RTS Flashcards

1
Q

Age range of an infant?

A

1month to 2 years

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2
Q

Give 4 ideas for shared decision making in paediatrics

A

Tablet or suspension
Drowsy or non drowsy
Flavour
Spoon or syringe

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3
Q

Name the two notifiable diseases in paediatrics

A

Measles

Mumps

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4
Q

Name the 10 common childhood ailments in community pharmacy

A
Napkin dermatitis 
Eczema 
Chicken pox
Measles
Mumps
Scabies
Headlice
Threadworms
Fever
Vomiting
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5
Q

Name 12 drugs no longer used in

A
Brompheniramine
Chlorphenamine
Diphenhydramine
Dextromethorphan
Pholcodeine
Guaifenesin 
Ipecacuanha
Phenylephrine
Pseudoephedrine
Ephedrine
Oxymetazoline
Xylometazoline
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6
Q

What’s the age range for neonates?

A

Birth to 1month unless pre term

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7
Q

How do you treat candidiasis napkin dermatitis?

A

Clotrimazole 1% cream (canesten) apply thinly 2-3 times daily

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8
Q

How do you treat irritant napkin dermatitis

A

Sudocrem
Metanium (titanium)
Conotrane (dimethicone)

Apply after every nappy change

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9
Q

Do you refer psoriasis in children

A

Yus u do

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10
Q

What should you check if using castor oil prep on someone?

A

PeaNUT allergy 😁

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11
Q

What should you not use in candida nappy rash?

A

Barrier cream cos it’s locks in moisture which will trap in fungi

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12
Q

What’s the age limit on steroids for eczema?

A

HAS TO BE OVER 10 👶🙅

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13
Q

What causes chicken pox?

A

Varicella zoster virus (a herpes virus)

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14
Q

What does chicken pox start with?

A

Fever
Headache
Sore throat
Few days later rash forms

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15
Q

What are the treatment options for chicken pox

A
Calamine lotion dab affected area
Calpol 2months+
Calpol 6years+ 
Piriton tablets
Piriton syrup
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16
Q

Secondary infection of chicken pox can be caused by what

A

Scratching- S. Aureus

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17
Q

What is shingles caused by

A

Herpes zoster

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18
Q

What can occur following a case of chicken pox?

A

Shinglez

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19
Q

What’s the incubation period of chicken pox?

A

10-20 dayz

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20
Q

What’s the incubation period of measles?

A

10dayz

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21
Q

What virus causes measles?

A

Paramyxovirus

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22
Q

Where’s does measles start

A

At the hairline and spreads rapidly over body over 24-48 hours lasting for 3days

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23
Q

How long are you infectious with measles

A

4 days before onset of rash and till 5 days after it disappears

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24
Q

What are kopliks spots?

A

Spots in the mouth that can occur prior to the rash forming in measles

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25
Q

How long does the rash in measles generally last for?

A

3 dayz

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26
Q

What’s encephalitis

A

Rare inflammation of the brain

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27
Q

What’s the incubation period of mumps

A

14-25 days

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28
Q

Is mumps contagious a week before breakout?

A

YEH

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29
Q

Where does the mumps virus thrive?

A

In the parotid salivary glands

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30
Q

How long does mumps last?

A

Mild case: 3-4 days

Most cases: 7 days

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31
Q

What’s the complications of mumps

A

Inflammation of areas

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32
Q

How do you treat headlice?

A

Wet combing
Physical insecticide- hedrin
Chemical insecticide- malathione

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33
Q

What causes threadworms?

A

Enterobius vermicularis

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34
Q

Where do threadworms live

A

Upper part of colon EW

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35
Q

What is used to treat threadworms

A

Mevendazole (ovex)

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36
Q

How does mebendazole (ovex) work

A

Inhibits works uptake of glucose causing immobility and death

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37
Q

Can you treat a 1yr old with mebendazole

A

No you can’t you fool

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38
Q

Where are the four places you can take temperature

A

Mouth
Rectal
Ear
Under arm

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39
Q

How to treat dry/chesty cough in paediatrics

A

Calcough infant
3months to 1year:5ml tds
1-5yrs: 10ml tds

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40
Q

When are you at your greatest risk to take medicines during pregnancy

A

First 12 weeks

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41
Q

What advice do you give pregnant women to help with vomiting

A

Eat ginger biscuit or toast before rising
P6 pressure bands
Drink water

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42
Q

Why is constipation common later in pregnancy?

