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PHRM4012 OSCE - OTC Questions with Detailed
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Quiz: bee sting sx
Ans: instant, sharp, burning pain at the sting site
red at the sting site
slight swelling around the sting site
signs of anaphylaxis (referral): difficulty breathing, swelling of tongue/throat,
wheezing
Quiz: bee sting counselling
Ans: 1. remove sting with the edge of a credit card or fingernail without
squeezing (as the sting will continue to release venom until its empty)
2. clean with soap and water or a disinfectant
3. apply ice to relieve pain and swelling (no longer than 15mins at once)
4. apply steroid cream etc. for itch
use insect repellent
avoid times when insect are out
Quiz: chicken pox sx
Ans: rash
small blisters (starts on body -> head and limbs)
irregularly-shaped patched of inflamed skin
itch
systemic: malaise, low grade fever, headache, runny nose, cough
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,Quiz: chicken pox counselling
Ans: solugel for blisters when they break to prevent scarring
add pinetarsol to baths to relieve itch
use antihistamines for itch
use paracetamol for fever
use mittens/gloves for children to prevent scratching
wear loose clothes
lukewarm baths
stay hydrated
Quiz: constipation sx
Ans: abdominal discomfort
bloating
children: irritability, decreased appetite
Quiz: constipation counselling
Ans: ensure adequate fibre and water intake
sit with the feet flat on a surface, knees higher than the hips, leaning forward
with a straight back
Quiz: head lice sx
Ans: may be asymptomatic
itching of the scalp, back of neck, behind ears
presence of live lice (small black insects on scalp)
Quiz: head lice counselling
Ans: wash clothes/hats etc. in hot water
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, for things that can't be washed seal in a plastic bag for 2 weeks
avoid sharing items
tie back or plat hair for prevention
Quiz: nappy rash sx
Ans: skin folds remain unaffected
rash confined to area with direct contact with nappy
burn-like rash around nappy area
itch
sting
burn/sore
redness
Quiz: nappy rash counselling
Ans: nappy free period
regular nappy changes
avoid perfumed wipes
soap free washes
change nappy as soon as it has been soiled
Quiz: motion sickness sx
Ans: nausea
abdominal discomfort
vomiting
fatigue
weakness
inability to concentrate
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