The MEP Quiz Flashcards by Leafy Charlton

What is the ONLY indication for OTC codeine & dihydrocodeine products

short term use for pain not relieved by simple analgesia

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

How well did you know this?

Not at all

Perfectly

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

32
Only one (RPS guidance)

How well did you know this?

Not at all

Perfectly

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

How well did you know this?

Not at all

Perfectly

NOT SUITABLE FOR WHAT AGE

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

Under 6

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

How well did you know this?

Not at all

Perfectly

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

6-12 year olds

for max 5 days

How well did you know this?

Not at all

Perfectly

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

paracetamol or ibuprofen

How well did you know this?

Not at all

Perfectly

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

saline nose drops
vapour rubs
decongestants
steam inhalation

How well did you know this?

Not at all

Perfectly

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

warm water with lemon
simple linctus
glycerol

How well did you know this?

Not at all

Perfectly

Can you use codeine linctus to treat dry unproductive coughs

NOT IN UNDER 18s

risks outweigh the benifits

How well did you know this?

Not at all

Perfectly

who can make an emergency supply at request of prescriber

pretty much anyone including independant prescribers, swiss and EEA prescribers

How well did you know this?

Not at all

Perfectly

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

72hours

How well did you know this?

Not at all

Perfectly

what CDs cannot be given as emergency suuply

1,2,3 except phenobarbitral

How well did you know this?

Not at all

Perfectly

can a EEA or Swiss prescriber request an emergency CD?

No - including phenobarbital

How well did you know this?

Not at all

Perfectly

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

How well did you know this?

Not at all

Perfectly

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

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

therefore the dose is not legally required

How well did you know this?

Not at all

Perfectly

What are the POM book records needed

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

How well did you know this?

Not at all

Perfectly

Labelling requirements for emergency supply (Rxer)

same as usual

How well did you know this?

Not at all

Perfectly

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

Pt request

How well did you know this?

Not at all

Perfectly

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

insulin
inhalers
ointment
creams

How well did you know this?

Not at all

Perfectly

how much contraceptive should you give on emergency supply

full cycle

How well did you know this?

Not at all

Perfectly

emergency supply - hoe much antibiotic to give

smallest quantity to provide full treatment course

How well did you know this?

Not at all

Perfectly

POM book requirements for emergency supply at pt request

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

labelling requirements for emergency supply at patient request

‘emergency supply’

where to refer someone if you cannot make the emergency supply

walk in center, doctor or A&E

pandemic exemptions (3)

dont need to supply from registered pharmacy or under supervision of a pharmacist can provide emergency supply without interviewing pt

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

2 years

how long after taking isotretinoin should you not get pregnant

1 month

How long is a prescription for isotretinoin valid for

for women under the pregnancy prevention programme - 7 days men and women with a compelling reason to not be in PPP (hysderectomy) - usual Rx

how much isotretinoin can be given on Rx? what if the Rx is for more?

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

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

do not stop taking valproate and urgently see gp

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

GPs with a special home office license to supply

what is the point in the dental formulary

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

which independant prescriber cannot prescribe CDs (of any schedule)

optometrists

when does a vet rx need the RVCS reg number

sch 2 and 3 cds

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

- occasional basis - small quantity - not for profit - not for onward wholesale or distribution

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

2 years

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

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

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

request- e.g. cant open it | original pack for stability issues

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

``` name address tel no qualifications signature if sch 2 or 3 CD - RCVS number ```

what drug details are needed on vet Rx (5)

``` name dose quantity admin instructions and if applicable: warnings/withdrawl period ```

when is the 'prescribed under the vetinary cascade' needed

if its a human med

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

CD 2 and 3

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

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

2 and 3

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

vet - 28 days (unless long term condition) | human - 30 days (unless Rxer justifies)

what is required for VET POM entry (6)

- name of med - date of supply - batch no - quantity - name and address of supplier or recipient - name and address of Rxer

what Rxer details are required on the vet med label

only the name

what animal details are required on the vet med label

owner name and address | animal name and species

does vet rx need expiry date on label

yes - and if approrpaite storage instructions

does vet rx need for animal treatment oinly on label

yes

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

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

what med details are needed on the vet med label

name or description of the product or its active ingredients | content quantity

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