MOHAP Pharmacist Exam study materials
MOHAP Pharmacist Exam study resources

MOHAP Pharmacist Exam key terms

MOHAP Pharmacist Exam · Get comfortable with the vocabulary.

Pharmaceutical care

A patient-centred practice model in which the pharmacist takes shared responsibility for meeting a patient's medicine-related needs, aiming for defined therapeutic outcomes and improved quality of life.

Related: Medication therapy management, Adherence, Pharmacovigilance
Medication therapy management

A structured, collaborative service in which the pharmacist reviews a patient's full medication regimen, identifies drug-related problems, and agrees on a monitoring and follow-up plan with the patient and prescriber.

Related: Pharmaceutical care, Drug-related problem, Adherence
Drug-related problem

Any event or circumstance involving drug therapy that actually or potentially interferes with a desired health outcome, such as an untreated indication, wrong dose, adverse effect, or non-adherence.

Related: Medication therapy management, Adverse drug reaction, Adherence
Adherence

The extent to which a patient's behaviour, such as taking medicines, following diets, or attending appointments, matches the agreed recommendations of the healthcare provider.

Related: Pharmaceutical care, Medication therapy management
Therapeutic drug monitoring

The clinical practice of measuring plasma concentrations of drugs with narrow therapeutic indices, such as digoxin, lithium, or vancomycin, to individualise dosing and avoid toxicity or treatment failure.

Related: Narrow therapeutic index, Half-life, Bioavailability
Narrow therapeutic index

A property of drugs whose effective and toxic dose ranges are close together, so small changes in plasma concentration can cause serious harm or loss of efficacy, requiring careful dosing and monitoring.

Related: Therapeutic drug monitoring, Half-life
Half-life

The time required for the plasma concentration of a drug to fall by half during elimination, used to estimate how long a drug acts and how long it takes to reach steady state.

Related: Steady state, Clearance, Therapeutic drug monitoring
Steady state

The condition reached when the rate of drug administration equals the rate of elimination, so plasma concentrations remain stable; it is generally approached after four to five half-lives of regular dosing.

Related: Half-life, Clearance
Clearance

The volume of plasma from which a drug is completely removed per unit time by all elimination pathways combined, determining the maintenance dose needed to achieve a target concentration.

Related: Half-life, Steady state, Bioavailability
Bioavailability

The fraction of an administered dose of unchanged drug that reaches the systemic circulation, equal to 100 percent for intravenous dosing and usually lower for oral products.

Related: First-pass effect, Bioequivalence
First-pass effect

Metabolism of an orally absorbed drug in the intestinal wall or liver before it reaches the systemic circulation, which can substantially reduce oral bioavailability and make oral doses larger than intravenous doses.

Related: Bioavailability, Prodrug
Bioequivalence

The absence of a significant difference in the rate and extent of absorption of two pharmaceutically equivalent products, usually shown by comparing plasma concentration profiles within accepted statistical limits.

Related: Bioavailability, Generic medicine
Prodrug

An inactive or less active chemical derivative that must be converted in the body, usually by metabolism, into the active drug to produce its therapeutic effect.

Related: First-pass effect, Active pharmaceutical ingredient
Active pharmaceutical ingredient

The substance in a medicine that produces the intended pharmacological effect, as distinct from excipients, which are inactive ingredients used to formulate the finished product.

Related: Excipient, Prodrug
Excipient

Any inactive component of a medicine, such as a filler, binder, disintegrant, preservative, or colouring, added to aid manufacture, stability, or patient acceptability rather than to treat disease.

Related: Active pharmaceutical ingredient, Suspension
Suspension

A liquid dosage form in which insoluble solid drug particles are dispersed throughout a liquid vehicle, requiring shaking before use to ensure dose uniformity.

Related: Excipient, Bioavailability
Controlled release

A dosage design that delivers drug over an extended period at a predictable rate, reducing dosing frequency and smoothing peak-to-trough plasma fluctuations compared with immediate-release products.

Related: Half-life, Steady state
Pharmacognosy

The branch of pharmaceutical science concerned with medicines derived from natural sources, including the identification, isolation, chemistry, and standardisation of plant and other biological materials.

Related: Herbal medicine, Standardisation
Herbal medicine

A therapeutic product made from plant parts or plant extracts, used for medicinal purposes, whose active constituents may be complex and variable between batches.

