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Endgame > Endgame - Ontrack > Flashcards

Endgame - Ontrack Flashcards

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1
Q

Nausea and vomiting following ergocalciferol dose

A

The vitamin d may of led to increase in serum calcium causing the symptoms

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2
Q

Does co-fluampicil colour urine

A

No

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3
Q

What drugs cause indigestion (dyspepsia)

A

CCB
Nitrates
Theophylline
Bisophosphonates
Corticosteroids
NSAIDS

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4
Q

DO steroid creams cause alopecia

A

No more likely to cause overgrowth of hair

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5
Q

What skin condition is associated with lower extremities

A

Discoid eczema

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6
Q

Can schedule 4 drugs be repeated

A

yes

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7
Q

First line treatment for breastfeeding mother with constipation

A

Breast feeding

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8
Q

Safest SSRI in myocardial infarction

A

Sertraline

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9
Q

Vaccine required if spleen removed

A

Pneumococcal vaccine

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10
Q

Baby with oral thrush and mother is breastfeeding. Been given miconazole what is the advice

A

Cream should be applied to the nipples after feeding the baby

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11
Q

Which opioid may antagonise analgesic effect of other opioids

A

Buprenoprhine is a partial agonist/ partial antagonist and will block or antagonise the effects to other opioids

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12
Q

How long to wait after last isotretinioin dose to give blood

A

4 weeks

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13
Q

Which medicine do you need to be aware of the signs of DKA when withdrawing insulin from patients with type 2 diabetes

A

GLP-1

DKA has been reported when rapidly reducing or discontiuing insulin

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14
Q

Should the MMR vaccine be given to pregnant ?

A

Avoid pregancy for one month after vaccine

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15
Q

What to give for children under the age of 6 for relief of coughs and colds

A

The correct answer was Sodium chloride 0.9% nasal drops
The MHRA has concluded that some medicines for coughs and colds do not have any evidence which shows that they are effective and in many cases have been linked to undesirable effects including sleep disturbances and hallucinations. Chlorphenamine is licensed for use in children aged 1 year and above but not for use in coughs and colds

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16
Q

Build up of wax treatment but allergic to almonds

A

Olive oil ear drops

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17
Q

DKA treatment

A

Iv SOLUBLE insulin

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18
Q

Two symptoms not in keeping with cystitis

A

Fever and discharge

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19
Q

Injectable phenytoin

A

MORE ERROR PRONE WITH RISK OD DEATH

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20
Q

Which CD can be repeated

A

4,5

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21
Q

Do calcium supplements cause dyspepsia

A

No

Common: Amldoipine, bisphosphonates, doxy, pred, excess alcohol

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22
Q

Can you buy a spacer

A

A spacer is a medical device not a medicine. Therefore there are no restrictions on the sale of the spacer. As the medical device can be sold to the patient, there is no need for the pharmacy to complete emergency supply record keeping and apply any applicable administrative charges.

