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Pre Reg > MEP > Flashcards

MEP Flashcards

1
Q

gsl definition

A

MA/traditional herbal registration/certificate of registration as a GSL homeopathic product

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2
Q

what four things can be done with a RP in charge but not present

A

dispense, act can ac, sell gsl, process waste stock medicines/pt returned medicines excluding CDs

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3
Q

max dose of otc pseudoephedrine or ephedrine

A

720mg or 180mg

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4
Q

levonorgestrel dose and time limit

A

1500mcg and 72 hrs of sex

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5
Q

ulipristal acetate dose and time limit

A

30mg and 120 hrs of sex

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6
Q

what age should you report to social services

A

13

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7
Q

can we provide contraception to under 16s

A

yes

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8
Q

maximum quantity of paracetamol/aspirin

A

99 non-effervescent tablets/capsules

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9
Q

maximum quantity of codeine/dihydrocodeine

A

32

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10
Q

three reasons why we can’t sell cough and cold mixtures to under 6s

A

allergies, sleep disturbances and hallucinations

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11
Q

maximum duration for a 6-12 year cold when using a cough and cold mixture

A

5 days

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12
Q

what do nice say when it comes to pain relief in under 5s

A

not to use ibuprofen and paracetamol together

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13
Q

minimum age for simple linctus

A

1 month plus

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14
Q

minimum age for glycerol

A

1+

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15
Q

minimum age for codeine linctus

A

18+

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16
Q

name 3 pom to p medicines

A

pantoprazole, tamsulosin, tranexamic acid

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17
Q

6 rx legalities

A 
pt name and address
age if under 12
indelible ink signature
date
type of prescriber
address of prescriber
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18
Q

can a rx be repeated if it does not state. if so how many times

A

once (dispensed twice)

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19
Q

how many times can oral contraceptive rx be repeated

A

5 (dispensed 6)

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20
Q

are schedules 1, 2 and 3 allowed to be repeated

A

no

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21
Q

a prescription expires within

A

6 months

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22
Q

schedules 1, 2, 3 and 4 expire within

A

28 days

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23
Q

how long do you have to keep private rx

A

2 years

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24
Q

where do you send schedule 2 and 3 private rx

A

relevant NHS agency

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25
Q

can you supply schedule 2 and 3 on a faxed rx

A

no

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26
Q

which 4 categories cannot be dispensed on a EEA rx

A

schedule 1, 2, 3 and products without MA valid in UK

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27
Q

which two conditions can you do an emergency supply for a EEA doctor/pt

A

not schedule 1, 2 and 3 and rx needed within 72 hrs

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28
Q

name all 28 countries EEA

A

Austria, Belgium, Bulgaria, Croatia, Republic of Cyprus, Czech Republic, Denmark, Estonia, Finland, France, Germany, Greece, Hungary, Ireland, Italy, Latvia, Lithuania, Luxembourg, Malta, Netherlands, Poland, Portugal, Romania, Slovakia, Slovenia, Spain, Sweden, Switzerland

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29
Q

military rx forms are called…

A

FMed 296

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30
Q

who can dispense a FMed 296

A

pharmacies with a dispensing contract with Ministry of Defence will invoice them directly.

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31
Q

how do non contracted pharmacies dispense a FMed 296

A

treat as private rx and charge the pt and give receipt so they can claim costs

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32
Q

define covert administration

A

administering medicines in a disguised format without pts knowledge or consent

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33
Q

durations of each emergency supply item

A

sch 4 and 5 - five days
other pom - 30 days
insulin, ointment, cream, inhaler, antibiotic - smallest pack
contraceptive - full treatment cycle

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34
Q

can an IP optometrist/podiatrist prescribe CD

A

no

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35
Q

two requirements for supply of salbutamol inhalers for schools

A

written order by head teacher and must include name of school, purpose

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36
Q

Nalaxone dose and instructions

A

Intramuscular 400mcg initially with further 400mcg given every 2-3 mins until effect or ambulance arrives.

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37
Q

Can trained staff supply nalaxone in absence of RP

A

Yes

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38
Q

How long do pts have to carry on PPP after stopping isotretinoin

A

One month

39
Q

When do female pts not have to comply with PPP

A

Hysterectomy and not sexually active

40
Q

PPP rx only valid for

A

7 days

41
Q

Maximum days supply for a medication under PPP

A

30 days

42
Q

What should you do if a medication under PPP has more than 30 days supply

A

Confirm with prescriber that pt isn’t under PPP

43
Q

Is a telephone request allowed for PPP medications and if so from who and what are the conditions

A

From PPP specialist prescriber in an emergency with confirmation of negative pregnancy test within the last 7 days

44
Q

Should you report side effects of sodium valproate and if so to who

A

Yes to yellow card scheme

45
Q

Who can’t prescribe CDs

A

Optometrist IP and community practitioner nurse

46
Q

POM-V

A

Only vet surgeon can prescribe POM

47
Q

POM-VPS

A

Vet surgeon, pharmacist or qualified person can write/verbally prescribe POM

48
Q

NFA-VPS

A

medicines for inedible animals can be supplied by vet surgeon, pharmacist or qualified person. Written rx not required.

