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1
Q

A patient is currently taking metoclopramide and develops dystonia, what would you recommend as treatment ?

A

Dystonia-uncontrolled muscle movements AKA. spasms

A. procyclidine
use: parkinsonism, extrapyramidal symptoms

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2
Q

Treatment for heroin overdose?

A

Naloxone

used opioid overdose

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3
Q

Anaphylaxis in adult patient, with swollen lips and difficulty breathing.
what is the recommended drug treatment?

A

A. Adrenaline 500mcg

learn the doses, child or adult,
different brands available.

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4
Q

Dose for Ibuprofen, 9 year old patient

A

200mg QDS

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5
Q 
Motion sickness prevention 4 year old child for a 3 hour trip.
A.. prochlorperazine
B. cinnariizine
C. cyclizine
D. Hyoscine hydrobromide
E. ?
A

A. hyoscie hydrobromide
(kwells)

learn different brands, age ranges for children to recommend!

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6
Q

A patient is a smoker and is suffering hyperchlosteraemia. When he climbs up stairs experiences cramping and numbness, exersize hasnt helped. what would you recommend?

A

A. NAFTIDROFURYL OXALATE

Perhipheral vascular disorder-is a blood ciruclation disorder causing narrowing arteries, especially pain in the legs and fatigue

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7
Q

A patient experiences pain when going up the stairs, and when he lifts heavy grocery bags. He is taking metoprolol and some other medications. what would you recommend…

A

A. angina GTN spray

q. needs to be more specific

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8
Q

43 year old patient has AF for which a BB has been prescribed. she also has hypercholesteraemia. what else would you recommend?

A

A. apixaban

  • must learn CHADSVASC score men and women
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9
Q

75 y.o has hypertension and allergy to amlodipine. what would you give.

A

A. Indapamide or valsartan

look into the hypertension guidelines, updated and make a informed choice.

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10
Q

A patient has a uncomplicated UTi and was prescribed Trimethoprim 200mg BD for 7 days. what is wrong with this dose??

A

A. Duration is too long

Important to understand the durations for antibiotics and other complication with UTI s

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11
Q

A patient has developed sepsis in hospital and has had an anaphylactic reaction to penicillin in the past.which Abx would you not give

A

A. pip-taz

remember it contains penicillin

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12
Q

A patient culture for a respiratory infection shows haemophilus influenza. what antibiotic would you give>

A

A. amoxicillin

  • not sure why, research more
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13
Q

Which bacteria is well covered by gentamicin>

A

A. Pseudomonas aeruginosa (other choices were all G+)

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14
Q

A patient has H.pylori, takes ciclosporin and clopidorel? what treatment would you recommened?

A

Amox + metron + lansop

NOTE:
clopidogrel + omeprazole Interaction- thats why it wasnt the right answer

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15
Q

A responsible pharmacist register, how long does it need to be kept??

A

A. 5 years

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16
Q

Private prescription for a POM *atenolol) how long do you need to keep?

A

A. 2 years

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17
Q

Which Rx cannot be given as a emergency supply

A

A. Tramadol CD 3

phenobarbital can be given in emergency for epilepsy

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18
Q

Vet prescribes ramipril under the cascade and there is no licensed rx for ramipril in that species. what to dispense?

A

A. same drug licensed in another species

  • must go into detail for vetinary stuff
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19
Q

15 y.o comes into a pharmacy for EHC.She had a UPSI 4 days ago and doesnt want to go to another HCP?

A

A. ulipristal

  • must know licensing and age requirement to give EC
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20
Q

A man takes methadone 30mg OD for opioid dependence and would like advice for driving?

A

A. not sure
as far as im aware cannot drive if taking methadone
however, possible with buprenorphine

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21
Q

A patient is taking tranylcypromine which food.drink should he avoid?

A

A. mature cheese

  • MAOI inhibitor
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22
Q

A prescription for fentanyl what is the maximum duratio of supply to be given?

A

A. 30 days

remember expiration is 28 days, recommended supply is 30 days key word

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23
Q

picture of a label identify which legal requirement is missing?

A

A. Date of supply

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24
Q

Prescription for sativex shown- which do you decide not to dispense?

