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Pre-Reg Exam > GPhC Questions - TO KNOW > Flashcards

GPhC Questions - TO KNOW Flashcards

1
Q

Schedule + Requirements of Temazepam?

A

Schedule 3

Safe Custody Requirements

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2
Q

Within how may days do you have to supply someone with their own confidential information they have requested?

A

20 Days

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3
Q

What are the CPD requirements?

A

4 CPDs - 2 unplanned
Reflective Account - on 1 of 3 standards
Peer Discussion

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4
Q

What is the antibiotics of choice for a human/animal bite?

A

Co-Amoxiclav for 5 days

Alt in allergy: Metronidazole + Doxycycline

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5
Q

Alternatives in pen allergy for treatment of cellulitis?

A

Clarithromycin OR Doxycycline

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6
Q

What is the vaccine boosterix/infranix for?

A

Pertussis - Whooping Cough

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7
Q

What are the laxatives of choice in opioid-induced constipation?

A

stimulant + osmotic

= senna + lactulose

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8
Q

What are the step-wise treatments for management of chronic constipation?

A

Bulk-Forming
Osmotic
Stimulant

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9
Q

What are the step-wise treatments for management of acute constipation?

A

Bulk-Forming THEN

  • Osmotic if hard stools
  • Stimulant if loose stools
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10
Q

What are good prescribing points when prescribing insulin?

A
  • write ‘units’ out in full

- don’t use syringes marked in mL, need them in units

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11
Q

What is the highest recommended dose for beclomethasone?

A

800mcg BD

e.g. clenil 200 = 2 PU BD

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12
Q

Who is responsible for ensuring the pharmacy meets the standards?

A

pharmacy owner + superintendent pharmacist

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13
Q

Patient is stable on Lithium, how often do they need to be monitored?

A

weekly until stable then every 3 months, then 6 monthly

BUT if any of these, need 3 monthly checks:

  • Over 65s
  • Drugs that interact with lithium
  • Impaired renal/thyroid function
  • Raised calcium levels
  • Poor symptom control/adherence
  • if last Lithium level was 0.8 or higher
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14
Q

What to do if peak/trough levels too high?

A

PEAK - reduce DOSE, as no matter how long you leave it will always get a peak that’s too high if you don’t change dose

TROUGH - increase INTERVAL - as the body needs more time to clear the drug

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15
Q

What is the interaction between ephedrine and phenelzine?

A

HYPERTENSIVE crisis = need to avoid for 14 days after stopping MAOI

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16
Q

What is the interaction between Warfarin + Tramadol?

A

increased risk of BLEEDS

- tramadol works on serotonin receptors so would have similar effect to that of SSRIs

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17
Q

Why is calcium in impaired renal function an issue?

A

when kidneys fail, calcium becomes unbalanced

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18
Q

What is molloscum?

A

viral infection that causes small raised red spots with a dimple on the middle - usually armpit, behind knees, groin

self-limiting and goes away on its own

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19
Q

What is the mechanism of action of dabigatran?

A

THROMBIN inhibitor

not factor 10a like the others

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20
Q

What is a bio similar?

A

same thing as what a generic is for a normal medicine, but for biologics instead

so biologics are too difficult to replicate exactly by other manufacturers, so their biologics they make after the patent is a ‘biosimilar’

21
Q

What is a side effect of Finasteride?

A

breast abnormalities in males

22
Q

Why should you be careful when taking desmopressin when swimming?

A

children - may ingest a lot of water, desmopressin would stop uresis of this and lead to hypernatraemia

23
Q

Incidence of side effects no.s + how common?

A

> 1 in 10 = VERY common
1 in 10 - 1 in 100 = COMMON
1 in 100 - 1 in 1000 = uncommon
1 in 1000 - 1 in 10,0000 = rare

24
Q

OTC naproxen conditions?

A
  • PRIMARY dysmenorrhoea (not due to PCOS or anything)
  • age 15 - 50 years
  • max duration = 3 days
  • max single dose = 250mg
  • max daily dose = 750 mg (1 tab TDS)
  • max pack size is therefore 9 tabs (3 tabs a day for 3 days)
25
Q

Reversal agent for Dabigatran?

A
  • its a MAB = Idarcizumab

all the others are adexenet alfa

26
Q

Is carbamazepine teratogenic?

A

YES - major malformations

27
Q

Drug for hyptertension in pregnancy + dose?

A

Labetalol

- 100mg BD initially, usual dose 200mg BD

28
Q

Warning labels for β blockers?

A

don’t stop unless told - can cause rebound tachycardia

29
Q

Lithium + NSAIDs interaction?

A

NSAID cause increase in lithium concentrations

both processed by kidneys

30
Q

Allopurinol + Azathioprine/Mercaptopurine interaction?

A

allopurinol enhances haematological toxicity

so Azathioprine dose has to be reduced by a quarter

31
Q

Can angioedema be a side effect of ACE?

A

YES

32
Q

What is the chloramphenicol eye drop dose for conjunctivitis?

A

1 DR every 4 hours for first 48 hours
THEN
1 DR every 6 hours up until 5 days max

REFER if not improving within the 48 hours

33
Q

What is the minimum age of babies to treat oral thrush with miconazole gel?

A

4 months

34
Q

TRUE or FALSE. Levothyroxine has a side effect of hair loss.

A

TRUE.

35
Q

Criteria for Amorolfine

A

NO more than 2 nails infected to sell OTC

36
Q

Prescriber’s request for emergency supply, when to get the prescription?

A

within 72 hours

37
Q

Patient has already tried Olanzapine + Haloperidol, which antipsychotic next?

A

1 is typical, 1 is atypical so can now have Clozapine (treatment-resistant schizophrenia)

38
Q

eGFR cut off for Nitrofurantoin?

A

< 30 if treating as short-course

39
Q

True or False. Can give Naloxone in an emergency in the same way you can give adrenaline?

A

TRUE.

40
Q

Purpose of the HPV vaccine?

A

Cervical Cancer

41
Q

Side effect of Spironolactone?

A

Gynaecomastia

42
Q

What can be given for an acute dystonic reaction with metoclopramide?

A

Procyclidine

43
Q

What is the CPR: Breaths ratio?

A

30:2

44
Q

What juice does Ciclosporin interact with?

A

Grapefruit

45
Q

True or False. Metformin causes taste disturbances.

A

TRUE

46
Q

When is a BuTrans patch changed?

A

Weekly - every 7 days

47
Q

What electrolyte imbalance does Salbutamol cause?

A

hypokalaemia

48
Q

4-year-old Child on Salbutamol and ICS. Asthma uncontrolled. What medication do you recommend?

A

Montelukast

Pre-Reg Exam (8 decks)

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