3/4/22

Question 1

What drug is used to reduce cortisol and aldosterone levels?

Answer 1

Metyrapone

Question 2

What invx for PCOS?

Answer 2

TVUSS

Hormonal profile

• high LH
• high LH:FSH

Question 3

How much oxycodone is equivalent to an opiate?

Answer 3

10mg of oxycodone is equivlaent to 20mg of opiate

Question 4

How often should alendroic acid be taken?

Answer 4

Once a week

Question 5

How many times a day do you need to take doxycycline for chlyamdia?

Answer 5

100mg TWICE daily

Question 6

How do you manage a patient presenting with hyperglycaemia?

Answer 6

If more than 12

Check to see for blood ketones - if ketones treat for DKA

If no ketones - give subcutaneous insulin and recheck in an hour to ensure levels are fallign

Question 7

What are the parameters for sugar levels

Answer 7

hypo <4
normal 4-6
pre-diabetes 6-7
diabetes >7

Question 8

How would you counsel a patient on taking methotrexate for RA?

Answer 8

What is it?
- DMARD that helps to reduce the body’s attack on the nice synovium we have in our joints

How do I take it?

• tablet that you take once weekly on the same day for the foreseeable future
• take with 5mg folic acid on a diff. day
• will need to have blood tests before and during to monitor it’s effects on your body
• will take weeks to months to work

What are the side effects?

• liver toxicity
• tetaorgenic
• mouth ulcers
• nausea
• agranulocytosis

How do I manage this?

• liver toxicity = reduce alcohol intake
• tetarogenic = must stop 3 months before trying to concieve in both males and females
• mouth ulcers and nausea = annoying inital concerns that should reduce after a few weeks of taking drug but if doesn’t come back in
• agranulocytosis = regular check ups and if any infective symptoms go straight to A+E

What if I don’t take it?
Disease progresses and can result in loss of function and painful deformities

More information?
We have a range of leaflets on offer
Come back in if any concerns
reliable websites like patient.info have a lot of information about the condition

Question 9

What are the symptoms of a posterior circulation stroke?

Answer 9

• Eye palsy
• Cerebellar dysfunction
• Bilateral motor/sensory

Question 10

Give a DD for intention tremor

Answer 10

• MS
• Posterior stroke
• Cerebellar dysfunction

Question 11

Complete territories for main brain arteries

Answer 11

DO IT

Question 12

What is multiple system atrophy?

Answer 12

Parkinsonism + early autonomic clinical features e.g. postural hypotension, incontinence and impotence

Question 13

What is the difference between Broca and Wernicke’s area?

Where are they found?

Answer 13

Broca’s - production of speech - left on frontal lobe just superior to where it joins temporal lobe

Wernicke’s = comprehension centre - posterior third of where temporal lobe joins rest of brain superiorly on left side of brain