A

A. prescription expired

remember sativex cannabis product

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25
A GP is seeing his patient who suddenly develops slurred speech. you ask him to raise his arm and hes not able to>
A. call 999 STAT AAS 300mg also option but cannot incase haemorrhagic stroke
26
show image-
A. identify impetigo
27
show image
A. recognise stye. also treatment 1st line treatment is a warm compress
28
image of food onychomycosis on 3 toe nails. action to take?
A. refer- cannot treat OTC
29
Subconjunctival haemorrhage,no pain, no disturbed vision, no medicial condition and wants to buy opticrom for it. what would you recommend?
A. do not sell eye drops and reassure the patient as it will go away on its own
30
20 y.o patient has bad period cramps and pain, has currently taking lithium??
A. Dihydrocodeine with paracetamol remember alot of questions on lithium must know it properly
31
which is a example of a clinical audit
learn what a clinical audit is to be able to answer this question
32
Mebendazole- what to advice to give to a 7 year old with threadworm
A. sleep with underwear so that he doesnt scratch his anus | - keeping away from school was part of the option
33
A mother comes into the pharmacy with her baby who has a fever and other sympto in the past 24 hrs. which symptom would be the most worrying?
A. no wet nappies
34
Dabigatran prescribed for a patient with AF. what advice would you give
A. take is same time each day other options, dont eat green veg etc
35
List of medication and patient complains of breast discomfort. what medication is responsible.
spiralactone
36
A schizophrenia patient has been trialled on both haloperidol and olazapine however they did not work. what would be the best option to try now
Clozapine
37
a patient deelops a infection in hopsital and is started on co-amoxiclav + levofloxacin IV. the patient is also taking other mediciation during his hospitalizaation which are listed. which medication is likely to cause seizures?
A. levofloxacin Quinolone- IV use likely to cause seizures.
38
A patient is taking warfarin and gets prescribed miconazole gel for oral thrush?
A. Interaction
39
``` A hospitalized patient develops a UTI and has a penicillin allergy. Crcl = 25ml/min. option: amox cephalosporin trimethoprim nitrofurontoin ciprofloxacin culture shows sensitivity to all except ciprofloxacin what would you recomend> ```
A. Trimethoprim - nitrofurontoin not option if crcl less than 45 exclude penicillin and cephalosporin options
40
A women has been diagnosed with cellulitis on her leg, she saying she is allergic to pencilin due to vaginal thrush. what would you give>?
A. flucloxacillin- clarithromycin was also included part of the option
41
patient has severe depressio and also diagnosed with bipolar. what would you give to treat>
A. Quetiapine
42
Which mediicne requires drug levels and close monitoring if a patient stops smoking?
A. clozapine Theophylline was not a option
43
Which medicine require LFT to be measured, baseline, 3 month and 12 month.
A. atorvastatin
44
A patient initiated on atorvastatin experiences cramps in legs what needs to be measured>
Creatinine kinase
45
A patient started on amiodarone has gained weight and became more tired what needs to be measured?
A. TFTs
46
A patient is taking differnt asthma medication, starts to experience some symptoms?
A. hypokalaemia | identify symptoms
47
A patient recevied citalopram + valproic acid ?
A. hyponatraemia
48
A patient comes for sildenafil P medicine and takes other medication inlcuding tamsulosin. what would you do>
A. refer- cannot dispense as patient is taking a alpha blocker
49
mum brings 2 y.o non blanching rash and other symptoms? need to recognise meningitis. action to take
A. Ring 999. stat A/E
50
Which is a symptom of hypogylcaemia? all were symptom of hyperglycaemia.
A. Dizziness
51
A patient came for his methadone and calls later to get another dose as his previous bottle broke? what to do.
A. Contact the prescriber for a new rx
52
A patient has a sore throat and has taken paracetamol, pseudoephedrine and lozenges. he starts to experience palpitation and other symptoms insomnia. culprit
A. Pseudoephedrine SE: headache
53
what is the maximum of non-effervescent aspirin that can be given OTC?
A.
54
How does a patient need to breathe when measuring peak expiratory flow>
A. Blow as hard as you can and fast into the small device
55
which type of food or drink do you need to avoid with ciclosporin.
A. Grapefruit juice
56
A patient takes ciclosporin for organ transplant. He got home and noticed the pharmacy dispensed another brand vs what he usually takes even though the Dr, prescribed his usual brand. what do you do>
A. give usual brand to the patient and take the wrong brand which needs to be disposed not back into stock,
57
A patient is suffering from diarrhoea for a few days. The Dr said to suspend one of her medicine to protect her kidney. which medicine was he reffering to?
