Here at The Pharmaceutical Journal, it’s time to round off another year and reflect on your learning with our end-of-year quiz. It has been another busy year for the journal, from hosting our first webinar on COVID-19 antivirals to our continued dedication to alternative learning formats, such as podcasts, as well as our recent focus on prescribing skills — with this content linking directly to the RPS Competency Framework for All Prescribers. Our forward thinking allows us to produce highly relevant resources to continue effectively supporting pharmacists in their learning and development.
Our end-of-year quiz is broken down by clinical area, giving you the chance to identify any areas that may benefit from focused learning ahead of revalidation. Work your way through the quiz by expanding the questions in the answer boxes below. When you have answered all the questions, select ‘Finish quiz’ at the bottom of the page to see your score.
Depression
In any given week, it is estimated that one in six people are affected by depression in the UK. Patients should be encouraged to access treatments that are optimised to their specific circumstances, drawing from both pharmacological and non-pharmacological options. Expand question 1 to test your knowledge.
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- Question 1 of 15
1. Question
The National Institute for Health and Care Excellence presents a menu of treatment options for less-severe and more-severe depression in order of their cost effectiveness and ease of implementation, as shown in the image above. Put these treatment options for less-severe depression in order, starting with the easiest and most cost-effective option first.
- Selective serotonin re-uptake inhibitor antidepressants
- Short-term psychodynamic psychotherapy
- Group cognitive behavioural therapy
- Guided self-help
- Interpersonal psychotherapy
View:
CorrectIncorrect - Question 2 of 15
2. Question
Fill in the blanks.
The relationship between the dose of an antidepressant and its effect on target receptors is hyperbolic. When amounts of drug are present, most receptors are unsaturated, and each additional milligram of drug has a additive effect. When amounts of drug are present, most receptors are saturated, and each additional milligram has incrementally effect.
CorrectIncorrect - Question 3 of 15
3. Question
Match the effects of hormone replacement therapy (HRT) to the condition.
Sort elements
- Effect of HRT is unknown
- Some evidence that HRT improves this
- Oestrogen-only HRT has no effect, oestrogen plus progesterone HRT increases risk slightly
- HRT does not affect this
- Oral HRT increases risk
- Dementia
- Muscle mass
- Breast cancer
- Type 2 diabetes mellitus
- Venous thromboembolism
CorrectIncorrect - Question 4 of 15
4. Question
Fill in the blanks.
All patients on intravenous therapy should be reviewed promptly from the dose of intravenous antimicrobial, with formal review completed within hours and daily thereafter, unless there are clearly documented exemptions, such as infective or osteomyelitis.
CorrectIncorrect - Question 5 of 15
5. Question
Look at the above examples of common skin and soft tissue infections and match them with the correct answer.
Sort elements
- Cutaneous leishmaniasis
- Abscess
- Folliculitis
- Cellulitis
- Impetigo
- A
- B
- C
- D
- E
CorrectIncorrect - Question 6 of 15
6. Question
Look at the image above and match the label with the correct stage.
Sort elements
- Stage 3
- Stage 1
- Stage 2
- A
- B
- C
CorrectIncorrect - Question 7 of 15
7. Question
Mutations in which gene result in the disruption of chloride ions?
CorrectIncorrect - Question 8 of 15
8. Question
Match the drug class with its place in therapy for the treatment of asthma in children and young people (according to National Institute for Health and Care Excellence guidelines).
Sort elements
- All steps
- Step 2
- Step 3
- Not included in current NICE recommendations
- Step 5
- Short-acting beta-agonists
- Inhaled corticosteroids
- Leukotriene receptor antagonists
- Long-acting muscarinic antagonists
- Biologics
CorrectIncorrect - Question 9 of 15
9. Question
What are the characteristics of an atrial flutter electrocardiogram reading? Select all that apply.
CorrectIncorrect - Question 10 of 15
10. Question
In the UK, there is a ten-year difference in men’s life expectancy depending on where they live. What one-word answer is the root cause underlying this disparity?
CorrectIncorrect - Question 11 of 15
11. Question
Toxidromes are used as a means of identifying the possible cause of a poisoning and informing subsequent management. Five toxidromes are listed below. Match the correct toxidrome with their associated signs, symptoms and manifestations.
Sort elements
- Hypervigilance, hallucinations; mumbling speech; increased temperature and respiratory rate; increased or normal blood pressure; skin dry and flushed; pupils dilated; dry mucous membranes
- Hallucinations; perceptual distortions; depersonalisation; agitation; normal or increased temperature, heart rate, respiratory rate and blood pressure; pupils usually dilated
- Sedation; coma; normal or decreased temperature, heart rate, respiratory rate and blood pressure; constricted pupils; noncardiogenic pulmonary edema; can develop hypotension
- Sedation; confusion; stupor; coma; normal or decreased temperature, heart rate, respiratory rate and blood pressure; nystagmus; cyclical coma; myoclonic encephalopathy
- Sedation; confusion; stupor; coma; normal temperature; low heart rate; respiratory rate decreased or increased; blood pressure normal or decreased; skin wet; pupils constricted; seizures; salivation; urinary and faecal incontinence; vomiting; weakness
- Anticholinergic
- Hallucinogenic
- Opioid
- Sedative-hypnotic
- Cholinergic
CorrectIncorrect - Question 12 of 15
12. Question
Fill in the blanks.
By understanding and respecting individual , prescribers can collaboratively design a plan that with the patient’s values, resulting in adherence and better outcomes
CorrectIncorrect - Question 13 of 15
13. Question
Active listening involves being present. What does the SOLER model stand for?
CorrectIncorrect - Question 14 of 15
14. Question
Which one of the following is not an example of a microaggression?
CorrectIncorrect - Question 15 of 15
15. Question
What has been shown to be the most effective rationale to use when discussing deprescribing with a patient?
CorrectIncorrect
This question is from ‘Depression in adults: screening, treatment and management’. Please refer to the original article if you would like to learn more.
Antidepressants
It is now recognised that withdrawal effects from antidepressants are common and can be more severe and long lasting than previously understood. Expand question 2 to test your knowledge.
Shutterstock.com
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- Question 1 of 15
1. Question
The National Institute for Health and Care Excellence presents a menu of treatment options for less-severe and more-severe depression in order of their cost effectiveness and ease of implementation, as shown in the image above. Put these treatment options for less-severe depression in order, starting with the easiest and most cost-effective option first.
- Guided self-help
- Short-term psychodynamic psychotherapy
- Interpersonal psychotherapy
- Selective serotonin re-uptake inhibitor antidepressants
- Group cognitive behavioural therapy
View:
CorrectIncorrect - Question 2 of 15
2. Question
Fill in the blanks.
The relationship between the dose of an antidepressant and its effect on target receptors is hyperbolic. When amounts of drug are present, most receptors are unsaturated, and each additional milligram of drug has a additive effect. When amounts of drug are present, most receptors are saturated, and each additional milligram has incrementally effect.
CorrectIncorrect - Question 3 of 15
3. Question
Match the effects of hormone replacement therapy (HRT) to the condition.
Sort elements
- Effect of HRT is unknown
- Some evidence that HRT improves this
- Oestrogen-only HRT has no effect, oestrogen plus progesterone HRT increases risk slightly
- HRT does not affect this
- Oral HRT increases risk
- Dementia
- Muscle mass
- Breast cancer
- Type 2 diabetes mellitus
- Venous thromboembolism
CorrectIncorrect - Question 4 of 15
4. Question
Fill in the blanks.
All patients on intravenous therapy should be reviewed promptly from the dose of intravenous antimicrobial, with formal review completed within hours and daily thereafter, unless there are clearly documented exemptions, such as infective or osteomyelitis.
CorrectIncorrect - Question 5 of 15
5. Question
Look at the above examples of common skin and soft tissue infections and match them with the correct answer.
Sort elements
- Cutaneous leishmaniasis
- Abscess
- Folliculitis
- Cellulitis
- Impetigo
- A
- B
- C
- D
- E
CorrectIncorrect - Question 6 of 15
6. Question
Look at the image above and match the label with the correct stage.
Sort elements
- Stage 3
- Stage 1
- Stage 2
- A
- B
- C
CorrectIncorrect - Question 7 of 15
7. Question
Mutations in which gene result in the disruption of chloride ions?
CorrectIncorrect - Question 8 of 15
8. Question
Match the drug class with its place in therapy for the treatment of asthma in children and young people (according to National Institute for Health and Care Excellence guidelines).
Sort elements
- All steps
- Step 2
- Step 3
- Not included in current NICE recommendations
- Step 5
- Short-acting beta-agonists
- Inhaled corticosteroids
- Leukotriene receptor antagonists
- Long-acting muscarinic antagonists
- Biologics
CorrectIncorrect - Question 9 of 15
9. Question
What are the characteristics of an atrial flutter electrocardiogram reading? Select all that apply.
CorrectIncorrect - Question 10 of 15
10. Question
In the UK, there is a ten-year difference in men’s life expectancy depending on where they live. What one-word answer is the root cause underlying this disparity?
CorrectIncorrect - Question 11 of 15
11. Question
Toxidromes are used as a means of identifying the possible cause of a poisoning and informing subsequent management. Five toxidromes are listed below. Match the correct toxidrome with their associated signs, symptoms and manifestations.
Sort elements
- Hypervigilance, hallucinations; mumbling speech; increased temperature and respiratory rate; increased or normal blood pressure; skin dry and flushed; pupils dilated; dry mucous membranes
- Hallucinations; perceptual distortions; depersonalisation; agitation; normal or increased temperature, heart rate, respiratory rate and blood pressure; pupils usually dilated
- Sedation; coma; normal or decreased temperature, heart rate, respiratory rate and blood pressure; constricted pupils; noncardiogenic pulmonary edema; can develop hypotension
- Sedation; confusion; stupor; coma; normal or decreased temperature, heart rate, respiratory rate and blood pressure; nystagmus; cyclical coma; myoclonic encephalopathy
- Sedation; confusion; stupor; coma; normal temperature; low heart rate; respiratory rate decreased or increased; blood pressure normal or decreased; skin wet; pupils constricted; seizures; salivation; urinary and faecal incontinence; vomiting; weakness
- Anticholinergic
- Hallucinogenic
- Opioid
- Sedative-hypnotic
- Cholinergic
CorrectIncorrect - Question 12 of 15
12. Question
Fill in the blanks.
By understanding and respecting individual , prescribers can collaboratively design a plan that with the patient’s values, resulting in adherence and better outcomes
CorrectIncorrect - Question 13 of 15
13. Question
Active listening involves being present. What does the SOLER model stand for?
