Hospital types, organization and classification MCQs With Answer

Introduction: This set of MCQs on hospital types, organization and classification is designed specifically for M.Pharm students preparing for exams in Hospital & Community Pharmacy (MPP 103T). The questions cover core concepts such as levels of care, ownership models, bed-strength and service-based classifications, organizational structures, departmental roles and committees, referral systems and specialized care categories. Each item emphasizes applied understanding relevant to pharmacy practice in hospital settings—procurement and formulary control, clinical governance, and interdepartmental coordination. Use these questions to deepen conceptual clarity, test decision-making in administrative scenarios, and strengthen preparedness for both theory and practical components of hospital pharmacy responsibilities.

Q1. Which level of healthcare is characterized by ultra-specialized services beyond routine specialized care, such as experimental therapies and complex multi-organ procedures?

• Primary care
• Secondary care
• Tertiary care
• Quaternary care

Correct Answer: Quaternary care

Q2. Which type of hospital is most commonly run by a non-governmental organization or charitable trust and operates on a not-for-profit basis?

• Government hospital
• Private for-profit hospital
• Charitable/Trust hospital
• Corporate chain hospital

Correct Answer: Charitable/Trust hospital

Q3. A hospital classification that groups facilities according to the number of inpatient beds is best described as which of the following?

• Functional classification
• Service-based classification
• Size-based classification
• Ownership-based classification

Correct Answer: Size-based classification

Q4. Which feature best defines a teaching hospital?

• Provides only outpatient services
• Focuses solely on emergency care
• Provides clinical training, education and research alongside patient care
• Operates exclusively as a long-term care facility

Correct Answer: Provides clinical training, education and research alongside patient care

Q5. In hospital organizational design, which statement best describes a line-and-staff structure?

• All staff share equal authority with no hierarchy
• Operational line managers have authority while specialist staff provide advisory support
• There are only project managers and no departmental heads
• The board directly manages day-to-day clinical operations

Correct Answer: Operational line managers have authority while specialist staff provide advisory support

Q6. Hospital departments are commonly grouped into which three major functional categories?

• Clinical services, diagnostic services, support services
• Administrative services, retail services, external services
• Outpatient services, in-home services, remote services
• Financial services, legal services, corporate services

Correct Answer: Clinical services, diagnostic services, support services

Q7. What is the correct referral sequence in a hierarchical health system for escalating patient care?

• Tertiary → Secondary → Primary
• Secondary → Primary → Tertiary
• Primary → Secondary → Tertiary
• Primary → Tertiary → Secondary

Correct Answer: Primary → Secondary → Tertiary

Q8. A hospital specializing primarily in prolonged management and rehabilitation of patients with severe mental disorders is classified as which type?

• Maternity hospital
• Pediatric hospital
• Psychiatric hospital
• Cardiac hospital

Correct Answer: Psychiatric hospital

Q9. Which characteristic is most typical of a tertiary care hospital?

• Focus on routine immunizations and basic outpatient care
• Provision of highly complex diagnostics, advanced surgeries and specialized clinical services
• Only long-term custodial care for chronic disabled patients
• Exclusive provision of home-based care services

Correct Answer: Provision of highly complex diagnostics, advanced surgeries and specialized clinical services

Q10. Which accreditation body is specifically responsible for accrediting hospitals and healthcare providers in India?

• NABL (National Accreditation Board for Testing and Calibration Laboratories)
• NAAC (National Assessment and Accreditation Council)
• NABH (National Accreditation Board for Hospitals & Healthcare Providers)
• ISO (International Organization for Standardization)

Correct Answer: NABH (National Accreditation Board for Hospitals & Healthcare Providers)

Q11. Which example best illustrates quaternary care services within a hospital setting?

• Local primary health centre immunization clinic
• General medical ward managing common infections
• Highly specialized research-intensive programs offering experimental therapies and multi-organ transplants
• Routine outpatient pharmacy dispensing

Correct Answer: Highly specialized research-intensive programs offering experimental therapies and multi-organ transplants

Q12. Which hospital department is primarily responsible for procurement, storage, compounding and distribution of medicines?

• Laboratory services
• Central sterile services department (CSSD)
• Hospital Pharmacy/Pharmacy Department
• Human resources department

Correct Answer: Hospital Pharmacy/Pharmacy Department

Q13. What does a “closed formulary” in a hospital pharmacy context mean?

• Prescribers can use any medication without restriction
• Only over-the-counter medicines are allowed
• Prescribing is restricted to a defined list of approved medications
• All investigational drugs are automatically available

Correct Answer: Prescribing is restricted to a defined list of approved medications

Q14. Which classification best describes a hospital providing short-term treatment for severe or urgent illnesses and surgeries?

• Chronic care hospital
• Rehabilitation hospital
• Acute care hospital
• Long-term care facility

Correct Answer: Acute care hospital

Q15. In a matrix organizational structure within a hospital, what is a defining managerial characteristic?

• Staff report to a single functional manager only
• There are no project-based assignments
• Staff have dual reporting lines to both functional and project/program managers
• All decisions are made by frontline staff without management

Correct Answer: Staff have dual reporting lines to both functional and project/program managers

Q16. Which committee in a hospital is primarily responsible for drug selection, formulary decisions and medication-use policies?

• Infection Control Committee
• Clinical Ethics Committee
• Drug and Therapeutics Committee (DTC)
• Hospital Safety Committee

Correct Answer: Drug and Therapeutics Committee (DTC)

Q17. Which practice would NOT be considered a component of an effective patient referral system?

• Timely communication and transfer of clinical information
• Standardized referral protocols and criteria
• Routine bypassing of designated care levels without justification
• Feedback loop from receiving to referring provider

Correct Answer: Routine bypassing of designated care levels without justification

Q18. Which statement best describes a community hospital?

• Provides localized inpatient and outpatient general services to a defined catchment population
• Exclusively treats rare tertiary-level conditions
• Operates only as an academic research center
• Provides only telemedicine services with no inpatient capacity

Correct Answer: Provides localized inpatient and outpatient general services to a defined catchment population

Q19. A municipal hospital is typically funded and managed by which authority?

• Central (federal) government
• Private corporate investors
• Local government/municipal authority
• International non-governmental organizations

Correct Answer: Local government/municipal authority

Q20. Which service would most likely be categorized as tertiary-level care in the classification by complexity?

• Childhood vaccination clinic
• Routine antenatal check-up in a primary center
• Dialysis and renal transplant program
• Basic wound dressing at a community clinic

Correct Answer: Dialysis and renal transplant program

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