Em The Pharamcist

Question 1

What is the dose for paracetamol for a 2 yr old

Answer 1

180 every 4-6 hrs

Question 2

Lithium and arb interaction

Answer 2

Increases the concentration of lithium making it become toxic

Question 3

What medication needs to be omitted during periods of d+v

Answer 3

Diuretics should be omitted during periods of f and v due to risk of dehydration and aki

Question 4

What advice would you give to a prescriber in terms of scheduling 2 drugs

Answer 4

Strongly recommended that no more than 30 days supply is prescribed of schedule 2, 3 or 4 drugs

Question 5

What advice would you not give to a patient who has osteoporosis

Answer 5

Acupuncture should not be recommended for symptom relief in osteoporosis

Should give advice of exercise and only short term relief

Question 6

What would you recommend to a patient who is on warfarin and has a heavy nose bleed that wouldn’t stop

Answer 6

Refer to a and e

Question 7

What symptom would you need to seek immediate medical advice if the patient is on clozapine

Answer 7

Constipation due to intestinal blockage, faecal impaction and paralytic ilius

Question 8

What is the FIRST Lines treatment for constipation for opioids

Answer 8

Either an osmotic laxative Laxido or a stimulant laxative senna

Question 9

What antibiotic requires monitoring for new or worsening respiratory symptoms

Answer 9

Nitrofurantoin

Question 10

Which medication has the highest anticholinergic burden

Answer 10

Amitriptylline

Question 11

Which medication should not be taken with food

Answer 11

Lansoprazole should be taken at least 30 mins before food

Question 12

What blood test need to be checked for arbs and antityroid medication

Answer 12

Renal function test and electrolytes for arbs and tft for levothyroxine

Question 13

What is the moa of amoxicillin

Answer 13

Inhibits the peptidoglycan synthesis which weaken the bacterial cell wall

Question 14

If the risk score came back >10% what advice would you give to a patient

Answer 14

Aim to do at least 150mins of exercise a week

Question 15

What would be the target hba1c level for someone who has 2 anti diabetic medication

Answer 15

53mmol/mol

Due to the patient being on a su which is aasocaited with hypos and they are prescribed 2 anti diabetic medication

Question 16

What is the target blood pressure range for someone who has stage 3 ckd and acr of 70

Answer 16

130/80

Question 17

Within what timescale should iv antibiotics should be reviewed

Answer 17

48hrs

Question 18

What tool is used for bleeding risk

Answer 18

Orbit not HASBLED

Question 19

What antiemetic is used for only 5 days

Answer 19

Metcloperimide

Question 20

What statin is considered a high intensity statin

Answer 20

Rosuvastatin
Pravastatin and fluvastatin are low intensity and simvastatin is moderate

Question 21

What causes a risk of nephrotoxicity

Answer 21

NSAID
Ace-i and diuretic

Combination increases the risk of aki

Question 22

What does ertrlaine and apixaban cause

Answer 22

Risk of bleeding

Question 23

What does ertrlaine and apixaban cause

Answer 23

Risk of bleeding

Question 24

What electrolyte imbalance is caused by taking PPIs for long term

Answer 24

Hypomagnesaemia

Question 25

What electrolyte needs to be corrected before Alendronic acid can be initiated

Answer 25

HYPOcalcaemia

Question 26

What insulin is a biphasic mixture

Answer 26

Humulin m3

Question 27

What insulin is a biphasic mixture

Answer 27

Humulin m3

Question 28

What insulin is an intermediate acting

Answer 28

Humulin 1

Question 29

What medication require annual eye check ups as per monitoring for this medication

Answer 29

Hydroxychloroquine
Carries the risk of retinopathy
Annual eye check ups are recommended for those who are taking the medication longer than 5 years

Question 30

What medication is a DMARDs

Answer 30

Leflunomide

Question 31

What is the licensing of eumovate

Answer 31

For eumovate to be sold otc need to be 12+