NMC-CBT Medicines Management and Pharmacology Flashcards
7 cards from real NMC CBT practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 NMC-CBT Medicines Management and Pharmacology flashcards as text
A patient is prescribed digoxin 125 micrograms orally. The available tablets are 62.5 micrograms each. How many tablets should be given?
Answer: 2 tablets
125 micrograms ÷ 62.5 micrograms = 2 tablets is the correct dose.
Which electrolyte imbalance most commonly potentiates digoxin toxicity?
Answer: Hypokalemia
Hypokalemia increases the risk of digoxin toxicity because low potassium enhances digoxin binding to myocardial Na+/K+ ATPase receptors.
A nurse is administering IV gentamicin. What is the most important pre-administration check specific to aminoglycosides?
Answer: Serum creatinine and renal function
Aminoglycosides like gentamicin are nephrotoxic and require renal function assessment before each dose to adjust dosing and prevent toxicity.
Under the Misuse of Drugs Regulations 2001, who is legally allowed to witness the destruction of Schedule 2 Controlled Drugs in a hospital setting?
Answer: An authorized person such as a pharmacist or authorized witness
The destruction of Schedule 2 CDs must be witnessed by an authorized person, which in a hospital typically includes a pharmacist or authorized witness as defined by the regulations.
A patient taking MAOIs (monoamine oxidase inhibitors) asks about dietary restrictions. Which food is most dangerous for this patient?
Answer: Mature cheese (e.g., cheddar)
Mature cheeses contain high levels of tyramine, which combined with MAOIs can cause a potentially fatal hypertensive crisis.
A patient is prescribed adrenaline (epinephrine) 1:1000 for anaphylaxis. What does the concentration 1:1000 mean?
Answer: 1 g per 1000 mL (1 mg per mL)
1:1000 means 1 gram in 1000 mL, which equals 1 mg per mL; this is the standard concentration used for intramuscular anaphylaxis treatment.
Which of the following medications requires a 'yellow card' adverse drug reaction report if a serious or unexpected reaction occurs?
Answer: Any medicine including OTC, herbal, and prescribed drugs
The MHRA Yellow Card scheme covers all medicines including OTC drugs, herbal products, vaccines, and prescribed medications when serious or unexpected reactions occur.