S8 Flashcards
(20 cards)
A French patient on holiday requesting citalopram usually prescribed by his local doctor.
Advise the patient to see a local prescriber to get a prescription
Advise that you must speak to the patient themselves before considering further action
Consider making an emergency supply if it can be clarified that the item has been prescribed by a valid prescriber before
Contact the patient’s prescriber to see if you can get them to send you an electronic NHS prescription
Get the prescriber to fax you a prescription and use that as a private prescription
Send the patient to A&E to get a prescription
Tell the patient that there is nothing you can do for them
Tell the patient to try the non-NHS pharmacy down the road
Consider making an emergencies supply if can be clarified that the item has been prescribed by a valid prescriber before
Emergency supply at the request of an EEA or Swiss patient can be made
An American mother on holiday in London requesting a salbutamol inhaler for her 18-year-old son which is usually prescribed by his local doctor. He has forgotten his inhaler but he is not currently having an asthma attack.
Advise the patient to see a local prescriber to get a prescription
Advise that you must speak to the patient themselves before considering further action
Consider making an emergency supply if it can be clarified that the item has been prescribed by a valid prescriber before
Contact the patient’s prescriber to see if you can get them to send you an electronic NHS prescription
Get the prescriber to fax you a prescription and use that as a private prescription
Send the patient to A&E to get a prescription
Tell the patient that there is nothing you can do for them
Tell the patient to try the non-NHS pharmacy down the road
Advise the patient to see a local prescriber to get a prescription
Emergency supplies cannot be made to American citizens. As the patient is at no immediate risk referring them to a local prescriber (rather than A&E) would be appropriate.
A Scottish lady in a Scottish pharmacy who is asking for dutasteride for her husband who has taken his last tablet this morning.
Advise the patient to see a local prescriber to get a prescription
Advise that you must speak to the patient themselves before considering further action
Consider making an emergency supply if it can be clarified that the item has been prescribed by a valid prescriber before
Contact the patient’s prescriber to see if you can get them to send you an electronic NHS prescription
Get the prescriber to fax you a prescription and use that as a private prescription
Send the patient to A&E to get a prescription
Tell the patient that there is nothing you can do for them
Tell the patient to try the non-NHS pharmacy down the road
Advise that you must speak to the patient themselves before considering further action
The pharmacist must speak to the patient before an emergency supply at the request of a patient is made.
An English patient visiting a pharmacy in the England, requesting morphine sulfate tablets because she will run out of these tomorrow.
Advise the patient to see a local prescriber to get a prescription
Advise that you must speak to the patient themselves before considering further action
Consider making an emergency supply if it can be clarified that the item has been prescribed by a valid prescriber before
Contact the patient’s prescriber to see if you can get them to send you an electronic NHS prescription
Get the prescriber to fax you a prescription and use that as a private prescription
Send the patient to A&E to get a prescription
Tell the patient that there is nothing you can do for them
Tell the patient to try the non-NHS pharmacy down the road
Contact the patient’s prescriber to see if you can get them to send you an electronic NHS prescription
CD prescriptions can be transferred via EPS and if the patient’s prescriber is happy to prescribe in this way, that prescription could be electronically transferred to the pharmacy
Mr K, an 11-month-old boy, presents with a hoarse barking cough. He has had a cold for the past 2 days and his body temperature is 37.6°C.
Anaphylaxis
Bacterial tracheitis
Chronic obstructive pulmonary disease
Croup
Cystic fibrosis
Dyspepsia
Gastro-oesphageal reflux disease
Peptic ulcer
Croup (or laryngotracheobronchitis) is a common condition which affects infants between the ages of 3 months and 6 years. Typically, the symptoms include a barking cough.
Mr L, a 9-year-old boy, presents with halitosis and dysphagia. His parents tell you that he coughs at night and is complaining of a burning sensation in his upper abdomen.
Anaphylaxis
Bacterial tracheitis
Chronic obstructive pulmonary disease
Croup
Cystic fibrosis
Dyspepsia
Gastro-oesphageal reflux disease
Peptic ulcer
Gastro-oesophageal reflux disease (GORD) is a clinical condition which results from episodes of reflux of acid. It is characterised by heartburn. Further specialist investigations are required for this patient.
A computer generated and hand signed prescription for salbutamol from a doctor who is registered in Australia, presented by a British patient.
Consider dispensing the prescription if the appropriate prescriber checks can be made
Dispense the prescription without making any checks
Dispense the prescription, you can import that product in to the UK
Do NOT dispense the prescription because it is not an NHS prescription
Ask the patient to confirm the indication for the medicine and dispense the UK generic equivalent
Do NOT dispense the prescription, prescriptions from prescribers in this country are not valid in the UK
Do NOT dispense the prescription, the prescriber is not allowed to prescribe whilst in the UK
Do NOT dispense the prescription, the product cannot be supplied in the UK
Do NOT dispense the prescription, prescriptions from prescribers in this country are not valid in the UK
Australian prescribers are not valid prescribers in the UK unless they are also registered with the GMC or another EEA or Swiss regulator.
A computer generated and hand signed prescription for bendroflumethiazide from a Spanish doctor for a British patient.
Consider dispensing the prescription if the appropriate prescriber checks can be made
Dispense the prescription without making any checks
Dispense the prescription, you can import that product in to the UK
Do NOT dispense the prescription because it is not an NHS prescription
Ask the patient to confirm the indication for the medicine and dispense the UK generic equivalent
Do NOT dispense the prescription, prescriptions from prescribers in this country are not valid in the UK
Do NOT dispense the prescription, the prescriber is not allowed to prescribe whilst in the UK
Do NOT dispense the prescription, the product cannot be supplied in the UK
Consider dispensing the prescription if the appropriate prescriber checks can be made
EEA and Swiss prescribers can write prescriptions that can be dispensed in the UK so long as it is a product available in the UK and meets prescription writing requirements.