CorrectIncorrect - Question 14 of 15
14. Question
Which one of the following is not an example of a microaggression?
CorrectIncorrect - Question 15 of 15
15. Question
What has been shown to be the most effective rationale to use when discussing deprescribing with a patient?
CorrectIncorrect
This question is from ‘Case-based learning: safe withdrawal and tapering of antidepressants’. Please refer to the original article if you would like to learn more.
Women’s health
The term perimenopause describes the period preceding menopause, with accompanying endocrinological, biological and clinical features. Expand question 3 to test your knowledge.
GARO / PHANIE / SCIENCE PHOTO LIBRARY
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- Question 1 of 15
1. Question
The National Institute for Health and Care Excellence presents a menu of treatment options for less-severe and more-severe depression in order of their cost effectiveness and ease of implementation, as shown in the image above. Put these treatment options for less-severe depression in order, starting with the easiest and most cost-effective option first.
- Group cognitive behavioural therapy
- Selective serotonin re-uptake inhibitor antidepressants
- Guided self-help
- Short-term psychodynamic psychotherapy
- Interpersonal psychotherapy
View:
CorrectIncorrect - Question 2 of 15
2. Question
Fill in the blanks.
The relationship between the dose of an antidepressant and its effect on target receptors is hyperbolic. When amounts of drug are present, most receptors are unsaturated, and each additional milligram of drug has a additive effect. When amounts of drug are present, most receptors are saturated, and each additional milligram has incrementally effect.
CorrectIncorrect - Question 3 of 15
3. Question
Match the effects of hormone replacement therapy (HRT) to the condition.
Sort elements
- Effect of HRT is unknown
- Some evidence that HRT improves this
- Oestrogen-only HRT has no effect, oestrogen plus progesterone HRT increases risk slightly
- HRT does not affect this
- Oral HRT increases risk
- Dementia
- Muscle mass
- Breast cancer
- Type 2 diabetes mellitus
- Venous thromboembolism
CorrectIncorrect - Question 4 of 15
4. Question
Fill in the blanks.
All patients on intravenous therapy should be reviewed promptly from the dose of intravenous antimicrobial, with formal review completed within hours and daily thereafter, unless there are clearly documented exemptions, such as infective or osteomyelitis.
CorrectIncorrect - Question 5 of 15
5. Question
Look at the above examples of common skin and soft tissue infections and match them with the correct answer.
Sort elements
- Cutaneous leishmaniasis
- Abscess
- Folliculitis
- Cellulitis
- Impetigo
- A
- B
- C
- D
- E
CorrectIncorrect - Question 6 of 15
6. Question
Look at the image above and match the label with the correct stage.
Sort elements
- Stage 3
- Stage 1
- Stage 2
- A
- B
- C
CorrectIncorrect - Question 7 of 15
7. Question
Mutations in which gene result in the disruption of chloride ions?
CorrectIncorrect - Question 8 of 15
8. Question
Match the drug class with its place in therapy for the treatment of asthma in children and young people (according to National Institute for Health and Care Excellence guidelines).
Sort elements
- All steps
- Step 2
- Step 3
- Not included in current NICE recommendations
- Step 5
- Short-acting beta-agonists
- Inhaled corticosteroids
- Leukotriene receptor antagonists
- Long-acting muscarinic antagonists
- Biologics
CorrectIncorrect - Question 9 of 15
9. Question
What are the characteristics of an atrial flutter electrocardiogram reading? Select all that apply.
CorrectIncorrect - Question 10 of 15
10. Question
In the UK, there is a ten-year difference in men’s life expectancy depending on where they live. What one-word answer is the root cause underlying this disparity?
CorrectIncorrect - Question 11 of 15
11. Question
Toxidromes are used as a means of identifying the possible cause of a poisoning and informing subsequent management. Five toxidromes are listed below. Match the correct toxidrome with their associated signs, symptoms and manifestations.
Sort elements
- Hypervigilance, hallucinations; mumbling speech; increased temperature and respiratory rate; increased or normal blood pressure; skin dry and flushed; pupils dilated; dry mucous membranes
- Hallucinations; perceptual distortions; depersonalisation; agitation; normal or increased temperature, heart rate, respiratory rate and blood pressure; pupils usually dilated
- Sedation; coma; normal or decreased temperature, heart rate, respiratory rate and blood pressure; constricted pupils; noncardiogenic pulmonary edema; can develop hypotension
- Sedation; confusion; stupor; coma; normal or decreased temperature, heart rate, respiratory rate and blood pressure; nystagmus; cyclical coma; myoclonic encephalopathy
- Sedation; confusion; stupor; coma; normal temperature; low heart rate; respiratory rate decreased or increased; blood pressure normal or decreased; skin wet; pupils constricted; seizures; salivation; urinary and faecal incontinence; vomiting; weakness
- Anticholinergic
- Hallucinogenic
- Opioid
- Sedative-hypnotic
- Cholinergic
CorrectIncorrect - Question 12 of 15
12. Question
Fill in the blanks.
By understanding and respecting individual , prescribers can collaboratively design a plan that with the patient’s values, resulting in adherence and better outcomes
CorrectIncorrect - Question 13 of 15
13. Question
Active listening involves being present. What does the SOLER model stand for?
CorrectIncorrect - Question 14 of 15
14. Question
Which one of the following is not an example of a microaggression?
CorrectIncorrect - Question 15 of 15
15. Question
What has been shown to be the most effective rationale to use when discussing deprescribing with a patient?
CorrectIncorrect
This question is from ‘Perimenopause: symptoms and management’. Please refer to the original article if you would like to learn more.
Antibiotics
Timing is one of the five main components of the national criteria for intravenous-to-oral switching of antibiotics. Expand question 4 to test your knowledge.
Shutterstock.com
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- Question 1 of 15
1. Question
The National Institute for Health and Care Excellence presents a menu of treatment options for less-severe and more-severe depression in order of their cost effectiveness and ease of implementation, as shown in the image above. Put these treatment options for less-severe depression in order, starting with the easiest and most cost-effective option first.
- Group cognitive behavioural therapy
- Short-term psychodynamic psychotherapy
- Interpersonal psychotherapy
- Guided self-help
- Selective serotonin re-uptake inhibitor antidepressants
View:
CorrectIncorrect - Question 2 of 15
2. Question
Fill in the blanks.
The relationship between the dose of an antidepressant and its effect on target receptors is hyperbolic. When amounts of drug are present, most receptors are unsaturated, and each additional milligram of drug has a additive effect. When amounts of drug are present, most receptors are saturated, and each additional milligram has incrementally effect.
CorrectIncorrect - Question 3 of 15
3. Question
Match the effects of hormone replacement therapy (HRT) to the condition.
Sort elements
- Effect of HRT is unknown
- Some evidence that HRT improves this
- Oestrogen-only HRT has no effect, oestrogen plus progesterone HRT increases risk slightly
- HRT does not affect this
- Oral HRT increases risk
- Dementia
- Muscle mass
- Breast cancer
- Type 2 diabetes mellitus
- Venous thromboembolism
CorrectIncorrect - Question 4 of 15
4. Question
Fill in the blanks.
All patients on intravenous therapy should be reviewed promptly from the dose of intravenous antimicrobial, with formal review completed within hours and daily thereafter, unless there are clearly documented exemptions, such as infective or osteomyelitis.
CorrectIncorrect - Question 5 of 15
5. Question
Look at the above examples of common skin and soft tissue infections and match them with the correct answer.
Sort elements
- Cutaneous leishmaniasis
- Abscess
- Folliculitis
- Cellulitis
- Impetigo
- A
- B
- C
- D
- E
CorrectIncorrect - Question 6 of 15
6. Question
Look at the image above and match the label with the correct stage.
Sort elements
- Stage 3
- Stage 1
- Stage 2
- A
- B
- C
CorrectIncorrect - Question 7 of 15
7. Question
Mutations in which gene result in the disruption of chloride ions?
CorrectIncorrect - Question 8 of 15
8. Question
Match the drug class with its place in therapy for the treatment of asthma in children and young people (according to National Institute for Health and Care Excellence guidelines).
Sort elements
- All steps
- Step 2
- Step 3
- Not included in current NICE recommendations
- Step 5
- Short-acting beta-agonists
- Inhaled corticosteroids
- Leukotriene receptor antagonists
- Long-acting muscarinic antagonists
- Biologics
CorrectIncorrect - Question 9 of 15
9. Question
What are the characteristics of an atrial flutter electrocardiogram reading? Select all that apply.
CorrectIncorrect - Question 10 of 15
10. Question
In the UK, there is a ten-year difference in men’s life expectancy depending on where they live. What one-word answer is the root cause underlying this disparity?
CorrectIncorrect - Question 11 of 15
11. Question
Toxidromes are used as a means of identifying the possible cause of a poisoning and informing subsequent management. Five toxidromes are listed below. Match the correct toxidrome with their associated signs, symptoms and manifestations.
Sort elements
- Hypervigilance, hallucinations; mumbling speech; increased temperature and respiratory rate; increased or normal blood pressure; skin dry and flushed; pupils dilated; dry mucous membranes
- Hallucinations; perceptual distortions; depersonalisation; agitation; normal or increased temperature, heart rate, respiratory rate and blood pressure; pupils usually dilated
- Sedation; coma; normal or decreased temperature, heart rate, respiratory rate and blood pressure; constricted pupils; noncardiogenic pulmonary edema; can develop hypotension
- Sedation; confusion; stupor; coma; normal or decreased temperature, heart rate, respiratory rate and blood pressure; nystagmus; cyclical coma; myoclonic encephalopathy
- Sedation; confusion; stupor; coma; normal temperature; low heart rate; respiratory rate decreased or increased; blood pressure normal or decreased; skin wet; pupils constricted; seizures; salivation; urinary and faecal incontinence; vomiting; weakness
- Anticholinergic
- Hallucinogenic
- Opioid
- Sedative-hypnotic
- Cholinergic
CorrectIncorrect - Question 12 of 15
12. Question
Fill in the blanks.
By understanding and respecting individual , prescribers can collaboratively design a plan that with the patient’s values, resulting in adherence and better outcomes
CorrectIncorrect - Question 13 of 15
13. Question
Active listening involves being present. What does the SOLER model stand for?
CorrectIncorrect - Question 14 of 15
14. Question
Which one of the following is not an example of a microaggression?
CorrectIncorrect - Question 15 of 15
15. Question
What has been shown to be the most effective rationale to use when discussing deprescribing with a patient?
