MEP Flashcards

1
Q

Under what age are children unable to consent to sex?

A

13

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2
Q

Can you provide contraception to a 15 year old?

A

Yes, if they meet the following criteria?
-sufficient maturity
-cannot be persuaded to tell there parents
-likely to continue having sex without contraception
-in their best interests

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3
Q

What are the four principles of medicines optimisation?

A

-Aim to understand the patients experience
-Evidence-based choice of medicines
-Ensure medicines use is as safe as possible
-Make medicines optimisation part of routine practice

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4
Q

What is the maximum combination strength of pseudoephedrine that can be sold OTC?

A

720mg

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5
Q

What is the maximum combination strength of ephedrine that can be sold OTC?

A

180mg

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6
Q

What is the licensing regarding levonorgestrel supply?

A

women aged over 16 within 72 hours

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7
Q

What is the licensing regarding ulipristal acetate supply?

A

women within 120 hours

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8
Q

What is the maximum pack size of codeine and dihydrocodeine that can be sold OTC?

A

32

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9
Q

What are the prescription requirements?

A

-signature of prescriber
-address and particulars of prescriber
-date
-patient name and address
-age/ DOB (age if < 12)

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10
Q

On a private prescription stating just the word repeat, how many times can this prescription be repeated?

A

repeated once (dispensed twice)

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11
Q

On a private prescription for oral contraception stating just the word repeat, how many times can this prescription be repeated?

A

repeated 5 times (dispensed 6 times)

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12
Q

Prescriptions for which schedule drugs are not repeatable?

A

Schedule 2 and 3 controlled drugs

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13
Q

Prescriptions for which schedule drugs are repeatable?

A

Schedule 4 and 5 controlled drugs

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14
Q

How long after a repeat prescription for a POM and schedule 5, must the first dispensing be made?

A

6 months

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15
Q

Following the first dispensing of a POM or schedule 5 on a repeat prescription, how long after must the next dispensing be made?

A

There is no legal limit

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16
Q

If the repeat prescription is for a schedule 4 CD, how long must the first dispensing be issued?

A

28 days

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17
Q

How long must a record for a private prescription be kept?

A

2 years

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18
Q

Is a faxed prescrtiption a legally valid prescription?

A

no

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19
Q

Is a faxed prescription a legally valid prescription?

A

no

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20
Q

What schedule drugs can you not provide as an emergency supply on a swiss or EEA prescription?

A

1,2 and 3 (including phenobarbital)

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21
Q

Community pharmacies need a contract with who to deal with military prescriptions?

A

Ministry of Defence

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22
Q

Military prescriptions are written on what type of form?

A

FMed 296

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23
Q

How do non-contracted pharmacies manage military prescriptions?

A

Charge the individual and they can claim it back

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24
Q

Can a schedule 2 and 3 be legally dispensed if on an FMed 296?

A

No

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25
Q

What 6 things are legal requirements to appear on a dispensing label?

A

-Name of patient
-Name and address of the supplying pharmacy
-Date of dispensing
-Name of medicine
-Directions for use
-Precautions relating to the use of the medicine

26
Q

What 2 things are recommendations from the RPS to appear on a dispensing label?

A

-Keep out of the reach and sight of children
-Use the medicine only on your skin (where applicable)

27
Q

If giving an emergency supply at the request of a prescriber, within how long must the prescription be recieved?

A

72 hours

28
Q

Should a record be kept of an emergency supply?

A

Yes, within the POM register

29
Q

What should be recorded in the POM record after an emergency supply at the request of a prescriber?

A

-Date supplies
-Name, quantity and form of drug
-Name and address of prescriber requesting
-Name and address of patient
-Date on prescription
-Date which prescription received

30
Q

What is the maximum duration of treatment that can be given for an emergency supply for a CD 4 or 5?

A

5 days

31
Q

What is the maximum duration of treatment that can be given for an emergency supply for a POM?

A

30 days

32
Q

What must appear on a label for an emergency supply?

A

The words ‘Emergency Supply’

33
Q

As per the PPP, how long is a prescription valid for?

A

7 days

34
Q

As per the PPP, what is the maximum duration of treatment that can be given?

A

30 days

35
Q

What 8 things must appear on a veterinary prescription to make it legally valid?

A

-Name, address, telephone number, qualification and signature of prescriber
-Name and address of owner
-Identification and species of animal
-Date
-Name, quantity, dose and administration instructions of required medicine
-Warnings
-‘Under cascade’
-If repeatable, how many times?

36
Q

Are standardised forms required for CDs for veterinary prescriptions?

A

no

37
Q

How long should veterinary prescriptions be retained?

A

5 years

38
Q

What additional information must appear on a veterinary dispensed label?

A

-Name and address of owner
-Identification and species of animal
-‘For animal treatment only’

39
Q

What is the role of an accountable officer within an organisation?

A

Supervising and managing the use of CDs

40
Q

Give examples of schedule 2 controlled drugs?

A

diamorphine, methadone, oxycodone, pethidine, ketamine, morphine

41
Q

Give examples of schedule 3 controlled drugs?

A

buprenorphine, temazepam and midazolam, phenobarbital, gabapentin, pregabalin, tramadol

42
Q

Give examples of schedule 4 (part 1) controlled drugs?

A

Benzodiazepines (diazepam), zopiclone and sativex (cannabinoid oromucosal mouth spray)

43
Q

Give examples of schedule 4 (part 2) controlled drugs?

A

Anabolic and androgenic steroids, clenbuterol (adrenoceptor stimulant) and growth hormones

44
Q

Give examples of schedule 5 controlled drugs?

A

preparations of codeine, pholcodine, morphine

45
Q

Which schedule controlled drugs are subject to prescription requirements?

A

2 & 3

46
Q

How long is a prescription for a CD 5 valid for?

A

28 days

47
Q

Are sugar-free products a greater risk for abuse?

A

Yes

48
Q

Which CDs are subject to safe custody?

A

1,2 & 3

49
Q

Which CD 3 drugs are exempt from safe custody?

A

gabapentin, pregabalin, tramadol, midazolam, phenobarbital

50
Q

Which CDs must be denatured before disposal?

A

2,3 and 4(part 1)

51
Q

Who has the power to authorise others to witness the destruction of CDs?

A

Accountable officer

52
Q

What is the advised frequency of balance and stock checks of CDs?

A

every week

53
Q

What is a homeopathic medicine?

A

Holistic complementary and alternative therapy based on using dilute or ultradilute products in the concept of treating ‘like for like’

54
Q

What is a herbal medicine?

A

Products containing plant derived materials

55
Q

What licensing requirements do herbal and homeopathic medicines require?

A

MHRA does not require homeopathic medicines to demonstrate efficacy, only quality and safety.

Herbal medicines must have a full marketing authorisation based on safety, quality and efficacy or a traditional herbal registration (THR)

56
Q

What does the responsible pharmacist display have to contain?

A

-name of RP
-GPHC reg number
-Fact that the responsible pharmacist is in charge of the pharmacy at a time

57
Q

What must be included within the pharmacy record?

A

-RP name
-RP registration number
-date and time the pharmacist became RP
-date and time the pharmacist stopped being RP
-Absences (date, time left and time returned)

58
Q

How long must the pharmacy record be maintained?

A

5 years

59
Q

How regularly should the pharmacy procedures be reviewed?

A

Every 2 years (or following an incident)

60
Q

What are the two different types of consent?

A

Explicit and implied

61
Q

which two types of drugs do not have to be included in a prescription register when prescribed on a private prescription?

A

-CD 2
-contraceptives

62
Q

can you have an emergency supply of isotretinoin?

A

no