An NHS prescription from Northern Ireland presented for dispensing in England for lisinopril.
Consider dispensing the prescription if the appropriate prescriber checks can be made
Dispense the prescription without making any checks
Dispense the prescription, you can import that product in to the UK
Do NOT dispense the prescription because it is not an NHS prescription
Ask the patient to confirm the indication for the medicine and dispense the UK generic equivalent
Do NOT dispense the prescription, prescriptions from prescribers in this country are not valid in the UK
Do NOT dispense the prescription, the prescriber is not allowed to prescribe whilst in the UK
Do NOT dispense the prescription, the product cannot be supplied in the UK
Consider dispensing the prescription if the appropriate prescriber checks can be made
Northern Ireland is part of the UK and as such all prescriptions are valid to be dispensed if they meet the legal requirements.
This drug is indicated for use in benign prostatic hyperplasia.
Amoxicillin
Baclofen
Chloramphenicol
Chlorpromazine
Ciprofloxacin
Fludrocortisone
Risedronate sodium
Tamsulosin hydrochloride
Tamsulosin
Contact sensitisation is a risk with this drug.
Amoxicillin
Baclofen
Chloramphenicol
Chlorpromazine
Ciprofloxacin
Fludrocortisone
Risedronate sodium
Tamsulosin hydrochloride
Contact sensitisation is a risk with chlorpromazine
This drug may used to prevent osteoporosis.
Amoxicillin
Baclofen
Chloramphenicol
Chlorpromazine
Ciprofloxacin
Fludrocortisone
Risedronate sodium
Tamsulosin hydrochloride
Risedronate sodium
Sodium risedronate is a bisphosphonate. Bisphosphonates are adsorbed onto hydroxyapatite crystals in bone, slowing both their rate of growth and dissolution, and therefore reducing the rate of bone turnover. This in turn can help prevent osteoporosis.
Before initiating treatment with this medication, a review of oral health should be carried out.
Amoxicillin
Baclofen
Chloramphenicol
Chlorpromazine
Ciprofloxacin
Fludrocortisone
Risedronate sodium
Tamsulosin hydrochloride
Risedronate sodium
Bisphosphonates can cause osteonecrosis of the jaw. As such, prior to treatment an oral health check or review should be carried out.
The CSM has warned that this medicine may induce convulsions in patients with or without a history of convulsions.
Amoxicillin
Baclofen
Chloramphenicol
Chlorpromazine
Ciprofloxacin
Fludrocortisone
Risedronate sodium
Tamsulosin hydrochloride
Ciprofloxacin
Ciprofloxacin is a quinolone. The CSM has warned that quinolones may induce convulsions in patients with or without a history of convulsions; taking NSAIDs at the same time may also induce them.
For the patients described, select the most likely contraindication or caution from the list below. Each option may be used once, more than once, or not at all.
Ganciclovir.
18-year-old male
21-year-old male with type 1 diabetes mellitus
29-year-old male with an abnormally low neutrophil count
35-year-old male with unstable myasthenia gravis
38-year-old female with a haematoma on her upper arm
45-year-old female with blood pressure of 187/112 mmHg
58-year-old female who regularly drinks ginger tea
72-year-old male with erectile dysfunction
Ganciclovir is contraindicated in patients with an abnormally low neutrophil count.
For the patients described, select the most likely contraindication or caution from the list below. Each option may be used once, more than once, or not at all.
Nitrazepam.
18-year-old male
21-year-old male with type 1 diabetes mellitus
29-year-old male with an abnormally low neutrophil count
35-year-old male with unstable myasthenia gravis
38-year-old female with a haematoma on her upper arm
45-year-old female with blood pressure of 187/112 mmHg
58-year-old female who regularly drinks ginger tea
72-year-old male with erectile dysfunction
Nitrazepam is contraindicated in patients with unstable myasthenia gravis
A 45-year-old patient admitted on a hospital ward is suffering from disorientation, blurred vision, vomiting and ataxia.
Amiodarone and simvastatin
Aspirin and salbutamol
Budesonide and formoterol
Carbamazepine and erythromycin
Salbutamol and beclometasone
Simvastatin and St John’s Wort
Theophylline and disulfiram
Warfarin and fluconazole
Carbamazepine and erythromycin
Plasma concentration of carbamazepine is increased by erythromycin thus increased risk of carbamazepine toxicity.
A patient comes into your pharmacy complaining of muscle weakness and tenderness.
Amiodarone and simvastatin
Aspirin and salbutamol
Budesonide and formoterol
Carbamazepine and erythromycin
Salbutamol and beclometasone
Simvastatin and St John’s Wort
Theophylline and disulfiram
Warfarin and fluconazole
Amiodarone and simvastatin
There is an increased risk of myopathy when simvastatin is given with amiodarone.
A patient comes into your pharmacy suffering from ecchymosis and bleeding from the gums.
Amiodarone and simvastatin
Aspirin and salbutamol
Budesonide and formoterol
Carbamazepine and erythromycin
Salbutamol and beclometasone
Simvastatin and St John’s Wort
Theophylline and disulfiram
Warfarin and fluconazole
Warfarin and fluconazole
Anticoagulant effect of warfarin increased with fluconazole.
She calls the pharmacy to state she is stopping her methotrexate treatment to try for a baby. She would like to know how long she needs to continue to use contraception for.
1 week
4 weeks
30 days
6 weeks
3 months
90 days
26 weeks
One year
26 weeks
Women must not get pregnant during methotrexate therapy, and effective contraception must be used during treatment with methotrexate and at least 6 months thereafter.
