Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
143 Cards in this Set
- Front
- Back
- 3rd side (hint)
|
A 6-month-old baby has oral thrush. The minimum licensed age for Daktarin Sugar-Free Oral Gel in months is.. |
4 months |
|
|
|
The maximum number of times per day that hydrocortisone cream should be used is. |
Twice a day |
|
|
|
A 16-year-old girl has menstrual cramps and wants to purchase naproxen. The minimum licensed age for naproxen 250 mg tablet OTC in years is. |
15 years |
|
|
|
A 64-year-old man suffers from migraines and is asking to purchase sumatriptan. The maximum licensed age for sumatriptan 50 mg tablets OTC. |
65 years |
|
|
|
What drug class is morphine sulphate liquid at the strength 10mg/5ml ONLY |
Schedule 5 |
|
|
|
The maximum number of days of treatment that can be supplied to a 36-year old patient has asked you to issue an emergency supply of diazepam 2 mg tablets. |
CD4-1 can be given a max of 5 days |
|
|
|
You are reviewing old Prescription Only Medicine (POM) Register entries to establish when the Register is no longer required to be retained in the pharmacy. The POM register contains a most recent entry of the supply of POM for animal use under the veterinary cascade. How long should it be kept if no Vet meds were present. |
5 years with vet meds 2 years without vet meds |
|
|
|
You have supplied a patient with a part-supply of a prescribed quantity of Pregabalin for neuropathic pain and they have yet to collect the remainder of the supply. From the appropriate date on the prescription, what time period do you use to calculate the last possible collection date. |
28 days |
|
|
|
You are the Responsible Pharmacist (R) in a community pharmacy that has recently started supplying certain licensed animal medicines (POM-VPS and POM-V) and you supply animal medicines under the veterinary cascade. How often should an audit be undertaken for the POM-V and POM-VPS supplies?. |
1 year |
|
|
|
Why is amlodipine unsuitable in cardinogenic shock (MI/unstable angina) |
It can cause a reflex increase in cardiac contractility and heart rate, which can increase the demand for oxygen |
|
|
|
Which asthma medication can cause a stutter |
Montelukast |
|
|
|
A 37-year-old female patient who uses a Novorapid Flexpen presents at the pharmacy to show you her abdomen which contains a solid and firm lump where she has been injecting. You recall reading an MHRA Drug Safety Update in September 2020 about insulin and suspecthat it may not be lipodystrophy. Which of the following is a differential diagnosis of lipodystrophy?. Single choice. (0/1 Point) A cutaneous amyloidosis B dermatitis C eczema D hernia E lipoma |
Cutaneous amyloidosis |
|
|
|
What are some dangers about fentanyl patches |
- should not be cut - hands should be washed after application - should not be applied after a hot shower - should not be used in opioid naive patients |
|
|
|
What is the interaction between amoxicillin and methotrexate |
Amoxicillin increases methotrexate levels cause methotrexate toxicity - nausea, headaches, fatigue, mucostis and hair loss |
|
|
|
What are the legal requirements for a POM prescription? |
- written or printed in indelible ink - be a valid date - signed in ink by prescriber - state the address of prescriber and an indication of the type of prescriber - state name and address of patient Age if under 12 |
|
|
|
How long after taking ulipristal can a parent breastfeed? |
One week |
|
|
|
What electrolyte imbalance is associated with trimethoprim? |
Hyperkalaemia |
|
|
|
How long before intercourse should sildenafil be taken |
1 hour |
|
|
|
A young man with epilepsy is traveling to an overseas region with a risk of malaria. Assuming there is no drug resistance in the region of travel, which of the following options would you recommend?. Single choice. (1/1 Point) A atovaguone with proguanil B chemoprophylaxis not recommended, avoid mosquito bites C chloroquine D chloroquine with proguanil E mefloquine |
A atovaguone with proguanil |
|
|
|
What should patients with diabetes take if trying for a baby? |
Folic acid 5mg when trying and up until week 12 of pregnancy |
|
|
|
What can you give a 4 year old child with bullous impetigo who are not systemically unwell or at high risk of complications? |
Hydrogen peroxide 1% cream |
|
|
|
What does Boostrix-IPV protect against? |
Whooping cough |
|
|
|
When will the contraceptive patch fail? |
