Questions from mocks Flashcards
A lack of vitamins can lead to tiredness and fatigue. Miss C suspected she was deficient as she was feeling ‘more worn out than usual’ She suffers with focal epilepsy and is being treated with Phenytoin.
Following a GP appointment, they agreed she may be deficient and requested a blood test.
Which of the following vitamins is she most likely to be deficient in?
A) Vitamin C
B) Vitamin D
C) Iron
D) Vitamin A
E) Calcium
B) Vitamin D
Vitamin D deficiency is linked to epilepsy
What is the most appropriate dose for ibuprofen for a 3 year old?
100mg TDS
You are a band 6 pharmacist currently on your surgical rotation. A junior doctor would like to know which of the following IV anaesthetic is most appropriate in children, to provide a quick patient recovery and minimal hangover effect?
A) Propofol
B) Etomidate
C) Ketamine
D) Nitrous oxide
E) Thiopental sodium
A) Propofol
Most widely used anaesthesia in children as less hangover effect
How often should your spacer be replaced?
A) Every 3 months
B) Every 6 months
C) Every 12 months
D) Every 24 months
C) Every 12 months
Pregnant women are advised to take folic acid supplementation before conception and until week 12 of pregnancy. Those who are at a higher risk of conceiving a child with neural tube defects require a higher dose of folic acid.
Which of the following pregnant women would not require a high dose?
A) An obese woman
B) A woman who has previously had an infant with a neural tube defect
C) A woman who is taking carbamazepine
D) A patient with type 1 diabetes
E) A patient with sickle cell anaemia
A) An obese woman
What happens when you take Protamine and Dalteparin together?
Protamine and Dalteparin both increase anticoagulation
What is NOT a side effect of methylphenidate?
A) Hypotension
B) Tourette syndrome
C) Growth restriction
D) Weight loss
E) Psychiatric symptoms
A) Hypotension
Which of the following over the counter medications is most likely to have an MHRA warning associated with its abuse, due to the increased risk of cardiovascular events?
A) Senna
B) Loperamide
C) Paracetamol
D) Glycerine
E) Dioralyte
B) Loperamide
MHRA 2017 - Serious cardiovascular events in overdoses
Naloxone is an antidote
What is the most appropriate antibiotic for a cat bite ?
1st line = Co-amoxiclav
If penicillin allergic / age 12-17= Metronidazole + Doxycycline
Children under 12 = Co-trimoxazole
What is considered a common side effect
1 in 100 to 1 in 10
What happens if Sumatriptan and Lithium are taken together
Risk of Serotonin syndrome
If a side effect has a frequency of 1 in 10,000, how common is it?
Rare
Which drugs are associated with lichenoid eruptions
- ACE inhibitors
- NSAIDs
- Methyldopa
- Chloroquine
- Oral diabetes
- Thiazide diuretics
What is the washout period of Fluoxetine
5 weeks
How long after stopping a MAOI can you drink alcohol?
2 weeks
Which is the best NSAID to give someone with GI bleeding and ulcerations ?
Celecoxib
As this is a selective COX2 inhibitor
What is the first line treatment for constipation in children
Macrogols
What is the first line treatment for acute severe ulcerative colitis
IV Corticosteroids - hydrocortisone or methylprednisolone
What antibiotics are given for Cellulitis
First line = Flucloxacillin
If Penicillin allergic= Clarithromycin, Erythromycin or Doxycycline
Which antibiotics are cross sensitive with Penicillins ?
Cephalosporins
E.g. Cefalexin
What is the asthma step up plan for a 4 year old
SABA
ICS+SABA
ICS+LTRA+SABA
How long after a dose do you take lithium levels
12 hours
Is Gentamicin fat soluble?
Gentamicin is fat insoluble
This means it does not distribute into fat tissue well
What is the carbon urea breath test and what do you do with the results
Diagnostic tool for H. pylori
If isotrop labelled as positive for CO2= Initiate antibiotics