ACEi - remember the medicine must be stopped to prevent AKI. including metformin
58
Which opioid patc is given weekly
Buprenorphine (Butrans) - patch 7 days other options fentanyl, another buprenorphine that was not butrans
59
A patient is receiving a vinka alkaloid, which is the correct route
A. Intravenous AVOID INTRATHECAL!!
60
A patient got prescribed isoniazid as part of TB regimen. which vitamin needs to be prescribed to prevent neuropathic complications>
A. pyridoxine
61
On a product you read expiry: 10/2021 when will the product expire.
A. 31st october 2021
62
A baby is teething, what would you give after using gum toys
A. paracetamol - CKS mentions painkiller before lidocaine, tricky Q
63
Zoplicone and tramadol
interaction
64
Which insulin is basasl.
bnf
65
Predisolone for a patient suffering a acute asthma attack
bnd
66
Metformin contra-indicated and on sulphonylurea- what do you add next
A. sitagliptin - need to know both treatment options
67
Lady has a Hb1AC of 46 what treatment if any would you recommned?
dietarry - need to know about diagnosis
68
patiet has chicken pox what would you do?
A. give paracetamol
69
patient with mouth ulcers it has been 5 weeks what would you do?
A. would you treat or refer
70
Theophylline
A. report nausea and vomiting
71
How many units recommended for a man per week>
14 units maximum
72
Enoxaparin + DOAC given
INTERACTION
73
How to give lansoprazole
30-60 minutes before food
74
what is the expiry on GTN spray?
8 weeks after opening
75
Enoxaparin + DOAC (rivoroxvan) given
INTERACTION
76
Nappy rash what would you recommend?
A. clotrimazole
77
Heirachy study - options was a case, cohort, RCT, specialist advie and other option
A. RCT highest option [learn table of evidence]
78
pt on 70mg morphine BD, what is their maximum breakthrough
A. 1/6th . 20 | need to learn how to do division for clinical
79
Patient suffereing from mesalazine SE might have been thrombocytopenia
report to MHRA it was serious
80
14 year old gets a vaccine what is it likely for
A> HPV cervical cancer
81
Hypertension- 45 year old lady what to give
1st line ACE inhibitor
82
CPR compression to 2 rescure breath answer
bnf back
83
calculate curb-65 score but you were given , the patient had a newly disoriented feeling
learn it
84
calculate dose 800u vitamine D takes for 5 days a week the 12 week total
calculation question to know
85
Fludrocortisone how to sotre it
unsure
86
which drug most likely causes weight gain?
Olanzapine
87
What are the most likely SE of taking prednisolone from a 5 day course
A. mood changes
88
A dentist forgot to put toothpaste on a rx so you have agreed to give a E/S , how long does the dentist have to provide a prescription
A. 72 hours
89
which drugs are likely to cause falls in the elderly? | patient on mirtazipine + zoplicone
check all drugs
90
why is there a gap between chemotherapy doses?
- maybe to do with myrelosuppression
91
methotrexate + folic acid - why is it given on another day
A. they are both antifolate drugs so cannot be given on the same day also- to reduce SE tricky q
92
A patient from london has travelled to glasgow, forgot his insulin, you do not have the same brand but same active ingredient what do you do
signpost the patient, you do not need a prescription genuine case also insulin needs to be brand specific
93
what is the best prescribing for insulin-
a. brand name + units, | not IU
94
patient allergic to penicillin, gets prescribed pivmacillinam
A. contra-indicated
95
Diabetic patient has collapsed, someone thinks he is drunk but you notice his diabetic bracelet,
A. drink high in sugar other: glucagon need to know diabetic emergencies
96
Metallic taste from list of medicine
A. clarithromycin | or metformin
97
patient acute dystolic reaction
give prochlorperazine
98
Diabetic patient has collapsed, someone thinks he is drunk but you notice his diabetic bracelet, still concious
A. drink high in sugar other: glucagon need to know diabetic emergencies
99
Trough and peak graph for gentamicin
look into more detail
100
COPD - antimucolytic
BNF
101
inhaler conversion? | recognising generic and brand names
learn both
102
Tamsulosin with amlodipine
check interaction
103
what to give second stage of TB
bnf
104
SPC - gap between iron and HIV mediciation
spc
105
SPC pregablin capsule for 21 days
look at spcs practice
106
ciclosporin with clarithromycin
look interaction
107
which food contains tyramine
mature cheese
108
a patient is taking valproate lady- what is the best form of contraception
check BNF
109
long term use with gentamicin what is the risk
ototoxicity
110
Dabigatran counselling
BNF and anticoagulant booklet
111
rivoroxaban dose for AF prophylaxis
learn the dosing
112
which antihypertensive to stop for 55 year old, amlodipine, lisinopril, max dose, TLD,
A. thiazide like diuretic reasoning- they are not as effective unsure why now

pre-reg (17 decks)

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