Qs wrong from on track

Question 1

what is an orthoptist

Answer 1

Orthoptists help people with ocular problems such as misalignment of the eyes and double vision

Question 2

which diuretic can cause menstural disturbances

Answer 2

spironolactone

Question 3

w

which ACE inhibitor has a side effect of insomonia

Answer 3

captopril

Question 4

BV treatment options

Answer 4

For symptomatic women: Oral metronidazole is the treatment of choice. Intravaginal metronidazole gel or intravaginal clindamycin cream are alternative choices

Question 5

two drug used in termination of pregnancy

Answer 5

mifepristone and misoprostol

Question 6

what medication is licenced for premature ejaculation

Answer 6

dapoxetine (SSRI)

Question 7

sildenafil dose for pulmonary arterial hypertension

Answer 7

20mg TDS

Question 8

what are community practitioner nurses restricted to prescribing

Answer 8

These prescribers are restricted to prescribing dressings, appliances and licensed medicines which are listed in the Nurse Prescribers’ Formulary.

Question 9

what must a supplementary prescriber prescribe ?

Answer 9

Supplementary prescribers must prescribe items which are subject to clinical competence and included within an agreed clinical management plan.

Question 10

vitamin needed in megaloblastic anaemia.

Answer 10

vit b12

Question 11

what vitamin is used to treat alcoholism

Answer 11

vitamin b1 - thiamine

Question 12

why must oxytetracycline not be used in pregnancy?

Answer 12

due to damage to skeletal development

Question 13

why should trimethoprim not be used in pregnancy?

Answer 13

it is teratogenic in 1st trimester

Question 14

if someone is taking isotretanoin how long do they need to wait to give blood after stopping?

Answer 14

4 weeks after last dose

Question 15

which drug is likely to cause DKA when rapidly withdrawing from insulin ?

Answer 15

GLP1 eg semaglutide

Question 16

what is a red flag symptom for finasteride which needs reporting to GP and stopping treatment

Answer 16

depression - MHRA warning

Question 17

what drugs interact with ritonavir (HIV med)

Answer 17

rosuvastatin, tacrolimus, tadalfil, zopiclone

Question 18

what drug causes hypokalaemia

Answer 18

salbutamol

Question 19

if someone wants to write an approved NHS sch 2 drug script, how must it be presented

Answer 19

be on an approved form - FP10PCD

Question 20

what are OTC indications for hydrocortisone 1%

Answer 20

It can be sold to treat allergic contact dermatitis, irritant dermatitis, insect bite reactions and mild to moderate eczema.

Question 21

What can ciprofloxacin cause

Answer 21

QT prolongation

Question 21

what are the licenced limits for hydrocortisone otc sale

Answer 21

it may not be sold to children under 10 or in pregnancy except under medical advice. Contraindications include use on eye or face, anogenital region, broken or infected skin, acne or athletes foot. Use is restricted to a max. of 1 week

Question 22

what drug is used to treat meningococcal disease

Answer 22

benzylpenicillin sodium

Question 22

what side effecr from ella one should prompt medical attention

Answer 22

Lower abdominal pain may be indicative of an ectopic pregnancy and medical attention should be sought.

Question 23

legal obligation for FGM reporting (most likely)

Answer 23

All pharmacy professionals now have a legal duty to report, orally or in writing, to the police if: they observe physical signs that female genital mutilation (FGM) may have taken place in a girl under the age of 18, or a child or young person tells them that they have had FGM."

Question 24

which drug are associated with bone marrow suppression

Answer 24

azathioprine, carbimazole, methotrexate, mycophenolate mofetil

Question 25

what does haemoptysis mean

Answer 25

blood in sputum

Question 26

With respect to the ingredients used in the preparation of an unlicensed medicine, which of the following is NOT a requirement for the record keeping proces

Answer 26

Ingredient manufacture date

Question 27

what hot drink should be avoided with warfarin

Answer 27

GREEN TEA - The effects of coumarins can be reduced or abolished by vitamin K, including that found in health foods, food supplements, enteral feeds, or large amounts of some green vegetables or green tea.

