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Revision > Revision public year 1 > Flashcards

Revision public year 1 Flashcards

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
Q

What is self care

A

Led, owner and done by individuals to maintain, prevent or treat illness

26
Q

Benefits to NHS for self care

A

Less GP visits

Less A&E visits

Low drug expenditure

27
Q

Benefits for patients who self care

A

More in control of life and health

Less mental health issues / less depression

Medicine adherence

Remain in the home

28
Q

Which bacteria causes chlamydia

A

Trachomatis

29
Q

Treatment for Chlamydia

A

Azithromycin

Erythromycin

If excluded criteria - consider doxycycline or referral to GUM

30
Q

What is the dose of azithromycin

A

Total dose - 1g

Dose - 125mg - x4

31
Q

3 domains of public health

A
  • Improving services
  • Health protection
  • Health improvement
32
Q

3 factors that affect adherence

A

Dosage frequency
Nature of the disease
Length of the treatment

33
Q

3 factors to improve adherence

A
  • 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
Q

Name 2 compliance aids

A

Medication reminder charts

Electronic reminders

35
Q

What is MAS

A

Going to pharmacists so they can give advice, give medication from the local formulary or refer to services

36
Q

Who can access the MAS servive

A

Anyone who is referred

Anyone who has a voucher

Anyone who is registered with a GP in the PCO area

37
Q

Treatment for insect bite

A

Chlorphenamine (antihistamine)

38
Q

Treatment for chicken pox

A

Chlorphenamine

39
Q

Which medicine should be avoided with chicken pox

A

iBook

40
Q

Medicine for oral thrush

A

Micanazole gel

41
Q

Medicine for vaginal thrush

A

Fluconazole

42
Q

Medicine for athletes foot

A

Clotrimazole cream 1%

Micanazole cream

43
Q

Virus which causes athletes foot

A

Trichophyton

44
Q

Fungi that causes thrush

A

Candida

45
Q

Virus which causes chickenpox

A

Varicella zoster

46
Q

Examples of good practice

A

Approved clothing

Tying hair back if it interferes or adds risk to clinical infection

Wearing ID badge

47
Q

What is professional socialisation and describe the process

A

It is the process of turning a member of the general public into a member of profession

Selection
Training
Recruitment
Professional regulation

48
Q

What are the expectation of public from professionals

A

Non judgemental
High degree of knowledge
Act in best interest of the patient

49
Q

Attributes of a profession

A

Specialised knowledge that others can’t understand

Monopoly

Autonomy

Service orientation

50
Q

Attributes of professionalism

A

Professionalism towards the public, workers etc

Deal with mistakes

Life long learning

Aware of limitations

51
Q

Side effects of Ella one

A

Abdominal pain, nausea, irregular vaginal bleeding

52
Q

Symptoms of bowel cancer

A 
Abdominal pain 
Bleeding 
Constipation 
Diarrhoea 
Extreme tiredness
53
Q

What are the influence for self medication

A

Internet/advertising
Financial resources
Lowering of sickness absence
Increase medicine availability

54
Q

Symptoms of chlamydia for women

A

Pain when urinating
Bleeding after sex
Bleeding between periods
Unusual vaginal discharge

55
Q

Chlamydia symptoms in men

A

White cloudy discharge from the top of the penis

Pain when urinating

Pain in the testicles

56
Q

Interaction with miconazole

A

Anticoagulant

57
Q

Give evidence to show that MAS is effective

A

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
Q

Alcohol guide

A

14 units per week
3 units per day
2 free alcohol days

59
Q

What is binge drinking

A

Drinking large amount of alcohol in a short space of time

More than 6 units of alcohol in a single session

60
Q

Treatment for opioid substitution therapy

A

Methadone
Buprenorphine

Prevention of relapse: Naltrexone

Revision (4 decks)

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