3rd 20

Question 1

What class of drugs in ibuprofen?

Answer 1

NSAID

Question 2

Chronic NSAID use can cause

Answer 2

Reduced renal perfusion -> chronic kidney disease
Peptic ulceration

Question 3

0.005% oral solution = how many mg/100ml?

Answer 3

0.005% = 5mg/100ml = 0.05mg/ml

Question 4

When should levothyroxine be taken?

Answer 4

30 minutes before any other medications or food

Question 5

Methotrexate monitoring

Answer 5

FBC (anaemia, leukopaenia, thrombocytopaenia)
U&Es
LFTs

Attend the GP if any signs of infection!

Question 6

Losartan drug class and use

Answer 6

Angiotensin 2 receptor antagonist
Used to reduce blood pressure

Question 7

When starting atorvastatin, what should you measure at 3mo and 12mo?

Answer 7

Liver function tests.
Statins can cause liver injury and hepatotoxicity

Question 8

If a patient is on a statin and has muscle pain/weakness what should be checked?

Answer 8

Creatinine kinase

Question 9

How much K+ should be given per hour?

Answer 9

10mmol
E.g. 1L of 0.9% with 40mmol K+ over 4 hours

Question 10

Treatment of chylamydia

Answer 10

100mg doxycycline PO twice daily for 7 days

Question 11

Insuffienct levothyroxine for hypothyroidism (say 100mg), how much to increase it by?

Answer 11

Increments of 25mg
Repeat TSH levels 4 weeks post dose adjustment

Question 12

If on long term steroids (e.g. prednisolone), what should not be done

Answer 12

DO NOT stop them suddenly, as they can go into adrenal crisis due to the prolonged suppression.

Question 13

Woman with head locked and looking upwards

Answer 13

Acute dystonic reaction (oculogyric crisis in this case)

Question 14

Sumatriptan use

Answer 14

Acute treatment of migraine

Question 15

Metoclopramide use

Answer 15

Antiemetic

Question 16

Metoclopramide side effects

Answer 16

Extra-pyramidal

Question 17

Patient on statin, raised ALT and AST by what amount justifies stopping it?

Answer 17

3x upper limit of patients baseline

Question 18

What should you monitor while infusing insulin-glucose infusion?

Answer 18

Capillary glucose

Question 19

Treatment of cellulitis

Answer 19

Flucloxacillin, 500mg, PO, QDS, 5-7 days

Question 20

What should you do if cellulitis with systemic signs?

Answer 20

Refer and admit for IV

Question 21

Anaphylaxis treatment

Answer 21

Adrenaline, 500mcg, IM

Question 22

Unresponsive patient with severe hypoglycaemia treatment

Answer 22

200ml 10% glucose IV