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questions practice Flashcards

1
Q

A patient is currently taking metoclopramide and develops dystonia, what would you recommend as treatment ?

A

Dystonia-uncontrolled muscle movements AKA. spasms

A. procyclidine
use: parkinsonism, extrapyramidal symptoms

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2
Q

Treatment for heroin overdose?

A

Naloxone

used opioid overdose

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3
Q

Anaphylaxis in adult patient, with swollen lips and difficulty breathing.
what is the recommended drug treatment?

A

A. Adrenaline 500mcg

learn the doses, child or adult,
different brands available.

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4
Q

Dose for Ibuprofen, 9 year old patient

A

200mg QDS

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5
Q 
Motion sickness prevention 4 year old child for a 3 hour trip.
A.. prochlorperazine
B. cinnariizine
C. cyclizine
D. Hyoscine hydrobromide
E. ?
A

A. hyoscie hydrobromide
(kwells)

learn different brands, age ranges for children to recommend!

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6
Q

A patient is a smoker and is suffering hyperchlosteraemia. When he climbs up stairs experiences cramping and numbness, exersize hasnt helped. what would you recommend?

A

A. NAFTIDROFURYL OXALATE

Perhipheral vascular disorder-is a blood ciruclation disorder causing narrowing arteries, especially pain in the legs and fatigue

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7
Q

A patient experiences pain when going up the stairs, and when he lifts heavy grocery bags. He is taking metoprolol and some other medications. what would you recommend…

A

A. angina GTN spray

q. needs to be more specific

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8
Q

43 year old patient has AF for which a BB has been prescribed. she also has hypercholesteraemia. what else would you recommend?

A

A. apixaban

  • must learn CHADSVASC score men and women
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9
Q

75 y.o has hypertension and allergy to amlodipine. what would you give.

A

A. Indapamide or valsartan

look into the hypertension guidelines, updated and make a informed choice.

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10
Q

A patient has a uncomplicated UTi and was prescribed Trimethoprim 200mg BD for 7 days. what is wrong with this dose??

A

A. Duration is too long

Important to understand the durations for antibiotics and other complication with UTI s

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11
Q

A patient has developed sepsis in hospital and has had an anaphylactic reaction to penicillin in the past.which Abx would you not give

A

A. pip-taz

remember it contains penicillin

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12
Q

A patient culture for a respiratory infection shows haemophilus influenza. what antibiotic would you give>

A

A. amoxicillin

  • not sure why, research more
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13
Q

Which bacteria is well covered by gentamicin>

A

A. Pseudomonas aeruginosa (other choices were all G+)

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14
Q

A patient has H.pylori, takes ciclosporin and clopidorel? what treatment would you recommened?

A

Amox + metron + lansop

NOTE:
clopidogrel + omeprazole Interaction- thats why it wasnt the right answer

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15
Q

A responsible pharmacist register, how long does it need to be kept??

A

A. 5 years

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16
Q

Private prescription for a POM *atenolol) how long do you need to keep?

A

A. 2 years

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17
Q

Which Rx cannot be given as a emergency supply

A

A. Tramadol CD 3

phenobarbital can be given in emergency for epilepsy

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18
Q

Vet prescribes ramipril under the cascade and there is no licensed rx for ramipril in that species. what to dispense?

A

A. same drug licensed in another species

  • must go into detail for vetinary stuff
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19
Q

15 y.o comes into a pharmacy for EHC.She had a UPSI 4 days ago and doesnt want to go to another HCP?

A

A. ulipristal

  • must know licensing and age requirement to give EC
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20
Q

A man takes methadone 30mg OD for opioid dependence and would like advice for driving?

A

A. not sure
as far as im aware cannot drive if taking methadone
however, possible with buprenorphine

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21
Q

A patient is taking tranylcypromine which food.drink should he avoid?

A

A. mature cheese

  • MAOI inhibitor
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22
Q

A prescription for fentanyl what is the maximum duratio of supply to be given?

A

A. 30 days

remember expiration is 28 days, recommended supply is 30 days key word

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23
Q

picture of a label identify which legal requirement is missing?

A

A. Date of supply

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24
Q

Prescription for sativex shown- which do you decide not to dispense?

A

A. prescription expired

remember sativex cannabis product

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25
Q

A GP is seeing his patient who suddenly develops slurred speech. you ask him to raise his arm and hes not able to>

A

A. call 999 STAT

AAS 300mg also option but cannot incase haemorrhagic stroke

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26
Q

show image-

A

A. identify impetigo

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27
Q

show image

A

A. recognise stye. also treatment 1st line treatment is a warm compress

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28
Q

image of food onychomycosis on 3 toe nails. action to take?

A

A. refer- cannot treat OTC

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29
Q

Subconjunctival haemorrhage,no pain, no disturbed vision, no medicial condition and wants to buy opticrom for it. what would you recommend?

A

A. do not sell eye drops and reassure the patient as it will go away on its own

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30
Q

20 y.o patient has bad period cramps and pain, has currently taking lithium??

