Hospital Pharmacy Past Papers Guide
Hospital Pharmacy Past Papers Guide
VIZ
1. INTRODUCTION
Q: Discuss the role of Pharmacist in Hospital Pharmacy (10)
Q: Describe the Different Services provided by the Hospital Pharmacy to the
Patients and Hospitals (10)
Q: Define Hospital Pharmacy? What are the Special Professional Services of
Hospital Pharmacy (10)
Q: What are minimum standards of Pharmacy departments in Hospital (10)
Q: Discuss in detail abilities required of Hospital Pharmacist in a health institution
(10)
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4. PHARMACY AND THERAPEUTIC COMMITTEE
Q: Discuss briefly about Pharmacy and Therapeutic Committee (10)
Q: Discuss Organization and Operation of P & TC (20)
Q: What is the role P & TC in ADR and in Formulary Development (10)
Q: Explain the Composition and Working of Pharmacy and Therapeutic Committee
(10)
Q: Explain Functions and Policies of P & TC (10)
6. DISPENSING TO IN-PATIENTS
Q: Write a note on Unit Dose Dispensing and its importance in hospitals (10)
Q: Discuss in detail Charged Floor Stock System and Non-Charged Floor Stock
System (10)
Q: Write a note on methods of Drug Distribution in in-patient setting (10)
Q: Write a note on Drug Mobile Dispensing system (06)
Q: Differentiate between Centralized and Decentralized Unit Dose System (20)
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Q: Which type of Programs come under Sterile manufacturing. Discuss in detail
Quality Control procedures under the manufacturing program. (10)
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Q: Name the types of purchasing. Describe the purchasing of bulk by making flow
chart (10)
Q: Describe role of pharmacist in drug procurement (10)
Q: Explain the relationship between purchasing, distribution and clinical
pharmacy services (10)
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19. HEALTH ACCESSORIES
Q: Write a note on some Diagnostic aids (05)
Q: Name different Health Accessories (05)
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CLINICAL PHARMACY PAST PAPERS TOPIC VIZ
Q2: Define clinical pharmacy and discuss the role of clinical pharmacist in
healthcare settings. (10) (2nd annual 2018)
Q5:
DISEASE MANAGEMENT
MODULES:
Q2:
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b) Classify heart failure according to New York heart association. (8)
c) Discuss the treatment of heart failure with digoxin and ACE-inhibitors? (8)
(2nd annual 2018)
Q3: Differentiate between hemorrhagic and ischemic stroke? (6) (2017) (2016)
Q4: Define hypertension and discuss briefly the management goals. (6) (2019)
Q7:
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Q1: Discuss how treatment responses are monitored in hepatitis C and pan-
genotypic direct acting anti-viral in patients with and without liver cirrhosis. (10)
(2019)
Q3: Tabulate differences between duodenal and gastric ulcer. (3) (2019)
Q4: Discuss the complications of portal hypertension and their management. (10)
(2nd annual 2019)
Q5: Briefly discuss the clinical finds and management of irritable bowel disease.
(6) (2nd annual 2019)
Q2: What are the main components of drug profile, discuss with one example.
