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GPHC CLINICAL �SITUATIONAL JUDGEMENT TEST

London pharmacist Network

For JUNE 2025 GPHC ASSESSMENT

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NB:

  • SJT SESSION
  • OPENING REMARKS
  • LAPTOP OR DESKTOP
  • PAID REVISION SESSION
  • DO NOT SHARE LINK/ MATERIALS
  • feedback after you complete the test

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STAGES OF CHANGE

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STAGES OF CHANGE

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QUESTION 1 SJ

  • A 16-year-old patient was sustained a 1st-degree burn to his hand whilst ironing his shirt. His mother phones your pharmacy to ask for advice on what to do next. What is the correct next line of action in this situation?
  • A. Call 999 immediately
  • B. cool the burn with Ice
  • C. Remove anything that's stuck to the skin.
  • D. cover the burn by placing a layer of cling film over it.
  • E. run tap water on the burn area for 20 minutes.
  • London Pharmacist Network.

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QUESTION 2 SJ

  • You are working in a community pharmacy one Saturday when Kay-29-years, a regular patient comes to your pharmacy and asks for an emergency supply for clobazam for the management of his epilepsy. He explains to you that he ordered his prescription a few days ago but his surgery hasn’t issued it yet. Which of the following is the most appropriate next line of action?
  • A. Refuse emergency supply and ask him to contact his surgery on Monday.
  • B. Refuse emergency supply as only phenobarbital is permitted in a situation like this.
  • C. Make an emergency supply for 5 days.
  • D. Ask him to buy sumatriptan over the counter instead.
  • E. Refer him to the local hospital as that’s the only way he can get a prescription for the controlled drug he needs.
  • London Pharmacist Network.

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QUESTION 3 SJ

  • You are working as a community pharmacist when a young lady walks into your pharmacy. She states that she is a nurse and would like to collect 10 morphine 10mg/5ml ampoules on behalf of one her patients named Mrs. Rogers. She explains that Mrs. Rogers is feeling poorly hence, she offered to help. Which one of the following statements is most appropriate in this scenario ?
  • A. Supply the medication if she provides her ID.
  • B. Refuse supply as she does not have a written letter from Mrs. Rogers.
  • C. Supply the medication if the nurse provides her own name, address and ID.
  • D. Supply the medication and ask the nurse to sign and date the back of the prescription and show her ID.
  • E. Supply the medication if the nurse provides her own name, address, ID and a written letter from Mrs. rogers.
  • London Pharmacist Network.

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QUESTION 4 SJ

  • You work as a hospital pharmacist. Mr. J a 60-year-old patient presents in your ward. The chart above shows four drugs he is currently taking. You decide to make an intervention as you have spotted an issue with his medication. Which of the following options is the most likely reason to make an intervention ?
    • A. Dosage of a medication
    • B. Quantity of a medication
    • C. Drug interaction
    • D. Timing of a medication
    • E. A drug is contraindicated
    • London Pharmacist Network

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QUESTION 5 SJ

  • You are working a night shift in a community pharmacy one Monday night when a-19-year-old presents in your pharmacy and asks for an emergency supply for diazepam 5mg tablets for insomnia. He explains to you that on his way back from college earlier that day he was beaten up by a group of boys and had his diazepam 5mg tablets stolen from him. He would like an emergency supply as his regular pharmacy is now shut for the day. Which of the following is the most appropriate next line of action?
  • A. Refuse emergency supply and ask him to contact his surgery on Tuesday.
  • B. Refuse emergency supply as diazepam is not permitted for emergency supply.
  • C. Make an emergency supply for 5 days.
  • D. Ask him to buy Phenergan tablets over the counter.
  • E. Ask him to contact his regular pharmacy when it opens tomorrow.

