S3 Flashcards
(22 cards)
You are stuck in traffic on the way to work and will be late. Your pharmacy has a paper responsible pharmacist log. You are able to pull over to call your colleagues. What is the correct operating procedure to tell your staff?
Close the pharmacy and only compliance aids can be made up
Normal service, the dispenser and ACT can dispense prescriptions
Open the pharmacy and sell GSL and P medicines and shop products
Open the pharmacy and only methadone can be handed out
Open the pharmacy and only sell shop products (e.g. cosmetics)
Open the pharmacy and sell GSL medicines and shop products
Open the pharmacy and sell GSL medicines, shop products and hand out prescriptions already dispensed
The pharmacy should be closed
In absence of the RP the pharmacy cannot open
You need to visit a GP surgery for 30 minutes in the middle of the day. You signed in as the responsible pharmacist at 9am and will remain signed in during your absence. What is the correct operating procedure to tell your staff?
Close the pharmacy and only compliance aids can be made up
Normal service, the dispenser and ACT can dispense prescriptions
Open the pharmacy and sell GSL and P medicines and shop products
Open the pharmacy and only methadone can be handed out
Open the pharmacy and only sell shop products (e.g. cosmetics)
Open the pharmacy and sell GSL medicines and shop products
Open the pharmacy and sell GSL medicines, shop products and hand out prescriptions already dispensed
The pharmacy should be closed
Open the pharmacy and sell GSL medicine and shop products
You are the responsible pharmacist in a 100 hour pharmacy. You sign in at 3pm. At 5pm you need to visit the local GP surgery for 30 minutes and you will be contactable in this time. You are happy to remain signed in as the responsible pharmacist. You note that the responsible pharmacist from earlier in the day was absent from 11am-1pm.
Close the pharmacy and only compliance aids can be made up
Normal service, the dispenser and ACT can dispense prescriptions
Open the pharmacy and sell GSL and P medicines and shop products
Open the pharmacy and only methadone can be handed out
Open the pharmacy and only sell shop products (e.g. cosmetics)
Open the pharmacy and sell GSL medicines and shop products
Open the pharmacy and sell GSL medicines, shop products and hand out prescriptions already dispensed
The pharmacy should be closed
Pharmacy should be closed
You are on the bus which is stuck in traffic and you will be late. Your pharmacy has an electronic responsible pharmacist register that allows you to log in remotely. Considering that you feel confident to log in remotely, what is the correct operating procedure to tell your staff when contacting them?
Close the pharmacy and only compliance aids can be made up
Normal service, the dispenser and ACT can dispense prescriptions
Open the pharmacy and sell GSL and P medicines and shop products
Open the pharmacy and only methadone can be handed out
Open the pharmacy and only sell shop products (e.g. cosmetics)
Open the pharmacy and sell GSL medicines and shop products
Open the pharmacy and sell GSL medicines, shop products and hand out prescriptions already dispensed
The pharmacy should be closed
Open the pharmacy and sell GSL medicines and shop products
Ms L experienced an increase in hair growth and a ‘ringing in the ears’ secondary to the use of diazoxide for the treatment of chronic intractable hypoglycaemia.
Akathisia and dystonia
Akathisia and myoclonic jerks
Akathisia and tardive dyskinesia
Dystonia and dyskinesia
Hirsutism and tinnitus
Hyperhydrosis and tinnitus
Hypertrichosis and tenesmus
Hypertriglyceridemia and tympanosclerosis
Hirsutism and tinnitus
Mrs R describes herself to you as ‘constantly active, unable to stop moving and feeling restless all the time’, as well as having ‘involuntary movements of her face’. You believe this to be side effects of fluphenazine decanoate she is currently using for schizophrenia.
Akathisia and dystonia
Akathisia and myoclonic jerks
Akathisia and tardive dyskinesia
Dystonia and dyskinesia
Hirsutism and tinnitus
Hyperhydrosis and tinnitus
Hypertrichosis and tenesmus
Hypertriglyceridemia and tympanosclerosis
Akathisia and tardive dyskinesia
With regards to the processing of prescriptions/orders in the pharmacy, how must the following be processed? Each option may be used once, more than once or not at all.
