mock questions Flashcards
main advantage of using heparin for routine anticoagulation over low molecular-weight heparins
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
severe croup
dexamethasone
NFA-VPS veterinary medicine
A category of medicine for non-food animals that can be supplied by a veterinary surgeon, a pharmacist or a suitably qualified person
serum-lithium monitoring
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
% risk of the risk of contact lens intolerance observed in a patient taking the combined oral contraceptive
less than 0.1%
concern if co-prescribed to a patient currently taking a combined oral contraceptive
carbamazepine
unstable angina comes into the pharmacy complaining of chest pain which is spreading to his jaw and left arm
aspirin dispersible tablet 300mg dose plus either glyceryl trinitrate 400 microgram spray or glyceryl trinitrate tablets
theophylline toxicity
epigastric pain, hypotension, nausea, restlessness
moderate heart failure associated with a reduced left ventricular ejection fraction third line addition
spironolactone 25mg once daily
pruritis and a vaginal discharge, which she describes as being white, thin and watery with a fishy odour
BV
NOT a consideration when assessing if a person can make an informed decision
The person has an interpreter to ensure they understand the information provided
preparing to label medicines broken down from bulk containers into smaller quantities. NOT a labelling requirement in these circumstances
Appropriate BNF warning label
most appropriate for this patient regarding warfarin and malaria chemoprophylaxis
Begin malaria chemoprophylaxis 2-3 weeks before departure. Measure INR before starting chemoprophylaxis, 7 days after starting and once malaria chemoprophylaxis is complete
symptom of serotonin syndrome
confusion, tachycardia, tremor, hyperthermia
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.
An oral non-steroidal anti-inflammatory drug instead of, or in addition to, paracetamol
least likely to induce constipation
lymecycline
NOT be considered to be at increased risk of pneumococcal infection
pregnant women
isophane insulin
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
NOT a key factor that pharmacy professionals should think about when providing person-centred care
Carrying out a risk assessment for the services you will provide
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?
nasal beclomethasone
most appropriate use of a benzodiazepine
Temazepam given to an anxious patient prior to a dental procedure
In what percentage of patients treated with Kyprolis has a severe hypertensive crisis been recorded
<0.5%
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?
Movicol liquid (macrogol 3350 with potassium chloride, sodium bicarbonate and sodium chloride)
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?
lamotrigine
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?
1 week
Which of the following statements regarding differential white blood cell monitoring in patients taking clozapine is correct?
Monitor weekly for 18 weeks, then fortnightly for up to one year, and then monthly
POM to a GSL medicine
fexofenadine
chronic digoxin toxicity
Malaise and weakness
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?
30 days
key component of clinical governance
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
What drug should be initiated 48 hours after stroke symptoms?
a high-intensity statin
NOT correct when considering the administration of medication via enteral feeding tubes
When drug administration via enteral feeding tubes is necessary, the prescriber takes sole responsibility for the off-licence use of the drug concerned
NOT be an example of person-centred healthcare
Telling a patient how to use their medicines
LEAST likely to affect INR
lentils
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?
chlortalidone 25 mg each morning
bodies is NOT recognised under this legislation
A private substance misuse clinic
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 loading dose is not required, and a satisfactory plasma-digoxin concentration can be achieved over a period of about a week
NOT a feature of life-threatening acute asthma
hypertension
NOT a motor symptom associated with Parkinson’s disease
bladder and bowel dysfunction
routine self-monitoring of blood glucose concentration in Type 2 diabetic patients NOT be appropriate?
To confirm suspected hypoglycaemia
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?
Children with short hair are less likely to get head lice
With which form of tinea infection are imidazoles ineffective?
tinea unguium
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.
established ADR – no need to report
A 50-year-old male with mitochondrial mutations, recently started gentamicin. He reports that after commencing his medication, he has noticed loss in hearing.
serious/life threatening reaction – report
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
PCAG
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.
scleritis
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.
hyponatraemia
A 65-year old man who has taken digoxin for the last 2 years. His GP has recently prescribed chlortalidone.
hypokalaemia
A 79-year old patient taking baclofen for painful muscle spasms.
xerostomia
A patient using chlorhexidine mouthwash for gingivitis.
extrinsic staining of the teeth