(10) (2nd annual 2018)
Q3:
Q4:
Q6: What are the precautions, contraindications and administration guidelines for
morphine? (10) (2016)
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Q10: How can the following drugs induce ADRs in patient with cardiovascular
diseases: Celecoxib, atenolol, tranexamic acid, diclofenac, immediate release
nifedipine. (10) (2nd annual 2016)
Q11: What are the therapeutic uses and withdrawal effects of diazepam. (10) (2nd
annual 2016)
Q12: Write the contents and process of taking patient’s medical history. (6) (2nd
annual 2016)
Q2: What are different reporting statements of clinical studies? (3) (2018)
Q3: What are different types of clinical study designs and arrange them in order
of their clinical significance? (6) (2nd annual 2018)
Q4: Write a note on clinical trials. (10) (2nd annual 2018) TYPES (2016)
Q5: Generate a flow diagram of various study designs in clinical research. (5)
(2017)
Q6: Briefly explain the major differences in procedures, from recruitment, design,
sub-types and dosing between phase ll and phase lll clinical trials. (5) (2017)
(2019)
Q7: Discuss the importance of study population issue, outcome and influencing
variables selection in designing clinical trials? (8) (2016)
Q9: Compare and discuss the significance and procedural differences of different
phases of clinical trials. (7) (2nd annual 2016)
Q10: What is the importance of randomization, blinding and sample size in clinical
study design? (5) (2nd annual 2019) (2018)
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EMERGENCY TREATMENT
Q1: An unconscious patient is admitted in ED with high grade fever, leukocytosis,
MAP 50mmHg, pulse 35/mint, PCWP 2mmHg and lactic acid 7mmol/L. write down
diagnose and treatment protocol for this patient. (12) (2017) (2016)
Q3: What are normal ranges of vital physiological parameters that should be
monitored for a patient present in any emergency department? (8) (2016)
Q5: What is ABCD in emergency treatment? Briefly explain (4) (2nd annual 2016)
DRUG INTERACTIONS
Q1:
Q2: Give three examples of DDIs at drug distribution levels and how these can be
overcome? (7) (2018)
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Q3: What are the major differences between induction and inhibition due to DDIs
at metabolism level, Describe DDIs due to enzyme induction at drug metabolism
level? (10) (2nd annual 2018) (2nd annual 2017)
Q4: Describe with examples DDIs at elimination and transport level? (8) (2nd
annual 2018) (2017)
Q5:
Q6:
a) Explain the behavior of drugs when given together at the hepatic level with
reference to inducers, inhibitors and substrates. (12)
b) Discuss the drug interacting with herbal drugs. (8) (2nd annual 2018)
Q8: Briefly describe the factors that can increase the risk of drug-drug interactions
and how pharmacist can manage drug-drug interaction in clinical settings. (5) (2nd
annual 2017) (2nd annual 2016) (2nd annual 2019)
Q9:
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a) Explain with examples the difference between synergism, potentiation, and
additive effects due to DDIs. (7) (2019)
b) Name three inhibitors of CYP enzyme. (3) (2nd annual 2017) (2019)
Q10: Classify Drug-drug interactions. Also describe with examples, drug drug
interactions at absorption levels. (7) (2019)
PHARMACOVIGILANCE
Q1:
Q2:
Q3: what are pharmaceutical factors considered to be the cause of ADRs? (10)
(2nd annual 2018)
Q4: Discuss ADRs in pediatric patients. (10) (2nd annual 2018), due to altered
metabolism. (2nd annual 2017) (2016)
Q5: Write down any 4 ADRs in pediatrics due to altered metabolism. (4) (2017)
Q6:
Q7:
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b) Classify drugs according to the severity of ADRs in pregnancy and give few
examples. (6) (2nd annual 2017) (2016)
Q9: Write a note on patient related factors affecting ADRs with examples. (8) (2nd
annual 2016)
Q8:
a) Define ADRs according to Krach and Lasange and FDA. (4) (2019)
b) Write a note on extended Rawlins-thompson classification of ADRs. (8) (2nd
annual 2016) (2019)
c) Discuss briefly the concept of safety in the context of drugs. (8) (2019)
Q9:
PHARMACOTHERAPY PLAN
Q1: Write a note on CORE, PRIME and FARM pharmacotherapy plans? (10) (2nd
annual 2018) (2nd annual 2017) (2019)
Q2: Write a note on treatment protocol of diabetic ketoacidosis? (10) (2nd annual
2018)
Q3:
a) Classify acute kidney injury as per AKIN (acute kidney injury network)
criterion? (5)
b) Write a detail note on NSAIDs induced acute kidney injury? (15) (2018)
Q2: Write a note on NSAIDs induced peptic ulcer disease? (10) (2nd annual 2018)
