8th 20

Question 1

What should be measured after putting the patient on dalteparin (LMWH)?

Answer 1

FBC
Risk of heparin induced thrombocytopaenia

All patients should have a BASELINE platelet count before starting treatment

Question 2

White vaginal discharge and vulval itching =>

Answer 2

Candiadiasis

Question 3

Treatment of yeast infection

Answer 3

Fluconazole 150mg once only
Can also use creams or pessarys

Question 4

Patient with hypokalaemia on the wards, what can you do to their saline drip?

Answer 4

Add 40mmol of K+ to be administered over 4 hours (10mmol/hr)

Question 5

Adrenaline dosage for 10yo

Answer 5

300mcg IM adrenaline 1:1000

Question 6

Drugs that can contribute to GI bleeding

Answer 6

Prednisolone
Alendronic acid
Aspirin

Question 7

Triple therapy for helicobacter

Answer 7

Omeprazole
Clarithromycin
Amoxicillin

Question 8

Common side effects of methotrexate

Answer 8

Diarrhoea, nausea and vomiting

Question 9

What is methotrexate?

Answer 9

A DMARD

Question 10

When is methotrexate used?

Answer 10

As a DMARD, e.g. rheumatoid arthritis

Question 11

Which drug can cause hepatotoxicity (demonstrated by raised liver enzymes) in cardiac patients

Answer 11

Amiodarone

Question 12

What should you measure when the patient is on gentamicin?

Answer 12

Gentamicin levels

Question 13

Which drug for schizophrenia can you try after 2 failed anti-psychotics?

Answer 13

Clozapine

Question 14

What is there a risk of with clozapine?

Answer 14

Agranulocytosis

Question 15

Omeprazole side effects

Answer 15

Hyponatraemia
Abdo pain
Constipation, diarrhoea, dizziness, dry mouth, headache, vomiting

Question 16

Treatment of chlamydia in non-pregnant individuals

Answer 16

Doxycycline

Question 17

Antibiotic prescribing in confirmed complicated diverticular disease

Answer 17

Ciprofloxacin and metronidazole

Question 18

How do you diagnose diverticular disease?

Answer 18

CT scan
Clinical findings

Question 19

Antibiotic for UTI in pregnancy

Answer 19

Nitrofurantoin