CorrectIncorrect
This question is from ‘Switching patients from IV to oral antimicrobials’. Please refer to the original article if you would like to learn more.
Skin infections
Early identification and referral of skin and soft tissue infections can minimise the risk of complications and prevent further progression. Expand question 5 to test your knowledge.
DR P. MARAZZI/SCIENCE PHOTO LIBRARY; Shutterstock.com; MID-ESSEX HOSPITAL SERVICES NHS TRUST/SCIENCE PHOTO LIBRARY; GROOK DA OGER CC-BY-SA
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- Question 1 of 15
1. Question
The National Institute for Health and Care Excellence presents a menu of treatment options for less-severe and more-severe depression in order of their cost effectiveness and ease of implementation, as shown in the image above. Put these treatment options for less-severe depression in order, starting with the easiest and most cost-effective option first.
- Guided self-help
- Short-term psychodynamic psychotherapy
- Group cognitive behavioural therapy
- Selective serotonin re-uptake inhibitor antidepressants
- Interpersonal psychotherapy
View:
CorrectIncorrect - Question 2 of 15
2. Question
Fill in the blanks.
The relationship between the dose of an antidepressant and its effect on target receptors is hyperbolic. When amounts of drug are present, most receptors are unsaturated, and each additional milligram of drug has a additive effect. When amounts of drug are present, most receptors are saturated, and each additional milligram has incrementally effect.
CorrectIncorrect - Question 3 of 15
3. Question
Match the effects of hormone replacement therapy (HRT) to the condition.
Sort elements
- Effect of HRT is unknown
- Some evidence that HRT improves this
- Oestrogen-only HRT has no effect, oestrogen plus progesterone HRT increases risk slightly
- HRT does not affect this
- Oral HRT increases risk
- Dementia
- Muscle mass
- Breast cancer
- Type 2 diabetes mellitus
- Venous thromboembolism
CorrectIncorrect - Question 4 of 15
4. Question
Fill in the blanks.
All patients on intravenous therapy should be reviewed promptly from the dose of intravenous antimicrobial, with formal review completed within hours and daily thereafter, unless there are clearly documented exemptions, such as infective or osteomyelitis.
CorrectIncorrect - Question 5 of 15
5. Question
Look at the above examples of common skin and soft tissue infections and match them with the correct answer.
Sort elements
- Cutaneous leishmaniasis
- Abscess
- Folliculitis
- Cellulitis
- Impetigo
- A
- B
- C
- D
- E
CorrectIncorrect - Question 6 of 15
6. Question
Look at the image above and match the label with the correct stage.
Sort elements
- Stage 3
- Stage 1
- Stage 2
- A
- B
- C
CorrectIncorrect - Question 7 of 15
7. Question
Mutations in which gene result in the disruption of chloride ions?
CorrectIncorrect - Question 8 of 15
8. Question
Match the drug class with its place in therapy for the treatment of asthma in children and young people (according to National Institute for Health and Care Excellence guidelines).
Sort elements
- All steps
- Step 2
- Step 3
- Not included in current NICE recommendations
- Step 5
- Short-acting beta-agonists
- Inhaled corticosteroids
- Leukotriene receptor antagonists
- Long-acting muscarinic antagonists
- Biologics
CorrectIncorrect - Question 9 of 15
9. Question
What are the characteristics of an atrial flutter electrocardiogram reading? Select all that apply.
CorrectIncorrect - Question 10 of 15
10. Question
In the UK, there is a ten-year difference in men’s life expectancy depending on where they live. What one-word answer is the root cause underlying this disparity?
CorrectIncorrect - Question 11 of 15
11. Question
Toxidromes are used as a means of identifying the possible cause of a poisoning and informing subsequent management. Five toxidromes are listed below. Match the correct toxidrome with their associated signs, symptoms and manifestations.
Sort elements
- Hypervigilance, hallucinations; mumbling speech; increased temperature and respiratory rate; increased or normal blood pressure; skin dry and flushed; pupils dilated; dry mucous membranes
- Hallucinations; perceptual distortions; depersonalisation; agitation; normal or increased temperature, heart rate, respiratory rate and blood pressure; pupils usually dilated
- Sedation; coma; normal or decreased temperature, heart rate, respiratory rate and blood pressure; constricted pupils; noncardiogenic pulmonary edema; can develop hypotension
- Sedation; confusion; stupor; coma; normal or decreased temperature, heart rate, respiratory rate and blood pressure; nystagmus; cyclical coma; myoclonic encephalopathy
- Sedation; confusion; stupor; coma; normal temperature; low heart rate; respiratory rate decreased or increased; blood pressure normal or decreased; skin wet; pupils constricted; seizures; salivation; urinary and faecal incontinence; vomiting; weakness
- Anticholinergic
- Hallucinogenic
- Opioid
- Sedative-hypnotic
- Cholinergic
CorrectIncorrect - Question 12 of 15
12. Question
Fill in the blanks.
By understanding and respecting individual , prescribers can collaboratively design a plan that with the patient’s values, resulting in adherence and better outcomes
CorrectIncorrect - Question 13 of 15
13. Question
Active listening involves being present. What does the SOLER model stand for?
CorrectIncorrect - Question 14 of 15
14. Question
Which one of the following is not an example of a microaggression?
CorrectIncorrect - Question 15 of 15
15. Question
What has been shown to be the most effective rationale to use when discussing deprescribing with a patient?
CorrectIncorrect
This question is from ‘Skin and soft tissue infections: risk factors and presentations’. Please refer to the original article if you would like to learn more.
Viral infections
Chickenpox is an illness caused by the varicella-zoster virus. There are three stages of symptoms from the onset of chicken pox. Expand question 6 to test your knowledge.
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- Question 1 of 15
1. Question
The National Institute for Health and Care Excellence presents a menu of treatment options for less-severe and more-severe depression in order of their cost effectiveness and ease of implementation, as shown in the image above. Put these treatment options for less-severe depression in order, starting with the easiest and most cost-effective option first.
- Interpersonal psychotherapy
- Short-term psychodynamic psychotherapy
- Guided self-help
- Group cognitive behavioural therapy
- Selective serotonin re-uptake inhibitor antidepressants
View:
CorrectIncorrect - Question 2 of 15
2. Question
Fill in the blanks.
The relationship between the dose of an antidepressant and its effect on target receptors is hyperbolic. When amounts of drug are present, most receptors are unsaturated, and each additional milligram of drug has a additive effect. When amounts of drug are present, most receptors are saturated, and each additional milligram has incrementally effect.
CorrectIncorrect - Question 3 of 15
3. Question
Match the effects of hormone replacement therapy (HRT) to the condition.
Sort elements
- Effect of HRT is unknown
- Some evidence that HRT improves this
- Oestrogen-only HRT has no effect, oestrogen plus progesterone HRT increases risk slightly
- HRT does not affect this
- Oral HRT increases risk
- Dementia
- Muscle mass
- Breast cancer
- Type 2 diabetes mellitus
- Venous thromboembolism
CorrectIncorrect - Question 4 of 15
4. Question
Fill in the blanks.
All patients on intravenous therapy should be reviewed promptly from the dose of intravenous antimicrobial, with formal review completed within hours and daily thereafter, unless there are clearly documented exemptions, such as infective or osteomyelitis.
CorrectIncorrect - Question 5 of 15
5. Question
Look at the above examples of common skin and soft tissue infections and match them with the correct answer.
Sort elements
- Cutaneous leishmaniasis
- Abscess
- Folliculitis
- Cellulitis
- Impetigo
- A
- B
- C
- D
- E
CorrectIncorrect - Question 6 of 15
6. Question
Look at the image above and match the label with the correct stage.
Sort elements
- Stage 3
- Stage 1
- Stage 2
- A
- B
- C
CorrectIncorrect - Question 7 of 15
7. Question
Mutations in which gene result in the disruption of chloride ions?
CorrectIncorrect - Question 8 of 15
8. Question
Match the drug class with its place in therapy for the treatment of asthma in children and young people (according to National Institute for Health and Care Excellence guidelines).
Sort elements
- All steps
- Step 2
- Step 3
- Not included in current NICE recommendations
- Step 5
- Short-acting beta-agonists
- Inhaled corticosteroids
- Leukotriene receptor antagonists
- Long-acting muscarinic antagonists
- Biologics
CorrectIncorrect - Question 9 of 15
9. Question
What are the characteristics of an atrial flutter electrocardiogram reading? Select all that apply.
CorrectIncorrect - Question 10 of 15
10. Question
In the UK, there is a ten-year difference in men’s life expectancy depending on where they live. What one-word answer is the root cause underlying this disparity?
CorrectIncorrect - Question 11 of 15
11. Question
Toxidromes are used as a means of identifying the possible cause of a poisoning and informing subsequent management. Five toxidromes are listed below. Match the correct toxidrome with their associated signs, symptoms and manifestations.
Sort elements
- Hypervigilance, hallucinations; mumbling speech; increased temperature and respiratory rate; increased or normal blood pressure; skin dry and flushed; pupils dilated; dry mucous membranes
- Hallucinations; perceptual distortions; depersonalisation; agitation; normal or increased temperature, heart rate, respiratory rate and blood pressure; pupils usually dilated
- Sedation; coma; normal or decreased temperature, heart rate, respiratory rate and blood pressure; constricted pupils; noncardiogenic pulmonary edema; can develop hypotension
- Sedation; confusion; stupor; coma; normal or decreased temperature, heart rate, respiratory rate and blood pressure; nystagmus; cyclical coma; myoclonic encephalopathy
- Sedation; confusion; stupor; coma; normal temperature; low heart rate; respiratory rate decreased or increased; blood pressure normal or decreased; skin wet; pupils constricted; seizures; salivation; urinary and faecal incontinence; vomiting; weakness
- Anticholinergic
- Hallucinogenic
- Opioid
- Sedative-hypnotic
- Cholinergic
CorrectIncorrect - Question 12 of 15
12. Question
Fill in the blanks.
By understanding and respecting individual , prescribers can collaboratively design a plan that with the patient’s values, resulting in adherence and better outcomes
CorrectIncorrect - Question 13 of 15
13. Question
Active listening involves being present. What does the SOLER model stand for?
CorrectIncorrect - Question 14 of 15
14. Question
Which one of the following is not an example of a microaggression?
CorrectIncorrect - Question 15 of 15
15. Question
What has been shown to be the most effective rationale to use when discussing deprescribing with a patient?
