S7 Flashcards
(14 cards)
In the morning delivery at the pharmacy you receive the following products. What would be the most appropriate way, with regards to legal requirements or Home Office recommendations, to process each of the products in this delivery? Each option may be used once, more than once or not at all.
Tramadol capsules 50 mg.
Display the product behind the counter
Immediately place in the CD cupboard
Place on the shelves in the dispensary
Place the product on the shelves in the shop
Record the delivery in the CD register
Record the delivery in the prescription-only medicine (POM) register
Store in the fridge not visible from the shop
Store in the fridge visible from the shop
Place on the shelves in the dispensary - such 3 but exempt from safe custody requirements
In the morning delivery at the pharmacy you receive the following products. What would be the most appropriate way, with regards to legal requirements or Home Office recommendations, to process each of the products in this delivery? Each option may be used once, more than once or not at all.
Morphine sulfate oral solution 10 mg/5 mL.
Display the product behind the counter
Immediately place in the CD cupboard
Place on the shelves in the dispensary
Place the product on the shelves in the shop
Record the delivery in the CD register
Record the delivery in the prescription-only medicine (POM) register
Store in the fridge not visible from the shop
Store in the fridge visible from the shop
Place on the shelves in the dispensary
In the morning delivery at the pharmacy you receive the following products. What would be the most appropriate way, with regards to legal requirements or Home Office recommendations, to process each of the products in this delivery? Each option may be used once, more than once or not at all.
Co-codamol 8/500 mg effervescent tablets pack of 32.
Display the product behind the counter
Immediately place in the CD cupboard
Place on the shelves in the dispensary
Place the product on the shelves in the shop
Record the delivery in the CD register
Record the delivery in the prescription-only medicine (POM) register
Store in the fridge not visible from the shop
Store in the fridge visible from the shop
Display the product behind the counter
Co-codamol 8/500 mg is a schedule 5 CD and in a pack size of 32 tablets can be sold to the public if it has a P licence.
Miss J is a 7-year-old girl who has misalignment of her eyes.
Benefits adviser
Dietician
Occupational therapist
Orthoptist
Physiotherapist
Podiatrists
Social worker
Support worker
Orthoptist - help people with ocular problems such as misalignment of the eyes and double vision
For each of the following patients, select the single most suitable allied healthcare professional. Each option may be used once, more than once, or not at all.
Mr K, is a 9-year-old boy who is experiencing pain in his right leg and has problems walking.
Benefits adviser
Dietician
Occupational therapist
Orthoptist
Physiotherapist
Podiatrist
Social worker
Support worker
Physiotherapists help and treat people with physical problems caused by illness and/or injury. Once the client’s movement problem is diagnosed, they work to treat it
You are running a training session for a group of pharmacy students and one student wants to know which of the following drugs has anti-pyretic properties.
Aspirin
Apixaban
Clopidogrel
Dabigatran
Dalteparin sodium
Danaparoid sodium
Dipyridamole
Unfractionated heparin
Aspirin
The antiplatelet effect of this drug is affected by some proton pump inhibitors. Omeprazole is said to reduce the antiplatelet activity of this drug if administered concurrently.
Aspirin
Apixaban
Clopidogrel
Dabigatran
Dalteparin sodium
Danaparoid sodium
Dipyridamole
Unfractionated heparin
Omeprazole reduces the antiplatelet effect of clopidogrel and should not be prescribed concurrently. The interaction between clopidogrel and omeprazole is well documented. Any interaction between clopidogrel and dipyridamol is theoretical
When administered to a 12-year-old patient this drug can precipitate Reye’s syndrome which is a potentially fatal condition.
Aspirin
Apixaban
Clopidogrel
Dabigatran
Dalteparin sodium
Danaparoid sodium
Dipyridamole
Unfractionated heparin
Aspirin is contrindicated in under 16s due to the fact it can precipitate Reye’s syndrome which may be fatal.
Miss D is a pharmacy student who is on a summer placement in your pharmacy. She is studying serious drug interactions that pharmacists should be aware of. When advising Miss D about serious drug interactions, which of the following adverse effects mostly likely correlates to the drug combinations listed below? Each option may be used once, more than once, or not at all.
Cardiac arrhythmias.
Atenolol and bendroflumethiazide
Bee venom extract and captopril
Captopril and prednisolone
Nifedipine and carbamazepine
Potassium chloride and spironolactone
Warfarin and oral piroxicam
Warfarin and St John’s wort
Warfarin and trazodone
Spironolactone is a potassium-sparing diuretic and, taken together with potassium supplements, increases the risk of developing hyperkalaemia which may cause cardiac arrhythmias. This is a well-known drug interaction which may be fatal.
Miss D is a pharmacy student who is on a summer placement in your pharmacy. She is studying serious drug interactions that pharmacists should be aware of. When advising Miss D about serious drug interactions, which of the following adverse effects mostly likely correlates to the drug combinations listed below? Each option may be used once, more than once, or not at all.
Gastrointestinal bleeding.
Atenolol and bendroflumethiazide
Bee venom extract and captopril
Captopril and prednisolone
Nifedipine and carbamazepine
Potassium chloride and spironolactone
Warfarin and oral piroxicam
Warfarin and St John’s wort
Warfarin is predicted to increase the risk of bleeding events when given with piroxicam.
Miss D is a pharmacy student who is on a summer placement in your pharmacy. She is studying serious drug interactions that pharmacists should be aware of. When advising Miss D about serious drug interactions, which of the following adverse effects mostly likely correlates to the drug combinations listed below? Each option may be used once, more than once, or not at all.
Anaphylaxis.
Atenolol and bendroflumethiazide
Bee venom extract and captopril
Captopril and prednisolone
Nifedipine and carbamazepine
Potassium chloride and spironolactone
Warfarin and oral piroxicam
Warfarin and St John’s wort
Warfarin and trazodone
Bee venom extract and captopril
There is a risk of severe anaphylactoid reaction when bee venom extracts are given with ACE inhibitors.
Which drug combination is present in the following products? Each option may be used once, more than once, or not at all.
Fosavance®.
Alendronic acid and colecalciferol
Calcium and vitamin D3
Morphine and naloxone
Oxycodone and naloxone
Ramipril and amlodipine
Ramipril and felodipine
Tegafur and gimeracil
Tegafur, gimeracil and oteracil
Alendronic acid and cholecalciferol
A 37-year-old female who has a low white blood cell count and shows signs of inflammation in her mouth.
Amitriptyline and amiloride
Bromocriptine and pseudoephedrine
Doxazosin and meloxicam
Furosemide and gabapentin
Methotrexate and probenecid
Orlistat and loperamide
Simvastatin and metformin
Theophylline and ciprofloxacin
Methotrexate and probenecid
An established and clinically important interaction. A marked increase in both the therapeutic and toxic effects of methotrexate can occur, apparently even with low doses if other risk factors are present. Anticipate the need to reduce the dose of methotrexate and monitor the effects well if probenicid is used concurrently. If this is not possible, avoid the combination.
A 28-year-old male who presents with vomiting, dilated pupils and appears agitated.
Amitriptyline and amiloride
Bromocriptine and pseudoephedrine
Doxazosin and meloxicam
Furosemide and gabapentin
Methotrexate and probenicid
Orlistat and loperamide
Simvastatin and metformin
Theophylline and ciprofloxacin
Theophylline and ciprofloxacin
The patient is reporting symptoms of theophylline toxicity. The interacting quinolones appear to inhibit the metabolism of theophylline by CYP1A2 in the liver.
