1. You have a new medicines counter assistant (MCA) working at your pharmacy and you are responsible for supervising her work.

For the treatment of which one of the following patients would it be appropriate for your MCA to proceed with the sale of hydrocortisone cream 1%?

Question 1 of 20

2. Mr A comes into your pharmacy and asks you to recommend something for his heartburn. His only regular medication is bendroflumethiazide 2.5 mg once daily and he has no known allergies.

Which one of the following preparations would be most suitable to recommend to Mr A?

Question 2 of 20


A man complains of a rash that has developed on his back. He further informs you that it is accompanied by an intense tingling sensation like ''pins and needles''.


These symptoms are typical of which one of the following conditions?

Question 3 of 20

4. A mother has brought her 14-year-old son into the pharmacy to ask you the recommend a treatment for her son's skin condition. Upon examining the son you can see that he has a cluster of comedones on his face as well as papules down his back.

Which one of the following conditions is the son likely to have?

Question 4 of 20

5. Miss L, an 18 year old patient, comes into your pharmacy in visible pain from a headache. She informs you that whilst revising she could feel the onset of a migraine and took one tablet of Imigran Recovery. The pain ceased but appears to have returned three hours later.

What is the most appropriate advice you can give to Miss L?

Question 5 of 20

6. Mrs C asks you to recommend a suitable treatment for a rash on her arm. After questioning Mrs C and examining her arm you suspect that she has ringworm infection. Mrs C seems surprised when you tell her and asks what that is.

Which one of the following should you tell her that ringworm is?

Question 6 of 20

7. Mrs D comes into the pharmacy and asks you to recommend something for her dry, irritating and itchy cough which she has been experiencing for the past 2 days. She is otherwise well and takes no regular medication.

Which one of the following active ingredients would it be most appropriate for you to recommend? 

Question 7 of 20

8. A 48-year-old woman asks you to recommend a treatment for itching. The itchiness is widespread over her body and started about 2 days ago. She has a yellow-brown tanned appearance, and has returned from a holiday in Turkey 2 weeks ago. On questioning she reveals that she feels generally unwell and has difficulty sleeping. She does not take any medication and since returning from holiday she has not changed her diet, or used any new cosmetics or detergents.

Which one of the following courses of action is the most appropriate for you to take? 

Question 8 of 20

9. Mr E comes into your pharmacy asking for treatment of his aphthous ulcer which is located on the bottom side of his left cheek. Upon questioning you establish that he has suffered with this ulcer for 4 weeks; he says it started off about 3 mm in diameter but has gradually increased to about 5 mm in diameter and because he has been so stressed and busy with work he has ignored it and not got any treatment for it despite being in a great deal of pain and discomfort when eating.

Which of the following actions would it be most appropriate for you to take?

Question 9 of 20

10. Mr F has requested to purchase Co-codamol 8mg/500mg tablets to treat his headache. After the appropriate questioning you have decided that is suitable to sell the medicine to him.

Which of the following counselling points would not be appropriate to give to Mr F?

Question 10 of 20

Mrs H, a 35-year-old woman, presents in the pharmacy asking for your advice. She has developed a small circle of thickened skin on the side of her big toe. Although it is not often painful, she is rather conscious of it and would like something to help remove it as the summer is approaching and she wants to wear sandals but is worried at how her feet may look in them.

What is the most likely diagnosis of the lesion on Mrs H's foot?

Question 11 of 20

Miss H is a 30-year-old teacher. She is travelling for 6 weeks to East Africa. Her travel itinerary is as follows:
  • Weeks 1-2: Arrive in Dar-es-Salam, Tanzania, Climb Mount Kilimanjaro (19, 341 feet/ 5,895 m)
  • Week 3: Safari in Serengeti National Park, Tanzania and Maasai Mara Game Reserve, Kenya
  • Week 4: 2 days in Nairobi, kenya then travel to Coastal town, Mombasa, Kenya, for beach holiday
  • Week 5: Mountain Gorilla Trekking, Uganda, Depart from Kampala
She has not travelled alone before, though she will be joining established tour companies during her trip. She is quite anxious but looking forward to the trip. She has no drug or other allergies. She has recently been diagnosed with mild SLE (systemic lupus erythematosus) and has been advised on safe sun exposure. She has a family history of depression. She is leaving on 13th April but does not visit the travel clinic at her GP practice until 23rd March.

Which of the following is the most suitable agent for malaria prophylaxis for Miss H to take during her entire trip?

Question 12 of 20

13. Mr and Mrs L come into the pharmacy requesting treatment for threadworms for them and their 18 month old son. Mr L explains that he has suffered from threadworms before, and is aware of the symptoms and understands that the entire family should be treated.

Which of the following is the best action for you to take?

Question 13 of 20

14. Your pharmacy manager has decided to put a display pack of Amorolfine 5% nail lacquer on the shelf to raise customer awareness of the availability of purchasing this product over the counter. As a result you have received an increased number of requests to purchase the product but have found that in many cases the patient had to be signposted elsewhere and the sale not made.

Here are examples of requests for Amorolfine 5% nail lacquer which you have encountered. Which one of these patients could you have sold the product to?

Question 14 of 20

15. A worried mother comes into the pharmacy with her 3-year-old son. The mother suspects a fever and you record a temperature of 37.8C. The child appears distressed and has been pulling and rubbing at his left ear. The mother informs you he had developed a cold a few days ago. You suspect an ear infection. You recommend paracetamol for the fever and refer the mother to visit the child's GP for a check-up.

Which of the following is the most appropriate dose of paracetamol to be administered every six hours?

Question 15 of 20

16. InfectionsFor each of the statements below select which infection it is most likely to correspond toIf one person is affected all members of their family or household should be treated, preferably on the same day.

Question 16 of 20

17. InfectionsFor each of the statements below select which infection it is most likely to correspond toThis disease produces vesicles, which contain large amounts of virus and are prone to breakage and weeping.

Question 17 of 20

18. InfectionsFor each of the statements below select which infection it is most likely to correspond toIt is advisable for women who are pregnant or who are intending to get pregnant to avoid contact with any carriers of this disease as it can cause congenital abnormalities to develop.

Question 18 of 20

19. InfectionsFor each of the statements below select which infection it is most likely to correspond toIt is recommended that vaccination occur at around 2 months as this can prevent the disease. This is usually done using a combined vaccine including diphtheria and tetanus.

Question 19 of 20

20. InfectionsFor each of the statements below select which infection it is most likely to correspond toThis disease has characteristic white spots surrounded by a red ring (Koplik's spots), which appear on the buccal mucosa in the region of the lower molars prior to the appearances of a rash on the body.

Question 20 of 20


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