OSCE Station

Question 1

micanozole and warfin

Answer 1

• Has a harmful interaction

Question 2

Steroid inhaler overuse may cause

Answer 2

Oral thrush

Question 3

Cancer red flag symptoms

Answer 3

• Unexplained bleeding
• Unexplained weight loss

Question 4

Buying larger quantities of drug

Answer 4

• Check on the BNF if the medication is P
• Hydrocrtisone 30g POM cannot buy

Question 5

Can you prescribe the medication on the NHS?

Answer 5

• Example Senakot tablet cannot be prescribed on the NHS
• Blacklisted medications

Question 6

Chloramphenicol eye drops and contact lenses

Answer 6

• Do not wear contact lenses during the treatment
• Suggest wearing glasses instead
• Wait 24hrs before wearing lenses again

Question 7

Clarithromycin and apixaban interaction

Answer 7

• Temporarily stop taking heart medication apixaban and complete course of anitbiotic clarithromycin

Question 8

Interaction Simvastatin and amlodipine

Answer 8

• Increase in exposure of simvastatin

Question 9

Codine interaction

Answer 9

• Contraindication while breastfeeding

Question 10

Amorolfine toenail lacure

Answer 10

• Licenced for a maximum of 2 toenails
• Diabetes must refer to GP

Question 11

Red flag symptoms for dyspepsia

Answer 11

• Unexplained weight loss
• Age over 55

Question 12

What can you sell instead of daktarin

Answer 12

• Sell nystatin use a dropper which is 1ml four times daily for 7 days and continue the treatment 2 days after symptoms resolve

Question 13

Using steroid inhaler

Answer 13

• Rinse mouth after using the steroid inhaler
• Use a spacer and maintain good oral hygine

Question 14

How do I diagnose hypertension?

Answer 14

• Measure blood pressure both arms and if difference in blood pressure 15mg from normal
• Check 3 times to ensure high reading
• If pulse irregular then use manual
• Record lower of last two measurement