. this scheme can allow pharmacies to recoup costs such as
postage or courier fees if the cost has been incurred by the
pharmacy on obtaining the item on an NHS prescription
xii. can be claimed on any drug or appliance which is
prescribable on the NHS
Descriptions
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Level 3 Pharmaceutical Science
Module 2 Assignment 2
5. According to The Data Protection Act 1998, which of the
following statements is false:
a) Information must be held securely
b) A pharmacy must adhere to a request from the patient for
their records to be destroyed
c) Information cannot be divulged to a third party, unless in
exceptional circumstances
d) Records can only be kept for as long as necessary
6. Which one of the following is covered in The Consumer
Protection Act 1987?
a) Temperature of environment
b) Value for money of goods sold
c) Training for staff
d) Correct pricing for goods sold
7. In relation to the Weights and Measures Act 1985, which of
the following is false?
a) Measuring cylinders can be made of plastic
b) All measurements must be made using the metric system
c) Weights must be stamped to show they meet the standards
d) Measures must be stamped to show they meet the standards
8. A patient brings back an amber medicine bottle containing
200ml of salbutamol liquid which
they had dispensed from your pharmacy two days ago. The patient
complains that the glass was
chipped inside the top of the bottle when they opened it for the
first time this morning. You ask to
have a look at the bottle and can see that it is not a
manufacturers bottle, but one of the
pharmacys own.
Who is responsible for this and under which legislation?
a) The pharmacy is responsible under The Trade Descriptions Act
1968
b) The pharmacy is responsible under The Consumer Protection Act
1987
c) The manufacturer is responsible under The Trade Descriptions
Act 1968
d) The manufacturer is responsible under The Consumer Protection
Act 1987
9. Which one of the following statements regarding The Freedom
of Information Act 2000 is true?
a) Pharmacies must charge a fee to provide the information
b) Verbal requests can be made for information
c) Patients can ask for information recorded on the PMR about
their medication history
d) Pharmacies have 20 working days to respond to a request
Section 2 (P9)
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Level 3 Pharmaceutical Science
Module 2 Assignment 2
10. Which one of the following statements is true?
a) Vulnerable adults in Wales are protected under The
Safeguarding and Vulnerable Groups Act
2006
b) In Scotland, checks by the Criminal Record Bureau (CRB) are
used to ensure adults do not pose a
risk to children
c) Safeguarding ensures that children are protected from
bullying by other children
d) Anyone who has been checked by the Criminal Record Bureau
(CRB) in the past will never pose a
risk to a child or vulnerable adult in the future
11. Which statement below reflects equality?
a) Making sure that people from minority groups are treated more
favourably than those who are
not
b) Ensuring that people are treated the same irrespective of
their race, religion or other protected
characteristic
c) Ensuring that disabled customers are served first
d) Ensuring that everybody in the workplace has the same
conditions of employment
12. Which one of the following job advertisements would be
allowed under The Equality Act
2010?
a) Bright, young woman required as PA for managing director
b) Catholic Medicine Counter Assistant required for pharmacy
with local Irish population
c) Qualified technician required for busy dispensary in the city
centre. Must speak Urdu
d) Able-bodied delivery driver required for village pharmacy.
Mornings only
13. Which two of the following statements relating to
discrimination are true?
a) Direct discrimination is when a person is disadvantaged
because of their protected characteristic
b) Direct discrimination is when someone is disadvantaged
because of a protected characteristic of a
family member
c) Indirect discrimination is when a person is disadvantaged
because of their protected characteristic
d) Indirect discrimination is when someone is disadvantaged
because of a protected characteristic of
a family member
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Level 3 Pharmaceutical Science
Module 2 Assignment 2
14. Which one of the following would it be acceptable to do
under Employment Law and Equality
Law?
a) Pay a male technician more than a female technician doing the
same role in the same pharmacy
b) Allow a Muslim technician breaks at particular times of day
in order to accommodate daily
prayers
c) Allow smokers breaks at particular times of day in order to
accommodate their daily habit
d) To dismiss a member of staff who has recently become disabled
without making a reasonable
adjustment to the workplace
15. Which of the following statements regarding waste
regulations is false?
