Which of the following conditions causing cough is most prevalent in the immigrant population?
- Chronic bronchitis
- Asthma
- Heart failure
- Pneumonia
- Tuberculosis
Rationale: Only tuberculosis (e) from the listed conditions is more associated with ethnicity.
Which of the following conditions with cough as a major presenting symptom is least likely to produce a productive cough?
- Chronic bronchitis
- Asthma
- Heart failure
- Pneumonia
- Tuberculosis
Rationale: Chronic bronchitis (a), bronchiectasis (c), and tuberculosis (e) are associated with productive coughs; Pneumonia (d) can start with a nonproductive cough but becomes productive; asthma (b) invariably has a nonproductive cough.
Mrs Jones visits your pharmacy complaining of having a dry cough for the last 7 days. After questioning, you decide it is a simple viral infection and recommend simple linctus. If symptoms persist, after how many further days would referral to the physician be appropriate?
- 3 days
- 5 days
- 7 days
- 10 days
- 14 days
Rationale: Conditional referrals are important for safety netting purposes. Acute cough is defined as 3 weeks or less, so in this case giving 14 days as the referral point is correct as the person has had the cough for just 7 days.
Mr Patel, who is 48 years old, presents with a nonproductive cough. Based on epidemiology, what is the most likely cause of the cough?
- Acute bronchitis
- Upper airways cough syndrome (postnasal drip)
- Asthma
- Viral infection
- Pneumothorax
Rationale: For all patients, regardless of age and gender, viral infection (d) is the most common presentation.
Dyspnoea is a symptom most closely associated with which condition?
- Chronic bronchitis
- Asthma
- Heart failure
- Pneumonia
- Tuberculosis
Rationale: Dyspnoea, difficulty in breathing, could be seen in all the listed conditions. However, in a community pharmacy context, people with conditions other than heart failure (c) will be less associated with dyspnoea. Other symptoms such as shortness of breath and fatigue will be more frequently seen.
You are recommending treatment for a young woman to treat a common cold (primary symptom of nasal congestion). She tells you that she is breastfeeding. What would be the most suitable option?
- Vitamin C
- Steam inhalation
- Oral sympathomimetics
- Topical sympathomimetics
- Antihistamines
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Simon, who is 32 years old, presents with a nonproductive cough of 6 days’ duration. He has no other symptoms and takes no medication. What would be the most appropriate course of action to take?
- Give pholcodine, 5 mL qds.
- Advise only on drinking more fluids.
- Give dextromethorphan, 10 mL qds.
- Give guafenesin, 10 mL qds.
- Give glycerine lemon and honey, 10 mL qds.
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Steven Blake, who is 37 years old, visits the pharmacy wanting treatment for his cough. After questioning him, you find out he has had a nonproductive cough for the last 7 to 10 days. He also states he has had some nasal congestion and been suffering from occasional shortness of breath. Based on the signs and symptoms listed, what is the most likely diagnosis?
- Upper airways cough syndrome (UACS)
- Acute bronchitis
- Chronic bronchitis
- Pneumonia
- Pneumothorax
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Jane Thompson, a 19-year-old woman, has a nonproductive cough. You believe it to be a viral infection. Jane is asthmatic and suffers from type 1 diabetes. What would be the most appropriate treatment or course of action?
- No treatment
- A demulcent
- A cough suppressant
- An antihistamine
- An expectorant
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Joanne Martin presents with a productive cough. She tells you that is yellow-green in colour. Given this information, what condition is most likely?
- Acute viral infection
- Heart failure
- Pneumonia
- Chronic bronchitis
- Acute bacterial infection
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David Daly, a 52-year-old man, presents with symptoms of nasal congestion, slight sore throat, headache, and loss of smell. The pharmacist decides to make a referral to the physician because the differential diagnosis suggests the following:
- Influenza
- Sinusitis
- Postnasal drip
- Rhinitis
- Glandular fever
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A middle-aged man presents with sore throat. He has had the symptoms for 3 days. From the list of other symptoms, which would warrant referral to the physician?
