Pharmacy Registration Assessment Questions

Question 1

What is the drug combination in Symbicort?

Answer 1

Budesonide & Formeterol (Symbicort Turbohaler)

Question 2

What is Difflam (Benzydamine Hydrochloride) & what is it indicated for?

Answer 2

NSAID (Mouth rinse)

For inflammation of the orapharynx

Question 3

What is drug is used to treat Oral Candidiasis?

Answer 3

1st - Miconazole Oral Gel
2nd - Nystatin (1 00 000 units/mL) QDS
3rd -Fluconazole (50mg OD) can be used systemically if infection is systemic or extensive
(Treatment should be for 7 days)

Question 4

What is the inhalation instruction for Symbicort?

Answer 4

Quickly & Deeply

Symbicort is a dry powder inhaler

Question 5

Which of the following medicines must not be crushed?
Chemydur 60 XL (isosorbide mononitrate)
Clopidogrel 75mg tablet
Pracetamol 500mg dispersible tablet
Ramipril 2.5mg tablet
Simvastatin 40mg tablet

Answer 5

Chemydur 60 XL (isosorbide mononitrate)

- Modified release preparations should not be crushed or dispersed as this can cause dose dumping

Question 6

Treatment of C.diff

Answer 6

Stop causative antibiotic
1st - Metronidazole 400mg TDS PO 10-14d
2nd - Vancomycin & Fidaxomicin (severe)

Question 7

Which antibiotics can cause C.diff?

Answer 7

Clindamycin (notoriously)
Cephalosporins (2nd & 3rd Generations)
Qunolones
Amoxicillin
Ampicillin
Co-amoxiclav

Question 8

Which medication (s) can cause C.diff? Other than abx

Answer 8

PPI’s

Question 9

Doxycycline CAL

Answer 9

Full glass of water (oesophagitis)
Do not take indigestion remedies, zinc or iron 2 hours before and after
Protect skin from sunlight

Question 10

Labeling requirements of Emergency supply

Answer 10

Standard labeling requirements & “Emergency Supply”

Question 11

MEP: Drugs & Driving

Answer 11

Impaired driving = Straight offence
No evidence that drug has been prescribed or legitimately bought (OTC) = Offence
Serum levels above legal limits but taking medication as prescribed & Driving is NOT IMPAIRED= Medical defence therefore, No offence

Question 12

Diabetic patient prescribed beta blocker & is not feeling well/ Why could this be?

Answer 12

Beta blockers affect Blood Glucose
Can cause both Hypo & hyperglycaemia
B-blockers - mask the symptoms of HYPOGLYCAEMIA

Question 13

Professional judgement should never overrule your legal responsibilities. True of False

Answer 13

False - Professional judgement can overrule your legal responsibility

Question 14

What laxatives are used in opiod induced constipation

Answer 14

1st - Macrogol regularly & Stimulant PRN

Question 15

What is pyridoxine? & when may it be used?

Answer 15

Vitamin B6

Give to pt on Isoniazid to prevent neuropathy

Question 16

Constipation in pregnancy and breast-feeding

Answer 16

1st - Bulk Forming
2nd - Osmotic (Lactulose or Macrogol)
3rd - Bisacodyl (Senna)

Question 17

Constipation in children (No fecal impaction)

Answer 17

1st - Macrogol
2nd - Stimulant
3rd - Add lactulose or docusate if needed

Question 18

Fecal impaction

Answer 18

Macrogol first then stimulant laxative if needed

Question 19

State the revalidation requirements

Answer 19

4 CPD’s (2 Planned & 2 unplanned)
1 Reflective account
1 Peer review

Question 20

What is the first line of antihypertensive treatment for a Afro/Carribean patient with Type 2 Diabetes?

Answer 20

ACE inhibitor plus either a diuretic or a generic calcium‑channel blocker.