A

Reduced GI motility, increased levels of progesterone

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43
Q

What type of laxative is first line in pregnancy?

A

Bulk forming

Second- osmotic

Then refer

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44
Q

Why does vaginal thrush occur in pregnancy?

A

Changes in oestrogen levels

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45
Q

Do leg cramps occur in pregnancy?

A

Yes cramps in calf are common in the third trimester

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46
Q

Can you use quinine in pregnancy

A

No no no

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47
Q

If not breast feeding when do you give whey based milk

A

From birth to 12 months

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48
Q

What two proteins are in whey based milks

A

60% whey

40% casein

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49
Q

When do you use casein based milk and why?

A

Birth to 12 months

For hungrier babies

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50
Q

How many times more iron does follow on milk contain than cows milk?

A

24

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51
Q

When can you start follow on milk

A

From 6-12 months

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52
Q

When can you have toddler milk and what extra does it contain

A

From 1 year

Extra minerals and vitamins

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53
Q

What milk would you give a baby with cows milk intolerance

A

Soya based

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54
Q

What milk would you give a baby experiencing significant reflux?

A

Stay down milk

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55
Q

What milk would you give a baby intolerant to lactose

A

Lactose free duh

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56
Q

What milk would you give a baby with medically identified increased energy and nutrient requirements

A

High energy milk

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57
Q

What milk would you give preterm/low birth weight babies

A

Preterm range

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58
Q

Define viral conjunctivitis

A

In both eyes, watery discharge, gritty feeling, red

Associated with a cough/cold

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59
Q

Describe bacterial conjunctivitis

A

One eye then both, purulent discharge, gritty feeling, red

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60
Q

Which is more severe: episcleritis or scleritis

A

Scleritis

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61
Q

What is keratitis

A

Corneal ulcer

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62
Q

Dodgy shaped pupil is linked to what eye condition?

A

Uveitis - inflammation of ureal tract/red eye

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63
Q

What do you treat bacterial/viral conjunctivitis with first line

A

Chloramphenicol 1% (optrex)

One drop every 2hrs for 48hrs then one every 4hrs for 5 days

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64
Q

What do you use to treat allergic conjunctivitis

A

Opticrom allergy eye drops (sodium cromoglycate 2%)

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65
Q

What can you treat dry eye with

A

Viscotears (carbomer 980 0.2%)

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66
Q

What’s the scientific name for a stye

A

Hordeola

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67
Q

What’s the scientific name for a painless lump in the eye lid

A

Chalazion

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68
Q

What’s entropion?

A

When your eyelid flops inward refer

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69
Q

What’s ectropion

A

When your eyelid flops out refer

70
Q

What’s orbital cellulitis

A

Inflammation of the tissues behind the orbital septum

71
Q

What’s basal cell carcinoma

A

Cancer of the eyelid (mole/nodule)

72
Q

What bacteria is sometimes involved in eczema?

A

Staph aureus

73
Q

What epidermal layer is impaired in eczema?

A

Lipid barrier

74
Q

How long can you use hydrocortisone in eczema for?

A

Max 7 days

75
Q

What is clobetasone?

A

Moderate steroid used in treatment of eczema

76
Q

What is cradle cap and what are the signs?

A

Infantile seborrhoeic dermatitis

Large yellow greasy scales and crusts on scalp

77
Q

Treatment options for seborrhoeic dermatitis

A

Ketoconazole shampoo
Selenium sulphide shampoo
Coal tar capsal therapeutic shampoo

78
Q

What does psoriasis look like

A

Well defined red plaques covered with silvery scales

79
Q

What is dithranol?

A

Dithrocream- used in psoriasis for patients who have had on Rx before- may cause burns

80
Q

What is acne

A

Inflam disorder of the pilosebaceous follicles

81
Q

What is Rosacea

A

Facial flushing butterfly

82
Q

Can lithium cause acne?

A

YUS

83
Q

What is quiniderm (benzyl peroxide) used to treat?

