Propharmace 2024 Flashcards

1
Q

Which of the following medications is most closely associated with Clostridioides difficile infection?

  • A- Fluconazole
  • B- Nitrofurantoin
  • C- Doxycycline
  • D- Erythromycin
  • E - Ceftriaxone
A

E - Ceftriaxone

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2
Q

How would you treat Bacteril Vaginosis
* A- Fluconazole 150mg capsule - single dose
* B- Nitrofurantoin immediate release 50mg QDS for 3 days
* C- Metronidazole 500mg BD for 7 days
* D- Azithromycin 1g OD for 1 day, then 500mg OD for 2 days
* E - Doxycycline 200mg for one day, then 100mg daily maintenance

A
  • C- Metronidazole 500mg BD for 7 days

Bacterial Vaginosis

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3
Q

Mr C has presented in the GP practice with a dog bite. He has redness and swelling around the site of the bite and he has told you it is hot to touch. From his records you are able to see that he has an allergy to penicillin. The doctor has prescribed medication to help treat the infected bite for Mr C.

Which of the following would be the most suitable antibacterial choice of treatment for Mr C?

  • A- Erythromycin
  • B- Doxycycline
  • C- Co-Amoxiclav
  • D- Doxycycline + Metronidazole
  • E - Cefuroxime
A

D-
Doxycycline + Metronidazole

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4
Q

Which deficiencies cause megaloblastic anaemia

A
  • Folate
    or
  • Vitamin B12
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5
Q

Paracetamol Child dosing

A

Child’s age
How much
How often (in 24 hours)

3-6 months
2.5 ml
Up to 4 times

6-24 months
5 ml
Up to 4 times

2-4 years
7.5 ml (5 ml + 2.5 ml)
Up to 4 times

4-6 years
10 ml (5 ml + 5 ml)
Up to 4 times

  • Do not give more than 4 doses in any 24 hour period.
  • Leave at least 4 hours between doses.
  • Do not give this medicine to your child for more than 3 days without speaking to your doctor or pharmacist.
    It is important to shake the bottle for at least 10 seconds before
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6
Q

Which vitamin is teratogenic

A

Vitamin A

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7
Q

Which of the following vitamins should the patient avoid in pregnancy?
* A- Cod liver oil

  • B- Folic acid
  • C- Iron
  • D- Vitamin D
  • E - Vitamin B12
A

A- Cod liver oil

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8
Q

Which of the following medications holds a definite risk of haemolysis in most G6PD-deficient individuals?
* A- Sulfonylureas
* B- Quinine
* C- Aspirin
* D- Chloroquine
* E – Ciprofloxacin

A

E – Ciprofloxacin

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9
Q

When on metformin triple therapy and it isnt working, and a patient needs to add GLP-1, what should you do
Which of the following statements is most appropriate for the initiation of a GLP-1 agonist for Mrs D?
* A-GLP-1 receptor agonist should be added in combination to the current triple therapy regimen
* B- Liraglutide is the most appropriate GLP-1 agonist for this patient and should replace either Gliclazide or Empagliflozin in the triple therapy regimen
* C- Semaglutide is the most appropriate GLP-1 agonist for this patient and should replace either Gliclazide or Empagliflozin in the triple therapy regimen

A
  • C- Semaglutide is the most appropriate GLP-1 agonist for this patient and should replace either Gliclazide or Empagliflozin in the triple therapy regimen
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10
Q

What is the most likely symptom that Mr H may be displaying with hypothyroidism?
* A- Weight loss
* B- Diarrhoea
* C- Sore throat
* D- Weight gain
* E - Heat intolerance

A

D- Weight gain

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11
Q

What are amiodarone baseline monitoring requirements

A
  • chest x ray
  • liver function
  • thyroid function
  • U and E
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12
Q

What do Episodes of acute illness do to warfarin efficacy

A

Episodes of acute illness can exaggerate the effects of
Warfarin

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12
Q

In addition to its glucose-lowering effects, what other beneficial effect may empagliflozin provide that is relevant to Mrs K?
* A- Reduction in body weight
* B- Lowering of blood pressure
* C- Improvement in lipid profile
* D- Preservation of renal function
* E- Enhancement of insulin secretion

A
  • D- Preservation of renal function
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13
Q

Which of the following activities can take place in your absence?
* A- Delivering medication by the pharmacy delivery driver
* B- Handing already checked medication to patients
* C- Professional check of a prescription
* D- Selling P medicines
* E- Wholesale of medicines

A
  • A- Delivering medication by the pharmacy delivery driver
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14
Q

Mrs P, a 57-year-old woman who has recently been treated for Tuberculosis. Mrs P has completed her initial treatment phase for 2 months and is now due her 4-month continuation phase.

Which of the following medications would be prescribed alongside her regular medication to help prevent Mrs P’s symptoms?
* A- Ethambutol
* B - Isonizaid
* C- Pyrazinamide

  • D- Pyridoxine
  • E – Rifampicin
A
  • D- Pyridoxine
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15
Q

Master B, aged 7, has presented to the GP practice with suspected impetigo. He has crusted golden patches around his mouth with itchy sores around his nose and chin. He has no other symptoms, but the itching is starting to bother him. He is not systemically unwell and has no known drug allergies.

Which of the following would be the most suitable treatment for Master B’s impetigo?
* A- Oral Amoxicillin for 7 days
* B - Oral Flucloxacillin for 7 days
* C- Topical Fusidic acid for 7 days
* D- Topical Hydrogen Peroxide 1% cream
* E - Topical Mupirocin

A
  • D- Topical Hydrogen Peroxide 1% cream

(because it is localised and non bollus)

16
Q

What is the antidote to loperamide

A

Naloxone

17
Q

A 48-year-old man has been invited for an asthma review. During the review he explains he has been feeling low recently and is starting to lose interest in activities he used to enjoy. He has noticed that he is not eating as much and is losing concentration at work.
He is currently taking the following medication:
* Montelukast 10mg at night
* Tamsulosin 400mcg daily at night
* Finasteride 5mg daily
* Salbutamol 100mcg MDI two puffs as needed
* Beclomethasone 100mcg MDI two puffs twice daily
Which of the following would be the most suitable action to take for this patient?
* A- Refer patient to GP
* B - Stop montelukast and report to GP
* C- Stop finasteride and report to GP
* D- Refer patient to CBT classes
* E - Continue with normal medication and review patient again in 4 week’s time if mood has not improved

A
  • C- Stop finasteride and report to GP
18
Q

In order to prevent disease outbreaks and epidemics, health care professionals are required to report to the ‘proper officer’ at the local council or local health protection team of any notifiable diseases in the area.

Which of the following conditions would require a report to be sent to the proper officer?
* A- Chickenpox

  • B - Influenza
  • C- Norovirus
  • D- Strep throat
  • E - Whooping cough
A
  • E - Whooping cough
19
Q

What medications cause hypomagnaesia

A
  • PPI’s e.g. omeprazole
  • Digoxin (increases the risk of
    toxicity)
  • Diuretics
  • Aminoglycosides
20
Q

What treats Wernicke’s Encephalopathy

A

Vitamin B1 (thiamine)

21
Q

How to treat wilson’s disease

A

Zinc

22
Q

How to treat upper UTI infection

A

Cefalexin

23
Q

How to treat otitis media

A

Amoxicillin