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

A

Vitamin d

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
Q

What is the monitoring of antipsychotics

A

Qt prolongation

26
Q

What laxative is given for opioid induced constipation

A

Naloxegol

27
Q

What the quickest acting laxative

A

Bisacodyl

28
Q

What inhaler causes a dry mouth

A

Tiotropium inhaler

29
Q

Which respiratory medicine causes GI discomfort

A

Prednisolone

30
Q

Which vaccine is used to prevent a painful skin disease

A

Varicella zoster vaccine- a shingles vaccination for people aged 70-79

31
Q

What vaccine is used for travelling

A

Cholera vaccine

32
Q

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

A

Mmr