CorrectIncorrect
This question is from ‘Chickenpox: symptoms, treatment and potential complications’. Please refer to the original article if you would like to learn more.
Genetic disorders
In individuals with cystic fibrosis, the transport of chloride ions into and out of the cells that regulate the movement of water necessary to produce free-flowing mucus is disrupted. Expand question 7 to test your knowledge.
The Pharmaceutical Journal
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- Question 1 of 15
1. Question
The National Institute for Health and Care Excellence presents a menu of treatment options for less-severe and more-severe depression in order of their cost effectiveness and ease of implementation, as shown in the image above. Put these treatment options for less-severe depression in order, starting with the easiest and most cost-effective option first.
- Interpersonal psychotherapy
- Guided self-help
- Short-term psychodynamic psychotherapy
- Group cognitive behavioural therapy
- Selective serotonin re-uptake inhibitor antidepressants
View:
CorrectIncorrect - Question 2 of 15
2. Question
Fill in the blanks.
The relationship between the dose of an antidepressant and its effect on target receptors is hyperbolic. When amounts of drug are present, most receptors are unsaturated, and each additional milligram of drug has a additive effect. When amounts of drug are present, most receptors are saturated, and each additional milligram has incrementally effect.
CorrectIncorrect - Question 3 of 15
3. Question
Match the effects of hormone replacement therapy (HRT) to the condition.
Sort elements
- Effect of HRT is unknown
- Some evidence that HRT improves this
- Oestrogen-only HRT has no effect, oestrogen plus progesterone HRT increases risk slightly
- HRT does not affect this
- Oral HRT increases risk
- Dementia
- Muscle mass
- Breast cancer
- Type 2 diabetes mellitus
- Venous thromboembolism
CorrectIncorrect - Question 4 of 15
4. Question
Fill in the blanks.
All patients on intravenous therapy should be reviewed promptly from the dose of intravenous antimicrobial, with formal review completed within hours and daily thereafter, unless there are clearly documented exemptions, such as infective or osteomyelitis.
CorrectIncorrect - Question 5 of 15
5. Question
Look at the above examples of common skin and soft tissue infections and match them with the correct answer.
Sort elements
- Cutaneous leishmaniasis
- Abscess
- Folliculitis
- Cellulitis
- Impetigo
- A
- B
- C
- D
- E
CorrectIncorrect - Question 6 of 15
6. Question
Look at the image above and match the label with the correct stage.
Sort elements
- Stage 3
- Stage 1
- Stage 2
- A
- B
- C
CorrectIncorrect - Question 7 of 15
7. Question
Mutations in which gene result in the disruption of chloride ions?
CorrectIncorrect - Question 8 of 15
8. Question
Match the drug class with its place in therapy for the treatment of asthma in children and young people (according to National Institute for Health and Care Excellence guidelines).
Sort elements
- All steps
- Step 2
- Step 3
- Not included in current NICE recommendations
- Step 5
- Short-acting beta-agonists
- Inhaled corticosteroids
- Leukotriene receptor antagonists
- Long-acting muscarinic antagonists
- Biologics
CorrectIncorrect - Question 9 of 15
9. Question
What are the characteristics of an atrial flutter electrocardiogram reading? Select all that apply.
CorrectIncorrect - Question 10 of 15
10. Question
In the UK, there is a ten-year difference in men’s life expectancy depending on where they live. What one-word answer is the root cause underlying this disparity?
CorrectIncorrect - Question 11 of 15
11. Question
Toxidromes are used as a means of identifying the possible cause of a poisoning and informing subsequent management. Five toxidromes are listed below. Match the correct toxidrome with their associated signs, symptoms and manifestations.
Sort elements
- Hypervigilance, hallucinations; mumbling speech; increased temperature and respiratory rate; increased or normal blood pressure; skin dry and flushed; pupils dilated; dry mucous membranes
- Hallucinations; perceptual distortions; depersonalisation; agitation; normal or increased temperature, heart rate, respiratory rate and blood pressure; pupils usually dilated
- Sedation; coma; normal or decreased temperature, heart rate, respiratory rate and blood pressure; constricted pupils; noncardiogenic pulmonary edema; can develop hypotension
- Sedation; confusion; stupor; coma; normal or decreased temperature, heart rate, respiratory rate and blood pressure; nystagmus; cyclical coma; myoclonic encephalopathy
- Sedation; confusion; stupor; coma; normal temperature; low heart rate; respiratory rate decreased or increased; blood pressure normal or decreased; skin wet; pupils constricted; seizures; salivation; urinary and faecal incontinence; vomiting; weakness
- Anticholinergic
- Hallucinogenic
- Opioid
- Sedative-hypnotic
- Cholinergic
CorrectIncorrect - Question 12 of 15
12. Question
Fill in the blanks.
By understanding and respecting individual , prescribers can collaboratively design a plan that with the patient’s values, resulting in adherence and better outcomes
CorrectIncorrect - Question 13 of 15
13. Question
Active listening involves being present. What does the SOLER model stand for?
CorrectIncorrect - Question 14 of 15
14. Question
Which one of the following is not an example of a microaggression?
CorrectIncorrect - Question 15 of 15
15. Question
What has been shown to be the most effective rationale to use when discussing deprescribing with a patient?
CorrectIncorrect
This question is from ‘Cystic fibrosis: management and monitoring of respiratory manifestations’. Please refer to the original article if you would like to learn more.
Respiratory
Pharmacological management of asthma can be achieved using a stepwise strategy. Expand question 8 to test your knowledge.
Shutterstock.com
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- Question 1 of 15
1. Question
The National Institute for Health and Care Excellence presents a menu of treatment options for less-severe and more-severe depression in order of their cost effectiveness and ease of implementation, as shown in the image above. Put these treatment options for less-severe depression in order, starting with the easiest and most cost-effective option first.
- Short-term psychodynamic psychotherapy
- Guided self-help
- Interpersonal psychotherapy
- Selective serotonin re-uptake inhibitor antidepressants
- Group cognitive behavioural therapy
View:
CorrectIncorrect - Question 2 of 15
2. Question
Fill in the blanks.
The relationship between the dose of an antidepressant and its effect on target receptors is hyperbolic. When amounts of drug are present, most receptors are unsaturated, and each additional milligram of drug has a additive effect. When amounts of drug are present, most receptors are saturated, and each additional milligram has incrementally effect.
CorrectIncorrect - Question 3 of 15
3. Question
Match the effects of hormone replacement therapy (HRT) to the condition.
Sort elements
- Effect of HRT is unknown
- Some evidence that HRT improves this
- Oestrogen-only HRT has no effect, oestrogen plus progesterone HRT increases risk slightly
- HRT does not affect this
- Oral HRT increases risk
- Dementia
- Muscle mass
- Breast cancer
- Type 2 diabetes mellitus
- Venous thromboembolism
CorrectIncorrect - Question 4 of 15
4. Question
Fill in the blanks.
All patients on intravenous therapy should be reviewed promptly from the dose of intravenous antimicrobial, with formal review completed within hours and daily thereafter, unless there are clearly documented exemptions, such as infective or osteomyelitis.
CorrectIncorrect - Question 5 of 15
5. Question
Look at the above examples of common skin and soft tissue infections and match them with the correct answer.
Sort elements
- Cutaneous leishmaniasis
- Abscess
- Folliculitis
- Cellulitis
- Impetigo
- A
- B
- C
- D
- E
CorrectIncorrect - Question 6 of 15
6. Question
Look at the image above and match the label with the correct stage.
Sort elements
- Stage 3
- Stage 1
- Stage 2
- A
- B
- C
CorrectIncorrect - Question 7 of 15
7. Question
Mutations in which gene result in the disruption of chloride ions?
CorrectIncorrect - Question 8 of 15
8. Question
Match the drug class with its place in therapy for the treatment of asthma in children and young people (according to National Institute for Health and Care Excellence guidelines).
Sort elements
- All steps
- Step 2
- Step 3
- Not included in current NICE recommendations
- Step 5
- Short-acting beta-agonists
- Inhaled corticosteroids
- Leukotriene receptor antagonists
- Long-acting muscarinic antagonists
- Biologics
CorrectIncorrect - Question 9 of 15
9. Question
What are the characteristics of an atrial flutter electrocardiogram reading? Select all that apply.
CorrectIncorrect - Question 10 of 15
10. Question
In the UK, there is a ten-year difference in men’s life expectancy depending on where they live. What one-word answer is the root cause underlying this disparity?
CorrectIncorrect - Question 11 of 15
11. Question
Toxidromes are used as a means of identifying the possible cause of a poisoning and informing subsequent management. Five toxidromes are listed below. Match the correct toxidrome with their associated signs, symptoms and manifestations.
Sort elements
- Hypervigilance, hallucinations; mumbling speech; increased temperature and respiratory rate; increased or normal blood pressure; skin dry and flushed; pupils dilated; dry mucous membranes
- Hallucinations; perceptual distortions; depersonalisation; agitation; normal or increased temperature, heart rate, respiratory rate and blood pressure; pupils usually dilated
- Sedation; coma; normal or decreased temperature, heart rate, respiratory rate and blood pressure; constricted pupils; noncardiogenic pulmonary edema; can develop hypotension
- Sedation; confusion; stupor; coma; normal or decreased temperature, heart rate, respiratory rate and blood pressure; nystagmus; cyclical coma; myoclonic encephalopathy
- Sedation; confusion; stupor; coma; normal temperature; low heart rate; respiratory rate decreased or increased; blood pressure normal or decreased; skin wet; pupils constricted; seizures; salivation; urinary and faecal incontinence; vomiting; weakness
- Anticholinergic
- Hallucinogenic
- Opioid
- Sedative-hypnotic
- Cholinergic
CorrectIncorrect - Question 12 of 15
12. Question
Fill in the blanks.
By understanding and respecting individual , prescribers can collaboratively design a plan that with the patient’s values, resulting in adherence and better outcomes
CorrectIncorrect - Question 13 of 15
13. Question
Active listening involves being present. What does the SOLER model stand for?
CorrectIncorrect - Question 14 of 15
14. Question
Which one of the following is not an example of a microaggression?
CorrectIncorrect - Question 15 of 15
15. Question
What has been shown to be the most effective rationale to use when discussing deprescribing with a patient?
CorrectIncorrect
This question is from ‘Children and young people with asthma: pharmacological management and monitoring’. Please refer to the original article if you would like to learn more.
Cardiology
The electrocardiogram (ECG) is a commonly performed, non-invasive diagnostic test to record the electrical activity of the heart. Increasingly, pharmacists are taking on clinical and prescribing roles, where interpretation of ECGs has become important in their day-to-day practice to help guide treatment interventions. Expand question 9 to test your knowledge.
