rps 2022 Flashcards
red flags of referral for eyes
eye pain or photophobia
A 28-year-old man presents in the pharmacy asking for information about the smoking
cessation service.
Question Which one of the following is most suitable to advise regarding smoking cessation?
Answer options
A) A quit date should be agreed to keep the patient motivated
B) A single intervention is better than a combination
C) Bupropion is first line for smoking cessation
D) E-cigarettes are licensed for use in smoking cessation
E) The patient should purchase varenicline for smoking cessation
A) A quit date should be agreed to keep the patient motivated
Responsible Pharmacist (RP) regulations mean that the owner of a retail pharmacy
business must appoint an RP to be in charge of the registered pharmacy.
You are discussing the regulations with your pre-registration trainee pharmacist to help
them with their revision.
Question Which one of the following statements is the most accurate in relation to the RP
regulations?
A) The pharmacy record detailing the RP information must be kept for a period of
three years
B) The RP can only be the RP for one pharmacy at any given time
C) The RP may be absent for a maximum of four hours in the pharmacies business
hours
D) The RP only needs to display the RP notice when they are absent
E) The sale of GSL medicines does not require a RP to be in charge of the pharmacy
B) The RP can only be the RP for one pharmacy at any given time
dose of folic acid in pregnancy
400mg before conception till WK12
A 65-year-old man has been admitted into hospital after a referral from his GP. He is
suffering from symptoms that have been getting gradually worse. These include but are
not limited to: swollen ankles, which are worse in the evening; breathlessness, which is
worse after walking for 30 minutes; fatigue, which has not improved with multivitamins.
Question What would be the most appropriate diagnostic test to request for this patient?
A B12 levels
B CT pulmonary angiogram
C HbA1c
D Pro B-type natriuretic peptide
E Thyroid function test
D Pro B-type natriuretic peptide
symptoms of heart failure
A 47-year-old man visits his GP for a regular diabetes review. The GP asks for your
advice on intensification of treatment for the patient’s uncontrolled type 2 diabetes. The
patient has an elevated HbA1c. The patient is taking metformin as monotherapy. The
patient has a medical history of current active bladder cancer for which he is
undergoing chemotherapy. His last cycle ended three weeks ago.
Which of the following medicines is most likely to be contraindicated in this patient?
a) acarbose
b) canagliflozin
c) gliclazide
d) piglitazone
d) piglitazone
A 35-year-old woman has been prescribed a medication for the management of an
autoimmune condition. She has been advised to use effective contraception during
treatment and for at least 6 months after the treatment endsWhich of the following medication is likely to have been prescribed?
Answer options
A Azathioprine
B Methotrexate
C Mycophenolate
D Sulfasalazine
E Tacrolimus
B Methotrexate
The next two questions are linked and are related to the same patient.
A 33-year-old woman visits your pharmacy and asks to speak to you privately about a
sensitive issue. She explains that she is experiencing a sharp pain when going to the
toilet.
She is finding it difficult to pass stools and on occasions has noticed blood in the toilet.
She has been experiencing these symptoms for two weeks. She is otherwise well and
does not take any other medication.
Question 44 Which of the following conditions is the patient most likely to be suffering from?
Answer options
A Anal fissure
B Constipation
C Haemorrhoids
D Rectal cancer
E Urinary tract infection
also what causes it?
A Anal fissure
constipation
A 34-year-old woman visits the pharmacy and asks for advice regarding a cold sore
that appeared two days ago. She experienced similar symptoms about 3 months ago
but did not use anything. She would like to purchase a medicine that may help speed
up the recovery for her current symptoms.
Question Which of the following products would be most appropriate to supply to manage the
patient’s symptoms?
A Bonjela gel (choline salicylate)
B Freederm treatment 4% gel (nicotinamide)
C Iglu gel (lidocaine hydrochloride monohydrate)
D Vaseline (petroleum jelly)
E Zovirax 5% cream (aciclovir)
E Zovirax 5% cream (aciclovir)
A patient is admitted into medical admissions following urgent referral by their GP, as
they have symptoms that suggest abnormal potassium levels. The patient’s blood
potassium level is taken and are found to be 6.2mmol/L (3.5–5.3mmol/L).
Question Which of the following medicines would be the most appropriate to administer to the
patient?
Answer options A Calcium acetate
B Magnesium aspartate
C Patiromer calcium
D Potassium chloride
E Sevelamer
C Patiromer calcium
A patient comes into the pharmacy complaining of trouble sleeping since coming off
nightshift. They have tried good sleep hygiene techniques, which do not seem to be
working.
Question Which of the following is the most appropriate product to recommend?
Answer options A Cetirizine
B Chlorphenamine
C Diphenhydramine
D Promethazine, paracetamol and dextromethorphan
E Valerian extract
C Diphenhydramine
A 54-year-old man with type 2 diabetes requires an add on medication to his
metformin, as his HbA1c is not at his agreed target. He has a past medical history of
bladder cancer. He is currently overweight and needs to lose around 20 kg. He has no
history of cardiovascular disease.
Question Which of the following medicines is most appropriate to prescribe as add on therapy?
