Key points to remember

Question 1

Licensing for permethrin

Answer 1

Question 2

Licensing for nasal decongestant containing Xylometazoline Hcl

Answer 2

> 6 years

Question 3

Licensing for inhaled corticosteroids in children + dosing (low)

Answer 3

https://www.nice.org.uk/guidance/ng80/resources/inhaled-corticosteroid-doses-pdf-4731528781

Question 4

Licensing for Benzydamine 0.15% mouthwash and oromucosal spray (Difflam)

Answer 4

> 12 years and older

Question 5

Licensing

Acute sore throat throat lozenges (strepsils) and throat sprays (ulta chloraseptic)

Answer 5

> 6 years

https://www.prescqipp.info/umbraco/surface/authorisedmediasurface/index?url=%2fmedia%2f3923%2f227-over-the-counter-items-21.pdf

Question 6

Dosing for paracetamol suspension children under 6

Answer 6

Question 7

Dosing of paracetamol in children over 6

Answer 7

Question 8

Licensing in paracetamol 1000mg/pholcodiene 10mg/pseudoephendrine HCL 60mg in 30ml Oral solution
(day nurse/night nurse)

Answer 8

> 16 years

Question 9

licensing for zinc oxide preparations (anusol cream)

Answer 9

> 12 years (Germoloids)
Anusol cream (not recommended in children)

Question 10

Licensing

Licensing for sodium citrate 4g sachets

Answer 10

> 16 years

Question 11

Licensing

Potassium citrate

Answer 11

> 6 years

Question 12

Licensing

Licensing for emollients/steroid preps:
-Eurax
-Eurax-Hc
- Hc45

Answer 12

> 12 years
Eurax: >3 years
Hc45 >10 years

Question 13

licensing

Nizoral anti-dandruff shampoo
+ other antidandruff shampoo

Answer 13

> 12 years
5 years with use selsun shampoo

Question 14

licensing

Dioralyte

Answer 14

> 5 years

Question 15

Licensing

Carbomer
Hypermellose

Answer 15

> 18 years (carbomer)

Question 16

licensing

Dimeticone gel
Malathion
anti-lice preps

Answer 16

> 6 years

Question 17

Licensing

Orlistat

Answer 17

> 18 years

Question 18

Licensing

Sodium alginates
esomeprazole
Ranitidine

Answer 18

Sodium alginate (Gaviscon) >12 years
Esomeprazole >18 years
Ranitidine >16 years

Question 19

Licensing

Co-codamol 8/500

Answer 19

> 12 years

Question 20

licensing

Prochloperazine

Answer 20

> 12 years

Question 21

licensing the rest of it

a. Mouth ulcers (Bonjela)
b. Ibuprofen 5% gel
c. Miconazole (Daktarin)
d. Cinnerizine
e. Hyoscine hydrobromide
f. Warts treatment (bazuka)
g.

Answer 21

a. Mouth ulcers (Bonjela):>16 years
b. Ibuprofen 5% gel: >14 years
c. Miconazole (Daktarin):>4 months
d. Cinnerizine:>5 years
e. Hyoscine hydrobromide:>3 years (joyrides) >4 years (kwells)
f. Warts treatment (bazuka):>4 years
g. terbinafine: >16 years

Question 22

Category 1 anti-epileptic

Answer 22

CPPP:

Question 23

Which drugs are category 2 anti-epileptics

Answer 23

Question 24

What is the waking, daytime, post meal, glucose level for children with type 1 diaabetes

Answer 24

waking: 4-7
Before meal: 4-7 mmol/L
Post prandial: 5-9 mmol/L

Question 25

Dosing of amoxicillin in the following age groups:

Question 26

What is the dosing in acute asthma excerbation: Mild Severe

Question 27

What is the dosing of adrenaline in anaphylaxis

Question 28

What is the dosing of Beclometasone in children 5-11 years.

Answer 28

Question 29

What is dosing beclometasone in children 12-17 years

Answer 29

Question 30

What is the dosing and duration of domperidone

Answer 30

Question 31

What is the dosing and duration of Metoclopramide

Question 32

What is the dosing of prochloperazine- buccal and PO

Answer 32

Question 33

Which D2 antagonist antiemetic can be given IM

Answer 33

Prochloroperazine

Question 34

Give examples of non-drowsy antihistamine

Answer 34

non-drowsy antihistamines like cetirizine, desloratadine, fexofenadine and levocetirizine seem to work as well as loratadine.

Question 35

Maximum dose of loperamide

Answer 35

16mg

Question 36

Wash out period for sacubatril/valsartan

Answer 36

Concomitant use with an ACE inhibitor (risk of angioedema—do not initiate until at least 36 hours after the last dose when switching treatment); concomitant use with an angiotensin II receptor antagonist; hereditary or idiopathic angioedema; known history of angioedema related to previous ACE inhibitor or angiotensin II receptor antagonist

Question 37

The practice nurse has prescribed Proguanil 100mg/Atovaquone 250mg tablets for Mrs M and her husband. Mrs M explains that they are going on a 2-week holiday to Tanzania in East Africa. The instructions on the prescription states ‘ONE tablets to be taken DAILY as directed’ but the quantity omitted. Identify the usual regimen for Proguanil 100mg/Atovaquone 250mg tablets when used for prophylaxis of malaria. A. Start treatment 3-4 days before entering the endemic area, continue throughout the stay and for one week after leaving the endemic area. B. Start treatment 1-2 days before entering the endemic area, continue throughout the stay and for two weeks after leaving the endemic area. C. Start treatment 1-2 days before entering the endemic area, continue throughout the stay and for four weeks after leaving the endemic area. D. Start treatment 1-2 days before entering the endemic area, continue throughout the stay and for one week after leaving the endemic area. E. Start treatment 3-4 days before entering the endemic area, continue throughout the stay and for two weeks after leaving the endemic area.

Answer 37

D

Question 38

A. Atovaquone with proguanil B. Chloroquine C. Doxycycline D. Mefloquine E. Primaquine F. Proguanil G. Pyrimethamine H. Quinine 1. Mr R has presented to his GP with anxiety and abnormal dreams. As a result of this he has trouble sleeping at night. He is often restless and confused. The patient seems worried as he is not quite sure what has brought this on. He is not taking any medication but mentions he returned from Congo 4 weeks ago and strictly adhered to his antimalarial regime. 2. This antimalarial should be started 1-2 days before entering endemic area and continued for 1 week after leaving.

Answer 38

1. B 2. A