a) Pharmacies are exempt from requiring a licence to accept
waste medicines from patients homes
b) Cytotoxics need separating from other medicines as hazardous
waste
c) All drugs can be de-blistered to save space in the disposal
bins
d) Controlled drugs must be denatured before they can be
disposed of in the pharmacy
16. The Health and Safety at Work Act 1974applies to: a)
Employees only b) Employers, employees and self employed persons c)
Employers d) Employers and employees 17. Categorise the following
list of health and safety activities to indicate who is responsible
for each of them in the workplace. Do this by writing your answer
(a-i) in the correct column of table 1: a) Ensure that correct
equipment is provided and
maintained
b) Provide adequate first aid facilities
c) Complete a risk assessment of potential hazards in the
workplace
d) Provide adequate protective clothing or equipment
e) Provide training on safe working practices
f) Ensure warning signs are correctly in place
g) Follow any Health and Safety procedures provided
h) Report any health and safety concerns
i) Report anything that may affect the ability to work,
e.g. injury or medication
Employer Employee
Table 1
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Level 3 Pharmaceutical Science
Module 2 Assignment 2
18. Which one of the following statements is false? a) The
employer needs to have a formal health and safety policy and risk
assessment if they employ more than 10 staff B. The employer needs
to provide specific protection against fire for staff and customers
C. The HASAWA makes employees responsible for the health and safety
of customers D. A first aid box must be kept in a pharmacy 19. A
RIDDOR F2508 form needs to be completed when
a) A member of staff is off ill for more than 5 days
b) A member of staff is off ill for more than 3 days as a result
of an accident that happened at work
c) A client has an accident in the pharmacy
d) A member of staff is off ill as a result of an accident
occurring at home
20. To which one of the following options do COSHH regulations
not usually apply?
a) Bleach used in the pharmacy toilet b) Return of sharps under
a needle exchange scheme c) Industrial denatured alcohol for
dispensing d) All dispensed medication 21. Which one of the
following statements is false?
a) The packaging and labelling of chemicals is currently covered
under the CHIP regulations
b) CHIP regulations are being phased out and replaced by the CLP
regulations
c) Hazard warnings or data sheets must be provided when
chemicals are sold or supplied
d) Any chemicals dispensed on prescription must be labelled with
the appropriate hazard symbols
22. Use the list below to correctly identify the definition for
the terms hazard, risk and control
measures in relation to risk assessment.
a) A substance, situation or process which has the potential to
cause harm
b) Reducing exposure or the level of risk
c) Exposure to a disease
d) The standard means by which medicines are dispensed
e) Damage to a product or the environment
f) The likelihood of harm being caused
Write the letter that corresponds to the correct definition in
the boxes below
Hazard
.................
Risk
...................
Control Measures
.........................
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Level 3 Pharmaceutical Science
Module 2 Assignment 2
Questions 23-30 refers to the prescription shown in figure 1
23. This question concerns the list of laws given below:
(i) Medicines Act 1968
(ii) Misuse of Drugs Act 1971
(iii) Misuse of Drugs Regulations 2001
(iv) Misuse of Drugs (Safe Custody) 1973
Which of these laws must this prescription comply with?
a) (i), (ii), (iii) and (iv)
b) (i) only
c) (iii) and (iv) only
d) (i) and (iii) only
24. What action is required on presentation of this
prescription
to the pharmacy?
a) This prescription can be dispensed straight away
b) This prescription needs to be given back to the patient
c) The prescription needs to be referred back to the
prescriber
d) The prescription needs to be referred to the pharmacist
25. Explain your reasoning for your answer to question 24
a) There is a minor typographical error which can be amended by
the pharmacist
b) The quantity needs be written in words and must be amended by
the prescriber
c) The prescribers qualification is missing
d) The prescription is valid
26. How long is this prescription valid for?
a) 14 days b) 28 days c) 30 days d) 6 months
Figure 2
Section 3 (P6)
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Level 3 Pharmaceutical Science
Module 2 Assignment 2
27. Where would you find stocks of this drug in your pharmacy?
a) The fridge b) CD cabinet c) A locked drawer d) On the shelf 28.
Explain your answer to question 27 a) It must be stored between 2
and 8oC b) It has no special storage requirements c) It is a
controlled drug schedule 2 d) It is a controlled drug schedule 3
29. What information must legally be recorded after dispensing and
supplying this medicine? (there is more than one correct answer) a)
Patients name and address b) Patients date of birth c) Quantity of
drugs supplied d) Prescribers details e) Running balance f) Name of
the pharmacist who dispensed the medication g) Date of supply h)
Was proof of identity requested? (yes/no) i) Did the person
collecting the medication provide proof of identity? (yes/no) j)
Passport number of the person collecting the medication 30. When
issuing this medication to the patient who is unknown to you, what
would you need to do? a) After ascertaining it is their medication,
hand it out and bid them a good day b) Ask them to confirm their
address and ask them for ID to prove it c) After ascertaining it is
their medication, request ID and ask them to sign the back of the
prescription form d) Ask them to confirm their address and request
they sign the back of the prescription form
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Level 3 Pharmaceutical Science
Module 2 Assignment 2
31. Identify the correct statement about private prescriptions
for Controlled Drugs in Schedules 2 and 3 dispensed in the
community for humans: a) It is good practice but not essential for
prescriptions in the community to be written on one of the
standardised prescription forms e.g. FP10PCD b) The prescription
must contain the private prescriber's identification number c) A
copy of the prescription should be sent to the relevant NHS Agency
d) The prescribers signature can be pre-printed on the private
prescription form 32. Identify the false statement about
requisitions for Controlled Drugs in Schedules 2 and 3: a) A
practitioner may not be supplied with a Controlled Drug until they
have provided a valid requisition, even if the request is "urgent"
b) The requisition must be signed by the recipient c) The
requisition must state the recipient's name and address d) The
requisition must state the recipient's occupation or profession
33. Which of the following dosage instructions is legally
acceptable for a prescription for schedule 2 controlled drugs? a)
As directed
b) Take 1 as directed
c) When required
d) When the need arises Questions 34 to 38 refer to the
following drugs. Answer each question using the boxes provided.
