OTC Flashcards

1
Q

What organism causes thrush

A

Candida albicans

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2
Q

Does thrush smell

A

No

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3
Q

What is different with the symptoms of thrush and bacterial vaginosis

A

Fishy smell and less itching

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4
Q

What suggests trichmonas vaginalis

A

Froth yellow green colour

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5
Q

Should you refer thrush that hadn’t previously been diagnosed?

A

Yes

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6
Q

How many thrush attacks is a referral symptoms

A

Two in six months

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7
Q

What age is OTC thrush treatment licensed for

A

16-60

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8
Q

Should you refer preg or bf women

A

Yes

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9
Q

Do things interact with fluconazole

A

Yes but rarely with a single dose

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10
Q

Does topical or oral antifungals improve thrush faster

A

Topical

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11
Q

Councelling for OTC thrust

A

Topical may affect diaphragms and condoms

Don’t have sex as this spreads infection

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12
Q

Two conditions where you can’t provide levonesterel

A

Chrons and conditions that might affect absorbtion

Liver dysfunction

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13
Q

What duration of cystitis is referal symptom

A

Two days

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14
Q

Is fever a referal symptom for cystitis ?

A

Yes

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15
Q

What are the dose directions of alkylating agents for cystitis ?

A

Tds for two days

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16
Q

Cautions for cystitis preparations

A

Sodium containing preparations can lead to fluid retention
Caution in hypertension , cv disease, impaired renal function, pregnancy, lithium,
Potassium preps - spironolactone, ACEi, heart and kidney disease

17
Q

What are the two OTC cystitis salts

A

Potassium citrate

Sociumd carbonate

18
Q

Difference in symptoms of primary and secondary menorrhagia

A

Secondary: Dull, continuous, diffuse abdo pain (as opposed to radiating crampy pain)
After birth of child
Discharge may indicate infection
Painful intercourse

19
Q

Referal age for period pain

A

30

20
Q

Referal symptoms for period pain

A

Abnormal discharge or bleeding
Pain worsening after start of mensturation
Pain with late period (ectopic pregnancy)
Pain for over 48 hours before start and after end of period

21
Q

What strength of naproxen can be bought over the counter

A

250mg

22
Q

Why do some period pain preparations have sedating anitihamines in the them?
Two examples

A

Muscle relaxant properties
And antiemetic effect
Diphenhydramine and doyxlamine

23
Q

Does smoking help period pain

A

No - makes it worse

24
Q

Who should you refer in terms of cycle duration etc

A

Anything that’s not 21-35 day cycles and more than three days variability