Bextend Flashcards
A 27-year-old Caucasian woman who is 24 weeks pregnant and has been diagnosed with gestational
diabetes. Her total (serum) cholesterol level is 4 mmol/L and she has a sustained blood pressure of 140/90
mmHg.
a) Alteplase
b) Amlodipine
c) Atenolol
d) Bendroflumethiazide
e) Glyceryl trinitrate
f) Labetalol
g) Lisinopril
h) Simvastatin
Labetalol
A 52-year-old man comes to the pharmacy and tells you that he is experiencing chest pain. He has felt this
pain before and it sometimes radiates to the neck, shoulders and arms. The pain usually occurs when he
runs and eases at rest. He is generally well and has no other co-morbidities
a) Alteplase
b) Amlodipine
c) Atenolol
d) Bendroflumethiazide
e) Glyceryl trinitrate
f) Labetalol
g) Lisinopril
h) Simvastatin
Glyceryl Trinitrate
A 56-year-old Caucasian woman phones you in the pharmacy for some advice. You are unable to understand
what she is saying as her speech is slurred so you invite her for a video consultation instead. When the
consultation begins, you notice that her face has drooped on one side and she informs you that since she
has woken up, she is unable to lift both arms and keep them there.
a) Alteplase
b) Amlodipine
c) Atenolol
d) Bendroflumethiazide
e) Glyceryl trinitrate
f) Labetalol
g) Lisinopril
h) Simvastatin
Atleplase as patient is showing signs of stroke/ TIA
A 2-year-old child has a high temperature and is refusing to eat. There are a few ulcers in the mouth and a
rash with small blisters which appear on the child’s bottom, thighs and toes
a) Acne
b) Chicken pox
c) Hand, foot and mouth
d) Meningitis
e) Molluscum contagiosum
f) Psoriasis
g) Scarlett fever
h) Shingles
Hand foot and mouth
A 57-year-old male is a regular patient at your pharmacy. Recently his mum has passed away and he’s
confided in you that he’s been struggling the last 2 months he has collected his repeat prescription. He asks
for your advice on a very painful rash that has appeared on his right-hand side. The rash appears blotchy and
is starting to blister
a) Acne
b) Chicken pox
c) Hand, foot and mouth
d) Meningitis
e) Molluscum contagiosum
f) Psoriasis
g) Scarlett fever
h) Shingles
Shingles
A 10-year-old boy has small clusters of raised spots under his left armpit and further down his side. He has
had them for around 4 months. They are not painful but can sometimes be itchy. On closer inspection you
can see they have a dimple in the middle
a) Acne
b) Chicken pox
c) Hand, foot and mouth
d) Meningitis
e) Molluscum contagiosum
f) Psoriasis
g) Scarlett fever
h) Shingles
Molluschi contagiosum
A 17-year-old male has been prescribed Lymecycline 408mg Capsules – Take one daily. Repeat for 6 months
and then review symptoms.
a) Acne
b) Chicken pox
c) Hand, foot and mouth
d) Meningitis
e) Molluscum contagiosum
f) Psoriasis
g) Scarlett fever
h) Shingles
Acne
72-year-old man with a history of hypertension, presents with impaired visual acuity and describes seeing
halos around lights. His eye is red and he is experiencing pain in it. When palpated it is tender and very
hard.
a) Blepharitis
b) Cataracts
c) Dry Eye Syndrome
d) Glaucoma
e) Infective Conjunctivitis
f) Retinal Detachment
g) Stye
h) Uveitis
From the list above,
Glaucoma
An 8-year-old girl whose mother says she is complaining of something in her eye. She says it feels like sand
is in it and her vision is blurry. The mother says the eye has been watering and that there has been some
sticky discharge.
a) Blepharitis
b) Cataracts
c) Dry Eye Syndrome
d) Glaucoma
e) Infective Conjunctivitis
f) Retinal Detachment
g) Stye
h) Uveitis
From the list above,
Infective conjunct
A 20-year-old woman presents with localised swelling near the bottom left eyelid. Her eye is
watering, but they say there has been no pain or discharge from the eye.
a) Blepharitis
b) Cataracts
c) Dry Eye Syndrome
d) Glaucoma
e) Infective Conjunctivitis
f) Retinal Detachment
g) Stye
h) Uveitis
From the list above,
Stye
A 35-year-old man has been newly diagnosed with diabetes and brings in a prescription to you with
a dose that states take one tablet daily for one week, then take one tablet twice daily for one week then
take one tablet three time a day there after. Take with or after food.
