30th

Question 1

Which of the following requires a dose reduction with concomitant use of verapamil?

• apixaban
• dabigatran
• rivaroxaban
• warfarin

Answer 1

• Verapamil may increase the plasma concentration of dabigatran therefore increasing its effects
• For this reason, the manufacturer advises that the dose is adjusted in patients taking verapamil.

Question 2

A patient is prescribed methotrexate for rheumatoid arthritis.

Which statement is the LEAST appropriate for this patient?

• It is taken once a week
• It may cause blood problems
• It may cause hearing disturbances
• It may cause liver problems
• It may cause respiratory effects

Answer 2

It may cause hearing disturbances

Question 3

A 20-year-old woman is going on holiday to Spain.

Which of the following would be suitable advice to give her to help prevent her contracting travellers’ diarrhoea?

• avoid peelable fruits
• drink tap water only
• eat plently of fresh salad
• only consume pastuerised milk

Answer 3

Pasteurised milk is safer to drink than unpasteurised milk as there is a lower risk of bacteria thriving in the milk and causing infective diarrhoea

Question 4

a pt says shes experiencing diarrhoea after metformin prescription what is your advice

Answer 4

slow increases in dose can improve tolerability or a formulation change may need to be considered

Question 5

A parenteral drug misuser is seen in the clinic.

Which vaccine is indicated for this patient?

Answer 5

Hepatitis A vaccine

Question 6

Mrs D comes into your pharmacy. She tells you that her 13-year-old child suffers from Leber’s Hereditary Optic Neuropathy and asthma. Her urine is red-brown in colour. She usually takes the following medication:

Salbutamol 2 puffs when required
Beclometasone 2 puffs twice daily
Idebenone 300 mg three times daily

which drug causes red-brown urine

Answer 6

idebenone

Question 7

Which of SSRIs is the most safe for someone who has had a recent myocardial infarction?

Answer 7

sertraline

Question 8

A mother requests a product over the counter for her 7-year-old son who is suffering from a cold.

She wants to purchase a nasal drop containing xylometazoline. What is the maximum length of time the child should use it for?

Answer 8

5 days

Question 9

How many CPD entries are you required to submit per year?

Answer 9

4

Question 10

what does p.c. mean

Answer 10

after food

Question 11

Which herpes infection presents near the oral region?

Answer 11

herpes labialis

Question 12

Which is a reason for Mrs K to stop her HRT immediately?

Answer 12

severe stomach pain

Question 13

Which of the following beta-blockers is LESS suitable for a once daily regime?

-atenolol
bisoprolol
celiprolol
nadaolol
propanolol

Answer 13

propranolol