a) Fentanyl patches
b) Temazepam tablets
c) Oxazepam 10mg tablets
d) Co-codamol 30/500 tablets e) Sativex spray 34. Which one the
drugs listed needs to be entered in the CD register when
supplied?
35. Which of the drugs listed requires safe custody but no
records of supplies?
36. Which of the drugs listed belongs to a CD schedule where the
prescriptions are valid for 6 months? 37. Which of the drugs listed
belongs to a CD schedule which is divided into two parts?
38. Which of the drugs listed is technically classed as a
schedule 1 CD but is treated
more like a schedule 2 CD?
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Level 3 Pharmaceutical Science
Module 2 Assignment 2
39. Which one of the following statements regarding the
prescribing of controlled drugs is correct? a) Pharmacist
independent prescribers cannot write prescriptions for any
controlled drugs
b) Nurse independent prescribers can write prescriptions for
controlled drugs to treat addiction
c) Pharmacist supplementary prescribers can write prescriptions
for any controlled drug within a Clinical Management Plan
d) Community Practitioner Nurse prescribers can write
prescriptions for any controlled drug within a Clinical Management
Plan 40. Which of the following statements regarding clinical
governance of controlled drugs is true? a) Accountable officers are
employed in each pharmacy to ensure the safe management of
controlled drugs b) Accountable officers may ask to view SOPs
relating to controlled drugs as pharmacies must legally have these
in place to ensure their safe management c) SOPs must cover record
keeping of CD stock unless the pharmacy has an electronic CD
register d) Electronic CD registers must record running balances
41. If an error is made in a written Controlled Drugs register it
must be corrected by: a) Scoring through the relevant text and
writing the correct information above it b) Marking the error with
an asterisk and making a dated footnote with the correct details c)
Sticking a note to the relevant page stating the correct
information d) Using an eraser to correct the entry as entries must
be written in pencil
42. Identify the situation where a record does not need to be
made in the Controlled Drugs register: a) A box of 30 MST 10mg
tablets is received from the wholesaler b) A box of 30 MST 10mg
tablets is supplied to a patient against a valid prescription c) A
stock box of 30 MST 10mg tablets is destroyed in the presence of an
authorised witness by the pharmacist d) A box of 30 MST 10mg
tablets returned by a patient is destroyed in the presence of the
pharmacy technician by the pharmacist
43. Identify the most appropriate way to denature and dispose of
fentanyl patches: a) Discard the sealed pouch in the general
pharmacy waste b) Remove the patch from the sealed pouch, dispose
of the pouch and the patch in the general pharmacy waste c) Remove
the patch from the sealed pouch, take the backing off, fold the
patch upon itself and place the patch in a CD denaturing kit d)
Remove the patch from the pouch, flush the patch down the toilet
and put the pouch in the general pharmacy waste
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Level 3 Pharmaceutical Science
Module 2 Assignment 2
44. Which one of the following scenarios outlines the correct
procedure to requisition a schedule 2 CD?
a) A midwife who produces a supply order signed by their
appropriate medical officer for pethadine b) A matron from a
nursing home, which employs a doctor, produces a signed order for
morphine that has been signed by the matron c) A pharmacist
independent prescriber who has written a requisition to supply
morphine for the pain clinic he works in d) The owner of a UK ship
(which carries an onboard doctor) in port at Liverpool writes a
signed order in your pharmacy to requisition stock of midazolam
injections
45. Which of the following statements regarding CDs in hospital
is true?
a) A nurse in charge of a ward must make all entries in the CD
register
b) A nurse in charge of a ward must have the CD key on their
person at all times
c) A nurse in charge of a ward must provide a signed order
(requisition) to obtain CD stocks from the
pharmacy department
d) A nurse in charge of a ward must return all CDs for
destruction to the pharmacy department
46. Which one of the following is NOT an appropriate person to
have overall responsibility for the
safe management of CDs in the stated area of the hospital?
a) A midwife in charge of a maternity ward
b) A nurse in charge of the cornonary care ward
c) A theatre nurse in charge of an operating department
d) A consultant in charge of the A&E department
47. Which of the following statements regarding the management
of CDs in hospitals is true?
a) The ward pharmacist will agree the CD stock list required on
a ward with the nurse in charge
b) When CDs are delivered to a ward by a pharmacy porter they do
not need to be signed for by the
receipt ward.
c) The accountable officers for CDs in a hospital will be the
nurses in charge of each ward
d) CD registers are not held on each ward, instead they are held
centrally by the pharmacy
department.