a) Acarbose
b) Canagliflozin
c) Dapagliflozin
d) Dulaglutide
e) Gliclazide
f) Metformin
g) Pioglitazone
h) Saxagliptin
Metformin
A regular patient comes into pick up their repeat prescription. You ask how they are getting on with
their medicines and they mention they have been passing blood in their urine for the past 3 days.
a) Acarbose
b) Canagliflozin
c) Dapagliflozin
d) Dulaglutide
e) Gliclazide
f) Metformin
g) Pioglitazone
h) Saxagliptin
Pioglitazone, a medication for type 2 diabetes, is associated with a potential increased risk of bladder cancer, and patients should seek immediate medical attention if they experience blood in their urine, pain or urgency when urinating, or other urinary symptoms while taking the medication
You are on a ward round and a patient is to be discharged on an antidiabetic medicine that is injected
once weekly. They mentioned they were nervous about injecting themselves and require advice on
technique.
a) Acarbose
b) Canagliflozin
c) Dapagliflozin
d) Dulaglutide
e) Gliclazide
f) Metformin
g) Pioglitazone
h) Saxagliptin
Dulaglutide
A 52-year-old type 2 diabetic man comes into your pharmacy with a prescription and mentions that
his doctor is changing his medication due to the side effect of an upset stomach. The doctor mentioned that
this new medicine may cause him to gain a little weight.
a) Acarbose
b) Canagliflozin
c) Dapagliflozin
d) Dulaglutide
e) Gliclazide
f) Metformin
g) Pioglitazone
h) Saxagliptin
Glicazide
Duration of time a prescription for Isotretinoin should be dispensed after being written under the
Pregnancy Prevention Programme
a) Five days
b) Five years
c) One day
d) Seven days
e) Six months
f) Thirty days
g) Twenty-eight days
h) Two years
7 days
Maximum duration of treatment permitted for a controlled drug Schedule 4 under an emergency supply
a) Five days
b) Five years
c) One day
d) Seven days
e) Six months
f) Thirty days
g) Twenty-eight days
h) Two years
5 days
Length of validity of a prescription for Morphine Sulfate 10mg/5ml oral suspension.
a) Five days
b) Five years
c) One day
d) Seven days
e) Six months
f) Thirty days
g) Twenty-eight days
h) Two years
6 months
Length of time required to keep an invoice for a schedule five controlled drug.
a) Five days
b) Five years
c) One day
d) Seven days
e) Six months
f) Thirty days
g) Twenty-eight days
h) Two years
2 years
An 18-year-old patient weighing 74 kg who requires a second line emergency contraception four
days after unprotected sexual intercourse.
a) Copper IUD
b) Desogestrel 75 mcg
c) Ethinylestradiol 20 mcg/Gestodene 75 mcg
d) Ethinylestradiol 30 mcg/Gestodene 75 mcg
e) Ethinylestradiol 30 mcg/Gestodene 75 mcg and seven placebo tablets
f) Levonorgestrel 1.5 mg
g) Medroxyprogesterone acetate I/M Injection
h) Ulipristal acetate 30 mg
H
A 35-year-old woman with circulatory disease who requires a combined oral contraceptive.
a) Copper IUD
b) Desogestrel 75 mcg
c) Ethinylestradiol 20 mcg/Gestodene 75 mcg
d) Ethinylestradiol 30 mcg/Gestodene 75 mcg
e) Ethinylestradiol 30 mcg/Gestodene 75 mcg and seven placebo tablets
f) Levonorgestrel 1.5 mg
g) Medroxyprogesterone acetate I/M Injection
h) Ulipristal acetate 30 mg
C- A there is a CV risk you need to give a reduced oestrogen dose
A 31-year old woman who smokes and has high blood pressure who is looking for short term
contraception for the next two month
a) Copper IUD
b) Desogestrel 75 mcg
c) Ethinylestradiol 20 mcg/Gestodene 75 mcg
d) Ethinylestradiol 30 mcg/Gestodene 75 mcg
e) Ethinylestradiol 30 mcg/Gestodene 75 mcg and seven placebo tablets
f) Levonorgestrel 1.5 mg
g) Medroxyprogesterone acetate I/M Injection
h) Ulipristal acetate 30 mg
desogestral - oestrogens are not preferred in women who smoke and/or have high BP. Tablets can be used short term
A 47-year-old man reporting general tiredness and frequently feeling thirsty, despite urinating more
than was previously normal. This is particularly troublesome at night. Symptoms built up slowly but are
starting to become quite noticeable to the patient.