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- Question 1 of 15
1. Question
The National Institute for Health and Care Excellence presents a menu of treatment options for less-severe and more-severe depression in order of their cost effectiveness and ease of implementation, as shown in the image above. Put these treatment options for less-severe depression in order, starting with the easiest and most cost-effective option first.
- Short-term psychodynamic psychotherapy
- Selective serotonin re-uptake inhibitor antidepressants
- Group cognitive behavioural therapy
- Interpersonal psychotherapy
- Guided self-help
View:
CorrectIncorrect - Question 2 of 15
2. Question
Fill in the blanks.
The relationship between the dose of an antidepressant and its effect on target receptors is hyperbolic. When amounts of drug are present, most receptors are unsaturated, and each additional milligram of drug has a additive effect. When amounts of drug are present, most receptors are saturated, and each additional milligram has incrementally effect.
CorrectIncorrect - Question 3 of 15
3. Question
Match the effects of hormone replacement therapy (HRT) to the condition.
Sort elements
- Effect of HRT is unknown
- Some evidence that HRT improves this
- Oestrogen-only HRT has no effect, oestrogen plus progesterone HRT increases risk slightly
- HRT does not affect this
- Oral HRT increases risk
- Dementia
- Muscle mass
- Breast cancer
- Type 2 diabetes mellitus
- Venous thromboembolism
CorrectIncorrect - Question 4 of 15
4. Question
Fill in the blanks.
All patients on intravenous therapy should be reviewed promptly from the dose of intravenous antimicrobial, with formal review completed within hours and daily thereafter, unless there are clearly documented exemptions, such as infective or osteomyelitis.
CorrectIncorrect - Question 5 of 15
5. Question
Look at the above examples of common skin and soft tissue infections and match them with the correct answer.
Sort elements
- Cutaneous leishmaniasis
- Abscess
- Folliculitis
- Cellulitis
- Impetigo
- A
- B
- C
- D
- E
CorrectIncorrect - Question 6 of 15
6. Question
Look at the image above and match the label with the correct stage.
Sort elements
- Stage 3
- Stage 1
- Stage 2
- A
- B
- C
CorrectIncorrect - Question 7 of 15
7. Question
Mutations in which gene result in the disruption of chloride ions?
CorrectIncorrect - Question 8 of 15
8. Question
Match the drug class with its place in therapy for the treatment of asthma in children and young people (according to National Institute for Health and Care Excellence guidelines).
Sort elements
- All steps
- Step 2
- Step 3
- Not included in current NICE recommendations
- Step 5
- Short-acting beta-agonists
- Inhaled corticosteroids
- Leukotriene receptor antagonists
- Long-acting muscarinic antagonists
- Biologics
CorrectIncorrect - Question 9 of 15
9. Question
What are the characteristics of an atrial flutter electrocardiogram reading? Select all that apply.
CorrectIncorrect - Question 10 of 15
10. Question
In the UK, there is a ten-year difference in men’s life expectancy depending on where they live. What one-word answer is the root cause underlying this disparity?
CorrectIncorrect - Question 11 of 15
11. Question
Toxidromes are used as a means of identifying the possible cause of a poisoning and informing subsequent management. Five toxidromes are listed below. Match the correct toxidrome with their associated signs, symptoms and manifestations.
Sort elements
- Hypervigilance, hallucinations; mumbling speech; increased temperature and respiratory rate; increased or normal blood pressure; skin dry and flushed; pupils dilated; dry mucous membranes
- Hallucinations; perceptual distortions; depersonalisation; agitation; normal or increased temperature, heart rate, respiratory rate and blood pressure; pupils usually dilated
- Sedation; coma; normal or decreased temperature, heart rate, respiratory rate and blood pressure; constricted pupils; noncardiogenic pulmonary edema; can develop hypotension
- Sedation; confusion; stupor; coma; normal or decreased temperature, heart rate, respiratory rate and blood pressure; nystagmus; cyclical coma; myoclonic encephalopathy
- Sedation; confusion; stupor; coma; normal temperature; low heart rate; respiratory rate decreased or increased; blood pressure normal or decreased; skin wet; pupils constricted; seizures; salivation; urinary and faecal incontinence; vomiting; weakness
- Anticholinergic
- Hallucinogenic
- Opioid
- Sedative-hypnotic
- Cholinergic
CorrectIncorrect - Question 12 of 15
12. Question
Fill in the blanks.
By understanding and respecting individual , prescribers can collaboratively design a plan that with the patient’s values, resulting in adherence and better outcomes
CorrectIncorrect - Question 13 of 15
13. Question
Active listening involves being present. What does the SOLER model stand for?
CorrectIncorrect - Question 14 of 15
14. Question
Which one of the following is not an example of a microaggression?
CorrectIncorrect - Question 15 of 15
15. Question
What has been shown to be the most effective rationale to use when discussing deprescribing with a patient?
CorrectIncorrect
This question is from ‘Interpretation of electrocardiograms’. Please refer to the original article if you would like to learn more.
Men’s health
The health challenges faced by men is a societal problem which needs to be urgently tackled. Expand question 10 to test your knowledge.
Ade Williams
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- Question 1 of 15
1. Question
The National Institute for Health and Care Excellence presents a menu of treatment options for less-severe and more-severe depression in order of their cost effectiveness and ease of implementation, as shown in the image above. Put these treatment options for less-severe depression in order, starting with the easiest and most cost-effective option first.
- Selective serotonin re-uptake inhibitor antidepressants
- Short-term psychodynamic psychotherapy
- Group cognitive behavioural therapy
- Guided self-help
- Interpersonal psychotherapy
View:
CorrectIncorrect - Question 2 of 15
2. Question
Fill in the blanks.
The relationship between the dose of an antidepressant and its effect on target receptors is hyperbolic. When amounts of drug are present, most receptors are unsaturated, and each additional milligram of drug has a additive effect. When amounts of drug are present, most receptors are saturated, and each additional milligram has incrementally effect.
CorrectIncorrect - Question 3 of 15
3. Question
Match the effects of hormone replacement therapy (HRT) to the condition.
Sort elements
- Effect of HRT is unknown
- Some evidence that HRT improves this
- Oestrogen-only HRT has no effect, oestrogen plus progesterone HRT increases risk slightly
- HRT does not affect this
- Oral HRT increases risk
- Dementia
- Muscle mass
- Breast cancer
- Type 2 diabetes mellitus
- Venous thromboembolism
CorrectIncorrect - Question 4 of 15
4. Question
Fill in the blanks.
All patients on intravenous therapy should be reviewed promptly from the dose of intravenous antimicrobial, with formal review completed within hours and daily thereafter, unless there are clearly documented exemptions, such as infective or osteomyelitis.
CorrectIncorrect - Question 5 of 15
5. Question
Look at the above examples of common skin and soft tissue infections and match them with the correct answer.
Sort elements
- Cutaneous leishmaniasis
- Abscess
- Folliculitis
- Cellulitis
- Impetigo
- A
- B
- C
- D
- E
CorrectIncorrect - Question 6 of 15
6. Question
Look at the image above and match the label with the correct stage.
Sort elements
- Stage 3
- Stage 1
- Stage 2
- A
- B
- C
CorrectIncorrect - Question 7 of 15
7. Question
Mutations in which gene result in the disruption of chloride ions?
CorrectIncorrect - Question 8 of 15
8. Question
Match the drug class with its place in therapy for the treatment of asthma in children and young people (according to National Institute for Health and Care Excellence guidelines).
Sort elements
- All steps
- Step 2
- Step 3
- Not included in current NICE recommendations
- Step 5
- Short-acting beta-agonists
- Inhaled corticosteroids
- Leukotriene receptor antagonists
- Long-acting muscarinic antagonists
- Biologics
CorrectIncorrect - Question 9 of 15
9. Question
What are the characteristics of an atrial flutter electrocardiogram reading? Select all that apply.
CorrectIncorrect - Question 10 of 15
10. Question
In the UK, there is a ten-year difference in men’s life expectancy depending on where they live. What one-word answer is the root cause underlying this disparity?
CorrectIncorrect - Question 11 of 15
11. Question
Toxidromes are used as a means of identifying the possible cause of a poisoning and informing subsequent management. Five toxidromes are listed below. Match the correct toxidrome with their associated signs, symptoms and manifestations.
Sort elements
- Hypervigilance, hallucinations; mumbling speech; increased temperature and respiratory rate; increased or normal blood pressure; skin dry and flushed; pupils dilated; dry mucous membranes
- Hallucinations; perceptual distortions; depersonalisation; agitation; normal or increased temperature, heart rate, respiratory rate and blood pressure; pupils usually dilated
- Sedation; coma; normal or decreased temperature, heart rate, respiratory rate and blood pressure; constricted pupils; noncardiogenic pulmonary edema; can develop hypotension
- Sedation; confusion; stupor; coma; normal or decreased temperature, heart rate, respiratory rate and blood pressure; nystagmus; cyclical coma; myoclonic encephalopathy
- Sedation; confusion; stupor; coma; normal temperature; low heart rate; respiratory rate decreased or increased; blood pressure normal or decreased; skin wet; pupils constricted; seizures; salivation; urinary and faecal incontinence; vomiting; weakness
- Anticholinergic
- Hallucinogenic
- Opioid
- Sedative-hypnotic
- Cholinergic
CorrectIncorrect - Question 12 of 15
12. Question
Fill in the blanks.
By understanding and respecting individual , prescribers can collaboratively design a plan that with the patient’s values, resulting in adherence and better outcomes
CorrectIncorrect - Question 13 of 15
13. Question
Active listening involves being present. What does the SOLER model stand for?
CorrectIncorrect - Question 14 of 15
14. Question
Which one of the following is not an example of a microaggression?
CorrectIncorrect - Question 15 of 15
15. Question
What has been shown to be the most effective rationale to use when discussing deprescribing with a patient?
CorrectIncorrect
This question is from ‘How to conduct effective men’s health promotion in community pharmacy’. Please refer to the original article if you would like to learn more.
Poisoning
Patients experiencing mental health conditions are one of the groups that may present to emergency departments acutely for poisoning and overdose. Expand question 11 to test your knowledge.
Shutterstock.com
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- Question 1 of 15
1. Question
The National Institute for Health and Care Excellence presents a menu of treatment options for less-severe and more-severe depression in order of their cost effectiveness and ease of implementation, as shown in the image above. Put these treatment options for less-severe depression in order, starting with the easiest and most cost-effective option first.
