5th 20

Question 1

Patient with high blood pressure in clinic and no other RF, what do you do?

Answer 1

Ambulatory BP to confirm elevated BP

Question 2

Patient with high blood pressure and QRISK score of 20% (high risk) what do you do?

Answer 2

Commence appropriate anti-hypertensive medication (e.g. ramipril)

Question 3

Anaphylaxis treatment for adults

Answer 3

500mg IM adrenaline into the anterolateral aspect of the thigh

Question 4

Most effective indicator of HAART therapy

Answer 4

HIV RNA levels

Question 5

Aim of HAART therapy

Answer 5

Reduce viral load

Question 6

How much is max paracetamol per day?

Answer 6

4g

Question 7

How often should you have alendronic acid?

Answer 7

Once weekly

Stand upright for 30 minutes on an empty stomach

Question 8

How often should dalteparin be delivered?

Answer 8

OD subcutaneous

Question 9

Bell’s palsy treatment

Answer 9

Prednisolone 50mg PO

Question 10

Shooting pain across face

Answer 10

Trigemial neuralgia

Question 11

Treatment of trigeminal neuralgia

Answer 11

Carbamazepine 100mg PO TDS

Question 12

Drug causes of hyponatraemia

Answer 12

ACEi
PPI (omeprazole)
Diuretics 
Antidepressants
Sulphonyureas

Question 13

Mirtazepine is an antidepressant, whats its main side effect?

Answer 13

Weight gain

Question 14

Side effect of alpha-1 blockers (alfuzosin) used for BPH

Answer 14

Orthostatic hypotension
Can even lead to syncope
Need to monitor BP

Question 15

Management of acute post-operative pain

Answer 15

Paracetamol
Ibuprofen
Morphine

Question 16

Typical morphine prescription

Answer 16

5mg every 4hr IV

Question 17

When should you avoid morphine

Answer 17

Renal impairment

Question 18

Morphine alternative

Answer 18

Oxycodone

Fentanyl

Question 19

Fishy white discharge

Answer 19

Trichomonas

Question 20

Treatment of trichomonas

Answer 20

Metronidazole

Question 21

Things to check with amiodarone

Answer 21

ECG (arrythmia)
CXR (interstitial lung disease)
U&E (hypokalaemia = contraindication)
TFTs
LFTs

Question 22

What type of drug is fluoxetine?

Answer 22

SSRI

Question 23

Side effects of SSRI overdose

Answer 23

Nystagmus Hyperthermia 
QT prolongation (rare)

Remember serotonin syndrome

Question 24

Information to give patients starting mirtazepine

Answer 24

If they have a fever or other signs of infection, seek medical advice (risk of agranulocytosis)

Question 25

Treatment of chlamydia

Answer 25

Erythromycin 500mg oral QDS for 7 days