- Rhinorrhoea, cough, malaise, fever, headache and hoarseness
- Rhinorrhoea, malaise, fever, headache and hoarseness
- Rhinorrhoea, cough, malaise, headache and hoarseness
- Rhinorrhoea, cough, malaise and fever
- Rhinorrhoea, cough, malaise, fever and hoarseness
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Joanne Martin presents with a productive cough. She tells you that is yellow-green in colour. Given this information, what condition is most likely?
- Acute viral infection
- Heart failure
- Pneumonia
- Chronic bronchitis
- Acute bacterial infection
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Joanne Martin presents with a productive cough. She tells you that is yellow-green in colour. Given this information, what condition is most likely?
- Acute viral infection
- Heart failure
- Pneumonia
- Chronic bronchitis
- Acute bacterial infection
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Joanne Martin presents with a productive cough. She tells you that is yellow-green in colour. Given this information, what condition is most likely?
- Acute viral infection
- Heart failure
- Pneumonia
- Chronic bronchitis
- Acute bacterial infection
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Questions 2.16 to 2.21 concern the following conditions: Is characterized by night sweats? Select, from A to E, which of the following conditions:
- Pneumonia
- Heart failure
- Tuberculosis (TB)
- Chronic bronchitis
- Laryngotracheobronchitis
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Questions 2.16 to 2.21 concern the following conditions: Has initially a nonproductive painful cough that progresses to a productive cough? Select, from A to E, which of the following conditions:
- Pneumonia
- Heart failure
- Tuberculosis (TB)
- Chronic bronchitis
- Laryngotracheobronchitis
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Questions 2.16 to 2.21 concern the following conditions: Is closely associated with a history of smoking? Select, from A to E, which of the following conditions:
- Pneumonia
- Heart failure
- Tuberculosis (TB)
- Chronic bronchitis
- Laryngotracheobronchitis
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Questions 2.16 to 2.21 concern the following conditions: Is associated with a high-grade fever? Select, from A to E, which of the following conditions:
- Pneumonia
- Heart failure
- Tuberculosis (TB)
- Chronic bronchitis
- Laryngotracheobronchitis
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Questions 2.16 to 2.21 concern the following conditions: Has cough that is worst in the morning? Select, from A to E, which of the following conditions:
- Pneumonia
- Heart failure
- Tuberculosis (TB)
- Chronic bronchitis
- Laryngotracheobronchitis
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Questions 2.16 to 2.21 concern the following conditions: Has a cough has a barklike quality? Select, from A to E, which of the following conditions:
- Pneumonia
- Heart failure
- Tuberculosis (TB)
- Chronic bronchitis
- Laryngotracheobronchitis
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Questions 2.22 to 2.25 concern the following medications: Causes least sedation when orally administered Select, from A to E, which of the following medicines:
- Acrivastine
- Loratadine
- Chlorphenamine
- Cetirizine
- Antazoline
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Questions 2.22 to 2.25 concern the following medications: Is most likely to cause sedation? Select, from A to E, which of the following medicines:
- Acrivastine
- Loratadine
- Chlorphenamine
- Cetirizine
- Antazoline
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Questions 2.22 to 2.25 concern the following medications: Is most suitable for a pregnant woman with nasal congestion? Select, from A to E, which of the following medicines:
- Acrivastine
- Loratadine
- Chlorphenamine
- Cetirizine
- Antazoline
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Questions 2.22 to 2.25 concern the following medications: Can be given to children from the age of 1 year old? Select, from A to E, which of the following medicines:
- Acrivastine
- Loratadine
- Chlorphenamine
- Cetirizine
- Antazoline
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Which respiratory condition is characterized by shortness of breath and bronchoconstriction?
- Acute bronchitis
- Asthma
- Chronic bronchitis
- Heart failure
- Pneumonia
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What course of action would be most appropriate if a baby was suffering with croup-like symptoms?
- Give the infant a cough suppressant
- Give the infant an antihistamine
- Put the infant into a steamy room
- Seek medical help if symptoms persist for more than 48 hours
- Take the infant to casualty
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Which patient group is most at risk of pneumothorax?
