Community Practice Flashcards
A 67-year-old man presents at your pharmacy asking to purchase something to treat his sore throat. When you ask him about his regular medicines, his answers make you suspect that he could be suffering from an adverse drug reaction caused by one of his regular medicines.
Which one of the following drugs is the most likely contributor to his sore throat?
atenolol
dihydrocodeine
methotrexate
paracetamol
ramipril
Methotrexate
A regular patient, a 57-year-old woman, hands in a prescription for a new medication: alendronic acid 70 mg, one tablet weekly. She wants to know more about it.
Which piece of advice is NOT correct?
- a dental check-up should be conducted before commencing treatment
- alendronic acid is used in the prophylaxis and treatment of osteoporosis
- any thigh, hip or groin pain should be reported during treatment as there have been rare reports of atypical femoral fractures
- side effects such as heartburn and pain on swallowing are common and will subside with continued use
- the tablets should be taken whilst sitting or standing, on an empty stomach at least 30 minutes before breakfast and should stay upright for at least 30 minutes after
Side effects such as heartburn and pain on swallowing are common and will subside with continued use.
A customer is interested in herbal remedies and would like to try St John’s Wort as she is feeling a bit down.
Which of the following drugs is most likely to interact with St John’s Wort?
- atorvastatin
- dabigatran
- lansoprazole
- loratadine
- oxybutynin
Dabigatran
A customer wants to know why she cannot receive gluten free products on prescription as she is trying out a gluten free diet after reading about its possible benefits. Her friend, who is diagnosed with coeliac disease, gets gluten free products on prescription.
Which of the following is an appropriate explanation?
- Advisory Committee on Borderline Substances (ACBS) indications allow all gluten free products to be given on prescription for coeliac disease
- Advisory Committee on Borderline Substances (ACBS) indications only allow gluten free products to be given on prescription if there has been an assessment by a dietitian
- Advisory Committee on Borderline Substances (ACBS) indications cover disease-related malnutrition and malabsorption
- gluten-free staple foods that are approved by the Advisory Committee on Borderline Substances (ACBS) can be prescribed for people with coeliac disease only
- gluten-free staple foods that are approved by the Advisory Committee on Borderline Substances (ACBS) can be prescribed for people with coeliac disease and dermatitis herpetiformis
Gluten-free staple foods that are approved by the Advisory Committee on Borderline Substances (ACBS) can be prescribed for people with coeliac disease and dermatitis herpetiformis
A 24-year-old man, who is asthmatic has just had a seasonal influenza vaccine in your Pharmacy and is sitting in the waiting area. A counter assistant informs you that the man seems distressed. Upon checking you can see that the patient is wheezing, having difficulty swallowing or speaking and appears flushed. You suspect an allergic reaction and asked the counter assistant to call 999.
Which of the following is most appropriate action to take next in the situation?
- put the patient in the recovery position and wait for help
- Report the suspected adverse reaction using the Yellow Card reporting scheme
- Set the patient up and ensure that his airways is clear
- Treat his wheezing with a salbutamol inhaler
- Treat the suspected anaphylaxis with an intramuscular injection of adrenaline (epinephrine)
Treat the suspected anaphylaxis with intramuscular injection of adrenaline (epinephrine)
A regular patient of your community pharmacy has a severe peanut allergy and needs to carry adrenaline for self administration
Which of the following statements is not suitable advice?
- After you something injection, the patient should lie down with the legs raised and should not be left alone
- An ambulance should always be called after self administration of adrenaline
- Injection technique is device specific
- The injection should not be given through clothing
- Two injection devices should be carried to treat symptoms so that’s a second injection can be given if the individual does not feel better 5 to 15 minutes after the first injection
The injection should not be given through clothing
An 83-year-old man phone to Pharmacy, complaining of nausea decreased appetite and abdominal pain. He says that the GP made some changes to his medicines last week and wonders if this could be related.
Which of the following drugs is most likely to cause the patient symptoms?
- Aspirin
- Atenolol
- Galantamine
- Levothyroxine
- Simvastatin
Galantamine
A female student asks you for advice. She is suffering from a headache and wants to know what action to take.
Which of the following are dangerous symptoms which would require urgent referral ?
- It is accompanied by sinusitis
- She’s just started taking the oral contraceptive pill
- The headache is of sudden onset and more severe than any usual headache
- The headache is unilateral
- There is an altered sleep pattern associated with the headache
The headache is of sudden onset and more severe than any usual headache
You are presented with a prescription for fentanyl 25 µg patches.
What is the recommended maximum duration of supply for this medicine on a prescription?
- Seven days
- 14 days
- 28 days
- 30 days
- 56 days
30 days