A private prescription for a Schedule 3 CD.
Retained for one year
Retained for two years
Retained for five years
Retained for six years
Returned to the patient
Returned to the prescriber
Submitted to the local accountable officer
Submitted to the relevant NHS agency
Submitted to the relevant NHS agency
With regards to the processing of prescriptions/orders in the pharmacy, how must the following be processed? Each option may be used once, more than once or not at all.
A veterinary prescription for a Schedule 3 CD.
Retained for one year
Retained for two years
Retained for five years
Retained for six years
Returned to the patient
Returned to the prescriber
Submitted to the local accountable officer
Submitted to the relevant NHS agency
Retained for 5 years
An NHS prescription for a Schedule 3 CD.
Retained for one year
Retained for two years
Retained for five years
Retained for six years
Returned to the patient
Returned to the prescriber
Submitted to the local accountable officer
Submitted to the relevant NHS agency
Submitted to the relevant NHS agency
A requisition for a Schedule 3 CD from a registered medical practitioner.
Retained for one year
Retained for two years
Retained for five years
Retained for six years
Returned to the patient
Returned to the prescriber
Submitted to the local accountable officer
Submitted to the relevant NHS agency
Submitted to the relevant NHS agency
A requisition for a Schedule 3 CD from a veterinarian.
Retained for one year
Retained for two years
Retained for five years
Retained for six years
Returned to the patient
Returned to the prescriber
Submitted to the local accountable officer
Submitted to the relevant NHS agency
Veterinary requisitions for Schedule 3 CDs should be retained for 5 years, there is no requirement to submit them to the relevant NHS agency.
With regards to the processing of prescriptions/orders in the pharmacy, how must the following be processed? Each option may be used once, more than once or not at all.
An invoice for a Schedule 3 CD taking into account tax requirements.
Retained for one year
Retained for two years
Retained for five years
Retained for six years
Returned to the patient
Returned to the prescriber
Submitted to the local accountable officer
Submitted to the relevant NHS agency
Although the law relating to CDs requires the invoices to be retained for 2 years (as per the BNF advice), the law relating to tax requires the invoices to be kept for 6 years (as per SPS advice).
A 28-year-old lady receiving sodium valproate for the treatment of epilepsy.
If the patient suffers a severe skin reaction in the first 8 weeks, the medicine should be stopped immediately.
The patient should be advised that they require routine monitoring of blood levels of the medicine.
The patient should be asked to sign the back of the prescription form as confirmation of collection.
The patient should be provided with a Patient Card.
The patient should immediately report a sore throat to a healthcare professional.
The patient should stop taking this medicine if they have a seizure and seek further medical advice.
The patient should take the medicine once weekly.
The same brand must always be supplied.
As part of the pregnancy prevention programme, women of childbearing age taking sodium valproate should be given a Patient Card.
A 50-year-old male receiving primidone for the treatment of epilepsy.
If the patient suffers a severe skin reaction in the first 8 weeks, the medicine should be stopped immediately.
The patient should be advised that they require routine monitoring of blood levels of the medicine.
The patient should be asked to sign the back of the prescription form as confirmation of collection.
The patient should be provided with a Patient Card.
The patient should immediately report a sore throat to a healthcare professional.
The patient should stop taking this medicine if they have a seizure and seek further medical advice.
The patient should take the medicine once weekly.
The same brand must always be supplied.
Same brand must be supplied
A 45-year-old lady receiving lamotrigine for the treatment of epilepsy.
If the patient suffers a severe skin reaction in the first 8 weeks, the medicine should be stopped immediately.
The patient should be advised that they require routine monitoring of blood levels of the medicine.
The patient should be asked to sign the back of the prescription form as confirmation of collection.
The patient should be provided with a Patient Card.
The patient should not take any other medicines for 2 hours after taking this medicine.
The patient should stop taking this medicine if they have a seizure and seek further medical advice.
The patient should take the medicine once weekly.
The same brand must always be supplied.
