6th 20

Question 1

Features of scarlet fever

Answer 1

Sore throat
Fever
Red tongue
Cervical lymphadenopathy
Flushed face with an erythematous tongue 
New blanching rash

Question 2

Treatment of scarlet fever

Answer 2

Phenoxymethylpenicillin

Question 3

Warfarin management, patient has raised INR but is not bleeding, what should you do?

Answer 3

Stop warfarin

Give vit K orally

Question 4

What type of drug is indapemide?

Answer 4

Thiazide diuretic

Question 5

What can indapemide cause?

Answer 5

Hyponatraemia

Question 6

GTN guidance regarding acute chest pain

Answer 6

1st dose
5 minutes until 2nd
Call ambulance if not resolved after another 5 minutes
(10 minutes total!)

Question 7

Which drug, alongside morphine can contribute to respiratory depression?

Answer 7

Lorazepam (benzodiazepines)

Question 8

How many times a day should ramipril be taken?

Answer 8

Once a day

Question 9

Blood transfusion threshold regarding anaemia (Hb levels)

Answer 9

70g/L

80g/L in various diseases

Question 10

Drugs that can contribute to falls

Answer 10

Oxybutynin
Tramadol (dizzy and drowsy)
Diuretics (orthostatic hypotension)

Question 11

How much fluid for a childs fluid bolus?

Answer 11

<10 minutes

20ml/kg

Question 12

Maintenance fluids for children

Answer 12

First 10kg = 100ml/kg/day
2nd 10kg = 50
Anything after = 20ml/kg!

Question 13

When commencing ramipril, what should be checked in 1-2 weeks?

Answer 13

Renal function (HAM CHU!)
Basically need U&E checking with creatinine and urea