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BNF GPhC > The MEP Quiz > Flashcards

The MEP Quiz Flashcards

1
Q

What is the ONLY indication for OTC codeine & dihydrocodeine products

A

short term use for pain not relieved by simple analgesia

all previous indications like flu!?!, sore throats have been removed

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2
Q

What is the max pack size for co-codamol tabs? How many should be sold

A 
32
Only one (RPS guidance)
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3
Q

MHRA has regulation on cough/cold meds for under …………..years

A

12

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4
Q

NOT SUITABLE FOR WHAT AGE

  • antitussives (dextromethororphan, pholcodine)
  • expectorants (guafenasin, ipacacuanha)
  • nasal decongestants (-ephidrines, xylometazoline, oxymetazoline)
  • antihistamines (bromopehniramine, chormepnamine, dihphenhydramine, doxylamine, promethazinde, troprolidine)
A

Under 6

Should not be used 1st line for 6-12 year olds

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5
Q

When the restricted cough and cold meds are used 2nd line what is the age and duration restrioction

A

6-12 year olds

for max 5 days

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6
Q

What should be used to treat cough and colds in children first line - for pain

A

paracetamol or ibuprofen

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7
Q

What should be used to treat cough and colds in children first line - for nasal congestion

A

saline nose drops
vapour rubs
decongestants
steam inhalation

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8
Q

What should be used to treat cough and colds in children first line - for cough

A

warm water with lemon
simple linctus
glycerol

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9
Q

Can you use codeine linctus to treat dry unproductive coughs

A

NOT IN UNDER 18s

risks outweigh the benifits

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10
Q

who can make an emergency supply at request of prescriber

A

pretty much anyone including independant prescribers, swiss and EEA prescribers

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11
Q

in what time frame must Rx for emergency supply (Rxer) be provided

A

72hours

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12
Q

what CDs cannot be given as emergency suuply

A

1,2,3 except phenobarbitral

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13
Q

can a EEA or Swiss prescriber request an emergency CD?

A

No - including phenobarbital

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14
Q

can EEA or swiss prescriber request an emergency supply for a product without marketing authorisation in the UK

A

no

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15
Q

when making POM entry, what particulars of the medicine are legally required

A

name and quantity
(including the strength and form where appropriate)

  • therefore the dose is not legally required
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16
Q

What are the POM book records needed

A

3 dates (supply, prescription & receipt of prescription)

2 name and address (prescriber and pt)

Drug name & quantity
(strength and form if appropriate)

NB dose is not listed

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17
Q

Labelling requirements for emergency supply (Rxer)

A

same as usual

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18
Q

What emergency supply can you not supply things containing this for: Ammonium bromide, calcium bromide, calcium
bromidolactobionate, embutramide, fencamfamin
hydrochloride, fluanisone, hexobarbitone, hexobarbitone
sodium, hydrobromic acid, meclofenoxate hydrochloride,
methohexitone sodium, pemoline, piracetam, potassium
bromide, prolintane hydrochloride, sodium bromide, strychnine
hydrochloride, tacrine hydrochloride, thiopentone sodium

A

Pt request

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19
Q

emergency supply - when should you give the smallest pack available (4)

A

insulin
inhalers
ointment
creams

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20
Q

how much contraceptive should you give on emergency supply

A

full cycle

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21
Q

emergency supply - hoe much antibiotic to give

A

smallest quantity to provide full treatment course

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22
Q

POM book requirements for emergency supply at pt request

A

date
name and quantity of drug (also strength and form if appt - NB not dose)
name and address of pt
nature of emergency

23
Q

labelling requirements for emergency supply at patient request

A

‘emergency supply’

24
Q

where to refer someone if you cannot make the emergency supply

A

walk in center, doctor or A&E

25
Q

pandemic exemptions (3)

A

dont need to supply from registered pharmacy or under supervision of a pharmacist

can provide emergency supply without interviewing pt

26
Q

how long should a signed order from headteacher for supply of salbutamol inhalers be kept for

A

2 years

27
Q

how long after taking isotretinoin should you not get pregnant

A

1 month

28
Q

How long is a prescription for isotretinoin valid for

A

for women under the pregnancy prevention programme - 7 days

men and women with a compelling reason to not be in PPP (hysderectomy) - usual Rx

29
Q

how much isotretinoin can be given on Rx?

what if the Rx is for more?

A

30 days

if Rx more PRESCRIBER must confirm pt is not under pregnancy prevention programme

30
Q

what should you advice a patient who becomes pregnancy while on valproate

A

do not stop taking valproate and urgently see gp

31
Q

who can prescribe cocaine, dipipanone and diamorphone for the treatment of addiction

A

GPs with a special home office license to supply

32
Q

what is the point in the dental formulary

A

these are the only things dentists can prescribe on NHS - they can prescribe anything else (except cocaine, dipipanone and diamorphone for the treatment of addiction) but should really be resctrictedd to dental condictions

33
Q

which independant prescriber cannot prescribe CDs (of any schedule)

A

optometrists

34
Q

when does a vet rx need the RVCS reg number

A

sch 2 and 3 cds

35
Q

a pharmacy does not need a wholesale dealers license if (4 rules)

A
  • occasional basis
  • small quantity
  • not for profit
  • not for onward wholesale or distribution
36
Q

how long to keep an invoice for supply of meds to anyone

A

2 years

37
Q

what is the difference between a use by and exp date of 7/2016

A

july 2016
use by final day is 30th june
exp is 31st july

38
Q

when is it ok to not give a child resistant cap (2)

A

request- e.g. cant open it

original pack for stability issues

39
Q

what Rxer details do you need on a vet Rx (6)

A 
name
address
tel no
qualifications
signature
if sch 2 or 3 CD - RCVS number
40
Q

what drug details are needed on vet Rx (5)

A 
name
dose
quantity
admin instructions
and if applicable: warnings/withdrawl period
41
Q

when is the ‘prescribed under the vetinary cascade’ needed

A

if its a human med

42
Q

when is ‘the item has been prescribed for an animal or heard under my care’ needed

A

CD 2 and 3

43
Q

do you need to submit CD vet rxes to the relevant nhs agencies

A

no

44
Q

what sch if CDs for humans need to be submitted to the relevant nhs agencies

A

2 and 3

45
Q

what is the max number of days allowed on a CD for vet

for human

A

vet - 28 days (unless long term condition)

human - 30 days (unless Rxer justifies)

46
Q

what is required for VET POM entry (6)

A
  • name of med
  • date of supply
  • batch no
  • quantity
  • name and address of supplier or recipient
  • name and address of Rxer
47
Q

what Rxer details are required on the vet med label

A

only the name

48
Q

what animal details are required on the vet med label

A

owner name and address

animal name and species

49
Q

does vet rx need expiry date on label

A

yes - and if approrpaite storage instructions

50
Q

does vet rx need for animal treatment oinly on label

A

yes

51
Q

what sort of wearnings should be on the vet med label if necessary

A 
user warnings
withdrawl period
exp date
storage
for animal treatment only
keep out of reach of children
52
Q

what med details are needed on the vet med label

A

name or description of the product or its active ingredients

content quantity

53
Q

is labelling a medicines prescribed under the vet cascade a legal requirement

A

no

BNF GPhC (48 decks)

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