Pharmacy 3rd Year Flashcards

1
Q

Define cytotoxic or cytostatic medicine

A

Any medicinal product that possesses any one or more of the following:

1) toxic
2) carcinogenic
3) toxic for reproduction
4) mutagenic

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2
Q

Why audit?

A
Improves quality of care
Maximise resources 
Educational tool
Encourages team work
Provides evidence to justify change
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3
Q

define audit standards

A

Standards are the proportion of times that the criteria can be fulfilled usually expressed as a %

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4
Q

What is audit

A

Quality improvement process that seeks to improve patient care and outcomes through systematic review of care against explicit criteria and the implementation of change

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5
Q

Define patient safety

A

The avoidance, prevention and amelioration of adverse outcomes or injuries stemming from the process of healthcare

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6
Q

What does NPSA stand for

A

National patient safety agency

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7
Q

What does he NPSA do

A

Set up national reporting and learning system for recording and collating data on medical harm

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8
Q

In 2012 the patient safety function of the NPSA was transferred to what

A

NHS commissioning board special health authority

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9
Q

What are the two subtitles of medication errors

A

1) commission

2) omission

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10
Q

Define error of commission

A

Wrong meds or wrong dose

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11
Q

Define error of omission

A

Omitted dose or failure to monitor

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12
Q

Is RCA a reactive method of error management?

A

Yes because it’s used after an error has occurred

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13
Q

What does FMEA stand for and what is it

A

Failure modes and effects analysis is a systematic method of identifying and preventing process and product problems before they occur

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14
Q

What are the 6 stages of the transtheoretical model

A

1) pre contemplation
2) contemplation
3) preparation
4) action
5) maintenance
6) relapse/termination

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15
Q

Define ambivalence

A

When you feel two ways about something, know pros and cons but can’t decide

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16
Q

What’s the reactance theory

A

Brehm- nobody tells me what to do

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17
Q

What’s motivational interviewing

A

A form of brief psychotherapy, is goal orientated

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18
Q

What are the 6 stages of the transtheoretical model

A

1) pre contemplation
2) contemplation
3) preparation
4) action
5) maintenance
6) relapse/termination

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19
Q

Define ambivalence

A

When you feel two ways about something, know pros and cons but can’t decide

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20
Q

What’s the reactance theory

A

Brehm- nobody tells me what to do

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21
Q

What’s motivational interviewing

A

A form of brief psychotherapy, is goal orientated

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22
Q

Define ethics

A

Ethics is the science or morals or moral philosophy

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23
Q

Define ethical norms

A

Are rules or behaviours to be complied with or used to evaluate or direct human conduct

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24
Q

What is an ethical dilemma

A

It is where a problem needs to be overcome or a difficult choice made using a process known as ethical decision making

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25
Q

Define principle

A

Fundamental truths or laws used for deliberation or reasoning

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26
Q

What are the three main ethical theories

A

1) deontological ethics
2) consequentialist ethics
3) virtue ethics

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27
Q

Which ethical theory is ‘ethics of care’ most related to?

A

Virtue ethics but it places more emphasis on and employing altruistic emotions

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28
Q

Define moral reasoning

A

Individual or collective practical reasoning about what we ought to do

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29
Q

What is a ‘ad hominem argument’

A

An argument against man- normally an attack on a particular person and is intended to discredit what he or she does

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30
Q

What is a ‘tu quoque argument’

A

‘You too’- method used to reduce or deflect the force of an argument that a person is making

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31
Q

Define fallacy

A

These are logical mistakes in reasoning

32
Q

What are the three types of morality

A

1) duty based morality
2) goal based morality
3) virtue based morality

33
Q

Define capacity

A

The ability of a person to make decisions that may have consequences for themselves and/or others being affected by the decision that person makes

34
Q

Define consent

A

To express a willingness, give permission, agree

35
Q

What are the 3 parts to ethically valid consent

A

1) must be voluntary
2) given by a competent individual
3) done in light of sufficient info and understanding

36
Q

What are the two types of consent

A

1) implied consent

2) explicit consent

37
Q

Define implied consent

A

When the patient indicates their consent indirectly without writing or speaking

38
Q

Define explicit consent

A

When a patient gives you specific permission to do something either written or spoken

39
Q

What are the four stages of medicines information

A

1) understand the question
2) carry out your research
3) prepare your answer
4) feedback your answer

40
Q

What is UKMi

A

U.K. Medicines information is an NHS pharmacy based service

41
Q

What’s the aim of UKMi?

