RPS 2021 Flashcards

1
Q

What is the most likely expected glucocorticoid side effect associated with hydrocortisone

A

Hyperglycaemia

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2
Q

Which of the following processes is the least appropriate to complete as part of an audit cycle

A

Investigating errors associated with the administration of medicines

looking for errors is not part of an audit/improvement process. Should be more about identifying topic

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3
Q

What is meant by revalidation

A

Revalidation applies to both registered pharmacists and pharamcy technicians

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4
Q

In regard to patient returns of a sched 2 drug which is the most appropriate action to take

A

The destruction of morphine should preferably be witnessed by a registered hcp

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5
Q

What is the mot appropriate target INR range for a patient with AF

A

2-3

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6
Q

What antibiotic increases the anticoagulant effect

A

Metrondiazole increases

Rifampicin decreases
Also Clarithromycin, doxycycline erythromycin also increases

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7
Q

What counselling advise would you give someone for midazolam

A

Wait for 5 minutes before administrating as the seizure may stop on its own

If a patient was to vomit whilst having a seizure call ambulance

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8
Q

What counselling advise would you give someone for midazolam

A

Wait for 5 minutes before administrating as the seizure may stop on its own

If a patient was to vomit whilst having a seizure call ambulance

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9
Q

What antifungals is licensed for a nappy rash

A

Clotrimazole

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10
Q

What drug offers the most significant contribution to patients anticholinergic burden out of aspirin donepezil, oxybutynin, ranitadine and simvastatin

A

Oxybutynin offers the most anticholinergic

Ranitadine and quetiapine also offer anticholinergic activity but not as much as oxybutynin

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11
Q

Which counselling point regarding metformin is the most accurate

A

Metformin is only effective in the presence of insulin

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12
Q

Which test would you advice for someone who is fatigued, low mood and had developed ulcers

A

Vit b12

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13
Q

What would you give someone who is hypoglycaemic

A

15-20g of dissolved sugar
0r 150-200ml pure fruit juice
4-7 glucose tablets
Repeated after 10-15 mins if necessary

Glucagon Im is only done if patient is unresponsive no oral route

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14
Q

Which antibiotic should be avoided when taking fexofenadine

A

Erythromycin

As it increases the plasma levels of fexofenadine in the plasma

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15
Q

How often should cervical screening take place

A

Every 3 years

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16
Q

Which antihistamine is the most suitable for children aged 2

A

Cetirazine

17
Q

Which medicine is the most likely to cause symptoms similar to lichen plants

A

Bendroflumethiazide

Reported in all thiazide diuretics

18
Q

What is the most appropriate wording for supplying methadone on closed days

A

Please dispense instalments due to pharamcy closed on prior suitable days

19
Q

Which legal requirement on dispensed medication labels

A

The date the item was dispensed

20
Q

Which vitamin needs monitoring for hyperparathyroidism

21
Q

Which medicine requires close by moniring if they have overactive bladder

A

Mirabegron

22
Q

What is the monitoring requirement for COPD

A

Baseline ECG and LFT

23
Q

Which CD drug is prescribed and is still valid after 4 months

A

Cd inv Pom

24
Q

What side effect does citalopram cause

A

Causes hyponatraemia in elderly and symptoms of low sodium are confusion and seizures

25
What is the monitoring of antipsychotics
Qt prolongation
26
What laxative is given for opioid induced constipation
Naloxegol
27
What the quickest acting laxative
Bisacodyl
28
What inhaler causes a dry mouth
Tiotropium inhaler
29
Which respiratory medicine causes GI discomfort
Prednisolone
30
Which vaccine is used to prevent a painful skin disease
Varicella zoster vaccine- a shingles vaccination for people aged 70-79
31
What vaccine is used for travelling
Cholera vaccine
32
What vaccine is administered as a second booster for children between 3-5 yrs and shouldn’t be administered on the same day as yellow fever vacccine and that there should be a minimum if 4 weeks between them
Mmr