Rational Drug Selection and Patient
Adherence
Total Questions: 69
Easy Mcq (10 Questions)
Q1. According to the World Health Organization (WHO), what is the definition of rational
drug selection?
A. Prescribing the newest drugs available regardless of cost.
B. Patients receive medications appropriate to their clinical needs, in doses that
meet their individual requirements, for an adequate period, and at the lowest cost.
C. Using multiple drugs simultaneously to ensure effectiveness.
D. Prescribing drugs based solely on patient preference without clinical
considerations.
Q2. What percentage of drugs worldwide are estimated by WHO to be prescribed, dispensed,
or sold inappropriately?
A. 10
B. 25
C. 50
D. 75
Q3. Which of the following is NOT an example of irrational medication use outlined by
WHO?
A. Polypharmacy
B. Appropriate prescribing of antimicrobials
C. Overuse of injections versus oral preparations
1
, D. Failure to follow prescribing guidelines
Q4. What is the first step in the WHO six-step model of rational drug prescribing?
A. Educate the patient
B. Specify the therapeutic objective
C. Define the patients problem
D. Monitor effectiveness
Q5. Why is early screening of high-risk patients important in the prescribing process?
A. To reduce the cost of medication
B. To maximize the benefits of pharmacological treatment
C. To increase the number of drugs prescribed
D. To avoid patient education
Q6. What should be clarified during the "Specify the Therapeutic Objective" step?
A. The patient's insurance coverage
B. The goals of therapy such as cure, symptom relief, or prevention
C. The pharmacy location
D. The brand name of the drug
Q7. According to Maxwell (2016), which of the following is essential to successful drug
therapy, especially in chronic diseases?
A. Ignoring patient beliefs
B. Including the patient as a partner in the treatment regimen
C. Prescribing the most expensive drug
D. Avoiding discussion about treatment goals
2
,Q8. What two-step process is involved in choosing the treatment according to the text?
A. Selecting the cheapest drug and prescribing it immediately
B. Using evidence-based guidelines and individualizing the drug choice for the
patient
C. Asking the patient to choose and then prescribing accordingly
D. Prescribing based on pharmaceutical promotion and advertising
Q9. Which factors are considered when individualizing drug choice for a patient?
A. Age, gender, pharmacogenetics, other medications, and potential interactions
B. Only the patient's income level
C. The popularity of the drug on social media
D. The provider's personal preference without patient factors
Q10. What type of reasoning do novice providers typically use when choosing drug therapy?
A. Nonanalytical, fast, and subconscious
B. Analytical, slow, systematic, and evidence-based
C. Random selection
D. Based on patient demand
Medium Mcq (10 Questions)
Q1. According to the WHO definition of rational drug selection, which of the following best
describes the key principles involved in prescribing medications?
A. Prescribing the newest drugs regardless of cost to ensure the latest treatment
B. Providing medications appropriate to clinical needs, in doses meeting individual
requirements, for an adequate period, at the lowest cost to patient and community
C. Prescribing multiple drugs simultaneously to cover all possible symptoms
3
, D. Using only generic drugs to reduce cost regardless of patient-specific factors
Q2. What are examples of irrational medication use identified by WHO that rational
prescribing aims to avoid?
A. Polypharmacy and inappropriate antimicrobial prescribing
B. Use of oral preparations instead of injections
C. Strict adherence to clinical guidelines
D. Individualized dosing based on patient needs
Q3. In the WHO six-step model of rational prescribing, what is the correct sequence of the
first three steps?
A. Start the treatment, define the patients problem, specify the therapeutic objective
B. Define the patients problem, specify the therapeutic objective, choose the
treatment
C. Educate the patient, monitor effectiveness, start the treatment
D. Choose the treatment, start the treatment, educate the patient
Q4. Why is it critical to include the patient in specifying the therapeutic objective during the
prescribing process?
A. To ensure the patient can choose the medication brand
B. To align treatment goals with patient beliefs and preferences, improving
adherence especially in chronic diseases
C. To allow the patient to self-prescribe medications
D. To reduce the providers responsibility in treatment decisions
Q5. When choosing a drug treatment, what two-step process should providers follow
according to the text?
