2015 June Exam Compilation
2015 June Exam Compilation
4. Ibuprofen 400 mg per tablet/ capsule with quantity of no more than 50 (however it didn’t
specify whether it was labelled with recommended dose nor didn’t say its for > 12 yrs old )
Answer: S3 ? but could be tricky
6. What is the schedule of MDI Salbutamol containing less than 100mcg or less per dose?
Answer: S3
7. Which of these require an authority for PBS purposes?
a. Ibandronic acid
b. Indomethacin
c. Isotretinoin
d. methylphenidate
- Authority prescriptions are required because they have a narrow therapeutic range.
- Authority prescriptions are required because they have a serious adverse drug reaction
profile and risk benefit ratio needs to be determined for each patient.
One was something like a lawyer call for to obtain information (I think it didn’t say whether it was on
court order or anything), and ask what would be appropriate..
Options were something like (1) gives whatever the lawyer wants (sth like that)
(3) gives whatever the lawyer wants as long as his is with a police
Another question was like someone (the patient him/herself) came in and asked for their
information on record in pharmacy, and ask what would be appropriate..
Options were something like (1) gives whatever they wants (sth like that)
What information do you need to record from a patient when handing out codeine as a
pharmacist only (restricted substance)? Options included photo id, signature, quantity
supplied, name of pharmacist supplying
Which of the following medications does a medical practitioner need authority to write a
script? Clonidine, some other S4’s (no S4B/Ds) and isotretinoin
With regards to deferring a prescription that is still valid, which of the following is true?
Options: only 2 repeats can be deferred, only 2 medications can be deferred, cannot defer a
script that does not have a repeat, any quantity can be supplied whenever the patient wants
General descriptions of schedules 2-9
- Principle of scheduling? Incorrect option “Poisons are scheduled on the basis of a universal
scale of toxicity” Other correct options were listed in SUSMP pg iii
CALCULATIONS
1. A hospital pharmacy calls for 6mg of adrenaline, you were instructed to dilute to deliver
94mL to the patient, which contains dextrose 5% (available ampoule are 1mg/ml). What
infusion rate should it be to give 1mcg/min
2. You have 50mg (substance) of 12% and ask how much of a cream to be added to make it to
5%
Options were like: 120mg, 80mg, 70mg and sth thing else
3. Ask about dilutions. Similar to the one in training session. How much of (substance) is
needed to added to X ml so that when dilute 2ml of this solution in Y ml, it will give a
concentration of Z%
4. Ask about conversion of moles and grams. How much of (a substance) is needed if you
needed X grams of (an element); 2 molecular mass were given
Salicylic acid 2g
Liquid paraffin 2g
Zine Paste 96g
Asked to prepare 500g of Zine and Salicylic acid paste, how much of Zinc Oxide and Salicylic
acid are required
9. 5% of (substance) is contained in 100 g (powder). How much diluent in the form of talc powder is
required to produce a 0.02% powder?
Current plasma levels of a drug is 35mg/L in a patient, how long will it take for plasma
concentrations to reach 20mg/L? (Half life = 4 hours)
You need to make a solution:
Sufficient Potassium chloride to provide a daily dose of 30mmols of potassium
Raspberry syrup 100 mL (cant remember exact mLs)
Water to 250 mL
How much potassium chloride do you need to make this solution?
- Child with given height and weight. Cortisteroid dose is 10mg/kg. Apply 2/3 in the morning
and 1/3 at night. How much corticosteroid is needed in the morning?
- Infusion rate
- Know how to calculate half life , rate constant . Gives you a concentration of something at 30
mcg in your body . Half life was 4 hours ? What is the concentration at 5 hours . – Only one
answer was correct around 25 mcg
- Got calculations to do concentration equivalency – 50 mcg = 0.005mg = 0.000005g. Know
how to do these on the calculator and how they are equal
- Eye drops – 2 drops tds = 6 drops a day . 1 ml is 20 drops or something . What was the
concentration of a the medication that you will have
- Calculate renal clearance – for a lady . remember 0.85
- Calculation for amoxil 250mg for a child that is 15 kg .
- What is the best way to describe the schedules in the poison
- Half life
- Dilutions
- Amount of Na in a solution of NaCO3
- Amount of K in a solution of KCI (given molecular mass of K and Cl)
- Eye drop question
- Antibiotic dose given height and weight. Work out BSA and amount of drug in mg
Pharmacy Practice
- Headache
- Seizures
- Thirst
- And Sth..
- Scabbing
- Granulation
- Promote optimal environment for wound to heal
- Only need to change dressing every 5-7 days
6. MOA of Cyclophosphamide
7. Progestogen Only Pill, the lady hasn’t taken this before; recently give birth; what would be the
most appropriate advices?
