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Pre-reg revision > MEP > Flashcards

MEP Flashcards

1
Q

What is a ‘PO’ medicine?

A

GSL medicine where the manufacturer wishes to restrict sales through pharmacy only

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2
Q

Can GSL medicines be sold from a pharmacy without a responsible pharmacist?

A

No

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3
Q

What is a ‘P’ medicine?

A

Medicinal product that may only be sold from a registered pharmacy premises by the RP or somebody acting under their supervision.
Self selection should be prohibited - should not be accessible to the public

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4
Q

Why is the sale of psudoephedrine/ephedrine prohibited?

A

Can be misused in illict production of crystal meth

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5
Q

What is the maximum amounts of pseudoephedrine and ephedrine that can be supplied at one time without a prescription?

A

720mg pseudoephedrine or 180mg ephedrine

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6
Q

‘It is unlawful to supply a pseudoephedrine product at the same time as an ephedrine product without a prescription’
True or false?

A

True

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7
Q

Where can you report suspicions about somebody attempting to purchase ephedrine?

A

Local GPHC inspector

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8
Q

Which pharmacy medicines can be supplied for emergency hormonal contraception?

A

Levornogestrel 1500mcg or Ulipristal 30mg

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9
Q

When can levornogestrel be supplied?

A

Licensed for women over 16 within 72 hours of unprotected sex

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10
Q

How long following unprotected sex can EHC be supplied?

A

Levornogestrel - 72 hours / 3 days

Ulipristal - 120 hours / 5 days

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11
Q

What is the maximum amount of paracetamol tablets or capsules that can be sold to a person at one time?

A

100 tablets/caps

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12
Q

What is the maximum amount of calpol that can be sold to a person at one time?

A

No limit on paracetamol liquids

Should use professional judgement for an appropriate quantity to supply

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13
Q

How many aspirin tablets can be sold to a person at one time?

A

100 non-effervescent tablets

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14
Q

Which medicines are AVM-GSL?

A

Authorised veterinary medicines available on general sale

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15
Q

What is an ‘unauthorised veterinary medicine’?

A

Unlicensed medicine with no marketing authorisation or exemption for small pet animals. Can only be prescribed by a vet under the Cascade. Includes human medicine used for animals

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16
Q

‘All veterinary presciptions must include the presciber’s registration number from the Royal College of Veterinary surgeons’
True or False?

A

False
The RCVS reg number is only required on CD 2 + 3 prescriptions
All vet prescriptions must include the name, address, phone number, qualification and signature of the prescriber

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17
Q

Are veterinary prescriptions valid if they do not include the species of animal that they are intended for?

A

No, must include the species of the animal

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18
Q

How long are veterinary prescriptions valid for?

A

6 months
All repeat supplies should also be made in 6 months
CD 2,3+4 are valid for 28 days

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19
Q

May a vet prescribe treatment for a dog with the instructions ‘as directed’ on the prescription?

A

No

Prescription must include administration instructions and ‘as directed’ is not acceptable

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20
Q

In veterinary prescriptions what is the ‘withdrawal period’?

A

The time between when an animal recieves the medicine and when it can safely be used for food (should be inclduded on presciption if relevant)

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21
Q

Which declaration should CD2+3 veterinary prescriptions include to be deemed valid?

A

Statement highlighting ‘the item has been prescribed for the treatment of an animal under my care’ etc

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22
Q

Can veterinary prescriptions be repeated?

A

Yes - all supplied should be made within 6 months

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23
Q

Do veterinary CDs have to be prescribed on a standardised form?

A

No

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24
Q

If a vet was prescribing diazepam for a parrot, would the script need to read ‘ prescribed for the treatment of an animal under my care’?

A

No - because diazepam is a CD 4

Only applies to CD 2+3

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25
Q

How long would a veterinary prescription for oxycodone need to be retained for?

A

5 years

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26
Q

‘It is illegal to supply a human medicine against a veterinary prescription unless it states ‘for administration under the cascade’ ‘
True or false?

A

True

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27
Q

If a veterinary medicine exists but is licensed for a different species can this be supplied against a veterinary script?

A

Only if the script states ‘for use under the cascade’ or words to this effect

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28
Q

Can GSL medicines be sold for an animal?

A

No, can only be supplied under the Veterinary cascade

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29
Q

Which of does NOT need to appear on the label for a veterinary medicine?

  • Name and address of animal owner
  • Identification + species of animal
  • Name of prescribing vet
  • ‘for animal treatment only’
  • ‘for use under the veterinary cascade’
A

‘for use under the veterinary cascade’

This is required on prescriptions
The label must states ‘for animal treatment only’

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30
Q

Is record keeping of POM-V products required?

