kcartON Flashcards
You have a patient being treated for insomnia, Benzodiazepine drugs are used for conditions such as insomnia and anxiety. They belong to the list of controlled substances due to their potential to be abused.
Which of the following Benzodiazepine drugs belongs to Schedule 3 of the Controlled Drugs list?
Alprazolam Diazepam Nitrazepam Oxazepam Temazepam
Temazepam
When working in your community pharmacy, a patient complains about severe dental pain they have been feeling.
Which of the patient's long-term regular medications should you flag to the GP as a potential cause of this pain? Alendronic acid Bisoprolol GTN Ibuprofen Ranitidine
Alendronic acid - It is a CHM warning that with bisphosphonates (particularly IV) there is an increased risk of osteonecrosis of the jaw.
You are providing training for a trainee pharmacy technician on controlled drugs.
Which of the following is true with regards to cannabis-based products for medicinal use (CBPMS) not specifically listed by brand name in legislation?
CBPMs supplies can not be held for future use by licensed wholesalers
CBPMs need to be recorded in the CD register
Patients should be advised that the medicine they have been prescribed is licensed
Private prescriptions do not need to be on a standardised form
Take one as required is an unacceptable dose instruction for a private prescription for CBPMs
CBPMs need to be recorded in the controlled drugs register
CBPMs should be treated as controlled drugs and therefore all prescription writing and control requirements apply.
Miss T is a 22-year-old female who regularly comes to your pharmacy to collect her prescription for fluoxetine. Today she presents you her prescription with a new additional drug, phenelzine.
Which one of the following is the best course of action to take?
a. Dispense both medications and advise Miss T to take phenelzine after food
b. Dispense both medications and advise Miss T to avoid eating foods rich in tyramine
c. Dispense both medications and advise Miss T to take both of them on an empty stomach
d. Dispense both medications and advise Miss T to take them at least 4 hours apart
e. Do not dispense her medication and contact her prescriber to advise him of the serious adverse effects associated with this combination of drugs.
Do not dispense her medication and contact her prescriber to advise him of the serious adverse effects associated with this combination of drugs.
The combination of these two drugs may result in central serotonin syndrome which is characterised by changes in mental status, agitation, diaphoresis, tachycardia and death.
You are preparing some medications for dispensing. Cautionary and advisory labels must be clear on all medication you dispense.
Which of the following tablets or capsules should contain the advice: 'Take with a full glass of water' on the dispensing label? Dutasteride Dabigatran Doxycycline Ethambutol Imipramine
Doxycycline
A middle aged man presents to the pharmacy complaining of epigastric pain.
Which condition is most closely associated with pain seen in this region?
Appendicitis Diverticulitis Gastric Ulcer IBS Renal colic
Gastric Ulcer
Appendicitis has central or right lower quadrant pain; diverticulitis and irritable bowel syndrome are associated with left lower quadrant pain; renal colic pain is usually in the loin area.
You have a 28 year-old male patient who is being treated for peptic ulcer disease. Peptic ulcer disease affects all age groups and can be quite a debilitating condition.
Which of the following is NOT a cause of peptic ulcer disease? H. Pylori NSAIDs Smoking Lack of exercise Excessive alcohol consumption
Lack of exercise
Peptic ulcers can be caused by H. Pylori infection, prolonged or excessive use of NSAIDs and excessive alcohol consumption. Smoking can also increase the risk of developing an ulcer.
A patient visits the pharmacy on a Saturday afternoon for advice. They have had a cough for 2 weeks. When it first started they were unwell with other cold symptoms, but apart from the cough persisting they are now otherwise well. They have confirmed that they do not have coronavirus.
What would you advise the patient to do?
a. To follow self-care treatments and visit the GP if the cough still persists after 4 weeks from its start
b. To follow self-care treatments and visit the GP if the cough still persists after 8 weeks from its start
c. To go to A & E
d. To go to the out-of-hours GP today
e. To make an appointment with their GP this week
To follow self-care treatments and visit the GP if the cough still persists after 4 weeks from its start
Acute cough is usually self-limiting and gets better within 3 to 4 weeks without antibiotics. Coughs are most commonly caused by a viral upper respiratory tract infection, such as a cold or flu.
You have a patient with diabetes. Some medicines may affect blood glucose levels.
Which one of the following medicines can increase blood glucose levels in a person with diabetes? Diclofenac Folic acid Methotrexate Paracetamol Prednisolone
Prednisolone
A patient is prescribed amitriptyline at night and is worried about side effects.
Which side effect is LEAST likely to be caused by amitriptyline?
Constipation Drowsiness Dry eyes Dry mouth QT prolongation
Dry eyes
Dry eyes is not listed as a side effect of amitriptyline.
A patient is prescribed oral prednisolone for polymyalgia rheumatica.
What is the greatest long-term risk with continued use of glucocorticoids?
Hypernatraemia Hypotension Hypokalaemia Osteoporosis Weight loss
Osteoporosis
Corticosteroids can cause weight gain and an increase in blood pressure. Osteoporosis is the main long-term risk.
One of your patients has been prescribed Yasmin as an oral contraceptive. Oral contraception is a very commonly used reversible method of contraception, Many women rely on the pill to help prevent unwanted pregnancy and Yasmin is one of the commonly prescribed pills in the UK.
Which of the following is UNTRUE regarding Yasmin?
a. It can cause vaginal discharge
b. It contains drospirenone 3mg
c. It contains ethinylestradiol 30mcg
d. It is a monophasic 28-day preparation
e. It may cause sexual dysfunction
It is a monophasic 28-day preparation
Yasmin is a monophasic 21-day preparation.
You a running a workshop educating pharmacy technicians on medications used in asthma. The focus of the workshop is primarily on beta-2 agonists used to treat asthma.
Which of the following medications is a beta-2 agonist used to treat asthma?
Flupentixol Formoterol fumerate Itraconazole Olodaterol Umeclidinium
Formoterol fumerate
Mr Y enters your pharmacy and asks for some advice regarding buying an over the counter medication for a sore throat. On further enquiry, he mentions he also has mouth ulcers and generalised malaise. He has recently been prescribed carbimazole for hyperthyroidism.
What is the most appropriate advice you should give Mr Y?
a. He has a mild infection and he can use over the counter medications for symptomatic relief
b. Discuss oral hygiene measures
c. Mr Y should immediately report this to his GP
d. Hyperthyroidism is usually associated with malaise and infection, so the dose of carbimazole should be increased
e. Hyperthyroidism is usually associated with malaise and infection, so the dose of carbimazole should be decreased
Mr Y should immediately report this to his GP
Sore throat, mouth ulcers, fever and malaise are possible indicators of bone marrow suppression associated with the use of carbimazole and should be reported to the GP immediately.
A mother requests a product over the counter for her 3-year-old daughter who is suffering from a cold.
She wants to purchase a nasal decongestant containing xylometazoline. What is the maximum length of time the child should use it for?
Two days Three days Five days Seven days A child this age must not use it
A child this age must not use it
Xylometazoline should not be used in children under 6 years of age.
