Ward round participation MCQs With Answer

Introduction: Ward round participation MCQs With Answer is a focused question set designed for M. Pharm students to enhance clinical pharmacy competencies during ward rounds. This collection emphasizes practical decision-making, interprofessional communication, medication review, therapeutic monitoring, adverse drug reaction identification, and legal‑ethical responsibilities of the clinical pharmacist in inpatient care. Each question targets real‑world scenarios and high-yield concepts encountered during multidisciplinary rounds, preparing students for active contributions to patient care teams. Use these MCQs for self-assessment, revision, or group discussion to deepen understanding of pharmacists’ roles in optimizing pharmacotherapy and improving patient safety on the wards.

Q1. What is the primary responsibility of a clinical pharmacist during an initial ward round medication review?

• Initiate new therapy without team discussion
• Conduct medication reconciliation and identify discrepancies
• Replace all brand names with generics without consulting the team
• Focus only on cost reduction for the patient

Correct Answer: Conduct medication reconciliation and identify discrepancies

Q2. Which documentation is most appropriate for recording a pharmacist’s recommendation made during a ward round?

• Verbal note to a nurse only
• Informal personal notebook
• Formal entry in the patient’s medical record and clinical pharmacy notes
• Posting on social media for transparency

Correct Answer: Formal entry in the patient’s medical record and clinical pharmacy notes

Q3. During a ward round a patient’s creatinine rises acutely. What is the most appropriate pharmacist intervention?

• Advise immediate cessation of all medications
• Ignore the lab change unless the prescriber notices it
• Review current medications for nephrotoxins and recommend dose adjustments
• Recommend increasing fluid intake without team discussion

Correct Answer: Review current medications for nephrotoxins and recommend dose adjustments

Q4. Which action best demonstrates the pharmacist’s role in antimicrobial stewardship on rounds?

• Prescribe broad‑spectrum antibiotics for all febrile patients
• Recommend de‑escalation based on culture results and clinical status
• Stop antibiotics without discussing with the team
• Always advise longer durations to avoid relapse

Correct Answer: Recommend de‑escalation based on culture results and clinical status

Q5. When presenting a medication-related concern during a ward round, which approach is most effective?

• Provide a concise problem statement, evidence, and a clear recommendation
• Give a long lecture on pharmacology to the team
• Criticize previous prescribers without offering solutions
• Ask the team to think about it and follow up later

Correct Answer: Provide a concise problem statement, evidence, and a clear recommendation

Q6. Which of the following is the best practice for monitoring drug therapy during subsequent ward rounds?

• Only check the medication chart weekly
• Review therapy goals, current response, adverse effects, and labs at each round
• Assume current therapy is effective unless actively reported otherwise
• Rely solely on nurses for monitoring and reporting

Correct Answer: Review therapy goals, current response, adverse effects, and labs at each round

Q7. Which tool is most useful for prioritizing patients for pharmacist involvement on busy ward rounds?

• Random selection based on bed number
• Risk stratification using severity, polypharmacy, renal/hepatic impairment and high‑risk drugs
• Only patients with elective admissions
• Patients who request the pharmacist personally

Correct Answer: Risk stratification using severity, polypharmacy, renal/hepatic impairment and high‑risk drugs

Q8. Which legally important consideration must a pharmacist observe when documenting interventions during ward rounds?

• Use only abbreviations to save time
• Record date, time, signature/initials and professional designation for each entry
• Document interventions after discharge to avoid interruptions
• Delete entries if the prescriber disagrees

Correct Answer: Record date, time, signature/initials and professional designation for each entry

Q9. A patient shows signs of an adverse drug reaction during rounds. What is the pharmacist’s best immediate action?

• Stop the suspected drug and document the reaction while ensuring patient safety measures
• Ignore the signs unless they are life‑threatening
• Switch to another drug in the same class without evaluation
• Delay action until the next scheduled review

Correct Answer: Stop the suspected drug and document the reaction while ensuring patient safety measures

Q10. How should a pharmacist contribute to discharge planning during ward rounds?

• Leave medication counseling to nursing staff without follow‑up
• Provide medication reconciliation, patient counseling, and a clear outpatient medication plan
• Provide only an electronic printout without counseling
• Recommend discontinuation of all chronic medicines to simplify the list

Correct Answer: Provide medication reconciliation, patient counseling, and a clear outpatient medication plan

Q11. In a patient with multiple medications, which intervention most reduces the risk of drug–drug interactions noted on rounds?

