Training Pharmacist

Question 1 :

<p class="MsoNormal" style="margin: 0cm 0cm 0.0001pt; font-size: medium; font-family: Calibri, sans-serif; caret-color: #000000; color: #000000; font-style: normal; font-variant-caps: normal; font-weight: normal; letter-spacing: normal; text-align: justify; text-indent: 0px; text-transform: none; white-space: normal; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration: none;">A 45-year-old woman visits your pharmacy for some advice. Since the GP changed some of her medications a few days ago she has been experiencing constipation. She is currently prescribed: <p class="MsoNormal" style="margin: 0cm 0cm 0.0001pt; font-size: medium; font-family: Calibri, sans-serif; caret-color: #000000; color: #000000; font-style: normal; font-variant-caps: normal; font-weight: normal; letter-spacing: normal; text-align: justify; text-indent: 0px; text-transform: none; white-space: normal; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration: none;"> - amlodipine 10 mg tablets, 1 om - aspirin 75 mg e/c tablets, 1 om - metformin 500 mg tablets, 1 bd - paracetamol 500 mg tablets, 2 qds - tramadol 50 mg capsules, 1 qds <p class="MsoNormal" style="margin: 0cm 0cm 0.0001pt; font-size: medium; font-family: Calibri, sans-serif; caret-color: #000000; color: #000000; font-style: normal; font-variant-caps: normal; font-weight: normal; letter-spacing: normal; text-align: justify; text-indent: 0px; text-transform: none; white-space: normal; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration: none;"> <p class="MsoNormal" style="margin: 0cm 0cm 0.0001pt; font-size: medium; font-family: Calibri, sans-serif; caret-color: #000000; color: #000000; font-style: normal; font-variant-caps: normal; font-weight: normal; letter-spacing: normal; text-align: justify; text-indent: 0px; text-transform: none; white-space: normal; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration: none;">Which of the following medicines is most likely to be causing the patient’s symptoms? ?

A amlodipine

B aspirin

C metformin

D paracetamol

E tramadol

Question 2 :

A 65-year-old man would like to purchase sildenafil from your pharmacy. According to his summary care record, the patient takes the following medications: - simvastatin 40 mg tablets 1 ON - aspirin 75 mg tablets 1 OM - clopidogrel 75 mg tablets 1 OM - lercanidipine 10 mg tablets 1 OM - Humalog Mix50 (insulin lispro) TDS MDU The patient informs you he has a history of type 1 diabetes, high cholesterol and mild high blood pressure. He had a minor stroke a few months ago and whilst in hospital the doctor also told him he had mild liver damage. Which of the following is the most appropriate advice to give this patient? ?

A inform the patient sildenafil would not be suitable due to his history of high cholesterol

B inform the patient sildenafil would not be suitable due to his history of mild hypertension

C inform the patient sildenafil would not be suitable due to his mild hepatic impairment

D inform the patient sildenafil would not be suitable due to his recent stroke

E inform the patient sildenafil would not be suitable due to his type 1 diabetes

Question 3 :

A 57-year-old man visits your community pharmacy requesting to buy tamsulosin over the counter for benign prostate hyperplasia (BPH). For the past six months he has been experiencing a regular sudden need to urinate and is having to go to the toilet more often than usual, about 12 times a day. He takes amlodipine 10 mg tablets 1 OD for high blood pressure. Which of the following is the most appropriate course of action??

A explain you cannot supply tamsulosin as he is over 55 years old and will need to book an appointment with his GP

B explain you cannot supply tamsulosin as it interacts with amlodipine and may cause his blood pressure to be too low

C explain you cannot supply tamsulosin as the symptoms he has described are unlikely to be related to benign prostate hyperplasia

D explain you cannot supply tamsulosin as the treatment is contraindicated in patients with hypertension

E supply the patient with an initial two-week supply and advise him to return for a further supply if there has been an improvement in his symptoms

Question 4 :

A 36-year-old woman enters your pharmacy with a private prescription for alprazolam 250 microgram tablets, 1 PRN MDU, mitte 6. You dispense the medication to the patient and complete an entry in the relevant register(s). Which of the following is the most appropriate procedure to follow with the private prescription??

A submit to relevant NHS agency

B retain in pharmacy for 1 year

C retain in pharmacy for 2 years

D retain in pharmacy for 3 years

E retain in pharmacy for 5 years

Question 5 :

A randomised controlled trial compared a new antiplatelet medication to aspirin in terms of the risk of atherothorombotic events in patients with a history of symptomatic ischaemic disease. The incidence of atherothrombotic events in the groups at 12 months was 3.2% in people treated with the new drug and 6.6% in people treated with aspirin (p<0.001 for the difference between groups). Number needed to treat = 1/(control event rate-experimental event rate) Which of the following represents the most appropriate number needed to treat??

A 16

B 18

C 30

D 32

E 34