- It must be taken on the same time with no more than 3 hours overdue everyday
- Take extra precautions until 7 days of the pills have been taken; if sexual intercourse will
happen
- And sth else…
- Refrigerate
10. A 2 yrs old is taking an antibiotic but is experiencing severe diarrhoea, what do you do?
11. A lady is suffering from dry cough and she is breastfeeding, which one is appropriate
- Pholcodine
- Codeine
- Sth else
- Prostaglandin
- Leukotriene
- Histamine
- And something else
14. Case study Patient is then released from hospital after that, what treatment should be given
(sth like that)
15. A girl’s face knocked by a tennis ball, her nose is bleeding, what to do?
- Head forward, pinch the upper position of the soft part of nostrils
- Head forward, pinch the lower position of the soft part of nostrils
- Head backward and sth…..
17. Given few options of drug treatments for neuropathic pain, cannot recall what they were
18. Ask something about the type of neuropathic pain that do not evoke? (cant remember what it
said); One option was like…
- Allodynia
20. Case study What are the least appropriate counselling points for the patient starting Morphine
controlled release 30mg; profile dose was 1bd
- Paracetamol overdose
- Opiates overdose
- And something else
- Venlafaxine
- Phenytoin
- Carbamazepine
- Digoxin
- And something else
23. A patient has potassium concentration of 5.5 mmol/L but there are no changes to their ECG.
What does this indicate?
24. Given a list of drugs and asked which one is most sedative
- Quetiapine
- Olanzapine
- And something else
27. What bacteria has a circular shape when look under microscope?
- E.coli
- Anthracis
- And something else
- 5 mg daily
- ADH
- Vasopressin
- Renin
- And something else
- ADH
- Vasopressin
- Renin
- And something else
-
32. Asked something about Timolol eyedrop
- Keep in the fridge once its opened
- Careful if get from bed / Chair
- And something else
- Air conditioner
- On plane
- Rheumatoid arthritis (AMH 2015 p.481)
- And something else
- Vitamin E cream
- Lanolin
- Hydrocortisone 1%
- Betamethsone Valerate
- And something else
35. Another questions about which one can be used on the face
- Half the dose (AMH 2015 p.570, p. 655) – can’t remember the number
37. Paracetamol overdose – regarding use of Acetylcysteine, which one is not correct
- Eggs
39. Bited by Red back spider, which one of the following is not correct
40. Patient was taking drugs that interacts with erythromycin, what should be used instead..
- Only remember roxithromycin..
- 100mg daily 2 days before entering and 4 weeks after leaving the area
- (AMH 2015 p.140)
- Adapalene
- Isotretinon
- An anti-fungle….
- And something else
44. Which should not be used with someone has high BP( I think?sth deal with the heart)
47. Case study asked about depression treatment for someone with a few cardiovascular
complications..
48. Nicotine treatment, which one is least appropriate
11. If a person is allergic to glibenclamide, their risk of allergy is increased for which of the following?
14. How long is required to return to effective contraception if a patient has missed a progestogen
pill for more than 3 hours?
- E. coli
- S. aureus
- Promote granulation
- Scab formation
-?
18. Which medication will increase the INR when taking warfarin?
- Equipotent to morphine.
22. Which medication is the most suitable to treat an acute UTI if the patient has had a previous
allergic reaction to penicillins (anaphylaxis)?
23. What dose and frequency of amoxicillin is required to treat a child presenting with otitis media?
24. A child had pain in his ear with discharge last night, but the pain has lessened today. What
management option is the most suitable?
25. An infant has had diarrhoea for >24 hours. Which is the most suitable management option?
49. Which of these AE drugs when combined with lamotrigine increases the risk of skin toxicity?
Options: Sodium Valproate, carbamazepine
50. Which of these is INCORRECT in regards to glyceryl trinitrate? A: Spray 1-2 sprays of glyceryl
trinitrate, repeat once only
51. Which of these is contraindicated with moclobemide? A: pethidine
52. What is not symptomatic of lactic acidosis?
53. Which of these is most likely to cause orthostatic hypotension? A: TCA, other options:
nifedipine, domperidone…
54. Which of these should be avoid in asthmatic patient? A: betaxolol eye drops
55. Case study: Mr. L is having angina symptoms at night, which of these is the best treatment
option? Options: increase isosorbide mononitrate (but already on max.dose), change
isosorbide mononitrate to bd dosing, A: take isosorbide mononitrate at night instead of
morning dosing
56. Case study: what is the best treatment option for Mr.K’s diabetes? Options: metformin,
gliclazide, acarbose, .. need to calculate CrCl, metformin is contraindicated in patient with
CrCl< 30mL/min, choose gliclazide
57. Which mico-organisms is the cause of atypical pneumonia? A: Mycoplasma pneumoniae
58. Which micro-organisms appear purple under microscope? A: Staph. Aureus, options: E.Coli…
- First aid nose bleeds: lead forward and pinch top of nose
- Bacteria spherical in shape for a specific gene
o Know where to find the shapes of them
- Child with a crusty lip and a rash on their hand: Impetigo
o First line is not amoxil
- Red back spider
- Treatment of a UTI in a child with a penicillin allergy
- Organism responsible for pneumonia?
