Course on the Management of Drugs at the Health Centre Level

Evaluation Test

Please answer all questions.
Read instructions at the beginning of each section carefully.

Participant’s Name: ________________________________________________

Participant’s Profession (eg, Registered Nurse, Enrolled Nurse, Medical Assistant, Clinical Officer, Other): ____________________________________________________________

Participant’s Station: _________________________________________________

Time Allowed: 1.5 Hours

Section A

Circle the correct answers (a question may have more than one correct answer).

1. The Essential Drugs Concept was conceived as a result of:

a) Too many useless drugs in the markets.
b) The increasing costs of drugs in the world market.
c) Scarce financial resources being spent on less important drug items.
d) Free health care services advocated by African governments.

2. Essential drugs are:

a) Those that do not satisfy most health care needs.
b) Of good quality and available at all times.
c) Always given in their brand names.
d) Usually not affordable.

3. The following statements can be associated with the Bamako Initiative:

a) Non-community participation in health care matters.
b) User fees for drugs.
c) Drug revolving fund.
d) Free health-care services.

4. HIV/AIDS can be:

a) Diagnosed.
b) Cured.
c) Treated.
d) Prevented by immunization.

5. Efficient management of drugs will:

a) Ensure constant supply.
b) Minimize wastage of resources.
c) Reduce prices of drugs.
d) Maximize adverse effects of drugs.

6. Buffer stock is:

a) The same as request quantity.
b) Security stock.
c) Not always necessary.
d) All of the above.

7. Cash obtained from the sale of drugs should be kept:

a) In the house.
b) In a safe in the dispensary.
c) In the bank.
d) With a friend in the bank.

8. When there is a burglary in the dispensary:

a) Do nothing.
b) Inform the head of the health centre.
c) Report to the police.
d) Take inventory.

9. An inventory is done in the pharmacy store:

a) When there is a burglary.
b) As necessary when free time is available.
c) At the beginning or end of the year, at least.
d) When handing over.

10. Drug use involves the following:

a) Proper diagnosis of disease.
b) Proper and accurate writing of a prescription using a trade name.
c) Handing over the drug(s) to patient with appropriate information and counselling.
d) All of the above are correct.

11. A label on a container or package of a dispensed drug should have the following:

a) The cause or nature of illness.
b) The trade name of the drug.
c) The name and signature of the dispenser.
d) The quantity of drugs dispensed.

12. To ensure patient compliance to the prescribed drug, the dispenser should stress the following points:

a) When and how to take the drug.

b) To share the drug(s) with the immediate members of the family to prevent the spread of disease in the family.

c) To take all drugs on an empty stomach.

d) To take all drugs after food.

13. Good dispensing practice involves several steps, among them the following:

a) Interviewing the patient to establish the exact nature of the disease.

b) Interpreting the prescription in terms of the dose, the patient and the requirements of a prescription.

c) Calculating and measuring out the required quantity of drug to be dispensed.

d) Recording details of the dispensed prescription to ensure accountability among other reasons.

14. Estimation of drugs required for a given period is undertaken for the following reasons:

a) To avoid theft/pilferage.
b) To avoid stock outs.
c) To attract more patients to visit the centre.
d) To prevent excess stock and therefore wastage through expiry.

15. When calculating monthly consumption of tetracycline, the most accurate figures would be obtained for:

a) Consumption for 6 months.
b) Consumption for 12 months.
c) Consumption for 24 months.
d) Consumption for 4 months.

16. When completing a stores requisition/delivery form, the following information should be filled accurately:

a) Average monthly consumption.
b) Name of drug and dosage form.
c) Lead time.
d) Unit of issue and quantity requested.

17. When receiving drugs at the health centre, ensure that:

a) All the drugs are coming from district hospital stores.
b) Drugs received are not expired.
c) Quantity issued corresponds to quantity indicated on the stores requisition/delivery form.
d) The drug box is opened when those delivering are gone.

18. When selecting drugs, one looks at the:

a) Disease pattern of the area under consideration.

b) Preference for drugs that are most popular among the community.

c) Seasonal variation in disease patterns.

d) Availability of drugs for the treatment of the most prevalent diseases, ailments, sicknesses and so forth at the given level of care.

19. Drug selection is influenced a lot by:

a) National Health Policy.
b) National Drug Policy.
c) Quantity and type of care provided.
d) Available human resources.

20. In the push system of distribution:

a) No ordering of drugs is done.
b) No inventory is taken.
c) No expiration dates are checked.
d) No management skills are required.

21. A stock card should have the following information:

a) The manufacturer of the drug.
b) Expiration date of the drug.
c) Quantity of drug received.
d) Quantity of drug issued.

22. Receipt entry shows:

a) Date of manufacture of the drug.
b) Reference number of supplies.
c) Amount of drugs received.
d) One month’s consumption.

23. The following measures will ensure that temperatures in the drug store remain favourable for the storage of drugs.

a) Painting walls with black paint.
b) Installing heaters at regular intervals.
c) Leaving windows open over night to allow air circulation.
d) Installing air conditioners that will maintain a temperature below 245 degrees C.

Section B

24. Name the four main steps (in logical sequence) in the drug management cycle:

a) __________________________________________________________________
b) __________________________________________________________________
c) __________________________________________________________________
d) __________________________________________________________________

25. List six entries that should be made on a new stock card:

a) _________________________________________________________________
b) _________________________________________________________________
c) _________________________________________________________________
d) _________________________________________________________________
e) _________________________________________________________________
f) _________________________________________________________________

26. Enter the following transactions on the stock card below:

In January 2001, Mabote Clinic received from the QE II hospital 60 tins of a new item in the store called Niverapine 60 mg tablets. During January, two tins of 500 tablets were issued to the dispensing area. In February, five tins were issued, and in the next two successive months, six and seven tins were issued respectively. Finally during the last four months, six, eight, nine and ten tins were issued, respectively.

a) What is the average monthly consumption of niverapine? _________________________

b) Assuming the lead time is one month, what is the request indicator? _________________

c) Assuming the lead time is one month, what is the quantity to be ordered? _____________

d) Assuming the lead time is two months, what is the quantity to be ordered? ____________

Dispensary Store ________Stock Card No. ______________________________

Item: ______________ Dosage _____________ Unit of Issue ______________ RI____

27. You are responsible for prescribing drugs at the Domicillary Health Centre in Maseru. You diagnose a 3-year-old baby, Thato Mosenene, weighing 15 Kg, with pneumonia and fever. The drug of choice is amoxycillin 15 mg/kg orally every 8 hours for 10 days. Calculate the dose to be given every eight hours to the baby assuming a syrup presentation of amoxycillin containing 250 mg/5 ml is available.

Answer: (a) ______________ mg

Answer: (b) ______________ ml

28. On a separate page, using the accepted standard abbreviations, write a complete prescription for Baby Thato for dispensing by another nurse.

29. Give four reasons why drugs should be stored in appropriate storage areas.

________________________________________________________________________
________________________________________________________________________

30. What do the following stand for?

a) FIFO
b) FEFO
c) Which of the above stock movement systems would reduce loss due to the expiration of drugs?

31. Why is it important to use generic names of drugs when they are being procured or prescribed? Give three reasons.

________________________________________________________________________