1. Under the drug control act, which of the following types of drugs must be labelled with the required proprietary labels? A. The answer to table c. Non-prescribed drug d. Biological products in the chemical feedstock drug b. What is the category of drugs represented by “h” when a drug is approved under the symbol “national pharmaceutical standard h2010035”? A. The chinese drug b. Chemical c. Biological products d. Answers for importing subpackaged drugs: b3. Which of the following are not special managed drugs? A. The answer to morphine injection fluids (narcotic drugs) b. D. Atropine injections (biological products) c. Hemoprotein (biological) d. Atropine injections: c4. Drugs are labelled “202512” for life, indicating that the drug is available? A. 2025, dated 1 december b. 2025, dated 31 december c. 2025, dated 30 november d. 2025, answers 15 december 2000: b5. The description of the drug adverse response (adr) is correct? A. What kind of storage conditions apply to drugs stored in the “negative” place? A. Temperature ~20°cb. Temperature ~210°cc. Temperature ~ 030°cd. Temperature ~ 10°c answer: a7. Under the prescription management scheme, what is the duration of the ordinary prescription? A. 1 b. 2 c. 3 d. 5 answer: what is wrong with the distinction between prescription and non-prescription drugs? A. Prescription drugs are subject to prescription by a physician, and non-prescription drugs are free to purchase b. Non-prescription drugs marked “otc”, classified as category a (red and white) and category b (green and white) c. Prescription drugs have a number of complex diseases, while non-prescription drugs are mostly common light d. All chinese drugs are non-prescription answerable: d9. A patient is required to take a long-term nitro-benzene tablet (pressure relief), and should pharmacists be particularly reminded? A. What kind of drug b10. Would need to be stored in “cool” conditions? A. Insulin injection fluid b. Cott. Glycerine c. Vitamin c. D. Aspirinic intestinal solution answer: a11. Should the relative humidity of the pharmaceutical wholesalers ' warehouse be controlled according to the drug quality management guidelines (gpp)? A. 35 per cent 75 per cent b. 45 per cent c. 25 per cent 55 per cent d. 50 per cent answer: a12. The description of generic drug names is correct? The statutory name c., as defined by the national pharmacy commission, which is named by the enterprise itself, is the same as the trade name. A. Persons with allergies need to use b. With caution, clearly prohibiting the use of c. For patients who are allergic to the composition of the drug in absolute terms, and continue to use the drug to observe d.'s response to the serious allergy: which of the following cases is a serious adverse reaction to the drug? A. Patient damage to c. Skin slightly itching d. Short-term dizziness after drug use: b15. The characteristic of a type of vaccine under the regulations on vaccination circulation and prevention of inoculation? A. Voluntary vaccination of citizens at their own expense b. The government provides to citizens free of charge the answer that c. Is used only for the vaccination of children d. The cold chain transport is required, but there is no special requirement for storage temperature: what are the following environmental factors that affect the quality of medicines? A. The answer to the problem of contamination of d. Micro-organisms with excessive temperature b. Humidity less than c. Light: abcd2. A. Narcotic drug b. Psychiatry c. Medically toxic drug d. The answer to radiopharmaceutical drugs: abcd3. The “five-segregation” principle for drug storage is correct? The answer to the separation of drugs from non-pharmaceuticals b. Internal and external drugs c. Odour-prone drugs from generic drugs d. Drugs from chinese tablets: what does the abcd4 pharmacist need to focus on when he reviews the prescriptions? A. The age of the patient, sex b. Dosage of the drug and the use of c. Drug d. Signature of the prescription physician regulates the answer: which of the following are in violation of the medicines control act? The essential properties of the drug include: and . 2. “according disorder” in the drug instructions refers to a disease or symptom of the drug . 3. The country manages vaccines, all of which are subject to the system backtracking. 4. The principle of adverse response reporting for drugs is . 5. The key condition for storage of biological products is , which is usually required to be at . The tablets of the tablets must be made in accordance with the specifications of the or . 7. The “uses” of prescriptions should be specified (in chinese pharmacy, in provincial (autonomous regions, municipalities directly under the central government) drug supervision authorities. Drug operators should regularly carry out the inventory of drugs (paths of delivery, single dose, frequency of delivery) and close-term drugs should be reported on a monthly basis. 9. “five-purpose management” of narcotic drugs and group i psychotropic substances means , , , , . The “volume number” on the drug label is . (a set of figures or letters and figures used to identify the “barrel” to trace and review the history of production of the drug) iv. Questions of judgement (10 points per issue) 1. All drugs must be marked for validity. (x, except for chinese tablets) 2. The purpose of adverse effects monitoring of drugs is to phase out all drugs with adverse effects. 3. Non-prescription drugs can be advertised in the mass media. 4. The formulations prepared by medical institutions are available for sale on the market. (x, only for use in this institution) 5. When medicines are stored, the pressure medicine should be kept at a height of the stacks, which should be rotated regularly. 