49
Q

AVM-GSL

A

Authorised vet medicine

50
Q

exempt medicines under schedule 6 of the veterinary medicines regulations - exemptions for small pet animals (SAES)

A

unlicensed vet medicine that doesn’t require a MA

51
Q

unauthorised vet medicine

A

does not have a MA and is not eligible for exemption through the SAES. can only be prescribed by vet surgeon.

52
Q

9 legalities of vet rx

A

1) name, address, phone number, qualification, signature, registration number of prescriber
2) name and address of owner
3) identification and species of animal and address if different
4) date
5) name, quantity, dose and administration instructions
6) any necessary warnings
7) where appropriate, “prescribed under the cascade”
8) sch 2 and 3 - item has been prescribed for an animal/herd under the care of the vet”
9) if repeatable, number of times it can be repeated

53
Q

human private rx for sch 2 and 3 must be on a ____ and submitted to ____.

A

standardised form and relevant NHS agency.

54
Q

max supply of schedule 2, 3 and 4

A

30 days

55
Q

human private rx for sch 2 and 3 CDs must include…

A

a prescriber identification number

56
Q

cascade means…

A

medicines not licensed for animals

57
Q

illegal to supply/sell a human medicine on rx unless…

A

it is prescribed by vet surgeon and states it is under the cascade

58
Q

13 legalities on vet medicine label

A
  1. name of vet surgeon
  2. name and address of animal owner
  3. name and address of pharmacy
  4. identification and species of animal
  5. date of supply
  6. expiry date of product
  7. name or description of the product
  8. dose and administration
  9. if app, special storage instructions
  10. any necessary warnings
  11. any withdrawal period
  12. for animal tx only
  13. keep out of reach of children
59
Q

schedule 1

A

cd lic pom - cannabis

60
Q

schedule 2

A

cd pom - morphine and methadone

61
Q

schedule 3

A

cd no register pom - tramadol, phenobarbital, gabapentin, pregabalin, buprenorphine, temazepam

62
Q

schedule 4

A

cd benz pom - diazepam, zopiclone

cd anab pom - anabolic steroids

63
Q

schedule 5

A

cd inv p and cd inv pom - codeine

64
Q

10 rx requirements of cd

A
  1. dose
  2. formulation
  3. strength
  4. total quantity - words AND figures
  5. quantity - no more than 30 days
  6. dental wording where app
  7. signature of prescriber
  8. date
  9. address of prescriber
  10. instalment wording where app
65
Q

when do you need to ring cgl

A

three or more consecutive days were missed

66
Q

pharmacist can change what two things on a rx and what must you do if you make an amendment

A

spelling mistake, or if one of the figures or words have been left out.
amendment - name, date, signature, reg no.

67
Q

what do you do if a healthcare professional collects cd on behalf of pt

A

get name and address and evidence

68
Q

what do you do if someone wants to collect SUPERVISED dose on behalf of pt

A

verbally confirm with prescriber

69
Q

which medicines need to have an authorised witness in order to be denatured

A

schedule 2 expired and unwanted

70
Q

process for someone suffering suicidal ideation with varenicline

A

yellow card scheme

71
Q

how is a herbal medicine licensed

A

30 yrs medicinally, 15 years in European community

72
Q

can a child collect sch 2 on behalf of pt

A

yes - must ID

73
Q

Group 1 drugs where low limits have been set for driving

A

cannabis, MDMA, ketamine, meth, cocaine, lsd, heroin

74
Q

Group 2 drugs slightly higher limits than group 1 for driving

A

clonazepam, diazepam, lorazepam, oxazepam, temazepam, flunitrazepam, methadone, morphine, amfetamine

75
Q

records that must be kept for 5 years

A

vet rx and documents and rp register

76
Q

what can you do with no rp in charge and not present

A

order and receive stock except cd, date check except cd, take in rx and process, receive patient returned medicines except cd.

77
Q

do elderly adverse reaction need to be reported to mhra

A

no

78
Q

do sch 2 cd invoices need to be retained

A

no

79
Q

vet rx are subject to NHS rx charge t/f

A

false

80
Q

EEA rx must have prescribers phone number t/f

A

true

81
Q

phenobarbital for epilepsy can be supplied as emergency supply at the request of EEA doctor

A

false - only uk doctor

82
Q

if a rp takes two hours absence then you take over as rp and you want a 5 min break can you do that

A

no

83
Q

what schedule is sativex

A

sch 4 part 1

84
Q

private vet rx for schedule 3 does not have to be on standardised form t/f

A

true

85
Q

schedule 5 rx are valid for 28 days

A

false - only 1-4

86
Q

legal requirement of cd register

A

whether proof of identity was requested

87
Q

if an adult pt is unconscious, a relative can give consent for their emergency tx

A

false

88
Q

a parent is able to give consent for an operation on their 7 yr old

A

true

89
Q

consent could be invalid if pt is not told about significant risks to the tx

A

true

90
Q

6 legalities on dispensing label

A
  1. name of pt
  2. name and address of pharmacy
  3. date
  4. name of medicine
  5. directions
  6. precautions
91
Q

what should you do if patient has dropped methadone

A

tell him to contact prescriber will need new rx

92
Q

3 sick day rules

A
  1. diuretics
  2. ace, arb, nsaids
  3. metformin
93
Q

which resource do you look for information on drug storage

A

SPC

94
Q

max supply of cd 2, 3 and 4 on rx

A

30 days

Pre Reg (17 decks)

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