A

Yes

Records should be kept for 5 years

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31
Q

What schedule is ketamine?

A

CD 2

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32
Q

What schedule is quinalbarbitone?

A

CD 2

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33
Q

Can emergency supply of CD2s be made?

A

No

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34
Q

Can emergency supply of CD3s be made?

A

No, except phenobarbital for epilepsy

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35
Q

What schedule is temazepam?

A

CD 3

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36
Q

What schedule is tramadol?

A

CD 3

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37
Q

What schedule is buprenorphine?

A

CD 3

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38
Q

What schedule is midazolam?

A

CD 3

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39
Q

What schedule is Sativex (cannabis extract)?

A

CD 4 (1)

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40
Q

Could oxycodone be prescribed by a doctor registered in the republic of Ireland?

A

No, CD2 so the address of prescriber must be in the UK

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41
Q

What schedule is diazepam?

A

CD 4 (1)

42
Q

What schedule is clobazam?

A

CD 4 (1)

43
Q

What schedule is zopiclone?

A

CD 4 (1)

44
Q

What schedule is chlordiazepoxide?

A

CD 4 (1)

45
Q

What schedule are Lorazepam 4mg/ml injections?

A

CD 4 (1)

46
Q

What CD schedule are anabolic steroids?

A

CD 4 (2)

47
Q

Could zopiclone be given as an emergency supply?

A

Yes - CD 4

48
Q

What schedule is dihydrocodeine?

A

CD 5

49
Q

What schedule is morphine oral solution?

A

CD 5

50
Q

What schedule is kaolin + morphine?

A

CD 5

51
Q

What schedule is pholcodeine?

A

CD 5

52
Q

How long are CD 5 scripts valid for?

A

6 months

53
Q

Is a script for chlordiazepoxide repeatable?

A

Yes- CD 4 (1)

54
Q

Does a presciption for co-codamol have to state the amounts in words + figures?

A

No - CD 5 do not need prescription requirements

55
Q

You are presented with a prescription for gabapentin oral solution with the quantity listed as ‘OP’, why can this not be supplied?

A

CD 3
Needs total quantity in words and figures
Liquids should be specified in mL

56
Q

In which 2 circumstances may a pharmacist be in possession of schedule 1 CDs?

A
  1. for purpose of destruction

2. to hand to police

57
Q

Can pharmacist independent prescribers prescribe controlled drugs?

A

Yes

58
Q

Are there any restictions on travelling with CD5s?

A

No

59
Q

A patient taking regular morphine asks for advice on travelling with their medicines, what do you tell them?

A
  • A personal licence is not required if you are travelling with less than 3 months of supply
  • Ask for a covering letter from the prescriber stating their name, travel plans, name + quantity + dose of medicine
  • Check with the countries embassy to ensure the regulations of the country are complied with
60
Q

What type of prescription can private CDs be written on?

A

FP10PCD (pink script)

61
Q

Which CDs may midwives order a supply of?

A

Diamorphine, morphine and pethidine

62
Q

Which of these is NOT a legal requirement of a schedule 2 or 3 controlled drug prescription?

  • Total quantity in words and figures
  • Prescribers address that must be in the UK
  • Dosage form
  • Name of medicine written in full
  • Patient’s address
A

Name of medicine

This is necessary to identify the medicine requested but NOT a legal requirement

63
Q

A dental prescription for schedule 2+3 CDs must include which statement?

A

‘for dental treatment only’

64
Q

Would a CD prescription stating the form as ‘caps’ meet legal requirements?

A

Yes - the formulation must be stated

‘caps’ and ‘tabs’ are acceptable

65
Q

Is listing the strength on a CD prescription always a legal requirement?

A

No, only needs to be stated if more than one strength is available

66
Q

Which of these doses would be legally aceptable on a schedule 2 or 3 CD script?

  • As directed
  • Two PRN
  • Weekly
  • As per chart
A

Two PRN

The dose should be clearly defined

67
Q

‘A schedule 2+3 CD presciption should be marked with the date and time that the supply is made’
True or False?

A

True

68
Q

When should sugar-free controlled drugs be supplied?

A

Only if specified as they have a greater potential for abuse

69
Q

Which prescriptions should be used for instalment directions?

A

FP10MDA

70
Q

What is the maximum treatment allowed on an FP10MDA script?

A

Instalment dispensing - max 14 days

71
Q

Which drugs are allowed to be prescribed on an FP10MDA (instalment script)?

