Boots Part 2 Flashcards
Max alcohol intake?
14 units a week spread over 3 days
When should you refer thrush patients
- you have symptoms of thrush for the first time
- you have thrush and are under 16 or over 60
- thrush keeps coming back (more than 4 times in 12 months)
- treatment for thrush has not worked
- pregnant or breastfeeding
- immunocompromised – for example, because of diabetes, HIV or chemotherapy
What bodily fluid colour can sulfasalazaine stain to?
orange/yellow
(can also stain contacts)
A 30-year-old woman comes into the pharmacy and speaks to you about her options for contraception. Following a check on her records you notice she is taking Carbamazepine 400mg tablets twice a day for epilepsy
Which is the most suitable contraceptive for this patient?
a) Depo-Provera (medroxyprogesterone acetate 150 mg/1 mL) deep intramuscular
injection
b) Desogestrel 75 mcg tablets
c) Ethinylestradiol 35 mcg, Norgestimate 250 mcg tablets
d) Etonogestrel 68 mg subdermal implant
e) Norelgestromin 6 mg, ethinyl estradiol 600 mcg transdermal patch
a) Depo-Provera (medroxyprogesterone acetate 150 mg/1 mL) deep intramuscular
injection (as it isn’t affected by carbamazapine enzyme inducer effects)
Which medications, when used with nitrates, cause hypotension?
- Tadalafil
- Lisinopril
- Alcohol
- Amitriptyline
A 35-year-old woman has recently started a new medication and is now suffering from facial flushing.
Which of the following is this patient most likely to have been initiated on?
a) Carvedilol
b) Diltiazem
c) Doxazosin d) Enalapril
e) Moxonidine
Diltiazem (as it works by relaxig blood vessles causing vasodilation) (causing flushing)
A 45-year-old woman comes into the pharmacy seeking your advice, as she has been experiencing nightmares and sleep disturbances after starting a new medication.
Which of the following beta blockers is she least likely to have been prescribed?
a) Bisoprolol
b) Metoprolol
c) Nebivolol
d) Propranolol
e) Sotalol
e) Sotalol
A 65-year-old woman is due to have a mechanical heart valve replacement in three days. The consultant cardiologist asks for your advice regarding anticoagulation for this patient post- surgery.
Which of the following would be the most appropriate to give this patient?
a) Apixaban
b) Dabigatran
c) Edoxaban
d) Rivaroxaban
e) Warfarin
e) Warfarin
A 50-year-old woman has recently been diagnosed with trigeminal neuralgia, experiencing sudden severe facial pain which she describes as a shooting pain along one side of her face. She is on no other medication.
What is the most appropriate treatment for this patient?
a) Amitriptyline
b) Carbamazepine
c) Codeine
d) Gabapentin
e) Pregabalin
b) Carbamazepine
You have been contacted by a prescriber who would like to prescribe treatment for dyspepsia for a woman who is 16-weeks pregnant and has already tried the lifestyle changes suggested to her.
Which one of the following would be the most suitable option for this patient?
a) Cimetidine
b) Esomeprazole
c) Famotidine
d) Gaviscon advance
e) Omeprazole
d) Gaviscon advance
What is a common metformin starting dose
take one tablet daily for one week, then take one tablet twice daily for one week, then take one tablet three times a day thereafter. Take with or after food.
Which of these anti diabetics can cause blood in urine?
a. Acarbose
b. Canagliflozin
c. Dulaglutide
d. Glimepiride
e. Liraglutide
f. Metformin
g. Pioglitazone
h. Saxagliptin
g. Pioglitazone
Which of these anti diabetics have the highest associated risk of limb amputation?
a. Acarbose
b. Canagliflozin
c. Dulaglutide
d. Glimepiride
e. Liraglutide
f. Metformin
g. Pioglitazone
h. Saxagliptin
b. Canagliflozin
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
a) Alteplase
If a patient weighs >70kg, what is the recommended EHC
- Ulipristal Acetate (5 day cover)
- Levonorgestrel 3mg (3 days cover)
