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Questions i have gotten wrong > greenlight 2018 > Flashcards

greenlight 2018 Flashcards

1
Q

max
dose of ramipril if eGFR is 30-60

A

5mg daily

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2
Q

if 76yr is experiencing diarrhoea with ciprofloxacin and takes PPI what do you do

A

REFER antibiotic-associated diarrhoea cannot use loperamide as OTC

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3
Q

non-diabetic, fasting glucose range including 2hr after meals

A
  • 3.5 to 5.5 mmol/L
  • less than 8 mmol/L
    two hours after meals
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4
Q

dose of ibandronic acid for 68yr and post-menopausal osteoporosis

A

150mg once monthly

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5
Q

who do you send details of dispensing errors to?

A

NRLS (National reporting and learning system)

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6
Q

what is initial action if pt has returned used medicine and dispenser puts it back on shelf to be re-dispensed

A

1st step is to take it off shelves and place in appropriate waste bin then inforn dispenser

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7
Q

why do you stop elleste solol 6 weeks prior to total hip replacement surgery

A

increased risk of VTE

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8
Q

Which antibiotics are CI in myastesia gravis

A

aminoglycosides e.g. gentamicin

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9
Q

what is a newborn baby’s first vaccination

A
  • diphteria
  • tetanus
  • pertussis
  • polio
  • tetanus
  • haemphilus
  • influenza type b
  • hepatits B
  • pneumococcal
  • menigococcal group B
  • rotavirus
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10
Q

why is pyridoxine given with isoniazid

A
  • isoniazid induces peripheral neuropathy
  • pyridoxine prevents it
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11
Q

tx of 13yr allergic dermatitis on right arm tx

A

clobetasone buytrate 0.05% cream

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12
Q

serotonin syndrome symptoms

A
  • agitation
  • diarrhoea
  • high blood pressure
  • tremor
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13
Q

is constriction of pupils symptom of serotonin syndrome

A

NO

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14
Q

What is function tests need to be carried out with lithium

A

renal

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15
Q

is effective contraception given with lithium

A

yes if child bearing age

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16
Q

age limit for vigra connect

A

18+

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17
Q

which antibiotic interacts with vigra connect

A

erythromycin

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18
Q

if pt has heart attack within 6 months can they have get vigara connect

q

A

no CI

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19
Q

What is an unlicensed medicine

A

does not have a license from MHRA

20
Q

AGE for seretide evohaler (salmeterol and fluticasone)

A

not licensed for under 5

21
Q

what are the schedule 3 CD and how long is the validity

A
22
Q

what is a following risk factor CVD?
- smoking status
- HDL level
- dietary fibte intake
- age
- gender

A

smoking status

23
Q

which is not a following legal requirment on NHS prescription for POM
- age if under 12
- address of prescriber
- patient name
- strength of medicine

A

strength of medicine

24
Q

which otc painkiller raises BP
- aspirin
- co-codamol
- ibuprofen
- paracetamol
- tramadol

A

ibuprofen

25
Q

what are complications of type 2 diabetes

A
  • macrovascular = CVD, peripheral arterial disease
  • microvascular = nephropathy, retinopathy, neuropathy
26
Q

is empower the public and prevent pt harm a guiding principle for medicines optismation for pharmacists

A

no

27
Q

which following needs to be stopped to reduce risk of attacks of GOUT
- allopurinol
- amlodipine
- indapamide
- ramipirl

A

indapamide

28
Q

which of the following needs to be mentioned for methotrexate
- loss of sensation in feet
- shortness of breath
- weight gain
- weight loss

A

shortness of breath

29
Q

glucose targets

A
30
Q

when does insulin requirments decrease

A

endocrine disorders

31
Q

which of the following predisposes pt to digoxin toxicity if taken in excess
- bendroflumethiazide
- enalapril
- furosemide
- simvastatin
- thiamine

A
  • furosemide
  • Furosemide can cause hypokalaemia as a
    side effect which predisposes to digoxin toxicity
  • both loop + thiazide like
32
Q

counselling points for lithium

A
  • maintain adequate fluid intake
  • report any polyuria or polydypsia
  • report persistent headache or visual disturbance
33
Q

does taxanes cause SJS + toxic epidermal necrolysis

A

NO

34
Q

signs of liver toxicity in methotrexate

A
  • abdominal pain
  • nausea
  • dark urine
    reduce dose
35
Q

what is a low paediatric dose for ICS

A

Symbicort turbohaler (budesonide with formoterol) 100/6 1PU BD

36
Q

common s/e of verampil

A

constipation

37
Q

common s.e of digoxin

A

blurred vision

38
Q

common s/e of amiadrone

A

hypothyroidism

39
Q

which skin condition arises from obstruction of sweat glands and most commonly found in hot, humid conditions

A

milaria

40
Q

describe cellutis

A
  • infection of dermis and SC tissues
  • commonly lower leg
  • AF skin feels warm, may be swollen, looks red and inflamed
  • spread and usually tender
  • blisters can occur
41
Q

describe molluscum contagisum

A
  • skin develops small lumps = pearle white or slightly pink
  • each lump = small swelling and is round and firm = 2-5mm acorss
  • common 1-4yr
42
Q

what is this

pt dcompains of rapid onset pain around left eye every night for last 10 days associated with water eye, lid swelling and flushing. every 3 months

A

cluster headache

43
Q

tx of prophyria criss

A

haem arignate

44
Q

what is given to control severe metabolic acidosis (pH <7.1) by IV infusion and orally discomofrt in mild UTI for alkinsation of urine

A

sodium biocarbonate

45
Q

when is typhoid vaccine given

A

Questions i have gotten wrong (25 decks)

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