Q3: Discuss drug induced ischemic heart disease. (10) (2nd annual 2018)
Q5:
a) What are the predictors of drug induced acute kidney injury? (5)
b) Classify chronic kidney disease as per the kidney disease improving global
outcomes guidelines? (5)
c) Write a note on cisplatin induces nephropathy? (10) (2017)
Q6: Enlist the names of drugs which can cause torsades de pointus arrhythmia. (4)
(2017)
Q7: What are the predisposing factors of torsades de pointus arrhythmia? (2nd
annual 2017) (2nd annual 2016)
Q8: Enlist the name of drugs that have been withdrawn from market due to
torsades de pointes arrhythmias. (5) (2nd annual 2016)
Q8: How can vasodilator drugs induce cardiovascular diseases? Give examples of
two drugs. (4) (2nd annual 2017)
Q9:
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Q11:
Q12:
a) Define acute kidney injury and describe its stages (3) (2nd annual 2016)
b) Write a detailed note on angiotensin converting enzyme inhibitors/ARBs
induced acute kidney failure. (7) (2nd annual 2016)
Q13: Discuss the types of drug induced liver diseases based on patterns of liver
injury and how it’s diagnosed. (8) (2019)
Q3: Discuss the utilization of clinical drug literature and role of pharmacist. (10)
(2nd annual 2018)
Q4: What is drug information? What are different sources of information? (10)
(2nd annual 2018) (2017)
Q5: Explain primary Drug literature with examples. Write a note on its advantages
and disadvantages. (8) (2016)
Q7: What is research literature review? Write all the steps involved in literature
search. (4) (2nd annual 2016)
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Q8: Write a detailed note on the merits and demerits of research study question,
and how to turn a research question into a proposal taking into account the bias,
confounding, ethics, planning and selection of variables. (15) (2nd annual 2017)
(2019)
Q2: Discuss the use of computers in hospital/ retail/ clinical pharmacy. (10) (2nd
annual 2018) (2nd annual 2017) (2016) (2nd annual 2016)
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INDUSTRIAL PHARMACY PAST PAPERS TOPIC
VIZ
1. MASS TRANSFER
Q: Write a short note on Mass transfer (05)
Q: Briefly discuss the principles and mechanisms of Mass transfer and its
applications in pharmaceutical industry (10)
Q: Describe theory of Mass Transfer (05)
2. HEAT TRANSFER
Q: Discuss in detail property of Steam (07)
Q: Discuss parameters to be taken in designing heating equipment (06)
Q: What are applications of Steam (07)
Q: Write a short note on Heat transfer (05)
Q: Discuss in detail the types of Heat Transfer Mechanism and its applications in
pharmaceutical industry (10)
3. DRYING
Q: Describe the principle, construction, advantages and disadvantages of
following (20)
1. Tray Dryer
2. Fluid Bed Dryer
Q: Define drying and discuss at least two Convection Dryers used for
pharmaceutical materials (10)
Q: Write a note on following (20)
1. Freeze Drying
2. Spray Drying
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Q: Can we dry Solutions / Suspensions? How? Discuss the principle of such
method (10)
Q: What are different theories of Drying? Write down the classification of Dryers
(10)
5. MIXING
Q: Explain types of mixture and objectives of Mixing (10)
Q: Discuss various mixers used in liquid preparations (10)
Q: Define Mixing (06)
Q: Discuss equipment used for Solid Mixing (06)
Q: Write a note on different types of Impeller Mixers used for liquid mixing (10)
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6. CLASRIFICATION AND FILTRATION
Q: Describe the principal, construction, advantages and disadvantages of Meta
Filters (10)
Q: Discuss and Name the Filter aids and Filter media (10)
Q: Write a note on Plate and Frame Filter Press (10)
Q: Discuss in detail law of filtration (10)
Q: Discuss various factors affecting rate of filtration. Explain with diagram working
of Filter Press (10)
Q: Draw and discuss leaf filter also give its pharmaceutical advantages and
disadvantages (05)
Q: What is Filtration. Write down the types of filters in Pharmaceutical industry
(10)
Q: Write a short note on Clarification (05)
Q: Define the different terms used to explain the filtration process (10)
Q: Define filtration, clarification, decantation and sedimentation and also discuss
the mechanism of filtration with reference to Darcy’s law (10)
Q: Define and discuss properties of ideal filter media and also discuss different
factors affecting the selection of filter media (10)
7. EVAPORATION
Q: Write notes on the following (10 each)
1. Evaporating still
2. Long tube evaporators
3. Short tube evaporators
