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Revision public year 1 Flashcards

(60 cards)

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1
Q

Dose for levonorgestrel

A

1500mcg

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2
Q

Dose for Ella one

A

30mg

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3
Q

Interactions with levonorgestrel

A 
Pines (anti epileptics) 
Virs (anti retro viral)
Rifampicin 
St. John wort 
Bosentan 
Modafinil 
Aprepitant 
Phenytoin
Phenobarbital 
Rufinamide 
Topiramate 
Primadone
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4
Q

Ella one interactions

A 
Cool with anti retro virals 
No other contraceptives 
Levonorgestrel 
Proton pump inhibitors - omeprazole 
St. John Wart 
Rifampicin 
Ketaconazole, Clarithromycin, famotidine
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5
Q

Community pharmacists

A

Essential services
Advanced services
Locally commissioned services

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6
Q

Hospital pharmacists contributions to PHE

A

Reduced risk of antimicrobial infection

Better mental health

Smoke free society

Hygiene

Health and lifestyle

Medicine optimisation

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7
Q

Hospital pharmacist

A

Medicine reconciliation

Clinical reviews

Discharge prescriptions

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8
Q

NHS health check - mechanism

A

Age 40 - 74

Data: BMI, cholesterol, blood pressure, blood glucose, age, gender, ethnicity, smoking status, physical activity level, family history

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9
Q

Most common vascular disease

A

Kidney disease
Heat attack
Stroke
Diabetes

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10
Q

Symptoms of heart attack/stroke

A

F - face drooping
A - arm weakness
S - speech difficulty
T - time

Chest pain
Sweating
Shortness of breath

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11
Q

Calculation for BMI

A

Weight/height2

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12
Q

<10% risk of vascular disease

A

Low risk

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13
Q

10% - 20% risk of vascular disease

A

Moderate risk

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14
Q

20% or >20% vascular disease risk

A

High risk

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15
Q

Statins interactions

A

Refer to notes

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16
Q

BMI Readings

A

Refer to notes

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17
Q

Blood pressure readings

A

Refer to notes

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18
Q

Cholesterol readings

A

Refer to notes

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19
Q

Blood glucose readings

A

Refer to notes

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20
Q

Infections associated with smoking

A 
Meningococcal disease 
Pneumonia 
TB
Influenza 
Periodontitis
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21
Q

Immediate benefits of stopping smoking

A
  • After 10 years, your risk of death from lung cancer is half that of smokers
  • CO level returns back to normal after 12 hours
  • Heart rate becomes normal after 20 mins
  • 1-9 months - coughing and shortness of breath decreases
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22
Q

What is a PGD

A

A legal mechanism by which a medicine can be supplied/administered without first having to see a doctor

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23
Q

Drugs alternate to NRT

A

Verenicline

Bupropion

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24
Q

Passive smoking risks

A
  • children more likely to become smoker themselves
  • likely to die due to cot syndrome
  • likely to suffer from infections such as ear, nose and chest
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25
What is self care
Led, owner and done by individuals to maintain, prevent or treat illness
26
Benefits to NHS for self care
Less GP visits Less A&E visits Low drug expenditure
27
Benefits for patients who self care
More in control of life and health Less mental health issues / less depression Medicine adherence Remain in the home
28
Which bacteria causes chlamydia
Trachomatis
29
Treatment for Chlamydia
Azithromycin Erythromycin If excluded criteria - consider doxycycline or referral to GUM
30
What is the dose of azithromycin
Total dose - 1g | Dose - 125mg - x4
31
3 domains of public health
- Improving services - Health protection - Health improvement
32
3 factors that affect adherence
Dosage frequency Nature of the disease Length of the treatment
33
3 factors to improve adherence
- Give a combined drug - Change the drug - one that can take once daily e.g ramipril rather than captoptil - Change formulation to modified release
34
Name 2 compliance aids
Medication reminder charts Electronic reminders
35
What is MAS
Going to pharmacists so they can give advice, give medication from the local formulary or refer to services
36
Who can access the MAS servive
Anyone who is referred Anyone who has a voucher Anyone who is registered with a GP in the PCO area
37
Treatment for insect bite
Chlorphenamine (antihistamine)
38
Treatment for chicken pox
Chlorphenamine
39
Which medicine should be avoided with chicken pox
iBook
40
Medicine for oral thrush
Micanazole gel
41
Medicine for vaginal thrush
Fluconazole
42
Medicine for athletes foot
Clotrimazole cream 1% | Micanazole cream
43
Virus which causes athletes foot
Trichophyton
44
Fungi that causes thrush
Candida
45
Virus which causes chickenpox
Varicella zoster
46
Examples of good practice
Approved clothing Tying hair back if it interferes or adds risk to clinical infection Wearing ID badge
47
What is professional socialisation and describe the process
It is the process of turning a member of the general public into a member of profession Selection Training Recruitment Professional regulation
48
What are the expectation of public from professionals
Non judgemental High degree of knowledge Act in best interest of the patient
49
Attributes of a profession
Specialised knowledge that others can’t understand Monopoly Autonomy Service orientation
50
Attributes of professionalism
Professionalism towards the public, workers etc Deal with mistakes Life long learning Aware of limitations
51
Side effects of Ella one
Abdominal pain, nausea, irregular vaginal bleeding
52
Symptoms of bowel cancer
``` Abdominal pain Bleeding Constipation Diarrhoea Extreme tiredness ```
53
What are the influence for self medication
Internet/advertising Financial resources Lowering of sickness absence Increase medicine availability
54
Symptoms of chlamydia for women
Pain when urinating Bleeding after sex Bleeding between periods Unusual vaginal discharge
55
Chlamydia symptoms in men
White cloudy discharge from the top of the penis Pain when urinating Pain in the testicles
56
Interaction with miconazole
Anticoagulant
57
Give evidence to show that MAS is effective
Only 2% would have purchased a medicine 92% of patients would have gone to the GP if MAS was not available In 98% consultations no onward referral to other NHS providers was necessary
58
Alcohol guide
14 units per week 3 units per day 2 free alcohol days
59
What is binge drinking
Drinking large amount of alcohol in a short space of time | More than 6 units of alcohol in a single session
60
Treatment for opioid substitution therapy
Methadone Buprenorphine Prevention of relapse: Naltrexone

Revision (4 decks)

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