- Children
- Elderly men
- Elderly women
- Young men
- Young women
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Which one of the following medicines can cause rebound congestion with overuse?
- Chlorphenamine tablets
- Codeine linctus
- Guaifenesin cough mixture
- Oxymetazoline nasal spray
- Pseudoephedrine tablets
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Which medicine is the drug of choice for nasal congestion caused by allergic rhinitis?
- Acrivastine
- Chlorphenamine
- Loratadine
- Nasal beclometasone
- Nasal decongestant
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Which patient group is most likely to suffer from infectious mononucleosis?
- Adolescents
- Adults
- Infants
- Children
- The elderly
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What symptoms are commonly associated with acute rhinosinusitis?
- Dull, diffuse bilateral pain that is often worse on bending down
- Dull, diffuse bilateral pain that often eases on bending down
- Dull, localized unilateral pain that is often worse on bending down
- Dull, localized unilateral pain that often eases on bending down
- Sharp, localized bilateral pain that often eases on bending down
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The most likely cause of acute cough in children is:
- Asthma
- Bacterial infection
- Croup
- Postnasal drip
- Viral infection
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Presenting symptoms of shortness of breath and dyspnoea are two symptoms most associated with?
- Asthma
- Chronic bronchitis
- Heart Failure
- Pneumonia
- Tuberculosis
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In which group of patients should chlorphenamine be used with caution or avoided?
- People with asthma
- People with epilepsy
- People with hypertension
- People with glaucoma
- People with GORD
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Based on epidemiology, what would be the most likely condition for a 55-year-old man with productive cough with a history of smoking?
- Acute bronchitis
- Asthma
- Chronic bronchitis
- Postnasal drip
- Viral cough
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In which patient group should flurbiprofen lozenges be avoided?
- Asthmatics
- Patients with peptic ulcers
- Hypertensive patients
- Patients with moderate renal impairment
- Patients with mild hepatic impairment
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Which of the following medicines should only be given short-term for the relief of hayfever?
- Acrivastine
- Beclometasone
- Sodium cromoglicate
- Naphazoline
- Fluticasone
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Stephanie Bridges, who is 28 years old, asks for a cough medicine for her chesty cough. From the following symptoms, which one is most likely to make you refer the patient?
- Associated frontal headaches
- Cough present for 10 days
- Failure of symptoms to respond to guaifenesin
- Occasional episodes of shortness of breath
- Sputum that is green in colour
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Questions 2.15 to 2.17 concern the following conditions: Shortness of breath is often the main presenting symptom Select in which of the following conditions (A to E):
- Acute bronchitis
- Chronic bronchitis
- Heart failure
- Pneumonia
- Tuberculosis
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Questions 2.15 to 2.17 concern the following conditions: Cigarette smoking is the main cause of the condition Select in which of the following conditions (A to E):
- Acute bronchitis
- Chronic bronchitis
- Heart failure
- Pneumonia
- Tuberculosis
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Questions 2.15 to 2.17 concern the following conditions: A higher prevalence is seen in ethnic groups Select in which of the following conditions (A to E):
- Acute bronchitis
- Chronic bronchitis
- Heart failure
- Pneumonia
- Tuberculosis
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Questions 2.18 to 2.20 concern the following medicines: Should be ideally avoided by patients taking beta-blockers? Select, from A to E, which of the following medicines:
- Beclometasone
- Benzydamine
- Codeine
- Pholcodine
- Pseudoephedrine
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Questions 2.18 to 2.20 concern the following medicines: Is associated with illicit drug manufacture? Select, from A to E, which of the following medicines:
- Beclometasone
- Benzydamine
- Codeine
- Pholcodine
- Pseudoephedrine
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Questions 2.18 to 2.20 concern the following medicines: Can reduce breast milk production? Select, from A to E, which of the following medicines:
- Beclometasone
- Benzydamine
- Codeine
- Pholcodine
- Pseudoephedrine
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