a) Acromegaly
b) Cushing’s Syndrome
c) Goitres
d) Hyperthyroidism
e) Hypoparathyroidism
f) Hypothyroidism
g) Type 1 Diabetes
h) Type 2 Diabetes
Type 2 diabetes
A 27-year-old woman reporting persistent tiredness and difficulty sleeping. She also reports
nervousness, mood swings, and twitching of her arms and hands, which are becoming more frequent.
Recently, she has noticed that her heart rate seems fast, even at rest
a) Acromegaly
b) Cushing’s Syndrome
c) Goitres
d) Hyperthyroidism
e) Hypoparathyroidism
f) Hypothyroidism
g) Type 1 Diabetes
h) Type 2 Diabetes
Hyperthyroidism
A 12-year-old girl reports over the last couple of months recurrent thrush infections, fruit smelling
breath with no obvious cause, unintentional weight loss and feeling tired, which she puts down to having to
get up in the night more frequently to urinate
a) Acromegaly
b) Cushing’s Syndrome
c) Goitres
d) Hyperthyroidism
e) Hypoparathyroidism
f) Hypothyroidism
g) Type 1 Diabetes
h) Type 2 Diabetes
type 1 diabetes
A 78-year-old man has been taking warfarin for several years for atrial fibrillation. His granddaughter
has persuaded him to eat more vegetables and less meat to reduce global warming. Because of the change
in his diet, the INR clinic has had to increase his dose of warfarin
a) Vitamin A
b) Vitamin B1
c) Vitamin B6
d) Vitamin B12
e) Vitamin C
f) Vitamin D
g) Vitamin E
h) Vitamin K
K
A couple in their late 60s ask if they should be taking a daily supplement of this during the autumn
and winter each year.
a) Vitamin A
b) Vitamin B1
c) Vitamin B6
d) Vitamin B12
e) Vitamin C
f) Vitamin D
g) Vitamin E
h) Vitamin K
D
34-year-old woman has been admitted to hospital because of loss of feeling in her arms and legs.
During the medicines reconciliation process, it has been established that she has been taking 200 mg of this
vitamin daily for the last three months as she felt she was run down
a) Vitamin A
b) Vitamin B1
c) Vitamin B6
d) Vitamin B12
e) Vitamin C
f) Vitamin D
g) Vitamin E
h) Vitamin K
Long term supplementation of vitamin B6, can result in peripheral neuropathy which may be reversible if caught early
A first dose of vaccine should be given at 12-13 months of age and a second dose before starting
school at 3 years and 4 months to 5 years of age.
a) Diphtheria vaccine
b) Hepatitis A vaccine
c) Influenza vaccine
d) Measles, mumps and rubella vaccine
e) Meningococcal group C conjugate vaccine
f) Rotavirus vaccine
g) Meningococcal group B vaccine
h) Human papillomavirus vaccine
MMR
A first dose of vaccine should be given at 2 months of age and the second at 3 months of age. The
vaccine should not be started in children of 15 weeks of age or older.
a) Diphtheria vaccine
b) Hepatitis A vaccine
c) Influenza vaccine
d) Measles, mumps and rubella vaccine
e) Meningococcal group C conjugate vaccine
f) Rotavirus vaccine
g) Meningococcal group B vaccine
h) Human papillomavirus vaccine
Rotavirus
For primary immunisation of children aged between 2 months and 10 years, vaccination is
recommended in the form of 3 doses, separated by 1-month intervals and given in a combination vaccine
with tetanus, pertussis, hepatitis B, poliomyelitis and haemophilus influenza type b.
a) Diphtheria vaccine
b) Hepatitis A vaccine
c) Influenza vaccine
d) Measles, mumps and rubella vaccine
e) Meningococcal group C conjugate vaccine
f) Rotavirus vaccine
g) Meningococcal group B vaccine
h) Human papillomavirus vaccine
A