ontrack from 25th-26th april

Question 1

what is contraindicated in pt with Ischaemic HD who requires tx for migraines

Answer 1

triptans

Question 2

what is tx of acute migraines in pt with ischameic HD

Answer 2

aspirin + metoclopramide

Question 3

A patient comes in to your pharmacy. They appear confused and you a concerned that they may not be able to make a clear decision about their treatment. A pharmacy professional must base an assessment of capacity on the person’s ability to make a specific decision at the time it needs to be made.

In order for a patient to demonstrate capacity, they do NOT need to be able to:

Answer 3

prove aged 18 or +

Question 4

Which of the following terms describes ‘asbestos-like’ scales on the scalp?

Answer 4

Pityriasis amiantacea

Question 5

Which statin (+strength) would be most likely to reduce LDL cholesterol by more than 40%?

Answer 5

atorvastatin 20mg

Question 6

when should entries into the CD register MUST be made?

Answer 6

either on the day of transaction or the FOLLOWING day

Question 7

what can occur with patients receiving long-term bisphosphonate therapy.

Answer 7

Atypical femoral (hip) fractures

Question 8

Which of the following drugs was reclassified to Schedule 3?

Answer 8

gabapentin and pregabalin

Question 9

Mr G is a 78-year-old retired school teacher. He has arthritis and is experiencing severe discomfort in his movements.

Which one of the following allied healthcare professionals is the most suitable to assess and support Mr G with his discomfort and could provide the patient with the support aids to assist him?

Answer 9

orthotist

Question 10

does metoclopramide require additional contraceptive precautions?

Answer 10

no

Question 11

Which drugs affect combined oral contraceptives?

Answer 11

• antibacterials e.g. rifampicin
• antiepileptics
• antiretrovirals
• St John’s wort.

Question 12

Which antibiotic drugs is normally given as a ‘1 gram as a singe dose followed by 500 mg daily for 2 days’ dose in uncomplicated genital chlamydial infections?

Answer 12

azithromycin

Question 13

Which antisecretory and mucosal protectant drugs may cause severe diarrhoea which may require withdrawal of this drug?

Answer 13

misoprtostol

reduce by giving single doses not over 200mg + avoid mg anatacids

Question 14

what does A.U. mean

Answer 14

both ears

Question 15

Given that the responsible pharmacist is allowed to be away from the Pharmacy for up to 2 hours, and that they are the only pharmacist working at the pharmacy, which one of the following activities could you do in their absence?

• Supply Beconase® Hayfever relief for adults nasal spray 0.05% 100 dose pack to a patient with hayfever
• Supply 2 packs of 32 tablets of paracetamol to a patient with osteoarthritis

Answer 15

beconase hayfever relief

Question 16

Which medicine is most likely to cause flushing and headache, particularly after the first time it is taken?

Answer 16

isosorbide dinitrate m/r

Question 17

Which medicines is known to interact with sumatriptan?

Answer 17

tramadol

Question 18

You are the on duty pharmacist in a community pharmacy. Miss JA, who is 17 years old, presents in your pharmacy enquiring about a rash she has developed. You note from her patient medication record that you recently dispensed amoxicillin capsules for her. She tells you that this was for tonsillitis. Her patient medication record suggests she has received amoxicillin before but she states that she has never had a rash like this before now.

What is the most suitable course of action?

-refer to GP urgently
-refere to GP for further investigation/treatment

Answer 18

Refer Miss JA to her GP for further investigation and/or treatment

sounds = glandular fever = may experience rash when given amoxicillin.

Question 19

Mezolar Matrix (fentanyl) 12 mcg/hour transdermal patch advice for application

Answer 19

Avoid touching the adhesive side of patches and wash hands after application

The area should be clipped (not shaved) + clean area avoid soaps

Question 20

why is injectable phenytoin not prescribed normally

Answer 20

Injectable phenytoin is more error-prone with a risk of death

Question 21

does clarithryomcin increase or decrease warfarin INR levels

Answer 21

increase

Question 22

what class is theophylline

Answer 22

xanthines

Question 23

Which antibiotics may cause cholestatic jaundice to occur, up to two months after treatment with this antibiotic has stopped?

Answer 23

flucloxacillin

Question 24

Which of the following creams/ointments could stain clothing?

• Betamethasone valerate/clioquinol cream
• Daktacort® ointment
• Fucibet® cream
• Locoid®ointment
• Synalar® cream

Answer 24

Betamethasone valerate/clioquinol cream

Question 25

A mother of a 5-year-old daughter wants some advice. Her daughter has recently developed a red rash on her face after being unwell with cold symptoms. Based solely on this information, which is the most likely condition causing the rash?

Answer 25

Erythema infectiosum

Answer 26

Pertussis does not have facial rash; psoriasis can have scalp involvement but lesions away from the hairline are rare; pityriasis rosea is associated with a rash on the body. This leaves atopic dermatitis and erythema infectiosum - both could show facial lesions. Based on other 'cold-like' symptoms erythema infectiosum is more likely. Its alternative name is 'slapped cheek disease'.

Question 27

Which schedule includes growth hormones?

Answer 27

Schedule 4 Part 2

Question 28

For which of the following antiepileptic drugs should you consult the prescriber to establish if the same brand is to be dispensed each time?

Answer 28

Clobazam, Clonazepam, Eslicarbazepine, Lamotrigine, Oxcarbazepine, Perampanel, Retigabine, Rufinamide, Topiramate, Valproate, Zonisamide

Question 29

when is temazepam given

Answer 29

30-60 min before you want to sleep