- Guided self-help
- Selective serotonin re-uptake inhibitor antidepressants
- Short-term psychodynamic psychotherapy
- Group cognitive behavioural therapy
- Interpersonal psychotherapy
View:
CorrectIncorrect - Question 2 of 15
2. Question
Fill in the blanks.
The relationship between the dose of an antidepressant and its effect on target receptors is hyperbolic. When amounts of drug are present, most receptors are unsaturated, and each additional milligram of drug has a additive effect. When amounts of drug are present, most receptors are saturated, and each additional milligram has incrementally effect.
CorrectIncorrect - Question 3 of 15
3. Question
Match the effects of hormone replacement therapy (HRT) to the condition.
Sort elements
- Effect of HRT is unknown
- Some evidence that HRT improves this
- Oestrogen-only HRT has no effect, oestrogen plus progesterone HRT increases risk slightly
- HRT does not affect this
- Oral HRT increases risk
- Dementia
- Muscle mass
- Breast cancer
- Type 2 diabetes mellitus
- Venous thromboembolism
CorrectIncorrect - Question 4 of 15
4. Question
Fill in the blanks.
All patients on intravenous therapy should be reviewed promptly from the dose of intravenous antimicrobial, with formal review completed within hours and daily thereafter, unless there are clearly documented exemptions, such as infective or osteomyelitis.
CorrectIncorrect - Question 5 of 15
5. Question
Look at the above examples of common skin and soft tissue infections and match them with the correct answer.
Sort elements
- Cutaneous leishmaniasis
- Abscess
- Folliculitis
- Cellulitis
- Impetigo
- A
- B
- C
- D
- E
CorrectIncorrect - Question 6 of 15
6. Question
Look at the image above and match the label with the correct stage.
Sort elements
- Stage 3
- Stage 1
- Stage 2
- A
- B
- C
CorrectIncorrect - Question 7 of 15
7. Question
Mutations in which gene result in the disruption of chloride ions?
CorrectIncorrect - Question 8 of 15
8. Question
Match the drug class with its place in therapy for the treatment of asthma in children and young people (according to National Institute for Health and Care Excellence guidelines).
Sort elements
- All steps
- Step 2
- Step 3
- Not included in current NICE recommendations
- Step 5
- Short-acting beta-agonists
- Inhaled corticosteroids
- Leukotriene receptor antagonists
- Long-acting muscarinic antagonists
- Biologics
CorrectIncorrect - Question 9 of 15
9. Question
What are the characteristics of an atrial flutter electrocardiogram reading? Select all that apply.
CorrectIncorrect - Question 10 of 15
10. Question
In the UK, there is a ten-year difference in men’s life expectancy depending on where they live. What one-word answer is the root cause underlying this disparity?
CorrectIncorrect - Question 11 of 15
11. Question
Toxidromes are used as a means of identifying the possible cause of a poisoning and informing subsequent management. Five toxidromes are listed below. Match the correct toxidrome with their associated signs, symptoms and manifestations.
Sort elements
- Hypervigilance, hallucinations; mumbling speech; increased temperature and respiratory rate; increased or normal blood pressure; skin dry and flushed; pupils dilated; dry mucous membranes
- Hallucinations; perceptual distortions; depersonalisation; agitation; normal or increased temperature, heart rate, respiratory rate and blood pressure; pupils usually dilated
- Sedation; coma; normal or decreased temperature, heart rate, respiratory rate and blood pressure; constricted pupils; noncardiogenic pulmonary edema; can develop hypotension
- Sedation; confusion; stupor; coma; normal or decreased temperature, heart rate, respiratory rate and blood pressure; nystagmus; cyclical coma; myoclonic encephalopathy
- Sedation; confusion; stupor; coma; normal temperature; low heart rate; respiratory rate decreased or increased; blood pressure normal or decreased; skin wet; pupils constricted; seizures; salivation; urinary and faecal incontinence; vomiting; weakness
- Anticholinergic
- Hallucinogenic
- Opioid
- Sedative-hypnotic
- Cholinergic
CorrectIncorrect - Question 12 of 15
12. Question
Fill in the blanks.
By understanding and respecting individual , prescribers can collaboratively design a plan that with the patient’s values, resulting in adherence and better outcomes
CorrectIncorrect - Question 13 of 15
13. Question
Active listening involves being present. What does the SOLER model stand for?
CorrectIncorrect - Question 14 of 15
14. Question
Which one of the following is not an example of a microaggression?
CorrectIncorrect - Question 15 of 15
15. Question
What has been shown to be the most effective rationale to use when discussing deprescribing with a patient?
CorrectIncorrect
This question is from ‘Management of poisoning: the pharmacist’s role’. Please refer to the original article if you would like to learn more.
Person-centred practice
Active patient engagement is of utmost importance in healthcare decision making, specifically when it comes to decisions related to medication. By prioritising the needs, preferences and values of the individual, person-centred practice ensures that prescribing decisions align with their overall wellbeing. Expand question 12 to test your knowledge.
Wes Mountain/The Pharmaceutical Journal
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- Question 1 of 15
1. Question
The National Institute for Health and Care Excellence presents a menu of treatment options for less-severe and more-severe depression in order of their cost effectiveness and ease of implementation, as shown in the image above. Put these treatment options for less-severe depression in order, starting with the easiest and most cost-effective option first.
- Selective serotonin re-uptake inhibitor antidepressants
- Group cognitive behavioural therapy
- Short-term psychodynamic psychotherapy
- Interpersonal psychotherapy
- Guided self-help
View:
CorrectIncorrect - Question 2 of 15
2. Question
Fill in the blanks.
The relationship between the dose of an antidepressant and its effect on target receptors is hyperbolic. When amounts of drug are present, most receptors are unsaturated, and each additional milligram of drug has a additive effect. When amounts of drug are present, most receptors are saturated, and each additional milligram has incrementally effect.
CorrectIncorrect - Question 3 of 15
3. Question
Match the effects of hormone replacement therapy (HRT) to the condition.
Sort elements
- Effect of HRT is unknown
- Some evidence that HRT improves this
- Oestrogen-only HRT has no effect, oestrogen plus progesterone HRT increases risk slightly
- HRT does not affect this
- Oral HRT increases risk
- Dementia
- Muscle mass
- Breast cancer
- Type 2 diabetes mellitus
- Venous thromboembolism
CorrectIncorrect - Question 4 of 15
4. Question
Fill in the blanks.
All patients on intravenous therapy should be reviewed promptly from the dose of intravenous antimicrobial, with formal review completed within hours and daily thereafter, unless there are clearly documented exemptions, such as infective or osteomyelitis.
CorrectIncorrect - Question 5 of 15
5. Question
Look at the above examples of common skin and soft tissue infections and match them with the correct answer.
Sort elements
- Cutaneous leishmaniasis
- Abscess
- Folliculitis
- Cellulitis
- Impetigo
- A
- B
- C
- D
- E
CorrectIncorrect - Question 6 of 15
6. Question
Look at the image above and match the label with the correct stage.
Sort elements
- Stage 3
- Stage 1
- Stage 2
- A
- B
- C
CorrectIncorrect - Question 7 of 15
7. Question
Mutations in which gene result in the disruption of chloride ions?
CorrectIncorrect - Question 8 of 15
8. Question
Match the drug class with its place in therapy for the treatment of asthma in children and young people (according to National Institute for Health and Care Excellence guidelines).
Sort elements
- All steps
- Step 2
- Step 3
- Not included in current NICE recommendations
- Step 5
- Short-acting beta-agonists
- Inhaled corticosteroids
- Leukotriene receptor antagonists
- Long-acting muscarinic antagonists
- Biologics
CorrectIncorrect - Question 9 of 15
9. Question
What are the characteristics of an atrial flutter electrocardiogram reading? Select all that apply.
CorrectIncorrect - Question 10 of 15
10. Question
In the UK, there is a ten-year difference in men’s life expectancy depending on where they live. What one-word answer is the root cause underlying this disparity?
CorrectIncorrect - Question 11 of 15
11. Question
Toxidromes are used as a means of identifying the possible cause of a poisoning and informing subsequent management. Five toxidromes are listed below. Match the correct toxidrome with their associated signs, symptoms and manifestations.
Sort elements
- Hypervigilance, hallucinations; mumbling speech; increased temperature and respiratory rate; increased or normal blood pressure; skin dry and flushed; pupils dilated; dry mucous membranes
- Hallucinations; perceptual distortions; depersonalisation; agitation; normal or increased temperature, heart rate, respiratory rate and blood pressure; pupils usually dilated
- Sedation; coma; normal or decreased temperature, heart rate, respiratory rate and blood pressure; constricted pupils; noncardiogenic pulmonary edema; can develop hypotension
- Sedation; confusion; stupor; coma; normal or decreased temperature, heart rate, respiratory rate and blood pressure; nystagmus; cyclical coma; myoclonic encephalopathy
- Sedation; confusion; stupor; coma; normal temperature; low heart rate; respiratory rate decreased or increased; blood pressure normal or decreased; skin wet; pupils constricted; seizures; salivation; urinary and faecal incontinence; vomiting; weakness
- Anticholinergic
- Hallucinogenic
- Opioid
- Sedative-hypnotic
- Cholinergic
CorrectIncorrect - Question 12 of 15
12. Question
Fill in the blanks.
By understanding and respecting individual , prescribers can collaboratively design a plan that with the patient’s values, resulting in adherence and better outcomes
CorrectIncorrect - Question 13 of 15
13. Question
Active listening involves being present. What does the SOLER model stand for?
CorrectIncorrect - Question 14 of 15
14. Question
Which one of the following is not an example of a microaggression?
CorrectIncorrect - Question 15 of 15
15. Question
What has been shown to be the most effective rationale to use when discussing deprescribing with a patient?
CorrectIncorrect
This question is from ‘Principles of person-centred practice for prescribers’. Please refer to the original article if you would like to learn more.
Communication for prescribing
It is essential that prescribers actively listen and ask effective questions in a manner that allows patients to be empowered and have control over their health and wellbeing. Expand question 13 to test your knowledge.
Wes Mountain/The Pharmaceutical Journal
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- Question 1 of 15
1. Question
The National Institute for Health and Care Excellence presents a menu of treatment options for less-severe and more-severe depression in order of their cost effectiveness and ease of implementation, as shown in the image above. Put these treatment options for less-severe depression in order, starting with the easiest and most cost-effective option first.
