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Each heading may be used once, more than once, or not at all. Questions 19-23 concern the use of the following drugs in patients with renal impairment: A clarithromycin B clindamycin C co-amoxiclav D fusidic acid E gentamicin Select, from A to E, which affect side tramadol one of the above: Q19 should be avoided in modified-release oral preparation if creatinine clearance is less than 30 mL/minute Q20 has a risk of crystalluria with high doses, particularly during parenteral therapy Q21 requires earlier and more frequent measurement of drug serum concentrations than in patients with normal renal function Q22 requires no caution in patients with renal impairment Q23 is excreted principally via the kidney and accumulation occurs in renal impairment A metoclopramide B promethazine C cinnarizine D cyclizine E hyoscine Select, from A to E, which one of new tramadol cheap overnight the above: Q24 is ineffective in motion sickness Q25 can be recommended for motion sickness when a sedative effect is desired Q26 acts on the chemoreceptor trigger zone Questions 27-31 concern the following cautionary labels: A'May cause drowsiness. If affected do not drive or operate machinery' B 'Swallowed whole, not chewed' C 'Avoid exposure of skin to affect side tramadol direct sunlight or sunlamps' D 'Avoid alcoholic drink' E 'Take an hour before food or on an empty stomach' Select, from A to E, which one of the above should be used when dispensing: Q27 Dulco-lax tablets Q28 Slow-K tablets Q29 Zaditen syrup Q30 dangerous much oxycodone Flagyl tablets Q31 flucloxacillin capsules Questions 32-80 Directions: For each of the questions below, ONE or MORE of the responses is (are) correct. Then choose: Aif 1, 2 and 3 are correct B if 1 and 2 only are correct C if 2 and 3 only are correct D if 1 only is correct E if 3 only is correct Directions summarised A B C D E 1, 2, affect side tramadol 3 1, 2 only 2, 3 only 1 only 3 only Q32 Thrombocytopenia: 1 may arise after 5-10 days of administration of heparin 2 results in spontaneous haemorrhage 3 requires intravenous administration of factor VIII Q33 Patients receiving atomoxetine therapy should be advised: 1 that tics may occur as a common side-effect 2 to report agitation or irritability 3 to seek prompt medical attention if abdominal pain, darken ing of urine or unexplained nausea interaction xanax occur Q34 Aripiprazole: 1 may cause impotence 2 causes little or no elevation of prolactin 3 may precipitate suicidal ideation 1 is effective in breast cancer that overexpresses human epi dermal growth factor receptor-2 (HER2) 2 may be associated with the occurrence of chills, fever and hypersensitivity reactions as a result of intravenous infusion of the drug 3 is always administered in combination with doxorubicin Q36 Suboxone: 1 contains naloxone, which is a specific opioid antagonist 2 is available as sublingual tablets 3 may cause drowsiness Q37 Care should be taken with the use of the following drugs almost phentermine viagra xanax in a patient with hepatic impairment: 1 statins 2 antihistamines 3 selective serotonin re-uptake inhibitors Q38 Drugs that can significantly interact adversely with calcium-channel blockers include: 1 affect side tramadol atenolol 2 ranitidine 3 gliclazide Q39 Products that should be stored in a refrigerator include: 1 Varilrix 2 Daktacort cream 3 Sofradex eye drops Q40 A patient with hypertension (male 56 years, weight 55 kg) visits the pharmacy with a new prescription for diclofenac.



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