GP prescribing questions

Question 1

What different routes can be used to administer drugs to a patient?

Answer 1

(1) topical administration, (2) inhalation, (3) oral administration, (4) injection, and (5) rectal administration

Question 2

How are the 8 week immunisations administered?

Answer 2

All are administered by Injection

Question 3

What vaccines are administered in the 8-week immunisation

Answer 3

The 6-in-1, the PCV, Rotavirus, Men B

Question 4

What are the different routes of administration for paracetamol in any age patient?

Answer 4

Oral, Rectal, Intravenous - for children oral syringe.

Question 5

What does a FP10 do?

Answer 5

The FP10 is the form used to formally prescribe treatments for a patient, which is then transferred to the pharmacy, along with payment, in return for the treatment.

Question 6

Who can complete and FP10?

Answer 6

The following can complete and FP10 form:
GP
Community Practitioner Nurse Prescriber
Nurse Independent/Supplementary Prescriber
Independent Prescribers
Supplementary Prescribers
Hospital Unit

Question 7

What information is necessary for an FP10?

Answer 7

Name, Age, DOB, Home address

Question 8

What is an asthma prophylactic?

Answer 8

Clenil modulite

Question 9

Formal name of an inhaler?

Answer 9

metered-dose inhaler (MDI)

Question 10

Advice for taking alendronic acid.

Answer 10

plenty of water while sitting or standing, and take on an empty stomach at least 30 mins before breakfast and to stay upright for at least 30mins after taking the tablet

Question 11

A side effect of long term Letrazole use?

Answer 11

Osteoporosis

Question 12

What is alendronic acid?

Answer 12

Alendronic acid is an oral bisphosphonate and inhibits osteoclast mediated bone resorption

Question 13

What is letrozole?

Answer 13

Letrozole is used in post-menopausal women with oestrogen receptor positive breast cancer.

Question 14

What do ACE inhibitors cause?

Answer 14

Vasodilation, Potassium retention, diuresis

Question 15

Why must Renal function be checked before ACE-i prescription?

Answer 15

Hyperkalaemia

Question 16

Why does ACE-i cough happen?

Answer 16

Accumulations of kinin in the lung

Question 17

In which racial group are ACE-i not used and why?

Answer 17

Afro-Caribbean, due to low renin essential hypertension, due to lower serum renin

Question 18

Give an example of an Alpha1-adrenergic receptor agonist. What is it used to treat?

Answer 18

Doxazasin, BPH

Question 19

Give an example of an subtype-selective α1A- and α1D-adrenoceptor antagonist?

Answer 19

Tamsulosin - minimal effects om alpha-1b adrenergic receptors responsible for anti-hypertensive effects of Doxazasin

Question 20

Give an example of a T-lymphocyte suppressor

Answer 20

Cyclosporin

Question 21

What does Cyclosporin do?

Answer 21

Suppresses Th1 cells, inhibits primary immune system via inhibition of IL-2

Question 22

What is the therapeutic index?

Answer 22

The range of doses at which medication is effective without unacceptable side effects .

Question 23

Give 4 examples of drug with a narrow TI

Answer 23

Insulin, digoxin, methotrexate, cyclosporn

Question 24

What monitoring should be done on patients being treated with methotrexate?

Answer 24

FBC, renal and liver FT before and during treatment