If the patient suffers a severe skin reaction in the first 8 weeks, the medicine should be stopped immediately.
Serious skin reactions including Stevens-Johnson syndrome and toxic epidermal necrolysis have developed (especially in children); most rashes occur in the first 8 weeks. Avoid abrupt withdrawal (taper off over 2 weeks or longer) unless serious skin reaction occurs.
A 21-year-old male receiving pregabalin for the treatment of epilepsy.
If the patient suffers a severe skin reaction in the first 8 weeks, the medicine should be stopped immediately.
The patient should be advised that they require routine monitoring of blood levels of the medicine.
The patient should be asked to sign the back of the prescription form as confirmation of collection.
The patient should be provided with a Patient Card.
The patient should immediately report a sore throat to a healthcare professional.
The patient should stop taking this medicine if they have a seizure and seek further medical advice.
The patient should take the medicine once weekly.
The same brand must always be supplied.
The patient should be asked to sign the back of the prescription form as confirmation of collection.
From 1 April 2019, pregabalin and gabapentin are schedule 3 controlled drugs and should be treated as such when dispensing. They are exempt from safe custody requirements.
A 67-year-old lady receiving gabapentin for the treatment of epilepsy.
If the patient suffers a severe skin reaction in the first 8 weeks, the medicine should be stopped immediately.
The patient should be advised that they require routine monitoring of blood levels of the medicine.
The patient should be asked to sign the back of the prescription form as confirmation of collection.
The patient should be provided with a Patient Card.
The patient should immediately report a sore throat to a healthcare professional.
The patient should stop taking this medicine if they have a seizure and seek further medical advice.
The patient should take the medicine once weekly.
The same brand must always be supplied.
The patient should be asked to sign the back of the prescription form as confirmation of collection.
From 1 April 2019, pregabalin and gabapentin are schedule 3 controlled drugs and should be treated as such when dispensing. They are exempt from safe custody requirements.
A patient newly diagnosed with type 2 diabetes who has a raised HbA1c despite lifestyle interventions.
https://www.sign.ac.uk/media/1090/sign154.pdf
Address adherence
Basal insulin
DDP-4 inhibitor
GLP-1 agonist
Metformin
SGLT2 inhibitor
Soluble insulin
Sulphonylurea
Metformin
A patient who has been taking metformin for 4 months with a HbA1c of 7.3%, and who has cardiovascular risk factors. You have established the patient is using the medicine correctly.
https://www.sign.ac.uk/media/1090/sign154.pdf
Address adherence
Basal insulin
DDP-4 inhibitor
GLP-1 agonist
Metformin
SGLT2 inhibitor
Soluble insulin
Sulphonylurea
SGLT2
patient who was first prescribed metformin 3 months ago. The patient has a HbA1c of 7.4%. The patient’s record shows they collected a monthly prescription twice in this time.
https://www.sign.ac.uk/media/1090/sign154.pdf
Address adherence
Basal insulin
DDP-4 inhibitor
GLP-1 agonist
Metformin
SGLT2 inhibitor
Soluble insulin
Sulphonylurea
address adherence
A patient who has been taking metformin for 4 months with a HbA1c of 7.2% with no other health concerns.
https://www.sign.ac.uk/media/1090/sign154.pdf
Address adherence
Basal insulin
DDP-4 inhibitor
GLP-1 agonist
Metformin
SGLT2 inhibitor
Soluble insulin
Sulphonylurea
Sulphonylurea
In a patient not reaching their target who does not have any specific considerations, a sulphonylurea would be an appropriate medicine to consider prescribing according to the reference provided other national or international guidelines may vary
A patient who has been taking metformin for 5 months with a HbA1c of 7.6%, who is also obese.
https://www.sign.ac.uk/media/1090/sign154.pdf
Address adherence
Basal insulin
DDP-4 inhibitor
GLP-1 agonist
Metformin
SGLT2 inhibitor
Soluble insulin
Sulphonylurea
SGLT2 inhibitor
In a patient not reaching their target who is obese, a SGLT2 inhibitor would be an appropriate treatment option according to the reference provided other national or international guidelines may vary.
