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, Medical & Nursing | Misc Healthcare Topics I of IV pages
1. You work in a community pharmacy. One morning, Mrs. Kennedy presents in your pharmacy with the
shown in the picture. She explains that she first noticed it this morning. Besides the bloodshot eye, she has no
symptoms, and her vision is not impaired. She only takes atorvastatin 20mg once daily. She would like you to
her on the next step of action to take ? A. Give self-limiting advice. B. Sell chloramphenicol OTC. C. Refer to
A. Give self-limiting advice.
> bloodshot eye: without symptoms, with symptoms could indicate SCH
2. Regarding Private Controlled drug prescriptions. You are asked during an audit which of the following
drugs does not need to be written on a standardized form for private prescriptions? Select one answer from
possible options. A. Tramadol 50mg capsules (CD 3) B. Morphine 10mg tablets (CD 2) C. Alprazolam 0.5mg
(CD4Pt1) D. Phenobarbital 50mg tablets (CD3) E. Pethidine 50mg tablets (CD2) F. Buprenorphine 0.4mg
C. Alprazolam 0.5mg tablets (CD4Pt1)
Private Rx, Sch. 2 and 3: standardised formSch. 4 and 5: do not need to be on a form
Vet CD to be on a standardised form: none
Pink FP20PCD: Sch. 2 and 3
3. You work as a community pharmacy when a patient of south Asian origin presents to enquire about vitamin
supplements. Which of the following statements is true in this scenario as regards patients living in the UK ?
Patients with dark skin tend to have a higher Vitamin D level than patients with light skin complexion. B.
with dark skin do not need vitamin D supplementation. C. Patients with dark skin tend to have a lower vitamin
level and needvitamin D supplementation throughout the year. D. Patients with dark skin need vitamin D
in winter but not in summer. E. Patients with dark skin need vitamin D supplantation in summer but not in
C. Patients with dark skin tend to have a lower vitamin D level and needvitamin D supplementation
Darker skin advice: need vitamin D supplementation throughout the year (African, Indian, Bangladesh,
Maintenance: *min: 800u-1000u daily
Treatment: 20000-40000 p/week for 7 weeks (20k twice a week every week M, Th), have it with food
Children Vitamin D: 400u
4. You work as a hospital pharmacist. Mr. J a 60-year-old patient presents in your ward. The chart above shows
drugs he is currently taking. You decide to make an intervention as you have spotted an issue with his
Which of the following options is the most likely reason to make an intervention ? A. Dosage of a medication
C. Drug interaction
Bendroflumethazide 2.5mg @8
Amoxicillin 500mg TDS
Methotrexate 7.5mg Once Weekly @8
Digoxin 250mcg @8
Methotrexate and Amox interaction: amox reduces exertion of methotrexate via the kidneys, increasing
Digoxin interacts with Bendro: electrolyte imbalance (4 kinds)=>digoxin toxicity
5. You work as a pharmacist in a hospital pharmacy. You are presented with the drug chart shown which
to a 75-year-old patient. The doctor on duty has stopped one of the patients drugs. Which of the following is
most appropriate reason why the drug was stopped? Choose an option below. A. Increased risk of serotonin
B. Increased risk of myopathy C. Reduced eGFR D. Coldness of the extremities E. Increased risk of QT
Ramipril (can cause electrolyte imbalance, high potassium, affects kidneys and liver, SE=>dry cough, known
effect, if dry cough is affecting day to day activity, speak with GP to discuss alternative ie ARB): has been
C. Reduced eGFR
When a patient isnt diabetic, ramipril is nephrotoxic reducing kidney function, reducing eGFR. Only
On methotrexate with liver problems, stop taking medicine and go to A/E.
Ramipril with hepatic dysfunction, send to A/E.
Misc Healthcare Topics 2025/26 Edition
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