Q: Discuss Evaporation and Vaporization. Explain evaporation under reduced
pressure (10)
Q: Give various factors effecting evaporation and explain Pan Evaporators (10)
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8. COMPRESSION AND COMPACTION
Q: Discuss in detail the physics of tableting (10)
Q: Describe various forces involved in compression (10)
Q: Write note on following (05 each)
1. Angle of Repose
2. Heckle plot
3. Friability Test
4. Mass volume relationship
Q: Write a note on wet and dry granulation methods in tablet compression (10)
Q: Describe the physics of tablets (10)
Q: Describe in detail different steps involved in sugar coating (10)
Q: Discuss essential excipients used in tablet formulation (10)
Q: Write a note on following (05 each)
1. Compression and Consolidation
2. Rotary die process
3. Binder of tablets
4. Sugar coating of tablets
Q: Write down the defects of film coating (10)
Q: What are different methods of tablet preparation. Describe dry granulation
method (10)
Q: Discuss the problems associated with manufacturing of tablets and suggest the
solutions to avoid these problems (10)
Q: What is solid air interface and Angle of Repose (10)
Q: Discuss in detail tablet coating and problems involved in tableting (10)
Q: Write note on following (05 each)
1. Granulation
2. Size Analysis and Sieving
3. Flow Rates
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4. Capping and Lamination
Q: Define Compression, Consolidation and Compaction, discuss their mechanisms
in detail (10)
Q: Name the methods of tablet manufacturing and make flow chart to describe
these, how the choice is made between these methods (10)
Q: Steps in manufacturing of hard gel capsules (07)
10. EMULSIONS
Q: Discuss the methods of assessing the stability of emulsions (10)
Q: Discuss formulation considerations of pharmaceutical emulsions (20)
Q: Define emulsions? Give the equipment for the preparation of microemulsions
(10)
Q: Define emulsion instability (10)
Q: Differentiate between micro-emulsion and nano-emulsion (10)
Q: What are emulsions and their types (06)
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11. SUSPENSIONS
Q: What are Pharmaceutical applications of suspensions (10)
Q: Write a note on the test methods for suspensions (10)
Q: Write a note on Flocculated and Deflocculated suspensions (10)
Q: Write about formulation consideration of suspension (10)
Q: What are suspending agents and give few examples (10)
Q: How suspensions are formulated, and which types of equipment are used in
their formulation (10)
12. SEMISOLIDS
Q: What are semisolid preparations and write their Packaging techniques (10)
Q: Write a short note on Ophthalmic Preparations (05)
Q: Discuss the equipment used in the preparation of semisolid dosage form (10)
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PAST PAPERS TOPIC VIZ
BIOPHARMACEUTICS
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Q: Discuss design and evaluation of bioequivalence studies. (12) (2nd Annual
2017)
ELIMINATION OF DRUGS
Q: What is extraction ratio? Give its importance. Describe Phase I reactions in
biotransformation with at least one example. (3+2+9) (2nd Annual 2018)
Q: Describe first pass effect? Explain Phase II biotransformation reactions with
at least one example. (2+8) (2nd Annual 2018) (Annual 2017) (2nd Annual 2016)
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Q: Explain Phase II biotransformation reactions with at least one example. (8)
(2nd Annual 2019)
Q: What are the non-hepatic sites for drug biotransformation? Explain Phase II
biotransformation reactions with at least one example. (10) (Annual 2016)
Q: What is the sequence of biotransformation reactions? What are the changes
brought about in drug molecules during Phase I and Phase II reactions? (3+3)
(2nd Annual 2016)
Q: What are the roles of biotransformation? What are the changes brought
about in drug molecules during Phase I and II reactions? (3+3) (2nd Annual
2017)
Q: What is the extraction ratio? What is its importance? Describe the factors
affecting biotransformation. (3+3+8) (2nd Annual 2017)
PROTEIN BINDING
Q: Describe the significance of plasma protein binding and also discuss the
types of plasma proteins involved in drug protein binding. (10) (2nd Annual
2018)
Q: Describe protein binding. Describe the kinetics of protein binding. (14) (2nd
annual 2016) (2nd Annual 2019)
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Q: Describe what types of physiochemical factors are considered in dosage
form design. (14) (2nd Annual 2018) (Annual 2017)
Q: Discuss how the Noyes-Whitney equation explains factors for dissolution.
