OTC Flashcards

Question

How long does it take for bulk forming laxatives to work?

Answer 1

12- 72 hours

Answer 2

> 10 years

Answer 3

``` Confusion Drowsiness Passing little urine Dry mouth Sunken eyes Duration of 3 days or longer in adults >24 hours in babies >48 hours in young chuldren ```

Answer 4

Relief contains rice power and normal diarolyte is glucose based

Answer 5

12 years and over

Answer 6

No unless excessive bleeding occurs or has occurred for more than 3 weeks

Answer 7

Bulk forming

Answer 8

> 18 years

Answer 9

12 years and over

Answer 10

15 years and over

Answer 11

Bleeding, perianal itching, mucus discharge and pain

Answer 12

7 days max | contains hydrocortisone

Answer 13

Longer than 3 weeks

Answer 14

Croup in children is caused typically by the parainfluenza virus. It often starts with a cold and develops into a characteristic barking cough

Answer 15

No medical treatment as it is viral but can offer antipyretic treatment if fever is present

Answer 16

They should be used with caution in people with diabetes, hypertension, hyperthyroidism, raised intraocular pressure, prostatic hypertrophy, hepatic or renal impairment, or ischaemic heart disease.

Answer 17

MAOIs | Risk of hypotensive crisis

Answer 18

One which does not blanch white on pressure

Answer 19

Under 16 years

Answer 20

Single 50mg dose stat Can take another 50mg tablet but has to be at least 2 hours after taking the first tablet Max 100mg in 24 hours/to treat the same attack

Answer 21

- Previous myocardial infarction - Ischaemic heart disease, e.g. angina - Peripheral vascular disease - Cardiac arrhythmias (including Wolff-Parkinson-White syndrome)

Answer 22

Strict hygiene measures | Refer if this has not worked

Answer 23

Once only dose Can be repeated after 2 weeks if it has not cleared up Everyone in the house should be treated

Answer 24

Wet combing | If treatment needed, Dimeticone e.g. Hedrin

Answer 25

Wet combing | If treatment needed, Dimeticone e.g. Hedrin

Answer 26

Twice At least 7 days between

Answer 27

Permethrin 5% w/w cream (Lyclear®)

Answer 28

Permethrin 5% w/w cream (Lyclear®)

Answer 29

All over the body

Answer 30

Topical imidazoles e.g. Daktarin Gold

Answer 31

> 16 years

Answer 32

2 | If more than this, need to refer

Answer 33

Fungal nail infection | 18 years and over

Answer 34

Most local infections can be treated adequately with topical antifungal preparations. Imidazoles (clotrimazole, econazole, miconazole) or terbinafine are suitable first-line treatments for groin infections and skin ringworm.

Answer 35

Topical imidazoles e.g. Daktarin

Answer 36

Usually needs a prescription to treat it so refer

Answer 37

<16 years | >60 years

Answer 38

More than 2 episodes in last 6 months

Answer 39

Feminax ultra | 250mg naproxen

Answer 40

15-50 years

Answer 41

More than 3 weeks- exclude oral cancer

Answer 42

Stains teeth brown

Answer 43

After and held in the mouth as long as possible

Answer 44

Cracked fissures in the corners of the mouth

Answer 45

Clotrimazole 1% cream

Answer 46

Hydrocortisone 1% and clobetasone butyrate 0.05%

Answer 47

Facial skin, broken skin, genitals You can put it on ears as this does not count as your face

Answer 48

18-45 year olds

Answer 49

65 years and older

Answer 50

Left ventricular failure

Answer 51

>6 years (Benylin chesty cough for children)

Answer 52

> 6 years (Benylin children's night cough)

Answer 53

6-12 years | Contains xylometazoline

Answer 54

No, especially if being treated with an oral glucocorticoid

Answer 55

Treatment of functional symptoms of benign prostate hyperplasia in men ages 45-75 years Can be taken for up to 6 weeks before clinical assessment by a doctor

Answer 56

Sunlight can trigger cold sores so direct sunlight should be avoided and sun screen should be applied.

Answer 57

P medicine Changed from GSL in late 2018 Max pack size 10g

Answer 58

- Gone from GSL to P medicine - Restriction of pack size of 10g - Moved to second line after non-pharmacological management

Answer 59

Breastfeeding women should remove the treatment from the nipples before feeding, and reapply afterwards.

Answer 60

16-60 years

Answer 61

15-50 years

Answer 62

1 month- 1 year

Answer 63

1 year | Under this age needs medical advice

Answer 64

2 years | Under this age needs medical advice

Answer 65

2 years (as long as they weigh more than 30 kg)

Answer 66

Hyoscine hydrobromide

Answer 67

1. Pre-contemplation 2. Contemplation 3. Preparation 4. Active 5. Maintenance 6. Relapse

Answer 68

Heavy menstrual bleeding over several cycles with regular cycles

Answer 69

Taken only once heavy bleeding has started 2 500mg tablets TDS until symptoms are alleviated (Can be increased to 8 tablets a day 4g for heavier periods) It will not work properly if taken before menstruation It should not be taken for more than 4 consecutive days

Answer 70

Refer | Heavy period may be due to anticoagulation

Answer 71

