A prescriber wants to prescribe alprazolam, a Schedule 8 medicine, for a patient. Under the legal framework governing controlled drugs in Australia, which requirement applies to the prescribing and supply of Schedule 8 medicines?
Legal Framework
Question · Easy
P-R-I-L: the -pril arena anthem
Short
A patient presents a PBS Authority Required (STREAMLINED) prescription for a medicine. What is the key practical difference between a streamlined authority and a phone/online authority prescription?
Question · Medium
Government program that subsidises the cost of listed medicines for Australians (abbreviation).
Legal framework
Guess the Term
Introduction & Exam Overview
1.1 Current Exam Facts
Study guide
A pharmacist receives a prescription for a Schedule 4 medicine that is not listed on the PBS. The patient wants it supplied. Which statement is CORRECT regarding this supply?
Read the clue and guess the term in 6 tries.
Game
A 35-year-old woman asks for a Pharmacist Only (Schedule 3) supply of a triptan for migraine. Under the legal and professional framework, what must the pharmacist do before supply?
National body that works with 15 boards to run the registration scheme and handle complaints about clinicians (abbreviation).
A patient asks the pharmacist to release a copy of their dispensing history to their adult son, who is not their carer and has no documented authority. Under privacy obligations, what is the MOST appropriate response?
Under the Pharmacy Board of Australia codes and guidelines, an intern pharmacist becomes aware that a colleague is practising while impaired by alcohol, placing patients at risk. What is the intern's professional obligation?
Verb whose noun form is the term social scientists use, rather than compliance, for following a prescribed treatment.
Patient-centred care
1.2 Pathway to General Registration
A patient with no Medicare card and an urgent need for their regular salbutamol inhaler presents on a Sunday with no prescription and a worsening cough. The prescriber cannot be contacted. Which legal mechanism MOST appropriately allows supply of this prescription-only medicine?
Question · Hard
Swap tiles to line up three of the same term.
Term Match
A medicine that is not registered on the Australian Register of Therapeutic Goods (ARTG) is needed for an individual patient. The prescriber wishes to access it. Which pathway is designed for this situation?
Adjective describing the dose adjustment needed when kidney function is reduced.
An Aboriginal man presents wanting help managing his type 2 diabetes. To deliver a patient-centred, culturally responsive approach to his medication management, which action is MOST appropriate?
Patient Centred Medication Management
A 78-year-old woman is started on a new antihypertensive. She lives alone, has mild cognitive impairment, and has difficulty opening child-resistant lids. Which patient factor is MOST likely to impact her adherence and should be addressed?
Patient measure, along with age, that many children's doses are based on.
1.3 Restricted Open-Book Strategy (AMH & APF)
A patient newly diagnosed with hypertension (clinic BP 150/95 mmHg) has no other cardiovascular risk factors or comorbidities. According to standard Australian therapeutic guidance, which is generally an appropriate FIRST-LINE pharmacological option if drug therapy is indicated?
Flip two cards at a time to find matching terms.
Term Pairs
A 60-year-old man with newly diagnosed type 2 diabetes (HbA1c 7.8%), normal renal function and a BMI of 31 is to start oral therapy. In the absence of contraindications, which medicine is generally the preferred FIRST-LINE agent in Australian practice?
Way a medicine is given, such as by mouth or into a vein.
A pregnant woman in her first trimester asks for advice about managing nausea and vomiting of pregnancy that has not responded to dietary measures. Which factor is MOST important when selecting a pharmacological option?
A patient taking warfarin asks whether they can start St John's wort for low mood. What is the MOST important issue to raise?
Category of medicine a person can buy without a prescription (abbreviation).
Medication management
1.4 Scoring, Results & Appeals
A patient with stage 4 chronic kidney disease (eGFR 22 mL/min/1.73m2) is prescribed a medicine that is predominantly renally cleared. What is the MOST appropriate pharmacist action?
Find five hidden terms in a grid of letters.
Term Search
A patient with asthma is prescribed a salbutamol pressurised metered-dose inhaler (pMDI). To optimise drug delivery to the lungs and reduce oropharyngeal deposition, which device or technique should be recommended?
Manufacturer's named version of a medicine that a pharmacist may dispense instead of the prescribed version under substitution.
A breastfeeding mother needs analgesia after a minor procedure. Which factor most determines whether a particular analgesic is appropriate during breastfeeding?
A patient is prescribed an SSRI for depression and also takes tramadol for pain. Which adverse interaction should the pharmacist be MOST alert to?
PBS authorisation, shown on a prescription, for an additional supply after the original quantity.
Legal Framework: PBS & Medicine Schedules
2.1 PBS, Authority Prescriptions & Special Access Scheme
A patient with a documented severe penicillin allergy (anaphylaxis) is prescribed amoxicillin for a respiratory infection. What is the MOST appropriate pharmacist action?
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A patient taking long-term oral prednisolone 25 mg daily for several months tells the pharmacist they want to stop it abruptly because they 'feel fine'. What is the key safety message?
Printed information on a medicine container that identifies the product and gives directions for its use.
A patient on methotrexate 10 mg weekly for rheumatoid arthritis presents a prescription that reads 'methotrexate 10 mg DAILY'. What should the pharmacist do?
A patient with a history of peptic ulcer disease is prescribed regular naproxen for osteoarthritis. To reduce gastrointestinal risk, which co-prescribing strategy is MOST appropriate to discuss with the prescriber?
Standard ___: PBS term for the container quantity from which a smaller prescribed amount may be supplied.
2.2 Schedules 2 & 3 (Pharmacy & Pharmacist Only Medicines)
A patient is prescribed clarithromycin for an infection and is already taking simvastatin 40 mg at night. Why is this combination a concern?
A patient newly diagnosed with hypothyroidism is prescribed levothyroxine. Which counselling point optimises absorption and consistency of effect?
Harmful or unintended effect of a medicine, which may be predictable from what the medicine is known to do (abbreviation).
Clinical monitoring
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