If it has been detached or removed for more than 48 hours - ECH required if this occurs in week one or if patches aren’t used correct for 7 days after |
|
|
|
When can the combined hormonal contraceptive pill fail? |
If two or more pills are missed in week one or if the pill free interval has been extended to more than 7 days |
|
|
|
What could cause the combined pill, progesterone only pill, the progesterone only implant, a patch or a vaginal ring to fail? |
The use of liver enzyme-inducing medicines (28 days after this) - rifampicin - epilepsy (phenytoin, carbamazepine, topiramate, phenolbarbital and primidone) - hiv medicine - orlistat (not by inducing though) - St John’s wort |
|
|
|
What contraceptive methods are not affected by enzyme-inducing drugs? |
• the progestogen-only injection • an intrauterine device (IUD) (copper coil) • an intrauterine system (IUS). (Marina coil) |
|
|
|
What could cause the preogestetone only pill to fail? |
If it has been more than 27 hours since the last pill |
|
|
|
What medicines can cause taste alteration? |
Amiodarone, ACEls, carbimazole, clarithromycin, lithium, metformin, metronidazole, protease inhibitors, terbinafine, zopiclone |
|
|
|
What drugs can cause a decrease in saliva production and what can this cause? |
- Antimuscarinics, TCA, SSRIs, a blockers, antihistamines, antipsychotics, baciofen, bupropion, clonidine, 5HT: agonists, opioids, tizanidine and excessive use of diuretics
persistently dry mouth may have poor oral hygiene - risk of dental caries, oral infections (candidiasis) |
|
|
|
Can lithium cause thyroid problems |
Yes it can cause hypo/hyperthyroidism |
|
|
|
Can lithium cause thyroid problems |
Yes it can cause hypo/hyperthyroidism |
|
|
|
What should extensive, severe or bullous impetigo be treated with? |
Flucloxacillin or clarythromycin if allergic for 5 days (can be 7) |
|
|
|
With regards to the processing of prescriptions/orders in the pharmacy, how must the following be processed? Private prescription for a Schedule 2 CD. |
Submitted to the relevant NHS agency |
|
|
|
With regards to the processing of prescriptions/orders in the pharmacy, how must the fol lowing be processed? A veterinary prescription for a Schedule 2 CD. |
Retained for 5 years |
|
|
|
With regards to the processing of prescriptions/orders in the pharmacy, how must the following be processed? An NHS prescription for a Schedule 2 CD. |
Submitted to the relevant NHS agency |
|
|
|
With regards to the processing of prescriptions/orders in the pharmacy, how must the fol lowing be processed? A requisition for a Schedule 2 CD from a registered doctor. |
Submitted to the relevant NHS agency |
|
|
|
With regards to the processing of prescriptions/orders in the pharmacy, how must the fol lowing be processed? A requisition for a Schedule 2 CD from a veterinarian. |
Retained for 5 years |
|
|
|
Why is guaifenesin not recommended in a 4 year old |
The risk of using the medicine outward the benefits |
|
|
|
Is oxytetracycline safe in pregnancy |
No - it can cause damage to skeletal development |
|
|
|
Miss WQ is a regular patient of your pharmacy and comes to collect her weekly instal-ment of methadone. She returns, an hour later, asking for another to be dispensed as she dropped the bottle containing methadone. She shows you pieces of the broken bottle. |
Advise Miss WQ that she needs to obtain another prescription from her prescriber |
|
|
|
Which antibiotic can cause severe optic neuropathy? |
Linezolid |
|
|
|
What to put on ringworm? |
Canesten HC (clotrimazole 1% and Hydrocortisone 1%) |
|
|
|
Which antibiotic is used in infections where anaerobic bacteria is the cause - commonly used in acute pericoronitis |
Metronidazole |
|
|
|
What is the interaction between citalopram and sildenafil |
QT prolongation |
|
|
|
Which antibiotic is contraindicated in acute porphyrias? |
Chloramphenicol |
|
|
|
Which drug causes gingival hyperplasia (swollen gums) |
Ciclosporin |
|
|
|
What medicine can cause blurred vision after taking? |
Hydroxychloroquine |
|
|
|
For each of the following descriptions, select the condition that is most accurate Cluster headache Medication-overuse headache Meningitis Migraine Sinusitis Sub-arachnoid haemorrhage Temporal arteritis Tension-type headache |
Temporal arteritis is the only condition listed which is strongly associated with advancing age and is also more common in women. |
|
|
|
Is associated with a blocked or runny nostril and excruciating attacks of pain one side of the head.