A

A. Dihydrocodeine with paracetamol

remember alot of questions on lithium must know it properly

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31
Q

which is a example of a clinical audit

A

learn what a clinical audit is to be able to answer this question

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32
Q

Mebendazole- what to advice to give to a 7 year old with threadworm

A

A. sleep with underwear so that he doesnt scratch his anus

- keeping away from school was part of the option

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33
Q

A mother comes into the pharmacy with her baby who has a fever and other sympto in the past 24 hrs. which symptom would be the most worrying?

A

A. no wet nappies

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34
Q

Dabigatran prescribed for a patient with AF. what advice would you give

A

A. take is same time each day

other options, dont eat green veg etc

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35
Q

List of medication and patient complains of breast discomfort. what medication is responsible.

A

spiralactone

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36
Q

A schizophrenia patient has been trialled on both haloperidol and olazapine however they did not work. what would be the best option to try now

A

Clozapine

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37
Q

a patient deelops a infection in hopsital and is started on co-amoxiclav + levofloxacin IV. the patient is also taking other mediciation during his hospitalizaation which are listed. which medication is likely to cause seizures?

A

A. levofloxacin

Quinolone- IV use likely to cause seizures.

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38
Q

A patient is taking warfarin and gets prescribed miconazole gel for oral thrush?

A

A. Interaction

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39
Q 
A hospitalized patient develops a UTI and has a penicillin allergy. Crcl = 25ml/min.
option:
amox
cephalosporin
trimethoprim
nitrofurontoin
ciprofloxacin
culture shows sensitivity to all except ciprofloxacin what would you recomend>
A

A. Trimethoprim

  • nitrofurontoin not option if crcl less than 45
    exclude penicillin and cephalosporin options
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40
Q

A women has been diagnosed with cellulitis on her leg, she saying she is allergic to pencilin due to vaginal thrush. what would you give>?

A

A. flucloxacillin-

clarithromycin was also included part of the option

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41
Q

patient has severe depressio and also diagnosed with bipolar. what would you give to treat>

A

A. Quetiapine

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42
Q

Which mediicne requires drug levels and close monitoring if a patient stops smoking?

A

A. clozapine

Theophylline was not a option

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43
Q

Which medicine require LFT to be measured, baseline, 3 month and 12 month.

A

A. atorvastatin

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44
Q

A patient initiated on atorvastatin experiences cramps in legs what needs to be measured>

A

Creatinine kinase

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45
Q

A patient started on amiodarone has gained weight and became more tired what needs to be measured?

A

A. TFTs

46
Q

A patient is taking differnt asthma medication, starts to experience some symptoms?

A

A. hypokalaemia

identify symptoms

47
Q

A patient recevied citalopram + valproic acid ?

A

A. hyponatraemia

48
Q

A patient comes for sildenafil P medicine and takes other medication inlcuding tamsulosin. what would you do>

A

A. refer- cannot dispense as patient is taking a alpha blocker

49
Q

mum brings 2 y.o non blanching rash and other symptoms? need to recognise meningitis. action to take

A

A. Ring 999. stat A/E

50
Q

Which is a symptom of hypogylcaemia? all were symptom of hyperglycaemia.

A

A. Dizziness

51
Q

A patient came for his methadone and calls later to get another dose as his previous bottle broke? what to do.

A

A. Contact the prescriber for a new rx

52
Q

A patient has a sore throat and has taken paracetamol, pseudoephedrine and lozenges. he starts to experience palpitation and other symptoms insomnia. culprit

A

A. Pseudoephedrine

SE: headache

53
Q

what is the maximum of non-effervescent aspirin that can be given OTC?

A

A.

54
Q

How does a patient need to breathe when measuring peak expiratory flow>

A

A. Blow as hard as you can and fast into the small device

55
Q

which type of food or drink do you need to avoid with ciclosporin.

A

A. Grapefruit juice

56
Q

A patient takes ciclosporin for organ transplant. He got home and noticed the pharmacy dispensed another brand vs what he usually takes even though the Dr, prescribed his usual brand. what do you do>

A

A. give usual brand to the patient and take the wrong brand which needs to be disposed not back into stock,

57
Q

A patient is suffering from diarrhoea for a few days. The Dr said to suspend one of her medicine to protect her kidney. which medicine was he reffering to?

A

ACEi -

remember the medicine must be stopped to prevent AKI. including metformin

58
Q

Which opioid patc is given weekly

A

Buprenorphine (Butrans) - patch 7 days

other options fentanyl, another buprenorphine that was not butrans

59
Q

A patient is receiving a vinka alkaloid, which is the correct route

A

A. Intravenous

AVOID INTRATHECAL!!

60
Q

A patient got prescribed isoniazid as part of TB regimen. which vitamin needs to be prescribed to prevent neuropathic complications>

A

A. pyridoxine

61
Q

On a product you read expiry: 10/2021 when will the product expire.