• Prioritize discontinuation of the newest drug only
• Perform a systematic interaction check and recommend alternatives or monitoring
• Advise reducing doses of all drugs by half
• Leave decisions to the prescriber without input

Correct Answer: Perform a systemic interaction check and recommend alternatives or monitoring

Q12. When is therapeutic drug monitoring (TDM) discussion most critical to raise during rounds?

• Only when a medication error has occurred
• For narrow therapeutic index drugs, dose adjustments, toxicity, or altered pharmacokinetics
• When the nurse requests extra blood tests
• Never; lab teams handle TDM without pharmacist input

Correct Answer: For narrow therapeutic index drugs, dose adjustments, toxicity, or altered pharmacokinetics

Q13. Which communication strategy enhances acceptance of a pharmacist’s recommendation by physicians during rounds?

• Confrontational assertions of superior knowledge
• Evidence‑based suggestions aligned with clinical goals and patient context
• Statements that undermine the prescriber’s decisions publicly
• Providing only pharmaceutical details without clinical relevance

Correct Answer: Evidence‑based suggestions aligned with clinical goals and patient context

Q14. A patient with hepatic impairment requires dose modification. Which parameter is most relevant to discuss on rounds?

• Only the patient’s weight
• Drug hepatic clearance, hepatic function tests, and alternative agents not extensively metabolized by the liver
• Switch all drugs to oral formulations without review
• Recommend increasing dosing intervals for all medications irrespective of metabolism

Correct Answer: Drug hepatic clearance, hepatic function tests, and alternative agents not extensively metabolized by the liver

Q15. How should a pharmacist address limited drug availability on the ward during rounds?

• Ignore shortages and proceed with standard orders
• Identify therapeutic alternatives, assess interchangeability, and coordinate with pharmacy supply and prescribers
• Advise stopping therapy until the next delivery
• Substitute with any drug in stock without checking indications

Correct Answer: Identify therapeutic alternatives, assess interchangeability, and coordinate with pharmacy supply and prescribers

Q16. Which ethical consideration is essential when discussing patient medication plans on an open ward round?

• Discuss all details loudly for educational purposes
• Maintain patient confidentiality and obtain consent before discussing sensitive issues
• Ignore patient preferences as they complicate therapy
• Share medication information with non‑clinical visitors

Correct Answer: Maintain patient confidentiality and obtain consent before discussing sensitive issues

Q17. Which measurable outcome should pharmacists track to demonstrate the impact of ward round interventions?

• Number of pages printed from the pharmacy
• Acceptance rate of recommendations, medication error reduction, length of stay, ADE prevention
• Number of informal conversations with nurses
• Pharmacist dress code adherence

Correct Answer: Acceptance rate of recommendations, medication error reduction, length of stay, ADE prevention

Q18. For a patient on anticoagulation admitted for surgery, what should the pharmacist advise during pre‑op ward rounds?

• Continue anticoagulant therapy without changes
• Provide a perioperative anticoagulation plan including timing of interruption and bridging if appropriate
• Stop all anticoagulants permanently
• Replace anticoagulation with herbal supplements

Correct Answer: Provide a perioperative anticoagulation plan including timing of interruption and bridging if appropriate

Q19. Which practice increases the educational value of ward rounds for pharmacy trainees?

• Exclude trainees from active cases to avoid mistakes
• Encourage case‑based discussion, supervised recommendations, and reflective feedback
• Require trainees only to transcribe orders
• Permit unsupervised independent prescribing by trainees

Correct Answer: Encourage case‑based discussion, supervised recommendations, and reflective feedback

Q20. When optimizing a drug regimen for a frail elderly patient on rounds, which principle should guide the pharmacist’s recommendation?

• Maintain all chronic medications regardless of risk
• Apply individualized risk–benefit assessment, deprescribing unnecessary medicines, and simplifying regimens
• Switch all medications to long‑acting formulations
• Prioritize cost savings over clinical appropriateness

Correct Answer: Apply individualized risk–benefit assessment, deprescribing unnecessary medicines, and simplifying regimens

Download