S4 Flashcards
(20 cards)
Mrs D administers two sprays of ipratropium bromide into each nostril twice daily for rhinorrhoea associated with allergic rhinitis. She is currently suffering from nose-bleeds secondary to the use of this medication.
Epistaxis
Haematoma
Haematuria
Hyperaesthesia
Hyperhidrosis
Hypertrichosis
Melaena
Rhinosinusitis
Epistaxis
A patient is prescribed ertapenem for the treatment of a diabetic foot infection and has black, tarry stools as a side effect of this medication.
Epistaxis
Haematoma
Haematuria
Hyperaesthesia
Hyperhidrosis
Hypertrichosis
Melaena
Rhinosinusitis
Melaena
A patient is suffering from excessive skin sensitivity to non-noxious stimuli secondary to the use of nilotinib for the treatment of chronic myeloid leukaemia.
Epistaxis
Haematoma
Haematuria
Hyperaesthesia
Hyperhidrosis
Hypertrichosis
Melaena
Rhinosinusitis
Hyperaesthesia
The target clinic blood pressure for hypertension in renal disease as recommended by SIGN.
The following link is to the BNF https://bnf.nice.org.uk/treatment-summaries/hypertension/.
120/80 mmHg
≤130/80 mmHg
<135/85 mmHg
<140/80 mmHg
<140/90 mmHg
<150/80 mmHg
<150/100 mmHg
<160/80 mmHg
A target clinic blood pressure below 140/90 mmHg is suggested (below 130/80 mmHg is advised in patients with chronic kidney disease and diabetes, or if urine albumin to creatinine ratio (ACR) exceeds 70 mg/mmol).
Hypertension in type 1 diabetes with an ACR less than 70mg/mmol.
The following link is to the BNF https://bnf.nice.org.uk/treatment-summaries/hypertension/.
120/80 mmHg
≤130/80 mmHg
<135/85 mmHg
<140/80 mmHg
<140/90 mmHg
<150/80 mmHg
<150/100 mmHg
<160/80 mmHg
For adults with a urine albumin:creatinine ratio (ACR) less than 70mg/mmol, aim for a clinic systolic blood pressure less than 140 mmHg (target range 120 to 139 mmHg) and a clinic diastolic blood pressure less than 90 mmHg.
Hypertension in patients with cardiovascular disease and chronic kidney disease as recommended by SIGN.
The following link is to the BNF https://bnf.nice.org.uk/treatment-summaries/hypertension/.
120/80 mmHg
≤130/80 mmHg
<135/85 mmHg
<140/80 mmHg
<140/90 mmHg
<150/80 mmHg
<150/100 mmHg
<160/80 mmHg
For patients with diabetes, a target clinic blood pressure below 140/80 mmHg is suggested (below 130/80 mmHg is advised if kidney, eye, or cerebrovascular disease are also present).
This medication is used at a continuing dose of 1 mg daily in the management of Parkinson’s disease.
Amantadine hydrochloride
Entacapone
Orphenadrine hydrochloride
Procyclidine hydrochloride
Rasagiline
Selegiline hydrochloride
Tolcapone
Trihexyphenidyl
Rasagiline is used at a dose of 1 mg daily in the management of Parkinson’s disease. It is either used alone or as an add on therapy with either co-beneldopa or co-careldopa.
This drug may colour the urine reddish-brown.
Amantadine hydrochloride
Entacapone
Orphenadrine hydrochloride
Procyclidine hydrochloride
Rasagiline
Selegiline hydrochloride
Tolcapone
Trihexyphenidyl
Entacapone
Early treatment with this drug can delay the need for levodopa therapy in Parkinson’s disease.
Amantadine hydrochloride
Entacapone
Orphenadrine hydrochloride
Procyclidine hydrochloride
Rasagiline
Selegiline hydrochloride
Tolcapone
Trihexyphenidyl
Selegiline hydrochrolide
This drug may exacerbate oedema and because of this is cautioned for use in congestive heart failure.
Amantadine hydrochloride
Entacapone
Orphenadrine hydrochloride
Procyclidine hydrochloride
Rasagiline
Selegiline hydrochloride
Tolcapone
Trihexyphenidyl
Amantadine is cautioned in congestive HF as it may exacerbate oedema
This drug may cause hair loss as a side effect.
Amantadine hydrochloride
Entacapone
Orphenadrine hydrochloride
Procyclidine hydrochloride
Rasagiline
Selegiline hydrochloride
Tolcapone
Trihexyphenidyl
Selegiline
Miss W is a 19-year-old patient who has developed several painful red lumps and patches (that measure 1-5 cm) on her lower legs.
Betamethasone
Clobetasone butyrate
Griseofulvin
Hydrocortisone
Ketoconazole shampoo
Miconazole
Rest and ibuprofen
Tetracycline
These lumps are characteristic of erythema nodosum. Treatment is usually rest and painkillers such as NSAIDs.
Mrs D comes into your pharmacy with her 5-year-old son. She tells you that her husband was diagnosed with ringworm one month ago and shows you a picture of a large swelling on a section of his scalp.
Betamethasone
Clobetasone butyrate
Griseofulvin
Hydrocortisone
Ketoconazole shampoo
Miconazole
Rest and ibuprofen
Tetracycline
Griseofulvin
Scalp infection requires systemic treatment. The swelling on his scalp is a kerion, which could develop in severe ringworm infections, in this case tinea capitis. If left untreated it could result in hair loss and permanent scarring. It’s treated using griseofulvin.
Mr A is a 42-year-old man who comes into your pharmacy. He shows you hyperpigmented patches on his trunk and back. They are not red or itchy.
Betamethasone
Clobetasone butyrate
Griseofulvin
Hydrocortisone
Ketoconazole shampoo
Miconazole
Rest and ibuprofen
Tetracycline
Ketoconazole shampoo
Pityriasis versicolor, sometimes called tinea versicolor, is a common condition that causes small patches of skin to become scaly and discoloured (hypo/hyperpigmented). They usually occur on the trunk and back and upper arms. Pityriasis versicolor is caused by a type of yeast called Malassezia and is treated by ketoconazole shampoo.
Miss Q is a 32-year-old female. She is a regular at your pharmacy. For the past year she has been suffering from a malar rash on her face, facial flushing, burning and itching papules and pustules. She has tried potent corticosteroid creams, which initially helped but then worsened her rash considerably.
Betamethasone
Clobetasone butyrate
Griseofulvin
Hydrocortisone
Ketoconazole shampoo
Miconazole
Rest and ibuprofen
Tetracycline
Her symptoms are those of acne rosacea which worsens with the use of topical steroids. The treatment is oral tetracycline
An NHS prescription for bendroflumethiazide with no mention of repeats.
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How many times can you repeat dispense the following prescriptions? Each option may be used once, more than once or not at all.
A private prescription for bendroflumethiazide with no mention of repeats.
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How many times can you repeat dispense the following prescriptions? Each option may be used once, more than once or not at all.
A standard NHS prescription for bendroflumethiazide with ‘repeat x 2’ stated in the body of the prescription.
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0- Standard NHS prescriptions are not repeatable. In England the repeat dispensing service exists and in Wales the batch dispensing service, but specific forms are used for these services and stating “repeat x 2” in the body of a standard prescription would not be suitable for dispensing.
A private prescription for bendroflumethiazide with ‘repeat x 3’ stated in the body of the prescription.
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3
A private prescription for bendroflumethiazide with the word ‘repeat’ stated in the body of the prescription.
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1
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1
Where the number of repeats is not stated, the prescription can only be repeated once.