A

A. 31st october 2021

62
Q

A baby is teething, what would you give after using gum toys

A

A. paracetamol

  • CKS mentions painkiller before lidocaine, tricky Q
63
Q

Zoplicone and tramadol

A

interaction

64
Q

Which insulin is basasl.

A

bnf

65
Q

Predisolone for a patient suffering a acute asthma attack

A

bnd

66
Q

Metformin contra-indicated and on sulphonylurea- what do you add next

A

A. sitagliptin

  • need to know both treatment options
67
Q

Lady has a Hb1AC of 46 what treatment if any would you recommned?

A

dietarry - need to know about diagnosis

68
Q

patiet has chicken pox what would you do?

A

A. give paracetamol

69
Q

patient with mouth ulcers it has been 5 weeks what would you do?

A

A. would you treat or refer

70
Q

Theophylline

A

A. report nausea and vomiting

71
Q

How many units recommended for a man per week>

A

14 units maximum

72
Q

Enoxaparin + DOAC given

A

INTERACTION

73
Q

How to give lansoprazole

A

30-60 minutes before food

74
Q

what is the expiry on GTN spray?

A

8 weeks after opening

75
Q

Enoxaparin + DOAC (rivoroxvan) given

A

INTERACTION

76
Q

Nappy rash what would you recommend?

A

A. clotrimazole

77
Q

Heirachy study - options was a case, cohort, RCT, specialist advie and other option

A

A. RCT highest option

[learn table of evidence]

78
Q

pt on 70mg morphine BD, what is their maximum breakthrough

A

A. 1/6th . 20

need to learn how to do division for clinical

79
Q

Patient suffereing from mesalazine SE might have been thrombocytopenia

A

report to MHRA it was serious

80
Q

14 year old gets a vaccine what is it likely for

A

A> HPV cervical cancer

81
Q

Hypertension- 45 year old lady what to give

A

1st line ACE inhibitor

82
Q

CPR compression to 2 rescure breath answer

A

bnf back

83
Q

calculate curb-65 score but you were given , the patient had a newly disoriented feeling

A

learn it

84
Q

calculate dose 800u vitamine D takes for 5 days a week the 12 week total

A

calculation question to know

85
Q

Fludrocortisone how to sotre it

A

unsure

86
Q

which drug most likely causes weight gain?

A

Olanzapine

87
Q

What are the most likely SE of taking prednisolone from a 5 day course

A

A. mood changes

88
Q

A dentist forgot to put toothpaste on a rx so you have agreed to give a E/S , how long does the dentist have to provide a prescription

A

A. 72 hours

89
Q

which drugs are likely to cause falls in the elderly?

patient on mirtazipine + zoplicone

A

check all drugs

90
Q

why is there a gap between chemotherapy doses?

A
  • maybe to do with myrelosuppression
91
Q

methotrexate + folic acid - why is it given on another day

A

A. they are both antifolate drugs so cannot be given on the same day
also- to reduce SE
tricky q

92
Q

A patient from london has travelled to glasgow, forgot his insulin, you do not have the same brand but same active ingredient what do you do

A

signpost the patient, you do not need a prescription genuine case
also insulin needs to be brand specific

93
Q

what is the best prescribing for insulin-

A

a. brand name + units,

not IU

94
Q

patient allergic to penicillin, gets prescribed pivmacillinam

A

A. contra-indicated

95
Q

Diabetic patient has collapsed, someone thinks he is drunk but you notice his diabetic bracelet,

A

A. drink high in sugar

other: glucagon

need to know diabetic emergencies

96
Q

Metallic taste from list of medicine

A

A. clarithromycin

or metformin

97
Q

patient acute dystolic reaction

A

give prochlorperazine

98
Q

Diabetic patient has collapsed, someone thinks he is drunk but you notice his diabetic bracelet, still concious

A

A. drink high in sugar

other: glucagon

need to know diabetic emergencies

99
Q

Trough and peak graph for gentamicin

A

look into more detail

100
Q

COPD - antimucolytic

A

BNF

101
Q

inhaler conversion?

recognising generic and brand names

A

learn both

102
Q

Tamsulosin with amlodipine

A

check interaction

103
Q

what to give second stage of TB

A

bnf

104
Q

SPC - gap between iron and HIV mediciation

A

spc

105
Q

SPC pregablin capsule for 21 days

A

look at spcs practice

106
Q

ciclosporin with clarithromycin

A

look interaction

107
Q

which food contains tyramine

A

mature cheese

108
Q

a patient is taking valproate lady- what is the best form of contraception

A

check BNF

109
Q

long term use with gentamicin what is the risk

A

ototoxicity

110
Q

Dabigatran counselling

A

BNF and anticoagulant booklet

111
Q

rivoroxaban dose for AF prophylaxis

A

learn the dosing

112
Q

which antihypertensive to stop for 55 year old, amlodipine, lisinopril, max dose, TLD,

A

A. thiazide like diuretic

reasoning- they are not as effective unsure why now

pre-reg (17 decks)

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