Related: Pharmacognosy, Standardisation, Herb-drug interaction
Standardisation

The process of adjusting and verifying a natural product or extract so that a specified marker constituent or biological activity falls within defined limits, promoting consistent quality between batches.

Related: Pharmacognosy, Herbal medicine
Pharmacovigilance

The science and activities relating to the detection, assessment, understanding, and prevention of adverse effects or any other medicine-related problem after products are marketed.

Related: Adverse drug reaction, Yellow card reporting, Signal detection
Adverse drug reaction

A harmful and unintended response to a medicine occurring at doses normally used in humans for prevention, diagnosis, or treatment, which warrants reporting and clinical management.

Related: Pharmacovigilance, Signal detection
Signal detection

The systematic review of adverse event reports and other data to identify previously unknown or incompletely documented associations between a medicine and an adverse outcome that may need further evaluation.

Related: Pharmacovigilance, Adverse drug reaction
Yellow card reporting

A spontaneous reporting system in which healthcare professionals and patients submit suspected adverse drug reactions to the national regulatory authority for assessment and possible regulatory action.

Related: Pharmacovigilance, Adverse drug reaction
Off-label use

Prescribing or supplying a licensed medicine for an indication, dose, age group, or route not covered by its approved marketing authorisation, which carries additional professional and legal responsibilities.

Related: Marketing authorisation, Informed consent
Marketing authorisation

The official approval granted by a regulatory authority allowing a specific medicine to be marketed for defined indications, with an agreed product information document and conditions of use.

Related: Generic medicine, Off-label use, Good manufacturing practice
Generic medicine

A product containing the same active substance as an originator medicine, shown to be bioequivalent and approved for the same indications, usually marketed after the originator's patent or exclusivity expires.

Related: Bioequivalence, Marketing authorisation
Good manufacturing practice

The set of quality-assurance requirements ensuring that medicines are consistently produced and controlled to standards appropriate for their intended use, covering premises, personnel, documentation, and validation.

Related: Marketing authorisation, Standardisation
Narcotic and controlled drug register

A legally required, bound record in which the receipt, supply, and balance of controlled medicines are entered chronologically, supporting accountability and detection of diversion.

Related: Prescription requirements, Marketing authorisation
Prescription requirements

The mandatory elements a valid prescription must contain, such as prescriber details, patient identification, medicine name, strength, dose, quantity, and date, as set by national medicines law.

Related: Narcotic and controlled drug register, Off-label use
Informed consent

A patient's voluntary agreement to a treatment or procedure after receiving and understanding relevant information about its purpose, benefits, risks, and alternatives, given without coercion.

Related: Off-label use, Patient counselling
Patient counselling

A structured, interactive conversation in which the pharmacist gives a patient clear information about their medicine, checks understanding, and addresses concerns to support safe and effective use.

Related: Adherence, Health literacy, Informed consent
Health literacy

The degree to which a person can obtain, process, and understand basic health information and services needed to make appropriate health decisions, which shapes how counselling should be delivered.

Related: Patient counselling, Teach-back method
Teach-back method

A communication technique in which the patient explains in their own words how they will take their medicine, allowing the pharmacist to confirm understanding and correct misunderstandings.

Related: Patient counselling, Health literacy
Medication error

Any preventable event that may cause or lead to inappropriate medication use or patient harm while the medicine is in the control of a healthcare professional, patient, or consumer.

Related: Look-alike sound-alike, Root cause analysis, Adverse drug reaction
Look-alike sound-alike

Medicines whose names or packaging appear similar and are easily confused, creating a recognised risk of wrong-drug selection that requires segregation, tall-man lettering, or independent double checks.

Related: Medication error, Root cause analysis
Root cause analysis

A structured, team-based investigation that traces an adverse event or medication error back to its underlying system failures so that corrective and preventive actions can be implemented.

Related: Medication error, Look-alike sound-alike
Herb-drug interaction

A change in the effect of a medicine caused by a herbal product, often through altered drug metabolism or transport, such as enzyme induction or inhibition by St John's wort.

Related: Herbal medicine, Pharmacognosy
Pharmacogenomics

The study of how genetic variation among individuals affects drug response, including metabolism, efficacy, and risk of adverse effects, guiding selection and dosing of certain medicines.

Related: Therapeutic drug monitoring, Adverse drug reaction