CALC GONE WRONG

Question 1

Answer 1

Question 2

Answer 2

Question 3

Answer 3

Question 4

Answer 4

Question 5

Answer 5

Question 6

Answer 6

Question 7

Answer 7

Question 8

Answer 8

Question 9

Answer 9

READ THE QUESTION IT ASKED FOR NUMBER OF PACKS NOT TABLETS !

Question 10

Answer 10

Question 11

Answer 11

Question 12

Answer 12

Question 13

Answer 13

1156 (Round the nearest pound if it is not explicitly said to you to do).

Question 14

Answer 14

255

Question 15

Answer 15

Question 16

Answer 16

2 mL- qs is easier than you think. It is asking you about the increase for each reconstitution not the total reconstituted solution.

Question 17

Answer 17

60 minutes. It takes 6 hours for it to reach 0.000625 which means every hour there is reduction in half plasma conc.

Question 18

A patient is taking 400 micrograms per day of Qvar MDI 100 micrograms. The inhaler is to be primed correctly before use and the patient then uses the medicine daily, as prescribed with no gaps in treatment.

How many full days will one 200-dose inhaler last? Give your answer to the number of full days..

The SPC is provided here: https://www.medicines.org.uk/emc/product/605

Answer 18

Question 19

A pharmacist adds 50 mL of a 0.48% w/v solution of potassium permanganate to purified water to produce a solution with a final volume of 400 mL.

What is the potassium permanganate concentration (ppm) of the final solution? Give your answer to the nearest whole number.

Answer 19

Question 20

A patient who weighs 50 kg, has recently been started on Increlex which is a 10 mg/mL solution for injection of mecasermin. The injection also contains benzyl alcohol. The details of the dose and benzyl alcohol can be found in the SPC (supplied).

Based on the recommended starting dose for mecasermin, how much benzyl alcohol will they receive in the first week of treatment? Give your answer in mg to the nearest whole number.

The SPC is provided here: https://www.medicines.org.uk/emc/product/384/smpc

Answer 20

Question 21

Your hospital pharmacy stocks clozapine 100 mg tablets.

The patient started treatment 3 months ago and the prescriber would like the patient to receive a dose of 200 mg daily until their next blood test. How many 100 mg tablets should be dispensed to cover the patient until their next blood test? Assume a blood test is taken on day 1, dispensing and the first tablet taken on day 3 but that this dispensing covers the full course needed.

The SPC is available here: https://www.medicines.org.uk/emc/product/10290/smpc

Answer 21

Question 22

Answer 22

Question 23

The fluoride concentration of a local water supply is found to be 0.25 ppm w/v.

How many litres of water would need to be consumed daily to obtain 1 mg of fluoride?

Answer 23

The correct answer was 4

0.25 ppm w/v so 0.25 g per 1,000,000 mL
1 g per 4,000,000 mL
1 g per 4 000 L
1000 mg per 4000 L
1 mg per 4 L.

References:
BNF, Sodium fluoride monograph

Question 24

You are working as a pharmacy manager of an independent pharmacy. A new wholesaler approaches you and offers you a 5% discount on total sales compared to your current supplier. Your current monthly spend (every 4 weeks) is £72500.

How much could you save annually based on these figures? Give you answer in pounds.

Answer 24

he correct answer was 47125

Spend per week (£72500 /4) = £18125.

Annual spend (£18125 x 52) = £942500.

5% of annual spend (£942500 x 0.05) = £47125.

Question 25

You are deciding on a formulary for your local area. You have three treatment options available to you and you are tasked with finding the most cost-effective option for a specific group of patients. Drug A is taken as 1 tablet daily and it costs £9 for 28 days. The patient should be reviewed in a standard appointment every other month by their GP during a standard GP appointment, which costs £45.

What is the annual cost of the administration and management of Drug A per patient? Give your answer to the nearest whole pound.

Answer 25

You were incorrect.

The correct answer was 387

Drug A per tablet costs £0.3214 (£9 / 28 days).

Per year a patient would require 365 tablets. Therefore the annual drug cost is £117.32.

There are associated costs of £270 for GP appointment time (6 x £45).

The annual cost of the patient receiving Drug A is £387.32, or £387 when rounded to the nearest pound.

Question 26

https://www.daylewis.net/intranet/BD/dl/documents/Training/Foundation%20Training%202023%20-%2024/January%202024/Resource%20pack%20for%20Paper%201%20Jan%2024.pdf

Answer 26

Question 27

equation for ideal body weight

Answer 27

Question 28

https://www.daylewis.net/intranet/BD/dl/documents/Training/Foundation%20Training%202023%20-%2024/January%202024/Resource%20pack%20for%20Paper%201%20Jan%2024.pdf

Answer 28

Question 29

Answer 29