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Pre Reg > mock questions > Flashcards

mock questions Flashcards

1
Q

main advantage of using heparin for routine anticoagulation over low molecular-weight heparins

A

Unfractionated heparin has a shorter duration of action and can be used in those at high risk of bleeding because its effect can be terminated rapidly by stopping the infusion

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2
Q

severe croup

A

dexamethasone

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3
Q

NFA-VPS veterinary medicine

A

A category of medicine for non-food animals that can be supplied by a veterinary surgeon, a pharmacist or a suitably qualified person

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4
Q

serum-lithium monitoring

A

Perform serum-lithium monitoring weekly after initiation and after each dose change until concentrations are stable, then every 3 months for the first year, and every 6 months thereafter

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5
Q

% risk of the risk of contact lens intolerance observed in a patient taking the combined oral contraceptive

A

less than 0.1%

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6
Q

concern if co-prescribed to a patient currently taking a combined oral contraceptive

A

carbamazepine

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7
Q

unstable angina comes into the pharmacy complaining of chest pain which is spreading to his jaw and left arm

A

aspirin dispersible tablet 300mg dose plus either glyceryl trinitrate 400 microgram spray or glyceryl trinitrate tablets

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8
Q

theophylline toxicity

A

epigastric pain, hypotension, nausea, restlessness

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9
Q

moderate heart failure associated with a reduced left ventricular ejection fraction third line addition

A

spironolactone 25mg once daily

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10
Q

pruritis and a vaginal discharge, which she describes as being white, thin and watery with a fishy odour

A

BV

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11
Q

NOT a consideration when assessing if a person can make an informed decision

A

The person has an interpreter to ensure they understand the information provided

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12
Q

preparing to label medicines broken down from bulk containers into smaller quantities. NOT a labelling requirement in these circumstances

A

Appropriate BNF warning label

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13
Q

most appropriate for this patient regarding warfarin and malaria chemoprophylaxis

A

Begin malaria chemoprophylaxis 2-3 weeks before departure. Measure INR before starting chemoprophylaxis, 7 days after starting and once malaria chemoprophylaxis is complete

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14
Q

symptom of serotonin syndrome

A

confusion, tachycardia, tremor, hyperthermia

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15
Q

A 55-year old man has osteoarthritis of the knee. He has been treated with paracetamol, taken at the maximum dosage, and ibuprofen gel, a topical non-steroidal anti-inflammatory. He now requires further pain relief.

A

An oral non-steroidal anti-inflammatory drug instead of, or in addition to, paracetamol

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16
Q

least likely to induce constipation

A

lymecycline

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17
Q

NOT be considered to be at increased risk of pneumococcal infection

A

pregnant women

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18
Q

isophane insulin

A

It is a suspension of insulin with protamine
It has an onset of action of approximately 1 to 2 hours
It has a maximal effect between 3 and 12 hours

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19
Q

NOT a key factor that pharmacy professionals should think about when providing person-centred care

A

Carrying out a risk assessment for the services you will provide

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20
Q

Rhinitis is characterised by rhinorrhoea, nasal congestion, sneezing and itching.
Which of the following would be the most appropriate treatment for a patient diagnosed with allergic rhinitis?

A

nasal beclomethasone

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21
Q

most appropriate use of a benzodiazepine

A

Temazepam given to an anxious patient prior to a dental procedure

22
Q

In what percentage of patients treated with Kyprolis has a severe hypertensive crisis been recorded

A

<0.5%

23
Q

A 5-year old child has constipation. Faecal impaction is not present, and the child has no medical issues and is not taking any medication.
What is the most appropriate first-line treatment for this patient?

A

Movicol liquid (macrogol 3350 with potassium chloride, sodium bicarbonate and sodium chloride)

24
Q

A 15-year old female patient has been diagnosed with focal seizure epilepsy. The patient has no other medical issues and is not taking any medication.
What is the most appropriate first-line treatment for this patient?

A

lamotrigine

25
Q

A 10-year-old patient presents with his mother to the community pharmacy with a prescription for permethrin 5% cream.
When should the second course be started after completing the initial treatment?