A Canagliflozin
B Gliclazide
C Pioglitazone
D Repaglinide
E Sitagliptin
A Canagliflozin
A 66-year-old man started on dapagliflozin 10 mg once a day for two weeks. He has
also been taking metformin 500 mg three times a day and gliclazide 40 mg twice a day
for the past four years. When collecting his repeat prescription, he complains of having
stomach pain, feeling sick and frequent urination in the last few days. His blood sugar
level is normal. He believes that the new tablet may be the reason for his symptoms.
Question Which of the following is the most appropriate advice to give to this patient?
Answer options A He is experiencing a side-effect of dapagliflozin, and whilst safe to continue taking
it, he may wish to see his GP for an alternative
B He should see his GP as the dose of dapagliflozin may need to be increased
C He should see his GP as the dose of dapagliflozin may need to be reduced
D He should stop taking dapagliflozin straight away and attend A&E to seek medical
treatment
D He should stop taking dapagliflozin straight away and attend A&E to seek medical
treatment
DKA
what are the 1st line antibiotic tx for adults aged 18+ for the management of an
infective exacerbation of COPD
amoxicillin, doxycycline or clarithromycin.
Specific wording applied to instalment prescribing of controlled drugs such as
methadone. The Home Office approved wording for instalment prescribing is:
“Please dispense instalments due on pharmacy closed days on a prior suitable day.”
Also note “If an instalment’s collection day has been missed, please still dispense the
amount due for any remaining day(s) of that instalment.”
A patient has come into the pharmacy with a four-week prescription for ciprofloxacin
500mg tablets for prostatitis. Upon checking the patient’s medical record, you note an
interaction between a pre-existing medication and their ciprofloxacin.
Question Which of the following medicines is most likely to interact with ciprofloxacin?
A Bisoprolol
B Ibuprofen
C Omeprazole
D Paracetamol
E Ramipril
B Ibuprofen
You are working in a community pharmacy clinically screening prescriptions when you
come across a prescription for:
Trimethoprim 200mg tabs x 14
Take one twice a day
You note from the patients PMR that they are also prescribed the following
medications:
Methotrexate 15mg once weekly
Folic acid 5mg once weekly on a different day to methotrexate
You identify an interaction between the patient’s medicines and decide to contact the
patients GP surgery.
Question Which of the following is the most likely consequence of the interaction?
A Bone marrow suppression
B Increased clearance of trimethoprim
C Hepatotoxicity
D Rash
E Thromboembolism
A Bone marrow suppression
A patient suffers from depression and has recently been started on amitriptyline tablets.
He received some blood reports from his GP and would like to discuss them with you
as this is the third time that he has had experienced a fall since initiating amitriptyline.
You note that his results summary specifies that he does not have postural
hypotension.
Question Which one of the following results or readings will you review closely?
A Blood glucose
B Blood pressure
C Phosphate levels
D Respiratory rate
E Sodium levels
E Sodium levels - hyponatramia ->falls
what antibiotic does sidenifil interact with?
- ciprofloxacin
- erythromycin
erythromycin
A 38-year-old man with type 2 diabetes visits your community pharmacy to collect his
repeat medication. You overhear him conversing with the counter assistant about
ulceration on his left foot.
Question Which one of the following options would be the most appropriate action to take?
A Offer the patient a foot care leaflet and sell Flexitol (urea 25%) foot cream
B Refer the patient to the foot protection service
C Refer the patient to his GP for a review of his diabetes medication
D Review the patient’s lifestyle and encourage him to buy more comfortable footwear
B Refer the patient to the foot protection service
A 15-year-old boy has been started on a new anti-epileptic medication. You make sure
that the boy and his parents understand the risks associated with over-heating and
dehydration while he is on this medication.
Which of the following medicines is this patient most likely to be taking?
A Diazepam
B Ethosuximide
C Gabapentin
D Midazolam
E Phenobarbitone
F Sodium valproate
G Topiramate
H Zonisamide
H Zonisamide
) A patient is being discharged from hospital following on-going episodes of seizures
lasting longer than ten minutes. The epilepsy nurse would like the patient to leave with
a ‘rescue’ medication. The contents of the medication are to be inserted slowly into the
space between the gum and cheek.
Which of the following medicines is this patient most likely to be taking?
A Diazepam
B Ethosuximide
C Gabapentin
D Midazolam
E Phenobarbitone
F Sodium valproate
G Topiramate
H Zonisamide
D Midazolam
An 83-year-old patient has increased seizure activity due to a potential infection. He is
hard to cannulate, vomiting medications and would prefer a medication that can be
administered rectally.
Which of the following medicines is most suitable for this patient?
A Diazepam
B Ethosuximide
C Gabapentin
D Midazolam
E Phenobarbitone
F Sodium valproate
G Topiramate
H Zonisamide
A Diazepam
A 38-year-old woman with a past medical history of asthma is exhibiting symptoms of
severe vomiting, appears agitated and has a racing heartbeat.
Which of the following medicines is most likely to have caused this patient’s
symptoms?
A Carbocisteine
B Chlorphenamine
C Fluticasone
D Montelukast
E Prednisolone
F Pseudoephedrine
G Salmeterol
H Theophylline
H Theophylline
