S16 Flashcards
(17 cards)
Miss G, a 9-year-old girl, is reporting lethargy, poor appetite, weight loss and abdominal pain on her right side for the past 5 months. She has loose stools and her serum C-reactive protein is raised.
Coeliac disease
Constipation
Crohn’s disease
Diarrhoea
Gastroenteritis
Lactose intolerance
Peptic ulcer disease
Pneumonia
Crohns disease
The chronic history, loose stools, weight loss and raised inflammatory markers are suggestive of crowns disease
Master P, a 33-month-old boy, has had poor growth since the age of 9 months. His parents report recurrent abdominal pain with loose stools that are pale and difficult to flush.
Coeliac disease
Constipation
Crohn’s disease
Diarrhoea
Gastroenteritis
Lactose intolerance
Migraine
Pneumonia
Ventolin accuhaler®.
Keep away from direct sunlight
No specific instructions
Protect from frost and direct sunlight
Store at or below 30 °C
Store at or below 25 °C
Store at 2-8 °C
Store at -40 °C
Store in a dark place
Store at or below 30
Reconstituted Augmentin® suspension.
Keep away from direct sunlight
No specific instructions
Protect from frost and direct sunlight
Store at or below 30 °C
Store at or below 25 °C
Store at 2-8 °C
Store at -40°C
Store in a dark place
Store at 2-8
You are running a workshop training junior doctors on drugs and side effects. One of the attendees wishes to discuss laxatives and their potential to colour urine and stools. Which laxative can colour the urine red?
Bisacodyl
Co-danthramer
Docusate sodium
Glycerol
Ispaghula husk
Lactulose
Methylcellulose
Senna
Co-danthramerr is known to colour the urine as red. Senna may also colour the urine but this would be described as yellow or red brown rather than red
This laxative is dispensed with BNF advisory label 13 ‘Dissolve or mix with water before taking’.
Bisacodyl
Co-danthramer
Docusate sodium
Glycerol
Ispaghula husk
Lactulose
Methylcellulose
Senna
Husk
This laxative is available as 5 mg gastro-resistant tablets and 10 mg suppositories.
Bisacodyl
Co-danthramer
Docusate sodium
Glycerol
Ispaghula husk
Lactulose
Methylcellulose
Senna
Bisacodyl
This laxative has an onset of action of 8 to 12 hours.
Bisacodyl
Co-danthramer
Docusate sodium
Glycerol
Ispaghula husk
Lactulose
Methylcellulose
Senna
Senna
Note biscadoyl has an slower onset of action of 10-12 hrs
Imipramine tablets 10 mg on an NHS prescription signed 30/10/24.
27/11/24
29/11/24
21/01/25
24/01/25
30/04/25
01/05/25
25/06/25
30/10/25
30/04/25
Owings must be dispensed within the validity of a prescription, which is 6 months for this prescription
Morphine sulfate tablets 100 mg on an NHS prescription signed 1/11/24.
27/11/24
29/11/24
22/01/25
24/01/25
30/04/25
01/05/25
25/06/25
30/10/25
29/11/24
Owings must be dispensed within the validity of a prescription. The appropriate date of a NHS CD prescription is either the signature date or the date indicated by the prescriber as a date before which the medicine should not be supplied, whichever is the later. The 28 day validity of a CD prescription runs from the appropriate date.
Methadone oral liquid 1 mg/1 mL on an NHS (non-instalment) prescription signed 1/11/24 with the instruction to dispense on 25/12/24.
27/11/24
29/11/24
22/01/25
24/01/25
30/04/25
01/05/25
25/06/25
30/10/25
22/01/25
Owings must be dispensed within the validity of a prescription. The appropriate date of a NHS CD prescription is either the signature date or the date indicated by the prescriber as a date before which the medicine should not be supplied, whichever is the later. The 28 day validity of a CD prescription runs from the appropriate date.
Morphine sulfate 10 mg/5 mL oral solution on a private prescription signed on 30/10/24.
27/11/24
29/11/24
22/01/25
24/01/25
30/04/25
01/05/25
25/06/25
30/10/25
30/04/25
Owings must be dispensed within the validity of a prescription, which is 6 months for this prescription. The appropriate date of a private prescription is the signature date
A patient presents in the pharmacy asking for your advice about red eyes. Both his eyes are affected and there is a purulent discharge, which made his eyelids stick together this morning. He describes his eyes as feeling ‘gritty’. He does not have any eye pain and his vision is not affected.
Bacterial conjunctivitis
Basel cell carcinoma
Blepharitis
Corneal ulcer
Ectropion
Stye
Subconjunctival haemorrhage
Viral conjunctivitis
Symptoms stated indicative of bacterial conjunctivitis - sticky discharge, both eyes affected, gritty feeling in the eye.
A patient asks you to look at his left eye. You can see that a small segment of the white of his eye is bright red. He thinks it happened when he coughed. There is no pain and his vision is not affected.
Bacterial conjunctivitis
Basel cell carcinoma
Blepharitis
Corneal ulcer
Ectropion
Stye
Subconjunctival haemorrhage
Viral conjunctivitis
Non-painful blood shot eye that came on suddenly is an indication of subconjunctival haemorrhage.
A lady comes into the pharmacy and asks you to look at her eye lids. Both eye lids appear to have skins flakes around the eyelashes. She says that both eyelids feel irritated and her eyes are quite watery.
Bacterial conjunctivitis
Basel cell carcinoma
Blepharitis
Corneal ulcer
Ectropion
Stye
Subconjunctival haemorrhage
Viral conjunctivitis
Skin flakes around eye lashes accompanied by watery eyes is indicative of blepharitis
lady visits your pharmacy. She is just recovering from flu and has noticed that both of her eyes appear red. She tells you that she has a watery discharge coming from each eye.
Bacterial conjunctivitis
Basel cell carcinoma
Blepharitis
Corneal ulcer
Ectropion
Stye
Subconjunctival haemorrhage
Viral conjunctivitis
Viral conjunctivitis usually associated with a cold or flu. Watery discharge reported.
A man asks you to look at his right eye. His upper eyelid is swollen and there appears to be a slight lump. He describes it as being painful and sensitive to touch.
Bacterial conjunctivitis
Basel cell carcinoma
Blepharitis
Corneal ulcer
Ectropion
Stye
Subconjunctival haemorrhage
Viral conjunctivitis
Indicative of a stye - painful swollen eye lid.