Cluster headache Medication-overuse headache Meningitis Migraine Sinusitis Sub-arachnoid haemorrhage Temporal arteritis Tension-type headache |
Accompanying symptoms with headache are useful in helping with a differential diagnosis. Nasal congestion associated with headache is not common and the only conditions listed where this would be seen is in sinusitis and cluster headache. As the pain is described as severe, then this points to cluster headache being the most likely diagnosis. |
|
|
|
Patients may experience a dull, overall headache for over a week but can also be charac-terised by a sudden severe headache Cluster headache Medication-overuse headache Meningitis Migraine Sinusitis Sub-arachnoid haemorrhage Temporal arteritis Tension-type headache |
Sub-arachnoid haemorrhage Sinusitis, cluster headache, migraine and temporal arteritis are associated with frontal headache; meningitis, tension-type headache and medication overuse headache are more generalised in nature. |
|
|
|
Why should spironolactone and potassium chloride be avoided together? |
Spironolactone is a potassium-sparing diuretic and, taken together with potassium supplements, increases the risk of developing hyperkalaemia which may cause cardiac arrhythmias. This is a well-known drug interaction which may be fatal. |
|
|
|
What is the incubation period for chicken pox? |
11-20 days |
|
|
|
What can be used for vaginal thrush? |
Canesten 2% cream. |
|
|
|
What is the incubation period for slapped cheek disease |
13-18 days |
|
|
|
What is the incubation period for whooping cough? |
7-10 days |
|
|
|
What is the incubation period for mumps? |
15-24 days |
|
|
|
Which epilepsy drug can cause overheating? |
Zonisamide |
|
|
|
This medication is used at a continuing dose of 1 mg daily in the management of Parkinson's disease. |
Rasagiline |
|
|
|
Which Parkinson drug may stain the urine reddish-brown? |
Entacapone |
|
|
|
Early treatment with this drug can delay the need for levodopa therapy in Parkinson's disease |
Selegiline hydrochloride |
|
|
|
This Parkinson’s drug may exacerbate edema and because of this is cautioned for use in congestive heart failure. |
Amantadine hydrochloride |
|
|
|
This Parkinson’s drug may cause hair loss as a side effect. |
Selegiline hydrochloride |
|
|
|
When should patients with vaginal thrush be referred? |
- More than 2 cases in 6 months (could indicate diabetes) - pregnancy (otc products aren’t licensed) |
|
|
|
What should be put on a nappy rash with confirmed candida infection? |
Clotrimazole 1% cream |
|
|
|
Interactions with fluconazole |
(Inc QT interval) Amiodarone Citalopram/escitalopram • Clarithromycin/erythromycin Domperidone - Haloperidol - both haloperidol and fluconazole increase the QT interval. • Hydroxyzine - both hydroxyzine and fluconazole increase the QT interval. • Lithium - both lithium and fluconazole increase the QT interval. . Ondansetron - both ondansetron and fluconazole increase the QT interval. • Quinine - both quinine and fluconazole increase the QT interval. . Risperidone - both risperidone and fluconazole increase the QT interval. . Sildenafil - both sildenafil and fluconazole increase the QT interval. • Sotalol - both sotalol and fluconazole increase the QT interval. • Tolterodine - both tolterodine and fluconazole increase the QT interval. • Venlafaxine - both venlafazine and fluconazole increase the QT interval. |
Inhibits cytochrome P450 (potently CYP2C9, moderately CYP3A4, CYP2C19) |
|
|
Is fluconazole safe in pregnancy |
No - congenital abnormalities No to breastfeeding too esp high or repeated doses |
|
|
|
What antibiotic to give for a cat/dog/ human bite |
Prophylaxis = co-amoxiclav for 3 days (over 1 month) If infected = co-amoxiclav for 5 days Allergy - doxycycline + metronidazole with same |
|
|
|
An 18-month old child with acute bilateral otitis media who has no known allergies. |
Amoxicillin for 5-7 days Or clarithromycin/erythromycin (E preferred in pregnancy) |
|
|
|
How would you treat localised non-bullous impetigo? |
Fusidic acid 2% three times a day until resolved Lesions should be soaked in warm soapy water prior to application of product Children should be excluded from school/nursery until 48 hours after treatment started |
