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The patient is already taking enalapril 20 mg daily, atenolol 100 mg daily and 1 the patient may experience a hypotensive reaction 2 the patient may experience a hypertensive reaction 3 there is an increased risk of nephrotoxicity Q41 Ivabradine 1 causes tachycardia 2 is indicated in patients with an acute myocardial infarction 3 may lead to blurred vision Q42 When testing body fluids in a pharmacy, it is recommended that: 1 tests are hydrocodone itching carried out in a designated area in the pharmacy 2 contaminated waste is disposed of in an appropriate dustbin 3 test is undertaken after opening hours Q43 Which of the following statement(s) is (are) correct about omeprazole? 1 it inhibits gastric acid by blocking the hydrogen- potassium adenosine triphosphate enzyme system of the gastric parietal cell 2 side-effects expected include diarrhoea, headache, nausea and vomiting 3 concomitant use with phenytoin is associated with enhanced effects of phenytoin Q44 Which of the following statement(s) is (are) true about digoxin? 1 it has a long half-life 2 side-effects include nausea, vomiting, diarrhoea, abdominal pain, arrhythmias 3 a geriatric dosage formulation is available as 62.5 pg tablets 1 avoid exposure to sunlight 2 use a sun protection lotion daily 3 be careful when driving at night Q46 When dispensing simvastatin, the patient should be advised 1 report promptly unexplained muscle pain, tenderness and weakness 2 take dose at night 3 follow dietary measures Q47 Sumatriptan should be used with caution in patients: 1 with a history of angina 2 taking fluoxetine 3 taking enalapril maleate Q48 Doxycycline: 1 is contraindicated in children under 12 years 2 cannot be used in patients with kidney disease 3 is only active against Gram-positive organisms Q49 Which of the following drugs should be avoided in breast-feeding? 1 aspirin 2 diazepam 3 amoxicillin Q50 Referral is warranted when a patient presents with a headache that is: 1 accompanied by nausea, vomiting and nose bleeds 2 accompanied by paraesthesia, numbness 3 unilateral Q51 Croup: 1 occurs in young children 2 is characterised by a barking cough 3 may lead to cyanosis and respiratory failure Q52 Verrucas: 1 are caused by the human papilloma virus 2 hydrocodone cough suppresant are characterised by a cauliflower-like appearance 3 may be contracted in swimming pools and public baths Q53 Hiatus hernia: 1 is the protrusion of a portion of the stomach into the thorax 2 may be asymptomatic 3 is common in obese patients Q54 Gluten-free products are recommended to patients with: 1 coeliac disease hydrocodone itching 2 diabetes mellitus 3 l iver disease Q55 Chilblains: 1 are local inflammatory lesions 2 occur in cold conditions 3 are accompanied by intense pruritus Q56 Migraine headache: 1 may be precipitated by ingestion of chocolate 2 may be preceded by an aura 3 is due to sustained contraction of skeletal muscle 1 is used for labyrinthine disorders 2 should be used with caution with paracetamol 3 is available only as a parenteral dosage formulation Q58 Septicaemia: 1 occurs when pathogenic microorganisms are present in the blood 2 is characterised by fever, chills, diarrhoea, nausea and vom iting 3 is caused only by fungi Q59 Hypokalaemia: 1 is characterised by plasma potassium concentration below 60 mmol/l 2 may be caused by diuretic therapy 3 is fentanyl versus oxycodone equivalents characterised by muscle weakness, cramps Q60 Patients who complain of abdominal pain should be referred when: 1 they describe pain as unbearable 2 it is associated with rapid weight loss 3 accompanying symptoms include vomiting and constipation Q61 Infantile seborrhoeic dermatitis: 1 is one type of eczema 2 may be relieved by rubbing almond oil before washing the hair 3 is due to an infection by a microorganism Q62 Lithium: 1 is used in the prophylaxis of mania 2 has a narrow therapeutic index 3 cannot be used concurrently with diuretics Q63 Knee caps: 1are indicated for soft tissue support 2are contraindicated in patients taking NSAIDS 3may cause hypersensitivity reactions Q64 hydrocodone overseas pharmacies Preparations that could be recommended to a patient hydrocodone itching who is com plaining of dry skin include: 1 E45 cream 2 Oilatum bath additive 3 Nizoral shampoo Q65 In elderly patients, thyroxine therapy: 1 is started at a dose of 25 to 50 pg daily 2 initial dose is adjusted at intervals of at hydrocodone itching least 4 weeks 3 a pre-therapy ECG is recommended Q66 Drugs that may have an adverse effect on contact lens wear include: 1 Phenergan 2 Valium 3 Cilest Q67 Which of the following drugs do NOT cause dependence?



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