- First aid for CPR – 30 pulse and 2 pulses BEFORE AND AFTER
- What causes swelling in the leg as a side effects
o Naproxen
o Amlodipine
- What is the most common pathogen for vaginal candididas
o Find in your AMH in the first section under vaginal thrust
- How long can insulin be stored in the fridge
- Common pathogens for whopping cough
- What vaccines should a 6 month have
- What is the routine for DPPT
- If they patient has had the DPPT do they still need the DPPT booster ??
- Counselling for metformin
- What vitamin can’t you take for when you are pregnant ?
o Vitamin A
- Scabies –where do you apply – counseling points –for a 4 yrs
- Parkinson’s disease –
o Extrapyramidal side effects
o What medications can you not take
o What other things do you have to beaware of such as side effects
- Pregnant women- first line for runny nose ICS vs decongestant
- Which SSRI cant be used in pregnancy
- Antihistamine safe to use in pregnancy
- Lady taking COC at 7am but has missed her dose. It’s now 3pm the same day. What should
she do?
• Take immediately and everything is okay
• Skip and take at 7am tmr
• Take immediately and use extra protection for 7 days
- Contraceptive of choice in lady breastfeeding? They gave 2 progestogen only but one of the
doses was wrong.
- Which of the following is not used for neuropathic pain?
- Common pathogen found in someone with whooping cough
- Drug of choice in someone with mastitis
- A lot of questions re the table at the beginning of chapter % (~6)
- Antihypertensive of choice in someone with diabetes
- High strength vs low strength corticosteroid. Why would the doctor prescribe 2 types of
steroids for the same thing?
- Considerations required when prescribing someone insulin after all oral options are
exhausted eg/ weight, age, other medical conditions
- How long can insulin be out of the fridge if you’ve already used it (APF)
- 2 common side effects of metformin
- Vitamin you cant use in pregnancy
- What do you use in someone who has Parkinsons and has developed tremor from taking
metoclopramide?
- Counselling points of metformin
- Diabetes medication such metformin help CVD by: decreasing BP and lipid levels (incorrect
option)
- Question re timolol. How/when to take it and counselling points.
- Someone taking codeine. Which laxative should you be taking
- Effective of methotrexate in RA and whether it had any side effects
- Which of the following antiepileptic medications is not used in neuropathic pain
- First choice for urogenital symptoms in HRT? A was vaginal oestrogen
- Which of the following is NOT used in urinary incontinence in a women? Oestrogen,
prazosin, tranexamic acid
- Choice of benzo in old lady with transient insomnia
- What age do you give Diphteria, tetanus, pertussis vaccine
- Scabes. Where do you apply permethrin?
- Which of the following drugs would work best if taken at least 30mins before food?
flucoxacillin
- If someones on a low sodium diet? Which potassium salt do you take as a replacement?
KCL,K iodide, K acetate etc
- Someone who has parkinsons taking levodopa and benztropine? And now has alheziemers?
Which is the first action you take? Commence donepezil, cease benztropine
- CPR procedure: 2 breaths 30 external compressions 2 breaths
- What to do if you miss a dose of alendronate
- Drug that doesn’t require TDM? Phenytoin, digoxin, venlafaxine, valproate
- Ginger. Incorrect option
- 5 month old baby who has loose bowel movements for 2 days. What do you recommended?
Continue breastfeeding, continue breastfeeding and take ORF, stop breastfeeding and take
ORS, continue breastfeeding and see Dr
a. Kcl
b. KI
c.NaHCo3
d. NH4Cl
Q.3) Which one is the most suitable treatment option for vaginal thrush 1 month pregnant women
a. cotrimazole cream
b. cotrimazole pessary
c. fluconazole tab
d.Miconalzole
Q.5) Ginger
a. Rifampacin
b. carbamazepine
c. Phenytoin
d. buprofen
e. sulfamethoxazole/trimethoprim
a. sertaline
b. escitalopram
c. fluxotine
d. citalopram
e. fluvoxamine
Q.8) Which of the following condition alter urea level of the body
a. Renal failure
b. hypertension
d. diabetes
a. prazocin
Q.17) Lady using rifampicin for long term, What do you recommend for contraception?
Take a missed dose and use extra method of contraception for a week
Q.22) Treatment option for UTI no option of Nitrofurnatoin, trimethoprim but there was option of
cephalexin ,amoxycillin ,doxycycline etc
a. renal impairment
b. disbetes
c. smoking
a. prozosin
b. frusomide
a. 4 months
b.6 months
c. 4 years
Q.30) Lady concern about giving MMR vaccine to her 12 years old child. choose the best suggestions
Q.32) What would you recommend for a lady taking oral retenoids for her acne?