S2 Flashcards
(27 cards)
If a patient has recently had this antipsychotic increased to a high dose, they will need to take extra precautions to protect their skin from sunlight.
Amilsupride
Chlorpromazine
Clozapine
Haloperidol
Promazine
Sulpiride
Trifluoperazine
All of the above
All of the above- photosensitivity may occur at higher doses for antipsychotic drugs
Special care is required when handling this antipsychotic. The tablets should not be crushed and solutions should be handled with care.
Amisulpride
Chlorpromazine
Clozapine
Haloperidol
Promazine
Sulpiride
Trifluoperazine
All of the above
Chlorpromazine causes contact sensitisation and as a result precautions should be taken and direct contact with the skin should be avoided
Mr K is a 61-year-old office worker. He has successfully completed an alcohol detoxification programme but was admitted to hospital after a drink-driving incident. He does not want to go back to the alcohol detoxification programme but admits developing strong cravings for alcohol.
Acamprosate
Buprenorphine
Disulfiram
Fluoxetine
Haloperidol
Paracetamol
Parenteral thiamine
Pimozide
Acamprosate is indicated as therapy to maintain abstinence in alcohol dependent patients. it should be combined with counselling. Disulfiram could be used however it acts by causing an acute sensitivity when he drinks instead of resolving the cravings
Mr S, a 46-year-old security guard, presents with acute confusion, leg tremors and droopy eyelids. He recently been enrolled on an alcohol dependence programme but states that it’s a ‘waste of time’.
Acamprosate
Buprenorphine
Disulfiram
Fluoxetine
Haloperidol
Paracetamol
Parenteral thiamine
Pimozide
Severe thiamine deficiency on display - parenteral thiamine s
Cautious consideration should be given to use of this drug in aggressive patients as even low doses may aggravate symptoms of aggression.
Amisulpride
Chlorpromazine
Clozapine
Haloperidol
Promazine
Sulpiride
Trifluoperazine
All of the above
Sulpride- Increased motor agitation has been reported at high dosage in small number of patients given sulphide. may aggravate symptoms in aggressive, agitated or excited phases of the disease process. care should be exercised where mania or hypomania is present
Mr Q, a 21-year-old student, has a mild headache following a sports injury. He presents with no other signs or symptoms.
Acamprosate
Buprenorphine
Disulfiram
Fluoxetine
Haloperidol
Paracetamol
Parenteral thiamine
Pimozide
Paracetamol
A 19-year-old female who is taking zonisamide for epilepsy.
Avoid factors which cause overheating or dehydration like exercise
Drowsiness may affect your driving. This effect is enhanced with alcohol consumption
Oral solution should be swallowed as a single 100 mL dose with plenty of water while sitting or standing upright
Report immediately if a skin rash develops or if any signs or symptoms of hypersensitivity develops
Report symptoms including sore throat, mouth ulcers, bruising, fever, tiredness or non-specific illnesses to your doctor immediately
Take this medication after food
Take this medication at night
Take this medication on an empty stomach
Avoid factors which cause overheating or dehydration like exercise
A 39-year-old male who is taking baclofen for multiple sclerosis.
Avoid factors which cause overheating or dehydration like exercise
Drowsiness may affect your driving. This effect is enhanced with alcohol consumption
Oral solution should be swallowed as a single 100 mL dose with plenty of water while sitting or standing upright
Report immediately if a skin rash develops or if any signs or symptoms of hypersensitivity develops
Report symptoms including sore throat, mouth ulcers, bruising, fever, tiredness or non-specific illnesses to your doctor immediately
Take this medication after food
Take this medication at night
Take this medication on an empty stomach
Drowsiness may affect your driving. This effect is enhanced with alcohol consumption
A 23-year-old female who is taking carbimazole for hyperthyroidism.
Avoid factors which cause overheating or dehydration like exercise
Drowsiness may affect your driving. This effect is enhanced with alcohol consumption
Oral solution should be swallowed as a single 100 mL dose with plenty of water while sitting or standing upright
Report immediately if a skin rash develops or if any signs or symptoms of hypersensitivity develops
Report symptoms including sore throat, mouth ulcers, bruising, fever, tiredness or non-specific illnesses to your doctor immediately
Take this medication after food
Take this medication at night
Take this medication on an empty stomach
Blood dycrasias
A 21-year-old male who is taking alendronic acid tablets for osteoporosis.
Avoid factors which cause overheating or dehydration like exercise
Drowsiness may affect your driving. This effect is enhanced with alcohol consumption
Oral solution should be swallowed as a single 100 mL dose with plenty of water while sitting or standing upright
Report immediately if a skin rash develops or if any signs or symptoms of hypersensitivity develops
Report symptoms including sore throat, mouth ulcers, bruising, fever, tiredness or non-specific illnesses to your doctor immediately
Take this medication after food
Take this medication at night
Take this medication on an empty stomach
Take this medication on an empty stomach
A non-smoking patient who has spirometrically confirmed COPD and asthmatic features, but remains breathless despite optimised SABA treatment.