- >18 years - Needs to have a migraine diagnosis by doctor/pharmacist - Established pattern of migraine - history of 5 or more attacks over a period of at least a year - Have tried simple analgesia and it hasn't worked

Answer 72

Refer | Risk of serotonin syndrome if used together

Answer 73

No- it is for acute attacks

Answer 74

Male patients 45-75 years - Had symptoms for a minimum of 3 months - 2 weeks supplied initially and then if there is an improvement in symptoms, a further 4 weeks can be supplied

Answer 75

6 weeks and they can agree whether further supplies are appropriate Then an annual review after this

Answer 76

Refer | Can cause postural hypotension

Answer 77

Total 5 days One drop into affected eye every 2 hours for the first 48 hours and every 4 hours after

Answer 78

Apply 3-4 times a day for 5 days Eye drops during the day, and the ointment just one application at night

Answer 79

Store eye drops in the fridge Ointment does not need to be in the fridge but store at no more than 25°C

Answer 80

Refer - needs to be advised chloramphenicol on the advice of a doctor / contact lens practitioner Hard contact lens users and disposable contact lens users can start using their lenses again after successfully completing a course of treatment. Soft contact lens wearers should wait 24 hours after completing a course of treatment before starting to use their lenses again.

Answer 81

No - should still go to school

Answer 82

No- start to work after a day or so If a patient needs immediate relief, an antacid or alginate is more appropriate

Answer 83

55 years | Refer those over 45 years of age who suffer from long term recurrent symptoms of indigestion or heartburn

Answer 84

Fungal nail infection

Answer 85

Apply to the nail once weekly Has to be applied regularly until all the affected nail has grown out 6 months for fingernails 9-12 months for toenails

Answer 86

Meningitis The rash does not fade when pressed with a glass

Answer 87

Usually from 2 days before spots appear Until the spots have crusted over- considered contagious until no new lesions have appeared for 24 hours

Answer 88

Yes if you have not had chickenpox before

Answer 89

120 hours (5 days)

Answer 90

72 hours (3 days)

Answer 91

16 years and over

Answer 92

1500 micrograms

Answer 93

2 tablets of levonorgestrel 1500 micrograms should be taken within 72 hours of unprotected sex

Answer 94

26 - may need a double dose as per FSRH advice

Answer 95

If the patient vomits within 3 hours of taking levonorgestrel, she should repeat the same dose she took previously.

Answer 96

EMC does not advise it as it can disturb the woman's period

Answer 97

More than 5 days overdue

Answer 98

If vomiting occurs within 3 hours another tablet should be taken as soon as possible

Answer 99

Severe hepatic impairment | Asthma which is being treated by oral glucocorticoids

Answer 100

Severe malabsorption syndrome e.g. Crohn's Severe hepatic impairment

Answer 101

After using ulipristal breast feeding is not recommended for a week because it is present in breast milk. During this time expressing and discarding the milk is advised to maintain lactation.

Answer 102

Potential exposure of an infant to levonorgestrel can be reduced if the breast-feeding woman takes the tablet immediately after feeding and avoids nursing at least 8 hours following Levonelle

Answer 103

On the first day 2 tablets (500 mg) should be taken initially and then one tablet (250 mg) after 6 to 8 hours if needed. Max 3 tablets in a day Max number of days for treatment is 3 days

Answer 104

One 50 mg tablet taken with water approximately one hour before sexual activity - max of one tablet in 24 hours If Viagra Connect is taken with food, the onset of activity may be delayed compared to the fasted state

Answer 105

There should be no pain and the patient should be reassured that symptoms will resolve in 10 to 14 days without treatment. However, a patient with a history of trauma should be referred to exclude ocular injury.

Answer 106

Diabetes Hypertension Heart disease Angle-closure glaucoma

Answer 107

These lumps are characteristic of erythema nodosum. Treatment is usually rest and painkillers such as NSAIDs. - The bumps and patches last about two weeks before fading like a bruise.

Answer 108

Level 1, 2 and 3 Need to be on the HLP register

Answer 109

Level 1- Promoting health, wellbeing and self-care (profession-led) Level 2 - Providing services (commissioner-led) Level 3 - Providing treatment (commissioner-led)

Answer 110

30-60mg TDS

Answer 111

480-750mg QDS

Answer 112

Ear infection- refer

Answer 113

German measles

Answer 114

Measles manifests itself with white spots in the mouth.

Answer 115

- Vomiting repeatedly - Tiredness and lack of interest or enthusiasm - Rapid breathing - Seizures As the condition progresses, the symptoms may get more severe and more wide-ranging, and can include: - Irritability, or irrational or aggressive behaviour - Severe anxiety and confusion that's sometimes associated with hallucinations - Coma (loss of consciousness)

OTC Flashcards

(204 cards)