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QUESTION 6 SJ

  • A Father calls your pharmacy via telephone and sounds very worried . He explains that his 4-year-old son fell on the ground and hit his head on the floor. He appears to be unconscious and is not breathing. The boy’s father seemed rather worried as he does not know what to do. His mother is present and also worried. Based on your judgment of the situation, what would your next line of advice be in this situation ?
  • A. call 999 and ask the father to place him in an upright position.
  • B. call 999 and ask the father to place him in a recovery position.
  • C. call 999 and ask the father to conduct cardiopulmonary resuscitation at a ration of 30:2
  • D. call 999 and ask the father to conduct cardiopulmonary resuscitation at a ratio of 15:2
  • E. Ask the father to call 999 and wait.
  • London pharmacist network

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QUESTION 7 SJ

  • A patient returned 56 morphine 5mg tablets and explained that she does not need the medication any longer. Which of the following option is the most appropriate next line of action.
  • A. Place the returned drug in the medication disposal bin.
  • B. Place the drug in the CD cupboard separately from the CD stock and destroy later.
  • C. Enter in the CD register , place the drug in the CD cupboard together with the CD stock and destroy later.
  • D. Enter in the CD register , place the drug in the CD cupboard separately from the CD stock and destroy later.
  • E. Enter in a dedicated CD destruction book , place the drug in the CD cupboard away from the CD stock and destroy later.

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QUESTION 8 SJ

You work a Saturday shift in a local pharmacy from 9am to 5pm .One Saturday evening at 4.55pm, one of your regular female patients walks into your pharmacy and asks you for emergency supply of phenobarbital 10mg tablets for anxiety relief. She tells you that she was unwell during the week and that she did put in a request for her repeat, but the prescription was not quite ready . What would be the most appropriate next line of action?

  • A. Tell her to wait till Monday to collect her prescription.
  • B. Sell her some Ibuprofen and tell her to wait till Monday.
  • C. Give her an emergency supply for 5 days.
  • D. Refer to another pharmacy for an emergency supply as you are about to finish work.
  • E. Ask the lady to visit local urgent care centre.

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QUESTION 9 SJ

  • A 34-year-old male patient hands in a hand-written script for 14 Nitrofurantoin 100mg m/r capsules. You also notice that 56 diazepam 10mg tablets was also written underneath in a different handwriting. You decide to contact the GP to clarify things. The GP confirms that he only prescribed Nitrofurantoin on that prescription . What would be your next line of action?
  • Available answer options . Select only one option
  • A. Refuse to dispense any of the medicines and give script back to the patient.
  • B. Dispense all items on the prescription.
  • C. Inform the patient to contact his GP as the script is fraudulent. Keep the script in the pharmacy and inform the relevant authorities.
  • D. Dispense only nitrofurantoin and do not dispense diazepam.
  • E. Inform the patient that you do not have the drugs in stock and refer him to another pharmacy.
  • London Pharmacist Network Tutorials

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QUESTION 10 SJ

  • One morning a mother phones your pharmacy about her 12-year-old son. The mother explains that her son is experiencing an anaphylactic reaction after eating a prawn sandwich, and his condition is rapidly deteriorating. She explains that she would like to administer EpiPen but realised the EpiPen she has is now expired. She looks worried and asks for your advice.
  • Select the next best possible line of action
  • A. Place an order for an EpiPen from the suppliers immediately.
  • B. Refer them to the doctors.
  • C. Ask her to come to the pharmacy and supply an EpiPen from your pharmacy as emergency supply.
  • D. Place the child in a recovery position and phone the ambulance.
  • E. Advice the mother to administer the expired EpiPen to her son and call 999.

London Pharmacist Network tutorials

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QUESTION 11 SJ

  • You work as a community pharmacy when a patient of south Asian origin presents to enquire about vitamin D supplements. Which of the following statements is true in this scenario as regards patients living in the UK ?
  • A. Patients with dark skin tend to have a higher Vitamin D level than patients with light skin complexion.
  • B. Patients with dark skin do not need vitamin D supplementation.
  • C. Patients with dark skin tend to have a lower vitamin D level and need vitamin D supplementation throughout the year.
  • D. Patients with dark skin need vitamin D supplantation in winter but not in summer.
  • E. Patients with dark skin need vitamin D supplantation in summer but not in winter.
  • London Pharmacist Network