A

All CD2s
Buprenorphine/suboxone
Diazepam

72
Q

Which wording is approved for instalment prescribing that allows supply if the pharmacy is closed eg, on bank holidays?

A

‘Please dispense instalments due on pharmacy closed days on a prior suitable day’

73
Q

When should the prescriber be notified if a patient has missed collection of instalment scripts?

A

If over 3 consecutive days are missed as there is a chance that the patient will lose tolerance to the drug
If a collection day is missed then any remaining days of that instalment may be given

74
Q

Which technical errors are pharmacists permitted to change on CD 2 + 3 prescriptions?

A
  • Minor spelling mistakes
  • Minor typographical error
  • Total quantity if missing words or figures (but not both)
75
Q

Is it a legal requirement for the person collecting a schedule 2 or 3 CD to sign the back of the presciption?

A

No, not a legal requirement but good practice

If they do not agree to sign then it is the pharmacists discretion whether to supply or not

76
Q

How should collection of a controlled drug by a representive for a drug misuser be handled?

A
  • Should obtain a letter from the patient that names and authorises representative
  • Should have a separate letter for each collection and the representative should bring ID
  • Should see the patient once a week if possible
  • Record details of representative in the CD register
77
Q

Is supervised consumption a legal requirement?

A

No - but important
Should confirm that is is ok with prescriber if supervision is not possible eg, patients drug is collected by representative

78
Q

Which schedule 3 CDs require safe custody?

A

Buprenorphine

Temezepam

79
Q

Does safe custody apply to patient returns?

A

Yes - should be in safe custody until they can be destroyed

80
Q

Which schedule 3 CDs have exemption from safe custody?

A

Tramadol, phenobarbital, midazolam, gabapentin, pregabalin

81
Q

Which controlled drugs should be denatured before disposal?

A

CD 2 , 3 + 4 (1)

As advised by the home office

82
Q

Does controlled drug destruction of CDs need to be witnessed by an authorised person?

A

No - good practice to be witnessed by another member of staff
Should be recorded in a separate register to CD register

83
Q

Does denaturing of expired controlled drugs require an authorised witness?

A
  • Yes if schedule 2

- For schedule 3 it is good practice to have destruction witnessed by another staff member

84
Q

What schedule is pethidine?

A

Schedule 2

85
Q

What drugs need be be recorded in the CD register?

A

Any schedule 1 or 2 CDs

Also Sativex

86
Q

Which is the only CD 4 (1) that needs to be recorded in the CD register?

A

Sativex (cannabis extract)

87
Q

Is it a legal requirement to show ID when collecting a controlled drug?

A

No, pharmacists discretion whether to supply or not

Should be recorded in CD register

88
Q

How long should CD registers be kept?

A

2 years from last entry

89
Q

Where should CD registers be kept?

A

On the premises to which they apply

90
Q

‘In the CD register, legislation requires that the class, strength and form of the drug is specified at the head of each page and that a separate page is used for different strengths or formulations’
True or false?

A

True

91
Q

Which of the following is not a requirement of an electronic CD register?

  • Author of each entry must be identifiable
  • Should be auditable
  • Available on request to GPHC inspectors
  • Entries cannot be changed at a later date
  • Should also have a bound-book CD register
A

Should also have a bound-book CD register

This is an alternative to a bound-book CD register

92
Q

How often should stock-checks of CDs usually be performed?

A

Once a week

93
Q

‘The pharmacist has overall responsibilty for maintaining running balances and dealing with discrepancies in the CD register’
True of false?

A

True

94
Q

Do Pregabalin and Gabapentin need to be denatured before disposal and does this require an authorised witness?

A

Yes they must be denatured before disposal

An authorised witness is not required but good practice to have another member of staff witnessing

95
Q

Do Pregabalin and Gabapentin require safe custody?

A

No

96
Q

Can a presciber based in France prescribe Pregabalin and Gabapentin?

A

No- address of the prescriber must be within the UK

97
Q

Can Pregabalin and Gabapentin be given as an emergency supply?

A

No

98
Q

Can Pregabalin and Gabapentin be repeated?

A

No

99
Q

Do Pregabalin and Gabapentin need to be recorded in the CD register?

A

No

100
Q

On what date were Pregabalin and Gabapentin rescheduled?

A

1st April 2019 - now CD schedule 3 (CD NO REG POM)

101
Q

Do schedule 3 CDs need to be entered in the CD register?

A

No, only schedule 1+2

Pre-reg revision (14 decks)

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