- Interpersonal psychotherapy
- Guided self-help
- Group cognitive behavioural therapy
- Selective serotonin re-uptake inhibitor antidepressants
- Short-term psychodynamic psychotherapy
View:
CorrectIncorrect - Question 2 of 15
2. Question
Fill in the blanks.
The relationship between the dose of an antidepressant and its effect on target receptors is hyperbolic. When amounts of drug are present, most receptors are unsaturated, and each additional milligram of drug has a additive effect. When amounts of drug are present, most receptors are saturated, and each additional milligram has incrementally effect.
CorrectIncorrect - Question 3 of 15
3. Question
Match the effects of hormone replacement therapy (HRT) to the condition.
Sort elements
- Effect of HRT is unknown
- Some evidence that HRT improves this
- Oestrogen-only HRT has no effect, oestrogen plus progesterone HRT increases risk slightly
- HRT does not affect this
- Oral HRT increases risk
- Dementia
- Muscle mass
- Breast cancer
- Type 2 diabetes mellitus
- Venous thromboembolism
CorrectIncorrect - Question 4 of 15
4. Question
Fill in the blanks.
All patients on intravenous therapy should be reviewed promptly from the dose of intravenous antimicrobial, with formal review completed within hours and daily thereafter, unless there are clearly documented exemptions, such as infective or osteomyelitis.
CorrectIncorrect - Question 5 of 15
5. Question
Look at the above examples of common skin and soft tissue infections and match them with the correct answer.
Sort elements
- Cutaneous leishmaniasis
- Abscess
- Folliculitis
- Cellulitis
- Impetigo
- A
- B
- C
- D
- E
CorrectIncorrect - Question 6 of 15
6. Question
Look at the image above and match the label with the correct stage.
Sort elements
- Stage 3
- Stage 1
- Stage 2
- A
- B
- C
CorrectIncorrect - Question 7 of 15
7. Question
Mutations in which gene result in the disruption of chloride ions?
CorrectIncorrect - Question 8 of 15
8. Question
Match the drug class with its place in therapy for the treatment of asthma in children and young people (according to National Institute for Health and Care Excellence guidelines).
Sort elements
- All steps
- Step 2
- Step 3
- Not included in current NICE recommendations
- Step 5
- Short-acting beta-agonists
- Inhaled corticosteroids
- Leukotriene receptor antagonists
- Long-acting muscarinic antagonists
- Biologics
CorrectIncorrect - Question 9 of 15
9. Question
What are the characteristics of an atrial flutter electrocardiogram reading? Select all that apply.
CorrectIncorrect - Question 10 of 15
10. Question
In the UK, there is a ten-year difference in men’s life expectancy depending on where they live. What one-word answer is the root cause underlying this disparity?
CorrectIncorrect - Question 11 of 15
11. Question
Toxidromes are used as a means of identifying the possible cause of a poisoning and informing subsequent management. Five toxidromes are listed below. Match the correct toxidrome with their associated signs, symptoms and manifestations.
Sort elements
- Hypervigilance, hallucinations; mumbling speech; increased temperature and respiratory rate; increased or normal blood pressure; skin dry and flushed; pupils dilated; dry mucous membranes
- Hallucinations; perceptual distortions; depersonalisation; agitation; normal or increased temperature, heart rate, respiratory rate and blood pressure; pupils usually dilated
- Sedation; coma; normal or decreased temperature, heart rate, respiratory rate and blood pressure; constricted pupils; noncardiogenic pulmonary edema; can develop hypotension
- Sedation; confusion; stupor; coma; normal or decreased temperature, heart rate, respiratory rate and blood pressure; nystagmus; cyclical coma; myoclonic encephalopathy
- Sedation; confusion; stupor; coma; normal temperature; low heart rate; respiratory rate decreased or increased; blood pressure normal or decreased; skin wet; pupils constricted; seizures; salivation; urinary and faecal incontinence; vomiting; weakness
- Anticholinergic
- Hallucinogenic
- Opioid
- Sedative-hypnotic
- Cholinergic
CorrectIncorrect - Question 12 of 15
12. Question
Fill in the blanks.
By understanding and respecting individual , prescribers can collaboratively design a plan that with the patient’s values, resulting in adherence and better outcomes
CorrectIncorrect - Question 13 of 15
13. Question
Active listening involves being present. What does the SOLER model stand for?
CorrectIncorrect - Question 14 of 15
14. Question
Which one of the following is not an example of a microaggression?
CorrectIncorrect - Question 15 of 15
15. Question
What has been shown to be the most effective rationale to use when discussing deprescribing with a patient?
CorrectIncorrect
This question is from ‘Communication techniques for prescribing’. Please refer to the original article if you would like to learn more.
Cultural competency
Microaggressions are a subtle but damaging form of discrimination. Expand question 14 to test your knowledge.
Shutterstock.com
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- Question 1 of 15
1. Question
The National Institute for Health and Care Excellence presents a menu of treatment options for less-severe and more-severe depression in order of their cost effectiveness and ease of implementation, as shown in the image above. Put these treatment options for less-severe depression in order, starting with the easiest and most cost-effective option first.
- Guided self-help
- Interpersonal psychotherapy
- Group cognitive behavioural therapy
- Selective serotonin re-uptake inhibitor antidepressants
- Short-term psychodynamic psychotherapy
View:
CorrectIncorrect - Question 2 of 15
2. Question
Fill in the blanks.
The relationship between the dose of an antidepressant and its effect on target receptors is hyperbolic. When amounts of drug are present, most receptors are unsaturated, and each additional milligram of drug has a additive effect. When amounts of drug are present, most receptors are saturated, and each additional milligram has incrementally effect.
CorrectIncorrect - Question 3 of 15
3. Question
Match the effects of hormone replacement therapy (HRT) to the condition.
Sort elements
- Effect of HRT is unknown
- Some evidence that HRT improves this
- Oestrogen-only HRT has no effect, oestrogen plus progesterone HRT increases risk slightly
- HRT does not affect this
- Oral HRT increases risk
- Dementia
- Muscle mass
- Breast cancer
- Type 2 diabetes mellitus
- Venous thromboembolism
CorrectIncorrect - Question 4 of 15
4. Question
Fill in the blanks.
All patients on intravenous therapy should be reviewed promptly from the dose of intravenous antimicrobial, with formal review completed within hours and daily thereafter, unless there are clearly documented exemptions, such as infective or osteomyelitis.
CorrectIncorrect - Question 5 of 15
5. Question
Look at the above examples of common skin and soft tissue infections and match them with the correct answer.
Sort elements
- Cutaneous leishmaniasis
- Abscess
- Folliculitis
- Cellulitis
- Impetigo
- A
- B
- C
- D
- E
CorrectIncorrect - Question 6 of 15
6. Question
Look at the image above and match the label with the correct stage.
Sort elements
- Stage 3
- Stage 1
- Stage 2
- A
- B
- C
CorrectIncorrect - Question 7 of 15
7. Question
Mutations in which gene result in the disruption of chloride ions?
CorrectIncorrect - Question 8 of 15
8. Question
Match the drug class with its place in therapy for the treatment of asthma in children and young people (according to National Institute for Health and Care Excellence guidelines).
Sort elements
- All steps
- Step 2
- Step 3
- Not included in current NICE recommendations
- Step 5
- Short-acting beta-agonists
- Inhaled corticosteroids
- Leukotriene receptor antagonists
- Long-acting muscarinic antagonists
- Biologics
CorrectIncorrect - Question 9 of 15
9. Question
What are the characteristics of an atrial flutter electrocardiogram reading? Select all that apply.
CorrectIncorrect - Question 10 of 15
10. Question
In the UK, there is a ten-year difference in men’s life expectancy depending on where they live. What one-word answer is the root cause underlying this disparity?
CorrectIncorrect - Question 11 of 15
11. Question
Toxidromes are used as a means of identifying the possible cause of a poisoning and informing subsequent management. Five toxidromes are listed below. Match the correct toxidrome with their associated signs, symptoms and manifestations.
Sort elements
- Hypervigilance, hallucinations; mumbling speech; increased temperature and respiratory rate; increased or normal blood pressure; skin dry and flushed; pupils dilated; dry mucous membranes
- Hallucinations; perceptual distortions; depersonalisation; agitation; normal or increased temperature, heart rate, respiratory rate and blood pressure; pupils usually dilated
- Sedation; coma; normal or decreased temperature, heart rate, respiratory rate and blood pressure; constricted pupils; noncardiogenic pulmonary edema; can develop hypotension
- Sedation; confusion; stupor; coma; normal or decreased temperature, heart rate, respiratory rate and blood pressure; nystagmus; cyclical coma; myoclonic encephalopathy
- Sedation; confusion; stupor; coma; normal temperature; low heart rate; respiratory rate decreased or increased; blood pressure normal or decreased; skin wet; pupils constricted; seizures; salivation; urinary and faecal incontinence; vomiting; weakness
- Anticholinergic
- Hallucinogenic
- Opioid
- Sedative-hypnotic
- Cholinergic
CorrectIncorrect - Question 12 of 15
12. Question
Fill in the blanks.
By understanding and respecting individual , prescribers can collaboratively design a plan that with the patient’s values, resulting in adherence and better outcomes
CorrectIncorrect - Question 13 of 15
13. Question
Active listening involves being present. What does the SOLER model stand for?
CorrectIncorrect - Question 14 of 15
14. Question
Which one of the following is not an example of a microaggression?
CorrectIncorrect - Question 15 of 15
15. Question
What has been shown to be the most effective rationale to use when discussing deprescribing with a patient?
CorrectIncorrect
This question is from ‘Addressing microaggressions to deliver cultural competence in pharmacy’. Please refer to the original article if you would like to learn more.
Medication review
There are multiple types of medication review, but they all primarily focus on ensuring safety, monitoring side effects, supporting adherence, managing polypharmacy and optimising medicines use. Expand question 15 to test your knowledge.
Shutterstock.com
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- Question 1 of 15
1. Question
The National Institute for Health and Care Excellence presents a menu of treatment options for less-severe and more-severe depression in order of their cost effectiveness and ease of implementation, as shown in the image above. Put these treatment options for less-severe depression in order, starting with the easiest and most cost-effective option first.
- Interpersonal psychotherapy
- Guided self-help
- Short-term psychodynamic psychotherapy
- Selective serotonin re-uptake inhibitor antidepressants
- Group cognitive behavioural therapy
View:
CorrectIncorrect - Question 2 of 15
2. Question
Fill in the blanks.
