Emily is lucky enough to get pregnant without any issues.

Mr Hutchinson needs to have surgery. The junior doctor asks what he should do with the metformin dose during the first couple of days following surgery. Select the most appropriate regimen for him from the options below. You may refer to the following resource (If you’re using a MAC, you MUST open this link in a new tab) –  Link  

Mr Hutchinson’s QRISK®3-2018 score is 28.6%. After discussion with Mr Hutchinson, what would you recommend to reduce his cardiovascular risk?

Several years later Mr Hutchinson was in the Pharmacy with his wife, who was collecting her prescription. She asked whether there was something she could buy for her husband as she has noticed a problem with his foot and he cannot get a GP appointment for another 2 weeks. Mr Hutchison shows you his foot .  What would be the most appropriate advice to give to Mr Hutchinson?  

Which phrase best describes the difference between type 1 and type 2 diabetes mellitus?

Emily presents to her GP feeling nauseous and unwell. She has an area in her right breast that is firm, painful, red, hot and tender. She has tried self-care for 24 hours but feels she is getting worse. She is diagnosed with infective mastitis and is given a course of flucloxacillin 250mg QDS. Penicillins are known to distribute into breastmilk in low concentrations. For each dose of flucloxacillin that Emily takes, what is the expected dose that the infant would receive through breastmilk? An extract from a UKMI factsheet on penicillins and cephalosporins in breastfeeding is included below:    Q&A 260.4 Are penicillins and cephalosporins safe in breastfeeding? Prepared by UK Medicines Information (UKMi) pharmacists for NHS healthcare professionals. Nov. 2015.

Which information should be taught to patients starting on anticoagulant therapy?  SATA

Which of the following are complementary health approaches to treating peripheral artery disease? SATA

Which of the following statements by a client with peripheral atherosclerosis indicates a need for further teaching: 

You’re providing discharge teaching to a patient with peripheral arterial disease. Which statement by the patient requires you to re-educate the patient?