A

Acne

84
Q

What’s athletes foot caused by?

A

Tinea pedis

85
Q

When to refer athletes foot?

A

If excessive and on top of foot

86
Q

Other than imidazoles (clotrimazole) what can you treat athletes foot with?

A

Tolnaftate

Undecenoates

87
Q

What causes ringworm?

A

Tinea corporis fungal

88
Q

What causes jock itch

A

Tinea cruris fungal

Red/brown rash which is isolated to the inner thigh and groin

89
Q

What’s used to treat fungal nail infections

A

Amorolfine 5% nail lacquer (curanail)

90
Q

What are warts and verrucas

A

Benign growths on skin caused by the human papilloma virus

91
Q

What’s in Bazuca gel and what’s it used to treat

A

Salicyclic acid for destruction of warts and verrucas

92
Q

What’s also used in combo with salicyclic acid to treat warts/verrucas

A

Lactic acid

Podophyllum

93
Q

What’s a keratolytic?

A

Salicyclic acid which acts slowly by destroying the virus containing epidermis

94
Q

What is cold sores caused by

A

Herpes simplex virus

95
Q

What’s used to treat cold sores?

A

Zovirax (aciclovir 5%)

96
Q

Why is hyperemesis gravidarum

A

Complication in pregnancy- vomming weight loss (different from morning sickness)

97
Q

What would you use for travel sickness?

A

Joy-rides (hyosine hydrobromide)

98
Q

What’s in Imodium instant melts and what are they used for?

A

Loperamide- diarrhoea (anti-motility drugs)

99
Q

I’ve got heartburn what do I need?

A

Aliginate raft - gaviscon

100
Q

What are PPIs good for?

A

Very effective for heartburn symptoms

101
Q

What does anusol plus HC ointment contain

A

Hydrocortisone (max use 7days)

102
Q

Name four types of laxatives

A

Bulk forming
Osmotic
Stimulant
Softeners

103
Q

Should you use lactulose in IBS?

A

It’s discouraged

104
Q

How can you treat a chesty cough?

A

Robitussin chesty cough (guafenesin)

105
Q

What is quinsy

A

Sore throat with abscess at back of throat

106
Q

What can carbimazole cause?

A

Sore throat

107
Q

Name 2 local anaesthetics use in sore throat treatment

A

Benzocaine, lidocaine

108
Q

Name 2 anti bacterials used in sore throats

A

Chlorohexidine, tyrothricin

109
Q

Can you recommend codeine for sore throats

A

Nope

110
Q

Can you give decongestants to people with glaucoma/hyperthyroidism/hypertension

A

NO

111
Q

Does zinc help you recover from a cold?

A

Maybe

112
Q

What do optic rom eye drops contains

A

Sodium cromoglycate

113
Q

Name 2 corticosteroids used in allergic rhinitis

A

Beclometasone

Fluticasone

114
Q

What’s the age limit on calcough infant (glycerine)

A

3months

115
Q

What’s the age limit on calcough (guafenesin)

A

6+years

116
Q

Can you use hydrocortisone in pregnancy?

A

NO YOU CANNOT

117
Q

Can you use fluconazole in pregnancy?

A

NOPE

118
Q

Is episcleritis self limiting?

A

Yes so not necessarily needs treatment

119
Q

What’s uveitis and what do you look for?

A

Inflammation of the uveal tract look for funny shaped pupil

120
Q

When can a chalazion form?

A

When a duct is blocked

121
Q

What is orbital cellulitis

A

Inflammation of the eye tissues behind the orbital septum

122
Q

What does does ear drops contain

A

Urea hydrogen peroxide (5%)

123
Q

What is otitis externa

A

General inflammation of the ear canal

124
Q

What is perichondritis

A

Inflammation of the perichondrium- gross ear often infection

125
Q

What is otalgia

A

Earache

126
Q

What’s in canestan oasis

A

Sodium citrate

127
Q

What’s the aim in cystitis

A

To make urine alkaline

128
Q

What is trichomoniasis and what can it lead to

A

Yellow/green discharge- infertility

129
Q

Can fluconazole cause GI problemos?

