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Prescription Criticism (Open-Angle Glaucoma)
Critically evaluate the following prescription written for an adult patient with primary open-angle glaucoma.
Identify all errors (drug choice, dosage form, dose, frequency, and rationality), then write a corrected and complete prescription.
Given prescription (Rx):
  • Eye drops Acetazolamide, 1 drop three times daily
  • Tab. Atenolol 10 mg OD
  • Tab. Hydrochlorothiazide BD
If you want, I can also provide:
  1. a model answer key (all mistakes + corrected prescription), and
  2. a marking rubric for 2/5/10 marks.

I wnat to improve questions

Great. Use this template to turn weak questions into strong exam questions.

Improved version of your current question

Prescription Criticism (POAG)
An adult patient with primary open-angle glaucoma is given the following prescription:
  • Eye drops Acetazolamide, 1 drop TID
  • Tab. Atenolol 10 mg OD
  • Tab. Hydrochlorothiazide BD
Task:
  1. Identify at least five errors in the prescription.
  2. Explain why each is inappropriate.
  3. Write a rational corrected prescription with drug name, strength, dosage form, route, frequency, and duration.
  4. Mention two counseling points and one monitoring parameter.

Quick formula to improve any question

Make sure your question includes:
  1. Context (who is the patient, condition)
  2. Task verb (analyze, compare, justify, calculate, prescribe)
  3. Specific outputs (how many points, what format)
  4. Constraints (guidelines, drug class limits, time, marks)
  5. Evaluation criteria (accuracy, rationale, completeness)

Reusable template

[Topic]
A [patient/scenario] with [condition] presents with [key details].
Question:
a) [Core task]
b) [Reason/explanation]
c) [Applied output: plan/prescription/table/flowchart]
d) [Counseling/monitoring/follow-up]
(Marks: x; include dosage, contraindications, and justification.)
If you share 5–10 raw questions, I can rewrite all of them into high-quality exam style in one go.

Which reliable wrong drug i write so students not easily get answers

Use plausible-but-inappropriate drugs, not absurd ones. That makes the question fair but challenging.
For primary open-angle glaucoma, good “trap” choices are:
  • Timolol tablet (oral)
    Looks familiar, but wrong route for glaucoma (should be ophthalmic if used).
  • Atropine eye drops
    Ophthalmic drug, but can worsen angle closure risk and is not used to treat POAG.
  • Prednisolone eye drops (long-term)
    Common eye drop, but steroids can raise IOP.
  • Naphazoline/tetrahydrozoline eye drops
    “Redness relief” drops, not antiglaucoma therapy.
  • Systemic acetazolamide for long-term routine POAG
    Can lower IOP, but usually not first-line chronic therapy due to adverse effects.
  • Hydrochlorothiazide/furosemide
    Diuretics are familiar to students but not standard POAG treatment.
  • Brimonidine oral tablet
    Correct molecule class confusion, wrong dosage form (should be eye drops).
  • Pilocarpine as first choice in all POAG cases
    Historically used; now usually not first-line compared with prostaglandin analogs.

Best exam design trick

Mix errors across categories:
  1. Wrong drug
  2. Wrong dosage form/route
  3. Wrong frequency
  4. Unsafe combination
  5. Missing key first-line option
That tests understanding, not memorization.
If you want, I can draft 10 high-quality “prescription criticism” cases (easy to hard) with answer keys and marking scheme.

What is correct answer

Correct answer (for your given prescription-criticism case):

1) Errors in the given Rx

Given:
  • Eye drops Acetazolamide TID
  • Tab Atenolol 10 mg OD
  • Tab Hydrochlorothiazide BD
Problems:
  1. Acetazolamide is not used as a routine topical eye drop for POAG maintenance (standard use is systemic; topical CAI choices are dorzolamide/brinzolamide).
  2. No first-line POAG agent included (typically prostaglandin analog eye drop).
  3. Atenolol oral tablet is not antiglaucoma standard therapy; if beta-blocker is chosen, it is usually topical (e.g., timolol eye drops).
  4. Hydrochlorothiazide has no role in POAG treatment.
  5. Prescription is incomplete (no eye, no duration, no follow-up/monitoring instructions).

