Formative W12 Flashcards
36-year-old male is currently prescribed clenil two puffs twice a day and salbutamol two pups were required. He is attending an asthma review and a demonstrates good inhaler technique. He has been using his salbutamol approximately four times a day and report waking up most nights of the dry cough that has no other symptoms. Which of the following would be the most appropriate recommendation?
A) add salmeterol inhaler at two puffs twice a day
B) no action needed review the patient in three months
C) increase the clenil to 2 puffs four times a day
D) prescribe montelukast one at night
E) prescribe theophylline 200 mg twice a day
A
A 26-year-old female is admitted to A&E with nausea and vomiting and observation show a heart rate of 120 bpm. Which of the following could be a cause of her symptoms?
A) Beclometasone dipropionate
B) cetirizine
C) montelukast
D) salbutamol
E) theophylline
E
Pharmacy assistant asked you to explain the differences between COPD and asthma. Which of the following is most likely to be associated with a COPD diagnosis?
A) allergic response
B) frequent upper respiratory tract infection
C) patient under 20 years old
D) nighttime waking
E) variability and symptoms
B
A 64-year-old male is currently prescribed salbutamol, salmeterol, tiotropium. At his COPD review he shows deterioration in his FEV1 and is experiencing breathlessness with normal activities. Which of the following would be the most appropriate recommendation for ongoing management?
A) add a budesonide turbo Hailer
B) add an inhaled corticosteroid as part of a combination inhaler
C) add an ipraropium inhaler to take when he is breathless
D) no action needed review in three months
E) prescribe carbocysteine
B
A 33-year-old woman is being treated with oral and antibiotics for an uncomplicated UTI and has reached the end of day three of treatment. She reports improvement in symptoms. What is the most appropriate action?
A) continue antibiotics and review again in 24 hours
B) stop antibiotics
C) stop antibiotics and commence long-term prophylactic treatment
D) switch to a different oral antibiotic with a narrow spectrum activity
E) treat patient with potassium citrate granules
B
A 49-year-old female who has a history of anaphylaxis to penicillin requires antibiotic treatment. Which of the following antibiotics would be considered safe for prescribing?
A) ceftazidime
B) c0-amoxiclav
C) doxycycline
D) meopenem
E) tazocin
C
A 53-year-old woman has recently been diagnosed with mild cellulitis and has developed oral candidiasis the last time that she used amoxicillin and as a result she tells you she’s allergic to penicillin. According to the PMR, she is not on any regular medication. What is the most suitable antibiotic to treat her cellulitis?
A) ciprofloxacin
B) clarithromycin
C) flucloxacillin
D) metronidazole
E) phenoxymethylpenicillin
C - it is a side-effect not an allergy
Human amino deficiency virus (HIV) interacts with which of the following cell surface molecules to gain entry into the cells of the immune system?
A) CD4
B) CD8
C) CD19
D) CD25
E) CD40 ligand
A
What is not a common sign of asthma?
A) breathlessness
B) diurnal variation
C) night time waking
D) peripheral cyanosis
E) wheeze
D - the blue tinge of the skin is bronchitis
A 42-year-old female describes having yellow/green vaginal discharge which is foul-smelling. which of the following is most likely to cause her symptoms?
A) bacterial vaginosis
B) Candida albicans
C) chlamydia trachomatis
D) herpes simplex
E) trichomonas vaginalis
E
Which drugs don’t contain penicillin?
Which drugs don’t contain macrolides?
What medications increase or decrease BPM?
What is FVC?
