Use of Medicine

Question 1

What does the MHRA or EMA do

Answer 1

Regulate and license all U.K medicine
Not influenced by cost
Safety standards and trials of evidence
Yellow card scheme reports

Question 2

What does the SMC do

Answer 2

Provide advice to NHS Scotland regarding all licensed medicines
Cost effectiveness / QALT
Medicine has to be approved by SMC before it can be prescribed in the NHS

Question 3

What are categories of medicine

Answer 3

Licensed
Off-label
Unlicensed
Specials

Question 4

What is off-label

Answer 4

Prescribed outwit terms of marketing license

Liability increased if prescribed

Question 5

What is unlicensed

Answer 5

No marketing license but can be brought in from another country

Question 6

What is specials

Answer 6

Special formulation of an existing product

Unlicensed

Question 7

How can medicine be classified

Answer 7

Prescription only
Over the counter general sale
Over the counter pharmacy

Question 8

What is the yellow card scheme

Answer 8

Centre for reporting adverse drug reactions in Scotland

Run by the MHRA

Question 9

What is the EMA

Answer 9

Same as MHRA but for Europe

Question 10

What is ADTC

Answer 10

Develop regional formularies and implement SMC advice for regional areas

Question 11

Look at good prescribing practice

Answer 11

OK

Question 12

How do you report ADR

Answer 12

Yellow card scheme

Question 13

What can SMC decide for drug

Answer 13

Approval
Approve for restricted use
Not recommended - individual patient treatment request can be made (IPTR)

Question 14

What should be reported on yellow card scheme

Answer 14

Al suspected ADR for new medicines (black triangle)
All suspected ADR in children even if off-label
All suspected serious ADR for any medication

Question 15

What do you write all prescription in

Answer 15

Black capital letter

Question 16

What are only acceptable abbreviation

Answer 16

Mg
Ml
mmol

Question 17

If as required medication what must you write

Answer 17

Minimum dose interval

Question 18

What is the start date

Answer 18

Date drug was first prescribe

Question 19

If discontinuing what do you do

Answer 19

Cross it
Sign it
Date it

Question 20

If dose is altered

Answer 20

Rewrite with new start date

Question 21

If you have a solution how do you prescribe

Answer 21

Drug and concentration in drug box
e.g. oromorph 5mg/5ml
mLs in dose box
e.g. 5ml

Question 22

If you have inhaler how do you prescribe

Answer 22

Inhaler and puff content in drug box
e.g. Salbutamol 100microrgam
Number of puffs in dose box
e.g. 2 puffs

Question 23

If you have combination drug how do you prescribe

Answer 23

Combination specific in drug box
e.g. co-codomal 8/500
How many tablets in dose
e.g. 2 tablets

Question 24

Do you prescribe O2

Answer 24

YES

Question 25

If prescribing penicillin what do you write

Answer 25

Full naem

Phenoxymethylpenacillin