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LPN INTENSIVE CLINICALS�� BNF CHAPTER 9 WORKBOOK ��� INTENSIVE GPHC Exam revision � programme

LONDON PHARMACIST NETWORK (LPN)

INTENSIVE REVISION FOR THE

GPHC EXAM.

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QUESTION ONE

  • A 52-year-old man has been admitted to hospital with worsening hypertension. Upon observation, he presents symptoms of electrolyte imbalance such fatigue, increased thirst, restlessness, water retention and weakness. Select the most likely electrolyte imbalance which has led to the patient's symptoms. Five available answer options. Select only one option
  • A. Hyperkalaemia
  • B. Hypokalaemia
  • C. Hyponatraemia
  • D. Hypomagnasaemia
  • E. Hypernatremia
  • LONDON PHARMACIST NETWORK

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QUESTION TWO

  • You work as a pharmacist in a GP surgery. A male patient presents with tingling, numbness, muscle cramps and fatigue. He currently takes citalopram, finasteride, Risedronate, lansoprazole and senna tablets. You decide to order a blood test to check his electrolytes. Which electrolyte imbalance is mostly responsible for his symptoms?
  • Five available answer options. Select only one option
  • A. Hyperkalemia
  • B. Hypocalcemia
  • C. Hyponatremia
  • D. Hypokalemia
  • E. Hypercalcemia

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QUESTION THREE

  • You work in a community pharmacy as a pharmacist. One of your regular female patients who currently takes sodium valproate presents in your pharmacy asking to buy multivitamins as she is thinking of conceiving. She has discussed this with her partner, and he is quite happy.
  • Which of the following is the most correct next line of action?
  • A. Sell folic acid tablets over the counter instead of multivitamins.
  • B. Tell her to try conceiving and stop taking sodium valproate only once she is confirmed pregnant.
  • C. Advice her that she cannot try for a baby now.
  • D. Sell multivitamins as she needs to take it alongside sodium valproate
  • E. Tell her to stop taking sodium valproate and just take multivitamins over the next 9 months.

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QUESTION FOUR

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  • Miss E. is a 20-year-old who suffers from acne. she comes into the pharmacy with a prescription for isotretinoin capsules. The date on the prescription is 24th June 2024. When is the last day you can dispense this prescription? Five available answer options. Select only one option
  • A. 29th June 2024
  • B. 30th June 2024
  • C. 22nd July 2024
  • D. 1st July 2024
  • E. 31st June 2024

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QUESTION FIVE

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  • A 48-year-old man visits your clinic in the GP surgery and complains of a metallic taste in his mouth after taking one of his medication.
  • Which of the following can cause a metallic taste?
  • a. Ramipril
  • b. ADCAL D3
  • c. Iron
  • d. Amlodipine
  • e. Methotrexate

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QUESTION 6- Extended matching questions

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A. Hypokalaemia

B. Hypomagnesaemia

C. Hyperkalaemia

D. Hypocalcaemia

E. Hypernatremia

F. Hyponatraemia

G. Hypercalcaemia

I. Hyperglycaemia

An elderly patient with dementia has been prescribed calcitonin by his doctor. His carer asks you to let him know what the drug is for since the patient can’t say. Which of the above electrolyte imbalances is calcitonin used to treat?

London Pharmacist Network

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QUESTION 7- Extended matching questions

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A. Hypokalaemia

B. Hypomagnesaemia

C. Hyperkalaemia

D. Hypocalcaemia

E. Hypernatremia

F. Hyponatremia

G. Hypercalcaemia

H. Hyperglycaemia

A 45-year-old patient has been admitted into hospital with electrolyte imbalance which led to a seizure. Her other symptoms include dizziness, drowsiness, fatigue, dehydration and low blood pressure. Which electrolyte imbalance is the most likely cause of the patient’s symptoms?

London Pharmacist Network

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QUESTION 8- Extended matching questions

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A. Hypokalaemia

B. Hypomagnesaemia

C. Hyperkalaemia

D. Hypocalcaemia

E. Hypernatremia

F. Hyponatraemia

G. Hypercalcaemia

H. Hyperglycaemia

You are reviewing the case of a 50-year-old schizophrenic patient. He takes sulpiride, Quetiapine and has been prescribed clozapine recently as his schizophrenia was not well controlled. Which of the above electrolyte imbalances is the most likely outcome?

London Pharmacist Network

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QUESTION 9- Extended matching questions

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A. Hypokalaemia

B. Hypomagnesaemia

C. Hyperkalaemia

D. Hypocalcaemia

E. Hypernatremia

F. Hyponatraemia

G. Hypercalcaemia

H. Hyperglycaemia

A 45-year-old patient has been admitted into hospital with electrolyte imbalance which led to arrythmias, tetany and spasms. He has been taking fludrocortisone for many months. Besides low potassium levels, which other electrolyte imbalance is the most likely outcome of the corticosteroid?

London Pharmacist Network

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QUESTION 10- Extended matching questions

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A. Hypokalaemia

B. Hypomagnesaemia

C. Hyperkalaemia

D. Hypocalcaemia

E. Hypernatremia

F. Hyponatraemia

G. Hypercalcaemia

H. Hyperglycaemia

You are reviewing the case of a 65-year-old asthmatic patient. He takes salbutamol inhaler, clenil inhaler and Amiodaone for arrythmias. Which of the above electrolyte imbalances is the most likely outcome of taking his meds?

London Pharmacist Network

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ANSWERS

  1. 1. Hypernatremia
  2. B. Hypocalcemia – caused by risedronate for osteoporosis treatment
  3. C. Advice her that she cannot try for a baby now. Refer to GP for consultation.
  4. B. 30th June 2024 – 7 day
  5. c. Iron
  6. .G. Hypercalcaemia – calcitonin is used to treat hypercalcaemia
  7. F. Hyponatremia
  8. H. Hyperglycaemia – 2nd Generation antipsychotics can increase blood glucose.
  9. D. Hypocalcaemia – mineralocorticoid causes CALCIUM LOSS
  10. A. Hypokalaemia caused by A B C D E drugs see notes

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