You are providing a training session on food interactions with medicines.
Which of the following is most likely to interact with grapefruit juice?
- Bisoprolol
- Ciclosporin
- Dabigatran
- Rosuvastatin
- Warfarin
CICLOSPORIN
Patients using this insulin must be counselled that they are to inject their insulin 30 minutes before the start of their meal.
The SPCs are provided here:
- Hypurin porcine neutral: https://www.medicines.org.uk/emc/product/1674
- Insulin aspart: https://www.medicines.org.uk/emc/medicine/25033
- Insulin glargine: https://www.medicines.org.uk/emc/product/8098
- Insulin degludec: https://www.medicines.org.uk/emc/medicine/27360
- Biphasic insulin aspart: https://www.medicines.org.uk/emc/medicine/8591
- Hypurin porcine neutral
- Insulin aspart
- Insulin glargine
- Insulin degludec
- Biphasic insulin aspart
HYPURIN PORCINE NEUTRAL
You are contacted by a carer for advice on administering medicines to a patient.
What is the correct advice for the administration of Mezolar Matrix (fentanyl) 12 mcg/hour transdermal patch?
- Apply the next patch at the same site
- Avoid touching the adhesive side of patches and wash hands after application
- Replace every 48 hours
- Shave prior to application
- Wash the area with soap before applying
Avoid touching the adhesive side of patches and wash hands after application
You are working a Sunday morning shift in a high street pharmacy in England.
A mother approaches you and asks for a spacer for her five year old son because his has broken. What would be the most appropriate course of action?
- Advise the mother to ask her GP for a prescription on the Monday
- Demonstrate how to use an inhaler without a spacer
- Make an emergency supply
- Sell the mother a spacer
- Send the mother to an out of hours service for a prescription
Sell the mother a spacer
You have been asked to recommend a beta-blocker for a patient who usually suffers from cold extremities.
Which of the following beta-blockers is the most appropriate for the patient concerned?
- Atenolol
- Carvedilol
- Labetalol
- Pindolol
- Propranolol
PINDOLOL
ISA BBs have less cold extremities s/e
- A cebutol
- C eliprolol
- O xprenolol
- P indolol
You are asked to speak to a patient over the counter in a community pharmacy. On questioning you suspect the patient has hay fever.
Which of the following is NOT a symptom of hay fever?
- Blocked nose
- Coughing
- Dry eyes
- Loss of smell
- Tiredness
Dry eyes
You want to obtain guidance on prescribing restrictions for podiatrist independent prescribers.
Which of the following is the most appropriate reference source to use to find this information?
- British National Formulary
- British Pharmacopoeia
- Martindale: The Complete Drug Reference
- Medicines, Ethics and Practice
- Stockley’s Drug Interactions
MEP
You are running a clinic for patients with diabetes.
You need to be vigilant for signs of diabetic ketoacidosis when withdrawing insulin on patients also taking which medicine?
- Dipeptidylpeptidase-4 inhibitor
- Glucagon-like peptide-1 receptor agonist
- Metformin
- Sodium glucose co-transporter 2 inhibitor
- Sulfonylurea
GLP1-i
MHRA/CHM advice: GLP-1 receptor agonists: reports of diabetic ketoacidosis when concomitant insulin was rapidly reduced or discontinued (June 2019)
Latin abbreviations are commonly seen on prescriptions in both hospital and community pharmacies.
What does the Latin abbreviation ‘a.c.’ stand for?
- Before food
- Take in the evening
- On an empty stomach
- After food
- With food
before food
From the following scenarios, which one of the following patients would have to pay the NHS prescriptions charge for an NHS prescription written in England?
- A woman who has had a still birth within the last year
- A 63-year-old woman on hormone replacement therapy
- A patient with type II diabetes mellitus controlled by diet
- A patient with epilepsy requiring continuous anticonvulsant therapy
- A patient who currently receives income support
A patient with type II diabetes mellitus controlled by diet
A 33-year-old patient comes into the pharmacy with a prescription for a skin complaint. He has erythema around his face in a “butterfly” pattern, with no comedones present. He feels otherwise well and has no other symptoms.
Which of the following treatment options is the LEAST suitable for this skin condition?
- Brimonidine tartrate
- Tetracycline
- Camouflaging make-up
- Erythromycin
- Benzoyl peroxide
Benzoyl peroxide
Benozyl peroxide is for acne NOT rosacea
There are several drugs which may interact with the oral contraceptive Yasmin.
Which of the following drugs reduces the effectiveness of Yasmin?
- Naloxone
- Paracetamol
- Ranolazine
- Rifabutin
- Selegiline
Rifabutin
You are completing some CPD on the use of anticoagulant medicines.
Which of the following is most likely to interact with warfarin and increase the INR?
- Apple juice
- Grapefruit juice
- Pineapple juice
- Pomegranate juice
- Tomato juice
Pomegranate juice
You attend a group CPD session on ear problems. The group discusses a case of eczematous inflammation in otitis externa.
Which one of the following is indicated in this condition?
- Almond oil ear drops
- Gentamicin with hydrocortisone ear drops
- Olive oil ear drops
- Oral aciclovir
- Oral chlorphenamine
Gentamicin with hydrocortisone ear drops
Which of the following statements regarding side effects is correct?
- Digoxin causes alopecia
- Amiodarone causes pin point pupils
- Propranolol causes hypothermia
- Ferrous sulphate causes raised intraocular pressure
- Morphine causes dry mouth
Morphine causes dry mouth