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QUESTION 12 SJ

  • A mother calls your pharmacy via telephone and sounds very worried . She explains that her 11-month-old child is choking on her dinner. She is clutching at her chest and neck and seems to be struggling. She has given five back blows by hitting her firmly on her back between the shoulder blades on two occasions. She asks for your advice as her daughter is struggling desperately. Based on your judgment of the situation, what would your next line of advice be in this situation ?
  • A. Ask the mother to give her plenty of water.
  • B. Ask the mother to perform CPR on the child.
  • C. Ask the mother to continue giving up to five back blows: hit her firmly on her back between the shoulder blades and place in a recovery position.
  • D. Ask the mother to give up to five abdominal thrusts: hold the child around the waist and pull inwards and upwards above their belly button.
  • E. Ask the mother to call 999.
  • London pharmacist network

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QUESTION 13

  • You work as a pharmacist in a hospital pharmacy. You are presented with the drug chart shown which belongs to a 75-year-old patient. The doctor on duty has stopped one of the patient's drugs. Which of the following is the most appropriate reason why the drug was stopped? Choose an option below.
    • A. Increased risk of serotonin syndrome
    • B. Increased risk of myopathy
    • C. Reduced eGFR
    • D. Coldness of the extremities
    • E. Increased risk of QT prolongation
    • London Pharmacist Network

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QUESTION 14

  • You work in a community pharmacy. One morning, Miss. Brown presents in your pharmacy with the symptom shown in the picture. She tells you that she has noticed it for a month, and it has not changed in size or colour since. She currently takes bisoprolol, amlodipine, hydrochlorothiazide, isosorbide mononitrate and atorvastatin She would you to advise her on the best action to take.
  • A. Give self-limiting advice.
  • B. Sell bazuka gel OTC.
  • C. Refer to the GP
  • D. Refer to A & E immediately.
  • E. Ask her to remove it with a tweezer.

London Pharmacist Network

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QUESTION 15

  • A mother calls your pharmacy via telephone and sounds very worried . She explains that her 14-year-old son is having an anaphylactic reaction after being stung by a wasp in the garden. She explains that although he is struggling, he is conscious and breathing okay. Based on your judgment of the situation, what would your next line of advice be in this situation ?
  • A. Ask the mother to call 999 only.
  • B. Ask the mother to dial 999 and also perform CPR on her son.
  • C. Ask the mother to give up to five back blows: hit him firmly on his back between the shoulder blades.
  • D. Ask the mother to dial 999, administer epipen and keep him in an upright position.
  • E. Ask the mother to dial 999, administer epipen and keep him in a recovery position.

London Pharmacist Network

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QUESTION 16

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Mark is a 37-year-old diabetic patient who is also one of your regular patients in your community pharmacy. His wife phones your pharmacy deeply concerned and states that she does not understand what’s happening to Mark of late. Upon further questioning, she explains that Mark has been feeling poorly, confused, pearl smell breath, feeling very thirsty, fast and deep breaths, needing to pee more than usual and also feeling extremely lethargic. What would you advice Mark’s wife to do and why?

  1. Advice his wife to bring Mark to the pharmacy for a chat.
  2. Refer Mark to his GP immediately.
  3. Tell Mark’s wife not to worry as his symptoms will resolve on their own.
  4. Record the symptoms on your computer and report it via the yellow card scheme.
  5. Ask Mark’s wife to call the ambulance immediately so that Mark can be taken to the hospital.

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QUESTION 17

  • A transgender man visits your pharmacy and asks to speak to you in the consultation room following an episode of unprotected sexual intercourse with their male partner 2 days ago. They tell you that they are worried that they will become pregnant. The patient also feels very embarrassed about this situation and does not wish to see another healthcare professional. The patient is overweight and weighs 85kg according to the last health check record.
  • What is the most appropriate further action in this situation?
  • Refer to a sexual health clinic for a IUD device as it is the most effective emergency contraception.
  • Make a supply of levonelle tablet
  • Make a supply of ella-one tablet
  • Explain to the man that it is impossible for them to get pregnant and that they should not worry about getting pregnant.
  • Refer to the GP for consultation
  • London Pharmacist Network

