9th 20

Question 1

Management of nausea and vomiting associated with recurrent migraines

Answer 1

Metoclopramide 10mg PO PRN (up to 1 dose daily)

Prochlorperazine

Question 2

Lorazepam use predisposes…

Answer 2

Falls

This is because of drowsiness, hypotension, confusion

Question 3

What should you do with patients with very high BP

Answer 3

Early specialist review

Need referring for same day secondary care is measured in the community

Question 4

1mg = Xmcg

Answer 4

1000

Question 5

What needs checking before starting sodium valproate?

Answer 5

FBC, LFT, coagulation screen

Coagulation screen is a great indicator of hepatic function

Question 6

Normal fluid requirements

Answer 6

25ml/kg/day
1mmol/day K+ Na+ Cl-
50-100g glucose

Question 7

Typical prescription for an elderly, NBM inpatient

Answer 7

1000ml Sodium chloride 0.18% + 4% glucose + 50mmol K+ over 12hours

Question 8

How much glucose in 4% glucose?

Answer 8

40g

Question 9

Cloudy throughout the xray, think about

Answer 9

Pulmonary oedema

Question 10

Treatment of pulmonary oedema

Answer 10

Furosemide 40mg IV

Question 11

Side effect of oxybutynin

Answer 11

Anti muscarinic so can lead to difficulty swallowing and increased thirst 
Also mydriasis (dilated -> blurry vision)

Question 12

Common side effect of CCB (e.g. felodipine)

Answer 12

Amlodipine, felodipine

Ankle swelling because vasodilation and peripheral oedema