RCVS Statutory Membership Examination (SME) · UK · Royal College of Veterinary Surgeons
Original practice questions written to the published syllabus · not past papersWriting a lawful prescription and dispensing safely: who may prescribe, extra-label use and the cascade, withdrawal periods and MRLs, drugs prohibited in food animals, pharmacovigilance, controlled drugs and records.
In the exams: EAEVE Day One competences on prescribing, dispensing and reporting adverse reactions; WOAH Day 1 veterinary products; RCVS Day One competences (the cascade)
RCVS Statutory Membership Examination (UK) and Veterinary Council of Ireland registration exam
Legal categories (POM-V, POM-VPS, NFA-VPS, AVM-GSL), animals under care, the cascade steps and conditions, minimum withdrawal periods for off-label use in food animals, horse passports and the food chain, controlled-drug schedules, registers and prescriptions, and reporting suspected adverse events to the VMD.
How our questions for RCVS Statutory Membership Examination spread across the units of Veterinary Pharmacy, Prescribing Law & Medicines Regulation. Difficulty: 26 easy, 27 medium, 13 hard.
| Dispensing | 16 | |
| Prescription writing | 10 | |
| Withdrawal periods | 10 | |
| Pharmacovigilance and adverse-event reporting | 8 | |
| Record keeping | 6 | |
| Who may prescribe: IVC Act s.30, the US VCPR and UK POM-V | 4 | |
| Extra-label use: US AMDUCA and the UK cascade | 4 | |
| Controlled drugs | 4 | |
| Maximum residue limits | 2 | |
| Drugs prohibited in food-producing animals | 2 |
Choose an answer, then open the working. Each explanation says why the right answer is right and why the others are not.
In the UK, a vet writes a prescription for a Schedule 2 opioid for a dog under her care. Which feature is a legal requirement for this prescription but not for an ordinary POM-V prescription?
C. The total quantity in words and figures
Schedule 2 and 3 controlled-drug prescriptions must state the total quantity in words and figures so it cannot be altered, along with the prescriber's registration number and a declaration that the drug is for an animal under the vet's care. No countersignature or pre-named pharmacist is required.
Further reading: Misuse of Drugs Regulations 2001; RCVS supporting guidance
An owner asks whether she can crush an enteric-coated tablet to hide it in food for her dog. What is the correct advice?
D. No; crushing defeats the protective enteric coating
An enteric coating stops the tablet dissolving in the stomach, either to protect the drug from acid or to protect the stomach from the drug. Crushing or splitting defeats it. Ask for a different formulation instead.
How many milligrams of drug are there in 1 mL of a 2% w/v solution?
D. 20 mg
2% w/v = 2 g per 100 mL = 2000 mg per 100 mL = 20 mg/mL. Rule of thumb: % w/v × 10 = mg/mL. 2 mg and 200 mg are tenfold slips in either direction; 0.2 mg divides by 10 instead of multiplying.
5 g of a drug is dissolved and made up to 250 mL. What is the strength as % w/v?
B. 2%
% w/v = g per 100 mL. 5 g in 250 mL = 2 g in 100 mL = 2%. 20% and 0.2% are tenfold slips; 5% ignores the volume.
Under Article 115 of Regulation (EU) 2019/6, a product authorised for cattle with a zero meat withdrawal is used under the cascade in turkeys. What is the minimum meat withdrawal?
A. 1 day
When a product with a zero withdrawal period is used in a different taxonomic family, the EU minimum is 1 day for meat. Zero is the label figure for the authorised species only; 28 days is for products not authorised in food animals.
Further reading: Regulation (EU) 2019/6, Article 115
A UK horse's passport has not been signed out of the food chain. The vet wants to treat chronic lameness with phenylbutazone. What is the legal position?
A. Not allowed: phenylbutazone has no MRL and the horse is in the food chain
In the UK and EU every horse is a food animal unless its passport declaration excludes it. Phenylbutazone has no MRL and is not on the essential substances list, so it may not be used in a food-chain horse. The 6-month withdrawal applies only to listed essential substances.
Further reading: Commission Regulation (EU) 122/2013; VMD guidance on horse medicines
Milk from a cow tests positive for residues above the MRL even though the farmer observed the label withdrawal period exactly. How should this be treated?
B. As an adverse event suggesting the label withdrawal is too short
A residue violation after the correct withdrawal is part of the scope of pharmacovigilance in the EU and GB. Reports can lead to a review of the withdrawal period.
Who has a legal obligation to collect, record and report adverse events for a veterinary medicine in the EU and GB?
D. The marketing authorisation holder
Marketing authorisation holders must run a pharmacovigilance system and report adverse events. For vets, reporting is a professional duty set by codes of conduct rather than the core legal obligation.
Under the UK Misuse of Drugs (Safe Custody) Regulations 1973, which of these veterinary drugs must be kept in a locked controlled-drug cabinet?
A. Buprenorphine
Schedule 2 drugs and certain Schedule 3 drugs, including buprenorphine, are subject to safe custody. Meloxicam, amoxicillin and furosemide are not controlled drugs.
Further reading: Misuse of Drugs (Safe Custody) Regulations 1973
Under EU rules, keepers of food-producing animals must keep records of medicines bought and given. For how long at minimum?
D. 5 years
Regulation 2019/6 requires keepers of food-producing animals to keep medicine records for at least five years, so residue investigations can trace treatments after the animal has gone.
Further reading: Regulation (EU) 2019/6, Article 108
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