48. Identify the correct statement in relation to CD records in
hospitals.
a) Any CD that has been delivered to the ward as a discharge
medication for a patient on that ward
does not need to be stored in the CD cabinet.
b) Entries in the CD record book on a ward should be witnessed
by another member of staff
c) The nurse in charge of a ward does not need to make stock
checks against the CD record book as
this is done by the pharmacy department
d) Hospital CD record books must be kept for a minimum of 7
years after the last entry
Section 4 (P7)
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Level 3 Pharmaceutical Science
Module 2 Assignment 2
49. Categorise the following list of health care services into
either primary or secondary health
care or those that could be both. Do this by writing your
answers (a-h) in the correct column of
table 2:
a) Community Health Services
b) Mental Health Trusts
c) Community pharmacy
d) GPs
e) Eye casualty
f) Hospital
g) A dental practice
h) Ambulance service
50. Which one of the following is achieved under the current
structure of the NHS?
a) The Secretary of State for Health in London oversees the
budget for the NHS in England, Northern
Ireland, Scotland and Wales
b) Patients are often asked to pay for their treatment on the
NHS
c) The NHS is not readily accessible in all parts of the
country
d) The delivery of NHS services is supported by special health
authorities, for example SIGN, NPSA or
the National Blood Transfusion Service
51. Which statement is true?
a) SIGN this is the Scottish equivalent of NICE
b) NSF these are issued each year to provide a framework for all
diseases
c) NPSA they receive reports of adverse drug reactions
d) NHS Direct (and equivalent service in Scotland and Wales)
provide telephone consultations with
your doctor
Primary Health Care
Secondary Health Care
Could be both
Table 2
Section 5 (P11)
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Level 3 Pharmaceutical Science
Module 2 Assignment 2
52. Which of the following statements is false?
a) The LPC are groups of pharmacists located regionally across
England who negotiate the
community pharmacy contract with the Department of Health
b) The PSNC are a national group in England who negotiate the
community pharmacy contract with
the Department of Health
c) Community Pharmacy Scotland are a national group in Scotland
who negotiate the community
pharmacy contract with the Scottish Executive Health
Department
d) Community Pharmacy Wales are a national group in Wales who
negotiate the community
pharmacy contract with the Department of Health
53. Which of the following is not a role of the NHSBSA (or
equivalent service in Scotland or
Wales)?
a) Administer NHS pension schemes
b) Process prescription payments to NHS pharmacy contractors
c) Monitor the quality of services provided by community
pharmacies
d) Issue European Health Insurance Cards (EHICs)
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Level 3 Pharmaceutical Science
Module 2 Assignment 2
54. Match the following organisation to their function by
filling out the boxes below
a) b) c) d)
Function
iii) responsible for purchasing/providing healthcare for
patients in
their area
ii) responsible for overall budget of NHS services and the
strategic planning for the country
iv) a specialist health and social care service
i) responsible for integrated strategic planning across a region
of the country. This covers both primary and secondary care
Organisation
a) Primary Care
Organisation
b) Mental Health
Trust
c) Department of
Health/ Scottish
Executive Health
Department
d) NHS Health Board
(Scotland)
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Level 3 Pharmaceutical Science
Module 2 Assignment 2
Trainee Declaration of Authenticity
I understand that:
The work in this assignment is my own
All word processed documents must be signed and dated.
Trainees may study together but all assignments are completed
independently.
Buttercups Training Ltd may follow up this assignment with oral
or written questions to ensure work sent for assessment is
authentic.
Copying of other trainee's work or plagiarism will be considered
as malpractice and Buttercups Training Ltd will investigate any
potential cases. Should malpractice be proved the trainee will be
withdrawn from the course.
Print Name: Signature: Date:
.................................................
.................................................
...........................
Pharmacist or Senior Pharmacy Technician Declaration*
I confirm that all work completed in this assignment is the
trainees own work.
Print Name: Signature: Date:
.................................................
.................................................
...........................
Registration Number (if applicable):
.................................................
* If you are completing the course without pharmacist
supervision then your line-manager or dispensary manager can
sign this declaration