(6) (2nd Annual 2018) (Annual 2017)
Q: What is dissolution? Discuss how the Noyes-Whitney equation explains
factors for dissolution. (2+6) (2nd Annual 2019)
Q: Define dissolution. Describe how dissolution requirements meet with the
USP-NF specifications? (10) (2nd Annual 2018) (2nd Annual 2017)
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Quality Control Past Papers Topic Viz
Introduction
Q1: What is pharmacopoeia? What type of information is given in appendices and
monographs? (8)
Q2: Differentiate between appendices and monographs? (10)
Q4: Differentiate between Quality Control and Quality Assurance. Enlist various
Official books used for Quality Control of Pharmaceuticals. (10)
Q5: Explain the difference between Quality Control and Quality. (10)
Q6: Define Quality, Why Quality is needed in Pharmaceutical Products? Describe
the concept of Pharmaceutical Quality Management. (10)
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Q16: Explain Hardness and Content Uniformity Test for Tablets. (10)
Q17: Describe the procedure for Weight Variation Test of Compressed Tablets.
(05)
Q18: Define dissolution and disintegration? Why these tests are performed for
solid dosage forms and also describe apparatus and method used for the
disintegration testing of compressed tablets. (10)
Q19: Tabulate the acceptance criterion for dissolution testing of uncoated
tablets? (03)
Q20: Discuss various official apparatuses used for the dissolution testing of
tablets. Also provide their Pharmaceutical Applications (07)
Q21: Explain interpretation criterion for the dissolution of following dosage form
a) Immediate release dosage form
b) Sustained release dosage form
Q22: Define Construction, Procedure and Interpretation of USP Tablet friability
test. (10)
Q23: Provide names of various compendial and non-compendial Quality Control
Tests for Capsules and Tablets. Explain friability test in detail. (10)
Capsules
Q24: Discuss Weight variation in Capsules. (10)
Q25: Describe Content Uniformity Test of Filled Hard Gelatin Capsules. (10)
Q26: Discuss the Dissolution test for Capsules. (10)
Powders
Q27: Name four commonly used methods for testing flow properties of powders
and also define compressibility index and Hausner ratio. (05)
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Q30: Explain different Apparatuses used in viscosity determination of Syrups (10)
Q31: Describe different Apparatuses used for the determination of viscosity of
non-Newtonian liquids (10)
Q32: Name different tests used for Liquid Dosage Form. Describe in detail Density
Determination of Syrups and Elixirs. (10)
Suppositories
Q33: Discuss in detail QC of Suppository Dosage Form. (20)
Q34: Write a note on Liquefaction (softening) Test for Suppositories (10)
Q35: Define Liquefaction time and Melting range (Melting point, Melting zone)
with regard to QC of suppositories (10)
Q36: Describe the Apparatus and Method used for Disintegration test for
Suppositories (10)
Q37: Write a note on Breaking and Liquefaction of Suppositories (10)
Q38: Give Physical and Chemical Testing of Suppositories (10)
Sterile Products
Q39: Describe in detail Sterility Testing of Injectables (20)
Q40: What are Pyrogens? How they can be eliminated? Discuss Biological Testing
of Pyrogens (10)
Q41: Enumerate Official methods used for Pyrogen Testing (10)
Q42: Describe Interpretation of Sterility Testing (10)
Q43: Describe in detail LAL Test for Pyrogens in Injectables (10)
Q44: Define initial, maximum temperature and response in pyrogen testing.