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QUESTION 18

  • Mr. A.B is a patient who picks up methadone everyday on a supervised instalment prescription. He comes in on a Sunday to collect his dose but spills it on the floor by mistake as he was about to open the bottle. Mr. . A.B starts shaking, sweating and panicking immediately. Which of the following is the most appropriate course of action to take ?
  • Ask Mr. A.B to go home and come back tomorrow for tomorrow's dose .
  • Replace the spilled methadone for Mr. A.B as it was an unexpected accident.
  • Ask Mr. A.B to drive his car to A& E to obtain a new prescription.
  • Call NHS 111 explain the situation and get Mr. A.B to request a replacement prescription.
  • Provide an emergency supply of methadone for Mr. A.B as it's a Sunday and the specialist prescriber’s clinic is closed and that is the only place he can get a replacement prescription.

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QUESTION 19 SJ

A young couple walk into your pharmacy to enquire about treatment for morning sickness. The female partner explains that they are expecting their first child and wonders if there is a suitable medicine to take over-the- counter for mild morning sickness? What is the most appropriate course of action?

  • A. Refer her to her doctor as this is her first pregnancy.
  • B. Sell her some prochlorperazine over the counter to help alleviate her symptoms.
  • C. Tell her the symptoms come with first pregnancies, so she should get on with it.
  • D. Sell her some ginger tablets as they reduce symptoms of nausea.
  • E. Sell her nothing. Give lifestyle advice only.

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QUESTION 20

  • One morning you get a phone call from the police asking you for personal information regarding one of your regular patient who has been involved in a robbery. The police tells you they would like you to provide his Date of birth and address to enable them complete their investigation. What would your next line of action be ?
  • A. Refuse to continue the conversation and put the phone down.
  • B. Legally , you must call the patient and ask for his permission to enable you give out his personal details.
  • C. Ask the police for their registration I.D and then give the information they want over the phone as face-to-face meeting is unnecessary.
  • D. Refer the police to the patient’s GP surgery instead.
  • E. Ask the police to come to your pharmacy in person, with an ID and written letter of request.

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QUESTION 21 SJ

  • Miss T has been taking azathioprine for the last 4 months. She is in the pharmacy collecting her mother’s repeat medication and mentions that she has a bruise on her left leg which seems to be taking a while to go down. The bruising has also started spreading up her leg. The bruise first appeared around 3 weeks ago.
  • Which of the following options would be the most appropriate advice to give Miss T?
  • A. Advise Miss T that the symptoms she is describing are unlikely to be due to her medication.
  • B. Miss T should contact her GP straight away and explain that she has unexplained bruising.
  • C. Miss T should buy arnica cream and see if that resolves the bruising.
  • D. Miss T should call 999 as she requires an ambulance immediately.
  • E. Miss T should stop taking the azathioprine straight away and call her consultant for an appointment in the next 2 weeks.

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QUESTION 22

  • One Friday evening, a patient presents a prescription for 56 Oxycodone 5mg capsules. A CD schedule 2 prescription. The prescription states the quantity in figures but does not state the quantity in words. What would be your next line of action. Choose the most appropriate answer
  • A. Ignore the missing words and dispense the prescription regardless.
  • B. Give the prescription back to the patient and ask for the prescriber to rectify the issue.
  • C. Write the missing words yourself and sign next to the amendment.
  • D. Refer the patient to A & E for a new prescription as it is a Friday night.
  • E. Give the patient an emergency supply until the prescription can be rectified.

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  • London Pharmacist Network

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QUESTION 23

  • A patient returned 28 co-codamol 30mg/500mg tablets and explained that she does not need the medication any longer. Which of the following option is the most appropriate next line of action.
  • A. Place the returned drug in the medication disposal bin.
  • B. Place the drug in the CD cupboard separately from the CD stock and destroy later.
  • C. Enter in the CD register , place the drug in the CD cupboard together with the CD stock and destroy later.
  • D. Enter in the CD register , place the drug in the CD cupboard separately from the CD stock and destroy later.
  • E. Enter in a dedicated CD destruction book , place the drug in the CD cupboard away from the CD stock and destroy later

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THANKS FOR PARTICIPATING

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