1.

A female aged 38 years came with complains of easy fatigability, weakness, dizziness, and
soreness of the tongue. Hemoglobin level ( g/dl) and blood film reported
microcytic hypochromic anaemia.

Doctors name,
Qualification
Reg . No
Address with contact no
Patient’s name, Age, sex, address, contact No-
Date-

For Mr x
Rx,

Tablet FERROUS SULFATE 200 mg (60 mg elemental iron)

One tablet to be taken twice day before food to continue.

Tablet FOLIC ACID 5 mg
One tablet to be taken once daily after dinner to continue.
Tablet ALBENDAZOLE 400 mg
One tablet to be taken on empty stomach at night .

Revisit after 1 month for haemoglobin estimation.

Doctor’s signature.
2. An adult male patient of 58 years was diagnosed to have suffered from acute attack of
classical angina . Prescribe for angina pectoris.
Doctor’s name:
Qualification:
Registration no:
Address with contact no:

Patient’s name:
Age
Sex:
Address, contact no:
Date:

Diagnosis/ Investigations:

For Mr x
Rx
Tablet GLYCERYL TRINITRATE 0.5 mg
One tablet to be taken sublingually as and when required, can be repeated for
total three tablets in 5 minutes interval. Spit out when pain is relieved.

Tablet ASPIRIN 75 mg
Four tablets to be taken immediately followed by one tablet after food daily.
(Do not take aspirin empty stomach)
Tablet METOPROLOL 25mg
One tablet to be taken once daily after breakfast.
Doctor’s signature
3. A 43 years female pt presents with fever, vomiting and abdominal pain for 5days. On
examination rashes, bradycardia, abdominal tenderness are found. Routine blood test
reveals leucopoenia, positive widal test. Prescribe an oral medication for typhoid fever.

a. Doctors name
b. Qualification
c. Reg. No
d. Address with contact no
e. Patient’s name, Age, sex, address, contact no.
f. Date.
For Mr x
Rx

Adequate nutrition and hydration.

Small frequent feeds.
Tablet LEVOFLOXACIN (500 mg)
One tablet to be taken once daily after food for 7 days.
Tablet PARACETAMOL (500 mg)
One tablet to be taken as and when necessary.

Doctor’s signature.
4. A person suffering from gradual onset diarrhoea with colicky abdominal pain for 3days, stool
routine examination shows Entamoeba trophozoites. Prescribe an oral medication for
amoebiasis.
a. Doctors name
b. Qualification
c. Reg. No
d. Address with contact no
e. Patient’s name, Age, sex, address, contact no.
f. Date
For Mr x
Rx
Maintain hydration and strict hygienic condition.
Tablet METRONIDAZOLE (400 mg)
One tablet to be taken three times daily after food for 10 days.
Tablet DILOXANIDE FUROATE (500 mg)
One tablet to be taken three times daily after food for 10 days.

Doctor’s signature.

5. A 45 years male person suffering from epigastric pain with acidic reflux for ten days. On
upper GI Endoscopy the person diagnosed as gastric ulcer at lesser curvature. Write
treatment for him.
a. Doctors name
b. Qualification
c. Reg. No
d. Address with contact no
e. Patient’s name, Age, sex, address, contact no.
f. Date.
For Mr x
Rx

Elevation of head end of bed.

Maintain at least 3 hours gap between meals and lie down on bed.
Tablet PANTOPRAZOLE (40mg)
One tablet to be taken once daily 30 minutes before breakfast for 8 weeks.

Doctor’s signature.

6. A 18 years student suffering from single episode of vomiting with nausea in exam hall.
Prescribe a drug.

a. Doctors name
b. Qualification
c. Reg. No
 d. Address with contact no
e. Patient’s name, Age, sex, address, contact no.
f. Date.
Rx
Tablet ONDANSETRON (4mg)
One tablet to be taken immediately followed by one tablet as and when
required.

Doctor’s
signature.

7. A person going for lower abdominal Ultrasonography. Prescribe a drug for bowel
evacuation.

a. Doctors name
b. Qualification
c. Reg. No
d. Address with contact no
e. Patient’s name, Age, sex, address, contact no.
f. Date.
For Mr x
Rx
Tablet BISACODYL (5mg)
Two tablets to be taken at bed time with a plenty of water.

Doctor’s signature.

8. A male person presents with chronic cough, sputum production, loss of appetite, low
grade evening rise of temperature and night sweat. Clinical investigations are suggestive as a
new case of pulmonary tuberculosis. Write prescription for him.
a. Doctors name
b. Qualification
c. Reg. No
d. Address with contact no
e. Patient’s name, Age, sex, address, contact No.
f. Date
For Mr x

Rx
Tablet RIFAMPICIN (450mg)
One tablet to be taken once daily before breakfast for 6 months.
Tablet ISONIAZID (300mg)
One tablet to be taken once daily before breakfast for 6 months.
Tablet PYRAZINAMIDE (1500mg)
 One tablet to be taken once daily after breakfast for 2 months.
Tablet ETHAMBUTOL (800mg)
One tablet to be taken once daily after breakfast for 2 months.
Tablet PYRIDOXINE (10mg)
One tablet to be taken once daily for 6 months.
Follow up after 6 months.

Doctor’s signature.

9. A person presents with discoloured patches on skin with loss of sensation, thickening of
ulnar nerve for last 20 days. Diagnosis is made as Multibacillary leprosy. Prescribe medicines
to treat such condition.

a. Doctors name
b. Qualification
c. Reg. No
d. Address with contact no
e. Patient’s name, Age, sex, address, contact no.
f. Date
For Mr x
Rx
Tablet RIFAMPICIN (600mg)
One tablet to be taken once monthly before breakfast (supervised).
Tablet DAPSONE (100mg)
One tablet to be taken once daily (self administered).
Tablet CLOFAZIMINE (100mg, 50mg)
Three tablets containing 100 mg to be taken once monthly (supervised ).
One table containing 50 mg to be taken daily (self administered).
All drugs are continued for the period 12months.
There after one visit yearly for next 5 year.
Doctor’s signature.

10. An adolescent boy presents with itchy lesion in groin and inner thigh (B/L). On
examination, red scaly
lesions are found. Prescribe drugs to treat tinea cruris.
a. Doctors name
b. Qualification
c. Reg. No
d. Address with contact no
e. Patient’s name, Age, sex, address, contact no.
f. Date
For Mr x
 Rx

Cream CLOTRIMAZOLE (1% w/w)

Cream to be applied over affected areas twice daily for 2 weeks.

Doctor’s signature.