|
|
|
What prescription drugs are valid for 28 days? |
CD 2,3,4 |
|
|
|
Otc hydrocortisone Indication, restrictions and contraindications |
- It can be sold to treat allergic contact dermatitis , irritant dermatitis, insect bite reactions and mild to moderate eczema. - may not old to children under 10 or in pregnancy. -Contraindications include use on eye or face, anogenital region, broken or infected skin, acne or athletes foot. Use is restricted to a max. of 1 week. |
|
|
|
What are baclofen common side effects? |
Confusion; constipation; depression; diarrhea; dizziness; drowsiness; dry mouth; euphoric mood; hallucination; headache; hyperhidrosis; hypotension; nausea; paraesthesia; skin reactions; urinary disorders; vision disorders; vomiting |
|
|
|
What colour does stain you urine? - senna |
Red/yellow |
|
|
|
What colour does stain you urine? - senna |
Red/yellow |
|
|
|
What colour does stain you urine? Dantron containing products (co-drantharmer, co-danthrusate) |
Red |
|
|
|
What colour does stain you urine? - senna |
/yellow |
|
|
|
What colour does stain you urine? Dantron containing products (co-drantharmer, co-danthrusate) |
Red |
|
|
|
What colour does stain you urine? Sulfazalazine |
Yellow-orange |
|
|
|
What colour does stain you urine? Entacapone/opicapone |
Red/orange |
|
|
|
What colour does stain you urine? Methyldopa |
May darken when exposed to air |
|
|
|
What colour does stain you urine? Methyldopa |
May darken when exposed to air |
|
|
|
What colour does stain you urine? Nitrofurantoin |
Red |
|
|
|
What colour does stain you urine? Methyldopa |
May darken when exposed to air |
|
|
|
What colour does stain you urine? Nitrofurantoin |
Red |
|
|
|
What colour does stain you urine? Rifampicin |
Red |
|
|
|
How long must the electronic pharmacy record be kept for? |
At least 5 years from the day it was created |
|
|
|
What is eurax cream for (crotaminton cream) |
Scabies (prevent itching and causing a secondary infection) |
|
|
|
How many times can a private prescription for oral contraceptives with the word repeat on be dispensed? |
6 times |
|
|
|
What disease must pregnant people avoid as it can cause congenital abnormalities? |
German measles (rubella) |
|
|
|
Which warning label should be placed on lamotragine and azathropine? |
Immediately report signs or symptoms of anaemia, bruising or infection to doctor |
|
|
|
Which warning label should be placed on lamotragine and azathropine? |
Immediately report signs or symptoms of anaemia, bruising or infection to doctor |
|
|
|
Name a c antibiotic that shouldn’t be taken with dairy products? |
Ciprofloxacin |
|
|
|
What electrolyte can enoxaparin change? |
High potassium |
|
|
|
Which drugs are affected by smoking? |
Theophylline, cinacelet, ropinerole, some antipsychotics |
|
|
|
What frequency should oxycodone be prescribed at if immediate release? |
Qds |
|
|
|
Aside from the antibiotics (tetracycline, quinolones and sulfonamides) which drugs increase sensitivity to sun? |
Amiodarone, chlorpromazine, nsaids and diuretics |
|
|
|
Which blood test is looked at to see how heparin is working? |
APTT |
|
|
|
Can heparins (including dalteparin) cause osteoporosis? |
Yes especially with long term use |
|
|
|
What should lipid profile be in a healthy person and those with CVD risk? |
Normal: Total cholesterol = less than 5 LDL = less than 3 CVD risk: Total cholesterol = less than 4 LDL = less than 2 |
|
|
|
Which schedule 2 drug doesn’t need to be kept in safe custody |
Quinalbarbitone |
|
|
|
Which schedule 2 drug doesn’t need to be kept in safe custody |
Quinalbarbitone |
|
|
|
What requirements for schedule 2 drugs |
Store in cupboard and keep in a register |
|
|
|
Which schedule 2 drug doesn’t need to be kept in safe custody |
Quinalbarbitone |
|
|
|
What requirements for schedule 2 drugs |
Store in cupboard and keep in a register |
|
|
|
Which drug types does the address of the prescriber have to be in the UK? |
CD schedule 2+3 |
|
|
|
Which schedule 2 drug doesn’t need to be kept in safe custody |
Quinalbarbitone |
|
|
|
What requirements for schedule 2 drugs |
Store in cupboard and keep in a register |