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23
Q

Is Lyme disease itchy

A

No

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24
Q

Which CD require a license to import or export controlled drugs

A

All bar CD SCH5

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25
What two juices interact with warfarin
Pomegranate and cranberry
26
Which one of the following is NOT required to be on the supply order? Address of the midwife Name of midwife Name of patient Occupation of midwife Purpose for which the diamorphine is required
Address
27
What to give a female AIDS patient with mild pneumocystis pneumonia who is unable to tolerate trimethoprim
Atorvaquone is licensed for the treatment of mild-moderate infection in patients unable to tolerate co-trimoxazole. Hydrocortisone, pentamidine ispezionate and prednisolone are all suitable options if the infection is severe
28
Baclofen side effect of note
Hallucinations
29
Best source of evidence in research
Systematic reviews
30
What vaccine do drug misusers usually require
Hep A
31
cimitedine x warfarin
Increases the anticoagulant effect of warfarin
32
Fibrate x statin
Increased risk of rhab
33
What to do if a bottle of methadone smashes on the floor
Clear up with tissue and store in a bag in the CD cupboard Destruction of stock of a CD should be witnessed by an authorised person. This includes spillages. Therefore, the spillage should be cleaned up and kept in the CD cupboard until destruction can be witnessed.
34
Clotrimazole 1% duration in athlete feet
Twice a day and for 14 days after resolvement
35
Can pencillamine cause blood disorders
Yes - report signs immediately
36
Can you use benzoyl peroxide to treat rosacea
No
37
Amphotericin and digoxin
Predicted to increase the risk of digoxin toxicity. The signs of digoxin toxicity include: confusion, arrhythmias, nausea and visual disturbances
38
Can you sell anything to a 15 year old for vaginal thrush
No refer as under 16
39
GORD trigger factors
-CCB, alendronic etc - Smoking - Alcohol - Obesity - Stress
40
What happens if you misdiagnosed someone with tonsillitis when it is glandular fever and give them amoxicillin
Rash can occur
41
Ground coffee vomit
Could be oesophageal/ gastric cancer -> refer
42
Can you treat gout via OTC
No- High dose NSAIDS which require POM
43
Using beta 2 agonists in diabetes
Caution. IV salbutamol can cause ketoacidosis
44
NRT for pregnant woman expiring pregnancy related N+V
Patch
45
Can you give hydrocortisone cream for athlete foot
No as can worsen fungal infection
46
Vaccine to give 12 year old for prevention of cervical cancer
Human Papilloma virus
47
What cause impetigo
Staph aureus Streptococcus Pyrogenes
48
Side effect of intravenous salbutamol
HYPERGLYCAEMIA
49
How long to wait between stopping phenelzine (MAOI) and starting fluoxetine
2 weeks
50
Verapamil x dabigatran
Verapamil may increase the plasma concentration of dabigatran therefore increasing its effects. For this reason, the manufacturer advises that the dose is adjusted in patients taking verapamil.
51
Key symptom that differentiates between the common cold and sinusitis
Loss of smell in association with nasal congestion and sore throat
52
What is more likely to cause binge eating DA or levodopa
Dopamine receptor
53
Alternatives to pencicilln for low severity CAP
- Clarithromycin - Doxycyline - Azithromycin - Erythromycin.
54
Max duration for xylometaozline for children between 6-12
5 days
55
If the enuresis alarm goes off and the child has no urge to urinate should they go back to sleep
No
56
What abx is suitable for both pneumocystitis jirovecii pneumonia prophylaxis and treatment
Co-trimoxazole
57
Are preagablin and gabapentin exempt from record keeping
Yes
58
Cold prep that is cautioned in diabetes
Sudafed decongestant - can affect blood glucose
59
What schedule is ketamine
2
60
Baclofen x acei/BB
Increases the hypotensive effect
61
How many episodes in 6 months of vaginal thrush in 6 months before referring
mORE THAN 2
62
What to do if severe diarrhoea occurs while taking misoprostol
May require withdrawal
63
Can you use zolednronic acid in females of child bearing age
No
64
How long to see benefit from DMARD
2-3 months
65
Is hypertension a mineralocorticoid or glucocorticoid side effect
Mineralcorticoid
66
Does amitriptyline prolong the QT
Yes
67
Risk factors for gout
- Renal impairment - Meat, seafood, alcohol - Diuretics - Obesity - HTN - Coronary heart disease - Diabetes mellitus - Chronic kidney disease - High triglycerides - Heart failure - male
68
Can a vet request an emergency supply of a POM
No
69
Can a supplementary nurse prescriber request an emergency supply of a POM
No
70
Can you use haloperidol in patients with Parkinson's disease
No
71
Max total daily dose GSL ibuprofen
1.2g
72
Is Yasmin a monophonic 21 day prep or 28 day prep
21
73
Is linezolid active v gram negative
Linezolid, an oxazolidinone antibacterial, is active against Gram-positive bacteria including meticillin-resistant Staphylococcus aureus (MRSA), and glycopeptide-resistant enterococci. Resistance to linezolid can develop with prolonged treatment or if the dose is less than that recommended. Linezolid is not active against common Gram-negative organisms; it must be given in combination with other antibacterials for mixed infections that also involve Gram-negative organisms
74
First line for meningiccocus disease
Benzylpenicillin sodium is indicated for use in menigitccosus disease and is IV only
75
How often are fentanyl patches applied
Every 72 hrs
76
Is the date a legal requirement for a requisition
No Legal requirements: - Signature of recipient - Name of recipient - Address of recipient - Profession/occupation - Total quantity of drug and purpose of requisition
77
What age to refer if experiencing a migraine for the first time
60+ for first time

Endgame (17 decks)

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