Question 28

new prescription for himself. You look at the prescription and advise him to report immediately any sore throat, fever, infection, unexplained bleeding and bruising, purpura, mouth ulcers or rashes to his doctor. Which of the following drugs is this counselling advice most suitable for?

Answer 28

Penicillamine ## Footnote Penicillamine aids the elimination of copper ions in Wilson's disease - DMARD in RA

Question 29

what is a side effect of ciclosporin ?

Answer 29

hypomagnesaemia

Question 30

what is the maximum length of time xylometazoline nasal drops should be used for under 12?

Answer 30

nasal drops ONLY can be used for up to 5 days in 6-12 year olds ## Footnote other xylometazoline products (spray) should not be used i children under 12

Question 31

what is another role of misoprostol?

Answer 31

it is an uterine stimulant but also works as a antisecretory and mucosal protectant drug

Question 32

what vaccines do parenteral drug users need?

Answer 32

Hepatitis A

Question 33

what medication can turn urine red/orange

Answer 33

rifampicin

Question 34

# w why is the carmamazepine maintenance dose higher than the initial ?

Answer 34

Carbamazepine itself increases how quickly the body processes it so the maintenance dose is higher than the initial dose

Question 35

what is the best constiptaion treatment for breastfeeding mothers?

Answer 35

Bulk-forming laxative are 1st line ## Footnote eg ispaghula husk

Question 36

what condition is associated with a rash which is not itchy?

Answer 36

lyme disease

Question 37

what is a condition if a FP10PCD has multiple items on (non-CDs)

Answer 37

FP10PCD should only be used for Schd 2 and 3 - needs to be sent to NHS agency. If theres a private script for a normal POM needs to be retained in pharmacy

Question 38

what is glandular fever

Answer 38

more common 15-24, high temperature swollen glands, which may be in the neck, head, armpits, elbows, or groin sore throat a rash, which may be harder to see on black or brown skin headache tiredness ## Footnote caused by the Epstein-Barr virus

Question 39

temazepam requirements

Answer 39

Temazepam is a schd 3 drug which needs to be in CD cabinet. Does not need to be in CD reg, but needs to have full prescription requirements still

Question 39

what does a high INR mean

Answer 39

high iNR means an increased anticoagulation effect - runny blood

Question 40

how do you dispose of controlled drugs ?

Answer 40

controlled drugs should be denatured before disposal - Schedules 2, 3 and 4. Typically, the destruction of pharmacy stock of Schedule 2 CDs needs to be witnessed.

Question 42

how long do females need to use contraception for after using mycophenolate ?

Answer 42

6 weeks

Question 43

what medication should be used in caution in patients who have a sensitvity to sulfonamides?

Answer 43

sumatriptan 50mg

Question 44

benzodiazepines toxicity antidote

Answer 44

flumeazenil

Question 45

heparin reversal agent

Answer 45

protamine sulfate

Question 46

what interaction occurs with sildenafil and SSRIs

Answer 46

QT prolongation

Question 47

erythema nodosum

Answer 47

several painful red lumps and patches ## Footnote treat with rest and NSAIDs

Question 48

what is griseofulvin used for

Answer 48

Scalp infection requires systemic treatment. The swelling on his scalp is a kerion, which could develop in severe ringworm infections, in this case tinea capitis. If left untreated it could result in hair loss and permanent scarring. It's treated using griseofulvin

Question 49

which antipsychotic should be cautioned when touching or crushing

Answer 49

Chlorpromazine causes contact sensitisation and as a result precautions should be taken and direct contact with the skin should be avoided.

Question 50

what are symptoms of measles

Answer 50

. His son has a rash which extends from the face down to the chest. The rash is made up of small red-brown, slightly raised spots that join together into larger blotchy patches. He has a runny nose, conjunctivitis and has greyish-white spots with a red ring in the mouth. - include pyrexia, loss of appetite, aches and pains.