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Pre-reg exam 2021 > OTC > Flashcards

Flashcards in OTC Deck (232)
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1

H2 antagonists e.g. ranitidine. What age can you sell them to OTC? Can you sell them to pregnant and breastfeeding women?

Over 16 years

No

2

What is max dose of ranitidine OTC?

75 mg tablets Do not take more than 2 in 24 hours

3

True or false: Being overweight can contribute to dyspepsia

True

4

True or false: Smoking can contribute to dyspepsia

True

5

In what group of patients is orlistat licensed for OTC?

> 18 years BMI > 28

6

What is the OTC omeprazole dose and how long can they be used for and when would you refer?

10mg/20mg OD 4 weeks maximum However, if symptoms have not resolved in 2 weeks, refer Any danger symptoms e.g. unexplained weight loss, refer

7

What age can you sell OTC omeprazole to?

>18 years

8

What age can you sell esomeprazole to?

>18 years

9

What age can you sell OTC esomeprazole to?

>18 years

10

What is the dose of OTC esomeprazole, and what is the max time it can be used for?

20mg OD 2 weeks maximum

11

What is colic?

When a baby cries with no obvious cause Linked to disorder of GI tract, post partum depression, anxious parents. Affects babies < 6 months old

12

How can you treat colic OTC?

Anti-foaming agents e.g. simethicone (Dentinox, infacol) Gripe water Effectiveness is lacking however and it should resolve by itself in time

13

What are symptoms of colic?

High pitched crying Often at same time of day Drawing knees up to stomach

14

When would you refer with colic?

Failure to put on weight OTC treatment failure Danger symptoms Over anxious parents Symptoms have not resolved past 4 months of age

15

What is 1st line for constipation?

Lifestyle measures

16

Generally, laxatives should be avoided in constipation as first line and lifestyle measures should be tried. What exemptions would you want to treat with laxatives?

If straining would exacerbate a condition e.g. angina Or increase bleeding risk e.g. haemorrhoids

17

Why must bulk forming laxatives be taken with adequate fluids?

To avoid intestinal obstruction

18

Frequent use of stimulant laxatives can lead to what?

Fluid and electrolyte imbalance

19

How long does it take for glycerol suppositories to work?

Within 30 mins

20

What are the preferred type of laxative in children?

Osmotic Bulk forming

21

What are the safest laxatives to use in pregnancy and breastfeeding?

Bulk forming and osmotic

22

Why are stimulant laxatives not really recommended in breastfeeding and pregnancy?

Not advisable in the third trimester as it may induce uterine contractions. Senna enters the breast milk, so may cause colic and diarrhoea in the infant.

23

At what point is constipation classed as chronic?

Lasting 6 weeks or more

24

If a patient has constipation along with tiredness, what could be underlying causes?

Hypothyroidism Anaemia

25

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

12- 72 hours

26

What age can you sell Senna OTC to?

>12 years

27

What age can you sell Sodium picosulphate (Dulcolax pico liquid) OTC to?

> 10 years

28

What age can you sell ispaghula husk OTC to?

>6 years

29

Is Movicol is licensed for acute, chronic or both types of constipation?

Chronic

30

What are danger symptoms in a diarrhoea patient that prompts a referral?

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 children