ICS
LABA
LABA + ICS
LABA + LAMA
LAMA
LAMA + LABA + ICS
SABA or SAMA
SAMA only
LABA + ICS
Consider LABA + ICS for people who: have spirometrically confirmed COPD and have asthmatic features/features suggesting steroid responsiveness and remain breathless or have exacerbations despite: having used or been offered treatment for tobacco dependence if they smoke and, optimised non-pharmacological management and relevant vaccinations and, using a short-acting bronchodilator
non-smoking patient with spirometrically confirmed COPD who does not have asthmatic features but remains breathless despite use of a SABA.
ICS
LABA
LABA + ICS
LABA + LAMA
LAMA
LAMA + LABA + ICS
SABA or SAMA
SAMA only
LABA +LAMA
Offer LAMA + LABA to people who: have spirometrically confirmed COPD and do not have asthmatic features/features suggesting steroid responsiveness and remain breathless or have exacerbations despite: having used or been offered treatment for tobacco dependence if they smoke and, optimised non-pharmacological management and relevant vaccinations and, using a short-acting bronchodilator.
A patient newly diagnosed with COPD who needs treatment to relieve breathlessness and exercise limitation.
ICS
LABA
LABA + ICS
LABA + LAMA
LAMA
LAMA + LABA + ICS
SABA or SAMA
SAMA only
SABA OR SAMA
Use short-acting bronchodilators, as necessary, as the initial empirical treatment to relieve breathlessness and exercise limitation.
A patient with spirometrically confirmed COPD who has features suggesting steroid responsiveness and remains breathless despite taking LABA + ICS.
ICS
LABA
LABA + ICS
LABA + LAMA
LAMA
LAMA + LABA + ICS
SABA or SAMA
SAMA only
LAMA + LABA +ICS
For people with COPD who are taking LABA + ICS, offer LAMA + LABA + ICS if:
their day-to-day symptoms continue to adversely impact their quality of life or
they have a severe exacerbation (requiring hospitalisation) or
they have 2 moderate exacerbations within a year
A terminally ill patient is very constipated and a doctor asks you to recommend a suitable laxative. Which one of the following is licensed for use in this situation?
Bisacodyl
Co-danthramer
Docusate sodium
Glycerol
Isphaghula husk
Lactulose
Prune juice
Senna
Co-danthramer is licensed for use only in constipation in terminally patients
This medication can be used at a dose of up to 500 mg daily in divided doses in adult patients suffering with chronic constipation.
Bisacodyl
Co-danthramer
Docusate sodium
Glycerol
Isphaghula husk
Lactulose
Prune juice
Senna
Docusate sodium can be used up to 500mg daily in divided doses for those suffering with chronic constipation
This is a bulk-forming laxative and should be mixed with water.
Bisacodyl
Co-danthramer
Docusate sodium
Glycerol
Isphaghula husk
Lactulose
Prune juice
Senna
Husk
You are running a workshop training healthcare professionals in medicines and some side effects to look out for. One of the attendees questions you on which laxatives can colour the urine pink.
Bisacodyl
Co-danthramer
Docusate sodium
Glycerol
Isphaghula husk
Lactulose
Prune juice
Senna
Co-danthramer may colour the urine pink
A doctor in A&E is seeing a patient with a history of alcohol misuse and is querying which laxative can be used to treat hepatic encephalopathy.
Bisacodyl
Co-danthramer
Docusate sodium
Glycerol
Isphaghula husk
Lactulose
Prune juice
Senna
Lactulose
Whilst delivering a revision session to a set of pharmacy students, you are asked which of the listed laxatives is an osmotic laxative.
Bisacodyl
Co-danthramer
Docusate sodium
Glycerol
Isphaghula husk
Lactulose
Prune juice
Senna
Lactulose
A prescription for mycophenolate mofetil for a 25-year-old male patient.
Do not take if you are allergic to sulphur-containing products
May cause drowsiness
Remain upright for 30 minutes after taking
Swallow whole with a glass of water
There are no specific counselling points
This medicine is only taken once per week
You and your partner should use appropriate contraception
You should use two types of contraception during treatment
The correct answer was You and your partner should use appropriate contraception
As a precautionary measure for male patients, it is now recommended that either the patient or their female partner use reliable contraception during treatment with mycophenolate medicines and for at least 90 days after stopping.
A prescription for a mycophenolate mofetil for a 25-year-old female patient.
Do not take if you are allergic to sulphur-containing products
May cause drowsiness
Remain upright for 30 minutes after taking
Swallow whole with a glass of water
There are no specific counselling points
This medicine is only taken once per week
You and your partner should both use appropriate contraception
You should use two types of contraception during treatment
Female patients of childbearing age receiving mycophenolate should always use contraception - 2 methods of effective contraception are preferred.
A prescription for isotretinoin capsules for a 25-year-old woman should ideally be dispensed within how many days.
Same day
2
5
7
24
30
72
The Pregnancy Prevention Programme information for pharmacists states that a negative pregnancy test, issuing a prescription and dispensing Isotretinoin should ideally occur on the same day.
A requisition for a controlled drug which has been requested as an emergency by a doctor should be furnished within this many hours.
Same day
2
5
6
7
24
30
72
In an emergency, a doctor or dentist maybe supplied with a Sch 2 or 3 CD on the undertaking that a requisition will be furnished within 24 hours.