The relationship between the dose of an antidepressant and its effect on target receptors is hyperbolic. When amounts of drug are present, most receptors are unsaturated, and each additional milligram of drug has a additive effect. When amounts of drug are present, most receptors are saturated, and each additional milligram has incrementally effect.
CorrectIncorrect - Question 3 of 15
3. Question
Match the effects of hormone replacement therapy (HRT) to the condition.
Sort elements
- Effect of HRT is unknown
- Some evidence that HRT improves this
- Oestrogen-only HRT has no effect, oestrogen plus progesterone HRT increases risk slightly
- HRT does not affect this
- Oral HRT increases risk
- Dementia
- Muscle mass
- Breast cancer
- Type 2 diabetes mellitus
- Venous thromboembolism
CorrectIncorrect - Question 4 of 15
4. Question
Fill in the blanks.
All patients on intravenous therapy should be reviewed promptly from the dose of intravenous antimicrobial, with formal review completed within hours and daily thereafter, unless there are clearly documented exemptions, such as infective or osteomyelitis.
CorrectIncorrect - Question 5 of 15
5. Question
Look at the above examples of common skin and soft tissue infections and match them with the correct answer.
Sort elements
- Cutaneous leishmaniasis
- Abscess
- Folliculitis
- Cellulitis
- Impetigo
- A
- B
- C
- D
- E
CorrectIncorrect - Question 6 of 15
6. Question
Look at the image above and match the label with the correct stage.
Sort elements
- Stage 3
- Stage 1
- Stage 2
- A
- B
- C
CorrectIncorrect - Question 7 of 15
7. Question
Mutations in which gene result in the disruption of chloride ions?
CorrectIncorrect - Question 8 of 15
8. Question
Match the drug class with its place in therapy for the treatment of asthma in children and young people (according to National Institute for Health and Care Excellence guidelines).
Sort elements
- All steps
- Step 2
- Step 3
- Not included in current NICE recommendations
- Step 5
- Short-acting beta-agonists
- Inhaled corticosteroids
- Leukotriene receptor antagonists
- Long-acting muscarinic antagonists
- Biologics
CorrectIncorrect - Question 9 of 15
9. Question
What are the characteristics of an atrial flutter electrocardiogram reading? Select all that apply.
CorrectIncorrect - Question 10 of 15
10. Question
In the UK, there is a ten-year difference in men’s life expectancy depending on where they live. What one-word answer is the root cause underlying this disparity?
CorrectIncorrect - Question 11 of 15
11. Question
Toxidromes are used as a means of identifying the possible cause of a poisoning and informing subsequent management. Five toxidromes are listed below. Match the correct toxidrome with their associated signs, symptoms and manifestations.
Sort elements
- Hypervigilance, hallucinations; mumbling speech; increased temperature and respiratory rate; increased or normal blood pressure; skin dry and flushed; pupils dilated; dry mucous membranes
- Hallucinations; perceptual distortions; depersonalisation; agitation; normal or increased temperature, heart rate, respiratory rate and blood pressure; pupils usually dilated
- Sedation; coma; normal or decreased temperature, heart rate, respiratory rate and blood pressure; constricted pupils; noncardiogenic pulmonary edema; can develop hypotension
- Sedation; confusion; stupor; coma; normal or decreased temperature, heart rate, respiratory rate and blood pressure; nystagmus; cyclical coma; myoclonic encephalopathy
- Sedation; confusion; stupor; coma; normal temperature; low heart rate; respiratory rate decreased or increased; blood pressure normal or decreased; skin wet; pupils constricted; seizures; salivation; urinary and faecal incontinence; vomiting; weakness
- Anticholinergic
- Hallucinogenic
- Opioid
- Sedative-hypnotic
- Cholinergic
CorrectIncorrect - Question 12 of 15
12. Question
Fill in the blanks.
By understanding and respecting individual , prescribers can collaboratively design a plan that with the patient’s values, resulting in adherence and better outcomes
CorrectIncorrect - Question 13 of 15
13. Question
Active listening involves being present. What does the SOLER model stand for?
CorrectIncorrect - Question 14 of 15
14. Question
Which one of the following is not an example of a microaggression?
CorrectIncorrect - Question 15 of 15
15. Question
What has been shown to be the most effective rationale to use when discussing deprescribing with a patient?
CorrectIncorrect
This question is from ‘How to conduct a clinical review of a patient’s medicines’. Please refer to the original article if you would like to learn more.
Quiz Summary
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- Question 1 of 15
1. Question
The National Institute for Health and Care Excellence presents a menu of treatment options for less-severe and more-severe depression in order of their cost effectiveness and ease of implementation, as shown in the image above. Put these treatment options for less-severe depression in order, starting with the easiest and most cost-effective option first.
- Group cognitive behavioural therapy
- Short-term psychodynamic psychotherapy
- Guided self-help
- Selective serotonin re-uptake inhibitor antidepressants
- Interpersonal psychotherapy
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CorrectIncorrect - Question 2 of 15
2. Question
Fill in the blanks.
The relationship between the dose of an antidepressant and its effect on target receptors is hyperbolic. When amounts of drug are present, most receptors are unsaturated, and each additional milligram of drug has a additive effect. When amounts of drug are present, most receptors are saturated, and each additional milligram has incrementally effect.
CorrectIncorrect - Question 3 of 15
3. Question
Match the effects of hormone replacement therapy (HRT) to the condition.
Sort elements
- Effect of HRT is unknown
- Some evidence that HRT improves this
- Oestrogen-only HRT has no effect, oestrogen plus progesterone HRT increases risk slightly
- HRT does not affect this
- Oral HRT increases risk
- Dementia
- Muscle mass
- Breast cancer
- Type 2 diabetes mellitus
- Venous thromboembolism
CorrectIncorrect - Question 4 of 15
4. Question
Fill in the blanks.
All patients on intravenous therapy should be reviewed promptly from the dose of intravenous antimicrobial, with formal review completed within hours and daily thereafter, unless there are clearly documented exemptions, such as infective or osteomyelitis.
CorrectIncorrect - Question 5 of 15
5. Question
Look at the above examples of common skin and soft tissue infections and match them with the correct answer.
Sort elements
- Cutaneous leishmaniasis
- Abscess
- Folliculitis
- Cellulitis
- Impetigo
- A
- B
- C
- D
- E
CorrectIncorrect - Question 6 of 15
6. Question
Look at the image above and match the label with the correct stage.
Sort elements
- Stage 3
- Stage 1
- Stage 2
- A
- B
- C
CorrectIncorrect - Question 7 of 15
7. Question
Mutations in which gene result in the disruption of chloride ions?
CorrectIncorrect - Question 8 of 15
8. Question
Match the drug class with its place in therapy for the treatment of asthma in children and young people (according to National Institute for Health and Care Excellence guidelines).
Sort elements
- All steps
- Step 2
- Step 3
- Not included in current NICE recommendations
- Step 5
- Short-acting beta-agonists
- Inhaled corticosteroids
- Leukotriene receptor antagonists
- Long-acting muscarinic antagonists
- Biologics
CorrectIncorrect - Question 9 of 15
9. Question
What are the characteristics of an atrial flutter electrocardiogram reading? Select all that apply.
CorrectIncorrect - Question 10 of 15
10. Question
In the UK, there is a ten-year difference in men’s life expectancy depending on where they live. What one-word answer is the root cause underlying this disparity?
CorrectIncorrect - Question 11 of 15
11. Question
Toxidromes are used as a means of identifying the possible cause of a poisoning and informing subsequent management. Five toxidromes are listed below. Match the correct toxidrome with their associated signs, symptoms and manifestations.
Sort elements
- Hypervigilance, hallucinations; mumbling speech; increased temperature and respiratory rate; increased or normal blood pressure; skin dry and flushed; pupils dilated; dry mucous membranes
- Hallucinations; perceptual distortions; depersonalisation; agitation; normal or increased temperature, heart rate, respiratory rate and blood pressure; pupils usually dilated
- Sedation; coma; normal or decreased temperature, heart rate, respiratory rate and blood pressure; constricted pupils; noncardiogenic pulmonary edema; can develop hypotension
- Sedation; confusion; stupor; coma; normal or decreased temperature, heart rate, respiratory rate and blood pressure; nystagmus; cyclical coma; myoclonic encephalopathy
- Sedation; confusion; stupor; coma; normal temperature; low heart rate; respiratory rate decreased or increased; blood pressure normal or decreased; skin wet; pupils constricted; seizures; salivation; urinary and faecal incontinence; vomiting; weakness
- Anticholinergic
- Hallucinogenic
- Opioid
- Sedative-hypnotic
- Cholinergic
CorrectIncorrect - Question 12 of 15
12. Question
Fill in the blanks.
By understanding and respecting individual , prescribers can collaboratively design a plan that with the patient’s values, resulting in adherence and better outcomes
CorrectIncorrect - Question 13 of 15
13. Question
Active listening involves being present. What does the SOLER model stand for?
CorrectIncorrect - Question 14 of 15
14. Question
Which one of the following is not an example of a microaggression?
CorrectIncorrect - Question 15 of 15
15. Question
What has been shown to be the most effective rationale to use when discussing deprescribing with a patient?
CorrectIncorrect
- Citation
- The Pharmaceutical Journal, PJ, December 2023, Vol 311, No 7980;311(7980)::DOI:10.1211/PJ.2023.1.203656
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a good quiz but moveable responses were not enough easy or even possible to do on a phone.
Suggest this is stated up front- i.e. Please complete on a laptop or computer
Hi Robert. Please allow me to introduce myself as the senior editor for research and learning. Thanks very much for taking the time to share this feedback with us. The quiz functionality is designed to work on mobile so we will need to investigate this further. Can I ask you to drop me an email so we can ask some follow up questions please? My email address is Alex.Clabburn@rpharms.com
Expected to get question 15 wrong and did.
Can you supply the reference for the "correct" answer please
Hello. Many thanks for your comment. I am the senior editor for research and learning at the pharmaceutical journal. Question 15 was derived from the article 'How to conduct a clinical review of a patient’s medicines' and the specific references behind the question statement are copied below:
Green AR, Aschmann H, Boyd CM, Schoenborn N. Assessment of Patient-Preferred Language to Achieve Goal-Aligned Deprescribing in Older Adults. JAMA Netw Open. 2021;4(4):e212633. doi:10.1001/jamanetworkopen.2021.2633
Jansen J, Naganathan V, Carter SM, et al. Too much medicine in older people? Deprescribing through shared decision making. BMJ. 2016;:i2893. doi:10.1136/bmj.i2893