|
|
|
Which drug types does the address of the prescriber have to be in the UK? |
CD schedule 2+3 |
|
|
|
Which schedule drugs are invoices required to be kept and for how long? |
Schedule 3+5 CD for two years |
|
|
|
Which schedule 2 drug doesn’t need to be kept in safe custody |
Quinalbarbitone |
|
|
|
What requirements for schedule 2 drugs |
Store in cupboard and keep in a register |
|
|
|
Which drug types does the address of the prescriber have to be in the UK? |
CD schedule 2+3 |
|
|
|
Which schedule drugs are invoices required to be kept and for how long? |
Schedule 3+5 CD for two years |
|
|
|
What needs to be on a requisition form for CD schedule 2+3 |
1 Signature of the recipient 2 Name of the recipient 3 Address of the recipient 4 Profession or occupation 5 Total quantity of drug 6 Purpose of the requisition |
|
|
|
Which schedule 3 drugs require safe custody? |
Temazepam and buprenorphine |
|
|
|
Requirements for a valid CD prescription (2+3) |
- name and address of a patient - name, form and strength of drug - The dose Quantity in words and figures Signature of prescriber Address of prescriber Particulars of what kind of prescriber they are Date |
|
|
|
Name 3 bulk forming laxatives |
Ispaghula husk Methyl cellulose Sterculia |
|
|
|
What laxative are phosphate and sodium citrate enemas |
Osmotic |
|
|
|
What laxative are phosphate and sodium citrate enemas |
Osmotic |
|
|
|
Name 3 stimulant laxatives and how long until they work |
Senna (colonic nerves) 8-12 Bisacodyl and sodium picosulfate (same metabolite) - 6-12 hours Docusate (is mostly stool softener but has stimulant effect) - 12-72 hours |
|
|
|
What laxative is prucalopride? |
Prokinetic - last line if other laxatives have failed |
|
|
|
When are bisacodyl suppositories indicated? |
For soft stools only - no softening effect |
|
|
|
What to prescribe for acute constipation (less than 3 months) |
1 bulk forming (drink lots of water) 2 add or switch to osmotic laxative 3 if stools are soft but difficult to pass add stimulant laxative |
|
|
|
What is first line for opioid induced constipation and what should not be given |
Osmotic and stimulant is first line - bulk forming laxatives shouldn’t be given |
|
|
|
When to take other medicines in relation to colestyramine (bile acid sequestrant) |
1 hour before or 4 hours after |
|
|
|
Why is cimetidine potentially contraindicated in a patient with epilepsy? |
Phenytoin interacts with it |
|
|
|
How long to use an ointment containing a corticosteroid and an astringent? |
7 days |
|
|
|
Which drug causes constipation out of aluminium containing antacids or magnesium containing? |
Aluminium (closer to c for constipation) |
|
|
|
What should be considered when taking orlistat? |
A vitamin and mineral supplement if concerns around inadequate vitamin intake |
|
|
|
If the trough is too high |
Increase dosage interval |
|
|
|
If the peak is too high |
Decrease dose |
|
|
|
When are bisacodyl suppositories indicated? |
For soft stools only - no softening effect |
|
|
|
What vitamins can phenytoin decrease |
Folate and B12 Vitamin D |
|
|
|
What to prescribe for acute constipation (less than 3 months) |
1 bulk forming (drink lots of water) 2 add or switch to osmotic laxative 3 if stools are soft but difficult to pass add stimulant laxative |
|
|
|
What is first line for opioid induced constipation and what should not be given |
Osmotic and stimulant is first line - bulk forming laxatives shouldn’t be given |
|
|
|
When to take other medicines in relation to colestyramine (bile acid sequestrant) |
1 hour before or 4 hours after |
|
|
|
Why is cimetidine potentially contraindicated in a patient with epilepsy? |
Phenytoin interacts with it |
|
|
|
How long to use an ointment containing a corticosteroid and an astringent? |
7 days |
|
|
|
Which drug causes constipation out of aluminium containing antacids or magnesium containing? |
Aluminium (closer to c for constipation) |
|
|
|
If the trough is too high |
Decrease dosage interval (further apart) |
|
|
|
If the trough is too high |
Increase dosage interval |
|
|
|
If the peak is too high |
Decrease dose |
|
|
|
What strength of epipen is used in adults? |
0.5mg |
|
