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Q82 Diuretic therapy is interrupted for 1 month when ACE inhibitors are being added to a patient's drug therapy. Diuretics interfere with the action of ACE inhibitors.

Questions 83-100 Directions: These questions involve cases. Read the prescription or case and answer the questions.

Questions 83-87: Use the prescription below Patient's name: Age: 34 years Clarithromycin 250 hydrocodone composition mg tablets b.d. 1 bottle Doctor's signature: Q83 Codei ne linctus: 1 may be useful if sleep is disturbed by coughing 2 improves phentermine tin viagra xanax sputum expectoration 3 is useful when the cough is occurring as a side-effect of another drug A 1, 2, 3 B dose of oxycodone 1, 2 only C 2, 3 only D 1 only E 3 only Q84 Clarithromycin: 1 is a derivative of neomycin 2 dosage frequency may be increased to three times daily 3 should be used with caution in patients who are predisposed to QT interval prolongation A 1, 2, 3 B 1, 2 only C 2, 3 only D 1 only E 3 only Q85 The patient develops vaginal thrush superinfection. The most appropriate treatment propranolol la with clonazepam is: A povidone-iodine B clindamycin C econazole D sulphonamide E penicillins Q86 Which of the following have to be avoided when the patient is taking clarithromycin? A bumetanide B warfarin C cimetidine D naproxen E phenylephrine Q87 Which of the following auxiliary labels should be used during dispensing? If affected do not drive or operate machinery' 2 'Take at regular intervals. Complete the prescribed course unless otherwise directed' 3 'Avoid exposure of skin to direct sunlight or sunlamps' A 1, 2, 3 B 1, 2 only C 2, 3 only D 1 only E 3 only Questions 88-91: Use the prescription below Patient's name: Age: 45 years conjugated oestrogen 625 pg/norgestrel 150 pg tablets 1 daily repeat for 3 months Doctor's signature: 1 stroke 2 ovarian cancer 3 osteoporosis A 1, 2, 3 B 1, 2 only C 2, 3 only D 1 only E 3 only Q89 The patient is advised 1 have a 7-day interval between the three courses 2 take one tablet daily 3 start subsequent courses without interval A 1, 2, 3 B 1, hydrocodone composition 2 only C 2, 3 hydrocodone composition only D 1 only E 3 only Q90 Absolute contraindications to the use of this combination product are: 1 thromboembolic disorders 2 oestrogen-dependent carci 3 history of hydrocodone composition migraine A 1, 2, 3 B 1, 2 only C 2, 3 only D 1 only E 3 only 1 self-adhesive patches 2 cream 3 pessaries A 1, 2, 3 B 1, 2 only C 2, 3 only D 1 only E 3 only Questions 92-94: Use the case below: A 24-year-old woman comes to the pharmacy with a new prescription for amitriptyline 25 mg tablets, two tablets t.d.s. Q92 When dispensing the above prescription the pharmacist should advise the patient that side-effects to be expected are: 1 increased micturition 2 heartburn 3 drowsiness A 1, 2, 3 B 1, 2 only C 2, 3 only D 1 only E 3 can hydrocodone cause atrial fibrillation only Q93 The label produced for the medicine dispensed to the patient should include: A take two tablets three times daily B take two tablets four times daily C take two tablets three times daily after meals D take two tablets three times daily before meals Etake one tablet three times daily Q94 The patient returns to the pharmacy after 4 days complaining that the drug is causing dry mouth, constipation and that the drug has not improved the symptoms of depression.



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