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

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

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

 A 38-year-old man presents to the pharmacy with a dry, irritating cough.  He asks if there are any non-drowsy treatments you could recommend over the counter.  He currently takes no regular medication.   Which of the following products would be the MOST appropriate to recommend?

 A 53-year-old woman presents to your community pharmacy for advice on the treatment of knee pain. She has previously seen the GP who diagnosed her with osteoarthritis, advised her to use paracetamol and encouraged her to lose weight. She has found this helpful, but she was out with her friends for longer than expected yesterday and her knee is particularly painful today. Paracetamol is not controlling the pain very well. She has no other past medical history and takes no other medications.   Which of the following would be the MOST appropriate pharmacological therapy to recommend to this patient, alongside lifestyle advice?

 Which of the following patients with symptoms of benign prostatic hyperplasia would it be appropriate to make an over the counter sale of tamsulosin MR capsules?

Which of the following does not occur in asthma?

If inspired air is 500ml how much of that air will actually reach the alveoli?

Which is not an area commonly affected by sarcoidosis?

 A 49-year-old man presents to his GP with symptoms of gastro-oesophageal reflux disease. He has had a recent course of amoxicillin 500mg TDS.  His GP refers him for an endoscopy to rule out any serious underlying cause of his symptoms.   Prior to an endoscopy, how long should there be between completing the course of the antibiotics and having the procedure carried out?