S14 Flashcards
(17 cards)
A 60-year-old Caucasian gentlemen with a recent blood pressure reading of 160/100 mmHg that was taken by the nurse in the surgery and a home blood pressure reading of 150/95 mmHg. He is not on any prescribed medication.
Atenolol Aspirin Candesartan Indapamide Lacidipine No drug treatment Perindopril Spironolactone
Lacidipine
A 52-year-old Caucasian lady with a recent blood pressure reading of 160/100 mmHg that was taken in the surgery, who has been taking ramipril at the maximum dose for the past 6 weeks. She has a prior history of low potassium levels.
Atenolol Aspirin Candesartan Indapamide Lacidipine No drug treatment Perindopril Spironolactone
Lacidipine
A 54-year-old man of Afro-Caribbean origin with a recent blood pressure reading of 160/100 mmHg taken by the nurse in the surgery and a home blood pressure reading of 150/95 mmHg. He is not taking any prescribed medication.
Atenolol Aspirin Candesartan Indapamide Lacidipine No drug treatment Perindopril Spironolactone
Lacidipine
A 50-year-old Caucasian lady who has been taking ramipril and amlodipine for the past 4 weeks at the maximum licensed doses for hypertension. The patient has a blood pressure reading of 170/105 mmHg that was taken in the surgery.
Atenolol Aspirin Candesartan Indapamide Lacidipine No drug treatment Perindopril Spironolactone
Indapamide
A 65-year-old Afro-Caribbean gentlemen with type 2 diabetes and with a recent blood pressure reading of 150/100 mmHg taken in the surgery by the nurse. The patient has been taking losartan and verapamil for the past 4 weeks at the maximum doses.
Supplement: https://www.nice.org.uk/guidance/ng136/resources/visual-summary-pdf-6899919517
Atenolol
Aspirin
Candesartan
Indapamide
Lacidipine
No drug treatment
Perindopril
Spironolactone
Indapamide
Mr A has swollen gums.
Ciclosporin
Diclofenac
Gold
Hydroxychloroquine
Methotrexate
Penicillamine
Prednisolone
Sulfasalazine
gingival hyperplasia (swollen gums) is a common side effect of ciclosporin
Mrs U tells you that she has been suffering from blurred vision after taking this medicine orally.
Ciclosporin
Diclofenac
Gold
Hydroxychloroquine
Methotrexate
Penicillamine
Sarilumab
Sulfasalazine
Hydorxychloroquine is associated with retinopathy
A 25-year-old male who is unwell and has had a cough for 3 weeks. The patient has no known drug allergies and does not have Covid-19.
- Amox
- Aztreonam
- Chloramphenicol
- Clarithromycin
- Clindamycin
- Doxycycline
- Temocillin
- Vancomycin
Doxy is the first line drug in adults requiring antibiotic for acute cough
A 30-year-old woman who is 25 weeks pregnant and requires antibiotic treatment for a cough. The patient has no known drug allergies and does not have Covid-19.
- Amox
- Aztreonam
- Chloramphenicol
- Clarithromycin
- Clindamycin
- Doxycycline
- Temocillin
- Vancomycin
Amox
Doxycycline should not be given to pregnant women; amox or erythromycin are preffered in women who are pregnant.
A 5-year-old child who has a cough and is unwell. The patient has no known drug allergies and does not have Covid-19.
- Amox
- Aztreonam
- Chloramphenicol
- Clarithromycin
- Clindamycin
- Doxycycline
- Temocillin
- Vancomycin
Amox- first line treatment in children requiring treatment for a cough
A 55-year-old male who requires treatment for a cough. The patient is allergic to tetracyclines and macrolides. The patient does not have Covid-19.
- Amox
- Aztreonam
- Chloramphenicol
- Clarithromycin
- Clindamycin
- Doxycycline
- Temocillin
- Vancomycin
Amox is an alternative first line option for adults requiring abx for cough
Tamoxifen for breast cancer.
400 micrograms once daily
5 mg once in the morning
10 mg once a week
7.5 mg once daily
20 mg once daily
70 mg once a week
500 mg twice a day
1 g three times a day
20mg once a day
A private prescription for fluconazole 200 mg capsules with the word ‘repeat’ stated.
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6
7
Private prescriptions without the number of repeats stated can be repeated once - so dispensed twice in total.
A private prescription for a combined hormonal contraceptive with the word ‘repeat’ stated on the prescription.
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2
3
4
5
6
7
Private prescriptions for combined hormonal contraceptives that state ‘repeat’ can be dispensed a total of 6 times.
A private prescription for a schedule 4 drug where the word ‘repeat’ is NOT stated on the prescription.
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1
Private prescriptions where the prescriber has not added the instruction to ‘repeat’ are not valid for repeatable dispensing. The MEP states that repeatable prescriptions are those ‘where the prescriber adds an instruction to the main prescription for the prescribed item to be repeated’. In this question the prescriber has made no repeat request and hence the prescription cannot be repeated.
A private prescription for a Schedule 2 CD stating ‘repeat x 3’.
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1
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3
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6
7
1
It is not possible to repeat prescriptions for Schedule 2 CDs.
A private prescription for a combined hormonal contraceptive where the word ‘repeat’ is NOT stated on the prescription.
0
1
2
3
4
5
6
7
1
Private prescriptions where the prescriber has not added the instruction to ‘repeat’ are not valid for repeatable dispensing.
The MEP states that repeatable prescriptions are those ‘where the prescriber adds an instruction to the main prescription for the prescribed item to be repeated’. The exemption for oral contraceptives only applies to a prescription where the word ‘repeat’ is stated, but the number of repeats required is not. In this question the prescriber has made no repeat request and hence the prescription cannot be repeated
