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1)
Which of the following is correct for otitis externa? (P5)
a) There is inflammation of the skin
surrounding the auditory canal
b) There is inflammation of the inner ear
c) There is inflammation of the middle ear
d) Another name for this condition is glue
ear
2)
Which of the following is correct for otitis media? (P5)
a) There is inflammation of the inner ear
b) This condition does not result in any
hearing loss
c) In children, chronic otitis media may
result from untreated glue ear
d) This condition is always caused by an
infection
3)
Which of the following is the correct statement regardingsinusitis?(P9)
a) The skin is colonised with Staphylococcus aureus
b) This condition is also known as hay fever
c) There is inflammation of the nasal passageways due to infection
d) There are often no symptoms
4) Describe at least 2 symptoms of ear wax build up (P5)
5) Describe2 possible
triggers and 2 symptoms of allergic rhinitis (P9)
6)Briefly describe the difference between
seasonal and perennial rhinitis? (P9)
For
each of the ear or nasaldisorders in questions7-13 you will be given the name
of a drug and an action. Firstly decide whether the drug can be used for the disorder.
Then decide if the action described would help the disorder. Then make a
decision on whether the action is a correct description of how the drug is used
to help the patient.
After
this, select the appropriate answer using the options below:
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A – The drug can be used for this disorder and the
action is a correct description of how the drug works
B – The drug can be used to treat this disorder but the
action is not the correct description of how the drug works
C – The drug is NOT used for this disorder but the
action described would help to treat a patient with this disorder
D – The action is a correct description of how the drug
works, however the drug is NOT used for this disorder
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Questions 7 and 8 are concerned with otitis
externa(P6)
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7)Drug: Betnesol ear drops
Action: Reduces inflammation
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Action: Antibiotic action
Questions 9and 10 are concerned with
thenasal staphylococci (P10)
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9)Drug: Mupirocin cream
Action: Reduces inflammation
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Action: Treats bacterial infection and
inflammation in the ear
Questions 11 and 12 are concerned
with acute otitis media(P6)
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Action: Topical antibiotic and
antiseptic action
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Action:Local anaesthetic action
Question13 is concerned with sinusitis
(P10)
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13) Drug: Amoxicillin capsules
Action: Antibiotic action
14) Use the BNF or SPCs to determine whichone
of the following medications does NOT include sensitivity reactions as a
possible side effect?
a) Mupirocin
Nasal Ointment
b) Locorten-Vioform
ear drops
c) Chloramphenicol
ear drops
d) Waxsol ar
drops
e) Otex Ear
drops
f) Naseptin
Nasal Cream
15) State one product that can be used to
treat ear wax build-up, state the active ingredient(s) and describe how it
works (P6)
16) Outline the common side effects of the
drug you have written about in question 15. (P7)
17)
What
counselling could you give to a patient on how to use the product you have
written about in question 15? (P8)
18) Which of
the following drugs can be recommended and sold over the counter for the
treatment of allergic rhinitis to a person who drivesa taxi for a living? (P10)
a) Chlorphenamine
maleate tablets
b)
Clemastine tablets
c) Prednisolone
tablets
d)
Fluticasone propionate nasal spray
19) Outline the common side effects of the
drug selected in question 18.(P11)
20) Describe how of the drug selected in
question 18 works in the treatment of allergic rhinitis. (P10)
21)Provide
at least 2 pieces of general advice to the taxi driver about this medicationselected
in question 18 (e.g. use, storage etc). (P12)
22) Which of the
following diseases are described correctly? (There are 3 correct answers)
a) Oral thrush – red patches
on the gums which often bleed when brushing your teeth
b) Tonsillitis – an infection
of the tonsils which results in them swelling
c) Tooth decay – mottling of
the enamel caused by a lack of fluoride
d) Cold sores – initially a
tingle then sores develop, usually around the mouth or nose
e) Dry mouth – less saliva is
present as a result of injury, disease or drug treatment
23) Which one of the following mouth diseases can be caused by bacteria?
a) Tonsillitis
b) Oral thrush
c) Dry mouth
d) Cold sores
24) Which one of the following mouth diseases is caused by a virus?
a) Gingivitis
b) Tooth decay
c) Oral thrush
d) Cold sores
A patient comes into the pharmacy and
complains of having a particularly painful crop of mouth ulcers.
25) Describe 4 possible causes of oral
ulceration and inflammation
26) What everyday problems might
these mouth ulcers lead to? Describe at least 2 problems in your answer.
27)Briefly describe 4
situations in which you would refer a patient with a mouth ulcer to the
pharmacist
For
each of the mouth and throatdisorders in questions 28-35 you will be given the
name of a drug and an action. Firstly decide whether the drug can be used for
the disorder. Then decide if the action described would help the disorder. Then
make a decision on whether the action is a correct description of how the drug
is used to help the patient.
After
this, select the appropriate answer using the options below:
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A – The drug can be used for this disorder and the
action is a correct description of how the drug works
B – The drug can be used to treat this disorder but the
action is not the correct description of how the drug works
C – The drug is NOT used for this disorder but the
action described would help to treat a patient with this disorder
D – The action is a correct description of how the drug
works, however the drug is NOT used for this disorder
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Questions 28 and 29 are concerned
with a sore throat
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28)Drug: Dequalinium
chloride lozenges
Action: Local anaesthetic action
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Action: Reduces pain and swelling
Questions 30and 31 are concerned withgingivitis
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30)Drug:Artificial
saliva
Action: Lubricates the mouth and
provides electrolytes
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Action: Anti-microbial action
Questions 32 and 33 are concerned
with oral thrush
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Action: Antibacterial action
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Action:Antifungal action
Questions34 and 35 are concerned with
a dry mouth
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34) Drug: Xerotin oral spray
Action: This has an acidic pH, which
helps to alleviate the dry mouth symptoms
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35) Drug: Aciclovir cream
Action: Lubricates the mouth
36) Which two of
the following medications can lead to discolouration of the teeth?
a) Fluoride
b) Chlorhexidine gluconate
c) Benzydamine hydrochloride
d) AS Saliva Orthana
37) Which two of the following problems can occur as a result of local
anaesthetic use in mouth care?
a) Hypersensitivity
b) Oral thrush
c) Anaesthesia of the pharynx leading to
choking
d) Reye’s syndrome
38) Which one of the following is a side effect of Nystatin
oral suspension?
a) Oral
irritation
b) Tooth decay
c) Dry mouth
d) Discoloration
of the teeth
Questions 39-42 are concerned with the
treatment of mouth ulcers
39)Give the name and form of 4 specific
products that can be sold over the counter for the treatment of mouth ulcers
(P14)
40)For one of these products, provide
instructions on how it should be used (P16)
41) For the product you have named in question 40, name the active ingredient(s) and describe how it works (P14)
42) Outline at
least 2 common side effects of the product you have named in question 40 (P15)
Questions 43-45 are
concerned with the treatment of cold sores
43) Give the name and
form of a specific product that can be sold over the counter for the treatment
of cold sores and give details of the product’s storage and expiry. (P14 and
P16)
44)Name the active ingredient(s) in this
product and briefly describe how it works (P14)
45)Descibe
two possible side effects of this product (P15)
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