A

To support the safe, effective and efficient use of medicines by the provision of evidence based information and advice on their therapeutic use

42
Q

What is research governance

A

The broad range of regulations, principles and standards of good practice that exist to achieve, and continuously improve, research quality across all aspects of healthcare in the uk and worldwide

Good research ethics and ethical review are part of research governance

43
Q

The framework for research governance England (2005) is concerned with what 6 things

A
Ethics
Science
Information
Health and safety
Finance 
Promoting a quality research culture
44
Q

Who oversees research matters within the NHS?

A

The NHS health research authority (HRA)

45
Q

What does GAfREC stand for

A

Government arrangements for research ethics committees

46
Q

When is NHS ethical approval required

A

1) if your study meets certain criteria

2) if your study involves past or present NHS patients (or carers or relatives) or their tissues

47
Q

When is NHS management permission is required

A

Your research involves NHS staff, patients or premises

48
Q

NHS ethical approval and NHS management permission come under what

A

HRA approval

49
Q

What is public health

A

The science and art of promoting and protecting health and well-being, preventing ill health and prolonging life through the organised efforts of society

50
Q

How many public health domains are there?

A

4

51
Q

What’s demain 1

A

Improving the wider determinants of health

52
Q

Which demain is health improvement?

A

Domain 2

53
Q

What’s domain 3

A

Health protection

54
Q

Which domain is healthcare, public health and preventing premature mortality

A

Domain 4

55
Q

Name the three types of services that can be offered in a pharmacy

A

Essential
Advanced
Enhanced

56
Q

Name the 7 essential services

A
Dispensing
Repeat dispensing
Disposal of unwanted meds
Health promotion
Signposting 
Support for self care 
Clinical governance
57
Q

List 4 advanced services

A

MURs
NMS
Appliance use review
Stoma appliance customisation service

58
Q

List 9 enhanced services

A
Minor ailments management 
Palliative care management 
Care home services 
Head lice management 
Gluten free food supply
Services to schools 
Out of hours services 
Supplementary and independent prescribing 
Medicines assessment and compliance support
59
Q

‘Professional standards for public health practice for pharmacy’ how many standards?

A

9

60
Q

What are the 5 models and approaches to health promotion

A
Medical
Behaviour
Educational
Empowerment 
Social change
61
Q

What does SMR stand for

A

Standardised mortality ratio

62
Q

Give two types of statistics used to measure health

A

Mortality

Morbidity

63
Q

Name four objective measures of health

A

Health measures
Health behaviour indicators
Environmental indicators
Socio economic indicators

64
Q

Name 5 types of subjective measures of health

A
Functional
Health status (SF36 EQ5D QALY)
Psychological well being 
Social networking and social support
Patient reported outcome measures
65
Q

EQ5D scores are generated from what 5 dimensions

A
Mobility
Pain/discomfort
Self care
Anxiety/depression
Usually activities
66
Q

Are prescriptions for EEA and Switzerland legally recognised in UK including emergency supplies?

A

YEH

67
Q

What meds are not available on an EEA prescription?

A

Sch 1,2,3

MP without marketing authorisation in UK

68
Q

What is confounding

A

Factors that affect results of study e.g age smoking gender

69
Q

How can you account for confounding?

A

Stratify and work out odds ratio or do multinationals regression analysis

70
Q

What 3 things should you do in dispensing error

A

1) RCA
2) send RCA to superintendent
3) report to national reporting and learning system

71
Q

Name 5 ways to well being

A
Connect
Be active
Take Notice 
Keep learning 
Give
72
Q

Define public stigma

A

When the public know the stereotypes

73
Q

Define stigma

A

A series of attitudes we have about groups

74
Q

What is the four stage approach to making a decision?

A

Gather relevant facts
Prioritise and ascribe values
Generate options
Choose and option

75
Q

What’s a likert scale

A

Agree strongly agree etc

76
Q

Name of effect that happens when someone observes you

A

Horthawn effect

77
Q

Name three CDs that can be supplied to midwives

A

Diamorphine
Morphine
Pethidine