Provide Interpretation of results for in-vivo pyrogen test (10)
Q45: What Antimicrobial Precautions have to be taken into consideration during
sterility testing (06)
Q46: Write a note on Leakers Test (05)
Q47: How media is tested before sterility testing why is it important to do? (06)
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Q48: Describe in detail the procedure for sterility testing on semi solid dosage
form in accordance with interpretation of results (10)
Q49: Name various tests for Parenteral Preparations. Give method (all stages) and
specification pyrogen test by rabbit (10)
Q50: Give Precaution to be taken for sterility testing of Parenteral (10)
Q51: Write a note on requirement and specifications for clarity testing of large
and small volume parenteral (10)
Biological Assays
Q52: Write a note on Assay of Vitamin D (10)
Q53: Describe the Bioassay of Antibiotics (10)
Q54: Discuss Biological and Microbiological Method used to control the Quality of
Pharmaceuticals. Give Partial list of Test Animals and Drugs used for Qualitative
Analysis (10)
Q55: Describe Turbidimetric method of Antibiotic Assay (10)
Q56: Discuss Insulin Assay in detail (10)
Q57: Write a note on Assay of Digitalis (10)
Q58: Define Bioassay. Give Bioassay of Antibiotics giving suitable examples (10)
Q59: Write a note on Assay of any two pharmaceutical products (10)
Q60: Describe the Assay of Ibuprofen tablets (10)
Q61: Write a note on Importance and Limitations of Biological Assay (10)
Q62: What are different reasons of Biological Assay (05)
Q63: Differentiate between Biological Assay and Chemical Assay. Explain with
examples (05)
Alcohol Determination
Q64: Give the method for determination of Alcoholic content determination of
Pharmaceuticals (10)
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Q65: Give treatments for liquids presumed to contain more than 50% v/v of
Alcohol (10)
Q66: Discuss in detail Alcoholic Content Determination by HPLC method (10)
Q66: Name Official methods for Alcoholic Content Determination. Discuss in
detail Distillation Method. (10)
Q67: Write a note on Precautions in Distillation method of Alcohol Content
Determination (10)
Vaccines
Q71: Explain in detail how to test in-vivo potency of vaccine (10)
Q72: What is Monocytic Activation Test (MAT). How is better than LAL and Animal
Pyrogen Testing (10)
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Q81: Write a note on determination of Total Solids (05)
Q82: Discuss QC of Ointments and Creams. (10)
Q83: Write a note on Particle Size Determination in Ointments. (05)
Standardization of Pharmaceuticals
Q84: Define “Good Manufacturing Practice” Give its Objectives. Explain necessary
facilities for GMP. (10)
Q85: Define GMP. Discuss GMP with special reference to personnel. (10)
Q86: Write a note on QC of Printing and Packaging materials (10)
Q87: Name various Sources of Quality Variations. Discuss in detail Quality Control
of Active Raw Material. (10)
Statistical Charts
Q88: Discuss SQC in detail (10)
Q89: Write a note on Quality Control of Charts (8)
Q90: Describe different types of Quality Control Charts and their Importance in
Quality Control Management (10)
Q91: Describe Variable Charts and Attribute Charts and their role in Statistical
Quality Control (10)
Q92: Describe Quality Control Charts. Give the Classification of Quality Control
Charts (10)
Q93: Describe Process Compatibility Index (10)
Q94: Describe Applications of Shewhart Chart (10)
Q95: How Shewhart Charts differ from Process Acceptance Chart (10)
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