A 74-year-old patient has just been diagnosed with atrial fibrillation and is unsure whether to take warfarin or a direct acting anticoagulant (DOAC).   Which of the following statements regarding anticoagulant therapy is INCORRECT?

 Which of the following products kept in a pharmacy is NOT licensed as a medical device?

A 22-year-old man has been referred to a consultant gastroenterologist with a suspected diagnosis of Crohn’s disease.            Which of the following is NOT a symptom routinely associated with untreated Crohn’s disease?

Which of the following statements concerning the Human Medicines Regulations 2012 is CORRECT?

How much kidney function must be lost before dialysis is needed?

Heartburn 30-60 minutes after eating a meal, worsening heartburn when lying down, night time heartburn and chest pain are all symptoms of?

 A 45-year-old man presents to your pharmacy with sunburn he got whilst gardening yesterday. Which of the following is NOT advisable when treating sunburn?

 A 26-year-old woman reports to your pharmacy to ask your advice as she has recently been experiencing headaches with associated nausea. She tells you the pain is throbbing in nature initially but then spreads across her head and that she feels relief when she sits in a quiet dark room. Before recommending a treatment, you decide to check the patient’s medication record (PMR) as you are concerned the symptoms could be an adverse drug reaction.   Which of the following medicines from the patient’s PMR is MOST likely to have contributed to these symptoms?

You are working in a local pharmacy when a woman comes in and asks for some vitamins. On questioning she states she is considering starting a family, she has no pre-existing medical conditions, drinks a glass of wine each day with her evening meal and does not smoke.  What advice should you provide regarding preparing for pregnancy?  (5 marks)                                                                                 

A 76-year-old lady has developed heart failure following a myocardial infarction 3 years ago. Her symptoms have been getting progressively worse despite treatment with bisoprolol, lisinopril and bumetanide.   Which of the following medicines would be the MOST appropriate to initiate at this stage to help with symptom control?