Common Registration Assessment, Part 1

Prasugrel loading and maintenance tablet doses by weight for the GPhC assessment

Three original practice questions, with the working shown. Read the stated prescription or plan before calculating.

Published 6 November 2026. Independent revision material, not GPhC questions, not for patient care.

ECG electrode suction bulbs resting on a person's chest
Photo from Pexels, used under the Pexels licence. It is a stock image and does not show the exercise.

The manufacturer's UK product information for prasugrel 10 mg film-coated tablets states that treatment should be initiated with a single 60 mg loading dose and then continued at 10 mg once a day, and that a treatment of up to 12 months is recommended unless discontinuation is clinically indicated.

The same information states that patients weighing less than 60 kg should receive the single 60 mg loading dose and then continue at 5 mg once daily, and that the 10 mg maintenance dose is not recommended for them. It states that in patients aged 75 years or older, for whom treatment is generally not recommended, a reduced maintenance dose of 5 mg should be prescribed after the loading dose if treatment is deemed necessary.

It also states that the tablets may be administered with or without food, and that the tablet must not be crushed or broken.

Each question fixes the values needed for its arithmetic. Write the unit beside every step and distinguish a single dose from a daily total or a supply period. All prescriptions and patients here are fictional; these are revision materials, not for patient care.

The method

  1. Identify whether the question asks about the loading dose or the maintenance dose.
  2. Divide the stated milligram dose by the tablet strength to count tablets.
  3. Multiply the daily tablet count by the stated number of days for a supply quantity.
  4. Keep milligrams and tablets separate; convert only when the question asks.

Three practice questions

Work each one on paper first, then open the answer. All patients and prescriptions are fictional.

Question 1

A fictional patient is given the single 60 mg loading dose using 10 mg tablets. How many tablets is this?

Show the answer

Answer: 6 tablets

Working: 60 mg / 10 mg per tablet = 6 tablets for the loading dose.

Question 2

A fictional patient continues on the maintenance dose of 10 mg once daily. How many milligrams is this over 30 days?

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Answer: 300 mg

Working: 10 mg each day x 30 days = 300 mg in total.

Question 3

A fictional patient weighing 55 kg takes the maintenance dose of 5 mg once daily using 5 mg tablets. How many tablets are needed for a 28-day supply?

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Answer: 28 tablets

Working: One 5 mg tablet each day x 28 days = 28 tablets.

eMC SmPC: Efient 10 mg film-coated tablets

https://www.medicines.org.uk/emc/product/100009/smpc

Where marks are lost

  • Splitting the 60 mg loading dose across days instead of giving it as a single dose.
  • Using the 10 mg maintenance dose for a patient under 60 kg when the product information recommends 5 mg.
  • Reporting tablets for the loading dose and milligrams for the maintenance total without labelling each.

Frequently asked questions

Are these official assessment questions?

No. They are original revision exercises, not official GPhC questions and not for patient care.

Does this calculation decide a real prasugrel dose?

No. Follow the stated prescription in the exercise. Real dosing depends on body weight, age and bleeding risk.

How should I check the answer?

Check the requested unit, then work backwards from the quantity to the stated dose and duration.

Sources

The questions above are original and use fictional patients and prescriptions. PreRegExamPrep is not affiliated with or endorsed by the General Pharmaceutical Council.

Practise until the method is automatic

Try 15 free questions with worked answers. No sign-up required.

More calculation topics

See also the formula sheet, the eight sample questions and the approved calculator page.