2) Corrected rational prescription (example)

Rx (Adult, Primary Open-Angle Glaucoma):
  1. Latanoprost 0.005% eye drops
    Instill 1 drop in each affected eye once daily at night.
  2. Follow-up after 4–6 weeks for IOP check, optic disc/visual field assessment.
  3. If target IOP not achieved, add: Timolol 0.5% eye drops, 1 drop in affected eye(s) twice daily (if no contraindications).

3) Counseling points

  • Demonstrate correct instillation; do punctal occlusion for 1–2 minutes.
  • Remove contact lenses before drops; reinsert after ~15 min.
  • If using multiple eye drops, keep 5–10 min gap.
  • Adherence is long-term; do not stop without advice.

4) Monitoring

  • Intraocular pressure (IOP) at follow-up (plus optic nerve and visual field progression over time).
If you want, I can format this into a full model exam answer (5-mark and 10-mark versions).

Prescribe drug therapy for ........

Prescribe drug therapy for..... Make question from cvs cns respi ans system in which 2 drug prescription needed

Prescribe drug therapy questions (requiring exactly 2 drugs), grouped by system:

CVS

  1. Prescribe drug therapy (2 drugs) for a 55-year-old with newly diagnosed stage 2 essential hypertension with no comorbidities.
  2. Prescribe drug therapy (2 drugs) for chronic stable angina in a 60-year-old male.
  3. Prescribe drug therapy (2 drugs) for heart failure with reduced ejection fraction (HFrEF) in a stable outpatient.

CNS

  1. Prescribe drug therapy (2 drugs) for a patient with generalized tonic-clonic seizures not controlled on monotherapy.
  2. Prescribe drug therapy (2 drugs) for acute migraine attack with nausea.
  3. Prescribe drug therapy (2 drugs) for Parkinson disease with troublesome bradykinesia and rigidity.

Respiratory

  1. Prescribe drug therapy (2 drugs) for mild persistent bronchial asthma in an adult.
  2. Prescribe drug therapy (2 drugs) for moderate COPD with persistent dyspnea.
  3. Prescribe drug therapy (2 drugs) for community-acquired pneumonia (outpatient, no comorbidities).

Gastrointestinal (GI)

  1. Prescribe drug therapy (2 drugs) for peptic ulcer disease associated with H. pylori (write two key drugs only).
  2. Prescribe drug therapy (2 drugs) for acute infective diarrhea with dehydration risk in an adult.
  3. Prescribe drug therapy (2 drugs) for GERD with frequent daytime and nighttime symptoms.

Better exam-style format (copy template)

“Prescribe drug therapy using exactly TWO drugs for [condition].
Write generic name, dose, route, frequency, duration, and 2 counseling points.”
If you want, I can now give:
  • a model answer key for all 12, or
  • a final paper-ready set (easy/moderate/hard with marks distribution).

Make question of op poisoning

Exam-style question (OP poisoning):
A 28-year-old male is brought to the emergency department after pesticide exposure in a farm. He has salivation, sweating, pinpoint pupils, vomiting, muscle fasciculations, and respiratory distress. Pulse 52/min, BP 90/60 mmHg, RR 30/min with crepitations.
Question:
Prescribe drug therapy for acute organophosphate (OP) poisoning using two specific antidotal drugs. Write:
  1. Drug name (generic)
  2. Dose and route
  3. Frequency/repetition criteria
  4. End-point of therapy
  5. Two important monitoring parameters
(8 marks)
If you want, I can also make:
  • 5-mark short version
  • OSCE station format
  • model answer key with marking scheme.
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