A

1 week

26
Q

Which of the following statements regarding differential white blood cell monitoring in patients taking clozapine is correct?

A

Monitor weekly for 18 weeks, then fortnightly for up to one year, and then monthly

27
Q

POM to a GSL medicine

A

fexofenadine

28
Q

chronic digoxin toxicity

A

Malaise and weakness

29
Q

A 62-year-old male presents his prescription for Testogel 50mg/5g gel sachets.
Which of the following is the maximum recommended duration of supply for a single prescription of this medicine?

A

30 days

30
Q

key component of clinical governance

A

Patient and public involvement
Staffing and staff management
Use of information to support clinical governance and health care delivery
Education, training and continuing professional and personal development

31
Q

What drug should be initiated 48 hours after stroke symptoms?

A

a high-intensity statin

32
Q

NOT correct when considering the administration of medication via enteral feeding tubes

A

When drug administration via enteral feeding tubes is necessary, the prescriber takes sole responsibility for the off-licence use of the drug concerned

33
Q

NOT be an example of person-centred healthcare

A

Telling a patient how to use their medicines

34
Q

LEAST likely to affect INR

A

lentils

35
Q

A 52-year old male Caucasian patient is currently talking the following medication to treat hypertension:
· Lisinopril 10 mg once daily
· Amlodipine 10 mg once daily
His GP now wishes to intensify his treatment as his blood pressure is not controlled.
Which of the following treatments would be most appropriate?

A

chlortalidone 25 mg each morning

36
Q

bodies is NOT recognised under this legislation

A

A private substance misuse clinic

37
Q

A 79-year old patient has heart failure in normal sinus rhythm. Their consultant wishes to start digoxin as an adjunct treatment.
Which of the following statements about starting digoxin is correct?

A

A loading dose is not required, and a satisfactory plasma-digoxin concentration can be achieved over a period of about a week

38
Q

NOT a feature of life-threatening acute asthma

A

hypertension

39
Q

NOT a motor symptom associated with Parkinson’s disease

A

bladder and bowel dysfunction

40
Q

routine self-monitoring of blood glucose concentration in Type 2 diabetic patients NOT be appropriate?

A

To confirm suspected hypoglycaemia

41
Q

A mother comes in to the pharmacy to purchase a head lice treatment for her two children. While you are counselling her, the mother makes a number of comments about head lice.
Which of the following statements is FALSE?

A

Children with short hair are less likely to get head lice

42
Q

With which form of tinea infection are imidazoles ineffective?

A

tinea unguium

43
Q

A 64-year-old woman with type 2 diabetes commences treatment with gliclazide. She is also taking metformin at the same time. One week after starting her treatment, she reports she is experiencing hypoglycaemic episodes.

A

established ADR – no need to report

44
Q

A 50-year-old male with mitochondrial mutations, recently started gentamicin. He reports that after commencing his medication, he has noticed loss in hearing.

A

serious/life threatening reaction – report

45
Q

A 62-year old retired teacher who tells you that the vision in his left eye is blurred and he has noticed haloes around lights. His eye is painful, and you can observe that it is red and appears cloudy

A

PCAG

46
Q

A 59-year old woman has partial redness in her right eye. There is no discharge and the patient tells you that the eye is painful, and she has decreased vision. The patient is taking hydroxychloroquine sulfate at a dose of 200 mg daily.

A

scleritis

47
Q

A 35-year old woman taking amitriptyline 75 mg daily to treat neuropathic pain. She purchases ibuprofen 400 mg to take three times a day for a sprained ankle and neglects to tell pharmacy staff that she is taking amitriptyline.

A

hyponatraemia

48
Q

A 65-year old man who has taken digoxin for the last 2 years. His GP has recently prescribed chlortalidone.

A

hypokalaemia

49
Q

A 79-year old patient taking baclofen for painful muscle spasms.

A

xerostomia

50
Q

A patient using chlorhexidine mouthwash for gingivitis.

A

extrinsic staining of the teeth

Pre Reg (17 decks)

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