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A50 B Venlafaxine is a serotonin and noradrenaline re-uptake inhibitor indicated in depression and may be used in generalised anxiety disorder. Venlafaxine can cause diarrhoea and headache as side-effects. A51 A The dose of aciclovir in patients with renal impairment should be reduced as aciclovir is eliminated by the renal system. Most penicillins are eliminated by the renal system and hence dose reduction of amoxicillin is required in cases of renal impairment. Non-steroidal anti-inflammatory drugs cause the inhibition of the biosynthesis of prostaglandins involved in the maintenance of renal blood flow. This may precipitate acute renal insufficiency in patients no phentermine prescription purchase with renal impairment. Furthermore non-steroidal anti-inflammatory drugs tend to cause water no phentermine prescription purchase and sodium retention and hence aggrevate renal impairment. Patients taking anti-epileptic drugs are advised to take the medicine routinely, as directed, to stabilise and to avoid epileptic attacks as much as possible. Phenytoin has a narrow therapeutic index so it is important to identify side-effects. Patients are therefore advised to report immediately any symptoms of bruising or unexplained no phentermine prescription purchase bleeding. Visual symptoms as a result of phenytoin do not commonly occur. A53 D Endometriosis refers to the abnormal presence of endometrial tissue growing outside the uterus in places such as the abdomen, the peritoneum, ovary and the no phentermine prescription purchase bladder. A54 B The polio vaccine is administered in three doses at 1-month intervals, starting from the age of 2 months. The pertussis vaccine is given in combination with the diphtheria and tetanus vaccines as a 3-in-1 vaccine, the DTP vaccine. The DTP vaccine follows the schedule of the polio vaccine, so at 2 months, the DTP and the polio vaccine are given. Both are repeated at 3 months of age and at 4 months of age. In areas where the incidence of tuberculosis is not greater than 40 per 100 000, the BCG vaccine is not usually recommended for infants of 0-6 months. A55 E Gastro-oesophageal reflux in infants is common and tends to resolve at 12-18 months of age. Simple procedures, such as hydrocodone pain medication posture and thickening of foods, may help to alleviate gastro-oesophageal disease in infants. A56 A buy xanax online no phentermine prescription purchase mo prescription Clinical signs of dehydration in children include tachycardia, loss of skin turgor and dry tongue.

A57 B Mumps is an acute viral infection transmitted by airborne droplets. Mumps is considered to be a childhood infection affecting those between 5 and 15 years of age.

Classic symptoms of mumps include fever, chills, malaise, and enlargement of the parotid glands, which may be unilateral or bilateral. The swelling of the parotid glands may result in the patient experiencing a dry mouth because saliva flow is blocked.

Characteristic symptoms of allergic rhinitis (hay fever) include itchy nose, prolonged hydrocodone bitartrate 10mg sneezing attacks, rhinorrhoea and red, itchy eyes (conjunctival lacrimation). A59 E Cataracts refer to the opacity of the lens of the eye or of its capsule. Symptoms of cataracts are a progressive decrease in visual acuity as the lens becomes visibly opaque. Cataracts are usually painless but pain may be an accompanying symptom if the cataract swells and secondary glaucoma develops. A60 C Calcipotriol is a vitamin D derivative used topically for psoriasis. It does not cause skin discoloration and does not stain clothes.

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