6. Injecting chinese drugs are high-risk drugs that require strict control of drip speed in accordance with instructions. The “j” in the approval symbol for pharmaceuticals represents the importation of medicines. 8. When pharmacists change prescriptions, overdose prescriptions should be refused without contacting a physician. (x, modified or resigned by a medical practitioner) 9. When biological products are transported, temporary deviation from the cold chain can restore temperature within two hours, without affecting quality. (x, any deviation from the cold chain may affect quality) 10. The “notices” in the pharmaceutical instructions mainly point to situations where caution is required, whereas “nomination” is an absolute prohibition on use. V. Brief answers (5 points each, 15 points) 1. Briefly describe the main differences between prescription drugs and non-prescription drugs. Answer 1: definition: prescription drugs (rx) are subject to prescription by a physician; non-prescription drugs (otc) are self-judgmented, purchased and used. 2 marking: prescription drugs have no specific marking; non-prescription drugs have “otc” markings (white type a, green type b). 3according: prescription drugs are mostly complex and serious; non-prescription drugs are mostly common lightness or symptoms are mitigated. 4 safety: non-prescription drugs have been clinically tested for long periods of time, are more secure and less adverse. Market channels: prescription drugs can be sold at pharmacies or hospitals; non-prescription drugs can be sold at pharmacies, supermarkets (category b). 2. To list five storage environmental factors affecting the quality of medicines and to describe their specific impact. Answer: temperature: high temperatures can lead to the decomposition of drugs (e. G. Antibiotics), volatilisation (e. G. Alcohol); low temperatures can lead to the freezing of liquid formulations (e. G. Insulin). 2 humidity: high humidity makes tablets adhesive and chinese screetycophagus; low humidity may cause the capsule to crack. 3 light: ultraviolet can accelerate the oxidation of drugs (e. G. Vitamin c), decomposition (e. G. Sodium nitrate). 4 air: oxygen can lead to the deterioration of drugs (e. G. Adrenaline); co2 may react to alkaline drugs (e. G. Ammonia). 5 microorganisms: bacteria, fungus in the environment may contaminate liquid formulations (such as syrup) or chinese formulations, leading to corruption. 3. What should pharmacists focus on when directing patients to medication? Answer: 1 drug usage: includes route of delivery (oral, external, etc.), correct operation (e. G. Use of aerosols)。2 drug usage: single dose, daily frequency, with special attention to the dose adjustment of children and the elderly. 3 medicine time: before/after meals (e. G. Before stomach mucous protection, sugar meds followed), interval (e. G. Antibiotics every 8 hours). 4 caution: avoided diet (e. G., anti-alcoholic drugs), special reactions (e. G., avoiding sudden stand-up to prevent hypotensive blood pressure after taking a pill). 5 storage methods: need for refrigeration (e. G., insulin), avoidance of light (e. G., nitrate glycerine). Adverse effects recognition: symptoms such as rash, nausea should be stopped and treated in a timely manner. Medical treatment: avoiding self-detoxification (e. G. Antibiotics requiring sufficient treatment) or over-the-course use (e. G. Hormones). Vi. Case analysis (total of 10 points) background: patient zhang, age 65, has long-term use of the following medications for “high blood pressure, coronary heart disease”: aspirin intestines (100 mg per day, one meal, one dress) wafarin info (2. 5 mg per day, one morning, empty abdomen), atova calcium (20mg per day, one night, pre-slept), and recent patients have purchased and taken breffin's slow-respiratory capsules (0. 3g per day, two times per day, after meals). After 3 days, the patient suffers from black defecation and dizziness, and the emergency check indicates “heromorrhage in the upper digestive tract, international standardized ratio (inr) 4. 5 (normal range 23)”. Question: 1. Analyse the probable causes of haemorrhage and inr rise. (5 minutes) 2. How should pharmacists educate patients to avoid similar incidents? (5 minutes) answer: 1. Possible causes of haemorrhage and inr rise: 1 drug interaction: aspirin (anti-blood panels) is used in conjunction with brofen (non-synthetic anti-inflammation drugs), which increases the risk of carte blanche lesions and leads to haemorrhage in the upper digestive tract; aspirin also enhances the anticondensation of valentin (competition for plasma protein integration, inhibition of plate function) and further increases the risk of haemorrhage. 2 brophen may affect the valarin metabolism: some of the non-synthetic anti-inflammation drugs can inhibit liver cytochrome p450 enzymes, reduce metabolic removal of valafalin, resulting in higher blood concentrations, inr extension (normal inr 23, patient 4. 5, signs of anticondensation). Patients are not consulted with pharmacists for their own medication: the interaction of new drugs with pre-existing drugs is not assessed, increasing the risk. Pharmacists' pharmacist education component: 1 emphasizes the risk of self-use: non-prescribed drugs (e. G. Broven) may also interact with prescription drugs and need to be used under the direction of a pharmacist or physician. 2 wafalin medical attention: inr needs to be monitored regularly (1 every 12 weeks and 1 every 4 weeks after stabilization); avoiding consumption of large quantities of vitamin k
