greenlight 2018

Question 1

max
dose of ramipril if eGFR is 30-60

Answer 1

5mg daily

Question 2

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

Answer 2

REFER antibiotic-associated diarrhoea cannot use loperamide as OTC

Question 3

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

Answer 3

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

Question 4

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

Answer 4

150mg once monthly

Question 5

who do you send details of dispensing errors to?

Answer 5

NRLS (National reporting and learning system)

Question 6

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

Answer 6

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

Question 7

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

Answer 7

increased risk of VTE

Question 8

Which antibiotics are CI in myastesia gravis

Answer 8

aminoglycosides e.g. gentamicin

Question 9

what is a newborn baby’s first vaccination

Answer 9

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

Question 10

why is pyridoxine given with isoniazid

Answer 10

• isoniazid induces peripheral neuropathy
• pyridoxine prevents it

Question 11

tx of 13yr allergic dermatitis on right arm tx

Answer 11

clobetasone buytrate 0.05% cream

Question 12

serotonin syndrome symptoms

Answer 12

• agitation
• diarrhoea
• high blood pressure
• tremor

Question 13

is constriction of pupils symptom of serotonin syndrome

Answer 13

NO

Question 14

What is function tests need to be carried out with lithium

Answer 14

renal

Question 15

is effective contraception given with lithium

Answer 15

yes if child bearing age

Question 16

age limit for vigra connect

Answer 16

18+

Question 17

which antibiotic interacts with vigra connect

Answer 17

erythromycin

Question 18

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

q

Answer 18

no CI

Question 19

What is an unlicensed medicine

Answer 19

does not have a license from MHRA

Question 20

AGE for seretide evohaler (salmeterol and fluticasone)

Answer 20

not licensed for under 5

Question 21

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

Question 22

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

Answer 22

smoking status

Question 23

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

Answer 23

strength of medicine

Question 24

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

Answer 24

ibuprofen

Question 25

what are complications of type 2 diabetes

Answer 25

* macrovascular = CVD, peripheral arterial disease * microvascular = nephropathy, retinopathy, neuropathy

Question 26

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

Answer 26

no

Question 27

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

Answer 27

indapamide

Question 28

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

Answer 28

shortness of breath

Question 29

glucose targets

Question 30

when does insulin requirments decrease

Answer 30

endocrine disorders

Question 31

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

Answer 31

* furosemide * Furosemide can cause hypokalaemia as a side effect which predisposes to digoxin toxicity * both loop + thiazide like

Question 32

counselling points for lithium

Answer 32

- maintain adequate fluid intake - report any polyuria or polydypsia - report persistent headache or visual disturbance

Question 33

does taxanes cause SJS + toxic epidermal necrolysis

Answer 33

NO

Question 34

signs of liver toxicity in methotrexate

Answer 34

- abdominal pain - nausea - dark urine reduce dose

Question 35

what is a low paediatric dose for ICS

Answer 35

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

Question 36

common s/e of verampil

Answer 36

constipation

Question 37

common s.e of digoxin

Answer 37

blurred vision

Question 38

common s/e of amiadrone

Answer 38

hypothyroidism

Question 39

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

Answer 39

milaria

Question 40

describe cellutis

Answer 40

- 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

Question 41

describe molluscum contagisum

Answer 41

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

Question 42

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

Answer 42

cluster headache

Question 43

tx of prophyria criss

Answer 43

haem arignate

Question 44

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

Answer 44

sodium biocarbonate

Question 45

when is typhoid vaccine given