# Oriel Pharmacy SJT and Numeracy Practice Questions 2024

Advice & Insight From Pre-Registration Recruitment Exam Specialists

Here we provide a number of practice tests for both components of the Oriel Pharmacy Foundation Training Assessment. You can find more in our full online course and question bank.

## Oriel Pharmacy Numeracy Practice Questions 2024

What volume of stock solution must be added to 600mls of a 4% w/v solution to produce a 1 in 800 solution? Provide your answer in litres and to one decimal place.

Explanation:

Firstly, we need to work out the concentration of 1 in 800 solution which is 1g in 800mls so 100mls = 0.125g = 0.125%

Need to apply formula: C1V1 = C2V2

We know C1 (0.125%) but not V1 and we know C2 (4%) and V2 (600mls) so we simply plug in the known values:

0.125% x V1 = 4% x 600mlsÂ

V1 = 4% x 600mls/0.125

Â Â  Â  Â  = 19,200mls/1000 = 19.2 Litres

According to the syringe driver, a patient is receiving 4.5mls/hr of dobutamine 250mg in 50mls. If the patient weighs 70kgs, how much dobutamine is the patient receiving in mcg/kg/min? Please write your answer to 2 decimal places.

Explanation:

Strength of the drug is 250mg in 50mls so 4.5mls contains 22.5mg (250mg x 4.5mls/50mls)

To convert the rate to mcg/min = 22.5 x 1000/60 = 375mcg/min

As the patient weighs 70kg; 375/70kg = 5.36mcg/kg/min

Recently, your local CCG has issued a letter to all patients that have generic Co-codamol 30mg/500mg on their repeat prescriptions. The CCG has decided that these patients will now be prescribed the branded version called ZapainÂ® as it has a good cost-effectiveness in comparison to all other generic and patented brands of the drug. Using the information provided, calculate the difference in cost in one month (assume 28 days) between the generic Co-codamol tablets you stock in your pharmacy and ZapainÂ® 30mg/500mg for a patient that takes 2 tablets QDS. Write your answer to two decimal places.

Co-codamol 30mg/500mg caplets pack size 100 = Â£5.87

ZapainÂ® 30mg/500mg tablets pack size 100 = Â£3.11

Explanation:

Generic price per tablet = Â£5.87/100 = Â£0.0587

ZapainÂ® price per tablet = Â£3.11 / 100 = Â£0.0311

Dose is 2 tablets QDS = 8 tablets daily

8 tablets daily x 28 days = 224

Generic = Â£0.0587 x 224

= Â£13.1488

ZapainÂ® = Â£0.0311 x 224

= Â£6.9664

Difference = Â£13.1488 – Â£6.9664

= Â£6.1824 = Â£6.18

You are asked to calculate the dose of hydroxycarbamide in a 56-year-old patient weighing 48kg where dosage should be based on actual or ideal body weight, whichever is less. The initial dose is 15mg/kg daily. The patient is a female patient with a height of 164cm.

You may use the following equation to support you answering this question:

IBW women (kg) = 45 + 0.91 x (height in cm – 152)

Explanation:

IBW women (kg) = 45 + 0.91 x (height in cm – 152)

Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â = 45 + 0.91 x (164 â€“ 152)

Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â = 45 + 0.91 x 12 = 55.92kgÂ

Dosage would, therefore, be based on which is less so her actual weight is less at 48kg.Â

15mg/kg daily = 15 x 48kg = 720mg daily

You have been asked to calculate how many milligrams of sodium ions are found in a 200mg tablet of sodium chloride, which is required to be used to treat a salt deficiency in a patient. Please write your answer to 2 decimal places.

Explanation:

You would need to know the molecular weight of the two components before starting; Sodium (Na) = 23 and Chloride (Cl) = 35.5Â

These added together: 23 + 35.5Â  = 58.5Â

As you are required to calculate milligrams of sodium:

23/58.5 x 200mg tablet = 78.63mg

##### Optimise Your Pre-Reg Oriel Performance

Learn the best Pre-Reg Oriel strategies and practice with reflective questions & worked solutions.

## You are a newly qualified pharmacist working in a community pharmacy. A customer comes in requesting an emergency supply of their prescription medication, which is for a chronic condition. They tell you their GP practice is closed, and they have run out of medication.

Choose the THREE most appropriate actions to take in this situation.

A. Refuse the request stating that it’s against the law
B. Check the medication history for the customer in the pharmacy system
C. Contact the emergency duty pharmacist for guidance.
D. Agree to supply a small quantity to last until the GP practice opens
E. Advise the customer to go to A&E for immediate medical attention
F. Document the emergency supply in the appropriate records
G. Contact the customerâ€™s GP for confirmation
H. Discuss with a senior pharmacist for their opinion

Explanation:

Option D: Agreeing to supply a small quantity to last until the GP practice opens aligns with person-centred care and professionalism. It ensures that the patient is treated correctly, and satisfies the duty of beneficence.
Option F: This adheres to legal and professional responsibilities. It ensures that the patient’s care is accurate, and all team members are up to date.
Option B: This ensures that you prioritise patient safety. It therefore fits with the duty of non-maleficence.Â

Other options see the patient going untreated (A) or time being wasted (G, H, C).

## You overhear a pharmacy assistant giving incorrect advice about an over-the-counter medication to a customer.

Choose the THREE most appropriate actions to take in this situation.

A. Interrupt and correct the assistant immediately in front of the customer
B. Pull the assistant aside and correct them privately
C. Let the assistant finish and then correct the customer afterward
D.Â  Report the incident to the pharmacy manager
E. Document the incident according to pharmacy procedures
F. Ignore it, assuming that the assistant will learn from their mistakes
G. Use it as a teaching moment in the next team meeting
H. Confirm with the customer that they understand the correct information

Explanation:

• Option A: This ensures that patient safety is prioritised. Your focus should always be on the patient and their safety first. This satisfies the duty of non-maleficence, and arguably beneficence.Â
• Option E: Document the incident according to pharmacy procedures. This adhered to ethical and legal responsibilities, and is good practice.
• Option H: Confirm with the customer that they understand the correct information. This ensures person-centred care and effective communication. You should always check that information given is readily understood, and that the patient is comfortable with the advice or information.

## A regular patient who is well-known to the pharmacy team frequently makes small talk that occasionally crosses into inappropriate or sensitive topics.

Choose the THREE most appropriate actions to take in this situation.

A. Ignore the inappropriate comments to avoid conflict
B. Politely steer the conversation to a professional topic
C. Report the behaviour to the pharmacy manager
D. Address the issue directly with the patient, explaining the need for professional boundaries
E. Document the incidents in case they become a recurring issue
F. Engage in the conversation to maintain a friendly rapport with the patient
G. Seek advice from a senior pharmacist on how to handle the situation
H. Restrict your interactions with the patient to purely transactional conversations

Explanation:

• Option D: Address the issue directly with the patient, explaining the need for professional boundaries. This upholds professionalism and effective communication. You should always try to speak to the patient about concerns where possible, and involve them in their care.
• Option B: Politely steer the conversation to a professional topic. This helps maintain professional boundaries while being respectful. It ensures that the patient is not made to feel uncomfortable.
• Option E: Document the incidents in case they become a recurring issue. This aligns with ethical and legal responsibilities and is good practice.

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