PACOP - Hospital and Clinical
Pharmacy (Red) Questions and
Answers | Latest Version | 2025/2026 |
Correct & Verified
What is the primary responsibility of a hospital pharmacist in inpatient care?
✔✔ Ensuring the safe, effective, and rational use of medications for hospitalized patients
Define clinical pharmacy.
✔✔ Clinical pharmacy is the branch of pharmacy where pharmacists provide patient-centered
care to optimize medication therapy and improve health outcomes
What is the role of a pharmacist in medication reconciliation?
✔✔ To review all medications a patient is taking and ensure accuracy during transitions of care
Name a key responsibility of a clinical pharmacist in a multidisciplinary healthcare team.
✔✔ Participating in rounds and providing drug therapy recommendations to physicians
What is therapeutic drug monitoring (TDM)?
1
,✔✔ The measurement of specific drug levels in a patient’s blood to ensure efficacy and prevent
toxicity
List one common drug that requires therapeutic drug monitoring.
✔✔ Vancomycin
What is the role of a pharmacist in antimicrobial stewardship?
✔✔ To promote the appropriate use of antibiotics to reduce resistance and improve patient
outcomes
Define adverse drug reaction (ADR).
✔✔ Any unintended or harmful response to a drug administered at normal doses
What is the pharmacist’s role in reporting adverse drug reactions?
✔✔ Identifying, documenting, and reporting ADRs to regulatory authorities and healthcare
teams
What is the purpose of a hospital formulary?
2
,✔✔ To provide a list of approved medications for use within the hospital to ensure safe,
effective, and cost-efficient therapy
How does a pharmacist contribute to medication safety in hospitals?
✔✔ By reviewing prescriptions, checking for drug interactions, dosing errors, and
contraindications
What is polypharmacy and why is it a concern?
✔✔ The use of multiple medications by a patient, which increases the risk of drug interactions
and adverse effects
Name one intervention a clinical pharmacist can perform to reduce medication errors.
✔✔ Conducting prescription audits and providing feedback to prescribers
What is a high-alert medication?
✔✔ A drug that carries a higher risk of causing significant patient harm if used in error
Give an example of a high-alert medication.
3
, ✔✔ Insulin
What is the role of a pharmacist in patient counseling?
✔✔ Educating patients about the correct use of medications, potential side effects, and adherence
strategies
What is the importance of intravenous (IV) admixture review by a hospital pharmacist?
✔✔ To ensure proper drug compatibility, correct dosing, and sterile preparation of IV
medications
Define clinical pharmacy rounds.
✔✔ Hospital-based patient rounds where pharmacists participate to provide drug therapy
recommendations and monitor patient outcomes
What is the role of a pharmacist in discharge planning?
✔✔ Reviewing medications, counseling patients, and providing recommendations to ensure safe
continuation of therapy at home
What is the importance of renal dosing adjustment?
4
Pharmacy (Red) Questions and
Answers | Latest Version | 2025/2026 |
Correct & Verified
What is the primary responsibility of a hospital pharmacist in inpatient care?
✔✔ Ensuring the safe, effective, and rational use of medications for hospitalized patients
Define clinical pharmacy.
✔✔ Clinical pharmacy is the branch of pharmacy where pharmacists provide patient-centered
care to optimize medication therapy and improve health outcomes
What is the role of a pharmacist in medication reconciliation?
✔✔ To review all medications a patient is taking and ensure accuracy during transitions of care
Name a key responsibility of a clinical pharmacist in a multidisciplinary healthcare team.
✔✔ Participating in rounds and providing drug therapy recommendations to physicians
What is therapeutic drug monitoring (TDM)?
1
,✔✔ The measurement of specific drug levels in a patient’s blood to ensure efficacy and prevent
toxicity
List one common drug that requires therapeutic drug monitoring.
✔✔ Vancomycin
What is the role of a pharmacist in antimicrobial stewardship?
✔✔ To promote the appropriate use of antibiotics to reduce resistance and improve patient
outcomes
Define adverse drug reaction (ADR).
✔✔ Any unintended or harmful response to a drug administered at normal doses
What is the pharmacist’s role in reporting adverse drug reactions?
✔✔ Identifying, documenting, and reporting ADRs to regulatory authorities and healthcare
teams
What is the purpose of a hospital formulary?
2
,✔✔ To provide a list of approved medications for use within the hospital to ensure safe,
effective, and cost-efficient therapy
How does a pharmacist contribute to medication safety in hospitals?
✔✔ By reviewing prescriptions, checking for drug interactions, dosing errors, and
contraindications
What is polypharmacy and why is it a concern?
✔✔ The use of multiple medications by a patient, which increases the risk of drug interactions
and adverse effects
Name one intervention a clinical pharmacist can perform to reduce medication errors.
✔✔ Conducting prescription audits and providing feedback to prescribers
What is a high-alert medication?
✔✔ A drug that carries a higher risk of causing significant patient harm if used in error
Give an example of a high-alert medication.
3
, ✔✔ Insulin
What is the role of a pharmacist in patient counseling?
✔✔ Educating patients about the correct use of medications, potential side effects, and adherence
strategies
What is the importance of intravenous (IV) admixture review by a hospital pharmacist?
✔✔ To ensure proper drug compatibility, correct dosing, and sterile preparation of IV
medications
Define clinical pharmacy rounds.
✔✔ Hospital-based patient rounds where pharmacists participate to provide drug therapy
recommendations and monitor patient outcomes
What is the role of a pharmacist in discharge planning?
✔✔ Reviewing medications, counseling patients, and providing recommendations to ensure safe
continuation of therapy at home
What is the importance of renal dosing adjustment?
4