4
Adherence
Total Questions: 69
Easy Mcq (10 Questions)
Q1. According to the World Health Organization (WHO), what is the definition of rational
drug selection?
A. Prescribing the newest drugs available regardless of cost.
B. Patients receive medications appropriate to their clinical needs, in doses that
meet their individual requirements, for an adequate period, and at the lowest cost.
C. Using multiple drugs simultaneously to ensure effectiveness.
D. Prescribing drugs based solely on patient preference without clinical
considerations.
Q2. What percentage of drugs worldwide are estimated by WHO to be prescribed, dispensed,
or sold inappropriately?
A. 10
B. 25
C. 50
D. 75
Q3. Which of the following is NOT an example of irrational medication use outlined by
WHO?
A. Polypharmacy
B. Appropriate prescribing of antimicrobials
C. Overuse of injections versus oral preparations
1
, D. Failure to follow prescribing guidelines
Q4. What is the first step in the WHO six-step model of rational drug prescribing?
A. Educate the patient
B. Specify the therapeutic objective
C. Define the patients problem
D. Monitor effectiveness
Q5. Why is early screening of high-risk patients important in the prescribing process?
A. To reduce the cost of medication
B. To maximize the benefits of pharmacological treatment
C. To increase the number of drugs prescribed
D. To avoid patient education
Q6. What should be clarified during the "Specify the Therapeutic Objective" step?
A. The patient's insurance coverage
B. The goals of therapy such as cure, symptom relief, or prevention
C. The pharmacy location
D. The brand name of the drug
Q7. According to Maxwell (2016), which of the following is essential to successful drug
therapy, especially in chronic diseases?
A. Ignoring patient beliefs
B. Including the patient as a partner in the treatment regimen
C. Prescribing the most expensive drug
D. Avoiding discussion about treatment goals
2
,Q8. What two-step process is involved in choosing the treatment according to the text?
A. Selecting the cheapest drug and prescribing it immediately
B. Using evidence-based guidelines and individualizing the drug choice for the
patient
C. Asking the patient to choose and then prescribing accordingly
D. Prescribing based on pharmaceutical promotion and advertising
Q9. Which factors are considered when individualizing drug choice for a patient?
A. Age, gender, pharmacogenetics, other medications, and potential interactions
B. Only the patient's income level
C. The popularity of the drug on social media
D. The provider's personal preference without patient factors
Q10. What type of reasoning do novice providers typically use when choosing drug therapy?
A. Nonanalytical, fast, and subconscious
B. Analytical, slow, systematic, and evidence-based
C. Random selection
D. Based on patient demand
Medium Mcq (10 Questions)
Q1. According to the WHO definition of rational drug selection, which of the following best
describes the key principles involved in prescribing medications?
A. Prescribing the newest drugs regardless of cost to ensure the latest treatment
B. Providing medications appropriate to clinical needs, in doses meeting individual
requirements, for an adequate period, at the lowest cost to patient and community
C. Prescribing multiple drugs simultaneously to cover all possible symptoms
3
, D. Using only generic drugs to reduce cost regardless of patient-specific factors
Q2. What are examples of irrational medication use identified by WHO that rational
prescribing aims to avoid?
A. Polypharmacy and inappropriate antimicrobial prescribing
B. Use of oral preparations instead of injections
C. Strict adherence to clinical guidelines
D. Individualized dosing based on patient needs
Q3. In the WHO six-step model of rational prescribing, what is the correct sequence of the
first three steps?
A. Start the treatment, define the patients problem, specify the therapeutic objective
B. Define the patients problem, specify the therapeutic objective, choose the
treatment
C. Educate the patient, monitor effectiveness, start the treatment
D. Choose the treatment, start the treatment, educate the patient
Q4. Why is it critical to include the patient in specifying the therapeutic objective during the
prescribing process?
A. To ensure the patient can choose the medication brand
B. To align treatment goals with patient beliefs and preferences, improving
adherence especially in chronic diseases
C. To allow the patient to self-prescribe medications
D. To reduce the providers responsibility in treatment decisions
Q5. When choosing a drug treatment, what two-step process should providers follow
according to the text?
4
