1st 20

Question 1

1mg = how many mcg?

Answer 1

1000

Question 2

Tetracycline antibiotics, such as oxytetracycline (for severe acne) 500mg PO 2x daily have what common side effects?

Answer 2

Photosensitivity
Diarrhoea, headache, vomiting
Report any headaches

Question 3

What important advice do you give when putting someone on an NSAID? Say, naproxen for lower back pain?

Answer 3

Should be stopped if vomiting/diarrhoea or other signs of infection occur.
These are known as sick day rules. Met Forman and ACEi are others. And you stop them to protect the kidneys from AKI.

You should take naproxen after a meal.

Question 4

Reading of BP 153/92 in clinic. What’s your next step?

Answer 4

Home BP measurement repeat before starting ramipril (depending on flowchart).

Question 5

Cardiac arrest after pleuritic chest pain and SOB. What drug should you give to target the reversible cause of arrest?

Answer 5

Alteplase, IV bolus

Question 6

CCB (amlodipine), side effect?

Answer 6

Ankle swelling (peripheral oedema) 
Also cause myalgia (muscle aches)
Abdominal pain

Question 7

Treatment for glaucoma

Answer 7

Latanoprost

Prostaglandin analogue to reduce pressure in the eye

Question 8

Treatment for acute glaucoma

Answer 8

Acute glaucoma = pilocarpine eye drops

Question 9

Side effect of latanoprost

Answer 9

Change in eye colour (increases brown pigment)

Question 10

Contraceptive guidance is from where?

Answer 10

UKMEC

Question 11

Contraindications for COCP

Answer 11

Hypertension

Because of increased stroke risk

Question 12

Severe hypoglycaemia and unconscious Mx

Answer 12

10% glucose infusion

Intramuscular if IV access not available or in the community

Question 13

Long term nitrofurantoin for UTI prophylaxis, what do you need to monitor?
How regularly?

Answer 13

LFTs, risk of hepatic toxicity

Usually every 3-6 months

Question 14

How regularly should you monitor glucose levels when on insulin?

Answer 14

4x daily

Question 15

How regularly should you measure glucose levels in a young child on insulin?

Answer 15

5x a day

Question 16

Treatment of viral conjunctivitis

Answer 16

Self care measures

Question 17

Emergency contraception 12hr

Answer 17

Levonorgestrel 1.5mg PO once only

Question 18

3 types of emergency contraception

Answer 18

Copper coil
Levonorgestrel
Ella one

Question 19

Contraindication of Ella one emergency contraception

Answer 19

Asthma

Question 20

Normal TSH range

Answer 20

0.5 - 5

Question 21

What should you measure every 3 months with hypothyroidism?

Answer 21

TSH levels

Question 22

Raised TSH levels in hypothyroidism treated with levothyroixine indicates?

Answer 22

Inadequate treatment, up the dose and check TSH levels in 4 weeks.

Question 23

Patient with breakthrough pain on max normal analgesia (paracetamol, ibuprofen, codeine). What can you add?

Answer 23

Oramorph 5mg as required every 4 hours

Also note that you could add capsaicin cream for osteoarthritis

Question 24

Side effect of morphine

Answer 24

Respiratory depression

Question 25

HRT replacement therapy side effects

Answer 25

Increased risk of VTE

Question 26

Macrolide antibiotics side effects

Answer 26

Nausea and vomiting