Settler 0624

Question 1

A 38-year-old woman is prescribed Dyzantil (sodium valproate) 500mg m/r tablets x 56 at a dose of 1 BD for epilepsy. She has been taking
it for a decade and is a nurse. You detach the Patient Card from the carton and give it to her. Your dispenser begins to prepare her
prescription for accuracy and clinical checking by yourself.
Which of the following is the most appropriate way to dispense her medication?
1 x 30 original pack (OP)
1 x 30 OP + 20 in white box
1 x 30 OP + 26 in white box
1 x 30 OP + 30 in white box
2 x 30 OP

Answer 1

2 x 30 OP

Question 2

A 14-year-old girl presents at the pharmacy with symptoms of primary dysmenorrhoea. She has no alarm symptoms, no relevant medical
history, and NKDA. She is currently taking paracetamol tablets. Her mother advised her to try naproxen.
Which of the following is the correct age range for the OTC supply of naproxen 250mg tablets?
14-50
15-50
16-55
16-60
18-60

Answer 2

15-50

Question 3

A 78-year-old woman is advised to dissolve ONE EN-Potab (potassium permanganate) 400mg tablet for cutaneous solution is dissolved in
4L of water to cleanse and deodorise her suppurating eczematous wound which she has had for a week.
What is the final concentration of the resulting solution?
1 in 10
1 in 100
1 in 1000
1 in 10000
1 in 100000

Answer 3

1 in 10000

Question 4

A 36-year-old woman presents in the pharmacy with lower back pain. She has no fever, no difficulty urinating or any other red flag
symptoms. She has not tried anything so far, has no medical conditions or NKDA. She is breastfeeding.
Which of the following is the most appropriate advice to give her?
see GP as nothing is recommended OTC
stay in bed for as long as possible
use an ice pack wrapped in a tea towel to relieve joint stiffness
use ibuprofen gel
use paracetamol alone

Answer 4

Ibuprofen gel

You can take ibuprofen or use it on your skin while breastfeeding. It is one of the painkillers that’s usually recommended if you’re
breastfeeding.
Only tiny amounts get into breast milk and it’s unlikely to cause side effects in your baby. Many people have used it while breastfeeding
without any problems.

Question 5

Which of the following medicines has variations in metabolism between individuals who are poor and ultra-rapid metabolisers?
codeine phosphate
fentanyl
morphine
naproxen
paracetamol

Answer 5

The capacity to metabolise codeine to morphine can vary considerably between individuals; there is a marked increase in morphine toxicity
in patients who are ultra-rapid codeine metabolisers (CYP2D6 ultra-rapid metabolisers) and a reduced therapeutic effect in poor codeine
metabolisers.