A

Yep

130
Q

What’s benign prostatic hyperplasia

A

Enlarged prostate

131
Q

What’s used to treat benign prostatic hyperplasia

A

Tansulosin 400mcg

132
Q

What’s menorrhagia

A

Excessive menstrual bleeding

133
Q

What’s used in menorrhagia

A

Recent POM to P- tranexamic acid
NSAIDs
COC

134
Q

Name 3 types of headache

A

Tension
Migraine
Cluster

135
Q

Which two types of headache can be unilateral?

A

Migraine and cluster

136
Q

What’s in levomenthol and what is it used for

A

Lavender and peppermint oil (4head) headaches

137
Q

What’s the first line treatment of a migraine

A

Simple analgesics plus antiemetic such as prochlorpromazine if nausea present
Migraleve and buccastem

138
Q

What’s the second line treatment for a migraine

A

Triptan

139
Q

What’s dysmenorrhea

A

Period painz

140
Q

What does feminax ultra contain and what is it used to treat

A

Naproxen- period pains

141
Q

What does tens stand for and what can it be used in?

A

Transcutaneous electrical nerve stimulation- period pains

142
Q

In napkin dermatitis, what do dimethicone products do and give two examples

A

Protect against water
Conotrane
Siopel

143
Q

When is mumps contagious

A

About a week before breakout

144
Q

What’s dimeticone

A

Headline treament 6months+ and in pregnancy

145
Q

What’s max size of corticosteroid cream otc

A

15grams

146
Q

What’s in freederm gel and what’s it used for

A

Nicotinamide 4% acne

147
Q

What is imigran

A

OTC sumatriptan is a serotonin agonist indicated for treatment of migraine in adults ages 18-65

148
Q

When do u use canestan oasis

A

Cystitis

149
Q

What type of drug is loperamide and how does it work

A

Anti-motility works by acting in the mu opiate receptors to increase tone of both the small and large bowel, hence increasing transit time and reabsorption

150
Q

Name 3 anti-motility drugs used in diarrhoea

A

Loperamide
Bismuth
Kaolin

151
Q

What are proton pump inhibitors effective for and give 3 examples

A

Heartburn symptoms
Omeprazole
Pantoprozole
Esomeprazole

152
Q

Treatments for haemorrhoids

A

Local anaesthetics- lidocaine
Astringents- bismuth, zinc
Anti-inflams- hydrocortisone
Protectorants- shark liver oil

153
Q

Treatment for IBS

A

Hyoscine- buscopan
Mebeverine- colofac IBS
alcerine- spasmodal
Peppermint oil- mintec, colpermin

154
Q

Can you recommend lactulose in IBS?

A

No don’t do dat

155
Q

First line anti-diarrhoeals in IBS?

A

loperamide

156
Q

Can you recommend acupuncture or reflexology in IBS?

A

NO

157
Q

Name three types of drug that can cause a cough

A

NSAIDs
Ace inhibitor
Beta blockers

158
Q

Name an expectorant and what is the aim of it

A

Benylin chesty- guaifenesin

Aim to remove mucous from airways

159
Q

Name three cough suppressants

A

Codeine
Pholcodeine
Dextromethorphan

160
Q

Name a demulcents

A

Simple linctus- honey and lemon

161
Q

Age limit of codeine products

A

18+

162
Q

Are sore throats mainly bacterial?

A

No no mainly viral

163
Q

Name two antibacterials that can be used in sore throats

A

Chlorohexidine

Tyrothricin

164
Q

Name an anti inflammatory that can be used in sore throats

A

Benzydamine

165
Q

Are products containing both paracetamol and dihydrocodeine recommended in colds?

A

NOPE

166
Q

Aspirin should not be given to children less than 16 because of what syndrome?

A

Reye’s syndrome

167
Q

How do decongestants work

A

Constrict the dilated blood vessels in the nasal mucosa

168
Q

What’s echinacea

A

Herbal flower used In colds

169
Q

What’s in ear calm spray and what’s it used for

A

Acetic acid 2% for otitis externa

170
Q

Give 3 products to treat ear wax compaction

A
  1. Otex ear drops
  2. Earex
  3. Cerumol ear drops
171
Q

Give 3 treatment options for otitis externa

A
  1. Choline salicylates (earex)
  2. Acetic acid (ear calm )
  3. Antihistamines